{"id":30755,"date":"-0001-11-30T00:00:00","date_gmt":"-0001-11-29T22:18:44","guid":{"rendered":""},"modified":"-0001-11-30T00:00:00","modified_gmt":"-0001-11-29T21:00:00","slug":"sirdies-sustojimas","status":"publish","type":"catalog_entry","link":"https:\/\/www.pasveik.lt\/lt\/irasas\/sirdies-sustojimas\/","title":{"rendered":"\u0160irdies sustojimas"},"content":{"rendered":"<p style=\"text-align:justify\"><strong>\u0160irdies sustojimas<\/strong><\/p>\n<p style=\"text-align:justify\"><strong><\/strong><\/p>\n<p style=\"text-align:justify\"><strong>APIBR<\/strong><strong>\u0116\u017dIMAS<\/strong><\/p>\n<p style=\"text-align:justify\">\u0160irdies<br \/>\n sustojimas &#8211; tai staigus \u0161irdies funkcijos praradimas. Staigi mirtis<br \/>\n\u017emog\u0173 i\u0161tinka per kelias minutes, kai pasirei\u0161kia \u0161irdies sustojimo<br \/>\nsimptomai ( s\u0105mon\u0117s netekimas, kv\u0117pavimo, pulso, kraujo spaudimo<br \/>\nnebuvimas).<\/p>\n<p style=\"text-align:justify\"><\/p>\n<p style=\"text-align:justify\"><strong>EPIDEMIOLOGIJA<\/strong><\/p>\n<p style=\"text-align:justify\">Nenormaliai \u017eemas \u0161irdies ritmas ir kraujosp\u016bdis, kai pakinta \u0161irdies raumenys \u012ftakoja \u0161irdies sustojimo tikimyb\u0117s padid\u0117jim\u0105.<\/p>\n<p style=\"text-align:justify\"><strong>&nbsp;<\/strong><\/p>\n<p style=\"text-align:justify\"><strong>LIGOS PRIE\u017dASTYS IR EIGA<\/strong><\/p>\n<p style=\"text-align:justify\">Pagrindin\u0117s \u0161irdies sustojimo prie\u017eastys:<\/p>\n<ul>\n<li>Vainikini\u0173 \u0161irdies arterij\u0173 patologija.<\/li>\n<li>Aritmijos. Nereguliarus \u0161irdies ritmas priver\u010dia \u0161ird\u012f staiga sustoti.<\/li>\n<li> Skilvelin\u0117 tachikardija ar skilveli\u0173 virp\u0117jimas &#8211; labai greitas ir chaoti\u0161kas \u0161irdies susitraukim\u0173 ritmas.<\/li>\n<li> Bradikardija &#8211; labai l\u0117tas \u0161irdies ritmas irgi gali b\u016bti \u0161irdies sustojimo prie\u017eastimi.<\/li>\n<li>\u0160irdies ligos. Miokarditas. Kardiomiopatija.<\/li>\n<li>Miokardo infarktas.<\/li>\n<li>U\u017edusimas.<\/li>\n<li>Elektros trauma.<\/li>\n<li>Skendimas.<\/li>\n<li>Paspringimas.<\/li>\n<li>Trauma.<\/li>\n<li>\u0160irdis gali sustoti ir be ai\u0161kios prie\u017easties.<\/li>\n<\/ul>\n<p style=\"text-align:justify\">Sustojus<br \/>\n \u0161ird\u017eiai, po keli\u0173 sekund\u017ei\u0173 \u017emogus praranda s\u0105mon\u0119, neap\u010diuopiamas<br \/>\npulsas, \u017emogus nustoja kv\u0117puoti. \u0160irdies sustojimo komplikacijos:<br \/>\nsmegen\u0173 pa\u017eeidimas d\u0117l hipoksijos, mirtis.<\/p>\n<p style=\"text-align:justify\"><strong>KLINIKA<\/strong><\/p>\n<h2 style=\"text-align:justify\">\u0160irdies sustojimo simptomai:<\/h2>\n<ul>\n<li> Neap\u010diuopiamas pulsas<\/li>\n<li> S\u0105mon\u0117s praradimas<\/li>\n<li>N\u0117ra kv\u0117pavimo<\/li>\n<li>Nei\u0161matuojamas kraujo spaudimas.<\/li>\n<\/ul>\n<p style=\"text-align:justify\"><\/p>\n<p style=\"text-align:justify\"><strong>DIAGNOSTIKA<\/strong><\/p>\n<p style=\"text-align:justify\">Instrumentiniai tyrimai:<\/p>\n<ul>\n<li>Elektrokardiografija (EKG). Priklausomai nuo miokardo infarkto tipo,<br \/>\ngali b\u016bti nustatoma T bangos inversija, ST segmento pakilimas, ST<br \/>\nsegmento depresija, Hiso pluo\u0161to kojy\u010di\u0173 blokada. Da\u017enai EKG pakitimai<br \/>\nb\u016bna nespecifiniai. Be to, retais atvejais EKG poky\u010di\u0173 gali ir neb\u016bti,<br \/>\nbet tai dar neleid\u017eia atmesti miokardo infarkto diagnoz\u0117s;<\/li>\n<li>\nKr\u016btin\u0117s l\u0105stos rentgenograma. Nustatomi staz\u0117s po\u017eymiai,<br \/>\nkardiomegalija. Gydytojas rentgenologas pagal rentgenokimografinius<br \/>\ndantelius gali nustatyti skilvelio sienos diskinezij\u0105 ar