Wosakhazikika angina - mmodzi wa mitundu ya matenda ischemic mtima

Lingaliro la matenda ischemic a mtima amabweretsa pamodzi ndi gulu la matenda, chitukuko chimene amagwirizana ndi mkhutu kotunga magazi minofu mtima. Malinga ndi gulu la iwo anawagawa pachimake ndi aakulu. Pachimake matenda inatsekeratu monga mwadzidzidzi mtima imfa, m'mnyewa wamtima infarction ndi wosakhazikika angina.

Gulu la matenda limeneli likusonyeza stenokardia de A Novo, subacute ndi pachimake angina mokwanira komanso mwapang'onopang'ono angina.

Pamene stenokardia de A Novo angina ali inati osati kale, ndi mkhalidwe wa thanzi akukhudzidwira.

Wosakhazikika angina zina angina monga subacute wasonyeza kuti matenda ululu idaleka maola 48 zapitazo.

Mu pachimake angina ululu zina pachifuwa akupitiriza pa maola 48 otsiriza ndipo anati nthawi ya Kuphunzira mtima.

Zofunika kwambiri matenda chizindikiro cha kusokonekera angina ndi osakhalitsa ululu. Izi anaonetsa mwapang'onopang'ono chitukuko cha angina kapena angina pa mpumulo, ndi inalowa mofulumira zizindikiro latsopano. General kufooka, Thukuta ozizira, kufupika kwa mpweya, chifuwa, kuonekeratu mpweya, arrhythmia pamalo okwera thupi kapena maganizo katundu - madandaulo kuti ayende mtundu uliwonse inatsekeratu matenda pachimake, kuphatikizapo wosakhazikika angina. Mbiri ya matenda amasonyeza zizindikiro mmene matendawa.

Khalidwe la mwapang'onopang'ono wosakhazikika angina compressive ululu pachifuwa, kenako mabasi, ndiye pali mphamvu yatsopano. Ululu sangakhale kapena amayankha bwino kuti ku feteleza chithandizo, nthawi zambiri limodzi ndi mantha a imfa, kufupika kwa mpweya, arrhythmia. Magawo kuukira angina akukhala pafupipafupi, ndipo nthawi kuukira-free - yochepa. Aliyense kuukira wotsatira amakhala olimba kusiyana ndi m'mbuyomu. Ku feteleza, amene kale lendi ululu pachifuwa, kukhala operewera, ngakhale wodwalayo amawatenga pa mlingo waukulu. Wosakhazikika angina limodzi ndi ululu, omwe angagwe osati chifukwa maganizo thupi kapena psycho-maganizo ndi pa mpumulo. Nthawi zina okha kuthetsa analgesics chomwa mankhwalawa. Nthawi zina pali kuukira kwa mtima mphumu ndi suffocation ndi chifuwa youma.

diagnostics

Wosakhazikika angina akapezeka ndi deta anamnestic, madandaulo mtima, komanso zoimbidwa ndi zasayansi maphunziro.

The chizindikiro chachikulu cha ECG, amene kumaonekera wosakhazikika angina, yafupika kapena maganizo cha ku Switzerland gawo molumikizana ndi akuthwa ndi mkulu dzino T. T yoweyula n'zotheka kusintha kuchokera zabwino negative. kusintha ECG izi zikhoza kumatanthauza kwa tsiku kapena kuposerapo.

Pamene echocardiography madera a zoyendayenda otsika mpanda wa mtima, kudutsa mu masiku pang'ono.

Serological chikhomo chifukwa cardiomyocytes mtima choipa ndi otsika maselo kulemera myoglobin mapuloteni. Komabe, yesero ili ndi zenizeni kwambiri kwa maonekedwe a magazi myoglobin n'zotheka ndi chigoba minofu kuwonongeka. Mu maola choyamba pambuyo isanayambike wosakhazikika angina mu mlingo mwazi wa kuwonjezeka enzyme - okwana creatine. Pamene chikhomo wosakhazikika inatsekeratu kufalitsidwa, ntchito ngati C-zotakasika mapuloteni ndi fibrinogen.

chithandizo

Odwala ndi wosakhazikika angina zofuna m'chipatala. Nthawi kumene Makanema kwambiri ndi yaitali a angina pa mpumulo kwa masabata awiri, ndipo popanda kuvutika ECG ndi hemodynamic bata, odwala akhoza ankachitira pa outpatient maziko.

zochizira matenda Current zikuphatikizapo njira achire ndi opaleshoni. Cholinga chachikulu cha mankhwala - oyambirira kubwezeretsa patency inatsekeratu.

Wosakhazikika angina amaliona ndi antithrombotics (anticoagulants, antiplatelet, antithrombin), otsatira antianginal (ku feteleza, Betts-blockers, calcium muzikangana), Ace zoletsa ndi statins.

Odwala akatulutsidwa akafika olimba a CHD.