Mtima hump: Amachititsa, Matendawa, Chithandizo

Pa nthawi ina kudwala ichi monga hump mtima ndi zachilendo. Ngakhale kuti Zikatero n'zochepa masiku ano, anthu ambiri amachita chidwi ndi nkhani zambiri za limagwirira ndi amachititsa mapangidwe kudwala.

Kodi mtima hump?

Ndipotu, ngakhale zaka 300-400 zapitazo, monga kuswa chodziwikiratu aliyense angadabwe. Mtima hump ndi lofunikira mapindikidwe a chifuwa, mmene sternum ndi nthiti protrude patsogolo, ndipo masamba akwezeke ndi clavicle.

Mwamwayi, mankhwala amakono amapereka njira zatsopano kwa matenda ndi mankhwala, koma chifukwa mapindikidwe ngati a chifuwa n'zochepa (makamaka m'madera ndi osauka / sakudziwika mankhwala, kapena anthu amene pazifukwa wina savomereza thandizo kuchipatala).

Kodi hump?

Mtima hump chifukwa cha kobadwa nako kapena anagula mu zopindika mtima oyambirira mwana. chakuti matenda chifukwa hypertrophy wa ventricles mtima. Chifukwa kuwonjezeka m'mnyewa wamtima misa Kankhani pa contractions umalimba kuposa kuti zoona, izo zimayambitsa mapindikidwe wa sternum lapansi.

Dziwani kuti lofufuma kwambiri mbali imodzi limeneli m'dera pachifuwa akhoza kupangidwa kokha ana aang'ono. Nthawi imeneyi, nthiti ndi sternum sanayambebe zapita nthawi ossification ndi zigwirizana makamaka a chichereŵechereŵe zotanuka, amene kwambiri amenable zambiri zosiyanasiyana kusintha kwa thupi deformations. Odwala wamkulu, chifuwa ndi matenda hypertrophic mtima pafupifupi sichinasinthe.

mu sternum lofufuma kwambiri mbali imodzi akhoza ili pakati, ankatembenukira lamanzere kapena malingana ndi kusintha mu mnofu mtima. Mulimonsemo, powona maphunziro mwana ayenera kuonana ndi dokotala nthawi yomweyo.

zifukwa zazikulu pachifuwa mapindikidwe

Monga tanenera kale, mtima hump limasonyeza kwambiri, kawirikawiri kobadwa nako matenda a mtima. thupi ili pa chitukuko embryonic, monga amadziwika, aumbike kwa thunthu kung'ambika. Mchikakamizo cha zinthu zosiyanasiyana mapangidwe mododoma. Mwachitsanzo, kaŵirikaŵiri olumala interatrial ndi interventricular septum za mtima. Pakati pa makhalidwe ofanana thupi ndi monga lotseguka wolumikizira ngalande.

Osati m'zochitika zonse n'zotheka kudziwa chifukwa chenicheni cha matenda a mtima, makamaka pankhani Matupi awo mwachibadwa. chabe zinthu zochepa chiopsezo tingaone. Mwachitsanzo, kuopsa kwa mwana wosabadwayo amati kuledzera ndi mayi mowa, fodya ndi mankhwala pa mimba. Anomalies angathe pamene aakulu poizoni mayi mankhwala aukali (mwaona Mwachitsanzo, pamene akugwira ntchito woopsawo mapangidwe).

zifukwa monga anasamukira pa Kubereka matenda, kuphatikizapo nsungu, chikuku. Kupanda mapuloteni ndi mavitamini mu zakudya mayi woyembekezera kungachititse kuti mapangidwe pachithunzichi minofu minofu. Ndipotu, zinthu zonse chiopsezo kuwerengera zosatheka.

ndondomeko matenda ndi chiyani?

Ndi palibe chinsinsi kuti nthawi zambiri, chifuwa chilema kugwirizana ndi kuvulala kapena matenda a dongosolo minofu ndi mafupa. N'chifukwa chake m'pofunika kuchititsa matenda mokwanira kudziwa kwake kwa hump mtima ndi kukhazikitsa chifukwa cha maonekedwe ake.

Ngati muphunzira za mfundo kumvetsera mtima, izo Tingaone kuti kugunda pamwamba pa hypochondria chimodzi kapena chiwiri itakula. Nthawi zambiri, matenda a dongosolo mtima ndi limodzi mwa kutupa mitsempha khosi ndi mafunde kumatheka mu mitsempha ya magazi, zomwe zikhoza imaonekera mu khungu ndi subcutaneous minofu. M'pofunikanso powasamalira pamaso pa cyanosis - khungu la nkhope ndi milomo mwana amapeza khalidwe bluish kulocha.

mumve zambiri zothandiza amapereka mtima palpation. Zala akhoza kumverera "jitter" m'dera pachifuwa. Komanso, katswiri angaone Kankhani mantha pa systole, imene pachifuwa ndi kuwuka. mtima palpation amapereka dokotala chifukwa kuganiza pamaso pa matenda mtima wodwalayo wamng'ono. Komanso unachitikira njira zina zofunika matenda, kuphatikizapo pachifuwa X-ray ndi msana, ultrasound mosamala ziwiya mtima ndi magazi. magazi ndi Revmoproby komanso maphunziro.

Kodi n'zotheka chiwonetsero cha matenda akula?

Monga tanenera kale, mtima hump zambiri amasonyezera ana. Komabe, matenda a dongosolo mtima zikhoza mapindikidwe a chifuwa, ngakhale akuluakulu.

Mwachitsanzo, pali ena a exudative pericarditis limodzi ndi protrusion wa malo intercostal. Zizindikiro za matenda kuoneka osiyana pang'ono. Mwachitsanzo, pofuna kufufuza mfundo kumvetsera mtima, wodwalayo ayenera kukhala pansi. Mwina kudziŵika kuti mopupuluma apical ali kwambiri wofooka. phokoso mtima ndi muffled, ndi pa kuyenderako, mungathe kumva phokoso la mikangano pericardial.

Chifukwa china kusintha chifuwa - kung'ambika aneurysm. Monga ulamuliro, matenda amenewa akufotokozera mu mukadzakula. Nthawi zina, aneurysm Tingaone ngakhale kuyendera zithunzi - lili ndi mawonekedwe anamaliza, fupa pamwamba atrophies, ndi khungu amakhala utoto. Matendawa kumasonyeza kuti opaleshoni.

ndi mankhwala zimene amapereka mankhwala amakono?

Mwachibadwa, yoyambira cardiologist akuchita kufufuza zonse, amafufuza mtima khanda, ndipo zimapangitsa mayesero zofunika, ndi zina zotero. D. Maphunziro hump akusonyeza pamaso pa matenda aakulu a mtima, zimene palokha kumasonyeza kuti alowererepo pa opaleshoni.

Ngati nthawi kuchita chithandizo opaleshoni, ndi mapindikidwe a chifuwa akhoza kukhala bwino, pansipa fupa kukhala nkhani muyezo. Kukachitika kuti masoka njira hump sangathe kuchotsedwa, chigamulo pa kubwezeretsa mitundu yachibadwa pulasitiki wa sternum ndi nthiti.