Zviratidzo zvokutanga yomwoyo zvidukuduku vakadzi: tsanangudzo uye unhu kurapwa

Zvemwoyo chirwere chinokonzera vakawanda kufa. Chirwere anogona kuitika chero nguva uye chero nzvimbo. Kana vanhu vakawanda akaomarara uye anogona kumirira yakareba rubatsiro, simba hafu revanhu zvichidikanwa pakarepo. Ndicho chikonzero uchifanira kuziva zviratidzo yomwoyo zvidukuduku vakadzi yokutanga. Chete muchiitiko ichi zvichibvira kushandisa panguva nyanzvi uye kudzivisa rufu.

Muchidimbu pamusoro chirwere

Microinfarction Paaiita kufa kubvisa chikamu chiduku pakati myocardium, kunoitika pashure yaitsiva tsandanyama connective tishu. Wechipiri haasi kukwanisa kuderedzwa, izvo isakarurama kunokanganisa zvakanaka munhu.

The mhaka chirwere - paumbwe ropa clot kuti clogs midziyo ropa uye chinonditadzisa kweropa ishande zvakanaka. Izviwo, zvinotungamirira necrosis mwoyo tsandanyama.

Very refu vaidavira kuti mwoyo kurwisa kuduku chirwere varume chete, asi ikozvino tinogona kutaura kuti vakadzi vanotambura nechirwere ichi. The chirwere anova zvakawanda uye duku ose gore. Pari, chinowanzoonekwa chirwere muna vanhu pasi matatu makore.

A nharaunda duku myocardial kukuvara kunotungamirira kurufu kashoma, asi chiri riwedzere kuti kukura zvikuru infarction. Panyaya iyi, chiremba anoda rubatsiro. Kuitira kudzivisa zvakaipisisa zvinoitika, unofanira kuziva zviratidzo yomwoyo zvidukuduku vakadzi.

The zvinokonzera chirwere

Boka pangozi huru iri nevakadzi zera makumi mashanu.

Kune zvinhu zvakawanda zvinogona kukonzera zvirwere. Vari rakakamurwa kwokunze uye dzakawanda. matambudziko rwakashata zvinhu zvinogona kunzi nechitarisiko zvinokonzera.

• mamiriro kusingaperi anoshungurudza kukonzera spasm midziyo ropa utano. Panyaya iyi, muviri unotanga zvakawanda okisijeni, asi haagoni kundoitora.
• Depression kugumbuka.
• Kufunganya uye suspiciousness.
• Mafuta omumuviri akawandisa mumatunhu.
• Usava kudya uye nhodzera.
• Bad tsika: kusvuta uye kudhakwa.

Nezvikonzero kuti achaita zvishoma mwoyo kurwisa zviratidzo vakadzi vanogona kunzi kune chirwere:

• Atherosclerosis. It kutyora lipid muviri uye mapuroteni mumuviri womunhu. Kuvakwa plaques kuti vafukidze lumen rwengarava ropa.
• Chirwere cheshuga mellitus - kutyorwa mafuta uye carbohydrate muviri.
• NeBP - soro kufurira anoparadza masvingo tsinga.

chirwere zviratidzo

Unoda nguva kubatsira kana munhu waunoda aine chomwoyo? Zviratidzo zviratidzo chirwere ichi muna vakadzi pakutanga, muchiitiko ichi unofanira kuziva. About zvino uye tozotaura.

• Kurwadziwa ari rworuboshwe the pane zviri sternum.
• Kupfupika mweya uye dzungu.
• Cyanosis nemiromo, uye kurasikirwa chavanoziva.
• Dzungu uye kushaya simba.
• Nokutya uye kutya rufu.
• Ropa matadza uye kufema.
• "Nitroglycerin" asisiri kunobatsira kuderedza marwadzo mwoyo.

dambudziko Microinfarction kuonekwa ndechokuti chirwere havagoni pakarepo vazivikanwe. Dzimwe zviratidzo akafanana nevakawanda chando, achiperekedzwa: zvakawanda zvive, utera, kurwadza manzwiro ari chipfuva uye fivha. Ya zvishoma mwoyo kurwisa - kwete kupfuura makumi matanhatu maminitsi.

The chidzoke ari pamusoro zviratidzo zvinogona kukonzera mimwe zvinhu uye zviduku nesitiroko vakadzi vachitambura netsoka dzavo, uye ivo vanosanganisira: inorema vangadikitira, kutemwa uye marwadzo majoini, kuzvimba, uye fivha.

