Acute esingamahlalakhona senhliziyo: ukulondoloza inhliziyo yakho ngokushesha!

Ingabe wena noma umkhaya wakho kwatholakala ukuthi une-"acute esingamahlalakhona senhliziyo," futhi awazi lutho ngalesi sifo? Funda isihloko yami ukuthi uyophendula iningi izimpikiswano ezibalulekile ezihlobene nale zokugula inhliziyo.

Imisebenzi at inhliziyo embili yayo futhi ukuqinisela uyakwazi wokuqhubeka efanayo ukunikezela izakhi ne-oxygen ukuze zonke ezicutshini zomzimba. Kulokhu, izici bokuphila ngokulawulwa kweminye imisebenzi zenhliziyo semithambo ehilela kokubili ukuqiniswa kanye nokunciphisa ukushuba izenzo zakhe abahlabelela ngazo ebukhoneni kwezinso wenhliziyo kuholela ukuntuleka tekusebentisa "belambile" ihlule. Isici esikhethekile supply igazi enhliziyweni ukuthi uthola izakhi kanye nomoya-mpilo ngesikhathi diastole kuphela. Njengoba izindlela bokuphila ukucindezeleka ngesikhathi umsebenzi, okuholela njalo nesigqi somqondo, kunciphisa kakhulu ubude diastole, bawuphundle ukugeleza kwegazi enhliziyweni. Sekukonke senhliziyo esilimele uhlushwa ischemia, ephelezelwa evutha ubuhlungu ngemuva breastbone. Kulesi isimo senhliziyo liningi igazi ukuntula sihlakulela acute esingamahlalakhona senhliziyo. Izimbangela kulesi simo sokugembula zingahlukaniswa ngamaqembu 2:

• koronarogennye izizathu kubangelwa yokuthi yenhliziyo izilonda atherosclerotic izitsha kuthiwa ayisesemikhulu noma ukulimala, futhi lolu donga lwabo ingase sclerosed.
• Noncoronary ahlobene nezinguquko sokugembula izitsha yenhliziyo wenhliziyo, futhi akuncikile isimo imithambo.

Uma kudingekile, qala reserve umthamo omzimba ukwenza noma yimuphi umsebenzi ngokomzimba noma ukucindezeleka ngokomzwelo umsebenzi inhliziyo kumele ngesivinini esikhulu. Nokho, lokhu igcwele okubi kakhulu kokuba isici ukusebenza izitsha inhliziyo.

Symptomatology ka-acute esingamahlalakhona senhliziyo.

Ngaphansi isenzo adrenaline ezikhishwe lapho umuntu noma ukucindezeleka ngaphansi komthwalo, izitsha unciphise inesikhala yayo ukunikeza ukugeleza Isivinini ukwanda ukuqinisekisa benezincwadi ezanele izakhi ezicutshini. Eziningana qwembe atherosclerotic inesikhala ayisesemikhulu noma udonga sclerotic constricted nakakhulu, elibangela kwamaphutha yokudla okunempilo inflow ku inhliziyo ngegazi. Kukhona esingamahlalakhona acute yenhliziyo. Isiguli ngokushesha uqala ukuzizwa ebukhali esivuthayo ubuhlungu ngemuva breastbone, okuyinto ayikuvumeli ukuba benze lo msebenzi. isimo esinjalo libhekwa njengoba isifo ischemic ezisekujuleni kwenhliziyo futhi has amafomu alandelayo: pectoris angina, isilethikusebenza. Lapho isikhathi zokugula zamanje ngisho uphumule inhliziyo ingaba kutivela kwegazi, okuyinto livezwa iphika, izindebe okwesibhakabhaka, ekhaleni, ishayela buthakathaka imithambo wemikhawulo, ngijuluka futhi inkulumo okuphazamisayo. Acute esingamahlalakhona senhliziyo, izimpawu zazo ngempela elikhanyayo, akudingi zokukhwabanisa ethize ezengeziwe yisiguli, ngoba ngokuyisisekelo udlala indima zimpawu:

• Lapho uhamba noma egijima umsebenzi, ukucindezeleka, kukhona abukhali esivuthayo ubuhlungu ngemuva breastbone, okuyinto uhlamvu okucindezelayo okukhulunywe interscapulum, ingalo kwesokunxele, intamo, ngaphansi ingqwababa ngakwesokunxele.
• kokuquleka okunjalo kuvame ukuthatha imizuzu akukho kuka 15-25, futhi ubuhlungu kancane kancane wehlise, kanti uma ubuhlungu esivimba amanzi ayinakho nalokhu kuthambekela. Lapho abantu abangaphezu kwengxenye ubude balo kungaba ukuxilonga isilethikusebenza esigabeni oyingozi.
• Ngesisekelo isimiso wokukhululeka sitholakele ubuhlungu: ubuhlungu stenokardicheskie isuswe angu-15 ngemva nokuphathwa nitroglycerine futhi infarction zingancishiswa ngu okufanayo nokuqhubeka imizuzu engaphezu kuka-30. Ukuze ubuhlungu syndrome, isilethikusebenza esetshenziswa analgesics kwezidakamizwa, kungenzeka elitholakala kuphela esibhedlela.

Ukwelashwa nokuvikelwa acute esingamahlalakhona senhliziyo.

Uma wena noma obathandayo acute esingamahlalakhona senhliziyo, impatho kunikezwa udokotela kuphela, kodwa theka isiguli ngesikhathi kuhlaselwa futhi phakathi kwawo, kanye nesibekandzaba esibhedlela.

Lapho lesi siguli ubuhlungu besifuba udinga ukuthatha nitroglycerin sublingual, Ukuqedwa ngokuphelele ithebhulethi. Ngemuva kwemizuzu engu-10, uma ukushuba buhlungu encishisiwe, kubalulekile ukuphinda reception. Ukwelashwa Kwenziwa phakathi nokuhlasela eside esebenza nitrate, blocker sokukhohlwa izidakamizwa prophylactic anti-atherosclerotic. Esivimba amanzi infarction buhlungu ukunqampunwa nitroglycerine noma ezinye vazodillatatorom, Ngakho-ke kukhona isisekelo ukwelashwa ngokushesha emtholampilo. Kukhona ngamalungiselelo ehlukahlukene kuye kwenzeka ngabanye. Lokhu analgesics kwezidakamizwa, ejenti antiplatelet namanxusa thrombolytic, blocker, futhi ngezinye izikhathi nge massive attack inhliziyo isisu ngokuchitha kwegazi futhi ukunciphisa umthamo wegazi, futhi laxative isiguli akuyona esishubile phakathi sokuzikhulula, okungase kuphazamise ukubuya emithambo yegazi ukuze inhliziyo. Ngakho, lapho ifingqa okungenhla, kuyafaneleka ukuthi sibi esingamahlalakhona senhliziyo - ezinzima zokugula inhliziyo okudinga ukwelashwa ngokucophelela futhi njalo.