Imilenze iyadumba ezantsi kwedolo: unobangela kunye nonyango

Kukho zithetha njani ukuba lo mlenze nokudumba ephantsi ezinxulumene kuphela ngokugqithiseleyo inani fluid kunye ukuphila umzimba. Ukuba une imilenze iyadumba ngezantsi amadolo, izizathu oku kunokuba yingozi. Enyanisweni, phambi kwalo uphawu kunokuba kuzalwa sidwelise isifo sentliziyo, isifo sezintso, isibindi, izilonda nemithambo ukudumba, ithumba ucinezelo imithambo iliac kunye nezinye izifo ezinzulu.

uxilongo Kakuhle olwenziwe kuvumela ixesha ukuchonga isifo bha ukukhetha unyango olusebenzayo ngexesha elifanelekileyo.

ilungelo Ukungaphumeleli ventricular

umlenze ukudumba kungaba ngenxa ukusilela ekunene ventricular. Kulo mzekelo:

• Ukuphelelwa umoya, yehle ukukwazi ukwenza umthwalo njengesiqhelo emzimbeni (ukunyuka ngezinyuko, ehamba). Ukuphelelwa amandla nokudinwa okubangelwa oxygen ukuswela ngenxa sinesiphene inyama perfusion.
• Lower umlenze nokudumba zenzeke.

Makhe siqwalasele, ngenxa yaso nasiphi na isizathu, inesifo ezantsi kwedolo kunye nokusilela ventricular ekunene. Ngenxa yempilo contractility ventricular miseka amalungu ezaneleyo igazi kunye namalaphu, kuza ukusebenza kwenkqubo sympathoadrenal kwaye linciphise le mithambo of venules kunye arterioles, ukunyusa izinga intliziyo. Ukuphendula vasoconstriction kwandisa uxinzelelo lwegazi, iyazingenela inkqubo renin-angiotensin-aldosterone, wehlise ukuhamba kwegazi kwezintso, kukho ukulibaziseka sodium kunye namanzi, ukwandisa igazi nasemiphandeni, uxinzelelo hydrostatic ngemithambo.

Ukuba mbile imilenze ngezantsi ngamadolo, izizathu oku ukuba permeability nemithambo anda, ukuncitshiswa ngakwicala leeprothini amagama kunye zinomgutyulo kwi umchamo ngenxa samagama nomonakalo wezintso.

nokudumba Cardiogenic uvela kancinane, lolona ekuyeni ekupheleni kosuku. It hide phezulu.

Iinyawo yokuqala aludumbanga, kukho izikhalazo ingxinano, izihlangu ngokuphazamisa. ho Okulandelayo otekaet. Isikhumba ebandayo ukuya ngaphandle kwebala, luthuthu-cyanotic. Kukho imizila zeekawusi, intlaka, zezihlangu isiqhoboshi. Xa icinezelwe kwi ulusu ixesha elide uhlala fossa.

Lubonakala ngokuba nokudumba macala. kokuhlala ixesha elide kunokubangela ukudumba kummandla empontshwa.

Decompensated ilungelo Ukungaphumeleli intliziyo nokudumba ziye zakhula. Kubonakala ascites (ulwelo ugcwalisa kwisisu). Ngamana ukuphuhlisa hydrops (Ukudumba ngokubanzi ulusu kunye namanqatha ongama).

ukusilela ventricular ekhohlo

Kuba ukusilela ventricular lasekhohlo zizinto ezibonisa eziqhelekileyo ngakumbi sombefu intliziyo:

1. Orthopnea (isigulane ayikwazi ukuba ngokuxwesileyo ngenxa awongezelelekileyo pulmonary igazi capillary kunye nophuhliso dyspnea kakhulu).
2. Paroxysmal dyspnea (ukuhlaselwa ezinzima odyshechnye ezithi zenzeke ngexesha ulele, ephelekwa ukutswina, ukutswina, ekhohlela kakhulu, cyanosis yobuso) zasebusuku.
3. Ukutswina emiphungeni.
4. xhopho maz 'kubanda.

