ImpiloIzifo nemibandela

Angina obusebenzayo ekilasini - incazelo, ngezigaba kanye nezici

Ochwepheshe phawula ukukhula olwethusayo inombolo iziyo phakathi kwabantu. Ngaphezu kwalokho, kwehle kakhulu iminyaka beqala manifest. Njengomthetho, abantu musa sinake izimpawu kuze kukhona inkathazo, kodwa ngisho ukungakhululeki okuncane kungase kube uphawu lokungabi sina isifo senhliziyo. Ukwahlukanisa amakilasi obusebenzayo angina libonisa ngokucacile "ngobuqili" isifo. Izinguquko zenzeka kancane kancane ukuthi abantu usuyijwayele futhi ungacabangi ukuthi kudingekile ukuba ngayo.

Ukwahlukanisa angina esitebeleni

Kukhona izinhlobonhlobo eziningana angina, ngalinye elikwazi possesses both ezivamile kuya izimfanelo iqembu futhi izimpawu esiyingqayizivele ngokuvumela ukugqama abanye. angina Esitebeleni uhlobo angina. It libhekene ukubukeka ubuhlungu ngesikhathi umsebenzi, kanye ukunyamalala ukungakhululeki emizweni wedwa.

Kukhona amakilasi alandelayo obusebenzayo angina:

  1. Isigaba sokuqala - ubuhlungu kwenzeke kuphela ngaphansi imithwalo kakhulu futhi zidlula masinyane wedwa.
  2. Eyesibili ekilasini - esifubeni ubuhlungu lapho uhamba amamitha angaphezu kuka-300 noma ukugibela izitebhisi.
  3. Esesithathu ekilasini - ubuhlungu avele ngemva kokunqoba ibanga 150 amamitha noma uhamba izitebhisi esitezi.
  4. grade Okwesine - ukuhlaselwa kwenzeka ngesikhathi ukuzikhandla mnene futhi uphumule.

angina engazinzile

Ngokungafani ifomu langaphambilini, angina engazinzile wabonakaliswa okukhulu ubuhlungu emizweni ezingahlobene umsebenzi ngokomzimba. Ngaphezu ekilasini ukusebenza, angina yalolu hlobo zihlukaniswe izinhlobo ezine:

  1. New-kuqala angina. It kubhekwa njengento ezinjalo, uma ihlasela okokuqala umsuka kungakapheli izinyanga ezimbili edlule. Kuyingozi ngoba kungase kube uphawu noma kuyisandulela isilethikusebenza. Abazokwazi uguqulwe ube uhlobo ozinzile izifo.
  2. Progressive. Ukuhlaselwa ayabaluleka njalo futhi obunzima, phezu cardiogram show izimpawu hypoxia esivimba amanzi. izinguquko ezingenzeka ekilasini obusebenzayo aphansi.
  3. postinfarction Early. Ubuhlungu endaweni esifubeni zigcinwa amasonto amabili ngokushesha ngemva isilethikusebenza.
  4. Vasospastic. Futhi kubizwa okuhlukile, noma angina Printsmetalla. Ukuze leli fomu libhekene nesimo sokuquleka ebusuku ukuthi kungukuthi ezihlobene umzimba.

Ukwahlukanisa Braunwald

Ukuze ukwazi ukubona amathuba okuvela isilethikusebenza, sebenzisa ngezigaba ehlongozwayo ngu Braunwald ukuze izici ubuhlungu. It akuphazamisi ekilasini ukusebenza angina, kodwa yandisa kuphela amakhono zokuxilonga udokotela ngaphandle kokusebenzisa izindlela wezinsimbi.

Isigaba sokuqala lisikisela angina entsha kuqala, ogama izimpawu are ngcolile ezinyangeni ezimbili ezedlule.

isigaba sesibili - ukuphumula angina noma subacute ifomu, kodwa kuphela uma ayethatha awavelanga izinsuku okungenani emibili eyedlule.

Ekilasini lesithathu kuhlanganisa angina ne-acute angina ukuphumula, okuyinto wazibonakalisa wokugcina amane nesishiyagalombili amahora.

Ngu izici ingqondo

Kunezinhlobo eziningana angina. amakilasi Functional - akuyona umaka kuphela, enquma kobukhulu nenkambo ezahlukeneyo isifo.

Ngokusho zezici kungase kubangele isifo, ukwaba izinhlobo ezifana:

  • A - anaemia, hypoxia, ukutheleleka nezinye izimbangela noncoronary;
  • B - angina eyinhloko omsakazo engaziwa;
  • C - postinfarction isifo samuntu, kwakheka ngaphakathi amasonto amabili ngemuva inqubo oyingozi.

Esimweni sokuqala (A), udokotela onenkinga angina yesibili futhi baphoqwa ukuba aphathe hhayi wakhe ukugxila okukhulu kuphela, kodwa. Ngamanye embodiments, ezimbili (B no-C) akunjalo, ngoba imbangela isifo obutholakala ngqo emzimbeni.

Ukwahlukanisa Riziku

amakilasi obusebenzayo angina esitebeleni kungenziwa kulekelelwa ngezigaba Rizika, okuyinto, ngaphezu subjective imizwa, acabangele ukufundwa ECG.

