Nā ʻano nui o ka angina, nā ʻōuli a pehea e mālama ai

Anter

• Nā ʻano nui o ka angina
• 1. Angina paʻa
• 2. Angina kūpaʻa
• 3. Angina Prinzmetal a i ʻole ʻano ʻokoʻa
• Pehea e hana ʻia ai ke kuhi
• Loaʻa i kahi angina kahi hoʻōla?

Angina, ʻike ʻia ʻo angina pectoris, kūlike i ka naʻau o ke kaumaha, ʻeha a paʻa paha i ka umauma e hiki ke loaʻa ke kahe o ke kahe o ke koko i nā aʻa e lawe i ka oxygen i ka puʻuwai, ʻo kēia kūlana i ʻike ʻia ʻo ka ischemia cardiac.

ʻO ka hapa nui o ka manawa, ʻo ka ischemia puʻuwai kahi hopena o atherosclerosis, ka mea i ʻike ʻia e ka hōʻiliʻili ʻana o nā momona momona i nā aʻa coronary, ʻoi aku ka pinepine i ka poʻe me ke koko kiʻekiʻe, ke kiʻekiʻe o ke kōkō a i ʻole ka maʻisā decompensated. E ʻike he aha nā kumu nui ʻelima o atherosclerosis.

ʻO ka ischemia Cardiac a, no laila, angina, ʻike pinepine ʻia i ka poʻe ma mua o 50 mau makahiki a pono e mālama koke ʻia, no ka mea he pilikia nui ia no ka ulu ʻana o ka infarction, hopu ʻia ka naʻau a me nā maʻi puʻuwai, e like me arrhythmia, puʻuwai puʻuwai a Stroke , o kahi laʻana.

Nā ʻano nui o ka angina

Aia kekahi ʻano o ka angina, hiki ke loli e like me nā ʻōuli i hōʻike ʻia, ʻo nā mea nui:

1. Angina paʻa

Hoʻokumu ʻia ia e kahi ischemia kuikawa, ʻo ia hoʻi, kū aʻe ia i ka wā e hana ai ke kanaka i kahi mau hana a i ʻole ʻehaʻeha i kekahi ʻano kaumaha o ka naʻau, no ka laʻana, me ka hapa a me ka manawa liʻiliʻi o ke kahe o ke koko. ʻOi aku ka maʻamau o kēia ʻano angina i ka poʻe i loaʻa i kekahi ʻano atherosclerosis hapa coronary, ka mea e ʻoi aku ka maikaʻi a alakaʻi i ka puʻuwai puʻuwai.

Nā hōʻailona nui: ʻO nā ʻōuli e pili maʻamau i ka angina paʻa ka paʻa a i ʻole ka wela i loko o ka umauma, kahi e hala ma kahi o 5 a 10 mau minuke, a hiki ke hoʻomālamalama i ka poʻohiwi, ka lima a me ka ʻāʻī. Hoʻokumu pinepine ʻia nā ʻōuli e ka hana a mau manawa paha o ka naʻau nui, a hoʻomaikaʻi me ka hoʻomaha a me nā lāʻau e hoʻomāhuahua i nā aʻa a hoʻonui i ke kahe o ke koko, e like me Isordil.

Pehea ka lāʻau: I ke ʻano o ka angina paʻa, hōʻike pinepine ka mea cardiologist i ka hoʻomaha a, i kekahi mau manawa, hoʻohana ʻia nā lāʻau vasodilator, e like me Dinitrate a i ʻole Isosorbide Mononitrate (Isordil), e hoʻomaikaʻi i ke kahe o ke koko i loko o ke aʻa.

Eia hou, he mea nui e loaʻa i nā ʻano nohona olakino e pale ai i ka angina mai ka hana hou ʻana a, no kēia mea, koi ʻia ka kaohi o ke kanaka i ke kaomi, ka cholesterol a me ke kō glucose, a he mea nui ia e loaʻa ka papaʻai haʻahaʻa i ka paʻakai, ka momona a me ke kō. a hoʻomaʻamaʻa i ka hoʻoikaika kino i ka manawa mau.

2. Angina kūpaʻa

He kūlana koʻikoʻi ʻoi aku ia ma mua o ka angina paʻa, ʻoiai ka hopena o ka hoʻōki o ka oxygenation o ka puʻuwai, ma muli o ka haki a me ka mumū o ka atherosclerosis plaque i kumu e ʻoi aku ka ikaika a me nā hōʻailona mau, i manaʻo ʻia he ʻano pre-infarction .

Nā hōʻailona nui: ʻO nā ʻōuli nui o ka angina kūpaʻa ka ʻeha, ka paʻa a i ʻole ke kuni ʻana i ka wahi o ka umauma i ʻoi aku ma mua o 20 mau minuke, kahi e hoʻomālamalama ʻia i nā wahi kokoke a pili pū paha me nā ʻōuli ʻē aʻe e like me ka nausea, ka hou ʻana a me ka hanu ʻole. Ke ʻike ʻia kēia mau ʻōuli, pono ʻoe e hele koke i ka lumi pilikia. E ʻike he aha ka ʻeha o ka umauma.

