M'mapapo mwanga BP: Zizindikiro, Amachititsa, Chithandizo

M'mapapo mwanga oopsa - dzina generic gulu la matenda amene yodziwika ndi kuwonjezeka mwapang'onopang'ono m'mapapo mwanga mtima kukana zikubweretsa kulephera pomwe yamitsempha yamagazi ndipo chotero, msanga imfa. Kwa nthawi yoyamba matendawa anapeza mu 1891 ndi Dr. Ernst Von Romberg, ndipo mu 1973 pa msonkhano WHO anali kuyesa loyamba la gulu la matenda oopsa m'mapapo mwanga. Choyamba, matenda oopsa m'mapapo mwanga anagawidwa pulayimale ndi sekondale. oopsa chachikulu, nayenso, ogaŵikana obliterans, wolumikizira thromboembolic mauna ndi mawonekedwe. Kenako mu 1998, pa msonkhano wachiwiri unachitikira Evian-les-Bains, izo akufuna kuti m'kagulu oopsa m'mapapo mwanga pamaziko a mawonetseredwe matenda. Malinga ndi gulu atsopano, pali mitundu isanu ya matenda: venous, wolumikizira, thromboembolic, hypoxic ndi kusakaniza.

Chitukuko cha matenda oopsa m'mapapo mwanga chifukwa ndi kuchepetsa pang'onopang'ono wa lumen a sing'anga ndi yaing'ono ziwiya m'mapapo mwanga. The chifukwa cha lamulo ili ndi kutsekedwa wathunthu ziwiya, akuchuluka mu kuthamanga ziwiya mapapo, ndi ikukoka ntchito chatsitsa zipinda za mtima. M'mapapo mwanga oopsa amatanthauza gulu la matenda multidisciplinary zovuta, ndi kudziŵa za nthawi zonse kudzadza.

M'mapapo mwanga matenda oopsa: zizindikiro.

Odwala amadandaula kufooka ambiri, kutopa, kufupika kwa mpweya, kufinya ululu ndi kusapeza mu kumanzere kwa chifuwa, kukomoka, ndi mapazi atupa. Zizindikiro siyana mu mwamphamvu, malingana ndi kuopsa kwa matenda. Pali zinthu zinayi makalasi zinchito za matenda oopsa m'mapapo mwanga. Mu Gulu loyamba la kalasi m'mapapo mwanga matenda oopsa monga odwala m'mavuto pa zolimbitsa amphamvu thupi; m'kalasi yachiwiri ya matenda oopsa monga odwala amene amaona yachibadwa pa mpumulo, koma ngakhale ndi katundu zolimbitsa ali ndi kufupika kwa mpweya, kufooka, kupweteka chifuwa ndi chizungulire. Odwala ndi m'kalasi yachitatu ya matenda oopsa m'mapapo mwanga timavutika zizindikiro pamwamba, ngakhale pamene zoweta katundu. Kalasi yachinayi ya matenda oopsa m'mapapo mwanga zimagawidwa odwala sangathe kulekerera lokhoza thupi kwambiri ndiponso ngakhale pa mpumulo iwo akuvutika ndi kufooka ndi kupuma movutikira.

Otchuka pakati zimayambitsa matenda oopsa m'mapapo mwanga akuchita zosinthika ambiri matenda a m'mapapo - chifuwa, lomwe limapezeka mu 90% ya osuta. Komanso, m'mapapo mwanga oopsa - ndi vuto ambiri mu kugonjetsedwa kwa minofu mtima odwala ndi matenda mtima akudwala inatsekeratu matenda mtsempha wamagazi ndi matenda yotupa wa myocardium lapansi. Komanso, matenda zambiri amapezeka mu odwala pathologies zosiyanasiyana autoimmune monga nyamakazi, lupus ndi matendawa.

M'mapapo mwanga matenda oopsa: mankhwala ndi kupewa.

Mankhwala a matenda aakulu, monga matenda oopsa m'mapapo mwanga ndi limodzi mwa mavuto ambiri madokotala ambiri ndi cardiologists. Panopa padziko lonse analenga angapo malo apadera zochizira ndi kafukufuku wa matenda. Chithandizo cha matenda zimenezi zimaphatikizapo miyeso umalimbana kuchepetsa Mwina wa kuwonongeka kwa matenda. Zikuphatikizapo: kupewa mimba, katemera ndi matenda pneumococcal ndi fuluwenza, olamulidwa konzanso, thandizo psychosocial ndi mlingo thupi ntchito.

Cholinga chachikulu pa matenda a matenda oopsa m'mapapo mwanga ndi kuwonongedwa chifukwa cha pakuwonekera kwake, ndi kuchepetsa magazi mu mtsempha wamagazi ndi m'mapapo mwanga, kuteteza thrombus mapangidwe. Mankhwalawa zikuphatikizapo:

- kulandira vasodilators akuchita pa ulesi mtima yosalala wosanjikiza minofu. Zikuphatikizapo prazosin, hydralazine ndi nifedipine;

- utsogoleli wa mankhwala, anticoagulants mozungulira kanthu, amene kanthu amachitira kuchepetsa magazi kukhuthala - asidi acetylsalicylic, dipiridamolal etc.

- mpweya inhalation pa hypoxia ndi dyspnea;

- kulandira okodzetsa.

Zikavuta kwambiri, ndi kumuika mtima ndi mapapo.