Plawv system los ntawm kev muab qhov ntshav txaus txhua txhua ob khoom siv pa thiab as-ham rau tag nrho cov tib neeg nruab nrog cev thiab vim hais tias ntawm nws cov high nqi yog undeniable. Thiab nws yog li ntawd yog tias koj muaj nws lub slightest teeb tshwm sim los ntawm cascading failures thiab tshua nyob rau hauv tag nrho cov lwm yam systems, thiab yog li ntawd yeej ib txwm muaj cov tsos mob. Tab sis yuav ua li cas nws yog ua kev soj ntsuam ntawm lub plawv thiab cov hlab ntsha? Ua li no, muaj ntau ntau txoj kev.
soj ntsuam
Thaum ib tug neeg mob yog thawj twv mus rau lub kws kho mob los yog raws li ib tug prophylactic kev ntsuas (lub cev) los yog tej kev tsis txaus siab, cov kws muaj txuj yuav tsum muaj ib tug yuav tsum-saib cheeb tsam ntawm lub plawv thiab cov kev ib tug yooj yim txoj kev tshawv no ntawm lub cev thiab nws cov offshoots. Yog li ntawd, ua ntej ntawm tag nrho cov kws kho mob ua ib tug general kev soj ntsuam ntawm tus neeg mob los ntawm hmoog rau nws daim tawv nqaij (nyob rau hauv cov kab mob ntawm no system tej zaum yuav daj ntseg, thiab txawm cyanosis, txias tuab edema, me me hemorrhages), lub xeev ntawm cov pom txheej week (txhaj tshuaj ntawm lub sclera, dawb cov quav hniav nyob puag ntawm tus nplaig) , txoj kev loj hlob ntawm lub licas (hypotension, tsis muaj zog, dystrophic los yog, nyob rau hauv tsis tooj, rog), qhov xwm ntawm tus mem tes (nws muaj siab thiab sij hawm nyob rau hauv ob txhais tes, tuav tus mem tes nyob rau hauv lub jugular leeg). Tom ntej no, tus kws kho mob yuav tsum tau nqa tawm xws li kev soj ntsuam ntawm lub plawv, raws li cov percussion ntawm nws ciam teb, uas tej zaum yuav qhia ib tug hypertrophy ntawm tus neeg lub hlwb. Nco ntsoov siv nws lub auscultation nrog ib tug suav ntawm tus xov tooj ntawm lub plawv lus, qhia nws cov laus, atherosclerosis, tau pathological suab nrov.
keeb kwm
Thaum kawg, ntsuas cov ntshav siab, vim hais tias nws yog ib qho tseem ceeb qhia ntawm lub xeev ntawm cov hlab plawv system. Tom ntej no, tus kws kho mob yuav tsum tau rau kev nthuav dav cov kev tsis txaus siab vim hais tias tag nrho cov mob kev xeem muaj xws li ib tug ncauj lus kom ntxaws kho mob yav dhau los. Yog li, rau cov kab mob ntawm cov hlab plawv system yog yus muaj los ntawm hauv siab hauj sim (feem ntau crushing, compressing cim) los yog, precisely ntau, qab lub kaus siab, dyspnea (tshwm sim thaum nce lub cev ua si nyob rau hauv cov qub thiab nyob rau hauv pathology - ntawm lub teeb load los yog txawm nyob rau hauv so), palpitations thiab puas muaj "kev cuam tshuam" ntawm lub plawv, ntshav siab cov tsos mob (mob taub hau, kiv taub hau, heaviness nyob rau hauv lub cev). Nco ntsoov nws zoo nkaus li lub sij hawm ntawm lawv cov tshwm sim, yam uas ua rau muaj mob thiab liquidating lawv siv.
Lwm yam tseem ceeb sib nrauj
Tsis tas li ntawd nyob rau hauv qhov kev xeem ntawm lub plawv muaj xws li lub fact tias tus neeg mob yog nug dab tsi nws koom txoj kev loj hlob ntawm tus kab mob, li no qhia muaj tej yam. Yog li, nws yuav ua tau ib tug muaj zog lub siab lub ntsws poob siab rau lub tswv yim ntawm (txoj kev tuag ntawm ib tug neeg hlub, txoj hauj lwm nyuaj siab), qhov hnyav lifting los yog ua lub cev ua hauj lwm thiab tsis yog. Tsim cov tsos mob thiab cov kev hloov nyob rau hauv cov huab cua puag. Ib qho tseem ceeb txog kev paub yog caj, vim hais tias feem ntau cov kab mob (mob ntshav qab zib, kub siab, coronary mob plawv) yuav hloov mus rau cov tiam tom ntej. Feem ntau, tus sau cov keeb kwm txoj cai muab 50% ntawm tus neeg mob lub soj ntsuam kuaj mob. Tom qab sib tham nrog tus neeg mob thiab kev nws xeem, tus kws kho mob yuav tsum xa nws pawg ntseeg mus rau lub kev soj ntsuam ntawm lub plawv. Peb yuav tsum nco ntsoov lub cev thiab tej hlab ntshav hauv lub cev.
