Dama na ramin zuciya kasawa: haddasawa, cututtuka, magani

Zuciya rashin cin nasara. Lokacin magana game da ita da mutãnenta, yawanci suna tuna da canje-canje da cewa suna hade da illa aiki na hagu ventricle. Kuma kamar wani ɗan ƙaramin yayin da suka wuce, masana kimiyya zama sha'awar aikin dama ventricle. Gudana karatu sun nuna wani gagarumin bambanci aiki na hagu da kuma dama zuciya da bẽnãye. Akwai dama na ramin zuciya gazawar saboda wani take hakkin da na huhu wurare dabam dabam saboda tsokar tabarbarewa. Domin shi ne wani lokacin ake magana a kai a matsayin na huhu zuciya.

Sanadin dama na ramin zuciya gazawar

Zuciya gazawar iya faruwa a kullum, ko m, a farko ko na biyu. Bisa ga irin cuta, da masana gano wani yawan dalilan da ya faru.

M dama na ramin zuciya gazawar (cututtuka da za a tattauna a kasa) zai iya ci gaba a lokacin da: katsewa na interventricular septum. m huhu embolism. myocarditis. tsanani hari na Bronchial fuka. Dama na ramin zuciya tsokar zuciya infarction. total m ciwon huhu.
Etiology na kullum dama na ramin zuciya kasawa a cikin nau'i na:

• Lokacin sanyata pericarditis da nakasar zuciya lahani, wanda ke faruwa, overloading dama ventricle (aortic bawul rauni. Triskupidalnogo bawul insufficiency).
• Pathology na numfashi tsarin (bronchiectasis, sarcoidosis, emphysema, mashako, fuka).
• M kiba da rage mawadãta daga motsi na diaphragm.
• Take hakkin da na huhu wurare dabam dabam tsarin (vasculitis. Thromboembolism, na huhu hauhawar jini), matsawa daga waje (aortic aneurysm, ƙari).
• Limited motsi daga cikin kirji cewa ne ya sa ta cututtuka na neuromuscular tsarin (autoimmunity, polio), kashin baya (Bechterew ta cuta, scoliosis).

Har ila yau, dama zuciya gazawar iya zama na biyu zuwa accede zuwa hagu na ramin zuciya kasawa bayan da sakamakon mai tsanani cuta da na huhu wurare dabam dabam da aka karuwa a huhu jijiya matsa lamba tasoshin da kuma abin da ya faru na karuwa da dama sassan.

symptomatology

M dama na ramin zuciya gazawar sa na huhu hauhawar jini, manyan ƙarshe don rage adadin jini fitad da hagu ventricle.

A haƙuri bayyana, girma cikin sauri, da wadannan cututtuka: fata da zazzabi tayi (akrozianoz). rãyar da bugun zuciya. pulsate ƙara da jijiyar wuya. akwai wani ji na rashin iska, da kuma shortness na numfashi; na huhu edema saboda ya karu capillary permeability. Kullum dama na ramin zuciya gazawar bayyana kanta da ɗan daban.

Bugu da ari nuna alamun cunkoso da tsari zagayawa:

• oliguria, koda perfusion.
• zafi a dama babba quadrant na tashin hankali capsules, kara girma daga cikin hanta.
• m jari a cikin thoracic da kuma na ciki cavities (hydrothorax da ascites).
• edema na ƙananan wata gabar jiki da da ewa ba - da agara na ciki bango.

Quite ta halitta shi zai zama da ci gaban da shafi tunanin mutum cuta, wanda results a take hakkin da outflow na cerebral venous hauhawar jini da kuma gastritis.

Kamar yadda aka saukar dama na ramin zuciya kasawa?

diagnosing

Ƙayyade da dama zuciya rashin cin nasara kadai ba zai yiwu, shi zai iya yin cikakken fledged gwani bayan ganewar asali. A wannan yanayin, shi ne aka nuna rike da wadannan asibiti karatu kamar yadda X-ray thorax, MRI, duban dan tayi, electrocardiogram. Dole dakin gwaje-gwaje gwaje-gwaje - urinalysis, biochemical da kuma na asibiti jini gwaje-gwaje.

Idan mutum yana da wani m dama na ramin zuciya rashin cin nasara, sa'an nan a lokacin da ECG iya tsayar da wani karfi obalodi na dama zuciya sashen, wani duban dan tayi gano daban-daban marurai canje-canje na tsokar yankin. MRI aka yi a lokacin da na asibiti hoto a fakaice.

Menene za a jini?

A general, bincike na jini za a iya gani da yawan leukocytes, kuma saboda haka, mataki na ci gaban kumburi. Jini biochemical bincike ya nuna kasancewar wani m barazana ga lafiya da kuma yanayin hormonal matakan. Bayan da sakamakon duk nazarin da ƙididdiga zai kasance a hannun wani gwani, bayan nazarin haƙuri ta gunaguni da kuma sake jarrabawa iya zama wani cikakken bincike da kuma dace magani hanyoyin. Idan kana da wahala yin ganewar asali za bukatar wani MRI da X-ray.

