Angina amatanthauza zizindikiro (nthawi zambiri kupweteka kwa chifuwa kapena kupweteka kwa chifuwa) kumapangidwa ndi ischemia ya gawo la minofu ya mtima - ndiko kuti, pamene minofu ya mtima imalandira mpweya wokwanira. Chinthu chofala kwambiri cha angina ndi matenda oopsa a ameri (CAD) .
Kodi Angina Angatani?
Dokotala akamapanga matenda a angina, chotsatira ndicho kudziwa ngati angine "wosasunthika" kapena "osakhazikika" angina.
Angina wosakhazikika - momwe zizindikiro zimachitika panthawi yopumula, kapena mwachangu, kapena ndifupipafupi - kawirikawiri zimakhala mtundu wa matenda oopsa , ndipo ayenera kuchitidwa ngati chithandizo chamankhwala. Angina wosasunthika amayamba chifukwa cha chiphuphu chokhachokha .
Mwamwayi, anthu ambiri omwe ali ndi CAD ali ndi angina okhazikika .
Angina yolimba imayambitsidwa ndi chidebe chokhazikika chomwe sichinawonongeke, koma chimapangitsa kuti pakhale chigawo chokhazikika, chokhazikika pamtunda. Kutseka kwapadera kwapadera kumaloleza kuthamanga kwa magazi okwanira ku minofu ya mtima panthawi yopumula, kotero pakapuma palibe angina. Komabe, kutseka kwazing'ono kumachepetsanso kupitirira kwazidzidzidzi kwa magazi. Kotero, nthawi zina pamene minofu ya mtima imayenera kugwira ntchito molimbika, monga nthawi ya thupi kapena kupsinjika maganizo, kuthamanga kwa magazi sikungakhoze kuwonjezeka mokwanira kukwaniritsa zofuna zowonjezera pamutu wa mtima.
Minofu ya mpweya wa oxygen imakhala ischemic, ndipo angina imapezeka.
Pomwe thupi likuyimitsa - mwinamwake chifukwa wodwala amayamba kuwona angina - mpweya womwe umasowa ndi minofu ya mtima imatsika mpaka pamzere wake. Mphindi zochepa chabe, ischemia imatsimikiza ndipo angina amapita.
Zizindikiro za Stable Angina
Odwala omwe ali ndi angina okhazikika samakhala ndi zizindikiro nthawi zonse panthawi yopuma kapena panthawi yochepetsera, chifukwa magazi amapita kumtima mwawo ndi okwanira pansi pazifukwa izi.
Angina nthawi zambiri amakhala ndi mphamvu, ndipo nthawi zambiri amatha kubwezeretsa moyenera. Mwachitsanzo, munthu amene ali ndi angina amatha kuona zizindikiro pokhapokha atakwera masitepe achiwiri, kapena atayenda katatu katatu.
Chifukwa kuti angina yowonjezereka imayamba kuberekedwanso, madokotala amatha kugwiritsa ntchito mayesero opanikizika kuti awononge mopitirira muyeso wa kuchuluka kwa kapangidwe kowonongeka komwe kumapangidwa ndi choponderetsa. Angina yomwe imachitika patadutsa masekondi makumi atatu pamtunda wopangidwa ndi mapepala amtunduwu amawoneka ndi chipika chomwe chikuwononga kwambiri. Ngati angina imangotha pambuyo pa mphindi 10, chiwerengero cha blockage chikhoza kukhala chochepa kwambiri.
Mofananamo, kuyezetsa kupanikizika kwapadera kungagwiritsidwe ntchito poyesa kulandira mankhwala okwanira, ndikupatsa wodwalayo lingaliro la kuchuluka kwa ntchito zomwe angathe kuchita popanda mtima wamachimake.
Kuchiza Angina Wolimba
Cholinga chochizira angina chokhazikika ndi katatu: kuchepetsa kapena kuchepetsa zizindikiro za angina, kuyesa kupewa kupititsa patsogolo kwa atherosclerotic plaques, ndikuyesera kupewa zotsatira zoopsa za CAD - kutanthauza kuti myocardial infarction , mtima wosalimba , ndi imfa.
Mankhwala oyenera kukwaniritsa zolinga zonsezi zingakhale zovuta, ndipo nthawi zambiri zimapanga chisankho chofunikira kwambiri chachipatala.
Aliyense amene ali ndi angina ayenera kumvetsetsa zofunikira pakupanga izi.
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.