Pehea ka lāʻau: Ua pau ka hana mua ʻana i ka lumi pilikia, me nā lāʻau e pale aku ai i ka ʻino o nā ʻōuli, e like me:

• ʻO nā lāʻau e hoʻomaikaʻi ai i ke kahe o ke koko, o ka ʻano nitrate, e like me Isordil, beta-blockers, e like me Metoprolol, a i ʻole blockers channel calcium, e like me Verapamil a me Morphine, ke ikaika loa nā ʻōuli;
• Nā lāʻau lapaʻau e hoʻēmi i ka hoʻokumu ʻana i ka ʻōpala, me ka hoʻohana ʻana i nā agena antiplatelet, e like me AAS a me Clopidogrel a i ʻole Prasugrel a me Ticlopidine, a me nā anticoagulants, e like me Heparin.
• Nā lāʻau lapaʻau antihypertensive o ka ʻano ACEI, e like me C laptopril, a i ʻole nā ​​mea hoʻohaʻahaʻa lipid no ka kaohi kolesterol, e like me Atorvastatin.

Ma hope o ka hana mua ʻana, ua hoʻomau ka cardiologist e noiʻi i ka pae o ka ālai ʻia ʻana o ka coronary a me ke komo pū ʻana o ka naʻau ma o nā hoʻokolohua e like me echocardiography, scintigraphy cardiac a me catheterization puʻuwai.

E like me ka angina kūpaʻa, i ka angina paʻa ʻole he mea nui ia e mālama i nā mea weliweli, e like me ka kaomi kaomi, ka kolesterol, ka glucose koko, a me ke kaohi ʻana i ka meaʻai a me ka hoʻomaʻamaʻa ʻana i nā hana kino, nā ʻano e lilo i kumu no ka mālama ʻana i ke olakino maikaʻi a mai ka puʻuwai .

3. Angina Prinzmetal a i ʻole ʻano ʻokoʻa

ʻAʻohe kumu maopopo o kēia ʻano angina a kū ia ma muli o ka spasm o ka coronary, kahi e loaʻa ai ka interruption o ke kahe o ke koko inā ʻaʻohe loaʻa ka momona o ke kanaka i loko o ke aʻa a i ʻole nā ​​ʻano o ka huina.

Nā hōʻailona nui: I ke kumu o ka angina o Prinzmetal, e ʻike ʻia ka ʻehaʻeha a i ʻole ka paʻa o ka umauma, kahi e hoʻomaha ai a hoʻomaikaʻi iki ma hope o kekahi mau minuke. He mea maʻamau nō hoʻi e kū i ka wā hiamoe a i ʻole i ke kakahiaka.

Pehea ka lāʻau: Hana ʻia ka lapaʻau ʻana no kēia ʻano angina ma lalo o ke alakaʻi a kahi cardiologist a hana pinepine ʻia ma o ka hoʻohana ʻana i nā lāʻau nitrate a i ʻole nā ​​blockers calcium, e like me Diltiazem a me Verapamil, no ka laʻana.

Pehea e hana ʻia ai ke kuhi

I ka manawa o ka pilikia, ua hana ʻia ka diagnostical o ka angina e ka cardiologist ma o ka loiloi ʻana i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka, me ka loiloi i nā hopena o kekahi mau hoʻokolohua, e like me electrocardiogram, umauma X-ray a ana o nā koʻohune naʻau i loko o ke koko. Hoʻohui ʻia i kēia mau mea, kauoha ʻia paha nā hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻoia, e like me ka hoʻāʻo hoʻoikaika kino, myocardial scintigraphy, echocardiography a me ka catheterization puʻuwai.

He hōʻike nui loa ka catheterization Cardiac, no ka mea, me ka helu pono ʻana i ka ālai ʻia o nā kīʻaha koko a me ka loiloi ʻana i ke alo o nā loli i ke kahe o ke koko, hiki iā ia ke mālama i ke kumu o ka ālai, ma o ka angioplasty, me ka implantation a stent a i ʻole ka hoʻohana ʻana i kahi pāluna e wehe i ke aʻa. E ʻike he aha ia a he aha nā pilikia o ka catheterization puʻuwai.

Loaʻa i kahi angina kahi hoʻōla?

Hiki ke hoʻōla ʻia ʻo Angina i ka poʻe hiki ke mālama i ka ischemia cardiac e like me ka ʻōlelo a ka cardiologist. Mālama maikaʻi ʻia nā hihia he nui me ka hoʻohana ʻana o nā lāʻau i kuhikuhi ʻia e ka cardiologist, ʻoiai ʻo nā mea ʻē aʻe i ʻoi aku ka nui e koi aku i ka catheterization a i ʻole ka ʻoki hou ʻana o ka puʻuwai

ʻO kekahi mau ʻōlelo aʻoaʻo pono no ka mālama pono ʻana i ka angina e:

• Lawe i nā lāʻau i kuhikuhi ʻia e ke kauka;
• E haʻalele i ka puhi baka;
• Lawe i ka papaʻai olakino;
• Hoʻomaʻamaʻa mau (ma lalo o ke alakaʻi ʻoihana);
• Hōʻalo i ka ʻai nui a me nā mea inu ʻona;
• Hōʻalo i ka paʻakai a me ka caffeine;
• Mālama i ke kaomi ma lalo o ka kaohi;
• Hōʻalo i ke koʻikoʻi;
• Hōʻalo i nā wela wela a anuanu loa hoʻi, no ka mea hiki iā lākou ke hoʻoulu i kahi hoʻoiho angina.

Me kēia mau ʻano, ma waho aʻe o ka mālama ʻana i ka angina, hiki nō hoʻi ke pale aku i ka ʻino a i ʻole ke ʻano o nā momona momona hou i nā aʻa o nā coronary.