Angina yog ib qho ntawm cov tsos mob ntawm cov kab mob plawv. Feem ntau, tus neeg mob tau hnov qhov hnyav lossis qhov mob ntawm qhov xwm txheej hauv nruab nrab ntawm lub hauv siab, uas tuaj yeem kis mus rau caj dab, caj npab, nraub qaum. Qee tus neeg muaj cov tsos mob xws li mob uas kis mus rau caj npab, puab tsaig, lossis caj dab.
Kev tsis xis nyob feem ntau daws tau hauv 10-15 feeb. Rau qee tus neeg, qhov mob ntawm qhov nias lossis nyem qhov muaj zog heev, thaum lwm tus xav tias tsuas yog qhov tsis xis nyob. Kev qaug dab peg tuaj yeem tshwm sim tom qab kev mob hlwb lossis lub cev, nrog rau kev ntxhov siab. Kuj tseem muaj cov kab mob tshwm sim uas tshwm sim tsis muaj laj thawj.
Tus kab mob
Angina pectoris yog ib qho ntawm ntau hom kab mob plawv, uas tshwm sim los ntawm kev mob hauv siab. Nws tau pom tawm tsam keeb kwm yav dhau los ntawm oxygen tshaib plab ntawm cov ntaub so ntswg myocardial, uas txuas ntxiv nrog rau kev nqaim ntawm lumen ntawm cov hlab ntsha.
Tus kab mob noNws raug kuaj pom feem ntau hauv cov neeg mob laus, feem coob ntawm cov txiv neej. Feem ntau, nws dhau los ua qhov ua rau muaj kev loj hlob ntawm cov xwm txheej uas muaj kev phom sij rau tib neeg, yog li nws yog ib qho tseem ceeb kom paub txog thawj cov cim qhia ntawm kev ua txhaum cai raws sij hawm thiab ua kev kho mob zoo. Cov teeb meem ntawm angina yog tshwm sim los ntawm kev kuaj mob tsis tu ncua ntawm cov kab mob lossis tsis quav ntsej qhov xav tau kev kho mob.
Kev faib tawm
Cov kws kho mob sau ntau hom kab mob no. Raws li kev faib tawm ntawm angina pectoris, muaj ntau yam xws li:
- thawj cim;
- stable;
- tsis ruaj khov.
Hom kab mob ruaj khov tau mus ntev, yog qhov tshwm sim ntawm qhov tshwm sim tsis tu ncua, tab sis tsis muaj kev hloov pauv tseem ceeb. Tsis ruaj khov angina loj hlob tuaj txhua lub sijhawm, thiab kev tawm tsam tau rov ua dua thiab ntau dua, uas tuaj yeem ua rau muaj kev mob plawv.
Tom qab thawj qhov kev tawm tsam, tus kab mob tshwm sim nws tus kheej nrog qhov mob tsis tu ncua, uas ua kom ruaj khov thiab ntev. Kev qaug dab peg yuav tshwm sim ntau zaus. Qhov no tsuas yog qhov kev faib loj ntawm angina pectoris, vim muaj lwm hom kab mob.
Kev tshwm sim
Qhov ua rau angina pectoris yog ib qho kev txo qis hauv cov ntshav hauv lub plawv cov leeg. Qhov no yog pom thaum cov hlab ntsha ntawm lub plawv yog nqaim thaum lawv cuam tshuam los ntawm atherosclerosis. Feem ntau, qaug dab peg tshwm sim los ntawm kev siv zog ntawm lub cev lossis kev ntxhov siab, uas tau piav qhia los ntawm kev ua kom tsis muaj oxygen hauv lub plawv cov leeg.
Nws provokestsub zuj zuj ntawm cov tshuaj lom, nrog rau cov khoom lag luam metabolic uas ua rau cov hlab ntsha xaus thiab ua rau muaj kev tawm tsam ntawm qhov mob. Ntawm cov laj thawj tseem ceeb yog cov hauv qab no:
- ntshav qab zib;
- nce lub cev ua si;
- kev xav ntau dhau thiab kev ntxhov siab;
- hypodynamia;
- haus luam yeeb;
- genetic predisposition;
- mob ntshav qab zib.
