Maxaa Ku Dhaca Qiimeynta Wadnahaaga Inta Uu Wadnuhu Ku Dhaco?
Qanacsan
- Sida wadna qabadka u saameeyo garaaca wadnahaaga
- Garaaca wadnaha inta lagu jiro jimicsiga
- Qiyaasta garaaca wadnaha inta lagu guda jiro wadne qabad
- Qiyaasta garaaca wadnahaaga markasta lama saadaalin karo
- Daawooyinka qaarkood waxay yareyn karaan garaaca wadnahaaga
- Tachycardia waxay xawaareyn kartaa garaaca wadnahaaga
- Calaamadaha wadnaha
- Sidee noocyada kaladuwan ee wadno xanuunku u saameeyaan garaaca wadnaha
- Xanuunada wadnaha ee 'STEMI'
- Wadne qabadka NSTEMI
- Xanuunada wadnaha
- Sida wadna qabadka u saameeyo dhiig karka
- Waxyaabaha halista u ah wadne qabad
- Qiyaasta garaaca wadnahaagu ma muujin kartaa halista wadno qabad?
- Qaadid
Qiyaasta garaaca wadnahaaga ayaa si isdaba joog ah isu beddela sababo la xiriira arrimo u dhexeeya sida aad u firfircoon tahay iyo heerkulka hawada kugu xeeran. Wadne qabad sidoo kale wuxuu kicin karaa gaabis ama xawaareyn ku dhacaa heerka garaaca wadnahaaga.
Sidoo kale, cadaadiska dhiiggaaga inta lagu jiro wadno qabadku wuu kordhi karaa ama wuu yaraan karaa iyadoo kuxiran arrimo sida nooca unugyada wadnaha ee dhaawacmay intii ay wax socdeen ama in hormoonnada qaarkood la sii daayay ee kiciyay cadaadiska dhiiggaaga.
Xaaladaha qaarkood, garaaca garaaca wadnaha ee qofka ayaa tilmaami kara halista sare ee wadno qabadka. Waa mid ka mid ah dhowr arrimood oo halista ah oo muhiim ah - kuwaas oo qaarkood la maareyn karo, halka kuwa kalena ay ka baxsan yihiin awooddaada.
Ogaanshaha sababahaaga gaarka ah ee halista, iyo sidoo kale astaamaha guud ee wadno qabadka, ayaa kaa caawin kara kahortaga cawaaqib xumada nolosha ee wadno qabadka.
Sii wad akhriska si aad waxbadan uga ogaato waxa ku dhaca wadnahaaga iyo garaaca wadnahaaga inta lagu guda jiro wadno qabad.
Sida wadna qabadka u saameeyo garaaca wadnahaaga
Qiyaasta garaaca wadnahaaga waa tirada jeer ee uu garaaca wadnahaagu daqiiqadii. Qiyaasta garaaca wadnaha ee caadiga ah ama caafimaad leh ee qaangaarka ah ayaa u dhexeysa 60 ilaa 100 garaac daqiiqaddii. Guud ahaan, hoos u dhaca heerka garaaca wadnahaaga, ayaa ka wax-qabad fiican wadnahaagu ku yahay bamgareynta.
Garaaca wadnaha inta lagu jiro jimicsiga
Inta lagu jiro jimicsiga, garaaca wadnahaaga ayaa kordha si loo daboolo baahida murqahaaga ee dhiigga oksijiinta leh. Nasashada, garaaca wadnahaaga ayaa gaabis ah maxaa yeelay dalabku uma xoog badna. Intaad huruddo, garaaca wadnahaaga ayaa hoos u dhacaya.
Qiyaasta garaaca wadnaha inta lagu guda jiro wadne qabad
Inta lagu jiro wadno qabadka, muruqa wadnahaagu wuxuu helaa dhiig yar maxaa yeelay hal ama dhowr xidid oo bixiya muruqyada ayaa xannibma ama kala baxa oo aan awoodin inay keenaan socodka dhiig ku filan. Ama, baahida wadnaha (xaddiga oksijiin ee wadnuhu u baahan yahay) ayaa ka sarreeya sahayda wadnaha (inta oksijiin ee wadnuhu haysto) ee la heli karo.
