Heart kurwisa: chii, zvinokonzera, mangwanani zviratidzo, chirwere uye kurapwa. mhando mwoyo kurwiswa

Zvemwoyo anenge panzvimbo yokutanga pakati zvinokonzera hwenyama munyika dzakawanda. Chimwe chezvinhu zvakafanana pathologies - mwoyo kurwisa, kworudzii chirwere, nokuti chero chikonzero, kutanga, kana unogona kudzivisa chirwere uye sei kubatsira murwere? mibvunzo yose iyi achaedza kupindura zvizere.

Heart kurwisa - chii?

Chokwadi kuti ichi ndicho chirwere ngozi, vanoziva zvinhu zvose, asi mashandiro uye zvinokonzera mubereko haisi nguva dzose, asi zvinokosha kuziva kuti kudzivirira zvirwere zvakadai. Kuumba mwoyo kurwisa somugumisiro kweropa kusagadzikana dzine mwoyo tsandanyama.

zvokurwara ichi chinonziwo rudzi nechirwere chemwoyo. Kana ropa rakawanda dzakaparadzaniswa kwemaminitsi anopfuura 15-20, pane necrosis kuti munyama mupenyu, izvo pamwe kurwadziwa uye kunogona kuurayisa.

Cardiologists vanoti hono vanhu chemwoyo chichaitika kazhinji, nokuti munhukadzi muviri inonzi estrogen kudzora ropa remafuta akawandisa mumatunhu. Kana yapfuura avhareji yezera yomwoyo iri 55-60 makore asi zvino achiri muduku. Chirwere zviitiko chirwere kunyange vechiduku.

Kwete nguva dzose pachena mwoyo kurwisa inoguma zvinouraya vanhu, asi zvakakosha kuziva kuti pashure pokunge zvaitika, nguva dzose pamwoyo chivara anoramba, varwere vakawanda kudaro pashure kutambura chirwere chakadai wana akaremara.

Sei kukura chemwoyo

Paumbwe chemwoyo kunotanga vasati kuratidzwa kwayo. Zvakangotanga rinotanga nokuumbwa atherosclerotic plaques kuti vari kutanga kuumba muropa midziyo remafuta akawandisa zvakaipa. Honzeri yawo kuwanika ropa zvikanganiso zviri zvokudya uye ndakagara mararamiro. plaques izvi zvishoma nezvishoma constrict vascular lumen, vachivhiringidza zvakajairika kweropa.

Masero ari zvishoma zvichiipa, plaques vane saizi kuti chero pathological migumisiro kwavari inotungamirira atsamwira. Panguva iyi, clots ropa, pova clot ropa, iro occludes ngarava, kudzivirira ropa atungamire. Ndizvozvo, izvi rinowanikwa mumwoyo panguva chomwoyo.

The zvinokonzera chirwere kukura

Kana kutanga chemwoyo, zvinokonzera angava akasiyana, asi chikuru ndiko kumisa ropa kubuda kune dzimwe nzvimbo pomwoyo. It kazhinji kunoitika nokuda:

• Atherosclerosis of coronary arteries, zvichiguma mudziyo masvingo vanorasikirwa elasticity yavo, lumen ari kujekesa nokuda atherosclerotic Dombo.
• Coronary spasm, izvo zvinogona kuitika nokuda kunetseka zvakadai izvi kana zvimwewo zvinhu.
• Arterial thrombosis, kana Dombo inotanga kure uye neropa nokuyerera kuti moyo vakauya.

Zvinhu zvinogona kukonzera mamiriro kwakadaro kunogona kusanganisira:

• A majini kubatwa chomwoyo.
• Large nhanho ropa "zvakaipa" remafuta akawandisa.
• Kuvapo tsika dzakaipa dzakadaro, kufanana kusvuta.
• muviri yakawandisa uremu.
• BP.