Kev tawm dag zog lub cev ntau dhau lossis kev ntxhov siab tuaj yeem ua rau muaj kev tawm tsam. Feem ntau nws tuaj yeem yog thaum taug kev. Kev tawm tsam ntau dua tom qab noj mov. Qee zaum kev tsis xis nyob txawm tshwm sim hauv npau suav thiab tom qab ntawd tus neeg sawv los ntawm qhov mob. Cov no nyob deb ntawm txhua qhov ua rau angina pectoris, yog li ntawd, thaum kho, nws yog ib qho tsim nyog yuav tsum tsim kom muaj qhov ua rau kom ua tiav cov txiaj ntsig zoo thiab tshem tawm qhov mob hnyav.
Cov tsos mob tseem ceeb
Kev tawm tsam yog nrog cov tsos mob ntawm tus yam ntxwv. Thaum pib, muaj qee qhov tsis xis nyob tom qab lub sternum, thiab tom qab ntawd nws maj mam hloov mus rau qhov mob tsis tu ncua. Mob tuaj yeem kis mus rau lub xub pwg nyom, caj npab lossis caj dab, lub puab tsaig, lossis kis mus thoob plaws hauv siab.
Qhov kev tawm tsam zoo li no ib txwm nrog kev ntshai thiab kev ntxhov siab, tab sis yog tias tus neeg mob tuaj yeem ua haujlwm, ces qhov mob tsuas yog hnyav dua. Mob thaum lub caij angina pectoris muaj qee yam nta, xws li:
- nws muaj tus cwj pwm tsis tu ncua, mob siab;
- nres tuaj yeem nres nrog nitroglycerin;
- tshwm sim nrog khauskev ua cev nqaij daim tawv;
- sijhawm kwv yees li 20 feeb.
Yog tias cov tsos mob ntawm angina pectoris feem ntau pom, yuav ua li cas yog qhov yuav tsum tau ua, vim lawv tuaj yeem ua rau muaj ntau yam teeb meem thiab ua rau tus neeg mob muaj kev noj qab haus huv ntau ntxiv. Nws yog ib qho tsim nyog sau cia tias cov cim zoo sib xws tuaj yeem pom nrog cov kab mob hnyav dua ntawm lub plawv.
Diagnostics
Kev kuaj mob ntawm angina pectoris yog ua los ntawm kev kuaj xyuas. Thaum thawj cov cim qhia ntawm tus kab mob tshwm sim, koj yuav tsum tau mus ntsib kws kho mob. Nws yuav mloog lub plawv kom txiav txim siab qhov zaus thiab qhov sib luag ntawm kev cog lus, ntsuas qhov dav dav ntawm tus neeg mob, thiab tseem ua qhov kev kuaj mob ntshav qab zib. Tsis tas li ntawd, kev kuaj ntshav rau cov roj (cholesterol) tau raug sau tseg. Tsis tas li ntawd, cov kev kuaj mob angina pectoris tau sau tseg, xws li:
- electrocardiogram;
- echocardiogram;
- kev xeem;
- kab mob plawv;
- radioisotope scanning.
Electrocardiogram tso cai rau koj sau cov hluav taws xob ua haujlwm thiab lub plawv dhia. Hom kev kuaj no tsis mob kiag li thiab yuav siv li 5 feeb. Txoj kev no muab cov ntaub ntawv xav tau hais txog qhov muaj thiab qib ntawm angina pectoris, txawm li cas los xij, nws tsim nyog nco ntsoov tias feem ntau ua txhaum cai tshwm sim nrog kev ua kom lub cev muaj zog, yog li thaum so lub cardiogram yuav pom qhov tshwm sim ib txwm muaj.
Echocardiography lossis ultrasound ntawm lub plawv tso cai rau koj kom tau txais qhov tseeb dua. Cov cuab yeej tsim rau ntawm qhov screen cov duab tau txais, uas yog cov cim qhia los ntawm ntau qhov chaw ntawm lub siab.
Txoj kev kho mob
Kev kho mob ntawm angina pectoris muaj ntau lub hom phiaj ib zaug, tshwj xeeb, xws li:
- tshem tawm qhov mob;
- kev txhim kho ntawm cov hlab ntsha;
- kev tiv thaiv kev qaug dab peg tshiab;
- txoov kev pheej hmoo ntawm cov teeb meem.
