Kumwoyo nokupa kugara ropa riyerere ose wechipiri zvokushandisa okisijeni uye zvinovaka muviri kune zvose dzevanhu nhengo uye nokuda kwayo hwaikosha hazvirambiki. Uye saizvozvo kana uine zviri zvishoma vachivavhiringidza zvinokonzerwa cascading kukundikana uye maitiro ose dzimwe gadziriro, uye saka nguva dzose vane zviratidzo. Asi sei Wakaitwa kuzviongorora mwoyo uye ropa midziyo? Kuti aite izvi, kune nzira dzakawanda.
kuonorora
Kana murwere kutanga vakwezvwe chiremba kana somunhu prophylactic mwero (panyama) kana zvakananga zvichemo, nyanzvi anofanira kuva anofanira-kuona nzvimbo mumwoyo uye kuitisa kudzidza muviri wayo nenhungirwa nyore. Saka, pakutanga kwezvose chiremba anoita vakawanda kuzviongorora murwere nokuteerera ganda rake (mu zvirwere ino angava rakachenuruka, uye kunyange cyanosis, kutonhora gobvu edema, zviduku hemorrhages), mamiriro chepanyika mucous membranes (the jekiseni iri sclera, chena Dombo mujinga rurimi) , kukura zvetsandanyama nemapfupa ino (hypotension, utera, dystrophic kana nekusiyana, kufutisa), yezvakaita kupomba (ayo kuvapo uye nguva maoko maviri, vachibatirira kupomba iri jugular mutsinga). Zvadaro, chiremba kunodiwa kuita kuongorora mwoyo kwakadaro, sezvo percussion pamiganhu yayo, izvo zvinogona pachena hypertrophy wacho masero. Iva nechokwadi kuti kupedza auscultation yake kuverenga nhamba mwoyo sunga, nezvechiratidzo matauriro ayo, mutinhimira, zvinogoneka pathological ruzha.
nhoroondo
Pakupedzisira, uyere BP, nokuti chinokosha chokukomborerwa mamiriro kumwoyo. Zvadaro, chiremba kunodiwa zvizere chichemo nokuti zvizere cardiac kuongororwa unosanganisira kurapwa nhoroondo hwakadzama. Saka, nokuti zvirwere kumwoyo kunoratidzwa kurwadziwa muchipfuva (kazhinji kupwanya, compressing hunhu) kana, kutaura zvazviri, seri sternum, dyspnea (kunoitika apo yakawedzera kurovedza muviri chaiye uye zvokurwara - panguva chiedza mutoro kana kunyange zororo), palpitations uye kunzwa chero "kuvhiringidza" womwoyo, BP zviratidzo (nomusoro, dzungu, kufundumwara mumuviri). Iva nechokwadi zvinoratidzika nguva panowanikwa yavo, zvinoita kuti pave nekukurukurirana, uye liquidating umbirimi yavo.
Other zvinokosha zvinhu
Uye Kuongorora mwoyo zvinosanganisira chokwadi chokuti murwere akabvunza chii anorondedzera kukura chirwere, nokudaro kuziva zvinokonzera njodzi. Saka, zvinogona kuva simba mupfungwa kuvhunduka pamusoro avaida (rufu rwomudiwa, kushushikana basa), uremu vachisimudza kana kuita basa remaoko uye asiri. Kudziridza zviratidzo uye kuchinja mamiriro ekunze. Chimwe chokuratidza chinokosha nhodzera, nekuti zvirwere (chirwere cheshuga, BP, nechirwere chemwoyo) vanowanzotevedzera kutamira runotevera. Kazhinji, asi vakaunganidza nhoroondo yakarurama anopa 50% of murwere kunotoda kuongorora chirwere. Pashure kukurukura murwere uye kuitisa kuongororwa kwayo, chiremba anofanira kutumira wadhi dzake Kuongorora mwoyo. Tinofanira kuyeuka anatomi uye physiology muviri.
