Zenhliziyo - lokhu ... zenhliziyo dishormonal futhi dysmetabolic

"Zenhliziyo" - kuyinto uphethwe generalized, okuyinto lihlelwe esimweni kwezinso of imisipha yenhliziyo, izimbangela zazo ayihlonzekanga. Uma luhlolo alikaqinisekiswa kwezinso azalwa naso noma isifo senhliziyo, kanye nezinguquko ukuthi kwavela ngenxa izifo semithambo kanye pathologies kohlelo conduction, uphethwe oshiwo ngenhla yilona kuphela yeqiniso.

Zenhliziyo: izimbangela zezifo

Odokotela abathi zenhliziyo ukuthi kungaba idiopathic (m. E. Primary) kanye yesibili. Esimweni sokuqala, njengoba kushiwo ngenhla, izimbangela zezinkumbulo isifo ngokuqinisekile akakwazi ngokuthi.

Esimeni sesibili, uphethwe kuvame ukuhlotshaniswa ezinye zezici kokuqagela:

• Lokhu kungenzeka kungenzeka izakhi zofuzo (umndeni kuneziguli nge uphethwe noma kwenzeke ngokuphazima kweso wafa esemncane);
• ukuphazamiseka kwesimiso somzimba sokuzivikela ezifweni;
• ezithwalwa isifo yegciwane;
• utshwala, izidakamizwa ukudakwa noma ezahlukene, ilimale esivimba amanzi;
• isifo endocrine;
• arrhythmia eziphikelelayo;
• zezinzwa izicubu isifo.

Phela, ifomu lezinceku isifo imayelana 25% azo zonke zokugula wathi futhi, ngeshwa, has umphumela ezingalindelekile.

Kushiwo ngamuphi umqondo ukuthi ukuthuthukiswa zenhliziyo

Ngokuvamile, lezi zindawo zibe khona isifo senzeka ngaphansi iqhinga. Ngenxa yalokho, yimuphi izinqubo ukuvuvukala kule senhliziyo esilimele amaseli, igciwane gciwane, baqala ukufa. Ziyakwazi yingozi umzimba womuntu, amasosha omzimba futhi ngaleyo ndlela ukuqeda kubo. Ngesikhathi esikhundleni amangqamuzana afile livela ezicutshini ukuthi akanazakhiwo eziwumgogodla we myocardium. Kuyinto kancane nokunwebeka, kancane welulela, kukhona nhlobo umsebenzi contractile.

Ukuze sibhekane ngokuphumelelayo Kulokhu, umsebenzi futha, okuyinto wabelwe inhliziyo cell akhe aqala ukwandisa, okwandisa ngesikhathi esifanayo ngezinye izikhathi eziningana. Futhi ukuze ihambise umoya-mpilo kuzo zonke izingxenye zomzimba, iqala ukugqoka efundisa isigqi. Ngakho ekuthuthukiseni zenhliziyo. Ukufa kusukela arrhythmia ezinzima ezimweni ezimbi kakhulu, ngeshwa, akuyona into engajwayelekile.

Kungani kukhona nendlela ukuze sibonakalise zenhliziyo ezinganeni

Njengengubo nje abadala, izingane zingaba azalwa naso zenhliziyo kanye uhlamvu kuluthola. Kulo mBhalo sibangelwa ngokuhamba sokukhula kwengane futhi ngokuvamile kakhulu kubangelwa ukuhlukumeza kwetinhlavu amaseli senhliziyo esilimele.

Zenhliziyo kwezinhliziyo zezinsana nezezingane ezincane, njengoba umthetho, kuba izimpawu uncharacteristic ukugeleza. Ayevame musa kuxhomeke kulokho uhlobo lesi sifo, futhi ngezinye izikhathi baqale avele kakade izinsana ngesimo ezinzima ukwehluleka kwegazi. Futhi izingane ezindala zenhliziyo singenzeka ngaphandle izimpawu kanye nemiyalezo zivele ku i ECG noma ngesikhathi esifubeni X-ray.

Izinhlobo zenhliziyo: dilatation uhlobo lwesifo

UBANI kuhlanganisiwe ukuxilongwa "zenhliziyo" (ICD - 10) e leqembu lezifo sokuhamba kwegazi, kuyilapho egcizelela izinhlobo ezintathu eziyinhloko yokulimala eyinhloko imisipha yenhliziyo. Lokhu zenhliziyo osuke usuvulekile (noma amile), hypertrophic futhi kulinganiselwe. Basuke zihlukaniswa esekelwe sezingeni ukulimala futhi isimo ventricular intracardiac ukugeleza kwegazi.

zenhliziyo Congestive elinesimo ukunwetshwa liphinyiselwe ka emakamelweni zenhliziyo ukuqina obuhlukahlukene ngaphakathi kwezindonga zabo phezu zangokwasemuva zezinhlelo ekunciphiseni esivimba amanzi contractile ikhono. By the way, ezimweni eziningi, le zokugula kuyinto kuyisifo esiwufuzo.

