Kumira kurova kwemoyo

Kurwiswa kwemwoyo kwakawanda kunokonzerwa neropa rinovhara rinovhara imwe yetsinga dzekonona. Iyo coronary arteri inounza ropa uye oxygen kumoyo. Kana kuyerera kweropa kukavharwa, moyo unofa nenzara yeoksijeni uye maseru emoyo anofa.

Izwi rekurapa reiyi myocardial infarction.

Chinhu chinonzi plaque chinogona kuvaka mukati memadziro ako etsinga. Iri dombo rakagadzirwa necholesterol nemamwe maseru.

Kurwadziwa kwemoyo kunogona kuitika kana:

• Kuvhiringidzika muhwendefa kunoitika. Izvi zvinokonzeresa maplatelet eropa uye zvimwe zvinhu kuti vagadzire kugwamba kweropa panzvimbo iyo inovhara yakawanda kana rese reropa rinotakura okisijeni kubva mukuyerera kuenda muchikamu chetsandanyama yemoyo. Ichi ndicho chinonyanya kukonzera kurwisa kwemoyo.

Chikonzero chekurwadziwa kwemoyo hachizivikanwe nguva dzose, asi kune zvikonzero zvinozivikanwa zvine njodzi.

Kurwadziwa kwemoyo kunogona kuitika:

• Paunenge uchizorora kana kurara
• Mushure mekuwedzera kamwe kamwe kwezviitiko zvemuviri
• Paunenge uchishingairira kunze kutonhora mamiriro ekunze
• Mushure mekuerekana, kushushikana pamoyo kana kushushikana kwemuviri, kusanganisira chirwere

Zviitiko zvakawanda zvine njodzi zvinogona kutungamira mukuvandudzwa kwemapuranga ekuvaka uye nekurwadziwa kwemoyo.

Chirwere chemwoyo chirwere chekukurumidzira. Kana iwe uine zviratidzo zvekurwadziwa kwemoyo, fonera 911 kana yako yemunharaunda emergency emergency ipapo.

• Usaedze kuzvityaira kuenda kuchipatara.
• Usamirira. Iwe uri panjodzi huru yekufa kamwe kamwe mumaawa ekutanga ekurwadziwa kwemoyo.

Kurwadziwa pachifuva ndicho chiratidzo chinowanzoonekwa chekurwadziwa kwemoyo.

• Iwe unogona kunzwa kurwadziwa mune imwe chete chikamu chemuviri wako OR
• Marwadzo anogona kutama kubva pachipfuva chako kuenda kumaoko ako, fudzi, mutsipa, mazino, shaya, dumbu nzvimbo, kana musana

Iyo kurwadziwa kunogona kuve kwakakomba kana kupfava. Inogona kunzwa se:

• Bhandi rakamanikana rakatenderedza chipfuva
• Kugaya zvakaipa
• Chinhu chinorema chakagara pachipfuva chako
• Kudzvinyirira kana kumanikidza zvakanyanya

Marwadzo anowanzo kugara kwenguva refu kupfuura maminetsi makumi maviri. Zororo uye mushonga wekuzorodza tsinga dzeropa (dzinodaidzwa kuti nitroglycerin) dzinogona kusazorodza zvachose marwadzo ekurwadziwa nemoyo. Zviratidzo zvinogona zvakare kuenda zvodzoka.

Zvimwe zviratidzo zvekurwadziwa kwemoyo zvinogona kusanganisira:

• Kufunganya
• Kukosora
• Kufenda
• Kuchena musoro, dzungu
• Kusvotwa uye kurutsa
• Palpitations (kunzwa senge moyo wako uri kurova nekukurumidza zvakanyanya kana zvisina kujairika)
• Kufema kwekufema
• Kudikitira, kungave kwakanyanya kurema

Vamwe vanhu (kusanganisira vakuru vakuru, vanhu vane chirwere cheshuga, uye vakadzi) vanogona kunge vaine marwadzo mashoma kana asina. Kana, vanogona kuve nezviratidzo zveapypiki sekufema kwekufema, kuneta, uye kushaya simba. "Chinyararire chemwoyo" chirwere chemwoyo chisina zviratidzo zvinogona kuitika zvakare.

Anopa hutano anoita bvunzo dzepanyama uye teerera pachipfuva chako uchishandisa stethoscope.

