Ekunene Ukungaphumeleli ventricular: oonobangela, iimpawu, unyango

ukusilela Heart. Xa sithetha ngabantu bakhe ngokuqhelekileyo wayecinga utshintsho zinxulunyaniswa ukusebenza kakuhle kwe le ventricle ekhohlo. Kwaye nje umzuzwana eyadlulayo, izazinzulu waba nomdla kumsebenzi ventricle ekunene. Izifundo oluqhubekayo lubonisa umsebenzi umahluko ebonakalayo amagumbi ngentliziyo asekhohlo nasekunene. Kukho ukusilela ventricular ilungelo ngenxa yaphula kwegazi pulmonary ngenxa kwekhono engabalulekanga. Kungenxa yokuba ngamanye amaxesha kuthiwa intliziyo miphungeni.

Oonobangela ukusilela ilungelo ventricular

Ukungaphumeleli Heart angenzeka esingapheliyo okanye etsolo, kuba lokuqala okanye ezenqanaba lesibini. Ngokusekelwe uhlobo lwesifo, iingcali ichonge nezizathu ukwenzeka kwayo.

Acute Ukungaphumeleli ventricular sasekunene (iimpawu kuya kuxoxwa ngezantsi) ingaqala xa: komsipha le zekhala interventricular; Embolism pulmonary ezinkulu; myocarditis; bububi kakhulu yesifuba inyumoniya; Ekunene iposi engabalulekanga ventricular; pneumonia iyonke oyingozi.
Umyalezo weimeyile ukwehluleka ventricular ekunene ezingapheliyo ngohlobo:

• Xa pericarditis eyakhayo kwaye iziphene senhliziyo azalwa, ezithi zenzeke, sithwalisa le ventricle ekunene (aortic valve sisilonda esidumbileyoesingaphakathi; triskupidalnogo valve insufficiency).
• Pathology kwenkqubo nokuphefumla (bronchiectasis, sarcoidosis, emphysema, iphika, isifuba).
• ukutyeba ezinamandla kunye kuncitshiswa awo intshukumo ye uvalo.
• Ukophulwa kwenkqubo osemiphungeni (vasculitis; thromboembolism, lwegazi pulmonary), ucinezelo evela ngaphandle (kwemithambo aortic, ithumba).
• ukushukumiseka Limited yesifuba okubangelwe izifo inkqubo neuromuscular (autoimmunity, ipoliyo), umqolo (isifo Bechterew kaThixo, zokufota).

Kwakhona, ukusilela intliziyo lungelo ibe lesibini kwade ngasekhohlo ukusilela ventricular emva kokuba kubhengezwe iziphumo ukuphazamiseka okunzima ejikeleza yemiphunga yaba kukwanda yogcino pulmonary kunye kokuvela bacaca amasebe ekunene.

symptomatology

Acute ilungelo Ukungaphumeleli ventricular ebangela lwegazi yemiphunga, nto leyo ekugqibeleni ukunciphisa umthamo wegazi betekisi yi-ventricle ekhohlo.

Isigulane Kwabonakala, likhula ngokukhawuleza, ezi mpawu zilandelayo: liyancipha lobushushu kwesikhumba (akrozianoz); ophilisayo nokubetha kwentliziyo; pulsate aphakama kunye ndlela jugular; kukho yimvakalelo yokuswela umoya, kwakunye nokubamba-bamba umphefumlo; nokudumba pulmonary ngenxa yokwanda capillary permeability. Chronic Ukungaphumeleli ventricular ekunene kuziveza noko ngolunye uhlobo.

Ngokubhekele phaya ebonisa iimpawu ingxinano le kwegazi:

• oliguria, perfusion sezintso;
• intlungu ekunene ikota yesangqa liphezulu njengezingxobo kwempixano, wawandisa isibindi;
• Ukuzuza fluid kwi nemingxuma thoracic kwaye esiswini (hydrothorax kunye ascites);
• nokudumba of nemilenze yaye kungekudala - udonga sobuKristu esiswini.

Lidla ngokwendalo kuya kuba ukuphuhliswa ukuphazamiseka kwengqondo, nto leyo ekhokelela eyaphula nencindi lwegazi ebuchotsheni lwemithambo kunye gastritis.

Njengoko kutyhilwa ukusilela ventricular sokunene?

ekuxilongweni

Ukumisela ukusilela intliziyo bodwa akwenzeki, oko kwenza oyingcaphephe ngokupheleleyo-epheleleyo emva kokuxilongwa. Kulo mzekelo, oku kuboniswa ubambe ezi zophononongo njengoko X-reyi Isifuba, MRI, ultrasound, electrocardiogram. iimvavanyo eziyimfuneko laboratory - urinalysis, iimvavanyo zegazi hormone lwezonyango.

Ukuba umntu unelungelo ukusilela etsolo ventricular, ngoko ngexesha ECG nga ligcine sindisa elinqatyisiweyo isebe intliziyo ekunene, ultrasound ichonga nangezilonda ezahlukeneyo kunye abacombululi kwindawo engabalulekanga. MRI lwenziwa xa umfanekiso lwezonyango oluchaziweyo.

Yintoni na ke lona igazi?

