Exertional angina FC 2: Diagnosis, Treatment

tohu te reira i patua angina o ischemia myocardial momo molengofuá. He he he māuiuitanga e tika ana ki te kikī aronganui ranei tinana, whakapataritari taonga hāora tono o te uaua ngakau. Next, whakaaro te taipitopito rite whakaaturia angina 2 FC, e rere ke i te reira i te tahi atu akomanga mahi.

Overview

Angina ko te ahua haumanu o mate te AVC. Āhuatanga e whakaeke wā o te māuiuitanga puta i roto i te papamuri o te whakanui ake titauraa pūkoro o te uaua cardiac. koe'uhi ko tohu o pectoris angina i loadings me heke i muri i ngā maimoatanga "Nitroglycerin".

nuinga

mate te AVC, FC angina 2 Kei te maha kitea i roto i te rōpū pakeke pakeke. Na, kia rite ki tatauranga, i roto i tūroro 45-54 tau o māuiuitanga pāngia te i roto i te 2-5% o nga tangata me te 0.5-1% o nga wahine, i roto i tūroro pakeke atu i te 65 tau - i 11-20% tane. me 10-14% wahine. I mua ki te tīmatanga o te angina myocardial pāngia te i roto i te 20% o te wā, i muri i te reira - 50%. Ko te mate tino noa i roto i nga tangata pakeke atu i 55 tau.

Take māuiuitanga

Nuinga o ngā wā he take precipitating he atherosclerosis e pā iatuku pūngākau. Kei te pumau te reira e te rerekētanga i waenganui i te tono hāora myocardial me waka puta te reira i roto i te whāiti atherosclerotic o te lumen o nga oko coronary 50-75%. tohu haumanu o te maumaui e nga whakaeke o angina. E te ara pea āhuatanga pea precipitating ngā cardiomyopathy hypertrophic, matua nui, me te tuatahi takawhita pūkahukahu, stenosis i te mangai o te haoraora, koronarity, abnormalities i roto i te iatuku pūngākau o te natura tumu, iti hoki te pūtahi o. A, no te taea te tutukitanga wāhanga rangitahi ranei ki te rere toto meinga whakaeke o coronary whakapeka. Engari kia rite ki te tikanga, kei te kitea tenei huru, haere tahi e te whakaeke ngakau. ngā paowa, tau, te aamu utuafare, te mōmona me te hohekore tinana, mate huka me te menopause āhuatanga mōrearea. kia kē māuiuitanga i roto i hypoxia anemia nui ranei. I roto i te take tonu o te whakaeke, tuhia ahotea tinana, te ahotea aronganui, huringa pāmahana, opue, ohorere panoni āhuarangi me ētahi atu.

whakarōpū

E wha akomanga mahi māuiuitanga. E whakaritea ana ratou i roto i runga i te e kātakí utanga. Ko te kupu, kia pāngia reira angina 1, 2 FC. E whakaaro ēnei puka i te maha ngā take tuatahi, me te i roto i Nireaha ki te ako. Hoki te piha haapiiraa mahi tuatahi āhuatanga e te kātakí noa o te kawenga noa. puta noa Patua i overexertion tinana. Hei tauira, kia mau ai ki mahi auroa, te piki arawhata, he haere tere. FC Angina 2, 3 āhuatanga e te kaha o te manawanui ki te kawe i te kawenga. Ki te i roto i te piha haapiiraa tuarua o te mahi mahi iti te ki te tohu āhua, ka hoki te tuatoru - nui. I roto i te take whakamutunga nga tohu o te mate te AVC riro nui nui. Exertional angina FC 2 kia haere tahi e hukihuki, ki te wikitoria i te tangata i te tawhiti, ko te neke atu i te 500 mita kahore hoki e mutu. Just rite te toru o nga kāwanatanga piha mahi te ähua i roto i pea i raro i piki te rere. O ngā faufaa haumanu me te ahotea aronganui, hauhau matao ranei rangi. Exertional angina FC 2 Ko rerekē i te ahua whakamutunga o te auau o te whakaeke. Na, mo te wha o nga piha mahi āhuatanga te ähua noa i pikaunga iti, a i roto i ētahi wā, a i roto i te rangimarie. Ko tino iti te mahi tinana o te manawanui.

Exertional FC angina 2: Signs

He maha ngā tohu noa mō ngā akomanga katoa o te mate. Ko ētahi o ēnei, i roto i ngā, ngā:

• Hāhā o te manawa.
• Mamae i roto i toku ngakau.
• Ko te mana'o o te tightness me te hūhi i roto i te pouaka.

