Atherosclerosis: zimayambitsa, Zizindikiro, chithandizo

Momwe mungayeretsere ziwiya, ndendende momwe mungachotsere ziphuphu za atherosselotic, ndiye mutu womwe nkhaniyi tidzipereka. Dongosolo loyendayenda limaphatikizapo ziwiya ndi zingwe zomwe zimagwira ntchito kuzungulira magazi. Madzi amadzimadzi, nawonso, amanyamula mpweya ndi michere ku ma cell a thupi lonse. Popeza zakudya zonse, mutatha kudyetsa zakudya m'mimba, kulowa m'magazi, ndizofunikira kwambiri zomwe munthu amadya. Mankhwala opangidwa ndi nyama akamagwiritsa ntchito pamakoma a mtima, malo ophatikizika ndi ziwindi amayamba.

Poyamba, taganizirani izi: Matanthawuzo a atherosulinosis kuchokera ku chilankhulo cha Chi Greek amatanthauza "zamkati", "kuwumitsa". Kutengera malingaliro awa, titha kuweruza chomwe chimayambitsa atherosulinosis yamitsempha yamagazi. "Gruel" ndiyowopsa komanso mafuta m'thupi, komanso mafuta alionse azinyama. Koma sikuti mafuta a nyama ndi omwe amabwera chifukwa cha mtima. Mafuta ena azomera, omwe amaphatikizidwa ndi ma hybridization, omwe amatchedwa mafuta a trans, siwonsoopsa kwa thupi la munthu.

Mapepala a Atherossteotic, kuphatikizapo omwe amapangidwa kuchokera kumagwiritsidwa ntchito pafupipafupi ndimafuta a kanjedza ndi coconut kapena zinthu zomwe zilimo.

Kuchokera pazomwe tafotokozazi, zikutsatira kuti zoyambitsa matenda a atherosulinosis zimafotokozedwa ndikuphwanya mapuloteni ndi lipid metabolism. Zotsatira zake, pali kuchuluka kwa cholesterol ndi lipoprotein ina mu lumen ya mtima, motero mapangidwe a atherosranceotic amapangidwa. Kuwonetsedwa kwa matenda a atherosulinosis akufotokozedwa pakuwonjezeka kwa minofu yakunja, njira yotchedwa vascular sclerosis.

Izi zimabweretsa kufupika pang'onopang'ono kwa lumen m'magazi, komwe kumabweretsa chiopsezo chakukulira kwathunthu (chotchinga).

Palinso matenda ena ofotokozedwa ndi mtima sclerosis, omwe amadziwika kuti mankhwala a arteriosulinosis. Matendawa amakhala m'malo achiwiri pakati pa matenda a mtsempha wamagazi. Arteriossteosis, yoyamba kupezeka ndi Menkeberg, imadziwika ndi kudzikundikira kwamkatikati mwa mitsempha osati ya cholesterol, koma yamchere amchere. Arteriosulinosis yotere imakhala ndi dzina lomwelo: arteriocalcinosis, calcation calter, medial calcification of artery and tanthauzo lina.

Arteriosulinosis yamitsempha yamagazi ndi arteriosulinosis amawerengedwa osati ndi ziwiya zotsekera ziwiya. Komanso mawonekedwe a madongosolo - ma atherosselotic zolembera amakula mkati mwa chotengera ndikuwatsogolera pakuphuka kwake. Pomwe mchere wa calcium, womwe umayikidwa mu media (media - membala wamkati mwa chotengera), umaphatikizira ndikutambasuka kwake, kumakhala mtundu wina wa chotupa cha mtsempha wamagazi (aneurysm).

Zomwe zimayambitsa ndi zolembera mu ziwiya nthawi zambiri zimayambitsidwa ndi zinthu zakunja, njira yamoyo komanso zakudya, thanzi. Pafupipafupi, zolembedwa za atherosclerotic zimachitika chifukwa cha zolakwika zomwe zapezeka komanso makamaka zokhudzana ndi kubereka. Cholinga chachikulu cha matendawa chagona, mwakuti, mafuta ambiri owonjezera. Chifukwa chake, zimatenga nthawi yochepa kuti muchotse zomwe zimayambitsa kunja kwa mtima wamankhwala, zidzakhala zokwanira kusintha zomwe zikuchitika mokhudzana ndi chakudya, zochitika zovuta komanso zizolowezi zoyipa.

Zimayambitsa mtima atherosulinosis:

• Zambiri:
  • Kusuta fodya komanso kumwa mowa.
  • Ukalamba, pambuyo pa 50 ndi kupitilira.
  • Kunenepa kwambiri.
  • Kudya zakudya zoyipa.
  • Moyo wapagulu, kusachita masewera olimbitsa thupi.
  • Kupsinjika ndi kusokonezeka kwa malingaliro.
  • Kwa akazi, kusamba.
• Zachisoni:
  • Kutengera kwa chibadwa (Homocystoinuria).
  • Kuthamanga kwa magazi.
  • Matenda a shuga.
  • Kuperewera kwa mahomoni a chithokomiro.
  • Kuwonjezeka kwa fibrinogen yamagazi.
  • Miyezi yambiri ya lipoprotein, okwera kwambiri m'magazi.

Vutoli limakhala losiyana ngati arteriosulinosis imayamba chifukwa cha zomwe zimachitika mthupi. Kenako, polimbana ndi zolembera za atherosselotic, muyenera kugwiritsa ntchito "zojambula zolemera", m'chinenerocho, chithandizo chamankhwala. Ndipo makamaka pazochitika zotsogola, mungafunike kuchitapo kanthu opaleshoni.

Gawoli

Kugawidwa kwa mtima atherosulinosis kumachitika malinga ndi zifukwa zomwe zimatipatsa mphamvu yolimbikitsa kuchepa kwa matenda a mtima. Asayansi azachipatala azindikira njira zomwe zimapezeka kwambiri pathogenesis popanga mapangidwe a atherosulinotic.

Mitundu ya mitsempha yotupa ya mitsempha panthawiyi sadziwika, koma komabe tili ndi zifukwa zomveka. Mitundu ya mitsempha ya mitsempha:

• Chiphunzitso cholowetsa chomwe chimayambitsa matenda a atherosulinosis ndicho kuphatikiza kwakukulu kwa lipoproteins mu khoma la mtima. Chiphunzitso cha "kutayikira" chiri m'lingaliro lakuti gawo lina la makhoma amitsempha yamagazi, makamaka, zamapangidwe ake, omwe amataya munthu aliyense wamagazi, amawonjezeredwa ndi lipids omwe amachokera ku plasma.
• Chiphunzitso cha endothelial matenda ndi kusokonezeka koyambirira kwa machitidwe oteteza a endothelium ndi ma neurotransmitters. Chikhulupiriro cha "Kuyankha kuwonongeka" ndikuti chifukwa chotsatira chakuphwanya umphumphu wa mtima wamtopola, mapangidwe a atherosrance.
• Mtundu wa monoclonal umakhazikika pa lingaliro lakapangidwe kamene kamapanga minofu yosalala, ndendende, maselo ake (MMC). Malinga ndi chiphunzitsochi, anthu ena amaganiza kuti kuwonongeka kwamitsempha kumachitika chifukwa chotsatira chotupa.
• Parasitic etiology - kuwonongeka kwa makoma amitsempha yamagazi ndi ma virus ndi mabakiteriya, kuphatikizapo chlamydia, matenda a cytomegalovirus, herpes. Kafukufuku wokhudzana ndi matenda a atherosselotic misa otseketsa mitsempha adawonetsa kukhalapo kwa chlamydia m'magazi mu 80% ya odwala omwe ali ndi mtima wamatumbo.
• Hormonal genesis imalimbikitsa kukula kwa kusintha kwa atherosulinotic chifukwa cha kuchuluka kwa mahomoni a adrenocorticotropic ndi gonadotropic m'thupi. Izi zimadzetsa chiwonjezeko pakupanga zida zomanga ma mahomoni omwe amakhudza cholesterol.
• Chiphunzitso cha Peroxide chimalola kukhathamira kwa mitsempha ya mitsempha yothana ndi magazi chifukwa cha kuphatikizika kwa kuponderezedwa kwa zamadzimadzi am'magazi. Kuphatikiza apo, zotsatira za ma free radicals mu mawonekedwe ankhanza chifukwa chophwanya dongosolo la antioxidant.
• Genetic biogenesis imadziwika ndi kubadwa kwatsopano kwa makoma a mtima.
• Hypothesis ya autoimmune imayamba chifukwa cha kukomoka kwa leukocyte ndi macrophage.

Gulu la atherosulinosis WHO:

1. Metabolic atherosulinotic ndondomeko imayamba chifukwa cholowa cholowa ndi cholowera cha lipid metabolism, ma metabolism a endocrine.
2. Hemodynamic atherosulinotic matenda amapezeka motsutsana ndi maziko a mtima pathologies, mwachitsanzo, matenda oopsa komanso zina.
3. Osakanizidwa, ndi kuphatikiza kwa mitundu iwiri yoyambayo mpaka madigiri osiyanasiyana.

Mapangidwe a atherosulinosis kutengera malo omwe akuwonongeka:

• matenda amiseche,
• mitsempha yamtima
• atherosulinosis ya msempha,
• ziwalo zopumira (thromboembolism),
• zotupa zam'matumbo a mitsempha, matumbo,
• kusintha kwa atherosulinotic m'mitsempha ya m'munsi.

Zokhudza thupi

Zotsatira za mtima wa atherosulinosis zimatha kupha, chifukwa imfa imachitika pamene duct ya magazi yatsekedwa kwathunthu. Koma ngakhale pakukula kwa pathological mkhalidwe, cholesterol zolembera m'matumbo amadzipangitsa kumverera, ndikupha kwambiri kukhalapo kwathunthu. Zomwe zimagawidwa pamwambapa ndizowopsa osati thanzi labwino, komanso moyo komanso zimayambitsa zovuta za atherosulinosis yamitsempha yamagazi.

