Mavuto a atherosulinosis ndi m'tsogolo

Atherosulinosis ndi matenda oopsa kwambiri omwe akuphatikizira kuyika kwa cholesterol yowonjezera pakatikati mwa mitsempha. Zotsatira zake, chotupa chotupa chimayamba kukhazikika m'matumba, ndipo kuunikira kwawo kumawonjezeka. Monga momwe mumadziwira, kuchepa kwa minyewa yam'mimba, kumakhala koyipa kwambiri ndikamapereka kwa ziwalo zogwirizana. Matendawa amatha kubweretsa zotsatirapo zingapo zoyipa kwa thupi, chifukwa chake ndikofunikira kudziwa pathogenis yake kuchokera ndi kupita.

Chithandizo cha atherosulinosis ndicholinga chofuna kuchepetsa cholesterol. Kuti muchite izi, gwiritsani ntchito anti-atherosulinotic mankhwala (Statins, Fibrate, anin-exchange resin ndi nicotinic acid kukonzekera), kuchita masewera olimbitsa thupi nthawi zonse kuti muchepetse kunenepa, komanso kudya zakudya zochepa m'mafuta a cholesterol ndi nyama ndizofunikira. Ngati mungafune, mutha kugwiritsa ntchito zitsamba zomwe zimapangidwa mosavuta kunyumba.

Kukula kwa atherosulinosis kumatengera kuchuluka kwa kuwonongeka, kutalika kwake ndi mtundu wa chithandizo cha odwala.

Popewa, tikulimbikitsidwa kuti tisiye zizolowezi zoyipa, kuchita masewera mwadongosolo, kukhalabe olimbitsa thupi komanso kudya.

Chifukwa chiyani atherosulinosis imayamba?

Atherosclerosis ndi chibadwa chamapangidwe ochita kupanga. Chifukwa chake, kutali ndi chifukwa chimodzi kungachititse kuti zichitike. Mpaka pano, sizomwe zimayambitsa matendawa. Madokotala azindikira zinthu zomwe zimayambitsa ngozi zomwe zimawonjezera mwayi wa matenda amisala.

Zowopsa zomwe zimayambitsa matendawa ndi izi:

1. Kudziwiratu kwam'tsogolo - zochitika za atherosclerosis mwa abale apafupi nthawi zambiri zimawonedwa. Izi zimatchedwa "mbiri yakale yabanja."
2. Kukhala wonenepa kwambiri sikuli bwino kuti aliyense akuwonjezera kilogalamu, ndipo kwa atherosulinosis ndi vuto lalikulu, chifukwa kunenepa kumapangitsa mitundu yonse ya kagayidwe, kuphatikiza kagayidwe ka lipid.
3. Kuledzeretsa - kumakhudza ziwalo zonse ndi mitsempha yamagazi, pang'onopang'ono kusintha kapangidwe kake.
4. Kusuta - chikonga chimawononga m'mapapo, kumapangitsa kuti khoma lisafike, kumapangitsa kuti chikhale chochepa kwambiri komanso chochepa.
5. Amuna amayamba kuzindikira mawonetseredwe oyamba a atherosulinosis pafupifupi zaka 10 m'mbuyomu kuposa azimayi, ndipo amadwala kanayi konse.
6. Age - imagwira ntchito yofunika kwambiri pakukula kwa matendawa, chifukwa pambuyo pa zaka 40 thupi limayamba kugwiritsidwa ntchito ndi matenda
7. Matenda a shuga a shuga ndi chimodzi mwazifukwa zowopsa, chifukwa shuga imayamba kuwonongeka kwa ziwiya zazing'ono komanso zazikulu (micro- ndi macroangiopathy), zomwe zimangoyambitsa kuwonekera kwa mapangidwe a atherosclerotic m'makoma awo.
8. Moyo wapaulendo - ndi zochitika zochepa zolimbitsa thupi, munthu aliyense pang'onopang'ono amayamba kulemera, kenako njirayi imadziwika kale.
9. Zosokoneza zilizonse za lipid metabolism, makamaka, kuchepa kwa kuchuluka kwa lipoproteins yapamwamba kwambiri, yomwe "ndiyabwino", osati atherogenic cholesterol.
10. Metabolic syndrome ndi dzina lodziwika bwino la zinthu monga matenda oopsa, kunenepa kwambiri kwam'mimba (mafuta ambiri m'mimba), triglycerides komanso kulekerera kwa glucose (kungakhale harbinger wa shuga mellitus).

Kuphatikiza apo, chiopsezo chimaphatikizapo kuwonekera kwa thupi la kupsinjika kwakanthawi kwa thupi ndi malingaliro.Zowonjezera m'makutu zimabweretsa chakuti chifukwa cha iwo, kupanikizika kumachulukirachulukira, ndipo zotengera, zimakhudzidwa kwambiri.

Mavuto a atherosulinosis: Zizindikiro ndi matendawo

N`zotheka kupewa zovuta za atherosulinosis. Pachifukwa ichi, wodwalayo ayenera kutsatira mosamalitsa malangizo onse omwe dokotala amupatsa.

Madokotala amalimbikitsa kuti odwala azitha kumwa mankhwala okhudzana ndi ma statins, michere, komanso ma sequenti a bile acid. Pazifukwa zothandizira, nootropics, anticoagulants, nikotini acid, mapangidwe a multivitamin, mapiritsi a hypotonic amagwiritsidwa ntchito.

Zomwe Madokotala Amanena Zokhudza Mankhwalawa

Ndakhala ndikuchiza matenda oopsa kwa zaka zambiri. Malinga ndi ziwerengero, mu 89% ya milandu, matenda oopsa amachititsa munthu kugunda kwamtima kapena kugunda kwam'magazi ndipo munthu akafa. Pafupifupi magawo awiri mwa atatu a odwala tsopano amafa zaka 5 zoyambirira za matendawa.

Zotsatirazi - ndizotheka komanso zofunikira kuti muchepetse kupanikizika, koma izi sizichiritsa matendawa palokha. Mankhwala okhawo omwe amavomerezedwa ndi Unduna wa Zaumoyo kuti azichiza matenda oopsa ndipo amagwiritsidwanso ntchito ndi akatswiri a mtima pantchito yawo ndi a NORMIO. Mankhwalawa amakhudza zomwe zimayambitsa matendawa, zomwe zimapangitsa kuti athetseretu matenda oopsa. Kuphatikiza apo, pansi pa pulogalamu ya feduro, aliyense wokhala ku Russian Federation akhoza kulandira ZAULERE .

Mosakayikira, zakudya ndi masewera olimbitsa thupi zimayikidwa. Pazifukwa zothandizira, mankhwala achikhalidwe angagwiritsidwe ntchito. Kukula kwake ndi zovuta zake zimatengera komwe kuli zolembedwayo. Milandu yowopsa kwambiri ndi pamene zolembera zimasokoneza ziwiya za mutu, khosi kapena mtima.

Mavuto a m'matumbo atherosulinosis

Atherosclerosis yamatumbo ndiyosowa kwambiri. Koma matendawa ali ndi zovuta zambiri zowopsa. Mwambiri, atherosulinosis ya m'mimba msempha kwenikweni asymptomatic.

Pokhapokha kuwonjezeka kwa zolengedwa zam'mimba zimapangitsa kuti wodwalayo azidwala matenda osokoneza bongo - kulemera pamimba atatha kudya, kusanza kapena kusanza, kugona, kupweteka kwam'mimba.

Mu pachimake maphunziro a atherosulinosis matumbo, wodwalayo amakumana magazi a rectal, chizungulire, kutsika kwa magazi, kuchepa kwa chakudya, komanso kunenepa kwambiri.

1. Mimbulu yam'mimba.
2. Matenda oopsa.
3. Kusokonekera mu ntchito ya impso.
4. Matenda a matumbo.
5. Aortic aneurysm.

Ngati matenda a atherosulinosis ofanana atayamba, wodwalayo amatha kudwala matenda a mtima a mtima, ndi mtima.

Atherosulinosis ya khosi ndi ubongo: zotheka

Multifocal atherosclerosis, momwe ziwiya za khosi ndi ubongo zimakhudzidwira, ndizowopsa. Ndi mtundu uwu wa atherosulinosis, kudalirika kwa moyo kulibe bwino malinga ndi chithandizo chomwe sichingachitike.

Ngati mafupa a atherosclerotic amakhudza khosi ndi ubongo, malingaliro a wodwalayo amakhala operewera. Amakhala wankhanza kwambiri, amakumbukira zochitika zowonjezereka, amadandaula za kupweteka pamutu nthawi zambiri komanso chizungulire. Komanso, munthu amayamba kuphwanya mgwirizano wogwirizana. Atherosulinosis ya khosi ndi ubongo mosavutikira zimayambitsa matenda amitsempha.

Matenda amtunduwu angayambitse zovuta zotsatirazi:

• Dementia (dementia).
• Stroko Komanso, wodwalayo amatha kukhala ndi stroko ya ischemic ndi hemorrhagic.
• Carbral infaration.
• Kuukira kwakanthawi kochepa.
• Hypoxia la bongo.
• Kusintha kwa Dystrophic ndi atrophic mu ubongo.
• Fogal sclerosis.
• Supombosis
• Kulephera kwa mtima.

Nthawi zambiri, chithandizo chamankhwala cha khosi ndi ubongo chimatha muimfa ya wodwalayo.

Ral atherosulinosis: zovuta

Mapangidwe a atherosclerotic amatha kusokoneza ziwiya za impso. Pathogenesis yamatenda awa samamvetsetsa bwino. Koma madokotala amati kuwonongeka kwa impso nthawi zambiri kumayamba chifukwa cha matenda osokoneza bongo, kugwiritsa ntchito mowa wambiri komanso kudya mosasamala.

