Muchizhinji chevarwere vane angina , zviratidzo zvavo zvinokonzerwa nehutachiona hwehutachiona hwehutachiona (CAD) , iyo iyo atherosclerotic plaque inodzivisa chikamu chegononi . Mune zviitiko izvi, kuedza kwepfungwa kunogona kuratidza uchapupu hwekuvharika kwe discrete mune imwe kana kuti yakawanda yemakironary arteri, uye coronary angiography kazhinji ichava nyore kuziva nhamba uye nzvimbo yekudzivirira kana kuvhiringidzika.
Zvechokwadi, angina yakanyanyobatanidzwa neCAD yakafanana mune pfungwa dzevarwere vazhinji uye vanachiremba vazhinji, kuti varwere vane pachena angina vane "maitiro" anowanzowanziviswa, pasina mubvunzo, kuti chifukidzo chechipfuva chavo chinokonzerwa nechimwe chinhu kupfuura angina. Uye zvechokwadi, zvimwe zvisiri mamiriro emwoyo zvinogona kubudisa kusagadzikana kwechifuva .
Dzimwe nguva, kunyange zvakadaro, angina yechokwadi inogona kuitika musipo kweCAD yakafanana. Dzimwe nguva varwere vari kutarisa angina pamwe ne "inowanzo" maronary artery zvechokwadi vane dambudziko remwoyo rinoda kuongororwa uye kurapwa.
Mwoyo mutsva uye hutano hunogona kukonzera angina kunyange pasina atherosclerotic plaques iri kubudisa discrete blockages mu coronary arteries. Mimwe yemamiriro aya echokwadi anosanganisira maronary coronary, asi vamwe havaiti.
Mitemo Inobatanidza Coronary Arteries
Pane zvipingamupinyi zvina zvinokonzerwa nemakironi anonzi coronary anokwanisa kukonzera moyo ischemia uye angina asina kubvisa mabheji anokwanisa kuonekwa pane angiography.
Zvose izvi zvinowanzoonekwa kune vakadzi, kunyange dzimwe nguva zvinowanikwa mune varume.
Uyezve, zvose zviri zvina zvezviitiko izvi zvine zvinhu zvinofanirwa kuchenjesa chiremba (uye murwere) kuti zviratidzo zvevarwere ndezvemwoyo mukati mezvisikwa zvisinei ne "zvinowanzo" mazwi uye zvinofanira kutungamirira kuongororwa uye pakupedzisira kugadzirisa kurapa.
- Prinzmetal's angina : tsvina yakaipa yeerononic artery.
- Cardiac Syndrome X (CSX) : chiitiko chinosanganisira mabhaibheri emakoronary asingagoni kuonekwa pane chirongwa cheyoronic angiogram.
- Mukadzi-chimiro CAD : chimiro chisingazivikanwi cheAristrosclerotic CAD inoonekwa zvikurukuru kuvakadzi.
- Koni yeCononary erosions : chironda-sechilonda mumaketari emakoronary anotevera kusingagoni kuona pane angiography, asi izvo zvinogona kutungamirira kuhutachiona hwechironary .
Kunyanya kana iwe uri mukadzi, kana iwe uine zviratidzo zvakanyanyisa kukurudzira angina, asi iwe wakapiwa "mushumo wakachena wehutano hwepfungwa" mushure me "chimiro" chenguva dzose, unofanirwa kuva nechokwadi chokuti chiremba wako akanyatsocherechedza chimwe nechimwe chezvi mamiriro mana asati ataura kuti une hutano.
Mamiriro Ezviri Hasi Kubatanidza Zvakananga neCoronary Arteries
Dzimwe nguva angina inogona kuitika kana zvikamu zvemuviri wemutsipa zvisingatore okisijeni yakakwana kunyange zvazvo mishonga yegononi yakakwana. Mamiriro ezvinhu anokwanisa kubudisa angina pasina coronary artery matenda anosanganisira:
- Kunyanya kuderera kweropa, sezvinogona kuitika mukutyisidzika nekuda kwekushaya ropa
- Yakakura anemia
- Kuedza nesimba zvakanyanya
- Kunyanya kufunganya kwepfungwa ( sekuputsika kwemwoyo syndrome )
- Kunyanya hyperthyroidism
- Tachycardia yakatsigirwa
- Kunyanya kunetseka
- Kuwedzera ventricular hypertrophy
Muzhinji, izvi zvinowanika kune varwere vanorwara zvikuru, uye angina inowanzova imwe chete yezviratidzo zvezviratidzo. Saka vanachiremba vanotarisira varwere ava havangagoni kutungamirirwa munhema yekusava nehanya nekusavapo kweCAD yakawanda.
Sources:
> Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS nhungamiro yehutano uye hutano hwevarwere vane hutano hwakasimba hwechirwere chepfungwa: shanho huru: mushumo weAmerican College of Cardiology Foundation / American Heart Association basa rekuita mitemo, uye American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, uye Society of Thoracic Surgeons. Circulation 2012; 126: 3097.
Mosca, L, Manson, JE, Sutherland, SE, et al. Chirwere chemwoyo muvakadzi: chirevo chevashandi vezvehutano kubva kuAmerican Heart Association. Gwaro Rokunyora. Circulation 1997; 96: 2468.