Acute insufficiency coronary: ukulondoloza intliziyo yakho ngoko nangoko!

Ingaba wena okanye usapho lwakho unesigulo "insufficiency etsolo yenhliziyo," kwaye awuyazi into kwesi sifo ndinaso? Funda inqaku wam owokuphendula inkoliso imiba ebalulekileyo enxulumene kule ngezifo intliziyo.

Imisebenzi e intliziyo phambili yayo kwaye rhoqo uyakwazi ukugcina umgangatho ofanayo yonikezelo izondlo neoksijini kuzo zonke izihlunu zomzimba. Kulo mzekelo, iinkalo komzimba ezingummiselo zemisebenzi ezesifuba nemithambo zibandakanya zombini ukugxininiswa nokunciphisa ubunzulu umsebenzi wakhe, nto leyo phambi ezingaqhelekanga zentliziyo ikhokelela sengxakini ezisebenzayo "yindlala" kwithishyu. Eyona elikhethekileyo igazi ubonelelo intliziyo kukuba ifumana izondlo neoksijini kuphela ngexesha diastole. Ekubeni iindlela komzimba ka ntshikilelo ngexesha umthambo, nto leyo ekhokelela rhoqo isingqi sayo, kunciphisa kakhulu ubude diastole, Ozone igazi ukugeleza entliziyweni. Xa iyonke umsipha unesifo ischemia, ehamba ngokutshiswa intlungu emva breastbone. Kule meko wentliziyo igazi ngxaki ukuphuhlisa etsolo insufficiency sentliziyo. Izinto ezibangela le meko zophendlo lwezifo zingahlulwa zibe ngamaqela-2:

• koronarogennye izizathu ezibangelwa kukuba izitya izilonda coronary atherosclerotic ukuba iingqameko okanye umonakalo, kwaye sclerosed udonga lwawo.
• Noncoronary ezinxulumene notshintsho zophendlo lwezifo nasezimpahleni coronary wentliziyo, yaye musa engaxhomekekanga kurhulumente kwemithambo.

Ukuba kuyimfuneko, qala umthamo reserve umzimba ukuba enze nawuphi na umsebenzi ngokwasemzimbeni okanye ntshikilelo emphefumlweni umsebenzi kwentliziyo kufuneka kukhawuleziswa. Nangona kunjalo, oku igcwele ukuqhubela yokuba yesiphako olusebenzayo iimpahla intliziyo.

Symptomatology of insufficiency ahlekise coronary.

Phantsi yesenzo adrenaline bakhululwa xa umntu okanye ntshikilelo phantsi komthwalo, iimpahla linciphise mithambo zokunika ukuhamba ukwandisa Velocity ukuqinisekisa ubonelelo owaneleyo mzimba emzimbeni. nebhodi atherosclerotic sayo okanye udonga sclerotic nokuba constricted ngakumbi, nto leyo ebangela ukuba kusekho zesondlo eziliqela iingqameko ekungeneni entliziyweni ngegazi. Kukho insufficiency yayiyazi sentliziyo. Isigulane nangoko iqalisa ukuba buhlungu elivuthayo elibukhali emva breastbone, leyo ayikuvumeli ukuba wenze lo msebenzi. Loo meko ihlelwa sisifo kobuchopho intliziyo kwaye ezi fom zilandelayo: sifuba angina, iposi engabalulekanga. Xa ixesha le ngezifo yangoku nangona ezinye intliziyo kusenokubakho ukunqongophala nokuhamba kwegazi, nto leyo kuboniswa ukuphelelwa umoya, imilebe blue, impumlo, ukubetha uswele amandla imithambo kweqondo, ebila nokuzibonakalisa angagubhi. insufficiency Acute coronary, iimpawu apho kakhulu eqaqambileyo, akunyanzelekanga ukuba izakhi ezongezelelweyo ezithile sisigulane, ngokuba ngokusisiseko idlala indima iimpawu:

• Xa uhamba okanye esebenzayo umthambo, uxinezeleko, kukho intlungu elivuthayo elibukhali emva breastbone, nto leyo isimilo kwingcinezelo ngayo ekubhekiswe interscapulum, ingalo yasekhohlo, intamo, phantsi collarbone ekhohlo.
• sokuwa enjalo ngokuqhelekileyo ithatha imizuzu engekho ngaphezulu kwe-15-25, yaye ngokuthe ngcembe iintlungu ndinciphe, kanti xa intlungu engabalulekanga akanayo utyekelo enjalo. Xa ubude bayo ngaphezu kwesiqingatha nga nokuxilonga iposi engabalulekanga kwinqanaba oyingozi.
• Isiseko umgaqo lokukhululeka une intlungu: stenokardicheskie iintlungu isuswe emva kwemizuzu eli-15 emva kokuba lolawulo nitroglycerin kunye iqhosha kungancitshiswa ngama- efanayo kunye nokuqhubeka imizuzu ezingama-30. Intlungu syndrome, iposi engabalulekanga kusetyenziswa analgesics ezidakumbisayo, ithuba apho ifumaneka kuphela esibhedlele.

Unyango insufficiency ahlekise coronary.

Ukuba wena okanye abo ubathandayo etsolo insufficiency coronary, unyango unikwa kuphela nogqirha, kodwa ingaqhuba sisigulane ngexesha kuhlasela kanye phakathi kwabo, ngokunjalo kwinto esibhedlele.

Xa isigulane iintlungu esifubeni kufuneka uthathe nitroglycerin sublingual, dutywa ngokupheleleyo tablet. Emva kwemizuzu eli-10, ukuba ukwanda ntlungu hayi lifinyele, kuyimfuneko ukuba ukuphinda ulwamkelo. Unyango lwenziwa phakathi ukuhlaselwa nitrate, blocker bakhethe kunye neziyobisi umbala anti-atherosclerotic elide-esebenza. iintlungu iposi engabalulekanga akukho isikiwe nitroglycerine okanye enye vazodillatatorom, ngoko izizathu unyango engxamisekileyo ekliniki. Kukho amalungiselelo ezahlukeneyo ngokuxhomekeke kwimeko nganye. Oku analgesics ezidakumbisayo, arhente antiplatelet, kunye arhente thrombolytic, blocker, kwaye ngamanye amaxesha kunye womchamo wamelwa inhliziyo ngokuchitha igazi kunye nokunciphisa umthamo wegazi, kunye isisu kwenza kwisigulana ayikho langoku ngexesha defecation, nto leyo enokuphazamisa ukubuyela lwemithambo intliziyo. Ngenxa yoko, UPawulos kulapha ngentla, kubalulekile ukukhumbula ukuba insufficiency etsolo coronary - kakhulu ngezifo kwentliziyo esifuna unyango ngononophelo kwaye rhoqo.