Miyendo kutupa bondo: zimayambitsa ndi mankhwala

Pali stereotype kuti m'munsi nthambi edema kugwirizana okha ndi kudya kwambiri madzimadzi ndi moyo wongokhala. Ngati muli miyendo kutupa pansipa maondo, chifukwa izi zikhoza kukhala kwambiri. Ndipotu, pamaso pa chizindikiro ichi mukhoza kukhala yoopsa nyengo yachisanu ikupita matenda a mtima, matenda a impso, chiwindi, mtima zotupa yotupa, chotupa psinjika iliac mitsempha ndi matenda ena oopsa.

Bwino imachitika diagnostics mpata kudziwa matenda chimapangitsa ndi kusankha ogwira mankhwala yake.

chabwino kulephera yamitsempha yamagazi

mwendo kutupa mwina chifukwa cholephera bwino yamitsempha yamagazi. Pankhaniyi:

• Kufupika kwa mpweya, utachepa luso kuchita mwachizolowezi katundu thupi (kukwera masitepe, kuyenda). Zofooka ndi kutopa chifukwa cha kuperewera kwa mpweya chifukwa minofu zosalongosoka perfusion.
• M'munsi mwendo edema zimachitika.

Tiyeni tione chifukwa chilichonse chifukwa, miyendo kutupa m'munsimu bondo ndi kulephera yamitsempha yamagazi bwino. Chifukwa cha kufooka kwa yamitsempha yamagazi contractility akusokoneza chokwanira ziwalo kotunga magazi ndipo zimakhala, pakubwera kutsegula a dongosolo sympathoadrenal ndi itsekeke pang'ono ndi lumen wa venules ndi arterioles, kuwonjezeka kugunda kwa mtima. Poyankha vasoconstriction kumawonjezera magazi, akuziyambitsa ndi renin-angiotensin-aldosterone dongosolo, amachepetsa aimpso magazi, pali kuchedwa wa soda ndi madzi, kuchuluka magazi aziyenda bwino mu zotengera, kuthamanga hydrostatic mu mitsempha.

Ngati kutupa miyendo pansipa maondo, chifukwa izi zikhoza kukhala kuti kuchuluka mtima permeability, kuchepetsa mapuloteni kaphatikizidwe ndi excretion mu mkodzo chifukwa cha impso kuwonongeka joiner.

Cardiogenic edema akufotokozera pang'onopang'ono, ambiri kutchulidwa kutha kwa tsiku. Munthu wotere oposa.

Mapazi woyamba kufufuma, pali madandaulo a mopanikizana, anachitazi nsapato. Kenako otekaet atavalanso zoteteza. Khungu ndi kuzizira kwa kukhudza, wotumbululuka cyanotic. Pakhala kuda masokosi, chingamu, buckles nsapato. Pamene mbamuikha pa khungu yaitali amakhalabe fossa.

Yodziwika ndi edema symmetrical. Yaitali wakhala zikhoza kutupa kwa dera lumbar.

Decompensated lamanja mtima kulephera edema kukhala ofala. Zikuoneka ascites (madzimadzi kudzaza zonse m'mimba). Angathe hydrops (kutupa kwambiri khungu ndi subcutaneous mafuta).

kumanzere kulephera yamitsempha yamagazi

Kulephera kumanzere yamitsempha yamagazi ndi mawonetseredwe ambiri a mphumu mtima:

1. Orthopnea (wodwala angathe yopingasa chifukwa chodziwa m'mapapo mwanga kotunga capillary magazi ndi chitukuko cha dyspnea aakulu).
2. Paroxysmal nocturnal dyspnea (kuukira kovuta odyshechnye komwe kumachitika nthawi kugona limodzi ndi wheezing, wheezing, kukhosomola kwambiri, cyanosis wa nkhope).
3. Wheezing mu mapapo.
4. Profuse ozizira thukuta.

Matendawa kulephera kumanzere yamitsempha yamagazi

1. Electrocardiography (pafupifupi mungoli ndi conduction zipolowe, pamaso pa mano pathological).
2. Echocardiogram (ejection nusu ya mtima kuphunzira, ndi makulidwe a malinga a atria ndi ventricles, pamaso pa kuwonongeka kwa mavavu kapena stenoses, kusintha kandalama pericardium a), tsiku polojekiti ECG (Holter).
3. Pachifuwa X-ray.
4. Mayeso pansi pa katundu kudziwa kalasi zinchito kulephera mtima.
5. Mkodzo kwa mapuloteni okhutira.
6. A magazi ndi mtima wa zolembera m'mnyewa wamtima choipa.
7. Immunoglobulins M ndi G kuti cytomegalovirus ndi Epstein - Barr HIV.
8. Kafukufuku mlingo wa mapeputisayidi natriuretic.

chithandizo

mankhwala ndi wa zinthu zoterozo:

• zakudya chiletso mchere mogwirizana ndi mlingo wa kulephera mtima;
• dosed thupi katundu, tsiku kuyenda;
• mankhwala mankhwala (okodzetsa, mtima glycosides, angiotensin-akatembenuka zoletsa enzyme, beta-blockers, antiplatelet wothandizira, antiarrhythmics).

