Chep Pain He's Almost Always An Emergency
Kurwadziwa kwepfupa kazhinji kunoratidza chiratidzo chepfungwa . Kunyange kana isisiri chirwere chepfungwa, kutaurira musiyano kunoda zvimwe zvigadzirwa zvakanakisisa zvisingawanike nyore pahofisi yechiremba chaiyo. Kuchepa kwepfupa ndeimwe yezvingano zvitsva zvezvechiremba zvinoda nguva dzose zvinoda rubatsiro rwekukurumidzira, uye hazvifaniri kumboonekwa pakutanga kuhofisi yechiremba.
Mwoyo inotambudza inoderedza moyo wemisvo inoda ropa uye oxygen. Inowanzokonzerwa neropa rinoputika muyiti yakave yakavharwa necholesterol mari . Sezvo ropa rinoputika ropa richiyerera kusvika pamwoyo, mishonga yemisumbu (iyo isingagoni kumira kurova kuchengetedza simba nokuti mwoyo inhengo inokosha) inotanga nenzara. Pakupedzisira, musungo wemwoyo uchafa.
Nguva Isungo
Nguva iyo inotora kuti mutsara wemwoyo ufe wakasiyana kune umwe neumwe. Izvo zvinoenderana nezvimwe zvikonzero, kwete zvishoma pane izvo zviyero zveyeri yakavharwa uye nzvimbo yemwoyo inorega oksijeni. Iyo yakakura mutaundi wakavharidzirwa, anokurumidza kukuvara kunoitika.
Zvipatara zvinoyera kubudirira kuburikidza nekutsanya kwekushaya mwoyo kwevarwere kunowana mushonga kana vafamba mumusuwo. Mahofisi echiremba haawanzoshanda. Zvinotora mimwe midziyo yakananga kuti iongorore zvakakodzera kuraswa kwemwoyo, uye vanachiremba vakawanda havakwanisi kutora izvi zviitiko zvekurapa zvinoitika.
Kunze kwekusiyana kweterevhizheni, vanachiremba mumwechete - kunyanya vakuru kana vashandi vemhuri - havangoni kuona kukanganisa kwemwoyo kunowira pamberi pavo kuti nguva dzose vaite zvakakodzera. Kunyange pakati pedhipatimendi rekukurumidzira, avo vanoona vakawanda varwere vanoita basa rakanaka rekuziva hutsinye hwemwoyo.
Chinhu chimwe chechokwadi ndechekurwa kwemwoyo: nguva ndeyemisi. Nenguva yakawanda inopera isati yatanga kurapwa, hutundu hwemwoyo huri kuparadzwa, ndicho chikonzero hurumende yedhipatimendi ine mitemo yekutevera varwere vanouya mukunyunyutira kurwadziwa kwepfupa.
Roti Kuti Iite Chiito
Pane imwe nguva chirwere chepfungwa chinoshanyira dhipatimendi rinokurumidza, kune zvinhu zvakawanda zvaanofanira kuwana mumaminitsi mashomanana ekutanga.
- Electrocardiogram (ECG) kuti aone kana pane kunyanya kwepfungwa
- Ropa kuedza, uyewo kuongorora chirwere chemwoyo
- Oxygen yeavo vane nzara yemwoyo
- Nitroglycerin kubvisa basa remoyo
- Aspirin kuonda ropa uye kuderedza kupisa mukati memwoyo
- Zvinyorwa zviviri zvinokonzera (IV) zvekupa mishonga nemvura zvinononoka
- Morphine nekurwadziwa uye kugadzirisa basa remoyo
- Zvichida mishonga inoputika-shanduka yakafanana neyemuviri we plasminogen activator (tPA)
- Zvingangodaro, kana catheterization yemwoyo kana kuti aronicyria arterpass graft (CABG) yokudzorera zvachose kuerera kweropa
Zvishomanana kana chimwe chezvinhu izvi chiripo pahofisi yevashandi vane chiremba. Zvechokwadi, kana murwere ari muhofisi yechiremba achifungidzirwa kuti ane chirwere chemwoyo, chiremba angangodana ambulensi kuti inotakura murwere kune dhipatimendi rinokurumidza .
Kuenda kunoona chiremba chokutanga kuchaguma nekuguma kunonoka kurapwa kwakakosha, uye nguva ishungu.
