Na huhu infarction: haddasawa, magani da kuma sakamakon

Na huhu infarction - wata cuta lalacewa ta hanyar thromboembolic matakai a cikin jijiyoyin bugun gini tsarin na cikin huhu. Wannan shi ne quite wani tsanani cuta da za a iya a mai tsanani lokuta kai ga mutuwa.

A Sanadin cutar

Cuta na iya ci gaba saboda tiyata, a matsalar aiki na samfur na zuciya, kashi samu karaya, marurai, zubar jinni, bayan shafe tsawon gado sauran. The kafa thrombus rufe lumen da jirgin ruwa, sakamakon kara matsa lamba a cikin huhu jijiya da kuma hemorrhage auku a cikin huhu nama. A cikin shafa yankin su shiga kwayoyin cuta, jagorancin zuwa kumburi.

A ci gaba da na huhu infarction

M huhu hauhawar jini da ya karu load a dama zuciya iya zama saboda obturation na wani jirgin ruwa lumen, vasoconstriction hade da saki na ilimin aiki abubuwa, histamine, serotonin, thromboxane, da kuma huhu jijiya spasm reflex. Kamar wancan akwai wani gazawar da oxygen yadawa da kuma jijiya hypoxemia ya auku, wanda worsens da watsi da unoxidized jini ta hanyar intersystem da na huhu arteriovenous anastomoses. A ci gaba da na huhu infarction auku kan bango na riga data kasance cunkoso a cikin jijiyoyinmu. Rana bayan obsturatsii huhu jirgin ruwa da aka kafa infarct kammala ta ci gaba ƙare kamar 7 hours.

mugun jin haltta

Mãkirci na huhu infarction yana da siffar sababbu dala, ta tushe ne directed zuwa periphery. The shafa yankin iya zama na daban-daban masu girma dabam. A wasu lokuta shiga ta pleural effusion ko infarction ciwon huhu. A karkashin madubi, da shafa huhu nama yana mai zurfi ja launi, shi ne m ga tabawa, da kuma sama da matakin da lafiya nama. A pleura zama maras ban sha'awa, dushe, sau da yawa a cikin pleural rami ruwa tattara.

Na huhu infarction: bayyanar cututtuka cuta

Bayyanuwar kuma mai tsanani da cuta dogara a kan size, yawan da wuri daga cikin tasoshi, thrombi rufaffiyar, kuma daga rakiyar zuciya da cutar huhu. qananan ciwon zuciya sau da yawa shi ba kusan babu cututtuka da kuma aka gano ta X-ray. More tsanani zuciya harin faruwa ciwon kirji, sau da yawa abin da ke faruwa ba zato ba tsammani, shortness na numfashi, tari, hemoptysis. More haƙiƙa binciken ya nuna m bugun jini da kuma zazzabi. Na bayyanar cututtuka na zuciya harin ne: Bronchial numfashi tare da rales da crepitus, dullness. Har ila yau, akwai fasali kamar:

• kodadde, sau da yawa ashen fata;

• bluish hanci, lebe, cikin sauki.

• ragewan jini;

• abin da ya faru na atrial fibrillation.

manyan huhu jijiya rassan kashi iya fararwa dama na ramin zuciya rashin cin nasara, saboda cunkoso. A jini da aka gano leukocytosis, erythrocyte sedimentation kudi (ESR) ne da yawa kara.

bincikowa da

Sau da yawa da ganewar asali wuya isa. Yana da muhimmanci a gane cutar, wanda zai iya yiwuwar wahalad da na huhu infarction. Wannan na bukatar wani sosai jarrabawa na haƙuri (musamman ƙananan wata gabar jiki). Lokacin da wani ciwon zuciya, kamar yadda sun yi tsayayya da kumburi daga cikin huhu, zafi a cikin gefe na faruwa a baya a zazzabi da kuma jin sanyi, sputum da jini kuma bayyana bayan wani ciwo mai tsanani a gefe. Wadannan hanyoyin da ake amfani ga ganewar asali na cutar:

• X-ray jarrabawa - don gane huhu tushen fadada da kuma nakasawa.

• ECG - ga alamun obalodi dama zuciya.

• Echocardiography - ayyana bayyanar cututtuka na dama na ramin zuciya obalodi.

• Doppler duban dan tayi na ƙananan extremities - ganewar asali da zurfin jannayẽnsa thrombosis.

• Radioisotope scanning haske - domin ganewa na rage rabo huhu perfusion.

