Heart Attack vs. Cardiac Kusungwa

Mushure mokunge mumwe munhu akakurumbira afa kamwe kamwe, zvinowanzoitika kunzwa mumashoko ehupfumi kuti rufu rwakakonzerwa ne "moyo wekushungurudza" kana "kusungwa kwemoyo." Aya mazwi anowanzoshandiswa zvakasiyana-siyana nevanyori venhau; vamwe vachishandisa izwi rimwe apo vamwe vachishandisa imwe, sokunge kuti inoratidza chinhu chimwe chete. Havasi vanyori chete, zvimwe. Vanachiremba, zvakare, vanogona kunge vakanyangadza pamusoro pekushandiswa kwavo kwe "moyo kurwisa" uye "kusungwa kwemwoyo" apo mumwe munhu akatambura kufa kamwe kamwe.

Kusagadzikana kwakadaro pane chikamu chechiremba kunogona kutungamirira mukuvhiringidzika pakati pemhuri yemunhu akabatwa. Zvakaipisisa, kusimbisa kuvhiringidzika pamusoro pechikonzero chekufa kunogona kuita kuti hama dzeakakanganwa dzisarudze zvingangodaro zvakakosha pamusoro pechirwere chemoyo yavo.

Kurwadziwa kwemoyo uye kusungwa kwemoyo kune zvinhu zviviri zvakasiyana siyana izvo zvinowanzove nemhando mbiri dzakasiyana-siyana dzevaya dzinopikisa (kana vakapona mutambo), pamwe chete nemhuri.

Chii Chiri Kutambudza Mwoyo?

Kurwisa kwemwoyo ndiyo izwi rinowanzoshandiswa kune myocardial infarction (MI). An MI inowanikwa apo artericonary , imwe yemariti inopa ropa kumutsipa wemwoyo, inowanzovharwa. Iko kunoputika kunokonzera chikamu chepfungwa yemwoyo yeropa rinokosha rinopa, uye musimba unofa. Saka, chirwere chemwoyo rufu rwechikamu chemwoyo wemisungo.

Izvo zvinoputika zvakanyanyisa zvegoniyoni inowanzokonzerwa nekuputika kwechidimbu mune arteri.

Kuparara kwepakona kunogona kubudisa zvirwere zvakasiyana-siyana zvekurapa, zvinosanganisira kushaya mwoyo uye angina isina kugadzikana , izvo zvinowirirana pamwechete pasi pezita re acon coronary syndrome (ACS) . Mhando dzose dzeAACS ndezvekukurumidzira kwezvokurapa, uye kazhinji dzinoda kurapwa nemishonga, angioplasty uye kupisa , kana kuti kuvhiya kuti adzorere ropa rinowanzobuda kuburikidza neyeri yakavharidzirwa.

Kana kuyerera kweropa kunogona kudzorerwa mukati maawa mashomanana, kuora kwekusingaperi kumusana wemwoyo kunogona kuderedzwa. Kuziva kuponeswa kwepfungwa yemwoyo kunokosha nekuda kwechikonzero ichi.

Chimwe chezvinhu zvakakosha zvinokonzerwa nechirwere chepfungwa ndezvemhuri yako. Kana hama yako yepedyo yave yakarwadza mwoyo, zvikurukuru pazera rako, iwe pachako panjodzi yako yepakutanga yakagadziriswa arteri chirwere (CAD) inogonawo kuwedzerwa. Muchiitiko ichi, zvakakosha kunyanya kutora mukana wega wega kuderedza dambudziko rako reCAD .

Chii Chinonzi Cardiac?

Kusungwa kwemwoyo, zvakasiyana, kazhinji kunokonzerwa nemoyo unononoka arrhythmia inonzi ventricular fibrillation . Muchidimbu chinonzi fibrication, zviratidzo zvegesi mukati memwoyo zvinongoerekana zvava chaotic zvachose. Nokuti izvi zviratidzo zvemagetsi zvinodzora nguva uye sangano rekushaya moyo, apo zviratidzo izvozvo zvinoderera kusvika kuhutsinye hwose, mwoyo unobva warega kurova. Ndiko kuti, inopinda mu "kusungwa kwemwoyo." Mhedzisiro yakawanda yekusungwa kwemwoyo ndiko kufa kamwe kamwe.

