Wadnaha sambabada la'aan: Calaamadaha iyo Daaweynta

Waxaan inta badan maqlaan weedha ah "wadnaha sambabada failure," laakiin dadka aad u yar dhihi karaa iyadoo la hubo waxa cudurada this. Waa maxay cudurka this, waa maxay calaamadaha iyo sababaha - waanu baadhi doonaa.

kaafi wadnaha sambabada - waa maxay?

In daawada casriga ah, failure wadnaha sambabada ah si ay u fahmaan xaalad taas oo wadnaha oo shaqadiisa gaba, ie awood qalbiga ah si loo hubiyo in wareegga dhiigga ee caadiga ah ee jirka ku jira, oo ay weheliso sambabada taas oo dhacda sabab u tahay cadaadiska xad-dhaaf ah oo dhiig ah weelashii sambabada meesha sarrifka gaaska dhacdaa. Waxaas oo dhan waxay keenaysaa in hoos u dhac in heerka oksijiinta ee dhiigga.

In dhaqanka, inta badan marka hore uu yeesho la'aan pulmonary, calaamadaha wadnaha ku lifaaqan, waxa uu muddo ka dib. Si adag u hadlayay, calaamad this laga dheehan karo in cuduro badan oo ka mid ah nidaamka wadnaha iyo sidoo kale in cudurada sambabka. At ay cudurada geysto tari kartaa foomka ba'an, marka calaamadaha la kordhiyo muddo gaaban oo laga yaabaa in noocyo kala duwan oo chronic, marka sii daraysa dhacdaa dhowr sano ama xataa tobanaan sano gudahood.

Sababaha failure wadnaha ba'an

kaafi pulmonary Ba'an waa dhibaatooyin ku dhaca xaaladaha qaar ka mid halis nolosha bukaanka. Waa in aysan noqon qabashada caafimaad degdeg ah. Sida caadiga ah, waxa loo horumariyo karaa shuruudaha soo socda:

• sidii natiijo ah oo thrombosis ama dabac halbowlaha pulmonary;
• at thromboembolism;
• la pneumatic ama gidrotorekse;
• sii daridda ah ee neefta bronki, xaaladda oo neef.

Si kastaba ha ahaatee, sababta oo ah cadaadis kordhay halbowlaha pulmonary sidoo kale noqon kartaa cudurka wadnaha ah. Xaaladaha intooda badan, tani dhacdaa marka si lama filaan ah u baxay regurgitation mitral. Sidoo kale, sabab cudur sambabka waxaa laga yaabaa la'aan pulmonary waalka, Wadnaxanuun ba'an, myocarditis, cudurka wadnaha valvular -yada ee decompensation, cardiomyopathy. Xaaladdan oo kale, saabka ventricular bidix la ballaariyo, iyo yaraynta ee ay derbiga ma awoodo inuu ku hardiyi galay Lumen markabka oo dhan mugga dhiigga. Qaar ka mid ah waxaa ka mid ah boosas iyo kordhiyaa cadaadiska gudaha xididdada pulmonary. Tan iyo ventricle midig sii lisidda dhiig shaashad buuxda, cadaadis joogto ah u koraya, taas oo keeni karta in ay bararka pulmonary ama neefta wadnaha.

Sababaha failure wadnaha chronic

Chronic obstructive pulmonary disease, sida ka soo horjeeda foomka ba'an, sii kordhaya si tartiib ah. Geedi socodka ah ee koritaanka isbedel bahal waa dhawr sano gudahood. Xaaladdan oo kale, horumarinta hypertension in weelashii pulmonary qaadataa meel lala ku heley soo socda:

• hypertension idiopathic dhaxlo;
• atherosclerosis,
• kaafi pulmonary oo laga yaabo inuu keenay labada dib lungemboli endarteritis laamaha yar yar,
• cudurrada sambabada - emphysema, pleurisy, cystic pulmonary, boronkiitada obstructive;
• si tartiib tartiib cudurka wadnaha lagu dhasho ,
• xanuunada valvular helay.

kaafi sambabada: darnaanta

Sababo la xaqiiqada ah in foomka chronic cudurka lagu gartaa koror tartiib ah oo inta badan ku dhawaad dismo calaamadaha cudur qeexo afar adkaanta cudurka:

• Waxaan degree - aan lahayn calaamadaha cudurka ee daliilka dadaalka badan caadiga ah ee cudurka lagu arkay, dyspnea yar oo u muuqda mid la sii kordhaya load.
• degree II - oo keliya ma laha wax calaamado, laakiin dadaalka dyspnea caadiga ah soo noqnoqda iyo wadno garaac.
• Grade III - calaamadaha deficiency dhacaan ama dhibta yar, laakiin aan nabadu jirin.
• Fasalka IV - qof qaban karin hawlaha ugu yar ee jirka, calaamadaha cudurka naftooda oo keliya mariyo.

weerar ba'an cudurka sambabada waxa dhici karta in mid ka mid ah laba hab - midig iyo bidix ventricular failure. ventricular Left failure muujin kartaa barar sambabada ama neefta wadnaha.

