I-Prinzmetal angina: izimpawu, ukuxilongwa, ukwelashwa

Impilo ingcebo enkulu kunazo zonke ezinikezwe ngenhla. Kuphela akusiyo njalo esingayilahla kahle. Izifo zilindile kuzo zonke izinyathelo. Kubonakala sengathi, maduzane ngangifuna ukudansa, kodwa manje akukho amandla okuvuka esihlalweni sami. Esinye sezifo ezivame ukuvela yi-angina ye-Prinzmetal. Yilokho manje futhi uzokhuluma.

Kuyini?

Okuhlukile, okuzenzakalelayo, i-vasospastic yizincazelo ezimbalwa zesifo. Kutholakala ukuthi kukhona i- spasm yemithambo yegazi eyondla inhliziyo. Emibhalweni yezokwelapha, lena yindlela yokwelapha ye-angina ekuphumuleni. Lesi sifo asivamile. Leli gama lathola ku "umzali" wakhe - M. Prinzmetal. Lezi zidakamizwa ze-cardiologist yaseMelika ngo-1959 waqala ukuchaza isifo esinjengesi-vasospastic angina (i- Prinzmetal angina ). Ngokuvamile lesi sifo sithinta abantu abaneminyaka engamashumi amathathu namashumi amahlanu ubudala. Ukufinyelela ukwelashwa kwalolu hlobo lwe-angina akufanele kufane nezinye izinhlobo ze-angina. Isizathu salokhu yizici zayo. Lesi sifo singazibonakalisa ngendlela ehlanzekile, futhi ngokubambisana ne-angina pectoris ukungezwani.

I-angina ye-Prinzmetal iqala ngesizinda sokuphumula, ngokuvamile ngesikhathi sokulala ebusuku. Ngezinye izikhathi ukuhlasela kuqala ekamelweni elibandayo noma emgwaqweni ngenkathi epholile.

Yini ebangela lesi sifo

Manje ake sikhulume ngezimbangela ezibangela ukuthi kwenzeke lolu hlobo lwe-angina pectoris. Njengoba sekushiwo kakade, kungabanda. Kodwa kufanele sengeze ukuthi angeke kubhekwe njengowokuqala "osusa", njengokungathi uyadonsa umzimba kulokhu kuhlaselwa. Ngokuqondene nezizathu, khona-ke i-angi ye-Prinzmetal ingabangela:

• Ukuthuthukiswa kwe-atherosclerosis. Futhi yilona iphuzu eliyinhloko. Akudingekile ukuthi lesi sifo singanakwa. Ngisho naseziqenjini zokuqala, ukutholakala kwesifo sokuqina kwesifo somzimba kungashukumisa i-angina. Beka zonke izikhala. Ziholela ekutheni i-stenosis ephikelela, ebangela izimpawu ze-Prinzmetal. U-Angina walolu hlobo ubonakala ngamaphesenti angamashumi ayisikhombisa nanhlanu weziguli ezine-atherosclerosis.
• Ukubhema okusebenzayo, esinye isizathu esingenzi inkinga yokuqala kwesifo, kodwa siyasiqhubezela. Leli qembu lihlanganisa utshwala, ukungondleki, ukuhlala ngasendlini, ukucindezeleka okuqhubekayo.

Isifo sibonakala kanjani?

Manje ake sikhulume ngokuthi i-angina ye-Prinzmetal ibonakala kanjani. Izimpawu zalesi sifo wonke umuntu kufanele azi ukuthi uma ezwa ngokungazelelwe.

• Ubuhlungu obukhulu e-sternum ekuseni, ngesikhathi sokulala noma ukuphumula.
• Izimpawu ze-tachycardia ne-hypertension.
• Ngesikhathi se-electrocardiogram kwisigaba se-ST, ungabona isithombe, njenge-infarction ye-myocardial.
• Ubuhlungu, okwenzeka ngaphambili ngezikhathi ezithile, bungazeleleke.
• Isikhathi sokubukeka kobuhlungu siyahlukahluka emihlanu kuya emihlanu.
• Ukukhanda ikhanda, isicasuli, ukuphelelwa amandla.
• Ukuphulwa kwesimiso semifino.

Ngemva kokuthola okungenani eyodwa yalezi zimpawu, masinyane uye kumchwepheshe. Nguye kuphela ongakwazi ukuqinisekisa noma ukuphika ukuxilongwa kwe "Prinzmetal angina". Izimpawu kufanele zenziwe yi-imiphumela yocwaningo. Ngokuhamba kwesikhathi ukwelashwa kwaqala indlela yokuthola ngokushesha, njengoba imiphumela engase ingabi mnandi kakhulu.

