Txoj hlab ntshav hlab ntaws

Txoj hlab ntshav hlab ntsha xa ntshav thiab oxygen mus rau lub plawv. Coronary artery spasm yog ib qho luv luv, cia li nqaim ntawm ib ntawm cov hlab ntsha no.

Txoj kev spasm feem ntau tshwm sim hauv cov hlab ntshav ntawm cov leeg ntshav uas tsis tau tawv vim tias cov quav hniav plahaum. Txawm li cas los xij, nws tseem tuaj yeem tshwm sim hauv cov hlab ntsha nrog cov quav hniav buildup.

Qhov ua paug no yog vim muaj qhov nqus cov leeg hauv cov leeg ntshav phab ntsa. Feem ntau lawv tshwm sim hauv tsuas yog ib qho ntawm cov leeg ntshav. Txoj kev mob rau lub cev yuav tshwm sim thaum lub sijhawm kuaj, tab sis nws tsis ua haujlwm zoo li lwm lub sijhawm.

Kwv yees li 2% ntawm cov neeg mob caj dab (mob hauv siab thiab mob siab) muaj mob ntshav txhaws.

Coronary artery spasm feem ntau tshwm sim hauv cov neeg haus luam yeeb lossis cov uas muaj rog lossis ntshav siab. Nws yuav tshwm sim yam tsis muaj laj thawj, lossis nws yuav tsim los ntawm:

• Haus dej cawv
• Kev ntxhov siab
• Raug txias
• Cov tshuaj noj uas ua rau kom txoj hlab ntshav me me (vasoconstriction)
• Cov tshuaj tiv thaiv hnyav, xws li cov tshuaj amphetamines thiab yeeb dawb

Kev siv luam yeeb thiab luam yeeb muaj peev xwm ua rau mob hlab ntshav hlab ntshav ntau. Qhov no ua rau lub siab ua haujlwm hnyav. Hauv ntau tus neeg, mob hlab ntsha o tuaj yeem tsis muaj lwm yam kev pheej hmoo hauv lub plawv (xws li kev haus luam yeeb, ntshav qab zib, ntshav siab, thiab ntshav siab).

Spasm yuav "ua ntsiag to" (tsis muaj cov tsos mob) lossis nws yuav ua rau mob hauv siab lossis caj pas. Yog tias spasm ntev ntev, nws yuav ua rau lub plawv nres.

Cov tsos mob tseem ceeb yog hom mob hauv siab hu ua angina. Qhov mob no feem ntau hnov ​​tau hauv qab pob txha hauv siab (pob tw hauv siab) lossis sab laug ntawm lub hauv siab. Qhov mob tau piav raws li:

• Txhawj so
• Txhab
• Siab
• Zawv
• Cov nruj

Nws yog feem ntau mob hnyav. Qhov mob yuav kis mus rau caj dab, puab tsaig, xub pwg, lossis caj npab.

Qhov mob ntawm txoj hlab ntshav spasm:

• Feem ntau tshwm sim thaum so
• Yuav tshwm sim tib lub sijhawm nyob rau ib hnub, feem ntau thaum ib tag hmo thiab 8:00 a.m.
• Ntev li ntawm 5 mus rau 30 feeb

Tus neeg kuj yuav tsis nco qab.

Tsis zoo li angina uas yog tshwm sim los ntawm kev mob nqaij tawv rau cov hlab ntshav ntawm cov hlab ntshav hauv lub siab, mob hauv siab thiab ua pa luv vim mob rau cov hlab ntsha txhaws txhaws feem ntau tsis muaj thaum koj taug kev lossis qoj ib ce.

Kev ntsuam xyuas los kuaj mob lub cev txoj hlab ntshav spasm yuav muaj:

• Coronary angiography
• ECG
• Echocardiography

Lub hom phiaj ntawm kev kho mob yog tswj hwm lub hauv siab thiab tiv thaiv lub plawv. Ib yam tshuaj hu ua nitroglycerin (NTG) tuaj yeem daws qhov mob cia.