• Iye mupi anogona kunzwa manzwi asina kujairika mumapapu ako (anonzi mapundu), kugunun'una kwemoyo, kana mamwe manzwi asina kujairika.
• Iwe unogona kunge uine inokurumidza kana isina kuenzana kupomba.
• Ropa rako rinogona kunge rakajairika, rakakwira, kana rakaderera.

Iwe unenge uine electrocardiogram (ECG) kutsvaga kukuvara kwemoyo. Kazhinji, zvimwe shanduko paECG zvinoratidza kuti urikurwara nemoyo, kunyangwe hosha yemoyo inogona kuitikawo pasina ECG shanduko.

Kuongororwa kweropa kunogona kuratidza kana uine kukuvara kwemuviri. Bvunzo iyi inogona kusimbisa kuti urikurwara nemoyo. Muedzo unowanzo dzokororwa nekufamba kwenguva.

Coronary angiography inogona kuitwa ipapo ipapo kana kuti munguva yekurwara.

• Muedzo uyu unoshandisa dhayi yakakosha uye x-ray kuona kuti ropa rinoyerera sei kuburikidza nemoyo wako.
• Inogona kubatsira chiremba wako kusarudza kuti ndeapi marapirwo aunoda anotevera.

Mimwe miedzo yekutarisa pamwoyo wako inogona kuitwa iwe uri muchipatara:

• Echocardiography ine kana pamwe nekunetseka kuyedzwa
• Exercise kunetseka bvunzo
• Nyukireya kunetseka bvunzo
• Mwoyo CT scan kana moyo MRI

CHIRIPO CHINOKOSHA

• Iwe unozosungirirwa kumusoro kune yekutarisa moyo, saka timu yehutano inokwanisa kuona kuti moyo wako unorova sei nguva zhinji.
• Iwe uchagamuchira oxygen.
• Mutsara unopinza (IV) uchaiswa mune imwe yetsinga dzako. Mishonga uye zvinwiwa zvinopfuura neiyi IV.
• Iwe unogona kuwana nitroglycerin uye morphine kuti ubatsire kudzikamisa kurwadziwa kwepfupa.
• Unogona kugamuchira aspirin, kunze kwekunge yaisazove yakachengeteka kwauri. Pakadaro, iwe unozopihwa mumwe mushonga unodzivirira kugwamba kweropa.
• Njodzi dzisina kujairika dzekurova kwemoyo (arrhythmias) dzinogona kurapwa nemushonga kana magetsi emagetsi.

MAITIRO EMEZVINOKOSHA

Angioplasty inzira yekuvhura yakatetepa kana yakavharika tsinga dzeropa dzinopa ropa kumoyo.

• Angioplasty inowanzo kuve yekutanga sarudzo yekurapa. Inofanira kuitwa mukati memaminitsi makumi mapfumbamwe mushure mekunge iwe wasvika kuchipatara, uye kazhinji pasati papfuura maawa gumi nemaviri mushure mekurwadziwa kwemoyo.
• Iyo stent idiki, simbi mesh chubhu iyo inovhura (inowedzera) mukati mecoronary artery. Simba rinowanzoiswa mushure kana panguva ye angioplasty. Inobatsira kudzivirira tsinga kubva pakuvhara zvakare.

Unogona kupihwa mishonga yekupwanya chando. Izvi zvinonzi thrombolytic therapy. Zvakanakisa kana mishonga iyi ikapihwa nekukurumidza mushure mekutanga kwezviratidzo, kazhinji pasati papfuura maawa gumi nemaviri mushure mayo uye zvine mutsindo mukati memaminitsi makumi matatu ekusvika kuchipatara.

Vamwe vanhu vanogona zvakare kuve nemoyo wekupfuura kuvhiya kuvhura yakamanikana kana yakavharika tsinga dzeropa dzinopa ropa kumoyo. Maitiro aya anonzi zvakare coronary artery bypass kubatanidza uye / kana kuvhura moyo kuvhiya.

KURAPWA PASHURE PEMAHARA

Mushure memazuva akati wandei, uchaburitswa muchipatara.

Iwe ungangoda kutora mishonga, mimwe yehupenyu hwako hwese. Gara uchitaura nemupi wako usati wamira kana kuchinja maitiro aunotora chero mishonga. Kumisa mimwe mishonga kunogona kuuraya.

