Spasm artery spasm

Hāʻawi nā aʻa koronaʻi i ke koko a me ka oxygen i ka puʻuwai. ʻO ka spasm artery coronary kahi pōkole, a hikiki iki hoʻi o kekahi o kēia mau aʻa.

Kū pinepine ka spasm i nā aʻa coronary ʻaʻole i paʻakikī ʻia ma muli o ke kūkulu ʻia ʻana o ka pā. Eia nō naʻe, hiki ke hana ʻia i loko o nā aʻa me ka paʻa o nā pā.

ʻO kēia mau spasms ma muli o ke kaomi ʻana o nā mākala i ka paia o ke aʻa. Kū pinepine lākou i hoʻokahi wale nō wahi o ke aʻa. Hiki ke ʻike ʻia ke aʻa ākea i ka wā o ka hoʻāʻo ʻana, akā ʻaʻole ia e holo maʻamau i nā manawa ʻē aʻe.

Ma kahi o 2% o ka poʻe me angina (ʻeha o ka umauma a me ke kaomi) he spasm artery coronary.

Kū pinepine ka spasm artery coronary i ka poʻe puhaka a i ʻole i loaʻa i ka kolesterol kiʻekiʻe a i ʻole ke koko kiʻekiʻe. Hana ʻia me ke kumu ʻole, a i ʻole hoʻonā ʻia e:

• ʻO ka haʻalele ʻana i ka ʻalekohola
• Kaha kaumaha
• Hōʻike i ke anuanu
• Nā lāʻau e kumu ai i ka piʻina o nā kīʻaha koko (vasoconstriction)
• Nā lāʻau stimulant, e like me amphetamines a me cocaine

Hiki i ka hoʻohana ʻana o ka cocaine a me ka puhi ʻana i ka paka ke hana i nā spasms koʻikoʻi o nā aʻa. ʻO kēia ke kumu o ka hana ʻana o ka puʻuwai. I nā poʻe he nui, hiki i ka spasm artery spasm ke hana me ka ʻole o nā kumu ʻē aʻe o ka puʻuwai (e like me ka uahi ʻana, ka maʻi diabetes, ke koko kiʻekiʻe, a me nā kolesterol kiʻekiʻe).

He "hāmau" ʻo Spasm (me ka ʻole o nā ʻōuli) a i ʻole he hopena paha i ka ʻeha o ka umauma a i ʻole angina. Inā lōʻihi ka spasm, hiki paha iā ia ke hōʻeha i ka puʻuwai.

ʻO ka hōʻailona nui kahi ʻano o ka ʻeha o ka umauma i kapa ʻia ʻo angina. ʻIke pinepine ʻia kēia ʻeha ma lalo o ka iwi umauma (sternum) a i ʻole ka ʻaoʻao hema o ka umauma. Ua wehewehe ʻia ka ʻeha ma ke ʻano:

• Kūkaʻi
• ʻĀlapa
• Kaomi
• ʻEemiʻi ʻana
• ʻIght paʻa

ʻOi pinepine ka paʻakikī. E pāhola paha ka ʻeha i ka ʻāʻī, ka ʻāʻī, ka poʻohiwi, a i ka lima

ʻO kaʻeha o ka spasm arter coronary:

• Kū pinepine i ka hoʻomaha
• Hiki paha i ka manawa like i kēlā me kēia lā, ma waena o ke aumoe a me ka hola 8:00 a.
• Loihi mai 5 a 30 mau minuke

E nalowale paha ka noʻonoʻo o ke kanaka.

ʻAʻole like me ka angina i kumu ʻia e ka paʻakikī o nā aʻa coronary, ʻaʻohe pinepine ka ʻeha o ka umauma a me ka liʻiliʻi o ka hanu ma muli o ka spasm artery coronary i kou hele wāwae ʻana a i ʻole hoʻoikaika kino.

