Chifuwa, Chizungulire, Kutupa Kwambiri, ndi Zambiri
Ngakhale pali mitundu yambiri ya matenda a mtima, ndipo pamene aliyense angathe kupanga zizindikiro zake, pali zizindikiro zina zomwe zimayambira matenda osiyanasiyana a mtima. Ngati mukukumana ndi zizindikiro izi, muyenera kuwona dokotala wanu kuti awone.
Chifuwa kapena Chifuwa Chokhumudwa
Zizindikiro zochepa zimakhala zoopsa kuposa kupweteka pamtima.
M'maganizo a anthu ambiri, kupweteka pachifuwa kumapweteka mtima. Ndipo ngakhale zinthu zina zambiri zingayambitse kupweteka pachifuwa , matenda a mtima ndi wamba-ndi owopsa-kuti chizindikiro cha kupweteka pachifuwa sichiyenera kutayidwa ngati chopanda phindu.
"Kupweteka pachifuwa" ndi mawu osamveka. Nthawi zambiri amagwiritsidwa ntchito pofotokoza ululu uliwonse, kupanikizika, kupinyedwa, kukomoka, kupweteka kapena kupweteka kulikonse mu chifuwa, khosi, kapena m'mimba, ndipo nthawi zambiri zimagwirizanitsidwa ndi ululu pamsana, mutu, kapena mikono.
Malingana ndi chifukwa chake, kupweteka pachifuwa kumatha kukhala osachepetseka kwachiwiri mpaka masiku kapena masabata, kungakhaleko kawirikawiri kapena kawirikawiri, ndipo kungakhale kochitika mwangwiro kapena pansi pazidziŵitso. Kusankha mwa kusintha kumeneku kungathandize dokotala kudziwa chomwe chimayambitsa chifuwa chanu, makamaka ngati chikuimira vuto la angina kapena vuto lina lalikulu-chifukwa chake muyenera kupeza thandizo kwa dokotala ngati muli ndi kupweteka pachifuwa.
Muyeneranso kukhala ndi lingaliro la momwe muyenera kulingalira kupweteka kwa chifuwa kukhala chodzidzimutsa .
Palpitations
Palpitations , kuzindikira kosazolowereka kwa mtima, ndi chizindikiro chofala kwambiri. Anthu ambiri omwe amangodandaula za zizindikiro zimatanthauzanso kuti "akudumpha" pamtima (kutanthauza, kupuma, nthawi zambiri kumatsatiridwa ndi kugunda kwakukulu), kapena ngati nthawi yofulumira komanso / kapena yopanda mtima.
Anthu ambiri omwe ali ndi matendawa amakhala ndi mtundu wina wa mtima wokhazikika . Pali mitundu yambiri ya arrhythmias, ndipo pafupifupi zonse zingayambitse mapiritsi. Zomwe zimayambitsa matendawa ndi mapuloteni asanamwalire (PACs) , maofesi a PVCs asanakwane (epvodes) , ma episodes of fibrillation , komanso ma episodes of tachycardia (SVT) .
Mwamwayi, nthawi zina, palpitation ikhoza kuwonetsa mtima woopsa wa arrhythmia, monga ventricular tachycardia . Palpitations ndizovuta kuti ziwonetsere vuto lalikulu ngati zikuphatikizidwa ndi zizindikiro za kumutu kapena chizungulire.
Ngati mukumva, muyenera kukambirana ndi dokotalayo chizindikiro ichi. Angakufunseni kuti muyambe kufufuza kwa kanthaŵi kochepa kuti muone zomwe makamaka zikuchititsa zizindikiro zanu.
Lightheadedness kapena Chizungulire
Zochitika za mimba kapena chizungulire zimatha kukhala ndi zifukwa zambiri, kuphatikizapo kuchepa kwa magazi komanso matenda ena, kuchepa kwa madzi, matenda a tizilombo, kupuma kwa bedi kwa nthawi yayitali, matenda a shuga, matenda a chithokomiro , kusokonezeka kwa m'mimba, matenda a chiwindi, matenda a impso , matenda osokoneza ubongo, matenda a ubongo , dysautonomias , vasovagal episodes , mtima wosalimba komanso arrhythmias mtima.
Chifukwa chakuti zinthu zambiri zosiyana zimatha kupanga zizindikiro izi, aliyense amene akukumana ndi mitu ya mimba kapena chizungulire ayenera kukhala ndi kafukufuku wathunthu ndi wathunthu.
Ndipo popeza kusokonezeka kwa ziwalo zambiri zogonana kungayambitse zizindikirozi, wothandizira wamkulu internist kapena dokotala wa banja angakhale malo abwino kwambiri oyamba.
Syncope (Kutaya / Kutaya Chisamaliro)
Syncope ndidzidzidzidzidwa ndidzidzidzi, kapena kutaya nthawi pang'ono. Ndichizindikiro chofala-anthu ambiri amapita kamodzi pa moyo wawo-ndipo nthawi zambiri samasonyeza vuto lalikulu lachipatala. Komabe, nthawi zina syncope imasonyeza chiopsezo choopsa kapena chowopsya, kotero pamene syncope ikupezeka ndikofunikira kupeza chifukwa.
