Kodi kuzindikira zizindikiro amtima

Zizindikiro za infarction m'mnyewa wamtima amakonzedwa chifukwa cha kusokoneza mwadzidzidzi kotunga magazi minofu mtima, chifukwa mu necrosis wake. M'mnyewa wamtima infarction amatanthauza mawonekedwe a matenda ischemic mtima.

Mu chitukuko cha occlusion m'mnyewa wamtima n'kofunika faktoromi mtima inatsekeratu thrombus, zikubweretsa mapangidwe matumba aakulu minofu necrosis (necrosis) komanso kuchepetsa ziwiya mtima chifukwa mapangidwe mipukutuyi atherosclerotic.

Ngati kuchepetsa wa mitsempha inatsekeratu ambiri mu chikhalidwe (mitsempha awiri kapena kuposa nawo mbali), ndi myocardiosclerosis alipo akufotokozera microinfarction. Zizindikiro za izo sakhala kutchulidwa kuposa mmene chotupa cha. Ngakhale ndi mtima zazing'ono, lingachititse mavuto ofanana ndi mavuto omwe akutukuka pa lalikulu focal necrosis.

Zizindikiro m'mnyewa wamtima infarction

Pa chiyambi cha matenda, odwala amadandaula kwambiri ndi yaitali ululu pachifuwa. Izi ndi Baibulo tingachipeze powerenga za mzowawa ya kutanthauzira. Ululu amalimbikira kwa maola angapo ndipo alibe pochitika atakhala ku feteleza. Pali zina zimene mungachite malo ululu Mwachitsanzo, mwina zimachitika m'mimba (gastralgichesky m'mimba kapena zosinthika) mu epigastrium ndi concomitant dyspnea (mphumu chimake). Ululu kuperekedwa mmbuyo, khosi ndi dzanja. Nthawi zambiri kupweteka kwambiri ndi wamphamvu kwambiri moti pali cardiogenic mantha, ndi kulephera kumanzere yamitsempha yamagazi ndi edema m'mapapo mwanga. Nthawi zambiri akusokoneza kayendedwe ka mtima, kugunda amafulumizitsa ndi magazi imagwera njira zina mozungulira. Ngati yamitsempha yamagazi fibrillation zikachitika, pakhoza kubwera kukomoka.

Ngati maola choyamba pambuyo pakutchulidwa za kuwonongedwa pa cardiogram olembedwa arrhythmias ectopic yamitsempha yamagazi, kungakhale zimasonyeza kubwezeretsa patency wa mtsempha wamagazi inatsekeratu za mtima.

Kuwonjezera ululu mu mtima, zizindikiro koyamba za matenda a mtima - ndi kuthamanga, umene ndi mpumulo ululu, amatenga malo, kugunda mofulumira, thupi kutentha pakhale subfebrile. Kutentha ndi kuchuluka kwa masiku atatu kapena anayi. M'magazi kumawonjezera chiwerengero cha maselo oyera, kuchuluka erythrocyte mlingo sedimentation ndi mlingo wa zinyansi nitrogenous (musatenge chizindikiro ichi kwa urate infarction). Zonsezi ndi zizindikiro za yotupa anachita. Mu maola woyamba wakhala ponso michere: creatine kinase, alt, Ast, LDH.

Pa cardiogram chithunzi m'mnyewa wamtima nyamuka khalidwe cha ku Switzerland gawo lonse dzino Q, zosayembekezereka wa yamitsempha yamagazi QS zovuta amatsogolera anthu kumene kunali necrosis m'mnyewa wamtima. Kwa matenda zolondola kwambiri, makamaka m'mnyewa wamtima mobwerezabwereza azitenga mndandanda wa cardiograms.

Ngati panali mtima zazing'ono, zizindikiro nthawi zambiri si choncho kutchulidwa ndi ululu sizikhala kwambiri. Munthu akhoza kusuntha izo "pa mapazi awo," kapena kuonedwa ngati angina, ndiye mosintha wapezeka pa electrocardiogram ndi. Zizindikiro za matenda a mtima ndi zotupa zazing'ono focal kawirikawiri ku anthu akuvutika angina kwa nthawi yaitali kapena cardiosclerosis. Nthawi kumene kumachitika mu magawo koyamba matenda mtsempha wamagazi, ndi mtima pang'ono ndi ngati nyengo yachisanu ikupita zotupa yaikulu transmural.

Mu masiku oyambirira a moleza mtima kwambiri euphoric, mwina mobwerezabwereza kulenganso ululu mu mtima, pakutchulidwa wa arrhythmias ndi arrhythmia.

Angathe kukhala vuto la mtima khoma kapena aneurysm wa msempha, kulephera mtima ndi edema m'mapapo mwanga, emboli mtima ziwalo thrombi ndi miyendo.

chithandizo

mtima chithandizo kwenikweni ikuchitika kuchipatala. Zikavuta ndi kutichitira odwala mwakayakaya. Anatumizidwa ku feteleza mu mawonekedwe a mtsempha kulowetsedwa wa Mlingo waukulu wa heparin, analgesics. Ntchito polarizing osakaniza munali potaziyamu beta blockers, mpweya inhalation. Wodwala ayenera kutsatira bedi zina ndi monga la- ndi nkhawa ndi mavuto.