Kuwedzera Mwoyo: Zvinokonzera, Zviratidzo, Kurapa, uye Migumisiro

Muitiro wavo, vanachiremba vanowanzosangana nevanhu vane chirwere chemwoyo. Kazhinji kazhinji izvi zvinoshanda kune vakwegura kana vakwegura varwere. Mune zvimwe zviitiko, zvirwere zvemoyo zvinoitikawo kune vanhu vane simba. Vana vanozvarwa patsva vakawana kukanganisa munguva yekubereka vasati varipo. Chimwe chezviratidzo zvehutano hwakadaro ndeye mwoyo wakawedzerwa. Ichi chiratidzo chinowanzoonekwa mune zvirwere zvakawanda zvepfungwa. Kuwedzera mumutsipa wemwoyo kunowanzoratidza nguva yakareba yemazuva ano inotungamirira kuCF.

Cardiomegaly - chii ichocho?

Kazhinji, ukuru hwemoyo mumwe nomumwe kune umwe neumwe. Vanovimba nehutano hwemunhu, zvepabonde, zera. Zvinotendwa kuti hukuru hwechirongwa hunenge hwakaenzana nehukuru hwemuchindwe wakamanikidzwa kupinda muhombodo. Kunyange zvakadaro, kune mitsara inoparadzanisa zvinowanzobva pakurapa. Mwoyo wakawedzerwa unonzi cardiomegaly. Inogona kuwanikwa zvose pakuongorora kwepanyama uye mukugadzirisa kwekushandisa. Muzviitiko zvizhinji, mhepo inofara yemwoyo inowedzera, kunyanya kuruboshwe. Kakawanda kazhinji kushaya mwoyo kunoitika pamutengo wematare akanaka. Kuwedzerwa kwemuviri kunowanikwa nekuda kwehuputiro hwemuscular layer, uyewo nekuda kwekuchera myocardium (kuwedzera). Ichi chinoshamisa hachiwanzoitika munguva pfupi. Kazhinji chirwere chinotyisa chinotangira nechirwere chisingaperi chisingaperi.

Kuwedzera mwoyo: zvinokonzera chirwere

Cardiomegaly inogona kuitika nokuda kwezvikonzero zvakasiyana-siyana. Izvo zvinoenderana nezera remurwere, kuzvigadzirira nhaka, muviri wehupenyu uye mararamiro. Dzimwe nguva mwoyo wakawedzerwa unofungidzirwa sechimiro chechimiro. Munyaya iyi, cardiomegaly inofanira kuva yakadzama. Mhosva dzakadaro dzinosanganisira kuita basa rekugara kwenguva refu, pamuviri, nguva isati yasvika. Kuwedzera kwakakura kwehukuru hwemoyo mune iri chikwata chevanhu kunewo chirwere. Zvinotevera zvinokonzera kushaya mwoyo:

1. Congenital malformations (CHD). Iyo inoumbwa panguva yekuzvitakura, inogona kuva yakasiyana-siyana. Nezvakaipa zvakakura kana zvakabatana, kukanganisa kwemwoyo kunoitika nokukurumidza. Munyaya iyi, cardiomagaly inogona kuzviratidza mumwedzi yekutanga yehupenyu hwemwana. Kana uipi huri hushoma, kuwedzera mumoyo kunowedzera, dzimwe nguva hazviitiki zvachose.
2. Zvirwere zvinopisa. Izvi zvinosanganisira myo-, endo- uye pericarditis. Zvizhinji zvezvirwere izvi zvinoitika muhuduku nekuyaruka. Cardiomegaly inongororwa mumamiriro ezvinhu apo chirwere chacho chakawana chimiro chisingaperi. Uyewo kune boka iri rinogona kunzi inonzi dilated myopathy.
3. Yakagadzikana mwoyo kuparara. Yakagadzirwa mukukura. Kakawanda kazhinji ivo ndeve chikonzero cherheumatism.
4. Chirwere chepfungwa chepfungwa. Izvi zvinosanganisira myocardial ischemia (infarction, angina pectoris), arterial hypertension.
5. Zvirwere zvisingaperi zvemapapu. Pakati pavo - bronchial asthma, COPD.
6. Pathology yezvimwe nhengo uye zvirongwa. Kuwedzera kwemoyo kunogona kuonekwa nehutachiona hwekushaya ropa, kuora uye kushaya simba, hyperthyroidism.
7. Metabolic syndrome (kurema kunobatana nechirwere cheshuga mellitus).