Pamene anachoka yamitsempha yamagazi kulephera kutupa miyendo pansipa maondo? Zifukwa ndi malangizo chithandizo kuonedwa ndi ife.

impso kutupa

Mosiyana, mtima edema, aimpso amapezeka kutchulidwa m'mawa, anayamba kuchokera pamwamba pansi. Poyamba, kutupa zikope, nkhope. Pafupi ndi theka lachiwiri la tsiku miyendo kutupa (shins ndi akakolo), kutupa nkhope sichidziwika kutchulidwa. Khungu lofewa, ofunda, fossa pambuyo kukanikiza chala mwamsanga kutha. Pamaso pa cyanosis si lililonse.

Luso la kutupa kwa "kusamuka" - yofunika matenda mbali ya kudwala aimpso.

Chizindikiro propensity kwa kuthamanga.

Ngati odwala ndi impso kutupa mwendo bondo osiyanasiyana, mankhwala, ndi ena malangizo othandiza mudzapeza pansipa.

Edema kugwirizana ndi zotupa poizoni ndi chitetezo cha glomeruli a impso, kuchepetsa mlingo awo kusefera, posungira madzimadzi, kuwonjezera mphamvu ya mwazi, mbali zikuluzikulu za magazi kutuluka m'madzi a m'magazi kuti zimakhala chifukwa kuchuluka permeability mtima ndi kuchepetsedwa magazi oncotic kuthamanga chifukwa sankatha mapuloteni mu mkodzo.

Ndipo komabe, chifukwa ena kutupa miyendo pansipa maondo? Zimayambitsa ndi zizindikiro za kusapeza zogwirizana.

Ndi chitukuko cha edema chifukwa kugwirizana glomerulonephritis mfundo ndi matenda yapita monga zilonda zapakhosi.

Pamene syndrome nephritic kutupa zochepa kutchulidwa khalidwe hematuric syndrome (mkodzo amapeza slops mtundu nyama).

syndrome Nephrotic limodzi ndi imfa yaikulu ya mapuloteni mu mkodzo ndi edema anasonyeza kuti hydrops.

Matenda a edema aimpso

• Mapuloteni mu mkodzo.
• Mkodzo sterility.
• Khama la chitetezo streptococcal ndi staphylococcal kuti seramu magazi.
• Ultrasonography.
• Control wa magazi.
• magazi.

mfundo za chithandizo

chithandizocho ntchito:

• zakudya kuletsa mchere, mapuloteni ndi madzi;
• bedi mpumulo;
• zokhudza zonse mankhwala mankhwala;
• woika okodzetsa;
• kutsitsa magazi;
• a antihistamine mankhwala;
• Kugwiritsa ntchito mankhwala nonsteroidal odana ndi yotupa;
• anticoagulants ndi wothandizila antiplatelet (popewa ndi microthrombogenesis zina glomerular choipa);
• glucocorticosteroids ndi tsitostatitiki mankhwalawa matenda nephrotic.

kuwonongeka chiwindi

N'chifukwa chiyani kutupa miyendo pansipa maondo? Zimayambitsa ndi zizindikiro za zotengeka izi zosasangalatsa kungasonyeze matenda chiwindi.

Kuchepetsa mapuloteni kaphatikizidwe mu chiwindi chifukwa minofu kuwonongeka aakulu izo (mapeto siteji ya chiwindi, ndi matenda enaake, mafuta, hepatocellular carcinoma) ambiri limodzi ndi kutupa aakulu mpaka anasarca. Kwa chiwindi edema limodzi ndi kwambiri kuyabwa khungu, kukanda, mitsempha kangaude, capillary fragility, yellowness cha khungu ndi zooneka mucous.

Matenda a chiwindi matenda

1. Mkodzo.
2. Kupenda ndowe.
3. kusanthula magazi, motsimikiza okwana mapuloteni, zitsanzo za kwa chiwindi (alt, Ast, GGT, bilirubin, zamchere phosphatase), ankafufuza thymol turbidity mayeso, mlingo wa urea ndi creatinine.
4. US.
5. Atamwa chiwindi zolembera, immunoglobulin M ndi G kuti cytomegalovirus ndi Epstein - Barr HIV.
6. Magazi HIV.

varicose mitsempha

Kodi china Kodi chodabwitsa cha kutupa miyendo bondo, ndi zifukwa? Redness ndi khungu kwa khungu yodziwika ndi mitsempha varicose pa miyendo, amene anatsagana ndi wosasamala kupweteka ululu, kutopa, kulemera mu miyendo.

Mu zotupa aakulu zotheka trophic khungu kusintha: dermatitis, zilonda, hyperpigmentation. Pa anayendera kuonekera zojambula contoured venous, amalembedwa edema, kuwonjezeka ndi oumbidwa mitsempha, kusintha trophic khungu. Asymmetrical kutupa, kusinthasintha mwamphamvu, malingana ndi kukula kwa vutolo mitsempha.