Uxilongo ukungaphumeleli ventricular lasekhohlo

1. Electrocardiography (kuqikelelwa rhythm and Uhanjiso neziphithiphithi, phambi amazinyo zophendlo lwezifo).
2. Echocardiogram (ejection iqhezu intliziyo olufundwa, Ebubanzini iindonga imithambo kunye ventricles, ubukho umonakalo kwezivalo okanye stenoses, utshintsho kumaziko pericardium), esweni imihla ECG (Holter).
3. Chest X-ray.
4. Uvavanyo phantsi komthwalo ukugqiba udidi esebenzayo ukusilela kwentliziyo.
5. Umchamo for protein.
6. Uvavanyo igazi kunye nokuzimisela yabamakishi engabalulekanga yokwenzakala.
7. Immunoglobulins M G ukuba cytomegalovirus kunye Epstein - virus Barr.
8. Uvavanyo kwinqanaba peptides natriuretic.

unyango

Uthomalaliso yamanyathelo ezinjalo:

• Ukudla kobudala ityuwa ngokungqinelana iqondo ukusilela intliziyo;
• imvukelo umthwalo emzimbeni, ukuhamba imihla ngemihla;
• unyango ngamachiza (womchamo, glycosides kwentliziyo, angiotensin-njengokuguqula transcriptase inhibitors, beta-blocker, arhente antiplatelet, antiarrhythmics).

Xa ukusilela ventricular ngasekhohlo mbile imilenze ngezantsi emadolweni? Izizathu kunye neziphakamiso unyango ingqalelo yi kuthi.

kidney ukudumba

Ngokwahlukileyo koko, igazi nokudumba, kwezintso kugqame kakhulu kusasa, kuphuhliswa ukusuka phezulu phantsi. Ekuqaleni, Neenkophe idumbe, ubuso. Kufuphi Kwisiqingatha sesibini sale mini, inesifo (shins kunye namaqatha ayo), iindumbisa ubuso lingaphantsi kubi. Isikhumba ethambileyo, efudumeleyo, fossa emva ukucinezela ngomnwe unyamalale ngokukhawuleza. Ubukho cyanosis yi aziqhelekanga.

Ukukwazi kudumba kwi "imfuduko" - inkalo sokuxilonga ngezifo kwezintso.

Lwaluphawula loluthando ubunzima obungakumbi.

Ukuba izigulane kidney umlenze idumbile ezantsi kwedolo, ebangela, unyango, kunye namanye amacebo luncedo uya kufumana ngezantsi.

Nokudumba ezinxulumene izilonda oyityhefu omzimba ke glomeruli ezintso, kuncitshiswe izinga lwabo ukuhluza, ukugcinwa fluid, ukwanda umthamo wegazi, amacandelo igazi ukuphuma plasma ancedisana ngenxa yokwanda permeability nemithambo kwaye kunciphise uxinzelelo oncotic ngenxa yokulahlekelwa kakhulu lwe iiprothini yokuchama.

Kodwa ke, ngenxa yesizathu esithile mbile imilenze ngezantsi emadolweni? Oonobangela kunye iimpawu kabi edityaniswe.

Ngophuhliso nokudumba ngenxa uqhagamshelwano glomerulonephritis indawo kunye usuleleko lwangaphambili ezifana umqala obuhlungu.

Xa nephritic syndrome fumani iqapheleka hematuric uphawu syndrome (umchamo uzuza ngekofu inyama umbala).

Nephrotic syndrome sikhatshwa nelahleko enkulu iiprothini umchamo kunye nokudumba bavakalisa ukuya hydrops.

Uxilongo lwe nokudumba sezintso

• Le iiprothini yokuchama.
• Umchamo inzalo.
• Ukumiselwa omzimba streptococcal kwaye staphylococcal ukuya serum igazi.
• Ultrasonography.
• Control of wegazi.
• test Blood.

