Yini i-angina engazinzile nokuthi kwenziwa kanjani ukwelashwa

-Delile

• Ziyini izimpawu nezimpawu
• Izimbangela ezingaba khona
• Yini ukuxilongwa
• Yelashwa kanjani
• Uyini umehluko phakathi kwe-angina ezinzile nengazinzile?

I-angina engazinzile ibonakaliswa ukungakhululeki kwesifuba, okuvame ukwenzeka lapho uphumule, futhi kungaqhubeka isikhathi esingaphezu kwemizuzu eyi-10. Inamandla futhi isanda kuqala, yesimilo, futhi ingathuthuka, okungukuthi, iya ngokuya ikhula kakhulu futhi / noma ivame kakhulu kunakuqala.

Ubuhlungu besifuba bungakhanya buye entanyeni, engalweni noma emuva nezimpawu ezifana nesicanucanu, isiyezi noma ukujuluka okweqile nakho kungabonakala, futhi kulezi zimo kubalulekile ukufuna ngokushesha ukuphuthuma kokwelapha okufanele, okuvame ukuqukethe ukuphumula nokuphathwa ama-nitrate, ama-beta-blocker kanye nama-anti-aggregates, njenge-AAS noma iClopidogrel, ngokwesibonelo.

Imvamisa, i-angina engazinzile yandulela i-infarction ye-myocardial, isiqephu se-arrhythmias noma, kaningi, ukufa okungazelelwe. Funda ukubona izimpawu ze-infarction ye-myocardial.

Ziyini izimpawu nezimpawu

Izimpawu nezimpawu ezingenzeka kumuntu one-angina engazinzile ubuhlungu noma ukungaphatheki kahle esifubeni, okungazwakala nasemahlombe, entanyeni, emuva noma ezingalweni futhi okuvame ukwenzeka ngokuzenzekelayo ekuphumuleni, futhi kungahle kuhambisane nesicanucanu, isiyezi, ukukhathala nokujuluka okweqile.

Izimbangela ezingaba khona

I-angina engazinzile ivame ukubangelwa ukuqoqana kwamapuleti anamafutha ngaphakathi kwemithambo yenhliziyo noma ngisho nangokudabuka kwalezi zingcwecwe, okungaholela ebunzimeni bokugeleza kwegazi kule mikhumbi. Njengoba igazi linesibopho sokuletha umoya-mpilo ekusebenzeni kwemisipha yenhliziyo, kunciphisa ukudlula kwegazi, kunciphisa umoya-mpilo esithweni, ngaleyo ndlela kubangele ubuhlungu besifuba. Bona ukuthi yiziphi izimbangela ezinkulu ze-atherosclerosis.

Abantu abasengozini enkulu yokuhlushwa i-angina engazinzile yilabo abaphethwe yisifo sikashukela, ukukhuluphala ngokweqile, umlando womndeni wesifo senhliziyo, umfutho wegazi ophakeme, i-cholesterol ephezulu, ukusetshenziswa kukagwayi, ukuba ngabesilisa nokuhlala phansi.

Yini ukuxilongwa

Ngokuvamile, udokotela wenza ukuhlolwa ngokomzimba, okubandakanya ukulinganiswa kwengcindezi yegazi nokuthokozisa kwenhliziyo nokwamaphaphu. Ngaphezu kwalokho, izivivinyo ezinjengokuhlolwa kwegazi, ngokuqoqwa kwama-enzyme enhliziyo, i-electrocardiogram, i-echocardiography, i-coronary angiography kanye / noma i-angiography nge-computed tomography, isibonelo, nayo ingenziwa.

Yelashwa kanjani

Iziguli ezine-angina engazinzile kufanele zilaliswe esibhedlela futhi ziqashwe kusetshenziswa i-electrocardiogram eqhubekayo ukuze kutholakale ushintsho esigabeni se-ST kanye / noma kuma-arrhythmias enhliziyo. Ngaphezu kwalokho, ekwelashweni kokuqala, i-nitrate, i-beta-blockers noma i-calcium block blockers kufanele inikezwe ukukhulula i-angina nokuvimbela ukuphindeka kobuhlungu besifuba, ngaphezu kokusetshenziswa kwama-anti-aggregants noma ama-antiplatelet agents njenge-AAS, clopidogrel, prasugrel noma i-ticagrelor, ukuzinzisa amapuleti amafutha.

Ama-Anticoagulants nawo ajwayele ukuphathwa ukunciphisa ukwakheka kwamahlwili, njenge-heparin, okuzokwenza igazi libe uketshezi oluningi. Izidakamizwa ezinomfutho wegazi ophezulu, njenge-captopril, ngokwesibonelo, zingasetshenziswa ukunciphisa umfutho wegazi kanye nezitatimende ezinjenge-atorvastatin, i-simvastatin noma i-rosuvastatin, ukuzinzisa izingcwecwe.

Uma i-angina engazinzile iqinisekiswa izivivinyo, njenge-myocardial scintigraphy noma i-transthoracic echocardiography noma i-resonance yenhliziyo, isiguli kufanele sibhekane ne-catheterization yenhliziyo phakathi namahora angama-24 alandelayo.

Uyini umehluko phakathi kwe-angina ezinzile nengazinzile?

I-angina eqinile ibonakala ngokungaphatheki kahle kwesifuba noma ingalo, okungeyona into ebuhlungu, futhi evame ukuhlotshaniswa nomzamo womzimba noma ukucindezeleka, futhi ikhululeka ngemuva kwemizuzu emi-5 kuya kwengu-10 yokuphumula noma nge-nitroglycerin engaphansi. Funda kabanzi nge-angina ezinzile.

I-angina engazinzile ibuye ibonakale ngokungakhululeki esifubeni, kepha ngokungafani ne-angina ezinzile, ivame ukwenzeka lapho iphumule, futhi ingaqhubeka isikhathi esingaphezu kwemizuzu eyi-10, ibe namandla futhi ibe nokuqala kwamuva, noma iqhubekele phambili, okungukuthi, yinde kakhulu noma ivame ukwedlula ngaphambi.