Vascular atherosulinosis zotumphukira zokhudzana ndi zovuta:

• Atherosulinosis yamitsempha yama ziwonetserozi imatulutsa zovuta monga kupuwala, kukha mwazi, kulephera kwa zinthu zina zolimbitsa thupi (mota, maonekedwe, malankhulidwe, mawu, malingaliro ndi zina). Zimatithandizanso kupsinjika kwa ischemic kapena kulowetsedwa kwina kwazitsekere.
• Atherosulinosis ya mitsempha ya mtima ikufotokozedwa mu matenda a mtima, kulephera kwa mtima, hypoxia, angina pectoris, infarction ya myocardial, kumangidwa kwadzidzidzi kwamtima, kusintha kwa atrophic ndi dystrophic, kupasuka kwa aneurysm, komwe kumatha kwambiri.
• Atherosclerosis yamitsempha yamagazi mu msempha kumabweretsa systolic matenda oopsa, aneurysm ndi thromboembolism lalikulu la magazi.
• Pulmonary thromboembolism imakhala yodziwika ndi kakulidwe kazinthu zam'mapapo mtima, infarction yam'mapapo, kumangidwa kwa kupuma.
• Mavuto a atherosulinosis a ziwiya zamagawo am'munsi ndizowopsa chifukwa cha kulumikizana kwapang'onopang'ono, phazi lamiyendo ndi zala, komanso zilonda zam'mimba.
• Atherosulinosis ya ziwiya za impso imatsogolera ku matenda oopsa ndi kulephera kwaimpso. Atherosranceotic kupatuka kwamatumbo kumawopseza necrosis ya minofu yamatumbo.

Zotsatira za mtima wa atherosulinosis zimatengera gawo la matenda. Mankhwala, ndichizolowezi kuwerengera nthawi zinayi zakukula kwa atherosulinosis - ndizosawerengeka, koyambirira, koopsa, komanso zovuta. Magawo awiri oyambilira amawonedwa ngati osavulaza, pomwe mutha kubwezeretsa mwachangu thanzi labwino la magazi ndi kupewa zomwe zimachitika.

Cholesterol imadziwika ndi kudziunjikira kwapang'onopang'ono kwa cholesterol m'thupi. Chifukwa chake, kukula kwa matenda a atherosulinosis yamatumbo kumachitika pakuwonjezeka kwazaka zambiri. Monga lamulo, cholesterinosis imakhala ndi mawonekedwe osatha komanso magawo omwe akuipiraipira pakapita nthawi. Kodi magawo a atherosulinosis ndi ati?

Zizindikiro zazikulu za kusintha kwa ma atherosulinotic m'magazi oyenda:

1. Njira yodziyimira ndi matenda, pomwe maula a lipid amawonekera m'malo ena mkati mwa chotengera (intima).
2. Gawo loyamba la atherosulinosis ndi zizindikiro zofatsa, monga kuwonongeka kwa lipid metabolism, osowa kwambiri atherosulinotic ndi fibrous plaques.
3. Zizindikiro zooneka za atherosulinosis ndi kulephera kwa lipid metabolism, kusintha kwa ma atheromatous m'mitsempha yamagazi, kupanga atherocalcinosis.
4. Mowoneka bwino atherosulinotic matenda ndi zotsatira zake mu mawonekedwe a kuphwanya kwapakati pa lipid metabolism, atheromatosis kwambiri ndi atherocalcinosis.

Magawo a mtima atherosulinosis, morphogeneis ndi pathogeneis:

• Dolipid akuwonetsa kutupira, ma microthrombi m'chigawo cha parietal, "zotupa" za zotanuka za msempha. Mu intima, kudzikundikira kwa asidi glycosaminoglycans kumachitika.
• Lipoidosis, gawo limadziwika ndi mawonekedwe a chikasu cha lipid omwe samatulutsa pamwamba pamatumbo. Pakadali pano, matenda a psychology sangathe kuyimitsidwa kokha, koma atherosclerosis amathanso kuchiritsidwa kwathunthu.
• Lipossteosis imayamba chifukwa cha kukhazikitsidwa kwa zolembera zam'matumbo kuchokera ku minofu yolumikizana, yomwe imakhala ndi minofu, misa yakufa (detritus).
• Atheromatosis, yodziwika ndi kukula kwamphamvu kwa atheromatous misa. Chifukwa cha kufalikira kwa izi, cholembera cha atherosselotic chitha kupsinjika, kutaya kwamkati, ndikupanga zigawo za thrombotic. Kuchulukana kumafotokozedwa ngati ma zilonda za atheromatous. Kuchita kotereku kumabweretsa kutsekeka kwam'kati mwa chotengera ndi kugunda kwamtima kwa chiwalo chomwe chimaperekedwa ndi magazi kudzera m'mitsempha iyi.
• Atherocalcinosis ndi gawo lomaliza komanso lovuta kwambiri. Gawoli limadziwika ndi petrization ya sclerotic plaque chifukwa chamchere wamchere. Pakadali pano, pamene wodwalayo akufuna kudziwa momwe angayeretsere ziwiya za cholesterol, yankho lake limakhala lokomera opaleshoni.

Pa siteji ya atheromatosis, ngati kupyola kumtunda kwa pepala la atherosclerotic, kumachitika. Ndipo kutulutsidwa kwa detritus kumkati mwa chotengera, komwe kumabweretsa kufalikira kwake ndipo kumabweretsa zotsatira zoyipa mu mawonekedwe a myocardial infarction, ischemic stroke ndi zina zotere. Chochitika chachiwiri ndi pamene chipolopolo cha cholesterol plaque sichimafupika, koma, m'malo mwake, chimadzala. Kuchita kotereku kumachitika nthawi yayitali matenda atherosulinosis, omwe amadzala ndi mtima ischemia, dyscirculatory encephalopathy ndi ena.

Zizindikiro

Momwe mungadziwire matenda a mtima wamatenda? Kuzindikira kwa atherosulinosis kumatha kupangidwa kokha ndi dokotala potengera mawonekedwe osiyanasiyana odwala. Kutengera ndi malo omwe awonongera dongosolo loyenda magazi ndi kusintha kwa atherosulinotic, kuyesedwa ndi akatswiri osiyanasiyana kudzafunika. Mwachitsanzo, kuti mudziwe momwe mungachiritsire matenda a mtima m'mitsempha ya mtima, muyenera kulumikizana ndi katswiri wamtima. Ngati atherosulinosis ya mitsempha ya ziwalo ikuyang'aniridwa, ndiye kuti wamisala amayendetsa mankhwalawo. Nephrologist amalimbikitsa momwe angachotsere atherosulinosis ya mitsempha ya impso. Momwe mungachotsere cholesterol plaque mu msempha, matumbo kapena malekezero akuyenera kufunsa dokotala wamankhwala opaleshoni.

Diagnosis ya mtima atherosulinosis ndi motere:

• Kuwona kwa wodwalayo chizindikiro cha atherosulinosis.
• Kupeza zizindikiro zake zosokoneza.
• Palpation yamitsempha.
• Kudziwitsa za kachulukidwe ka makoma ochepa.
• Kupereka magazi kwa mayesero a atherosulinosis, kuphatikizapo kufotokozera:
  • cholesterol mulingo
  • triglycerides
  • zikuonetsa lipid kagayidwe,
  • mgwirizano wa atherogenic.
• Kutsatsa kwa mitsempha yamtima kumawulula modandaula.

Matenda a atherosulinosis mwa njira zothandiza:

• Dopplerography (ultrasound) ndi rheovasography yamitsempha yam'munsi yam'munsi.
• Ultrasound yam'mimba dera ndi mtima zone.
• Zotsatira za Coronography ndi aortography.
• Magnetic resonanceapy (MRI) imakupatsani mwayi kuti muwone mwatsatanetsatane makoma amitsempha kuti apeze zotupa za atherosulinotic ndikuwona gawo la njira ya pathological.
• Chest X-ray ndi maphunziro ena omwe adokotala adawalimbikitsa.

Kuzindikira atherosulinosis kwamitsempha yamagazi si chovuta, chifukwa nthawi zambiri matendawa amatuluka popanda chizindikiro komanso osavutitsa munthu. Zovuta za atherosulinotic matenda amapezeka ndendende chifukwa zimadziwika ngakhale mawonekedwe a mtima atherosulinosis akuwonekera. Pakadali pano, nthawi zambiri zinthu zosasintha zimayamba kulowa m'thupi la wodwalayo zomwe zimafunikira zina, ndiye kuti kuchitapo opaleshoni. Kapenanso chithandizo chamankhwala chotenga nthawi yayitali osati matenda a atherosselotic. Komanso zovuta za matenda a ziwalo zamagetsi ndi machitidwe omwe apeza kuwonongeka chifukwa cha atherosulinosis.

Zizindikiro za atherosulinosis ya mtima zimayamba kudziwonetsa pafupi ndi gawo lachiwiri la matenda. Ndiye kuti, pakati pa nthawi yowoneka ngati ma lipid mawanga ndi gawo loyambirira la mapangidwe a cholesterol.

Zizindikiro zoyambirira zomwe zikuwonetsa machitidwe a atherosulinotic mu ziwiya sizikhala ndi zisonyezo zina ndipo zimatha kuwonetsa ma pathologies ena.

Chifukwa chake, kafukufuku wazachipatala wa atherosulinosis amapezeka molumikizana ndi malo owonongeka. Zizindikiro za atherosulinosis ziyenera kuchitika molingana ndi kufalikira kwa zotupa za chinthu china.

