Atherosulinosis yamitsempha yama manja: Zizindikiro ndi chithandizo

Kuti zitheke, madokotala adaphwanya atherosulinosis m'magawo: chifukwa chake amayang'ana magawo omwe amakhudzidwa kwambiri ndi kama. Gulu la matenda padziko lonse lapansi limaphatikizapo atherosulinosis ya msempha, mitsempha ya mtima, ubongo, matumbo, miyendo. Kwambiri kwalembedwa za iwo, ndipo samalabadira kwambiri matenda ngati atherosclerosis yamatumbo am'mphepete.

Kodi atherosulinosis ya malekezero ake ndi iti?

M'malo mwake, chotupa cha atherosclerotic chimayamba nthawi yomweyo m'mitsempha yonse yokhala ndi ulusi wa zotanuka m'magulu awo. Monga magawo osiyanasiyana amomwe magazi amasinthidwira amakhala ndi kusiyana kosiyanasiyana, ndichifukwa chake amatenga matendawa. Ndipo m'gawoli, atherosclerosis yamitsempha yam'mphepete yam'mimba imatenga malo ena, ngakhale siyikhala yodzipatula kwambiri.

Ngati kunali kotheka kuwona kusintha kwa khoma lamkati kuchokera mkati, ndiye kuti tikadatha kutsatira kusintha kwa magawo njira.

1. Masitepe a lipid ndi mikwingwirima kwenikweni sizimayambitsa kusokonezeka kwa magazi kwamatumbo am'munsi, chifukwa sasintha m'mimba mwake. Ili ndiye gawo loyamba la atherosulinosis, pomwe mafuta (makamaka "oyipa" cholesterol), mapuloteni ndi zovuta zake zimasonkhana khoma lamitsempha.
2. Mu fibrous zolengeza magawo kumera kwa mafuta okhala ndi mapuloteni amapezeka ndi minofu yolumikizana, kenako ndi ziwiya zazing'ono. Chikalacho chayamba kale kupendekera ndipo chimang'amba pang'ono. Ma fibrous mawonekedwe nthawi zambiri amawonekera m'malo opezeka magazi a vortex, i.e., m'magawo oyambira a mitsempha kuchokera ku zazikulu.
3. Gawo lotsatira ndilo atheromatosis - chifukwa cha kuwola kwa zomangira zomwe zasonkhana ndikukula khoma la mtima. Chikalacho chimalimba, mpaka kumapangidwe akunja a mtsempha, umalowetsedwa ndi maselo am'magazi, ndipo umamasuka. Koma chapamwamba, chosanjikizika chidakali chiwonongeko.
4. Mothandizidwa ndi kuthamanga kwa magazi, komwe kumakulirakonso chifukwa chakuchepa kwa lumen ya chotengera, chiwonongeko chobisika. Kuchulukitsa ndi gawo lina lovuta la atherosulinosis. Pankhaniyi, ma thrombotic misa amakakamira malo owonongeka a chigoba chamkati cha msempha, ndikuchepetsa kwambiri mulifupi mwake.
5. Gawo lowopsa kwambiri - kuyerekezera. Ndi iyo, laimu imayikidwa m'malo omwe akukhudzidwa, ndikupatsa chotengera mafupa osasinthika. Mitsempha yam'mphepete yam'mbuyo imasiya kale kuyankha moyenera kusintha kwa kuthamanga kwa magazi, imakhala yochepa, kuwala kwake kumachepa. Matenda a atherosulinosis amatchedwa obliterating.

Zombo za kumtunda kwakumaso zomwe zimakhala ndi zotanuka kukhoma zimaphatikizapo axillary ndi brachial. Nthambi zawo sizidyetsa tinthu tating'onoting'ono ta dzanja, komanso mafupa, kapangidwe ka mapewa ndi zolocha, mafupa ang'onoang'ono a zala zamanja. Chifukwa chake, kusintha komwe kumalumikizidwa ndi magazi osakwanira kumagwiritsanso ntchito mitundu iyi ya anatomical.

Atherosulinosis imadziwika kuti ndi matenda okalamba, koma magawo ake oyambawo amawonekanso mwa akhanda. Zowona, mtsogolomo, mawanga a lipid ndi mikwingwirima mwa ana amasintha. Akuluakulu, nthawi yakukhazikitsidwa kwa matenda ndi njira imodzi yokha ndipo zimadalira zinthu zambiri.

Zizindikiro ndi zoyambitsa kukula kwa matenda

1. Gawo loyambirira la matenda a atherosulinotic a malekezero enaake amtsogolo nthawi zina limayambitsa kukhudzika kwa mtima. Amawonetsedwa ndi kufera kwa zala mu nyengo yozizira kapena yonyowa, chifukwa minofu yamanja ndiyomwe ili kutali kwambiri ndi zotengera zazikulu.
2. Chifukwa chakuchepetsa pang'ono kwa kuwala kwa mtundu wina ndi zilembo zowoneka bwino, "mabelu" oyamba akuwonekera kale: manja amatha kutopa, amasowa msanga pamalo osakhazikika, akumva kulemera, komwe sikunadziwike m'mbuyomu.
3. Atherosulinosis ya ziwiya mu gawo la atheromatosis kale akuwonetseredwa ndi enieni zizindikiro za mpweya kufa kwa zimakhala za malekezero ake. Awa ndi dzanzi lomwe limawoneka ngakhale pakupumula, kutsika kwa kutentha komanso kuchepa kwamphamvu kwa khungu, kukokana kwakanthawi.
4. Njira yovuta ndikuzindikiridwa ndi chithunzi chowoneka bwino zamankhwala. Zizindikirozi zimachulukana komanso zimakulirakulira, zizindikiro za kusowa bwino kwa minofu ya mkono ndi mkono zimakhazikika - kuchepa kwa tsitsi, kupaka khungu, kuuma, kupatulira khungu ndikukhazikika, kuthinana ndikusunthika kwa misomali, zilonda zam'mimba zotupa zimatha.

Chovuta chachikulu cha matendawa ndi necrosis (gangrene) ya minofu yofewa ya kumtunda chifukwa chakutha kwa magazi mkati mwake. Zimaphatikizidwa ndi kupweteka kwambiri ndipo nthawi zambiri zimatha poyizoni wamagazi.

Kukhazikitsidwa kwa zinthu zakunja mu khoma lamitsempha kumachitika chifukwa cha kuchuluka kwa cholesterol "yoyipa" m'magazi am'magazi monga kuphwanya kuchuluka kwa mankhwala ake onse. Ndipo zomwe zimayambitsa ngozi ndi kupsinjika, kuperewera kwa zakudya, kusokoneza bongo. Atherosulinosis ndi matenda ena amawonetsedwa: zovuta zatsopano za lipid metabolism, matenda oopsa, matenda a shuga.

Pali njira zingapo zodziwira matenda omwe amathandizana wina ndi mnzake. Choyamba, madokotala amayesa njira zodziwira ntchito, kuti adziwe momwe zimakhalira pakuzungulira kwa minyewa yam'manja atagwira mwamphamvu miyendo yam'manja. Koma mayesowa sazindikira malo a stenosis. Chifukwa chake, njira zambiri zowonjezera zimagwiritsidwa ntchito: kusiyanitsa kwa x-ray ndi kuwunika kwa ziwiya zamanja, zowerengera za tomography, mphamvu yamagetsi yanyukiliya.

Kodi atherosulinosis ya ziwiya zam'mphepete mwake ndi chiyani?

Isolated atherosulinotic zotupa za zotumphukira zam'mphepete zimapezeka mwapadera. Madipatimenti ena ali ndi chiwopsezo chambiri kuposa zina zonse, zimatsimikiziridwa kale ndi mawonekedwe amtundu wa thupi. Malinga ndi ICD, ndichizolowezi kusiyanitsa zotupa zam'magazi zam'munsi.

Pathogenesis ndiko kupangika kwa cholembera chachikulu cha mkati mwa mtsempha. Kenako, minyewa yolumikizika imapangika mozungulira kukula kwa patali, komwe kumabowoleza kuwaluka kwa chotengera. Zomwe zimapangidwa ndimagazi, makamaka, mapulateleti pang'onopang'ono zimakhazikika pakukula. Chifukwa chake, pakupita nthawi, zolembera zamtundu wa atherosrance. Komanso, amapangika pamiyeso yambiri pamwamba pa khoma lonse lamitsempha.

Kukula kwa zophukazo kumayandikira pang'onopang'ono, ndiye kuti, kukuwopseza kutseka lumen ya mzere wamagazi, kusiya minofu yopanda chakudya. Kukula koteroko kwamatenda kumatha kupangitsa kuti mupeze matenda ofooketsa matendawa.

Izi zikutanthauza kuti chotengera chomwe chakhudzidwacho sichitha kuthanso magazi pazofunikira zake kuti zitsimikizire kuti zonse zikugwira ntchito. Kuzindikira kwa msewu wokhotakhota kumatsimikizira chithunzi cha matendawa.

Kuphatikiza pa kuzindikirika kwa kusokonezeka kwa magazi, zizindikilo zamavuto amkati mwa mitsempha, kutopa konse, komanso kuperewera kwa mpweya wa oxygen.

Zimayambitsa kusintha kwa atherosulinotic

Zomwe zimayambitsa zolembera kukhoma lamkati lamimba ndizosiyanasiyana. Amapezeka m'mitundu yosiyanasiyana.

Zomwe zimayambitsa matenda a atherosclerosis atha kuchita:

• kunenepa
• matenda amtima
• matenda ashuga
• kusuta
• uchidakwa
• lipid kagayidwe kachakudya,
• kakhalidwe
• zovuta zomwe zimaphatikizidwa ndi izi pamwambapa,
• zonyansa zamtundu.

