Ntau zaus peb hnov cov lus qhia "kev mob plawv tsis txaus", tab sis ob peb tus tuaj yeem hais tias qhov no pathology yog dab tsi. Tus kab mob no yog dab tsi, nws cov cim thiab ua rau dab tsi - peb yuav txheeb xyuas nws.
Cardiopulmonary failure - yog dab tsi?
Hauv cov tshuaj niaj hnub no, cardiopulmonary insufficiency tau nkag siab tias yog ib yam mob uas lub plawv tsis ua haujlwm, uas yog, lub plawv tsis muaj peev xwm muab cov ntshav hauv lub cev, ua ke nrog pulmonary, uas tshwm sim vim ntshav siab ntau dhau. nyob rau hauv cov hlab ntsha ntawm lub ntsws, qhov twg gas exchanges tshwm sim. Tag nrho cov no ua rau txo qis ntawm cov pa oxygen hauv cov ntshav.
Hauv kev xyaum, pulmonary insufficiency feem ntau tshwm sim thawj zaug, cov tsos mob plawv koom nrog nws tom qab ib ntus. Hais lus nruj me ntsis, cov tsos mob no tuaj yeem pom ob qho tib si hauv ntau cov kab mob ntawm cov hlab plawv thiab cov kab mob ntawm lub ntsws. Nyob rau hauv nws cov chav kawm, cov pathology tuaj yeem tshwm sim nws tus kheej hauv daim ntawv mob hnyav, thaum cov tsos mob nce ntxiv hauv lub sijhawm luv luv, thiab kuj tseem tuaj yeem muaj ntau yam mob, thaum lub deterioration.xeev tshwm sim ntau xyoo lossis ntau xyoo lawm.
Ua rau mob plawv tsis ua haujlwm
mob ntsws tsis txaus yog ib qho teeb meem uas tshwm sim hauv qee yam mob uas cuam tshuam rau tus neeg mob lub neej. Qhov no yuav tsum tau kev kho mob sai sai. Raws li txoj cai, nws tuaj yeem txhim kho raws li cov xwm txheej hauv qab no:
- vim los ntawm thrombosis lossis spasm ntawm cov hlab ntsha pulmonary;
- rau thromboembolism;
- nrog pneumo- lossis hydrotorex;
- nrog exacerbation ntawm bronchial hawb pob, xwm txheej asthmaticus.
Txawm li cas los xij, kev mob plawv kuj tuaj yeem ua rau muaj kev nce siab hauv cov hlab ntsha pulmonary. Feem ntau, qhov no tshwm sim nrog mitral valve tsis txaus. Tsis tas li ntawd, qhov ua rau ntawm kev loj hlob ntawm pulmonary insufficiency tuaj yeem yog pulmonary valve insufficiency, mob plawv nres, myocarditis, plawv tsis xws luag nyob rau theem ntawm decompensation, cardiomyopathy. Nyob rau tib lub sijhawm, kab noj hniav ntawm sab laug ventricle nthuav dav, thiab kev cog lus ntawm nws phab ntsa tsis tuaj yeem thawb tag nrho cov ntshav mus rau hauv lub lumen ntawm lub nkoj. Ib txhia ntawm nws stagnates thiab ua rau kom lub siab nyob rau hauv lub pulmonary veins. Raws li txoj cai ventricle txuas ntxiv tso ntshav mus rau nws lub peev xwm, lub siab tseem nce ntxiv, uas tuaj yeem ua rau mob ntsws ntsws lossis mob hawb pob.
Cas of chronic cardiopulmonary failure
mob ntsws tsis txaus, tsis zoo li daim ntawv mob, loj hlob qeeb. Txheej txheemkev loj hlob ntawm pathological hloov mus rau ntau xyoo. Nyob rau hauv cov ntaub ntawv no, kev loj hlob ntawm kub siab nyob rau hauv lub pulmonary hlab ntsha tshwm sim vim cov nram qab no pathologies:
- hereditary idiopathic hypertension;
- pulmonary artery insufficiency, uas tej zaum yuav tshwm sim los ntawm endarteritis los yog rov embolism ntawm cov ceg me me;
- kab mob ntsws ntev - emphysema, pleurisy, pneumosclerosis, obstructive bronchitis;
- maj mam kis kab mob hauv lub plawv;
- kis tau tus kab mob valvular.
