Kukuru infarction: zvinokonzerwa, mikana kurarama, kunaya varume nevakadzi

Zvirwere kumwoyo dziri panzvimbo yokutanga pakati zvinokonzera rufu. Pakati pavo mumwe zvakakura pathologies kuonekwa munhu myocardial infarction, izvo kazhinji kunotungamirira kune kukurumidza kufa. Zvakakosha kupa rubatsiro rwekutanga, kubva ichi kazhinji anoenderana kana paine Kurwisa hombe mwoyo, nemigumisiro, mikana inodzivirira vapore.

Chii myocardial infarction

In mamiriro ichi pane nyonganyonga ropa wedzerai mwoyo tsandanyama, zvinoita kuti pave kusingarapiki migumisiro. Chenjera kushayikwa okisijeni haangaupfuuri pasina kuchinja marongerwo uye kushanda muviri.

Panguva ropa mumwoyo kuonekwa necrotic nzvimbo, iyo gare gare havazokwanisi kuita mabasa ayo zvakazara. Ane chaizvo chakakomba hombe mwoyo kurwisa zvirango, mikana yokupona kuvimba zvachose pamusoro timeliness kuti rubatsiro yokutanga akuvara. Pashure chemwoyo mwoyo tsandanyama sei masero inotsiviwa connective zvinyama, izvo ichikutadzisa kwazvo mano pamwoyo kubata.

Kana uchitenda nhamba, nyika yedu ine wechipiri soro hwakapararira mwoyo chirwere. Zvinogonekawo kuti kufunga zvinotevera:

• Vanenge 40% kuti vakurumidze kufa zvinokonzerwa myocardial infarction.
• Kana kuitika myocardial yakakura kurarama 17 chete% wevarwere.
• Muna 11% wevarwere kudzokazve zviitiko zvokurwara.

Zvinofanira kucherechedzwa kuti varume pakati pemakore 45 ne50 makore vanowanzoguma varware nechirwere ichi. Munguva ino munhukadzi muviri mudziviriri anoita se estrogen, asi kune makore 70 ayo kukura rinomira zvachose uye kunowedzera ngozi mwoyo kurwisa uye hadzi nehafu vanhu.

Hapana Heart Center havagoni kuwedzera nechirwere kuti "hombe mwoyo kurwisa" mukana yokupona kana vaviri maawa vokutanga haripi nyanzvi rubatsiro kune akuvara.

Zvinokonzera Kurwisa mwoyo

The chikuru chinokonzera chomwoyo - ndiko kukuvara kumasvingo arteries atherosclerotic plaques kuti kuvhiringidza kweropa. Izvi zvinogona kuitika pasi zvinotevera pathologies:

1. Atherosclerosis of coronary nhumbi. Kana Dombo rinosvika hombe saizi, zvinogona kuvhara uchipedzeredza lumen ari mudziyo.
2. Yakakwirira BP, iyo inosvitsa kuwedzera vascular matauriro uye thickening kwemasvingo. Uye kana tichifungidzira kuvapo plaques mumidziyo ropa, rinotevera kumanikidzwa pakaitika kunogona kukonzera zvakawanda infarction. Consequences, mikana kurarama, vapore achavaponesa mwero rubatsiro.
3. Fat embolism dzinogona kunyengedza thrombosis.
4. Kuvhiya occlusion midziyo, kana yaiitisa angioplasty.

zvinokonzera njodzi

Kwete akanyorwa zvirwere uye mamiriro anogona kukonzera kukura chemwoyo, asi zvinokwanisika mashoma asina zvinhu zvinowedzera mikana kakawanda zita:

