心臟中風 ê 原因 kap 預防

1. 心臟中風ê原因kap預防 報告組別：第19組 姓名：林佩樺&毛婉蘋 指導老師：蔣日盈

2. 心臟解剖

3. 心臟解剖Sim-chōng kái-phòa 1. Sim-chōng(心臟) hū-chek ka hueh phah-khì seng-khu so-ū ê khì-koan(器官). Sī chit-chióng tek-sû-hòa(特殊化) ê kin-bah(筋肉), ē-tàng pháng(運轉) kui-sì-lâng bián hioh-khùn. 2. Sim-chōng hun chòe chó-iūnng-pêng. Múi chit-pêng lóng keh chò nng keng(兩個腔室): sim-pông(心房) kap sim-sek(心室). Koh ū moh-á(瓣膜) ī-hông sim-pông kap sim-sek hueh tò-lâu(逆流).

4. 心臟解剖Sim-chōng kái-phòa 3. Sàng-sȯh pá-tīⁿ ê hueh(充滿氧氣的血液) tùi hì-pȱ(肺部) tńg-lâi tò-pêng ê sim-pông(左心房). Hueh thêng-liû tīsim-pông lāi, tit-kàu cheng-bō-piān (僧帽瓣) phah-khui koh sim-pông siu-sok. Án-ne hoeh lâu jip tò-pêng ê sim-sek (左心室). Jiân-āu chiah-ê hueh thong-kòe chú-tōng-meh-piān (主動脈瓣)lâu-khì siōng tōa-tiâu ê hueh-kin(血管), chú-tōng-meh, lâu kàu kui sin-khu. 4. Tng hueh thong-kòe seng-khu(身體) ê sûn-khoân(循環) tò--tńg-lâi liáu-āu, i ēlâu-jip-khì chiàⁿ-pêng ê sim-pông (右心房). Tùi hia, hueh ēthong-khòe saⁿ-chiam-piān (三尖瓣) lâu-jip-khì chiàⁿ-pêng ê sim-sek (右心室), jiân- āu koh thong-kòe hì-tōng-meh-piān lâu-khì hì-pȱ.

5. 心臟解剖Sim-chōng kái-phòa 5. Tī hì-pȱ(肺臟) khip-siu sng-so(氧氣) koh lâu tńg-khì tò-sim-pông, kàu-chia chôan-pȱê sûn-khoân koh-chài têng khái-sí(重新開始). 6. Sim-chōng su-iàu chhî-siok put-tōan ê sng-so(sàng-sȯh) kap thng-hūn ê kióng-kip, chiah ē-tit-thang hoat-hui(發揮) i ê kong-lêng. Sàng-sȯh pá-tiⁿê hueh thong-kòe koan-chōng tōng-meh(冠狀動脈) sàng-kàu sim-chōng. Koan-chōng tōng-meh tùi chú-tōng-meh(主動脈) hun--chhut-khì.

8. 心臟解剖Sim-chōng kái-phòa 7. Sim-chōng tīchit-chióng siong-tong hiap-tiau(協調) ê chêng-hêng hā, chū-tōng teh siu-sok(收縮). Tīsim-pông ê so-chāi ū tek-sû ê sè-pau(細胞), ēsek-hòng(釋放) chhut ín-khí sim-pông siu-sok ê tiān-liû(電流). 8. Tiān-liû thong-kòe tek-sû ê sè-pau thôan-kàu sim-sek. Sim-pông siu-sok liáu-āu, koh-lâi sī sim-sek siu-sok.

9. 心臟中風ê原因

10. 心臟中風ê原因Goân-in 1. Lán ê hoeh nā lô(混濁), chiū-sīhoeh lāi-bīn ê iû-chit(脂肪) siūⁿ-chē, iû-tái chiūēkhah tī(阻塞) hoeh-kńg-piah, kiò-chò iû-chí-kak(油渣). Iû-chí-kak lú chek lú chē, hoeh-kńg chiūpiàn khah eh, che chiū-sī tōng-meh ngē-hòa (動脈硬化). Sim-chōng pún-sin khò koan-chōng tōng-meh thê-kiong(提供) sng-solâi î-chhî(維持) chèng-siông ê ūn-chok(運作). Nā-sīiû-tái khah-tī KCTM lú lâi lú chē, chiong kî-bóe KCTM ē that-sí--khì. Án-ne hoeh lâu bē kàu sim-chōng ê kin-bah(肌肉).

