Yintoni i-diastolic ukungasebenzi kwe-ventricle 1 uhlobo lwangasese?

I-Diastolic ukungasebenzi kwe- ventricle ye- 1 ye- ventricle - uhlobo luni lwesifo, kwaye kufuneka luphathwe njani? Impendulo yalo mbuzo iya kunikwa kwimiba yecandelo elinikeziweyo. Ukongezelela, uya kufumanisa ukuba kutheni imeko enjalo ye-pathological occur, kwaye yiziphi iimpawu ezibonakalayo ezinokuthi zichongwe.

Ulwazi jikelele

Ngaphambi kokuba uphendule umbuzo malunga nokuba kutheni i-diastolic ukungasebenzi kwe-ventricle ekhohlo yohlobo 1 kuvela, kubalulekile ukufumanisa ukuba liphi iqumrhu.

I-ventricle yekhohlo yinye yamagumbi amane entliziyo yomntu. Kukuyo ukuba ukujikeleza kwegazi (isangqa esikhulu) esiqala ukuqhuma kwegazi emzimbeni kuqala.

Uhlobo luni lwesifo?

Ukungasebenzi kwe-diastolic yenxalenye yentliziyo eyenziwa yintsikelelo ephawulekayo ekukhutsheni igazi kwi-cavity yayo kwimitha yamapulmonary. Ngamanye amazwi, imeko efana neyona ntsholongwane ibangela ukuba akunakwenzeka ukuqinisekisa ukujikeleza kwegazi ngokuqhelekileyo.

Ngaloo ndlela, i-diastolic ukungasebenzi kwe-ventricle 1 uhlobo lwesifo sesifo esiyingozi, esichazwa ngumntu ongenalo ngokwaneleyo inxalenye yomzimba ukuphumla ngexesha le-diastole. Kufuneka kuqatshelwa ngokukodwa ukuba inokuthatha malunga no-0.4 imizuzwana. Eli xesha lanele ngokwaneleyo ukubuyisela ngokupheleleyo ithoni, kunye nokugcwala kwamandla kwintliziyo yesisu.

Sisiphi isifo esiyingozi?

Ukungasebenzi kwe-Diastolic ye-ventricle ekhohlo yohlobo lwe-1 kubangelwa ukuwa kweqhekeza le-ejection, ezayo ekukhokelela ekunciphiseni kwamanani kwi-volume stroke. Ukuthintela ukunyuka kwegazi kwimiphunga kunye nokuhlawulela ukuphucula, umthamo we-systolic we-ventricle uqala ukwanda. Ukuba isenzo esinjalo sokukhusela asikulandeleli, ke kukho ingozi ecacileyo yomshukela ophezulu wegazi (okuphindaphindiweyo), kwaye umthwalo kwenye i-ventricle (ekunene) iyanda kakhulu, leyo ibangela ukuba kube nokunyuka kwindleko yayo. Njengomphumo wexinzelelo lwe- diastolic , i-hyperemiya enobuthi ingenzeka kuyo. Ukuba kukho i-dysfunction ephawulekayo, i-edema yamapulmoni ikhula ngokulula.

Izizathu ezinokwenzeka

Kutheni i-diastolic ingasebenzi kakubi kwelo hlobo lwe-ventricle 1 lukhula? Izizathu zezi zinto zilandelayo zilandelayo:

• I-pathologies enegazi
• Hypertrophic cardiomyopathy ;
• Izilonda zentliziyo (ngezihlandlo) (i.e., iphazamisa, isifo sesifo senhliziyo, isifo sengqondo esingapheliyo (ingozi), kunye ne-hypertrophy yamacandelo omzimba omzimba angaphandle kwendawo yokuhluthwa kunye nokucoca.

Ubungqina bokuphambuka

Le meko isoloko ikhokelela ekuphuhlisweni kwe-pulmonary arterial and venous blood pressure. Le meko yentsholongwane ingabonakaliswa kwezi zilandelayo:

• Ukukhwehlela okuqhubekayo (ngokuphindaphindiweyo nge-paroxysmal);
• Ubusuku boDyspnea (paroxysmal);
• Ukuphefumula okufutshane.

Ziziphi ezinye izibonakaliso ze- diastolic ukungasebenzi kwe-ventricle ekhohlo yohlobo lwe-1? Iimpawu zokuphambuka okunjalo zingenza ukuba ixesha elikhulu lingabonakali. Nangona kunjalo, ngokuphuhliswa kwesi sifo, izigulane ziqala ukugcina iimpawu ezifana nalezi:

• Iintlungu zentliziyo rhoqo, ezinobungakanani be-paroxysmal (njengesifo se-ischemic);
• Ukuvuthwa kweziphelo ezantsi;
• Ukuphefumla okufutshane (kunokugqalwa kwithuba lokuphumla);
• Iziganeko zeSpastic;
• Ukuvakalelwa kokunqongophala komoya.

Kwiimpawu ezinjalo kuyimfuneko ukujongana nokubonisana nodokotela oya kwiziko. Ngokukhawuleza le meko yentsholongwane ibonakalisiwe, kulula ukuyilawula phantsi. Ukuba eso sifo sifumaneka ngokukhawuleza, ngoko unyango lwayo luya kuhlala ixesha elide kakhulu, kunye nokusetyenziswa kwenani elikhulu leziyobisi kunye nazo zonke iinkqubo eziyimfuneko.

Indlela yokunyanga?

Okwangoku, akukho cwangciso esisodwa sonyango esiya kuqatshelwa yiinkoliso ezininzi. Ngokwengxenye, oku kubangelwa ukuba isi sifo esinikeziwe asifumaneki kalula. Njengoko kuchazwe ngasentla, ukuphambuka okunjalo kuthatha ixesha elide kakhulu ngaphandle kwempawu, ngenxa yoko isigulane sithengela unyango lwangonyango.

Kuthekani kuthi ukuba unesifo se-diastolic sokungasebenzi kwe-ventricle 1 hlobo? Unyango lwesifo esinjalo luyancitshiswa ukuze kupheliswe izizathu ezibangela ukunyusa izinto ezimbi. Ngako oko, izigulane zifuna:

• Ukunyanga ikhona ischemia;
• Ukumisela izinga lentliziyo;
• Uxinzelelo lwegazi oluphantsi.

Phakathi kwezinye izinto, ukuba isigulane sitholakala ukuba sinalo mqathango, ilungiselelo leqela le-ACE blocker limiselwe. Ngokuqhelekileyo, ukhetho lweengcali luwela kwiLizonopril. Inqunywe ngendlela yamacwecwe e-20-40 milligram ngosuku (ngamanani amabini ahlukeneyo).

Iziphumo ezilungileyo kwonyango le mpazamo zingenziwa ngokusetyenziswa kwe-block calcium. Ngaloo ndlela, zombini amayeza angaphantsi kweengcinezelo zegazi, ngokunciphisa kakhulu imfuno yenyama ye-oxygen, kunye nokuyeka nokunciphisa i- ventricular hypertrophy. Ngendlela, ngenxa yokusetyenziswa kwezi zonyango, umsebenzi we-diastole yentliziyo uphucula, oko kulandela ukukhokelela kwimiqathango ye-hemodynamics.

Iziphumo eziphambili zonyango lwesifo esinjalo zaphawulwa xa kuhlanganiswa i-potassium-sparing diuretics eneziyobisi. Xa kunesidingo esinzima, amanye amayeza ancedisayo angasetyenziswa.