Aza ụkwụ n'okpuru ikpere: akpata na ọgwụgwọ

E nwere a echiche na ala N'ịdị edema metụtara naanị na oké ọmụmụ oriri na a ịnọkarị otu ebe. Ọ bụrụ na ị nwere aza ụkwụ n'okpuru ikpere, ihe mere nke a nwere ike ịbụ ihe na-emenye egwu. N'eziokwu, ọnụnọ nke a mgbaàmà nwere ike ịbụ egwu eweta ọrịa obi, ọrịa akụrụ, imeju, vaskụla mkpali ọnya, ngwọta mkpakọ iliac veins na ndị ọzọ dị oké njọ ọrịa.

N'ụzọ kwesịrị ekwesị ekenịmde nchọpụta nsogbu ikwe ka oge mata isi ọrịa na-ahọrọ irè adọ ọgwụ.

nri ventricular ọdịda

ụkwụ ọkọ nwere ike ịbụ n'ihi nri ventricular ọdịda. Na nke a:

• Mkpụmkpụ nke ume, na-ebelata ike ịrụ na mbụ ahụ ibu (arịgo steepụ, na-eje ije). N'adịghị ike na ike ọgwụgwụ mere site oxygen erughi ruru ka ntụpọ anụ ahụ perfusion.
• Lower ụkwụ edema ime.

Ka anyị tụlee, maka ihe ọ bụla mere, fụrụ akpụ ụkwụ n'okpuru ikpere na nri ventricular ọdịda. N'ihi na nke na-adakpọ adakpọ ventricular contractility akwusila ezigbo ọbara esenyịn akụkụ na anụ ahụ, na-abịa ebighị nke sympathoadrenal usoro na-asụchikwa na lumen nke venules na arterioles, amụba obi ọnụego. Na nzaghachi vasoconstriction enwekwu ọbara mgbali activates renin-angiotensin-aldosterone usoro, mbelata gbasara akụrụ ọbara, e nwere a na-egbu oge nke sodium na mmiri, amụba ka ọbara na-arịa, na hydrostatic mgbali ke veins.

Ọ bụrụ na aza ụkwụ n'okpuru ikpere ndị kpatara nke a nwekwara ike ịbụ na ụba vaskụla permeability, Mbelata ke protein njikọ na excretion na mmamịrị n'ihi na akụrụ mmebi joiner.

Cardiogenic edema amalite nwayọọ nwayọọ, ọtụtụ akpọ kwupụta ọgwụgwụ nke ụbọchị. Ọ gbatịrị elu.

The mbụ zaa ụkwụ, e nwere mkpesa nke njubiga ókè nke mmadụ, mgbaka akpụkpọ ụkwụ. Next otekaet ukwu. The akpụkpọ bụ oyi na aka, ọtọ-cyanotic. E nwere metụtara nke sọks, chịngọm, akpụkpọ ụkwụ buckles. Mgbe enwe na akpụkpọ ogologo oge na-anọgide fossa.

Ji a symmetrical edema. Ruo ogologo oge iban nwere ike ime ka ọzịza nke lumbar mpaghara.

Decompensated obi ziri ọdịda edema ibu jupụtara ebe nile. Ọ na-egosi ascites (ọmụmụ ejuputa na abdominal uji eze). Ka ịzụlite hydrops (ọtụtụ ọzịza nke akpụkpọ subcutaneous abụba).

ekpe ventricular ọdịda

N'ihi na n'aka ekpe ventricular odida na ahụkarị ngosipụta nke gbasara obi ụkwara ume ọkụ:

1. Orthopnea (onye ọrịa nwere ike ịbụ na kehoraizin ọnọdụ ruru ka ubara akpa ume capillary ọbara esenyịn na mmepe nke oké dyspnea).
2. Paroxysmal nocturnal dyspnea (siri odyshechnye ọgụ na-eme n'oge na-ehi ụra, Bilie wheezing, wheezing, oké, ụkwara, cyanosis nke ihu).
3. Wheezing na ngụgụ.
4. Profuse oyi ajirija.