Ua ntej tshaj plaws, cov neeg mob yuav tsum hloov lawv txoj kev ua neej nyob thiab kho lawv cov zaub mov. Ib qho tseem ceeb ntawm txoj kev kho mob ntawm angina pectoris yog kev noj haus. Cov neeg mob yuav tsum tau tso tseg cov zaub mov muaj roj thiab qua ntxi, noj txiv hmab txiv ntoo thiab zaub ntau ntxiv kom lub cev saturate lub cev nrog cov vitamins thiab minerals uas xav tau.
Nws yog txwv tsis pub haus kas fes, vim nws ua rau muaj kev tawm tsam tshiab. Cov tshuaj tiv thaiv ischemic yog qhia rau kev kho mob ntawm angina pectoris, thiab siv cov tshuaj xws li:
- hypotensive;
- statins;
- tshuaj tiv thaiv kab mob.
Ntxiv rau, cov txheej txheem ib txwm siv thiab kev kho lub cev tau siv dav rau kev kho. Hauv qhov tshwj xeeb nyuaj, yuav tsum tau phais. Nws yog ib nqi sau cia hais tias nws yog tsis yooj yim sua kom tshem tau tag nrho cov kab mob no. Txawm li cas los xij, nrog kev ua raws li txhua qhov yuav tsum tau ua, kev noj zaub mov kom raug thiab noj tshuaj, kev pheej hmoo ntawm cov teeb meem tuaj yeem tiv thaiv.
Drug therapy
Cov tshuaj noj dab tsi rau angina, tsuas yog tus kws kho mob tuaj yeem hais tau, raws li cov txiaj ntsig ntawm kev kuaj mob. Ua ntej tshaj plaws, koj yuav tsum sim txo qhov tshwm sim ntawm cov tsos mob thiab kev txhim kho ntxiv ntawm pathological mob. Qhov no tuaj yeem ua tiav nrog tshuaj. Kev kho mob ntawm angina pectoris nrog tshuaj siv ntau hom tshuaj kom koj tuaj yeem ua tam sim ntawd hauv txoj kev nyuaj. Rau kev kho mob, cov cuab yeej xws li:
- nitrates;
- calcium channel antagonists;
- adrenergic blockers;
- diuretics.
Ua tsaug rau kev siv cov tshuaj no, nws muaj peev xwm ua kom tus neeg mob lub cev zoo, nrog rau kev ua haujlwm ntawm lub plawv cov leeg thiab ua pa. Tsis tas li ntawd, lawv pab tshem tawm qhov mob, txo qhov spasms thiab ua tsis taus pa.
Nitrates feem ntau tau sau rau kev kho mob angina pectoris, vim tias cov tshuaj no pab tshem tawm qhov mob. Ua tsaug rau kev nthuav dav ntawm cov hlab ntsha, nws muaj peev xwm ua tiav normalization ntawm cov ntshav tawm. Ntawm cov neeg nyiam tshaj plaws ntawm cov pab pawg no, Nitrosorbide, Nitroglycerin, Isosorbide dinitrate yuav tsum tau muab cais tawm, thiab cov ntawv nplaum transdermal kuj siv tau.
Koj tuaj yeem pab tus neeg mob angina pectoris sai sai nrog kev pab ntawm "Nitroglycerin", vim tias cov tshuaj no pab tiv thaiv qhov mob sai heev thiab tsis muaj qhov tsis zoo rau lub cev. Kom daws tau qhov mob hnyavkoj yuav tsum muab ib ntsiav tshuaj rau hauv qab tus nplaig, thiab cov nyhuv ntawm cov tshuaj yuav tuaj nyob rau hauv ob peb feeb.
Kuj pom tau tias yog kev siv cov adrenoreceptor blockers, uas pab txo qis cov leeg nqaij. Lawv qhov kev ua tau tshwm sim tsuas yog thaum lub cev ua si. Ntawm cov tshuaj nrov tshaj plaws hauv pawg no, Anaprilin, Atenolol, Betaxolol yuav tsum tau muab cais tawm. Thaum siv cov tshuaj no, nws yog ib qho tseem ceeb uas yuav tsum tau coj mus rau hauv tus account qhov muaj indications thiab contraindications.