Kupezeka kwa kutupa mu miyendo n'kopanda m'chilengedwe ndipo si pamodzi ndi zizindikiro zina matenda (e. Kufupika kwa mpweya, chifuwa, kutupa nkhope ndi thupi, malungo ndi zina zotero.).

Ngati inu wokhuzidwa ndi miyendo varicose m'munsimu bondo kutupa osiyanasiyana, zithunzi ndi zina zothandiza zikupezeka m'nkhani ino. Mwina zimenezi kudzakuthandizani.

Chithandizo cha mitsempha varicose

opaleshoni (flebosklerozirovanie) ntchito zotupa kwambiri.

mankhwala zimaphatikizapo kugwiritsa ntchito wothandizila antiplatelet ndi venotonics.

phlebemphraxis

Ena chifukwa, miyendo kutupa pansipa bondo, kuwonjezera matenda pamwamba? Mapazi atupa angayambe kuphatikizapo phlebothrombosis lapansi. Nato thrombosis mtsempha magawo koyamba saonetsa zizindikiro za kutupa kwa mpanda mtsempha.

redness a khungu kutupa kumachitika mwakamodzikamodzi. Khungu ndi glossy bwino contoured venous chitsanzo. Zikuoneka yekha kutupa kwa mwendo akhudzidwa. Khalidwe kufalitsa ululu mkati mwa ntchafu. Ululu zikuchepa kwambiri pamene kuyenda.

venous insufficiency

Tiyeni tione chifukwa chilichonse, miyendo kutupa bondo odwala ndi insufficiency aakulu venous. Zonse patsogolo imfa ya dongosolo venous limodzi ndi edema symmetrical anazimiririka ndi kuwonekera m'mawa ndi madzulo. Redness wa shins khungu (poyerekeza kutchulidwa kutupa). kawirikawiri amatenga malo amodzi amaganiza kugonja.

Nyamakazi ndi matenda zokhudza zonse

Ululu ndi kutupa nyamakazi kugwirizana ndi effusion kuti patsekeke olowa. The olowa ndi kuchuluka kukula. Khalidwe redness a khungu.

The kuwonekera koyamba kugulu la zaumbanda nyamakazi (zaka 16) limodzi ndi isanayambike pachimake, malungo, okhadzula pa nkhope, torso, matako, pa malo. Iwo amakhudza ziwalo. Pakuti nyamakazi amakhala ndi m'mawa stiffness m'magulu wake.

Hemorrhagic vasculitis Henoch - Schönlein

Ngati apeza ndi hemorrhagic vasculitis Henoch - Schönlein ndipo mukufuna kudziwa funso la chifukwa kutupa bwino mwendo bondo, zifukwa tikambirana pansipa.

kugwirizana Chitsanzo ndi matenda yapita, mankhwala, pamaso pa aakulu, thupi lawo siligwirizana.

Pamene mawonekedwe articular amakhala ndi: kutupa, kutupa kwa bondo mafupa, kupweteka kwa minofu, hemorrhagic zidzolo pa miyendo, ntchafu ndi matako.

amapatsira mwana wake

Chifukwa matenda coagulation zotheka magazi mu minofu ndi mafupa kugwirizana ndi zoopsa zazing'ono. Edematous anakhudzidwa limodzi kupweteka kwambiri pa palpation ndi kayendedwe, khungu hyperemia, otentha kukhudza.

Nthawi ya kutupa mu miyendo, osati kugwirizana ndi kukhalapo kwa pathologies

Ngati kutupa miyendo pansipa maondo, chifukwa izi si nthawi zonse kumayambitsa kudwala lapansi. Nthawi ya edema ingayambe ndi:

• uchidakwa;
• kwambiri mowa zakudya mchere, kuchititsa posungira madzimadzi;
• Yankho zoteteza hyperthermia;
• kuchuluka katundu pa miyendo, msana, amagwirizana ndi kuvala nsapato wovuta abwino kwambiri zidendene;
• stagnation ndi kuwonjezeka mu kuthamanga mu mitsempha chifukwa moyo wongokhala;
• thupi edema yakalavula yaitali thupi;
• kunenepa;
• kutupa mimba (kuopseza basi chachikulu, kukula mofulumira kutupa, limodzi ndi nseru, kuthamanga kwa magazi ndi mutu - kuopseza eclampsia);
• kutupa mu PMS.

Choncho muyenera kuganiziranso ngati nthawi zambiri kutupa miyendo pansipa m'mawondo. Zoyambitsa ndi mitundu ya edema angakhale osiyana.

Ngati muyeso njira tikulimbikitsidwa: kuteteza matenda a thupi ndi chakudya chamagulu, kupewa kumwa mowa, tizipima zonse ndi dokotala, monga mlingo chakudya cha tsiku ndi kuchita masewera olimbitsa thupi. Popeza kudwala a impso ndi dongosolo mtima ndi matenda a venous outflow ogwira anati yoga (kukalowa kugwedeza), achire zolimbitsa thupi (zolimbitsa "birch").

Kodi ngati mapazi kutupa pansipa maondo? Zifukwa kuposa kuchiza, mmene kuchotsa - zonse chidwi akukumana vuto. Nkhani yathu limayankha mafunso onsewa.