Njengoko kubonisiwe angina (iimpawu) yaye yintoni amayeza ukuba ngexesha elifanayo?

Ibinzana elithi ".â €" yaziwa kubantu abaninzi. Yaye uninzi lwabo basebenzisa eli binzana ukugxininisa kukubawa kwabantu - ". Xoxo oomatshini" Kodwa bambalwa uyazi ukuba emva eli binzana lufihla mpawu kunokuba kakhulu eziphawula nesifo sentliziyo. Sithetha ulwazi ngezenzeko ezingemnandi ezifana angina. Iimpawu kunye amayeza ukuba le leengxaki ukuba ukuxoxwa ingenkcukacha ezininzi.

Yintoni angina?

Ekuqaleni hlalutya oko okuthathwa sifo. Yintoni kwenzeka izigulane lokufunyaniswa ".â €" iimpawu yaye yintoni amayeza ukuba ukujongana nesi sifo?

Le emoyeni - uhlobo lwe ischemia kwentliziyo, apho kukho umqobo ukuhamba ngokukhululekileyo kwegazi. isenzeko esibi ibonakala a kwemithambo okanye ezimbini. Ukongeza, isigulana uza kuhlaselwa, eziphawula yokunqongophala kwe-oksijini.

Angina kuphuhliswa ngokuchasene nentsukaphi ukungalingani efunekayo intliziyo kwezihlunu oksijini kunye nemali ohamba kuwo. Ngenxa yokunqongophala ibaluleke kangaka, oko kukwaphula ukutya uze waphawula nivume yakhe.

Izizathu zale meko olufihlwe ukuphazamiseka yegazi yasekuhlaleni (exineneyo luminal kwemithambo), okanye ezibukhali elide spasm kweenqanawa yegazi kwentliziyo. ukungabikho elide ioksijini kunokukhokelela kwintlekele. Kulo mzekelo, isigulane basenokuba wahlaselwa yintliziyo.

Kubanga zokugula

Ukuthintela uphuhliso neziphumo kakhulu, kubalulekile ukuba uthathe amayeza kwangethuba ukuze angina intliziyo. Iimpawu, ezibangela izifo zifuna ukufunda eneenkcukacha. Ukwazi kubo, unako urhanela isifo ngendlela ngexesha nokunika inkathalo nomonde.

Iimbangi ezingundoqo angina afakwe kwezi zinto zilandelayo:

1. Ukutyeba. Okukhona lubonakaliswa, kungona ingozi angina.
2. Ukutshaya. Man, phezu-ukuxhomekeka iimveliso zecuba, kubeka yena kumngcipheko yokugula.
3. yegazi High.
4. Zeleka ngokweemvakalelo enamandla okanye sindisa luvo.
5. Diabetes osegazini. Izigulane uxilongwe esi sifo ezithandwa inkangeleko angina.
6. zeleka Chronic.
7. isifo sentliziyo unesifo.
8. Hypodynamy (ukuqina).
9. igazi ekunqandeni High, nto leyo ebangela amahlwili egazi. Bona zaziwa ukuvala le mithambo kwemithambo yegazi. It thrombosis stenokardicheskie akhokhelele esihlasela kunye ingqondo iposi engabalulekanga.
10. syndrome pathways (cholesterol aphezulu edibene lwegazi kunye nokutyeba).
11. Thrombophlebitis okanye flebotromboz.

Akuyomfuneko ukuba umntu waya zonke ezi zinto zingasentla. Kwanele ukuba namnye kubo ukuphuhlisa angina.

Zonke ezi zinto ukuba ukhokelele ekubeni kusekwe leengxaki. Kodwa awukwazi imkhathaza nomonde, okoko nje apho kuya kuxhokonxwa iimeko ezithile.

