Coronary midziyo moyo; sei kuita, cost, matambudziko. Coronary midziyo mwoyo: wongororo

Kune vari zvino kuenda kuwedzera richikurukura emwoyo nzvimbo. Chinangwa ichi kwacho kureva nepose kuunza yokungoitawo uye rokukurumidzira uchenjerere varwere. Ichi yokunzvenga kunyanya wechokwadi uye stenting kushandiswa wakaremara midziyo. Izviwo, yekudyidzana zvinoderedza mukana wokuti mwoyo kurwisa kwaizotevera kuchinja zvachose.

Kukosha chirwere matanho

Mukana Mabatirwo zvemwoyo pathologies nhasi nhaka vanachiremba avo zvinoda zvinonyatsochengeta kushanda uye kushandisa zviripo rutsigiro mabasa. Pamberi Kupindira, chiremba anofanira kuva mashoko chaiwo. Kunyanya, nyanzvi anofanira kuziva rwakadini atherosclerotic maronda uye aienda rwengarava ropa, uyewo chii aripo kana clot izvozvo saizi uye apo iri, sei akura ndiye hurongwa negadziriro yeparutivi ropa rive. Mhinduro dzemibvunzo yose iyi inogona kuwanikwa kuitisa chaizvo kuongorora. Muchidzidzo ichi nhasi ndiyo coronary nhumbi mwoyo. Next funga chii chinoumba yacho ongororo. Munyaya ino uchadzidza nezvake kutanga varumbidzwa coronagraph nhumbi mwoyo. Sei mari, matambudziko - uyewo zvose izvi ichakurukurwa pazasi.

tsananguro

Chii coronary midziyo mwoyo? ari kuongorora sei? Mibvunzo iyi dzingaidza varwere vakawanda. Coronary midziyo mwoyo nzira kuongorora zviri arteries, iyo yakavakirwa kushandisa X-ray. Chimwe zita Ongororo iyi - Angiography. Shandisa nzira iyi kuti chirwere pakati pathologies siyana kumwoyo. The kunaka kwayo kuita zvakananga zvarinoita rakarurama tevera kurapwa. Sezvo coronary midziyo moyo anoitwa outpatient ezvinhu, zvakakodzera kwerubwinyo rwakagara rwuripo kunyoresa. Kuti aite kudzidza kushandiswa chinokosha michina. Doctors kuita imwe ongororo yakaitwa kuti kudzidziswa zvakakodzera. Coronary midziyo mwoyo rinoshandiswa senzira fanira danho iri nechirwere zvokurapa nzvimbo pashure uchishanyira mwoyo chiremba.

exploratory kuongorora

Heart chiremba kuti kubvunzana vanofanira kupfuura zvimwe miedzo. Zvikurukuru, unofanira:

• KLA pamwe fomura uye maplatelet.
• Nemakemikari parameters mwoyo tsandanyama.
• Kweropa.
• Lipidogram. Zvakakodzera kuzosimbisa pre-isingachinji mwero atherosclerotic kwacho. Muchiitiko chino, kudzidza lipoprotein uye yakakwirira arambe achirema, zvachose remafuta akawandisa.
• Shuga iri weti uye ropa.
• Electrolyte nomwero.
• Mune dzimwe mumarabhoritari, kukarukureta pamusoro mwero zvichiita yematambudziko ose atherosclerosis.
• Studies ose hepatic uye renal ushande.
• Nemimwe miedzo, dzakakudzingai chisingaperi zvirwere uye kutapuriranwa pezvakaita AIDS.

Zvakakodzera sezvo migumisiro izvi zvidzidzo Hardware:

• Fluoroscopy. Kudzidza uku hakusi chete kuongorora mamiriro ezvinhu zvemapapu rinenge asiwo havatsananguri contours uye kukura mwoyo.
• ECG. Electrocardiographic kuongorora muna emuchina zvinopa uchapupu kudiwa kubvunzana, kuguma unocheka tinakidzwe, kukwanisa tsandanyama fibers, pane zadzisa mumadhipatimendi akasiyana-siyana, scarring pashure chomwoyo. Mukuwedzera, ECG rinozivisa kuramba ischemia pamwe vanofungidzirwa murombo fungidziro.
• Ultrassom pamwoyo. Ultrassom zvinoreva mufananidzo uye nemaziso mabasa akasiyana-siyana madhipatimendi moyo, kushanda vharafu pakati atria uye ventricles, nemidziyo guru. Kushandisa Ultrasound yakaratidza hypertrophy (thickening pamadziro) muviri netsandanyama.

Zvose pamusoro zveBhaibheri zvinogona kuderedza ari kumirira nguva zvabuda mushure zano nyanzvi cardiology centre.