Ngeshwa, onalesi sifo esachazwa isifo kuyingozi kakhulu. Uma uphethwe "osuke usuvulekile zenhliziyo" ukufa kungaba enzeka phakathi neminyaka yokuqala 5 iminyaka lesi sifo, yize ukuphila kwesiguli kungenziwa kakhulu enwetshiwe elashwe lwezokwelapha olufanele.

zenhliziyo hypertrophic

ifomu Hypertrophic lesi sifo ngokuvamile ezitholakele izinsizwa eziye zafa phakathi nesikhathi umsebenzi. Lokhu kungenxa arrhythmias Kufinyeta of imisipha yenhliziyo, okubangela nokwanda okuphawulekayo kwesokunxele ventricular odongeni ukujiya, kanye nokunwetshwa ingaphakathi layo siyenzeka.

Izimpawu zalesi uhlobo zenhliziyo zinqunywa kalula, kokuba obonakaliswe ubuhlungu esifubeni, iphika tachycardia. Iziguli bangase bahlupheke ngalesi nakwisyncope ngamabomu, okuyinto ngokuvamile kwenzeka phakathi nezimo ezicindezelayo noma lapho uzivocavoca.

zenhliziyo Hypertrophic - kokubili zokugula azalwa naso futhi atholwe. Kunzima ukuthola by Radiology ngoba iluphu nibonakala inhliziyo engashintshwa kanye yangaphakathi ventricle wabuka ebonakalayo kuphela ultrasound.

zenhliziyo eqine

Uhlobo ezingavamile kakhulu zenhliziyo eyinhloko kungukuhlasela injalo eqine. Lapho zokugula waphawula kokunikezwa kwe-umsebenzi contractile we myocardium, ephelezelwa ukwehla ukuphumula izindonga senhliziyo esilimele. Uyahlupheka ukugcwaliswa i-ventricle engakwesobunxele ngegazi, kodwa ukuqina, njengoba kwaba njalo endabeni langaphambilini, is hhayi waphawula. Kodwa ahlupheke atrial uhlangabezana umthwalo anda.

zenhliziyo Eqine - isifo esingaphatha ukuzibonakalisa njengenhlangano zokugula ezimele, futhi njengoba isakhi nezinye izifo inhliziyo.

Izici yalolu hlobo lesi sifo kuthiwa imisiwe ukubonakaliswa izimpawu nobunzima ezihlobene ukuhlonza izinkinga ekuqaleni. Njengomthetho, izimpawu ezisobala isifo atholakala kakade esikhathini ezishisayo uma sinamathela ukwehluleka isifo senhliziyo, okuholela iphesenti eliphezulu yangenyama.

Izimbangela zenhliziyo dyshormonal

Ngaphezu kwalezi, kukhona izinhlobo eziningana futhi cardiomyopathies yesibili okwenzeka on isizinda izifo letindzala.

Ngakho, zenhliziyo dyshormonal - a syndrome emitholampilo libhekene isifo senhliziyo, livelile ngaphansi kwethonya ukuphazamiseka kwama-hormone.

Against ngemuva yokuntuleka hormone ucansi nesineke iza umonakalo esivimba amanzi, egqoke non ukuvuvukala ngokwemvelo. Ngesisekelo le ukulimala ngokuvamile ukuphazamisa ukusebenza ezikhiqiza amaqanda e nabesifazane asebeneminyaka efanele menopausal ubudala noma izifo endocrine uhlelo.

Izici ubonisa zenhliziyo dyshormonal

zenhliziyo Dyshormonal wabonisa ngokuyinhloko evutha, noma ukugwaza ubuhlungu edonsa inhliziyo (isb. N. Cardialgia). In iziguli lisekhona irradirovanie ubuhlungu kwesokunxele ingalo, ehlombe ngisho umhlathi ongezansi, abokugcina babe ukuhlaselwa okunjalo can amahora ambalwa noma ezinsukwini ezimbalwa. Uma iziguli livame ukubizwa zenhliziyo esekhala palpitations, umuzwa ngenxa yokungawutholi umoya nesiyezi. Basuke izimpawu futhi ibonisa oscillation blood pressure kanye neurotization Imininingwane (ukukhathazeka, ukucasuka, tearfulness, ukulahlekelwa inkumbulo).

