Myocardial Infarction vs Cardiac Arrest | Circulatory Arrest vs Myocardial Infarction | Ua rau, kho cov yam ntxwv, kev tshawb nrhiav, kev tswj hwm, teeb meem, thiab kev kwv yees
Myocardial Infarction tshwm sim los ntawm kev cuam tshuam ntawm cov ntshav xa mus rau myocardium, uas feem ntau tshwm sim los ntawm kev nqaim ntawm cov hlab ntsha vim atherosclerosis. Nyob rau hauv sib piv, plawv nres los yog circulatory ntes yog tas li ntawm cov ntshav ncig vim tsis ua hauj lwm ntawm lub plawv mus cog lus zoo. Yog li, myocardial infarction thiab plawv nres tsis yog cov ntsiab lus zoo sib xws, tab sis myocardial infarction yog lub luag haujlwm rau 60-70% ntawm lub plawv nres. Kab lus no taw qhia qhov sib txawv ntawm ob qho no hais txog lawv cov kab mob, ua rau, qhov chaw kho mob, thiab kev tshawb nrhiav kev tshawb nrhiav, Kev Tswj Xyuas, teeb meem thiab kev kuaj mob.
mob plawv mob plawv
Kev mob hnyav atherosclerotic nqaim ntawm ib lossis ntau cov hlab ntsha ua rau cov ntshav tsis txaus rau cov leeg nqaij ua rau nws raug kev txom nyem los ntawm ischemia thiab infarction. Infarction tej zaum yuav yog transmural qhov twg tag nrho cov tuab ntawm myocardium koom nrog los yog subendocardial qhov twg ib nrab thickness koom nrog.
Qhov kev pheej hmoo ntawm myocardial infarction yog dav categorized li hloov tau thiab hloov tsis tau. Cov kev pheej hmoo hloov pauv muaj xws li hyperlipidemia, kub siab, ntshav qab zib mellitus, haus luam yeeb, tsis muaj kev tawm dag zog, rog rog, haus cawv hnyav, thiab kev ua neej nyob tsis muaj zog. Cov yam ntxwv uas tsis hloov pauv tau yog hnub nyoog, poj niam txiv neej thiab tsev neeg keeb kwm zoo.
Kev kho mob tus neeg mob pib tshwm sim tam sim ntawd ntawm lub hauv siab mob hauv siab rau ntau dua 20-30 min ntev, uas tej zaum yuav los yog tsis tuaj yeem tawg mus rau sab caj npab thiab lub kaum sab xis ntawm lub puab tsaig. Nws tuaj yeem ua rau muaj kev tawm hws ntau dhau, xeev siab, ntuav thiab ua tsis taus pa.
ECG qhia ST ntu thiab T nthwv dej hloov pauv. Kev kuaj mob tau lees paub los ntawm qhov siab ntawm cov cim plawv.
kev cuam tshuam sai yog qhov tsim nyog rau kev soj ntsuam zoo dua. Kev tswj hwm suav nrog cov pa oxygen txaus, tshuaj aspirin, clopidogrel thiab morphine. Nyob rau hauv ST elevated MI streptokinase yuav tsum tau txiav txim siab tshwj tsis yog tias muaj ib qho kev qhia tsis zoo. Kev kho statin yuav tsum tau pib tsis hais txog qib lipid. Thaum tus neeg mob nyob ruaj khov, yuav tsum tau txiav txim siab txog kev cuam tshuam ntawm cov hlab plawv, stenting, lossis yog tias tsim nyog, hla kev grafting.
Cov teeb meem ntawm myocardial infarction muaj xws li arrhythmias, pericarditis, thiab kub siab, systemic embolism los ntawm mural thrombi, re-infarction thiab myocardial rupture.
Kev mob tshwm sim nyob ntawm tus neeg txoj kev noj qab haus huv, qhov twg ntawm kev puas tsuaj thiab kev kho mob tau muab.
Ntxhais mob
Nws yog kev kho mob xwm txheej ceev. Kev txiav txim siab ntawm qhov ib txwm muaj vim qhov tsis muaj peev xwm ntawm lub plawv kom nqus tau zoo ua rau lub plawv nres, thiab yog tias nws tsis tau xav txog, nws raug xa mus rau kev tuag sai sai. Oxygen muab rau cov ntaub so ntswg thiab cov plab hnyuv siab raum tsis zoo vim qhov kev ua tsis zoo ntawm cov ntshav ncig. Tsis muaj oxygen rau lub hlwb ua rau tsis nco qab. Tus neeg mob muaj qhov txawv txav lossis ua tsis taus pa. Yog tias lub plawv nres tsis tau kho li ntawm 5 feeb, qhov kev raug mob ntawm lub hlwb yuav zoo li qub. Yog li ntawd, kev kho tam sim thiab txiav txim siab yog qhov tseem ceeb rau txoj hauv kev zoo tshaj plaws ntawm kev muaj sia nyob thiab kev kho mob hlwb.
Ua rau lub plawv nres yog mob plawv lossis tsis mob plawv. Cov kab mob plawv muaj xws li kab mob plawv, cardiomyopahty, kab mob plawv valvular thiab kab mob hauv lub plawv uas tsis yog mob plawv muaj xws li kev raug mob, hemorrhage, tshuaj ntau npaum li cas, poob dej thiab pulmonary embolism.
Cov tsos mob ntawm lub plawv nres yog tam sim ntawd thiab hnyav heev. Sudden vau, tsis ua pa, tsis muaj mem tes, thiab tsis nco qab ua rau kev kuaj mob.
Cov ntsiab cai ntawm kev tswj hwm yog kev txhawb nqa lub neej yooj yim, kev txhawb nqa lub neej zoo thiab kev saib xyuas tom qab rov qab los.
Cov teeb meem muaj feem cuam tshuam ntawm lub plawv nres muaj xws li arrhythmias, stroke, thiab rupture ntawm lub plawv, cardiogenic shock, thiab tav fractures thaum sim resuscitation thiab tuag.
Kev mob tsis zoo.
Qhov txawv ntawm myocardial infarction (MI) thiab plawv nres yog dab tsi?
• Kev ua haujlwm tsis zoo ntawm myocardium vim kev cuam tshuam cov ntshav yog hu ua myocardial infarction, thaum lub sijhawm ua haujlwm tsis zoo vim lub twj tso kua mis tsis zoo yog hu ua mob plawv.
• Thaum lub plawv nres, tus neeg mob tuag sai sai.
• Myocardial infarction yog ib qho ua rau mob plawv.
• Cov kev pheej hmoo raug txheeb xyuas hauv myocardial infarction, tab sis qhov laj thawj tseeb tsis tau tsim zoo, thaum ntau qhov mob plawv thiab tsis mob plawv yog lub luag haujlwm rau lub plawv nres.
• Mob plawv raug kho los ntawm kev sim ntawm resuscitation.
