Kuti mumve zambiri, chonde imbani:
+7 925 423–00–12
Mudzafunsidwa ndi phlebologist, opaleshoni ya mtima
Ivanov Alexey Viktorovich (woyimira wa sayansi ya zamankhwala).

Mutha kulembera ku [email protected]
olembedwa "kwa Doctor Ivanov Alexei Viktorovich."

Ivanov Alexey Viktorovich, woyimira masayansi azachipatala

Dokotala - opaleshoni ya mtima, phlebologist.

Kuchita bwino kumaphatikizapo matenda onse a mitsempha yotumphukira, monga mitsempha ya varicose, post-thrombophlebitis, pinsbothromboses yozama, masinthidwe oyipa a mitsempha. Amadziwa njira zonse ziwiri zothandizira kudziwa ngati matendawa ndi omwe amapanga zida za mitsempha ya m'mitsempha ndi mafupa, phlebography, komanso njira zonse zopangira maopaleshoni ochepa komanso othandizira.

Mobwerezabwereza anamaliza maphunziro ku France, Portugal, Germany. Membala yamayiko aku Russia ndi akunja.

Gaidukov Alexey Vladimirovich

Mutu wa dipatimenti ya x-ray opaleshoni njira yodziwitsira matenda a mitsempha. Mwapadera kwa zaka zoposa 15. Dokotala wogwira ntchito.

Ali ndi machitidwe athunthu am'mtima mwa odwala omwe ali ndi mtima, kuphatikiza zovuta kwambiri: kukakamira kwa chotengera cham'matumbo cha minyewa, kuyika kwa valavu yoyang'ana m'mitsempha yovuta kwambiri, kukakamiza kwa mitsempha yodutsa m'magazi. Mu dipatimenti yothandizira amathandizira panjira amachitika pafupipafupi pa carotid, minyewa ya impso, mitsempha yam'munsi, kuphatikizanso "matenda a chifuwa chachikulu." Endoprosthetics yam'mimba aortic aneurysms anali odziwa bwino zokongoletsa Endurant (USA) ndi Ella (Czech Republic). Posachedwa, adalowetsa kuchipatala njira zamakono zomwe zimagwiritsa ntchito njira zochizira matenda a uterine, ma adenomas a prostate, ndi zina za chosaopsa.

Kutenga mbali mwachangu pamisonkhano yonse yofunika kwambiri ku Europe ndi ku nyumba, komanso chidziwitso cha Chingerezi, kumathandizira adotolo kuti azindikire zomwe zakhala zikuchitika komanso mawonekedwe a zovuta komanso zomwe zikupita patsogolo nthawi zonse.

Limagwirira kukula kwa atherosulinosis mu thupi la odwala matenda ashuga

Kuwonongeka kwa makoma amitsempha yamagazi yamagazi kumayenda pang'onopang'ono.

Pa gawo loyambirira la zovuta za matenda osokoneza bongo, kuwonongeka kwa ziwiya zazikulu zamagazi kumachitika makamaka.

Popitilirabe matendawa, timitsempha ting'onoting'ono ta magazi a magazi timakhudzidwa.

Pa gawo loyambirira la kuwonongeka kwa mtima khoma, zotupa zazing'onoting'ono monga mawonekedwe a ma microcracks zimawonekera pa mtima endothelium.

Zowonongeka zoterezi zimachitika chifukwa cha kuwonekera kwa endothelium pazinthu zosiyanasiyana zoyipa, mwa zomwe zazikulu ndizotsatirazi:

• mavuto
• kuchuluka kwa lipid mthupi,
• kuchuluka kwa shuga m'thupi,
• kuchuluka kwa cholesterol m'thupi.

Mafuta ndi cholesterol amakhala m'magazi nthawi zonse. Pa kayendedwe kudzera m'matumbo, ziwalo zamagazizi zimangokhala osasunthika m'dera la microdamage, zomwe zimapangitsa kuti pakhale madipoziti m'malo awa. Madipoziti amapangidwa ndi cholesterol ndi mafuta, omwe ali gawo la magazi.

Njirayi imatsogolera pakupanga cholesterol plaque, komwe kupitirira kwa matendawa kumakulirakulira. Mapangidwe oterewa amachepetsa kuunikira kwa mtsempha wamagazi.

Kutsika kwa kuchuluka kwa magazi kuzungulira pa unit nthawi iliyonse kudzera m'mitsempha yamagazi ndi kuthamanga kwa magazi kumatsogolera pakugonjetsedwa kwa ziwiya zazing'ono. Kupitilirabe kwawonjezereka kumabweretsa kuwonongeka kwa ziwalo zosiyanasiyana zomwe zimaperekedwa ndi magazi kudzera mu chotengera chowonongeka.

Kuphwanya zakudya zam'maselo am'mimba komanso kupatsidwa mpweya wabwino kwa iwo kumayambitsa zosokoneza pakugwira ntchito kwa chiwalo.

Zoyambitsa zazikulu za atherosulinosis mu matenda ashuga

Mankhwala amakono avumbula mgwirizano wowoneka bwino pakati pa matenda ashuga ndi atherosulinosis.

Ngati njira ya matenda ashuga imayendera limodzi ndi kukula kwa matenda oopsa mthupi la wodwalayo, ndiye kuti chotupa cha mitsempha chamitsempha chamagazi chimapezeka kwambiri.

Chimodzi mwazinthu zopanga pathogenetic popanga matenda a diabetes a atherosulinosis ndi makutidwe ndi okosijeni a otsika osalimba lipoprotein. Matenda a mitsempha yam'magazi am'mimbayi amachitika kangapo pakati pa amuna ndi 6.4 nthawi zambiri mwa amayi omwe ali ndi matenda a shuga poyerekeza ndi odwala omwe alibe matenda a shuga.

