Mndandanda wa mankhwala abwino kwambiri ochizira matenda amtundu wa arteryosulinosis: malamulo ogwiritsira ntchito ndi contraindication

Cerebral atherosulinosis ndicho chimayambitsa matenda amitsempha, ziwopsezo zamawazi ndi matenda ena amitsempha. Kukonzekera kwa matenda a ubongo a arteriosulinosis ndi magulu angapo a mankhwalawa osiyanasiyana. Ena amayang'anira lipid bwino, ena amakhudza kamvekedwe ka mtima, ndipo ena amalimbitsa makhoma a mitsempha.

Chiwopsezo cha olumala ndi kufa chifukwa chamikwingwirima ndichachikulu kwambiri, kotero pazizindikiro zoyambirira za ngozi ya ubongo, muyenera kusintha moyo wanu ndikuyamba chithandizo. Mankhwala, mankhwala, mankhwala amtundu wina amasankhidwa malinga ndi zotsatira za mayeso ndikuzindikira zotsutsana.

Kodi mankhwala amafunikira liti?

Njira yopanga cholesterol malo mu membrane wamkati mwa sing'anga yayikulu ndi yayikulu imayambira ubwana. Ndi ukalamba, imatha kuthamanga, makamaka ngati pali zovuta zina zokhudzana ndi chibadwa, zolakwa mu zakudya, kupezeka kwa zizolowezi zoipa, kusachita masewera olimbitsa thupi, komanso kusakhazikika kwa malingaliro. Matenda a atherosclerosis nthawi zambiri amapezeka mwa anthu opitilira zaka 40, makamaka amuna. Zizindikiro zoyambirira zomwe zikusonyeza kukula kwa matendawa:

kupweteka mutu, tinnitus, chizungulire,
kuponderezedwa kowonjezereka
kuchepa kwa ntchito, kufooka, ulesi, kusowa chidwi m'moyo,
mantha opanda pake, kukwiya, kusokonezeka kwamakhalidwe,
zovuta zamgwirizano
kusokonezeka kwa kugona (kuchuluka kugona kapena kugona kwambiri).

Zinthu izi zikuwonetsa kuti kufalikira kwa ziwalo za m'mimba kwachepa chifukwa kuchepa kwa lumen ya m'mitsempha yamagazi. Ngati, limodzi ndi zolemba zomwe zalembedwa, kuchuluka kwa cholesterol kapena shuga m'magazi wapezeka, pali zizolowezi zoipa, ndiye kuti mwina tikulankhula za atherosulinosis. Komanso, matendawa ali pagawo lomwe amafunikira chithandizo chamankhwala.

Mutha kuchita popanda mankhwala pokhapokha matendawa akayamba matendawa, kusintha moyo wanu. Zakudya, masewera, kusuta fodya kumathandizira kuti mitsempha ya magazi ikhale bwino, komanso mafuta a cholesterol akuwongolera. Mankhwala amafunikanso kuphatikizidwa ndi moyo wathanzi, koma mankhwala amafunikira kupewa zovuta. Chimachitika ndi chiani ngati matenda a arteriosclerosis sanachiritsidwe?

Mitsempha yowonongeka singagwire bwino ntchito, chifukwa chake, kupindika kumachitika motsutsana ndi maziko a kuthamanga kwa magazi. Ngati magazi amtundu watuluka ndipo chikhomo cha chotengera chaching'ono chikatsekeka, gawo lina la ubongo limataya mpweya ndipo kenako limamwalira. Mbali yoyamba, kukha mwazi (hemorrhagic stroke) kumachitika, chachiwiri - matenda amitsempha yamagazi amakula motsutsana ndi maziko a ischemia. Kulumala kumatayika pang'onopang'ono, luntha limachepetsedwa, ntchito zazidziwitso zimalephera.

Magulu akuluakulu a mankhwala osokoneza bongo

Mankhwala othandizira amathandizira kupewa zovuta komanso kusintha kwambiri zomwe zikuchitika. Ndizosatheka kuchiritsa kwathunthu atherosulinosis, koma mutha kuchepetsa kapena kusiya kukula kwa matendawa. Mankhwalawa omwe amagwiritsidwa ntchito ali m'magulu osiyanasiyana a mankhwala.

Kutengera ndi kuyesedwa, zotsatira zoyeserera, momwe thupi liliri, wodwalayo amasankha mankhwala amodzi kapena zingapo. Ndizosatheka popanda kudziimira pawokha kusankha momwe angapangire ziwiya. Zambiri zamankhwala zili pansipa ndizongotanthauza

Hypolipidemic othandizira a gululi amachepetsa kuchuluka kwa ma lipoprotein otsika komanso triglycerides yamafuta acids m'magazi. Makina ochitapo kanthu amatengera kutseka kaphatikizidwe kameneka m'thupi. Kafukufuku wachipatala awonetsa kuti kumwa kamodzi kokha kumachepetsa cholesterol ndi 30%.

Nthawi yomweyo, ma statin amalimbikitsa kupanga mafuta "athanzi" - lipoproteins yapamwamba - yomwe imalepheretsa mapangidwe pazipupa za chotengera. Mankhwala odziwika kwambiri: Atorvastatin, Lovastatin, Rosuvastatin, Simvastatin, Fluvastatin.

Otsatira a bile acid

Ma FFAs ndi ma polymer ion-exchange resins omwe amapanga insoluble zovuta ndi bile acid m'matumbo. Chifukwa chake kupatula mankhwala ofunikira kugaya ndi kuwachotsa m'thupi, mankhwalawa amathandizira kapangidwe kake. Ndipo amapangidwa ndi makutidwe ndi okosijeni a cholesterol m'maselo a chiwindi.

Mankhwala a gululi nthawi zambiri amawagwiritsa ntchito ngati gawo limodzi la zovuta zochizira matenda a atherosulinosis, omwe amadyedwa musanadye. Yolembedwa pansi pa mayina amalonda Kolestiramin, Kvestran, Kolestipol, Kolesevelam.

Munthawi zamakono zochizira matenda a arteriosulinosis, ogwiritsira ntchito ma bile acid amagwiritsidwa ntchito mochepera, popeza samathandiza poyerekeza ndi ma statins (koma nthawi zambiri amayambitsa zovuta). Mndandanda wazovuta za FFA kuchokera mthupi umaphatikizapo: kudzimbidwa, kupweteka kwam'mimba komanso kupweteka kwam'mimba, matenda a anorexia, kusanza, nseru, dyspepsia, kapamba, totupa pakhungu.

Kugwiritsa ntchito nthawi yayitali kumakwiyitsa acidosis, magazi am'mimba komanso kuchepa kwa magazi, komanso kuchepa kwa magazi m'magazi. Mankhwala ndi contraindified mwa amayi apakati, mkaka, anthu phenylketonuria ndi hypersensitivity zigawo zikuluzikulu za mankhwala.

Gulu lachiwiri labwino kwambiri la mankhwala ochepetsa lipid omwe amathandizira kuchepetsa kutsika kwa triglyceride. Ziphuphu zimakhudza cholesterol pang'ono, koma zimathandizira pakuphatikizika kwa lipoprotein. Makina akuchitapo kanthu ndi kuyambitsa enzyme yomwe ikuphwanya LDL. Kuphatikiza apo, kuchuluka kwa mapulateleti ndi michere ya fibrinogen kumachepetsedwa.

Zoyambitsa ndi Zoopsa

Zomwe zimayambitsa vuto la atherosulinosis ndizokulirapo. Chimodzi mwazofunikira kwambiri ndi zaka. Ku mulingo gumu, obwetoowaze obw'ekyamagezi bumoneka mu muntu yenna obukadde emyaka 40. Kupezeka koyambirira kwa matendawa komanso kupita patsogolo kwake mwachangu kumathandizira:

matenda a metabolic (kuvutikira kwa mahomoni, matenda a chithokomiro, matenda ashuga, kunenepa kwambiri),
zakudya zopanda thanzi (kuchuluka kwa zakudya yokazinga ndi zonunkhira, mafuta a nyama muzakudya, komanso zosakwanira pazakudya zomwe zimakhala ndi fiber yambiri),
uchidakwa
kusuta
kumangokhala.

Zina zomwe zimawonjezera chiopsezo chokhala ndi matenda am'chiberekero ndi:

matenda oopsa oopsa (nthawi zambiri izi zimachitika nthawi imodzi, kupangitsana wina ndi mnzake),
kuledzera kwambiri ndi matenda omwe ali ndi vuto lowononga mtima
Nthawi zambiri kubwerezabwereza nkhawa.

Pakupanga kusintha kwa atherosclerotic, zikuwoneka kuti, cholowa chamtsogolo chimathandizanso.

Kukhalapo kwa zinthu zingapo zowopsa kumapangitsa kuti polyetiology ya atherosulinosis.

Nthawi zambiri, matenda amiseche amayamba zaka 25-30, koma popeza amadziwika ndi njira yayitali, kuwonekera kumachitika pambuyo pake, nthawi zambiri pambuyo pa zaka 50.

Udindo wawukulu mu njira yothandizira kukhazikitsa njira ya atherosulinotic imaseweredwa ndi kuphwanya kwa lipid metabolism, chifukwa chomwe kuchuluka kwa lipoproteins otsika kwambiri m'magazi, omwe amatchedwa cholesterol yoyipa kapena yoyipa, amawonjezeka ndipo mawonekedwe ake amayamba pazitseko zamkati mwa mitsempha, kuphatikizapo ubongo. Sizikudziwikabe chifukwa chake mwa odwala ena njira ya atherosselotic imakhudza kwambiri ziwiya zaubongo, pomwe mwa ena, ma coronary, mesenteric kapena zotumphukira m'mitsempha.

