Unyango isifo: iziyobisi. isifo Uqhaqho intliziyo - unyango, amayeza kunye neempawu

nesifo sentliziyo - imeko zophendlo lwezifo kubangelwa kukungabikho nangoncedo imisipha yenhliziyo ngenxa licuthe le mithambo kwemithambo yenhliziyo okanye spasm. Izisa ndawonye phantsi eziliqela iSifo, ezifana sifuba angina, iposi engabalulekanga, Cardio, ukufa intliziyo ngesiquphe kunye nabanye.

Namhlanje ke esi sifo ixhaphakileyo ehlabathini kwicandelo wayo, kwaye ubekwa kwindawo yokuqala phakathi ezibangela ukufa kunye nokhubazeko kuwo onke amazwe ahambele phambili kwezoqoqosho.

predisposing zinto

Namhlanje awexula ngokwekhrayitheriya ngazo ukuqikelela uphuhliso sifo. isifo sentliziyo asinto umnyinyiva. Akukho nje uluhlu kunye nokwahlulwa ubungozi, amaqela ngaqela ngokungqinelana ngokweempawu ezithile ezinokuthi zibe negalelo kule sifo.

1. eziphilayo:
   - ubudala ngaphezu kweminyaka engama-50;
   - isini - ixhaphake kakhulu kubantu;
   - yofuzo ukuya dismetabolic sifo.
2. nokwakheka:
   - uxinzelelo lwegazi oluphezulu;
   - ukutyeba;
   - ubukho seswekile.
3. indlela yokuphila:
   - ephula yokutya;
   - ukutshaya;
   - ukungalolongi umzimba okanye ukusebenzisa ngokugqithisileyo;
   - ukusetyenziswa kotywala.

Uphuhliso sifo

ezibangela Pathogenetic esi sifo inokuba ingxaki zombini ophe kwaye intravascular, ezifana licuthe kwemithambo yenhliziyo ngenxa yegazi, thrombosis okanye spasm, okanye tachycardia kakhulu lwegazi. Sekunjalo, kwindawo yokuqala, ngenxa yezizathu zokuhlasela yentliziyo yamafutha. Ekuqaleni, umntu eba disorder metabolic, nto leyo kubonakaliswe ukwanda ezisingisileyo lipids egazini.

Inyathelo elilandelayo ulungiselela izakhiwo lipid kwi emithanjeni kwaye propotevanie zibe ziiseli endothelial. Kwasekwa umonakalo atherosclerotic. Ukubhubhisa udonga imithambo yegazi, iyenza ethe kakhulu. Kule meko ingaba iziphumo ezimbini - mhlawumbi uqweqwe ingabikho ihlwili kwaye ucingo up kwemithambo ukuhamba kwegazi okanye isitya ubukhulu libe lincinci ukuze negazi azinako ukubudla ujikeleze futhi ukondla indawo echaziwe. Kweli nqanaba, oko kwasekwa eziko kobuchopho, uze necrosis. Ukuba yonke le nkqubo ithabatha indawo entliziyweni, esi sifo kuthiwa kwemithambo.

Kukho iintlobo ezininzi zekliniki kunye nonyango yabo isifo sentliziyo. Imixube zikhethwa ngokusekelwe icandelwana pathophysiological.

Isifo ukufa intliziyo

Kungenjalo eyaziwa ngokuba zokuma. Oku kunokuba neziphumo ezimbini: omnye kufa okanye ungena labagula kakhulu. It inxulunyaniswa xenga engabalulekanga ngequbuliso. It unesifo - umnyinyiva xa kungekho sizathu orhanela olunye uhlobo isifo sentliziyo. Unyango, amachiza lukhetho abasebenzi bezempilo zihlala zifana njengoko kwiyunithi labagula kakhulu. Enye imeko - ukufa kufuneka kwenzeke ngoko nangoko kwaye phambi kwamangqina, okanye kwisithuba iiyure ezintandathu kokuqala ngenxa yesifo sentliziyo. Kungenjalo, ukuba sele ngokuxhomekeka kucalulo eyahlukileyo.

angina

Le yenye iintlobo kwemithambo. Liphinde Ukuhlelwa yayo olongezelelweyo. Ngoko ke:

1. angina izinzile.
2. angina Vasospastic.
3. angina ezingazinzanga, mvisiswano leyo, kwelinye icala, yahlulelwe kwii:
   - progressive;
   - kwavela kuqala;
   - postinfarction ekuqaleni.
4. Angina Printsmetalla.