Coronagraph midziyo mwoyo: rondedzero nzira, zviratidzo

nzira iyi tsvakurudzo chinodiwa kana mvumo murwere anosarudza kuvhiyiwa, iyo ndehwokuti - kuti zviite murwere ezvinhu. Recommended kuongorora vaya vanoronga kuita stenting kana ndavhiyiwa. Coronary midziyo achibvumira vanachiremba kuziva Kuvhiya mhando chinodiwa.

Chii chinonzi kuongorora?

Coronary midziyo mwoyo, mutengo izvo zvinosiyana kuRussia, akaita kwete unyanzvi nzvimbo. Mumaguta makuru ari kuongorora anogona kuwanikwa mune multidisciplinary yekuongororwa. Kazhinji, kuongorora zviri kurongwa. Pakutanga ponji. Kazhinji, nzvimbo iri femoral tsinga iri muhudyu. Kuburikidza nahwo, mumwoyo kudzidzisa epurasitiki anobudisa mushonga zvishoma nezvishoma. The chubhu chinotarisirwa musiyano mumiririri. Pamusana kuvapo kwayo muna chiremba angiography, achitumira on-screen mufananidzo, ona zviri kuitika mune murwere ari coronary midziyo. Kudzidza, chiremba Anoongorora mamiriro pomumbure, anosarudza kuti chengeto nzvimbo. Coronary midziyo mwoyo kunoita kuti zvakasimba kuongorora munzvimbo dzose. Zvakabuda zvokutsvakurudza anoenderana ruzivo uye kodzero yacho nyanzvi. Pakupedzisira, musi sei kuti vanyatsokwanisa kudzidza zvinoitiswa, zvinoenderana kwete kubudirira kurapwa, asi kazhinji murwere upenyu.

Kurohwa tsvakurudzo

Munguva nzira, emo yokutindivadza inoshandiswa. Femoral kana ulnar tsinga kubaya gobvu tsono. Sarudzai yakanaka nzvimbo nyanzvi. Kazhinji, pakudzidza kunoitika pasina kushandisa vakawanda yokutindivadza. Coronary midziyo mwoyo (varwere Most wongororo zvinoratidza ruzivo urwu) - kazhinji munhu nyarara nzira kutsvakurudza. Vamwe varwere yakashuma kusagadzikana chete munzvimbo kupinza yacho tsono. Kuburikidza lumen anosimudzira refu uye dzakaonda anobudisa mushonga zvishoma nezvishoma. Zvinonzi zvokudya sezvo mumwoyo midziyo. Nokuti anobudisa mushonga zvishoma nezvishoma sangano anoona nyanzvi pamusoro Monitor chidzitiro. Mushure chubhu iri hwakasimbiswa kutsvakwa nzvimbo, musiyano mumiririri chinotarisirwa. Maererano mirayiridzo chinoitwa nyanzvi nemifananidzo pamaberere siyana. Pashure kubviswa kukurukura anobudisa mushonga zvishoma nezvishoma chikamu pedyo vazvo kana chinokosha bhandiji.

Basa pashure kudzidza

Murwere inokurudzirwa mubhedha zororo, anopa zano kurambidza sangano rimwe gumbo kuti rave richishandiswa sechinhu mazano kupinda tsinga. Kwemazuva akawanda pashure kuferefeta iri basa Inwa mvura uye safarira kudya, uye chinobatsira kubvisa musiyano mutumwa pedyo neitsvo. Maererano ongororo dzakawanda, varwere yemanyorero muchapora nokukurumidza pashure coronary midziyo mwoyo kwakaitwa. Zvaigona kunge kana kubuda kweropa iri ponji panzvimbo haana kumborega. Panyaya iyi hapana kukura pakazvimba, kupwanywa aumbwa; Varwere chokunyunyuta pamusoro dzungu, utera. On mamiriro ichi unofanira pakarepo kuudza chiremba wako.

Events pamusoro avaida pakudzidza

Kugadzirira coronary nhumbi mwoyo rinoitwa maererano nemimwe mirayiro. Nokuti kuti akaita muchipatara, murwere vanofanira kutevera mazano ose nyanzvi. Chiremba akasarudza chinogona kuramba zvinodhaka, uye izvo kudzima. Pamberi midziyo coronary vachange kuitwa, zvakakodzera:

• Kudya manheru, havadyi pazuva bvunzo. Izvi zvichaita kuti svoto uye kurutsa kwacho.
• Empty dundira pakarepo pamberi nzira.
• Bvisa magirazi, nezvomumutsipa, mhete, mhete. Mune zvimwe zviitiko nyanzvi anogona kukumbirwa kuti abvise izvo kubva ziso.

Chiremba kuziva mishonga yose ikatorwa, kuvapo chisimbwa kana asingashiviriri kune fuma.

Asina varumbidzwa kundorondedzera?

