Prinzmetal angina: zviratidzo, nechirwere, kurapwa

Health - mukuru fuma kunopiwa kumusoro. Chete hatina kukwanisa zvakanaka dzokurasa pavo nguva dzose. Zvirwere vanovanda kumativi ose. Zvinoita chete yapfuura aida kutamba, asi zvino hapana simba kumuka kubva chair. Mumwe zvirwere kuti rinowanzoberekera ndiye Prinzmetal kuti angina. Ndizvo chete nezvazvo ikozvino, uye achaita kutaura.

Chiiko ichi

Musiyano, kwaitika, vasospastic - a tsanangudzo vashomanana chirwere. Zvinonzi chirwere kana kana paine munhu spasm rwengarava tichifudza mwoyo. Kutaura vezvokurapa izwi iri angina kunotoda chimiro ari yokuzorora rwakazara. The chirwere hariwanikwi. zita ino akagashira kubva "mubereki" ayo - M. Prinzmetala. Izvi yakakurumbira American cardiologist muna 1959 akatanga kurondedzera chirwere ichi sezvo vasospastic stenocardia ( Prinzmetal). Kakawanda, chirwere ichi vakasangana nevanhu pakati pemakore matatu mashanu makore. The kusvika kurapwa kwaiita angina varege, kuti mamwe marudzi ayo. Nechikonzero zvachiri. The chirwere kungaratidzwa zvose wakachena pachimiro pachiimbwa angina.

Prinzmetal angina hwapedyo pamusoro pakanyorwa zororo, ichi kazhinji zvinoitika muchikamu usiku hope. Dzimwe nguva Kurwisa inotanga mukamba kuchitonhora kana panze munyika inotonhorera mwaka.

Chii chinokonzera chirwere ichi

Ikozvino ngatitaurei pamusoro zvinokonzera kuti kumutsa ichi mhando angina. Sezvambotaurwa, zvinogona kuva chando. Asi zvakafanira kuwedzera kuti rukoniwe kunzi huru "Mumiririri provocateur", iye sokuti kuti kukuvadza muviri kuti kurwisa uku. Oh, uye zvikonzero, Prinzmetal angina kunogona kuitika nokuda:

• kukura atherosclerosis. Ichi chinhu chinokosha. Zvakafanira kuti hosha yakanga yakapararawo. Kunyange tanga atherosclerosis kunogona kukonzera angina. Mhosva Dombo. Hunozoita kuti kuramba stenosis, izvo chinoita zviratidzo Prinzmetal. Angina kunoitika munyika ino mhando makumi mashanu kubva muzana varwere atherosclerosis.
• Active kusvuta chimwe chikonzero kuti hosha asingadi kusika dambudziko, asi kutozvikurudzira. boka iri zvingasanganisira doro, murombo zvokudya, ndakagara mararamiro, kugara mupfungwa.

chirwere sei

Ikozvino ngatitaurei pamusoro sei kuratidza angina Prinzmetal. Zviratidzo zviri chirwere wose anofanira kuziva kana iwe pakarepo kunzwa kurwara.

• Kurwadziwa ari sternum mangwanani, apo akarara kana yokuzorora.
• Zviratidzo tachycardia uye BP.
• Panguva ST chidimbu kubva unonzi, electrocardiograph ari pamufananidzo kunogona kuonekwa sechinhu myocardial infarction.
• Marwadzo kuti kare rakauya nguva kuva saregerereka.
• The periodicity kurwadziwa zvichisiyana mashanu namashanu maminitsi.
• Constant nemusoro, kuda kurutsa, kufenda.
• Kutyorwa kuri autonomic hurongwa.

Vaziva mumwechete zvezviratidzo izvi, enda pakarepo kune unyanzvi munhu. Chete achakwanisa kusimbisa kana agodzivisa nechirwere "Prinzmetal angina." Zviratidzo inofanira vaisanganisa nemigumisiro yacho ongororo. Panguva Chaiyo mharuro kurapwa - nzira dzenyu kunokurumidza kupora, sezvo pamigumisiro zvingasava inofadza chaizvo.

pezvingazoitika

Prinzmetal angina kungaguma chomwoyo. Zvisinei, mukana uyu ishoma. Chinyamunhari chinorwadza kuti munguva akangokudenha, kwete vafuke chaizvo. Pane imwe ngozi - kutyora zvemagetsi kushanda mwoyo. Izvi zvinotungamirira nokuvhiringidzirwa mwoyo zvazvingava, zvinoita kuti chimiro ventricular tachycardia, uye zviri - mumwe danho kubva parufu.

