stabiluri stenokardia
stabiluri stenokardia
stabiluri stenokardia
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<strong>stabiluri</strong> <strong>stenokardia</strong><br />
(pirveladi jandacvis eqimebisTvis)<br />
I. definicia<br />
<strong>stenokardia</strong> (Angina pectoris) _ miokardiumis iSemiiT gamowveuli<br />
klinikuri sindromia, xasiaTdeba tkiviliT an diskomfortiT gulmkerdis<br />
areSi, mkerdis Zvlis ukan, iradiaciiT qveda ybaSi, mxarSi, zurgSi,<br />
epigastriumSi an xelSi.<br />
tkivili Zlierdeba datvirTvisas an emociuri daZabvisas, msubuqdeba an<br />
ixsneba mosvenebisas da/an nitroglicerinis miRebis Semdeg. princmetalis<br />
stenokardiisas tkivili upiratesad gvxvdeba mosvenebisas.<br />
tkivili gulmerdis areSi arakardiuli mizeziT gvxvdeba saylapavis,<br />
gulmkerdis an filtvis daavadebis dros.<br />
<strong>stabiluri</strong> <strong>stenokardia</strong> - diskomfortis SegrZneba gulmkerdSi an<br />
xelSi (pacientebi iSviaTad arqmeven am SegrZnebas “tkivils”), romlis<br />
aRmoceneba dakavSirebulia moZraobasTan an emociur stresTan da gadis<br />
5-15 wuTSi mosvenebisas da/an sublingualuri nitroglicerinis miRebisas<br />
(e. braunvaldi). (ix.cxrili #1)<br />
<strong>stabiluri</strong> stenokardiis klasifikacia<br />
cxrili #1<br />
klasi I<br />
Cveuli fizikuri aqtivoba (siaruli, kibeebze asvla) ar iwvevs <strong>stenokardia</strong>s.<br />
tkivili iwyeba Zlieri, xangrZlivi fizikuri datvirTvis dros.<br />
klasi II<br />
Cveuli fizikuri aqtivobis mcired SezRudva. tkivili iwyeba siarulisas an<br />
kibeebze an mTaze asvlisas, kvebis Semdeg, siciveSi an qarSi siarulisas, Zlieri<br />
emociuri datvirTvisas. tkivili iwyeba 2-ze meti kvartlis gavlisas, swor<br />
zedapirze siarulisas, erTze an meti kibis Cveuli tempiT asvlisas<br />
klasi III<br />
Cveuli fizikuri aqtivoba mniSvnelovnad SezRudulia. tkivili gvxvdeba swor<br />
zedapirze erTi an ori kvartlis gavlisas an erTi kibis normaluri tempiT<br />
avlisas<br />
klasi IV<br />
umniSvnelo fizikuri datvirTva iwvevs diskomfors, tkivili mosvenebuli<br />
mdgomareobaSic iwyeba<br />
Campeau L, Grading of angina pectoris. Circulation, 54:522-523, 1976<br />
ara<strong>stabiluri</strong> <strong>stenokardia</strong> - <strong>stenokardia</strong> an misi eqvivalenti,<br />
romelsac qvemoT CamoTvlilTagan erT-erTi axasiaTebs: 1) gvxvdeba<br />
mosvenebisas (an mcire fizikuri datvirTvisas), grZeldeba 20 wuTi da<br />
meti (Tu ar moxda misi kupireba sublingualuri nitrogliceriniT); 2)<br />
Zlieri da axladaRmocenebuli (mag: am simptomis gaCenidan erT Tveze<br />
naklebia gasuli); 3) kreSCendo xasiaTi aqvs (sul ufro meti siZlieris,<br />
xangrZlivobisa da sixSirisaa, vidre wina Seteva). Tu gaxangrZlivda es<br />
2
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