"Tawonani, timayambitsa adrenaline. Mlongo, yang'anani zizindikiro za cardiograph. Choncho, khungu limakhala lofiira, amadza yekha. Zikomo nonse, ngozi ili kutha. " Kodi mukuganiza kuti awa ndi mafelemu ochokera mndandanda wa zamankhwala? Ziribe kanthu momwe izo ziriri: izi ndizochitika nthawizonse za madokotala a osowa kwambiri "othandizira oyamba", omwe amachititsa wodwala ndi matenda a mtima ndipo atachita ntchito yawo mu kalasi yoyamba.
Pali mazana kapena zikwi zochitika zotere tsiku lililonse. Koma chithandizo chamankhwala chisanafike, chidzatenga nthawi, ndipo wodwalayo sadzakhala m'mapapo. Chifukwa chake, achibale ndi achibale akungodziwa momwe angaperekere chithandizo chadzidzidzi kwa matenda a myocardial infarction ndi zofanana. Tiyeni tiwone ndondomeko yothandizira yomwe iyenera kutsatiridwa ngati inu kapena anzanu mukukumana ndi zovuta zoterezi.
Nchifukwa chiyani matenda a myocardial infarction akuchitika?
Koma musanaphunzire kupereka chithandizo choyamba ngati muli ndi chiphuphu, tiyeni tidziwe zomwe zimayambitsa ndi mitundu ya chikhalidwe ichi. Mwa njira iyi tidzatha kulingalira za kuyambika kwa chiwonongeko panthawi yomwe yakhazikitsidwa komanso kutsutsana kwambiri ndi chitukuko cha chikhalidwe choopsa kwambiri.
Choncho, matenda a myocardial infarction ndi china choposa njala yakuthwa ya mpweya wa minofu ya mtima. Chifukwa cha kuthamanga kwa magazi koopsa kapena koopsa, katundu wambiri, chisangalalo chochuluka, kuchuluka kwa matenda a mtima, kupatsirana kwa magazi kumtima kumachepa mosayembekezereka. Chifukwa chake, matenda a mtima samasowa zakudya zopatsa mphamvu ndi mpweya wabwino, ndipo pali vuto lalikulu m'maganizo a mtima.
Kachipatala kawirikawiri kwa matenda a myocardial infarction ndi ululu waukulu kumbuyo kwa sternum kumanzere, kutsagwedezeka ndi mantha ndi mantha, kufala kwa khungu ndi mucous membrane, kutuluka kwa thukuta lozizira, kunyezimira ndi kusanza. Ululu ukhoza kuperekedwa kumanja kwamanzere ndi kumanzere, mmafupa ndi mano, koma mosiyana ndi ululu wa angina, kupweteka ndi matenda a myocardial kumathandiza kwambiri kuthetsa nitraglycyrin.
Mitundu ina ya matenda a myocardial infarction imasiyananso:
- Pamene mimba (m'mimba) mawonekedwe a mtima amadziwonetseratu, monga kuchulukitsa kwa matenda a hyperacid gastritis.
- Ndi mawonekedwe a asthmatic, amadzibisa yekha chifukwa cha zizindikiro za mphumu ya mphuno. Komabe, zimasiyanasiyana ndi kuti ngakhale chapamimba kapena antiasthmatics zimathandiza.
- Mtundu wosapweteka wa khansa yotchedwa cardiovascular infarction umatengedwa kuti ndi woopsa komanso woopsa kwambiri. Icho chimadutsa kwathunthu popanda kupweteka kulikonse ndipo chimapeza kuti kokha kukuchepa kwa mphamvu ndi mphamvu yaing'ono ya thupi.
Koma ziribe kanthu momwe mkhalidwe woopsyawu ukuwonetsera wokha, chithandizo choyenerera cha chithandizo chodzidzimutsa kwa matenda a myocardial infarction asanafike "thandizo loyamba" lidzapulumutsa wodwalayo ku imfa. Tiyeni tiwone tsopano kuti ndi zofunikira zotani, kukhala pafupi ndi munthu woteroyo.
Thandizo lachangu ndi matenda a myocardial infarction
Ngati wogwidwayo akudziŵa, ndiye kuti akuchita choyamba ngati matenda a mtima akuyitana ambulansi, kutenga nitroglycerin pansi pa lilime ndikumugoneka. Njira yothetsera vutoli idzakhala yotchedwa achibale, achibale kapena mnzako.
Monga chithandizo choyamba m'magulu akuluakulu a myocardial infarction kwa nitraglycyrin, sizowonjezera kuwonjezera mapiritsi a aspirin. Iwo ali mu chiwerengero cha zidutswa zingapo zomwe zimayikidwa mkamwa mwako ndi kufufuzidwa bwino, osati kutsukidwa ndi madzi. Zochita za mankhwala zingathandizidwe komanso ndi misala. Ndi zojambula zochepa zamaganizo kwa mphindi imodzi, sungani mitu yomwe ili pamzere umodzi. Yoyamba imangotsala pansi pazitsamba zamanzere m'mimba kapena m'munsi mwa chifuwa cha amayi. Ndipo yachiwiri - kumapeto kwa gawo, kuchoka pamwambamwamba omwe tafotokozedwa pamwambapa pakati pa sternum. Chenjerani, mfundo ziwiri zonsezi ndi zopweteka kwambiri, choncho misazitseni mosamala.
Ngati wodwalayo ataya chidziwitso, ndipo mitsempha ya mitsempha ya carotid siyendetsedwa, yenda kumsambo wosasunthika wa mtima ndi kupuma kokometsera kudzera njira yogwiritsira ntchito pakamwa kapena pakamwa pamphuno:
- Choyamba, pangani phula lamphamvu kwambiri pambali pamtima, kenaka mukhale ndi chifuwa chokwanira, kuika mpango pa nkhope ya wodwalayo ndi kutulutsa mpweya mwamphamvu kuchokera m'mapapu ake mpaka mphuno kapena kulowa pakamwa. Chifuwa chakumapeto chiyenera kuwuka, monga pamene chifufumire.
- Tsopano ikani manja anu pa chifuwa mumtima ndikupanga 15 kusinthasintha. Ndiye kachiwiri, bwererani, ndipo kachiwiri akugwedezeka pamtima.
Misala imapitirira mpaka munthu wodwalayo asadzabwerere yekha, kapena ambulansi ifika.
Chithandizo choterocho ndi matenda a myocardial infarction, ngati atanthauziridwa kwenikweni, akhoza kukokera anthu osauka ngakhale kudziko lina. Komabe, ngati mumayang'anitsitsa thanzi lanu, pitani kuchipatala mwamsanga ndipo muyambe kukhala ndi moyo wathanzi, ndipo chithandizo chofunikira ndi matenda a myocardial sichifunika chifukwa cha kusowa kwawo.