Mumwe mugumisiro chirwere - obstructive lesion coronary arteries.

Kana ukaenda nenhamba, tinogona kutaura zvinotevera. Mumwedzi mitanhatu yokutanga pashure kutanga chirwere zvinotora anenge gumi muzana Muzviitiko. Twenty muzana nyaya zvichiitika kanganwiro. Zvisinei, ivo vachava kusvikira pakuguma kwoupenyu kutevera vamwe mitemo, nokuti zviratidzo vanogona kudzokera mukati makore mashomanana.

Ita yakarurama for pakati kukura chirwere mune remangwana - zvisiri nyore. It kunobva kwokuomerwa chirwere uye kakawanda kurwiswa. Uye, chokwadi, haigoni kungosiyiwa coronary atherosclerosis.

Diagnostics

Rairira chirwere - ichi idanho rinokosha kwazvo kurapa chero chirwere. nzira huru kuti chichabatsira yakasimba chirwere sezvo Prinzmetal angina - ECG. Richishandiswa panguva kurwisa. Kana ST chidimbu pamusoro ECG chinomutswa, zvinoreva kuti ichi chirwere kuti iwe vanofungidzirwa.

Kana nzira iri zvachose kuramba kana Yakatsigira nyanzvi, rinoshandiswa:

• tsamwisa bvunzo pamwe hyperventilation;
• kutungamirira majekiseni "Acetylcholine" kana "Ergometrine";
• chando uye ischemic bvunzo.

Research ari kuitwa pamwe mutoro. Nenzira iyi, anopupurira kushivirira kushushikana. Zvinonzi fanira akaita coronary angiography. Tichishandisa nzira iyi, mumwe anogona kusarudza uye vaongorore mwero kuvadza ropa mudziyo plaques.

Murwere anofanira kuchengeta manzwiro dhayari. Mairi, anoti zvose kuchinja mwoyo. Uyewo marwadzo zvinogona kuitika kana chimwe basa.

mabatiro

Chirwere, uye zvino kukurukura kuchaitika pamusoro chii mishonga angina Prinzmetal.

• Murwere anofanira muchipatara.
• Danho rokutanga vakashandisa zvinodhaka: nitroglycerin hwamunoita inorwadza nokurwisa, potassium uye mhandu kuwedzera rubatso coronary arteries.
• Kana kuratidzwa nezvirwere zviri coronary arteries zvakakodzera kutanga kutora Alpha-blockers.

Treatment yaifanira zvakasimba maererano chirongwa. Payakakurudzirwa kumisa harigoni, unogona kuva zvakaipa: zvakawedzera nhamba kurwiswa, kuwedzera zviratidzo, izvo zvingaita kuti myocardial infarction. Ndokusaka zvinodhaka zvinofanira kutorwa kunoparirwa maererano purogiramu.
Kakawanda, nezviyero izvi zvakakwana, asi kana zvinozoita isina kubudirira, Kutenga kuvhiyiwa.

The dambudziko iri rinogona kugadziriswa pachishandiswa:

• Coronary tsinga stenting.
• Coronary tsinga ndavhiyiwa.
• Angioplasty.

dziviriro chirwere

Pasinei chokwadi kuti Prinzmetal angina zvinogona kukanganisa munhu chero zera, musavhunduka. To mwoyo wako kuitira, zvinotevera:

• Idya yakaderera-mafuta zvokudya.
• Kubvisa zvokudya akapfuma mafuta mhuka mavambo.
• Regai ndidhakwe, uye kurega kusvuta.
• Hope - maawa masere kana kupfuura pazuva.
• Sports kana kunyange manheru anofamba.
• Kana zvichiita, dzivisa kunetseka.