Prinzmetal angina: zizindikiro, matenda, mankhwala

Health - chuma chachikulu zapatsidwa pamwambazi. Only sitikumvetsa nthawi wokhoza bwino kutaya iwo. Matenda zimayambitsa iliyonse. Zikuoneka atangomwalira ankafuna kuvina, koma tsopano palibe mphamvu kudzuka ku mpando wake. Amodzi mwa matenda amene nthawi zambiri amapezeka ndi angina Prinzmetal a. Ndizo basi za izo tsopano, ndi kudzayankhula.

Kodi ichi

Zosinthika, mowiriza, vasospastic - ndi matanthauzo angapo a matenda. Iwo anapezeka mu vuto ngati pali munthu kuphipha ziwiya kudyetsa mtima. Kulankhula azachipatala ndi angina matenda fomu siteji mpumulo. Matendawa ali osowa. dzina ichi walandira kuchokera ake "kholo" - M. Prinzmetala. Izi wotchuka American cardiologist mu 1959 woyamba kufotokoza matenda monga vasospastic stenocardia ( Prinzmetal). Nthawi zambiri, matenda uyu anakumana ndi anthu a zaka zapakati pa zaka makumi atatu ndi makumi asanu. Kufupi ndi mankhwala a mtundu umenewu angina asapembedzere, monga kwa mitundu inayo. The chifukwa cha maonekedwe ake. matenda omwe ungadziwike kwa onse mu mawonekedwe woyera ndi molumikizana ndi angina.

Prinzmetal angina akufotokozera pa maziko a mpumulo, kawirikawiri zidzachitika usiku tulo. Nthawi zina kuukira umayamba chipinda ozizira kapena panja pa nyengo yozizira.

Kodi chimayambitsa matenda

Tsopano tiyeni tikambirane za chikuchititsa kuti tifulumizane mtundu wa angina. Monga tanenera kale, kungakhale ozizira. Koma m'pofunika kuwonjezera kuti akhoza kukhala waukulu "wothandizila provocateur" zikuoneka kuti akukankha thupi kuukira. O, ndipo zifukwa, Prinzmetal angina kumachitika chifukwa:

• chitukuko cha atherosclerosis. Izi ndi mfundo yaikulu. Kofunikira kuti matenda anali ziyambe kukonzedwa. Ngakhale mu magawo oyambirira a atherosclerosis zingachititse angina. Mlandu zolengeza. Amatsogolera stenosis wolimbikira, limene amachititsa zizindikiro za Prinzmetal. Angina amapezeka mu mtundu uwu peresenti sevente-faifi odwala ndi atherosclerosis.
• Yogwira fodya ndi chimodzi mwa zifukwa zimene matenda si kulenga vuto, koma kuchilimbikitsa. gulu lino monga mowa, kudya zakudya osauka, moyo wongokhala, nkhawa.

Kodi matenda

Tsopano tiyeni tikambirane za kusonyeza angina Prinzmetal. Zizindikiro za aliyense matenda ayenera kudziwa Ngati inu mwadzidzidzi kumva akudwala.

• ululu mu sternum m'mawa, pamene kugona kapena kupuma.
• Zizindikiro za tachycardia ndi matenda oopsa.
• Pa cha ku Switzerland gawo la electrocardiogram mu chithunzi Tingaone monga infarction m'mnyewa wamtima.
• Mavuto amene poyamba zinachitika nthawi kukhala kuwapirira.
• The periodicity ululu zimasiyanasiyana mphindi zisanu mpaka fifitini.
• Nthawi zonse mutu, nseru, kukomoka.
• Kupondelezedwa kwa dongosolo autonomic.

Kupeza imodzi mwa zizindikiro zimenezi, kupita mwamsanga munthu waluso. iye yekha adzatha zimatsimikizira kapena kutsutsa matenda "Prinzmetal angina." Zizindikiro ayenera wodzilemekeza ndi zotsatira za kafukufukuyu. Panthawi yake mwambo wa mankhwala - njira kuchira wanu othamanga, monga zotsatira za izo zikhoza kukhala wosangalatsa kwambiri.

zotsatira zotheka

Prinzmetal angina chingayambitse matenda a mtima. Komabe, Mwina izi ndi zazing'ono. Omangana komwe kumachitika nthawi nkhondo, osati cholimba kwambiri. Pali vuto lina - kuphwanya magetsi ntchito za mtima. Zimenezi zimabweretsa kusokonezeka kwa kugunda kwa mtima, imbaenda ku maonekedwe a tachycardia yamitsempha yamagazi, ndipo - sitepe imodzi kuchokera imfa.

