Ukububula kwenhliziyo emakati - Izimbangela, izimpawu nokwelashwa

-Delile

• yini ukukhononda kwenhliziyo
• Izinhlobo Zokukhononda Kwenhliziyo Emakati
• Izimbangela zokububula kwenhliziyo emakati
• Izimpawu zokububula kwenhliziyo emakati
• Ukuhlonza ukububula kwenhliziyo emakati
• Ingabe kukhona ukuhlolwa kokuthola ubungozi be-hypertrophic cardiomyopathy?
• Ukwelashwa kokububula kwenhliziyo emakati

Amakati ethu amancane, yize ehlala ebonakala enza kahle maqondana nempilo, angatholakala enenhliziyo ebubula ngokuhlolwa kwezilwane okujwayelekile. Amagalelo angavela amadigri nezinhlobo ezahlukahlukene, okubucayi kakhulu yilokho okungazwakala ngisho nangaphandle kokubeka i-stethoscope odongeni lwesifuba sesibaya.

Ukububula kwenhliziyo kungahle kuhambisane nezimpawu zomtholampilo ezinzima futhi kungakhombisa ukuthi a inkinga yezempilo yenhliziyo noma ye-extravascular lokho kubangela leyo miphumela ekugelezeni kwenhliziyo okubhekelele umsindo ongajwayelekile ekuqhakambisweni komsindo wenhliziyo.

Qhubeka ufunde le ndatshana efundisayo kaPeritoAnimal ukuze ufunde ngayo ukububula kwenhliziyo emakati - cizimpawu, izimpawu nokwelashwa.

yini ukukhononda kwenhliziyo

Ukububula kwenhliziyo kudalwa yi ukugeleza okunesiyaluyalu ngaphakathi kwenhliziyo noma emithanjeni emikhulu yegazi ephuma enhliziyweni, edala umsindo ongajwayelekile ongatholwa ekuthokoziseni inhliziyo nge-stethoscope futhi engaphazamisa imisindo ejwayelekile "lub" (ukuvulwa kwama-aortic kanye ne-valve yamaphaphu nokuvalwa kwama-valve atrioventricular) kanye " dup "(ukuvulwa kwamavalvu we-atrioventricular kanye nokuvalwa kwama-aortic ne-pulmonary valve) ngesikhathi esisodwa.

Izinhlobo Zokukhononda Kwenhliziyo Emakati

Ukububula kwenhliziyo kungaba yi-systolic (ngesikhathi sokucindezela kwe-ventricular) noma i-diastolic (ngesikhathi sokuphumula kwe-ventricular) futhi kungahlukaniswa ngokuya ngalezi zindlela ezilandelayo emazingeni ahlukene:

• Ibanga I: kuzwakala endaweni ethile okunzima ukuyizwa.
• IBanga II: kuzwakala ngokushesha, kepha ngamandla amancane kunemisindo yenhliziyo.
• Ibanga lesithathu: kuzwakala ngokushesha ngamandla afanayo nemisindo yenhliziyo.
• IBanga IV: kuzwakala ngokushesha okukhulu kunokuzwakala kwenhliziyo.
• Ibanga V: Kuzwakala kalula ngisho nalapho usondela odongeni lwesifuba.
• Ibanga VI: Kuzwakala kakhulu, ngisho ne-stethoscope kude nodonga lwesifuba.

izinga lomoya asihlali sihlobene nobukhulu besifo. inhliziyo, ngoba ezinye izifo ezimbi zenhliziyo azivezi noma yiluphi uhlobo lokububula.

Izimbangela zokububula kwenhliziyo emakati

Ukuphazamiseka okuningana okuthinta i-felines kungadala ukububula kwenhliziyo emakati:

• Ukushoda kwegazi.
• I-Lymphoma.
• isifo senhliziyo esizalwa naso, njengokukhubazeka kwe-ventricular septal, i-ductus arteriosus ephikelelayo, noma i-pulmonary stenosis.
• I-cardiomyopathy eyinhloko, njenge-hypertrophic cardiomyopathy.
• I-cardiomyopathy yesibili, njengokubangelwa yi-hyperthyroidism noma umfutho wegazi ophezulu.
• Isibungu senhliziyo noma isifo senhliziyo.
• I-myocarditis.
• endomyocarditis.

