dongosolo mtima ndi kupereka zonse magazi iliyonse mpweya katundu chachiwiri ndi zakudya ziwalo onse a anthu ndipo chifukwa cha phindu lake mkulu palibe angatsutse. Ndipo ziri ngati inu muli ndi chisokonezo pang'ono chifukwa cha cascading zolephera ndi zochita mu machitidwe ena onse, choncho nthawi zonse zizindikiro. Koma momwe izo anapanga mosamala ziwiya mtima ndi magazi? Kuti tichite zimenezi, pali njira zambiri.
anayendera
Pamene wodwala choyamba amakopeka ndi dokotala kapena ngati muyeso prophylactic madandaulo (thupi) kapena zenizeni, katswiri ayenera kukhala ayenera kuyesetsa kudera la mtima ndi phunziro yosavuta thupi ndi offshoots ake. Choncho, choyamba dokotala onse amachita kudzifufuza ambiri wodwala kulabadira khungu lake (matenda a dongosolo lino angakhale woongoka, ndipo ngakhale cyanosis, ozizira wandiweyani edema, kukha magazi zing'onozing'ono), boma la zimagwira ntchito zosiyanasiyana zooneka mucous (jekeseni wa sclera, ndi zolengeza woyera m'tsinde mwa lilime) , kupanga dongosolo minofu ndi mafupa (hypotension, kufooka, dystrophic kapena M'malo mwake, kunenepa), chikhalidwe cha zimachitika (kukhalapo kwake ndi nthawi pa manja onse, atagwira zimachitika mu mitsempha jugular). Kenako, dokotala ali wofunikila kuchita Kupenda ngati a mtima, monga percussion ya malire ake, zomwe zimasonyeza hypertrophy ya maselo payekha. Onetsetsani kuti amathera auscultation wake ndi chiwerengero chiwerengero cha contractions mtima, Lofotokoza kamvekedwe ake, kayimbidwe kotani, nkotheka pathological phokoso.
mbiri
Pomaliza, kuyeza magazi, chifukwa ndi chizindikiro zofunika a boma la dongosolo mtima. Kenako, dokotala chofunika tsatanetsatane amadandaula chifukwa zonse mtima Kupenda chikuphatikizapo mbiri zambiri zachipatala. Choncho, matenda a dongosolo mtima amakhala ndi kupweteka m'chifuwa (zambiri onongani, compressing khalidwe) kapena, yeniyeni, kumbuyo sternum ndi dyspnea (kumachitika pamene kuchuluka zolimbitsa thupi mu yachibadwa ndi kudwala - pa katundu kuwala ngakhale zina), palpitations ndi kumverera aliyense "kusokonezeka" wa mtima, kuthamanga magazi zizindikiro kuthamanga (mutu, chizungulire, kulemera mu thupi). Onetsetsani zikuoneka nthawi ya asayembekezere, zinthu zimene zimachititsa kuti ndi liquidating mwamphamvu awo.
mbali zina zofunika
Komanso kuona mtima komanso chakuti mtima akafunsidwa zimene akusimba chitukuko cha matenda, ndipo potero akudzizindikiritsa mfundo zoopsa. Motero, zingakhale amphamvu maganizo mantha madzulo a (imfa ya wokondedwa, ntchito maganizo), zitsulo kapena kugwira ntchito zamanja ndi nkomwe. Kukhala ndi zizindikiro ndi kusintha mu nyengo. muyeso wina n'kofunika chibadwa, chifukwa matenda ambiri (shuga, matenda oopsa, matenda a mitima) amakonda kusamukira ku m'badwo wotsatira. Childs, mbiri amatengedwa bwino amapereka 50% matenda wodwala matenda. Pambuyo kukambirana ndi wodwalayo komanso akuchititsa Kupenda ake, dokotala ayenera kutumiza kuchipatala ake kuona za mumtima. Tiyenera kukumbukira thunthu ndi Maphunziro Akakhalidwe Kazolengedwa za thupi.
