Myocardial infarction chiratidzo chechimiro chemwoyo chinonzi ischemic, umo kukanganisa kwakakwana kana kusarura kwepachiviriro kunowedzera munharaunda yemwoyo. Kune marocardial infarction, zvose mumadzimai nevarume, asi izvi zvinopedzisira kaviri. Nhamba dzinoidza kushungurudzika kwemwoyo chimwe chezvikonzero zvinowanzofa zvekufa munyika dzakabudirira pasi rose.
Zvinokonzera chirwere chacho
Chikonzero chinonyanya kukonzerwa nekukurudzirwa kwepfungwa yepamuviri kuvakadzi isatirosclerosis yemidziyo. Basa guru remidziyo yegononi ndeyokuendeswa kwezvimiti uye okisijeni kumasero emasumbu emutima. Mukana wekuvhiringidza, imwe yemidziyo iyi yakavharwa ne thrombus, uye inopa oxygen yakakwana kwemaminitsi gumi ekushanda kwemwoyo. Mushure memaminitsi makumi matatu ekushaiwa kwekudya, kushanduka kusingaoneki mumoyo masero kunotanga uye mukati maawa mashomanana nzvimbo yakakanganiswa yakanyatsopera necrotic. Zvimwe zvikonzero, zvisiri zvishoma ndezvokuti:
- Obturation nekuda kwekushandiswa kwekushandisa (angioplasty, artery ligation);
- kuumbwa kwemarayari emwoyo ane thrombosis, mafuta embolism, etc ;;
- spasm of coronary vessels (ine angina pectoris, nezvimwewo).
Panewo zviitiko zvinopisa zvinokonzera kubuda kwezviratidzo zvekurwadziwa kwemoyo kune vakadzi, zvinosanganisira:
- anopfuura makumi mashanu;
- kuneta;
- chirwere cheshuga mellitus ;
- kunwisa doro;
- kusvuta;
- cholesterol yakawanda muropa;
- basa rakadzika remuviri;
- kurwadziwa kwemoyo munguva yakapfuura.
Infarction inoratidzirwa nehutsika husingagamuchirwi hwekutsvaga kwekugadzirisa uye kazhinji inotungamirira kune chinetso chakadai sekushaya mwoyo kwekusiyana kwakasiyana.
Zviratidzo zvekurwadziwa kwemoyo kune vakadzi
Zviratidzo zvechiitiko zvakakamurwa kuva maawa mashanu, zvichienderana pashure peimwe:
- Iyo nguva yekutanga isati yasvika inogona kupera kubva kumaminitsi mashomanana kusvika kumwedzi inoverengeka uye inoratidzwa, muchikuru, nekurwiswa kwe angina pectoris, kureva, kurwiswa kwekutambudzika kana kusagadzikana mushure me sternum. Angina pectoris inogona kufungidzirwa kuti ndiyo yekutanga zviratidzo zvekuuya kwemwoyo, izvo zvichaitika kana kurapwa kusati kwatanga panguva.
- Nguva inotevera inonzi yakanyanya. Inotora maawa mashomanana ekutanga kubva pakutanga kwemyocardial infarction, dzimwe nguva kwenguva refu. Kazhinji kazhinji inoratidzirwa nekurwadziwa kwakanyanya kumashure kwe sternum, iyo inokura uye inopa muruoko rworuboshwe, scapula, clavicle, rushaya. Inopindirana nekurwiswa kwekutya uye kuwedzerwa kwekutuka, palpitations nekufema, dzimwe nguva kurasika kwekuziva.
Iko kunewo maitiro ehupenyu hwemyocardial infarction, iyo isingawaniki. Kungoonekwa kwakadaro kunowanzoonekwa mumadzimai. Izvi zvinosanganisira:
- kurwadziwa kwepamuviri (kurwadziwa kwepamusoro kwepamuviri , kushungurudza, kusuruvara, kushaya simba, zviratidzo zvakafanana nekuputika);
- asthmatic (dyspnea, pulmonary edema, zviratidzo zvakafanana nehutema);
- kuora mwoyo, kushaya musoro, kuonekwa kusingaoneki, kuora mwoyo uye zvimwe zviratidzo zvepfungwa).
Nguva yakaoma inosvika kusvika mazuva gumi uye panguva ino ruvara runotanga kuumba pane necrosis site. Subacute nguva inosvikira masvondo masere ekurohwa maitiro. Uye mu-post-infarction period, murwere anogadzikana.
Kuchengetedza myocardial infarction
Kudzivirira kukurudzirwa kwekurwadziwa kwemoyo, zvakakodzera kutora matanho atove
- kutevedza nekuita zvekuita nguva dzose;
- kuramba kusvuta;
- kuderera muhutano hwekudhakwa;
- kudya (zvishoma mafuta emhuka zvokudya uye munyu, mimwe miriwo mitsva uye michero, hove);
- kudzora shuga yeropa (chirwere cheshuga chiri mumungozi zvinhu);
- kudzora cholesterol muropa;
- kudzora kweropa (pasina kukwirira kupfuura 140 kusvika 90);
- kugadzirira mishonga yevanhu vane angina kana njodzi dzakawanda (aspirin, heparin).