Irin wannan ganewa na yau da kullum, kamar ƙwayar zuciya mai tsanani (OCH), wani abu ne wanda kullun zuciya ya rasa ikon yin kwangila tare. Wannan ya haifar da raguwa a cikin aikin wankewar kwayar, saboda abin da dukkanin takalma suka fara rashin oxygen.
Dalilin mummunan zuciya
Yawanci sau da yawa ƙananan cututtuka na zuciya da jijiyoyin zuciya ya zama sakamakon rashin lafiya. A cikin 60 zuwa 70% na lokuta, musamman a cikin tsofaffi, OSS na tasowa ne saboda ƙaddamar da cututtuka na zuciya da ke faruwa a halin yanzu (ƙananan ƙwayar cuta ko ƙwayar cuta).
A cikin marasa lafiya, za a iya haifar da cututtuka ta hanyar:
- endocarditis;
- arrhythmia;
- cututtukan zuciya;
- ƙaddamar da cardiomyopathy (dilatation daga cikin zuciyar zuciya);
- mai tsanani mai tsanani;
- kwamin zuciya na zuciya;
- micocarditis mai tsanani mai tsanani.
Bugu da ƙari, babban magungunan ilimin pathology, abin da ake kira. wa] anda ba su da} arfin zuciya, don taimaka wa ci gabanta:
- fashewa mai tsanani;
- koda gazawar;
- ciwon huhu, magunguna da sauran cututtuka;
- miyagun kwayoyi;
- shan barasa;
- mashayanci fuka;
- pheochromocytoma.
Akwai hanyoyi daban-daban na bayyanar asibiti na ciwo na m zuciya rashin nasara:
- hagu na ventricular hagu OCH;
- DOS na ventricular dama;
- ciwon zuciya na cardiogenic.
Alamun m zuciya rashin nasara
Tare da OOS ventricular hagu, musayar gas a cikin huhu suna da damuwa sosai saboda matsin lamba cikin ƙananan zagaye na wurare dabam dabam. Maganin gunaguni shine:
- rashin ƙarfi na numfashi;
- arrhythmia;
- rushewar rauni;
- tari.
Mutumin da ke tare da OSS yayi ƙoƙari ya dauki matsayin zama. Idan ba a bada taimako ba, kuma yaduwar jini a cikin wani karamin ci gaba, ciwon da jini yana iya farawa, tare da bugun jini da wahala, fata ya zama kodadde, sanyi da kwari, da numfashi - kumfa.
A yanayin saukan ƙwararrun OCH, lokacin da aka samu ciwon jini a cikin veins (babban zagaye na jini), an rubuta wadannan alamun bayyanar:
- zafi a bayan sternum;
- sanyi gumi da cyanosis na fata;
- kumburi na veins (musamman a wuyansa);
- sauke cikin karfin jini;
- rashin ƙarfi na numfashi, ƙaddara;
- nau'in bugun jini mai ma'ana;
- kumburi na kafafu, dropsy;
A cikin hawan zuciya na cardiogenic (ana kiran shi kuma ciwo na ƙananan ƙwayar zuciya), mutum zai iya rage yawan matsa lamba (har zuwa siffofin zabin). Mawuyacin hali yana jin zafi, bugunsa ya zama mai launi, fatar jikin ne kodadde. Akwai tayi (babu bugun jini a cikin mafitsara). Daga bisani, gazawar koda, rikodin edema yana tasowa.
Na farko taimako ga m zuciya rashin cin nasara
Bisa ga gaskiyar cewa DOS wani yanayi ne mai gaggawa wanda ke barazana ga rayuwar mutum, a farkon alamun cigaba da ilimin cututtuka, dole ne a kira "motar motar". Ƙayyade ba tare da sanya wani nau'i na kwarewa ba shi da wuya, amma idan mai haƙuri ya fuskanci harin ba shine karo na farko ba, yana yiwuwa a cikin likitan magani magani nitroglycerin, wanda likita ya umurta. Ya kamata a lura da cewa an hana ta maganin wannan magani ko ba da shi ga wani ba tare da shawarwarin likita, tun da wani layman zai iya rikita rikici ta tsakiya kamar yadda ya saba da tsabta , inda nitroglycerin yana da hatsarin gaske.
Mafi kyawun taimako ga mummunan rauni na zuciya shi ne kiran likita kuma ya ba marasa lafiya iska. Kwararrun likita sunyi bayanin diuretics da kwayoyin nitroglycerin (idan jinin jini yana cikin al'ada kuma akwai ƙwararrun mai suna OCH). Idan matsin ya zama ƙasa, ba dopamine, dobalamine.
Jiyya na ƙwararrun ƙwararrun ƙwayar cuta mai tsanani shine rashin ƙarfi, kula da analgesics ga mai haƙuri, prednisolone, diuretics, nitrates, glycosides na zuciya.
Har ila yau, ana shawo kan ƙwayar cutar cardiogenic tare da oxigenotherapy, adrenaline, norepinephrine, dopamine, wajan kwayoyin halitta.