CHD kanaka: ai '. Coronary naau maʻi - lapaʻau, ka lapaʻauʻia a me nā symptoms

Coronary naau maʻi - he pathological ana, kena ae la ia e nele i ke kokuaia mai e ka naau Muscle ma muli o ka hou o ka lumen o ka coronary artery paha spasm. Ua lawe pu ma lalo o ka helu ana o diagnoses, e like me angina pectoris, myocardial infarction, cardio, ulia cardiac ka make a me na mea e ae.

I kēia lā ka mea, o ka loa e like me ka maʻi i loko o ke ao nei i loko o kona waeʻano, a me na lalani mua i waena o nā mea o ka make a me ka kīnā i loko o nā'āina a industrialized.

predisposing kumumea

I kēia mau lā hoʻihoʻi mai i nā ana hoʻohālike e a mākou i ke kilokilo i ka hooulu ana o ka maʻi. Coronary naau maʻi mea,ʻaʻole he koe. Aia mea i pono i ka papa inoa a me ka Mea Maluna o ka kamepiula kumumea, Hoʻohui 'e like me kekahi mau kailaʻae i e hoʻonui ai i keia maʻi.

1. liluwelo:
   - makahiki no 50 makahiki;
   - hoohanau - mea oi, he pono ole i na kanaka;
   - he aaiaoe predisposition i ka maʻi dismetabolic.
2. 'anatomia:
   - kiʻekiʻe ke koko;
   - obesity;
   - i ke alo o mimikō.
3. Aloha Hawaii:
   - 'aʻe' ana o kaʻai;
   - e uwahi ana;
   - ka nele o ka hoʻokō 'ole excessive hoounauna;
   - i ka pono o ka waiʻona.

Ka hooulu ana o ka maʻi

Pathogenetic kumu o ka maʻi i e nā extra- a me ka intravascular pilikia, e like me hou o ka coronary arteries aie i ka atherosclerosis, thrombosis a spasm, a me ka loa hypertension tachycardia. Aka, ma ka wahi mua, no ka kumu o ka naau hoouka e atherosclerosis. Ma mua, he kanaka e hoʻomōhala ana i ka metabolic kāna hana, i ka lewa i loko o ka paakiki mahuahua ana o lipids i loko o ke koko.

I kekahiʻanuʻu ua hoʻopunipuni lipid pono a pau o loko o ka moku paia, a propotevanie ia i loko o endothelial keena. Hana atherosclerotic plaques. Ka mea, luku aku i ka pa o ka ipu koko, ana ia oi fragile. Ma keia wahi hiki ia mau haumāna - kekahi ma ka plaque la ka clot a clog i ka artery koko a me ka moku anawaena i ai uuku i ke koko hiki ole kūhōhō, a hānai i ka ho'ākāka 'ia wahi. Ma keia wahi, ka mea i hana ischemic ipu ahi, a laila necrosis. Inā ka mea a pau kaʻina i wahi i loko o ka naʻau, ua kapaʻia ka maʻi coronary artery maʻi.

Aia i kekahi mau lapaʻau ano a me ko lakou mau hana o ka CHD. Mea haʻilula keimikala i koho ma ka kumu o ka pathophysiological ke keʻena.

Manawa e cardiac make

I ole ia ike like cardiac hopu. Ua hiki i nā haumāna: kekahi make a loaʻa i loko o ka mālama nui malama pa alima. Ua Ua pili me ka ulia myocardial instability. Ua Ua diagnosed - he koe i ka wa aole he kumu e manao kekahi ano o ka CHD. Lapaau, i ka ai 'o ka poʻe uʻi a no ka ola kino' Oihana koe ka ia me ia ma ka mālama nui malama pa alima. Kekahi ano - make e mākaukau koke, a ma ke alo o na hoike, a me loko o eono hola o ka hoouka kaua ana o ka naau hoouka. I ole ia, ia mea, ua pili ia i kaʻokoʻa Mea Maluna.

angina

'O kēia kekahi o nāʻano o coronary artery maʻi. Ua hoʻi i kona mau hou Mea Maluna. No laila:

1. Hale lio angina.
2. Vasospastic angina.
3. He hu wale angina, a, ma ka huli, ua maheleia i:
   - e holumua ai;
   - mua i waho;
   - koke postinfarction.
4. Angina Printsmetalla.

Ka loa, he pono ole o keʻano mua. Heart Ahahui Ua lōʻihi ulu ka iapaau ana o coronary naau maʻi angina. Na ai 'pono e lawe mau, a no ka lōʻihi manawa, i kekahi manawa no ke ola. Inā 'oe e hahai i ke koi, he mea hiki no i kekahi manawa, e hoʻomamao aku ola backfire.

myocardial infarction

Kauia e lawe i ka mooolelo o kaʻikepili o ka electrocardiogram, keʻena hoʻokolohua a me ka 'inikua mōʻaukala nā hoailona. Ka loa informative o kēia nā'ūhū i manaoia e hoʻonui i ka LDH (lactate dehydrogenase), Alt (alanine aminotransferase) a me ACAT (aspartate aminotransferase), i mea maʻamau a puni iho la i loko o ka halepaahao, aʻikeʻia i loko o ke koko ma kona luku wale.

