CHF: Mea Maluna. Symptoms o ka maʻi naʻau ole lapaʻau

Maʻi naʻau ole, na symptoms o i e e hōʻike i hoakaka ia, o ka pathology, symptoms a i pili me ka circulatory ka pioloke. State kaulana ma ka maha, a i stress, a ua hele pu me ia e ke kali hou aku i loko o ke kino loli. Iapaau ana o ka mea'ōnaehana mānowai koko maʻi i loko o ka hapanui medically a comprehensively hana. 'Eleu komo i ke kauka ka paipai' ana i ka oi kokololio loaa o ke koko a me ka hoʻopau i ka maʻi. Next, nā lāliʻi o ka mea kūpono ai CHF mākou noonoo. E e hoakakaia no hoi ka Mea Maluna o ka maʻi, symptoms a me ka pākōlea uao ai 'i loko o ka pauku.

Overview

CHF, a mea he nui Mea Maluna ua muli ma ka ka ho'ēmiʻana o ke kino akamai, e EII ni ke koko i ka emptying a hoopiha. Keia ano ua kena ae la, mua o nā mea a pau, Muscle lesion. Like nui o ka imbalance o nenoai ka heluna i ka mea'ōnaehana mānowai koko ha awina.

lapaʻau kiʻi

I hoikeia maʻi naʻau ole? Symptoms o na kēia mau maʻi:

• Pokole o ka hanu - kai kohola a me ka hoʻokēʻai hanu.
• Luhi - hoemi i ka portability oʻike mau hoounauna.
• ʻike ākea edema. Ka mea, i hookuu hou ma luna o ka wawae a me ka wawae, ma manawa, ala ma luna, e holo ana i ka uha, o ka mua paia o ka peritoneum, pūhaka, a no laila, ma luna o.
• cardiopalmus
• Cough. I ka loiloi mua kahua o ka hoʻonaʻauao ka mea, ua maloo, a laila, hoʻomaka e kaawale sparse sputum. A laila, ka mea hiki ke 'akomi i ma ke koko ho'ā hope.
• Position orthopnea. Ke hoomanawanui i pono, e moe me kou poo ke kiekie (ma cushions, no ka laʻana). Ma ka i lalo papamoe wahi hoʻomaka e ulu pōkole o ka hanu a me ka cough.

pathological palapala

I loko nō o ka ana o ka pākōlea uao ai ', i ke ahonui o ka kulana e deteriorate. Ma keia hihia, no ka nele i ka hoʻokolokolo ponoʻike, o ka naau a me ka circulatory kahua. Deep noiʻi, e hōʻike mai i ka huna triggers. CHF kaʻawale kēia mauʻanuʻu:

• Ka mua (loiloi mua). Ma kēia kahua,ʻaʻohe CHF circulatory kāna hana. I ka echocardiography hōʻike i ka huna dysfunction i loko o ka ventricle hema.
• A lua (symptomatic). State ua wehewehe aku ma ka hihia hoʻi hemodynamics (koko neʻe) o kekahi o na koʻikoʻi a hanohano.
• Ka lua o B (loa). Kēia kahua Ua wehewehe aku ma hemodynamic instability i loko o nā koʻikoʻi a hanohano. Nō hoʻi ka mea kaulana pio kino hale a me ke koko kaha.
• Ka lua o ka (hope). State ua pu e hihia hoʻi hemodynamics'ōlelo ai. Kaumaha pinepine irreversible loli i loko o ka 'ole o ka pale umauma hoʻokahi nā loko hoi i typical no kēiaʻano o ka naau ole.

pathology Mea Maluna hiki no hoi ia e mālama 'ia ma kulike ai me ka ooieoeiiaeuiiai type. A pau eha o lakou.

ooieoeiiaeuiuo ano

Like i loko o ka mahele mua, loli i ia i loko o ke kauoha o ka hou a me ka mea hōʻemi, a hiki aku i ke kāʻei kua o ka hoʻomauʻana pākōlea uao ai 'no ka maʻi naʻau ole' akomi i. Mea Maluna e like me ka hanaʻAno like penei:

