Chirwere umo mwoyo, chero zvikonzero zvose, unorega kuputira ropa nechisimba, unonzi kusingaperi moyo kusakundikana (CHF) - inonyanya kuonekwa pakati pevatana vakwegura. Nemhaka yokuti mwoyo, sepombi isina kukwana, haigoni kunyatsopisa ropa, nhengo dzose dzomuviri uye matukisi dzinotanga kuve nokukanganisa mune zvose okisijeni nemuviri.
Zviratidzo zveMwoyo Usingaperi Usakundikana
Apo CHF inoratidzwa nekunyunyuta pamusoro:
- kupfupika kwemhepo ;
- kazhinji pulse;
- kurwadziwa mukati mekunaka hypochondrium;
- kuneta kukuru;
- cyanosis yemiromo, minwe, zvigunwe;
- edema (kunyanya kumucheto).
Vanachiremba vakagamuchira zvinotevera zvekugara kusingagumi kwemoyo, kuratidza kuoma kwehutachiona:
- I FC (chikoro chebasa) - murwere anotungamirira nzira yehupenyu yehupenyu, kwete kupedza basa rake; hazviwaniki nedyspnea uye musoro wechena pasi pemitoro yakawanda.
- II FC - murwere anonzwa asinganzwisisiki panguva yaanoita muviri chaiyo (kukurumidza kwemoyo, kushaya simba, dyspnea), nekuda kwaanofanira kuvagadzirisa; pazororo, munhu anonzwa akasununguka.
- III FC - murwere ari kunyanya mune imwe nzvimbo yezororo, tk. kunyange zviduku zvishoma zvinokonzera hutano hwehutano hwemwoyo husingaperi zviratidzo zvekukundikana.
- IV FC - kunyange mukuzorora murwere anotanga kunzwa akaneta; Mutoro mutsva chete unowedzera kusagadzikana.
Kuongororwa kwekusingaperi kwemwoyo kusakatika
Nenzira yakawanda, CHF inoguma nekuregeredza kurapwa kwematambudziko emwoyo. Zvinowanzoitika, sekutonga, kurwisana nemamiriro ezvinhu epischemic (kanowanzova varume), arterial hypertension (kakawanda mumadzimai), chirwere chemwoyo, myocarditis, cardiomyopathy , chirwere cheshuga, kushandiswa kwezvinodhaka.
Vanhu vakwegura vanoramba kushanyira chiremba, vachiona kusagadzikana kwepfungwa dzisingagoneki sechinhu chisingaoneki chekukwegura kwavo. Kutaura zvazviri, kukonzera kwekutanga kweCF kunofanira kutaurirwa kune chiremba wezvematapi.
Chiremba achadzidza yaknesnesis, anyore ECG uye echocardiogram, pamwe ne x-ra yomuviri wechipfuva uye kuongorora ropa, urine. Basa guru rekuongororwa nderokuona chirwere chemwoyo chakakonzera kukanganisa, uye kutanga kuritora.
Kurapa kwekusingaperi kwemwoyo kusakatika
Chirwere chinoshandiswa cheCF chinangwa cheku:
- kuderedza kana kubviswa kwezviratidzo zvehutano zvinokonzera kusagadzikana kumurwere;
- kudzivirirwa kwemidziyo yeropa, itsvo, uropi, mwoyo (zvinodanwa nhengo dzechiratidzo);
- kuwedzera mune tarisiro yehupenyu hwevanhu vanotambura neCF;
- kuderedza kuwanda kwezvipatara.
Kurapa kwechirwere kunoratidzika sezvizvi:
- chinonzi therapy - ACE inhibitors, diuretics, beta-blockers, glycosides yemwoyo;
- kuwedzera therapy - calcium channel blockers, aldosterone antagonists uye angiotensin II receptors;
- rubatsiro rubatsiro - peripheral vasodilators, antiaggregants, antiarrhythmics, corticosteroids, direct antiticoagulants, statins.
Chikafu chekusingaperi kwemoyo kusakona
Mukuwedzera kumishonga inoratidzira kwete kushandiswa kwemishonga kweCF, iyo inoreva kudya. Varwere vanokurudzirwa kuti vanwe 750 gramu yemvura, uye kuderedza kuwanda kwemunyu mukudya kusvika ku 1.2 - 1.8 g. Muzviitiko zvakakomba (IV FK), zvinotenderwa kupedza kusvika 1 g yemunyu zuva.
Nekusagadzikana kwemoyo kusingaperi, murwere anogamuchira mazano pamusoro pekuita basa. Inobatsira munyaya iyi ibhizimisi yekuvhiya kana kufamba kwemaminitsi makumi maviri pazuva nekutonga kwehupenyu.