Atherosulinosis yamitsempha yamaaso - ndi chiyani?

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.

Atherosulinosis ndi nthenda yamatenda yomwe imakhudza mitsempha yayikulu mosiyanasiyana ndipo imayambitsa kuphwanya kwa magazi kwa ziwalo zamkati kapena minofu yofewa ya miyendo. Matendawa ndi ofala kwambiri pakati pa anthu omwe ali ndi ndalama zambiri.

• Zomwe zimayambitsa matendawa
• Mawonetsero akulu
• Kuzindikira matendawa
• Chithandizo cha retinal Atherosulinosis
• Mankhwala
• Njira yakuchita opareshoni

Retinal vascular atherosulinosis ndi matenda oopsa omwe amatsatana ndi zizindikiro zosasangalatsa komanso kupita patsogolo pang'ono kuti mumalize. Pankhani imeneyi, ndikofunikira osati kungochiza matendawa, komanso kusamala ndi kuzindikira kwake koyambirira komanso kupewa.

Zomwe zimayambitsa matendawa

Retinal atherosulinosis imapezeka mwa anthu omwe ali ndi cholesterol yambiri komanso otsika kwambiri lipoproteins m'magazi. Zina mwazomwe zikuwonetsa kupanga zam'magazi ndizogwira nawo pachiwonetsero cha mapangidwe a atherosulinotic zolembera komanso pakupita kwawo mpaka gawo lakuyamba kwa zizindikiro.

Kuwonongeka kwa mitsempha ya Atherosclerotic kumalumikizidwa ndi moyo komanso mawonekedwe amtundu wa wodwalayo.

Pali zinthu zingapo zomwe zikuthandizira kukulitsa zotupa za atherosulinotic:

• Kusintha kwa ma genetic mu ma enzymes omwe amayambitsa kapangidwe ka mafuta m'thupi.
• Kuonjezera thupi komanso kunenepa kwambiri pa gawo lililonse la chitukuko.
• Ochepa thupi zolimbitsa thupi tsiku ndi tsiku.
• Kukula kwamafuta, mafuta okazinga, komanso zakudya zomwe zimakhala ndi chakudya chambiri m'magulumagulu.
• Kusuta fodya komanso kuledzera.
• Matenda a shuga ndi matenda ena a endocrine.

Muzochitika zonsezi, munthu amakhala ndi chiopsezo chowonjezeka cha atherosulinosis. Komabe, mukamakonza zinthuzo panthawi yake, chiwopsezo chimachepetsedwa, ndipo sipangakhale matenda otchulidwa konsekonse.

Mawonetsero akulu

Atherosulinosis yomwe imawononga mitsempha ya ocular imatsogolera pang'onopang'ono chifukwa cha kukula kwa zolembedwa za atherosulinotic. Pankhaniyi, ischemia ya retinal imachitika, pang'onopang'ono ikupita patsogolo ndikuwonongeka koonera komwe kumayenderana ndi njirazi.

Kumayambiriro kwa matendawo, izi ndi izi:

• Zovuta ndi zowawa m'maso kapena m'malo omwe ali pafupi nawo.
• Zowawa zazifupi za chizungulire komanso mutu.
• Kutopa kwamaso mwachangu mukamawerenga, kujambula ndi zochitika zina zomwe zimafuna kutenga nawo mbali kwamasomphenya.
• Kuwonongeka kwakanthawi kapena kosatha mwanjira yotayika minda, mawonekedwe a ntchentche zosazima, etc.

Woopsa matendawa, odwala amatha kuona glaucoma, kupuma kwathunthu kwa mitsempha ndi mitsempha, zomwe zimayambitsa kuchepa kwamaso, mpaka khungu. Komanso, chifukwa cha kufupika kwa mitsempha, amatha kupindika ndi kuyamba kwa kukha magazi komanso kufinya kwam'mimba, komwe kumafunikira opaleshoni yomweyo.

Kuzindikira matendawa

Nthawi zambiri, matendawa amapezeka mwamwayi panthawi ya mayeso azachipatala. Nthawi yomweyo, chidwi chambiri sichimalipidwa osati njira zothandizira komanso kafukufuku wa ma labotale, komanso kusonkhanitsa ma anamnesis, popeza odwala nthawi zambiri amalabadira kwakanthawi kochepa mawonekedwe, monga kusapeza bwino komanso kupweteka m'diso, kutopa kwawo kowonjezereka ndi zina zotero.

Zizindikiro zoyambirira zikaonekera, muyenera kulumikizana ndi achipatala msanga.

Dokotala wofufuza m'maso, potengera madandaulo omwe amvedwa, angapereke njira zowonjezera zowunika kuti ayambe kuona kuchuluka kwa kusokonezeka kwa magazi komanso kuopsa kwa mitsempha yodutsitsa.

• Pochita ophthalmoscopy, dokotala amawunika momwe ziwiya zilili, kuphatikiza kuwonongeka kwake.
• Ma Visometry amagwiritsidwa ntchito kuti azindikire kuchuluka kwa kutayika kwa malingaliro, komanso imaperekanso zidziwitso zina zokhudzana ndi retina.
• Zomwe zimapangitsa kuti mafayilo azikhala pang'onopang'ono a retina ndizovuta kudziwa ndi ophthalmoscope, pankhaniyi, perimetry yamakompyuta imagwiritsidwa ntchito.
• Mlingo wa kukakamizidwa kwa intraocular kumayesedwa kwa odwala onse ndipo fundus imayesedwa.
• Pazovuta kwambiri, mungathe kugwiritsa ntchito maginito oyang'anira, omwe amakupatsani mwayi kuwona bwino mawonekedwe a eyeball ndi ziwiya zake.

Kutengera ndi zomwe zapezeka komanso kuchuluka kwa kuwonongeka kwakuthupi, ophthalmologist imapereka chithandizo chamankhwala choyenera.

Chithandizo cha retinal Atherosulinosis

Ndi chitukuko cha retinal atherosulinosis, chithandizo chiyenera kusankhidwa nthawi zonse payekha, poganizira mawonekedwe a thupi la wodwala wina. Matenda okakamiza ndi zovuta zomwe zilipo ndizovomerezeka.

Kuchiza kumachitika ndi ophthalmologist yemwe amatha kusankha mankhwala kapena opaleshoni, kapena kuphatikiza zonsezi.

Sitikulimbikitsidwa kuti tizisinkhasinkha tokha chifukwa cha chiwopsezo cha zotsatira zoyipa za mankhwala kapena kupitilira kwa matenda oyambitsidwa.

Mankhwala

Kugwiritsa ntchito mankhwala kumakhala kothandiza makamaka koyambirira kwamatenda.

Mu mitundu ya chithandizo chotere, magulu awa a mankhwala amagwiritsidwa ntchito:

• Mankhwala a Hypolipidemic, makamaka ma statins (Rosuvastatin, Lovastatin, etc.), omwe amachepetsa cholesterol ya plasma ndi LDL, potero akuletsa kukula kwa njira ya atherosulinotic mu ziwiya za retina.
• Ma antiplatelet othandizira (acetylsalicylic acid, clopidogrel) omwe amaletsa mapangidwe amitsempha yamagazi pamalo a vasoconstriction ndikuletsa kukula kwa thrombosis ndi ischemia yovuta.
• Kugwiritsa ntchito antioxidants (Tocopherol, Dihydroquercetin) kungachepetse kuwonongeka kwa maselo a retinal.

Kumwa mankhwala kuyenera kuyang'aniridwa ndi madokotala nthawi zonse.

Njira yakuchita opareshoni

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kugwiritsa ntchito njira zochizira opaleshoni akuwonetsedwa mu odwala omwe ali ndi zovuta za atherosulinosis ya retina. Choyipa kwambiri ndi kuphatikizika kwa kutulutsa kwa magazi pakhungu la diso. Pankhaniyi, madokotala amatha kugwiritsa ntchito laser coagulation, njira zowonekera bwino komanso zowoneka bwino.

Retinal atherosulinosis ndi matenda oopsa omwe amadziwika ndi kusinthasintha kosalekeza komanso kuchepa kwa msanga m'maso. Pachifukwa ichi, aliyense ayenera kukumbukira zazinthu zowopsa zomwe zitha kupatula moyo wawo kuyambira wachinyamata. Kupewera koyambirira ndikomwe kumapangitsa kuti pakhale matenda mtsogolo komanso kusamalira bwino moyo wokalamba.

Vasoconstriction ndi kukula kwa matenda osiyanasiyana

Vasoconstriction ndi njira yofunika kwambiri yopangira matenda ambiri. Mkhalidwe wabwinobwino wamabedi wamitsempha umatanthawuza kupezeka kokwanira kwa ziwalo ndi minyewa ndi magazi, ndipo chifukwa cha kupatsidwa magazi - ndi michere, zida zopangira mphamvu, mpweya. Mitsempha yonse ndi mitsempha imakhala ndi vuto.

Mosakayikira, momwe kamvekedwe ka mtima kamatulutsa kuchokera muubongo, kuchuluka kwa mphamvu ya thupi. Zambiri zimatha kuyambitsa vasoconstriction.

Zoyambitsa zakunja

Mitsempha imakhala ndi minofu yotchulidwa, kotero imakonda kuyankha ndi kupindika pazinthu zoyipa. Ndi kuphipha, mitsempha yaying'ono imakhala yopapatiza kwakanthawi, koma kubwereza pafupipafupi kumapangitsa kuti mulephere kulephera kupuma, kukhazikika.

Zomwe zimayambitsa ndizo:

• kusuta
• mavuto
• kumwa mowa
• hypothermia.

Zofanana zakunja zam'mitsempha zimawonedwa:

• ndi chitukuko cha vesttovascular dystonia,
• magawo oyamba a matenda oopsa komanso matenda a ischemic,
• Ndi chisanu chamanja,
• ndi matenda a Raynaud.

Kuchepetsa kwakatikati kwa ziwiya zamtundu wakunja kuchokera kuzinthu zakunja kumawonedwa ndi kukakamiza kwamakina:

• pakavulala kwambiri (kutalika kwakanthawi kovutirapo),
• chotupa chotupa pafupi ndi mitsempha yamagazi,
• kuchuluka kwa mafupa a minyewa yamatumbo athu.
• Kugwiritsa ntchito malo motalika kwa nthawi yayitali kuti musataye magazi (ichi ndi chifukwa chake chithandizo choyamba chimafunikira cholembera chomwe chikuwonetsa nthawi ya ntchito).

Zoyambitsa zamkati

Zomwe zimayambitsa vasoconstriction zimaphatikizapo:

• kuwonongeka kwa khoma la atherosclerotic - pakati pakati ndi mkati mwa mitsempha ya minofu-yotanuka, kachigawo kakang'ono kwambiri ka lipoproteins kamayikidwa ndikuwonekera kwa mapangidwe, pakapita nthawi amathandizidwa ndi mchere wa calcium, lumen ya chotengera imatsika m'mimba mwake.
• kusintha kwa kutupa (vasculitis, arteritis) - kutupa m'makoma kumachepetsa kuchuluka kwa magazi,
• endarteritis - chosadziwika bwino matupi awo chifukwa cha kukomoka kwa mitsempha ya miyendo ndi manja, zomwe zimatsogolera kuwonongeka kwathunthu kwa chotengera.
• kobadwa nako matenda (aortic stenosis),
• thrombosis ndi embolism - amagwira ntchito yofunika kwambiri pakukula kwa matenda a ubongo, mtima,
• kagayidwe kachakudya matenda a shuga mellitus, thyrotooticosis, kunenepa kwambiri.

