Tetere waewae i raro i te turi: take me te maimoatanga

He ko he stereotype e pā ana te edema e alangá raro anake ki nui rōpū inu, me te āhua sedentary. Ki te whai koe i tetere waewae i raro i te turi, kia atu ohorere nga take mo tenei. I roto i te meka, te aroaro o tenei tohu e taea e tīwaiwaka paoro o te mate Cardiovascular, mate tākihi, ate, iaia pāpaka inflammatory, uaua iliac puku kōpeketanga me ētahi atu mate nui.

tukua tātaritanga Tika whakahaere wā ki te tautuhi i te mate e whāriki ana, me te ki te whiriwhiri therapy whai hua wā.

kore ventricular tika

kia waewae ngawhatanga tika ki te kore ventricular tika. I roto i tenei take:

• Hāhā o te manawa, heke kaha ki te mahi i kawenga tinana mua (piki arawhata, e haere ana). Ngoikore, me te rohirohi meinga e te hāora hē tika ki perfusion kiko hapa.
• puta raro edema waewae.

Kia whakaaro tatou, mo mea katoa take, tetere waewae i raro i te turi ki te kore ventricular tika. No te mea o taumaha contractility ventricular fakahohaasi whēkau supply toto rawaka me te kopa, mai te faaitoitoraa o te pūnaha sympathoadrenal me vāofi te lumen o venules me arterioles, te whakanui ake i te auau ngakau. I roto i te whakautu ki te vasoconstriction faarahi te pēhanga toto, whakahohetia te pūnaha renin-angiotensin-aldosterone, heke rere toto tākihi, i reira te mea he roa o te konutai me te wai, te whakanui ake i te tohanga toto i roto i te oko, te pēhanga hydrostatic i roto i te uaua.

Ki te pupuhi waewae i raro i te turi, kia waiho nga take mo tenei e te uruhanga iaia nui haere, whakaiti i roto i te kōtuitanga pūmua me te excretion i roto i te mimi e tika ana ki te Kaihono kino tākihi.

whakawhanake āta edema Cardiogenic, tino korerotia ki te mutunga o te ra. toro reira whakarunga.

Ko te waewae pupuhi tuatahi, i reira he amuamu o noho apiapi, hu raruraru. Next tāhau otekaet. He makariri te kiri ki te pa, koma-cyanotic. He kua tohu o tōkena, kapia, hu toromoka. A, no te aki i runga i te wā-roa kiri tonu fossa.

Āhuatanga e te edema hangarite. noho auroa kia meinga huamo o te rohe lumbar.

riro lahi Decompensated tika edema kore ngakau. puta te reira i ascites (wai whakakī i te kōhao puku). Kia whakawhanake hydrops (whānui ngawhatanga o te kiri, me te ngako subcutaneous).

kore ventricular maui

Hoki kore ventricular maui he faaiteraa atu noa o te huangō cardiac:

1. Orthopnea (e kore e taea te manawanui e i roto i te tūnga whakapae e tika ki nui ake pūkahukahu supply capillary toto me te whanaketanga o te dyspnea nui).
2. Paroxysmal haere pō dyspnea (whakaeke uaua odyshechnye e puta i roto i te moe, haere tahi i te wheezing, wheezing, maremare nui, cyanosis o te mata).
3. Wheezing i roto i te pūkahukahu.
4. werawera makariri auau.

Tātaritanga o te kore ventricular maui

1. Electrocardiography (tata rangirangi me āriponga whakaoho, aroaro o niho pathological).
2. (Ako ejection hautanga o te ngakau e, te matotoru o te taiepa o te atria me ventricles, te aroaro o te kino ki mapuni ranei stenoses, huringa hanganga i roto i te pericardium) Echocardiogram, aroturuki ia ECG (Holter).
3. Aaka X-ray.
4. Test raro kawenga ki te whakatau i te piha haapiiraa mahi o kore ngakau.
5. Mimi mō te ihirangi pūmua.
6. He whakamātautau toto ki faaotiraa o tohu wharanga myocardial.
7. Immunoglobulins M ko G ki cytomegalovirus me Epstein - Barr huaketo.
8. Aromatawai o te taumata o peptides natriuretic.

maimoatanga

Ko te therapy o taua mehua:

• kai here tote i roto i runga i te tohu o te kore ngakau;
• dosed kawenga tinana, e haere ana ia;
• therapy raau (Diuretics, glycosides cardiac, inhibitors whākōkī angiotensin-tahuri, beta-blockers, māngai antiplatelet, antiarrhythmics).

