Basa rinoshandiswa. Nzira dzehutano hunoshandiswa

Chii chinoshandiswa kugadziriswa? Iyi ndeimwe yezvikamu zvechiremba yezvokurapa, kubatanidza huwandu hwekuongororwa hunoita kuti iwe uongorore zvakajeka kushanda kwezvikamu zvose uye zvirongwa zvemuviri womunhu.

Nzira dzehutano hunoshandiswa

1. Kubviswa kwe electrocardiogram.
2. Echocardiography.
3. Halter monitoring of electrocardiograms.
4. Zuva rega rega kuongorora ropa.
5. Treadmill test (test cardiographic conducted under load).
6. Mucherechedzo kuverenga kwezvikepe: zvose duplex uye katatu.
7. Electroencephalogram.
8. Kutsvakurudza kwekudzikisa simba remapapu uye kuongororwa kwebasa rekufuridzira kunze.

Nzvimbo yebato ravo ndiyo nzvimbo yekuongorora inoshanda. Uye zvino ngatitaurei nezvemhando dzakasiyana dzekutungamirira zvimwe.

Electrocardiography

Iyi ndiyo nzira yakave yakanyanya kupararira uye yakakurumbira, kunze kweiyo ndiyo imwe yeiyo huru munharaunda iyi yemishonga. Iro electrocardiograph registers uye zvinyorwa pamapepa kana pamagetsi zvinotakura zviratidzo zvemhepo yemagetsi, kuitira kuti chiremba wehutano hwekushanda anogona, panguva yekujekesa mashoko akawanikwa, anoratidza zvirwere zvakawanda zvehutano mumurwere, kana pane. Chero kukanganisa kwekutengesa uye rhythm kunoonekwa, kusanganisira. Nyanzvi inogona kutarisisa kuti myocardium inoshanda zvakakwana sei nemabasa ayo, kufungidzira, kunyange pamatambo ekutanga ekuvandudzika, kushanduka kwakasiyana-siyana kwechisimba, kusanganisira chirwere chakadai chakadai se myocardial infarction. Nzira yekubvisa electrocardiogram haina mungozi kune hutano hwemurwere uye hainzwisisiki. Mukoti wake unyanzvi hwekuongorora. Zvombo zvemazuva ano izvo zvinogadzirisa ECG, kuwedzera kune maitiro chaiwo ezvidzidzo, inokwanisa kuunganidza mukurangarira kwayo yakawanda yematare, uyewo pane zvadzo kuti iongorore hutano hwemakirini emishonga ekurapa.

Electrocardiogram nemishonga

Zita rechipiri remutambo uyu ndeyekuongorora kwekushanda kwekushanda . Chinokosha chaicho chiri muchokwadi chokuti kuongorora kwe electrocardiographic hakuitwi munzvimbo yakagadziriswa, asi panguva iyo murwere achiwana simba remuviri pane imwe nzira yekuita.

Uchishandisa testread roll, unogona kuwana data rinotevera:

• Kuwanda kwechimiro chehurukuro iyi kunorega kushungurudzika kwemuviri;
• Nzira iyo murwere wemwoyo yehutano inopindirana nekuwedzera kwekuita muviri;
• Usaratidze pairi kana kuti kupesana kwemugumo unodziya pasi pesimba rakadaro;
• Kuora kwekupa ropa kune mwoyo musumbu (ischemia, kunyanya mafomu ayo asina kurwa);
• Ongorora kuti yakawanda sei, anti-ischemic kana kuti antihypertensive therapy inokonzera mamiriro ekurapa.

Hotler kuongorora kwe electrocardiograms

Iyi nzira inoshandiswa kuongorora basa remwoyo wemunhu ari pasi pekuongorora zuva rese. Nzvimbo yekufamba kwayo ndiyo kupatsanurwa kwehutano hunoshandiswa. Nekubatsirwa kweHolter kuongorora, unogona kugadzirisa chero marudzi e arrhythmia (kunyanya aya anouya nguva nenguva, uye haagari kwenguva yakareba) uye kuziva matanho epakutanga kwechirwere chemwoyo. Kuongorora kwakadaro kwakashandiswa kusarudza kuvepo kwezviratidzo zvekupindira kwepfungwa pamwoyo, coronary angiography, kururamiswa kwemishonga inorapwa.