Kudya kwamafuta ochulukirapo ndi chakudya chamagulu m'thupi ndi chakudya kumatsogolera ku kudzikundikira kwa minofu ya adipose osati mu malo wamba, komanso pamakoma a mitsempha. Ichi chimakhala chinthu chofunikira kwambiri pakupanga atherosulinosis, yomwe imasokoneza njira ya matenda a minofu yayikulu ya thupi.

Mtima womwe umagwira ntchito ndi zovuta, kuthamanga kwa magazi limodzi ndi hypercholesterolemia (lipids yamagazi ochuluka) kumapangitsa kukhoma kwa mtima kukhala kolimba. Amakula ndi minofu yolumikizana, imatha kuchepa kuthamanga, kuthamanga kwa magazi.

Matenda a shuga ndi matenda oopsa omwe amakhudza ziwiya zathupi lonse. Miyendo ndi ziwalo zam'maso ndizovuta.

Izi zimakulitsa chiwonetsero cha kuchipatala cha kuwonongeka m'magazi. Zizindikiro za atherosulinosis ya miyendo yakumtunda sizolimba, koma amathandizira wodwalayo kukhala ndi moyo wabwino.

Kusuta fodya, uchidakwa, moyo wosakhala ndi masewera olimbitsa thupi okwanira, kudya moyenera posakhalitsa ndizomwe zimayambitsa mawonekedwe a mtima wam'magazi, matenda a mtima, kukula kwa kusintha kwa ma atherosselotic m'mizere yamagazi.

Zizindikiro za matendawa

Kukula kwa matenda azizindikiro zamatenda kumachitika pang'onopang'ono. Ndikotheka kukhazikitsa milingo ya chikondi cham'mimba chamtundu womwe uli ndi mgwirizano wokwanira wokwanira. M'pofunika kufufuza mozama pogwiritsa ntchito njira zamakono zothandizira kuzindikira matenda.

Iwo amavomerezedwa kuti azisiyanitsa magawo angapo a matendawa, omwe amadziwika ndi kuphatikiza kwasinthidwe am'chipatala ndi matenda:

• Gawo loyamba limalipiriridwa. Mawonekedwe samawonedwa, kupatula kuzizira kwina kwa manja kuzizira, kuwonjezeka kwa chidwi ndi kutentha kochepa. Pa mulingo wa minyewa, kusintha kumachepera pakuwoneka kakulidwe kakang'ono pakhoma lamitsempha, komwe sikungolowa pakubowoka kwa chotengera.
• Gawo lachiwirili limalipilidwa. Izi zikuwonetsedwa ndikuwonjezereka kwa kuzizira, kutsika kwa kutentha, kuchepa kwa chidwi cha zala zamanja, pomwe miyendo yam'mwamba imatopa msanga mukamagwira ntchito zolimbitsa thupi. Khoma lamitsempha limakhuthala, shafa la pulateleti limapangidwa pathanthwe, lumen imakhala yochepetsedwa.
• Gawo lachitatu lachitukuko cha kusintha kwa ma pathological amadziwika ndi kuwonongeka kwakukulu pakutha kuchita kayendedwe kosavuta ka miyendo yakumtunda, khungu la manja, mikono yakutsogolo imakhala yoonda, mtundu wa khungu umapeza kuwala. Ululu, paresthesia, dzanzi, limakwiyitsa wodwalayo popumula, nthawi yopumula usiku, yomwe imatsogolera kuchuluka kwa mantha, kuchepa kwamphamvu. Pakadali pano, kuunikira kwa chotengera kuli pafupi kutsekeka kwathunthu, ochepa magazi okha ndi omwe amatha kuthana ndi chopingacho. Danga la dzenje ndilosagwirizana, lomwe limabweretsa zovuta pakubwera kwa magazi. The innervation imasokonekera, yomwe imalimbikitsa kukula kwa zizindikiro zamitsempha.
• Gawo lachinayi la matendawa limadziwika ndi chiwonetsero chachikulu chachipatala, kukula kwa masinthidwe am'magulu achifwamba, kufa kwawo, ndikotheka. Cyanosis ya pakhungu imatchulidwa, malekezero ndi ozizira kukhudza, chidwi chimachepetsedwa momwe mungathere, kulumala kumakhala kutayika kwathunthu, ndipo zilonda zam'mimba zimatha kukhazikika. Mitsempha yomwe yakhudzidwa ndi atherosulinosis pakadali pano ilibe kutsimikiza kwa kayendedwe ka magazi, komwe kumabweretsa mawonekedwe. Necrotic foci ndi kuwonongeka kwa mphamvu.

Kuthamanga kwa gawo lina kupita kwotsatira kumatengera zifukwa zambiri zomwe zimakhudza thanzi la wodwalayo: Matupi obadwa, moyo, chakudya, kupezeka kwa zizolowezi zoipa, zolimbitsa thupi.

Mtima atherosulinosis ya malekezero: zizindikiro ndi chithandizo

Matenda a atherosulinosis ndi omwe amachititsa kwambiri kuti asadwale kwambiri chifukwa cha matenda ena apamwamba. Ichi ndichifukwa chake zizindikiro ndi chithandizo cha matenda a atherosulinosis a ziwiya zam'mphepete mwazomwe zimafunikira kuyankha mwachangu komanso chithandizo chachikulu.

Kuchepetsa kapena kuletsa zomwe zimachitika chifukwa cha njira ya atherosselotic kumachepetsa kutuluka kwa magazi mpaka kumtunda pakulimbitsa thupi kapena kupuma. Kuwonekera kwa zizindikiro kumawonekera, kuuma kwa zomwe zimatengera kuchuluka kwa kutengapo gawo komanso kufalikira kogwirizana.

Chifukwa chake, Zizindikiro zimatha kukhala kupweteka mpaka kupuma movutikira pakukoka mkono, kufinya zinthu zazing'ono m'manja, komanso poyesera kuchita masewera olimbitsa thupi.

Arteriosulinosis ya malekezero ndi matenda amitsempha omwe amachititsa kuti mitsempha yotupa isamachepetse komanso kuimitsa magazi. Izi zimachepetsa kuyenda kwa magazi, komwe kumatha kuwononga mitsempha ndi minyewa ina.

Popita nthawi, thupi limayamba kusuntha magazi kuchokera ku miyendo (mikono, miyendo) ndi khungu kupita kumagawo ena a thupi, monga pachifuwa ndi pamimba.

Zinthu zilizonse zachilendo zomwe zimapezeka m'ziwalo ndi minofu ya thupi zimabweretsa zosokoneza mu zoyambira zathupi.

1. matenda a mtima
2. nyamakazi
3. kuumitsa minofu ya thupi ndi mitsempha,
4. calcium calcium muma.

Ndiye chifukwa chake atherosulinosis ya malekezero oyamba ayenera kuyambitsidwa kuchitidwa mwachangu, ndipo chifukwa cha izi muyenera kusiyanitsa pakati pa zisonyezo za nthendayo ndikudziwa chithandizo chomwe chiri chothandiza kwambiri.

Njira zochizira matenda a manja

Matendawa ndi osavuta kuwapewetsa kuposa kulandira chithandizo chotsatira zotsatira zake. Kuti muchite izi, muyenera kutsatira zotsatirazi:

• kuchita masewera
• Idyani moyenera
• lekani kumwa mowa ndi kusuta ndudu,
• kulimbitsa chitetezo cha mthupi
• kuthana ndi kupsinjika
• onjezani kukana kwa mitsempha pazotsatira zakukwiyitsa,
• pereka nthawi yogwira ntchito masana,
• limbikani mtima kuti muchepetse kunenepa.

Zida zosavuta izi zithandiza kupewa kuyambika kwa matenda oyamba ndikuchepetsa chiopsezo cha zotsatira zoyipa. Mukayamba kutsatira izi poyambiranso, ndiye kuti chiopsezo cha mapangidwe a atherosselotic plaque pamakoma a ziwiya zathupi chimachepetsedwa.

Ngati matendawa sakanatha kupewa, ndiye kuti mankhwalawa atherosclerosis a ziwiya zapamwamba akuyenera kuchitika pokhapokha kuyang'aniridwa ndi dokotala, kuchita mosamala nthawi zonse.

Njira yofikira

Ichi ndi mankhwala osokoneza bongo omwe amagwiritsa ntchito ma statins - mankhwala omwe amachepetsa kuchuluka kwa lipids ndi cholesterol yamagazi, mtima othandizira, ma enzymes, mavitamini, analgesics a ululu.

Gawo lofunikira ndi antiplatelet agents, othandizira a thrombolytic ndi mankhwala omwe amachepetsa mamasukidwe amwazi, kukonza zake rheological.

Opaleshoni

Chithandizo chamtunduwu chimafotokozedwanso ngati njira zosasamala sizipereka mphamvu yayikulu kapena opaleshoni ndiyofunikira pazifukwa zofunika. Pali mitundu ingapo ya kuchitapo kanthu opaleshoni yomwe ingachepetse mkhalidwe wa wodwala kapena kupulumutsa dzanja.

Kusankhidwa kwa izi kapena mtundu wina wa chisamaliro chodalirika kumadalira kuchuluka kwa kuwonongeka, kutanthauzira kwa atherosulinotic node, munthu payekha, zokhudzana ndi zaka za wodwalayo.

Nthawi zambiri amagwiritsidwa ntchito:

• sympathectomy - amathandizanso ochepa kuphipha, kusintha mafupa a mitsempha,
• angioplasty - bwezeretsani mtima m'malo
• opaleshoni yodutsa, anastomosis - kupanga njira yopanga njira yodutsa magazi,
• endarterectomy - kutsegulidwa kwa mtsempha waukulu, kuchotsa kwa kukula kwa pathological ndikusungidwa kwa magazi.

Kuchita opaleshoni pazigawo zapamwamba ndi gawo lowonjezera, nthawi zambiri limagwiritsa ntchito chithandizo chamankhwala.