A, no te pupuhi kore ventricular mahue waewae i raro i te turi? Ngā take me ngā tūtohutanga mō te maimoatanga whakaaro e tatou.

ngawhatanga tākihi

I roto i te rerekē, cardiac edema, tākihi e tino korerotia i roto i te ata, whakawhanakehia i te tihi ki raro. I te tīmatanga, kamo tetere, mata. Ofi ki te hawhe tuarua o te ra tetere waewae (shins me nga pona), pupuhi o te mata, ko te iti korerotia. Ko te kiri he ngawari, mahana, fossa i muri i te pēhi i te maihao ki te ngaro hohoro. E kore te mea angamaheni te aroaro o te cyanosis.

Ko te kaha o huamo ki te "hekenga" - he āhuatanga tātaritanga nui o māuiuitanga tākihi.

tohua te reira i keno ki nui haere te pēhanga.

Ki te tūroro ki te tākihi waewae tetere i raro i te turi, ai, maimoatanga, me ētahi atu tohutohu whai hua e kitea e koe i raro.

Edema e pā ana ki pāpaka paitini, me te ārai mate o te glomeruli o nga whatukuhu, whakaiti ratou tere filtration, te pupuri inu, hua i roto i te rōrahi toto, wāhanga toto putaatu i te wē ki te kopa e tika ana ki nui haere uruhanga iaia me te pēhanga oncotic toto heke e tika ana ki te mate nui o te pūmua i roto i te mimi.

Na ano, mo etahi take pupuhi waewae i raro i te turi? Take me tohu o te hūhi hono.

Ki te whanaketanga o te edema tika ki te hononga wāhi glomerulonephritis ki te mate o mua pērā i te nui korokoro.

A, no te syndrome nephritic huamo iti korerotia syndrome hematuric āhuatanga (mimi riro slops kai tae).

tahi syndrome Nephrotic e te mate nui o te pūmua i roto i te mimi me te edema whakahuatia ake ki hydrops.

Tātaritanga o te edema tākihi

• Te pūmua i roto i te mimi.
• sterility mimi.
• Whakatau i o paturopi streptococcal me staphylococcal ki serum toto.
• Ultrasonography.
• Mana o te pēhanga toto.
• whakamātautau toto.

te mau parau tumu General o te maimoatanga

whakamahia te therapy te:

• kai rāhui o te tote, te pūmua, me te wai;
• moenga okiokinga;
• therapy paturopi pūnaha;
• te whakarite o Diuretics;
• tukupu pēhanga toto;
• therapy antihistamine;
• Whakamahi o nonsteroidal taero anti-inflammatory;
• anticoagulants me āpiha antiplatelet (mō te ārai me te microthrombogenesis atu whara glomerular);
• glucocorticosteroids me tsitostatitiki i roto i te maimoatanga o te syndrome nephrotic.

kino ate

He aha pupuhi te waewae i raro i te turi? kia tohu Take me tohu o enei sensations kino mate ate.

Tuhinga o ariā pūmua i roto i te ate e tika ana ki nui kino kiko reira (mutunga atamira o kakā, cirrhosis, fatty, hepatocellular mate pukupuku) nuitia tahi e te tetere nui noa anasarca. edema ate tahi e minamina kaha o te kiri, rakuraku, uaua pūngāwerewere, fragility capillary, yellowness o te kiri, me te mucous kitea.

Tātaritanga o te mate ate

1. Mimi.
2. Examination o tütae.
3. tātari toto, faaotiraa o te pūmua katoa, tauira o ate (ALT, AST, GGT, bilirubin, phosphatase kawakore), whakawakia whakamātautau turbidity Thymol, te taumata o te tiomimi me creatinine.
4. US.
5. tohu kakā viral, immunoglobulin M ko G ki cytomegalovirus me Epstein - Barr huaketo.
6. Toto mo HIV.

uaua tīponapona

He aha atu e te āhuatanga o huamo o te waewae i raro te turi, ko nga take? Whero me te etahi tihorenga o te kiri āhuatanga e uaua tīponapona i runga i nga waewae, haere tahi nei i te puhoi maru mamae, rohirohi, pouri i roto i te waewae.

I roto i te pāpaka nui taea huringa kiri arataukai: dermatitis, tuwhenua, hyperpigmentation. Ki runga ki te tirohanga kitea contoured drawings venous, tohua edema, ngā hōrapatanga, ngā ngawha uaua, huringa kiri arataukai. ngawhatanga asymmetrical, rerekē te pakeke, i runga i te whānuitanga o uaua kino rānei.

tawhiti te aroaro o huamo i te waewae i roto i te taiao, me te kore e ngā ki ētahi atu tohu haumanu (e. hāhā o te manawa, mare, pupuhi o te mata, me te tinana, kirika, me te pera i runga i.).