Avamise kakhulu uhlobo lokuqala. Heart Association iye yaphuhliswa elide unyango coronary angina nesifo sentliziyo. Amachiza kufuneka ithathwe rhoqo kwaye ixesha elide, maxa wambi ubomi. Ukuba ulandele iingcebiso, kunokwenzeka ukuba ngexesha elithile kude nomkhwezeli zempilo.

iposi engabalulekanga

Kusekwe kuthathelwa ingqalelo idatha electrocardiogram, elebhu kunye imbali yezonyango indicators. Eyona ulwazi kwezi enzymes zithathwa ukwandisa njengoko LDH (zincancise dehydrogenase), ALT (aminotransferase alanine) kunye ACAT (aspartate aminotransferase), nto leyo edla apha ngaphakathi kwi seli ifakwe igazi kuphela ngentshabalalo.

senhliziyo - le yenye kankqoyi, nto leyo inokubangela isifo sentliziyo ongalawulekiyo kobuchopho. Unyango, amayeza, unonophelo - onke emva kwexesha, emva kokuhlaselwa nokoyika ixesha elincinane kakhulu ichithwa kuyo ukuba abuyisele umonakalo.

ekuxilongweni

Kakade ke, naluphi na uphando luqala uphando kunye nokuhlola. Qokelela idatha yomlando. Udokotela unomdla izikhalazo indlela ezifana ngayo iintlungu esifubeni emva umthambo, ubukho dyspnea, ukudinwa, ubuthathaka, iyangongoza. Kubalulekile ukuqaphela ukudumba ngokuhlwa, ishushu xa uyibamba. Kwaye ke, njengoko nokunyanga isifo. Amalungiselelo kuninzi uxelele ugqirha. Umzekelo, "Nitroglycerin". Ukuba kuyanceda kokubambela nokuhlasela, phantse lonke uthetha wakhetha angina.

ukuxilongwa ngokwasemzimbeni kuquka umlinganiselo xi, izinga yokuphefumla kunye ukubetha, kunye nokumamela intliziyo kunye nemiphunga. Ugqirha uzama ukuva ingxolo ezingaqhelekanga, iithowuni intliziyo banda, kwakunye ukutswina kunye amaqamza emiphungeni, nto leyo ukuthetha malunga neenkqubo amile.

Okulandelayo, ugqirha uthumela isigulane elebhu kunye nokuxilongwa kwemizimba yabo. Ekuhlaziyeni, sele sitshilo, kwaye bafunde ixhaphake kakhulu ke ECG, echocardiography kunye ultrasound zentliziyo.

unyango

Ngoko ke saya kanye engundoqo. Thina abanomdla ukunyanga isifo kwemithambo. Iziyobisi zidlala indima ekhokelayo, kodwa hayi nje benze igalelo kuphuculo lwempilo. Okokuqala kufuneka ukuba achaze ukuba isigulane eyayiza kufuneka ukuze ukutshintsha indlela endiphila ngayo. Susa umthambo ngokugqithiseleyo ukulungelelanisa ukulala kwaye uphumle kunye nesondlo elungileyo. Ukutya kufuneka sinikele ingqalelo ekhethekileyo. Mayibe nobu eziyimfuneko intliziyo potassium, calcium kunye isodiyam, kodwa umda ezityiwa ityuwa, amanzi, iimveliso kunye agqithisile amafutha ezilwanyana kunye carbohydrate. Ukuba umntu utyebile, kuyimfuneko ukwenza ulungiso bayo.

Kodwa ngaphandle koko iindlela amayeza ziye zaphuhliswa ukuphelisa le ngxaki njengokuba isifo sentliziyo. Unyango - amalungiselelo ngohlobo amacwecwe, njengezingxobo, Ithatyathwe emigutyeni yonke kunye nezisombululo. Nge Ukukhetha eyiyo nokusetyenziswa rhoqo, ungenza ezizuze iziphumo ezigqwesileyo.

arhente Antiplatelet

iziyobisi ukuze unyango yeqela kwemithambo zahlulwe zokuhlelwa eziliqela, kodwa zixhaphakileyo - indlela yokusebenza. Bayo siza kusebenzisa. iziyobisi Antiplatelet ukunceda kuphuculwe ukuhamba kwegazi. Bona kuchaphazela inkqubo coagulation kunye anticoagulation, dissociating eziliqela kubo, ngaleyo ndlela uthole yokunyibilika. Ezi ziquka "aspirin", "Clopidogrel", "Warfarin" kunye nabanye. Nibanika ukuba, usoloko kufuneka esweni ukusebenza INR (ratio nganye ezinga malungu abantu ngamazwe), ukuthintela yimbonakalo ukopha komntu.

