Cocaine muaj ntau yam kev mob plawv. Tsis muaj leej twg zoo.
Muaj ob peb yam chav kho mob thaum muaj xwm txheej ceev dua li pom tus neeg siv yeeb yaj kiab uas qhia txog mob hauv siab, los yog lwm yam kev mob tshwm sim ntawm kab mob plawv. Lawv dread yog well-founded.
Nws tsis zoo txaus tias tus tub ntxhais hluas, tus neeg no yog tus neeg uas muaj kev noj qab haus huv yuav raug kev txom nyem los ntawm txoj kev muaj mob los yog kev xiam oob qhab.
Dab tsi ua rau nws mob heev ntxiv yog tias tus kws kho mob paub tias qhov kev kuaj kom yog yog qhov nyuaj thiab tsis yooj yim (vim tias yeeb yaj kiab muaj peev xwm ua rau mob plawv heev).
Txawm tias ntau tshaj qhov teeb meem, thaum kuaj qhov tseeb, kev kho mob yuav yog qhov tshwj xeeb tshaj yog nyuaj, vim hais tias muaj ntau qhov teeb meem ntawm cov yeeb yaj kiab ntawm lub cev cov kev ua haujlwm. Tsis tas li ntawd, tus neeg mob cov txiaj ntsig tau mus ntev ntev yuav yog qis tshaj, txawm tias muaj tseeb qhov kev kuaj mob sai sai, thiab kev kho mob sai sai.
Cocaine cuam tshuam dab tsi rau lub plawv mob?
Cocaine yog ib qho tshuaj uas ua rau tus neeg tsis tuaj yeem tawm hauv norepinephrine hauv cov neurons. Qhov no inhibition pub rau norepinephrine kom nyob ruaj khov rau lub sij hawm ntev, zoo heev ua kom cov nyhuv ntawm no tus neeg mob neurotransmitter nyob rau hauv lub siab sympathetic hlwb. Cov kev ua haujlwm uas mob siab rau lub siab ua haujlwm muaj qhov teebmeem ntawm cov kab mob plawv.
Nws ua kom muaj zog ntawm lub plawv mob raws li nws cov ntawv cog lus, thiab tib lub sij hawm nws nce lub plawv dhia thiab ntshav siab. Cov teeb meem no tag nrho ua rau kev ua haujlwm ntawm lub plawv, thiab yog li ntawd qhov kev xav tau ntawm lub plawv rau cov pa thiab cov pa tshuaj.
Tab sis tib lub sij hawm uas nws ua rau lub plawv mob ua haujlwm ntau dhau lawm, cov yeeb yaj kiab kuj ua rau lub qhov muag ntawm cov hlab ntsha, txo cov ntshav ntws mus rau lub plawv mob.
Tsis tas li ntawd, yeeb-yaj-kiab yeej txhawb nqa ntshav hauv cov hlab ntsha.
Qhov no yog qhov sib txuam ua ke ntawm cov teebmeem. Thaum nws tsim kom muaj kev mob plawv zoo heev rau cov pa oxygen, cov tshuaj yeeb dawb qis tswj cov ntshav ntws mus rau lub plawv mob, txwv cov oxygen uas tau xa tuaj. Cov kab mob plawv thiaj li ua rau tsis tshua muaj nyuab siab.
Cov Kev Mob Hlwb Uas Ua Rau Puas Siv Tau Los ntawm Kev Siv Cocaine?
Qee yam kev mob plawv muaj peev xwm ua tau los ntawm kev sib tov ua ke los ntawm kev siv cocaine.
Cov no suav nrog:
- Myocardial infarction (lub plawv nres). Lub plawv nres yog qhov paub zoo txog kev siv cocaine, thiab tuaj yeem tshwm sim nrog cov tshuaj yeeb dej coca, thiab txawm tias cov neeg siv thawj zaug. Feem ntau cov cocaine-vim raug mob plawv tshwm sim nyob rau hauv ib teev ntawm kev siv tshuaj, thiab lawv yog cov neeg yau tshaj. Qhov tseeb, kev siv cocaine tau siv li ntawm 25 feem pua ntawm cov plawv nres uas tshwm sim nyob rau hauv tib neeg nyob rau hauv 45. Nyeem txog kev kho mob ntawm myocardial infarction.
- Aortic dissection. Mob aortic acne - ib zaug tearing ntawm phab ntsa ntawm lub tsho - yog mob tsis tshua muaj neeg mob thiab tuag taus. Txawm hais tias muaj ntau yam ua rau aortic dissection, nyob rau hauv cov neeg hluas cov neeg siv yeeb siv tshuaj yog ib qho ua rau mob.
