Murugsanaanta wadnaha

Isku-buuqa myocardial waa nabar muruqa wadnaha ah.

Sababaha ugu badan ayaa ah:

• Shilalka baabuurta
• Gaadhi jiirsiin
• Dib-u-kicinta wadnaha iyo wadnaha (CPR)
• Ka soo kacaya dherer, inta badanna ka weyn yahay 20 fuudh (6 mitir)

Isku-buuqa myocardial ee daran wuxuu u horseedi karaa calaamado iyo astaamo wadno-qabad.

Calaamadaha waxaa ka mid noqon kara:

• Xanuun xaga hore ee feeraha ama lafta naaska
• Dareemida in wadnahaagu uu tartamayo
• Madax-fudeyd
• Lalabbo ama matagid
• Neefta oo kugu yaraata
• Tabar darrida

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Tani waxay muujin kartaa:

• Nabar ama nabarro ku yaal darbiga xabadka
• Dareen cuncun marka aad taabatid maqaarka haddii ay jiraan jajab feedhaha ah iyo sambabka oo daloola
• Wadna garaac dhakhso leh
• Wadne garaac aan caadi ahayn
• Cadaadis dhiig oo hooseeya
• Neefsasho dhakhso ah ama gacmeed
• U jilicsanaanta taabashada
• Dhaqdhaqaaqa derbiga ee aan caadiga ahayn ee jabka feeraha

Tijaabooyinka waxaa ka mid noqon kara:

• Tijaabooyinka dhiigga (enzymes wadnaha, sida Troponin-I ama T ama CKMB)
• Raajo xabadka ah
• Baadhitaanka CT ee laabta
• Qalabka korontada (ECG)
• Echocardiogram

Imtixaanadan ayaa laga yaabaa inay muujiyaan:

• Dhibaatooyinka derbiga wadnaha iyo awoodda wadnaha oo foorara
• Dheecaan ama dhiig ku jira kiishka khafiifka ah ee ku wareegsan wadnaha (pericardium)
• Jabka jab, sambabka ama xididdada dhiigga
• Dhibaato ka timaadda calaamadaha korantada ee wadnaha (sida xirmo laan ama xirmo kale oo wadnaha ah)
• Garaaca wadnaha oo dhakhso leh oo ka bilaabanaya qanjidhada sanka wadnaha (sanka tachycardia)
• Wadna garaac aan caadi ahayn oo ka bilaabma marinnada ama qolladaha hoose ee wadnaha (ventricular dysrhythmia)

Xaaladaha badankood, si dhow ayaa laguula socon doonaa ugu yaraan 24 saacadood. ECG ayaa si joogto ah loo samayn doonaa si loo hubiyo shaqada wadnahaaga.

Daaweynta qolka gurmadka waxaa ka mid noqon kara:

• Meeleynta kateetarka xididka (IV)
• Daawooyinka si loo yareeyo xanuunka, khalkhalka garaaca wadnaha, ama cadaadiska dhiigga oo hooseeya
• Baaraha / kumeelgaarka
• Ogsijiin

Daaweynta kale ayaa loo isticmaali karaa in lagu daaweeyo dhaawaca wadnaha, waxaa ka mid ah:

• Meeleynta tuubada xabadka
• Dhiig ka qulqulaya wadnaha
• Qalliin lagu hagaajinayo xididdada dhiigga ee xabadka

Dadka qaba jahwareerka myocardial ee khafiifka ah ayaa si buuxda u soo kaban doona inta badan waqtiga.

Dhaawacyada halista ah ee wadnaha waxay kordhin karaan halista wadnaha oo istaaga ama dhibaatooyinka garaaca wadnaha.

Tilmaamaha amniga ee soo socda ayaa kaa caawin kara kahortagga nabar wadnaha ah:

• Xidho suunka kursiga markaad wax wado.
• Xulo gaari boorsooyin hawo leh leh.
• Qaad tallaabooyin si aad u xaqiijiso amniga marka aad ka shaqeynayso meelaha dhaadheer.

Dhaawac myocardial ah

• Wadnaha - qaybta dhexe
• Wadnaha - aragtida hore

Boccalandro F, Von Schoettler H. Cudurka wadnaha ee daran. Gudaha: Levine GN, ed. Sirta wadnaha. 5aad. Philadelphia, PA: Elsevier; 2018: cutubka 71.

Ledgerwood AM, Lucas CE. Dhaawac wadnaha oo aan fiicnayn Gudaha: Cameron AM, Cameron JL, eds. Daaweynta Qalliinka ee Hadda. 13aad. Philadelphia, PA: Elsevier; 2020: 1241-1245.

Raja AS. Dhaawac maskaxeed. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 38.