Paunenge uri pasi pekuchengetwa neboka rako rezvehutano, iwe unozodzidza:

• Maitiro ekutora mishonga yekurapa dambudziko remwoyo wako uye kudzivirira kuwanda kwemwoyo
• Maitiro ekudya moyo-hutano kudya
• Maitiro ekushanda uye kurovedza muviri zvakachengeteka
• Zvaunofanira kuita kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwadza pachipfuva
• Kumira kusvuta

Manzwiro akasimba anowanzoitika mushure mekurwadziwa kwemoyo.

• Unogona kunzwa kusuruvara
• Iwe unogona kunzwa kunetseka uye kunetseka nezve kungwarira nezve zvese zvaunoita

Manzwiro ese aya akajairika. Vanoenda kune vanhu vazhinji mushure memasvondo maviri kana matatu.

Iwe unogona zvakare kunzwa kuneta paunobuda muchipatara kuenda kumba.

Vazhinji vanhu vakarwara nemoyo vanotora chikamu muchirongwa chekuvandudza moyo.

Vanhu vazhinji vanobatsirwa nekutora chikamu mumapoka ekutsigira vanhu vane chirwere chemwoyo.

Mushure mekurwadziwa kwemoyo, une mukana wepamusoro wekuve neimwezve yekurwara kwemoyo.

Kunyatsoita kwaunoita mushure mekurwadziwa kwemoyo zvinoenderana nezvinhu zvinoverengeka zvakaita se:

• Kuwanda kwekukuvara kwemoyo wako mhasuru uye moyo mavharuvhu
• Iko kukuvara kwacho kuri iko
• Kuchengetwa kwako mushure mekurwadziwa kwemoyo

Kana moyo wako usingachagona kupomba ropa kunze kwemuviri wako sezvawaimboita, unogona kukundikana nemoyo. Abnormal moyo mutinhimira unogona kuitika, uye iwo anogona kutyisidzira hupenyu.

Vazhinji vanhu vanogona zvishoma nezvishoma kudzokera kune zvakajairwa zviitiko mushure mekurwadziwa kwemoyo. Izvi zvinosanganisira kuita bonde. Taura nemupi wako nezvekuti yakawanda sei chiitiko chakanakira iwe.

Myocardial infarction; MI; Acute MI; ST - kukwirira myocardial infarction; Kwete-ST - kukwirira myocardial infarction; NSTEMI; CAD - chirwere chemwoyo; Coronary tsinga chirwere - chirwere chemwoyo

• Angioplasty uye stent - moyo - kubuda
• Cholesterol - kurapwa kwemishonga
• Cholesterol - chii chekubvunza chiremba wako
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Kutadza kwemoyo - chii chekubvunza chiremba wako
• Yakakwira BP - chii chaunobvunza chiremba wako
• Kutora warfarin (Coumadin, Jantoven) - chii chekubvunza chiremba wako
• Kutora warfarin (Coumadin)

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Kufambira mberi kuvaka-up of plaque mu coronary artery
• Acute MI
• Tumira myocardial infarction ECG wave tracings
• Mashure emoyo arteri
• Anterior moyo arteri
• Zvirwere zvemoyo zviratidzo
• Kurwadziwa kwemajaya nekurwadziwa kwemoyo

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Arnett DK, Blumenthal RS, Albert MA, uye al. 2019 ACC / AHA nhungamiro pamusoro pekudzivirira kwekutanga kwehutachiona hwepfungwa: chirevo cheAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Mazano. Kutenderera. 2019; 140 (11): e596-e646. PMID: 30879355 pubed.ncbi.nlm.nih.gov/30879355/.

Bohula EA, Mangwana DA. ST-kukwirira myocardial infarction: manejimendi. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 59.

Giugliano RP, Braunwald E. Isiri-ST kukwirira kwakanyanya coronary syndromes. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 60.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yevatungamiriri ve ST-elevation myocardial infarction: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira. J Ndiri Coll Cardiol. 2013; 61 (4): 485-510. PMID: 23256913 pubmed.ncbi.nlm.nih.gov/23256913/.

Scirica BM, Libby P, Mangwana DA. ST-elevation myocardial infarction: pathophysiology uye kiriniki shanduko. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 58.

Tamis-Holland JE, Jneid H, Reynolds HR, et al. Yemazuva ano kuongororwa uye manejimendi evarwere vane myocardial infarction mukushayikwa kwekuvhiringidza coronary artery chirwere: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2019; 139 (18): e891-e908. PMID: 30913893 pubmed.ncbi.nlm.nih.gov/30913893/.