I-Stenocardia yi-syndromes emitholampilo ekhulayo ngokuphathelene nokuntuleka kwegazi lokugeleza kwegazi ukuze unikeze i-myocardium ngezakhi ezithintekayo. Kunama-angina azinzile futhi engazinzile. I-angina enesimo esingapheli ibonakala ngokuzinza kwemibonakaliso yemitholampilo - ukuhlaselwa okubuhlungu okuvela ngezinsizakalo ezithile ezingenani okungenani izinyanga ezintathu.
Izimbangela zika-Stable Angina
Isizathu esiyinhloko se-pathology yi-atherosclerotic lesion yezikebhe zenhliziyo, okuholela ekutheni i-stenosis ephawulekayo. Izici zengozi ziyi:
- ukucindezeleka komzimba;
- isifo sikashukela mellitus;
- ukukhuluphala ;
- ukubhema;
- i-hypodynamia;
- ukuyeka esikhathini sokuqala;
- ukusetshenziswa kwesikhathi eside sokuhlanganiswa kokubeletha komlomo.
Izimpawu ze-Stable Angina
Ukuhlaselwa kwe-angina okuzinzile kwenzeka ngesikhathi sokuhamba, uhlobo oluthile lomzimba noma ukucindezeleka ngokomzwelo. Imfanelo yezibonakaliso ezilandelayo:
- ukuzwa okushisayo, ukucindezela ngemuva kwe-sternum;
- ubuhlungu besifuba somzimba ovuthayo, ovuthayo noma ocindezelayo ongahlehlisela entanyeni, emahlombe, emuva, esifundeni se-epigastric;
- ukuphefumula , ukungakwazi ukuphefumula ngokugcwele;
- ukujuluka, umkhuhlane;
- isicanucanu, ukuhlanza;
- ukudideka kokwazi.
Njengomthetho, ngesikhathi sokuhlaselwa, ukucindezeleka kwegazi kuphakama, izinga lentliziyo landa. Ukukhula kancane kancane, ukuhlaselwa kwe-angina okuzinzile kungadlulela emaminithini angu-1 kuya kwangu-15 bese kuncipha ngemva kokukhipha umthwalo noma ukuthatha i-nitroglycerin. Uma ukuhlaselwa kuthatha imizuzu engaphezu kwemizuzu engu-15, kungenzeka ukuthi uyinqobe ibe yi-infarction ye-myocardial.
Ukuxilongwa kwe-Stable Angina
Emibonisweni evamile ye-pathology i-diagnostic ingasungulwa ngesisekelo sokuhlola, i-anamnesis, i-auscultation kanye ne-electrocardiogram (ECG). Kwezinye izimo, ucwaningo olwengeziwe luyadingeka:
- ukuqapha kwe-ECG nsuku zonke;
- i-veloergometry;
- ukuhlolwa kwe-treadmill;
- i-electrocardiostimulation ye-transesophageal;
- i-echocardiography;
- ukucindezeleka-i-echocardiography;
- CT coronarography, njll.
Ukuhlola i-laboratory kuhlanganisa ukuzimisela kwe-hematocrit, izinga le-glucose, izinga le-cholesterol eliphelele, i-hemoglobin, njll.
Ukwelashwa kwe-Stable Angina
Imigomo eyinhloko yokwelashwa kwe-pathology ukuthuthukisa ukubikezela ngokuvimbela ukuthuthukiswa kwe-myocardial infarction nokufa, kanye nokuqeda noma ukunciphisa izimpawu. Amaqembu amathathu ezidakamizwa athi: i-nitrate, i-b-adrenoblockers ne-block calcium esincane.
Izincomo eziyinhloko ezingezona ezempilo zokwelashwa kwe-angina pectoris ezizinzile yizi:
- ukwenqaba ukubhema;
- ukujwayelekile komsebenzi womzimba;
- ukunamathela ekudleni.
Ezimweni ezimbi, ukwelashwa okuhlinzekwayo kunqunywe.