Choyeretsa chopanda

Kukhala moyo wongokhala ndi zakudya zopatsa thanzi, kudya mafuta ochulukirapo kumapereka mafuta ambiri m'thupi kuposa momwe amafunikira. Izi zimakhudza momwe ziwiya zimakhalira: atherosulinosis imayamba, ikupanga mawonekedwe pamakoma amitsempha, kuchepetsa kufinya. Funso lomwe limabuka: kodi cholesterol malo omwe amatha kusungunuka ndipo chofunikira ndi chiyani pamenepa?

Kodi cholesterol zolembera amatha payokha?

Pamene lumen ya chotengera chimatsitsidwa ndi oposa theka kapena kutsekeka kwathunthu, wodwalayo alibe funso pazomwe ayenera kuchita kuti athetse vuto la atherosranceotic. Madokotala amathetsa vutoli m'njira yosavuta kugwiritsa ntchito scalpel. Zilonda zimachotsedwa, chotengera chonyamulidwa chimayikidwa kudutsa malo omwe akhudzidwa kuti abwezeretse kutuluka kwa magazi, chimango chidakhazikitsidwa, m'mimba mwake chimakulitsidwa. Njira zoterezi zimachotsa nthawi yayitali ya nthendayi, kuthandiza wodwala, koma osachiritsira atherosulinosis. Kuperekanso chithandizo kwa wodwala kumangodalira iye.

Asanafike kusungunuka kwathunthu kwamafuta amthupi m'mitsempha yamagazi ndi mitsempha, wodwalayo ali ndi njira yayitali kuti apite, kuphatikizapo kukonza moyo:

• kusiya zizolowezi zoipa,
• Kuchita masewera olimbitsa thupi komanso kuwonjezera masewera olimbitsa thupi,
• kusintha zakudya
• mankhwala
• kupumula kokwanira, malingaliro abwino.

Kuphatikiza pa kukhazikitsa m'makoma amitsempha yamagazi, cholesterol imatha kudziunjikira ngati mawonekedwe a convex pakhungu, lotchedwa wen. Mapangidwe oterewa sangasungunuke palokha ndikusowa kokha mchikakamizo cha cryodestruction - cauterization ndi madzi asafe.

Njira Zakutha

Magulu anayi a mankhwalawa amatha kuthandizira kusungunula mafupa a atherosulinotic pazitseko zamitsempha yamagazi. Loyamba lokhala ndi dzina loti "beta-blockers" limachepetsa kugunda kwa mtima, kulola mtima kupumula pakati pa contractions, yomwe imachepetsa kuthamanga kwa magazi ndi kupsinjika kwa minofu yamtima. Gulu lachiwiri la mankhwala "ACE inhibitors" adapangidwa kuti azitha kukhazikika m'magazi. Gulu lachitatu, lotchedwa "statins", limayang'anira kupanga cholesterol yopangidwa ndi chiwindi, yomwe imachepetsa mulingo wake m'magazi. Gulu lachinayi la mankhwala limafinya magazi, kuletsa mapangidwe amisempha yamagazi, amatchedwa "anticoagulants."

Kutha kuyika pazenera zamitsempha yamagazi, sikokwanira kumwa mankhwala. Ndikofunikira kuti muchepetse cholesterol, imatchedwanso "cholesterol", yomwe imalowa ndi chakudya. Kukana kwa malonda a nyama, kumwa mafuta olimba, kukonza machitidwe a kudya kumalepheretsa kuwonekera kwa cholesterol malo atsopano, kuthandizira kuchotsa zizindikiro za kufooka kwa magazi, kuchepa thupi, kukhala ndi thanzi labwino.

Wodwala ayenera kuwonjezera zolimbitsa thupi. Kukhala kothandiza kwambiri kuwotcha cholesterol, osaloleza kuti kukhazikika pakhoma, ndikuthandizira kusungunula zolembera zomwe zidapangidwa.

Kukana zizolowezi zoipa kudzasintha kwambiri mkhalidwe wamitsempha yamagazi. Kuyambira pa kusuta, zingwe zamkati mwa mitsempha - endothelium - imakhala yosalimba komanso yosakhazikika. Ichi ndi chifukwa chake makoma amaphulika, ma hemorrhage ochepa amawoneka mwa iwo, momwe cholesterol imalowa ndikudziunjikira, kenako ndikupanga zolembera. Mafuta a cholesterol owonjezera, akungoyendayenda kuzungulira thupi mumtsinje wamagazi, sangathe kukhazikika pakhoma la chotengera champhamvu.

Ndi zakudya ziti zomwe zimatenga cholesterol plaque

Zakudya ndi gawo lofunika la mankhwalawa komanso kupewa atherosulinosis. Mtsogoleri pakati pazinthu zomwe zimamwa cholesterol plaques, malinga ndi kuchuluka kwa maphikidwe a mankhwala achikhalidwe pakutsuka mitsempha yamagazi, ndi adyo. Chomera chimakhala ndi mitundu yambiri yamavuto ndi mavitamini, omwe ali ndi tonic, ndikulimbikitsa ku endothelium, kukulitsa lumen ya mitsempha yamagazi ndikuletsa kupangika kwa madongosolo atsopano.

Mavitamini ndi ma asidi omwe ali ndi mandimu akumenyera nkhondo yofuna kuyeretsa kwamitsempha yamagazi ndikukula kwa lumen yawo, zimakhudza kapangidwe ka magazi.

Uchi, phula, ndi zinthu zina zogulitsa njuchi zili ndi mavitamini ambiri, kuphatikiza ndi zakudya zina zomwe zimapangitsa kuti magazi azikhala ndi magazi, zimathandizira kagayidwe kake m'thupi.

Zipatso: rasipiberi, cranberries, mululosi, viburnum, m'chiuno, nyanja buckthorn, mabulosi akuda, hawthorn, chokeberry, sitiroberi, zatsopano zakuda currants chifukwa ma acids, zimathandiza popanga magazi, Vitamini ndi kulimbitsa makhoma amitsempha yamagazi chifukwa cha Vitamini C omwe ali mkati mwawo. onjezerani capillary elasticity, sinthani magazi, muthandizire kutupa, kutsika magazi, kutsika cholesterol. Zipatso za jamu yophika sizibweretsa phindu kwa thupi, koma zimangopatsa chakudya chamafuta ochepa. M'chilimwe, muyenera kudya zipatso zatsopano, ndikuzizira nyengo yachisanu, zomwe zimachotsa kwathunthu kutayika kwa zinthu zopindulitsa.

Masamba: kabichi, sorelo, kaloti, tsabola, tsabola, belu amathandizira kuchotsa cholesterol owonjezera, amakhala ndi phindu pa kapangidwe ka magazi, amathandizira kuchuluka kwa mitsempha yamagazi, kumalimbikitsa kuyeretsa kwawo kuchokera ku poizoni ndi mafuta. Kumwa masamba osaphika pafupipafupi kungathandize kusungunula kapena kuchepetsa ma cholesterol awo.

Zipatso ndi zipatso zouma: malalanje, mphesa, maapulo, makangaza, ma plums amachepetsa kusayenda bwino kwa mitsempha ya magazi, kukhazikika kwa magazi, chotsani cholesterol yochulukirapo, thandizani mtima, kupewa mapangidwe amitsempha yamagazi, mapepala ndi ma polyp pamakoma amitsempha yamagazi. Pomegranate amathandizira kusungunula calcium calcium. Zipatso zouma zimathandizira ntchito ya mtima, kukhazikitsa magazi acidity, kuwonjezera kuchuluka kwa mitsempha yamagazi.

Mafuta opangira masamba: mpendadzuwa, maolivi, ngamira, adyo, mafuta, mtedza ndi mtedza wa paini. Mafuta onse amadzimadzi amathandizira kulimbitsa ma capillaries, kuchotsa cholesterol, kupewa kupezeka kwake muzinthu zoyendayenda komanso kupanga minofu yolumikizira khoma la mitsempha yamagazi. Mafuta olimba ndi ovulaza, ndipo mafuta amadzimadzi, kuphatikiza mafuta a nsomba, ndi othandiza. Otsatira omwe amakhala ndi moyo wathanzi amawonjezera mafuta ku chimanga, saladi, sizikulimbikitsidwa kuti muzimenya chilichonse pa iwo. Mafuta amathandizira kugaya, gallbladder function, lipid metabolism, ndikupanga magazi.

Zodzikongoletsera monga zitsamba: chikasu chokoma chachikasu, maluwa a linden, plantain, chamomile, mamawort, curme, viburnum amachepetsa kuthamanga kwa magazi, kuyeretsa magazi m'thupi, kuphatikiza pogwiritsa ntchito nthawi yayitali amatha kuchotsa zizindikiro za matenda, kuyeretsa m'mitsempha yamagazi ndi chotsani zotupa m'makoma awo.

Ubwino wogwiritsa ntchito ma statins

Kuwongolera cholesterol, odwala ndi omwe amapatsidwa ma statins. Ili ndi gulu la mankhwala omwe amagwiritsidwa ntchito kwambiri kuthana ndi atherosulinosis. Mankhwala osokoneza bongo a gulu ili amalepheretsa kupanga cholesterol ndi chiwindi, amathandizira kuyeretsa magazi kuchokera ku lipids yowonjezera, kuchepetsa kutupa kwa endothelial ndikuletsa kuwonongeka kwatsopano kwa makhoma amitsempha yamagazi. Iyi ndi njira yosavuta, yachangu komanso yothandiza yoletsera kupitirira kwa stenosis. Statins imakhala ndi zotsatira zabwino pamitsempha yayikulu ya thupi: carotid, coronary, brachiocephalic (kupereka magazi ku ubongo), msempha, ndi mitsempha yam'munsi yam'mimba. Pogwiritsa ntchito ma statin kwa nthawi yayitali, komanso kukonza kwa ntchito zamagalimoto ndi zakudya, mapepala amatha kuzimiririka.