Chithandizo cha anthu

Pali njira zina zochiritsira zosagwiritsidwa ntchito masiku onse: mankhwala othandizira zitsamba ndi mbewu zomwe zimathandizira kagayidwe kachakudya, pomwe amachepetsa cholesterol, ali ndi mavitamini ndi zinthu zina zomwe zimagwira magazi zomwe zimapangitsa magazi kulowa m'chiwalo chathanzi, mthupi lonse.

Mphamvu yabwino, yolimbikira imapangidwa pamaziko a infusions za ma chestnut, mafuta. Mothandizika ndi zina zotsekemera zimatulutsa udzu womata. Pamafunika kusonkhanitsidwa pakungogwa kokha, inali panthawiyi kuti kapangidwe kake kamakhala ndi kuchuluka kwa mankhwala a anticholesterol.

Kugwiritsa ntchito maphikidwe a njira zina zochizira, kupewa, kukonza moyo wanu, motsogozedwa ndi malangizo a madokotala, mutha kupewa zovuta zomwe zingasokoneze ziwongo za ziwongo zam'mphepete.

Zotengera zomwe zimakhudzidwa

Mapangidwe a atherosclerotic nthawi zambiri amapezeka mu subclavian artery. Chotengera chotumbirachi chimatuluka mu msempha ndipo chimadyetsa mutu, mtima ndi mikono. Malinga ndi ziwerengero, mu 2% ya milandu pali kuphwanya koyenda kwamagazi mbali zonse ziwiri. Nthawi zambiri, izi zimachitika kumanzere. Kuchepetsa kwa lumen kumabweretsa mawonekedwe a kubwereranso kunja ndi chitukuko cha "kuba matenda" ndipo kumayendetsedwa ndi kuchuluka kwa manja ndi vuto la vertebrobasilar. Zomwe sizifala kwambiri ndizodzilekana kwapadera kwa zombo zazing'ono kutsogolo, mkono ndi dzanja.

Zofunika! Mwapang'onopang'ono, mpweya ndi michere ku miyendo yakumtunda zimachokera pachigamba cha brachiocephalic, koma mwa kuphwanya magazi komwe kumayambira, zizindikiro zamitsempha zimayamba.

Zizindikiro zake

Atherosulinosis ya malekezero amadzionetsera ngati zizindikiro zopanda pake, zomwe zimatengera gawo la matenda:

1. Poyamba, kutsika pang'ono kwa magazi kumadziwonetsera pang'onopang'ono kapena osazindikira. Nthawi zina munthu amamva kuzizira mu zala kumbali ya chotupa, amalolera kuzizira kwambiri.
2. Pang'onopang'ono, vutoli limakulirakulira, kupweteka m'magawo amkati kumawonekera, kuphwanya kwakanthawi kochepa mu mawonekedwe a kuyabwa, nyerere zosenda kapena kuwotcha. Amachulukitsa ndi katundu pa dzanja kapena pa tulo.
3. Mafuta am'madzi atatseguka ndi oposa 50%, kutha kwa atherosulinosis kumachitika, ndipo dzanja limazizira ngakhale pamtunda wabwinobwino. Zomverera zosasangalatsa zimawonjezeka ndikuchoka kuchokera ku zala ndi manja mpaka kumanja ndikukhala okhazikika, zosokoneza zonse panthawi yolimbitsa thupi komanso pakupuma. Zochita zomwe zimafunikira kugwiritsa ntchito maluso abwino oyendetsa galimoto zimachitika movuta kwambiri (kulumikiza mabatani, kulemba, kumangiriza mashelefu). Misomali imakhala yosakhwima ndikusweka, tsitsi limayamba, kupindika kwa minofu ya munthu wina.

1. Gawo lotsiriza likuwonetsedwa ndi zilonda pamanja, kutupa kwambiri ndi mawonekedwe a madera a necrosis, khungu limakhala cyanotic. Pali kulemala kwathunthu. Njira yonyalanyaza ya atherosulinosis imabweretsa kufunika kwa kuduladula chiwalo kapena kufa kwa wodwalayo chifukwa cha kukula kwa vuto lachiberekero.

Upangiri wa Dokotala: momwe ungayikire matenda

Pofuna kupewa opareshoni, chithandizo ndi kupewa kupitirira kwa atherosulinosis a miyendo yakumayambiriro koyambirira kuyenera kuyambitsidwa. Ndikufuna kulimbikitsa kulumikizana ndi dokotala nthawi yomweyo ngati pali vuto limodzi la magazi mu dzanja:

• kupweteka ndi kusasangalala kwa zala ndi manja, komanso m'dera la chotengera.
• khungu, kutayika kwa khungu,
• pomwe kupanikizika kumasintha, kusiyana kudzanja lamanja ndi lamanzere ndizoposa 20 mm RT. Art.,
• maonekedwe a khunyu, omwe amakula mphamvu zolimba.
• Hypersensitivity kuzizira kapena kutentha kwambiri,
• kuwonongeka kwa chikhalidwe cha misomali ndi tsitsi pamanja,
• kuphwanya zamkati, kuyabwa, kuwotcha kapena kukwawa pakhungu,
• kufooka kwa minyewa m'mbali mwendo,
• kutopa pakuchitika kwa zochitika wamba zomwe m'mbuyomu sizinayambitse zovuta.

Kuzindikira ndi mayeso

Kuti mupeze matenda a atherosclerosis, kuyezetsa odwala kumachitika. Nthawi zambiri ndimapeza pomwe zomverera ndi kusintha koyamba zimawonekera. Ma neurological pathologies nthawi zambiri amatsagana ndi zizindikiro zofananira, koma nthawi zambiri amakula pakanthawi kochepa.

Kuyambira pomwe imayamba kuyikika kwa cholesterol kukhoma kwa chotengera komanso mpaka chizindikiritso cha matendawa, zaka zingapo zitha, motero muyenera kumvetsetsa kutalika kwa matenda.

Khungu pakhungu lomwe limakhudzidwa limapindika kapena kupindika poyerekeza ndi dzanja labwino, kumazizira kwambiri kukhudza. Pa iyo, zimachitika kuti zimamveka zochepa, kuthamanga kwa magazi kumatsika. Pempho loyimirira kwa mphindi zitatu, ndikukweza dzanja limodzi pansi, sizingatheke kwa wodwalayo. Kuyesa kwamitsempha kumawonetsa kuchepa kwa chidwi.

Kuyesa kwa labotale kwa atherosulinosis kukuwonetsa kuchuluka kwa cholesterol, triglycerides ndi lipoproteins yotsika. Thandizo lowonjezera lazidziwitso limaperekedwa ndi njira zothandizira:

1. Kusintha kopanga. Sizothandiza pankhaniyi, koma zimatha kutsimikizira kukhalapo kwa "kuba matenda", ndiko kuti, kukhalapo kwa njira yosinthira yotaya magazi.
2. MRI kapena CT. Chitani chithunzithunzi chokwanira ndi chotupa ndipo chimagwiritsidwa ntchito kuti mupeze kufunika ndi njira yochizira.

Mankhwala

Nthawi zambiri ndimalimbikitsa magulu otsatirawa a mankhwala oti mugwiritse ntchito:

• ma statins - amachepetsa cholesterol poletsa mapangidwe ake mu chiwindi (Atorvastatin, Rosuvostatin, Simvastatin),
• antiplatelet othandizira ndi thrombolytics kuteteza mapangidwe magazi ndi kuphatikizika kwathunthu kwa malo amachepetsa mtsempha wamagazi,
• zotupa zoteteza magazi kutulutsa magazi ndi kuthetsa kuphipha,
• ma analgesics kapena novocaine wa blockade wamba ndi ululu waukulu.

Kodi opaleshoni ndiyofunikira liti?

Angioplasty yokhala ndi kununkha imathandizira kubwezeretsa ochepa lumen. Kuti muchite izi, catheter yokhala ndi cholembera chimatumizidwa ku chotengera chomwe chimakhudzidwa, momwe mumakhala kachipangizo kenakake kokhazikika kamene kamayikidwa pamalo ocheperako, kumalimbitsa khoma ndipo sikuloleza kuti ligwe. Mtengo ku Moscow pantchito iyi umachokera ku ma ruble 55 mpaka 150,000, pomwe mtengo wa stent umakambirana padera.

Opaleshoni yofunika kwambiri ya pathogenetically ndi endarterectomy, pamene zolembera zimachotsedwa ndi gawo lakelo lamkati la chotengera komwe kuli. Mtengo wa kulowererapo uli m'makliniki osiyanasiyana a likulu kuchokera ku 49 mpaka 140 rubles.

Mfundo za njirayi zimawonekera bwino pachithunzichi:

Opaleshoni yam'mimba imaphatikizanso kukhazikitsa Workaround kuti magazi azisintha. Nthawi zambiri imagwiritsidwa ntchito pamitsempha yama coronary, koma imakonda kugwiritsidwa ntchito pochotsa ischemia pazowonjezera. Mtengo wa opaleshoni yotere umatha kusiyanasiyana ndi ma ruble 14 mpaka 21,000.

Kuchita kulikonse kwa atherosulinosis sikuchotsa chomwe chimayambitsa matendawa. Ngati simumamwa mankhwala kuti muchepetse cholesterol, pitilizani kuvutitsa kusuta ndi zakudya zamafuta, malo atsopano amatha kuwoneka ndi magazi osayenda.

Phunziro muzochitika: chifukwa chake muyenera kuti mugwiridwe ntchito pa nthawi yake

Ndikufuna kunena nkhani yosangalatsa kuchokera machitidwe anga. Mwamuna wazaka makumi asanu ndi limodzi mphambu zisanu ndi zisanu ndi chimodzi adabwera ndi madandaulo ozizira dzanja lamanzere, kupweteka ndikuwotcha pamphumi, chizungulire, kukomoka. Pakufufuzidwa, zizindikiro za atrophy, khungu la khungu, kuphwanya kapangidwe ka misomali ndi kusowa kwa mawonekedwe a tsitsi zidawonedwa. Kugundika kumakhala kofooka kumiyendo yonse, kumanzere ndi mafilimu, kukakamiza kwa mkono womwe wakhudzidwa ndikumakhala kwamtunda wama 30 pansi.

