Monga tikuonera angina (zizindikiro) ndi mankhwala kutenga nthawi yomweyo?

Mawu akuti "angina" amadziwika kuti anthu ambiri. Ndipo ambiri a iwo ntchito mawu amenewa pofuna kutsindika umbombo wa anthu - ". Umodzi wa achule makina" Koma ochepa mukudziwa kuti kuseri mawuwa Amabisa zizindikiro m'malo aakulu amakhala matenda a mtima. Tikuyankhula zokhudza zochitika ngati zosasangalatsa monga angina. Zizindikiro ndi zomwe mankhwala kuti nditenge kudwala izi zafotokozedwa mwatsatanetsatane.

angina ndi chiyani?

Poyamba tione zimene zimapanga matenda. Kodi amapezeka odwala matenda a "angina" zizindikiro ndi zimene mankhwala kutenga kuthana ndi matenda?

Izi kudwala - mtundu wa ischemia mtima, imene pali chopinga kwa ufulu magazi. chodabwitsa zosasangalatsa zingaoneke mu mtsempha wamagazi inatsekeratu kapena awiri. Komanso wodwalayo akubwera kuukira, kusonyeza kusowa oxygen.

Angina akufotokozera ndi maziko a vutoli chofunika mtima minofu ya mpweya ndi kuchuluka asanalembe izo. Chifukwa cha kusowa kwa oterowo Mbali yofunika, ndi kuphwanya kagayidwe ndipo adamsunga wosadandaula kwambiri mukachititsidwa manyazi ake.

Chifukwa imeneyi chingabisike mu matenda wamba magazi (luminal kuchepetsa wa mitsempha ya), kapena lakuthwa ndi yaitali kuphipha Mitsempha za mtima. Yaitali kusowa kwa mpweya kungayambitse mavuto aakulu. Pankhaniyi, wodwala akhoza kukhala ndi vuto la mtima.

kudwala Zoyambitsa

Pofuna kupewa chitukuko cha mavuto aakulu, m'pofunika kumwa mankhwala nthawi yake angina mtima. Zizindikiro, zimayambitsa matenda amafuna kuphunzira zambiri. Podziwa iwo, inu mukhoza kuganiza matenda m'njira yake ndipo amasamalira wodwalayo.

Zimayambitsa waukulu angina ali unazunguliridwa mu zinthu zotsatirazi:

1. Kunenepa. M'pamenenso umaonetseredwa, apamwamba chiopsezo angina.
2. Kusuta. Munthu, kutengera pa ntchito kudalira fodya, angatenge chiopsezo matenda aakulu.
3. Magazi mafuta.
4. The maganizo maganizo amphamvu kapena zimamuchulukira mantha.
5. Shuga. Odwala amene anapezeka ndi matendawa ndi kuti atengeke maonekedwe a angina.
6. Matenda nkhawa.
7. Hypertensive matenda a mtima.
8. Hypodynamy (stiffness).
9. Mkulu magazi clotting, zimene zimabweretsa magazi kuundana. Iwo amadziwika kuti ndigwire lumen Mitsempha. Iwo thrombosis stenokardicheskie kungadzutse oukira ndi kuwaganizira m'mnyewa wamtima infarction.
10. Kagayidwe kachakudya matenda (mkulu mafuta pamodzi ndi oopsa ndi kunenepa).
11. Thrombophlebitis kapena flebotromboz.

Sikuti kuti munthu anapezeka onse a zinthu zakumwamba. Wokwanira ngakhale mmodzi wa iwo kukhala angina.

Mfundo zonsezi kuyambitsa mapangidwe kudwala. Koma simungathe Musiyeni mtima, ngati pali zidzayambike ndi zinthu zina.

Childs, angina kuukira anayamba ndi maziko a:

• thupi;
• chokhwima nyengo;
• maganizo nazo.

gulu la matenda

Pali mitundu ingapo ya matenda, angina. Zizindikiro ndi mankhwala kanthu ndi wodwala, m'pofunika kukambirana ndi dokotala.

Gulu zotsatirazi adzalola kumvetsa zimene mtundu wa matenda mukulimbana ndi:

1. Khola angina. Only limapezeka pa maziko a mafunde. Pakuti kudwala khalidwe la Maphunziro 4 zomwe ndi kololeka katundu msinkhu, luso kupirira mtima.
2. Wosakhazikika angina. Limatchedwanso pang'onopang'ono. Wodwala akhoza kuona kuwonongeka lakuthwa thanzi. Komabe, palibe zimayambitsa precipitating sangakhale. Madokotala amanena kuti mtundu uwu wa matenda akufotokozera mu ming'alu mu zotengera mtima, isanafalikire pafupi ndi zolengeza atherosclerotic. Mu mitsempha inatsekeratu anapanga thrombus n'kusokoneza yachibadwa magazi.
3. Vasospastic angina. Matenda kuwawonetsera spasms m mitsempha mtima. Chifukwa cha matenda ndi m'mnyewa wamtima mpweya yobereka kulephera. Chifukwa, izo akufotokozera kuphipha amakhala angina. Chotero matenda amatha kukhala pa mpumulo.

