Āwhina Emergency i roto i te ru cardiogenic: he hātepe o ngā mahi. waka tūroro whakaora

kore ngakau whakapeka e pā ana ki te huru ora-te whakawehi. I runga i te huarahi o te whanaketanga, kua wehea ai ki tika, me te maui och ventricular. He mate maha rua o enei tikanga. Hei whakaora tangata, kia timata tonu waka tūroro tākuta whakaora.

Ko te kore te ngakau ventricular maui tino noa. Te reira i te tikanga whai i te infarction myocardial, arrhythmias nui, me te tahi atu tikanga mōrearea. Ko te momo ngā och ru cardiogenic whakapeka. Kei te meinga te reira e te pāpaka nui ki te tinana i roto i e kore e taea e te ngakau papu toto tikanga.

Ko te ariā o te ru cardiogenic

hiahiatia āwhina Emergency i roto i te ru cardiogenic te i roto i te meneti tuatahi o tona whanaketanga. Kia mahara te reira e kore tenei pōauautanga e haere i runga i to ratou ake. A i roto i te ngaro o te maimoatanga akiaki e arahi ki te mate. ru Cardiogenic - he syndrome i roto i nei i reira ko te hekenga i roto i te putanga cardiac. Ahakoa te hua e vai i roto i te ātete iaia, e kore e taea e te tinana akakoromaki i tenei pōauautanga, i waho te awhina o taote.

Na roto i te ona faaiteraa taketake o te matua me te whakaiti hāngai ana i roto i te pēhanga he pini, mimi putanga, mate o mahara. Ki te te kore ngā āwhina i roto i te wa, mate i te ru cardiogenic puta i roto i te maha o ngā hāora i muri i te tīmatanga o te mate. e kore e tenei āhua puta i runga i to ratou ake. mua tonu ia e mate whakapeka o te pūnaha Cardiovascular.

He aha ai he mata, ki te ru cardiogenic?

Ko te take o te ru cardiac ngā tini o nga mate cardiac me iaia. Ko te take etiologic tino noa ko te infarction myocardial. I roto i tenei take, whakawhanake ru cardiogenic anake ki nui necrosis kiko , me kahore waka tūroro. He he ano hoki te take auau mō tona takanga ngā arrhythmias ora-te whakawehi. Ka taea e ratou whakakorikoria he tangata mo nga tau maha. Ko uaua ratou ahua exacerbation me decompensation e ru.

I roto i ētahi wā, whakaaro te take o te whanaketanga o te kore ngakau whakapeka te ki te waiho i te takahi o te reo iaia. tupu tenei ka toto nui, te mamae syndrome, whakapeka täkihi. Me mahara te reira e te ru cardiogenic - e kore te mea he mate motuhake, he pōauautanga o te māuiuitanga e whāriki ana tenei. Na reira, Me tākuta ki te hanga i nga mea katoa ki te ārai i tona whanaketanga.

Ru Cardiogenic: whakarōpū o mate

Tei runga i te take me te pathogenesis tautuhi maha ngā momo o te ru cardiogenic. Ia o ratou kua ona ake tikanga o te whanaketanga. Heoi, kōwhiringa katoa arahi ki te taua tohu. Ahakoa o ona take, āwhina tuatahi i roto i te ru cardiogenic he tika i roto i tetahi take. Mai te mea rite kino tonu tenei ahua. Ko nga momo e whai ake nei o pōauautanga:

1. Pono ru cardiogenic. whakawhanake reira ka pakaru kiko ngakau. I roto i te nuinga o te wā, he tika ki te necrosis myocardial transmural tenei puka.
2. ru Arrhythmic. Ko tōna take ngā kōpura me kaka ventricular arrhythmias, taimaha bradycardia. I tua atu ki arrhythmias, ki te ru kia meinga te takahi o te kawenga cardiac.
3. Reflex ru cardiogenic. I raro i tenei kōwhiringa, e kore te pōrearea cardiac mua e te pōauautanga. Te reira i te tikanga whanake i roto i te mate toto nui, hēnga o ōna whatukuhu.
4. ru Unresponsiveness. Ko te reira i te kōwhiringa tino mōrearea. I tawhiti te reira i roto i te rōpū motuhake, ko tata tonu mate, me te kore e treatable rite.