• Angiography - don gane obstructive huhu jijiya rassan, ciki-jijiya ciko lahani.

Na huhu infarction: abubuwan

Cutar yawanci ba ya kai wata babbar barazana ga rayuwar dan Adam. Duk da haka, bayan da irin wannan cuta a matsayin na huhu infarction, da sakamakon na iya zama mai tsanani. Zai yiwu ci gaban da dama da rikitarwa. Alal misali, kamar postinfarction ciwon huhu, suppuration da kuma yada zuwa pleura kumburi, na huhu edema. Bayan wani ciwon zuciya da babban hadarin da ake surkin jini emboli (jini gudan jini) a cikin jirgin ruwa. Wannan, bi da bi, Yanã mai surkin jini tsari da kuma inganta harkokin tsokar ƙurji a shafin. Na huhu edema, tsokar zuciya infarction tasowa, na farko, da wani karu a contractile ikon na zuciya tsoka da jini yayin da lokaci guda jinkiri a kananan da'irar. Tun lokacin da tsanani da zuciya rate saukad da ba zato ba tsammani, akwai wani ci gaban da m ciwo na kananan watsi, wanda haddasawa tsanani hypoxia. A lokaci guda akwai tashin hankali na kwakwalwa, da saki na ilimin aiki abubuwa da taimako zuwa ga permeability na alveolar-capillary membrane, kuma ya karu da redistribution na jini a cikin huhu wurare dabam dabam na babban. Na huhu infarction hangen nesa dogara a kan tamkar cuta, da yawa daga cikin shafa yankin da kuma mai tsanani da na kowa manifestations.

magani na cutar

Lokacin ganowa na farko nuni da cewa na huhu infarction, magani ya kamata a qaddamar nan da nan. A haƙuri ake bukata maza maza ya sadar da farfado da sashen na wani likita ma'aikata. Jiyya farawa da dosing "Heparin", wannan kayan aiki ba ya soke gudan, amma shi ya hana karuwa da thrombus da yake iya dakatar da thrombotic tsari. A medicament "Heparin" iya attenuate da bronchospastic platelet vasoconstrictor sakamako na histamine da serotonin, wanda taimaka wajen rage spasm na huhu arterioles da bronchioles. Heparin ne da za'ayi domin 7-10 kwana, ta haka ne da shi na sa ido da kunne m thromboplastin lokaci (aPTT). Har ila yau, amfani da low kwayoyin nauyi heparin - dalteparin, enoxaparin, fraxiparine. Domin kwanciyar hankali da jin zafi, rage load a kan da na huhu wurare dabam dabam, rage dyspnea amfani narcotic analgesics irin wakili "Morphine" (intravenously gudanar 1 kashi bayani). Idan na huhu infarction tsokani zafi pleural yanayi, wanda rinjayar numfashi, jikin matsayi, tari, shi ne shawarar yin amfani da wadanda ba narcotic analgesics, kamar "Analgin" (igiyar jini allura a kashi 50 cikin bayani). Lokacin da diagnosing podzheludochkovoy insufficiency ko ga zalunta buga ta amfani da vasopressors (dopamine, dobutomin). Idan akwai bronchospasm (a yanayi matsa lamba) Dole ne a shigar sannu a hankali intravenously 2.4 bisa dari aminophylline bayani. Idan ka ci gaba da ciwon zuciya - ciwon huhu, huhu, da maganinta, na bukatar maganin rigakafi. Kwantar da hankula hypotonia da hypokinesia na dama ventricle unsa da amfani da thrombolytic jamiái ( "alteplase," "streptokinase"). A wasu lokuta, za ka iya bukatar tiyata (thrombectomy). A kan talakawan, kananan infarcts an shafe for 8-12 kwana.

cutar rigakafin

Don hana na huhu infarction, shi wajibi ne na farko na dukkan su hana venous cunkoso a kafafu (venous thrombosis na ƙananan extremities). An shawarar zuwa tausa da wata gabar jiki ga marasa lafiya teyata, tsokar zuciya infarction, amfani da roba bandeji a kan kafa. Haka kuma an bada shawarar kauce wa yin amfani da kwayoyi da inganta jini clotting, da kuma rage aikace-aikace na hanyar da igiyar jini gwamnati na magani. Bisa ga shaidar yiwu prescriptions, Munã rage jini clotting. Ga masu rigakafin opportunistic cututtuka da ake sa a hanya na maganin rigakafi. Domin ya hana na huhu hauhawar jini, shi ne shawarar da yin amfani da "Eufillin" wajen.