Vasospastic angina pectoris

Olu hlobo lwesifo - into ebunqabileyo, engumntu oneminyaka engama-30 ukuya kuma-50 ubudala. I-Vasospastic angina ibhekisela kwifom engaqinisekiyo yale ngozi, ukubonakaliswa kwayo akuyikuqikelela, okudala ubunzima abathile ekuphuhliseni amanyathelo okunyanga.

I-Vasospastic angina ye-Prinzmetal

Esi sifo sabizwa ngokuba yi-angina. Yibangelwa yimipuphu yamathambo e-coronary, okondla i-heart muscle. Njengomthetho, kubangelwa i-atherosclerotic plaques kwiindonga zangaphakathi zeemithana yegazi kunye ne-sclerosis yamathambo.

Isizathu esibalulekileyo sokuphuhliswa kwesi sifo kukunciphisa umthamo we-lumen ngenxa yokuphambana ngokweqile kwezihlunu ezihamba kakuhle. Njengomphumo wale nqubo, ukuhamba kwegazi entliziyweni kuya kwehla ngokukhawuleza, oku kungakhokelela ekuhlaselweni nasekufeni.

I-Angina pectoris - iimpawu

Uphawu olulodwa lwe-pathology lubuhlungu obukhulu, obunempawu elandelayo:

• kwenzeka ebusuku, ngexesha lokusukela phakathi kobusuku phakathi kobusuku ukuya ku-7-8 ekuseni;
• ibonakala kwimeko yokuphumla kwaye ayichukunyiswa ngumxinzelelo wenyama okanye uxinzelelo olongezelelweyo;
• ezikuloo ndawo emva kwesifuba kwaye inika kwingalo, ihlombe, ihlombe, ngamanye amaxesha ihlala emlonyeni;
• ihlala kwimitha emi-5 ukuya kwi-25-30;
• nqabile ihamba ne syncope ;
• kubangela ukuvakalelwa, ukubethelwa kwesifuba;
• phinda ubusuku bonke iiveki okanye iinyanga ezimbalwa;
• iyalala emva kokuthatha enye ipilisi ye nitroglycerin.

I-Angstastic ye-Prestmetal ye-Angina - I-Diagnosis

Ngokuchanekileyo ukwenza ukuba ukuxilongwa kwenzeke kuphela ngexesha lokuhlaselwa, kuba lonke ixesha alixeli.

I-Prinzmetal's stenocardia kwi-ECG ibonakala njengenyuka kwiinkcukacha ze-ST. Ukongeza, i-electrocardiography iyongezwa ngokusebenzisa i-Holter (imihla ngemihla) iliso. Ekuhambeni kweso sifundo, ukurekhodwa kwe-ECG okuqhubekayo kwenziwa kwindlela yokusebenza ebalulekileyo yesigulane. Ukuxilongwa kwenziwa ngefowuni ephathekayo edibanisa ulusu lomntu ngokusebenzisa ama-electrodes anamathele. Kukwacetyiswa kwakhona ukuba ugcine idayari yeemvakalelo, ukuphawula kuyo kuguquka entliziyweni kunye nokuvela kwintlungu ekusebenzeni nasiphi na isenzo.

Enye indlela i-coronarography. Ngoncedo lwale hlobo lweemvavanyo zelabhoratri, kunokwenzeka ukuba uqikelele ngokuqinisekileyo umlinganiselo womonakalo kwimithambo yegazi ngamathala e-atherosclerotic.

I-Angel Treatment ye-Prizmetal's Vasospastic

Unyango lujoliswe ngokukodwa ekukhutsheni izinto ezibangelwa zizifo. Ezi zibandakanya ukutshaya, uxinzelelo oluninzi, uxinzelelo lwengqondo kunye ne-hypothermia.

Ukuphelisa iimpawu, i-angospastic angina ifumaneka kwiziphumo zonyango:

• amalungiselelo e-nitrate;
• i-aspirin iqela lee-agent kunye neentlukwano;
• abaxhasi be-calcium;
• i-alpha-blockers;
• abachasene neheparin.

Ngokuxhomekeke kwingcambu yesifo, isicwangciso socwangciso olunzulu lukhethwe ngokukhethwa kwamanye amayeza. Le ndlela ikuvumela ukunciphisa i-viscosity nokuxinwa kwegazi, ukukhusela i-oksijini yindlala yesifo senhliziyo, ukwandisa i-lumen yeerterotic coronary kunye nokubuyisela igazi eliqhelekileyo kwi-myocardium.

Ngokwemvelo, isigulane kufuneka igalelo lokubuyisela:

1. Ukuyeka utywala kunye neminye imikhwa emibi.
2. Sebenzisa ubuncinane iiyure eziyi-8 ngosuku.
3. Yenza umsebenzi owenziwe ngokulinganayo.
4. Buyisela inkqubo yeentlanzi.
5. Gwema uxinzelelo .
6. Ukulungisa ukutya.