Pehea e ho'omaopopo ai i ka hō'ailona o ka hō'aia pōpilikia

Symptoms o myocardial infarction e hoʻomohala i ka hopena o koke haʻahaʻa o ke koko na lako i ka naau Muscle, kūpono ai i loko o kona ulu necrosis. Myocardial infarction pili ana i ke ano o ka ischemic naʻau maʻi.

I ke kūkulu'ana i kahi pūpū pu'uwai,'o nā mea nui loa'o ka ho'opili'ia'ana o nā moku ma'i'eha o ka'eha'eha e kekahi thrombus, e hiki ai i ke kūkulu'ia'ana o ka pu'upu'u nui o ka necrosis o ka'i'o, a me ka pa'a o nā moku o ka na'au no ka hana'ana i nā papa atherosclerotic.

Inā ua laulā ke kiko o ke kukui o ke anai (coronary) (kahi'elua a'oi a'e ke kumu o ke aniani), me ka myocardiosclerosis i kēia manawa, kahi microinfarction e ulu nei. 'A'ole i ho'ohālikelike'ia nā hō'ailona ma mua o nā liona ma'amau. 'Oiai he microinfarction kēia, hiki iā ia ke alaka'i i nā pilikia a me nā hopena like'ole e ulu ana me nā necrosis ki'eki'e nui.

Nā hō'ailona o ka'eha'eha

I ka ho'omaka'ana o ka ma'i, ua ho'opi'i nā mea ma'i i ke'ano o ka'eha kaumaha a lō'ihi ma hope o ka sternum. He hō'ailona kūikawā kēia o ka localization o ka'eha. Ho'omau ka pa'i no kekahi mau hola a'a'ole e hele ma hope o ka lawe'ana i ka uku. Aia kekahi mau mea like'ole o ka localization localization, e like me ke'ano, hiki ke'ike'ia i loko o ka'ōpū o ka'ōpū (gastralgic a i'ole ke'ano o nā kōpū), ma ka'ao'ao mua loa me ka dyspnea concomitant (asthmatic variant). Hiki ke hā'awi'ia ka'eha i ka hope, ka'ā'ī, ka lima. Pinepine pahiʻeha mea, no ka ikaika i loaʻa mea cardiogenic kŰia, me ka hema ventricular ka hoʻokō 'ole a me ka pulmonary edema. 'O ka manawa pinepine, e uha'i ka wā ma'amau o ka na'au, ulu ka na'au, a pi'i ke koko. Inā puka ka fibrillation o ka lolo, hiki ke make i ka ma'i.

Inā i loko o nā hola mua ma hope o ka hopena i hō'ea'ia ma ka cardiogram ectopic ventricular arrhythmias i kākau'ia, hiki i kēia ke hō'ike i ka ho'iho'i'ana i ka loiloi o ke keronaike na'au o ka pu'uwai.

Ma waho aʻeo ia kaʻeha ma ka naʻau, i ka loiloi mua symptoms o ka naau kaua - he kiʻekiʻe puʻe, i mea he eha no ke kokua, IeAUPIIe, IAa IO lawe wahi, kokololio Kal, kino mahana ala e subfebrile. Ho'olālā ka mahana i'ekolu a'ehā lā. I ke koko, ho'onui ka nui o nā leukocytes, pi'i ka ESR a me ka ki'eki'e o nā'alo'awa'awa ('a'ohe lawe i kēia hō'ailona no ka hō'alo'ema acid). 'O kēia mau mea a pau he mau hō'ailona o ka hopena'eha. I nā hola mua, ua'ike'ia ka ulu'ana o nā enzymes: ka hana kinase, ALT, AST, LDH.

'O ke cardiogram no ke'ano hō'ailona o ke'ano o ka ho'olālā ki'eki'e'ana o ST, wide Q niho, ke'ano o ka complexic QS i loko o ia mau alaka'i i kahi kahi o ka myocardium necrotic. No ka hō'oia pololei'ana, ke kūpono me nā hana ho'opi'i pinepine, pono e pana i nā kāka'u cardio.

Inā loa'a kekahi microinfarction,'a'ole i'ōlelo pinepine'ia nā hō'ailona a'a'ole paha e nui ka'eha. Hiki i kekahi kanaka ke ho'one'e iā ia "ma kona mau wāwae" a i'ole e hāpai i kahi angina i ka angina, a laila ua'ike pono'ia ia ma ka ECG. 'O nā hō'ailona o kahi pu'upu'u pu'uwai me kahi li'ili'i li'ili'i li'ili'i e'ike'ia i nā po'e i lo'ohia i ka angina a i'ole cardiosclerosis no ka wā lō'ihi. I kŰia mau hihia ke hiki ia i nń kau mua o ka IHD, o ka microinfarction, he mea like ia me ka lń nui o ka liona transmural.

I nā lā mua o ka mea ma'i ma ke'ano he euphoric,'o ka hopena paha o ka'eha i loko o ka pu'uwai, ka hopena o nā arrhythmias a me extrasystoles.

E hoʻomōhala me ka complication o ka naau paia a aneurysm o ka aorta, naau ka hoʻokō 'ole a me ka pulmonary edema, emboli vascular thrombi nā loko, a lala.

Hana

He mea pono ka lā'au hō'ailona no ka hō'ailona i kahi haukapila. Ho'omaopopo'ia nā hihia ko'iko'i i ka hanu'ana. Ho'okū'ia nā nitrates i loko o ke'ano o ka'ona i loko'ole, ka heparin ma nā pā nui, nā analgesics. Ho'alo i nā huila polarizing i loko o ka pā'anika, betta blockers, ho'onā'ia o ka oxygen. Pono ka mea ho'omanawanui e mālama i ka hiamoe ho'omaha a me ka palekana e palekana mai ka pilikia a me ka ikaika.