Basa rinowanzoitwa myocardium rinopiwa ne oksijeni, iyo inouya neropa kuburikidza nemaketari e coronary. Kana zvakakanganisika, kutakura kwehupenyu hwehutachiona hunoipa uye ischemia inokura. Pasina ropa rakakwana, mishonga inosuruvara inowedzera kana inrophies.
Ischemic heart disease - zvinokonzera
Ihwo hutachiona hunotariswa huchibva kune atherosclerosis ye coronary arteries ye degrees dzakasiyana. Chiedza cheropa chinogona kunge chakanyanyiswa pamusana pechipetero cheku cholesterol kana kuti chakavharwa zvachose. Mukurwisana nemamiriro ezvinhu echirwere chinopfuurira ichirosclerotic, zvimwe zvinokonzera chirwere chemwoyo (coronary heart disease) zvinowedzerwa:
- spasm of coronary arteries;
- thromboembolism;
- cardiospasm;
- kudzivirirwa kwemidziyo yeconary.
Ischemic heart disease - classification
Chirwere chacho chinotyisa uye chisingaperi. Zvichienderana nehupenyu hwahwo nekuoma kwezviratidzo, kune marudzi akadaro eeschemic matenda epfungwa:
- angina pectoris;
- myocardial infarction uye postinfarction cardiosclerosis;
- sudden coronary death;
- kusuruvara kana muteve.
Ischemic heart disease - angina
Rudzi rwakarondedzerwa rwehutano rwakaparadzaniswa muzvikamu zvishoma maererano nezvikonzero zvinokonzera kurwadza kunorwadza. Chirwere chepachimiro chechimiro chinopera chinoreva chimiro chinowedzera (angina). Dzinoparadzaniswa mune zvidzidzo zvina zvinoshandiswa maererano nematambudziko (I-IV). Zviratidzo zveiyo angina inomuka mukupindura kumanikidziro kana mupfungwa.
Chirwere chemwoyo cheIschemic chenguva isina kugadzikana chinoitika:
- kufambira mberi;
- kutanga kubuda;
- early postoperative;
- postinfarction.
Mimwe mhando dze angina pectoris:
- vasospastic;
- spontaneous;
- zvakasiyana-siyana (stenocardia of Prinzmetal).
Kakawanda, kurwiswa kunorwadza kwakaoma ne arrhythmia. Inofungidzirwa sechimiro chakaenzana nema angina akachengetedzeka uye asingatauri. Arrhythmia inobatanidza kliniki zviratidzo zvekusiya ventricular heart failure:
- kupfupika kwemhepo;
- asthma;
- kuzvimba kwepapu.
Ischemic heart disease - myocardial infarction
Urwu hutachiona hunogona kuva hukuru uye hudiki hukuru, zvichienderana nehupamhi hwe necrosis yemasumbu. Chirwere chemwoyo chinonzi Ischemic kana chirwere chemwoyo chinoda kukurumidza kuparidzirwa, zvisinei nematambudziko makuru, kusanganisira kufa, kukura. Imwe yemigumisiro inowanzoitika yekurwisa kwakadai i-cardiosclerosis (kupera kwemyocardium). Anoongororwa anenge mwedzi miviri mushure mekuvhiringidza.
IHD - kufa kwechirwere chisingaoneki
Chiitiko chisingafanoonekwi, icho chinofanirwa kukuvadza kusagadzikana kwemagetsi kwemyocardium. Kana chirwere chemwoyo chinokonzerwa nekufa kamwechete kana kufa mukati maawa matanhatu mushure mekurwiswa, rufu rwechirwere rwakaerekana rwuripo runowanikwa. Mune mamwe mamiriro ezvinhu, chinokonzera dambudziko racho chinogona kushandisa zvimwe zvirwere zvemyocardium - infarction, cardiosclerosis kana yakaoma angina pectoris.
Iko-isina maitiro e-ischemic heart disease
Iro rudzi rwechirwere haruna kukonzera chero zviratidzo uye kunetseka hakusipo. Zvakanyanya kuoma kuziva kune zvakasiyana-siyana zveHD, naizvozvo hutachiona hunoenda zvishoma nezvishoma uye hunowanzokonzera migumisiro ine ngozi. Zvakakosha kushanyira kadhidiologist nguva dzose kudzivirira. Chirwere chisingazivikanwi chinonzi ischemic chirwere chirwere chinonyengera, icho chinowanikwa zvisina kujeka kunyange kune vechidiki. Pasina kurapwa, inogona kutungamirira kukufa kamwe kamwe.
Njodzi dzinokonzerwa nechirwere chemwoyo
Pane mamiriro ezvinhu anotarisana nekuonekwa kwehutano huri mubvunzo. Kuburikidza kwechirwere chemwoyo chinokanganisa zvinotevera:
- genetics;
- kukwegura;
- murume wepabonde;
- arterial hypertension ;
- chirwere cheshuga mellitus;
- dyslipidemia;
- kuneta;
- chiropa chisingaiti;
- propensity ku atherosclerosis.
