t o v u s h i) p a y d o b o i i s h i e h tim o l. M io k a r d n e k r o tik o ‘c h o g ‘i y u ra k
r itm i b u z i l i s h in i n g m a n b a y i b o i i s h i m u m k i n ( e k s tr a s is to liy a ,
p a r o k s iz m a l, ta x ik a rd iy a , titr o q a ritm iy a ).
H a r o r a t reaksiyasi m io k a r d in f a r k tin in g d o i m iy a l o m a t i h i s o b
la n a d i. T a n a h a r o r a t i n i n g k o i a r i l i s h i ( 3 8 ° C a t r o f i d a ) , o d a t d a ,
3 — 7 k u n s h u h o l d a s a q l a n a d i . T e z l a s h g a n E C h T 3 — 6 k u n
a n iq la n a d i va u 30—40 k u n g a c h a s h u n d a y lig ic h a q o ladi.
N e k r o t i k o ‘c h o q n i n g su rilish i le y k o s ito z g a o lib k eladi va te z
o r a d a e r i t r o t s i t l a r n i n g c h o ‘k is h r e a k s i y a s i t e z l a s h a d i . L e y k o -
s i t o z — q o n d a le y k o ts itla r 1 m m 3.da 10000— 15000 ( 1 0 - 109—
1 5 - 109 /1) b o l a d i , in fa rk t p a y d o b o l g a n d a n s o ‘ng 1 s u tk a d a ,
b a ' z a n b u n d a n h a m k o ‘p b o i i b , s h u h o l d a b ir n e c h a k u n g a c h a
s a q l a n i b q o la d i.
L e y k o s ito z , o d a t d a , n e y tr o f illid ir ( n e y tr o f ille r
7 5 — 80 % g a y e ta d i).
Keyingi y illarda m io k a r d infarkti borlig in i ta s d iq la y d ig a n bir
q a n c h a yangi tekshirish usullari tak lif etilgan. F a q a t n e k ro tik o ‘c h o q -
d a hosil b o l a d i g a n va q o n g a o l a d i g a n C -re aktiv oqsilni a n i q l a s h
s h u n d a y u s u l l a r j u m l a s i d a n d i r . S o g l o m k i s h i l a r d a C -re a k tiv
oqsilga m a n fiy reaksiya b e ra d i. M i o k a r d in farkti b o r b o l g a n d a
oqsilning b u turi infarkt p a y d o b o l g a n d a n keyin d astlabki 29 s o a td a
q o n d a to p ila d i. Q o n n i n g oqsil spektri te k s h irilg a n d a L , - g lo b u lin la r
va fib rin o g e n m iq d o ri k o ‘payganligi a n iq la n a d i. Q o n d a q o ld iq az ot
va q a n d m i q d o r in in g k o ‘payishi o r g a n iz m d a m i o k a r d in fa rk tid a
k o ‘rila d ig a n u n c h a lik d o im iy b o i m a g a n o ‘zg a rish la rd ir.
E lektro k o rd io g rafiy a m a ’lu m o tla ri m io k a r d infarkti
d ia g n o stik a -
sida j u d a m u h i m a h a m iy a tg a ega, c h u n k i E K G te k sh iris h in fark t
o l n i n i a n i q b e lg ila s h g a , d i n a m i k a d a b a j a r i lg a n t a s v i r l a r e sa ,
k a sa llikning k e c h ish i h a q id a ta s a v v u r hosil q ilishga im k o n b eradi.
Y angi r o ‘y b e rg a n m io k a r d in fark tid a c h a p q o r i n c h a n i n g o ld devori
s o h a s id a E K G d a I u l a n is h d a
S — T
o r a l i g l
k o r o n a r tish g a
T
ga
o l a d i g a n izo c h iz iq u stid a y u q o rig a s u rilg a n , III u l a n is h d a
S — T
o r a l i g l n i n g fa q a t p a stg a surilishi k o l i l a d i . C h a p q o r i n c h a d e v o ri
III u la n ish d a Q tishga kattalashishi va k o r o n a r tishga 7 g a o l a d i g a n
5 — T o r a li q n i n g y u q o rig a s u rilg a n , I u l a n is h d a
S — T
o r a l i g l
pastga
suriladi.
