Kudzivirira infarction

Kudzivirirwa kweinfarction kunosanganisira manejimendi e pangozi zvinhu. Kuti udzikise njodzi yechirwere chemwoyo, unofanira kurega kusvuta uye kunwa zvakanyanya. Zvingave zvakakosha kushandura mamwe maitiro ako akaipa, semuenzaniso kurwisa kuwandisa uye hypercholesterolemia (= yakawandisa lipids muropa).

Mimwe mishonga yakadaiasipurini inogona kurongerwa seyero yekudzivirira muvanhu vari panjodzi huru yekutambura nechirwere chemoyo, sezvingaita statins kugadzirisa yakakwira cholesterol.

Mishonga yekurapa infarction

Kurapa kweiyo infarction kunofanira kutanga nokukurumidza sezvinobvira, nokukurumidza apo ambulensi inosvika iyo inotora munhu anorwara kune inopindira cardiology unit.

Mishonga inogona kupihwa kuderedza ropa uye kubatsira kuyerera kweropa kumoyo. Inogona, semuenzaniso, kuva aspirin kana thrombolytic agents, iyo inoparadza chivharo chinovhara tsinga. Iyo inokurumidza iyo thrombolytic inopiwa, zviri nani mikana yekurarama. Matambudziko acho haanawo kunyanyoipa.

Kuchipatara, a angioplasty inogona kuwanikwa. Kubva antiplatelet mishonga (clopidogrel, aspirin, prasugrel) inogona kurongerwa kudzikamisa njodzi yekuumbwa kwegwamba idzva. Heparin, anticoagulant kuonda ropa, ACE inhibitors inoshandiswa mukukwira kweropa, uye trinitrin (nitroglycerin) inogona kupiwawo. Beta blockers inogona kuita kuti zvive nyore kuti mwoyo ushande nekudzikamisa kurova kwemoyo uye kuderedza BP. Kunyorera ma statins, ayo ari cholesterol mishonga, anogona kuvandudza kupona kana akapihwa nekukurumidza.

Zvinoderedza marwadzo zvakadai semorphine zvinogona kurongerwa. Kurapa kwezvinodhaka, kazhinji kunosanganisira beta blockers, antiplatelet agents, statins uye ACE inhibitors, inoitirwa murwere wega wega uye inogona kuchinja nekufamba kwenguva. Muzviitiko zvose, mushonga unofanirwa kutorwa nguva dzose. Kurapa kwakatarwa kunofanira kuteverwa nemazvo.

Padanho rekuvhiya, a angioplasty saka inoitwa. Uku kusunungura tsinga yakavharika. Kuti aite izvi, chiremba anoisa chubhu refu, yakaonda, inochinjika, catheter, muhudyu yozokwira kumoyo. Pakupera kwekatheta pane chibharumu chinogona kufurirwa. Nokudaro, inopwanya chivharo uye inodzorera kutenderera kweropa. a stent, rudzi rwechitubu, chinogona ipapo kuiswa. Inobvumira tsinga kuti irambe yakavhurika, pachiyero chakajairika. a kupfuurira inogonawo kuwanikwa. Iyi inzira yekuvhiya inobvumira kuyerera kweropa kutsauswa. Iyo haichapfuuri nechikamu chetsinga yakavharwa neatherosclerosis asi neimwe nzira. Nokudaro, kutenderera kweropa kumwoyo kunovandudzwa. Chokwadi, chiremba anovhiya anoisa kune rimwe divi renzvimbo yakavharika mudziyo weropa unotorwa kubva kune imwe chikamu chemuviri (kazhinji kubva pagumbo). Ropa rinopfuura ne "bhiriji" idzva iri. Kana nzvimbo dzinopfuura imwe dzikavharirwa, kupfuura imwe nzira inogona kudiwa.

Mushure meiyo myocardial infarction, bvunzo dzinofungidzira kuwanda kwenzvimbo yakakuvadzwa yemhasuru yemoyo, kuona dambudziko rinogona kuitika, rakadai sekutadza kwemoyo, uye kuongorora njodzi yekudzokazve. Pakupera kwekuchengetwa kwavo muchipatara, munhu anenge abatwa nechirwere chemoyo achapiwa a kuvandudzwa kwemoyo. Mugore rinotevera, anozofanira kuenda nguva dzose kuna chiremba wake wepamoyo uye chiremba wemwoyo wake kuti anyatsotevera.