Angina tare da Ayyukan Harsashin Harshen Halitta
Ciwon ƙwayar cutar ta Cardiac X, ko angina na jini, an gano shi lokacin da mutum yana da angina , tare da shaida na ischemia na zuciya akan gwajin gwaji , amma tare da ciwon maganin jini na al'ada a kan ciwon zuciya na zuciya . A mafi yawancin lokuta, angina microvascular ya haifar da lalacewar kananan rassan daji na suturar jini wanda waɗannan ƙananan jiragen ruwa basu ƙuƙasawa ba, saboda haka samar da rashin jini zuwa ƙwayar zuciya.
Tun da yake yanzu ana tunanin cewa an magance matsalar yanzu zuwa kananan kararraki, an riga an maye gurbin tsohuwar magungunan zuciya na X ta hanyar karin bayani, angina microvascular. Duk da haka, wasu masana sunyi imanin cewa mutane da wannan yanayin na iya zama da ƙananan haɗari ga ciwon zuciya na zuciya.
Harshen ƙananan kwakwalwa yafi kowa a cikin mata (yawanci, mata na maza da mata) fiye da maza. Akwai dalilai masu yawa na ƙananan ƙwaƙwalwar ƙararrakin da ake zaton zai kasance a cikin maganin ƙwayoyin cuta, ciki har da haɓakar insulin , ƙonewa, ƙara yawan adrenalin, isrogen rashi, da kuma dysautonomia . Wataƙila akwai marasa lafiya daban-daban da angina na kwakwalwa na iya zama daban-daban haddasawa.
Duk da yake mafi yawan mutanen da ke dauke da kwayar cutar ta jiki ba su da matsala mai kyau - a cikin cewa hadarin cututtuka na zuciya da cututtuka da angina ta ƙwayar cuta ba shi da ƙananan - ba abin jin dadi ne ga ciwon daji da wannan yanayin ya haifar da muhimmanci, da kuma wani lokaci ta katse, matsala.
Biyan maganin jini
A duk lokacin da ka ga jerin tsararrun likita don wasu likita, alamar alama cewa yin maganin wannan yanayin na iya zama da wahala. (Watakila, shi ya sa aka gwada magungunan da yawa a farkon wuri.) Irin wannan shine yanayin tare da angina microvascular.
Da dama magunguna sun samo taimako a cikin wasu marasa lafiya tare da angina microvascular.
Duk da haka, idan aka gano mahimmancin magani ga kowane mutum da aka ba shi, ana buƙatar kuskuren kuskure da kuskure. Wannan yana nufin cewa duk wanda yake fama da kwayar cutar ta jiki da likita zai iya buƙata ya yi haƙuri kuma ya ci gaba don samun mafita mafi kyau.
Ga jerin jinsin da aka saba amfani da su a cikin maganin angina na kwayar halitta:
Magunguna na Angina -
- Beta blockers - musamman atenolol
- Calcium tashar blockers
- Nitrates - sublingual nitroglycerin yawanci sauqaqa angular angina a cikin microvascular angina, amma tsawon aiki nitrates ba a nuna su zama na amfana
Magungunan Angina da ba na gargajiya ba -
- Ranolazine - tasiri sosai a ƙananan gwaji
- ACE masu hanawa - musamman a marasa lafiya da hauhawar jini
- Ivabradine - yana da tasiri a kananan gwaji
- Statins - musamman ma marasa lafiya da matakan cholesterol
- Estrogens - a cikin mata post-menopausal
- Imipramine - ba magani ne na angina ba, amma zai iya zama tasiri tare da kulawa da jin zafi
- l-arginine - zai iya taimakawa wajen sake dawowa dilamin ƙananan jini
- Sildenafil (Viagra) - ba a yi nazari sosai ba don angina na zuciya, amma yana iya zama tasiri a wasu mutane
- Metformin - goyan baya ga wannan miyagun ƙwayoyi game da maganin angina microvascular ne kawai anecdotal, kuma bai tabbatar da bayanan asibiti ba.
Hanyar da ba a haɓaka ba -
- EECP - aka nuna a cikin karamin karamin binciken don ya zama mai tasiri ga angina na zuciya
- Ƙwararren layi - ya nuna ya zama mai taimako a cikin wasu marasa lafiya wanda wajan maganin likita ya kasa.
- Taron horaswa ya taimaka sosai, musamman a marasa lafiya wanda aka ƙaddara.
Hanyar Farko don Kula da Harshen Tsarin Abun Ciki
Bisa ga dukkanin wadannan hanyoyi, mafi yawan masu kwakwalwa za su yi ƙoƙari don inganta jiyya na angul na microvascular ta hanyar amfani da matakai mai kyau. Idan ba'a samu cikakkiyar maganin bayyanar cututtuka ba tare da kowane mataki ba, likita da haƙuri zasu matsa zuwa mataki na gaba.
- Mataki na 1 shine yawanci don amfani da nitroglycerin na ƙasa don taimakawa bayyanar cututtuka a duk lokacin da suka faru. An shirya wani shiri na horarwa ta jiki a matsayin wani bangare na mataki na farko. Idan wannan mataki bai samar da isasshen taimako ba:
- Mataki na 2 yana yawanci don ƙara baker.
- Mataki na 3 yana da yawa don dakatar da burin beta kuma a canza gurbin mai kwakwalwa.
- Mataki na 4 yakan saba kokarin ranolazine, ko dai shi kadai ko tare da mai beta ko ƙuƙwalwar ƙwayoyin calcium.
- Mataki na 5 shine la'akari da wasu magungunan ko don ƙara magungunan magani ba, tare da haɓaka na kashin baya ko EECP.
Bugu da ƙari, yin matakai kamar waɗannan, dole ne a yi la'akari da maƙallacin ACE sosai idan hauhawar jini ya kasance, kuma dole ne a yi la'akari da statin sosai idan lamarin haɗari ga cututtuka na maganin cututtuka na asali . A cikin matan da suka yi bace-bace kwanan nan, ilimin ciwon estrogen zai iya zama darajar la'akari.
Tare da hakuri - watakila mai kyau da hakuri - hakikanin maganin bayyanar cututtuka a ƙarshe za a iya cimmawa a cikin mafi yawan mutanen da ke da kwayar cutar ta microvascular. Kuma yayin da ci gaba ta hanyar wadannan matakai, mutanen da ke dauke da kwayar cutar ta microvascular ya kamata su tuna cewa hangen nesa su na da kyau sosai.
> Sources:
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