Ukwelashwa okungcono kakhulu kokuhluleka kwenhliziyo

Ukuhluleka kwenhliziyo okungapheliyo , okwenziwa yi-NYHA (i-New York Association of Cardiologists), kusekelwe ekuhloleni komtholampilo wokuba khona nokuqina kombuso olinganiselwe weziguli. Izimpawu ezisemqoka ezibangela ukwehla komsebenzi womzimba kufaka phakathi izimpande, ubuthakathaka, ukuphefumula nokuphelelwa amandla. Ukungahleleki ekuhlukanisweni kwe-NYHA yi-gradation elinganiselwe nokuzithoba kwezinga. Ngenxa yalokho, cishe zonke iziguli ezinezithombe ezitholakala emtholampilo ziyingxenye yesithathu noma yesine.

Ukwelashwa kokuhluleka kwenhliziyo okungapheli kuvame ukuqhutshwa ngesifo sengqondo. Umphumela wokwelapha awuqondisi nje kuphela ekuqedeni isifo esiyisisekelo. Inkambo yokwelapha ihlanganisa nokuvinjelwa kokucindezeleka kwengqondo nokunciphisa umsebenzi wokuzivocavoca, ukuqeqeshwa ngokomzimba okwelashwa. Ngaphezu kwalokho, kunesibopho sokunamathela ekudleni okunamavithamini namaprotheni okunciphisa inani lomunyu nosawoti.

Ngaphakathi kohlaka lwezokwelapha, umphumela wokwelapha wenziwa futhi. Kukholelwa ukuthi indlela engcono kakhulu yokwelapha ukuhluleka kwenhliziyo, eyakhiwe ngenxa ye-ciliary tachyarrhythmia, i- glycosides yenhliziyo. Ngaphakathi khetha "Celanide", "Digoxin" nabanye. Ukulinganisa kwezidakamizwa kukhethwe udokotela.

Nge-hydrothorax etholakalayo, i-edema yedayiphahla, ama-ascites, amalungiselelo e-diuretic ("Furosemide", "Hypothiazid", "Uregit" nabanye) asetshenzisiwe. Kwezinye izimo, kunqunywe ngokuhlanganiswa ne-aldosterone abaphikisi (for hyperaldosteronism "Veroshpiron") namalungiselelo e-potassium (nge- potassium chloride hypokalemia ). Isenzo eside sinezidakamizwa ezinjengokuthi "Triampur", "Triamteren" - i-diuretics yokuphazamisa i-potassium-sparing.

Kuvame ukuphakanyiswa ukubeka izidakamizwa ezingathuthukisa i-hemodynamics ngenxa yemiphumela ye-vasodilator ye-peripheral (vasodilators). Kukholelwa ukuthi indlela engcono kakhulu yokwelapha ukwehluleka kwenhliziyo, ene-property-inhibitors, ethinta izitsha zombili ezinezinambuzane neziyingozi. Okuvame kakhulu kubo kufaka phakathi i- "Enalapril", "Kapoten" nabanye. Kwezinye izimo (okungajwayelekile) i-nitrate isetshenziswa. Isibonelo, "i-Nitrosorbide", "i-Nitroglycerin" (ukunciphisa ithoni ye-venous), "i-Fentolamin" (ukwandisa i-arterioles), "i-Prazozin" (echaphazela ithoni ye-venules ne-arterioles). Ukusebenzisa kwabo kungasiza ekunciphiseni ukucindezeleka kwegazi, ukuthuthukisa ukukhukhumeza, okungavumelani nomthelela we- diuretics , ukuqinisa noma ukuvela kwe-tachycardia. Kumele kuqashelwe ukuthi ukuqokwa kwama-vasodilators nokulawula phezu kwesilinganiso sokungenwa kwenziwa kuphela udokotela.

Kodwa-ke, akungabazeki ukuthi indlela engcono kakhulu yokwelapha ukuhluleka kwenhliziyo ixilongwa ngesikhathi esifanele kanye nokuqedwa kwezidakamizwa zangaphambilini.

Ukulinganisa ukulinganisa amaminerali amaminerali namanzi emzimbeni kuzoqeda ukukhukhumeza, ukuthuthukisa igazi. Ngaphezu kwalokho, umthwalo wezinhliziyo uzoncipha, ingozi yokuphazamiseka kwenhliziyo.

Kanye nalokhu, ukuqapha kwansuku zonke okwehlukanisiwe kanye nokwakheka kwamanzi kuyadingeka. Kudingeka ukuba ulinganiswe njalo.

Kwezinye izimo, ukushintsha umbuso wosuku, ukudla, ukuphuza uketshezi kuyindlela engcono kakhulu yokuphatha ukuhluleka kwenhliziyo. Lezi zinyathelo zisiza ukuqeda i-cyanosis yesikhumba, i-dyspnea, ukuvuvukala. Iziguli ezinesifo senhliziyo zidinga imvelo esekelayo ekhaya nasemsebenzini. Kudingekile ukukhipha izimo ezicindezelayo, ukunikeza isikhathi esifanele sokulala.

Kodwa-ke, ngezigaba eziseduze zalesi sifo kuyadingeka izinyathelo eziqine kakhulu.