Sibi syndrome senhliziyo.

Sibi syndrome senhliziyo - a ukusabela eziyinkimbinkimbi pathophysiological. Lesi sifo kuhlanganisa acute isilethikusebenza (kokubili jikelele futhi esimweni amafomu ikakhulukazi - noma ngaphandle ephakamisa ephakamisa ST ingxenye) futhi angina engazinzile.

Ngakho, singasho ukuthi lesi sifo acute yenhliziyo, kwencazelo enganikwa ngenhla, akuyona nje isifo kodwa umqondo eziyinkimbinkimbi okuletha ndawonye iqembu ezibanzi izifo zenhliziyo nemithambo yegazi kanye ukubonakaliswa ejwayelekile ngakho (ukuhlaselwa isifo senhliziyo futhi angina).

Symptomatology ACS Kayisilutho ngaphandle izimpawu zalesi sifo ethile. Okungukuthi, it libhekene zonke izici sifo ecashile. Nokho, zikhona ezinye zezimpawu ezivamile ezenzeka izifo sibi kakhulu uhlelo senhliziyo nemithambo yegazi. Phakathi lokhu kubonakaliswa ehola isikhundla njengoba imvamisa nesenzakalo, futhi amandla ukubonakaliswa, kuthatha ubuhlungu. Sibi syndrome senhliziyo ngokuvamile wabonakaliswa ngokugwaza eqinile, ukusika noma evutha ubuhlungu ngemuva breastbone esifundeni inhliziyo. ubuhlungu Bad gidi ngu nitroglycerin noma reception cishe iboshiwe. Ngokuvamile, ukuhlaselwa ubuhlungu livele ubude imizuzu engaphezu kuka-15. Kubantu abanalesi angina libhekene destabilization isifo (nekusita ubuhlungu, kanye okwandisa ubude bawo, ukuwaphendula nesicelo nitroglycerin). Abantu amabili nanhlanu - iminyaka engamashumi amane, kanye nasebekhulile (abaneminyaka engaphezu kuka ayisikhombisa) bangezwa kwasendaweni atypical zobuhlungu - pleural, epigastric nabanye. Ngezikhathi ezithile waphawula amafomu kobuhlungu evelayo kufushane engafanele umoya, ukuphazamiseka pheshana emathunjini.

Sibi syndrome senhliziyo kungatholakala phakathi nezinqubo ezilandelayo zokuxilonga:

- behlolwa (ie, umlando ethatha ukuhlola isiguli, ukuziphatha palpation, eshaywayo kanye nezinye izenzakalo)

- okuqoshiwe electrocardiogram ukuqinisekisa zokugula inhliziyo nokukhipha inyumbazane ezinye izifo (I-ECG lwembula izici sici ischemia senhliziyo esilimele izicubu - ephakamisa «ST» noma "T" phezu isoline)

- ukuhlonza izimpawu kwamakhemikhali umonakalo imisipha inhliziyo - troponin futhi tropomyosin, kanye nokuzimisela amazinga anda creatine phosphokinase MB futhi myoglobin izingxenyana zaso.

- ukukhishwa zokukhwabanisa echocardiography, imiphumela zazo bahlulelwe iziyaluyalu ukusebenza inhliziyo (ezingeni ukwephulwa umsebenzi systolic wenhliziyo)

Ngaphandle ucwaningo eziyisisekelo, sibi syndrome senhliziyo kungaqinisekiswa nokwenza okwengeziwe, izindlela wesithathu ezifana angiography yenhliziyo kanye nokuqapha Holter. angiography coronary wenziwa ukuqinisekisa zokugula embhedeni semithambo ezicutshini izicubu zenhliziyo. ukuqapha Holter osetshenziselwa ukuthola acute thuthuva (esifushane futhi engazinzile) enhliziyweni esebenzisa ECG ukuqopha phakathi eyodwa noma ezimbalwa izinsuku. Iningi ngokuvamile esebenzisa le ndlela wembula thuthuva lezivakashi kwenhliziyo isigqi - arrhythmia.

Inkulumo efanayo izimpawu, kanye nobunzima in ukuqaliswa kanye nencazelo izifundo ngokomzimba futhi laboratory ukudala izimfanelo i nesifundo esinzulu ukuxilongwa umehluko.

kokutshelwa ngokukhubazeka kwengane of sibi syndrome senhliziyo kwenziwa embolism yamaphaphu, pericarditis, isifo sokuvuvukala kwemithambo yomthambo i-aorta (ngokukhethekile, e exfoliating yayo), i-hypothyroidism ne myocarditis omsakazo ezithathelwanayo.

Sibi syndrome senhliziyo. Ukwelashwa nokuvikelwa kulesi simo Kwenziwa, mhlawumbe usebenzisa nitroglycerin (ukuze sandise izicubu semithambo e imisipha yenhliziyo), ama-aspirin (nge ngenhloso ukwehlisa futhi igazi thinners ingxenye ischemia), B-blocker (atenolol, metoprolol). Ngaphezu kwalokho, indlela yokwelapha antihypertensive wenziwa blood pressure ngamanani aphezulu.