Cerebral atherosulinosis imakhudza mitsempha yama sing'anga komanso yayikulu. Poyamba, zolembera zamtundu wa atherosclerotic ndizopaka zamafuta zomwe zimadzazidwa ndi mchere wamchere (atherocalcinosis) ndikukula kukula. Chikwangwani chopangidwa ndi atherosulinotic sichimangolepheretsa kuwala kwa mkati mwa mtsempha wamagazi, komanso kukhala gwero la thromboembolism.

Kuchepetsa lumen kwa mitsempha ya m'magazi kumachepetsa kuyenda kwa magazi kumadera aubongo omwe amadyetsa. Zotsatira zake, matenda oopsa a hypoxia ndi ischemia amakula m'malo awa, omwe nthawi yayitali amachititsa kuti ma neurons amodzi aphedwe. Njira yothandizira matenda amtunduwu imawonetsedwa ndi zizindikiro za discirculatory encephalopathy, zovuta zomwe zimatsimikiziridwa ndi izi:

kuchuluka kwa mtsempha wamagulu osokoneza bongo,
kuchuluka kwa kufalikira kwa njira ya atherosulinotic,
kukula kwa chideru
kuchuluka kwa kufalikira kwa (kudutsa) magazi m malo a chikhodzodzo cha matenda osokoneza bongo.

Pamene zolembera za atherosclerotic zikukula, zimapanga momwe zinthu zingapangidwire ma magazi (ziwunda za magazi), zomwe zimatha kulowa ndikulowetsa mitsempha yaying'ono yokhala ndi mtsempha wamagazi, kutsekeka kwathunthu kuundana. Kuchotsa kwathunthu komanso kwadzidzidzi kwa magazi ku gawo lina la ubongo kumabweretsa kukula kwa ischemic stroke kapena kusokonezeka kwakanthawi (kotsimikizika ndi kukula kwa mgwirizano wamitsempha yamagazi ndi kukula kwa chotupa).

Khoma lamkati m'malo ophatikiza ndi atherosselotic plaque pamapeto pake limatayika. Ndi kuchuluka kwa magazi, mwachitsanzo, motsutsana ndi vuto la matenda oopsa omwe amachitika chifukwa cha matenda oopsa, amatha kuphulika ndikupanga magazi m'mitsempha yaubongo, i.e., hemorrhagic stroke.

Zizindikiro za Atherosulinosis a Bongo

Atherosulinosis ya mitsempha yaubongo kwazaka zambiri ndi asymptomatic kapena ndi zovuta. Pafupipafupi, matendawa amayamba kuwonekera pokhapokha atterosulinotic plaque ichulukitsa mokwanira kutseka magazi, zomwe zimayambitsa matenda a ischemia ndi chitukuko cha discirculatory encephalopathy.

Magawo a matenda amiseche

Mu chithunzi cha matenda a matenda a arteriosulinosis, magawo atatu ndi osiyana:

Poyamba. Zizindikiro za matendawa zimachitika motsutsana ndi maziko a kuchuluka kwakuthupi kapena kwamaganizidwe. Atapuma bwino, amatha. Odwala ambiri ali ndi asthenic syndrome: kutopa, kufooka wamba, kusakwiya kapena ulesi, mavuto okhala ndi nkhawa. Kuphatikiza apo, odwala amadandaula chifukwa cha kupweteka kwa mutu pafupipafupi, komwe kumatha kuphatikizidwa ndi tinnitus, komanso kuwonongeka pakutha kukumbukira chidziwitso chatsopano, ndi kuchepa kwa njira yamaganizidwe.
Kupita patsogolo. Matenda a m'maganizo akukula. Makonda amachepetsa, nthawi zambiri amakhumudwitsana. Mavuto amakumbukidwe amatchulidwa momveka bwino: odwala, malinga ndi abale, samakumbukira zochitika zaposachedwa, nthawi zambiri zimawasokoneza. Phokoso m'makutu ndi pamutu limakhala lokhazikika. Kulankhula kopanda pake, vestibular ataxia (kuphwanya kwina kwa mgwirizano wamachitidwe ndi gait) kumadziwika. Nthawi zina, maonekedwe amaso amamva, amachepetsa maonedwe, kunjenjemera kwa mutu kapena zala. Pang'onopang'ono, kuthekera kumaliza ntchito zaukadaulo kumataika. Odwala amakhala ndi nkhawa komanso kukayikira.
Dementia Zizindikiro za matenda amiseche pa gawo ili la matendawa ndikutha kukumbukira, kugona, kusowa chonena, kusowa chidwi kwathu muzochitika za dziko lapansi (kupanda chidwi). Odwala amataya luso lawo lodzisamalira, sangayende moyenera nthawi ndi malo. Zotsatira zake, samangotaya mwayi wawo wogwira ntchito, komanso amafunikira chisamaliro chakunja.

Kukhazikika kwa zovuta za atherosulinosis (stroke, dementia) kumakhala chifukwa cha chilema chokhazikika ndipo zimatha kupha.

Zizindikiro

Pa kuwunika kwa minyewa ya odwala omwe ali ndi vuto la ubongo la ziwalo, zotsatirazi zimatsimikiza:

kugwedeza kwa chala
kuphwanya zitsanzo zogwirizanitsa,
kusakhazikika pamalo a Romberg,
kuyerekezera koyipa kapena, mosiyana, kuchulukitsa kwamalingaliro,
ena anisoreflexia (kuopsa kwa khungu ndi tendon limanyezimiritsa mbali yakumanja ndi kumanzere kwa thupi),
nystagmus yopingasa,
paresis wamaso akulu.

Ngati wodwala yemwe ali ndi vuto la matenda a m'matumbo amayamba kudwala matenda opha ziwalo, amayamba kuperewera komanso kuperewera kwa mitsempha ina.

Njira za atherosclerotic m'matumbo a ziwalo zimagwiritsa ntchito 20% ya matenda onse am'mitsempha ndipo pafupifupi 50% ya matenda onse am'mitsempha. Matendawa amathekanso kukhudza abambo kuposa akazi.

Mukamayang'ana za fundus, ophthalmologist amawonetsa kusintha kwa mitsempha ya mitsempha ya m'mimba. Pankhani ya madandaulo a kutayika kwa makutu ndi tinnitus, odwala amatumizidwa kuti akambirane ndi otolaryngologist.

Komanso, pakuzindikira matenda amiseche, kumapangidwa zasayansi ndikuwathandiza:

Chithandizo cha matenda amadzeru

Atherosulinosis yamitsempha yamagazi ndi matenda osachiritsika omwe sangathe kuchiritsidwa kwathunthu. Komabe, zovuta komanso zochitikazo zomwe zimapangidwa nthawi zonse zimachepetsa kupitilirabe.

Chithandizo cha atherosulinosis ya ziwiya zamadzimadzi zimayamba ndi kuchotsedwa kwa zinthu zomwe zimapangitsa kuti maonekedwe azioneka komanso awonjezeke kukula kwa zikhalidwe za atherosulinotic. Chifukwa chaichi, tikulimbikitsidwa:

kudya (tebulo nambala 10c malinga ndi Pevzner),
kuchuluka kwa zochitika zolimbitsa thupi (kusambira, kuyenda, magulu olimbitsa thupi),
kukana kumwa mowa ndi kusuta,
kukhathamiritsa thupi
kutsika kwa mulingo wa kupsinjika kwa psychoemotional.

Zakudya zamatumbo a arteriosulinosis zimakhazikitsidwa ndi kuphatikiza zakudya zomwe zili ndi cholesterol yambiri (masoseji, nsomba zamzitini, margarine, mazira, nyama yamafuta) kuchokera muzakudya ndi kupindulitsa kwake ndi masamba ndi zipatso, i.e. zakudya zomwe zimakhala ndi fiber.

Chithandizo cha mankhwala osokoneza bongo a arteriosulinosis

Ndi kuphatikiza kwa matenda a m'magazi a arteryosulinosis yokhala ndi matenda oopsa, ndikofunikira kusankha mosamala mankhwala othandizira antihypertensive omwe amawonetsetsa kuti magazi atuluka.

Ndi matenda anthawi yake komanso chithandizo choyambirira, ndikotheka kuti muchepetse kupita patsogolo kwa machitidwe a atherosulinotic.

Kuwongolera kuchuluka kwa lipid ya seramu yamagazi pamaso pa zisonyezo (zotsimikizika ndi zotsatira za kafukufuku wamayendedwe amtundu wamkati), mankhwala omwe ali ndi lipid-kutsitsa amadziwika.

Pofuna kuchepetsa kukhuthala kwa magazi ndikuchepetsa chiopsezo chokhala ndi zovuta za thromboembolic, Mlingo wocheperako wa acetylsalicylic acid (Aspirin) kapena Ticlide amalembedwa pamaphunziro atali.

Therapy ya Neurometabolic imaphatikizapo mankhwala ozikidwa pa gingko biloba, glycine, zovuta za mavitamini a B.Mankhwala a nootropic amathandizira kusintha kwamaganizidwe ndi kukumbukira.

Zisonyezero zochizira matenda a arteriosulinosis ndi:

kuchepa kwa kuwala kwa mitsempha ya carotid ndi cholembera cha atherosulinotic ndi oposa 70%,
mbiri yakuchepa pang'ono
kubwereza kwakanthawi kwa ischemic.

Pali njira zingapo zochitira opaleshoni ya ubongo:

kuchotsa kwa atherosclerotic plaque ndi gawo la intima yamitsempha yamagazi (endarterectomy),
Kapangidwe ka mtima ka m'mimba komwe kamakupatsani mwayi wobwezeretsa magazi kudzera pamalowo otsekedwa ndi cholembera cha atherosulinotic,
brachiocephalic prosthetics,
kapangidwe ka anastomosis yowonjezera-intracranial,
carotid endarterectomy.

