Umlenze uvuvukele ngezansi kwedolo: izimbangela kanye nokwelashwa

Kukhona umqondo ukuthi aphansi esitho edema ezihambisana kuphela ngokweqile baphuza uketshezi futhi ukuphila umzimba. Uma une umlenze uvuvukele ngezansi ngamadolo, kungase kube yingozi izizathu lokhu. Empeleni, khona kwale uphawu kungaba kuzalwa ezinkulu zika-isifo senhliziyo, isifo sezinso, isibindi, izilonda semithambo ukuvuvukala, isimila kokucindezelwa iliac emithanjeni nezinye izifo ezingathi sína.

ukuhlola ngendlela efanele olwenziwa ukuvumela isikhathi ukuhlonza isifo umsuka ukukhetha yokwelapha ngempumelelo ngesikhathi esifanele.

kwesokudla ukwehluleka ventricular

Umlenze ukuvuvukala kungenzeka kubangelwa kwesokudla ukwehluleka ventricular. Kulokhu:

• Ukuphelelwa ngumoya, kwehle amandla okwenza umthwalo evamile ngokomzimba (izitebhisi noma uhamba). Ubuthakathaka nokukhathala okubangelwa ukuntuleka komoya-mpilo ngenxa engaphelele izicubu perfusion.
• Lower umlenze edema zenzeka.

Ake sihlole noma yini isizathu, umlenze uvuvukele ngezansi kwedolo nge kwesokudla ukwehluleka ventricular. Ngenxa eziwohlokayo contractility ventricular iphazamiseke ezanele liningi igazi kwezitho nezicubu zomzimba, kufika ukusebenza ohlelweni sympathoadrenal futhi unciphise mafutha anciphisa isikhala esingaphakathi ka ama-venule futhi arteriole, okwandisa izinga inhliziyo. Ukuphendula vasoconstriction kwandisa umfutho wegazi, isebenze uhlelo renin-angiotensin-aldosterone, kunciphe kwezinso ukugeleza kwegazi, kukhona ukubambezeleka sodium namanzi, okwandisa kwegazi izitsha, ingcindezi hydrostatic lihambe ngemithambo.

Uma zingavuvukalanga imilenze ngezansi kwamadolo, kungase kube izizathu lokhu ukuthi kunyuke permeability semithambo, nokuncipha amaprotheni synthesis excretion umchamo ngenxa joiner ukulimala kwezinso.

edema Cardiogenic eba kancane kancane, iningi liphinyiselwe ngasekupheleni kosuku. Lolo hide luqala ngo phezulu.

I sikhukhumale izinyawo lokuqala, kukhona izikhalazo yokuminyana, ngokuphazamiseka izicathulo. Okulandelayo shin otekaet. Isikhumba abandayo touch, ugodo-cyanotic. Sekube iminonjana amasokisi, gum, izicathulo buckles. Lapho sicindezelwe esikhumbeni eside uhlala fossa.

Elinesimo edema izinhlangothi zazo ziyalingana. Uhlezi isikhathi eside kungase kubangele ukuvuvukala esifundeni lumbar.

Decompensated kwesokudla senhliziyo edema babe luvame. Kubonakala ascites (uketshezi ukugcwalisa ngaphakathi komgodi ongaphakathi kwamathumbu). Kwangathi ukuthuthukisa hydrops (ukuvuvukala olubanzi isikhumba amafutha ongama).

ukuhluleka kwesokunxele ventricular

Ukuze kwesokunxele ukwehluleka ventricular zenzo ziwukubonakaliswa evame kakhulu yokusebenzisa somoya inhliziyo:

1. Orthopnea (isiguli ayikwazi ukuba evundlile ngenxa okhushuliwe yamaphaphu capillary liningi igazi kanye nokuthuthukiswa dyspnea ezinzima).
2. Paroxysmal ebusuku dyspnea (ukuhlaselwa nzima odyshechnye ezenzeka ngesikhathi sokulala, ephelezelwa kwesifuba, kwesifuba, ukukhwehlela olunzima, cyanosis ebusweni).
3. Kwesifuba emaphashini.
4. Kakhulu izithukuthuku ebandayo.

