Olubanzi iposi engabalulekanga: uhlobo ngezifo, sifo, iimpawu kunye neziphumo.

Izifo enxulumene yegazi, namhlanje, beyiqhuba kwinani yokufa. Le rhoqo umhlaza ngezifo lingaphantsi kakhulu ukuba esisiso ucacisa ukubaluleka ingxaki loxilongo ngexesha kunye nonyango. Kodwa i olubanzi ukuhlaselwa yintliziyo, echaphazela amaziko ezinkulu imisipha kwentliziyo, kuxhaphakile ngakumbi phakathi kwabantu abangaphezu kweminyaka engama-40. Ukubandakanya olubanzi iqhosha ventricular septal, cipande kunye ngomva neyodonga ventricle sasekhohlo, leyo iphazamise kakhulu intliziyo. Kulo mzekelo, oko ubunzima kuphela imisipha yenhliziyo ngokwayo, kodwa umzimba uphela xa hemodynamics yonke.

isifo sentliziyo Kuku ezinokubangelwa le ezimbi zilandelayo:

• yamafutha kwemithambo,

• egazi,

• spasm elalivelana imithambo yegazi echibini.

Ingqondo elikhulu imiba yesifo sentliziyo ithathwa ngokuba uxinzelelo emzimbeni, uchulumanco ngokweemvakalelo okanye ntshikilelo. Ukuba ziyaphunyezwa uthotho utshintsho zophendlo lwezifo kwi imisipha entliziyweni.

Le indlela iposi engabalulekanga

Indlela yokuba nesifo sentliziyo uyakwazi ukuphinda uyicacise ngolu hlobo lulandelayo: njengoko yamafutha kwemithambo yenhliziyo kunciphisa kakhulu flow igazi, inxalenye izicwili abahlangabezana hypoxia - yokunqongophala kwe-oksijini. Le meko ke sele zihlelwa nesifo sentliziyo kobuchopho (isifo sentliziyo) kwaye luphawulwa bubukho neplaque atherosclerotic, ukuvala le mithambo kunye umfutho sclerosis. Xa flow igazi ngamandla nokuqina kufuneka kwandiswe, ukuba iindlela zembuyekezo umzimba.

endarterium Ngaloo phantsi apho kukho nebhodi ngokuyinxenye overstrains apho ziiplatelets yande ngokukhawuleza. Ngenxa yoko, ihlwili legazi, leyo linciphise ngakumbi le mithambo kwemithambo kwaye yehlise ithombo legazi ngabo. Ngenxa yoko, iindawo iqhosha ubunzima ngenxa yokunqongophala kwe-oksijini, owenza ingqwalasela ngenxa yesifo sentliziyo. Kufuneka kuqatshelwe ukuba lo matshini nokwenziwa necrosis kobuchopho le nkqubo iya kuba nkulu kakhulu, ngoko, isigulana siya kufumana ngenxa iqhosha emikhulu engabalulekanga.

iimpawu ngenxa yesifo sentliziyo

Izigulane phantse nangoko uqala ukubona intlungu ukutshisa kakhulu etsolo emva breastbone, nto leyo isuswe idosi enye ye nitroglycerin. Ukuba nitroglycerin kwakhona abangela ukwehliswa ngobunzulu intlungu, kwaye ungatsala ngaphezu kwama-20, kufuneka babe ngokungathandabuzekiyo kwi ndamelwa yintliziyo, leyo usoloko kwenza kube yimfuneko ukuba ubize inqwelo yezigulana.

Uxilongo kunye neziphumo yokuhlaselwa sisifo sentliziyo omkhulu

Xa sifo kufuneka unikezelo kwicandelo abalaliswayo. Khona apho kuya kubakho amanyathelo yoxilongo ukucacisa uxilongo kunye nokususwa iimpawu ezibuhlungu yenziwe. ECG yokuziPhatha iza kucacisa uhlobo sisilonda esidumbileyoesingaphakathi kunye nomthamo wayo. Ngoko ke iposi olubanzi luphawulwa utshintsho emininzi ECG. Kwakhona olwenziwe igazi uhlalutyo kwemichiza, nto leyo eza kutyhila markers kwemisipha intliziyo. Indlela kakhulu ukutyhileka une yesifo sentliziyo kwi ixesha lokuqala ubuchule ECG ultrasound, ezibonisa iindawo gipodinamichnye akazibandakanyi ukusikwa. Oku kuya kuba kugxininiswa ngenxa yesifo sentliziyo, umthamo yayo kungabonwa ngeendlela negalelo of kokuxilongwa. Kungangena iindawo ezinkulu zihlunu babuyele baphume umsebenzi.

Ngenxa yoko, imiphumo ngenxa yesifo sentliziyo omkhulu intliziyo isenokuba sizezona ntsizana - intliziyo inyama uya kubuna nje kude kule ndawo kwasekwa amabala. Xa nqanaba nokoyika kakhulu ukuhamba kwegazi engabalulekanga iqala ukubonisa ukunqongophala ngasekhohlo isangqa, kwaye ukukhanya yokuswela amandla ventricle yasekhohlo kunye nokunciphisa ukulahleka inxalenye enkulu esihlunwini uqalisa angaxingi igazi. Oku kunokubangela nokudumba yemiphunga kunye nokufa ngesiquphe. Kodwa kulo mzekelo, ukuze unyango ezilibazisekileyo esibhedlele, ngenxa yokuba esifike (iiyure ezingama-4 emva kokuqala iimpawu zeentlungu) ukusetyenziswa thrombolytic unako ukubuyisela ukuhamba kwegazi nokunciphisa umonakalo kwithishyu. Kuphela kunye nokwamkelwa kwangethuba unalo ithuba elikhulu ukunciphisa kakhulu umthamo izilonda, ubukhali iimpawu, ugcine ubomi nomonde.