Mob coronary insufficiency: txuag koj lub siab tam sim ntawd!

Koj los yog koj tsev neeg raug kuaj muaj "mob coronary insufficiency," thiab koj tsis paub dab tsi txog tus kab mob no? Nyeem kuv tsab xov xwm uas yuav teb feem ntau ntawm cov teeb meem tseem ceeb hais txog qhov no mob pathology.

Kev ua ub no nyob hauv plawv ntawm nws laaj thiab constancy yog tau muaj rau tib theem ntawm mov ntawm cov as-ham thiab oxygen mus rau tag nrho cov cev nqaij. Nyob rau hauv cov ntaub ntawv no, lub physiological nta ntawm cov kev cai ntawm mob thiab leeg tshav ua si koom nrog ob intensification thiab txo cov kev siv ntawm nws ua hauj lwm, uas nyob rau hauv lub xub ntiag ntawm kev txawv txav ntawm lub plawv ua rau haumxeeb tiv nujnqis thiab "starved" cov ntaub so ntswg. Ib tug feature tshwj xeeb ntawm cov ntshav mov rau ntawm lub plawv yog hais tias nws tau txais cov as-ham thiab cov pa xwb thaum lub sij hawm diastole. Txij li thaum lub physiological mechanisms ntawm kev nyuaj siab thaum lub sij hawm ib ce muaj zog, uas ua rau yus nquag nws atherosclerosis, zoo heev thiaj li muaj qhov ntev ntawm diastole, depleting cov ntshav khiav tsis zoo hauv lub plawv. Nyob rau hauv tag nrho lub plawv mob suffers ntawm ischemia, nrog los ntawm burning mob qab lub breastbone. Nyob rau hauv lub xeev no ntawm lub plawv ntshav mov tsis muaj peev xwm tsim mob coronary insufficiency. Cov ua ntawm no pathological mob no yuav tsum tau muab faib ua 2 pab pawg:

• koronarogennye yog vim li cas tshwm sim los ntawm qhov tseeb hais tias coronary atherosclerotic txhab hlab ntsha yog roj los yog kev puas tsuaj, thiab lawv phab ntsa yuav tsum sclerosed.
• Noncoronary txuam nrog pathological kev hloov nyob rau hauv lub coronary hlab ntsha ntawm lub plawv, thiab tsis yog nyob ntawm seb nyob rau lub xeev ntawm cov hlab ntsha.

Yog hais tias tsim nyog, pib lub cev cia muaj peev xwm mus ua tej yam dhia ua si los yog kev nyuaj siab mob yam kev ua si yuav tsum tau ceev. Txawm li cas los, qhov no yog fraught nrog aggravation muaj ib tug ua hauj defect ntawm lub plawv hlab ntsha.

Symptomatology ntawm mob coronary insufficiency.

Nyob rau hauv qhov kev txiav txim ntawm adrenaline tso tawm thaum ib tug neeg los yog kev nyuaj siab nyob rau hauv load, cov hlab ntsha narrows nws lumen los muab txaus tshaj tawm kev nce los xyuas kom meej txaus cov as-ham rau cov ntaub so ntswg. Ob peb atherosclerotic cov quav hniav roj lumen los yog sclerotic phab ntsa txawm ntau constricted, uas ua rau kev noj haus tsis inflow mus rau hauv lub plawv nrog cov ntshav. Muaj yog ib tug mob coronary insufficiency. Tus neeg mob tam sim ntawd pib xav tias ib tug ntse burning mob qab lub breastbone, uas tsis pub kom nws ua txoj hauj lwm. Xws li ib tug mob yog dej num raws li ischemic kab mob ntawm lub plawv thiab muaj cov nram qab no ntaub ntawv: angina pectoris, heart attack myocardial infarction. Thaum lub caij ntawm qhov tam sim no pathology txawm nyob rau hauv so lub plawv yuav muaj ib tug tsis txaus ntawm cov ntshav ncig, uas yog manifested los ntawm ua tsis taus pa, xiav daim di ncauj, qhov ntswg, tsis muaj zog mem tes nyob rau hauv cov hlab ntsha ntawm lub extremities, tawm hws thiab disturbing qhia. Mob coronary insufficiency, cov tsos mob uas yog heev kaj, tsis yuav tsum tau ntxiv ib qho manipulation los ntawm tus neeg mob, vim hais tias yeej plays lub luag hauj lwm ntawm cov tsos mob:

• Thaum taug kev los yog khiav ce, kev nyuaj siab, muaj yog ib tug ntse burning mob qab lub breastbone, uas yog oppressive cim ntawm xa mus rau interscapulum, caj npab, caj dab, nyob rau hauv rau sab laug pob txha qais.
• Tej qaug dab peg feem ntau tsuas kav tsis muaj ntau tshaj li 15-25 feeb, thiab mob maj txo, whereas thaum myocardial mob twb tsis muaj xws nyiam. Thaum ntau tshaj ib nrab nws kav ntev npaum yuav kuaj myocardial infarction nyob rau hauv lub mob nyob ntev.
• Lub hauv paus ntawm lub hauv paus ntsiab lus ntawm mob nyem ntawm qhov mob: mob stenokardicheskie muab tshem tawm tom qab 15 feeb tom qab thawj coj ntawm nitroglycerin thiab infarction yuav txo tau los ntawm cov tib yam thiab ntxiv rau ntev tshaj li 30 feeb. Rau qhov mob syndrome, heart attack myocardial infarction siv narcotic analgesics, tau uas yog muaj tsuas yog nyob rau hauv lub tsev kho mob.

Kev kho mob ntawm mob coronary insufficiency.

Yog hais tias koj los yog koj tus hlub mob coronary insufficiency, kev kho mob yog muab tsuas yog ib tug kws kho mob, tiam sis yuav tsum nqa los ntawm tus neeg mob thaum lub sij hawm ib tug nres thiab nruab nrab ntawm lawv, raws li tau zoo raws li nyob rau hauv lub tsev kho mob qhov chaw.

Thaum lub hauv siab mob tus neeg mob yuav tsum tau nitroglycerin sublingual, dissolving ntsiav tshuaj kiag li. Tom qab 10 feeb, yog tias cov kev siv ntawm tus mob yog tsis txo, nws yog tsim nyog los rov hais dua cov kev txais tos. Kev kho mob yog nqa tawm ntawm kev tawm tsam ntev-sawv nitrates, xim blockers thiab prophylactic anti-atherosclerotic tshuaj. Heart attack myocardial infarction mob yog tsis cropped nitroglycerine los yog lwm yam vazodillatatorom, yog li ntawd ua rau ceev kho nyob rau hauv ib tug lub tsev kho mob. Muaj ntau ntau yam kev npaj nyob rau ntawm tus neeg cov ntaub ntawv. Qhov no narcotic analgesics, antiplatelet sawv cev, thiab thrombolytic agents, blockers, thiab tej zaum kuj nrog ib tug loj heev lub plawv yuav nres diuretics rau ntxub ntshav thiab txo cov ntshav ntim, thiab ib tug laxative rau tus neeg mob yog tsis tense thaum lub sij hawm defecation, uas muaj peev xwm cuam tshuam rau venous rov qab mus rau hauv lub plawv. Yog li, summing up cov saum toj no, yog tsim nyog sau cia hais tias lub mob coronary insufficiency - mob loj heev mob pathology uas yuav tsum tau ceev faj thiab qhov kev kho mob.