Mukati
Kukundikana kwemoyo kunoratidzwa nekuputira mumapapu kana systemic circulation, pamwe nekuderera kwekushanda kwemyocardial. Ichi chiitiko chinogara chichiperekedzwa nekuitika kwekupfupika kwekufema.
Zvikonzero zvekutadza kufema kwemoyo
Kana mwoyo usingakwanise kubata nemitoro yakaiswa pauri, kupfupika kwekufema kunotanga. Mune vascular system yemapapu, kuyerera kweropa kunononoka, uye kudzvinyirira mutsinga kunowedzera. Matavi maduku emitsara yeropa anodyisa mapapu anoona spasm, kuchinja kwegesi kunovhiringidzwa.
Iyo nzira yekuvandudza kupfupika kwekufema mukutadza kwemoyo:
Kana rutivi rworuboshwe rwemwoyo rwakanganiswa, kuwanda kweropa rinobudiswa kunoderera. Congestion inogadzira mumapapu, sezvo akazara neropa.
Kumira kunobatsira mukuvhiringidzwa kwekuchinjana kwegasi mumhepo yekufema, izvo zvinotungamirira mukuderera kwemhepo yavo.
Muviri unosimudzira basa rekufema, unowedzera kuwanda kwekufema uye kudzika kwavo. Nokudaro, munhu wacho anonzwa kupera kwekufema.
Interstitial pulmonary edema inokura.
Uropi hunogamuchira chiratidzo chekuti mapapu ari kurwara ne hypoxia. Inomutsa nzvimbo yekufema, zvichiita kuti munhu atore kakawanda uye kufema kwakadzika.
Zvirwere zvinogona kukonzera kutadza kwemoyo nekupfupika kwekufema:
Arterial hypertension.
Mitral valve stenosis.
CHD.
Cardiomyopathy.
Mwoyo kuremara.
Kuzvimba kwemyocardial tissue.
cardiac dilatation.
Chepfu nezvinhu zvine chepfu.
Kana munhu ane chirwere cheshuga mellitus kana mamwe endocrine pathologies, ipapo kusingaperi mwoyo kusakundikana kuchafambira mberi nokukurumidza. Panguva imwecheteyo, kurwiswa kwekufema kunotanga kushanduka kuva kurwisa kwekudzipwa.
Nekukuvadzwa kwe ventricle yakarurama yemoyo, kupfupika kwekufema kunogona kunge kusipo zvachose.
Zviratidzo zvekushaya mweya mukati memoyo kukundikana
Zviratidzo zvinotevera zvicharatidza kuti munhu ane kufema kwenguva pfupi chaizvo nekutadza kwemoyo:
Zvakaoma zvikuru kuti murwere afeme.
Kana kukanganisa kwemoyo kune kosi isingaperi, saka kusagadzikana kwekufema kunoitika chero mutoro. Kunyanya kusimba, kunowedzera kuoma kuti munhu kufema. Kupfupika kwekufema kwakadaro kuchawedzera neuropsychic kusagadzikana.
Kutadza kufema kunovhiringidza munhu kana akarara. Munzvimbo yakatwasuka, mwoyo unozadza neropa, saka unotanga kushanda nesimba. Kana munhu akagara pasi, saka kufema kunowedzera kana kushoma. Nokudaro, kupfupika kwekufema kunowanzoitika usiku.
Kana kurwisa kwekupfupika kwemhepo kunozviratidza usiku, ipapo munhu anomuka kubva pakuti haana chinhu chekufema. Kurwiswa kunoshanduka kuva kufema, chikosoro chakaoma chinooneka. Dzimwe nguva chikamu chiduku che sputum chinovanzwa. Kuti aderedze mamiriro ake, munhu intuitively anosimuka kana kugara pasi, uye anoderedza makumbo ake pasi.
Munhu anofema nemuromo wake, zvinogona kumunetsa kutaura.
Iyo nasolabial triangle inoshanduka bhuruu, chipikiri phalanges inova yebhuruu.
Nekukundikana kwemoyo, pane nguva dzose njodzi yekuvandudza pulmonary edema. Panguva imwecheteyo, munhu anosangana nekushaya simba kwakanyanya, kufema kunorema, miromo yake inoshanduka bhuruu. Hazvibviri kurarama nekupfupika kwekufema nenzira dzinowanzoitwa.