Pono ru cardiogenic: tikanga o te whanaketanga

puta ana te ru ngakau pono tino maha. Puta reira ka patua e te wahi nui o te myocardium (50% neke atu rānei). I roto i tenei take, toro necrosis kore anake puta noa nga uaua nui, engari noho ano hoki te wāhi nui. I roto i te tua ki te whakaeke ngakau, ka taea e te ru pono meinga atu mate. I roto ia ratou: .. endocarditis Bacterial, faaite mate ngakau, decompensated Duchenne, etc. He he ano hoki te mate cardiac kino ai hyperthyroidism whakapeka, etahi mate ira.

Ka rite ki te hua, iti necrosis o kiko ngakau contractility te tino. Na reira, e kore e taea e te tinana te mahi i te kaha tonu, me te ki te whakarite i te oko toto. Kei te heke rōrahi Minute, rawa. Ko te kupu i reira te nui haere ātete iaia. Ahakoa tenei, tonu kore e taea akakoromaki i te ngakau, me to ratou mahi. Ko te hua ko te supply toto oto o whēkau me te kopa katoa.

Pathogenesis ru cardiogenic arrhythmic

Ko te pūtake o tenei ahua o te mate e disorders o manawataki ngakau, me te kawenga. Ka taea e ratou puta noa (rite ki te hua o te infarction myocardial) me te whakawhanake āta. Nuinga o ngā wā, āwangawanga he manawanui arrhythmia mō tau maha. Ko te taua pā ki abnormalities kawenga. Otiia, whanake huru ora-te whakawehi i runga i te wā poto. Kei te korero tatou e pā ana ki haora, me te noa meneti. Nuinga o ngā wā, ru cardiogenic, arrhythmias o pūāhua ventricular mata. I roto ia ratou: tachycardia, tahuri ki fibrillation, me kaka Atrial. I tua atu, ka taea e enei tukanga hua i roto i ngā patu rōpū auau.

Ko tētahi atu huru e taea arahi ki ru, ko te bradycardia pakohu. Kei te nuinga o te wā auau ngakau iti āhuatanga e raruraru kawenga. Iti maha arata'i ki fibrilloflutter ru cardiogenic. Ka rite ki te hua, contractions rerekē me te aronga mōwaho i roto i te myocardium (ngā patu) te ngakau taea ki te mahi i tona mahi he. Na reira, he whakaiti i roto i te rōrahi patunga me te meneti, he hinga i roto i te pēhanga he pini BP. I raro i tenei kōwhiringa, te tākuta whawhati tata mea tuatahi, ko te ki te hopu fibrillation, defibrillation, te haamau'araa i te mirimiri ngakau tāwhaiwhai ranei.

He aha te mea he ru pūpū?

Tenei puka o te ru whakawhanake nama ki ngā take e kore te tīmatanga e pā ana ki te kino ki te uaua ngakau. Ka taea e Keu taua pōauautanga kia mamae kino toto ranei. I te wa ano, kei te uaua e pā ana enei tohu ki te ngakau. Tikanga, pāngia he ru taua te i muri i te aituā, whakapeka täkihi.

Tenei kōwhiringa kua te waitohunga tino pai. kia āwhina Emergency i cardiogenic pūāhua kahuki ru kia hāngai i te whakatutuki i ona take - te mamae, me te ki te mutu toto. Nā ki enei āhuatanga, ohorere ture o te āhua iaia te. No te mea o tenei, stagnates te toto i roto i te uaua, me pera, a i roto i te wāhi interstitial o te wai exuded, hanga edema. arata'i tenei katoa ki te hekenga i roto i rere venous ki te ngakau. Next, Ko te rite i roto i te tahi atu mau huru i te huarahi.

Ko te take, me te pathogenesis o ru unresponsiveness

puta Unresponsiveness ru cardiogenic ka patua e te myocardium katoa. puta tenei ka reinfarction. Ano, Ka taea e te take e he tamponade cardiac. I roto i tenei take, i reira he inu pericardial e kokopi ana te tinana, te ārai i te reira i te heke. I roto i ētahi wā, ka taea e tamponade arahi ki whaturama o te ngakau. arata'i tenei huru ki te mate. Kia aroha mai, ki te āwhina i kore he taea te manawanui i roto i tenei take. Ko te tikanga o te ru e pā ana ki te mutunga oti o te ngakau, i roto i te rerekē ki ētahi atu puka i roto i i heke rōrahi meneti te. Te tahuti nei i tenei pōauautanga tata ki te 100%.