Atamuunika komanso kuwafunsa mafunso, zidapezeka kuti chaka chapitacho, wodwalayo adapezeka kuti ali ndi matenda a atherosulinosis a subclavian artery, ndipo adamupatsa mankhwala omwe sanatenge nthawi yayitali. Nthawi yomweyo, opaleshoni idalimbikitsidwa kuti ibwezeretse magazi (omwe anali ndi vuto), omwe adakana. Zotsatira zake zinali kuyipa kwa minofu ya mkono. Pakadali pano, wodwalayo akukonzekera kulandira chithandizo cha opaleshoni kuti apewe necrosis ndikudula.

Zotsatira zotsatirazi zinagwiritsidwa ntchito kukonzekera.

Zizindikiro zamatendawa

Zachidziwikire, mtima wa atherosclerosis wam'mphepete mwamtunda uli ndi zizindikiro zake. Chifukwa chakuti mitsempha yaying'ono imasokoneza kayendedwe koyenera ka magazi kupita ku minofu, chifukwa, izi zimayambitsa kuwonongeka kwa ziwalo zamanja.

Ululu wopweteka umawonekeranso, makamaka mukamasuntha ndi dzanja. Ichi ndiye chizindikiro chachikulu kapena chimodzi mwazizindikiro za matendawa. Ngati arteriosulinosis ili m'manja ndi mbali zonse, kulimba kwa zizindikirazo kumakulirakulira.

Kuphatikiza apo, zizindikiro zotsatirazi zikuwonekera:

• kusasangalala kapena kupweteka m'manja,
• kupindika m'manja kapena manja onse nthawi imodzi,
• kumva kuwawa
• kumverera kofooka
• chizungulire
• mutu
• kupweteka m'dera lumbar.

Ndikothekanso kusintha mtundu wa nthambi. Zizindikiro zonsezi nthawi zambiri zimatha pambuyo pochita masewera olimbitsa thupi apadera. Mwachitsanzo, gulu ili la odwala likulimbikitsidwa kuchita masewera olimbitsa thupi, kapena kuyendera dziwe pafupipafupi.

Kuti mupeze chithandizo choyenera chamankhwala, ndikofunikira kufufuza moyenera matendawa. Mwachitsanzo, pakuyesa, katswiri wazachipatala angapeze phokoso kumtunda kwa dzanja pamwamba pa mtsempha, kuyesedwa kwamtunduwu kumachitika pogwiritsa ntchito stethoscope. Kuchepetsa kuthamanga kwa magazi mu chiwalo chomwe chakhudzidwacho kungapezekenso.

Kuphatikiza apo, akuti:

1. Kuchepetsa kapena kusowa kwa mtima m'miyendo kapena kumapazi.
2. Kuyesedwa kumatha kuwonetsa cholesterol yayikulu.

Kuphatikiza apo, ubale wamisala umapezeka pakati pa kuthamanga kwa magazi kwa chidendene ndi phewa - cholowera chakumaso / phewa kapena angiography yamitsempha m'miyendo.

Zida za mankhwalawa atherosclerosis a malekezero apamwamba

Chithandizo chimayang'ana pochepetsa zizindikiro komanso kukonza magazi. Anthu ena omwe ali ndi matenda otupa a m'mitsempha angafunike kuchotsedwa manja. Kuchulukitsa kumadula kwambiri pakati pa anthu aku America ku America ndi ku Spain.

Njira zina zopangira opaleshoni zimaphatikizanso balloon angioplasty - njira yofananira yomwe imagwiritsidwa ntchito kutsegula mitsempha ya coronary, koma yochitidwa pamitsempha ya magazi ya chiwalo chathanzi.

Izi zitha kutsatiridwa ndi kuphatikizika kwa stent, chithandizo cha laser, kapena njira zina zochiritsira.

Ndikofunikanso kuchita masewera olimbitsa thupi moyenera ndi kupuma. Kuyenda pafupipafupi kapena kuchita masewera olimbitsa thupi apadera. Popita nthawi, magazi amayenda bwino ngati mawonekedwe atsopano, ang'onoang'ono amitsempha yamagazi. Ndi beta blockers, kufalikira kwa magazi m'miyendo kumachepa.

Ndikofunika kudziwa kuti kusuta kumachepetsa mitsempha, kumachepetsa mphamvu ya magazi kunyamula mpweya komanso kumawonjezera chiopsezo cha kuundana --LRB-clots and embolism -RRB-. Kusamalira thanzi lanu ndikofunikira kwambiri ngati mwapezeka ndi matenda a shuga.

Pankhaniyi, muyenera kulabadira kudula kulikonse, zipsera kapena kuvulala. Ayenera kugwiridwa molondola komanso maonekedwe awo ayenera kupewa. Zingwe zimachira pang'onopang'ono ndi kuchepa kwa magazi ndipo zimayambira kutenga kachilomboka.

Ngati cholesterol ndi yokwanira, zakudya zomwe zimakhala ndi cholesterol yochepa komanso zakudya zamafuta ochepa ziyenera kudyedwa.

Malangizo azithandizo

Chithandizo chamankhwala nthawi zambiri chimangoganiza zothandizanso kutsegula. Komabe, njira zomwe zimachepetsa kuchepa kwa matenda a atherosulinosis, mosiyana ndi njira zosavuta zochizira, ndizothandiza kwambiri.

Mankhwala osagwiritsa ntchito mankhwala nthawi zambiri amakhala chithandizo choyambirira, monga kusiya kusuta fodya komanso kuchita masewera olimbitsa thupi nthawi zonse.

Ngati njirazi sizigwira ntchito, mankhwalawa nthawi zambiri amakhala njira yotsatira yochizira matenda amtima ndipo, ndikusintha, akukhala njira yogwira mtima kwambiri pakapita nthawi.

Chinsinsi cha njira zopindulitsa kwambiri ndikuphatikiza njira zingapo zingapo zamankhwala. Arteriossteosis, kapena "kuumitsa mitsempha," nthawi zambiri imakhudza miyendo. Kutsekeka kwamitsempha kungapangitse kutsekeka kwathunthu kwa chotengera. Makoma a mtima amakhala osakhazikika ndipo sangathe kutseguka kuti apereke magazi ambiri ngati kuli kofunikira, monga pa maphunziro.

CT coronary angiogram imathandizira kutsika kwamitsempha m'mitsempha pambuyo pa utoto wa jekeseni wamkati. Kuyika kwa calcium mumakoma a mitsempha kumathandizira kuchepetsedwa komanso kuwuma.

Awa ndi matenda ofala, nthawi zambiri amakhudza amuna achikulire kuposa zaka 50. Anthu amakhala pachiwopsezo chachikulu ngati ali ndi mbiri kapena mbiri yakale, komanso:

• matenda ashuga
• matenda a mtima
• matenda amtsempha wamagazi
• kuthamanga kwa magazi
• matenda a impso, hemodialysis,
• matenda amisala.

Chiwopsezo cha kuchuluka kwa mchere wa calcium chimawonjezeka ngati atherosulinosis yomwe ikupita patsogolo imakwiyitsa matenda amitsempha ndi stroko.

Zomwe Zimayambitsa Matenda

Vuto la mtima lam'mphepete mwamagetsi lingakhale chizindikiro cha zotumphukira za matenda oyambitsidwa ndi atherosulinosis.

Pankhaniyi, ndikofunikira kwambiri kudziwa momwe chotengera chilili, ndikuchotsanso mwayi wokhala ndi vuto la atherosclerosis.

Muyenera kuyesa kuchepetsa zomwe zingayambitse matenda.

Zoyipa za atherosulinosis zimaphatikizapo:

1. Kusuta.
2. Mafuta akulu kwambiri.
3. Kuthamanga kwa magazi.
4. Kunenepa kwambiri.
5. Mbiri ya banja yodwala mtima kapena matenda a mtima.

Dokotala wa opaleshoni ya mitsempha amayesa kudziwa ngati wodwala akudwala matenda amitsempha yakumanja, komanso akupereka njira yabwino kwambiri yothandizira.

Nthawi zambiri, dokotala wamankhwala ochita opaleshoni amatha kufunsa mafunso monga:

• kuchuluka kwa thanzi
• mbiri yakale ndi iti?
• kukhalapo kwa zizindikiro zamakhalidwe.

Komanso, katswiri azichita zoyeserera. Funsani za mbiri ya mabanja komanso zamankhwala. Dokotala akukufunsani kuti mufotokozere zomwe akuwonetsa, komanso kukuwonetsa kuti zimachitika kangati, komanso malo ake.

Kugwiritsa ntchito cholembera chofufumira kumvetsera magazi akuyenda m'mtsempha, dokotalayo amatha kudziwa mphamvu yoyenda.

Popeza minyewa yam'mimba imatha kukhudza mtsempha uliwonse m'thupi, dokotala nthawi zambiri amawunika mitsempha m'malo ena osati manja.

Pachifukwa ichi, kafukufuku amafunika kugwiritsa ntchito njira zotsatirazi:

1. Zojambula zamtundu wa digito.
2. Magnetic resonance angiography.
3. Makompyuta a tomographic angiography.

Monga njira yodziwitsa, njira ya angiography imagwiritsidwa ntchito.

Kugwiritsa ntchito zakudya

Kusintha kwa zakudya kungathandize kupewa kukula kwa atherosulinosis. Umboni woyambirira umanenanso kuti zakudya zokhala ndi mkaka sizikhudza kapena kuchepetsa chiopsezo cha matenda amtima.