Heart hoouka - keia mea kekahi o ka hoʻoholo hope 'ana, a hiki i kipi ischemic naʻau maʻi. Lapaʻau, ka lapaʻauʻia, mālama - no a pau hiki e ke aumoe, ma hope o ka huʻi kaua o ka mea uuku manawa ua hoolilo ia ma luna o ka mea e uku aku i ka poino.

lapaʻau '

O ka holo ana, i kekahi anamanaʻo hoʻomaka me ka anamanaʻo a me ka nana. E ohi iʻikepili mōʻaukala. Kauka hoihoi i loko o ka mea hoopii o ka umauma eha ma hope me ka, i ka alo o ka dyspnea, luhi, nawaliwali, palpitations. Nui, e hoailona oukou ahiahi nani, e lalana ana ia ia ka hoʻopā. A laila, e like me ka mea i ka iapaau ana o ka CHD. Hoomakaukau i nui, e hai aku i ke kauka. No ka laʻana, "Nitroglycerin". Inā ka mea kōkua i ka höʻike aku i ka kaua, ka mea, ua aneane mau olelo i loko o ka lokomaikai o ka angina.

Helu ninaninau nā ana o ka puʻe, naehana mämä a me ka pāpaʻa, a me ka hoʻolohe ana i ka naau a me ka ia maʻiʻaʻai. Ke kauka UOAAaOON e lohe'āno'ē haalulu nui, mahuahua naʻau nanahe, e like me maʻi a me Oe ma ka maʻiʻaʻai, a makemake olelo e pili ana i stagnant keʻano o ka hanaʻana.

Next, ke kauka hoouna mai i ka hoʻomanawanui i ke keʻena hoʻokolohua, a physical ninaninau. Ma Ka Ikepili, mākou i mua aku la, a me ka hoʻopaʻa haʻawina i ka loa, he pono ole i ka ECG, echocardiography a me ultrasound o ka naau.

lapaʻau

No laila, ua hele aku la i ka loa Kora naʻEsau. Mākou e hoihoi i loko o ka iapaau ana o coronary artery maʻi. pāʻani ai 'he kūlana alakai i loko o laila, akā,ʻaʻole wale hana ka mea, he hoʻonui ai i ka hana o ke ola. Mua o nā mea a pau ia mea e pono, e wehewehe i ka hoʻomanawanui i makemake i ka loa hoʻololi i kā lākou Aloha Hawaii. Wehe i excessive hoounauna e koena hiamoe, a hoomaha a me ka maikai no kou kino. ʻai e uku kuikawa noonoo. Ua pono no i ka pono no ka naau potasiuma, kalipuna a me ka paʻakai, akā, kaliʻai ana o ka paakai, wai, nā huahana me ka oi o ka holoholona i ka momona, a me nā carbohydrates. Inā kekahi kanaka mea overweight, e mea pono, e lawe mai kona e hooponopono.

Akā, 'ē aʻe ma mua o ia pharmacological kāu kiʻina hana i ua ulu e hoʻopau i kēia pilikia like coronary naʻau maʻi. Lapaʻau - hoomakaukau i loko o ka palapala o ka papa, capsules, me ka pauka, a me nā pāʻoihana. Me ka pono koho, a regular ana, e hiki ke loaʻa maikaʻi loa i nā hualoaʻa.

Antiplatelet konohiki

ai 'no ka iapaau ana o coronary artery maʻi pae e māheleʻia i loko o kekahi mau Mea Maluna, akā, me ka loa, he pono ole - keʻano papa hana o ka hana. Ia mākou, e hoʻohana 'ia. Antiplatelet ai 'kōkua hoʻoikaika' ana i ke koko pele. Ka mea, he aha ka mea i ka coagulation a me ka anticoagulation'ōnaehana, mau dissociating ia lakou, a pela loaʻa liquefaction. Mau nā "aspirin", "Clopidogrel", "Warfarin" a me na mea e ae. Ka lanakila ia ia, oe e mau kanaka hoʻoponopono i ka hana o ka INR (hoʻonohonoho 'normalized lākiō), e pale aku i ka helehelena o ke kanaka kahe ana ke koko.

