Zizindikiro ndi mankhwala a matenda a ubongo

Cerebral atherosulinosis ya ziwiya zamadzimadzi ndimayendedwe opita patsogolo a kuzungulira kwa dongosolo lamkati lamanjenje, matendawa sasintha.

M'mbuyomu poganiza kuti ndi matenda okalamba, matendawa anali ocheperako, anthu ambiri azaka zosaposa 30 omwe akudwala matendawa amalephera kugwira ntchito ngakhale asanakalambe, zomwe sizingachitike.

Anthu omwe ali ndi vuto la ubongo chifukwa cha matenda oopsa amatha kuthana ndi matenda amitsempha yamagazi m'magazi (cell stroke), motero ndikofunikira kuyambitsa matenda oyamba ndi zotupa zam'mimba ndi cholesterol plaque ndikupereka chithandizo choyenera.

Chithandizo chokhacho choyambira kumayambiriro kwa mapangidwe a pathological chingathandize osati kuwonjezera moyo wa wodwalayo ndikuwongolera mawonekedwe ake.

Kodi matenda amtundu wa m'mimba ndi chiyani?

Atherosclerosis yamitsempha yamagazi ndi njira yodziwika bwino yotayika pang'onopang'ono kwa khoma lamitsempha yamagazi, kutsika kwa magazi ndikovuta, komwe kumakwiyitsa kupezeka kwa cholesterol komanso mapangidwe a zolembera.

Ndi kufalikira kwamphamvu kwa ubongo komwe kumapereka ubongo, chizungulire, kupweteka mutu, kuiwalika ndi malingaliro ena amiseche. Mawonekedwe a matendawa atha kusiyanasiyana kutengera momwe mankhwalawo amadzidutsira komanso gawo la kukula kwake.

Mitundu ya Cerebrosulinosis

Musanaganize za momwe mungachotsere matenda, muyenera kuzolowera gulu. Mitundu yotsatirayi ya chithokomiro cha m'mimba imasiyanitsidwa:

Zambiri (Kukula kuli ngati mafunde, kuwonongeka kumasinthidwa ndikusintha ndi zina),
Pang'onopang'ono kupita patsogolo (chithunzi cha chipatala chikukula pang'onopang'ono)
Zowawa (pachimake) yodziwika ndi kupezeka kwa sclerosis pamlingo wa kusintha kosasinthika, imathanso kuwoneka ngati sitiroko kapena matenda amisala.

Zofunika! Mtundu wachitatu wopanda pake kwambiri wamatenda. Kodi chiwopsezo cha mitundu yovuta kwambiri - ndikamakula sizingasinthe zomwe zimabweretsa imfa. Mawonekedwe monga kuchepa kukumbukira, kuwukira kawirikawiri, ndi sitiroko kumadziwika.

Kuphatikiza pa kuthamanga kwa chitukuko, kupezeka kwa mtsempha womwe wakhudzidwa kumathandizidwanso mukamafufuza:

chotupa cham'mbuyo
carotid (wamkati kapena wamba),
thunthu la brachiocephalic,
mtima wamaukonde.

Kukula kwakukulu kwa chotengera kumakhudzidwa, momwe matenda amadziwonekera okha. Kusintha kwa ziwiya zing'onozing'ono sikukhudza kwambiri wodwala komanso kumakhala ndi zochulukirapo.

Magawo atatu okha a chitukuko cha matenda a ubongo

Poyamba, zolembera za lipid zimatsimikiziridwa pamakoma amitsempha yamagazi, panthawiyi zizindikirozi zimagwira ntchito ndipo zimangowoneka ndi nkhawa yayikulu yakuthupi kapena yamisala.
Gawo lachiwiri limadziwika ndi kupangika kwa lipid zolembera ndipo limawoneka pafupipafupi. Chizungulire, kusokoneza, kupweteka mutu, kuchepa kwa masomphenya kukukhazikika kale ndipo sikudalira kupsinjika.
Mu digiri yachitatu, kuwonjezereka kwa zolengeza kumabweretsa kutsekeka kwa minyewa yam'mimba, yomwe imawonetsedwa ndi zizindikiro za matenda ammimba. Wodwala amataya mphamvu yake yogwira ntchito.

Zomwe zimakhumudwitsa

Kupewa kwamatenda ndikuchotsa zomwe zimayambitsa kupweteketsa mtima:

cholowa
kusuta
kumwa mowa waukulu,
kuchuluka kwambiri ndi kulephera kwa njira yachilengedwe (usiku ndi kusuntha kwatsiku ndi tsiku),
kuperewera kwa zakudya m'thupi,
zopsinjika pafupipafupi
ukalamba ndi jenda (amuna omwe ali pachiwopsezo),
kagayidwe kazakudya, kuphatikizapo kunenepa kwambiri,
matenda ashuga
kusowa kwa masewera olimbitsa thupi
matenda oopsa

Kuphwanya kwamitsempha yamagazi ndi kuchuluka kwa mafuta m'thupi ndi adani enieni a odwala omwe ali ndi vuto la ubongo.

Zizindikiro

Zizindikiro za chotupa cha GM:

Kuwonongeka kwamtima. Kumayambiriro kwa matendawo, kulephera kumachitika pazochitika zaposachedwa pantchito yovuta kapena kupsinjika. M'tsogolomu, mawonekedwe amawonekera kwambiri ndipo kuyiwalika kwawonekera kale kwa ena. Odwala sangakumbukire zomwe zachitika lero, koma azitha kufotokoza mosavuta zochitika zaunyamata,
zosokoneza
chizolowezi cha kukhumudwa, kusintha kwachangu,
kugona kusokonezedwa
Mutu umakhala wokhazikika
chizungulire cha orthostatic (pamene mawonekedwe a thupilo m'malo asintha),
Kusintha kwa umunthu kumachitika, mwanjira yonyalanyazidwa, kusokonezeka kwamaganizidwe sikosowa,
kugwidwa khunyu (khunyu),
ataxia (kutayika kwa mgwirizano ndi kuwonongeka kwa cerebellar),
kuona kwakachepa, kumva, mpaka kutaya kwathunthu,
tsankho la phokoso ndi kuwala kowala.

Zofunika! Atherosclerosis yamitsempha yamagazi imatha kudziwonetsa ngati vuto la matenda oopsa (mpaka masiku 2) kapena sitiroko. Kuperewera kwa chithandizo choyamba ndi chithandizo choyenera pazowonetsera izi kumatha kuyambitsa zovuta (kulumala kapena kufa).

Zizindikiro

Kuzindikiritsa matenda oopsa sikungatheke popanda kufufuza kwathunthu. Udindo waukulu pakuwunika umaseweredwa ndi katswiri wa zamitsempha, kuwonjezera pazomwe kufunsira kwa akatswiri okhudzana ndikofunikira: katswiri wamtima, ophthalmologist, otolaryngologist, othandizira, ndipo nthawi zina kufunsa kwa dokotala ndi kofunikira.

Kuchuluka kwa kuyesedwa kwa ubongo kuti mupeze kutulutsa kwazinthuzo komanso kuchuluka kwa zosokoneza:

Doppler ultrasound imakupatsani mwayi kuti mufufuze momwe mitsempha ya magazi ilili ndikudziwa madera omwe magazi ake amayenda,
kusanthula kopindulitsa ndikoyenera kupimidwa kunja kwa mitsempha yamagazi yomwe imadyetsa ubongo,
transcranial dopplerography imagwiritsidwa ntchito kuyerekeza kuchuluka kwa magazi a intracranial,
angiography ndi kafukufuku wa x-ray wa vasculature wogwiritsa ntchito mosiyanitsa. Imagwiritsidwa ntchito molingana ndi zowunikira chifukwa cha kuchuluka kwa kafukufukuyu,
CT ndiyofunikira kuyesa dera lomwe lakhudzidwa ndi odwala matenda a stroke,
MRI imakupatsani mwayi wofufuza zotupa zam'mapazi
kuyezetsa magazi kuti mupeze kuchuluka kwa shuga ndi cholesterol.

Zofunika! Posankha kuchuluka kwambiri kwa kuchepa kwa dongosolo la magazi, wodwalayo amatumizidwa kuti akaonane ndi dokotala wa opaleshoni ya mtima kuti afotokoze kufunika kwa opaleshoni. Ndi dokotala uti yemwe amatenga matenda a zamatumbo zimatengera deta yomwe idapezeka pakuwunika kwathunthu. Gawo lalikulu la odwala limachitidwa ndi neurologist pamodzi ndi a mtima ndi akatswiri othandizira. Ngati pakufunika kuchitapo kanthu opaleshoni, mbali yofunika imaperekedwa kwa dokotala wa opaleshoni. Okalamba, opaleshoni nthawi zambiri sichivuta chifukwa cha ma concomitant pathologies.

Zotsatira zake

AH ikhoza kuyambitsa zovuta zazikulu, izi:

matenda oopsa,
sitiroko
VVD,
ndi kuwonongeka kwa zotumphukira za CRF,
imfa.

Chithandizo cha matendawa ndizotheka, komabe, kubwezeretsa kwathunthu kwa chotengera chazikulu sikungatheke. Kuchiza kumalimbitsa kukhala ndi thanzi labwino komanso kuthetsa zizindikiro. Komabe, kuchotsedwa kwa zomwe zimayambitsa matenda a ubongo ochita kupanga masisitere ndi chithandizo chosankhidwa bwino koyambirira kumatha kubwezeretsanso ndikubwezeretsa magazi m'dera lomwe lakhudzidwalo.

Chithandizo cha atherosclerosis chimasankhidwa payekha ndipo chimachitika movutikira. Momwe mungathanirane ndi matenda a zamitsempha amasankhidwa ndi adokotala potengera mayeso.

Mankhwala

Cholinga cha mankhwalawa chimasankhidwa limodzi. Gulu lirilonse la mankhwalawa limalimbitsa ndikupangitsa ena onse. Kugwiritsa ntchito njira imodzi yodwala matenda awa sikugwira ntchito:

ma statins chepetsa kuchepa kwa matenda a chifuwa,
otsatizana a bile acid Chotsani lipids m'magazi, kuphatikiza ndi ma statins zimalepheretsa mapangidwe a lipid ndikuchepetsa kukula kwa matenda.
antiplatelet agents kuchepetsa chiopsezo cha thrombosis pamaso pa malo oopsa, amagwiritsidwanso ntchito chifukwa cha kugunda kwa mtima ndi sitiroko kupewa kubwezeretsanso kwa thrombosis (ndikofunikira kukhala ndi nthawi yolowera mu maora 6 oyambilira "ngozi" itachitika)
lipid-kuchepetsa mankhwala kuletsa mapangidwe a cholesterol, chotsani madipoziti achinyamata,
antihypertensives "Sungani" kuthamanga kwa magazi pamlingo wovomerezeka, womwe umalepheretsa kuchepa kwambiri kwa mitsempha.
odana ndi yotupa chepetsani chiwopsezo cha kusintha kwa khoma la mtima,
mankhwala a vasodilator adapangidwa kuti athe kufikira magazi okwanira ku ubongo,
sedative ankakonda kugwira ntchito yamanjenje,
Mavitamini B kuteteza ubongo ku hypoxia.

