Exertional angina FC 2: Ihlahlubo, Ukwelashwa

Limelela angina ekuhlaseleni ischemia esivimba amanzi uhlobo lezivakashi. Kukhona zokugula ngenxa sindisa engokomzwelo noma engokomzimba, ingqondo inzuzo-mpilo buza of imisipha yenhliziyo. Ngokulandelako, cabangela imininingwane njengoba kukhonjisiwe angina 2 FC, futhi uhluke kwamanye amakilasi sokusebenza.

Uhlolojikelele

Angina kuyindlela basemtholampilo yenhliziyo Umthambo isifo. Ngokuhlaselwa ngezikhathi zokugula kokuvela ngemuva kokwanda izimfuno umzimba kwemisipha inhliziyo. Izimpawu ze-angina pectoris kuthiwa iyakhula at imithwalo futhi yehlise emva kokwelashwa "nitroglycerin".

nokudlanga

Yenhliziyo Umthambo isifo, FC angina 2 ngokuvamile zitholiwe amadala abangontanga. Ngakho, ngokuvumelana izibalo, iziguli iminyaka engu-45-54 zokugula sitholakale 2-5% abesilisa kanye 0.5-1% abesifazane, iziguli abaneminyaka engama 65 - kusukela 11-20% abesilisa. futhi 10-14% abesifazane. Ngaphambi ukuqala angina esivimba amanzi sitholakale 20% amacala, ngemva kokuba - 50%. Ukugula uvame kakhulu emadodeni abaneminyaka engama-55.

zokugula Izimbangela

Ngokuvamile isici ayeke ukunisa atherosclerosis esithinta nemithambo yegazi yenhliziyo. Sekutholakele ukuthi iphutha phakathi esivimba amanzi nomoya-mpilo okufunekayo ezokuthutha buvela ukuvaleka atherosclerotic we Isikhala sayo esingaphakathi we izitsha yenhliziyo 50-75%. izimpawu Clinical ukwephula kukhona lo ekuhlaseleni angina. By endleleni engase izici Cishe ayeke ukunisa zihlanganisa ukungasebenzi kwezicubu zenhliziyo hypertrophic, lwemithambo ezinzima futhi eyinhloko nomfutho wegazi ophezulu yamaphaphu, stenosis emlonyeni le-aorta, koronarity, kwezinso ku nemithambo yegazi yenhliziyo bemvelo esingokwemvelo, esingamahlalakhona yomthambo i-aorta. Lapho izithiyo esinqunyiwe noma lezivakashi ukugeleza kwegazi kungabangela ngokuhlasela yenhliziyo oyingozi. Kodwa njengoba umthetho, kulesi simo siyenzeka, ephelezelwa ngemuva kokuhlaselwa yisifo senhliziyo. Izinto eziyingozi ezingabangela i zihlanganisa ukubhema, ubudala, umlando womndeni, ukukhuluphala ngokweqile ukungawuvivinyi umzimba, isifo sikashukela nambili kuya kwabadala. Pathology zingase zibe zimbi ngesikhathi hypoxia noma igazi kakhulu. Phakathi kwezimbangela ngokushesha ukuhlasela, waphawula ukucindezeleka ngokomzimba, ukucindezeleka ngokomzwelo, okushisa, isiminzi, adle ngokuzumayo kwesimo sezulu kanye nabanye.

ngezigaba

Pathology iba namakilasi ezine sokusebenza. Bazimisele ngokuhambisana ukubekezelelana umthwalo. Ngakho, kungenzeka kutholakale ukuthi une angina 1, 2 FC. Lawa mafomu ezibhekwa kokuqala futhi ezimweni eziningi amenable ukusolwa. Ukuze ekilasini lokuqala tekusebentisa libhekene ukubekezelelana evamile lomthwalo evamile. Ukuhlaselwa avele kuphela ukuzikhandla ngokweqile ngokomzimba. Ngokwesibonelo, kungase kube umsebenzi isikhathi eside, izitebhisi ukugibela, lohamba okusheshayo. FC Angina 2, 3 libhekene ikhono isiguli sidedele. Uma isigaba womsebenzi obusebenzayo yesibili kukhawulwe ngezinga ngokulinganisela, wabe esekhonza iminyaka eyesithathu - kakhulu. Kulo mBhalo izibonakaliso yenhliziyo Umthambo isifo siba okubi kakhulu. Exertional angina FC 2 kungase kuhambisane nesimo sokuquleka, uma umuntu kuyalinqoba ibanga ingaphezu 500 amamitha ngaphandle kokuma. Njengasekugumbuqelweni lwesithathu ekilasini obusebenzayo eziya ziba zimbi isimo cishe ngaphansi ukhwela indiza. Of sezulu esithile ukubaluleka emitholampilo ukucindezeleka ngokomzwelo, ezinomoya noma abandayo. Exertional angina FC 2 lihlukile ifomu lokugcina ukuvama ukuhlaselwa. Ngakho-ke, yesine isici ekilasini obusebenzayo eziya ziba zimbi ngisho at imithwalo ongaphakeme, futhi kwezinye izimo, futhi nisekuthuleni. Umsebenzi zomzimba zogulayo lilinganiselwe kakhulu.

Exertional angina FC 2: Izimpawu

Kunezinhlobo eziningana izimpawu ezivamile kuwo wonke amakilasi izifo. Lezi zihlanganisa, ngokukhethekile, zihlanganisa:

• Ukuphelelwa ngumoya.
• Okungikhathazayo enhliziyweni.
• Umuzwa yobunzima ukungakhululeki esifubeni.

