Chenjera coronary insufficiency: rinoponesa mwoyo wako pakarepo!

Ko iwe kana mhuri yako yave chirwere "chakasimba coronary insufficiency," uye iwe havana chavanoziva pamusoro chirwere ichi? Verenga nyaya yangu kuti achapindura vazhinji dzinokosha nechokuita ichi cardiac zvokurwara.

Mitambo panguva mwoyo waro chamazuva uye nguva dzose anokwanisa kuramba chete nenhanho nerubatsiro zvinovaka muviri uye okisijeni vose nyama dzomuviri. Panyaya iyi, nyika vasiri zviri murau pakati cardiac uye vascular mabasa anosanganisira vose intensification uye kuderedza kusimba basa rake, iro pamberi abnormalities mwoyo kunotungamirira dzichipfekeka deficits uye "nenzara" pakati tishu. Chimwe chinhu chinokosha ropa wedzerai mwoyo kuti anopiwa zvinovaka muviri uye okisijeni chete panguva diastole. Sezvo vasiri zvigadziriswe kunetseka panguva yechiitwa, iyo inotungamirira kuupenyu kakawanda mutinhimira ayo, kunoderedza zvikuru ya diastole, depleting ropa riyerere mumwoyo. In zvachose pomwoyo anotambura ischemia, achiperekedzwa unopfuta marwadzo seri breastbone. In mamiriro iri mwoyo ropa rive kushaikwa kuva chakasimba coronary insufficiency. The zvinokonzera ichi pathological ezvinhu unogona kukamurwa 2 mapoka:

• koronarogennye zvikonzero anokonzerwa chokuti coronary atherosclerotic maronda midziyo vari kujekesa kana kukuvadza, uye rusvingo rwavo zvinogona sclerosed.
• Noncoronary chokuita Kumwe kuchinja kunotanga ari coronary nemidziyo mwoyo, uye regai kuvimba mamiriro pakati arteries.

Kana zvakakodzera, kutanga muviri kuchengeterwa vanokwanisa kuita chero basa chaiko kana mupfungwa cardiac basa anofanira nokukurumidza. Zvisinei, ichi hwakazara kusembura wokuva kushanda kuremara mwoyo midziyo.

Symptomatology kuti chenjera coronary insufficiency.

Pasi zvinoitwa adrenaline kusunungurwa kana munhu kana kunetseka pasi mutoro, nenhumbi nhete lumen ayo kugovera aibuda velocity kuwedzera kuitira yakakwana wedzerai muviri kuti munyama. Several atherosclerotic Dombo kujekesa lumen kana rusvingo sclerotic zvakatonyanya constricted, izvo chinoita muviri pokuperevedza inflow mumwoyo neropa. Pane kusachengeteka kukuru coronary insufficiency. Murwere pakarepo anotanga kunzwa rakapinza rinopfuta marwadzo seri breastbone chisingazivi kumutendera kuita basa. Mumugariro iri semhosva ischemic chirwere mwoyo uye aine zvinotevera siyana: angina pectoris, myocardial infarction. Kana ya magetsi zvokurwara kunyange zororo mwoyo vanogona kuperevedza wokufambisa ropa, iro kunoratidzwa kupfupika kufema, miromo zvitema, mhuno, simba kupomba ari arteries wamativi, vangadikitira uye anokangaidza okuti. Chenjera coronary insufficiency, zviratidzo izvo chaizvo inopenya, haatarisiri mamwe chaiyo bata kubudikidza murwere, nekuti rinonyanya kuridza basa zviratidzo:

• Kana achifamba kana kumhanya muviri, kushushikana, pane unopinza rinopfuta marwadzo seri breastbone, inova hunodzvinyirira chimiro kurehwa interscapulum, kuruboshwe ruoko, mutsipa, pasi bondo kuruboshwe.
• kazhinji nepfari kwakadaro rinovapo anopfuura 15-25 maminitsi, uye marwadzo zvishoma nezvishoma kuderera, asi kana myocardial marwadzo asina tsika yakadaro. Kana kupfuura hafu kureba kwayo anogona rokuongorora myocardial infarction iri rikwanise danho.
• Hwaro nheyo nechirwere zvokuyamura kurwadziwa: marwadzo stenokardicheskie kubviswa pashure maminitsi 15 pashure kwokubatsira nitroglycerin uye infarction kunogona kuderedzwa chete uye kuramba kwemaminitsi anopfuura 30. Nokuti marwadzo chirwere, myocardial infarction akashandisa marwadzo analgesics, mukana iyo inowanikwa chete muchipatara.

Mabatirwo chenjera coronary insufficiency.

Kana iwe kana vadiwa vako chenjera coronary insufficiency, kurapwa anopiwa chete chiremba, asi zvinogona kutakurwa murwere panguva kurwiswa uye pakati pavo, uyewo muchipatara marongero.

Kana chipfuva marwadzo murwere vanofanira kutora nitroglycerin sublingual, Kuparadzwa piritsi zvachose. Mushure maminitsi 10, kana kusimba marwadzo isina akaderedzwa, zvakakodzera kudzokorora mabiko. Treatment rinoitwa pakati kurwisa-refu achiita nitrates, blockers vanosarudza uye prophylactic Anti-atherosclerotic zvinodhaka. Myocardial marwadzo infarction hauna yakasvikawo nitroglycerine kana mamwe vazodillatatorom, muri saka zvikonzero nokukurumidza kunorapwa kukiriniki. Pane gadziriro dzakasiyana kuchitsamira pamunhu nyaya. Izvi analgesics marwadzo, antiplatelet vamiririri, uye thrombolytic vamiririri, blockers, uye dzimwe nguva muhombe mwoyo kurwisa diuretics kuti zvaikosha ropa kuparadzirwa uye kuderedza inzwi ropa, uye ari laxative murwere haasi taiti panguva defecation, izvo zvinogona kukanganisa venous kudzoka pamwoyo. Saka, akapedzisa pamusoro, zvinokosha kuziva kuti rikwanise coronary insufficiency - zvikuru cardiac zvokurwara kuti zvinoda kungwarira uye kuramba kurapwa.