M'mapapo mwanga matenda a mtima ndi mbali ya diagnostics ake

Odwala amene amadwala matenda aakulu m'mapapo, monga ulamuliro, kenako amadandaula mavuto mtima. Ngati pali kulephereka kwa dongosolo mtima ndi, chotero, kuyan'anila za mtima, chikhalidwe ichi amatchedwa mtima m'mapapo mwanga. Aakulu m'mapapo mwanga mtima zambiri amapezeka 3% odwala.

Nthawi zambiri mtima m'mapapo mwanga pabwino monga hypertrophy ndi dilatation (mwina dilatation) wa ventricle komwe akufotokozera chifukwa cha kufalitsa m'mapapo mwanga.

Komabe, madokotala pa nthawi ino pa maziko a maphunziro anapeza kuti dilatation ndi hypertrophy - zizindikiro kuti awonekere lalikulu kwambiri siteji mochedwa matenda m'mapapo mwanga mtima, amene ankachita ovuta kwambiri. Chifukwa tanthauzo la matenda chilango Dziwani kuti m'mapapo mwanga mtima - kuphwanya mphamvu mu makope m'mapapo mwanga, amene ali chomaliza amakhala ndi hypertrophy wa ventricle chabwino ndi magazi.

Pali magulu atatu a matenda chifukwa cha zomwe angathe mtima m'mapapo mwanga:

1. Matenda a dongosolo m'mapapo mwanga, imakhudza mpweya permeability ndi alveoli (aakulu matenda obstructive, TB, fibrosis, etc.). Monga ulamuliro, matenda amenewa m'ma 60% milandu, chifukwa chitukuko cha mtima m'mapapo mwanga.
2. Matenda amene anamukhudza motani thorax ndi zakulera, umene sayenda womangika (kuonongeka m'mbali, ankylosing spondylitis, pleural suppuration, etc.)
3. Matenda imakhudza ziwiya m'mapapo (wolumikizira oopsa, kung'ambika aneurysm, etc.)

Wonse gulu la mtima m'mapapo mwanga kumeneko. Post-Soviet danga mankhwala amakonda gulu, amene amapangidwa monga mwa mayendedwe a chitukuko cha matenda:

1. Pachimake m'mapapo mwanga mtima, amene akufotokozera mu maora pang'ono, mwina mphindi. Childs, mtundu wa matenda chifukwa cha embolism vavu pneumothorax, pleuritis bwino-kwathunthu, ndi pamaso mphumu bronchial (mwachindunji pa kuukira mphumu).
2. Subacute Akor pulmonale, zomwe zimachitika kawirikawiri pambuyo mobwerezabwereza embolism m'mapapo mwanga, odwala mphumu kwambiri. chifukwa mwina botulism, poliyo, carcinomatosis m'mapapo ndi periarteritis nodosa.
3. Aakulu m'mapapo mwanga mtima angathe kwa zaka zingapo ndipo malingana ndi msinkhu wa insufficiency m'mapapo mwanga, osakwanira magazi ndi ufulu yamitsempha yamagazi hypertrophy lagawidwa masitepe 4 chachikulu:

• Gawo loyamba - insufficiency m'mapapo mwanga 1 digiri. Palibe anati magazi kulephera, palibe kuphwanya mafuta zikuchokera. ECG sangosonyeza hypertrophy ndi echocardiography mapulogalamu kudwala izi.
• insufficiency m'mapapo mwanga digiri yachiwiri pa zimene oxygenation limachitika 80%, kuoneka zina zizindikiro za hypertrophy ali dyspnea kale pa mpumulo.
• m'mapapo mwanga insufficiency 3 madigiri, wolumikizira magazi ndi mpweya kale pafupifupi 50%, pali chiwonetsero mwachindunji osonyeza lamanja yamitsempha yamagazi hypertrophy ndi magazi kulephera.
• gawo lachinai, limene amakhala ndi machulukitsidwe mpweya zosakwana 50% ali kale ndi hypertrophy dilation, komanso yodziwika ndi chitukuko dystrophic magazi insufficiency.

Chifukwa cha mfundo za kuthetsa matenda a mtima m'mapapo mwanga - mankhwala a matenda, zomwe zinachititsa kuti zikamera ake, chithandizo amachititsa. Childs, anatumizidwa mankhwala zovuta kuti cholinga chake pa kuchepetsa kuthamanga mu mtsempha wamagazi ndi m'mapapo mwanga, kuchotsa matenda pachimake obstructive ndi mankhwala a matenda a mtima.