Ukuvimbela infarction

Ukuvimbela infarction kuhilela ukuphathwa izinto eziyingozi. Ukuze unciphise ingozi yokuhlaselwa yinhliziyo, kufanele uyeke ukubhema nokuphuza ngokweqile. Kungase kubaluleke ukushintsha eminye yemikhuba yakho emibi, isibonelo ukulwa nokukhuluphala ngokweqile kanye ne-hypercholesterolemia (= ama-lipids amaningi egazini).

Izidakamizwa ezithile ezifanai-aspirin ingabekwa njengesinyathelo sokuvimbela kubantu abasengozini enkulu yokuhlaselwa isifo senhliziyo, njengama-statins ukulungisa i-cholesterol ephezulu.

Ukwelashwa kwe-infarction

Ukwelashwa kwe-infarction kufanele kuqale ngokushesha ngangokunokwenzeka, ngokushesha nje lapho i-ambulensi ifika ezothatha umuntu ogulayo imuse ophikweni lwe-cardiology yokungenelela.

Imithi inganikezwa ukunciphisa igazi futhi isize igazi ligeleze liye enhliziyweni. Kungaba, isibonelo, i-aspirin noma i-thrombolytic agents, ebhubhisa ihlule elivala umthambo. Lapho i-thrombolytic inikezwa ngokushesha, aba ngcono amathuba okusinda. Izinkinga nazo azibi kakhulu.

Esibhedlela, a angioplasty ingafinyelelwa. Kusuka izidakamizwa ze-antiplatelet (i-clopidogrel, i-aspirin, i-prasugrel) ingase inqunywe ukunciphisa ubungozi bokwakheka kwehlule elisha. I-Heparin, i-anticoagulant eyenza igazi libe mncane, ama-ACE inhibitors asetshenziswa kumfutho wegazi ophakeme, kanye ne-trinitrin (nitroglycerin) nayo ingase inikezwe. Ama-Beta blockers angenza kube lula ukuthi inhliziyo isebenze ngokunciphisa izinga lokushaya kwenhliziyo nokwehlisa umfutho wegazi. Ukunikeza ama-statins, okuyimithi ye-cholesterol, kungathuthukisa ukusinda uma kunikezwa ngokushesha.

Izidambisi zinhlungu ezifana ne-morphine zingase zinqunywe. Ukwelashwa kwezidakamizwa, ngokuvamile okuhlanganisa ama-beta blockers, ama-antiplatelet agents, ama-statins nama-ACE inhibitors, kwenziwa umuntu ngamunye esigulini ngasinye futhi angashintsha ngokuhamba kwesikhathi. Kuzo zonke izimo, umuthi kufanele uthathwe njalo. Ukwelashwa okunqunyiwe kufanele kulandelwe ngendlela efanele.

Ezingeni lokuhlinzwa, a angioplasty kuyenziwa ngakho. Lokhu okokuvula umthambo ovalekile. Ukuze enze lokhu, udokotela ufaka ishubhu elide, elincanyana, eliguquguqukayo, i-catheter, ethangeni abese ekhuphukela enhliziyweni. Ekupheleni kwe-catheter kunebhaluni elingavuthwa. Ngakho, lichoboza ihlule futhi libuyisele ukujikeleza kwegazi. a stents, uhlobo lwentwasahlobo, lungase lufakwe. Ivumela i-artery ukuthi ihlale ivulekile, ububanzi obujwayelekile. a i-bypass kungafinyelelwa futhi. Lena inqubo yokuhlinzwa evumela ukuthi ukugeleza kwegazi kuphambuke. Ayisadluli engxenyeni yomthambo ovinjwe isifo sokuqina kwemithambo yegazi kodwa idlula enye indlela. Ngakho, ukujikeleza kwegazi enhliziyweni kuyathuthuka. Ngokuqondile, udokotela ohlinzayo ubeka nhlangothi zombili zendawo evinjiwe umthambo wegazi othathwe kwenye ingxenye yomzimba (ngokuvamile usuka emlenzeni). Igazi lidlula kuleli “bhuloho” elisha. Uma indawo engaphezu kweyodwa ivimbekile, kungase kudingeke okudlula okukodwa.

Ngemuva kwe-myocardial infarction, ukuhlolwa kuzolinganisa izinga lendawo eyonakele yemisipha yenhliziyo, kuhlonze inkinga engaba khona, njengokuhluleka kwenhliziyo, futhi kuhlole ubungozi bokuphinda. Ekupheleni kokulaliswa kwabo esibhedlela, umuntu ohlaselwe yisifo senhliziyo uzonikezwa a ukuvuselelwa kwenhliziyo nemithambo yegazi. Ngonyaka olandelayo, kuzodingeka aye njalo kudokotela wakhe ojwayelekile kanye nodokotela wakhe wenhliziyo ukuze alandelelwe eduze kakhulu.