Ƙarfafa zuciya ta rashin ƙarfi - mece ce? Cutar cututtuka da jiyya

Akwai ƙuntatawar zuciya ta raguwa. An la'akari da kurancin rashin dacewa a cikin tsari mai kyau (mataki na farko).

Zuciyar zuciya ta kasaitacciyar cuta ita ce matsanancin matakin da cutar ke ciki, wanda shine sakamakon gaskiyar cewa tsoka na zuciya na zuciya ba zai iya ba da jini ga tsarin aiki na jiki ba. Halin halayyar alama ba kawai a lokacin lokuta na jiki ba, har ma a hutawa. Sau da yawa tare da cikewar zuciya ta raguwa, akwai gagarumin burin ciwon zuciya na zuciya da gyaran zuciya. Wadannan canje-canje, a matsayin mai mulkin, ba su da kariya kuma zasu iya kawo ƙarshen mutuwa. Irin wannan nau'in ilimin likita yana nufin wani nau'i mai tsanani (mataki na 3).

Wannan talifin zai tattauna dalla-dalla da rashin tausayi na zuciya: mene ne, menene iri, alamun cututtukan cututtuka da hanyoyi masu mahimmanci na magani.

Sanadin faruwar NOS

Abin takaici, asalin wannan cuta ta masana kimiyya ba a fahimta ba. Duk da haka, binciken a cikin wannan yanki yana nuna cewa rashin tausayi na zuciya ya raguwa zai iya faruwa a yayin da akwai abubuwan da suke haifarwa. Wadannan abubuwa ne wanda zai iya zama tushen tushen farawar cutar. Daga cikinsu:

• Hypertrophy na myocardium.
• Canje-canje a cikin tsarin tsarin kirkirar na myocardium da ke haifar da infarction na sirri, cututtuka, ischemia ko myocarditis.
• Cutar ta Hypertensive.
• Arrhythmic mamaki.
• Cases na kwatsam matsa lamba a cikin wani karamin da'irar jini wurare dabam dabam.

Wannan shi ne yadda zuciyar zuciya ta kasa ta nuna kansa. Mene ne, bukatun mutane da yawa.

Tare da abin da ke sama, maɗauran asali na cutar na iya zama nau'i daban-daban na tsarin sutura. A duk waɗannan lokuta, akwai ka'ida ta yau da kullum: LTO, kamar sauran nau'o'in zuciya na zuciya, yana faruwa ne saboda sakamakon da ya shafi mawuyacin hali, da kuma gajiya mai wuyar zuciya.

Hotuna na hoto da kuma irin rashin ciwo na zuciya da aka raguwa aka bayyana a kasa.

Kafin a fara nazarin bayyanar cututtuka na NOS, ya kamata a lura cewa hoto na asibiti na cutar gaba ɗaya ya dangana ne akan nauyin zuciya. Masanan sun bambanta siffofin biyu - na yau da kullum. Bari mu zauna a kan kowanensu a cikin dalla-dalla.

Ƙananan Zuciyar Zuciya

Yana tasowa kuma yana tasowa bayan rikice-rikice mai sauƙi, bayyanar ramuwa wanda ba zai yiwu ba. Sakamakon kirkirar zuciya, irin su karuwa a cikin sautin na veins, ƙara yawan aiki na tonic ko karuwa a cikin ƙarar jinin jini na ventricles, ba zai iya bayyana ba saboda siffofin ilimin lissafin tsarin SDS. Waɗannan fasali sun haɗa da:

1. Hagu na ventricular hagu a cikin m. Tasowa sakamakon sakamakon ciwon zuciya ko stenosis na basalt din. Abubuwan alamun bayyanar cututtuka sune ƙananan ƙarancin huhu da kuma karfin jini a kan cikewar jiki. Mene ne ƙarin rashin ƙarfi na zuciya? Kwayar cututtuka za a tattauna a baya.
2. Dama mai kwakwalwa ta dace cikin siffar m. Tana samuwa ne daga cutar zuciya ta zuciya mai tsanani ko thromboembolism, sakamakon sakamakon da kuma mutunci na septum mai rikitarwa. Hanyoyin bayyanar cututtuka ga magungunan ƙananan hagu na SDS SDS sune wadannan: mai karuwa a cikin hanta yana faruwa, tsarurran jini yana tsaye a kan babban zagaye na jini, watau huhu za a iya cika da jini.

Menene haɗari shine babban tsari?

Abin takaici, mummunar siffar yana nuna yawan mutuwar saboda gaskiyar zuciya cewa tsoka ba zai iya fitar da adadin jini ba kuma babu aikin ƙwaƙwalwa (ko kuma bai isa ba), kuma saboda magungunan kwakwalwa ko ƙananan haɗari. A cikin yanayin bayyanar da SDS, wajibi ne gaggawa na masu sana'a ya zama dole, wanda zai sa mai haƙuri a asibiti kuma zaiyi aiki da yawa na aikin ceto.