Dama na ramin zuciya gazawar quite m.

cutar rigakafin

Hakika, akwai lokuta inda ba shi yiwuwa don kauce wa cututtukan zuciya, musamman a lokacin da ta je kayyade predisposition. Amma wannan ba ya nufin cewa samun shiga cikin hadarin kungiyar fid da wani mutum daga dauke da fitar rigakafin. Yawancin zuciya dama na ramin zuciya gazawar ya auku a kan bango na wani tamkar cuta, abin da ya sa aikin na hana dace rigakafin cutar ta koma dawowa na kullum pathological tafiyar matakai da adana gafarta musu na dogon lokaci.

M matakan bukatar dace abinci mai gina jiki, kula da wani aiki salon, wani tunanin kwantar da hankula, na yau da kullum hanya na miyagun ƙwayoyi far, nauyi iko da kuma cardio. Idan miyagun ƙwayoyi far an contraindicated liyafar ba a sani ba wajen ba tare da kafin tare da shawara da likita.

Dama zuciya rashin cin nasara far

A lura da Kor pulmonale ne directed a magance tamkar cuta da kuma rage manifestations na zuciya tsoka cuta (symptomatic magani). M dama na ramin zuciya gazawar bukatar nan da nan kawar da ta haddasawa:

• Status asthmaticus bukatar nada corticosteroids a high allurai.
• M kau ko rushe wani jini gudan jini a cikin huhu jijiya ake bukata a lokacin da PE.
• Tashin hankali pneumothorax bukatar magudanun ruwa na pleural rami, located a kan na biyu intercostal sarari.
• Na huhu hauhawar jini an rage yin amfani da ganglioblokatorov da aminophylline.
• Ciwon huhu bukatar maganin rigakafi da fadi da bakan da aikin.
• Tsokar jini ya kwarara bukatar a dawo da a cikin jijiyoyin zuciya jijiyoyi.
• A tura da aka bi da igiyar jini gwamnati na ruwaye da sympathomimetics.

Kullum magani gazawar

Kullum dama na ramin zuciya zuciya rashin cin nasara da aka bi da da dama daban-daban hanyoyin. Don rage stagnation na jini tsari dabam dabam fiye wajabta diuretic far. Nakasar zuciya cuta sau da yawa bukatar tiyata, ciki har da dasawa da zuciya / huhu ko zuciya kawai. Don rage matsa lamba a cikin huhu jijiya, za a iya amfani da:

• Don rage total na gefe juriya tasoshi, shakatawa na arteries da jijiyoyinmu amfani alpha 1-blockers.
• More resistant zuwa oxygen rashi myocardium yi alli antagonists ( "Diltiazem", "Nifedipine"), shakatawa da m tsokoki na jini a cikin huhu wurare dabam dabam.
• Rage adadin jini a cikin huhu da kuma rage venous koma dama atrium hanyar nitrates (isosorbide dinitrate).
• Da juriya a cikin huhu jijiya, jini girma, da kuma post-preload a dama ventricle hanyar ACE hanawa ( "Enalapril" "Capoten") wanda aiki a kan renin-angiotensin tsarin aldostenovuyu.

Abin da ya yi idan rikitarwa?

Lokacin da rikitarwa da dama zuciya rashin cin nasara a kullum atrial fibrillation ne quite barata da nada cardiac glycoside digoxin.

Yiwuwar m mataki magani da cutar dogara a kan irin nisan da lalacewar da waxannan cututtukan gabobin da kuma comorbidity. A mafi tsanani far a marasa lafiya tare da primary na huhu hauhawar jini da kuma maimaita thromboembolism. Lokacin da haƙuri da dama zuciya rashin cin nasara decompensation a kullum tsari, ta rayuwa Hasashen ne ba fiye da uku zuwa shekaru biyar.

ya zama ruwan dare rashi

More kwanan nan, masu bincike suna sha'awar zama ruwan dare dama na ramin zuciya rashin cin nasara, wanda ya zama zai yiwu bayan fitowan da sabon hanyoyin domin nazarin zuciya. Masana kimiyya sun gano cewa, shi ya sa na iya zama cututtuka na huhu, kazalika da matsalar aiki na samfur na tasoshi da tukwane na huhu da kuma wurare dabam dabam da dama ventricle. Yana iya ƙarasa da cewa a cikin marasa lafiya da huhu cututtuka a wani hali, a zuciya rashin cin nasara, wanda za a iya gani a matsayin sakamakon rikitarwa. Primary dama zuciya rashin cin nasara za a iya samu sosai da wuya. Yawancin lokaci shi ake dangantawa da nakasar munanan.

Mun gani irin wannan abu a matsayin dama na ramin zuciya gazawar. A lura da aka bayyana a cikin daki-daki.