Kuvuta kwa mankhwalawa kukufunika pakufunika kwakanthawi kotalika kwamagulu omwe atchulidwa mumagulu osiyanasiyana. Kulephera kumwa mankhwala nthawi zambiri kumayambitsa matenda a stroke komanso zovuta zina.

Njira za anthu

Kuphatikiza pa mankhwala ochizira matenda a chithokomiro chotupa, mankhwala achikhalidwe amagwiritsidwa ntchito mwachangu, kuphatikiza:

mankhwala azitsamba (Zitsamba zomwe zimachepetsa kuthamanga kwa magazi, kusintha kayendedwe ka magazi, kusintha magwiridwe antchito a minofu ya mtima, kusuntha ndikothandiza),
apitherapy (kugwiritsa ntchito njuchi) kumalimbitsa chitetezo chokwanira, kuchepetsa chiopsezo cha thrombosis, kupereka zakudya muubongo ndi kukonza magwiridwe antchito amanjenje,
adyo, anyezi ndi uchi ndi njira yabwino kwambiri yoyeretsera magazi. Zinthuzi zimagwiritsidwa ntchito limodzi komanso mosiyana. Zochita kuyeretsa kwamitsempha yamagazi pogwiritsa ntchito maphikidwe osiyanasiyana a mankhwala amakono kumakupatsani mwayi wosunga mitsempha yamagazi ndikuthandizira ntchito ya mtima kwazaka zambiri.

Chithandizo cha matenda amadzimadzi a arteriosclerosis sichingatheke popanda kudya. Chofunikira chachikulu pakuwonongeka kwa mtima ndi kuchepetsedwa kwa zakudya zopanda pake. Odwala amalangizidwa kukana mchere, wokazinga ndi wosuta, zakudya zamafuta.

Gawo lalikulu la zakudya liyenera kukhala zopangidwa kuchokera ku mbewu (masamba ndi zipatso zomwe zimadyetsedwa makamaka zophika, stewed, zophikidwa ndi zosaphika), onetsetsani kuti muphatikapo fulakesi, oatmeal, buckwheat.

Zakudyazi ziyenera kukhala ndi nsomba zam'madzi (seaweed, nsomba) ndi zotuluka mkaka (tchizi tchizi, kefir).

Chinthu china chofunikira mu chakudya chomwe chidzakhala kulemera, ndi kuchuluka kwa shuga m'magazi - chakudya chokhala ndi cholesterol yochepa, chakudya.

Kuti muwonjezere mphamvu, gwiritsani ntchito mpendadzuwa, mafuta a maolivi ndi maolivi. Onetsetsani kuti mwasankha masiku osala kudya.

Kupewa

Odwala ambiri akudzifunsa ngati ndizotheka kuchiritsa kuwonongeka kwa ubongo mwa okalamba popanda mapiritsi, yankho ndi lakuti ayi. Komabe, ndizotheka kupewa kusintha kwa kusintha kwa ma atherosselotic potsatira malamulo osavuta kupewa:

Kudyera ndikofunika kwambiri wazaka 40,
moyo wokangalika
kukana zizolowezi zoyipa ndikugwira ntchito m'mabizinesi omwe ali ndi zowonongeka zowonjezereka (kuphatikizapo mphamvu yamagetsi, kusuntha kwa usiku ndi tsiku ndi tsiku, kusintha kwa kutentha, phokoso kapena kugwedezeka),
kugona kwathunthu usiku
kutsatira boma la ntchito ndikupuma,
magazi shuga
normalization ndi kuwongolera kuthamanga kwa magazi.

Pankhani ya kukhazikika kwa mtima zamitsempha, chithandizo chanthawi yake chimapewe kukula kwa atherosulinosis ndikuchepetsa kufalikira kwa njirayi chifukwa cha kuyambika kwa mapangidwe a atherosulinosis. Mukalamba, ndikofunikira kuyesedwa ndi katswiri wamtima ndi akatswiri othandizira.

Zoyambitsa ndi Zoopsa

Cerebral atherosulinosis imatchulidwa kuti ndi matenda a polyetiological. Choyamba, chiopsezo cha matenda amtundu wa ziwindi zimachuluka ndi zaka. Zimachitika m'mbuyomu nthawi zambiri zimachitika chifukwa cha kuperewera kwa zakudya m'thupi, vuto la metabolic, kunenepa kwambiri, kusowa zolimbitsa thupi, kusuta fodya komanso kumwa mowa kwambiri. Kuphatikiza apo, matenda oopsa am'magazi amathandizira kukulitsa matenda a mtima. Nthawi zambiri, kuphatikiza kwa mitsempha ya m'magazi ndi kuthamanga kwa magazi kumawonedwa mwa odwala, pomwe zonse ziwirizi zimakulitsa mzake.

Zowopsa zake zimaphatikizaponso njira zopatsirana komanso kuledzera kwa thupi, komwe kumayipa khoma la mtima. Mkhalidwe wabwinobwino wama psychoemotional, nkhawa kwambiri, komanso zochitika zopsinjika nthawi zambiri zimagwira ntchito. Makamaka chibadwa chimafunso. Muzochitika zamankhwala, milandu ya mabanja yakukula kwa kuphatikizika kwa mitsempha ya mitsempha yokhala ndi matenda a sitiroko nthawi zambiri amalemba.

Kodi mitsempha ya m'matumbo ndi chiani?

Atherosclerosis ya ziwiya zaubongo imayenda pang'onopang'ono mwadongosolo zotengera zomwe zili m'chigawo chofanana. Mankhwala, mutha kupeza matanthauzidwe ena a matendawa, mwachitsanzo, zotupa za atherosulinosis kapena zotupa za ma atherosselotic zotupa zam'mimba, koma tanthauzo silikhala losasinthika. Ntchito yamkati yamanjenje imasokonekera, zomwe zimabweretsa pang'onopang'ono zotsatira zoyipa.

Njira ya etiopathogenetic yopanga atherosulinosis yaubongo imalumikizidwa ndi kusokonezeka kwa metabolic ya protein-lipid, ndi kugonjetsedwa kwa mphamvu ya mitsempha yaubongo ndi zinthu zomwe zimawola ndipo mwachindunji ndi mafuta amadzimangira okha, ndikupanga mapangidwe a atherosulinotic.

Malinga ndi ziwerengero, m'matumbo amtundu wa ubongo, atherosulinosis nthawi zambiri imakhudza mitsempha yam'mimba, minyewa ya thalamus ndi mlatho wa warolium. Nthawi zambiri, mapangidwe amapangidwa ndi mtundu wa mafupa am'manja, lipoidosis imakhala yochepa.

Amuna amakhudzidwa kwambiri kuposa azimayi. Amasintha kwambiri ma atherosclerotic omwe amayamba kukhudza ziwiya zaubongo zaka 10 zapitazo. Komabe, atakalamba (atatha zaka 55 ndi kupitirira), azimayi ndi abambo onse amavutika chimodzimodzi ndi matenda amtunduwu. Ziwerengero zikusonyeza kuti m'zaka zaposachedwa pakhala kuchuluka kwa achinyamata odwala omwe afika zaka 30.

Kuphatikiza apo, zotupa zina za atherosselotic za m'matumbo a chithokomiro nthawi zambiri zimawonedwa mwa anthu omwe ali ndi vuto la matenda oopsa.

Zizindikiro za matenda amiseche

Mwa zodziwikiratu zomwe zikuwonetsa kukula kwa ziwopsezo zam'mitsempha mu ubongo, titha kusiyanitsa:

Kuchepetsa kwakukulu kukumbukira, komwe kumadziwonetsera kuyiwala zochitika zaposachedwa. Poyamba, kusokonezeka kwa malingaliro kumadzipangitsa kumva kuwonjezeka, kumawonekera makamaka pambuyo pa kutopa kwa m'maganizo ndi thupi. Pamene atherosulinosis ikupita patsogolo, kupindika kumawonekera kwambiri, koma kukumbukira zochitika zakale kwa nthawi yayitali kumakhalabe.

Kuchepa kwa ntchito kwa malingaliro, komwe kumadziwonetsera mu mawonekedwe a kutopa kwapang'onopang'ono. Wodwala sangathe kuyang'ana kwa nthawi yayitali pa chinthu china, kuti aziganizira kwambiri.

Emotional lability ndi chizindikiro china chodziwika bwino cha matenda amiseche. Komanso, momwe munthu amasinthira amadziwika ndi kusakhazikika komanso kusinthasintha. Ndiye kuti, ngakhale zinthu zazing'ono zimatsogolera ku maonekedwe akhungu lowoneka bwino. Nthawi zambiri, anthu oterewa amalira, amakhala ndi nkhawa komanso nkhawa zambiri, nthawi zambiri amakhala ndi mantha chifukwa cha thanzi lawo, ndipo amakhala osadalirika.

Nthawi zambiri odwala amadandaula za kusowa tulo nthawi zonse.

Omwe amakhala nawo nthawi zambiri amtunduwu wamatenda am'mutu amamva mutu komanso chizungulire. Amasiyana chifukwa amatuluka munthawi yomwe munthu amasintha malo ake kuchoka kuzungulira kupita kwina ndikuwongoka. Izi zikutanthauza kuti amangodzuka pabedi, ndipo osagwedezeka, koma pang'onopang'ono.

Matendawa akamakula, kusintha kwamunthu kumaonekera, machitidwe ake amasintha, kusokonezeka kwamaganizidwe kumachitika pafupipafupi.

Matenda a khunyu ndi chizindikiro china chochititsa chidwi cha ziwongo zamatenda a ziwongo, zomwe zimawonedwa mwa anthu okalamba. Zimafotokozedwa pakupezeka kogwira mwamphamvu.

Senestopathy, monga zizindikiro za matenda am'matumbo am'madzi, amadziwika chifukwa chakuti munthu amadandaula chifukwa cha kumva nkhope, kutsekemera kwa miyendo, komanso mawonekedwe akuwoneka kutentha kwa dera la occipital.

Cheyne-Stokes kupuma kapena kupuma kwakanthawi, komwe kumadziwika ndi kuzungulira kwina: kudzoza kopitilira muyeso, mpweya umasinthidwa ndikuyamba kuyamwa, kutulutsa kupuma kwachisanu ndi chiwiri, kupuma kumakhala kosafunikanso, ndiye kuti kupuma ndikuzungulira kuzungulira. Nthawi zambiri, kupuma kotereku kumawonedwa ndi atherosulinosis yamitsempha yamagazi yomwe imadyetsa medulla oblongata.

Ataxia nthawi zambiri amawonedwa ndi zotupa zam'mitsempha, kudya kwa cerebellum kapena zida zapamwamba. Zimawonetsedwa mukusunthika kwa kayendedwe ka minofu ingapo, pakuchepa koyenda poyenda ndikuyimirira, pakuyenda molakwika komanso kusayenda bwino kwamphamvu, pomwe mphamvu yamiyendo sinatayike.

Kuphatikiza apo, odwala mpaka pamlingo wina kapena wowonekera, osokonezeka ndi owonera, komanso kufooka kwakanthawi.

Nthawi zambiri zimakhala zovuta kwa wodwalayo kupirira mawu okweza, kukwiya kosachedwa kumachitika.

