Cardio-pulmonary insufficiency: Zviratidzo neMarapirwo

Tinowanzonzwa mashoko okuti "cardio-pulmonary kukundikana," asi vanhu vashoma vanogona kutaura chokwadi chii chinoumba zvokurwara ichi. Chii chirwere ichi, chii ayo zviratidzo uye zvinokonzera - tichava kuongorora.

Cardio-pulmonary insufficiency - chii?

In mushonga ano, mumwe cardio-pulmonary kukundikana kunzwisisa mamiriro umo mwoyo kukundikana, kureva nekusagona mwoyo kuitira zvakajairika kweropa mumuviri, pamwe chete zvemapapu kunoitika nokuda kwazvo kumanikidzwa ropa iri nhumbi mumapapu apo gasi Exchange kunoitika. izvi zvose zvinotungamirira vasanyanye padanho okisijeni muropa.

In tsika, kazhinji kutanga anova pulmonary insufficiency, cardiac zviratidzo kuda shure kwechinguvana. Kutaura zvazviri, chiratidzo ichi inogona kuonekwa hosha dzakawanda kumwoyo uyewo zvirwere zvemapapu. Nechepakati nomurwizi zvokurwara kungazviratidza nenzira rikwanise chimiro, kana zviratidzo dzichiwedzera munguva pfupi uye angave akasiyana-siyana chirwere, kana kuderera kunoitika mukati makore mashoma kana kunyange emakore.

Zvinokonzera chenjera Moyo kukundikana

Chenjera pulmonary insufficiency chinhu kuomesa kuti unowanikwa zvimwe zvinhu zvingakanganisa upenyu murwere. Zvinofanira kuva kukurumidza kurapwa kupindira. Kazhinji, unogona kuva pasi zvinotevera ezvinhu:

• Somugumisiro thrombosis kana pulmonary tsinga spasm;
• panguva thromboembolism;
• pamwe pneumatic kana gidrotorekse;
• chinhu exacerbation pamusoro Árbol asima, asthmatic chinzvimbo.

Zvisinei, chikonzero yakawedzera kuomesa ari pulmonary tsinga kunogonawo kuva chirwere mwoyo. Kazhinji, izvi zvinoitika apo pakarepo kuzomukazve mitral regurgitation. Uyewo mhosva pulmonary chirwere angava pulmonary vharafu insufficiency, rikwanise infarction, myocarditis, valvular mwoyo chirwere mu padariro decompensation, cardiomyopathy. Panyaya iyi, kuruboshwe ventricular mhango iri kuwedzerwa, uye zvinoderedza rusvingo rwaro asingakwanisi kusunda kupinda lumen ngarava yose ropa vhoriyamu. Dzimwe stagnate uye anowedzera kumanikidzwa iri pulmonary mutsinga. Sezvo kurudyi ventricle kuramba kupomba ropa zvizere chidzitiro, kumanikidza inoramba ichiwedzera, izvo zvingaita kuti pulmonary edema kana cardiac asima.

Zvinokonzera chisingaperi Moyo kukundikana

Chirwere obstructive pulmonary chirwere, sezvo anodzivisa rikwanise chimiro, kukura zvishoma nezvishoma. Muitiro kukura Kumwe kuchinja kunotanga vari mukati makore mashomanana. Panyaya iyi, kukura neBP ari pulmonary mumidziyo kunoitika pavanoparidza zvinotevera pathologies:

• nhaka idiopathic neBP;
• atherosclerosis;
• pulmonary insufficiency ringaita zvinokonzerwa kana kuzodzosera endarteritis embolism diki mapazi;
• chisingaperi zvemapapu zvirwere - emphysema, pleurisy, pulmonary fibrosis, obstructive bronchitis;
• zvishoma nezvishoma mberi vachiberekwa mwoyo chirwere ;
• vawana valvular zvirwere.

Pulmonary insufficiency: nekuomarara

Nokuti nekuda chirwere chimiro chirwere dzinoratidzwa kunonoka uye kazhinji anenge imperceptible kuwedzera pathological zviratidzo anotsanangura ina nekuomarara chirwere:

• I dhigirii - hapana zviratidzo chirwere senguva dzose nesimba zvinoratidza maperembudzi kuchengetwa, duku dyspnea sokuti pamwe kuwedzera mutoro.
• II dhigirii - woga vasina zviratidzo, asi zvatinosiita nesimba kugara dyspnea uye palpitations.
• Grade III - kushaikwa zviratidzo kuitika shoma nesimba, asi hakuna rugare.
• Grade IV - munhu haagoni kuita shoma kurovedza muviri, zviratidzo chirwere anozviratidza oga.

