Transmural infarction: mea, lalau mai a me ka prognosis

Transmural infarction - he pono ole, a loa pilikia maʻi, i ua pu ma necrosis o ka naau Muscle. It E e hoʻomaopopo i ka make ana i loko o ka hanana o like pathology ka loa kiʻekiʻe, o ka oi aku ina i ike na hoailona o cardiac maʻi i ka manawa, a me ka hoʻomanawanui i i loaa i ka mea e pono ai mālama '. He nolaila nui e ike pehea e hoike i kēiaʻano o ka naau kaua a me ka mea kōkua ua koi 'ia i ka maʻi kanaka.

Transmural myocardial infarction: He aha ka mea?

Mua, e i ka hana me ka ano o ka makahiki. He oiaio, he nui no ko oukou ike ana i ka infarct hana hea pu ia e ka a maloo aku o ka apana o ka naau Muscle. Kēia hana no ka mea, o ka mea abrupt cessation o ke koko a hiki i ka naau, kūpono ma ka'aʻaʻa mai i loaa i ka pono no ke ola o ka o oxygen a me ka mahuaola.

E like me ka mea iʻike, naau paia ninoieo o ekolu papa - he epicardium (mawaho, ahu iho), mural muscular, ahu iho, a me ka endocardium (ka loko lilo o na nāʻiʻo). I ka kūloko palapala necrosis maʻi e loli wale i ka hookahi, ahu iho. Huʻi transmural myocardial - pathology, kahi necrotic keʻano o ka hanaʻana hiki ke malama i loko o nā papa o ka naau. Ua Ua olelo mai i keia mea i ka noho pilikia loa ke ano o keia maʻi.

Ma ke kālā no lapaau, pathology ua hoʻolaha ma muli o ka IIeEeAIEUAA o foci o necrosis. Ka loa pinepine malama transmural myocardial infarction alo paia, o ka hema ventricle. Wale kekahi mai o elima hihia, necrosis a e loli ai i ka akau ventricle pa. About kekahi hapakolu o ka hoʻomanawanui iki mai komo i loko o ke kaʻina hana, a me nā paia o ka atria.

Nā kumu o ka maʻi

Maʻaneʻane na hihia, i ka hopena o transmural myocardial ischemic naʻau maʻi. E like me ua oleloia, me ka lawa ole o oxygen, a māhuaola i ka Muscle keena hoʻomaka e make - ai ulu necrosis. Wahi a ka 'ikepili helu, 90% o ka hihia i ke kumu o atherosclerosis o na moku coronary, i ae koko i ka myocardium.

Ma ka paia o ka moku ua hanaia ma ka ai-kapaia atherosclerotic plaque. Ma lalo o ka aoao o kekahi aʻe plaques hapa, mai hemo aku, mai ka paia, a pani i ka lumen o ka coronary artery. Huʻi transmural myocardial ana progresses hoʻomaka koke i loko o ia mau wahi, i hiki ka wā myocardial oxygen ma koi, piʻi pū ikaika - keia i hiki, no ka laʻana, a me ka ikaika physical exertion, kuni, loa mea naʻau stress.

Huʻi transmural myocardial infarction:'Ākena Makaʻu

E like me 'oe ke ike, necrotic lesions o ka naau i ole he aupuni kūʻokoʻa maʻi. Ma ka hapanui o hoopii, e hoʻomōhala ma ke kāʻei kua o ka mua? Ueony atherosclerosis a me ka ischemia. No ia mea, he mea hiki ke kaʻawale, a kekahi mau kamepiula kumumea:

• Ke aaiaoe predisposition o ka hoʻomanawanui i ua pili i kekahi anatomical hiʻona a ili maʻi.
• Ua e wahi, a me ka makahiki ololi. Transmural myocardial pinepine diagnosed i kanaka ma 45, a me na kanaka i oi prone i kēia maʻi.
• Mahuahua nui o ka naʻokoko i loko o ke koko (no ka mea, o keia palapala plaques ma luna o nā paia o nā moku koko, i a laila uhi i ke koko).
• Kūponoʻai (ai momoma a me ka palaiʻai maoli ka likelihood o ka ulu atherosclerosis).
• Obesity (i loko o ka hapanui o na hihia ua pili me ka ilihuneʻai a me ke kaupaonaʻana ka waiwai maoli i ka haawe ana ma luna o ka naʻau).
• Helu inactivity (sedentary Aloha Hawaii hiki aku ai i ka gradual mea hoʻonāwaliwali maoli nō o ka naʻau Muscle, ka myocardium ma hope i ka mea i loa paʻakikī e Makuakane me kekahi physical ha awina).
• Ikaika aku stress, burnout, mea naʻau stress hiki aku ai i hormonal loli i aloha ia i ka mea'ōnaehana mānowai koko nenoaiu.
• Smoking (e like me ka 'ikepili helu, 35% o ka hihia o myocardial necrosis pili i keia ino maʻa).

