Angina dzichipfekeka kirasi - description, kupatsanura uye unhu

Nyanzvi dzinoti kukura zvinotyisa kwenhamba mwoyo nezvirwere pakati yevagari. Uyezve, ungaderedza zvakasimba zera ivo pakutanga pachena. Kazhinji, vanhu havafaniri kuteerera zviratidzo kusvikira pane dambudziko, asi kunyange zvishomanana kusanzwa kungava chiratidzo chakakomba mwoyo chirwere. Kupatsanura pakati dzichipfekeka makirasi angina kunoratidza "namano" chirwere zvakajeka. Changes kuitika zvishoma nezvishoma kuitira kuti vanhu vajaire uye regai kuti zvakakodzera kuti kubatwa.

Kupatsanura pakati chetevere angina

Kune akasiyana siyana angina, chimwe nechimwe ane kwakakurumbira kune boka unhu uye rakasiyana zviratidzo kubvumira kumira kubva nevamwe. Yakatsiga angina mufananidzo angina. It kunoratidzwa nechitarisiko marwadzo panguva yechiitwa, uye kunyangarika kusanzwa nezvekufadza oga.

Pane zvinotevera zvidzidzo dzichipfekeka pamusoro angina:

1. Kirasi yokutanga - marwadzo kuitika chete pasi yokunyanyisa zvinorema uye nokukurumidza kupfuura oga.
2. Kirasi wechipiri - bhokisi kusagadzikana kana achifamba mamita anopfuura 300 kana kukwira masitepisi.
3. Wechitatu Kirasi - marwadzo kuoneka pashure kukunda chinhambwe 150 metres kana kukwira masitepisi rimwe paburiro.
4. mugwaro rechina - kurwisa munguva munyoro nesimba uye ndakazorora.

kusagadzikana angina

Kusiyana wambotaurwa chimiro, kusagadzikana angina akaratidza kurwadziwa nezvekufadza chokuita kurovedza muviri. Kuwedzera kirasi chadzo, angina yakadaro rakakamurwa nezvemarudzi zvina:

1. New-Pazvinotanga angina. It vaiona sezvo vakadaro, kana kurwisa wokutanga akabva hapana paya pane mwedzi miviri yapfuura. Ngozi nekuti kungava chiratidzo kana aizotangira kuti myocardial infarction. Inokwanisa Kushandurwa kuva yakatsiga Chirwere.
2. Progressive. The kurwisa vari kuva kakawanda uye kwazvo, pamusoro cardiogram zviratidzo myocardial hypoxia. Possible kuchinja dzichipfekeka kirasi ezasi.
3. Early postinfarction. Kurwadziwa muchipfuva nzvimbo zvakachengeterwa kwevhiki mbiri pakarepo pashure myocardial infarction.
4. Vasospastic. Anonziwo musiyano, kana angina Printsmetalla. Nokuti chimiro ichi kunoratidzwa kuzvirotera pfari dzisina chokuita kurovedza muviri.

kupatsanura Braunwald

Kuti tizive kuti ndingangokuvara panowanikwa myocardial infarction, shandisa kupatsanura dzataurwa nokuda Braunwald nokuda maitiro marwadzo. Hazvina chokuita kirasi dzichipfekeka pakati angina, asi chete anowedzera kuti chirwere nezvaanogona ari chiremba pasina kushandisa paku nzira.

Kirasi yokutanga chinoreva itsva-Pazvinotanga angina, vane zviratidzo vari kuipa kare kwemwedzi miviri.

kirasi yechipiri - zororo angina kana subacute chimiro, asi chete kana iye asina kuonekwa kwamazuva dzinenge maviri apfuura.

Boka rechitatu zvinosanganisira angina uye rikwanise angina zororo, iro kwakaratidzwa okupedzisira maawa makumi mana namasere.

By afunge zvinhu

Kune classifications wandei angina. makirasi Functional - haasi chete zvechinguvana, izvo kuziva kukomba uye nzira chirwere dzakasiyana.

Maererano zvinogona kukonzera zvirwere, govera mhando yakadai:

• A - kupererwa, hypoxia, noutachiona uye nezvimwe zvinokonzera noncoronary;
• B - chikuru angina asingazivikanwi etiology;
• C - postinfarction pachake chirwere, kuumbwa mukati mavhiki maviri pashure rikwanise muitiro.

Kana wokutanga (A), chiremba ari kubata angina yechipiri uye anomanikidzwa kubata kwete kwaari oga, asi chinangwa. Mune dzimwe embodiments, vaviri (B uye C) hazvina kudaro, sezvo mhosva chirwere vari midzi zvakananga muviri.

kupatsanura Riziku

makirasi Functional pamusoro kugadzikana angina zvinogona vaisanganisa pamwe kupatsanura Rizika, izvo, mukuwedzera kuzviitira manzwiro, kufunga ECG kuverengwa.

