kamyocardial infarction pili i ka luku ʻana i kekahi ʻāpana o ka ʻiʻo puʻuwai i kapa ʻia myocardium. Hiki ia i ka wā, no ka laʻana, a hana pale i ke koko mai ka holo ma'amau ma o ke a'a coronary, he a'a e ho'olako i ke koko i ka pu'uwai. ʻAʻole maikaʻi ka wai ʻana o ka mea hope a poino ka ʻiʻo puʻuwai.

Myocardial infarction, i kekahi manawa i kapa ʻia he puʻuwai puʻuwai a i ʻole maʻi ʻaʻano coronary syndrome, he mea make ma kahi o 10% o na hihia. Ke ʻike koke ʻia nā hōʻailona mua, pono e pale i ke kōkua. E hāʻawi ʻia ke kōkua mua ma ka ambulance a laila pono ka hoʻokipa. A laila, e hāʻawi ʻia ka mālama lōʻihi, ʻoi aku ka pale ʻana i kahi hōʻeha puʻuwai hou a i ʻole ke ʻano o nā pilikia cardiovascular. E mālama ʻia kēia ma hope o ka infarction me ka mālama ʻana i ka lāʻau lapaʻau, ka hoʻoponopono ʻana i ka maʻi cardiovascular a i ʻole ka hoʻololi ʻana i ka nohona.

Hoʻokumu ʻia ka myocardial infarction e kahi aʻa i hoʻopaʻa ʻia, kahi e alakaʻi ai i ka oxygenation maikaʻi ʻole o ka puʻuwai, a no laila i ka luku ʻana i kahi hapa o ka myocardium. Hoʻokuʻu ʻia i ka oxygen, make nā cell o kēia ʻiʻo: ke kamaʻilio nei mākou nā ʻōpū. ʻAʻole maikaʻi ka paʻa ʻana o ka myocardium, ʻike ʻia kahi maʻi puʻuwai puʻuwai a laila, inā ʻaʻohe hana, pau ka puʻuwai. No ka pale ʻana i kēia hopena make, pono e wehe koke i ke aʻa.

Akā, pehea e hiki ai i ke aʻa ke paʻa? ʻO nā mea hewa atheroma plaques. Hana nui ʻia cholesterol, hiki ke hana i keia mau plaques ma ka pae o na paia o na aa koko, a no ia mea o na aa kalapona, e hoolako ana i ka naau. Inā haki ka atheromatous plaque a hoʻokumu i kahi ʻōpū, hiki iā ia ke hana i ka myocardial infarction.

ʻO nā hōʻailona o ka myocardial infarction he ʻano maʻamau: ʻeha i loko o ka umauma, pōkole o ka hanu, ka wela, ka puʻuwai maʻamau, ka ʻeha i ka lima a i ʻole ka lima, etc.

Aia nō naʻe ʻehaʻeha hāmau. ʻAʻole ʻike ka mea i loaʻa i kekahi hōʻailona. Hiki ke ʻike ʻole ʻia ka hōʻeha puʻuwai naʻau akā ʻike ʻia i ka wā o kahi hoʻokolokolo e like me ka EKG. ʻOi aku ka maʻamau o kēia hōʻeha puʻuwai hāmau i ka poʻe i loaʻa i ka maʻi diabetes.

hoʻomanaʻo aʻela nō : ʻO ka puʻuwai he pamu e puʻunaue i ke koko i nā ʻāpana āpau. ʻO ka myocardium ke kuleana no ka hoʻoinu ʻana i ke kino me ke koko a no laila ka oxygen. 

