Mitsempha ya Coronary spasm

Mitsempha yama coronary imapereka magazi ndi mpweya pamtima. Mitsempha ya Coronary spasm ndiyofupika, mwadzidzidzi kwa umodzi mwamitsempha iyi.

Kuphipha kumachitika m'mitsempha yama coronary yomwe sinakhale yolimba chifukwa chazitsulo. Komabe, imathanso kupezeka m'mitsempha yokhala ndi zolembera.

Kupuma kumeneku kumachitika chifukwa chofinya kwa minofu yamtambo. Nthawi zambiri zimachitika mdera limodzi. Mitsempha yama coronary imatha kuwoneka yachilendo poyesedwa, koma imagwira ntchito nthawi zina.

Pafupifupi 2% ya anthu omwe ali ndi angina (kupweteka pachifuwa ndi kupsinjika) amakhala ndi zotupa zamagazi.

Mitsempha yamitsempha yamitsempha yamitsempha imapezeka makamaka mwa anthu omwe amasuta kapena omwe ali ndi cholesterol kapena kuthamanga kwa magazi. Zitha kuchitika popanda chifukwa, kapena zitha kuyambitsidwa ndi:

• Kuchotsa mowa
• Kupsinjika mtima
• Kuwonetseredwa kuzizira
• Mankhwala omwe amachititsa kuti mitsempha ya magazi ichepetse (vasoconstriction)
• Mankhwala olimbikitsa, monga amphetamines ndi cocaine

Kugwiritsa ntchito Cocaine ndikusuta ndudu kumatha kuyambitsa mitsempha yayikulu m'mitsempha. Izi zimapangitsa mtima kugwira ntchito molimbika. Kwa anthu ambiri, mitsempha yamagazi imatha kupezeka popanda zinthu zina zowopsa pamtima (monga kusuta, matenda ashuga, kuthamanga kwa magazi, komanso cholesterol).

Kuphipha kumatha kukhala "chete" (popanda zizindikiro) kapena kumatha kubweretsa kupweteka pachifuwa kapena angina. Ngati kuphipha kumatenga nthawi yayitali, kungayambitse matenda amtima.

Chizindikiro chachikulu ndi mtundu wa kupweteka pachifuwa wotchedwa angina. Kupweteka kumeneku kumamveka pansi pa chifuwa (sternum) kapena mbali yakumanzere ya chifuwa. Ululu umafotokozedwa kuti:

• Zovuta
• Kuphwanya
• Anzanu
• Kufinya
• Kukhwimitsa

Nthawi zambiri zimakhala zovuta. Ululu ukhoza kufalikira kukhosi, nsagwada, phewa, kapena mkono.

Kupweteka kwa mitsempha yamitsempha yam'mimba:

• Nthawi zambiri zimachitika kupumula
• Zitha kuchitika nthawi yomweyo tsiku lililonse, nthawi zambiri pakati pausiku mpaka 8:00 a.m.
• Amakhala kuyambira 5 mpaka 30 mphindi

Munthuyo akhoza kukomoka.

Mosiyana ndi angina yomwe imayamba chifukwa chouma kwamitsempha yam'mimba, kupweteka pachifuwa komanso kupuma movutikira chifukwa chamitsempha yam'mimba nthawi zambiri sikupezeka mukamayenda kapena kuchita masewera olimbitsa thupi.

Kuyesera kuti mupeze mitsempha yamagazi ingaphatikizepo:

• Zowonera Coronary
• ECG
• Zojambulajambula

Cholinga cha chithandizo ndikuchepetsa kupweteka pachifuwa ndikupewa matenda amtima. Mankhwala otchedwa nitroglycerin (NTG) amatha kuthana ndi zowawa.

Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala ena kuti muchepetse kupweteka pachifuwa.Mungafunike mtundu wa mankhwala otchedwa calcium channel blocker kapena nitrate yayitali.

Beta-blockers ndi mtundu wina wa mankhwala omwe amagwiritsidwa ntchito ndimavuto ena amitsempha yamagazi. Komabe, ma beta-blockers atha kukulitsa vutoli. Ayenera kugwiritsidwa ntchito mosamala.

Ngati muli ndi vutoli, muyenera kupewa zomwe zimayambitsa mitsempha yamitsempha yamagazi. Izi zimaphatikizapo kukhudzana ndi kuzizira, kugwiritsa ntchito mankhwala osokoneza bongo a cocaine, kusuta ndudu, komanso kupsinjika.

Mitsempha yamitsempha yamitsempha yamtundu wautali ndiyokhazikika (kwanthawi yayitali). Komabe, chithandizo nthawi zambiri chimathandiza kuchepetsa zizindikilo.

Matendawa atha kukhala chizindikiro choti muli pachiwopsezo chachikulu chodwala matenda amtima kapena maphokoso amtima osadziwika. Maganizo nthawi zambiri amakhala abwino ngati mutsatira chithandizo chanu, upangiri wa omwe akukupatsani, komanso kupewa zina zomwe zingayambitse.

Zovuta zingaphatikizepo:

• Nyimbo zosakhazikika pamtima, zomwe zimatha kubweretsa mtima ndikumwalira mwadzidzidzi
• Matenda amtima

Itanani nthawi yomweyo nambala yanu yadzidzidzi (monga 911) kapena pitani kuchipatala mwadzidzidzi ngati muli ndi mbiri ya angina ndipo kupweteka kapena kufinya kwa pachifuwa sikutonthozedwa ndi nitroglycerin. Ululu ukhoza kukhala chifukwa cha matenda amtima. Kupumula ndi nitroglycerin nthawi zambiri sizimalitsa kwathunthu kupweteka kwa matenda amtima.

Matenda a mtima ndiwadzidzidzi kuchipatala. Ngati muli ndi zizindikiro za matenda a mtima, pitani kuchipatala nthawi yomweyo.

Tengani njira zochepetsera chiopsezo chanu chodwala matenda amtima. Izi zimaphatikizapo kusasuta, kudya zakudya zopanda mafuta, komanso kuchita masewera olimbitsa thupi.

Angina wosiyanasiyana; Angina - zosintha; Angina wa Prinzmetal; Vasospastic angina; Kupweteka pachifuwa - Prinzmetal's

• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa

• Angina
• Mitsempha ya Coronary spasm
• Mitsempha yodula gawo
• Kupewa matenda amtima

Amsterdam EA, Wenger NK, Brindis RG, ndi al. Chitsogozo cha AHA / ACC cha 2014 pakuwongolera odwala omwe alibe ST-elevation acute coronary syndromes: chidule chachikulu: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe amachitidwe. Kuzungulira. 2014; 130 (25): 2354-2394. [Adasankhidwa] PMID: 25249586 www.ncbi.nlm.nih.gov/pubmed/25249586.

Kutumiza WE. Angina pectoris ndi khola la ischemic matenda amtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 62.

Giugliano RP, Braunwald E. Non-ST kukwezeka kwambiri ma syndromes. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 60.