Maitiro ekurarama mushure mekuiswa kwemoyo

Zvemukati
- Kudzoreredza mushure mekuiswa kwemoyo
- Kupora sei kumba mushure mekuvhiyiwa
- 1. Kutora zvinodhaka zvinodzivirira muviri
- 2. Ita basa rekuita muviri nguva dzose
- 3. Idya chikafu chakabikwa chete
- 4. Chengetedza utsanana
- Kuvhiya matambudziko
- Tsvaga kuti kuvhiyiwa kunoitwa sei pa: Kuisirwa moyo.
Mushure mekuiswa pamoyo, kupora kunononoka uye kwakasimba kunotevera, uye zvakakosha kutora zuva nezuva mishonga yekuzvidzivirira, inokurudzirwa nachiremba, kudzivirira kurambwa kwemoyo wakaiswa. Zvisinei, zvakakoshawo kuchengetedza kudya kwakaringana, uchingodya chete zvakabikwa zvakanaka, kunyanya chikafu chakabikwa, kudzivirira hutachiona hunogona kuisa hupenyu hwemurwere panjodzi.
Kazhinji, mushure mekuvhiyiwa, murwere anopinzwa muchipatara chevanotarisirwa zvakanyanya (ICU) kwemazuva manomwe, uye mushure meizvozvo anoendeswa kubasa revarwere, kwaanogara kwemamwe mavhiki maviri, nekubuda kunoitika panenge pa3 kusvika 4 mavhiki gare gare.
Mushure mekubuda, murwere anofanira kuenderera mberi nezano rekurapa, kuti akwanise kuwana zvishoma nezvishoma hupenyu uye agare hupenyu hwakajairika, kugona kushanda, kurovedza muviri kana kuenda kumahombekombe, semuenzaniso. ;
Kudzoreredza mushure mekuiswa kwemoyo
Mushure mekuvhiyiwa, murwere acharamba ari mumba yekutandarira kwemaawa mashoma, uye mushure meizvozvo anozotamisirwa kuICU, kwaanofanira kugara, paavhareji, mazuva manomwe, kuti agare achiongororwa nekudzivirira kunetseka.
Munguva yekurara muI ICU, murwere anogona kunge akabatana nemachubhu akati wandei kuti ave nechokwadi chekugara zvakanaka, uye anokwanisa kuramba aine catheter yedundira, zvinyoro zvechipfuva, maketani mumaoko ake uye catheter yemhino kuti azvidye, uye zvakajairika kuti inzwa kushomeka kwemhasuru uye kunetseka kufema nekuda kwekusashanda kwenguva refu usati wavhiyiwa.



Mune zvimwe zviitiko, achangobva kuvhiyiwa, murwere angangoda kugara mukamuri mega, ari ega kubva kuvamwe varwere uye, dzimwe nguva asingagamuchire vashanyi, nekuti immune system yavo haina kusimba uye, vanogona kubata chirwere chero nyore, hutachiona., Kuisa hupenyu hwemurwere panjodzi.
Nenzira iyi, murwere neavo vaanosangana naye vangangoda kupfeka chifukidziro, jasi uye magirovhusi pese paanopinda mumba make. Chete mushure mekugadzikana, ndipo paanoendeswa kubasa revarwere, kwaanogara kweanenge mavhiki maviri uye zvishoma nezvishoma anopora.
Kupora sei kumba mushure mekuvhiyiwa
Muzviitiko zvakawanda, kudzoka kumba kunoitika anenge mavhiki matatu kusvika mana mushure mekuvhiyiwa, zvisinei, zvinopesana nemhedzisiro yekuongororwa kweropa, electrocardiogram, echogram uye chifuva X-ray, zvinoitwa kakawanda panguva yekugara muchipatara.