Kodi mitsempha imakhala yocheperako?

Dongosolo la venous litha kutayika, koma pali matenda omwe amachititsa kuti pang'onopang'ono kutaya kwapang'onopang'ono kwa mainchesi a venous capillaries, kenako kutha kwa magazi. Ndi za cirrhosis wa chiwindi. Kudzera m'chiwalo ichi, magazi onse akuyenda kuchokera ku minyewa amapita. Ndi kutupa kwamphamvu kwa maubongo a m'magazi a chiwindi (hepatocytes) ndi kuyimitsidwa kwa malo okhala ndi ma minofu ndi minyewa yonyansa, ma venges ochepa. Ndiye magazi amayenda kudutsa pakati pawo. Mavuto amapangidwa mu gawo la mitsempha ya portal. Chifukwa chakuchepa kwake, matenda oopsa komanso kusokonekera m'madipatimenti oyambira, kuchuluka kwa "zochulukazo" m'mitsempha ya esophagus.

Thrombophlebitis (kutupa + thrombosis) sitha kupatula pamndandanda wazomwe zimayambitsa. Mu matenda omwe amachititsa kuchepa kwa magazi othamanga (kuthamanga), njira ya parietal thrombosis imayambitsidwa. Kufalikira kwa matenda kuchokera kumayendedwe osakhazikika kumathandizira kuchepa kwa gawo lakhudzidwa ndi mtsempha.

Zizindikiro za matenda akumayenda molumikizana ndi lumen yosinthika yamatumbo imadalira malo enieni a lesion. Ganizirani kuwonetsedwa kwa matenda ofunika kwambiri.

Zowonetsera zamankhwala zamitsempha yamagazi yotupa kupita ku ubongo

Zizindikiro za kusowa kwa ubongo zimachitika chifukwa cha kuchepa kwa mitsempha ya carotid ndi m'mitsempha yamagazi yomwe magazi amalowa mu ubongo.

Kwa akulu, kufunikira kwakukulu kumaperekedwa kwa:

• atherosulinosis,
• khomo lachiberekero,
• kobadwa nako matenda amitsempha yamagazi,
• matenda oopsa
• thromboembolic zovuta.

Matendawa amatha kuchitika kwanthawi yayitali m'njira zopweteka kapena mwadzidzidzi amakhala ngati akumenyedwa.

Kwa mwana, zofunikira kwambiri ndi:

• mayi pa nthawi yoyembekezera,
• kuvulala kubala
• anasintha vasculitis mu matenda aubwana,
• kobadwa nako matenda a mtima ndi mitsempha.

M'malo mwake, amadandaula:

• kupweteka kwambiri m'mutu
• chizungulire mpaka osazindikira
• tinnitus
• masoka operewera
• kuchepa kapena kuzimiririka kwa kumverera ndi kusuntha kwa miyendo,
• mawu osokoneza.

Zolemba pachipatalachi pakuchepetsa mitsempha m'khosi

Carotid atherosulinosis imadziwika ngati chiwonetsero cha matenda. Zimadziwika nthawi ya dopplerografia mwa anthu omwe alibe zizindikiro. Osteochondrosis amakhudza kayendedwe ka vertebrae mu cervicothoracic dera, kamene kamakakamiza mtsempha wamagazi. Wodwalayo akhudzidwa:

• mutu m'makachisi, khosi, pamphumi,
• kumva "kukakamiza"
• kulumikizana kwa moyo wabwino ndikutembenuza mutu ndikupita kumbali,
• chizungulire, kuchita khungu m'maso,
• kutayika kwa chikumbumtima,
• kusanza, kusanza.

Pang'ono nthawi zambiri amadandaula za kuchuluka kwa lilime, manja.

Kodi ndi ziwonetsero ziti zomwe zikusonyeza kupendekera kwamitima yamtima?

Mitsempha ya mtima kapena mitsempha ya mtima imazindikira kwambiri zinthu zomwe zimapangitsa kuphipha. Ndipo komwe komwe malo a atherosselotic zolembera mwaiwo amasintha magazi kupita ku myocardium. "Njala ya oxygen" imawonekera:

Zowawa ndizowoneka bwino kapena zovutirapo, zomwe zimakhala kumbuyo kwa sternum kapena kumanzere, perekani chibwano chakumanzere, tsamba lamapewa, mkono, ndipo zimatha mpaka mphindi 30.

Ndikumva kupweteka kwambiri komanso kwanthawi yayitali, kufooka kwambiri kwa wodwalayo, malingaliro a arrhasmia, munthu ayenera kuganizira za kuphwanya kwamphamvu kwa myocardial. Poterepa, kupendekera kwa chotengera kumabweretsa ku malo a minofu necrosis.

Zizindikiro za kungʻambika pang'ono

Nthawi zambiri, malo opendekera amakhala mdera la aortic orifice, ndi vuto lobadwa nawo, ndipo mu 40% ya milandu imaphatikizidwa ndi chotupa cha mitral valve. Chifukwa chake ndi rheumatic endocarditis, atherosulinosis.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

• kupweteka mumtima,
• kugwedezeka kwamphamvu,
• kufooka, chizungulire.

Pachala pachifuwa, kunjenjemera kumamveka kutsogolo.

Zizindikiro za kusakwanira kwa magazi m'miyendo

Zizindikiro zakuchepetsa kwamitsempha yamagawo am'munsi imapezeka ndi kufalikira kwamkati, matenda am'mitsempha yamagazi, matenda a Lerish.

• kupweteka m'miyendo, koyamba pokhapokha ngati mukuyenda, ndiye kuti mupumule,
• Chizindikiro cha "kulowerera pang'onopang'ono", atasiya kupweteka kumatha,
• dzanzi komanso kutsekera mapazi.
• thukuta kwambiri
• kukokana mu minofu ya ng'ombe
• m'magawo akulu, kusokonezeka kwa trophic - zilonda, ming'alu yosachiritsa m'mapazi, gangrene.

Kodi kutsekeka kwa mitsempha ya fundus kumatanthauza chiyani?

Mitsempha yama fundus imasinthanso chimodzimodzi ndi ena. Amawerengedwa ngati "kalilole" wazomwe zimayendera ubongo. Mlingo wochepetsedwa umakhudzidwa ndi zomwe zimayambitsa kunja ndi mkati:

• kuyatsa koperewera
• mavuto a maso akamagwira ntchito pakompyuta,
• kuwonera kwakanthawi pama TV
• kuchuluka kwa kuthamanga kwa magazi.

Wodwalayo amadandaula za:

• masomphenya osalala
• mutu
• zopweteka za m'maso.

Njira ya ophthalmoscopy imalola kuti ophthalmologist aunike mitsempha ndi mitsempha ya fundus.

Kupimidwa kowonjezera

Pozindikira matenda osokonezeka amitsempha yamafuta amathandiza kwambiri:

• ECG yochepetsetsa yamitsempha yama coronary,
• angiography yamitsempha yamagazi yamaubongo, miyendo, mtima,
• Ultrasound ndi dopplerography ya mtima, msempha, carotid mitsempha,
• kuchuluka kwa ziwiya zamiyendo.

Kwa matenda osiyanasiyana pogwiritsa ntchito maginidwe oyang'anira maginito ndi kuyerekezera kotengera.

Momwe mungagwiritsire ntchito ziwiya zopapatiza

Chithandizo cha vasoconstriction zimatengera zomwe zimayambitsa. Ngati pali kulumikizana ndi zinthu zakunja, kupatula kwathunthu ndikofunikira. Kupanikizika kwakanthawi kulikonse kumabisa mwayi woti kusintha kosalekeza kukulepheretsani. Chifukwa chake, muyenera kuyang'ana kwambiri malangizo a regimen ndi zakudya:

• siyani usiku nditakhala pakompyuta ndi pa TV,
• sinthani kugona
• samalani kwambiri ndi kupumula kwachangu, kuyenda,
• phunzirani kuthetsa kupsinjika
• yambitsani zakudya monga zakudya za anti-atherosulinotic (musatengedwe khofi, zakudya zonunkhira, mbale zamafuta, kuwonjezera zipatso zokwanira, masamba, mkaka wowawasa ku zakudya),
• dzerani zolimbitsa thupi zolimbitsa thupi.

Muyenera kuchiza matenda anu ndi mankhwala monga momwe dokotala wakupangirani.

Ngati ndi kotheka, anapatsidwa:

• cholesterol kutsitsa wothandizila
• mankhwala antispasmodic
• mankhwala omwe amalimbikitsa kufalitsa (kothandizirana),
• mtima kulimbitsa kukonzekera
• amatanthauza kuchepetsa kuchepa kwa mpweya wa okosijeni,
• mavitamini zovuta
• chithandizo chakuchipatala.

Njira yolakwika ya metabolic mu minofu imathandizidwa ndi antioxidants, nootropics.

Kutengera ndi kuopsa kwa vuto la wodwalayo komanso kudziwa kukula kwa zotengera zomwe zimayambitsa, angiosurgeons amasankha chithandizo cha opaleshoni. Njira zake ndi monga:

• Sinthani chotengera chowonongeka ndi analog yokumba,
• opaleshoni yodutsa
• Kuchotsa kwa mpukutu kumutu waukulu,
• kuyika kwa stents kuti akukulitse dera la spasm.

Kodi ndizotheka kuthandizidwa pogwiritsa ntchito njira zina?

Mutha kuwongola chotengera chaching'ono ndi mankhwala wowerengeka. Sikoyenera kusanthula ndikudziyang'ana nokha "malangizo" ambiri pakutsuka ndikuchotsa atherosclerosis.

Kugwiritsa ntchito kuphatikiza kwa adyo, mandimu ndi uchi ndizokhudza malangizo azakudya. Imakhala ndi phindu pa chitetezo chokwanira, chifukwa chake chimakhala chothandiza nthawi zonse. Chida chithandizanso pakuchira pambuyo poti mwapanikizika, mwadzidzidzi kapena mudwala kale. Koma "kupasuka zigawo" pamlingo wamakono ndizosatheka.

Kuchepetsa kucheperachepera kumathandiza mankhwalawo. Mutha kuyesa malangizo a anthu kumbuyo komwe akugwiritsa ntchito.

Ndikofunikira nthawi zonse kukumbukira kuti kupendekera kulikonse kwamitsempha kumapangitsa kuti magazi azitha kuyenda ndikuchepetsa kuthamanga kwa magazi. Njira yamankhwala yamatenda imakulirakulira, zomwe zimabweretsa zotsatira zoyipa kwambiri (stroke, kugunda kwa mtima ndi mtima kulephera, khungu, miyendo.

Kuchiza ndi kupewa kuyenera kupitilira. Izi ndizowona makamaka kwa anthu omwe ali ndi matenda osachiritsika okhala ndi zizindikiro zoyambirira mu mawonekedwe a kuphipha.

