Kore ventricular Matau: take, tohu, maimoatanga

rahunga Heart. A, no te korero e pā ana ki ona iwi te tikanga i roto i te ngakau nga huringa e kua pā ana ki te mahi waimaero o te mānawanawa maui. A tika te iti i mua, ka hiahia i roto i te mahi o te roro tika pūtaiao. Kua whakaaturia ngā haere tonu te mahi rerekētanga nui o te ruma ngakau maui, me te tika. He he kore ventricular tika tika ki te takahi o te tohanga pūkahukahu tika ki pōrearea myocardial. No te mea te reira ko ētahi wā ka kīia ki rite pūkahukahu ngakau.

Take o te kore ventricular tika

Ka taea e kore Heart puta i roto i te ma'i whakapeka, kia tuatahi tuarua ranei ranei. I runga anō i te momo o te mate, i tāutuhia te tohunga he maha o ngā take mō te tona takanga.

rahunga ventricular matau whakapeka (ka e kōrero tohu i raro nei) e taea te whakawhanake, ka: whaturama o te pakitara wehewehe interventricular; Embolism pūkahukahu nui; myocarditis; whakaekenga nui o huangō arahau; Matau infarction myocardial ventricular; katoa kakā whakapeka.
Etiology o te kore ventricular matau ma'i i roto i te puka o:

• A, no te pericarditis mārohirohi me hē ngakau congenital, e puta, ngāwari te roro tika (lesion takirere te pūtahi o: triskupidalnogo piha iti hoki).
• Māuiuitanga o te pūnaha romahā (bronchiectasis, sarcoidosis, emphysema, Bronchitis, huangō).
• mōmona Pākaha ki tīwera iti o te kaupapa o te HWM.
• Tūkinotanga o te pūnaha pūkahukahu tohanga (vasculitis: thromboembolism, takawhita pūkahukahu), kōpeketanga i te waho (aneurysm te pūtahi o, puku).
• nekeneke whāiti o te pouaka, meinga nei e mate o te pūnaha uauaio (mate autoimmune, whakamemeke), te tuaiwi (ankylosing spondylitis, scoliosis).

Hoki, kia tuarua ki te whakaae ki te mahue kore ventricular i muri i te hua o disorders nui o tohanga pūkahukahu kore ngakau tika i te hua i roto i te oko pēhanga iatuku pūkahukahu me te takanga o ta'ue i te tari tika.

tohutanga

Whakapeka kore ventricular tika ai takawhita pūkahukahu, ārahi iku ki te whakaiti i te nui o toto tuha e te roro maui.

puta te manawanui, tipu tere, te tohu e whai ake nei: heke te pāmahana kiri (akrozianoz); whakaora te mokowhiti; pulsate pupuhi me te rua jugular; i reira ko te mana'o o te kore o te rangi, me te hāhā o te manawa; edema pūkahukahu tika ki nui haere uruhanga capillary. faaite kore ventricular tika ma'i iho ahua rerekē.

I tua atu e whakaatu ana tohu o stagnation o toto tohanga pūnahanaha:

• oliguria, perfusion tākihi;
• aroha i roto i te hautahi tika ki te mānukanuka o te capsule, ate rahi tika runga;
• whakaeminga inu i roto i nga kōwhao rei, me te puku (hydrothorax me ascites);
• edema o wahi o raro, me te hohoro - te taiepa puku he mārōrō.

Tino fakanatula ka waiho te whanaketanga o disorders hinengaro, e hua i te ofatiraa o te matamua o haaparuparu takawhita venous me gastritis.

Ka rite ki whakakitea kore ventricular tika?

Tātarihia te

e kore e taea te whakatau i te kore ngakau tika anake, ka taea e hanga i taua mea i te mātanga tonu-parirau i muri tātaritanga. I roto i tenei take, kua whakakitea reira e pupuri ana i enei akoranga haumanu rite X-ray ãpoko, MRI, ultrasound, hiko-. whakamātautau e tika ana taiwhanga - urinalysis, whakamātautau toto matüora me haumanu.

Ki te he kore ventricular tika whakapeka te tangata, ka i roto i te ECG taea mau te kikī kaha o te tari ngakau tika, tāutu he ultrasound ngā pukupuku, me ngā huringa o te wāhi myocardial. whakamana MRI te ka te pikitia haumanu te matū.

He aha e te toto?

I roto i te whānui, e taea te kite i te tātaritanga o toto te maha o leukocytes, a no reira, te tohu o te ahunga whakamua o te mumura. E whakaatu ana toto tātaritanga matüora te aroaro o te riri pümanawa ki te hauora me te huru o ngā taumata hormonal. I muri ka nga hua o ngā akoranga me tätari katoa i roto i nga ringa o te mātanga, i muri i ui i nga amuamu o te manawanui, me te o te re-whakamātautau e taea e te tātaritanga tika me tikanga maimoatanga tika. Ki te whai koe i fifi e mahi ana i te tātaritanga ka rapua e te MRI me X-ray.

