Calcined atherosulinotic plaque: ndi chiyani, zomwe zimapangitsa kupanga ndi chithandizo
Kafukufuku watsopano adapeza kuti kusanthula calcium calcium (ma calcified plaque) mkati mwa mitsempha kumatha kuthandiza dokotala pafupifupi kuwerengera kuti aphedwe komanso zaka zingati za moyo wina wodwalayo.
Kafukufuku wazaka 15 pomwe odwala pafupifupi 10,000 adagwiritsidwa ntchito adawonetsa kuti anthu omwe ali ndi calcium yayikulu kwambiri m'mitsempha itatu yam'mimba amakhala pachiwopsezo chachikulu cha kufa msanga ─ kukwera kasanu ndi kamodzi kuposa iwo omwe analibe ziwonetsero konse.
Mayeso omwe amatchedwa "scanning coronary calcium" amagwiritsa ntchito ma protein omwe amagwiritsidwa ntchito ngati "kusuntha calcium" m'mitsempha yamagazi omwe amatenga magazi kuchokera pansi pamtima, atero mkulu wofufuza, a Leslie Shaw, profesa wa mtima pa Emory University ku Atlanta.
"Ngati mulibe calcium kapena ochepa kwambiri m'mitsempha yanu, ndipo izi zimatsimikiziridwa ndikuyesedwa pafupipafupi zaka, ndiye kuti muli ndi mwayi wabwino kwambiri wokhala chiwindi chambiri," Shaw akutero.
Ma calcium a calcium amapangika poyankha maonekedwe amafuta m'makoma amitsempha yamagazi.
Zideru izi, zomwe zimayamba chifukwa cha kuchuluka kwa mafuta m'thupi m'magazi, zimapangika nthawi yayitali ndipo pang'onopang'ono zimayambitsa kufinya kwa mitsempha, yomwe ndiyomwe imapangitsa matenda a mtima, lomwe likuyamba kuvuta kupopa magazi mthupi lake lonse.
Zikhwangwala zikagundana, khoma la chotengera lingapangike magazi (magazi)kutsekereza magazi, komwe kumayambitsa kugunda kwamtima. Chovala ichi chimatha kugwa mwadzidzidzi, kenako mbali zake zina zimatha kulowa mu ubongo ndikuyambitsa ischemic stroke.
Pofuna kupewa kuwonongeka komanso kupatutsidwa kwa magazi, thupi limayesetsa kutsekemera ndikulitseka m'malo mwake ndikumaika mchere wa calcium pamchira wamwazi ndi mozungulira, Shaw akutero.
Mchaka cha 1990, madotolo adazindikira kuti malembawa adawonetsedwa pamakompyuta a kompyuta ndipo amatha kugwiritsa ntchito kuti adziwe mgwirizano kugunda kwa mtima ndi mikwingwirima yochokera ku mitsempha yolimba panthawi yowerengera, Shaw adati.
Komabe, pakhala pali umboni wochepa kwambiri woti kupenda magalasi amkati mwa calcium kungapereke chidaliro chodalirika cha chiopsezo cha nthawi yayitali ku thanzi la anthu, olemba kafukufuku akuti. Ntchito yambiri yoyesera mbali iyi pogwiritsa ntchito kusanthula kwa mitsempha imapangidwira kuti idzamalize mu nthawi yotsatira kwa zaka zisanu.
Kafukufuku watsopanoyu, yemwe tsopano wamaliza kuyambika kuyambira chaka cha 1996 ndi 1999, pomwe madokotala ku Nashville, Tenn., Adapereka odwala 9715 athanzi labwino ngati gawo limodzi la mapulogalamu owonjezera a mtima pazankhondo. Odwala adakafufuzidwa zolembera zowoneka bwino m'mitsempha yamagazi, ndipo mbiri yatsatanetsatane yosintha pazovuta za matenda amtima mwa aliyense omwe adatenga nawo gawo adalembedwa.
Ofufuzawo adawona nawo zaka pafupifupi 15, akufufuza mosamala za odwala 936 omwe anamwalira nthawi imeneyi.
Kusanthula kwa detayo kunawonetsa kuti chiopsezo cha kufa msanga chimakulirakulirabe ndi kuchuluka kwa calcium zomwe zimapezeka m'mitsempha yayikulu ya anthu.
Odwala omwe ali ndi calcium yochepa kwambiri anali ndi chiopsezo cha kufa. 68% ochulukirapo poyerekeza ndi omwe analibe calcium iliyonse.Koma chiwopsezo cha kufa kwa anthu omwe ali ndi calcium yayikulu mumitsempha inali yayikulupo kasanu ndi kamodzi kuposa yomwe calcium ya mitsempha yake sinatulukidwe.
"Izi zikuwonetsa kufunikira pophunzira chizindikiro ichi kuwonjezera pa zinthu zomwe zingachitike pachiwopsezo," adatero Dr. William Zogby, Purezidenti wakale wa American College of Cardiology.
Scarter calcium calcium ikugwiritsidwa ntchito ndi madokotala kuti azitha kupeza chithandizo chabwino kwambiri kwa odwala omwe alibe zizindikiro za mtima koma ali ndi cholesterol yayikulu kapena mbiri yabanja yamavuto amtima, Zogby adati. Kafukufukuyu akuwatsimikizira kuti njirayi ndiyothandiza, adanenanso.
"Kuyerekeza kuchuluka kwa calcium kuli chikhomo choyambirira kukulitsa kwamkati mwa mitsempha mwa anthu, popanda zizindikiro za matenda amtima"Adatero Zogby. "Kuyesaku ndikofunikira kwambiri kwa anthu, koma kufunika kwake sikudziwika kwa ambiri."
Zotsatira za calcium zidzakhala zolimbikitsa kwa anthu omwe ali ndi calcium yochepa kapena yopanda calcium, ndipo kwa anthu omwe ali ndi calcium yambiri ─ chilimbikitso ndibwino kudzisamalira, atero Shaw.
Leslie Shaw amakhulupirira kuti anthu omwe ali ndi ma calcium ambiri zitha kukonza chiyembekezo chawo chokhalitsa chifukwa chodya bwino, kuchita masewera olimbitsa thupi komanso kugwiritsa ntchito mankhwala othandiziramonga kuthamanga kwa magazi, magazi akulu mtima ndi mtundu 2 shuga.
Shaw akukhulupirira kuti kusanthula calcium m'magulu amtundu wamagetsi posachedwa kumatha kukhala gawo lofunikira kwambiri pakuyezedwa kwa thanzi la munthu monga kuyezetsa magazi kwa cholesterol.
Zotsatirazi zidasindikizidwa mu Julayi m'magazini ya 7 ya Annals of Internal Medicine (nkhani ya Julayi 7 ya Annals of Internal Medicine).
Kodi ndi chiani ndipo chifukwa chiyani chimatuluka?
Atherosulinosis ndi matenda omwe chizindikiritso chake chachikulu ndicho kufalikira kwa mapuloteni am'madzi mu minofu ndi zotanuka za zotengera zazikulu komanso zapakatikati.
Zotsatira za kudzikundikira kumeneku kudzakhala kuchepa kwa kufalikira kwa chotupa komanso kutsekeka kwake, komanso kuchepera kwa lumen ndi kuwonongeka koyambira pakubwera kwa magazi ndi minofu hypoxia.
Pali malingaliro awiri amakono a trigger limagwiritse ntchito kusintha kwa atherosulinotic, omwe, ngakhale atakhala ndi mbiri yopitilira zaka zana zapitazo, sanaphunzirepo.
Chimodzi mwazomwe chikuwonetsa kuwonongeka kwa mbiriyo ndi bakiteriya, mankhwala, mphamvu yakuthupi ndikusintha kwake kukhala lipid misa.
Lachiwiri likuti pali ma receptor achilengedwe pama cell a endothelial, ndipo ngati munthu ali ndi majini ambiri, ndiye kuti matendawo amawonjezeka.
Kutengera ndi izi, zomwe zimayambitsa chiopsezo zidakhazikitsidwa - mawonekedwe a anthu omwe akukhala mowerengeka omwe angawonjezere mwayi wodwala.
Izi zikuphatikiza:
- Kukula kwa zakudya zamafuta ndi chakudya chamagulu ambiri m'zakudya. Zinthu izi ndizofunikira kuti thupi lizigwira ntchito moyenera, koma zimagwiritsidwa ntchito mopitilira muyeso, mankhwalawa alibe nthawi yoti asanduke mphamvu ndi metabolites, kudziunjikira ndikugwera dziwe lozungulira. Kuphatikiza apo, kuchuluka kwa lipids zomwe zikubwera mopikisana zimalepheretsa njira zawo zowonjezera, zomwe zimapangitsa kuti zikulidwe kwambiri.
- Zaka ndi jenda. Malinga ndi kafukufuku, amuna okulirapo kuposa zaka makumi anayi ndi omwe amakhudzidwa kwambiri. Izi ndichifukwa choti azimayi asanasiye kusamba, timadzi tamadzi timene timatulutsa ma cell, timene timakhala ndi anti-sclerosing. Age imakhudzanso zochita za ma antioxidant osungira komanso kusinthasintha kwa chotengera, chifukwa munthu akamakula, ulusi wocheperako wa collagen amakhala nawo.
- Matenda a shuga. Monga kuphwanya kwamphamvu kwa kagayidwe kazakudya, matenda a shuga sangathe kukhudza kagayidwe kamafuta, kamene “kamayaka” kuchokera ku lawi la saccharides.Boiler ya metabolic imasefukira chifukwa chakuchepa kwa kuchuluka kwa mphamvu zokhudzana ndi kuzungulira kwa mphamvu. Chifukwa cha izi, zinthu zambiri zosakonzedwa bwino komanso zophatikizira mkati zimalowa m'madzi a m'magazi. Zina mwazomwezo ndi mafuta a trans ndi cholesterol yoyipa.
- Zofooka zolimbitsa thupi komanso kupsinjika. Moyo wongokhala, komanso kupsinjika tsiku ndi tsiku, sitingathe kuwona. Zomwe zimapangidwira mkati kuchokera pakati pa vasomotor zimasokonekera, mphamvu ya ma myocardial contractions imafooka ndipo minyewa yamitsempha yama cell. Pambuyo pang'onopang'ono kuti isamasuke, sikofunikira kuyembekezera kukhululuka kwa nthawi yayitali.
Poyamba, kusintha kwamkati pamtima sikungawoneke kwakukulu, popanda maikulosikopu. Koma ndi kusanthula kwa histochemical, kutupa kwa endothelium kumawonetsedwa, kuwonjezeka kwa kupezeka kwa mawonekedwe awo. Kenako mafuta ndi cholesterol, chifukwa cha kusakhazikika kwa lipoproteins yapamwamba komanso yotsika, amathamangira mu cell ndikudzaza, ikukula.