Ndikofunika kugawa zizindikiritso za atherosulinosis yamitsempha yamatumbo nthawi zingapo, kuti mumvetsetse bwino lomwe za matendawo

Gawo loyamba limadziwika ndi ma pseudo-neuroasthenic mawonekedwe amutu, tinnitus, kusokonezeka kwa tulo, kusalolerana ndi kuwala kowala, phokoso lalikulu, kuchepa kwa magwiridwe antchito ndi mawonekedwe ena amtundu womwewo.

Gawo lachiwiri lachitukuko cha matendawa limawonetsedwa ndi mawonetseredwe azachipatala, ndi chitukuko cha kupsinjika, zizindikiro zodandaula, zosokoneza.

Gawo lachitatu limadziwika ndi kukula kwa dementia wokhala ndi chikumbumtima chovuta kukumbukira. Dementia imapangidwa motsutsana ndi maziko a zotupa zaubongo ndi atherosulinosis. Munthu amakhala wopanda thandizo, chisokonezo pakapita nthawi chimatha kuchitika, komabe, kawirikawiri miyambo yovomerezeka imakhalabe yolimba kwanthawi yayitali.

Chizindikiro chofunikira chomwe chimayenera kudziwika kwa onsewo komanso abale awo omwe ali ndi vuto la ubongo chotupa ndi vuto la ubongo kapena matenda oopsa. Zimaphatikizidwa ndi mutu, ndipo zowopsa kwambiri, zitha kukhala zofooka m'chigawo chimodzi chakumtunda kapena kumbuyo. Nthawi zambiri, vuto limatsatiridwa ndimavuto owonera komanso olankhula. Monga lamulo, kumatenga masiku awiri, kenako mkhalidwe wa wodwalayo umakhazikika. Ngati zizindikirazi sizichoka pambuyo pa nthawi yino, ndiye kuti ndi bwino kuganiza kuti mawonetseredwe awa ndi zizindikiro za kugwidwa.

Pambuyo pamavuto, wodwalayo amakhala wodandaula, atha kukhala wovuta, pomwe zokonda zonse zimachepetsedwa pazovuta zapakhomo, ndikuchita kwabwinoko kumatha.

Mitundu ya matenda

Cerebral atherosulinosis imayang'aniridwa ndi kutanthauzira kwawoko ndi maphunziro ake.

Kutengera ndi malo a chotupa, chotupa cham'mimba cha m'mimba, chotupa chamkati cha m'mimba, chotupa chamkati kapena chofala, chotupa cha brachiocephalic, komanso mitsempha yamagazi yaying'ono ingatenge nawo gawo la pathological process.

Malinga ndi maphunziro azachipatala, matenda amtundu wa m'magazi amagawika pang'onopang'ono, amapita patsogolo pang'onopang'ono, amakhala pachimake komanso amadzimva.

Zomwe zimayambitsa matenda a arteryosulinosis

Zomwe zimayambitsa chitukuko cha atherosulinosis, zotulutsidwa m'mitsempha muubongo, ndizofanana ndi zoopsa zomwe zimapanga atherosulinosis yamitsempha yamagazi iliyonse. Ndikofunikira kukumbukira kuti zolembera zamtundu uliwonse wa atherosulinotic zingakhalepo kwazaka zambiri.

Kukopa kupita patsogolo kwa matenda atitha:

Kusuta. World Health Organisation akuti ndikuwonjezera utsi wa fodya womwe umapangitsa kuti pakhale vuto la ubongo. Kuchita kwake ndikochulukitsa, koma kufupika kwa mitsempha yaubongo ndi kuwonongeka pang'onopang'ono kwa mphamvu zawo kumawerengedwa kuti ndi koyipa kwambiri.

Kuthamanga kwa magazi. Ngati matenda oopsa amangosiyidwa popanda njira yoyenera yovutikira kwakanthawi, izi zimapangitsa kuti magazi azigwirizana ndi ubongo, zomwe zimapangitsa kuti pakhale kupangika kwa mapangidwe a sitiroko ndi mapangidwe a sitiroko.

Matenda a shuga. Ndi chitukuko cha matendawa, pali kuphwanya kukonza mu thupi la glucose yekha, komanso lipids, zomwe pamapeto pake zimawononga ziwiya zaubongo. Kuphatikiza apo, shuga imayambitsa kuwonjezeka kwa kuthamanga kwa magazi. Kuphatikiza ndi matenda oopsa omwe alipo kale, matenda oopsa a shuga amawonjezera mwayi wokhala ndi kuwonongeka kwamitsempha yamagetsi ka 4.

Kunenepa kwambiri Mwa anthu omwe ali ndi thupi lochulukirapo, chifukwa cha kuchepa mphamvu kwa lipid ndi chakudya m'magazi, kumakhala kuwonjezeka kwa mafuta m'thupi, chomwe ndi chinthu champhamvu chomwe chimakwiyitsa chitukuko cha atherosulinosis. Komanso, vuto la kunenepa kwambiri ndilofunika pakadali pano, malinga ndi ziwerengero, pafupifupi 25% ya anthu ku Russia amadwala kunenepa kwambiri. Komanso, anthu awa ndi azaka zogwira ntchito.

Mafuta akulu kwambiri. Mosasamala kanthu zomwe zimapangitsa kuti chiwonjezeke chiwonjezeke, chiopsezo chotenga matenda a atherosulinosis a ziwiya zamafuta amochulukirapo kangapo. Ngozi imachulukirachulukira motsutsana ndi maziko a LDL okhazikika.

Amuna kapena akazi. Zafika zaka 60 kuti abambo akhale ndi mwayi wopezeka ndi matenda a ubongo. Ngakhale pambuyo poti mkazi amasiya kusamba, mwayi wovutika ndi matenda a ubongo chotupa ndi ofanana. Izi ndichifukwa choti mulingo wa estrogen, womwe umalepheretsa kukula kwa atherosulinosis mu thupi la mkazi, umachepetsedwa kwambiri pambuyo kusintha kwa msambo.

Khalidweli. Ngati banjali linali ndi achibale omwe ali ndi vuto la atherosulinosis m'matumbo a ziwongo, ndiye kuti chiopsezo cha matenda omwewo chimawonjezeka kwambiri.

Chakudya chamafuta ambiri chomwe chimakhudza mitsempha ya magazi, kuphatikizapo ubongo. Izi, zoyambirira, zimabweretsa kuwonjezeka kwa cholesterol komanso kuchuluka kwachangu kwa zolembedwa za atherosulinotic. Kuphatikiza apo, pakakhala cholowa chamtsogolo, kudya mafuta ochulukirapo kumatha kuyambitsa zotsatira zamitundu yomwe ilipo yomwe imayambitsa mafuta a cholesterol. Zotsatira zake, kapangidwe kake kamakhala kosasangalatsa.

Kuchita masewera olimbitsa thupi ochepa kapena kusachita masewera olimbitsa thupi ndichimodzi mwazinthu zamphamvu kwambiri pakukula kwa matenda a arteryosulinosis. Katundu aliyense: kuyenda, kuthamanga, kusambira - imathandizira kuchotsedwa kwa HDL mthupi ndipo kumathandiza kupewa matendawa.

Ukalamba ndi chinthu chomwe chimayambitsa chitukuko cha matenda, zomwe sizingatheke kupatula. Amawona mafuta oyamba m'matumba amapezeka kale ali ndi zaka 10, ndipo amatchulidwa kwambiri ndi pafupifupi zaka 50. Ichi ndi chifukwa cha machitidwe a zifukwa zina zopatsa chidwi, komanso kuchepa kwamafuta a metabolic, chakudya, mavitamini mthupi. Zovuta mu ntchito ya chitetezo chathupi, endocrine gland, chiwindi, matenda opatsirana ambiri, ndi zina zimakhudzidwanso.

Kupsinjika ndi zizolowezi zoyipa pazonse ndizomwe zimayambitsa matenda ambiri, ndipo matenda amtundu wamtunduwu ndiwonso.

Chithandizo cha matenda amadzeru

Chithandizo cha matenda awa ndi chachitali, ndipo nthawi zambiri, chimatenga nthawi yayitali. Dokotala wamatsenga ndi amene amachititsa kuti vutoli lithe, omwe ntchito zake zimaphatikizapo kuzindikira anthu omwe ali ndi mavuto ofanana, kuwunika kukula kwa matendawa, ndikuyambitsa njira yothandizira. Choyamba, amatchedwa kupititsa magazi ku ubongo, ndikukhala prophylaxis ya arterial thrombosis.

Ponena za mankhwala osokoneza bongo, mawonekedwe amakono amawonjezeranso mpaka:

Mankhwala othandizira antiplatelet, omwe cholinga chake ndi kuchepetsa chiopsezo cha matenda a ischemic. Mankhwala omwe amagwiritsidwa ntchito pochita izi: acetylsalicylic acid ndi clopidogrel. Komabe, kuphunzira koyambirira kwa hemostasis ndikofunikira.

Kupititsa patsogolo magwiridwe amanjenje a endocrine gland, sedative kapena, m'malo mwake, othandizira okweza zimagwiritsidwa ntchito. Izi zitha kukhala chithokomiro, komanso mitundu yaying'ono ya estrogen.

Nthawi yomweyo, mankhwala ogwiritsira ntchito kuchepetsa magazi a cholesterol amagwiritsidwa ntchito. Izi zitha kukhala ma statins (kuletsa kaphatikizidwe wa cholesterol m'chiwindi, kutsitsa LDL ndikuwonjezera HDL) - lovastatin, atorvastatin, simvastatin, pravastatin, komanso ma fiber (kutsitsa cholesterol ndi triglycerides) - gemfibrozil, fenofibrate, clofibrate. Kuphatikiza apo, anio-exchange resins kapena sequestrants za bile acid zomwe zimapangitsa kuti mafuta a cholesterol achuluke, zotchulidwa ndizo: hestiramine, colestipol. Ezetimibe, atromide, miskleron, etc. zingathandize kuchepetsa kuyamwa kwa cholesterol m'matumbo ang'ono.

Kukonzekera kwa ayodini ndi diosponin kumathandizira kuchepetsa kusokonezeka kwa ubongo wa ischemic. Kuphatikiza apo, pazomwezi, calcium iodine, potaziyamu iodide kapena ayodini ingathe kuyikidwa. Mankhwala amatengedwa m'maphunziro kupatula iodism.

Kuti muthane ndi othandizira, osati ntchito yopewetsa, mumagwiritsidwa ntchito Mlingo wambiri wa ascorbic, komanso mavitamini a B (B2, B6), ochulukirapo pakufunika kwa tsiku ndi tsiku.

Kuphatikiza apo, mu zovuta za mankhwala, odwala amapatsidwa mankhwala omwe amalepheretsa kukula kwa zovuta zamagazi. Izi zitha kukhala ma coronarolytics, komanso othandizira omwe amachepetsa mitsempha ndi ma anticoagulants poopseza kuwundana kwamagazi.

Pakupezeka hemennamnam stenoses yofunika kwambiri, mwina kutuluka kwathunthu kwa mitsempha kapena mapepala osakhazikika, dokotala wamankhwala amachititsa ngati opaleshoni ndiyofunikira. Mankhwala amakono wafika pamlingo wofunikira pankhani yothandizira machitidwe othandizirana pamitsempha yamagazi, kuphatikizapo ubongo.