Beta-blocker

Kuba nefuthe kwi receptors sisezindongeni imithambo yegazi, sehlise phantsi nokubetha kwentliziyo. Ngenxa yoko, kubadle ioksijini kancinci kancinci sifuna igazi, ukuba imithambo yegazi yenhliziyo ivaleke zinokuziswa kakhulu. Le yenye amachiza ixhaphakileyo nesifo sentliziyo kobuchopho. Unyango, ukukhethwa idosi kunye ezinxulumene neziyobisi zixhomekeke kwiimeko. Kukho bakhethe and non-uyakhetha beta-blocker. Ezinye zazo asebenzise ngaphezulu kakuhle, ngoxa abanye - kancinane umbodamo, kodwa contraindication ngokupheleleyo kuba phambi yembali yomguli ngayo isifuba inyumoniya okanye ezinye izifo kwemiphunga. Phakathi amachiza zixhaphakileyo - "Biprolol", "iwhiskey", "Carvedilol".

statins

Oogqirha bachitha elininzi umgudu ukuze ukunyanga isifo sentliziyo. Amalungiselelo ukuphucula, siqulunqa iinkqubo ezintsha, kwenziwa uphando ngoonobangela esi sifo. Enye yezi iindlela ezintsha ke umphumo imiba ukunisa, oko kukuthi dyslipidaemia okanye ukungalingani amafutha egazi. Oku kubonakaliswa ukuba ukuncitshiswa cholesterol kukhokelela ekwakhiweni kancinci ngenxa yamafutha. Kwaye oku ngoyena nobangela wesifo sentliziyo. Iimpawu, unyango, iziyobisi - konke oku sele zichongiwe kwaye ziphuhliswe, kuyimfuneko kuphela ukuba bakwazi ukuthatha ithuba ingcaciso ekhoyo ukuze kulungelwe isigulane. Imizekelo lunokunyangwa kunokuba "Lovastatin," "Atorvastatin", "Simvastatin" kunye nabanye.

nitrate

Umsebenzi kula machiza yenye iimpawu yoxilongo ezinceda ukuqinisekisa ubukho besi sifo. Kodwa kuyimfuneko njengenxalenye yenkqubo, nto leyo ifakiwe ukunyanga isifo kwemithambo. Iziyobisi kunye amalungiselelo zikhethwa ithamo alungiswe ngenyameko, Umthamo rhoqo. Bona kuchaphazela umsipha kakuhle kwi emithanjeni. Relaxing ezi izihlunu ukunyusa ububanzi we sayo, nokunyusa inani igazi ozayo. Kuyanceda okudambisa ischemia kunye attack iintlungu. Kodwa ke, ngelishwa, le nitrate ezingenakuthintela ukuphuhlisa ukuhlaselwa yintliziyo ngengqiqo lwehlabathi, kwaye ayinyuki leminyaka ubomi, ngoko ukuthatha la machiza kucetyiswa kuphela ngexesha uhlaselo ( "Dinisorb", "Izoket"), kwaye ngokusisigxina ukuba ukhethe into enye .

anticoagulants

Ukuba, ngaphandle angina xa isigulane kukho umngcipheko iziganeko thrombotic, wamisa la machiza ukuba isifo sentliziyo. Iimpawu kunye amalungiselelo unyango kuxhomekeka ekubeni nakolu okanye ngenye ukunxibelelanisa inkqubo yezifo. Enye zixhobo liyathandwa kweli ngcelele "lweeHedfowuni". Oku yaphathwa idosi enkulu enye iqhosha etsolo engabalulekanga, uze emva koko ngaphakathi eziliqela kwinqanaba inkxaso imihla kwi-plasma yegazi. Kuyimfuneko ukuba esweni ngenyameko ixesha ekunqandeni igazi.

womchamo

Amalungiselelo ukunyanga isifo kwemithambo nje yayintsholongwane eyosulela kuphela kodwa lingaze. Bona kuchaphazela ikhonkco ezifana noxinzelelo lwegazi. Ukuba ukwandisa umlinganiselo wokubanzi onokuthwalwa uyabasindisa umzimba, kuyenzeka ukuba artificially ukunciphisa uxinzelelo kumaxabiso eziqhelekileyo, kwaye kupheliswe isisongelo reinfarction. Kodwa musa ukuyenza loo nto ngokukhawuleza, ukuze bandiqumbise ukuwa. Kukho iindidi eziliqela kula machiza, kuxhomekeke yomtya ka Henle (nephron ingxenye) banokuchaphazeleka. Ugqirha ofanelekileyo aya kuyinyula amayeza eyimfuneko kule meko. Leyo ayithethi andzise imeko yesigulane. Hlala uphilile!