CHF: whakarōpū. Tohu o te ngakau ma'i maimoatanga kore

kore ngakau ma'i, te tohu o e ka e whakaahuatia i raro, ko te māuiuitanga, tohu nei e pā ana ki ngangau circulatory. tuhia State i okiokinga me te i roto i te ahotea, me te haere tahi i te roa i roto i te wai tinana. Maimoatanga o te mate Cardiovascular a hauora me te whānui whakamana i roto i te nuinga. whai wāhi wā ki te tākuta whakatairanga te whakaora ake tere o te rere toto, me te whakakore i te mate. Next, whakaaro tatou nga taipitopito o te mea te tikanga CHF. Ka hoki kia whakaahuatia te whakarōpū o te mate, tohu me wawaotanga whakaora i roto i te tuhinga.

Overview

CHF, i te mea tino hāngai whānui whakarōpū i runga i te whakaiti o te kaha tinana ki te papu toto ki te ringiringi whakakī ranei. Kei te meinga tenei huru, te tuatahi o te katoa, uaua lesion. E rite nui ko te tāne i o ngā pūnaha e pā ana te mahi Cardiovascular.

pikitia haumanu

Ka rite ki whakakitea kore ngakau ma'i? Tohu o te mate e whai ake nei:

• Hāhā o te manawa - manawa pāpaku, me te nohopuku.
• Rohirohi - te whakaiti i te mateā o mahi tikanga.
• edema piringa. Ratou te tikanga puta i runga i nga waewae me waewae, i runga i te wā, ara i runga, te whakawhānui ki te huha, te taiepa mua o te peritoneum, hope, me te pera i runga i.
• cardiopalmus
• Mare. I ngā wāhanga tuatahi ko reira maroke, a ka tīmata ki te wehe sputum korekore. I muri, kia kitea ai e te whakahohenga toto.
• orthopnea Tūnga. riro tika te manawanui ki te takoto ki faateiteihia tou matenga (i runga i urunga, hei tauira). I roto i te tūnga whakapae flat timata ki te tupu poto o te manawa, me te mare.

puka pathological

Ahakoa te pupuri o wawaotanga whakaora, kia tupuheke huru o te manawanui. I roto i tenei take, i te hiahia mo te tātaritanga tino o te ngakau, me te pūnaha circulatory. rangahau Deep ka whakakitea i te tāpae huna. CHF tawhiti whai i ēnei:

• Ko te tuatahi (tuatahi). I tenei wā, kahore disorders circulatory CHF. A, no te whakakitea echocardiography he pōrearea huna i roto i te ana roro maui.
• He tuarua (symptomatic). āhuatanga State e hemodynamics waimaero (kaupapa toto) o tetahi o nga porowhita.
• Ko te B tuarua (nui). āhuatanga tēnei wā e tapepe hemodynamic i roto i porowhita e rua. tuhia ano e reira hanganga tinana hinga me takere toto.
• Ko te tuarua (whakamutunga). tahi State e hemodynamics waimaero korerotia. He angamaheni mo tenei puka o te kore ngakau ano taimaha huringa maha tina heke i roto i te hanganga o nga whekau ūnga.

kia hoki kia whakahaere māuiuitanga whakarōpū i runga ki te momo mahi. wha katoa o ratou.

momo mahi

Ka rite ki i roto i te wehenga o mua, kia huringa i roto i te ahunga o te whakapai ake me te ino, tae noa ki te papamuri o haere tonu wawao haumanu mō te kore te ngakau ma'i kitea. Classification rite ki ngā momo mahi e whai ake:

• Hoki te momo tuatahi āhuatanga e te ngaro o te herenga o te mahi tinana. mahi tinana ritenga te tinana te manawanui e taea te aro ki waho e whakaatu ana tohu o te mate. āhua whakaora puhoi dyspnea ranei kia puta, ka te overvoltage.
• Hoki te rua o nga momo āhuatanga e te here o te mahi ki te whānuitanga iti. e kore e māuiuitanga faaite mai ano i okiokinga. Ko te mua, mahi tinana tikanga nohotahi e tūroro ki te mamae o te manawa, rohirohi, e nui haere manawataki ranei. I tenei wā, rawa tātaritanga cardiac tūtohutia.
• I te toru o nga momo i reira ko te herenga mahi atu tino. Kei te ngaro hūhi i roto i te manawanui i okiokinga. Iti kaha atu i kohakoha tinana mua tahi e te faaiteraa o tohu o māuiuitanga.
• A, no te tahi te wha o nga momo o tetahi mahi o te manawanui e sensations kino. Tohu o te māuiuitanga kitea i roto i te manawanui i okiokinga, te faananea- raa ki kaha tinana iti.

rohe popoketanga

Tei runga i te localization maitai o disorders, kia tāutuhia ai te manawanui:

