Theinfarction myocardial kwekọrọ na mbibi nke akụkụ akwara obi a na-akpọ myocardium. Ọ na-eme mgbe, dịka ọmụmaatụ, a clot na-egbochi ọbara ịgbasa nke ọma site na akwara obi, akwara na-enye ọbara n'obi. A naghị agba mmiri nke ikpeazụ nke ọma na akwara obi mebiri emebi.

Myocardial infarction, mgbe ụfọdụ a na-akpọ nkụchi obi ma ọ bụ nnukwu ọrịa obi, na-egbu egbu n'ihe fọrọ nke nta ka ọ bụrụ 10% nke ikpe. Ozugbo mgbaàmà mbụ pụtara, ọ dị mkpa igbochi enyemaka. A ga-enye enyemaka mbụ na ụgbọ ihe mberede na mgbe ahụ ụlọ ọgwụ ga-adị mkpa. Mgbe ahụ, a ga-enye nlekọta ogologo oge, karịsịa iji zere nkụchi obi ọhụrụ ma ọ bụ ọdịdị nke mgbagwoju anya nke obi. Nlekọta post-infarction a ga-agụnye ọgwụgwọ ọgwụ, mgbatị obi ma ọ bụ mgbanwe ndụ.

Myocardial infarction na-akpata site na akwara nke na-ekpuchi, nke na-eduga na ikuku oxygen na-adịghị mma nke obi, ya mere na-ebibi akụkụ nke myocardium. Enweghị oxygen, mkpụrụ ndụ nke uru ahụ na-anwụ: anyị na-ekwu maka ya negirosisi. Myocardium na-agbakọ nke ọma nke ọma, ọrịa obi mgbawa na-apụta, ma ọ bụrụ na emeghị ihe ọ bụla, obi na-akwụsị ịkụ. Iji zere nsonaazụ na-egbu egbu, ọ dị mkpa ịmeghe oghere akwara ngwa ngwa o kwere mee.

Ma olee otu esi egbochi akwara akwara? Ndị mere mpụ bụ Atheroma plaques. tumadi mebere nke cholesterol, plaques ndị a nwere ike ịmalite n'ogo nke mgbidi nke arịa ọbara, ya mere nke akwara obi, nke na-enye obi. Ọ bụrụ na plaque atheromatous agbawa wee mepụta mkpụkọ, ọ nwere ike ibute infarction myocardial.

Mgbaàmà nke infarction myocardial bụ nnọọ ihe e ji mara: mgbu n'ime obi, mkpụmkpụ ume, ọsụsọ, nkụchi obi na-adịghị ala ala, ahụ erughị ala n'aka ma ọ bụ ogwe aka, wdg.

Ka o sina dị, e nwere infarct agbachi nkịtị. Onye nwere ya anaghị enwe mgbaàmà ọ bụla. Enwere ike ịhụ nkụchi obi nke gbachiri nkịtị mana a ga-achọpụta ya n'oge ule dịka EKG. Ọrịa obi a gbachiri nkịtị na-emetụtakarị ndị na-arịa ọrịa shuga.

echeta : Obi bụ mgbapụta na-ekesa ọbara na akụkụ ahụ niile. Myocardium na-ahụ maka iji ọbara na-agba mmiri n'ahụ, ya mere oxygen. 

Ọdịnihu

Enwere na France ihe fọrọ nke nta ka ọ bụrụ 100.000 myocardial infarction kwa afọ. Ihe karịrị 5% nke ndị ọ metụtara ga-anwụ n'ime otu awa, ihe fọrọ nke nta ka ọ bụrụ 15% n'afọ na-esote. Ọnụọgụ ọnwụ a adaala nke ukwuu n'ime afọ 10, ọkachasị ekele maka nnabata nke SAMU na nguzobe nke ọrụ obi gbasara obi. Ọnụọgụ US na-ekwu maka ikpe 8000.00 kwa afọ yana ịlanarị 90 ruo 95% maka ndị ọrịa nọ n'ụlọ ọgwụ mgbe ọrịa myocardial gasịrị.

diagnostic

Ihe mgbaàmà nke nkụchi obi na-abụkarị ihe e ji mara ma kwe ka dọkịta mee nyocha ngwa ngwa. A ga-akwado nchoputa a site na nyocha na nyocha dị iche iche dịka electrocardiogram. ECG ga-enye ohere ikiri iheọrụ eletrik nke obi na ya mere, ịchọpụta anomaly. Ọ ga-ekpughe ma ọ bụrụ na nkụchi obi amalitela ma ọ bụ na-eme. Nnwale ọbara ga-achọpụta ọnụnọ nke enzymes obi n'ime ọbara nke na-ekpughe mmebi akụkụ nke obi. X-ray nwere ike ịdị mkpa, ọkachasị iji hụ na ngụgụ emetụtaghị ya. Angiography nke akwara obi, x-ray nke na-enye ohere ịhụ anya nke akwara akwara, nwekwara ike ime ka o kwe omume ịchọpụta mbelata dayameta nke akwara ndị a na ọnụnọ nke atheromatous plaque.

Eme

Ọnụnọ nke atheroma plaque, nke kachasị nke cholesterol mejupụtara, nwere ike ịkọwa ọdịdị nke nkụchi obi. Ihe ncheta a nwere ike igbochi akwara akwara ma gbochie inye obi n'ọbara kwesịrị ekwesị.

Ọrịa obi nwekwara ike ime n'ihi ụdị ụfọdụ spasms n'ogo nke akwara obi. A na-akwụsịzi ịgbasa ọbara. Enwere ike ịkpata spasm a site na ọgwụ dị ka cocaine. Ọ nwekwara ike ịpụta na-esote akwa mmiri n'ime akwara obi ma ọ bụ mgbe ọbara na-ebelata nke ukwuu, ma ọ bụrụ na ọbara mgbali elu dị ntakịrị, dịka ọmụmaatụ, ihe a na-akpọ hypovolemic shock.

Nsogbu

Mgbagwoju anya nke nkụchi obi na-adịgasị iche dabere na oke mpaghara akwara obi nke nkụchi obi na-emetụta. Ka mpaghara ahụ buru ibu, ka nsogbu ndị ahụ dị njọ karị. Onye ahụ nwere ike arrhythmia, ya bụ na-ekwu ọgba aghara nke ụda obi, nkụda mmụọ obi ma ọ bụ ọbụna nsogbu na otu n'ime valvụ obi, valvụ nke nwere ike mebie n'oge ọgụ ahụ. Ọrịa obi nwekwara ike ịgbagwoju anya site na ọrịa strok. Ọrịa obi ọhụrụ nwekwara ike ime.

A ga-enyocha ihe ize ndụ nke nsogbu site na iji nyocha ọhụrụ: ECG, ultrasound, angiography coronary, scintigraphy (iji chọpụta ọrụ obi) ma ọ bụ ule nrụgide. A ga-edekwa ọgwụgwọ ọgwụ.