Lezi zimpawu kuyagcinwa nasemakhazeni sezulu noma umoya, ngemva eyamukelayo ezinkulu eziningi zokudla. Angina FC 2 ukuthi wenzenjani lapho engaphansi umthwalo. Ikakhulu, lapho izitebhisi noma igquma, egijima, uhamba okusheshayo. Angina FC 2 sihambisana umsebenzi elinganiselwe. Sibangelwa ukubekezelelana abampofu ukunyakaza, ngisho emgwaqeni flat at ibanga ngamamitha angaphezu kuka-500 noma ezindaweni eziphakeme indiza ezingaphezu kweyodwa.

Izici yethonya lokuzivivinya

Ukuhlasela kwenzeke, kubalulekile umthelela izici ezengeziwe okubangela okhulisa-mpilo buza of imisipha yenhliziyo. Nokho, imbangela eyinhloko yalokhu kuhlasela kubhekwa umsebenzi. Kuphela ekucindezelekeni noma abandayo akuvamile. Ezinye iziguli ukuthi nginesifo angina FC 2 ekuseni encishisiwe umsebenzi ukubekezelelana. Nokho, ngesikhathi ukuphatheka usuku kuza emuva evamile, njengoba umuntu iqala ukwehla enyuka kancane kancane. Kufanele kuqashelwe ukuthi kobukhulu isithombe zokwelapha, okuyinto kuhambisana esitebeleni angina 2 FC incike ezingeni lokuzivivinya. Labo abantu ababeka njalo idlula umkhawulo ovumelekile, ukuquleka singenzeka emini izikhathi eziningana. Labo iziguli abazama ukulungisa imodi yayo ukunciphisa umthwalo, cishe ebhekene exacerbation.

ukuxilongwa umehluko

angina umane kudidaniswe nezinye pathologies. Kule ndaba, ochwepheshe batusa ukubukeka ubuhlungu noma ukungaphatheki endaweni inhliziyo akusho alibale ukuvakashela esibhedlela futhi uyohlola. Ngokuvamile ebhekisela udokotela sesishilo kakade FC angina 2. Ukukhubazeka - omunye eziyingozi kakhulu isifo. It kuholela emvakashela kamuva kudokotela futhi, ngenxa yalokho, ukuqokwa okungazelele yokwelapha ezanele. Izifo eziningi ahambisana izimpawu ezifanayo njengoba angina FC 2. Umlando lesi sifo, imiphumela yokuhlolwa, ulwazi etholakale phakathi ultrasound, ukuqapha Holter, ECG ngesikhathi kuhlaselwa, angiography yenhliziyo ziyadingeka ukufunda udokotela. umsebenzi Uchwepheshe - ukubekela eceleni ezinye izifo zenhliziyo noncardiac, kuhlanganise:

• Osteochondrosis nezinye izifo yomgogodla.
• Senhliziyo.
• Izifo wokugaya ukudla (izilonda, iziyaluyalu emphinjeni kanye neminye imisebenzi).
• isifo samaphaphu (pneumonia, pleurisy, njll).

Umehluko omkhulu phakathi yobuhlungu angina ukuthi siqedwa ngokushesha ngemva kokuphathwa isiguli "nitroglycerin". Relief iza esimweni ukuphumula.

Angina FC 2: Ukwelashwa

Ukwelashwa zokugula kufanele okuhloswe ngazo ukunciphisa imvamisa ukuhlaselwa futhi uthuthukise izinga lempilo isiguli. 2 angina obusebenzayo ochwepheshe ekilasini ukuncoma lokuqala zonke ukubukeza indlela yokuphila, ukunciphisa inani nobukhali ukucindezeleka ingqondo ukuhlaselwa. Ndawonye ngemithi enqunywe udokotela wakho, futhi bavunyelwe ukusebenzisa amakhambi abantu. Noma kunjalo, kungaba ibhekwa yokwelapha eziyisisekelo. Ngaphambi kokusebenzisa kusho ezidingekayo bonana nodokotela wakho kuqala.

imithi

Ngaphambi kokuba uqale ukwelashwa, kufanele ukuqeda zonke trigger noma nini uma kungenzeka. Izindlela ephumelela kunazo for cupping buyisidakamizwa "nitroglycerin". Uphuzwe sublingually (ngaphansi kolimi). Ngokuba nokuvimbela iziqephu ischemic ebekiwe nitrate eside (nokunwetshiwe) senzo. Lezi zihlanganisa izidakamizwa ezifana mononitrate futhi isosorbide dinitrate, nitroglycerin wamafutha noma isichibi. Futhi, udokotela wakho angase akukhuthaze beta-blocker - kusho "Atenolol", "metoprolol", "Betaxolol" calcium channel blocker - imithi "Diltiazem" "Verapamil" Ukwelapha antiplatelet - izidakamizwa "aspirin".

kokungenela kuhlinzwa

Izindlela zokusebenza kuboniswe endabeni ukwehluleka ukwelashwa imithi letinikwe lapha ngenhla. Ukuhlinzwa bunikezwe uma imiphumela angiography, kukhona kungenzeka sokufa. Esikhathini zokugula kungase kwenziwe angioplasty endovascular futhi stenting, futhi yenhliziyo Umthambo dlula ukuhlinzwa mammarokoronarnoe. Ukuphumelela kokungenela imayelana 90-95%. Ngemva kokuhlinzwa, ukuxakeka singenzeka - infarction, ukuphinda pectoris angina, restenosis.