'O ke kīpē o ka na'au: nā hō'ailona ma mua o ka make a me ke kōkua mua

Kela a me keia makahiki, i ka maʻi o ka mea'ōnaehana mānowai koko'ōnaehana alakai ana i ka make ana o oi aku mamua o 17 miliona kanaka nā hualoaʻa a. Wale 10% o ka pathologies i congenital. Ke uie kekahi hapanui hewahewa o ka maʻi Hawaii ia lŘlŘ ma luna o ke kāʻei kua o ka stress a me ka mea hune Aloha Hawaii o kēia kanaka. Ma keia 'atikala mākou e nānā i ka mea congestive naʻau ole.

Symptoms o ka make a me ka complications i ho i pathology, ki ina hana like o kaʻike, a me ka lapaʻau o ka maʻi, i nāʻano a me ka ano o ka maʻi - 'ike ma luna o nā mea a pau mau nīnūnē e e lewa i loko o ka pono o ko mākou loiloi. Eia hou, i ka 'atikala discusses na rula o ka hana, a hiki e pono ai no kekahi o ko mākou. Ke hana i ka hana i loko o ka pōpilikia e hoʻolako i loko o ka hapanui o na hihia, ka mālama 'ana o ke kanaka ola. Alaila, i kekahi i ka i mea mua kōkua no ka huʻi naʻau ole.

I ka manaʻo o ka naʻau ole

Heart 'ole (HF) - pathology, ma i ka naau pohaku e lawa i ka pono nui o ka kino'aʻaʻa o ke koko. He Heʻilihune o ka hihia waiwai o ka naau Muscle (myocardium) e emi. Ch IeAUPIIe, IAa IO hiki aku ai i ka loa lapaʻau hoike ana, a me pulmonary edema, infarction, cardiogenic kŰia.

Maʻi susceptible i nā kānaka a me nā wāhine, akā, e loaa ana i ka hope, mai keia maʻi hou pinepine. Make Ua kiʻekiʻe lawa ma ka pathology. Weliweli i kanaka ola i kekahi o ka hoikeana, kena ae la ia e maʻi e like me congestive naʻau ole. Symptoms ma mua o kona make ana, i kapaʻia ma ka lāʻau lapaʻau ana, ua nui loa ka nohona. Ka mea, hilinaʻi ma luna i ke ano o ka maʻi ia lŘlŘ. Ma ke ano o ke kumu o ka naau hoʻokō 'ole' e kilakila:

• Myocardial naau 'ole - he pathology ia mea i ka hopena o ka pololei poino i ka naau Muscle ma muli o ia i ka' aʻe 'ana i ka ikehu pūnao. Kēiaʻano o ka naau ole hiki aku ai i ka dysfunction o contraction a me ka hoʻomaha ana o ka naau.
• Overload naau 'ole - he pathology e hoʻomōhala ana i like me ka hopena o ka haawe ana he nui ma luna o ka naʻau. Kēia 'ano i loko o kekahi mau hihia hoʻomōhala ma luna o ke kāʻei kua o ka naau maʻi.
• Alu naau 'ole - he' ano o ka pathology, a hiehie na mau luna-i oleloia kumu.

Classes o ka naau ole

I ka lā, he mea likeʻole ana hoʻohālike e i ka maʻi ua maheleia i ke ano a me 'ano apau loa. Medicine, loaʻa nō kekahi mau Mea Maluna nenoai (Russian, Europa, American), akā, i ka loa hanohano i'ōnaehana i manaoia ma 'Amelika cardiologists. I kulike ai me keia hana, he eha papa o ka maʻi.

