Stenocardia ndiyo chirwere chekliniki chinotanga kuitika maererano nekushaya kwekodonary blood flow kuti ipe myocardium nemuviri muyero inoda. Ikoko kune angina akasimba uye asina kugadzikana. Angina yakagadzikana yakagadzikana inoratidzirwa nekusimba kwezviratidziro zvinoratidzirwa - kurwiswa kunorwadza kunowanikwa nematambudziko ehumwe hutano kwemwedzi mitatu.
Zvinokonzera Simba Angina
Chikonzero chinonyanya kukonzerwa nehutachiona isechenos atherosclerotic yemidziyo yemwoyo, zvichiita kuti vave nechirwere chakanyanya. Zvinhu zvinokuvadza ndezvi:
- arterial hypertension;
- chirwere cheshuga mellitus;
- kuneta ;
- kusvuta;
- hypodynamia;
- kumabvazuva kwemurume;
- kushandiswa kwenguva refu kwekubatanidza kubata pamuviri.
Zviratidzo zveStable Angina
Mavanga e angina akachengetwa anoitika panguva yekufamba, chimwe chimiro chemuviri kana simba rakasimba mumatambudziko. Unhu hwekuratidzwa kunotevera:
- kutsva kwekunzwa, kukonzera shure kwe sternum;
- chirwere chepfuva chekuputika, kupisa kana kuti kuomesera kunogona kurwisa kumutsipa, mapepa, kumashure, epigastric region;
- kukurumidza kufema , kusakwanisa kufema zvakakwana;
- kutuka, fivha;
- kushungurudza, kurutsa;
- kuvhiringidzika kwekuziva.
Sezvo mutemo, panguva yekurwiswa, kuwedzera kweropa kunobuda, mwoyo wekuwedzera unowedzera. Chinowedzera kuwedzera, kurwisa kwe angina yakagadzikana kunogona kupera kubva pa1 kusvika pamaminitsi makumi maviri uye kunoderedza mushure mekubvisa mutoro kana kutora nitroglycerin. Kana kukanganisa kunopedza maminitsi gumi nemashanu, zvinokwanisika kuti zviwedzere kuva myocardial infarction.
Kuongororwa kweStable Angina
Panozviratidza zviratidzo zvehutano hutachiona hunogona kugadziriswa pamusana pekuongorora, anamnesis, auscultation uye electrocardiogram (ECG). Mune dzimwe nguva, kutsvakurudza kwakawedzerwa kunodiwa:
- zuva rimwe nerimwe ECG monitoring;
- veloergometry;
- treadmill test;
- transesophageal electrocardiostimulation;
- echocardiography;
- kushungurudzika-echocardiography;
- CT coronarography, nezvimwe.
Kuongororwa kwebhizinesi kunosanganisira kugadziriswa kwehematocrit, glucose level, chilesterol yakawanda, hemoglobin, nezvimwewo.
Kurapa kweStable Angina
Zvinangwa zvakanyanya zvekurapa kwehutano ndeyekuvandudza kusarudzwa nekudzivirira kukura kwemyocardial infarction nerufu, pamwe nekubvisa kana kuderedza zviratidzo. Mapoka matatu emishonga anorayirwa: nitrate, b-adrenoblockers uye inononoka calcium channel blockers.
Iyo huru isiri yemasvomhuyo mazano ekurapa kwechinyorwa angina pectoris ndei:
- kuramba kusvuta;
- kumira kwekuita basa;
- kunamatira kune kudya.
Mumatambudziko akaoma, kurapwa kwakagadzirirwa.