Kupewa infarction

Kupewa infarction kumakhudza kuyang'anira zoopsa. Pochepetsa chiopsezo cha matenda a mtima, muyenera kusiya kusuta ndi kumwa mopitirira muyeso. Kungakhale kofunika kusintha zizolowezi zina zoipa, mwachitsanzo polimbana ndi kunenepa kwambiri komanso hypercholesterolemia (= lipids wochulukirapo m'magazi).

Mankhwala ena mongaaspirin itha kulembedwa ngati njira yodzitetezera mwa anthu omwe ali pachiwopsezo chachikulu chodwala matenda amtima, monganso ma statin omwe amatha kukonza cholesterol.

Mankhwala ochizira infarction

Chithandizo cha infarction chiyenera kuyamba mwachangu, ambulansi ikangofika yomwe imamutengera wodwalayo kuchipatala cha mtima.

Mankhwala amatha kuperekedwa kuti achepetse magazi ndikuthandizira magazi kulowa mumtima. Mwachitsanzo, imatha kukhala ma aspirin kapena ma thrombolytic othandizira, omwe amawononga chovala chomwe chimatseketsa mtsempha. Kuthamanga kwa thrombolytic kumathamanga, kumakhala ndi mwayi wopulumuka. Zovuta zake ndizocheperanso.

Kuchipatala, a angioplasty chingapezeke. Kuchokera mankhwala antiplatelet (clopidogrel, aspirin, prasugrel) atha kulembedwa kuti achepetse chiwopsezo cha khungu latsopano. Heparin, anticoagulant yochepetsera magazi, ACE inhibitors omwe amagwiritsidwa ntchito kuthamanga kwa magazi, komanso trinitrin (nitroglycerin) amathanso kupatsidwa. Ma Beta blockers atha kupangitsa kuti mtima ugwire ntchito pochepetsa kugunda kwa mtima ndikuchepetsa kuthamanga kwa magazi. Kukhazikitsa ma statins, omwe ndi mankhwala a cholesterol, kumatha kupititsa patsogolo kupulumuka ngati angaperekedwe mwachangu.

Zithandizo zowawa monga morphine zitha kuperekedwa. Mankhwala osokoneza bongo, omwe nthawi zambiri amakhala ndi beta blockers, antiplatelet agents, ma statins ndi ACE inhibitors, amapangidwa ndi aliyense payekha ndipo amatha kusintha pakapita nthawi. Nthawi zonse, mankhwalawa ayenera kumwa nthawi zonse. Mankhwalawa ayenera kutsatiridwa bwino.

Pa mulingo wa opaleshoni, a angioplasty chimachitika. Izi ndikuti titsegule mtsempha wotsekedwa. Kuti achite izi, adokotala amalowetsa chubu lalitali, lowonda, losasinthasintha, catheter, mu ntchafu kenako ndikupita kumtima. Pamapeto pa catheter pali buluni yomwe imatha kukwezedwa. Chifukwa chake, imaphwanya chovalacho ndikubwezeretsanso magazi. a stents, mtundu wa kasupe, ukhoza kukhazikitsidwa. Amalola kuti mitsempha ikhale yotseguka, pamulingo wabwinobwino. a kudutsa zitha kupezekanso. Iyi ndi njira yochitira opaleshoni yomwe imalola kuti magazi azisunthika. Sichidutsanso gawo la mtsempha wotsekedwa ndi atherosclerosis koma njira ina. Chifukwa chake, magazi amayenda mpaka pamtima amasintha. Mwachidziwikire, dokotalayo amaika mbali zonse ziwiri za malo otsekedwa chotengera chamagazi chotengedwa kuchokera mbali ina ya thupi (makamaka kuchokera kumiyendo). Mwazi umadutsa "mlatho" watsopanowu. Ngati malo opitilira gawo limodzi atsekedwa, kungodutsa kamodzi kungafunike.

Pambuyo pa infarction ya myocardial, mayeso adzawerengera kukula kwa malo owonongeka a minofu yamtima, kuzindikira zovuta zomwe zingachitike, monga mtima kulephera, ndikuwunika kuopsa kobwerezabwereza. Pamapeto pake kuchipatala, munthu amene wadwala matenda amtima adzapatsidwa a kukonzanso kwa mtima. M'chaka chotsatira, amayenera kupita pafupipafupi kwa asing'anga komanso kwa a cardiologist kuti azitsatira kwambiri.