Ukungaphumeleli kwentliziyo kunciphisa kwintsebenziswano yentliziyo, leyo ngexesha elifutshane likhokelela ekugqithweni kwayo. Iyakhula kwisebe elifanelekileyo okanye elisekhohlo. Unyaka ngamnye, abantu abayi-8,000,000 bafa kwesi sifo emhlabeni jikelele. Ngako oko, kubalulekile ukwazi ukuba ziphi iimpawu zentliziyo yokungafezeki kubonakala kwisigaba sokuqala sesi sifo. Oku kuya kuphelisa ngokukhawuleza le ntsholongwane.
Iimpawu zokuhluleka kwentliziyo
Ukungaphumeleli kwe-ventricular kwesokunxele kuvela kwizifo ezinomthwalo omkhulu kwi-ventricle ekhohlo. Ingaba i-myocardial infarction, i-aortic defect, i-hypertension, njl. Ngobuthathaka bemisebenzi yayo, uxinzelelo kwi-arterioles kunye ne-capillaries, imvumba yamapulmoni iya kwanda, ukunyuka kwabo kwandisa. Oku kubangelwa i-asthma ye-cardia. Ngokuqhelekileyo oku kwenzeka ebusuku.
Iimpawu zokuqala zokuhluleka kwentliziyo ebomini kwabasetyhini kwimeko enokuthi:
- ukuxhatshazwa okukhulu;
- ntliziyo;
- ukuthunga okubandayo;
- ukuvuvukala kweemvini entanyeni;
- ukukhwehlela ngokukhawuleza ukuphuma kwintonga;
- iphosa;
- ubuthathaka.
Ukukhula kweziganeko eziqhubekayo kukukhuthaza ukuphuhliswa kwe-edema ye-pulmatic. Ngenxa yoko, isigulane sibonakala sikhohlela kunye nokukhululwa kwesamba esikhulu sepinki (sinokuba sinqabileyo). Ngomgama, umntu unokuva ukuba ukuphefumla kuqhubezela nge-wheyzing. I-edema yepulmonari yimeko engxamisekileyo efuna unonophelo olunzulu, ngaphandle koko ukufa akuphepheki.
Ukwehluleka kwe-ventricular ye-ventricular ngokuqhelekileyo kuqhutyelwa nge-thromboembolism enkulu kunye encinci ye-pulmonary artery. Izibonakaliso zokuhluleka kwentliziyo kubasetyhini abaneli meko zivela ngokugqithiseleyo kwaye ngokubanzi emva kokusebenza komzimba. Ezi ziquka:
- ukuvakalelwa okungathandekiyo kwi-hypochondrium ukusuka kwicala lasekunene okanye entliziyweni;
- uvakalelo lwe-raspiraniya, i-pulsation kunye nokuvuvukala kweemvini entanyeni;
- ukuphefumula okufutshane;
- ukuvuvuka kwemilenze;
- i-pulp ye-peripheral.
Kwiimeko ezininzi, nge-acricular right ventricular insufficiency, igazi lihlaselwa esibindi. Ngenxa yoko, kuba buhlungu.
Iimpawu zePhepheli yeNtliziyo engapheliyo
Ngokuqhelekileyo ukukhubazeka kwintliziyo kungapheliyo kwabasetyhini emva kwe-50 kwaye ibonakaliswe yimpawu:
- ukuphefumula okufutshane ;
- iipilpitations;
- Izihlaselo zokuxhatshazwa (zenzeka ebusuku);
- ukhathala okwandayo.
Ngenxa yokungakwazi kakuhle kweerayalini, izigulana zinokuvelisa iziganeko ezininzi ezijikelezayo kwigazi, ezibangela ukubonakala kwe-sclerosis yamaphaphu kunye ne-vesicle. Izigulane zivela:
- ubunzima kunye nentlungu kwi-hypochondrium ukusuka kwicala lasekunene;
- ukuhamba kwesisu;
- kuhla kwe-diuresis;
- edema;
- dyspnoea kunye nokuhamba.
Izibonakaliso zokuhluleka kwentliziyo kwabasetyhini ukuya kwi-40 zibandakanya ukuvuvukala kwemithanjeni yomlomo wesibeleko kunye / okanye i-pipeline, kunye nesibindi esandayo. Ngamanye amaxesha izigulane zihlakulela i-syemrome. Ekuqaleni, ezi zi-edemas ezidlulileyo, ezifunyanwa kuphela xa zilinganiselwa, kodwa ngokukhawuleza zikhula, zisasazeka kwizitho ezingezantsi kunye nezitho zangasese.
Ukuxilongwa kwenkunkuma yeentliziyo
Ukuxilongwa kwintliziyo yokuhluleka kwabasetyhini kufuneka kuqale ngencazelo yokwakheka kwegazi (i-electrolyte kunye negesi), kwakunye neendlela ezahlukeneyo zeprotheni-carbohydrate metabolism. Emva koko, i-percussion (ingqungquthela) eyenziwa, ngexesha apho ibhokisi ephilileyo ivezwa kwiindawo ezahlukeneyo zemiphunga. Ibonisa ukunyuka kwegazi.
Ngethuba elincinci lokunciphisa intliziyo, i- ECG imiselwe. Olu vavanyo lunceda ukuchonga i-hypertrophy (ukwandisa ubungakanani) beentliziyo zentliziyo, iimpawu eziphambili "zokugqithisa" kunye nezinye iimpawu zokuphazamiseka kwegazi.