Qiyaasta garaaca wadnahaaga markasta lama saadaalin karo
Sidee dhacdadan wadnuhu u saameyneysaa garaaca wadnaha marwalba lama saadaalin karo.
Daawooyinka qaarkood waxay yareyn karaan garaaca wadnahaaga
Tusaale ahaan, haddii aad ku jirto daawo hoos u dhigeysa garaaca wadnahaaga, sida beta-blocker ee cudurka wadnaha, garaaca wadnahaaga ayaa laga yaabaa inuu ahaado mid gaabis ah inta lagu jiro wadno qabad. Ama haddii aad qabto nooc ka mid ah khalkhalka garaaca wadnaha (arrhythmia) ee loo yaqaan bradycardia, kaas oo heerka garaaca wadnahaagu uu had iyo jeer ka hooseeyo sida caadiga ah, wadno qabadku waxba kama qaban karo inuu kordhiyo xaddiga.
Waxaa jira noocyo gaar ah oo wadno xanuun ah oo u horseedi kara gaabis aan caadi ahayn oo heerka garaaca wadnaha ah sababtoo ah waxay saameeyaan unugyada unugyada korantada (unugyada wadnaha caawiya).
Tachycardia waxay xawaareyn kartaa garaaca wadnahaaga
Dhinaca kale, haddii aad qabtid tachycardia, oo wadnahaagu had iyo jeer ama si joogto ah u garaaco si aan caadi ahayn, markaa qaabkaasi wuu sii socon karaa inta lagu guda jiro wadne qabad. Ama, noocyada qaarkood ee wadna qabadka waxay sababi karaan garaaca wadnaha inuu kordho.
Ugu dambeyntiina, haddii aad qabtid xaalad kale oo wadnahaaga u horseedaysa inuu si dhakhso leh u garaaco, sida sepsis ama infekshan, markaa waxay sababi kartaa culeyska wadnahaaga halkii aad ka ahaan lahayd natiijada xannibaadda socodka dhiigga.
Dad badan ayaa la nool cudurka tachycardia mana laha astaamo ama dhibaatooyin kale. Si kastaba ha noqotee, haddii aad si joogto ah u leedahay garaac deg deg deg deg ah, waa inaad gabi ahaanba qiimeeysaa caafimaadka wadnahaaga.
waxay muujineysaa in dadka leh garaaca wadnaha oo sareeya waqtiga ay yimaadaan isbitaal wadna qabad ay leeyihiin halis sare oo dhimasho.
Calaamadaha wadnaha
Qiyaasta garaaca wadnaha oo deg deg ah ayaa ah mid ka mid ah astaamaha suurtagalka ah ee wadno qabadka. Laakiin sida caadiga ah maahan calaamadaha kaliya ee dhibaatada haddii qalbigaagu si dhab ah u dhibaataysan yahay. Calaamadaha ugu caansan ee wadne qabadka waxaa ka mid ah:
- laab xanuun oo laga yaabo inuu dareemo xanuun fiiqan, cidhiidhi, ama cadaadis laabta ah
- xanuun hal ama labada gacmood, laabta, dhabarka, qoorta, iyo daanka
- dhidid qabow
- neefta oo ku qabata
- lallabbo
- madax wareer
- dareen aan caddayn oo ah masiibada soo socota
Haddii aad u malaynayso in adiga ama qof aad jeceshahay laga yaabo inuu wadno xanuun ku dhaco, wac 911 isla markiiba.
Sida ugu dhakhsaha badan ee laguu ogaado oo laguu daweeyo, ayaa yaraanaya dhaawaca wadnuhu u adkaysan doono. Waa inaadan waligaa isku dayin inaad naftaada u kaxeyso qolka gurmadka haddii aad leedahay calaamado wadne qabad ah.
Sidee noocyada kaladuwan ee wadno xanuunku u saameeyaan garaaca wadnaha
Qeexid ahaan, wadna qabadku waa carqaladeynta socodka dhiigga ee muruqa wadnaha kaas oo dhaawacaya unugyada muruqyada wadnaha. Laakiin nooca carqaladayntaas iyo sida qalbigu uga jawaabo way kala duwanaan karaan.