Hiki i nā hoʻokolohua ke kuhikuhi i ka spasm artery coronary:

• Angiography Coronary
• ECG
• ʻ .lelo Echocardiography

ʻO ka pahuhopu o ka mālama ʻana e kaohi i ka ʻeha o ka umauma a pale i ka hōʻeha puʻuwai. ʻO kahi lāʻau i kapa ʻia ʻo nitroglycerin (NTG) hiki ke hoʻokuʻu i kahi ʻāpana o ka ʻeha.

Kauoha paha kāu mea mālama ola i nā lāʻau ʻē aʻe e pale i ka ʻeha o ka umauma.Pono paha ʻoe i kahi ʻano lāʻau i kapa ʻia he blocker channel calcium a i ʻole he nitrate hana lōʻihi lōʻihi.

ʻO nā beta-blockers kekahi ʻano lāʻau lapaʻau i hoʻohana ʻia me nā pilikia ʻē aʻe o ke aʻa. Eia nō naʻe, hana paha nā beta-blockers i kēia pilikia. E hoʻohana ʻia lākou me ka mālama.

Inā loaʻa kēia ʻano iā ʻoe, pono ʻoe e pale i nā spasm arasm coronaary. Hoʻopili kēia i ke anuanu, hoʻohana cocaine, puhipaka, a me nā kūlana koʻikoʻi kiʻekiʻe.

ʻO ka spasm artery coronary kahi manawa lōʻihi (mau). Eia nō naʻe, kōkua pinepine ka mālama ʻana i ka mālama ʻana i nā ʻōuli.

ʻO ka maʻi he hōʻailona paha ia e loaʻa iā ʻoe kahi kiʻekiʻe no ka puʻuwai puʻuwai a i ʻole nā ​​mele puʻuwai i kūlike ʻole ʻole. ʻOi aku ka maikaʻi loa o ka nānā inā ʻoe e hāhai i kāu lāʻau lapaʻau, nā ʻōlelo aʻoaʻo a kāu mea hāʻawi, a pale i kekahi mau mea hoʻonāukiuki.

Komo pū nā pilikia:

• ʻO nā mele puʻuwai maʻamau, ka mea e kumu i ka hopu ʻia o ka naʻau a me ka make koke
• Maʻi hohola

Kāhea koke aku i kāu helu kūloko kūloko (e like me 911) a i ʻole hele i ka lumi pōpilikia haukapila inā he mōʻaukala kou no ka angina a me ka ʻānai ʻana a me ke ʻū ʻana i ka ʻeha o ka umauma ʻaʻole i hoʻomaha ʻia e nitroglycerin. ʻO ka ʻeha ma muli o ka puʻuwai puʻuwai. ʻO ka hoʻomaha a me ka nitroglycerin pinepine ʻole e hoʻomaha loa i ka ʻeha o ka puʻuwai puʻuwai.

ʻO ka hōʻeha puʻuwai kahi maʻi olakino. Inā loaʻa iā ʻoe nā ʻōuli o ka puʻuwai puʻuwai, e ʻimi koke i ke kōkua lapaʻau.

E hana i nā hana e hōʻemi i kou makaʻu i ka ulu ʻana i ka maʻi puʻuwai. Hoʻopili kēia i ka puhipaka ʻole, ʻai ʻana i ka papaʻai momona momona, a me ka hoʻonui ʻana i ka hoʻoikaika kino.

Variant angina; Angina - ʻano ʻokoʻa; Angina o Prinzmetal; Vasospastic angina; ʻEha o ka umauma - Prinzmetal's

• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma

• Angina
• Spasm artery spasm
• ʻĀpana ʻoki artery
• Kāohi ʻana i nā maʻi puʻuwai

Amsterdam EA, Wenger NK, Brindis RG, a me al. 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka ʻole ST-kiʻekiʻe syndromes coronary koʻikoʻi: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2014; 130 (25): 2354-2394. PMID: 25249586 www.ncbi.nlm.nih.gov/pubmed/25249586.

Boden WE. Angina pectoris a me ka maʻi puʻuwai ischemic paʻa. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 62.

Giugliano RP, Braunwald E. Non-ST kiʻekiʻe a me nā syndrome coronary. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 60.