Zotheka ndi zovuta

Atherosulinosis ya mitsempha ya chithokomiro ingaperekedwe limodzi ndi kuphatikizika kwa zovuta zotsatirazi:

Kukula kwa matenda amtundu wa arteriosulinosis kumatsimikiziridwa ndi zinthu zingapo, kuphatikizapo mwayi wothana ndi zoopsa, m'badwo wa wodwalayo, nthawi yake komanso machitidwe amachitidwe a achire. Ndi matenda anthawi yake komanso chithandizo choyambirira, ndikotheka kuti muchepetse kupita patsogolo kwa machitidwe a atherosulinotic. Kukhazikika kwa zovuta (stroke, dementia) kumakhala chifukwa cha kulumala kwamuyaya ndipo kungayambitse imfa.

Kupewa

Kupewa kwambiri kwa matenda a atherosulinosis ndi moyo wathanzi, womwe umatanthawuza:

zakudya zabwino
zolimbitsa thupi koma zolimbitsa thupi,
kutsatira mtundu wa kusinthana kwa ntchito ndi kupumula,
ntchito zakunja,
kupewa kupewa kwa thupi ndi m'maganizo.

Milandu yomwe matenda amadzimadzi am'magazi atapangidwa kale, njira zimatengedwa kuti muchepetse kupita patsogolo kwa njira ya pathological ndikuletsa kukula kwa zovuta. Amaphatikizaponso kutsatira mosamalitsa malingaliro a dokotala wokhudzana ndi chithandizo cha mankhwalawa komanso moyo wawo, ndipo ngati kuli kotheka, kuchitapo kanthu opaleshoni yakeyo kubwezeretsa magazi mu dziwe la mtsempha.

Limagwirira a chitukuko cha ubongo arteriosulinosis

Atherosulinosis m'Chigiriki imatanthawuza kulimba, gruel wandiweyani (ἀθέρος - mankhusu, gruel, σκληρός - wandiweyani, wolimba). Awa ndi matenda osakhazikika a mitsempha yayikulu, limodzi ndi kulowetsedwa kwa lipid mkati mwa membrane wamkati ndikuwonjezereka kwa minofu yolumikizira khoma lamitsempha. Zizindikiro zoyambira za matenda a pathological zimatha kupezeka pafupifupi komanso zaka zochepa (zaka 15 mpaka 20).

Lero, pamodzi ndi chiphunzitso chofupika cha lipoprotein kufalikira (kuchuluka kwa mamolekyulu amkati mwa mtima), pali malingaliro ena a pathogenesis ya ubongo atherossteosis: kuphwanya koyambirira kwa chitetezo cham'kati mwa epithelium ya chotengera, lipid peroxidation, kuchepa kwa zinthu zofunika kwambiri zamafuta am'kati mwa antijeni, kupezeka kwa zinthu zazikuluzikulu zopatsa mphamvu, kuphatikizika kwa zinthu zazikulu za antijeni, kupezeka kwa zinthu zazikulu zopatsa mphamvu, kupezekapo kwa zinthu zazikuluzikulu zamafuta, kupezeka kwa mphamvu ya asidi. .

Kumayambiriro kwa njira ya pathological yolumikizana ndi kuphwanya kwa lipid metabolism, cholesterol imayamba kudziunjikira pakhoma la khoma lomwe linawonongeka kale (malo osungirako madzi, omwe ndiye maziko a zolembera zamatenda a atherosulinotic). Pang'onopang'ono, mchere wa calcium ndi mafayilo amisempha yolumikizika osasinthika amayikidwa pamtunduwu, chifukwa chake, pamwamba pa zolembapo za atherosclerotic amayamba kupeza mawonekedwe osakhazikika.

Kuchepetsa kuunikira kwa chotengera, "kukula" kwa cholesterol kumapangitsa kuti magazi azidutsa komanso kumapangitsa zofunikira kuti pakhale zovuta m'mtsinje wamagazi. Izi zimapangitsa kuwonongeka kwa maselo am'magazi (maselo am'magazi oyera ndi mapangidwe oyera am'magazi) ndi kupangika pang'onopang'ono kwa magazi, komwe, pansi pazovuta za thupi, limaphwanya ndikutchingira mtsempha wamagazi. Nthawi yomweyo, cholesterol cholembera (chofewa ndi cholesterol kapena osakhala ndi nthawi yolimba) chingayambitse kusokonezeka kwakukulu m'mitsempha muubongo ndikubweretsa kuwonongeka.

Nthawi zambiri, ubongo atherosulinosis imakhudza mitsempha ya mkati ndi yakunja ya carotid.

Zosintha (modifiable) zinthu

Kuphwanya mafuta kagayidwe (chachikulu ndi sekondale hypercholisterinemia, mkulu cholesterol otsika kochepa, cholesterol mkulu kachulukidwe, mkulu plasma triglycerides),
Matenda oopsa
Metabolic syndrome
Kuchuluka kwa thupi, kunenepa kwambiri,
Kusuta
Mowa
Kupanda masewera olimbitsa thupi (kukhala pansi),
Kuchepetsa chakudya kagayidwe kachakudya matenda a shuga (shuga mellitus),
Zakudya zopanda pake zomwe zimakhala ndi mafuta azakudya zambiri,
Kulephera kwina
Njira zotupa zosafunikira
Hyperfibrinogenemia (kuchuluka kwa magazi)
Mwazi waukulu wam'mimba,
Psycho-overstrain, pafupipafupi nkhawa ndi zochitika zotsutsana.

Malinga ndi ziwerengero, atherosulinosis yamitsempha yamagazi ya chithokomiro nthawi zambiri imapezeka mwa abambo omwe ali ndi zaka zapakati pa 45-50, ndi azimayi atakwanitsa zaka makumi asanu ndi limodzi.

Mitundu ya matenda amiseche

Zamatsenga
M'badwo
Kutupa (chifuwa, syphilitic),
Hyalinosis (ubongo atherosulinosis, yopanga maziko a matenda oopsa),
Zoopsa
Zotsatira
Menkeberg Media Calcinosis (kachitidwe koyambira kwa mchere wamkati mkati mwa mitsempha).

Magawo a matenda a mtima

Gawo loyamba (mapangidwe a mawakala a lipid ndi mikwingwirima). Mitundu iyi ndi malo amkaso yachikasu kapena yachikasu omwe samakwera pamwamba pa zotengera, amakonda kuphatikizika.
Gawo la kupita patsogolo (mapangidwe a zolembera za fibrous). Zilonda zazikulu-zotalika zomwe zimakwera pamwamba pa intima ndizowongoka kapena zopindika "za mtundu woyera kapena wachikasu. Monga lamulo, amaphatikizana wina ndi mnzake, ndikufinya mwamphamvu mphamvu ya m'mimba ndikupereka mkati mwa mtsempha wamaonekedwe owoneka bwino (otchedwa stenosing atherosulinosis).
Gawo la atheromatosis (mapangidwe a kuchedwa kwa atherosulinotic zolembera zokhala ndi zilonda zam'mimba, hemorrhage ndi kugwiritsa ntchito thrombotic misa). Pakadali pano, chifukwa cha kuwonongeka kwa ma protein osakanikirana okhala ndi mapuloteni osakanikirana, mapangidwe opangika bwino a minyewa amapangika mu makulidwe amtunduwu (pathological misa yophatikizira mafuta, makristulo a cholesterol, maselo ophatikizika a epithelial ndi minyewa yolumikizana minofu).
Gawo lomaliza (atherocalcinosis). Amadziwika ndi calcification (petrification) wa zolembera zam'mimba komanso kupindika kwamitsempha yamagazi.

Zizindikiro za matenda amiseche

Pa nthawi yoyamba ya matendawa (ischemic) matendawa, odwala amadandaula kuti ali ndi vuto losakhazikika komanso opepuka, akumva kupweteka mutu chifukwa chotupa kwa mtsempha wamagazi ndi chikhodzodzo cha atherosselotic, kusungunuka kwa magazi, komanso kuperewera kwa okosijeni ku ubongo. Poyambirira, kupweteka kumachitika pambuyo pa katundu wam'maganizo, koma pakapita nthawi, amakhala osatha. Odwala ena amakhala okwiya msanga, okwiya, amakonda kupsa mtima komanso kukhumudwa. Nthawi zambiri, tikapuma bwino, zizindikiro zoyipa zimatha, osakhudza thanzi la munthu.

Gawo la thrombonecrotic lakuwonekera kwambiri kwamatenda owonetsa matenda amtundu wamatumbo amadziwika ndi kupitilira kwakanthawi kwa zizindikiro. Munthawi imeneyi, kupweteka kwa mutu kumayamba kutchulidwa komanso kupitilira, kukumbukira kumayamba kuvuta, kugona komanso kugwira ntchito zimasokonekera, kuganiza kumachepetsa, kuwonekera kwa tinnitus, ndikuwonetsa kukangana kwambiri. Odwala amadandaula za chizungulire, kukomoka, kupezeka kwa zovuta pokumbukira zochitika zamakono (pomwe kukumbukira kwakutali kumakhalabe kolimba), kukulitsa kwa maluso oyendetsa bwino a manja, malingaliro osasunthika komanso kusakhazikika m'miyendo. Pa gawo ili la matendawa, nthawi ndi nthawi zomwe zimachitika m'mitsempha ya m'magazi (kusokonezeka kwakanthawi kachulukidwe) imakhala yodziwika bwino, yokhala ndi vuto lalikulu la mutu, kuwonongeka kwa mawonekedwe ndi kuyankhula, kupendekera pang'ono kumaso, kufooka kapena kuzimiririka kwamphamvu m'miyendo, hemiparesis (ziwalo za mbali imodzi ya thupi). Monga lamulo, zizindikiro zofananira zimawonedwa kwa maola 24-48, pambuyo pake mkhalidwe wodwalayo umabwezeretsedwa. Poterepa, tikulankhula za kuphwanya kwakanthawi kwa kuzungulira kwa ubongo.

