Infarction kwezinso: izimbangela, izimpawu kanye nokwelashwa

izinso myocardial, kanye nanoma yimuphi omunye isifo fumana indoda ngokuzumayo. Owesilisa noma owesifazane angeke ngisho usola ukuthi umthambo emlenzeni thrombus avuthiwe, maduze nje eze off awele Umthambo kwezinso. Lokhu kuzokwenza i ukwehluleka oyingozi kwegazi futhi necrosis of parenchymal ndawo. Kodwa-ke kuyoba kamuva, kodwa ngaso leso sikhathi indoda ihlala, elala noma uya emsebenzini bese iba nomuzwa wokuthi okukhulu. Noma yini?

definition

infarction kwezinso - isifo ezingavamile urological, okuyinto kuhambisana nokulahlekelwa umzimba cell ngenxa engasayi igazi flow Umthambo kwezinso noma amagatsha awo. Ngokuvamile, lokhu zokugula kuvamile abantu abavuthiwe kanye nabantu abadala. Pathophysiology bathi lokhu kubangwa yokuthi izimo comorbid ezenzeka abantu ngeminyaka, ukudala izimo ezikahle sokuthuthukiswa ngemuva kokuhlaselwa yisifo senhliziyo.

Uma imithambo kwakugcwele cishe ezinhlangothini ezimbili, isiguli ulindele ukufa. Kungase kwenzeke njengenhlangano acute anobuthi imikhiqizo umzimba futhi ubuthi ubuthi ewa e igazi emzimbeni necrotic. Ingozi yokufa elikhona ukunqotshwa eyodwa emaceleni, uma isiguli concomitant nesifo sezinso.

Izinhlobo infarction kwezinso

Ngo abadala secrete oluhambisana futhi ischemic infarction kwezinso. ukubukeka kwakhe kuncike mshini necrosis kumiswa.

Ukubukeka oluhambisana infarction lihlotshaniswa kahle emithambo yegazi inethiwekhi imisebenzi. Ukuvimbela lezi imithambo yegazi kuholela yokujama tsi yomzimba ngenhla isayithi ukulimala. Amangqamuzana musa ukwamukela amandla nengcebo, sifo iyafa ngokushesha, futhi igazi emithambo yegazi uyaqhubeka buthelela futhi ngesinyenyela izicubu izinso. Lokhu parenchyma indawo uzobe ababethi violet-bomvu. Sezinso akuyona ejwayelekile sokuchuma yenqubo sokugembula, kodwa ngezinye izikhathi namanje kwenzeka.

Ischemic infarction kwezinso kwenzeka lapho ezedlulayo embhedeni ekhipha igazi enhliziyweni. Sezinso parenchyma ayisaxhunyanisiwe enikeziwe ngegazi, kuziwa ischemia. INgxenye okuyinto litholwa necrotic ayilutho tint, kuze mhlophe.

ukugeleza kwegazi ikakhulukazi abalulekile nomthelela ohlotsheni senhliziyo. Njengomthetho, esifundeni ezingaphili Isigaxa zibheke phezulu kwesango elibheke izinso, kusukela Umthambo kwezinso kukhona leyabantu zakhela emagatsheni awo. Emhlabeni ingxenye emhlophe siyenzeka nokopha eziningi ezincane. Lokhu kungenxa yokuthi ama-capillary lokuqala spazmiruyutsya bese kakhulu ukunwetshwa.

infarction kwezinso e ingane

Izimpawu ezidabukile izinso zingenzeka ezinganeni. Basuke ngokuvamile atholakala izingane azalwa naso inhliziyo yayo yayinezinkinga ezicini noma izilonda apharathasi valvular ngenxa rheumatism. Ngaphezu kwalokho, baye bathola amandla kahulumeni afana urate infarction kwezinso.

infarction Urate itholakala kuphela izinsana, ngakho, isikhathi esiningi, anakekele neonatologists. Ngemva kokuzalwa kwengane kumele ukuzivumelanisa khona ngaphandle komzimba kamama, engesiyo dine ngaphumeleli ngaye. Njengoba izinhlelo sesikhashana wegazi namanje abaphelele, futhi umchamo isampula sincane kakhulu, ku parenchyma kwezinso angawa uric acid.

Njengoba zikhula emiphumeleni yalokhu isifo senhliziyo zinyamalale, futhi ngeke abalona ingozi. Sokugembula angabhekwa isifo senhliziyo, okuyinto ubanjwe izinsuku ezingaphezu kweziyisishiyagalombili nokuba eziyishumi ubudala.