Mushonga wekumanikidzwa kwemwoyo ndeyokutanga nokukurumidza cardiopulmonary resuscitation (CPR) kutsigira kuparadzirwa kwevanhu vanenge vafirwa, uye, nokukurumidza kana zvichibvira, kuunza kushevedza kukuru kwemagetsi kumwoyo nemutambo unonzi defibrillator.

Kutya kukuru kunobvumira chiratidzo chemagetsi chemwoyo kuti chigadzirise zvakare, uye mwoyo kutanga kutanga kurova zvakare. Zvinosuruvarisa, nokuti rufu runoitika mukati memaminitsi mashomanana ekumanikidzwa kwemwoyo kunze kwekunge rubatsiro rwuripo, ruzhinji rwevanhu vanotambura nekusungwa kwemoyo harubudiririzve kubudirira.

Kusungwa kwemwoyo kunowanzowanzova yakajairika kune vanhu vane marudzi akasiyana-siyana epfungwa yepfungwa-yakawanda, kazhinji, kurwisa kwemwoyo kana chero mamiriro ezvinhu anoita kuti mwoyo usakundikana . Sezvakangoitika, dambudziko rekufa kamwe kamwe rinogona kukwidziridzwa kune vanhu vane chirwere chepfungwa chepfungwa kusvika pakuwanda kwavo kunofanirwa kufungidzirwa kuiswa kwechigadziriswa chinogadziriswa, chigadziri chinogadzirisa zvakare vanhu vanotambura nekumanikidzwa kwemwoyo.

Zvimwe zvinokonzera kusungwa kwemwoyo zvinosanganisira zvimwe zvinokonzerwa nemafungiro emwoyo zvinowedzera kuisa mungozi ye ventricular fibrillation (iyo inowanzova iyo iri hypertrophic cardiomyopathy ) nekushandiswa kwemishonga yakasiyana siyana isina kukodzera (zvikurukuru cocaine).

Kusiyana Kunokosha

Kana hama yepedyo yafa kamwe kamwe, zvinokosha kuti iwe nemhuri yako uedze kudzidza chikonzero chaicho chekufa. Izvozvo zvinokonzera rufu zvinogona kukanganisa yako yehupenyu hwehutano hwepfungwa uye yevaya vaunoda.

Ngwarira kuti kunyange vanachiremba vanogona kushandisa mazwi okuti "kushungurudzika kwemoyo" uye "kusungwa kwemwoyo" pasina kana mumwe munhu afa kamwe kamwe. Kana chiitiko chakadaro chakanganisa mhuri yako, iwe unofanira kuwana ruzivo rwakawanda sezvaungagona pamusoro pechikonzero uye unomiririra kuti chiremba ataure zvakananga kwauri maererano nezvakaitika chaizvo.

> Sources:

> Chugh SS, Jui J, Gunson K, et al. Iye zvino Mutoro Wenjodzi Murufu Rufu: Mhepo zhinji Inotarisa Zvishoma Nezvekudzoka Kuchengetedzwa kweChiteteti Chekufa muGuta Guru reUnited States. J Am Coll Cardiol 2004; 44: 1268.

> Marijon E, Uy-Evanado A, Dumas F, et al. Zviratidzo Zvinonyeverwa Zvakabatanidzwa Nokupukunyuka Kubva Pakarepo Nokumhanya Kusungwa. Ann Intern Med 2016; 164: 23.

> O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA Fuideline yekutungamirirwa kweS ST-elevation Myocardial Infarction: Executive Summary: Mharidzo yeAmerican College of Cardiology Foundation / American Heart Association Task Force pamusoro Pemitemo Yezvokuita. Circulation 2013; 127: 529.