Gaggawa taimako a cardiogenic buga: wani algorithm na ayyuka. farfado da motar asibiti

M zuciya rashin cin nasara tana nufin wani rai barazana yanayin. A kan hanyar raya kasa, shi ne zuwa kashi dama da hagu na ramin zuciya och. Duka wadannan yanayi ne sau da yawa m. Don ajiye mutum, motar asibiti likita ya kamata nan da nan za a fara farfado da.

Mafi na kowa hagu na ramin zuciya zuciya rashin cin nasara. Yana yawanci haka a tsokar zuciya infarction, mai tsanani arrhythmias da kuma sauran m yanayi. The iri hada och m cardiogenic buga. An sa mai tsanani raunuka ga jiki a cikin abin da zuciya ba zai iya tsotso jini kullum.

A ra'ayi na cardiogenic buga

Gaggawa taimako a cardiogenic buga ake bukata a farko minti na ta ci gaba. Ya kamata a tuna cewa wannan wahala ba zai wuce a kan nasu. Kuma a cikin rashi na gaggawa magani zai kai ga mutuwa. Cardiogenic tura - wani ciwo a cikinsa akwai wani karu a cardiac fitarwa. Duk da compensatory karuwa a jijiyoyin bugun gini juriya, jiki ba zai iya jimre wannan wahala, ba tare da taimakon likitoci.

By ta asali manifestations na jijiya da kuma related raguwa a bugun jini matsa lamba, fitsari fitarwa, asarar sani. Idan taimako ba a bayar a lokacin, mutuwar daga cardiogenic buga auku a cikin sa'o'i da dama bayan farko na cutar. Wannan jiha ba ya faruwa a kan nasu. Ya ko da yaushe wadda ta gabãta daga m cututtuka na zuciya da jijiyoyin jini tsarin.

Abin da ya haddasa gubar zuwa cardiogenic tura?

A Sanadin cardiac buga sun hada da daban-daban cardiac da jijiyoyin bugun gini cututtuka. Mafi na kowa etiologic factor ne mai tsokar zuciya infarction. A wannan yanayin, cardiogenic buga tasowa kawai tare da m nama necrosis , da kuma wani asibiti. Akwai kuma wani m dalilin da ya faru hada rai-barazanar arrhythmias. Za su iya ta da wani mutum har shekaru da yawa. Amma su exacerbation da decompensation jihar da wahala ta buga.

A wasu lokuta, da factor na ci gaba m zuciya rashin cin nasara da aka dauke su a take hakkin jijiyoyin bugun gini sautin. Wannan ya faru a lokacin da m zub da jini, zafi ciwo, m na koda gazawar. Yana dole ne a tuna da cewa cardiogenic tura - wannan ba wani m cuta, mai wahala tamkar Pathology. Saboda haka, likitoci bukatar yin duk abin da ya hana ta ci gaba.

Cardiogenic Shock: rarrabuwa na cututtuka

Dangane da dalilin da pathogenesis gane dama siffofin cardiogenic buga. Kowace daga cikinsu yana da kansa inji na ci gaba. Duk da haka, duk zabin kai ga wannan bayyanar cututtuka. Ko da kuwa ta haddasawa, da taimako na farko a cardiogenic buga wajibi ne a wani hali. Tun da yake wannan jiha ne ko da yaushe daidai da hadarin gaske. Wadannan iri rikitarwa:

1. Gaskiya cardiogenic buga. Yana tasowa a lokacin lalace zuciya tsoka. A mafi yawan lokuta, wannan tsari ne saboda transmural tsokar necrosis.
2. Arrhythmic buga. Ta haddasawa hada flicker da flutter na ramin zuciya arrhythmias, bradycardia nauyi. Bugu da kari ga arrhythmias, ga bugu na iya haifar da wani take hakkin cardiac madugu.
3. Reflex cardiogenic buga. A karkashin wannan zabin, cardiac tabarbarewa ba wadda ta gabãta daga mai wahala. Yana yawanci tasowa a m jini hasara, koda gazawar.
4. Unresponsiveness buga. Shi ne mafi m wani zaɓi. Yana da aka ware a raba kungiyar, kamar yadda yake kusan ko da yaushe m, kuma ba daman a.