Chizindikiro chodziwika bwino cha matenda ndi kuthamanga kwa magazi. Komanso, zimachitika popanda chifukwa. Mu magawo aposachedwa, atherosulinosis ya impso imadziwonekera mu ululu wotsika wammbuyo komanso mavuto azisokonezo.

1. Mitsempha yam'mimba.
2. Kulephera kwaimpso.
3. Mtsempha wamagololo wam'magazi.
4. Second matenda oopsa.

Muzochitika zapamwamba, atherosulinosis imatsogolera ku kufa kwa impso.

Zotsatira za atherosulinosis ya mtima

Pathanatomy ikuwonetsa kuti mtundu wowopsa kwambiri wa atherosulinosis ndi atherosulinosis yamtima. Kudwala nthawi zambiri kumayambitsa kukula kwa zotsatira zowopsa.

Vuto lenileni la matendawa silikudziwika. Koma ndimitsempha yamagazi ndi mtima yomwe imakhudzidwa kwambiri ndi cholesterol plaque. Chovuta chagona kuti atherosulinosis yamtima siziwonekera mu magawo oyamba.

Ndi nthawi yokha yomwe wodwalayo amakhala ndi zizindikiro - kufupika, kupweteka m'chifuwa, thukuta kwambiri, nkhope yake imadumpha.

Matenda a atherosulinosis a mtima nthawi zambiri amakhala osavomerezeka, makamaka ngati malo omwe amapezeka kuti adalipo. Pankhaniyi, kuchitapo kanthu mwadzidzidzi kumafunikira.

Kodi zovuta ndi zotsatirapo za matenda a ubongo: ndi chiani?

Kukula kwa mapangidwe a atherosclerotic kumachitika pang'onopang'ono, kumabweretsa kuchepa kwa magazi kumankhwala ndi kuphwanya kapangidwe ka khoma lamitsempha. Mafuta omwe amapezeka m'mitsempha amadziunjikira, omwe amawoneka ndi zotupa monga kukwiya, kugunda kwa mtima, stroko. Ischemic stroke (matenda am'mimba) ndi amodzi mwa matenda asanu omwe amachititsa kuti munthu afe. Komanso, atherosulinosis imakhudza ziwiya zamatumbo, kumtunda ndi kutsika kumapeto.

M'nkhaniyi tikambirana zovuta za atherosulinosis, onani zomwe zingayambitse komanso zomwe zili zowopsa kwambiri.

Kodi atherosulinosis imatsogolera ku chiyani?

Kupanga kwamatenda oyendayenda m'magawo omwe amadyetsa ziwiya zamatenda. Matenda owopsa:

1. Matenda a mtima
2. Matenda a m'magazi.
3. Aortic atherosclerosis, aimpso ndi mesenteric mitsempha ndi ziwiya zamiyendo zimakhudzidwa.

Kodi chiwopsezo cha kuwonongeka kwa mitsempha ndi chiani?

Mitsempha yamagazi yomwe ipereka ubongo ndi magazi ikatsekeka, mutu umayamba kupindika komanso kupweteka. Kukumbukira kumalephereka, kuwona ndi kutsata kumachepa. Ngati sichichiritsidwa, psyche nthawi zina imatha kusintha..

Pakadutsa matendawa, odwala amalephera kudziwa zenizeni, samawongolera zochita zawo, samayang'anira zochita zawo. Stroko imayambitsa kulumala kwathunthu kapena pang'ono.

Zotsatira za atherosclerosis, minyewa ya ubongo pang'ono, atrophies, kusokonezeka kwa malingaliro kumayamba. Diffuse atherosulinosis ndi yoopsa, ilibe kutulutsa kwachidziwikire, kufalikira m'mitsempha ndi ziwiya zapafupi. Mitsempha yopapatiza, kuthamanga kwa magazi kumakwera.

Makoma otupa amakhala osasinthika, zotanuka zimasowa, amakhala opyapyala. Mapilogalamu amakula mwachangu. Mavuto obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda umabweretsa, mitsempha yamitsempha yamagazi, chotupa cha m'magazi.

Mavuto a atherosulinosis a mtima

Kuperewera kwa mtima m'mimba kumadwala kapena kudwala. Ngati maphunzirowa ndi osachiritsika, mawonekedwe ake amachepetsa pang'onopang'ono.

Zovuta zina za atherosulinosis zimachitika:

• kusintha kwa mtundu wa atrophic,
• hypoxia
• ischemia
• dera la sclerosis likukula.

Zotsatira za zotupa za m'munsi

Cholesterol plaque amapaka m'munsi mitsempha, munthu amavutika ndi miyendo. Miyendo imachita dzanzi ndi kumva kuwawa, kutentha kwa thupi kumakwera, kumva kuchepa. Kulowerera pang'onopang'ono kumayamba.

Ngati mumanyalanyaza mankhwalawa osasintha mankhwala osasintha moyo, minofu yofewa ya necrosis imachitika. Amadulidwa miyendo akuyembekezeredwa.Zilonda, zilonda zam'mimba zimapangidwa.

Chokolethi cha cholesterol chimakula ndikulekana ndi msempha. Amayendayenda mozungulira, amafika ziwiya ndi kuzikoka. Kuchera sikupereka cholesterol plaque kupitanso. Kuthira magazi pang'ono kapena kusiya.

Mu minofu yodyetsedwa ndi mtsempha wamagazi, khungu limayamba. Zotsatira zake zakuchepa kwa makoma a mitsempha omwe awonongeka ndi cholesterol plaques, matenda oopsa amakula - aortic aneurysm. Kuwala kwam'mera kukukulira kwanuko. Chifukwa cha magazi amkati, munthu amafa ngati opaleshoni yanyumba isanachitike.

Zizindikiro zazikulu za atherosulinosis

Pa magawo oyamba, matendawa ndi asymptomatic. Zizindikiro zoyambirira zimawonekera pamene zovuta zikuwoneka m'thupi chifukwa cha kukula kwa matenda amisempha. The chiwonetsero cha matenda a atherosulinotic zotupa zam'mitsempha zimadalira kutulutsa ndende. Zotengera zosiyanasiyana zimatha kuwululidwa ndendende, chifukwa chake, zizindikirazo zimatha kukhala ndi kusiyana.

Matenda a mitsempha ya mitsempha. Potere, mitsempha ya coronary kapena coronary imavutika. Amanyamula magazi a oxygen kumtima. Zikakhudzidwa, myocardium simalandira mpweya wokwanira, ndipo izi zimatha kudziwoneka ngati mawonekedwe a angina. Angina pectoris ndi chiwonetsero chachindunji cha matenda a mtima (CHD), momwe odwalawa amamva kuwawa kwambiri, kupangitsa kupweteka kumbuyo kwa kupsinjika, kupuma movutikira komanso kuwopa kufa.

Angina pectoris amatchedwa angina pectoris. Zovuta zoterezi zimachitika nthawi yayitali kwambiri. Kenako ikani matenda a angina pectoris. Kuwonongeka kwakukulu pamitsempha kumatha kubweretsa kulowerera kwam'mnyewa wamtima - necrosis ya "necrosis" ya malo a myocardial. Tsoka ilo, pafupifupi theka la zochitika, vuto la mtima likhoza kufa.

Aortic atherosulinosis. Nthawi zambiri kumangochitika kwa chipilala kumavutika. Pankhaniyi, madandaulo a odwala amatha kukhala osamveka, mwachitsanzo, chizungulire, kufooka wamba, nthawi zina kukomoka, kupweteka pang'ono pachifuwa.

Atherosulinosis ya mitsempha ya chithokomiro (chotupa cha ziwalo). Ali ndi chiratidzo chotchulidwa. Odwala amasokonezedwa ndi kuchepa kwa kukumbukira, amakhala okhudza mtima kwambiri, kusintha kwawo kumasintha nthawi zambiri. Pakhoza kukhala ndi mutu komanso kanthawi kochepa owonongeka a cerebrovascular (osakhalitsa akuwukira ischemic). Odwala oterewa amadziwika ndi chizindikiro cha Ribot: amatha kukumbukira molondola zomwe zinachitika zaka khumi zapitazo, koma pafupifupi sanganene zomwe zinachitika tsiku limodzi kapena awiri apitawo. Zotsatira za kuphwanya kotereku sizabwino - kugwa kwam'mimba kumatha kuchitika (imfa ya gawo laubongo).

Atherosulinosis ya mesenteric (kapena mesenteric) mitsempha. Potere, zotengera zodutsa mu mesentery yamatumbo zimakhudzidwa. Izi zimachitika kawirikawiri. Anthu azikhala ndi nkhawa ndi zowawa zam'mimba, matenda ammimba (kudzimbidwa kapena kutsegula m'mimba). Zotsatira zopitilira muyeso zimatha kukhala kugunda kwa mtima m'matumbo, komanso pambuyo pake.

Matenda a mitsempha ya mitsempha. Choyamba, odwala amayamba kuwonjezera kukakamiza, ndipo ndizosatheka kuti muchepetse mothandizidwa ndi mankhwala. Awa ndi omwe amatchedwa renal (sekondale, chisonyezo). Pakhoza kukhalanso kupweteka m'dera lumbar, zovuta zazikodzo pokodza. Njira yayikulu ikhoza kutsogolera kukula kwa impso.

Palinso atherosulinosis yamitsempha yama m'munsi yotsika - nthawi zambiri imasungunuka, ndiye kuti ikubowola lumen ya chotengera.

Chizindikiro choyamba ndi "interndtent claudication" syndrome - odwala sangayime kwa nthawi yayitali osayima. Nthawi zambiri amayenera kusiya chifukwa amadandaula kuti thupi ndi miyendo yake yakomoka, dzuwa likuwoneka, khungu lotuwa kapena ngakhale cyanosis, kumverera kwa "tsekwe".