Contraindication pakugwiritsa ntchito njira yothetsera

Musanagule mankhwala apanyumba wowerengeka ndi maphikidwe a wowerengeka, ndikofunikira kukumbukira kuti matenda angapo am'mimba, mimba, kuyamwitsa, gastritis, madokotala salimbikitsa kudya mankhwala ena. Garlic, mphesa zimachulukitsa njira zosakhwima m'mimba, uchi, zipatso zamtundu wa zipatso ndizovuta zamankhwala, zitsamba, ngati sizinasungidwe bwino, zimayambitsa kufooka ndi chizungulire, zipatso za asidi zimapangitsa kugundana kwa mtima ndi acidity yam'mimba. Zipatso, zipatso zouma, zipatso zimawonjezera shuga m'magazi, monga momwe odwala matenda ashuga amadziwira.

Mankhwalawa atherosulinosis, ma statin amatenga mbali yofunika kwambiri. Koma mankhwalawa ali ndi zotsutsana zingapo. Statin ali ndi hepatotoxic, chifukwa chake ayenera kuperekedwa ndi madokotala mosamala kwa anthu omwe ali ndi matenda a chiwindi. Zowonetsa ndi zotsutsana, mlingo umatsimikiziridwa ndi dokotala, kutengera zomwe zingavulaze thanzi la wodwalayo. Nthawi zambiri, kugwiritsa ntchito ma statin pochizira matenda a mtima kumapitirira vuto lomwe lingakhalepo. Chachikulu ndichakuti muthandizidwe ndi kutenga nawo mbali dokotala, kutsatira malingaliro ake onse, kusiya zizolowezi zoipa, kudya chakudya chopatsa thanzi komanso kukhala olimbitsa thupi. Odwala ayenera kumvetsetsa kuti zolembera zazing'ono ndizosavuta kusungunuka kuposa zakale; kupewa kuyenera kuchitika posachedwa.

Zachiyero ndi zipsera

Kodi mungadutse bwanji zombo ngati burashi kuti muchotse ma cholesterol onse? Umu ndi momwe odwala amakonda kufunsa funso. Tsoka ilo, izi sizigwira ntchito. Apa ndikoyenera kupereka fanizo ndi mapaipi amadzi. Kupatula apo, zolembera zam'madzi zomwe calcium imayikidwamo zimafanana kwambiri ndi kukula - calcium imawapatsa mphamvu imodzimodzi. Ngati sikelo ikhoza kusungunuka mu citric acid m'mapaipi kapena teapot, ndiye kuti simungathe kuyika chidwi pazotengera. Kupatula apo, acidity ya magazi ndi imodzi mwazizindikiro zolimbitsa thupi; nthawi zambiri imakhala 7.34-7.44, ndiye kuti zamchere pang'ono. Kutsika kochepera 7 kumapha. Chifukwa chake njira yokhala ndi mandimu, yomwe anthu amakonda kwambiri ziwiya zoyeretsera, siyigwira ntchito: ichapitsa ketulo kuchokera pamtunda, koma sizingatheke.

Muyenera kumvetsetsa kuti chithandizo cha atherosulinosis ndi zojambula ndi nkhani yayitali. Matendawa pawokha akhala akutenga kwazaka zambiri, ndiye ayenera kuwachiritsa kwa moyo wonse. Ali ndi zaka 20-30, cholesterol imayamba kuyikidwamo m'matumba ndi zotchedwa mawonekedwe a mawanga. Popita nthawi, amaphatikizana, amakula, ndiye kuti calcium imayikidwamo ndikuyamba kufalikira. Ichi ndiye kale cholesterol plaque. Kwa zaka 20-25, atherosulinosis imakhalapo mobisika, asymptomatic, kenako mavuto amayamba - kugunda kwa mtima, stroko, kupweteka kwa mtima, arrhythmias. Mwa akazi, izi sizichitika kuposa zaka 50, mwa amuna pambuyo pa 40.

Kodi ndichifukwa chiyani kutsika cholesterol kumatengedwa ngati njira yayikulu yoyeretsera magazi? Ndi zaka, chiwindi chathu chimayamba kupanga zambiri, ndipo izi zimathandizira kukulitsa kwa atherosclerosis. "Kuti muchepetse kapangidwe ka cholesterol m'chiwindi, pali magulu awiri akuluakulu a mankhwala - ma statins ndi ma fibrate," akutero Cardiologist, Doctor of Medical Science, Pulofesa, Mutu wa Dipatimenti ya Zachipatala ya Ntchito Zazachipatala ndi Mlembi wa Sayansi ku MGMSU adatchulidwa pambuyo A.I. Evdokimova Yuri Vasyuk.

- Woyamba amakhala nthawi zambiri. Masiku ano, pali 20 statins, koma mwa iwo mankhwalawa anayi adaphunziridwa bwino ndikuwatsimikizira kuti ndi othandiza - awa ndi simva, malamulo, atorva ndi rosuvastatin. Zimalepheretsa kupita patsogolo kwa zolembedwa za atherosselotic, ndipo zina zimachepetsa. Matenda amachepetsa chiopsezo cha matenda a mtima, mikwingwirima, ndi matenda ena amtima ndi 30%. Ichi ndi chizindikiro chabwino kwambiri. Mwa fibrate, clofibrate ndi fenofibrate amaphunziridwa bwino kuposa ena.

Ndipo mu kafukufuku waposachedwa, zidawonetsedwa kuti izi zimachepetsa kufa kwa matenda a mtima. Koma vuto ndilakuti mtengo wa mankhwalawa kwa mwezi umodzi wokha (izi ndi jakisoni 1-2) ndi ma ruble 44-50,000. Chifukwa chake, amagwiritsidwa ntchito ngati cholowa cha hypercholesterolemia, pomwe kuchuluka kwa cholesterol ndikokwera kwambiri, ndipo kutenga kuchuluka kwa ma statins sikokwanira kuichepetsa. " Kumbukirani: adokotala okha ndi omwe angakupatseni mankhwala molondola.

Kodi ndizotheka kuchotsa zolembera za atherosselotic

Mapangidwe a atherosclerotic zolembera amapezeka m'magawo. Iyi ndi njira yayitali yomwe imalumikizidwa ndi zinthu ziwiri zazikulu: cholesterol yambiri "yoyipa" m'magazi ndikuwonongeka kwa mtima wamitsempha.

1. Hypercholesterolemia imayamba ndi kagayidwe kachakudyamakamaka mafuta ndi chakudya. Itha kukhala cholowa, kapena kutenga. Tsoka ilo, ndizosatheka kukonza kuwonjezereka kwa cholowa cha cholesterol, chifukwa chifukwa cha kuwonongeka kwa majini. Zomwe zimapangitsa kuti mukhale ndi hypercholesterolemia ndi matenda opatsirana a endocrine, impso, m'mimba, kuphatikizapo chiwindi. Udindo wofunikira (ndipo nthawi zambiri wopambana) umaseweredwa ndi moyo wamunthu. Hypodynamia, zolakwika zomwe zimachitika pafupipafupi pakudya momwe nyama zimapangira mafuta, kusuta, kusiya zakumwa zoledzeretsa, ndikuwonetsa kupsinjika kumabweretsa kutsimikizika kwa cholesterol, mapuloteni, maselo am magazi m'makoma amitsempha.
2. Zowonongeka Zamalonda amapezeka magazi akalumpha, kutentha thupi, kukhudzana ndi ma radiation kapena poizoni (wopatsirana, wosagwirizana ndi mankhwala, mankhwala).

Choyamba, madipoziti amasungidwa kumapeto kwa zotengera zamkati ndi ma macrophages omwe amapezekamo. Koma akadziunjikira, amawononga ma cell a ma cell ndipo kenako amatsogolera ku kufa kwa cell. Chigoba chapakati chamaliseche chimakhala chosadzitchinjiriza, ndipo cholesterol ndi anzake amalowamo kale. Kuyesera kudzipatula kuzinthu zakunja, thupi limayambitsa kupangidwe kwa minofu yowoneka ngati minofu yowazungulira. Pambuyo pake, madambidwewo amasungunuka, atapangidwa ndi mchere wa calcium, zigawo zamagazi zimakula pazilonda zopangidwa. Chifukwa chake, zolembera za atherosulinotic zimadutsidwa motere:

• banga kapena chikwapu (gawo loyambirira, pomwe chotupa sichikululuka kupyola mkanda wamkati),
• zolembera,
• Kusintha kovuta - ulceration, hemorrhage, thrombosis,
• kuyerekezera.

Matendawa akupitilirabe. Izi zimatsimikizira mapangidwe osiyanasiyana a kukhwima kwamapepala amodzi mu chombo chimodzi. Chithunzithunzi chotere chimakula nthawi yayitali pansi pamkhalidwe wochita pafupipafupi pazinthu zowopsa. Ndipo izi sizosintha pamawonekedwe, koma mawonekedwe a madongosolo atsopano pamodzi ndi akale. Kukonzanso kumawonedwa pokhapokha ngati pali njira zokwanira zochizira kapena kuyambika kwa matenda ofooketsa: chifuwa chachikulu, khansa, leukemia, ndi zina zambiri.