Pakadali pano, mitundu yotsatirayi yopangira ma opaleshoni ilipo:

Endarterectomy. Zimatengera kuti kukula kwamafuta kumachotsedwa ndi njira yotseguka. Kuti muchite izi, khungu limasokonekera chifukwa cha khungu lotseguka. Zitachitika izi, dokotala wochita opaleshoni amaletsa magazi kulowa m'malo ano, khoma la m'magazi limatulutsa mwachangu ndipo mafuta omwe amachotsedwa amachotsedwa. Pambuyo pamanyengere otere, dokotalayo amatha kusoka malo owonongeka ndi makina amisala. Mwanjira imeneyi, zikwangwani pazombo zapamadzi zimatha kuchotsedwa.

Masamba ndi ma balloo. Pofuna kuthana ndi mapangidwe a atherosulinotic pamatumba a intracranial, zitsulo ndi ma balloon amagwiritsidwa ntchito. Ndiye kuti, kuchotsa kwa endoscopic kwa zolembedwa za atherosulinotic ndikofunikira. Kuti muchite izi, ma endoscope okhala ndi stent amayikika m'chiwiya chokulirapo, kenako nkuwayang'anitsitsa nthawi zonse pogwiritsa ntchito ma x-ray, amakwezedwa kumalo komwe amachepetsa mtsempha chifukwa chakumanga. Mmenemo ndi pomwe stent imayikidwapo, yomwe, ndikuwonjezera kuyimitsidwa kwa chotengera, kubwezeretsa magazi kudzera mwa iye.

Tiyenera kumvetsetsa kuti matenda amtundu wa chithokomiro amatchulidwa kuti ndi matenda osachiritsika, motero chithandizo nthawi zambiri chimakhala nthawi yayitali. Kutengera nthawi yodziwitsa za matendawa omwe adapezeka komanso chithandizo chake chidayamba, kudutsaku kumadaliranso. Pochita akatswiri a mitsempha, mitundu yayikulu ya matenda am'madzi amadzimadzi amadziwika, omwe, komabe, adalola anthu kuti azingokhala nthawi yayitali, komanso akhale othandizira. Komabe, nthawi zambiri pamakhala kuwonetseredwa kachipatala koyamba chifukwa cha matenda. Chifukwa chake, madokotala amatenga mbali yofunika kwambiri podziwonetsetsa za matendawa ndi chithandizo chake choyenera.

Zakudya za matenda am'matumbo

Simungachotse matenda amitsempha yamagazi kapena kuti muthane ndi chiwopsezo cha matendawa osayang'ana zakudya zina. Monga njira yazakudya, madokotala amalimbikitsa matebulo angapo, ophatikizidwa poganizira zofunikira zoyambirira za wodwala.

Komabe, chilichonse cha izo chimakhazikitsidwa ndi mfundo zingapo:

Kwa odwala omwe ali onenepa kwambiri komanso kwa omwe matupi awo salemera poyerekeza ndi abwinobwino, ndikofunika kuchepetsa zopatsa mphamvu zopatsa mphamvu patsiku. Kutsika kuyenera kukhala kuchokera pa 10 mpaka 15% ya zopatsa mphamvu zonse.

Kuchepetsa, mpaka kuzichotsa kwathunthu kuchokera ku zakudya zamafuta omwe ali ndi mafuta a nyama ndi mafuta ambiri. Choyamba, tikulankhula za mazira, caviar, ubongo, nyama yamafuta ndi nsomba.

Kutsika kwa kuchuluka kwa zinthu zomwe zimakhala ndi Vitamini D.

Kuchepetsa kuchuluka kwa mchere womwe umatha.

Kukana msuzi wolemera ndi msuzi wa nsomba.

Kudya zakudya zomwe zimakhala ndi lipotropic. Itha kukhala tchizi tchizi, hering'i (koma mutanyowa mosamala), oatmeal, cod.

Kugwiritsa ntchito mafuta a masamba mumenyu, osati mpendadzuwa wokha, komanso chimanga, cholocha, thonje.

Kudya zipatso zambiri ndi masamba ambiri osakonzedwa.

Kukhazikitsidwa kwa masiku osala kudya, makamaka pokhapokha ngati kunenepa kwambiri. Itha kukhala kefir, kanyumba tchizi, apulo, oat ndi mitundu ina ya zakudya zam'madzi tsiku limodzi.

Musaiwale za mapuloteni, menyu wawo watsiku ndi tsiku ayenera kukhala osachepera 30 g. Magwero angaphatikizepo: nsomba, mazira, nyama, mankhwala okhala mkaka okhala ndi mafuta ochepa.

Makamaka, pochiza matenda amitsempha yama ziwongo za chilengedwe. Mbali yake ndikuti wodwalayo amaperekedwa kuti achepetse kuchuluka kwa madzi omwe amatsitsidwa mpaka malita 1.5 patsiku. Sizokhudza tiyi kapena khofi, komanso madzi. Kuchuluka kwa ma kilocalories patsiku sikuyenera kupitirira 2500, ndipo ndi kunenepa kwambiri kwa munthu wodwala, chiwerengerochi chimatsika ndi 700 kcal. Pankhaniyi, zinthu sizikhala ndi mchere pakuphika, sizingatheke. Chakudya chimagawidwa m'njira zisanu ndi imodzi.

Ndi atherosulinosis ya ziwiya zaubongo wazakudya, muyenera kutsatira nthawi yayitali, mwina ngakhale moyo wanu wonse. Chifukwa chake, ndikofunikira kuzolowera kumwa zinthu monga oatmeal, kabichi, adyo, tchizi chanyumba. Dongosolo labwino lophatikiza zakudya sizingangothandiza wodwalayo, komanso monga othandizira komanso prophylactic.

Cerebral atherosulinosis

Cerebral atherosulinosis imakulitsa kufalikira kwa chithokomiro, ndi mtundu wa matenda a dementia. Imapezeka mwa anthu azaka 20, koma imawonedwa kwambiri mwa okalamba.

Cerebral atherosulinosis yokhala ndi matenda oopsa amadziwika ndi kusiyana kwakukulu mu systolic ndi diastolic magazi. Zipsinjo poyambira sizikukwera kwenikweni, koma pamapeto pake zimangokhala zosasinthika. Izi zimawopseza wodwala ndi lamanzere lamitsempha yamagazi hypertrophy, stroke kapena encephalopathy, yomwe imakhala muimfa ya mitsempha yaubongo chifukwa chakutha kwa magazi ndi kuchepa kwa mpweya wokwanira.

Magawo a matenda a mtima

Cerebral atherosulinosis ya ziwiya zamadzimadzi imayamba chifukwa cha matenda omwe amachitika chifukwa cha kusokonezeka kwamafuta kagayidwe m'thupi. Matendawa amayamba ndi kuyika kwa cholesterol pazitseko zamkati za mtsempha wamagazi (mapangidwe a lipid mawanga). Pang'onopang'ono, izi zimasandukanso mafuta ndipo zimayamba kukhazikika ndikuphimbidwa ndi minofu yolumikizana (liposulinosis). Zolembera za atherosclerotic zimachitika. Imayamba kutseka gawo la chotengera, ndikupangitsa magazi osakwanira ku ziwalo zapafupi (atherocalcinosis). Kudumpha kwa chotengera kumachitika (kuwonongeka).

Zidole za cholesterol zimadziunjikira m'mitsempha yayikulu komanso yapakati ya ziwalo. Malo amafuta amapezeka m'mitsempha yaying'ono, ndipo ma capillaries ang'onoang'ono samakhudzidwa ndi ubongo wa atherosulinosis.

Amayambitsa Atherosulinosis a Bongo

Atherosulinosis ya mitsempha ya chithokomiro imachitika chifukwa cha kuwonongeka kwa chiwindi, kulephera kwake kubereka kwambiri kachulukidwe “cholesterol” (HDL). Ili ndi anti-sclerotic katundu, imapatsa ziwiya zotanuka ndi mphamvu. Pakachitika vuto la chiwindi, thupi limayamba kupanga maselo am'mimba kuchokera ku cholephera "cholakwika" chochepa. Amakhala akhakula komanso opanga.

Zomwe zimayambitsa matenda amisempha ya ubongo

Hypodynamia - kusafuna kuchita zolimbitsa thupi zolimbitsa thupi.
Kuzolowera zakudya zamafuta kumadzaza chiwindi, chomwe sichitha kuthana ndi mavuto abwinobwino.
Kupsinjika kwakanthawi, kulephera kuthana ndi vutoli kumayambitsa kuchuluka komanso kugwira ntchito mopitirira muyeso. Ma Catecholamine amatulutsidwa m'magazi, zomwe zimayambitsa kupanikizika kwa mitsempha ndikupita ku ischemia.
Hypertension imapangitsa mavuto osafunikira pazombo zosalimba.
Matenda a shuga amasokoneza kagayidwe ka mafuta.
Zizolowezi zoyipa ndi kuperewera kwa chilengedwe kumachulukitsa matendawa.
Kunenepa kwambiri
Matenda a mahomoni omwe amaphatikizidwa ndi kusamba.
M'badwo - anthu okalamba amatha kugwidwa ndi matenda a minyewa ya m'magazi.
Choyipa.

Njira zopangira opaleshoni

Pomaliza gawo la atherosulinosis yaubongo, kulowererapo kwa opaleshoni kumagwiritsidwa ntchito. Stenosing atherosulinosis imayendetsedwa poyera pamitsempha yamkati komanso yamtundu wa carotid. Kupyola pakubowoleza pakhosi, adotolo amatsegula malo omwe akhudzidwa ndikuchotsa chidikacho pamodzi ndi nembanemba wamkati. Kenako amasinkhana ndikumayikamo ngalande pang'ono. Kuchita kotereku kumachitika motsogozedwa ndi ultrasound ya ubongo ziwiya.

Pa mitsempha ya m'mimba ya m'magazi, ntchito yolumikizira imachitika ndikuyika baluni yomwe imaphwanya chithaphwi, ndipo stent imayikidwa patsamba lino. Pambuyo pa opaleshoni iyi, dokotala amafotokozera kuti akhale osagwirizana ndi moyo wonse.

Zomwe zimapangika pakukula kwa ziwongo zamatumbo

Zomwe zimayambitsa chitukuko cha matendawa ndi kuchepa kwa magazi ndi mapangidwe amitsempha yamagazi, kuyika kwa cholesterol chikhoma pamakoma awo, ndikutsatira kwamphamvu magazi.

Matenda amtunduwu samachitika mwadzidzidzi, koma amayamba zaka zambiri motsutsana ndi zomwe zimapangitsa izi:

kuperewera kwa zakudya m'thupi ndi mafuta ochulukirapo a nyama, maswiti ndi zakudya zovulaza,
kudzikulitsa kwa cholesterol yoyipa m'thupi kuchokera pachakudya komanso kugwira ntchito molakwika kwa chiwindi.
kusuta fodya komanso kumwa mowa mwauchidakwa
matenda opatsirana - ochepa matenda oopsa, shuga, kunenepa kwambiri,
zolimbitsa thupi, kugwira ntchito, kusachita zolimbitsa thupi,
mtundu wakubadwa kuchokera kwa achibale apamtima,
kupsinjika kwapafupipafupi, kusokonezeka kwa mitsempha, malo okhumudwitsa,
kukalamba kwa thupi pambuyo pa zaka 50-60,
kusokonezeka kwa mahomoni, makamaka pa nthawi ya kusintha kwa thupi kwa akazi.

