Ngenxa yentsholongwane emide kunye neyomeleleyo yentliziyo yesisu, utshintsho olungapheliyo lweentsholongwane lwenzeka kwiiseli zalo. Zikhokelela ekuphazamiseni kwiinkqubo zokuxilonga, ngenxa yeziphi izicubu eziqhelekileyo ezinokuthi zife kwaye zithatyathwa yinyama. Ngoko ukuhlasela kwentliziyo kubakho - iimpawu kunye neempawu zokuqala zendlela yokubaluleka kwimeko ebungozi kubalulekile ukuqaphela kwangaphambili ukwenzela ukuba ube nexesha lokubonelela ngoncedo olufunekayo, ukuphepha isiphumo esibulalayo.
Iimpawu zokuqala kunye neempawu ezithile ze-myocardial infarction zivela nini nawasempini?
Ukufikelela kwiminyaka engama-50 kumzimba wesetyhini kuvelisa inani elikhulu le-estrogens, elifaka isandla ekunyukisweni kweenqanawa ze-coronary. Ngenxa yesi sizathu, amadoda aphethwe sisifo senhliziyo 2 amaxesha amaninzi kunabameli besigqibo esihle sabantu.
Emva kokuphuma kwimizi, iinani-manani ziguquka ngokuphawulekayo, kwaye abaninzi abafazi bahlaselwa entliziyweni. Ngoko ke, xa uneminyaka engama-45 ukuya kuma-50, kubalulekile ukuba banake ingqwalaselo encinci kwimpilo.
Ngokwemimiselo, kunokwenzeka ukwahlula zonke iimpawu zeklinikhi ze-pathology zibe kwiindidi ezi-2 -kude kwaye zikufutshane. Kwimeko yokuqala, ukufunyanwa kweempawu zampawu kunceda ukukhusela ukuhlaselwa, okwesibini - ukuphepha iingxaki kunye nokugcina ubomi.
Iimpawu zexesha elide zesifo senhliziyo ziquka:
- ukukhathazeka nokugaya igazi;
- i-arrhythmia;
- ukulala kwe-apnea syndrome, ukuhlutha okukhulu;
- ukukhathala okungapheliyo;
- kulala;
- izifo zesisu;
- isicaphulo kunye nokuhlanza;
- ukuvuvuka kweenyawo, ingakumbi iinyawo;
- ukuphefumula okufutshane, ukuphefumula okufutshane kunye nokunyanzelisa umzimba;
- angina pectoris;
- ekhanda rhoqo;
- ukuphazamiseka kwesikhashana kwiphepha lasekhohlo;
- ukujikeleza ngokuqhelekileyo ukuvuthwa ebusuku.
Ukubonakala kweyona ncinane encinane yeempawu ezivela kuleluhlu kufuneka ibe sisizathu sokubhena ngokukhawuleza kwi-cardiologist.
Izimpawu ezisondeleyo kunye neempawu zokuqala zesifo senhliziyo ziquka ukuhla kweengcinezelo ezinxulumene nemilinganiselo yamanqaku omfazi. Ukongezelela, ezi zilandelayo zibonakaliso zeklinikhi ze-pathology ziyabonwa:
- ukuvutha, ubunzima, ukubetha, ubunzima okanye intlungu ekhohlo kwesifuba;
- khulisa;
- utywabile kunye nexhefu;
- irradiation yentlungu entengeni, emagxeni, esiswini, emhlathini, ecaleni lenceba;
- ukuphazamiseka kwezandla kunye neminwe;
- isimo sokwesaba, ukuxhalabisa okunzulu kunye nokwesaba ukufa;
- ukuhlaselwa okukhulu kwe-dyspnea;
- ukungonakaliswa kokuhambelana nokuhamba;
- intetho e
- i-bronchospasm ne-edema ye-pulmona;
- neurosis;
- intlungu kwisisu esiphezulu, njengengqondo ye-pancreatitis;
- ukungazi kakuhle;
- utshintshe ukucaca kombono;
- akukho mpawu yokuthatha i-Nitroglycerin Tablets.
Esi sibonakaliso sibonisa indlela esondeleyo yokuhlaselwa, okungenzeka ngeeyure ezimbalwa okanye iintsuku.
Uncedo lokuqala ekufumaneni iimpawu kunye neempawu zokuqala zesifo senhliziyo
Ukuqaphela imbonakalo ethile yeklinikhi yokuhlaselwa kwenhliziyo enkulu, kufuneka uqale ubize iqela loogqirha, ngokukhawuleza uchaze loo mzekelo kubo.
Ngaphambi kokufika koogqirha, kunokwenzeka ukwenza izinto ezinjalo:
- Beka umfazi phezu komhlaba ngokuphakanyiswa kancinci kwesibonda esingaphezulu.
- Izambatho ezinqambileyo zokuvula, vula iwindi, ngokuqinisekileyo ukuqinisekiswa kwe-air air fresh.
- Nika i-tablet ye-Aspirin kunye ne-Nitroglycerin.
- Ngokuvumelana kunye neengcali, unokunika i-tablet 1 ye-Analgin.
- Yeka ukwesaba ngeendlela ezithambileyo - i-tincture ye-valerian, i-Valocardinum.
Nonke ixesha kufuneka ukhangele ukuphefumula, uxinzelelo kunye nentliziyo. Xa ukuboshwa kwentliziyo, kuqhutywe ngokukhawuleza:
- Impembelelo emfutshane kwi-sternum.
- Ukusila ngokungaqondakali kwentliziyo.
- Ukuphefumula ngokwenza umlomo ngomlomo-ekhaleni okanye kumlomo ngomlomo.
Ezi zixhobo zisebenza kuphela kwimigqa yokuqala emva kwesiganeko.
Iimpawu zokuqala kunye neempawu zesifo se-myocardial infarction kwi-ECG
Qinisekisa ukuxilongwa, fumana uhlobo lokuhlaselwa kwaye unika unyango olufanelekileyo kuphela emva kokunyamekela
Isalathisi sibonisa ukuba iziganeko zobungakanani be-ECG ngokuhlaselwa kweentliziyo ezinzulu kunye
- ukungabikho kwezinyo R;
- IQ
- ukuchithwa kwe-pathological upward kwi-ST;
- ukudandatheka okulandelayo kwesigaba se-ST;
- xabiso elibi leT T.