• Diabetes mellitus.
• A vazhinji zvokudya mafuta zvokudya.
• Kushushikana mupfungwa kusingaperi.
• Vamwe vanachiremba vanoti uye ve psychosomatic somushonga chinokonzera chomwoyo inova kunyanya utsinye, kusashivirira.
• Kuva akasimba pabonde.
• Low kurovedza muviri.
• Age pashure zera 40.

Zvakakodzera kufunga kana pane mubatanidzwa zvinoverengeka, pangozi yokurwiswa mwoyo kunowedzera.

chirwere marudzi

Kana iwe ongorora zvokurwara ichi sezvo chomwoyo (ndiko kuti, tatoona), kuti cardiologists kudoma akawanda siyana zvokurwara yakavakirwa akawanda zvinodiwa.

Kana tikafunga pavaipfuura chirwere, zvadziri ina, chimwe nechimwe kunoratidzwa ayo unhu. Kukura lesion kuripowo akatorwa paunoronga classifying. anokudzwa:

• Macrofocal mwoyo kurwiswa apo zvinyama necrosis rinoburitsa rose ukobvu yacho myocardium.
• Melkoochagovyj, kwakakanganisa chiduku chikamu.

voga ne nzvimbo:

• Right ventricular infarction.
• Kuruboshwe ventricle.
• Interventricular septum.
• Sidewall.
• rusvingo rwemberi.
• Anterior ventricle rusvingo.

Myocardial anogona iyerere pamwe uye pasina matambudziko, saka cardiologists emit:

• Kuoma mwoyo kurwisa.
• Nyore.

Localization kurwadziwa kunogonawo zvakasiyana, saka ndiwo anotevera mhando mwoyo kurwiswa:

• A chaiwo chimiro mukurwadziwa seri breastbone.
• Atypical chimiro anogona kuratidza abdominal marwadzo, kupfupika mweya, mwoyo mutinhimira nenyonganiso, dzungu uye kutemwa. Dzimwe chemwoyo anova pasina kurwadziwa.

Mhando mwoyo kurwiswa uyewo kusiyanisa zvichienderana kukura multiplicity:

• Primary zvokurwara.
• Idzokororo myocardial infarction.
• Inodzokororwa.

Upenyu pashure chemwoyo achaenderana kwokuomerwa chirwere, ayo chimiro uye rubatsiro nenguva inopiwa.

Zvokukura Kugadzirwa chemwoyo

Necrotic kuchinja mwoyo tsandanyama mune imwe kutevedzana voga saka anotevera matanho infarction:

1. PIS. Ya iyi inobva akawanda maawa kuti mavhiki akawanda, nguva ino mwoyo tsandanyama vakatobatana kuumbwa duku foci pamusoro necrosis, panzvimbo yavo, uye ipapo kuva chomwoyo.
2. Chenjera nguva anogona kugara kubva maminitsi mashoma kuti 2 maawa. Anowedzera myocardial ischemia.
3. Chenjera myocardial Danho ndedzoupenyu mazuva mashoma. Panguva iyi zvinonzi akaumba pedo ainyanya necrosis vakachengeta rushoma resorption pamusoro hunenge tsandanyama tishu.
4. Postinfarction Danho agare kusvika hafu yegore, chivara rinenge aumba kubva connective zvakajeka.

Chirwere kubva myocardial infarction

Chirwere chinotanga kukurukura murwere. Chiremba anowana kunze, kana kurwadziwa, chii tsika mhando ivo, kana wokupedzisira bedzi murwere anotora kure mwoyo kurwiswa uye kana pane uri kurapwa zvabuda.

Zvadaro hazvo kuzivikanwa zvinokonzera ngozi chiremba uyu kutaura chaiyo mararamiro, culinary tsika, tsika dzakaipa. The Kuongororwa nhoroondo yemhuri - chiremba anowana kana mhuri munhu mwoyo chirwere, kwave kune zviitiko chomwoyo.

