Angina - njengokubonisa obabuthandwa kwemithambo

Ngokutsho manani zakutshanje, angina abhalwe phantse-1% ngonyaka ngamnye. Xa izigulana na kwesi sifo, uninzi abalingana eyindoda umhlala-phantsi. inani labantu babe ukunyuka angina rhoqo ngonyaka.

Kuba imeko enjalo luphawulwa ukusasazeka intlungu ibonakala ukuya kwicala lasekhohlo lomzimba, oko kukuthi ibe likhaba, kwingingqi esifubeni, isandla, isiqingatha entanyeni, emhlathini asezantsi. Soloko ilandelwa lutshintsho lwemithetho ukuhlaselwa ezibuhlungu yokoyika kwesizathu. Ngokuqhelekileyo, iintlungu ithatha malunga 10-15 imizuzu. Angina ebekwe emva yokumisa amandla omzimba okanye emva kokuba isicelo of nitroglycerin.

angina Esitalini - ngobuwena ischemia apho intlungu ngokuqhelekileyo kwenzeka xa umthambo we kwelona ethile. Inqanaba umthwalo apho kukho angina - njengenqobo engundoqo ukuze kugqitywe ubungnqongqo sifo. Ukuzilolonga ukunyamezelana sisiseko yokwahlula izigulane ngokweendidi:

• 1 eklasini. tolerability Eqhelekileyo umzimba imihla ngemihla. Uxhuzula ngexesha imithwalo eliphezulu ngamandla.
• 2 iklasi. Kukho umda omncinane umzimba. Attack kwenzeka xa lisanyuka izinyuko okanye liphosele ngaphezulu kwe-500 m.
• Grade 3. A umda ophawulwe umzimba. Uxhuzula kwi ukunyuka ukuya phantsi okanye xa wohlukane umgama m 500.
• 4 eklasini. Attack kwenzeka ngisho umsebenzi ezincinane emzimbeni, ezifana uhamba kumgama 100 m. Uninzi bamelwa kukwinqanam yokuphumla le.

Unobangela ephambili yale sifo luthathwa yamafutha iimpahla yegazi nemithambo ukuba sikhule intliziyo. umonakalo Atherosclerotic imikhumbi fibrotic sayo sifana kakhulu, zinqanda ukuhamba kwegazi eqhelekileyo. umsebenzi Physical kukhokelela ekwandeni izinga lentliziyo kunye noxinzelelo nokwanda wegazi. Ngeli xesha, imisipha intliziyo nzima emsebenzini, nto leyo ithetha ukuba kwandisa imfuneko oksijini. Le imfuneko enganeliswa ngegazi ukugeleza imithambo iingqameko yi uqweqwe atherosclerotic. Ngenxa yoko, kukho ayanelanga oksijini Ukwanda imisipha yenhliziyo - ischemia.

Angina, iimpawu: ukudinwa, ukuphelelwa umoya, iintlungu esifubeni. Lokufunyaniswa kwesifo kungoku nje nzima. angina emiselwe Ngokushicilela electrocardiogram wenziwe ngexesha episode kabuhlungu. utshintsho kobuchopho uncedo elungisa kunye nezinye iindlela zokuxilonga, ezifana obuqinileyo naabo ababathandayo, ergometry ibhayisekile, Holter -loaded iisampulu. Umgaqo eziphambili zezi linye; isigulane kufuneka enze umsebenzi ethile emzimbeni ngexesha lokubhalisa ECG.

unyango angina: ukunciphisa iimpawu kunye ukuphelisa intlungu. Ngoko nangoko wenziwe ukuthintelwa engabalulekanga iposi, yegazi nemithambo kunye ngesiquphe zokuma. Ukuphumeza oku kulungisa yenziwe dyslipidemia, ukwehla kobunzima, kuqheleke uxinzelelo lwegazi, ukuyeka ukutshaya, kuqheleke carbohydrate ukutya, nomsebenzi ngokulinganisela.

Njengoko kwanonyango iziyobisi wasebenzisa beta-blocker, statins, aspirin. Kuba ukukhululeka ubuhlungu bahlaselwe angina ukusetyenziswa nitroglycerin sublingual. Iyafumaneka emacwecweni kwaye isitshizi. angina ingakumbi ifomu kakhulu iyanyangeka ngokusebenzisa kotyando: coronary utyando kwimithambo esa, stenting ibhaloni kwemithambo angioplasty.