Ukunyangwa kweziyobisi kwi-angina pectoris

I-Angina pectoris yenye yezifo zentliziyo eziqhelekileyo. Efaniswa nokuhlaselwa kweentlungu zesifuba esifutshane, okubangelwa ukuxinezeleka ngokomzimba okanye ngokwemvakalelo, ezinye izinto ezibangela ukwanda kweemfuno zeemyocardium. Intlungu ibekwe kwindawo yangasemva kwe-sternum, inika kwingalo ekhohlo, isiqingatha sesobuso, phantsi kwe-scapula, entanyeni. Ngamanye amaxesha ubuhlungu be-radiography bubalulekile - kwizinyo, indlebe, ulwimi. Ubunzima buhlala ku-1-2, ngaphantsi kwe-10-15 imizuzu kwaye ngokukhawuleza kudlula emva kokuthatha i-tablet ye nitroglycerin okanye enye i-nitrate.

Imigaqo ephambili yokonyango ye-angina pectoris:

• Ukususwa ngokukhawuleza kokuhlaselwa okubuhlungu;
• Ukuthintela ukuhlasela okutsha kwe-angina pectoris;
• Ukutyunjwa kwezakhiwo ze-rheological zegazi kunye nokukhuselwa kwamacandelo egazi.

Unyango lohlaselo kunye ne-intercostal therapy

Ukunyanga iziyobisi ze-angina kujoliswe ekuphuculeni ukujikeleza kwe-coronary, imetabolism kwimyocardium. Ikwahlula kunyango lwe-angina kunye nokunyanga kwesi sifo kwisithuba sokutshintsha.

Ukuhlaselwa kwe-angina kugqitywe ukungena kwe-nitroglycerin. Iyeza lihlala lifike kwimitha emi-5. Ngokuqhubeka kweentlungu, unokuphinda uphinde uzitrolycerin. Ungasebenzisa kwakhona i-sedatives, i-validol, i-beta-adrenoblockers kunye nabaphikisi be-calcium. Ukunyangwa kweziyobisi nge- angina ngethuba lokuhlaselwa kunokuncediswa ngonyango ophazamisayo ngendlela yokubeka izilwanyana zesardadi kwindawo yentliziyo kunye nebhotile yamanzi ashushu okanye isandla sokuhlamba ngesandla.

Kwixesha lokutshintsha, izigulane zichazwe nge-nitrate zentshukumo ezide. Ezi ziyobisi zenza njenge nitroglycerin, kodwa ixesha elide. Zineempembelelo ze-vasodilator, ezikhokelela ekuqongeni kwegazi emithanjeni kunye nokunciphisa ukubuyela kwayo entliziyweni. Oku kubangela ukuhla kwexabiso kunye nokunyaniseka kwe-ventricle yekhohlo, kunye nokunciphisa isidingo sesisu senhliziyo kwi-oksijini. Ukunciphisa isidingo se-oksijeni kubangela ukuhlengahlengwa kwegazi kwi-myocardium ukwenzela iziza ezinobunzima be-ischemia.

I-Beta-adrenoblockers inciphisa izinga lentliziyo kunye neemfuno ze-myocardium kwimo-oxygen. Ukusebenza kwonyango lwe-angina kwanda kakhulu xa kudibanisa i-nitrate eninzi kunye ne-beta-adrenoblockers.

Xa unyango lwe-angina, i- calcium antagonist isetyenziswa kakhulu , edibaniswe kunye namalungiselelo ala maqela angentla.

Ukunyanga iziyobisi nge-angina kwenziwa ngokunyamezela ngexesha lokunyuka nokuhlaselwa rhoqo kwesi sifo. Emva kokuphumelela kwempembelelo yokwelapha kunye nokuxolelwa okuqhubekayo kwesi sifo, amayeza amachiza ayancitshiswa ngokukhawuleza ukuba asebenze ubuncinane.

Ukuba unyango lwe-angina pectoris alusebenzi, utyando luyaboniswa. Olu hlobo lonyango luququzelelo lwe- aortocoronary ne-lesion encinci yeeronari ezinkulu kunye ne-vascular plasty kunye ne-aortic aneurysm engapheliyo.

Ukuthintela izifo

I-Angina pectoris incike kakhulu ekuphuhliseni i-atherosclerosis. Ngoko ke, inqununu yokuthintela i-angina pectoris iyancitshiswa kakhulu ekuthintekeni kwe-atherosclerosis. Ukuthintela ukuthintela, okokuqala, kufuneka kujoliswe ekuphunyezweni kwe-rational treatment of atherosclerosis, unyango lwentlungu yesifo. Kubalulekile ukukhusela nokuphatha ukuphulwa kwentliziyo kunye nesifo senhliziyo.

Ukwazi indlela yokuphatha i-angina pectoris, unako ukunika uncedo lokuqala lokuqala okanye ozithandayo. Ukuxilongwa kwesi sifo kunye nokutyunjwa kwonyango olufanelekileyo kufuneka kuthethane neengcali.