Mtima Aneurysm - Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Pamene matenda kumachitika sacciform protrusion irreducible ndi kupatulira mpanda wa minofu mtima. Mtima aneurysm nthawi zambiri amapezeka pamene vuto la infarction m'mnyewa wamtima ndi aumbike wozingidwa pa minofu m'mnyewa wamtima. Aneurysm ali ambiri ventricle kumanzere kwa mtima, nthawi zina interventricular septum, ndipo pafupifupi konse ventricle bwino. Pamafunika mankhwala, monga chifukwa zingachitike thrombosis kapena vuto la mtima. Matenda a matenda ikuchitika mwa ultrasound, ECG ndi njira zina. Mtima aneurysm ankachitira opaleshoni.

Zimayambitsa.

Chinthu chachikulu chomwe aneurysm ndi m'mnyewa wamtima infarction. Pa zimachitika imfa ya minofu mtima, amene m'malo ndi minofu connective mmenemo, pali chilonda. Pa nthawi imeneyi, khoma ndi kutopa ndi sangapezekenso yafupika. Ndiye gawo thinned kwa magazi amayamba pang'onopang'ono protrude kunja - mu malo awa pali aneurysm. Nthawi zambiri izi zimachitika mu ventricle kumanzere ndi septum interventricular komanso m'mnyewa wamtima makamaka umakhudza ndendende m'madera amenewa.

Zizindikiro.

Kawirikawiri ndi zizindikiro aneurysm alipo zizindikiro za matenda a mtima kapena matenda a mtima, ndi limene tingakhale nalo. Anagawa mawu aneurysm chitukuko pachimake, subacute, ndi aakulu. Pachimake anaona pa masabata awiri oyamba pambuyo vuto la mtima. Wodwalayo kufupika kwa mpweya ndi kufooka, zopweteka mtima, pali malungo, kutupa kwa magazi, matenda a mtima ndi arrhythmias.

Subacute aneurysm zachitika masabata 3 mpaka 6 pambuyo vuto la mtima. maphunziro komanso chifukwa maonekedwe a chilonda pa mtima ndi matenda a mtima. Iye sanapereke zizindikiro zilizonse latsopano ena kuposa kulephera zizindikiro mtima: palpitations mtima, kufupika kwa mpweya, kutopa.

Pakapita masabata asanu a infarct ndi mtima aneurysm amakhala aakulu. Zizindikiro ankachita zosiyana ndi zizindikiro za matenda a mtima.

Zosokonezeka.

An aneurysm ndi matenda kuchititsa ngozi. kwake imapangitsa ndi chisokonezo kwambiri mumtima ndipo amachititsa kupitirira kulephera mtima. Pakuti chiopsezo chachikulu cha mtima aneurysm kugwirizana ndi kusamuka kwa thrombus kapena chotupa n'zotheka zoopsa kwambiri kuposa kumva kulasalasa yosavuta mu mtima. Pakuti pachimake aneurysm chotupa ndi ambiri mwayi kuti ndi oopsa kwa anthu. Kusamuka kwa thrombus ku matenda chosowa kwambiri, koma ngati Izi zikachitika, ndi overlapped mtsempha wamagazi zotumphukira kuti kumabweretsa mapangidwe a sitiroko, nthambi chilonda, infarction aimpso, ndi ena.

Matendawa.

Mu siteji koyamba matenda imagwiridwa powunikira zizindikiro matenda onse, omwe tafotokozazi. Kenako, anayendera onse zoona wodwala. Chimodzi cha zinthu zoipitsitsa kwambiri khalidwe ndi pulsation amphamvu a pamimba kumtunda ndi thorax. Mothandizidwa ndi electrocardiogram ndi, limene limatchula kusintha zina kukhazikitsa matenda zolondola. Komanso, mtima aneurysm anatsimikiza ndi ultrasound, imene ingakuthandizeni kudziwa malo ndi kukula. Pali zina, zovuta kwambiri njira diagnostics.

Chithandizo.

Lero, njira yaikulu pochiza matenda ndi opaleshoni, amene anachita pamene excision ndi suturing wa mtima khoma chilema. Komabe, opaleshoni Amasankhidwa pokhapokha ngati mavuto a aneurysm. Izi chiopsezo zotheka Kusamuka kwa thrombus ndi, mofulumira osauka mtima kulephera, osati amenable mankhwala arrhythmia za mtima.