Tsis ntev los no, cov kws kho mob tau suab nrov nrov: myocardial infarction tau rov zoo dua. Tam sim no nws tuaj yeem tshwm sim rau ib tug plaub caug thiab txawm peb caug xyoo. Yuav ua li cas paub txog nws thiab dab tsi yuav tsum tau ua ua ntej lub tsheb thauj neeg mob tuaj txog?
Ua ntej koj paub yuav ua li cas thiaj ua tau kev pab thawj zaug kom zoo, koj yuav tsum txiav txim siab seb nws yog tus kab mob dab tsi. Ua ntej ntawm tag nrho cov, nws yog txuam nrog kev puas tsuaj rau lub plawv cov leeg, necrosis tshwm sim nyob rau hauv qhov chaw no vim impaired ntshav mov. Feem ntau, qhov no yog vim muaj kev cuam tshuam atherosclerotic ntawm cov hlab ntsha uas pub rau tib neeg lub cev. Qhov mob hnyav feem ntau kav li ob teev mus rau ib hnub. Nws yog nyob rau lub sijhawm no uas qhov siab tshaj plaws kev tuag ntawm cov kab mob no tshwm sim. Nyob rau tib lub sijhawm, tib lub sijhawm, ob qho tib si kev pabcuam thawj zaug thiab kev kho mob raws sijhawm, uas yuav tsum tau tsom rau kev txwv tsis pub muaj kab mob thiab muab kev tiv thaiv tiv thaiv kev tuag sai, yog qhov zoo tshaj plaws.
mob plawv nres
Mob hauv plawv cheeb tsam yog qhov cim tseem ceeb ntawm kev loj hlob ntawm tus kab mob. Qhov xwm ntawm cov kev xav no: nias, hlawv, nyem, kua muag. Cov neeg mob hais tias mobnyob rau hauv cheeb tsam ntawm lub plawv los yog qab lub sternum. Feem ntau muab rau sab laug xub pwg lossis caj npab, tej zaum yuav muaj qhov tsis xis nyob hauv lub xub pwg hniav, hauv caj dab lossis hauv lub puab tsaig. Feem ntau, cov neeg laus uas muaj qhov tsis xis nyob hauv plawv cheeb tsam haus nitroglycerin. Tab sis qhov no, qhov mob tsis ploj mus tom qab noj nws. Cov tsos mob no kuj tuaj yeem tshwm sim nrog angina pectoris, txawm li cas los xij, nrog cov kab mob piav qhia, lawv tau hais ntau dua thiab mob siab.
Thawj, kev pab xwm txheej ceev
- Tus neeg mob yuav tsum tau muab tso rau ntawm lub rooj zaum lossis lub rooj zaum kom xis nyob. Yog hais tias nws tsis xav pw, tsis txhob hais rau nws. Qhov no yog vim qhov tseeb tias cov neeg mob, nrog rau qhov pib tshwm sim ntawm lub plawv tsis ua hauj lwm, pib subconsciously xaiv rau lawv tus kheej txoj hauj lwm zoo ntawm lub cev.
- Muab nitroglycerin hauv qab tus nplaig. Txawm li cas los xij, koj yuav tsum ceev faj, vim tias cov tshuaj no muaj contraindications. Nws, piv txwv li, tsis tuaj yeem qaug cawv yog tias lub siab qis dua 90 mm Hg. Art., nrog TBI thiab mob hlab ntsha tawg, thiab lwm yam. e. Koj tuaj yeem muab tau ntau zaus kom txog thaum qhov mob ploj mus, tab sis tsis pub ntau tshaj peb ntsiav tshuaj ib zaug. Thaum muab kev pab thawj zaug, nws tsim nyog xav txog tias nitroglycerin pib ua tom qab ib lossis peb feeb, tab sis qee zaum ua rau mob taub hau.
- Muab dej kub hnyiab koj ob txhais taw rau hauv. Muab cov tourniquets rau lawv, tab sis tsis yog
- Kev pab thawj zaug yuav tsum tau tshwj xeeb yog tias cov kws kho mob tuaj txog qeeb. Hauv qhov no, yuav tsum tau txhaj tshuaj loog. Txawm li cas los xij, kev pab thawj zaug hauv qhov no tsuas yog ua tau nrog kev siv tshuaj uas tsis ua rau muaj kev fab tshuaj rau tus neeg mob. tuaj yeem tuaj, suav nrog analgin.
- Koj tuaj yeem muab tshuaj sedative. Tab sis nws tsim nyog nco ntsoov tias nws tuaj yeem txhim kho cov nyhuv ntawm cov tshuaj tua kab mob.
- Nyob rau hauv kev pab thawj zaug, nws tsim nyog suav nrog kev ntsuas lub siab thiab mem tes txhua tsib feeb. Yog tias lub plawv dhia siab, ces 25 mg ntawm atenol yuav pab kom tsis txhob muaj arrhythmias.
rub nyuaj. Qhov no yuav tsum tau ua nyob rau hauv thiaj li yuav txo tau cov ntshav rov qab mus rau lub plawv, yog li ib feem unloading nws. Nws tseem pom zoo kom qhib lub qhov rais kom muaj kev nkag mus rau tshiabhuab cua nyob rau hauv tus neeg mob uas xav tias myocardial infarction.
Nco ntsoov tias lub neej ntawm tus neeg hlub yuav nyob ntawm koj qhov kev ua kom raug thaum muaj xwm txheej hnyav.