Waxaa jira seddex nooc oo kaladuwan oo wadno xanuun ah mid walbana wuxuu u saameyn karaa garaaca wadnaha siyaabo kala duwan:
- STEMI (isbadal maskaxeed myocardial qaybta sare)
- NSTEMI (non-ST qeybta sare u qaadista maskaxda), oo leh noocyo fara badan
- xinjirowga wadnaha
Xanuunada wadnaha ee 'STEMI'
STEMI waa waxa aad u malaynayso wadno qabad dhaqameed. Inta lagu jiro STEMI, halbowlaha wadnaha ayaa gabi ahaanba xiran.
Qaybta 'ST' waxaa loola jeedaa qayb ka mid ah garaaca wadnaha sida lagu arkay on electrocardiogram (ECG).
Qiyaasta garaaca wadnaha inta lagu jiro STEMI | Astaamaha |
Qiyaasta garaaca wadnaha ayaa badanaa kordha, gaar ahaan haddii qaybta hore (hore) ee wadnaha ay waxyeello gaadho. Si kastaba ha noqotee, way yareyn kartaa sababtoo ah: 1. isticmaalka beta-blocker 2. dhaawac soo gaara nidaamka wadista (unugyada muruqyada wadnaha ee gaarka ah ee u sheega wadnaha goorta la qabanayo) 3. haddii qaybta dambe ee dambe (gadaal) wadnaha ay ku lug leedahay | Laab xanuun ama raaxo la'aan, dawakhaad ama madax wareer, lallabbo, neefta oo ku qabata, wadna garaac, walaac, miyir beelid ama miyir beelid |
Wadne qabadka NSTEMI
NSTEMI waxaa loola jeedaa halbowlaha wadnaha oo qayb ahaan xirmay. Ma ahan sida daran sida STEMI ah, laakiin weli waa mid aad u daran.
No sare u qaadida qaybta ST lagama helo ECG. Qaybaha ST waxay u badan tahay inay niyad jabaan.
Qiyaasta wadnaha inta lagu jiro NSTEMI | Astaamaha |
Qiyaasta wadnaha waxay la mid tahay kuwa la xiriira STEMI. Mararka qaarkood, haddii xaalad kale oo jidhka ah, sida sepsis ama arrhythmia, ay keenayso garaaca wadnaha inuu kordho, waxay sababi kartaa isku-dheellitirnaan sahay ah, halkaasoo baahida oksijiinta muruqa wadnuhu u kordho xaddiga garaaca wadnaha oo dhakhso leh, iyo sahay waa xaddidan tahay xannibaadda xididdada dhiigga. | Laab xanuun ama cidhiidhi, xanuun qoorta, daanka ama dhabarka, dawakhaad, dhidid, lallabbo |
Xanuunada wadnaha
Kala-goysyada wadnaha waxay dhacdaa marka muruqyada ku jira hal ama in ka badan halbowlayaasha wadnaha ay si lama filaan ah u ciriiri galaan, una yareeyaan marinnada dhiigga. Xaaladdan oo kale, socodka dhiigga ee wadnaha ayaa xaddidan.
Neefsashada wadnaha ayaa ka yar inta badan STEMI ama NSTEMI.
Qiyaasta garaaca wadnaha inta lagu gudajiro xinjirowga wadnaha | Astaamaha |
Mararka qaar, wax yar ama aan isbeddel ku imaanin heerka garaaca wadnaha, in kasta oo xinjirowga wadnaha uu sababi karo tachycardia. | Kooban (15 daqiiqo ama ka yar), laakiin dhacdooyin soo noqnoqda oo ah laabta oo xanuunta, inta badan adoo hurda habeenkii, laakiin aad u xoogan oo ay kugu tooso; lallabbo dhidid; inaad dareento inaad iska bixi karto |
Sida wadna qabadka u saameeyo dhiig karka
Cadaadiska dhiiggu waa awoodda dhiiggu ku riixayo darbiyada gudaha xididdada dhiigga maadaama uu ku wareegayo jirka oo dhan. Sida isbeddelka xaddiga garaaca wadnaha aan la saadaalin karin inta lagu guda jiro wadne qabadka, sidoo kale sidoo kale isbeddellada dhiig karka.
Sababtoo ah socodka dhiigga ee wadnaha ayaa xiran oo qayb ka mid ah unugyada wadnaha ayaa loo diidaa dhiigga oksijiinta leh, wadnahaaga waxaa laga yaabaa inuusan awoodin inuu u boodboodo sida ugu badan ee caadiga ah, sidaas awgeedna uu hoos u dhigo cadaadiska dhiiggaaga.
