U-Angina uyisilonda se-vascular, uhlobo lokubonakaliswa kwesifo se-ischemic ne-atherosclerosis. Ezigaba zokuqala, uma izinguquko ezitsheni zingenasidingo, ukuhlukunyezwa akuvamile. Kodwa kancane kancane izimpawu ze-angina pectoris ezicatshangwa kulesi sihloko, zizikhumbuza ngokwengeziwe, futhi ukuhlaselwa kungaphazanyisa ekuphumuleni. Ukungabikho kokwelashwa kungaholela ekutheni i-myocardial infarction.
Angina pectoris - izimpawu nezimpawu
Ukukhathazeka kungahlanganiswa nokucindezeleka ngokomzwelo nangokomzimba ngokweqile, ukubhema, ukuvezwa isikhathi eside emakhazeni. Izimpawu zokuqala ze-angina pectoris zibuhlungu nokuphefumula :
- Ubuhlungu yilona uphawu oluyinhloko lwesifo futhi lubonakala cishe kuzo zonke izimo. Ukubonakala kwalo kubangelwa ukulimala enhliziyweni.
- Ngenxa yokuphulwa kwekhono lenhliziyo yokuthola inkontileka, umuntu uqala ukuthola ukuntuleka komoya, okuboniswa ukuphefumula.
- Ngesikhathi esifanayo nalezi zibonakaliso, kukhona umuzwa wokwesaba nokukhathazeka. Esikhundleni esiphambanayo, ubuhlungu be-syndrome buyanda. Ngakho-ke, kuze kube sekupheleni kokuhlaselwa, batusa ukuma.
Yiziphi ezinye izimpawu ze-angina?
Izimpawu ezibalwe ngezansi zingase zingabonwa kuwo wonke umuntu:
- ubuhlungu obuphazamisa inhliziyo, bungathuthela entanyeni, ehlombe, emhlathini, futhi nokunikela ngakwesobunxele;
- ngokuvamile ukuzwa ukukhwehlela noma ukutholakala kwezinto ezivela emlonyeni kuyadalwa esiswini;
- ukwephula izinga lokushayela (ukushaya kwenhliziyo okusheshayo noma okusheshayo);
- abaningi bakhononda mayelana nokubonakala komzwelo wokuboshwa komzimba, ukubonakala kwe-sweat ebandayo nokunyuka kwengcindezi yegazi.
Uma ukuhlukunyezwa kuphazamiseka ebusuku, bakhuluma ngenye indlela ye-angina engazange ivele ngenxa yokusebenza ngokomzimba.
Izimpawu ze-Uncharacteristic ze-angina pectoris
Udinga ukwazi ukuthi lezi zimpawu ziyisici se-cholelithiasis nezilonda zesisu. I-Stenocardia ayibonakaliswa yizimpawu ezilandelayo:
- ubuhlungu obuhlala njalo;
- isikhathi sokuhlasela singaphezu kwemizuzu engamashumi amabili;
- ukusetshenziswa kwe-nitroglycerin akusizi ukukhulula isifo sobuhlungu;
- ukuvivinya umzimba akuzange kuthinte ukuvela kobuhlungu.
Ukuqina kwalokhu noma okunye ukubonakaliswa kungahluka. Kuyadingeka ukuthi unake ukubonakala komuntu omusha noguqukayo wezimpawu zakudala. Lokhu kungabonisa ukuthuthukiswa kwe-angina engazinzile okuholela ekuhlaselweni kwenhliziyo.
Izimpawu ze-angina kubesifazane
Imvelo yenkinga yabammeli besifazane ingase ihluke kancane ekubonakalweni okujwayelekile kwesifo. Ngokwesibonelo, esikhundleni sokuzwa ucindezelekile, owesifazane uzwa ukugwaza, ngezinye izikhathi ubuhlungu bokuphuza. Izimpawu zesimame zihlanganisa ubuhlungu esiswini nesisulu. Izibonakaliso ezinjalo ze-angina pectoris zibangela abesifazane ukuba bahambe bengakhululekile ngaphandle kokunaka, futhi ungaphenduki kudokotela ngesikhathi.
Angina pectoris - ECG izimpawu
Isigaba esibalulekile ekuxilongweni kwesifo yi-ECG.
Ngesikhathi sokuhlolwa kokuphumula, i-ECG ku-60% iyinto evamile, kepha ngokuvamile amazinyo e-Q abonakala, okukhombisa ukuhlaselwa kwenhliziyo edlulisiwe, kanye nezinguquko kwizinyosi ze-T ne-ST.
Kunembile kakhulu ukuhlolwa okwenziwa ngesikhathi sokuhlaselwa. Kule nkinga, ukucindezeleka kwe-oblique noma okuzungezile kwesigaba se-ST kugcinwa ngokuqondile futhi ukuguqulwa kwezinyosi kutholakala. Ngemva kokuba ubuhlungu buyeke, lezi zimingcele zibuyela ezijwayelekile.
Ukuqhuba izivivinyo zokucindezeleka kwi-veloergometer kuvumela ukulinganisa amathuba okuthuthukisa i- infarction ye-myocardial nokuthola isifo se-coronary heart. Ekuhlolweni kancane kancane ukwandisa umthwalo, okwenza isidingo somoya we-myocardium. Idatha etholakalayo ivumela ukulinganisa umkhawulo we-ischemic.