Kuenda Ikoko
Iye zvino zvatakaisa chido chekurapa mune dhipatimendi rekukurumidzira kune vose vanogona kuurayiwa mwoyo (zvinosanganisira chero munhu ane kurwadziwa kwepfupa ), ngatitaurirei nezvekuenda ikoko.
Kufamba mune dare rinosungirirwa dhipatimendi rokumirira rinoreva kuti iwe unofanira kuzadza fomu uye kumirira kuti nguva yako iongororwe. Pachava nemureri muimba yekumirira kuti aite chiongorori, uye mukoti wacho anenge achinyatsoziva zviratidzo uye zviratidzo zvekurwadziwa kwemoyo kana awana iwe, asi kusvikira panguva iyoyo, iwe unotarisira pakutanga , pakutanga-yakashandira hwaro.
Kune rumwe rutivi, kudana 911 kuchakuwana iwe ambulensi. Pari zvino, mutemo wenyika wehutambi hwema ambulensi munguva dzemuzinda mutaundi unopfuura maminitsi gumi.
Nokushevedza 911, uchava nevanenge vaviri varikupa varwere vanokurumidza-uye zvichienderana nekugara kwaunoita, vatori vekutanga vanowedzera - vachitaura kurwadziwa kwepfupa mukati pemaminitsi gumi. Izvo zviri nani kupfuura kutyaira, uye kumirira mukati, dhipatimendi rinokurumidza.
A Head Start
Muzhinji veUnited States, ambulensi inopindura kune 911 nhare dzinodzidziswa uye dzakagadzirirwa kutora zvinhu zvakawanda zvinogona kukuvadzwa nemunhu zvinokonzerwa nemoyo, zvose zvisati zvambosvika kuchipatara.
Mazhinji ambulensi haiti kuita chirwere cheEECG kunyange zvakadaro (kunyange ichi chiri kuchinja nokukurumidza), uye zvechokwadi, ma ambulensi haigone kuvhiyiwa. Nezvo zvisiri izvo, mishonga yemapirisiki pa ambulensi inogona kutanga mitsara IV; kupa oxygen, nitroglycerin, morphine, uye aspirin. Uyewo, varapi vezvepamuviri vachatarisa mwoyo yenyu munzira yekuenda kuchipatara uye inowanikwa mukurapa zviitiko zvinotambudza munzira yekuenda kuchipatara uye inowanikwa kuti iite zviitiko zvinotyisa zvinogona kuitika, sekusungwa kwemwoyo - ngozi chaiyo mukati memwoyo kurwisa.
Tanga paKutanga, Kwete Mukati
Sezvo mushonga wekukurumidzira unopararira, ndizvo zvakaitawo boka rinozviita. Zvirongwa uye zvirevo zvakagadzirirwa kutarisa zvakananga, zvakajairika zvinowanzoitika sekurwadziwa kwemwoyo. Aya maitiro ane nheyo dzepakati dzinopinda apo varwere vanowana zvakanakisisa mugumisiro.
Kupinda muchipfuva chirongwa chepakutanga, mumba mako vane ambulensi vakagadziriswa, vane mukana wakanaka wekubudirira pane kunonoka kuchengetedza nekuenda kuhofisi yechiremba asingakwanisi kukubata. Panobata chirwere chemwoyo, kukurumidza uye kugona kunokosha.
Iwe haufaniri kutora chifuva chako pachipfuva kuhofisi yako chiremba nokuti nguva yakasvibiswa.
References:
Limkakeng, A Jr, et al. "Kusanganiswa kweGoldman ngozi nekutanga kwepachiviri troponin I kune chirwere chekurwadziwa chechirwere chepfupa chirwere chechirwere chinokonzera ngozi." Acad Emerg Med. 2001 Jul; 8 (7): 696-702.
Schull MJ, Vermeulen MJ, Stukel TA. "Ngozi yekusarudzwa kwechirwere chemyocardial infarction inobatanidza nehuwandu hwemashoko ehurumende." Ann Emerg Med. 2006 Dec; 48 (6): 647-55. Epub 2006 Jun 14.
Zucker, DR, et al. "Mharidzo yehutu hwemyocardial infarction muvarume nevakadzi." J Gen Intern Med. 1997 Feb; 12 (2): 79-87.