Inhliziyo ubuhlungu: Ubangela, Sifo Nokuselapha

Ngokuvamile abantu ukudida ubuhlungu besifuba ohlangothini lwesobunxele wenhliziyo, futhi nguye kuyisandulela nezinye izinkinga emzimbeni, ezifana ezinzwa kokucindezelwa kabuhlungu emgogodleni. Nokho, ubuhlungu mbumbulu umlingisi noncardiogenic inhliziyo ibe yiqiniso ngokuphelele. Udinga ukuya futhi uthintane isazi sezinzwa futhi wenhliziyo ukuthola isizathu esenza izinsizi inhliziyo.

ubuhlungu non-cardiogenic

Zokwelapha, noma ibuphi ubuhlungu enhliziyweni ngokuthi cardialgia. Basuke ukukhononda, uhlamvu imizwa futhi ube abukhali futhi eqinile. On the lomuntu lokugcina ngokuvamile iyaphendula ngokushesha futhi uya kudokotela. Kodwa lapho inhliziyo eside ezidabukile, zonke kusolwa ukukhathala. Futhi igcwele nemiphumela.

Non-cardiogenic ubuhlungu ezidabukile e inhliziyo ingaba ngenxa yezizathu eziningana:

• inhliziyo neurosis;
• egijima osteochondrosis;
• VSD (dystonia semithambo);
• ishaya.

amabhithi okusolwayo (isigqi ukuphazamiseka ukuncishiswa) zenzeka uma isiguli uthi ubulala esifubeni, ozwa inhliziyo ocwilayo, futhi ngaleyo ndlela zibe nobunzima ukugwinya.

Indlela lemi uthi? Ingabe kuyingozi ekuphileni lapho izinsizi inhliziyo? Bona imbangela ngqo ukungakhululeki nasesifubeni ubuhlungu Have wenhliziyo oqeqeshiwe.

Ubuhlungu ngenxa osteoarthritis

Ocwaningweni isiguli ekhononda zobuhlungu esifubeni ohlangothini lwesobunxele, udokotela udinga ukwenza ukuhlolwa. Ngemva uzizwa angina cishe innervation esifanayo ngezinye izikhathi ubuhlungu ekhona ingalo kwesokunxele, kodwa ukuhlaselwa Uthatha imizuzu 3 kuya ku-5.

Ngenxa ochwepheshe zokuxilonga isiphakamiso kokwenza isheke:

• Ikhanda + lakhe aphonswe emuva uthathe izikhali izimisele kuqala bese isipele, abantu abanezinkinga kabuhlungu emgogodleni thoracic ngeke ngokushesha ubuhlungu esifubeni.
• Nitroglycerine ikhuthaza vasodilatation, Nokho esetshenziselwa esiqoshiwe angina. Ngemva amaphilisi nitroglycerin noma amaconsi ubuhlungu amuke ngemva 5-10 imizuzu. Uma kungenjalo, khona-ke ubuhlungu akuyona inhliziyo.

Esifubeni eziningi oxhumene emsipheni plexus, okuyinto innervated ngesikhathi ingqondo. Ngakho-ke, ubuhlungu ngenxa umgogodla sobala ngempela. Lapho osteochondrosis ukungakhululeki ngokuvamile kwandisa ngesikhathi cornering, ukunyakaza ngokushesha noma ngesikhathi lapho ephefumula. Kodwa akukho ingozi empilweni. Kosizi wabonakaliswa ehlukile: abazi zincike isikhundla umzimba.

izici psychogenic

Kubangele ukucindezeleka okukhulu futhi isikhathi eside futhi ubuhlungu esifubeni ohlangothini kwesokunxele inhliziyo ibizwa ngokuthi neurosis. Lapho wenhliziyo uphethwe awayiboni iyiphi kwezinso emzimbeni. Nokho, ukubhoboza namtjhana kufiphaze izinhlungu bengayeki ukuhlasela abantu. Ziyakwazi ezingalindelekile ngokwemvelo. Abanye abantu uqaphela umuzwa wokuthi okuthile ngazo esifubeni, abanye uqaphela ukuthi ubuhlungu obuhlabayo. Zonke emizweni kukhona subjective kakhulu. Futhi ubuhlungu idluliselwa noma ithambo ngethambo, noma ngemuva.

Ezimweni ezinjalo, kufanele uxhumane owelapha osebenzelana ncamashi ne nezifo zengqondo kanye ezazi izimpawu kuphazamiseka zengqondo. Bekanye ubuhlungu lungase lubonwe: ukukhathala, ukwehlisa izinga lokushisa ngezansi 36 ° C, ukungabi namizwa nasemilenzeni nekhanda.

vasoneurosis

Lesi sifo futhi elinesimo buthuntu futhi bezwe izinhlungu, njengoba kunjalo angina. Zitholakala ngokuyinhloko kuzo zonke iziguli ezine-VSD uphawu - izikhalazo ukuthi ezidabukile inhliziyo futhi ndikindiki ingalo kwesokunxele. Ngezinye izikhathi kukhona ukuluma esandleni sakhe. Ubuhlungu kuhambisana eliqhaqhazelayo we izitho zomzimba ukutubeka.

