1. ra aris  iSemia da rogor aviciloT Tavidan?

iSemia ewodeba romelime qsovilis (mag. gulis kunTis) sisxlmomaragebis deficits. gulis iSemiis ZiriTadi gamomwvevi mizezi aris gulis iSemiuri daavadeba, romelic xasiaTdeba gulis mkvebavi sisxlZarRvebis (koronaruli arteriebis) progresirebadi SeviwroebiT. am daavadebis klinikuri gamovlinebebia stenokardia da infarqti. adamianis mosvenebis pirobebSi Seviwroebuli koronaruli arteriiT motanili sisxli SesaZloa sakmarisi iyos gulis Jangbadze moTxovnilebis dasakmayofileblad, magram fizikuri (xSirad emociuric) datvirTvis dros gulis gazrdili moTxovnileba Jangbadze ukve daukmayofilebeli rCeba, rac iwvevs mwvave iSemias da gamovlindeba gulis areSi aRmocenebuli moWeriTi xasiaTis tkiviliT. amas ewodeba stenokardia. stenokardia uxSiresad fizikuri datvirTvis fonze aRmocendeba, xanmoklea (maqs.15 wuTi) da ixsneba mosvenebiT an nitroglicerinis enis qveS miRebiT. rac ufro mcire fizikuri datvirTva sWirdeba stenokardiis aRmocenebas, miT ufro mZime dazianebas miuTiTebs koronaruli arteriebis, xolo mosvenebisas aRmocenebuli stenokardia, iseve rogorc gaxangrZlivebuli(15-20 wuTze metxans) an refraqteruli(romelic ar ixsneba nitrogliceriniT) stenokardia sagangaSo simptomia. stenokardiuli tkivili ufro xSirad moWeriTi xasiaTisaa, aseve vlindeba gulis areSi simZimis SegrZnebiT(TiTqos lodi mawevso), xSirad Tan axlavs sikvdilis SiSi. lokalizdeba uxSiresad mkerdis Zvlis ukan da SeiZleba gadaecemodes marcxena mxarSi, marcxena an orive zemo kidurSi mTlianad, marcxena beWqveS, yelSi, nikapqveS, kuWis areSi. infarqti ewodeba qsovilis garkveuli nawilis sikvdils da viTardeba koronaruli arteriis sruli daxSobis Sedegad, rasac iwvevs dazianebul, Seviwrovebul arteriaSi aTerosklerozuli folaqis gaskdoma da Trombis warmoqmna.

  gulis iSemiuri daavadeba dResdReobiT msoflios erT-erT upirveles problemad rCeba da misi acilebis garantirebuli gzebi ar arsebobs. msoflio jandacvis organizaciis mier SemuSavebulia gulis iSemiuri daavadebis risk-faqtorebi, romlebic or jgufad iyofa: risk-faqtorebi, romlebis Tavidan acileba adamians ar SeuZlia da risk-faqtorebi, romlebis acileba SesaZlebelia. pirvelebs ekuTvnis asaki(uxSiresad 40 wlis zeviT mamakacebSi da 55 wlis zeviT qalebSi), sqesi(uxSiresad mamakacebSi), ojaxuri anamnezi, arteriuli hipertonia, Saqriani diabeti, xolo meore jgufs ekuTvnis hipodinamia, Tambaqos weva, simsuqne.

aqedan gamomdinare, gulis iSemiuri daavadebis riskis Semcireba SesaZlebelia aqtiuri cxovrebis wesiT, Tambaqos wevaze uaris TqmiT, sxeulis masis kontroliT, agreTve saWiroa arteriuli hipertenziis da Saqriani diabetis aqtiuri mkurnaloba.

giorgi papiaSvili.   eqimi-kardiologi, Sps "kardioeqspresi