Zizindikiro za mtima atherosulinosis zimagawidwa malinga ndi:

• Mawonekedwe a atherosulinotic mu ubongo amachitika ndi zizindikiro zina:
  • cephalgia, kumverera kwa khungu losazindikira, kukomoka,
  • matenda oopsa ogwirizana ndi tinnitus,
  • chisokonezo cha magawo ogona, ofotokozedwa movuta kugona ndi kugona tulo masana,
  • matenda amisala, kusakwiya, mantha,
  • kutopa kosagwirizana ndi katundu wolingana,
  • zolakwika mu zida zamalankhulidwe,
  • mavuto okhala ndi malo oyanjana komanso kulumikizana kwa mayendedwe,
  • kukumbukira kukumbukira ndi kukumbukira zochitika zosiyanasiyana,
  • kupuma movutikira, kupuma kosokoneza, kupweteka m'mapapu.
• Coronary atherosulinosis imatha kuweruzidwa ndi zizindikiro monga:
  • kupweteka pachifuwa ndi phokoso kumanzere kwa thupi kutsogolo ndi kumbuyo,
  • kumva kupsinjika kumbuyo,
  • kusintha kwa chizolowezi chamtima chakuwonjezereka kapena kufooka,
  • kukanikiza, ululu wosakhazikika m'nsagwada yam'munsi ndikubwerera khutu lakumanzere ndi khosi,
  • kuyang'ana mpaka kukomoka,
  • kufooka miyendo, kuzizira, kuzizira, thukuta lochulukitsa.
• Kusintha kwa atherosulinotic mu mtima aorta kumadziwika ndi zizindikiro zotsatirazi:
  • zotentha pachifuwa,
  • kuchuluka pafupipafupi kwa magazi a systolic,
  • Chizungulire
  • kumeza zovuta pakudya,
  • kuzindikira kwa chiwerengero chachikulu cha wen, makamaka kudera la nkhope,
  • kukalamba mwamphamvu ndi ukalamba wakunja, zachilendo kwa zaka,
  • kukula kwambiri kwa tsitsi m'makutu.
• Atherosulinotic mayikidwe amkati mwa ziwalo zam'mimba amasonyezedwa ndi zizindikiro izi:
  • M'mimba msempha, cholesterol zolembera amadzimverera ndi kusayenda kwamatumbo, kuchepa thupi kosafunikira, kupweteka pambuyo chakudya, kuwonjezeka kwa mapangidwe a gasi. Komanso nthawi zina pamakhala matenda olembetsa magazi, kulephera kwa impso, kupweteka kwa peritoneum, osayankha painkiller.
  • M'matumbo am'matumbo, zizindikiro zimawoneka ngati zowawa mukatha kudya, kutulutsa, kusanza, mseru.
  • M'mitsempha yama impso kuti mumakhala zolembera za cholesterol, kulephera kwa impso, ma signature a arterial.
• Atherosclerosis ya malekezero am'munsi amakhala ndi zizindikiro:
  • kufinya kwa thupi pamalo omwe amapezeka cholesterol m'mitsempha yamagazi ya miyendo,
  • kumverera kwa dzanzi ndi "goosebumps" pambuyo poti thupi silili bwino kapena losasinthika kwa nthawi yayitali,
  • kudzala kwa manja ndi miyendo.

Zizindikiro za mtima za atherosclerosis ndi chithandizo zimakhala zopindulitsa kwambiri ngati zimachitika motsatana ndi mankhwala a chinthu kapena dongosolo. Kupanga mapangidwe a atherosselotic zolembera kungachitike chifukwa cha matenda, koma ndi moyo. M'malo mwake, izi ndizofanana, monga ma pathologies ena ambiri. Chifukwa chake, anthu omwe cholinga chake ndi chithandizo chonse cha mtima wamatenda ayenera kukhala okonzekera kusintha kwakukulu pankhani yokhudza zolimbitsa thupi, kadyedwe kake komanso motsimikiza kusiya zosokoneza, tikulankhula za kusuta fodya komanso mowa. Kusiyidwa kwa zinthu zoyipa m'moyo wanu ndi theka la kupambana panjira yoyeretsa mitsempha yamagazi ya cholesterol plaque.

Pafupifupi 100% yaanthu ali ndi vuto la kusintha kwa mitsempha ya atherosselotic mpaka digiri imodzi kapena imzake, makamaka iwo omwe adutsa malire azaka 30. Poganizira izi, akatswiri azachipatala amatanganidwa kwambiri ndi kupewa komanso kudziwitsidwa koyambirira kwa matenda a atherosulinosis. Koma anthu ambiri ali ndi chidwi chofuna kudziwa ngati zingatheke kuchiritsa atherosulinosis komanso momwe mungachotsere cholesterol?

Kuchiritsa kwathunthu kwa mitsempha yamitsempha yamagazi, monga tafotokozera kale, ndizotheka pokhapokha ngati mapangidwe a atherosselotic. Mosayankha mosaganizira momwe mungachotsere zolembera sizigwira ntchito, kuwunika mwatsatanetsatane kwa nkhaniyi kuyenera. Chokhacho chomwe chitha kunenedwa nthawi yomweyo ndikuti matenda aliwonse a atherosulinosis ndiwopadera. Chifukwa pathogenesis ya atherosulinotic matenda ndi yosiyana, ndipo kuthekera kwathanzi la wodwala aliyense ndikosiyana, chithandizo chomwechi cha atherosulinosis chimapangitsa zambiri kutuluka mthupi.

Poganizira funso la momwe tiyenera kuchitira atherosulinosis yamitsempha yamagazi, ndikofunikira kuzindikira mbali zingapo:

• Ndi mankhwala.
• Mwachizolowezi
• Ndi mankhwala ena.
• Kudya wopanda mafuta a cholesterol.
• Kudzera muzochitika zamasewera.
• Kukana zizolowezi zoipa.

Mankhwala

Madokotala nthawi zambiri amatenga njira yophatikizira chithandizo chokwanira cha atherosclerosis. Kuchotsa zizindikiro zoyambirira za atherosselotic zingakhale ndi malire kupatula zakudya zamafuta a cholesterol muzakudya za tsiku ndi tsiku, kapena kusintha matenda ngati mafuta. Chithandizo chofatsa chimakhala chovomerezeka pokhapokha ngati gawo la mtima limatulutsika, chithandizo cha gawo lotsatira la lipoidosis, makamaka ena, ziyenera kuchitika pogwiritsa ntchito mankhwala.

Chithandizo cha cholesterol zolengeza akufuna kukwaniritsa:

• Sinthani magazi.
• Malangizo a lipid metabolism.
• Kuyang'anira shuga.
• Kukhalabe ndi metabolic rate.

Malinga ndi zomwe zaperekedwa pakukula kwa atherosulinosis, mankhwala agawika m'magulu akulu akulu:

• Kuchepetsa kupanga kwa triglycerides, cholesterol m'chiwindi komanso nthawi yomweyo kutsitsa chidwi cha zinthu izi m'magazi. Ndalamazi zimaphatikizapo sequestrants za bile acid.
• Kulepheretsa mayamwidwe a cholesterol m'thupi. Mankhwalawa akuphatikizapo:
  • Gulu loyamba ndi anion exchange resins (IA) ndi chomera sorbents (IB).
  • Gulu lachiwiri ndi statins (IIA), fibrate (IIB), nicotinic acid (IIC), probucol (IID).
• Kupititsa patsogolo chiwonongeko ndi kugwiritsa ntchito lipoproteins ndi atherogenic lipids. Mwa zinthu zochiritsa zoterezi ndimankhwala osapangika amafuta acid.
• Monga othandizira kuti azitha kuchiza cholesterol zolembera, mankhwala a endotheliotropic ndi mankhwala.

Kuchotsa opaleshoni ya cholesterol plaques ndikofunikira pokhapokha ngati chiwopsezo cha chotengera cham'madzi chitha. Nthawi zina, ndibwino kuchitira atherosulinosis ndi mankhwala azachipatala. Kuphatikiza pa mankhwala, kudya mafuta ochepa a cholesterol kumalimbikitsidwa, ndipo njira zina kuchokera ku atherosulinosis ndizothekanso.

Chithandizo cha anthu

Mankhwala achikhalidwe sanapangidwepo nthawi zonse monga zilili masiku ano. Chifukwa chake, anthu adagwiritsa ntchito kwambiri mphatso zachilengedwe pochiritsa matenda a ubongo. Zilonda zam'mimba za Atherosulinotic zilinso chimodzimodzi. Nthawi zambiri, pokhapokha chifukwa cha kugwiritsa ntchito bwino kwazinthu zina, atherosulinosis yamatumbo inachiritsidwa kwathunthu.

Kuyeretsa ziwiya ku cholesterol zolembera ndi zosakaniza zachilengedwe:

• Wokondedwa
• Garlic.
• Ndimu
• Walnut
• Kaloti (madzi atsopano) ndi mbewu zina zambiri.

Vascular atherossteosis amathandizika bwino, ndipo ziwiya zimatsukidwa, zimayesedwa ndi anthu ambiri omwe amapanga zigawo zikuluzikulu za atherosclerotic - mandimu ndi adyo. Kuti mukonzekere kusakaniza kwa atherosclerosis, mudzafunika mutu wa adyo ndi mandimu. Pogaya zosakaniza bwino (ndimu ndi zest) ndi malo mu chidebe chagalasi. Ikani gruel pasadakhale ndi madzi owiritsa ndi osalala mu theka la lita.

Ikani mankhwalawa atherosclerosis m'malo amdima kuti muumirire masiku atatu. Pambuyo pa nthawi yomwe mukufuna, osakaniza angatengedwe pamimba yopanda kanthu m'm supuni ziwiri. Maphunzirowa atha kubwerezedwanso, kuyeretsa dongosolo loyenda kwa ziwonetsero za atherosulinosis chifukwa cha njirayi kumachitika modekha, munthawi yomweyo kubwezeretsa thupi lonse. Pali maphikidwe ambiri pokonzekera mankhwala achilengedwe a atherossteosis, muyenera kusankha yoyenera. Momwe mungathanirane ndi atherosulinosis ndi nkhani yachinsinsi kwa aliyense, chachikulu ndichakuti njirazi zimachiritsidwa.