Tsopano ndi mawonekedwe opaka mafuta ambiri omwe sangathe kuyankha mokwanira kumalamulo ochokera kumwamba. Dera linalake likadzaza ndi cholesterol yomwe imalowetsedwa, malo achikasu kapena mawonekedwe ake - gawo la lipid layamba.
Kuyambira pano, madokotala amalankhula za kupanga kwa atherosulinotic embolus.
Aortic Atherosclerosis: Matenda Aukalamba
Matendawa "atherosulinosis" amagwirizanitsidwa ndimatenda amafuta osakanikirana, zotsatira zake zomwe kugonjetsedwa kwa mitsempha yayikulu (kutanuka kwamakoma awo kumatsika, ndikuchepetsedwa kwa lumen yamatumbo kumachitika).
Amavomerezedwa kuti atherosulinosis ya msempha ndi chizindikiro cha okalamba. Zoonadi, zizindikiro zamankhwala zimawonekera patatha zaka 60. Zimakhazikitsidwa kuti azimayi amadwala pambuyo pake kuposa amuna, estrogen amawateteza. Kafukufuku wokhudzana ndi chitukuko cha matendawa adawonetsa kuti mawonekedwe oyamba mu khoma la chotengera ali kale ndi zaka khumi. Izi zikuwonetsa njira yayitali yodziwira njira ya atherosulinotic.
The aorta ndiye chotengera chachikulu m'thupi la munthu. Imasunthira kutali kuchokera kumanzere kwamtima, kugwada kudzera mu arc ndikutsika. Pa khola la aortic, zomwe zikukwera ndi kutsikira zimasiyanitsidwa. Mwa kutulutsa kwina, magazi ku ziwalo, kudutsa mu diaphragm, imagawidwa kukhala thoracic ndi m'mimba. Nthambi zonse za msempha zomwe zimadyetsa ziwalo za chifuwa zimachoka kuderalo. Chofunika kwambiri ndi mitsempha yopita ku ubongo ndi msana, mtima, mapapo. Nthambi zakugaya chakudya, impso, m'munsi mwake zimachoka m'mimba.
Aorta amatanthauza mitsempha yamtundu wa zotanuka. Iyenera kupitiliza kumasula magazi ku minofu ya mtima ndi mphamvu yokwanira kuti funde limafalikira mbali zonse, mosasamala kanthu za thupi.
Kupsinjika kotere pamakoma kumathandizira kuti chitukuko cha atherosulinosis cha msempha ndi nthambi zake. Choyamba, ma tizilombo ndi ma virus omwe amawononga ma membala amkati amasungidwa momwemo, lipoproteins yotsika imayikidwa ndikuyika cholesterol malo. Chifukwa cha m'mimba mwake yayikulu, mawonetseredwe azachipatala samakhalapo kwa nthawi yayitali, zizindikiro za matendawa zimayamba kuwonekera pakukalamba zokha. Pofika nthawi imeneyi, msempha umakhala wowala wokhala ndi madera akuluakulu amalembedwe, umatha kutayika ndikukula. Zida zotuluka zimachepa mu lumen ndipo sizimabweretsa magazi okwanira ziwalo. Ndi ischemia imodzi mwa madera omwe magazi ake amawonongeka, mawonetseredwe azachipatala a atherosulinosis amayamba.
Zimayambitsa zotupa za atherosulinotic aortic
Kuphatikiza pa magwiridwe antchito komanso mawonekedwe a zinthu, zinthu zina zomwe zimapangidwa pakukula kwa atherosclerosis siziphatikizidwa:
- matenda oopsa, matenda a shuga ndi matenda ena a endocrine, kuchuluka kwa kunenepa kwambiri, kusakwanitsa kuchita masewera olimbitsa thupi, kupanikizika pafupipafupi, kusokonezeka kwamanjenje, kutengera kwa chibadwa.
Mawonetseredwe azachipatala
Zizindikiro za aortic atherosulinosis zimatengera gawo la matendawa komanso kutulutsa kwawo.
Kugawika kwa chitukuko cha atherosulinosis kumakhudza magawo atatu:
- ischemic - yotsimikizika ndi zina ischemia mu mawonekedwe a angina kuukira (kuchokera kumbali ya mtima), kuphatikizira kutulutsa (m'munsi malekezero), kupweteka kwam'mimba (matumbo), thrombonecrotic - zovuta kwambiri mu mawonekedwe a sitiroko, kuphwanya kwamiyeso, kuponderezana kwamapazi ogwirizana ndi kupatukana thrombus ndi kutsekeka kwaing'onoting'ono, ma fibrous - nthawi yayitali ya matendawa, ulusi waminyewa wam'mimba umasinthidwa ndi minyewa ya fibrous, magawo a mtima:
Kuwala kwa chotengera kumakhala kotsekeka ndi zolembedwa za atherosulinotic
Zizindikiro za thoracic aorta lesion
Kuwonongeka kwa magazi kudzera m'mitsempha yama coronary ndi ubongo ndizomwe zimawonetsa kwambiri matendawa. Zombo zamatumbo ndi ziwindi zimachoka nthawi yomweyo kuchokera kukamera ndipo zimatumizidwa ziwalo zawo kuchokera mbali ziwiri.
Atherosulinosis ya dera lomwe likukwera ndi arc amachititsa kwambiri aortalgia. Iwo, mosiyana ndi angina, amakhala maola angapo kapena masiku. Amapereka kumanzere ndi dzanja lamanzere, phewa, khosi, kulowa dera la interscapular. Osachotsa mankhwala ndi nitroglycerin.
Aorta yolumikizidwa imawonjezera katundu pamtima. Hypertrophy imachitika (minyewa). Pang'onopang'ono, kulephera kwa mtima ndi matenda amphumo kumapangidwa.
Aortic atherosulinosis ndi kuwonongeka kwa mtima kumawonetsedwa ndi kuwonjezeka kwakukulu kwa kuthamanga kwa magazi kwa magazi (chapamwamba) ndi ziwerengero zabwinobwino.
Kuwonjezeka kwa arc kumayambitsa kuphwanya kwa kumeza, kutulutsa mawu.
Kuyika kwa plaque pakamwa pa mitsempha ya mtima kapena munthawi yomweyo kwamitsempha yama mtima kumayambitsa matenda amtundu wamkati, kupatsa dzanja lamanzere ndi chifuwa chakumanzere, kufupika, kupindika. Amalumikizidwa ndi zochitika zolimbitsa thupi kapena zovuta zina. Ndikasakanikirana, magazi amadzitsekera imodzi ya nthambi ndikulowerera kwamphamvu m'mimba kumachitika.
Cerebral ischemia imawonetsedwa ndi chizungulire, kusowa kwa chikumbumtima kwakanthawi, kupweteka kwa nkhope, kupweteka kwambiri m'magazi, kutsika kukumbukira, kutopa kwambiri, komanso kukokana mukatembenuza mutu.
Zizindikiro zamatumbo am'mimba
Atherosulinosis ya m'mimba msempha amawonetsedwa ndi zizindikiro kuchokera pamimba. Choyamba, magazi omwe amapezeka kumitsempha ya mesenteric yomwe imadyetsa matumbo amasokonezeka.
- Zowawa kuzungulira navel ndizosasinthika "kuyendayenda" mwachilengedwe, limodzi ndi kumatulutsa ndi kudzimbidwa. Kuchepetsa thupi kumalumikizidwa ndi kusokonezeka kwa dongosolo logaya chakudya.
Amodzi mwa malo omwe amawakonda kwambiri ma plaque atherosselotic ndi kupatsirana kwam'mimba m'magawo awiri. Zizindikiro zakudziwikiratu kwa matendawa zimalumikizidwa ndi ziwopsezo za ziwalo zapakhosi ndimatumbo a magazi kupita m'miyendo.
- Kusowa kwa pulsation pamlingo wa navel, pansi pa mawondo ndi kumbuyo kwamapazi. Mavuto ogonana mwa amuna, kubereka. Zowawa minofu ya ng'ombe mukamayenda, imazimiririka pakumira. Nthawi zonse kuthana ndi vuto. Kunenepa komanso kuzizira kwamapazi. Maonekedwe a zilonda za necrotic pakhungu la miyendo. Kutupa ndi kufupika kwa miyendo ndi miyendo.
Zilonda pa chidendene zimayamba chifukwa cha mtsempha
Mavuto amakhudzana ndi thrombosis ya mitsempha yayikulu imayang'aniridwa:
- Zizindikiro zamatumbo zomwe zimayamba chifukwa cha kuchepa kwa magazi kudzera m'mitsempha ya mesenteric. Amawonetsedwa m'm ululu wam'mimba, mavuto am'mimba, kuchuluka kwa kuledzera. Opaleshoni yodzidzimutsa ndiyofunikira. Ndi thrombosis ya mesenteric artery yapamwamba, Zizindikiro zimatulutsidwa pamimba pamimba ndi hypochondrium yamanja, motsatana ndi kusanza kwakukulu kwa misa ya fecal. Supombosis ya mesenteric artery yotsika imawonetsedwa ndi kutsekeka m'matumbo ndi magazi. Mimba miyendo chifukwa cha thrombosis ya wamkazi chotupa. Mankhwalawa amakhala ndikuchotsa minofu ya necrotic mpaka kumadula chiwalo chifukwa cha thanzi.
Zizindikiro
Poganizira momwe matendawa amafalira kale, madokotala amafunika kupenda odwala ndikuwonetsetsa. Kuphatikizidwa kwa zizindikiro zosiyanasiyana zokhala ndi kuthamanga kwa magazi kumawonetsa kuwonongeka kwa msempha. Kuchulukitsa kwa mtima ndi kukula kwa arch kumawonekera pa fluorogram. Kubwera kwa magazi kumtima, ubongo, m'munsi mwakuya kumatsimikiziridwa ndi electrocardiography, rheoencephalography, angiography.
Chithandizo cha aortic atherosulinosis imafuna:
- othandizira okhala ndi ziwonetsero zomwe zimagwira ntchito pazida zothandizira ndikusungitsa magazi ake pamlingo wokwanira, kutsitsa cholesterol yamagazi mothandizidwa ndi chakudya komanso mankhwala apadera, kuthandiza ziwalo zomwe zili pachiwopsezo cha ischemia pochita ntchito ndikuthandizira kagayidwe.
Zizindikiro zothandizira zimayikidwa ndi madokotala a zamitundumitundu pakamayeso azachipatala. Mankhwala oletsa kuponderezana omwe amachepetsa kuthamanga, okodzetsa, mankhwala omwe amalimbitsa khoma lamitsempha, amachepetsa ziwiya zina.
Odziwika kwambiri ku Russia ndi mankhwala odziwika omwe amaletsa kaphatikizidwe ka cholesterol - ma statins. Dokotala adzakuthandizani kusankha mankhwala oyenera mu njira yothandizira.
Zomwe zimathandizira pakuchita opareshoni ndikusinthanitsa ndi gawo lina la msempha ndi ma cell ochita kupanga. Zizindikiro zimatsimikiziridwa ndi dokotala wa opaleshoni ya mtima.