Ukuxilongwa kwesokunxele ukwehluleka ventricular

1. Electrocardiography (kulinganiselwa isigqi conduction thuthuva, khona amazinyo sokugembula).
2. Echocardiogram (ejection ingxenyenamba wenhliziyo ufundwa, ukushuba of izindonga Atria futhi ventricles, khona ukulimala valve noma stenoses, izinguquko ezihlelekile pericardium), nsuku zonke ukuqapha ECG (Holter).
3. X-reyi yesifuba.
4. Test ngaphansi komthwalo ukucacisa isigaba sokusebenza ephethwe yisifo senhliziyo.
5. Umchamo ngoba aqukethe amaprotheni amaningi.
6. Ukuhlolwa kwegazi ne ukuzimisela esivimba amanzi ukulimala iziphambano.
7. Immunoglobulin, ayisiza M G cytomegalovirus futhi Epstein - uBarr igciwane.
8. Kuhlola lizinga peptides natriuretic.

ukwelashwa

I yokuyelapha wezinyathelo ezifana:

• Umkhawulo Ukudla usawoti ngokuhambisana degree ephethwe yisifo senhliziyo;
• dosed umthwalo ngokomzimba, ukuhamba nsuku zonke;
• izidakamizwa yokwelapha (isisu, glycosides inhliziyo, angiotensin-ukuguqulela enzyme inhibitor, beta-blocker, ama-ejenti antiplatelet, antiarrhythmics).

Lapho kwesokunxele ukwehluleka ventricular zingavuvukalanga imilenze ngezansi kwamadolo? Izizathu kanye nezincomo for ukwelashwa kubhekwe yithi.

izinso ukuvuvukala

Ngokuphambene, inhliziyo edema, kwezinso kunazo liphinyiselwe ekuseni, zavela phezulu phansi. Ekuqaleni, nezinkophe avuvukele ubuso. Eduzane isigamu sosuku umlenze uvuvukele (shins nasemaqakaleni) yesibili, ukuvuvukala kobuso lingaphansi evelele. Isikhumba ezithambile, ezifudumele, fossa emva ngokucindezela ngomunwe anyamalala ngokushesha. Ukuba khona cyanosis akuyona ejwayelekile.

Ikhono ukuvuvukala kuya "kufuduka" - esibalulekile zokuxilonga zokugula kwezinso.

Wawusho propensity kuya yokucindezeleka okwandayo.

Uma iziguli ezine-izinso umlenze evuvukele ngezansi kwedolo, izimbangela, ukwelashwa futhi amanye amathiphu alusizo uzothola ngezansi.

Edema elihlobene ne izilonda esinobuthi mzimba we glomeruli we nezinso, ekunciphiseni filtration isilinganiso sabo, nokugcinwa uketshezi, ukwanda umthamo wegazi, izingxenye zegazi uphume plasma ezicutshini ngenxa lenyuka permeability semithambo futhi yehlise umfutho wegazi oncotic ngenxa yokulahlekelwa okukhulu wamaprotheni umchamo.

Nokho, ngasizathu simbe zingavuvukalanga imilenze ngezansi kwamadolo? Izimbangela zesifo ukungakhululeki ezixhunyiwe.

With ukuthuthukiswa edema ngenxa glomerulonephritis iphuzu uxhumano nezifo ezithathelwana odlule ezifana umphimbo obuhlungu.

Lapho nephritic syndrome ukuvuvukala ngaphansi evelele isici hematuric syndrome (umchamo ozuza umbala inyama slops).

Nephrotic syndrome kuhambisana nokulahlekelwa okukhulu wamaprotheni umchamo kanye edema uzwakalise kuze kube hydrops.

Ukuxilongwa edema kwezinso

• I amaprotheni ku umchamo.
• Umchamo inzalo.
• Ukunqunywa amasosha omzimba streptococcal futhi staphylococcal ukuba igazi serum.
• Ultrasonography.
• Control wegazi.
• Igazi test.

izimiso Jikelele yokwelashwa

Therapy isetshenziswa:

• Umkhawulo ekudleni usawoti, amaprotheni uketshezi;
• embhedeni ukuphumula;
• letindzala yokwelapha ngemithi elwa namagciwane,
• ukuqashwa kukaNksz isisu;
• ukwehlisa umfutho wegazi;
• ukwelashwa antihistamine;
• Ukusetshenziswa kwezidakamizwa nonsteroidal eqeda ukuvuvukala;
• anticoagulants namanxusa antiplatelet (izinsizakalo ezivimbayo futhi microthrombogenesis okwengeziwe ukulimala glomerular);
• glucocorticosteroids futhi tsitostatitiki ekwelapheni nephrotic syndrome.

ukulimala kwesibindi

Kungani zingavuvukalanga imilenze ngezansi kwamadolo? Izimbangela Nezingozi zezimpawu zokuthi emizweni ezibuhlungu kungase kubonise isifo sesibindi.