Zotsatirapo za matenda - obstructive chotupa inatsekeratu mitsempha.

Mukapita manambalawo, tikhoza kunena izi. Mu miyezi isanu ndi umodzi woyamba pambuyo isanayambike matenda limatenga khumi peresenti ya milandu. peresenti makumi awiri milandu zimachitika chikhululukiro. Komabe, adzakhala nawo mpaka mapeto a moyo kutsatira malamulo, chifukwa zizindikiro angathe kubwerera patangopita zaka zochepa.

Pangani Mapa olondola a chitukuko cha matenda mtsogolomo - zovuta. Izo zimatengera kukula kwa matenda ndi pafupipafupi kuukira. Ndipo, ndithudi, sitingakane inatsekeratu atherosclerosis.

diagnostics

matenda yolondola - ichi ndi chinthu chofunika kwambiri ku mankhwala a matenda aliwonse. The njira zazikulu zimene kuthandiza kwaniritsa matenda monga Prinzmetal angina - ECG. Ndi ntchito pa nkhondo. Ngati gawo cha ku Switzerland pa ECG ukudzutsidwa, zikutanthauza kuti ndi matenda amene inu ankaganizira.

Ngati njira imeneyi si kwathunthu anakana kapena anatsimikizira kukaikira katswiri, ntchito:

• zotenga mayeso ndi hyperventilation;
• kugwiritsira jakisoni "Acetylcholine" kapena "Ergometrine";
• ozizira ndi ischemic mayeso.

Research ndi imachitika ndi katundu. Mu njira iyi, kutsimikizika kulolerana nkhawa. Iwo kuvomerezedwa anachita inatsekeratu angiography. Kugwiritsa ntchito njira imeneyi, munthu angathe kudziwa ndipo amayang'anitsitsa digiri ya kuwonongeka kwa mipukutuyi magazi chotengera.

Wodwala ayenera kudziletsa tsikulo. , Iye anati kusintha onse a mtima. Komanso kupweteka kumene kungachitike pamene ntchito inayake.

chithandizo

Matenda, ndipo tsopano kukambirana zidzachitika zimene mankhwalawa angina Prinzmetal.

• Wodwala ayenera m'chipatala.
• Gawo loyamba ntchito mankhwala: nitroglycerin relieves kuukira chowawa, potaziyamu ndi muzikangana patsogolo ina inatsekeratu mitsempha.
• Pamene chiwonetsero cha matenda a mitsempha inatsekeratu n'kofunika kuyamba kutenga alpha-blockers.

Chithandizo ayenera idzachitika mosamalitsa malinga ndi pulogalamu. Mwadzidzidzi kusiya izo sizingakhale, kungakhale zotsatira zoipa: chinawonjezeka chiwerengero cha anthu odwala matenda, zimawonjezera zizindikiro, tingayambe infarction m'mnyewa wamtima. N'chifukwa chake mankhwala ayenera kumwedwa mosamalitsa Malinga ndi ndandanda.
Nthawi zambiri, zonsezi ndi zokwanira, koma ngati anthu a mtima si akwaniritsa, kuwaika opaleshoni.

Njira yothetsera vutoli zingathe kuthetsedwa mwa:

• Inatsekeratu mtsempha wamagazi stenting.
• Inatsekeratu mtsempha wamagazi kulambalala opaleshoni.
• Angioplasty.

kupewa matenda

Ngakhale kuti Prinzmetal angina akhoza kusokoneza munthu pa msinkhu wina uliwonse, musati mantha. Kuti mtima wanu anali mu dongosolo, ndondomeko izi:

• Kudya otsika-kalori zakudya.
• Kuthetsa zakudya ali olemera mu mafuta chiyambi nyama.
• Musaononge mowa, kupewa kusuta.
• Kugona - maola osachepera asanu pa tsiku.
• Sports kapena madzulo akuyenda.
• Ngati n'kotheka, kupeŵa maganizo.