11. 心臟中風ê原因Goân-in 2. Sim-chōng ê ki-bah chiū in-ūi bô hoeh(缺血), bô sng-so(缺氧氣)tì-sú(導致) hoāi-sí(壞死), chō-sêng heng-khám būn-thiàⁿ(胸口悶痛). Che chiū-sīsim-ká-thiàⁿ(心絞痛). 3. Hioh-khùn 10 hun-cheng āu, á-sīchih ih-á(服藥), sim-ká-thiàⁿchèng-chōng chiūēbô--khì. 4. Iû-chí-kak lú lâi lú tōa-tè, koān-chōng tōng-meh chiū lú lâi lú eh. Siong bóe-á kā KCTM oân-choân that-sí. Mā ū khó-lêng hoeh-kńg lāi sán-seng hoeh-chhoan(血栓), kāí-keng piàn eh ê KCTM oân-choân that tioh(阻塞).

12. 心臟中風ê原因Goân-in 5. Hoeh-chhoan hoat-seng(發生) liáu-āu, hoeh lâu bēkòe. Bô hoeh ê sim-chōng kin-bah chiūéng-kiú(永久) siū-siong bē-tàng hôe-hok. Che chiū-si sim-chōng tiòng-hong.

13. 治療

14. 治療 1. Sim-ka-thian e si，sim-chong kin-bah bo kau-giah(足夠) e sng-so. Na-si sim-chong tiong-hong，oan-choan bo poan –tih sng-so(完全沒有氧氣). Bian(不需) 6 tiam-cheng chiu e cho-seng sim-chong kin-bah toa hoan-ui e giam-tiong siong-hai(嚴重傷害). 2. Siong-ho si ti l tiam-cheng lai khai-si ti-liau(治療). An—ne sen-mia(生命) siong an-choan. Sim-chong e sng-tng(損傷) ma siong chio.

15. 治療 3. I-seng e ka li cho sim-tian-to kiam-cha(心電圖檢查)，khak-jin si-m-si u sim-chong tiong-hong. Ma thiu-hoeh kiam-giam(抽血檢查)，khoan sim-chong kin-bah sun-hoai e cheng-heng. Thong-siong ti hoeh e kiam-cha kiat-ko(結果) chhut—lai e chin-cheng chiu khai-si the ti-liau ah.

16. 治療 4.Na-si(假如) khak-teng(確定) u sim-chong tiong-hong i-seng e： (1)Ho li iun-hoa(溶解) hoek-kak(血栓)，e-tang phah-thong tong-meh e ioh-but. Kio-cho”hoeh-kak-iun-hoa-che”(血栓溶解劑). Siong-ho ti 1 tiam-cheng lai chiu su-iong. So-I na-si hiau-gi(懷疑) sim-chong tiong-hong it-teng ai koan-kin chhoe i-seng chhu-li. (2)The-kiong chi-thian che(止痛劑) (3)Un-teng(穩定) li e sim-chong thiau-tong(跳動) (4)Pang-chan li chhoan-khui e sun(呼吸順暢)

17. 治療 5. Cho sim-to-kng(心導管) kiam-cha khoan sim-hoeh-kng(心血管) e chong-hong. Ma e-tang ti hoeh-kng，chiu-si koan-chong tong-meh，lai-bin iong ke-kui-a(氣球) ka tong-meh keng ho khah toa-khang(撐大)，a-si chng keng-a(裝支架) ho tong-meh po-chhi khui-thong(暢通). 6. Na-si teng-bin(上面) kong e sim-to-kng chhu-li bo seng-kong，chiu kho-li sim-chong khui-to(開刀) e hong-hoat. Ka heng-kham(胸部) koah khui，iong kha-thui(腳) e hoeh-kin a-si heng-kham lai-bin e hoeh-kng theh lai tai-the(代替) i-keng that-si e koan-chong tong-meh.

18. 治療 7. Na jin-chin tiau-cheng seng-oah hong-sek ho sin-the kian-khong，sim-chong tiong-hong ma thang pi-bian(避免). 8. So-I，sim-chong tiong-hong hoat-chok liau lu cha ti-liau hau-ko lu ho. M-ku(不過) ti hoat-chok e si lan ling sim-thau be tian，be-hiau cho koat-teng(做決定). Siong-ho si lan long i-keng u sim-li chun-pi. An-ne chiah tho-tong(妥當).

