Indlela ukuqaphela inhliziyo izimpawu kuhlasela

Izimpawu isilethikusebenza achazwayo ngenxa kokuphazamiseka okungazelelwe kokuphakelwa kwegazi imisipha yenhliziyo, okuholela necrosis osakhula. isilethikusebenza libhekisela uhlobo ischemic isifo senhliziyo.

Ngo ukuthuthukiswa occlusion esivimba amanzi kubalulekile faktoromi inhliziyo thrombus yenhliziyo, okuholela kwetinhlavu emaphaketheni enkulu imisipha necrosis (necrosis) kanye ukuvaleka imithambo inhliziyo ngenxa ukwakheka zingcwecwe atherosclerotic.

Uma ukuvaleka kwemithambo yenhliziyo okujwayelekile nemvelo (imithambo emibili noma ngaphezulu abahilelekile), nge myocardiosclerosis ekhona eba microinfarction. Izimpawu ze-ke mancane evelele kuka ubukhulu lesion. Nakuba lena ezincane senhliziyo, kungaholela nezinkinga ezifanayo nemiphumela, okuyinto ayakhula ngesikhathi necrosis elikhulu eqondile.

izimpawu isilethikusebenza

Ekuqaleni lesi sifo, iziguli esekhala isikhathi eside kanzima futhi ubuhlungu besifuba. Lena inguqulo yakudala ye painfulness ka kwasendaweni. Ubuhlungu iqhubeka amahora ambalwa futhi aluphumeleli ngemva kokuthatha nitrate. Kukhona ezinye izinketho indawo ubuhlungu, isibonelo, kungenzeka esiswini (gastralgichesky besisu noma okufana) ku epigastrium nge dyspnea concomitant (samuntu somoya). Ubuhlungu zinganikwa emhlane, emqaleni nasengalweni. Ngokuvamile ubuhlungu obuhlabayo yakhe sinamandla kakhulu kangangokuba kukhona ukushaqeka cardiogenic, nge kwesokunxele ventricular ukwehluleka futhi edema yamaphaphu. Ngokuvamile lokhu kwaphazamisa isigqi inhliziyo, ukushaya kwenhliziyo ophilisayo futhi wegazi uwela abasebenzela. Uma ventricular fibrillation kwenzeka, zifike khona sebefile.

Uma emahoreni lokuqala ngemva okuvela nokuhlaselwa kwaleli cardiogram eqoshiwe ventricular ethunjini arrhythmias, kungase eyabonisa ukubuyiselwa patency we ukuxhumelela imithambo yenhliziyo zenhliziyo.

Ngaphezu ubuhlungu enhliziyweni, izimpawu kokuqala ngemuva kokuhlaselwa yisifo senhliziyo - a umfutho ophakeme, okuyinto ukukhululeka ubuhlungu, sivame ukwenzeka, ukushaya kwenhliziyo ngamandla, umzimba lokushisa kuphakame subfebrile. Amazinga luyanda izinsuku ezintathu noma ezine. Esikhathini igazi kwandisa amangqamuzana amhlophe egazi, kukhuphuke erythrocyte sedimentation rate ezingeni imfucumfucu nitrogen (ungalithathi uphawu for urate infarction). Zonke lezi izimpawu ukusabela ukuvuvukala. Ngo amahora okuqala angu-iye yaba nokwanda enzyme: kinase creatine, ALT, AST, LDH.

On cardiogram yesithombe kuyanda esivimba amanzi ST isici ingxenye izinyo ububanzi Q, okuvela ventricular eziyinkimbinkimbi QS kuholela kulezo lapho kwakukhona khona necrosis esivimba amanzi. Ukuze uthole ukuxilongwa esinembile, ikakhulukazi nge esivimba amanzi okuphindaphindiwe kumelwe athathe uchungechunge cardiograms.

Uma kwakuba khona ezincane senhliziyo, izimpawu kaningi hhayi ngakho evelele futhi ubuhlungu kungase kungabi okukhulu. Umuntu ungayihambisa "ngezinyawo zabo", noma eyiphutha angina, khona-ke ngezikhathi sitholakale i electrocardiogram. Izimpawu yinhliziyo nge izilonda ezincane ebalulekile ngokuvamile kubonakala abantu abaphethwe i-angina isikhathi eside noma cardiosclerosis. Kulezo zimo lapho kwenzeka ngezigaba kokuqala yenhliziyo Umthambo isifo, ingane senhliziyo kufana kuzalwa njengebika izilonda olubanzi transmural.

Ezinsukwini zokuqala isiguli kungenzeka sengeneme kakhulu, sokuvuselela mhlawumbe okuphindiwe ubuhlungu enhliziyweni, okuvela kuyo arrhythmias kanye arrhythmia.

Kwangathi uthuthuke njengomuntu inkinga yenhliziyo udonga noma useshonile le-aorta, ukuhluleka kwenhliziyo futhi edema yamaphaphu, emboli semithambo izitho thrombi nasemilenzeni.

ukwelashwa

inhliziyo ukwelashwa kuhlasela ngempela eyenziwa esibhedlela. Ukugula okukhulu ziphathwa egunjini labagula kakhulu. nitrate Inikezwe ngesimo ukumnika emthanjeni amazinga okukhishwa esikhulu heparin, analgesics. Osetshenziswayo polarizing ingxube equkethe potassium beta blocker, i-oksijini ephefumula. Isiguli kumele athobele embhedeni ukuphumula futhi njengoba ivalwe ukucindezeleka uhlobo.