Ngati patatha masiku awiri wodwalayo samva bwino, pamakhala kukayikira kwa ngozi ya pachimake ya cerebrovascular (ischemic stroke) yomwe ikufunika kuthandizidwa mwachangu.

Gawo lomaliza (sclerotic) la ubongo wam'matumbo, lomwe nthawi zambiri limatchedwa gawo la kuchepa kwa mtima, limadziwika ndi kupatuka mu zochitika zam'maganizo (kuzindikira, kutengeka, komanso kuchita). Pali kutaya kwathunthu kwa ogwiritsa ntchito, kuwonongeka kwa maluso a akatswiri, kuchepa kwa magwiritsidwe antchito munthawi ndi malo, kulephera kuwongolera zosowa zawo. Wodwalayo amaiwala maluso omwe wapezeka, omwe amafunikira thandizo la tsiku ndi tsiku. Kuperewera kwa dementia kumapitilira, kuwonongeka kwathunthu kwamunthu komanso kusasamala kwachilengedwe kumawonedwa, kulakalaka kwa wolfish kapena kudana ndi chakudya kumayamba, kugwirana chimbudzi kwamkati ndi kukodza, zowoneka ndi zolankhula zimawonedwa. Odwala otere amafunika kuwayang'anira nthawi zonse.

Pathogenetic mankhwala

Kukhathamiritsa kwa mankhwala kuzungulira kwa magazi

Kuti muwongolere zovuta zomwe zimachitika mu microvasculature, odwala amalangizidwa kuti azimwa mankhwala osokoneza bongo omwe amakhudza kufalikira kwa mitsempha. Gulu la mankhwalawa limaphatikizapo calcium Channel blockers (nimodipine, cinnarizine, flunarizine), phosphodiesterase inhibitors (pentoxifylline, theophylline, vinpocetine) ndi α-blockers (nitroglycerin). Mankhwala olimbikitsidwa bwino a Tanakan, amathandizanso kusintha kwakachulukidwe ka michere ndipo amathandizira ma neuronal metabolic metabolism.

Antiplatelet (antiplatelet) mankhwala

Mankhwala othandizira antiplatelet ndi njira yothandizira pathogenetically yolimbikitsidwa ndikuwongolera ndi kupewa atherothrombosis. Pakadali pano, magulu atatu a antiplatelet mankhwala amagwiritsidwa ntchito muzochita zamankhwala: othandizira okhala ndi aspirin, cycloo oxygenase inhibitors ndi thienopyridines.

Mankhwala odziwika kwambiri omwe amagwiritsidwa ntchito popewa komanso kuchiza matenda a cerebrovascular pathologies ndi acetylsalicylic acid, omwe amachepetsa chizolowezi chophatikizira, amalepheretsa mapangidwe a thrombin ndipo amathandizira pakupanga fibrin.

Mukamamwa aspirin limodzi ndi mankhwala ena a antiplatelet, clopidogrel, omwe amadziwika kuti ndi njira ina yothandizira kupanikizana maplatelet, kugwiritsa ntchito bwino mankhwalawa kumawonjezeka kwambiri, ndipo mavuto ambiri omwe amakhudzidwa ndi kukana kwa aspirin amakwaniritsidwanso.

Lipid-kutsitsa mankhwala

Kugwiritsa ntchito mankhwala a hypoltipidemic komwe kumakhazikitsa mapangidwe a atheroscrotic plaques kumachepetsa kupitilira kwa matenda a ubongo komanso kumachepetsa vuto la kufupika kwa magazi m'thupi. Ma Statin, omwe amakhala operewera mphamvu ya endothelial, amakhala ndi zochitika zapamwamba kwambiri za hypocholesterolemic. Amakhala ndi zotsatira zabwino pakufalikira kwa maselo osalala am'mitsempha yamagazi ndipo amakhala ndi zotsutsana ndi zotupa, anti-thrombogenic komanso anti-ischemic. Nthawi zambiri, odwala zotchulidwa simvastatin ndi atorvastatin, ndi ambiri kutchulidwa hypotriglyceridemic kwenikweni.

Monga mankhwala ena owonjezera, kugwiritsidwa ntchito kwa bile acid sequestrants kumasonyezedwa, komwe kumagwiritsidwa ntchito limodzi ndi ma statins kuti muchepetse mafuta m'thupi.

Mankhwala oyamba otsitsa a lipid, nicotinic acid, omwe amatha kutsitsa LDL, ali ndi zotsatirapo zingapo, sagwira ntchito bwino, komanso ali ndi poizoni wokwanira.

Mankhwala othandiza kwambiri a hypotriglyceridemic ndi zotumphukira za fibric acid (fibrate). Monga lamulo, amagwiritsidwa ntchito ngati mankhwala ophatikiza. Zotsatira zosafunikira zimaphatikizira kuwonjezeka kwa ndende ya chiwopsezo chotenga matenda a ndulu.

Antihypertensive mankhwala

Udindo wofunikira popewa komanso kukhazikika kwa chiwonetsero cha kusakhazikika kwa magazi amapatsidwa kukhalabe ndi magazi okwanira (pa 140/80 mm Hg). Pochiza matenda amtundu wamatumbo, angiotensin receptor antagonists (angiocand, valsortan, ibertan, etc.) ndi angiotensin-akatembenuza enzyme inhibitors (enalapril, cilazapril, Captopril, etc.) amagwiritsidwa ntchito ngati mankhwala a antihypertensive. Mukamamwa mankhwala a gululi, kuphatikiza matenda a kuthamanga kwa magazi, ntchito zama ubongo zimasintha.

Chithandizo cha Syndrome

Ma antidepressants (amitriptyline), mankhwala a psychotropic (halopyridol) ndi ma tranquilizer (diazepam, phenazepam) amagwiritsidwa ntchito ngati mankhwala ochizira matenda a ubongo. Ndi kukula kwa mitsempha ya mitsempha yotupa, odwala amalangizidwa kuti atenge cholinesterase inhibitors omwe amakhudza kagayidwe kazinthu ka ubongo ka neurotransmitter.

Mankhwala ochizira matenda amitsempha yamagazi

Kuchita opaleshoni ndikulimbikitsidwa kwa odwala omwe ali ndi hemodynamically ofunikira kwambiri a minyewa yotupa yam'mimba (mitsempha yodandaula, zotumphukira za angioplasty, zotumphukira zamitsempha ndi ma prosthetics, carotid endarterectomy). Nthawi zambiri, mitsempha yamkati ya carotid imapangidwa opaleshoni. Chizindikiro pa ntchitoyi ndi kupezeka kwa malo opumira a atherosselotic kapena kupalasa kwa 70% ya lumen ya chombo.

Zakudya za matenda am'matumbo

Pankhani ya mitsempha ya m'magazi, kumalimbikitsidwa kuchepetsa kumwa kwamafuta, nyama ndi mkaka, mchere, nyama yosuta, mazira, chokoleti, cocoa, khofi wamphamvu komanso tiyi. Zinthu zophatikizika zimaphatikizapo nyama yolimba, bowa ndi msuzi wa nsomba, mafuta ophikira, mafuta ophikira ndi mchere, zakudya zamzitini, nsomba zamkati, nsomba zamkati, zonona, zonunkhira, zoperewera ndi mchere, komanso sorelo, sipinachi, radish ndi radish.

Zakudya za wodwalayo tsiku lililonse ziyenera kuphatikizapo masamba (anyezi, adyo, mbatata, kaloti, kaloti, nyemba, biringanya), amadyera, zipatso ndi zipatso, mafuta a masamba (mpendadzuwa, maolivi, soya, chimanga), nsomba zam'madzi ndi nkhuku zochepa zamafuta, uchi (ndi matenda a shuga osaposa supuni), yogati, kefir, tchizi chokhala ndi mafuta ochepa, tirigu wa tirigu, walnuts (ma ma PC 1-2. patsiku), nyanja kale.

Ndikofunikira kuwira chakudya kapena nthunzi. Kupewa magazi Zopatsa mphamvu za zakudya za tsiku ndi tsiku ziyenera kukhala zopatsa mphamvu 2000-2500.

Malangizo owonjezereka kwa odwala omwe ali ndi vuto la ubongo

Pofuna kupewa chitukuko cha matenda a ubongo.

mankhwala okhazikika ndi omwe
kusiya kusuta fodya ndi kumwa mowa,
kuwunika pafupipafupi kulemera ndi kuthamanga kwa magazi,
kutsatira zakudya zochepa zopatsa mphamvu,
Zakudya zamafuta ambiri
magwiridwe apadera olimbitsa thupi
tsiku ndi tsiku amayenda mu mpweya watsopano.

Ndikulimbikitsidwa kuti odwala omwe ali ndi vuto losaiwalika alembe zomwe akufuna kuchita tsikulo, ndikulemba zonse zofunikira ndikusunga ntchito (mverani nyimbo ndi mapulogalamu a chidwi, werengani, onerani pawailesi yakanema, poloweza ndakatulo, kulankhulana ndi abale ndi abwenzi). Odwala otere ayenera kukhala ndi moyo wodziyimira kwa nthawi yayitali, kugwira ntchito zapakhomo komanso kuchita masewera olimbitsa thupi. Popewa kugwa, gwiritsani ntchito njira zina zothandizira ndikuwonetsetsa kuti zotetezeka (kusamba ndikukhala pansi, kuvala nsapato zosavomerezeka, gwiritsirani ntchito zida zapadera ndi zimbudzi mu bafa ndi chimbudzi, ndi zina zambiri).

