Kodi ululu mu sternum pa lamanzere

Munthu aliyense akudziwa kumene mtima ili. Choncho, pamene pali ululu mu sternum kumanzere, pafupifupi munthu wina akufunsa funso, ndichiyani, monga yankho okonzeka pasadakhale - ndi mtima. Koma kodi nthawi zonse?

Kuti timvetse, yomwe ululu mu sternum kumanzere, muyenera kudziwa chiyani kumeneko. Kuwonjezera mtima, m'dera limeneli ndi kumanzere waukulu bronchus, mbali ya m'mapapo kumanzere, ndipo chigoba chake wolemera molekezera mitsempha. Komanso pali gawo la mediastinum, amene kumafuna misempha, ziwiya lalikulu magazi monga msempha. Kuwonjezera mtima, pali chigoba chake, wotchedwa pericardium, komanso wolemera molekezera mitsempha. Musaiwale za chifuwa, chifukwa nthiti mitsempha ndi mitsempha, komanso nthiti imayendetsedwa ndi minofu intercostal.

The matenda ambiri kuti anthu akufa adzakhala ndi matenda a mtima. Kwenikweni matenda chifukwa cha matenda a mtima, monga arrhythmias zosiyanasiyana, angina, m'mnyewa wamtima infarction, komanso myocarditis, pericarditis, endocarditis (koma ndi zosakwana matenda pamwamba pa maadiresi). Onse a matenda izi zingathe kudzetsa ululu mu sternum kumanzere, koma kupweteka kwa aliyense matenda osiyana Chrixitu. Mwachitsanzo, mu ululu angina ndi constricting ndi angaperekedwe ku dzanja lamanzere kapena kumanzere kwa khosi, ndipo nthawizina pali kumverera chosokonezeka mu dzanja. Kutalika kwa kupweteka kwa sternum kumanzere si upambana 15 - 20 Mphindi ndi chitadutsa mwamsanga pambuyo kutenga nitroglycerin. Pamene vuto la mtima ndi ululu mu sternum kumanzere (koma osati nthawi zonse), koma ndi kovuta kwambiri, nthawi zina kufika ku mantha a etiology mtima. Wodwalayo angasiye kutsitsimuka, kutentha akhoza adzaukitsidwa, pali thukuta lolemera, ululu limaperekanso kudzanja lake lamanzere, kumanzere kwa khosi ndi nkhope. Kupweteka si adathandizapo ndi nitroglycerin, ndipo amafunika analgesics amphamvu ndi chisamaliro apamwamba. Koma nthawi zina matenda a mtima, makamaka achikulire, akuwonetseredwa zizindikiro zochepa, si kupweteka kwambiri, ndipo nthawi zina popanda zizindikiro.

Pericarditis ululu, malingana ndi changu cha kupitilira matenda. Hydropericarditis yodziwika ndi kudzikundikira madzimadzi mu malo pericardial pakati zipolopolo, ngati kudzikundikira kumachitika pang'onopang'ono, ululu sangakhale kapena iye poyamba kakang'ono ndipo inachuluka njira ya kupitilira matenda. Kuchuluka kwa madzi n'kutheka kuti 1 - 1.5 malita ndi zambiri. Koma ngati pericarditis zikuoneka zokha, monga Mwachitsanzo, mu tamponade mtima, ululu mu sternum ya kumanzere lakuthwa, mumamva, si Patapita nitroglycerin.

matenda a m'mapapo angakhalenso chifukwa cha kupweteka kwa sternum kumanzere. Amenewa amanena za m'mapapo anachoka ndi bronchi chachikulu. Matenda akhoza kukhala kudwala matenda pachimake ndi woopsa, popeza kuti pangakhale udzakhazikitsidwe chotupa kapena munthu wina wachilendo, amene ali osowa kwambiri. Kuwala kupereka ululu wa chibayo (chibayo), pamene ndondomeko yotupa akuyendera pleura (m'mapapo chipolopolo), chifukwa kuwala alibe mathero mitsempha ndi siyingawapweteke okha, ndi pleura wolemera iwo. Pankhaniyi, ululu ili kumbali akhudzidwa, izo kumawonjezera pa inhalation ndi pafupifupi kwina pa stoppage kupuma, kotero wodwala amayesetsa kupuma mbali ina. Ena mwa matenda ena kukhala chotupa, chifuwa chachikulu, koma kupweteka kwa sternum kumanzere pamaoneka milandu komwe ndondomeko akuyendera mu bronchi kapena pleura. Pali matenda kugwirizana ndi pleura: a pneumothorax (ingress mpweya wa M'mimbamo pleural) Pleurisy etiologies zosiyanasiyana (ululu mwamphamvu chimaoneka ndi pericarditis), empyema, etc. Tiyenera kukumbukira kuti ululu matenda a m'mapapo ndi pleura zimadalira ndondomeko ya kupuma..

Nthawi zambiri, makamaka achinyamata amadandaula kuwawa lakuthwa mu sternum kumanzere, amene amaganizira kulephera kupuma. Izi Mtsikana wotere ambiri, kusonyeza kuti ndi mtundu wina wa matenda a mtima, koma mfundo zambiri izo intercostal neuralgia, zomwe zidzachitika nkhawa, mavuto yaitali kapena malo pachithunzichi msana. Kupweteka kwa nthaŵi yaitali, nthawi zambiri amachoka lokha pambuyo kutikita m'munda kapena pambuyo sedation. Nthawi zina chifukwa mwina m'dera la osteochondrosis a msana thoracic. Zikatero, tisakhalenso kulabadira izo.

Monga mukuonera, chifukwa ululu pachifuwa kumanzere kwambiri, ndipo zimenezi si mndandanda wonse wa matenda. Mulimonsemo, kuti kudziwa chifukwa enieni, ayenera kukaonana ndi dokotala kupewa mavuto aakulu.