Zokhudza madandaulo ena, omwe nthawi zambiri amasokoneza kukula kwa tsitsi pamiyendo, kuwonda pakhungu, mawonekedwe a zilonda zam'mimba zosachiritsika, kusintha kwa mawonekedwe ndi mtundu wa misomali.

Kuwonongeka kochepa kwambiri pakhungu kumayambitsa zilonda zam'mimba, zomwe pambuyo pake zimayamba kukhala gangore. Izi ndizowopsa kwa odwala matenda ashuga, chifukwa chake ndikulimbikitsidwa kuti asamalire mapazi awo, kuvala nsapato zosasunthika, osapsa mapazi awo ndikuwasamalira.

Mphamvu zamkati mwa zotumphukira za m'munsi zitha kupezekanso.

Kodi zovuta za atherosulinosis ndi ziti?

Atherosulinosis ndi matenda omwe kukula kwake kumayambitsa kuwoneka kwa zovuta zambiri.

Atherosulinosis imakonda kupita patsogolo.

Katunduyu wa matenda a m'matumbo amadziwika makamaka ngati chithandizo cha dokotala sichinawonedwe, kapena ponseponse ngati sichichitika.

Mavuto akulu kwambiri a atherosulinosis ndi awa:

• aneurysm
• myocardial infaration
• sitiroko
• kulephera kwa mtima.

Aneurysm ndikochepetsa kwa khoma la mtima ndi momwe limapangidwira ndikupanga "sac". Nthawi zambiri, aneurysm imapangidwa pamalo omwe amaikapo cholesterol chikhazikitso chifukwa chothinikizidwa kwambiri ndi khoma la chotengera. Nthawi zambiri, aortic aneurysm amakula. Chifukwa cha izi, odwala amadandaula za kupweteka pachifuwa, makamaka usiku kapena m'mawa.

Ululuwu umakulirakulira ndikweza manja mmwamba, mwachitsanzo, pophatikiza. Ndi kuwonjezeka kwa kukula kwa aneurysm, ikhoza kuyika kupanikizika kwa ziwalo zoyandikana. Izi zitha kutsatiridwa ndi kuwoneka kwa kuwawa mtima (chifukwa cha kupanikizika kwa msana wam'mimba), kufupika (chifukwa cha kupindika kwa bronchi), kutsokomola, kupweteka mumtima (Cardialgia), chizungulire, komanso ngakhale kusazindikira. Ululu umatha kuperekedwa kwa khomo lachiberekero ndi kumadera a scapula.

Kuneneratu pamaso pa aneurysm kumakulirakulirakulira, chifukwa kumatha kuyamba kuchoka kapena kusweka. Stratification ndichofunikira kuti chizungulire, popeza pang'onopang'ono zomwe zili ndi aneurysm zimang'amba mbali zonse za mtsempha, mpaka kunja. Kuphulika kwa msempha pafupifupi nthawi yomweyo kumabweretsa imfa. Odwala omwe ali ndi aneurysm ayenera kupewa kulimbitsa thupi kulikonse komanso kuvutika maganizo, chifukwa zonsezi zimatha kubweretsa nthawi yomweyo.

Kulephera kwa mtima - kumatha kusiyidwa kwamitsempha yamanja ndi yamanja yamanja. Kulephera kwa mtima kumanzere kumawonetsedwa ndi kusayenda kwa magazi m'magazi a m'mapapo. Chifukwa cha izi, mapapu am'mimba komanso kupuma movutikira kumayamba.

Odwala amakhala mokakamizidwa (orthopnea), momwe imapumira. Ndi kulephera kwa mtima, gulu lalikulu la magazi limadwala.

Kuwonjezeka kwa chiwindi ndi ndulu, kutupa kwa mitsempha ya khoma lamkati lakumbuyo, kutupa kwa m'munsi, kutupa kwa mitsempha ya khosi, tachycardia (kufalikira mwachangu), kufupika kwa mpweya ndi chifuwa zimadziwika.

Kuthandiza panthawi yake kumathandiza kupewa zovuta.

Zizindikiro za vuto la mtima komanso sitiroko

Myocardial infarction mu shuga amatha kukhala chifukwa cha coronary atherosulinosis.

Ndi kupendekera kwakukulu kwa kuunikira kwa mitsempha ya coronary (imodzi kapena zingapo), magazi opatsidwa mphamvu ndi mpweya amasiya kuyenda kupita ku myocardium, ndipo gawo lolingana la minofu yamtima limadutsa necrosis. Kutengera kuchuluka kwa vuto la mtima, zizindikirozi zimafotokozedwa mosiyanasiyana.

Odwala amadandaula za kupweteka kwapachifuwa mwadzidzidzi, koopsa, mpaka kuthedwa nzeru. Ululu umatha kuwunikira (kupereka) kudzanja lamanzere, kumbuyo, pamimba, kumatha kutsagana ndi kupumira movutikira. Odwala amafunika kupatsidwa chithandizo choyenera posachedwa, chifukwa imfa imatha kuchitika mwachangu kwambiri.

Vuto la sitiroko ndi necrosis ya gawo lina la minyewa ya ubongo yomwe imayamba ndi chithokomiro cha ubongo.

Pali zosankha zingapo zokhala ndi stroko, koma kusokonezeka kwa kalankhulidwe kumachitika nthawi zambiri (wodwalayo samamvetsetsa zomwe akulankhula kapena sangathe kupanga zake), kulumikizidwa mosasunthika, kusuntha pang'ono kapena kusamva kwenikweni m'miyendo, kumatha kupweteka kwambiri m'mutu. Kupsinjika mu sitiroko kumakwera kwambiri.

Kuchita mankhwalawa kuyenera kuyamba pomwe, chifukwa chotupa chimatha kukhudza malo ofunikira mu ubongo (kupuma komanso vasomotor), wodwalayo amatha kukhalabe wolumala kapena kugwa. Ntchito zaluso zimabwezeretsedwa pang'onopang'ono ndi chithandizo chokwanira chokwanira.

Mavuto a atherosulinosis akufotokozedwa mu kanema munkhaniyi.

Ndi angati akukhala ndi iye?

Kukula kwake kumatengera gawo la matendawa, matendawa ndi machitidwe a thupi la munthu. Kuchuluka kwa zotsatira za matenda pamthupi ndikofunikira.

Malinga ndi ziwerengero, zaka zisanu zoyambirira matendawa atayamba, 55% ya odwala amamwalira. Zomwe zimayambitsa imfa ndi matenda am'mimba, matenda a mtima komanso matenda a m'matumbo. Choopsa chachikulu pa moyo ndi kuwonongeka kwa ubongo.

Kodi kuchitira?

1. Ngati mawonetseredwe azachipatala kulibe, kusintha kwa moyo kumalimbikitsidwa. Siyani kusuta, kuledzera, kuonjezera zochita zolimbitsa thupi, kutsatira zakudya zapadera.
2. Pamaso pa mawonetseredwe azachipatala, chithandizo cha mankhwala ndi mankhwala.

Ma Statin omwe amagwiritsidwa ntchito pochiza, amatha kuthandizidwa kwa odwala omwe ali ndi matenda amtundu uliwonse, amayi apakati komanso okalamba. Ngati munthu akudwala matenda a chiwindi kapena akumwa mowa kwambiri, ma statin amafunsidwa mosamala atadwala. Ngati zovuta sizichitika, zimatengedwa kwa nthawi yayitali.

Mankhwala okhazikitsidwa ndi dokotala:

Zoyimira zojambula:

Kupewa

Njira zopewera:

1. Kusuta kufafaniza. Kusuta kumawonjezera ngozi zomwe zingayambitse matenda a mtima.
2. M'mawa uliwonse, chitani zolimbitsa thupi kuyambira mphindi 15 mpaka 20. Yendani mu mpweya watsopano, gwiritsani ntchito galimoto pang'ono.
3. Thanani ndi kunenepa kwambiri. Mapaundi owonjezera amapangitsa matenda a mtima.
4. Idyani pomwe.
   • nyama zamafuta ndizogwiritsidwa ntchito kwenikweni,
   • masamba ndi zipatso zambiri,
   • CHIKWANGWANI chabwino ndimitsempha yamagazi,
   • chakudya chimasankhidwa ndi zopatsa mphamvu zochepa,
   • idyani mapuloteni - tchizi tchizi, nsomba zamafuta ochepa ndi nyama, tchizi, mafuta amkaka,
   • chepetsa mchere wambiri mpaka 5-6 g patsiku, mchere umalowa m'malo a mandimu,
   • odula zamzitini, ma pickles ndi ma pickles,
   • idyani mkate wa bulauni dzulo, ikani kuphika kwatsopano.

Mavuto a Atherosulinosis: Kuwonongeka kwa Mitsempha

1. Kodi matenda a atherosulinosis amakhudzidwa ndi chiyani?
2. Zowonongeka pamatumbo a khosi
3. Kuwonongeka kwa ziwiya zamiyendo
4. Atherosclerosis ya ziwiya zam'mwamba malekezero
5. Matenda a mitsempha ya impso
6. Mavuto wamba
7. Atherosclerosis yamatumbo: Zizindikiro ndi chithandizo
8. Mayeso akudziwa

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

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

Matendawa ndi amodzi mwa matenda ofala kwambiri padziko lapansi. Izi matenda amadziwika ndi kuwonongeka kwa mitsempha chifukwa kuphwanya njira zomwe zimatsimikizira kukonza kwa mafuta. Pamapeto pake, mafuta amtunduwu atayikidwa (kapena mtundu wina wamafuta) kukhoma lamkati la chotengera, pamakhala kuwonongeka kwake. Ndipo izi zimabweretsa kale kuwonongeka m'magazi.

