Kore ngakau Decompensated - he aha te mea te reira? Tohumate me te Treatment

Tutuki kore ngakau utua me decompensated. whakaaro utua te hē ngawari (atamira 1).

kore ngakau Decompensated ko te wā kāpeka o te mate, e hua i te meka e kore e taea ki te whakaora toto ki te ngā pūnaha mahi o te kaiao tangata te uaua ngakau pakaru. He āhuatanga āhuatanga ko te faaiteraa i roto i te mahi e kore e anake, engari ano hoki i te okiokinga. E mea pinepine, no te kore ngakau decompensated puta Koniliusi huringa pathological me mahi cardiac. Ko te nuinga o tina heke ēnei whakarerekētanga, me te taea hua i roto i whakamate. Tenei momo o te māuiuitanga e pā ana ki nui (te toru atamira).

I roto i tenei tuhinga, ka kia kōrero kore ngakau decompensated i roto i te taipitopito: he aha te mea te reira, he aha e nga momo rerekē, tohu o te mate, me te maimoatanga taea.

Take o SDS

Kia aroha mai, e kore e matau tino te takenga o tenei mate e pūtaiao. Heoi, rangahau i roto i tenei rohe kōrero kia puta kore ngakau decompensated ki te reira e pāngia e. Ēnei āhuatanga i taea e te take pakiaka o te mate. I roto ia ratou:

• hypertrophy myocardial.
• Meinga e te whakaeke ngakau, whētuki, ischemia infarction ranei huringa myocarditis i tapatahi hanganga.
• raruraru Hypertensive.
• ngā Arrhythmic.
• Kēhi o hua pēhanga ohorere i roto i te tohanga pūkahukahu.

Na faaite ake kore ngakau decompensated. He aha te mea te reira o te moni ki tokomaha.

I runga i te par ki whakarārangitia i runga ake e hoki nga take pakiaka o te mate e taea e katoa o ngā tukanga whakaroau o te pūnaha romahā. I roto i enei wā katoa i reira he he tikanga whānui: te SDS, me ētahi atu momo o te kore ngakau puta rite ki te hua o te kikī tino me te rohirohi nui o te uaua ngakau.

Kua whakaahuatia te pikitia haumanu me te momo o te kore ngakau decompensated i raro.

I mua i timata koe i te ako o ngā tohu SDS, kia tuhia te reira e te pikitia haumanu o te mate, ko te ti'aturi i runga i te momo o te kore ngakau. te tāutu i ngā tohunga e rua puka - ma'i, me te whakapeka. Kia noho tatou i runga i ia o ratou.

kore ngakau decompensated whakapeka

whakatika te reira a whanake i muri i te decompensation tere, takanga o te utu i roto i te mea e kore e taea. Tikanga mō te kore te ngakau, pērā i nui haere reo venous, nui haere mahi toniki hua i roto i te nui o ventricular diastolic whakakī ki te toto ranei, e kore e taea te puta tika ki nga āhuatanga whaiaroaro o momo whakapeka o SDS. Ki te hunga āhuatanga ngā:

1. Mahue SDS ventricular i roto i te puka whakapeka. Kei te meinga te reira na roto i te stenosis takirere myocardial mitral ranei. Ko te tohu āhuatanga he tetere nui o nga pūkahukahu me te pūnaha overfilling oko toto romahā. He aha atu tupu kore ngakau decompensated? ka whakaaro tohumate muri.
2. SDS ventricular Matau i roto i te puka whakapeka. Puta no te mea te infarction whakawhiti manawanui thromboembolism ranei, hua i roto i fakahohaasi mahi me te tapatahi mezhduzheludochkovoy pātaki. tohu Angamaheni o whakapeka SDS ventricular maui e whai ake: i reira ko he hua koi i roto i te ate, kei te whakaritea stasis toto ki te tohanga nahanaha, ka taea e te pūkahukahu whakakiia ki te toto.

He mōrearea te puka whakapeka?

Kia aroha mai, hoki te puka whakapeka āhuatanga e te taumata tiketike o te aituā e tika ana ki te meka e taea ki te pei i te nui e hiahiatia ana o toto me te mahi utu tuimotu (ranei iti) te uaua ngakau riro, a hoki tika ki edema pūkahukahu infarction myocardial ranei. I roto i te take o tohu o ngā momo tāhapa o SDS wawaotanga akiaki o tohunga e ka hoatu te manawanui i roto i te hōhipera, me te mau i te raupapa o ngā mahi e hiahiatia ana mō te whakaora.

Ka puta mai hoki i roto i ma'i kore ngakau decompensated. He aha te mea te reira? I runga i tenei i muri mai.

