Angina zinchito kalasi - ikulongosola, gulu ndi makhalidwe

Akatswiri taonani kukula mantha chiwerengero cha matenda amtima anthu. Komanso mwamphamvu utachepa zaka limene iwo woyamba kuwonetseredwa. Monga ulamuliro, anthu samapereka tcheru kuti zizindikiro mpaka pali vuto, koma ngakhale kusapeza pang'ono kungathe kukhala chizindikiro cha matenda oopsa a mtima. Gulu la makalasi zinchito za angina limasonyeza momveka "chozemba" matenda. Kusintha kumachitika pang'onopang'ono moti anthu azolowere ndi osaganizira kofunika kuti iwo akuchitireni.

Gulu la angina khola

Pali mitundu ingapo ya angina, omwe ali kofala ku zikhumbo gulu ndi zizindikiro wapadera kulola kuti aime ena. Khola angina ndi mtundu wa angina. Iwo amakhala ndi maonekedwe a ululu thupi, ndi kutha kwa zomverera kusapeza yekha.

Pali zotsatirazi makalasi zinchito za angina:

1. kalasi yoyamba - ululu kudzachitika pokhapo pansi akatundu kwambiri ndipo mwamsanga pochitika yekha.
2. M'kalasi yachiwiri - pachifuwa kusapeza poyenda mamita oposa 300 kapena kukwera masitepe.
3. Wachitatu kalasi - ululu kuonekera patatha kugonjetsa mtunda wa mamita 150 kapena akukwera pamasitepe wina pansi.
4. kalasi wachinayi - kuukira kumachitika nthawi yaikulu wofatsa ndi pa mpumulo.

wosakhazikika angina

Mosiyana ndi mawonekedwe yapita, wosakhazikika angina akuwonetseredwa anapwetekedwa zomverera zifukwa kwa zolimbitsa thupi. Kuwonjezera kalasi zinchito, angina wa mtundu uwu anawagawa mitundu inayi:

1. New-isanayambike angina. Iwo ankaona ngati, ngati woyamba kuukira anayambitsa palibe pasanafike miyezi iwiri yapitayo. Koopsa chifukwa kungakhale chizindikiro kapena n'zofanana kwa infarction m'mnyewa wamtima. Waluso mwa kusandulika mu mtundu khola la matenda.
2. Progressive. kuukira akukhala pafupipafupi ndi woopsa, pa cardiogram zizindikiro za hypoxia m'mnyewa wamtima. kusintha N'zotheka zinchito kalasi m'munsi.
3. Kumayambiriro postinfarction. Ululu m'dera pachifuwa kusungidwa kwa masabata awiri yomweyo pambuyo infarction m'mnyewa wamtima.
4. Vasospastic. Amatchedwanso zosinthika, kapena angina Printsmetalla. Pakuti fomu iyi amakhala ndi khunyu nocturnal amene zosagwirizana zolimbitsa thupi.

Gawo Braunwald

Pofuna kudziwa Mwina wa zosayembekezereka ya infarction m'mnyewa wamtima, ntchito gulu la bungwe Braunwald kwa makhalidwe a ululu. Zilibe bwanji kalasi zinchito a angina, koma zambiri mphamvu ya matenda a dokotala popanda kugwiritsa ntchito njira malangizo.

kalasi yoyamba zikutanthauza yatsopano isanayambike angina, amene zizindikiro ndi poipa kwambiri miyezi iwiri yapitayi.

Chachiwiri kalasi - mpumulo angina kapena subacute mawonekedwe, koma pokhapokha ngati iye sanali kuoneka masiku osachepera awiri zapitazo.

M'kalasi yachitatu zikuphatikizapo angina ndi pachimake angina zina, zomwe unaonekera mu maora makumi asanu ndi atatu otsiriza.

Ndi zinthu n'zothandiza

Pali classifications angapo angina. makalasi zinchito - si chikhomo kokha, kumene kudziwa mwamphamvu ndi zochita mitundu matenda.

Malinga ndi zimene zimachititsa matenda, kuonetsetsa mitundu amenewa:

• A - magazi m'thupi, hypoxia, matenda ndiponso zinthu zina noncoronary;
• B - pulayimale angina osadziwika etiology;
• C - postinfarction chimake matenda, kupangidwa mu masabata awiri pambuyo ndondomeko pachimake.

Mbali yoyamba (A), dotolo Pali zinthu angina sekondale ndiponso amakakamizidwa kuchitira osati iye yekha, koma wofunika kwambiri. Mu embodiments ena, awiri (B ndi C) si choncho, kuyambira chifukwa cha matenda ndi ophatikizidwa mwachindunji mu thupi.

Gawo Riziku

makalasi zinchito za angina khola akhoza wodzilemekeza ndi gulu la Rizika, amene kuwonjezera zotengera malingaliridwe maganizo, mumaganizira za ECG kuwerenga.