Matenda onse okhudzana ndi mtima ndi oopsa pazotsatira zawo. Ndi zovuta zomwe zimayambitsa imfa ya odwala. Ndipo sitikulankhula za vuto la mtima kapena kugunda kwa mtima, komanso maulendo ena ambiri. Mwachitsanzo, minofu necrosis kapena kakulidwe ka matenda omwe amakhudzidwa ndi chiwalo chomwe chakhudzidwa.

Malinga ndi ziwerengero, atherosulinosis, tanthauzo lomwe tapereka, ndilofala kwambiri kumayiko okhala m'mizinda, m'mizinda yayikulu, ndipo nthawi zambiri imawonedwa mwa anthu okalamba, ndipo chiopsezo cha atherosulinosis mwa amuna ndiochulukirapo kawiri kuposa azimayi.

Kodi matenda a atherosulinosis amakhudzidwa ndi chiyani?

Monga tanena kale, ndi atherosulinosis, mitsempha imakhudzidwa makamaka. Komabe, mtsogolomo, kutengera madera omwe matendawa amatenga matendawa, mwayi wazowonongeka ziwalo zina umawonekera.

• Mowonongeka pamitsempha yama coronary, mtima umavutika. Ndipo ngati simutenga zoyenera, ndiye kuti chiwopsezo cha matenda a mtima kapena angina pectoris ndichachikulu.
• Mitsempha ya carotid imakhudza ubongo. Kuchita kwawo kosayenera kumatha kubweretsa stroke kapena kufulumira kwa ischemic (chimodzimodzi ndi microstroke).
• Ndi atherosclerosis ya zotumphukira mitsempha, magazi mu miyendo amatha kuwonongeka, zomwe zimayambitsa mapangidwe a gangrene.
• Atherosulinosis yamitsempha yam'mimba imayambitsa kupweteka kwamatumbo.

Pakati pamavuto owopsa, awiri amatha kusiyanika: aortic rupture (aneurysm) ndi matenda a mtima. Chifukwa cha izi, chifukwa cha chotupa cha msempha, kutaya magazi nthawi yomweyo kumachitika, zomwe nthawi zambiri zimabweretsa imfa. Kachiwiri, ziwiya zopita ku myocardium yopapatiza, zimayambitsa vuto la mtima.

Zowonongeka pamatumbo a khosi

Tiyeni tikambirane mwatsatanetsatane atherosulinosis ya mitsempha ya carotid - ziwiya za khosi, chifukwa zimakumana kawiri kawiri. Onani kuti Zotengera zoterezi sizimangokhudza ubongo wokha, komanso dongosolo lonse lamanjenje.

Chimodzi mwazinthu zazikulu zomwe zimapangitsa kuti matendawa akhazikike m'derali ndi cervical osteochondrosis. Pathology imatha kudziwika ndi zizindikiro zomwe zimasiyana malinga ndi gawo lomwe wodwala ali.

Chifukwa chake, ndichikhalidwe kusiyanitsa magawo atatu:

1. Poyamba, pali kuchepa kwakukulu pakuwoneka, kuoneka: kutopa, kusokonezeka kukumbukira, kusayang'anira, kusokoneza, kupweteka mutu komanso chizungulire. Nthawi zambiri, kusokonezeka kwa kugona kumachitikanso.
2. Pa gawo lachiwiri, zizindikilo zonse zimawonedwa, koma kale mu mawonekedwe. Nthawi zina zimawonjezeredwa: kusakwiya, kuwonongeka kwakuthwa, mantha opanda pake kapena paranoia.
3. Lachitatu kuwonekera: kuchepa kwa ntchito zamaganizidwe, kuwonongeka kwa mgwirizano wamagulu, kusokonezeka.

Nthawi zambiri, atherosulinosis imakhudza mitsempha ya gulu la brachiocephalic, mwachitsanzo, vertebral ndi carotid. Kuunika kwa atherosulinosis kumathandiza kupewa izi. Mwachitsanzo, njira monga transcranial dopplerography ndi MRI tsopano zatchuka.

Chifukwa chake, zovuta zamtunduwu zitha kutchedwa:

• Stroko
• Zovuta zakuchuluka kwa ischemic,
• Dementia (dementia).

Kuwonongeka kwa ziwiya zamiyendo

Mtundu wina wofala ndi atherosulinosis yamitsempha yam'munsi, momwe zotumphukira zimakhudzidwira. Tikuyenera kudziwa pano kuti ndi zowonongeka zamatumbo oyipitsa, osati miyendo yokha, komanso manja amatha kuvutika, koma izi zimachitika kangapo kangapo.

Ndikovuta kwambiri kuzindikira matendawa munthawi yake, chifukwa ndi odwala 10-12% okha omwe amawonetsa zizindikiro. Olemba onse komanso zofufuzira zofananazo angathandize pankhaniyi.

Zizindikiro zimatengera gawo lomwe wodwalayo ali. Pazonse, pali zinayi mwa izo:

• Choyamba chimadziwika: kupweteka m'miyendo poyenda nthawi yayitali, kumva kugunda, kutuluka thukuta kwambiri. Munthu amatha kuyenda mtunda wamtunda wa 1 km.
• Lachiwiri: kupweteka kwa mwendo kumakulirakulira, kusinthana ndi chromate, kusowa kwa magazi kumamveka. Munthu amatha kuthana ndi 200 m mosavuta.
• Lachitatu: ululu umadziwoneka wokha ngakhale muli m'malo abata, mukapuma. Ndikovuta kuti munthu athetse mtunda wa 25 m.
• Chachinayi: atrophy ya minofu, zizindikiro za gangrene.

Funso lodziwika bwino lomwe ndi mitsempha iti yomwe imakhudzidwa kwambiri ndi atherosulinosis yam'munsi, akatswiri akuti izi ndizachikazi.

Mwa zina zomwe zili pamavuto ambiri, izi zitha kudziwika:

• Ndi atherosclerosis, zakudya zama minofu zimachepa, ndiye kuti, ischemia imachitika. Izi zikuphatikiza mawonekedwe a gangore. Komabe, simukuyenera kuganiza kuti njira yokhayo yochotsera ndikudula, mpaka pano, njira zina zambiri zamankhwala zapangidwa. Mwachitsanzo, kugwiritsa ntchito mankhwala apadera,
• Stroko
• Matenda a mtima

Atherosclerosis ya ziwiya zam'mwamba malekezero

Monga tanena kale, matenda amtunduwu siwofala konse, koma simungawanyalanyaze. Zomwe zimapangidwira sizosiyana ndi mitundu ina.

Zizindikiro, mwachitsanzo, ndi izi: kukokana m'manja, matalala manja, manja ozizira, kusowa kwakanthawi kwakanthawi m'chiuno.

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

Popanda chithandizo choyenera, mavuto ake amawoneka:

• Matupi necrosis
• Kutupa kwa manja chifukwa cha kusintha kwa magazi
• Mapangidwe a gangrene pazala.

Matenda a mitsempha ya impso

Kuwonongeka kwa aimpso ziwiya mosavutikira kumayambitsa vuto laimpso. Chimodzi mwa matenda amtunduwu ndi maonekedwe a vasorenal Symbertaticatic hypertension, omwe amawaona ngati ovuta kuchiza. Komanso, wodwala, makamaka ngati ali ndi matenda a shuga, pamakhala chiwopsezo cha kulephera kwa impso.

Zina mwazodziwika bwino ndi kuthamanga kwa magazi. Iyo, nthawi zambiri, sizimatha malire oopsa, koma kwa nthawi yayitali imakhala pamalo okwera kuposa abwinobwino. Zizindikiro zina ndi izi: mavuto ndi kukodza, kupweteka m'mimba, kuchepa kwa potaziyamu m'magazi.

Chifukwa chake, zina mwazotsatira za matenda, pali:

1. Stenosis Kuthinikizika kwa lumen m'madziwo kumapangitsa kuti impso iyambe "kuwuma", ndipo ntchito yake imayamba kuipira kapena kuyima kwathunthu,
2. Kupindika impso
3. Kutupa kwam'mimba chifukwa cha aimpso mtsempha wamagazi.

Mavuto wamba

Chimodzi mwazitsogozo zamankhwala chimapereka tebulo labwino losonyeza zotsatira za atherosulinosis.

Atherosclerosis yamatumbo: Zizindikiro ndi chithandizo

Atherosclerosis yamitsempha yamatumbo ndi matenda omwe cholesterol amayikidwa pazitseko zamitsempha yamagazi, potero kusokoneza kupezeka koyenera kwa michere mthupi. Izi matenda ali ndi izi:

• Ululu wam'mimba, womwe nthawi zambiri umayamba mphindi 20-30 mutatha kudya ndipo simumatha maola opitilira 2,
• Kudzimbidwa kapena kutsekula m'mimba, kutengera mawonekedwe a thupi.
• Chizungulire limodzi ndi mseru
• Kufalikira
• Kutsitsa magazi
• Kuchepetsa chidwi
• Nthawi zina magazi amkati.

Zomwe zimayambitsa matendawa zimachitika ambiri, koma zinthu monga kutupa kwam'mimba, mtima kulephera, chotupa chomwe chimakanikiza mitsempha, komanso matenda ena obadwa nawo nthawi zambiri amakhudza.

