Angina - randinenge aratidze coronary tsinga chirwere

Maererano achangopfuura uwandu, angina hwakanyorwa zvinenge 1% pagore. In varwere vanenge chirwere ichi, ruzhinji uri munhurume mudyandigere zera. uwandu vanhu kuva angina inowedzerawo ose gore.

Nokuti zvakadaro dzinoratidzwa kupararira marwadzo zvichiratidza kuti kurutivi muviri, kureva chipande, nzvimbo mubhokisi, ruoko, hafu pamutsipa, rezasi shaya rworuboshwe. Kunowanzoguma anorwadza yokurwiswa hazvitaurwi kutya. Kazhinji, marwadzo kunotora anenge 10-15 kwemaminitsi. Angina yacho pashure kumisa chaiko nesimba kana pashure kushanda nitroglycerin.

Yakadzikama angina - ischemia pachake umo marwadzo kazhinji munguva yechiitwa imwe zvikuru. The mutoro pamwero panguva iyo kwakanga angina - chinokosha yokuona nayo nekuomarara chirwere. Exercise kushivirira ndiyo hwaro kupatsanura varwere kupinda makirasi:

• 1 kirasi. Normal tolerability zuva nezuva kurovedza muviri. Pfari munguva refu umbirimi mitoro.
• 2 kirasi. Pane zvishoma kukamurwa kurovedza muviri. Attack kunoitika apo vaikwira nezvikwiriso kana achipfuura anopfuura 500 m.
• Grade 3. A akacherekedza kukamurwa kurovedza muviri. Pfari kuitika mu kuwedzera pasi kana apo nokukurira chinhambwe mamita 500.
• 4 kirasi. Attack kunoitika kunyange zviduku kurovedza muviri, akadai achifamba ari chinhambwe mamita 100. Kurwisa Most dzinoitika yokuzorora rwakazara.

Kukonzera chirwere ichi runoonekwa kuti atherosclerosis rimwe coronary tsinga kuti uvake muviri mwoyo. Atherosclerotic plaques fibrotic pindana lumen midziyo, tunodzivisa ropa riyerere chakaipa. basa rinoda kunotungamirira kuwedzera kwemwoyo uye BP. Panguva ino, mwoyo tsandanyama iri rakaoma kubasa, izvo zvinoreva kuti anowedzera kudiwa okisijeni. Izvi kudiwa haangaguti neropa aibuda kune arteries kujekesa ne atherosclerotic Dombo. Nokuda kwaizvozvi, pane kukwana okisijeni saturation mwoyo tsandanyama - ischemia.

Angina, zviratidzo: kuneta, kupfupika mweya, muchipfuva marwadzo. Chirwere chirwere pari kwete kuoma. angina pakutsvaga achinyora unonzi, electrocardiograph kuitwa panguva chinorwadza chiitiko. Ischemic kuchinja akubatsire kugadzirisa uye dzimwe chirwere unyanzvi, akadai wekusimbisa muviri, bhasikoro ergometry, Holter -loaded ivhu. The chikuru Pfungwa idzi nzira ndeimwe: murwere ane kuita zvimwe kurovedza muviri panguva ECG kunyoresa.

Angina kurapwa: yokuderedza zviratidzo uye kubvisa marwadzo. Pakarepo kuitwa kudzivirira myocardial infarction, coronary atherosclerosis uye kungoerekana cardiac kusungwa. Kuti vawane kururamiswa ichi yakaitwa dyslipidemia, uremu, normalization ropa kumanikidzwa, kurega kusvuta, normalization pamusoro carbohydrate muviri, uye mwero kurovedza muviri.

Somunhu mushonga kurapa akashandisa Beta-blockers, statins, asipurini. Kusunungurwa kubva kwokurwadziwa angina kurwiswa sublingual nitroglycerin kushandiswa. Inowanika mapiritsi uye somunhu pfapfaidzo. angina yakanyanya kuoma chimiro zvinogona kurapwa pachishandiswa kuvhiya: coronary tsinga ndavhiyiwa, stenting tsinga chibharuma angioplasty.