Ukuncishiswa amaprotheni zamagama esibindini ngenxa izicubu umonakalo ezinzima ke (ekupheleni esiteji kwesibindi, isifo sokuqina kwesibindi, okunamafutha, hepatocellular carcinoma) ngokuvamile ephelezelwa ukuvuvukala ezinzima kuze anasarca. edema Hepatic ephelezelwa ukulunywa okukhulu kwesikhumba, ukunwaya, spider emithanjeni, fragility capillary, yellowness zesikhumba lwamafinyila ebonakalayo.

Ukuxilongwa isifo sesibindi

1. Umchamo.
2. Ukuhlola indle.
3. Igazi ukuhlaziywa, ekutholweni amaprotheni Imininingwane, amasampula hepatic (ALT, AST, GGT, bilirubin, phosphatase ane-alikhali), uphenyo thymol turbidity test, ezingeni urea kanye creatinine.
4. US.
5. Okunobuthi-hepatitis omaka, immunoglobulin M G cytomegalovirus futhi Epstein - uBarr igciwane.
6. Igazi-HIV.

varicose emithanjeni

Yini enye lo mkhuba ukuvuvukala imilenze ngezansi kwedolo, kukhona izizathu? Ububomvu nokuxebuka kwesikhumba libhekene varicose emithanjeni on the imilenze, okuyinto kuhambisana zibuthuntu ezidabukile ubuhlungu, ukukhathala ukusinda imilenze.

Ngo izilonda ezinzima kungenzeka trophic izinguquko isikhumba: dermatitis, izilonda, hyperpigmentation. Lapho kuhlolwa ebonakalayo contoured imidwebo emithambo yegazi, imakwe edema, ukuwathuthukisa bulging imithambo izinguquko isikhumba trophic. ukuvuvukala azilingani, kobukhulu obuhlukahlukene, kuye kube sezingeni ukulimala emithanjeni.

Ukuba khona ukuvuvukala emilenzeni isehlane ngokwemvelo futhi aluhlanganiswa nezinye izimpawu zokwelashwa (e. Ukuphelelwa ngumoya, ukukhwehlela, ukuvuvukala ebusweni nasemzimbeni, imfiva kanye nokunye.).

Uma ukhathazekile nge imilenze varicose ngezansi ukuvuvukala amadolo, izimbangela, izithombe kanye neminye imininingwane ewusizo ayatholakala kule athikili. Mhlawumbe lokhu kuzokusiza.

Ukwelashwa nokuvikelwa varicose emithanjeni

ukuhlinzwa (flebosklerozirovanie) asetshenziswa izilonda ezinzima.

ukwelashwa izidakamizwa kuhilela ukusetshenziswa antiplatelet amanxusa kanye venotonics.

phlebemphraxis

Kwamanye sizathu, umlenze uvuvukele ngezansi kwedolo, ngaphezu izifo ngenhla? Ukuvuvukala kwezinyawo singenzeka kuhlanganise phlebothrombosis. Deep vein thrombosis izigaba kokuqala kwenzeka ngaphandle izimpawu ukuvuvukala odongeni emthanjeni.

ububomvu we ukuvuvukala isikhumba kwenzeka ngezikhathi ezithile kuphela. Isikhumba ecwebezelayo, kahle contoured iphethini emithambo yegazi. Kubonakala kuphela ukuvuvukala umlenze ethintekile. ukusatshalaliswa Isici ubuhlungu ngaphakathi kwethanga. Ubuhlungu ngokucijile namandla lapho uhamba.

esingamahlalakhona emithambo yegazi

Ake sicabangele, nganoma isiphi isizathu, umlenze uvuvukele ngezansi kwedolo in iziguli nesifo esingamahlalakhona emithambo yegazi. Ilokhu ethuthuka ukulahlekelwa kohlelo emithambo yegazi kuhambisana edema ziyalingana, anyamalale futhi ukubonakala ekuseni kwaze kwahlwa. Ububomvu we shins isikhumba (kuqhathaniswa ukuvuvukala liphinyiselwe). Kakhulu akuvamile isifika ukunqotshwa eyodwa emaceleni.