• Chirwere cheshuga anokwanisa kuva zvisina kunanga basa chomwoyo. At yakakwirira kwevari ropa shuga muviri vari akambokanganiswa, izvo zvingaita kuti chimiro sclerotic plaques nenhumbi.
• Panguva wechidiki zera chemwoyo anogona kuitika nokuda magene kubatwa.
• cheitsvo.
• Kutyorwa zvokudya.
• Zvakawandisa muviri uremu.
• Low kurovedza muviri.
• Kusvuta, kwete kushingaira chete asiwo kungogara. Panguva kuputa pane spasm rwengarava ropa, iro inotungamirira sedimentation pamusoro maplatelet kuti Dombo, pamusoro kwenguva, izvi zvinogona kutungamirira bindepinde pakati mudziyo lumen wakakwana.
• Kugara doro kunotungamirira ine chepfu maronda zvomwoyo tsandanyama nemidziyo ropa, BP, izvo zvinoreva kuti chemwoyo yatova pedyo.
• Kakawanda mupfungwa uye chisingaperi kuneta.
• Kunwisa muviri haangaupfuuri kwakacherechedzwa kuti mwoyo.
• Rheumatism, iyo inobudisa uye mwoyo rusvingo.
• Zvirwere, kunyanya avo vari kushatiriswa staphylococci uye streptococci.
• Yakakwirira kwevari remafuta akawandisa.
• Yakakwirira Kuwanda triglycerides muropa.
• Sexual Kuzivikanwa: yakawana kuti varume vanowanzoguma chemwoyo hwapedyo.
• Murombo dzezvakatipoteredza ezvinhu.

Kana isu funga kuti kazhinji kuonekwa ibatanidzo zvinoverengeka njodzi, hazvishamisi kuti vakawanda kudaro vaiva vagari iri kugadzira hombe mwoyo chomwoyo. Consequences, mikana kurarama, vapore ichakurukurwa pashure.

Nguva Kurwisa mwoyo

Zviratidzo chirwere ichi kuchaenderana padariro kukura, uye avo akawanda dzoga:

• PIS.
• The chenjera kumwedzi.
• Sharp.
• Subacute.
• Postinfarction.

Zvakakosha kusiyanisa izvi nguva pamwe chete, kuti nenguva kupa zvakakodzera rubatsiro kune munhu.

Zviratidzo PIS

Zvinokonzerwa hombe yomwoyo may haizakadaro kukutyisa kana Zivai kusvika nomumwe pechikuva yatangira infarction ezvinhu. Nguva iyi kunoratidzwa anotevera zviratidzo:

• Pane kurwadziwa muchipfuva, izvo vangava intensities zvakasiyana uye stoped achitora "nitroglycerin".
• Kupfupika mweya.
• Kunwisa vangadikitira.
• Mwoyo mutinhimira vachivavhiringidza.
• Svoto.
• Kana mumuviri marwadzo nesimba chete kwakawedzera.
• Kana ukaita unonzi, electrocardiograph, zvichaita kuratidza vachivavhiringidza neropa wedzerai mwoyo tsandanyama panguva iyi.

Kana nguva kuteerera zviratidzo izvi, zvinobvira kudzivirira hombe mwoyo kurwiswa (zvaitika). Mikana kupona (vapore hedu kwenguva refu) uchava mukuru.

Symptomatology chenjera kumwedzi

Kana infarction yatangira mamiriro anogona kwenguva yakareba, dzimwe nguva kusvika pamwedzi, iyo sharpest nguva kukura zvakasimba zvakakwana. It kunoratidzwa nekuratidza zvinotevera zviratidzo:

• Kwerusenzi marwadzo ari mubhokisi, zvichiratidza kuruboshwe hafu muviri.
• BP.
• Arrhythmia.
• Kufema anova inoratidza.
• Ganda rakachenuruka, kutonhora ziya mabasa.
• Munhu anogona kurasikirwa kuziva.
• Kana njodzi chikamu shure kwomwoyo, Unogona Kunzwa kuda kurutsa, kurwadziwa nomudumbu.
• Pane kutya rufu.

The chenjera Danho anogona kuratidza atypical zviratidzo:

• Tichibatwa breathlessness.
• mumwe chikosoro.
• Edematous syndrome.
• Pane zviratidzo chepfungwa ischemia.

Mune zvimwe zviitiko, zvingaratidza kuva doro Worn. Ichi hunogona kugara maawa maviri. Kana Danho iri kudzivisa vakakundikana, zvichaita kuti vamwe mutsekwende yomwoyo akakura. Mikana kupona (vapore zvinoda varwere vose vakadaro) vachava zvachose novimba vanokwanisa kurapwa.