Kudya kwambiri zipatso ndi ndiwo zamasamba kumachepetsa chiwopsezo cha matenda ndi imfa. Umboni ukusonyeza kuti zakudya zaku Mediterranean zimatha kusintha mawonedwe odwala.

Palinso umboni kuti zakudya zaku Mediterranean zimatha kukhala zabwino kuposa chakudya chamafuta ochepa chifukwa chotenga nthawi yayitali pazovuta za mtima (monga kuchepetsa cholesterol ndi kuthamanga kwa magazi).

Gulu la mankhwala otchedwa statins amagwiritsidwa ntchito kwambiri pochiza atherosulinosis. Adawonetsedwa kuti ndi othandiza kuchepetsa matenda amtima komanso kufa kwa anthu omwe ali ndi cholesterol yayikulu yokhala ndi zovuta zochepa.

Monocytes, komanso cholesterol chikhomo, monga chiŵerengero cha LDL, HDL ndi chiyerekezo cha apolipiprotein B, apolipoprotein A-1, chitha kugwiritsidwa ntchito ngati zolembera kuwongolera kuchuluka kwa atherosulinotic regression, komwe kumathandizanso pochiza odwala.

Kodi muyenera kukumbukira chiyani pochiza matenda?

Ngati atherosulinosis mu kupita patsogolo kwake ikufika magawo omaliza mu chitukuko ndikuyambitsa ischemia yosasinthika, opaleshoni ingafunike.

Kuchita opaleshoni yam'mimbayo kungabwezeretse kuzungulira mbali yam'magazi. Kugwiritsa ntchito angioplasty ndi stenting kumakupatsani mwayi wobwezeretsa magazi kudzera m'chiwiya chochepa.

Kulumikizana kwa mitsempha yodutsa mozungulira kumawonetsera kukonzanso kwa kayendedwe ka magazi, komwe kunachepetsa mwayi wokhala ndi stroke komanso kufa poyerekeza ndi mtima wamtima wosinthika.

Pali umboni kuti ma anticoagulants, makamaka Warfarin, omwe amalepheretsa kupangika kwa magazi, amasokoneza kagayidwe ka vitamini K ndipo angapangitse kuti pakhale nthawi yayitali, ngakhale atakhala kuti amatha kupanga mapangidwe pang'onopang'ono.

Dziwani kuti kutha kwa mathero am'mimba ndi vuto lalikulu ngati chithandizo cha nthawi yake sichinayambike.

Ndiye chifukwa chake, akatswiri onse amalangiza kuwunika zakudya zawo ndikuyamba kukhala ndi moyo wathanzi, pokhapokha ngati izi zingatheke kupewa mavuto amitsempha yamagazi.

Pankhani ya mankhwalawa, mwanjira iyi ndi bwino kugwiritsa ntchito njira zovuta. Osati chithandizo chamankhwala kapena opaleshoni yoyenera kugwiritsidwa ntchito, komanso zakudya komanso masewera olimbitsa thupi apadera.

Katswiri wa kanemayu munkhaniyi azilankhula mwatsatanetsatane za atherosulinosis.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Atherosulinosis yamitsempha yama manja: Zizindikiro ndi chithandizo

Momwe mungazindikire atherosulinosis ya malekezero apamwamba munthawi? Zizindikiro za matendawa zimatha kudziwonetsa mosiyanasiyana, komanso pafupipafupi kwa odwala onse azaka ziwirizi atakwanitsa zaka makumi atatu.

Amuna ali ndi zowopsa zambiri zomwe zimagwirizanitsidwa ndi moyo, ntchito zaluso.

Amayi amakhala ndi matenda ambiri chifukwa cha kusinthika kwapadera kwa kusintha kwa mahomoni m'thupi lonse.

Atherosulinosis ya malekezero apamwamba: Zizindikiro ndi chithandizo

Chovuta chachikulu cha atherosulinosis ndikuti kusintha kwa thupi kumachitika pang'onopang'ono. Mu magawo oyambirira a atherosulinosis a malekezero apamwamba, zizindikiro sizimawoneka.

Zizindikiro zakunja za kusintha kwa atherosulinotic m'manja zimawonekera ngati chithandizo chamankhwala chikufunika kale. Ichi ndichifukwa chake ndikofunikira kuchititsa mayeso okonzekereratu a thupi kupezeka kwa malo a atherosulinotic mu ziwiya za thupi.

Izi ndizofunikira kwambiri kuchita mukatha zaka 40-45.

Kuzindikira matendawa pa nthawi yake komanso chithandizo choyenera kumapewetsa mavuto akulu omwe amakhudzana ndi kupitilira kwa matendawa.

Zizindikiro za atherosclerosis ya ziwiya zam'mlengalenga

Zizindikiro zazikulu zamatenda atherosulinosis zimawonekera mwa kusintha kwa atherosulinotic kumalekezero akumtunda akuwonetsedwa pamene zotengera zakhala zikuwonekera kale m'mafupa amafuta. Ndi chiyambi cha zizindikiro zoyambirira, muyenera kupita kwa adotolo, chifukwa matendawa amapita mwachangu kwambiri, ndipo ululu kuchokera pakubala kwake umangokulira.

Zizindikiro zoyenera za atherosulinosis ya malekezero ake komanso chithandizo chamankhwala chomwe dokotala amakupatsani munthawi yake zidzakuthandizani kuti mumve kupepuka ndi mphamvu mmanja mwanu pakapita kanthawi.

Nthawi zambiri, atherosulinosis ya manja imawonekera kudzera:

• kukokana komwe kumachitika popanda chifukwa, ngakhale pamtunda,
• kupweteka mu mawonekedwe a kuwonda kwambiri ndi kuyabwa,
• manja akunyinyirika, makamaka usiku,
• kutopa kwambiri kwa manja ngakhale mutagwira ntchito pang'ono,
• kusiyanasiyana kwa khungu la manja m'malo osiyanasiyana,
• nthawi zonse otsika manja kutentha
• kutayika kwa tsitsi la miyendo ndi mavuto ndi misomali,
• kulemera kosavomerezeka m'manja.

Ngati palibe chomwe chikuchitika pambuyo poti zizindikiliro zoyambilila ziziwoneka, ndiye kuti pali kuwonongeka kwina mu boma mwa njira yakuchepa kwa chidwi champhamvu chamkati pamtima. Potere, zimachitika kuti zimatha kutha kwakanthawi kochepa. Kuphatikiza apo, mawonetseredwe am'mawu oyamba omwe ali pamwambapa amalimbikitsidwa. Atherosulinosis ya khomo lachiberekero limafanananso.

Kuti mumvetsetse bwino zomwe matendawa amathandizira komanso chithandizo cha matenda a atherosclerosis a ziwiya zapamwamba, magawo otsatirawo a matendawa atha kusiyanitsidwa:

1. Gawo lokwanira. "Malangizo" oyamba a machitidwe ophatikizana a atherosselotic amawonekera mwa njira yowonjezera kumverera kwa manja mpaka kuzizira.
2. Gawo lolumikizana. Manja amayamba kuzimiririka nthawi ndi nthawi, chizolowezi chamatopa chazovuta chimakulirakulira. Chisangalalo chikuwoneka m'manja.
3. Gawo la kuchepa kwa magazi. Pakadali pano, kusintha kwa ma pathological mu ziwiya zam'mwamba kwambiri kumayamba. Zizindikiro zimawoneka zowoneka bwino nthawi zambiri, ngakhale mutakhala kuti mupumuliratu. Kutalika kwa zala ndi manja kwatayika, dzanzi limakhudza mbali zonse zazikulu za miyendo.
4. Gawo lazotsatira. M'malo mwake, ili ndiye gawo la nthenda yakunyalanyaza yomwe imatha kuchitika mosagwirizana. Zilonda ndi ming'alu zimawonekera m'manja, zomwe zimapereka ululu wamphamvu. Khungu limataya mtundu wake wachilengedwe ndikuwoneka wabuluu. Masamba amtundu wakufa adzawonekera mopitilira ndipo gangrene angayambe.

Onerani kanema wonena za ultrasound yam'mitsempha yam'mlengalenga.

Pa gawo lomaliza la matendawa, zotsatira zakupha zimakhala zotsimikizika.

Chifukwa chake, chinthu chofunikira kwambiri polimbana ndi atherosulinosis mwa abambo ndi amai ndiko kupewa. Pankhani ya kuwonekera kwa zizindikiro zoyambirira, ndikofunikira kuzindikira nthawi yomweyo. Izi zikuthandizani kuti mupereke chithandizo choyenera komanso chofunikira kwambiri.

Werengani za momwe mungaperekere magazi.
Komanso za rosacea kumaso ndi njira zake.

Chithandizo cha atherosulinosis chapamwamba

Njira zochizira matendawa zimatengera magawo omwe matenda amawonekera. Pa gawo loyambirira la chitukuko cha matendawa, padzakhala njira zokwanira zodzitetezera ndikumwa mankhwala omwe adokotala adauzidwa.

Mankhwala ovomerezeka amalola kuti magazi azikhala amitsempha yamagawo am'mwamba. Ndikofunikanso kuchotsa zizindikiro zopweteka za kuwonekera kwa matendawa. Zimachitikanso ndimankhwala.

Pankhaniyi, wodwalayo ayenera kumvetsetsa kuti atherosclerosis sichoncho pamene mutha kudzilimbitsa.

