Yuav ua li cas txheeb xyuas thiab kho myocardial infarction
Zoo Siab
Mob myocardial infarction, lossis mob plawv nres, tshwm sim thaum tsis muaj ntshav hauv lub plawv ua rau koj cov ntaub so ntswg puas. Qhov xwm txheej no tau paub hu ua ischemia, thiab ua rau cov tsos mob xws li mob hauv siab uas radiates rau caj npab, ntxiv rau xeev siab, hws txias, nkees, pallor, thiab lwm yam.
Feem ntau, qhov infarction tshwm sim vim kev txuam nrog cov roj ua rau cov hlab ntsha hauv cov hlab ntshav ntawm cov hlab ntsha, uas tshwm sim ob qho tib si vim los ntawm noob caj noob ces, nrog rau kev pheej hmoo txaus ntshai xws li haus luam yeeb, rog dhau, noj tsis txaus noj thiab lub cev tsis ua haujlwm, piv txwv. Nws txoj kev kho mob yog qhia los ntawm tus kws kho mob, thiab koom nrog kev siv tshuaj los kho lub plawv rov qab rau lub plawv, xws li AAS, thiab qee zaum, phais mob plawv.
Nyob rau ntawm cov tsos mob uas qhia tias muaj mob plawv, kav ntev dua 20 feeb, nws yog qhov tseem ceeb mus rau chav kho mob ceev lossis hu rau SAMU, vim tias qhov xwm txheej no tuaj yeem ua rau mob plawv mob hnyav, lossis tseem ua rau tuag, yog tias lawv tsis ua . Muaj kev pab cuam sai heev. Yuav kom paub sai sai cov tsos mob ntawm lub plawv nres, thiab qhov tshwj xeeb hauv cov poj niam, hluas thiab laus, kuaj xyuas cov tsos mob ntawm lub plawv nres.
Yuav ua li cas paub
Cov tsos mob tseem ceeb ntawm infarction yog:
- Kev hnov mob sab lauj ntawm sab hauv siab hauv daim ntawv ntawm nruj, lossis "tsaus tsawv", uas ci ntsa iab xws li loog lossis mob rau sab tes laug lossis sab tes xis, caj dab, nraub qaum lossis puab tsaig;
- Paleness (ntsej muag dawb);
- Hnov mob;
- Cov hws txias txias;
- Kiv taub hau.
Lwm cov tsos mob yav dhau los, uas tsis yog li classic, uas tuaj yeem qhia tau lub siab mob hauv qee tus neeg yog:
- Mob plab, hauv daim ntawv ntawm nruj los yog mob hnyav lossis zoo li muaj qhov hnyav ntawm tus kheej;
- Mob nraub qaum;
- Kev hnov mob hauv ib qho ntawm caj npab lossis puab tsaig;
- Kev xav ntawm cov pa roj hauv lub plab;
- Hnov mob;
- Nqa;
- Ua tsis taus pa;
- Tsaus muag.
Cov tsos mob no feem ntau pib maj mam, thiab maj mam paug, kav ntev dua 20 feeb. Txawm li cas los xij, hauv qee kis, qhov infarction tuaj yeem tshwm sim sai, nrog rau kev mob hnyav sai sai, qhov xwm txheej hu ua fulminant infarction. Paub tias dab tsi ua rau thiab yuav ua li cas txheeb xyuas qhov tsis txaus ntseeg.
Kev kuaj mob tuaj yeem lees paub los ntawm tus kws kho mob dhau los ntawm tus neeg mob cov ntaub ntawv keeb kwm thiab kev sim xws li electrocardiogram, mob plawv enzyme ntau npaum thiab catheterization hauv tsev khomob.
Dab tsi ua
Feem ntau, qhov ua rau lub infarction yog qhov txhaws rau hauv cov ntshav hla mus rau lub plawv, vim yog kev txuam nrog cov rog hauv cov hlab ntsha, lossis vim:
- Kev ntxhov siab thiab kev npau taws;
- Haus Luam Yeeb - Kev Ua,
- Siv cov tshuaj txhaum cai;
- Txias dhau;
- Mob heev.
Qee yam kev pheej hmoo uas ua rau ib leeg muaj feem yuav muaj mob plawv yog:
- Tsev neeg muaj keeb kwm mob plawv lossis mob plawv;
- Tau muaj kev raug mob plawv yav dhau los;
- Siv nquag lossis nquag haus luam yeeb;
- Kev kub siab;
- Cov roj (LDL) lossis cov roj HDL qis;
- Kev pham;
- Sedentary lub neej;
- Mob ntshav qab zib.
