Mtima edema: Zizindikiro ndi Chithandizo

Nthawi zambiri, ndi kutupa Tingaone mu miyendo m'munsi. Ichi ndi chifukwa chakuti n'kosavuta zimachitika stagnation kuphwanya dongosolo mtima.

Malinga mwamphamvu awo edema chiyambi mtima zimakhala zochepa kumapazi, mwendo m'munsi, kapena kupita ku bondo.

Kodi kudziwa pamaso pa edema?

Aliyense akhoza kuzindikira mtima edema. Photos of zodabwitsazi pathological adzakusonyezani kuwonjezeka mu buku la mwendo wodwalayo m'munsi ndi miyendo. Motero, kudziwa kupezeka mwina ngakhale layman. Mtima edema ku malekezero m'munsi anaulula lophweka. Ndikofunikira kuti amaumiriza m'dera edematous ndi chala chanu, ndiyeno kuchotsa izo. Ngati ni ya anakhalabe masekondi 5-10 pambuyo chala atachotsedwa, funso kwenikweni za kutupa kwa. Chozama ni iyi, zazikulu kuphwanya dongosolo mtima.

Kuwonjezera kutupa kuonetsetsa kwambiri chinthu chotero monga "pasty". Pansi pake amamvedwa kukhala wopanda asanawonetseredwebe kutupa miyendo ndi mapazi. Ziyenera kukhala pambuyo kukanikiza chala pa zinkakhala m'dera pafupifupi sakhala. Pastoznost mosiyana edema amafuna pang'ono kapena palibe mankhwala owonjezera.

Mtima edema: zimayambitsa

Ndi tsopano ena kuti chodabwitsa izi zimachitika chifukwa cha stagnation ku malekezero m'munsi. Yak kukachitika kuti kumanja kwa mtima sangathe kuchepetsedwa mphamvu ya yachibadwa. Zimenezi zimabweretsa kuwonjezeka kuthamanga mu makope zokhudza zonse, makamaka mu m'munsi ziwiya m'makona. Iwo makamaka kwambiri umadzala venous bedi. Kenako kumawonjezera kuthamanga hydrostatic mu capillary, ndi madzimadzi iri yofulumira khoma mtima mu minofu ozungulira. Izo ziri chimodzimodzi zomwe kuoneka mtima edema. Zizindikiro zimasonyeza pamaso pa chisokonezo dongosolo mtima. Choncho tiyenera kukhala yake pofuna thandizo kwa katswiri.

Kodi ndizitani ngati ndili ndi edema?

Choyamba munthu onse ayenera recheck ngati iye amamwa mankhwala, dokotala anamuuza. Zikatero, ngati malangizo onse amalemekezedwa, koma edema chiyambi mtima akadali kuoneka, chonde kufunsira ogwira ntchito lanu kapena cardiologist. Ngakhale pamaso pa ulendo dotolo ali kwambiri sizingatiletse kukumana electrocardiography ndi ultrasound mtima.

Mtima edema miyendo: outpatient chithandizo

Vutoli sizachilendo odwala zaka. Pa nthawi yomweyo mpaka kalekale kusungidwa kutupa sayenera, mwinamwake angathe kuyambitsa ndithu zambiri mavuto. Chifukwa, ngati muli ndi mtima kutupa, zizindikiro za chikhalidwe chosiyana Musadikire. M'pofunika yomweyo anayamba mankhwala.

Choyamba dokotala onse ganizilani zinthu ndi kapena ayi mtima kudwala magwero a kutupa zinachitika. Ngati vuto kwenikweni, amagwirizana ndi matenda a dongosolo mtima, dokotala mankhwala mankhwala ku gulu la okodzetsa. Pakati pawo, zofala kwambiri ntchito mankhwala "Furosemide", "Hydrochlorothiazide". Pankhaniyi, zimenezi ndi symptomatic yekha. Choyamba, adokotala kuyesa kukonza kugwira bwino ntchito dongosolo mtima. The mankhwala ambiri amene amalola kusintha ntchito yake, ndi beta-blockers. Mankhwalawa kuchepetsa katundu pa cardiomyocytes, potero zomwe kanthu za mtima. Komanso, onetsetsani kuti prescribers, kuchepetsa magazi clotting. Ndi zofunika kwambiri kugwiritsa ntchito mankhwala kuti kumapangitsanso kagayidwe cardiomyocytes. Zothandiza kwambiri pakati pawo ndi mankhwala "Thiotriazoline". Iye mwina mankhwala okha amene efficacy akulitse mtima minofu kagayidwe anasonyeza chifukwa cha kafukufuku matendawo.