Chakudya chochepetsera cholesterol chimagwirizanitsidwa ndi kuletsa kwa mafuta a nyama, zakudya zamzitini, batala, mafuta anyama, mayonesi, masoseji, confectionery ndi maswiti, khofi wamphamvu ndi tiyi, zakumwa za shuga, mowa, mikate yoyera.
Ndikulimbikitsidwa kudya masamba 0,4 kg zamasamba ndi zipatso tsiku lililonse, mafuta a masamba, nsomba zambiri, nyama yochepa mafuta, chimanga, mkaka, tiyi wobiriwira.
Kuchiza ndi wowerengeka azitsamba kumathandizira kugwiritsa ntchito maphikidwe otchuka komanso otsimikiziridwa:
Kudya tsiku lililonse mankhwala azitsamba kuchedwa atherosulinosis
- msuzi wa horseradish - kabati la horseradish 250 g, kutsanulira 3 malita a madzi ndikuphika kwa mphindi 20, kuziziritsa ndi kumwa chikho cha ½ katatu patsiku musanadye, rosehip tincture - kukonzekera, kuyika zipatso zosambitsidwa mu mtsuko wa lita imodzi mpaka theka la 1/3, kutsanulira vodika, kunena milungu iwiri m'malo akuda, kugwedezeka tsiku ndi tsiku, kutenga okonzeka 20 kulowetsedwa katatu patsiku, tikulimbikitsidwa kuti muthe mankhwala a mandimu ndikuwamwetsa ngati tiyi, akuwonetsedwa makamaka pazizindikiro zaubongo.
Mankhwala aliwonse komanso zikhalidwe za wowerengeka zimatha kuyambitsa kusokonezeka kwamunthu pakayipa, kuyabwa pakhungu, kutupa kwa nkhope. Dokotala wopezekapo ayenera kudziwitsidwa za izi. Ngati aortic atherosulinosis yapezeka, odwala ayenera kuyesedwa pafupipafupi (kotala) kwa shuga wamagazi ndi cholesterol. Mungafunike kusintha kwa mankhwalawa kapena kusintha kwakanthawi mankhwala.
Kodi matendawa amawoneka bwanji?
Monga tawonera kale, kusintha kwa atherosulinotic mu msempha ndikovuta kuzindikira, chifukwa zizindikiro za matendawo zimasenda bwino ndi ma pathologies ena. Chithunzi chowonekera cha zamankhwala ndi zodziwika zimawonekera pokhapokha pakutha kwa kusintha, koma ngakhale panthawiyi amasokonezeka mosavuta ndi njira zina za pathological.
- Ululu m'mimba. Kukula ndi kutulutsa kwanyumba kungakhale kosiyana, kutengera kuwonongeka.
Zizindikiro zonsezi zimatha kuwonetsa mavuto am'mimba mwa munthu ndipo chifukwa chake amadziwika kuti ndi wodwalayo, akumupangitsa kuti achedwetse kupita kwa dokotala. Pamene matenda akukulira, vuto lalikulu la aneurysm limachitika. Kuyambira pano, Symbolatology imakhala yodzala ndipo imadziwonetsa pakukoka ululu womwe umapezeka mu navel kapena theka lam'mimba.
Kodi chiwopsezo chotenga matendawa ndi chiani?
Malinga ndi ziwerengero, woposa theka la anthu onse omwe anamwalira chifukwa cha matenda amtima, munjira ina, adalumikizidwa ndi matenda a mtima. Amakhulupirira kuti kukula kwa matendawa kumayamba ali mwana. Pang'onopang'ono, mafuta a cholesterol amakhazikika pamakoma a zotengera, pamapeto pake amalepheretsa magazi kutuluka kwathunthu kapena pang'ono.
- Ischemia ndi angina pectoris. Atherosclerotic zotupa zazikulu zotengera zam'mimba zam'mimba zimayambitsa kusowa kwa zakudya ndi kuperewera kwa oxygen kwa ziwalo. Zotsatira zake, kulephera kwamphamvu kumayamba, kuwonekera mu mtima arrhythmias.
Momwe mungachitire ndi njira zachikhalidwe
Chithandizo cha mankhwala a atherosulinosis ya m'mimba msempha umalimbana ndi kuchepetsa magazi m'thupi, komanso kuchepetsa magazi. Njira yochiritsirayi imangokhala payekha ndipo imayikidwa ndi adokotala okha. Chifukwa choopsa pamavuto, kudzipaka wekha mankhwala oopsa ndiwowopsa!
- Angiography ndi stenting - njira iyi ya opareshoni imagwira ntchito ngakhale ndi kufalitsa kwa atherosulinosis. Mothandizidwa ndi zida zapadera, zida zama microsurgery zimayambitsidwa mkati, ndipo stent imayikidwa kuti iwonjezere makoma a chotengera. Ubwino wa yankho lake ndi mwayi wofikira pafupifupi fupa lililonse mthupi la munthu.
Nthawi ya opaleshoni, njira yolimbirana imapangidwa pogwiritsa ntchito shunt system. Zotsatira za opaleshoniyo, kuopseza kwa kuwonongeka ndi kugunda kwa mtima kumachotsedwa kwathunthu.
- Mbiri yotenga - imalola kuti pakhale matenda osiyanasiyana komanso kusiyanitsa matenda a atherosulinosis. Zambiri zomwe zimachitika munthu wodwala m'mimba akukumana ndi zovuta: kulephera kupumira m'mimba, kupweteka kwam'mimba. Popita nthawi, matendawa amakhudza potency, chomwe ndi chizindikiro chowonjezera cha matendawa.
Munthawi yofananira, ndikokwanira kuti wodwalayo athe kuyesa njira yoyeserera yoyeserera ngati pali cholakwika chilichonse mu kapangidwe ka zombo.
Momwe mungachiritsire wowerengeka azitsamba
Njira zina ziyenera kugwiritsidwa ntchito mosamala kwambiri. Zitsamba zamafuta zomwe zimapangidwira kuchotsa cholesterol m'magazi zimatha kupanga mapangidwe a magazi. Njira zonse zochiritsira zosagwiritsidwa ntchito masiku onse ziyenera kuvomerezedwa ndi dokotala!
- Kuti muchepetse kuchuluka kwa cholesterol m'magazi, mutha kugwiritsa ntchito tincture wa adyo. Pafupifupi 50 g ya malonda iyenera kutsukidwa ndikuphwanyidwa kuti ikhale bwino, kutsanulira kapu ya vodika. Ikani kapangidwe kake kwa sabata pamalo amdima. Tengani madontho 10, mukusakaniza ndi supuni yamadzi.
Calcined atherosulinotic plaque: ndi chiyani, zomwe zimapangitsa kupanga ndi chithandizo
Atherosulinosis ndi mtsogoleri pakuwonongeka kwa kayendedwe ka magazi. Kuthamanga kwa kufalikira ndikodabwitsadi, ndipo matendawa omwewo kwa zaka zana limodzi akhala akutenga malo oyamba pakati pa zofunikira zakufa chifukwa cha matenda amtima.
Moyo wongokhala, kusachita masewera olimbitsa thupi, kuwononga mitsempha yamagazi, zakudya zopatsa mphamvu kwambiri komanso zopatsa mphamvu ndizomwe zimayambitsa plaque. Kodi mungapewe bwanji vutoli, momwe mungachitire ndi kukhala nawo nthawi yayitali?
Njira zochizira matenda a m'mimba aorta komanso zomwe zimayambitsa matendawa
Kukhala moyo wongokhala, kuphatikiza kuperewera kwa zakudya m'thupi, kumabweretsa matenda a ziwalo zosiyanasiyana. Thupi laumunthu limakhudzidwa makamaka ndi zakudya zomwe zimakhala ndi cholesterol, chifukwa chifukwa cha iwo, atherosclerosis yam'mimba imayamba - chomwe chiri komanso momwe mungalimbane ndi matendawa, muphunzira powerenga nkhaniyi.
Atherosulinosis ya m'mimba msempha - ndi chiyani?
Matendawa amadziwika ndi kuphwanya kwa lipid metabolism, zomwe zimapangitsa kuti ziwonongeke pazikhoma zamitsempha yamagazi cholesterol. Pakapita kanthawi, zimakhazikika, kuvindikira lumen ndikuwongolera kutsika kwa magazi.Atherosclerosis yam'mimba msempha imadziwika ndi kuchepa kwa zotanuka kwa khoma lamitsempha.
Aorta ndiye chotengera chachikulu m'thupi la munthu, chomwe chimagawidwa m'magawo awiri: chifuwa ndi m'mimba. Danga lamadziyo ndi lalikulu kwambiri, chifukwa chake atherosulinosis yam'mimba imapezeka mu 95% ya odwala okalamba.
Kutupa kwa mtima kumayendera limodzi ndi ischemia, yomwe imalola kuti munthu azindikire matenda ake.
Zomwe zimayambitsa matendawa
Amawerengetsa ma atherosclerotic zolembera zam'mimba zam'mimba zimawonekera chifukwa cha zovuta zamafuta a metabolism. M'malo mwa lipoprotein yapamwamba kwambiri, zinthu zochepa za kachulukidwe zimadzaza magazi. Ichi chimakhala chifukwa chachikulu chowoneka ngati zikwangwani pamakoma amitsempha yamagazi. Mwadzidzidzi lumen ikangotsekedwa ndi 70%, matenda a mtima amayamba.
Zomwe zimayambitsa maonekedwe a atherosulinosis a ziwiya zam'mimba zimaphatikizira:
- Makamaka
- Kulephera kuchita zolimbitsa thupi,
- Matenda a endocrine
- Kunenepa kwambiri
- Matenda opatsirana
- Kupezeka kwa zizolowezi zoipa,
- Mafuta akudya kwambiri,
- Matenda amanjenje aakulu.
Zomwe zili pamwambazi zimatha kuyambitsa kuphwanya kwamphamvu kwa mafuta kagayidwe, kamene kadzatsogolera ku atherosulinosis yam'mimba. Chombocho chikatsekedwa kwathunthu, ziwalozo zimayamba kufa, ndipo wodwalayo amwalira.
Gulu la matenda
Pali njira zitatu zophunzitsira matumbo a atherosulinosis. Kachitidwe koyamba kali pamatenda azachipatala ndipo amatsimikizika ndi kuchuluka kwa zovuta za ischemic.
Mitundu yotsatirayi ya kutsekeka kwa mtima imasiyanitsidwa:
- Kupenda kwapansi. Pali mitundu iwiri ya m'mimba msempha.
- Kuphatikizira kwapakatikati. Odwala amapezeka ndi aortic blockage pa proximal level.
- Kukonzekera kwakukulu. Patency ya chotengera chomwe chili pansi pa malo am'mitsempha ya impso imalephera.
