Cardiogenic makala

Cardiogenic makala ke lengolo la feteletseng mafu a ho potoloha ha mali, tšoauoa ka ea fokotseha bohlokoa ka khatello ea mali
le contractile bokhoni ba pelo. boemo ena akarelletsa ditlolo
liphio le tsamaiso ea methapo. Pelo ea lahleheloang matla a ho sutumelletsa mali
lijana le di-pump eona. Cardiogenic makala bakang vasodilation,
khatello ea marotholi le mali ha e phalla ho bokong. Ho na le fihla e bohale
anoxia, motho a ea lahleheloang kelo-hloko, ka nako eo maemong a mangata
lefu le hlaha.

Lisosa tsa boemo ba ena e ka ba e pharaletseng myocardial infarction, haeba e senyehile ho feta 40%. Cardiogenic makala develops e loketseng ho myocarditis hlobaetsang, marako a pelo ea ka, arrhythmia, stenosis haholo kapa ho hloleha hlobaetsang tsa di-valve pelo. A maketse haholo ka etsa hore e khōlō methapo embolism, oo thibetsoeng ho feletseng
le lumen tsa methapo mothapo kutu.

Clinical matšoao a makala ha a oela ka tšohanyetso ka khatello ea mali ho mmHg 50/20, maoto le matsoho a batang, utloe letho, le mongobo 'me palo ea letlalo, tachycardia. Oeleng ka maoto le matsoho e methapong lahleheloa ke molumo bona, liphio khaotsa ho sebetsa.

Lintlha tse susumetsa ketsahalo tsa makala tse pharaletseng a myocardial infarction, botsofali, lefu la tsoekere, chefo dintho cardiotoxic.

Cardiogenic kalafo makala

Ho fumana hore na diso tsepamiso ka myocardium e phethile electrocardiogram, e lumella u ho fumana hore na bophara le botebo 'me
infarct sebaka. Ultrasound maemong ba pelo ho etsa hore ho ka khoneha ho khetholla tseo lefapha le lemetseng, 'me ho hlahloba contractile bokhoni ba' mele. Cardiogenic makala fumanoa e le ka ho radiopaque lijana tekotshupo mokhoa.

Kalafo o etsoang tsoa ka matla unit trust tlhokomelo. Sepheo se ka sehloohong sa phekolo ke ho eketsa khatello ea mali ho ka ho eketsehileng netefatsa mali ho makala tsa bohlokoa. cardiogenic makala kalafo e ka ba tsa bongaka le ho buoa. Mamello rala, ho hōlisa maoto, ho tiisa hore phepelo ea mali bokong. Phethahatsoa le oksijene inhalation
sebedisa maske, tlas'a bohloko bontša lefu entoe promedol
kapa morphine e. Bakeng sa tsitsisoa ba ea bohlokoa khatello ea tsamaisoa tharollo
reopoliglyukina kapa heparin. Bakeng sa phepelo ea molemo le mesifa pelo tshelwa tharollo tsoekere le magnesium, potassium kapa insulin. Ho eketsa lebelo leo pelo entoe laolwa tharollo ea dobutamine, dopamine, norepinephrine kapa epinephrine.

Resuscitation khanna tlas'a botsamaisi kamehla mosebetsi oa litho tsa 'ohle. Laoloa khatello ea mali le moroto khumo. Ho ba sieo ha e le hantle kalafo medikametoznogo tshwerweng ketsahalo ho buoa. Ka pele lihora tse 8 ka mor'a lefu la pelo ho ka katleho tsamaisa gogoga angioplasty, e lumella u ho hlaphoheloa
contractile bokhoni ba pelo. mokhoa o mong o intraaortic
counterpulsation. mokhoa oo o thehiloe ente phetha molao mali a ka aorta le
E eketsa le phallo ea mali ka lijaneng gogoga.

Cardiogenic makala hangata e develops ka pele lihora tse seng kae ka mor'a infarction myocardial, kahoo, ho ke ea bohlokoa haholo ho eena kalafo ka nako e loketseng. Foromo fetisisa bonolo tsa makala reflex, e ke ho le bonolo haholo ho cupping. Arabele foromo cardiogenic makala ho etsahala ha myocardial diso necrotic ba fetang 50%. Shoang sekhahla tabeng ena e haufi le 100%.

Ho sa tsotellehe 'nete ea hore nako le nako ho ntshetsa pele mekhoa e mecha ea phekolo ea makala cardiogenic, lefu o moholo ho feta 85%. Ka hona, ka ho fetisisa
kalafo e atlehang ke thibelo, eo ho eona sebakeng seo e fokolang
pelo ea tlhaselo le imoloha ka bohloko.