Isifo sentliziyo pulmonary kunye neempawu noxilongo yayo

Izigulane abaphethwe zizifo zamaphaphu esingapheliyo, njengoko umthetho, kamva ezikhala iingxaki zentliziyo. Ukuba kukho ukusilela kwinkqubo sentliziyo, ngenxa yoko, ukunyhashwa kwentliziyo, le meko ibizwa ngokuba intliziyo miphungeni. Intliziyo Chronic pulmonary ngokuqhelekileyo kwenzeka ngo-3% kwizigulane.

Ngokubanzi intliziyo pulmonary kubekwe hypertrophy kunye dilatation (mhlawumbi kuphela dilatation) loMthetho ventricle ekunene, nto leyo iqalisa ngenxa kwegazi miphungeni.

Noko ke, oogqirha ngexesha lakalokunje ngokusekelwe izifundo bagqiba ukuba dilatation kunye hypertrophy - iimpawu zokuba kuvela ngakumbi kakhulu kwisigaba emva nesifo sentliziyo yemiphunga, nto leyo iphathwa nzima kakhulu ngakumbi. Ngenxa kwenkcazo sifo izakulungiswa, Uqaphele ukuba intliziyo yemiphunga - ukugxojwa iimfuno kwi kwegazi pulmonary, leyo kwinqanaba lokugqibela luphawulwa hypertrophy le ventricle ekunene kunye nokuhamba kwegazi.

Kukho amaqela amathathu kwezifo ngenxa leyo ukuphuhlisa intliziyo pulmonary zezi:

1. Izifo yenkqubo pulmonary, echaphazela umoya permeability kunye alveoli (ezingapheliyo bronchitis obstructive, isifo sephepha, abanesigulo, njalo njalo). Njengomgaqo, isifo olunjalo 60% amatyala, ukuba uphuhliso kwentliziyo miphungeni.
2. Izifo apho wachatshazelwa Isifuba kunye uvalo, apho ukuhamba imiqathango (elintlangothi ezonakeleyo, ankylosing spondylitis, suppuration pleural, njalo njalo)
3. Izifo ezichaphazela izitya lung i (umfutho wegazi, kwemithambo aortic, njalo njalo)

Ukuhlelwa ohlangeneyo kwentliziyo yemiphunga nezengekho apho. amayeza indawo Post-eSoviet ivuyela ulwahlulohlulo, apho iveliswa nangokuhamba yophuhliso sifo:

1. intliziyo Acute pulmonary, nto leyo iqalisa kwiiyure ezimbalwa, mhlawumbi nokuba imizuzu. Ngokuqhelekileyo, le uhlobo lwesifo sisiphumo Embolism vana pneumothorax, pleuritis ekunene-zizonke, kwaye phambi sombefu inyumoniya (ngokuthe ngqo ngethuba uhlaselo somoya).
2. Subacute weekore pulmonale, nto leyo ibuya ngokuqhelekileyo emva ngokuphindaphindiweyo Embolism yemiphunga, ukuhlaselwa okunzima sombefu. Isizathu abe yesi sifo, ipoliyo, carcinomatosis wemiphunga periarteritis nodosa.
3. Intliziyo Chronic pulmonary uyakwazi ukuphuhlisa iminyaka eliqela kwaye ngokuxhomekeke kwinqanaba le insufficiency yemiphunga, azanelanga ukuhamba kwegazi kunye hypertrophy ekunene ventricular yohlulwe amanyathelo eziphambili 4:

• Isigaba sokuqala - insufficiency yemiphunga nezengekho 1 isidanga. Akukho anayenza ukusilela yokujikeleza, akukho kukwaphula kwengoma igesi. ECG akabonisi hypertrophy kunye echocardiography uma- ngezifo.
• insufficiency pulmonary ngokuzalana apho oxygenation kwenzeka kuphela ukuya kwi-80%, kuvela ezinye iimpawu hypertrophy sele dyspnea ukuphumla.
• pulmonary insufficiency 3 degrees, igazi esimbaxa le mpilo sele nama-50%, kukho njengokubonisa ngqo imiqondiso ebonisa hypertrophy ekunene ventricular kunye nokungaphumeleli kwegazi.
• sigaba yesine, nto leyo ebalasele Ukwanda ioksijini ngaphantsi kwama-50% sele waboniswa hypertrophy komlomo, linophawu luphuhliso dystrophic insufficiency kwegazi.

Isiseko umgaqo yokunqanda isifo sentliziyo yemiphunga - unyango lwe sifo, nto leyo eyakhokelela ekubeni kokuhluma yayo, unyango ibangela. Ngokuqhelekileyo, uthomalaliso entsonkothileyo ejolise ekunciphiseni uxinzelelo kwi-pulmonary, ukuphelisa izifo ezihlasela zosulele, kunye nonyango lwe ukusilela kwentliziyo abayabelwe.