Wadna qabad ayaa sidoo kale kicin kara jawaab ka soo baxda nidaamkaaga neerfaha ee maskaxda, taasoo sababi karta wadnahaaga iyo jirka intiisa kale inay nastaan oo aysan dagaalin inta uu wadnahaagu halganka ugu jiro inuu dhiiggu wareego. Tani waxay sidoo kale sababi kartaa dhiig-kar.
Dhinaca kale, xanuunka iyo culeyska ka dhasha wadnaha ayaa sare u qaadi kara cadaadiska dhiigga inta lagu gudajiro wadno qabadka.
Daawooyinka hoos u dhiga cadaadiska dhiigga, sida durayaasha ama angiotensin beddelka enzyme inhibitors, ayaa hoos u dhigi kara cadaadiska dhiiggaaga inta lagu jiro wadno qabadka, sidoo kale.
Waxyaabaha halista u ah wadne qabad
Waxyaabaha halista u ah wadna qabadka waxaa ka mid ah arrimo wax laga beddeli karo, sida miisaankaaga, iyo sidoo kale kuwa ka baxsan awooddaada, sida da'daada. Xaaladaha ugu badan ee halista u ah wadno qabadka waxaa ka mid ah:
- da'da sii kordheysa
- cayilnaan
- sonkorowga
- kolestarool badan
- dhiig kar
- caabuq
- sigaar cabidda
- qaab nololeed deggan
- taariikhda qoyska ee cudurka wadnaha
- taariikhda shaqsiyadeed ee cudurka wadnaha ama istaroogga
- cadaadiska oo si liidata loo xakameeyo
Qiyaasta garaaca wadnahaagu ma muujin kartaa halista wadno qabad?
Qiyaasta garaaca wadnaha oo aad u sarreeya ama aad u hooseeya ayaa laga yaabaa inay muujiso halista aad ugu jirto wadno-qabad. Dadka intooda ugu badan, garaaca wadnaha ee sida joogtada ah uga sareeya 100 garaac daqiiqadii ama ka hooseeya 60 garaac daqiiqadii kuwa aan ciyaareynin waa inuu dhaqsi u booqdaa dhaqtarka qiimeynta caafimaadka wadnaha.
Orodyahannada masaafada dheer iyo noocyada kale ee ciyaartooyda inta badan waxay leeyihiin garaac wadnaha oo hooseeya iyo awood hawo sare leh - awoodda wadnaha iyo sanbabada si ay ugu gudbiyaan oksijiin ku filan muruqyada. Marka, garaaca wadnahooda ayaa badanaa hooseeya.
Labadan sifo ayaa lala xiriiriyaa halista hoose ee wadno qabadka iyo dhimashada. Jimicsi joogto ah - sida socodka degdega ah ama orodka, dabaasha, baaskiil wadida iyo howlaha kale ee jimicsiga - ayaa kaa caawin kara hoos u dhigida garaaca wadnahaaga nasashada iyo hagaajinta awoodaada aerobic.
Qaadid
In kasta oo garaaca wadnaha oo deg degsani uu khatar u noqon karo wadno-qabad ku dhaca bukaanno gaar ah, infekshanka myocardial had iyo jeer laguma tilmaamo wadnaha garaaca degdega ah. Mararka qaar, garaaca wadnahaaga ayaa laga yaabaa inuu hoos u dhaco inta lagu guda jiro wadno qabadka sababo la xiriira dhibaatooyinka nidaamka korantada wadnaha.
Sidoo kale, cadaadiska dhiiggaaga ayaa laga yaabaa ama laga yaabaa inuusan badalin inta lagu gudajiro wadno qabadka.
Hase yeeshe, joogtaynta garaaca wadnaha ee nasashada leh iyo cadaadiska dhiigga ee caadiga ah waa laba tallaabo oo aad caadi ahaan ku xakameyn kartid xulashooyinka hab-nololeedka iyo, haddii loo baahdo, daawooyin. Talaabooyinkani waxay kaa caawin karaan inaad ilaaliso caafimaadka wadnahaaga isla markaana aad yareyso fursadahaaga wadno-qabad halis ah.