Kusagadzikana angina - mumwe siyana ischemic mwoyo chirwere

Pfungwa ischemic chirwere kwomwoyo rinounza pamwechete boka zvirwere, kukura uko chokuita havachanyatsogoni ropa wedzerai mwoyo tsandanyama. Maererano kupatsanura vari akakamurwa chenjera uye refu. Chenjera coronary zvirwere zvinosanganisira kungoerekana cardiac rufu, myocardial infarction uye kusagadzikana angina.

The kupatsanura chirwere ichi unoratidza stenokardia of Novo, subacute uye rikwanise angina rokuzorora uye mberi angina.

Kana stenokardia of Novo angina zvinochengetwa kudaro kare uye pamusoro colour ose kunopindirana utano.

Kugadzikana angina zororo angina akadai subacute varatidza kuti marwadzo kurwiswa zvikanyarara maawa 48 apfuura.

In chenjera angina zororo bhokisi marwadzo mberi mumakore maawa 48 uye vakachengeta panguva pakuongorora murwere.

Chinonyanya kukosha kunotoda chiratidzo kusagadzikana angina ndiyo volatility kurwadziwa. Izvi kunoratidzwa kufambira mberi angina kana angina pa zororo, kukurumidza accession zviratidzo matsva. General simba, kutonhora sweats, kupfupika mweya, chikosoro, Inotubuka kufema, arrhythmia panguva imwe kukwira muviri kana mupfungwa mutoro - zvichemo pematanho chimwe chazvo coronary chirwere, kusanganisira kusagadzikana angina mhando. Nhoroondo chirwere kunoratidza hwokufananidzira zviratidzo chirwere.

Hunhu mberi kusagadzikana angina compressive muchipfuva marwadzo, iyo zvino anodzivira, zvino pane simba idzva. Pain haangavi, kana anopindura havaratidzi kurapwa nitrates, kunowanzoguma kwokutya rufu, kupfupika mweya, arrhythmia. Zvikamu zviri angina kurwisa vari kuva kakawanda, uye kurwisa isina nguva - pfupi. Kurwisa hwakazotevera nomumwe zvinova kunorema kupfuura yapfuura. Nitrates, izvo kare dzakarendwa marwadzo bhokisi, kuva basa, kunyange zvazvo murwere anovagamuchira guru mishonga. Kusagadzikana angina iri achiperekedzwa marwadzo, izvo zvinogona kuitika kwete chete nokuda mumuviri kana psycho-mupfungwa uye ndakazorora. Dzimwe nguva chete kubvisa marwadzo analgesics. Dzimwe nguva pane chinhu kurwisa cardiac asima ne kutadza kufema uye yakaoma chikosoro.

Diagnostics

Kusagadzikana angina anozoonekwa kuti ane anamnestic data, murefu zvichemo, uyewo richishanda uye mumarabhoritari zvidzidzo.

The chikuru chiratidzo pamusoro ECG, iyo inoratidza pacharo kusagadzikana angina, ipfupi kana mwoyo ST chidimbu pachiimbwa unopinza uye yakakwirira zino T. T chinozunguzirwa zvinogoneka achichinja kubva akanaka kune asina. Izvi ECG kuchinja kunogona kutsanangurwa kuti zuva kana hwakareba.

Kana echocardiography muri nzvimbo yakaderera mufambo kwemasvingo mwoyo, vachipfuura mumazuva mashomanana.

Serological zvechinguvana nokuti cardiac kukuvara cardiomyocytes chinhu yakaderera samolecular uremu myoglobin mapuroteni. Zvisinei, muedzo uyu wakananga chaizvo kuti chimiro ropa myoglobin zvinogoneka skeletal kukuvara tsandanyama. In rokutanga maawa pashure kutanga kusagadzikana angina muropa pachiyero enzayemu inowedzera - zvachose creatine. Sezvo zvechinguvana isina coronary kuparadzirwa, anoshandiswa sezvo C-reactive mapuroteni uye fibrinogen.

mabatiro

Varwere kusagadzikana angina inoda muchipatara. Muzviitiko apo pane kwakakomba uye mazhinji Zvikamu zviri angina pa zororo kwevhiki mbiri, uye pasina ECG abnormalities uye hemodynamic pakusimba, varwere vanogona kurapwa pamusoro outpatient hwaro.

Current kurapwa zvirwere zvinosanganisira kuchirapa uye zvomusejari nzira. The chinangwa chikuru kurapwa - mangwanani kudzorerwa coronary patency.

Kusagadzikana angina ikarapwa pamwe antithrombotics (anticoagulants, antiplatelet, antithrombin), antianginal vamiririri (nitrates, Betts-blockers, karusiyamu mhandu), ACE FIs uye statins.

Varwere vari pauri apo vanosvika Kudzikamiswa kuti CHD.