Wannan cututtukan an dauke shi a matsayin wani lokaci mai mahimmanci na fararen cututtukan zuciya na zuciya, wanda yana da babban yiwuwar infarction na kisa ko mutuwa. Angina marar hankali yana tare da wata hanya ta canje-canje a cikin nau'i da yanayin fashin angina. Nuna alamun ilimin cututtuka ya ba mu damar yin la'akari da shi a matsayin tsaka-tsakin tsakanin ƙananan ƙwayar cuta da kuma angina pectoris, amma mataki na ischemia bai isa ya haifar da neocrosis ba.
Stable da m angina - bambance-bambance
Sashin angina wanda ya tashi daga wani nauyin jiki. Alal misali, mai haƙuri ya san cewa zai ji daɗi, bayan tafiya rabin kilomita. Ya kuma san cewa yana yiwuwa a shawo kan cutar ciwo ta hanyar shan nitroglycerin.
Wani bambanci na hanya maras kyau na angina shine cewa alamunta zasu iya nuna kansa lokacin da mutum yana cikin wani wuri mai tsayi, kuma har ma da allunan nitroglycerin biyu ba zasu taimaka wajen kawar da jin zafi ba. Wannan nau'i na cutar ya haɗa da angina, wanda aka fara gano.
Gaba ɗaya, nau'in cutar rashin lafiyar shi ne yanayin da ke gabanin infarction . Sabili da haka, bayan angina pectoris, ko dai ƙwaƙwalwar ƙwayar cuta ko ƙananan ƙwayar cuta ba zai yiwu ba.
M angina pectoris - rarrabuwa
Yawancin lokaci, lokacin la'akari da wannan cututtukan amfani da kwarewar da Braunwald yayi, wanda ya gano matakai uku na ci gaba da cutar. A wannan yanayin, mafi girma ajin, mafi kusantar abin da ya faru na rikitarwa:
- Bayyana bayyanar farko na rashin lafiya na rashin ƙarfi na watanni biyu.
- Angin na hutawa, yana damuwa a cikin dukkanin watan sai dai na karshe 48 hours.
- Harshen angina a cikin sa'o'i 48 na karshe.
M angina bayyanar cututtuka
Kwayar cuta tana tare da hare-haren, amma a yayin da kake aiki da wani majijin, za ka iya gano alamun rashin cigaba mai ci gaba:
- Ƙara yawan ƙarfin mota da kuma canji a cikin yanayin da suka yi, wanda aka lura a cikin watanni biyu da suka gabata;
- abin da ke faruwa na darewa da dare da kuma hutawa;
- game da karo na farko ya nuna kansa angina shine bayyanar rikici;
- baya taimaka nitroglycerin rasa da tasiri.
Jiyya na m angina
Gano irin bayyanar cututtukan cututtuka na bayar da gaggawa ga asibiti. An umurci marasa lafiya ECG, bayar da jini don nazari, sassaucin zubar da jini. Tsarin maganin ya kasance a karkashin idanu likitoci.
Jiyya na pathology ya ƙunshi jin daɗin ciwo, yin rigakafin sababbin alamun angina marasa lafiya da kuma bugun jini na myocardium. Tun da dalilin cutar ya fi sau da yawa halakar plaque kafa a sakamakon atherosclerosis da ci gaba da wani thrombus, mai haƙuri an umarce shi da aspirin, beta-blockers, nitrates.
Ana amfani da nitrates tun daga karshen karni na 19. Tare da taimakonsu, fadada veins, rage karfin da ventricles ke fuskanta. Wadannan abubuwa sun mallaki dukiya da ke da kariya daga jini da kuma iya hana haɗin thrombi.
Yin amfani da beta-adrenoreceptors na iya rage yawan yawan zuciya na zuciya, saboda haka rage yawan oxygen da gobarar ta samu daga myocardium. Har ila yau, ƙwayar miyagun ƙwayar yana ƙara tsawon lokacin jinin jinin jini, wanda ke taimakawa wajen daidaita yanayin jinin da aka samu zuwa myocardium.
Aspirin ya hana aikin cyclooxygenase, wanda ke haifar da samar da thromboxane, wani abu da ke da kayan mallakar vasoconstrictor. Bayan amfani da aspirin, an rage yawan hadarin thrombus.