Ndi zovuta za chinthu chimodzi kapena zingapo, chiopsezo cha matenda a atherosulinotic chikuchulukirachulukira. Muyenera kusamalira thanzi lanu pakalipano kuti mupewe kutalikira kwakutali, koma zenizeni kwambiri, zotupa zam'mimba mu mawonekedwe a ischemic stroke kapena ngakhale kufa ndi matenda a ubongo.

Cerebral atherosulinosis yamitsempha yamagazi imayamba chifukwa cha zinthu zingapo mthupi: kusuta - kumachepetsa mitsempha ndipo kumachepetsa kutanuka kwa makoma amitsempha

Zizindikiro ndi matendawa

Chithunzi cha matenda a matenda a ubongo - ndi chiyani? Ichi ndi chizindikiritso chomwe chimakhudza wodwala panthawi ina kapena matenda. Pa gawo loyamba, nthawi zambiri amakhala osakwanira. Kuwonongeka kwa ubongo komwe kumapitilira, Zizindikiro zimawonjezeka ndikukhala olimba.

Zizindikiro zoyambira zam'mawonekedwe zimawoneka motere:

chizungulire
mutu wopanda pake
Anachepetsa chidwi ndi ntchito,
tinnitus
zosokoneza tulo
kuvuta kwamomwemo.

Kuwonongeka kwakukulu kwa mitsempha ya chithokomiro yokhala ndi zovuta zoyenderera zamagazi kumayambitsa:

kupweteka kwambiri komanso pafupipafupi
kukomoka, kukomoka,
kufooka, kuluma, kukokana mumiyendo,
kukumbukira kusokonezeka, chidwi, zochitika zam'mutu,

Zizindikiro zazikuluzikulu za matenda a ubongo:: kupweteka m'mutu pambuyo pamavuto amisala, omwe nthawi zambiri amabwerezedwa

zovuta zamaganizidwe amisala, kukhumudwa,
mgwirizano wolakwika,
kulephera pang'ono kukumbukira
kumva, kumva kwathunthu,
kutayika kwakanthawi
malingaliro osokonekera pamawu, zokonda, kuwala,
paresis, ziwalo za thupi.

Mawonetsedwe azachipatala a matendawa amakula pang'onopang'ono, pazaka zingapo kapenanso makumi. Kwa nthawi yayitali, kungokhala wofatsa wokhazikika komanso chimodzi mwazizindikiro zomwe zimadziwika. Popita nthawi, magwiridwe antchito komanso ma organic mu ubongo akuwonjezeka, zizindikiro zatsopano za atherosselotic zimayamba, zimakhala zowala komanso zowonjezereka. Nthawi zambiri, pokhapokha pokhapokha wodwala amalankhula ndi dokotala ndikuyamba kulandira chithandizo. Nthawi zambiri pamachitika chithandizo chamankhwala.

Mfundo za mankhwalawa matenda a ubongo

Ndi chitsimikiziro chodziwikiratu cha matenda amtunduwu, chithandizo chimasankhidwa malinga ndi gawo la matendawo, thanzi la wodwalayo, zomwe zimayenderana ndi zovuta zina. Nthawi zambiri, njira zingapo zowonjezera zimathandizira nthawi yomweyo.

Mu magawo oyamba, matendawa amatha kuthandizidwa ndimankhwala omwe amateteza kuthamanga kwa magazi ndi matenda a lipid.

Mankhwala

Mankhwala a Cerebral atherossteosis angaphatikizidwe ndi cholesterol-kuchepetsa statins (Lovastatin), psychostimulants (Cavinton), antihypertensive mankhwala (Lisinopril), anticoagulants (Heparin), ma neuroprotective othandizira (Piracetam), ndi lipotropic (Hepatrix) ), mtima ("L-lysine escenate") mankhwala, multivitamini ("Vitrum").

Milandu yapamwamba komanso yovuta, pamene lumen ya chotengera imatsekedwa ndioposa theka la cholesterol deposits ndikuletsa magazi, ndiye kuti opareshoni imasonyezedwa. Imachitidwa m'njira yovulaza (stenting, angioplasty) kapena yodzaza (endarterectomy).

Chithandizo cha anthu.

Chololedwa chokhacho ngati mankhwala othandizira kunyumba. Infusions, decoctions, tiyi yozikidwa pakukonzekera azitsamba amagwiritsidwa ntchito (dogrose, elecampane, hawthorn, calendula, oregano, alfalfa, mint, mankhwala a mandimu). Kuthandiza kusintha kufalikira kwa mbewu, adyo, uchi, mummy, madzi a anyezi, radish, mbatata, parsley.

Zakudya zoyenera ndizofunikira kuti mankhwalawa athandizike komanso kuchira. Zakudya za tsiku ndi tsiku ziyenera kukhala ndi masamba, zipatso, zitsamba, chimanga, mafuta a masamba, nyama yopendekera ndi nsomba. Muyenera kusiya kugwiritsa ntchito zakudya zamafuta ndi yokazinga, kusunga, masoseji, zakudya zosavuta, maswiti.

Magawo a matenda

Pachithunzi cha matenda a matenda a chithokomiro, pali magawo atatu:

Kukula kwa zovuta za vasomotor, zizindikiritso zimawonekera padera, zosakhazikika.
Kukula kwa magwiridwe antchito a morphological, Zizindikiro zimakhazikika.
Zowonongeka zam'mitsempha yamagazi, zizindikiro zimakhalapo nthawi zonse, zovuta zambiri zimayamba.

Zowonekera zamankhwala zamatenda amtundu wamatumbo zimachitika motsutsana ndi minyewa ya ischemia, yomwe imayamba pomwe magazi amitsempha atatsekedwa ndi cholembera cha atherosclerotic.

Pa gawo loyambirira la matendawa, mawonekedwe a matenda amtundu wamtunduwu amakhala osakhazikika mwachilengedwe, nthawi zambiri amachitika ndi kupsinjika kwakuthupi komanso / kapena kwamisala ndikuwonongeka pakupuma. Odwala amadandaula za kufooka, ulesi, kutopa, kuchuluka kwa kusokonezeka, kusokonezeka kwa chidwi, kusokonezeka kukumbukira. Kusokonezeka kwakanthaŵi kwa kugona tulo usiku, kugona tulo, kugona tulo masana, chizungulire (makamaka posintha malo a thupi kuchokera kuzungulira kupita patali) kumadziwika. Chizindikiro chofunikira kwambiri pakadali pano matendawa chimatha kukhala mutu, womwe umaphatikizidwa ndi phokoso kumutu, m'makutu kapena khutu limodzi. Kuphatikiza apo, odwala angadandaule chifukwa cha dzanzi lakumapeto, kumaso kwa nkhope, kumva kutentha mu dera lamatsenga, kuyankhula kosamveka, kuchepa kwa kuwona kwakumaso, kumva kutaya (mpaka kutayika kwathunthu), kutsekemera.

Ndi chitukuko cha matenda a zamatenda, matenda amisala amakula, kukhumudwa kungayambike. Wodwala amawoneka wodera nkhawa, wokayikira, amasintha mwachangu. Phokoso m'mutu limatha kusokoneza nthawi zonse. Komanso, pakadali pano, kugwiritsidwa ntchito mwamphamvu ndi kulumikizana kungasokonezeke, kunjenjemera kwa mutu komanso / kapena zala zitha kudziwika. Pang'onopang'ono ntchito idasiya.

Ndi kupitilirabe kwa matendawa kwa odwala omwe ali ndi vuto la m'matumbo, kukumbukira, kuchepa, kulephera kuyenda munthawi ndi malo, luso lodzisamalira limatayika.

Chizindikiro chofunikira choti muyenera kuyang'anitsitsa pamaso pa matenda a ubongo ndi kufalikira kwa vuto la ubongo kapena matenda oopsa. Vutoli limatsatiridwa ndi kupweteka kwambiri pamutu, kufooka kumodzi wam'mwamba ndi / kapena miyendo yotsika, kusokonezeka kwa malankhulidwe ndi kuwonongeka kwa mawonekedwe. Nthawi zambiri, mavuto amakhala osaposa masiku awiri, pambuyo pake mkhalidwe wa wodwalayo umakhazikika. Kulimbikira kwa zizindikiro kwa masiku opitilira masiku awiri kungasonyeze kuchuluka kwa matenda a ubongo.

Cerebral cerebral atherosulinosis imakhala pafupifupi 20% ya kapangidwe ka matenda amitsempha, komanso pafupifupi 50% ya matenda onse a mtima.

Moyo wathanzi.

Udindo wofunikira pakuchiza matenda a atherosulinosis umachitika ndi kugona mokwanira, kuchita masewera olimbitsa thupi (kuyenda, kusambira, masewera olimbitsa thupi), kusiya kusuta fodya komanso mowa, komanso mkhalidwe wabwinobwino.

Cerebral atherosulinosis imathandizidwa mosamala ndi chithandizo chanthawi yake komanso kukwaniritsidwa kwa zofunikira zonse zachipatala. Ndikofunikira kwambiri kuyang'anira kudya kwanu ndikukhala ndi moyo wathanzi.

Matenda a mtima omwe amadziwika kuti ndi chithokomiro cha chotupa cha m'magazi ndi amodzi mwa mitundu ya matenda amtundu wa chithokomiro, omwe amatsatana ndi kuchepa kwa mitsempha yayikulu chifukwa cha mapangidwe a cholesterol amana. Izi ndizowopsa ndi zovuta zambiri, kuphatikiza poopseza ndi imfa: ischemic ndi hemorrhagic stroke. Anthu opitilira theka miliyoni amwalira chaka chilichonse chifukwa cha matenda amtundu wa ku Russia. Malinga ndi ziwerengero za WHO, 10% ya anthu padziko lapansi amakonda kufa msanga chifukwa cha ziwongo ziwotchi.

Zomwe zimachitika

Kusintha kwa atherosulinotic m'matombo kulibe zifukwa zomveka. Nthawi zambiri, kuyika kwa cholesterol ndi polyetiological, ndiye kuti, zimachitika pamene zifukwa zingapo zophatikizira zimaphatikizidwa:

Kupangitsa kuwonongeka kwa khoma lamitsempha ndikuwoneka kuwonongeka kwa iwo - kusuta, uchidakwa, kugwiritsa ntchito mankhwala ena kapena poyizoni ndi mankhwala. Izi zimaphatikizapo kusowa kwa mavitamini ndi michere, komanso matenda oopsa, kusokonezeka kwa metabolic ndi matenda a shuga.
Kupangitsa kuchuluka kwambiri kwa cholesterol m'magazi - kugwiritsa ntchito mafuta ambiri, matenda a chiwindi, momwe mumakhala kuchuluka kwa mafuta a cholesterol, komanso vuto la lipid metabolism.
Amayambitsa mavuto ndi ntchito ya mtima ndi mitsempha yamagazi - kupsinjika, kusowa kochita zolimbitsa thupi.

Chiwopsezo chowonjezeka cha matenda a ubongo chotupa cha m'magazi chiri mwa anthu okalamba. Chifukwa cha kuwonongeka kwachilengedwe kwa thupi kapena zizolowezi zoyipa zazitali, zimakhala ndi ma pathologies osiyanasiyana a mtima.