Atypical chimiro chirwere

Dzimwe nguva Chirwere isina zviratidzo, uye mukadzi, suspecting chinhu, anotakura iye netsoka dzake. Chete achiongorora zvaive electrocardiograms, tinogona kuona kuchinja myocardium. Vanhuwo zvikuru;

• Asthmatic chitarisiko. Zvinokanganisawo vanhu vakwegura vanenge atozvionera: nechirwere chemwoyo, BP, mwoyo kukundikana. Pamwe anotevera zviratidzo: kupfupika mweya, pulmonary edema, cardiac asima. No marwadzo syndrome.
• Abdominal chitarisiko. Zviratidzo yomwoyo zvidukuduku vakadzi iyi vari: kurwadziwa, kuda kurutsa, kurutsa.
• Arrhythmic chitarisiko. Small uye nepakati muchipfuva marwadzo, mwoyo mutinhimira akashatirwa, pane hypotension.
• Cerebrovascular chitarisiko. Muchiitiko chino, pane dzungu uye nekuvhiri- ngika, kuwedzera aiona, chiso bindira, izvozvo anochinja, kuda kurutsa uye kurutsa.

Sezvaunogona kuona, zvakaoma chaizvo kuziva zviratidzo izvi yomwoyo muduku, iye amene unozvishandura nezvimwe zvirwere.

Diagnostics

Rokuongorora chirwere hwakaoma zvakakwana. Haina chaizvo zviratidzo. Kuona mamiriro ezvinhu pomwoyo zvinogoneka chete rinokosha michina.

Pakati dzakashandiswa, zvinofanira kutaurwa:

• Electrocardiogram. Kuburikidza nzira iyi, takatsunga nokuchinja mune myocardium.
• Ultrassom kuzviongorora mwoyo. Nenzira iyi, kukura takatsunga ne pachoto pamusoro chirwere chacho nzvimbo.
• Wakaitwa vakawanda uye nokukanganisika bvunzo ropa. Zvinobatsira akaisa zvezvinangwa nehosha, asi chete pashure chirwere. Panguva nzira yakajeka myoglobin pamwero (mapuroteni remubatanidzwa munhu conductive okisijeni mukati masero). Basa troponin, creatine kinase uye lactate dehydrogenase.
• Radiography. Chipfuva anogona kuratidza mumwe zviratidzo chirwere - pulmonary kuzara.

Zviratidzo yomwoyo zvidukuduku vakadzi, akadai blueness akapoteredza miromo kana marwadzo, zvichatibatsirawo kumisa chirwere achiri pavaipfuura chirwere.

mabatiro

Maitiro kubvisa hosha kunoitika muchipatara, uye chete pasi zvokurapa achitarisirwa. Kazhinji, mukadzi pakarepo raizoiswa yevanorwara zvikuru. Iye anofanira kufefetedza uye cardiac defibrillation uye pacing. Kana murwere nemamiriro chakakomba, pakarepo oparesheni yainorongwa mevhiki.

Rokuongorora zvishoma mwoyo kurwisa, zviratidzo, mangwanani zviratidzo vakadzi, kurapwa kunofanira kutsanangurwa chete nyanzvi. Pedzisa rusununguko kubva chirwere zvinosanganisira:

• mubhedha Strict zororo. Chete iyi, mutoro pamusoro pomwoyo ipfupi.
• Complete rugare rwepfungwa.
• Kushandiswa analgesics kuderedza marwadzo.
• Nokuti vasodilatation koronarolitiki hwakatangwa.
• Drug mushonga. zvinodhaka All vari kutarisirwa chete nomutsinga. nzira iyi zvinobatsira normalize ropa kuyerera uye kudzivirira ropa.

Mushure kuvandudza mamiriro murwere chinjwa yevanorwara zvikuru kuti dzose wadhi.

Kuvhiya rinoitwa kazhinji vechiduku.

Consequences uye kudzivirira

Ngozi rufu akaramba kunyange pashure pakurapa chirwere sezvo mwoyo kurwiswa zviduku. Zviratidzo zviratidzo zvokutanga vakadzi, migumisiro ingamuka pashure chirwere - zvose izvo vanofanira kuwana murwere kufunga nezvoupenyu. Uye migumisiro zvinogona dzakakomba zvikuru, uye kutaura nezvazvo ikozvino:

• nekusagona ramangwana ramangwana ezvinhu zana muzana;
• vakaremara kuremara;
• arrhythmia uye cardiac insufficiency;
• kuchinja mumatauriro kana ayo kusavapo;
• aneurysm uye asima;
• ropa clots;
• pericarditis;
• kutyora zvomukati kushanda.

matanho anofanira kutorwa, uye ipapo mwoyo kurwiswa muduku, zviratidzo, mangwanani zviratidzo chirwere vakadzi vanogona asingazivikanwi kwamuri.

• Nzira kwakarurama youpenyu.
• basa rinoda kuva nemwero.
• Waiver kuti mafuta zvokudya, doro, kusvuta.
• Kubhadhara zvishoma nzeve kuitika.
• Ezvinhu anoodza mwoyo, edza kusava.

mhedziso

Itirawo zvakawanda dzakateerera utano hwavo. Nokufamba kwenguva rubatsiro ino - ndiko kuti apore. Zvakazoitika aigona kubatsira mune chikuru melkoochagovogo infarct kukura. Teerera muviri wako uye rakagara kuongorora yezvokurapa nerimwe gore.