Chenjera kurwisa pulmonary chirwere anogona kuva muna rimwe zviviri zvokusarudza - rworudyi nokuruboshwe ventricular kukundikana. Left ventricular kutadza anogona kuratidza pulmonary edema kana cardiac asima.

cardiac asima

Ichi pulmonary insufficiency, vane zviratidzo kuwedzera zvishoma nezvishoma. In tanga nayo kunoratidzwa kupfupika mweya, iro rinowanika pakutanga pashure muviri, pamusoro kwenguva kunowedzera, nekuratidzwa kunyange zororo. Kana dyspnea yakaoma chiito inhalation (vaikurudzira chimiro). Mune ramangwana, izvozvo kuchatsiviwa yokurwiswa breathlessness, zvinowanzoitika pakurara. Nokuti Danho iri exponential anomanikidzwa vavatore - soro headboard, panguva kurwiswa murwere anomanikidzwa kugara pasi, makumbo ake dangling kubva pamubhedha uye akasendamira maoko, kunze kupfupika mweya kuonekwa palpitations, vangadikitira, kutya rufu. Kukosora mu cardiac asima yakaoma, pamwe zvishoma sputum. Akacheneruka ganda, zvikuru cyanosis pamusoro nasolabial Triangle, nyore. Pulse spasmodic, simba, kumanikidza ipfupi.

Funga ane mwoyo uye asima mamiriro:

pulmonary edema

Chenjera pulmonary insufficiency anogona kuva kwakaoma nokuda pulmonary edema. Izvi zvinonyatsooneka yakawanda ropa nokusvitsa zvemapapu tishu. The Kurwisa hwapedyo pakarepo, zvisinei nguva zuva. Tanga dzinoratidzwa unopinza femo, apo pane nokukurumidza kudzikira mune murwere ezvinhu:

• kupfupika mweya kunowedzera, murwere asina mhepo yakakwana, izvozvo akacherekedza cyanosis pakati ganda kumeso uye maoko nemakumbo, ziya chando;
• havachanyatsogoni kuziva - zvingava gwenya excitation uye ndivete kusvikira nokurasikirwa pfungwa zvakakwana;
• Kufema ruzha, Inotubuka, dzinounzwa rwepingi furo;
• kana kurwiswa chakaitika tikafunga myocardial infarction kana myocarditis, cardiogenic kuvhunduka angatanga.

zvakanaka ventricular kukundikana

It anokwanisika kuitikawo ave kuomesa kwakaita myocardial infarction kana myocarditis. kuonekwa, kunze kupfupika mweya uye kuwedzera breathlessness, muri:

• cyanosis chiso uye nemimwe;
• Zviri pachena zvinoonekwa, kunyanya pamusoro kufemerwa, kuzvimba pamutsipa mutsinga;
• yakaderera gumbo edema, vanhu abdominal rusvingo kusvikira ascites;
• akawedzera chiropa, pane ripple ari epigastrium.

Chisingaperi Moyo insufficiency

Nokuti chokuti chirwere chimiro chirwere hunotanga kwemakore akawanda, kurapwa anokuzviratidza aro zvishoma raidudzwa. Sezvo hwaro chirwere kazhinji nhema zvokurwara ari kufema ezvinhu, uye zvadaro rinoratidza pakutanga kuburikidza kupfupika mweya. Zvinotevera zvingaratidza kubatanidzwa nayo:

• bhokisi marwadzo;
• arrhythmia;
• tachycardia;
• cyanosis;
• kuzvimba makumbo;
• kuzvimba pamutsipa mutsinga;
• encephalopathy.

Sezvo chirwere mberi, zviratidzo dzinotanga kukura, uye kana ivo akazviratidza pakutanga pashure imwe mutoro, ipapo mumazuva okupedzisira mumatanho (mu padariro decompensation) iri rokuzorora.

Cardio-pulmonary insufficiency: kurapwa

Kukura rikwanise chirwere kazhinji zvinoda kukurumidza uye nyanzvi kupindira. Kazhinji, kurapwa rinoitwa muchipatara, uye kakawanda - iri yevanenge. Kana Kurwisa kwakasimbiswa kumba, unofanira sei kuti munhu nekukurumidza kuti kurapwa jeri. Zvipatara echirwere chimiro chirwere iri misoro yokusvika kurapwa zvirwere. Hazvingobatanidzi zvinodhaka kururamiswa, asiwo Optimization ari pamwero kurovedza muviri, kudya kunovaka. Drug kurapa nokuti chirwere ichi ndiko kugadza zvinotevera mumapoka zvinodhaka:

• Beta-blockers;
• diuretics;
• cardiac glycosides.

Regimens uye chipimo chemushonga neimwe nyaya pakutsvaga chiremba. Kuzvinzwira medicate Muzviitiko zvakadaro isingagamuchiriki. In zvinoitirwawo kukundikana kuchinja Mabatirwo dambudziko riri kugadziriswa surgically.