E kitea ana ēnei tohumate i roto i te rangi maeke hau ranei, i muri i te fariiraa i nui o te kai. Angina FC 2 whakatoatoa i raro i kawenga. I roto i ngā, ka piki te arawhata i te maunga ranei, rere, e haere ana nohopuku. Angina FC 2 tahi e te iti mahi. Kei te meinga te reira na roto i te kātakí rawakore o kaupapa, ara i runga i te ara papatahi i te tawhiti o te neke atu i te 500 mita ranei i teiteiraa o neke atu i te kotahi rere.

Āhuatanga o te mana o te mahi tinana

Hei patu i puta, ko reira e tika ana te pānga o ngā āhuatanga atu meinga amplification hāora tono o te uaua ngakau. Heoi, whakaaro te take matua o te whakaeke te mahi. Anake i te ahotea matao ranei ko reira onge. Ētahi tūroro pāngia ki te angina FC 2 i roto i te ata heke mahi kātakí. Heoi, i roto i te mateā ra mai hoki ki noa, kia rite ki te tangata tīmata ki te neke āta. Me kï reira e te pakeke o te pikitia haumanu, haere tahi nei i te pūmau angina 2 FC tei runga i te taumata o te mahi tinana. Ko te hunga iwi e nui tonu te tepenga, Ka taea e haurangi puta i roto i te ra e rave rahi taime i te. Ko te hunga tūroro e ngana ana ki te whakarite i tona aratau ki whakaiti te pikaunga, tata ite te exacerbation.

tātaritanga pārōnaki

angina raruraru noa ki ētahi atu pathologies. I roto i tenei whakaaro, tūtohu tohunga te ahua o te mamae hūhi ranei i te rohe o te ngakau e kore e whakaroa te haerenga ki te hōhipera, me te kia whakamatauria. E mea pinepine i te tohutoro ki te tākuta whakakitea kua FC angina 2. Hauātanga - tetahi o nga pōauautanga tino nui o te mate. arata'i te reira i ki a ia haerenga muri ki te tākuta, me te, rite te putanga, te whakarite mea mate o tika therapy. E haere tahi tokomaha mate i te taua tohu rite angina FC 2. Ko te hītori o te mate, nga hua whakamātautau, te mōhiohio whiwhi i roto i te ultrasound, Holter aroturuki, ECG i roto i te whawhai, e hiahiatia angiography coronary ki te ako rata. mahi mātanga - ki te tutakina atu mate cardiac me noncardiac, tae atu:

• Osteochondrosis me ētahi atu mate tuaiwi.
• whakaeke Heart.
• Diseases o te pūnaha kūnatu (tuwhenua, disorders o te pū kai, me te tahi atu mahi).
• mate Lung (kakā, kiripūkahu, me ētahi atu).

Ko te rerekētanga matua i waenganui i te mamae o te angina ko e te whakakorea ai hohoro i muri i whakahaere ki te manawanui "Nitroglycerin". mai te Sotaiete roto i te āhua o te okiokinga.

Angina FC 2: maimoatanga

kia hāngai therapy mō māuiuitanga i whakaiti i te auau o te whakaeke, ka whakapai ake i te kounga o te ora o te manawanui. 2 i roto i te angina tohunga piha mahi tūtohu te tuatahi o te katoa ki te arotake i te ara o te ora, te whakaiti i te maha me te pakeke o te ahotea whakapataritari patua. Fakataha ki ngā rongoā i whakaritea e tō tākuta, ka kia whakaaetia ki te whakamahi i rongoā iwi. Heoi, ka taea e anake e ratou he tāpiritanga ki te therapy taketake. I mua i te whakamahi i te tikanga o tika tetahi ki te kōrero ki tō tākuta.

rongoā

I mua i timata koe maimoatanga, me whakakore e koe nga pāngia e katoa te wa e taea. Ko te tikanga whai hua tino hoki kapu ko te tarukino "Nitroglycerin". Kei te mau te reira i sublingually (i raro i te arero). Hoki te ārai o wā rere pūroto whakaritea pūhau roa (roa) mahi. Ēnei ngā taero pērā i mononitrate me isosorbide dinitrate, nitroglycerin hinu ranei te papaki mo. Ano, tō tākuta kia tūtohu beta-blockers - te tikanga "Atenolol", "metoprolol", "Betaxolol" blockers hongere konupūmā - rongoā "Diltiazem" "Verapamil" antiplatelet therapy - taero "ahipirini".

wawaotanga hāparapara

Ko te tikanga whakahaere whakaaturia i roto i te take o rongoā kore maimoatanga homai i runga ake. Kei te whakaritea hoki pokanga ki te nga hua o te angiography, i reira te mea he taea o te mate. I roto i te māuiuitanga kia whakamana angioplasty endovascular me stenting, a coronary iatuku karo pokanga mammarokoronarnoe. Ko te tōtika o te wawaotanga, ko te pā ana ki 90-95%. I muri i te pokanga, ka taea e pōauautanga puta - infarction, hohokitanga o pectoris angina, restenosis.