Cardio-yamaphaphu esingamahlalakhona: Izimpawu kanye Ukwelashwa

Sivame ukuzwa inkulumo ethi "ukuhluleka cardio-yamaphaphu," kodwa bambalwa kakhulu abantu abakwazi ukusho ngokuqiniseka ukuthi ziyini lokhu egunjini lokuhlolwa kwezifo. Siyini ngempela lesi sifo, yiziphi izimpawu zako kanye izimbangela - sizohlola.

esingamahlalakhona Cardio-yamaphaphu - kuyini?

Ngo inqubo yokwelapha yesimanje, ukuhluleka cardio-yamaphaphu ukuqonda isimo lapho ukuhluleka kwenhliziyo, okusho ukungakwazi inhliziyo ukuqinisekisa evamile kwegazi emzimbeni, ngokuhlanganiswa wamaphaphu okuyinto eyenzeka ngenxa ingcindezi ngokweqile wegazi izitsha emaphashini lapho negesi lokushintshisana kwenzeka. Konke lokhu kuholela ukwehla izinga lomoya-mpilo egazini.

Ekusebenteni, avame lokuqala eba esingamahlalakhona yamaphaphu, izimpawu inhliziyo elikulo emva kwesikhashana. Empeleni, lokhu uphawu kungabonakala nasemkhakheni izifo eziningi esimiso senhliziyo nemithambo yegazi kanye izifo zamaphaphu. Ngezinye zokugula yayo esezansi kungaba ukuzibonakalisa ngendlela acute, lapho izimpawu ukwandisa esikhathini esifushane futhi angase abe ezihlukahlukene amahlala khona, uma Ukuwohloka kwenzeka eminyakeni embalwa noma ngisho emashumini eminyaka.

Izimbangela ukwehluleka oyingozi cardiopulmonary

Acute esingamahlalakhona yamaphaphu kuyinto inkinga ukuthi kwenzeka kwezinye izimo ezisongela ukuphila kwesiguli. Kufanele kube kokungenela kokulashwa okusheshayo. Njengomthetho, kungagcina ngaphansi kwale mibandela elandelayo:

• ngenxa thrombosis noma yamaphaphu Umthambo spasm;
• ngesikhathi thromboembolism;
• nge womoya noma gidrotorekse;
• i exacerbation yesifuba somoya bronchial, isimo somoya.

Nokho, imbangela yokucindezeleka okwandayo esikhathini Umthambo yamaphaphu ungase futhi ube nesifo senhliziyo. Ezimweni eziningi, lokhu kwenzeka ngokuphazima kweso lapho sekuvele regurgitation mitral. Futhi imbangela isifo samaphaphu kungenzeka yamaphaphu valve esingamahlalakhona, infarction acute, myocarditis, valvular isifo senhliziyo ngo esiteji decompensation, zenhliziyo. Kulokhu, kwesokunxele ventricular ingaphakathi unwetshiwe, kanye nokwehla nodonga lwawo akakwazi push ku mafutha anciphisa isikhala esingaphakathi bomkhumbi lonke umthamo wegazi. Abanye-ke stagnate futhi kwandisa umfutho ngemithambo yamaphaphu. Njengoba i-ventricle yangakwesokudla uyaqhubeka ukumpompa igazi isihenqo esigcwele, ingcindezi liyaqhubeka likhula, okungaholela edema yamaphaphu noma somoya inhliziyo.

Izimbangela ezingamahlalakhona ukwehluleka cardiopulmonary

Okungalapheki obstructive isifo samaphaphu, njengoba kuqhathaniswa ifomu acute, ezikhulayo kancane. Inqubo ukukhula izinguquko sokugembula kukhona phakathi neminyaka embalwa. Kulokhu, ukuthuthukiswa nomfutho wegazi ophakeme izitsha yamaphaphu senzeka ngokuhlanganyela pathologies ezilandelayo:

• lezinceku nomfutho wegazi ophezulu idiopathic;
• isifo sokuqina kwemithambo yegazi;
• esingamahlalakhona yamaphaphu okungase kubangelwe noma kabusha endarteritis embolism amagatsha amancane;
• ezingamahlalakhona wamaphaphu izifo - emphysema, pleurisy, cystic yamaphaphu, ukucinana kwemigudu yokuphefumula obstructive;
• kancane okuqhubekayo isifo senhliziyo azalwa naso ;
• atholwe valvular iziyaluyalu.

esingamahlalakhona yamaphaphu: kobukhulu

Ngenxa yokuthi i-ifomu njalo lesi sifo elinesimo ukwanda kancane futhi ngokuvamile cishe imperceptible izimpawu sokugembula ichaze ezine kobukhulu isifo:

• I degree - zimpawu isifo evamile ukuzikhandla kuwukubonakaliswa sifo okubonakalayo, dyspnea encane livela nge okwandisa umthwalo.
• II degree - wedwa khona izimpawu, kodwa evamile ukuzikhandla dyspnea njalo futhi palpitations.
• Ibanga III - izimpawu ukuntula zenzeka ne ukuzikhandla ongatheni, kodwa akukho ukuthula.
• Ibanga IV - umuntu akakwazi sifeze umsebenzi okungenani ngokomzimba, izimpawu zesifo azibonakali wedwa.