ʻO ke kuhikuhina

Aia ma Farani kokoke i 100.000 myocardial infarctions i kēlā me kēia makahiki. ʻOi aku ma mua o 5% o ka poʻe i hoʻopilikia ʻia e make i loko o hoʻokahi hola, kokoke i 15% i ka makahiki e hiki mai ana. Ua hāʻule nui kēia helu make i nā makahiki 10, mahalo nui i ka pane ʻana o ka SAMU a me ka hoʻokumu ʻana i nā lawelawe cardiology interventional. Hōʻike nā helu US no 8000.00 mau hihia makahiki a me 90 a 95% ola no nā poʻe maʻi i hoʻopaʻa ʻia ma hope o ka myocardial infarction.

PalekanaEND_LINK

ʻO nā hōʻailona o ka hōʻeha puʻuwai he mea maʻamau loa ia a hiki i ke kauka ke hana i kahi hōʻailona wikiwiki loa. E hōʻoia ʻia kēia hōʻoia e nā hoʻokolohua like ʻole a me nā hoʻokolohua e like me ka electrocardiogram. E ʻae ka ECG i ka ʻike ʻana i kahana uila o ka puʻuwai a pēlā, e ʻike ai i kahi anomaly. E hōʻike ʻia inā ua hoʻomaka a i ʻole e hoʻomaka ana ka puʻuwai. E ʻike ʻia kahi hoʻāʻo koko i ka loaʻa ʻana o nā enzymes naʻau i loko o ke koko e hōʻike ana i ka pōʻino i kekahi ʻāpana o ka puʻuwai. Pono paha kahi x-ray, ʻoi aku ka maikaʻi e hōʻoia i ka pili ʻole o nā māmā. ʻO ka angiography coronary, kahi x-ray e hiki ai ke ʻike i nā ʻaʻaʻa coronary, hiki ke ʻike i ka emi ʻana o ke anawaena o kēia mau aʻa a me ka loaʻa ʻana o kahi plaque atheromatous.

Nā kumu

ʻO ka heleʻana o atheroma plaque, i haku ʻia me ka cholesterol, hiki ke wehewehe i ke ʻano o ka hōʻeha puʻuwai. Hiki i kēia plaque ke ālai i ke aʻa coronary a pale i ka naʻau mai ka hoʻolako ʻana i ke koko kūpono.

Hiki nō hoʻi ke hōʻeha puʻuwai ma muli o kekahi ʻano ka spasms ma ke kiʻekiʻe o ke aʻa coronary. Hoʻopau ʻia ke kahe koko. Hiki ke hana ʻia kēia spasm e kekahi lāʻau e like me ka cocaine. Hiki ke ʻike ʻia ma hope o ka haʻihaʻi ʻana o ke aʻa o ka puʻuwai a i ʻole ke kahe ʻana o ke koko, inā he haʻahaʻa haʻahaʻa loa ke koko, no ka laʻana, ka mea i kapa ʻia ʻo hypovolemic shock.

Nā pilikia

ʻOkoʻa nā pilikia o ka puʻuwai puʻuwai ma muli o ka nui o ka ʻāpana o ka ʻiʻo puʻuwai i hoʻopilikia ʻia e ka puʻuwai puʻuwai. ʻO ka nui o ka wahi, ʻoi aku ka koʻikoʻi o nā pilikia. Loaʻa paha i ke kanaka arrhythmia, ʻo ia hoʻi ka haunaele o ka puʻuwai, ka pau ʻole o ka naʻau a i ʻole nā ​​pilikia me kekahi o nā puʻuwai puʻuwai, kahi pahu i poino paha i ka wā o ka hoʻouka ʻana. Hiki ke paʻakikī ka puʻuwai puʻuwai me ka hahau ʻana. Hiki nō hoʻi ke hōʻeha puʻuwai hou.

E loiloi ʻia ka pilikia o ka hoʻopiʻi ʻana me ka hoʻohana ʻana i nā hoʻokolohua hou: ECG, ultrasound, coronary angiography, scintigraphy (e nānā i ka hana o ka puʻuwai) a i ʻole kahi hoʻāʻo koʻikoʻi. E kuhikuhi pū ʻia ka lāʻau lapaʻau.