• No ka meaʻano mua ua wehewehe aku ma ka wa e kaawale aku o ka hoʻokumu 'ana o physical haʻawina. A kohu pono physical ha awina i ke kino o ka hoʻomanawanui hiki tolerate me ka hoike ana i na hoailona o ka maʻi. Kali koi moku'āina 'ole dyspnea kānāwai ka wā i overvoltage.
• No ka mea lua oʻano ua wehewehe aku ma ka palena o ka ha awina i ka uuku loa. Pathology Aʻole e hoike ia ia iho ma ka maha. Ka mau, mau kino me ka tolerated e hoʻomanawanui iki mai me ka pokole o ka hanu, ka luhi, a me kaoo pāpana. Ma kēia kahua, loa paipai cardiac lapaʻau 'ana.
• I ke kolu o kaʻano he mea he oi nui haʻawina kaupalena. Discomfort i loko o ka hoʻomanawanui i koena e nalowale. Emi, pili ma mua o mau physical exertion ua pu ma ka hoike ana mai o na hoailona o ka pathology.
• A hiki aku i keʻano ha o kekahi ha awina o ka hoʻomanawanui ua pu ma kaʻawaʻawa loa ka waiʻona ma ke. Na hoailona o ka pathology malama ma ka hoomanawanui i koena, amplifying me iki physical hana.

congestion ciia

Ke kaumaha ma muli o ka preferential IIeEeAIEUAA o kāna hana, i ka hoʻomanawanui i ke hōʻike ':

• Pono ventricular ole. Ma keia hihia, ke stagnation ike i loko o ka pulmonary - pulmonary koko kaha.
• Haʻalele ventricular ole. Ma keia hihia, IIeEeAIEUIeXAIIUE congestion ma ke kaiapili nui - i loko o ka auwai a ke koko o nā mea a pau nā loko, koe na ia maʻiʻaʻai.
• Dvuhzheludochkovaya (biventricular) ole. stagnation o ke koko i loko o keia hihia ua malama i loko o nā puni i kahi hoʻokahi.

pae

Iapaau ana o ka mea'ōnaehana mānowai koko mai ua wae mai ai ia e like me ka lapaʻau kiʻi. Ka hoike ana hilinaʻi ma ka IIeEeAIEUAA o pathologies kāna hana a me ka precipitating kumumea. Like nui i loko o ke koho ana o Inc i ka mōʻaukala o ka maʻi. CHF hiki e pili me kaʻole diastolic a / a me systole. Alaila, hōʻike mau pathologies kūlana. Ma kekahi, he mea:

• Systolic naʻau ole. Ua Ua pili me ka kāna hana systole - i ka manawa o ka ventricular contraction.
• Diastolic ole. Kēia pae i ka 'aʻe' ana o diastole - ventricular hoʻomaha manawa.
• Hui palapala. Ma keia hihia, eia aʻe 'o diastole a me ka systole.

kumu

Ka wā koho i ka pākōlea iaoia no ke kāpaeʻana CHF ka papahelu pae a me ka shape i mea nui. Eia naʻe, nui o ka 'ike o nā kumu a me ka pathology. Maʻi naau ole hiki e kena ae la ia e:

• Myocardial infarction. Ma keia ano he mea he luku ana o ka naau Muscle, ua pili i ka cessation o ke koko ia ia.
• CHD i loko o ka wa e kaawale aku o myocardial infarction.
• Hypertension - paakiki māhuahua puʻe.
• Ka lapaʻauʻia. Ma 'ana, ka pathology hiki hoʻomōhala ku pono ana i ka hoʻohana' ana o anticancer ai 'a me medicaments no ka ke ola kōmi.
• Cardiomyopathy - naau Muscle eha i loko o ka wa e kaawale aku o abnormalities o na arteries iho kino a me kona kiwikā lesions, e like me hypertension.
• Mimikō.
• Thyroid lesions.
• Kāna hana o ka adrenal kuleana pili i.
• Obesity.
• Cachexia.
• Ka nele ana o ka helu o ke kumumea oihana mua a me nā wikamina.
• Amyloidosis.
• Sarcoidosis.
• HIV maʻiʻaʻai.
• Maʻiʻaʻa puʻuwai insufficiency.
• Atrial fibrillation.
• Heart hihia.
• Maloo a me ka exudative pericarditis.
• Congenital a ua loaa ka naau mā.

