Ukutshatyalaliswa kwe-Cardiogenic kuyinto engxamisekileyo

Ukutshatyalaliswa kwe-Cardiogenic is a failure of ventricular failure in the sharp decrease in the work contract of the heart, ngenxa yoko, ukunciphisa uxinzelelo lwegazi kunye nokunikezelwa kwegazi kumalungu. Ngokuqhelekileyo, ukuphazamiseka kwemizimba kubonakala njengengxaki ye-myocardial infarction kwaye kwiimeko ezininzi kukhokelela ekufeni.

Izizathu zokutshatyalaliswa kwemizimba

Phakathi kwezinto eziphazamisayo zikwahlula:

• i- infyoction ye-myocardial ephezulu, apho ngaphezulu kwe-40% ye-myocardium ichaphazelekayo, kwaye intliziyo ayikwazi ukuthenga kunye nokupompa igazi;
• ukuvuvukala kwesisu senhliziyo (i-acute myocarditis);
• ukuphuka kwe-septum ye-interventricular ehlula i-ventricle efanelekileyo yentliziyo ukusuka ngakwesobunxele;
• i-stenosis ephawulekayo (i-constriction) yeentsimbi zentliziyo;
• Ukungaphumeleli okukhulu kweentsimbi zentliziyo;
• i-thromboembolism enkulu ye-pulmonary artery.

Iintlobo zentshukumo yomzimba

Kwiyeza, kuyisiko ukuhlukanisa iintlobo ezintathu zentshukumo yomzimba: i-reflex, ukutshatyalaliswa kwenhliziyo kunye nesigqibo:

1. Reflex. Yona ifowuni elula kakhulu, ekuthi, njengomthetho, ibangelwa ngumonakalo omkhulu kwi-myocardium, kodwa ngokunciphisa uxinzelelo lwegazi ngenxa yesifo esibuhlungu besifo. Xa kunesihluthulelo esifike ngexesha, intlawulelo eyongezelelekileyo iyafaneleka.
2. Ukutshatyalaliswa kwenene yenyama. Kwenzeka ngokuhlaselwa kweentliziyo. Kwimeko apho i-40% okanye ngaphezulu kwentliziyo inesiqhelo, izinga lokufa liphantse kwi-100%.
3. Ukutshitshiswa kwama-Arrhythmic. Ivela ngenxa ye- tachycardia ephuculweyo ye-ventricular okanye i-bradyarrhythmia. Ukuphazamiseka kwegazi kunxulumene nokutshintsha kwintlaninge yeentliziyo zecala kwaye emva kokuqhelaniswa kwesigqi sayo, iimpawu zokutshatyalaliswa zidla.

Iimpawu zekliniki kunye nokuxilongwa kwentshukumo ye-cardiogenic

Phakathi kwazo:

• ukunciphisa ngokukhawuleza kwixinzelelo legazi (ngaphantsi kwe-90 mm Hg) kunye nefuthe (ngaphantsi kwe-20 mm Hg) xinzelelo;
• tachycardia;
• I-Pale (ngokuqhelekileyo enezinto ezinama-cyanotic) kunye nekhusi elumanzi;
• eminqubeni ebandayo;
• Ukunciphisa imithanjeni ngenxa yokuncipha kwengcinezelo;
• ukulahlekelwa kwengqondo;
• ukuphulwa kokucocwa (kwixinzelelo lobungaphantsi kwe-50 mm Hg, iintso ziyayeka ukusebenza).

Ukuba isigulane sinempawu yokutshatyalaliswa kwemizimba, oogqirha bavavanya ubunzima beempawu, balinganise uxinzelelo lwe-arterial and pulse, rate rate yenhliziyo, kwaye bavavanye inkcazo yesifo senhliziyo. Ezi nkqubo zilandelayo zisetyenziselwa ukuseka isizathu esona nendawo echaphazelekayo:

1. I-Electrocardiogram - ukuchonga isigaba kunye nendawo engabonakaliyo, ubunzulu bayo kunye nobukhulu bayo.
2. I-Ultrasound ye-intliziyo-inceda ukuvavanya ubungakanani bomonakalo, ukuchonga inani lemali elikhishwe yintliziyo kwi-aorta, ukuchonga ukuba yeyiphi iindibano zeentliziyo ezihluphekileyo.
3. I-Angiography yindlela eyahlukileyo ye-x-ray yokuhlola iinqanawa, apho i-arhente eyahlukileyo ifakwe kwisitya somfazi. Olu luhlolo luyenziwa ukuba iindlela zonyango zonyango zinokwenzeka.

Utyando lwe-cardiogenic shock

Ukunyangwa kwesi sifo kuqhutyelwa kuphela kwiyunithi yokunyamekela kakhulu esibhedlele. Amanyathelo angxamisekileyo okwenkqisayo kweengqondo zijoliswe ekunyuseni uxinzelelo lwegazi kunye nokuqhelanisa nokunikezelwa kwegazi ngamalungu ebalulekileyo.

Amanyathelo aqhelekileyo:

1. Anesthesia. Kubaluleke ngokukhethekileyo kwifom ye-reflex.
2. Oxygenotherapy. Ukusetyenziswa kwe-mask oksijini ukukhusela i-oksijini yindlala yengqondo.
3. Unyango lweTrombolytic. Ukuphathwa kakubi kweziyobisi ukuphucula ukujikeleza kwegazi kunye nokuthintela ukwakheka kwegazi.
4. Unyango oluxhasa. Ukuphathwa kakubi kweziyobisi kunye ne-potassium kunye ne-magnesium ukuphucula isondlo senhliziyo.
5. Ukukhuthazwa. Ukuqaliswa kweziyobisi ezikhuthaza ukunciphisa intliziyo yesisu.

Ukunyangwa kwe-cardiogenic shock kuhambelana nokuqwalaselwa kwemisebenzi yezitho ezibalulekileyo:

1. I-monitor cardiac.
2. Ukulinganiswa rhoqo koxinzelelo kunye nentliziyo.
3. Ukufaka i-catheter ye-urinary ukuhlola umsebenzi wezintso.

Emva kokuthatha amanyathelo okuphambili, unyango olongezelelweyo lugqithiselwe kuxhomekeke kwimeko kunye nobuqhamo besimo somguli, kwaye luyakwazi ukutyhutyha nokukhusela.