Zoyambitsa Atherosulinosis

Cholesterol ndi mankhwala okhala ndi michere yofunika kuti thupi lizigwira ntchito. Ndi gawo limodzi lamatumbo amthupi, limatenga gawo popanga mahomoni ndikuteteza minyewa yamitsempha.

Pali mitundu iwiri yayikulu ya cholesterol:

Kudya zakudya zamafuta kwambiri zomwe zimakwaniritsidwa kumatha kuyambitsa cholesterol yayikulu ya LDL. Cholesterol ichi chimachokera ku chiwindi kupita ku maselo omwe amafunikira. Ndi kulowa kwake kwambiri m'maselo, LDL imatha kudziunjikira pamakoma amitsempha yama cell momwe amaika ma cholesterol (cholesterol plaques). Zotsatira zake, pakupita nthawi, chotchinga cha chotengera chija chimachepa kwambiri kapena mwina chatsekeredwa kwathunthu, chomwe chiziimitsa magazi.

Choyambitsa matenda a atherosulinosis chimatha kukhala chodya nthawi zonse komanso moyenera zinthu zotsatirazi: makeke, makeke, ma waffle, chakudya chothamanga, nkhumba zamafuta, masoseji, nyama yokonzedwa, batala, mafuta ndi zinthu zina.

Kulephera kuchita masewera olimbitsa thupi pafupipafupi, kunenepa kwambiri komanso kumwa mowa wambiri kumapangitsanso kuti cholesterol ya LDL ikhale mthupi lanu, yomwe imakhudza thanzi lanu ndikupangitsa zizindikilo zambiri zosasangalatsa komanso zoopsa za atherosulinosis.

Kusuta kumatha kuwononga makoma a mitsempha, kumapangitsa kuti mapulateleti azisonkhana pamalo owonongeka, poyesa kuwabwezeretsa. Izi zingayambitse kuchepa kwa mitsempha yanu. Kusuta kumathandizanso kuti magazi athe kupereka mpweya wabwino mthupi lanu, zomwe zimawonjezera mwayi wopanga magazi.

Kuthamanga kwa magazi

Ngati muli ndi kuthamanga kwa magazi (matenda oopsa), amatha kuwononga mitsempha yanu monga utsi wa ndudu. Mitsempha imapangidwa kuti ipompe magazi pakukakamizidwa kwina. Ngati kupanikizika kumeneku kudapitilira, makoma amitsempha amawonongeka.

Zomwe zimayambitsa kuthamanga kwa magazi zitha kukhala:

• Kunenepa kwambiri
• Kumwa mowa wambiri
• Kupsinjika
• Kusuta
• Kulephera kuchita zolimbitsa thupi.

Matenda a shuga

Ngati simungathe kuyendetsa bwino matenda a shuga 1 kapena mtundu wa 2, shuga wamagazi owonjezera amatha kuwononga makoma amitsempha yanu.

Kunenepa kwambiri kapena kunenepa kwambiri sikuti kumayambitsa matenda a atherosclerosis ndi mtima, koma kumatha kubweretsa zotsatirapo zina, zomwe zimapangitsa kuti chiwopsezo cha matenda atherosulinosis chidziwike.

Makamaka, anthu onenepa kwambiri kapena onenepa kwambiri:

• Ali pachiwopsezo chachikulu chotenga magazi,
• Amakhala ndi cholesterol yapamwamba chifukwa chodya kwambiri zamafuta,
• Ali pachiwopsezo chotenga matenda a shuga.

Kumwa mowa wambiri kumatha kuyambitsa kuthamanga kwa magazi (matenda oopsa) ndi cholesterol yambiri yamagazi, yomwe ingayambitse matenda a atherosulinosis ndi mtima.

Zizindikiro za Atherosulinosis

Zizindikiro za atherosulinosis ndizongowonetsera zamatenda osiyanasiyana oyambitsidwa ndi atherosulinosis yomwe.

Atherosclerosis nthawi zambiri samakhala ndi chilichonse mpaka magazi atachepa kapena kutsekedwa, zomwe zimayambitsa matenda a mtima (CVD). Mtundu wa matenda amtima ndi zomwe zimagwirizanitsidwa zimadalira komwe kufalikira kumachitika.

Zizindikiro za atherosulinosis ndi zizindikiro zosiyanasiyana za matenda oyambitsidwa ndi atherosulinosis yomwe.

Zomwe zimachitika chifukwa cha atherosulinosis ndi monga:

• Matenda a m'mitsempha,
• Angina pectoris,
• Aneurysm
• Matenda a mtima
• Stroko

Matenda a m'matenda am'mimba komanso zizindikiro zawo akufotokozedwa pansipa.

Matenda a m'mitsempha

Matenda a Peripheral artery matenda (zotumphukira zamitsempha) ndi vuto lomwe limachitika pamene mitsempha yam'mphepete mwanu imatsekedwa (nthawi zambiri, m'miyendo).

Chizindikiro chodziwika bwino cha matenda am'mitsempha yamagazi ndi kupweteka kwamiyendo (onani Matenda amitsempha yamagazi yamagazi. Nthawi zambiri mumtumbo umodzi kapena onse, matako, kapena ana a ng'ombe.

Kupweteka kumafanana ndi kupsinjika kupweteka komanso kumva kuwawa m'misempha ya miyendo ikhoza kukhalapo. Ululu siwokhazikika, umadzuka ndikucheperachepera. Zowawa zimatha kukhala zolimba pakuvutikira pamiyendo - poyenda, squats, kuthamanga, kukwera masitepe, etc.

Tilembanso zizindikiro zina zamatenda otumphukira:

• Kufooka kapena miyendo.
• Zilonda zosachiritsa pamiyendo kapena kumapazi,
• Chithunzi cha khungu pamiyendo,
• Kutayika kwa tsitsi
• Kutalika kwa misomali,
• Erectile dysfunction (kusabala).

Angina pectoris

Zomwe zimapangitsa kuti angina pectoris asakwanitse kuyenderera magazi mpaka mtima.

Chizindikiro chodziwika bwino cha angina pectoris ndikumva kupweteka kapena kusasangalala pachifuwa. Pa zowawa pachifuwa, kumva kupsinjika ndi kulemera kumatha kuchitika, kupwetekako kumatha kukhala kosapindika ndipo nthawi zambiri kumatha patapita mphindi zochepa.

Ululu umatha kufalikira kuchokera pachifuwa mpaka dzanja lamanzere, khosi, nsagwada, ndi mosemphanitsa. Izi zimachitika nthawi yayitali chifukwa chochita zolimbitsa thupi kapena kupsinjika. Nthawi zina, kupweteka kumatha kuchitika nthawi yozizira kapena mukatha kudya.

Anthu ena omwe ali ndi angina pectoris amathanso kukhala ndi zotsatirazi:

• Kupuma pang'ono
• Kumva zosasangalatsa
• Kutopa (kumangokhala kutopa)
• Chizungulire
• Kubweza
• Kuda nkhawa.

Zizindikiro za angina pectoris nthawi zina amatchedwa kugunda kwa angina.

Ngati atherosulinosis itafooketsa makoma amitsempha yamagazi, izi zingapangitse kuti mapangidwe a aneurysm (protrusion khoma la mtsempha wamagazi).

Ngati aneurysm yakula kwambiri, pamakhala chiopsezo chotumphukira mtsempha wamagazi, komwe kungayambitse kutaya kwambiri kwamkati, komwe kungayambitse imfa kapena kuwononga ziwalo.

Aneurysm imatha kukhala mbali iliyonse ya thupi, koma mitundu yodziwika bwino ya aneurysm ndi:

• Chidziwitso cha ziwiya zam'magazi (chotupa cha ubongo), chomwe chikukula mu ubongo wa munthu,
• Aortic aneurysm yomwe imayamba mkati mwa msempha (mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera pansi pamtima mpaka m'mimba ndi pansi).

Ngati aortic aneurysm ikung'ambika, mudzamva ululu wamadzidzidzi ndi wowopsa pakati kapena pambali pamimba. Mwa abambo, ululu umatha kufalikira mpaka kumakanda (testicles).

Zizindikiro zakuwuka kwa aneurysm yaubongo nthawi zambiri zimayamba ndi mutu wadzidzidzi komanso wowopsa, womwe uli wofanana ndi kupweteka kwam'mutu.

Ngati mukukayikira kuti ali ndi vuto la aneurysm, muyenera kulumikizana ndi ambulansi nthawi yomweyo.

Chizindikiro cha atherosulinosis ndi chotulukapo chake ndikuwonjezereka kwapang'onopang'ono kwa cholesterol plaque pamitsempha, yomwe mwachilengedwe imachepetsa magazi. Chikwangwanicho chimapangitsa kuti magazi azipanga magazi, omwe amatha kutuluka ndikuletsa magazi. Ngati magazi a magazi atseka kuyenda kwa magazi kupita mumtima, kumakupangitsani kukhala ndi vuto la mtima (vuto la mtima).

Ndi vuto la mtima, zizindikiro zotsatirazi zimachitika:

• Kupweteka pachifuwa - nthawi zambiri kumachitika pakatikati pa chifuwa ndipo kumayambitsa kupsinjika kapena kusungunuka.
• Ululu m'mbali zina za thupi.Ululu umatha kuperekedwa kudzanja lamanzere (nthawi zina kudzanja lamanja), nsagwada, khosi, kumbuyo ndi m'mimba.
• Kumverera kosasunthika kwa nkhawa (monga kuwopseza).
• Kupuma movutikira.
• Kumva zosasangalatsa.
• Chizungulire
• Kutsokomola.
• Kubweza
• Kupuma pang'ono.

Ngati mukukumana ndi chilichonse mwazizindikirozi, muyenera kulankhulana ndi ambulansi mwachangu.

Kugundika kwa magazi kumathanso kutsika magazi kupita ku ubongo, komwe kumayambitsa kugwedezeka.

Izi ndi zizindikiro zikuluzikulu za stroko:

• Zizindikiro zowoneka pankhope ya munthu. Munthu akhoza kumetedwa mbali imodzi (pakamwa ndi m'maso), munthu sangathe kumwetulira.
• Zizindikiro zowoneka m'manja. Kufooka kapena kupsinjika mkono kapena mikono yonse, kulephera kukweza mkono kapena kupukusa manja onse, kukuwonetsa kugunda.
• Munthu amene ali ndi matenda opha ziwalo amatha kuwodzera.

Ngati inu kapena wokondedwa wanu mukazindikira zizindikirozi, pitani kuchipatala msanga ndipo mutha kupulumutsa moyo.

Zizindikiro zomwe zili pamwambapa zimakhudza pafupifupi 90% ya milandu yonse.

Palinso zizindikiro zina zodwala:

• Chizungulire
• Mavuto oyankhulana (ndizovuta kuyankhula ndikumvetsetsa zomwe ena akunena),
• Mavuto oyanjana,
• Kumeza kovuta
• Mutu waukulu
• Kuchepa mphamvu kapena kufooka komwe kumapangitsa kuti ziwalo ziwiri zathupi zife.
• Kuwonongeka kwa chikumbumtima (m'malo ovuta kwambiri).

Trackent Ischemic Attack (TIA) - kuthilira kwa magazi kuubongo kumayima kwakanthawi, kumayambitsa ma microstroke.

Zizindikiro za TIA ndizofanana ndi kumenyedwa pafupipafupi, koma zimatha kukhala kwa mphindi zingapo mpaka maola angapo ndikupita pazokha.

Komabe, TIA siyenera konse kunyalanyazidwa, popeza mkhalidwe uwu ndi chizindikiro chachikulu kuti pali vuto ndi kuthiridwa kwa magazi ku ubongo.

Ngati mukumva zilizonse za matenda a atherosulinosis, omwe akuwonetsedwa ndikuwonetsa za matenda omwe ali pamwambawa, kuti mupewe zovuta, muyenera kuyamba kusintha moyo wanu ndikuyamba chithandizo choyenera.

Chithandizo cha Atherosulinosis

Ndi kupendekera kwakukulu kwa lumen ya mtsempha wamagazi, njira monga angioplasty ingakhale yofunikira.

Chithandizo cha atherosclerosis chimaphatikizaponso kusintha kwamakhalidwe, kugwiritsa ntchito mankhwala ndi njira zachipatala, kapena milandu yayikulu, ngakhale opareshoni.

Zolinga zochizira atherosulinosis:

• Kukhumudwitsa zizindikiro za matendawa,
• Kuthetsa zomwe zingayambitse zomwe zimapangitsa kuti matendawa apitirire,
• Kuchepetsa chiopsezo cha magazi
• Kukula kapena kupitilira zombo zotsekedwa,
• Kupewanso kwa atherosulinosis.

Ndi zinthu ziti zomwe ziyenera kutayidwa

Mukamadya, chepetsani kapena kusiya zakudya zilizonse zokhala ndi mafuta: nyama yambiri, mafuta anyama, batala, mafuta amkaka ndi mkaka, chokoleti, waffles, katundu wophika, mbatata yokazinga, mitundu ndi mitundu yosiyanasiyana chakudya chofulumira. Kanani nyama zosuta fodya, zakudya zam'chitini, soseji, msuzi wa nyama, mayonesi, makeke kapena makeke ophika, bowa ndi khofi, ndikuchepetsa kudya kwamchere tsiku lililonse. Chepetsa kapena siyani kumwa mowa.

Zakudya ziti zomwe ziyenera kudyedwa

Gawo lofunika kwambiri la chakudya chopatsa thanzi liyenera kukhala chakudya chokwanira mumibulu yambiri. Amathandizira kupewa kuyamwa kwa cholesterol yoyipa ndi m'mimba. Zakudya zotsatirazi zitha kudyedwa:

• Zambiri Zampira: oats, barele, buckwheat, mpunga, mapira.
• Zipatso: maapulo, nthochi, malalanje, mapeyala ndi ma prunes.
• Ziphuphu: nyemba, mphodza, nandolo, nandolo zakuda ndi nyemba.
• Nyama: nkhuku zoweta kapena nkhuku, ng'ombe yokhala ndi mafuta ochepa, nyama yamwana wamchere ndi kalulu.
• Nsomba: nsomba, nsomba, mackerel, etc.

Zakudya zomwe zimakhala ndi zipatso ndi masamba atsopano zimachulukitsa kuchuluka kwama mankhwala ofunika (phytosterols) muzakudya zanu zomwe zimachepetsa cholesterol yoyipa m'thupi. Nsomba zofiira ndi zamchere ndi gwero labwino kwambiri la mafuta achega-3 omwe amateteza mtima ku magazi, kutupa, komanso kuchepetsa chiopsezo cha matenda a mtima ndi stroko. Yesani kukhala ndi mbale ziwiri za nsomba sabata iliyonse pa zakudya zanu.

Khalani olimbitsa thupi

Kuchita zolimbitsa thupi pafupipafupi kumatha kuchepetsa zinthu zambiri zowopsa kwa atherosulinosis: kuchuluka kwa cholesterol yoyipa, kuthamanga kwa magazi komanso kunenepa kwambiri. Kuchita masewera olimbitsa thupi kumathandizanso kuchuluka kwa cholesterol yabwino m'thupi, yomwe imathandiza kupewa atherosulinosis. Chitani masewera olimbitsa thupi m'mawa kwambiri momwe mungathere, thamanga m'mawa, kuyenda kwambiri, kusuntha komanso pang'onopang'ono thanzi lanu lidzayamba kuyenda bwino. Zachidziwikire, zonse zimatengera kuchuluka kwa kunyalanyaza kwa matendawa, motero tikukulimbikitsani kuti mufunsire dokotala kuti akuuzeni malingaliro anu musanayambe masewera olimbitsa thupi.

Siyani kusuta

Kodi muyenera kuchitira atherosulinosis ngati mumasuta? Njira yabwino yothetsera vutoli ndi kusiya chizolowezi choipitsitsa, apo ayi chithandizo cha matenda chingayende. Kusuta kumawononga mitsempha yamagazi ndikuwonjezera mamasukidwe amwazi, komwe kumapangitsa kuti magazi azikhala osayenda bwino komanso kumawonjezera chiopsezo cha matenda a mtima ndi stroke. Chiwopsezo cha kukhala ndi atherosclerosis mwa omwe amasuta chimakhala chachikulu kwambiri kuposa mwa anthu ena. Ngati simusuta kapena kusiya kusuta, pewani utsi wachiwiri (kukhala pafupi ndi anthu omwe amasuta).

Zimayambitsa kukula kwa zokhudza zonse matenda atherosulinosis

Kukula kwa atherosulinosis kumatengera zinthu izi:

• Kuchokera mkhalidwe wa intima (khoma lamkati) la membala wam'mimba,
• Kuchokera kwa chibadwa chathu,
• Kuipa kwa lipid kagayidwe m'thupi la munthu.

Avereji ya zaka za odwala omwe apezeka ndi systemic atherosulinosis ndi kuyambira zaka 40 mpaka zaka 45. Zizindikiro zakukula kwa atherosclerosis pazaka zingapo zapitazi adayamba kuwonekera ali aang'ono.

Matenda a atherosclerosis anali atapezeka kale kuti ali ndi zaka 60-70 za odwala.

Amuna amadwala atherosclerosis 4 mpaka 5 nthawi zambiri kuposa azimayi, ndipo oimira amuna safuna kutenga prophylaxis ndipo samawona ngati vuto lalikulu.

Thupi lachikazi limatetezedwa ndi mahomoni ogonana kuchokera pamatenda amtima komanso am'mitsempha mpaka kusiya kusamba, ndipo amayi ndi omwe ali ndi udindo wambiri pakuchita zodzitetezera ndipo amakhudzidwa kwambiri ndi thanzi lawo.

Masiku ano, madokotala amazindikira zinthu zomwe zingayambitse ngozi ya atherosulinosis:

• Mkhalidwe wachibadwa
• Kusachita ntchito (moyo wosachita zambiri),
• Mavuto am'machitidwe a endocrine,
• Kusunthika mu kagayidwe kachakudya ka thupi,
• Chikhalidwe cha zakudya zopatsa thanzi (chimodzi mwazinthu zazikulu zomwe zimayambitsa matenda a atherosulinosis, chifukwa mpaka 20,0% ya ma cholesterol otsika kwambiri amalowa mthupi ndi chakudya),
• Kupatuka pakugwira ntchito kwamanjenje komwe kumakhumudwitsa malire a lipids m'thupi.

Zomwe zimayambitsa kukula kwa systemic atherosulinosis ndi:

• Kuthamanga kwambiri kwa magazi,
• Mankhwala osokoneza bongo a Nikotine,
• Mowa
• Hypercholesterolemia ndi hypertriglyceridemia,
• Type 1 and Type 2 shuga.

Chifukwa chachikulu chomwe chitukuko cha atherosulinosis ndikuphwanya njira za metabolic m'thupi. Kutalika kwa kukhazikika kwa matenda a zam'thupi kumachokera zaka 10 mpaka 15.

Zizindikiro zoyambirira za matendawa zitha kuoneka poyambira kukula, koma alibe kuuma ndipo odwala ambiri sawayanjanitsa ndi atherosulinosis.

Chifukwa chachikulu chomwe chitukuko cha atherosulinosis ndikuphwanya njira za metabolic m'thupi. ku nkhani zake ↑

Gulu

Njira yakutsikira kwa mapangidwe a atheromatous m'magawo oyamba sikuwonetsa chilichonse, koma kuwonongeka kwa mitsempha kumachitikanso munthawi yochepa, mitsempha yambiri imakhudzidwa ndi atherosclerosis, makamaka m'malo omwe kulumikizana ndi nthambi zawo.

Izi zitha kukhala zizindikilo zosiyanasiyana za thupi la wodwala.

Atherosulinosis imatchulidwa molingana ndi ntchito yomwe ikupita patsogolo:

• Progressive Systemic Atherosulinosis - Iyi ndi njira yomwe kupangidwako kwa mapangidwe atsopano a atherosselotic, kumayambira, ndipo zizindikiro za nthenda zovuta za matenda zimawonekera. Chiwopsezo chachikulu cha kugwidwa ndi matenda am'mimba komanso kuphedwa kwa myocardial infarction. Mtundu wopita patsogolo wa atherosulinosis ndi njira yoopsa kwambiri yamatenda,
• Kukhazikika mtundu wa systemic atherosulinosis - njira ya matenda amachepetsa, ndipo zolembera zamtundu wa -herosselotic zimayimitsa kukula kwawo. Zizindikiro za matendawa sizisintha, kapena kuuma kwa zizindikiro kumayamba kuchepa. Ndi mtundu wokhazikika wa matenda, chiopsezo cha zovuta ndizochepa. Ngati tichotsa zonse zomwe zimapangitsa kukhazikika kwa matenda, ndiye kuti matenda amtunduwu sangayende konse kwa nthawi yayitali,
• Mitundu yovutitsa ya systemic atherosulinosis -zizindikiro zakukula kwa matenda am'madzi zimachepetsedwa kwambiri, mkhalidwe waumunthu ukupita patsogolo, ndipo zidziwitso zakuchipatala zasayansi zikupeza bwino.

Zachilengedwe ndi zizindikiro

Kutengera kutengera kwa zolembedwa za atherosulinotic, mitundu yamatendawa imagawidwa, momwemo padzakhalanso zizindikiro zawo:

• Matenda am'mitsempha yama coronary,
• Atherosulinosis pamagawo osiyanasiyana aorta,
• Matenda a mitsempha ya muubongo,
• Matenda a ziwiya za impso,
• Matenda a m'mimba msempha ndi nthambi zake zazikulu,
• Kuletsa atherosulinosis ya m'munsi malekezero.

Chosakwanira ndicho kugonjetsedwa kwa mitsempha yonse ndi mitsempha yonse yam'mimba mwake.

Zizindikiro zowonetsa kukula kwa matenda am'deralo m'malo ena:

• Kuletsa ziwiya zamadzimadzi, zomwe zimakwiyitsa ischemic stroke komanso kutulutsa magazi m'matumbo,
• Kutulutsa kwa ziwiya zikuluzikulu za khosi, zomwe zimapereka magazi kuma cell a ubongo, zomwe zimatsogolera kugwa kwamitsempha.
• Kugunda kwamitsempha yama coronary, komwe kumayambitsa ischemia ya mtima ndi kugunda kwa mtima,
• Kutupa kwa mitsempha ya impso kumayambitsa matendawa kumabweretsa kulephera kwa impso komanso kuyimitsidwa kwathunthu kuti ntchito ya chiwalo chawonongeka,
• Kugugudika kwamitsempha yayikulu yam'munsi yam'munsi kumayambitsa kukhazikika kwa mwendo womwe wakhudzidwa ndikugundana ndi miyendo, kenako ndikudula.

Kupita patsogolo kwa matenda a pathology systemic atherosclerosis, akuwonetsedwa kuti magazi akusayenda mokwanira kudzera m'mitsempha yomwe yakhudzidwa, zizindikiro za hypoxia za chiwalo, zomwe zimaperekedwa ndi magazi kudzera mumsewuwu, zimawonetsedwa.

Ngati occlusion yachitika pagawo lomwe lakhudzidwa ndi thunthu, ndiye kuti chiwalo chomwe sichimalandila michere yoyenera ndi okosijeni wokhala ndi magazi amasiya kugwira ntchito, zomwe zimatha kupha.

N`zosatheka kudziwa nthawi yeniyeni yomwe kupitirira kwa atherosulinosis.

Nthawi zambiri chitukuko cha matendawa chimakhala kwa zaka makumi angapo, ndipo kusintha kwa ma atherosselotic m'mitsempha yamagazi kumatha kuchitika popanda zizindikiro zotchulidwa, kenako mothandizidwa ndi chinthu china, matendawa ayamba kupita patsogolo mofulumira ndipo zizindikiro za mawonekedwe ake ovuta zimawonekera pakatha miyezi ingapo.

Mitundu ya Atherosulinosis

Mwa odwala ena, kukula kwa matenda a m'matumbo kumachitika pang'onopang'ono ndipo sikumadumphadumpha pakukula.

Njira ya atherosulinosis imatengera mawonekedwe a metabolic metabolism m'thupi la wodwalayo, komanso pazinthu zomwe zimathandizira kupita patsogolo kwa kudzikundikira kwa mapangidwe a atherosulinotic.

Magawo a chitukuko ndi zizindikiro za systemic atherosulinosis

Pali magawo atatu a chitukuko cha matenda a atherosulinosis.

Gawo lililonse la chitukuko lili ndi zake, komanso zowopsa zake:

• Gawo 1 Atherosulinosis - Awa ndi gawo loyambirira kutsatira lipid malo mkati mwa arterial membrane. Pakuchulukana kwa mamolekyulu a cholesterol, pali malo achonde pomwe intima imakhala ndi microcrack ndipo malowo amachitikira pa intima, chifukwa chakuchepa kwa kayendedwe ka magazi m'malo ano. Nthawi zambiri, malo opangira ma atherosselotic amamera m'malo omwe misempha imachokera komanso m'magazi amodzi, pomwe magazi amayenda pang'onopang'ono ndikuyenda m'misewu ingapo. Mlingo woyamba wa chitukuko cha matenda am'mimba umakhala ndi nthawi yosiyanasiyana yachitukuko ndipo umatuluka popanda zizindikiro zotchulidwa. Atherosulinosis ya ziwiya kumayambiriro kwa mapangidwe opanga zolembera, amatha kuchiritsidwa kwathunthu ndi matenda komanso nthawi yake.
• 2 digiri ya matenda. Pakadali pano, zolembedwa zimapangidwa, zomwe zimakhala ndi mamolekyu otsika kwambiri a lipoprotein. Ichi si chopanga ndi theka-lamadzi phula. Zimayambitsa ngozi m'mitsempha, chifukwa cha kupasuka kwake, ndipo cholesterol imayika m'mitsempha yama sing'anga komanso yaying'ono, ndikupangitsa matenda a thrombosis. Pa nthawi iyi ya atherosclerosis, zizindikiro zake zoyambirira zimawonekera ndipo mothandizidwa ndi zamankhwala zimatha kusungunuka komanso kusintha matendawa m'magazi.
• 3 digiri ya chitukuko. Pakadali pano, atherosulinosis imayamba kupita patsogolo, ndipo mamolekyulu a calcium amaphatikizidwa ndi ma deposits a mafuta, omwe amatha kukula mu mnofu wamitsempha ndikutseka kutsekeka kwa gawo lalikulu la magazi, ndikupangitsa hypoxia yamkati yamkati. Pakadali pano, zizindikiro za hypoxia zimawonekera, zomwe zimatha kubweretsa zovuta mu mawonekedwe a kupukutira ndi kulephera kwathunthu kwa kugwira ntchito kwa ziwalo zomwe zakhudzidwa. Nthawi zambiri zizindikiro za atherosulinosis mu gawo lotsiriza ndi kukula kwa khungu pamiyendo, kapena mtima angina.

Zizindikiro zakukula kwa atherosulinosis molingana ndi kutengera kwa zolembazo

Zizindikiro ndi atherosulinosis ziyenera kuganiziridwanso popanga chikhodzodzo, chifukwa zizindikiro za magawo a msempha sizingafanane.

Mndandanda wazizindikiro ku malo a atherosulinotic plaques:

Zizindikiro za atherosulinosis yovuta

Ngati matenda a atherosulinosis apezeka ovuta, zotsatirapo zoyipa za matendawa nthawi zambiri zimachitika ngakhale atalandira chithandizo chamankhwala kwa nthawi yayitali.

Mavuto omwe amachitika pambuyo pochita opaleshoni ndi oopsa kwambiri mthupi, chifukwa chake, tikulimbikitsidwa kukonzekera opaleshoni ya matenda.

M'pofunika kufufuza kwathunthu thupi ndikuzindikira matenda omwe angayambitse.

Njira yovuta ya chitukuko cha atherosulinosis imatha kupewedwa mothandizidwa ndi mankhwala, komanso mothandizidwa ndi njira zopewera.

Ngati, pakudziwitsa, matendawa ndi amodzi amadziwika, ayenera kuthandizidwa, chifukwa amatha kutsimikizira kutengera kwa atherosulinosis kukhala mawonekedwe ovuta.

Matenda a miyendo ku nkhani zake ↑

Ndani amasamalira systemic atherosulinosis?

Chithandizo cha systemic atherosulinosis imayamba ndi kuyesedwa ndi dokotala, ndipo malinga ndi zizindikiritso zakufotokozera zamatenda a atherosulinotic, wodwalayo amatchulidwa akatswiri:

• Dokotala wamtima amayamba kuchitira matendawa ndi zizindikiro zotchulidwa za chitukuko cha atherosulinotic neoplasm, yomwe imadziwika ndi mitsempha ya mtima, aorta ndi nthambi zake, komanso ziwiya zama mtima.
• Dokotala wamitsempha amayamba kulandira chithandizo cha wodwalayo ngati zizindikiro zakunja ziziwonetsa kukula kwa zilonda zamkati mwa khosi ndi ubongo,
• Nephrologist kutenga nawo mbali mankhwalawa atherosulinosis, pachiwonetsero choyamba cha kuwonongeka kwa mitsempha ya aimpso.
• Angiosurgeon imaphatikizidwa ndi matenda omwe amapezeka m'zigawo zokhala m'mphepete mwa m'munsi.

Mfundo za mankhwala a systemic atherosulinosis

Chithandizo cha mtima wamatenda a atherosulinosis ndi njira yovuta komanso yayitali. Ndikosatheka kuchiritsa matenda amenewa pogwiritsa ntchito njira imodzi yokha.

Mankhwalawa atherosulinosis amapezeka kwathunthu:

• Zakudya zamagulu
• Zochita zolimbitsa thupi ndi kupsinjika kwa thupi,
• Mankhwala osagwiritsa ntchito mankhwala
• Chithandizo cha mankhwala azitsamba ndi mankhwala a phyto,
• Mankhwala
• Mankhwala othandizira opaleshoni,
• Amakhala woletsa, nthawi zonse komanso sekondale pambuyo pamavuto ndi zotsatira za matenda.

Mfundo za mankhwalawa atherosulinosis ndi motere:

• Kutsekedwa kwakanthawi kwa kudya kwa mamolekyulu a cholesterol ndi chakudya. Kanani kudya zakudya zoyambira nyama,
• Kulimbitsa kagayidwe ndi kuchotsedwa kwa mamolekyulu a cholesterol kunja kwa thupi,
• Kugwiritsa ntchito kwa mankhwala am'mimba mankhwala a mankhwalawa azimayi amasiya kusamba,
• Mphamvu ya mankhwala opatsirana pogonana kapena ma virus mu thupi la wodwalayo.

Zakudya pa chizindikiro choyamba cha systemic atherosulinosis

Kwa anthu omwe ali ndi zizindikiro za atherosclerosis, zakudya siziyenera kukhala zopweteka kwakanthawi, koma magawo ofunikira a thanzi labwino kwa moyo wanu wonse:

• Kanani kugwiritsa ntchito mafuta zinyama muzakudya. Osamadya nyama zotere - nkhumba, mwanawankhosa, tsekwe ndi nyama ya bakha,
• Mutha kudya nyama zochepa kwambiri - kalulu, nkhuku, kapena nkhuku,
• Osamadya mafuta anyama, osuta komanso ophika,
• Kanani nyama ndi nsomba zamzitini, osamadya nsomba ndi nyama zodyera,
• Osamadya nyama zam'madzi zokhala ndi nsomba zam'madzi (shrimp, crayfish, scallops),
• Osamadya mbale zophika ndi kuwaza mu poto mu mafuta,
• Osamadya batala, osakana mafuta amkaka,
• Mafuta m'thupi amayenera kumizidwa mwa mawonekedwe amafuta azomera,
• Osachepera kawiri pa sabata, idyani nsomba zovekedwa kapena zophikidwa,
• Siyani kusuta kwathunthu ndi kusiya kusuta,
• Osadya shuga
• M'malo mwa khofi, imwani tiyi wobiriwira,
• Idyani mazira - osaposa 2 pa sabata,
• Idyani mtedza ngati chakudya, kapena m'mbale
• Kudya m'magawo ang'onoang'ono, koma kangapo patsiku,
• 60.0% ya chakudya chokwanira tsiku lililonse chimayenera kukhala masamba komanso zipatso. Idyani zamasamba ambiri am'munda.

Opaleshoni yamankhwala opaleshoni ya atherosulinosis

Musamachite mantha

Kafukufuku wasonyeza kuti nthawi zambiri vuto la mtima limapezeka mwa anthu omwe ali ndi nkhawa. Makamaka pankhani ya atherosclerosis, kukhudzika kwamphamvu ngati mkwiyo ndi kowopsa. Nthawi zambiri anthu amagwiritsa ntchito njira zopanikiza ngati mowa, kusuta fodya komanso kudya kwambiri kuti muchepetse nkhawa. Njirazi sizimangotithandizira kusintha kwa matenda a atherosulinosis, komanso zimawonjezaipira. Pokhala ndi kupsinjika kosalekeza, ndibwino kutengera njira zachilengedwe, zoyenera zothanirana ndi nkhawa, zomwe mungaphunzire apa - Momwe mungachotsere kupsinjika - njira 10 zabwino.

Kupewa

Njira Zopewera:

• Nthawi zonse muziyang'anira cholesterol index ndikupewa kuwonjezeka kuposa izi - OH - pamtunda wa 5.0 mmol / L, ndi zigawo za LDL - pamtunda wa 3.0 mmol / L,
• Chotsani chizolowezi cha chikonga,
• Siyani mowa
• Zokwanira tsiku lililonse thupi,
• Nthawi zonse khalani olimbana ndi kunenepa kwambiri komanso kuchepetsa kunenepa.
• Chepetsani zochitika zodetsa nkhawa komanso zowonjezera pamalingaliro amanjenje ndi psyche,
• Nthawi zonse yang'anani index yamafuta am'magazi ndikubwezeretsa shuga ku nthawi zonse,
• Pewani kuwonjezeka kwa kuthamanga kwa magazi kuposa 140/90 mm. Hg. Art.,
• Nthawi zonse gwiritsitsani cholesterol zakudya.

Kugwiritsa ntchito mankhwala osokoneza bongo

Kuti muchepetse kukula kwa cholesterol plaque, dokotala angakupatseni mankhwala apadera kuti muchepetse cholesterol yanu yoyipa ndikuchepetsa kuthamanga kwa magazi. Mankhwala atha kutumizidwa omwe zochita zawo zimalepheretsa mapangidwe magazi. Kuti muchepetse kudwala, tikupangirani kuti muzitsatira chithandizo chovuta chomwe dokotala wakupatsani. Kuti muchepetse zotsatira zoyipa, mutha kuyamba kugwiritsa ntchito wowerengeka azitsamba kuwonjezera pa chithandizo chachikulu, monga momwe mungawerengere apa - Chithandizo cha atherosulinosis ndi wowerengeka azitsamba.

Njira zakuchipatala ndi opaleshoni

Momwe mungachiritsire atherosclerosis ngati matendawa ali kale ndi gawo lomaliza ndipo samachiritsidwira? Zikatero, adotolo angakulimbikitseni kwambiri njira zochizira matendawa - njira inayake kapena opareshoni.

• Angioplasty Njira imeneyi imagwiritsidwa ntchito kuti atsegule mitsempha ya coronary. Angioplasty amasintha magazi kupita kumtima komanso amachepetsa kupweteka pachifuwa. Nthawi zina pambuyo pa njirayi, nthiti yaying'ono (stent) imayikidwa mu mtsempha. Izi ndizofunikira kuti mitsempha isatseguke.
• Mitsempha yama coronary imadutsa ndikumalumikiza. Njirayi imaphatikizanso kugwiritsa ntchito mtsempha wamagazi kapena mtsempha womwe uli m'dera lina la thupi lanu kuti muthane ndi vuto la mtsempha wamafunde. Izi zimathandizira kutsika kwa magazi, kumachepetsa kupweteka pachifuwa ndikupangitsa kuti pakhale vuto la mtima.
• Bypass mitsempha ya m'munsi malekezero. Ndi atherosulinosis ya m'munsi yam'munsi, opaleshoni yodutsa miyendo yotsekedwa imatha kulembedwa. Kuti muchite izi, gwiritsani ntchito chotchinga cha magazi chopatsa magazi chomwe chimasinthidwenso, ndikusintha magazi kupita ku mwendo.
• Carotid endarterectomy. Ichi ndi ntchito yochotsa mafuta a cholesterol m'makoma a chotupa m'mimba. Njirayi imabwezeretsa magazi kupita ku ubongo, komwe kumachepetsa mwayi wokhala ndi sitiroko.

Chithandizo cha atherosulinosis chiyenera kuchitika mozama kwambiri ndipo ngati madotolo akudziwa gawo lililonse la matenda omwe ali mwa inu (onani Magawo a atherosulinosis), yambani kuchiza matendawa nthawi yomweyo, chifukwa matendawa amabweretsa vuto loopsa monga matenda obisika. mikwingwirima. Momwe mungachiritsire atherosclerosis mukudziwa kale. Gwiritsani ntchito njira zamankhwala zomwe adotolo adalimbikitsa nazo ndikusintha moyo wanu pogwiritsa ntchito njira zomwe zafotokozedwera pano ndipo mudzakhala athanzi.

Mfundo zoyambira ndi kuwonekera kwa matendawa

Atherosulinosis imafalikira kumakoma a mitsempha yayikulu komanso yapakati. Izi zimachitika pamene kuchuluka kwakukulu kwa cholesterol imadziunjikira. Mulinso ma lipoprotein otsika komanso otsika kwambiri omwe amakhala ovulaza thupi.

Zomwe zimayambitsa mtima wa atherosulinosis zimatha kukhala zosiyana, chachikulu chomwe chimaphwanya njira ya lipid, chifukwa chomwe masinthidwe a arterial endothelium amasintha. Pa gawo loyambirira, zimakhala zam'mimba zimasintha ndikukula.

Holesterol yamavuto kudzera mumtsinje wamagazi imalowa m'mitsempha ndipo imayikidwa mkati mwa mitsempha. Izi zimabweretsa mapangidwe a atherosulinotic malo. Njira imeneyi imatchedwa non-stenotic atherosulinosis.

• Zida zoyipa za cholesterol zitadzaza, zolembera zimachulukira, zimasunthira mu lumen ya ziwiya ndikupangitsa kuti kuchepetsedwa. Stenotic atherosulinosis nthawi zambiri imabweretsa gawo losakhalitsa kapena lathunthu la mitsempha.
• Pambuyo pake, mawonekedwe a cholesterol amapezeka ndikuwongola, zomwe zimayambitsa kupanga magazi owopsa. Vutoli likuwopseza ndi kuphwanya kwakukulu, ngakhale imfa. Chifukwa chake, ndikofunikira kuzindikira matenda a nthawi ndi kuzindikira kukula kwa atherosulinotic.

Mitsempha ikuluikulu komanso yaying'ono m'mbali iliyonse ya thupi imatha kukhudzidwa. Kuti mudziteteze, muyenera kudziwa yemwe ali pachiwopsezo cha atherosclerosis.

Ndani ali pachiwopsezo

Pali zomwe zimatchedwa hemodynamic zomwe zimayambitsa atherosulinosis. Choyamba, izi zimaphatikizapo matenda oopsa.

Angiospasm yomwe imayamba chifukwa cha matenda oopsa, kusefukira kwamanjenje, kusuta kwa nthawi yayitali kumatha kudwalitsa matendawa. Komanso matendawa nthawi zina amakumana chifukwa cha vuto la vasomotor lomwe limayamba chifukwa cha vegetovascular dystonia, cervical migraine, vertebral artery hypoplasia, osteochondrosis, ndi ma pathologies ena.

Kukula kwa metabolic mawonekedwe a atherosulinosis ndi chifukwa cha zinthu zina.

1. Hypertisposition yamtsogolo imakhala chifukwa chomwe chimalepheretsa mafuta kagayidwe. Makhalidwe oterewa amatsogolera ku cholesterol diathesis ndi xanthomatosis.
2. Ndi kudya kwambiri mafuta komanso chakudya chamafuta, kunenepa kwambiri kumayamba. Zotsatira zake, kuchuluka kwa cholesterol yoyipa m'magazi kumakwera ndipo kuchuluka kwa lipids zopindulitsa kumachepa.
3. Kukhala moyo wongokhala nthawi zambiri kumapangitsa kuti thupi lizikula komanso kuphwanya metabolism.
4. Endocrine pathologies mu mawonekedwe a shuga mellitus, kusalinganika kwa mahomoni ogonana, chithokomiro chokwanira, kuphatikiza kuyambitsa atherosclerosis.
5. Mokulira kumachulukitsa cholesterol m'magazi ngati chiwindi ndi impso zimakhudzidwa ndi nephrotic syndrome, mafuta a hepatosis, cholelithiasis ndi zovuta zina.

Monga tafotokozera pamwambapa, abambo amatenga matenda. Amayi akuyenera kusamala panthawi ya pakati komanso kusintha kwa mahomoni.

Ukalamba nthawi zambiri umayambitsa zovuta zosiyanasiyana.

Mitundu ya Atherosulinosis

Kutengera ndi komwe matendawa ali padera, atherosulinosis yamitsempha yama mtima (coronarossteosis), msempha, zotupa za mitsempha, mitsempha ya impso, m'mimba msempha ndi nthambi zake, zotengera zapansi ndizosiyanitsidwa.

Mtundu uliwonse wamatendawa umangomva pokhapokha ukamakula komanso kufowoka kwamitsempha yamagazi nthawi ziwiri kapena zingapo. Poyamba, wodwalayo sangakayikire ngakhale pang'ono za kukhalapo kwa matendawa, chifukwa nthawi zambiri zizindikiro zowonekera sizikupezeka.

Zizindikiro zimatengera komwe minyewa yamunthu idakhudzidwira. Ngati vuto la atherosclerosis la msempha limachitika, munthu amakhala ndi matenda oopsa ogwirizana, omwe amalumikizidwa ndi kusokonezeka kwa magazi m'mbali mwa m'chifuwa ndi ubongo. Wodwala ali ndi izi:

• Kupsyinjika kwa systolic kumakwera, pomwe zizindikiro za diastolic zimakhala zabwinobwino kapena zochepa.
• Mutu umawoneka ngati chizungulire.
• Kukomoka kumachitika nthawi zambiri, manja amafooka.
• Ndi zowonongeka pamimba yam'mimba, kuphipha kwa mitsempha yachikazi ndi ya popliteal kumafooka, ntchito ya ziwalo zina zamkati imasokonekera.

Ngati matendawa sanapezeka mu nthawi yake ndipo chithandizo sichinayambike, aortic aneurysms imayamba.

Gawo lokwera ngati ziwiya litawonongeka, kupweteka kwa nthawi yayitali komanso kupweteka kumawonekera, komwe pang'onopang'ono kumayamba. Kugonjetsedwa kwa khola la msempha kumayendetsedwa ndi hoarseness, kulephera kupuma, kuchoka kwa larynx. Ngati gawo lotsika la msempha ndi atherosclerosis, kupweteka kumbuyo ndi chifuwa kumamveka.

Ndi aortic dissection, kupweteka kwambiri kumawonekera m'dera la chifuwa, wodwalayo alibe mpweya wokwanira. Matendawa ndi owopsa, motero ndikofunikira kupereka chithandizo chamankhwala munthawi yake.

Atherosulinosis ya ziwiya za mesenteric muzizindikiro ndizofanana kwambiri ndi zilonda zam'mimba.

1. Mimba ya wodwala yatupa
2. Peristalsis palibe kapena wofooka kwambiri,
3. Pa palpation pamimba, zotsekemera zimawoneka,
4. Khoma lam'mimba ndilovuta pang'ono,
5. Ululu mutatha kudya mumamvanso.

Ngati mankhwala omwe amapangitsa kuti chimbudzi chikhale chothandiza, ndipo Nitroglycerin amakupatsani mwayi woletsa ululu, dokotala azindikiritsa matenda a m'mimba a m'mimba. Ndikofunika kuchitira matenda a nthawi kuti tisatutumuke (thrombosis) ndi matumbo.

Mitsempha ya impso ikakhudzidwa, munthu amakhala ndi chiwopsezo chamagazi. Ngati thrombosis imachitika, ululu umawoneka kumbuyo ndi m'mimba, ndipo zizindikiro za dyspepsia zimapezekanso.

Kuwonongeka kwa atherosulinosis ya m'munsi malekezero kumayendera limodzi ndi kuchepa kwapakati, mawonekedwe a mapazi ozizira, paresthesia. Mukamayesedwa, dokotalayo amatha kuwona kufooka, khungu lotuwa, khungu lopyapyala komanso louma, zilonda zam'mapazi pamiyendo, zidendene, kapena zala. Ndi thrombosis, zilonda zimakulirakulira, mitsempha yokulitsidwa kwambiri pamiyendo imawoneka.

Pankhani ya chitukuko cha matenda a ubongo, ziwalo zamatumbo zimakhudzidwa, zomwe zimayambitsa kuwonongeka kwa manjenje. Pankhaniyi, wodwala:

• Kugwira ntchito kumachepa
• Kukumbukira ndi chidwi zimakulirakulira
• Luntha limatsikira
• Tulo timasokonekera
• Chizungulire chikuwonekera.

Nthawi zambiri munthu amasokonezeka ndi mutu, kusintha kwakukulu mu psyche kumathanso kuchitika. Vuto lofananalo ndi loopsa makamaka pakukula kwa sitiroko.

Atherosulinosis yamitsempha yama coronary imayendera limodzi ndi kupweteka kumbuyo, kufooka ndi kutopa. Pakukokomeza, kupuma movutikira kumachitika ndipo mkono wamanzere umatha. Potere, munthu amamva mantha amwalira, chikumbumtima chimakhala cha mitambo kapena chotayika kotheratu. Ndi matenda amtunduwu, kulowetsedwa kwa myocardial nthawi zambiri kumayamba, komwe kumadzaza ndi imfa.

Popeza matenda atherosclerosis aakulu ndi matenda achilengedwe, ziwiya zamatumbo ndi zina zimakhudzidwa. Fomuyi imatchedwa multifocal atherosulinosis. Ichi ndi chowopsa matenda, amafuna njira yolumikizira chithandizo.

Mankhwala othandizira amatha kuphatikizidwa ndikuthandizira opaleshoni, pambuyo pake kukonzanso kwakanthawi kumafunikira.

Kodi matendawa amayenda bwanji?

Atherosclerosis ndi owopsa chifukwa samazindikirika kwa nthawi yayitali. Nthawi yamapeto yolimbitsa thupi imatha kukhala nthawi yayitali kwambiri osawonetsa zizindikilo zilizonse.

Kuti muzindikire kusintha kwa ischemic m'mitsempha yamagazi pakadali pano, kuyezetsa matenda kumachitika mu labotale. Cholesterol okwera ndi triglycerides amatha kuonetsa kukula kwa matendawa.

Pambuyo pake, matenda amanjenje, vasomotor ndi metabolic amayamba kuwonekera. Pambuyo pochita masewera olimbitsa thupi, ma electrocardiogram amatha kulembetsa kuphwanya.

1. Pa gawo loyamba la ischemic, mitsempha ya magazi ndiyopapatiza, yomwe imayamba chifukwa cha kusowa bwino kwa ziwalo zamkati komanso kusintha kwa ma dystrophic.
2. Mu gawo lachiwiri la thrombonecrotic, necrosis yayikulu kapena yaying'ono yomwe imapezeka, yomwe nthawi zambiri imayambitsa kuwonongeka kwa thrombosis.
3. Dokotalayo azindikiranso mbali yachitatu ya khungu kapena zipsera ngati mabala apanga m'chiwindi, impso ndi ziwalo zina zamkati.

Kutengera ndi kukula kwa chitukuko, atherosulinosis imatha kukhala ndi gawo lokhazikika, lotsogola kapena labwinobwino.