  1. A lokuqala ekilasini - izimpawu angina sibe sibi ekuhlaselweni sokuhlasela, kodwa akukho ushintsho kule ECG cha.
  2. Ikilasi lokuqala - ne okwandisa ukushuba ubuhlungu avele izinguquko umgomo ku ECG.
  3. Eyesibili ekilasini - ibonakale cardiogram eshintsha nobuntu angina entsha kuqala.
  4. Ekilasini lesithathu - kwi ECG, zikhona izimpawu angina uphumule.
  5. grade Okwesine - ngaphezu lonke angina, le ECG ngesikhathi Ukuwohloka Dynamics inhliziyo futhi hypoxia esivimba amanzi.

Canadian Cardiovascular Society

Omunye okuhlukile angina Ukwahlukaniswa amakilasi obusebenzayo wanikelwa nangodokotela bababhekene nezifo zenhliziyo Canadian maphakathi nawo-kowezi-2000. Kuhlanganisa kwaba namakilasi amahlanu athatha:

  1. Zero lapho izimpawu bengekho njengoba umthwalo futhi uphumule.
  2. Okokuqala. ukuzikhandla ngokomzimba Obalulekile noma ukucindezeleka ngokomzwelo kungabangela ukunqwabelana ngokuhlasela ubuhlungu besifuba.
  3. Okwesibili. Iya kancane ukungakhululeki ngemuva breastbone kwenzeka umsebenzi lapho okukhulu ngokomzimba.
  4. Okwesithathu. Ubuhlungu iphika zenzeka njalo phakathi imisebenzi yansuku zonke.
  5. Okwesine. Izimpawu kungabangela ngisho umthwalo kulencane.

esigabeni okunjalo isetshenziswa odokotela ingasebenza eNtshonalanga Nenkabazwe, odokotela bendawo ejwayele ngaphezulu simo, esanikwa isikhulu ekuqaleni, ngakho uphethwe kulotshiwe, isibonelo: "ischemic isifo senhliziyo: angina ekilasini obusebenzayo 2". Kodwa lokhu akusho ukuthi ochwepheshe bethu abangalwazi ukwahlukana ezinjalo amakilasi sokusebenza.

angina okufana

angina Esitebeleni, amakilasi obusebenzayo echazwe ngenhla, kuhlanganisa futhi uhlobo okufana ukugeleza. Yena unamagama amaningi, kodwa ngokuyisisekelo akukatjhuguluki: ekuhlaseleni ubuhlungu besifuba zavele, ngaphandle kokubheka umsebenzi ngokomzimba, ngokuvamile ebusuku noma ekuseni kakhulu. Ukungakhululeki kubangelwa spasm kwemithambo yegazi ingenisa khona inhliziyo, kodwa ngokuvamile ungabonisi yiziphi izinguquko morphological, okwakuyoholela ibonisa isifo sokuqina kwemithambo yegazi.

Iziguli njalo uhlushwa ukuhlaselwa kokwehlukile angina, akakwazi ukunaka ekuthuthukiseni izifo esabekayo njengoba isilethikusebenza, kusukela izimpawu ezifanayo. ngobudedengu okunjalo kungenza umuntu alahlekelwe ukuphila komuntu, kodwa uma ingafanele ukunakekelwa ngezokwelashwa zizonikezwa. ukuhlaselwa Ukulungiswa eyenziwa esebenzisa calcium abamelene noma nitrate.

Izinhlobo angina ekusakazeni

Uma usuwatholile amakilasi obusebenzayo (FC) angina ke kukhona ezinye izinhlobo zesifo. Omunye ngezigaba isebenzisa izici Yiqiniso, ukukhetha ezine ongakhetha kuwukubonakaliswa angina:

1. Ngokokuqala ngqá sekukhona: ubuhlungu ihlala isikhathi esingangenyanga (kodwa hhayi engaphezu kwemibili), zingabantu njalo futhi okukhulu, kuhlobane ngokuqondile umsebenzi komuntu. Ngokusebenzisa isikhathi, lolu hlobo ingena ifomu esitebeleni. okufana okungekuhle kubhekwa, lapho ngesikhathi kuhlaselwa kukhona ST ingxenye kokuphakama ku ECG.

2. Progressive: uma imvamisa nobukhali ukuhlaselwa ubuhlungu zikhulisa, ngisho phakathi ukwelashwa, likhuluma ngokuphela okubi kakhulu lesi sifo, ukunciphisa amakhono compensatory lomzimba ingozi okusezingeni eliphezulu ngemuva kokuhlaselwa yisifo senhliziyo. Iziguli bangezwa nokukhathazeka ngokwesaba ukufa, ekuhlaseleni Ukuphelelwa.

3. Ngokokuqala ngqá sekukhona angina ukuphumula: uma imisipha yenhliziyo awutholi igazi ngokwanele ngenxa kwehle okukhipha zenhliziyo isifo sokuqina kwemithambo yegazi i-coronary, le angina kungenzeka uphumule. Ngokuvamile, ubuhlungu livela ephusheni, njengoba evundlile yomzimba kushintsha inani legazi emithambo yegazi, okuyinto uphindela inhliziyo, futhi kungakho okwalandela okukhipha inhliziyo.

4. angina Esitebeleni: nobuningi ukushuba ukuhlaselwa musa ukushintsha ngokuhamba kwesikhathi, lesi sifo ilawulwa kahle izidakamizwa akusho ukusongela, usesimweni esibucayi. Kodwa musa ukwelapha lesi sifo ingqondo ukungabi qotho, ngoba noma nini kungenzeka ukuwohloka.

Similar articles

 

 

 

 

Trending Now

 

 

 

 

Newest

Copyright © 2018 zu.unansea.com. Theme powered by WordPress.