Cardiogenic mantha

Cardiogenic mantha ndi digiri kwambiri matenda a magazi, yodziwika ndi kuchepa kwambiri magazi
ndi contractile luso la mtima. chikhalidwe iyi imalimbikitsa kuyan'anila
impso ndi wamanjenje dongosolo. The mtima wotaya mphamvu yake kukankhira magazi
ziwiya ndi kutulutsa izo. Cardiogenic mantha amachititsa vasodilation,
kuthamanga akutsikira ndi magazi si ikuyenda ku ubongo. Apo pakubwera lakuthwa
anoxia, munthu wotaya kutsitsimuka, ndiye nthawi zambiri
munthu amafa.

Zimayambitsa vuto limeneli akhoza kukhala yaikulu m'mnyewa wamtima infarction, ngati chawonongeka oposa 40%. Cardiogenic mantha akufotokozera chifukwa myocarditis pachimake, makoma mtima, arrhythmia, stenosis aakulu kapena kulephera pachimake kuli nthambi mtima. A boma kakasi zingachititse yaikulu m'mapapo mwanga embolism, imene oletsedwa kwathunthu
ndi lumen wa m'mapapo mwanga mtsempha wamagazi thunthu.

Matenda zizindikiro za mantha ndi kugwa mwadzidzidzi magazi kuti mmHg 50/20, miyendo ozizira, kukomoka, lonyowa ndi wotumbululuka khungu, tachycardia. Inagwa pa miyendo mitsempha kutaya kamvekedwe awo, impso kusiya kugwira ntchito.

Zinthu zimene zimakhudza yatsoka kakasi zinthu zambiri m'mnyewa wamtima infarction, ukalamba, matenda a shuga, chiphe zinthu cardiotoxic.

Cardiogenic chithandizo mantha

Kudziwa zotupa chofunika kwambiri myocardium ndi imagwiridwa electrocardiogram, amene amalola kudziwa kupingasa, kuya ndi
infarct malo. Ultrasound mtima limachititsa kuti aone imene dipatimenti yovulala, ndi kuonanso bwino contractile mphamvu ya thupi. Cardiogenic mantha amawapeza ndi radiopaque ziwiya matenda njira.

Chithandizo ikuchitika odwala mwakayakaya. Cholinga chachikulu cha mankhwala ndi kuonjezera magazi mopitilira kuonetsetsa magazi kuti ziwalo zofunika kwambiri. cardiogenic mantha mankhwala kungakhale mankhwala ndi opaleshoni. Wodwala anaika, kulera miyendo, kuonetsetsa okwanira magazi ku ubongo. Ikuchitika ndi mpweya inhalation
ntchito chigoba, pansi ululu anasonyeza matenda kudzera m'mitsempha promedol
kapena morphine. Pakuti olimba a wolumikizira kuthamanga kutumikiridwa njira
reopoliglyukina kapena heparin. Pakuti okwanira bwino minofu mtima jekeseni njira shuga ndi magnesium, potaziyamu kapena insulin. Kwa mlingo mtima m'nsinga kutumikiridwa njira ya dobutamine, dopamine, norepinephrine kapena Epinephrine.

Kuwatsitsimula imachitika kuyang'aniridwa zonse za ntchito ziwalo zonse zofunika kwambiri. Ankalamulira magazi ndi mkodzo linanena bungwe. Popeza zotsatira chithandizo medikametoznogo unachitikira chochitika opaleshoni. M'nthawi ya maola 8 pambuyo vuto la mtima mosavuta kuchititsa inatsekeratu angioplasty, amene amalola inu kuchira
contractile luso la mtima. Njira ina ndi intraaortic
counterpulsation. njira zachokera jekeseni makina magazi mu msempha ndi
Iwo kumawonjezera magazi m'zotengera inatsekeratu.

Cardiogenic mantha zambiri akufotokozera choyamba maola angapo pambuyo infarction m'mnyewa wamtima, kotero ndikofunika kuti mankhwala yake. Mawonekedwe ambiri ofatsa a mantha reflex, amene N'zosavuta kwa cupping. Kusamvera mawonekedwe cardiogenic mantha kumachitika pamene m'mnyewa wamtima zotupa necrotic oposa 50%. Imfa mlingo mu nkhani iyi ili pafupi 100%.

Ngakhale kuti nthawi zonse osauka njira yatsopano ya chithandizo cha mantha cardiogenic, imfa ndi wamkulu kuposa 85%. Choncho, ambiri
mankhwala ndi kapewedwe, yomwe m'dera zochepa
mtima ndipo atamasulidwa ndi ululu.