1. A woyamba kalasi - zizindikiro angina kuvutika kwa adani ndi kuukira, koma palibe kusintha mu ECG osati.
2. Kalasi yoyamba - ndi kuwonjezeka mphamvu ya ululu kuoneka kusintha cholinga pa ECG.
3. M'kalasi yachiwiri - ankaganizira cardiogram kusintha khalidwe latsopano-isanayambike angina.
4. M'kalasi yachitatu - pa ECG, pali zizindikiro za angina pa mpumulo.
5. kalasi wachinayi - kuphatikiza kwa ena angina, ndi ECG pa kuwonongeka kwa mphamvu ya mtima ndipo m'mnyewa wamtima hypoxia.

Canada mtima Society

Mmodzi zosinthika angina gulu la makalasi zinchito anapereka cardiologists Canada m'ma 2000s. Pamafunikanso makalasi zisanu:

1. Zero zizindikiro ndi kwina monga katundu ndi pa mpumulo.
2. Choyamba. Chochititsa chidwi thupi yaikulu kapena maganizo lingachititse kuukira kwa ululu pachifuwa.
3. Chachiwiri. Pang'ono kusapeza kumbuyo breastbone kumachitika pamene kwambiri zolimbitsa thupi.
4. Chachitatu. Ululu ndi kupuma movutikira zimachitika nthawi zonse pa zintchito.
5. Chachinayi. Zizindikiro angachititse ngakhale katundu zazing'ono.

Chotero gulu la ntchito ndi madokotala ku Western dziko lapansi, madokotala m'dera zambiri amakonda kusanja, amene anapatsidwa pachiyambi, kotero matenda kwalembedwa, mwachitsanzo: "matenda ischemic mtima: angina zinchito kalasi 2". Koma zimenezi sizikutanthauza kuti akatswiri zathu sizili bwino kusiyana koteroko makalasi zinchito.

zosinthika angina

Khola angina, makalasi zinchito zomwe tafotokozazi, zikuphatikizapo komanso mtundu zosinthika akulowera. Iye ali nawo maina ambiri, koma chofunika akanali yemweyo: anaukira ululu pachifuwa kuoneka mwadzidzidzi, mosatengera kuti zolimbitsa thupi, makamaka usiku kapena m'mawa. Kusapeza chifukwa cha kuphipha ya mitsempha imene kudyetsa mtima, koma nthawi zambiri satchula kusintha kulikonse morphological, yomwe ikusonyeza pamaso pa atherosclerosis.

Odwala amene nthawi zonse amadwala matenda zosinthika angina, sangamvetsere kwa chitukuko cha matenda zoopsa monga infarction m'mnyewa wamtima, kuyambira zizindikiro ofanana. kusasamala kungatenge ndalama moyo wa munthu, ngati si chithandizo adzapereka zinthu zofunikira. kuukira kudzudzulidwa ikuchitika mwa muzikangana kashiamu kapena ku feteleza.

Mitundu ya angina mtsinje

Kamodzi olekanitsidwa zinchito makalasi (FC) angina, ndiye pali nkhani zina za matendawa. Gawo limodzi amagwiritsa makhalidwe a sukuluyi, kusankha options anayi maonekedwe a angina:

1. Kwa nthawi yoyamba anatuluka: ululu kumatenga pafupifupi mwezi (koma osati oposa awiri), iwo kawirikawiri kwambiri, mwachindunji zokhudzana ndi zochita za munthuyo thupi. Nthawi, mtundu umenewu wa amapita ku mawonekedwe khola. zosinthika sizikuyenda imatengedwa, pamene akadzaukira pamakhala cha ku Switzerland gawo okwera mu ECG lapansi.

2. Progressive: ngati pafupipafupi ndiponso azikhala kuukira ululu ndi kuwonjezeka, ngakhale pamene mankhwala, akulankhula za aggravation matendawa, kuchepetsa luso compensatory cha thupi ndi chiopsezo cha matenda a mtima. Odwala nkhawa ndi mantha a imfa, matenda breathlessness.

3. Kwa nthawi yoyamba anatuluka zina angina: ngati minofu mtima akukana magazi zokwanira chifukwa utachepa linanena bungwe mtima ndi inatsekeratu atherosclerosis, ndi angina kumachitika pa mpumulo. Nthawi zambiri, ululu pamaoneka maloto, monga yopingasa malo a thupi amasintha kuchuluka kwa magazi venous, amene akubwerera mtima, motero wotsatira mtima linanena bungwe.

4. Khola angina: pafupipafupi ndi mphamvu kuukira sasintha nthawi, matenda bwino ankalamulira mankhwala ndipo alibe zingasokoneze mwakayakaya. Koma musachite matenda losasamala maganizo, chifukwa nthawi iliyonse zotheka kuwonongeka.