Ko te puka ma'i o SDS

Ka taea e CHF puta i roto i te puka decompensated. I roto i tenei take, ka taea e ngā tohu faaite mai, te whakatakotoranga katoa o nei whakamana e whakamātau tātaritanga. Hoki CHF āhuatanga ko tenei pikitia haumanu:

• Tohu o te tetere nui o waewae, te raro o te puku, Tunaroa, me rite i roto i te pericardium.
• Arrhythmia me hypoxia.
• matao wahi syndrome.
• Ko te koi hua i roto i te taimaha tinana.
• Faaiteraa o te mitral me iti hoki tricuspid.
• Ko te ahua o te hāhā o te manawa, tae atu i te ngaro o te mahi tinana.

Decompensated kore ngakau ma'i - he māuiuitanga, i nei kōtītiti maha kitea i roto i te pūnaha romahā. rales pūkahukahu (ina ko te manawanui i roto i te tūranga te maungārongo) e taea te kitea e te kaimahi te tirohanga. Ko te take o taua mau faaiteraa he rere toto nui ki te pūnaha romahā. kia tētahi atu tohu hypoxia me, rite ki te hua, e tukupu ana o mahara. puta Hypoxia rite ki te hua o te supply toto iti ki te roro o te matenga, me te hāora hē.

He mea nui ki te kitea wā he mate taua, pērā i ma'i kore ngakau decompensated (he aha te mea i teie nei mārama).

tātaringa

mehua tātaritanga matatini ngā ako o te huringa taumata ureticheskogo peptide beta-momo, peptide H-kūpapa, ka whakahaere echocardiography me X-ray whekau, transkoronalnoy echocardiography.

Ka taea te whiwhi mōhiohio atu anō pau e pā ana ki te kaha o te pēhanga toto i roto i te tohunga ruma ngakau e mau ana i roto i te tukanga motuhake, i roto i nei te rua pokapū ranei te pū tōngāmimi iatuku pūkahukahu, me te hua e hiahiatia ana inenga.

Hoki, te tātaritanga o tetahi ahua o te kore ngakau ko ki te kawe i roto i te maha o ngā whakamātautau taiwhanga, tae atu i te creatinine whakamātautau toto me te tiomimi, mo electrolytes, te kūhuka me transaminases, puritia hoki atu whakamātautau toto me te mimi; ako i te aroaro me te ōwehenga o ngā haurehu i roto i pera toto.

kore ngakau Decompensated: Treatment

E ai ki te raraunga tauanga mō te 2010, i te kore ngakau i roto i Russia whakamate i ia tau e pā ana ki 1 miriona te iwi. Ko reira te takanga o te decompensation me manawataki ngakau whakararuraru i huaina tohunga te take matua mō te auau te tahuti nei tiketike. maha titau Decompensation wawaotanga tonu hauora. Na reira, ki te kahore i roto i okotahi onge, pai maimoatanga raau e na roto i te whakahaere rongoā e pâmuhia (ki te whiwhi i te mana me te tere hua).

Atu i runga i te maimoatanga o te decompensation

Ko te whāinga tuatahi o te therapy ko ki te mau tonu noa pūtoto hāora taumata waiwai, ko te kupu tuku mo te supply noa o te hāora ki te kopa me okana me ki te karo i kore okana maha.

Ko tētahi o nga tikanga e hāngai ana - whakahaere hāora hau (te tikanga e whakamahia ana ventilation kore-urutomo (NPVD) i raro i te pēhanga pai), e faaore i te hinaaro no te endotracheal intubation. Kei te whakamahia te whakamutunga mō te ventilation pūkaha i roto i te take o te kore ki te whakakore i te mate pūkahukahu taunutia e NPVD.

Treatment ki rongoā

I roto i te maimoatanga o te whakamahi decompensation tae atu therapy tarukino. taero whakamahia me ratou rōpū:

• "Rehunanu" me ona analogues. Kei te whakamahia te reira ki te whakaiti i te auau ngakau, me te whakaiti i te mamae.
• Diuretics. Whakamahia i roto i te wai whakaroa tohu i roto i te tinana;
• Inotropes whakakore hypoperfusion piringa.
• āpiha Vasopressor mo te whanaketanga o te perfusion okana noa.
• "Dobutamine" piki putanga cardiac.
• Norepinephrine whakapiki i ātete iaia.
• glycosides cardiac whakaiti pēhanga toto, whakaiti i te tūponotanga o te decompensation whakapeka.

Heoi, he rārangi tika o rongoā e tika ana mo te tanga me te maimoatanga o SDS ko ki te tautuhi me te hanga i te rata haere anake.

Kua whakaaroarohia e mātou te aha te tikanga o te reira ki te kore te ngakau decompensated.