Swelling of the feet of cardiac origin
Heartworms of cardiac origin
Edema in diseases of the cardiovascular system arise from insufficiencypredominantly the right ventricle of the heart, overflowing the veins of a large circle of blood circulation with blood, increasing blood pressure (venous pressure) in them, and discharging the liquid part of blood from the vessels into the surrounding tissues. In patients, the liver is enlarged, there are edemas of subcutaneous fat, edema of cavities (abdominal, pleural). Development of obvious edema is preceded by a period of fluid retention, which is manifested by a decrease in the amount of urine (oliguria) released and the increase in body weight, which is determined by daily weighing. In the presence of edemas the patient needs to observe a non-strict bed rest. It is necessary to monitor the drinking and food regimen, daily diuresis. The decrease in the amount of urine released compared to the fluid consumed indicates an increase in edema and ineffective treatment.
Trophic swelling of the skin is significantly worsening,its protective properties are lowered. Often there are cracks that can serve as a source of infection. The bed should be comfortable, there should not be wrinkles or crumbs on the sheets, since even minor injuries, harmless to a healthy person, can cause bedsores with edemas. For their prevention should often turn lying patients, under the buttocks and the rump to put an inflatable rubber circle covered with a sheet. The contacting surfaces of the skin (under the mammary glands in women, in the inguinal folds) in the presence of edema should be powdered with talcum powder or a thin layer of absorbent cotton wool. The hygienic bath or shower is made according to the doctor's prescription. Patients who are contraindicated for heart conditions, it is necessary to wipe the skin with moist gauze or cotton wool; if necessary, some parts of the skin are treated with camphor alcohol. To remove the edematous fluid from the abdominal or pleural cavities, it is often necessary to resort to punctures.
Usually the development of heart failureis accompanied by stagnation in the organs of the abdominal cavity, which entails various dyspepsia disorders: appetite worsens, nausea, vomiting, a feeling of raspry in the upper abdomen, constipation. On the appointment of a doctor, laxatives are taken, cleansing enemas are made. Usually timely evacuation of the intestines significantly improves the patient's well-being. Severely ill patients after the act of defecation need to be washed. Great value in the treatment of diseases of the cardiovascular system has a rational therapeutic diet, aimed at increasing diuresis and thereby reducing the burden on the heart.
All care for diseases of the cardiovascularsystem should be aimed at maximum ease of the heart. Naturally, the patient should be provided with mental rest; if possible, it should be protected from any negative emotions, and sometimes sudden positive ones.