Gaskiya cardiogenic buga: inji na ci gaba

A gaskiya zuciya buga auku mafi sau da yawa. Yana faruwa a lokacin buga da wani babban rabo daga cikin myocardium (50% ko fiye). A wannan yanayin, necrosis kara ba kawai a fadin thicker tsokoki, amma kuma bautar wani babban yanki. Bugu da kari wani ciwon zuciya, da gaskiya buga iya haifar da wasu cututtuka. Daga cikin su: .. kwayan endocarditis, ya nuna cututtukan zuciya, decompensated murdede dystrophy, da dai sauransu Akwai kuma mai tsanani cardiac cuta wanzar da matsananciyar hyperthyroidism, wasu kwayoyin cututtuka.

A sakamakon haka, necrosis na zuciya tsoka contractility an rage muhimmanci. Saboda haka, jiki ba zai iya aiki a cike iya aiki da kuma tabbatar da jini. Minute girma an rage, ma. Kamar wancan akwai aka ƙara jijiyoyin bugun gini juriya. Duk da wannan, da zuciya har yanzu ba zai iya jimre da aikinsu. A sakamakon haka ne damuwa jini wadata da duk gabobin da kyallen takarda.

Pathogenesis arrhythmic cardiogenic buga

Dalili na wannan nau'i na cutar ne cuta da zuciya kari kuma madugu. Su na iya faruwa spontaneously (a sakamakon tsokar zuciya infarction) da kuma ci gaba sannu a hankali. Mafi sau da yawa, an arrhythmia haƙuri damu tsawon shekaru da dama. Haka ya shafi madugu munanan. Duk da haka, rai barazana yanayin tasowa a kan wani gajeren lokaci. Muna magana ne game sa'o'i da kuma ko da minti. Mafi sau da yawa, cardiogenic buga, arrhythmias na na ramin zuciya gubar hali. Daga cikin su: tachycardia, juya cikin fibrillation, kuma atrial flutter. Bugu da kari, wadannan matakai za su iya haifar da m kungiyar lashe.

Wani yanayin da za a iya kai wa ga tura, shi ne wani sinus bradycardia. Rage zuciya rate ne yawanci halin da madugu disturbances. Kadan sau da yawa take kaiwa zuwa cardiogenic buga fibrilloflutter. A sakamakon haka, mahaukaci contractions kuma ectopic foci a cikin myocardium (lashe) da zuciya ne da ikon yi ta aiki. Saboda haka, a raguwa a bugun jini da kuma minti daya girma, a fall a bugun jini matsa lamba BP. A karkashin wannan zabin, cikin gaggawa likita abu na farko shi ne don ya kama fibrillation, defibrillation, ko jawabin da wani wucin gadi zuciya tausa.

Mene ne wani reflex tura?

Wannan nau'i na buga tasowa anta to dalilai ba da farko hade da lalacewar da zuciya tsoka. Trigger wannan rikitarwa iya zama ciwo mai tsanani ko zub da jini. A daidai wannan lokaci, wadannan cututtuka suna da wuya hade da zuciya. Yawanci, irin wannan bugu da aka yi fama bayan da hatsari, m na koda gazawar.

Wannan wani zaɓi yana da mafi m hangen nesa. Gaggawa taimako a cardiogenic buga reflex hali ya kamata a da nufin magance ta haddasawa - zafi, kazalika da hana zub da jini. Saboda wadannan dalilai, tsari na jijiyoyin bugun gini sautin da aka gaji da damuwa. Saboda wannan, da jini stagnates a cikin jijiyoyinmu kuma jijiyoyi, da kuma a cikin interstitial sarari na wani ruwa exuded, forming edema. Duk wannan take kaiwa zuwa wani karu a venous kwarara zuwa cikin zuciya. Next, da inji shi ne guda kamar yadda a wasu siffofin.

A Sanadin kuma pathogenesis na buga unresponsiveness

Unresponsiveness cardiogenic buga faruwa a lokacin buga da dukan myocardium. Wannan na faruwa a lokacin da reinfarction. Har ila yau, dalilin iya zama wani cardiac tamponade. A wannan yanayin, akwai pericardial ruwa wanda compresses jiki, hana shi daga ƙi. A wasu lokuta, tamponade iya kai wa ga katsewa na zuciya. Wannan yanayin take kaiwa zuwa mutuwa. Abin baƙin ciki, don taimaka wa haƙuri a cikin wannan hali ba zai yiwu. Ginshikai na buga hade da wani cikakken lõkacin fatara daga cikin zuciya, da bambanci ga sauran siffofin da minti girma da aka rage. Mace-mace daga wannan wahala kusa da 100%.