Hoʻokolohua-blockers

Ua ka hopena ma luna o nā receptors i loko o ka pā pōhaku o na moku koko, ka meheu o ia i ka Kal. E like me ka hopena, e hoʻopau nō ia i emi ka oxygen, a emi mai i ka nele o ke koko, i ka mea hou coronary arteries mea he nui loa hookipa. 'O kēia kekahi o ka loa, he pono ole ai' i loko o ischemic naʻau maʻi. Lapaʻau, mahele lāʻau koho, a pili ai 'hilinai ma ka olelo. Aia nō e wae a me ka 'ole-e wae Hoʻokolohua-blockers. smoothly kekahi o ia hana aku, oiai kekahi poe - he iki tougher, akā, he piha aupuni contraindication o ke alo o ke ahonui o ka mōʻaukala o bronchial asthma 'ole' ē aʻe obstructive akemāmā maʻi. Mawaena o ka loa, he pono ole ai '- "Biprolol", "lama", "Carvedilol".

statins

Kauka ke lilo aku i ka puu o ka pono ka 'Oihana no ka iapaau ana o ka CHD. Hoomakaukau ka hoʻomaikaʻi, ulu hou hoʻokokoke mai, lawe mai noiʻi i loko o nā kumu o ka maʻi. I kekahi o kēia mau mea kū hoʻokahi, ke hoʻokokoke mai nei ka hopena ma luna o ka precipitating kumumea, o dyslipidaemia a imbalance o ke koko bipi kūpaluʻia. Ua Ua ho'āʻo ai i ka ka ho'ēmiʻana o ka naʻokoko hiki aku ai i ke kua'āina o ho okumu ana o atherosclerosis. A me keia mea i ka papa kuhikuhiE kumu o coronary naʻau maʻi. Symptoms, lapaʻau, ai '- a pau i kēia i mua hōʻike' a me ka ulu, ia mea e pono ai wale nō ia e hiki ke lawe ka lanakila o ka loaʻa 'ike no ka pomaikai o ka hoʻomanawanui. Ano he kumu hoʻohālike o ka hoʻokō laau hiki e "Lovastatin," "Atorvastatin", "Simvastatin" a me na mea e ae.

nitrates

I ka hana o kēia mau ai 'o kekahi o ka PalekanaEND_LINK hiʻona e kōkua e hoʻokūpaʻa i ke alo o ka maʻi. Akā, ka mea, ua pono i kekahi hapa o ka? Ia? Aiiu, i ua komo i loko o ka iapaau ana o coronary artery maʻi. Ai 'a me ka hoomakaukau i koho pono? Ee mahele lāʻau, dosing alapine (frequency). Ka mea, he aha ka mea i ka pahee Muscle i loko o ka ipu pa. Ko iala mau nāʻiʻo hoomahuahua i ke anawaena o ka lumen, pela mahuahua ai ka helu o ka mea e hoʻopā ai koko. Ua kōkua e höʻike aku ischemia a me ka eha hoouka. Akā, Eia naʻe, i ka nitrates hiki ole ole kūkulu i ka naau hoouka i loko o ka global pono, a 'aʻole e hoonui i ke ola expectancy, no laila, lawe mau ai' ua paipaiʻia wale nō ka manawa e hoouka ( "Dinisorb", "Izoket"), a ma luna o ka paʻa 'aelike, e kekahi mea koho .

anticoagulants

Inā, kaawale mai angina i loko o ka hoomanawanui aia mea he pilikia o thrombotic hanana, i kauoha mai ai i kēia mau ai 'no coronary naau maʻi. Nā symptoms a me ka lapaʻau hoomakaukau hilinaʻi ma luna paha o ka predominant paha ano e kuhikihi ana i ka pathological kaʻina. Kekahi o ka loa hanohano hana i loko o kēia moʻo ka "Heparin". Ua Ua lawelawe i loko o ka nui hookahi mahele lāʻau no ka huʻi myocardial infarction, a laila, i loko o kekahi mau lā kākoʻo pae i loko o ke koko wai koko. He mea pono e akahele kanaka hoʻoponopono i ke koko clotting manawa.

diuretics

Hoomakaukau no ka iapaau ana o coronary artery maʻi i ole pathogenic wale akā, i symptomatic. Ka mea, he aha ka mea i ka loulou e like me hypertension. Inā mākou e hoomahuahua i ka nui o ka wai a mea e hoola i ke kino, he mea hiki ke artificially emi ka puʻe i ka maʻamau cia, a me ka hoʻopau i ka make māinoino o ka reinfarction. Akā, mai hana ia kekahi e hoʻokēʻai ai, no laila, i ole, e hoonaukiuki aku i kekahi'opi. He nui na ano o kēia mau ai ', ke kaumaha ma muli ka aoao o ka loop o Henle (nephron Hoʻohana) loli. A akamai Kauka, e koho i ka pono lapaau i loko o keia kulana. One a 'aʻole i exacerbate i ka hoʻomanawanui ka kulana. E hoʻokaʻaʻike ola!