Pachimake matenda a mtima

Pachimake mtima kulephera ndi chikhalidwe chifukwa cha matenda a mtima, monga thupi kuchita ntchito ya mpope mu thupi la munthu, ndi udindo kufalitsa kutero. Choncho, pakutchulidwa za matenda, zizindikiro zake ndi mankhwala zogwirizana.

Mtima kulephera (pachimake) pakokha matenda. Ndi m'malo chifukwa ndi kuwonetseredwa limati matenda amene bwanji myocardium kapena kungafoole ntchito yake. Zikuphatikizapo oopsa, myocarditis, matenda a mitima, komanso makhalidwe ake, akakufunsani matenda a m'mapapo ndi cardiomyopathy.

Pachimake kulephera mtima cholinga kuchepetsa contractility a minofu mtima. Monga amachita ntchito magazi kulankhula liwiro zogwirizana, ngati luso contractile ndi akusokoneza, tidzapeza kuchedwa mu kupereka zimakhala ndi ziwalo za thupi la munthu zosiyanasiyana chakudya ndi mpweya. Ndipo Komanso kumakhala kovuta kuti kuchotsa iwo (ziwalo ndipo zimakhala), mankhwala kagayidwe kachakudya.

Chifukwa cha - kulephera njira yachibadwa mankhwala mwamtheradi maselo zonse za thupi. Ndipo chifukwa cha ichi pali matenda a ziwalo zonse ndipo zimakhala za thupi zinchito, ndipo ambiri Chofunika -serdtsa. kuyan'anila amenewa yodziwika ndi chiwerengero cha cholinga ndi zotengera malingaliridwe zizindikiro kulola matenda mtima kulephera mwachindunji.

The kuchepa lakuthwa luso contractile makamaka zingakhudze yekha minofu ya kapena lamanja kapena lamanzere ventricle. Koma nthawi zambiri, kuti kudwala otere anati m'madera onse pa nthawi imodzi. Mlandu akutchulidwa kukanika bwino yamitsempha yamagazi, wachiwiri - kumanzere ventricle, yotsirizira - okwana kapena amaphatikiza kulephera mtima.

A chikhalidwe zofanana, amakonda kutsogolera ena kusintha. Choncho, kulephera kwa kugawikana kwa mtima chifukwa cha kusintha pathological mu minofu ya thupi. Komanso, chifukwa angathe kutumikira, ndi sekondale kusintha izo, zimachitika pamene kuli mavuto ntchito mwachindunji ndi minofu kwambiri.

Pachimake mtima kulephera mu magawo koyamba chitukuko amakhala ndi stagnation magazi mu kufalitsa m'mapapo mwanga, ndicho m'mapapo. Iyi imalimbikitsa kuoneka edema awo. Izi zikutanthauza kuti mosalephera komanso ndi chitukuko munthawi yomweyo ndi pachimake kupuma kulephera. Ngati boma tikaonetsetsa chithunzi matenda nthawi zambiri zinadzala ndi mavuto oopsa.

Choyamba matenda onse limodzi ndi mphumu mtima. Monga ulamuliro, wodwalayo mwadzidzidzi wayamba kumva kupanda mlengalenga, imbaenda ku kufupika kwake mpweya, limene amakhala ovuta kwambiri mpweya. Ngati nthawi sasamalira yomweyo katswiri thandizo, ndondomeko nadzaza thovu m'mapapo madzimadzi angayambe anthu (alveoli). Ndipo izi kumabweretsa mavuto mpweya kuwombola, mwachitsanzo, kuti maonekedwe a mpweya njala.

Congestive mtima kulephera, zizindikiro zimene ziri bwino kwambiri ndipo athe zolakwa wopanda matenda a matenda pamafunika mankhwala mwamsanga. Popeza mphindi loyamba la kusowa ichi, odwala amadandaula aakulu wheezing, kufupika kwa mpweya, katundu maganizo akusowa mpweya ndi kugwira nawo palpitations. Nthawi zina pali imfa ya chikumbumtima (yochepa, malinga ndi mtundu wa syncope), ndipo nthawizina kusokonekera.

Tikumbukenso kuti ambiri pachimake mtima kulephera akufotokozera usiku. Mwadzidzidzi, wodwalayo n'kudzuka chifukwa chosowa mpweya. Pali buildup wa dyspnea ndi chifuwa ndi expectoration maonekedwe khalidwe foamy kuwala sputum ndi zina wothira magazi ofiira mtundu. Machitidwe yomata ozizira thukuta, khungu amakhala phulusa buluu, makamaka mtundu bluish cha milomo zosiyana.

Pamene ndondomeko wayamba kusuntha mu m'mapapo mwanga edema chikhalidwe kwambiri sakuyenda. Zizindikiro zonse (tanena) mukuyesetsa, pali kuonekeratu kuti mpweya ndi sputum amakhala mvula ndi frothy. Kufupika kwa mpweya akufotokozera mu mphumu, mitsempha kutupa pakhosi. Koma chikumbumtima pa nthawi yomweyo, monga ulamuliro, Zatsala bwinobwino. Ndithudi isanafike dokotala pofuna kuti wodwalayo mu theka-pansi udindo.

Pachimake mtima kulephera zambiri ana akufotokozera mu zopindika kale anapanga pa vuto la misempha chachiwiri. Ndipo milandu myocarditis kwambiri, limati hypertensive. Nthawi zambiri chosayenerera amenewa amapezeka olumala mtima, pamene pali gawo la anatengera kuswa enieni hemodynamics. Monga ulamuliro, izi ndi zaka zisanu ndi chimodzi wa moyo.