hipokinezij\u0105<br \/>\n(i\u0161nykus\u012f ar suma\u017e\u0117jus\u012f judrum\u0105), skilvelio aneurizm\u0105;<\/li>\n<li>Dvimat\u0117<br \/>\nechokardiografija (2D kardioechoskopija). Nustatoma kairiojo skilvelio<br \/>\nkontrakcin\u0117 funkcija (geb\u0117jimas susitraukti), i\u0161metimo frakcija,<br \/>\nsegmentin\u0117 akinez\u0117 (nejudrumas), hipokinez\u0117 (suma\u017e\u0117j\u0119s judrumas),<br \/>\nkartais hiperkinez\u0117 (padid\u0117j\u0119s judrumas), skystis perikarde;<\/li>\n<li>Doplerin\u0117 echokardiografija. Nustatoma bei \u012fvertinama (jei yra) plautinio kamieno hipertenzija, vo\u017etuv\u0173 nesandarumas.<\/li>\n<\/ul>\n<p style=\"text-align:justify\"><\/p>\n<p style=\"text-align:justify\"><strong>GYDYMAS<\/strong><\/p>\n<p style=\"text-align:justify\">Smegenys<br \/>\n mir\u0161ta po 4 &#8211; 6 minu\u010di\u0173, sustojus \u0161ird\u017eiai. \u0160irdies ritmas gali b\u016bti<br \/>\natstatomas elektro\u0161oku po keli\u0173 minu\u010di\u0173 nuo \u0161irdies sustojimo, atliekama<br \/>\n defibriliacija. Kiekviena minut\u0117 pra\u0117jusi po \u0161irdies sutojimo suma\u017eina<br \/>\ni\u0161gyvenamum\u0105 7 &#8211; 10 procent\u0173, tod\u0117l labai svarbu gaivinim\u0105 prad\u0117ti tuoj<br \/>\npat. S\u0105mon\u0117s netekusiam \u017emogui, kuriam neu\u017e\u010diuopiam pulso, reikia<br \/>\natlo\u0161ti galv\u0105 ir suduoti kelis kartus kum\u0161\u010diu \u0161irdies plote, ties<br \/>\nkr\u016btinkauliu. Kelis kartus \u012fp\u016bskite oro. Neatsiradus pulsui, toliau<br \/>\nprad\u0117kite i\u0161orin\u012f \u0161irdies masa\u017e\u0105 ir dirbtin\u012f kv\u0117pavim\u0105. Kai gaivina<br \/>\nvienas \u017emogus, reikia du kartus \u012fp\u016bsti \u012f paciento burn\u0105 ir penkiolika<br \/>\nkart\u0173 paspausti kr\u016btinkaul\u012f \u0161irdies plote, gaivinant dviese vienam<br \/>\n\u012fp\u016btimui tenka penki paspausdimai. Gaivinimas t\u0119siamas toliau atsiradus<br \/>\nkv\u0117pavimui ir pulsui. Nustojama gaivinti tik atgavus s\u0105mon\u0119. Pacientas<br \/>\ntransportuojamas \u012f ligonin\u0119 ir stebimas bent dvi paras. Jei \u0161irdies<br \/>\nveikla gaivinant neatsistato, gaivinimas nutraukiamas tik atsiradus<br \/>\nai\u0161kiems biologin\u0117s mirties po\u017eymiams, atsiradus lavond\u0117m\u0117ms, k\u016bnui<br \/>\nprad\u0117jus stingti.<\/p>\n<p style=\"text-align:justify\"><\/p>\n<p style=\"text-align:justify\"><strong>PROFILAKTIKA<\/strong><\/p>\n<p style=\"text-align:justify\">Kadangi<br \/>\nda\u017eniausia \u0161irdies sustojimo prie\u017eastis yra \u0161irdies liga, reikt\u0173<br \/>\nsuma\u017einti \u0161irdies lig\u0173 rizigos veiksni\u0173 skai\u010di\u0173: mesti r\u016bkyti, gydyti<br \/>\nauk\u0161t\u0105 kraujo spaudim\u0105, cukrin\u012f diabet\u0105, daugiau jud\u0117ti, koreguoti svor\u012f<br \/>\n ir kt.<\/p>\n","protected":false},"featured_media":0,"template":"","tags":[426,28284,350],"catalog_supplier":[],"catalog":[27458],"class_list":["post-30755","catalog_entry","type-catalog_entry","status-publish","hentry","tag-sirdies-ligos","tag-sirdies-sustojimas","tag-sirdis","catalog-sirdies-ir-kraujagysliu-ligos"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/catalog_entry\/30755","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/catalog_entry"}],"about":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/types\/catalog_entry"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=30755"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=30755"},{"taxonomy":"catalog_supplier","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/catalog_supplier?post=30755"},{"taxonomy":"catalog","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/catalog?post=30755"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}