Mtima wamakhalidwe

Pamene chikoka chikuchedwa pang'onopang'ono kapena chitayimitsidwa kwathunthu, kutsekedwa kwa mtima kukuchitika pa kayendetsedwe ka kachitidwe. Zimatsogolera ku chipolowe chodzichepetsa komanso chosasinthasintha. Tiyeni tione chomwe chimayambitsa vutoli, ndipo ndi chithandizo chiti chomwe chiyenera kugwiritsidwa ntchito pokonzetsa mkhalidwe wa wodwalayo.

Zifukwa za mtima wamkati

Kuyamba ndi kukula kwa matendawa kungapangitse zotsatirazi:

• chithandizo;
• matenda osiyanasiyana a minofu ya mtima;
• matenda opatsirana;
• necrosis;
• kutupa kapena sclerosis ya kayendedwe kabwino ka mtima kapena kachipatala;
• Kuwonjezera pa mankhwala omwe amakhudza ntchito ya mtima;
• matenda okhudzidwa.

Pali madigiri angapo a matendawa:

1. Yoyamba ikhoza kutchulidwa kuti ndikutsekemera pang'ono kwa mtima, pakuchita zofuna, ngakhale kuti ndizengereza, koma zilipo.
2. Pa digiri yachiwiri - yosakwanira kubisala kwa mtima, ziwonetsero zotsatirazi zikhoza kutchulidwa: osati zofuna zonse kulowa mu ventricle, kupyolera mwachangu kumatuluka.
3. Koma kutseka kwathunthu kwa mtima kumatchedwa digiri yachitatu ya matenda. Panthaŵi imodzimodziyo atria ndi ventricles zimachepetsana wina ndi mzake mosiyana.

Kutetezedwa kwa ventricle ya mtima kungakwiyitse ndi zinthu zotsatirazi:

• myocardial infarction;
• chithandizo ;
• mtima;
• malingaliro olakwika mu magazi a electrolytes.

Tisaiwale kuti kutsekemera kotereku sikungakhudze thanzi ndipo sikusokoneza moyo wa wodwalayo. Koma ngati simukuchita chithandizo choyenera, matendawa amatha kupita kumayendedwe oopsa kwambiri ndipo amachititsa kuti thupi lisungeke. N'zosavuta kuona ndi kuzindikira ndi electrocardiogram.

Zizindikiro za mtima wamkati

Ma blockades onse angasonyeze ngati pang'onopang'ono phokoso lazitsulo. Zizindikiro zotsatirazi zikhoza kuchitika:

• mchira;
• kuwonjezeka kwa magetsi pamtima;
• nodal ndi idioventric rhythm;
• kulephera mu nthenda ya sinus;
• mutu;
• chizungulire;
• ululu m'chifuwa;
• kupuma pang'ono.

Kuzimitsa kwathunthu kumawonetseredwa ndi kusokonezeka ndi kutaya chidziwitso.

Ndikofunika kuzindikira, zomwe ziri zoopsa ndi kutsekedwa mtima kwa mtima. Kuonjezera apo, kuoneka kwake kungayambitse matenda ambiri, kupititsa patsogolo kwa matenda kungawononge mtima ndi imfa.

Kuchiza kwa mtima wamkati

Ndikoyenera kunena kuti chithandizo ndi njira zake zimadalira kokha pa kukula kwake ndi kukula kwake kwa matenda. Mwachitsanzo, ngati zizindikiro sizidziwika, ndipo matenda a blockade atulukira mwadzidzidzi, ndiye palibe mankhwala omwe angafunikire. Pankhaniyi, wodwalayo akusowa kupuma kwathunthu. Pamene vutoli layamba chifukwa cha kumwa mankhwala, muyenera kuonana ndi dokotala yemwe angapereke mankhwala ena. Chithandizo ndi chofunikira ngati chochitikacho chimachotsedwa pamtima chifukwa cha matenda opatsirana. Nthawi zambiri amagwiritsa ntchito mankhwala osokoneza ma sodium, mwachitsanzo:

• Quinidine;
• Miyambo;
• Novokainmid;
• Chiwonetsero;
• Nibentan;
• Sotalol.

Ngati wodwalayo ali ndi kachilombo ka katatu kamene kali ndi matenda ovuta kwambiri, ndiye njira yaikulu ya chithandizo chake ndiyo kudziwa kuti pachipatalacho muli zotetezeka.

Zimakhalanso kuti wodwalayo akhoza kukhala ndi nthawi yokwanira yopopera panthawi yotsekedwa mtima. Ndi mawonetseredwe otero ndi kofunika kuti apereke 2-3 nkhonya m'malo a supracuratus, komanso kuti azichita masewera olimbitsa thupi ndi kuyendetsa magetsi.

Komanso panthawi ya chithandizo komanso ngati njira yothandizira, mungagwiritse ntchito mankhwala ochizira, mwachitsanzo, kuchepetsa mankhwala a zitsamba monga mankhwala:

• munda wamasitolo;
• mayi ;
• chimanga;
• muzu wa valerian;
• yarrow.

Zitsambazi zimakhudza kwambiri chikoka, ndipo ma decoctions awo amathandizira kuti thupi likhalenso mwamsanga.