Coronary iatuku pokanga karo - he aha te mea te reira? oko karo coronary o te ngakau

mate ngakau coronary ko te whiu tino o te rautau 21. Tata te te mamae i nga tangata tuarua i tenei mate. Ētahi kia hamani i te mate ki te rongoā, engari he aha etahi pokanga faufaa roa. Ko tētahi o nga ngā mahi taketake, te whakaiti rere toto i roto i te oko o te ngakau, he karo coronary.

He aha te mea te reira?

timata tenei wā ki te puta i roto i te maha puna hauora mō etahi wa tino. I tēnei wā, ko tata te mahi anake te tetahi o ona ahua. E ai ki ngā tatauranga, huri noa te ao pau e pā ana ki tetahi miriona taua ngā tukanga tau.

Ka rite ki whakahuatia, he tika te nuinga o tūroro ki te mate te AVC coronary uaua karo pokanga. He aha te mea te reira - mohio, kāore, e kore e tokomaha.

Coronary pokanga iatuku karo tā te whakapanga o ta'ero i runga i nga oko ngakau.

Ko te tino whānui, me te kino te mahi.

E ai ki ngā tatauranga, kawea tenei mahi i roto i 12 anake ōrau o te hunga katoa i roto i te hiahia. I roto i te tahi mau i reira he contraindications ki tona mahi, i ētahi atu e kore e rapu i nga wa katoa tauturu a te taote.

Kia kua puta te mahi, kua whakaaturia maha kaipūtaiao tairanga nui moni ki reira, Heoi, e rua tau i muri i tona hanganga, i rāhuitia te mahi. Re-whakaurua te reira i roto i tika i te tau torutoru, ka timata te mahi ki te puta i roto i te pāpāho ao. Mai reira, kua riro tata ia tona whakamahi, a kahore e maha kaiwhakaako tohu i te mate te AVC taea rongoa, engari ki te whakahaere i tenei mahi.

Ko te pathogenesis o mate te AVC

whakawhanake mate te AVC ina e timata i te iatuku pūngākau ki wheako i tētahi hē hāora. puta tenei e tika ana ki whāiti o te lumen. Ko te take ārahi ki te whāiti, he tokomaha - mai i hē whanau me te whāiti rerekē i whanau, me te mutu ki te hekenga i roto i te lumen tika ki te tini o whakatū papa atherosclerotic.

Tikanga, e kore e IBS tohumate faaite mai ratou tae noa ki reira, tae noa ki kore e whāiti te lumen e neke atu i te 70 ōrau. Ka taea e puta i te whare hauora anake i roto i te take o te mahi tinana nui.

Ko te āhuatanga matua o te whanaketanga o te mate ngakau coronary he mamae pouaka tahi e te mamae o te manawa, me te mana'o o te wehi. Ki te whāiti nui o nga oko coronary faarahi te mōrea o te whakaeke ngakau.

A, no te he koretake therapy momo (taero fariiraa vasodilator) kawea coronary täpiritanga uaua karo.

akoranga o te mahi

whakamana ana te mahi kei te tuwhera-ngakau pokanga, t. E. He mea tika ki te whakatuwhera i te pouaka. Kei te nuinga o te kokoti i hanga i te cartilages costal i runga i te maui.

Ko te manawanui i te wa o te wawaotanga hono ki te mīhini ngakau-tana pukapuka.

whakamana ana te mahi kei te i raro i rehunga whānui.

Hei waihanga i te whakanekeneke whakamahia te nuinga o te wā oko ausia (subcutaneous Vienna waewae ranei ā-iatuku mammary). Te whakanekeneke hua, kotahi nekehia, tono ki runga ake, me raro i te whāiti o ngā iatuku pūngākau me sutured ki te oko. whakahaere tenei te rere o te toto i roto i te iatuku kua pā, me te taea ki a koe te tango ischemia myocardial.

I roto i ētahi wā huihui ki transplant te iatuku toropā rite te rere toto i roto i te pera he whitinga pai nui.

I tēnei wā, atu hehema ki te whakahaere i ngā mahi i waho te whakamahi o te karo manawa, ka rite ki te haere toto i roto i tenei kōwae whai wāhi ki whero kino pūtau toto me te hemolysis.

Tuhinga ki Hipanga

oko karo coronary o te ngakau e whakaaturia i roto i te wā e whai ake nei:

• Heke toto patency o te AVC maui e te iti rawa 50 ōrau. Tenei oko Ko te infarction nui i roto i te kai tōtika. Te nuinga o te toto ko te pātai hoki ia, no te mea o te mea, he mahi wehe ki ischemia nui, me te infarction myocardial te taumata poraka o te ipu.
• Ko te hekenga i roto i te lumen o nga oko coronary ki 70 ōrau.
• Ko te aroaro o stenosis o te iatuku interventricular mārōrō, (ina koa i te mata o te bifurcation).

He taketake mō te pokanga karo coronary ēnei pānuitanga.

