nemithambo yegazi ngokubonelela ukuhamba kwegazi rhoqo yonke ioksijini izinto yesibini kunye nezondlo onke amalungu oluntu nangenxa yokuba ixabiso layo eliphezulu ayinakuphikiswa. Kwaye kunjalo, ukuba unayo loo ngxushungxushu encinane ezibangelwa enikezelanayo ukungaphumeleli kunye abasabela ngazo zonke ezinye iinkqubo, ngoko kusoloko iimpawu. Kodwa njani yenziwe uviwo iimpahla ngentliziyo negazi? Ukuze wenze oku, kukho iindlela ezininzi.
ukuhlolwa
Xa isigulane kuqala kucelwa nithathele ingqalelo le ingcali okanye njengenyathelo umbala izikhalazo (wokwenene) okanye ethile, ingcali kufuneka abe kufuneka-ukubona indawo intliziyo baqhube isifundo elula umzimba neempakatha wayo. Ngoko ke, okokuqala zonke ugqirha owenza uviwo jikelele isigulana ngokunikela ingqalelo ulusu lwakhe (yezifo le nkqubo ibe luthuthu, kwaye nkqu cyanosis, kubanda nokudumba ashinyeneyo, hemorrhages ezincinane), imeko inwebu ezibonakalayo yangaphakathi (inaliti ye sclera, lo uqweqwe emhlophe kwi kwisiseko ulwimi) , ukuphuhliswa kwenkqubo musculoskeletal (hypotension, ukutyhafa, dystrophic okanye, phezu koko, ukutyeba ngokugqithiseleyo), uhlobo ubume (phambi kwayo namaxesha ngezandla zozibini, ubambe ukubetha ngemithambo jugular). Okulandelayo, ugqirha kufuneka ukuphumeza loo iimviwo wentliziyo, njengoko yesandi na imida yayo, nto leyo kunokusibonisa hypertrophy iiseli ngamnye. Qiniseka ukuba achithe auscultation wakhe wababala inani izishunqulelo intliziyo, neneenkcukacha ilizwi layo, isingqisho, kunokwenzeka ingxolo yezifo.
imbali
Ekugqibeleni, ukulinganisa uxinzelelo lwegazi, kuba sisalathisi esibalulekileyo karhulumente kwenkqubo sentliziyo. Okulandelayo, ugqirha kufuneka isikhalazo iinkcukacha kuba zoviwo ezipheleleyo kwentliziyo luquka imbali yezonyango eneenkcukacha. Ngenxa yoko, ngenxa izifo nemithambo yegazi uphawuleka iintlungu esifubeni (ngokufuthi lityumza, ngokuveza character) okanye, ngaphezulu ncam, emva kwentamo, dyspnea (kwenzeka xa ukwanda umsebenzi ngokomzimba eqhelekileyo zokugula - wokuwalayisha ukukhanya okanye nokuphumla), iyangongoza kunye imizwa "kokuphazamiseka" wentliziyo, iimpawu uxinzelelo lwegazi (ebuhlungu, isiyezi, ubunzima emzimbeni). Qinisekisa kubonakala ngexesha kwazo, izinto engabangela kwaye liquidating namandla.
Neminye imiba ebalulekileyo
Kwakhona kwigumbi lokubhalela iimviwo kwentliziyo ziquka into yokuba isigulane ebuzwa ubalisa uphuhliso sifo, ngaloo ndlela ukubona ubungozi. Ngaloo ndlela, kunokuba nomothuko phezu olwandulela (ukufa komntu omthandayo, xi umsebenzi), ephakamisa ubunzima okanye ukwenza umsebenzi ngokwasemzimbeni ngenkankulu womelele. Ukuphuhlisa iimpawu kunye notshintsho neemeko zemozulu. Enye yokuhlola ebalulekileyo edlalwa lufuzo, kuba nezifo ezininzi (seswekile, lwegazi, isifo sentliziyo) zithande lokutshintshela kwisizukulwana esilandelayo. Ngokuqhelekileyo, imbali eqokelelwe ekunene unika 50% loxilongo onyango yesigulana. Emva kokuba incoko isigulane kunye nokuqhuba iimviwo yayo, ugqirha kufuneka athumele yewadi yakhe yoviwo kwentliziyo. Kufuneka sikhumbule nokwakheka amalungu omzimba.