Ngokuqhelekileyo, ukuhlaselwa angina kujongwe nemvelaphi:

• umzimba;
• isimo sezulu esibi;
• amava ngokweemvakalelo.

nokubekwa kwezifo

Kukho iintlobo ezininzi kwesi sifo, angina. Iimpawu kunye nawaphi na amayeza esithathwe isigulane, kuyimfuneko ukuba uxoxe nogqirha wakho.

Ulwahlulo ilandelayo iya kuvumela ukuba baqonde into uhlobo esi sifo ojongene nayo:

1. angina izinzile. Kuphela kwenzeka phezu yangasemva bacaca. Kuba ngezifo uphawu Class 4 okuluphawu inqanaba umthwalo avumelekile, ukukwazi ukunyamezela intliziyo.
2. angina ezingazinzanga. Libizwa ngokuba progressive. Isigulane bangase ukonakala elibukhali yempilo. Nangona kunjalo, akukho izinto ukunisa ayikwazi ukuba. Oogqirha bathi oku hlobo sifo senzeka emfanteni sibuphethe ngezitya intliziyo, yaba kufuphi uqweqwe atherosclerotic. Xa nemithambo yenhliziyo kwakhiwa thrombus uphazamisana ukuhamba kwegazi eqhelekileyo.
3. angina Vasospastic. Ukugula ubonisa aqaqambayo zasekuhlaleni imithambo inhliziyo. Unobangela wale sifo engabalulekanga ukusilela delivery oksijini. Ngenxa yoko, uqala spasm eziphawula angina. Loo ukugula uyakwazi kuphumla.

kwiiklasi esebenzayo angina ezinzile

Njengoko kukhankanyiwe ngasentla, kukho kuphela 4:

1. Intlungu esifubeni iziphumo yi paroxysmal kwindalo. Noko ke, izenzakalo ezinjalo kakhulu inqabile. Njengomgaqo, asibambe wabo umsebenzi onzima ekhawulezile.
2. Kwesifuba ivela ngexesha benyuka ngezinyuko. Intlungu livela ngeentsuku ezibandayo xa uhamba ngokukhawuleza. Ukuhlaselwa zingabangela ukudla.
3. Intlungu livela nasemva kokuba uhambe eqhelekileyo kade imigama emifutshane (malunga ne-100 m). Kwesifuba kwenzeka emva kokuba uphume yomguli ukusuka ndawo efudumeleyo phezu iqabaka.
4. Isigulana ayikwazi ukwenza nawuphi na umsebenzi ngokwasemzimbeni. Nkqu umsebenzi iyevakala unako ukuba bawaphikise kokuhlaselwa sifuba angina. Kuyaphela zingenzeka ukuphumla.

izinzile sifuba angina

Ukwahlula le fomu kakhulu lula. Khawucinge ngoko ukuba ngezifo ezifana angina ezinzileyo, iimpawu kunye amayeza ukuba ukuphelisa wabonakala kwezonyango sifo.

Imbandezelo iyakwazi akuthethi ukuzibonakalisa de kube lelo xesha loo mntu alichatshazelwa kusungula. Kodwa kwimeko ka ntshikilelo emzimbeni okanye emphefumlweni ze isigulane yokuphuhlisa egula. Le uphawu iphambili izifo. ukubonakala kwakhe isoloko landulelwa kwinqanaba umthwalo elifanayo, ngokwahlukileyo ukuya ngezifo ezingazinzanga.

Ubude kuhluthwe izinto uvela kwemizuzu emi-5 ukuya kweli-10. Kwako nakuphi na ukongezwa karhulumente krakra ibonisa angina ezingazinzanga.

Enye inkalo uphawu yale ndlela sifo sombefu wobulali. Kwimeko ezinzile angina isigulane kufuneka athathe ipilisi "Nitroglycerin". ipilisi enye kwanele ukuze bawubuyise emikhuhlaneni uhlaselo. Xa kuziwa angina ezingazinzanga, elinye icwecwe akayi ukuphelisa intlungu yomguli entliziyweni yam.

zesifo ukuhlasela

Siye zikhankanywe apha ngasentla kunokuba ayeke imeko krakra. Noko ke, isigulane kufuneka uyazi into leengxaki abadinga unyango ezaneleyo kunye nogqirha kuphela angakunika amayeza angina intliziyo.