Pulmonary tsis ua haujlwm: qib hnyav
Vim qhov tseeb tias daim ntawv mob ntev ntawm tus kab mob no yog qhov ua rau qeeb thiab feem ntau yuav luag tsis pom kev nce ntxiv hauv cov tsos mob pathological, plaub qib ntawm qhov mob hnyav tau txiav txim siab:
- I degree - tsis muaj cov tsos mob ntawm tus kab mob, nrog rau kev ua lub cev ib txwm muaj, tsis muaj qhov tshwm sim ntawm tus kab mob, nrog kev nce hauv kev thauj khoom, ua tsis taus pa me ntsis tshwm.
- II degree - tsis muaj tsos mob thaum so, tab sis ua tsis taus pa thiab palpitations tshwm sim nrog lub cev ua si.
- III degree - cov tsos mob ntawm qhov tsis txaus tshwm sim nrog kev tawm dag zog tsawg kawg nkaus, tab sis tsis tuaj yeem so.
- IV degree - ib tug neeg tsis tuaj yeem siv lub cev tsawg kawg nkaus, cov tsos mob tshwm sim thaum so.
Kev mob ntsws ntsws tsis txaus tuaj yeem txhim kho raws li ib qho ntawm ob txoj kev xaiv - sab xis thiab sab laug ventricular tsis ua haujlwm. Sab laug ventricular tsis ua haujlwm tuaj yeemmanifest as pulmonary edema lossis cardiac asthma.
Kev mob ntsws asthma
Qhov no yog pulmonary insufficiency, cov tsos mob ntawm uas maj mam nce. Nyob rau theem pib, nws tshwm sim los ntawm kev ua pa luv, uas tshwm sim thawj zaug tom qab kev tawm dag zog lub cev, dhau sij hawm nws hnyav zuj zus, tshwm sim txawm tias thaum so. Nrog ua tsis taus pa luv, kev ua pa (inspiratory character) yog qhov nyuaj. Nyob rau hauv lub neej yav tom ntej, nws yog hloov los ntawm kev mob hawb pob, feem ntau tshwm sim thaum pw tsaug zog. Nyob rau theem no, lub zog quab yuam yog qhov taw qhia - lub taub hau siab, thaum muaj kev tawm tsam, tus neeg mob raug yuam kom zaum, txo nws ob txhais ceg ntawm lub txaj thiab tso rau ntawm nws txhais tes, ntxiv rau qhov ua tsis taus pa, palpitations, tawm hws, thiab ntshai. kev tuag tshwm. Qhov hnoos hauv plawv hawb pob yog qhuav, nrog scanty expectoration. Cov tawv nqaij yog daj ntseg, pronounced cyanosis ntawm nasolabial daim duab peb sab, ntiv tes. Cov mem tes tsis sib xws, tsis muaj zog, lub siab txo.
