Kukuru myocardial infarction: yezvakaita zvokurwara, nechirwere, zviratidzo uye migumisiro.

Zvirwere chokuita kumwoyo, nhasi vari kutungamirira munyika nhamba yevanofa. Kakawanda kenza zvokurwara zviri kudzika kuti rationally anotsanangura kukosha dambudziko nenguva nechirwere uye kurapwa. Asi chaizvo mwoyo kurwisa, kukanganisa zvikuru nzvimbo mumwoyo tsandanyama, iri kuramba chinoremedza vanhu pamusoro makore 40. Kusanganisira dzakawanda infarction ventricular septal, Anterior uye posterior rusvingo ventricle kuruboshwe, iyo kunokanganisa kwazvo mwoyo. Muchiitiko chino, izvozvo anotambura haangogoni pomwoyo pachayo, asi muviri wose vose hemodynamics.

chomwoyo wandisa zvinogona kukonzerwa zvinotevera pathologies:

• atherosclerosis of arteries,

• clots ropa,

• tsitsi spasm ropa nhumbi kwedziva.

Afunge hombe mwoyo kurwisa zvinhu zviri kuonekwa mumuviri kushushikana, mupfungwa mafaro kana kunetseka. Vari chinozoiswa kuburikidza akatevedzana Kumwe kuchinja kunotanga mumwoyo tsandanyama.

The mashandiro pamusoro myocardial infarction

The mashandiro kurwisa mwoyo zvinogona kutsanangurwa sezvinotevera: sezvo atherosclerosis of coronary arteries yekudyidzana kunoderedza aibuda ropa, chikamu munyama kusangana hypoxia - nokushayiwa okisijeni. mamiriro uku kare semhosva ischemic mwoyo chirwere (nechirwere chemwoyo) uye kunoratidzwa pamberi atherosclerotic Dombo, kuderedza lumen uye arterial kuoma dzimwe nhengo dzomuviri. Kana nesimba kuchinyanya ropa riyerere zvinofanira hwakawedzera, akapa kuti compensatory zvigadziriswe muviri.

Nokudaro endarterium pasi paine chikwangwani chakanyorwa aoma overstrains apo maplatelet nokukurumidza -wedzera. Saka, mumwe clot ropa, iro mberi nhete kuti lumen pamusoro arteries uye kunoderedza ropa riyerere kuburikidza navo. Nokuda kwaizvozvi, nzvimbo infarction achitambura nokushayiwa okisijeni, iyo anoumba pfungwa chomwoyo. Zvinofanira kucherechedzwa kuti uyu Implementation mashandiro pakati ischemic necrosis acho achava dzakakura chaizvo, saka, murwere achagamuchira migumisiro yakakura myocardial infarction.

zviratidzo zvechirwere chomwoyo

Varwere vanenge pakarepo kutanga kuona kupfuura rikwanise rinopfuta marwadzo seri breastbone, iyo isina kubviswa chimwe dose kuti nitroglycerin. Kana kuzodzosera nitroglycerin kumbokonzera zvinoderedza kwazvo neshungu, uye ivo inogara maminitsi anopfuura 20, chinofanira kuva mubvunzo mumwoyo kurwisa, iro nguva dzose anoita zvakakodzera kudana amburenzi.

Chirwere uye migumisiro kutambura hombe mwoyo kurwisa

Kana chirwere kudzikinurwa kuti inpatient chikwata kunodiwa. Pane chichaitwa chirwere matanho kujekesa chirwere uye kubviswa anorwadza zviratidzo. ECG Conduct achaita kujekesa yezvakaita lesion uye inzwi rayo. Saka zvakawanda infarction dzinoratidzwa vakawanda nokuchinja ECG. Also kuitwa ropa nokukanganisika pachisara izvo zvicharatidza zvezvinangwa pamusoro cardiac tsandanyama. The kupfuura kuratidzwa nzira nechirwere yomwoyo rokutanga nguva iri Nzira kuna ECG uye Ultrasound, kuti aratidze gipodinamichnye nzvimbo haana kuitawo marwadzo. Izvi zvichava ainyanya chemwoyo, bhuku rinogona kuonekwa paku nzira nechirwere. Zvinogona kukanganisa nzvimbo huru tsandanyama uye avatsause kubva kubasa.

Saka, migumisiro mwoyo kurwiswa hombe moyo ungava zvikuru vainzwisa tsitsi - mwoyo rinenge kuchaita nyore wasvava munzvimbo ino vakaumba vanga. Mugore chenjera padariro zvikuru ropa kuyerera myocardial anotanga kuratidza deficits vakasiya denderedzwa, uye chiedza kwokusasimba ventricle kuruboshwe uye kuderedza kurasikirwa chikamu chikuru tsandanyama anotanga stagnate ropa. Izvi zvingakonzera pulmonary edema uye kufirwa. Asi pano, kuti kunonoka kurapwa muchipatara, nekuti pamwe nenguva (kwete paya pane 4 maawa pashure kutanga zviratidzo marwadzo) Kushandisa thrombolytic anogona kudzorera ropa kuyerera uye kuderedza kukuvadza tishu. Chete nenguva kubvuma ane mukana mukuru kuderedza bhuku maronda, nekuomarara zviratidzo, uye nokuponesa anoshivirira upenyu.