A vachitova sezvinongoita mwoyo
Saka, zviri, nehasha kutaura, pombi, iine akawanda tsandanyama uye kunzwisisa vascular hurongwa. Inside ine makamuri mana kutaura imwe neimwe nzira uye kuitira kuramba kufamba kweropa. A Mwoyo kuramba kubata uye kuzorora mune nyama kondakita ayo mamiriro vari vakayambukira ne tsinga nomunhu, nokudaro vachikonzera rakatumbuka tsandanyama makakatanwa pamusoro pekamuri nerimwe uye mavharuvhu yokutanga-kuvhara therebetween. Uye nekuti zvose nzira mwoyo kuongororwa inogona kuendeswa kana kuti shanduro muviri anatomi (Ultrasound, Doppler Mapping, CT scan, chipfuva X-ray, radioisotope nzira) zvakananga arteries uye mutsinga (vachiridza midziyo makuru, angiography, coronary angiography) kana panguva kudzidza ehurumende ayo conduction system (electrocardiography, bhasikoro ergometry) kana ayo audializatsiyu pasi uye ruzha (phonocardiography).
echocardiography
Sezvaunogona kuona, mwoyo kuongorora unofanira hazvo kuti hwakazara, hwakazara, kwete kusuwa chinhu pamberi. Nekuti pokukundwa kumwoyo angava kuratidzwa yakazvimirira chirwere, uye migumisiro ine zvokurwara hurongwa. Kana isu kutaura pamusoro kutarisana chirwere nzira, wokutanga chinouya mupfungwa echocardiogram, kana sezvazvakanyorwa anonziwo, Ultrasound mwoyo. Unoratidza chikwata panguva chidzidzo chinokosha ichi, unogona kufungidzira uye zvine musoro. By rakapinza vanyura zvinyama Ultrasound uye kudzokera akavadzoserazve kuna mufananidzo ikaonekwa chidzitiro unokubvumira kuongorora maumbirwo mwoyo, kukura in ayo, mamiriro mavharuvhu nemidziyo zvikuru. Plus, nzira iri non-invasive uye pasina nemwaranzi pemipata uye saka rinogona kushandiswa kunyange vakadzi nepamuviri, uchiyamwisa nevana. Kunyange rikurumidze computed tomography achiri havagoni kudzinga pamwe chirwere Ultrasound.
zvakanakira Ultrasound
Panguva dzakasiyana zvokukura gestation mukadzi rinopfuura nguva fetus mwoyo Ultrasound inoratidza bvumidzwa ductus arteriosus, vascular stenosis miromo, prolapses kana vharafu kukundikana, mamiriro ari ventricular uye atrial septal nezvimwe vachiberekwa malformations. Chimwe chakanakira anokosha nzira iyi kuti murwere uye urongwa wezvokurapa ihama ayo cheapness, mukana wokuita outpatient, zvidzidzo pfupi, uyewo vanowana pakarepo Snapshot uye kugamuchira kududzirwa ose mashoko. Uye nekuti saka dzakakurumbira kushandisa kuti chirwere Ultrasound mwoyo.
Ko zvokutsvakurudza midziyo
In vakafutisa vanhu, uye varwere chirwere cheshuga vakawanda maronda ose kumwoyo ndivo atherosclerotic maronda midziyo ropa, uyewo hyalinosis masvingo avo. Naizvozvo, zvinokosha kundorondedzera nhumbi mwoyo, nokuti chete vakarera muviri ichi chinokosha uye kuti kushanda zvinoda rakawanda chaizvo simba uye inotonhorera substrates. Saka, kutanga femoral kana kuti subclavian tsinga, kuti anobudisa mushonga zvishoma nezvishoma akaiswa, kuburikidza icho musiyano svikiro anozadza midziyo, pachena zvinoonekwa on X-ray chidzitiro. Nzira inonyanya kukosha kuti atherosclerosis, ischemic zvirwere kwemoyo, myocardial infarction ndiyo coronary midziyo mwoyo bvunzo. Rinozivisa chamazuva kwavo, yakarurama sitiroko yavo. Uyewo pasi yayo pokudzora yaitwa akavhiyiwa mazhinji nhengo inokosha iyi.
zvabuda
Saka, nzira kuferefeta nezvokukanganisa cardiac uye vascular chirwere panguva ino, pane zvizhinji, asi mumwe nomumwe wavo ane kunyatsoteerera zvairatidza uye contraindications, uye nekuti vanopedza mumwe nomumwe zvoupfumi musoro uye diagnostically maturo. Uye nokuti chinhu chinokosha chiremba nomazvo akanyatsoongorora prokuriruet murefu uye kuvapa anodiwa kurapwa kana kuenda kune gona simba.