Ib me ntsis ntawm ib tug qub lub plawv
Yog li ntawd, nws yog, roughly hais lus, lub twj tso kua mis, muaj raws feem ntau ntawm cov nqaij thiab complex vascular system. Hauv nws muaj plaub lag sib txuas lus nrog txhua lwm yam nyob rau hauv ib txoj kev thiab los xyuas kom meej zog qhov ntawm cov ntshav. Ib lub siab nws tus kheej tsis tu ncua rau daim ntawv cog lus thiab so kom txaus nyob rau hauv nws cov ntaub so ntswg pib qauv yog hla los ntawm paj impulses, li no yuav ua tau rau alternating nqaij nro ntawm txhua chamber thiab qhib-kaw li qub therebetween. Thiab vim hais tias tag nrho cov kev ntawm lub plawv xeem yuav tsum tau qhia yog mus rau txoj rendering ntawm lub cev lub cev (ultrasound, doppler kuas, CT scan, hauv siab X-ray, radioisotope txoj kev) ncaj qha cov hlab ntsha thiab cov leeg (sounding zoo cov hlab ntsha, angiography, coronary angiography) los yog nyob rau hauv txoj kev tshawb ntawm lub xeev nws conduction system (electrocardiography, lub tsheb kauj vab ergometry) los yog nws audializatsiyu tones thiab nrov (phonocardiography).
echocardiography
Raws li koj tau pom, lub plawv xeem yuav tsum tau yuav detailed, detailed, kom tsis txhob nco txhua yam uas tawm ntawm lub xub ntiag. Vim hais tias lub yeej ntawm cov hlab plawv system tej zaum yuav ib tug manifestation ntawm ib qho kev ywj kab mob, thiab ib tug rau txim ntawm ib tug pathology system. Yog hais tias peb tham txog cov nrig txog kev pom diagnostic txoj kev, tus thawj los txog rau lub siab echocardiogram, los yog raws li nws yog tseem hu ua, ultrasound ntawm lub plawv. Qhov ntawd qhia tau hais tias lub chav tsev thaum lub sij hawm tseem ceeb no txoj kev tshawb no, koj yuav twv thiab txawj. Los ntawm tob tob tob rau hauv cov ntaub so ntswg ultrasound thiab xa rov qab rau lawv rov qab mus rau hauv daim duab tshwm nyob rau hauv lub screen uas tso cai rau koj mus ntsuam xyuas cov qauv ntawm lub plawv, qhov luaj li cas ntawm nws cov kab noj hniav, hauv lub xeev ntawm li qub thiab loj hlab ntsha. Plus, cov qauv no yog tsis yog-tus thiab tsis muaj tawg dhau mus thiab yog li ntawd nws yuav siv tau txawm rau cev xeeb tub cov poj niam, mis-feeding thiab cov me nyuam. Tab sis ntau npaum xoo tomography tseem tsis tau tsav nrog lub diagnostic ultrasound.
zoo ntawm ultrasound
Thaum sib txawv theem ntawm hnub poj niam kis tau tseg me nyuam hauv plab lub plawv ultrasound uas qhia tau hais tias patent ductus arteriosus, vascular stenosis lub qhov ncauj, prolapses los yog valve tsis ua hauj lwm, hauv lub xeev ntawm lub ventricular thiab atrial septal thiab lwm yam congenital malformations. Ib qho tseem ceeb kom zoo dua ntawm no txoj kev rau tus neeg mob thiab tsev kho mob yog nws tus txheeb ze cheapness, tau nqa tawm ntawm pw, luv luv-term kev tshawb fawb, raws li zoo raws li tau txais instant snapshot thiab tau txais tus txhais lus los ntawm tag nrho cov ntaub ntawv. Thiab vim hais tias thiaj li nrov los siv rau kev diagnostic ultrasound ntawm lub plawv.
Li cas rau cov kev tshawb fawb cov hlab ntsha
Nyob rau hauv rog cov neeg, thiab cov neeg mob uas mob ntshav qab zib feem ntau txhab ntawm cov hlab plawv system yog cov atherosclerotic txhab ntawm cov hlab ntsha, raws li zoo raws li hyalinosis lawv phab ntsa. Yog li ntawd, nws yog tsim nyog los daim ntawv ntsuam xyuas cov hlab ntsha ntawm lub plawv, vim hais tias lawv muab cov khoom noj no tseem ceeb lub cev thiab kom nws mus ua hauj lwm yuav tsum tau ib tug zoo kawg li tus nqi ntawm lub zog thiab as substrates. Yog li, ua ntej lub femoral los yog lub subclavian leeg, lub catheter yog tso, los ntawm kev uas lub zoo nruab nrab nyob rau cov hlab ntsha, kom meej meej pom nyob rau ib qho X-ray screen. Qhov tseem ceeb tshaj txoj kev atherosclerosis, ischemic kab mob ntawm lub plawv, heart attack myocardial infarction yog coronary hlab ntsha ntawm lub plawv xeem. Nws qhia lawv saab laaj, correctness ntawm lawv mob stroke. Tsis tas li ntawd nyob rau hauv nws saib xyuas yog nqa tawm ntau ua hauj lwm nyob rau hauv no tseem ceeb heev hloov khoom nruab nrog.
tau
Yog li, txoj kev ntawm kev tshawb nrhiav txog mob thiab leeg tshav kab mob nyob rau tam sim no lub sij hawm, muaj ntau ntau yam, tab sis txhua yam uas lawv muaj nruj indications thiab contraindications, thiab vim hais tias lawv siv txhua thiab txhua txhua kev lag kev luam unrealistic thiab diagnostically meaningless. Thiab vim hais tias nws yog ib qho tseem ceeb ntawm ib tug competent tus kws kho mob uas ua tib zoo prokuriruet neeg mob thiab muab cov kev tsim nyog kho mob los yog mus rau ib tug competent cai.