'Ike o ke pathology

ʻike, "CHF" ua kau ma luna o ke kumu o ka Ikepili o ka hoopii a me ka anamnesis. Ma ka hālāwai ninaninau me ka kauka, mai hai aku i ka hoʻomanawanui ia malaila i na hoailona o ka pathology a me ka mea hoʻohuiʻia ia maʻi. Ua i ikeia kekahi maʻi puʻuwai a pau i ke kanaka, a me kona ohana. Hoʻomalu pono ike e pili ana i na laau lapaau ia e ka hoʻomanawanui. Ma physical ninaninau, e auhau i ka ili kala like 'ole, i ke alo o ka edema. I ka wa e hoolohe ana i ka naau i ka manao paha o ka leo makana. I hoike i ke alo o ka congestion i loko o nā maʻiʻaʻai. I koi 'ia haʻawina ia mimi a me ke koko e ho'āʻo ai. Research hiki huai ae comorbidities i e ho ololi i ka papa o CHF. Lapaʻau ma keia hihia ka luna ', nona ma ke kāpaeʻana kāʻei kua maʻi. Hoonoho like biochemical koko. E like me nā hualoaʻa hoʻoholo 'ia e ka lehulehu o ka naʻokoko a me kona mahele, urea, creatinine, pulapula o ke, potasiuma. Ka Ikepili ma thyroid hormones. Ke hoʻomalu i koi 'ia ka immunological mahele. Ma ka mea, ua nānā 'ana i ka nui o nā mea'aʻaʻa i ka naʻau a me ka'aʻaʻa microorganisms.

Haʻawina hoʻohana lako a

ECG apono 'e Loiloi i ka pāpana o Kal, hōʻike arrhythmias, kino nui oihana, e like me ke kuhikuhi i ventricular scarring. E kālailai i ka leo ua hoʻohana phonocardiogram. Me ke kōkua o ka wānana o ka nohona kiwikā o ua nānā 'ia ma ke alo aku o ka systolic a diastolic leo. E loiloi i nā hale a o na ia maʻiʻaʻai a me ka naau ua hoʻohana 'papu radiography o ka sternum. Ua like ka kekahi, e hooholo i ka nui a me ka leo o ka hui, kēia, pumping koko, e hooholo i ke alo o ke stagnation. Echocardiography ua hoʻohana 'ia e noiʻi ana i mau mea o ka naau. Iloko o ke kaʻina hana i ho'ākāka 'ia ma ka pā pōhaku kona mānoanoa pauku a me ka nohona kiwikā. Nō hoʻi, ka hoʻohana 'ana echocardiography hiki ke' akomi i hoʻohikiʻia ma ka mahuahua ma ka puʻe i loko o nā ipu pulmonary. Ka Ikepili o ke koko pele hana i dopplerEhoKG. Kou kauka i koi 'ia a me nā noiʻi, ma ka hou ana i ka poe i ho'ākāka' ia.

CHF lapaʻau: koi

Mua o nā mea a pau, i ka hoʻomanawanui ua häʻawi mai ai iä ka kūikawāʻai. Keʻai kaupalena 'dala o ka paʻakai i ekolu nā huna o ka wai a hiki i 1-1.2 nā lika i ka lā. Products E e oluolu e hōʻuluʻulu, e ia o kona kulana kiʻekiʻe-calorie, wikamina a me kumuʻiʻo i loko o ka koi 'ia dala. Mau i ka hoʻomanawanui e lawe mai he pāʻumi. kaupaona ana waiwai o ka oi ma mua o 2 kg no 1-3 lā ka mea, IeAUPIIe, IAa IO hōʻike o ke kali hou aku i loko o ke kino a me ka loli decompensated naʻau ole. Iapaau ana i kekahi komo manaʻoʻike kōkua. Ua AIM e hōʻeleu i ke hoʻomanawanui i ka ke ola. Manaʻoʻike kōkua hiki ke hoakaka ia, a me ka hoʻomanawanui ka hoahanau. No nā mea maʻi i kupono e haawi i loa wahie. ha awina pae ua nānā 'ana no kēlā me kēia ahonui pākahi. Koho E e haawiia i hōʻeuʻeu wahie.

Ke kumu o lāʻau Inc

Ai 'no ka naau ka hoʻokō' ole, ua māheleʻia i loko o nā pūʻulu: iniiaiie, nā haumāna a me nā kākoʻo. Ka mua pūʻulu kikowaena.

