Iti hoki coronary whakapeka: te tiaki o koutou ngakau tonu!

E koe ranei to outou utuafare i pāngia ki "iti hoki coronary whakapeka," a kahore koe e mohio ki tetahi mea e pā ana ki tenei mate? Pānuitia toku tuhinga e ka whakahoki te nuinga o nga take nui e pā ana ki tenei māuiuitanga cardiac.

Ngohe i te ngakau o tona tonu me te tamau e taea ki te mau tonu i te taumata i taua o te supply o ngā matūkai me te hāora ki te kopa tinana katoa. I roto i tenei take, nga āhuatanga whaiaroaro o te ture o ngā mahi cardiac me iaia whai wāhi e rua tupuranga, te whakaiti i te kaha o tona mahi, i roto i te aroaro o abnormalities o te ngakau arata'i ki ngoikoretanga, mahi, me te "hemo" o kiko. He āhuatanga motuhake o te supply toto ki te ngakau, ko te e manako ana reira matūkai me te hāora i roto i diastole anake. Mai te tikanga whaiaroaro o te ahotea i roto i mahi, e arata'i ki auau tona manawataki, nui te whakaiti i te roanga o te diastole, tokoiti te rere toto i roto i te ngakau. I roto i te katoa uaua ngakau mamae i ischemia, haere tahi e tahu te mamae i muri te whaturei. I roto i tenei ahua o te ngakau supply toto hē whakawhanake whakapeka iti hoki coronary. Ka taea te wehea nga take o tenei huru pathological ki 2 rōpū:

• koronarogennye take meinga e te meka e e whāiti coronary pāpaka atherosclerotic oko kino ranei, a kia sclerosed ai ratou taiepa.
• Noncoronary e pā ana ki ngā huringa pathological i roto i te oko coronary o te ngakau, a kahore e whakawhirinaki i runga i te āhua o te pera.

Ki te tika, tīmata kaha rāhui o te tinana ki te mahi me te whakatere i tetahi mahi tinana ranei te ahotea aronganui mahi cardiac. Heoi, he mahi wehe ki whakahōhā o he koha mahi o nga oko ngakau tenei.

Tohutanga o iti hoki coronary whakapeka.

I raro i te mahi o te Adrenaline tukua ina he tangata ahotea ranei i raro i pikaunga, oko iti tona lumen ki te whakarato i rere tere hua ki te whakarite tika supply o ngā matūkai ki te kopa. He maha ngā tohu atherosclerotic lumen whāiti ranei taiepa sclerotic noa atu constricted, e ai tueke kai ngä Päkehä ki te ngakau ki te toto. He he he iti hoki coronary whakapeka. tīmata tonu te manawanui ki te ite i te mamae tahunga koi muri te whaturei, e kore nei e tuku ki a ia te mahi i te mahi. whakarōpūtia te huru taua te rite te mate rere pūroto o te ngakau, me te kua te puka e whai ake: pectoris angina, infarction myocardial. A, no te ai ite i te roanga o te māuiuitanga o nāianei noa i okiokinga te ngakau he kaimahi o toto tohanga, whakakitea nei e te mamae o te manawa, ngutu puru, ihu, pini ngoikore i roto i nga pera o nga pito, sweating me whakapuaki rarua. e kore e iti hoki coronary whakapeka, tohu o nei te mea tino kanapa, rapu atu whawhe motuhake i te manawanui, no te mea waiwai whai te tūranga o tohu:

• A, no te haere ana rere mahi, te ahotea ranei, i reira te mea he mamae tahunga koi muri te whaturei, i te mea huru mea nanakia o tuku ki interscapulum, ringa maui, kaki, i raro i te paewai maui.
• te tikanga pumau taua ärai kore ake atu i te 15-25 meneti, me te mamae āta whakaiti, te mea ina kua kahore hehema taua mamae myocardial. A, no te taea atu atu i te hawhe tona roa tātari infarction myocardial i roto i te wā whakapeka.
• Ka taea te heke te mamae stenokardicheskie nekehia atu i muri i te 15 meneti i muri i whakahaere o nitroglycerin me infarction i te taua, me te haere tonu hoki roa atu 30 meneti: te pūtake o te parau tumu o te tātaritanga te tauturu o te mamae. Hoki te mamae syndrome, whakamahia infarction myocardial Pë whakapōauau, te taea o te mea e wātea ana anake i roto i te fare ma'i.

Maimoatanga o te iti hoki coronary whakapeka.

Ki te koi koe i a koutou potiki aroha ranei iti hoki coronary, homai maimoatanga te he tākuta anake, engari e taea te kawea e te manawanui i roto i te whawhai, a i waenganui ratou, kia rite ki te pai kia rite i roto i te tautuhinga hōhipera.

A, no te Me te manawanui pouaka mamae ki te tango i nitroglycerin sublingual, tātau papa rawa. I muri i te 10 meneti, ki te kahore te te kaha o te mamae iti, he mea e tika ana ki te faahiti i te fariiraa. kawea maimoatanga i roto i waenganui i te whakaeke roa-mahi pūhau, blockers whiriwhiri me te prophylactic taero anti-atherosclerotic. e kore te mamae infarction myocardial Katohia nitroglycerine atu vazodillatatorom ranei, na reira he whenua mō te maimoatanga akiaki i roto i te whare hauora. He ngā teuteu i runga i te take takitahi rānei. Tenei Pë whakapōauau, māngai antiplatelet, me māngai thrombolytic, blockers, a ētahi wā ki te nui Diuretics whakaeke ngakau mo fakahoko toto tohanga, me te whakaiti i rōrahi toto, me te wāhine ki te manawanui e kore he kukū i roto i defecation, e taea whakapōrearea hoki te venous ki te ngakau. Ko te kupu, Whakarāpopoto ake te i runga, he mea utu te tuhituhi e te iti hoki coronary whakapeka - nui māuiuitanga cardiac e titau maimoatanga tupato, me te tamau.