Decompensated wadnaha - waa maxay? Calaamadaha iyo Daaweynta

Qancinaya magdhow iyo decompensated wadnaha. Compensated waxaa loo arkaa deficiency khafiif ah (stage 1-deedii).

Decompensated wadnaha waa marxalad terminal cudurka, taas oo ka xaqiiqda ah ay keentey in muruqa wadnaha ee dhaawacway ma awoodo inuu hababka kala duwan functional ah u shaqeeyo aadanaha si loo bixiyo dhiigga. Muuqaalka caan ku tahay muujin ka ma aha oo kaliya inta lagu guda jiro jimicsi, laakiin sidoo kale ku nastaan. Inta badan marka decompensated wadnaha dhici isbedel bahal ah iyo functional wadnaha galay Robben. isbedel Kuwaas ayaa ah badiyaa karin oo keeni kara in halis ah. Noocan ah cudurada la xiriira daran (marxaladda saddexaad).

In this article, decompensated wadnaha looga hadli doonaa si faahfaahsan: waxa ay tahay, maxay kala yihiin noocyada kala duwan, astaamaha cudurka iyo daaweynta.

Sababaha keena

Nasiib darro, asalka ah ee cudurka this by saynisyahano aan si buuxda u fahamsan yahay. Si kastaba ha ahaatee, cilmi-baarista ee ku yaala goobahan soo jeedisay in decompensated wadnaha dhici kara haddii ay jiraan kiciya. Arrimahan waxay noqon kartaa sababta asalka u ah cudurka ku. Ka mid ah iyaga,

• hypertrophy myocardial infarction.
• Sababa wadne, dhaawacyada, ischemia ama Wadnaxanuun isbedel myocarditis daacadnimada dhismaha ah.
• dhibaatada Hypertensive.
• dhacdooyinka Arrhythmic.
• Xaaladood oo kordhay cadaadiska lama filaan ah in wareegga pulmonary.

Sidaas muuqato decompensated wadnaha. Waa maxay waxa ay dan u badan.

On par leh kor ku xusan ayaa sidoo kale sababaha asalka u ah cudurka noqon kartaa dhammaan noocyada kala duwan ee geedi socodka fadhiya ee qaabka neefsashada. Xaaladaha oo dhan, kuwaas oo uu jiro sharci guud: ka keena, iyo sidoo kale noocyo kale oo ah wadnaha waxay dhacdaa iyada oo sababtu tahay dollar oo muhiim ah iyo daal xad-dhaaf ah ee muruqa wadnaha.

Sawirka kiliinikada iyo kala duwan ee decompensated wadnaha ayaa hoos looga warbixinayaa.

Inta aanad bilaabin daraasadda ee calaamadaha ah keena, waa in la ogaadaa in sawirka caafimaad ee cudurka waa gebi ahaanba ku tiirsan nooca wadnaha oo shaqadiisa gaba. Khubarada aqoonsado laba nooc - dabadheer iyo tan ba'an. Ina keena aynu deggan mid kasta oo iyaga ka mid ah.

Xiisad wadnaha decompensated

Waxaa soo baxdo iyo horumarisa ka dib markii decompensation degdeg ah, dhacdo of magdhow, taas oo waa wax aan macquul aheyn. Farsamo for wadnaha oo shaqadiisa gaba, sida midab arooriyaha kordhay, kordhay shaqo tonic ama kororka xaddiga diastolic ventricular buuxinta dhiig, ma u muuqan karaan sabab u tahay sifooyinka nafsaaniga ah ee foomamka ba'an ee keena. Si muuqaalada kuwa ka mid ah:

1. Left keena ventricular qaab daran. Waxaa keena infarction ama mitral stenosis biiyaha. Calaamadaha caan ku yihiin barar xad-dhaaf ah oo ka mid ah sambabada iyo nidaamka overfilling xididdada dhiigga neefsashada. Maxaa kale oo dhaca decompensated wadnaha? Astaamaha ka fiirsan doona ka dib.
2. Keena ventricular Xaqa qaab daran. Waxay dhacdaa sababtoo ah Wadnaxanuun ku wareejin bukaan ama thromboembolism, taasoo keentay in khalkhal shaqo iyo daacadnimada septum mezhduzheludochkovoy. Calaamadaha caadiga ah ee keena ventricular bidix ba'an sida soo socota: waxaa jira kor u kac wayn ee beerka, Stasis dhiig fadhiya in wareegga systemic, sambabada buuxin kartaa dhiig.

Foomka ba'an waa halis?

Nasiib darro, waayo, foomka ba'an lagu gartaa heer sare ah dhimashada ay sabab u tahay xaqiiqada ah in muruqa wadnaha ayaa noqonaya awoodin in la wado qadarka la doonayo of dhiigga iyo shaqada magdhow offline (ama aan ku filnayn), iyo sidoo kale sabab u tahay barar sambabada ama Wadnaxanuun myocardial. In case of calaamadaha foomamka ba'an ee keena faragelin deg deg ah khubarada in gelin doonaa bukaanka isbitaalka iyo hay taxane ah oo tallaabooyin u baahan yahay dib u soo kicinta.

Waxaa sidoo kale dhacda in chronic wadnaha decompensated. Waa maxay? On this ka dib.