Calcium channel antagonists muaj cov txiaj ntsig zoo ntawm myocardium, thaiv qee cov protein sib txuas koom nrog hauv cov hlab ntsha thiab vascular spasm. Thaum siv cov tshuaj no, cov ntshav ncig tau zoo heev. Ntawm cov tshuaj no, nws yog ib qho tsim nyog los qhia txog "Verapamil", "Diltiazem", "Gallopamil"
Cov tshuaj uas tsis tseem ceeb siv los kho angina pectoris yog cov tshuaj diuretics, uas, vim lawv cov tshuaj diuretic, tuaj yeem txo qhov o. Lawv raug sau los ntawm tus kws kho mob ua ib feem ntawm txoj kev kho mob, nrog rau lwm txoj kev. Ntawm cov tshuaj nrov tshaj plaws yog xws li Lasix, Chlorthalidone, Amlodipine.
Nws tsim nyog sau cia tias txhua yam tshuaj yuav tsum tau muab tshwj xeeb los ntawm tus kws kho mob uas txiav txim siab ntau npaum li cas thiab kev tswj hwm.
Ntseeg haiv neeg
Lwm txoj kev kho mob ntawm angina pectoris muab qhov txiaj ntsig zoo, tab sis nws tsim nyog sau cia tias nws yog qhov zoo tshaj plaws los siv cov tshuaj no hauv ib qho nyuaj, nrog rau cov tshuaj. Zoo heevdecoctions, tinctures, tshuaj yej, tee npaj rau lub hauv paus ntawm tshuaj ntsuab pab. Los ntawm cov nroj tsuag tshuaj dav siv:
- walnut;
- adonis nyom;
- hawthorn txiv;
- St. John's wort;
- motherwort.
Txhawm rau kom muaj kev tiv thaiv thiab tshem tawm cov tsos mob ntawm kev ntxhov siab, koj yuav tsum siv hawthorn tincture. Txhawm rau npaj nws, ncuav cov berries nrog boiled dej, tawm rau ib hnub, thiab ces coj nws li tshuaj yej ua ntej noj mov.
Txoj kev kho zoo tshaj plaws yog zib ntab, uas yog siv los kho ntau yam kab mob. Cov cuab yeej no pab ua kom muaj kev noj qab nyob zoo ntawm tus neeg, thiab, ntxiv rau, nws pab txhawb rau:
- nce hemoglobin;
- relieve cov tsos mob ntawm lub plawv;
- normalization ntawm lub plawv dhia;
- txhim kho cov ntshav muaj pes tsawg leeg.
Txhua yam no pab txhim kho kev noj qab haus huv ntawm tus neeg mob nrog angina pectoris. Rau kev kho kom zoo, koj yuav tsum tau npaj cov zib ntab elixir. Txhawm rau npaj nws, koj yuav tsum sib tov 300 g ntawm zib mu, 150 g ntawm aloe, kua txiv ntawm 2 txiv qaub, 0.5 kg ntawm walnuts. Tag nrho cov Cheebtsam yuav tsum tau muab sib xyaw kom huv si kom txog thaum sib tov homogeneous. Noj cov tshuaj ua ntej txhua pluas noj rau 1 tbsp. l. Koj yuav tsum khaws cia rau hauv lub tub yees hauv lub khob ntim.
Qej muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub plawv, thiab nrog nws cov kev pab koj tuaj yeem tiv thaiv qhov tshwm sim ntawm qhov mob angina. Ua li no, koj yuav tsum haus qej broth. Koj tuaj yeem ua qej muab tshuaj txhuam. RauTxhawm rau npaj qhov sib tov, koj yuav tsum noj 5 cloves ntawm qej thiab zuaj txhua clove kom tau qej puree. Tom qab ntawd sib tov nrog 1 liter ntawm zib mu thiab kua txiv ntawm 10 txiv qaub.