Zizindikiro za atherosulinosis yamitsempha yamaso

Retinal atherosulinosis - ndi chiyani? Awa ndi matenda amitsempha momwe ziwiya za zooneka zimakhudzidwa ndi cholesterol. Monga atherosclerosis ya kutengera kwina, njira ya chitukuko cha matenda a retinal ndi motere. Mu umodzi wa maulalo amagetsi a kusintha kwa cholesterol, vuto linalake limachitika, chifukwa chomwe kuchuluka kwa cholesterol m'magazi kumayamba kuchuluka.

Nthawi zambiri, m'magazi oyendayenda, cholesterol imaperekedwa m'magulu awiri - HDL ndi LDL. Ma lipoprotein oyamba amadziwika kuti ndi cholesterol chabwino " Chifukwa chake, LDL imatchedwa cholesterol "yoyipa" - izi zimachitika chifukwa chakuti kachidutswaka kamakhala ndi zotsalira. Ndi chifukwa cha zochulukirapo kuti matenda monga atherosulinosis amachitika.

Chifukwa cha kusayenda bwino kwa lipid bwino, kuchuluka kwa cholesterol m'magazi kumangokulirakulirabe, chifukwa komwe kumayambitsa mtima wa endothelium. Mizere yoyamba ya lipid imapangidwa, kenako ma tubid a lipid. Mwa izi, kutukusira kwawoko komanso kufooka kwa khoma la mtima kumayamba. Chifukwa cha kupindika kwa stenosis, zinthu zikuluzikulu zamagazi zimayamba kukangamira pa ma tubercol a cholesterol, ndikupanga msonkhano wonena kuti "atherosranceotic plaque".

Kugonjetsedwa kwa ziwalo zamasomphenya - atherosulinosis ya retina - nthawi zambiri kumakhala kuchita kwachiwiri, ndipo thupi lili kale ndi mitsempha yamagazi yokhala ndi vuto la endothelium lomwe lili ndi cholesterol amana. Ndi atherosulinosis ya retina, ulusi wolumikizana wolimba umakulira kukhoma, zomwe zimapangitsa kuchepa kuwonekera kwa makanema atolankhani. Njirayi imayambitsa kuwonetsa kwa zotsatirazi zowonongeka:

• Scotomas, ma point, mikwingwirima, yoyandama "pamaso."
• Kutsika kowoneka bwino kwa chidwi chifukwa cha kunenepa pang'ono kwa minofu ndi ma cell amitsempha.
• Chovala chowoneka
• Kutopa, kuchepa kwa ntchito, kutopa mukamachita masewera olimbitsa thupi zokhudzana ndi kupsinjika kwa diso.
• Zizindikiro zopweteka kuchokera ku retina zimakhala mu chimodzi kapena ziwalo ziwiri zamaso nthawi imodzi.
• Zizindikiro zodziwika bwino ndi chizungulire, kupweteka mutu, kukomoka, kusowa tulo.

Kalanga, odwala ambiri salabadira zomwe zimayambira ndikuti ndiwotengera matenda osiyanasiyana. Retinal atherosclerosis ndi matenda omwe akukula msanga omwe muyenera kudziwa nthawi. Ngati musachedwa, mutha kukumana ndi zovuta zazikulu - kuchokera pakupasuka kwamitsempha yamagazi ndi kukopa kwa m'maso, kutsika kwa khungu ndi kuyamwa kwathunthu kwa mitsempha ya maso, yomwe ingayambitse khungu.

Retinal atherosulinosis, muzochitika zingapo zamankhwala, imakhala ndi mawonekedwe monga kutupira m'zigawo zamkamwa ndi khutu lapakati. Mukamayang'ana m'maso, jekeseni yowonjezera (ziwiya zazing'ono zokhala ndi magazi), mawanga ndi mikwingwirima ya chikaso chachikaso ndi cholunjika pakatikati pa hemorrhage imasiyanitsidwa.

Zomwe zimayambitsa ndikuzindikira kwa matenda

Atherosulinosis yamitsempha yamaso ndi retina imachitika chifukwa cha kulephera kwadongosolo kwa lipid metabolism. Pali zinthu zingapo zoyambitsa zomwe zingakonzekeretse pansi matendawa ndikuyamba kupangika. Izi zikuphatikiza:

• Hypodynamia. Moyo wongokhala, wopanda ntchito umatanthawuza kuchepa mphamvu kwa thupi. Ndipo monga mukudziwa, cholesterol ndi gawo lapansi lamphamvu. Anthu ocheperako akamayenda ndikusewera masewera, cholesterol yocheperako imadyedwa, zomwe zimapangitsa kudzikundikira kwake mthupi.
• Zakudya zopanda pake. Kuchuluka kwa zakudya za tsiku ndi tsiku zamafuta amnyama kumabweretsa chinsinsi cha magazi.
• Zinthu zovuta. Amatha kuyambitsa matenda oopsa oopsa, omwe amakhudza kwambiri ziwiya ndi kutanuka kwawo. Kuphatikiza apo, zovuta za metabolic zimachitika.
• Ukalamba wa mtima. Kusintha kokhudzana ndi zaka m'mitsempha yamagazi kumachepa pakukula kwawo, chifukwa cha izi amakhala malo ofooka a cholesterol oyipa, omwe amakhala m'malo otere.
• Mitsempha yamitsempha yamagazi.
• Mkulu mamasukidwe akayendedwe a magazi.
• Matenda a kumbuyo - matenda ashuga, matenda oopsa.

Kafukufuku wambiri wa asayansi akuwonetsa kuti choyambitsa chachikulu cha retinal atherosulinosis ndi zaka. Munthu akamakula, zimatha kukhala zosavuta kuzungulira ziwonetsero zakutsogolo. Komabe, ndimanthawi angapo onena (kunenepa kwambiri, kulephera kuchita zolimbitsa thupi), zizindikiro zoyambirira za kuwonongeka kwa retin zitha kuwoneka kuti ndi zazing'ono.

Retinal arteriosulinosis imadziwika ndi ophthalmologist atayang'anitsitsa fundus, mbiri yakale komanso zingapo zama laboratori ndi zothandizira kuphunzira. Kuti mutsimikizire matendawa, komanso kuti mudziwe momwe gawo limakhalira, mawonekedwe ndi zina mwa njira ya atherosclerotic ya retina, njira zotsatirazi zingagwiritsidwe ntchito:

• Maginito oyang'ana m'maso.
• Visiometry (chifukwa cha phunziroli, mutha kuwona momwe njirayi yapita ndikufika pamlingo wotukuka).
• Perimetry yamakompyuta, mosiyana ndi MRI, ultrasound, imagwiritsidwa ntchito pofufuza mwatsatanetsatane ndikuyang'ana mbali zina zamaso ndi retina.
• Ophthalmoscopy

Njira zochizira ndi kupewa

Pambuyo pozindikira mwatsatanetsatane, kutsimikiza kwa mawonekedwe ndi gawo la atherosulinosis ya retina, chithandizo chiyenera kuyambika nthawi yomweyo. Mankhwalawa atangoyamba kumene, zimapangitsa kuti matendawo azitsatira. Njira zake ziyenera kukhala zokwanira, kuphatikizapo njira zamankhwala kapena za opaleshoni zomwe zimasankhidwa ndi akatswiri a maso, komanso njira zamankhwala azikhalidwe komanso zakudya zopatsa thanzi.

Monga chithandizo chosasinthika, mankhwala ochokera m'magulu a vasodilators, ma statins, ma fibrate, mavitamini, othandizira ma antiplatelet, angioprotectors amagwiritsidwa ntchito. Madontho amaso amalembedwa omwe amakhudza mwachindunji dera lomwe lakhudzidwa. Popanga zovuta zovuta, opaleshoni imatha kuchitika - laser coagulation kapena vitrectomy - zimatengera zovuta zamatendawa komanso kuopsa kwa njirayi.

Monga njira yodzitetezera, akatswiri amalangizidwa kuwonjezera tiyi wamabulosi, phulusa la kumapiri, othandizira, masamba amadzimadzi ndi mbatata zosenda ku chakudya chatsiku ndi tsiku. Yesani kutsatira zakudya zabwino komanso moyo wokangalika. Pitani pafupipafupi kwa katswiri ndikumayesa mayeso. Matenda akapezeka msanga, amatha kuthana nawo.

Kodi ndimayani omwe amayambitsa atherosulinosis yamitsempha yamaso?

Ndipo ngati mpakana pano amakhulupirira kuti anthu am'badwo wakale amakhala ndi matendawa, tsopano, malinga ndi ziwerengero, "ali ang'ono" kwambiri. Njira zamakono zodziwitsira matenda zimatha kudziwa nthawi yomwe matendawa angayambire.

Zomwe zimayambitsa atherosulinosis yamatumbo a fundus ndizosiyanasiyana. Choyamba, uku ndikobadwa kwa makolo. Kunenepa kwambiri komanso mavuto a metabolic angayambitse matenda.

Kukhala moyo wongokhala kumabweretsa ku atherosulinosis. Zina mwazomwe zimayambitsa matendawa zimatchedwa zizolowezi, makamaka kusuta. Kuchuluka zakudya zomwe zimakhala ndi mafuta ambiri, cholesterol. Retinal vascular arteriosulinosis imatha kuvulaza maso, kupsinjika, komanso kugwira ntchito mopitirira muyeso.

Odwala ambiri, retinal atherosulinosis sikugwirizana ndi cholesterol, koma amayamba chifukwa cha kuphipha kwamitsempha yamaaso. Matendawa amatha kupezeka motsutsana ndi matenda a ziwalo zina ndi machitidwe. Matendawa, mwachitsanzo, amaphatikizapo matenda oopsa komanso matenda ashuga.

Zimayambitsa retinal atherosulinosis

Kusintha kwa atherosulinotic mu ziwiya za maso ndi mawonekedwe a kuwonongeka kwamitsempha. Zinthu zotsatirazi zimatsogolera ku izi:

• kusuta
• chibadwire
• onenepa kwambiri
• cholesterol yayikulu magazi,
• matenda ashuga
• ochepa matenda oopsa
• kuchuluka magazi
• zopsinjika pafupipafupi
• kuchuluka kwa chakudya chamafuta,
• kusowa kwa magalimoto,
• kutsika kwa estrogen (kusintha kwa msambo) ndi mahomoni a chithokomiro (hypothyroidism),
• kobadwa nako matenda a kapangidwe ka mitsempha,
• kusintha okhudzana ndi zakale okalamba.

Potengera momwe matendawa adakhalira ndi zizolowezi zoyipa, pali zinthu zingapo zopangitsa kuti retinopathy ichitike, maonekedwe a zovuta za atherosulinosis. Izi zitha kukhala kuvulala kwamaso, kukweza, sauna, kuyenda mtunda wautali, kudumphira m'madzi.

Ndipo pali zambiri za retinopathy ya pambuyo pa zoopsa.

Kodi matendawa ndi ati?