Nooca joogtada ah ee keena

CHF dhici kartaa foomka decompensated. Xaaladdan oo kale, calaamado kala duwan muujin kartaa, faahfaahinta oo dhan oo waxaa la sameeyaa by tijaabada cudur-aqoonsiga. Waayo, sifo CHF waa this sawir caafimaad oo:

• Calaamadaha barar daran ee cagaha, hoose ee caloosha, xiniinyaha, iyo sidoo kale in pericardium ah.
• Arrhythmia iyo hypoxia.
• qabow addimada syndrome.
• The fiiqan korodhka miisaanka jidhka.
• Eebbe mitral iyo yaridu tricuspid.
• muuqaalka kore ee neefta oo ku qabata, oo ay ku jiraan maqnaanshaha dhaqdhaqaaqa jirka.

Decompensated wadnaha chronic - cudurada ah, at taas oo khaladaad inta badan Cad ee qaabka neefsashada. crackling pulmonary (marka qofka bukaanka ah waa in meel la jiifo) waxaa lagu ogaan karaa shaqaalaha kormeerka. Sababta oo ah daliilka sida waa socodka dhiigga xad-dhaaf ah nidaamka neef-mareenka. calaamad kale oo laga yaabaa in hypoxia iyo, iyada oo sababtu tahay, hoos miyirka. Hypoxia dhacdaa iyada oo sababtu tahay qulqulka dhiigga ku filnayn in ay maskaxda ah deficiency madaxa iyo oxygen ah.

Waxaa muhiim ah in la ogaado waqtigii cudur noocaas ah, sida chronic wadnaha decompensated (waxa ay hadda tahay oo cad).

Baadhista xanuunada

tallaabooyin lagu ogaanayo Complex ka mid ah daraasad isbedelada heerka ureticheskogo nooca beta-peptide, peptide H-dhex-dhexaad ah, iyo echocardiography qabashada iyo viscera X-ray, echocardiography transkoronalnoy.

Macluumaad dheeraad ah oo sax ah oo ku saabsan xoogga cadaadiska dhiigga ee ku takhasusay qolalka wadnaha ah waxaa laga heli karaa by fulinta habraaca gaar ah, inta lagu guda jiro kaas oo xididka dhexe ama tuubo halbowlaha pulmonary iyo soosaaraan baahan yahay cabbirka.

Sidoo kale, ogaanshaha of qaab kasta oo wadnaha waa in ay fuliyaan qaar ka mid ah baaritaanada shaybaarka, oo ay ku jiraan kariyaatiniin a baaritaan dhiig oo HOL, waayo electrolytes, glucose iyo transaminases, ayaa sidoo kale lagu qabtay baaritaano kale dhiigga iyo kaadida, bartaan in joogitaanka iyo ratio of gaasas ee halbowlayaasha dhiigga.

Decompensated wadnaha: Daaweynta

Sida laga soo xigtay xogta tirakoobka for 2010, ka wadnaha ee Russia sanad kasta dila qiyaastii 1 milyan oo qof. Waa dhacdo ee decompensation iyo garaaca wadnaha rabshooyin yeedhay khubarada sababta ugu weyn ee heerka dhimashada sare. Decompensation inta badan u baahan tahay qabashada caafimaad oo degdeg ah. Sidaa darteed, marka laga reebo in ka reeban dhif ah, daaweynta daroogada dhibta ka maamula daawo intravenously (si aad u hesho natiijooyinka gacanta oo deg deg ah).

More on daaweynta decompensation

Ujeedada koowaad ee daaweynta waa in la joogteeyo heerka caadiga ah ogsiijinka hemoglobin, sidaas jidaynayey for sahayda caadiga ah ee ogsijiin unugyada iyo xubnaha iyo in ay ka fogaadaan badan failure xubin.

Mid ka mid ah farsamooyinka lagu dabaqi karo - qabashada neefsado oxygen (sida caadiga ah loo isticmaalo hawo non-invasive (NPVD) cadaadis togan), taas oo ay meesha baahida loo qabo intubation endotracheal. Arintaan waxaa loo isticmaalaa hawo farsamo lacala failure in la baabi'iyo obstructive pulmonary disease by NPVD.

Daaweynta daawo

In daaweynta isticmaalka decompensation oo ay ku jiraan daaweynta daroogada. daroogada la isticmaalay iyo kooxaha ay:

• "Morphine" iyo analogues ay. Waxa loo isticmaalaa si loo yareeyo xaddiga garaaca wadnaha iyo in la yareeyo xanuunka.
• Kaadida. Waxaa loo adeegsaday in cabitaanno ah dib u calaamadaha ee jirka,
• Inotropes baabi'iyo hypoperfusion durugsan.
• wakiilada Vasopressor ee horumarka ah ee perfusion xubin caadi ah.
• "Dobutamine" kordhay wax soo saarka wadnaha.
• Norepinephrine hagaajinaysaa iska caabin vascular.
• glycosides Wadnaha loo yareeyo cadaadiska dhiigga, loo yareeyo khatarta decompensation ba'an.

Si kastaba ha ahaatee, liiska sax ah daawooyinka lagama maarmaanka u ah gargaarka iyo daawaynta ee keena waa in la ogaado oo kaliya dhakhtarka xaadirka ah.

Waxaan ka fikiray waxa ay ka dhigan tahay in decompensated wadnaha.