Cardiac edema of the abdomen
The accumulation of excessive fluid in the tissues of the body as a result of disruption of the work of the basic systems or organs leads to the formation of edema.
They come in the following forms:
hypoproteinemic - accompanied by a decreasethe content of proteins in the blood plasma, including albumins. The edema of this species, first of all, is formed where most of the loose connective tissue is concentrated, for example, on the face. The swelling appears in this case after sleeping around the eyes;
membranogenic - are formed when increasingpermeability of the vessel walls. As a consequence, the protein of the blood plasma enters the intercellular space, which leads to an increase in pressure and the release of fluid from the blood vessels into the connective structures;
Hydrostatic - arise when the pressure in the capillaries increases. Such swelling is the most common symptom of heart failure.
It develops as a result of the lack of treatmentsome diseases. If the heart is not able to pump the necessary amounts of blood, then the tissues and organs of the body are deprived of enough nutrients and oxygen. In the venous bed, in this case, blood stasis may occur. This is what leads to the formation of edema. Usually they become the main symptom in heart failure along with shortness of breath caused by a lack of oxygen.
Edema is the main symptom of heart failure
By the location of edema, one can judge the characterheart diseases. In the lungs, they occur if there are abnormalities in the operation of the left ventricle. Legs symmetrically swell with problems with the right ventricle. The extent and area of swelling is greater than the neglected disease. In the initial stages, the ankles and feet swell, and then the hips. At first, the swelling becomes noticeable by the end of the day. After a full rest, it passes and appears again only in the evening. If the disease is actively progressing, then soon edema becomes permanent. To cope with them, simply having had a rest, it will not be possible any more.
It is important to pay attention in time to the fact that swellingare formed regularly. This indicates a heart failure, and therefore it is necessary to identify the underlying disease and take care of its treatment. Another symptom is shortness of breath, but it appears in the late stages of the development of the disease.
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Features of edema in heart failure
The accumulation of fluid in the body can occur for various reasons. But when the formation of edema is due to heart failure, they differ in the following features:
Both legs swell symmetrically;
the appearance of edema can last a long time, sometimes they develop for several weeks or even months;
if you apply pressure to the edema formed in heart failure, a small fossa appears which will soon disappear;
in the beginning, edema only occurs on the legs, gradually spreading throughout the body;
swelling dense to the touch;
with edema of the abdomen (ascites), caused by heart failure, the liver can increase.
Precisely diagnoses and determines the causethe accumulation of fluid in the body, manifested in the form of swelling, the doctor. But alone, you can gently press on the skin in the area above the tibia. If a dent is formed, which will disappear after a few seconds, then the likelihood of edema is high. And it can be caused, as heart failure, and some other problems in the work of the body. To get rid of puffiness, you need to identify their cause.
The most common diseases leading to heart failure are:
Arterial hypertension. This disease is persistentincreased blood pressure for a long time. They suffer a significant part of the population. Arterial hypertension is formed under the influence of a large number of different factors, the main of which is hereditary predisposition. It leads to violations of the basic functions of the heart and the development of heart failure.
Ischemic disease. It is caused by a lack of oxygen,which comes to the heart muscle. Ischemic disease may not appear for a long time or be accompanied by not very pronounced symptoms: shortness of breath, pain behind the sternum. In most cases, it is accompanied by heart failure.
Heart defects. They manifest themselves in the form of changes in the structureheart, which leads to disturbances in the circulatory system. Patients suffering from vices. differ pale skin color, dyspnea in such cases - very frequent phenomenon. If changes in the heart structure of a child are congenital, then they start to manifest no earlier than at the age of 3 years. Heart failure is one of the manifestations of vices.
Treatment of underlying diseases, symptomwhich became edemas, will manage to cope with them. You can also use funds to reduce swelling. It is necessary to reduce salt intake and reduce the amount of liquid drunk.
At the initial stages of the development of diseases helpbath. For their preparation, sea salt, birch leaves, herbal preparations are used: chamomile. mint. sage. A hot broth should be insisted, and then keep the feet in it for about half an hour.
In some cases, the use ofdiuretics. This can be both pharmaceuticals and folk remedies. The mechanism of their action is aimed at reducing the amount of fluid in the body, which allows you to reduce swelling. Before using such a tool should consult a doctor. Many of the drugs have contraindications. It is also important not to exceed the allowable dose. As a diuretic, beverages based on cranberries can be used. viburnum. tea on herbs.
The author of the article: Vafaeva Julia Valerievna, nephrologist