Ngokuvamile kulezi ziguli unezinkinga zokulala kanye eziningi nezinye izimpawu ezihlobene. Kanjani ukuze uzisize ukuhlaselwa okunjalo? Odokotela batusa ukuba bathathe valokardin (50 amathonsi) nalo lonke. Eqinisweni VSD - ezifana ukugula kudinga ukwelashwa neuropsychiatrist.

ubuhlungu cardiogenic

Cabanga omsakazo zobuhlungu cardiogenic. Kulindeleke ukuthi isifo inhliziyo eyikho. Lezi zihlanganisa amaqembu amaningana izifo:

1. Myocardiodystrophy - disorder umzimba imisipha yenhliziyo. Ekuqaleni lesi sifo umuntu enomuzwa wokuthi ngezizathu ezingaziwa, izinsizi senhliziyo, ukuqaqamba, okumenza lizwakale ekuqaleni, kodwa njengoba isikhathi sihamba iyakhula. Futhi uma ungayiboni udokotela lapho besanda kuqala, ubuhlungu kuyoba abukhali futhi eqinile.
2. Inhliziyo yayo yayinezinkinga ezicini.
3. Isifo senhliziyo - kahle kwegazi e imithambo yenhliziyo.
4. useshonile yomthambo i-aorta. Okunye.

ubudlelwano esiyimbangela abangodokotela abaningi abathakazelayo. Indlela abekezelele ubuhlungu - lolu daba ukhathazeke kakhulu umuntu uma enomuzwa wokuthi emuva ukuqaqamba inhliziyo. Okufanele ukwenze - biza udokotela noma ukuthatha valerian? Doctor ibizwa ngokuthi lapho kukhona izifo ezimbi kakhulu inhliziyo - kuba ischemia, angina ezinzima, noma useshonile. Uma ungazi indlela yokuveza imizwa yabo, lezi zifo, noma ngaphandle kwesizathu ezidabukile inhliziyo kungazelelwe, nakuba lokhu ebingekho ekuqaleni, kungcono ukudlala futhi ushayele ambulensi kuphephile.

Izici ischemia inhliziyo

Kuyinto isifo ovamile, isici esiyinhloko lesi sifo ubuhlungu esifubeni ohlangothini lwesobunxele. Isifo senhliziyo ngokuvamile eba abesifazane ngokushesha kakhulu kunabesilisa. Imbangela eyinhloko ukuvaleka mafutha anciphisa isikhala esingaphakathi we ukuxhumelela imithambo yenhliziyo lapho inhliziyo uthola igazi elisha.

Ukuthuthukiswa lokugula episodic. Ngezinye izikhathi, kokudamba kwezinhlungu, bese becosha amandla amasha esikhathini exacerbation. ukwephulwa Minor zenzeka ngokushesha ukukhathala emva yimuphi umsebenzi, umuntu uzizwa: ezidabukile inhliziyo. Futhi uma ulalele ukushaya kwenhliziyo, ke nabo buzakurhabiswa ngisho uphumule. Ngezizathu ezifana singakwazi ukubona ischemia:

• ukujuluka owandiswayo;
• ngenxa yobuthakathaka;
• iphika;
• ngiyaqaqanjelwa enhliziyweni ongasinika isandla sakhe sobunxele.

Uma ngesikhathi udokotela akazange uhlole futhi akusho ikutshele ukuthi aphathe inhliziyo yakho, wandise nengozi yokuba yisifo senhliziyo ngokuphindaphindiwe. Ngemva kokuhlaselwa yisifo senhliziyo into esingaphansi ukumisa okuphelele kwegazi inhliziyo ngenxa ukuvaleka imithambo yegazi.

Ngezinye izikhathi ongalingani namandla inhliziyo umsebenzi phambili iziyaluyalu umzimba kuwo. Lokhu kubuye yezimbangela ukuthi kwandisa ingozi yokungenwa isilethikusebenza.

useshonile yomthambo i-aorta

ingcindezi ephakeme kanye zingcwecwe atherosclerotic e imithambo yegazi luholele useshonile. useshonile yomthambo i-aorta - lokhu kwanda isitsha ingxenye. Slow delamination izindonga igazi yomthambo i-aorta okusongelayo ukuthi udonga akusho singamelana nokucindezela aqhumile. Khona-ke indoda kudingeka ahlinzwe eziphuthumayo kwi-aorta.

Ubuhlungu useshonile kwenzeka esifubeni unika emuva. Akazange wagwaza futhi zomile, futhi ihlala isikhathi eside. Ezinye izimpawu ilezi: iphika nokugwinya eziyinkinga. Uma odongeni iqala ukuba overstrain, ubuhlungu inzima, engena. Isiguli iwela swoon, futhi ukuthi kunesidingo esiphuthumayo shayela odokotela.

ukwelashwa cardialgia

It incike uphethwe. Isiphetho sokuthi umuntu uphethwe yanoma yimuphi isifo senhliziyo kuphela emva izifundo eziningana. Lapho imbangela ubuhlungu iyona IRR noma intercostal neuralgia, wenhliziyo ngeke kusize. Ngokuphathelene nezinkinga zenhliziyo, kukhona, kuye ngokuthi isimo lesiguli, udokotela angase akunikeze imithi. Nokho, noma ikuphi ukwelashwa kumele sihambisane inguquko nokudla okufanele. Kungenjalo, ukwelashwa amaphilisi engenamsebenzi.

izinguquko ezinkulu izitsha inhliziyo phakathi ischemia izidakamizwa musa ukukulungisa. Lapho coronagraph semithambo occlusion kuqinisekisiwe, ukusebenza inikezwa. Ingqikithi yalo msebenzi - ukubuyisela ukugeleza kwegazi ngu stenting noma angioplasty yenhliziyo.

Lezi izindlela zesimanje yokwelashwa aluqede ngokuphelele ingozi yezinkinga phakathi nokuhlinzwa. Minimal umonakalo kwezicubu. Ngemva kokuhlinzwa, kuyinto efiselekayo ukuqhuba Kokunye ukuhlola ukuqinisekisa ukusebenza kwe stenting.