Chinsinsi cha matenda amitsempha yamaso ndichochepa kwawo, nthawi zambiri chifukwa cha mawonekedwe amafuta m'makoma, omwe amachititsa kuti magazi asamayende bwino. Wodwalayo amakhala ndi zodandaula za kupweteka m'maso, chizungulire, kupweteka mutu. Maso amatopa kwambiri. Nthawi zina, kuwonongeka kooneka kumachitika.

Nthawi zambiri anthu samalabadira izi ndipo amawauza kuti awonetse matenda ena. Ndikothekanso kuzindikira zovuta zamaso zomwe zimachitika pokhapokha, mwachitsanzo, pakuwunika thupi kwapachaka, popeza zizindikiro zonse zoyambirira zimadziwika ndi matenda ambiri.

Koma kuzindikira matendawa nthawi zambiri kumachitika bwino pambuyo pake, pomwe mavuto akulu ndi ziwiya zamaso ayamba kale. Izi matenda am'maso amatha kukula mpaka kuwululidwa ndi atrophy of the optic nerve, mawonekedwe a glaucoma, ndi zotupa m'matumbo amaso.

Wodwala akamakayikira atherosulinosis yamitsempha yamaaso akapangana ndi dokotala, kuyezetsa koyambirira kumachitika ndikuwonetseratu kupezeka kwa matenda osachiritsika. Mankhwalawa amachitidwa ndi ophthalmologist. Ntchito yake ndikuwunika momwe ziwiya zam'madzi zimayendera.

Njira zoyeserera zikuchitika ndi motere:

1. Makulidwe a mtima wamtondo wamaso amatsimikiza.
2. Mulingo wa kuchepa kwawo ukutsimikizika.
3. Kapangidwe ndi mapangidwe ake amitsempha yamagazi akuphunzira.
4. Kukhalapo kwa zotupa ndi magazi kumatsimikiza.
5. Mkhalidwe wa mipata imayesedwa.

Kuzindikira ndi motere:

1. Kuchokera pa mayeso, wodwalayo amapatsidwa ma visometry, omwe amakupatsani mwayi kuti muwone kukula kwa mawonekedwe amawonedwe ndipo nthawi yomweyo azindikire mkhalidwe wa retina.
2. Ophthalmoscopy Kulemba kwamtunduwu kumakupatsani mwayi kuti muwone kuchuluka kwa zowononga zomwe zakhudza mitsempha ndi kuchuluka kwa zowonongeka.
3. Makulidwe amakompyuta. Kuunika kumeneku kumavumbula zovuta ndi zotumphukira zaretina.
4. Kuyesedwa kwachikhalidwe komwe kumachitika kwa matenda onse amaso ndikuwunika kwa fundus.
5. Ndipo pamapeto pake, MRI ya diso, yomwe imagwidwa kuti ipeze ziwopsezo mbali zonse za diso.

Kodi kuchitira retinal atherosulinosis?

Kuchiza izi makamaka matenda oyamba kumayambira ndikuwunika momwe zombo zimayendera komanso kupanga njira zothandizira wodwalayo. Nthawi zina, kuchuluka kwa zowonongeka ndikochepa, chithandizo cha mankhwala chimachitika. Makamaka kwambiri, opaleshoni imachitidwa. Mulingo uliwonse, kuphatikiza chithandizo chake chomwe chimaperekedwa, chomwe chimangokhudza wodwalayo ndi momwe maso alili.

Mu magawo oyamba a matendawa amagwiritsa ntchito:

1. Angioprotectors, omwe ayenera kuteteza kufooka ndi zotanuka khoma la zombo kuti zisaoneke kuwombedwa.
2. Mankhwala osokoneza bongo a Vasodilating, ofunikira kuti musatseke ma spasms osinthika komanso kusintha kayendedwe ka magazi m'thupi lonse.
3. Mankhwala osokoneza bongo. Zofunika kuchepetsa mawonetseredwe a atherosulinosis ndikuletsa mapangidwe atsopano a mafuta pamitsempha.
4. Ma antiplatelet othandizira kukonza magazi, amateteza magazi kuundana.

Matenda a maso ayenera kuthandizidwa mokwanira. Mankhwala ambiri amadzipaka ngati madontho amaso, motero amawonjezera mphamvu yawo pochiritsa, popeza, kulowa mucous nembanemba wa diso, amalowa msanga ndikuyamba kuchitapo kanthu. Pa chithandizo chachikulu, chowonjezera chimachitidwanso, chomwe chimayambitsa kupezeka kwa cholesterol amana.

Chithandizo cha opaleshoni chimachitika ngati njira zomwe zikuchitika misozi zapangitsa kuti pakhale zovuta zowonjezera - mawonekedwe a retinal. Njira yayikulu yothanirana ndi matenda amtunduwu ndi kukoka kwa laser. Izi zimatsatiridwa ndi maluso monga kusanjanitsa sclera, kuchotsera kwa vitreous ngati patachitika zosakhudzanso ndi zazikulu zazikulu.

Pakati pa maphikidwe a mankhwala achikhalidwe, mutha kupeza zomwe zingagwiritsidwe ntchito ngati chithandizo chowonjezera cha atherosulinosis yamitsempha yam'mimba. Zonsezi cholinga chake ndikutha kusokoneza zolembera komanso kuchotsera mafuta m'thupi.

Nthawi zambiri, pofuna kuchiza matenda ogwirizana ndi kuchuluka kwa ziwiya za cholesterol, njira zina zamankhwala zimapereka maphikidwe, zigawo zikuluzikulu zomwe ndi:

• msuzi wazipatso zokhotakhota,
• chokeberi, wokazinga ndi shuga,
• mafuta a azitona
• kulowetsedwa kwa katsabola mbewu.

Kuti maso azikhala ndi thanzi lalitali komanso kuti asagwire bwino kwambiri retina, kuyesera kubwezeretsa masomphenya, ndikofunikira kusunga malamulo angapo.

Choyamba, muyenera kusiya zizolowezi zoipa, monga kusuta fodya komanso mowa. Chofunikira ndichakudya choyenera, chomwe masamba ndi zipatso zimayenera kukula. Ndizosowa kwambiri kudya zakudya zokazinga komanso zamafuta, mumakonda kuphika komanso kuwira.Kuyambira pa zaka zinazake, muzichita kuyang'anira magazi a cholesterol. Ndikulimbikitsidwa kuchita prophylactic kudya mavitamini ma protein.

Zizindikiro za matendawa

Magawo oyamba alibe mawonekedwe azachipatala. Nthawi zambiri, mukamayang'ana odwala otere, mutha kuwona kusintha kwam'magazi kwamitsempha yamagetsi ndi ma venature venous. Pambuyo poyambira cholesterol ndi kumera kwa ulusi wa coarse connective minofu, makoma azotengera amakhala makulidwe, kuwonekera kwa makanema atolankhani kumachepa. Izi zimayambitsa kuwoneka kwa zizindikiro:

• chophimba pamaso
• madontho, ulusi, mawanga (scotomas) omwe amayandama m'diso,
• masomphenya osalala
• kutopa pa ntchito yomwe imafunikira eyestrain.

Kodi choopseza wodwala ndi chiani?

Kusintha kwa pang'onopang'ono kwa atherosulinotic kumadziwika ndi kupangika kwa hemorrhage, kufalikira kwa lipids ndi mapuloteni pamalo ambiri, magawo a kufafaniza kwathunthu kwa zakudya. Zingwe zolumikizana zomwe zimapangika zimapangitsa kuti retina ikokeke, ma discic nerve discs imakhala yodandaula, izi zimatha kuyambitsa masankho kapena kuwonongeka kwathunthu.

Vuto lalikulu la atherosclerosis-retinopathy ndi kupweteka kwambiri kwa mtsempha wam'mimba. Vutoli limachitika modzidzimutsa, m'masekondi angapo (posapezekanso ululu) pali kutayika kokwanira kwa diso limodzi. Nthawi zina, kuunika kwa kanthawi kochepa kapena kowonekera kwakanthawi kwamdima m'maso, khungu (loyang'ana) liziwonetseratu izi.

Kufalikira kwamkati mwa msana wa retina

Zotsatira zakutseka kwa magazi kulowa mu mtsempha wamagazi ndikuzindikira kwamitsempha ya maso ndi kutayika kwamaso. Kubwezeretsa ndikotheka pokhapokha pa chisamaliro chovuta kwambiri mu ora loyamba kuchokera nthawi yophulika. Tiyenera kukumbukira kuti kuwonongeka kwa ziwiya zamaso kungakhale chiwonetsero choyamba cha kukulitsa zovuta zam'mimba zam'mimba - stroke kapena vuto la mtima.

Njira zakuzindikira zamatumbo amaso

Zizindikiro za atherosulinosis ya retina zilibe zizindikiro zenizeni. Nthawi zambiri, mwa odwala, komanso madandaulo a kuchepa kwa mawonekedwe, ubongo umasintha m'mitsempha ya ubongo: kuiwala kukumbukira, chizungulire, kupweteka kwa mutu, tinnitus, komanso kuwukira kwa angina chifukwa cha kuwonongeka kwa mitsempha ya coronary.

Kuti muwonetsetse kuti mwazindikira, matenda a labotale ndi othandizira amalembedwa:

• kutsimikiza kwamawonedwe owoneka - kuchepa kuchoka pakusintha kofooka kapena pang'ono pang'ono mpaka kuwonongeka kwathunthu,
• kuyesedwa kwa malo owonera - magawo kapena apakatikati, kutsitsa kwokhazikika,
• biomicroscopy ndi ophthalmoscopy - mitsempha yolimba, mafunde ngati mafunde, kukweza kwa aneurysmal, mawanga ndi ma dotot kapena ma hemorrhages mu retina, nthawi zina mu vitreous. Kufatsa, kuwonekera pang'onopang'ono ndikuwonekera kwa retina, motsutsana ndi izi, mawonekedwe apakati (chizindikiro cha fupa la chitumbuwa) akuwonekera bwino,

• angiography amathandizira kudziwa malo omwe blockage, kukula kwa kufalikira kwa mtsempha wamagazi. Zizindikiro zakusokonezeka kwa magazi ndikusachedwa pang'ono kapena kosiyanitsa, pang'onopang'ono pomwe pali chotchinga.
• electroretinography - matalikidwe otsika kapena kusowa kwa mafunde amagetsi, chomwe chimakhala chizindikiro cha kuwonongeka kwa maselo chifukwa chosowa chakudya,
• magazi mayeso (lipidogram ndi coagulogram) - kuphwanya zomwe zili komanso kuchuluka kwa magawo a cholesterol, kuchuluka kwa magazi.

Pofuna kumveketsa bwino momwe magwiridwe antchito ndi zovuta, odwala amapatsidwa ma diagnostics a ultrasound omwe amapanga mawonekedwe oyang'anira amisempha amaso, retinal tomography ndi tonometry.

Kubwezeretsa nthawi

Pambuyo pakukula kwa laser, patsiku lachiwiri, ophthalmologist amawunika fundus, anginaography ya fluorescence ikhoza kulembedwa. Kuwunika kwa glucose ndi cholesterol yamagazi, muyeso wokhudzana ndi ochepa komanso intraocular amafunika.