Cia peb xav txog dab tsi nta lub plawv thiab bronchial hawb pob muaj:
| Nkauj | Bronchial | |
| ua pa | Ntsuab, npuas, zoo mloog ntawm qhov deb | |
| hom ua tsis taus pa | Inspiratory (nqus nqus tau yooj yim) | Expiratory (nyuaj exhaling) |
| Scanty, nrog pulmonary edema - paj yeeb ua npuas ncauj | Muaj cov hnoos qeev uas nyuaj rau cais | |
| Auscultation | Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws | Qhuav, hawb pob, ua tsis taus pa |
| Drug action | YKev siv cov tshuaj diuretics coj tau zoo | Txhob nrog diuretics |
Pulmonary edema
Mob ntsws tsis ua haujlwm tuaj yeem ua rau nyuaj los ntawm kev txhim kho pulmonary edema. Qhov no yog qhov tso tawm ntawm cov ntshav tseem ceeb rau hauv lub ntsws cov ntaub so ntswg. Kev tawm tsam sai sai, tsis hais lub sijhawm nruab hnub. Qhov pib tshwm sim los ntawm kev ua pa nyuaj, thaum muaj kev puas tsuaj sai rau tus neeg mob tus mob:
- ua pa luv zuj zus, tus neeg mob tsis muaj cua txaus, muaj cyanosis ntawm daim tawv nqaij ntawm lub ntsej muag thiab sab, hws txias;
- kev nco qab muaj kev ntxhov siab - nws tuaj yeem ua rau lub cev muaj zog thiab stupor mus txog qhov tsis nco qab;
- ua pa nrov nrov, npuas, paj yeeb ua npuas ncauj sawv tawm;
- yog tias qhov kev tawm tsam tshwm sim ntawm keeb kwm ntawm myocardial infarction lossis myocarditis, cardiogenic poob siab yuav tshwm sim.
Txoj cai ventricular tsis ua haujlwm
tuaj yeem tshwm sim raws li qhov teeb meem ntawm myocardial infarction lossis myocarditis. Nws qhov tshwm sim, ntxiv rau qhov ua tsis taus pa thiab ua pa hnyav ntxiv, yog:
- cyanosis ntawm lub ntsej muag thiab ntiv tes;
- pom meej, tshwj xeeb tshaj yog ntawm kev tshoov siab, o jugular leeg;
- o ntawm ob txhais ceg, ntsej muag, plab phab ntsa mus txog ascites;
- ncedaim siab, muaj pulsation nyob rau hauv lub epigastrium.
mob plawv tsis ua haujlwm
Vim qhov tseeb tias daim ntawv mob ntev ntawm cov kab mob no tau tsim ntau xyoo, nws cov tsos mob tshwm sim tsawg dua. Txij li thaum tus kab mob no feem ntau yog raws li cov pathology ntawm lub pa system, nws manifests nws tus kheej feem ntau nyob rau hauv ua tsis taus pa luv. Nws tuaj yeem nrog cov tsos mob hauv qab no:
- mob plab;
- arrhythmia;
- tachycardia;
- cyanosis;
- o ntawm ob txhais ceg;
- o caj dab veins;
- ncephalopathy.
Raws li tus kab mob no zuj zus, cov tsos mob pib hnyav, thiab yog tias thaum pib lawv tshwm sim tom qab qee qhov kev thauj khoom, ces nyob rau theem kawg (hauv theem decompensation) qhov no tshwm sim tag nrho.
Kev kho mob plawv tsis ua hauj lwm
Txoj kev loj hlob ntawm kev noj zaub mov tsis txaus feem ntau yuav tsum tau muaj kev cuam tshuam sai thiab kev tshaj lij. Raws li txoj cai, kev kho mob yog nqa tawm hauv tsev kho mob, thiab ntau zaus hauv chav kho mob hnyav. Yog tias qhov kev tawm tsam tau tshwm sim hauv tsev, koj yuav tsum xa tus neeg mus rau qhov chaw kho mob sai li sai tau. Kev kho mob ntawm daim ntawv mob ntev ntawm tus kab mob yog ib qho kev sib xyaw ua ke rau kev kho tus kab mob. Qhov no tsis yog kev kho mob nkaus xwb, tab sis kuj yog kev ua kom zoo ntawm qib kev ua si ntawm lub cev thiab khoom noj khoom haus. Kev kho tshuaj rau cov kab mob no muaj nyob rau hauv kev sau cov tshuaj hauv qab no:
- beta blockers;
- Ydiuretics;
- kawg glycosides.
Cov kev kho mob thiab ntau npaum li cas hauv txhua kis yog txiav txim los ntawm tus kws kho mob. Kev noj tshuaj rau tus kheej hauv cov xwm txheej zoo li no tsis tsim nyog. Nyob rau hauv cov ntaub ntawv ntawm tsis ua hauj lwm ntawm conservative kev kho mob, qhov teeb meem yog daws surgically.
