Esi amata obi agha mgbaàmà

Mgbaàmà nke myocardial infarction na-mepụtara ka a N'ihi nke na mberede nkwụsị nke inweta ọbara obi muscle, dapụtara na ya na-emepe emepe necrosis. Myocardial infarction na-ezo aka a ụdị ischemic ọrịa obi.

Na mmepe nke myocardial occlusion dị oké mkpa faktoromi gbasara obi akwara thrombus, na-eduga guzobe nnukwu eri ego nke muscle necrosis (necrosis) nakwa dị ka ibelata nke gbasara obi arịa ruru ka e guzobere atherosclerotic mbadamba nkume ndị e.

Ọ bụrụ na ibelata nke akwara akwara nile na ọdịdị (abụọ ma ọ bụ karịa akwara aka na usoro), na ẹdude myocardiosclerosis amalite microinfarction. Mgbaàmà nke ya ndị na-erughị akpọ karịa ókè nke lesion. Ọ bụ ezie na nke a bụ obere obi agha, ọ pụrụ iduga otu nsogbu na ya pụta, nke na-emepe emepe na a nnukwu Baịbụl hiwere isi n'ebe necrosis.

myocardial infarction mgbaàmà

Ná mmalite nke ọrịa, ọrịa mkpesa nke oké na ruo ogologo oge obi mgbu. Nke a bụ a kpochapụwo version nke painfulness nke orunótu. Pain adịgide ruo ọtụtụ awa na-adịghị ruo na mgbe na-ewere na nitrati. E nwere ndị ọzọ nhọrọ ọnọdụ nke ihe mgbu, n'ihi na ihe atụ, o nwere ike ime na afo (gastralgichesky abdominal ma ọ bụ variant) na epigastrium na concomitant dyspnea (asthmatic n'onwe). Pain nwere ike e nyere na azụ, olu na ogwe aka. Ọtụtụ mgbe nkọ mgbu bụ ike nke na e nwere cardiogenic ujo, na n'aka ekpe ventricular odida na akpa ume edema. Ọtụtụ mgbe akwusila n'afọ iri na ụma nke obi, obi otiti quickens na ọbara mgbali dara ndị ọzọ ụzọ gburugburu. Ọ bụrụ na ventricular fibrillation emee, e nwere ike a na-adakarị ọnwụ.

Ọ bụrụ na nke mbụ awa mgbe omume nke onye agha na cardiogram dere ectopic ventricular arrhythmias, ọ pụrụ ịbụ indicative nke mweghachi nke patency nke akwara akwara nke obi.

Ke adianade mgbu obi, mbụ mgbaàmà nke a obi ọgụ - a elu nsogbu, nke bụ a mgbu enyemaka, na-emekarị na-ewe ebe, ngwa ngwa obi otiti, ahu okpomọkụ ịrị elu subfebrile. The okpomọkụ na-ụba na-atọ ma ọ bụ anọ n'ụbọchị. Na ọbara enwekwu ọnụ ọgụgụ nke mkpụrụ ndụ ọbara ọcha, mụbara erythrocyte sedimentation ọnụego na larịị nke nitrogenous wastes (adịghị a mgbaàmà maka urate infarction). All ndị a bụ ihe ịrịba ama nke ihe mgbu mmeghachi omume. Ke akpa awa ọ dịla onye na-abawanye nke enzymes: creatine kinez, Alt, AST, LDH.

On cardiogram maka picture myocardial ịrị elu e ji mara ST nke mbara eze Q, omume nke ventricular mgbagwoju QS eduga na ndị bụ ebe e nwere a myocardial necrosis. N'ihi na ihe ezi nchoputa, karịsịa na ugboro ugboro myocardial ga-a usoro nke cardiograms.

Ọ bụrụ na e nwere a obere obi agha, mgbaàmà na-abụkarị bụghị otú akpọ na ihe mgbu nwere ike ịbụ ka agu miri. A na mmadụ nwere ike ịga na ọ "na ụkwụ ha", ma ọ bụ na-ezighị maka rịaworo, mgbe ahụ, ọ na-enweghị usoro ahụrụ na ihe ngwá. Mgbaàmà nke a obi nkụchi na obere Baịbụl hiwere isi n'ebe ọnya ọtụtụ ndị mmadụ na-ata ahụhụ rịaworo ruo ogologo oge ma ọ bụ cardiosclerosis. N'ọnọdụ ndị ahụ ebe ọ pụtara na mbụ nkebi nke akwara akwara ọrịa, a obere obi agha dị ka a eweta ọtụtụ transmural ọnya.

N'oge mbụ ọrịa nwere ike ịbụ kwa euphoric, ikekwe ugboro ugboro ọhụrụ nke mgbu obi, omume nke arrhythmias na arrhythmia.

Ka ịzụlite dị ka a sikwuoro nke obi mgbidi ma ọ bụ aneurysm nke aorta, obi odida na akpa ume edema, emboli vaskụla thrombi akụkụ na aka na ụkwụ.

ọgwụgwọ

obi agha ọgwụgwọ bụchaghị rụrụ na a ọgwụ. N'oké ikpe na-emeso ke kpụ ọkụ n'ọnụ na-elekọta. E Kenyere nitrati n'ụdị igba ogwu n'akwara infusion nke nnukwu doses nke heparin, analgesics. Applied polarizing ngwakọta nwere potassium beta blockers, oxygen inhalation. Onye ọrịa ga-esoriri na bed ike na ike dị ka nchọ site nchegbu na nje.