Mokwanira kuyeretsa Mitsempha yama cholesterol opangidwa kugwiritsa ntchito kusintha kwa moyo, zakudya, kapena mankhwala zotheka pokhapokha ngati pali mawanga kapena mikwingwirima. Koma gawo loyamba la atherosulinosis silikuwonekera. Chifukwa chake, chiyambi cha chithandizo chimakhala chosachedwa. Koma pa siteji ya zolembera zam'manja ndi zosintha zovuta, yeretsani bwino makhoma a zotengera zosatheka. Palibe mankhwala oterowo! Koma pali madotolo otere (m'modzi mwa iwo ali mu kanema pansipa) omwe amatsimikiza kuti nthawi iliyonse chitukuko chimatha kuyimitsidwa ndikubwezeretsanso. Ndipo palibe amene akudziwa momwe angasungunulira minofu yowuma kapena yowuma. Ndipo sangapereke umboni wotsimikiza. M'mawu okha.

Ngati tikulankhula za chitoliro chachitsulo, ndiye kuti titha kugwiritsa ntchito burashi kapena pentulo. Koma zida zotere sizikugwira ntchito chamoyo. Mankhwala okhawo omwe ali ndi chinthu chothandizira kuyeretsa mitsempha yamagazi ndi ma enzymes. Atherosclerosis sanalembedwe m'ndandanda wazomwe akuwonetsa, koma kuweruza ndi kuwunika kwa madokotala ochita, ali ndi anti-atherosulinotic kwenikweni.

Padzakhala umboni ndi zotsatira zake, mwachitsanzo: zolembedwazo zinali zazikululi, chithandizo chitachepa mpaka kukula - pokhapokha zitha kunena kuti ndizothekadi kuthana ndi ma depos a ma botilo. Pakadali pano (kwa 2019) palibe amene adapereka zotere.

Mwachitsanzo, Serapeptase ndi fanizo lake amasungunula malo osawerengeka ndikuyeretsa makhoma a zinthu zakunja. Kuphatikiza apo, ma enzyme amawonda magazi, kuteteza magazi kuundana. Koma osagwiritsa ntchito mankhwalawa gululi ali ndi embolism komanso magazi. Ndi chifukwa chake amagulitsidwa molingana ndi mankhwala, ndiye kuti, atakambirana ndi dokotala komanso mayeso oyambira.

Njira zochepetsera mapangidwe a cholesterol plaques

Ngati ntchitoyo ndiyoti muchepetse cholesterol, muyenera kuchita mbali ziwiri nthawi imodzi: chotsani cholesterol "yoyipa" ndikulimbikitsa makoma olimba.

1. Yoyamba ikukhudzana mwachindunji ndi kufalikira kwa matenda a lipid. Koma kuti mudziwe momwe mungathetsere kusayeneraku, ndikofunikira kudziwa momwe amasonyezera zofunikira zake m'magazi. Kuwunikaku kumatchedwa mbiri ya lipid, imachitika muzipatala za anthu onse komanso mwachinsinsi. Phunzirolo lisanachitike, wodwalayo ayenera kukonzekera bwino, apo ayi zotsatira zabodza zimapezeka. Ndipo popeza kuchuluka kwa cholesterol sikumakhala kokhazikika, komanso kutengera zaka, jenda, malo omwe akukhalamo, ndi adokotala okha omwe angayese mbiri ya lipid.
2. Chitsogozo chachiwiri ndikuphunzitsidwa kwa mitsempha yamagazi, kuchotsa zoyipa pamthupi, kupewa matenda opatsirana komanso osagwirizana, kusintha kwa kuthamanga kwa magazi ndi kutentha kwa thupi.

Chitani masewera olimbitsa thupi pafupipafupi

Kuchotsa pang'ono kwa mafupa a atherosselotic m'mitsempha kungathandize zolimbitsa thupi. Palibe amene amafunsa zopambana mdziko lapansi m'masewera: masewera olimbitsa thupi, masewera olimbitsa thupi m'mawa, kusambira kapena masewera akunja ndikokwanira. Amangowonjezera kuthamanga kwa magazi, zomwe zimapangitsa kuti pakhale ma cell ochepa, komanso amaphunzitsa minyewa yamitsempha yamagazi. Ndipo mitsempha yophunzitsidwa bwino imayankha moyenera kusintha kwa kuthamanga kwa magazi, kuisunga pamlingo woyenera, potero kuteteza kulumikizana kwamkati kuchokera ku microtraumas.

Zakudya zoyenera

Kuyeretsa kwamitsempha yamagazi kuchokera ku malo opangira atherosulinotic ndikosatheka popanda zakudya. Choyamba, mafuta a trans amayenera kuchotsedwa muzakudya, momwe angathere kuti muchepetse zakudya zamafuta ndi mafuta a nyama. Ndiye kuti, pewani zinthu zovulaza mokomera njere zonse ndi phala, nyama yoponda (nkhuku, kukwawa, nyama yam'madzi), mafuta apamwamba (nsomba zam'nyanja, mafuta a azitona ndi mafuta opendekera, avocado, mtedza ndi mbewu). Kugwiritsa ntchito chomera ngati masamba, nyemba, chinangwa.

Kuti muthe kutaya mafuta a cholesterol oyipa "bwino" kufulumizitsa kagayidwe. Pachifukwa ichi, mavitamini, omwe ndi othandizira pazomwe zimachitika pakompyuta, ali ndi vuto lalikulu. Mwanjira ina iliyonse, zakudya zonunkhira zingathandize, koma osati ndi atherosclerosis. Chomwe chiloledwa chokha ndi adyo pang'ono - 1 clove patsiku. Chicory, sinamoni, tiyi wobiriwira, sipinachi ikuthandizira kuwonjezera kagayidwe.

Payokha, ndikofunikira kutchula zinthu zomwe zimachepetsa magazi ndikuchepetsa mawonekedwe a zolembera. Izi ndi zipatso za citrus, zipatso (sitiroberi, rasipiberi, cranberries, blueberries, yamatcheri), tomato, beets, cocoa ndi chokoleti chakuda. Mndandanda wazakudya zabwino ndi wautali kwambiri, ndipo ndikofunikira kuti mukumbukire osati pamene mitsempha ili kale, koma kukumbukira moyo wanu wonse. Kupatula apo, kudya moyenera ndi imodzi mwanjira zazikulu zopewera matenda.

Kusiya zizolowezi zoyipa

Zomwezi zimagwiranso ntchito pamakhalidwe oyipa: muyenera kusiya kusuta ndi kumwa mowa osayamba kulandira mankhwala a atherosulinotic malo, koma kale kwambiri. Ndipo palibe njira yodziyeretsera kuchokera ku cholesterol yomwe singakuthandizeni ngati simusiya kusuta ndi kumwa mowa. Pazikhalidwe zoyipa zitha kutchulidwa ndi khofi wamphamvu pamimba yopanda kanthu. Pamimba yopanda kanthu, imakamizidwa kwambiri, ndipo khofi wina aliyense amalandila umathandizira kuwonjezeka kwamadzi ndi kutseka magazi.

Mankhwala

Makampani ambiri opanga mankhwala amapangira mwadala zinthu zawo kuti akwaniritse phindu. Madera Okwezedwa Ndi Iwo sangachotse kwathunthu cholesterol plaques, amatha kuchepetsa kuchepa kwawo, ndipo atatha maphunziro ambiri. Mankhwala nthawi zambiri amaphatikizidwa mogwirizana komanso njira zina, zopanda mankhwala.

Kulimbana ndi matenda a atherosulinosis:

• zotupa zamagazi
• cholesterol mayamwidwe zoletsa kuti amachepetsa kudya,
• zotsekemera za bile acid zomwe zimalepheretsa kubwezeretsanso kwa zotsalira za cholesterol mutatha chimbudzi,
• mankhwala a mavitamini ndi ma complex,
• Zakudya zowonjezera zakudya
• mankhwala apanyumba.

Madzi a liquefy ngati zolengeza zilipo kale

Kuyeretsa kwamitsempha yamagazi yomwe ilipo cholesterol ndikosatheka popanda kukonza zamitsempha zamagazi. M'mbuyomu, pofuna kuthana ndi vutoli, Aspirin adasankhidwa osakhalapo. Koma mndandanda wazopanga zake ndi zokulirapo kuposa mndandanda wazowonetsa. Mankhwalawa ali ndi ulcerogenic wamphamvu: makonzedwe ake osayenera amatsogolera pakupanga zilonda zam'mimba kapena chilonda cha duodenal. Madokotala amakono amagwiritsa ntchito mankhwala ophatikizika ndi acetylsalicylic acid omwe sakhudzanso kugaya chakudya.

Pakati pa mankhwala wowerengeka, mafuta a nsomba (omega-3), kulowetsedwa kwa zitsamba zotsekemera, chosakanizira cha phulusa lamapiri, duwa lakuthengo, ukonde, hawthorn, tansy, makungwa a msondodzi wotchuka ndi madokotala. Mwa azitsamba ambiri azamankhwala omwe amapezeka m'masitolo, ma syrup opangidwa ndi okonzeka amagulitsidwa. Ali m'gulu lazakudya zowonjezera zakudya.

