Stenocardia yog cov kev soj ntsuam mob plab uas tsim muaj qhov tsis muaj peev xwm ntawm kev mob ntawm coronary cov ntshav kom muab cov tshuaj txiav lub cev ua kua nrog cov as-ham rau qhov yuav tsum tau txhaj. Muaj kev ruaj ntseg thiab tsis ruaj tsis khov. Mob ruaj khov siab mob lub cev yog qhov tshwm sim los ntawm kev ruaj ntseg ntawm kev ntsuam xyuas pom mob - mob siab heev uas tshwm sim nrog cov ntes ntawm ib theem rau tsawg kawg peb lub hlis.
Ua rau cov Stable Angina
Lub ntsiab ntawm cov pathology yog qhov atherosclerotic qhov mob ntawm cov hlab ntsha plawv, ua rau lawv loj heev stenosis. Cov yam yuav raug:
- arterial hypertension;
- ntshav qab zib mellitus;
- rog ;
- haus luam yeeb;
- hypodynamia;
- ntxov ntxov lawm;
- siv ntev ntawm kev siv tshuaj tiv thaiv kab mob hauv qhov ncauj.
Cov tsos mob ntawm Stable Angina
Cov kev muaj mob ntawm tus mob angina tshwm sim thaum tab tom taug kev, qee lub cev nqaij tawv los sis lub siab ntsws muaj zog. Cov yam ntxwv ntawm cov nram qab no tshwm sim:
- kub nyhiab, compression qab lub plab;
- mob hauv siab ntawm kev tawg, hlawv lossis nias qhov xwm txheej uas tuaj yeem ua rau lub caj dab, xub pwg, rov qab, thaj chaw epigastric;
- ua tsis taus pa , tsis muaj peev xwm ua pa puv nkaus;
- tawm hws, ua npaws;
- xeev siab, ntuav;
- tsis meej pem ntawm kev xav.
Raws li txoj cai, thaum lub sij hawm nres, ntshav siab nce, lub plawv dhia nce. Maj mam nce, qhov kev nres ntawm tus mob angina yuav nyob ntev li ntawm 1 mus rau 15 feeb thiab tso tawm tom qab tshem qhov ntsaws los yog noj nitroglycerin. Yog hais tias tus kab mob ua rau ntau tshaj 15 feeb, nws yog ib qho ua tau kom phais nws mus rau hauv ib qho kev sib kis ntawm tus mob myocardial.
Kev kuaj ntawm Stable Angina
Ntawm cov lus qhia ntawm ib qho kev ntsuam xyuas tus kabmob no tuaj yeem tsim los ntawm kev sojntsuam, qhov anamnesis, auscultation thiab electrocardiogram (ECG). Lwm cov xwm txheej, yuav tsum muaj kev tshawb fawb ntxiv:
- txhua hnub kuaj ECG;
- veloergometry;
- kev xeem treadmill;
- kev siv lub dag zog electrosardostimulation;
- echocardiography;
- stress-echocardiography;
- CT coronarography, thiab lwm yam.
Kuaj kev kuaj xyuas muaj xws li kev txiav txim siab ntawm hematocrit, qib qabzib, tag nrho cov roj cholesterol, hemoglobin, thiab lwm yam.
Kev kho mob ntawm Stable Angina
Lub hom phiaj tseem ceeb ntawm kev kho tus mob pathology yog los txhim kho qhov kev sib tw los ntawm kev tiv thaiv kev loj hlob ntawm myocardial infarction thiab kev tuag, nrog rau kev tshem lossis ua rau cov tsos mob. Peb pab pawg ntawm cov tshuaj tau sau tseg: nitrates, b-adrenoblockers thiab qis calcium channel blockers.
Lub ntsiab lus tseem ceeb tsis yog tshuaj noj rau cov kev kho mob ntawm angina pectoris ruaj khov yog:
- tsis kam haus luam yeeb;
- normalization ntawm lub cev ua ub no;
- ua raws li kev noj haus.
Thaum mob hnyav, kev kho mob phais yog tshuaj.