Сердечная недостаточность возникает в тех случаях, когда сердце не может наполниться достаточным количеством крови или с достаточной силой перекачивать кровь по всему организму. Из-за уменьшения кровотока организм
не может нормально функционировать. В организме накапливается вода из-за слабой сердечной функции перекачивания крови.Наиболее распространенной причиной сердечной недостаточности является
повреждение мышцы сердца в результате предшествующего инфаркта.
Кто подвержен риску развития сердечной недостаточности?
Наибольшему риску подвержены люди, которые перенесли один или большее число инфарктов. Риск повышается у людей в возрасте старше 65 лет. У людей, подверженных риску, может также иметься:
• повышенное кровяное давление;
• аномальные клапаны сердца;
• ревмокардит;
• врожденный порок сердца; или
• диабет.
Наименее распространенными причинами являются:
• болезнь или воспаление сердечной мышцы;
• тяжелая болезнь легких; и
• болезнь щитовидной железы.
Каковы признаки сердечной недостаточности?
На ранней стадии признаки сердечной недостаточности часто появляются после физической работы. По мере обострения болезни симптомы становятся более продолжительными. Они включают:
• одышку или затрудненное дыхание;
• усталость и слабость;
• отек голеностопных суставов, ступней, ног или вздутие живота;
• увеличение веса за счет накопления воды;
• кашель, особенно по ночам или в лежачем положении, в том числе с кро-
вью, пенистой мокротой (слюной).
Что надо делать, если есть подозрение на сердечную недостаточность?
Как можно быстрее связаться со своим врачом. Не выжидайте исчезновения симптомов. Даже если они быстро пройдут, они могут быть предупреждающим признаком серьезного заболевания. Иногда сердечная недостаточность
начинается внезапно с появления сильной одышки. Это является результатом накопления воды в легких и требует немедленного лечения.
Лечение сердечной недостаточности
Помощь, которую вы получите, будет зависеть от того, насколько острой является у вас сердечная недостаточность. Она включает:
• Диагностику: Предусматривается изучение вашей истории болезни, объективное обследование и проведение анализов для выявления причины сердечной недостаточности и степени повреждения, нанесенного сердцу.
• Краткосрочный курс лечения: Если болезнь протекает в острой или тяжелой форме, лечение, вероятно, будет проводиться в больнице, с тем чтобы ослабить симптомы и замедлить или прекратить развитие факторов, вызывающих сердечную недостаточность.
• Длительное лечение: Приступ сердечной недостаточности может случиться снова и протекать в более тяжелой форме. Для того чтобы справиться с ним, необходимо неукоснительное выполнение указаний врача, прием лекарственных средств и внесение изменений в свой образ жизни.
Что можно сделать для содействия успешному лечению
• Принимать все назначенные вам лекарственные средства.
• Выполнять рекомендацию своего врача в отношении изменений в образе жизни. Это включает прекращение курения, правильный рацион питания и выполнение упражнений, с которыми может справиться ваше сердце.
• Не употреблять алкоголь. Алкоголь уменьшает силу вашего сердца для пе рекачивания крови. Алкоголь, сам по себе, иногда может быть причиной сердечной недостаточности.
• Избегать группы и отдельных людей, у которых простуда или грипп. Такая инфекция, как грипп или пневмония, станет дополнительной нагрузкой для вашего сердца.
• Следить за своим весом. Если вы набираете вес, это может означать, что из-за слабой функции сердца в вашем организме накапливается вода. Сообщать своему врачу о любом неожиданном увеличении своего веса.
Лекарственные средства, используемые для лечения сердечной недостаточности
Лекарственные средства, используемые для лечения сердечной недостаточности, включают:
• диуретики (для избавления от избыточной воды);
• ингибиторы – ангиотензин превращающего фермента (для расслабления кровеносных сосудов и сокращения нагрузки на сердце) и сердечные гликозиды, такие как дигоксин (для увеличения силы сердечной мышцы и поддержки сердца в перекачивании крови);
• лекарственные средства для расслабления кровеносных сосудов;
• бета-блокаторы (для уменьшения частоты и силы сердечных сокращений).
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