Diagnosis nke ekpe ventricular ọdịda

1. Electrocardiography (atụmatụ n'afọ iri na ụma na conduction n'ọgba aghara, ọnụnọ nke enweghị nchịkwa ezé).
2. Echocardiogram (ejection nta nke ndị obi na-amụ, na ọkpụrụkpụ nke mgbidi nke atria na ventricles, ọnụnọ nke mmebi valves ma ọ bụ stenoses, bughi mgbanwe pericardium), kwa ụbọchị nlekota ECG (Holter).
3. Obi X-ray.
4. Test n'okpuru ibu iji chọpụta ọtọ klas nke obi ọdịda.
5. Mmamịrị maka protein ọdịnaya.
6. A ọbara ule na mkpebi siri ike nke myocardial mmerụ nrịbama.
7. Immunoglobulins M na G ka cytomegalovirus na Epstein - Barr virus.
8. Assessment nke larịị nke natriuretic peptides.

ọgwụgwọ

The ọgwụ bụ nke ndị dị otú ahụ jikoro:

• nri mmachi nnu dị na ogo nke obi odida;
• dosed nkịtị ibu, kwa ụbọchị na-eje ije;
• usoro ọgwụ (diuretics, gbasara obi glycosides, angiotensin-n'ịtụgharị enzyme inhibitors, beta-blockers, antiplatelet mmadụ, antiarrhythmics).

Mgbe ekpe ventricular ọdịda aza ụkwụ n'okpuru ikpere? Ihe mere na ikwu maka ọgwụgwọ atụle site anyị.

akụrụ ọkọ

N'ụzọ dị iche, gbasara obi edema, gbasara akụrụ na-kacha akpọ ụtụtụ, mepụtara si n'elu ala. Ná mmalite, fụrụ akpụ eyelids, ihu. Nso ka nkera nke abụọ nke ụbọchị aza ụkwụ (n'akụkụ ikpere na nkwonkwo ụkwụ), ọzịza nke ihu bụ obere akpọ. The anụ bụ juu, ọkụ, fossa mgbe ịpị a aka ngwa ngwa kwụsị. Ọnụnọ nke cyanosis bụghị ahụkarị.

The ike nke ozizi na "Mbugharị" - otu ihe dị mkpa na-achọpụta ọrịa atụmatụ nke gbasara akụrụ daa ọrịa.

Ọ kara akara propensity ụba nsogbu.

Ọ bụrụ na ọrịa na akụrụ aza ụkwụ n'okpuru ikpere, na-akpata, ọgwụgwọ, na ndị ọzọ bara uru Atụmatụ ị ga-n'okpuru.

Edema metụtara na-egbu egbu na dịghịzi ọnya nke glomeruli nke akụrụ, mbenata ha filtration ọnụego, ọmụmụ njigide, na-abawanye na ọbara olu, ọbara mmiri wepuÚ plasma na nsụkọrọ n'ihi ụba vaskụla permeability ma belata ọbara oncotic mgbali ruru ka oké ọnwụ nke protein na mmamịrị.

Ma, n'ihi ihe ụfọdụ aza ụkwụ n'okpuru ikpere? Akpata na mgbaàmà nke erughị ala jikọtara.

Na mmepe nke edema n'ihi glomerulonephritis mgbe njikọ na a gara aga, ọrịa ndị dị otú ahụ ka a akpịrị.

Mgbe nephritic syndrome ọzịza obere akpọ e ji mara hematuric syndrome (mmamịrị enweta agba anụ slops).

Nephrotic syndrome na-esonyere a oke ọnwụ protein na mmamịrị na edema owụt ruo hydrops.

Diagnosis nke gbasara akụrụ edema

• The protein na mmamịrị.
• Mmamịrị Vol.
• Mkpebi siri ike nke streptococcal na staphylococcal-alụso ọrịa ọgụ na ọbara ọbara.
• Ultrasonography.
• Control nke ọbara mgbali.
• Blood ule.

