Pilikia kōkua i loko o cardiogenic hawewe: he algorithm o ka hana. Resuscitation ambulance

Huʻi naʻau ole pili i ke ola-hooweliweli ana ia kulana. Ma keʻano papa hana o ka? Acaeoey, ia ua maheleia i loko o ka pono a me ka hema ventricular OCH. Ua o kēia kūlana i pinepine ona. E hoola ke kanaka, ambulance kauka e koke hoʻomaka resuscitation.

Ka loa, he pono ole hema ventricular naʻau ole. Ua IeAUPIIe, IAa IO penei ka myocardial infarction, loa arrhythmias a me nā pilikia ana. Nāʻano likeʻole nā OCH huʻi cardiogenic kŰia. Ua ua kena ae la ia e loa lesions i ke kino i loko o i ka naau hiki ole EII ni ke koko maʻamau.

Ka manaʻo o cardiogenic kŰia

Pilikia kōkua ma cardiogenic kŰia ua pono ai i loko o nā minuke mua o kona ulu ana. Ua hoʻomanaʻoʻia ai ia i keia complication e ole kekahi, ma luna o lākou iho. A i loko o ka wa e kaawale aku o ka manaʻo lapaʻau, e alakai i ka make. Cardiogenic hawewe - he maʻi pale ma a he mea he emi ma cardiac auaiaea. I loko nō o ka uku 'ulu i loko o vascular ia'ku, i ke kino hiki ole Makuakane me keia complication, me ke kōkua o ke kauka.

Ma kona walaʻauʻana hoikeana o ka arterial a me nā ka ho'ēmiʻana i ka lāʻau ikiʻai wale puʻe, mimi auaiaea, poho o ka ike paka i. Inā ua i hoakaka kōkua ma ka manawa, make mai cardiogenic kŰia ia lŘlŘ i loko o kekahi mau hola ma hope o ka hoouka kaua ana o ka maʻi. Kēia moku'āina 'Aʻole e hana ana ma luna o lākou iho. He mau mua ma ka huʻi maʻi o ka mea'ōnaehana mānowai koko nenoaiu.

He aha ke kumu alakai i cardiogenic kŰia?

Nā kumu o ka cardiac kŰia nā kela cardiac a me ka vascular maʻi. Ka loa, he pono ole etiologic ololi mea he myocardial infarction. Ma keia hihia, cardiogenic hawewe e hoʻomōhala ai me ka nunui wale 'aʻaʻa necrosis , aʻaʻohe ambulance. Aia Ua hoi he pinepine kumu no kona hanana nā ola-hooweliweli arrhythmias. Ka mea, ke hoopilikia i kekahi kanaka no na makahiki. Akā, kā lākou exacerbation a me ka decompensation moku'āina ua huikau ma kŰia.

Ma kekahi mau hihia, i ka ololi o ke? Acaeoey o ka huʻi naʻau ole ua manaoia e ia i ka 'aʻe' ana o vascular leo. Kēia ka hana i ka wā papakaukau kahe ana ke koko, eha maʻi pale, huʻiʻaʻa puʻuwai ole. Ua pono e hoʻomanaʻo i cardiogenic hawewe - keia mea,ʻaʻole he kuokoa maʻi, he complication o nń ku pathology. Nolaila, kauka pono e e na mea a pau, e ole kona ulu ana.

Cardiogenic hoohikilele: Mea Maluna o ka maʻi

Ke kaumaha ma muli o ka mea a me ka pathogenesis kuhikuhi i kekahi mau ano o cardiogenic kŰia. Kēlā me kēia no ia i konaʻano papa hana iho o ke? Acaeoey. Eia naʻe, a pau nā koho e alakai ai i ka ia symptoms. Nānā 'ole o kona kumu, mua kōkua ma cardiogenic kŰia mea pono i loko o kekahi hihia. No keia moku'āina mea mau like pilikia loa. ʻO kēia mau 'ano o nā complications:

1. Oiaio cardiogenic kŰia. Ua hoʻomōhala ana i ka wā poino naau'aʻaʻa. Ma ka hapanui o hoopii, keia palapala mea ku pono i ka transmural myocardial necrosis.
2. Arrhythmic kŰia. Kona mea, lalau mai nā flicker, a kolili ventricular arrhythmias, bradycardia kaumaha. Ma waho aʻeo ia arrhythmias, a hiki i ka hawewe ke i ka 'aʻe' ana o cardiac conduction.
3. Reflex cardiogenic kŰia. Ma lalo o kēia koho, uaʻaʻole ma mua ma ka complication cardiac dysfunction. Ua IeAUPIIe, IAa IO e hoʻomōhala ana i loko o papakaukau koko poho, hakuʻala ole.
4. Unresponsiveness kŰia. He ka noho pilikia loa koho. Ua Ua kaʻawale ia ma ke kaʻawale pūʻulu, e like me ka mea kokoke manawa ona a me ka ole treatable.

