Angina functional eklasini - inkcazo, ngokuhlelwa kunye neempawu

Iingcali wazi ukukhula oyikisayo kwenani kwezifo intliziyo phakathi kwabantu. Ukongeza, sehla ngamandla yobudala apho kuqala libonakalalisiwe. Ngokuqhelekileyo, abantu musa ingqalelo iimpawu de kukho inkathazo, kodwa abe nazo kancinane kube ngumqondiso yesifo sentliziyo kakhulu. Ucalulo kweeklasi esebenzayo angina ibonisa ngokucacileyo sifo "cwaka". Utshintsho kwenzeka kancane ukuba abantu bayayamkela kwaye musa acinge kuyimfuneko ukuba ngayo.

Ukwahlukanisa angina ezinzile

Kukho iintlobo ezininzi angina, nganye anazo zombini ziqhelekile zobumnini zeqela kunye neempawu ezizodwa uvumela ukuba ivelele kwabanye. angina ezinzileyo uhlobo lwe angina. Lubonakala kukuvela ubuhlungu xa umthambo, yaye yokuduka iminqweno ubuhlungu yedwa.

Kukho ezi ndidi zilandelayo esebenzayo angina:

1. Iklasi yokuqala - intlungu kwenzeka kuphela phantsi imithwalo kakhulu yaye ngokukhawuleza badlule yedwa.
2. Udidi lwesibini - kwesifuba xa uhamba kwiimitha ngaphezulu kwe 300 okanye ukunyuka izinyuko.
3. Kudidi lwesithathu - iintlungu kuvela emva soyise kumgama oziimitha ezili-150 okanye besihla benyuka ngezinyuko kumgangatho omnye.
4. kwibakala lesine - bamelwa ngexesha amandla wobulali yaye baphumle.

angina nguZuma

Ngokungafaniyo ifomu elidlulileyo, angina ezingazinzanga wabonakalisa iminqweno intlungu obukhulu ezinganxulumananga nomsebenzi emzimbeni. Ukongeza eklasini functional, angina elolu hlobo zohlulwa ngokwendidi ezine:

1. New-abaqala angina. Oku ingqalelo ngokunjalo, ukuba uhlaselo lokuqala ludalwe zingadlulanga iinyanga ezimbini ezidlulileyo. Kuyingozi kuba kusenokuba luphawu okanye njengomanduleli iposi engabalulekanga. Ekwaziyo senziwa similise uhlobo ezinzileyo lwesifo.
2. Nokuqhubekayo. Uhlaselo luya rhoqo kwaye kakhulu ngakumbi, phezu cardiogram bonisa iimpawu hypoxia engabalulekanga. utshintsho kunokwenzeka eklasini esebenza elisezantsi.
3. postinfarction Early. Intlungu kwindawo esifubeni zigcinwa iiveki ezimbini nangoko emva iposi engabalulekanga.
4. Vasospastic. Kwakhona ebizwa uhlobo, okanye angina Printsmetalla. Kuba le fomu luphawulwa uxhuzula zasebusuku na ezinxulumene nomsebenzi emzimbeni.

Classification Braunwald

Ukuze kumiselwe amathuba lubandakanywe nezenzo iposi engabalulekanga, sebenzisa ulwahlulohlulo olucetywayo yi Braunwald ukuba iimpawu iintlungu. Ayichaphazeli iklasi esebenza ngayo angina, kodwa ayanda kuphela izakhono sokuxilonga ugqirha ngaphandle ukusetyenziswa kweendlela instrumental.

Iklasi yokuqala kuthetha angina omtsha-ezingxoxweni, ogama mpawu zimbi kakhulu kwiinyanga ezimbini ezidlulileyo.

bodidi lwesibini - luphumlo angina okanye subacute ifomu, kodwa kuphela ukuba zange avele iintsuku ubuncinane emibini eyadlulayo.

Kudidi lwesithathu iquka angina kunye etsolo angina ukuphumla, nto leyo wazibonakalisa kwiiyure ezingamashumi amane anesibhozo yokugqibela.

Zimeko ingqondo

Kukho ukuhlelwa eziliqela angina. Iiklasi yokusetyenziswa - akanguye elimakishayo kuphela, leyo iza kucacisa ubungozi ekuhambeni yokwahluka sifo.

Ngokutsho imiba engabangela izifo, ukubeka iintlobo ezifana:

• A - anaemia, hypoxia, usuleleko kunye nezinye izinto ezibangela noncoronary;
• B - angina zamabanga umyalezo engaziwayo;
• C - postinfarction isifo ngumfuziselo, kwakheka kwisithuba seeveki ezimbini emva kokuba inkqubo oyingozi.

Kwimeko yokuqala (A), ugqirha uniphethe angina lesibini kwaye kwanyanzeleka ukuba nibaphathe kugxila kwinjongo ephambili nje kuphela, kodwa. Ngamanye embodiments, amabini (B no-C) akunjalo, ekubeni unobangela lwesifo okuzinziswe ngqo emzimbeni.

Classification Riziku

kwiiklasi esebenzayo angina ezinzileyo unako neyongezelelwe ulwahlulohlulo Rizika, leyo, ukongeza luluvo iimvakalelo, ithathele ingqalelo yokufundwa ECG.