The chenjera Nguva chirwere

Kwemazuva akawanda pashure kurwisa, pane rikwanise nguva. Pashure hombe mwoyo kurwisa zviratidzo ndivo nzvimbo zvinotevera:

• The marwadzo zvishoma kunoderedza umbirimi kwayo.
• The akaumba necrotic mugove mwoyo.
• Inosimudzira BP uye muviri tembiricha.
• Kunoita mwoyo mutinhimira.
• Kupfupika mweya.

A vhiki pashure kurwisa kunotanga subacute nguva, izvo kunoratidzwa Pasina marwadzo, normalization mwoyo exchange uye BP. Zvarongwa pamusoro pomwoyo necrosis zvishoma nezvishoma vanotanga vanga tishu.

Kana postinfarction kumwedzi, uye hunogona kusvika mwedzi mitanhatu, mwoyo zvishoma nezvishoma kujairana kushanda mamiriro matsva, kutanga compensatory zvigadziriswe. Murwere vanogona kakawanda tichibatwa angina, kupfupika mweya uye apo neapo vavhunduke mwoyo mutinhimira.

rubatsiro rwekutanga mukurapa myocardial

Kukuru myocardial Migumisiro vangava kunosiyana inosiyana kunzwisisa, zvose zvinoenderana yakapiwa rwekutanga. Pasinei norudzi zvokurwara, munhu anofanira kukurumidza kupa rubatsiro rwekutanga pamberi vasvike chikwata yezvokurapa:

1. Murwere anofanira kudyarwa kana kuisa uye makumbo hwakakungwa pamabvi.
2. Nechokwadi nerubatsiro mhepo yakachena, nokuti ichi rakavhurika chipika, bvisa chisungo kana akavhura hwindo.
3. Sublingual hwendefa kuti "nitroglycerin".
4. Pasina chisimbwa kuti "asipurini" anogona kutsenga mishonga iri mari kusvika 300 MG.
5. Kana murwere azheuka, zvakakodzera kuzvitengesa kudivi kwayo uye kuteura musoro shure.
6. Achidisa kuita kudzvinya pachipfuva kana pakanga kunaya.
7. Edza kudzikamisa murwere, Nokutya mumamiriro ezvinhu akadaro hakusi mubatsiri.

Pashure kubatsira uchakumikidzwa akatambudzwa kuchipatara kana kumirira kusvika amburenzi.

Zviito amburenzi zvokuchenesa

Pakarepo mushure asvika amburenzi vanachiremba dzinotanga cupping, nokuti ichi:

• Used zvinodhaka.
• Kana murwere vasingadzoreki kufema, zvino kushandisa imwe yakachena chifukidzo.
• Kubvisa excitation murwere anomupa sedatives.
• Kuzosimbisa chirwere, chaimo amburenzi akaita cardiogram.
• Patient vakauya kuchipatara, zvichienderana pawaiva anogona kuva yevanenge kana yevanenge.

Treatment yomwoyo hombe

Mabatirwo chomwoyo yaifanira chete cardiology dhipatimendi. The chikuru Basa vanachiremba:

1. Marwadzo.
2. Kuderedza nzvimbo necrotic maronda.
3. Kudzorera chakaipa ropa riyerere mwoyo tsandanyama.
4. Yekuzvidzivirira ropa.
5. Dzosai mwoyo mutinhimira zvirwere.
6. Ramba BP pane hwandaiva pamwero.

Zvinotevera zvinodhaka ushandiswe nokuda Implementation mabasa aya:

1. Marwadzo ari rikwanise chokutambudzika kunogona kushandisa marwadzo inonyaradza marwadzo omusoro, ivo zvinosanganisira "Morphine", "Promedol". zvinodhaka aya akapiwa nomutsinga nokuti mangwanani ruyamuro kurwadziwa.
2. Kusunungura Neural excitability yaunodya tranquillizers kuratidzwa ( "Diazepam" "Ini").
3. Thrombolytic kurapa, kunosanganisira kugamuchira "alteplase," "Fiboinolizina". Izvi vasori ndivo ichiputswa thrombi, myocardial necrosis kunodzikira resolution.
4. Kugamuchira anticoagulants, mukuru pakati iri "asipurini".
5. Basa ACE FIs kuti tunodzivisa mwoyo basa, normalized kumanikidza nokuda dilating midziyo ropa. boka iri rinosanganisira "Captopril", "Ranipril".
6. Nokuti kurapa arrhythmia wakaratidzwa cardioprotectors womuchato (semuenzaniso, "Atenolol", "propranolol").

