Spasm izitsha yenhliziyo ezisekujuleni kwenhliziyo futhi ubuchopho: Izimpawu, Izimbangela

Izifo zenhliziyo uhlelo lifaka wokuqala emhlabeni phakathi kwezinye pathologies zomzimba womuntu, okwaholela ekufeni. Minyaka yonke kusukela isifo senhliziyo kanye semithambo ukubulala abantu abangaba yizigidi ezingu-17, ama-30% abantu ababulawa. Ngezinye izikhathi izifo zenhliziyo kukhona azalwa naso, kodwa iningi lawo ngenxa ukucindezeleka noma yokuphila okungenampilo. A kuzalwa zezifo isimo spasmodic sokuhamba kwegazi. Kuyini vasospasm yenhliziyo, izimpawu kanye izindlela zokuxilonga zesifo? Izimpendulo yonke le mibuzo kuyotholakala esihlokweni.

Ihlelo lokukhambisa iingazi

Isimiso senhliziyo nemithambo yegazi - iqoqo emizimbeni ukuqinisekisa ukugeleza kwegazi emzimbeni womuntu. Igazi ithwala mpilo nezakhi zonke izicubu, ngesikhathi esifanayo bevela nokungcola. Human esimiso senhliziyo nemithambo yegazi - inhliziyo futhi imithambo yegazi. Inhliziyo - emzimbeni okuyinto eziyize imisipha yokwakheka futhi kubangela igazi aluka ngokuqhubekayo ngokusebenzisa imithambo yegazi - amashubhu ozwakala izigaba ezahlukene esiphambanweni. Siqukethe emakamelweni ezine - i-ATRIUM kwesokudla, i-ventricle yangakwesokudla, ATRIUM ngakwesokunxele, kwesokunxele ventricle, ahlukaniswe septa sixhumene. udonga senhliziyo kuhlanganisa izingqimba imisipha ezintathu: kwangaphakathi - endocardium; ungqimba Intermediate - myocardium; i yangaphandle uthayi ungqimba - epicardium.

Ukuze izitsha isimiso sokujikeleza kwegazi kukhona imithambo, arteriole, precapillaries, ama-capillary, postcapillaries emithanjeni. Lapho ziqhubeka ngokusuka enhliziyweni, izitsha ezincane. Imithambo ihamba igazi lisuka enhliziyweni aye ezicutshini zomzimba, ngemithambo - kolunye uhlangothi.

Imikhumbi abahlebayo igazi elinomoya-mpilo ukuze myocardium - ukuxhumelela imithambo yenhliziyo. Ngakho, isimiso sokujikeleza kwegazi yenhliziyo - iyona enomopho ngokusebenzisa imithambo yegazi yomuntu myocardium. Kanye amandla angeziwe kwezicubu igazi inikeza uhlelo lymph. Kumele kuqashelwe ukuthi umsebenzi isimiso sokujikeleza kwegazi kucacile kakhulu, ngokuqinile esihlelwe.

vasospasm: ukuthi kuyini

lwemibhalo Medical has ezihlukahlukene izifo zenhliziyo nemithambo yegazi. Futhi ngokuvamile ukwakheka izimo ezihlukahlukene sokugembula, ezifana ukwakheka cholesterol zingcwecwe noma okwenziwe zibe semithambo, kuholele iziyaluyalu sina ngaphezulu umzimba, isb ekuthuthukiseni isifo ezinzima - isifo sokuqina kwemithambo yegazi, angina pectoris, isifo senhliziyo (CHD).

Angiospasm - ukuncipha yesikhashana isitsha izindonga ukwandisa yisimo sazo, okuholela imisipha ingaphakathi luminal ukuvaleka. Kulokhu, igazi eqoqwe kwezinye izindawo, nakuba abanye musa ukudla okwanele. Ukwephulwa kwenzeka kwandzisa umoya-mpilo ezicutshini i umzimba. Ngokuvamile spasm semithambo short isikhathi afika kwangu-20. Nokho, zikhona izimo lapho ukushayisana kwe-isimiso semithambo yegazi ukuthatha okwathatha isikhathi eside kangako. Zibe kubangele zokugula ezinzima - Inkinga semithambo - ukushintsha okuqukethwe ku imithambo yegazi ngokumelene ukulimala ukuzungeza emaphakathi. Spasm kuthinta zombili iinkepe ezinkulu nezincane igazi.