Zvadaro, murwere inoendeswa zvinotevera bvunzo uye inoongorora:

1. Chinonzi bvunzo nevakawanda ropa, unogona kuziva yakakwirira kwevari leukocytes, mukuru erythrocyte sedimentation zvazvingava, zviratidzo kupererwa neropa - zvose hunotanga kuoneka pakuparadzwa mwoyo tsandanyama masero.
2. Urinalysis kuchaita wanikidza comorbidities, izvo kungamutsawo mwoyo kurwiswa.
3. Vakaperekedza ropa nokukanganisika kuongorora kuti asarudze:

• remafuta akawandisa;
• nhamba "akaipa" uye "yakanaka" remafuta akawandisa;
• kuvapo triglycerides;
• ropa shuga yomuropa kuongorora ngozi pachinhu atherosclerosis.

Kana paine fungidziro yomwoyo, ongororo kuitwa chaizvo ropa makemikari.

Coagulogram aita kuti anopa parameters ropa pakugwamba, izvo anobatsira kuwana kodzero chipimo chemushonga kwezvinodhaka nokuda kurapwa.

Chirwere pamusoro myocardial infarction hazvibviri pasina electrocardiography. Mazvikokota nemigumisiro localize ari zvokurwara, nguva uye mwero kukuvara.

Akaita cardiac Ultrasound kudzidza marongerwo uye kukura pomwoyo, kuongorora mwero vascular kukuvara atherosclerotic plaques.

Maekisirei rubatsiro kuziva kuchinja thoracal yeropa, mapapu uye wanikidza matambudziko.

Unoshandiswa kujekesa coronary angiography chirwere, hunobvumira kuti zvakarurama kuona nzvimbo uye rwakadini vasoconstriction.

Computed tomography pamwe musiyano unokubvumira vawane mufananidzo yakarurama mwoyo, kuti kuzivisa zvikanganiso rwawo, mavharuvhu uye abnormalities vari kushanda uye vasoconstriction.

Mushure zvose zvokutsvakurudza angafanira kunoona chiremba.

Chete pashure mamwe chirwere murwere basa ive kurapa kunobudirira rinobatsira upenyu pashure myocardial kutungamirira kune dzose.

symptomatology zvokurwara

Kazhinji, sitiroko hakurevi kuva mune Vacuum, kazhinji pane murwere kare nechirwere angina kana zvimwe cardiac zvokurwara. Kana kutanga chemwoyo, zviratidzo, nezviratidzo zvose vakadzi nevarume angava sezvinotevera:

• retrosternal marwadzo kuva zvikuru uye kwenguva refu. Marwadzo ane hunhu inopisa manzwiro Runonzwika compression uye compression anogona kupiwa bandauko, ruoko, kana mutsipa.

• Rinooneka irradiation mapazi uye kuwedzera nokurwadziwa.
• Murwere haagoni kushivirira muviri.
• Kugamuchira "nitroglycerin" haana zvakadaro zvakaitika.
• Kunyange panguva zororo pane kupfupika mweya, simba uye dzungu.
• Kuonekwe abdominal kusanzwa.
• Kushushikana mwoyo mutinhimira.
• Kufema anova zvakaoma.
• Rinooneka chando ziya, ganda blanch.

Kana paiva kupfuura zvimwe zvezviratidzo izvi, unofanira pakarepo kudana chiremba.

rubatsiro First kumurwere

Kana paine fungidziro yomwoyo, zviratidzo, zviratidzo vakadzi chete mberi kana musingadi kupa nechimbichimbi rubatsiro. Ndizvo sezvinotevera:

• Human vanofanira kugara kana akarara hwomutambarakede chinzvimbo.

• Rokumutsa kudzvinya mbatya.
• Nechokwadi kuwana mhepo.
• Post hwendefa pasi rurimi "nitroglycerin" kana kurwiswa simba, kunogona maviri.
• Kana "nitroglycerin" Kwete, iwe unogona kushandisa "korvalola" uye "asipurini".

Emergency hanya myocardial kuderedza marwadzo munguva kurwisa uye yekuzvidzivirira zvirwere.