Mapapu anova akaomarara, congestive bronchitis, cardiogenic pneumosclerosis inokura. Mukuwedzera kune kupfupika kwemhepo, murwere anowanzova nechikosoro, panguva yekurwisa, sputum neropa inogona kusunungurwa. Kana bronchospasm ikaitika, patency yebronchi ichavhiringidzika, saka, kupfupika kwakadaro kunowanzovhiringidzwa nebronchial asthma.
Chiitiko chakadaro se cardiac asthma chinoratidzwa nekurwisa kamwe kamwe kwekufuridzira dyspnea. Iyi kiriniki syndrome chiratidzo chekutadza kwemoyo wekuruboshwe. Kutadza kufema kunogona kushanduka kuva kushaya mweya.
Diagnostics
Kutadza kufema kunogona kukanganisa munhu ane zvirwere zvakasiyana-siyana. Kana kukanganisa kwemoyo wemurwere kuchangotanga kukura, ipapo inenge isina simba, matambudziko ekufema anooneka chete panguva yekurovedza muviri uye usiku.
Kuti uone zvikonzero zvekutadza kufema, unofanirwa kuonana nechiremba kana chiremba wemwoyo.
Chiremba anogona kupa murwere nzira dzinotevera dzekuongorora:
ECG.
Ropa rekupa kune general and biochemical analysis.
Echocardiogram.
Kuita coronary angiography.
X-ray yechifuva.
Maererano nemigumisiro yekudzidza, zvichave zvichibvira kuita chirwere uye kurayira kurapwa.
Rubatsiro rwekutanga
Kana munhu ane chirwere chemoyo akawedzera kurwisa kwakanyanya kwekushaya kufema, iwe unofanira kukurumidza kufonera ambulensi.
Vasati vasvika vechikwata chekurapa, unogona kutora matanho anotevera:
Vhura mahwindo kuti mweya mutsva upinde mumba.
Bvisa kubva pamutsipa nepachipfuva chemunhu zvinhu zvese zvembatya zvinogona kutadzisa kufema.
Kuti upe murwere kuzorora kwakakwana, unogona kumupa piritsi ye nitroglycerin, inoiswa pasi perurimi.
Zvinotoda kuti munhu ange akagara akatsikitsira makumbo.
Kana kuziva kwemurwere kusingavhiringidzwi, saka kusati kwasvika kweboka rezvokurapa, ropa rake rinogona kuyerwa.
Kurapa kwekupfupika kwemweya mukukundikana kwemoyo
Cardiologists vane kupfupika kwekufema nekuda kwekutadza kwemoyo vanogona kuraira kunotevera kurapwa:
Mishonga yekurapa chirwere chakakonzera kukanganisa kwemoyo.
Zvinodhaka kubva kuboka re beta-blockers.
Diuretic mishonga inobatsira kuderedza kuwanda kweropa mumuviri, nekudaro kubvisa kushushikana kubva pamoyo.
Iva nechokwadi chokuti munhu anofanira kutevedzera kudya kwakakodzera, kuderedza kuwanda kwemunyu unopedzwa, kusanganisira hove dzine mafuta tsvuku, linseed mafuta uye nzungu mumenyu.
Kupfupika kwemweya mukutadza kwemoyo kunogona kuderedzwa nekutora anxiolytic zvinodhaka. Vanoderedza kuzvidya mwoyo, vanokubvumira kubvisa kutya kwekushaya simba, kubatsira munhu kudzikama. Kufema kunogadzirisa uye kuenzana kunze, kurwisa kwekufema kunopera.
Kufemba kwenguva refu kweokisijeni kuburikidza ne ethyl doro kunobatsira kuderedza kuzvimba kwetishu yemapapu.
Mumatambudziko akaoma, murwere anoratidzwa kuvhiyiwa.
Kutora mishonga
Sezvo kupfupika kwekufema kunongova chiratidzo chekukundikana kwemoyo, kuti ubvise, zvichave zvakakosha kutungamira kuedza kugadzirisa pasi pechirwere. Kurapa hakugoni kukurumidza. Kazhinji inopfuurira kwemakore akawanda uye kunyange kusvika pakuguma kwehupenyu hwomunhu.
