اقداماتي كه براي بيمار سكته قلبي بستري شده در بيمارستان انجام مي شود:
معمولاً پزشكان يك سكته قلبي را سريع تشخيص داده و درمان مي كنند. ضربان قلب به طور مداوم در يك تا دو روز اول كنترل مي شود و هر حالت غيرطبيعي تحت درمان قرار مي گيرد. سپس فعاليت جسمي بيمار به تدريج افزايش مي يايد. معمولا بيمار بعد از 7 روز از بروز سكته قلبي مرخص مي شود.
جلوگیری از سکته قلبی مجدد
اكثر بيماران بعد از سكته قلبي بهبود مي يابند و نياز به جراحي قلب ندارند. براي اين بيماران آسپيرين (با مقدار كم )، نيترات ها (مانند نيتروگليسيرين ) و يا داروهاي بتا بلوكر (مانند پروپرانولول) تجويز مي شود. اين داروها خطر سكته قلبي مجدد را كاهش مي دهند. معمولا بيماران قبل از مرخص شدن از بيمارستان راهنمايي مي شوند. آن ها بايد نكاتي را درباره موارد زير بدانند:
1. براي مراقبت از عوامل خطري كه داشته اند يا دارند (مانند مصرف دخانيات ، فشارخون بالا، كلسترول خون بالا يا داشتن اضافه وزن) چه وظايفي به عهده آن ها است.
2. از چه زماني فعاليت هاي طبيعي زندگي (مانند ورزش، رانندگي و روابط جنسي ) را مي توانند شروع كنند.
3. از چه زماني مي توانند كار (فعاليت حرفه اي) خود را شروع كنند.
4. توانبخشي آن ها را چه كسي انجام مي دهد.(پزشك عمومي ، متخصص قلب يا بخش خدمات سرپايي بيمارستان)
5. برنامه توانبخشی بعد از سکته قلبی و بازتواني بيمار شامل چه مواردي است.
بيمار بايد در طي بستري در بيمارستان، از نظر بروز مجدد سكته قلبي ارزيابي شود ، چون احتمال بروز اين خطر زياد است. ممكن است براي بيمار تصميم گرفته شودكه پيوند عروق كرونر انجام شود، يا از روش هاي ديگر مانند استفاده از بالن يا فنر (استنت) براي باز كردن قسمت هاي تنگ شده شريان هاي عروق كرونر (آنژيو پلاستي) استفاده گردد. زماني كه شرايط بيمار تثبيت شد، اقدامات بيشتري براى بازگرداندن جريان خون كرونر صورت مي گيرد.
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