Kupisa mubhokisi: kushaya mwoyo uye zvisingaoneki zvinokonzera

Kupisa mubhokisi chiratidzo chisina kufanana chekushaya zvirwere zvakasiyana siyana uye zvinetso zvebasa. Muchifukidzo nhengo dzinokosha - sophagus, chiropa, mapapu, mwoyo, zvirwere zvinokonzera kusuruvara uye kupisa kunzwa mukati me sternum. Fivhiri iri mubhokisi inogona kukonzera kusagadzikana mukushanda kwepascreas, mudumbu, kusagadzikana kwepfungwa uye zvirwere zvinotyisa. Kuzvimiririra kuzarura chikonzero chekuvhiringidzika mumatare hazvibviri, saka pazviitiko zvezviratidzo zvinotyisa zvinokurudzirwa kutaurira chiremba uye kupfuudza kana kuitika kuongororwa zvakazara.

Bhoki mu sternum - chii chingave?

Unhu uye hutano hwekunzwa zvisingafadzi zvakasiyana pane zvakasiyana-siyana: kupisa kunogona kuiswa mukati memwoyo, kupararira kose mubhokisi, kubata chikamu chekurudyi kana kuruboshwe, "kupa" kumapfudzi, mutsipa, chiuno, gumbo, kumusoro uye kumusoro.

Kupisa mubhokisi - chikonzero chemoyo

1. Angina pectoris. Inoratidzirwa nekunzwa kwekudzikisa / kupisa munzvimbo yebhokisi neyekudzivirira mukati, kuruboshwe, mutsipa. Kurwiswa kunotanga panguva yekushanda kwepanyama, kunopfuura zororo, nokukurumidza kunobviswa ne nitroglycerin.
2. Myocardial infarction. Clinical syndrome, iyo inoitika nekuda kwekukuvara kumutsipa wemwoyo. Zviratidzo zvemyocardial infarction zvine zvakawanda zvingasarudzwa - kubva pane episodic kupisa shure kwe sternum kusvika kukurwisa kwakagadzikana, pamwe nekurwadziwa kwakakomba mukati mebhokisi, dyspnea, kuwedzera kwemwoyo, kuvhara, kushaya simba, kuchenesa kweganda, kudonha kweropa.

3. Arterial hypertension. Kamwe kamwe-kamwe kuwedzera kweropa (dambudziko rehutachiona) rinosanganiswa nemusoro, kupisa mubhokisi, ruzha munzeve, kubata, kuputika kweganda rechiso, kunzwa kunopisa, kuneta, kushaya simba.

4. Pericarditis. Chirwere chinopisa chinokonzera pericardium ndicho chekunze kerubhi yemwoyo.

   Chiratidzo chinoshamisa:

   • kurwadziwa uye kupisa zvinowanikwa mubhokisi kusvika kuruboshwe, zvishoma - zvinopararira kuruoko rwerudyi uye nehafu yebhokisi;
   • apo kurwadziwa kwepisitari hakusi kwakasarudzwa pasi pechikamu chekuruboshwe, mumutsipa, masaya;
   • Kuwedzera kwehutano syndrome hazvibvi pakuedza kwepanyama, asi kunopera nekuchinja kwechinzvimbo chemuviri.

5. Cardiomyopathy. Zvirwere zvepfungwa izvo hazvina kusiyaniswa kubva kune zvipembenene zvevascular, zvinopisa, zvinokwana oksijeni. Pamwoyo we cardiomyopathy kune kusagadzikana kwezvinhu zvinokonzera kurwadziwa kwechimiro chakasiyana-chekusingaperi uye chepisodic, nekunzvimbo yepakati pebhokisi uye kupararira pamusoro penzvimbo huru, kucheka uye kunogumira kune zvishoma zvinopisa shure kwe sternum.
6. Mwoyo kukanganiswa (mitral valve prolapse, aortic stenosis). Kana pane kukanganisa kwechimiro chemagetsi, mutsara unoremerwa nemwoyo unowedzera kazhinji, izvo zvinotsanangurwa nehuwandu hwekuwedzerwa kweokisijeni. Pane imwe nguva, nekuda kwebasa rakaoma, kusabatwa kunoitika, kunoratidzwa sekupisa uye kurwadziwa mubhokisi, iyo inonamirwa, kuboora, kuomesa, kuenda pamwe nekumhanyira muropa, kudema, kuwedzerwa kuneta.
7. Arrhythmias. Kushungurudzika kwepfungwa yenguva dzose, kusanganiswa nekushungurudzwa uye kupisa mu sternum panguva yekutambudzika. Zvimwe kuratidzwa: uhuhu, utera, "kukanganisa" mumoyo, kurasika kwekuziva.

Kupisa mubhokisi - kwete maitiro emoyo

1. Chirwere chetachiona chemuviri:

   • uye apharyngeal hernia. Marwadzo ane hutachiona hwemawere ane miviri miviri. Chokutanga: kupisa kwekare kunotevera sternum, iyo inowirirana zvakananga nekutsamwa kweeophageal mucosa nezviri mukati memudumbu uye esophageal reflux, inowanikwa munzvimbo yakanyanyisa. Chechipiri: reflux inogona kukonzera kurwadziwa, chirwere chemyocardial ischemia, uye spasm yeeophagus, inoitika mushure mekutora nitroglycerin;
   • ulcer we duodenum / dumbu. Zvinoratidzika senzwi rinopfuta mumharaunda yekare, kurutsa, kushungurudza, kubvongodza, kubata, kugadzikana kwepfungwa;

   • cholecystitis. Mumakumi mashanu ematambudziko, kurwadziwa uye kupisa mu epigastrium uye mubhokisi inoonekwa mushure memaawa maviri mushure mekudya;
   • gastroesophageal reflux. Nehutachiona ichi, hydrochloric acid inokandwa mumusango kubva mudumbu, iyo inokonzera kupisa mubhokisi kusvika kuruboshwe uye kurwadziwa kunokonzera kumutsipa, ruoko, pasi pechibvu chokurudyi.

