Kodi ndi chiyani, ndi ziti zisonyezo komanso momwe mungachiritse Kusokonezeka kwa Cardiogenic

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zingayambitse mantha amtima
• Momwe mankhwalawa amachitikira
• 1. Kugwiritsa ntchito mankhwala
• 2. Catheterization
• 3. Opaleshoni
• Zovuta zazikulu

Kugwedezeka kwamtima kumachitika pamene mtima umatha kupopa magazi okwanira m ziwalo, zomwe zimapangitsa kuchepa kwa magazi, kusowa kwa mpweya m'matumba ndikudzikundikira kwamapapu.

Kugwedezeka kwamtunduwu ndichimodzi mwazovuta zazikulu za infarction yaminyewa yam'mimba ndipo, ngati sichichiritsidwa mwachangu, imatha kupha pafupifupi 50% yamilandu. Chifukwa chake, ngati kukayikiridwa ndi mtima wamaganizidwe, ndikofunikira kwambiri kupita kuchipatala mwachangu kuti mukatsimikizire matendawa ndikuyambitsa chithandizo choyenera.

Zizindikiro zazikulu

Zizindikiro zomwe zitha kuwonetsa kuthekera kwamatenda amthupi ndi izi:

• Kupuma mofulumira;
• Kuwonjezeka kowonjezereka kwa kugunda kwa mtima;
• Kukomoka mwadzidzidzi;
• Kugunda kofooka;
• Thukuta popanda chifukwa chomveka;
• Khungu loyera ndi malekezero ozizira;
• Kuchepetsa mkodzo.

Nthawi zomwe mumapezeka madzi m'mapapo kapena m'mapapo mwanga, kupuma pang'ono komanso kumveka kosazolowereka kumawoneka mukamapuma, monga kupuma, mwachitsanzo.

Popeza kugwedezeka kwamtima kumafala kwambiri pambuyo povutika ndi mtima, zizindikirazi zimaperekedwanso ndi zizindikilo za mtima, monga kumva kupsinjika pachifuwa, kumenyedwa pamkono, kumva mpira pakhosi kapena mseru. Onani mndandanda wathunthu wazizindikiro zomwe zitha kuwonetsa kudwala kwamtima.

Momwe mungatsimikizire matendawa

Kuzindikira kwa mantha am'magazi kumafunikira kuchitidwa mwachangu kuchipatala ndipo, chifukwa chake, ngati pali kukayikira ndikofunikira kupita mwachangu kuchipatala chadzidzidzi kuchipatala. Dokotala amatha kugwiritsa ntchito mayeso ena, monga kuthamanga kwa magazi, electrocardiogram kapena X-ray pachifuwa, kuti atsimikizire kudandaula kwa mtima ndikuyamba chithandizo choyenera kwambiri.

Zomwe zingayambitse mantha amtima

Ngakhale infarction ndiyomwe imayambitsa matenda am'magazi, mavuto ena amathanso kuyambitsa vutoli. Zina mwazomwe zingayambitse ndi izi:

• Matenda a valavu ya mtima;
• Kulephera kwamitsempha kwamanja;
• Pachimake myocarditis;
• Mitima matenda;
• Mtima arrhythmias;
• Direct zoopsa kwa mtima;
• Poizoni wa mtima ndi mankhwala ndi poizoni;

Kuphatikiza apo, mu gawo lotsogola kwambiri la sepsis, lomwe ndi matenda opatsirana a thupi, mantha amtima amathanso kuchitika, pafupifupi nthawi zonse amabweretsa imfa. Onani momwe mungadziwire vuto la sepsis, kuti muyambe chithandizo ndikupewa kugwedezeka kwamtima.

Momwe mankhwalawa amachitikira

Chithandizo cha mantha am'magazi amayamba kuchipinda chadzidzidzi kuchipatala, koma ndikofunikira kukhala m'chipinda cha anthu odwala mwakayakaya, momwe mungapangire mitundu ingapo yothandizira kuti muchepetse zizindikilo, kukonza magwiridwe antchito amtima komanso kuthandizira kufalikira magazi:

1. Kugwiritsa ntchito mankhwala

Kuphatikiza pa seramu yomwe imagwiritsidwa ntchito molunjika kumtsempha kuti isunge ma hydrate ndi zakudya, dokotala amathanso kugwiritsa ntchito:

• Zithandizo zowonjezera mphamvu yamtima, monga Noradrenaline kapena Dopamine;
• Asipilini, Kuchepetsa chiopsezo cha kupangika kwa magazi ndikuwongolera kuyenda kwa magazi;
• Okodzetsa, monga Furosemide kapena Spironolactone, kuti muchepetse kuchuluka kwa madzi am'mapapo.

Mankhwalawa amaperekedwanso m'mitsempha, makamaka sabata yoyamba yamankhwala, ndipo amatha kumwa pakamwa, pamene zinthu zikuyenda bwino.

2. Catheterization

Mankhwalawa amachitidwa kuti abwezeretse kufalikira kwa mtima, mwachitsanzo. Kuti achite izi, dokotala nthawi zambiri amalowetsa catheter, yomwe ndi yayitali, yayitali, yopyapyala, kudzera mumitsempha, nthawi zambiri m'khosi kapena malo obisika, pamtima kuchotsa chotsekera chomwe chingachitike ndikulola magazi kuti adutse moyenera.

Mvetsetsani zambiri za momwe catheterization imagwirira ntchito komanso zomwe zimapangidwira.

3. Opaleshoni

Kuchita maopareshoni nthawi zambiri kumangogwiritsidwa ntchito ngati kuli kovuta kwambiri kapena ngati zizindikilo sizisintha pogwiritsa ntchito mankhwala kapena catheterization. Pakadali pano, opaleshoniyi imatha kukonza kuvulala kwamtima kapena kuchita cholowa chamtima, pomwe dokotala amaika mtsempha wina mumtima kuti magazi azidutsa kudera lomwe mulibe mpweya chifukwa cha khungu.

Kugwira ntchito kwa mtima kumakhudzidwa kwambiri ndipo palibe njira yomwe imagwira ntchito, gawo lomaliza la chithandizo ndikumangika mtima, komabe, ndikofunikira kupeza woperekayo woyenerana, zomwe zingakhale zovuta. Dziwani zambiri zakusintha kwa mtima.

Zovuta zazikulu

Zovuta zamatenda am'mimba ndikulephera kwa ziwalo zingapo zabwino monga impso, ubongo ndi chiwindi, zomwe zimayambitsa kufa kwa odwala ambiri omwe amalandiridwa kuchipatala. Zovuta izi zitha kupewedwa nthawi zonse matenda ndi mankhwala akapangidwa msanga.