Decompensated naau ole - He aha ka mea? Symptoms a me ka lapaʻau

Me compensated a decompensated naʻau ole. Compensated ua noonoo mehana deficiency (1st ke kahua).

Decompensated naʻau ole mea he maʻi ke kahua o ka maʻi, i nā hualoaʻa ma ka mea i ka poino naau Muscle mea,ʻaʻole hiki iā ia ke hoʻopakele i ke koko i ka likeʻole iaea ooieoeiiaeuiiai nenoai o na kanaka meaola. A ano hiʻona mea he kīnā,ʻaʻole wale nō i hoʻokō ', akā, no hoi ma koena. Pinepine ka wā decompensated naau hoʻokō 'ole' ana sizable cardiac pathological a me ka ooieoeiiaeuiuo loli. Mau loli i IeAUPIIe, IAa IO irreversible, a hiki ka hopena ma lethal. Kēiaʻano o ka pathology pili i ka loa (kolu o ke kahua).

Ma kēia 'atikala, decompensated naau hoʻokō' ole 'e e kūkākūkā i au mamuli: He aha ia mea, ka mea na ke ano okoa, symptoms o ka maʻi a me ka hiki lapaʻau.

Kumu o SDS

Eia naʻe, uaʻaʻole maopopo maopopo i ke kumu o keia maʻi ma kānakaʻepekema. Eia naʻe, noiʻi i loko o kēia wahi paipai i decompensated naau hoʻokō 'ole' kānāwai ina he mau triggers. Mau kumumea hiki ia i ke kumu kumu o ka maʻi. I waena o lākou:

• Myocardial hypertrophy.
• Kauoha ae la ia e ka naau kaua, trauma, ischemia a infarction myocarditis loli ma mall ano hoopono.
• Hypertensive hoʻoponopono ulia.
• Arrhythmic hanana.
• Hihia o ka ulia puʻe mahuahua ma ka pulmonary holo.

A hoike mai ai ia ia iho, decompensated naʻau ole. He aha ka mea o ka hoihoi ana i na mea he nui.

Ma ka par me ka helu 'ia ma luna aʻe nō i ke kumu kumu o ka maʻi hiki e me ka dukima stagnant keʻano o ka hanaʻana o ka naehana nenoaiu. Ma nā mea a pau i kēia manawa, aia no he mau rula: ka SDS, e like me nā 'ano o ka naʻau hoʻokō' ole 'ia lŘlŘ like me ka hopena o ka pilikia a me ka overload excessive luhi o ka naau Muscle.

Ka lapaʻau kiʻi, a me nāʻano o ka decompensated naau 'ole e ho'ākāka' ia ma lalo nei.

Mua oe i hoʻomaka ai ka hoʻopaʻa 'ana o SDS symptoms, ka mea e e hoʻomaopopo i ka lapaʻau kiʻi o ka maʻi i loa kalele iho ma luna o ke' ano o ka naʻau ole. Poe akamai i kuhikuhi i nā 'ano apau loa - maʻi a me ka huʻi. E noho mākou ma luna o kela mea keia mea o lakou.

Huʻi decompensated naʻau ole

Ua kupu a hoʻomōhala i ka hope o ka kokololio decompensation, hanana o ka uku ma a he mea hiki ole. Maomeka no ka naau e hemahema, e like me mahuahua venous leo, mahuahua tonic hana a māhuahua ma ka nui o ka ventricular diastolic hoʻopiha me ke koko, hiki ole hōʻike no i ka physiological hiʻona o ka huʻi ano o SDS. I mau hiʻona loaʻa:

1. Waiho ventricular SDS i loko o ka huʻi palapala. Ua ua kena ae la ia e myocardial a mitral kiwikā stenosis. Ke ano symptoms i excessive nani o na maʻiʻaʻai a me ka ÷ naehana hanu'ōnaehana overfilling ipu koko. He aha hou aʻe ka hana i decompensated naʻau ole? Symptoms e noʻonoʻo hope.
2. Pono ventricular SDS i loko o ka huʻi palapala. Ia lŘlŘ no ka mea, o ka hoolilo hoʻomanawanui infarction a thromboembolism, kūpono ma o Nyos hana a me ka hoopono mezhduzheludochkovoy septum. Typical symptoms o huʻi hema ventricular SDS like penei: aia no heʻoi mahuahua ma ke akepaʻa, ua paa ke koko stasis i ka systemic holo, na ia maʻiʻaʻai ke hoʻopiha i ke koko.

Ka huʻi palapala Ua pilikia loa?

Eia naʻe, no ka mea huʻi palapala wehewehe aku ma ka pae kiʻekiʻe o fatalities aie i ka mea i ka naau Muscle i hiki ole, e kipaku aku i ka makemake nui o ke koko a me kahi waiho uku hana (a lawa), a me kekahi ma muli o ke pulmonary edema a myocardial infarction. I Ina o na hoailona o ka huʻi ano o SDS ka manaʻo 'uao o ka poe akamai i mea e waiho i ka hoʻomanawanui i loko o ka haukapila, a paa i ka moʻo o ka hana e pono ai no ka resuscitation.

Ua hoi ia lŘlŘ ka maʻi decompensated naʻau ole. He aha ka mea? Ma keia hope.