Zinthu Zothandiza

Chakudya chimaletsedwa ndi mchere wokha mpaka 3-5 g, zakumwa mpaka lita imodzi patsiku, ndizoletsedwa kuphatikiza mafuta a nyama (nkhumba, mwanawankhosa, bakha, offal), maswiti menyu. Mukamaliza kukonzanso zamkati mwa diso, mankhwalawa amatha kuthandizidwa, kuphatikiza masewera olimbitsa thupi, maphunziro a magnetotherapy, Reflexology.

Njira zina zochizira

Mankhwala azitsamba a atherosulinosis angathandizire kuchotsedwa kwa mafuta m'thupi kwambiri, kusintha kagayidwe kachakudya ka magazi, kupewa maselo amitsempha, kusintha magazi. Kuti muchite izi, gwiritsani ntchito zitsamba ndi zitsamba zamafuta azomera:

• magawo ofanana amiseche, chamomile ndi yarrow,
• Mizu ya valerian, masamba a timbewu tonunkhira ndi mandimu muyezo wa 1: 2: 1,
• hatchi, masamba a 20 g,
• stigmas chimanga, clover inflorescence ndi clover udzu mu chiŵerengero cha 2: 2: 1,
• zipatso za mabulosi abulu, aronia ndi m'chiwuno chakumaso chimodzimodzi.

Kukonzekera phytopreparation, supuni ziwiri za zouma ndi zodula zofunikira zidzafunika. Thirani 250 ml ya madzi otentha usiku ndi kutenga 50 ml 5 pa tsiku m'njira yotentha. Ndi bwino kumwa kulowetsedwa musanadye kwa mphindi 25 mpaka 30 kwa masiku 30. Pakadali pano, kupititsa patsogolo kuyeretsa, mkaka ndi zakudya zamasamba ndikofunikira kupatula zakumwa ndizofunikira.

Ndipo izi ndizambiri za retinal angiopathy mwa mwana.

Atherosclerosis ya ziwiya za retina amaso akuwonetsa kusintha kwamachitidwe mu minyewa. Mawonekedwe ake amachitika ndi kutsekeka kwa cholesterol plaque kapena thrombus. Ndi kuchepa kwamphamvu kwa minofu michere, masoka amadzidzimuka mwadzidzidzi, osadwala, odwala amawona mawanga kapena madontho, chophimba pamaso pa maso.

Kuzindikira kumafunikira kufufuza koyang'anira ndi kulingalira. Lemberani mankhwala: kumwa ndikubaya mankhwala, madontho amaso, physiotherapy, mankhwala a oxygen. Ngati zikuwonetsedwa, kusinthana kwa laser kumachitika. Panthawi yokonzanso, wowerengeka azitsamba amagwiritsidwa ntchito pazovuta kukonza.

Kanema wothandiza

Onerani kanemayo pamatenda am'mbuyo:

Lembani angioprotectors ndi mankhwala osokoneza bongo kuti musinthe mitsempha yamagazi, mitsempha ndi capillaries. Kugawa kumawagawa m'magulu angapo. Zowongolera zabwino kwambiri komanso zamakono za microcirculation, venotonics ndizoyenera maso, mapazi ndi edema.

Matenda angiopathy a retina kapena onse maso ndi vuto lalikulu lomwe limachitika chifukwa cha matenda ena. Nthawi zambiri matenda oopsa kapena matenda ashuga. Kodi angiopathy a retina, mitsempha yamagazi, fundus? Kodi kuchitira angiopathy?

Kubwezeretsanso kwina kumachitika makamaka mwa okalamba. Zizindikiro - ntchentche, mawanga, kutayika kwa magawo amtunduwu. Matendawa amawopsezedwa ndi khungu, motero chithandizo chiyenera kuyambika nthawi yomweyo. Amatha kukhala majakisoni, mafuta opaka, opaleshoni, komanso mankhwala achikhalidwe.

Ngati angiopathy atapezeka, wowerengeka azitsamba amakhala njira yowonjezerapo yochepetsera nthawi zoyipa ndikuthandizira chithandizo cha retinal. Amathandizanso ndi matenda a shuga a retinopathy, atherosulinotic angiopathy.

Postthrombotic retinopathy imachitika chifukwa cha kuphatikizika kwa ziwiya za maso. Zimachitika ndi macular edema, yomwe imakulitsa vutoli. Chithandizo chokwanira chikufunika.

Opaleshoni yam'mimba imagwirira ntchito ma pathologies osiyanasiyana, mwachitsanzo, exfoliation, kupasuka. Zitha kupangidwanso kuti zilimbikitse, m'malo mwake. Pambuyo kuchitapo kanthu, kuchira ndikofunikira.

Mavuto a atherosulinosis amachitika chifukwa chosagwirizana ndi zomwe dokotala akutsimikiza, chithandizo chamanthawi mothandizidwa. Monga lamulo, zovuta za kubwezeretsa ndi kusasinthika kwa ma atherosrance a ziwiya zamagawo am'munsi ndizosiyana, popeza awa ndi mitundu yosiyanasiyana. Owopsa kwambiri ndi gangore.

Mofulumira, kwenikweni kuchokera maora angapo mpaka masiku awiri, kupindika kwamitsempha yamkati kumayamba, komwe kumapangitsa kuti anthu asamaone. Zizindikiro zakuthambalala kwa nthambi ndizakhungu pang'ono kapena khungu lathunthu. Chithandizo chiyenera kuyambitsidwa mwachangu.

Amawonekera kumbuyo retinopathy mwa akulu ndi ana. Zimatha kukhala ndi kusintha kwa mitsempha ya retinal, makamaka kwa ana mpaka chaka. Ngati simuyamba kulandira chithandizo munthawi yake, mutha kuiwala.

Fundus atherosulinosis: Zizindikiro ndi chithandizo

Kapangidwe ka cholesterol pamakoma a ziwiya zamaso amatchedwa atherosranceotic retinopathy. Ndi matendawa, wodwalayo amadandaula chifukwa cha malo oyandama kapena mawanga, chophimba pamaso, kuchepa kwa mawonekedwe owoneka. Ndikulimbikitsidwa kuchitira atherosclerosis ya ziwiya zamaso ndi mankhwala omwe amapangitsa kuti cholesterol, mavitamini, angioprotectors, anticoagulants.

Chofunikira pakukula kwa matendawa ndi matenda a shuga a mtundu woyamba ndi wachiwiri. Zomwe zimayambitsa atherosulinosis yamitsempha yamaso ndizophatikiza cholesterol yapamwamba, matenda oopsa kwambiri, kuthamanga kwa magazi, zochitika zosautsa zambiri, komanso kuzunza zakudya zamafuta.

Mwa anthu odwala matenda ashuga, atherosulinotic retinopathy imalumikizidwa ndi zochitika zosakwanira zamagalimoto, estrogen yochepa, mahomoni a chithokomiro, komanso kusintha kokhudzana ndi zaka.

Poyerekeza ndi maziko a matenda a pathologies ndi zizolowezi zoipa, zinthu zolimbikitsa zimayamba zomwe zimapangitsa kuti matendawa azikula. Tikulankhula za kukweza miyeso, kuvulala kwamaso, kuyendera pafupipafupi ma sauna, maulendo ataliatali, kuthira pansi.

Zizindikiro za matendawa

Retinal atherosclerosis kumayambiriro kwa njira ya pathological samapereka zizindikiro zenizeni. Kuwonetsedwa kwa matendawa kumawonekera pokhapokha atapezeka, dokotala azindikiritsa kukula kwa mitsempha, mitsempha yaying'ono yamagazi ya retina.

Matendawa akamakula, kuchuluka kwa madigiri a cholesterol kumachulukirachulukira, makoma amitsempha am'makola. Wodwalayo amawona kuchepa msanga m'maso, chifunga pamaso, kutopa mwachangu pantchito yokhudzana ndi eyestrain.

Kusintha kwakukulu kwa atherosulinotic kumadziwika ndi mapangidwe a hempihage, mawonekedwe a mafuta, mapuloteni m'malo ochulukirapo. Infaration ya retinal imapezeka mwa wodwala, momwe mitsempha ya optic imasiya kudya.

Zingwe zolumikizira zimapweteketsa khungu la retina, zotupa zam'maso zotupa, chifukwa cha matenda ashuga amawopseza pang'ono kapena ngakhale khungu lathunthu. Vuto lowopsa kwambiri la diso la retinopathy ndi kupweteka kwambiri kwa mtsempha wam'mimba. Kuphwanya kumachitika nthawi yomweyo, kwenikweni m'masekondi ochepa. Wodwalayo sadzamva kusowa kwawoko.

Pazaka zochepa zokha, blockage yovuta imakhala ndi:

• kuwala kwa kuwala
• kuda kwakanthawi m'maso
• Gawo (lotayirira) kutayika kwamaso.

Zotsatira zake ndizakuwongolera kwathunthu kwa khungu la maso, khungu. Kutha kuwona kumatha kubwezeretsedwanso mkati mwa ola loyamba kuchokera pomwe nthawi yophulika; Zindikirani kuti kuwonongeka m'mitsempha ya maso kungakhale chizindikiro choyamba cha vuto lalikulu la mtima - kukhudzidwa mtima, sitiroko.

Matendawa amasiyanitsidwa ndi kuchuluka kwa zowonongeka. Munthu wodwala matenda ashuga amatha kupezeka ndi matenda ena ake okhala ngati gawo limodzi la magawo atatu a retina akukhudzidwa. Pamene atherosulinosis itakhala theka la retina, amalankhula pafupifupi zingapo. Ngati mavuto azindikiridwa kwa nthawi yayitali, amawapeza ndi subtotal retinopathy, omwe ali ndi retinopathy kwathunthu - kwathunthu retinopathy.

Atherosulinosis yamatumbo amaso amatha kuyenda komanso kukhazikika. Foni yam'manja imawonedwa pomwe wodwala amakhala masiku awiri oyamba mozungulira. Retina amatsatira kwathunthu kumtunda.

Ngati izi sizingachitike, matendawa amapezeka.

Kudziwitsa zamatumbo amaso

Monga taonera, ndi atherosclerosis yamitsempha yamagazi, wodwala matenda ashuga samva chilichonse. Pambuyo pake, masomphenya ayamba kugwa, pali kusintha m'mitsempha ya ubongo. Wodwala amakhala ndi vuto la kuiwala, kupweteka mutu, chizungulire, tinnitus. Kuukira kwa Angina komwe kumachitika chifukwa cha kuwonongeka kwa mitsempha ya m'mimba kumatheka.

Kupanga matenda, labotale, zida zothandizira ndizofunikira, fundus, retina imawunikidwa.

The ophthalmologist imatsimikiza zowoneka bwino (zosintha pang'ono kapena zochulukirapo), zimayang'ana malo owoneka (ozungulira, opanikiza, opindika pakati).

Dokotala amachititsa mapangidwe a biomicroscopy, ophthalmoscopy kuti adziwe kukula kwa mitsempha, kupezeka kwa kukulitsa kwa aneurysmal, kukhazikika, malo owoneka kapena ma hemorrhages mu mandala, retina.

