Wentliziyo nokudumba: Iimpawu and Treatment

Amaninzi, ukudumba bunokubonwa emilenzeni asezantsi. Oku kungenxa yokuba kulula ukuba kwenzeka mihla le nangenxa yokudodobala olwaphula le nkqubo sentliziyo.

Kuxhomekeka namandla lwabo nokudumba lemvelaphi kwentliziyo isenokupheleliselwa ukuya elunyaweni, umzantsi womlenze, okanye yiya ukuya edolweni.

Indlela ukufumanisa ubukho nokudumba?

Wonke umntu uyakwazi ukubona nokudumba intliziyo. Amafoto yale meko zophendlo lwezifo iya kubonisa ukwanda umthamo elisezantsi ngomlenze yesigulane unyawo. Ngenxa yoko, ukuba ukufumanisa ukuba wabo ingaba engumshumayeli. nokudumba wentliziyo kwi eziphelweni asezantsi kutyhilwa ilula kakhulu. Kuyimfuneko kuphela ukuba noxinzelelo kwindawo edematous ngomnwe wakho, uze usisuse. Ukuba injalo alondolozwa ukuze imizuzwana 5-10 emva ngomnwe isusiwe, umbuzo ngenene malunga ukudumba. I-nzulu le yakhiwa, kokukhona ukuhlukunyezwa kwenkqubo sentliziyo.

Ukongezelela, ewayo anikezele ngakumbi into efana "pasty". Ngaphantsi nje iqondwe njengoko ukudumba phantse engavezwanga of emilenzeni nasezinyaweni. Kufuneka ibe emva ukucinezela ngomnwe kwindawo ochaphazelekayo phantse ungahlaliyo. Pastoznost ngokungafani nokudumba kufuna unyango encinane okanye akukho olongezelelweyo.

nokudumba intliziyo: izinto

Ngoku ukuba oku kwenzeka ngenxa yokudodobala kwi yesiqephu asezantsi. Ke xa kunokwenzeka ukuba kwicala lasekunene intliziyo nako azezi amandla yesiqhelo kuvela. Oku kukhokelela ekwandeni koxinzelelo kwi kwegazi, ingakumbi iimpahla yesiqephu asezantsi. Oku lisuke ingakumbi ngamandla umandlalo lwemithambo. Kamva kwandisa uxinzelelo hydrostatic kwi capillary, kunye ulwelo nemikhanzi eludongeni nemithambo kwi esikule ejikelezileyo. Yiloo nto kanye kuvela nokudumba intliziyo. Iimpawu zibonisa ubukho yokuphazamiseka nemithambo yegazi. Ngoko ke kufuneka ube ngexesha ukufuna uncedo yincutshe.

Ndingenza ntoni xa unayo nokudumba?

Okokuqala umntu kufuneka khangela enoba kuthatha amayeza, ugqirha eyabelwe kuye. Xa kunjalo, ukuba zonke izindululo ayahlonitshwa, kodwa nokudumba lemvelaphi kwentliziyo isaza kuvela, nceda uthinte ugqirha wakho jikelele okanye cardiologist. Kwanangaphambi ukutyelela ugqirha leyo kakhulu kumthintele baye electrocardiography ultrasound intliziyo.

Wentliziyo imilenze nokudumba: unyango kwezigulane

Le ngxaki aqheleka kakhulu izigulane ubudala. Ngelo efanayo ixesha igcinwe ngokusisigxina ukudumba akufuneki ukuba, kungenjalo kungadaleka kakhulu ezininzi iingxaki. Ngenxa yoko, ukuba sele ukuba ukudumba intliziyo, iimpawu zohlobo olwahlukileyo kufuneka alinde. Kuyimfuneko ukuba baqalise kwangoko unyango.

