Angina - lililonse chiwonetsero cha matenda mtsempha wamagazi

Malinga ndi zomwe posachedwapa, angina unalembedwa pafupifupi 1% pachaka. Mu odwala matenda ichi, anthu ambiri wamwamuna zaka zopuma pantchito. Chiwerengero cha anthu amene amayamba angina ukuwonjezeka chaka chilichonse.

Pakuti chikhalidwe chotere yodziwika ndi kufala kwa ululu yochokera kwa kumanzere kwa thupi, ndicho tsamba, dera chifuwa, dzanja, theka la khosi, nsagwada m'munsi. Kawirikawiri limodzi ndi kuukira chowawa mantha osadziŵika. Childs, ululu kumatenga za 10-15 Mphindi. Angina atazikocheza pambuyo kuletsa thupi yaikulu kapena pambuyo ntchito nitroglycerin.

Khola angina - ischemia chimake imene ululu zambiri kumachitika nthawi zolimbitsa thupi la mwamphamvu ena. Mlingo katundu pa chimene angina - muyezo kwambiri kwa kudziwa matenda mwamphamvu. Chitani kulolerana ndi maziko a kugawa odwala mu makalasi:

• kalasi 1. Normal tolerability wa ntchito tsiku thupi. Khunyu kumachitika nthawi akatundu mkulu mwamphamvu.
• 2 kalasi. Pali malire pang'ono masewera olimbitsa thupi. Kuukira kumachitika pamene kukwera masitepe kapena kudutsa oposa 500 m.
• Kalasi 3. A malire amalembedwa zolimbitsa thupi. Khunyu zimachitika kuwuka kwa pansi kapena pamene kugonjetsa chapatali 500 m.
• 4 kalasi. Kuukira kumachitika ngakhale pa ntchito yaing'ono thupi monga kuyenda pa mtunda wa 100 m. Kuukira zambiri zimachitika mu siteji mpumulo.

Wochititsa matenda amati atherosclerosis wa ziwiya inatsekeratu magazi kuti kulimbikitsa mtima. Atherosclerotic mipukutuyi fibrotic kulowererana ziwiya lumen, ziletsa yachibadwa magazi. zolimbitsa thupi kumabweretsa kuwonjezeka kugunda kwa mtima ndi kuthamanga kuwonjezeka magazi. Panthawi imeneyi, minofu mtima ndi khama kwambiri pa ntchito, kutanthauza kuti kumawonjezera kufunika oxygen. Kufunika sangakhuteyu ndi nthenda yotaya magazi kwa mitsempha mwapang'ono ndi zolengeza atherosclerotic. Chifukwa cha ichi, pali osakwanira mpweya machulukitsidwe wa minofu mtima - ischemia.

Angina, zizindikiro: kutopa, kufupika kwa mpweya, kupweteka m'chifuwa. Matenda a matenda panopa sikovuta. angina anatsimikiza ndi kujambula electrocardiogram ikuchitika pa Zomwe zinachitika chopweteka. kusintha Ischemic thandizo vuto ndi njira zina matenda monga matayala, njinga ergometry, Holter -loaded zitsanzo. Mfundo zikuluzikulu za njira izi ndi chimodzi: wodwalayo kuchita zinthu zina zolimbitsa thupi pa ECG kulembetsa.

Angina mankhwala: kuchepetsa mavuto ndi zothetsa ululu. Pomwepo ikuchitika kupewa m'mnyewa wamtima infarction, inatsekeratu atherosclerosis ndipo mwadzidzidzi mtima kumangidwa. Pofuna kukwaniritsa kudzudzulidwa ino dyslipidemia, kuwonda, normalization wa magazi, kusiya kusuta, normalization wa zimam'patsa kagayidwe, ndi zolimbitsa zolimbitsa thupi.

Monga mankhwala ntchito beta-blockers, statins, aspirin. Mpumulo wa ululu wa angina kuukira sublingual ntchito nitroglycerin. Lilipo mapiritsi ndi monga kutsitsi ndi. angina makamaka mtundu aakulu angathe kuchiritsidwa ndi njira ya opaleshoni: inatsekeratu mtsempha wamagazi kulambalala opaleshoni, stenting mtsempha wamagazi zibaluni angioplasty.