Izimbangela zesifo

Isimanga siwukuthi kodwa omdala kungase kutholakale ukuthi une-urate infarction kwezinso. Izimbangela kulesi simo zihlobene nezifo ezifana sifo noma izinqubo oncological.

izinso embolism kwenzeka ngenxa kwegazi ohlelweni igazi emboli. Zivela enhliziyweni izifo: atrial fibrillation, mitral, isifo sokuqina kwemithambo yegazi, periarteritis nodosa, esivimba amanzi infarction, yomthambo i-aorta thrombosis futhi infective endocarditis.

Futhi, infarction kwezinso kungenzeka abantu abaye baba ukuhlinza imithambo kwezinso. Ngo wokubelethisa nezifo traumatology futhi kubhekwe zokugula ezifana DIC. Ngamagama alula, kuba ukubukeka amaningi amahlule elincane legazi phezu isizinda anticoagulation. Ezigulini kulokhu libhekene necrosis, lapho le ndawo ethintekile - ungqimba cortical.

umtholampilo

Izimpawu ezidabukile izinso incike isibalo nephrons uye waba nesikhathi sokufa. Uma necrosis of ivolumu ingeqi a kwangu ambalwa, umuntu angeke ngisho bazi ngakho. Kodwa nge ukuvela izilonda ezinkulu izimpawu ngeke bathathe isikhathi eside.

Okokuqala, kukhona ubuhlungu emuva aphansi. Khona-ke iziguli izinga lokushisa likhuphuka amadigri engamashumi amathathu nesishiyagalombili. ukuvuvukala sobala kangangokuthi yenzeka endaweni necrosis ngosuku wesibili noma wesithathu lapho kuqala ischemia. Isiguli ekhononda of umuzwa Ukugodola, ukukhathala, ukozela, isicanucanu. I umchamo zizobonakala kuya nqunu iso amahlule. Lesi simo uzoqhubeka cishe ezinhlanu izinsuku. Ukuphendula ukwehla kwezinso ukugeleza kwegazi ngenxa ukusebenza nokuqina ukwanda blood pressure izinhlelo compensatory.

izimpawu ezinjalo yibona e ischemic necrosis, ischemia, oluhambisana kodwa kubonakala ngoyisiwula kusinda kakhulu. Izimpawu zingase ziqale akusilo obonakalayo, kodwa kancane kancane izinga lokushisa likhuphuka ukuba 39-40 degrees, unamathele lobu buthakathaka, ukungahlaliseki, nokuqwasha. Ukulala kwakhe emuva yakho cishe kungenakwenzeka. Igazi emchamweni is wamemezela kangangokuthi uketshezi sifana inyama slops futhi amahlule bangavimbela urethra. Inani umchamo lehla ngokucijile 150 namamililitha ngosuku. Lokhu kusikisela ukuthi umzimba uyaqhubeka ushevu ngokwabo imikhiqizo umzimba.

Ngo izinsana, isimo jikelele akusho ahlupheke, kodwa umchamo izinguquko umbala kusuka yellow ukuba isitini. Njalo yenza abazali ukwethuka.

yezinkinga

Kubi hhayi infarction kwezinso. Izimpawu ngokuqinisekile akumnandi, kodwa ngesikhathi esifanayo nge yokwelapha esebenza kahle yonke imisebenzi elahlekile ingabuyiswa. Eziyingozi lapho zokugula engakaze sitholakale ngesikhathi noma inani ukubhujiswa omkhulu kangangokuthi lonke Indwangu bengasebenzi angabhekana ngayo lemali ubuthi.

Ngemva inhliziyo ukuhlasela ezilimele endaweni sclerosing futhi zithathelwe indawo ezicutshini. Lokhu kuholela ukwehla umsebenzi so-renal, futhi ngenxa yalokho, ukuze ukwehluleka oyingozi noma ezingamahlalakhona kwezinso. Laba bantu kathathu ngesonto go on isebenzisa umshini wezinso, futhi ukuphila kwabo njalo eboshelwe ezokwelashwa isikhungo, okuyinto ine kudingekile imishini.

ukuhlola

infarction kwezinso - iyisifo ezingavamile ne izimpawu zokwelashwa kusulwe, ngakho-ke kunzima ngempela ukuze abone. Ukuze lokwenza ukuxilongwa, udokotela iqoqa umlando enemininingwane. Ubuta isiguli mayelana imithi idluliselwe ukungenelela kuhlinzwa kanye neminye imininingwane.