• Grade 1, ai ke hoʻomanawanui aicieeaao dyspneaʻeleu noi, no kekahi laʻana, a me ke kapuai ku i ke kiʻekiʻe ma luna o ke kolu o ka papahele.
• Grade 2, iloko olaila e dyspnea a hiki ma haʻahaʻa haawe - ka wā hookiekie ana i ka mua lua 'ole kahua hahi. Ua Ua kaulana ua hoʻemi physical haʻawina o ke kanaka.
• Grade 3, ai ka naau hoʻokō 'ole' o kekahi 'ma haʻahaʻa wahie, no kekahi laʻana ka wā e hele, akā, quiescent maʻi symptoms nalo.
• Papa 4, ma i na symptoms i hoʻomaka ai, a hiki ma ka maha, a me ka mea uuku hoʻokō hiki aku ai i ka nui aʻe 'ana o ka naau, a me ka holoʻokoʻa mea'ōnaehana mānowai koko'ōnaehana like me ka a pau.

Mea Maluna Ch

Pathology hiki e hoʻolaha e like me ka mau ana hoʻohālike. Ke kaumaha ma muli o ka lapaʻau kiʻi o ka maʻi lapaau ikeia huʻi a me ka maʻi naʻau ole.

Huʻi naʻau ole (AHF) - i kāna hana i loko o i pathological symptoms hoʻomaka koke (i loko o na hora). E like me ka rula, e ku e ka kāʻei kua o nā maʻi 'ē aʻe o ka vascular'ōnaehana a me he mea he huʻi naʻau ole.

Infarction, myocarditis a me nā maʻi ke lilo i kāhea no ka maʻi Hawaii, no ka mea, ma lalo o kēia mau pathologies, naau Muscle keena make ma muli o ke kūloko circulatory kāna hana. OCH hiki i ka hopena, mai fracture o ka hema ventricular pa, huʻi ole o ka nohona kiwikā (ka aortic a me ka mitral). Ma kekahi mau hihia, pathology e hoʻomōhala ai ole mamua aʻe '.

OCH - muli o kona kulana insidious maʻi, no ka mea, hiki i ke ola ana o ka mea 'ē aʻe nenoai o ke kino. Complications o ka huʻi naau hoʻokō 'ole' pinepine lakou aloha ole wale no ka naau, aka, i ka ÷ naehana hanu'ōnaehana, ma o na la pulmonary edema, cardiac asthma, cardiogenic kŰia.

Maʻi naau 'ole - he kāna hana i loko o i ka pathology ua hanaia ke kiʻekiʻe, ma luna o pule, mahina a hiki makahiki. Ua lŘlŘ ku ei ka kāʻei kua o ka naau maʻi, hypertension a hoʻolōʻihiʻia anaemia.

Kind o DOS ma keʻano o ka hemodynamics

Ke kaumaha ma muli o ka 'ano o hemodynamic ano IIeEeAIEUAA o pathology, ma laila nō ke kēia mauʻano o ka huʻi naʻau ole:

• DOS me congestive hemodynamics.
• DOS me hypokinetic hemodynamics.

Hemodynamics - o ke kahe o ke koko ma na moku, a kena ae la nui puʻe i loko o kekahi mau mea o ka circulatory nenoaiu. Ua ua ike ia ka neʻe aku i ke koko, mai ka aina mai o kiekie ae puʻe i lalo.

Ka puʻe hilinaʻi nui ma luna o ka (viscosity) o ka koko, a me ka ia'ku o na paia o na moku koko lalo iho. DOS me congestive hemodynamics e loli i ka akau, aole hoi ma ka hema ventricle o ka naau. I kulike ai me keia e pono ai:

• Huʻi pono ventricular ole, ma a ka venous stasis ua mālama i loko o ka kaiapili nui o ke koko, oa. E. hoʻopilikia 'Aneane pau nā loko a me nā'aʻaʻa.
• Huʻi haʻalele ventricular ole, ma a ka venous stasis ia lŘlŘ i loko o ka pulmonary koko. Pathology o ka wawahi i ke kinoea wehe aʻe i loko o nā maʻiʻaʻai, a hiki aku i ka ulu ana o pulmonary edema a cardiac asthma. Ke'ī mai, e kū'ē i ke kāʻei kua o ia i ka 'aʻe' ia lŘlŘ huʻi pulmonary naʻau maʻi.

