Stenocardia ke li-syndromes tsa kliniki tse hlahang mabapi le ho se khone ho potoloha ha mali bakeng sa ho fana ka marocardium le limatlafatsi ka chelete e hlokahalang. Ho na le angina e tsitsitseng le e sa tsitsang. Angina e tsitsitseng e sa tsitsitseng e khetholloa ke botsitso ba liphatlalatso tsa meriana - litlhaselo tse utloisang bohloko tse hlahang ka mefuta e mengata ea bonyane likhoeli tse tharo.
Mabaka a Angina a tsitsitseng
Lebaka le ka sehloohong la ts'oaetso ke lefu la atherosclerotic ea likepe tsa pelo, tse lebisang ho stenosis e kholo. Lisosa tsa kotsi ke:
- lefu la khatello ea mali;
- lefu la tsoekere;
- botenya ;
- ho tsuba;
- tšoaetso;
- ho qeta nako ea ho ipolaea;
- tšebeliso ea nako e telele ea likamano tsa thibelo ea bokhachane.
Matšoao a Angina ea thata
Litlhaselo tsa angina tse tsitsitseng li etsahala nakong ea ho tsamaea, ho kula ho itseng kapa ho imeloa kelellong. Sebopeho sa lipontšo tse latelang:
- ho chesa maikutlo, khatello ka mor'a sternum;
- bohloko ba sefubeng ba ho phatloha, ho chesa kapa ho hatella ho ka khonang ho fokotsa molala, mahetleng, morao, sebakeng sa epigastric;
- phefumoloho e khutšoanyane , ho se khone ho hema ka botlalo;
- ho fufuleloa, feberu;
- ho hlatsa, ho hlatsa;
- pherekano ea tsebo.
Ka molao, nakong ea tlhaselo, khatello ea mali e phahama, lebelo la pelo lea eketseha. Ha e ntse e eketseha butle-butle, tlhaselo ea angina e tsitsitseng e ka qeta metsotso e le 1 ho isa ho e 15 'me ea fokotseha ka mor'a ho tlosa mojaro kapa ho nka nitroglycerin. Haeba tlhaselo eo e feta metsotso e fetang 15, ho ka khoneha ho e fetela ka ho kenngoa ha 'mele oa myocardial infarction.
Tlhahlobo ea Angina e tsitsitseng
Maemong a tloaelehileng a lefu la ts'oaetso e ka thehoa motheong oa lipatlisiso, anamnesis, tlhaselo ea motlakase le electrocardiogram (ECG). Maemong a mang, lipatlisiso tse eketsehileng lia hlokahala:
- ho hlahloba letsatsi le letsatsi;
- veloergometry;
- teko ea litlhapi;
- electrocardiostimulation transesophageal;
- echocardiography;
- khatello ea maikutlo-echocardiography;
- CT coronarography, joalo-joalo.
Liteko tsa laboratory li akarelletsa boikemisetso ba hematocrit, tekanyo ea tsoekere, tekanyo ea k'holeseterole eohle, hemoglobin, joalo-joalo.
Phekolo ea Stable Angina
Lipakane tse ka sehloohong tsa phekolo ea lefu lena ke ho ntlafatsa lipolelo ka ho thibela ntshetsopele ea lefu la myocardial infarction le lefu, hammoho le ho felisa kapa ho fokotsa matšoao. Lihlopha tse tharo tsa lithethefatsi li laeloa: nitrate, b-adrenoblockers le li-blockers tsa calcium tse liehang.
Litlhahiso tse ka sehloohong tseo e seng tsa phekolo ea phekolo ea phekolo ea angina pectoris ke tsena:
- ho hana ho tsuba;
- ho tloaeleha ha ho ikoetlisa;
- ho khomarela lijo.
Maemong a boima, phekolo ea ho buuoa e laeloa.