Ambiri mwa odwala angina , zizindikiro zawo zimayambitsidwa ndi matenda amtundu wamakono (CAD) , pomwe chida chokhala ndi atherosclerotic chikulepheretseratu mitsempha yamakono . Pazochitikazi, mayesero opanikizika amatha kusonyeza umboni wa disque blockage mu imodzi kapena zingapo mitsempha yamakono, ndipo coronary angiography kawirikawiri amadziŵitsa chiwerengero ndi malo a choletsedwa kapena obstructions.
Inde, angina imagwirizanitsidwa kwambiri ndi CAD yomwe imakhalapo m'maganizo mwa odwala ambiri ndi madokotala ambiri, omwe odwala omwe amaoneka ngati angina omwe ali ndi "zachizolowezi" akuwonekera nthawi zambiri, kuti osadziwika bwino chifukwa cha chifuwa chawo ndi chinthu china kuposa angina. Ndipo ndithudi, zikhalidwe zina zosakhala ndi mtima zingathe kupanga chifuwa chosasangalatsa .
Nthawi zina, angina weniweni akhoza kuchitika pakakhala palibe CAD. Nthawi zina odwala omwe ali ndi angina omwe ali ndi mitsempha yowoneka ngati "yachibadwa" amakhala ndi vuto la mtima lomwe liyenera kupezeka ndi kuchiritsidwa.
Zambiri za mtima ndi zachipatala zingayambitse angina ngakhale popanda mapepala omwe amachititsa kuti magazi asagwiritsidwe bwino. Zina mwazimenezi zikuphatikizapo mitsempha yamakono, pamene ena samatero.
Zomwe Zikugwirizana ndi Mitsempha ya Coronary
Pali zovuta zinayi zomwe zimayambitsa mitsempha yambiri yomwe imayambitsa matenda a mtima ndi ischemia ndi angina popanda kupanga mapepala omwe amatha kuwona pa angiography.
Zonsezi ndizo zimawoneka mwa amayi, ngakhale nthawi zina zimachitika mwa amuna.
Komanso, zonsezi zinayi zomwe ziyenera kuchenjeza dokotala (ndi wodwalayo) kuti zizindikiro zake ndizodikira mtima ngakhale kuti zowoneka kuti ndizo "zachibadwa" ndipo ziyenera kuyambitsa kupititsa patsogolo.
- Prinzmetal's angina : kutaya kwakukulu kwa mitsempha yamakono.
- Cardiac Syndrome X (CSX) : chikhalidwe chokhudzana ndi mitsempha yaing'ono yomwe silingathe kuwonetsedwa pamakina owona bwino.
- Makhalidwe achikazi CAD : mawonekedwe osavomerezeka a CAD atherosclerotic omwe amawoneka makamaka mwa akazi.
- Mitsempha ya Coronary zovuta : zilonda zamtundu wa mitsempha m'mitsempha yambiri yomwe imakhala yosatheka kuwona pa angiography, koma yomwe ingayambitse matenda aakulu .
Makamaka ngati ndinu mkazi, ngati muli ndi zizindikiro zoopsa za angina, koma mwalandira "mtima wathanzi wamtima" mutatha kuwonetsa bwino, muyenera kutsimikizira kuti dokotala wanu watengerapo chimodzi mwa izi. zinthu zinayi musanayambe kukuuzani kuti ndinu wathanzi.
Makhalidwe Osagwira Ntchito Mwachindunji Mitsempha ya Coronary
Nthawi zina angina amatha kuchitika pamene magawo a minofu ya mtima sakupeza mpweya wokwanira ngakhale kuti mitsempha yamakono ndi yachibadwa. Zinthu zomwe zingachititse angina popanda matenda a mitsempha yamtunduwu ndi awa:
- Kuthamanga kwa magazi kwakukulu kwambiri, komwe kungayambitse mantha chifukwa cha kuchepa kwa magazi
- Kuchepa kwa magazi
- Kuchita khama kwambiri
- Kupsinjika maganizo kwakukulu (monga mu matenda a mtima wosweka )
- Kutentha kwambiri kwa hyperthyroidism
- Tachycardia yogwirizana
- Oopsa kwambiri
- Kuopsa kwa ventricular hypertrophy
Kawirikawiri, izi zimachitika kwa odwala omwe akudwala kwambiri, ndipo angina nthawi zambiri ndi chimodzi mwa zizindikiro zambiri. Kotero madokotala omwe amasamalira odwala awa sangathe kutsogoleredwa mwachinyengo chifukwa cha kusowa kwa CAD.
Zotsatira:
> Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCS Guide of diagnosis and management of patients with stable ischemic disease disease: summary executive: report of the American College Association of Cardiology Foundation / American Heart Association pa ndondomeko zoyendetsera ntchito, ndi American College of Physicians, American Association for Thoracic Surgery, Association Preventional Nurses Association, Society of Cardiovascular Angiography and Interventions, ndi Society of Thoracic Surgeons. Kuthamanga kwa 2012; 126: 3097.
Mosca, L, Manson, JE, Sutherland, SE, et al. Matenda a mtima m'mabanja: lipoti la akatswiri azaumoyo ochokera ku American Heart Association. Gulu Lolemba. Kuyendayenda 1997; 96: 2468.