DOS me hypokinetic hemodynamics

Huʻi naʻau ole ma ka hypokinetic hemodynamics - he pathology, kena ae la ia e cardiogenic hawewe - kaʻoi emi i loko o ka hiki ana o ka myocardium e aelike, kūpono ma ka hoʻohuikau o ke koko lako i nā mea a pau kino nā'aʻaʻa.

hoomaopopo:

• Arrhythmic hawewe, a mea he hopena o cardiac pāpana kāna hana.
• Reflex hoohikilele - he naoh i ka eha.
• Oiaio cardiogenic hawewe - pathological ana a ia lŘlŘ ka wā lesions o ka hema ventricular'aʻaʻa, a me ka lesion wahi mea ma ka liʻiliʻi 50%. Kue, e like me ka rula, e oi prone i ka mea ma luna o 60 makahiki o ka makahiki; kanaka ka poe i i ka lua o ka naau hoouka; nā mea maʻi me ka hypertension a me ka mimikō mellitus.

Importantly, cardiogenic kŰia ua wehewehe aku ma ka eha, koke ke koko, emi a hiki i ka palena iki nā loina (ia i 0), filiform pana, haikea ili. Pathology hiki a laila neʻe i pulmonary edema paha ho iʻaʻa puʻuwai ole.

Makaʻu ka hoʻopukaʻana i ka muli o OCH

Ka hooulu ana o ka naau ole me ka huʻi papa, i ka hoʻomanawanui i ke ma mua ma ka mua pilikia maʻi o ka vascular nenoaiu. Ia ana nā:

• naau maʻi, kena ae la ia e poho ai i ka naau Muscle, e alakai ana i ka pahikaua emi ma ka myocardium hana i ka aelike;
• maʻi naʻau ole, a, mai hemo mai ka wā o ka maʻamau koko lako i nā loko a me nā'aʻaʻa;
• poino i ka pono o ka naau kiwikā a me nā paipu;
• hoʻomāhuahua o ka loli ma ka pericardium, a hiki aku i ka 'aʻe ana i ka akau naau ana no i ka ka puʻuwai ka lawe' ana ma luna o ka lua o ka naau (keia pathology ua kapaia cardiac tamponade);
• ai hanaʻia naʻe o nā paia o ka naau - myocardial hypertrophy;
• hypertensive ulia - ia i ke koko, abnormality.

noncardiac kumu

Ma waho aʻeo ia pilikia me ka naau a hiki i ka muli o ka maʻi Hawaii i ke implicated ma ka pathology pili me ka kiʻekiʻe ke koko, i loko o ka pulmonary koko. Maʻi e alakai ai i kaʻike, o ka "huʻi naʻau ole":

• mapuna hoe - kue lolo holo, i hoʻonāukiukiʻana mai o kona mau pōʻino, ua'aʻaʻa a me ka huina lolo kuleana pili i kāna hana;

• thromboembolism artery o ka akemāmā (ka maʻi ia lŘlŘ like me ka hopena o blockage o ka pulmonary artery, e like me kona keʻano o ka hanaʻana o nā clots koko (thrombi), ka hapanui mau koko clots ana i loko o ka nui pelvic, a malalo lala aa koko);
• akemāmā maʻi - he li nui o na bronchi (bronchitis), li nui o ka akemāmā'aʻaʻa (pneumonitis);
• dysrhythmia naau kōmi (hoʻonui 'ole deceleration) - tachyarrhythmia, bradyarrhythmia;
• nā mea palahēhē kena ae la ia e likeʻole pathogens.

Aia mau no hoi kumumea alakai ana i ka hooulu ana o ka naau e loaa, akā,ʻaʻole i ka hoike ana mai o na maʻi o kekahi hui, nenoai. Mau nā:

• ʻoki kino;
• ino a me ka lolo eha;
• ʻawahia hoouka ma ka naau Muscle - ka waiʻona,ʻano pākīkē lāʻau waiū;
• naau-akemāmā mīkini, i ka hana o ka i hiki aku ai i kekahi mau hopena;
• electrotrauma - kanawai ma ke kino o ka pila nuiʻikena;
• psycho-mea naʻau a physical exertion.

