Babban nau'in angina, alamomi da yadda za'a magance su

Wadatacce

• Babban nau'in angina
• 1. Stage angina
• 2. M angina
• 3. Prinzmetal angina ko bambance-bambancen
• Yadda ake ganewar asali
• Shin angina tana da magani?

Angina, wanda aka fi sani da angina pectoris, ya yi daidai da jin nauyi, zafi ko matsewa a cikin kirji wanda ke faruwa yayin da aka sami ragin jini a jijiyoyin da ke ɗaukar iskar oxygen zuwa zuciya, kasancewar wannan yanayin da aka sani da ischemia na zuciya.

Mafi yawan lokuta, ischemia na zuciya sakamako ne na atherosclerosis, wanda ke tattare da tarin duwatsun maiko a cikin jijiyoyin jijiyoyin jini, kasancewa mafi yawanci a cikin mutanen da ke da cutar hawan jini, babban cholesterol ko kuma ciwon sukari da aka lalata. Duba menene manyan dalilai 5 na haifar da atherosclerosis.

Magungunan zuciya da, saboda haka, angina, sunfi kowa a cikin mutane sama da shekaru 50 kuma ya kamata a yi musu magani da sauri, saboda suna da haɗari ga ci gaban haɓaka, kamuwa da bugun zuciya da sauran cututtukan zuciya, kamar arrhythmia, bugun zuciya ko bugun jini , misali.

Babban nau'in angina

Akwai nau'ikan angina daban-daban, wanda zai iya bambanta dangane da alamun da aka gabatar, manyan sune:

1. Stage angina

Hakan na faruwa ne ta ischemia na wucin gadi, ma'ana, yakan taso ne yayin da mutum yayi wani kokari ko kuma ya sami wata damuwa ta wani yanayi, misali, tare da ragin jini na wani lokaci da na wani lokaci. Wannan nau'in angina ya fi zama ruwan dare ga mutanen da suka riga suna da wani nau'in cututtukan zuciya na atherosclerosis, wanda zai iya zama mafi muni har ma ya haifar da bugun zuciya.

Babban bayyanar cututtuka: Alamun cutar galibi masu alaƙa da kwanciyar angina sune matsewa ko ƙonewa a yankin kirji, wanda ya ɗauki kimanin minti 5 zuwa 10, kuma wanda zai iya haskakawa zuwa kafaɗa, hannu ko wuya. Kwayar cututtukan yawanci ana haifar da su ta hanyar ƙoƙari ko lokuta na babban motsin rai, da haɓaka tare da hutawa ko tare da magunguna don faɗaɗa jijiyoyin jini da ƙara ƙwanƙwasa jini, kamar Isordil.

Yaya maganin yake: Dangane da kwanciyar hankali na angina, likitan zuciya yawanci yana nuna hutawa kuma, a wasu lokuta, yin amfani da magungunan vasodilator, kamar su Dinitrate ko Isosorbide Mononitrate (Isordil), don inganta haɓakar jini a cikin jijiyar.

Bugu da kari, yana da mahimmanci a sami halaye masu kyau na rayuwa don hana angina sake faruwa kuma, saboda wannan, ana ba da shawarar cewa mutum ya mallaki matsin lamba, cholesterol da glucose na jini, ban da shi yana da mahimmanci a sami abinci mara nauyi a ciki gishiri, mai da sukari.da motsa jiki motsa jiki akai-akai.

2. M angina

Yanayi ne mafi tsanani fiye da kwanciyar hankali na angina, saboda ana haifar da shi ta hanyar katsewar oxygenation na zuciya, saboda fashewa da kumburi na alamar atherosclerosis wanda ke haifar da ƙarin alamomi masu tsanani da ci gaba, ana ɗaukarsu wani nau'in pre-infarction .

Babban bayyanar cututtuka: Babban alamun cutar angina shine ciwo, matsewa ko ƙonawa a yankin kirji wanda ya ɗauki sama da mintuna 20, wanda kuma yana haskakawa zuwa wuraren da ke kusa da shi kuma yana iya kasancewa tare da wasu alamun alamun kamar tashin zuciya, zufa da gajeren numfashi. Lokacin da waɗannan alamun suka bayyana, ya kamata kai tsaye zuwa ɗakin gaggawa. Gano abin da ciwon kirji zai iya zama.