Zambiri za glucose zomwe zimapangitsa kuti pakhale ma pyroxidant ndipo zimayambitsa kutseguka kwa atherogenesis, zomwe zimapangitsa kuti pakhale zotupa zam'mimba.

Zomwe zimayambitsa kukula kwa atherosulinosis ya m'munsi kwambiri mthupi la wodwala odwala matenda ashuga ndi:

1. Kutsika kwakukulu pamlingo wolimbitsa thupi tsiku ndi tsiku.
2. Kusintha chakudyacho ndikuyambitsa zakudya zochuluka zamafuta ndi chakudya chamagulu, kuphatikizapo zomwe zidachokera kumakonzedwe, ku menyu.
3. Kuchulukana kwa zopsinjika kumachitika mthupi masiku ano, zochitika pafupipafupi zomwe zimafunikira kupsinjika kwamalingaliro ndi kusintha kwa kayendedwe ka moyo.

Kuphatikiza pazifukwa izi, kukula kwa atherosulinosis kungakhale chifukwa cha zomwe zikuchitika mthupi la munthu pazinthu zotsatirazi:

• kuchuluka kwa insulin komwe kumapangidwa m'thupi ndi kapamba, kusowa kwa insulin kumabweretsa kusokonezeka kwa lipid metabolism,
• kutsika kwa chisonyezo cha kulekerera kwa khoma lamankhwala kupita ku chakudya komanso kuwonjezeka kwa matope amitsempha yamagazi,
• lalitali komanso lalikulu matenda a shuga

Kuphatikiza apo, digiri ya chitukuko cha atherosulinosis ya malekezero am'munsi imakhudzidwa ndi mtundu wa kubwezeretsa kwa odwala omwe ali ndi vuto la hyperglycemia.

Zizindikiro za kukula kwa atherosulinosis mthupi ndi matenda a shuga

Atherosulinosis ya ziwiya zazing'onoting'ono komanso zazikulu zam'munsi zam'munsi zimabweretsa zosokoneza pakugwira ntchito kwawo. Zida zam'munsi zokhala ndi matenda a shuga mthupi zimatha kugwiritsidwa ntchito posintha ma atherosselotic.

Chithandizo cha atherosulinosis chimafuna chithandizo chamankhwala chotenga nthawi yayitali, ndipo pokhapokha ngati pali zovuta chifukwa chodwalayo komanso vuto la wodwalayo likuipiraipira, opaleshoni imachitidwa.

Nthawi yokonzanso mankhwala itatha nthawi yayitali. Komanso, chitukuko cha zovuta mu mtima dongosolo.

Zizindikiro zodziwika bwino za matenda am'mimba mwa odwala matenda ashuga ndi izi:

1. Maonekedwe a pang'onopang'ono kapena otchedwa kulowerera pang'onopang'ono.
2. Kuwoneka kwa ululu poyenda, komanso nthawi zina ngakhale pakupuma.
3. The zimachitika kumva dzanzi mu miyendo, makamaka m'dera phazi ndi m'munsi mwendo.
4. Kuwoneka kumadera akumunsi, makamaka kumapazi, kumverera kwa goosebumps.
5. Kuwoneka ngati kumverera kofatsa m'miyendo ndi paresthesias ena.

Pa gawo loyamba la zovuta, khungu la miyendo limakhala ndi utoto wotuwa, womwe pambuyo pake umakhala cyanosis. Kuchepa kwa kutentha kwa khungu m'dera lachitukuko cha zovuta pakhungu lomwe limakhudzidwa.

Pa gawo loyambirira la kudwala, matendawa amatsika m'malo obisika a ziwonetsero zazikuluzikulu zokhala mu groin komanso popliteal bend. Mtsogolomo, zofananazi zimawonedwa ndi zokongola zamkati pazotengera mwendo.

Kupita patsogolo kwa matendawa kumabweretsa mawonekedwe a zilonda zam'mimba zazitali. Chithandizo cha mabala oterowo ndizovuta kwambiri ndendende chifukwa cha kupita patsogolo kwa atherosulinosis. Chophatikizika chowonjezereka pochiza mabala osachiritsika ndikuwonjezereka kwa shuga mthupi la wodwalayo.

Atherosclerosis mu mawonekedwe apamwamba kumabweretsa kukula kwa zovuta zagolandi miyendo.

Chithandizo cha mtundu uwu wa kupsinjika, komwe kumayambitsidwa ndi kupitilira kwa atherosulinosis, nthawi zambiri kumachitika mothandizidwa ndi ma opaleshoni othandizira. Ma opaleshoni amachitidwa kuchipatala cha chipatala.

Tisaiwale kuti atherosclerosis imatha kupitilira mwachangu kwambiri paubwana.

Pachifukwa ichi, kudziwika kwakanthawi kochulukirapo kwa shuga wamagazi ndi chithandizo cha panthawi yake chofunikira ndikulimbitsa matenda a shuga mthupi ndikofunikira kwambiri.

Chithandizo cha matenda ashuga atherosulinosis

Mankhwala amakono akuganizira njira ziwiri zochizira matenda am'munsi.

Njira zoterezi ndi njira yochizira yomwe imamwa mankhwala, omwe amalimbikitsidwa kuti agwiritsidwe ntchito pochiza matenda.

Kuchitapo kanthu kwa opaleshoni kumachitika pokhapokha kugwiritsa ntchito mankhwala apadera osakanikirana ndi zakudya zosinthika komanso kuperekedwa kwa ntchito yolemba thupi sizinalole kuti mupeze zotsatira zomwe mukufuna.

