{"id":146023,"date":"2022-04-12T18:32:56","date_gmt":"2022-04-12T14:32:56","guid":{"rendered":""},"modified":"-0001-11-30T00:00:00","modified_gmt":"-0001-11-29T20:00:00","slug":"","status":"publish","type":"post","link":"https:\/\/ucnoqta.az\/?p=146023","title":{"rendered":"\u0130nfarkt\u0131n \u0259lam\u0259tl\u0259ri n\u0259l\u0259rdir? – Kardioloqdan CAVAB<\/b><\/font>"},"content":{"rendered":"

S\u0259hiyy\u0259 Nazirliyinin müt\u0259x\u0259ssis-eksperti, kardioloq F\u0259rid \u018fliyev m\u0259tbuata müsahib\u0259 verib. <\/strong><\/p>\n

H\u0259min müsahib\u0259ni t\u0259qdim edirik:<\/p>\n

– F\u0259rid mü\u0259llim, infarkt\u0131n \u0259n çox görül\u0259n \u0259lam\u0259tl\u0259ri hans\u0131lard\u0131r?<\/p>\n

– Miokard infarkt\u0131n\u0131n \u0259n çox görül\u0259n \u0259lam\u0259ti sin\u0259d\u0259 a\u011fr\u0131 \u015fikay\u0259tidir. A\u011fr\u0131 \u0259sas\u0259n dö\u015f sümüyü arxas\u0131nda yaran\u0131b, çiyin\u0259, qollara, \u0259ns\u0259, ç\u0259n\u0259 nahiy\u0259l\u0259rin\u0259, di\u015fl\u0259r\u0259, qar\u0131n v\u0259 kür\u0259k bölg\u0259l\u0259rin\u0259 yay\u0131l\u0131r. B\u0259z\u0259n a\u011fr\u0131 bu bölg\u0259l\u0259rd\u0259n sad\u0259c\u0259 birind\u0259 hiss edilir v\u0259 20 d\u0259qiq\u0259d\u0259n daha uzun müdd\u0259t davam edir. A\u011fr\u0131 \u015fidd\u0259tli (göyn\u0259dici, yand\u0131r\u0131c\u0131) v\u0259 ya küt xarakterli, s\u0131x\u0131c\u0131, a\u011f\u0131rl\u0131q, basq\u0131 hissi \u015f\u0259klind\u0259 ola bil\u0259r. A\u011fr\u0131lar b\u0259z\u0259n epiqastral nahiy\u0259d\u0259 oldu\u011fundan diqq\u0259td\u0259n qaçmamal\u0131d\u0131r.<\/p>\n

Bundan \u0259lav\u0259, a\u015fa\u011f\u0131dak\u0131 \u0259lam\u0259tl\u0259r\u0259 d\u0259 s\u0131x rast g\u0259linir: ba\u015fgic\u0259ll\u0259nm\u0259, hals\u0131zl\u0131q, ür\u0259kbulanma, qusma, t\u0259ngn\u0259f\u0259slik v\u0259 t\u0259rl\u0259m\u0259, soyuq t\u0259r hissi v\u0259 s.<\/p>\n

– \u0130nfarkt \u0259lam\u0259tini hiss ed\u0259n \u015f\u0259xs ilkin olaraq n\u0259 etm\u0259lidir?<\/p>\n

– K\u0259skin miokard infarkt\u0131 zaman\u0131 optimal müalic\u0259 x\u0259st\u0259nin erk\u0259n zamanda koronar müdaxil\u0259nin icra edil\u0259 bil\u0259c\u0259yi m\u0259rk\u0259z\u0259 çatd\u0131r\u0131lmas\u0131 n\u0259tic\u0259sind\u0259 mümkündür. \u0130nfarkt \u0259lam\u0259tl\u0259rini hiss ed\u0259n \u015f\u0259xs ilk olaraq d\u0259rhal t\u0259cili tibbi yard\u0131ma m\u0259lumat verm\u0259lidir. Erk\u0259n zamanda t\u0259cili yard\u0131mla invaziv müdaxil\u0259nin (ür\u0259yin koronar (tac) damar aç\u0131lmas\u0131 proseduru) icra edil\u0259 bildiyi m\u0259rk\u0259z\u0259 çatd\u0131r\u0131lmal\u0131d\u0131r.
\n\u0130nfarktdan sonra fiziki f\u0259aliyy\u0259tin dozas\u0131 üçün xüsusi proqramlar var. T\u0259hlük\u0259siz fiziki f\u0259aliyy\u0259t növl\u0259ri v\u0259 onlar\u0131n intensivliyi il\u0259 ba\u011fl\u0131 kardioloqla m\u0259sl\u0259h\u0259tl\u0259\u015fm\u0259niz tövsiy\u0259 olunur. Yüks\u0259k intensivlikli müqavim\u0259t m\u0259\u015fql\u0259rind\u0259n (a\u011f\u0131rl\u0131q qald\u0131rma), günün soyuq saatlar\u0131nda v\u0259 yem\u0259kd\u0259n sonra idmanla m\u0259\u015f\u011ful olma ür\u0259y\u0259 \u0259lav\u0259 yükdür. Bundan \u0259lav\u0259, miokard infarkt\u0131ndan sonra b\u0259rpa dövründ\u0259 bir s\u0131ra t\u0259n\u0259ffüs m\u0259\u015fql\u0259rini yerin\u0259 yetirm\u0259k tövsiy\u0259 olunur.<\/p>\n

– Ür\u0259k-damar x\u0259st\u0259likl\u0259rinin inki\u015faf\u0131 üçün \u0259sas risk faktorlar\u0131 hans\u0131lard\u0131r?<\/p>\n