Kubalulekile ukutshela udokotela mayelana nokuba khona imfiva ye-rheumatism, endocarditis noma isifo senhliziyo, njengoba nabo kungabangela thrombosis. Jikelele ukuhlolwa kwegazi kanye nomchamo, igazi oyisazi samakhemikhali ezinto eziphilayo futhi ukukusiza uqonde lapho level kukhona ubuthi emzimbeni. lactate Ukwandiswa dehydrogenase uphawu ezithile izinso izilonda. Ukuba khona igazi umchamo - liyisibonelo ngqo cystoscopy. Lokhu kuyadingeka ukuze siqambe eminye imithombo ukopha, isibonelo, kusukela urethra noma esinyeni.

ucwaningo Instrumental kuyasiza ngeso lengqondo izinso esivimba amanzi. Ultrasound esiswini nge Doppler Kusinikeza nethuba lokucabangela necrosis site futhi uhlole ileveli yegazi ukugeleza kuwo. Ngaphezu kwalokho, izilonda semithambo kungabonwa usebenzisa angiography. Kodwa kuyindlela koda ukuthi ayilingani konke.

ukwelashwa

Yini kunconywa ukwenza ngemva kokuba kutholakale ukuthi une infarction kwezinso. Ingelapheka kuphela esibhedlela ngaphansi kweso odokotela, ngoba isiguli kumele athobele esiqinile embhedeni ukuphumula. Udokotela abakhulu kulokhu kuyinto Urologist, kodwa udokotela ohlinzayo noma Umeluleki kungenziwa exhunywe uma kunesidingo.

yokwelapha okulondoloza luhilela ukubuyisela ukugeleza kwegazi ngu vasodilatation noma by Ukuqedwa embolus (uma kungenzeka). Linqume anticoagulants futhi thrombolytics isinyathelo nenkhulumombiko. Lokhu kumele kwenziwe kusenesikhathi, kanti parenchyma umzimba engakakhulumi ekugcineni bafe. Ngaphezu kwalokho, isuswe ngokucophelela ubuhlungu syndrome. Ukuze wenze lokhu, isiguli kunikezwa analgesics kwezidakamizwa. Uma hematuria okwedlulele kuyinto okukhulu, imithi lapho ngabelwa, isibonelo, "Etamsylate". Ukuze ulwe amanzi emzimbeni futhi ukubuyisela afundwa igazi ivolumu isiguli wenziwa emthanjeni ukumnika uketshezi.

ukwelashwa Steel kuboniswa kuphela esimweni izindawo ezinkulu necrosis. Uma ayikwazi ukulondolozwa umzimba ke isuswe nokunqamula ngokuphelele kusukela pedicle semithambo. Kwezinye izimo ungasebenzisa ibhaluni angioplasty noma thrombus isizinda.

Izinsana urate infarction pass bebodwa futhi akukho oluthile lokwelapha liyadingeka. Ukuze uric acid zinhlayiya uyovela, ingane ingakha dopaivat amanzi.

ukuba nombono ongafani ngeke

infarction kwezinso - iyisifo ezingavamile futhi sína, kodwa onalesi sifo ngokuvamile evumayo. ekugcineni necrosis komhlaba esikhundleni ezicutshini, futhi lonke umzimba luyanda isinxephezelo nokulahlekelwa umthamo futhi umsebenzi. Inani umchamo engashintshwa, ikakhulukazi uma umusi kuyinto izinso enempilo.

Njengoba kulezi ziguli ahlale isengozini eshaqisayo yokuba thrombosis kanye embolism, babamisela anticoagulants iminyaka futhi ngezinye izikhathi ukuphila. Kwezinso infarction imiphumela incike endaweni ethintekile kanye nokuhlinzeka usizo lwezempilo futhi bayalwamukela ngesivinini.

zokuvimbela

infarction kwezinso - kwetintfo kwezifo of the yisimiso senhliziyo nemithambo yegazi, ngakho izinyathelo zokuvimbela ukwelashwa njengoba efike ngesikhathi lesi sifo eyinhloko. Qiniseka ngokuqinile athobele zonke izidingo ze-wenhliziyo, ukuqapha ingcindezi futhi ubone udokotela wakho njalo. Ukuvela vegetations omkhulu, ukuqina ngemithambo emikhulu nemincane emilenzeni noma esiswini - kuyinto uphawu okwethusayo, ngokushesha uthintane nge onguchwepheshe.