Atherosulinosis yamatumbo am'mimba, zomwe timayang'ana, zimagawika m'magawo. M'malo mwathu, pali atatu mwa awa:

• Pa gawo loyamba, ischemia imachitika, ndiye kuti, kuchepa kwa magazi. Ndi chithandizo choyenera komanso chofulumira, matendawa amasiya, ndipo matumbo amagwiranso ntchito moyenera.
• Kenako zizindikirizo zimayamba kukula mwachangu, zomwe, nthawi zambiri, zimatsogolera pakufa kwa gawo lamatumbo. Njirayi imayendera limodzi ndi kupweteka kwambiri.
• Mapeto ake, matumbo athu adzang'ambika, ndipo mtsogolomo mudzakhala imfa.

Pakapita nthawi, matendawa amatha kupezeka mothandizidwa ndi matenda a labotale. Nthawi zambiri amatengera njira monga ultrasound, FGS ndi aortoarteriography.

Ngati matenda atapezeka, njira zoyenera zimatengedwa mwachangu. Mankhwala onse ayenera kuchitika moyang'aniridwa ndi dokotala. Therapy nthawi zambiri imakhala ndi izi:

Chakudya chapadera chofuna kutsitsa mulids ya lipids ndi cholesterol m'mwazi wa wodwala.

• Njira ya mankhwala ndi mankhwala a hypocholesterol,
• Kumwa mankhwala kuti muchepetse magazi,
• Kulepheretsa chitukuko cha thrombosis,
• Kuthamanga kwa magazi ndi mankhwala
• Panthawi zovuta, ntchito ndizotheka.

Zachidziwikire, simuyenera kuganiza za chithandizo chamankhwala azikhalidwe, chifukwa sichingabweretse zotsatira zomwe mukufuna. Ndipo zokhudzana ndi zovuta komanso zovuta zomwe zimachitika chifukwa chamankhwala osayenera kapena osakwanira, tanena kale mwatsatanetsatane.

Mayeso akudziwa

Ngati mukufuna kukumbukira kamodzi kapena kochepa komwe ziwiya zamatenda a atherosulinosis ziyesedwa, kuyesedwa komwe kumakhala ndi mafunso osavuta kungakuchitireni izi.

Ndi zotengera zamtundu wanji zomwe zingakhudzidwe?

• Arterioles,
• Zotupa
• Mitsempha yama cell ndi (minofu) yotanuka.

Kodi khoma la ziwiya limakhudzidwa ndi chiyani?

• Mkati
• Kunja
• Zakunja ndi zamkati.

Kodi ndi kusintha kotani kwa ziwalo komwe kungatheke ndi aortic atherosulinosis?

• Kupindika impso
• Mapangidwe amiyendo kumtunda,
• Kukhazikika kwa chiwindi.

Kodi sizomwe zimapangitsa kuti matendawa akule?

• Matenda a shuga
• Kusuta
• Kuwonjezeka kwa osachulukitsa lipoprotein (HDL) m'magazi.

Kodi ndi kusintha kotani komwe kumachitika ndi atherosclerotic nephrossteosis?

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

• Kukula kwa impso kumachepa,
• Pamaso pa impso pamaumbidwa bwino,
• Pamaso pake pamawoneka bwino.

Mayankho: 1-3, 2-1, 3-1, 4-3, 5-1.

Mitundu ya Atherosulinosis

Atherosulinosis ali ndi chithunzi chosiyana ndi zamankhwala. Zonse zimatengera mtundu wa atherosulinosis.

Matenda a mitsempha ya mitsempha ya m'magazi ndi chotupa cha minofu yamtima. Mukukula kwazizindikiro, kufunikira kwakukulu ndi:

• angina pectoris
• myocardial infaration
• kusokoneza mtima

Aortic atherosulinosis imabweretsa kuwonongeka kwa msempha. Pankhaniyi, kukulitsa kwa aortic kumawonedwa. Njira imeneyi imatha kudodometsedwa.

Vutoli ndi aortic aneurysm. Zomwe zikusonyezedwa ndikuphwanya chinthu chopumira ndi kumeza.

Matenda a mitsempha. Njira yowonongeka ku ubongo. Mwakutero - meninges. Zomwe, mosakayika, zimatha kudzetsa matenda a stroke.

Matenda a ziwongo za malekezero. Zitha kutsogolera mphamvu ya ziwalo. Kuletsa kugwira ntchito ndi njira zotupa.

Atherosulinosis, monga tafotokozera pamwambapa, amatha kugawidwa m'mitundu ingapo. Chipatala cha matendawa chimatsimikiziridwa kutengera kutengera momwe mchitidwewo ungathere.

Zizindikiro za matendawa ndi izi:

• angina pectoris
• myocardial infaration
• kukulitsa machitidwe,
• matenda oopsa
• kuvutika kupuma
• kuphwanya machitidwe a kumeza

Zizindikiro zonsezi, mwanjira iliyonse kapena zina, ndizodziwika bwino pazizindikiro zamatherosulinosis. Msempha umadziwika kuti ndi mtsempha waukulu.

Kuphwanya mtsinje waukulu kumabweretsa mavuto akulu. Mpaka kuphedwa.

Zizindikiro

Pali njira zambiri zodziwira atherosulinosis. Poyamba, ma anamnesis amasiyanitsidwa. Ichi ndichidziwitso chodekha. Zambiri zimaphatikizapo kudziwikiratu zamtsogolo.

Kachiwiri kudandaula. Tangoyerekeza khungu ladzuka. Kukumbukira kwamphamvu. Kuthamanga kwa magazi.

Kenako matenda a labotale. Magazi ndi mkodzo kumavumbula njira yotupa. Kafukufuku watsatanetsatane ndi biochemistry.

Kupenda kwamomwe magazi kumawonetsa kuchuluka kwa chinthu.

Kuyesedwa kwa magazi kwa cholesterol. Kutanthauzira chithunzi chazovomerezeka za atherosulinosis. Pankhaniyi, mafuta ochulukirapo amapezeka.

Kuyesa kwa magazi a Serological. Zimakhala ndi kudziwa ma antibodies omwe amapezeka mu matendawa.

Phunziro la electrocardiographic. Imawulula kuphwanya malamulo a mtima.

Kuzindikira kwa Ultrasound kumagwiritsidwanso ntchito ngati njira. Amatsimikiza kukhalapo kwa zodindira mumitsempha yamagazi.

Pesi x-ray. Zimawonetsa kusayenda kwa magazi. Makamaka m'matumbo amtima.

Akuluakulu

Atherosulinosis imakhudza anthu omwe ali ndi thupi lochulukirapo. Ambiri ali ndi zaka 45 mpaka 70.

Zambiri mwa amuna. Azimayi sangathe kuvutika. Ngakhale pakati pawo pamakhala zochitika zakusokonekera.

Chikwangwani cha atherosulinotic chimadziwika kuti chimapangitsa kupendekera kwa chotengera. Zomwe pambuyo pake zimatsogolera pakupanga kwa magazi.

Makamaka atherosulinosis imakhudza anthu achikulire. Izi zitha kuchitika kaamba ka zinthu zingapo:

• kuphwanya lipid kagayidwe,
• zolimbitsa thupi
• kuthamanga kwa magazi

Zinthu zonsezi zimatha kudwala. Mpaka pomwe kufa kwa chiwalo chofunikira. Tiyeni tinene mitima.

Matenda a atherosclerosis mu ana amatha kuchitika atakalamba. Malinga ndi ziwerengero, mpaka zaka 15. Kodi cholumikizira chofunikira ndi chiani popewa zotupa zam'mimba.

Makolo sangakayikire kuti izi zichitika. Popeza matendawa amakula pang'onopang'ono.

Ndikofunikira kutsatira njira zopewera. Mwakutero, sinthani zakudyazo. Mwanayo azidya zakudya zosavulaza.

Kuchuluka kwa chakudya kumabweretsa mavuto a metabolic. Kulemera mopindulitsa ndizinthu zoyipa. Izi zimathandizira kuti matendawa akule. Izi zikugwiranso ntchito kwa ana amakono. Ngati m'mbuyomu, atherosclerosis inali matenda a okalamba. Ana atherosulinosis ikupita patsogolo.

Njira zazikulu zakuchiritsira ndi ziti. Chithandizo cha atherosulinosis chikhala motere:

• maphunziro akuthupi
• kudya
• mafuta mafuta nyama
• masamba ndi zipatso
• mankhwala
• kudya vitamini

Ndikofunika kutsatira zakudya. Sinthani zakudya zanu mokomera mafuta azamasamba. Musachotse mafuta azinyama.

Masamba ndi zipatso ndizofunikira pakulowetsa zakudya m'thupi. Zomwe zimakhudza metabolism.

Mankhwala osokoneza bongo adzaphatikizanso kumwa ascorbic acid. Ndipo nthawi yayitali.

Kukonzekera kwa ayodini. Mwanjira ya tincture. Sayodin mapiritsi. Kugwiritsa ntchito methionine nthawi yayitali. Komanso choline ndi lecithin. Kudya mavitamini B12 ndi B6 ndikofunikira.

Atherosulinosis imatha kupewedwa. Ndiye kuti, kuyimitsa mapangidwe wamagazi. Imfa ya chiwalo chifukwa cha kuzungulira kwa magazi.

Matenda a atherosclerosis ndi abwino pankhani ya:

• moyo wathanzi
• kukonza mphamvu
• chithandizo chovuta

Ulosi wabwino ungaganizidwe. Koma zimatengera munthu. Ngati munthu ali ndi moyo wathanzi. Zimagwirizana ndi zakudya zoyenera.

Kudziwitsa bwino zinthu kumawonedwa pakagwa mavuto. Amatha kupha.

Mutha kuyimitsa njirayi mwachindunji. Mapilala mwina sangayambitse thrombosis. Ndikofunikira kokha kuti muwongolere machiritso.

