I-Stenocardia yi-syndromes yeklinikhi ephuhliswayo malunga nokungahambi kokuhamba kwegazi ye-coronary ukubonelela nge-myocardium ngezondlo kwixabiso elifunekayo. Kukho i-angina eqinile kwaye engaqinisekiyo. I-angina ehleliyo engapheliyo ibonakaliswa nokuzinza kwezibonakaliso zekliniki - ukuhlaselwa okubuhlungu okuza kwenzeka kunye nenqanaba elithile kwimizuzu emithathu.
Izizathu zeStable Angina
Isizathu esibalulekileyo sentsholongwane sisifo se-atherosclerotic yeenqanawa ze-cardiac, ezikhokelela kwi-stenosis yazo. Imiba yingozi:
- ngxinzelelo lwegazi;
- isifo sikashukela;
- ukunyanya ;
- ukutshaya;
- i-hypodynamia;
- ukuphelelwa kwexesha kwangaphambili;
- Ukusetyenziswa kwexesha elide le-contraceptive ngomlomo.
Iimpawu zeStable Angina
Ukuhlaselwa kwe-angina ezinzileyo kwenzeka ngexesha lokuhamba, uhlobo oluthile lomzimba okanye umthwalo onamandla. Ubume beempawu ezilandelayo:
- ukuvutha komsindo, ukunyanzelisa emva kwe-sternum;
- intlungu yesifuba sokuqhaqhazela, ukutshisa okanye ukunyamezela okungaxilisa entanyeni, emagxeni, emva, kwindawo yesiguqu;
- ukuphefumula , ukungakwazi ukuphefumula ngokupheleleyo;
- ukukhupha, umkhuhlane;
- isicupunu, ukuhlanza;
- ukudideka kwengqondo.
Njengomthetho, ngexesha lokuhlaselwa, uxinzelelo lwegazi lukhuphuka, izinga lentliziyo landa. Ukunyuka ngokukhawuleza, ukuhlaselwa kwe-angina enesigxina kunokuhlala kwimizuzu engama-1 kuya kwe-15 kwaye ixhaswe emva kokususa umthwalo okanye ukuthatha i-nitroglycerin. Ukuba ukuhlaselwa kuthatha imizuzu engaphezu kwe-15, kunokwenzeka ukuba uyigqekelele kwi-infarction ye-myocardial.
Ukuxilongwa kweStable Angina
Kwimiboniso ebonakalayo ye-pathology i-diagnostic ingasungulwa kwisiseko sophando, i-anamnesis, i-auscultation kunye ne-electrocardiogram (ECG). Kwezinye iimeko, uphando olongezelelweyo lufunekayo:
- qwa laselo lwe-ECG;
- veloergometry;
- vavanyo lokuhamba;
- electrocardiostimulation transesophageal;
- echocardiography;
- uxinzelelo-i-echocardiography;
- CT coronarography, njl
Iimvavanyo zeLebhu ziquka ukuzimisela kwe-hematocrit, izinga le-glucose, izinga le-cholesterol elipheleleyo, i-hemoglobin, njl.
Unyango lwe-Stable Angina
Iinjongo eziphambili zonyango lwezilwanyana kukuphucula ukuhlaselwa ngokukhusela ukuphuhliswa kwe-myocardial infarction nokufa, kwakunye nokuphelisa okanye ukunciphisa impawu. Amaqela amathathu eziyobisi anqunywe: i-nitrates, b-adrenoblockers kunye ne-block calcium.
Iingcebiso ezingundoqo ezingekho kwi-pharmacological zonyango lwe-angina pectoris zizo:
- wenqatshe ukutshaya;
- ukujongwa kwemisebenzi yomzimba;
- ukunamathela kwisondlo.
Kwiimeko ezinzima, unyango luyalelwe.