Cerebral atherosulinosis ndi matenda opatsirana, omwe amadziwika ndi njira yayitali kwambiri. Kuchita mwachangu magawo oyamba a matenda kumadzetsa kusintha kwa mkhalidwe wa wodwalayo ndi kuchedwa pakupanga njira ya pathological. M'mavuto owopsa a kufalikira kwa ziwalo zam'mimba komanso kuwonongeka kwakukulu kwa minyewa yaubongo, matendawa ndi osavomerezeka.

Mankhwala

Dokotala uti amathandizira atherosulinosis: wodwalayo amayang'aniridwa ndi madokotala angapo. Dokotala wopezekapo ndi katswiri kapena wamatsenga. Wodwalayo amayang'aniridwa ndi wazamisala komanso wazamisala wazamankhwala. Nthawi ndi nthawi amafufuza psyche ya wodwalayo kuti adziwe zamphamvu za matendawo.

Chithandizo cha mankhwala a atherosulinosis chimaphatikizapo kuchotsedwa kwa matenda a concomitant ndi kukonza kwa metabolidi ya lipid. Choyamba, kuthamanga kwa magazi kumatsikira kuzisonyezo zokwanira (pansi pa 140/90 mm Hg), matenda a shuga amachepetsa, ndipo zizindikiro za metabolic syndrome zimachotsedwa.

Mankhwala akuluakulu a matenda amiseche opatsirana pogwiritsa ntchito matenda am'mimba ndi a lipid-kuchepetsa mankhwala. Ntchito yawo ndikuchepetsa plasma milingo yotsika komanso yotsika kwambiri ya lipoprotein.

Mapiritsi awa a atherosulinosis amagawika m'magulu anayi, lililonse lomwe limagwira ntchito yake:

Mankhwala omwe amalepheretsa kuyamwa kwa cholesterol.
Mankhwala omwe amachepetsa kupanga lipids m'chiwindi ndikuchepetsa magazi awo.
Zimatanthawuza zomwe zimathandizira kagayidwe ndikuthandizira kutsekeka kwa lipids.
Mankhwala owonjezera.

Gulu loyamba limaphatikizapo: Cholestyramine, Guarem, Beta-sitosterol. Othandizira awa amalumikiza mankhwala a cholesterol pamtunda wawo, ndikuwanyamula kudzera mgawo, kuti isasokonezeke komanso kulowa mu kayendedwe ka magazi.

Gulu lachiwiri: Lovastatin, Atorvastatin, Fenifibrat. Kupanda kutero, amatchedwa "statins." Zosakaniza zomwe zimagwiritsidwa ntchito ndimankhwala zimalepheretsa CoA reductase, enzyme yomwe imasintha gawo kuchokera ku cholesterol precursors kukhala cholesterol yokha. Ndalamazi sizikulimbikitsidwa kuti zigwiritsidwe ntchito ndi anthu omwe adachitidwa opaleshoni ya mtima. Kodi ndizotheka kuphatikiza ndi mowa, chakumwa cha amayi apakati ndi ana - kumwa mankhwala kuchokera ku gulu lachiwiri ndizoletsedwa kwa anthu otere.

Gulu lachitatu ndi Omacor, Thioctic acid, Linetel. Momwe mungachotsere mapepala a atherosclerotic ogwiritsa ntchito mankhwala a gulu lachitatu: chifukwa cha kapangidwe kake (mafuta osapanga), amathandizira pakuwonongeka kwamafuta.

Gulu lachinayi ndi njira yochitirana ndi kwawo: amatsitsa cholesterol kukhoma la chotengera. Oimira: Piricarbat, Vazoprostat, Vitamini A ndi E.

Pali gulu la zida zomwe zikuyesedwa. Chifukwa chake, Cyclodextrin imasungunula makristalo a cholesterol. Sizikudziwika ngati atherosulinosis amathandizidwa ndi mankhwalawa mwa anthu, popeza mayesowo anachitika pa mbewa zokha.

Ndikulonjeza chithandizo cha matenda amitsempha yamagazi ndi mankhwala osokoneza bongo omwe ali ndi dzina la AEM-28. Poyeserera, akuwonetsa kuthekera kwakukulu kotsitsa cholesterol ndi triglycerides mu plasma yamagazi.

Chithandizo cha matenda amiseche okalamba ndichofanana ndi odwala okhwima.

Maziko a chakudya cha atherosulinosis ndi zakudya zamankhwala No. 5 malinga ndi Pevzner. Chifukwa chake, kuchuluka kwa lipoproteins yotsika kwambiri komanso yotsika kwambiri kumatengera njira yodyetsera, motero, zakudya za atherosulinosis zili ndi mfundo izi:

Zakudya zamtundu uliwonse komanso pafupipafupi (nthawi 4 mpaka 6 pa tsiku). Pafupipafupi, koma magawo ang'onoang'ono amatengeka bwino ndi thupi, katundu pa chikhodzodzo ndi ndulu imachepetsedwa, potero popewa matenda am'mimba.
Chakudya chizikhala ndi mapuloteni, mafuta ndi chakudya chamagulu molingana ndi katundu wa thupi komanso kutengera mtundu wa ntchito. Ndikulimbikitsidwa kuwonjezera kuchuluka kwa mapuloteni: 150-200 g nyama yotsika, tchizi cha 150 g kanyumba ndi nsomba za 150 g.
Ndikofunikira kuti muchepetse kudya zakudya zosavuta zamafuta. Mafuta a nyama ayenera kuchepetsedwa m'malo mwa mafuta azipamba.
Mchere, zokometsera komanso zakudya zokazinga ndizochepa. Mlingo wapamwamba wa tsiku ndi tsiku ndi 5 g (munthu wamba amadya mchere wa 10-15 g tsiku lililonse). Zakudya zamatenda ndi mkate wa bulauni ndizochepa.
Zipatso ndi ndiwo zamasamba zimawonjezeredwa muzakudya.

Mankhwala olimbikitsidwa a atherosulinosis:

Magulu, maswiti,
mafuta mayonesi
nyama zosuta, soseji,
nyama yamafuta, nyama yofiira
kukhululuka,
semolina ndi phala la mpunga,
sodas zabwino
khofi, chokoleti, koko.

Mavitamini a minyewa ya m'magazi:

Pazakudya za wodwala wokhala ndi atherosulinosis, mavitamini a gulu B ndi folic acid amawakonda. Zomwe zimakhudza kugwira ntchito kwa mtima wamanjenje, ndipo folic acid ndi antioxidant ndipo imachepetsa mwayi wokhala ndi atherosranceosis.
Vitamini C. Malinga ndi Dr. Linus Pauling, Vitamini C imalepheretsa mapangidwe a ziwongo za atherosrance.
Vitamini E (tocopherol). Kafukufuku ku Harvard Medical Center akuti vitamini E amachepetsa chiopsezo cha matenda a mtima.

Zakudya zoyenera za atherosclerosis malinga ndi Organov ndi olemba anzawo:

Malangizo a mafuta: Kudya kwamafuta tsiku ndi tsiku kumachepetsedwa ndi 33%. Zopanda mpendadzuwa, chimanga ndi mafuta a masamba. Mulingo woyenera wa margarine wa tebulo ndi 2 tbsp. l Zopanda chakudya: mafuta a nyama (nkhumba, ng'ombe, batala).
Nsomba. Ma shrimp ndi nkhanu ndizochepa, caviar sikhala nayo.
Nyama. Ndikulimbikitsidwa: nkhuku yokhala ndi mafuta ochepa komanso Turkey, koma osapitirira 150 g patsiku. Ng'ombe ndi mwanawankhosa ndizochepa. Zimaphatikizapo mtima, ubongo, lilime, komanso impso.
Mazira. Poyera dzira loyera limalimbikitsa. Kuchepera: dzira yolk. Chiwerengero chokwanira cha mazira athunthu sabata iliyonse ndi 2.
Zinthu zamkaka. Yalangizidwa: kawiri pa tsiku, kapu imodzi ya mkaka wamafuta ochepa, kapu ya tchizi yamafuta ochepa komanso tchizi chochepa kwambiri. Zochepa kwa: tchizi chamafuta ndi mkaka wonse. Kupatula: kirimu, kirimu wowawasa, mkaka wamafuta, ayisikilimu ndi tchizi cha zonona.
Masamba ndi zipatso. Chotsimikizika: 500 g tsiku lililonse masamba kapena zipatso, zipatso, nandolo ndi nyemba. Zochepa: mbatata yokazinga mu mafuta a masamba (pazomveka kamodzi pa masiku 7). Kupatula: mbewu za muzu.
Zogulitsa chimanga. Analimbikitsa: rye mkate ndi chinangwa, oatmeal pamadzi, buckwheat porridge. Kupatula: pasitala, mikate yoyera. Kupatula: kuphika.
Maswiti ndi zakumwa. Yalangizidwa: Tayi wopanda mafuta komanso tiyi wopanda mphamvu. Madzi amchere. Zochepa: mowa ndi shuga. Kupatula: maswiti, koloko wokoma, kupanikizana.

Pali mitundu iwiri ya zakudya zamatenda a mtima:

Zakudya za mtundu woyamba. Cholinga chake ndi kupewa matendawa. Mtundu woyamba wa zakudya umakhazikitsidwa ndi zoletsa za mazira, nyama yamafuta, mafuta, impso ndi chiwindi, margarine ndi nsomba zamafuta.
Zakudya za mtundu wachiwiri. Uku ndiko kudya kwa atherosulinosis, kale ngati matenda anakhazikitsidwa. Ichi ndi chakudya cholimba. Maziko a mtundu wachiwiri wa zakudya ndizoletsa pazakudya zamafuta ambiri mokomera mapuloteni.