Ukubhema, yokuphila umzimba, njalo ezenzeka ukucindezeleka, ukuphuza utshwala ngokweqile, bandisa inkonzo platelet - inhlanganisela yalezi zici kubangela okuvela spasmodic syndrome, kuba isizathu esiyinhloko. Yenhliziyo Umthambo zibe kungenzeka ezindaweni ezahlukene zomzimba womuntu, ngakho ngokuvamile libhekwa.

izinhlobo zibe

Kuye lapho yenziwe yaba yasendaweni inqubo spasmodic ababonakali ngezikhundla:

• zibe neuropathy;
• zibe kwemithambo emikhulu yenhliziyo.

zibe neuropathy - vasospasm - izimo zokucabanga okubangelwa isifo okuyinto zenzeka endaweni, isibonelo, izitsha nasemilenzeni ephezulu noma ephansi ngenxa yokukhathala ngokomzimba, ezinzima yokuguquka kwesimo sezulu, izinguquko isigqi wokuphila. Okuvela zibe neuropathy okubangelwa kokunikezwa kwe-ithoni capillary kwesikhumba. Le ndawo ethintekile lokuqala okhanyayo ke uba bluish, iza ndikindiki, ukulunywa. Ngezinye izikhathi umuntu ahlangabezane ukujuluka ngokweqile. Izimpawu kungenziwa ukucasulwa supercooling. Ngezinye izikhathi bezihlikihla abathintekayo endaweni nesineke bangezwa umuzwa ezibuhlungu.

Amajaqamba imithambo main kuthinte imikhumbi emikhulu igazi abazondla ubuchopho bomuntu, senhliziyo esilimele, umzimba lonke. Ngakho ihlaba umkhosi:

• yenhliziyo Umthambo spasm;
• vasospasm palsy.

Spasm yegazi wenhliziyo - spasm yenhliziyo - emfushane kodwa ebukhali kakhulu ukunciphisa okungazelelwe mafutha anciphisa isikhala esingaphakathi odongeni engaphakathi nemithambo yegazi yenhliziyo. vasospasm Cerebral - a spasm izitsha ezinkulu igazi ukuthi ukondla ingqondo yomuntu.

Yini ebangela spasm kwemithambo yegazi yenhliziyo

Izimpawu spasm yenhliziyo uqale sikhala ngobuhlungu besifuba imbuthuma ukuba isiphanga noma ingalo. Ubunjalo ukuhlaselwa ezahlukene. Ubuhlungu kungenzeka ebusuku, uphumule noma emini, ngokumelene ingemuva lokuzivivinya anda. Ubuhlungu esifundeni inhliziyo ngenxa yokuthi ngesikhathi senqubo kukhona spasmodic imithambo yegazi yenhliziyo abazondla imisipha yenhliziyo. Ngeshwa, okuvela kuyo ekuhlaseleni ubuhlungu - kuyisandulela ukuthuthukiswa angina - isifo senhliziyo. Phakathi kwezimbangela ukuthuthukiswa isifo:

• Isifo sokuqina kwemithambo yegazi - kumiswa cholesterol ezifakwa isitsha odongeni, okuholela ukuvaleka ububanzi we Ingxenye evundlile Imigudu igazi lapho igazi ukhiphela. Lapho isifo sokuqina kwemithambo yegazi kuyehla kuyaqina semithambo, ziba ziyaqothuka. inqubo Spasmodic kwenzeka uma mafutha anciphisa isikhala esingaphakathi we ukuxhumelela imithambo yenhliziyo is ayisesemikhulu ngesigamu. Imikhumbi emikhulu abathintekayo zokugula, namandla kuhlasela.
• Izifo ezithathelwanayo.
• izifo emathunjini.
• Yokungezwani komzimba.

Izimbangela angina, kungenziwa cishe ngamaqembu amabili:

• izizathu okuyizinto amenable ukusolwa;
• izizathu ngenakuvikeleka.