• ACE nā mea kūpale. Ka mea, he hoʻonui e 'ūlōlohi i ka Holomua o ka maʻi, e hoomalu mai i ka naau, puupaa, ipu koko, hooponopono ana o ke koko,.
• angiotensin mea loaʻa hakaka. Mau hana paipai no hypersensitive ACE nā mea kūpale ai pu me ia ma ka hui pu ana.
• Hoʻokolohua-blockers ( "Concor" ai ', "Inderal" a me na mea e ae). Kēia mau mea i ka mana hoʻomalu ma luna o ka manaʻo koikoi a me ka lākiō o ho'ēmi i antiarrhythmic hopena. Hoʻokolohua-blockers e lawelawe i loko o ka huipūʻana me ka ACE nā mea kūpale.
• Diuretics ( "amiloride" ai ' "Furosemide" a me na mea e ae). Mau mea kōkua i ka hoʻopau mai i ke kino o ka oi fluids a me ka paʻakai.
• Cardiac glycosides. Kēia mau mea i advantageously lawelawe i loko o nā māhele uuku no atrial arrhythmia.

hou kālā

• Pāhoehoe i kauoha mai ai i loko o ka hanana i ka aoao o ka naau ole i loko o ka lokomaikai o ka CHD.
• Anticoagulants oʻauhau'ēʻaʻe hana. Hoomakaukau o keia pae ua ia he kiʻekiʻe pahiki o thromboembolism a me atrial fibrillation.

ancillary ai '

Mau huahana i koi 'ia ma kūikawā hihia, ka wā kaheaia complications. Mau nā:

• Nitrates. Mau konohiki hoʻoikaika 'ana i ka pele, a dilates ipu koko. Lapaau o keia pae pau i waeia no ka angina.
• Kalipuna hakaka. Mau lapaʻauʻia i hōʻike ma abutment angina, hypertension (? Eaia), ua hoʻokiʻekiʻeʻia i loko o ke koko, o ka pulmonary auwai a, ole'ōlelo ai kiwikā.
• Antiarrhythmics.
• Antiplatelet konohiki. Mau konohiki i ka hiki e degrade coagulation inhibiting platelet agglutination. Medicaments o keia pae e hōʻike i ka haumāna Kāohiʻana o ka infarction.
• Neglikozidnye inotropic stimulants. e hoʻohana 'ia kēia mau kālā i loko o ka na hiohiona emi ana i loko o ke koko, a me ka naau ikaika.

ʻoki lāʻau lapaʻau ki ina hana like

I ka wa e kaawale aku o ka lāʻau waiū pili ka hoʻokōʻana operative me mechanical 'ākeʻakeʻa. Ma 'ana, ka hoʻomanawanui hiki ke lawelawe:

• Coronary artery holo alaʻokoʻa pakuiia auanei lakou. Hana hana i ka wa i olelo ia atherosclerotic vascular lesions.
• ʻoki lāʻau lapaʻau? Iaea o ka nohona kiwikā mā. Ke 'ākeʻakeʻa ua lawe mai i loko o ka hihia o ka loa stenosis (hou) a me ka nohona kiwikā ole.
• Hui, transplantation. Transplantation o ka naau, ua hala loa drastic ana. Kona manaʻo komo ai i ka helu o ka pilikia.
  
  - paha rejection;
  - lawa ole ka helu ana o kona mau pou nā loko;
  - ke koko kaha pio o ka transplanted hui, iki paʻakikī i ka pono.

• I ka hoʻohana ana iʻimi hoʻopunipuni maalea, e hiki hoʻolako circulatory kākoʻo. Ka mea, hoʻolauna 'ana i loko o ka hoʻomanawanui. Ma hope iho o ka ili 'ilikai ka mea, e pili ana me ka o na pu ki aia ma luna o ka hoʻomanawanui ka kāʻei. Naʻe, ke noi nakeke ua pu aku la keia e pilikia. Ma 'ana, ka pahiki o infectious complications, thromboembolism a me ka thrombosis. Ua ālai 'oi nui ana o ke kaa, a me ko lakou waiwai e lilo aku kiʻekiʻe.
• E ho ohana i ka laholio pūnaewele? Aieao. Ka mea, o Hoamakeikekula i ka naau ma dilated cardiomyopathy. Keia ana i mea e hiki ai, e 'ūlōlohi mai ana i ka mahuahua ma ke kino nui, hoʻoikaika i ka ka hoʻokōʻana o ka lāʻau waiū, hoʻoikaika' ana i ka hoʻomanawanui ka kulana.