Kuvhiringidzika kwemyocardial

Kuvhiringidzika kwemyocardial ndiko kupwanya kwemhasuru yemoyo.

Zvikonzero zvinowanzoitika ndezvi:

• Tsaona dzemotokari
• Kurohwa nemotokari
• Cardiopulmonary kumutsidzira (CPR)
• Kudonha kubva pakakwirira, kazhinji kazhinji kupfuura tsoka makumi maviri (6 metres)

Kukanganiswa kwakakomba kwemyocardial kunogona kutungamira kuzviratidzo nezviratidzo zvekurwadziwa kwemoyo.

Zviratidzo zvinogona kusanganisira:

• Marwadzo kumberi kwembabvu kana pfupa rechipfuva
• Kunzwa kuti moyo wako unomhanya
• Musoro wakareruka
• Kusvotwa kana kurutsa
• Kufema kwekufema
• Kushaya simba

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza:

• Kupwanya kana kupwanya pamadziro echifuva
• Kuvhunduka kwekunzwa kana uchibata ganda kana paine mbabvu dzakatsemuka uye kuputika kwemapapu
• Kurumidza kurova kwemoyo
• Kusarongeka kwemoyo
• Kuderera kweropa
• Kukurumidza kana kudzika kufema
• Unyoro kune iyo inobata
• Isina kujairika chipfuva rusvingo kufamba kubva kubvu kutsemuka

Miedzo inogona kusanganisira:

• Kuongororwa kweropa (enzyme yemoyo, senge Troponin-I kana T kana CKMB)
• Chest x-ray
• CT scan yechifuva
• Electrocardiogram (ECG)
• Echocardiogram

Iyi bvunzo inogona kuratidza:

• Zvinetso nemadziro emoyo uye kugona kwemoyo kubvumirana
• Fluid kana ropa musaga mutete rakakomberedza moyo (pericardium)
• Ribvu inoputsika, mapapu kana kukuvara kweropa
• Dambudziko nekuratidzwa kwemagetsi emoyo (senge bundle bazi block kana imwe moyo block)
• Kukurumidza kurova kwemoyo kutanga panotadza sinode yemoyo (sinus tachycardia)
• Kusakanganisika kwemoyo kurovera kutanga mumhepo kana makamuri epasi emoyo (ventricular dysrhythmia)

Muzviitiko zvakawanda, iwe unenge uchitariswa zvakanyanya kwemaawa makumi maviri nemana. ECG ichaitwa nguva dzose kuti utarise moyo wako kushanda.

Emergency room kurapwa kunogona kusanganisira:

• Kuisa catheter kuburikidza nemutsinga (IV)
• Mishonga yekudzora marwadzo, kurovera kwepamoyo, kana yakaderera BP
• Pacemaker (kwenguva pfupi, inogona kuva yekusingaperi gare gare)
• Okisijeni

Mimwe mishonga inogona kushandiswa kurapa kukuvara kwemoyo, inosanganisira:

• Chest chubhu yekuiswa
• Kudhonza ropa kubva kwakatenderedza moyo
• Kuvhiya kugadzirisa mitsipa yeropa mubhokisi

Vanhu vane hunyoro hwemyocardial kukanganiswa vachapora zvachose nguva zhinji.

Kukuvara kwakakomba kwemoyo kunogona kuwedzera njodzi yako yekutadza kwemoyo kana matambudziko emwoyo mutinhimira.

Aya anotevera matipi ekuchengetedza anogona kubatsira kudzivirira kupwanya kwemoyo:

• Pfeka bhandi repachigaro paunenge uchityaira.
• Sarudza mota ine mabhegi emhepo.
• Tora matanho ekuona kuchengetedzeka kana uchishanda pakakwirira.

Kukuvadza kwemyocardial kukuvara

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa

Boccalandro F, Von Schoettler H. Njodzi yemoyo inoshungurudza. Mune: Levine GN, ed. Cardiology Zvakavanzika. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 71.

Ledgerwood AM, Lucas CE. Kukuvara kwemoyo kwakashata. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 1241-1245.

Raja AS. Kunetseka kukuru. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 38.