Haunga a ratou i reira e kino, tohu symptomatic. E meinga ratou e pāngia auau o angina (mamae, mana'o o constriction i roto i te pouaka), me te nuinga o te wā Katohia rongoā. Heoi, riro te raruraru nui ake i roto i te take i reira te ngaro te rongoā tona whai huatanga, me kei te hoko i te whakaeke atu auau. E i roto i tenei take kua kia whakaarahia te take o te whakanuku.

contraindications

Nā ki te whānuitanga o ngā hangarau mōhiohio horapa, ako e pā ana ki te AVC pokanga karo - he aha te mea te reira, he aha tona whakaaturanga - e kore te mea uaua. Ko uaua ake ki contraindications mea katoa.

I roto i te rerekē ki te tohu mō te pokanga, he whanaunga contraindications katoa, kia kia mai whakaaro pātai o ia manawanui e pā ana ki te mahi puta i ona raraunga motuhake.

I whakapono te reira e tau o te manawanui, rawa i runga i 70 tau, ko te take tōtika ki te whakahaere i wawao. I reira, e rave rahi tūroro e ruhiruhia aro ki pokanoa i roto i te ngakau (ko reira e tika ana ki te ngaro o te rere mate mau e pa hemodynamics). Hoki te hunga e whai taua mate, he nui ake hehema ki tākuta te transplant ngakau me te iaia (te kore āhua reira decompensated).

I mua, coronary pokanga karo o nga oko ngakau whakahaere i roto i te mate täkihi kaha tukanga oncological ranei. Na ka taea e kitea e koe ngā mōhiohio i runga i wawaotanga tino pai whakahaere i roto i enei tūroro ki te putanga pai, me te Tuhinga o te ora mo te neke atu i te 10 tau.

whakaaurakitanga o tūroro

Mai te mea tino whānui, me te nui o nga mahi, nui aronga he whakahaere tika o tūroro pangia coronary täpiritanga uaua karo. I muri i te pokanga maha whakawhanake pōauautanga pērā i mate o te pūkahukahu ventilation (e tika ana ki te noho roa o te manawanui i runga i te ventilator) me pōauautanga hopuhopu.

Prophylaxis o disorders romahā i mahi te whakamahi i poihau pikinga tākaro motuhake ranei. Ārai i te whanaketanga o pōauautanga hopuhopu he uaua ake - e kore tonu huringa manukanuka, me te wā o tapo'io āwhina ki te ārai mate.

Kia tino ki te aroturuki i te tawhā o te toto o te manawanui, kia rite ki e tika ana ki te maha e taea te kitea te massiveness o te mahi mate toto nui. I roto i tenei take, e hiahia ana noa te manawanui huhu toto ki te utu mo ona mau hapehape.

tūroro katoa e kawea tenei mahi i roto i - coronary pokanga karo - he wa roa ki te tika te whakanohonoho me te karo te ahotea. meatia tenei i roto i te tikanga ki te ārai i pota hapanga whakarewa utaina ki runga ki te whaturei.

Whakaaro tūroro e pā ana mahi

He maha te whakanui ake o tūroro he wawaotanga i roto i oko ngakau. Ki te titiro koe i te ngā pae me huinga i oti rawa ki tenei raruraru, kua kite te reira e te iwi maha hunga i pehia pokanga karo coronary, he arotake tika pai. Tino pai ake te kounga o te ora, a taea maha tūroro hoki ki te mahi noa (i muri noa i te wā whakanohonoho). whakaiti te reira i te maha o whakaeke angina, e tino pā te mahi o te ora ia.

E rave rahi miharo - te nui o te mea tenei mahi?

Te reira i katoa tei runga i te aha āhua o te manawanui o te hauora i te wa o te faaotiraa o te tohu mō te pokanga. Ki te whakaatu koe coronary pokanga iatuku karo, ka ngā te utu o ngā āhuatanga pērā i te rōrahi o te wawaotanga, te tohu o te faitafá whakahaere, engari tata e kawea taua ngā mahi katoa i roto i noa o tiaki. Money hoki ratou whakatinanatanga e tohaina e te pūtea kāwanatanga (i roto i ngā hōhipera tūmataiti i te utu o te pokanga awhe i 7 ki te 10 mano tara, i te mea tino utu).

Te reira utu mahi tenei mahi?

He maha tūroro e mate ana i angina wā roa-, whakaaturia coronary pokanga uaua karo te. He aha te mea te reira - e mohio ana torutoru iwi, no te mea o te mea te reira tika me waiho he whakamārama taipitopito o te tākuta. Ko ētahi wehi, me te kore ngā mahi, mai i te mea tino uaua, me te uaua o nga tikanga, me ko tino tiketike te mōrea o pōauautanga. Etahi āta tango tūponotanga, i mohio hoki kia tahuri atu nui kino ki waho te wawaotanga o te katoa.

Kia mahi ahau i te mahi - ko pono takitahi te whiriwhiri. Heoi, ki te whakaaturia te mahi te, he pai reira ki te kawe i roto i, mai te putanga pai (lethality i roto i te mahi he iti iho i te 2 ōrau) tino whakapiki i te huru me te kounga o te ora.