Mankhwalawa atherosclerosis pamaso pa shuga kwa wodwala ikuchitika m'njira zingapo.

Magulu akulu azithandizo ndi awa:

1. Kuchita mokwanira mankhwala a hypoglycemic. Kugwiritsa ntchito mankhwala oyamwa a hypoglycemic kapena kuchuluka kwa insulin yopanga thupi kumakupatsani mwayi wowongolera kuchuluka kwa shuga mthupi la wodwalayo momwe mungakhalire ndi thupi. Kusakhalapo kwa shuga wambiri m'magazi kumathandizira kupewa kuwonongeka kwa endothelial m'makoma amitsempha yamagazi.
2. Kuwongolera kunenepa kwambiri komanso kulimbana ndi kunenepa kwambiri kumakupatsani mwayi wopewa kunenepa kwambiri m'thupi. Kutsitsa lipids ndi cholesterol kumachepetsa chiopsezo cha cholesterol plaque pamakoma a mitsempha yamagazi yowonongeka.
3. Chithandizo cha kudzutsa matenda oopsa komanso kukhazikika kwa magazi m'magazi kumakupatsani mwayi wochepetsa kupsinjika kwa minofu ya mtima, impso ndi ubongo.
4. Kukana zizolowezi ndikukhalabe ndi moyo wogwira ntchito kumathandizira kuti chithandizo cha atherosulinotic pathologies chidziwike.

Kukhazikitsa kwa mankhwala kuyenera kuphatikizapo njira zophatikizika. Chithandizo cha atherosulinosis ziyenera kuchitika limodzi ndi mankhwalawa.

Njira zodzitchinjiriza zomwe zimalepheretsa atherosulinosis ziyenera kuchitika ndi anthu odwala matenda ashuga ngakhale wodwalayo alibe chizindikiro cha zovuta zake.

Kanemayo munkhaniyi ayankhula za njira zochizira matenda a shuga.

Zimayambitsa matenda ashuga

Amawonetsedwa ngati atatsimikizira kuti munthu akakhala ndi matenda ashuga kwambiri, amakhala ndi chiopsezo chowonongeka m'mitsempha. Chiwopsezo chowonjezeka cha matenda a mtima m'matenda a shuga chimakhudzana mwachindunji ndi kuthamanga kuthamanga kwa magaziosagwirizana ndi okhwima Zakudya, kusuta, kusowa mokwanira machitidwe olimbitsa thupi. Ndi matenda a shuga, nthawi zambiri zimachitika atherosulinosis chifukwa chodzikundikira m'makoma amitsempha yamagazi cholesterol. Popita nthawi, maphunziro cholesterol zolemberazomwe zimalepheretsa mayendedwe aulere mpweya kwa minofu ya mtima. Ngati pali kulekanitsidwa kwa cholesterol plaque, ndiye kuti pamapeto ake akhoza kuwonekera magazi, yomwe pambuyo pake imakhala chifukwa cha matenda akulu - sitiroko, wandewuchifukwa chosayenda mokwanira m'miyendo.

Zizindikiro za matenda am'mimba a shuga

Mwa anthu omwe amadwala matenda ashuga, Ngati pali zovuta m'matumbo, zizindikiro zosiyanasiyana zimatha kuonedwa. Kuvulala kwa mitsempha yamagazi m'matumbo a shuga kumatha kufotokozedwa ndi mavuto ndi masomphenya: munthu amawona chilichonse chosamveka bwino, nthawi zina chikuwala cha "ntchentche" pamaso pake. Nthawi zambiri, wodwalayo amakhala ndi zotupa zakumaso ndi nkhope, zilonda zam'mimba zimawonekera, ndipo miyendo ndi miyendo imatayika. Nthawi zina kuyenda kumawoneka kulankhulirana pang'onopang'ono ndi zowawa m'miyendo. Kuphatikiza apo, mwa wodwala wokhala ndi zotupa zam'mimba, kuthina ndikuthamanga kwamkodzo kumatha kuchitika, kuthamanga kwa magazi kumawonetsedwa, kupweteka pachifuwa nthawi ndi nthawi.

Matenda a shuga

Matenda a shuga Ndi matenda a shuga kuwonongeka, kumene otchedwa capillaropathy. Izi matenda amtundu wa shuga mellitus. Mu thupi laumunthu, pamlingo wa capillaries, zinthu zofunika zimatengedwa kupita ku minofu, komanso kubweretsanso zotengera zonyansa zama cell kuchokera ku minofu. Ngati capillaries yowonongeka, njirayi imachepetsa, zomwe zimakhudza thupi lonse.

Odwala omwe ali ndi matenda a shuga, atherosulinosis imawonekera koyambirira kuposa anthu ena. Matendawa ndi ovuta kwambiri odwala matenda ashuga kuposa odwala ena. Atherosulinosis mu matenda ashuga imatha kukhala mwa amuna ndi akazi onse komanso zaka zilizonse, pomwe imakonda kuphatikizidwa microangiopathy. Atherosulinosis imakhudza mitsempha ya mtima, mitsempha ya muubongo, mitsempha yam'mwamba komanso yotsika.

Matenda a diabetes angiopathy amakula mwa wodwala chifukwa chotsatira chithandizo chamankhwala osokoneza bongo. Izi zimaphatikizapo kuphwanya mafuta ndi mapuloteni kagayidweKusintha kwamphamvu komanso pafupipafupi muzambiri shuga m'magazi, kufalikira kwamphamvu kwa mahomoni. Zotsatira zake, mitsempha yamagazi imavutika: kuperekera kwa oksijeni ku minofu kumayamba kugwira ntchito, ndipo magazi amayenda m'mitsempha yaying'ono amasokonezeka.

