Cardiogenic ujo

Cardiogenic ujo bụ nke ukwuu nke ọbara ọrịa, e ji a ịrịba ọnụ na ọbara mgbali
na contractile ike nke obi. Nke a ọnọdụ gụnyere imebi
akụrụ na ụjọ usoro. The obi na-efunari ya ike na inupụ ọbara
arịa na imipu ya. Cardiogenic ujo akpata vasodilation,
nsogbu tụlee na ọbara adịghị igba ka ụbụrụ. E-abịa a nkọ
anoxia, a onye na-efunari nsụhọ, mgbe ọtụtụ mgbe
anwụọ.

Na-akpata ọnọdụ a nwere ike ibu ọtụtụ myocardial infarction, ma ọ bụrụ na ọ na-emebi ihe karịrị 40%. Cardiogenic ujo amalite n'ihi nnukwu myocarditis, a obi mgbidi, arrhythmia, oké stenosis ma ọ bụ nnukwu ọdịda nke obi valves. A ala nke ujo nwere ike ime ka a oke akpa ume embolism, na nke kpamkpam-egbochi
na lumen nke akpa ume akwara ogwe.

Clinical mgbaàmà nke ujo bụ a na mberede ọdịda ọbara mgbali na 50/20 mmHg, oyi aka na ụkwụ, amagh onwe, ooh na acha akpụkpọ, tachycardia. Dara ada na aka na ụkwụ veins ida ha ụda, akụrụ ịkwụsị ọrụ.

Ihe na-emetụta omume nke ujo buru ibu myocardial infarction, nká, ọrịa shuga, nsí cardiotoxic bekee.

Cardiogenic ujo ọgwụgwọ

Iji chọpụta Baịbụl hiwere isi n'ebe ọnya na myocardium na rụrụ ngwá, nke-enye gị ohere ikpebi obosara, omimi na
infarct ọnọdụ. Ultrasound nke obi na-eme ka o kwe omume iji mata ngalaba ndị merụrụ ahụ, na iji chọpụta ihe ndị contractile ike nke ahu. Cardiogenic ujo chọpụtara dị ka site radiopaque achọpụta ọrịa usoro arịa.

Ọgwụgwọ a rụrụ na kpụ ọkụ n'ọnụ na-elekọta unit. Isi ihe mgbaru ọsọ nke ọgwụ bụ ntọt ọbara mgbali ka n'ihu hụ na ọbara dị oké mkpa akụkụ. cardiogenic ujo ọgwụgwọ nwere ike ịbụ na nkà ọgwụ na-awa ahụ. Ndidi tọrọ, na-azụ ụkwụ, iji hụ na inweta ọbara ụbụrụ. Rụrụ na oxygen inhalation
eji a nkpuchi, n'okpuru owụt mgbu syndrome intravenously promedol
ma ọ bụ morphine. N'ihi na stabilization nke ọbara mgbali ndinọ ngwọta
reopoliglyukina ma ọ bụ heparin. N'ihi na a mma ọkọnọ obi muscle agbara glucose ngwọta na magnesium, potassium ma ọ bụ insulin. Dịkwuo obi ọnụego intravenously ndinọ ngwọta nke dobutamine, dopamine, nọrepinefrini ma ọ bụ epinephrine.

Iji tụtee mmadụ ekenịmde n'okpuru elekọta ya mgbe nile nke na-arụ ọrụ niile ahụ dị oké mkpa akụkụ. Achịkwa ọbara mgbali na mmamịrị mmepụta. Na enweghị ọgwụgwọ mmetụta medikametoznogo ẹkenịmde ịwa omume. Ke akpa 8 awa mgbe a obi ọgụ n'ụzọ dị irè na-eduzi akwara angioplasty, nke na-enye ohere ị na-agbake
contractile ike nke obi. Ọzọ usoro bụ intraaortic
counterpulsation. The usoro a dabeere na n'ibu ntụtụ ọbara n'ime aorta na
Ọ na-enwekwu ọbara ke akwara arịa.

Cardiogenic ujo mgbe amalite ke akpa awa ole na ole mgbe myocardial infarction, n'ihi ya, ọ dị ezigbo mkpa ka ya na-adọ ọgwụgwọ. The kasị nwayọọ ụdị a mpiaji ujo, nke bụ nnọọ mfe cupping. Jụ ikwere ụdị cardiogenic ujo na-adị mgbe myocardial necrotic ọnya nke n'elu 50%. Enwe ọnụego na nke a bụ nso 100%.

N'agbanyeghị eziokwu na mgbe niile na-emepe emepe ọhụrụ ụzọ nke ọgwụgwọ nke cardiogenic ujo, ọnwụ bụ ukwuu karịa 85%. Ya mere, ndị kasị
irè ọgwụgwọ bụ mgbochi, nke na mmachi ebe
nkụchi obi na nyeere site mgbu.