Esikhathini esiningi iziguli ezine- angina , izimpawu zabo zibangelwa yi- coronary artery disease (CAD) , lapho i- plaque atherosclerotic ivinjelwa khona kancane umthambo we-coronary . Kulezi zimo, ukuhlolwa kokucindezeleka kungase kubonise ubufakazi bokuvinjelwa okungaqondakali komunye owodwa noma eminye yemithanjeni ye-coronary, futhi i- coronary angiography ngokuvamile izobona kalula inombolo nendawo yokuvimbela noma yokuvimbela.
Ngempela, i-angina ihlotshaniswa kakhulu ne-CAD ejwayelekile ezingqondweni zeziguli eziningi kanye nodokotela abaningi, ukuthi iziguli ezine-angina ebonakalayo "ezivamile" zivame ukutshela, ngokungaqiniseki, ukuthi ukuhlukumeza esifubeni kungenxa yenye into kunama-angina. Futhi ngempela, izimo eziningana ezingezona zomzimba zingaveza ukungahambi kahle kwesifuba .
Ngezinye izikhathi, i-angina yeqiniso ingenzeka uma kungekho CAD ejwayelekile. Ngezinye izikhathi iziguli ezibhekene ne-angina ne-artery coronary ebonakalayo "evamile" empeleni zinezinkinga zenhliziyo ezidinga ukutholakala nokuphathwa.
Izimo eziningana ze-cardiac nezikwelapha zingabangela i-angina ngisho nangama-plaques atherosclerotic akhiqiza i-blockages ekhonjiwe emithanjeni ye-coronary. Eminye yalezi zimo empeleni zibandakanya imishanguzo ye-coronary, kanti abanye abakwenzi.
Izimo ezibandakanya i-Coronary Arteries
Kunezinkinga ezingenani ezine ezithinta imithwalo ye-coronary engabangela ischemia ye-cardiac kanye ne-angina ngaphandle kokukhiqiza amabhulogi angabonakala kuma-angiography.
Zonke lezi zimo zivame ukubonakala kubesifazane, nakuba ngezinye izikhathi zivela emadodeni.
Ngaphezu kwalokho, zonke lezi zimo ezinezici okufanele ziqaphele udokotela (nesiguli) ukuthi izimpawu zesiguli ziyizinhliziyo zemvelo naphezu kwama-angiograms "okuvamile" futhi kufanele kuholele ekuhloleni okuqhubekayo futhi ekugcineni kube nokwelashwa okufanele.
- Ama-angina ka-Prinzmetal : i-spasm eqinile ye-coronary arteries.
- I-Cardiac Syndrome X (i-CSX) : isimo esibandakanya imishanguzo encane ye-coronary engakwazi ukuboniswa ku-coronary artery angiogram.
- I-female-pattern CAD : uhlobo olubi olwenziwe kabi lwe-CAD atherosclerotic elibonakala ikakhulukazi kwabesifazane.
- Umthambo we-Coronary Ukukhulelwa : isilonda esinjengezilonda emithanjeni ye-coronary esilandelayo engakwazi ukuyibona kuma-angiography, kodwa okungaholela ekuhloleni kwe-coronary syndrome .
Ikakhulukazi uma ungowesifazane, uma unesifo esibonisa ukuthi u-angina unomqondo ojulile, kodwa unikezwe "i-bill yehliziyo yenhlanzeko ehlanzekile" ngemuva kwe-angiogram "evamile", kudingeka uqiniseke ukuthi udokotela wakho uhlole ngokucophelela ngayinye yalezi izimo ezine ngaphambi kokukusho ukuthi unempilo.
Imibandela Engayithinti Ngokuqondile Imishanguzo YaseCoronary
Ngezinye izikhathi i-angina ingenzeka uma izingxenye zenhliziyo ye-muscle zingatholi oksijini okwanele nakuba izifo zomzimba zivamile. Izimo ezingakhipha i-angina ngaphandle kwe-coronary artery disease zihlanganisa:
- Umfutho wegazi ophansi ngokweqile, njengoba kungase kwenzeke ngenxa yokwethuka ngenxa yokugaya isisu
- I- anemia enamandla
- Ukuzikhandla ngokweqile
- Ukucindezeleka kwengqondo okujulile (njengase- heart syndrome ephukile )
- I- hyperthyroidism enamandla
- Tachycardia eqinisiwe
- Ukucindezeleka okukhulu
- I-hypertrophy enkulu ye-ventricular
Ngokuvamile, lezi zimo zenzeka ezigulini ezigula kakhulu, futhi i-angina ivame ukuba yinye yezimpawu eziningi. Ngakho odokotela abazinakekela lezi ziguli cishe ngeke baholele emqondweni ongamanga wokunganaki ngenxa yokungabikho kwe-CAD yakudala.
Imithombo:
> Fihn SD, Gardin JM, Abrams J, et al. 2012 I-ACCF / AHA / ACP / ATS / PCNA / SCNA / I-STA / Isiqondiso se-STS sokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esisimeme: isishwankathelo esiphezulu: umbiko we-American College of Cardiology Foundation / i-American Heart Association emithethweni yokuziphatha, kanye ne-American College of Physicians, i-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Nurses Association, i-Society for Cardiovascular Angiography and Interventions, kanye neNhlangano Yabahlengikazi BamaTrracic. Ukujikeleza ngo-2012; 126: 3097.
Mosca, L, Manson, JE, Sutherland, SE, et al. Isifo senhliziyo kubantu besifazane: isitatimende sabasebenzi bezempilo be-American Heart Association. Iqembu Elibhalayo. Ukujikeleza ngo-1997; 96: 2468.