Har ila yau, akwai rashin cin nasara na zuciya mai tsanani. Mene ne? Game da wannan kara.

Kwanan lokaci na SDS

CHF na iya bayyanawa a cikin hanyar da aka raba. A wannan yanayin, bayyanar da bayyanar cututtuka, cikakken bayani game da abin da aka gudanar ta binciken binciken. Don yanayin halayyar CHF shine irin wannan hoto na asibiti:

• Alamun kumburi mai tsanani na kafafun kafa, ƙananan ciki, scrotum, da kuma a cikin pericardium.
• Arrhythmia da hypoxia.
• Ciwo na mummunan sanyi.
• A kaifi karuwa a jikin nauyi.
• Bayyana abubuwan da basu dace ba.
• Bayyanar dyspnea, ciki har da rashin aiki na jiki.

Rashin ƙarfin zuciya na kullun shine abin da ke faruwa, wanda cin zarafin motsin rai na faruwa sau da yawa. Lokacin da likita ya bincika, za'a iya gano rales na huhu (lokacin da mai kwance). Dalilin irin wannan bayyanar shi ne zubar da jinin jini ga sassan jiki na numfashi. Wani alama na iya zama hypoxia kuma, a sakamakon haka, rashin sani. Hypoxia yana faruwa ne sakamakon rashin samun jini zuwa kwakwalwa na kai da kuma iskar oxygen.

Yana da mahimmanci a lokaci don gano irin wannan cuta a matsayin rashin ciwon zuciya na raguwa (abin da yake, yanzu ya bayyana).

Diagnostics

Dandalin kwayoyin bincike ya haɗa da nazarin matakin canje-canje a cikin nau'i na peptide beta, kodin peɓide na H-neutral, da kuma echocardiography da X-ray na kwayoyin ciki, sakonnin echocardiography.

Ƙarin cikakken bayani game da ikon karfin jini a cikin ɗakunan zuciya yana iya samuwa ta hanyar hanyar musamman wadda aka sanya catheter a cikin tsakiya na tsakiya ko ƙwaƙwalwar ƙwayar cuta kuma an sanya matakan da ake bukata.

Har ila yau, ganewar asali na kowane nau'i na HF ya ƙunshi gwaje-gwajen gwaje-gwaje da dama, ciki har da gwaje-gwajen jini don Halittin da kuma matakan urea, electrolytes, transaminases da glucose, da kuma wasu gwaje-gwajen jini da gwagwarmaya; A binciken akan kasancewa da haɗin gas a cikin jinin arteries.

Ƙarfafa zuciya rashin cin nasara: magani

A cewar kididdigar shekara ta 2010, kimanin mutane miliyan 1 sun mutu a kowace shekara daga mummunan zuciya a Rasha. Wannan shi ne fitinar raguwa da ƙwaƙwalwar zuciya da ake kira kwararrun babban mawuyacin halin rashin mutuwa. Sau da yawa raguwa yana buƙatar gaggawa gaggawa. A wannan, ban da ƙananan ƙwayoyi, magani na maganin likita ne yake aiwatar da shi ta hanyar yin amfani da kwayoyi masu guba (don samun sakamako mai sarrafawa da dacewa).

Ƙarin akan farfadowa

Babban manufar farfadowa shi ne kiyaye nauyin sassaucin haɓakar haemoglobin tare da oxygen, wanda ya ba da dama don tabbatar da samar da kyallen takarda da kuma gabobin jiki tare da oxygen da kuma kauce wa rashin nasarar kwayar halitta.

Ɗaya daga cikin hanyoyin da aka yi amfani da su shine yin amfani da oxygen inhalation (yawanci iska mai raɗaɗi (NPVD) ana amfani dasu a matsa lamba mai kyau), wanda ya ba damar izinin amfani da intubation endotracheal. A karshen da ake amfani da inji samun iska a cikin hali na rashin gazawar kashe obstructive na huhu cuta ta NPVD.

Jiyya tare da magani

A cikin lura da ƙaddarawa, ana amfani da magungunan magani. Magunguna da ake amfani da su:

• Morphine da analogues. Ana amfani dasu don rage yawan zuciya kuma rage rage ciwo.
• Diuretics. An yi amfani da bayyanar cututtuka na riƙe da ruwa cikin jiki;
• Inotropic jamiái kawar da nahiyar hypoperfusion.
• Ma'aikata masu kwaskwarima don ci gaban kwayar halittar kwayoyin halitta.
• "Dobutamine" yana kara yawan ƙwayar zuciya.
• Norepinephrine inganta yanayin jinsin jini.
• Cardiac glycosides rage karfin jini, rage hadarin mummunan ladabi.

Duk da haka, kawai likitancin likita zai iya ƙayyade da tsara ainihin lissafi na likita masu mahimmanci don taimako da magani na NOS.

Mun yi nazarin abin da zuciyar zuciya ta ɓata.