ukuhlasela okukhulu isifo samaphaphu angagcina kwelinye ezimbili ongakhetha - sokunene nesobunxele ukwehluleka ventricular. ukuhluleka ventricular Kwesokunxele engaveza edema yamaphaphu noma somoya inhliziyo.

isifuba somoya inhliziyo

Lokhu esingamahlalakhona yamaphaphu, ogama izimpawu ukwandisa kancane kancane. Okwakuhlalwa kuzo lapho kusaqalwa ke livezwa iphika, okubonakala lokuqala ngemva kokuzivivinya, ngokuhamba kwesikhathi ke kwandisa, kokuvela ngisho uphumule. Lapho dyspnea isenzo nzima ezibonisa ukuthi uhogele (abangobhongoza uhlamvu). Esikhathini esizayo, it esikhundleni ekuhlaseleni Ukuphelelwa, ngokuvamile kwenzeka ngesikhathi sokulala. Ngenxa yalesi qophelo lomchazi uphoqelekile ukuba pose - headboard okusezingeni eliphezulu, phakathi nokuhlaselwa isiguli uphoqelekile ukuba ahlale phansi, imilenze yakhe ensimbi alenga umbhede kanye kokuncika izandla, ngaphandle iphika avele palpitations, ukujuluka, nasekwesabeni ukufa. Ukukhwehlela in inhliziyo somoya owomileyo; isikhwehlela olungaphelele. isikhumba Pale, cyanosis okunzima unxantathu Nasolabial, kalula. Pulse spasmodic, ababuthakathaka, ingcindezi sinciphile.

Cabanga ngalokho has inhliziyo kanye somoya izici:

edema yamaphaphu

Acute esingamahlalakhona yamaphaphu kungenzeka nzima edema yamaphaphu. Lena igazi eliningi ukufinyelela izicubu wamaphaphu. Ukuhlaselwa eba ngokuzumayo, kungakhathaliseki isikhathi sosuku. Qala libhekene befuzela abukhali, kuyilapho kukhona ziwohloke masinyane zisesimweni lesiguli:

• iphika inyuka, isiguli akanawo umoya ngokwanele, imakwe cyanosis of isikhumba ebusweni nasemilenzeni, izithukuthuku ebandayo;
• ukwazi kahle - kungase kube excitation motor kanye stupor kuze ukulahlekelwa ephelele ukwazi;
• ukuphefumula ezinomsindo, ogobhozayo, onikezwe Foam pink;
• uma i sigameko senzeke ngokumelene isizinda isilethikusebenza noma myocarditis, ukushaqeka cardiogenic ingathuthuka.

kwesokudla ukwehluleka ventricular

Iphinde singenzeka njengoba izinkinga zokwenza isilethikusebenza noma myocarditis. zako, ngaphandle iphika Ukuphelelwa okwandisa, yilezi:

• cyanosis ebusweni iminwe;
• Kuyinto ebonakalayo ngokucacile, ikakhulukazi ugqozi, evuvukele entanyeni emithanjeni;
• ephansi umlenze edema, abantu udonga besisu kuze ascites;
• ukukhulisa kwesibindi, kukhona yezwakala ku epigastrium.

Nesifo esingamahlalakhona cardiopulmonary

Ngenxa yokuthi ifomu njalo lesi sifo eba phakathi neminyaka eminingi, zako emitholampilo mancane evelele. Njengoba isisekelo lesi sifo ngokuvamile amanga zokugula umgudu wokuphefumula, bese libonakala kwasekuqaleni ngu iphika. Izimpawu ezilandelayo zingase elikulo:

• ubuhlungu besifuba;
• arrhythmia;
• tachycardia;
• cyanosis;
• ukuvuvukala kwemilenze;
• ukuvuvukala ngemithambo intamo;
• encephalopathy.

Njengoba isifo siqhubeka, izimpawu eqala ukukhula, futhi uma ekuqaleni ayebonakala emva umthwalo othile, khona-ke sekugcina (e esiteji decompensation) kuwukuthi lokuphumula okuphelele.

Cardio-yamaphaphu esingamahlalakhona: ukwelashwa

Ukuthuthukiswa isifo oyingozi ngokuvamile kudinga kokungenela ngokushesha futhi professional. Ngokuvamile, ukwelashwa wenziwa esibhedlela, futhi kaningi - e labagula. Uma ukuhlasela isungule ekhaya, udinga indlela uthole umuntu ngokushesha ngangokunokwenzeka ukuze isikhungo sokwelapha. Ukwelashwa ifomu njalo lesi sifo sitholakala tekubukana ekwelapheni isifo. Akukona izidakamizwa ukulungiswa nje, kodwa futhi nokwenza kahle we ezingeni lokuzivivinya, umsoco. ukwelashwa ngoba lesi sifo ezomisa amaqembu elandelayo izidakamizwa:

• beta-blocker;
• isisu;
• glycosides inhliziyo.

Izinhlobo zemithi kanye umthamo esimweni ngasinye kunqunywa udokotela. Ukuzithiba medicate ezimweni ezinjalo akwamukeleki. Esimweni ukwehluleka ukwelashwa ngoludala of inkinga isixazululekile surgically.