Chii chinoitika kana muviri usingakwanise kuchengetedza muviri wayo uye nekushomeka kwekufungidzirwa uchifungidzirwa? Nhengo dzakakosha hadzina mafuta uye dzinogona kutora murwere kurufu.

Nekushamiswa kwakadzorerwa, muviri unokwanisa kugona kuchengetedza weropa. Nekudaro, sezvo kuvhunduka kuchiramba, muviri wemunhu unobva watadza kuramba wakamuka. Panguva ino, kuvezwa kwemidzi yakakosha hakuchina kuchengetedzwa. Zviratidzo zvekushomeka kwekuvhunduka zvinosanganisira:

• Kudonha kweropa (systolic kuverenga kwe 90 mm Hg kana kuderera mune vakuru).
• Tachycardia uye tachypnea.
• Little urine kubuda.
• Kufemerwa uye kusingaite kufema.
• Kuneta, kusvava kana kusavapo kwezuva remukati.
• Ashy kana cyanotic pallor.
• Deredza kupisa kwemuviri.
• Yakaderedzwa mamiriro epfungwa.
• Vakapora vadzidzi.

Nekushamiswa kwakaderedzwa, zvakakosha kukumbira matanho ehupenyu hwekutsigira hupenyu kune murwere. Kunyanya kukoshesa kunofanirwa kupihwa kune manejimesheni emhepo uye kurapwa kweiyo inonyanya kukonzera kuvhunduka.

Kuderera kweropa rinowanzo chiratidzo cheanonoka-nhanho kushungurudzika uye kurapwa kunofanira kutanga zvakanaka izvi zvisati zvaonekwa. Kana chimiro chikaramba chisina kurapwa, chinowedzera mukusagadziriswa, chinozopedzisira chaita mukufa kwemurwere.

 

Yakatemerwa kuvhunduka kurapwa

Iyo kiyi yekugadzirisa nekuvhundutsa zvinobudirira mhinduro yekukurumidza. Kana inogona kurapwa isati yasvika padanho rakatsanangurwa, izvo zvakanaka. Muzviitiko zvakawanda zvakakosha zvinotyisidzira, kukura kwekutyisa kunofanirwa kutarisira.

Vazhinji vanobatsira vekurapa vanoreva nezve "nguva yegoridhe" kana "nguva yegoridhe", hwindo umo kutarisira kunofanirwa kupihwa nekukurumidza sezvinobvira, uye kana rikabudirira, murwere haazokuvadzwa zvachose. Izvi zvinoda kukurumidza kuongororwa kwemurwere uye nekukurumidza kutakura kuenda kunzvimbo yekunetseka.

 

Okisijeni wekushomeka kwekuvhunduka

Inowedzera oksijeni inogona kupihwa kana huwandu hweokisijeni muropa hwadzikira; iyo Mwoyo Yakundikana Society of America, zvakadaro, inopa zano pamusoro payo kuti ishandiswe nguva zhinji.

 

Yakatemerwa kuvhundutsa mushonga

Iko kurapwa kwekutanga kwekushamiswa kwakaderedzwa kazhinji kune musanganiswa wevasodilator senge nitroglycerin, iyo loopte diuretic yakadai se furosemide, uye isingaoneki yakanaka yekumanikidza ventilation (NIPPV).

Kusanganiswa kwemishonga dzakasiyana kunodiwa kuvanhu vari kusangana nemoyo kutadza kudaro. Vanowanzo kurudzirwa mishonga mune akadai anosanganisira ACE inhibitors, vasodilators, beta-blockers, Asipirin, calcium chiteshi blockers, uye cholesterol-kuderedza mishonga, kusanganisira statins. Zvichienderana nemhando yekukuvadzwa kwemoyo murwere uye nechikonzero chekusungwa kwemwoyo, chero yemakirasi ezvinodhaka aya kana musanganiswa wawo anogona kusarudzwa kuti apiwe.

Varwere vane mwoyo-kupompa matambudziko vanozove akasiyana musanganiswa zvinodhaka pane avo vari kuenda nematambudziko nemoyo wekugona kuzadza mushe panguva diastole.

 

Kuvhiya mune yakatemwa kuvhunduka

Kana zvichidikanwa, vanachiremba vanokurudzira kuvhiyiwa kuti kuitwe kuitira kubata nekunetseka kuri kukonzera kutadza kwemoyo. Kurapa kwakasiyana-siyana kuri kuwanikwa kwechimiro ichi, zvichienderana nezinga rezvakakosha uye kunosanganisira coronary artery bypass kuvhiya, mwoyo kuvandudza kana kutsiva, kana kushandurwa kwemwoyo.

Munguva yekuvhiya uku, michina yakaita sepombi yemoyo, pacemaker, kana defibrillators inogona kuiswa mumuviri wevarwere. Kurapa kwezvinetso zvemoyo kuri kukurumidza kuchinja, uye marapirwo matsva echirwere chemoyo chekurapa kwekutadza kwemoyo ari kuunzwa kuponesa humwe hupenyu hwakawanda kubva pakurwiswa uku kukuru.

 

VERENGA ZVIMWE

Yakawanda kukanganisa kwekutanga kwevanopindura pamurwere akakanganiswa nekushamisika?

Acute hyperinfigueatory kuvhundutsa inowanikwa muBritish vana. Nyowani Covid-19 chirwere chevana vechirwere?

Ropa Rakamanikidzwa: Itsva Scientific Statement yeKubvunzurudzwa Kwevanhu