Imiphumela engenzeka

I-Stenocardia ye-Prinzmetal ingaholela ekuhlaselweni kwenhliziyo. Kuyiqiniso, amathuba okuba akulungile. Ukuphazamiseka okwenzeka ngesikhathi sokuhlaselwa akukona isikhathi eside. Kukhona enye ingozi - ukwephulwa komsebenzi kagesi wenhliziyo. Lokhu kuholela ekuphukeni komculo wenhliziyo, okuholela ekubonakalweni kwe-tachycardia ye- ventricular, futhi lokhu kuyisinyathelo esisodwa ngaphambi komphumela obulalayo.

Esinye isiphumo sesifo yisilonda esivimbelayo emithanjeni ye-coronary.

Uma siya emibhalweni, singasho okulandelayo. Ezinyangeni eziyisithupha zokuqala emva kokuthuthukiswa kwalesi sifo kuthatha cishe amaphesenti ayishumi abantu abagulayo. Amaphesenti angu-20 weziguli athole ukuxolelwa. Yiqiniso, kuzodingeka balandele imithetho ethile kuze kube sekupheleni kokuphila kwabo, ngoba izimpawu zingabuya eminyakeni embalwa.

Ukubeka isifuba esifanele sokuthuthukiswa kwesifo esikhathini esizayo akuyona umsebenzi olula. Kuxhomeke ebukhulu besifo kanye nemvamisa yokubamba. Futhi-ke, awukwazi ukungazinaki i-coronary atherosclerosis.

Izifo

Ukuxilongwa ngokucophelela okutholakele kuyisigaba esibaluleke kakhulu ekwelapheni noma yikuphi ukugula. Indlela esemqoka ezosiza ukuqinisekisa lesi sifo, njenge-Prinzmetal angina, i-ECG. Isetshenziswa ngesikhathi sokuhlaselwa. Uma ingxenye ye-ST ku-cardiogram iphakanyiswa, yilesi yisifo osolungayo.

Uma le ndlela ingavumelani ngokuphelele noma iqinisekisile izinsolo zesazi, isetshenziswa:

• Ukuhlola okuvusa amadlingozi nge-hyperventilation;
• Ukungena kwe-"Acetylcholine" noma "Ergometrin";
• Ukuhlolwa kwe-cold and ischemic.

Izifundo ziyaqhubeka nomthwalo. Ngale ndlela, ukubekezelelana kwemithwalo kuhlolwe. I-coronary angiography inesibopho. Ukusebenzisa le ndlela, kungenzeka ukuthi unqume futhi uhlole izinga lokulimala emithanjeni yegazi ngamacwecwe.

Isiguli kufanele sigcine idayari yemizwa. Kulo, ubona zonke izinguquko ezisuka enhliziyweni. Futhi futhi ubuhlungu obungase buvele lapho wenza lokhu noma lowo msebenzi.

Ukwelapha

Ukuxilongwa kwenziwa, manje ingxoxo izokwenziwa mayelana nalokho okwelashwa i- Prinzmetal angina .

• Isiguli kumele sitholwe esibhedlela.
• Esigabeni sokuqala, kusetshenziselwa imithi: i-nitroglycerin ivimba ukuhlaselwa okubuhlungu, abaphikisi be-potassium banweba izidakamizwa ezithwala izidakamizwa.
• Uma isifo se -aron coronary sezeka, ama-alpha-adrenoblockers kufanele aqalwe.

Ukwelapha kufanele kwenziwe ngokuqinile ngokwemigomo. Awukwazi ukuma ngokuqinile, kungase kube nemiphumela emibi: inani lokugwinya lizokhula, izimpawu ziyokhula, okungaholela ekutheni i- myocardial infarction. Yingakho izidakamizwa kufanele zithathwe ngokuqinile ngesikhathi.
Ngokuvamile, lezi zinyathelo zanele, kodwa uma umphumela oyifunayo ungafinyeleleki, kusetshenziselwa ukungenelela okuhlinzayo.

Isixazululo sale nkinga singaxazululwa ngosizo lwe:

• Umthambo weCononary uvunguza.
• Ukuhlinzeka nge-aortocoronary bypass.
• Angioplasty.

Ukuvimbela izifo

Naphezu kokuthi i-Prinzmetal angina ingathinta umuntu nganoma isiphi isikhathi, ungesabi. Ukuze inhliziyo yakho ibe khona, landela le mithetho:

• Yidla ukudla okuphansi kwekhalori.
• Hlanganisa ukudla okucebile ngamafutha wesilwane.
• Ungalisebenzisi kabi utshwala, kodwa ulahle ukubhema.
• Ukulala - okungenani amahora ayisishiyagalombili ngosuku.
• Ingabe imidlalo noma okungenani kusihlwa kusihamba.
• Uma kunokwenzeka, gwema ukucindezeleka.