Matambudziko pashure Kurwisa mwoyo

Kashoma chaizvo inopfuura pasina kurwisa matambudziko mwoyo, migumisiro yacho vanenge nguva dzose. Ivo kuderedza upenyu hunotarisira kunaya chirwere. Kakawanda chirwere anotevera yematambudziko:

• Heart kukundikana.
• Atsamwira mwoyo tsandanyama.
• Aneurysm.
• Cardiogenic kuvhunduka.
• Mutinhimira kunetswa pamwoyo.

• Post-infarction angina.
• Pericarditis.

Myocardial Migumisiro vangava paya, somuenzaniso:

• Pashure pemavhiki mashomanana anogona kutanga Dressler syndrome.
• Kazhinji anozivikanwa thromboembolic matambudziko.
• Neurotrophic kusagadzikana tsinga.

Varwere vakawanda vanofarira mubvunzo refu sei Ungapona pashure chemwoyo? Mhinduro kuchaenderana zvinoverengeka on: ukuru kuvadza mwoyo tsandanyama, timeliness nesu rokutanga kushanda zvakanaka uye rakarurama kurapwa, budiriro yematambudziko.

Maererano nenhamba, vanenge 35% wevarwere kufa, vakawanda vari kunyange kusvika zvokurapa chivako. varwere vakanga chemwoyo, kazhinji kuchinja kukura kwebasa mabasa ayo kana kunyange kusiya basa, vakawanda vakaremara.

How kudzivisa idzokororo mwoyo kurwisa kana kunyange kudzivirira chiitiko chacho

Munhu wose zvino pachena pamusoro mwoyo kurwisa, ihosha chakakomba kwazvo kuti anogona kuva nengozi kana kuti ndedzenhema. Asi zvinhu zvose zviri mumaoko munhu - kana kutevera vamwe kunenge, zvinokwanisika kuti kuderedza ngozi kuva chirwere ichi:

1. Kuti tirambe kudzora padanho BP, kunyanya kana kunoitika nguva, yepamusorosoro.
2. Kuongorora chechetere yomuropa.
3. Muchirimo, kudzivisa kuva pasi zvakananga chezuva kwenguva yakareba.
4. Unofanira adzokorore zvaunodya, kuderedza kudya kuti mafuta zvokudya, kurerukirwa zvokudya uye kuwedzera michero nemiriwo.
5. Wedzerai kurovedza muviri, kwete hazvo kuenda yokurovedza muviri ose zuva zvakakwana kuti kufamba, yakawanda vachifamba, kuchovha bhasikoro.
6. Kana utano iri anodhura, unofanira kurega kusvuta uye kudhakwa nedoro, uye kwete kuti vakatapa kofi.
7. Chengeta uremu hwako romuzvarirwo, kana kwete kunochitora yakaderera, zvinokwanisika kushanyira yezvokudya achakubatsira kuti kunovaka muviri chirongwa wacho.
8. In pamberi chisingaperi zvirwere zvakafanira nguva aibatwa, kunyanya, nezvezvitadzo cardiac pathologies, vascular zvirwere.
9. Kana hama chirwere myocardial infarction, chinofanira kuva utano hwavo zvakatoipisisa, kudzivisa rinorema remaoko.
10. Gore negore zvakafanira kuronga zororo rakanaka kubva kumhanya-mhanya muguta, munogona kuenda kumakomo kana pagungwa.
11. Sezvo shoma sezvo zvichiita kuti afumure vanozviisa psycho-mupfungwa, dzidza kuzvivaraidza unyanzvi.
12. Firimu nguva dzose uye kutora miedzo yose inodiwa mangwanani vasabatwa rakakwirira ropa shuga kana remafuta akawandisa muropa.

Kana chemwoyo yaisagona kudziviswa, zvakakodzera achiedza kudzivirira dzokororo kurwisa. Kuti aite izvi, unofanira kuita zvinoenderana vanorumbidza dzose chiremba, tora ushandiswe mishonga uye mararamiro kuchinja.