Ventricular Xaqa failure: sababaha, calaamadaha, daaweynta

Heart failure. Marka hadalka ku saabsan dadka iyada caadiga ah waxay leeyihiin in maanka isbedel la xidhiidha hawlaha yaraada of ventricle bidix. Iyo wax yar ka hor, saynisyahano noqday xiiso shuqulka ventricle saxda ah. waxbarashada joogtada ah ayaa muujiyay in howlgal farqi la taaban karo oo ka mid ah qolalka midig iyo bidix wadnaha. Waxaa xaq u failure ventricular ay sabab u tahay xadgudub ka dhan ah wareegga pulmonary sabab u ah cillad myocardial. Sababta oo ah waxa mararka qaarkood loo gudbiyo wadnaha sida sambabada.

Sababaha xaq failure ventricular

Heart failure dhici kartaa in chronic ama ba'an, noqon hoose ama sare. Iyada oo ku saleysan nooca cudurka, khubarada loo aqoonsado tiro ka mid ah sababaha ay u dhacdo.

Xiisad failure ventricular midig (calaamadaha lagu hoos looga hadli doonaa) abuurmi karaan marka: dillaac ah ee septum ku interventricular; lungemboli weyn; myocarditis; weerar halis ah oo neefta bronki, Wadnaxanuun myocardial ventricular Xuquuqda; total pneumonia ba'an.
Etiology of chronic failure ventricular xaq qaab:

• Marka pericarditis wax dhisid iyo cilladaha wadnaha ee lagu dhasho, kaas oo ka dhici, Xammuul ventricle xaq (nabar waalka aortic; la'aan waalka triskupidalnogo).
• Pathology ee qaabka neefsashada (bronchiectasis, sarcoidosis, emphysema, boronkiitada, asthma).
• cayilka daran leh Ilodanimada inayan hoos u dhaqdhaqaaqa ee diaphragm ka.
• Ku xadgudubka nidaamka pulmonary wareegga (vaskulitis, thromboembolism, hypertension pulmonary), riixo ka baxsan (aneurysm aortic, burada).
• dhaqdhaqaaqa Limited of xabadka in waxa keena cudurada nidaamka muruqyada (autoimmunity, polio), dhabarta (cudurka Bechterew ee, qalooca).

Sidoo kale, waxay xaq u wadnaha waxaa laga yaabaa in sare ay u saxeexi inay ka tagay failure ventricular ka dib markii natiijada xanuunada daran ee wareegga pulmonary ahaa korodhka weelashii cadaadis halbowlaha pulmonary oo dhacdo ee lagu xoojiyo waaxda midig.

symptomatology

Xiisad failure ventricular xaq u sababa hypertension pulmonary, taasoo keentay ugu danbeyn si loo yareeyo xaddiga dhiigga saaray by ventricle bidix.

Bukaanka ayaa u muuqday, si degdeg ah u koraya, calaamadaha soo socda: hoos heerkulka maqaarka (akrozianoz); nooleeyaa garaaca wadnaha ah, pulsate bararin iyo Annagaana ugsa dhaw xididka; waxaa jira dareen ah hawo la'aan, iyo neefta oo ku qabata; bararka pulmonary ay sabab u tahay kor u permeability gaddoonka ah. ventricular xaq Chronic failure xoogaa muujiyey duwan.

Dheeraad ah oo muujinaya calaamado ciriiriga ah wareegga systemic:

• oliguria, perfusion kelyaha,
• xanuun Rubuca midigta sare ee kaabsoosha xiisad, wayneeyo beerka;
• dheecaan ee godadka thoracic iyo caloosha (hydrothorax iyo ascites);
• bararka ee addimada hoose iyo ugu dhakhsaha badan - derbiga jilibka caloosha.

Waxay jeelyihiin in si dabiici ah waxa ay noqon doontaa horumarinta cudurada maskaxda, taas oo keenta in xadgudub ku soo qaxeen ee hypertension arooriyaha cerebral iyo gastritis.

Sida shaaca ka qaaday xaq failure ventricular?

ogaanshaha

Go'aaminta failure saxda ah wadnaha oo keliya suurto gal ahayn, waxa ay ka dhigi kartaa takhasus buuxa fuliya oo ka dib markii cudurka. Xaaladdan oo kale, waxaa la muujiyey haysta, kuwaas oo waxbarashada clinical sida X-ray thorax, MRI, ultrasound, wadnaha. imtixaanka loo baahan yahay shaybaarka - urinalysis, baaritaan dhiig lagmamaarmaanna iyo caafimaadeed.

Haddii qofku qabo ah failure xaq ventricular ba'an, ka dibna inta lagu guda jiro ECG ah u arki karaan dollar xoogan oo waaxda wadnaha saxda ah, ultrasound tilmaamaysaa burooyinka kala duwan iyo iskujoog oo meesha myocardial. MRI waxaa la sameeyaa marka sawirka caafimaad oo awaamiir.

Maxaa doono dhiigga?

Guud ahaan, falanqaynta dhiigga waxaa laga arki karaa tirada leukocytes, oo sidaas awgeed, heerka uu gaarsiisan horumarka ah caabuq. Falanqaynta lagmamaarmaanna u dhiig ayaa muujinaya joogitaanka khatar ku tahay caafimaadka iyo xaaladda heerarka hormoonnada. Ka dib markii natiijada waxbarashada oo dhan iyo falanqayn ku jiri doona gacmaha takhasus u leh, ka dib markii barashada cabashooyinka bukaan-socodka iyo dib-u-baaritaanka noqon kartaa cudur oo dhab ah iyo hababka daaweynta ku haboon. Haddii aad dhibaato ku qabto soo bandhigi cudurka u baahan doonaa MRI iyo X-ray.

