Inhliziyo useshonile - Izimbangela, Izimpawu, Sifo Nokuselapha

Lapho lesi sifo kwenzeka protrusion sacciform irreducible futhi thinning odongeni imisipha yenhliziyo. useshonile senhliziyo ezimweni eziningi kuvela lapho inkinga ka isilethikusebenza kwakhiwa futhi sikhungathekile phakathi kwezicubu esivimba amanzi. Useshonile usesikhundleni iningi i-ventricle engakwesobunxele kwenhliziyo, ngezinye izikhathi septum interventricular, futhi cishe akasoze i-ventricle yangakwesokudla. Kudinga ukwelashwa, njengoba ngoba kungenzeka thrombosis noma isifo senhliziyo. Sitholakele isifo Kwenziwa esebenzisa ultrasound, ECG kanye nezinye izindlela. Inhliziyo useshonile iphathwa surgically.

Izimbangela.

Isizathu esikhulu useshonile kuyinto isilethikusebenza. Phakathi kwenzeka kushona imisipha yenhliziyo, okuyinto esikhundleni ezicutshini kuwo, kukhona sesibazi. Kuleli qophelo, udonga iphelile futhi ngeke isakwazi encishisiwe. Khona-ke isabelo thinned wegazi uqala kancane kancane aphume ashone olubonakalayo - kule ndawo kukhona useshonile. Ngokuvamile lokhu kwenzeka ngo-ventricle engakwesobunxele kanye septum interventricular kanye esivimba amanzi ngokuyinhloko kuthinta ngokunembile lezi zindawo.

Izimpawu.

Ngokuvamile i izimpawu useshonile zenqane izimpawu yinhliziyo noma isifo senhliziyo, ngokumelene ngalo kuphakama. Umkhaya Ohlukene imigomo ukuthuthukiswa isifo sokuvuvukala kwemithambo acute, subacute, futhi ezingalapheki. Acute waphawula phakathi namasonto okuqala amabili ngemva kokushaywa yinhliziyo. Isiguli sinelungelo iphika ubuthakathaka, ukuqaqamba inhliziyo, kukhona imfiva, ukuvuvukala igazi, ukuhluleka kwenhliziyo futhi arrhythmias.

Subacute useshonile isungule emva 3 kuya ku-6 amasonto ngemuva kokuhlaselwa yisifo senhliziyo. imfundo yakhe futhi ngenxa ukubukeka yesibazi ku wenhliziyo ngemuva kokuhlaselwa yisifo senhliziyo. Akazange anikezele iyiphi izimpawu ezintsha ngaphandle inhliziyo ukwehluleka zimpawu: palpitations inhliziyo, iphika, ukukhathala.

Ngemva kwamasonto ayisithupha we infarct useshonile inhliziyo kuba amahlala khona. izimpawu wakhe akazange zehluke izimpawu yinhliziyo.

Izinkinga.

Useshonile iyisifo yingozi. khona kwakhe kuphela kwenza thuthuva okuphawulekayo inhliziyo futhi kubangela inchubekelembili ephethwe yisifo senhliziyo. Ukuze ingozi eyinhloko inhliziyo useshonile elihlobene ne yokufuduka thrombus noma kungenzeka ukudabuka, kuyingozi kakhulu ngaphezu ukuluma elula enhliziyweni. Ukuze acute useshonile ukudabuka Yithuba ezivamile okungukuthi yingozi kubantu. Migration we thrombus kule isifo ivelakancane, kodwa uma kwenzeka lokhu, i-ezidlulanayo Umthambo neuropathy ukuthi kuholela ekwakhekeni yokushaywa unhlangothi, esitho esibhibhayo, infarction kwezinso, nabanye.

Sifo.

Ngo esigabeni sokuqala uphethwe wenziwa ukucaciswa zonke izimpawu isifo, okuye kuchaziwe ngenhla. Ngokulandelayo, wokuhlola jikelele neluhlolo isiguli. Omunye izici eziningi isici kuyinto okusizwa ukushaya eqinile esiswini yasenhla nemithombo thorax. Ngosizo i electrocardiogram, lapho lichaza izinguquko ezithile ingasungula i ukusazi ngokunembile isifo esikuphethe. Futhi, inhliziyo useshonile kunqunywa ultrasound, lapho ungakwazi ukunquma indawo yayo kanye nosayizi. Zikhona nezinye izindlela eziyinkimbinkimbi of ukuhlola.

Ukwelashwa.

Namuhla, indlela eyinhloko ekwelapheni isifo ukuhlinzwa, okuyinto asenza lapho excision futhi suturing yokuphambana inhliziyo udonga. Nokho, ukuhlinzwa uqokwa kuphela uma yezinkinga useshonile. Lena ingozi kufuduka kungenzeka we thrombus, ngokushesha ukuthuthukisa ukumelwa inhliziyo, hhayi amenable emithini yokuselapha arrhythmia zenhliziyo.