Pozindikira atherosulinosis ya m'mimba msempha ndi mitsempha ya m'magazi mu zipatala, madokotala nthawi zambiri amagwiritsa ntchito gulu la Fontaine, pomwe magawo anayi a nthendayi amawonekera:
- Gawo loyesera. Matendawa sadziwonetsa, kafukufuku wothandiza sapereka zotsatira zabwino. Thupi limakhala ndi milomo yofanana. Kuyesedwa kwa mankhwala amthupi kumatha kuwonetsa kuchuluka kwa betalipoproteins ndi hypercholesterolemia, zomwe zimatsimikizira kulimbikitsa kwa wodwalayo pakukula kwa atherosulinosis. Njira zopewera zakulimbikitsidwa.
- Gawo lazabwino. Ndizotheka kukhazikitsa kusintha kwa mtsempha wamagazi ndi momwe aliri mthupi mothandizidwa ndi kafukufuku wothandizira. Ngati, motsutsana ndi zovuta zamagulu ndi hemodynamic ntchito, kuphwanya mafuta kagayidwe kamakhazikitsidwa, ndiye kuti wodwalayo amapezeka ndi atherosulinosis.
- Gawo la mawonekedwe osakhala achindunji azachipatala. Wodwalayo amawonetsa kusokonezeka kwa ziwalo zam'mimba, kupweteka pakupuma komanso kugona. Ndikothekanso kuzindikira gawo ili la matendawa mothandizidwa ndi mayeso othandizira.
- Kukula kwa ochepa ochepa ma occlusion ndi matenda a trophic. Ischemia wa chotengera ndi ziwalo zoyandikana ndi amawona malo a zolembera. Odwala amapezeka ndi kusintha kwa fibrotic mu minofu.
Mavuto a matendawa
Pafupifupi 95% ya odwala sakudziwa mavuto omwe amabwera ndi atherosulinosis yam'mimba ngati musazindikire munthawi yake.
Ndi chotupa chachikulu chotengera, zotupa zam'mimba zimayamba. Mkhalidwe wa wodwalayo umachepa kwambiri, mphamvu zowawa zimawonjezeka.
Ngati chipatala chikuyimitsidwa, magulu am'magawo am'munsi amatha kuyamba, omwe amachititsa kuti aphedwe. Mavuto osokoneza bongo omwe ndi oopsa kwambiri akuphatikizapo stroke, kulephera kwaimpso ndi aimpso ischemia.
Zizindikiro za matendawa
Mu 95% ya milandu, matendawa amawonekera ndi ululu wokhazikika komanso wopweteka kwambiri. Ikhoza kukhala padera m'malo osiyanasiyana am'mimbamo.
Komanso, zizindikiro za m'mimba aortic atherosulinosis zimaphatikizapo:
- Kudya ululu wokhudzana ndi kulephera kwa magazi,
- Mavuto a matumbo
- Kuchepetsa thupi.
Zizindikiro za m'mimba aortic atherosulinosis zitha kukhazikitsidwa ndipo chithandizo chitha kupezeka kuchipatala. Sikulimbikitsidwa kudziyesa nokha ndikuyesa kuthana ndi mawonetseredwe a matendawa pogwiritsa ntchito ma pinkiller ndikulimbikitsa kugaya chakudya, monga Izi zidzapangitsa kuti kupezeka kwa mtima kutsekeka.
Non-stenotic atherosclerosis yam'mimba msempha imadziwika ndi kusintha kwa mtima khoma. Mwachikhalidwe monga momwe zimakhalira matendawa, kupweteka sikuchitika. M'malo mwake, wodwalayo amakumana ndi kufooka komanso dzanzi miyendo, tinnitus. Chizungulire chimakhala chambiri. Odwala angapo, matendawa amawoneka ngati kuchepa kwa magazi othamanga popanda kuwonetsa mwakuthupi.
Njira zochizira matenda
Chithandizo cha atherosulinosis ya m'mimba msempha ndichovuta. Dokotalayo amaganizira za momwe wodwalayo alili, zaka zake, kuuma kwa zizindikiro ndi kuchuluka kwa matendawo. Iwo ali osavomerezeka kuchitira pawokha mankhwala azitsamba a atherosulinosis yam'mimba, chifukwa zimatha kuyambitsa ziwengo.
Mankhwala osokoneza bongo amachitika ndi mankhwala otsatirawa:
- Ma Statist omwe amachepetsa kupezeka kwa cholesterol,
- Oponda magazi
- Mavitamini B omwe ali ndi mphamvu ya antioxidant m'thupi,
- Zowonda zomwe zimachepetsa kupanga lipids,
- Makulidwe othandizira a calcium.
Zakudya za atherosulinosis yam'mimba zimatanthawuza kupatula kwathunthu kwamafuta azakudya nthawi yakukwaniritsa matendawa. Pambuyo poti wodwalayo awonetse kusintha, zidzatheka kuyambitsa mafuta a nyama muzakudya.
Odwala amalangizidwa kuti azilimbitsa thupi, azichita masewera olimbitsa thupi tsiku lililonse. Komanso kuyenda maulendo atali ochepa kumathandizira polimbana ndi atherosulinosis.
Popewa matendawa, tikulimbikitsidwa kudya adyo yambiri, mutenga tincture wa hawthorn, zipatso za mzere. Ndi cholowa chamadongosolo amitsempha yamagazi, perekani magazi kamodzi pachaka kuti mudziwe mawonekedwe a lipid ndikuwunika kwambiri.
Popeza taphunzira kuti ichi ndi atherosulinosis ya m'mimba msempha ndi njira yochizira matendawa, wodwala aliyense atha kukhala moyo wokhazikika.
Zizindikiro ndi mankhwala a atherosulinosis yam'mimba
Msempha ndi chotengera chachikulu kwambiri m'thupi la munthu, chomwe chimagawika m'magulu a nthambi zam'mimba komanso zam'mimba, zonyamula magazi kuma ziwalo zomwe zimagwirizana.
Atherosulinosis ya m'mimba aorta ndi matenda omwe cholesterol ndi mafuta ena amawaika ngati mawonekedwe ndi zolembera pamakoma amkati mwa mtsempha waukulu chifukwa cha kusokonezeka kwa lipid metabolism.
Zotsatira zake, makoma enieniwo amakhala owongoka komanso opanda pake, ndikuwunikira komwe magazi amayenda kwambiri. Izi zimayambitsa ischemia, ndipo ngati zolembera zowerengeka zaphimba msempha, zimachitika. Atherosclerosis imatha kukhudza ziwiya zonse ndi zigawo zake.
Popeza kuti msempha umakhala ndi mulingo wokulira wokwanira komanso khoma lolimba, matendawa amadzimva pakukalamba. Nthawi zambiri, zizindikiro za matendawa zimawonekera mwa anthu okulirapo zaka 50. Kuchiza matendawa ndikutali.
Zomwe zimathandizira pakupanga atherosulinosis
Zinthu zotsatirazi zimatha kupangitsa chitukuko cha atherosulinosis yam'mimba:
- Hypertension, momwe kuthamanga kwa diastoli kumakulira kuposa 90 mmHg, ndi systolic yoposa 140.
- Zakudya zopanda pake, chifukwa chomwe cholesterol yambiri ilowa m'thupi.
- Khalidwe labwino.
- Zizolowezi zoipa, monga kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo kapena kusuta.
- Zosintha mu mahomoni chifukwa chakuchepa kwa thupi kapena matenda a endocrine.
- Matenda a metabolism.
- matenda opatsirana.
- Matenda a chitetezo chamthupi.
- Kudziletsa.
- Nthawi zambiri zopsinja.
Zizindikiro zofala
Mosasamala komwe kuli chombo chotikhudzacho, chizindikiro chachikulu ndichowawa. Nthawi zambiri, imawonekera pambuyo pakuchita masewera olimbitsa thupi kwambiri. Ululu umaperekedwa m'malo ena, omwe amayamba chifukwa chopweteka. Pamodzi ndi zowawa, kufooka kowonekera kumawonekera, kuyambira maola angapo mpaka masiku awiri. Pamene chilinganizo chikukula, kumverera kwa dzanzi kapena goosebumps kumawonekera m'dera lamtsempha.
Zizindikiro zina zonse zimasiyanasiyana malingana ndi malo amomwe timayambira.
Mu thoracic msempha
Breast aortic stenosis imayendera limodzi ndi kupweteka, kutulutsa pafupi ndi mtima ndikufikira khosi, nkono, phewa, ndi phewa. Ululuwu sutha ndi mankhwala a analgesic ndi vasodilator, womwe umatenga masiku angapo. Kuwonjezeka kwapanthawi zonse kwa magazi kumawonedwa. Pathology imayendera limodzi ndi zizindikiro za ischemia, kupweteka mutu, kupuma movutikira. Khungu la wodwalayo limayamba kutumbululuka, nthawi zina kukomoka kumachitika mwadzidzidzi.
Kapangidwe ka ma atherosclerotic plaques mu ubongo amadziwika ndi zovuta zamaganizidwe zomwe zimakhala m'magawo angapo:
- Ndi kukula pang'ono, kuchepa kwa kukumbukira, kuchepa kwa ntchito, komanso kutopa kwambiri. Munthu amalephera kulolera kuchita zinthu zina.
- Dziko lokhumudwitsidwa limakula ndikutayika kwathunthu kuzinthu zozungulira. Pali ukali wowonjezereka, chizolowezi cha kunenepa, kusinthasintha.
- Zizindikiro zomaliza zimaphatikizapo kuchepa pang'ono kapena kuzindikira kwathunthu kwa zomwe akuchita. Kuphwanya kwamawonedwe komanso ntchito zolankhula. Paresis imachitika ndikusokoneza munthawi yochepa komanso kwakanthawi. Poyerekeza ndi zizindikiro za pang'onopang'ono, stroko imayamba.
M'miyendo yakumunsi
Kugonjetsedwa kwakumapeto kumayendera limodzi ndi kupweteka kwa minofu panthawi yoyenda, chifukwa chamomwe limalira nthawi zonse. Mapangidwe a miyendo, zilonda zam'mimba zotumphukira pamiyendo ndi m'dera la chotengera chomwe chikukhudzidwa nawo. Pang'onopang'ono, zilonda zam'mimba zimakula, ndikukula dera lalikulu. Njira ya pathological imakwiyitsa minyewa ya minyewa komanso minyewa yamitsempha. Pa palpation madera oyandikana ndi mitsempha, pulsation sioyambira.
M'mimba
Kapangidwe kakang'ono ka m'mimba kumawonetsedwa ndi kuphwanya chilakolako chakutsogolo, komwe maziko a thupi amachepa. Ndi kuwonjezeka kwa kuphatikizika, zilonda pafupi ndi navel zimawonekera. Kusintha kwa kayendedwe kabwinobwino m'magazi kumayambitsa ziwalo zam'mimba. Zotsatira zake, mavuto amabuka ndikuyenda kwamatumbo ndikupanga mpweya. Njira yodutsamo ya m'magazi imasokoneza kayendedwe ka magazi m'miyendo, ndikupangitsa kuti azikhala dzanzi.