makalasi zinchito za angina khola

Monga tanena, pali kokha 4:

1. The chotsatira chifuwa ululu ndi paroxysmal m'chilengedwe. Komabe, zochitika ngati n'zochepa kwambiri. Monga ulamuliro, choyambitsa awo khama mosathamanga kudya.
2. Pachifuwa kusapeza limapezeka pamene kukwera masitepe. Ululu amapezeka mu nyengo yozizira poyenda kudya. kumuukira lingachititse kudya.
3. ululu limapezeka ngakhale pambuyo alipidwa wodekha kuyenda kwa mtunda waufupi (100 m). Pachifuwa kusapeza zikadzatha kuchoka wodwalayo kwa atichitira ofunda pa chisanu.
4. Wodwala akulephera kuchita ntchito iliyonse thupi. Ngakhale ntchito pulayimale angathe kuutsa kuukira kwa pectoris angina. The kusapeza kumachitika pa mpumulo.

khola angina pectoris

Kusiyanitsa fomu iyi mosavuta. Taganizirani zimene ngati kudwala monga angina khola, zizindikiro ndi zimene mankhwala kuti amuchotsepo mawonetseredwe matenda a matenda.

Mavuto amatha alibe kuonekera mpaka nthawi monga munthu si anakhudzidwa ndi akapsa. Koma mu nkhani ya nkhawa thupi kapena maganizo a wodwala kuyamba kudwala. Ichi ndi chizindikiro chachikulu cha matenda. maonekedwe ake nthawi zonse yoyamba yemweyo mlingo katundu, motsutsana ndi kudwala osakhazikika.

khunyu nthawi ndi kwa mphindi 5 mpaka 10. kutambasuka iliyonse ya boma zosasangalatsa limasonyeza wosakhazikika angina.

China khalidwe la mawonekedwe a matenda ndi wofatsa mphumu. Pankhani ya khola angina wodwala ayenera kutenga mankhwala "nitroglycerin". piritsi limodzi ndi zokwanira kuthetsa wodwalayo nkhondo. Pankhani wosakhazikika angina, piritsi limodzi sadzawononga ululu wodwala mu mtima wanga.

zizindikiro kuukira

Takambapo pamwamba kuposa kuyima chikhalidwe zosasangalatsa. Komabe, wodwalayo ayenera kudziwa zimene kudwala thandizo la mankhwala okwanira ndi chabe dokotala mankhwala kwa angina mtima.

Zizindikiro kuukira:

1. kupweteka kwambiri sternum lapansi. Kusapeza ndi compressing, kufinya khalidwe. Wodwala anadandaula za Ndikumva chisoni ndi moto kumverera mu chifuwa.
2. ululu akhoza kufalitsa lamanzere dzanja, phewa, khosi komanso pakhosi. Kwambiri kawirikawiri kusapeza chimakwirira kumanja: dzanja ndi malo pamimba.
3. Kuukira ndi yoyamba nkhawa: zolimbitsa thupi, kukhudza mtima, kuzizira nyengo kunja, mphepo yamphamvu. Nthawi zambiri, izo zimayambitsa kuyenda ndawala, makamaka mavuto nyengo (kutentha, kuzizira, mphepo), kukwera masitepe kapena kudya.
4. Kusapeza zonse asonyeza zikuchepa kwambiri, zikuchepa. kuukira abwera pa mwadzidzidzi, pakati pa katundu wamkulu.
5. khunyu nthawi, malinga ndi mawonekedwe, mulole lapitali 1 miniti 15.

Pamwamba ndi tingachipeze powerenga matenda zizindikiro za angina. Komabe, pali zinthu atypical zomwe mtima ischaemia. Tiyeni tione iwo.

Zizindikiro za mitundu atypical

Kodi angasonyeze matendawa? Ena magulu a anthu (zambiri m'zimene anthu achikulire kapena anthu ndi shuga), ululu kuukira sungathe anati.

Odwala awa, angina umatipanga lokha anamva chipatala izi:

• Pafupipafupi palpitations ;
• nseru;
• kufooka;
• thukuta.

Nthawi zina nkhondo angayambe popanda zizindikiro konse. kudwala limeneli limatchedwa "chete" ischemia.

Atypical angina zambiri anasonyeza zizindikiro:

1. Kupuma movutikira. Chodabwitsa zimawonedwa pa kutulutsa ndipo zachifalansa. chikuoneka amakwiya ndi tsankho zosangalatsa a minofu mtima.
2. Mwadzidzidzi aakulu kutopa chifukwa cha katundu aliyense. Chifukwa cha ichi lagona zizindikiro za kuperewera kwa mpweya ndi kupanda ntchito contractile a minofu mtima.
3. Ululu nkhawa. Ngati alipo, ndi mwayi dzanja, phewa, mano.