Makina pafupifupi a atherosulinosis a sabata limodzi:

Chakudya cham'mawa: supuni ya uchi, kapu imodzi ya mkaka wopanda mafuta ndi phala la buckwheat.
Chakudya chamadzulo: zipatso ndi ndiwo zamasamba 1-2, tiyi wopanda mafuta kapena khofi wofooka.
Chakudya chamasana: mbatata zosenda, saladi wamasamba, nyama yamwana wamchere.
Chakudya chamadzulo: oatmeal pamadzi, kapu ya mkaka wa skim.
Musanagone: kapu ya kefir wopanda mafuta.

Chakudya cham'mawa choyamba: semolina phala pamadzi, zipatso za 1-2, tiyi wobiriwira.
Chakudya cham'mawa chachiwiri: masamba 1-2, kapu imodzi ya mkaka.
Chakudya chamadzulo: supu yamasamba, mpukutu wouma kapena mkate wa rye ndi chinangwa.
Zosadya: zipatso 1-2, tiyi wobiriwira.
Chakudya chamasana: nsomba zamchere zamafuta ochepa, kagawo ka tchizi wopanda mafuta, decoction ya zipatso.

Izi zimatha kusinthidwa ndikuphatikizidwa malinga ndi zomwe mukufuna. Ndikulimbikitsidwa kuti musankhe chilichonse kuchokera muzakudya malinga ndi Organov ndi olemba nawo ndikuwaphikira mbale zomwe amakonda.

Mothandizidwa ndi wowerengeka azitsamba, ndizosatheka kuchiritsa matenda a ubongo, koma ndi chithandizo chawo ndizotheka kuchepetsa pang'ono zoyipa za chakudya ndi zinthu zakunja. Chithandizo cha matenda amiseche kunyumba:

Tiyi wopangidwa kuchokera ku burdock, ntchafu, mbewa, mankhwala a ndimu kapena phulusa laphiri. Chilichonse mwazomera izi ndizodzaza ndi ma michere ndi mavitamini. Imwaniyi tiyi 1-2 pa tsiku.
A decoction a rose m'chiuno, timbewu ndi sitiroberi masamba. Pukuta gawo louma la mbewu ndikusonkha supuni ya chilichonse. Thirani ndi magalasi asanu ndi limodzi amadzi otentha ndipo mulole amadzimadziwo kwa maola angapo. Kwa miyezi itatu, imwani 100 ml tsiku lililonse ola limodzi musanadye.
Tincture wa hawthorn. Tengani supuni ya chipatso cha mbewu ndikutsanulira makapu awiri awiri amadzi otentha. Imwani supuni imodzi m'mawa uliwonse musanagone.

Kodi matenda amtundu wa m'mimba ndi chiyani?

Atherosulinosis yaubongo ndi chotupa cham'mimba chomwe chimakhala ndi cholesterol malo omwe amachepetsa lumen pakati pa khoma la zotengera, kapena mudzaze kwathunthu.

Matenda ovuta chonchi, m'magawo ake oyamba, amatuluka mosavuta komanso popanda zizindikiro, chifukwa chake ndizosatheka kuzindikiritsa kuyambira masiku oyamba, koma ngati mukuyamba kuzindikira chizungulire komanso tinnitus, ndi nzeru kukaonana ndi dokotala.

Zoyambitsa Atherosulinosis

Zomwe zimachitika ndi matenda otere, komanso zomwe zimapangitsa kuti ziwonjezeke, ndizothandiza kwa aliyense m'banjamo yemwe muli munthu yemwe ali ndi matenda a atherosulinosis. Kupatula apo, cholesterol imadziunjikira kwazaka zambiri m'matumbo a ziwalo zosiyanasiyana za thupi, chifukwa cha zolakwa zomwe timaloleza tokha kupanga kuchokera paubwana.

Zinthu zomwe zimakhudza matendawo ndi chitukuko:

organic in lipid metabolism,
matenda oopsa, nthawi zambiri amatsagana ndi 140/90,
kusuta kwa nthawi yayitali,
shuga ndi zovuta zina ndikuphwanya kagayidwe kazakudya,
kukhumudwa kwa mahomoni ndi kusagwira bwino ntchito, kutanthauza dongosolo la mayi kapena wamkazi, ndi mavuto omwe amapezeka m'matumbo a chithokomiro.
kunenepa kwambiri kwamtundu uliwonse, kunenepa kwambiri,
moyo wongokhala, wodekha,
chibadwa, kubadwa (ngati atherosulinosis yapezeka mwa mayi kapena bambo),
Zakudya zosayenera, zopanda thanzi,
zaka zopitilira 45
kupsinjika, kupsinjika,
matenda opatsirana oyamba
kuchuluka kwamitsempha wamagazi ndi mavuto a kusokonekera,
oxygen yosakwanira kulowa mu ma cell aubongo.

Chithandizo cha atherosulinosis ndi wowerengeka azitsamba, yothandiza kwambiri

Mankhwala achikhalidwe amapereka chithandizo chofatsa, poyerekeza ndi mankhwala, kotero kuti pali zotsutsana zochepa komanso zoyipa zake. Ndikofunikira ndi chithandizo chotere kuti mupeze Mlingo wokhwima komanso malingaliro onse ogwiritsira ntchito.

Chinsinsi 1

Sakanizani mulingo wofanana wa rosehip, oats, sitiroberi ndi masamba a timbewu (zosakaniza zonse ziyenera kukhala zowuma), tengani supuni ziwiri za kusonkhanitsa ndikuwatsanulira ndi makapu awiri a madzi owiritsa, otentha, kuphika pafupifupi theka la ola pamtunda wochepa, mulole ubwere, udzu. Imwani chakumwa cha theka chikho chilichonse musanadye. Maphunzirowa sachepera mwezi umodzi.

Chinsinsi 2

Uchi ndi imodzi mwanjira zotsika mtengo komanso zogwira ntchito pochizira matenda a atherosulinosis, kukonza kothandizirana ndi kophweka ndikosavuta, zotsatira zake sizitenga nthawi yayitali. Sakanizani 100 ml ya uchi wamadzimadzi, watsopano wofinya mandimu ndi mafuta a masamba, gwedezani bwino. Tengani supuni ziwiri tsiku lililonse, m'mawa pamimba yopanda kanthu, ndi kapu yamadzi ofunda.

Pali njira inanso, imalimbikitsidwa pokhapokha ngati palibe kunenepa kwambiri. M'mawa uliwonse muyenera kumwa supuni ya mpendadzuwa kapena mafuta a maolivi, ndipo usiku, musanagone, gwiritsani ntchito supuni ya uchi.
M'magawo onse awiriwa, njira ya chithandizo ndi payekhapayekha, kusintha komwe kumaoneka bwino mthupi komanso mwazonse.

Chinsinsi chachitatu

Kwa miyezi ingapo, pamimba yopanda kanthu m'mawa, ndikofunikira kutenga msuzi wa mbatata imodzi yopezeka ndi njira yochotsera, zotsatira zake sizitenga nthawi yayitali. Chofunikira, juwisi ayenera kukonzedwa mwatsopano musanagwiritse ntchito..

Chinsinsi 4

Masamba a sitiroberi, ma rhizomes a dandelion ndi mankhwala a mandimu, amalumikizidwa molingana. Mu 500 ml ya madzi otentha, ikani supuni yotsekemera ndi yosalala kwa ola limodzi pamoto wochepa, mutatha kuzirala, kupanikizana ndikutenga buku lonse lophika tsiku lonse. Maphunzirowa ndi miyezi 2-3.

Chinsinsi 5

Chekani bwino m'chiwuno chatsopano kapena chowuma, ndikuyika mumtsuko wa 0,5 lita (gawo lachitatu la botolo liyenera kudzazidwa), tsanulirani malo onse otsalawo mbale ndi vodka ndikuchoka kwa masabata atatu m'malo abwino, abwino.

Pambuyo pa nthawi yomwe mwakonzekererayi, vutani tincture kudzera m'magawo anayi a gauze ndikumwa supuni imodzi musanadye, katatu patsiku, mutha kuthanso madontho 20 a shuga ngati simungathe kumwa tincture wake mwa mawonekedwe ake. Maphunzirowa sapitirira miyezi 1.5, pambuyo pake muyenera kupuma.

Chinsinsi 6

Supuni ziwiri za zipatso za hawthorn zimatsanulira 200 ml ya madzi otentha, chivundikiro, kusiya kwa mphindi zingapo, mavuto ndi kumwa mamililita 40 theka la ola musanadye chakudya chachikulu chilichonse. Maphunzirowa ali motere: Milungu iwiri ya chithandizo / milungu iwiri yopuma, ndi miyezi itatu.

Chinsinsi 7

Pukusirani anyezi wamkulu umodzi pogwiritsa ntchito blender kapena grater, kuphatikiza ndi theka la kapu ya shuga, kunena motsimikiza kwa tsiku, kumwa supuni 0,5 pa ola limodzi musanadye, katatu pa tsiku. Chidacho chitha kugwiritsidwa ntchito posakhala mavuto ndi m'mimba komanso chikhodzodzo, chifukwa kusakaniza koteroko kumalimbikitsa kupangika kwakukulu kwa madzi a m'mimba. Maphunzirowa ndi masiku 14.