ʻike, o ka huʻi naʻau ole

Diagnosing naau ole ua kuhikuhi kuhikuhi ai i ka manao paa o na kumu i alakai aku ai i ka hooulu ana o ka pathology. Mamua o ka hooko ana mai keʻena hoʻokolohua ho'āʻo a me manipulations me ka hoʻohana 'ana o ka' inikua? Ieaoa, i ke kauka e hoʻoholo ma kamailio me ka hoʻomanawanui i ke alo a me ka wa e kaawale aku i loko o kona olaʻana o nā kumumea likeʻole ka hoʻopukaʻana i ka ulu ana o na maʻi like huʻi naʻau ole. Symptoms o ka make (ulia) ia lŘlŘ i loko o 24 hola, e ikea nawaliwali, a me ka hoʻomalu hana - ole e lilo manawa, a me ka lawe i ka mooolelo a pau o ka hoopii o ka hoʻomanawanui me ka hikiwawe e loaa, e hookupaa aku i ka pololeiʻike.

I ka papa kuhikuhiE noiʻi ki ina hana like i hoʻohana ma o kaʻike, a AHF, nā:

• he electrocardiogram;
• echocardiogram;

• umauma X-kukuna;
• mau a me ka holomua koko hoʻokolohua;
• Ua ua kekahi manawa, hoʻohana 'ia no kaʻike, OCH cardiovisor - lima kūlana kiʻekiʻe rula o ka hana mea i okoa mai ka electrocardiograph.

PalekanaEND_LINK ana hoʻohālike

I ka nui a me ka loa nō i ka hoailona o ka huʻi naau 'ole au i hiki ke kapaia sinus tachycardia - hana supraventricular tachyarrhythmias, no ka mea, i ke ano ua hōʻeleu i sinus pāpana - i ke alapine (frequency) o contractions o ka naʻau o kekahi kanaka makua, ua oi aku mamua o 100 O nā minuke. Kimia 'ia o ka naau ha awina wehewehe i ka hoʻokāʻoi' mana palena haʻalele a me ka pololei. Eia hou kekahi, ma luna o ka 'ole ma luna o ka xiphoid kaʻina kolu o ka leo i Konakele.

Huʻi congestive'ākau naau hoʻokō 'ole' hoike mai ai ia ia iho i loko o kekahi mau hiʻona:

• cervical aa koko a me ka hepatic aa koko, e pehu a me ka pehu;
• kiʻekiʻe venous puʻe;

• ulu akepaa, jaundice a lahilahi;
• lala haanou ana;
• cyanosis manamana alo (pepeiao, chin, ihu);
• ke hoʻomanawanui, he loa ka eha ma kona akau keena quadrant;
• ECG mooolelo a ka naau koke overload o ka ventricle akau, a me ka atrium, a ua lewa e kiʻekiʻe kuhikuhi mai la lakou niho.

Na hoailona o ka pono naʻau 'ole ua maopopo hoikeia ma ka X-Ray a me ka electrocardiogram. I ka hope loa kahua o kēia 'ano o ka naau maʻi hiki aku ai i ka depletion o ke kino, emi ka nui o ke kumuʻiʻo i loko o ke koko a me ka hana maʻamau o ka paakai koena i loko o ke kino.

Na hoailona o ka hema ventricular 'ole a me ka cardiogenic kŰia

I huli ai oe, i ke alo o ka huʻi hema ventricular ole me ka congestive hemodynamics e hoikeike ai ma ka helu o na kēia mau hiʻona:

• pokole o ka hanu, i kekahi manawa, huli i loko o asthma;
• paroxysmal maloo cough, expectoration kekahi manawa frothy, i ua hookuu ia mai o ka waha a me ka ihu;
• i ke alo o ka wai rales a i lohe ai ma luna o ka holoʻokoʻa ili o ka pahu.