M io k a r d in fa r k tin in g gastra lik xili — q o r in b o ‘s h lig ‘i a ’zolari
faoliy a tin in g o ‘zgarishi kasalligiga xos b o l g a n b e lg ila r — q o r in n in g
y u q o ri q is m id a o g ‘riq , k o ‘ngil a y n ish i, q u sish , k ek irish , h iq ic h o q
tu tish i, q o r i n n i n g d a m b o i i s h i , ich ketish b ila n k e c h a d i. Q o r in
196
s o h a s id a p a y d o b o i g a n o g ‘riq k o ‘k r a k k a , k o ‘k ra k la r o r a l i g i g a ,
t o ‘sh o ld i q is m ig a ta r q a la d i, b e m o r n i n g u m u m i y
ahvoli y o m o n -
lashadi. Q o r i n p a y p a s la b k o ‘rilg a n d a , old in g i d e v o r in in g yu q o ri
q ism i q a ttiq la s h ib o g ‘riydi.
M io k a r d infark tin in g a s tm a tik xili nafas yetishm asligi, hansira sh
b ila n b o s h la n a d i. C h a p q o r i n c h a n i n g o ‘t k i r y e tis h m o v c h ilig i b u
holga olib keladi. Y ura k astmasi, o ‘pka shishi rivojlanadi. Kasallikning
a s t m a t i k xili n i h o y a t d a o g i r k e c h ib , y u r a k - t o m i r l a r tiz im in in g
s u ru n k a li y e tish m o v c h ilig ig a olib keladi.
M i o k a r d in fa r k tin in g a r itm ik xili — y u r a k n in g
m a r o m s i z urishi
b ila n ifo d a la n a d i. T itr o q a r tim iy a q o r i n c h a ekstrasistoliyasi, turli
d a ra ja d a g i b lo k a d a la r , p a r o k s iz m a l ta x ik a r d iy a , k o ‘p r o q q o r i n c h a
xili rivojlanishi m u m k i n . M io k a r d in farkti b o sh la n is h i b ila n xavfli
a r itm iy a la r b o i i b , b e m o r n i n g a h v o lin i ta n g qilib q o ‘yadi va k o ‘p in -
c h a oNim ga olib keladi. Y u ra k n in g n otekis u rishini b e m o r tez sezadi.
U
y u r a k u rish i, h a n s ira s h , h o lsiz lik d a n sh ik o y a t qiladi. K a rd io g e n
s h o k riv ojlanadi. B a ’z a n b e m o r l a r h u s h d a n ketishadi.
M i o k a r d i n f a r k ti n i n g s e r e b r a l t u r i — m i o k a r d in f a r k tin in g
m i y a d a q o n a y l a n i s h i n i n g b u z ilish i b ila n k e c h a d i g a n x ilida —
b e m o r n i n g psixikasi o ‘z g a rad i, b o s h i a y la n a d i, h u s h i d a n ketishi
m u m k in . M iy a d a q o n a y la n is h in in g b u zilish ig a m io k a r d infarkti
tufayli yu ra k q o n n i h a y o t u c h u n z a r u r a ’zolarga
yetkazib b e r o lm a s -
ligi s a b a b b o l a d i .
M io k a r d in fa r k tin in g asoratlari:
1. S h o k kuzatiladi.
2. Y u ra k urishi m a r o m i n i n g buzilishi.
3. Y u ra k astm asi yuz berishi.
4. Y u ra k d ev o rid a g i a n e v r iz m a p a y d o b o i i s h i.
5. Y u ra k d a g i q o r i n c h a l a r a r o d e v o r in in g teshilishi.
6. T r o m b o e m b o l i k a so r a t b o i i s h i .
7. M e ’d a - i c h a k n i n g sh ish ib ketishi, m e ’d ao sti b e z in in g yallig6-
lanishi.
Do'stlaringiz bilan baham: 