Kufanele kuqashelwe ukuthi Ukuwohloka isiguli ngesikhathi esifanayo, njengoba umthetho, ayihlobene ne ukucindezeleka ngokwenyama noma ngokomzwelo, futhi nitroglycerin engalethi impumuzo.

Ngaphezu okungenhla, kunesinye isici ukubonakaliswa echazwe zokugula ifomu dyshormonal - lokhu umuzwa ukushisa babulawa endaweni engxenyeni engenhla esifubeni, entanyeni nobuso, kulandele ngabe ujuluka kakhulu.

Kwenzekani zenhliziyo lapho dismetabolic

zenhliziyo Dysmetabolic iyisifo yesibili ukuthi kuhambisana ukuphazamiseka kwezicubu umzimba. Kulokhu, it asithinti nje kuphela inhliziyo, kodwa ezinye izitho zomzimba. By the way, ngaphezu kwakho konke ahlupheke lezo zindawo imisipha yenhliziyo, okuyinto has inqwaba yegazi.

Ngenxa okusheshayo endotoxemia amaseli ezihleli izicubu emzimbeni, nezinguquko engelapheki. Bona eziholela ukonakala we myocardium futhi umsebenzi inhliziyo. Phela, lo nomthelela omubi kakhulu imisipha kuyinto amaprotheni kanye nemikhiqizo amafutha nezinye izitho.

Izimpawu zenhliziyo dismetabolic

Ngokuvamile dysmetabolic zenhliziyo isikhathi eside ngokwayo kungaqali manifest. Kuphela uma inhlolovo sextant of esimiso senhliziyo nemithambo yegazi kungathola izinguquko ECG. Kodwa ngokuhamba kwesikhathi, kukhona nokwanda izimpawu.

Ngokuvamile, iziguli esekhala umuzwa wobukhulu futhi kokucindezelwa endaweni retrosternal, palpitations inhliziyo, ukuhlaselwa kwakhe isifuba somoya. Futhi uma ekuqaleni lezi izikhalazo kuphela emva ukuthi ukuzikhandla ngokomzimba, kamuva lesi sithombe emitholampilo siyenzeka uphumule.

Njengoba Ukudlondlobala kwalesi sifo ngo iziguli ukuvuvukala emilenzeni, isisu luyakhula futhi engakuphazamisi ubuhlungu kwesibindi.

Stasis ku yokujikeleza kwegazi eliya emaphashini kubangela izinkinga zokuphefumula. Iziguli zinamathuba kufushane okunzima umoya. A kumile kumbuthano enkulu imayelana nani kokunqotshwa nezinye izitho. okukhipha senhliziyo kuyehla. Njengoba inhliziyo akakwazi ukubhekana umthwalo, futhi uhlangana lesi sifo isigqi ukwehla kwenhliziyo ka ukugcwaliswa.

Indlela yokubona kusaqalwa zenhliziyo

Kuzo zonke izimo ezichazwe zokugula senhliziyo uphethwe iba umngane "zenhliziyo." Okwamanje imbangela yokufa ngenxa yalesi sifo, njengoba umthetho, eduze incike ukuthola ngesikhathi esifanele futhi uphethwe ngendlela efanele egunjini lokuhlolwa kwezifo. Ngakho-ke kubalulekile kakhulu izinkinga esolwa ngenhliziyo ukuba uthintane ochwepheshe, ikakhulukazi uma umndeni nezihlobo nge wathi isifo.

Imiphumela yaloku kuhlola okungenhla ngokuvamile zokuhlola ezasungulwa inyumbazane. Lo chwepheshe kufanele ukuqhuba ukuxilongwa okujuli- isiguli kanye ukulalela amathoni inhliziyo, njengoba ezinye izifo kungenziwa obonwa ukuvama kwazo kanye nenani umsindo. Ukuze kuqhutshekwe ukucacisa uphethwe Kwenziwa ukuhlaziywa kwamakhemikhali kwegazi. Ungakhohlwa ngesikhathi esifanayo futhi isimo isibindi kanye nezinso. Kungani kufanele uhlole umchamo futhi wenze jikelele emitholampilo kwegazi.

Njengoba uke Cishe waqaphela, zenhliziyo - isifo kunzima ngempela ukuxilonga, ukuze zonke iziguli nge esolwa sasenza ultrasound kwenhliziyo, echocardiography, i-MRI nakuma-CT scan, kanye nsuku zonke ukuqapha ECG.