I ka moolelo o ka CHD maʻi, symptoms a me ke ano o kona papa

Ma hope o ka naau i ka lolo o ka nui loa hui, i loko o ke kanaka kino. Ka naau He kuleana no ka nui oihana o nā nenoai a me nā loko, no laila, i kekahi o ko lākou lawa ponoʻole hana hana hou ke kanana nei ma keia e pōʻino hui,. Ischemic mai o ka naau - ia mea he maʻi maʻi, kena ae la ia e lawa oxygen ma na lako o ka coronary arteries i ka naau Muscle. Mōʻaukala o coronary artery maʻi o ka hou maʻi coronary patency ku i ka atherosclerosis. Ua hiki e maʻi a me ka huʻi papa, hoikeia mai i loko o ka naʻau maʻi e like cardiac arrhythmias, myocardial infarction, angina a me ka manawa e make.

Ma kino ai 'ole ka noʻonoʻo' exertion, e like me ka minute o kiʻekiʻe ke koko, ka wā o ka naʻau i ka hoao ana i ka hoʻokāʻoi 'haawe pono nui o oxygen hokii, myocardial ischemia ia lŘlŘ. Ke hoomanawanui i loko o kēia mau minute haha hana kaumaha, constrictingʻeha i loko o ka pahu, i ka wahi ana i ka hema. Angina ana hele koke ma hope o ka pono o ka nitroglycerin. Inā ia o ka mōʻaukala o ka CHD maʻi me ka huʻi exacerbation o ka angina ua hoopanee no ka oi ma mua o ka hora - aia mea he nui hoʻoweliweli 'ana i ke ola.

Ke kaumaha ma muli o ka degere o ka o oxygen deficiency o ka naau, kona kumu a me ka lōʻihi like 'ole, ma laila i kekahi mau ano o cardiac ischemia:

- Asymptomatic ischemia hele unnoticed no ke ahonui a me ke kumu i hoopii mai ia ia.

- Ma physical 'ole inā pilikia ka haumāna stress, me ka pinepine hoikeana o ka pokole o ka hanu, a me kaʻeha i loko o ka pahu, e hoʻomōhala ana i ka maʻi' inikua mōʻaukala o ka CHD - angina.

- No ka lolelua ka angina nā kekahi angina, no ka oi o ka mana o kekahi palapala ho'āhewa wale, pu ma ka hou symptoms. Oia ho'āhewa wale he höʻike läkou o complications o ka maʻi, aʻo ka mua harbingers o myocardial infarction.

- A ano hiʻona o arrhythmic ano o cardiac ischemia mea he 'aʻe' ana o kona pāpana, hoikeia ma atrial fibrillation.

- Myocardial infarction - he hapa ka make ana o ka naau Muscle. Ma ka hapanui o na hihia, ka maʻi mōʻaukala o coronary artery maʻi, e alakai i ka myocardial infarction, he no ka haki ana o plaque mai ke Keena Kalaiaina paia o ka coronary artery a me ka hanana o ka thrombus overlying arterial patency.

- Ka ulia make ana o ka naau, i hoike ia ma kona abrupt poe oopa ia mea i ka hopena o ka lako hou i oi aku ka li o ke koko i kona mau nāʻiʻo i ka hopena o ka piha occlusion o na arteries nui.

Kela ano keia ano o ka pele ischemia hiki ke hui a ololi i ka hou papa o ka maʻi. No ka laʻana, he mōʻaukala o ka maʻi coronary naau maʻi - angina, pinepine pu ma ka arrhythmia, a laila, huli i loko o ka myocardial infarction, a no laila, ma luna, mai a hiki i ka makeʻana. A maloo aku hapa o ka naau Muscle ke'ākoʻakoʻa ma kekahi kahua o ka maʻi, i mea eha hoailona ia mea:

- Asymptomatic ke kahua ia lŘlŘ ma ka palapala moʻopane o ka naʻokoko ma ka artery paia.

- ke kahua o ka hoailona mua i olelo ia ma ke kiekie puʻe, he maʻiʻo kiʻekiʻe o ke kō a me ka naʻokoko. Ma kēia wā mawaena o ka maʻi naʻokoko plaques e uhi mai i ka 50% o ka arterial patency.

- History o coronary artery maʻi maʻi wehewehe aku ma ka mahuahua o symptoms, hoikeia ma pinepine pokole o ka hanu, ole naʻau hope, a compressive eha ma ke kua o ka breastbone. Ma keia manawa, ultrasound o ka naau hōʻike he mahuahua ma ka naau cavities a me thinning o ka naau Muscle.

- Ka hopeʻanuʻu Ua hoike ia ma ka lōʻihi naau e hemahema, kiʻekiʻe ke koko,, keʻano o ka edema, atrial fibrillation, a me kaʻoi mea hōʻemi i kuleana pili i ka naau. Umauma eha ma keia ke kahua akaka ma ka iki haawe ana.

Myocardial infarction mea,ʻaʻole e mau ana ona, he mau hihia ka wā hoʻomanawanui iki mai i hoolilo i kona mau wawae. Akā, ua au e hoomanao i ka naau kaua e inevitably e alakai i ka hoʻonui o ka hooulu ana o coronary artery maʻi.