Koma chiwongolero chachikulu chinali ndipo chikhala choyera madzi. Kuperewera kwake mthupi kumakhudza msambo wamagazi. Simungadzibweretse ludzu: ndi chizindikiro cha kuperewera kwa madzi m'thupi kwa 1 digiri. Ma cell kagayidwe kazinthu zosiyanasiyana zimachitika ndimadzipaka. Ngati maselo alibe madzi okwanira, amachikoka ndimagazi. Mwazi umachulukana, kukulitsa chiopsezo cha thrombosis nthawi zina. Chifukwa chake, muyenera kumwa madzi. Mlingo woyenera ndi 30 ml pa kilogalamu imodzi yakulemera patsiku.

Kuti madzi akhale opindulitsa komanso osadutsa m'matumbo, ndikofunikira kumwa maulendo angapo nthawi imodzi, osati m'matumbo amodzi ndi magalasi athunthu. Siyani kumwa muyenera kukhala mphindi 30 musanadye komanso maola atatu musanagone. Sitikulimbikitsidwa kumwa madzi mkati mwama maola awiri mutatha kudya, apo ayi kuchepetsa madzi a m'mimba ndikuchepetsa chimbudzi.

Njira zopangira pochotsa zolembera m'mitsempha yamagazi

M'magawo apamwamba, ngakhale mutamwa mapiritsi okhala ndi manja ndikuwamwa ndi malita amadzi, simungathe kuchita popanda njira zosinthira. Ndipo apa opaleshoni yamitsempha yam'mimba ndi angiosurgery athunthu atithandiza. Pogwiritsa ntchito maopaleshoni ocheperako, ndizotheka kuchotsa ma cholesterol m'mitsempha yamagazi kudzera pakulowera pang'ono, kapena kuchita stenting (kuyambitsa mawonekedwe apadera - stent mu lumen ya chombo chopapatiza - kudzera m'mitsempha yodutsa). Mwachizolowezi, kununkha ndikupitiliza kwa njira yodziwira matenda angiography.

Ngati ndi kotheka, angioplasty imayikidwa ndikugwiritsa ntchito chipika cha mtima kapena opaleshoni yam'mbuyo - kupatsirana kwa gawo lina la chotengera chosasinthika cha wodutsa podutsa chodutsacho. Ankalumikiza ndi gawo loyenera la thoracic artery, zotumphukira kapena chovala chongopeka.

Opaleshoni, ngakhale ngati ikuchitika m'makliniki apadera, nthawi zonse imagwirizanitsidwa ndi chiwopsezo cha moyo. Chithandizo cha Conservative chimatha kwa zaka zambiri, limodzi ndi mayeso owunikira nthawi zonse. Ndiye kodi sikwabwino kupewa matenda? Zowonadi, pamenepa, ndikofunikira kudya molondola, kusuntha mwachangu komanso osakhala ndi zizolowezi zoyipa!

Kodi cholesterol plaque ndi chiyani?

Chiwalo chilichonse chaanthu chimalandira mphamvu kuchokera ku ziwiya, zomwe m'thupi - intaneti yayikulu ndikutalika. Magazi oyenda m'matumbo si njira yothetsera, koma kuyimitsidwa, pomwe kuyimitsidwa kwa maselo akuyandama mumadzi, komwe kumatchedwa kuti zinthu zoumbika, amayandama. Gawo lamadzi silingafanane konse ndi madzi, omwe amafotokozedwa ndi mamolekyu atungunuka mkati mwake, makamaka a protein. Komanso zophatikiza zosiyanasiyana zamafuta metabolism "zimayandama" m'magazi, makamaka, cholesterol, triglycerides, lipoproteins.

Malinga ndi malamulo a sayansi ya kapangidwe ka zinthu, magazi amayenda m'matumbo kuti "magazi" ake azikhala pakati, omwe alibe maselo, ndipo zinthu zambiri zopangidwa "zimayenda" m'mphepete, ndikuyimira "dipatimenti yoyankha mwachangu": nthawi yomweyo amachoka pansi pano chifukwa cha kuwonongeka kwa mtima. mapulateleti, "kutseka" malire.

Gawo lamadzi limagwiranso ndi makoma amitsempha. Mmenemo, monga momwe timakumbukira, zopangidwa ndi mafuta metabolism zimasungunuka. Pali zosiyana zingapo, cholesterol ndi imodzi mwazinthu zomwe zimapangidwira. Dongosolo ili limakonzedwa motere: nthawi zambiri, mafuta "oyipa" amagwirizana komanso othandizira anzawo, mafuta abwino "(" abwino "cholesterol). Pamene ndalama iyi ikuphwanyidwa - kapena kuchuluka kwa "zoyipa" kumawonjezeka, kapena kuchuluka kwa "zabwino" kumachepetsa - mafuta am'mimba - mapepala - amayamba kuyikidwa pazitseko za zombo zapamadzi. Chiwopsezo cha kusungidwa kwa malo oterewa chimawerengedwa ndi kuchuluka kwa mafuta abwino (amatchedwa "high density lipoproteins" - HDL) komanso kuchuluka kwa osaluka a lipoproteins (LDL) ndi otsika kwambiri (VLDL). Izi zitha kuchitidwa mwa kuyesa magazi kuchokera mu mtsempha wotchedwa lipid mbiri.

Chikwangwani chotere ndichowopsa motere:

• Itha kuchokapo ndipo, kudutsa ndi mtsinje wamagazi kupita mumtsuko “woyenera” m'mimba mwake, ndikuchivindikira, ndikupereka gawo lina la chakudya chomwe chikudya pano. Chingwe chaching'ono, chocheperako pomwe chimafa, kuchepa kwa mphamvu kwa chiwalocho komanso zonse zimasokonekera (pamakhala "kubwereza") mkati mwa chiwalo chilichonse, chifukwa chomwe "chidutswa" chilichonse chimalandira chakudya kuchokera m'mizere ingapo yaying'ono nthawi imodzi).
• Magazi amakakamizidwa kudutsa chodikiracho, chifukwa choti m'malo moyankhana omwe amayenda mu "chotchingira" choterechi amapangika mbali yomwe magaziwo akupita pafupi ndi khoma lomwe laphimbidwa ndi zolembazo ayenera kubwezeretsedwanso. Kusokonezeka m'magazi kumapangitsa kuti thupi lizipezeka mokwanira. Apa kudalira kuli chimodzimodzi monga m'ndime pamwambapa: kukulira kwamkati wamtsempha wowonongeka ndi zolengeza, ndipamenenso chipere chimavutika.
• Ngati magazi ake sanasinthe, kuchuluka kwa HDL ndi ma enzyme omwe ayenera "kusiya" chindapusa sichikuwonjezerapo, thupi limayesa kuchotsa. Kuti achite izi, amatumiza maselo oteteza chitetezo ku malo osungirako zolembedwa, ntchito yake yomwe "ndikuluma" zidutswa ndi kuzikumba. Koma maselo sangathe kuchita izi: mmalo mwakugaya, maselo chitetezo chathupi chimawonongeka ndi cholesterol ndi mafuta, ndikukhalabe "akugona" kuzungulira cholesterol. Kenako thupi limaganiza zophimba mapangidwe awa ndi minofu yolumikizana, ndipo zolembazo zimachulukanso kukula, tsopano zikukulitsa magaziwo ku chiwalo osati chifukwa cha chipwirikiti, koma chifukwa cha kuchepa kwa kuunika kwa chotengera.
• Kuphatikiza ndi minofu yolumikizira ndikabwino kwa zolembera komanso koyipa kwa chotengera. Tsopano, ngati china chake chawonongeka, ndiye kuti "imadziyimbira" mapulateleti, omwe amapanga magazi ake pamwamba pake. Zodabwitsazi, poyamba, zithandizanso kuchepetsa chiwiya, ndipo chachiwiri, ziziwonjezera chiwopsezo (makamaka mu ziwiya zokhala ndi "magazi" otaya) a chotupa chamagazi ndi chotchinga chotengera chaching'ono.
• Chikwangwani chokhalapo kwanthawi yayitali chimakhala ndi mchere wamchere. Mapangidwe oterewa a parietal ndi okhazikika kale, sangatuluke popanda kuchitapo kanthu. Koma imayamba kukula ndikuchepetsa lumen ya chombo.

Kuchuluka kwa mapangidwe a zolengeza kumakhudzidwa ndi:

• kumwa nyama,
• kusuta
• matenda ashuga
• onenepa kwambiri
• kusowa kwa masewera olimbitsa thupi
• kuthamanga kwa magazi
• kudya kwambiri
• kudya mafuta ambiri osavuta ndi chakudya.

Kudziwitsidwa kwokhudzana ndi mawonekedwe a plaque ndikosadalirika: ikhoza kukhala mitsempha yomwe imadyetsa ubongo, kapena mitsempha ya impso, miyendo kapena ziwalo zina. Kutengera izi, angayambitse:

• ischemic stroke
• angina pectoris
• myocardial infaration
• matumbo chilonda
• aortic aneurysm,
• discirculatory encephalopathy, yomwe imawonetsedwa ndi kuchepa kwa kukumbukira, kupweteka kwa mutu, kuchepa mphamvu yopenda zomwe zikuchitika,
• kuwonongeka kwa magazi kwa gawo lalikulu kapena laling'ono la nthambi, mpaka khungu lake,
• Ngati chidikizo chikulendewera kum'mawa kwa chotengera chachikulu kuchoka pamenepo kupita kumalekezero onse, miyendo yonseyo imangokhala ndi ischemia kapena gangrene.

