Mu agalu, kulephera kwa mtima ndi matenda, omwe nthawi zambiri amadziwika ndi kuti mtima wa mtima sungathe kupereka mliri wabwino wa magazi. Monga lamulo, matendawa amapezeka mu agalu akuluakulu komanso akale.
Zimayambitsa ndi chitukuko cha matendawa
Zifukwa za matendawa zingakhale matenda osiyanasiyana, monga myocarditis, matenda a myocardial infarction, cardiosclerosis, matenda a mtima, pericarditis, cardiomyopathy, hypertension ndi ena.
Kulephera kwa mtima kumapangitsa kuti magazi azikhala ndi ziwalo ndi ziwalo, zomwe zimachititsa kuti zinthu zikhale zovuta kwambiri, ndipo, motero, kuoneka kovuta m'magalimoto. Momwemo, mtundu wozungulira umachitika, pamene kuwonongeka kwa ntchito ya mtima, potsirizira pake, kumapangitsa kuti kuwonongeka kukuwonjezeke.
Pali mitundu yomwe imakhala yovuta kwambiri pamtima. Inde, izi sizikutanthauza kuti galu wa mtundu umenewu adzavutika ndi matenda a mtima. Mwachidule, mitundu iyi imakhala yovuta kukhumudwa mtima, ndipo nthawi yayitali kwambiri. Komabe, izi sizikutanthauza kuti mtundu wina ulibe chiopsezo chokhazikika mtima.
Gulu la zoopsa limaphatikizapo, poyamba, agalu a mitundu yayikulu, yomwe ndi St. Bernards, Great Danes, Newfoundlands. Nthaŵi zambiri, mavuto a mtima wa mtima amatha kuchokera kwa iwo chifukwa cha kuchuluka kwa thupi kapena zosiyana, chifukwa chosasowa.
Mosiyana ndi agalu a mitundu ikuluikulu, agalu aang'ono ndi amphongo (mapepala, ziboliboli zam'mimba) amamva movutikira nthawi zambiri chifukwa cha nkhawa ndi kulemetsa. Aliyense amene ali ndi galu woterowo, amadziwa zomwe zimasokoneza ndi mantha. Kaŵirikaŵiri ndi chifukwa cha izi kuti angakhale ndi mavuto ndi dongosolo la mtima. Iwo ali amantha kwambiri, achisoni ndi zachibadwa. Sitikukonzekera maulendo ataliatali komanso kuchita masewera olimbitsa thupi. Amathera miyoyo yawo ambiri m'manja mwa eni ake ndipo izi ndi zomveka - palibe malo abwino kwa iwo.
Zinthu zachipatala
Zimasiyana malinga ndi chifukwa cha kulephera.
Kuchokera kumalo osakanikirana osakanikirana chifukwa cha mphulupulu ya mitral kawirikawiri kumaphatikizapo kupuma pang'ono, tachycardia, kuthamanga kwa mpweya ndi mapulumu.
Kuchokera kumalo osakanikirana omwe amabwera chifukwa cha aortic stenosis, kufooka kwa ventricular kapena kuthamanga kwa magazi kungaperekedwe ndi kutaya, tachycardia, kuchepa kwa mtima, dyspnea.
Kupweteka kwapadera kwa mpweya wothandizira chifukwa cha exudative pericarditis kapena mavenda otchedwa valve optical malformation akhoza kuwonetseredwa ndi kutupa kwa chiwindi, ascites, kutupa kwa mitsempha yambiri, kutupa kwazomwe zimakhala pansi pamtunda komanso pamtunda wa nyama, oliguria.
Kulephera kwachisamaliro chogonjera chogonjera chifukwa cha kufooka kwa ventricle yoyenera, pulmonary hypertension kapena pulmonary artery stenosis, ikhoza kudziwonetsera ngati mawonekedwe a dyspnea, omwe amadziwika ndi kuwonjezereka kwa magazi pamagulu ang'onoang'ono oyendayenda.
Zosokoneza
Kusanthula mtima kulephera kumakhala kosavuta pamaziko a zizindikiro za kuchipatala. Galu mwamsanga amatopa, amachita zinthu mopusa. Pamene katundu akuwonekera tachycardia ndi kupuma pang'ono. M'mapapu, kumveka kutentha ndi kowuma. Akuwonekera ascites, kutupa kwa submaxis ndi miyendo. Nthawi zina, mtima umakula. Chinthu chachikulu sichiyenera kusokonezeka ndi chibayo, impso kulephera, chiwindi cha chiwindi.
Chithandizo
Poyambirira, nkofunikira kuchepetsa thupi mwathunthu. Mitundu ya mtima imaperekedwa kwa moyo. Ngati chinyama chili ndi digimthmia, ndiye kuti mlingo wa mankhwalawo umachepa kapena akhoza kuchotsedwa kwathunthu. Pofuna kuyambitsa kagayidwe kamene kamayambitsa matenda a myocardium, zimalimbikitsa kutenga mavitamini okonzekera, mapangidwe a potassium, quarantil. Ngati pali cachexia, phenoboline kapena retabolin imaperekedwa intramuscularly, komanso hepatoprotectors. Ngati mtima uli wovuta kwambiri, ndiye kuti yankho la camphor, sulphocamphocaine, cordiamine yopangidwa ndi intramuscular injected subcutaneously.
Mankhwala othandiza ayenera kuchitidwa kuti agwire ntchito ndi matenda oopsa.