I-Arthritis futhi izifo letindzala

Ubuhlungu nokuvuvukala arthritis elihlobene ne effusion phakathi komgodi ngokuhlanganyela. Joint luyanda ngosayizi. ububomvu Isici kwesikhumba.

Aseqala arthritis engamahlongandlebe (engu-16 ubudala) ephelezelwa kuqala acute, imfiva, awahlabi ebusweni, esifubeni, izibunu, phezu kwamalunga. Kuthinta kwezitho zangaphakathi. Ukuze i-rheumatoid arthritis libhekene ekuseni ukuqina ukunyakaza kwakhe.

Oluhambisana vasculitis Henoch - Schönlein

Uma ukhombe oluhambisana vasculitis Henoch - Schönlein futhi ukhathazekile umbuzo wokuthi kungani umlenze evuvukele kwesokudla ngezansi kwedolo, izizathu sizoxoxa ngezansi.

uxhumano ejwayelekile nge ukutheleleka langaphambilini, ukwelashwa ngemithi elwa namagciwane, khona ukusabela kabi komzimba nomzimba.

Lapho ifomu articular libhekene: ukuvuvukala, ukuvuvukala kwamajoyinti, imisipha ubuhlungu, oluhambisana ukuqubuka phezu imilenze, kwamathanga nezinqe.

hemophilia

Ngenxa coagulation iziyaluyalu kungenzeka ukopha ku emisipheni nasemalungeni ezihambisana nokuhlukumezeka ezincane. ngokuhlanganyela Edematous abathintekayo, ubuhlungu obuhlabayo ku palpation kanye nokunyakaza, isikhumba hyperemia, ashisayo uma uyithinta.

Okuvela ukuvuvukala emilenzeni, ongakaphathelani khona pathologies

Uma zingavuvukalanga imilenze ngezansi kwamadolo, izizathu lo kungukuthi njalo ixhunyaniswe egunjini lokuhlolwa kwezifo. Okuvela edema kungahle kubangelwe:

• basebenzisa kabi utshwala;
• ukusetshenziswa okweqile ukudla okunosawoti, okubangela nokugcinwa uketshezi;
• Ukusabela okuvikela ukuze komzimba;
• umthwalo anda unyawo nomgogodla, elihlobene ne ugqoke izicathulo ungakhululekile eqolo izithende;
• yokujama tsi nokwanda kwengcindezi ngemithambo ngenxa yokuphila umzimba;
• edema bokuphila umsebenzi ngokomzimba eside;
• ukukhuluphala;
• nokuvuvuka sokukhulelwa (usongo nje omkhulu, ukuvuvukala elikhula ngokushesha, ephelezelwa isicanucanu, umfutho wegazi ophezulu kanye bekhanda - usongo eclampsia);
• ukuvuvukala ohlelweni lwe-PMS.

Ngakho kudingeka ukuba sikhathazeke uma ngokuvamile umlenze uvuvukele ngezansi ngamadolo. Izimbangela Nezingozi izinhlobo edema zingase zihluke.

Njengoba isilinganiso izifo Kunconywa: kulesetayelekile isisindo somzimba kanye nokudla okunomsoco, ukugwema utshwala, ukuhlolwa njalo udokotela, faka umthamo lwemithi sosuku nokuvivinya umzimba njalo. In the ukungabikho zokugula izinso kanye uhlelo senhliziyo nemithambo yegazi kulesetayelekile outflow emithambo yegazi yoga ngempumelelo (postures nabokhulumile), umsebenzi zokwelapha (umsebenzi "birch").

Kuthiwani uma izinyawo zingavuvukalanga ngezansi ngamadolo? Izizathu esingayenza ngaphandle kokuthi siphathe kanjani ukuqeda - konke nesithakazelo ebhekene nale nkinga. Isihloko sethu inikeza izimpendulo zayo yonke le mibuzo.