Ƙaƙaƙƙen ƙwayar ƙwayar cuta a cikin magani ana bi da shi azaman mummunan aiki na jini zuwa ɓangare na zuciya. Wannan mummunan yanayi ne tare da hadarin mummunar sakamako, wanda shine mahimmanci a cikin sa'o'i biyu da suka gabata bayan harin kuma an rage bayan matakan gaggawa. Saboda haka, yana da mahimmanci a san yadda ciwon zuciya ya nuna kansa, alamar cututtuka, alamu na farko na pathology.
Me yasa fashewar mummunar ƙaddarar take faruwa?
Ciwon zuciya na zuciya - myocardium - na buƙatar ci gaba da haɓakar oxygen don samar da rikitarwa akai-akai da kuma kula da jini a ko'ina cikin jiki. Rashin samar da kashin tsoka da jini yana faruwa ne a sakamakon nauyin suturar jini, wanda ke motsawa daga aorta, reshe kuma an aika shi zuwa sassa daban-daban na zuciya. Muhimmanci shine tsari na musamman wanda ke kewaye da tasoshin, wanda ke cikin jihar da aka yi sanadiyar da kuma shirye su shiga cikin tashar jini, lokacin da manyan tasoshin ya kasa.
Tare da ƙare jini zuwa ƙuƙwalwar ƙwayar tsoka, tsofaffin hanyoyin bincike suna haifarwa a cikin ɗan gajeren lokaci kuma kyallen takarda suna mutuwa a cikin wani ƙira. A sakamakon haka, aikin da kwayar halitta ta ɓace sosai, an sake maye gurbin sashin necrosis ta hanyar haɗin kai tare da ƙwayar ƙwayar cuta, wadda ke fama da nakasa. Idan akwai ciwon zuciya, bayyanar cututtuka, alamomi na farko da aka gani da kuma bayar da taimako sosai, lokaci mai kyau na hana kwayar cutar, ba tare da wani sakamako mai tsanani ba.
Babban mawuyacin raunin ƙananan halayen dangi sunyi nazari sosai, ciki har da wasu lambobin haɗari, wasu daga cikinsu ba za a iya ƙetare ba, yayin da wasu sun dogara ne akan zaɓin mu. Ƙaddamar da yaduwar jinin zuwa ga myocardium zai yiwu ne saboda manyan abubuwa biyu:
- sauye-sauye ainitrosclerotic a cikin jigilar jini tare da ci gaban stenosis - a cikin wannan harka, ciwon zuciya shi ne nau'i na cututtukan zuciya na jijiyoyin zuciya ;
- wadanda basu da magungunan asherosclerotic suna canzawa a cikin zuciya na zuciya (spasm, embolism, vascularitis, kara yawan jini coagulability, da dai sauransu) - ciwon zuciya kamar ciwo-hada da sauran pathologies.
Yanayin da ke biyo baya suna goyon bayan bayanan mara kyau don ci gaban necrosis a cikin myocardium:
- hawan jini ;
- ciwon sukari mellitus;
- kiba;
- gaban babban adadin cholesterol a cikin jini;
- barasa da shan taba shan taba;
- m daukan hotuna ga danniya;
- rashin motsi ko m jiki aiki;
- rashin isasshen adadi na jini.
Matsanancin cututtukan ƙwayoyin cuta - cututtuka
A cikin mata, ƙaddamarwa a mafi yawan lokuta ya faru a cikin matsakaicin matsakaicin menopausal, domin kafin wannan sakamako na karewa ya haifar da hormones, isrogens wanda ke kula da matakin cholesterol kuma ya inganta fadada jini. Kafin ci gaban wani yanayi mai ban mamaki sau da yawa yana ɗaukar lokaci mai yawa, yayin da sau da yawa sau da yawa sau da yawa, wasu matsaloli tare da zuciya da jini. Amma har ma wannan wani lokaci ba ya rage dabi'ar da ba ta dace ba ga lafiyar mutum, alamar nuna rashin lafiya a farkon lokacin ana watsi da shi, kuma lokaci mai muhimmanci don ceto ya ɓace.
