Urwu urwere hwechirwere - chiitiko chisingawanzoitiki, chimiro chezera remakore makumi matatu nemakumi mashanu. Vasospastic angina inoreva chimiro chisingachinji chechirwere ichi, kuratidzwa kwayo hakugoni kuitika, izvo zvinoita kuti zvimwe zvipingamupinyi zvive mukuvandudzwa kwehutano hwehutano.
Vasospastic angina ye Prinzmetal
Chirwere ichi chinonziwo chependi kana kuti chinopisa angina. Inokonzerwa nemapasimusi e-coronary arteries, iyo inoita kuti mwoyo mushu. Sezvo mutemo, unokonzerwa ne atherosclerotic plaques pamadziro emukati emidziyo yeropa uye sclerosis yezvinyama zvemukati.
Chikonzero chikuru chekusimudzirwa kwechirwere ndiko kupfupisa kwetteri lumen nekuda kwekunyanyisa kukuru kwemitsipa inotonhora yemudziyo. Somugumisiro wehutano uhwu, kubuda kweropa kusvika pamwoyo kamwe kunopera, izvo zvinogona kutungamirira kurwisa uye kunyange rufu.
Angina pectoris - zviratidzo
Chiratidzo choga chekushaya chirwere ndechekurwadziwa, izvo zvine zvinotevera:
- inoitika usiku, panguva iyo kubva pakati pousiku kusvika 7-8 am;
- rinowanikwa mune imwe nzvimbo yezororo uye haigumburwi nekutambudzika kwepanyama kana kuwedzera kukumanikidza;
- inowanikwa munharaunda mushure mefupa rehapa uye inopa muko, mafudzi, mapepa, dzimwe nguva iri mujaya;
- inopera kubva pamashanu kusvika pamaminitsi makumi maviri nemakumi matatu nemashanu;
- kazhinji haasi pamwe nes syncope ;
- kunokonzera manzwiro ekudzvinyirira, kupfuva kwechifuva;
- rinodzokorora husiku humwe humwe hwemavhiki akawanda kana mwedzi;
- inonyangarika mushure mekutora imwe piritsi ye nitroglycerin.
Prestmetal's Vasospastic Angina - Kuziva
Kunyatsoita kuti kuongororwa kunokwanisika chete panguva yekurwiswa, nokuti nguva dzose dzenguva hadzizi.
Prinzmetal's stenocardia paEECG inoratidzika sekuwedzera kwezviratidzo zveS ST. Mukuwedzera, electrocardiography inowedzera kuburikidza neHirter (zuva nezuva) kutarisa. Muchikamu chekudzidza, kuenderera mberi kwekuregererwa kweEGG kunoitwa nenzira yezvakakosha basa rinokosha remurwere. Kuongororwa kunoitwa nenzira yefoni inoshandiswa iyo inosangana neganda revanhu kuburikidza nemagetsi ekubatisa. Inokurudzirwawo kuchengeta diary yekunzwa, kucherechedza mukati maro kuchinja mumoyo uye kuitika kwekutambudzika mukuita kwechiito chero chipi zvacho.
Imwe nzira ndiyo coronarography. Nekubatsira kworudzi urwu rweongororo yekuongorora, zvinokwanisika kugadzirisa zvakajeka kuwanda kwekukuvara kumidziyo yeropa ne atherosclerotic plaques.
Prizmetal's Vasospastic Angina Treatment
Therapy inonyanya kurongerwa kusabvisa zvirwere-zvinokonzera zvinhu. Izvi zvinosanganisira kusvuta, kugara mupfungwa, kushushikana mupfungwa uye hypothermia.
Kuti abvise zviratidzo, vasospastic angina inoratidzwa nemigumisiro yemishonga:
- nitrate-containing preparations;
- aspirin boka revarindi uye kusagadzikana;
- vanamashikiti;
- alpha-blockers;
- vanopikisa heparin.
Zvichienderana nechinokonzera chirwere chacho, chirongwa chakanyatsorapwa chirongwa chinosarudzwa nekusarudzwa kwemishonga. Iyi nzira inokubvumira kuderedza visikiti uye huwandu hweropa, kudzivirira oksijeni nzara yemutsipa wemwoyo,
Zvinonzwisisika, murwere anoda kubatsira kuti awanezve:
- Rega kushandiswa kwedoro nedzimwe tsika dzakaipa.
- Shandisa maawa masere ekuzorora pazuva.
- Itai basa rakanaka.
- Dzosera sangano remagetsi.
- Dzivisa kushungurudzika .
- Ruramisa kudya.