Kukula kwa angiopathy kumachitika mothandizidwa ndi njira za autoimmune. Mthupi la munthu, zochita za autoimmune zimayamba chifukwa chogwiritsa ntchito ma insulin omwe akhala akuchita kwa nthawi yayitali kuchitira mankhwalawo. Kuphatikiza apo, kugwiritsa ntchito mowa ndi kusuta fodya kwa odwala kumakhala koyipa kwambiri pakukula kwa angiopathy.

Matenda a ziwiya zamiyendo ndimatenda a shuga

Osatengera momwe matenda ashuga a mtima amadziwonekera, odwala omwe ali ndi vuto la matenda a shuga monga kupindika pang'ono, zilonda zamiyendo nthawi zambiri zimawonedwa. Pambuyo pake, matendawa amatha kubweretsa chitukuko wandewu. Malinga ndi ziwerengero zamankhwala, odwala omwe ali ndi matenda osokoneza bongo omwe amakhala ndi matenda opatsirana amayambanso kuwonjezereka ka 50 kuposa anthu athanzi. Nthawi zambiri, achinyamata omwe ali ndi matenda ashuga amakhala.

Monga lamulo, pa gawo loyamba la kukula kwa angiopathy kwamiyendo, matchulidwe osintha ndipo zizindikiro za matendawa sizinawonedwe. Kukhalapo kwa kusintha kwina kumatha kutsimikizika phunziroli pogwiritsa ntchito njira za tachoscillography, capillaroscopy, rheography.

Pa gawo lachiwiri lachitukuko cha matenda amitsempha ya miyendo, yomwe imatchedwa kuti yothandiza, munthu nthawi zambiri amawonetsa kupweteka kumadera akumidzi. Poyamba, ululu umangovutitsa ndikuyenda kwakutali. Pambuyo pake, ululu umayamba kuonekeranso mwa apo ndi apo pakupuma, pomwe nthawi ndi nthawi wodwalayo amakhala ndi vuto la kugona, kumverera koopsa kapena kuzizira. Zitha kusokonezedwa usiku kukokana miyendo.

Pokonzekera wodwala pakadali pano, katswiriyo akuti ali ndi khungu komanso kuzirala kwamapazi. Pa palpation, kufooka kwamatumbo kumamvekedwa pamiyendo yam'mimba komanso kumbuyo.

Matendawa akamakula, ndiye kuti pang'onopang'ono amadutsa gawo lachitatu. Pakadali pano, munthu ali kale ndi vuto lochita kulumikizana, lomwe likuyenda bwino. Pakapita nthawi, ululuwo umakhala wokhazikika ndipo sutha usana kapena usiku. Komabe, ngati wodwalayo alamulidwa ndi zovuta za matenda ashuga a shuga, ndiye kuti ululuwo suyenera kutchulidwa. Chifukwa chake, chiwonetsero cha kusintha kwakukulu kwa trophic zitha kuwoneka zowoneka bwino komanso mwadzidzidzi kwa munthu.

Chikopa pamiyendo chimasinthanso mawonekedwe ake: chimakhala choperewera komanso chouma, chovulala mosavuta. Poyamba, khungu lotuwa pang'onopang'ono limakhala ndi khunyu-cyanotic hue. Pali kufooka kwa chotupa cha popliteal, komanso mitsempha ya kumbuyo. Ngati iye adakopeka, ndiye kufowoka kwambiri. Nthawi zina zimawoneka zala zazikulu zakumanzere kapena zala zakumiyendo, komanso kumodzi thovulodzaza ndi serous hemorrhagic madzimadzi. Pambuyo pake, wodwalayo akuwonekera zilonda zam'mimbazomwe sizichiritsa kwa nthawi yayitali.

Nthawi yomweyo, zotupa za iliac ndi zotupa m'mimba zimawonekera nthawi zina. Matendawa ndi umboni kuti wodwalayo wapanga mawonekedwe owopsa kwambiri atherosulinosis obliterans.

Zotsatira zake, gangrene imakhala zovuta kwambiri zamatenda am'magazi, zomwe zimatha kukhala chifukwa chakutha kwa atherosulinosis, komanso chifukwa cha zovuta za matenda ashuga a shuga. Gangrene amaphatikizika ndi chikhodzodzo cha serous-hemorrhagic chikhodzodzo kapena trophic zilonda. Kukula kwa gangrene nthawi zambiri kumayamba ndi malo omwe chimanga chimangika kapena chilonda china m'mbuyomu. Kukula kwa gangrene kumatha kuchitika mosiyanasiyana. At Youma gangrene ma necrotic akuluakulu amasungidwa pang'onopang'ono ndikukana. At Zowonda kwambiri wodwalayo ali ndi zizindikiro zowopsa kwambiri, ndipo dziko lotupa likukula.

Kuvulala kwa mitsempha ya shuga m'magulu osiyanasiyana kumachitika m'njira zosiyanasiyana. Nthawi zina, njirayi imayamba pang'onopang'ono, zaka zambiri, nthawi zina makumi. Koma nthawi zina odwala omwe ali ndi matenda a shuga, njira yodwala matenda ashuga macro- ndi microangiopathy imayenda bwino kwambiri, ndipo gangrene amatha kuyamba mwanjira imeneyi nthawi yomweyo. Zomwe zimachitika pamndandandandawo zimatengera nthawi yomwe matenda a shuga amawonera wodwala.

