Angina - wawubonakalisa ejwayelekile ka yenhliziyo Umthambo isifo

Ngokwezibalo zamuva, angina esalotshwa eminyakeni ecishe ibe 1% ngonyaka. Ngo iziguli lesi sifo, bebaningi yobudala umhlalaphansi besilisa. isibalo sabantu ababa angina inyuka njalo ngonyaka.

Ukuze isimo esinjalo libhekene ukusabalala ubuhlungu imbuthuma kuze kufike ohlangothini lwesobunxele yomzimba, okungukuthi ikhaba, endaweni kwesifuba, isandla, uhhafu Intamo, umhlathi ongezansi. Ngokuvamile ephelezelwa ukuhlaselwa okubuhlungu yokwesaba simbe. Ngokuvamile, ubuhlungu ihlala cishe imizuzu engu-10-15. Angina iboshiwe emva stop ukuthi ukuzikhandla ngokomzimba noma ngemva isicelo nitroglycerin.

angina Esitebeleni - samuntu ischemia lapho ubuhlungu zivamise ukwenzeka ngesikhathi ekusebenziseni umfutho ezithile. Izinga umthwalo lapho khona angina - yindlela yokuhlola ukhiye sokunquma isifo zaba namandla kakhulu. Ukuzivocavoca ukubekezelelana siyisisekelo sokuhlukanisa iziguli zibe amakilasi:

• 1 ekilasini. tolerability Okuvamile lokuzivivinya kwansuku zonke. Ukuquleka kwenzeka ngesikhathi okusezingeni ngamandla imithwalo.
• 2 ekilasini. Kukhona komkhawulo kancane umzimba. Ukuhlasela kwenzeka uma ukhuphuka izitebhisi noma kokudlula ezikhungweni ezingaphezu kuka-500 m.
• Ebangeni le-3. A komkhawulo imakwe lokuzivivinya. Ukuquleka kwenzeka esikhathini kuphakame phansi noma lapho sokunqoba ibanga 500 m.
• 4 ikilasi. Ukuhlasela kwenzeka ngisho ngesikhathi umsebenzi ezincane ngokomzimba, ezifana ukuhamba at ibanga 100 m. Ukuhlaselwa Iningi zenzeka esigabeni yokuphumula.

Imbangela eyinhloko yalesi sifo ubhekwa atherosclerosis ka imithambo yegazi yenhliziyo ukuthi ukuncelisa inhliziyo. zingcwecwe Atherosclerotic fibrotic izitsha inesikhala ezedlulayo, zivimbela evamile ukugeleza kwegazi. Ukuvivinya umzimba kuholela ekwandeni e kwenhliziyo ukwanda wegazi. Ngalesi sikhathi, imisipha yenhliziyo kuyinto kanzima, okusho ukuthi kwandisa isidingo umoya-mpilo. Lesi sidingo ngokwengxenye ayikwazi bayosuthiswa ukugeleza kwegazi ukuze imithambo yayizovela ngo-plaque atherosclerotic. Ngenxa yalokhu, kukhona enganele-mpilo saturation imisipha yenhliziyo - ischemia.

Angina, izimpawu: ukukhathala, iphika, ubuhlungu besifuba. Ukuxilongwa sifo okwamanje kunzima. angina kunqunywa uqopha electrocardiogram eyenziwa ngesikhathi isiqephu ezibuhlungu. izinguquko Ischemic usizo ukulungisa nezinye zokupopola, ezifana treadmill, ibhayisikili ergometry, Holter -loaded amasampula. Isimiso esiyinhloko salezi amasu ingenye: isiguli ukwenza umsebenzi obuthile emzimbeni ngesikhathi sokubhaliswa ECG.

ukwelashwa Angina: ekunciphiseni izimpawu kanye ekuqedeni ubuhlungu. Ngokushesha eyenziwa nokuvinjelwa esivimba amanzi infarction, isifo sokuqina kwemithambo yegazi yenhliziyo futhi kungazelelwe ukuboshwa inhliziyo. Ukuze kuzuzwe lokhu ukulungiswa senziwa dyslipidemia, ukuncipha emzibeni, ukuzinza wegazi, uyeka ukubhema, ukuzinza of carbohydrate umzimba, futhi zokuvivinya umzimba ngokusesilinganisweni.

Ngenxa yokwelapha izidakamizwa esetshenziswa beta-blocker, statin, aspirin. Ukuze esiqoshiwe ubuhlungu sokuhlaselwa angina sublingual nitroglycerin ukusetshenziswa. Itholakala amaphilisi kanye njengendlela spray. angina ikakhulukazi ifomu ezinzima ingelapheka esebenzisa ukuhlinzwa: yenhliziyo ukuhlinzwa Umthambo dlula, stenting Umthambo ibhaluni angioplasty.