Ejighị n'aka rịaworo - onye nke forms of ischemic ọrịa obi na ọrịa

Echiche nke ischemic ọrịa nke obi na-eweta ọnụ a otu ọrịa, mmepe nke nke jikọtara mkpọchị inweta ọbara obi muscle. Dị ka nhazi ọkwa na ha na-ekewa n'ime nnukwu na-adịghị ala ala. Nnukwu akwara ọrịa na-agụnye mberede gbasara obi ọnwụ, myocardial infarction na-ejighị n'aka rịaworo.

The nhazi ọkwa nke a na ọrịa na-egosi stenokardia de Novo, subacute na nnukwu rịaworo nke fọdụrụ na-aga n'ihu rịaworo.

Mgbe stenokardia de Novo rịaworo na-hụrụ bụghị otú ahụ ogologo oge gara aga na imegide backdrop nke n'ozuzu ike.

Ejighị n'aka rịaworo fọdụrụ rịaworo dị ka subacute gosiri na ihe mgbu ọgụ kwụsịrị 48 awa gara aga.

Na nnukwu rịaworo ọzọ obi mgbu na-aga n'ihu n'oge ikpeazụ 48 awa na hụrụ n'oge ule nke onye ọrịa.

Ihe kacha mkpa na-adakarị mgbaàmà nke na-ejighị n'aka rịaworo bụ volatility nke mgbu. Nke a na-egosipụta site na-aga n'ihu mmepe nke rịaworo ma ọ bụ rịaworo ezumike, ngwa accession nke ọhụrụ mgbaàmà. General adịghị ike, oyi sweats, mkpụmkpụ nke ume, ụkwara, bubbling ume, arrhythmia n'ebe ịdị elu nke anụ ahụ ma ọ bụ mmetụta uche na ibu - mkpesa na-eso ụdị ọ bụla nke nnukwu akwara ọrịa, gụnyere ejighị n'aka rịaworo. The akụkọ ihe mere eme nke ọrịa na-egosipụta na-ahụkarị ihe mgbaàmà nke ọrịa.

Njirimara-aga n'ihu na-ejighị n'aka rịaworo compressive obi mgbu, nke ahụ na-akwụsị, mgbe ahụ, e nwere ọhụrụ ike. Pain ike, ma ọ bụ na-emegharị-agụghị oké ọgwụgwọ nitrates, esokarị site egwu ọnwụ, mkpụmkpụ nke ume, arrhythmia. Ji nke rịaworo ọgụ na-ghọọ ihe ugboro ugboro, na agha-free oge - mkpụmkpụ. Onye ọ bụla ụdi agha na-aghọ arọ karịa gara aga. Nitrates, nke e mbụ gbazitere obi mgbu, ibu adighi ike, ọ bụ ezie na ọrịa na-ewe ha na nnukwu doses. Ejighị n'aka rịaworo na-esonyere ihe mgbu, nke nwere ike ime abụghị naanị n'ihi na anụ ahụ ma ọ bụ emetụta akparamàgwà mmadụ ntụk na jū. Mgbe ụfọdụ, ọ na-ewepụ narcotic analgesics. Mgbe ụfọdụ, e nwere ihe agha nke gbasara obi ụkwara ume ọkụ na ekochi ekochi na akọrọ ụkwara.

nchọpụta nsogbu

Ejighị n'aka rịaworo na-chọpụtara na anamnestic data, ndidi mkpesa, nakwa dị ka instrumental na laabu ọmụmụ.

Isi mgbaàmà nke ECG, nke na-egosipụta onwe-ejighị n'aka rịaworo, na-ebelata ma ọ bụ ndị dara mbà n'obi ST nke na njikọ na a nkọ na elu nha nha T. T efegharị efegharị bụ omume mgbanwe site mma na-ezighị ezi. Ndị a ECG mgbanwe ike kọwaa nke a ụbọchị ma ọ bụ ogologo.

Mgbe echocardiography bụ ebe nke ala agagharị nke mgbidi nke obi, na-agafe n'ime ụbọchị ole na ole.

Serological welara maka gbasara obi mmerụ cardiomyocytes bụ a ala molekụla ibu myoglobin protein. Otú ọ dị, nke a ule bụ kpọmkwem dị ka onye ahụ nke ọbara myoglobin omume na skeletal muscle mebiri. Ke akpa awa mgbe mmalite nke na-ejighị n'aka rịaworo n'ime ọbara larịị nke enzyme na-abawanye - ngụkọta creatine. Ka welara ejighị n'aka akwara mgbasa, na-eji dị ka C-reactive protein na fibrinogen.

ọgwụgwọ

Ọrịa na-ejighị n'aka rịaworo ka a na ụlọ ọgwụ. N'ọnọdụ ebe e nwere oké ruo ogologo oge ji nke rịaworo jū izu abụọ, na-enweghị ECG abnormalities na hemodynamic kwụsiri ike, na ọrịa nwere ike a na-emeso na ihe outpatient ndabere.

Ugbu ọgwụgwọ nke ọrịa na-agụnye ọgwụgwọ na ịwa ahụ ụzọ. Isi ihe mgbaru ọsọ nke ọgwụgwọ - n'oge mweghachi nke akwara patency.

Ejighị n'aka rịaworo-emeso ya na antithrombotics (anticoagulants, antiplatelet, antithrombin), antianginal elekọta mmadụ (nitrates, Betts-blockers, calcium-akụ ọkpọ), Ace inhibitors na statins.

Ọrịa na-atara mgbe ha ruru stabilization nke CHD.