Kuti uchengetedze kuteedzerwa kwemurwere, mushure mekubuda muchipatara, nguva dzekugadzwa dzakarongedzwa nachiremba wezvemwoyo zvichienderana nezvinodiwa.
Hupenyu hwemurwere akaiswazve unochinja, uye unofanirwa:
1. Kutora zvinodhaka zvinodzivirira muviri
Mushure mekuvhiyiwa kuisa moyo, murwere anoda kutora mishonga yekuzvidzivirira zuva nezuva, iri mishonga inobatsira kudzivirira kurambwa kwechinhu chakaisirwa, seCyclosporine kana Azathioprine, uye inofanirwa kushandiswa muhupenyu hwese. Nekudaro, kazhinji, muyero wemishonga unodzikira, sekuratidzwa nachiremba, nekupora, zvichiita kuti zvive zvakakosha kutanga kuongororwa ropa kutanga kuchinjisa kurapwa kune zvido.
Uye zvakare, mumwedzi wekutanga chiremba anogona kuratidza kushandiswa kwe:
- Mishonga inorwisa mabhakitiriya, kudzivirira njodzi yekutapukirwa, senge Cefamandol kana Vancomycin;
- Marwadzo anoderedza, kudzikisa marwadzo, akadai saKetorolac;
- Diuretics, senge Furosemide kuchengetedza kanenge 100 ml weti paawa, kudzivirira kuzvimba uye kusagadzikana kwemoyo;
- Corticosteroids, kudzivirira kusagadzikana kwekuita, seCortisone;
- Anticoagulants, seCalciparina, kudzivirira kuumbwa kwetrombi, inogona kumuka nekuda kwekusafamba;
- Antacids, Kudzivirira kubuda ropa mukuzeya, senge Omeprazole.
Uye zvakare, iwe haufanire kutora chero mumwe mushonga pasina zano rezvechiremba, nekuti rinogona kupindirana uye rinotungamira pakurambwa kwenhengo yakaisirwa.
2. Ita basa rekuita muviri nguva dzose
Mushure mekuiswa kwemoyo, murwere anowanzoona zvichinetsa kuita chiitiko chemuviri nekuda kwekuoma kwekuvhiya, kureba kwekugara uye kushandiswa kwemaunosuppressants, zvisinei, izvi zvinofanirwa kutanga muchipatara, mushure mekunge murwere agadzikana uye asisiri inotora mishonga kuburikidza netsinga.
Zvekukurumidza kupora, kurovedza muviri kunofanira kuitwa, sekufamba maminetsi makumi mana kusvika makumi matanhatu, kanomwe kusvika kashanu pasvondo, pakumhanya zvishoma kwemamita makumi masere paminiti, kuitira kuti kupora kukurumidze uye murwere akaiswazve anokwanisa kudzoka zuva. -kuita-kwezuva zviitiko.
Uye zvakare, iwe unofanirwa kuita anaerobic kurovedza, sekutambanudza, kuwedzera kubatana kwekubatana, kusimbisa mhasuru, kugadzirisa mapfupa uye kuderedza kurova kwemoyo.
3. Idya chikafu chakabikwa chete
Mushure mekumisikidza, murwere anofanirwa kutevedza kudya kwakaringana, asi anofanira:


- Bvisa zvese zvisvinu zvekudya kubva mukudya, senge masaladi, michero uye majusi uye zvisingawanzoitika;
- Bvisa kudyiwa kwezvikafu zvakasarudzika, senge chizi, yogati uye zvinhu zvemumagaba;
- Idya chete chikafu chakabikwa zvakanakas, inonyanya kubikwa, senge yakabikwa apuro, muto, yakabikwa kana pasteurized zai;
- Inwa chete mvura yemamineral.
Kudya kwemurwere kunofanirwa kuve chikafu cheupenyu hwese chinodzivirira kusangana nehutachiona kuitira kudzivirira hutachiona uye, kana uchigadzira chikafu, maoko, chikafu nemidziyo yekubika zvinofanirwa kushambidzwa zvakakwana kudzivirira utachiona. Ziva zvekudya pa: Kudya kwekudzivirira kwakadzika.
4. Chengetedza utsanana
Kuti udzivise matambudziko zvakakosha kuchengetedza nharaunda nguva dzose yakachena, uye unofanirwa:
- Kugeza zuva nezuva, kugeza meno ako kanokwana katatu pazuva;
- Kuva neimba yakachena, mweya, isina unyoro uye zvipembenene.
- Dzivisa kusangana nevanhu vanorwara, nefuru, semuenzaniso;
- Usawanze kazhinji munzvimbo dzakasvibiswa, ine mhepo inodziya, kutonhora kana kupisa zvakanyanya.
Kuti kupora kumhanye zvinobudirira zvinofanirwa kuchengetedza murwere kubva kumamiriro ezvinhu anogona kurwisa immune system iyo isina kusimba.
Kuvhiya matambudziko
Kuiswa kwemoyo kunovhiya kwakaomarara uye kwakaomarara uye, nekudaro, njodzi dzekuvhiya kwemoyo nguva dzose dzinogara dziripo. Mamwe ematambudziko, anosanganisira kutapukirwa kana kurambwa, nekuda kwekuneta kwema immune system kana kunyange coronary chirwere chemoyo, kutadza kwemoyo, itsvo kutadza kushanda kana kufenda, semuenzaniso.
Panguva yekudzoreredza uye, kunyanya mushure mekubuda, zvakakosha kutarisa zviratidzo zvinogona kuratidza zviratidzo zvezvinetso, zvakadai sefivha, kunetseka kufema, kuzvimba kwemakumbo kana kurutsa, semuenzaniso uye, kana zvikaitika, unofanira kuenda nekukurumidza imba yekukurumidzira kutanga kurapwa kwakakodzera.