I-Aneurysm yenhliziyo ibizwa ngokuthi i-thinning ne-protrusion yodonga lwe-myocardium. Lesi simo sibonakala ngokunciphisa okubukhali ekuvumelaneni kwemisipha yenhliziyo. Futhi kwezinye izimo, liphela ngokuphelele.
Aneurysm ye-aorta yenhliziyo - iyini?
Ngokwezibalo, ngokuvamile ama-aneurysms akhiwa ezindongeni ezise-ventricle kwesokunxele. Isizathu esiyinhloko sokwakheka kwayo kubhekwa njengokulimala kwamathambo ngenxa yesikhuhlane se-myocardial. Ama-Aneurysms ku-septum yangasese noma ama-ventricles angempela enhliziyo nawo angavela. Kodwa odokotela babhekene nalesi simo kakhulu.
Kunezinhlobo ezintathu eziyinhloko zokwakheka:
- I-aneurysm enamandla ngokuvamile idala ngokushesha ngemva kokuhlaselwa yinhliziyo. Uma i-bulging isincane, khona-ke izicubu ezikhulayo ezikhulayo zingavimbela ekuthuthukiseni. Amanurysms amakhulu anengozi ngenxa ye-hypersensitivity yabo. Baqala ukukhula i-collagen fibers, ngakho-ke ayinamandla kakhulu futhi angaqhekeka kalula ngaphansi kwethonya lokucindezela okukhulu.
- Isizathu se-aneurysm ye-subacute yenhliziyo kaningi iba isibazi esihlala njalo, esakhiwe esakhiweni se-infarction. Ukunyakaza okunjalo kuyingozi kakhulu, kepha bangenza ama-clots.
- I-aneurysms engapheli ivela ngaphambi kwenyanga ezimbalwa emva kokuhlaselwa. Izindonga zabo ziningi kakhulu. Zakhula kancane kancane futhi ziqhekeke kakhulu. Kodwa ama-clots wegazi kuwo akhiwa ngokwengeziwe.
Izici ezinquma ukubonakala kwe-aneurysm yenhliziyo ngemuva kwe-infarction yilokhu:
- i-tachycardia;
- ukuhluleka kwenhliziyo okuqhubekayo;
- ukucindezeleka komzimba;
- i-syphilis;
- i-rheumatism ;
- endocarditis yebhaktheriya;
- isifo sofuba;
- ukulimala noma ukulimala kwenhliziyo.
Izimpawu ze-aneurysms zenhliziyo
Indlela i-aneurysm ebonakala ngayo ixhomeke ezintweni ezihlukahlukene - ubukhulu bayo, indawo, imbangela yokubonakala kwayo. Inani elikhulu leziguli azikwazi ngisho nokuphulwa, ngoba inkinga ayizikhohlisi.
Phakathi kwezimpawu ezivame kakhulu:
- ubuhlungu esikhaleni sangasese;
- ukuzwa okujulile kwe-palpitations;
- ubuthakathaka;
- ukukhathala okusheshayo;
- ukuphazamiseka kwenhliziyo;
- ukuphefumula;
- i-pallor;
- ukuvuvukala kwemithanjeni entanyeni;
- ukuvuvukala emaphethelweni.
Ukuxilongwa nokuphathwa kwe-heart aneurysm
Kungenzeka ukuthola i-aneurysm kwi-X-ray, phakathi ne-ECG noma imifanekiso yokuhlaziya i-magnetic resonance. Uma kunesidingo, ezinye iziguli zihloswe izinhliziyo, i-EFI, i-coronarography.
Imithi yokwelapha ingasebenza kuphela ezinyathelweni zokuqala. Phakathi nokwamukelwa kwe-antiarrhythmic nokucindezelwa kwegazi kwemithi ephansi, isiguli kumele sinamathele ekuphumuleni kombhede oqinile.
Kodwa nokho odokotela abaningi abane-aneurysm yenhliziyo, i-aorta itusa ukuhlinzwa. Uma kungenjalo, kungenzeka ukuthi ukuthuthukiswa okusheshayo kokuhluleka kwenhliziyo nokwehluleka kwenhliziyo .
Ukungenelela kokuhlinzwa kuyadingeka uma kwenzeka ivala ifomu phakathi nokuvuvukala, kanye nokuchazwa ngokucacile kwe-arrhythmia, i-tachycardia, nezinye iziphazamiso zomculo. Usizo
Ukubikezelwa kwesifo se-ventricle senhliziyo
Uma ungenzi umsebenzi, ukubikezelwa kwesifo akusizi ngalutho. Njengoba umuthi wezokwelapha ubonisa, iziguli eziningi zifa eminyakeni emibili kuya kweyithathu emva kokuqala kwesifo. Okuyingozi kunazo zonke ama-mushroom nezinhlelo ze-sacular - cishe ziyinkimbinkimbi njalo nge-thrombosis. Lapho i-aneurysm ihlukana, imiphumela ebulalayo ifika ngokushesha futhi kunzima kakhulu ukusindisa umuntu.