Kuzindikira matenda am'mimba mu shuga

Mukukhazikitsa njira yodziwitsira, katswiri, choyamba, amachita kafukufuku wodwalayo kuti adziwe zomwe akudandaula, mbiri yake komanso zomwe zimachitika pokhudzana ndi matenda a shuga. Ndikofunikira kuti dokotala azindikire ngati wodwalayo alumpha pafupipafupi m'magazi, ngakhale wodwalayo amasuta. Pambuyo pa izi, kuyezetsa koyenera kumachitika, pomwe adotolo amawona kutulukapo kwa zizindikiro zomwe zimasokoneza wodwalayo, adziwe kuti zimayambitsa nkhawa kangati.

Kuti mutsimikizire matenda a shuga, pakupezeka kwa matenda, ndikofunikira kuzindikira kuchuluka kwa shuga m'magazi, pogwiritsa ntchito chiwembu china cha izi, chomwe endocrinologist ikuuzani. Komanso pakukonzekera kuyesedwa kwa magazi, kuchuluka kwa cholesterol ndi zina lipids. Ngati dokotala akuganiza kuti wodwalayo wasokoneza ntchito yaimpso, amayesedwanso mkodzo kuti adziwe ngati uli ndi gologolo.

Kuti mudziwe momwe ziwiya zamagetsi zam'munsi zimayendera komanso momwe zimagwirira ntchito, maphunziro owerengeka amagwiritsidwa ntchito, omwe amaphatikizapo mayeso angapo okhudzana ndi zolimbitsa thupi, komanso makina obwereza a ziwombo. Kuti muwone ntchito ya mtima, wodwalayo amapita ndi electrocardiogram, komanso kuyesedwa kwa nkhawa komwe kumakhudza ECG panthawi yowonjezera. Kuunika kwa Ultrasound kumakupatsani mwayi wamagazi.

Kuti muwone zowonongeka m'matumbo am'mimba (retinopathies) maphunziro apadera - ophthalmoscopy kapena fluorescence angiogram - ayenera kuchitika kokha ndi ophthalmologist.

Chithandizo cha matenda ashuga

Kuchiza kwamatenda a mtima m'magazi a shuga kumaphatikizanso kuwongolera kuthamanga kwa magazi, komanso kuthandizira pafupipafupi shuga. Kuti muchite izi, ndikofunikira kwambiri kutsatira zakudya zomwe adotolo amapatsa, komanso kumwa mankhwala oyenera nthawi zonse.

Kugwiritsa ntchito mankhwala pafupipafupi komwe kumatsitsa shuga kapena insulin ndikofunikira kwa odwala matenda ashuga. Kuchepetsa kuthamanga kwa magazi mu shuga opanga beta, angiotensin kutembenuza enzyme zoletsa, calcium blockerskomanso okodzetsa. Ndizotheka kutsitsa cholesterol yamagazi ndi ma statins.

Ngati wodwala ali pachiwopsezo cha kuundana kwa magazi, ndiye kuti mankhwala akhoza kuperekedwa kuti muchepetse kuyanjana kuchuluka kwa mapulateleti. Zitha kukhala Aspirin, Plavix.

Ngati zilonda zapezeka pakhungu la miyendo, ndiye kuti akuyenera kuthandizidwa. Pofuna kupewa kuwonekera kwa zilonda zatsopano ndi kufalikira kwa matenda, wodwalayo adayikidwa maantibayotiki. Kuperewera kwa chithandizo chokwanira kumatha kubweretsanso matenda ena, zilonda zam'mimba komanso kudula. Pochenjeza kudula anachita angioplasty, stenting, bypass opaleshoni. Njira yochizira imayikidwa payekhapayekha ndi dokotala wa opaleshoni ya mtima.

Ndi retinopathy, opaleshoni yapadera ya laser nthawi zina imachitika. Ndi chithandizo chake, kuyamwa kwa ziwiya za m'magazi kumachitika, zomwe zimapangitsa kuwonongeka kwa odwala omwe ali ndi matenda a shuga.

Kupewa matenda ashuga a mtima

Odwala omwe ali ndi matenda ashuga ayenera kuyang'anira kwambiri kupewa matenda a mtima. Muyenera kuyesa kusintha moyo wanu momwe mungathere. Izi ndizofunikira kwambiri ngati matenda a mtima apezeka kale.

Popewa kuwoneka zilonda zam'mimba, tsiku lililonse munthu ayenera kupenda miyendo yake mosamala. Ndi khungu louma kwambiri, zopangidwa ndi lanolin ziyenera kugwiritsidwa ntchito. Ndikofunikira kuti musalole kuvulala pakhungu la miyendo, kutsatira chakudya, osaphonya nthawi yomwe mumamwa mankhwalawa omwe adalembedwa ndi adokotala kuti apatsane zovuta.

Chofunikira kwambiri popewa kuwonongeka kwa mitsempha ya shuga ndikukhazikika kwa shuga.

Kuphatikiza apo, ndikofunikira kwambiri kwa odwala omwe ali ndi matenda osokoneza bongo kuti asiye kusuta, kuchepetsa kuchuluka kwamafuta ndi zakudya zamchere m'zakudya, kupewa kulemera, komanso kuwunika kuthamanga kwa magazi ndi kuchuluka kwa mafuta m'thupi. Mwina adokotala angalimbikitse kumwa aspirin, komwe kumathandiza kupewa kuwoneka kwa magazi.

Ndikofunikanso kupewa matenda a ziwiya zamiyendo tsiku lililonse kwa mphindi zosachepera 45, valani nsapato zabwino.

