Angina engazinzile - omunye izinhlobo ischemic isifo senhliziyo

Umqondo isifo ischemic wenhliziyo ihlanganisa leqembu lezifo, ukuthuthukiswa zazo lihlotshaniswa kahle kwegazi imisipha yenhliziyo. Ngokusho ngezigaba bahlukene ku oyingozi futhi ezingalapheki. izifo olunamandla yenhliziyo zihlanganisa okungazelelwe ukufa inhliziyo, isilethikusebenza futhi angina engazinzile.

Ukwahlukaniswa lesi sifo uqokomisa stenokardia de novo, subacute futhi angina acute lokuphumula angina ezithuthukayo.

Lapho stenokardia de novo angina kuyagcinwa akunjalo kudala futhi ngaphansi kwesimo kwezempilo jikelele.

Engazinzile angina ukuphumula angina ezifana subacute kuboniswa ukuthi ukuhlaselwa ubuhlungu saphela amahora angu-48 edlule.

Ngo-acute angina ubuhlungu ezinye esifubeni uyaqhubeka mashumi 48 amahora futhi eqaphela ngesikhathi ukuhlola isiguli.

Uphawu ezibaluleke kakhulu emitholampilo angina engazinzile yiyona simo esishubile of ubuhlungu. Lokhu kuboniswa intuthuko enenqubekela phambili angina noma angina lapho esephumule, ukubusa okusheshayo izimpawu ezintsha. ubuthakathaka Jikelele, ukujuluka abandayo, iphika, ukukhwehlela, umoya ogobhozayo, arrhythmia endaweni engamamitha umthwalo izingane ngokomzimba noma ngokomzwelo - izikhalazo ezihambisana noma yiluphi uhlobo acute isifo senhliziyo, kuhlanganise angina engazinzile. Umlando isifo ibonisa izimpawu ejwayelekile lesi sifo.

Isici okuqhubekayo engazinzile angina compressive ubuhlungu besifuba, okuyinto ame, khona-ke amandla amasha. Ubuhlungu akukwazi, noma uphendula kabi ekwelashweni nitrate, ngokuvamile obuhambisana nokuthanda ngokwesaba ukufa, iphika, arrhythmia. Iziqephu eziningi zokuhlaselwa angina ayabaluleka njalo, futhi kokuhlaselwa khulula nezikhathi - iDemo. ukuhlaselwa ngasinye okwalandela iba nzima kuletshebetshebe odlule. Nitrate, okuyinto yayikade aqashiwe ubuhlungu besifuba, baba ayizwakali, yize isiguli luwathathe ngemithamo ezinkulu. angina engazinzile kuhambisana ubuhlungu, okuyinto kungenzeka hhayi kuphela ngenxa ukucindezeleka ngokomzimba noma psycho-ngokomzwelo futhi uphumule. Ngezinye izikhathi aqede kuphela analgesics kwezidakamizwa. Ngezinye izikhathi kukhona ngokuhlasela inhliziyo somoya ne ukufuthelana kanye isifuba esomile.

ukuhlola

angina engazinzile sekutholakele ukuthi sine- idatha anamnestic, izikhalazo nesineke, kanye izifundo wezinsimbi futhi laboratory.

Uphawu oyinhloko we ECG, esizibonakalisa angina engazinzile, kuyehla noma ST ecindezelekile ingxenye ngokuhlanganyela ebukhali futhi eliphezulu izinyo T. T wave kungenzeka kanjani ushintsho kusuka omuhle ukuba omubi. Lezi zinguquko ECG ingachazwa ngokuthi ukunike olunye usuku noma ngaphezulu.

Lapho echocardiography kukhona izindawo ukuhamba ongaphakeme kwezindonga inhliziyo, wedlula ezinsukwini ezimbalwa.

umaka Serological ngoba inhliziyo ukulimala cardiomyocytes kuyinto ongaphakeme yamangqamuzana isisindo myoglobin amaprotheni. Nokho, lokhu yokuhlola eqondile kakhulu njengoba ukuba ukubukeka igazi myoglobin zingenzeka umonakalo imisipha lwamathambo. Ngo amahora okuqala angu-lapho kuqala angina ezingaqinisekile kuleli ezingeni igazi ukwanda enzyme - creatine Imininingwane. Njengoba umaka engazinzile kwegazi yenhliziyo, asetshenziselwa kunamaprotheni fibrinogen C-esisheshayo.

ukwelashwa

Iziguli angina engazinzile ezidinga esibhedlela. Ezimweni lapho kukhona iziqephu ezinzima futhi isikhathi eside ka angina uphumule amasonto amabili, futhi ngaphandle ECG kwezinso nokuzinza hemodynamic, iziguli ingelashwa esigulini esingalalisiwe esibhedlela.

ukuphathwa yamanje izifo kuhlanganisa izindlela zokwelapha kanye kuhlinzwa. Umgomo oyinhloko ukwelashwa - sokubuyiselwa ekuqaleni we patency yenhliziyo.

angina engazinzile ziphathwe antithrombotics (anticoagulants, antiplatelet, antithrombin), ama-ejenti antianginal (nitrate, Betts-blocker, i-calcium abamelene), ACE inhibitor futhi statin.

Iziguli akhishwe lapho befinyelela kuqiniswa of CHD.