Pulmonary mwoyo chirwere uye zvinhu zvayo Diagnostics

Varwere vanotambura nekuora zvemapapu chirwere, sezvinoita mutemo, papera kunyunyuta nezvinetso mwoyo. Kana paine kukundikana kumwoyo uye, naizvozvo, kutyorwa kwemoyo, ichi anonzi pulmonary mwoyo. Chirwere pulmonary mwoyo kazhinji kunoitika muna 3% wevarwere.

Kazhinji pulmonary mwoyo papi sezvo hypertrophy uye dilatation (zvichida chete dilatation) rwerudyi ventricle, iyo achikura sezvo pamusana pulmonary riparadzirwe.

Zvisinei, vanachiremba panguva ino pachishandiswa zvidzidzo vakagumisa kuti dilatation uye hypertrophy - tiri zviratidzo kuti aonekwa zvikuru mushakabvu padanho pulmonary chemwoyo, icho kurapwa rakaoma zvikuru. Nekuti tsanangudzo chirwere kugadziriswa, pakuti pulmonary mwoyo - kutyora simba iri pulmonary riparadzirwe, riri rokupedzisira Danho kunoratidzwa hypertrophy rwerudyi ventricle uye kufamba kweropa.

Kune mapoka matatu zvirwere somugumisiro izvo zvinogona kuva pulmonary mwoyo:

1. Zvirwere pulmonary ino, inochinja mhepo permeability uye Formação de (chirwere obstructive bronchitis, tibhii, fibrosis, etc.). Kazhinji, chirwere chakadaro munenge 60% nyaya, kukonzera pave pulmonary mwoyo.
2. Hosha umo pakutanga sei thorax uye diaphragm, naro yairambidzwa mufambo (zvakakuvadza micheto, ankylosing spondylitis, pleural suppuration, etc.)
3. Zvirwere izvo zvinokanganisa zvemapapu midziyo (chirwere cheBP, kutsemuka aneurysm, etc.)

Rakabatana kupatsanura pakati pulmonary mwoyo ikoko. Post-Soviet nzvimbo mushonga anova kupatsanura, iyo anogadzirwa maererano nokufamba kukura chirwere:

1. Chenjera pulmonary mwoyo, izvo ikabuda mumaawa mashomanana, zvichida kunyange maminitsi. Kazhinji, izvi Chirwere mugumisiro embolism vharafu pneumothorax, pleuritis zvakanaka-yose, uye pamberi Árbol asima (zvakananga panguva asthmatic kurwisa).
2. Subacute nemakori pulmonale, kunoitika kakawanda pashure akadzokorora pulmonary embolism, kwazvo yokurwiswa asima. The chikonzero chingava zvanga zvine utachiona uhu, poriyo, carcinomatosis yemapapu uye periarteritis nodosa.
3. Chirwere pulmonary mwoyo unogona kuva kwemakore uye zvichienderana nenhanho kuti pulmonary insufficiency, kushomeka ropa kuyerera uye zvakanaka ventricular hypertrophy rakakamurwa 4 matanho huru:

• Danho rokutanga - pulmonary insufficiency 1 dhigirii. Hakuna kuchengetwa kweropa kukundikana, hapana kutyora gasi sezvamunoita. ECG haaratidzi hypertrophy uye echocardiography anoratidza zvokurwara ichi.
• pulmonary insufficiency dhigirii rechipiri panguva iyo oxygenation kunoitika chete kusvika 80%, ngapaonekwe zvimwe zviratidzo hypertrophy ine kare dyspnea pa zororo.
• pulmonary insufficiency 3 madhigirii, arterial ropa riri oxygenated vanenge 50% kare, pane wakananga kuratidza zviratidzo kodzero ventricular hypertrophy uye kweropa kukundikana.
• chikuva chechina, izvo ichazivikanwa noku bhodhoro saturation asingasviki 50% iri atoratidza pamwe hypertrophy dilation, uyewo dzinoratidzwa pokumuka dystrophic kweropa insufficiency.

Hwaro nheyo abvisa hosha pulmonary mwoyo - kurapa chirwere chacho, izvo zvakaita kuti ayo chidzoke, kurapwa kunokonzera. Kazhinji, asi basa kunzwisisa kurapa kuti anokanda panguva rutapudzo zvavaida mune pulmonary tsinga, kubvisa chakasimba obstructive zvirwere uye kurapwa nomwoyo kukundikana.