Mea'ōnaehana mānowai koko'ōnaehana ma ka hoʻolako 'a eia i ke koko kahe na lua o ka lako o oxygen, a māhuaola i nā mea a pau kanaka nā loko, a ma muli o kona kiʻekiʻe waiwai o C. Brewer. A me ia mea no laila, inā 'oe i ka mea, i ka iki ka haunaele, kauoha ae ma ka cascading hoʻolako' ole a me ka reactions i loko o nā mea a pau'ē aʻe nenoai, a no ia mea mau i symptoms. Akā, pehea ka mea, ua i ka ninaninau ana i na ipu naau a me ke koko? E hana i kēia, ua nui na ano.
nana
A i ka hoomanawanui ua e holo ana i ke kino a me ka prophylactic ana (physical) ole kekahi hoopii mua, i ke akamai pono e ka pono-ike wahi o ka naau, a me ka mea study o ke kino a me kona offshoots hoʻomaka. No laila, mua o nā mea a pau i ke kauka hanaʻia he mau ninaninau o ka hoʻomanawanui ma ka uku noonoo ana i kona ili (i loko o na maʻi o keia'ōnaehana i e kona maka, a hiki cyanosis, anu anuanu edema, uuku hemorrhages), i ka noho ana o ka hiki mucous membranes (ka ka pahu kui o ka sclera, ke keʻokeʻo plaque ma ke kumu o ke alelo) , ka hooulu ana o ka musculoskeletal'ōnaehana (hypotension, nawaliwali, dystrophic paha, ma ka mea ku ole, obesity), i ke ano o ka lāʻau ikiʻai wale (kona alo a me ka manawa ma luna o nā lima, paa i ka lāʻau ikiʻai wale i loko o ka jugular aa koko). Next, ke kauka ua koi 'ia e lawe mai i ka hookolokolo ana o ka naau, e like me ka percussion o kona mokuna, a e hoike i ka hypertrophy o na kanaka keena. Mai poina e pana aku au i kona auscultation me ka helu ana i ka helu o ka naau contractions, ka pae'āina kona leo, pāpana, hiki pathological leo.
mōʻaukala
Eia hoi, e ana i ke koko,, no ka mea, mea nui he anakahi o ka moku'āina o ka mea'ōnaehana mānowai koko nenoaiu. Next, ke kauka ua koi 'ia e au mamuli o ka hoʻopiʻi no ka piha cardiac ninaninau ka loaʻa o ka piha' inikua mōʻaukala. Ke'ōlelo mai, no ka maʻi o ka mea'ōnaehana mānowai koko'ōnaehana ua wehewehe aku ma ka umauma na eha, (pinepine palaoa, compressing ano) a, oi kaʻoi loa, ma ke kua o ka sternum, dyspnea (ia lŘlŘ ka wā mahuahua physical hanana hulina i ka maʻamau, a ma ka pathology - ma ka malamalama e haawe ai a hiki i maha), palpitations a e manao ana i kekahi "hoʻohuikau" o ka naau, kiʻekiʻe ke koko, symptoms (headaches, pōniuniu, ehaeha i loko o ke kino). E hōʻoia i eia kahi mea akaka i ka manawa o ko lākou mau hanana, kumumea i kāhea a liquidating lākou pinepine '.
Other nui, ao ke ano
¶ A i loko o ka hookolokolo ana o ka naau nā i ka mea i ka hoʻomanawanui ua noi mea ia i pili i ka ulu ana o ka maʻi, ma laila nä kamepiula aʻe. Penei, ka mea hiki ia i ka ikaika mea naʻau nń ma ka Ewa o (i ka make ana o ka mea i aloha ai, 'oihana stress), ke kaupaonaʻana punohu a hana physical hana, a aneane. Ulu ka symptoms a me nā loli i ka nana ana. Kekahi mea nui ana o nā kūpuna mai, no ka mea, ka hapanui maʻi (mimikō, hypertension, coronary naau maʻi) kamaʻilioʻana, e hoolilo i ka mea e hiki mai hanauna. Nō kāu, o ka ohi mōʻaukala akau haawi 50% o ka hoʻomanawanui ka lapaʻauʻike. Ma hope o ke kamailio ana me ke ahonui a me ka hoʻokō 'ia' kona ninaninau, ke kauka e hoouna mai i kana hanai, i ka hookolokolo ana o ka naau. Mākou e hoomanao oukou i ka'anatomia a me physiology o ke kino.