Ki te āwangawanga koe ki tētere waewae i raro i te puku turi, ai, e wātea ana whakaahua, me te tahi atu kōrero whai hua i roto i tenei tuhinga. Mahalo e te tauturu ia koe i tenei.

Maimoatanga o uaua tīponapona

pokanga (flebosklerozirovanie) e whakamahia i roto i te pāpaka nui.

maimoatanga Drug tā te whakamahi o āpiha antiplatelet me venotonics.

phlebemphraxis

No te tahi mau take, waewae tetere i raro te turi, i roto i te tua ki te mate i runga? Huamo o te waewae e taea puta tae atu i te phlebothrombosis. Deep rua Thrombosis wāhanga tuatahi puta kahore tohu o te mumura o te taiepa rua.

whero o te puku kiri puta wā anake. Ko te kiri he mōhinuhinu, tauira venous pai-contoured. puta reira anake huamo o te waewae pāngia. tohatoha āhuatanga o te mamae i runga i te roto o te huha. koi rahi Pain ina haere ana.

iti hoki venous

Kia whakaaro tatou, mo mea katoa take, tetere waewae i raro i te turi i roto i te tūroro ki te iti hoki venous ma'i. Tonu ahu whakamua mate o te pūnaha venous tahi e te edema hangarite, ngaro me te puta i roto i te ata ki te ahiahi. Whero o nga shins kiri (whakaritea ngawhatanga korerotia). Tino uaua e tuu hinga kotahi-taha.

Rumati me mate pūnahanaha

Mamae me te huamo o te kaiponapona e pā ana ki effusion ki te kōhao tahi. nui haere te tahi i roto i te rahi. whero āhuatanga o te kiri.

Ko te tuatahi o te kaiponapona punua (16 tau) tahi e te huaki whakapeka, kirika, porahurahu i runga i te mata, utumu, papa, i runga i te hononga. pānga te reira i te whekau. Hoki kaikōiwi āhuatanga e pakeke te ata i roto i tona nekehanga.

Hemorrhagic vasculitis Enoka - Schönlein

Ki te mea kua tāutuhia e koe he hemorrhagic vasculitis Enoka - he āwangawanga e pā ana ki te pātai o te aha te huha matau tetere i raro te turi, te take ka aparau i tatou i raro Schönlein me koutou.

hononga Angamaheni ki mate o mua, maimoatanga rongoā paturopi, te aroaro o nui tauhohe mate pāwera.

A, no te āhuatanga te puka articular e: pupuhi, pupuhi o nga hononga turi, uaua mamae, hemorrhagic e hikaka te i runga i nga waewae, huha me papa.

hemophilia

No te mea disorders coagulation taea toto ki uaua me hononga e pā ana ki te whētuki iti. tahi Edematous pānga, he mamae koi runga palpation me te kaupapa, hyperemia kiri, wera ki te pa.

Ko te takanga o huamo i nga waewae, e kore e pā ana ki te aroaro o pathologies

Ki te pupuhi waewae i raro i te turi, e kore e hono tonu te take mo tenei ki te māuiuitanga. kia meinga te takanga o te edema e:

• te tūkino waipiro;
• kohi nui o ngā kai tote, meinga pupuri inu;
• whakautu paruru ki te tūāhuruiti;
• nui haere kawenga i runga i te waewae me te tuarā, e pā ana ki te mau hu fiemālie he rekereke teitei rawa;
• stagnation me te hua i roto i te pēhanga i roto i te uaua e tika ki te āhua sedentary;
• edema whaiaroaro i mahi roa tinana;
• mōmona;
• huamo i roto i te hapū (riri he nui noa, tere tipu puku, haere tahi i te whakapairuaki, pēhanga toto tiketike me pāhoahoa - te riri o eclampsia);
• huamo i te pūnaha whakaritenga.

Na e hiahia ana koe ki te kia āwangawanga ki te maha tetere waewae i raro i te turi. Take me momo o te edema kia rerekē.

Ka rite ki tūtohutia he mehua ārai te: ki te haerenga, taimaha tinana me te kai whārite, te karo kohi waipiro, hi'opo'araa auau i te rata, ngā te talena inenga o te ra, me te mahi i ia te wā. I roto i te ngaro o te māuiuitanga o te tākihi me te pūnaha Cardiovascular ki haerenga i te matamua venous yoga whai hua (āraitia te kōaro), mahi whakaora (mahi "birch").

He aha te ki nga waewae tetere i raro i te turi? Ko te take i te ki te hamani, ki te maka o te - katoa e hiahia i roto i anga i te raruraru. To tatou tuhinga whakarato whakautu ki ēnei pātai katoa.