I-Vasospastic angina pectoris

Lolu hlobo lwesifo - isenzakalo esingavamile, isici esineminyaka engama-30 kuya kwengu-50. I-Vasospastic angina ibhekisela enhlotsheni engaqiniseki yalesi sifo, ukubonakaliswa kwayo akunakwenzeka, okudala ubunzima abathile ekuthuthukiseni izinyathelo zokwelapha.

I-Vasospastic angina ye-Prinzmetal

Lesi sifo siphinde sabizwa nge-angina ehlukile noma ehlukile. Kubangelwa ukuphazamiseka kwemithambo ye-coronary, eyondla isisu senhliziyo. Njengomthetho, kubangelwa ama-atherosclerotic plaques ezindongeni zangaphakathi zemithambo yegazi kanye nesifo somzimba sezincubu ezinamanzi.

Isizathu esiyinhloko sokuthuthukiswa kwalesi sifo ukugxilwa kwe-artery lumen ngenxa yokuphambana ngokweqile kwemisipha ebushelelezi yomkhumbi. Ngenxa yale nqubo, ukugeleza kwegazi kuya enhliziyweni kwehla ngokungazelelwe, okungaholela ekuhlaselweni nasekufeni.

Angina pectoris - izimpawu

Isibonakaliso sodwa se-pathology siyinkinga enkulu, enezici ezilandelayo:

• kwenzeka ebusuku, phakathi nesikhathi kusuka phakathi kwamabili kuya ku-7-8 ekuseni;
• ivela esimweni sokuphumula futhi ingashukunyiswa ukucindezeleka ngokomzimba noma ingcindezi eyengeziwe;
• indawo yangakini ngemuva kwesibhakela lesifuba futhi inikeza ingalo, ihlombe, ihlombe, ngezinye izikhathi lihlala emhlathini;
• ihlala emaminithini amahlanu kuya ku-25-30;
• okungajwayelekile okuhambisana ne- syncope ;
• kubangela umuzwa wokucindezela, ukucindezela kwesifuba;
• uphinda njalo ebusuku ngamasonto ambalwa noma izinyanga;
• iphela ngemva kokuthatha i-tablet eyodwa ye-nitroglycerin.

Angina - I-Angina - I-diagnosis ye-Prestmetal

Ngokuqondile ukwenza ukuxilongwa kungenzeka kuphela ngesikhathi sokuhlaselwa, ngoba yonke inkathi ayiyona imininingwane.

I-stenocardia ye-Prinzmetal ku-ECG ibonakala njengeyanda kwizinkomba ze-ST. Ngaphezu kwalokho, i-electrocardiography yenziwa ngokwengeziwe ngokuqapha kwe-Holter (nsuku zonke). Esikhathini sesifundo, ukuqoshwa kwe-ECG okuqhubekayo kwenziwa kwindlela yokusebenza evamile yesiguli. Ukuxilongwa kwenziwa ngedivaysi ephathekayo ethintana nesikhumba somuntu ngokusebenzisa ama-electrodes adhésives. Kunconywa ukugcina idayari yokuzwa, ukuphawula kuyo kuguquka enhliziyweni kanye nokuvela kobuhlungu ekusebenzeni kwanoma yisiphi isenzo.

Enye indlela i-coronarography. Ngosizo lwalolu hlobo lwezinhlolo ze-laboratory, kungenzeka ukulinganisela ngokuthembeka izinga lokulimala emithanjeni yegazi ngama-atherosclerotic plaques.

I-Angina Treatment ye-Vasospastic ye-Prizmetal

Ukwelashwa ngokuyinhloko kuhloswe ukuba kungabandakanyi izifo ezivusa izifo. Lokhu kuhlanganisa ukubhema, ukucindezeleka njalo, ukucindezeleka ngokomzwelo kanye nokuzizwa komzimba.

Ukuqeda izimpawu, i-angospastic i-vasospastic iveza imiphumela yemithi:

• ama-nitrate aqukethe amalungiselelo;
• i-aspirin iqembu lama-agent kanye nokungafani;
• abaphikisi be-calcium;
• i-alpha-blockers;
• abaphikisi be-heparin.

Ngokuya ngesisusa saleso sifo, uhlelo oluphelele lwezokwelapha lukhethiwe ngokukhethwa komuthi ngamunye. Le ndlela ikuvumela ukuba unciphise i-viscosity nobukhulu begazi, uvimbele okwe-oxygen indlala yesisindo senhliziyo, ukwandisa ukukhanya kwemithambo ye-coronary futhi ubuyekeze ukuhlinzeka kwegazi okuvamile emotweni ye-myocardium.

Ngokwemvelo, isiguli sidinga ukubuyisela:

1. Ukuyeka ukusebenzisa utshwala nezinye imikhuba emibi.
2. Sebenzisa okungenani amahora angu-8 okuphumula ngosuku.
3. Yenza umsebenzi womzimba olinganiselayo.
4. Buyisela isimiso sezinzwa.
5. Gwema ukucindezeleka .
6. Lungisa ukudla.