A wahi o ka maʻamau naau
No laila, ia mea,'ōlelo koʻikoʻi akula olelo ana, o ka EII ni, iloko olaila ka hapanui o ka Muscle a me ka luna 'vascular kahua. Loko ka mea, he eha keena pü ana me kekahi i kekahi ma ka kekahi alanui, a no ka hōʻoia 'ikaika neʻe ana o ke koko. A naau ia i noke aku i ka aelike a hoʻonānea i loko o kona nā'aʻaʻa alakaʻi mele 'ole i kēlā ma nā aʻalolo impulses, ma laila e kauoha ana alternating Muscle hoʻopilikia ana o kēlā me kēia keʻena, a me ka puka-panina kiwikā therebetween. A no ka mea, i nā kiʻina hana a pau o ka naau ninaninau hiki ke kuhikuhi kekahi i ke komoʻana o ke kino'anatomia (ultrasound, Doppler kŰia ha, HI scan NineManga.com, umauma X-Ray, radioisotope epekema) 'ana arteries a me aa koko (e hoʻokani ana na moku nui, angiography, coronary angiography) a ma ka hoʻopaʻa' ana o ka moku'āina kona conduction'ōnaehana (electrocardiography, paikikala ergometry) ai kona audializatsiyu nanahe a me ka haalulu nui (phonocardiography).
echocardiography
E like me 'oe ke ike, pono pono e piha ka naau ninaninau, nā moʻolelo,ʻaʻole e hala i kekahi mea mai ka maka aku. No ka mea, o ka make ana o ka mea'ōnaehana mānowai koko'ōnaehana i e kekahi kīnā o ka kūʻokoʻa maʻi, a me ka a no o ka pathology kahua. Inā mākou e kamailio e pili ana i ka pilikia makapō PalekanaEND_LINK ki ina hana like, ka mua ke hele mai i ka manao echocardiogram, a me ka mea ua kapaʻia nō hoʻi, ultrasound o ka naau. E hōʻike mai ana i ka pa alima i keia nui study, e hiki ke koho a kekahi hoʻonohonoho. Ma ka penetrating hohonu i loko o ka'aʻaʻa ultrasound, a hoʻi aku hoʻi i ke kiʻi 'ōili mai ma luna o ka pale i leie aku oe e loiloi i ka' ole o ka naʻau, no ka nui o kona cavities, o ka moku'āina o kiwikā a me nā ipu. Eia kekahi, ia iaoiaeii mea ole-invasive, a me ka pāhawewe ala, a nolaila, e hiki ke hoʻohana i no ka hapai wahine, umauma-e ai ana, a me na keiki. Ina oi efficient Me tomography nō hiki iā lākou ke kipaku i ka PalekanaEND_LINK ultrasound.
pono o ka ultrasound
Ma kekahi mau kahua o ka hoʻonaʻauao o ka gestation wahine hele kekahi manawa fetal naau ultrasound e hōʻike iaoaioa ductus arteriosus, vascular stenosis mau waha, prolapses a kiwikā o ka hoʻokō 'ole, i ka noho ana o ka ventricular a me ka atrial septal a me nā congenital malformations. ʻO kekahi mea nui ia Morohiha o keia hana no ka mea hoʻomanawanui a me ka 'inikua kula o kona hoahanau cheapness, i ka manawa kūpono o ka hooko ana mai outpatient, pōkole-makahiki haʻawina, e like me ka pono i loaa wā kope kēia, a loaa i ke ano o ka mea a pau i nā ikepili. A no ka mea, no laila, mahalo e hana no PalekanaEND_LINK ultrasound o ka naau.
He aha ke ano o na ipu noiʻi
Ma obese kanaka, a me nā mea maʻi i mimikō ka loa, he pono ole lesions o ka mea'ōnaehana mānowai koko'ōnaehana i ka atherosclerotic lesions o na ipu koko, e like me hyalinosis lākou mau pā. Nolaila, e mea pono ia ana na moku o ka naau, no ka mea wale nō ka mea, e hooluolu iho i keia kino nui, a no ka mea, ke hana pono i ka weliweli nui o ka ikaika a me ka nutrient substrates. Penei, mua i ka femoral a me ka subclavian artery, ka catheter ua hookomoia, ma a ka Akä naÿe meakino hoopiha ana i na ipu, maopopo iho la i hiki i ka X-Ray pale. Ka mea nui wale papa hana no ka atherosclerosis, ischemic maʻi o ka naau, myocardial infarction mea coronary moku o ka naau ninaninau. Ua hōʻike mai lākou ka hoʻomauʻana, pono o ko lākou hahau ana. Nō hoʻi ma lalo o kona hooponopono i lawe mai na mea he nui ana i loko o kēia hui, nui.
hualoaʻa
Penei, nā kiʻina hana o ka hoʻokolokolo 'ana o ke cardiac a me ka vascular mai i ka i keia manawa, he nui, akā, kela mea keia mea o lakou, ua ikaika nāʻikepili a me contraindications, a no ka mea, lilo kēlā a me na hoʻokele waiwai unrealistic a diagnostically meaningless. A no ka mea, o ke ki hehee ai o ke akamai kauka nana akahele prokuriruet ahonui, a hāʻawi aku i ka mea e pono lapaʻau 'ole e hele i ke akamai o ke kauoha aupuni.