A cikin tsofaffi da tsofaffi, akwai babban haɗarin kamuwa da cutar cututtukan zuciya. Irin wannan ilimin yana da haɗari ga haɓaka infarction myocardial, wanda a ƙarshe ya zama sanadin canje-canjen da ba a iya juyawa ba.
Daya daga cikin sakamakon wani harin shine atherosclerotic post-infarction cardiosclerosis. Wannan mummunan rikicewar cututtukan zuciya ne, wanda yawanci bayan fama da matsalar bugun zuciya yana haifar da mutuwar mutum.
Cutar cututtukan zuciya da ba a kamuwa da ita ba ta same su ta likitoci sau da yawa a yau, saboda yawan bugun zuciya na ƙaruwa kowace rana. A yanzu haka, ilimin halittu yana kan gaba ta hanyar yawan adadin mutuwar da ke tattare da tsarin cututtukan zuciya. Wannan matsalar tana dacewa har a cikin ƙasashe masu tasowa don kula da lafiya.
Me yasa cutar ta haɓaka?
Postinfarction atherosclerosis cuta ne mai alaƙa da ke tattare da aiki da ƙwayar zuciya. Wannan ilimin likita yana da lambar I 25.2 bisa ga ICD-10. Myocardial nama da ya mutu saboda rashin lafiya an maye gurbinsa da ƙwayar haɗin haɗin gwiwa, saboda abin da ke haifar da scars.
Kwayoyin da aka kafa suna iya girma da girma a cikin girman bayan wani lokaci. Sakamakon haka, zuciyar mai haƙuri ya zama babba kuma ba zai iya samar da matsewar gaba ba. Sakamakon haka, wadatar da jini ga dukkan gabobin ciki mutum ya yi ta rauni.
Akwai manyan dalilai na haɓaka wannan yanayin. Musamman, cututtukan ƙwayar cuta bayan jini na iya faruwa saboda:
- Cutar zuciya;
- Gano cututtukan zuciya;
- Kasancewar cututtukan zuciya da raunin jijiyoyin jini;
- Bayyanar cututtuka na kumburi a cikin tsokoki na zuciya;
- Take hakkin ayyukan yarjejeniya na ganuwar zuciya tare da rashin aiki mai kyau.
Pathology yana da rarrabuwa daban-daban. Dangane da siffar sikari a cikin myocardium, cardiosclerosis na iya zama:
- Babban mai da hankali da ƙarami, lokacin da tsarin ya bambanta da girman;
- Rarrabewa idan ƙwayar haɗin ke haɗuwa gaba ɗaya a cikin myocardium;
- A lokuta da dama, cututtukan zuciya ana tantance su.
Likitan ya kuma lura da yadda cutar ke da rauni sosai. Ya dogara da girman girman sifofin da aka samo a wurin da raunukan raunukan zuciya na zuciya, zurfin abin da ya lalace, wurin samuwar da kuma yawan abubuwan rashin tsoro. Kwayar cutar za ta bayyana kuma ya danganta da mummunan yanayin juyayi ko tsarin hancin.
Kowane nau'i na ilimin cututtukan cuta yana da haɗari sosai, kamar yadda mai haƙuri na iya mutuwa idan ba a kula da shi yadda ya kamata ba. Don hana haɓakar rikice-rikice, yana da muhimmanci a san yadda cutar take bayyana kanta.
Cutar cutar sankara
Postinfarction atherosclerosis sau da yawa yakan haifar da rauni ga zuciya, bugun jini na jini, rushewa da ciwon baya da sauran yanayin haɗari. Sabili da haka, wajibi ne don sanin manyan alamun wannan cuta.
Tsarin ƙuƙwalwar zuciya babbar cuta ce mai haɗari wanda ke buƙatar gano shi da wuri-wuri. Don fara jiyya a cikin lokaci da kuma hana mutuwar mutum, ya zama dole don ƙayyade cutar da wuri-wuri.
