M jijiyoyin zuciya ciwo.

M jijiyoyin zuciya ciwo - wani hadadden pathophysiological halayen. A cuta ya hada da m tsokar zuciya infarction (duka a general kuma a cikin akwati na musamman siffofin - tare da ko ba tare da wani dagawa dagawa ST kashi) da kuma m angina.

Saboda haka, zamu iya cewa da m jijiyoyin zuciya ciwo, da definition abin da aka bai sama, ba kawai wata cuta ba sai dai wani hadadden ra'ayi cewa kawo tare da wani m kungiyar na cututtukan zuciya da hankula manifestations shi (ciwon zuciya da kuma angina).

Symptomatology ACS ne fãce da bayyanar cututtuka da wannan musamman cuta. Wannan shi ne, domin shi ne halin da dukkan siffofin da tamkar cuta. Duk da haka, akwai wasu na kowa bayyanar cututtuka da cewa faruwa mafi m cututtuka na zuciya da jijiyoyin jini tsarin. Daga cikin wadannan manifestations manyan matsayi a matsayin aukuwar, kuma a cikin ikon bayyana, yana daukan zafi. M jijiyoyin zuciya ciwo ne yawanci bayyana karfi caka, yankan ko kona zafi a baya da breastbone a yankin na zuciya. Bad zafi kuranye ta nitroglycerin ko liyafar kusan docked. Yawanci, da zafi hari daukan kan tsawon fiye da 15 minutes. Don mutane da angina halin rashin jituwa cuta (kayan haɓɓaka aiki na jin zafi, kazalika da kara tsawon, rashin mayar da martani ga aikace-aikace na nitroglycerin). Mutane ashirin da biyar - shekara arba'in, kazalika a cikin tsofaffi (girmi shekara saba'in) iya samun atypical sarrafawa na zafi - pleural, epigastric da sauransu. Lokaci-lokaci lura m siffofin da ya bayyana m shortness na numfashi, cuta daga cikin gastrointestinal fili.

M jijiyoyin zuciya ciwo za a iya gano a lokacin da wadannan bincike hanyoyin:

- jiki da jarrabawa (ie, tarihin shan da jarrabawa na haƙuri, hali palpation, feat. Irfan da kuma sauran abubuwan da suka faru)

- rikodi na electrocardiogram tabbatar cardiac Pathology da kuma wariya da sauran cututtuka (ga ECG saukar halayyar fasali na zuciya tsoka nama ischemia - dagawa «ST» ko "T" a kan isoline)

- ganewa na biochemical alamomi na cardiac tsoka lalacewa - troponin da tropomyosin, kazalika da tabbatar da dalilin da ya karu da matakan creatine phosphokinase MB kuma myoglobin kasarun adadi.

- kisan magudi echocardiography, sakamakon wanda ke yanke hukunci a kan aikin cuta daga cikin zuciya (da matakin na take hakki na systolic aiki na zuciya)

Bayan na asali bincike, m jijiyoyin zuciya ciwo za a iya tabbatar da yin ƙarin, na ɓangare na uku hanyoyin kamar jijiyoyin zuciya angiography da Holter monitoring. Jijiyoyin zuciya angiography aka yi don tabbatar da Pathology na jijiyoyin bugun gini gado a tsoka nama na zuciya. Holter monitoring da ake amfani da ganewa na m (short-rayu da kuma m) disturbances a cikin zuciya, ta hanyar ECG rikodi a yayin da daya, ko kwanaki da dama. Mafi sau da yawa ta hanyar wannan hanyar saukar dõgẽwa disturbances na zuciya launi - arrhythmia.

The kama daga cututtuka, da kuma wasu matsaloli a aiwatar da fassarar jiki da kuma dakin gwaje-gwaje nazarin haifar da abubuwan da ake bukata don wani a cikin zurfin bincike na bambanci ganewar asali.

Irin wannan ganewar asali m jijiyoyin zuciya ciwo da aka za'ayi na huhu embolism, pericarditis, aortic aneurysm (musamman, a cikin exfoliating), hypothyroidism da myocarditis dauke da kwayar cutar etiology.

M jijiyoyin zuciya ciwo. Jiyya wannan yanayin ne da za'ayi, zai fi dacewa ta amfani da nitroglycerin (fadada jijiyoyin bugun gini nama a cikin zuciya tsoka), asfirin (tare da manufar rage da jini thinners rabo ischemia), B-blockers (atenolol, metoprolol). Bugu da kari, antihypertensive far yi jini a high rates.