Esivimba amanzi sokuwohloka

Ukuze uqonde ukuthi sokuwohloka esivimba amanzi, kubalulekile ukwazi kwencazelo elithi "myocardium". Lokhu striated imisipha yenhliziyo, enza umsebenzi "futha". Okungukuthi, uzotshala igazi enhliziyweni. Ngakho, umuntu angakwazi imisipha yenhliziyo - kuphula umthetho we kusebenta kwato.

Yini ehlanganisiwe welithi "ukonakala kwazo imisipha yenhliziyo"

Kusuka umbono wezokwelapha, esivimba amanzi sokuwohloka - a ukungasebenzi senhliziyo esilimele, izilonda ze-non-ukuvuvukala, njengoba kwenzeka ngaphansi kwethonya izinguquko sokugembula kule zamakhemikhali izinqubo biophysical obangela ukusikwa inhliziyo.

Kuze 1936 sokuwohloka infarction kwahlanganiswa nomqondo myocarditis. G. F. Langom wathola ukuthi izimbangela myocarditis kungaba isimo sokungakhethi kwesikhwama sokuvuvukala egunjini lokuhlolwa kwezifo. Ngakho, esivimba amanzi sokuwohloka babe ukuzimela sodwa. Labo izimo lapho kukhona izinguquko kuphela kokuqala ezicutshini izicubu (hypertrophy) nezizathu ukusula nesenzakalo yabo, okukhulunywe zenhliziyo njengoba eyinhloko.

sokuwohloka myocardial isebenza kubo bonke amaseli imisipha yenhliziyo. Ngakho-ke iwubuphukuphuku ukuzwa izifo ezifana "ukonakala kwazo i-ventricle engakwesobunxele senhliziyo." Mhlawumbe libhekisela kwesokunxele hypertrophy ventricular (ngamanye amagama, zenhliziyo hypertrophic). Ngokuphambene, isifo ubhekwa esethola esivimba amanzi sokuwohloka egunjini lokuhlolwa kwezifo. Ngakho-ke, uma lokhu kungenzeki izinguquko ezithile morphological e imisipha yenhliziyo.

Izizathu eziyinhloko

Noma yiziphi izinguquko pathology yomzimba banezizathu zabo, kodwa hhayi wonke, namanje kungathiwa. sokuwohloka myocardial ungomunye walabo izifo. Khona-ke abakhululiwe eziyinhloko:

- hypoxemia (ukwehlisa igazi elingenawo umoya);

- ubuthi anobuthi (kuhlanganise yizidakamizwa nokuluthwa utshwala);

- avitaminosis (ukungabakhathaleli nhlobo amavithamini) kanye hypovitaminosis (amavithamini);

- Imininingwane sokuwohloka, cachexia (kakhulu umzimba ukukhathala) ;

- endocrine iziyaluyalu (iziyaluyalu we pituitary indlala, i-hypothyroidism, i-hyperthyroidism);

- kokunikezwa kwe-electrolyte, lipid, amaprotheni carbohydrate umzimba;

- myopathy, myasthenia gravis (kwamanyuroni iziyaluyalu);

- ngemuva kwama-hormone (ukuya esikhathini);

- ngokuzila ukudla okungafanele futhi abanye ukudla.

Umtholampilo angakwazi imisipha yenhliziyo

Isithombe emitholampilo yalokhu kuhlukumeza kuncike isifo eziyimbangela, okuyinto eyenzeka sokuwohloka lapho esivimba amanzi. Lesi Sikhungo esivame ukubizwa isikhalazo lithi:

- emizweni ezingemnandi esifundeni inhliziyo;

- ubuthakathaka jikelele;

- okungikhathazayo enhliziyweni bezwe izinhlungu, ukuthunga kanye nemvelo ukuphokophela, ayiphenduli nitroglycerine futhi ube isikhathi eside;

- kwehle ukusebenza;

- iphika ngesikhathi umsebenzi noma ukuhamba;

- ukukhathala;

- arrhythmia (amabhithi kakhudlwana futhi tachycardia).

Sokuwohloka we imisipha yenhliziyo - lihlotshaniswa nezifo futhi sitholakale kwalokho. Kule ndaba, azikho izindlela olukhethekile ekwakhiweni uphethwe. izimpawu zokwelashwa kungcono okwaboniswa ECG.

Ukulapha nokuvikela

Ubude yokwelashwa futhi zibeka izidakamizwa kunqunywa isifo ecashile ezibangele izinguquko imisipha yenhliziyo. Njengokulindelekile, bonke lo msebenzi udokotela. Uma sokuwohloka infarction zizenze ukuxilongwa eyinhloko, kubalulekile ukugcizelela sokunquma izizathu ezibangele isifo. Kule incike ukusebenza yebo kunikezelwe.

Ukuvimbela esivimba amanzi sokuwohloka - a nokwelashwa ekuseni izifo ezinkulu. Ezinjalo njengoba isifo ischemic we senhliziyo, isifo sikashukela, umfutho wegazi ophakeme emithanjeni nabanye. Ukuhambisana izimiso ezithile zokuziphatha uyophinde kuncishiswe ingozi angakwazi imisipha yenhliziyo (ukugwema imikhuba eyingozi, ukudla, ukusebenza komzimba okufanele iminyaka nokunye).