ZIQI DIL

ZIQI DIL (Asthma cardiale), khuruji nafastangi, ki binobar dar raghoi shush bozmondani khun paydo meshavad. Sababi Z. d. bemorihoi miokardit, saktai shadidi miokard, kardioskleroz, anevrizmai medachai chap, nuqsi shohragi dil va darichai dutabaqa, baland shudani fishori sharayon va g. mahsub meshavand. Ba paydoishi Z. d. afzudani hajmi khungardish (mas., hangomi kori jismoni, tablarza), massai khuni davrzananda (mas., hangomi homilagi, badi ba organizm firistodani moei bisyor va g.), hamchunin daroz kashidani bemor musoidat menamoyand; dar in guna mavridho khun ba shush bisyor jori meshavad. Dar natijai bozmondani khun va afzudani fishor dar muraghoi shush, varam paydo shuda, ba mubodilai gaz dar alveolaho va qobiliyati nufuzpazirii bronkhiolaho khalal vorid mesozad, mariz damkutah megardad; dar baze holatho ikhtiloli nafasro bronkhospazmi refleksi niz amiqtar mesozad.
Sababi ruzona khuruj yoftani Z. d., odatan, ba faoliyati jismoni, asaboniyat, galayoni khun, stenokardiya, istemoli gizoi bisyor va g. vobastagi dorad. Qabl az khuruji Z. d. dar bemoron bisyor vaqt ehsosi fishurda shudani qafasi sina va dilzani ba vujud meoyad. Hangomi shabona khuruj yoftani Z. d. (beshtar ba mushohida merasad) bemor az nafastangi, narasidani havo, fishori qafasi sina va surfai khushk bedor meshavad; u araq karda, beqaror megardad, ba haros meaftad. Dar asnoi khuruji bemori mariz bo dahon nafas megirad, az joy mekhezad yo sari bistar meshinad (dar in holat nafaskashi qadre oson ast).
Bemorro dar joi muvofiq shinondan lozim ast; tasmai miyonro kushoda ba vena 40 – 80 mg furosemid (laziks), 10 mg seduksen (diazepam) mefiristand.
Tadbirhoi peshgirii Z. d. misli rohhoi jilavgirii nuqsi dil meboshad.