Malinga ndi ziwerengero, abambo amatha kuvutika ndi matenda am'matumbo (65 mwa 100). Zaka za odwala ambiri zimakhala zaka 50 kapena kuposerapo.

Zizindikiro za Cerebral Atherosulinosis

Matendawa akuwonetsedwa ndi zovuta za kuthupi ndi minyewa. Mulingo wawo wowonekera umatengera gawo la kuwonongeka kwa mtima.

Ndi kupendekera pang'ono kwa kuwala kwa minyewa ya minyewa yaubongo, pamakhala kuchepa kochepa kwa mpweya ndi michere, motsutsana ndi kumbuyo komwe kumakhala ndi kupweteka kwakanthawi. Amasokoneza odwala nthawi yayitali komanso atatha kuchita masewera olimbitsa thupi, komanso amakhala atapanikizika.
Pamene chilolezo chichepetsedwa ndi 30% kapena kupitilira, chidwi chimachepa ndikutha kuloweza chidziwitso chimachepa. Wodwalayo sangathe kuyang'ana kwambiri kanthu, akukumana ndi kutopa kwakuthupi, komwe kumathandizidwa ndi kupweteka kwamutu. Pali zovuta ndi kugona: kugona tulo kumakhala kovuta, wodwala amazunzidwa ndi zoopsa usiku.
Ndi kuchepa kwa 50% kwa lumen ya mitsempha, kuwonongeka kwa kukumbukira kumapitirira. Zizindikiro zamitsempha yamagazi (kupweteka kwa mutu komanso kusokonezeka kwa kugona) zimathandizidwa ndi kusintha kwa kusintha kwa thupi, kufooka miyendo, kulumikizana kwamphamvu, kusokonekera bwino kwa luso la magalimoto.
Ndi kufupika kwa lumen ya mitsempha ya chithokomiro ndi 70%, Zizindikirozo zimakulirakulira. Khalidwe la munthu limapeza zinthu zomwe zimakulitsa kwambiri. Mwachitsanzo, anthu olandirana ndalama amayamba kudziunjikira zinyalala mnyumba, ndipo omwe amakonda kupsa mtima amakhala okwiya. Komanso, mwa odwala omwe ali ndi mtundu wa atherosulinosis, kusintha kosakwanira kwa kuwala, mawu, ndi kukoma kwa zinthu zina zimawonedwa. Paresis imachitika nthawi ndi nthawi, kuwonongeka kwamakutu pang'onopang'ono, ndikuwonongeka kwamaso m'diso limodzi kumawonekera.

Kuzindikira kwa atherosulinosis yokhala ndi chitsimikizo cha 100% kutengera izi sizikuchitika. Chowonadi ndi chakuti kuphwanya komwe kwatchulidwa kungakhale zizindikilo za matenda ena. Chifukwa chake, ngati matenda akukayikiridwa, kufufuza kokwanira kumachitika kuti muwone kusintha m'mitsempha yamatumbo.

Njira Zodziwitsira

Ngati zizindikiro za matenda a m'matumbo amtundu wa m'magazi zikuwonekera, muyenera kulumikizana ndi katswiri wamitsempha.Katswiriyu amasanthula wodwalayo ndikutola anamnesis kuti adziwe zomwe zikuwonetsa matendawa. Kenako kudziwitsidwa kokwanira kumachitika, komwe kumaphatikizapo maphunziro otsatirawa:

kuyezetsa magazi kwa digiri ya coagulability komanso zam'mapulogalamu apamwamba kwambiri (cholesterol) - ngati zizindikirozi ndizambiri, mwayi wa kusintha kwa atherosulinotic ukuwonjezeka,
Dopplerography yamitsempha yama carotid ndi ziwiya za khosi motsogozedwa ndi ultrasound - imawulula za kupezeka kwa cholesterol malo,
transcranial dopplerography ya zombo mkati mwa cranium - imawulula kusintha kwamphamvu ndi kukhulupirika kwa zombo, kupezeka kwa mafuta a cholesterol mkati mwawo,
electroencephalogram - imawulula cholingalira cha matenda osokoneza bongo a cortical omwe amawonetsa ischemia kapena minofu necrosis,
Angiography yamitsempha yamatumbo (kuwerenga pogwiritsa ntchito X-ray ndi njira yosiyanitsira) - imawulula mtima stenosis, imazindikira madera a ischemia,
MRI ya mutu ndimaphunziramo momwe zimatha kuwona m'mitsempha yamaubongo mkati mwa cranium, kuti muwone kusintha kulikonse ndikuwona foci ya ischemia.

Awiri omalizawa amatengedwa ngati njira zofunikira kwambiri zodziwitsira matenda amisempha. Nthawi zambiri, mutha kuchita ndi iwo okha, koma njira zina ndizotsika mtengo ndipo zimapezeka ngakhale m'makliniki ang'onoang'ono, motero amakhalabe ovuta.

Kuchiza matenda

Chofunikira kwambiri pa mankhwalawa matenda amitsempha yamagazi ndi kusintha kwa njira yamoyo, momwe amagwirira ntchito ndikupumula. Njira yayikulu yothanirana ndi ziwiya za matenda a cerebrovascular (CVB):

Kuchotsa kwa zinthu zopsinjika - phokoso losasinthasintha, kukokomeza thupi, malingaliro komanso chikhalidwe,
bungwe la kugona - ngati usiku wodwala agona moyenera kapena kudzuka, muyenera kupanga nyengo za kupumula kwa maola 2-3
kachitidwe ka thupi - nthawi yopuma iyenera kusinthana ndi kuchuluka koyenera (kuyenda modekha, kugwira ntchito zosavuta, kuchitira masewera olimbitsa thupi, kusambira),
kusiya zizolowezi zoipa,
kudya kuchepetsa magazi m'thupi.

Wodwalayo akatsatira malangizowo, amatha kuchepetsa kupitilira kwa kusintha kwa mitsempha yotupa ya m'magazi komanso kuchepetsa chiopsezo cha vuto laubongo. Pa magawo oyambilira a chitukuko cha matenda, mungathe kuchita ndi izi. Zochizira matenda osokoneza bongo atherosulinosis, kumwa mankhwala kwa nthawi yayitali kumafunikira, komanso pakakhala zovuta komanso zizindikiro zazikulu, opareshoni.

Mankhwala

Chithandizo cha matenda amtundu wamatumbo chimakhala ndi mitundu yosiyanasiyana ya mankhwala omwe ali ndi katundu wosiyanasiyana. Mndandanda wamankhwala azovomerezeka umaphatikizapo:

Othandizira a Hypolipidemic, ma statins nthawi zambiri. Mwa mankhwala othandiza kwambiri a gululi, madokotala amatcha Atorvastatin, Rosuvastatin, Pitavastatin.
Ma antihypertensives - opangira beta-blockers ndi ACE zoletsa. Beta-blockers amalimbikitsidwa kuti azitha matenda amtundu wa ubongo ndi madokotala monga Bisoprolol, Atenolol ndi analogues awo. Mndandanda wa zoletsa zoletsa za ACE zomwe zalimbikitsidwa kuti zigwiritsidwe ntchito zimaphatikizapo Perindopril, Quadropril ndi Enalapril.
Ma antiplatelet. Mankhwala omwe analimbikitsidwa gululi ndi monga Cardiomagnyl, Thrombo Ass, Aspirin Cardio ndi Aspicor.
Mankhwala osokoneza bongo a Vasodilating kapena othandizira calcium. Zitha kukhala zopangidwa (Norvask, Diltiazem, Cinnarizine) kapena zochokera ku mbewu (Vinpocetin, Telektol, Bravinton ndi ginkgo biloba zochokera).
Mankhwala osokoneza bongo. Gululi limaphatikizapo kukonzekera kwa nicotinic acid, komanso maofesi okhala ndi potaziyamu, selenium ndi silicon.
Mlingo wa mankhwalawa amasankhidwa payekha ndikusinthidwa kutengera zotsatira za kafukufuku wapakatikati (kusanthula kwa zamankhwala m'magazi ndi zitsanzo zama cholesterol ndi chiwindi).

Pafupifupi onse mankhwalawa sagwirizana ndi mowa komanso magulu ena a maantibayotiki. Izi ziyenera kukumbukiridwa popereka mankhwala ngati matenda ena aliwonse.

Mankhwala othandizira

Kuthandizira pakuchita opaleshoni kumagwiritsidwa ntchito ngati mawonekedwe a stenotic a ubongo a chithokomiro, pamene ziwiya zimataya kusakhazikika kwake ndikuchepa kwambiri kotero kuti salola magazi kudutsa. Popanga ndalamazo, adotolo amafufuza khungu ndi minyewa yofewa, pomwe pansi pake chimatengera chithokomiro, kenako ndikumabalalitsa mtsempha ndikuchotsa cholesterol plaque ndi membrane wamitsempha. Kenako mapikisheniwo amawoterera ndipo ngalowayo imakhazikitsidwa kwa tsiku limodzi. Ndi stenosis yayitali, kupindika kwina komwe kumaloza m'mitsempha ya chithokomiro ngati chubu chapamwamba kumaikiratu.

Ntchito zotseguka zimachitika kokha m'mitsempha ya ziwalo yomwe ili kunja kwa cranium. Ngati stenosis imawonedwa pamatumbo mkati mwa ubongo kapena pamwamba pake, kukokomeza ndi kubalalitsa kumagwiritsidwa ntchito. Amachitika pogwiritsa ntchito zida zing'onozing'ono zomwe zimalola kutumiza masilindala ndi mafinya ku malo a stenosis mwachindunji kudzera pakazungulira. Chithandizo cha matenda amtundu wamatumbo ndi njirayi ili ndi mawonekedwe ake, ndipo kuthandizira kwa opaleshoni sikudalira kokha pakubwezeretsa molondola, komanso pamankhwala othandiza pakatha.

Matenda obwera ndi matenda

Kuneneratu kwa matenda atherosulinosis kwathunthu komanso kwathunthu kumatengera kuzindikira kwa nthawi komanso njira yodalirika ya dokotala komanso wodwala pochiza matendawa. Akuyang'anizana ndi ntchito yoletsa zovuta zomwe zimakhala zowopsa pamoyo wa wodwalayo. Ndi mankhwala osalekeza, kudya, ndi kusiya zizolowezi zoipa, chiyembekezo cha moyo chingakhale chofanana ndi kwa anthu opanda zotupa za mitsempha ya mitsempha yaubongo.

Kanema: mankhwalawa matenda a ubongo

Atherosulinosis ndi matenda osachiritsika pomwe ziwiya zina zamagetsi zomwe zimapereka mpweya ku ubongo zimachepetsedwa kapena kufinya ndi cholesterol plaques. Zotsatira zake, magazi amapititsa ku ubongo kuipiraipira, ntchito yake imasokonekera. Matendawa amatha kudutsa zaka zambiri. Muyenera kudziwa zomwe zimayambitsa chitukuko cha matenda am'matumbo, ziwonetsero ndi chithandizo cha matendawa.

Atherosulinosis imayamba chifukwa chobwerekera ziwiya ndi malo a atherosulinotic. Ziweto zomwe zimayamba kukhazikika mkati mwa mtsempha wamagetsi zimakhala ndi ngozi kwa anthu. Kukula, zikwangwani muubongo kumatseka lumen ya mitsempha yamagazi, yomwe imayambitsa kufalikira koyipa.