Kana mishonga haiunzi zororo kuti murwere, uchava kushandisa kuvhiyiwa.

Kuwanazve pashure chemwoyo

Vanhu vakawanda vanonetseka: vangani kurarama pashure mwoyo kurwisa hombe? Mhinduro kuchaenderana kwete chete pane kurapwa asiwo kwakakodzera vapore. Munguva pashure kutambura chemwoyo zvakakosha chaizvo kuti apore kwete mumuviri chete asiwo mupfungwa. The murwere ushandiswe physiotherapy, asi iwe unofanira kubata nawo, nguva dzose vachiongorora kurova kwemwoyo. Kwete chete kurovedza yakananga kubatsira kudzorera kumwoyo, asi kunobatsirawo:

• Kufamba.
• Massage.
• Kuchirapa namabhati.

Kana kutendera hombe mwoyo kurwisa, vapore zvinoratidza amboshandurirwa zvokudya. Hako vanofanira zvinosanganisira zvokudya normalize mwoyo ushande:

• Fresh miriwo nemichero.
• Bread.
• Facial.
• Kashi.

Products risingabatanidzwi Muterere vanotsamwisa paumbwe sclerotic plaques nemidziyo:

• Fat ndiro.
• Vaiputa.
• Sausages.
• Ruomba yakashapa cream.
• Fat koteji chizi.

Kana murwere kutambura hombe mwoyo kurwisa, vangani vanorarama pashure chirwere vakadaro kuvimba zvaidiwa zvose kunenge dzose kupinda chiremba. Murwere achafanira afungezve mararamiro avo:

1. Tinofanira kupinda kare tsika dzakaipa, dzakadai sokusvuta fodya uye doro.
2. Muganhu kurovedza muviri.
3. Usataura anoshungurudza ezvinhu.
4. Kufamba kufurwa nemhepo ipi ekunze.
5. Zvinodhaka chinoramba kudzivirira paumbwe plaques mumidziyo ropa. Ungangove, kwoupenyu hwose vanofanira kushandisa mishonga kuti haana kukonzera kuitazve.

Zvakanyanya, kana uine mukana narwo vapore ari kushandiswa vakwegura.

Migumisiro chemwoyo

Kana paiva chemwoyo hombe, Saka, sezvo mutemo, migumisiro yacho vari zvakakomba varwere:

• Arrhythmia.
• Thrombus inotungamirwa mu kumwoyo.
• Vaichengeta hadzina kufambiswa zvakanaka mubasa zhinji nhengo dzomukati.
• Akarambazve nemakumbo.
• Unogona kutarisa matauriro disorder.
• Mumwe nemigumisiro yakaipisisa ane cardiac aneurysm uye thromboembolism.
• Pulmonary edema.
• Heart kukundikana.
• Cardiogenic kuvhunduka.
• Kutyora kufema basa.
• Cardiac kusungwa.

Sezvineiwo kutadzisa kukura zvakakomba yematambudziko zvinogona zvaidiwa vanorumbidza dzose chiremba, uyewo mararamiro avo uye mafungiro kuti utano hwavo.

Kudzivirira chirwere chemwoyo

Kudzivirira kukura mwoyo kurwiswa unogona kuva, kana ukachenjerera neutano uye kudzivirira paumbwe sclerotic plaques mumidziyo ropa. Kuti izvi zvidaro, zvinotevera zvinofanira kuchengetwa:

• Nyorawo zvokudya zvakawanda michero nemiriwo chine faibha.
• Kuderedza mafuta yorukosoro, aisvuta uye zvakakangwa zvokudya.
• Kutungamirira kuva nemararamiro ane utano.
• Nokuti kudzivirirwa kunetseka kutandara nzira kunyatsodzidza.
• Kudzora sandara ropa shuga uye remafuta akawandisa ose.
• Chirwere aibatwa.
• Chiremba wako panguva panowanikwa angina kurwiswa.

Myocardial infarction - chakakomba cardiac chirwere chinogona kukonzera rufu, asi ose murwere pasi zvokurapa vanorumbidza kunogona ichi zvokurwara inotyisa.