{"id":5571,"date":"2020-03-01T10:00:00","date_gmt":"2020-03-01T12:00:00","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/kaip-atpazinti-ir-elgtis-istikus-miokardo-infarktui\/"},"modified":"2020-03-01T10:00:00","modified_gmt":"2020-03-01T12:00:00","slug":"kaip-atpazinti-ir-elgtis-istikus-miokardo-infarktui","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/kaip-atpazinti-ir-elgtis-istikus-miokardo-infarktui\/","title":{"rendered":"Kaip atpa\u017einti ir elgtis i\u0161tikus miokardo infarktui?"},"content":{"rendered":"

\"Pikzirniene<\/a>Jau daugel\u012f met\u0173 kraujotakos sistemos ligos yra pagrindin\u0117 vyr\u0173 ir moter\u0173 mirties prie\u017eastis Lietuvoje. Pra\u0117jusiais metais mirtis nuo i\u0161emin\u0117s \u0161irdies ligos buvo da\u017eniausia, nusine\u0161usi per 13 t\u016bkst. \u017emoni\u0173 gyvybi\u0173, – skelbia Higienos institutas. Daug\u0117ja ir miokardo infarkto atvej\u0173. Pernai \u0161i liga nusine\u0161\u0117 1126 darbingo am\u017eiaus \u017emoni\u0173 gyvybes.
<\/strong>
Specialistai persp\u0117ja, jog miokardo infarktas i\u0161tinka vis jaunesnius asmenis. Ypa\u010d tuos, kurie per ma\u017eai skiria d\u0117mesio savo sveikatai.
<\/strong>
Rekomendacijomis apie miokardo infarkt\u0105 ir i\u0161skirtiniais atvejais dalinasi V\u0161\u012e \u0160ilut\u0117s ligonin\u0117s Reanimacijos – intensyvios terapijos skyriaus ved\u0117ja Audron\u0117 PIK\u017dIRNIEN\u0116.
<\/strong>
– Priminkite, kas yra miokardo infarktas?<\/strong> <\/p>\n

– Tai \u0161irdies raumen\u012f maitinan\u010di\u0173 kraujagysli\u0173 u\u017esikim\u0161imas. Jis prasideda, kai \u0161irdies kraujagysl\u0117je esanti aterosklerozin\u0117 plok\u0161tel\u0117 \u012fply\u0161ta ir toje vietoje susiformuoja trombas. Trombas u\u017ekem\u0161a kraujagysl\u0119 visi\u0161kai, vadinamas Q bangos infarktu, arba nevisi\u0161kai – lengvesnis miokardo infarktas, kuris nesutrikdo kraujotakos. Jeigu trombas visi\u0161kai u\u017ekim\u0161o kraujagysl\u0119, tuomet ilgiau u\u017etrunkama iki jos \u201eatkim\u0161imo\u201c, tuo labiau pa\u017eeid\u017eiamas \u0161irdies raumuo.<\/p>\n

– Kokie pagrindiniai miokardo infarkto po\u017eymiai?<\/strong> <\/p>\n

– Pagrindinis po\u017eymis – skausmas kr\u016btin\u0117je, trunkantis ilgiau negu 20 minu\u010di\u0173 ir nepraeinantis. Pavartojus aspirino, nitroglicerino tablet\u0119 ar pasipur\u0161kus nitroglicerino aerozoliu, jis gali plisti \u012f kakl\u0105, apatin\u012f \u017eandikaul\u012f, abi rankas, pe\u010dius, nugar\u0105. Taip pat da\u017enai su skausmu jau\u010diamas ir dusulys, pykinimas, v\u0117mimas. \u017dmogus jau\u010dia didel\u012f bendr\u0105 silpnum\u0105, i\u0161pila \u0161altas prakaitas, jau\u010dia mirties baim\u0119, gali prarasti s\u0105mon\u0119.<\/p>\n

– Ar visada pasirei\u0161kia skausmas kr\u016btin\u0117je?<\/strong> <\/p>\n

– Neb\u016btinai. Yra atvej\u0173, kai \u017emogus nejau\u010dia jokio skausmo. Tai atipin\u0117 miokardo infarkto forma. Tuomet jau\u010diamas didelis bendras silpnumas, i\u0161pila \u0161altas prakaitas, nukrenta kraujosp\u016bdis, smarkiau plaka \u0161irdis. \u017dmogus gali ir prarasti s\u0105mon\u0119. Tokia forma b\u016bdinga vyresnio am\u017eiaus \u017emon\u0117ms.<\/p>\n