Chirwere chemoyo weCoronary chinowanzoonekwa kune vanhu vane mararamiro asina kunaka. Izvo zvinowirirana nechekumashure:
- kusvuta;
- kusagadzikana kudya;
- kunwa doro;
- hypodynamia;
- kwete-kuchengetedza kwekubata nekushanda kwehurumende.
Ischemic Heart disease - zviratidzo
Chimiro chechirwere chekuratidzwa kwechirwere ichi chinonzi chirwere chinorwadza chirwere chinowanika munzvimbo yakadzoka. Zviratidzo zvakasara zvechirwere chemoyo wekodonary hazvisi izvo, saka hazviwanzobatanidzwa nehutano hunorondedzerwa. Nenzira isina kurwadza yehutachiona, zvikwangwani hazvisipo zvachose, uye hupenyu hwevanhu hunoramba huripo kwenguva refu. Zvimwe zviratidzo zvehosha ischemic:
- kukurumidza kufema, kunyanya nekushingaira kwenyama;
- kushaya simba;
- manzwiro okusakanganiswa mubasa remwoyo, kutyora kwaro rhythm;
- chizungu uye chisungo;
- kunyunyuta kwemaodzanyemba;
- sweating;
- kupera simba kana kuvhara kwekuziva.
Pain in ischemic heart disease
Iyo yakatsanangurwa chirwere inosangana nekunetseka kwete chete munzvimbo yepfuva. Kazhinji chirwere chinonzi ischemic chinokonzera kurwadziwa kwepamuviri kune dzimwe nhengo dzomuviri:
- ruoko, rwakanyanya kusiyiwa;
- shure;
- tsikira pasi;
- famba;
- scapula.
Kushushikana kusinganzwisisiki kunogona kuva nehupi hupi (hunobvongodza, kudhonza kana kumanikidzira). Pakutanga, marwadzo haagari kwenguva refu, kwemaminitsi mashomanana, uye zvino anowedzera. Zvishoma nezvishoma, chirwere chemwoyo chinoputika chinowedzera, uye nzvimbo dzakawanda dzemyocardium dzinokuvara. Izvi zvinotungamirira kukundwa kwenguva refu, panguva iyo chiratidzo chiri mubvunzo chinowedzera.
Kuongororwa kwechirwere chepfungwa yemwoyo
Pagamuchiriro, nyanzvi yezvematapi inounganidza zvakanyatso annahnesis. Zvakakosha kusimbisa mararamiro uye nguva yehutano hwehutano, hukama hwaro nekushingaira kwemuviri uye kukwanisa kukakata ne nitroglycerin magadzirira. Paanenge achiongororwa, chiremba anoona zviratidzo zvechirwere cheschemic:
- kuvapo kweEdema;
- yakanyorova ichifema apo kufema;
- kudengenyeka (kuchema inzwi) mumapapupa;
- kuwedzera muropa chiropa (hepatomegaly).
Kuguma kwekupedzisira kwe "ischemic heart disease" kunobva pakubatsira uye nzira dzebhakato yekuongorora:
- standard or transesophageal electrocardiography;
- echocardiography ;
- kuongororwa ropa kweproteine enzymes, shuga, cholesterol nedzimwe zviratidzo;
- coronary angiography.
Ischemic Heart disease - kurapa
Utachiona hwehutano huno hunoenderana nekuoma kwayo uye maitiro. Nyanzvi yemashuga mumwechete anosarudza nzira dzokurapa chirwere chemwoyo chinonzi ischemic, asi kune mazano anowanikwa kune varwere vose:
- Deredza kuderera kwechiito chero chipi zvacho. Zvishoma nezvishoma, zvinogona kuwedzerwa munguva yekuvandudza.
- Itai kuti uremu udzoke kune huripo.
- Deredzai kunwa kwemunyu nemvura.
- Ruramisa menyu. Izvo zvinodikanwa kubvisa zvachose michero inobatsira pakugadzirwa kweAristrosclerosis - mhuka dzemhuka, kusvuta zvishandiso, fried foods, pickles, dessert.
- Rega kubva kunwa uye kusvuta.
Kuvhara zviratidzo zveHD uye kudzorera basa remakarikari, nyanzvi inorayirwa nzira yekurapa mishonga. Kana ikasanganiswa nehuwandu hwezviyero hahuiti hutarisire hwehutano hwehutano, kupindira kwekupora kunokurudzirwa:
- gonariyari arter bypass grafting (myocardial revascularization);
- balloon angioplasty;
- Stenting;
- michero ye coronary vessels (kubhota kuwedzera).
Kurapa kwekodonary mwoyo chirwere - zvinodhaka
Conservative therapy yakagadzirirwa zvakasiyana kune mumwe murwere we cardiologist, asi kune mureza we "ABC" chirongwa, chinosanganisira kusanganiswa kwemapoka matatu emishonga:
- antiplatelet agents - Thrombopol, Aspirin, Clopidogrel, Acecardol;
- beta-blockers - Niperten, Egilok, Dilatrend, Concor;
- statins uye fibrates - Simvastatin, Lovastatin, Atorvastatin, Fenofibrate.