Ngati aliyense kutupa zoopsa mtima, mtundu wa mankhwala kuthandiza mwamsanga kuthana ndi vutoli.

chithandizo Inpatient

Ngati kuphwanya dongosolo mtima wafika mawu mokwanira mkulu ntchito zachipatala ikuchitika kuchipatala. Ngati muli ndi zoonekera mtima edema, chithandizo Sayenera droppers. Mfundo yakuti buku zina madzimadzi kutumikiridwa m'nsinga, akhoza kwakukulukulu kusokoneza ntchito ya dongosolo mtima. Monga Chifukwa mosaganizira mpheto wodwala angathe ngakhale m'mapapo mwanga edema, ndi boma ayenera kulandira chithandizo mwamsanga kuwatsitsimula.

Mtsempha kukapanda kuleka utsogoleli wa mankhwala n'chotheka pambuyo kutupa miyendo m'munsi pamene kwambiri yafupika. Komanso, dokotala ayenera kuona ngati pali madzimadzi mu minofu ya m'mapapo. Anthu ambiri matenda ndi kutumikiridwa m'njira otchedwa polarizing osakaniza potaziyamu. osakaniza mankhwala kwambiri bwino dongosolo mtima.

Mokhudzana ndi mankhwala diuretic, mankhwala analandira kufalitsidwa wamkulu ena zinthu n'kupuma "Furosemide". Kuchipatala kaŵirikaŵiri kutumikiridwa m'nsinga. Pankhaniyi, pamaso pa jekeseni wa dokotala amayankha wodwalayo magazi. Ngati ndi otsika kwambiri, ndiye kumayambiriro okodzetsa kudzachitike. Ngati kumene wodwala kutenga mankhwala antihypertensive, iye amangokhala kusintha chiwembu ntchito. Ngati wodwala mankhwala amenewa ntchito, munthu ali kugwiritsa ntchito mankhwala kuwonjezera magazi. Pakati pawo, zofala kwambiri ntchito mankhwala "Prednisolone".

Momwe mungapewere chitukuko cha edema?

Sitepe yoyamba ndi kukaonana ndi dokotala m'njira yake ku mwambo zizindikiro woyamba wa matenda a dongosolo mtima. Komanso, n'kofunika kuti athe kutsatira malangizo amene anapatsidwa.

Iwo ayenera kukumbukira kuti yambiri ya madzi aziwapatsa amalimbikitsa posungira ndi sodium. Zimenezi zimabweretsa stagnation ku malekezero m'munsi. Pofuna kupewa kudzikundikira yambiri ndi sodium mu thupi, kupewa ndi kumwetsa mowa mchere. Madokotala ndi akatswiri a zinthu zakudya amalangiza kuchepetsa kuchuluka kwake mu zakudya kuti 3 ga patsiku.

Kodi bwino ndi diuretic?

odwala ambiri mwa mankhwala diuretic amakonda mankhwala "Furosemide". Chifukwa imeneyi mfundo mwamsanga amachotsa mtima edema. Zizindikiro za matenda a mtima zambiri kutha mu masiku awiri oyambirira kale. Mwatsoka, mankhwala akhoza kukhala limathetseratu vuto lina lililonse chifukwa edema onse mtima. chakuti ntchito yopitirira ya mankhwala "Furosemide" kumathandiza kuti excretion mofulumira wa potaziyamu ndi magnesium thupi. Motero, ntchito nthawi yaitali mankhwala angawonjezere njira ya matenda a dongosolo mtima.

