Emlandweni wezifo CHD, izimpawu kanye nezinhlobo busebenze

Ngemva inhliziyo ubuchopho yisona sakhiwo ebaluleke kakhulu emzimbeni womuntu. Inhliziyo unesibopho imisebenzi ebalulekile ngokubhujiswa kwazo zonke izinhlangano kanye nezikhungo, ngakho noma iyiphi umsebenzi wabo singenele kudala ingcindezi eyengeziwe kule isitho esibalulekile. isifo Ischemic wenhliziyo - kuba isifo esingelapheki kubangelwa enganele umoya-mpilo umncane kwemithambo yegazi yenhliziyo kuya imisipha yenhliziyo. Umlando yenhliziyo Umthambo isifo iyona isifo ukuvaleka patency yenhliziyo ngenxa isifo sokuqina kwemithambo yegazi. Kungaba Yiqiniso chronic acute, ebonakaliswa izifo ezifana senhliziyo esifana arrhythmias inhliziyo, isilethikusebenza, angina futhi ukufa okuzumayo.

Phakathi ukuzikhandla ngokomzimba namkha ngokwengqondo, kanye nezikhathi kwezinga eliphakeme lomfutho wegazi lapho inhliziyo ahlangabezane ibe umthwalo sithuthukiswe kudinga-mpilo ukusetshenziswa, ischemia esivimba amanzi kwenzeka. Isiguli kulezi zikhathi uzizwa abacindezelayo constricting ubuhlungu esifubeni, wanika kancane kwesobunxele. Angina ngokuvamile sihamba ngokushesha ngemuva kokusebenzisa nitroglycerin. Uma emlandweni wezifo CHD nge exacerbation okukhulu angina enjalo imisiwe isikhathi esingaphezu kwehora - kukhona usongo olukhulu ekuphileni.

Kuye ngezinga of ukuntuleka komoya-mpilo kwenhliziyo, nezimbangela zayo kanye nesikhathi, kunezinhlobo eziningana ischemia inhliziyo:

- ischemia Asymptomatic angaliboni isiguli futhi kubangela akukho izikhalazo ezivela kuye.

- Phakathi ngokomzimba umsebenzi noma nakho ukucindezeleka, nge ukubonakaliswa njalo iphika nobuhlungu esifubeni, eba umlando ezingamahlalakhona wezokwelapha CHD - angina.

- Ukuze angina engazinzile kungafaka noma yimaphi angina, edlulele ngamandla ekuhlaseleni okudlule, ephelezelwa izimpawu ezintsha. ukuhlaselwa okunjalo ziwubufakazi yezinkinga lesi sifo futhi kukhona harbingers lokuqala isilethikusebenza.

- Isici nobuntu amafomu arrhythmic of ischemia inhliziyo kungukuphula isigqi sakhe, ebonakaliswa fibrillation atrial.

- myocardial infarction - ukufa olungaphelele imisipha yenhliziyo. Ezimweni eziningi, umlando isifo yenhliziyo Umthambo isifo, okuholela isilethikusebenza, phetho zokugwema ukuphuka koqweqwe odongeni ingaphakathi ukuxhumelela imithambo yenhliziyo noma okuvela a thrombus overlying lwemithambo patency.

- I nokufa ngokungalindelekile kwesihlobo inhliziyo, obonakaliswe nse wakhe ngokuzumayo ke kuwumphumela supply ezincane kakhulu kwegazi ukuze imisipha yakhe ngenxa occlusion ephelele kwemithambo emikhulu yenhliziyo.

Zonke izinhlobo ukugeleza ischemia zingahlanganiswa kanye nomthelela Yiqiniso kwaleso sifo. Ngokwesibonelo, umlando isifo senhliziyo - angina, ngokuvamile obuhambisana nokuthanda arrhythmia, bese kuphenduke isilethikusebenza, nokunye, kuze ngokufa okuzumayo. Lilokhu libuna ingxenye imisipha yenhliziyo singenzeka kunoma yisiphi isigaba lesi sifo, yiziphi izinhlobo ezine:

- esiteji Asymptomatic kwenzeka ngesikhathi sebethule cholesterol ezindongeni Umthambo.

- Stage izimpawu zokuqala ovezwe kweyesi-ingcindezi ephakeme, wokuqukethwe lelisetulu ushukela kanye cholesterol. Kulesi Isikhawu isifo cholesterol zingcwecwe lisibekele kufika ku-50% we-patency ekhipha igazi enhliziyweni.

- History of yenhliziyo isifo Umthambo isifo libhekene nokwanda kokungabi izimpawu, ebonakaliswa kufushane njalo umoya, okungajwayelekile umsebenzi inhliziyo nobuhlungu compressive ngemuva breastbone. Ngalesi sikhathi, ultrasound inhliziyo ebonisa ukwenyuka kwezinga izimbotshana inhliziyo futhi thinning of imisipha yenhliziyo.

- Isinyathelo sokugcina kuvezwa obala ukuhluleka eside inhliziyo, umfutho wegazi ophakeme, ukubukeka edema, fibrillation atrial, futhi ziwohloke elibukhali inhliziyo umsebenzi. Chest ubuhlungu kulesigaba elivela umthwalo kancane.

isilethikusebenza akubulali njalo, kukhona amacala lapho iziguli sidluliselwe kwezinyawo zakhe. Kodwa kufanele sikhumbule ukuthi ngemuva kokuhlaselwa yisifo senhliziyo nakanjani kuyoholela i ukusheshisa ukuthuthukiswa yenhliziyo Umthambo isifo.