Main symptoms: pehea e kuhikuhi i ka naau hoouka?

paha e nā symptoms o necrosisʻokoʻa - ia a pau hilinaʻi nui ma luna o ka degere o ka pōʻino, ke kanaka i ka makahiki, imua o concomitant maʻi, etc. Aia nā hihia o asymptomatic myocardial pele ... Aka hoi, kekahi o na kumu nui symptoms i:

• Ma ka hapanui o na hihia, ke kanaka complains o loa compressive eha ma ke kua o ka breastbone - ia maopopo iho la i haawi mai ai i ka hema'ūhā, lima, iwia, pepeiao, a hiki niho.
• Pain wavy a me ka lōʻihi - ho'āhewa wale 'hiki ke hai hou i loko o kekahi mau hola paha i mau lā.
• E hoʻomōhala ana i tachycardia, i ka hoʻomanawanui 'ana Kahalaopuna maopopo pinepine, a hiki ola Kal.
• Aia mea no hoi kekahi ano o ka pōkole-makahiki mae naʻau.
• Aia i waho na hoailona o ka naau kaua - i kaʻili, a me ka mucous membranes o ke kanaka ho opa ao haikea.
• E kū'ē i ke kāʻei kua o ka necrosis pinepine hoʻomōhala cardiac asthma - hoomanawanui kaulana i ka ikaika pokole o ka hanu, ulia ho'āhewa wale o ka breathlessness.

PalekanaEND_LINK ana

I ka i ka 'aʻe' mua e e kaʻi aku koke i ka maʻi kanaka i loko o ka haukapila hanai, kahi e kūponoʻike, a me ka lapaʻau ua lawe mai. I ka papa kuhikuhiE PalekanaEND_LINK papa hana no ka myocardial necrosis mea electrocardiography, no ka mea, ia ia ke kaʻina hana i hiki ke koho i ka uilaʻia i loko o ka wahi likeʻole o ka naau.

Pono i lawe mai, a decrypted electrocardiogram e leie aku ke kahuna lapaau e pono e hooholo i ka IIeEeAIEUAA o necrosis (e laʻa me, haʻahaʻa transmural naau hoouka), ke degere o ka laha ana o ka pathological kaʻina a me ka lesion ka hohonu, lōʻihi like 'ole o ka maʻi.

Eia hou kekahi, e pono i ke koko hōʻike. Myocardial ae nānā mau mahuahua erythrocyte sedimentation ana, mahuahua ka helu ana o leukocytes hōʻike 'ia ma ke koko o ka papa nā'ūhū a me ka hui a maʻamau i loko o ka myocardial halepaahao.

Terms o mua kōkua

Huʻi transmural myocardial infarction mua pa - he pathology e? Acaeoey oo loa koke. Kona symptoms ke'ākoʻakoʻa i aneane kekahi manawa, no lailaʻoe e familiarize ia oe iho me na rula o ka kōkua i ka hoʻomanawanui. O ka papa, mua o nā mea a pau, ua pono, e kahea aku i ka ambulance.

Kali ana i na kumu, i ke kanaka pono, e moe ilalo. An koe mea he kulana home 'ole ma kahi o ka ikaika pokole o ka hanu a me ka maʻi o ka wā ha okoa - ma a ina o ka hoʻomanawanui mea maikaʻi noho, ka lehu o lalo o ke kua o ka uluna a cushion. ? Aeiiaiaiaaia e lawe i ka aspirin. Oe no hoi Pono e hāʻawi aku i ke kanaka nitroglycerin - mua kekahi Akala a, a ina i ka eha, aole ia e hele aku, a laila,ʻelima minuke ma hope kekahi i kekahi (akā, i oi aku mamua o ekolu).

