نارسایی مزمن قلبی


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نارسایی قلبی -  CHF - نارسائی احتقانی قلب

CHF یا نارسایی مزمن قلبی یک سندرم بالینی ناشی از یک اختلال ساختمانی مادرزای یا اکتسابی است. در نارسایی مزمن قلبی ما اغلب اتساع قلب ، کاهش عملکرد سلولهای عضلانی قلب و احتباس آب و سدیم را داریم که سبب علائمی مانند تنگی نفس، خستگی، ادم و رال ریهشده و منجر به بستری شدن، کیفیت پائین زندگی و کاهش عمر فرد می­شود.

نارسایی مزمن قلبی ۱۰-۶% افراد بالای ۶۵ سال را مبتلا می­کند. در مردان کمی بیشتر از زنان است شیوع آن به دلیل آنکه طول عمر بیماران مبتلا به MI، بیماریه ای دریچه ای و آریتمی، طولانی تر شده،  بیشتر شده است.

عوامل تشدید کننده نارسایی مزمن قلبی یا CHF (که باعث می شوند نارسایی قلبی جبران شده به نارسایی قلبی غیر جبران شده یا نارسایی مزمن قلبی تبدیل شود) عبارتند از:

۱- نارسایی مزمن قلبی ناشی از تشدید هایپرتانسیون

۲- آندوکاردیت از علل تشدید نارسایی مزمن قلبی می باشد

۳- آنمی

۴- RHD

۵- تیروتوکسیکوز

۶- تب

۷- آریتمی

۸- IHD

۹- افزایش فعالیت قلبی: بارداری

۱۰-آمبولی ریه

علائم و نشانه های نارسایی مزمن قلبی یا CHF

۱-  ریه پر خون می شود و بیمار مبتلا به نارسایی مزمن قلبی دچار تنگی نفس فعالیتی می شود.

۲-  از علائم نارسایی مزمن قلبی ،سرفه و تنگی نفس ۳-۱ ساعت بعد از به خواب رفتن است(سرفه و ویز و رال به دلیل ادم بینابینی ایجاد می شود (آسم قلبی)

۳-  خستگی و ضعف و بیحالی از دیگر علائم نارسایی مزمن قلبی می باشد .

۴-  فشار خون پایین، نبض های ضعیف و انتهاهای سرد در نارسایی مزمن قلبی

۵-  علائم مغزی در نارسایی مزمن قلبی: گیجی ، اختلال در خواب و خلق و حتی ناکچوری

۶-  پر خونی کبد و روده ناشی از نارسایی مزمن قلبی که باعث بی اشتهایی، تهوع، سیری زودرس و درد RUQ می شود.

۷-  رال  وادم ریه

نکته: در نارسایی مزمن قلبی CHF ،رال ممکن است از بین برود که به دلیل افزایش درناژ لنفاوی ریه است.

برای مطالعه " تغذیه در بیماران نارسایی مزمن قلبی " کلیک کنید .

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