A isuntswana ngentliziyo oluqhelekileyo
Ngoko, ke, cishe ethetha, impompo, equlathe ikakhulu zihlunu kunye nenkqubo ezintsonkothileyo nemithambo. Ngaphakathi iye amagumbi amane ukunxibelelana nabanye ngendlela ethile kunye nokuqinisekisa nentshukumo lomgadi igazi. Intliziyo ngokwayo ngokuqhubekekayo ukuze nesivumelwano kwaye ukhombe yayo isakhiwo kwizihlunu umqhubi kunqunyulwa inkqubela-luvo, ngaloo ndlela ebangela alternating izihlunu ukuqina egumbini ngalinye kwaye kwemithambo indibano-ukuvala therebetween. Kwaye ngenxa yokuba ingabhekiswa zonke iindlela koviwo intliziyo nokuba kwenguqulelo le ukwakheka komzimba (ultrasound, Doppler mapping, CT scan, isifuba X-reyi, iindlela radioisotope) ngqo kwemithambo ngemithambo (yixina iimpahla ezinkulu, angiography, angiography disease) okanye isifundo karhulumente inkqubo yalo Uhanjiso (electrocardiography, ergometry ibhayisekile) okanye iithowuni zayo audializatsiyu kunye ingxolo (phonocardiography).
echocardiography
Njengoko ubona, uviwo intliziyo kufuneka kubeka zichazwe, zichazwe, ukuba miss lutho ebusweni. Ngenxa ngokoyiswa nemithambo yegazi inokuba ibonakalisa ngesifo ozimeleyo, yaye ngenxa inkqubo ngezifo. Ukuba sithethe ngalo ebonwayo iindlela zokuxilonga, owokuqala qatha engqondweni echocardiogram, okanye njengoko kwakhona kuthiwa, ultrasound intliziyo. Oko kubonisa ukuba iyunithi ngexesha kwesi sifundo ebalulekileyo, unako ndiyaqonda nenengqondo. Xa engena nzulu ultrasound inyama ndikubuyisele emva kumfanekiso kubonakala kwikhusi ekuvumela ukuba ukuvavanya isakhiwo wentliziyo, ubukhulu nemingxuma bayo, imeko iivelufa kunye neempahla ezinkulu. Plus, le ndlela non-invasive nangaphandle amapasi radiation kwaye ke ngoko inokusetyenziswa nokuba abafazi abakhulelweyo, isifuba-ibele kunye nabantwana. Nangona kakhulu ngempumelelo Itomography ayifum abanakukwazi ukuqhuba kunye ultrasound diagnostic.
iingenelo ultrasound
Kumanqanaba ahlukeneyo umfazi kokumitha idlula ngamaxesha foetal ultrasound intliziyo ebonisa ilungelo ductus arteriosus, imilomo stenosis semithambo, prolapses okanye ukusilela isivalo, imeko ventricular kunye septal atrial kunye nezinye malformations bekhubazekile. Enye inzuzo ebalulekileyo yale ndlela kumguli kwiziko lonyango cheapness yayo isizalwane, ithuba ekwenzeni ezingalaliswayo, izifundo zexesha elifutshane, kwakunye ukufumana okhawulezayo nangoko kwaye ufumane utoliko yonke idatha. Kwaye ngenxa yokuba ithandwa kangaka ukuyisebenzisa ngenxa ultrasound diagnostic intliziyo.
Ntoni imikhumbi zophando
Xa abantu nomzimba, yaye izigulane seswekile ezitshangubeni uqhelekileyo nemithambo yegazi ke izilonda atherosclerotic kwemithambo, kwakunye hyalinosis neendonga zawo. Ngoko ke, kuyimfuneko ukuba balobe iimpahla intliziyo; ngokuba kuphela zisondla lo mzimba ezibalulekileyo kwaye ukuba ukusebenza kufuna isixa kakhulu amandla kunye substrates nezondlo. Ngenxa yoko, kuqala femoral okanye kwemithambo subclavian, lo catheter ifakiwe, ngalo otsho umahluko medium neempahla, ibonakale ngokucacileyo kwi X-ray screen. Eyona ndlela ibalulekileyo yegazi, izifo kobuchopho wentliziyo, engabalulekanga iposi na izitya coronary uviwo kwentliziyo. Lityhila ukuqhubeka zabo, ukuchaneka kokubetha kwakhe. Kwakhona phantsi kweliso yayo yenziwa imisebenzi ezininzi kweli candelo ebalulekileyo.
iziphumo
Ngoko ke, iindlela zophando kwezifo ezesifuba nemithambo ngelo xesha lakalokunje, kukho ezininzi, kodwa elowo kubo ebonisa engqongqo kunye Izimo, nangenxa yokuba bachitha ngamnye ngokoqoqosho ngqiqweni kwaye diagnostically ngamampunge. Kwaye ngenxa yokuba oyena ndoqo ugqirha abanobuchule ngubani ngenyameko prokuriruet nomonde aze abele unyango eziyimfuneko okanye yiya ligunyabantu elifanelekileyo.