Biomicroscopy ya cornea ya diso akuwonetsedwa, izi zimathandiza kuwona kufalikira kwa kufalikira, kukula kwa mitsempha yotchinga. Zizindikiro zamitsempha yamagazi osayenda zimasiyanitsa pang'onopang'ono, kusiyana kosagwirizana kwa zinthu zomwe zimakhudzana ndikuphwanya kwamtsempha wamagazi.

Kuzindikira kwa Ultrasound ndi njira zovomerezeka kumathandizira kumveketsa bwino gawo la pathological process:

1. kusanthula mwatsatanetsatane kwamatumbo amaso,
2. zachuma
3. tomography.

Chifukwa cha electroretinography, matalikidwe amagetsi amadziwika. Pakalibe kapena kusinthasintha kwenikweni, amalankhula za kuwonongeka kwa maselo komwe kumayamba chifukwa chosowa zakudya m'thupi.

Kuphatikiza apo, ndikofunikira kupereka magazi kuti mudziwe kuchuluka kwa cholesterol komanso kuchuluka kwa magawo ake payekha, zizindikiro za magazi.

Mankhwala othandizira

Woopsa, kukachitika kwa retina kukachitika, dokotala amamuwuza kuti achite opereshoni. Nthawi zambiri kulowererapo kumachitika pogwiritsa ntchito njira imodzi: vitlimomy, kupindika kwa laser, kuyala kwa sclera.

Pazakukula kwa laser, ma anesthetics ndi othandizira omwe amachepetsa mwanayo amagwiritsidwa ntchito. Mankhwala amalumikizidwa mwachindunji. Kenako, pogwiritsa ntchito mandala apadera, ophthalmologist amawongolera mtanda wa laser kumalo omwe akhudzidwa ndi kukhazikika kwa diso.

Panthawi ya ndondomekoyi, sclera imakankhidwira kumalo ogwidwa. Nthawi yokonzanso itatha kulowererapo ndiyochepa.

Vitibleomy imaphatikizapo kuchotsedwa kwa vitreous kuchokera mkati mwamkati mwa diso. Monga lamulo, njirayi imapangidwira kuti ikhale yopasuka komanso kukha magazi mkati. Kuti muchepetse kusakanikirana kwa sclera mukatha kulowerera, adokotala amapanga tamponade, amagwiritsa ntchito:

• mafuta a silicone
• mchere njira
• zosakanikirana ndi mpweya.

Kugwiritsa ntchito njira yothandizira matenda a catheter ndi njira inanso yochizira. Balloon ikakhuta, kuwonjezeka kwa kupanikizika kumachitika, ma adhesions amawonekera pa retina. Pambuyo pa izi, chipangizocho chimayenera kuchotsedwa.

Ngati zotsatira za opaleshoniyo zikuyenda bwino, ndikulimbikitsidwa kuti muganizire za thanzi lanu mosamala. Patsiku loyamba pambuyo pa kulowererapo, samalani pogona, pewani zovuta zamaso.

Popewa kutenga matenda, wodwalayo amavala bandeji.

Zomwe zimayambitsa matendawa

Kuwonongeka kwa ziwiya za retina kumatha kukhala vuto lalikulu la atherosulinosis, pamene ma cholesterol ambiri amaonekera pamwamba pamitsempha ya ziwalo zambiri. Kutulutsa kwa ziwiya za retina, maonekedwe a mafuta ambiri kumayendera limodzi ndi kuchepa kwa mpweya ndi michere. Komanso, madzi ochokera m'mitsempha yomwe yakhudzidwa amatha kudumphira m'maso. Zonsezi zimabweretsa kuyendetsa bwino kwa retina, mawonekedwe a mavuto ndi masomphenya.

Zomwe zimayambitsa mathedwe a retina, komabe, zamtundu uliwonse wamatenda awa, sizimamveka bwino. Pali zinthu zingapo zoopsa zomwe zimapangitsa kuti munthu akhale ndi matenda:

• kusuta
• uchidakwa
• kunenepa
• kumangokhala
• kuperewera kwa zakudya m'thupi
• ukalamba
• kutengera amuna (amuna),
• cholesterol yayikulu
• matenda ashuga
• kuthamanga kwa magazi
• kupsinjika kwakanthawi.

Mavuto

Popeza kulibe mankhwala okwanira, zovuta zimayamba. Oopsa kwambiri ndi glaucoma (kufa kwa mitsempha ya maso), mtima wam'mimba (necrosis ya retina), hemophthalmus (magazi omwe amalowa m'thupi la vitreous).

Vuto linanso ndi kuphwanya kwamaso, chifukwa kumakhala kutayika kokwanira chifukwa cha njala. Zimatanthauzanso kutaya masomphenya kwathunthu. Pali nthawi zina pamene atherosulinosis imakhudza maso onse awiri. Kusintha koteroko kumafunika kuchitapo kanthu opaleshoni.

Kusintha kwa atherosulinotic mu ziwiya za maso ndi umboni wa kusintha kwamitsempha yama thupi yonse. Zizindikiro za matendawa zimachitika pamene chotengera chatsekedwa ndi thrombus kapena zolengeza.

Ngati pali kuchepa kwa zakudya m'thupi, odwala matenda ashuga amatha kuwona bwino. Nthawi yayitali ya matenda, wodwalayo amadwala chophimba kumaso ndi madontho akuda. Mutha kupanga dokotala chifukwa cha angiography, kufufuza kwa momwe fundus iliri.

Chithandizo cha atherosulinosis wa retina chimaphatikizapo:

Odwala ena amakumana ndi laser coagulation. Panthawi yobwezeretsa, limodzi ndi njira zodzikonzera, kugwiritsa ntchito mankhwala wowerengeka kumasonyezedwa.

Atherosclerosis ndi zotulukapo zake zikufotokozedwa mu kanema munkhaniyi.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Retinal atherosulinosis (onse maso, angiopathy) - zimayambitsa, Zizindikiro, chithandizo

Kuwonongeka kwa diso, khoma lanyumba yam'mbuyo, yomwe imayang'anira zithunzi, imakhala ndi mtima wam'mimba ndipo ndi vuto limodzi mwazomwe zimapangitsa kuti anthu aziona kwambiri.

Matenda oyambitsidwa ndi atherosulinosis ya ziwiya zaubongo ndi ziwalo zina za thupi motsutsana ndi kuthamanga kwa magazi, njira za metabolic, mavuto amtima amatsogolera kusintha kwamitsempha yamagazi, kuchepera kwa ndima, ndi kuchepa kwa magazi.

Mapilogalamu omwe amapangidwa chifukwa cha zotupa za atherosselotic zimasokoneza kayendedwe ka magazi, zimapatsa chiwalo ndi okosijeni, zomwe zimayambitsa mapangidwe am magazi, kukulira kwa coagulability komanso kupweteka kwa mtima. Chifukwa cha izi, nthambi yapakati yamkati ndi nthambi yamoto imavutika.

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Nthawi zambiri, chithunzi cha chipatala chimawonetsedwa ndi kuphipha kwamitsempha yamafulumira, kulepheretsa kwamitsempha yofewa kwambiri, komanso kupasuka kwawo. Lingaliro lomwe limavomerezedwa nthawi zonse ngati ululu wamphongo nthawi zonse silikhala chizindikiro cha matenda, omwe nthawi zina sangawonekere kwa zaka zambiri.

Kukula kwake kwapang'onopang'ono nthawi zambiri kumatha kutsimikiziridwa pokhapokha pamavuto, pomwe masomphenya amatsika kwambiri.

Atherosulinotic angiopathy ya retina imadziwika ndi nthawi ya matendawa, omwe samasiyana ndi kuwonongeka kwa ziwalo zina, kupatula kuti dongosolo lamtundu wa venousial ndi venous ndi laling'ono kwambiri m'thupi la munthu, kotero kupangika kwa microscopic ndikokwanira kwa vuto lalikulu.

Pakadwala, makoma a zotengera amayamba kuzimiririka chifukwa cha ma lipid amana, kuwonongeka kwawo ndi kuchepa kwa zotanuka kumachitika, amapeza mawonekedwe.

Matendawa amakonda kwambiri anthu okalamba, koma amakhudza mbadwo wachichepere chifukwa vuto la atherosclerosis laling'ono m'zaka zaposachedwa

Matendawa, omwe adadziwika kumayambiriro kwake, ali ndi chithandizo chabwino chamankhwala. Zizindikiro zake sizosiyana ndi vuto lalikulu la atherosulinosis ndipo mutha kufotokozeredwa:

• kupweteka kosalekeza m'mutu
• chizungulire
• kutayika kwakanthawi kapena kosatha
• kupweteka kwapanjira
• mukudwala
• kutopa kwamaso.

Kuchepa kwa magazi m'magazi am'mimba mwa retina kumabweretsa kuwonongeka kwa mpweya. Mukamazindikira kuti ndi katswiri, chizindikiro cha matendawa chimakhala ziwiya zomwe zapeza mawonekedwe.

Zomwe zimayambitsa ndi zamatsenga

Vuto lalikulu pakuyambika kwa matendawa limakhala cholesterol yokwera kwa nthawi yayitali, ndipo chifukwa cha ichi, mafuta amafikira m'matumbo. Retinal vascular atherosulinosis imachitika mochedwa kuposa kuoneka ngati vuto mu ziwalo zina.

Zifukwa zina zimaphatikizapo:

• kusokonezeka kwamanjenje chifukwa cha kupsinjika kosalekeza, kugwira ntchito kwambiri komanso mavuto ogona,
• osakwanira zolimbitsa thupi, amene amachepetsa kagayidwe kachakudya,
• onenepa kwambiri, kukhalapo kwa mafuta osungirako ndi kuchepa kwa metabolism,
• zizolowezi zoyipa zomwe zimabweretsa vasospasm ndi atherosulinoticion,
• zakudya zamafuta zomwe zimapangitsa kuti pakhale zovuta zopezeka m'mitsempha yamagazi ndikuwonjezera cholesterol.

Chifukwa china chofunikira kwambiri chotengera matendawa ndi matenda oopsa. Zovuta zam'magazi, zomwe ziwiya zazing'ono m'maso zimapanikizika, zimakhudza mayendedwe a atherosulinosis makamaka.

Kuperewera kwa magazi kumabweretsa kuyambitsa minyewa yam'mimba, kutayika kwa mtima, kupindika, kuwonongeka kwa zing'onozing'ono zazing'ono komanso kuwonongeka kwa mawonekedwe.

Nthawi zambiri, Symbomatology imawonetsa kukhalapo kwa ma pathologies owonjezera, omwe amachititsa kuphwanya kwamitsempha yama coronary, yomwe imatsogolera kutha kwa stroko.

Matenda ena omwe angayambitse kukula kwa angiopathy akuphatikizapo:

• matenda a msana mu thoracic ndi khomo lachiberekero,
• machitidwe a m'mbuyomu ku ubongo ndi msana,
• angapo sclerotic mtima matenda,
• matenda a endocrine
• kuvulala
• kuthamanga kwa magazi,
• matenda a mtima.

Kupewa

Pofuna kupewa ma atherosselotic zolembera, maphikidwe a mankhwala ena amagwiritsidwa ntchito bwino. Kugwiritsa ntchito zipatso za chokeberry, redcurrant madzi, mafuta a maolivi, omwe amayenera kuti aledzeretse pamimba yopanda kanthu, amapereka zotsatira zabwino.

