Syndrome Acute ivaleke.

Acute syndrome coronary - a abasabela ezintsonkothileyo pathophysiological. Isifo ibandakanya yondele iposi engabalulekanga (kokubini ngokubanzi kwaye kwimeko iifomu ethile - kunye okanye ngaphandle emcela ephakamisa ST ingxenye) kunye angina ezingazinzanga.

Ngenxa yoko, nathi sithi ukuba syndrome etsolo coronary, inkcazelo leyo ezinikelwe ngentla, ayikho nje isifo kodwa yingcamango entsonkothileyo ezisa ndawonye iqela ngokubanzi isifo sentliziyo kunye ekubonakalisweni imifuziselo kuyo (isifo sentliziyo kunye angina).

Symptomatology ACS namnye ngaphandle iimpawu zesi sifo ethile. Oko kukuthi, kuba zibandakanya zonke iinkalo sifo ngxabano. Nangona kunjalo, kukho ezinye iimpawu ezifanayo zenzeka izifo ezininzi zale nkqubo sentliziyo. Phakathi kwezi mpawu ehamba isikhundla njengoko nezihlandlo ukwenzeka, yaye amandla ukubonakaliswa, kuthatha intlungu. Acute coronary syndrome idla wabonakalaliswa Ngokuhlatywa nkqi, ukusika okanye ukutshisa intlungu emva breastbone kummandla kwentliziyo. ubuhlungu Bad ethathelwa yi nitroglycerin okanye ulwamkelo phantse ebekwe. Ngokuqhelekileyo, ukuhlaselwa iintlungu kuthatha kubude ngaphezu kwemizuzu eli-15. Kuba abantu angina ebonakala sisifo destabilization (nokwandiswa iintlungu, ngokunjalo kwandiswa ubude bawo, ukungabikho Ukuphendula isicelo nitroglycerin). Abantu amabini anesihlanu - iminyaka emashumi mane, kwakunye kule abadala (kweminyaka engama-asixhenxe) sinokufumana kwasendaweni Nedlac intlungu - pleural, epigastric kunye nabanye. Ngamanye amaxesha waphawula Iifom yalula ukuba kuvela ukuphelelwa ngqiqweni ngumphefumlo, ukuphazamiseka iphecana zesisu.

Acute coronary syndrome kungabonwa ngexesha iinkqubo zokuxilonga zilandelayo:

- nokuxilongwa kwemizimba (okt, imbali ukuthatha kunye noviwo yomguli, ihambo Ngokucofa, zibuphekhashini, kunye nezinye iziganeko)

- nokurekhodwa electrocardiogram ukuqinisekisa ngezifo ezesifuba ngaphandle nezinye izifo (ukuba ECG yatyhila iinkalo uphawu intliziyo izihlunu zomzimba ischemia - ephakamisa «ST» okanye "T" phezu isoline)

- ukuchongwa markers kwemichiza umonakalo imisipha intliziyo - troponin kunye tropomyosin, kwakunye nokumiselwa yokwanda kwamanqanaba creatine phosphokinase MB namaqhezu myoglobin.

- uphumezo yokuntlokothiswa echocardiography, iziphumo ezo ugwetywa ukuphazamiseka komsebenzi wentliziyo (umgangatho kwephulwa umsebenzi iSystolic intliziyo)

Ngaphandle uphando basic, etsolo coronary syndrome zingangqinwa kwaye enza ezongezelelweyo iindlela zomntu, wesithathu ezifana angiography coronary esweni Holter. angiography Uqhaqho yenzelwa ukuqinisekisa ngezifo yesingqengqelo nemithambo xa izihlunu zomzimba kwentliziyo. esweni Holter isetyenziselwa ekufumanekeni ahlekise neziphithiphithi (mifutshane, bazigqwethele) entliziyweni esebenzisa ECG ukurekhoda ngethuba leentsuku enye okanye eziliqela. Kaninzi ngokusebenzisa le ndlela kutyhilwa ukuphazamiseka otshintsho isingqi intliziyo - arrhythmia.

Ukufana kweempawu, yaye ezinye iingxaki ekuphunyezweni kunye nokutolikwa izifundo ngokwasemzimbeni kunye elebhu ukudala ezona zinto zifuneka kuqala ukuze olunzulu sifundo loxilongo umahluko.

Loo unesifo ahlekise coronary syndrome lwaqhutywa Embolism yemiphunga, pericarditis, kwemithambo aortic (ngakumbi, xa exfoliating wayo), hypothyroidism kunye myocarditis umyalezo esosulelayo.

syndrome Acute ivaleke. Unyango yale meko ikhutshwa phandle, ekukhethwa ukuba usebenzisa nitroglycerin (ukwandisa inyama nemithambo kwi imisipha yenhliziyo), aspirin (kunye ngeenjongo zokunciphisa negazi ithinasi isabelo ischemia), B-blocker (atenolol, metoprolol). Ukongeza, unyango umfutho wenza uxinzelelo lwegazi kumazinga aphezulu.