Chinsinsi namba 8

Sakanizani magalamu 100 a msuzi watsopano ndi 800 ml ya mowa wamphamvu, tsimikizani kwa masiku awiri. Tengani supuni ya tincture kamodzi patsiku, gwirirani osakaniza musanayambe ntchito. Imwani mosalekeza buku lonse lophika, yambani maphunziro otsatila posachedwa pambuyo pa miyezi iwiri.

Chinsinsi 9

1) Cheka bwino magalamu 50 a adyo watsopano ndikutsanulira 200 ml ya mowa wamphamvu kapena mowa wothira, tsekani chivindikiro ndikuumirira masiku atatu. Tengani madontho 10 a tincture, pa supuni ya madzi, katatu patsiku, mukatha kudya. Maphunziro ochepera 45 masiku.

2) ikani mutu wa adyo wowonda paboma lophika, ikani mumtsuko ndi kutsanulira mafuta mamilimita 200 a mafuta otenthetsedwa pang'ono, kutseka kwambiri, ndikuumiriza mufiriji kwa masiku atatu. Tengani 5 ml ya osakaniza wothira mchere wofanana ndi mandimu, katatu patsiku mukatha kudya. Maphunzirowa ndi miyezi 4.

Zofunika! Onetsetsani kuti mwalandira chithandizo mosamala, ndikukhala ndi matenda oopsa komanso kusintha mwadzidzidzi magazi, komanso anthu omwe ali ndi matenda am'mimba.

Chinsinsi namba 10

1 mbali mwatsopano grated horseradish, kusakaniza ndi magawo 10 otsika mafuta, kirimu wowawasa kirimu. Idyani katatu patsiku kwa 30 gramu, woyamba uyenera kukhala pamimba yopanda kanthu. Sungani zosakaniza zomwe zakonzedwa mufiriji kwa masiku atatu, ndiye zatsopano ziyenera kukonzedwa. Maphunzirowa ndi milungu 3-6.

Chinsinsi 11

Pogaya gulu la parsley watsopano, ikani teapot m'malo mwa tiyi, kutsanulira theka la lita imodzi ya madzi otentha. Tengani kapu musanadye chakudya cham'mawa komanso musanadye, kwa mwezi umodzi, tsiku lililonse.

Chinsinsi 12

Mu 250 ml ya vinyo wofiira, wouma, onjezani mchere wa zotsatirazi - ma cloves, Cardamom, nutmeg, ginger wouma, komanso theka la supuni ya sinamoni, peel lalalanje ndi 0,5 chikho cha shuga, gwedezani chilichonse bwino ndi kumwa 2 kawiri pa tsiku, 15 ml iliyonse; sungani osakaniza mu firiji. Kuchuluka kwake kumakhala kokwanira pa maphunziro amodzi.

Kupatsa thanzi kwa matenda amiseche

Kutsatira zakudya ndi zopatsa thanzi pazochitika izi ndi chitsimikizo cha ziwiya zoyera komanso kuchira msanga, komanso zakudya zotere zimathandiza kuchepetsa thupi.

Ndi mitsempha ya m'magazi, zotsatirazi siziyenera kuphatikizidwa:

shuga, maswiti, chokoleti,
misuzi yosiyanasiyana, ma ketchups, mayonesi,
zopangidwa ndi ufa woyera, komanso zophika zatsopano zilizonse,
masoseji, nyama zotsekemera, mankhwala omalizidwa,
fodya, zakumwa zoledzeretsa,
mafuta amitundu yambiri, nsomba, zakudya zam'chitini ndi mphodza kuchokera kwa iwo, kuphatikizapo caviar,
mafuta anyama,
semolina ndi mpunga
zipatso zokoma ndi zipatso zouma: ma apricots owuma, deti, nthochi, mphesa, ma supimmons, ndi zina zambiri,
zakumwa zoziziritsa kukhosi
bowa ndi msuzi, komanso msuzi wokhala ndi nyemba,
tiyi wamphamvu, khofi, koko.

Ndizotheka ndi matenda a arteriosulinosis:

mkaka wamafuta ochepa ndi zinthu mkaka wowawasa,
tiyi wofooka ndi mandimu, wobiriwira bwino, nthawi zina mumatha kukhala ndi khofi yofooka,
timadziti tamasamba atsopano, zipatso zopanda zipatso ndi zipatso zake, makamaka zaubweya, chitumbuwa, kiranberi ndi sitiroberi wamtchire,
makanema ndi tiyi kuchokera ku duwa lakuthengo, kapena zakudya kuchokera ku tirigu wam'mera ndi duwa lakuthengo,
Buledi wopanda shuga, masikono,
msuzi ndi borscht pa nyama yopendekera kapena msuzi wa masamba,
mussel, shrimp, nsomba zam'madzi, nsomba zonenepa kwambiri,
nkhuku ndi nyama yamwana wamchere,
ndiwo zamasamba ndi batala, ndibwino kuwonjezera kuchuluka kwa chakudya chamagulu,
mazira ayenera kupezeka mu zakudya katatu pa sabata,
masamba: kabichi, kaloti, zukini, nandolo wobiriwira, mbatata, amadyera, biringanya, beets,
mapira, bulwheat, oatmeal, pasitala yamitundu yolimba,
kupanikizana, shuga, uchi ungakhale wocheperako,
mchere wochepa.

Malamulo oyambira azakudya a atherosulinosis

Idyani nthawi zambiri, nthawi 4-7 masana, m'magawo ang'onoang'ono omwe amatha kukhala m'manja mwanu.
Perekani zokonda zonyowa m'mbale yophika kapena yophika.
Kudya zakudya zamchere komanso zopanda mchere.
Werengani kuchuluka kwa zakudya zopatsa mphamvu. Zakudya za tsiku ndi tsiku za mkazi zimayenera kukhala 1500 kcal, kwa bambo mpaka 1800 kcal.
Chepetsa zakudya zokhala ndi chakudya chamafuta.
Imwani madzi okwanira 1.2-1,5 malita tsiku lililonse.

Mulingo woyenera, kuwerengetsa kwa mankhwala a atherosclerosis a tsiku limodzi:

Kwa anthu onenepa kwambiri: 300 magalamu a chakudya, 70 magalamu amafuta, magalamu 90 a protein.
kwa anthu omwe ali ndi kulemera kwabwino: magalamu a 350 a chakudya, magalamu 80 amafuta, magalamu 100 a protein.

Kodi matenda amtundu wamatumbo ndi ati

Matenda osachiritsika, omwe mkati mwake makoma am'mitsempha muubongo amakumana ndi kutsimikizika kwa mapapo, omwe pambuyo pake amasintha kukhala minyewa yolumikizana ndikuchepetsa lumen ya zotengera, kusokoneza kutuluka kwa magazi konse, kumatchedwa atherosulinosis yamitsempha yamafongo. Zimachitika mwa anthu azaka zapakati komanso zakale. Malinga ndi ziwerengero, ambiri mwa anthu omwe akudwala atherosulinosis ndi amuna okulirapo kuposa 50.

Zomwe zimayambitsa matendawa

Zomwe zimayambitsa chitukuko cha ubongo ndi kuphwanya mafuta kagayidwe, chifukwa chake cholesterol imayikidwa m'matumbo. Ali aang'ono, samadwala matendawa, chifukwa m'matumba oyipa oterewa amawonekera patatha zaka 30. Kuchedwa cholesterol mitundu atherosulinotic malo. Cerebral atherosulinosis ya ziwiya zamafuta am'mimba amayamba chifukwa cha kuchepa kwa magazi, komwe kumafotokozedwa ndi ischemia. Nthawi zambiri zimayambitsa mikwingwirima.

Chiwopsezo chachikulu cha matendawa mwa anthu omwe:

utsi
onenepa
kupanikizika pafupipafupi,
kudwala matenda othamanga magazi,
sunthani pang'ono
kumwa mowa kwambiri
odwala ndi matenda ashuga
kuchuluka magazi kuundana,
khalani ndi cholowa chamtsogolo.

Zizindikiro zake

Poyambirira, matendawa amatha kuonekera m'njira iliyonse. Chifukwa chake, ndikofunikira kwambiri, kukhala ndi lingaliro lakutsogolo kwa atherosclerosis, kuunikiridwa isanayambike zizindikiro zoyambirira. Izi zikuthandizira mwachangu osati mwachangu kuthetsa mavuto omwe amayambitsa matendawa. Mu magawo oyamba, atherosulinosis ya ubongo imawonekera ngati neurosis. Amawonetsedwa ngati kusintha kwa malingaliro, kulingalira, chidwi cha ntchito ndi zosangalatsa zimawonekera, zizindikiro za kusayenda bwino kwa ubongo zimadziwika.

Komanso magawo oyamba a atherosulinosis amadziwika ndi zovuta za asthenic komanso mawonekedwe a psychopathic. Poyamba, wodwalayo amadandaula:

kutopa
kuchepa kwa magwiridwe
mutu
kukumbukira zoipa
kuvutika kuganizira kwambiri ndikusinthira ku mtundu wina wa zochitika,
kulemera, kupsinjika pamutu,
chizungulire
kudziwa zam'mimba.

Kwa chiwonetsero cha psychopathic cha matendawa, kupsya mtima, kupsa mtima, ndi mkwiyo ndi chikhalidwe. Ngati machitidwe ofananawo adawonedwa m'mbuyomu wodwala atherosulinosis, matendawa angawakulitse. Kuphatikiza apo, munthu amakhala wopanda pake, kutanthauza, kugona, kunyoza. Zidwi zimatanganidwa ndi zosowa zawo, mpaka kuti zofunikira zokha zakuthupi, monga kudya ndi kugona, zitha kuda nkhawa za wodwala yemwe ali ndi matenda a ubongo.