Mwanjira zambiri, zotsatira zake zimatengera mtundu wa atherosulinosis. Ndiye kuti, kuchokera ku chitukuko cha ndondomekoyi.

Zotsatira zabwino kwambiri za aortic atherosulinosis. Koma pali zosiyana!

Zotsatira zoyipa zimawonedwa ndi zovuta zamagazi. Zomwe zimatsogolera ku imfa ya ziwalo ndi minofu.

Kutalika kwa moyo

Ndi atherosclerosis, chiyembekezo cha moyo sichimalephera. Zizindikiro zokha zomwe zimakhudza chidzalo cha moyo ndizotheka.

Mwachitsanzo, matenda amiseche amatha kuonekera m'njira zosiyanasiyana. Tiyerekeze kuchepa kwa kukumbukira ndi kusamalira.Komanso kusakhazikika kwa gait.

Atherosulinosis pamaso pamavuto. Kapenanso zotsatira zoyipa zimatha kupha. Ndiye kuti, necrosis ya ziwalo. Kodi chiwonetsero chazovuta kwambiri pamafayilidwe.

Zotsatira zake, chiyembekezo cha moyo chikuchepa. Munthu akhoza kufa. Khalani ndi moyo wautali ndikuthandizidwa pa nthawi yake! Izi zikuthandizani kuti mupeze nthawi komanso kupewa zovuta!

Limagwirira a mwadzidzidzi kufa kuchokera atherosulinosis

Atherosulinosis ndi amodzi mwa matenda ofala kwambiri padziko lapansi, okhudza mtima ndi mitsempha yamagazi ya ziwalo zina zofunika. Malinga ndi ziwerengero, anthu opitilira 17 miliyoni padziko lonse lapansi amafa chaka chilichonse chifukwa chaichi.

Ngati simukuyesetsa kupewa ndi kuchiza matendawa munthawi yake omwe amapewa 80% yaimfa, pakatha zaka 15, kufa ndi atherosulinosis ya mtima ndi mitsempha yamagazi kumakhudza anthu pafupifupi 23 miliyoni pachaka.

Zowopsa

Atherosulinosis imayamba pamene zinthu zingapo zoyipa zimakhudza thupi:

• Zambiri patsamba lino ndizongowatsogolera zokha ndipo ASATSOGOLA zochita!
• Mutha kuperekera EXACT DIAGNOSIS CHIKHALIDWE chokha!
• Tikukupemphani kuti musadzilimbikitse, koma lowani kwa katswiri!
• Zaumoyo kwa inu ndi okondedwa anu!

• kuchuluka kwa cholesterol ndi LDL (otsika kachulukidwe lipoproteins) m'magazi,
• kuthamanga kwa magazi
• kusuta
• kunenepa
• matenda ashuga
• kusowa zolimbitsa thupi, kusuntha pang'ono,
• uchidakwa
• Amuna, momwe chitukuko cha atherosulinosis chimawonedwa pafupifupi khumi zapitazo poyerekeza ndi azimayi,
• zaka zopitilira 60,
• chibadwire.

Anthu omwe ali ndi zinthu zambiri zoterezi amakhala ndi mwayi wopeza matendawa katatu kuposa omwe alibe.

Wopanda kupha

Ndi atherosulinosis, makoma amitsempha amawonongeka, akuwonetsedwa ndi kuphatikizika kwa lipids mkati mwake, kukula kwa minofu yolumikizana ndikupanga mapangidwe a atherosulinotic plaque omwe amachepetsa lumen wa chotengera, kusokoneza kayendedwe kazonse ka magazi ochepa.

Kuzindikiritsa kumapangidwa malinga ndi kuwonekera kwa kusokonezeka kwa ziwalo zamagulu m'thupi, mwachitsanzo, kuwonongeka kwa mitsempha yamtima kumayambitsa angina pectoris ndi kugunda kwa mtima, mitsempha yamitsempha yam'mimba ku ischemia yake ndi ischemic stroke.

Kukula kwa matendawa kumachitika modabwitsa kwa wodwalayo ndipo uku ndi kuperewera kwapadera kwa atherosulinosis. Makoma a zotengera amasintha pang'onopang'ono, ndipo zizindikiro za matendawa, mawonekedwe ake azachipatala, zimadziwika pokhapokha zolemba zikafika pang'onopang'ono.

Kodi zolembera zamatenda zimayamba bwanji?

Mukukonzekera mapangidwe a atherosclerotic plaque, khoma lamitsempha ndi milomo yoyendayenda m'magazi imatenga gawo.

Mitsempha yathanzi yathanzi ili ndi zigawo zitatu: endothelium ikulowetsa mkatikati, minofu ya ulusi yomwe ili pakatikati, ndi ma adventitia - gawo lakunja lomwe limakhala ndi minofu yolumikizira. Zingwe zama minofu ndi endothelium zimathandizira popanga ma atherosulinotic plaques.

Pa chimbudzi cha mafuta omwe amalowa mthupi ndi chakudya, pamakhala ma triglycerides ndi cholesterol. Amalowa m'magazi kuchokera m'mimba, ndikupanga mapuloteni otchedwa lipoproteins.

Pali mitundu itatu ya zinthu izi:

Pokhala ndi kukula kocheperako, HDL imangolowa mkati mwa khoma la chotengera, komanso kuyitulutsa. Kachigawo kameneka ka lipoproteins kali kotetezeka ndipo sikumayambitsa mapangidwe.

Magawo awiri otsalawa amadziwika ndi kukula kwakukulu komanso kusayenda pang'ono, kuwalepheretsa kusiya makoma amtsempha. Amakhudzidwa mwachindunji pakukula kwa matendawa.

Mothandizidwa ndi zinthu zovuta, mkati mwake mwa khoma la chotengera simutaya kachulukidwe ndi kutsika kwake, komwe kumapangitsa kuchuluka kwa lipoprotein mmenemo. Izi zimathandizira kukulitsa kwa minofu ya masanjidwe apakati komanso kusamuka kwawo kupita ku endothelium. Pang'onopang'ono, amasintha ndikuyamba kupanga minyewa yolumikizana, yomwe imapangira zolembera za atherosrance.

Mwadzidzidzi kufa kwa atherosulinosis

Mwadzidzidzi kufa kwa atherosulinosis yamitsempha yamtima nthawi zambiri kumachitika pamene zotupa za mitsempha ya m'mimba.

Matendawa ali ndi magawo atatu:

Magawo onsewa amatha kubweretsa kufa mwadzidzidzi, ndipo mpaka isanayambike, matendawa sangathe kudziwonetsa ngati kupweteketsa mtima.

Nthawi zina anthu omwe ali ndi mawonekedwe owopsa am'mitsempha, mapangidwe amisempha yamagazi ndi mabala owonjezera pamtima wamtima, amakhala nthawi yayitali, amakumana ndi ukalamba kwambiri, ndipo amafa chifukwa cha matenda ena.

Koma palinso imfa za achinyamata achichepere omwe matenda awo ali pachiwonetsero choyambirira, kuchuluka kwa malo omwe ali ochepa ndi komwe kumayambitsa kufa ndi kuphipha kwa mitsempha yamatumbo yomwe imakhudzidwa ndi iwo. Popeza m'magazi ang'onoang'ono othandizirana, omwe amatha kulipirira zovuta m'mitsempha yama coronary, sikokwanira, kufa msanga kumachitika.

Kutaya kowopsa kwa magazi muubongo (ischemic stroke) kumabweretsa chitukuko cha kuyang'ana kwa chinthu cha ischemic. Zimachitika pamene atherosulinosis imakhudza mitsempha yomwe imapatsa ubongo michere, ndi mapangidwe a magazi mkati mwake. Stroke nthawi zambiri imachitika ndi matenda oopsa.

Mawonetseredwe azachipatala

Ndi kuopsa kwa kuthamanga kwa magazi, mitundu iwiri ya atherosulinosis imadziwika:

• Kuchulukana kwa lumen kwa artery kumakhala kosakwana 50% ya mainchesi ake. Pankhaniyi, munthu sangathe kumva chilichonse chokhudza matendawa ndipo osafuna thandizo kuchipatala.
• Kusokonezeka kozungulira m'magazi ofunikira (mtima ndi ubongo) kumatha kuchitika mwadzidzidzi ndi mantha amthupi, kulimbitsa thupi kwakukulu, limodzi ndi kuwonjezeka kwambiri kwa kuthamanga kwa magazi, kukulitsa chiopsezo chodwala matenda a mtima kapena stroke.

Kutengera kwa zomwe zimakhudzidwa ndi zotengera zimatsimikizira mtundu wa atherosulinosis:

• atherosulinosis ya msempha,
• Mitima
• ubongo (umakhudza mitsempha ya brachiocephalic),
• zotumphukira (zowonongeka m'mitsempha yam'munsi),
• aimpso
• mesenteric (imakhudza matumbo am'mimba),
• generalized ndi multifocal - amawonetsedwa ndi kuwonongeka kofanana ndi mitsempha m'magawo angapo a thupi.

Ndikotheka kutenga pakati ndi atherosulinosis ndi zovuta zomwe zingakhale, werengani apa.

• Pali kuphwanya kayendedwe ka magazi mu minyewa yam'mimba yamtima, yomwe imayang'anira magazi ndi ziwalo zathupi lonse.
• Kuphwanya kwambiri ntchito yake, komwe kumakhala chifanizo chachikulu cha mtima, kumapha.

• Zizindikiro za matendawa zimatengera mulingo womwe zotupa zimachitikira.
• Ngati mtundu wa matenda siwosakhazikika, tinnitus akumva, kupweteka mutu, chizungulire, kusowa tulo, kukumbukira kwakanthawi kochepa kumafooketsa.
• Ndi stenotic mtundu wa atherosulinosis, thrombosis ya mitsempha ya ubongo ndi kukula kwa sitiroko kumachitika.