1. A lokuqala-class - iimpawu angina ziya ukusuka zokuhlasela ukuhlasela, kodwa akukho utshintsho ECG hayi.
2. Iklasi yokuqala - kunye nokwandisa amandla intlungu kuvela utshintsho njongo ku ECG.
3. Udidi lwesibini - ziboniswe kwi cardiogram litshintsha uphawu angina omtsha-ukuqala.
4. Kudidi lwesithathu - phezu ECG, kukho iimpawu angina ukuphumla.
5. kwibakala lesine - ukongeza kwamanye angina, i-ECG kwi ukuvuthuluka Dynamics entliziyweni hypoxia engabalulekanga.

Canadian Lwentliziyo Society

Enye lobeko angina nokubekwa kweeklasi ezisebenzayo besifundiswa cardiologists waseKhanada phakathi kwiminyaka yoo-2000. Oku kuquka iiklasi ezintlanu:

1. Zero xa iimpawu abangekhoyo njenge umthwalo yaye baphumle.
2. Kuqala. amandla ebonakalayo emzimbeni okanye xi nakwiimvakalelo kuxhokonxa kokuhlaselwa iintlungu esifubeni.
3. Yesibini. kabi kancinane emva breastbone kwenzeka umsebenzi xa kakhulu emzimbeni.
4. Okwesithathu. Iintlungu kwakunye nokubamba-bamba umphefumlo zenzeke qho ngexesha lemisebenzi yemihla ngemihla.
5. Okwesine. Iimpawu ingabangela nkqu umthwalo zincinane.

Loo kudidi esetyenziswa yi oogqirha saseNtla Western, oogqirha basekuhlaleni baqhele ngakumbi simo, elo wabelithiyiwe ekuqaleni, ngoko uxilongo kubhaliwe kwathiwa, umzekelo: "isifo sentliziyo kobuchopho: iklasi angina esebenza 2". Kodwa ke oku akuthethi ukuba iingcali zethu akazazi ukwahlulwa enjalo kwiiklasi ezisebenzayo.

angina umehluko

angina ezinzileyo, iiklasi ezisebenzayo echaziweyo ngentla, olubandakanya uhlobo lobeko lwe kwemali. Uye amagama amaninzi, kodwa undoqo uhlala efanayo: kokuhlaselwa iintlungu zesifuba kuvela ngesiquphe, ngaphandle ngokuphathelele kumsebenzi emzimbeni, ngokuqhelekileyo ebusuku okanye ekuseni. Kuyaphela okubangelwa spasm kwemithambo ukuba ondle intliziyo, kodwa ngokuqhelekileyo musani ukubonisa naluphi na utshintsho morphological, nto leyo ingabonisa ubukho yegazi.

Abaguli rhoqo abaphethwe ukuhlaselwa lobeko angina, awukwazi ukuhlawula ingqalelo kuphuhliso izifo ezoyikekayo ezifana iposi engabalulekanga, kuba iimpawu ezifanayo. nokunganaki ngolo kuxabisa ubomi babantu, ukuba ayikho unyango luza kunikwa. ukuhlaselwa Ukulungiswa olwenziwe ngokusebenzisa bachasene calcium okanye nitrate.

Types of angina stream

Xa zahlukanisa iiklasi esebenzayo (FC) angina, ngoko kukho ezinye iintlobo esi sifo. Enye Ukuhlelwa usebenzisa iimpawu kwekhosi, ukukhetha iinketho kubonakaliswa ezine angina:

1. Okokuqala ukuvela: iintlungu ithatha malunga ngenyanga (kodwa hayi ngaphezulu kwe ezimbini), baya bahlala bexambulisana, ezinxulumene ngqo kumsebenzi umntu yemvelo. Ngokusebenzisa kwexesha, oku hlobo ingena ifomu izinzile. lobeko ezingantlanga kuthathwa, xa ngexesha uhlaselo kukho ST ingxenye umphakamo kwi ECG.

2. Progressive: ukuba ngokukhawuleza kwaye zibe zikhulu yokuhlaselwa iintlungu ziyanda, nkqu ngexesha unyango, uthetha malunga ukuqhubela phambili kwesifo, ukunciphisa ubuchule zembuyekezo umzimba kunye nengozi ephezulu isifo sentliziyo. Izigulane bangase ixhala zokoyika ukufa, ukuhlaselwa Ukuphelelwa.

3. Kuba okokuqala kuvele angina lokuphumla: ukuba izihlunu intliziyo akaneliseki igazi ngokwaneleyo ngenxa ekuhleni kwimveliso ezesifuba yegazi yenhliziyo, i angina zingenzeka ukuphumla. Amaninzi, iintlungu ubonakala ephupheni, njengoko utshintsha indawo tyaba emzimbeni umthamo wegazi lwemithambo, leyo ubuyela intliziyo, yaye ngenxa yoko imveliso intliziyo ezilandelayo.

4. angina Esitalini: kwefrikwensi nobushushu zokuhlaselwa musa ukutshintsha ngokuhamba kwexesha, esi sifo singalawuleka kakuhle futhi iziyobisi kwaye nikuyeke ukusongela kubonwa. Kodwa musani ukunyanga esi sifo engqondweni engenangqondo, ngenxa yokuba nanini na ixesha kubola kunokwenzeka.