Rikicin Myocardial

Maganin ƙwayar cuta shine raunin ƙwayar tsoka.

Mafi yawan dalilan sune:

• Hadarin mota
• Yin amfani da mota
• Tashin zuciya (CPR)
• Faɗuwa daga tsayi, galibi mafi girma fiye da ƙafa 20 (mita 6)

Wani mummunan rikicewar rikici na iya haifar da alamu da alamun bugun zuciya.

Kwayar cutar na iya haɗawa da:

• Jin zafi a gaban haƙarƙari ko ƙashin ƙirji
• Jin cewa zuciyar ka tana tsere
• Haskewar kai
• Tashin zuciya ko amai
• Rashin numfashi
• Rashin ƙarfi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan na iya nuna:

• Isearfe ko zane a bangon kirji
• Cunkushewar jiki yayin taba fata idan akwai karaya da hakarkari na huhu
• Saurin bugun zuciya
• Bugun zuciya mara tsari
• Pressureananan hawan jini
• Numfashi mai sauri ko mara nauyi
• Tausayi ga taɓawa
• Motsi bangon kirji mara kyau daga raunin haƙarƙari

Gwaje-gwaje na iya haɗawa da:

• Gwajin jini (enzymes na zuciya, kamar Troponin-I ko T ko CKMB)
• Kirjin x-ray
• CT scan na kirji
• Lantarki (ECG)
• Echocardiogram

Wadannan gwaje-gwajen na iya nuna:

• Matsaloli tare da bangon zuciya da ikon bugun zuciya
• Ruwa ko jini a cikin sikirin jakar da ke kewaye da zuciya (pericardium)
• Rushewar hagu, huhu ko raunin jini
• Matsala tare da siginar lantarki na sigina (kamar ƙugiya reshe ko wani abin toshe zuciya)
• Saurin bugun zuciya yana farawa daga kumburin zuciya na zuciya (sinus tachycardia)
• Bugun zuciya mara kyau yana farawa a cikin ɗakunan ajiya ko ƙananan ɗakunan zuciya (dysrhythmia na ventricular)

A mafi yawan lokuta, za'a sanya maka ido sosai a kalla awanni 24. ECG za ayi ta koyaushe don bincika aikin zuciyar ku.

Kulawa da dakin gaggawa na iya haɗawa da:

• Sanya catheter ta jijiya (IV)
• Magunguna don magance ciwo, rikicewar bugun zuciya, ko ƙaran jini
• Mai ɗaukar hoto (na ɗan lokaci, na iya zama na dindindin)
• Oxygen

Sauran hanyoyin kwantar da hankali na iya amfani dasu don magance raunin zuciya, sun haɗa da:

• Sanya bututu
• Zuba jini daga kewayen zuciya
• Yin aikin tiyata don gyaran jijiyoyin jini a kirji

Mutanen da ke da rikicewar rikicewar jijiyoyin jiki za su warke sarai mafi yawan lokuta.

Mummunan raunin zuciya na iya ƙara haɗarin ku ga rashin nasarar zuciya ko matsalolin larurar zuciya.

Shawarwarin kare lafiya masu zuwa na iya taimakawa hana zafin zuciya:

• Sanya bel a yayin tuƙi.
• Zabi mota mai dauke da jakunkunan iska.
• Stepsauki matakai don tabbatar da aminci yayin aiki a tsauni.

Raunin ƙwayar cuta

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani

Boccalandro F, Von Schoettler H. Ciwon cututtukan zuciya. A cikin: Levine GN, ed. Sirrin Zuciya. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 71.

Ledgerwood AM, Lucas CE. Rashin raunin zuciya. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 1241-1245.

Raja AS. Raunin Thoracic. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 38.