Ndikofunikira kuti odwala aziwunika kuchuluka kwa cholesterol, nthawi zonse amatenga mankhwala omwe amatha kukhalanso ndi mawonekedwe oyenera a ziwiya zam'maso, mankhwala a antisranceotic omwe amapereka moyo, mavitamini.

M'pofunikanso kusiya zizolowezi zoipa, kusintha moyo wanu kukhala wangokhala, kusamala chakudya chamagulu, kuchepetsa kudya zamafuta

Zowopsa

Gawo loyambirira la matendawa limachiritsidwa ndimankhwala osokoneza bongo komanso opareshoni. Mtundu wonyalanyaza matendawo ungayambitse:

• glaucoma
• thrombosis
• hemophthalmosis
• kusintha kwa mitsempha ya atrophic,
• matenda amtima
• kutayika kwamaso
• zotsatira zosasintha ndi khungu lakhungu.

Mwa makanda

Pathology mwa ana obadwa imatha kuwoneka chifukwa cha kuvutika pakubala, pomwe zovuta zamwana zimakwera. Izi zimayambitsa edema ya mitsempha ya diso ndipo imasokoneza kayendedwe ka magazi m'mitsempha.

Mwazi wake umayenda pang'onopang'ono, ndipo mitsempha ya fundus imakoka ndikukhwinyata. Matendawa ndi osowa, chithandizo sichofunikira, chifukwa vutoli limatha patatha masiku ochepa.

Matenda a maso a maso onse awiri

Kuzindikira kumawulula kuchuluka kwakukulu kwazombo zowonongeka. M'malo mwa zowonongeka, mawonekedwe amitsempha yamagazi atsopano, ndipo magazi amayenderera ku retina pafupipafupi. Matenda kapena kuvulala kwa msana, komanso matenda oopsa komanso matenda ashuga, atha kukhala chifukwa chakuchepa kwa chidziwitso mu ziwiya.

Matendawa amadziwika ndi kukhalapo kwa zinthu zazing'onoting'ono m'maso momwe zingwe, tsitsi kapena ntchentche, zomwe zikuwonetsa kusintha mu thupi la vitreous.

Ngakhale kuwonongeka kwa atherosulinotic angiopathy m'maso onse sikukhudza masomphenya, vutoli litha kuthetsedwa ndi opaleshoni. Pankhaniyi, njira ya vitrectomy imagwiritsidwa ntchito pamene vitreous imachotsedwa.

Pazakudya za atherosclerosis, zothandiza komanso zovulaza, tikambirana zambiri.

Zomwe mankhwala opweteka amafunikira atherosulinosis yamatumbo am'munsi, werengani buku lina.

Kodi matenda oopsa a chotupa cha m'maso, ndichithandizo chotani chomwe chimagwiritsidwa ntchito?

Chizungulire, kusowa kwadzidzidzi kwakanthawi kapena kosatha, kupweteka kwa mutu - zonsezi zimatha kuwonetsa atherosclerosis yamitsempha ya diso, mankhwalawa omwe poyambira chitukuko amakhala ndi tsogolo labwino.

Amayambitsa komanso kuwonetsa matendawa

Atherosulinosis ya ziwiya zoperekera ndalama zimachitika chifukwa cha kuchuluka kwa mafuta m'matumbo. Popita nthawi, mawonekedwe a ma capillaries amakula kwambiri mpaka amayamba kusokoneza kayendedwe kabwino ka magazi. Zotsatira zakusowa kwa magazi, minofu ya atrophy imachitika. Zotengera zimataya mphamvu, zomwe zimabweretsa kutaya, mavuto ammaso.

Nthawi zambiri zinthu zimakhala zovuta chifukwa chakuti kusintha kwa ma pathological kumangowonetsa kukhalapo kwa matenda okhudzana. Pachifukwa ichi, ngati pali chizindikiro chilichonse cha atherosulinosis, kuwunika kwathunthu kwa wodwalayo ndikofunikira. Kuphwanya kwamapangidwe amitsempha ya maso nthawi zambiri kumachitika chifukwa cha matenda amitsempha yamagazi ndi chizindikiro choyamba cha matenda opatsirana.

Zosintha m'matumbo a fundus ndi atherosulinosis zimatha kubweretsanso mavuto otsatirawa:

• Hemophthalmus.
• Supombosis
• Kukhazikika kwa mitsempha ya retina ndi kuwala.
• Atrophy yam'mimba yawonongeka kwathunthu kapena pang'ono.

Kuchepa kwa kanthawi kochepa kwa ischemic komwe kumachitika munthu asanachitike stroko kumawonetsedwa ndi zisonyezo zingapo, kuphatikizapo kuchepa kwa kanthawi kwamaso.

Chithandizo chachikhalidwe komanso wowerengeka

Chithandizo cha atherosclerosis ya zotupa zam'mimba zimayang'aniridwa ndi ophthalmologist pambuyo pa kufufuza kwathunthu kwa wodwala. Mukamazindikira matendawa, fundus imawunikiridwa, komanso momwe imakhalira m'mitsempha komanso ma capillaries.

Atherosulinosis imadziwika ndi zotupa zochepa zazing'onozing'ono, komanso kukhalapo kwa madipoziti amafuta. Disk ya mitsempha ya optic pamaso pa kusintha kwa ma pathological imakhala ndi utoto wotumbululuka, ndi kupita patsogolo kwa matenda a m'matumbo kumakhala kutupa. Kusintha kwa mitsempha ya m'magazi kumachitikanso mu fundus.

Mankhwala osokoneza bongo amaperekedwa malinga ndi zotsatira za phunziroli. Pomwe amagwiritsidwa ntchito:

• Angioprotectors.
• Mankhwala a Vasodilator.
• Mankhwala osokoneza bongo.
• Otsutsa.

Mankhwala onse ndi nthawi yoikidwa ndi dokotala.

Mukamafufuza njira zamankhwala, zomwe zimayambitsa atherosulinosis, kuchuluka kwa kuwonongeka kwa mtima, komanso kupezeka kwa ma pathologies okhudzana nawo kumazindikiridwa. Ngati kuphwanya kwapezeka pamitsempha yam'mimba, khomo lachipatala la wodwalayo ndilovomerezeka.

Zothandiza kwambiri, mankhwala ambiri ali ngati madontho amaso. Pambuyo pokhazikitsa, ndikofunikira kupatsa maso kupumula, kupewa kuwonera TV, kugwira ntchito pakompyuta kwa maola 1-2.

Pafupifupi zitsamba zonse za anthu zimapangidwa kuti muchotse madipoziti amafuta ndi ziwongo za sclerotic m'mitsempha yamagazi. Kuti muchite izi, gwiritsani ntchito:

• Mabulosi a Chokeberry - osakanizidwa ndi shuga muyezo wa 1 mpaka 1. Gwiritsani ntchito supuni katatu patsiku.
• Redcurrant - imathandizira mwatsopano madzi owira. Kuchepetsa madipoziti, imwani chikho of cha madzi theka la ola musanadye.
• Mafuta opangira masamba - amakhulupirira kuti ngati mumamwa supuni zitatu za mpendadzuwa kapena mafuta a maolivi, mutha kuyimitsa chitukuko cha atherosclerosis ndikuchepetsa zizindikiro za matenda omwe alipo.

Mankhwala a vascular sclerosis: njira ya matenda ndi mankhwalawo

Kuwona koperewera, mutu, ndi kusasangalala kwina ndi zizindikiro zomwe zingasonyeze kukula kwa atherosclerosis ya maso. Pa gawo loyambirira la matendawa, matendawa ndi abwino.

Ngati mankhwalawa atapezeka, mankhwalawa amayenera kuyamba matendawo atapezeka. Pathology ndiyankhanza, imakonda kupita patsogolo mwachangu.

Zotsatira zakukakamiza

Kufotokozera kwavuto

Retina ndi tinthu timene timakhala mkati mwa diso lomwe limagwira mtima. Ntchito yake ndikutembenuza kwa kuwala kwa mauthenga kukhala mauthenga amitsempha, komwe kumapereka chidziwitso kuubongo.

Maziko a dziko lamanjenje amanjenje amapereka munthu kuwona kwathunthu. Kapangidwe kake kamakhala ndi zigawo khumi: mitsempha yamagazi, maselo amitsempha, minofu ya maselo ndi zina zambiri. Zonsezi ndizofunikira kuti retina izigwira ntchito mokwanira.

Pakapita maphunziro ambiri, zidatsimikizika kuti atherosclerosis yamatumbo amaso ndi vuto lambiri lomwe limadzetsa kuwonongeka kowoneka. Matendawa amatha kuyambitsa gawo lililonse la thupi.

Choopsa kwambiri chomwe chingachitike ndikuchotsekeranso khungu. Njirayi ikufunika kulowererapo mwachangu ndi ogwira ntchito zamankhwala, apo ayi munthu amalephera kwamuyaya.

Zomwe zimayambitsa matendawa

Sclerosis yamitsempha yamaso imatha kuchitika pazifukwa zosiyanasiyana, mwazomwe zimasintha, mawonekedwe amtundu amatha kusiyanitsidwa:

• kukula kwa ochepa matenda oopsa.
• general atherosulinosis.

Kuchulukirachulukira kumabweretsa chifukwa chakuti makoma amitsempha yamagazi m'magazi a anthu amavutika. Ophthalmologists amatha kudziwa matendawa, izi zimatha kuwoneka mwa kusintha kwa ma circina.

Chifukwa china chomwe chingayambitsenso kukula kwa matendawa ndi cholesterol yayitali kwa nthawi yayitali. Choyambitsa ichi chikhoza kukhala ma depositi mumitsempha, magazi sangathe kuzungulira kwathunthu.

Izi zitha kuchitika chifukwa cha zinthu zambiri:

Ndi atherosclerosis, mawonekedwe a mapepala, amasokoneza kayendedwe ka magazi, mpweya simalowa kuchuluka kofunikira. Iyi ndi njira yachindunji yopanga magazi kuti apangike, magazi amadzaphwanyika, ndipo ma cell a dongosolo lamitsempha ayamba kupanga. Ndalama zimayamba kusokonekera.

Zosangalatsa! Kuwonongeka kwa magazi kochepa kumayambitsa kukonzekera kwa minofu ya retinal, mawonekedwe a magazi, ma capillaries ang'onoang'ono amakhudzidwa.

Fundus sclerosis sitha kuzindikirika kwa zaka zambiri, chifukwa zimatha kukhala zofanana. Pathology imatha kupezeka pokhapokha pamavuto, ndipo nthawi zambiri imakhala yakanthawi.

Ma Associated pathologies angayambitse chitukuko cha matendawa, mwa iwo zotsatirazi zimatha kusiyanitsidwa:

• Wodwalayo wachitidwa opaleshoni kumtambo kapena ubongo,
• pali chotupa chachikulu chotupa chamtundu wa sclerotic,
• matenda a mtima
• kuvulala, kusokoneza magazi,
• mavuto mu endocrine dongosolo.