Cov khoom sib xyaw no yuav tsum muab khaws cia rau hauv qhov chaw txias kom cov khoom siv tau zoo. Ib lub lim tiam tom qab, cov tshuaj tau npaj rau kev siv. Koj yuav tsum noj 1-2 tbsp. l. thaum sawv ntxov ua ntej noj mov, zom kom huv si. Kev kho mob yuav tsum tau txuas ntxiv mus txog thaum cov tshuaj tas li.
Koj tuaj yeem kho angina pectoris nrog txiv qaub, uas yog vim li cas cov txiv hmab txiv ntoo no yog ib feem ntawm ntau yam tshuaj. Txhawm rau tshem tawm thiab tiv thaiv cov tsos mob ntawm tus kab mob, koj tuaj yeem siv tev ntawm txiv qaub. Nws yog qhov zoo kom noj nws ua ntej txhua pluas noj. Tom qab li ib lub lim tiam, koj tuaj yeem pom qhov kev txhim kho tseem ceeb hauv kev noj qab haus huv.
Kev kho mob angina pectoris tuaj yeem ua nrog kev pab ntawm cov tshuaj ntsuab. Koj tuaj yeem npaj cov tshuaj ntsuab kho kom zoo, uas suav nrog paj thiab txiv hmab txiv ntoo ntawm hawthorn, dill noob, mistletoe, mint, St. John's wort. Tag nrho cov no yuav tsum tau tov, ncuav nrog dej kub, insisted rau 10 feeb thiab noj 2 zaug ib hnub twg. Qee cov tshuaj ntsuab yog sedative thiab yuav tsum tau siv ceev faj.
Kev kho neeg pej xeem muaj thiab siv tau yooj yim, tab sis ua ntej koj yuav tsum tau txais cov lus qhia tshwj xeeb. Kev noj tshuaj rau tus kheej tsuas tuaj yeem ua mob thiab ua rau koj mob hnyav dua.
Dieting
Yog tias koj ua raws li cov lus pom zoo hauv tsev kho mob rau angina pectoris, koj tuaj yeem ua tiav kev noj qab haus huv zoo thiab txo qhov zaus ntawm kev tawm tsam. Nrog rau kev ruaj ntseg ntawm tus kab mob, nws yog ib qho tsim nyogkho koj cov zaub mov. Cov kws kho mob pom zoo ua raws li cov cai no:
- zam overeating;
- tswj cov qib roj cholesterol;
- qhia cov ntses rog rau hauv kev noj haus;
- yuav tsum tau qej tshiab thiab dos;
- cov zaub mov yuav tsum muaj txiv hmab txiv ntoo thiab zaub;
- Rosehip decoction thiab daim siab yuav pab tau.
Koj yuav tsum tso tseg kev haus tshuaj yej, kas fes thiab dej cawv. Kev noj zaub mov yuav tsum nquag nquag, tsawg kawg yog 5 zaug hauv ib hnub, tab sis koj yuav tsum tau noj me me. Kev noj zaub mov zoo li no yuav pab kom sib npaug ntawm cov metabolism, uas yuav ua rau poob phaus hauv tus neeg mob, vim kev rog rog yog suav tias yog ib qho ntawm cov ua rau angina pectoris.
physiotherapy techniques
Nyob rau hauv cov chav kawm ntawm kev kho mob, tus neeg mob yuav raug muab tshuaj physiotherapy cov tswv yim, nyob ntawm seb lub complexity ntawm tus kab mob thiab muaj contraindications. Txhawm rau normalize kev ua haujlwm ntawm lub paj hlwb, nrog rau kev tiv thaiv myocardial infarction, koj tuaj yeem siv cov tswv yim xws li:
- hardware;
- hmoov da dej;
- electrosleep.
Txawm li cas los xij, nws tsim nyog nco ntsoov tias txhua txoj hauv kev no muaj qee yam contraindications, uas suav nrog xws li:
- mob ntshav siab;
- arrhythmia, mob plawv;
- progressive angina;
- mob hawb pob, circulatory tsis ua haujlwm.
Yog thaum kuaj pom muaj kev ua txhaum cai, ces tus neeg mob raug xaiv ntau yamcov txheej txheem physiotherapy. Txhua txoj kev kho mob tau sau tseg rau tus neeg mob ib leeg nkaus xwb, nws tag nrho nyob ntawm cov kab mob hauv qab thiab concomitant. Nrog rau daim ntawv tsis tu ncua ntawm angina, kev kho lub cev nrog lub tshuab microwave tuaj yeem siv tau.