Ka maʻi ano o SDS

CHF hiki ana i loko o ka decompensated palapala. Ma keia hihia, likeʻole symptoms ke hoike mai, i ka holoʻokoʻa hoakaka a i ua hana e PalekanaEND_LINK ho'āʻo ma. No ka CHF ano o keia lapaʻau kiʻi:

• Na hoailona o ka loa nani o na wawae, i ka lalo o ka abdomen, scrotum, e like me ia ma ka pericardium.
• Arrhythmia a me ka hypoxia.
• anu lala maʻi pale.
• I ka oi mahuahua ma ke kino paona.
• Hoike ana mai o ka mitral a me tricuspid insufficiency.
• Keʻano o ka pokole o ka hanu, a me ka wa e kaawale aku o physical haʻawina.

Decompensated maʻi naau ka hoʻokō 'ole - he pathology, ma i pinepine hoikeia paewaewa ma ka naehana nenoaiu. pulmonary rales (ka wā o ka hoʻomanawanui i loko o ka supineʻoihana) hiki ke 'akomi i ka nana limahana. Ke kumu o ia mau hoikeana mea excessive koko a hiki i ka ÷ naehana hanu nenoaiu. Kekahi symptom i e hypoxia, a, me ka hopena, hookuu iho o ka ike paka i. Hypoxia ia lŘlŘ like me ka hopena o ka lawa koko lako i ka lolo o ke poo a me ka oxygen deficiency.

He nui no ka manaʻoi hoʻokoe 'huai ae ia i ka maʻi, e like me maʻi decompensated naʻau hoʻokō' ole '(i ia mea e akaka).

lapaʻau '

Complex PalekanaEND_LINK ana nā haʻawina o ka 'ilikai hoʻololi ureticheskogoʻakika'amino Hoʻokolohua-type, H-'ākilikaiʻakika'amino, a e mālama nei echocardiography a me ka X-Ray viscera, transkoronalnoy echocardiography.

More kūlike loa 'ike e pili ana i ka ikaika o ke koko, i loko o ka naʻau keena hoʻomalu hiki ke loaa ma ka lawe ana mai i ka kūikawā kaʻina hana, oiai i ka kikowaena aa koko a me ka pulmonary artery catheter a me ka mea ulu koi ana.

Nō hoʻi,ʻike, o kekahi ano o ka naau hoʻokō 'ole' mea e lawe mai i ka helu o ke keʻena hoʻokolohua ho'āʻo ma, a me ke koko ho'āʻo creatinine a me ka urea, no ka electrolytes, monakō koko a me transaminases, i paʻa 'ē aʻe ke koko a me ka mimi ho'āʻo ma; hoʻopaʻa haʻawina i ke alo a me ka lākiō o ke kinoea i loko o ke koko arteries.

Decompensated naʻau ole: lapaʻau

E like me ke ana heluʻikepili no ka makahiki 2010, mai ka naau ole i loko o Rusia kēlā me kēia makahiki pepehi ma kahi o 1 miliona kanaka. He ka hanana o ka decompensation a me ka naau pāpana haunaele kapaʻia poe akamai i ke kumu nui no ka mea kiʻekiʻe make kōmi. Decompensation pinepine pono koke 'inikua' uao. No laila, koe nae ma ka pohihihi keia hewa, ua ua hoʻololiʻia lāʻau lapaʻau ma ka lawelawe ana ka lapaʻauʻia intravenously (e loaa i ka lāʻau a me ka kokololio hualoaʻa).

More ma ka iapaau ana o ka decompensation

Ke iniiaiie pahuhopu nui o ka Inc mea e malama maʻamau hemoglobin o oxygen saturation pae, pela i hiki no ka mea maʻamau lako o ka o oxygen i nā'aʻaʻa a me nā loko, a e pale aku mau hui, ole.

Kekahi o nā 'ana i kūpono pili - e mālama nei ana i oxygen (ana hoʻohana' ole-invasive hoʻokomo ea (NPVD) ma lalo o ka maikaʻi puʻe), i eliminates i ka pono no ka endotracheal intubation. Ka hope ua hoʻohana no me mechanical hoʻokomo ea ma ka hihia o ka hoʻokō 'ole' e hoʻopau obstructive pulmonary maʻi ma NPVD.

Lapaʻau me ka lapaʻauʻia

Ma ka iapaau ana o ka decompensation i me lāʻau Inc. Hoʻohana 'ia ai' a me kā lākou mau pūʻulu.

• "Morphine" a me kona analogues. Ua Ua hoʻohana 'ia e emi i ka naau i kela a emi eha.
• Diuretics. Hoʻohana 'ia i loko o ke kinowai e hookaulua symptoms i loko o ke kino;
• Inotropes hoʻopauʻike ākea hypoperfusion.
• Vasopressor konohiki no ka hooulu ana o ka maʻamau hui, perfusion.
• "Dobutamine", piʻi pū cardiac auaiaea.
• Norepinephrine iaono? Ienoai vascular e kū'ē'ē mai.
• Cardiac glycosides emi ke koko, emi i ka pilikia o ka huʻi decompensation.

Eia naʻe, he pololei ka papa inoa o nā pono lapaʻauʻia no ke kokua a me ka hana o SDS mea e hōʻike a me e wale i ka hele kauka.

Mākou Ua noonoo mea ia 'o ia hoʻi i ka decompensated naʻau ole.