Okokuqala wonke ugqirha uza kuhlola imeko kwaye imisela ukuba okanye hayi ngezifo kwentliziyo oxhasa ukudumba yenzekile. Ukuba ingxaki ngenene lu dityanisiwe ukuphazamiseka kwenkqubo sentliziyo, ugqirha uyakukumisela iziyobisi ukusuka kwiqela womchamo. Phakathi kwabo, amachiza asetyenziswa kakhulu ngokuqhelekileyo "Furosemide", "Hydrochlorothiazide". Kulo mzekelo, impatho enjalo siyefana kuphela. Kuqala kwinto zonke, ugqirha iza kuzama ukubuyisela ukusebenza kakuhle kwenkqubo sentliziyo. Amachiza zixhaphakileyo ezikuvumela ukuba ukulungisa umsebenzi wayo, ukuba beta-blocker. La machiza ukunciphisa umthwalo cardiomyocytes, ngaloo ndlela kube lula isenzo kwentliziyo. Ukongeza, qiniseka ukuba prescribers, ukunciphisa ekunqandeni igazi. Kwakhona ungonqweneleka kakhulu ukuba ukusebenzisa iziyobisi ukuphucula cardiomyocytes ukutya. Ngempumelelo kakhulu phakathi kwabo ichiza "Thiotriazoline". Nguye mhlawumbi siyobisi kuphela ogama sokusebenza ekuphuculeni kwentliziyo izihlunu umzimba kwaba ngenxa yophando yezonyango ezinkulu.

Ukuba nakuphi na ukudumba e ukusilela intliziyo, olu hlobo unyango kuya kukunceda ngokukhawuleza ukoyisa le ngxaki.

unyango izigulane

Ukuba yaphula yegazi lifikelele binzana ngokwaneleyo eziphakamileyo, izinto zempilo kwenziwa esibhedlele. Ukuba unayo nayiphi na nokudumba ezikwekwayo kwentliziyo, unyango kufuneka ibandakanye iidropha. Isibakala sokuba isixa esongezelelweyo ulwelo ezilawulwa yegazi, usenako kakhulu ukuphazamisa umsebenzi kwenkqubo sentliziyo. Ngenxa yolo nokuqhathwa singacinganga ze isigulane lisenokuba nokuba nokudumba yemiphunga, yaye oku urhulumente kufuneka aphathwe kwangethuba kangangoko yokurhaxwa.

ulawulo ngedriphu efakwa iziyobisi kunokwenzeka kuphela emva udumba nemilenze xa yehla kakhulu. Ukongeza, ugqirha kufuneka bahlole ukuba ngaba kukho fluid kwi ijwabu semiphunga. Xa abantu abaninzi esi sifo ziqhutywa ngendlela enjalo-ekuthiwa wokohlula umxube potassium. Lo mxube iziyobisi iphucula kakhulu nemithambo yegazi.

Ngokubhekiselele iziyobisi umchamo, ichiza ifunyenwe unikezelo omkhulu phakathi kwabanye kwiimeko zokubhala "Furosemide". Kwisibhedlele kubhaliwe esuke yegazi. Kulo mzekelo, phambi kokuba kutyalwe ugqirha ijongisisa uxinzelelo lwegazi yesigulane. Ukuba esezantsi kakhulu, ngoko ukusungulwa womchamo kufuneka elinye ixesha. Kwimeko apho isigulane kuthatha amayeza umfutho, uya ukunyenyisa nje iqhinga yokuzisebenzisa. Ukuba isigulana eso amachiza musa ukusebenzisa, umntu kufuneka asebenzise iziyobisi ukwandisa uxinzelelo lwegazi. Phakathi kwabo, ichiza ezininzi ezisetyenziswayo ngokuqhelekileyo "Prednisolone".

Indlela iyaluthintela uphuhliso nokudumba?

Inyathelo lokuqala ukuba udibane nogqirha ngendlela ngexesha xa kuthe Iimpawu zokuqala ukuphazamiseka kwenkqubo sentliziyo. Ngaphezu koko, kubalulekile ukuba ukuthobela ngokupheleleyo kunye neziphakamiso yokuqhutywa kubo.

Kufuneka kuqatshelwe ukuba imali ngokugqithiseleyo ulwelo anikwa kukhuthaza nokugcinwa sodium. Oku kukhokelela le nangenxa yokudodobala kwi kwiziphelo asezantsi. Ukwenzela ukuphepha beqokelela oluninzi sodium emzimbeni, ukuthintela ukusetyenziswa ityuwa ngokugqithiseleyo. Oogqirha kunye zokudla bacebisa ukuba anciphise inani layo ekutyeni 3 g ngosuku.

Yintoni ngcono i umchamo?

Izigulane ezininzi phakathi amayeza umchamo bakhetha iziyobisi "Furosemide". Ngenxa yale meko yokuba ngokukhawuleza kususa nokudumba intliziyo. Iimpawu isifo sentliziyo amaxesh 'amaninzi azibikho kwiintsuku zokuqala ezimbini kakade. Ngelishwa, eli chiza akunakuba ilikhubalo lokunyanga zonke nokudumba intliziyo. Into yokuba ukusetyenziswa rhoqo ichiza "Furosemide" kunegalelo zinomgutyulo olukhawulezisiweyo potassium nezinki ezisuka emzimbeni. Ngenxa yoko, ukusetyenziswa ixesha elide ichiza inokuba mandundu ekuhambeni izifo kwenkqubo sentliziyo.