Iimpawu kuhlaselwa yile:

1. iintlungu eziqatha kwentamo. Ukuzilimaza ngokuveza, abenze abalinganiswa. Isigulane ikhalazela ye imvakalelo noncwino nokushisa esifubeni.
2. Intlungu ingahlakazeki ukuya ekhohlo ingalo, umkhono, intamo kunye nomqala. Kakhulu kabi inqabile iquka kwicala lasekunene: ngesandla le ndawo esisu.
3. Attack landulelwa uxinezelekile: Umsebenzi emzimbeni, impembelelo ngokweemvakalelo, ngaphandle kubanda, umoya onamandla. Amaninzi, yenza hamba uye kubethwa ngumoya, ingakumbi xa imozulu embi (ubushushu, ingqele, umoya), benyuka ngezinyuko okanye ukudla.
4. Kuyaphela njalo kuboniswa kakhulu kunene, kabukhali. Ukuhlaselwa edlalayo ngesiquphe, phakathi umthwalo omkhulu.
5. Ubude sokuwa, ngokuxhomekeke phezu imilo, ungatsala ukusuka umzuzu-1 ukuya ku-15.

Le ngasentla i iimpawu odidi kwezonyango angina. Noko ke, kukho izinto Nedlac okuluphawu ischaemia intliziyo. Makhe sihlole kubo.

Iimpawu Nedlac

ngazo njani nesi sifo? Ezinye iindidi zabantu (kaninzi kubonwa ngabantu abadala okanye abantu abanesifo seswekile), iintlungu ngexesha uhlaselo awukwazi ulandelwe.

Kwezi izigulane, angina uzenza waziva le kliniki:

• iyangongoza rhoqo ;
• isicaphucaphu;
• yobuthathaka;
• ukubila.

Maxa wambi ukuhlasela kunokwenzeka ngaphandle iimpawu kwaphela. Le ngezifo kuthiwa ischemia "cwaka".

angina iimpawu rhoqo wabonakalaliswa Nedlac:

1. Ukuphelelwa umoya. Le meko ke yathi kwi siphefumla kunye Tsalani. bembonakalo yayo kuphakamisa aphole kwenxenye imisipha yenhliziyo.
2. fatigue ngesiquphe yaye zabangela yi na umthwalo. Isizathu soku ilele iimpawu ioksijini ukuswela kunye nokusilela umsebenzi contractile kwemisipha kwentliziyo.
3. Pain ubuhlungu. Ukuba ukho, ikwazi ukunika isandla, igxalaba, amazinyo.

iimpawu ezinjalo zibizwa ngokuba ezilingana anginal.

likaxakeka

Kakade ke, uninzi umdla elandelayo imibuzo (angina ukuba kwafunyaniswa): iimpawu kunye amayeza ukuthatha kwi ngezifo.

Xa uhlasela uphuhliso kufuneka athathe la manyathelo alandelayo:

1. Misa umzimba uhlale kakuhle, imilenze yakhe alenga phantsi.
2. Ukukhulula entanyeni yendoda kunye isifuba (unbutton ihempe yakhe, isuswe iqhina layo).
3. Nika umoya.
4. Isigulane kusenokufuneka ukuhlafuna icwecwe omnye "aspirin".
5. Isigulane ke ngoko ibekwe phantsi kolwimi ipilisi "Nitroglycerin". Le ukulungiselela buyisela amachiza zilandelayo angina kwentliziyo "Nitrolingval" (1 tablet) okanye "Izoket" (1 inaliti).
6. Ukuba emva kwemizuzu 3 kabi iintlungu kuyaqhubeka, kuyimfuneko ukuba ukuphinda idosi. Nangona kunjalo, qaphela ukuba ngaphezulu kwe-3 ayikwazi ingasetyenziswa ngexesha ukuhlasela omnye (izitofu).
7. Ukuba ngaba wehlelwa yintloko, isigulane kufuneka banikwe iintlungu, "Baralgin", "Analgin", "sedalgin".
8. Kwimeko eliphezulu-uxinzelelo isigulane sidinga antihypertensives-ngesantya esiphezulu ezifana "clonidine".
9. Iyangongoza ukunceda bunjani amayeza "Inderal".