Cutar cututtuka na pre-infarction
Hanya na infarction an raba shi zuwa wasu lokuta, wanda shine farkon wanda ya kasance farkon haɓakawa - wani ci gaba mai tsanani na al'ada na jini zuwa ƙwayar zuciya. Yana yana daga 'yan mintuna kaɗan zuwa makonni. Sanin yadda za a gane magungunan zuciya, da alamar cututtuka a wannan mataki, zaka iya kiyaye lafiyarka. Babban mawuyacin bayyanar cututtuka kafin ciwon zuciya:
- rashin ciwo mai ciwo mai tsanani, tsawon lokaci a cikin lokaci, zama mai tsanani kuma mai ban sha'awa a duk yankuna mafi girma - ciwo a cikin yankin zuciya ya ba da wuyansa, scapula, hannu, dama rabin ramin (nitroglycerin baya taimakawa);
- rashin ƙarfi na numfashi;
- da sakin sanyi mai gumi;
- Nausea;
- rashin haƙuri ga aikin jiki;
- damuwa;
- dizziness;
- ƙãra zuciya zuciya tare da damuwa dam;
- cyanosis na lebe.
Alamun farko na ciwon zuciya
Sa'an nan kuma ya bi abin da ake kira karar lokaci, lokacin da ake kashewa, wanda ba a sami magungunan farko ba, kuma ba a katange shi ba, ya shiga cikin lokaci necrotic tare da ci gaba da ƙananan ƙananan fuska tare da ɗaukar samfurori na nama. Tsawon wannan mataki zai iya zama har zuwa hudu. Bari muyi la'akari da abin da alamu ke nunawa a cikin wannan yanayin:
- da ƙarfin ciwo, da sayen shinge, ƙonewa, halayen squeezing;
- mai tsanani tashin hankali ko rashin tausayi;
- wani ji na rashin iska;
- pallor na fata;
- launi mai laushi, kunnuwa, hanci.
Ƙananan infarction m - bayyanar cututtuka
Mataki na gaba shine m, lokacin da infarction na ƙananan mata a cikin mata na samun wasu alamomi, wanda yake da alaƙa da ƙaddamar da yankin necrosis da kuma ci gaba da ƙonewa a cikin takalma a kusa. Lokacin tsawon lokaci yana da kwanaki da dama, abubuwan da ke faruwa a bayyane sune:
- janyewar zafi (a mafi yawan lokuta);
- ƙara yawan yawan zafin jiki;
- ƙara yawan karfin zuciya.
Daga baya kuma bayan lokaci na ƙarshe sun biyo baya, lokacin da samuwa da ƙwaƙwalwar ƙwayoyin zuciya da sabon yanayi zai faru a cikin 'yan makonni. Gaba ɗaya, halin lafiyar marasa lafiyar yana da mahimmanci.
Taimako na farko don ciwon zuciya
Bayan kiran motar motar motsa jiki lokacin da alamun nuna jijjiga ya bayyana, dole ne a bayar da taimako na farko ga infarction na sirri ga wanda aka azabtar, wanda shine kamar haka:
- Cikakken cikakken aiki na jiki, shan matsayi ko matsakaici.
- Tabbatar da samun damar iska.
- Admission Nitroglycerin (ƙarƙashin harshen) da acetylsalicylic acid (chew) daya kwamfutar hannu.
- Shan shan magungunan da likita ya tsara a baya.
- Idan za ta yiwu, saka idanuwan jini.
- Lokacin da zuciya ta tsaya - raguwa mai ƙarfi a cikin sternum a cikin na farko seconds, to, - tausawa mai ma'ana .
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Binciken asalin infarction
Lokacin da ciwon zuciya ya auku, alamun bayyanar da alamun farko sun kasance a cikin mafi yawan lokuta masu haske da na hali, wanda ya ba likitoci damar fahimtar pathology da sauri. Don bayyana yanayin da yanayin wurin kututtuka, manufar magani, hanyoyi na bincikar maganin ƙananan ƙwayar cuta ba dole ba ne:
- Hanyar lantarki;
- Alamar bayanai;
- gwaje-gwajen gwajin gwaje-gwaje (ƙaddarar shirin ESR, leukocytes, alamomin ƙwayoyin ƙwayoyin cuta, masu alama na necrosis).
Yadda za a hana ciwon zuciya?
Don rage haɗarin fasahar bunkasa, anyi amfani da rigakafi na infarction na sirri, ka'idoji sune:
- Sarrafa karfin jini.
- Sarrafa nauyin jiki.
- Sarrafa matakin cholesterol da sukari cikin jini.
- Abincin lafiya.
- Rayuwa ba tare da halaye mara kyau ba.
- Matsayin al'ada na aiki na jiki.
- Ƙuntatawa daga farfadowa mai juyayi.