Kwayar cutar za ta iya bambanta dangane da nawa ƙoshin ƙonewa na myocardium sun girma kuma menene matsayin lalacewar jikin ƙwayar cuta mai mahimmanci. Manyan alamun cututtukan zuciya suna bayyana ta hanyar:
- Matsawa jin zafi a cikin sternum, rashin jin daɗi kusa da zuciya;
- Tachycardia;
- Increaseara yawan haɓakar hawan jini ta hanyar maki 20 ko fiye;
- Ragewar numfashi, wanda ke bayyana kanta a yayin motsa jiki, da cikin nutsuwa;
- Bayyanar shuɗi na sama da na sama, canje-canje a launi na lebe;
- Arrhythmias saboda keta yanayin hanyoyin hanyoyi;
- Cigaba da jin daɗin ci gaba, rauni mai ƙarfi, rage ƙarfi;
- Rage nauyi mai mahimmanci, wani lokacin tare da anorexia da cikakken ci;
- Edema a cikin gabar jiki saboda tarin ruwa a jiki;
- Yana ƙaruwa da girman hanta.
Duk bayyanar da take hakkin sa yana buƙatar hulɗa kai tsaye tare da mai ilimin hanyoyin kwantar da hankali da likitan zuciya. Dangane da sakamakon gwaje-gwaje da tarihin likita, likita zai zaɓi maganin da ya dace.
Bayyanar cutar
Idan akwai wani tuhuma da cewa asirai suka haifar a cikin myocardium, likita dole ne ya tura mai haƙuri zuwa gwajin bincike. Wannan zai ba ku damar dakatar da nazarin cikin lokaci tare da hana haɓakar ciwon zuciya na postinfarction cardiosclerosis.
Tabbas yakamata ku kula sosai idan mutum yana da koke-koke game da yawan hauhawar jini, cin zarafi na zuciya, bayyanar amo da sautin mara nauyi a cikin zuciya.
Ana amfani da nau'ikan gwaje-gwaje masu zuwa don gano cutar:
- Yayin bincike na waje, yayin sauraron sautunan zuciya, likita zai iya gano rauni na sautunan farko, murmushin systolic kusa da ƙwayar mitral, saurin haɓaka bugun zuciya.
- Dangane da sakamakon nassi na electrocardiogram, zaku iya ganin raunuka bayan fama da rauni na wucin gadi. Hakanan, sauye sauye a cikin myocardium, haguwar jini na ventricular hagu da dama, lahani a cikin tsokoki na zuciya, da kuma ƙwanƙwasa ƙafafun damun nasa ana yawan gano su.
- Nazarin duban dan tayi na zuciya zai baka damar kimanta aikin kwangila na myocardium, gano raunuka da canje-canje a cikin zuciya.
- A lokacin x-ray-kirji, za'a iya gano ƙara ƙarancin ƙarfin zuciya.
- Echocardiography ana ɗauka shine hanya mafi fa'ida, tare da taimakon wannan nau'in cutar zazzabi likita ya sami damar bibiyar wurin da ƙarar kyallen takarda. Haka kuma, cututtukan zuciya na yau da kullun da kuma lalacewar ayyukan kwangila ana gano su.
- Don gano ɓacin da aka canza daga kyallen takarda waɗanda ba su shiga cikin ƙaddamar da zuciya, ana yin positron watsi tomography.
- Eterayyade nawa ƙwayar jijiyoyin zuciya ke kunkuntar, yana ba da izinin angiography.
- Kuna iya kimanta wurare dabam dabam ta hanyar jijiyoyin zuciya
Jiyya na cardioclerosis na bayan-infarction
Yana da mahimmanci a fahimci cewa wannan ilimin, wanda ya haɗu tare da ƙirƙirar ɓoye a kan tsokoki na zuciya, ba a bi da su. Ana gudanar da aikin tiyata ne domin kiyaye lafiya, don hana ci gaba da rikice-rikice, da sassauta tsarin samar da kyallen takarda da kuma kawar da sanadin cutar.
Don haka, jiyya yana ba ku damar dakatar da raɗaɗin ƙwayar zuciya, inganta yanayin tasoshin jini, daidaita yanayin wurare dabam dabam na jini, dawo da al'ada al'ada ta gungun mai mahimmanci, da hana mutuwar sel.