Zizindikiro amatchedwa zofanana anginal.

zadzidzidzi

Kumene, ambiri a mafunso chidwi izi (ngati matenda angina): Zizindikiro ndi zomwe mankhwala kutenga kudwala lapansi.

Pamene mukulimbana chitukuko ayenera miyeso zotsatirazi:

1. Lekani zolimbitsa thupi ndi kukhala bwinobwino, miyendo yake dangling pansi.
2. Kumasulidwa khosi munthu ndi chifuwa (unbutton malaya ake, kuchotsedwa tayi wake).
3. Kupereka mpweya wabwino.
4. Wodwalayo angafunike kutafuna piritsi limodzi "ndi aspirin".
5. Ndiye mtima aikidwa pansi pa lilime mapiritsi "nitroglycerin". Zinthu zimenezi akhoza m'malo mankhwala zotsatirazi kwa angina mtima "Nitrolingval" (piritsi 1) kapena "Izoket" (1 jekeseni).
6. Ngati pambuyo Mphindi 3 ululu kusapeza akupitiriza mosaletseka, m'pofunika kubwereza mlingo. Komabe, dziŵani kuti oposa 3 mapiritsi sangathe ntchito akadzaukira chimodzi (jekeseni).
7. Ngati mwakumana ndi mutu, wodwala ayenera kuperekedwa ndi analgesic, "Baralgin", "Analgin", "sedalgin".
8. Pankhani ya paipi wodwala akusowa antihypertensives mkulu-liwiro monga "clonidine".
9. Palpitations kuthandiza matenda mankhwala "Inderal".

mavuto a matenda

Nkofunika kutenga mankhwala onse angina, zotchulidwa dokotala. Popeza kudwala kungayambitse mavuto aakulu kwambiri:

• arrhythmia;
• yamitsempha yamagazi tachycardia;
• cardiogenic mantha;
• yamitsempha yamagazi fibrillation;
• yaikulu m'mnyewa wamtima infarction;
• atrioventricular blockades;
• congestive mtima kulephera;
• pericarditis;
• embolism m'mapapo mwanga.

chithandizo matenda

Akulimbana ndi angina m'njira ziwiri:

1. chithandizo ndiwofatsa. Izo ziyenera kuchitidwa pa moyo.
2. Opaleshoni. N'chobwezeretsa zofunika magazi kuwonjezera mtima.

Taganizirani zimene zinafotokozedwa mankhwala angina kuti atengere odwala kusintha chikhalidwe chawo.

mankhwala ndiwofatsa tichipeza magulu zotsatirazi mankhwala:

1. Mankhwala amene amachepetsa magazi kuundana, "Aspirin", "Clopidogrel", "Trombostop".
2. Beta-blockers. Kuchepetsa kufunika kwa minofu mtima wa mpweya, kubwezeretsa bwino zofunika, kuchepetsa kuthamanga ndi pafupipafupi contractions. Analimbikitsa mankhwala "metoprolol", "Bisaprolol", "Nebivolol," "Atenolol".
3. Statins. Kuchepetsa ndende ya mafuta m'thupi. Mankhwala "Simvastatin", "Atorvastatin".
4. Ace zoletsa. Mankhwala kuti kuteteza vasospasm. mankhwala yabwino "Perindopril" "Lisinopril", "Noliprel", "Enalapril", "Sonoprel".
5. Kashiamu njira muzikangana. Kuchepetsa mowa mpweya wa mtima. Prescribers "Verapamil", "Verogalid" "Diltiazem".
6. Ku feteleza. Limbikitsani kukula kwa mitsempha, kumachepetsa kufunika mtima wa oxygen. Analimbikitsa mankhwala 'nitroglycerin "" Isosorbide. "

Malinga alili amasankhidwa mankhwala oyenerera:

1. Angina ndi arrhythmia mankhwala monga mankhwala antiarrhythmic. mankhwala "procainamide" analimbikitsa zambiri.
2. Ngati ndi kotheka, kupewa mantha cardiogenic amalangiza mankhwala othetsa ululu, "Talamonal", "Omnopon", "Morphine", "Promedol" "Fentanyl".
3. Mankhwala pectoris angina, m'mnyewa wamtima infarction, congestive mtima kulephera - zambiri sachedwa glycosides: "Strofantin", "Korglikon", "convallatoxin".

Kupewa matenda

Musanyoze nokha kudwala ichi monga angina! Zizindikiro, chithandizo, kupewa matenda ayenera nthawi zonse kukambirana ndi dokotala. Self-mankhwala mu chikhalidwe ichi ndi choopsa kwambiri!

zodzitetezera ndi wosavuta ndipo unazunguliridwa kugwilizana ndi "malamulo CHD":

• Ndipo - ndiyotani pakuchotsa kusuta kapena inhalation utsi wa fodya.
• B - kayendedwe zambiri, zosiyanasiyana.
• C - kuonda, kupeza polimbana kunenepa.

Compliance ndi nsonga yosavuta adzateteza aliyense, kaya jenda ndi zaka, chitukuko cha matenda amenewa lalikulu, angina.