"Cherechedza, tinotanga adrenaline. Hanzvadzi, tarisai zviratidzo zve cardiograph. Saka, ganda rinova rinopenya, anouya kwaari. Ndinokutendai mose, dambudziko rapera. " Iwe unofunga kuti awa ndiwo mapuranga kubva munyaya yezvokurapa here? Hazvina mhosva kuti ndeizvi: iyi ndiyo nguva yakazara yechiremba ehurumende yakanyanya "rubatsiro rwekutanga", yakakonzera murwere ane chirwere chemwoyo uye akaita basa ravo mukirasi yokutanga.
Kune mazana uye kunyange zviuru zvemamiriro ezvinhu akadaro zuva rimwe nerimwe. Asi mberi kwekubatsira kwarapa, zvinotora nguva, uye kune murwere hazvizovi pamapapu. Nokudaro, hama neshamwari zvinongoda kuziva kuti vangapa sei nekukurumidzira kuchengetedzwa kwemyocardial infarction nemamiriro ezvinhu akafanana. Ngatitarise pane chirongwa chekuita chinofanira kuteverwa kana iwe kana vaunozivana vako vakabatwa mumamiriro ezvinhu akaoma kudaro.
Nei chikwata chemyocardial chichiitika?
Asi tisati tadzidza kugovera rubatsiro rwekutanga mune imwe yenharaunda, ngationei zvinokonzera nemhando dzemamiriro aya. Nenzira iyi tichakwanisa kufunga nezvekutanga kwekurwiswa kwaro kwakatangwa uye kunyatsopesana nekugadzirwa kwechiitiko ichi chinotyisa.
Saka, myocardial infarction haisi chinhu chinopinza kukakanganiswa kweoksijeni yemutsipa wemwoyo. Nemhaka yepamusoro kana zvakanyanya kuwira kweropa, kudzvinyirira zvakanyanya basa, kufara kwakanyanya, kuwedzera kwezvirwere zvemoyo zviripo, kugoverwa kweropa kumwoyo kamwe kunopera. Somugumisiro, mishonga yemwoyo inorasikirwa nehuwandu hwemakemikari uye oksijeni, uye kune kushaya simba kwakanyanya mumabasa emwoyo.
Kiriniki inowanzozivikanwa kune myocardial infarction inorwadza zvikuru shure kwe sternum kuruboshwe, inofambiswa nekutya uye kutya kwekufa, kuputika kweganda uye mucous membrane, kuputika kwekutsvaira kunotonhora, kusuruvara nekutuka. Nhamo inogona kupiwa kuruoko rworuboshwe uye scapula, kumusana wezasi nemeno, asi kusiyana nekurwadziwa kwema angina, kurwadziwa nemaparcar infarction hakusi nyore mukubvisa nitraglycyrin.
Mamwe maitiro e-myocardial infarction anozivikanwa zvakare:
- Kana chirwere chepamuviri (mumimba) chepfungwa chinoratidzika, sekuwedzera kwehutachiona hwegermitis.
- Aine chimiro chechimiro, anozvivanzira pachake nokuda kwezviratidzo zvebhondial asthma. Zvisinei, zvakasiyana pakuti hakuna gastric kana antiasthmatics inobatsira.
- Nzira isina kurwadza yemyocardial infarction inonzi inotyisa uye inotyisa. Iyo inopfuura zvachose pasina marwadzo uye inozviwana iga kuparara kwakakosha kwesimba pamwe nekunyanya kuderedza muviri.
Asi pasinei nokuti mamiriro ezvinhu ane ngozi aya akazviratidza sei, kupiwa kwakakwana kwekuchengetedzwa kwekukurumidzira kwemyocardial infarction kusati kwasvika "rubatsiro rwekutanga" zvechokwadi kuchaponesa munhu anorwara kubva murufu. Ngationei zvino matanho anofanirwa kutora, kuva pedyo nemunhu akadaro.
Emergency kubatsira ne myocardial infarction
Kana akabatwa achiziva, zvino maitiro ake epakutanga kana mhosva yekushaya mwoyo iri kudana kune ambulensi, kutora nitroglycerin pasi pomururi uye kumuisa pamubhedha. Mhinduro yakanaka ichavawo yekushevedza hama, hama kana kuti muvakidzani.
Sokutanga rubatsiro muacute myocardial infarction kune nitraglycyrin, hazvina kufanira kuwedzera mahwendefa e aspirin. Vari muhuwandu hwezvidimbu zvakapetwa mumuromo mako uye zvakadzingwa, kwete kushambidzwa nemvura. Zviito zvemishonga zvinogona kubatsirwe zvakare pamwe nehosi yekurasikirwa. Nemanyoro emhando ye rhythmic kwemaminiti 1, kuisa mashizha ari pane imwe tsananguro. Ikutanga inongova pasi pejeri riri kuruboshwe muvarume kana pasi pechifuva chekupedzisira muvakadzi. Uye yechipiri - pakuguma kwegadziriro, yakatorwa kubva pane zvakataurwa pamusoro apa kusvika pakati pe sternum. Cherechedza, zvose zviri zviviri zvinorwadza zvikuru, saka uzvizunguze zvakanyatsonaka.
Kana munhu akabatwa akangwara, uye kupindira pamaketari e-carotid hakubvongororwa, enda kumusasa usina kujeka wemwoyo uye kufema kwepfungwa nemaitiro emuromo kana muromo kumapfupa:
- Chokutanga, ita chitubu chakasimba mukati memumwoyo wemwoyo, ugova nechifukidzo chakazara, uise hekecheche pameso omurwere uye ushingaira kubudisa mhepo yose kubva kumapapu ake kusvika mumhino kana mumuromo wemunhu anenge ashungurudzwa. Chifuva chekupedzisira chinofanira kusimuka, sekunyorova.
- Ikozvino isa maoko ako pachifukidzo mumoyo mako uye uite 15 rhythmical clicks. Zvino zvakare, inhale, uyezve 15 inonongedza pamwoyo.
Kuchengetedza kunopfuurira kusvikira munhu akabatwa asina kuuya kwaari, kana ambulensi inosvika.
Rubatsiro rwakadaro neyomyocardial infarction, kana ichinge ichishandurwa zvakajeka, inokwanisa kukwevera varombo pamwe chete kubva kune imwe nyika. Zvisinei, kana iwe ukacherechedza hutano hwako, tora kurapwa nokukurumidza uye uite mararamiro akaenzana, saka rubatsiro rwekukurumidza ne myocardial infarction harifaniri kushaiwa nokuda kwekushayikwa kwayo.