A pokha pa mtima yachibadwa
Choncho, m'pofunika, ziri kulankhula, mpope, wopangidwa makamaka a minofu ndi zovuta dongosolo mtima. Mkati lili zipinda zinayi kulankhulana ndi wina ndi mnzake mu njira zina ndi kuonetsetsa kayendedwe zonse magazi. mtima A yokha mosalekeza mgwirizano ndi kupumula ake dongosolo zimakhala wochititsa ali anawoloka ndi zikhumbo mitsempha, potero kupangitsa alternating minofu mavuto aliyense chipinda ndi kutsegula-kutseka mavavu therebetween. Ndipo chifukwa njira zonse kuona mtima kupita kapena kumasulira kwa thupi thunthu (ultrasound, Doppler sanjira, CT jambulani chifuwa X-ray, njira radioisotope) mwachindunji mitsempha ndi mitsempha (woomba ziwiya kwambiri, angiography, inatsekeratu angiography) kapena pa kafukufuku wa boma conduction ake system (electrocardiography, njinga ergometry) kapena audializatsiyu ake malankhulidwe ndi phokoso (phonocardiography).
echocardiography
Monga mukuonera, mtima kuona ayenera kukhala zofunikila, zofunikila, osati kuphonya asakuoneka. Chifukwa kugonjetsedwa kwa dongosolo mtima zikhoza kukhala chiwonetsero cha matenda wodziimira ndi zotsatira za dongosolo kudwala. Ngati ife kulankhula za zithunzi njira matenda oyamba mumaganiza echocardiogram, kapena monga limatchedwanso, ultrasound za mtima. Izo zikusonyeza unit pa phunziro ili yofunika, mukhoza ndikuganiza komanso molondola. Ndi ozama kwambiri mu minofu ultrasound ndi kubwerera iwo kumbuyo pa chithunzichi chimaoneka pa zenera kuti amalola kuti asa- kapangidwe ka mtima, kukula kwa cavities ake, dziko la mavavu ndi ziwiya lalikulu. Plus, njira iyi si olanda ndipo popanda mipita cheza choncho angagwiritsidwe ntchito ngakhale kwa amayi oyembekezera, kuyamwitsa ndi ana. Ngakhale zosavuta yopangidwa tomography simungakhoze galimoto ndi ultrasound matenda.
ubwino wa ultrasound
Pamisinkhu yosiyanasiyana gestation mtsikana akapitirira nthawi yoopsa mtima ultrasound izo zikusonyeza setifiketi ductus arteriosus, mtima stenosis pakamwa, prolapses kapena vavu kulephera, boma la yamitsempha yamagazi ndi matenda septal ndi malformations ena kobadwa nako. Ubwino wina ofunika njira wodwalayo ndi bungwe mankhwala cheapness ake wachibale, kuthekera kukwaniritsa outpatient, maphunziro yochepa, komanso kulandira chithunzithunzi n'kamodzi ndi kulandira kutanthauzira kwa deta onse. Ndipo chifukwa wotchuka ntchito kwa matenda ultrasound za mtima.
Kodi ziwiya kafukufuku
Mu anthu wonenepa, ndi odwala matenda a shuga ndi zotupa ambiri a dongosolo mtima ndi zotupa atherosclerotic ziwiya magazi, komanso hyalinosis makoma awo. Choncho, m'pofunika kafukufuku zotengera za mumtima, chifukwa okha chakudya thupi ili yofunika ndi kuti ntchito kumafuna zedi wa mphamvu ndi magawo zatu. Choncho, choyamba femoral kapena womwe ndi mtsinje subclavian, catheter ndi anaikapo, imene kusiyana sing'anga chimadzaza ziwiya, kuoneka bwino pa zenera X-ray. The njira zofunika kwambiri atherosclerosis, matenda ischemic mtima, m'mnyewa wamtima infarction ndi inatsekeratu zotengera za kuona mtima. Limavumbula kupitiriza awo, chikonzero cha sitiroko awo. Komanso moyang'aniridwa ake akutsatiridwa ntchito zambiri mu chiwindi zofunika.
zotsatira
Choncho, njira ya kufufuza matenda mtima ndi mtima pa nthawi ino, pali ambiri, koma aliyense wa iwo ali ndi zizindikiro okhwima ndi contraindications, ndi chifukwa iwo amathera aliyense chuma zosatheka ndi diagnostically tanthauzo. Ndipo chifukwa ndi imodzi mwa mfundo za Dokotala oyenera amene mosamala prokuriruet mtima ndipo perekani mankhwalawa koyenera kapena kupita ku ulamuliro ndi woyenera.