• Mwina chitukuko cha TIA - chosakhalitsa kuwukira.
• Ndi kusokonezeka kwakazungulira kwaubongo komwe sikubwera kuposa tsiku, momwe chizungulire, kupweteka mutu, kusokonezeka kwakanthawi kwa mawu, masomphenya, kufooka kwa minofu (paresis) kumbali imodzi ya thupi kumadziwika, kusanza kumatha kuchitika.

• Kufooka kwa kumva, masoka operewera, kuyeza (kuyenda modabwitsa pamene akuyenda), kumva kudzanja lamanja, komanso kutsekemera m'mimba kumawonjezera chizungulire komanso kupweteka kwa mutu.
• Minofu ya mkono wamtondowu, zilonda zam'mimba zitha kuwoneka, ndipo khungu louma pazala.

• Zimayambitsa matenda aimpso, omwe amadziwika ndi kuwonjezereka kwa kuthamanga kwazonse komanso kukakamira kwa diastolic.
• Ndi mesenteric atherosulinosis, kupweteka kwa msomali kumadziwika nthawi yayitali atatha kudya, kutulutsa, kudzimbidwa kapena chimbudzi chomasuka, kusanza kumatha kuchitika.
• Njira ya matendawa imatha kuvutitsa chitukuko cha matumbo.

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. Chowonekera chowonekera cha kusasamala kwathu kwa thanzi lathu lomwe ndi kuchuluka kwa matenda amtima ali aang'ono kwambiri. Mutu wa Laborator of Heart Surgery, Republican Science Science Practical Center "Cardiology", Doctor of Medical Science, Pulofesa, Chief Freelance Cardiac Surgeon wa Unduna wa Zaumoyo wa 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, nthawi yayitali yomwe anthu amakhala ku Belarus inali yodziwika kwambiri pakati pa anthu ena a Mgwirizano, ngati mulibe chidwi ndi anthu aku Caucasus. Komanso, moyo womwe anthu achi Belarusi ankakhala nawo nthawi imeneyo anali wosiyana ndi momwe anthu azungu 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. 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?

“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.

- Tidzaperekanso chiyani?

- Njira yopanga atherosulinosis, yomwe m'munsi mwake mumakhala zovuta kupanga - Kusinthana kwa cholesterol. Mwa anthu ena, atherosulinosis imakula msanga - 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 inshuwaransi yachilengedwe, kusowa kwa ntchito kumadzinenera 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 ndi njira yoteteza thupi yomwe imagwirizira kumenya nkhondo. 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. Zinthu zoterezi zimatha kuwongoleredwa mosiyanasiyana, ndipo 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 malowo 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 akuchitika pamaziko a dipatimenti yolingana ndi Belarusian Medical Academy of Postgraduate Education.

- Malo othandizira okhudzidwa ndi mtima amayenera kutenga gawo lina la odwala, komabe, ena mwa iwo adzafuna kulowa malo othandizira. 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 yolipiridwa 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
• Hemorrhagic stroke
• Thandizo loyamba la stroke
• Kubwezeretsanso kuchira pambuyo pa sitiroko
• Kupewa stroko
• Kodi mungatani kuti mukhale ndi chilema?
• Chithandizo cha stroko wowerengeka azitsamba
• Zakudya pambuyo sitiroko
• Zinthu zabwino kwambiri za 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.

Zomwe zimayambitsa ndi zizindikiro za atherosulinosis yamitsempha yamutu

Atherosulinosis ya ziwiya zamagetsi pakadali pano amadziwika kuti ndi mliri womwe wakhudza anthu okhala m'maiko otukuka kwambiri. Matenda obisika osachiritsika, omwe amayamba chifukwa chophwanya ma lumen a ziwiya zomwe zidapangidwa. Cerebral sclerosis yamitsempha yamagazi ndi chimodzi mwazifukwa zazikulu zomwe zikukhudzira kuchuluka kwa moyo wa anthu.

Zomwe zimayambitsa matendawa

Atherosulinosis ya ubongo imadziwika ndi kuchuluka kwa minofu yamkati yamitsempha yamagazi.Mafuta ophatikiza mafuta amaletsa minofu yam'mimba, makulidwe (mapangidwe) amapangidwa, omwe amatchingira kuwala kwa mitsempha. Zisindikizo ndizopangidwa ndi calcium ndi mafuta, njira yomwe idatsekedwa, imalepheretsa mpweya wabwino kupita kumalo ena ndi magazi.

Ngakhale gulu la zaka zomwe limakonda kwambiri matendawa ndi anthu azaka zopitilira 60, ziwerengero zikuwonetsa kuti matendawa amatha kupezekanso munthu ngakhale atakwanitsa zaka 40. Chifukwa chachikulu chomwe chimapangidwira zovuta zamaubongo zimawonedwa kuti ndikupanga cholesterol plaques mwachindunji pamakoma amkati mwamitsempha yamagazi. Pali zinthu zinanso zomwe zikudziwikiratu:

• gulu kuyambira azaka 60,
• chibadwa
• kuphwanya mafuta ndi chakudya
• kuchuluka kwa magazi,
• matenda a chiwindi ndi kunenepa kwambiri,
• zovuta zamaganizidwe amisala,
• moyo wolakwika ndi zizolowezi zoyipa.

Posachedwa, pakhala kuwonjezeka kwa atherosclerosis, komwe nthawi zambiri kumabweretsa kulumala ndi kufa, chifukwa chake, pamavuto amatendawa, funso limakhala ngati angati omwe ali ndi vuto laubongo.

Momwe mungadziwire matendawa pa nthawi yake

Kuphwanya cholesterol kagayidwe, makamaka zazikulu ndi sing'anga sitima kuvutika. Kuphatikiza pa kuchepa kwa lumen ndi kusowa kwa magazi m'mitsempha muubongo, pali ngozi yotseka chikhomo, kubwatika kwa ziwiya zing'onozing'ono ndikuwopseza moyo.

Chizindikiro chimodzi choyambirira ndi kupezeka kwa mutu wokhudzana ndi kuperewera kwa oxygen m'mitsempha ya muubongo.
Matendawa amadziwika ndi mutu wofiirira. Itha kukulira ndi kulimbitsa thupi, pakapita nthawi, ululu umakhalapo nthawi zonse. Ischemic matenda am'mimba amayamba. Zizindikiro zina zalembedwa:

• chizungulire, kulira m'makutu ndi kuwonekera kwa ntchentche.
• shaky gait ndi kusokonekera bwino kwa kayendedwe,
• nkhope yakutidwa ndi thukuta ndi mabala,
• kugona kosokoneza usiku ndikulota usiku
• kuyiwalika za zochitika zaposachedwa,
• kunjenjemera kwa mutu, manja.

Kusintha kwa mawonekedwe - kukayikira kochulukirapo, kuda nkhawa, kusweka, nthawi yomweyo kusokonekera ndikugona.

Kumayambiriro kwake, Zizindikirozo zimakhala zofatsa - kupweteka kwa mutu kwakanthawi, nthawi zina kutayika koyenera, khutu lochepa. Nthawi zambiri anthu amakhala osasamala ndi "zachinyengo" zoterezi. Pa gawo lotsatira, matendawa amakhudza psyche. Luntha, chidwi, kukumbukira kumachepa, kufooka kumawonekera, ndipo kulumala kumatayika.

Gawo lomaliza limakhudza kwambiri moyo ndi nthawi yake. Anthu amaiwala zinthu zoyambira (madeti, mayina, mayina a zinthu), sangathe kugwira ntchito. Digiri yachitatu ya mtima kupindika kumabweretsa kulumala, kugunda kwa mtima, stroko, kuchepa kwa mtima.

Chithandizo cha matenda a mtima

Matenda owopsa omwe amafunika chithandizo cha nthawi yayitali, chisamaliro chapadera komanso chisamaliro cha wodwalayo. Palibe mankhwala ponseponse pothana ndi matenda a atherosulinosis, mankhwalawa amakhala ndi mankhwala othandizira komanso physiotherapy.

Chithandizo cha physiotherapeutic - kutikita minofu, masewera olimbitsa thupi, kusambira kumawonjezera mamvekedwe a mtima komanso kusintha magazi. Mlingo wa njirazi zimatengera kuchuluka kwa kuwonongeka kwa mtima komanso kuchuluka kwa wodwala. Atherosulinosis ya mitsempha ya ubongo imapereka dongosolo lotsatira la chithandizo:

• kumwa mankhwala a statin kutsitsa cholesterol,
• mankhwala a vasodilator
• mankhwala okhala ndi ayodini
• mankhwala othandizira ubongo
• multivitamini kuphatikiza ma microelements.

Cerebral atherosulinosis imayamba chifukwa cha kupsinjika, nkhawa, kusakhala ndi malingaliro abwino. Moyang'aniridwa ndi dokotala, kusinkhasinkha ndi kusinasiyana kumasonyezedwa. Kuphatikiza apo, matendawa amafunikira kuwongolera thupi, kusuta, komanso kuthamanga kwa magazi. Kwa thanzi lake, wodwala ayenera kuzindikira kuti sayenera kudya zakudya zomwe zimakhala ndi mafuta ambiri.

Mutha kugwiritsa ntchito mankhwala ena wowerengeka:

• kudya tsiku lililonse supuni ya madzi a mbatata okonzekedwa kumene,
• ndibwino kumwa masamba azamasana masana,
• chisakanizo cha adyo wosankhidwa ndi uchi - supuni ya tiyi musanadye,
• muyenera kudya zambiri za anyezi zosaphika.

