Coronary tsinga spasm

Iyo coronary arteri inopa ropa uye oxygen kumoyo. Coronary arteri spasm ipfupi, kamwe kamwe kudzikira kweimwe yetsinga idzi.

Iyo spasm inowanzoitika mumaronari arteri ayo asina kuomeswa nekuda kwechaenga kuvaka. Nekudaro, iyo zvakare inogona kuitika mune arteri ine plaque kuvaka.

Iyi spasms inokonzerwa nekusvinwa kwemhasuru mumadziro etsinga. Zvinowanzoitika munzvimbo imwechete yearteri. Artery coronary ingaite seyakajairika panguva yekuyedzwa, asi haishande zvakajairika pane dzimwe nguva.

Vanenge 2% yevanhu vane angina (kurwadziwa kwepfupa uye kumanikidza) vane coronary arteri spasm.

Coronary arteri spasm inoitika zvakanyanya muvanhu vanosvuta kana vane cholesterol yakakura kana neBP. Zvinogona kuitika pasina chikonzero, kana zvinogona kukonzerwa na:

• Kunwa doro
• Kushungurudzika mupfungwa
• Kuratidzira kunotonhora
• Mishonga inokonzera kudzikisira kweropa (vasoconstriction)
• Zvinodhaka zvinokurudzira, zvakadai seamphetamines uye cocaine

Kushandiswa kwecocaine uye kusvuta fodya kunogona kukonzera kukomba kwakanyanya kwetsinga. Izvi zvinoita kuti moyo ushande zvakanyanya. Muvanhu vazhinji, coronary arteri spasm inogona kuitika pasina zvimwe zvinokanganisa moyo (sekusvuta, chirwere cheshuga, kuwedzerwa kweropa, uye cholesterol yakawanda).

Spasm inogona "kunyarara" (isina zviratidzo) kana inogona kukonzera kurwadziwa muchipfuva kana angina. Kana iyo spasm ikagara kwenguva yakakwana, inogona kutokonzeresa kurwara kwemoyo.

Chiratidzo chikuru rudzi rwekurwadziwa pachifuva chinonzi angina. Uku kurwadziwa kunowanzonzwikwa pasi pechipfuva bone (sternum) kana kuruboshwe kwebhokisi. Iyo kurwadziwa kunotsanangurwa se:

• Kuvhiringidza
• Kupwanya
• Dzvinyiriro
• Kusvisvina
• Kusimba

Inowanzo kuve yakaoma. Iyo kurwadziwa kunogona kupararira kumutsipa, shaya, bendekete, kana ruoko.

Iko kurwadziwa kwecoronary arteri spasm:

• Kazhinji kunoitika pazororo
• Zvinogona kuitika panguva imwechete zuva rega rega, kazhinji pakati pehusiku kusvika na8: 00 mangwanani
• Inotora kubva pamashanu kusvika pamaminitsi makumi matatu

Munhu wacho anogona kurasika njere.

Kusiyana neangina iyo inokonzerwa nekuomesa kweiyo coronary arteri, kurwadziwa pachipfuva uye kupfupika kwemweya nekuda kwecoronary arteri spasm hazviwanzo kuvapo kana uchifamba kana kurovedza muviri.

Kuyedza kuongorora coronary artery spasm kunogona kusanganisira:

• Coronary angiography
• ECG
• Echocardiography

Chinangwa chekurapa ndechekudzora kurwadziwa kwepfupa uye kudzivirira chirwere chemwoyo. Mushonga unonzi nitroglycerin (NTG) unogona kubvisa chiitiko chekurwadziwa.

Anokuchengetedza hutano anogona kukunyorera mimwe mishonga kudzivirira kurwadziwa pachipfuva.Iwe ungangoda mhando yemushonga unonzi calcium chiteshi blocker kana refu-inoshanda nitrate-refu-nguva.

Beta-blockers ndeimwe mhando yemishonga inoshandiswa nemamwe matambudziko etsinga. Zvisinei, beta-blockers inogona kuita kuti dambudziko iri riwedzere. Vanofanira kushandiswa nehanya.

Kana iwe uine ichi chiitiko, iwe unofanirwa kudzivirira coronary artery spasm inokonzeresa. Izvi zvinosanganisira kuratidzwa nechando, kushandisa cocaine, kusvuta fodya, uye yakanyanya-yekushushikana mamiriro.

Coronary arteri spasm inguva refu (isingagumi) mamiriro. Nekudaro, kurapwa kazhinji kunobatsira kudzora zviratidzo.

Dambudziko racho rinogona kunge riri chiratidzo chekuti une njodzi huru yekurwiswa nemoyo kana zvinouraya zvisina kujairika moyo zvitaira. Maonero acho anowanzo kuve akanaka kana iwe ukatevera kurapwa kwako, kuraira kwemupi wako, uye kudzivirira zvimwe zvinokonzeresa.

Zvinetso zvinogona kusanganisira:

• Abnormal moyo mutinhimira, izvo zvinogona kukonzera kusungwa kwemoyo uye kufa nekukasira
• Kumira kurova kwemoyo

Pakarepo fonera yako yemuno emergency emergency (senge 911) kana enda kuchipatara emergency room kana uine nhoroondo ye angina uye kupwanya kana kusvina chipfuva kurwadziwa hakusi kurerutswa ne nitroglycerin. Iyo kurwadziwa kunogona kunge kuri nekuda kwekurwadziwa kwemoyo. Zororo uye nitroglycerin kazhinji hazvigadzirise zvachose kurwadziwa kwekurwadziwa kwemoyo.

Chirwere chemwoyo chirwere chekukurumidzira. Kana iwe uine zviratidzo zvekurwadziwa kwemoyo, tsvaga rubatsiro rwechiremba ipapo ipapo.

Tora matanho ekuderedza njodzi yako yekuva nechirwere chemwoyo. Izvi zvinosanganisira kusasvuta, kudya kudya kune mafuta mashoma, uye kuwedzera kurovedza muviri.

Angina; Angina - zvakasiyana; Prinzmetal's angina; Vasospastic angina; Kurwadziwa pachifuva - Prinzmetal's

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva

• Angina
• Coronary tsinga spasm
• Tsinga yakatemwa chikamu
• Kudzivirira chirwere chemwoyo

Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane asiri-ST-kukwirira kwakanyanya coronary syndromes: Executive pfupiso: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane maitiro enzira. Kutenderera. 2014; 130 (25): 2354-2394. PMID: 25249586 www.ncbi.nlm.nih.gov/pubmed/25249586.

Boden WE. Angina pectoris uye yakagadzikana ischemic chirwere chemoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsamba 62.

Giugliano RP, Braunwald E. Isiri-ST kukwirira kwakanyanya coronary syndromes. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 60.