Lub ntsiab ntawm angina, tsos mob thiab yuav kho li cas

Zoo Siab

• Lub ntsiab ntawm angina
• 1. Lub taub hau ruaj khov
• 2. Tsis khov tsis khov
• 3. Prinzmetal angina lossis variant
• Yuav kuaj li cas
• Puas yog angina kho tau?

Angina, tseem hu ua angina pectoris, sib raug rau lub siab ntawm qhov hnyav, mob lossis nruj hauv lub hauv siab uas tshwm sim thaum muaj kev poob qis hauv cov ntshav txaus hauv cov hlab ntsha uas nqa oxygen mus rau lub plawv, yog qhov xwm txheej no hu ua mob plawv ischemia.

Feem ntau, mob plawv ischemia yog ib qho kev mob tshwm sim ntawm atherosclerosis, uas yog tus cwj pwm los ntawm kev txuam nrog cov rog hauv cov hlab ntshav ntawm cov hlab ntshav, ua ntau rau cov neeg muaj ntshav siab, ntshav siab lossis decompensated ntshav qab zib. Saib dab tsi yog 5 yam ua rau mob atherosclerosis.

Mob plawv ischemia thiab, yog li ntawd, mob caj dab, cov neeg muaj hnub nyoog ntau dua 50 xyoos thiab yuav tsum tau kho sai, vim tias lawv yog qhov phom sij ntau rau kev txhim kho infarction, mob plawv nres thiab lwm yam kab mob plawv, xws li arrhythmia, plawv nres lossis hlab ntsha tawg , piv txwv li.

Lub ntsiab ntawm angina

Muaj ntau hom kev ntseeg ntawm angina, uas tuaj yeem sib txawv raws li cov tsos mob tau hais, lub ntsiab yog:

1. Lub taub hau ruaj khov

Nws tshwm sim los ntawm kev hloov pauv ischemia, uas yog, nws tshwm sim thaum tus neeg ua kev siv zog lossis ntsib qee qhov kev ntxhov siab, piv txwv li, nrog qee qhov qis thiab tsis txaus siab nyob rau hauv cov ntshav txaus. Hom mob angina no muaj ntau dua rau cov neeg uas twb muaj qee yam mob feem ntau ntawm txoj hlab ntshav atherosclerosis, uas tuaj yeem mob hnyav ntxiv thiab tseem ua rau lub plawv nres.

Cov tsos mob tseem ceeb: Cov tsos mob feem ntau cuam tshuam nrog kev ruaj ntseg angina yog nruj lossis xoo nws lub hauv siab, uas ntev li 5 txog 10 feeb, thiab uas tuaj yeem tawm mus rau ntawm lub xub pwg, caj npab lossis caj dab. Cov tsos mob feem ntau tshwm sim los ntawm kev rau siab lossis lub sijhawm ntawm kev xav zoo, thiab txhim kho nrog so los yog nrog tshuaj noj kom txhaws cov hlab ntsha thiab nce ntshav ntws, xws li Isordil.

Yuav kho tus mob li cas: Thaum muaj kev puas hlwb ruaj khov, kev kho plawv feem ntau qhia tau so thiab qee qhov, siv cov vasodilator tshuaj, xws li Dinitrate lossis Isosorbide Mononitrate (Isordil), txhawm rau txhim kho ntshav khiav hauv cov leeg.

Tsis tas li ntawd, nws yog ib qho tseem ceeb kom muaj cov kev ua neej zoo noj qab haus huv kom tiv thaiv angina los ntawm kev tshwm sim ntxiv thiab, rau qhov no, nws pom zoo kom tus neeg muaj kev tswj hwm kev ua haujlwm siab, cov roj cholesterol thiab ntshav qabzib, ntxiv rau nws yog qhov tseem ceeb kom muaj zaub mov noj kom tsawg. ntsev, rog thiab qab zib. thiab xyaum ua kom lub cev ua haujlwm tsis tu ncua.

2. Tsis khov tsis khov

Nws yog qhov xwm txheej hnyav dua li lub plawv tsis ruaj khov, vim nws tshwm sim los ntawm kev cuam tshuam ntau dua ntawm oxygenation ntawm lub plawv, vim muaj kev sib tsoo thiab mob ntawm cov nqaij atherosclerosis plaque uas ua rau mob siab dua thiab cov tsos mob tsis tu ncua, raug suav tias yog ib daim ntawv ntawm kev ua txhaum ua ntej Cov.

Cov tsos mob tseem ceeb: Cov tsos mob tseem ceeb ntawm angina ruaj khov yog qhov mob, nruj los yog kub nyhiab hauv thaj chaw hauv siab ntev ntev dua 20 feeb, uas tseem cuam tshuam rau qhov chaw nyob ze thiab tuaj yeem cuam tshuam nrog lwm cov tsos mob xws li xeev siab, tawm hws thiab ua tsis taus pa. Thaum cov tsos mob no tshwm sim, koj yuav tsum mus rau chav kho mob ceev kom sai. Nug seb qhov mob hauv siab tuaj yeem yog dab tsi.

