Daya daga cikin mafi haɗari ga mutum shine cututtukan zuciya. Sashin ciwo na jijiyoyin cututtuka yana da mummunan yanayin jiki wanda yake barazanar rai, kuma lamarin ya riga ya kasance a kan agogo. Irin wannan ganewar asali ne aka yi a rana ta farko, yayin da likitoci ke gudanar da bincike da kuma ƙayyade ƙananan sakamakon.
Sashin ciwo na coronary - mece ce?
Sashin ciwo na jijiyoyin jini ko ACS - abu ne na cinyewar jini ta hanyar maganin, wadda ke ciyar da zuciya. Idan jirgin ya rage sosai kuma karami ko babban ɓangare na myocardium yana dakatar da aiki yadda ya kamata ko ya mutu, to, an gane irin wannan ganewar. A lokacin ganewar asali (rana ta farko bayan ci gaba da cutar), masu kirkiro na zuciya sunyi magani don dawo da farfadowa.
Bayan samun sakamakon, likita na iya gaya mana game da ko rashin lafiya zai fara infarction na sirri (MI) ko kuma idan angina maras kyau (NA) ya nuna kansa. Sakamakon ganewar asibiti na ACS shi ne haɗin kai kuma yana buƙatar magani mai gaggawa, domin tare da cutar da ake buƙatar shigar da magani wanda ya rushe jini a cikin arteries na zuciya, cikin sa'o'i 1.5 bayan bayyanar farko.
Idan a wannan lokaci bai kasance a cikin lokaci ba, likitocin magungunan kwakwalwa kawai zasu rubuta takardun tallafi waɗanda zasu rage yankin na mutuwa kuma suyi goyon bayan manyan ayyuka. Saboda wannan dalili, idan ba zato ba tsammani da ciwon zuciya kuma kada ku je minti 10 bayan hutawa, kira gaggawa don motar asibiti. Ayyukan da ba za a iya canjawa ba a jiki sun fara ci gaba da tarawa, kawai likita mai sauri zai iya ceton mutum.
Sashin ciwo na jijiyoyin jini - haddasawa
Babban dalili na ci gaba da ciwo na jijiyoyin cututtukan zuciya shine mummunan cutarwa ga karfin jini a cikin ƙwayar zuciya, wanda zai iya faruwa saboda rashin samar da iskar oxygen ga jiki ko rashin shi tare da buƙata mai girma. Maganar ilimin kwayoyin halitta na wannan cututtukan da ake dauke da shi shine hallaka tasoshin tare da tsagawa ko rupture na plaque.
Sauran dalilai na ACS na iya zama:
- Harsashin coronary thrombosis wani samfuri ne wanda ya ƙunshi cakuda mai, cholesterol da alli. Za su iya bayyana a cikin kowane jirgin ruwa kuma su matsa tare da jini zuwa zuciya.
- Atherosclerosis na jigilar jini - suna taimakawa tsoka. Wannan wata cuta ce mai ciwo wadda ta ke asarar haɓaka a cikin ganuwar jiragen ruwa da ƙaddararsu, har ma da raguwa da lumen a cikin wuraren.
Baya ga mawuyan ACS, akwai wasu abubuwan da ke taimakawa wajen farawar cutar. Tare da haɗuwa da dama irin wannan yanayi, damar samun damun zuciya yana ƙaruwa. Wadannan sun haɗa da:
- kiba;
- salon zama;
- ciwon sukari mellitus;
- shan taba da barasa;
- matsanancin damuwa;
- ladabi;
- tsufa (bayan shekaru 40);
- zalunci da abinci maras nauyi;
- babban jini na cholesterol;
- jinsi maza.
Sashin ciwo na jijiyoyin cututtuka - bayyanar cututtuka
Rashin ciwo na rashin lafiya na rashin lafiya na jiki yana da irin waɗannan cututtuka:
- Dama mai karfi da ci gaba a cikin kirji, wanda yana da matukar damuwa, ƙonawa ko damuwa. Harin zai iya wucewa daga minti 30 zuwa wasu sa'o'i, a cikin lokuta masu wuya, a rana.
- Gudanar da ciwo mai raɗaɗi tare da ciwon jijiya a cikin hagu na hagu na jiki (ƙananan yatsa, hannu, scapula, wuyansa, hagu da ƙananan jaw).
- Pain yana bayyana kansa a cikin hutawa, barci ko bayan motsa jiki.
