Ku-angina pectoris - isifo esaziwa kakhulu senqubo yezinhliziyo - kunezinhlobo eziningi. I-Vasospastic angina noma njengoba ibizwa ngokuthi - i-Prinzmetal angina, - enye yazo. Lesi sifo kubhekwa njengokungavamile futhi esingenakulinganiswa. Kunokuhlukahluka angina ngokuzumayo, ngenxa yokuthi akukho isizathu esicacile, futhi isiguli sinikeza izinkinga eziningi.
Izimbangela nezimpawu ze-angina prinzmetal
U-Angina kunoma yikuphi ukubonakala kwawo kubangelwa ukungabi khona kwe-oksijeni okuza enhlanhlwini yenhliziyo. I-angina ye-Prinzmetal ibangelwa i-spasm ye-coronary arteries. Umehluko omkhulu wale sifo wukuthi ngesikhathi sokuhlaselwa endaweni ethintekile kukhona imishanguzo enempilo.
Yakhiwe ngu-angina i-Prinzmetal ngokuvamile iziguli zesikhathi esiphakathi - kusukela eminyakeni engu-30 kuya ku-50. Lesi sifo sibonisa ukuhlaselwa okubuhlungu kobuhlungu esifubeni. Futhi ukungakhululeki kungavela ngemuva kwemithwalo yemvelo noma ngokomzwelo, futhi esimweni sokuphumula okuphelele.
I-Prinzmetal angina ingabangelwa yi:
- i-supercooling;
- ukucindezeleka okukhulu;
- ukubhema;
- ukuguqulwa kwe-hyperventilation;
- izifo ezizimele ;
- ukuphazamiseka kwegazi enhliziyweni.
Ukuhlaselwa kwe-angina ehlukile i-Prinzmetal yokugcina ayikho ngaphezu kwemizuzu emihlanu, kodwa ngokuphikelela okungenakuphika. Iziguli eziningi zikhononda ukuthi umuzwa wokuthi "itshe esifubeni" livela kubo nsuku zonke (kaningi kaningi - njalo ebusuku) izinyanga ezimbalwa. Ngemva kwalokho, lesi sifo sihlala isikhathi, ukuhlaselwa kuyayeka. Kodwa ngokuhamba kwesikhathi, konke kubuyisela futhi.
Kungenzeka ukuthi unqume ngokuqiniseka ukuthi i-angina ye-Prinzmetal isebenzisa i-ECG. Ukwazi izimpawu eziyinhloko zesifo, ungayibona ngaphandle kwemishini ekhethekile. U-Angina ubonakala:
- i-tachycardia ;
- ikhanda, ngezinye izikhathi lihambisana nesicanucanu;
- i-pallor;
- ukwesaba;
- ukucindezeleka.
Ukwelashwa kwe-angina ku-Prinzmetal
Ngokuqinisekile, udokotela kufanele asebenze ekwelapheni i-angina pectoris. Kungenzeka ukuthi ukuvimbela ukuhlaselwa kwesifo kanye nokuvimbela kwabo okulandelayo kuzosetshenziswa i-nitroglycerin noma ezinye izenzo ezidinga isikhathi eside.
Isiguli, kuye, kuzodingeka senze konke okusemandleni ukuze kuqinisekiswe ukuthi zonke izici ezibangelwa ukuthunjwa ziqedwa. Okokuthi, isiguli, uma kunesidingo, kuzodingeka sikhiphe ukubhema, kuzodingeka sigweme izimo ezicindezelayo futhi, uma kungenzeka, kungabi iqhwa.