Ngati mphindi yothetsera vutoli yasowa, ndiye kuti pofunika kugwiritsa ntchito njira zochizira opaleshoni yachipatala. Mankhwala amakono, njira zotsatirazi zochizira ma atherosulinotic pathologies a kumtunda zimagwiritsidwa ntchito:

1. Sympathectomy. Kuchita opareshoni kumakhala ndi resection (kuchotsa) kwa ma node komwe kumabweretsa kupweteka kwa wodwalayo ndikusokoneza kayendedwe ka magazi koyenera.
2. Opaleshoni yam'mimbayo. Opaleshoniyo imakhala yopanga njira yoteteza magazi kupyola chotengera chokhacho. Kuchitapo kanthu koteroko kumafunikira pokhapokha ngati mitsempha yam'mimba isasinthe. Sumu ndi njira yomaliza. Nthawi zambiri, madokotala amayesera kuchita ndi njira zochepa zamagulu.
3. Kuchotsa khoma la chotengera chomwe chakhudzidwa. Opaleshoni iyi imatchedwa "endarterectomy." Kulowetsedwa mu chotengera kumachitika ndipo zolembedwa za atherosulinotic zokha kapena zosanjikiza za chotengera pamodzi ndi kukula zimachotsedwa. Ntchito ngati imeneyi siyingatheke ku ziwiya zonse.
4. Balloon angioplasty. Njirayi imagwira ntchito ndi kutsekeka kwa mitsempha ndi mitsempha yamagazi kuonetsetsa kuti magazi akutuluka. Choyezera chimapangidwa pachiwiya chomwe chimayikidwa catheter yapadera ndi buluni yaying'ono. Opaleshoni yonse ikuchitika moyang'aniridwa ndi dokotala wa opaleshoni kudzera pamakina a x-ray. Pambuyo povundikirana ndazindikira, kuyambiranso kumachitika pakatipa chombo. Izi zimakuthandizani kuti muwonjezere pang'ono makoma a chotengera ndikupanga magazi.

Lingaliro logwiritsira ntchito njira iyi kapena njira imeneyo imapangidwa ndi adokotala okha. Kuti muchite izi, muyenera kudutsa njira yofufuzira, yomwe simangokhala pakuwunika magazi ndi mkodzo wa wodwala, komanso mukamayesedwa ndi dokotala wodziwa kugwiritsa ntchito njira zapadera komanso mayeso.

Atherosclerosis ya ziwiya zam'mlengalenga (manja) - Zizindikiro, magawo, matenda, chithandizo

Atherosulinosis ya ziwiya zam'mphepete zam'mphepete ndimatenda omwe mapangidwe a lipid amasokoneza kayendedwe ka magazi. Zimachitika nthawi zambiri zaka 50-55 zitatha.

Popanda chithandizo choyenera, matendawa amathirakulira pang'onopang'ono mpaka amabweretsa mavuto, omwe nthawi zambiri sangasinthe.

Atherosulinosis ndi vuto lomwe mkhalidwe wa wodwalayo umakulirakulira pang'onopang'ono. M'magawo oyamba matendawa, munthu samakumana ndi zosokoneza zina.

• 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!

Pakadali pano, atherosclerosis imatha kupezeka kokha mothandizidwa ndi mayeso apadera. Komabe, pakapita nthawi, kuchuluka kwa matendawa kumatuluka, ndipo thanzi la wodwalayo limakulirakulira.

Nthawi zambiri, odwala atherosulinosis a ziwiya zapamwamba amadandaula kuti:

• kukokana m'manja, makamaka pakupuma,
• kupweteka, kuyaka, kuyabwa, dzanzi m'miyendo mwendo, kuyambitsa kugona.
• kuchuluka kwa kutopa kwamanja pakuchita masewera olimbitsa thupi,
• kukomoka kwambiri m'manja,
• kusiyana kwa kutentha kwa khungu m'malo osiyanasiyana padzanja,
• kulemera kwa miyendo yakumtunda popanda chifukwa chodziwika,
• manja ozizira nthawi zonse
• kukula kwa misomali ndi kuchepa kwa chiwerengero cha tsitsi kumiyendo yakumtunda.

Popita nthawi, kufooka kwa mbewa m'chiwuno kapena kuzimiririka kwakanthawi kumawonjezeredwa ndi zonse zomwe zili pamwambapa. Zizindikiro zonse zimayamba kutchulidwa ndipo sizimachoka. Izi zimachitika chifukwa chopendekera mitsempha ndi ziwiya zina, zomwe zimapangitsa kuti magazi asamayende bwino komanso kuti mpweya ubwereke kufooka kwa minofu m'manja.

Magawo angapo a atherosulinosis a ziwiya zam'mwamba amasiyana;

Chithandizo cha atherosclerosis ya ziwiya zam'mlengalenga

Mu magawo oyamba a matendawa, palibe chithandizo chapadera chomwe chimafunikira. Wodwala amayenera kutsatira malingaliro angapo a akatswiri:

• Zakudya zoyenera. Nthawi yomweyo, mafuta, zonunkhira, zakudya yokazinga, zakudya zokhala ndi zoteteza zambiri komanso "cholesterol yoyipa" ziyenera kusiyidwa.
• Zolimbitsa thupi zolimbitsa thupi. Nthawi yomweyo, ndibwino kuchita nawo masewera osafunikira kuyenda mwadzidzidzi.
• Kukana zizolowezi zoipa.
• Kutsata kuthamanga kwa magazi, mkhalidwe wa miyendo yakumtunda.
• Kuthira Kunenepa.

Atherosulinosis ya ziwiya zam'mphepete mwamphamvu kwambiri pamatendawo imathandizidwa mosiyanasiyana. Ndi kukakamizidwa kowonjezereka, mankhwala amalembedwa kuti athetse matendawa.

Sy blockomatic blockade imagwiritsidwanso ntchito, yomwe ili mu opaleshoni ya malo opweteka a miyendo yakumtunda. Ngati ndi kotheka, chomwe chimayambitsa matendawa chimathetsedwa.

Mankhwala amagwiritsidwa ntchito kuti athetse ziwonetsero za matendawa, komanso kukonza kayendedwe ka magazi kumanja ndi m'manja.

Kudziyambitsa nokha pakadali pano sikuloledwa, chifukwa kungayambitse kuwonongeka kwa wodwalayo komanso kukula kwa matendawo.

Zotsatira za Opaleshoni

Nthawi zambiri pa matenda a atherosulinosis a ziwiya manja sangachite popanda opaleshoni kulowererapo. Imatha kutsatira zolinga zosiyanasiyana, zopangidwa kuti zithandizire kutuluka kwa magazi kwa zala, dzanja lonse ndi mkono.

Nazi mitundu ina ya machitidwe omwe amachitidwa ndi atherosulinosis yamanja:

Kuchita opaleshoni kumachitika pokhapokha ngati ma cell apamwamba a mtima. Malingana ngati kuthiridwa kwa magazi m'manja kumakhala kocheperako, madokotala amayesetsa kuthetsa vutoli pogwiritsa ntchito njira zothandizira kuti asavutike.

Pambuyo popezeka matendawa 3 ndi 4 a matendawa, akuyenera kuchitapo kanthu kuti ateteze. Komanso, katswiriyo, atapima mozama ndikuwunika mbiri yachipatala ya wodwalayo, amasankha njira yofatsa kwambiri komanso yosavuta yopangira opaleshoni.

Kodi ndizotheka kuchiritsa atherosulinosis, werengani munkhaniyi.

Kuopsa kwa retinal atherosclerosis yankho pano.

Osadikirira mpaka zizindikiro za atherosulinosis zamatumbo am'mphepete mwatchulidwe kwambiri. Poyamba kuwonetsa matendawa, muyenera kulumikizana ndi katswiri. Njira zodzitetezera ziyenera kuyamba pambuyo pa zaka 40.

Njira zochizira ndi kupewa

Chithandizo cha zotupa za atherosulinotic chimaphatikizanso kugwiritsa ntchito mankhwala ochita kupanga pang'onopang'ono, njira zina, komanso zovuta zakumalo pazizindikiro zofewa. Mankhwala omwe amalembedwa:

• kutsitsa cholesterol "yoyipa",
• owonda magazi
• mavitamini
• analgesics (ngati kuli kotheka).

Koma chithandizo chimakhala chopanda ntchito ngati munthu sasintha moyo wake: sasamala chakudya chake, samadziteteza ku nkhawa, sataya zizolowezi zoyipa komanso samachulukitsa ntchito zamagalimoto. Ndiye kuti, sichichita chilichonse chomwe chimaphatikizidwa ndi lingaliro la kupewa atherosclerosis.

M'matenda apamwamba, ndikupanga kusintha kosasintha kwa ziwalo zam'mwendo, madokotala adzakakamizika kuchitapo kanthu pochotsa - kuchokera kuchotsedwa kwa achibale achifundo komwe kumamveka kukhoma kwa minyewa. Ndipo kuti tsokalo lisachitike, muyenera kudya wathanzi ndikukhala ndi moyo.

Dzanja arteriosulinosis: Zizindikiro ndi chithandizo

Atherosulinosis ndi dongosolo matenda a mtima bedi. Ndi matenda amtunduwu, pamakhala kuphatikizika kwa cholesterol ndi liphero la atherogenic pa vasot endumhelium.

Atherosulinosis ya ziwiya zam'mwamba zam'mphepete zimadziwika ndi kuwonongeka kwa mitsempha ya manja, mawonekedwe a occlusion ndi stenosis a lumen. Njira ya pathological iyi imayambitsa kukanika kwa magazi kupita ku zimakhala, zomwe mtsogolomo zimayambitsa ischemia ndi necrosis.

Doctor of Medical Science, Pulofesa G. Emelyanov:

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.

Mfundo yotsatirayi - ndikotheka komanso kofunikira kuti muchepetse kupanikizika, koma izi sizichiritsa matendawa palokha.

Mankhwala okhawo omwe amavomerezedwa ndi Unduna wa Zaumoyo pa zamankhwala oopsa ndipo amagwiritsidwanso ntchito ndi akatswiri a mtima pantchito yawo ndi awa.

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.

Chofunikira kwambiri ndikuwunikira mayeso onse ovuta munthawi yake kuti mudziwe malo omwe adzawonongere.