Kodi mitsempha ya m'matumbo ndi chiani?
Kupita patsogolo kwa matenda aubongo a arteriosulinosis ndi oopsa kwambiri. Kuphatikiza apo, zomwe zimachitika chifukwa cha nthendayi zomwe zimasokoneza matenda kapena atherosulinotic cardiosulinosis zimakhala zomvetsa chisoni kwambiri.
Chowoneka mwapadera cha matenda amenewa ndikuwonongeka kwamitsempha m'thupi lonse, ngakhale kosiyanasiyana. Mukazindikira atherosclerosis obliterans a m'munsi malekezero, pali chiopsezo chachikulu ku magazi kwa mtima ndi ubongo. Kuchepetsa kwamitsempha yamagazi muubongo, kofala kwambiri, ndi matenda ofala kwambiri omwe amakhudza malire am'mitsempha yamagazi mu ubongo. Kuchulukitsidwa kwa minyewa yolumikizira kuzungulira kwa atherosulinotic plaque ndi kufalikira kwa mchere wa calcium kukhoma la chotengera kumayambitsa kuchepetsedwa kwa lumen, mpaka kuwonongedwa.Ndi matenda ofanana ndi matenda amtunduwu, kutopa kumawonjezera, kugwira ntchito kumachepa, ndipo kukumbukira kumakulirakulira.
Zotsatira za matendawa ndizochulukirapo mosangalatsa mwa anthu. Cerebral atherosulinosis ndicho chimayambitsa kusokonezeka kwa kugona usiku, kugona kwambiri masana. Pang'onopang'ono kupitilira kwa mitsempha ya mitsempha ya m'magazi kumabweretsa kuwonjezeka kwa chizungulire, kupweteka kwa mutu, phokoso ndi mawonekedwe ena osakwanira kopereka magazi ku ubongo. Fomu yaubongo itha, mpaka kufika pakuwoneka wopanda pake, imakulitsa machitidwe a munthu, chifukwa cha izi, kuchenjera kusandulika avarice, kulondola ndi kuyenda kopanda nzeru. Akaphatikizidwa ndi matenda oopsa, matendawa nthawi zambiri amakumana ndi zotupa muubongo, zomwe zimapangitsa kuti ziwalo ziume ndi kufa.
Gawo la ululu ndi kukula kwa atherosulinosis limachitika msanga. Nthawi zambiri, odwala amatha kupitirira masentimita angapo osapumula, pambuyo pake amakakamizidwa kuti ayime ndikudikirira kuti ululuwo uthe. Monga mankhwala osagwiritsa ntchito mankhwala osokoneza bongo, wodwalayo amapemphedwa kuti asayime kwathunthu, koma kuti achepetse sitepe, ndikuyithandizanso kwambiri pambuyo poti kupweteka kumachepa.
Kuchita masewera olimbitsa thupi koteroko komanso kupewa matenda a arteryosulinosis sikuthandizira kuchira komaliza, komabe, zimapangitsa kuti wodwalayo abwererenso kuyenda kokwanira kwa iye.
Posachedwa, kulumikizana kunapezeka pakati pa zomwe zimayambitsa matenda a nyamakazi komanso chiphunzitso cha kuwonekera kwa atherosulinosis. Madokotala anazindikira kuti odwala omwe ali ndi nyamakazi kwa nthawi yayitali amakhala ndi atherosulinosis pamlingo wotchulidwa kwambiri kuposa odwala omwe ali m'badwo uno, koma atali ndi nthawi yayifupi. Izi zikusonyeza kuti nyamakazi yokhala ndi nyamakazi komanso atherosulinosis imayenderana ndi nyamakazi kuti ipangitse atherosranceotic vasoconstriction.
Kulumikizidwa kotseguka kumene komanso kwakatsimikizika kale kwamatenda kumatha kufotokoza bwino maonekedwe a atherosulinosis m'matumbo; chikhalidwe cha matendawa sichinafotokozedwe bwino.
Chofunika kudziwa
Mbali yayikulu ya matenda omwe tatchulawa ndikuti si atherosclerosis yokha ya aortic arch yomwe imatha kupezeka m'thupi, komanso matenda ofananawo amatha kuwoneka m'mbali iliyonse yamitsempha yamagazi. Popeza ndi thandizo la chotengera chomwechi kuti magazi amawzungulira mthupi, vuto lofananalo limakhudza ntchito yonse ya thupi lonse.
Kutengera ndi omwe dipatimenti ya kusintha kwa atherosselotic mu msempha wamtima ili:
- mu gawo lakukwera kwengolo yakale (imayamba ndi valavu ndikutha ndi thunthu la brachiocephalic),
- m'chigawo chotsika kapena chamatsenga (chimayambira pakamwa pa chigawo cha kumanzere kwa subclavian ndikumaliza ndi diaphragm),
- mu arc ya aortic valavu, yomwe imayang'anira kulumikizana kwa kukwera ndi thoracic,
- m'mimba yam'mimba: yankho la funso, kodi atherosulinosis ya m'mimba msempha, ndi kuchuluka kwa cholesterol malo omwe amatchinga magazi enieni kupita mthupi.
Muzipatala zambiri, choyambitsa chachikulu cha pathological mkhalidwe ndi dyslipidemia. Vuto lofananalo limatha kubuka chifukwa cha kusokonekera kwa lipid metabolism, komwe kumatsimikiziridwa ndi kusalinganika kwa mafuta m'thupi la munthu.
Chifukwa chake, yankho ku funso, atherosulinosis ya msempha, mtima ndi chiyani, ndikulalikira kwa mapangidwe a atherosselotic ndi mapangidwe a minyewa yotupa, yomwe imakwiyitsa kunenepa kwa mitsempha ndi kuwumitsa khoma, chifukwa - kufupika kwa minofu ya minyewa.
Kuopsa kwa zovuta zomwe matenda a mtima angayambitse ndi:
- Kuchepetsa magazi kulowa mthupi,
- kudziwika
- thrombosis
- maonekedwe a acid njala.
Kuti mumvetsetse atherosulinosis wa kung'ambika kwa khola lomwe ali, ndi koyenera kuganizira zam'tsogolo zokhudzana ndi misempha yamagazi pakukula kwake. Nthawi zambiri matenda ofanana amawonekera kwa odwala okulirapo kuposa zaka makumi anayi ndi zisanu. Kuphatikiza apo, nthawi zambiri mavuto amachepetsa thupi.
Makhalidwe, zimayambitsa atherosulinosis ndi zizindikiro zazikulu
Monga vutoli la atherosulinosis ya mtima, atherosulinosis ya mizu ya msempha ndichomwe ichi chafotokozedwa bwino mothandizidwa ndi zina zomwe zidachokera.
Onsewa amagawidwa m'magawo omwe amatha kapena kuti sangathetsedwe, komanso omwe angachotsedwe pang'ono:
Zoyambitsa | Mwa zina zomwe, ngati wapezeka kuti wapezeka pamwambapa, wodwalayo amatha kumenya nkhondo, ayenera kuyang'anitsitsa:
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Zina zochotsa pang'ono | Popeza kunenepa kwambiri ndi chimodzi mwazifukwa zomwe zimatha kupangitsa kuti mapangidwe a atherosulinotic akhazikike pazitseko zamitsempha yamagazi, zakudya zamtima zamatumbo zimagwira ntchito yofunika kwambiri. Ngakhale kutsatira kwambiri, chinthu china monga kunenepa kwambiri chimangotanthauza kuti chimachotsedwa pang'ono. Sizovuta kuti wodwala athane ndi:
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Matenda opha matenda | Ngati matanthauzidwe a atherosulinosis a m'mimba aorta kuti ndi chifukwa cha chibadwa cha thupi kapena mtundu wazaka zapakati pa makumi anayi mpaka makumi asanu, makina oterowo chifukwa chopezeka vutoli sangapewe. Zikatero, atherosulinosis ya m'mimba msempha, mankhwalawa adzakhala ochepetsa zizindikiro komanso zotsatira zoyipa zaumoyo wamunthu.
Kuti mukaikire kapena kudziwa vuto lofananalo, muyenera kudziwa zomwe zizindikiro za m'mimba zimachitika. Choyamba, zimagwirizanitsidwa ndi kutanthauzira matendawa. Mwachitsanzo, ikakhala pafupi ndi vala ya aortic, zizindikiro zazikuluzofanana ndizakuwonetsa kwa stenosis kapena kulephera kwa mtima, kuwonetsa:
Mosasamala zakukula kwa zizindikiro zamankhwala ndikudziwika kwa atherosulinosis yamitsempha yamagazi yokha ndi vala ya aortic, zotulukapo zowopsa za matendawa zimawoneka kuti zikuchitika pafupipafupi.
Ponena za kuwomba kwa aortic atherosulinosis, komanso mitsempha ya m'mimba, ziyenera kudziwika kuti ndi zofanana, monga milandu yamtima, angina pectoris kapena matenda a mtima.
Amapezeka mu zipilala za aortic, zizindikiro za atherosulinosis zimayendera limodzi ndi kupweteka kwamphamvu kwambiri. Ululu ndi kupezeka kwa matendawa umatha kuwonekera kumanzere, mkono kapena phewa. Kupsinjika, kuchita masewera olimbitsa thupi komanso kusuntha kwadzidzidzi ndizomwe zimayambitsa kuwonjezeka kwakukulu kwa zomverera zowawa, zosasangalatsa. Mitundu yovuta yamatendawa imadziwika ndi kuperewera, zovuta kumeza ndi kupuma movutikira.
M'pofunika kutengera chidwi kuti zolengedwa zam'mimbamu zam'mimba zimatha kupweteka kwambiri pamimba. Chizindikiro cha kupweteka kwam'mimba ndikudziwikiratu kwawo. Kupezeka kwawo nthawi zambiri kumakhumudwitsidwa ndi chakudya ndipo amatha kudutsa pakangotha maola ochepa. Kuphatikiza apo, odwala angadandaule za mawonekedwe a:
Njira zamakono zamankhwala ndikuchira matendaMusanachiritse matenda aposachedwa amitsempha yamagazi mthupi, ndikofunikira kuzindikira ndi kusankha njira yoyenera yoyenera. Mu mtima wamakono, njira zingapo zingapo zimaperekedwa kuposa kuchiza atherosranceotic aortocardiossteosis. Mothandizidwa ndi ambiri aiwo, moyo wa wodwalayo umakonzedwa bwino, ndipo zovuta zonse zomwe zingachitike ndi zovuta zake zimachepetsedwa.