Ndi dokotala yekhayo amene angamvetsetse chomwe chimayambitsa mawonekedwe a retinal sclerosis.

Kukha magazi ngati chizindikiro cha atherosulinosis

Ngati timaganizira mfundo yoti zomwe zimapangitsa kuti matendawa akula ndi zadongosolo mwachilengedwe, nthawi zambiri maso awiri amakhudzidwa. Kuzindikira zizindikiro koyambirira kumakhala kovuta. Ngati mukuchita bwino, mutha kuchita zinthu zoyenera mwachangu.

Zizindikiro zake zimatha kuphatikizira:

• kupweteka mutu, chizungulire,
• m'mbali mwa njira zam'mphepete mwake muli kupweteka kwambiri,
• masomphenya akugwa mwachangu
• Kukhala ndi thanzi labwino, maso otopa,
• kumapeto kwa matendawa, kuwirikiza kawiri m'maso, kuwona.

Chifukwa chakuti magazi amayenda pang'onopang'ono, kufa ndi mpweya wa okosijeni, kapangidwe ka ma capillaries kathyoledwa, izi zitha kuwonekera pakuwazindikira.

Mitundu ikulu ya matendawa imadziwika kwambiri. Mitsempha yamagazi yowonongeka kwambiri imakhala yoopsa, mitsempha ya optic ikhoza kuwonekera, zotupa kapena glaucoma.

Kusintha kwa mtima komwe kumayambitsa khungu - retinal atherosulinosis

Cholesterol ikayikidwa pamakoma a ziwiya za m'maso, atherosulinotic retinopathy imayamba. Maso anga asanaoneke madontho akuyandama kapena madontho, chophimba, maonedwe achilengedwe amachepa. Zochizira, mankhwala amathandizidwa kuti azisinthasintha magazi a cholesterol, angioprotectors, anticoagulants, mavitamini, ndi laser coagulation.

Magawo otukuka

Kukula kwa atherosulinosis kwamatumbo am'mimba ndi njira yokhayo yophatikiza magawo anayi:

• Angiospasm. Kuphipha kwamitsempha yama mitsempha ndi mitsempha ya m'mimba kumayamba. Iyi ndi njira yosinthira yomwe imachotsedwa ndikuchotsa matenda oyamba.
• Angiosulinosis Mapangidwe a cholesterol m'makoma a zotengera, amachepetsa lumen. Kusintha kotereku kumawerengedwa ngati organic, kotero kuti musathe kuzichotsa. Koma popeza kuti retina sanachite nawo ndalamazi, masinthidwe sanawone.
• Angioretinopathy. Retina imaphatikizidwa ndi chitukuko cha atherosermosis yamitsempha ya diso. Zakudya zam'mimba, ma pigment amana, zomwe zimayang'ana kusintha kowononga kumawonekera padziko. Masomphenya akuyamba kuwonongeka.
• Angioneuroretinopathy. Kuwongolera kwa mitsempha ya optic kumayamba. Masomphenyawa amayamba kuwonongeka kwambiri mpaka kukulira khungu pang'ono.

Zizindikiro zazikulu

Retinal atherosulinosis imati ilipo m'malo omwe sangathe kuthandizidwa. Izi zisanachitike, munthu samakayikiranso za matendawa. Nthawi zambiri zizindikiro zoyambirira zimaphatikizapo:

• kupweteka kwa maso
• chizungulire
• kutopa kwamaso,
• mutu
• kusakhazikika kwazowonongeka (kosatha kapena kwakanthawi): mawonekedwe a ntchentche, mawanga.

Tsoka ilo, anthu ambiri amanyalanyaza zoyamba za matendawa. Wina amati kusinthaku kukuchitika, munthu atakhala nthawi yayitali pakompyuta. Chifukwa chake, mitundu yayikulu ya retinal angiopathy imakonda kupezeka nthawi zambiri pamene mitsempha ya optic mitsempha imayamba.

Njira zamakono zodziwira matenda

Njira yayikulu yodziwitsira ma atherosulinosis a ziwiya zam'mimba ndikuwerenga za fundus. Mawuwa amatanthauza mawonekedwe amkati mwa khungu, omwe amatha kuwonerera kudzera mwa wophunzira pogwiritsa ntchito ophthalmoscope. Asanawunike, wodwalayo amapakidwa madontho omwe amapukusa ana. Chifukwa chake dotolo athe kuwona gawo lalikulu la fundus.

Ndi atherosulinosis yamitsempha yamaso, adokotala amatulukanso izi:

• misempha yayikulu, yaying'ono imakhala ndi mawonekedwe oyipa, kupindika kwamitsempha kumachitika pakatikati kapenanso kumanja,
• ma aneurysms angapo - kukulitsa khoma la mtsempha, wofanana ndi kuwira.
• mafuta m'thupi
• retinal hemorrhages, ndipo nthawi zina - vitreous nthabwala (hemophthalmus),

Pofuna kufotokoza bwino za matenda a atherosulinotic angiopathy, kuwala kwa mgwirizanowu tomography kapena kuwunika kwa ma cell kumachitika.

Mfundo za optical coherence tomography (OCT) ndizofanana kwambiri ndi ultrasound. M'malo mwa ultrasound, ma sensor okha omwe amatulutsa ma infrared mafunde ndi omwe amagwiritsidwa ntchito kuti apange fano la fundus. Zipangizo za OCT zimaposa kwambiri kulondola kwa ophthalmoscopy. Ndi chithandizo chawo, mutha kudziwa zambiri zamapangidwe amtundu wa retina, momwe masinthidwe ake a pathological.

Kuunika kwa ma electrophysiological kwa diso (EFI) - kumathandizira kuwunikira magwiridwe antchito a retina, mitsempha ya maso, ndi madera aubongo omwe amayang'anira masomphenya. Zizindikiro za njirayi ndizokayikira kuzimiririka kwa retinal, kuwala kwa patini.

Ndikofunikira kusiyanitsa atherosclerosis ya retina ku mitundu ina ya retinopathies: hypertensive, diabetes, traumatic, post-thrombotic. Monga atherosclerosis, matenda onsewa amawononga ziwiya za retina komanso amasokoneza chakudya chake. Zizindikiro za retinal angiopathy ndizofanana, koma chithandizo chimasiyana. Chifukwa chake, ndikofunikira kudziwa molondola mtundu wa zotupa za ziwiya za fundus.

Zochizira

Ndi atherosulinosis ya diso la maso, chithandizo makamaka ndicho kuchotsa matenda oyambitsidwa. Kuphatikiza apo, mankhwalawa amaperekedwa kwa wodwala kuti athandizire kuchotsa zizindikirazo.

Chithandizo cha atherosulinosis imaphatikizanso kuwunika kwa zakudya, moyo, komanso kugwiritsa ntchito mankhwala omwe amachepetsa kuthamanga kwa magazi, kupewa magazi, komanso kutsika mafuta m'thupi.

Mankhwala osagwiritsidwa ntchito ndi mankhwalawa amatanthauza:

• Zakudya Ndikulimbikitsidwa kudya pafupipafupi, koma m'magawo ang'onoang'ono. Maziko ake azikhala zakudya zamasamba, zamkaka zochepa zamafuta, nsomba. M'pofunika kuchepetsa kudya nyama zamafuta, komanso zinthu zomwe muli nazo: nkhumba, ng'ombe, mazira, batala, mafuta tchizi, tchizi, zonona.
• Modekha mu mowa. Tsiku lililonse, azimayi sayenera kumwa mowa wambiri wa 150 ml, 300 ml ya mowa kapena 45 ml ya zakumwa zambiri. Kwa amuna, mlingo woyenera wololedwa ndi 300 ml ya vinyo, 600 ml ya mowa kapena 90 ml ya zakumwa zambiri.
• Kusuta kufafaniza. Ndudu za fodya zimawonedwa kuti ndizowonongeka zazikulu zamitundu yambiri ya atherosulinosis. Mwachitsanzo, pakati pa anthu omwe akuvutika ndi ziwongola zamiyendo, 80% amasuta.
• Kuchepetsa thupi kulemera kwathanzi. Kulemera kwambiri kumawonjezera katundu pamtima, kumathandizira kuwonjezera cholesterol, triglycerides,
• Zochita zolimbitsa thupi. Ngakhale kuyenda kwamphindi 30 kumathandiza kale kulimbana ndi cholesterol yayikulu. Ngati mukuwonjezera masiku 2-3 pamasewera sabata iliyonse pakuyenda tsiku lililonse, zotsatira zake zimakhala zabwino kwambiri.

Momwe muyezo dongosolo la atherosulinosis imaphatikizira mankhwala otsatirawa:

• Ma Statin ndi mankhwala omwe amaletsa kupanga cholesterol ndi thupi. Amasintha bwino kwambiri momwe mafuta amchere amathandizira, amathandizira kukhazikitsa kukula kwa zolembedwa za atherosulinotic. Ma statins odziwika kwambiri ndi atorvastatin, rosuvastatin, simvastatin. Kuphatikiza pa ma statins, ma fibrate, othandizira a bile acids, ndi mayamwidwe a cholesterol omwe ali ndi vuto lofananalo. Komabe, mankhwalawa amalembedwa pafupipafupi chifukwa chogwira ntchito bwino.
• Maanticoagulants ndi mankhwala omwe amaletsa magazi kuwundana. Samalola kuti mapulatele azimatirana, amapangitsa magazi kukhala madzi ambiri, amasungunula mawonekedwe omwe alipo. Zochizira atherosulinosis, clopidogrel, aspirin, warfarin, fraksiparin, pradax amagwiritsidwa ntchito.
• Mankhwala a antihypertensive - mankhwala omwe amachepetsa kuthamanga kwa magazi. Zofunika kokha kwa odwala omwe ali ndi matenda oopsa. Kuchepetsa kupanikizika kumakupatsani mwayi wochepetsera chiopsezo chokhala ndi zovuta zazikulu: stroko, myocardial infarction.

Kusintha kwa retina, wodwalayo amamulembera mavitamini B, mankhwala omwe amathandizira kuyamwa kwamatumbo am'mimba, kuthetsa kutentha kwa membrane, komanso kukonza minyewa yodwala (potaziyamu iodide, dionine).

Pali lingaliro kuti kukulira kwa kusowa kopatsa magazi kwa retina ndi harbinger wa microstroke kapena sitiroko. Chifukwa chake, adotolo atha kuphatikizira mankhwala a regimen omwe nthawi zambiri amapatsidwa matenda a ubongo

• Nootropics (thiocetam, piracetam, nootropil, cortexin),
• ma microcirculation normalizer (cavinton, trental, cerebrolysin),
• cerebroprotectors (sermion, fezam, neuroxon).

Chithandizo cha opaleshoni ya atherosulinotic retinopathy sichinachitike.

Zolemba

1. Gerald Liew, Jie Jin Wang. Zizindikiro za retinal Vascular: Window to the Heart?, 2011
2. Tedeschi-Reiner E, Reiner Z, Sonicki Z. Atherosulinosis of retinal artery men in men: serum lipoproteins and apoproteins, 2004
3. Dr Mary Lowth. Matendawa Osakhala ndi matenda A shuga a retinal Vascular, 2016

Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.