Ko te tino kino Matau kore ventricular.

ārai mate

O te akoranga, i reira he take te wahi e kore e taea ki te karo i te mate ngakau, tautautefito ki he taimi tae mai te reira ki te predisposition ira. Otiia e kore e tenei tikanga e whiwhi ki te rōpū mōrea fakatau'atāina'i te tangata i mau ana i roto i te ārai. puta te tikanga ngakau tika kore ventricular i runga i te whakamārama o te mate e whāriki ana, e hanga te mahi o te ārai i te ārai wā o te matahoki o tukanga pathological ma'i me te tiaki o te murunga mo te wa roa.

āraihia titau kai tōtika tika, mau tonu te āhua kaha, marino aronganui, akoranga auau o therapy tarukino, mana taimaha me te manawa. Ki te contraindicated therapy tarukino te fariiraa tikanga unknown kahore kōrero i mua ki te tākuta.

kore therapy ngakau Matau

I roto i te maimoatanga o te koro pulmonale whakahaua te i te whakatutuki i te mate e whāriki ana, me te whakaiti faaiteraa o te mate uaua ngakau (maimoatanga symptomatic). titau whakapeka kore ventricular tika whakakorenga tonu o ona take:

• titau Tūnga asthmaticus te whakarite o corticosteroids i roto i pota tiketike.
• Hāparapara tango ranei te whakakorenga o te toto katinga i te pūkahukahu iatuku ko e hiahiatia ana ka PE.
• titau mānukanuka pneumothorax pana o kōhao pleural, kei runga i te wāhi intercostal tuarua.
• heke takawhita pūkahukahu te whakamahi i ganglioblokatorov me aminophylline.
• titau kakā paturopi ki te whānui o te mahi hihinga.
• titau rere toto myocardial he ora i roto i te iatuku pūngākau.
• Ko te ru atawhai i rō-uaua whakahaere o fluids me sympathomimetics.

Mau tonu te maimoatanga kore

tukinotia ma'i kore ngakau ventricular tika e maha ngā tikanga rerekē. Ki te whakaiti i te stagnation o toto tohanga pūnahanaha nuitia whakaritea therapy diuretic. mate ngakau congenital maha rapu pokanga, tae atu transplantation o te ngakau / pūkahukahu ngakau ranei anake. Ki te whakaiti i te pēhanga i roto i te iatuku pūkahukahu, e taea te whakamahi:

• Ki te whakaiti i te tapeke oko ātete piringa, whakangā o nga pera, me uaua te whakamahi i alpha 1-blockers.
• More ātete ki te hāora hē myocardium mahi te raveraa ra konupūmā ( "Diltiazem", "Nifedipine"), olungá nga uaua maeneene o oko toto i roto i te tohanga pūkahukahu.
• Whakaiti i te nui o toto i roto i te pūkahukahu, ka heke hoki venous ki matau nga pūhau take marae (isosorbide dinitrate).
• Ko te ātete i roto i te iatuku pūkahukahu, rōrahi toto, me pou-preload i runga i te take ana roro tika inhibitors ACE ( "Enalapril" "Capoten") e mahi i runga i te aldostenovuyu pūnaha renin-angiotensin.

Aha ki te mahi, ki te pōauautanga?

A, no te mea e tika ai tino fifi o te kore te ngakau tika i roto i te fibrillation Atrial ma'i te whakarite o te digoxin glycoside cardiac.

Ko te tūponotanga o te maimoatanga mahi pai o te mate tei runga i te whānuitanga o te kino whekau turoro, me te comorbidity. Ko te therapy tino nui i roto i te tūroro ki tuatahi takawhita pūkahukahu, me te thromboembolism recurrent. A, no te tika decompensation kore te ngakau o te manawanui i roto i te puka ma'i, tona tümanako ora he kore ake atu i te toru ki te rima tau.

hē taratahi

More tata, he hiahia i roto i te taratahi kore ventricular tika, i meinga taea i muri i te putanga o ngā tikanga hou mō te ako i te ngakau kairangahau. Kua kitea Scientists e faatupu te reira kia mate o nga pūkahukahu, me te te arā o nga oko o te tohanga pūkahukahu me te ana roro tika. Ka taea te faaoti te reira e i roto i tūroro ki mate pūkahukahu i roto i tetahi take, he kore ngakau, e taea te kite i rite pōauautanga hua. Ka taea te kitea kore ngakau tika Paraimere rawa uaua. Ko te tikanga kua whai pānga te reira ki abnormalities congenital.

Kua whakaaroarohia e mātou te mea pēnei i te kore ventricular tika. Te maimoatanga whakaahuatia i roto i te taipitopito.