Kwiininzi zezigulane ezine- angina , iimpawu zabo zibangelwa yi- coronary artery disease (CAD) , apho i- platex ye- atherosclerotic iyanqanda ngokukhawuleza i- coronary artery . Kule meko, uvavanyo loxinzelelo luya kubonisa ubungqina bento edibeneyo kwiyodwa okanye ngaphezulu kweempawu ze-coronary, kwaye i- coronary angiography ngokuqhelekileyo iya kubonakala ngokucacileyo inani kunye nendawo yokukhutshwa okanye ukuphazamiseka.
Enyanisweni, i-angina idityaniswe kakhulu kunye neCAD eqhelekileyo kwiingcinga ezininzi zezigulane kunye noogqirha abaninzi, ukuba izigulane ezibonakalayo nge-angina ezinokuthi "ziqhelekileyo" zivame ukuxelwa, ngokuqinisekileyo, ukuba intlungu yesifuba sayo ingenxa yento enye ngaphezu kwe-angina. Kwaye, ininzi yeemeko ezingekho yimizimba ingavelisa umonakalo wesifuba .
Ngamanye amaxesha, nangona kunjalo, i-angina yinyaniso ingenzeka ngokungabikho kweCAD. Ngamanye amaxesha izigulane ezitholakalayo nge-angina kunye nemibhobho ye-coronary ebonakalayo "ngokuqhelekileyo" inenxaki yesifo efuna ukuba ifunyanwe kwaye iphathwe.
Uninzi lweemeko zengqondo kunye nezokwelapha zingenza ukuba i-angina ibe ne-atherosclerotic plaques ezivelisa i-blockages kwi-artery corteries. Eminye yale miqathango ngokwenene iquka iirriyari ze-coronary, ngelixa abanye bengenzi.
Iimeko ezibandakanya iiArrionic Arteries
Kukho iingxaki ezine ezineengxaki ze-coronary arteries ezingabangela i-carchemac ischemia kunye ne-angina ngaphandle kokuvelisa izibhengezo ezingabonwa kwi-angiography.
Yonke le miqathango ibonakala ngokubanzi kubasetyhini, nangona ngamanye amaxesha kuvela kumadoda.
Ngaphezu koko, zonke ezine zimiqathango zimele ziqaphele ugqirha (kunye nesigulane) ukuba iimpawu zesigulane ziyinyani ngokwenyama nangona zikhona "eziqhelekileyo" zengqondo kwaye zifanele zikhokelela ekuphononongeni okuqhubekayo kwaye ekugqibeleni zifumane unyango olufanelekileyo.
- I-angi ye-Prinzmetal : i-spasm eqhelekileyo yeerterotic coronary.
- I-Cardiac Syndrome X (CSX) : imeko echaphazelekayo emithambo ye-coronary engakwazi ukuboniswa kwi-coronary artery angiogram.
- Umzekelo wesifazana I-CAD : uhlobo olungafanelekanga lwe-CAT atherosclerotic ebonwa ikakhulukazi kwabasetyhini.
- I-coronary artery erosions : isilonda esiswini sesilonda kwimithambo ye-coronary esilandelayo ukuba ingabonakali kwi-angiography, kodwa engakhokelela kwi -coronary syndrome .
Ngokukodwa ukuba ungumfazi, ukuba unempawu ezinamandla kakhulu ezichasayo nge-angina, kodwa unikwe "i-bills ecocekileyo yentliziyo" emva kwesiganeko "esivamile", kufuneka uqiniseke ukuba ugqirha wakho uye waqwalasela ngenyameko nganye imiqathango emine ngaphambi kokubiza ukuba uphilile.
Iimeko azibandakanyi ngokuthe ngqo kwii-Aron Coronary Arteries
Ngamanye amaxesha i-angina iyakwenzeka xa iinxalenye zeentliziyo ze-muscle zifumani i-oksijeni eyaneleyo nangona iingcingo zomzimba ziqhelekileyo. Imiqathango ekwazi ukuvelisa i-angina ngaphandle kwe-coronary artery disease iquka:
- Uxinzelelo oluphantsi kakhulu lwegazi, njengoko lunokubakhoxeka ngenxa yokuqhwala
- Inemia ephezulu
- Ukuzikhandla ngamandla
- Uxinzelelo lwengqondo olukhulu (njengengqondo ephukileyo yegazi )
- I- hyperthyroidism
- Tachycardia eqinisekisiwe
- Ingcinezelo enkulu
- I-ventricular hypertrophy
Ngokuqhelekileyo, le miba ivela kwizigulane ezigula kakhulu, kwaye i-angina idla ngokuba enye yeempawu zeempawu. Ngoko oogqirha abanakekele ezi zi gulane abanakho ukukhokelwa kwingqiqo yobuxoki bokungabikho kweCAD kwiklasi.
Imithombo:
> Fihn SD, Gardin JM, Abrams J, et al. I-ACCF / AHA / ACP / AATS / PCNA / SCAI / I-ATS / PCN / SCAI / i-STS isikhokelo sokuxilongwa kunye nokulawulwa kwezigulane ezinezifo zesimo senhliziyo esisisigxina: isishwankathelo esiphetheyo: ingxelo ye-American College of Cardiology Foundation / i-American Heart Association iqela elikhokelayo, kunye ne-American College of Physicians, i-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Association, i-Society for Cardiovascular Angiography kunye neNongenelelo, kunye noMbutho weeNgcali zeTriracic. Ukuhamba ngo-2012; 126: 3097.
Mosca, L, Manson, JE, Sutherland, SE, et al. Isifo se-Cardiovascular disease kwizibhinqa: isitatimenti seengcali zonyango kwi-American Heart Association. Iqela lo kubhala. Uhambo luka-1997; 96: 2468.