Abin mamaki na cardiogenic

A cikin rashin zuciya, wanda ya sa hankalin ƙwayar ƙananan ƙwayar cuta, za'a iya samun ƙananan ƙananan jini, da rashin jinin jini zuwa gabobin, ƙãra zuciya da hasara. Wannan yanayin ana kira ciwon zuciya na cardiogenic. Yana faruwa ne a lokacin mummunar ƙwayar cuta na muni kuma a cikin kashi 60 cikin dari na haifar da mutuwa.

Abin mamaki na cardiogenic - haddasawa

Babban dalilai da suka shafi ci gaban wannan sabon abu, necrosis na bango, ya rufe ventricle na hagu, ƙaddamarwar ƙwayoyin cuta na myocardium, rashin cin nasara da ragowar motsa jiki. An gano mummunan cututtukan cardiogenic tare da karamin infarction na ƙananan yara, idan:

• Zuciyar zuciya bata faruwa a karon farko ba kuma yana tare da filin wasa na cicatric;
• akwai wani arrhythmia cewa rinjayar hemodynamics.

Abin mamaki na cardiogenic - rarrabuwa

Akwai nau'ukan iri daban-daban na wannan jiha:

1. Rashin hankali na zuciya, abin da yake da hatsari iri-iri wanda bai haifar da lalata masarautar na myocardium ba, amma ya haifar da ciwo mai zafi tare da ciwon zuciya. Tare da kullun kwanan nan, matsa lamba ya taso, in ba haka ba zazzaɓin zai iya ci gaba a cikin wani mataki na gaskiya ba.
2. Abin mamaki na gaskiya wanda yake nuna kansa a cikin mummunan zuciya. Ana faruwa ne saboda rashin dasfuncin ventricular hagu.
3. AREA tare da halaye ba shi da bambanci daga ainihin abin mamaki, duk da haka suna da karin magana kuma sun fi tsayi. Irin wannan girgiza ba ya amsa maganin kuma a cikin 100% na lokuta yakan kai ga mutuwa.
4. Ƙunar arrhythmic ya bayyana saboda launi na tachycardia, wanda ke faruwa a yanayin yanayin haɗin kai.

Abin mamaki na cardiogenic - bayyanar cututtuka

An kiyasta yanayin lafiyar mai tsanani. Saboda haka akwai alamun irin wannan:

• retardation na dauki;
• girgije na sani, hasara ta yiwu;
• da jin daɗin jin dadi;
• tsuntsu a cikin galaz;
• zafi a bayan sternum;
• kwance;
• tari;
• matsanancin matsala a matsa lamba;
• ragewa numfashi.

A binciken binciken waje an saukar da wadannan:

• acrocyanosis;
• pallor na fata;
• fata danshi;
• hannayen hannu da ƙafa;
• A ƙarshen matakai, ana iya kiyaye ƙwayoyin kunne da hanci.

Abin mamaki na cardiogenic shine taimakon farko na likita

Taimako na farko ya hada da tabbatar da kwanciyar hankali da kwanciyar hankali zuwa asibiti. Doctors za su iya ba da haƙuri tare da jerin ayyukan a hanyar zuwa wani likita ma'aikata. Wannan zai iya zama kamar haka:

1. Rashin ciwo tare da nitrous oxide.
2. Gabatarwar mazaton (1%) a cikin intravenously da cordiamine (10%) intramuscularly.
3. Taimakon farko na damuwa na jijiyoyin zuciya ma yana da asali ne akan kilo-radiotherapy.
4. Dress drop of norepinephrine (2%).
5. Yin tafiyar da lalatawar zuciya, idan hargitsi ya haifar da tachycardia paroxysmal.

Jiyya na girgiza cardiogenic

Ana amfani da farfado don kiyaye ayyukan myocardium. Rigakafin shine babban hanyar gwagwarmaya.

Idan akwai saurin sauƙi a matsa lamba, an yi wa mai haƙuri haƙuri da norepinephrine har sai matsa lamba ta kai 90 mm Hg. Sa'an nan kuma su juya zuwa dopamine, wanda hakan zai shafi yanayin, fadada tasoshin ƙwayoyi, tasoshin kodan da sauran gabobin dake cikin rami na ciki. Idan an dakatar da matsa lamba, to, an ƙara bugun kwayar cutar zuwa magani.

Ɗauki matakan tsaro ya kamata a kasance a cikin rukunin pre-infarcted:

1. Anesthesia tare da nitrous oxide, mairoletoanlagezii, electroanalgesia.
2. Rigakafin arrhythmia ta hanyar gabatarwar lidocaine, etatsizina da ornid.
3. Yin aikin fibrinological.
4. Yin watsi da rashin cin nasara ta zuciya ta amfani da lasix, oxygen da strophanthin.
5. Bukatar yin asibiti da farko da kuma samar da kayan aiki don kayan aiki na intravenous na kwayoyi.