Abin mamaki na cardiogenic shi ne gaggawa

Abin mamaki na cardiogenic ƙananan rashin ƙarfi na ventricular tare da ƙananan karuwa a cikin aikin kwangila na zuciya kuma, sakamakon haka, rage yawan karfin jini da rashin karfin jini zuwa gabobin. Mafi sau da yawa, ciwon zuciya na zuciya yana tasowa a matsayin ƙananan ƙwayar cuta na ƙananan hanzari kuma a yawancin lokuta yakan kai ga mutuwa.

Sanadin cututtukan zuciya na cardiogenic

Daga cikin dalilai masu tayarwa sun bambanta:

• wani mummunan ƙananan ƙaddamar da ƙananan ƙwayar cuta , wanda fiye da 40% na myocardium ya shafi, kuma zuciya ba zai iya yin kwangila da jini ba tukuna;
• kumburi na zuciya tsoka (m myocarditis);
• rushewar dabbar da ke tattare da kwakwalwa ta tsakiya wanda ke raba gashin zuciya na zuciya daga hagu;
• m stenosis (constriction) na zuciya valves;
• babban rashin cin nasara na zuciya;
• babban thromboembolism na rikici na huhu.

Irin magungunan cardiogenic

A magani, al'ada ne don gano bambancin nau'o'in nau'o'in cututtukan zuciya na cardiogenic: reflex, hakikanin ƙwayar cardiogenic da arrhythmic:

1. Reflex. Hanya ce mafi sauƙi, wadda, a matsayin mai mulkin, ba ta haifar da mummunan lalacewa ga myocardium, amma ta rage yawan karfin jini saboda mummunar ciwo mai tsanani. Tare da jinƙai na jin dadin lokaci, ci gaba da ƙwarewa yana da inganci.
2. A gaskiya kyamarar cardiogenic. Yana faruwa tare da ciwon zuciya mai zurfi. A yayin da kashi 40 cikin dari ko fiye na zuciya ya kasance necrotic, yawan mutuwar mutum yana kusa da 100%.
3. Arrhythmic girgiza. Yana tasowa ne saboda mummunan tachycardia ko mai karfi bradyarrhythmia. Rashin lafiya na jini yana haɗuwa da canji a cikin kwanciyar hankali na zuciya da kuma bayan ƙayyadaddun yanayinsa, alamun alamun bala'i ya wuce.

Clinical bayyanar cututtuka da kuma ganewar asali na ciwon zuciya cardiogenic

Daga cikinsu akwai:

• ƙananan karuwa a cikin karfin jini (ƙasa da 90 mm Hg) da kuma bulsed (kasa da 20 mm Hg) matsa lamba;
• tachycardia;
• Pale (sau da yawa tare da abubuwa cyanotic) da m fata;
• sanyi;
• rage yawan veins saboda rage yawan karfin.
• asarar sani;
• Dalili akan urination (a matsin lamba a ƙasa da 50 mm Hg, kodan ya dakatar da aiki).

Idan mai hakuri yana da alamun cututtuka na ciwon zuciya na zuciya, likitoci sun tantance irin wadannan cututtuka, ƙarfin zuciya da bugun jini, da zuciya ɗaya, da kuma tantance alamar zuciya. Ana amfani da wadannan hanyoyin don tabbatar da ainihin dalilin da yankin da ya shafa:

1. Electrocardiogram - don ƙayyade mataki da kuma wurin da ƙananan ƙafa, da zurfin da kuma sararin samaniya.
2. Duban dan tayi na zuciya - yana taimakawa wajen tantance yawan lalacewa, don ƙayyade adadin jinin da aka zubar da zuciya a cikin na'urar, don sanin wane ɓangaren sassan zuciya ya sha wahala.
3. Angiography shi ne hanyar bambancin rayuka ta x-ray na binciko tasoshin jiragen ruwa, wanda aka ba da alamar bambanci a cikin maganin mata. Ana yin wannan jarrabawa idan ana iya amfani da hanyoyin magani.

Jiyya na girgiza cardiogenic

Ana maganin wannan cuta ne kawai a cikin kulawa mai kula da asibiti. Hanyoyin gaggawa don ƙwaƙwalwar ƙwayar cutar zuciya suna nufin kara karfin jini da kuma daidaita yanayin jinin da ke da muhimmanci.

Janar matakai:

1. Anesthesia. Yana da mahimmanci a cikin abin da ya faru na damuwa.
2. Oxygenotherapy. Amfani da maskashin oxygen don hana cikewar oxygen na kwakwalwa.
3. Thrombolytic far. Yin amfani da kwayoyi don amfani da kwayoyi don inganta yanayin zagaye na jini kuma ya hana yaduwar jini.
4. Matakan tallafi. Yin amfani da kwayoyi tare da potassium da magnesium don inganta aikin gina jiki na zuciya.
5. Tsai. Gabatarwa da kwayoyi da ke motsa ƙaddarar zuciya.

Yin jiyya na damuwa na cardiogenic dole ne ya kasance tare tare da lura da ayyuka na muhimman gabobin:

1. Aiki na kwakwalwa.
2. Daidaita yawan matsa lamba da kuma zuciya.
3. Sanya wani ƙwayar urinary don tantance aikin koda.

Bayan shan matakai na farko, karar da aka ƙayyade yana dogara ne da nau'in da kuma rashin lafiyar yanayin mai haƙuri, kuma zai iya kasancewa da mawuyacin hali da mazan jiya.