Izimpawu zokububula kwenhliziyo emakati

Lapho inhliziyo ibubula ekatini iba uphawu noma izimbangela izimpawu zomtholampilo, kungavela izimpawu ezilandelayo:

• Imikhuba emibi.
• Ubunzima bokuphefumula.
• I-Anorexia.
• Ama-Ascites.
• I-Edema.
• I-cyanosis (isikhumba esiluhlaza nolwelwesi lwamafinyila).
• Ukuhlanza.
• I-Cachexia (ukungondleki ngokweqile).
• Goqa.
• I-Syncope.
• UParesis noma ukukhubazeka kwezitho.
• Khwehlela.

Lapho ukutholwa kwenhliziyo kutholakala emakati, ukubaluleka kwayo kumele kutholakale. Kuze kube ngu-44% wamakati lokho ngokusobala ziphilile banokukhononda ngokuthokozisa kwenhliziyo, kungaba ukuphumula noma lapho ukukhuphuka kwenhliziyo yekati kukhuphuka.

Phakathi kuka-22% no-88% waleli phesenti lamakati anezikhalazo ngaphandle kwezimpawu abuye abe ne-cardiomyopathy noma isifo senhliziyo esibelethwe ngokuvinjelwa okunamandla kokuphuma kwenhliziyo. Kuzo zonke lezi zizathu, ukuhlolwa njalo kubalulekile kubaluleke njengokuthi thintana nodokotela wezilwane uma ubona noma yiziphi izimpawu zekati ezinesifo senhliziyo.

Ukuhlonza ukububula kwenhliziyo emakati

Ukuxilongwa kokukhononda kwenhliziyo kwenziwa ngokusebenzisa i- ukukhushulwa kwenhliziyo, kusetshenziswa i-stethoscope esizeni sesifuba lapho kutholakala khona inhliziyo. Uma kutholakala umsindo we-auscultation umsindo obizwa nge- "galloping" ngenxa yokufana kwawo nomsindo wehhashi eligadulayo noma i-arrhythmia ngaphezu kokububula, imvamisa kuhlotshaniswa nesifo senhliziyo esikhulu futhi kufanele uphenywe kahle. Ngalo mqondo, ukuhlolwa okuphelele kufanele kwenziwe ngesitebela sekati, okungukuthi, ezimweni lapho ikati lalinokukhishwa komlomo kodwa selivele limunce uketshezi.

Ezimweni zokububula, umuntu kufanele ngaso sonke isikhathi enze izivivinyo ukuthola isifo senhliziyo noma se-extracardiac esinemiphumela enhliziyweni, ukuze kwenziwe okulandelayo izivivinyo zokuxilonga:

• Ama-X-ray esifubeni ukuhlola inhliziyo, izitsha zayo, namaphaphu.
• I-Echocardiography noma i-ultrasound yenhliziyo, ukuhlola isimo samakamelo enhliziyo (i-atria nama-ventricles), ukushuba kodonga lwenhliziyo kanye namajubane okuhamba kwegazi.
• Izifo Zenhliziyo, njengama-troponins noma i-pro-natriuretic peptide (i-Pro-BNP) emakati emakati anezimpawu ezibonisa ukuthi i-hypertrophic cardiomyopathy ne-echocardiography ayinakwenziwa.
• Ukuhlaziywa kwegazi nokuhlolwa kwamakhemikhali ngesilinganiso se-T4 ephelele yokuxilongwa kwe-hyperthyroidism, ikakhulukazi emakati angaphezu kweminyaka engu-7.
• Ukuhlolwa kokuthola isifo se-heartworm.
• Ukuhlolwa ukuthola izifo ezithathelwanayo, njenge-serology ye I-Toxoplasma futhi bordetella namasiko egazi.
• Isilinganiso somfutho wegazi.
• I-Electrocardiogram ukuthola ama-arrhythmias.

Ingabe kukhona ukuhlolwa kokuthola ubungozi be-hypertrophic cardiomyopathy?

Uma i-feline izoba ngumfuyi noma ikati lohlobo oluthile, kululekwa ukuhlolwa kofuzo kwe-cardiomyopathy ye-hypertrophic, njengoba kwaziwa ukuthi kutholakala ekuguqulweni kofuzo kwezinye izinhlobo, njengeMaine Coon, iRagdoll noma iSiberia.

