Ischemic Heart disease - kurapa

Ischemia inoonekwa seimwe yezvirwere zvepfungwa zvakanyanya. Kufanana nedambudziko rakadaro, chirwere chemwoyo chinoshungurudza chinoda kurapwa. Mishonga yemazuva ano haiumiri. Nguva dzose kune mishonga nemishonga mitsva, naizvozvo kunyange vanhu vane utsinye vachakwanisa kusarudza nzira yakanakisisa yekurapa ivo pachavo.

Zvinokonzera uye zviratidzo zvekoniyuta arteri chirwere

Chirwere cheIschemic chinokonzera kuderera muhuwandu hwemvura inoyerera kusvika pamwoyo. Chikonzero chikuru cheizvi ndechekuvhara kwea coronary arteries. Ischemia ine maitiro akasiyana-siyana. Zvichienderana nekliniki kuratidzwa kwechirwere chemoyo, zvose zviratidzo uye kurapwa kwemitemo zvinoshanduka.

Maitiro makuru echirwere ndeaya anotevera:

1. Ischemia inogona kunge isingatauriki pasina kukonzera kusagadzikana. Ichi chimiro chechirwere chinonziwo mbeveve.
2. Angina isina kusimba ndiyo maitiro echirwere, umo kusangana kwega kwega kunotevera kwakasimba kudarika imwe yapfuura kana kunosangana nezviratidzo zvitsva. Kurwisana kwakadaro kune zviratidzo zvekuwedzera kwehuwandu hwemamiriro ezvinhu. Kakawanda kazhinji vanotanga kupera myocardial infarction.
3. Kushandisa kurapwa kunoda kudzvinyirirwa angina pectoris - chirwere chisingaperi chine chirwere chemwoyo chinonzi ischemic. Zvinonyanya kukosha ndezvishoma kukurumidza kufema uye kurwadziwa kwepfuva kunowanikwa nekunetseka mupfungwa kana kushungurudzika.
4. Arrhythmic ischemia inogona kuonekwa nekuputsika kwemwoyo rhythm. Chiratidzo chikuru ndechekuvhenekera kuronga. Chimiro chechirwere chisina kukodzera kurapwa chinogona kukura kuva chisingagumi.
5. Myocardial infarction uye rufu rwemhepo kamwe-kamwe ndiwo maitiro akaoma zvikuru eIschemia. Vanomuka nekuderera kunopinza mumhepo yakagadzirirwa kune mwoyo.

Nzira yekurapa chirwere chemwoyo chinonzi ischemic?

Chinangwa chikuru chekurapa kwechirwere chinonzi ischemic ndechekudzorera kukwaniswa kweropa kumwoyo uye kudzivirira zvinetso. Kune nzira dzakawanda dzokurapa ischemia. Kuwana akakodzera zvakakwana kungofanirwa chete chiremba anouya, achivimba nemigumisiro yeongororo.

Mishonga inonyanyozivikanwa yekurapa chirwere chemwoyo chinotevera ndeiyi:

1. Aspirin ndiyo mishonga yekuonekwa kwechirwere. Zvakakwana kuishandisa kamwechete kwemazuva mashomanana uye njodzi yekuvhara ropa ichaderera zvikuru.
2. Dzimwe nguva nitroglycerin inoshandiswa kupedza kurwisa. Mishonga inobatsira kuderedza marwadzo mubhokisi uye inoderedza kudiwa kwomwoyo mu okisijeni.
3. Dzimwe nguva ACE inhibitor inoshandiswa kurapa chirwere chisingaperi chinonzi ischemic. Aya ma enzyme anonyatsobudisa mishonga yeropa, kuitira kuti ropa riwedzere.
4. Wedzera midziyo yeropa uye calcium blockers. Iyi mishonga inobatsirawo kuderedza kuwedzera kweropa uye kuvandudza hutano hwakakwana.

Nzira dzakajairika dzekurapa ischemia ndeyi:

1. Kazhinji, coronary angioplasty inoshandiswa kurapa chirwere chemwoyo. Iyo iri mukutangira katheter mumoyo.
2. Brachytherapy inotanga kushanda kwemazizi panzvimbo yekuvhara. Imwe nzira inorayirwa mushure mekuwedzera kurapwa, mukati Kana blockages inowedzera zvakare.
3. Kutsauka ndeye nzira inoshandiswa apo trombi inowedzera zvakakura pakukura uye kusimbisa. Nokuda kwegadziriro yacho, kuvharwa kunofanira kuwanikwa munzvimbo.
4. Chirongwa cheAorto-coronary parpass inpass is the standard procedure, during which the blocked artery sections are closed by the vessels taken from the internal thoracic artery.

Nzira dzose dzokuvhiya dzekurapa chirwere chemwoyo chinoratidzirwa dzinoratidzwa kune varwere vane chirwere chakakomba uye avo vane mishonga vasina kubatsira.