Tikuyenera kunena kuti chithandizo cha atherosulinosis ya aortic mtima imakhala ndikusintha moyo ndi zakudya. Pofuna kupewa zoyipa pamavuto amitsempha yama magazi mthupi, munthu ayenera kusiya:
Pa nthawi yomweyo, zakudya za atherosulinosis ya msempha wamtima ziyenera kuyang'ana:
Kuphatikiza pa kudya mokwanira komanso kuchita masewera olimbitsa thupi, malangizowo akuwalimbikitsa kuti odwala athe kusiya kusuta fodya komanso kumwa mowa. Mtengo wa mankhwalawa ndiwokwera kwambiri, chifukwa kugwiritsa ntchito mankhwalawa kumatha kuthetseratu zizindikiritso zakudziwikazo. Pankhaniyi, tikulankhula za mankhwalawa:
Chipatala chamakonochi chimaperekanso njira yochitira opaleshoni ya aortic atherosulinosis. Nthawi zambiri, opaleshoni imayikidwa pachiwopsezo chachikulu cha moyo wa wodwalayo. Pakati pa maopaleshoni ogwira mtima, kanema yemwe watchulidwa m'nkhaniyi ndi:
Ponena za chithandizo chamankhwala a wowerengeka, ndikofunikira kuyang'anira kugwiritsa ntchito adyo, omwe angasokoneze uchi. Makamaka othandiza pa matenda omwe ali pamwambawa ndi masamba okhwima kumene omwe ananyowa kale, owotedwa ndi kufinya. Plantain amathanso kusakaniza musanayambe kugwiritsa ntchito ndi uchi ndikuwuphika kwa mphindi makumi awiri. Dokotala wopezekapo angakulangizeni kuti muthane ndi matenda a mitsempha ya magazi mothandizidwa ndi rosehip tincture.Zopangira mafuta ziyenera kuyikidwa mu 2/3 ya mtsuko wagalasi, ndikutsanulira vodka. Ayenera kukakamira kwa milungu iwiri.
M'pofunikanso kulabadira chithandizo chodzitetezera, chomwe chingatheke kupewa matenda. Anthu omwe thupi lawo limakonzedwa kuti likule zovuta zoterezi ayenera kusiya:
Kuti muwonetsetse momwe alili, aliyense amakulimbikitsidwa kupereka magazi nthawi zonse kuti adziwe kuchuluka kwa mafuta a cholesterol ndi metabolidi ya lipid. Posankha kuchuluka kwa zizolowezi, zakudya zimasinthidwa, chidwi chambiri chimaperekedwa pakuchita masewera olimbitsa thupi ndikutenga ndalama kuti muchepetse magazi ndikuletsa magazi kuundana. Kuchita masewera olimbitsa thupi pafupipafupi komanso kuchita masewera olimbitsa thupi kumathandiza anthu omwe ali ndi vuto loti azikhala ndi thupi labwino komanso wathanzi. Palibe zogwirizana. Amakhulupirira kuti kusintha kwa atherosulinotic mu msempha kumachitika chifukwa cha kusokonekera kwa lipid metabolism. Zotsatirazi zimatha kukhala chinthu choyambitsa chitukuko:
Chothandizira pakukula kwa atherosulinosis nthawi zambiri imakhala yotupa yomwe imachitika mu msempha, chifukwa ndi gawo lomwe lakhudzidwa limayamba kugwira kwambiri ndikusunga cholesterol m'maselo. Zomwe zimayambitsa ngozi zitha kukhala chilichonse chokhudzana ndi zovuta zamagazi, kuthamanga kwa magazi, kusokonezeka kwa endocrine, kuledzera kwamthupi kosalekeza. Pa gawo loyambirira la matendawa, mamolekyulu amafuta, omwe atengeka ndi makulidwe omanga makoma, amapanga malo otchedwa lipid. Mowoneka, amawoneka ngati zingwe zazikasu zazing'ono zomwe zimatalika kutalika konse kwa chotengera chiwonongekacho. Atherosclerosis imatha kuthana ndi aortic vala (muzu), aortic arch, coronary ndi ubongo mitsempha. Gawo ili limadziwika ndi kusakhalapo kwathunthu kwamavuto ena, chifukwa chake, kuzindikira kuwonongeka m'magazi ndikovuta. M'tsogolomu, njira ya matendawa imakhala yovuta chifukwa cha kuwonjezerapo kwa liposulinosis. Pakadali pano, kufalikira kwa malo a lipid kumawonedwa, komwe kumayambitsa kuchuluka kwa ma lymphocyte m'malo awa, omwe amayesa kuchotsa mafuta m'makoma amitsempha ndipo nthawi yomweyo amatulutsa tizilomboti tomwe timayambitsa matenda. Mafuta amayamba kuwola pang'onopang'ono, ndipo mu msempha, minyewa yolumikizana imayamba kukula. Nthawi yomweyo, mapangidwe amitsempha yama fibrous amapezeka, mawonekedwe omwe amachepetsa kuwunikira kwa mitsempha ndikulepheretsa kufalikira kwa magazi. Gawo loti matendawa adadziwika ndi zovuta zingapo, zomwe zimapangidwa mwachindunji ndi ma atherosulinotic amana. Pa nthawi iyi yokha, atherosulinosis imadzimva yokha. Akasokonekera, zolembera zazing'ono zimayamba kumawuma. Zimasokoneza magazi omwe amapereka kwa ziwalo zomwe zakhudzidwa. Pankhaniyi, choopsa chachikulu ndi kugona kwanyengo - chotupa chowongolera, chomwe chimatsekedwa ndi magazi othamanga, kapena ndi zinthu zomwe zimapangidwa pakuwola. Zotsatira zake, necrosis imachitika mu chiwalo kapena nthambi kapena mwendo. Poyambirira, matendawa samadziwonetsa mwanjira iliyonse. Njira yopangira cholesterol malo mu aorta imatha kutambalala kwa zaka zambiri. Kuwonetsedwa kwa zisonyezo mu gawo linalake la thupi, komanso kutengera kwa ululu wamankhwala, zimadalira kwambiri komwe madipatimenti amtsempha adakumana ndi chotupa cha atherosranceotic. Ngati tirikulankhula za zodziwikiratu za matenda opatsirana ozungulira, tiyenera kuyang'anitsitsa mawonekedwe awa:
Kwa matenda omwe amaphatikizira pamimba, msempha ululu wam'mimba ndi chibadwa, chomwe sichimadziwika bwino. Ululuwo umakulirakudya utatha, kenako umatsika. M'mimba thirakiti imasokonekera: kutulutsa, kupindika, kutulutsa m'mimba ndikuphwanya kudzimbidwa. Chidwi cha munthu chimazimiririka, amayamba kuchepa thupi msanga. Mwa abambo, mavuto okhala ndi potency amatha kuchitika. Chifukwa cha kuperewera kwa magazi miyendo, miyendo ya minofu imachepa, zilonda zam'mimba zimatha kuwonekera pazala ndi kumapazi. Kupambana kwa chithandizo cha atherosulinosis kwa msempha wamtima zimatengera momwe nthawi matenda amapezeka. Kuphatikiza mankhwala a matenda ngati awa kuli ndi zotsatirazi:
Mankhwala amakono azitsimikizira okha poletsa zizindikiritso za matenda amberekyu. Pofuna kuthana ndi kusintha koipa m'matumbo komanso kuyambiranso kwa cholesterol plaque, adotolo atha kuyambitsa magulu otsatirawa a mankhwala:
Opaleshoniyo imapangidwira zizindikiro zoopsa za atherosulinosis komanso ngati mankhwala othandizira samabweretsa zotsatira zomwe akufuna. Wodwala amatha kupatsidwa njira zingapo zothandizira opaleshoni:
Kuzindikira koyambirira kumapangidwa potsatira madandaulo a wodwala komanso zotsatira zoyesedwa. Kuyesererako, komwe katswiri amapangira phwando, kumakuthandizani kuzindikira kapena kupatula zizindikiro zosiyanasiyana zamitsempha yama mtima, mwachitsanzo, kutupa kwa thupi, gangore, kunenepa kwambiri komanso zina zingapo zokhudzana ndi zotupa zamatenda a atherosselotic. Kuti mumvetse bwino za matendawa, njira zotsatirazi zikugwiritsidwa ntchito:
Vuto lalikulu kwambiri la mtima wam'mimba ndi kuperewera kapena kuperewera kwa magazi kwa ziwalo zofunika. Nthawi zambiri matendawa amakhala limodzi ndi kusintha kwa ma atrophic komanso kuperewera kwa chakudya m'maselo a oxygen. Ndi matenda osachiritsika, kuchepa kwa minofu kwa nthawi yayitali komanso kuchepa kwapang'onopang'ono kwa kuwala kwa gawo lakhudzidwa ndi mtsempha kumadziwika. Mwa zina zoyipa za mawonekedwe apamwamba a atherosclerosis, ndikofunikira kuwunikira:
Njira zonse zopewa kupewa aortic atherosulinosis, choyambirira, ziyenera kuonedwa ndi anthu omwe ali pachiwopsezo. Palibe zovuta kuteteza cholesterol yoyipa kuti isayikidwe pazitseko zamitsempha yamagazi; ndikokwanira kuthetseratu zomwe zimayambitsa matendawa:
Momwe mapangidwe a atherosulinoticM'malo mochepetsa kayendedwe ka magazi kapena nthambi zamitsempha yamafuta mkati mwa zipolopolo zimayamba kuyikidwa. Mwakutero, ma enzymes apadera a khoma la mtima akuyesera kuti awasungunule, kuteteza ziwiya kuti zisawonongeke. Ngati vuto lililonse ligundana (kuthamanga kwambiri kwa magazi, matenda, kuphipha kwa m'deralo, magazi akhungu, mamolekyulu ambiri a shuga), ndiye kuti amathatsa zotchingira, njira ya lipid malo yopanga imayamba. Mapangidwe a atheromatous zolengeza amayamba mwachindunji pamene minofu yolumikizana imakula mu banga. Ngakhale pagawo lino, zolembedwazo zimatha kusungunuka, popeza zimasinthasintha. Popita nthawi, pamwamba pake pamasweka, ndi magawo a zotengera zololera. Chilonda chimapangidwa pamalo opumira, maplatelet amakhazikitsidwa kuti apange magazi, omwe ayenera kubwezeretsanso malo omwe awonongeka. M'malo mwake, mapangidwe oterowo amatseka kuyenda kwa magazi. Pa siteji ya atherocalcinosis, zolengeza zimachepetsa mphamvu ya calcium ion. Nthawi yomweyo, pali pang'onopang'ono komanso khola lomwe limatuluka pang'onopang'ono kapena kuchepa kwamphamvu kwa magazi chifukwa chakulekanitsidwa kwa magazi kapena mbali ya cholesterol. Mawonetsedwe azachipatala muzochitika izi amachokera ku ischemia yayitali mpaka kuwonongeka kwakulu (necrosis) m'deralo