Zovuta ndi zotsatira za matendawa

Atherosulinosis yamitsempha yamagazi ya m'magazi ndi yowopsa chifukwa cha zovuta zake. Chimodzi mwa izo ndi matenda ammimba a ischemic. Zotsatira za mitsempha ya mitsempha ndi kuchepa kwa ntchito zamaganizidwe (dementia), kutayika kwa chidziwitso chogwiritsidwa ntchito kale komanso luso.

Zotsatira zamankhwala zimawonedwa ndi kukula kwa gawo loyamba kapena lachiwiri. Ngati matendawa wadutsa gawo lomaliza, matendawa ndi osauka. Paresis, kusazindikira, zolankhula komanso zovuta zimawonedwa.

Vutoli limafunikira chisamaliro chokwanira ndi kuyang'anira wodwalayo. Sizingatheke kudziwa kuti munthu wasiyira ndalama zochuluka motani kuti akhale ndi moyo. Matendawa amakhudza anthu okalamba, koma achichepere kwambiri samadwalanso. Pafupifupi 70% ya amuna ndi 40% ya azimayi amakhala ndi vuto la ubongo asanafike zaka 40. Ndipo wazaka 60 zapitazo, chiwerengerochi chimafika pa 100%. Chiyembekezo cha moyo chimatsika kwambiri, chiwopsezo chaimfa chimafika pa 58%.

Kukonzekera kwa atherosulinosis ya m'munsi malekezero

Kwambiri mankhwala a atherosulinosis obliterans a m'munsi malekezero monga mankhwala, kusintha kwa moyo, chithandizo cha zovuta ndi matenda ophatikizika. Nthawi zina, opaleshoni imalembedwa, mtundu wa zomwe zimadalira malo omwe zidawo ndi momwe matendawo aliri. Mu magawo oyamba, zithandizo zamankhwala zachikhalidwe zimakhala ndi njira yochizira.

Musanayambe chithandizo cha matenda aliwonse, muyenera kumvetsetsa zomwe apatsidwa ndi madokotala. Atherosulinosis ya ziwiya zamagawo akumunsi kumafunikira ubale womwewo.

Mankhwala omwe amamwa ndi atherosulinosis nthawi zambiri amagawika m'magulu angapo:

Madera Zinthu zomwe zimapezeka m'mankhwala a gululi zimatha kukhalabe ndi malire oyenera pakati pa thupi ndi mafuta oyipa omwe ali m'magazi. Ntchito yawo yayikulu ndikutsitsa cholesterol. Ma statins onse akufuna kutseka ma enzyme omwe amathandizira kupanga lipid mankhwala.

Gulu la mankhwalawa silingathe kuchotsa madongosolo omwe alipo m'makoma a mitsempha yamagazi, koma amatha kuyimitsa kukula kwawo ndikuletsa kupewa kufalikira kwa lumen.

Fibates. Mankhwala amafotokozedwanso kuti achepetse cholesterol, koma pokhapokha ngati ma statins adatsutsana pazifukwa zilizonse. Ziphuphu zimachepetsa kaphatikizidwe ka triglycerides, kukulitsa kuchepa kwa cholesterol ndikuletsa mphamvu yake.

ACE inhibitors amathandizira kuwongolera kuthamanga kwa magazi. Sachitapo kanthu kuti athetse vuto la atherosclerosis, koma pulumutsani wodwalayo ku zovuta, zomwe zimawonetsedwa ngati kugunda kwa mtima ndi stroko.

Beta blockers. Mankhwalawa amalembera matenda a ischemic limodzi ndi matenda oopsa, pakakhala nthawi yofanana.

Ma antiplatelet. Mankhwala omwe ali mgululi amagwiritsa ntchito magazi pang'onopang'ono, kuti magazi asamamatike kumapeto, potero amachepetsa lumen.

Kumwa mankhwala a atherosulinosis a m'munsi malekezero, muyenera kuwongoleredwa ndi chiwembu chokhazikitsidwa ndi dokotala. Kugwiritsa ntchito mankhwala osokoneza bongo nthawi zambiri kumapangitsa kuti mavuto azikhala ochepa. Zotsatira zake, magazi samadutsa m'dera lopapatiza, ndipo minyewa ya miyendo sidzaperekedwanso ndi mpweya.

Atherosulinosis ya m'munsi malekezero imayikidwa mu mapiritsi. Zotsika mtengo ndipo nthawi zonse zimagulitsidwa.

Simvastatin (Vasilip). Amatumizidwa mosasamala kuchuluka kwa cholesterol m'magazi.Amapezeka m'mapiritsi a 10, 20 ndi 40 mg. Zimalandiridwa kamodzi patsiku.

Mankhwala contraindicated mu mimba, chiwindi matenda. Kugwiritsa ntchito mosamala zakumwa zoledzeretsa, endocrine ndi majini. Kuphatikiza apo, statin sigwirizana ndi mitundu ingapo ya mankhwala ena.

Lovastatin. Mankhwala amagwira ntchito koyambirira kwa atherosulinosis, amatchinga kupanga cholesterol ndikuchepetsa kapangidwe ka triglycerides. Amapezeka mu 20 ndi 40 mg. Mapiritsi tikulimbikitsidwa kuti amwe ndi chakudya kuti ayamwa bwino. Landirani kawiri.

Contraindations ndi ofanana ndi a Vasilip. Sitikulimbikitsidwa kuphatikiza ndi maantibayotiki ndi ma antifungal agents.

Atorvastatin. Kubwezeretsanso malire osokonezeka pakati pa mankhwala a lipoprotein. Amatengedwa ndi kuwonjezeka kwapang'onopang'ono kwa mlingo.

Contraindified mu chiwindi matenda ndi matupi awo sagwirizana. Mankhwala sasokoneza ntchito ya impso.

Ramipril. Ndilo gulu la zoletsa. Mankhwalawa amagwira ntchito makamaka pakuthana ndi vuto la atherosulinosis. Mapiritsi amatengedwa nthawi iliyonse ndi chithandizo mosalekeza.

Contraindified mu aimpso kulephera ndi payekha tsankho.

Acetylsalicylic acid (yemwe amadziwikanso kuti aspirin) amachiritsa matenda a atherosulinosis a m'munsi omwe amakhala akugwiritsidwa ntchito mosalekeza pamiyeso yaying'ono yamadzimadzi amathandizira magazi. Mlingo watsiku ndi tsiku ndi 150 mg. Amatengedwa katatu patsiku.

Contraindication - bronchial mphumu, m'mimba thirakiti ndi matenda a chiwindi, komanso ziwengo kwa aspirin.

Clopidogrel (aka Plavix) nthawi zambiri amachotsa asipirini ndi zotsutsana kwathunthu. Idasankhidwa pambuyo pobwezeretsa kolimba. Amapezeka m'mapiritsi a 75 mg, omwe amaperekedwa kamodzi patsiku. Mankhwala ali ndi mtengo wokwera.

Mankhwala ochizira matenda ophatikizira amachepetsa zizindikiro za atherosulinosis zam'munsi zam'mphepete ndikuthandizira kuchira.

Ophera

Ndi atherosulinosis yamatumbo am'munsi, kupweteka kumachitika kawirikawiri. Pa magawo 3 ndi 4, amachitika mu nthawi yopumira komanso usiku. Kuti mugone mwamtendere, odwala amafunika kuchepetsa ululu kwakanthawi.

Pitani pazomwe zili

• Analgin - imathandizira kupweteka kwamitundu yonse, imathandizira kutentha thupi ndi minyewa.
• Ketorol - imathandizira kupweteka kwamphamvu iliyonse. Nthawi zambiri zotchulidwa pambuyo opaleshoni. Mlingo wa tsiku ndi tsiku sayenera kupitirira 40 mg.

• No-spa - amachepetsa ululu wamunthu. Amapezeka m'mapiritsi, makapisozi ndi jakisoni. Amaloledwa kutenga zosaposa 80 mg patsiku.
• Spasmalgon imapumula minyewa yam'mimba ndikuthandizanso kupweteka kwakanthawi kochepa. Ili ndi mndandanda waukulu wamatsutsa.

Ma painkiller a atherosulinosis a ziwiya zotsika sangatengedwe popanda kufunsa dokotala wa opaleshoni yamitsempha, popeza wodwalayo amakhala pachiwopsezo pozindikira kuyambika kwa minofu necrosis. Izi ndizovala osati kutayika kwa miyendo, komanso ndi zotsatira zakupha.

Mankhwala aliwonse a atherosulinosis a ziwiya zamagetsi amachepetsa thupi pakulimbana ndi matendawa. Kuthandiza ndi kupatsa mphamvu wodwalayo, madokotala amapatsa mankhwala mavitamini ndi michere yowonjezera:

• Mavitamini ochokera ku gulu B, C, E
• Folic acid
• Calcium (ngati kuunika sikumveka)
• Omega 3
• Zambiri za bromine ndi chromium

Omwe amatsatira mankhwala azikhalidwe amadziwa momwe angapangire mankhwala ochizira matenda am'mphepete mwa manja awo. Kuchiritsa decoctions ndi ma tinctures osakanikirana ndi njira zamankhwala zoyambira sizingangoletsa atherosulinosis, komanso kuthana ndi cholesterol plaques.

Mankhwala omwe amagwiritsidwa ntchito ngati atherosulinosis ya m'munsi yotsika imakhala ndi phindu pamapeto a matendawa ndikuletsa kupitilira kwa matendawa, potero amaletsa kukula kwa zovuta zazikulu.

Mafuta ogwiritsira ntchito mankhwala a atherosulinosis a miyendo angagulidwe muma pharmacies ambiri.

Kutikita minofu ndi miyendo ya m'miyendo kumathandizanso kuphipha komanso kuteteza miyendo kuti isapweteke.