Yaya maganin yake: An riga an yi maganin farko a cikin ɗakin gaggawa, tare da magunguna don hana ɓarkewar bayyanar cututtuka, kamar:

• Magunguna don inganta gudan jini, na nau'in nitrate, kamar Isordil, beta-blockers, kamar Metoprolol, ko calcium channel blockers, kamar Verapamil da Morphine, lokacin da alamomin suka yi zafi sosai;
• Magunguna don rage samuwar jini, tare da yin amfani da magungunan antiplatelet, kamar su AAS da Clopidogrel ko Prasugrel da Ticlopidine, da magungunan kashe jini, kamar Heparin.
• Magungunan antihypertensive na nau'in ACEI, kamar su Captopril, ko kuma masu saukar da lipid don kula da ƙwayar cholesterol, kamar su Atorvastatin.

Bayan jiyya ta farko, likitan zuciyar ya ci gaba da bincika matakin toshewar jijiyoyin jiki da shigar zuciya ta hanyar gwaje-gwaje irin su echocardiography, carint scintigraphy and cardiac catheterization.

Kamar dai yadda yake a cikin angina mai karko, a cikin angina mara kyau kuma yana da mahimmanci don magance abubuwan haɗari, kamar sarrafa matsa lamba, cholesterol, glucose na jini, ban da sarrafa abinci da yin ayyukan motsa jiki, halaye waɗanda ke da mahimmanci don kiyaye lafiyar jijiyoyin zuciya da kuma daga zuciya .

3. Prinzmetal angina ko bambance-bambancen

Wannan nau'in angina ba shi da wata hujja bayyananna kuma yana faruwa ne saboda spasm na jijiyoyin jini, wanda a cikinsa akwai katsewar jini ko da kuwa mutum ba shi da tarin kitse a jijiyar ko wasu nau'ikan kunkuntar.

Babban bayyanar cututtuka: Game da angina na Prinzmetal, za a iya lura da ciwo mai tsanani ko matsewa a kirji, wanda ke faruwa ko da a huta ne kuma a hankali yakan inganta bayan fewan mintoci. Hakanan yawanci bayyana ne yayin bacci ko da sassafe.

Yaya maganin yake: Maganin wannan nau'in angina ana yin sa ne a ƙarƙashin jagorancin likitan zuciya kuma yawanci ana yin sa ne ta hanyar amfani da magungunan nitrate ko kuma masu toshe tashar calcium, kamar Diltiazem da Verapamil, misali.

Yadda ake ganewar asali

A lokacin rikicin, likitan zuciyar ne yake yin binciken angina ta hanyar kimanta alamomi da alamomin da mutum ya gabatar, baya ga kimantawar sakamakon wasu gwaje-gwajen, kamar su electrocardiogram, kirji X-ray da ma'aunin enzymes na zuciya a cikin jini. Baya ga waɗannan, ana iya ba da umarnin wasu gwaje-gwaje don tabbatar da cutar, kamar gwajin motsa jiki, scintigraphy na ƙwaƙwalwa, echocardiography da catheterization na zuciya.

Cardiac catheterization jarrabawa ce mai mahimmanci, saboda, baya ga ƙarin ƙididdigar toshewar hanyoyin jini da tantance kasancewar canje-canje a cikin magudanar jini, yana iya magance dalilin toshewar, ta hanyar angioplasty, tare da dasa wani mai danshi ko amfani da balan-balan don buɗe jijiya. San abin da yake don menene haɗarin haɗarin ƙwaƙwalwar zuciya.

Shin angina tana da magani?

Angina na iya warkewa a cikin mutanen da suka iya magance ischemia na zuciya kamar yadda shawarar likitan zuciya. Yawancin lamura suna da kyau sarrafawa tare da amfani da magunguna wanda likitan zuciya ya tsara, yayin da wasu waɗanda suka fi tsanani suna buƙatar catheterization ko ma aikin tiyata na zuciya.

Wasu shawarwari masu amfani don magance angina daidai sun haɗa da:

• Theauki magungunan da likita ya tsara;
• Dakatar da shan taba;
• Dauki lafiyayyen abinci;
• Motsa jiki a kai a kai (a ƙarƙashin jagorancin masu sana'a);
• Guji yawan cin abinci da giya;
• Guji gishiri da maganin kafeyin;
• Ci gaba da matsa lamba a ƙarƙashin iko;
• Guji damuwa;
• Guji yanayin zafi mai tsananin zafi ko sanyi, saboda suma suna iya haifar da harin angina.

Tare da wadannan halaye, ban da maganin angina, kuma zai yuwu a hana tsanantawa ko bayyanar sabbin duwatsu masu kiba a jijiyoyin jijiyoyin jini.