Kupisa munzvimbo mwoyo - iri chiratidzo ngozi ineobhodimo pakarepo kubvunza chiremba.

Maererano chinorwadza asi nhamba nemifananidzo, rufu mwero kubva zvemwoyo chirwere pokutanga kutanga pakati zvimwe zvinokonzera vakurumidze kurega upenyu chokuita chirwere. Kupfuura inotyisa uye kazhinji kunotungamirira murwere kune kamwe uye nokukurumidza rufu mwoyo chirwere - a myocardial infarction. Kwakavakirwa spasm kana occlusion rwengarava ropa kuti zvokudya mwoyo tsandanyama (coronary arteries) uye somugumisiro, rufu akafanorongerwa zvakawanda cardiac tishu.

Mumwe zviratidzo kungangoitika kana kwatoitika myocardial infarction kungava unopfuta manzwiro mumwoyo - kuruboshwe chipfuva. Zvino unogona kuitika kunyange vanhu hwakanaka-achitarisa zvakakwana vakanga vasati kunetswa mwoyo. Chokwadi kuti zvimwe zvinhu izvo vatungamirire pakupedzisira havachanyatsogoni kweropa iri myocardium, anogona kubva panguva ichishanduka nokukurumidza, uye chete yokupedzisira padariro mwoyo pakarepo kurwadziwa. Ndiko Somuenzaniso, atherosclerosis kuti kunoitika nokuda vawedzere remafuta akawandisa nhanho. Hazvibetseri nhamba inowedzera remafuta akawandisa munhu asingadi kunzwa, asi akanzwa nhumbi dzake ropa, kusanganisira arteries uye mwoyo, umo anokuvadza remafuta akawandisa ari rakachengetedzwa pamadziro muchimiro "plaques". Nepo saizi wavo muduku, muitiro anombozvitarisa. Ngozi yacho iri pakuti remafuta akawandisa plaques anogona pakarepo vakuvara uye kutyora kure, zvichiita thrombosis - uye ichi ndicho kutanga myocardial infarction. Uye mumwe zviratidzo nezvedambudziko dambudziko rokutanga - iri unopfuta manzwiro mumwoyo. Izvi ndezvechokwadi kunyanya varume vakuru nemakore 45, sezvo ivo vanowanzobatwa vaona "zvakavanzika" kukura kwakadaro pathological kukura. Izvi imhaka vamwe kuchinja kwemakemikari omuviri kuti kuitika mumuviri pazera iri.

Kana plaques kukura zvishoma nezvishoma, uye lumen rwengarava ropa kuvharidzirwa zvishoma nezvishoma. Muchiitiko chino, zviri vatakuri kazhinji chirwere nechirwere chemwoyo (CHD). Achinyengera chirwere ichi ndiko kutanga, kuti chero nguva vanogona kuva kwakaoma nokuda myocardial infarction nokuda rikwanise unopfuta manzwiro akasimuka mumwoyo make uye kufirwa murwere.

Saka, kana kamwe kamwe paiva kutekenyedzwa ichipfuta mumwoyo, zvichiratidza kuruboshwe ruoko (irradiation kurwadziwa), chiveve ari minwe yake rworuboshwe, simba uye dzungu, dikita, ipapo 1-2 nitroglycerin Mahwendefa anofanira kukurumidza kutorwa pasi rurimi uye tora accumbency pamwe vanomutswa yokumusoro chikamu muviri uye nokukurumidza kudana "amburenzi."

Kana munhu chema inopisa manzwiro mumoyo, uye ipapo akarasika pakarepo kuziva, vanhu vaunogara kunge vakagadzirira kumupa zvose zvinobvira rubatsiro, nekuti panzvimbo yake aigona kuva nomumwe. In kusavapo kupomba panguva carotid tsinga, iyo rinorondedzerwa nechemberi pamutsipa kuruboshwe kana kurudyi uye rakapamhamha vadzidzi havana kuitei chiedza, dnovremenno vakashinga "kukurumidzirwa" tinofanira kuita kudzvinya pachipfuva. Kunyange munhu asina unyanzvi, rinogona kutakura kubuda kwayo. Chinhu chikuru - kwete kuti kurasika mumamiriro ezvinhu akadaro. Avete ake musana munhu chete kushingirira kurutivi pechipfuva rworuboshwe, zvinenge 2-3 masendimita kuruboshwe pamusoro sternum kuitira kuti mubhokisi iri compressed ne 5-7 cm. Pashure 16-18 Kurohwa ose unofanira kuita kundosvikira maviri chakagadzirwa kufema kuramba risingamboshandisi azvipire okisijeni muropa .Luchshe Chokwadi, kana isu tiite nokumutswa (ndiro sei inonzi mumutauro mushonga) vachava vanhu vaviri, asi priotsutstvii vakadaro mukana anogona kurarama oga. Nokumutswa yaifanira kana pamberi kwemwoyo uye constriction pakati vadzidzi, kana kusvikira vasvika zvokurapa zvikwata.

Chaiyoiyo chokupika algorithm iyi nezviito zvinogona kuponesa upenyu munhu mumamiriro ezvinhu akadaro, zvinokosha kutanga maminitsi mashoma kubatsira kana munhu achiri vakaturikira vachiti kubva mamiriro kunotoda kurapwa rufu, uye ane ose mukana woupenyu.