19. 心絞痛和心臟中風

20. 心絞痛和心臟中風 Sim-ká-thiàⁿvs. Sim-chōng Tiòng-hong 1.Sim-chōng tiòng-hong ê tiāu-thâu(徵狀) kap sim-ká-thiàⁿ saⁿ chhin-chhiūⁿ, in tiong-kan chú-iàu ūsaⁿ-hāng bô kāng: (1)Thàng-thiàⁿ(疼痛) khah giâm-tiōng (2) Thàng-thiàⁿ thong-siông ē chhiau-kòe gȱ hun-cheng(五分鐘). (3) Naitororin(硝化甘油) á-sī hioh-khùn bô-hoat-tȱ kiám-khin thàng-thiàⁿ

21. 心絞痛和心臟中風 Sim-ká-thiàⁿvs. Sim-chōng Tiòng-hong 2. Nā koan-chōng tōng-meh piàn siuⁿ-eh(窄), chiū ē chhut-hiān(出現) sim-ká-thiàⁿ. Nā-sīkoan-chōng tōng-mh ê būn-tê(問題) bô khòng-chè(控制) hó-sè, ēlú lâi lú giâm-tiōng. Khòng-chè chiū-sīseng-oah hong-sek(生活方式) ài kái-piàn chò(改變) kiān-khong—ê(健康). Kàu lȱ-bóe, ū-ê koan-chōng tōng-meh ē oân-choân cho-that, chō-sêng sim-chōng tiòng-hong.

22. 心絞痛和心臟中風 Sim-ká-thiàⁿvs. Sim-chōng Tiòng-hong 3. Lí teh chò ūn-tōng(運動) ê sî nākam-kak heng-khám thiàⁿ, hioh-khùn chit--ê chiū bē thiàⁿ, che chiū-sī sim-ká-thiàⁿ. Kín chhōe i-seng thó-lūn(討論). 4. Nā-sī ū teh chih(服用) sim-ká-thiàⁿê ih-á, koh lí put-tān bô hioh-khùn, iābô hok-ioh kiám-khin(減輕) thàng-thiàⁿ, lí kiám-chhái ēsim-chōng tiòng-hong, kóaⁿ-kín thó kiù-peng(尋求協助).

23. 心臟中風ê預防

24. 心臟中風ê預防sim-chong tiong-hong e i-hong Beh kin-pún(根本) ī-hông koān-chōng tōng-meh ngē-hòa(硬化) êbūn-tê, m-sīchiah ih-á, mā m–sīchhiú-sut. Siōng ū-hāu(有效) ê pān-hoat sīkiān-khong ê seng-oah hong-sek.

25. 心臟中風ê預防sim-chong tiong-hong e i-hong Chiū-sī ē-bīn 9 hāng. 1.Mài pok-hun(不要吸菸) 2. Chiàu i-seng ê kiàn-gī(建議)chò ūn-tōng 3. Kiān-khong ê chiah-sit(飲食), pêng-kin(均衡)ê êng-ióng. Ūsi ê chhài-se(有纖維的蔬菜), iû-hun mài siuⁿ-chē 4. Kiám-cha táⁿ-ko-sûn(膽固醇), nāsiuⁿkoân(太高), tioh ài khòng-chè(控制) 5. Tiāⁿ-tiāⁿ(經常)pōng hoeh-ap(量血壓). Nāsiuⁿkoân, tioh ài khòng-chè.

26. 心臟中風ê預防sim-chong tiong-hong e i-hong 6. Thé-tāng nāchhiau-kòe, tih ài kiám-pûi(減重) 7. Kiám-cha hoeh-thng(血糖). Nāsiuⁿkoân, tioh ài khòng-chè 8. Àm-sî ài ū chhiong-chiok ê khùn-bîn(充足的睡眠) 9. Seng-oah ap-lek(壓力) ê koán-lí(管理)

27. 心臟中風ê預防sim-chong tiong-hong e i-hong Nā-sīlí ūsim-ká-thiàⁿ, á-sīkî-thaⁿ(其他)sim-chōng hong-bīn(方面) ê chk-pēⁿ(疾病), tīlí beh khai-sí chìn-hêng(進行) ūn-tōng, á-sīkiám-pûi kè-ek ê chin-chêng, ài kap lí-ê i-seng thó-lūn.

28. The end~ 謝謝大家~