Aia nō i ka helu o ke ano symptoms o cardiogenic kŰia, oia hoi:

• I ke koko, o ke ahonui o Hawaiʻi i aiee o 90-80 mm o Hg. Art. a hiki emi. Inā poino kekahi kanaka mai ka hypertension, o ka hoailona ia o ka hawewe, e huli ma ka 30 mm o Hg. Art. mai kela la i keia kanakaʻilikai.
• ua hoʻemi lāʻau ikiʻai wale puʻe - emi o 25-20 mm o Hg. Art.
• Ua ulu maila ka cardiogenic hawewe e i mae o ka ili a me kona coldness. Mau hoikeana hōʻike i ka 'aʻe' ana o ka microcirculation i loko o nā nā'aʻaʻa o ke kino.

Me ke kanaka i loaʻa i ka luna symptoms o pathology, e hiki mai i ka moʻo o ka hanana mua o ka hōʻeaʻana mai o ka hoʻomalu. (. Hahauʻana, naʻau pepehi, etc.) First kōkua no ka huʻi naau hoʻokō 'ole' E e kauoha e hōʻoia i ka:

• hooponopono, komo i ka hou lewa;
• hōʻoia i ka papamoe kulana o ka hoʻomanawanui (ina e loaa ia ia i na hoailona o ka hema ventricular ole);
• hoopaa analgesic hopena.

Lapaʻau o ka huʻi naʻau ole

Iapaau ana o ka naau ka hoʻokō 'ole - he luna' Inc pahuna, mua a me ka mea i hele mamua, i ka hōʻoia i ka:

• hoʻopau i ka overload cardiac Muscle - keia ana ua loaʻa ma ka hoʻohana 'ana ai' i lalo ke koko, a me ka naau kōmi;
• hopu i ka symptoms o ka maʻi (pākōlea ana, e hilinaʻi ma luna o ka maʻi hoikeana hoikeana).

Inā DOS ua Hawaiʻi like me ka hopena o myocardial infarction, ia mea e pono ai me ka hikiwawe e loaa e hoihoi coronary artery koko pele. Nō kāu, i ke ano e hookomo ana infarct artery thrombosis, ka hooluolu ana i ka naau. Laau kōkua koko clot loa hoʻihoʻi patency o ka moku i ke koko, a me stabilize i ka hoʻomanawanui ka kulana.

Ka loa kaulana papa hana ma keia hihia ua manaoia e thrombolysis, akā, i ke kaʻina hana e, e hanaʻia e like me ka hikiwawe e loaa ana ma hope o ka hoouka kaua ana o infarction a hiki i ka clot mea no "hawaiian". First kōkua no ka huʻi naau hoʻokō 'ole' komo ai i ka hoʻohana 'ana o ka ai' (thrombolytics), kona hana ua nona ma ka noho male 'ana o ke koko clots. Medicaments lawelawe intravenously, kā lākou uku o anal i loko o ka meaola ua pololei hooponopono.

Lapaʻau o huʻi ole (akau ventricular) me congestive hemodynamics komo ai kona wehe 'ia ke kumu no ka mea, kena ae la, - .. kūlana asthmaticus, koko clots ma ka pulmonary arteries, etc. Kaleohano Inc mākaʻikaʻi hoomanawanui "Nitroglycerin" a me "Furosemide" ka wā hui pathology cardiogenic kŰia hoʻohana inotropic 'o ia hoʻi. Ma ka hui pu ana me na luna ana ua lawe mai ma o oxygen inhalation ma ka catheter.

Psychomotor manaʻo pīhoihoi pilikia narcotic analgesics, e like me "Morphine", a ho'ēmi i kā ka hana ana i ka ÷ naehana hanu nāʻiʻo a me ka ho'ēmi i kā stress ma luna o ka naʻau.

Hoʻopau o ka hema ventricular ole symptoms

Stagnation o ke koko i loko o ka pulmonary pinepine hiki aku i ka loa ka hopena e like me pulmonary edema. I ka wā i na paewaewa e hoomanawanui i koi 'ia ka lawelawe ana "Nitroglycerin" intravenously.

Inā ka huʻi hema ventricular ole me ka congestive hemodynamics hui me cardiogenic nń, i hoakaka ia ma ka hoike ana o "dobutamine" a me "noradrenaline" intravenously. Aia nā hihia ka wā mau ai 'e hui i loko o ka luna'.