Choyamba, izi zimafuna kuchita:

• kusanthula kwa x-ray zama sitima zamagetsi mosiyana,
• kupimidwa kwa ma ultrasound kwamitsempha yamagazi,
• makulidwe azitsulo ndi kuwunika kwa makompyuta.

Kuzindikira koyenera komanso kwakanthawi ndi chinthu chofunikira kwambiri pochiritsa bwino. Kuchiza matendawa kumatengera kuchepetsa ululu, kukonza moyo wa wodwala. Njira zochizira komanso zopangira opaleshoni zimagwiritsidwa ntchito. Ngati wodwalayo sanadziwe zolondola ndi mankhwala ake, nthawi zambiri wodwalayo amakhala pachiwopsezo.

Matenda a mitsempha yam'mphepete zam'mphepete

Njira ya atherosulinotic ya malekezero amodzi imadziwika ndi njira yodwala ya dystrophic, m'magawo amkati mwa zotumphukira zam'mitsempha, zomwe zimayambitsa kuvuta kwambiri kwa lumen ya mtsempha wamagazi.

Matendawa samayambitsa matenda a hypoxia okhazikika, komanso ischemia yoopsa ya minyewa yam'munsi komanso yapamwamba.

Kusinthika kofananako ndikofala pakati pa amuna ndi akazi onse.

Nthawi zambiri, anthu okalamba amavutika.

Mitundu iwiri yamatendawa imasiyanitsidwa: mtundu wapakati, womwe msempha umawonongeka, ndi mtundu wophatikizika, momwe ziwiya zina zonse zokhudzana ndi thupi zimakhudzidwira.

Ngakhale kuti ndichizolowezi kugawanitsa njira ya atherosulinotic m'mitundu iwiri ya pathogenetic, kawirikawiri njirayi imakhala yachilengedwe.

Zambiri zomwe zimapangitsa kuti matenda a atherosulinosis awonongeke ndi izi:

1. Kuwonekera kwa atherogenic ndi antiatherogenic lipid tizigawo ta seramu yamagazi.
2. Kuchuluka kwa cholesterol yonse.
3. Kuchulukitsa kwa ndende za atherogenic lipid.
4. Kuchepa kwa ndende za anti-atherogenic.
5. Kuphwanya zakudya.
6. Zizolowezi zoipa.
7. Endothelial chilema.

Kuphatikiza apo, cholowa chamtsogolo chimakhudza matendawo.

Pathogenesis ya atherosulinosis yamitsempha yama manja

Cholinga cha matenda amenewa ndi khoma lamkati la chombo cham'madzi (intima kapena endothelium).

Matendawa nthawi zonse amayamba chifukwa cha kusokonezeka kwapadziko lonse komanso kusintha kwa thupi.

Pathogenetic kusiyanitsa 5 nthawi ya atherosulinosis:

• nyengo yaposachedwa, yomwe imadziwika ndi mawonekedwe akuwoneka kuti ali ndi chilema chachikulu mumkhumbi wama arter,
• atheromatosis, limodzi ndi kudzikundikira kwa ma atherogenic pamasamba a khoma lamasamba,
• liposulinotic nthawi, yodziwika ndi kuchuluka kwa mafuta m'thupi,
• mwachindunji gawo la atherosulinosis, momwe kumera kwa atherogenic misa kudzera pa minofu yolumikizana kumachitika,
• atherocalcinosis, siteji imadziwika ndi kupezeka kwa mchere wa calcium pamtunda wokhazikitsidwa.

Nthawi zambiri, zilonda zam'mimba ndi ma thrombotic masamba zimayenda pamwamba pake.

Njirayi ndi yachibadwa kwa thupi, chifukwa kutulutsa kulikonse kumayima mothandizidwa ndi mapulateleti.

Plaque imachulukana kukula. Chizindikiro choyamba cha matendawa chimawonekera pokhapokha ngati zotsekera lumen zimaposa 50%.

Zomwe zimayambitsa chiopsezo cha amiseche ndi amkati:

1. Kusuta.
2. Kumwa kwambiri, mosasamala kanthu za zakumwa zoledzeretsa. Choyipa chochepa kwambiri ndi vinyo wofiira wowuma wapamwamba kwambiri.
3. Nthawi zonse zakudya za mafuta amkati ndi chakudya.
4. Zinthu zolandira.
5. Kusiya kwa msambo komanso vuto la mahomoni mwa akazi.
6. Kupsinjika kochepa.

Nthawi zambiri, njira ya atherosclerotic m'matumbo si vuto lodzipatula. Nthawi zina, atherosclerosis yamatumbo amanja imatsutsana ndi maziko ena ake.

Mbiri ya atherosulinosis yamanja ndi:

• ochepa matenda oopsa
• kagayidwe kachakudya kagayidwe kachakudya,
• matenda ashuga
• kagayidwe kachakudya matenda
• Kusintha kwa maselo olimbitsa thupi kuloza kunenepa kwambiri,
• chithokomiro chachepa,
• matenda opatsirana opatsirana

Kuphatikiza apo, njira za autoimmune zitha kukhala njira zam'mbuyo.

Zizindikiro za atherosulinosis ya manja

Popeza njirayi ndi yopanda, zonena komanso cholinga chake chimangowonekera pokhapokha ngati pali matenda.

Nkhani za owerenga athu

Kumenya matenda oopsa kunyumba. Patha mwezi kuchokera pamene ndayiwala za kupanikizika. O, momwe ndimayesera zonse - palibe chomwe chinathandiza. Ndi kangati kamene ndinapita kuchipatalako, koma ndinalandira mankhwala osapindulitsa kangapo konse, ndipo nditabwerako, madotolo adangokhala osagwirizana. Pomaliza, ndinalimbana ndi ziyesozi, ndipo zikomo zonse. Aliyense amene ali ndi mavuto opsinjika ayenera kuwerenga!

Nthawi zambiri, wodwalayo kwa nthawi yoyamba amaphunzira za matenda ake, pokhapokha at isia isia kapena thromboembolism. Matendawa amapita patsogolo m'chilengedwe, zomwe zikutanthauza kuti amapita patsogolo.

Zizindikiro zotsatirazi ndizodziwikiratu zimadziwika:

• kupweteka m'matumbo,
• minofu yamanja
• kusiyana kwa miyendo yosiyanasiyana,
• kufooka m'manja ndi m'manja
• kukokana popanda chifukwa,
• kutopa kwambiri ngakhale pogwira ntchito yopepuka,
• kutaya tsitsi kumanja
• kuwonongeka kwa misomali,
• kuchuluka kwa manja kusintha kwa kutentha,
• paresthesia
• ozizira nthawi zonse m'manja.

Kupanga matenda, ndikokwanira kukhala ndi zitatu mwa madandaulo awa. Zizindikiro zonse zimayambitsidwa kwakanthawi ndi ischemia ndi kuwonongeka kwa minofu ya miyendo.

Kupanga ischemia, mawonekedwe awa ndi mawonekedwe:

1. Sinthani khungu la manja. Kumayambiriro kwa matendawa, masinthidwe pakhungu la zala amawonedwa, amapaka utoto, ndipo pambuyo pake amtambo.
2. Atrophy a subcutaneous wosanjikiza wa adipose minofu ikukula. Pankhaniyi, izi sizabwino.
3. Kuchepetsa tsitsi komanso kufafaniza kwathunthu pakukula kwawo.
4. Kuchulukitsa kwa keratinization.
5. Kukula kwachisoni kwa misomali.

Chowonetsera china ndi zilonda pakhungu la manja.

Chithandizo cha atherosulinosis obliterans

Kuthandizira atherosulinosis ya mitsempha yam'mphepete yapamwamba ndi ntchito yovuta ndipo pamafunika nthawi yambiri komanso khama.

Mukamasankha njira zamankhwala amatsimikiza ndi kuchuluka kwa chotengera chazinthu ndi ischemia. Ngati chotupa sichingathe kudutsa magazi, pitani njira zochizira. Odwala ali ndi ufulu wokana kukachitidwa opaleshoni, koma ayenera kukumbukira nthawi zonse kuti nthawi iliyonse dzanja lingakhale lopanda mphamvu.

Poyambirira, kugwiritsa ntchito mankhwala osokoneza bongo, physiotherapy, njira zina zochiritsira zimagwiritsidwa ntchito (kokha kuphatikiza ndi cholinga chachikulu).

Chida chachikulu chothandizira kuyimitsa kupita patsogolo kwa njirayi ndi kusintha kwa moyo ndi njira yodziwira chithandizo.

Kuphatikiza apo, kupeza zotsatira zabwino za mankhwala ziyenera kuchitika:

• kukhazikitsidwa kwa antihypertensive mankhwala,
• kuthetsa kulumpha kwa glucose pogwiritsa ntchito mankhwala a hypoglycemic ndi insulin pamaso pa matenda a shuga.
• kukana kwathunthu zizolowezi zoipa,
• kupewa kwachiwiri kwa mavuto.

Thandizo la opaleshoni limaperekedwa kwa wodwala pamene, malinga ndi ICD-10, kuwonongeka kwathunthu kwa chotengera kwachitika. Wotchuka kwambiri ndi opaleshoni kudzera pamitsempha yotsekeka.

Pochita opaleshoni, chotengera chimayambiranso ndipo magazi amatuluka. Chifukwa cha izi, ma prostheses apadera a mtima, ziphuphu ndi mafinya amagwiritsidwa ntchito.

Kuzindikira kofananako ndi vuto lapadziko lonse m'maiko otukuka. Pankhani imeneyi, chidwi chachikulu chimaperekedwa pakupewa koyambirira kwa matendawa.