General ụkpụrụ nke ọgwụgwọ

The ọgwụ na-eji:

• nri mmachi nke nnu, protein na mmiri mmiri;
• bed ọzọ;
• systemic ọgwụ nje ọgwụ;
• nhọpụta nke diuretics;
• ẹsụhọde ọbara mgbali;
• antihistamine ọgwụ;
• Jiri nke ndị so ná ndị mgbochi mkpali ọgwụ ọjọọ;
• anticoagulants na antiplatelet elekọta mmadụ (maka igbochi na microthrombogenesis n'ihu glomerular mmerụ);
• glucocorticosteroids na tsitostatitiki na ọgwụgwọ nke nephrotic syndrome.

imeju mmebi

Gịnị mere e ji aza ụkwụ n'okpuru ikpere? Akpata na mgbaàmà ndị a wetara sensations nwere ike na-egosi ọrịa imeju.

Mbelata protein njikọ na imeju ruru ka oké anụ mmebi ya (njedebe ogbo nke ịba ọcha n'anya, imeju, ọdụdụ, hepatocellular carcinoma) ọtụtụ so site oké ọkọ ruo mgbe anasarca. Hepatic edema kpataara ya oké itching nke anụ, scratching, ududo veins, capillary fragility, yellowness nke anụ na-ahụ anya mucous.

Diagnosis nke ọrịa imeju

1. Mmamịrị.
2. Nnyocha nke faeces.
3. Blood analysis, mkpebi siri ike nke ngụkọta protein, samples of hepatic (Alt, AST, GGT, bilirubin, alkaline phosphatase), nyochaworo thymol turbidity ule, larịị nke urea na creatinine.
4. US.
5. Malitere ịrịa ịba ọcha n'anya nrịbama, immunoglobulin M na G ka cytomegalovirus na Epstein - Barr virus.
6. Blood maka HIV.

varicose veins

Olee ihe ọzọ onu nke ọzịza nke ụkwụ n'okpuru ikpere, bụ ihe ndị mere? Nācha ọbara-ọbara na ekpepụsị nke anụ e ji varicose veins na ụkwụ, nke na-esonyere a dull igbu mgbu mgbu, ọgwụgwụ, arọ na ụkwụ.

Na oké ọnya omume trophic akpụkpọ mgbanwe: dermatitis, onya, hyperpigmentation. N'elu nnyocha anya contoured venous Eserese, akara edema, mgbasa na bulging veins, trophic akpụkpọ mgbanwe. Asymmetrical ọzịza, mgbanwe ogo, dabere n'ókè nke mmebi veins.

The ọnụnọ nke ozizi na ụkwụ a dịpụrụ adịpụ na ọdịdị na na-adịghị jikọtara ndị ọzọ na-adakarị mgbaàmà (e. Mkpụmkpụ nke ume, ụkwara, ọzịza nke ihu na ahu, ahụ ọkụ na na na.).

Ọ bụrụ na ị na-enwe nchegbu banyere varicose ụkwụ n'okpuru ikpere ọzịza, na-akpata, foto na ndị ọzọ ihe ọmụma bara uru dị n'isiokwu a. Ikekwe nke a ga-enyere gị aka.

Ọgwụgwọ nke varicose veins

ịwa ahụ (flebosklerozirovanie) na-eji oké ọnya.

Drug ọgwụgwọ na-agụnye iji antiplatelet elekọta mmadụ na venotonics.

phlebemphraxis

N'ihi na ụfọdụ kpatara, aza ụkwụ n'okpuru ikpere e wezụga n'elu ọrịa? Ọzịza nke ụkwụ nwere ike ime gụnyere phlebothrombosis. Deep akwara thrombosis mbụ nkebi ime na-enweghị ihe ịrịba ama nke mbufụt nke akwara mgbidi.

nācha ọbara-ọbara nke anụ ahụ ọkọ pụtara nanị mgbe ụfọdụ. The anụ bụ kenkowaputa, ọma-contoured venous ụkpụrụ. Ọ na-egosi na ozizi nke emetụtara ụkwụ. E ji mara nkesa mgbu n'ime nke ụkwụ. Pain sharply Noa mgbe na-eje ije.

venous insufficiency

Ka anyị tụlee ihe ụfọdụ mere, fụrụ akpụ ụkwụ n'okpuru ikpere na ọrịa na-adịghị ala ala venous insufficiency. Aga n'ihu mgbe nile ọnwụ nke venous usoro na-esonyere a symmetrical edema, n'anya na-idem ke ụtụtụ mgbede. Nācha ọbara-ọbara nke anụ n'akụkụ ikpere (tụnyere akpọ ọkọ). Nnọọ adịkarịghị ewe ebe otu kwadoro mmeri.