1. A vomuzana Kirasi - angina zviratidzo achiipa kubva kurwisa kuti kurwiswa, asi hapana shanduko mune ECG kwete.
2. The Kirasi yokutanga - pamwe kuwedzera kusimba marwadzo kuonekwa chinangwa nokuchinja ECG.
3. Boka rechipiri - vakafungisisa cardiogram anochinja hunhu itsva-Pazvinotanga angina.
4. Boka rechitatu - pamusoro ECG, pane zviratidzo angina pa zororo.
5. mugwaro rechina - kuwedzera mamwe angina, ari ECG panguva Kushatiswa simba rinomutsa zvomwoyo uye myocardial hypoxia.

Canadian zvemwoyo Society

Mumwe musiyano wezvinyorwa angina kupatsanura pakati dzichipfekeka makirasi akanga inopiwa Canadian cardiologists nepakati 2000s. Zvinosanganisira makirasi shanu:

1. Zero kana zviratidzo hatisi somunhu mutoro uye ndakazorora.
2. First. Rinokosha mumuviri nesimba kana mupfungwa kungamutsawo kurwisa kurwadziwa muchipfuva.
3. Second. Zvishomanana kusanzwa seri breastbone kunoitika apo zvikuru kurovedza muviri.
4. Third. Marwadzo uye kupfupika mweya kuitika nguva dzose munguva ezuva nezuva.
5. Chechina. Zviratidzo zvinogona kukonzera kunyange zviduku mutoro.

Akadaro kupatsanura rakashandiswa navanachiremba muna Western Hemisphere, nokuti vanachiremba vemo zvikuru ajaira chepamusoro, wakapiwa pakutanga, saka nechirwere kuchinzi, somuenzaniso: "ischemic mwoyo chirwere: angina dzichipfekeka kirasi 2". Asi izvi hazvirevi kuti nyanzvi yedu hazvisi kujairana yakadaro weboka dzichipfekeka makirasi.

musiyano wezvinyorwa angina

Yakadzikama angina, makirasi dzichipfekeka zviri pamusoro apa, unosanganisira uyewo musiyano wezvinyorwa mhando kuyerera. Ane mazita mazhinji, asi chaizvoizvo ndewokuti: kudenha marwadzo muchipfuva kuonekwa pakarepo, pasina Panyaya kurovedza muviri, kazhinji usiku kana mangwanani-ngwanani. Kusagadzikana anokonzerwa spasm pamusoro arteries kuti kufudza mwoyo, asi kakawanda haaratidzi chero morphological kuchinja, izvo chaizoratidza pamberi atherosclerosis.

Varwere vanogara vanotambura yokurwiswa musiyano wezvinyorwa angina, haagoni kuteerera kukura zvakadaro zvinotyisa zvirwere sezvo myocardial infarction, sezvo zviratidzo zvakafanana. hanya kwakadaro kunogona kudhura upenyu hwevanhu, kana hazvisi okurapwa zvicharangarirwa. Kururamiswa kurwiswa kunze achishandisa calcium mhandu kana nitrates.

Mhando angina yorwizi

Kamwe ega ari dzichipfekeka zvidzidzo (FC) angina, ipapo pane dzimwe mhando chirwere. Imwe kupatsanura inoshandisa zvechadenga kosi, kusarudza zvina zvokusarudza kuratidzirwa angina:

1. Kokutanga yakabuda: marwadzo kunotora inenge mwedzi (asi kwete kupfuura mbiri), vane kakawanda uye kwazvo, vakarondedzera kuti munhu wenyama basa zvakananga. Kuburikidza nguva, izvi mhando achipinda mudanga chimiro. Vanoshorwa musiyano wezvinyorwa ichaongororwa, kana panguva kurwiswa pane ST chidimbu kukwirira ari ECG.

2. Progressive: kana kakawanda nekuomarara marwadzo kurwiswa vari kuwedzera, kunyange panguva kurapwa, rinotaura pamusoro kusembura kwechirwere chacho, kuderedza compensatory nemano mumuviri uye yakakwirira mukana chomwoyo. Varwere vanogona kunetseka uye kutya rufu, yokurwiswa breathlessness.

3. Kokutanga yakabuda zororo angina: kana mwoyo tsandanyama haasi kuwana ropa zvakakwana nokuda ungaderedza cardiac goho uye coronary atherosclerosis, kuti angina anogona kuitika zororo. Kakawanda, marwadzo wakaonekwa muchiroto, sezvo chinjikira nzvimbo yemuviri anochinja uwandu venous ropa, iro anodzoka mwoyo, uye nokudaro haizopereri cardiac goho.

4. Muchitevere angina: kakawanda uye kusimba kurwiswa regai kusanduka nenguva, chirwere zvakanaka dzinodzorwa zvinodhaka uye asingauyi pangozi yakaoma ezvinhu. Asi regai kubata ichi chirwere ratyama pfungwa, nekuti chero nguva zvinoita kudzikira.