Kusintha kwa ma carkodium ndilo lingaliro limene limayikidwa pambuyo pa maphunziro ena owonjezera monga zojambulajambula (echocardiogram - ultrasound ya mtima) ndi electrocardiography (ECG). Ichi si matenda. Mapeto ake amasonyeza kuti mu myocarimu (minofu ya mtima) kusintha kwina kwapezeka.
Zomwe zimayambitsa kusintha kwakukulu mu myocarimu
Kusintha kwa myokarimu ya chikhalidwe chofala makamaka kumapezeka:
- chifukwa cha kuphwanya mchere wa madzi;
- Matenda opweteka a myocarditis ;
- chifukwa cha chitukuko cha minofu m'malo mwa minocardial fibers.
Komanso, zomwe zimayambitsa kusintha kwakukulu zingakhale kugwiritsa ntchito mankhwala ena ndi kulemetsa thupi. Nthawi zina kusintha kwakukulu kwa myocarimu kumaonekera pambuyo pa matenda omwe amachititsa kuti thupi likhale ndi mitsempha, ndiko kuti, matendawa amachititsa nthawi yomweyo ma atria, ma septum osagwiritsidwa ntchito, ndi zinyama.
Zizindikiro ndi matenda a myocardial
Zizindikiro za kusintha kwakukulu m'galimotoyo ndi zosiyana kwambiri. Ndi zotupa zotero za myocardium pali:
- mpweya wochepa ;
- tachycardia;
- chithandizo;
- chithumwa;
- chisokonezo chakupha;
- kufooka.
N'zotheka kukhazikitsa kupezeka kwa kusintha kwa maselo kapena kusinthasintha kwa myocardium pokhapokha atathandizidwa ndi ECG ndi mafilimu. Koma kawirikawiri zilondazi zilibe makhalidwe enieni, kotero n'zotheka kuika chidziwitso chomaliza (mwachitsanzo, matenda a myocardial dystrophy kapena myocarditis) pokhapokha atafufuza wodwalayo ndikupeza zotsatira za maphunziro ena. Koma ECG ndi zojambula zithunzi zimakhala zofunikira kwambiri, chifukwa zimakulolani kuti muwone zomwe zasintha ku myocardium - zosiyana kapena zofunikira.
Pa ECG zimapangitsa kuti kusintha kwa ma caryolodiyumu kusinthidwe mwatsatanetsatane. Komanso, electrocardiogram nthawi zonse imawoneka kuphwanya kwa chizindikiro, zizindikiro za hypertrophy ndi kutsitsa mtima. Pa echocardiogram, munthu amatha kuona kusintha kwa chidziwitso m'matumbo onse a myocardium. Pogwiritsa ntchito kufufuza kumeneku, mungathe kuzindikira:
- kufalikira kwa mbali zosiyana za mtima;
- kuwopsa kwa kachipatala;
- zizindikiro zosadziwika zowonongeka kwa mgwirizano wa myocardial contractiles.
Kuchiza kwa kusintha kwakukulu mu kachipatala
Ngati kusintha kwakukulu kapena kovuta kwambiri pa kachipatala kumakhala chifukwa cha matenda aakulu m'thupi, chithandizochi chidzachitidwa pofuna kuthetsa chifukwa cha zilondazo. Kuchokera kuchipatala wodwalayo ayenera kutenga mahomoni a corticosteroid, omwe amatsutsana ndi vuto. Kodi wodwalayo ali ndi zizindikiro zomveka za mtima? Pofuna kusintha kusintha kwakukulu m'magalimoto yapamwamba, glycosides ya mtima imagwiritsidwanso ntchito. Ngati wodwalayo ali ndi kutupa, agwiritsenso ntchito mitundu yosiyanasiyana ya diureti. Kuonjezera apo, wodwala aliyense amapatsidwa mavitamini, cocarboxylase, othandizira omwe amathandiza kuchepetsa kagayidwe kake ndi ATP.
Ndi kusintha kwakukulu kwa ma carbodium, mankhwala oletsa kutupa komanso mankhwala ophera ma antibiotic ndi ofunika. Mavuto aakulu, opaleshoni imachitidwa - kukhazikitsidwa kwa myocardiostimulator.
Pamene mukuchiza zilonda, zochita zolimbitsa thupi ndizochepa. Komanso, wodwalayo amaletsedwa kumwa mowa ndipo amalimbikitsidwa kutsatira zakudya. Ndikofunika kuchotsa chakudya chakuthwa kwambiri ndi mafuta. Zakudya zonse zogwiritsidwa ntchito ziyenera kuphweka mosavuta ndipo zisayambitse kupuma. Mwachitsanzo, izi, mkaka, ndiwo zamasamba kapena nsomba yophika. Kuchuluka kwa madzi ndi mchere kumangopitirira malire osachepera.