Kusokonezeka kwa m'mnyewa wamtima

Kusokonezeka kwa m'mnyewa wam'mimba ndi kufinya kwa minofu ya mtima.

Zomwe zimayambitsa kwambiri ndi izi:

• Ngozi zamagalimoto
• Kugundidwa ndi galimoto
• Kubwezeretsanso mtima (CPR)
• Kugwa kuchokera kutalika, nthawi zambiri kumakhala kopitilira 20 mita (6 mita)

Kusokonezeka kwakukulu kwa myocardial kumatha kubweretsa zizindikiritso za matenda amtima.

Zizindikiro zimatha kuphatikiza:

• Kupweteka kutsogolo kwa nthiti kapena chifuwa cha m'mawere
• Mukumva kuti mtima wanu ukugunda
• Mitu yopepuka
• Nseru kapena kusanza
• Kupuma pang'ono
• Kufooka

Wothandizira zaumoyo adzayesa. Izi zitha kuwonetsa:

• Kuphwanya kapena kupukuta pakhoma pachifuwa
• Kumva kupweteka mukakhudza khungu ngati pali nthiti zophulika komanso kuboola mapapo
• Kugunda kwamtima
• Kugunda kwamtima kosasintha
• Kuthamanga kwa magazi
• Kupuma mofulumira kapena kosaya
• Chifundo mpaka kukhudza
• Khoma lachifuwa losazolowereka likuyenda kuchokera ku nthiti

Mayeso atha kuphatikiza:

• Kuyezetsa magazi (michere ya mtima, monga Troponin-I kapena T kapena CKMB)
• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• Electrocardiogram (ECG)
• Zojambulajambula

Mayesowa atha kuwonetsa:

• Mavuto ndi khoma la mtima komanso kuthekera kwa mtima kugunda
• Madzi kapena magazi m thumba lochepa mozungulira mtima (pericardium)
• Nthiti zovulala, mapapo kapena chotupa chamagazi
• Vuto ndi kuwonetsa kwamagetsi pamtima (monga mtolo wama nthambi kapena chipika china cha mtima)
• Kugunda kwamtima mwachangu kuyambira pamtundu wa sinus wamtima (sinus tachycardia)
• Kugunda kwamtima kosazolowereka koyambira mu ma ventricles kapena zipinda zapansi za mtima (ventricular dysrhythmia)

Nthawi zambiri, mumayang'aniridwa kwa maola 24. ECG idzachitika mosalekeza kuti muwone momwe mtima wanu ukugwirira ntchito.

Chithandizo cha chipinda chadzidzidzi chingaphatikizepo:

• Kukhazikitsidwa kwa catheter kudzera mumtsempha (IV)
• Mankhwala ochepetsa ululu, kusokonezeka kwa mtima, kapena kuthamanga kwa magazi
• Pacemaker (wosakhalitsa, atha kukhala wokhazikika pambuyo pake)
• Mpweya

Mankhwala ena atha kugwiritsidwa ntchito pochiza kuvulala kwamtima, kuphatikiza:

• Kuyika chubu pachifuwa
• Kutulutsa magazi mozungulira mtima
• Kuchita opaleshoni yokonzanso mitsempha yamagazi pachifuwa

Anthu omwe ali ndi vuto lopatsirana pang'ono amachira nthawi zambiri.

Kuvulala kwakukulu kwa mtima kumatha kukulitsa chiopsezo cha kulephera kwa mtima kapena vuto la mtima.

Malangizo otsatirawa angathandize kupewa kuphwanya kwa mtima:

• Valani lamba mukamayendetsa.
• Sankhani galimoto yokhala ndi matumba ampweya.
• Chitani zinthu zowonetsetsa kuti mukukhala otetezeka mukamagwira ntchito pamalo okwera.

Kuvulala kopweteka kwam'maso

• Mtima - gawo kupyola pakati
• Mtima - kuwonera kutsogolo

Boccalandro F, Von Schoettler H.Matenda owopsa amtima. Mu: Levine GN, mkonzi. Zinsinsi za Cardiology. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 71.

Ledgerwood AM, Lucas CE. Kuvulala kwamtima kosazindikira. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 1241-1245.

Raja AS. Zoopsa Thoracic. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 38.