A bayyanar cututtuka na cardiogenic buga

The asibiti hoto ne guda, ko da abin da dalilin sa cardiogenic buga. Alamun rikitarwa wadannan: fall a jini da kuma bugun jini, tachycardia, oliguria (rage fitsari fitarwa). Dangane da jini da kuma na asibiti data, ware 3 digiri. A jarrabawa, da haƙuri za a iya gano, da kuma sauran alamu na cardiogenic buga. Wadannan sun hada da:

1. Sanyi da kuma clammy gumi.
2. Tsoron mutuwa ko yin suma.
3. Cyanosis - blueness na fata.
4. Features na haƙuri ta fuska za a iya wasa, fuska - shahada.
5. Skin launi a cikin tsanani digiri zama launin toka.

Yadda za a gane asali tura?

Ganewar asali cardiogenic tura mafi yawa ana dogara ne a kan na asibiti data da kuma tambayoyin da haƙuri da dangi. Tun da shi wajibi ne su yi aiki nan da nan, likitoci kimanta jini, da yanayin fata, pupillary martani, zuciya kudi da kuma na numfashi kudi. Idan haƙuri yana da ãyõyin buga, nan da nan don samar da gaggawa taimako.

A gaban free likita ma'aikatan samu daga tarihi da cutar. Likita ya tambaye idan haƙuri yana fama da arrhythmia, angina, mai yiwuwa ya sha wahala a zuciya kafin? Idan rikitarwa ɓullo da a gida ko a kan titi, da ganewar asali na tura motar asibiti likitoci kawo karshen akwai. Lokacin da abun ciki na haƙuri a cikin m kula naúrar yanayi, a Bugu da kari, da ji ne bugun jini matsa lamba, jijiyoyin bugun gini juriya, diuresis. Har ila yau, binciken jini gas.

Cardiogenic buga: taimakon farko, algorithm na ayyuka

Yana da daraja ambaton cewa a kan yadda sauri da kuma nagarta sosai taimaka haƙuri da rai dogara. Idan akwai alamun irin wannan rikitarwa, likitoci suna fara daukar mataki nan da nan. Idan ka manta ka yi abin da yake wajibi, yana yiwuwa ya lashe cardiogenic buga. Gaggawa - jerin ayyuka ne kamar haka:

1. Saka da mãsu haƙuri a cikin wani kwance matsayi da tashe kafar karshen. Bugu da kari, wajibi ne a tabbatar da samun iska (unbutton tufafi, bude taga).
2. Oxygen wadata. Yana za a iya yi ta hanyar wani na musamman mask ko hanci cannula.
3. Maganin sa barci. Tsokar zuciya infarction da kuma buga reflex ga cewa amfani da miyagun} wayoyi kwayoyi. miyagun ƙwayoyi "Morphine" da ake amfani da mafi sau da yawa. Ya diluted a Saline da allura a / m.
4. Restoration of jini ya kwarara da kuma Bcc. Domin gwamnati wannan bayani "Reopoligljukin".
5. Idan babu sakamako ne dole tada jini via "atropine" shiri 0.1%. An gudanar a wani adadin 0.5-1 ml.

Bugu da kari, wajibi ne a cire hanyar tura. Tsokar zuciya infarction aka kwashe thrombolytic da antiplatelet far (shirye-shirye "Alteplase" "clopidogrel", "asfirin"). Har ila yau, ta amfani da jini thinners "heparin" bayani. medicament "Lidocaine" Lokacin da gudanar na ramin zuciya kari disturbances. A wasu lokuta, a defibrillation.

Gaggawa kula a wani asibiti

Gaggawa taimako a cardiogenic buga ci gaba a cikin m kula naúrar. Akwai aka gudanar m far, da ci gaba da sa ido na Manuniya, wajen gudanar da bincike cikin hanyar rikitarwa. Tsokar zuciya infarction aka yi tiyata - kewaye jijiya stent jeri. Har ila yau, m kula ne da ake bukata a wasu lokuta na arrhythmia da kuma madugu munanan. A lokaci guda kafa wani wucin gadi pacemaker yin contractile aiki na zuciya.