Mawonetseredwe azachipatala a matenda amiseche amodzi amadziwika ndi maonekedwe okayikitsa. Matendawa amakhala chifukwa cha malingaliro onyenga omwe anthu oyandikana nawo amafuna kulanda wodwalayo, achibale achiwopsezo. Nthawi zambiri, chifukwa cha matenda, amasiya kudalira luso lawo. Odwala atherosulinosis amayamba kukayikira kukhalapo kwa matenda oopsa ndikupita kukayezetsa zosiyanasiyana kuti madotolo atsimikizire zomwe amakhulupirira, ngakhale palibe chifukwa chodera nkhawa. Pa mawonetseredwe azachipatala, zomverera zachilendo nthawi zina zimawonekera - kuphika kumbuyo kwa mutu kapena miyendo.

Kodi kuchitira atherosulinosis ya ubongo

Pofuna kupewa zovuta, ndikofunikira kusankha momwe mungachiritsire matendawa mutazindikira kuti matendawa atapezeka. Pambuyo pake magawo a matenda amtundu wa ubongo amakhala pachiwopsezo cha kuwonongeka kwa sitiroko, njira zovuta za matenda amisala. Chifukwa chake, ndikofunikira kwambiri kuti mumvetsetse zomwe zili zoopsa atherosulinosis komanso momwe mungathane nayo. Mankhwalawa amatchulidwa ndi adotolo ndipo zimatengera kuopsa kwa matendawa.

Mankhwala

Mankhwala osokoneza bongo a atherosulinosis amatha kokha mu gawo loyambirira. Chithandizocho chimagwiritsidwa ntchito mapiritsi omwe amachotsa chizindikiro cha matendawa. Mankhwala akuluakulu ndi mankhwala ochepetsa mphamvu ya matenda oletsa kuponderezana (kapena munthu atakhala wachiwawa). Koma mankhwalawa okha sangakwanitse kuthana ndi matendawa ndipo mavitamini amafotokozedwa omwe amathandizira kulimbitsa mitsempha yamagazi ndikuwongolera magazi.

Mankhwala ena amafunikira kupitiliza kugwiritsidwa ntchito kwa odwala omwe ali ndi atherosulinosis. Zimafunikira kwambiri kuti muchepetse cholesterol ndikuwongolera metabolism yamafuta. Mankhwalawa akuphatikizapo:

Kudya

Muzochita zingapo zomwe zimafuna kuthana ndi atherosulinosis, zakudya zoyenera sizotsiriza. Zakudya zina ziyenera kuchitika. Kuchuluka kwa zomwe wodwala amadya moyenera zimatengera zamankhwala kapena opaleshoni. Wodwalayo ayenera kutsatira zakudya zopatsa thanzi, kudya zakudya zopatsa mavitamini, osasiya izi:

Zopangira mkaka wowonda wokhala ndi mafuta ambiri.
Shuga
Confectionery
Nyama Yamafuta - Chakudya sichimaletsa kugwiritsa ntchito nyama ya nkhuku ndi nsomba.
Tiyi wamphamvu, khofi, koko.

Zochita zolimbitsa thupi (zolimbitsa thupi)

Zochita zolimbitsa thupi ndizothandiza kuthana ndi matendawa. Choyamba, imalimbitsa thupi ndikuyenda bwino kwathunthu, ndipo chachiwiri, masewera olimbitsa thupi amasintha metabolism ya lipid. Kuchita masewera olimbitsa thupi ndikofunikira kuti muperekenso chithandizo chokwanira cha matenda a ubongo. Ndikofunikira kuyamba kusewera masewera ndi masewera osavuta, olimbitsa thupi, kenako ndikuwonjezera katundu, kutengera thanzi la wodwalayo. Zochita zolimbitsa thupi zimakhala ndi masewera apadera. Palibe zovuta zomwe mungagwiritse ntchito - zili kwa inu ndi dokotala.

Zithandizo za anthu

Poyambirira, chithandizo cha matenda amtundu wa khansa kunyumba nchotheka mothandizidwa ndi wowerengeka azitsamba. Mankhwala osagwiritsidwa ntchito masiku onse amadziwa zambiri za matendawa ndipo ali ndi maphikidwe ambiri othana nawo. Koma simuyenera kumangoganiza nokha. Chithandizocho chimaperekedwa ndi adokotala okha, kapena ayenera kudziwa momwe wodwalayo akulimbana ndi matendawa. Musanagwiritse ntchito njira ndi njira zilizonse, kufunsira akatswiri ndikofunikira.

Zochizira matenda a arteriosranceosis wowerengeka azitsamba monga maphikidwe otchuka awa:

Imwani supuni zitatu za mafuta a masamba tsiku lililonse (makamaka azitona).
Idyani msuzi umodzi wa mbatata m'mawa uliwonse kwa miyezi ingapo.
Pamimba yopanda kanthu idyani uchi wosakaniza, mandimu, mafuta a masamba. Zosakaniza zonse zimatengedwa zofanana.
Supuni ya mbewu za katsabola, wothiriridwa mu kapu yamadzi otentha, ithandiza kuthetsa mutu. Kugwiritsa kulowetsedwa supuni 4 pa tsiku.
Tincture wa Garlic - mandimu 1 amatengedwa pamutu umodzi wa chomera. Zosakaniza zake ndizopaka, zosakanizidwa, zodzaza ndi 0,5 l yamadzi ndikuthiriridwa kwa masiku anayi. Imwani supuni ziwiri m'mawa.
Chithandizo cha zitsamba. Sophora wa ku Japan wazitsimikizira bwino. Tincture wakonzedweratu motere: kutsanulira kapu yosankhidwa mu 0,5 l vodika ndikuumirira mufiriji kwa masabata atatu. Tengani supuni 1 musanadye. Katatu patsiku. Maphunzirowa amatenga miyezi itatu.

Opaleshoni

Njira yolimbana ndi atherosulinosis ndiyofunikira pakudziwitsa vasoconstriction ndi oposa 70%, ndipo peresentiyo imatsimikiziridwa ndi ultrasound. Ndi mitengo yochepetsetsa, wodwala ayenera kufunsa dokotala wa opaleshoni ya mtima. Dokotala yekha ndi amene amasankha ngati opaleshoni ndiyofunikira. Njira yodziwika yothetsera zolembera ndi njirayi ndi carotid endarterectomy. Opaleshoniyo imaphatikizapo kupukuta khoma la chotengera chomwe chasokonekera ndikuchotsa thrombus. Pambuyo pake, imalungika.

Njira zopewera

Kukhazikika kwa matendawa kumakupangitsani kuganiza za kupewa kwa matenda a ziwongo. Pali njira yolepheretsa - gwiritsitsani moyo womwe umathandizira kusintha magazi:

Pewani zizolowezi zoipa (kusuta fodya ndi mowa).
Gwiritsitsani kulemera kwabwino.
Idyani pomwe.
Pitani pa zamasewera, yoga.
Yambitsani mutu, kumbuyo, malekezero ena, zone kolala.
Bweretsani kuthamanga kwa magazi kukhala kwazonse.
Lamulirani shuga.
Yang'anirani cholesterol yanu.
Pitilizani kulumikizana ndi dokotala.

Ndi dokotala uti amene ndiyenera kulumikizana ndi matenda ake?

Atherossteosis sangathe kudziwonetsa nthawi yomweyo. Kwa zaka zingapo, wodwala nthawi zina samakayikira izi. Pozindikira matendawa, anthu nthawi zambiri samadziwa kuti ndi dokotala uti amene amathandiza matendawa. Ngati mukuganiza kuti matendawa ali ngati anthu ena okhudzana ndi magazi, muyenera kulumikizana ndi a mtima - amathandizira komanso kuwunika matenda amitsempha yamagazi. Koma izi sizitanthauza kuti dotolo winayo sangawone zizindikiro za matendawa ndipo sadzatumizidwa kuti akamuyeze.

Victoria, wazaka 65, Voronezh Pazaka pafupifupi 45, ndidapezeka ndi matenda a shuga. Amatsatira zakudya zinazake za anthu odwala matenda ashuga. Zaka ziwiri zapitazo, mutu wanga udayamba kupweteka, zosokoneza zidawonekera. Ndidatembenukira kwa othandizira, omwe adanditumizira kwa dokotala wamtima. Dokotala adazindikira matenda amisempha. Pambuyo pake, adapereka mankhwala ndikuwalangiza kuti amwe kulowetsedwa kwa mbewu za katsabola. Pakupita pafupifupi mwezi, kupweteka kwa mutu kudatha. Matendawa sanathenso kuchoka, koma tsopano sindidwalanso.

Nikolay, Tyumen wazaka 53. Kuyambira ndili mwana ndinali wonenepa kwambiri, ndinadwala izi, koma sindinalimbane ndi vutoli. Posachedwa pomwe ndidazindikira kuti ndinazinyalanyaza pachabe nditatsimikiza za ubongo wa ubongo. Tsopano madotolo amandipatsa zakudya zokhwima, mankhwala omwe ndimalandira komanso masewera olimbitsa thupi. Amati ngati sinditsatira malangizo onse, pakufunika opareshoni. Zonenedweratu sizabwino. Ndimayenera kuchita chilichonse.

Alexander, wazaka 67. Moscow Ndimakumbukira momwe abambo anga adadwala ndi atherosermosis yamitsempha yamagazi muubongo, ndipo sindinkafuna kukhala senile yakale ngati iye. Pa moyo wa abambo anga, ndinayamba kuganizira zopewetsa matendawa. Anasiya kusuta, anayamba kusewera masewera, kusinthasintha zakudya zabwino. Anali ku dotolo posachedwa, adandiuza kuti atherosulinosis sapezeka mwa ine.