Matenda ashuga atherosulinosis ya m'munsi malekezero: chifukwa cha zotupa ndi mankhwala

Atherosulinosis ndi kuphatikizika komwe kumawoneka ngati koyambirira pakupitilira shuga.

Kusintha kwachidziwikire kumachitika m'makoma amitsempha yamagazi chifukwa cha kusintha kwa kapangidwe kazinthu zamagazi.

Zosintha zimayambitsa kuti makoma azotengera azikhala ochepa komanso oyipa. Kusintha kotereku m'makoma a mtima kumabweretsa chitukuko cha matenda ashuga atherosclerosis motsutsana ndi matenda a shuga.

Matenda a shuga ndi atherosclerosis ndi matenda ophatikizika, chifukwa atherosulinosis imawonekera kwambiri ndipo imapita patsogolo motsutsana ndi maziko a chitukuko cha matenda ashuga.

Atherosclerosis mu matenda ashuga amayamba kukhala matenda atayamba kukula kwa zaka zingapo osalamulirika. Kukula kotereku kwa shuga kumapangitsa kuti pakhale zovuta zomwe zimagwira ziwiya zazikulu komanso zazing'ono, kuwonjezera pa izi, kusintha kwa kayendedwe ka matenda kamapezeka mu myocardium.

Kusintha kwa makoma amitsempha yamagazi kumayambitsa kuphatikizana kwa shuga.

Nthawi zambiri, wodwala matenda ashuga amakhala ndi matenda ashuga am'munsi, komabe, kuphatikiza pa izi, nthawi zambiri zimatha kuzindikira zizindikiro zowonongeka m'matumbo a coronary ndi ziwiya zamaere mwa wodwala.

Nthawi zambiri, kuyambika ndi chitukuko cha atherosulinosis mu matenda osokoneza bongo chifukwa cha kupezeka kwa kusokonezeka kwa njira ya lipid metabolism m'thupi la odwala matenda ashuga.

Kuwonongeka kwa metabolism yamafuta kumachitika pakakhala kuphwanya kapangidwe ka insulin.

Ndi kupanda kwa insulin mthupi la munthu mu zotumphukira zake, lipid synthesis imachitika, yomwe imadana ndi mapangidwe a cholesterol.

Kukula kwa atherosulinosis poyambira matenda ashuga kumalimbikitsidwa pakumwa zakudya komanso zakudya zamafuta ambiri.

Kuphatikiza apo, maonekedwe ndi kupita patsogolo kwa zovuta m'mitsempha yamagazi zimatengera gawo lalitali, nthawi yayitali ya maphunzirowo komanso kuchuluka kwa chiphuphu cha matenda a shuga.

Mwa munthu wazaka, kukula kwa lipid kagayidwe m'thupi kumachepa, ndipo matenda a shuga amawonjezera njirayi.

Mafuta osalowetsedwa ndi thupi ndipo osachotsedwa m'thupi amayamba kuyikidwa pazitseko zamkati zamitsempha yamagazi yamagazi.

Pafupifupi mnzake wamuyaya wa atherosulinosis mu shuga: momwe mungapewere kuwonetsera koyipa

Kuwonongeka kwa zotumphukira m'matenda a shuga kumachitika ka 4 pafupipafupi. Izi zimachitika chifukwa chophatikiza shuga wowonjezera wamagazi ndi cholesterol. Mu odwala matenda ashuga, atherosclerosis amadziwika ndi kukula koyambirira komanso kupita patsogolo mwachangu. Mankhwalawa, mankhwalawa amalembedwa motsutsana ndi maziko azakudya zapadera.

Werengani nkhaniyi

Chibale chowononga atherosulinosis ndi matenda ashuga

Kukhalapo kwa matenda ashuga kumayambitsa masoka otupa a mitsempha yaubongo, myocardium, impso ndi zotumphukira za m'munsi. Imadziwoneka ngati minyewa, kugunda kwa mtima, matenda a impso, komanso kupezeka kwa zovuta kwambiri ngati phazi la matenda ashuga. Zotsatira zake zimakhala zodwala, ndipo zimachitika kawirikawiri odwala matenda ashuga ka 20 kawiri kuposa anthu ena onse.

Njira ya atherosulinosis mu matenda a shuga imakhala ndi mikhalidwe:

• limawonekera zaka 10 zapitazo,
• zimachitika ndi zovuta
• kufalikira mwachangu
• pafupifupi nthawi imodzi, mitima, ziwalo, zotumphukira ndi ziwiya za mkati zimakhudzidwa.

Ndipo pali zambiri zakuchotsa matenda a m'munsi a m'munsi.

Zotsatira za matenda ashuga ndi atherosulinosis pakhoma la mtima

Ndi matenda ashuga ndi atherosulinosis, pali zovuta zina - kuwonongeka kwa mitsempha yapakati komanso yayikulu. Matenda ashuga angiopathy nthawi zambiri amapezeka ndi matenda omwe amapezeka nthawi zambiri, omwe amaphatikizidwa ndimadontho a shuga m'magazi. Nthawi yomweyo, zotupa zimayala zazikulu (macroangiopathy) ndi njira yaying'ono yamagazi (microangiopathy), palimodzi zimatsogolera ku mtima wamatumbo onse.

Macroangiopathy imawonetsedwa ndi coronary atherosulinosis, chithokomiro ndi zotumphukira, ndipo microangiopathy imaphatikizanso kusintha kwa retina, parenchyma kwa impso ndi mitsempha yamagazi yam'munsi. Kuphatikiza apo, kuchuluka kwa glucose kuvulaza minyewa yamitsempha, chifukwa chake, ndi kuwonongeka kwa malekezero am'munsi, neuropathy imadziwikanso.