Kwimeko ukuba ichiza "Furosemide" esimiselwe ixesha elide, kungakuhle kakhulu ukudibanisa ubuchule bakhe ichiza "Asparkam". Inceda umzimba abuyise zingafumanekiyo kwezimbiwa.

Kakhulu umchamo popular sisiyobisi "hydrochlorothiazide". Eli chiza a kakhulu iqapheleka ngaphantsi ukusebenza kwe ichiza "Furosemide". Ngako oko, ingabangeli ilahleko ezinkulu kwezinto izimbiwa emzimbeni. Ngenxa yoko, iyeza singathathwa phantse qho rhoqo. Heart ukudumba phantsi kwempembelelo zekhefu lakhe okukanye. A isiphumo ethile inokubonakalisa emva malunga 3-4 iintsuku.

Ingozi nokudumba elide

Ngokwayo, le nto ayikho yingozi ukuba zigcinwe ixesha elide. Ukuba nokudumba intliziyo ichazwe ngokufanelekileyo kwaye zigcinwa kangangeeveki 1-2, emva koko ke kunokubangela iingxaki ezinzulu. Inyaniso kukuba xa kuthe ukufukuka kakhulu kwi yesiqephu asezantsi watshintshelwa yi imithambo yegazi. Oku kusebenza ngokukodwa ukuba imithambo amancinci-abanjalo ngemithambo. Ngenxa yoko, ukuhamba kwegazi aphazanyiswa kwizihlunu zomzimba. Oku kukhokelela ukonakala kweendlela amandla abo kwaye, ngenxa yoko, a babebona kancane kude. Ngoko kungavela izilonda. Ukuba wenza nto ixesha elide, iinkqubo esiqwini yamehlo onokufikelela ubungnqongqo okukhulu. Kulo mzekelo, isisombululo idla uqhaqho yedwa.

njani lo kudumba?

Okokuqala, kufuneka uqaphele ukwanda komthamo kweqondo asezantsi. thina Okokuqala sithetha emilenzeni nasezinyaweni. Kwaye kwezinye iimeko, kukho intliziyo ngokuzigwagwisa iinyawo enzima kakhulu. Unyango, ukuba ikhutshwa phandle, kunciphisa kakhulu ukuba umthamo shins, kodwa akusoloko libuyise zibuyele esiqhelweni. Xa icinezelwe kwindawo edematous ihlala uzithembile phezu kwayo, nto leyo ayilwamkeli kwimizuzwana eyi-10.

Ngokungafaniyo nezinye nokudumba

Kufuneka kuqatshelwe ukuba lo kuthiwa waphawula hayi kuphela ngezifo kwenkqubo sentliziyo. Ukudumba kwakhona esinokubakho ngezizathu ezahlukeneyo ngokupheleleyo. Njengoko kuba nemilenze, ukuba kuvela apha nangenxa ngezifo ehlangeneyo. Ngokomzekelo, xa isifo samathambo lunokwenzeka nokudumba ngokwaneleyo kubi. Difference apha isenokuba into yokuba nokudumba yokuba imvelaphi kwentliziyo hayi zikhatshwa ubuhlungu kwi nemilenze amalungu amancinane. Xa isifo samathambo, ukuba ukhathazeke kakhulu kusasa. Kwakhona kwi ngezifo namalungu phezu komhlaba kwindawo edematous banda lobushushu ulusu.

Xa negazi lakho kuthi nokudumba. Ezinyaweni zakhe, yena ivela njenge ngenxa ukuqhagamshelana nasiphi na isityalo okanye isilwanyana esinayo silume yesinambuzane. Ngenxa yoko, kubaluleke kakhulu ke imbali yezonyango. Ngelo xesha linye idlala indima ebalulekileyo yolingano of nokudumba. Xa ziyabagulisa iza kwenziwa kwesebe, leyo yathotyelwa umfowunelwa kunye isityalo okanye impovane. nokudumba wentliziyo ziyalingana ngokubanzi. Ukongeza, ibonwa umzimba ngokukhawuleza ayeke nolawulo antihistamines. nokudumba wentliziyo e nyango aziyi kupheliswa.