Angina Uxhaphazelayo - enye iintlobo nesifo sentliziyo kobuchopho

Ingcamango isifo kobuchopho bentliziyo idibanisa iqela izifo, naphuhliso olo olwaye inxulunyaniswa kwegazi othile imisipha intliziyo. Ngokutsho ngezigaba ukuba yahlulwe yondele kunye ezigulo ezondeleyo. izifo ezihlasela zosulele coronary ziquka ukufa kwentliziyo ngesiquphe, iposi engabalulekanga kunye angina ezingazinzanga.

Ulwahlulo kwesi sifo kubalaselisa stenokardia de Novo, subacute kunye angina nokoyika lokuphumla kunye angina okuqhubekayo.

Xa stenokardia de meladze angina kuvandlakanywa akunjalo kwakudala ulungelane impilo jikelele.

Uxhaphazelayo angina angina ukuphumla ezifana subacute eboniswe ohlaselwa intlungu yaphela iiyure 48 eyadlulayo.

In acute angina iintlungu ukuphumla isifuba kuqhubeka ngethuba leeyure-48 idlulileyo kwaye waphawula ngexesha loviwo malunga nesigulane eso.

Uphawu ebaluleke kakhulu kwezonyango angina ezingazinzanga na hexa intlungu. Oku kuboniswa Uphuhliso oluqhubela phambili angina okanye angina nokuphumla, ukulawula ngokukhawuleza iimpawu ezintsha. ubuthathaka jikelele, ukubila ebandayo, ukuphelelwa umoya, khohlo, ukuphefumla ophuphumayo, arrhythmia kwintaba ephakame umthwalo ngokwasemzimbeni okanye ngokweemvakalelo - izikhalazo ezihamba naluphi na uhlobo lwesifo etsolo coronary, kuquka angina ezingazinzanga. Imbali esi sifo ibonisa iimpawu ezithile zesi sifo.

Uphawu ingazinzi angina iintlungu esifubeni oluqhubekayo compressive, ngoko oyekayo, ngoko kukho amandla entsha. Iintlungu ayikwazi kuba, okanye uphendula kakuhle ukuba ngezithako unyango, ngokufuthi ekhatshwa zokoyika ukufa, ukuphelelwa umoya, arrhythmia. Izehlo lokuhlaselwa angina baba rhoqo ngakumbi, kunye namaxesha ukuhlasela-free - mfutshane. kuhlaselwa nganye okulandelayo kuba nzima ngaphezu yangaphambili. Nitrate, leyo ngaphambili ayiqeshileyo iintlungu esifubeni, baba yinto engento, nangona isigulane ikuthatha nabo ngeedosi ezinkulu. angina ingazinzi ihamba ziintlungu, ezinokuthi zenzeke kungekuphela ngenxa ntshikilelo ngokwasemzimbeni okanye ngokwasengqondweni, emphefumlweni kunye ukuphumla. Maxa wambi asuse kuphela analgesics ezidakumbisayo. Maxa wambi kukho kokuhlaselwa sisifo senhliziyo sombefu kunye ukutsarhwa kunye ukhohlokhohlo owomileyo.

ekuxilongweni

angina Uxhaphazelayo banesifo idatha anamnestic, izikhalazo nomonde, kwakunye nezifundo negalelo kunye elabhoratri.

Uphawu iphambili ECG, esizibonakalisa angina ezingazinzanga, zancitshiswa okanye odandathekileyo ST ingxenye ngokusebenzisana elibukhali yaye high izinyo T. T igagasi utshintsho kunokwenzeka ukususela elihle ezingakhiyo. Ezi nguqu ECG inokuchazwa ukuba usuku okanye ngaphezulu.

Xa echocardiography zindawo ukushukumiseka phantsi iindonga intliziyo, edlula kwiintsuku nje ezimbalwa.

marker serological yomkhuhlane i-cardiomyocytes kwentliziyo ukwenzakala yindlela esezantsi beemolekyuli iproteni weight myoglobin. Nangona kunjalo, olu vavanyo ngqo kakhulu ukuba yimbonakalo myoglobin yegazi kunokwenzeka nomonakalo kwezihlunu skeletal. Kwiiyure zokuqala emva kokuqala angina ezingazinzanga kwinqanaba egazini ukunyuka enzyme - creatine iyonke. Njengommakishi ezingazinzanga ukujikeleza coronary, zisetyenziswa C-izidubuli protein lwefibrinogen.

unyango

Izigulane angina ezingazinzanga efuna nokulaliswa esibhedlele. Kwiimeko apho kukho iziqephu kakhulu wayolula of angina ukuphumla iiveki ezimbini, ngaphandle ezingaqhelekanga ECG kunye nozinzo hemodynamic, izigulane azikwazi aphathwe qho kwesibhedlele.

unyango lwangoku kwezifo iquka iindlela zonyango kunye yotyando. Eyona njongo ye unyango - zokubuyiselwa yokuqala patency coronary.

angina Uxhaphazelayo iphathwa kunye antithrombotics (anticoagulants, antiplatelet, antithrombin), ii-arhente antianginal (nitrate Betts-blocker, calcium abamelene), ACE inhibitors kunye statins.

Izigulana alahlwa xa bafike nokuzinziswa isifo sentliziyo.