Stable vs Unstable Angina
Stable angina thiab tsis ruaj khov angina yog ob qhov chaw kho mob hauv plawv plawv los ntawm kev txo cov ntshav mus rau lub plawv cov leeg. Cov roj (cholesterol) siab hauv cov ntshav ua rau muaj cov roj cholesterol nyob rau hauv cov hlab ntsha. Qhov no yog hu ua atheromatous plaque formation. Thaum qhov no tshwm sim hauv cov hlab ntsha uas muab lub plawv cov leeg nws hu ua coronary atherosclerosis. Sab saum toj ntawm cov quav hniav tuaj yeem raug puas tsuaj, thiab cov ntshav txhaws tuaj yeem ua rau cov hlab ntsha uas twb muaj lawm, thiab cov ntshav mus rau lub plawv poob qis. Qhov no hu ua myocardial ischemia.
Stable Angina yog dab tsi?
Lub ntsiab lus ntawm qhov ruaj khov angina yog hom ischemic mob hauv siab tshwm sim nrog kev tawm dag zog, tsis nrog kev hloov pauv ntawm electrocardiogram. Nws nta mob hauv siab, tawm hws, ua tsis taus pa luv. Qhov mob hauv siab yog qhov mob hnyav, tshwm sim tam sim ntawd, nruj qhov mob uas tawm mus rau sab nruab nrab ntawm sab caj npab, nce caj dab thiab sab laug ntawm lub puab tsaig. Taug kev thiab exertion aggravates nws thaum so thiab nitrates txo nws. Nws feem ntau kav tsawg dua 20 feeb. Electrocardiogram tsis pom muaj kev hloov pauv ischemic. Nws raug kuaj pom tus yam ntxwv ntawm qhov mob hauv siab ib leeg. Yog tias koj tau txais cov tsos mob no, coj koj tus kheej mus rau hauv tsev kho mob ze tshaj plaws vim tias mob plawv mob hnyav kuj tshwm sim tib yam. Koj tsis tuaj yeem sib txawv ntawm angina thiab plawv nres nrog cov tsos mob ib leeg. Cov kws kho mob xav tau ib qho electrocardiogram kom paub qhov txawv. Hauv chav xwm txheej ceev, cov kws kho mob yuav muab cov tshuaj aspirin, clopidogral thiab statin rau koj. Cov tshuaj no yuav raug sau tseg rau koj siv mus ntev. Stable angina yog ib qho cim qhia ntawm cov hlab ntsha nqaim uas muab lub plawv cov leeg. Nws yog ib qho kev pheej hmoo ua rau mob plawv mob hnyav dua.
Dab tsi yog qhov tsis ruaj khov Angina?
Tsis ruaj tsis khov angina yog hom mob hauv siab mob hauv siab tshwm sim thaum so, tsis nrog electrocardiogram hloov pauv ntawm qhov infarction. Nws cov tsos mob zoo ib yam li ruaj khov angina. Qhov mob hauv siab yog qhov mob hnyav, tshwm sim tam sim ntawd, nruj qhov mob uas tawm mus rau sab nruab nrab ntawm sab caj npab, nce caj dab thiab sab laug ntawm lub puab tsaig. Taug kev thiab exertion aggravates nws thaum so thiab nitrates txo nws. Nws feem ntau kav tsawg dua 20 feeb. Kev mus pw hauv tsev kho mob tam sim yog qhov tseem ceeb. Electrocardiogram tsis pom muaj kev hloov pauv ischemic. Kev tswj hwm thaum muaj xwm txheej ceev zoo ib yam li qhov ruaj khov angina. Cov koob tshuaj ntawm cov tshuaj aspirin, clopidogral, thiab statin, ua raws li cov tshuaj noj mus sij hawm ntev yog nyob rau hauv cov txheej txheem ib txwm muaj. Tsis ruaj tsis khov angina qhia tias muaj kev cuam tshuam loj dua hauv cov hlab ntsha uas muab cov leeg plawv.
Stable vs Unstable Angina
• Stable angina tshwm sim nrog kev tawm dag zog thaum tsis ruaj khov angina tuaj thaum tus neeg mob so.
• Stable angina tshwm sim vim cov ntshav mus rau lub plawv cov leeg tsis txaus los npog rau kev ua haujlwm ntxiv hauv kev tawm dag zog. Tsis ruaj tsis khov angina tshwm sim vim tias cov ntshav txhaws thaiv cov hlab ntsha uas muab cov leeg plawv.
• Tsis muaj ntshav txaus hauv qhov tsis ruaj khov angina yog luv luv, thiab nws tsis txaus ua rau lub plawv mob mus tas li.
• Electrocardiogram tsis pom muaj kev hloov pauv ntawm ischemic nyob rau hauv ob qho tib si ruaj khov thiab tsis ruaj khov anginas, tab sis tej zaum yuav muaj lub plawv dhia ceev, tsis yog ST ntu hloov pauv.
• Txoj kev pheej hmoo ntawm kev tsim mob plawv ntxiv yav tom ntej yog siab dua nrog angina tsis ruaj khov dua li nrog angina ruaj khov. Cov tib neeg muaj ntshav qab zib, ntshav siab, ntshav siab cholesterol thiab tsev neeg keeb kwm ntawm cov kab mob hais tias muaj kev pheej hmoo siab dua.