• Matau kore ventricular. I roto i tenei take, kite te stagnation i roto i te pūkahukahu - takere toto pūkahukahu.
• Mahue kore ventricular. I roto i tenei take, paetata popoketanga i roto i te porohita nui - i roto i te awa toto o whēkau katoa anake te pūkahukahu.
• Dvuhzheludochkovaya (biventricular) kore. kitea stagnation o toto i roto i tenei take i roto i rua rauna i kotahi.

wāhanga

whiriwhiria maimoatanga o te mate Cardiovascular te i runga ki te pikitia haumanu. Ko te mau faaiteraa whakawhirinaki i runga i te localization o pathologies disorders me āhuatanga precipitating. E rite nui i roto i te kōwhiringa o te therapy he hītori o te mate. kia CHF kia pā ana ki diastolic waimaero ranei / me systole. Fakatatau ki ai, te tautuhi e rave rahi pathologies wāhanga. I roto i ngā, i reira he:

• kore ngakau Systolic. Kei te whai pānga te reira ki te systole whakararuraru, - te wa o te ventricular hukihuki.
• kore Diastolic. meinga tenei wāhanga te ofatiraa o te diastole - wā whakangā ventricular.
• puka Mixed. I roto i tenei take, i reira he maumaui o diastole me systole.

take

A, no te tīpako i te tikanga whakaora mo te whakakore e nui wāhanga tohu CHF me te āhua. Heoi, nui ko te tāutu o nga take me te māuiuitanga. Ka taea te meinga kore ngakau ma'i e:

• infarction myocardial. I roto i tenei huru i reira ko te whakangaromanga o te uaua ngakau, kua pā ana ki te mutunga o te rere toto ki reira.
• CHD i roto i te ngaro o te infarction myocardial.
• Takawhita - pēhanga hua tamau.
• Rongoā. I roto i ngā, ka taea e te māuiuitanga te whakawhanake tika ki te whakamahi o te raau taero anticancer me medicaments mo te auau whakaora.
• Cardiomyopathy - whara ngakau uaua i roto i te ngaro o abnormalities o nga pera ake tinana, me ona pāpaka piha, me te takawhita.
• Diabetes.
• pāpaka thyroid.
• Disorders o te mahi adrenal.
• Mōmonatanga.
• Cachexia.
• Ko te kore o te maha o ngā āhuatanga wahi me huaora.
• Amyloidosis.
• Sarcoidosis.
• HIV mate.
• Kāpeka iti hoki tākihi.
• fibrillation Atrial.
• poraka Heart.
• pericarditis maroke me te exudative.
• hē ngakau congenital me riro.

Tāutunga o māuiuitanga

whakanohoia tātaritanga "CHF" kei runga i te pūtake o te tātari o ngā amuamu, me te anamnesis. I roto i te uiuiraa ki te tākuta kia korero te manawanui ka reira he tohu o te māuiuitanga me te mea hono mate ratou. Reira puta hoki ko etahi aorangia hoki te tangata, me tona hapu. Me mohio mātanga e pā ana ki katoa te rongoā tangohia e te manawanui. I te whakamātautau tinana, aromatawaitia te tae kiri, te aroaro o te edema. A, no te whakarongo ki te ngakau he fakapapau'i ranei te reo reira. whakakitea ano e te aroaro o popoketanga i te pūkahukahu. Ka rite ki rangahau e hiahiatia ana mimi whakaritea me ngā whakamātautau toto. Ka taea e rangahau kitea comorbidities e kia whakaawe i te akoranga o CHF. Treatment i roto i tenei take, ko te matatini, e hāngai ana ki te whakakore i muri mate. Whakaritea rite toto matüora. E ai ki nga hua whakaritea e te kukū o te cholesterol me ona hautau, Urea, creatinine, huka, pāhare pāporo. Ko te tātari i runga i hormones thyroid. kia whakahau i te mātanga he ako immunological. I roto i te mea i whakaritea e te taumata o paturopi ki kiko ngakau me microorganisms.

Studies te whakamahi i ngā taputapu

ECG taea ki te aromatawai i te manawataki o heartbeats, tautuhi arrhythmias, tari rahi tinana, me te ki te tāutu i scarring ventricular. Hei tātari whakamahia te reo te phonocardiogram. Ki te awhina o te ngä o te piha takoto e te aroaro o te haruru systolic diastolic ranei. Hei arotake i te hanganga o te pūkahukahu, ka whakamahia ngakau te Radiography mania o te whaturei. Ko te hoki tenei ako ki te whakatau i te rahi me te rōrahi o te okana, te kutētē toto ki te whakatau i te aroaro o te stagnation. whakamahia Echocardiography te ki te tirotiro i ngā wāhanga katoa o te ngakau. I roto i te tukanga tautuhia e te wāhanga matotoru taiepa me vaolo. Hoki, mā te whakamahi i echocardiography taea te kitea rite whakahuatia e te hua i roto i te pēhanga i roto i te oko pūkahukahu. Tātaritanga o rere toto whakamana i roto i dopplerEhoKG. kia whakahau tō tākuta, me te tahi atu rangahau, i roto i te tua ki te hunga whakaahuatia.

