Sei kuziva mwoyo kurwisa zviratidzo

Zviratidzo myocardial infarction dzinokudziridzwa somugumisiro pakarepo chidzivaidzo ropa wedzerai mwoyo tsandanyama, zvichiita kwake kusimukira necrosis. Myocardial infarction zvinoreva rudzi ischemic mwoyo chirwere.

Kukura myocardial occlusion Zvinokosha faktoromi cardiac coronary thrombus, zvichiita kuti paumbwe guru muhomwe tsandanyama necrosis (necrosis) uyewo aienda pamusoro cardiac midziyo nokuda paumbwe atherosclerotic plaques.

Kana aienda pamusoro coronary arteries kwakapararira zvakasikwa (mbiri kana kupfuura arteries zvinobatanidzwa pakuitika), pamwe huripo myocardiosclerosis hwapedyo microinfarction. Zviratidzo zvacho zvishoma raidudzwa pane kukura kwakaita lesion. Kunyange zvazvo iri imwe mwoyo kurwiswa muduku, zvinogona kutungamirira chete matambudziko uye migumisiro, izvo kukura pane imwe huru zvatichiri necrosis.

myocardial infarction zviratidzo

Pakutanga chirwere, varwere chokunyunyuta pamusoro zvakakomba uye nguva refu muchipfuva marwadzo. Uyu chaiwo shanduro nepakurwadziwa pakati localization. Pain zvikaramba kwemaawa anoverengeka uye asingauyi zvakaitika shure kutora nitrates. Pane dzimwe nzira nzvimbo kurwadziwa Somuenzaniso, zvinogona kuitika mudumbu (gastralgichesky abdominal kana musiyano) iri epigastrium pamwe concomitant dyspnea (asthmatic musimboti). Marwadzo anogona kupiwa kumashure, mutsipa uye ruoko. Kazhinji marwadzo rwakasimba chaizvo zvokuti pane cardiogenic kuvhunduka, pamwe rworuboshwe ventricular nokukundikana uye pulmonary edema. Kazhinji kwakakanganiswa tinakidzwe kwemoyo, kurova kwehana unoraramisa uye BP chikawira mumwe nzira kumativi. Kana ventricular fibrillation ikaitika, ipapo ungauya chiremba rufu.

Kana ari wokutanga maawa pashure panowanikwa kurwiswa pamusoro cardiogram chakanyorwa ectopic ventricular arrhythmias, kungava anoratidza kudzorerwa patency pamusoro coronary tsinga mwoyo.

Kuwedzera marwadzo mumoyo, kutanga zviratidzo yomwoyo - refu kumanikidzwa, inova kurwadziwa, kunowanzoitwa, kukurumidza kurova kwehana, muviri tembiricha pave subfebrile. The tembiricha ichiwedzerwa mazuva matatu kana mana. Muropa kunowedzera nhamba ropa masero machena, vakawedzera erythrocyte sedimentation mwero uye huwandu nitrogenous matongo (musatora chiratidzo ichi nokuda urate infarction). izvi zvose tiri zviratidzo anogumbura kuita. In wokutanga maawa yave kuwedzera makemikari: creatine kinase, alt, AST, LDH.

On cardiogram nokuti mufananidzo myocardial vosimba mamirire ST chidimbu yakafara zino Q, panowanikwa ventricular dzakaoma QS mumakwara avo kwaiva myocardial necrosis. Kuti uwane yakarurama nechirwere, tichinyanyotarisa akadzokorora myocardial anofanira kutora yaitevedzana cardiograms.

Kana paiva mwoyo kurwiswa muduku, zviratidzo kazhinji haana kudaro raidudzwa uye kurwadziwa ingasaoneka zvikuru. Munhu anogona kuibvisa "netsoka dzavo", kana kururama kuti angina, ipapo randomly dzakaonekwa pamusoro kwemwoyo unonzi, electrocardiograph. Zviratidzo yomwoyo navaduku zvatichiri maronda inowanzobvunzwa kuonekwa vanhu kutambura angina kwenguva refu kana cardiosclerosis. Muzviitiko apo richiwanika munyika kutanga nzendo coronary tsinga chirwere, mwoyo kurwiswa kuduku yakafanana harbinger ine zvakawanda transmural maronda.

Mumazuva okutanga murwere anogona kunge yokufara, kuvandudzwa angadaro akadzokorora kurwadziwa mumwoyo, panowanikwa arrhythmias uye arrhythmia.

Dai vawande kuomesa mwoyo rusvingo kana aneurysm yacho yeropa, mwoyo nokukundikana uye pulmonary edema, emboli vascular thrombi nhengo uye maoko nemakumbo.

mabatiro

mwoyo Kurwisa kurapwa hazvo kuitwa muchipatara. vari kwazvo zviitiko kurapwa yevanorwara zvikuru. Basa nitrates muchimiro intravenous aizomupa guru mishonga ose heparin, analgesics. Zvakarurama polarizing muvhenganiswa ine potassium Beta blockers, okisijeni inhalation. Murwere anofanira kuteerera mubhedha zororo uye kuti sezvo akanyudzwa ne kunetseka uye epfungwa.