neefta wadnaha

kaafi Tani pulmonary, kuwaas oo astaamaha la kordhiyo si tartiib tartiib ah. In marxaladaha hore waxaa lagu muujiyey by neefta oo ku qabata, taas oo u muuqata ugu horeysay ka dib jimicsiga, muddo u kordhiyaa, muuqashada xitaa nasan. Marka dyspnea fal adag ee la neefsado (dilaaliinta ee qof). In mustaqbalka, waxaa loo bedelay weerar ee neefsashada, inta badan waxay dhacdaa marka la seexdo. Waayo, xilligan la joogo jibbaaranaha waxaa lagu qasbay in bandhig - headboard sare, inta lagu guda jiro weerar bukaanka waxaa lagu qasbay in ay ku fadhiistaan, lugaha uu laad laadaan off sariirta iyo ku tiirsan gacmaha, marka laga reebo neefta oo ku qabata muuqan wadno, dhidid, cabsida dhimashada. Qufac qalalan ee neefta wadnaha, la xaako yeesheen. jirka oo caddaado, dhiigrooraan daran ee saddexagalka nasolabial, faraha. Atar spasmodic, daciif, cadaadiska waa la dhimay.

Ka fikir waxa uu leeyahay muuqaalada wadnaha iyo neefta:

barar sambabada

kaafi pulmonary Ba'an keeni laga yaabaa by barar sambabada. Tani waa qadar weyn oo dhiig ah oo gaarey unugyada sambabada. Weerarka ayaa si lama filaan ah uu yeesho, iyadoo aan loo eegin wakhtiga maalintii. Bilow lagu gartaa Dahay af badan, halka ay jiraan sii daraysa si degdeg ah xaalad bukaan-socodka:

• neefta oo ku qabata kordhay, bukaanka uusan haysan hawada ku filan, waxaa lagu calaamadeeyay dhiigrooraan ee maqaarka wajiga iyo addimada, dhididka qabow,
• miyirka oo yaraada - waxaa laga yaabaa in excitation motor iyo maskax hurudda ilaa si buuxda u waayin miyir;
• neefsashada oo buuq badan, qeexnayn, qoondeeyey xumbo pink,
• haddii weerar ka dhacay dhanka ah asalka ah Wadnaxanuun infarction ama myocarditis, shock cardiogenic horumarin karaan.

xaq u failure ventricular

Waxaa sidoo kale dhici karaan sida dhibaato ah Wadnaxanuun infarction ama myocarditis. daliilka Its, marka laga reebo neefta oo ku qabata iyo neefsashada oo sii kordhaya, waxay kala yihiin:

• dhiigrooraan oo ka mid ah wejiga iyo faraha;
• Waxaa si cad u arki karo, gaar ahaan on waxyoonay, xididdada qoorta oo barara,
• bararka lugta hoose, dadka derbiga caloosha ilaa ascites;
• wayneeyo beerka, waxaa jira kuusasho in epigastrium ah.

kaafi wadnaha iyo Chronic

Sababo la xaqiiqada ah in qaab chronic cudurka uu yeesho sannado badan, daliilka ay caafimaad oo yar fahmayaan. Tan ayaa sal u ah cudurka inta badan jiifsan cudurada nidaamka neef-mareenka, ka dibna waxa ay muujinaysaa ilaa meesha ugu horeysa ay neefta oo ku qabata. Calaamadaha soo socda ayaa lagu xiri karaa in ay:

• feedho xanuun,
• arrhythmia;
• tachycardia;
• dhiigrooraan;
• barar lugaha,
• barar xididdada luqunta,
• encephalopathy.

Marka cudurku sii socdo, astaamaha bilaabaan si ay u koraan, iyo haddii markii hore ay ka soo muuqatay ka dib markii load gaar ah, ka dibna in marxaladaha ugu dambeeya (yada ee decompensation) waa in complete intiisa kale.

Wadnaha sambabada la'aan: daaweynta

Horumarinta ee cudurkan ba'an sida caadiga ah u baahan yahay fara-deg ah iyo xirfad. Sida caadiga ah, daaweynta waxaa lagu fuliyaa ee isbitaalka, oo marar badan - in qaybta daryeelka degdegga ah. Haddii weerarka ayaa sameeyay guriga, waxaad u baahan tahay sida loo helo qofka sida ugu dhakhsaha badan ee suurtogalka ah xarun caafimaad. Therapy foomka chronic cudurka been in hab ballaaran in lagu daweeyo cudurka. Waa edbin ha daroogada kaliya, laakiin sidoo kale ayna ee heerka dhaqdhaqaaqa jirka, nafaqada. therapy daroogada ee cudurkan waa in uu magacaabo kooxaha soo socda ee daroogada:

• beta-blockers;
• diuretics;
• glycosides wadnaha.

Daawada iyo qiyaasta ay dhacdo in kasta oo ay go'aamiyeen dhakhtarka. Si is-Dawada in kiisaska noocaas ah waa la aqbali karin. Haddii ay dhacdo in failure of daaweyn muxaafidka ah ee dhibaatada waxaa loo xallin qalitaan.