Huʻi coronary maʻi pale.

Huʻi coronary maʻi pale - he luna 'pathophysiological reactions. Ka maʻi nā huʻi myocardial infarction (nā i ka nui, a ma ka hihia o ka pau 'ano apau loa - me me ka punohu hookiekie ana ST Hoʻohana' ole) a me ka lolelua ka angina.

Pela, ua hiki ke olelo aku i ka huʻi coronary maʻi pale, i ka wehewehena o i i haawiia mai ma luna, 'aʻole pono ka maʻi akā, e aho e ka luna' manaʻo e lawe pu i ka palahalaha pūʻulu o ka mea'ōnaehana mānowai koko maʻi me ka typical hoikeana o ka mea, (naau maluna a me ka angina).

Symptomatology ACS loa he mea'ē aʻe ma mua o nā symptoms o kēia mau maʻi. Ia mea, no ka mea, ua wehewehe aku ma nā hiʻona a pau o ka nń ku maʻi. Eia naʻe, loaʻa nō kekahi, he pono ole symptoms i hana loa huʻi maʻi o ka mea'ōnaehana mānowai koko nenoaiu. I waena o kēia mau hoikeana alakai kulana like me ka alapine (frequency) o ka hanana, a ma ka mana o ka hoike ana, ka mea eʻeha. Huʻi coronary maʻi pale ua ana hoikeia ikaika hou ae la oia, a oki paha e aa ana ma ke kua o ka breastbone i loko o ka'āina o ka naau eha. Kataʻeha hoomahaiaʻi ma ka nitroglycerin a loaa aneane docked. Nō kāu, o ka eha hoouka i ma luna o ka lōʻihi o ka oi mamua o 15 minuke. No ka poʻe me angina wehewehe aku destabilization maʻi (holomua o ka eha, e like me mahuahua lākou lōʻihi, nele o ka pane i ka palapala noi o nitroglycerin). Kanaka he iwakalua-kumamalima - makahiki he kanahā, e like me ka pono me ia ma ka kūpuna (mua ma mua o nā makahiki he kanahiku) i ka mahina atypical IIeEeAIEUAA o ka eha - pleural, epigastric a me na mea e ae. Kēlā wā i kēia wā mālama painless pepa e ikeia manao pokole o ka hanu, kāna hana o ka gastrointestinal'āpana.

Huʻi coronary maʻi pale hiki ke 'akomi i ka i kēia PalekanaEND_LINK kaʻina hana:

- physical ninaninau ( 'o ia hoʻi, mōʻaukala lawe a me ka ninaninau ana i ka hoomanawanui, hana palpation, percussion a me nā hanana)

- ka i hoʻopaʻa 'ia o ka electrocardiogram e hōʻoia cardiac pathology a me ka loa o nā maʻi (no ka ECG hoike ano hiʻona o ka naau Muscle'aʻaʻa ischemia - hookiekie ana «ST» a "T" ma o ka isoline)

- 'ike no biochemical hōʻailona o cardiac Muscle poino - troponin a me ka tropomyosin, e like me ka manao o ka mahuahua pae o ka creatine phosphokinase MB a me myoglobin hapa.

- hooko o manipulation echocardiography, e hoʻoponopono i ka hopena o ka a ma luna o kāna hana ooieoeiiaeuiuo o ka naau (o ka nui o ka 'aʻe' ana o systolic hana o ka naau)

Ma waho kumu o noiʻi, huʻi coronary maʻi pale hiki ke hookupaa iho la ia a me ka hana hou, kolu o ka aoao ki ina hana like e like me coronary angiography a me Holter ka mālamaʻana. Coronary angiography ua hana e hōʻoia i ka pathology o ka vascular moe i loko o Muscle'aʻaʻa o ka naau. Holter ka mālamaʻana ua hoʻohana 'ia no ka ka loaʻaʻana o ka huʻi (pōkole-ola ana, a me ka lolelua ka) haunaele i loko o ka naʻau ma ka mea o ECG i hoʻopaʻa' ia iloko o kekahi a me kekahi mau lā. Loa pinepine ma ka mea o keia iaoia hoike transient ka haunaele o ka naau pāpana - arrhythmia.

Aʻo Kīwala'ō o symptoms, a me kekahi mau hihia i loko o ka manaʻo a me ka hoomaopopo ana o ke kino a me ka keʻena hoʻokolohua haʻawina hana i na; elue no ka ma-hohonu study o ka palena pauʻike.

Oia kaʻike, ka huʻi coronary maʻi pale i lawe mai pulmonary embolism, pericarditis, aortic aneurysm (ma a pau, i loko o kona exfoliating), hypothyroidism a me ka myocarditis infectious etiology.

Huʻi coronary maʻi pale. Iapaau ana o keia kulana ua haliia mai la mawaho, kaʻoi loa hoʻohana nitroglycerin (e hoʻonui vascular'aʻaʻa i loko o ka naʻau Muscle), aspirin (me ka AIM o ka hoemi a me ke koko thinners hapa ischemia), B-blockers (atenolol, metoprolol). Eia hou kekahi, antihypertensive Inc i hana ke koko, i kiʻekiʻe holo 'awelika.