Momwe mungadziwire ngati pali cholesterol plaques

Musanayambe kuyeretsa kwamitsempha yamagazi kuchokera ku cholesterol plaque ndi ma magazi, muyenera kudziwa ngati alipo kapena ayi. Ngati mbiri ya lipid ikuwonetsa kuwopsa kwa mapangidwe a zolembera, coagulogram imawonetsa chiopsezo cha thrombosis, ndiye kuti maphunziro othandiza athandizira kupeza "kuvuta" m'matumba:

• Mtundu wapadera wa ultrasound scan ndi kusanja mtundu. Mwanjira imeneyi, ndikofunikira kwambiri kupenda ziwiya zam'mbuyo komanso zotsika, aorta, zotengera ku ubongo ndi zomwe zimadyetsa maso.
• Kusanthula kwa Triplex ndi njira inanso yofotokozera za ultrasound. Amagwiritsidwa ntchito kupangira ziwiya zamaubongo ndi mitsempha yomwe imadyetsa - omwe amapezeka kunja kwa gawo lamkati,
• Njira yolondola kwambiri yofufuzira ndi angiography. Imagwiritsidwa ntchito kudziwa komwe kuli malo okumbika kapena magazi m'mitsempha yamiyendo yomwe idapezeka pakapangidwe kabatani kapangidwe kake, komanso kudziwa zigawo za magazi m'ziwalo zomwe sizingaoneke pofufuzidwa ndi ultrasound.

Kodi muyenera kuyeretsa bwanji zimbudzi

Ndikofunikira kuchotsa ziwiya zamafuta ku cholesterol:

• malingana ndi njira zogwiritsira ntchito, ma atherosulinotic malo kapena
• pomwe pali kale kuphwanya kwamkati, motsutsana ndi maziko omwe mndandanda wapamwamba wa atherogenicity wapezeka (malinga ndi mbiri ya lipid). Izi ndi:
  • cholesterol pamwamba 6.19 mmol / l,
  • LDL - oposa 4.12 mmol / l,
  • HDL: pansipa 1.04 kwa amuna, pansipa 1.29 mmol / l kwa akazi.

Mu milandu yotsatirayi, ndikofunikira m'njira zonse kuti mupewe kuyatsidwa kwa cholesterol pamakoma a mitsempha yamagazi:

• amuna opitilira 40
• azimayi opitirira 55
• pamaso pa zizolowezi zoyipa,
• ngati munthu wadya kwambiri, wowotcha, zakudya zamchere, nyama,
• ngati achibale ali ndi atherosulinosis, ischemic kapena matenda oopsa,
• akudwala matenda ashuga
• onenepa kwambiri
• mutatha kuvutika ndi matenda a streptococcal monga rheumatism,
• ngati kamodzi kamodzi panali ziwalo kapena theka la thupi, osatsata kukakamira kwawo, koma podzikika "lokha",
• ngati kamodzi padakhala zowonongeka m'maso amodzi, zomwe zimadutsa,
• pamene anaukiridwa ofooka kwambiri wamba,
• Ngati pali ululu wopanda pake m'dera la navel, motsatana ndi kugonja ndi kudzimbidwa,
• pamene kukumbukira kumakulirakulira, komanso chidwi chofuna kupuma chimayambitsa kupsinjika kwa malingaliro,
• ngati ndizovuta kuyenda, miyendo yanu imapweteka ndi kupsinjika pang'ono,
• pakakhala ululu wammbuyo kapena wamtima osatsitsimuka ndi nitroglycerin,
• Tsitsi likagwera pamiyendo, ndipo miyendoyo imatembenuka ndi kufalikira.
• ngati zilonda zilizonse, kufiyira, kutupikana kunayamba kuonekera m'munsi.

Zomwe muyenera kuchita musanapite ndi kuyeretsa kwamitsempha yamagazi kuchokera kuzizindikiro

Pofuna kuti musakumane ndi mfundo yoti kuyeretsa ziwiya kunyumba kungapangitse kudzipatula kwa zipupa zamagazi kapena mapepala okhala ndi zotsatirazi, musanayenere kufufuza:

1. kudutsa coagulogram kotero kuti labotale siimangodziwonetsa zizowoneka zokha, komanso index ya INR,
2. pezani lipid mbiri,
3. onetsetsani kuti mukuchita electrocardiogram.

Momwe mungayeretsere ziwiya za atherosselotic zolembera

Pulogalamu yoyeretsa ziwiya zochokera ku cholesterol yomwe imakhazikika pamakoma awo iyenera kusiyidwa ndi adotolo malinga ndi zotsatira za maphunziro a labotale ndi othandizira. Mulinso:

1. Khalidwe limasintha, ngati zidatsogolera ku mapangidwe,
2. kutsatira zakudya zoterezi zomwe zitha kupangitsa kuti magawo azigwira bwino ntchito, kotero "ndimafuta abwino" omwe amamwa kwambiri
3. chakudya chomwe chingalepheretse magazi kuwundana.

Malinga ndi zofunikira zingaperekedwe:

1. mankhwala omwe amachepetsa cholesterol yamagazi,
2. mamasukidwe amitsempha amachepetsa magazi
3. wowerengeka azitsamba ndikufuna kusintha magazi m'maso kapena kuchepetsa mafuta m'thupi.

Gawo 1. Musalole cholesterol "yoyipa" kuti iwonjezeke

Popanda kuchita izi, njira zina zonse - kaya ndi maphikidwe a wowerengeka kapena mankhwala osokoneza bongo - sizikhala ndi phindu, popeza munthuyo apitilirabe kudzaza thupi ndi mafuta m'thupi.

Izi zitha kuchitika kokha ndi chakudya:

• Zakudya zikaphika kuphika kapena kuwiritsa,
• pali njere zokwanira
• Ndi zipatso ndi masamba ambiri,
• ndi zinthu zomwe zimakhala ndi mafuta ochulukirapo a omega-3 acids,
• pakakhala chakudya cham'madzi chokwanira
• zopangidwa mkaka ndizochepa mafuta.

Gawo 2. Zakudya kusiya thrombosis

Pofuna kupewa kufinya kwa magazi pamapazi a atherosulinotic, omwe ndi oopsa chifukwa amatha kupezeka nthawi ina iliyonse, kutsatira zakudya zotsatirazi (zimafanana ndendende ndi zomwe zimaletsa kudya mafuta a cholesterol:

Gawo 3. Kusintha Kwa Moyo

Popanda izi, njira zotsatirazi sizothandiza. Kupanda kutero, magazi amadzagwedezeka m'mitsempha, yomwe imakonda kwambiri kuundana kwa magazi ndi malo a atherosulinotic. Monga njira "zoyeretsera" ziwiya zomwe mukufuna:

• kugona mokwanira, monga akuwonetsera ndi ma endocrine ndi machitidwe amanjenje. Ziwalo zomwe zimapangitsa kuti zigwirizane, zimayesanso kuonetsetsa kuti pakati pa zophatikizika ndi ma anticoagulation, atherosulinotic ndi anti-atherosulinotic system,
• kusunthira kwambiri, kuchotsa kusayenda kwa magazi,
• nthawi zambiri kukhala mu mpweya watsopano, ndikupereka mpweya wokwanira,
• kuletsa mapangidwe owonjezera,
• lawani kuchuluka kwa shuga m'magazi, omwe kuchuluka kwake kumawononga mitsempha yamagazi.
• Pewani kukhalapo kwa nthawi yayitali kwa matenda oopsa, omwe amawonongeranso khoma lamitsempha,
• tsatirani mfundo zachakudya zomwe tafotokozazi.

Gawo 4. Kukonzekera kwa kuyeretsa kwamitsempha yamagazi

Popewa kuwonekera kwa kuundana kwa magazi, mapiritsi amagwiritsidwa ntchito omwe amalepheretsa kuphatikizika kwa mafupa pamakoma amitsempha yamagazi. Awa ndi a Trombo-Ass, CardioMagnel, Plavix, Clopidogrel, Aspekard, Curantil ndi ena.

Pa INR yotsika, mankhwala a anticoagulant amalembedwa malinga ndi coagulogram ndipo pali ma atherosselotic plaque kapena magazi, osati othandizira othandizira antiplatelet omwe atchulidwa pamwambapa, komanso mankhwala omwe amakhudza dongosolo la magazi okhudzana ndi omwe amapatsidwa. Awa ndiakonzedwa jakisoni "Kleksan", "Fragmin", "Fraksiparin", ovulala kwambiri - jekeseni "Heparin". Muthanso kugwiritsa ntchito mankhwala "Warfarin". Mlingo amasankhidwa ndi dokotala. Mukayamba kumwa mankhwalawa, ndikofunikira kuyang'anira INR posintha mtundu wa mankhwalawa, mwinanso magazi atha kuyamba.

Gawo 5. Hirudotherapy

Kuchiza ndikulumwa kwa leeches kuchipatala kumalepheretsa mapangidwe azitseko zamagazi m'mitsempha. Izi ndichifukwa choti nyongolotsi, yoyamwa, imatulutsa ma enzyme osiyanasiyana m'magazi. Ayenera kugwirira ntchito kuti pamene lech imamwa magazi, sikugwirizana. Zotsatira zake, hirudin ndi ma enzyme ena amalowa mu kayendedwe ka kayendedwe kazinthu, kusungunula magawo ang'onoang'ono a magazi ndikutchingira thrombosis ina.