Ngokubanzi, uhlalutyo igazi kubonakala kwinani leukocytes, yaye ngenxa yoko, izinga progression of komtshiso oko. Blood Uhlalutyo ezinto ibonisa ubukho into engaba ingozi kwimpilo kunye nemeko yamanqanaba hormone. Emva kokuba iziphumo zazo zonke izifundo kunye nocazululo ziya kuba ezandleni oyingcali, emva kokufunda izikhalazo yomguli kunye noviwo kwakhona isenokuba ukuxilongwa kunye neendlela ezifanelekileyo unyango. Ukuba kunzima ukwenza uxilongo uya kufuna MRI kunye X-ray.

ukusilela Ekunene ventricular kuba anobungozi.

zokuthintela izifo

Kakade ke, kukho iimeko apho akunakwenzeka ukuba ukuthintela isifo sentliziyo, ingakumbi xa kufikwa yofuzo. Kodwa ke oku akuthethi ukuba ungene kwiqela umngcipheko i uphilisa umntu ekwenzeni zokuthintela. Ngokuqhelekileyo senhliziyo ukusilela ventricular lwenzeka kwi imvelaphi ngesifo engundoqo, nto leyo eyenza umsebenzi ekuthinteleni nokuthintela kwangethuba kokuwela kweenkqubo ezingapheliyo zophendlo lwezifo kunye nokulondolozwa kuxolelwe ixesha elide.

amanyathelo azizithintelo kufuna ukutya okusempilweni, bagcine indlela esebenzayo, ezolileyo ngokweemvakalelo, ikhondo rhoqo unyango kweziyobisi, ulawulo ubunzima Cardio. Ukuba unyango ichiza contraindicated yokwamkela lithetha ezingaziwayo ngaphandle kwesilumkiso kunye nogqirha.

Intliziyo Right therapy ukungaphumeleli

Xa unyango lwe ekoreni pulmonale sibhekiswe ekujonganeni isifo engundoqo kunye nokunciphisa izenzo nesifo sentliziyo sezihlunu (unyango lingaze). Acute ilungelo Ukungaphumeleli ventricular kufuneka kupheliswe ngoko nangoko ngezizathu zalo;

• Isimo asthmaticus kufuna ukuqeshwa corticosteroids ngeedosi eziphezulu.
• kokususa okanye ukudilizwa kwamaZiko ihlwili legazi kwi pulmonary iyafuneka xa PE.
• Ukungakhululeki pneumothorax kufuna kutsalwe kwisisu pleural, ibekwe kwi isithuba intercostal yesibini.
• lwegazi pulmonary sinciphile usebenzisa ganglioblokatorov kunye aminophylline.
• Inyumoniya ifuna antibiotics kunye emininzi ebanzi amanyathelo.
• flow kwegazi engabalulekanga kufuna i recovery kwi imithambo yenhliziyo.
• Le mothuko iphathwa ngabaphethe efakwa iziselo kunye sympathomimetics.

nokungasebenzi konyango Chronic

Chronic ilungelo Ukungaphumeleli intliziyo ventricular iphathwa ngeendlela ezininzi ezahlukeneyo. Ukunciphisa kokoma igazi kwegazi ngokuqhelekileyo emiselweyo unyango umchamo. isifo sentliziyo azalwa badla kufuna utyando, kuquka abohlukeneyo wentliziyo / lung okanye intliziyo kuphela. Ukuba azole ukuhlisa uxinzelelo ngaphakathi pulmonary, ingasetyenziswa:

• Ukunciphisa izinto zizonke ukumelana peripheral, ukucuthwa kwemithambo ngemithambo usebenzisa udibaniso lwe-blocker 1.
• ukumelana mpilo deficiency myocardium ukwenza bachasene calcium ( "Diltiazem", "Nifedipine"), uyekelela izihlunu agudileyo imithambo yegazi kwegazi miphungeni.
• Ukunciphisa inani egazini yemiphunga nezengekho yehle ukubuya lwemithambo ukuya intendelezo unobangela ekunene nitrate (isosorbide dinitrate).
• Le uxhathiso kwi pulmonary, umthamo wegazi, nasemva ukulayisha phezu inhibitors ekunene ventricle unobangela ACE ( "Enalapril" "Capoten") eba kule aldostenovuyu kwinkqubo renin-angiotensin.

Kufuneka wenze ntoni xa iingxaki?

Xa iingxaki ukusilela kwentliziyo tye fibrillation ezingapheliyo atrial ezimbini bugwetyelwe ukuqeshwa kwentliziyo glycoside digoxin.

Amathuba onyango HIV inyathelo kwesi sifo kuxhomekeke kubungakanani umonakalo amalungu zizifo kunye comorbidity. Uthomalaliso kakhulu yayinzima izigulane lwegazi ephambili yemiphunga nezengekho thromboembolism nezolo. Xa unelungelo Ukungaphumeleli intliziyo decompensation yomguli ekwimo ezingapheliyo, iminyaka yobomi yayo akukho ngaphezulu kwe emithathu ukuya kwiminyaka emihlanu.

intswelo ekude

Kutshanje, abaphandi banomdla ezingenabantu ekunene ukusilela ventricular, eyaba kunokwenzeka emva kokuba ukuvela iindlela ezintsha ukufunda intliziyo. Izazinzulu ziye zafumanisa ukuba ubangela ukuba izifo emiphungeni, kwakunye ukungasebenzi le iimpahla ejikeleza pulmonary kunye ventricle ekunene. Kunokwenziwa isigqibo ukuba izigulane kunye izifo zemiphunga kuyo nayiphi na imeko, kukho ukusilela intliziyo, leyo kunokubonwa nezigulo. senhliziyo Primary lungelo enqabile kakhulu. Kudla inxulunyaniswa ukungaqheleki bekhubazekile.

Siye sahlolisisa into efana ukusilela ekunene ventricular. Unyango ichazwe ngokwenkcukacha.