Bayan gudanar da gwaje-gwajen da suka dace da yin cikakken nazari game da yanayin tsarin jijiyoyin jini, likita ya tsara magunguna kuma ya zaɓi madaidaicin sashi. A wannan yanayin, bai kamata mutum ya shiga cikin maganin kansa ba.
- Sakamakon amfani da inhibitors na ACE, aiwatar da ƙirar myocardial yana rage gudu, ƙari, magunguna suna taimakawa tare da hawan jini;
- Anticoagulants baya bada izinin ƙarar jini ya zama sanannen jini kuma na bakin ciki;
- Magungunan ƙwayoyin cuta suna inganta abinci mai gina jiki na myocyte, suna daidaita metabolism a cikin ƙwayar tsoka na zuciya;
- Ana ɗaukar Beta-blockers don hana ci gaban arrhythmias;
- Don cire ƙwayar ƙwayar cuta mai yawa daga jiki kuma a kawar da ƙaiƙayi, ana amfani da diuretics.
- Idan ciwo mai zafi ya faru, ana bada shawarar maganin jin zafi.
Idan shari'ar ta kasance mai tsanani, yi amfani da hanyar tiyata - cire sabo tare da jijiyoyin zuciya jijiya grafting. Don inganta aiki na kyallen takarda mai lalacewa, ana yin balloon angioplasty ko stenting.
Idan mai haƙuri yana da komaɗuwa game da arrhythmia ventricular arrhythmia, an wajabta mai ƙimar kadarin cardioverter.
Tare da bayyanar cututtuka na torioventricular block, ana aiwatar da gabatarwar na'urar bugun lantarki.
Matakan hanawa
Bugu da ƙari, mai haƙuri ya kamata ya bi wani abincin warkewa na musamman. Yana da mahimmanci a bar abinci mai gishiri da mai mai yawa, giya, da kofi gwargwadon iyawa.
Mai haƙuri ya kamata ya bar halayen marasa kyau, motsa jiki na motsa jiki, sarrafa nauyin kansa, kula da yawan ƙwayar cholesterol da glucose a cikin jini. Lokaci-lokaci, ya kamata a sha magani a wurin daukar marasa lafiya
Wajibi ne a bar tsananin motsa jiki da wasanni. Amma ba shi yiwuwa a dakatar da ilimin gaba daya. An ba da shawarar yin kullun yin walƙiya a cikin iska mai tsabta, don yin darasi na warkewa.
Yana da matukar wahala a hango yanayin cutar, tunda da yawa ya dogara da yanayin mai haƙuri da kuma matsayin lalacewar ƙwayar tsoka na zuciya.
- Idan mai haƙuri da ƙwaƙwalwar ƙwayar cuta ba shi da alamun bayyanar cututtuka, wannan na iya nuna yanayi mai kyau.
- A gaban rikitarwa kamar arrhythmia, gazawar zuciya, ana buƙatar magani na dogon lokaci.
- Idan an gano cutar kansa, to yana da haɗari ga rayuwar ɗan adam.
Don ware wannan yanayin, kuna buƙatar bin ingantacciyar rayuwa, kula da yanayin tsarin zuciya, ziyarci likita a kai a kai kuma ku sha kan cutar lantarki. Game da duk wani tuhuma game da cutar sankara, ana amfani da magunguna waɗanda ke taimakawa ƙarfafa zuciya, ana amfani da magunguna game da arrhythmias da bitamin.
Bayan fama da rauni na zuciya, ya zama dole a sanya ido sosai a kan kiwon lafiya don hana ci gaban cututtukan zuciya da ke cikin zuciya. Irin wannan cuta mai haɗari yayin rashin kulawa ta hanyar da ta dace kuma zai iya haifar da mutuwa. Amma, idan kun kula da yanayinku daidai, zaku iya dakatar da haɓakar ƙwayar cuta kamar yadda zai yiwu kuma ku ƙara tsawon rayuwa ta shekaru.
Yadda aka murmure daga bugun zuciya an bayyana shi a bidiyon a cikin wannan labarin.