Zuva rega rega kuongorora ropa

Iyi nzira yeropa yezviyero inotungamirira inenge yese bazi rose rekuongorora kushanda. Inoshandiswa kuongorora kuti inoshanda sei murwere anorayira kururamisa ropa. Kuti izvi zviitike, masikati, chigadziri chinoshandiswa chinosanganiswa nemurwere, kunyora kuti nhamba dzedopa rekushandura ropa dzinoshandura sei pamusana pemararamiro evarwere. Iyi nzira inowanzobatsira kuburitsa huwandu hwechokwadi hweA / D mumunhu, nekuda kwekuregererwa kwehutano hwehutano, hunoitika sehutano hwekushungurudzika kunokonzerwa nokushanyira kwomunhu kuchipatara. Mukuwedzera, kutarisa kwezuva nezuva kunobatsira kuziva chiratidzo chakadai chisingadikanwi sechiedza chemasikati.

Echocardiography

Iyi nzira inokosha zvikuru pakugadzirisa zvinhu zvekugadzirisa nekushanda kwemwoyo uye midziyo huru. Chiremba anoita unyanzvi hwekuongorora. Echocardiography inobatsira:

1. Kuti uone kuvepo kwemaviri pamwe nekuwana zvikanganiso muhutano hwemoyo.
2. Ongorora maitiro uye kushanda kwemagetsi.
3. Sarudza kuwanda uye basa remyocardium kune varwere vane chirwere chemwoyo, hypertension nedzimwe zvirwere zvehutano hwemwoyo.

Electroencephalography

Iyi kuongororwa inopa mukana wekuongorora huro hwehuropi, zvichibva pane tsanangudzo yemabasa ehupenyu. Kuongororwa kunoshanda kwechirongwa ichi kunofanirwa kana pane zvikafu zvezvipatara zvakasiyana-siyana zvehutano, zvakadai se:

• Encephalopathy;
• Frequent syncope;
• Zvirwere zveAcological;
• Kuora mwoyo, nezvimwewo.

Mavara ekutenga (duplex uye katatu)

Iyi nzira ndeyozvino uye inoyevedza maererano nekudzidza mishonga yeropa yemurwere. Inopa mukana wekuona zvose zviri mumidziyo nemasukisi akakomberedzwa, sezvinoitwa nyore nyore ultrasound, kuwedzera, kudzidza ruzivo rwemvura uchishandisa mapepa emaruva uye kuongororwa kwezvinhu, izvo zvinoenderana neDoppler effect.

Mavara ekupenya (duplex kana katatu) anosanganisira nzira dzakadaro dzekushanda kunoitwa se:

1. Kuverenga mabhaibheri e brachiocephalic munzvimbo dzavo dzekuwedzera. Nekubatsirwa kwaro, midziyo inodanwa kuti inopa uropi neropa inongororwa, kuvapo kwe atherosclerosis, chimiro che atherosclerotic plaques, chiyero chekudzikamisa (stenosis) kwechiedza chemidziyo, iyo nzira yemarteral arteral, mamiriro avo; Inogadziriswa kana kune kudzvinyirira pasi pesimba rekervical osteochondrosis, mamiriro e-carotid uye subclavian arterium. Zviratidzo zvaro zvinosanganisira uchechezi, musoro wepamusoro, kuwedzera kwehutano, zviratidzo zvekushaya ropa kweropa.
2. Kuongorora mishonga inowanikwa mumakumbo, kunoita kuti zvive nyore kutarisisa mamiriro ezvinhu emasvingo ekugadzirisa, kugadzirisa kuvepo kwekuchinja kunokonzerwa ne atherosclerosis, chiyero che stenosis chekuyerera kwemitsipa yeropa, mararamiro eropa mukati mavo. Iyi nzira ndiyo yakanakisisa yekugadza kuvapo kwaRaynaud's syndrome, kubvisa kushaya atherosclerosis, pamwe nekupindira kwokuvhiya pamariti.
3. Kuongorora mitsetse iri kumigumo inzira inonyatsodzidzisa kugadziriswa kwekutanga kweprombophlebitis, varicose veins, uye zvinokurudzira kupindira. Iyi nzira inokosha zvikuru pakuonekwa kweprombosi uye kusarudza kwehurumende yenzvimbo yakanyanyisa yakawanda inowanikwa. Mukuwedzera, kuongorora kwakakwana mamiriro emaketani ari mumakumbo epasi kunomirirwa panguva yekugadzirira kwekutengesa maitiro emagetsi.
4. Transcranial scanning. Kuongororwa kunoshanda kwechigadzirwa ichi kunoita kuti zvikwanise kuitisa kuongorora kwakarurama kweropa ruchienda mumidziyo iri mujinga hweuropi. Nokuda kweiyo nzira yekuongorora, yakave yakakwanisa kuziva kuti chii chinokonzera kushungurudzika kwepakati uye chirwere chacho, nekupa kurapa kwakakodzera.