lomwe limaperekedwa ndi mtsempha wamagazi. Timalimbikitsa kuwerenga nkhaniyi pa atherosulinosis yamatumbo a khosi. Kuchokera pamenepo muphunzira za zomwe zimayambitsa ndi zomwe zimayambitsa kukonzekera kwa matenda a zamitsempha, matenda ndi njira zothandizira, komanso njira zopewera. Ndipo izi ndizambiri pazizindikiro za aortic atherosulinosis. ZosasinthikaChoyambirira chofunikira kwambiri cha njira ya atherosulinotic ndi kusintha kokhudzana ndi zaka. Mphamvu zawo zimalumikizidwa ndi kudziunjikira kwa ma radicals aulere, omwe amawononga ma cell a chipolopolo chamkati ndikuchepetsa mphamvu ya chitetezo cha kukonzanso kwake, pomwe zochitika zofunika zimachitika. Mwa amuna, chiwonetsero cha mafuta operewera metabolism amadziwika zaka 8 zapitazo komanso nthawi 3.7 pafupipafupi kuposa azimayi. Izi ndichifukwa chazabwino mu ziwiya za estrogen. Pambuyo pa zaka 50, panthawi ya kusintha kwa thupi, kapangidwe ka mahomoni ogonana achikazi amatsika, omwe amafanana ndi matendawa. Ali ndi zaka zapakati, mapangidwe opanga ziwalo m'matumbo nthawi zambiri komanso mwachangu amapezeka mwa odwala omwe achibale awo am'magazi anali ndi vuto lofanana ndi minyewa. Zizindikiro za matendawaPali magawo angapo a matendawa, omwe amasiyana pamlingo wowononga chotengera. Pa gawo loyambirira, matendawa samadziwonetsa mwanjira iliyonse, ndipo zolembera za atherosulinotic zimatha kupezeka kokha mothandizidwa ndi tomography yopangidwa. Pang'onopang'ono, vuto la m'mimba limayamba kufooka, ndipo zizindikiro zotsatirazi zimachitika:
Ngati mankhwala sanayambike pa nthawi yake, impso zimakhudzidwa. Izi zikuwonetsedwa ndi kuphwanya kwamikodzo, kupweteka m'munsi kumbuyo ndikuwoneka ngati edema ya nkhope ndi miyendo. Zikachitika kuti msempha umakhudzidwa m'dera lomwe umagawanika kumitsempha kumanzere ndi kumanja kwa iliac, ndiye kuti izi zitha kuyambitsa matenda m'miyendo. Zizindikiro za matenda a m'matumbo ndi motere:
Mitsempha yamavuto amachoka mu msempha, kudyetsa ziwalo zamkati chifukwa cha thrombosis wawo, zizindikiro zotsatirazi zimachitika:
Thrombosis imabweretsa peritonitis, yomwe imatha kupha. Ndizovuta kudziwa matendawa, chifukwa zizindikiro zake zimayamba kuonekera mochedwa, komanso zimatha kuwonetsa matenda ena am'mimba. Kuletsa kwa msempha kumasonyezedwa ndi kung'ung'udza kwa systolic pamwamba pa msomali pakati pamimba ndi kusalinganika kwa chombo chamkati panthawi ya palpation. Kuti muwonetsetse ndikuwonetsetsa ndikuwona kuchuluka kwa aorta kamachepetsedwa, ultrasound kapena compact tomography imagwiritsidwa ntchito. Ndikofunikanso kuyezetsa magazi a cholesterol. Momwe mungachiritsire matendaKuti mankhwalawa agwire bwino ntchito, ndikofunikira kuti musangomwa mankhwala okhawo omwe dokotala amakupatsani, komanso kusintha moyo, kuthetsa zomwe zimathandizira kukulitsa cholesterol. Mukamasankha mankhwala othandizira matenda, dokotala amaganizira:
Zochizira atherosulinosis ya m'mimba msempha, mankhwala ochokera magulu osiyanasiyana pharmacological amagwiritsidwa ntchito. Mankhwala, dongosolo ndi kutalika kwa kayendetsedwe ka mankhwala, komanso mlingo, zitha kutumikiridwa ndi dokotala malinga ndi zotsatira za kusanthula. Gulu la ma statins limaphatikizapo mankhwala omwe amakupatsani mwayi wolepheretsa enzyme, mothandizidwa ndi momwe cholesterol imapangidwira m'chiwindi. Kutsitsa mulingo wa chinthu ichi mu hepatocytes kumabweretsa kuwonekera kwa kuchuluka kwambiri kwa otsika osalimba a lipoprotein receptors. Amakhalanso ndi anti-yotupa, ndikubwezeretsa kuchepa kwa mitsempha ya magazi, kuchepetsa chiopsezo cha mafupa ndi khansa. Statin agawidwa zachilengedwe (Simvastatin, Lovastatin) ndi zopanga (Atorvastatin, Fluvastatin).
Mukamagwiritsa ntchito mankhwalawa nthawi zina, zotsatira zoyipa zimakhudza thupi, kugaya mseru, kupweteka kwa minofu, kusokonezeka kukumbukira ndi kuganiza, kusowa tulo kapena chizungulire. Osadalira kwathunthu mankhwala. Munthawi ya chithandizo, ndikofunikira kutsatira zakudya ndi kusiya zizolowezi zoipa. Zothandiza kuchokera ku fibroic acid pomangira bile acid amachepetsa kupanga mafuta m'thupi. Mankhwalawa akuphatikizapo Taykolor, Lipantil, Gemfibrozil. Mukamagwiritsa ntchito mankhwala osokoneza bongo, kupweteka kwa minofu, kupukusira kwa m'mimba, thupi lanu limagwirizana. Simungagwiritse ntchito mankhwalawa ndi hypersensitivity ku zigawo zikuluzikulu, matenda aimpso kwambiri ndi chiwindi, komanso nthawi yomwe muli ndi pakati komanso mkaka wa m`mawere. Nthawi zina, kuphatikiza mafupa okhala ndi ma statins ndikotheka. Hypolipidemic othandiziraMankhwala osokoneza bongo omwe ali mgululi amasokoneza kuyamwa kwa cholesterol m'matumbo. Izi zimadzetsa chakuti mphamvu zake m'chiwindi zimachepa, ndipo kuchuluka kwa magazi kumakulanso. Izi zikuphatikizapo Ezithimibe. Mankhwala a Hypolipidemic, mosiyana ndi ma statins, sateteza cholesterol kupanga chiwindi ndipo samapereka ma bile bile ngati mafupa. Sitikulimbikitsidwa kuwagwiritsa ntchito ndi hypersensitivity ku zigawo zikuluzikulu kapena chiwindi choperewera. Mukamagwiritsa ntchito mankhwala osokoneza bongo, kutsegula m'mimba, kutopa, kupweteka kwa minofu ndi mafupa, kapena matupi awo amachititsa. Kukonzekera kwa Nicotinic acidNiacin amathandiza cholesterol yotsika komanso triglycerides pochepetsa kuchuluka kwa kapangidwe ka VLDL. Amatsika chifukwa kuchepa kwa kuchuluka kwamafuta acids omasulidwa ku minofu ya adipose. Zotsatira zotchuka kwambiri mukamamwa nikotini acid zimakhala pakhungu, zimayambitsa kutentha thupi komanso redness. Nthawi zambiri, imayamba kumayambiriro kwa chithandizo, kenako kufooka. Popewa kuwonetsera, kudya kwa nicotinic acid kumayamba ndi Mlingo wochepa, womwe umayamba kuwonjezeka. Komanso, kuti muchepetse zotsatira zoyipa, mankhwalawa amaphatikizidwa ndi Aspirin.Komanso, nicotinic acid nthawi zambiri imayikidwa limodzi ndi mafupa. Ngati atherosulinosis ya m'mimba msempha kwachititsa kuti apangidwe a aneurysm, m'mimba mwake, wopitilira 4 cm, opareshoni imachitidwa, kuwonetsera malo omwe akukhudzidwa ndi chotengeracho ndikuwunyoza chilema kapena m'malo mwake ndi kupweteka kwam'mimba. Ngati chiphuphu cha aneurysm chikupezeka, kuchitapo kanthu mwachangu ndikofunikira. Zithandizo za anthuNdi atherosclerosis yam'mimba msempha, wowerengeka azitsamba amagwiritsidwa ntchito:
Kuti muchepetse cholesterol m'magazi a aorta ndikulimbitsa ziwiya, muyenera kudya moyenera. Chakudya chimatengedwa m'magawo ang'onoang'ono kanayi pa tsiku. Zogulitsazo zimadyedwa mumphika wophika, wophika, wowotchera kapena wothira. Komanso muchepetse mchere wambiri m'mbale. Makonda ayenera kuperekedwa kwa masamba ndi zipatso. Zinthu za chitukuko ndi chithandizo cha atherosulinosis ya msemphaMatenda owopsa amoyo, atherosulinosis yam'mimba, amatha kubisala mothandizidwa ndi matenda ena. Magawo ake oyamba amatha kukhala asymptomatic kapena kuwonetsa matenda am'mimba, amatha kusokoneza potency yaimuna. Chifukwa chake, ndikofunikira kuzindikira nthawi yeniyeni njira yodutsira ndi malo azomwe zimakhalira. Izi ndichifukwa chakufunika popewa zotsatira ndi zovuta zomwe zingaike moyo pachiwopsezo. International Classization of Diseases (ICD) idamupatsa nambala ya 170. Njira ya mwadzidzidziMsempha ndi chotupa chachikulu kwambiri m'magazi chomwe chimadyetsa bongo ndi ziwalo zonse zamkati zopangidwa ndi mpweya, magazi ochepa. Kapangidwe kake kamafanana ndi mbedza yolowera, yomwe imatsikira komwe imagawika kumimba komanso pamimba. Chombochi chili ndi makoma olimba, osinthika, mulifupi mwake pafupifupi masentimita atatu. Kudutsa peritoneum, aorta amadyetsa mawonekedwe a ziwalo monga m'mimba, matumbo, chiwindi, ndulu, ndi impso. Kamodzi m'dera la pelvic, chotengera cha msempha chimagawika m'magawo awiri - mitsempha ya Iliac. Pa moyo, mothandizidwa ndi zinthu zosiyanasiyana, kusintha kwamapangidwe a makoma a msempha kumachitika. Izi zimachepetsa kutanuka kwawo, zimapangitsa kuti minye yambiri yolumikizidwa komanso ichepetsa mphamvu yakuwala. Mkati, kuphwanya malamulo ndizothekanso.Mphepo zamkati, zokhala ndi ma atherosselotic zomwe zimakhala ndi mafuta (lipids) zimapangidwa pamenepo. Popita nthawi, zimakula, zimasungunuka, ndikuthira mchere wa calcium. Kuwonongeka kwa atherosclerotic malo mu m'mimba msempha kumabweretsa ngozi. Amatha kutseka magazi, zomwe zimayambitsa kufa kwa chiwalo kapena nthambi, yomwe chotengera chomwe sichikhudzidwa sichingapereke chakudya komanso mpweya. Zoyambitsa ndi ZoopsaChoyambitsa chenicheni cha arteriosulinosis ya chotengera sichinadziwikebe pano. Pali malingaliro omwe amalongosola makina a chitukuko cha matenda. Kutengera kuwerengera kumeneku, zinthu zomwe zimadzetsa matendawa zimawunikidwa. Izi zikuphatikiza:
Matenda a mahormoni (omwe ali ndi matenda a shuga, chithokomiro cha chithokomiro) amasokoneza njira za metabolic ndikuwononga molakwika kapangidwe ka makoma a mtima. Kudya mafuta ambiri azinyama ndi chakudya, kunenepa kwambiri, kupsinjika, kusuta ndi zinthu zomwe zingayambitse matenda a mtima. Izi zimakhudza kudabwitsa kwa makoma, ndikupangitsa njira za magazi kukhala pachiwopsezo cha kupsinjika ndi kutsekeka. Izi matenda amkati chapakati pachigawo choyambirira amadziwika ndi nthawi ya asymptomatic. Mapepala a Atherossteotic ayamba kale kupanga, kuyezetsa magazi kumawonetsa kuwonjezeka kwa cholesterol ndi lipoproteins, ndipo palibe Symbomatology. Ngati wodwalayo sakudziwa kapena kunyalanyaza magawo a labotale, matendawo amakula. Kukula kwa chotengera, chotengera chake chimakhudza zomwe zikutuluka:
Ndi kugonjetsedwa kwa mitsempha ya iliac, zizindikiro za kusabala, kusokonekera kwa erectile mwa amuna, zizindikiro za lameness zikuwonekera. Nthawi zotsatirazi, pambuyo pa asymptomatic, zimadziwika motere: Kuchepa kwa magazi m'matumbo am'mimba kungayambitse ischemic abdominal syndrome. Zimabweretsa necrotic ndi ulcerative njira ya m'mimba dongosolo. Chithunzi cha matenda ndi zomwe zimachitikanso:
Pankhaniyi, ndikofunikira kusiyanitsa mtima wa atherosulinosis ndi matenda am'mimba. Thandizo lakuchita opareshoniZizindikiro ndi mankhwala a atherosrance a m'mimba msempha zimatengera gawo ndi kuchuluka kwa zotupa. Chifukwa chake, poopseza kuphwanyidwa kwa mtsempha wamagazi ndi cholembera cha atherosselotic kapena chifukwa cha ziwalo zobwera chifukwa cha kuphwanya magazi, pitani kuchipatala. Mitundu ya maopareshoni ndi iyi:
Mankhwala othandizira a thrombolytic amatchulidwanso njira ya opaleshoni, yomwe mkati mwa mtsempha umasungunuka ndipo magazi amayenda bwino. Njira za anthuPanthawi yakukonzanso kapena kuletsa kukula kwa atherosulinosis ndi zovuta zake, matenda othandizira a matenda amatha kuthandizidwa ndi maphikidwe a mankhwala achikhalidwe. Ndalamazi ndi monga:
Popeza kuopsa kwa moyo, mankhwalawa atherosulinosis yam'mimba amayenera kukhala achikhalidwe, moyang'aniridwa ndi achipatala kuchipatala. Zakudya ndi zakudyaZakudya zamagulu azakudya ziyenera kuteteza mitsempha yamagazi ku mapangidwe ndi kuchuluka kwa zolembera za atherosrance. Ntchito zazikuluzikulu za menyu wathanzi ndizokhazikitsidwa ndi mfundo izi:
Kutsatira zakudya, makonda ayenera kupatsidwa zakudya zabwino. KupewaNdikwabwino kuletsa nthendayo pa mpesa, kupewa kuti isakule. Menyani nkhondo ya cholesterol iyenera kukhazikika. Pofuna kupewa aortic atherosclerosis, njira zotsatirazi ziyenera kuonedwa:
Poyamba chizindikiro cha kuwonongeka, muyenera kukaonana ndi dokotala. Kunyalanyaza thanzi lanu kumatha kupha. KutayaNgati chitukuko cha atherosulinosis chingakhudzidwe ndi kusintha kwa moyo, ndiye kuti zifukwa zoterezi zimasinthika. Izi zikugwiranso ntchito pazinthu izi:
Zitha kuthekaZizindikiro zina zamatenda zomwe zimathandizira kupititsa patsogolo kwa atherosulinosis zitha kulipidwa mwa kupereka mankhwala. Izi ndi monga:
Khola komanso yosakhazikikaPang'onopang'ono pang'onopang'ono komanso njira yokhazikika ya atherosulinotic, ulusi wa collagen umayikidwa mu zolembazo, zomwe zimapangitsa kuti ukhale wokhazikika komanso wolimba. Mapangidwe oterewa amatchedwa khola ndipo samatha kutsagana ndi mawonetsedwe azachipatala mpaka pakukula kwa lumen. Zingwe zosakhazikika zili ndi mawonekedwe otayirira, okhala ndi ulusi wopota wa minofu yolumikizana. Pamaso pake pamatha kupindika, zomwe zimapangitsa kuti magaziwo azikoloweka. Popita nthawi, kuchuluka kwa mchere wa calcium kumakhazikitsa chikhomo, sikuloleza kuti kuoneke, koma kumapangitsa kuti njirayi isasinthike. Yoyesedwa, yopatsa mphamvuChingwe chilichonse chimakhala chowerengeka. Izi zimachepetsa kukula kwake, zimabweretsa kukomoka kwa kapangidwe kake ndipo sizimalola kuti ziwonongeke. Potere, ma calcium ion amapanga nembanemba kuzungulira ma lipid amana. Kuthamanga kwa magazi ndi malo ophatikizika kumasokonezeka pang'onopang'ono, palibe chiopsezo cha thrombosis yovuta ya mitsempha. Mapangidwe a Heterogenible amasiyana m'magulu, ndiye kuti, pakuwerengera, kuyikidwanso kwa lipids kumachitika. Mapepala oterewa ndi amtundu wina wamtundu wa atherosulinosis, popeza malo ake amatha kuphwa komanso kutuluka magazi. Mwowoneka ali ndi malo osasinthika, pali mapwando otayirira. Onani kanemayo pamapangidwe opanga ma atherosselotic zolembera: Zizindikiro za Atherosulinotic PlaquesMalingana ngati zolembazi sizikukula ndikuwonjezera kwa chotengera ndi theka, mulibe kuwonetsa kwa atherosulinosis. Nthawi ngati imeneyi imatchedwa asymptomatic, kapena latent. Pankhaniyi, kuchuluka kwa lipoproteins otsika kwambiri ndi cholesterol yathunthu yapezeka kale m'magazi. Zizindikiro zamankhwala zilinso ndi kupita patsogolo kosangalatsa:
Maonekedwe a matenda omwe amachititsa kuti ma atherosselotic plaque adalire malo omwe mtsempha umatsekeka:
Mavuto omwe amachitika popanda kulandira chithandizoMitsempha ikatsekedwa, vuto lochepa m'thupi limayamba. Pakukhathamira, magazi kapena ma embolus mwadzidzidzi amasokoneza kutuluka kwa magazi. Ndi mitsempha yochulukirapo ya malekezero am'munsi, gululi lomwe lingafunike kuti litulidwe pang'ono litha kukhala zotsatira. Kuthamanga kwa mtima kwa Mesenteric (mesenteric) kumayambitsa kutsekeka kwamatumbo, ndipo ngati zolembazo zigundika m'mitsempha yama impso, ndiye kuti pali kusowa kwa mkodzo wosefera. Kulephera kwamphamvu kumapitirira pang'ono pang'onopang'ono chifukwa chovuta pang'onopang'ono pakufalikira kwa magazi ku ziwalo. Izi zimatsogolera ku njala ndi okosijeni komanso njira za dystrophic. Zotsatira zake ndikuwonjezereka, kuchuluka kwa minofu yolumikizana komanso kusasinthika kwa sclerosis. Njira ZodziwitsiraKuti mupeze mtima wamatenda am'magazi, gwiritsani ntchito njira zotsatirazi:
Mankhwala odwalaNjira yakuchizira atherosulinosis imaphatikizapo kusintha kwa moyo (zakudya, zolimbitsa thupi, kusiya zizolowezi zoipa), mankhwala ndi mankhwala achilengedwe. Popanda kugwiritsa ntchito bwino njira zopewera mphamvu, ntchito yochotsa cholesterol plaque imayikidwa. Popanda zakudya zoyenera, mankhwala aliwonse a atherosulinosis amataya mphamvu. Chifukwa chake, ndikofunikira kupewa mafuta ochulukirapo a nyama ndi mafuta osavuta am'mimba, omwe amachititsa kuti kagayidwe kachakudya kagayidwe. Malamulo amakhazikitsidwa pazinthu zotere:
Magulu ofunikira a mapuloteni ndi kufufuza zinthu ndi nkhuku kapena nyama ya nkhuku, nsomba zamafuta pang'ono, tchizi komanso zakudya zam'nyanja. Zakudya zamafuta kwambiri zimayenera kukhala zopatsa mphamvu zochepa, kamodzi pa sabata imatha masiku osala. Porridge wakonzedwa zokongoletsa, supuni ya chinangwa chonyezedwa amawonjezera. Ndi kupsinjika kowonjezereka, kudya kwa sodium chloride kumachepetsedwa. Kupereka mankhwala sikutanthauza kukulitsa chakudya. Poyerekeza ndi maziko azakudya zochizira, lipid-kuchepetsa mankhwala amawonjezeredwa ku mankhwala:
Kuchotsa munjira yogwira ntchitoNgati pali chiwopsezo cha kufalikira kwamwazi wamagazi, opaleshoni yotseguka imachitidwa. Potere, chotengera chimayamba ndi gawo lalitali, chikwangwani chomwe chili ndi gawo la membala wamkati chimachotsedwa ku lumen yake. An endarterectomy imagwiritsidwa ntchito pophukira kwanuko mpaka masentimita 7. Suture kapena chigamba chimayikidwa padzenje. Njira yotsekedwa imaphatikizira kulowa mkatikati mwa kabowo kakang'ono. Njira zamagetsi zimaphatikizapo kukulitsa balloon ndi kuyika kwa stent kuti abwezeretse magazi. Momwe mungachotsere njira za anthuKusintha magazi - madzi, milomo, sinthani magawo a cholesterol, komanso kuchepetsa kukhathamira kwa mtima, mankhwala opanga azitsamba amagwiritsidwa ntchito. Ayenera kuphatikizidwa ndi zakudya za anthu odwala matenda ashuga. Nthawi zambiri, amalimbikitsidwa kuphatikiza mbewu mu ndondomeko ya chithandizo pakati pa maphunziro azachipatala. Kuti akonze mankhwala azitsamba, supuni ya chopereka imathiridwa mu thermos ndi kapu ya madzi otentha usiku umodzi ndikuwotenga 70 ml katatu patsiku musanadye. Mutha kugwiritsa ntchito kuphatikiza kwamitundu yofanana ya zinthu izi:
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