Kusintha kwa glucose m'magazi kumawononga mkati mwa mitsempha, ndikuthandizira malowedwe a lipoproteins otsika mkati mwake ndikupanga cholesterol plaque. Pambuyo pake, imayilidwa ndi mchere wamchere, zilonda zam'mimba ndikugawika zidutswa. Pakadali pano mceza wamagazi womwe umatseketsa kuwala kwa ziwiya, ndipo magawo ake amatengedwa ndi magazi kupita nawo kunthambi zing'onozing'ono, ndikuzitseka.

Chifukwa chiyani ma psychology amakula ndi shuga wambiri

Zomwe zimayambitsa kusokonezeka kwa mitsempha mu atherosulinosis ndi matenda a shuga ndi:

• kuchuluka kwa kuperewera kwa insulin pamadzi kagayidwe - kuchuluka kwa cholesterol ndi tizigawo ta atherogenic, ndikuchepetsa kuwonongedwa kwamafuta m'chiwindi,
• Kupangidwa kwa zowongolera zaulere,
• kutupa
• kuphwanya umphumphu wa chipolopolo chamkati, kufooketsa chitetezo chake,
• thrombosis
• kuphipha kwamankhwala.

Kuchuluka kwa angiopathy kumakhudzidwanso ndi kunenepa kwambiri, komwe nthawi zambiri kumapezeka mu mtundu 2 wa shuga, matenda oopsa, komanso kuchuluka kwamitsempha yamagazi. Vutoli limakulirakulira chifukwa cha kusuta, kuwopsa kwa ntchito, kulimbitsa thupi, odwala apakati komanso okalamba, olemedwa ndi cholowa cha matenda onse.

Kuwonetsedwa kwa atherosulinosis ndi matenda a shuga

Kuwonongeka kwa msempha ndi mitsempha ya m'mimba kumabweretsa mitundu yayikulu ya kugunda kwamtima (mawonekedwe osapweteka komanso amtundu), limodzi ndi zovuta:

• mtima aneurysm
• kusokoneza kwakatundu,
• matenda a mtima
• Cardiogenic mantha
• kulephera kwazungulira,
• kubwereza kwa mtima kambiri
• kumangidwa kwadzidzidzi kwamtima.

Cerebral hemorrhage

Kusintha kwa mitsempha yotupa ya mitsempha ya muubongo kumayambitsa matenda am'mimba kapena matenda osokoneza bongo, kutengera nthawi yayitali kapena yayitali ya matendawa.

Kuthana ndi atherosulinosis ya ziwiya zamagawo am'munsi kumapezeka mwa munthu m'modzi mwa odwala asanu omwe ali ndi matenda osokoneza bongo. Zimayendera limodzi ndi izi:

• kuchepa kwa chidwi
• dzanzi ndi kusisita kumapazi.
• miyendo yozizira nthawi zonse
• kupweteka poyenda (interlaja claudication) mu minofu ya m'munsi mwendo, femur ndi gluteus.

Ndi kuchepa kwakukulu kwa magazi, mawonekedwe owopsa a minofu ischemia amachitika, akutsatira necrosis - necrosis ndi gangrene ya phazi. Ndi zowonongeka zazing'ono - mabala, ming'alu, matenda oyamba ndi fungus - zilonda zam'mapapo zam'mimba zimawonekera.

Dziwani za malo amitsempha yamagazi

Pa zotumphukira za atherosulinosis, kufunsira kwa dokotala wa opaleshoni yamitsempha kumafunika, katswiri wamtima amayang'ana odwala omwe ali ndi vuto la angina pectoris, ndi wamisala yemwe amawonetsa ziwongo. Amatha kukuza mndandanda wamankhwala ogwiritsira ntchito mayeso ndi zida zothandizira. Nthawi zambiri amalimbikitsa:

• kuyezetsa magazi kwa shuga, glycated hemoglobin, cholesterol, triglycerides, lipoprotein zovuta, coagulogram,
• ECG, kuwunika kuthamanga kwa magazi ndi ECG malingana ndi Holter, mayeso othandizirana, ma ultrasound a mtima, msempha, scintigraphy, coronarography, angiography yamitsempha yama coronary ndi CT kapena MRI,
• Ultrasound ya ziwiya za khosi ndi mutu pamakonzedwe obwereza, angiography yamitsempha yamitsempha,
• Ultrasound yokhala ndi dopplerography yamitsempha yama m'munsi yotsika, angiography yamatumbo a miyendo, rheovasography.

Kuphatikizika kwa tomography kwamatumbo amisala (CT) mumachitidwe a angiography

Chithandizo cha atherosulinosis ya m'munsi malekezedwe a odwala

Kwa odwala omwe amaphwanya munthawi yomweyo mafuta ndi chakudya cha metabolism, magulu otsatira a mankhwalawa amagwiritsidwa ntchito:

• Kuchepetsa shuga m'magazi - kukhalapo kwa kuwonongeka kwa mitsempha ndi kusakwanira kwa mapiritsi ndi chisonyezo cha insulin yothandizira matenda a shuga a 2, ndipo woyamba amapatsidwa njira yolimbikitsira kuperekera kwa mahomoni.
• hypocholesterolemic - Lovastatin, Atocor, Liprimar pachakudya,
• othandizira ma antiplatelet - Clopidogrel, Dipyridamole, Ipaton, Aspirin,
• anticoagulants - Heparin, Clexane,
• kusintha kayendedwe ka magazi - Berlition, Actovegin.
• antihypertensives (mulingo wa kupanikizika kwa matenda ashuga ndi 135/85 mm Hg) - Prenesa, Kapoten, Lerkamen

