Chimwe chezvikonzero zvinowanzoitika pakudana boka rembulensi ndeyekurwadziwa kwepfungwa kana chirwere chemyocardial infarction - chirwere chemakirini chinoda kutarisirwa nekukurumidza.
Kurwiswa kwepasina
Myocardium inonzi muscle yemwoyo, ichigadzira rhythmic contractions, kushandura nekuzorora. Ne myocardial infarction, ropa rinopa chikamu chemwoyo wemisumbu kamwe-kamwe rinomira nekuda kwekuvharwa kwakakwana kwegoniyoni inopa ropa-oksijeni-yakazara. Kazhinji kazhinji izvi zvinotungamirira pakuumbwa kwetrombus pane imwe atherosclerotic plaque, kazhinji-kuvhara kwechiedza chegoniyoni. Muchiitiko ichi, nzvimbo yeyo myocardium inorega kudya uye inofa, uye musikana wakafa anowanzoendeswa nechigunwe.
Kurwiswa kwekurwadziwa kwemoyo kunoenderana nezviratidzo zvekutanga:
- kurwadziwa kwazvo kwepfupa kunowedzera kumutsipa, ruoko, kumashure, tambo;
- kupera kweganda, kupisa kunotyisa;
- kuora mwoyo.
Zvisinei, panewo zviratidzo zvehupenyu hwemyocardial infarction, nekuda kwezvingakanganwa. Somuenzaniso, pane dzimwe nguva inonzwa sekuti inogona kufanana nekwemhepo kana inofambidzana nekutambudzika nekufema uye kusagadzikana kwepfungwa.
Zvakakosha kuyeuka kuti nokukurumidza mukana wekugadzirisa artery inosvinudzwa, zvishoma kana mwoyo uchatadza, saka, kana chirwere chemwoyo chichifungidzirwa, ambulense inofanira kunziwa pakarepo.
Mafomu e myocardial infarction
Myocardial infarction inorondedzerwa sezvinotevera:
Nezvikamu zvekuvandudza:
- acute, kana chikamu chekukuvara (kubva maawa maviri kusvikira maawa makumi mana) - kuumbwa kweecrosis yenzvimbo yemwoyo mususu;
- chikamu chikuru - kuputika kwevakafa chikamu chemyocardium, pamwe chete nekuputika munzvimbo ino uye kuwedzera kwekushisa kwemuviri;
- subacute chikamu - chirongwa chekuvhara ruvara;
- chiitiko chisingaperi - ruvara rwemavara.
Nehuwandu (ukuru) hwechionda:
- hukuru-mwoyo kurwisa (yakazara);
- chidiki-focalction infarction (kazhinji inypical).
Nekugara munzvimbo:
- yakasiya ventricular infarction (anterior, lateral, pasi, pasi);
- chinangwa chemoyo;
- kuvhara kwevhesi yechipamende, nezvimwewo.
Mushonga weAacute myocardial infarction
Varwere vanopinda muchipatara uye kwemazuva mashomanana ekutanga vari pasi pekuongororwa kunowanikwa munzvimbo huru yekuchengetedza.
Kurapa kwekurwadziwa kwemwoyo kunosanganisira mishonga inotevera:
- painkillers;
- zvinodhaka zvinokurudzira kusagadzikana kweprombus;
- zvinodhaka zvinoderedza ropa;
- mishonga inoderedza kuwanda kwechidimbu cheropa;
- zvinodhaka zvinoderedza kushaya kwomwoyo.
Panguva imwecheteyo, kuzorora zvakasimba pamubhedha kunoshandiswa, pamwe nekuchengetwa kwakakodzera kune murwere kuitira kuti usapinda matambudziko uye mamwe matambudziko.
Kudzorera mushure mokunge myocardial infarction
Mushure mokunge kutengesa kwepfungwa kwemwedzi inenge mitanhatu, zvakakosha kuchengetedza kuregererwa kwepamusoro. Mune ramangwana, basa rinosanganisira kurema muviri kana kushungurudzika kunorambidzwa.
Kuvandudzwa kwemurwere kunotanga muchipatara nekudzorerwa kwehutsika hwakarasika (kuzvidzora, hutano hwehutano), uye hunoenderera mberi mumamiriro ekugadzirisa nzvimbo, sanatorium kana polyclinic.
Zvichienderana nezera, kuyerwa kwemurwere, kuoma kwekukuvadza kumutsipa wemwoyo uye zvirwere zvinoshamwaridzana, dambudziko rekurovedza muviri rinogadzirwa nokuda kwechirwere. Maitiro ekuita muviri anobva pane aerobic load (zvichikonzera oxygenation yeropa), yakagadzirirwa kukura muviri uye kutsungirira mwoyo. Uyewo, kuiswa muviri kunorayirwa kunatsiridza maronary circulation, kunowedzera musikana kubuda ropa, kudzikisa muviri uye kushungurudzika mupfungwa.
Inokurudzirwa kufamba, basa rekunyama (mumunda, musha), rakapfuma mavitamine chikafu nekugadziriswa kwemafuta emhuka,
Kuchengetedza myocardial infarction
Nokudzivirira zvirwere zvinokurudzirwa:
- chiito chepanyama chepanyama;
- kudzora muviri;
- kuramba tsika dzakaipa;
- kuwirirana kweropa;
- chimiro cheshuterikori muropa ;
- kugamuchira acetylsalicylic acid.