Mukuvapo kwezviratidzo zvinogadzirisa zvirwere, zvimwe zvinodhaka zvinorayirwa. Ischemic - chirwere:
- anticoagulants - Heparin, Fenilin;
- nitrate - isosorbide mononitrate, nitrolycerin ;
- diuretics - Lasix, Furosemide;
- lipid-kuderedza zvinodhaka - polikozanol, Nolipid;
- antiarrhythmic drugs - Amiodarone, Cordarone;
- inhibitors ye-angiotensin-kuchinja enzyme - Captopril , Enalapril;
- metabolic cytoprotectors - Mexicor, Coronater.
Ischemic - chirwere nemishonga yevanhu
Kushandiswa kweimwe nzira yekurapa kunobvumirwa chete nemvumo yechipocrinologist sechirwere chechiratidzo. Nekubatsira kwavo, chirwere cheschemic chinoderedzwa - mishonga yevanhu inoderedza kuwedzera kwekumanikidzwa, kukurumidza kubviswa kwekuwedzera kwechirwere kubva mumuviri nekuvandudza metabolism . Kurongedza mabasa emakrocardium uye kudzivirira iyo necrosis, havagone.
Dyara kukohwa kubva kune ischemic heart disease
Zvisungo:
- maruva e hawthorn - 100 g;
- mishonga Leonurus - 100 g;
- chamomile ruvara - 100 g;
- mvura inopisa - 120-150 ml.
Kugadzirira, shandisa :
- Dya zvakakosha zvinhu zvokugaya uye kusanganiswa.
- Teaspoon yekusanganiswa inofanira kudururwa nemvura inopisa uye yakavharwa.
- Simbisa mhinduro kwemaminetsi makumi maviri.
- Simbisai mvura.
- Inwa yose yakawanda yemishonga mambakwedza musimba risina chinhu.
- Ramba uchirapa kusvikira unoramba uchivandudza mune hukama hwakanaka.
Tincture nokuda kwemoyo
Zvisungo:
- fresh garlic - 50 g;
- vodka - 120-140 ml.
Kugadzirira, shandisa :
- Grate garlic, usafambisa juisi.
- Dururira gruel nevodka, simbisa.
- Kuomerera zvinoreva maawa 72.
- Katatu pazuva, tora madonhwe makumi matanhatu emishonga, uwedzere kune teaspoon yemvura yakachena, yakachena.
- Nzira yerapi iyi mazuva manomwe.
Kuporesa decoction
Zvisungo:- Mbeu dzakaoma dzeHawthorn - 20 g;
- mvura iri 200-220 ml.
Kugadzirira, shandisa :
- Bika mvura, isa mabriji mauri.
- Birai chibereko kwemaminitsi maviri, bvisa moto.
- Simbisai mishonga pasi pechivigiro kana mu thermos kwemaawa maviri.
- Shingairira mhinduro.
- Halfu awa imwe musati wapedza kudya, inwa maspuni 2. zvipukiso zvemishonga.
Ndeipi chinotyisa chirwere chemwoyo chinonzi Ischemic?
Iyo yakaongororwa chirwere chechirwere isingaperi uye inoramba ichifambira mberi, ichikonzera kukanganisa kusingagadziriswi kumamotokari uye migumisiro ine ngozi. Kana chirwere chemwoyo chinosanganisa, zvinetso zvingave zvinotevera:
- cardiosclerosis ;
- kusagadzikana kwesimba metabolism;
- kushungurudzika kwe autom automm, conduction uye kufadza kwemyocardium;
- kutyora kwechirosilic uye diastolic misuli mabasa;
- kudengenyeka kwechibvumirano chekusiya ventricle ("kushamisika myocardium").
Chirwere chemwoyo cheIschemic chinowanzotorwa mumatambudziko mazhinji chinotungamirira kukuderera kunowedzera mukukura kwekoronary circulation. Mukubatanidza nematongerwo akaitwa marphofunctional change uye kufambira mberi atherosclerosis yemariti, izvi zvinokonzera kusingaperi kwemwoyo kusakatika. Chirwere ichi kazhinji chinokonzera kufa kwekutanga, kunyanya varume vevanhu vakuru.
Prophylaxis yeCoronary Heart disease
Kuchengetedza kukurudzirwa kwezvirondedzero zvehutachiona, zvakakosha kutora matanho ekuchengetedza kupararira mumamiriro ehurumende uye kudzivisa atherosclerosis.
Prophylaxis yeCoronary Heart disease:
- Kuteerera kumitemo yehutano kudya, kusarudza kudya kuderera mumafuta emhuka uye cholesterol.
- Rega kushandisa doro uye kusvuta.
- Nguva dzose uye nepamwero inobatanidzwa mukuita basa.
- Chengetedza hurumende yezuva, kunyatsorara.
- Chengetedza uwandu hwakakwana.
- Dzivisa pfungwa nepfungwa.
- Ona kuwedzera kweropa.
- Kuronga kuongororwa kune nyanzvi yekuongororwa kwekudzivirira.
- Ita electrocardiography gore negore.
- Enda kune imwe nzvimbo sanatoria, resorts.