Atherosulinosis ya mitsempha yayikulu ya ubongo ndiyowopsa kwa anthu, chifukwa matendawa akamakula, ziwiya zam'mutu ndi khosi, zomwe zimayendetsa magazi kupita ku ubongo, zimatsekeka. Matenda akulu nthawi zambiri amakhala limodzi ndi kuwonongeka kwa khoma la mtima komanso mapangidwe a aneurysm. Vutoli limatha kukulitsidwa ndi thromboembolism.

Zomwe zimayambitsa matenda a atherosulinosis ndi monga:

kudya pafupipafupi zakudya zamafuta m'mafuta a cholesterol,
ochepa matenda oopsa
zizolowezi zoipa
shuga ndi kunenepa kwambiri,
chibadwire
kugwiritsa ntchito njira yolerera ya pakamwa nthawi yayitali,
zopsinjika pafupipafupi
kumangokhala.

Nsomba ndi nsomba zam'nyanja ndizakudya zotsutsana ndi sclerotic. Ngati sizokwanira mu chakudya, ndiye kuti kuchuluka kwa cholesterol kumatha kukwera.

Kodi matendawa ndi ati?

Zizindikiro za matenda amtundu wa ziwonetsero zam'mimba zimawonetsedwa motere:

Memory ikucheperachepera, zochitika zaposachedwa zikuwoneka kuti zachotsedwa. Matendawa akamakula, kuiwalako kumayamba kutchulidwa.
Kutopa Sizingatheke kuyang'ana kwambiri chinthu chimodzi kapena lingaliro kwa nthawi yayitali.
Vuto kugona.
Maonekedwe a mavuto amisala.
Nthawi ndi nthawi miyendo, ikunjenjemera.
Kumva kuwonongeka ndi kuwona, kulumikizana kwa kayendedwe kumachepetsedwa.
Photophobia, kusakwiya pamaso pa mawu akulu.

Chizindikiro chachikulu chomwe achibale ayenera kutsatira ndicho vuto lalikulu. Kupweteka mutu pafupipafupi, kusokonekera kwa mawu. Zizindikiro zimatha kupezeka kwa masiku angapo pambuyo pake zonse zimakhazikika. Ngati zizindikiro sizichokapo, pali mwayi kuti panali matenda.

Chithandizo ndi zizindikiro za matenda a chithokomiro cha m'matumbo a ziwongo zimayikidwa ndi kuzindikiridwa ndi adokotala. Achibale akazindikira kuti wodwala ali ndi vuto lakelo, ndikofunika kuti muwonetsetse kwa adokotala. Njira zomwe angachite posachedwa, amakhala ndi mwayi wokhala ndi moyo wabwinoko.

Chithandizo cha matenda a ubongo

Mankhwalawa ndiwotalikirapo ndipo nthawi zambiri amakhala m'moyo wonse. Dokotala amamulembera mankhwala potengera kuwuma kwa wodwalayo, zotsatira za mayeso ndi zina zina. Choyamba, ndikofunikira kukonza magazi kupita ku ubongo.

Chithandizo cha matenda a ubongo a ziwalo zamatumbo mothandizidwa ndi mankhwala ndi awa:

Antiplatelet mankhwala - amachepetsa chiopsezo cha ischemic stroke. Dokotala amawauza mankhwalawa, malangizo omwe amalandila nawo amaperekedwanso ndi katswiri.
Mankhwala a Sedative ndi tonic amagwiritsidwa ntchito.
Monga chowonjezera, mankhwala amagwiritsidwa ntchito kutsitsa cholesterol. Zitha kukhala, mwachitsanzo, sateen.
Iodine ndi diosponin - amathandizira kuchepetsa kusokonezeka kwa ubongo wa ischemic.

Kuchita opaleshoni kumachitika ngati mitsempha yatsekeka kwathunthu kapena malo omwe sanakhazikike. Mankhwala amakono, pali njira zambiri zomwe mungabwezeretsere matendawa magazi, kuphatikizapo ubongo.

Njira zopangira opaleshoni zimaphatikizapo izi:

Masamba ndi ma balloo. Pofuna kuthana ndi mapangidwe a atherosulinotic, masilindala ndi stents amagwiritsidwa ntchito. Ndiye kuti, zolembera zimachotsedwa endodo. Dokotala amayambitsa mapeto am'mimba limodzi ndi fungo lake mu chotengera chachikulu, pambuyo pake zimasunthira kumalo komwe mtsempha umachepa kwambiri. Stent imayikidwa, chifukwa chaichi, lumen ya chotengera ikakulitsidwa, zomwe zikutanthauza kuti magazi adzabwezeretsedwa.
Endarterectomy. Njira yotseguka ndikuchotsa kukula kwamafuta. Khungu limapangika pakhungu, kulowa kwa chotengera chomwe chakhudzidwacho chikutsegulidwa. Pakadali pano, kuthamanga kwa magazi kuyimitsidwa, khoma la njira ya magazi lidzasiyidwa, mawonekedwe amafuta amachotsedwa. Msoko umayikidwa kumalo owonongeka.

Mtengo wa kulowererapo ndizosiyana, zonse zimatengera kuchuluka kwa zowonongeka. Matendawa ndi osachiritsika, mudzafunika kulandira chithandizo kwa moyo wonse. Izi zimatengera momwe matendawa adapangidwira komanso momwe adayambira chithandizo.

Zakudya zoyenera

Mutha kupewa kuchulukana kwa matendawa mothandizidwa ndi kadyedwe koyenera. Amapangidwa kuti aziganizira mawonekedwe a munthu.

Odwala onenepa kwambiri ayenera kudya zakudya zopanda thanzi.
Zinthu zomwe zimakhala ndi mafuta a nyama ziyenera kuthetsedwa kwathunthu. Izi zimaphatikizapo nsomba, nyama yamafuta, caviar, yolks.
Chepetsani kudya kwanu komwe kumakhala mavitamini D.
Osamadya zakudya zamchere kwambiri.
Palibe msuzi wa nsomba ndi ma broth ena olemera.
Idyani zipatso ndi masamba ambiri momwe mungathere.
Kodi masiku osala kudya, makamaka ngati onenepa kwambiri. Zakudya zazing'ono zochokera pamulu, kefir, oatmeal, maapulo ndi zina zambiri.
Kumbukirani za mapuloteni, ayenera kukhala osachepera 30 magalamu patsiku.

Muyenera kutsatira zakudya kwanthawi yayitali, ndipo mwina kwa moyo wanu wonse. Zakudya zoyenera sizongowonjezera chithandizo, komanso prophylactic yabwino.

Mavuto omwe angakhalepo komanso zotsatirapo zake

Pakakhala kufufuza kwakanthawi ndi chithandizo choyenera motsutsana ndi matenda amtunduwu, chiwindi, matenda am'mimba, matenda am'mimba, kupunduka kwa ziwalo, zina ndi zina.

Kukula kwa matenda a ubongo ku ubongo kumadalira zaka za wodwalayo, nthawi yake yoyambira chithandizo, komanso kuthekera kochotsa zinthu zomwe zayambitsa matendawa.

Kukula kwa zovuta zovuta za ubongo atherosulinosis kungayambitse kulumala kwa wodwala, komanso imfa.

Kupita patsogolo

Mtundu wamatendawa umadziwika ndi kudziunjikira kwa cholesterol mkati wamitsempha yamagazi. Pakapita kanthawi, cholesterol imaphimbidwa ndi mchere wa sodium ndi calcium, zomwe zimapangitsa kuti mapangidwe a cholesterol apezeke muzombo. Mkhalidwe wamatumbo umaphatikizidwa ndi kuwonongeka kwa maselo amwazi ndikupanga kwa magazi. Ngati sichinapatsidwe, imatha kudzitchinga ndi kufinya.

Njira yotsogola ya atherosulinosis imadziwika ndi:

mutu
kukumbukira pang'ono,
kutopa,
kusokonezeka kukumbukira
kukomoka
kugona kusokonezedwa
Kusintha kwa malingaliro
chizungulire.

Matenda amtunduwu amakula mwachangu ndipo zochitika zake zotsogola zimabweretsa zovuta zotsatirazi:

angapo paresthesias
pang'ono kapena kutaya kwathunthu kwamasomphenya kapena malankhulidwe,
kuwonongeka kwa ubongo kosasinthika,
ziwalo.

Cerebral

Cerebral atherosulinosis imadziwika chifukwa choti mitsempha yayikulu yokha imakhudzidwa:

carotid wamkati
kugona kwambiri
thunthu la brachiocephalic,
chotupa cham'mbuyo
nyama yakunja
akuyenda pamwamba pa ming'alu.

Zowonongeka zazing'ono zomwe zimakhala ndi cholesterol depos zimachitika mkati wamatumbo awa. Njira zosiyanasiyana zimatsogolera kukuwonjezeka kwawo. Ngati sanalandire, zolembera za atherosselotic zimalumikizana ndikutseka makhoma amkati mwa mitsempha ndi gawo losalekeza. Chifukwa cha izi, m'mimba mwake yamkati imachepa, stenosis imayamba. 70% kupendekera kwa lumen kumawerengedwa kuti ndi gawo lakufa la matenda amiseche.

Ndi atherosulinosis ya mitsempha ya chithokomiro, munthu samakumana ndi vuto lalikulu. Palibe zizindikiro zenizeni mpaka matenda atakula kwambiri. Matenda amtunduwu mu 30% yamilandu imapha.

Atherosulinosis yotsogola komanso yotsogola ili ndi magawo angapo a chitukuko.

Gawo loyamba limadziwika ndi kuti lumen ya mitsempha imachepetsedwa pang'ono. Chifukwa cha izi, minyewa ya ubongo imayamba kuwona kuperewera pang'ono kwa zakudya ndi mpweya. Madera amafuta amakhazikika mkati mwa makhoma amitsempha yamagazi. Palibe zizindikiro zenizeni za matenda.

Mu gawo lachiwiri, zigawo za lipid zimayamba kuwonongeka, pomwe mafutawa amawola, m'khoma la chotengera minofu yolumikizira imayamba kumera. Kapangidwe ka zikwangwani zomwe zimachepetsa lumen ya chotengera ndikulepheretsa magazi kuzungulira.

Gawo lachitatu limadziwika ndi kukhazikika kwa zovuta zingapo. Pakadali pano, zizindikiro za matenda zimayamba. Chipilala chophatikizika, calcium imayikidwa. Kukula kwa chilinganizo kumayambitsa kuphwanyidwa kwa magazi kupita kuubongo, kuwunikira kwa chotchinga kumatha kutseka magazi kapena chinthu chomwe chimapanga pamene chidikiracho chikaola. Vuto la mtima limayamba.

Zizindikiro zake

Zizindikiro zoyipa za matenda a m'magazi a matenda am'matumbo zimawonekera patapita nthawi yayitali matenda atayamba.Zizindikiro zapadera zimawonedwa ngati lumen ya mitsempha yachepa ndi 70%.