2. Pleural / Lung Diseases:

   • pneumonia. Inozivikanwa nechitarisiko chekutambudzika uye kupisa mu sternum kurudyi kana kuruboshwe, kupfupika kwefemhepo, fivha, 38-38.5 degrees, kuora kwakanyanya, kushaya simba, kupera kweganda, kuora kwehupenyu hwose;
   • pleurisy. Kuvhiringidza kwezwi rinoratidzira kuburikidza nekurwa uye kupisa mubhokisi, kuwana simba mukati mekufuridzirwa. Zvimwe zviratidzo zve pleurey: fevhiri, kuoma, kuora;

   • tracheobronchitis. Nzira yeAtypical yechirwere ichi inogona kukonzera kurwadziwa nekutsva kwekunzwa shure kwe sternum nekuda kwemarwadzo emisunyu nekukanganiswa kunokonzera kana kushungurudza kwemukati.

3. Zvirwere zve musculoskeletal system:

   • osteochondrosis. Chirwere chechipembenene chemutsara wepelinha, iyo inopa "zviratidzo" nenzira yekutsvaira mu sternum iyo inobatanidzwa mukugadzirisa kwemukoko wegwenzi. Mukufananidza, kupera kwemakumbo okumusoro, kuderera kwekunzwa, "lumbago" mumoyo;
   • intercostal neuralgia. Chimwe chiratidzo chekati intercostal neuralgia ishungu inopisa inopisa mukati mebhokisi, kuwedzera pamhepo yekufema / kukufemera, kunyorera, kukwezva, kuchinja nzvimbo yemuviri;

   • Titze syndrome. Kukundwa kwe-sternum-cartilaginous uye inodhura makumbo emakemikari zvinokonzera kubwinya uye kupfurikidza kwemajoini e anterior thoracic cage. Kusuruvara uye kutsva kwekunzwa mukati me sternum kunotsamwiswa nekufamba kwechifuva panguva yekudzidzira muviri kwakasimba. Iyo kurwadziwa inopedza maawa akawanda, "mashizha" mushure mekutora analgesics.

4. Neurocircular dystonia (VSD). Kushungurudzwa kwebasa rehurongwa hwemagetsi, izvo zvinokonzera kusagadzikana kwemutemo wekutya kwezvizhinji zvenhengo dzomukati uye zvirongwa.

   Mhando dzakasiyana-siyana:

   • nyore cardialgia. Inokura kamwe kamwe, inopedza maawa 1-2, uye inopfuura. Anozivikanwa nekurwadziwa kunorwadza uye kunorwadza uye kupisa mukati mebhokisi;
   • cardialgia yevirative crisis (kwenguva refu paroxysmal cardialgia). Inotarisana nechekuita kwekuwedzera kweVSD, inoratidzwa nekunzwa kwekutya, kuwedzera kwakanyanya kweropa, kushaya simba kwakanyanya, kudedera mumuviri, palpitations, kupisa uye kupfuva mumapfupa asina kudziviswa ne nitroglycerin uye validol;

   • nhema angina. Mune pseudostenocardia, kune kupera, kugadzirisa kurwadziwa, kupisa uye fever mubhokisi, zvichibva mumamiriro ekudzvinyirira kana mupfungwa mupfungwa;
   • kunzwira tsitsi cardialgia. Pane kupisa kunopfuta mukati me sternum mukati kana kupisa mubhokisi. Kuwedzera marwadzo ehutano kunotungamirira kumagumo emativi akange ari pakati pembabvu.

Kupisa mubhokisi - zvinokonzera mupfungwa

Mafungiro epfungwa anokanganisa mafungiro ehupfungwa anokonzera kushungurudzika kwezvirwere izvo zvikamu zveboka remiganhu yepakati pemagariro. Chiratidzo chinotungamirira chekushushikana kwepfungwa chepfungwa yepfungwa inobatanidza kusangana kwekunzwa kunorwadza kwakasiyana nemunhu uye kunzvimbo. Vanogona kutarisa mukati me sternum, kurudyi kana kuruboshwe, kunzwisisa chipfeko chose, kupa kumakumbo okumusoro, mudumbu rezasi, mutsipa. Izvi zvinonzwisisika nezvimiro zvakanyanyisa zvikuru - varwere vanogunun'una kuti "vanopisa", "kupisa", "kubika" mubhokisi. Kuti uwane chikonzero chechokwadi chekuvhiringidza mumunda wemwoyo kuongororwa kwechirwere chepfungwa kunobatsira chete.

Kupisa nguva dzose muchipfuva kunofanira kuva chikonzero chekushanyira chipatara. Muongorori chete anokwanisa kutarisa kuparadzaniswa kwehutano hwakanaka, kuziva chikonzero chekutambudzika mukati memwoyo uye kupa mishonga yakakwana.