Imigaqo ngokubanzi unyango

Uthomalaliso kusetyenziswa:

• Ukudla kobudala seTyuwa, iiproteins kunye wamanzi;
• alale;
• unyango isibulala-zintsholongwane systemic;
• ukuqeshwa womchamo;
• hliswa wegazi;
• therapy antihistamine;
• Ukusetyenziswa kweziyobisi nonsteroidal anti-ukudumba;
• anticoagulants kunye arhente antiplatelet (ukuvimbela kunye microthrombogenesis ngakumbi ukwenzakala glomerular);
• glucocorticosteroids kunye tsitostatitiki kwi unyango nephrotic syndrome.

ukonakala kwesibindi

Kutheni mbile imilenze ngezantsi emadolweni? Oonobangela kunye iimpawu zezi mizwa ekhathazayo isenokubonisa isifo sesibindi.

Ukunciphisa protein kudibaniso esibindini ngenxa umonakalo omkhulu inyama ngayo (ibakala ekupheleni kwesibindi, ukuqina kwesibindi, okunamafutha, hepatocellular carcinoma) ngokuqhelekileyo sikhatshwe iindumbisa kakhulu de anasarca. nokudumba Hepatic ekhatshwa ukurhawuzelela kakhulu eluswini, ukunwaya, imithambo zesigcawu, ubu capillary, yellowness yesikhumba kunye yangaphakathi ebonakalayo.

Uxilongo lwe isifo sesibindi

1. Umchamo.
2. Uviwo lwe indle.
3. Uhlalutyo Blood, ukuzimisela iiprotini zizonke, iisampuli hepatic (ALT, AST, GGT, yibilirubin, phosphatase obrak), uphando thymol test turbidity, inqanaba urea kunye creatinine.
4. US.
5. abamakishi hepatitis Viral, immunoglobulin M kunye G ukuba cytomegalovirus kunye Epstein - virus Barr.
6. Blood i-HIV.

emithanjeni varicose

Yintoni enye lo mkhuba iindumbisa imilenze ezantsi kwedolo, ezona zizathu? Ububomvu kunye iyaxobuka ulusu lalidume efaka varicose apha emilenzeni, nto leyo sikhatshwa lisi iqaqamba iintlungu, ukudinwa, ubunzima imilenze.

Xa izibhaxu kunokwenzeka utshintsho ulusu trophic: dermatitis, izilonda, hyperpigmentation. Phezu ukuhlolwa ebonakalayo imizobo ulinywa lwemithambo, ephawulwe nokudumba, ukwanda kunye imithambo ewayo, utshintsho isikhumba trophic. Ukudumba azilingani, ngegalelo elihlabayo, kuxhomekeke kubungakanani emithanjeni umonakalo.

Ubukho ukudumba kule milenze uyazimela kwindalo kwaye kudityaniswe nezinye iimpawu lwezonyango (e. Nokuxinana umoya, ukukhohlela, iindumbisa ubuso nomzimba, nangecesina njalo njalo.).

Ukuba unexhala imilenze varicose ngezantsi ukudumba kwedolo, ebangela, iifoto kunye nenye ingcaciso eluncedo ziyafumaneka kweli nqaku. Mhlawumbi oku kuya kukunceda.

Unyango lwe emithanjeni varicose

utyando (flebosklerozirovanie) zisetyenziswa izibhaxu.

unyango Drug kubandakanya ukusetyenziswa arhente antiplatelet kunye venotonics.

phlebemphraxis

Kwabanye sizathu, inesifo ezantsi kwedolo, ukongeza izifo ngasentla? Udumba iinyawo kuyenzeka kuquka phlebothrombosis. Deep vein thrombosis kwinqanaba lokuqala lwenzeka ngaphandle iimpawu ukudumba kodonga emthanjeni.

anozizi ukufukuka ulusu kwenzeka manqaphanqapha kuphela. Isikhumba ecwebezelayo, ipateni kakuhle ulinywa lwemithambo. Kubonakala okwandisa kuphela yomlenze achaphazelekayo. ukwabiwa uphawu intlungu ngaphakathi kasikrobana. Iintlungu kakhulu namandla xa uhamba.

insufficiency lwemithambo

Makhe siqwalasele, ngenxa yaso nasiphi na isizathu, inesifo ezantsi kwedolo kwizigulane kunye insufficiency ezingapheliyo lwemithambo. Ukuhlala phambili ilahleko kwenkqubo lwemithambo sikhatshwa nokudumba macala, baphelela kunye nokuvela kusasa kwada kwangokuhlwa. Anozizi le shins yesikhumba (kuthelekiswa ukudumba abuthethileyo). kunqabile kakhulu uthatha indawo uhluleke elinye macala.