Hirudotherapy imatha kuchitidwa osati kwa aliyense, koma pokhapokha:

• kuvala zovuta
• kutopa
• mimba
• Chigawo cha Kaisareya kapena ntchito ina iliyonse yomwe idachitika miyezi 4 yapitayo,
• Hypersensitivity chimodzi mwazinthu zomwe zimapanga "malovu",
• kuthamanga kwa magazi.

Gawo 6. Chinsinsi maphikidwe omwe amalimbikitsa madokotala

Musanatsuke ziwiya ndi wowerengeka azitsamba, funsani kwa mtima wanu kapena wowonetsa zamankhwala ngati mungatenge izi kapena chimbudzi.

Kwa anthu ambiri, madokotala angalimbikitse kutengera mitundu:

Ndikulimbikitsidwanso kudya grated viburnum ndi shuga, tirigu wophukira, ndi mapesi a udzu winawake - kuwonjezera pamasupu ndi masaladi. Komanso mu saladi muyenera kudya adyo, nyemba, nsomba zam'madzi. Onjezani muzu wa ginger ku tiyi.

Pazifukwa zomwezo, zakudya zovomerezeka zowonjezera zitha kugulidwa ku Phyto-pharmacies: manyuchi a hawthorn ndi chilombo chamtchire, Beetroot ndi udzu winawake, ndi Hawthorn Premium. Ngati simumakonda kukoma kwa adyo, gulitsani zowonjezera za Solgar. Amasunga bwino magazi a ginkgo biloba, opangidwa mwa njira zowonjezera zakudya.

Maphikidwe wamba

Nayi maphikidwe awiri omwe amakonda kwambiri.

• Mukufuna adyo ndi mandimu. Muyenera kuwatenga ndi kulemera mulingo wofanana, kupera mu chopukusira nyama. Tsopano onjezani uchi wambiri pamene kusakaniza uku kunapezeka, kusakaniza. Limbikani kwa sabata mu chidebe chosindikizidwa, chosangalatsa nthawi zina. Imwani osakaniza 1 nthawi patsiku, supuni 4 iliyonse.
• Tengani 5 tbsp. singano za paini, supuni zitatu ananyamuka m'chiuno, 1 tbsp. anyezi peel. Thirani kusakaniza ndi madzi okwanira 1 litre, ndiye kuti mubweretse chithupsa, wiritsani kwa mphindi 10. Kenako yatsani moto, kukulani poto ndikuumirira usiku wonse. M'mawa, konizani chisakanizo ndi zakumwa patsiku, m'magawo ang'onoang'ono.

Gawo Lotheka - Kukonzekera Kwa Kusungunula Cholesterol Plaques

Nthawi zina, ndi index yayikulu ya atherogenic (yotsimikiziridwa ndi kuyesa kwa magazi kwa lipids), ndikofunikira kupaka mankhwala omwe athetse ziphuphu za atherosulinotic. Kusankhidwa koteroko kumachitika kokha ndi katswiri wa zamankhwala kapena wowerengera, popeza ndi iye yekha amene amatha kuyesa kuchuluka kwa chiwopsezo cha zotsatirapo zake komanso zabwino zomwe mankhwalawo angapeze.

Mitundu iwiri yayikulu ya mankhwala ochepetsera cholesterol imayikidwa. Awa ndi ma statins (Atorvakard, Simvastatin, Lovastatin ndi ena) ndi fibrate (Klofibrat, Tykolor, Esklip).

Ma Statins ndi mankhwala omwe amachepetsa mafuta m'thupi poletsa njira ya enzyme momwe amapangidwira. Ngakhale mankhwalawa akuphatikizidwa mu pulani yovomerezeka ya atherosulinosis yofotokozedwa ndi Unduna wa Zaumoyo, koma chifukwa cha kuchuluka kwa zotsatira zoyipa, dotolo angaganize ngati ayenera kupatsidwa mankhwala, kapena chithandizo chitha kuchitidwa popanda kugwiritsa ntchito. Zofunika kuti zigwiritsidwe ntchito ndi magulu otsatirawa a anthu:

• pa nthawi yovuta kwambiri ya kulowetsedwa kwam'maso,
• kukhala ndi vuto la mtima kapena stroke,
• Opaleshoni yamtima isanachitike komanso itachitika
• matenda oopsa a mtima pamene milingo ya myocardial infarction ili pamwamba.

Pokhala ndi chiopsezo chochepa chodwala matenda a mtima, pamaso pa matenda a shuga, komanso azimayi musanadutse, kugwiritsa ntchito mankhwalawa kumatha kuyambitsa zovuta zina zilizonse zamthupi. Ngati mukuyesera kuchitira mankhwala okhala ndi ma cholesterol okwera okha, pamene mtima wa munthu, impso ndi chiwindi zili bwino, ndizowopsa, makamaka chifukwa zotsatirapo zoyipa zimayamba pang'onopang'ono. Koma ngati anaganiza kuti ayeretse ziwiya motere, muyenera kuyang'anira magazi, makamaka omwe amatchedwa "mayesero a chiwindi". Chepetsani kapena kuwonjezera kuchuluka kwa inunso simulibwino.

Awa ndi mankhwala omwe amachepetsa kupanga mafuta a cholesterol: Clofibrate, Gemfibrozil, Tycolor ndi ena. Samatsitsa cholesterol komanso ma statins, koma si oopsa. Magulu awiriwa a mankhwalawa nthawi zambiri amaphatikizidwa kuti achepetse mavuto.

Magulu ena a mankhwala osokoneza bongo

Nthawi zina, mankhwala osokoneza bongo omwe cholinga chake ndi kuchepetsa kudya mafuta m'thupi ndi othandiza. Uyu ndi Orlistat, Xenical, Ezetrol. Kuchita kwawo sikokwanira ngati ma statins kapena ma fibrate, popeza ambiri mwa lipoprotein "oyipa" amapangidwabe ndi thupi lanu, ndipo samatengedwa ndi chakudya.

Palibe umboni wa kutenga ma statins, koma pamaso pa matenda a shuga, matenda oopsa, cholecystitis kapena matenda a ndulu, chizolowezi choipachi monga kusuta, zakudya zina zitha kugwiritsidwa ntchito. Mankhwala oterowo, omwe amapezeka m'mabotolo kapena mapiritsi, osawoneka ngati mankhwala enieni, nthawi zina samatsuka bwino kwambiri mafupa popanda kuyambitsa zovuta zambiri zoyipa. Awa ndi a Tykveol, Lipoic Acid, Omega Forte, Doppelgerz Omega 3, CardioActive Hawthorn, Golden Mummy.

Njira yomwe ingatheke ndikuchita opareshoni

Khola loti atherosselotic "lakula" ndi mchere wa calcium kotero kuti palibe mankhwala kapena wowerengeka wowerengeka amene amafikira pachimake cha cholesterol. Nthawi yomweyo, sizimapereka mwayi wodyetsa chiwalo kapena kuwopseza kukula kwa stroko kapena gangore. Poterepa, njira yokhayo yotumikirayi ndikugwira ntchito yochotsa zolembera m'matumba. Nthawi yomweyo, "workaround" imapangidwa kuti ipangitse magazi kwa chiwalo chothandizira, mwachitsanzo, kukokoloka kwa mitsempha yodutsa, pamene "njira" yowonjezereka yapangidwa kuchokera pamalo opitilira gawo kupita ku chida chomwe chikugwirizana mwachindunji ndi minofu yomwe ikusowa. Chifukwa chake, magazi amapitilira gawo la "chotchingira" chiwiya chija. Nthawi zina ntchito yofinya imachitika ngati "chubu" (stent) yaikidwa m'dera la bowo lokhotakhota, lomwe limabwezeretsa sitimayo m'mizere yoyambira yeniyeni.

Pambuyo pa kulowererapo kotereku, kukhazikitsidwa kwakanthawi kochepa kwa mankhwala omwe amachepetsa mapangidwe a thrombus limodzi ndi mankhwala omwe amakhala ndi cholesterol yokhazikika amafunika kuti pakhalenso mapangidwe.

Chifukwa chake, ngati mukufuna kuteteza mitsempha yanu m'mitsempha, muyenera kusintha momwe mukukhalira, khalani ndi maphunziro atakambirana ndi akatswiri othandizira, ma decoctions kapena infusions okonzedwa malinga ndi Chinsinsi cha wowerengeka. Izi zikugwiranso ntchito kwa anthu omwe samadandaula chifukwa cha mavuto a mtima komanso omwe apeza cholesterol yambiri m'magazi awo. Ngati mukuyenda, ndikuchita masewera olimbitsa thupi, kapena mutagona kumbuyo kwa kumbuyo kapena chakumanzere kwa chifuwa, kupweteka kapena kusasangalala kumachitika, ngati mukukumana ndi kuthamanga kwa magazi kapena ngati vuto la mtima wapezeka, muyenera kufunsa dokotala kuti mupeze upangiri wokhudza kumwa mankhwala ochepetsa mphamvu ya mafuta m'thupi (cholesterol) .

Kumbukirani: musatengeke kwambiri ndi kutsitsa cholesterol. Izi zimafunika pakatikati pa maselo athu aliwonse, ndimalo ochepa, chiwopsezo chotenga khansa, matenda amanjenje, kuphatikizapo matenda opha ziwopsezo, komanso mkhalidwe womwe umakhala ndi hemoglobin yochepa m'magazi, kuchepa magazi.

Momwe mungachotsere cholesterol zolembera kuchokera mthupi?

