Pachimake inatsekeratu insufficiency: kupulumutsa mtima wanu yomweyo!

Kodi inu kapena banja lanu anawapeza ndi "inatsekeratu insufficiency pachimake," ndipo inu simukudziwa kanthu za matenda amenewa? Werengani nkhani yanga kuti adzayankha kwambiri nkhani zofunika zokhudza kudwala izi mtima.

Activities pa mtima wa kupitiriza ake mosalekeza akhoza kukhalabe mlingo wofanana wa kundipatsako kwa zakudya ndi mpweya zimakhala thupi. Pankhaniyi, mbali thupi la lamulo la zochitika mtima ndi mtima chimakhudza intensification ndi kuchepetsa mphamvu ya ntchito yake, zomwe pamaso pa kuvutika kwa mtima kumabweretsa kusagwira ntchito ndi "njala" minofu. Mbali yapadera ya kusowa magazi mtima ndi amene amalandira chakudya ndi mpweya lokha pa diastole. Popeza zimagwirira thupi la maganizo pa thupi, imbaenda kawirikawiri mungoli ake, kwambiri amachepetsa nthawi ya diastole, akuwononganso otaya magazi mu mtima. Okwana mtima minofu amadwala ischemia, limodzi ndi moto ululu kumbuyo breastbone lapansi. Mmenemonso wa mtima okwanira magazi akusowa kukhala pachimake inatsekeratu insufficiency. Zimayambitsa chikhalidwe ichi pathological zikhoza kugawidwa m'magulu 2:

• koronarogennye zifukwa chifukwa cha chakuti inatsekeratu atherosclerotic zotupa ziwiya ndi mwapang'ono kapena kuwonongeka, ndi linga lawo akhoza sclerosed.
• Noncoronary kugwirizana ndi kusintha pathological ziwiya inatsekeratu mtima, ndipo sikukutanthauza boma la mitsempha ya.

Ngati ndi kotheka, kuyamba thupi malo mphamvu kuchita ntchito iliyonse thupi kapena maganizo nkhawa mtima ntchito ayenera inapita patsogolo. Komabe, izi ndi zinadzala ndi aggravation nawo chilema ziwiya mtima zinchito.

Symptomatology wa pachimake inatsekeratu insufficiency.

Mu zochita za zikuwonjezereka masiku ano anamasulidwa pamene munthu kapena maganizo ndi katundu, ziwiya itsekeke pang'ono lumen lake kuti zipereke otaya mathamangidwe kuwonjezeka kuonetsetsa okwanira chokwanira cha zakudya zimakhala ndi. Zingapo atherosclerotic zolengeza mwapang'ono lumen kapena sclerotic khoma kwambiri constricted, zomwe zimabweretsa kuperewera kwa zakudya inflow mu mtima ndi magazi. Pali pachimake inatsekeratu insufficiency. Wodwala yomweyo amayamba kuona lakuthwa ululu woyaka kumbuyo breastbone, amene salola iye kuti achite ntchitoyo. chikhalidwe choterocho zimagawidwa monga matenda ischemic mtima ndipo ali ndi njira zotsatirazi: angina pectoris, m'mnyewa wamtima infarction. Pamene nthawi ya kudwala mofikapo pa mpumulo mtima kukumana ndi kuchepa kwa magazi, omwe ali kuwonetseredwa ndi kufupika kwa mpweya, milomo buluu, mphuno, ofooka zimachitika mu mitsempha ya malekezero, thukuta ndi ovutitsa mawu. Pachimake inatsekeratu insufficiency, zizindikiro zomwe ndi yowala kwambiri, sikutanthauza zina yeniyeni mpheto ndi wodwala, chifukwa kwenikweni atenge mbali ya zizindikiro:

• Poyenda kapena akuthamanga thupi, maganizo, pali lakuthwa ululu woyaka kumbuyo breastbone, ndilo wopondereza khalidwe la anatchula interscapulum, dzanja lamanzere, khosi, pansi pa phewa kumanzere.
• chopitirira amenewa zambiri kumatenga zosaposa 15-25 Mphindi, ndi ululu pang'onopang'ono ndichepe, koma pamene ululu m'mnyewa wamtima alibe mtima umenewu. Pamene oposa theka m'litali akhoza oterewa m'mnyewa wamtima infarction mu gawo pachimake.
• Chifukwa cha mfundo za mpumulo matenda a ululu: ululu stenokardicheskie kuchotsedwa Mphindi 15 pambuyo makonzedwe a nitroglycerin ndi infarction zikhoza kuchepetsedwa ndi chimodzimodzi ndi kupitiriza kwa mphindi yaitali kuposa 30. Pakuti syndrome ululu, m'mnyewa wamtima infarction ntchito analgesics chomwa mankhwalawa, kuthekera komwe kamapezeka yekha m'chipatala.

Chithandizo cha pachimake inatsekeratu insufficiency.

Ngati inu kapena okondedwa anu pachimake inatsekeratu insufficiency, chithandizo kwapatsidwa kokha dokotala, koma angathe kuchitidwa ndi wodwala pa nkhondo ndi pakati pawo, komanso pokhazikitsa chipatala.

Pamene chifuwa ululu mtima kuchitapo nitroglycerin sublingual, Kutha piritsi kwathunthu. Patatha mphindi 10, ngati mphamvu ya ululu si yafupika, m'pofunika kubwereza phwando. Chithandizo ikuchitika pakati pa kuukira yaitali wotenga ku feteleza, blockers kusankha prophylactic mankhwala odana atherosclerotic. M'mnyewa wamtima ululu infarction si cropped nitroglycerine kapena vazodillatatorom ena, Choncho zifukwa chithandizo mwamsanga ku chipatala. Pali kukonzekera osiyanasiyana malingana choncho payekha. Izi analgesics chomwa mankhwalawa, antiplatelet wothandizira, ndi wothandizila thrombolytic, blockers, ndipo nthawizina ndi yaikulu okodzetsa mtima chifukwa lililonse magazi ndi kuchepetsa magazi buku, ndi mankhwala ofewetsa tuvi tolimba kuti wodwalayo si yomangika pa defecation, amene akhoza kusokoneza kubwerera venous mtima. Choncho mwachidule pamwamba pamwambapa, Dziwani kuti pachimake inatsekeratu insufficiency - woopsa mtima kudwala kuti amafuna mosamala ndipo nthawi zonse mankhwala.