- Jin dadin rashin iska ko jin nauyi;
- Pale fata, wani gumi mai sanyi a goshinsa.
- Ayyuka marasa daidaituwa na tsarin mai juyayi don ƙarfafawa: fahimtar rikicewa, kwarewa ta jiki, jin tsoron tsoro, wanda ke ci gaba da karuwa.
- Nitroglycerin bai taimaka wajen dakatar da ciwo ba.
- Kasawa a cikin zuciya zuciya, rashin ƙarfi na numfashi, rashin ƙarfi, numfashi, zafi a cikin ciki.
Mene ne haɗari na ciwon ciwo na jijiyoyin jini?
Lokacin da aka amsa tambayoyin game da abin da rikitarwa ke da ciwo na rashin jijiyar zuciya, yawan yawan mace-mace, wanda shine kimanin kashi 30%, ya kamata a la'akari. Sau da yawa, mutuwa tana faruwa a marasa lafiya kafin zuwan likitoci. Babban dalilin wannan shine fibrillation ventricular. Babban dalilai da ke nuna muhimmancin halin da ake ciki shine:
- shekaru masu haƙuri sun wuce shekaru 60;
- matsananciyar sauƙin saukar karfin jini;
- da karfin ya zama mai sauri;
- a cikin huhu akwai rales mai rufi;
- ci gaba da harshe na huhu;
- ƙara karuwa a cikin rikici na huhu;
- rage yawan adadin fitsari da rabu.
Sashin ciwo na jijiyoyin cututtuka - ganewar asali
Kowane mutumin da ke fuskantar wasu alamun bayyanar ya kamata ya fara dubawa a asibitin. Sakamakon asibiti na ciwo na jijiyoyin jini ya haɗa da:
- da nazarin gunaguni da nazarin abubuwan da ke aikatawa;
- samfurin biochemical da kuma gwaje-gwaje na jini da fitsari;
- coagulogram;
- echocardiography;
- coronary angiography;
- lissafin rubutu;
- electrocardiography - shine hanya mafi mahimmanci a cikin ganewar asalin ciwo na jijiyar cututtuka;
- yanayin hotunan jima'i - yana ba ka damar tantance samfurin jini zuwa myocardium kuma auna ma'aunin jini.
Sashin ciwo na jijiyoyin zuciya akan ECG
Don gano tantance cututtuka na ciwon ƙwayar cuta na cututtukan jini na iya zama bayan bayanan electrocardiography - hanyar hanyar rikodi da rikodin aikin lantarki na zuciyarmu. Yin gudanar da bincike yana da kyawawa a lokacin zafi, sa'an nan kuma kwatanta shi da yanayin jiki kafin ko bayan harin. Don bincika aikin babban jikin mutum yana da muhimmanci sau da yawa a duk lokacin aikin farfadowa.
Sashin ciwo na jijiyoyin zuciya - kulawa da gaggawa
Taimako na farko don ciwon sikila mai cututtuka ya kamata a bai wa mai haƙuri kafin zuwan motar asibiti. Ya haɗa da waɗannan matakai:
- Ya kamata a kwantar da masu haƙuri a kan baya, kafurai da kuma shugaban da ya kai kashi 30-40.
- Saki mutumin daga tufafi mai tsabta, bude taga don kada wani abu ya rikita da cin abinci cikin iska.
- Idan ba tare da rubutu na huhu ba, mai yin haƙuri ya kamata ya zana 2-3 allunan Aspecard ko Aspirin-Cardio.
- Yada yawan karfin jini idan ya fi 90 zuwa 60 mm. gt; sa'an nan kuma ba wanda aka azabtar da kwamfutar nitroglycerin, maimaita bayan minti 10.
- Kula da yanayin mai haƙuri, idan ya cancanta, ku kwantar da shi da kalmomi (kada ku ba da maƙirai), idan ya iya, bari ya kara da zurfi sosai.
- Idan ba tare da numfashi a cikin mai haƙuri ba, to sai ka yi kwantar da hankalin mutum da jin dadi.
Sashin ciwo na jijiyoyin jiyya - jiyya
Yi wani ciwo na ciwo na jijiyoyin zuciya a cikin kulawa mai kulawa mai tsanani ko kuma cikin kulawa mai tsanani. Ana sanya marasa lafiya:
- thrombolytic far;
- stenirovanie da angioplasty;
- Ƙungiyar tawaye;
- Hanyar jinin kwakwalwa ta hanyar kai tsaye;
- ablation.