Zvinodhaka zvinonyorerwa varwere vane moyo kukundikana:
Glycosides inowedzera kushanda kwemhasuru yemoyo. Izvi zvinosanganisira zvinodhaka Digoxin, Korglikon, nezvimwewo.
ACE inhibitors. Vanobatsira kuderedza BP, kubvisa kushushikana kunobva pamwoyo netsinga dzinodyisa nyama yemapapu. Izvi zvinogona kuva zvinodhaka zvakadai seCaptopril, Ramipril, Trandolapril, etc. Kuzvitora kunokubvumira kuti uwedzere mitsipa yeropa, kubvisa spasm kubva kwavari.
Diuretic drugs (Furosemide, Britomar) inoderedza mutoro pamwoyo, ichibvisa mvura yakawandisa kubva mumuviri. Kugamuchira kwavo kuchadzivirira kuumbwa kwe edema.
Vasodilators seMinoxidil kana Nitroglycerin. Izvo zvinoshandiswa kudzikisa kushushikana kubva kune yakatsetseka tsandanyama dzemhasuru.
Beta-blockers, semuenzaniso, Metoprolol, Celiprolol, etc. Vanokubvumira kubvisa migumisiro yearrhythmias, kuderedza ropa, uye kubvisa hypoxia kubva kumasumbu.
Anticoagulants inodzivirira kuumbwa kweropa, kuderedza zviratidzo zvisina kunaka zvekukundikana kwemoyo, izvo zvinosanganisira kupfupika kwemhepo. Izvi zvinogona kuva zvinodhaka zvakadai seWarfarin, Fragmin, Sinkumar, nezvimwewo.
Statins (Rosuvastatin, Lovastatin) inorayirwa kune varwere vane mwoyo kukundikana kunokonzerwa neatherosclerosis yemidziyo.
Kana kupfupika kwemweya mukukundikana kwemoyo kunoperekedzwa nemarwadzo, ipapo murwere anorayirwa analgesics.
Kupindira kwekushanda
Nzira yechimbichimbi yekuburitsa kutenderera kwepulmonary mukusangana kwetsinga ndiko kubuda kweropa. Muchiitiko ichi, munhu anogona kusunungurwa kubva pa300 kusvika ku500 ml yeropa.
Dzimwe nguva kukundikana kwemoyo hakugone kugadziriswa nemishonga. Muchiitiko ichi, murwere anotumirwa kuvhiyiwa. Mukufamba kwayo, pacemaker inogona kuisirwa munhu. Dzimwe nguva vanoita oparesheni pamavharuvhu emoyo, pama ventricles ayo.
Kupindira kwekuvhiya hakuenderane zvakananga nekupfupika kwekufema, asi kune chinangwa chekubvisa hutachiona hwehutachiona. Kana iwe ukakwanisa kuibvisa, ipapo matambudziko ekufema anopera ega.
Kudzivirirwa kwekurwisa kwekupfupika kwemweya mukukundikana kwemoyo
Kune nzira dzisiri dzemishonga dzekudzivirira kupfupika kwekufema dzinoshanda kune vanhu vane chirwere chemoyo chisingaperi:
Izvo zvinodiwa kuderedza kudyiwa kwemunyu nechikafu.
Zvakakosha kutarisa uremu hwako, kudzivirira kuwedzera kwayo. Kukura kwehuremu hwemuviri wemunhu, kunowedzera kuoma kwemoyo nemapapu kubata nemitoro yakaiswa pavari.
Zvakakosha kusiya tsika dzakaipa, kusabvisa doro uye kusvuta kubva muupenyu hwako.
Kuita muviri kunofanira kubvumirana nachiremba.
Iva nechokwadi chekudzora ropa uye kudzivirira kuwedzera kwayo.
Musoro wemubhedha wemunhu unofanira kusimudzwa.
Unofanira kuenda kunorara wakapfeka mbatya dzisingarambidze kufema.
Hazvibviri kupora zvachose kubva mukusakwana kusingaperi, asi zvinokwanisika kuvandudza hupenyu hwako uye kuita kupfupika kwekufema kuve nyore. Comprehensive treatment inokubvumira kuti uchengetedze kushanda kwemakore akawanda. Muzhinji, kufungidzira kwekukundikana kwemoyo kunoenderana neiyo pathologies yakakonzera kukanganisa kwakadaro.