Daawada ugu wanaagsan ee daaweynta ee wadnaha

Chronic wadnaha, taas oo ah kala soocidda sidii NYHA (New York Association of wadnaha), oo ku salaysan qiimaynta caafimaad oo ka mid ah jiritaanka iyo darnaanta ee xaaladda kooban functional bukaanka. Calaamadaha ugu muhiimsan ee wax ka tarta hoos u in dhaqdhaqaaqa jirka, waxaa ka mid ah wadno, daciifnimo, dyspnea iyo daal. Cillada soocidda NYHA tixgeliyo gradations kooban iyo shuruudaha shakhsi ahaan. Sidaas darteed, ku dhowaad dhammaan bukaannadii yeelatay sawir clinical, waxaa iska leh fasalka seddexaad ama afaraad.

Daaweynta wadnaha chronic marar badan lagu sameeyo bukaan socod ah. Saamaynta daweynta kiiskan aan la faray oo keliya ee wax ka qabashada cudurka sababaya. Dabcan daaweyn wuxuu ka kooban yahay sidoo kale xadidi walwalka shucuureed iyo hoos u dhaqdhaqaaqa jirka, therapy jimicsi. Intaas waxaa sii dheer, waa la ilaalin qasabka ah hodan ku vitamins iyo cunto protein la hoos u tiro ka mid ah milix iyo cabitaan.

Iyadoo qayb ka ah therapy ah waa la fuliyay iyo saamaynta daroogada. Waxaa la rumeysan yahay in daaweynta ugu fiican ee wadnaha oo shaqadiisa gaba, kaas oo diyaariyey iyadoo ay sabab u tachyarrhythmias wadne - a glycoside wadnaha. Inside igmadey "Tselanid", "Digoxin" iyo kuwa kale. qiyaasta daroogada doortay dhakhtarka.

In la aqoonsado hydrothorax, barar durugsan, preparty ascites isticmaalo diuretics ( "Furosemide", "Hypothiazid", "Uregei" iyo kuwo kale). Xaaladaha qaarkood, waxay loo qoondeeyay in lala ku Doodeen aldosterone ah (la hyperaldosteronism "Veroshpiron") iyo daawooyin potassium (la hypokalemia chloride potassium). Hanti muddo dheer medicaments talaabo sida "Triampur", "Triamterene" - uubatooyin diuretics.

Waxaa inta badan waa daawada u roon tahay in loo hagaajin karo hemodynamics ay sabab u tahay saamaynta vasodilating durugsan (vasodilators). Waxaa la rumeysan yahay in daaweynta ugu fiican ee wadnaha isagoo hantida sida a - inhibitors, saamaynaya labada arooriyaha iyo weelashii halbowlaha on. The ugu caansan ka mid ah waa in ka mid ah "Enalapril", "Capoten", iyo qaar kale. Xaaladaha qaarkood (naadir) isticmaalaan Nitrate. Tusaale ahaan, "Nitrosorbide" "Nitroglycerin" (yaraynta midab arooriyaha) "Phentolamine" (arterioles ballaarinta) "Prazosin" (simaha on midab ee venules iyo arterioles). Isticmaalkooda hoos u dhici doono dhiig kar, barar horumarinta, taas oo uu leeyahay iska caabin ah si ay saamaynta daroogada lagu durayo , xoojinta ama dhacdo ee tachycardia. Waa in la ogaadaa in magacaabidda vasodilators iyo xakameynta aqbaliddoodii qiyaasta dhakhtar xanbaarsan yahay.

Si kastaba ha ahaatee, shaki la'aan, daaweynta ugu fiican ee wadnaha - cudurka Hore iyo ka saarida heley iyada hore.

dheelitirka caadi ee cusbada macdanta iyo biyaha ee jirka ku heli doonaa takhaluso bararka, loo hagaajiyo wareegga dhiigga. Intaa waxaa dheer, hoos u wato wadnaha, khatarta ah in garaaca wadnaha.

Iyada oo ay taasi u baahan tahay gacanta maalin walba of hawada iyo nuugista ee dareeraha ah. Waa in si joogto miisaamay.

Xaaladaha qaarkood, beddelo hab maalinta, nafaqada, qaadashada dheecaanka - daweynta ugu haboon ee wadnaha oo shaqadiisa gaba. Talaabooyinkani waxay samaysaa suurtagal ah in la baabi'iyo dhiigrooraan maqaarka, neefta oo ku qabata, barar. Bukaanka qaba wadne joogsi u baahan tahay inaad ku hareeraysan taageero, guriga iyo shaqada. Waxaa lagama maarmaan ah in la baabi'iyo stress, si ay u bixiyaan mudada hurdada loo baahan yahay.

Si kastaba ha ahaatee, tallaabooyin dheeraad ah oo xagjir ah ayaa loo baahan yahay in marxaladaha dambe ee cudurka.