Video: Ua li cas myocardial infarction ua rau DKA?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Mob Myocardial infarction Hauv Cov Neeg Mob Ntshav Qab Zib
Mob MI yog ib qho tseem ceeb los nag rau DKA Hauv kwv yees li 4% ntawm cov neeg mob ntshav qab zib uas muaj mob hnyav MI . Thaum DKA events, cov mob myocardium raug tsis kam lees txais cov piam thaj vim yog qib siab ntawm ketones thiab cov rog dawb, ua rau mob plawv ischemia.
Thiaj li, DKA cuam tshuam li cas rau cov tshuaj potassium?
Potassium qib tau fluctuate loj heev thaum kho ntawm DKA , vim tias insulin txo qis poov tshuaj qib hauv cov ntshav los ntawm kev faib nws mus rau hauv cov cell los ntawm kev nce sodium- poov tshuaj twj tso kua mis. Ib feem loj ntawm qhov hloov pauv extracellular poov tshuaj yuav tau ploj hauv cov zis vim osmotic diuresis.
Tom qab ntawd, lo lus nug yog, DKA puas tuaj yeem ua rau mob hauv siab? Kev txo qis hws yog lwm qhov ua tau ntawm DKA . Ntawm cov cov tsos mob ntawm DKA cuam tshuam nrog cov kab mob sib kis tau yog kub taub hau, dysuria, hnoos, malaise, ua daus no, mob hauv siab , ua tsis taus pa, thiab arthralgia. Mob mob hauv siab los yog palpitation yuav tshwm sim nyob rau hauv koom nrog myocardial infarction.
Ib yam li ntawd, nws tau nug, DKA puas tuaj yeem ua rau siab troponin?
Hauv DKA kev ua txhaum ntawm cov txheej txheem hauv metabolic, hloov pauv dej, tachycardia, thiab nce kev xav zoo tuaj yeem ua rau focal myocardial necrosis thiab troponin Kuv tso tawm vim mob plawv ischemia los ntawm kev xav tau tsis sib haum, tshwj xeeb tshaj yog rau cov neeg mob uas muaj kab mob plawv (4).
Koj yuav txiav txim siab DKA li cas?
Kev kuaj mob ntawm mob ntshav qab zib ketoacidosis xav kom tus neeg mob lub plasma qabzib concentration siab tshaj 250 mg ib dL (txawm hais tias nws feem ntau yog ntau dua), pH theem yuav tsum tsawg dua 7.30, thiab qib bicarbonate yuav tsum yog 18 mEq ib L lossis tsawg dua.
Pom zoo:
Yuav kuaj tus mob myocardial infarction li cas?
Kev kuaj mob ntawm myocardial infarction yog tsim los ntawm kev suav nrog keeb kwm ntawm kev mob tshwm sim thiab kev tshuaj xyuas lub cev nrog kev tshawb pom electrocardiogram thiab ntsuas lub plawv (ntsuas ntshav rau lub plawv mob leeg nqaij puas). Echo tuaj yeem ua rau hauv cov xwm txheej sib npaug los ntawm tus kws kho plawv tham
Dab tsi tshwm sim rau lub plawv thaum lub sijhawm myocardial infarction?
Myocardial infarction (MI), feem ntau paub tias yog lub plawv nres, tshwm sim thaum ib feem ntawm lub plawv tsis muaj oxygen vim qhov txhaws ntawm cov hlab plawv. Cov hlab ntsha hauv plawv muab cov leeg nqaij hauv plawv (myocardium) nrog cov ntshav oxygenated. Tsis muaj oxygen, cov leeg nqaij ua haujlwm los ntawm cov hlab ntshav thaiv pib tuag (infarct)
Dab tsi ua rau tsis ruaj khov angina thiab myocardial infarction?
Tsis ruaj tsis khov angina yog precipitated los ntawm lub rupture ntawm cov quav hniav, uas ua rau ib tug ceev ceev ntawm platelets nyob rau hauv cov quav hniav nrog nce ob leeg ntawm cov ntshav txaus nyob rau hauv lub coronary hlab ntsha. Cov tsos mob ntawm MI zoo ib yam li qhov tsis ruaj khov angina, tab sis feem ntau hnyav dua thiab ntev
Yuav kho tus mob myocardial infarction li cas?
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Dab tsi yog lub sij hawm nteg rau myocardial infarction?
MI: Feem ntau siv cov ntawv luv rau myocardialinfarction, txwv tsis pub hu ua mob plawv. Lub sij hawm 'myocardial infarction' tsom mus rau lub plawv nqaij, uas yog hu ua myocardium, thiab cov kev hloov pauv uas tshwm sim nyob rau hauv itdue rau tam sim ntawd deprivation ntawm circulating ntshav