Pachimake inatsekeratu syndrome.

Pachimake inatsekeratu syndrome - kuipidwa zochita pathophysiological. matenda kumaphatikizapo pachimake m'mnyewa wamtima infarction (onse wamba pa nkhani ya mitundu makamaka - kapena opanda zochotsa kukweza cha ku Switzerland gawo) ndi wosakhazikika angina.

Choncho, tingathe kunena kuti pachimake inatsekeratu syndrome, tanthauzo limene anapatsidwa pamwamba, ndi osati matenda koma mfundo zovuta zimene zimabweretsa pamodzi ndi gulu waukulu matenda a mtima ndi mawonetseredwe lililonse (A mtima ndi angina).

ACS symptomatology ndi wina kuposa matenda a imeneyi. Kuti uli, pakuti iwo amakhala ndi mbali zonse za matenda chachikulu. Komabe, pali zizindikiro zina wamba wochitika matenda ambiri pachimake a dongosolo mtima. Pakati pa zinthu izi kutsogolera udindo wake monga pafupipafupi zosayembekezereka, ndi mphamvu ya mawonetseredwe, izo zimatengera ululu. Pachimake inatsekeratu syndrome zambiri amasonyezera amphamvu koopsa, kudula kapena moto ululu kumbuyo breastbone m'dera la mtima. Bad ululu adathandizapo ndi nitroglycerin kapena phwando pafupifupi padokopo. Childs, ululu kuukira amatenga kutalika kwa mphindi 15. Kwa anthu ndi angina yodziwika destabilization matenda (kuwongola ululu ndi kuonjezera nthawi zawo, analephera kuwayankha kugwiritsa ntchito nitroglycerin). Mu anthu makumi asanu - zaka makumi anai, komanso okalamba (zaka zoposa makumi asanu ndi awiri) akhoza kuona atypical kutanthauzira ululu - pleural, epigastric ndi ena. Nthawi anati mawonekedwe sabweretsa chisoni, akuwonetseredwa causeless kufupika kwa mpweya, matenda thirakiti m'mimba.

Pachimake inatsekeratu syndrome angathe kuonedwa pa kutsatira matenda:

- Kupenda thupi (ie, mbiri kutenga Kupenda mtima, khalidwe palpation, percussion ndi zochitika zina)

- chojambulira wa electrocardiogram kuti atsimikizire mtima kudwala chowasiyanitsa ndi matenda ena (kwa ECG anaulula mbali khalidwe la mtima minofu minofu ischemia - kukweza «cha ku Switzerland» kapena "T" pa isoline a)

- chizindikiritso cha zolembera amuzolengedwa a mtima minofu kuwonongeka - tropomyosin ndi troponin ndi kudziwa chinawonjezeka mlingo wa creatine phosphokinase MB ndi myoglobin ting'onoting'ono.

- kuphedwa kwa mpheto echocardiography, zotsatira amene adzaweruzidwa pa matenda zinchito za mtima (mlingo wa kuyan'anila za systolic ntchito kwa mtima)

Kuwonjezera kafukufuku zazikulu, pachimake inatsekeratu syndrome akhoza anatsimikizira ndi kuchita zina, wachitatu njira chipani monga angiography inatsekeratu ndi Holter polojekiti. Inatsekeratu angiography amachitidwa pofuna kutsimikizira kudwala bedi mtima mu minofu minofu ya mtima. Holter polojekiti ntchito kudziwika pachimake chisokonezo (sakhalitsa ndi wosakhazikika) mu mtima mwa ECG kujambula pa tsiku limodzi kapena angapo. Nthawi zambiri mwa njira imeneyi anaulula chisokonezo chosakhalitsa cha mungoli mtima - arrhythmia.

Kufanana kwa zizindikiro ndi mavuto ena mu kukhazikitsa ndi kutanthauzira kwa maphunziro thupi ndi zasayansi kulenga prerequisites kuti ndi kuphunzira mozama matenda masiyanidwe.

Chotero matenda a syndrome pachimake inatsekeratu zinachitikadi embolism m'mapapo mwanga, pericarditis, kung'ambika aneurysm (makamaka pamene ukuchoka), hypothyroidism ndi myocarditis opatsirana etiology.

Pachimake inatsekeratu syndrome. Chithandizo cha chikhalidwe ichi ikuchitika, makamaka pogwiritsa ntchito nitroglycerin (kukuza mtima minofu minofu mtima), ndi aspirin (ndi cholinga kuchepetsa ndi magazi thinners gawo ischemia), B-blockers (atenolol, metoprolol). Komanso, mankhwala antihypertensive anachita magazi pa ziwawa.