Oiaio cardiogenic hawewe:ʻano papa hana o ka? Acaeoey

Ka oiaio naʻau kŰia ia lŘlŘ loa pinepine. Ua lŘlŘ ka wā pepehi aku ia e ka hapa nui o ka myocardium (50% a oi). Ma keia hihia, necrosis kŰlń ao ole wale ma ka pūhaka nāʻiʻo, akā, i ninoaaeyao he nui wahi. Ma waho aʻeo ia ka naau kaua, i ka oiaio hawewe hiki i nā illnesses. I waena o lākou: .. mea koʻohune endocarditis, kaheaia naau maʻi, decompensated muscular dystrophy, etc. Aia ka hoi he nui cardiac kāna hana a nā huʻi hyperthyroidism, kekahi aaiaoe maʻi.

E like me ka hopena, ua hoemiia me ka nui loa o ka naau necrosis'aʻaʻa contractility. No laila, i ke kino hiki ole hana i piha nona iho, a no ka hoʻopaʻa i ka ipu koko. ua hoemiia minuke i ka leo, no hoi. Pela ka mea, ua hoomahuahua ia vascular e kū'ē'ē mai. I loko nō o kēia, i ka naau no hiki ole Makuakane me kā lākou hana. I ka hopena o ka meaʻehaʻeha koko lako hou i ka mea a pau nā loko a me nā'aʻaʻa.

Pathogenesis arrhythmic cardiogenic kŰia

Ke kumu o keia palapala o ka maʻi i kāna hana o ka naau a me ka pāpana conduction. Ka mea, ke hana spontaneously (like me ka hopena o myocardial infarction) a me ka hoʻomōhala i nā. Loa pinepine, he arrhythmia ahonui no ia no na makahiki. ʻO ia pili i ka conduction abnormalities. Aka hoi, ke ola-na olelo hooweliweli au ana e hoʻomōhala ana i luna o ka pōkole wā. Mākou e kamaʻilio e pili ana i hola a hiki minuke. Loa pinepine, cardiogenic kŰia, arrhythmias o ventricular alakaiʻano. I waena o lākou: tachycardia, haliu ae la ia i loko o fibrillation, a me atrial koliliʻana. Eia hou kekahi, mau keʻano o ka hanaʻana hiki ka hopena ma pinepine pae kui iho oe a.

Kekahi ano i hiki alakai i ka hawewe, o ka sinus bradycardia. Hoemiia naau i kela ua ana wehewehe aku ma ka conduction ka haunaele. Emi pinepine hiki aku ai i ka cardiogenic kŰia fibrilloflutter. E like me ka hopena,'āno'ē contractions a me ectopic foci i loko o ka myocardium (kui iho oe a) i ka naau mea e hiki ke hana kona kuleana pili i. Nolaila, he ka ho'ēmiʻana i ka hahauʻana a me ka minuke i ka leo, i ka haule i ka lāʻau ikiʻai wale puʻe BP. Ma lalo o kēia koho, ka pilikia kauka mua mea mea e hopu fibrillation, defibrillation, a Noho iʻimi hoʻopunipuni naʻau lomilomi.

He aha mea he reflex kŰia?

Keia ano o ka hawewe e hoʻomōhala ana i ka kekahi i kumu ole initially pili me ka poho i ka naau Muscle. Kāhea mau complications hiki e loa ka eha, a kahe ana ke koko. I ka Ia manawa, i kēia mau symptoms i kākaʻikahi me ka naʻau pili. Nō kāu, ua diagnosed ma hope o ka ulia, huʻiʻaʻa puʻuwai hoʻokō 'ole' ia o ka kŰia.

Kēia AOAIAaOO i ka loa maikaʻi prognosis. Pilikia kōkua ma cardiogenic kŰia reflex ano E e pahuna ma hōʻike aku hoʻi i kona mea, lalau mai - eha, e like me kahe ana ke koko, e oki. Ma muli o ia mau kumumea, hooponopono o vascular leo ua kupikipikio. No ka mea, o keia, i ke koko stagnates i loko o na aa koko a me arteries, a ma ka interstitial makahiki o ka wai exuded, ho okumu i edema. A pau i kēia hiki aku ai i ka emi ma venous kahe ana i ka naau. Next, keʻano papa hana o ka ia me ka nā 'ano apau loa.

Nā kumu a me pathogenesis o ka hawewe unresponsiveness

Unresponsiveness cardiogenic kŰia ia lŘlŘ ka wā i pepehiʻia e ka myocardium holoʻokoʻa. Keia ia lŘlŘ ka wā reinfarction. Nō hoʻi, no ka mea, hiki ia i ka cardiac tamponade. Ma keia hihia, he mea pericardial loli i compresses i ke kino, pale ia mai hoole mai oia. Ma kekahi mau hihia, tamponade ke alakai i ka rupture o ka naau. Keia ano hiki aku i ka make. Eia naʻe, e kōkua i ka hoʻomanawanui i loko o keia hihia mea,ʻaʻole hiki. Keʻano papa hana o ka hawewe pili me ka piha cessation o ka naau, ma ka Akä naÿe ia i kālā ma i minuke buke ua hoemiia. Make nei mai i kēia complication kokoke i ka 100%.

