Daawooyinka dhiig-baxa ee wadnaha istaaga

Xididdada dhiigga ee yar yar ee loo yaqaanno xididdada dhiig-baxa waxay siinayaan oksijiin dhiig u qaadaysa muruqa wadnaha.

• Wadno qabad ayaa dhici kara haddii xinjirowga dhiigga uu joojiyo qulqulka dhiigga ee hal xididdadaas midkood.
• Xanuunka angina oo aan xasilloonayn waxa loola jeedaa xanuunka feedhaha iyo calaamado kale oo digniin ah oo ah in wadno qabad dhakhso u dhici karo. Badanaa waxaa sababa xinjirowga dhiigga ee xididdada dhiigga.

Dadka qaarkood waxaa laga yaabaa in la siiyo daawooyin ay ku kala jabaan xinjirowga haddii halbowlaha uu gabi ahaanba xirmo.

• Daawooyinkan waxaa loo yaqaan thrombolytics, ama daawooyinka xinjirowga-bust.
• Waxaa kaliya la siiyaa nooc ka mid ah wadna qabadka, halkaasoo isbeddelada qaarkood lagu xusay ECG. Noocan wadno qabadka waxaa loo yaqaan 'ST sevation elevation myocardial infarction' (STEMI).
• Daawooyinkan waa in la siiyaa sida ugu dhakhsaha badan ee suurtogalka ah ka dib marka ugu horreysa ee laabta xanuun qabto (badiyaa wax ka yar 12 saacadood).
• Daawada waxaa lagu bixiyaa xididka (IV).
• Dhiiga khafiifiyeyaasha ee afka laga qaado ayaa hadhow la qori karaa si looga hortago xinjiro badan oo samaysma.

Khatarta ugu weyn ee heleysa daawooyinka xinjirowga dila waa dhiig bax, iyadoo midka ugu daran uu yahay dhiig maskaxda ku dhaca.

Daaweynta xinjirowga dhiiggu uma badbaado dadka qaba:

• Dhiigbax ku dhaca madaxa ama istaroog
• Cilladaha maskaxda ku dhaca, sida burooyinka ama xididdada dhiiga oo si liidata u sameysmay
• Dhaawac madaxa ayaa soo gaadhay 3dii bilood ee la soo dhaafay
• Taariikh adeegsiga dhiig khafiifiyeyaasha ama cillad dhiig bax ah
• Qalliin weyn, dhaawac weyn, ama dhiig bax gudaha ah 3-dii ilaa 4-tii toddobaad ee la soo dhaafay
• Cudurka boogta ee Peptic
• Cadaadis dhiig oo daran

Daaweynta kale ee lagu furayo maraakiibta xiran ama cidhiidhiga ah ee laga yaabo in lagu sameeyo meeshii ama daaweyn ka dib daaweynta thrombolytic therapy waxaa ka mid ah:

• Angioplasty
• Qalliinka wadnaha

Qalitaanka miyokardial - thrombolytic; MI - xididdada dhiigga; ST - kor u qaadista miyokardiyaal; CAD - thrombolytic; Cudurka halbowlaha wadnaha - thrombolytic; STEMI - trombolytic

Amsterdam EA, Wenger NK, Brindis RG, iyo al. Tilmaamaha 2014 AHA / ACC ee loogu talagalay maareynta bukaannada qaba cudurrada aan caadiga ahayn ee 'ST-elevation syndromes': warbixinta Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Mareykanka ee ku saabsan tilmaamaha tababarka. J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

Bohula EA, Morrow DA. Cudurka 'myocardial infarction' ST-elevation: maareynta. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 59.

Ibanez B, James S, Agewall S, iyo al. Tilmaamaha ESC ee 2017 ee maaraynta cudurka wadnaha ee halista ah ee bukaanka soo bandhigaya heerka sare ee ST: Kooxda Task for management of myocardial infarction ee bukaanka soo bandhiga heerka sare ee ST ee Bulshada Reer Yurub ee Wadnaha (ESC). Qalbiga Eur J. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.