Kuyini ventricular kwesokunxele ukungasebenzi diastolic uhlobo 1?

ukungasebenzi diastolic kwesokunxele ventricle 1 uhlobo - Siyini ngempela lesi sifo futhi kanjani kufanele aphathwe? Impendulo umbuzo, sizokunika izinto olunikezwa sihloko. Ngaphezu kwalokho, uyofunda ukuthi kungani i isimo okungavamile ezifana kwenzeka, futhi kanjani izimpawu ezisobala ke kungathiwa.

ulwazi olujwayelekile

Kufanele uthole ukuthi yini lo umzimba ngaphambi kokuphendula umbuzo wokuthi kungani kukhona ishiywa ventricular diastolic ukungasebenzi uhlobo 1.

I-ventricle engakwesobunxele ibizwa omunye 4-eh emakamelweni inhliziyo yomuntu. Lokho-ke kuvela kwegazi (isiyingi esikhulu), esihlinzeka ukugeleza okuqhubekayo kwegazi emzimbeni.

Hlobo luni isifo?

Diastolic ukungasebenzi ethulwa ingxenye inhliziyo ibizwa ngokuthi ukuncipha okukhulu ngokuqondene namandla ayo distill igazi umgodi we Umthambo yamaphaphu. Ngamanye amazwi, isimo sokugembula enjalo kukwenza kungenzeki ukuqinisekisa kwegazi efanele.

Ngakho, ventricular kwesokunxele ukungasebenzi diastolic uhlobo 1 kuyinto okunzima isifo senhliziyo, okubonakala ngokuntuleka ikhono wathi ingxenye yomzimba uphumule ngesikhathi diastole. Kufanele kuqashelwe ukuthi kungathatha cishe 0.4 imizuzwana. Kulokhu kwanele ngempela ukubuyisa ngokugcwele ithoni bese zamandla ukugcwala senhliziyo esilimele.

I esiyingozi isifo?

Kwesobunxele ventricular ukungasebenzi diastolic kubangelwa hlobo 1 iconsi ejection ingxenyenamba, elibuye kuholela ukwehla olukhulu endleleni unhlangothi ivolumu. Ukuvimbela yokujama tsi kwegazi emaphashini futhi ukuze sivale lapho sisilela le Ukuvuleka komlomo iqala ukwanda systolic ventricular ivolumu. Uma ezifana ukuphendula okuvikela umzimba ingalandelwa, kubonakala usongo ecacile nomfutho wegazi ophezulu yamaphaphu (retransmission), futhi kakhulu kwandisa umthwalo ngakolunye ventricle (kwesokudla), kamuva kuholela ukwehla ivolumu yalo. Ngenxa yalokho, ingcindezi diastolic kungase ukuminyana emithambo yegazi. Uma kukhona ukungasebenzi ezinzima, kulula ukuthuthukisa edema yamaphaphu.

izizathu Cishe

Kungani ukuthuthukisa ventricular kwesokunxele ukungasebenzi diastolic uhlobo 1? Izizathu zalokhu mkhuba baqamekela okulandelayo:

• isifo unesifo sikashukela;
• zenhliziyo hypertrophic ;
• infiltrative (gqwa), isifo senhliziyo (ie, isifo senhliziyo, yenhliziyo Umthambo isifo, umfutho wegazi ophakeme okungamahlalakhona (lwemithambo) kanye hypertrophy zingxenye ngabanye inhliziyo ukuthi bangaphandle zone of Ukuvuleka komlomo futhi thinning).

izimpawu ukungamukeleki

isimo esinjalo sivame ukuholela ukuthuthukiswa yesibili lwemithambo yamaphaphu kanye nomfutho wegazi ophezulu emithambo yegazi. Lesi simo sokugembula kungase ukuzibonakalisa kanje:

• uhlale ukhwehlela njalo (okuvamile paroxysmal);
• dyspnea ebusuku (paroxysmal);
• iphika.

Iziphi ezinye izimfanelo kuchazwe ventricular kwesokunxele ukungasebenzi diastolic uhlobo 1? Izimpawu eziningi ezifana enkulu ukuhlukahluka sikwazi ukulinganisa isikhathi sokuhamba akusho ukuzibonakalisa. Nokho, ukuthuthukiswa sifo, iziguli sebeqala okumelwe zibhekwe izici ezifana:

• ubuhlungu njalo enhliziyweni, okuyizinto paroxysmal ngokwemvelo (njengaku yenhliziyo Umthambo isifo);
• ukuvuvukala wemikhawulo aphansi;
• iphika (kungenzeka ngisho uphumule);
• spasticity;
• uzizwa esifushane umoya.

Lapho izimpawu ezinjalo kufanele njalo kudokotela. Phela, ngokushesha isimo sokugembula lutholwa, kuba lula ukulawula. Uma uthumele isifo itholwa Wakhumbula ukuthi ayokwelashwa izothatha isikhathi eside kakhulu, nge isicelo esiningi izidakamizwa zonke izinqubo ezidingekayo.

Indlela ukwelapha?

Okwamanje, i-zemithi olulodwa ezazingabizwa obonwa ochwepheshe abaningi, engekho. Kokunye, lokhu kubangelwa yokuthi lesi sifo esibi ngokwanele ukuxilonga. Njengoba kushiwo ngenhla, ukuphambuka enjalo kwenzeka isikhathi eside kakhulu, asymptomatic, okuholela isiguli sifuna usizo lwezokwelapha sekwephuzile.

Ngakho kuthiwani uma uthola out kwesokunxele ventricular diastolic ukungasebenzi uhlobo 1? Ukwelashwa nokuvikelwa lesi sifo ukususa izimbangela ukuthi avuse imikhuba emibi. Ngakho, iziguli kufanele:

• ukwelapha ischemia ekhona;
• Ingabe ukuzinza of kwenhliziyo;
• aphansi blood pressure.

Ngaphezu kwalokho, phezu ukuthola isimo esinjalo sokugembula yesiguli prescribers iqembu ACE blocker. Ngokuvamile choice ewela Lizonopril ochwepheshe ' ". Its ebekiwe efomini tablet 20-40 angu ngelanga (e izinyathelo ezimbili).

Imiphumela emihle ekwelapheni lesi ukuphambuka bungatholakala, futhi ukusetshenziswa kwe-calcium blocker. Ngakho omabili la maqembu izidakamizwa kwehlisa umfutho wegazi, kwehlisa izicubu zenhliziyo-mpilo funa, kanye stop futhi ukunciphisa hypertrophy ka-ventricle engakwesobunxele. Phela, ngenxa yokwamukela mithi kuyathuthuka diastolic umsebenzi inhliziyo, okuyinto kuholela okwengeziwe kulesetayelekile hemodynamics.

Kuba nemiphumela emihle kakhulu babonakala ekwelapheni leso sifo lapho kuhlangene izidakamizwa inhliziyo-engashiyi isisu. Lapho ngampela lingasetshenziswa kanye nezinye izidakamizwa antihypertensive.