Ogbu na nkwonkwo na systemic ọrịa

Mgbu na ọzịza nke ogbu na nkwonkwo jikọtara effusion n'ime nkwonkwo oghere. The nkwonkwo na-ụba na size. E ji mara nācha ọbara-ọbara nke anụ ahụ.

The mpụta mbụ nke ntorobịa ogbu na nkwonkwo (afọ 16) esonyere nnukwu mmalite, fever, ọkụ ọkụ na ihu, toso, ike, n'elu nkwonkwo. Ọ na-emetụta esịtidem akụkụ. N'ihi na ọrịa ogbu ogbu na nkwonkwo e ji ụtụtụ isi na ya mmegharị.

Hemorrhagic vasculitis Henoch - Schönlein

Ọ bụrụ na ị mata a hemorrhagic vasculitis Henoch - Schönlein na ị na-enwe nchegbu banyere ajụjụ nke mere aza ụkwụ aka nri n'okpuru ikpere, ndị mere anyị ga-atụle n'okpuru.

Ahụkarị njikọ na gara aga ọrịa, ọgwụ nje ọgwụgwọ, ọnụnọ nke oké nfụkasị Jeremaya.

Mgbe articular ụdị e ji: ozizi, ọzịza nke ikpere nkwonkwo, muscle mgbu, hemorrhagic ọkụ ọkụ na ụkwụ, na apata na ike.

hemophilia

N'ihi coagulation ọrịa na o kwere omume na-agba ọbara n'ime uru na nkwonkwo metụtara na obere trauma. Edematous emetụta nkwonkwo, a ụfụ na palpation na ije, akpụkpọ hyperemia, na-ekpo ọkụ na aka.

The omume nke ozizi na ụkwụ, adịghị metụtara ọnụnọ nke pathologies

Ọ bụrụ na aza ụkwụ n'okpuru ikpere, ihe mere nke a na-bụghị mgbe niile na njikọ aka daa ọrịa. The omume nke edema nwere ike mere site na:

• ịṅụbiga mmanya ókè;
• oké oriri nke nnu oriri, na-eme ọmụmụ njigide;
• echebe omume hyperthermia;
• ụba ibu na ụkwụ na n'ọkpụkpụ azụ, metụtara na yi iru ala akpụkpọ ụkwụ bụ kwa elu ikiri ụkwụ;
• ọnọdụ na-achọghị na-abawanye na mgbali na veins ruru ịnọkarị otu ebe;
• n'ahụ edema na ogologo na-arụ ọrụ;
• ibu oké ibu;
• ọzịza na ime (iyi egwu dị oke, ngwa ngwa na-eto eto ọkọ, Bilie ọgbụgbọ, ọbara mgbali elu na isi ọwụwa - iyi egwu nke eclampsia);
• ọzịza na PMS.

N'ihi ya, i kwesịrị ịdị na-eche ma ọ bụrụ na mgbe aza ụkwụ n'okpuru ikpere. Akpata na ụdị nke edema nwere ike dị iche iche.

Dị ka a mgbochi ụfọdụ na-atụ aro: ka normalize ahu arọ na a kwesịrị isi nri, zere mmanya oriri, ele ahụ mgbe nile site na a dibịa, gụnyere na onunu ogwu Usoro nke ụbọchị na mmega. Na-anọghị nke daa ọrịa nke akụrụ na nwee usoro normalize ndị venous outflow irè yoga (nọdụ kpee), ọgwụgwọ mmega (mmega "birch").

Gịnị ma ọ bụrụ na aza ụkwụ n'okpuru ikpere? Ihe mere karịa na-emeso, otú tufuo nke - niile na mmasị na-eche ihu nsogbu. Isiokwu anyị na-enye azịza ndị a niile ajụjụ.