Mu chochitika kuti mankhwala "Furosemide" yoikidwiratu kwa nthawi yaitali, ndi zofunika kwambiri kuphatikiza luso lake ndi mankhwala "Asparkam". Imathandiza thupi amapanga kwa katundu mchere.

Ndithu otchuka diuretic ndi mankhwala "hydrochlorothiazide". Izi mankhwala ali ndi zotsatira kuli kutchulidwa kuposa mankhwala "Furosemide". Choncho sayambitsa imfa kwambiri ngati zinthu mchere m'thupi. Chifukwa, mankhwala akhoza kumwedwa pafupifupi nthawi zonse. Mtima wofufuma mchikakamizo cha anachoka mwakamodzi. A zotsatira zina zingaoneke pambuyo pa 3-4 masiku.

Kuopsa edema yaitali

Palokha, zodabwitsazi si yoopsa ngati kusungidwa kwa nthawi yaitali. Ngati mtima edema mwachilungamo anasonyeza ndi kusungidwa kwa masabata 1-2, ndiye kungabweretse mavuto aakulu. mfundo ndi yakuti mu mwambo kutupa lalikulu mu malekezero m'munsi anasamutsidwa ndi mitsempha ya magazi. Zimenezi zikugwira ntchito makamaka kwa mitsempha ang'ono-likungosonyeza ndi mitsempha. Chifukwa, magazi anawawidwa zimakhala zotumphukira. Zimenezi zimathandiza munthu kuwonongeka kwa mphamvu zawo ndi, chotero, ndi pang'onopang'ono Kuuma kutali. Choncho angayambe ngakhale zilonda. Ngati muchita kanthu kwa nthawi yaitali, njira minofu alibe akhoza kukwaniritsa mwamphamvu kwambiri. Pankhaniyi, njira zambiri opaleshoni yekha.

Kodi chotupa ichi?

Choyamba, tiyenera kuona kuwonjezeka voliyumu ya m'makona m'munsi. Choyamba tikulankhula za miyendo ndi mapazi. Ndipo nthawi zina, pali kwambiri mtima kutupa mapazi. Chithandizo, ngati ikuchitika, kwambiri amachepetsa buku la shins, koma sikuti Bwezani kubwerera mwakale. Pamene mbamuikha pa malo edematous amakhalabe ni pa izo, zomwe si pochitika masekondi 10.

Mosiyana edema ena

Tikumbukenso kuti zodabwitsazi zimawonedwa osati kudwala a dongosolo mtima. Kutupa zingachitikenso pa zifukwa zosiyana kwathunthu. Koma nthambi m'munsi, iwo akhoza kuoneka pano ndi chifukwa cha kudwala olowa. Mwachitsanzo, mu nyamakazi angayambe mokwanira kutchulidwa edema. Kusiyana kuno kungakhale chakuti edema chiyambi mtima si limodzi ndi zomverera opweteka nthambi m'munsi mfundo za mafupa ang'ono. Mu nyamakazi, ndi nkhawa kwambiri m'mawa. Komanso mu kudwala zimfundo padziko m'dera edematous kuchuluka khungu kutentha.

Mu thupi lawo siligwirizana kudzali edema. Pa mapazi ake, zikuoneka chifukwa cha kukhudzana ndi mbewu iliyonse kapena kuluma kwa tizilombo ndi. Chifukwa cha zimenezi, chofunika kwambiri ndi mbiri zachipatala. Pa nthawi yomweyo umagwira yofunika chosokonekera wa edema. Mu thupi lawo siligwirizana adzakhululukidwa anaona pa nthambi, amene chinaperekedwa ku kukhudzana ndi chomera kapena kulumidwa ndi tizilombo. Mtima edema zambiri symmetrical. Komanso, mawonetseredwe awo sagwirizana mwamsanga kudzatha utsogoleli wa mankhwala. Mtima edema mankhwala amenewa sadzakhala kutha.