Angina wosakhazikika komanso momwe mankhwala amathandizira

Zamkati

• Zizindikiro zake ndi ziti
• Zomwe zingayambitse
• Kodi matendawa ndi ati?
• Momwe mankhwalawa amachitikira
• Kodi pali kusiyana kotani pakati pa angina okhazikika komanso osakhazikika?

Angina wosakhazikika amadziwika ndi kusapeza bwino pachifuwa, komwe kumachitika nthawi yopuma, ndipo kumatha kupitilira mphindi 10. Ndizowopsa komanso zoyambira posachedwa, zamankhwala apakatikati, ndipo zitha kupita patsogolo, ndiye kuti, zikuchulukirachulukira komanso / kapena pafupipafupi kuposa kale.

Kupweteka pachifuwa kumatha kufalikira pakhosi, mkono kapena kumbuyo ndipo zizindikilo monga nseru, chizungulire kapena thukuta kwambiri zitha kuwonekeranso, ndipo panthawiyi ndikofunikira kufunafuna mwachangu chithandizo chamankhwala choyenera, chomwe nthawi zambiri chimakhala ndi kupumula ndi kuyang'anira a nitrate, beta-blockers ndi anti-aggregates, monga AAS kapena Clopidogrel, mwachitsanzo.

Nthawi zambiri, angina wosakhazikika amatsogola m'mnyewa wamtima, matenda a arrhythmias kapena, nthawi zambiri, kufa kwadzidzidzi. Phunzirani kuzindikira zizindikiro za infarction ya myocardial.

Zizindikiro zake ndi ziti

Zizindikiro zomwe zimatha kupezeka mwa munthu yemwe ali ndi angina wosakhazikika ndizopweteka kapena kusapeza bwino pachifuwa, zomwe zimamvekanso m'mapewa, khosi, kumbuyo kapena mikono komanso zomwe zimangokhala zokha kupumula, ndipo zimatha kutsatana ndi mseru, chizungulire, kutopa ndi thukuta kwambiri.

Zomwe zingayambitse

Angina wosakhazikika nthawi zambiri amayamba chifukwa cha kuchuluka kwa zidutswa zamafuta mkati mwa mitsempha yamtima kapena kuphulika kwa zikwangwani izi, zomwe zimatha kubweretsa kuvuta kwa magazi m'mitsempha iyi. Popeza magazi ali ndi udindo wobweretsa mpweya kuntchito ya minofu ya mtima, kuchepetsa magazi, kumachepetsa mpweya wa m'thupi, motero kumayambitsa kupweteka pachifuwa. Onani zomwe zimayambitsa atherosclerosis.

Anthu omwe ali pachiwopsezo chachikulu chodwala angina osakhazikika ndi omwe amadwala matenda ashuga, kunenepa kwambiri, mbiri yabanja yamatenda amtima, kuthamanga kwa magazi, cholesterol, kugwiritsa ntchito ndudu, kukhala amuna komanso kukhala moyo wongokhala.

Kodi matendawa ndi ati?

Nthawi zambiri, dokotalayo amawunika thupi, komwe kumaphatikizapo kuyeza kwa magazi komanso kukondoweza kwamtima ndi m'mapapo mwanga. Kuphatikiza apo, kuyesa monga kuyesa magazi, ndi ma enzyme amtima, electrocardiogram, echocardiography, coronary angiography ndi / kapena angiography yolembedwa ndi tomography, mwachitsanzo, amathanso kuchitidwa.

Momwe mankhwalawa amachitikira

Odwala omwe ali ndi angina osakhazikika ayenera kuchipatala ndikuyang'aniridwa pogwiritsa ntchito electrocardiogram mosalekeza kuti athe kuwona kusintha kwa gawo la ST ndi / kapena arrhythmias yamtima. Kuphatikiza apo, pachithandizo choyambirira, ma nitrate, beta-blockers kapena calcium channel blockers amayenera kuperekedwa kuti athetse angina ndikuletsa kubwereranso kwa kupweteka pachifuwa, kuphatikiza kugwiritsa ntchito anti-aggregants kapena antiplatelet agents monga AAS, clopidogrel, prasugrel kapena ticagrelor, kuti akhazikitse mbale zamafuta.

Maanticoagulants amaperekedwanso kuti achepetse mawonekedwe am'magazi, monga heparin, zomwe zimapangitsa magazi kukhala amadzimadzi. Mankhwala osokoneza bongo, monga captopril, amatha kugwiritsanso ntchito kuchepetsa kuthamanga kwa magazi komanso ma statins, monga atorvastatin, simvastatin kapena rosuvastatin, kuti akhazikitse zikwangwani.

Ngati angina wosakhazikika amatsimikiziridwa ndi mayeso, monga myocardial scintigraphy kapena transthoracic echocardiography kapenanso mawonekedwe amtima, wodwalayo ayenera kulandira catheterization yamtima m'maola 24 otsatira.

Kodi pali kusiyana kotani pakati pa angina okhazikika komanso osakhazikika?

Khola la angina limadziwika ndi kusapeza bwino pachifuwa kapena mkono, zomwe sizopweteka kwenikweni, ndipo nthawi zambiri zimalumikizidwa ndi kulimbitsa thupi kapena kupsinjika, ndipo zimamasulidwa pambuyo pakupuma kwamphindi 5 mpaka 10 kapena ndi nitroglycerin yazing'ono. Dziwani zambiri za angina wokhazikika.

Angina wosakhazikika amadziwikanso ndi kusapeza bwino pachifuwa, koma mosiyana ndi angina wokhazikika, nthawi zambiri amapuma, ndipo amathanso kupitilira mphindi zopitilira 10, kukhala wolimba ndikuyamba kumene, kapena kupita patsogolo, ndiko kuti, kupitilira kapena kupitilira kale.