iingxaki sifo

Kubaluleke gqitha ukuba onke amayeza ngenxa angina, emiselwe ngugqirha. Ekubeni ngezifo kunokukhokelela nemiphumela emibi kakhulu:

• arrhythmia;
• tachycardia ventricular;
• yashiya cardiogenic;
• fibrillation ventricular;
• engabalulekanga okukhulu iposi;
• ekuvaleni atrioventricular;
• senhliziyo congestive;
• pericarditis;
• Embolism miphungeni.

unyango lwezifo

Uneengxaki angina ngeendlela ezimbini:

1. unyango Conservative. Kufuneka kwenziwe ngayo ubomi.
2. Surgery. Kuyinto ukubuyisela igazi ubonelelo eyimfuneko entliziyweni.

Khawuve oko kumiselwe amayeza angina abathabatha izigulane ukuphucula imeko yabo.

unyango Conservative ibandakanya ezi maqela alandelayo kwamachiza:

1. Amayeza zokunciphisa egazi igazi, "aspirin", "Clopidogrel", "Trombostop".
2. Beta-blocker. Ukunciphisa imfuneko intliziyo izihlunu oksijini, abuyisele intsalela kuyimfuneko, ukunciphisa uxinzelelo kunye nezihlandlo kwesibeleko. Iimveliso ekucetyiswa "metoprolol", "Bisaprolol", "Nebivolol," "Atenolol".
3. Statins. Ukunciphisa lwee- cholesterol emzimbeni. Ukumisela amayeza "Simvastatin", "Atorvastatin".
4. ACE inhibitor. Amayeza anqanda vasospasm. amayeza Effective "Perindopril" "Lisinopril", "Noliprel", "Enalapril", "Sonoprel".
5. abamelene Calcium channel. Ukunciphisa mpilo kwentliziyo. Prescribers "Verapamil", "Verogalid" "Diltiazem".
6. Nitrate. Ukuba negalelo ukwandiswa imithambo yegazi, kunciphisa imfuno intliziyo oksijini. Nitroglycerin amayeza ezicetyiswayo ' "" Isosorbide. "

Kuxhomekeka imeko yomguli mazikhethwe iziyobisi kubalulekile:

1. Angina kunye nonyango arrhythmia ziquka iziyobisi antiarrhythmic. iziyobisi "procainamide" kucetyiswa rhoqo.
2. Ukuba kuyimfuneko, ukunqanda bothukile cardiogenic bacebisa ntlungu, "Talamonal", "Omnopon", "icaffeine", "Promedol" "Fentanyl".
3. Amayeza for sifuba angina, iposi engabalulekanga, ukusilela intliziyo congestive - kudla olukhawulezayo-glycosides: "Strofantin", "Korglikon", "convallatoxin".

Yokuthintela isigulo

Musani ukubaphatha lo ngezifo njengoko angina! Iimpawu, unyango, uthintelo kwezifo mazisoloko uxoxe nogqirha wakho. Self-amayeza kule meko kuyingozi kakhulu!

amanyathelo azizithintelo abasakwazi ilula kwaye afakwe ngokuthobela "nemithetho isifo":

• Kwaye - ndahlukane nokutshaya okanye inhalation umsi wecuba.
• B - movement ngaphezulu, umsebenzi.
• C - ukunciphisa umzimba, ukufumana ekulweni ukutyeba.

Ukuthobela la macebiso ezilula uya kubakhusela nabani na, nokuba isini kunye nobudala, uphuhliso sisifo esibi ezinjalo, angina.