Mgbu obi - ule

Nchoputa nke nkụda obi na-eme ka ọ dị ukwuu na mgbaàmà nke mmadụ na nyocha nke anụ ahụ. Agbanyeghị, enwere ọtụtụ ule nke nwere ike inye aka nyekwuo ozi gbasara ọnọdụ a.

Echocardiogram (echo) bụ ule nke na - eji ebili mmiri iji mepụta foto na - akpụ akpụ nke obi. Foto a zuru ezu karịa foto x-ray doro anya.

Ule a na-enyere onye na-ahụ maka ahụike gị aka ịmụtakwu banyere etu obi gị si emekọrịta ihe ma zuru ike. Ọ na-enyekwa ozi gbasara etu obi gị hà na etu o si arụ ọrụ nke ọma.

Otu echocardiogram bụ ule kachasị mma iji:

• Chọpụta ụdị ọrịa obi (systolic, diastolic, valvular)
• Nyochaa nkụda obi gị ma duzie ọgwụgwọ gị

Enwere ike ịchọpụta ọdịda obi ma ọ bụrụ na echocardiogram na-egosi na ọrụ mgbapụta nke obi dị obere. A na-akpọ nke a ndapụta ọpụpụ. Onu ogugu onu ogugu bu ihe di ka 55% rue 65%.

Ọ bụrụ na naanị akụkụ ụfọdụ nke obi anaghị arụ ọrụ ọfụma, ọ nwere ike ịpụta na enwere mgbochi na akwara obi nke na-ebuga ọbara na mpaghara ahụ.

A na-eji ọtụtụ nyocha ndị ọzọ ele anya na obi gị nwere ike ịmịnye ọbara na oke oke mbibi obi.

May nwere ike ịnwe x-ray emere na ụlọ ọrụ na-eweta gị ma ọ bụrụ na mgbaàmà gị na mberede na-akawanye njọ. Kaosiladị, x-ray enweghị ike ịchọpụta ọdịda obi.

Ventriculography bụ ule ọzọ nke na-atụle ike nke mkpụmkpụ nke obi (mkpụrụ nke ejection). Dị ka echocardiogram, ọ nwere ike igosi akụkụ nke akwara obi nke anaghị agagharị nke ọma. Nnwale a na-eji mmiri dị iche iche nke x-mejupụta ime ụlọ mgbapụta nke obi ma nyochaa ọrụ ya. A na-eme ya n'otu oge dị ka ule ndị ọzọ, dị ka ọrịa angiography.

MRI, CT, ma ọ bụ PET na-enyocha obi nwere ike ime iji chọpụta ókè mbibi akwara obi dị. O nwekwara ike inyere aka chọpụta ihe kpatara obi anaghị arịa ọrịa.

A na-anwale ule nrụgide iji hụ ma akwara obi ọ na-enweta ọbara na oxygen zuru oke mgbe ọ na-arụsi ọrụ ike (n'okpuru nrụgide). Testsdị ule nrụgide gụnyere:

• Nnwale nrụgide nuklia
• Mee mgbatị nrụgide
• Nchegbu echocardiogram

Onye na - eweta gị nwere ike inye iwu ka ọ na - ewepu obi ma ọ bụrụ na nyocha eserese ọ bụla na - egosi na ị ga - ebelata otu akwara gị, maọbụ ọ bụrụ na ị na - enwe obi mgbu (angina) ma ọ bụ nyocha siri ike ịchọrọ.

Enwere ike iji ọtụtụ nyocha ọbara mee ihe ịmụtakwu banyere ọnọdụ gị. Ule na-mere:

• Nyere aka chọpụta ihe kpatara ya na nyochaa obi ida.
• Chọpụta ihe ndị nwere ike ịkpata ọrịa obi.
• Chọọ maka ihe ndị nwere ike ime ka obi daa gị mbà ma ọ bụ nsogbu ndị nwere ike ime ka obi gị daa mbà.
• Nyochaa mmetụta nke ọgwụ ị nwere ike ị takingụ.

Blood urea nitrogen (BUN) na serum creatinine na-enyere aka nyochaa etu akụrụ gị si arụ ọrụ nke ọma. I gha acho ule ndia mgbe nile ma oburu:

• Na-a medicinesụ ọgwụ ndị akpọrọ ACE inhibitors ma ọ bụ ARBs (angiotensin receptor blockers)
• Onye na-eweta gị gbanwere usoro ọgwụ gị
• Have nwere nkụda obi siri ike karị

A ga-atụle sodium na potassium n'ọbara gị oge niile mgbe enwere mgbanwe emere maka ọgwụ ụfọdụ gụnyere:

• ACE inhibitors, ARBs, ma ọ bụ ụfọdụ ụdị mmiri ọgwụ (amiloride, spironolactone, na triamterene) na ọgwụ ndị ọzọ nwere ike ime ka ọkwa potassium gị dị elu
• Imirikiti ụdị ọgwụ ọgwụ ndị ọzọ, nke nwere ike ime ka sodium gị pere mpe ma ọ bụ potassium gị karịa

Anaemia, ma ọ bụ obere ọbara ọbara ọbara, nwere ike ime ka obi gị daa mbà. Onye na-eweta gị ga-enyocha CBC gị ma ọ bụ gụchaa ọbara gị oge niile maọbụ mgbe mgbaàmà gị ga-akawanye njọ.

CHF - ule; Ọrịa obi na - egbochi - ule; Cardiomyopathy - ule; HF - ule

Greenberg B, Kim PJ, Kahn AM. Nyocha ahụike nke obi. Na: Felker GM, Mann DL, eds. Mmebi Obi: Otu Onye Ibe na Braunwald Ọrịa Obi. Agba nke anọ. Philadelphia, PA: Elsevier, 2020: isi 31.

Nwoke DL. Nchịkwa nke ndị ọrịa nwere nkụda obi na mbelata ọpụpụ. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier Saunders; 2019: isi 25.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA lekwasịrị anya nke usoro 2013 ACCF / AHA maka njikwa nke ọdịda obi: akụkọ nke American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Ọdịda Cardiac. Ọrịa. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

Yancy CW, Jessup M, Bozkurt B, et al.Ntuziaka 2013 ACCF / AHA maka njikwa nke ọdịda obi: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Mgbaghari. Ọrịa. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

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