Ka hua nui paʻapū Via hoʻi ka hoʻolako 'hua'opi.

Inā hemodynamics stabilized, akā, akemāmā edema symptoms hoopaakiki mai oe, i ka hoʻomanawanui lawelawe glucocorticoids. Ma keia hihia, mua kōkua ma ka huʻi naʻau ole, e kōkua i ka emi i ka permeability o membranes.

Inc me cardiogenic kŰia hoʻomaka e mahuahua cardiac auaiaea, i ka wa e kaawale aku o na hoikeana o congestive naʻau hoʻokō 'ole' ia maupaʻa ka lawelawe ana wai koko expanders. Kēia ke kaʻina hana no ua hana ma lalo o ka hooponopono ana o ka naau ana, ke koko, a me ka hanu nā wale. Inā, ma mua ia o ka hanana o ka huʻi naau maʻi ana i ka lilo nui o ka wai, paʻakai koloriside ua hoʻohana 'ia.

Hoʻopau o symptoms o ka maʻi, o ka papa, kuhikuhi pili me ka hoʻohana 'ana o ka ai', akā, inā lawe ana mai i alakai i ka makemake keia, e hiki ke hoʻohana i ka aoao pololei - e hana hemodynamic unloading ma ka tourniquet ma ka lala aa koko.

Ma na wahi makeʻe kulana lapaau mea powerless e akoakoa ai i kaʻoki kino. ʻIkepili ma eliminated na pilikia pili me ka occlusion o arteries, hope naʻau kiwikā. Stabilize i ka naau ana, kōkua i ka hoʻouka i kekahi pacemaker a defibrillator.

Kāohi

Ke pono ala, e pale aku i ke kūpono 'ana o ka maʻi - ia mea, e hooko me ka noonoo ole rula - o, e alakai i ka olakino Aloha Hawaii, e hoʻokanaka pūnuku puhi a me ka haawi aku i excessive hoʻohana' ana o ka waiʻona, e lawe mai papa'āweʻaweʻa kemika ka mālamaʻana mai o na maʻi ka maʻi. Eia naʻe, ma na hihia i ka wa o ka maʻi ua nō hoike iho, e hahai i kekahi mau '? Eia i loko o maʻamau o ke ola.

Nā mea maʻi me ka congestive naau hoʻokō 'ole' e pono kanaka hoʻoponopono i ko lakou kaumaha. Keu i nā kilo hoʻonāukiuki he mahuahua i loko o ke koko kō a me ke kahua o ka naʻokoko plaques i loko o nā ipu koko, i ke kumu no kiʻekiʻe ke koko. An nui ano no ka malama ana i ke kinoʻano maʻamau ka hoʻokuleana i ka kūikawāʻai ai. He mea pono i ka ikaika hooponopono i kaʻai ana o ka paakai, o ka oi o ka i mea ino no ka ola - ka mea, e hookomo ana loliʻana, edema ho okumu, mahuahua haawe ana ma luna o ka naʻau.

He pono e hana physical hoounauna, e haawi mai i ka haawe i nāʻiʻo a me ka ami, akā, haʻuki papa e ole i overload o ke kino. He poʻe o ka hoʻokō 'ana i ka e like me ke kauka. He nui no ka pinepine kipa i ka hamama lewa, hiamoe, pale aku stress a me ka noʻonoʻo exertion.

E helu i, ka mea, i ke kaulana i huʻi naau ka hoʻokō 'ole - he pathology i mea pinepine ana ona. Ka maʻi ana e hoʻomōhala ana i loko o ke kāʻei kua o ka 'ē aʻe mai Hawaii o ka mea'ōnaehana mānowai koko'ōnaehana, a hiki aku i ka likeʻole complications, a me hahauʻana, cardiogenic kŰia, pulmonary edema, a no laila, ma luna o.

Aia mau hoailona, a ua diagnosed huʻi naʻau ole. Symptoms o ka make i implicitly hoikeia mai, ka mea, ua no ia mea, nui ka hana o ka 'Oihana i kekahi mooolelo o na mea a pau hoʻomanawanui hoopii a me ke ake loiloi.