KARDIOMEGALIYA

KARDIOMEGALIYA (Cardiomegalia), dilkaloni, az andozai muqarrari buzurg shudani dil. Mumkin ast yak yo har chor dahlezi dil kalon shavad. Muqarrar kardani on ki kadome az dahlezhoi dil kalon ast, kori dushvor buda, tadqiqoti makhsusro taqozo mekunad. Dar odamoni tandurust andoza va sokhtori dil vobasta ba konstitutsiya, geometriyai sanduqi sina, tarzi joygirii dil dar qafasi sina, davrai nafaskashi hangomi tadqiqot va usuli kor gunogun meboshad. Dili khurd hamesha nishonai mutadilii on nest; dili kalon niz manoi bemorii miokard yo osebi darichahoi dilro nadorad.
K. dar mavridi muoinai fiziki yo bisyor vaqt rentgenografiyai sanduqi sina muqarrar karda meshavad. Kalon shudani dilro, odatan, faqat badi vase gashtani javfi on oshkor menamoyand. Gipertrofiyai vozehi medachahoi dil biduni vase shudani javfi on muddati madid az nazar pinhon memonad. Az 10 to 20 mm gafs gashtani devorai medachai chapi dil daleli gipertrofiyai vozeh ast, vale yak santimetri ziyodatiro dar mavridi muoinai fiziki yo rentgenografiyai sanduqi sina nametavon oshkor sokht.
Dar surati gumonbar shudan az K. dukhtur boyad sababi onro muqarrar sozad. Binobar in baroi tashkhisi K. silsilai dilu raghoro mudom tadqiq kardan lozim ast. Bisyor vaqt dar mariz alomathoi bemorii dil mushohida meshavand. Azbaski dar odamoni kalonsol K. bisyor vaqt ba vase shudani medachahoi chap yo rost vobasta ast, hangomi gundoshtani anamnez mahz ba ikhtiloli faoliyati medachaho etibor dodan lozim meoyad. Hususan dar mavridi oromi yo kori jismoni damkutoh shudan yo nashudani bemor ba tashkhisi K. kumak merasonad. Huruji dard dar sanduqi sina, mavjudiyati parikardit, tarbod, gipertenziyai sharayoni, diabeti qandi, bemorihoi siroyatii az sar guzaronda, dilbastagi ba istemoli sharob, istifodai doruho (gidrolazin, novokainamid, metildof, adriamitsin) va dig. omilho niz bahri tashkhisi K. ahamiyati kalon dorand.