Noaia hana maikaʻiʻole o ka myocardial

Ke kaumaha ma muli o ka loaa ana i nā hualoaʻa i kaʻike, ke kauka prescribes lapaau. Ka loiloi mua lapaʻau 'ana he ana o ka papa kuhikuhiE māhele ekolu:

• Ae o painkillers e alleviate i ka hoʻomanawanui ka kulana. Muli o kona kulana pinepine,ʻeha ka hiki ana ke hooki wale nō me ke kōkua o nā mana ai ', a me "Promedol" a me ka "Morphine". Ke ano o na symptoms, a me kaʻike, o "myocardial infarction" He He stress no ke kanaka, a me ka pīhoihoi, a makaʻu maoli wale i ka ukana ma ka naau - ka hoʻomanawanui ua kuhikuhi kiaha dala.
• Ke regimen E komo i loko o ka loaa ana nitrates a me Hoʻokolohua-blockers, a kokua i ka hoʻopau i ka arrhythmia, a hoihoi aku i ka naau pāpana.
• I ka transmural myocardial kiʻekiʻe pahiki o ke koko clots, i mea fraught me necrosis o nā nā loko, a hoolaha aku kaʻina hana ma e pili mau o ka myocardium, ko mākou hopohopo'ōnaehana lesions, a hiki i ka make. No laila, i ke kaua ana i ka thrombosis e hoʻomaka ma ka hora mua ma hope o ka hoouka kaua ana o symptoms. No keia mea, e hoʻohana vasospasm hoʻomākaukau i pihaʻi me heparin a me ka fibrinolysin. Maoli ai, i ka wā e lawe ia ai 'paha i ka papakaukau hemorrhage no ka mea, i ke koko clot aɃe, no laila, e akahele kanaka hoʻoponopono i ka hoʻomanawanui ka ke ano ia mea nui.

Lapaʻau ua pono pau keia la ma ka haukapila - hoomanawanui a puni ka huahelu, e ia ma lalo o ke kauka o ka malama.

Nā hopena a me complications o ka maʻi

Transmural infarction - ka loa paʻakikī a me ka weliweli ano o myocardial necrosis, o ka oi aku ka wā e hele mai i ka nui mea nui necrosis. Ka maʻi Ua fraught me hopena - ka hooulu ana o pulmonary edema, lōlō a mau lala, olelo kāna hana. I kekahi manawa, myocardial entails hou pathology o ka vascular oihana, e like me hahau ana.

I ka hopena o keia maʻi i nā thromboembolism, ventricular fibrillation, i ka hoopau ana o ka hana ana o kekahi keʻena ma lalo nei, a me kā lākou mau 'oihana. Na hihia pinepine pau i loko o ka make, a hiki ina ka hoʻomanawanui 'inikua kōkua i hoomakaukau ai. Kekahi ola-hooweliweli complications - naau hoouka. Inā he ikaika ka ho'ēmiʻana o ka myocardium, a hoonui i ka puʻe i loko o ka ventricles a me atria kamepiula compromising i ka pono o na nāʻiʻo i loko o ka wahi o ka necrosis.

Hoʻopulapula a Time]

Eia naʻe, na Time] ma ka 'inikua olelo e,ʻaʻoleʻoi aku ko lākou maikaʻi - ma kahi o 50% o na hihia (oi loa aku hoi, i ka wa e hele ai i ka kūpuna) make. Inā, nae, nō e hoʻokele i ka hoihoi maʻamau koko, he mea no ka pilikia o complications i loko o ka wā e hiki mai, mai ka mea, ua nui na loli o myocardial'aʻaʻa.

I mea no ke aha la ia mea no ka nui o ka hoʻopulapula wā. Nā mea maʻi i paipai ia i ka mea, oluolu, a ua kiʻekiʻe-calorieʻai. No hoi, ka mea i pono ia i nā • loaʻa hou locomotor haʻawina, e like me inactivity mea fraught me atrophy o nāʻiʻo a me stagnant i loko o ka ia maʻiʻaʻai. O ka holo ana, a pau nā hana pili i ka physical haʻawina, e e pololei lāʻau hoʻomalu.

Hope Inc a me ka mākau alu ka mālamaʻana ma kekahi kauka mea pono ma mua o ka pauʻana o ke ola. O ka holo ana, e hoomanawanui i pono e hahai i kaʻai, pale aku stress a me ka, pili hoounauna, ninau ikaika māhuahua ke koko, a paʻa e uwahi ana.