Kushushikana kwevanhu

Kuvhiringidzika kwepanyama chirwere chakanyanyisa chekufamba kwepachivi chinoratidzwa nekuderera kukuru kweropa
Uye kubvumirana kwemwoyo. Ichi chiitiko chinosanganisira kutadza mu
Basa reiyo netsvo uye chirwere chetsitsi. Moyo unorasikirwa nekwaniso yekudzinga ropa mukati
Zvikepe uye kuputira iyo. Kushushikana kwehupenyu kunoita kuti vasodilation,
Kushingaira kunodonha uye ropa hazvipindi muuropi. Kunouya kunopinza
Oxygen nenzara, munhu anorasikirwa nokuziva, uye mumatambudziko akawanda
Pane chiitiko chinouraya.

Zvimwe zvinokonzera chirwere ichi zvinogona kunge zvakanyanya myocardial infarction, kana yakakuvara kupfuura 40%. Kushungurudzika kwepanyama kunowanzovapo nekuda kwechirwere chemyocarditis, kuparara kwezvikamu zvemoyo, arrhythmia, acute stenosis kana kusagadzikana kwakanyanya kwemapapiro emwoyo. Mamiriro ekutyisidzika anogona kukonzera kukura kukuru kwepummoni, iyo inoputika zvachose
Lumen we trunk yemapuraneti ane mishonga.

Zviratidzo zvekupikira kwekutyisidzira kunopera kwakakonzera kuwedzera kweropa kusvika 50/20 mm Hg, kutonhora kunotonhorera, kurasikirwa kwekuziva, mvura yakachena uye yakasviba, tachycardia. Pamumucheto, mitsetse inorasikirwa ne tonus, itsvo dzinomira kushanda.

Zvimwe zvinokonzera kutanga kwekutyisidzika ndezvakawanda zvemyocardial infarction, kukwegura, chirwere cheshuga, chepfuyumu ne cardiotoxic zvinhu.

Kuvhiringidza muviri, kurapa

Kuti uone hutachiona hwemakumbo mune myocardium, electrocardiogram inoitwa, iyo inobvumira kutsanangura ukuru, kudzika uye
Localization of myocardial infarction. Iko ultrasound yemwoyo inoita kuti zvikwanise kuziva kuti dhipatimendi ripi rinotambura, uye kuongorora kushandiswa kwechibvumirano chechirongwa. Kuvhiringidzika kwechirwere kunowanikwawo kuti kune nzira yekusiyanisa yakasiyana-siyana yezvinyorwa zvekuongorora zvirwere.

Kurapa kunowanikwa muimba huru yekuchengetedza. Chinangwa chikuru cherapi ndechekuwedzera kuwedzera kweropa kuti iwedzere kupa ropa kune nhengo dzinokosha. Kurapa kwekushaya mwoyo kunogona kuva mishonga uye kuporesa. Murwere akaiswa, achisimudza makumbo ake, kuti ave nechokwadi chekupa ropa kuuropi. Shandisa oxygen inhalation
Kushandisa masikisi, ane chirwere chinorwadza chinonzi syndrome, intravenously promedol
Kana morphine. Kuti kugadzirise kushanda kwepfungwa, mhinduro
Rheopolyglucin kana heparin. Nokuda kwekudya kwakanaka kwemutsipa wemwoyo, chirongwa cheglucose chinoshandiswa ne magnesium, potassium kana insulin. Kuti kuwedzere kutengesa kwemwoyo, kuvharwa mukati majekiseni yeDobutamine, Dopamine, Noradrenaline kana Adrenaline.

Kudzorerazve matanho kunoitwa pasi pesimba rinogara richiita basa rezvikamu zvose zvinokosha. Ropa rinodzvinyirira uye urin output rinotariswa. Mukusabatwa kwechiitiko chemishonga, kurapwa kunoitwa. Mumaawa 8 okutanga mushure mekurwa kwepfungwa, coronary angioplasty inoshanda, iyo inokubvumira kudzorera
Kusabatwa kwemwoyo. Imwe nzira ndiyo intra-aortic
Counterpulsation. Nzira yacho inobva pakugadzirwa kwemagetsi eropa mune aorta uye
Inobatsira kuwedzerwa kwekupararira kweropa mumidziyo yegononary.

Kuvhiringidzika kwehupenyu kunowanzotanga mumaawa ekutanga mushure mekuita myocardial infarction, saka kurapa kwacho panguva yakakosha kunokosha zvikuru. Chimiro chechiedza chikuru chinotyisa, icho chinonyatsokwanisa kugadzika. Izvozvo zvinokonzera kushungurudzika kwemoyo zvinowanikwa neecrotic lesion ye myocardium inopfuura 50%. Lethality munyaya iyi inosvika ku100%.

Pasinei nekuti nzira itsva dzekurapa kwehupenyu hwemwoyo dzinoramba dzichinyatsogadzirwa, mugumisiro unouraya unopfuura 85%. Saka, iyo yakanyanya
Kubudirira kurapwa ndiko kudzivirira, umo nzvimbo yacho ine zvishoma
Kurwisa kwemwoyo uye chirwere chinorwadza chakamira.