Ukutshintsha iinguqu kwi-myocardium yisigqibo esenziwa emva kwezifundo zokuxilonga ezongezelelweyo njenge-echocardiography (echocardiogram - ultrasound of heart) kunye ne-electrocardiography (ECG). Oku akusisifo. Isiphetho sibonisa ukuba kwi-myocardium (imisipha yomzimba) kukho utshintsho oluthe lwafunyanwa.
Iimbangela zokutshintsha kweengcipheko kwi-myocardium
Utshintsho kwi-carbohydrate ye-diffuse ibonakala ngokukodwa:
- ngenxa yokuphulwa kweetyuli yamanzi;
- izifo ezivuthayo zesifo senhliziyo ( myocarditis );
- ngenxa yokuphuhliswa kwezicubu ezinxibelelwano endaweni yeemfono ze-myocardial.
Kwakhona, izizathu zokutshintsha iinguqu ezinokuthi zingabakho ukusetyenziswa kwamachiza athile kunye nokuzikhandla komzimba. Ngamanye amaxesha iinguqu ezichanekileyo ezitshintshileyo kwi-myocardium zivela emva kwezifo ezichaphazela ngentsholongwane yesifo senhliziyo, oko kukuthi, isigulo sinokuchaphazela ngokufanayo i-atria, i-septum ye-interventricular kunye ne-ventricles.
Iimpawu kunye nokuxilongwa komonakalo we-myocardial
Iimpawu zeenguqu eziguqukayo kwi-myocardium zihlukeneyo. Ngezilonda ezinjalo ze-myocardium kukho:
- ukuphefumula okufutshane ;
- tachycardia;
- hypergenitalism;
- hypertrophic ventricular;
- ukudibanisa
- ubuthathaka.
Kunokwenzeka ukuseka ubukho bokutshintsha iinguqu okanye ukuguqulwa komzimba kwi-myocardium kuphela ngoncedo lwe-ECG kunye ne-echocardiography. Kodwa ngokuqhelekileyo izilonda azinayo impawu ezithile, ngoko kunokwenzeka ukubeka ingxaki yokugqibela (umzekelo, i-myocardial dystrophy okanye i-myocarditis) kuphela emva kokuvavanya isigulane nokufumana iziphumo zezifundo ezongezelelweyo. Kodwa i-ECG kunye ne-echocardiography zibaluleke kakhulu, kuba zivumela ukuba ubone ukuba utshintsho olwenziwe kwi-myocardium
Kwi-ECG idlulisa utshintsho kwi-myocardium ibhalwe ngokupheleleyo kuzo zonke izikhokelo, kwaye izilonda ezigxilwe - kuphela kwi-1-2 ekhokelela. Kwakhona, i-electrocardiogram ihlala ikwaphulwa ngokucacileyo kwesigqirha, iimpawu ze-hypertrophy kunye nokuqhutywa kwentliziyo. Kwi-echocardiogram, umntu unokubona utshintsho kwi-echogenicity kwi-tishu yonke ye-myocardium. Ukusebenzisa olu vavanyo, unokukwazi ukuchonga:
- ukwandiswa kweendawo ezahlukeneyo zenhliziyo;
- hypertrophy ye-myocardium;
- iimpawu ezingabonakaliyo zokungonakaliswa kwekhontrakthi ye-myocardial.
Unyango lweenguqu ezichanekileyo kwi-myocardium
Ukuba utshintsho olulinganisiweyo okanye olunzulu kwi-myocardium luyimiphumo ethile yokukhubazeka emzimbeni, unyango luya kuhanjiswa ngokukhawuleza ekupheliseni imbangela yezilonda. Ukusuka kumachiza isiguli kufuneka sithathe i-horticone ye-corticosteroid, eneempembelelo ezichasayo. Ingaba isigulane sinomqondiso okanye ungangqaliyo weentliziyo zokuhluleka? Ukunyanga utshintsho olwenziwe kwi-myocardium, i-carlyac glycosides isetyenziswa kwakhona. Ukuba isigulane sinokuvuvukala, sisebenzise iindlela ezahlukeneyo zokurhweba. Ukongezelela, isigulane ngasinye sinikezwa iivithamini, i-cocarboxylase, ii-agents eziphucula umetabolism kunye ne-ATP.
Ngokutshintshwa kwe-dystrophic changes kwi-myocardium, unyango oluchasayo kunye neyeza-antibiotics ziyimfuneko. Kwiimeko ezinzima, kwenziwa umsebenzi - ukufakwa kwe-myocardiostimulator.
Ngethuba lokunyanga kwezilonda, uqeqesho lulinganiselwe. Kwakhona, isigulane asivunyelwe ukusela utywala kwaye sinconywa ukuba silandele ukutya. Kubalulekile ukuba ungabandakanyi ukutya okuqinileyo kunye okunamafutha. Zonke ukutya ezidliwayo kufuneka zenziwe ngokulula kwaye zingabangeli ukucima. Oku, umzekelo, iimveliso zobisi, imifuno okanye intlanzi ebilisiwe. Isixa samanzi kunye netyuwa silinganiselwe kumgangatho osisiseko.