Nhoroondo CHD chirwere, zviratidzo uye mhando yayo kosi

Mushure mwoyo uropi ndiyo nhengo mumuviri womunhu inokosha. Mwoyo anokonzera anokosha vose hurongwa uye nhengo, saka chero zvavo rwakakwana basa pave okuwedzera kwakakanganisa nhengo iyi inokosha. Ischemic chirwere chemwoyo - chiri chirwere kunokonzerwa kukwana okisijeni nerubatsiro coronary arteries mwoyo tsandanyama. History of coronary tsinga chirwere ndiye aienda chirwere coronary patency nokuda atherosclerosis. Zvinogona chisingaperi uye rikwanise Chokwadi, richiratidzwa mwoyo zvirwere zvakadai cardiac arrhythmias, myocardial infarction, angina uye kungoerekana rufu.

Munguva mumuviri kana pfungwa nesimba, uyewo nguva cheBP apo mwoyo anosangana ane kunowedzera mutoro inoda zvakawanda okisijeni kuparadzwa, myocardial ischemia kunoitika. The murwere nguva izvi vanonzwa vanodzvinyirirwa constricting kurwadziwa muchipfuva, akapa zvishoma kuruboshwe. Angina Kazhinji zvinopfuura pakarepo pashure kushandisa nitroglycerin. Kana nhoroondo CHD chirwere pamwe rikwanise exacerbation pamusoro angina kwakadaro yakanonoka kupfuura kweawa - pane ngozi kuupenyu.

Zvichienderana dhigirii reokisijeni kushayiwa mwoyo, ayo zvinokonzera uye nguva, pane zvakawanda siyana cardiac ischemia:

- Asymptomatic ischemia anoenda kucherechedzwa kuti murwere uye kunokonzera hapana zvichemo kwaari.

- Panguva kurovedza muviri kana zvakaitika kushushikana, pamwe kakawanda kuratidzirwa kupfupika mweya uye kurwadziwa muchipfuva, anovandudza yokurapa nhoroondo chirwere pamusoro CHD - angina.

- For kusagadzikana angina zvinosanganisira chero angina, inopfuura simba yapfuura kurwiswa, achiperekedzwa zviratidzo itsva. Kurwisa kwakadaro uchapupu yematambudziko chirwere uye ndiwo harbingers pakati myocardial infarction rokutanga.

- A maitiro kuchiitwa arrhythmic siyana cardiac ischemia kutyora mutinhimira ake, richiratidzwa atrial fibrillation.

- Myocardial infarction - zvishomanana rufu mwoyo tsandanyama. Kazhinji, nhoroondo chirwere coronary tsinga chirwere, zvichitungamirira myocardial infarction, migumisiro breakage kuti Dombo parusvingo mukati menyika coronary tsinga kana panowanikwa munhu thrombus overlying arterial patency.

- The kufirwa mwoyo, chinoratidzwa ake chimbichimbi uchikamhina ndiwo mugumisiro dura duku zvikuru ropa tsandanyama ake somugumisiro wakakwana occlusion guru arteries.

All nemhando kuyerera ischemia dzinogona kubatanidzwa uye kunyengera mberi weboka chirwere. Somuenzaniso, nhoroondo chirwere nechirwere chemwoyo - angina, kazhinji achiperekedzwa arrhythmia, uye ipapo akatendeukira mugomba myocardial infarction, nezvimwewo, kusvikira kufirwa. Unooma chikamu pomwoyo anogona kuitika chero pavaipfuura chirwere, idzo ina mhando:

- Asymptomatic Danho kunoitika munguva deposition kuti remafuta akawandisa ari tsinga pamadziro.

- Stage wokutanga zviratidzo pana yakakwirira kumanikidzwa, yakakwirira zviri shuga uye remafuta akawandisa. In penguva iyi chirwere remafuta akawandisa plaques rifukidze kusvika 50% ane arterial patency.

- History of coronary chirwere tsinga chirwere dzinoratidzwa kuwedzera zviratidzo, richiratidzwa kakawanda kupfupika mweya, mugari mwoyo basa uye compressive marwadzo seri breastbone. Panguva ino, Ultrasound mwoyo kunoratidza kuwedzera mumwoyo in uye rive dete mwoyo tsandanyama.

- The wokupedzisira danho runoratidzwa mumwoyo kutadza refu, BP, chimiro edema, atrial fibrillation, rakapinza kudzikira mumwoyo ushande. Chest marwadzo Panguva iyi rinowanikwa kuchangotanga mutoro.

Myocardial infarction hakusi dzinouraya nguva dzose, pane zviitiko apo varwere zvaiendeswa tsoka dzake. Asi tinofanira kurangarira kuti chemwoyo vaizongoguma kutungamirira kuti kumhanyisa pamusoro pokumuka coronary tsinga chirwere.