Qhov tseem ceeb ntawm tsev neeg, thaum tus tib neeg muaj ib tug txheeb ze ze xws li leej txiv, leej niam, niam tais yawm txiv lossis kwv tij neej tsa muaj mob plawv, yog qhov tseem ceeb heev.
Siv lub laij lej hauv qab no thiab xyuas seb koj qhov muaj feem yuav mob plawv yog dabtsi:
Yuav kho tus mob li cas
Kev kho mob ntawm infarction tau ua nyob hauv tsev kho mob, nrog kev siv lub npog ntsej muag oxygen los yog txawm tias lub tshuab ua pa, kom tus neeg mob nqus tau yooj yim dua, thiab kev siv tshuaj ntawm ntau cov tshuaj, qhia los ntawm tus kws kho mob, xws li tshuaj tiv thaiv platelet aggregators, tshuaj aspirin , venous anticoagulants, ACE inhibitors thiab beta-blockers, statins, cov tshuaj tua kab mob uas muaj zog, nitrates, uas ua haujlwm los ntawm kev sim tswj kev tso cai ntawm cov ntshav mus rau lub siab.
Cov kev kho mob nrhiav kev tsim kho tus mob tus mob, txo qhov mob, txo qhov loj me ntawm thaj chaw muaj mob, txo cov teeb meem tom qab kis kab mob thiab suav nrog kev saib xyuas xws li so, soj ntsuam xyuas tus kab mob thiab kev siv tshuaj kho mob. Yuav tsum tau catheterization ceev lossis angioplasty, raws li hom infarction. Qhov kev ntsuas kab mob no txhais tau lub nkoj uas txhaws thiab seb yuav kho zaum kawg yuav mob angioplasty lossis mob plawv rau kev tso tus choj.
Tshawb kom paub cov ntsiab lus ntxiv txog cov kev xaiv kho mob rau lub siab, nrog tshuaj lossis phais mob.
Raws li kev kho mob yuav tsum tau ua nyob rau hauv tsev kho mob, sai li sai tau thawj cov tsos mob tshwm sim nws yog ib qho tseem ceeb hu rau SAMU tam sim ntawd, thiab yog tias muaj qhov tsis nco qab nws tseem ceeb uas yuav tsum muaj lub plawv zaws kom txog thaum kev pab kho mob tuaj txog. Kawm yuav ua li cas ua kev zaws lub plawv nrog tus kws tu neeg mob Manuel saib cov yees duab:
Yuav tiv thaiv li cas plawv nres
Cov neeg phem rau ua rau muaj feem ntau ntawm cov kab mob plawv, xws li mob stroke lossis infarction, yog lub neej tsis zoo hauv lub neej, uas yog lub luag haujlwm rau cov txuam nrog cov rog hauv cov hlab ntsha. Yog li, txhawm rau tiv thaiv lub plawv nres, nws yog qhov tsim nyog rau:
- Tswj lub cev kom txaus, kom tsis txhob rog;
- Ua cov kev tawm dag zog ib ce tsis tu ncua, tsawg kawg 3 zaug hauv ib lub lis piam;
- Tsis txhob haus luam yeeb;
- Tswj ntshav siab nrog cov tshuaj uas kws kho mob hais;
- Tswj cov roj cholesterol, nrog zaub mov lossis siv cov tshuaj uas tus kws kho mob tau hais;
- Kho ntshav qab zib kom raug;
- Zam kev ntxhov siab thiab ntxhov siab vim;
- Zam kev haus dej haus cawv ntau dhau.
Txuas ntxiv, nws raug nquahu kom ua a kuaj txheeb tsis tu ncua, tsawg kawg ib xyoos ib zaug, nrog cov kws kho mob tshwj xeeb lossis kws kho plawv, kom cov kev pheej hmoo ntawm infarction raug kuaj pom sai li sai tau, thiab cov lus qhia tau muab uas tuaj yeem txhim kho kev noj qab haus huv thiab txo qis kev pheej hmoo.
Txheeb xyuas cov ntawv sim tseem ceeb uas tuaj yeem ua kom ntsuas kev mob plawv.
Kuj tseem saib cov yeeb yaj kiab hauv qab no thiab paub tias yuav noj dab tsi kom tsis txhob mob plawv: