Ndi angati akukhala ndi atherosulinosis

Njira yowonongeka ndi kuyika kwa cholesterol yoyipa mwa mawonekedwe amipanda pazitseko zamitsempha yamagazi imatchedwa atherosulinosis. Ndi chithandizo chosayembekezereka, stenosis ya madera omwe ali ndi vuto la kuthamanga kwa magazi imachitika, yomwe imakhala yodzala ndi zotsatirapo zoyipa, makamaka, kuchepa kwa moyo wa munthu. Ndikosatheka kunena mosasamala kuti ndi anthu angati omwe amakhala ndi atherosulinosis. Izi zimakhudzidwa ndi zinthu zambiri komanso mkhalidwe wamba wamthupi la wodwalayo.

Atherosclerotic mtima chotupa timene timapanga magawo awiri: ischemic, thrombonecrotic, fibrous. Kuchuluka kwake komwe amakhala ndi atherosclerosis kumadalira momwe njirayo yapita.

Zoyambitsa ndi zizindikiro

Kumvetsetsa kutalika kwa nthawi yomwe munthu yemwe ali ndi atherosulinosis angakhale ndi moyo kungathandize kumvetsetsa njirayi. Choyamba, ndikofunikira kumvetsetsa ovomereza za kupezeka kwa matenda am'mimba komanso zokhudzana ndi matendawa zomwe zikuwonetsa matenda. Chifukwa chachikulu chomwe chimatithandizira kuti matendawa apezekeke ndi metabolism yamafuta osayenera m'thupi la munthu, yomwe imasokoneza kayendedwe ka magazi koyenera. Zifukwa zina zimaphatikizapo:

  • kugwiritsa ntchito mwadongosolo zakudya zamafuta kwambiri ndikutsatira mfundo za kuperewera kwa zakudya m'thupi,
  • kusachita zolimbitsa thupi m'moyo wamunthu kapena chithunzi changokhala,
  • kusokoneza kagayidwe kachakudya,
  • zizolowezi zoipa monga kumwa kwambiri ndi kusuta,
  • kunenepa
  • kupezeka kwa matenda ashuga
  • cholowa.
Atherosulinosis imatha kudziwonetsa yokha mwa mawonekedwe a dzanzi, komanso nthawi zonse ndi manja kapena mapazi ozizira.

Zizindikiro zapadera za atherosulinosis zimaphatikizapo:

  • kusowa tulo
  • mutu
  • miyendo yozizira nthawi zonse
  • dzanzi kumaso, miyendo,
  • mtima ndi mavuto akukumana
  • kusamalira chidwi, kukumbukira,
  • mavuto ndi kuyamwa komanso kuyankhula bwino,
  • kupanda chidwi kapena kukhumudwitsa
  • kumverera kofooka kosatha ndi kutopa.

Vuto lalikulu la anthu odwala omwe ali ndi kuwonongeka kwa mitsempha ya mitsempha ndikuti pakuwonekera kwa zizindikiro, anthu ochepa amafufuza chithandizo choyenera kuchipatala. Chifukwa chake, zamatsenga nthawi zambiri zimabweretsa zovuta zomwe zimachepetsa kwambiri moyo wa wodwalayo.

Mavuto okhudzana ndi ntchito ya ubongo

Ndi ubongo atherosulinosis mwa munthu wodwala, zizindikiro monga kulephera kukumbukira (kwathunthu kapena pang'ono), kuchuluka kwa lilime ndi miyendo yake yam'mwambamwamba, komanso kuwonongeka kwakukulu mu malingaliro aubongo kumawonekera. Nthawi yomweyo, zimakhala zovuta kuti munthu adzipulumutse yekha. Zizindikiro zotere nthawi zambiri zimachitika kale kumapeto kwa matendawo. Nthawi zambiri matendawa amapangidwa ndi okalamba ndipo amatchedwa discirculatory encephalopathy. Ndikusintha kwa ubongo komwe kumapangitsa kuti thupi lizisokonekera, kufa sikitha. Wodwala mankhwala mankhwala.

Mawonekedwe a sitiroko pambuyo pa matenda

Ziwerengero zaposachedwa kwambiri kuchokera ku Unduna wa Zaumoyo zikutsimikizira kuti kuchuluka kwa odwala omwe ali ndi matenda a m'mitsempha yamagazi kukukula pachaka. Chimodzi mwamavuto owopsa a atherosulinosis ndi kugunda kwamchiberekero ndi imfa ya gawo lake, pomwe magazi ake amatuluka. Chiwopsezo cha kufa chiri pamwamba tsiku loyamba ngati chithandizo choyenera sichiperekedwa. Komanso kuchuluka kwa kupulumuka ndi kusokonezeka kwotsatira kumadalira dera la lesion.

Malinga ndi kafukufuku wa asayansi, chithandizo chanthawi isanayambike, atherosulinosis imayambitsa zovuta mu 40% ya anthu.

Kuwonongeka kwa miyendo chifukwa cha atherosulinosis

Mukamaletsa zombo zazikulu zomwe zimakhala m'munsi, zovuta zomwe zimagwira ntchito zimawonedwa. Matendawa akamakula, chiwindi cham'mimba ndi kuwonda kumawonekeranso, kumva kuti miyendo imakomoka komanso kupindika, mafupa amapweteka. Gawo lomaliza ndi kufooka kwa minofu mpaka kufooka, kukula kwa matenda am'mimba. Mkhalidwe wowopsa kwambiri ndi pamene ziwalo zimatuluka m'thupi lonse kapena theka chifukwa cha sitiroko.

Zoneneratu zamtsogolo

Makhalidwe a thupi, nthawi yamatendawa ndi magawo ake zimakhudzanso kulosera kwamoyo. Pafupifupi 70% yaanthu okhala ndi magazi osakwanira ku ubongo amamva kupweteka kwam'mutu komanso sitiroko. Nthawi zambiri izi zimabweretsa kufa mwadzidzidzi. Kuzindikira kwakanthawi ndi kulandira chithandizo kumatenga nthawi yayitali mpaka zaka 15. Malinga ndi ziwerengero, 55% ya anthu amamwalira pambuyo pazaka 5 zakukalamba kwambiri kwa matendawa popanda chithandizo chamankhwala chokwanira.

Moyo umachotsa atherosclerosis.

Yolembedwa pa August 21, 2009

Komanso kusowa kwa chidziwitso cha banali kapena kusafuna kuzigwiritsa ntchito.

Akatswiri amati Anthu achi Belarusi ali ndi kuthekera kwachilengedwe kokulira. Zowona, kuthekera kulikonse, monga mukudziwa, kungatayike. Chowonetseratu chowoneka bwino cha njira zathu zopanda pake za thanzi lathu ndikupezeka kwa matenda amtima tili ang'onoang'ono. Mutu wa Laborator of Heart Surgery, Republican Sayansi ndi othandiza Center "Cardiology", Doctor of Medical Science, Pulofesa, Chief Freelance Cardiac Surgeon wa Ministry of Health of the Republic of Belarus Yuri Ostrovsky ikuti munthambi iyi yamankhwala lero pali mwayi wonse wowongolera moyo wa odwala omwe ali ndi matenda oopsa a mtima ndi mitsempha yamagazi. Koma anthu achi Belarusi sangachite bwino kuwonjezera chiyembekezo chokhala ndi moyo ndiukadaulo wapamwamba wokha.

-Chimodzi mwazinthu zofunika kwambiri zomwe zimawunika kukula kwa maboma, monga mukudziwa, kuchuluka kwa zaka zakukhalira. M'masiku a Soviet, pafupifupi nthawi yayitali kukhala ku Belarus inali imodzi mwapamwamba kwambiri pakati pa anthu ena a Mgwirizano, ngati mulibe chidwi ndi anthu aku Caucasus. Komanso, zaka zomwe anthu achi Belarusi ankakhala nazo nthawi imeneyo zinali zosiyanako ndi zomwe anthu aku Europe ankayembekezera. Izi zikuwonetsa kuti genetics ya anthu athu pawokha ndi yabwino. Komabe, njira yamoyo yamoyo ndi nkhani ya mitundu yambiri. Ndipo zachikhalidwe, zachuma, komanso zamankhwala.

Dziwani kuti kusintha kwina kwawonedwa posachedwa mbali zonse, koma zochulukirapo ziyenera kuchitidwa ndi munthu payekha. Genetics imangopereka maziko oyambira, kuthekera, koma chomaliza chitha kugwiritsidwa ntchito molakwika kwathunthu. Choyamba, ndikuganiza kuti tiyenera kulankhula za kuchuluka kwa banal chidziwitso pankhani ya physiology ndi biology. Chiwerengerochi chiyenera kudziwa kuti kuthekera kwa chibadwa kungagwiritsidwe ntchito bwino, kutengera, kukhala ndi moyo wathanzi. Sindine othandizira njira zovuta monga kukana mowa kwathunthu. Ngati mumamwa mowa, ndiye choyamba - vinyo wofiira. Ndipo, zoona, osaposa galasi limodzi patsiku. Inde, ndikofunikira kudya zosiyanasiyana. Inde, ndikofunikira kuthana ndi ulesi wanu, kusagwira ntchito. Komabe, ngati zonsezi sizinayang'anitsidwe kuyambira ubwana, ndiye kuti ndi ukalamba sizinyalanyazidwa kwathunthu.

- Ndi chiyani chomwe timalimbikitsa tikamayesetsa kutalikitsa moyo mothandizidwa ndi moyo wathanzi?

- Potere, chiyembekezo cha moyo chimatsimikiziridwa ndi kukula kwa atherosulinosis. Njirayi ndiyosapeweka. Ntchito yathu ndi wodwala ndikuwonetsetsa kuti izi zimachitika mochedwa momwe zingathere. Kotero kuti chiyembekezero chambiri cha moyo chiri ku Belarus monga m'maiko a EU - zaka 74-78, kapena monga Japan - pansi pa makumi asanu ndi anayi. Ndikuganiza kuti izi ndi zenizeni kwa ife, komabe, popita nthawi, mwachilengedwe.

“Kodi wapita ku Japan?”

Mukatero mumadziwa zomwe amachita kuti azikhala pansi “makumi asanu ndi anayi.”

Palibe chomwe sitikadadziwa. " Choyamba, zakudya zosiyanasiyana zam'madzi ndi masamba ambiri, zolimbitsa thupi zokwanira.

- Kodi ndikuyenda kwamphindi 30 patsiku?

- Uwu ndi mtunda woyenda makilomita 10 patsiku. Mwachitsanzo, ndimathamanga 4 km m'mawa.

- Ngakhale titakhala ndi moyo wathanzi, tidzamwalirabe. Kuchokera pamtima matenda kuphatikizapo.

Izi ndi zomveka. ” China chake ndikuti timayamba kuthana ndi odwala atakwanitsa zaka 40-45, komanso kunja atakwanitsa zaka 60. Pathology ipanga mulimonsemo, koma ntchito yayikulu yokhala ndi moyo wathanzi, njira zodzitetezera ndikuchepetsa mphindi iyi momwe mungathere.

- Tidzaperekanso chiyani?

- Njira yopanga atherosulinosis, yomwe m'munsi mwake mumakhala zovuta kupanga - Kusinthana kwa cholesterol. Mwa anthu ena, atherosulinosis imayamba msanga kwambiri chifukwa cha majini. Odwala oterowo amangofunika kuzindikiridwa kale ndikuthandizidwa kale. Za ena onse, mavuto awo amayambitsidwa makamaka ndi mafuta ochulukirapo a nyama mu chakudya, omwe amatsogolera, ku kuchuluka kwa mafuta m'thupi m'magazi. Cholesterol imayikidwa mu ziwiya, chifukwa cha zomwe zimapangika pang'onopang'ono, zomwe zikutanthauza kuti thanzi la ziwalo zina ndi machitidwe ake limasokonekera. Ndipo ngati zakudya zasokonekera, ndiye kuti ntchitoyo imavutika. Ngati tikulankhula za mtima, apa, chifukwa cha ukonde wachilengedwe, chitetezo chadzidziwitsa kuti ndi matenda opweteka - angina pectoris. Ululu ndi njira yachilengedwe yachilengedwe yabwino mu makina athu onse. Angina pectoris amatanthauza kuti muyenera kuthana ndi vutoli. Ndi mankhwala kapena opareshoni.

- Mwakutero, mutha kukhala ndi cholesterol amana. Chifukwa,, komabe, tsoka lamasamba limachitika - vuto la mtima. sitiroko?

- Pali njira zingapo zoteteza zomwe zimatipatsa ife mwachilengedwe. Chifukwa chake, ngati chotengera chawonongeka ndi cholesterol plaque, zina, zombo zowonongeka zochepa zimatha kutenga katundu wowonjezereka. Kachiwiri, Zida zathu zimakutidwa ndi ma cell apadera a endothelial omwe amaletsa mapangidwe a magazi. Chovala chamagazi ndicinso njira yodzitchinjiriza. Kupanda kutero, munthuyo angafe pakuwonongeka koyamba kwa chala, magazi ochepa kwambiri. Makinawa amagwira ntchito pomwe kukhulupirika kwa minofu ndi mitsempha yamagazi kumaphwanyidwa. Zowona, pamenepa, mapangidwe a magazi mumtsempha amatsekera lumen. Chifukwa chake tsoka.

- Kodi kusuta, kuchita masewera olimbitsa thupi kapena kupsinjika zikukhudzana bwanji ndi izi?

- Kusuta kumayambitsa spasms yamitsempha yamagazi. Kuphipha kumakhala kusunthika kwa magazi, ndipo komwe kumakhala kukokoloka, pamakhala mwayi wamtundu wa thrombosis. Zochita zolimbitsa thupi - kuphunzitsa chotengera. Mukachulukitsa katundu, zotengera zake zimatithandizanso kukula. Kupsinjika ndikudzitchinjiriza komwe kumapangitsa thupi kuti limenyane. Kuchuluka kwa adrenaline ndi norepinephrine zimatulutsidwa m'magazi. Hormons iyi imabweretsa vasoconstriction, cramping. Ndipo pomwe pali kuphipha, pali thrombosis.

- Kodi matenda a "heherosulinosis" amagawidwa bwanji mthupi?

- Kwakukulu, njira ya vasoconstriction chifukwa cholesterol zolembera imapezeka m'madziwe onse amthupi la munthu. Komabe, mu imodzi imatha kudziwonetsera ngati kuphwanya kwa magazi kumiyendo, inayo - mutu, yachitatu - impso, wachinayi - mtima. Center yathu imachita ndi zovuta zovuta pomwe atherosulinosis imadzipangitsa kumverera mu "masamba" angapo. Mikhalidwe yotere imatha kuwongoleredwa motsatizana, koma imatha nthawi imodzi.

- Akatswiri "adakonza" zomwe zidachitikazo, koma pambuyo pa zonse, zomwe zidayambitsa izi, moyo wopanda thanzi, akupitilizabe kugwira ntchito, ndipo munthuyo amakhalanso wodwala wa pakati.

- Ngati munthu akupitiliza moyo womwe adakhalapo kale, ndiye kuti palibe chifukwa chilichonse choti tichitire. Pambuyo pa opaleshoni, wodwala nthawi zonse amalandila malangizo mwatsatanetsatane pa zakudya zomwezo komanso chithandizo chamankhwala. Zotsatira zabwino zimakhala pokhapokha malingaliro akatsatiridwa. Mwambiri, opaleshoni ndi mphindi yosintha. Tinene kuti panali magazi osayenda bwino - tinabwezeretsanso ntchito. Wodwala amakhala ndi zodandaula. Mwamaganizidwe, iyi ndi mphindi yofunika kwambiri kwa munthu. Zoonadi, amaganiza kuti atha kuchita zonse zomwe adachita m'mbuyomu. Chifukwa chake, izi siziri choncho! Ngati moyo uli womwewo, munthuyo abwerera mkhalidwe wovuta komanso wogwiranso ntchito. Ndipo kugwiranso ntchito kumakhala kovuta kwa onse omwe akuchita opaleshoni komanso odwala.

- Kodi pali kusiyana kotani pakati pa opaleshoni yamtima ndi yachilendo?

- Opaleshoni ndiyomweyo. Ndi ife tokha chilichonse chomwe chimamangidwa kwaunyamata. Ku West, anthu amamugwirira ntchito, makamaka, ali ndi zaka 75. Ndipo timagwira ntchito atakwanitsa zaka 50, choncho tiyenera kutero kuti tithandizire kukhala ndi moyo kwa zaka zosachepera 75. Timakakamizidwa kuti tiziyang'ana mtsogolo, gwiritsani ntchito mipata yomwe ingathandize kuti munthuyu akhale ndi moyo wautali momwe angathere.

- Kodi malo ali ndi zida zonse zapadziko lonse lapansi?

- Ndikufuna bwino koposa. Ndipo ili ndi pulani yopititsa patsogolo chitukuko. Tili ndi antchito abwino, olimba. Ndikofunikira kuti akatswiri otere awoneke m'magawo onse am'madera. Maphunziro tsopano akuchitika pamaziko a dipatimenti yolingana ndi Belarusian Medical Academy of Postgraduate Education.

- Malo othandizirana ndi mtima amayenera kutenga gawo lina la odwala, komabe, ena mwa iwo adzafuna kupita ku republican institution. Kodi zimatheka bwanji?

- Ntchito zofunikira zikuchitika ndipo zidzachitidwa m'magawo, ndipo odwala ovuta kwambiri adzatumizidwa kwa ife. Kumbali imodzi, sitingathe kuchita, mwachitsanzo, opaleshoni yamtima yoposa 2,000 pachaka. Izi sizotheka tekinoloje. Chifukwa chake, tikupita kumadera kuti akaphunzitse akatswiri am'deralo komweko. Kumbali inayi, akatswiri athu nawonso ayenera kusinthasintha maluso awo ndikudziŵa matekinoloje atsopano. Opaleshoni yamtima imayamba kupezeka, ndipo izi ndizotheka ndi kugawidwa kwanzeru. Psychology ya chizolowezi chizolowezedwa muzolowera dera lililonse.

- Kodi pali mndandanda ndi madandaulo kumalo?

- Mzere pamndandandawu ndi mndandanda wodikirira. Zimafunika kuchokera pakuwonetsetsa kugwiritsa ntchito bwino zinthuzo komanso luso, koma nthawiyo siyenera kupitirira malire - miyezi itatu - pochita mapulani. Pazinthu zofunikira mwachangu komanso zadzidzidzi, pepala lotere, sichoncho.

- Kodi kufunika kogwiritsa ntchito ma mtima kumatani?

- Odwala 100 pachaka ku Belarus amafunikira chithandizo chotere. Palibe china chomwe chingaperekedwe kwa anthu awa. Mtengo komanso kuthekera kochita opareshoni - malinga ndi mfundo yotsalira - sizingatheke kwa odwala athu onse ku West. Ndikukhulupirira kuti dziko lokhala ndi chitukuko chokwanira liyenera kugwira ntchito zoterezi.

- Mukuganiza bwanji za kuyambitsidwa kwa ntchito zolipiridwa m'mabungwe aboma?

- Ndikofunikira kwa aliyense wa ife kulandira chithandizo chamankhwala panthawi yomwe chikufunika. Popeza tonsefe timakhoma misonkho, kuphatikizapo zaumoyo, tili ndi ufulu kulandira chithandizo chamankhwala kwaulere. Ponena za ntchito zolipira, chifukwa cha ichi pali malo azamalonda omwe amathandizira kuchotsa mndandanda. Ndikofunikira kuti akatswiri azigwira ntchito m'maboma onse komanso azilipira ndalama.

- Kodi malo omwe akugwira ntchito tsopano ndi ati, pamene gawo lalikulu kwambiri la chisamaliro cha mtima lidakhazikika - ndikuyika mtima?

- Ntchito yoyamba ndikukhazikitsa malo amtima m'magawo, zomwe zidzachotse vuto la mndandanda wodikirira. Chachiwiri ndi kukhazikitsa matekinoloje atsopano omwe cholinga chake ndikuwonetsetsa kuti magwiridwe antchito othandizira opaleshoni akwera kwambiri, ndikuti izi zimasungidwa kwanthawi yayitali atatha kukhazikitsa.Tipitilizabe kupitiliza njira zachilengedwe zowonongera, mosavutikira, atakhala nthawi yayitali kuchipatala, kubwerera mwachangu ku moyo wabwinobwino. Ponena za kufalikira kwa ziwalo, kukhazikitsa pulogalamu yoyendetsa mapapo kuli patsogolo, ndipo pambuyo pake, zonse mapapu ndi mtima.

Adafunsidwa Svetlana BORISENKO. nyuzipepala "Zvyazda", Marichi 2009.

Kodi matenda oopsa amakhala nthawi yayitali bwanji?

Kapangidwe kachilendo kwambiri funso. Munthu atha kufunsa kuti kuchuluka kwa "impso", "zilonda" kumakhala bwanji, ndi zina zambiri, ndipo, mwachidziwikire, simupeza yankho lomwe mwakhala mukuyembekezera.

Ndimangokhala kuti anthu omwe ali ndi funso lotere amabwera patsamba langa pafupipafupi, akuyembekeza kuti amve china cholimbikitsa. Poyamba ndidasowa, osadziwa momwe ndingachitire izi. Ndipo tsopano ndazindikira kuti Tiyenera kuyesetsa kuti tipeze mfundo zofunikira pankhaniyi. Ndiye kuti, sankhanibe kuthana ndi vutoli.

Choyamba, muyenera kumvetsetsa zomwe zikutanthauza mukamakamba za moyo wabwino. Ngati moyo wachilengedwe ichi ndi chinthu chimodzi. Ngati zauzimu ndizosiyana. Ngati zachikhalidwe - chachitatu. Ngati moyo ndiwamwini, wodabwitsa - wachinayi. Zikuwoneka kuti palibe chachisanu ndi ulemerero kwa Mulungu. Koma chinthu choyamba, monga momwe ndikumvera, chimayendabe choyambirira - kukhalapo kwachilengedwe. Pazifukwa zina Zikuwoneka kuti ndizomwezi zomwe iwo omwe adayambitsa zovuta izi akuganiza.

Nanga chimakhudza chiyani chilengedwe chathu?

Moyo Matenda, makamaka hypertonic? Njira yokhwima yopatsa thanzi, kuchiritsa kwapadera? Gerontologists amati ngakhale munthu atakhala m'malo oyeserera amoyo: mum'patse chakudya chamagulu, muphunzitseni molingana ndi mtundu wina wa kusintha, kubweretsa kudziletsa, kudziwongolera kuchipatala mwangwiro, etc. pamenepo munthuyu akhala zaka zochulukirapo monga ma genetic ake amagwira. Ndiye kuti, chilichonse chimangokhala pa majini. Koma iyi ndi mbali imodzi yoganizira za nkhaniyi. Komabe, pali mbali zofunika kwambiri komanso zofunika. Ndipo koti mutengeko Karma, Pomaliza, kumapeto?

Kupeza kuti Mphamvu Yopambana? Wina wakwiya - chinsinsi! Matsenga! malingaliro! Palibe zamtunduwu.

Izi ndi zenizeni. Ndinafunika ndikuwonetsetsa odwala oopsa omwe amapulumuka pamapiritsi mpaka aulemu komanso omwe ambulansi yake imayima pafupipafupi ndi nyumbayo.

Chifukwa chake, odwala matenda oopsa anakhalapo ndi chithandizo cha mankhwala mpaka zaka zino.

Chifukwa chake mankhwala ayenera kuyamika. Kupitilira kamodzi ndinawonapo achinyamata omwe amakondanso kuthandizidwa ndi dotolo ndipo omwe adadwala matenda opha ziwalo, kapena akuipitsitsa ... Ndiye chiyani? Kodi mankhwalawa adakhudza chiyembekezo chamoyo? Ayi, sichoncho. Uku ndikuchita karmic. Iyi ndiye karma ya munthu wotere: vi-karma, a karma, ndi karma chabe. Ndiye kuti, karma palokha imasiyanitsidwa. Sindingakule mukufotokoza - kwa nthawi yayitali ndipo kwa ena sizodabwitsa. Karma ndi chochitika. Zomwe zilipo ndizotsatira zam'mbuyomo komanso zoyambitsa mtsogolo. Koma ndikuyesera kuti ndimvetsetsedwe: munthu uyu ali ndi Fate yomwe imakwaniritsa zomwe iyenera kukwaniritsa. Ndipo palibe malingaliro pano.

Chinanso ndi chakuti munthu amatha kuyendetsa karma yake posintha kwambiri moyo wake. Kenako Her Majness Fate amasintha pulogalamu yoikika. Ndiye kuti, kukonzedwa koyenera munthawi yoperekedwa kwa munthu wopatsidwa kumachedwetsedwa ndikusamutsira ku nthawi ina yochitapo kanthu. Koma izi sizikumveka kwathunthu kwa ena, chifukwa chake ndiyesera zosavuta.

Nenani munthu amene akudwala matenda oopsa. atasintha mwadzidzidzi moyo wake, adasiya kukonda ena. Chingachitike ndi chiyani? - kukhazikika kwa thanzi osati kokha, komanso zauzimu. Koma pamene, atasinthika kukhalapo, amakhalabe moyo wopanga, kapena, mwanjira zambiri, umbuli, monga chitsanzo choyamba ndi moyo wautali, sipangakhale kuyambiranso kuchira kwathunthu.

Izinso karma zotere, karma payekha. Ndipo simungawononge izi pochita ndi mankhwala.

Chosinthana ndi umbuli wathunthu. Aliyense wa ife ali ndi zitsanzo zambiri pamene wodwala kwambiri amakhala ndi ukalamba kwambiri. Ndipo wachinyamata akamwalira kuchokera kwa wamba. Wokonda zakuthupi alengeza: ngozi! Mawuwa ndi achabe. Zitsanzo zonsezi ndi za karma.. Tikulankhula za Chimaliziro, ngati ngozi yofunikira yokhudzana ndi uyu.

Ndipo pansi pa chidule tinganene: zaka zomwe munthu amakhala ndi moyo sizodalira moyo wake, chibadwa chake, koma kuchuluka kwake pa karma. China china, munthu amatha kusinthitsa karma yake ndi njira yosinthika kwambiri, ndipo koposa zonse, moyo wa uzimu. Chifukwa chake, kutenga njira yopanda chithandizo chokwanira kwa matenda oopsa. Pakapita nthawi, munthu adzaona bwino za iye yekha ndipo, atakhazikika mu thanzi lake, sadzasintha Mzimu wake yekha, komanso moyo wake. Ndipo, chifukwa chake, pali mwayi waukulu wokhala ndi moyo wabwino komanso wautali ...

