Iimpawu senhliziyo

Ukungaphumeleli Heart - imeko zophendlo lwezifo apho intliziyo akakwazi kungancitshiswa nzima kangaka sokumpompa igazi kungena efunekayo inyama nogwali umthamo. Iimpawu ukusilela intliziyo kwenzeka kakuhle okanye ukuphuhlisa ngokuhamba kwexesha. Nangona ngokuthe maxongo imeko yomntu.

It is a esingapheliyo (congestive) ukusilela intliziyo kwenzeka ngo-5% of abadala, yaye, kakhulu kwabasetyhini.

Izinto ezibangela senhliziyo

Ukuphelisa iimpawu ukusilela kwentliziyo kufuneka angamisela kuphela ukuba ngaba kophulwa wentliziyo, kodwa kwakhona ukufumana unobangela, nenokuthi kuba ngunozala kuphuhliso kwesi sifo.

Unobangela olukhawulezileyo ukusilela intliziyo ibe Embolism yemiphunga, hyperthyroidism ngexesha lokukhulelwa, ianemia, endocarditis ezosulelayo, uxinzelelo (physical, ukungondleki, okanye ngokweemvakalelo), lwegazi kunye iposi engabalulekanga.

Noko ke, xa kanye intliziyo esempilweni, ngoko zonke ezo 'iintlekele' akayi kukhokelela ekubeni ukusilela yokujikeleza, kanti izifo (stenosis aortic, cardiomyopathy, iziphene vana, isifo kwemithambo) nezikhokelela ukuba iimpawu sisifo sentliziyo abaphuhlisa ngokukhawuleza kakhulu.

Iimpawu senhliziyo

Uphawu yokuqala ukuze ukuphelelwa ngumphefumlo kunye nokusilela ngentliziyo. Xa kusekwangoko isifo, kubonakala kuphela emva kokuba umzimba, kodwa ukuqhubela phambili esi sifo kuba nzima ukuphefumla kwaye uphumle. Xa umntu esempilweni, kakhulu, kukho ukuphelelwa umoya, kodwa livela kufuneka ngamandla ngakumbi kunokuba ukusilela entliziyweni. Kwiimeko kakhulu, kukho ebusuku (ebusuku), ukuphelelwa umoya, ngenxa yokudodobala emiphungeni.

Ngokuthe ngcembe ziqala ukubonakala nokudumba. Okokuqala, ukuhlupheka umlenze uze esiswini, kwaye izifo eqatha - ubuso.

Ukukhathala yaye ubuthathaka okubangelwa igazi engentlanga izihlunu, nokuphazamiseka engqondweni ezifana intloko ebuhlungu, ukulahlekelwa yinkumbulo ingqalelo, efuna ixhala le zibangelwa kwegazi engentlanga ebuchotsheni.

Umntu ukusilela ngentliziyo esingapheliyo uzive ngcono kwindawo tye (orthopnea). Oku kungenxa nencindi igazi imiphunga ukuya kwiziphelo asezantsi. Izigulane ezininzi kuye kwafuneka benze balale ehleli phezulu.

Kwi ziyaphuphuma, imithambo kwesibindi kukho intlungu ikota yesangqa ephezulu ngasekunene. Ngu ukusilela yegazi ochaphazelekayo ngethambo, ebonakala ulusu sakuba okanye aluhlaza izandla, iinyawo, kwaye ngamanye amaxesha imilebe.

Isifo senhliziyo

Ukuhlola sifo ngaphambi kokuba kukho iimpawu ukusilela kwentliziyo. Ngenxa yoko, umntu kufuneka udibane nogqirha xa iimpawu zokuqala ezinxulumene nesifo sentliziyo (yokugaleleka ngamandla, iintlungu esifubeni, ukudumba).

Ugqirha kufuneka ukuqhuba uphando kwaye amisele iqondo sisifo sentliziyo, ukuchonga ezinobuzaza (ukuba ikhona) aze ukumisela unyango ngokwaneleyo.

Iimpawu ukusilela kwentliziyo kungabonwa yi imibuzo, uhlolo kunye auscultation yentliziyo nemiphunga. iindlela ezongezelelweyo sebenza electrocardiography, echocardiography, isifuba ray, negazi kunye iimvavanyo nomchamo.

Unyango ukungaphumeleli intliziyo

ukusilela yegazi, kufuneka ulandele lokudla umxholo elilinganiselweyo ityuwa kwaye wenze umthambo (kodwa hayi ezemidlalo).

Ukuze amayeza ukubandakanya kule sifo:

- womchamo;

- glycosides intliziyo ;

- beta-blocker;

- inhibitor ACE;

- nitrate.

Naliphi na iyeza kungenziwa kuphela emva kokubonisana cardiologist.

Unyango ngamachiza ijolise iswa ukuqhubela phambili kwesifo kunye nokuphucula umgangatho wobomi isigulane, ngoko ke kufuneka wenziwe ixesha elide (ngamanye amaxesha ubomi).