Choyamba, mawonekedwe a ngakhale zazing'ono, muyenera kuwona katswiri. Wophunzira wamkulu azichita kafukufuku wambiri ndipo azitha kutsimikizira kapena kupatula zotsalazo. Lamba lakumapewa ndilofunika makamaka kwa wodwalayo. Ngakhale kukomoka kwazing'ono kumabweretsa kuwonongeka m'moyo wabwino, ngakhale, kulumala.

World Health Organisation, choyambirira, imalimbikitsa aliyense, kupatula:

• khalani ndi moyo wathanzi
• kutsatira zakudya zabwino zamatenda am'madzi,
• lekani kulemera,
• yang'anira ntchito ndi kupumula,
• Musaiwale za kudya pafupipafupi kwamafuta a omega acids.

Kuphatikiza apo, amalimbikitsidwa patatha zaka makumi anayi kuti atenge acetylsalicylic acid tsiku lililonse pazinthu zazing'ono.

Matenda a mtima komanso mikwingwirima ndizomwe zimayambitsa pafupifupi 70% ya imfa zonse padziko lapansi. Anthu asanu ndi awiri mwa anthu khumi amafa chifukwa chotseka mitsempha ya mtima kapena ubongo.

Choyipa chachikulu ndikuti anthu ambiri saganiza kuti ali ndi matenda oopsa. Ndipo amaphonya mwayi wokonza kena kake, kumadzipangitsa kufa.

• Mutu
• Zosangalatsa pamtima
• Madontho akuda patsogolo pa maso (ntchentche)
• Kupanda chidwi, kusakwiya, kugona
• Masomphenya opanda pake
• Kutukwana
• Kutopa kwambiri
• Kutupa kwa nkhope
• Kunenepa komanso kuzizira kwa zala
• Kupanikizika kumapitilira

Ngakhale chimodzi mwazizindikirozi chikuyenera kukupangitsani kuganiza. Ndipo ngati pali awiri, musazengereze - muli ndi matenda oopsa.

Momwe mungathanirane ndi matenda oopsa pakakhala kuchuluka kwa mankhwala omwe amawononga ndalama zambiri?

Mankhwala ambiri sangachite bwino, ndipo ena amatha kupweteketsa! Pakadali pano, mankhwala okhawo ovomerezeka ndi Unduna wa Zaumoyo pa mankhwalawa ndi awa.

Kuti Institute of Cardiology, limodzi ndi Unduna wa Zaumoyo, ukuchititsa pulogalamu “ wopanda matenda oopsa". Momwe mankhwalawo amapezeka zaulere, onse okhala mumzinda ndi dera!

Zizindikiro ndi mankhwala a atherosclerosis a malekezero apamwamba

Mapepala a cholesterol omwe amakhudza makoma amitsempha yamagazi amatha kuyambitsa matenda owopsa - atherosulinosis. Itha kuchitika m'mitsempha yam'mimba komanso mtima, kumapeto ndi m'munsi.

Kuchepetsa kufalikira kwa magazi kumayambitsa ma pathologies, malfunctions a ziwalo zamkati ndi machitidwe, kupweteka.

Ngati simukuwona dokotala mwadzidzidzi, zotsatira zake zingakhale chifukwa chakuthwa kapena kugunda kwa mtima, kutulutsa magazi kwambiri kwamkati.

Zizindikiro ndi zoyambitsa atherosulinosis ya manja

Kuwonetsedwa kwa chizindikiro cha atherosselotic cha malekezero apamwamba kumayamba ndi kufalikira kwa mtsempha wamagazi ndi theka. Pangozi yotenga matendawa, anthu omwe amamwa mowa kwambiri ndi kusuta amakhala kuti ali ndi chibadwa chambiri komanso amakhala ndi nkhawa zambiri. Komanso, chiwopsezo chowonjezeka mwa azimayi pa nthawi yakutha msambo komanso mwa anthu onse okulirapo kuposa zaka 45.

Kulephera kuchita zolimbitsa thupi kumadzetsa kusayenda kwa magazi. Ngati chakudya cha munthu chili ndi zakudya zamafuta ambiri, ndiye kuti chiwindi chimasokonekera. Izi zimakhudza kupanga ma enzyme omwe amapanga cholesterol. Zotsatira zake, mulingo wake umachulukirachulukira, ndipo njira yodzikundikira katundu pazitseko zamitsempha yamagazi iyamba.

Vasel atherosulinosis imatha kukhazikitsidwa motsutsana ndi maziko a matenda monga:

• Matenda oopsa
• Matenda a metabolism
• Matenda a shuga
• Kagayidwe kachakudya,
• Kunenepa kwambiri
• Chithokomiro chodwala,
• Matenda opatsirana
• Njira za Autoimmune.

Matenda oyambira ndi matenda omwe amatenga gawo lalikulu kwambiri pakukula kwa matenda, komanso njira yake yokhwima komanso chiopsezo cha matenda opha ziwalo. Kuzindikira kumawonetsa matenda oyamba ndi zovuta komanso matenda opatsirana.

Zizindikiro

Mutha kuzindikira matendawa ndi zizindikiro izi:

• Kupweteka kwa mtima
• Kufooka m'misempha ya manja,
• Pafupipafupi kukokana
• Khungu loyera, laimvi kapena lamanja,
• Kusiyana kwazitsulo zamagazi amanja ndi dzanja lamanzere,
• Hypersensitivity a khungu kutentha kwambiri,
• Kudzimva kwadzidzidzi ndi kumverera kwanyini
• Kumva kuzizira kwa manja ndi zala.

Pozindikira, nthawi zambiri zitatu zomwe zalembedwa, zomwe zimawonetsedwa nthawi imodzi, zimakhala zokwanira.

Ischemia yomwe ikukula motsutsana ndi maziko a matendawa imadziwika ndi:

• Khungu loyera ndi lamtambo la manja
• Maonekedwe a kuwawa kwa minofu yam'madzi,
• Kutonthola kwa misomali ndi keratinization yowonjezera.

Zizindikiro za matendawa sizimawoneka nthawi imodzi komanso mwadzidzidzi. Nthawi zambiri amayamba pang'onopang'ono ndikukula ndi nthawi.

Dzanja obliterative atherosulinosis mankhwala

Pakuchezera koyamba kwa dotolo kudandaula za kupweteka, nthawi yakuyamba kwawo komanso kulimba kwawo, kukhalapo kwa matenda ofananawo mwa abale amalembedwa. Mukamayesedwa, kufufuza koyambirira kumachitika chifukwa cha kupweteka mukamakankhira pakhungu la manja.

Atamufunsa, dokotala amachita zingapo zoyesera kuti adziwe mtundu wa matendawa ndi kuchuluka kwake:

• Yesani kuwoneka ngati ofooka mukamapanikiza minofu ya mkono ndi manja,
• Yesani kuwoneka ngati ululu komanso kuchepa kwa chidwi tikapanikizika mu kuphatikizika kwa brachial,
• Yesani kupezeka kwa ululu pakhungu la pansi pa fossa pansi pa kolala, trapezius ndi minyewa ya paracercical,
• Kuyesedwa kuti mupeze kuperewera kwa khungu la manja.
• Kuyesa kwa Edson pamaso pa matenda kumawonetsa kuchepa kwa kugunda kwa mtima pachiwuno. Zimachitika panthawi ya kudzoza, pomwe wodwalayo amaponyera kumbuyo kapena kuti amaweramitsa mutu wake mbali imodzi.Chiyeso china chofunikira kwambiri cha radial artery. Imafinya ndi chala, ndipo wodwalayo mkati mwa mphindi ziwiri amapsinjika ndi kuthimitsa chibakera. Munthawi yabwinobwino, khungu la dzanja limatenga mtundu wabwinobwino mwachangu. Mukamazindikiritsa, x-ray ndiyofunikira kuti muzindikire zovuta zamanja.
• X-ray kusiyanitsa angiography kumakupatsani kuzindikira mbali zopanikizika kapena zotsekeka m'mitsempha yamagazi, kukulira kwa chilengedwe, kuchuluka kwa magazi ndi komwe akupezeka.

Perekani komanso ndikuwunika kwa mitsempha yamagazi. Zimakuthandizani kuzindikira:

• Zizindikiro za incipient thrombosis,
• Matenda a venous osakwanira
• Chidziwitso cha zotumphukira.

Ultrasound imagwiritsidwanso ntchito kuwongolera maonekedwe a madera amitsempha, ndipo ischemia, yomwe imayendera limodzi ndi chikhalidwe chamatumbo. Matenda a arterial nthawi zambiri amapezeka pambuyo pakupezeka kwa ischemia ndi thromboembolism.

Mankhwala othandizira

Ndi atherosclerosis ya ziwiya zam'mlengalenga, njira, nthawi ndi zovuta chithandizo zimatengera gawo la matenda. Pa gawo loyambirira, ngati silikhumudwitsidwa ndimatenda oyambira, mutha kuchita popanda mankhwala. Ndi zofunikira:

• Chotsani zakudya zamafuta ndi zakudya zopatsa mphamvu zambiri,
• Pitani m'masewera ndi kuchita masewera olimbitsa thupi,
• Yang'anani kuthamanga kwa magazi anu
• Siyani zizolowezi zoyipa,
• Kuchepetsa thupi.

Ndi chitukuko cha matendawa, wodwalayo adalandira mankhwala. Kuti muchepetse kupweteka kwambiri, opanga mainki amapatsidwa. Kuti muchepetse kupanikizika, mankhwala a antihypertensive gulu amadziwikanso, omwe amathanso kutumikiridwa kuti muchepetse magazi. Ngati pali matenda a shuga, ndiye kuti mankhwala opatsirana ndi glucose amafunikira.

Mankhwala achikhalidwe ndi physiotherapy amagwiritsidwa ntchito pokhapokha ngati adokotala adawagwiritsa ntchito komanso monga mankhwala.

Kusintha kwa moyo ndikutsatira zomwe dokotala akutsimikizira ndiye njira yayikulu yoletsera kukula kwa matendawa.