M'mitsempha ndi m'mitsempha, cholesterol plaque imatha kuchotsedwa nthawi zonse pakudya zakudya komanso kukonzekera motengera mafuta a omega-3 ndi omega-6 - ma acid amapezeka m'mafuta a nsomba, mafuta owonda, nsomba zamadzi ozizira komanso mtedza. Kafukufuku akuwonetsa kuti kugwiritsa ntchito ma omega-3 acid pafupipafupi m'njira zamankhwala kapena zowonjezera pazakudya kungachepetse kuchuluka kwa ma atherosselotic amana ndi 10-12% munthawi ya zaka 1-1.5 (onaninso: momwe mungamwere mafuta opukutira faksile kuti muchepetse cholesterol).

Garlic, uchi, ndimu, ginger ndi zinthu zina zachilengedwe, komanso zochokera kwa iwo kapena ma tinctures, sizinawonetse kuchita bwino pa mayeso azachipatala (zambiri zamankhwala amtundu wa cholesterol, ndimu ndi adyo). Kumbali inayo, onse a iwo - atadyetsedwa ndi chakudya chapadera chokhala ndi magazi ambiri komanso moyo wokangalika - awonetsa zotsatira zabwino popewa mapangidwe atsopano a atherosulinotic amana.

Mutha kuchotsa zolembera za cholesterol ndi laser - iyi ndi njira yabwino kwambiri yophera ma atherosselotic amana: waya woonda wosasunthika umalowetsedwa mu mtsempha (kapena mtsempha) kudzera mumtsinje wamagazi, waya umatsogozedwa ku cholesterol plaque ndipo mtengo wa laser umatulukamo. Ma laser amachepetsa cholesterol plaque.

Zambiri pamatenda a mtima

Chifukwa cha iwo, ziwalo zamkati sizingalandire magazi okwanira. Mapilogalamu nthawi zambiri amayambitsa hypoxia (kufa ndi mpweya wa okosijeni). Choopsa kuumoyo ndi neoplasms yomwe imatuluka mu carotid mtsempha wamagazi. Chifukwa cha kuthamanga kwa magazi, nthawi zambiri amavulala. Mitsempha yamagazi yam'mitsempha kuphatikiza stroko. Kuti mupewe ngozi yoopsa, muyenera kuwachotsera nthawi.

Stroko imachitika ngati magazi atatuluka. Matendawa ndi ovuta kwambiri a atherosulinosis. Ngati zikwangwani zimapezeka pakhoma la khomo lachiberekero, wodwalayo ali ndi izi:

• mutu
• tinnitus
• kulankhulirana
• kukumbukira kusokonezeka ndi chidwi.

Mitsempha ya khomo lachiberekero itawonongeka, ntchito zamagetsi zimasokonekera. Atherosulinosis imadziwika ndi khungu. Ngati chidacho chiri m'mbali mwake mwa khomo pachibelekeropo, wodwalayo amakhudzidwanso kwambiri ndi kuzizira. Pali nthawi zina pamene njira ya pathological imafalikira kumitsempha yama mtima ndi kuwukira kwa angina kumachitika.

Ndondomeko ya atherosulinotic imawonekera chifukwa cha zovuta za metabolic. Kuti mudziwe ngati pali zolembera m'matumba, muyenera kuwunika ma ultrasound. Kuzindikira kumakupatsani mwayi wodziwa momwe mitsempha ya carotid ilili. Chifukwa cha ultrasound, adokotala adziwa momwe mitsempha imapendekera komanso ngati ali ndi magazi. Chifukwa ubongo chotengera kulingalira kutsatira MRI.

Njira zakuchiritsa kwa atherosulinosis

Sikovuta kuchotsa ma cholesterol plaque. Chithandizo cha atherosulinosis chiyenera kukhala chokwanira. Kuzindikira kumakhazikitsidwa pazotsatira zakuwunika. Ngati chithandizo chakuchita bwino, madandaulo (kapena ma magazi) amasungunuka pang'ono. Ndikofunikira kumenyana ndi neoplasms mpaka magazi atayamba kuyenda bwino. Zolinga zakuchizira:

• sinthani mitundu ya lipid,
• Chotsani zinthu zomwe zimathandizira kukulitsa matenda a mtima,
• mubwezeretsenso magazi.

Kuphatikiza pa chithandizo chachikulu, mankhwala azitsamba angagwiritsidwe ntchito. Komabe, musanagwiritse ntchito, onetsetsani kuti siziyambitsa chifuwa. Kuti muchira msanga, ndikofunikira kupatula zina zoyipa. Izi zikuphatikiza:

• kugwiritsa ntchito molakwika zinthu zovulaza
• kusuta, kumwa mowa,
• mavuto.

Wodwala amayenera kuyang'anira kuthamanga kwa magazi. Mzimu wobadwira umathandizira kwambiri pakubweretsa matenda amtima.Ngati panali mbiri ya atherosulinosis kapena matenda ena a mtima, muyenera kusamala kwambiri zaumoyo wanu.

Ndi atherosclerosis, katundu wolimbitsa thupi amasonyezedwa. Kukhala ndi moyo wopusitsa kumapangitsa kuti ziwiya za miyendo zizipweteka, zomwe zimapangitsa kuyenda kukhala kovuta. Ngati ziwiya za khosi zakhudzidwa, ndizovuta kwa wodwala pindani ndi kutembenuzira mutu wanu. Ngati zizindikiro zotere zikapezeka, pitani kuchipatala. Katswiriyu adzalemberani mankhwala atapezeka. Chithandizo cha cholesterol plaque mu ziwiya za khosi sichimapereka zotsatira zabwino popanda kuchita masewera olimbitsa thupi komanso zakudya. Ochita masewera olimbitsa thupi amalimbikitsa kuchira msanga.

Zolemba pa chakudya

Pamafunika chakudya kuti ayeretse mitsempha ya magazi ndikupereka magazi a pryplaxis. Wodwala ayenera kukana zakudya zamafuta:

Nyama, makamaka nkhumba ndi mwanawankhosa, imakhala ndimafuta obisika. Matendawa akaloledwa kudya masaladi, masamba obiriwira, sopo. Povala saladi, gwiritsani ntchito mafuta a maolivi kapena mafuta a mpendadzuwa. Mayonnaise oletsedwa. Nsomba zonona zimaloledwa. Zimathandizira kupanga kuperewera kwa mavitamini komanso zinthu zina zofunika kuzitsatira. Kulimbitsa makoma a venous, mtedza uyenera kuphatikizidwa muzakudya. Mwa zakumwa zomwe zalimbikitsa:

• tiyi wobiriwira
• chakumwa cha zipatso
• mwatsopano wokhathamiritsa ndi madzi otsekemera.

Muyenera kukana khofi ndi zakumwa zilizonse zokhala ndi mowa.

Mankhwala

Odwala akufuna kusungunuka chotengera cholesterol zolembera. M'magawo oyamba a matendawa, kudya kumathandiza. Zakudya zamankhwala zimathandiza kuchepetsa cholesterol. Ngati sizikupereka zotsatira, dokotala amakupatsani mankhwala.

Ndikofunikira kudziwa zomwe zimasungunula cholesterol zolembera m'matumba. Mankhwala osankhidwa omwe amaletsa ma enzyme omwe amaphatikizidwa ndi mafuta a cholesterol:

1. Mabedi. Mankhwala m'gululi amafunikira kuti muchepetse cholesterol. Mankhwala odziwika bwino ndi Atorvastatin ndi Rosuvastatin. Statin amachepetsa kukula kwa zotupa zotupa komanso amachepetsa zotupa za atherosulinotic. Mankhwala amakhala ndi antioxidant zotsatira, komanso amatithandizira kusintha kwa ntchito ya endothelial. Ma Statist amasinthira ntchito ya myocardial komanso imakhudza kayendedwe ka magazi.
2. Fibates. Mankhwala omwe ali mgululi amaperekedwa ngati triglycerides imakwezedwa. Fibates imatha kuthana ndi metabolic syndrome. Mankhwala amachepetsa uric acid wambiri. Amalembedwa kwa odwala omwe ali ndi gout ndi atherosulinosis. Fibates activate michere nawo kagayidwe kachakudya mafuta. Monga mabedi, amachepetsa kuwonongeka kwa zotupa. Mankhwala omwe ali mgululi amalimbikitsa kagayidwe kazakudya, kuti athe kuperekedwa kwa odwala matenda ashuga.
3. Kusinthana kwa Ion. Mankhwalawa amamanga ma asidi a bile m'matumbo ndikuthandizira wodwalayo kuti atuluke.
4. Omega-3 mafuta acids. Mankhwalawa amachepetsa lipids ndikuthandizira thupi kuthana ndi kutupa.

Zilonda za cholesterol zimayambitsa chiwopsezo chachikulu pa thanzi, zimatha kusungunuka popanda kugwiritsa ntchito mankhwala, odwala amafunsa. Atherossteosis koyambira koyambira ndiyowopsa kuposa momwe ingapangire, itha kuchiritsidwa ndi zakudya ndi wowerengeka azitsamba.

