Yintoni na, yintoni iimpawu kunye nendlela yokuphatha ukothuka kweCardiogenic

Umxholo

• Iimpawu eziphambili kunye neempawu
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela ukothuka kweentliziyo
• Unyango lwenziwa njani
• 1. Ukusetyenziswa kwamayeza
• 2. Ukuphulukana namathebhu
• 3. Utyando
• Iingxaki eziphambili

Umothuko weCardiogenic wenzeka xa intliziyo iphulukana namandla okupompa igazi ngesixa esaneleyo kumalungu, nto leyo ebangela ukwehla okuphawulekayo koxinzelelo lwegazi, ukunqongophala kweoksijini kwizicwili kunye nokuqokelelana kolwelo emiphungeni.

Olu hlobo lokothuka yenye yezona ngxaki zinkulu ze-myocardial infarction ebukhali kwaye, ukuba ayinyangwa ngokungxamisekileyo, inokukhokelela ekuswelekeni phantse kuma-50% amatyala. Ke, ukuba ukrokrela ukothuka kwe-Cardiogenic, kubaluleke kakhulu ukuba uye esibhedlele kwangoko ukuze uqinisekise isifo kwaye uqalise ngonyango olufanelekileyo.

Iimpawu eziphambili kunye neempawu

Iimpawu ezinokuthi zibonise ukothuka kwe-cardiogenic yile:

• Ukuphefumla ngokukhawuleza;
• Ukunyuka okunyukayo kwinqanaba lentliziyo;
• Ukuquleka ngesiquphe;
• Ukubetha okuthathaka;
• Ukubila ngaphandle kwesizathu esibonakalayo;
• Ulusu oluthuthu kunye neendawo ezibandayo;
• Ukwehla kwenani lomchamo.

Kwiimeko apho kukho ukuqokelelana kolwelo emiphungeni okanye kwi-edema yemiphunga, ukuphefumla okufutshane kunye nezandi ezingaqhelekanga zinokubonakala xa uphefumla, njengokuphefumla, umzekelo.

Kuba ukothuka kwe-cardiogenic kuxhaphake kakhulu emva kokuhlaselwa sisifo sentliziyo, ezi mpawu zikhatshwa ziimpawu zokuhlaselwa sisifo sentliziyo, ezinje ngokuziva uxinzelelo esifubeni, ukubetheka engalweni, ukuziva kwebhola emqaleni okanye isicaphucaphu. Jonga uluhlu olupheleleyo lweempawu ezinokubonisa isifo sentliziyo.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa kwesothuko se-cardiogenic kufuneka kwenziwe ngokukhawuleza esibhedlele kwaye, ke ngoko, ukuba kukho urhano kubaluleke kakhulu ukuba uye ngokukhawuleza kwigumbi likaxakeka esibhedlele. Ugqirha unokusebenzisa ezinye iimvavanyo, ezinje ngomlinganiso woxinzelelo lwegazi, i-electrocardiogram okanye i-X-ray yesifuba, ukuqinisekisa ukothuka kwe-cardiogenic kunye nokuqala olona nyango lufanelekileyo.

Izizathu ezinokubangela ukothuka kweentliziyo

Nangona i-infarction sesona sizathu siqhelekileyo sokothuka kwe-cardiogenic, ezinye iingxaki zinokubangela le ngxaki. Ezinye izizathu ezinokubakho zibandakanya:

• Isifo sentliziyo;
• Ukungaphumeleli kwe-ventricular ekunene;
• Myocarditis Acute;
• Imithambo yegazi;
• Iimpawu zentliziyo;
• Ukujamelana ngqo nentliziyo;
• Ityhefu yentliziyo iziyobisi kunye neetyhefu;

Ukongeza, kwinqanaba eliphambili le-sepsis, esisifo esiqhelekileyo somzimba, ukothuka kwe-cardiogenic nako kunokwenzeka, phantse kuhlala kukhokelela ekufeni. Jonga indlela yokuchonga imeko ye-sepsis, ukuqala unyango kunye nokuthintela ukothuka kwe-Cardiogenic.

Unyango lwenziwa njani

Unyango lokothuka kwe-cardiogenic luhlala luqala kanye kwigumbi likaxakeka lesibhedlele, kodwa ke kuyafuneka ukuba uhlale kwigumbi lokunyamekela abagulayo, apho kunokwenziwa khona iintlobo ezahlukeneyo zonyango ukuzama ukunciphisa iimpawu, ukuphucula ukusebenza kwentliziyo kunye nokwenza lula ukujikeleza igazi:

1. Ukusetyenziswa kwamayeza

Ukongeza kwi-serum esetyenziswe ngqo emthanjeni ukugcina i-hydration kunye nesondlo, ugqirha unokusebenzisa:

• Unyango lokwandisa ukomelela kwentliziyo, ezinjengeNoradrenaline okanye iDopamine;
• I-Aspirin, ukunciphisa umngcipheko wokubumba kunye nokuququzelela ukujikeleza kwegazi;
• Womchamo, ezinje ngeFurosemide okanye iSpironolactone, ukunciphisa ubungakanani bolwelo emphungeni.

Olu nyango lukwalawulwa ngqo emthanjeni, ubuncinci kwiveki yokuqala yonyango, kwaye emva koko linokuthathwa ngomlomo, xa imeko iphucuka.

2. Ukuphulukana namathebhu

Olu hlobo lonyango lwenzelwa ukubuyisela ukujikeleza kwentliziyo, kwimeko yesifo sentliziyo, umzekelo. Ukwenza oku, ugqirha uhlala efaka i-catheter, ende, ende ebhityileyo, ngokusebenzisa umthambo, uhlala usentanyeni okanye kwindawo yokugcuma, entliziyweni ukususa iqhekeza elinokubakho kwaye livumele igazi ukuba lidlule ngokufanelekileyo kwakhona.

Qonda ngakumbi malunga nokuba i-catheterization yenziwa njani kwaye yenzelwe ntoni.

3. Utyando

Utyando luhlala lusetyenziswa kuphela kwiimeko ezinzima kakhulu okanye xa iimpawu zingaphuculisi kunye nokusetyenziswa kweyeza okanye i-catheterization. Kwezi meko, utyando lunokulungisa ukulimala kwentliziyo okanye ukwenza ukudlula kwentliziyo, apho ugqirha ebeka omnye umthambo entliziyweni ukuze igazi lidlulele kummandla ongenayo ioksijini ngenxa yobukho begazi.

Xa ukusebenza kwentliziyo kuchaphazeleka kakhulu kwaye kungekho buchule busebenzayo, inqanaba lokugqibela lonyango kukuba ukufakelwa kwentliziyo, nangona kunjalo, kubalulekile ukufumana umntu onikelayo ofanelekileyo, onokuba nzima kakhulu. Funda ngakumbi malunga nokufakelwa kwentliziyo.

Iingxaki eziphambili

Iingxaki zomothuko we-cardiogenic kukusilela kwamalungu amaninzi ahloniphekileyo anjengezintso, ingqondo kunye nesibindi, enoxanduva lokufa kakhulu kwezigulana ezamkelweyo kunyango olunzulu. Ezi ngxaki zinokuphetshwa nanini na xa kufunyaniswa isifo kwaye unyango lwenziwe kwangoko.