– Kaip gydomas miokardo infarktas?<\/strong><\/p>\n

– \u0160iuo metu visose ligonin\u0117se yra preparatai, tirpdantys trombus \u0161irdies kraujagysl\u0117se – trombolitikai. J\u0173 suleidus greitai i\u0161tirpdomas \u0161irdies kraujagysl\u0117je esantis kre\u0161ulys ir tokiu b\u016bdu kraujagysl\u0117 atveriama medikamentiniu b\u016bdu. Tada pacientas perve\u017eamas \u012f miokardo infarkt\u0173 gydymo klaster\u012f Klaip\u0117dos j\u016brinink\u0173 ligonin\u0117je tolimesnei koronarografijos proced\u016brai. <\/p>\n

– Ta\u010diau miokardo infarktai gali baigtis mirtimi?<\/strong> <\/p>\n

– Laiku nesuteikus pagalbos, gali i\u0161tikti staigi koronarin\u0117 mirtis. Pasitaiko, jog pacientai, ypa\u010d senyvo am\u017eiaus \u017emon\u0117s, galvoja, kad atsirad\u0119s skausmas kr\u016btin\u0117je netrukus praeis. Dalis \u017emoni\u0173 i\u0161geria vaist\u0173, kiti tiesiog ken\u010dia. Yra situacij\u0173, kai senjorai nenori trukdyti medik\u0173, ypa\u010d nakt\u012f, d\u0117l skausm\u0173 kr\u016btin\u0117je. Priminsiu, kad ligonin\u0117 dirba vis\u0105 par\u0105. Pirmosios valandos \u012fvykus infarktui – pa\u010dios svarbiausios.<\/p>\n

– Ar visada i\u0161 karto gydytojui ai\u0161ku, kad \u017emog\u0173 i\u0161tiko miokardo infarktas?<\/strong> <\/p>\n

– Pacientui, patekus \u012f gydymo \u012fstaig\u0105 diagnoz\u0117 visada patvirtinama ne tik klinikiniais po\u017eymiais, kuriuos min\u0117jome, bet ir laboratoriniais tyrimais, elektrokardiograma. Tyrimuose jau po 2 – 4 valand\u0173 fiksuojami miokardo pakenkimo \u017eymenys. Tyrimai kartojami kas 6 valandas.<\/p>\n

– Ar \u0161iuo metu skyriuje yra gydomi pacientai po miokardo infarkto? Pasidalinkite i\u0161skirtiniais atvejais.<\/strong> <\/p>\n

– Taip. \u0160ilut\u0117s ligonin\u0117je miokardo infarktai, kaip ir visoje Lietuvoje, viena da\u017eniausi\u0173 kardiovaskulini\u0173 lig\u0173. Pavyzd\u017eiui, per pra\u0117jusi\u0105 savait\u0119 \u012f Reanimacijos skyri\u0173 buvo paguldyti 5 pacientai su miokardo infarktu. Suteikus b\u016btin\u0105j\u0105 pagalb\u0105 visi perve\u017eti \u012f J\u016brinink\u0173 ligonin\u0117s miokardo infarkto klaster\u012f.<\/p>\n

Vienas \u012fsimintiniausi\u0173 atvej\u0173, kuomet \u012f skyri\u0173 greitosios pagalbos automobiliu buvo atve\u017etas komos b\u016bkl\u0117s pacientas. Aplinkiniams jis dar sp\u0117jo parodyti, kad skauda \u0161ird\u012f ir netrukus neteko s\u0105mon\u0117s. Pacientui buvo i\u0161kviesta GMP, jis gaivintas d\u0117l skilveli\u0173 virp\u0117jimo, atlikta defibriliacija ir komos b\u016bkl\u0117s jis pristatytas \u012f Reanimacijos – intensyvios terapijos skyri\u0173. Buvo diagnozuotas, trombui u\u017ekim\u0161us kraujagysl\u0119, miokardo infarktas lydimas kardiogeninio \u0161oko. Pacientui i\u0161kart suleisti tromb\u0105 tirpdantys medikamentai, atkurta kraujotaka per u\u017esikim\u0161usi\u0105 \u0161irdies kraujagysl\u0119, jis s\u0117kmingai atgaivintas ir kit\u0105 par\u0105 perve\u017etas gydyti \u012f J\u016brinink\u0173 ligonin\u0119. Jis buvo i\u0161tiktas komos, gal\u0117jo \u017e\u016bti smegenys, laimei, laiku buvo suteikta pagalba.<\/p>\n

Taip pat neseniai \u012f ligonin\u0119 atve\u017eta vyresnio am\u017eiaus moteris. Prie\u0161 tai ji jaut\u0117 didel\u012f silpnum\u0105, j\u0105 i\u0161pyl\u0117 \u0161altas prakaitas ir d\u0117l to kreip\u0117si \u012f \u0161eimos gydytoj\u0105. Skausmo kr\u016btin\u0117je ji nejuto, tod\u0117l \u0161eimos gydytoja skyr\u0117 kardiogram\u0105, ir \u012ftarusi miokardo infarkt\u0105, i\u0161siunt\u0117 \u012f ligonin\u0119. Tyrimai patvirtino \u0161\u012f fakt\u0105, suteik\u0117me b\u016btin\u0105j\u0105 pagalb\u0105 ir skubiai perve\u017e\u0117me \u012f klaster\u012f. \u0160is atvejis atipinis, nes nebuvo skausmo kr\u016btin\u0117je. <\/p>\n

