Stenocardia ndi syndromes zachipatala zomwe zimayamba chifukwa cholephera kuuluka kwa magazi kuti apereke kachipatala ndi zakudya muyeso. Pali angina wodekha ndi wosakhazikika. Angina yosakhazikika yowonongeka imadziwika ndi kukhazikika kwa mawonetseredwe am'chipatala - zowawa zomwe zimachitika ndi miyezi itatu.
Zifukwa za Stable Angina
Chomwe chimayambitsa matendawa ndicho chilombo cha atherosclerotic cha mitsuko ya mtima, zomwe zimabweretsa stenosis. Zowopsa ndi izi:
- matenda owopsa;
- shuga;
- kunenepa kwambiri ;
- kusuta;
- chithandizo;
- kusamba kwa mimba msanga;
- Kugwiritsira ntchito kwa nthawi yaitali njira zothandizira kulera.
Zizindikiro za Stable Angina
Kugonjetsedwa kwa angina kumakhazikika kumachitika pakuyenda, kuvutika kwa thupi kapena kukhumudwa kwakukulu. Makhalidwe a mawonetseredwe otsatirawa:
- kutentha, kuthamanga kumbuyo kwa sternum;
- kupweteka pachifuwa cha kuphulika, kuyaka kapena kuthamanga komwe kungapangitse kumphuno, mapewa, kumbuyo, epigastric;
- kupuma pang'ono , kusakhoza kupuma mokwanira;
- thukuta, malungo;
- kunyoza, kusanza;
- chisokonezo cha chidziwitso.
Monga lamulo, panthawi ya chiwonongeko, kuthamanga kwa magazi kumatuluka, kuthamanga kwa mtima kumawonjezeka. Pang'onopang'ono kuwonjezeka, angina yowonongeka ikhoza kutha kwa 1 mpaka 15 mphindi ndikuchepa pambuyo pochotsa katundu kapena kutenga nitroglycerin. Ngati chiwonongeko chikhala ndi mphindi zoposa 15, n'zotheka kuwonjezekanso m'magazi a myocardial.
Kuzindikira kwa Stable Angina
Paziwonetsero za matenda odwala matendawa akhoza kukhazikitsidwa potsatira kafukufuku, anamnesis, phokoso ndi electrocardiogram (ECG). Nthawi zina, kufufuza kwina kumafunika:
- kuwunika tsiku lililonse ECG;
- veloergometry;
- mayeso oyendetsa mapiritsi;
- electrocardiostimulation ya transesophageal;
- zojambulajambula;
- nkhawa-echocardiography;
- CT coronarography, ndi zina zotero.
Kuyeza kwa Laboratory kumaphatikizapo kutsimikiza kwa hematocrit, mlingo wa shuga, chiwerengero chonse cha mafuta m'thupi, hemoglobin, ndi zina zotero.
Chithandizo cha Stable Angina
Cholinga chachikulu cha chithandizo cha matenda ndi kupititsa patsogolo matendawa poletsa kukula kwa matenda a myocardial infarction ndi imfa, komanso kuthetsa kapena kuchepetsa zizindikiro. Magulu atatu a mankhwala amalembedwa: nitrates, b-adrenoblockers ndi ochepetsera calcium channel blockers.
Mfundo zazikuluzikulu zomwe sizinapangidwe ndi zakumwa zachipatala zothandizira odwala angina pectoris ndi:
- kukana kusuta;
- kuwerengera zochitika;
- kumamatira ku zakudya.
Pa milandu yoopsa, mankhwala opaleshoni amalembedwa.