Chimwe chezvinhu zvinotyisa kune munhu chirwere chemwoyo. Acute coronary syndrome chirwere chakakomba chemuviri chinopisa upenyu, uye kuverenga kwave kuchine awa. Kuongororwa kwakadaro kunoitwa nezuva rekutanga, apo vanachiremba vanoita tsvakurudzo uye vanoona kuoma kwemigumisiro.
Acute coronary syndrome - chii ichocho?
Acute coronary syndrome kana ACS - iko kukanganisa kweropa kunopfurikidza neyeri, iyo inofadza mwoyo. Kana iyo midziyo yakaderera zvikuru uye chikamu chiduku kana chikuru chemyocardium inomira kushanda zvakanaka kana kufa, ipapo kuongorora kwakadaro kunoitwa. Panguva yekuongorora (zuva rokutanga mushure mekukura kwechirwere), cardiologists vanoita kurapwa kuti vadzorere patency.
Mushure mokugamuchira migumisiro, chiremba anogona kutaura zvakananga kana murwere anotanga myocardial infarction (MI) kana kana angestable angina (NA) ichizviratidza. Kuonekwa kweAACS kunobatanidza uye kunoda kurapwa kwakakurumidza, nokuti nechirwere iwe unoda kupinda mushonga unoparadza ropa muchero mumaroto emutima, mukati ma5 maawa maviri mushure mekutanga zviratidzo.
Kana panguva ino isingafaniri kuva nenguva, mapadiologist anongorayira zvinodhaka zvinodhaka zvinoderedza nzvimbo yefa iri uye kutsigira zvakakosha basa rinokosha. Nokuda kwechikonzero ichi, kana iwe kamwe kamwe uine chirwere chemwoyo uye usaenda kwemaminitsi 10 mushure mokuzorora, kurumidza kushevedza ambulensi. Nzira dzisingabvumiri mumutumbi dzinotanga kukura uye kuunganidza, chiremba anokwanisa chete anogona kuchengetedza munhu.
Acute coronary syndrome - zvinokonzera
Chikonzero chikuru chekugadzirwa kwechirwere chinonzi coronary syndrome kukanganisa kwakakosha kweropa mumutsipa wemukati, izvo zvinogona kuitika nekuda kwekushaya kukwana kwe okisijeni kumuviri kana kusakosha kwayo nechishuwo chikuru. Chikonzero chechimiro chechirwere ichi chinotorwa sekuparadzwa kwemidziyo ine kuparadzaniswa kana kuparara kwemukati.
Zvimwe zvinokonzera ACS zvinogona kuva:
- Coronary artery thrombosis inoronga iyo inosanganiswa nemafuta, cholesterol uye calcium. Vanogona kuonekwa mune chero mudziyo uye vanofamba neropa kumwoyo.
- Atherosclerosis ye-coronary arteries - inopa mwoyo musumbu. Ichi chirwere chisingagumi chinoratidzika nekurasikirwa kwekusimba mukati mamasvingo emidziyo uye kuwirirana kwavo, pamwe nekuderera kwemwenje mumataundi.
Mukuwedzera kune zvinokonzera ACS, kunewo zvimwe zvinhu zvinobatsira kutanga kwechirwere. Nekubatanidzwa kwezviitiko zvakadaro, mukana wokuwana matambudziko emwoyo unowedzera. Izvi zvinosanganisira:
- kuneta;
- mararamiro ehupenyu;
- chirwere cheshuga mellitus;
- kusvuta uye doro;
- kugara mupfungwa;
- hutano;
- kukwegura (shure kwemakore makumi mana);
- kushandiswa kwezvokudya zvakakora;
- kukwirira kweropa chesterosterol;
- varumekadzi.
Acute coronary syndrome - zviratidzo
Iyo syndrome ye acute coronary insufficiency ine zviratidzo zvakadaro:
- Kushungurudza kwakasimba uye kunoramba kuripo mubhokisi, iyo inobatsira, inopisa kana inyanzvi. Kurwisa kunogona kubva pamaminitsi makumi matatu kusvika kumaawa mashomanana, muzviitiko zvisingawanzoitiki, zuva.
- Kuita zvinetso zvinorwadza pamwe nekuguma kwehutano mukati memucheto wekumusoro chikamu chemuviri (muduku muduku, ruoko, scapula, mitsipa, mbabvu uye tambo yakaderera).