Mechanism of development of cardiomagaly

Iyo pathogenesis yekushaya mwoyo inobva pane chikonzero. Kazhinji kazhinji, kusiyiwa kwechirwere chinonzi hypertrophy kunowanikwa kune vanhu vane chirwere chemagetsi, chirwere chetachiona chetachiona, kana chirwere chepfungwa. Neine duku shoma ye okisijeni, musuru wemwoyo unobvumirana nekukurumidza kupfuura nguva dzose, uye zvishoma nezvishoma unowedzera muhukuru. Zvinenge zvakafanana zvinoitika nehutachiona. Muchiitiko ichi, moyo haukwanisi kupedza ropa zvakakwana nokukurumidza nekuda kwekuwedzera kweropa, saka muviri unoda zvakanyanya. Iyo nzira yekusimudzirwa kwechirwere chemuviri inopesana mu stenosis uye kusakwana kwemagetsi. Muchiitiko chezviitiko izvi, ropa harifaniri kuperera zvachose muimba yakatarisana kana mudziyo (aorta, mishonga yemapuraneti) uye inokonzera kuputika kweimwe yemapapiro evanhu. Nezvenguva yakareba, zvinyorwa zvose uye kuwedzera kweatrium. Mune zvimwe zviitiko, kushaya muviri kwechikamu chose kunogona kuitika. Kurwisa kwe ventricular kwakarurama kunoitwa neplmonary pathologies, zvirwere zveropa.

Zviratidzo nemwoyo wakawedzerwa

Zviratidzo zvemoyo wakawedzerwa zvinogona kuratidzika muzvidimbu zvakasiyana. Ne hypertrophy ye ventricle yakasara, varwere vanogunun'una nezvekufema kwepfupi. Kurwiswa kwokusava nemhepo kunomuka panguva yekurovedza muviri, kusimudza zvisikwa, kutsanya uye kwenguva refu kufamba. Nekuora mwoyo kwakasimba, kupfupika kwemhepo kunogona kunge kuripo. Mukuwedzera, vamwe varwere vane edematous syndrome. Kazhinji kacho, mvura yacho inowedzera pane chetatu chechiedza chemadekwana manheru. Kana chikonzero cheCF is ischemia, varwere vanonetseka nezvekutambudzika mukati memwoyo. Uyezve, kliniki yemufananidzo inobva pachikonzero chekushaya mwoyo. Ne pulmonary pathologies, kukoromora uye chifu chinowedzera kune zviratidzo zvakanyorwa. Chiropa chisina kukwana chinoratidzwa nehukuru edema (ascites, anasarca), kurira kwemitsipa yekervical. Vanhu vezera rakakura vane mwoyo wakawedzerwa vanowanzova neupemha.

Ko chirwere chema cardiogaridhi chinowanikwa sei?

Kuzarura mwoyo, hakuna humwe huchapupu hwakakwana hweamnesis. Nokuda kweizvi zvakakosha kuita marpation uye kuputika kwechirongwa. Paunenge uchibata mwoyo, unova pachena kuna chiremba kana hukuru hwacho hunofanana nehutsika kana huwandu hwahwo. Mukuwedzera, chepfu X-ray inoitwa. Nekushaya moyo, muromo wechiratidzo mumifananidzo unowedzera. Kuti uone kuti maedhi hypertrophy anoonekwa sei, EECG inoitwa. Nokuda kwekutsvakurudza uku zvinokwanisika kudzidza nezvechikonzero chechirwere (ischemia, mapapu pathology). Iyo yakanyanya kunyatsogadziriswa yeEchoCG (ultrasound yemwoyo). Iko inokubvumira kuti uone kuwanda kwemyocardium muimba imwe neimwe, ukuru hwemasango, kuvapo kwekuwedzera.

Kurapa kwemoyo wakakura

Apo chiratidzo ichi chinoratidzwa, varwere vanobvunzwa kuti vaite kana mwoyo ukawedzerwa. Mishonga inofanira kutanga ichangobva kuongororwa zvakakwana uye kuziva zvikonzero. Kana zvichidiwa, bronchodilators, antihypertensives, diuretics inorayirwa. Mune zvimwe zviitiko, kusanganiswa kwezvinhu izvi kunokosha. Pasinei nechinokonzera, zvinokosha kutora mishonga inobatsira kuderedza mwoyo kusakundikana. Izvi zvinosanganisira kugadzirira "Coronal", "Propranolol", "Captopril", nezvimwewo. Mukana wekuremara kwemwoyo, chirwere chokuvhiya chinodikanwa. Inotsanangurwawo kuti irambe ischemia inoramba ichinge uye kusagadzikana kwakanyanya kwekushaya.

Kuwedzerwa mwoyo: migumisiro yechirwere

Zvinosuruvarisa, kukanganisa kwemwoyo hakuwanzoperi zvachose, sezvo ichi chirwere chisingagumi chinoramba chiripo. Nokurapa kwakakwana kana kusavapo kwayo, migumisiro inogona kuva yakakomba. Mune mamiriro ekushaya mwoyo, murwere anoramba ari pfupi nemhepo, izvo zvinokonzera nhengo dzose kutambura. Uyewo, chirwere chacho chinogona kutungamirira kumararamiro eparction, stroke, thromboembolism yemidzimu yemweya kana yemapummoni.