Amabutho womuntu ukuyeka ukubhema, reception kwezidakamizwa ezithile; kubuyisela ifomu evamile ngokomzimba; ukuthuthukisa ubungqabavu; ukulawula umfutho wegazi; ukuba singaweli imiphumela lokucindezeleka okungokomzwelo. Ngeshwa, umuntu ngeke akwazi ukungakhathazeki ezithinta umlando wakhe siqu umndeni kanye nobudala.

ifomu angina

Angina kungenziwa ebonakaliswa ngezindlela ezahlukene, ngokuhambisana nalesi sifo libhekwa ku ngezindlela ezihlukahlukene:

• angina;
• angina esitebeleni;
• angina ukuphumula.

angina kwakheka kwi isizinda ukucindezeleka ngokomzimba noma ngokomzwelo. Lezi izici eziholela yokuthi imisipha yenhliziyo kudinga umsebenzi omningi kule izinqubo umzimba. Le ndlela angina libhekene ubuhlungu endaweni retrosternal.

angina Esitebeleni - kwindlela inqubo spasmodic kungathatha isikhathi esingaphezu kwenyanga. It ihlukaniswe yaba ye-zinhlobo ezine kuncike degree olunyakazisa umzimba, futhi ukucindezeleka ku ngemuva nokuthi kukhona kuhlasela.

angina ukuphumula okwenzeka ebusuku, lapho umzimba womuntu owenziwe kahle esimweni ukuphumula. Ukuhlaselwa yaleli fomu lesi sifo okukhulu, ngokwanele eside. Lobu buhlungu ukwandisa kancane, bese anyamalala ngokushesha. Lo muntu ahlangabezane isicanucanu, isiyezi. Kukhona futhi palpitations isimo kanye nokuntuleka emoyeni. Uma kuqhathaniswa namanye izinhlobo zesifo, angina ukuphumula akuvamile kuholela nemiphumela emibi kakhulu noma ukufa.

vasospasm cerebral

vasospasm Cerebral - inqubo spasmodic esithinta nemithambo yegazi ubuchopho. Izimbangela Cishe iningi spasm cerebral kukhona ngokweqile njalo umzimba, nokungalali, ukhwaliti ubuhlungu emuva. Lesi sifo ikakhulukazi kwenzeka kubantu oseqinile - eminyakeni engaphezu kuka amathathu futhi libonisa emaphakathi noma ezinzima ikhanda ubuhlungu entanyeni, ebunzini namathempeli. Bekanye emizweni ubuhlungu kungavuka igazi umfutho okhuphuka ngokungazelelwe. Izimpawu agcwele spasm imithambo yenhliziyo zobuchopho, kucacile kakhulu. Lezi zihlanganisa:

• inkulumo kahle;
• disorientation;
• isiyezi, isicanucanu;
• inkumbulo iphelelwa isikhathi.

Izimpawu ngenhla zidalwa enganele igazi ebuchosheni, lapho kuvela emuva, isibonelo, esiwohlozayo disc isifo sokukhubazeka komgogodla wesibeletho. Ngezinhloso zokuxilonga, futhi ukuvimbela ukuthuthukiswa pathologies sina elihlobene ne ukubonakaliswa spasmodic izitsha entanyeni noma ikhanda kufanele iphendukele-magnetic resonance imaging we ikhanda nentamo ukuze ultrasound.

Sifo, ukwelashwa, zokuvimbela

Izifo uhlelo senhliziyo nemithambo yegazi ngokwanele okunganakekile futhi ngokuvamile kungaholela emiphumeleni engathí sina noma ukufa isiguli. Ngakho-ke kubaluleke kakhulu ukuba aqaphele izimpawu zesifo at kusaqalwa futhi baqala ukwelashwa ngokushesha ngangokunokwenzeka. Inkinga sesisebenzi sezempilo - ungaphuthelwa noma iyiphi imininingwane; lalelisisa isikhalazo lesiguli; ukusungula ubunjalo ubuhlungu, indawo indawo yayo, ubude, izimo lapho kuphakama.

Kuphoqelekile ukuthi kwenziwe ukuhlola i-laboratory - ukuhlolwa igazi for cholesterol, lipoproteins. Ezinye izindlela zokuxilonga zihlanganisa:

• Electrocardiogram (ECG) ebibanjelwe isiqongo ukuhlasela.
• Daily zokuqapha ECG.
• Echocardiogram.
• Veloergometry - sokubona ukuthi umthwalo esiphezulu ezingase zimuncwe yisiguli.
• Yokucwaninga angiography yenhliziyo - kuhlola kwekusebenta kubukwe lwemithambo izilonda kanye kwasendaweni yabo.

Kulezi zindlela ezingenhla, ukuvumela uphethwe vasospasm ukuhlukanisa esivela nezinye izifo, futhi ukwabela ukwelashwa esifike ngesikhathi, eziyikho nezanele.