Kev tiv thaiv ntawm infarction

Kev tiv thaiv ntawm infarction cuam tshuam nrog kev tswj hwm ntawm muaj feem cuam tshuam txog. Txhawm rau txwv txoj kev pheej hmoo ntawm lub plawv nres, koj yuav tsum tsis txhob haus luam yeeb thiab haus dej ntau dhau. Nws yuav yog qhov tseem ceeb los hloov qee yam ntawm koj tus cwj pwm tsis zoo, piv txwv li tiv thaiv kev rog dhau thiab hypercholesterolemia (= lipid ntau hauv cov ntshav).

Cov tshuaj zoo liaspirin tuaj yeem raug sau tseg raws li kev ntsuas tiv thaiv hauv tib neeg uas muaj kev pheej hmoo siab los ntawm kev mob plawv, zoo li statins tuaj yeem kho cov roj (cholesterol) siab.

Kev kho mob rau infarction

Kev kho tus mob infarction yuav tsum pib sai li sai tau, sai li sai tau thaum lub tsheb thauj neeg mob tuaj txog uas yuav coj tus neeg mob mus rau chav kho mob plawv.

Cov tshuaj tuaj yeem muab rau cov ntshav nyias thiab pab kom cov ntshav ntws mus rau hauv plawv. Nws tuaj yeem, piv txwv li, yog tshuaj aspirin lossis thrombolytic cov neeg ua haujlwm, uas ua rau cov hlab ntsha uas txhaws cov hlab ntsha. Muab cov tshuaj thrombolytic nrawm dua, muaj txoj hauv kev muaj txoj sia nyob zoo dua. Cov teeb meem kuj tsis loj dua.

Hauv tsev kho mob, a angioplasty tuaj yeem ua tiav. Los ntawm antiplatelet tshuaj (clopidogrel, tshuaj aspirin, prasugrel) tej zaum yuav raug sau tseg kom txwv txoj kev pheej hmoo ntawm kev txhaws tshiab. Heparin, tshuaj anticoagulant kom ua kom ntshav tsawg, ACE inhibitors siv hauv ntshav siab, thiab trinitrin (nitroglycerin) kuj tseem tuaj yeem muab. Beta blockers tuaj yeem ua rau lub plawv yooj yim dua los ntawm kev ua kom lub plawv dhia qeeb thiab txo cov ntshav siab. Kev sau tshuaj statins, uas yog cov tshuaj siv roj cholesterol, tuaj yeem txhim kho kev muaj sia nyob yog tias muab sai.

Cov tshuaj kho mob xws li morphine tuaj yeem muab tshuaj. Kev kho tshuaj, feem ntau suav nrog beta blockers, cov tshuaj antiplatelet, statins thiab ACE inhibitors, yog tus kheej rau txhua tus neeg mob thiab tuaj yeem hloov pauv sijhawm. Hauv txhua kis, cov tshuaj yuav tsum tau noj tas li. Qhov kev kho mob yuav tsum ua kom raug.

Nyob rau theem kev phais, a angioplasty yog li ntawd nqa tawm. Qhov no yog txhawm rau txhawm rau txhaws cov hlab ntshav. Txhawm rau ua qhov no, tus kws kho mob tso lub raj ntev, nyias nyias, hloov pauv tau, lub raj yas, tso rau hauv tus ncej puab thiab tom qab ntawd nce mus rau hauv plawv. Qhov kawg ntawm txoj hlab pas yog ib lub zais pa uas tuaj yeem ua pa. Yog li, nws tsoo cov hlab ntsha thiab rov ua kom cov ntshav khiav. a stents, ib hom caij nplooj ntoo hlav, tom qab ntawd tuaj yeem teeb tsa. Nws tso cai rau cov hlab ntsha kom qhib dav, ntawm qhov taub ib txwm muaj. a bypass kuj tuaj yeem ua tiav. Nov yog txheej txheem phais mob uas tso cai kom cov ntshav ntws mus. Nws tsis dhau los ntawm ib feem ntawm cov hlab ntsha thaiv los ntawm atherosclerosis tab sis los ntawm lwm txoj hauv kev. Yog li, cov ntshav txav mus rau lub plawv tau zoo dua. Qhov tseeb, tus kws phais neeg tso rau ntawm ob sab ntawm thaj chaw thaiv cov hlab ntshav nqa los ntawm lwm qhov ntawm lub cev (feem ntau yog los ntawm txhais ceg). Cov ntshav hla dhau qhov "choj" tshiab no. Yog tias ntau dua ib cheeb tsam muaj kev cuam tshuam, yuav tsum tau hla ntau dua ib qho hla.

Tom qab kuaj mob myocardial infarction, kev tshuaj xyuas yuav kwv yees thaj tsam ntawm thaj chaw puas ntawm cov leeg nqaij hauv lub plawv, kuaj pom qhov ua tau nyuaj, xws li lub plawv tsis ua haujlwm, thiab ntsuas qhov pheej hmoo rov tshwm sim. Thaum kawg ntawm lawv lub tsev kho mob, tus neeg uas tau mob plawv nres yuav raug muab rau kev kho plawv. Hauv lub xyoo tom ntej, nws yuav tsum tau mus tas li rau nws tus kws kho mob tshwj xeeb thiab nws tus kws kho plawv kom ua raws kev sib tham.