Pa gawo loyamba, zizindikiro zoyambirira za atherosulinosis zimawoneka ndikuwonjezeka kwa psychoemotional ndi zochitika zolimbitsa thupi ndipo zimadutsa mofulumira kupumula. Izi zikuphatikiza: kutopa, kufooka, kuwonongeka mu ndende, ulesi. Nthawi zina kumakhala kugona. Mutu ndi tinnitus zimayamba kuzunza wodwala, kukumbukira kumachepa.

Kupitilira patsogolo kwa matendawa kumaonekera mwa kukulitsa kwa kusokonezeka kwa malingaliro, komwe kumadziwika ndi kukayikira kochulukirapo, kusintha kwa malingaliro, chizolowezi cha nkhawa komanso kukhumudwa. Kuchepa kwamtima kumakulirakulira: wodwalayo samakumbukira zochitika zamasiku ano, amasokonezeka kukumbukira. Tinnitus ndi mutu wokhazikika.

Ndi atherosulinosis yomwe ikukula pang'onopang'ono, zizindikiro zotsatirazi zimachitika:

kulimbikira zolankhula,
kusakhazikika kwa gait,
chizungulire
kumva ndi kuwona,
kugwedezeka kwamutu ndi miyendo,
kulephera kuganiza bwino.

Pamapeto omaliza, mawonetseredwe a matendawo amawonjezeka. Dementia kapena dementia imayamba. Luntha limafooka kwambiri, wodwalayo amayamba kuganiza komanso kuchita zinthu ngati mwana, amakhala wamisodzi kapena wankhanza. Zizindikiro za kuchepa kwa mtima kwamatenda oyenda kwambiri zimaphatikizira kuchepa kapena kukumbukira kwathunthu, kusachita chidwi ndi zochitika zamakono, komanso kuphwanya. Wodwalayo amasiya kuyenda m'malo ndi nthawi. Wodwala wotere amafunika chisamaliro chokhazikika, monga amataya ntchito zodzifunira.

Gawo lomaliza ndilosintha, ndipo zizindikiro za atherosulinosis sizichedwa kuchepa kapena kufooka. Ndikofunikira kuzindikira matendawa kumayambiriro. Pokhapokha pokhapokha, wodwala azitha kusunga kukumbukira komanso kudzisamalira.

Momwe mungachitire

Muyenera kudziwa zomwe zizindikiro ndi chithandizo cha matenda a ubongo zimatulutsa. Chithandizo cha matendawa chikuyenera kukhala chokwanira. Atherossteosis imatha kuchiritsidwa ngati muyamba kudya moyenera, kuyang'anira kuthamanga kwa magazi, kuwongolera shuga wamagazi ndi cholesterol, komanso kumwa mankhwala. Muyenera kusiya zizolowezi zoyipa, kuchepa thupi, kupewa nkhawa zamagetsi ndi zamaganizidwe, kupuma kwambiri.

Mankhwala

Chithandizo cha mankhwala a atherosulinosis ndicholinga chakuyenda kwa magazi, kubwezeretsa kagayidwe ka lipid, kuimitsa chitukuko ndi kupewa kupitilira kwa matendawa.

Mankhwala opangira zochizira atherosulinosis amagawika m'magulu otsatirawa:

ma sequestrants, ma fibrate, ma statins - amatsogolera cholesterol yotsika, osaloleza kuti ipangidwe, chotsani milomo ya lipid,
anticoagulants, antiplatelet agents - osalola magazi kuti achepetse, aletse mapangidwe a magazi,
zotupa zamitsempha - kuchepetsa mitsempha, kutsitsa magazi, kuletsa kuperewera kwa mpweya muubongo,
antispasmodics ndi analgesics - chotsani vasospasm, kupweteka kwa mutu, kusintha kufalitsa kwamkati,
kusuntha, nootropics - kusintha chidwi, kukumbukira, malingaliro, kukhazikika pakukhazikika mtima, kuda nkhawa, nkhawa, kusintha kugona,
phytopreparations, mavitamini - amalemeretsa maselo okhala ndi zinthu zofunikira, kusintha kayendedwe ka magazi ndi kagayidwe kazinthu zazikulu muubongo.

Kutengera ndi kupezeka kwake, dokotalayo apanga njira yothandizira.

Maziko othandizira atherosulinosis a mitsempha ya m'magazi kumaimiridwa ndi mankhwala omwe amachepetsa cholesterol ndikuletsa magazi, komanso othandizira mtima. Nthawi zambiri dokotala amakupangira:

Lovastatin. Mankhwala salola mapangidwe a cholesterol, amachepetsa kuchuluka kwa lipoproteins.
Pravastatin. Amachepetsa kuchuluka kwa mafuta m'magazi.
Clopidogrel. Imachepetsa kupendekera.
Corfid. Imakhala ndi hypotensive zotsatira, imasintha magazi m'magazi komanso mtima umagwira, limafinya mitsempha yamagazi.
Nikoshpan. Amagwiritsidwa ntchito kuti athetse misempha ya mtima, kuchepetsa kuchuluka kwa lipoprotein m'magazi, komanso kukonza kagayidwe kazachilengedwe.

Mankhwalawa amayenera kumwedwa pokhapokha ngati akuwuzani dokotala.

Ndi atherosclerosis yamitsempha yamatumbo, thanzi la munthu limayamba kuwipira. Amakhala ndi mutu kwa nthawi yayitali, kusokonezeka kwa tulo, kuchepa kwa ntchito, pamakhala kutopa kokhazikika. Kuti athetse zodetsa nkhawa zotere ndi kukhala bwino, dokotala amakupatsani mankhwala otsatirawa:

Amigrenin. Mankhwala othana ndi migraine omwe amachotsa mutu msanga mwakuchepetsa mitsempha ya magazi popanda kukhudza kufalikira kwa mitsempha.
Indomethacin. Mankhwala osakhala a steroidal omwe ali ndi zotsutsa-kutupa ndi zotsatira za analgesic. Amachotsa kutupa ndi zopweteka.
Aminalon. Mankhwala a nootropic omwe amasintha kayendedwe ka magazi a ubongo ndi kagayidwe kazinthu, imagwirizanitsa njira zamanjenje, imathandizira kukokana, ndikuyambiranso ntchito zamagalimoto ndi zolankhula.

Vitamini zovuta ndi mankhwala azitsamba amathandizira kuchiza matenda:

Mankhwala ozikidwa pa Ginkgo biloba tsamba. Amathandizira kukonza kuchuluka kwa magazi, kuchulukitsa kamvekedwe ka mtima, kupewa magazi, komanso kulimbikitsa magazi. Kuphatikiza apo, mankhwala ali ndi anti-ischemic ndi antioxidant. Khazikitsani thupi ndi calcium, chitsulo ndi phosphorous (Ginkor Fort, Gingium, Bilobil).
Kukonzekera kwa Periwinkle. Amakhala ndi nootropic ndi vasodilating kwenikweni, njira yothandiza pakugwirira ntchito kwamkati wamanjenje, mtima wamitsempha, komanso kufalitsa kwa ubongo (Telektol, Vinpocetine, Bravinton).
Multivitamin maofesi. Amasintha magazi, magazi okhutira ndi zinthu zofunikira komanso mpweya wabwino, amakhala ndi vuto la neuroprotective, kusintha njira zama metabolic (Decamevit, Biovital, Vitrum Memori).

Mavitamini ndi mankhwala othandizira okhala ndi homeopathic amasintha thanzi la munthu, amathandizanso kuonetsa zinthu zosasangalatsa.

Opaleshoni

Ngati mankhwala a matenda a ubongo atherosulinosis anali osathandiza, ndiye kuti kuchitapo opaleshoni ndikotheka. Amawonetsedwa ngati 70% ya kupendekera kwamitsempha yaubongo yakupezeka. Carotid endarterectomy imagwiritsidwa ntchito kwambiri, pomwe khoma la chotengera limasungunuka, thrombus imachotsedwa, ndipo mtsempha wamagazi umabwezeretsedwa ndikusintha.

Njira inanso yopangira opaleshoni yomwe imathandizira kuchotsa mtima wamatenda a angioplasty. Mwakutero, catheter imayikidwa mu mtsempha wamagazi, ndipo nayo, chotengeracho chimatsitsidwa. Izi zimakuthandizani kuti mubwezeretse magazi ndi kukankhira cholembera cha atherosselotic. Kukwapula nthawi zina kumagwiritsidwa ntchito. Fayilo imayikidwa mumtsempha, imatulutsa chotengera ndikuyigwira.

Zithandizo za anthu

Zithandizo za anthu zimathandizira kulimbana ndi matenda aheroscosis. Zothandiza kwambiri ndi monga njira zotsatirazi:

tsiku lililonse ayenera kutenga 1 tbsp. l mwatsopano mbatata ya mbatata
tikulimbikitsidwa kudya anyezi wobiriwira kwambiri,
masana muyenera kutenga 2-3 tbsp. l mafuta a masamba.

Maphikidwe odziwika a mankhwala azikhalidwe omwe amathandiza pochizira atherosulinosis:

Kuzikika ndi 250 g wa muzu wa horseradish, woyikika mu poto, kutsanulira 3 l madzi otentha ndi chithupsa. Pambuyo mphindi 15, msuzi umachotsedwa ndikuwukhira. Tengani katatu pa tsiku mu theka lagalasi.
Sakanizani duwa m'chiuno, mitengo yaminga, nkhuyu, mphesa zouma, zouma zouma zouma zofanana. Thirani madzi ozizira ndikuyika mufiriji usiku wonse. Pogaya osakaniza ndi blender ndipo chifukwa kutsata amatenga 1 tbsp. l tsiku lililonse.
Sendani anyezi wamkulu ndikusakaniza ndi 100 g shuga. Kwa masiku atatu, kutsukidwa m'chipinda chamdima. Tenga zamkati ziyenera kukhala 1 tsp. maola atatu aliwonse.
250 g ya madzi otentha kutsanulira 200 g lowuma masamba a plantain. Ikani msuzi kwa mphindi 20 ndi kumwa pang'ono pang'onopang'ono musanadye.

Pa chithandizo, ndikofunikira kutsatira zakudya zoyenera. Odwala ayenera kutsatira zakudya zowonjezera, zomwe zimaphatikizapo kuletsa kumwa:

nyama yofiira
dzira
margarine
mowa
masoseji, zinthu zam'chitini,
maswiti, ma muffins.

Pazakudya ziyenera kukhalapo:

masamba, amadyera: biringanya, zukini, dzungu, kaloti, nandolo zobiriwira, kabichi, mbatata,
zipatso, zipatso,
nsomba zam'nyanja, nsomba: maussel, trout, sardine, cod, nsomba, nsomba,
nyama, nyama, soseji yophika mafuta pang'ono,
chimanga: mapira, chakudya chambiri, oatmeal,
maphunziro oyamba: borsch, supu ya kabichi, beetroot, zamasamba, zipatso, mkaka msuzi,
zinthu za ufa: mabisiketi owuma, makeke opanda mafuta, rye ndi mkate wa tirigu,
maveigrette, saladi,
khofi, tiyi wopanda mphamvu.

Zakudya ziyenera kuphikika kapena kuwotchera, kupatsa mafuta, kuphika. Idyani nthawi zosachepera 5 patsiku. Zakudya zoyenera zimathandiza kuchiza matenda a atherosulinosis ndipo ndichofunikira kwambiri popewa matenda a mtima.