Mgwirizano wamankhwala oopsa ndi kuzindikira kwa anthu

Amayambitsa, mitundu, zizindikiro ndi zotsatira za sitiroko

  • Ischemic stroke
  • Tchati Chotheka

Mikwingwirima imadziwika ndi zifukwa zingapo zoyambitsa matendawa. Zimatsimikiziridwa kuti etiology ya stroko mwa akazi ndi abambo nthawi zina imasiyana. Zomwe zimayambitsa kupsinjika kwa azimayi makamaka zimagona mu ndege ya pathophysiology ya nthawi yachonde komanso kusamba. mwa amuna, amakhudzidwa ndi zoopsa za akatswiri, zizolowezi zoyipa. Kusiyana kwa pathogenesis ndi zomwe zimachitika chifukwa chakuthwa kwamagulu amtundu wamagulu zimagwirizanitsidwa ndizofanana.

Mikwingwirima mwa achinyamata ndi azaka zapakati

Ischemic stroke - zinthu zodziwika bwino zomwe zimachitika kwa akazi ndi abambo, (ochepa matenda oopsa ndi atherosulinosis).

Ischemic stroke zinthu zokhala ndi vuto la jenda:

azimayi - rheumatism wa mtima mu mawonekedwe a mtima wa mtima embolism (kutsekeka kwa chapakati cha chithokomiro cha mtima ndi mafuta kapena ma embolus a mzimu omwe amapangika mbali zakumanzere kwa mtima),

Amuna - zowopsa za ziwiya za khosi (zoopsa ndi zotumphukira zam'kati mwa carotid mtsempha wama khosi),

Kuchepa kwa hemorrhagic - zinthu zina zotchulidwa kwa azimayi ndi abambo, (ochepa aneurysms, ochepa matenda oopsa. Arteriovenous aneurysms).

Hemorrhagic stroke imayambitsa vuto la jenda:

azimayi - uku ndi matenda oopsa,

Amuna - ichi ndi aneurysm, ochepa-zoopsa mtsempha wamagazi, subarachnoid hemorrhage.

Mwa azimayi achichepere pakatupa, kukomoka kwa hemorrhagic kumayamba kuchulukitsidwa kasanu ndi kanayi kuposa amuna amsinkhu womwewo.

Zotsatira zamaphunziro azachipatala ndi zotsatira za stroko kwa achinyamata. Ndi matenda a ischemic, matendawa amatuluka mobwerezabwereza ndipo amakhala ndi vuto lochepetsa mphamvu ya mitsempha. Mitundu ikuluikulu ya stroko mwa azimayi imayamba kukhala embolism ya mtima, mwa amuna monga arteriosulinosis ndi thrombosis ya mitsempha yayikulu.

Mikwingwirima mwa okalamba

Kuyambira wazaka 65 mpaka 79, mikwingwirima imakhala yambiri mwa amuna, ndipo pambuyo pa zaka 80 mwa akazi.

Zomwe zimayambitsa matenda okalamba kwa okalamba ndizokwera kwambiri mu:

amuna - matenda oopsa, cholesterol yokwezeka ya magazi,

azimayi - atrophication, stenosis yamitsempha yamagazi, matenda a mtima, kulephera kwamtima.

Zolemba zamatenda a kuchipatala ndi zomwe zimachitika chifukwa chamadwala okalamba. Nthawi zambiri zimachitika motsutsana ndi maziko osowa kwambiri kwamitsempha, okhala ndi zilema zambiri. Imafotokozedwa ndi boma lovuta la preorbid (mkhalidwe wathanzi pamaso pa matendawa) motsutsana ndi maziko a matenda osachiritsika, kusintha kokhudzana ndi zaka mu magawo a ubongo. Odwala atatha zaka 65 ali ndi chiopsezo chowirikiza katatu poyerekeza ndi opulumuka sitiroko akadali aang'ono.

Kusiya Ndemanga Yanu