- Marwadzo anozviratidza mumamiriro ezvinhu ezororo, kurara kana mushure mokushanda.
- Kunzwa kwokusava nemhepo kana kunzwa kusuruvara;
- Ganda rekare, chando chinotonhora chinopisa pahuma.
- Izvo zvisingaenzaniswi zvakaitwa nehurongwa hwemitsipa kuomesa pfungwa: kuvhiringidzika pfungwa, kusazvidzivirira kuzvidzora, kunzwa kwekutya kutya, izvo zviri kuramba zvichiwedzera.
- Nitroglycerin haana kubatsira kubvisa marwadzo.
- Kukundikana mumoyo rwiyo, kufema kwekufema, kufema, kufema, kurwadziwa mudumbu.
Chii chinonyanya kuipa chekono coronary syndrome?
Paunopindura mubvunzo pamusoro pematambudziko ane chirwere chakakomba chinonzi coronary syndrome, huwandu hwehutano hwevanhu, hunenge 30%, hunofanira kuonekwa. Kazhinji, rufu runowanikwa kune varwere vasati vasvika vanachiremba. Chikonzero chikuru cheizvi ndechekunyengera kwefridhi. Izvo zvikonzero zvikuru zvinongoratidzira kukanganisa kwemamiriro acho ndeokuti:
- zera rake rakapfuura makore makumi matanhatu;
- donho rinopinza muropa;
- iyo palpitation yakakurumidza;
- mumapapu pane mharidzo dzakaoma;
- kukurudzirwa kweplmmm edema;
- kunyanya kuwedzera mumapirmita arteri;
- kuderera kwehuwandu hwemuti wekuparadzaniswa.
Acute coronary syndrome - kusiyanisa kuongorora
Munhu wose ane zviratidzo zvimwe anofanira kuongorora muchipatara. Kuongororwa kweAacute coronary syndrome kunosanganisira:
- kuongororwa kwekunyunyuta uye kuongorora anamnesis;
- biochemical uye kuongorora kukuru kweropa uye murini;
- coagulogram;
- echocardiography;
- coronary angiography;
- computed tomography;
- electrocardiography - ndiyo nzira inokosha mukuongororwa kwechirwere chinonzi coronary syndrome;
- magnetic resonance imaging - inokubvumira kuongorora ropa kune myocardium uye kuenzanisa ropa rinoputika.
Acute coronary syndrome pane ECG
Kuongorora hutachiona coronary syndrome myocardial infarction inogona kuva mushure me electrocardiography - nzira yekurekora nekunyora basa remagetsi yemwoyo yedu. Kuita tsvakurudzo kunofadza panguva yekurwadziwa, uye wozoenzanisa nehurumende yemuviri mushure mekunge kana mushure mokurwisa. Kutarisa basa remuviri mukuru wemunhu kunodiwa kakawanda munguva yose yekurapa.
Acute coronary syndrome - kuchengetedzwa kwekukurumidza
Rubatsiro rwekutanga kune acon coronary syndrome inofanira kupiwa kumurwere usati wasvika ambulensi. Inosanganisira zvikamu zvakadai:
- Murwere anofanira kuiswa pamusana wake, mapepa uye musoro achikwirirwa ne 30-40 degrees.
- Kosunungura munhu kubva pazvipfeko zvakaoma, svinura hwindo kuitira kuti hapana chinopesana nekudya kwemhepo mumapapu.
- Mune kusavapo kwepermonary edema, murwere anofanira kuongorora mahwendefa maviri eAspecard kana Aspirin-Cardio.
- Itai kuti ropa riwedzere kana rakapfuura 90 kusvika 60 mm. gt; ipapo ipa uyo akakundwa nitrolycerin tablet, dzokorora mushure memaminitsi gumi.
- Chengetedza mamiriro ehutano, kana zvichidiwa, mumuporese nemashoko (musapa chero mhuka dzakasununguka), kana achigona, ngaaite kuti afukidze zvakadzama uye zvakasimba.
- Kana kusisina kufema mumurwere, ita kupfutidza uye kuburitsa.
Acute coronary syndrome - kurapwa
Ita chirwere chakakomba chinonzi coronary syndrome muimba huru yekuchengetedza kana muchipatara. Varwere vanopiwa:
- thrombolytic therapy;
- stenirovanie uye angioplasty;
- coronary bypass;
- direct coronary atherectomy;
- kuenderera mberi kwekutengesa.