Zakudya ngati muli ndi mavuto

Mfundo zazikuluzikulu za kadyedwe kabwino ka matenda ashuga omwe ali ndi matenda atherosulinosis ndi:

• chakudya chamagulu - kangapo ka 5-6,
• kutsika kwakanthawi zonse zopatsa mphamvu zopatsa thupi,
• kukana ufa ndi mbale zotsekemera,
• Zakudya zopatsa mphamvu kuchokera kumasamba (kupatula mbatata), buledi wakuda, chimanga, zipatso (kupatula mphesa, nthochi),
• nyama yamafuta ochepa osaposa katatu pa sabata, makamaka amapeza mapuloteni kuchokera ku nsomba, zinthu zamafuta ochepa mkaka wowawasa, zakudya zam'nyanja,
• kupatula pa menyu wa nkhumba, mwanawankhosa, masoseji, mankhwala omalizidwa ndi nyama zakumwa, msuzi wa nyama, zakudya zamzitini,
• ndi kukakamizidwa kowonjezereka kwa sodium chloride sikuyenera kupitirira 5 g patsiku, m'malo mwake, tikulimbikitsidwa kuti matope owuma, oponderezedwa mu chopukutira khofi, zitsamba ndi mandimu,
• kupititsa patsogolo chimbudzi cha mafuta m'thupi ndi shuga wambiri, chinangwa chimalimbikitsidwa, zimaphikidwa ndi madzi otentha ndikuwonjezera chimanga, tchizi tchizi, msuzi, mafuta ophikira, ndipo mbale zoyambirira zimakonzedwa pa msuzi,
• ndikwabwino kudya masamba osakhala supuni ya mafuta masamba kapena owotcha, kaloti, beets ndi mbatata saloledwa katatu pakatha sabata.
• pakukonzekera zakudya zamasamba gwiritsani ntchito zipatso zosapsa ndi zipatso, zolowa m'malo mwa shuga.

Onerani kanema wa matenda ashuga:

Kuphatikizidwa kwa matenda ashuga ndi atherosclerosis kumabweretsa kuwonongeka kwa mitsempha yayikulu ndi yapakatikati, zombo zazing'ono. Ndi kuchepa kwa insulin, mafuta amachepetsa, ndipo kuchuluka kwa shuga kumawononga choroid, ndikuthandizira kuphatikizika kwa mapepala.

Ndipo nazi zambiri za arrhythmias mu shuga.

Macroangiopathy imakhudzanso ziwiya zam'mimba, ubongo ndi zotumphukira. Mankhwala, mankhwala osokoneza bongo ovuta amachitidwa. Njira yofunikira yochepetsera shuga ndi mafuta m'thupi ndi zakudya zoyenera.

Zakudya za atherosulinosis ya ziwiya zamagawo am'munsi, bongo ndi mtima zimaphatikizira kuphatikizidwa kwa mitundu ina ya zinthu. Koma uwu ndi mwayi wokhala ndi nthawi yayitali.

Anthu odwala matenda ashuga ali pachiwopsezo cha matenda amtima. Kulowerera m'matenda a shuga kumatha kupha munthu. Vuto lalikulu la mtima limathamanga. Ndi mtundu 2, chiwopsezocho ndi chachikulu. Kodi chithandizo chikuyenda bwanji? Kodi zake ndi ziti? Kodi ndi zakudya zamtundu wanji zofunika?

Ischemic stroke imachitika mwa okalamba nthawi zambiri. Zotsatira zakutha zaka 55 ndizovuta kwambiri, kuchira kwake kumakhala kovuta ndipo sikuti kumakhala kopambana nthawi zonse, ndipo zonenedweratu sizabwino kwambiri. Kusokonezeka kwa ubongo kovuta pamaso pa matenda ashuga.

Ngati mwadzidzidzi kulira, kupweteka poyenda, ndiye kuti zizindikirazi zitha kuwonetsa kuchepa kwa matenda a m'matumbo am'munsi. Mukadwala matendawa, omwe amadutsa m'magawo anayi, ntchito yodulira ingafunike. Ndi njira ziti zomwe zingagwiritsidwe ntchito?

Kudziwa cholesterol zolembera mu carotid mtsempha wamagazi kumayambitsa ubongo. Chithandizo nthawi zambiri chimaphatikizapo opareshoni. Kuchotsedwa ndi njira zina kumatha kukhala kosathandiza. Kodi kuyeretsa bwanji ndikudya?

Mwambiri, matenda a Menkeberg's sclerosis ndi ofanana ndi dalili atherosulinosis. Komabe, matendawa amawonetsedwa ndikuwunika kwamakoma, osati mwa mafuta a cholesterol. Kodi kuchitira Menkeberg arteriosulinosis?

Osati zowopsa kwa anthu athanzi, arrhythmia yokhala ndi matenda osokoneza bongo imatha kukhala owopsa kwa odwala. Ndizowopsa makamaka kwa matenda ashuga amtundu wa 2, chifukwa amatha kudwala matenda a stroko komanso mtima.

Ngati angiopathy atapezeka, wowerengeka azitsamba amakhala njira yowonjezerapo yochepetsera nthawi zoyipa ndikuthandizira chithandizo cha retinal. Amathandizanso ndi matenda a shuga a retinopathy, atherosulinotic angiopathy.

Nthawi yomweyo, matenda ashuga ndi angina pectoris amawopseza thanzi lathu. Kodi kuchitira angina pectoris ndi mtundu 2 shuga? Kodi ndi kusokonezeka kwa mtima wamitima komwe kumachitika?