Zomwe zimayambitsa syncope zikhoza kugawidwa m'magulu akuluakulu anayi: a neurologic, osokoneza bongo, amphamvu ndi a mtima. Mwa izi, mtima umodzi wa syncope uli ndi chiopsezo chachikulu chochititsa imfa mwadzidzidzi . Vasomotor syncope (yomwe imatchedwa vasovagal syncope) ndi chifukwa chofala kwambiri. Matenda a khunyu ndi kagwiritsidwe kachakudya kamene kamakhala kosawerengeka.
Kutayika konse kwa chidziwitso kuyenera kuyesedwa ndi dokotala.
Kutopa, Lethargy kapena Kugona kwa Mdima
Kutopa, kulephera kapena kusowa mtendere (kugona kwa tsiku ndi tsiku) zizindikiro zofala kwambiri. Kutopa kapena kuthamanga kungathe kulingalira ngati kutopa, kutopa, kapena kutaya mtima kumene kumachititsa kuti zikhale zovuta kugwira ntchito pazochitika zanu zonse. Kukhala wochuluka kumatanthauza kuti mwina mumalakalaka tulo, kapena koyipa, kuti mumadzipezetsa mwadzidzidzi tulo patsiku-chidziwitso chodziwika kuti ndi chizoloŵezi chosautsa .
Ngakhale kutopa ndi kuthamanga kungakhale zizindikiro za matenda a mtima (makamaka, mtima wosalimba), zizindikiro zomwe zimakhala zofala komanso zosadziwika zingakhalenso chifukwa cha matenda a thupi lililonse. Anthu omwe akuvutika ndi kutopa kapena kuthamanga amafunika kafukufuku wamkulu wa mankhwala kuti ayambe kusokoneza chifukwa china.
Chizolowezi nthawi zambiri chimayambitsidwa ndi matenda osokoneza ubongo monga kugona tulo , matenda osabisala kapena kusowa tulo. Zosokonezeka zonsezi, komabe, zimakhala zofala kwambiri kwa odwala omwe ali ndi matenda a mtima.
Dyspnea (Kutupa Kwambiri)
Dyspnea , dzina lachipatala chifukwa cha kupuma pang'ono, nthawi zambiri limakhala chizindikiro cha matenda a mtima kapena mapapo (mapapo). Kulephera kwa mtima ndi matenda a mitsempha yamtunduwu nthawi zambiri zimabweretsa mpweya wochepa. Odwala omwe ali ndi vuto la mtima amatha kuona dyspnea ndi mphamvu, kapena orthopnea (dyspnea pamene wagona pansi). Iwo amatha kudzuka modzidzimutsa usiku kutentha mpweya, mkhalidwe wotchedwa paroxysmal usiku wa dyspnea . Matenda ena a mtima monga valve yamtima kapena matenda a pericardial angapangitse dyspnea, monga momwe amatha kukhalira mtima.
Matenda ambiri a m'mapapo angapangitse mpweya wochepa, kuphatikizapo mphumu, emphysema, bronchitis, chibayo, kapena pleural effusion (madzi okhudzana pakati pa mapapo ndi chifuwa).
Kupuma pang'ono nthawi zonse ndi chizindikiro cha vuto lalikulu lachipatala, ndipo nthawi zonse liyenera kuyesedwa ndi dokotala.
Mawu Ochokera
Zizindikiro zomwe zimayambitsidwa ndi matenda a mtima zingathenso kutulutsidwa ndi matenda ena, kuchokera ku zoopsa kwambiri mpaka kuwonongera. Ngati mukumva kupweteka kwa chifuwa kapena kukhumudwa, kutsekemera, kupsinjika, syncope, kutopa kwambiri kapena dyspnea, muyenera kufufuza kuti mudziwe chifukwa. Izi ndi zizindikiro zomwe siziyenera kunyalanyazidwa.
> Zotsatira:
> Fihn SD, Blankenship JC, Alexander KP, ndi al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS Kukonzekera Kwambiri kwa Chitsogozo cha Kuzindikira ndi Kusamalira Odwala Amene Ali ndi Matenda Ovuta Kwambiri a Ischemic Heart: Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi Association Association of American Surgery Surgery, Association of Cardiovascular Nurses Association, Society of Cardiovascular Angiography and Interventions, ndi Society of Thoracic Surgeons. J Am Coll Cardiol 2014; 64: 1929.
> Zimetbaum P, Josephson ME. Kuwunika kwa Odwala ndi Palpitations. N Engl J Med 1998; 338: 1369.
> Neuhauser HK, Radtke A, a Brevern M, et al. Mtolo wa Chizungulire ndi Vertigo mumtundu. Arch Intern Med 2008; 168: 2118.
> Gulu la Task of Discoagnosis and Management of Syncope, European Society of Cardiology (ESC), European Heart Rhythm Association (EHRA), et al. Malangizo Othandizira Kuzindikira ndi Kusamalira Syncope (2009). Mtima; 30: 2631.