Yuav kho tus mob li cas: Txoj kev kho thaum xub thawj twb ua tiav hauv chav kho mob ceev, nrog txoj kev kho kom tiv thaiv qhov kev mob phem ntxiv, xws li:

• Tshuaj kho mob txhawm rau txhim kho cov ntshav khiav, ntawm cov nitrate hom, zoo li Isordil, beta-blockers, zoo li Metoprolol, lossis calcium channel blockers, zoo li Verapamil thiab Morphine, thaum cov tsos mob hnyav heev;
• Cov tshuaj kom txo cov ntshav khov tuaj, nrog kev siv cov tshuaj tiv thaiv antiplatelet, xws li AAS thiab Clopidogrel lossis Prasugrel thiab Ticlopidine, thiab anticoagulants, xws li Heparin.
• Cov tshuaj antihypertensive ntawm ACEI hom, xws li Captopril, lossis lipid-txo cov roj ntsha ua haujlwm rau kev tswj cov roj (cholesterol), xws li Atorvastatin.

Tom qab kev kho mob thawj zaug, kws kho plawv tau txheeb xyuas theem ntawm kev mob ntshav siab thiab mob ntsig txog los ntawm cov kev kuaj mob xws li echocardiography, mob scintigraphy thiab mob catheterization.

Ib yam li nyob rau hauv lub plawv ruaj khov, nyob rau hauv lub plawv tsis ruaj khov nws kuj tseem ceeb rau kev saib xyuas qhov muaj kev pheej hmoo, xws li tswj siab tswj ntshav siab, ntshav qabzib, ntshav qabzib, ntxiv rau kev tswj zaub mov thiab xyaum kev ua haujlwm ntawm lub cev, cov xeeb ceem uas yog cov tseem ceeb rau kev tswj hwm kev noj qab haus huv thiab mob plawv Cov.

3. Prinzmetal angina lossis variant

Qhov kev mob taub hau no tsis muaj qhov ua rau pom tseeb thiab nws tshwm sim vim yog qhov sib zog ntawm txoj hlab ntshav, uas muaj qhov cuam tshuam ntawm cov ntshav ntws txawm tias tus neeg ntawd tsis muaj cov roj ntau ntau hauv cov hlab ntshav lossis lwm hom kev nqaim.

Cov tsos mob tseem ceeb: Ntawm Prinzmetal lub angina, yuav hnov ​​mob hnyav los yog nruj hauv lub hauv siab, uas tshwm sim txawm tias nyob so thiab maj mam zoo tom qab ob peb feeb. Nws kuj tseem pom tshwm thaum lub sijhawm pw lossis thaum sawv ntxov.

Yuav kho tus mob li cas: Txoj kev kho rau angina no tau ua nyob rau hauv kev taw qhia ntawm tus kws kho plawv thiab feem ntau yog ua los ntawm kev siv cov tshuaj nitrate lossis calcium channel blockers, xws li Diltiazem thiab Verapamil, piv txwv.

Yuav kuaj li cas

Thaum lub sijhawm muaj kev kub ntxhov, kev kuaj mob ntawm angina yog tsim los ntawm tus kws kho plawv los ntawm kev ntsuam xyuas cov cim thiab cov tsos mob qhia los ntawm tus neeg, ntxiv rau kev txheeb xyuas cov txiaj ntsig ntawm qee qhov kev sim, xws li electrocardiogram, hauv siab xoo hluav taws xob thiab ntsuas ntsuas ntawm lub plawv enzymes hauv cov ntshav. Ntxiv rau cov no, lwm yam kev sim yuav raug txiav txim kom paub meej txog kev kuaj mob, xws li kev sim ua kom ib ce, myocardial scintigraphy, echocardiography thiab mob catheterization.

Kev kuaj kab mob hauv lub plawv yog qhov kev kuaj mob tseem ceeb heev, vim tias, ntxiv rau qhov muaj tseeb ntawm kev cuam tshuam ntawm cov hlab ntshav thiab kev txheeb xyuas qhov muaj cov kev hloov pauv hauv cov ntshav txaus, nws muaj peev xwm kho qhov ua rau ob leeg, dhau los ntawm angioplasty, nrog kev cog qoob loo ntawm a stent lossis siv lub zais pob qhib cov hlab ntsha. Yuav tsum paub dab tsi nws yog rau thiab dab tsi yog qhov txaus ntshai ntawm kev pheej hmoo mob catheterization.

Puas yog angina kho tau?

Angina tuaj yeem kho mob hauv cov neeg tuaj yeem kho mob plawv ischemia raws li kws kho plawv pom zoo. Feem ntau muaj ntau qhov kev tswj tau zoo nrog kev siv cov tshuaj uas tus kws kho plawv kho mob, thaum lwm tus uas hnyav dua yuav tsum tau siv catheterization lossis txawm tias phais lub plawv.

Qee cov lus qhia tseem ceeb rau kev kho mob angina suav nrog:

• Noj cov tshuaj uas kws kho mob sau tseg;
• Txiav Luam Yeeb
• Txais yuav cov zaub mov zoo noj;
• Ib ce muaj zog tsis tu ncua (nyob rau hauv kev cob qhia txuj ci);
• Zam kev haus cawv ntau dhau thiab haus cawv;
• Zam kev ua kom ntsev thiab khoom qab zib;
• Ua kom tswj tau siab;
• Zam kev ntxhov siab;
• Zam kom txhob kub kub los yog txias txias, vim tias lawv tuaj yeem ua rau mob angina nres.

Nrog rau cov xeeb ceem no, ntxiv rau kev kho cov mob angina, nws tseem muaj peev xwm tiv thaiv qhov mob ntxiv lossis ua kom pom cov roj ntsha tshiab hauv cov hlab ntshav txhaws.