Brief description of the disease
As is known, the main function of the circulatory apparatus - to provide organs and tissues of those products that they need for normal operation, and at the same time to remove the body of harmful substances. Cerebrovascular insufficiency or problems with the supply of blood to the heart occur in the event that the above-mentioned unit no longer cope with their tasks. In most cases, based on circulatory disturbance is a heart failure, i.e., a complex of symptoms that are manifested in the dysfunction of one or both ventricles.
Circulatory failure - Classification of Diseases
As the severity of symptoms and frequency of attacks are acute and chronic heart failure. In the first case, the disease is caused by disorders of myocardial contractility and appears very severe clinical symptoms: acute pulmonary edema, pulmonary decompensated heart and cardiogenic shock. Regardless of the clinical form, acute circulatory failure is a serious threat to human life, so the patient shows an urgent correction of the state, which led to such serious complications.
Chronic heart failure - this is usually the result of other diseases of the cardiovascular system. Underlying pathology is again a violation of the contractile function of the ventricles. The reasons may be: myocardial and atherosclerotic cardiosclerosis, heart muscle damage when myocarditis, congenital defects, pericarditis and some other diseases. In the development of the pathology gradually slows down the flow of blood to accumulate oxidized products of metabolism, shifting the acid-base balance to the acid side. If the treatment of circulatory failure irregular and inconsistent with accepted standards, the patient takes a progressive decrease in the functions of all the organs, which can lead to death.
The degree of circulatory failure and symptoms of each stage
In modern medicine it is divided into three stages of the disease, which are determined based on the severity of symptoms, patient complaints and the results of clinical trials. In addition, when a definitive diagnosis is taken into account the severity of the underlying disease leading to heart failure.
- Stage I - initial - patients complain of poor sleep, fatigue, heart palpitations. Abnormally high heart rate and shortness of breath occur even after minor physical activity. There have all the signs of the underlying disease of the heart;
- Stage II - developing circulatory failure - symptoms are much stronger: increase the size of the heart, there is a constant tachycardia, shortness of breath occurs much faster. In addition, patients swollen feet and legs, decreased urine output, increases in liver size. Appropriate treatment of circulatory failure, and bed rest will significantly reduce the severity of symptoms, but they never disappear completely (in contrast to the patients with Grade I);
- Stage III - launched a chronic circulatory failure - shortness of breath noted even at rest, increased cyanosis, there are strong swelling. The pathology progresses so that patients can only sleep in a typical semi-sitting position. Numerous patients have nausea, sharp drop in appetite, decreased lean body mass, a significant increase in heart size. At III degree of circulatory failure must be an emergency treatment because the patient may die of the disease growing phenomena.
Treatment of circulatory failure and care for sick people
Patients are assigned a set of activities that contribute to reducing the burden on the cardiovascular system and allow you to create optimal living conditions for the maintenance of normal life of people. Depending on the degree of circulatory insufficiency, patients showing various drugs designed to restore the water and electrolyte metabolism and heart muscle.
If a person is diagnosed with circulatory insufficiency of I degree, a person can engage in physical exercise and sport disciplines, does not require significant voltage. If you have stage II disease, heavy physical work and exercise are excluded. In the event that developing chronic circulatory insufficiency III extent, the patient shows polupostelny mode, restful sleep and a complete rejection of any physical activity. Regardless of the stage, patients should limit the intake of salt, as well as to completely eliminate from the diet of those foods that stimulate the heart - coffee, strong tea.
Drug therapy enhances the contractile function of the heart and the timely removal from the body of excess water. Patients with circulatory failure prescribe cardiac glycosides, digitalis preparations (digoxin izolanid) strophanthin Korglikon and acute exacerbations of the disease. To remove excess water, it is desirable to use diuretics, but the dosage required to agree to agree with the doctor. Among other things, they must be created optimal conditions in those areas where the sick person spends most of the time. This applies both to the temperature balance (20-22 degrees Celsius) and humidity. The air should not be too dry. In the living room you can hang wet sheets which absorb excess heat.