– Kardiovaskulyar x\u0259st\u0259likl\u0259rin yaranmas\u0131 yaln\u0131z bir s\u0259b\u0259bd\u0259n olmur. Ona gör\u0259 d\u0259 b\u0259zi risk faktorlar\u0131 ür\u0259k-damar x\u0259st\u0259likl\u0259ri üçün t\u0259hlük\u0259ni art\u0131r\u0131r. Xroniki böyr\u0259k çat\u0131\u015fmazl\u0131\u011f\u0131, kontrolsuz arterial v\u0259 diabet olan x\u0259st\u0259l\u0259rd\u0259 ür\u0259k-damar x\u0259st\u0259likl\u0259ri bax\u0131m\u0131ndan risk artm\u0131\u015f olur.<\/p>\n

Bununla yana\u015f\u0131, xolesterol s\u0259viyy\u0259sinin yüks\u0259k olmas\u0131, piyl\u0259nm\u0259 v\u0259 depressiya kardiovaskulyar x\u0259st\u0259likl\u0259r üçün risk da\u015f\u0131yan patologiyalardand\u0131r.<\/p>\n

Bu s\u0259b\u0259bd\u0259n d\u0259 risk faktorlar\u0131 2 qrupa bölünür – modifikasiya oluna bil\u0259n v\u0259 oluna bilm\u0259y\u0259n.<\/p>\n

Modifikasiya oluna bil\u0259n faktorlara aiddir: yüks\u0259k total xolesterol s\u0259viyy\u0259si; hipertenziya; diabet; p\u0259hriz\u0259 riay\u0259t olunmamas\u0131 v\u0259 piyl\u0259nm\u0259; siqaret v\u0259 alkoqol istifad\u0259si; fiziki passivlik.<\/p>\n

Modifikasiya oluna bilm\u0259y\u0259n faktorlara is\u0259 ail\u0259 (irsi) anamnezi, cins v\u0259 ya\u015f göst\u0259ricisi aiddir.<\/p>\n

– U\u015faqlarda daha çox hans\u0131 ür\u0259k x\u0259st\u0259likl\u0259ri rast g\u0259linir?<\/p>\n

– U\u015faqlarda ür\u0259k x\u0259st\u0259likl\u0259ri a\u015fa\u011f\u0131dak\u0131 qruplar\u0131 \u0259hat\u0259 edir: anadang\u0259lm\u0259 ür\u0259k qüsurlar\u0131; ür\u0259yin revmatik x\u0259st\u0259likl\u0259ri; aritmiya.<\/p>\n

U\u015faqlarda ür\u0259k x\u0259st\u0259likl\u0259rind\u0259n \u0259n çox rast g\u0259lin\u0259ni anadang\u0259lm\u0259 anomaliyad\u0131r. Bunlara ür\u0259k bo\u015fluqlar\u0131 aras\u0131nda arak\u0259sm\u0259l\u0259rd\u0259 v\u0259 ya ür\u0259kd\u0259n ç\u0131xan böyük damarlarda olan qüsurlar; m\u0259d\u0259cikl\u0259raras\u0131 ç\u0259p\u0259r qüsuru; qulaqc\u0131qlararas\u0131 ç\u0259p\u0259r qüsuru; botal axaca\u011f\u0131n aç\u0131q qalmas\u0131; ür\u0259k qapaq x\u0259st\u0259likl\u0259ri; hipoplastik sol m\u0259d\u0259cik sindromu; Fallo tetradas\u0131 v\u0259 s. aiddir.<\/p>\n

Bütün ya\u015f dövrl\u0259rind\u0259, h\u0259mçinin ür\u0259yind\u0259 heç bir d\u0259yi\u015fiklik olmayan u\u015faqlarda da aritmiya t\u0259saduf olunur. Ür\u0259k döyüntül\u0259ri sür\u0259tl\u0259nir v\u0259 \u015f\u0259xs ür\u0259k ç\u0131rp\u0131nt\u0131lar\u0131n\u0131 ayd\u0131n hiss edir. H\u0259yacanlanma, yaxud h\u0259r hans\u0131 fiziki aktivlik zaman\u0131 aritmiya xeyli art\u0131r.<\/p>\n

Qeyd edim ki, ür\u0259yin revmatik x\u0259st\u0259likl\u0259ri müalic\u0259 olunmam\u0131\u015f t\u0259qdird\u0259 streptokok m\u0259n\u015f\u0259li yoluxucu infeksiyalar mü\u015fahid\u0259 oluna bil\u0259r.\/\/\/lent.az<\/p>\n","protected":false},"excerpt":{"rendered":"

S\u0259hiyy\u0259 Nazirliyinin müt\u0259x\u0259ssis-eksperti, kardioloq F\u0259rid \u018fliyev m\u0259tbuata müsahib\u0259 verib.  H\u0259min müsahib\u0259ni t\u0259qdim edirik: – F\u0259rid mü\u0259llim, infarkt\u0131n \u0259n çox görül\u0259n \u0259lam\u0259tl\u0259ri hans\u0131lard\u0131r? – Miokard infarkt\u0131n\u0131n \u0259n çox görül\u0259n \u0259lam\u0259ti sin\u0259d\u0259 a\u011fr\u0131…<\/p>\n","protected":false},"author":1,"featured_media":251278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[101],"tags":[],"class_list":["post-146023","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cemiyyet"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/146023","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=146023"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/146023\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/media\/251278"}],"wp:attachment":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=146023"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=146023"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=146023"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}