Njengamanje, ukuhlolwa kofuzo kuyatholakala emazweni aseYurophu ukuthola izinguquko ezaziwa kuphela nguMaine Coon noRagdoll. Kodwa-ke, noma ngabe ukuhlolwa kutholakele, akukukhombisi ukuthi uzosithola lesi sifo, kepha kukhombisa ukuthi unezingozi eziningi.

Njengomphumela ongaba khona wezinguquko ezingakaziwa, ikati elihlola ukungabi namandla lingaphinde libe ne-hypertrophic cardiomyopathy. Ngakho-ke, kunconywa ukuthi I-echocardiography yonyaka yenziwa ngamakati angenawo amandla ngokuhlelwa komndeni ukuthi uhlupheke ngakho nokuthi bazokhiqiza kabusha. Kodwa-ke, ngenxa yezinga eliphezulu lokushiya, sihlala sincoma ukuthi kukhethwe ukukhishwa kwekati.

Ukwelashwa kokububula kwenhliziyo emakati

Uma izifo zinenhliziyo, njenge-hypertrophic cardiomyopathy, imithi ye ukusebenza kwenhliziyo okulungile futhi ezilawula izimpawu zokwehluleka kwenhliziyo emakati, uma kwenzeka, zibalulekile:

• Imithi ye i-hypertrophic cardiomyopathy kungaba njalo okuphumuzayo kwe-myocardial, njenge-blocker yesiteshi se-calcium ebizwa ngokuthi i-diltiazem, beta blocker, njengepropranolol noma i-atenolol, noma ama-anticoagulants, njenge-clopridrogel. Ezimweni zokwehluleka kwenhliziyo, ukwelashwa okufanele kulandelwe kuzoba: i-diuretics, i-vasodilators, i-digitalis nezidakamizwa ezisebenza enhliziyweni.
• O i-hyperthyroidism kungadala inkinga efana ne-hypertrophic cardiomyopathy, ngakho-ke lesi sifo kufanele silawulwe ngemithi efana ne-methimazole noma i-carbimazole noma ezinye izindlela zokwelapha ezisebenza kangcono njenge-radiotherapy.
• THE umfutho wegazi ophezulu kungadala i-hypertrophy ye-ventricular engakwesokunxele nokuhluleka kwenhliziyo okucinana, yize kungaphansi kakhulu futhi imvamisa akudingi ukwelashwa uma ukwanda kwengcindezi yegazi kuphathwa ngemithi efana ne-amlodipine.
• Zazise i-myocarditis noma i-endomyocarditis, ezingavamile emakati, ukwelashwa okukhethiwe yi ama-antibiotic.
• Ezifweni zenhliziyo ezibangelwa ama-parasites, njenge-heartworm noma i-toxoplasmosis, ukwelashwa okuqondile kwalezi zifo kufanele kwenziwe.
• Ezimweni zezifo ezalwa naso, ukuhlinzekwa ngukukwelashwa okukhonjisiwe.

Njengoba ukwelashwa kwenhliziyo yekati kukhononda kuncike, ngokwengxenye enkulu, kunembangela, kubaluleke kakhulu ukuxhumana nodokotela wezilwane ukuze enze isifundo futhi achaze imithi ezothathwa kulezi zimo zezinkinga zenhliziyo emakati.

Kule vidiyo elandelayo uzobona ukuthi kufanele siyise nini ikati kudokotela wezilwane:

Lo mbhalo wenzelwe imininingwane kuphela, kwaPeritoAnimal.com.br asikwazi ukunquma ukwelashwa kwezilwane noma ukwenza noma yiluphi uhlobo lokuxilongwa. Siphakamisa ukuthi uthathe isilwane sakho uye kudokotela wezilwane uma kungenzeka ukuthi unanoma yiluphi uhlobo lwesimo noma ukungaphatheki kahle.

Uma ufuna ukufunda izindatshana eziningi ezifana ne- Ukububula kwenhliziyo emakati - Izimbangela, izimpawu nokwelashwa, sincoma ukuthi ufake isigaba sethu sezifo zenhliziyo.