Koj tus kws kho mob yuav sau ntawv tawm tshuaj lwm yam los tiv thaiv mob hauv siab.Tej zaum koj yuav xav tau ib hom tshuaj hu ua calcium channel blocker lossis siv sijhawm ntev ntev.

Beta-blockers yog lwm hom tshuaj uas siv nrog lwm cov teeb meem kev mob ntshav ntawm txoj hlab ntshav. Txawm li cas los xij, beta-blockers yuav ua rau cov teeb meem no tsis zoo. Lawv yuav tsum tau siv nrog kev saib xyuas.

Yog tias koj muaj tus mob no, koj yuav tsum zam txoj kev mob ntsws rau txoj hlab ntshav txhaws. Cov no suav nrog kev cuam tshuam nrog txias, kev siv yeeb dawb, kev haus luam yeeb, thiab cov xwm txheej siab.

Coronary artery spasm yog mob ntev (mob). Txawm li cas los xij, kev kho mob feem ntau pab tswj cov tsos mob.

Qhov kev tsis sib haum xeeb tej zaum yuav yog lub cim qhia tias koj muaj qhov pheej hmoo ua rau lub plawv nres lossis tuag lub plawv tsis xwm yeem. Qhov tshwm sim feem ntau zoo dua yog tias koj ua raws li kev kho mob, koj tus kws kho mob cov lus ntuas, thiab zam qee yam teeb meem.

Teeb meem yuav suav nrog:

• Mob plawv dhia tsis xwm yeem, uas tuaj yeem ua rau lub plawv dhia ceev thiab tuag sai
• Plawv nres

Hu rau koj tus xov tooj xwm ceev hauv zos (xws li 911) lossis mus rau chav kho mob thaum muaj xwm txheej ceev yog tias koj muaj keeb kwm ntawm kev mob caj dab thiab kev zuaj lossis nyem hauv siab yuav tsis ntxhov siab los ntawm nitroglycerin. Qhov mob yuav yog vim mob plawv nres. So thiab nitroglycerin feem ntau tsis ua kom rov zoo rau qhov mob ntawm lub plawv nres.

Ib qho kev mob plawv yog mob ti tes ti taw. Yog tias koj muaj cov tsos mob ntawm lub plawv nres, nrhiav kev pab kho mob tam sim ntawd.

Ua cov kauj ruam los txo koj txoj kev pheej hmoo ntawm kev tsim mob plawv. Qhov no suav nrog kev haus luam yeeb, kev noj zaub mov kom tsis rog, thiab kev tawm dag zog.

Variant angina; Angina - variant; Prinzmetal lub angina; Vasospastic angina; Kev mob plhaw - Prinzmetal's

• Angina - tawm hauv
• Angina - yuav tsum nug koj tus kws kho mob li cas
• Angina - thaum koj mob hauv siab

• Angina
• Txoj hlab ntshav hlab ntaws
• Txiav leeg
• Kev tiv thaiv kab mob plawv

Amsterdam EA, Wenger NK, Brindis RG, li al. Xyoo 2014 AHA / ACC cov txheej txheem rau kev tswj hwm cov neeg mob uas tsis yog-qib-mob siab los ntawm kev mob ntshav siab: cov lus tshaj tawm: thawj cov ntsiab lus ntawm American College ntawm Cardiology / American Heart Association Task Force ntawm cov txheej txheem kev coj ua. Kev ncigCov. Xyoo 2014; 130 (25): 2354-2394. PMID: 25249586 www.ncbi.nlm.nih.gov/pubmed/25249586.

Lub cev PEB. Angina pectoris thiab ruaj khov ischemic mob plawv. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 62.

Giugliano RP, Braunwald E. Tsis yog-qib kev mob siab rau txoj kev mob ntshav siab. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 60.