Qhov no yuav normalize lub plawv cov leeg, txhim kho cov ntshav microcirculation, thiab tseem tiv thaiv kev loj hlob ntawm lub plawv nres. Daim ntawv ruaj khov ntawm tus kab mob tuaj yeem kho tau yooj yim dua thiab sai dua, thiab tseem muaj ntau yam contraindications tsawg dua rau kev teem caij ntawm ntau cov txheej txheem.
kev kho mob phais
Ntawm ntau txoj hauv kev sib txawv ntawm kev cuam tshuam kev phais, kev phais mob hlab ntsha tawg thiab angioplasty tau dhau los ua neeg nyiam heev. Ua raws li cov haujlwm no ua rau nws muaj peev xwm tswj tau qhov zaus ntawm kev qaug dab peg los ntawm kev cuam tshuam kev sib kis ntawm impulses.
Kev phais Balloon suav tias yog lwm txoj kev xaiv thiab yog cov txheej txheem cuam tshuam los kho cov hlab plawv. Nws yog nqa tawm rau ntau yam kab mob ntawm cov hlab plawv system, nrog rau cov mob syndrome. Xws li kev cuam tshuam kev phais muaj ntau theem, uas yog:
- kev taw qhia rau hauv cov hlab ntsha ntawm lub catheter;
- ua ntej nws mus rau qhov xav tau ntawm cov hlab ntsha;
- balloon inflation.
Tom qab ntawd, cov quav hniav ruptures, yog li tso cov hlab ntsha thiab nce nws cov lumen. Thaum kawg ntawm kev ua haujlwm, tus neeg mob raug xa mus rau ECG thib ob, thiab nws raug xa mus rau chav saib xyuas mob hnyav. kws kho mob sau ntawvKev saib xyuas tom qab phais kom tsis txhob muaj teeb meem.
Bypass phais yog ua thaum tus kab mob hnyav. Thaum lub sij hawm phais, ib txoj kev tshiab ntawm cov ntshav ncig yog tsim. Lub hom phiaj ntawm cov kev kho mob no yog los kho cov ntshav ncig hauv txhua txoj hlab ntshav, yog li tus naj npawb ntawm shunts rau txhua tus neeg mob raug xaiv nruj me ntsis rau tus kheej.
Muaj Teeb Meem
Nws yog ib qho tseem ceeb heev kom nkag siab txog qhov txaus ntshai ntawm angina pectoris, vim muaj coob tus neeg saib tsis taus qhov hnyav ntawm lawv tus mob. Ua ntej tshaj plaws, tus kab mob no ua rau muaj qhov tshwm sim loj thiab muaj teeb meem thiab feem ntau ua rau tuag.
Lub sijhawm dhau mus, angina pectoris tuaj yeem txhim kho mus rau ntau hom kab mob plawv. Tsis tas li ntawd, tej zaum yuav muaj myocardial infarction nrog thaj tsam uas nws kim heev ntawm necrosis lossis tuag tam sim ntawd. Angina dhau sij hawm tuaj yeem ua rau tus neeg mob xiam oob khab thiab txhim kho cov kab mob ua rau lub neej.
prophylaxis
Nco ntsoov ua kev tiv thaiv ntawm angina pectoris txhawm rau tiv thaiv qhov tshwm sim ntawm cov teeb meem loj dua. Nws yog ib qho tsim nyog los ua lub neej noj qab haus huv, tsis suav nrog cov xwm txheej uas tuaj yeem ua rau muaj kev tawm tsam.
Kev tiv thaiv ntawm angina pectoris suav nrog kev tswj qhov hnyav, noj zaub mov tshwj xeeb, tswj ntshav siab, haus luam yeeb thiab haus cawv.
Vim tias angina pectoris yog ib qho mob txaus ntshai, nws yog ib qho tsim nyog yuav tsum tau ua cov kev kho mob nyuaj, nrog rau ua raws li qhov yuav tsum tau ua.manipulations tsom txo kev pheej hmoo ntawm kev tawm tsam.