Kugwiritsa ntchito mankhwala wowerengeka

Odwala nawonso ali ndi chidwi ndi: kodi cholesterol zolembera zimatha kusungunuka palibe mankhwala. Kukula kwa atherosulinosis kumadalira malo ndi kuuma kwa matenda. Kuthana ndi matendawa kungathandize mankhwala, zakudya, zochiritsira zolimbitsa thupi ndi mankhwala wowerengeka:

1. Kulowetsedwa zitsamba. Kuti mukonzekere, muyenera kugula chamomile, masamba a St. Supuni imodzi ya nkhanizo imadzaza ndi 400 ml ya madzi otentha. Chidachi chimaponyedwa kwa mphindi 30. Kusintha kukoma, ndikofunikira kuwonjezera uchi. Kulowetsedwa amatengedwa 1 nthawi patsiku kwa mwezi.
2. Mankhwala a mandimu ndi adyo. Pophika, tengani mandimu atatu ndi mitu yambiri ya adyo. Zosakaniza ndi nthaka payokha, kenako zimasakanizidwa ndikuthira mu 500 ml ya madzi. Mankhwalawa amasungidwa kwa masiku awiri (akhoza kuyikidwa mufiriji). Pambuyo pa nthawi iyi umasefedwa, tengani 3 tbsp. l 2 pa tsiku. Chithandizocho chimatenga mwezi ndi theka.
3. Njira za uchi, adyo ndi mandimu. Kuti mumuphike, muyenera kutenga uchi wa 900 ml, uchi 9 wa adyo ndi mandimu 9. Garlic ndi nthaka ndi mandimu, kenako osakanizidwa ndi uchi. Mankhwalawa amathandizidwa kwa masiku 7. Ndikulimbikitsidwa kuti muzitenga 20 g kamodzi patsiku. Njira ya mankhwala kumatenga masiku 20.

Opaleshoni

Opaleshoni ya m'mitsempha ya carotid imayikidwa ngati njira ya pathological yakhudza mitsempha yomwe ikupereka magazi ku ubongo. Mitsempha yamagalimoto - Ichi ndi chotengera chachikulu, chili ndi chidwi chokhudzidwa ndi njala ya oxygen. Ngati lumen ya carotid artery ichepetsedwa kwambiri, mpweya wambiri ungachitike, womwe umayambitsa imfa.

Opaleshoni amamuchitira stenosis yamchiberekero yamitsempha. Kugonjetsedwa kwake kwakukulu kumatsogolera to ischemic necrosiszomwe zimabweretsa kuperewera kwamatumbo. Ngati lumen yatsekedwa 65%, kuchitidwa opaleshoni yofunikira ndikofunikira.

Opaleshoni yam'mitsempha yam'mimba ndi chiopsezo chachikulu. Njira sinafotokozeredwe kwa contraindication, akuphatikiza:

• matenda opatsirana a impso, chiwindi ndi mtima, komanso matenda aliwonse a pachimake,
• sitiroko
• chikomokere
• matenda oyenda ndi chikumbumtima chovulala,
• matenda a m'magazi kumbuyo kwa ischemic necrosis,
• kuchuluka kwa mitsempha ya carotid,
• kuwonongeka kwa ubongo.

Dokotala atha kukulemberani njira yovulaza yovulala. Asanachite izi, amafunika kuchita MRI, angiography, kusanthula kwamitsempha yamagazi. Pali njira zitatu zopangira opaleshoni yamitsempha yama carotid:

• ma prosthetics
• endarterectomy,
• kununkha.

Posankha njira yolowererapo, dokotala amaganizira zinthu zosiyanasiyana. Endarterectomy ndi njira yoopsa, yomvetsa chisoni, imaphatikizaponso kulowereratu. Kukwapula ndi njira yofatsa. Prosthetics imalembedwa mochulukirapo, ngati ndizosatheka kuchita njira zina.

Endarterectomy imachitidwa pansi pa opaleshoni wamba. Kuti adziwe mitsempha ya carotid, dokotalayo amagogoda pafupi ndi khutu. Chifukwa cha opaleshoniyo, mtsempha wa nkhope umakhala wopindika, mitengo yamkati imakankhidwira mbali. Endarterectomy imaphatikizapo kutayika kwa mtsempha wamagazi ndi kuyika kwa shunt m'malo mwake. Silicone shunt amakhala ndi magazi. Dokotala amachotsa zotupa ndipo amatsuka mtsempha wamagazi, ndiye - amaika chigamba cha zinthu zosapanga. Manjawo agwidwa, dokotala wochita opaleshoniyo amayang'anira mitsempha. Zitatha izi, minofu yomwe ili pamwamba imabwezeretseka.

Kuti mugwiritse ntchito zonunkhira, muyenera kuchita dzanzi. Dokotalayo amaika baluni yofutukula lumen pakhoma lamkati la mtsempha, kenako amagwiritsa ntchito chida chomwe chimagwira. Chipangizo chimayikidwa mu mtsempha wamafunde kusefa magazi. Mitsempha sayenera kuchokera pakubalaza, apo ayi imayambitsa kubaya.

Ma prosthetics a arterial amatchulidwa ngati chotengera chilibe mawonekedwe kapena kuwonongeka kwake ndikokulira. Dokotala amadula mbali yamkati mwa thunthu ndi neoplasm, ndiye kuti mawonekedwe a chubu amaikidwa. Posankha chubu, dokotalayo amaganizira mawonekedwe a thupi la wodwalayo. Pamapeto pa kunyenga, ngalande zimayikidwa. Tsopano wodwalayo amadziwa momwe angachotsere ma atherosulinotic plaque komanso zomwe zimapangitsa kuchira mwachangu.

Zinyalala - nkhondo!

Pankhani ya zotengera, mawuwo ndiowona: "Sipayeretseka kokha koma pomwe sikumayera." Popeza atherosclerosis yakhala ikupanga kwazaka zambiri, muyenera kukhala oyera moyo wanu wonse. Ndipo si cholesterol chokha. Ndikofunikira kwambiri kupewa kutsekemera kwa calcium pamakoma amitsempha yamagazi. "Scum" yotereyi imatchedwa calcification - ndipo iyi ndi mtundu woopsa kwambiri wa atherosclerosis. Chinthucho ndikuphatikizidwa kwa phosphorous ndi calcium m'matimu otchedwa phosphates. Sizisungunuka bwino, ndipo zili motere kuti calcium imayikidwa muzombo.

Mungapewe bwanji izi katswiri wotchuka wa biogerontologist, membala wofanana wa Russian Academy of Science, pulofesa, dokotala wa sayansi yazachilengedwe, wamkulu wa malo olemba mbiri ku Institute of Biology of the Komi Science Scient Center ku Ural Nthambi ya Russian Academy of Science ndi dipatimenti ku Syktyvkar State University Alexei Moskalev: "Chosavuta kwambiri chomwe chingakumbuke kuti muchepetse kusintha kwamasamba ndikuchepetsa calcium ndi zomwe amapanga. Koma izi sizofunikira. Thupi silidzayankha chifukwa chosowa magazi m'njira yabwino - calcium imayamba kutsukidwa m'mafupa ndi mano ndipo imakhazikika pamakoma amitsempha yamagazi, m'matumbo am'mapapu, impso ndi chiwindi. Ndiye kuti, zizingokulitsa mtima. Mutha kuletsa potumiza calcium, komanso phosphorous yomwe ili m'matumbo, kumafupa. Kodi chofunikira ndi chiyani pamenepa?

Kachiwiri, ndikofunikira kuti mupeze magnesium wokwanira. Ikhoza kumangirira ma phosphates, kuteteza mawonekedwe awo pazitseko zamitsempha yamagazi. Kuphatikiza apo, magnesium imatha kuwongolera zochitika za minofu yosalala ya minyewa kuti izitha kulepheretsa kuwonongeka. Mphamvu zambiri za magnesium zimapezeka mu buckwheat, oats, barele, nyemba, ndi walnuts.

Chachitatu, pewani kuchepa kwa zinc ndi vitamini D. Zimakhudza magwiridwe antchito, omwe amachititsa kuchuluka kwa phosphate m'magazi. Pali zinki zambiri mu zakudya zam'nyanja, sipinachi, nthanga za maungu, mtedza wa cashew, ndi vitamini D - mu nsomba zamafuta, caviar, mkaka, tchizi, kirimu wowawasa, batala. Kupanga vitamini D yanu, ndikokwanira kugwiritsa ntchito mphindi 15 padzuwa lotseguka tsiku lililonse.

Chachinayi, chiopsezo chokhala ndi mtima wamankhwala amachepetsa ndi ma omega-3 mafuta acids. Pali ambiri aiwo mumitundu yamafuta am'nyanja.

Chachisanu, zakudya zomwe zimatchedwa anti-kutupa ndizofunikira - nsomba, zitsamba, masamba ndi zipatso. Zowonadi zake ndi kuti, ndi kutupa kosalekeza, njira ya kashiamu womangidwa m'makoma amitsempha yamagazi imawonjezeka. ”

Populism

Nanga bwanji uchi, mandimu ndi adyo? Tsoka ilo, zabwino za uchi zimachulukira. Koma mandimu ndi othandiza kwambiri, kuphatikiza ndi zotengera. Ndi antioxidant wabwino yemwe amawateteza ku atherosulinosis, koma samachotsa zolembera. Kunena za adyo, ndiye chakudya chabwino kwambiri. Ili ndi zida zambiri zothandiza. Kuphatikiza ndi kumakhala ndi sulufule yomwe imasangalatsa mitsempha yamagazi ndikulepheretsa kukula kwa atherosulinosis. Idyani magalati 3-5 a adyo tsiku lililonse. Ndipo kuti ukhale wathanzi, pukutani pakadutsa mphindi 15 mpaka 20 musanadye ndikuwulola kuti "kupuma" mlengalenga. Pakadali pano, mankhwala a sulufule amayatsidwa mkati mwake. Onjezani adyo wotere ku mbale zilizonse zomwe mumakonda.