Kuzivikanwa kwakajairika kwakadai, kufanana nekushaya simba kwemoyo (OCH), inorwara umo mwoyo miviri inorasikirwa nekwanisi kubvumirana nechinyorwa. Izvi zvinokonzera kuderera kwepombi basa rechirongwa, nokuti izvo zvese zvinotanga kushayiwa oxygen.
Zvinokonzera kukanganisa mwoyo kwakanyanya
Kazhinji kacho kazhinji kushaya mwoyo kusakwana kunokonzera kusingaperi. Muna 60 - 70% yezviitiko, kunyanya kune vakwegura, OSS inovapo nekuda kwekuwedzera kwechiripo chinonzi ischemic heart disease (myocardial infarction kana zvinetso zvemagetsi).
Muchirwere vaduku, chirwere chinogona kukonzerwa ne:
- endocarditis;
- arrhythmia;
- chirwere chemwoyo;
- kuderedza mwoyo (caratomy heart heart);
- severe aortic stenosis;
- cardiac tamponade;
- severe acute myocarditis.
Mukuwedzera kune zvikonzero zvinokonzera chirwere, izvo zvinonzi. asiri nemoyo zvinokonzera kukura kwayo:
- kurohwa kwakanyanya;
- kidney failure;
- pneumonia, septicemia nezvimwe zvirwere;
- kunyanya kuderedza zvinodhaka;
- kunwisa doro;
- bronchial asthma;
- pheochromocytoma.
Kune mhando dzakasiyana-siyana dzekliniki kuratidzwa kwechirwere chekushaya mwoyo kwakanyanya:
- yakasiya ventricular OCH;
- right ventricular DOS;
- cardiogenic shock.
Zviratidzo zvekushaya mwoyo kwakanyanya
Neseri yakasara yeOOST, gasi kugoverana mumapapu kunonyanya kuvhiringidzika nekuda kwekuputika mumutsara muduku wekuparadzirwa. Kunyunyuta kunowanzo:
- kupera kwekufema kwakanyanya;
- arrhythmia;
- kushaya simba;
- chifuva.
Munhu ane OSS anoedza kutora nzvimbo. Kana pasina rubatsiro runopiwa, uye kupera kweropa mune denderedzwa duku riri kufambira mberi, chifukidziro chinoputika chinopisa chinogona kutanga, nehutachiona hunogadziriswa nekuoma, ganda rinova rakanyorova, kunotonhora uye kunononoka, uye kufema-kubhuta.
Muchiitiko chekodzero yakanaka yeOCH, apo pane kupera mumakumbo (chiringi chikuru chemazipa), zviratidzo zvinotevera zvakanyorwa:
- kurwadziwa shure kwe sternum;
- chando kupisa uye cyanosis yeganda;
- kuzvimba kwemitsipa (kunyanya pamutsipa);
- kudonha muropa;
- kupfupika kwemhepo, kufema;
- kazhinji threads like pulse;
- kuzvimba kwemakumbo, kudonha;
Mukudengenyeka kwepfungwa (inonziwo chirwere chechidiki chechibereko chemwoyo), munhu anogona kuderedza zvikuru kupikisa (kusvika kune zero maitiro). Murwere anorwadziwa, kurwadziwa kwake kwakafanana nekusvibiswa, ganda rinopenya. Ikoko kune anuria (hapana urineni mumucheka). Nokudaro, kushaya kwepvo, pulmonary edema inokura.
Kubatsira kwekutanga kune kukanganisa kwemwoyo
Mukuona kwekuti DOS ndiyo inokurumidzira mamiriro ezvinhu anotyisa zvakanyanya upenyu hwehupenyu, pazviratidzo zvokutanga zvekuvandudzwa kwezvirwere, "ambulensi" inofanira kunzi. Sarudza pasina kubatanidzwa kwechirongwa chekushayikwa kwakaoma, asi kana murwere achiona kurwisa haisi yekutanga, angangodaro ari mune mishonga cabinet nitroglycerin, inorayirwa nachiremba. Izvo zvinofanira kuonekwa kuti zvinopesana kutora mishonga iyi kana kuipa kune mumwe munhu asina chirongwa chechiremba, sezvo mumwe munhu anokwanisa kuchinja nyore nyore kurwadziwa kwemoyo kunyange nekunyepedzera , iyo nitroglycerin ine ngozi inouraya.
Iyo yakanakisisa rubatsiro rwekutanga rwekushaya mwoyo kwakanyanya ndiko kudana chiremba uye kupa murwere mweya mutsva. Chiremba anonyanya kurongedza diuretics uye zvinodhaka zve nitroglycerin boka (kana ropa riri mukati memaitiro uye kune zasi ye ventricular OCH). Kana kukanganiswa kuri pasi, kupa dopamine, dobutamine.
Kurapa kwekodzero ye ventricular yakaoma mwoyo kusagadzikana iko oxygenation, kutungamirirwa kweanalgesics kumurwere, prednisolone, diuretics, nitrates, glycosides yemwoyo.
Kuvhunduka kwehupenyu kunobatwawo ne oxigenotherapy, adrenaline, norepinephrine, dopamine, anticoagulants inorayirwa.