Ukungaphumeleli intliziyo Decompensated - ntoni na? Iimpawu and Treatment

Udibana ihlawulelwa kwaye decompensated ukusilela intliziyo. Ingahlawulwa igqalwa intswelo (isigaba 1).

ukusilela intliziyo Decompensated yinto yesiphelo Inqanaba esi sifo, nto leyo ebangela ngenxa yokuba imisipha intliziyo ezonakeleyo ayikho nako ukubahlangula igazi ku Iindlela ezahlukeneyo zisebenza kumzimba yabantu. Eyona phawu kubonisa kuphela xa umthambo, kodwa ukuphumla. Amaxesha amaninzi xa ukusilela intliziyo decompensated kwenzeka utshintsho noko intliziyo zophendlo lwezifo kunye zisebenza. Ezi nguqu idla ayibuyiseki umva kwaye kungakhokelela olubulalayo. Olu hlobo leengxaki ezinxulumene kakhulu (Isigaba sesithathu).

Kweli nqaku, ukusilela intliziyo decompensated kuya kuxoxwa ngazo ngokweenkcukacha: oko kukuthi, ziziphi iintlobo ezahlukeneyo, iimpawu zesi sifo yaye unyango kunokwenzeka.

Kubanga of SDS

Ngelishwa, imvelaphi yalo sifo zizazinzulu akukaqondwa kakuhle. Nangona kunjalo, uphando kule ndawo icebisa ukuba ukusilela intliziyo decompensated kunokwenzeka xa kukho izinto ezikwenza. Ezi zinto ingaba ingcambu unobangela sifo. Phakathi kwabo:

• hypertrophy engabalulekanga.
• Okubangwa wahlaselwa yintliziyo, kwentlungu, ischemia okanye iqhosha myocarditis utshintsho ngengqibelelo noshowo.
• crisis unesifo.
• iziganeko Arrhythmic.
• Amatyala umfutho ngequbuliso kule kwegazi miphungeni.

Ngoko kubonakala ukusilela intliziyo decompensated. Yintoni na umdla abaninzi.

On belingana ezidweliswe ngasentla kananjalo ingcambu sifo kuba zonke iintlobo iinkqubo amile ngayo isixokelelwano sokuphefumla. Kuzo zonke ezi meko kukho ulawulo jikelele: i-SDS, kwakunye nezinye iintlobo ukusilela intliziyo kwenzeka ngenxa yokuba umthwalo ezibalulekileyo nokudinwa ngokugqithisileyo imisipha yenhliziyo.

Lo mfanekiso zonyango kunye ezahlukeneyo ukusilela kwentliziyo decompensated zichazwe ngezantsi.

Phambi kokuba uqale isifundo kweempawu SDS, kufanele kuqatshelwe ukuba umfanekiso kwezonyango sifo uxhomekeke ngokupheleleyo kuhlobo ukusilela kwentliziyo. Iingcali ukuchonga iifom ezimbini - ezingapheliyo bukhali. Makhe ihlale phezu kwabo bonke ngabanye.

Acute senhliziyo decompensated

Iqhubeka emva decompensation ngokukhawuleza, ukwenzeka imbuyekezo apho akunakwenzeka. Iindlela ukusilela intliziyo, ezifana nokwanda ilizwi lwemithambo, umsebenzi indihlaziya ukwanda okanye ukwanda ubungakanani ventricular ukuzala ukugcwala igazi, nakanjani na ukuvela ngenxa iimpawu komzimba iintlobo nokoyika SDS. Ukuba ezo zinto ziquka:

1. Ekhohlo SDS ventricular ngohlobo yayiyazi. Oku kubangelwa engabalulekanga okanye mitral valve stenosis. Iimpawu uphawu zezi Ukudumba ngokugqithisileyo imiphunga kunye nenkqubo overfilling imithambo yegazi sokuphefumla. Yiyiphi enye into eyenzekayo ukusilela intliziyo decompensated? Iimpawu ziya kuqwalasela kamva.
2. SDS ventricular Ekunene ngohlobo yayiyazi. Kwenzeka ngenxa yokuba iqhosha igqithiselwe nomonde okanye thromboembolism, kubangele ukuphazamisa umsebenzi kunye nemfezeko mezhduzheludochkovoy zekhala. Iimpawu imifuziselo SDS zosulele ekhohlo ventricular ngolu hlobo lulandelayo: kukho ukwanda elibukhali esibindini, stasis igazi zigxunyekwe kwegazi, imiphunga nga zalisa igazi.

Le fom etsolo kuyingozi?

Ngelishwa, kuba ifomu etsolo ebonakala kwinqanaba eliphezulu leengozi ngenxa yokuba imisipha intliziyo iba akakwazi ukuqhuba ngenani elithandekayo igazi umsebenzi imbuyekezo offline (okanye ukunqongophala), kwaye kananjalo ngenxa nokudumba yemiphunga okanye iposi engabalulekanga. Kwimeko iimpawu iintlobo nokoyika SDS ungenelelo ungxamisekileyo iingcali eziya kubeka isigulana esibhedlele ubambe uthotho izenzo ezifunekayo ukuze yokurhaxwa.

