Ukungaphumeleli kwintliziyo, eyonakalisa inkqubela ye-myocardial infarction, kunokunciphisa ngokukhawuleza kwingcinezelo yegazi, ukuphazamiseka kwegazi kwiimpawu, ukunyuka kwezinga lentliziyo kunye nokulahlekelwa kwengqondo. Le meko ibizwa ngokuba ngumothuko we-cardiogenic. Iyenzeka ngexesha elibuhlungu le-infyoction ye-myocardial kwaye kwi-60% yamatyala ibangela ukufa.
Ukuphazamiseka kwe-Cardiogenic - kubangela
Izinto eziphambili ezichaphazela ukuphuhliswa kwesi siqalo, i-necrosis yodonga, ihlanganisa i-ventricle ekhohlo, ukutshatyalaliswa ngokukhawuleza kwe-myocardium, ukungaphumeleli komculo kunye ne-aneurysm enzima. Ukutshatyalaliswa kwe-cardiogenic kufunyenwe nge-infarction encinci ye-myocardial, ukuba:
- Uhlaselo lweentliziyo aluveli okokuqala kwaye luhamba kunye nenkundla yecala;
- kukho i-arrhythmia echaphazela i-hemodynamics.
Ukutshatyalaliswa kwe-Cardiogenic - udidi
Kukho iintlobo ezininzi zeli rhulumente:
- Ukutshatyalaliswa kwe-Reflex, eyona nto inobungozi obuncinane engabangelwa kukutshatyalaliswa kwe-myocardium, kodwa kubangelwa intlungu ehamba kunye nokuhlaselwa kwentliziyo. Ngokupheka ngexesha elifanelekileyo, uxinzelelo lukhuphuka, ngaphandle koko ukutshitshiswa kunokuhlakulela ibe yinqanaba lokwenyani.
- Ukutshatyalaliswa okwenyaniso okubonakalayo kwintliziyo enkulu. Kwenzeka ngenxa yokungasebenzi kwemisebenzi yekhompyutha.
- I-AREA eneempawu zayo ayifani ngokungafani nelo hlobo lokwenkqisayo, nangona kunjalo libizwa ngakumbi kwaye lihlala ixesha elide. Ukutshatyalaliswa okunjalo akuphenduli unyango kwaye kwi-100% yamatyala ibangela ukufa.
- Ukutshatyalaliswa kweArrhythm kubonakala ngenxa ye-paroxysm ye-tachycardia, eyenzeka kwiimeko ze-atrioventicular blockade.
Ukutshatyalaliswa kwe-Cardiogenic - iimpawu
Umqathango jikelele wesigulane uvavanywa kakhulu. Ngaloo ndlela kukho imiqondiso enjalo:
- ukulibala kokuphendula;
- i-clouding of consciousness, ilahleko layo linokwenzeka;
- isigulane sinesiva;
- inkungu kwi-galaz;
- intlungu emva kwe-sternum;
- i palpitation;
- ukukhwehlela;
- uphononongo olubukhali kwingcinezelo;
- ukuphefumula kokuphefumla.
Uphando lwangaphandle ezi ziboniswe:
- acrocyanosis;
- ukugqithisa kwesikhumba;
- umswakama wesikhumba;
- izandla ezibandayo kunye neenyawo;
- Kwimigangatho ekupheleni, i-necrosis yezicwangciso zeendlebe neempumlo zingabonwa.
Ukuxhatshazwa kwe-cardiogenic yonyango lokuqala lonyango
Uncedo lokuqala luquka ukuqinisekisa ukuphumla kwesigulane kunye nokunikezelwa ngokukhawuleza esibhedlele. Oogqirha banako ukubonelela isigulane ngoluhlu lwemisebenzi endleleni eya kwiziko lempilo. Oku kunoku kulandelayo:
- Ukuphelisa intlungu nge nitrous oxide.
- Ukuqaliswa kwe-mezaton (i-1%) nge-intravenously kunye ne-cordiamine (10%) nge-intramuscularly.
- Uncedo lokuqala lwe-cardiogenic shock lukwasekelwe kwi-kilo-radiotherapy.
- Uhla lwe-drip ye-norepinephrine (2%).
- Ukutshatyalaliswa kwentliziyo, ukuba ukutshitshiswa kubangelwa yi-tachycardia ye-paroxysmal.
Utyando lwe-cardiogenic shock
Ulwaphulo lujoliswe ekulondolozeni imisebenzi ye-myocardium. Ukuthintela yindlela ebonakalayo yomzabalazo.
Ukuba kukho ukukhawuleza ngokukhawuleza kwingcinezelo, isigulane sijojowe nge-norepinephrine de ukucinezela kufikele kwi-90 mm Hg. Emva koko batshintshela kwi-dopamine, echaphazela ngokuqinisekileyo imeko, ukwandisa iinqanawa ze-cerebral, iinqanawa zezintso kunye nezinye izitho ezisecaleni lomzimba.
Thatha amanyathelo okukhusela kufuneka abe kwimeko ephawulwe ngaphambili:
- I-Anesthesia nge nitrous oxide, neiroletoanlagezii, i-electroanalgesia.
- Ukuthintela i- arrhythmia ngokuqaliswa kwe-lidocaine, etatsizina kunye ne-ornid.
- Ukuthatha unyango lwe-fibrinological.
- Ukuphelisa ukungaphumeleli kwentliziyo ngokusebenzisa i-lasix, i-oxygen kunye ne-strophanthin.
- Isidingo sokubhedlelelwa esibhedlele kunye nokubonelela ngewadi kunye nezixhobo zokulawulwa kweziyobisi ngokusesikweni.