Ukuqaqamba nezifo systemic

Iintlungu kunye ukudumba samathambo ezinxulumene effusion kuloo ndawo ibinomthwebeba ehlangeneyo. Ilunga yaligqiba ubukhulu. ububomvu uphawu ulusu.

Bt yokuqaqamba ongumntwana (iminyaka eli-16 ubudala) kunye nokuqala etsolo, ifiva, ukungxama ebusweni, esifubeni, ezinqeni, phezu amalungu. Ichaphazela izibilini. Kuba isifo samathambo luphawulwa kusasa ukuqina xa iintshukumo zakhe.

Sophele vasculitis uEnoki - Schönlein

Ukuba sele umfumene umntu ukopha vasculitis uEnoki - Schönlein kwaye unexhala umbuzo kutheni umlenze iyadumba ekunene ezantsi kwedolo, izizathu siza kuxubusha ngezantsi.

uqhagamshelo lohlobo nosulelo lwangaphambili, unyango isibulala-zintsholongwane, ubukho ukusabela namachiza okanye nezidlo.

Xa ifomu articular uphawuleka: ukudumba, ukudumba namalungu idolo, iintlungu kwezihlunu, ukopha amaqhakuvana apha emilenzeni, emathangeni kunye neempundu.

kubazali bakhe

Ngenxa yokuba ukuphazamiseka coagulation kunokwenzeka ukopha zibe izihlunu kunye namalungu ezinxulumene trauma minor. joint Edematous sifo, esibukhali iintlungu Ngokucofa kunye nentshukumo, isikhumba hyperemia, eshushu ukuya ngaphandle kwebala.

Okuvela ukudumba kule milenze, hayi ezinxulumene ne phambi ezimbi

Ukuba mbile imilenze ngezantsi ngamadolo, izizathu oku akusoloko kunxulumene ngezifo. Kukuvela nokudumba enokubangelwa ngu:

• kotywala ngendlela engeyiyo;
• kukutya kakhulu ukutya ezinetyuwa, ibangela ukugcinwa fluid;
• impendulo akhuselayo komzimba;
• anda umthwalo kwi ngeenyawo kunye yomqolo, ezinxulumene ne ukunxiba izihlangu ntofontofo ezi izithende phezulu kakhulu;
• ngxi kunye ukwanda koxinzelelo ngemithambo ngenxa ukuphila umzimba;
• nokudumba komzimba sisebenza emzimbeni ixesha elide;
• ukutyeba;
• ukudumba ekukhulelweni (usongo nje omkhulu, likhula ngokukhawuleza ukudumba, ephelekwa isicaphucaphu, uxinzelelo oluphezulu lwegazi kunye yintloko - nokoyikiswa eclampsia);
• ukudumba kwi-PMS.

Ngoko ke kufuneka ukuba sibe nenkxalabo xa badla imilenze iyadumba ngezantsi emadolweni. Oonobangela kunye neentlobo nokudumba zinokuba nomahluko.

Njengenyathelo lokuthintela Kucetyiswa: bunjani ubunzima bomzimba kunye izidlo ezifezekileyo, ukunqanda ukusetyenziswa kotywala, ukuhlolwa rhoqo gqirha, iquka idosi lwemithi imini umthambo rhoqo. Xa kungekho ngezifo le sezintso kunye nemithambo yegazi ukubuyisela nencindi lwemithambo yoga olusebenzayo (babesima zokucaphula), umthambo therapeutic (exercise "ezinde").

Kuthekani ukuba iinyawo idumbile ngezantsi emadolweni? Izizathu kunokuba ukunyanga, njani balahle - bonke abanomdla ejongene ngxaki. Inqaku lethu inikeza iimpendulo yonke le mibuzo.