Toki\u0173 atvej\u0173 yra nema\u017eai, tod\u0117l svarbu, kad visuomen\u0117 \u017einot\u0173, kaip elgtis \u012ftarus miokardo infarkt\u0105. Pajutus skausm\u0105 kr\u016btin\u0117je, nelaukite kol jis praeis, kreipkit\u0117s pagalbos.<\/p>\n

– Kaip suma\u017einti susirgimo rizik\u0105?<\/strong><\/p>\n

– Miokardo infarkto i\u0161sivystymui rizikos turi padid\u0117j\u0119s kraujosp\u016bdis, cholesterolio kiekis, cukrinis diabetas, nutukimas, ma\u017eas fizinis aktyvumas, \u017ealingi \u012fpro\u010diai. Da\u017eniau serga vyrai negu moterys. \u0160ie veiksniai palaipsniui ir sukelia miokardo infarkt\u0105, tod\u0117l reikia ne tik vartoti b\u016btinuosius vaistus, pavyzd\u017eiui, ma\u017einan\u010dius cholesterolio kiek\u012f, bet ir sveikiau maitintis, ner\u016bkyti, daugiau jud\u0117ti, b\u016bti gryname ore. Miokardo infarktas gali i\u0161tikti ir jaunesnius \u017emones, am\u017eiaus rib\u0173 neb\u0117ra. Miokardo infarkto tikimyb\u0117 vis da\u017en\u0117ja, tam \u012ftakos turi ilgalaikis stresas. Taip pat svarbu \u017einoti savo genetin\u012f polink\u012f: ar \u0161eimoje buvo staigi\u0173 mir\u010di\u0173, infarkt\u0173.<\/p>\n","protected":false},"excerpt":{"rendered":"

Jau daugel\u012f met\u0173 kraujotakos sistemos ligos yra pagrindin\u0117 vyr\u0173 ir moter\u0173 mirties prie\u017eastis Lietuvoje. Pra\u0117jusiais metais mirtis nuo i\u0161emin\u0117s \u0161irdies ligos buvo da\u017eniausia, nusine\u0161usi per 13 t\u016bkst. \u017emoni\u0173 gyvybi\u0173, – skelbia Higienos institutas. Daug\u0117ja ir miokardo infarkto atvej\u0173. Pernai \u0161i liga nusine\u0161\u0117 1126 darbingo am\u017eiaus \u017emoni\u0173 gyvybes.Specialistai persp\u0117ja, jog miokardo infarktas i\u0161tinka vis jaunesnius asmenis. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-5571","post","type-post","status-publish","format-standard","category-sveikatos-saltinis"],"yoast_head":"\nKaip atpa\u017einti ir elgtis i\u0161tikus miokardo infarktui? - \u0160ilut\u0117s naujienos<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.silutesnaujienos.lt\/lt\/kaip-atpazinti-ir-elgtis-istikus-miokardo-infarktui\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kaip atpa\u017einti ir elgtis i\u0161tikus miokardo infarktui? - \u0160ilut\u0117s naujienos\" \/>\n<meta property=\"og:description\" content=\"Jau daugel\u012f met\u0173 kraujotakos sistemos ligos yra pagrindin\u0117 vyr\u0173 ir moter\u0173 mirties prie\u017eastis Lietuvoje. Pra\u0117jusiais metais mirtis nuo i\u0161emin\u0117s \u0161irdies ligos buvo da\u017eniausia, nusine\u0161usi per 13 t\u016bkst. \u017emoni\u0173 gyvybi\u0173, – skelbia Higienos institutas. Daug\u0117ja ir miokardo infarkto atvej\u0173. Pernai \u0161i liga nusine\u0161\u0117 1126 darbingo am\u017eiaus \u017emoni\u0173 gyvybes.Specialistai persp\u0117ja, jog miokardo infarktas i\u0161tinka vis jaunesnius asmenis. 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Pra\u0117jusiais metais mirtis nuo i\u0161emin\u0117s \u0161irdies ligos buvo da\u017eniausia, nusine\u0161usi per 13 t\u016bkst. \u017emoni\u0173 gyvybi\u0173, – skelbia Higienos institutas. Daug\u0117ja ir miokardo infarkto atvej\u0173. Pernai \u0161i liga nusine\u0161\u0117 1126 darbingo am\u017eiaus \u017emoni\u0173 gyvybes.Specialistai persp\u0117ja, jog miokardo infarktas i\u0161tinka vis jaunesnius asmenis. 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