Ko te tohu o te ru cardiogenic

Ko te taua te pikitia haumanu, pe ko e hā meinga te take ru cardiogenic. Tohu fifi e whai ake nei: hinga i roto i te pēhanga toto me te pini, tachycardia, oliguria (heke putanga mimi). Tei runga i te pēhanga toto me raraunga haumanu, tohatoha 3 nekehanga. I te whakamātautau, e taea te tāutuhia te manawanui, me era atu tohu o te ru cardiogenic. Ko ētahi o ēnei:

1. werawera Cold pupuha'iá.
2. Wehi o te mate aita ranei.
3. Cyanosis - karawarawa o te kiri.
4. Ka taea te whakakoi Āhuatanga o te mata o te manawanui, kīanga kanohi - taparahi.
5. tae kiri i roto i te tohu nui riro hina.

Me pēhea te ki te tātari i te ru?

Tātaritanga o te ru cardiogenic te nuinga o te wā e hāngai ana i runga i ngā raraunga haumanu me te pātai o whanaunga o te manawanui. Mai te mea te reira e tika ana ki te mahi tonu, te arotake kaiwhakaako pēhanga toto, te huru o te kiri, pupillary whakautu, auau ngakau, me te auau romahā. Ki te he tohu o te ru te manawanui, tonu ki te whakarato āwhina whawhati tata.

I roto i te aroaro o free kaimahi hauora kitea i roto i te hītori o te mate. ui te tākuta, ki te te te mamae i te manawanui i arrhythmia, angina, pea tukua he whakaeke ngakau i te aroaro o? Ki te whakawhanakehia fifi i te kāinga ranei i runga i te huarahi, mutu te tātaritanga o tākuta tūroro ru ki reira. A, no te te ihirangi o te manawanui i roto i te taiao wae whāomo, i tua atu, ko te inenga ko te pēhanga pini, ātete iaia, diuresis. ako hoki hau toto.

ru Cardiogenic: āwhina tuatahi, hātepe o ngā mahi

Ko reira utu te haamana'oraa e runga i te āhua o hohoro a pai āwhina ora o te manawanui, tei. Ki te mea i reira he tohu o taua pōauautanga, e tīmata tākuta ki te tango i mahi tonu. Ki te wareware koe ki te mahi i te mea te mea e tika ana, ko reira taea ki te riro ru cardiogenic. Emergency - raupapa o ngā mahi ko e whai ake:

1. Kuhua te manawanui i roto i te tūnga whakapae ki te mutunga waewae whakaarahia. I tua atu, he mea e tika ana ki te whakarite i te whai wāhi o te rangi (kakahu unbutton, whakatuwhera te matapihi).
2. supply hāora. Ka taea te mahi te reira i roto i te kanohi motuhake ranei pūkawe ihu.
3. Rehunga. infarction myocardial me te ru kahuki mo e whakamahi taero whakapōauau. whakamahia tarukino "rehunanu" te atu pinepine. Tona diluted i roto i te saline me patia i roto i / puhoi.
4. Fakafoki o rere toto me te BCC. Hoki whakahaere tenei otinga "Reopoligljukin".
5. Ki te he tika kahore pānga ki te whakaara te pēhanga toto mā "atropine" faaineineraa 0.1%. Kei te whakahaere i roto i te nui o 0.5-1 ml.

I tua atu, he mea e tika ana ki te tango i te take o te ru. kawea infarction myocardial te thrombolytic me antiplatelet therapy (taka "Alteplase" "clopidogrel", "ahipirini"). te whakamahi i hoki thinners toto "heparin" otinga. medicament "Lidocaine" ka whakahaere raruraru ventricular manawataki. I roto i ētahi wā, he defibrillation.

tiaki Emergency i roto i te fare ma'i

āwhina Emergency i roto i te ru cardiogenic tonu i roto i te kōwae tiaki kaha. He te whakahaere therapy kaha, aroturuki tonu o tohu, ki te tūhura i te fifi take. whakamana infarction myocardial te pokanga - karo uaua stent whakanohonga. Ano, e hiahiatia ana te tiaki hāparapara te i roto i ētahi wā o te arrhythmia me kawenga abnormalities. I te wa ano whakapumautia he pacemaker tāwhaiwhai e mahi ana i te mahi contractile o te ngakau.