Kuvhiringidzika kwehupenyu kune ngozi

Kuvhiringidzika kwehupenyu kunokonzera kukundikana kwe ventricular nekuderera kwakaderera kwebasa rinobvumirana nemwoyo uye, zvichiguma, kuderera kweropa uye kusakwana kwopa ropa kune nhengo. Kazhinji kacho, kutyisa kwepfungwa kunowedzera sechinhu chinokonzera myocardial infarction uye mumatambudziko akawanda chinotungamirira kurufu.

Zvinokonzera kushushikana kwemoyo

Pakati pezvinhu zvinopesanisa zvinosiyanisa:

• yakazara myocardial infarction , iyo inopfuura 40% yemamotokari inobatwa, uye mwoyo haugoni kubvumirana nekupwanya ropa;
• kuputika kwemwoyo musungo (acute myocarditis);
• kuputika kwevhesiyamu inopindirana ichiparadzanisa ventricle yakarurama yemoyo kubva kuruboshwe;
• acute stenosis (constriction) yemwoyo valves;
• kukanganisa kwakanyanya kwemwoyo valves;
• thromboembolism yakakura yemapurmonary arteri.

Mhando dzechimiroogenic shock

Mukurapa, ndeye tsika yekusiyanisa maitiro matatu ekugumburwa kwemoyo: kufungidzira, kushaya kwechokwadi kwemoyo nekugadzirisa:

1. Reflex. Icho chimiro chakanyanya kudarika, icho, sekutonga, chinokonzerwa kwete nehuwandu hwekuvhiringidzwa kwemyocardium, asi nekuderera kweropa rinokonzerwa nekurwadziwa kukuru kwehutano. Nekununurwa kwenguva yakakodzera kwekutambudzika, kupfuurira mberi kwechirevo kunofadza.
2. Ichokwadi chishuwo chemoyo. Izvo zvinoitika nehuwandu hwekurwa kwemoyo. Muchiitiko chekuti 40% kana kupfuura ye mwoyo isati iri necrotic, kushaya kwehupfumi kuri pedyo ne100%.
3. Arrhythmic shock. Icho chinokura nokuda kwekakachika ventricular tachycardia kana acous bradyarrhythmia. Kushungurudzika kweropa kunobatanidzwa nekushandurwa kwehuwandu hwepfungwa dzepfungwa uye mushure mekusimudzirwa kwaro rwiyo, zviratidzo zvekutyisa zvinowanzoenda.

Zviratidzo zvechipatara uye kuongororwa kwechirwere chemoyo

Pakati pavo pane:

• kunopera kunopera muropa (pasi pe 90 mm Hg) uye pulsed (pasi pe20 mm Hg);
• tachycardia;
• Pale (kazhinji ane cyanotic elements) uye ganda rakanyorova;
• cold extremities;
• kuderedza mitsemhere nekuda kwekumanikidzika kuderera;
• kurasikirwa kwekuziva;
• kukanganisa kukwidza (pamusana wekubata pasi pasi pe50 mm Hg, itsvo dzinomira kushanda).

Kana murwere ane zviratidzo zvekushushikana kwemoyo, vanachiremba vanoongorora kuoma kwezviratidzo izvi, kuenzanisa chirwere chepfungwa uye kupisa kwemhepo, kushaya mwoyo, uye kuongorora mutsara wemwoyo. Nzira dzinotevera dzinoshandiswawo kusimbisa chikonzero chaicho uye nzvimbo inobatwa nayo:

1. Electrocardiogram - kugadzirisa denga uye nzvimbo yechiparadzi, yakadzika uye hukuru.
2. Ultrasound yemwoyo - inobatsira kuongorora huwandu hwekuparara, kugona kuwanda kweropa rakakanganiswa nemoyo mu aorta, kusarudza imwe yenhengo dzematambudziko anotambura.
3. Angiography inonzi x-ray kusiyana-siyana nzira yekuongorora midziyo, iyo iyo inopikisa iyo inoshandiswa mukadzi wechikadzi. Iyi kuongororwa inoitwa kana nzira dzokuvhiya dzekurapa dzinogona kuitika.

Kurapa kwechirwere chemoyo

Kurapa kwechirwere ichi kunowanikwa chete muimba huru yekuchengetedza yechipatara. Emergency zviyero zvehupenyu hwemhepo zvinotarirwa kuwedzera kuwedzera kweropa uye kuronga kugovera ropa kwezvikamu zvinokosha.

Zviyero zvizhinji:

1. Anesthesia. Iko inonyanya kukosha muhuwandu hwekunyanyisa.
2. Oxygenotherapy. Kushandiswa kwemasikisi eoksijeni kunodzivirira oksijeni nzara yeuropi.
3. Thrombolytic therapy. Kunyanya kuendesa kushandiswa kwezvinodhaka kushandura kupararira kweropa nekudzivirira kuumbwa kweropa.
4. Rutsigiro rwekurapa. Kunyatsogadziriswa kwezvinodhaka ne potasium uye magnesium kuvandudza chikafu chemuviri wemutsipa.
5. Kukurudzira. Kuiswa kwemishonga inokurudzira kuderedzwa kwemutsipa wemwoyo.

Kurapa kwekutsamwa kwemwoyo kunoshandiswa nekuongorora mabasa ezvikamu zvinokosha:

1. Kuchengetedza mwoyo.
2. Nguva dzose kuenzaniswa kwekumanikidzwa uye kushaya mwoyo.
3. Kuisa catheter yekuvhenekera kuongorora basa rehso.

Mushure mokutora matanho makuru, kuwedzera kurapwa kunogadzirirwa zvichienderana nerudzi uye kukwirira kwechirwere chemurwere, uye inogona kuva yekuvhiya uye yekuchengetedza.