CHF maimoatanga: tūtohutanga

Tuatahi o te katoa, whakaritea te manawanui e ki te kai motuhake. iti te kai nui o te tote ki te toru karamu o wai ki te 1-1.2 rita te ra. kia waiho Products ngāwari ki te ngaungau, ki te kia tino nui-pūngoi, huaora me te pūmua i roto i te nui e hiahiatia ana. Rite tonu te e kawe te manawanui i roto i te taimaha. Ko te tikanga tohu o te roa i roto i te inu tinana me te kore ngakau decompensated taimaha taonga o neke atu i te 2 kg mō te 1-3 ra. kia hoki Treatment ngā āwhina hinengaro. E whai ana ki te whakatere whakaora o te manawanui. Ka taea te whakaratohia āwhina Psychological me whanaunga o te manawanui. Hoki tūroro kore e minaminatia ki te hoatu ki runga rawa kawenga. whakaritea te taumata mahi e hoki ia manawanui takitahi. kia hoatu tino hiahia ki kawenga hihiri.

Ko te therapy taketake tarukino

E wehea Drugs mō te kore te ngakau ki ngā rōpū: tuatahi, tuarua, me te mau pŭpŭ tauturu. Ko te rōpū tuatahi ngā:

• inhibitors ACE. whai wāhi ratou ki pōturi te ahunga whakamua o te mate, tiaki te ngakau, whatukuhu, oko toto, mana o te pēhanga toto.
• te raveraa ra receptor angiotensin. Ēnei taputapu tūtohutia hoki inhibitors ACE hypersensitive tahi ki a ratou i roto i ngā ranei.
• Beta-blockers ( "Concor" raau taero, "Inderal" me ētahi atu). Ēnei tikanga whakarato mana ki runga i te pēhanga me auau ngä whai pānga antiarrhythmic. E faaterehia Beta-blockers roto i te taha ki te inhibitors ACE.
• Diuretics ( "amiloride" taero "Furosemide" me ētahi atu). Ēnei tikanga te āwhina ki te whakakore i i te tinana o fluids te taikaha me te tote.
• glycosides cardiac. E pai io ēnei tikanga e whakahaeretia ana i roto i te pota iti mō te arrhythmia Atrial.

moni atu

• whakaritea Satin i te kaupapa e te take o te kore ngakau i roto i te manakohia o CHD.
• Anticoagulants o mahi autaki. Teuteu o tenei rōpū whakaritea te te tūponotanga tiketike o te thromboembolism me fibrillation Atrial.

raau taero turuki

E whakaritea ana ēnei hua i roto i ngā take motuhake, ka whakahuatia pōauautanga. Ko ētahi o ēnei:

• Pūhau. Enei māngai whakapai ake i te rere, me te dilates oko toto. E whakaritea rongoā o tenei rōpū mō te angina.
• te raveraa ra konupūmā. E tohua ēnei rongoā i roto i te angina abutment, takawhita (fariiraa), te pēhanga toto teitei i roto i te awa pūkahukahu, kore korerotia vaolo.
• Antiarrhythmics.
• āpiha Antiplatelet. Enei māngai i te kaha ki te haafaufaa coagulation hëoi mōtepe agglutination. E whakaaturia Medicaments o tenei rōpū i roto i te tuarua ārai o infarction.
• Neglikozidnye stimulants inotropic. E whakamahia ana ēnei moni i roto i te heke i tohua i roto i te pēhanga toto, me te kaha ngakau.

tikanga hāparapara

I roto i te ngaro o te tarukino te rongo te tono kakama operative pokanoa aunoa. I roto i ngā, e taea te whakahaere te manawanui:

• Coronary täpiritanga uaua karo. Operation i mahi ka whakahuatia pāpaka iaia atherosclerotic.
• te ako hāparapara o mea kohakore piha. kawea te pokanoa te roto i te take o te stenosis nui (whāiti) ranei kore takirere.
• transplantation okana. Transplantation o te ngakau ko te mehua tino uruhi. Ko tōna whakatinanatanga he maha o fifi tā:
  
  - makanga pea;
  - iti te maha o whēkau kaituku;
  - takere toto hinga o te okana whakatokia, paku uaua ki te hamani.

• Ko te whakamahi o ngā pūrere horihori e whakarato tautoko circulatory. whakamōhio ratou tika ki te manawanui. I muri i te mata kiri e hono ratou ki te pākahiko kei i runga i whitiki o te manawanui. Heoi, kei te hoki haere tahi te taputapu tono e raruraru. I roto i ngā, i te tūponotanga o pōauautanga hopuhopu, thromboembolism me Thrombosis. Ārai atu whānui whakamahi o waka me ratou utu teitei.
• Mā te whakamahi i te anga tukutuku rapa. kāpui ratou te ngakau i cardiomyopathy dilated. hanga ana tēnei mehua reira taea ki te pōturi iho te hua i roto i te rahi te tinana, te whakapai ake i te tōtika o te tarukino te rongo, te whakapai ake huru o te manawanui.