Xuquuqda failure ventricular waa arrin khatar ah.

ka hortagga cudurka

Dabcan, waxaa jira kiisas waa wax aan macquul aheyn in ay ka fogaadaan cudurka wadnaha, gaar ahaan marka ay timaado cabista hidde. Laakiin taasi macnaheedu ma aha in aad gasho kooxda halista ah oo siidaysay qof ka fuliyaan hortagga. Sida caadiga ah wadnaha xaq failure ventricular dhacdaa on asalka cudurka aan muuqan, taas oo ka dhigaysa hawsha ka hortagga hortagga waqtiga ee soo noqoshada ah ee geedi socodka bahal chronic iyo ilaalinta ee dembidhaafka muddo dheer.

tallaabooyin ka hortag ah u baahan yahay nafaqo sax ah, ay u ilaaliyaan hab nololeed firfircoon, oo xawaal dareenka, dabcan si joogto ah therapy daroogada, gacanta miisaanka iyo wadnaha. Haddii daaweynta daroogada waa u soo dhoweynta hab aan la aqoon oo aan la tashanaya ka hor inta aan la dhakhtarka.

wadnaha Xaqa therapy failure

In daaweynta pulmonale Korkuna la faray at wax ka qabashada cudurka sababaya iyo yaraynta daliilka cudurka muruqa wadnaha (Calaamadaha muuqda). Xiisad failure ventricular xaq u baahan yahay tirtiridda degdeg ah sababaha ay:

• Status asthmaticus u baahan tahay magacaabidda corticosteroids in qaadasho sare.
• ka saarida Qalliinka ama baabi'inta xinjir dhiig oo halbowle ah pulmonary waxaa loo baahan yahay marka PE.
• pneumothorax xiisad u baahan dheecaan of dalool pleural, ee ku taalla meesha bannaan ee intercostal labaad.
• hypertension sambabada waa la dhimay isticmaalaya ganglioblokatorov iyo aminophylline.
• Pneumonia u baahan antibiotics la spectrum balaadhan oo ah tallaabo.
• socodka dhiigga myocardial infarction u baahan tahay dib u soo kabashada ah halbowleyaasha wadnaha.
• lama filaan ah waxaa lagu daaweeyaa by maamulka xididka of dareeraha iyo sympathomimetics.

daaweynta Chronic failure

Chronic xaq u wadnaha ventricular waxaa lagu daaweeyaa by dhowr hab oo kala duwan. Si loo yareeyo fadhiidka ah ee wareegga dhiigga systemic caadi qoray therapy durayo. cudurka wadnaha lagu dhasho inta badan u baahan tahay qaliin, oo ay ku jiraan xubin badalida qalbiga / kaliya sambabada ama wadnaha. Si loo yareeyo cadaadiska gudahood halbowlaha pulmonary, waxaa loo isticmaali karaa:

• Si loo yareeyo tirada guud weelashii iska caabin durugsan, nasashada oo ka mid ah halbowlayaasha iyo xididada isticmaalaya Alfa 1-blockers.
• More adkaysi u myocardium deficiency oxygen samayn ku Doodeen calcium ( "Diltiazem", "Nifedipine"), nasashada ee muruqyada siman marinnada dhiigga ee wareegga pulmonary.
• Yaraynta xaddiga dhiigga ee sambabada iyo hoos u arooriyaha si sax ah sababta Atrium Nitrate (dinitrate isosorbide) loogu noqdo adduunkii.
• caabiga ee halbowlaha pulmonary, mugga dhiigga, iyo post-loader ku inhibitors xaq u sabab ventricle ACE ( "Enalapril" "Capoten") kaas oo u dhaqmaan on nidaamka aldostenovuyu renin-angiotensin ah.

Maxaa la sameeyaa haddii dhibaatooyin?

Marka dhibaatooyinka wadnaha midig ee wadne chronic waa arrin xaq magacaabidda digoxin glycoside wadnaha.

jaaniska daaweynta tallaabo wanaagsan ee cudurka waxay ku xiran tahay xaddiga burburka xubnaha buka iyo cuduro kale. therapy ugu daran in bukaanka qaba dhiig-karka pulmonary hoose iyo thromboembolism soo noqnoqonaysa. Marka decompensation bukaanka wadnaha oo shaqadiisa gaba xaq qaab raaga, Filashada ay nolosha waa wax ka badan saddex ilaa shan sano.

deficiency go'doon

More dhawaan, cilmi ku mashquulsan yihiin go'doon failure ventricular midig, kaas oo noqday ka dib bixitaanka habab cusub oo qalbiga ku jira waxbarashada. Qubarada ayaa lagu ogaaday in uu keeno waxaa laga yaabaa in cudurrada sambabada, iyo sidoo kale cillad ee weelashii wareegga pulmonary iyo ventricle saxda ah. Waxaa lagu soo gabagabeeyey karaa in bukaanka qaba cudurada sanbabada kiis kasta, wadnaha ah, kuwaas oo loo arki karaa dhibaatooyin keentay. Primary wadnaha xaq ah waxaa laga heli karaa mid aad u dhif ah. Sida caadiga ah waxaa la xiriira cilladaha lagu dhasho.

Waxaan ka fikiray wax sida saxda ah failure ventricular sida. Daaweyntu waxay ku tilmaamay si faahfaahsan.