Izimpawu ephethwe yisifo senhliziyo

Inhliziyo ukuhluleka - isimo sokugembula lapho inhliziyo ayikwazi ukwenziwa kanzima ngakho ukumpompa igazi ku edingekayo izicubu nogwali ivolumu. Izimpawu yinhliziyo kungenzeka babazi noma ngokuhamba kwesikhathi. Nakuba kancane kancane eziwohlokayo isimo somuntu.

Kuyinto okungamahlalakhona (congestive) senhliziyo kwenzeka 5% balabo asebekhulile, futhi, ngokuvamile kubantu besifazane.

Izimbangela ephethwe yisifo senhliziyo

Ukuze kuliwe izimpawu yinhliziyo akufanele kuphela ukunquma ukuthi ukuhlukumeza kwenhliziyo, kodwa futhi ukuthola imbangela, okungase kube imbangela ekuthuthukiseni lesi sifo.

Imbangela ngokushesha yinhliziyo kungaba embolism yamaphaphu, i-hyperthyroidism ekukhulelweni, ukuntuleka kwegazi emzimbeni, endocarditis ezithathelwanayo, ukucindezeleka (ngokomzimba, wezokudla, noma ngokomzwelo), umfutho ophezulu wegazi kanye isilethikusebenza.

Nokho, uma inhliziyo enempilo ke zonke lezi "izinhlekelele" ngeke kuholele ukwehluleka kwegazi, kuyilapho isifo (stenosis yomthambo i-aorta, zenhliziyo, valve ukukhubazeka, yenhliziyo Umthambo isifo) kuholela yokuthi izimpawu yinhliziyo ayakhula ngokushesha nje futhi sinamandla.

Izimpawu ephethwe yisifo senhliziyo

Uphawu bokuqala kungenzeka iphika nge yokumelwa yinhliziyo. Ngo isifo ekuqaleni, kubonakala kuphela ngemva kokuzivivinya, kodwa ukuqhubeka kwesifo kuba nzima ukuphefumula, futhi uphumule. Kumuntu ophile kahle, futhi, kukhona iphika, kodwa ivela khona kudingeka umfutho ezingaphezu kuka ukuhluleka inhliziyo. Ezimweni ezimbi kakhulu, kukhona ebusuku (ebusuku), iphika, ngenxa yokujama tsi emaphashini.

Kancane kancane ziqala ukuvela edema. Okokuqala, njengoba ehlushwa umlenze bese esiswini, futhi isifo ezinzima - ubuso.

Ukukhathala nokuphelelwa amandla kubangelwa abampofu kwegazi imisipha, nokuphazamiseka engqondweni ezifana ikhanda, ukulahlekelwa inkumbulo futhi ngizinaka, ukuqwasha nokukhathazeka zibangelwa abampofu igazi ebuchosheni.

Indoda nesifo senhliziyo uzizwe kangcono esimweni uqotho (orthopnea). Lokhu kungenxa outflow wegazi ovela emaphashini emikhawulweni aphansi. Iziguli eziningi ngisho kudingeke alale ehlezi phezulu.

On zichichima, ngemithambo kwesibindi kukhona ubuhlungu ngakwesokudla quadrant engenhla. Ngu kwegazi ukwehluleka abathintekayo esitho, okubonakala isikhumba ugodo noma okwesibhakabhaka izandla, izinyawo, futhi ngezinye izikhathi izindebe.

Ukuxilongwa ephethwe yisifo senhliziyo

Xilonga sifo ngisho nangaphambi zikhona izimpawu yinhliziyo. Ngenxa yalesi, umuntu kufanele njalo kudokotela uma izimpawu zokuqala ezihlobene nesifo senhliziyo (umfutho okhuphuka ngokungazelelwe, ubuhlungu besifuba, ukuvuvukala).

Udokotela kufanele ukuqhuba ucwaningo bese anqume degree ephethwe yisifo senhliziyo, ukukhomba yezinkinga (uma ikhona) futhi zibeka ukwelashwa okufanele.

Izimpawu yinhliziyo kungatholakala by imibuzo, kuhlolwa futhi auscultation wenhliziyo namaphaphu. izindlela engeziwe zingakhiqiza electrocardiography, echocardiography, esifubeni esimweni, futhi igazi ukuhlolwa umchamo.

Ukwelashwa ephethwe yisifo senhliziyo

ukuhluleka kwegazi, udinga ukulandela ukudla ngokuqukethwe elilinganiselwe usawoti wenze umsebenzi ngokomzimba (kodwa hhayi ezemidlalo).

Ukuze Imithi ukufaka isifo:

- isisu;

- glycosides inhliziyo ;

- beta-blocker;

- ACE inhibitor;

- nitrate.

Noma yimuphi umuthi zingafundwa kuphela emva kokubonisana wenhliziyo.

ukwelashwa kuhloswe ukumiswa ukuqhubeka kwesifo kanye ngcono izinga lempilo isiguli, ngakho-ke kufanele kwenziwe isikhathi eside (ngezinye izikhathi ukuphila).