Chii kuruboshwe ventricular diastolic dysfunction mhando 1?

Diastolic dysfunction of rworuboshwe ventricle 1 mhando - chii chirwere ichi uye kuti zvinofanira kubatwa? Mhinduro kumubvunzo tichasangana kupa zvinhu inopiwa nyaya. Uyezve, uchadzidza sei mwero kudaro ezvinhu ane kunoitika, uye sei zviratidzo pachena nezvazvo vangazivikanwa.

Vhuṱanzi

Tinofanira kutsvaka chii muviri ichi upindure mubvunzo wokuti nei paine asara ventricular diastolic dysfunction mhando 1.

Kuruboshwe ventricle unonzi mumwe 4-Eh Makamuri mwoyo womunhu. Kuti zvinobva kuparadzirwa (guru denderedzwa), chinopa kuramba aibuda ropa mumuviri.

Imhandoi chirwere?

Diastolic dysfunction akauya chikamu mwoyo chinonzi chinokosha rutapudzo mukukwanisa vayo Anoshanduka ropa iri mhango munhu pulmonary tsinga. Mune mamwe mazwi, yakadaro pathological mamiriro haikwani kuti pave kutenderera zvakakodzera.

Saka, akasiya ventricular diastolic dysfunction mhando 1 ane zvikuru mwoyo chirwere, iyo inozivikanwa nokusanzwisisa mano akati muviri mugove kuzorora panguva diastole. Zvinofanira kucherechedzwa kuti zvingatora anenge 0,4 seconds. nguva Izvi inokwana kuti zvakazara adzorere matauriro uye simba pamusoro pomwoyo kuzara.

chirwere The ngozi?

Kusiyiwa ventricular diastolic dysfunction kunokonzerwa mhando 1 akadonha ejection chakapatsanurwa, mamwe zvinoisa anyatsoona kuderera nesitiroko vhoriyamu. Kuti adzivise kurega kunotanga ropa mumapapu uye kubhadhara dilation anotanga kuwedzera systolic ventricular vhoriyamu. Kana kukudzivirira maitiro muviri kwakadaro hakuna wakatevera, zvinoita sokuti yakajeka kutyisidzira pulmonary neBP (retransmission), uye yekudyidzana inowedzera mutoro panorumwe ventricle (kurudyi), vakazochinja kunotungamirira kuti kuderera cheBhuku kwayo. Somugumisiro, mashoko diastolic kufurirwa zvingava venous kuzara. Kana paine zvikuru dysfunction, zviri nyore kutanga pulmonary edema.

Zvimwe zvikonzero

Nei kuva rworuboshwe ventricular diastolic dysfunction mhando 1? Zvikonzero Fani iyi vavete zvinotevera:

• vane chirwere cheBP chirwere;
• hypertrophic cardiomyopathy ;
• infiltrative (nenguva dzirikure), mwoyo chirwere (kureva, mwoyo kurwisa, coronary tsinga chirwere, chisingaperi neBP (arterial) uye hypertrophy ari munhu cardiac zvikamu zviri kunze mapazi ose dilation uye rive dete).

Zviratidzo kurambwa

Mumugariro zvinowanzoita kuti pave yechipiri pulmonary arterial uye venous neBP. Izvi pathological ezvinhu anogona kuoneka sezvinotevera:

• Kuramba chikosoro (kazhinji paroxysmal);
• kuzvirotera dyspnea (paroxysmal);
• kupfupika mweya.

Ndezvipi zvimwe unhu rinotsanangurwa kuruboshwe ventricular diastolic dysfunction mhando 1? Zviratidzo zvakadaro yokuwanda zvakasiyana zvinogona nguva haigumi unooneka. Zvisinei, pamwe kukura chirwere, varwere vari kutanga kuonekwa zvakadai zviri sezvo:

• kurwadziwa nguva dzose mumwoyo, izvo paroxysmal zvakasikwa (sapamazuva coronary tsinga chirwere);
• kuzvimba rezasi wamativi;
• kupfupika mweya (zvingaitika kunyange zororo);
• spasticity;
• kunzwa pfupi kufema.

Kana zviratidzo zvakadaro vanofanira nguva dzose kubvunza chiremba. Pashure pezvose, nokukurumidza mumwe pathological mamiriro ezvinhu dzakaonekwa, zvinova nyore kudzora. Kana iwe pasi maperembudzi dzakaonekwa yapera, kuti kurapwa yake ichagara kwenguva refu zvikuru nguva, pamwe kushanda yakawanda zvinodhaka uye ose anodiwa maitirwo ezvinhu.

How kurapa?

Pari, imwe regimens kuroorwa kuti kungadai kuzivikanwa nenyanzvi dzakawanda, kusina. Izvi pamwe nokuti kuti hosha yakaipa zvakakwana rokuongorora. Sezvataurwa pamusoro apa, kutsauka kwakadaro kunoitika kwenguva refu zvikuru nguva, asymptomatic, zvichiguma murwere anotsvaka rubatsiro kunonoka.

Saka chii kana ukaziva kuruboshwe ventricular diastolic dysfunction mhando 1? Kurapa chirwere ichi ndiko kubvisa zvinokonzera kuti vanotsamwisa kuzviona kuitika. Saka, varwere vanofanira:

• kurapa aripo ischemia;
• Ita normalization komoyo zvazvingava;
• repasi BP.

Uyezve, pamusoro vasabatwa zvakadaro pathological mamiriro murwere prescribers boka ACE blocker. Kakawanda kusarudza weveta nyanzvi 'Lizonopril ". Its nezvaro piritsi muchimiro nokuda 20-40 milligrams pazuva (matanho maviri).

zvabuda Good pakurapa kutsauka ichi chinogona kuwanika, uye nokushandisa calcium blockers. Saka, mapoka vaviri zvinodhaka lowers BP, yekudyidzana kunoderedza mwoyo rinenge okisijeni kudiwa, uyewo chichiita uye kuderedza hypertrophy kuti ventricle kuruboshwe. Sezvineiwo, nokuda negashiro zvinodhaka izvi zviri nani diastolic cardiac basa, izvo zvimwe zvinoisa normalize hemodynamics.

Migumisiro yakanakisisa akanga aona mukurapa zvirwere zvakadai kana pamwe zvinodhaka diuretic cardiac-kukudzivirirai. Kana zvakakodzera chaizvo anogona kushandiswa uye zvimwe zvinodhaka antihypertensive.