Imithi yokwelashwa ye-angina pectoris

I-Angina pectoris ingenye yezifo zenhliziyo ezivame kakhulu. Eyaziwa ngokuhlaselwa kobuhlungu besifuba esifushane, okubangelwa ukucindezeleka ngokomzimba noma ngokomzwelo, ezinye izici eziholela ekwandeni kwezidingo zokunciphisa umzimba we-myocardium. Ubuhlungu buyindawo yangasese ngemuva kwe-sternum, inikela engxenyeni yesobunxele, ingxenye engakwesobunxele yobuso, ngaphansi kwe-scapula, entanyeni. Ngezinye izikhathi ubujamo be-radiography bukhethekile - kuzinyo, indlebe, ulimi. Ubuhlungu ngokuvamile buba ngu-1-2, ngaphansi kwemizuzu engu-10-15 futhi ngokushesha kudlula emva kokuthatha ithebhulethi ye-nitroglycerin noma enye i-nitrate.

Izimiso eziyisisekelo zokwelapha i-angina pectoris:

• Ukususwa okwesikhashana kokuhlaselwa okubuhlungu;
• Ukuvimbela ukuhlasela okusha kwe-angina pectoris;
• Ukuqokwa kwezakhiwo ze-rheological zegazi kanye nokuvinjelwa kwezingxenye zegazi.

Ukwelashwa kokuhlaselwa kanye nokwelashwa kwe-intercostal

Ukwelashwa kwezidakamizwa ze-angina kuhloswe ekuthuthukiseni ukujikeleza kwe-coronary, umzimba we-metabolism ku-myocardium. Ihlukaniswe ukwelashwa kokuhlasela okunamandla kwe-angina kanye nokwelapha kwesifo esikhathini sokuxubha.

Ukuhlaselwa kwe-angina kumiswe ukungenisa kwe-nitroglycerin. Isidakamizwa siphelela kumaminithi angu-5. Ngokuqhubeka kobuhlungu, ungaphinda uvuse i-nitroglycerin. Ungasebenzisa futhi ama-sedatives, validol, beta-blockers kanye nabaphikisi be-calcium. Ukwelapha izidakamizwa ze- angina ngenkathi kuhlaselwa kungenziwa nge-treatment ephazamisayo ngendlela yokubeka izigcawu zesinaphi endaweni yezinhliziyo kanye nebhodlela lamanzi ashisayo noma ukugeza ngesandla ngakwesokunxele.

Esikhathini sokuxubha, iziguli zenzelwe i-nitrate yesenzo eside. Lezi zidakamizwa zenza njenge-nitroglycerin, kodwa isikhathi eside. Unomphumela we-vasodilator, okuholela ekuqongeni kwegazi emithanjeni nasekunciphiseni ukubuyela kwawo enhliziyweni. Lokhu kubangela ukwehla kwevolumu nokuqina kwe-ventricle kwesokunxele, kanye nokwehla kwesidingo semisipha yomzimba emoyeni. Ukunciphisa isidingo se-oksijeni kuholela ekusakazeni ukugeleza kwegazi ku-myocardium ngokuqondene nezindawo ezibhekene ne-ischemia.

I-Beta-adrenoblockers inciphisa isilinganiso senhliziyo nesidingo se-carbohydrate e-oxygen. Ukuphumelela kokwelashwa kwe-angina kwanda kakhulu lapho kuhlanganiswa i-nitrate ende kanye ne-beta-adrenoblockers.

Ukwelashwa kwama-angina, abaphikisi be-calcium nabo basebenzisa kabanzi , okuhlangene namalungiselelo amaqembu angenhla.

Ukwelapha izidakamizwa ze-angina kwenziwa ngokuphindaphindiwe ngezikhathi zokwanda nokuhlaselwa njalo kwesifo. Ngemuva kokuthola umphumela wokwelashwa nokukhululwa okuqhubekayo kwesifo, ukulinganisa kwemithi kancane kancane kuncishisiwe kuze kusebenze okungenani.

Uma ukwelashwa kwe-angina pectoris kungasebenzi, ukuhlinzekwa kuboniswa. Lolu hlobo lwezokwelapha luqukethe ukuvuthwa kwe- aortocoronary ne-lesion esinqunyiwe yamathambo amakhulu we- coronary kanye ne-plasty vascular and aurtic aneurysm engapheliyo.

Ukuvimbela izifo

I-Angina pectoris incike ikakhulu ekuthuthukiseni isifo sokuqina kwamathambo. Ngakho-ke, ukuvimbela okuyinhloko kwe-angina pectoris kuncishiswe kakhulu ekuvimbeleni ukuqina kwesifo somzimba. Ukuvimbela ukuhlukunyezwa, okwesibini, kufanele kuhloswe ekusebenziseni ukwelashwa okunengqondo kwe-atherosclerosis, ukwelashwa kwesifo sobuhlungu. Kubalulekile ukuvimbela nokuphatha ukuhlukumeza kwenhliziyo kanye nokuhluleka kwenhliziyo.

Ukwazi ukuthi ungaphatha kanjani i-angina pectoris, ungakwazi ukunikeza usizo lokuqala noma wena othandekayo ngesikhathi esifanele. Ukuze kutholakale lesi sifo nokuqokwa kwelashwa okufanelekile kufanele uthintane nochwepheshe.