Nā symptoms o cardiogenic kŰia

Ka lapaʻau kiʻi o ka ia,ʻaʻohe mea i ke kumu, kena ae la cardiogenic kŰia mea. Symptoms complications kēia: e haule i loko o ke koko, a me ka pana, tachycardia, oliguria (ua hoʻemi mimi auaiaea). Ke kaumaha ma muli o ka ke koko, a me ka lapaʻau ikepili, līkaia 3 degere. Ma hookolokolo, i ka hoʻomanawanui hiki ke hōʻike ', a me na hana mana e o cardiogenic kŰia. Mau nā:

1. Anu a me ka clammy hou.
2. Makau o ka make a me unconsciousness.
3. Cyanosis - ahinahina o ka ili.
4. Hiʻona o ka hoʻomanawanui i ka maka hiki ke wānana aku, lehalehu t, ka 'aoʻao - noʻu.
5. Skin ano ma ka loa degere i poʻo.

Pehea e diagnose i ka kŰia?

ʻike, o cardiogenic kŰia ua ana ma muli o lapaʻau ikepili a me ka hana nīnau o ka hoʻomanawanui ka hoahanau. No ka mea, he mea pono e hana koke aku, kauka loiloi i ke koko,, ke ano o kaʻili, pupillary pane, naau i kela a me naehana kōmi. Inā ka hoʻomanawanui i na hoailona o ka hawewe, koke i ka i pilikia kōkua.

Ma ke alo o ka noa 'inikua limahana loaʻa mai mōʻaukala o ka maʻi. Ke Kauka noi ina ka hoʻomanawanui ua loohia mai arrhythmia, angina, paha, waiho wale aku i ka naau hoouka ma mua? Inā complications hoʻomohala ma ka hale a ma ke alanui, me kaʻike, o ka hawewe ambulance kauka hope ma laila. A hiki i ka maʻiʻo o ka hoʻomanawanui i loko o ka mālama nui malama ka mokuna 'ia, ma ka hou, ke ana o ka lāʻau ikiʻai wale puʻe, vascular ia'ku, diuresis. I aʻo koko kinoea.

Cardiogenic hawewe: mua kōkua, algorithm o ka hoopii

He waiwai hoomanao ia ma pehea koke a me ka maiau kōkua i ka hoʻomanawanui ka ola hilinaʻi nui. Inā he mau hoailona o ia complications, kauka e hoomaka ana e lawe hana koke. Inā e poina ka mea pono e hana, e mea hiki ke loaa cardiogenic kŰia. Pilikia - kaʻina o nā hana, ua like penei:

1. E kau i ka hoʻomanawanui i loko o ka papamoe manao me ka hoala hou wawae hope. Eia hou kekahi, ia mea pono e hoʻopaʻa i ka 'ae' o ka lewa (holoku wale kapa, e hoʻokaʻakaʻa aʻeʻoe i ka puka makani).
2. Ka oxygen lako. Ua hiki ke hana ma kekahi hana ea paha a nasal cannula.
3. Anesthesia. Myocardial infarction a me ka hawewe reflex no ka mea hoʻohana narcotic ai '. lāʻau "Morphine" Ua hoʻohana hou pinepine ana. Kona nāu kekahi ma ka Saline a injected ma / lohi.
4. Hoihoi hou ia ana o ke koko, a me ka BCC. No ka mea, i kēia pāʻoihana "Reopoligljukin".
5. Inā ole keia mea pono e hoala mai ke koko, Via "atropine" hoʻomākaukau 0,1%. Ua lawelawe i loko o ka nui o ka 0.5-1 ml.

Eia hou kekahi, ia mea pono e wehe i ke kumu o ka hawewe. Myocardial infarction ua lawe thrombolytic a me ka antiplatelet Inc (hoomakaukau "Alteplase" "clopidogrel", "Aspirin"). I ka hoʻohana 'ana i ke koko thinners "heparin" pāʻoihana. medicament "Lidocaine" I lawelawe ventricular pāpana ka haunaele. I kekahi manawa, he defibrillation.

Pilikia mālama i loko o ka haukapila

Pilikia kōkua ma cardiogenic nń hoomau ma ka mālama nui malama pa alima. Aia ua lawelawe mālama nui Inc, ana ka mālamaʻana o nā hoailona, e noiʻi ana i ka hihia complications. Myocardial infarction ua hanaʻoki kino - holo alaʻokoʻa artery stent i hoʻokomo '. Nō hoʻi,ʻoki lāʻau lapaʻau malama ua pono ai i loko o kekahi mau hihia o ka arrhythmia a me ka conduction abnormalities. I ka Ia manawa i hoonohonoho mai iʻimi hoʻopunipuni pacemaker lawelawe i ka hana contractile o ka naau.