Varwere vanenge nokusingaperi vakacherechedzawo imwe chisimbwa kuti siyanisa dhayi, hauna basa coronary nhumbi mwoyo. Matambudziko ari iyi angava kwazvo zvakakwana kuti anaphylactic kuvhunduka. Hazvina ichikurudzirwa kuita kudzidza dzimwe tembiricha yakakwirira, akazivisa kupererwa neropa (kupererwa neropa), kana kushaya kweropa. Contraindications kuita coronary zvinosanganisira kwakaderedza wevasungwa kuti potassium, zveshuga, chiropa chirwere, yemapapu uye chirwere cheitsvo, kufutisa, kukwegura.

Kuti uwane mamwe mashoko,

Asati achiita ongororo murwere chinotarisirwa yokutindivadza uye nemimwe mishonga. The murwere akavewura bvudzi ruoko kana ari muhudyu nzvimbo (zvichienderana chikamu kukurukura anobudisa mushonga zvishoma nezvishoma). The nzvimbo asarudza chinhu chiduku incision. Zvichava zvino rakapinzwa kupinda chubhu, kuburikidza iyo, chokwadi, uchava mberi anobudisa mushonga zvishoma nezvishoma. Mazvikokota anofanira kuita zvose kuitira kuti kufamba okunze haana kukuvadzwa. Pamusoro bhokisi murwere zvichabviswa wakaiswa electrodes. Ndivo zvakakodzera kuti kutonga cardiac basa. Maererano vaya vakasiya wongororo pamusoro nzira iyi, iri kosi kudzidza murwere haagari hope. Chiremba anotaura kuti murwere, kuda ezvinhu ake. Pane imwe nguva, chiremba anogona kukumbira kuchinja nzvimbo remaoko enyu, ndatura befu uye kuchengeta mweya yenyu. Panguva yokuongorora kuitwa BP uye kwemwoyo. Kazhinji, nzira runogara inenge awa, asi mune mamwe mamiriro ezvinhu zvingaita kwenguva yakareba. Mumaawa mashomanana pashure murwere haabvumirwi kumuka. Izvi zvakakodzera kudzivirira ropa. The iroro, murwere anogona kuenda kumba. Mune zvimwe zviitiko, Zvinokurudzirwa kugara kukiriniki. Sezvo nyanzvi dzevanhu achasarudza kana iwe unogona kudzokera yaizivikanwa upenyu: kugeza zvakare asati kutora mushonga sezvakarayirwa, uye saka kwamazuva mashoma mushure bvunzo hauna inokurudzirwa muviri ...

Chii chaigona kuva pashure bvunzo?

Maererano akaongorora zvokurapa zvirwere pashure coronary angiography kuchengetwa anenge 2% wevarwere. Munyoro nemishonga inogona kunzi sezvo kuvaviwa, ganda mapundu, kuzvimba kumeso uye rurimi. Zvose izvi chinhu sema pavakanzwa kusiyana zvinhu. pane chaizvo Kashoma ndisingafungiri. Zvimwe matambudziko vemunzvimbo, richiratidzwa muchimiro thrombosis, hematoma, kukuvara kuti mudziyo. Zvose izvi panobviswa muchipatara. Pakati migumisiro zvinokosha kuziva sitiroko kana mwoyo kurwisa. Zvisinei, nyanzvi kazhinji haana chokuita kukura kusachengeteka kukuru ezvinhu zvakananga nebasa zvidzidzo pamberi tsinga stenosis uye atherosclerotic muitiro wacho akaratidza unhu. Practice inoratidza kuti inouraya chiitiko chakanyorwa nomumwe zviuru.

Zvakadini Unofanira kubhadhara pokuongorora?

MuRussia, rimwe rakajairika chirwere Ezvemutauro kushandiswa cardiology tsika, zviri sechinhu coronary nhumbi mwoyo. Cost kutsvakurudza inotsamira zvinhu zvakawanda. On muripo zvinokonzerwa padanho kukirinika, zvinodiwa conductive nyanzvi chirwere, uwandu consumable zvokuvakisa, mhando rufimbi, kudiwa mamwe mabasa, kureba kugara muchipatara uye zvichingodaro. Nokuti vanhu vane MHI gwara, kutsvakurudza kuti vakasununguka. Nokuti vamwe vanhu, mari iri kuwanda 8000-30 000.

In mhedziso

Maererano nenyanzvi, chiremba anofanira kubatwa nezviratidzo zvokurwara rokutanga. Yakanga Kazhinji nenguva achashanyira chiremba anogona kudzivisa zvakakomba, uye mune zvimwe zviitiko, kusingarapiki yakaipa. Cherechedza kuti muchidzidza haagoni kunzi ngozi zvachose. Naizvozvo, kuderedza varwere ngozi vanofanira kuteerera kunenge navanachiremba.