Kwakhona eyenzeka ezingapheliyo ukusilela entliziyweni decompensated. Yintoni na? Kule kamva.

Ifom ezingapheliyo of SDS

CHF kungenziwa ngendlela decompensated. Kulo mzekelo, iimpawu ezahlukeneyo ngazo, yonke incazelo yayo lwenziwa yi diagnostic tests. Kuba CHF Uphawu lo mfanekiso clinical:

• Iimpawu kokudumba kakhulu iinyawo, kumazantsi esisu, isingxobo samatyhalarha, kwakunye kwi pericardium.
• Arrhythmia kunye hypoxia.
• kubanda nemilenze syndrome.
• I ebukhali Ukunyuka ubunzima bomzimba.
• Zokubonisa mitral kunye insufficiency tricuspid.
• Imbonakalo ukuphelelwa umoya, kuquka ukungabikho komsebenzi ngokwasemzimbeni.

Decompensated Ukungaphumeleli intliziyo ezingapheliyo - a ngezifo, apho nezitenxo bavame kwi isixokelelwano sokuphefumla. rales pulmonary (xa isigulana kwindawo lisalele) kungabonwa abasebenzi zohlolo. Unobangela ezinjalo igazi flow kakhulu ukuba isixokelelwano sokuphefumla. Olunye uphawu kungaba hypoxia kwaye, ngenxa yoko, lisibekele lokuqonda. Hypoxia kwenzeka ngenxa kwegazi zaneleyo zokwenza ingqondo entloko neoksijini ukuswela.

Kubalulekile ukuba babone ngexesha isifo esinjalo, ezifana ezingapheliyo sisifo sentliziyo decompensated (ukuba yintoni na ngoku kucacile).

ekuxilongweni

amanyathelo Complex diagnostic zibandakanya ukufunda utshintsho kwinqanaba ureticheskogo peptide beta-hlobo, peptide H-cala, beqhuba echocardiography kunye X-reyi kwanangezibilini, transkoronalnoy echocardiography.

Ulwazi oluninzi ngqo malunga yobugorha wegazi neengcali emagumbini intliziyo zingafumaneka ngokuthi enze inkqubo eyodwa, ngexesha apho iphuma khona engundoqo okanye umthambo catheter yemiphunga nezengekho ukuvelisa kufuneka yomlinganiselo.

Kwakhona, une naluphi na uhlobo ukusilela entliziyweni ukwenza inani leemvavanyo elebhu, kuquka creatinine uvavanyo lwegazi kunye urea, ngokuba electrolytes, iswekile kunye transaminases, zibanjwa nezinye igazi nomchamo uvavanyo; ukufunda ubukho kunye nomlinganiselo yeegesi kwemithambo yegazi.

Ukungaphumeleli intliziyo Decompensated: Treatment

Ngokutsho kwedatha yeenkcukacha-manani ka-2010, sisifo sentliziyo eRashiya kunyaka ngamnye kubulala abantu abamalunga ne-1 million. Yeyona kukuvela decompensation nesingqisho intliziyo nokuphazamiseka ngokuba ziingcali esona sizathu siphambili izinga lokusweleka eliphezulu. Decompensation Kodwa ke kufuneka ungenelelo lonyango ngoko nangoko. Ngoko ke, ngaphandle ngaphandle ezinqabileyo, unyango ngamachiza lwenziwa ngokuthi kokusebenzisa amayeza butofelwe (ukufumana iziphumo ezilawulwayo ngokukhawuleza).

More on the treatment of decompensation

Eyona njongo iphambili ye unyango kukugcina inqanaba Ukwanda haemoglobin ioksijini eqhelekileyo, ngaleyo ndlela unikezelo eqhelekileyo oxygen ancedisana namaziko kwaye uphephe zomzimba ezininzi.

Eyona ndlela efanelekileyo - eqhuba oxygen ukurhogele (idla kusetyenziswa umoya non-invasive test (NPVD) phantsi koxinzelelo positive), nto leyo akubikho mfuneko endotracheal ekumfakeni. Le yokugqibela kusetyenziswa yomatshini xa ukusilela ukuphelisa izifo obstructive yemiphunga nezengekho yi NPVD.

Treatment imithi

Xa unyango lokusetyenziswa decompensation kuquka unyango ngamachiza. amachiza asetyenziswa kunye namaqela abo;

• "Icaffeine" kunye analogue yayo. Isetyenziswa ukunciphisa izinga lentliziyo kunye nokunciphisa iintlungu.
• Womchamo. Used in ulwelo kulibazisa iimpawu emzimbeni;
• Inotropes ukuphelisa hypoperfusion peripheral.
• arhente Vasopressor kuphuhliso yelungu perfusion obuqhelekileyo.
• "Dobutamine" kwandisa output intliziyo.
• Norepinephrine kuphucula ukuxhathisa nemithambo.
• glycosides wentliziyo ukunciphisa uxinzelelo lwegazi, ukunciphisa ingozi decompensation ahlekise.

Noko ke, kukho uluhlu oluchanileyo amayeza ayimfuneko yoncedo kunye nonyango lwe SDS kukuchonga nokwenza kuphela gqirha khona.

Siye sahlolisisa oko kuthetha ntoni na ukusilela intliziyo decompensated.