Card 1 Read and translate the text

Card 21
1.Read and translate the text:
Angina Pectoris
On being admitted to the in-patient department the patient complained of pain in the chest.
He had been suffering from pain of various intensity in the chest and behind the breastbone for several weeks. The patient noted the pain to radiate to the left shoulder and down the arm. The patient also observed the pain have been grow­ing worse on moving and on physical exertion. He stated that it frequently be­gan suddenly at night during sleep.
During the attacks of pain he was covered with cold perspiration and his face was pale. The incidence of attacks was frequently associated with physical and mental overstrain.
On physical examination the doctor revealed areas of very sensitive skin from the 7th cervical vertebra to the 5th upper thoracic one. On percussion, palpation and auscultation of the heart no significant abnormality was revealed.
The electrocardiogram taken during the attack showed a disturbance in the coronary blood circulation. The most important readings of the electrocardio­gram were either diminished or deviated. By having repeated the electrocardio­gram after the end of the attack the cardiologist found the adequate readings of the electrocardiogram to return to normal ones.
During the attacks of moderate pain no changes in the peripheral blood or elevation of body temperature were noted. However the temperature rose insig­nificantly and there was an accompanying slight leukocytosis when the attacks of pain were particularly severe.
The doctor made the diagnosis of angina pectoris with a severe course. Its main cause was atherosclerosis of the coronary arteries.

Stenokardiya

Statsionar bo'limiga yotqizilganida bemor ko'krak qafasidagi og'riqdan shikoyat qildi.

U bir necha hafta davomida ko'krak qafasi va ko'krak suyagi orqasida turli xil intensiv og'riqlardan azob chekardi. Bemor chap yelkada va qo'lda pastga nurlanish uchun og'riqni qayd etdi. Bemor, shuningdek, og'riq va harakatlanayotganda og'riq kuchayib borayotganini kuzatdi. Uning so'zlariga ko'ra, u tez-tez tunda uyqu paytida to'satdan boshlangan.

Og'riq xurujlari paytida u sovuq ter bilan qoplangan va yuzi oqargan edi. Hujumlar tez-tez jismoniy va ruhiy haddan tashqari kuchlanish bilan bog'liq edi.

Jismoniy tekshiruvda shifokor 7-bachadon bo'yni umurtqasidan 5-chi yuqori ko'krak qismigacha juda sezgir terining joylarini aniqladi. Yurakning perkussiya, palpatsiya va auskultatsiyasida sezilarli anormallik aniqlanmadi.

Hujum paytida olingan elektrokardiogrammada koronar qon aylanishining buzilishi ko'rsatilgan. Elektrokardiyogramning eng muhim ko'rsatkichlari kamaygan yoki chetga chiqqan. Hujum tugagandan so'ng elektrokardiogrammani takrorlash bilan kardiolog normal holatga qaytish uchun elektrokardiogrammaning etarli ko'rsatkichlarini topdi.

O'rtacha og'riqli hujumlar paytida periferik qonda o'zgarishlar yoki tana haroratining ko'tarilishi qayd etilmagan. Ammo harorat sezilarli darajada ko'tarilmadi va og'riq xurujlari ayniqsa kuchli bo'lganida, u bilan birga engil leykotsitoz bor edi.

Shifokor angina pektorisining tashxisini og'ir yo'l bilan qo'ydi. Uning asosiy sababi koronar arteriyalarning aterosklerozi edi.