Yuav ua li cas kom paub txog koj lub plawv nres cov tsos mob

Cov tsos mob ntawm myocardial infarction yog tsim raws li ib tug tshwm sim ntawm cia li cuam tshuam ntawm cov ntshav mov rau ntawm lub plawv nqaij, uas ua rau nws tsim necrosis. Heart attack myocardial infarction hais txog ib daim ntawv ntawm ischemic plawv tus kab mob.

Nyob rau hauv txoj kev loj hlob ntawm myocardial occlusion yog qhov tseem ceeb faktoromi mob coronary thrombus, ua rau lub tsim ntawm loj twb mob necrosis (necrosis rau), thiab mob vascular narrowing vim tus tsim ntawm atherosclerotic plaques.

Yog hais tias narrowing ntawm lub coronary hlab ntsha yog thoob plaws nyob rau hauv cov xwm (ob los yog ntau tshaj ntawm cov hlab ntsha muab kev koom tes nyob rau hauv tus txheej txheem), nrog uas twb muaj lawm myocardiosclerosis npaj microinfarction. Cov tsos mob ntawm nws yog tsawg pronounced tshaj raws li ntawm cov lesion. Txawm tias qhov no yog ib tug me nyuam plawv nres, nws yuav ua rau tus tib muaj teeb meem thiab yuav raug txim, uas yog tsim nyob rau hauv ib tug loj focal necrosis.

myocardial infarction cov tsos mob

Thaum pib ntawm tus kab mob, cov neeg mob tsis txaus siab mob thiab lub caij nyoog mob hauv siab. Qhov no yog ib tug classic version ntawm lub painfulness ntawm localization. Mob mob tsawv rau ob peb teev thiab tsis muaj tias tom qab noj nitrates. Nws muaj lwm yam kev xaiv qhov chaw ntawm qhov mob, piv txwv li, tej zaum nws yuav tshwm sim nyob rau hauv lub plab (gastralgichesky mob plab los yog variant) nyob rau hauv lub epigastrium nrog concomitant dyspnea (asthmatic embodiment). Mob tej zaum yuav muab nyob rau hauv lub rov qab, caj dab thiab caj npab. Feem ntau ntse mob yog li ntawd muaj zog hais tias muaj yog cardiogenic poob siab, nrog sab laug ventricular tsis ua hauj lwm thiab koj muaj teebmeem kev edema. Feem ntau cuam tshuam cov atherosclerosis ntawm lub plawv, lub plawv dhia quickens thiab ntshav siab ntog rau lwm txoj kev nyob ib ncig ntawm. Yog hais tias ventricular fibrillation tshwm sim, muaj tej zaum yuav tuaj ib tug soj ntsuam txoj kev tuag.

Yog hais tias nyob rau hauv thawj lub sij hawm tom qab qhov tshwm sim ntawm ib tug nres rau ntawm lub cardiogram kaw ectopic ventricular arrhythmias, nws tej zaum yuav qhia ib tug kho tshiab ntawm patency ntawm lub coronary hlab ntsha nyob rau hauv lub plawv.

Nyob rau hauv tas li ntawd mus mob nyob rau hauv lub plawv, cov thawj tsos mob ntawm koj lub plawv nres - ib tug kub siab, uas yog ib tug mob nyem, feem ntau yog yuav siv sij hawm qhov chaw, ceev ceev lub plawv dhia, lub cev kub nce mus rau subfebrile. Qhov kub ntawd nce mus rau peb los yog plaub hnub. Nyob rau hauv cov ntshav tsub kom cov xov tooj ntawm cov ntshav dawb, muaj zog erythrocyte sedimentation tus nqi thiab cov theem ntawm nitrogenous twj (nws tsis yog tsim nyog los noj no cov tsos mob rau urate infarction). Tag nrho cov no yog tej yam tshwm sim ntawm ib tug inflammatory cov tshuaj tiv thaiv. Nyob rau hauv thawj lub sij hawm nws tau ib qho kev nce ntawm enzymes: creatine kinase, ALT, AST, LDH.

Nyob rau cardiogram rau daim duab myocardial sawv yam ntxwv ST ya dav hniav Q, tshwm sim ntawm ventricular complex QS ua nyob rau hauv cov nyob qhov twg muaj ib tug myocardial necrosis. Rau ib tug ntau tseeb mob, tshwj xeeb nrog rau rov myocardial yuav tsum coj ib tug series ntawm cardiograms.

Yog hais tias muaj yog ib tug me plawv nres, cov tsos mob yog feem ntau tsis yog li ntawd pronounced thiab tus mob tej zaum yuav tsis raws li mob siab heev. Ib tug neeg yuav tsiv mus nyob nws "rau lawv ko taw", los yog yuam kev rau angina, ces nws cia li ntes tau nyob rau hauv ib tug electrocardiogram. Cov tsos mob ntawm koj lub plawv nres nrog me me focal txhab feem ntau pom nyob rau hauv cov neeg txom nyem los ntawm angina rau ib ntev lub sij hawm los yog cardiosclerosis. Nyob rau hauv cov mob uas nws tshwm sim nyob rau hauv thawj zaug rau theem ntawm coronary artery kab mob, ib tug me nyuam lub plawv yuav nres yog zoo li ib tug harbinger ntawm nws kim heev transmural txhab.

Nyob rau hauv thaum ntxov hnub tus neeg mob tej zaum yuav dhau euphoric, tejzaum nws pheej rov qab ua daim ntawv rov ntxiv ntawm qhov mob nyob rau hauv lub plawv, qhov tshwm sim ntawm arrhythmias thiab arrhythmia.

Tej zaum tsim raws li ib tug mob plawv phab ntsa los yog aneurysm ntawm lub aorta, lub plawv tsis ua hauj lwm thiab koj muaj teebmeem kev edema, emboli vascular thrombi nruab nrog cev thiab nqua.

kev kho mob

lub plawv nres kev kho mob tas nqa tawm nyob rau hauv ib tug lub tsev kho mob. Loj heev zaum yog kho nyob rau hauv intensive kev saib xyuas. Yam uas luag muab nitrates nyob rau hauv daim ntawv ntawm cov tso dej Txoj kev lis ntshav ntawm loj koob tshuaj heparin, analgesics. Applied polarizing sib tov uas muaj poov tshuaj beta blockers, oxygen nqus tau pa. Tus neeg mob yuav tsum tau pw so thiab yuav raws li uas xa tuaj nrog los ntawm txoj kev nyuaj siab thiab lim.