- Coronary artery aneurysm. Coronary artery aneurysms, plab zawv plab ntswj ntawm cov hlab ntsha muaj sia, feem ntau yog cov neeg siv cocaine, tshwm sim txog li ntawm 30% ntawm cov neeg mob ntev. Coronary artery aneurysms yog ib qho ua rau lub plawv nres.
- Myocarditis thiab cardiomyopathy. Cocaine ua rau mob myocarditis, los yog mob plawv ntawm lub plawv mob. Myocarditis tuaj yeem ua rau kev puas siab ntsws ntawm lub plawv mob, los yog cardiomyopathy. Yog li ntawd, lub plawv tsis ua haujlwm tshwm sim.
- Lub plawv dhia dej teeb meem. Kev siv cocaine yuav ua rau mob plawv coob heev. Ntxiv rau qhov ua rau tuag taus los ntawm cov hlwv fibrillation, cov neeg tuaj yeem tuaj yeem tsim cov khoom tawg thaiv, plawv thaiv, torsades de pointes, thiab ntau hom supraventricular tachycardias.
- Stroke. Txoj kev pheej hmoo ntawm kev quab yuam ntawm cov neeg siv coca yog kwv yees txog li xya zaus siab dua tias nws yog rau cov tsis yog siv.
Vim li cas Cocaine Siv Complicates kho cov teeb meem ntawm lub plawv
Feem ntau, kev kho cov teeb meem uas ua rau muaj kab mob plawv yog zoo li kev kho mob ntawm cov teeb meem tib yam thaum lub sijhawm siv tshuaj yeeb tsis zoo. Txawm li cas los xij, cocaine siv cov kev kho mob nyuaj hauv ob peb yam tseem ceeb:
- Beta blockers yuav tsum tsis txhob siv rau cov neeg mob noj cov tshuaj yeeb dawb. Beta blockers tseem ceeb heev rau kev kho mob ntawm tus kab mob coronary artery, lub plawv nres, angina, thiab lub plawv tsis ua hauj lwm. Txawm li cas los xij, hauv cov neeg uas tau coj cocaine, beta blockers (uas thaiv cov kev mob ntawm cov neeg tsis muaj zog los ntawm cov neeg tsis paub qab los ntawm cov neeg tsis paub qab hau) "uncover" cov teeb meem ntawm alpha-sympathetic, ua rau ntau txoj kev ntawm cov leeg hlab ntsha, thiab ntshav siab ntau dua. Qhov tseeb no yuav siv cov cuab yeej kev kho mob tseem ceeb ntawm tus kws kho mob txhais tes thaum lawv tab tom ua rau lub plawv nres.
- Thaum kho qhov mob zoo li mob plawv nres, kev siv cov tshuaj khawb pob-busting - yeeb tshuaj uas ua rau fibrinolysis - feem ntau tsis tau ua haujlwm nyob rau hauv ib tug neeg siv tshuaj yeeb-tshuaj uas tsis tau ua ntej ua tus catheterization. Qhov no yog vim hais tias ECG hloov uas feem ntau qhia tias qhov mob plawv nres yog tshwm sim nyob rau hauv cov neeg siv cov neeg uas tsis muaj lub plawv nres.
- Cov kws kho mob tsis kam siv stents los kho tus kab mob coronary artery hauv cov neeg siv cocaine, vim stent thrombosis (clotting tawm ntawm stent) ntau dua rau cov neeg no.
Lo Lus Ntawm
Kev siv cov tshuaj yeeb-yaj-kiab tuaj yeem ua rau muaj kev ntxhov siab rau lub plawv thiab cov leeg tshav kub, thiab tuaj yeem ua rau ntau yam kev mob plawv. Tsis tas li ntawd xwb, vim yog cov neeg ua haujlwm ntawm cov neeg muaj mob muaj sia, kev kho cov kev kho mob tsuas yog cov neeg uas muaj cov kabmob plawv hauv lub cev.
> Qhov chaw:
> Afonso L, Mohammad T, Thatai D. Crack Whips lub plawv: Kev Tshawb Pom Kev Ntsaws Plawv Cov Tshuaj lom neeg ntawm Cocaine. Kuv J Cardiol 2007; 100: 1040.
> Maraj S, Figueredo VM, Lynn Morris D. Cocaine thiab lub plawv. Clin Cardiol 2010; 33: 264.
> McCord J, Jneid H, Hollander JE, li al. Kev Tswj Kev Siv Cov Mob Cocaine Chest Mob thiab Myocardial Infarction: Ib Daim Ntawv Txuj Ci ntawm American Heart Association Cov Neeg Mob Tom Qab Kev Kho Mob Kho Mob hauv lub Council on Clinical Cardiology. Kev Tshawb Fawb 2008; 117: 1897.
> Schwartz BG, Reskalla S, Kloner RA. Kev mob plawv ntawm cov yeeb dawb. Kev sib tw 2010; 122: 2558.