Rịaworo - a typical ngosipụta nke akwara akwara ọrịa

Dị ka na-adịbeghị anya ọnụ ọgụgụ, rịaworo dere fọrọ nke nta 1% kwa afọ. Na ọrịa na-ata ahụhụ si na ọrịa a, ọtụtụ ndị nwoke ezumike nká afọ. ọnụ ọgụgụ nke ndị na-ịzụlite rịaworo abawanye kwa afọ.

N'ihi na ndị dị otú ahụ a ọnọdụ ji mgbasa nke mgbu radiating na n'aka ekpe nke ahụ ahụ, ya bụ na agụba, ebe nke obi, n'aka, ọkara nke n'olu, na ala agha. Ọtụtụ mgbe so site na-egbu mgbu ọgụ nke unexplained egwu. A, ihe mgbu-ewe ihe 10-15 nkeji. Rịaworo kwụsịrị n'ọdụ ụgbọ mmiri mgbe a na-akwụsị ahụ exertion ma ọ bụ mgbe ngwa nke nitroglycerin.

Anụ rịaworo - ischemia n'onwe na nke ihe mgbu na-emekarị-eme n'oge omumu nke a ụfọdụ osisi ike. The ibu larịị nke e rịaworo - a isi amata ọrịa ntaramahụhụ. Mmega ndidi bụ ihe ndabere nke nkerisi ọrịa n'ime klas:

• 1 klas. Nkịtị tolerability of kwa emega ahụ. Ọdịdọ-eme n'oge akwa siri ibu.
• 2 klas. E nwere a nta mmachi emega ahụ. Attack na-adị mgbe ha na-arị steepụ ma ọ bụ na-agafe ihe karịrị 500 m.
• Mezuwo 3. A akara mmachi emega ahụ. Ọdịdọ ime na ịrị elu ka n'ala ma ọ bụ mgbe n'imeri anya nke 500 m.
• 4 klas. Attack emee ọbụna na obere ọrụ ahụ, dị ka na-eje ije na a anya nke 100 m. Kasị ọgụ-eme na izu ike ogbo.

The isi na-akpata ọrịa a na-atụle atherosclerosis nke akwara ọbara arịa na zụọ obi. Atherosclerotic mbadamba nkume ndị e fibrotic overlapping lumen arịa, inhibit nkịtị ọbara oruru. Emega ahụ na-eduga onye na-abawanye na obi ọnụego na-abawanye ọbara mgbali. N'oge a, obi muscle bụ ike na-arụ ọrụ, nke pụtara na ọ enwekwu mkpa oxygen. Mkpa a na-apụghị-afọ site ọbara eruba na akwara narrowed site atherosclerotic e dere ede. N'ihi nke a, e nwere ezughi oke oxygen saturation nke obi muscle - ischemia.

Rịaworo, mgbaàmà: ike ọgwụgwụ, mkpụmkpụ nke ume, obi mgbu. Diagnosis nke ọrịa bụ ugbu a abụghị siri ike. rịaworo kpebisiri ike site Ndekọ ngwá rụrụ n'oge a na-egbu mgbu na nwunye. Ischemic mgbanwe enyemaka fix na ndị ọzọ na-achọpụta ọrịa usoro, dị ka igwe ịgba ọsọ, ịnyịnya ígwè ergometry, Holter -loaded n'omume. The isi ụkpụrụ nke ndị a usoro bụ otu: onye ọrịa nwere ịrụ ụfọdụ ọrụ ahụ n'oge ECG aha.

Rịaworo ọgwụgwọ: mbenata mgbaàmà na iwepu mgbu. Ozugbo rụrụ mgbochi nke myocardial infarction, akwara atherosclerosis na mberede gbasara obi njide. Iji mezuo nke a mgbazi a mere dyslipidemia, arọ ọnwụ, normalisation nke ọbara mgbali, ịkwụsị ịṅụ sịga, normalisation nke carbohydrate metabolism, na-agafeghị oke, imega ahụ.

Dị ka a usoro ọgwụ mee beta-blockers, statins, aspirin. Maka enyemaka nke ihe mgbu nke rịaworo ọgụ sublingual nitroglycerin were. Na ọ bụ dị mbadamba na dị ka a ịgba. rịaworo karịsịa siri ike n'ụdị nwere ike gwọrọ site ịwa: akwara akwara wasịrị, stenting akwara balloon angioplasty.