Matenda a matenda ashuga a m'munsi malekezero

Kwa zaka zambiri, kulimbana ndi matenda oopsa osagonjetseka?

Mkulu wa Sukulu: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiza matenda oopsa tsiku lililonse.

Chithandizo cha matenda ashuga am'magazi a m'munsi kwambiri ziyenera kuyamba posachedwa pofuna kupewa zovuta za matenda. Nthawi zambiri matendawa amawonekera mwa anthu odwala matenda ashuga omwe samasamalira thanzi lawo ndipo samamwa mankhwala. Nthawi zambiri malekezero am'munsi amakhudzidwa chifukwa chakuti kayendedwe ka magazi ka ziwiya zimasokonekera mwa wodwalayo, pomwe kupweteka kwambiri kumawonekera. Izi zimalumikizidwa ndi katundu wamkulu pamiyendo. Ngati simutayamba kulandira chithandizo munthawi yake, mavuto akulu akhoza kuchitika.

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

A shuga angiopathy amadziwika ndi kupendekera kwakatundu kakang'ono ndi zazikulu zombo. Motere, ntchito ya ziwalo zamkati imasokonezedwa nthawi zambiri. Maselo angiopathy am'munsi kwambiri mu shuga amapezeka mwa anthu omwe akhala akudwala nawo kwa zaka zitatu. Ambiri samakayikira ngakhale izi.

Zomwe zimayambitsa chiwopsezo cha angiopathy ndi:

thupi siligwirizana bwino ndi insulin,
kunenepa
kuchuluka kwa magazi
kagayidwe kachakudya
chimanga ndi kudula kumapazi,

kuthamanga kwa magazi,
kuvulala kwa msomali ndi kuvulala,
kuthamanga kwa magazi
hypothermia yamiyendo.

Chofunikira chimodzimodzi ndi zaka za odwala matenda ashuga, moyo wake komanso zizolowezi zake zoyipa. Mwa ena, matendawa amakwiya chifukwa chobadwa nawo. Chifukwa chake, odwala matenda ashuga ayenera kuyang'anira miyendo yawo mosamala ndikuwateteza ku kuvulala kosiyanasiyana. Kulumikizana panthawiyi kuchipatala kungathandize kuyimitsa matendawa.

Zizindikiro za matendawa zimatha kukhala zosiyana, zonse zimatengera kutalika kwa matendawo komanso machitidwe a munthu.

Kuphatikiza apo, kuwonongeka kwa mtima kungakhale kochepa, ndipo kumatha kulanda ziwalo zofunika, zomwe zimakhala zowopsa.

Zizindikiro za matendawa

Zizindikiro za matendawa zimawonekera pang'onopang'ono, ndipo nthawi zambiri odwala sangadziwe zizindikiro zoyambira. Dokotala amafunsidwa ngati zizindikiro monga kugona dzanzi ndi kupweteka poyenda zikuwoneka.

Kuphatikiza apo, odwala matenda ashuga akhoza kukumana ndi zovuta zotsatirazi:

Kutsika kowoneka bwino.
Ntchito ya impso imasokonekera.
Minofu ya mtima imakhudzidwa.
Njira yamaubongo ndi yofooka.

Mu gawo lotsogola la mtima wamatenda, gangore yam'mphepete imayamba, yomwe singathe kuchiritsidwa. Poterepa, kudulidwa kwamadera akumunsi ndikulimbikitsidwa.

Ngati ndi matenda a shuga a mellitus panali ululu m'miyendo, ndipo zimavuta kupondapo, ndiye kuti muyenera kulumikizana ndi dotolo wanu ndikupita kukayezetsa.

Pali magawo 4 a angiopathy:

Zizindikiro zake sizikupezeka, matendawa amapezeka mwamwayi akafufuzidwa ndi dokotala.
Wodwala amakhala ndi kuwonda komanso kupweteka poyenda.
Zopweteka zimangokhala pokhapokha pakuyenda, komanso panthawi yopuma komanso kugona.
Zilonda zam'mimba, zomwe zimayambitsa gangore.

Pali mitundu iwiri yamatendawa:

Microangiopathy, pomwe ma capillaries ang'onoang'ono amakhudzidwa.
Macroangiopathy - mitsempha ndi mitsempha zimakhudzidwa.

Zizindikiro zina zitha kuonetsa matenda:

kupweteka poyenda kwa nthawi yayitali, kupumula kukupita,

miyendo imatha kuwoneka,
Mutha kuwona magazi mukatsokomola,
Khungu lomwe lakhazikika pamiyendo, lidayuma,
kuyatsidwa ndi kutentha kwa phazi,
magazi am'mphuno,
magazi pokodza.

Ngati zizindikirozi zikuwoneka, ndikofunikira kuchitapo kanthu pochiza matendawa. Dokotala amamvera madandaulo a wodwalayo, amafotokozera mayeso a labotale ndikulimbikitsa kuyesedwa kwa mtima. Kupatula apo, zizindikiro za kuwonongeka kwa phazi zimatha kuwonetsa matenda ena.

Kupima mitsempha yamagazi:

angiography (x-ray yokhala ndi othandizira osiyana),
utoto wambiri
makanema apakompyuta kudzera pa kompyuta,
kuphunzira kwa kupukusira ndi kupsinjika kwa miyendo.

Ndipo ngati matendawa atsimikiziridwa, ndiye kuti chithandizo chovuta ndicholembera.

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.

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:

Kutsika kwakukulu pamlingo wolimbitsa thupi tsiku ndi tsiku.
Kusintha chakudyacho ndikuyambitsa zakudya zochuluka zamafuta ndi chakudya chamagulu, kuphatikizapo zomwe zidachokera kumakonzedwe, ku menyu.
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:

Maonekedwe a pang'onopang'ono kapena otchedwa kulowerera pang'onopang'ono.
Kuwoneka kwa ululu poyenda, komanso nthawi zina ngakhale pakupuma.
The zimachitika kumva dzanzi mu miyendo, makamaka m'dera phazi ndi m'munsi mwendo.
Kuwoneka kumadera akumunsi, makamaka kumapazi, kumverera kwa goosebumps.
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:

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.
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.
Chithandizo cha kudzutsa matenda oopsa komanso kukhazikika kwa magazi m'magazi kumakupatsani mwayi wochepetsa kupsinjika kwa minofu ya mtima, impso ndi ubongo.
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.

Atherosclerosis obliterans ya m'munsi miyendo yamitsempha - choopsa chosasangalatsa

Chidule Matenda a mtima ndi omwe amachititsa kwambiri kulemala komanso kufa kwa anthu amisinkhu yosiyanasiyana komanso kugonana m'maiko ambiri padziko lapansi, kuphatikiza Ukraine. Komanso, kupezeka kwa matenda ashuga ndi imodzi mwazinthu zomwe zikuwatsogolera pakukula kwawo. Zoperekedwa zamankhwala, mu malingaliro athu, zikuwonetsa zotheka za matenda oopsa monga arteriosulinosis obliterans, odwala okalamba omwe ali ndi matenda a shuga 2 chifukwa cha comorbidity, kusazindikira koyambirira kwa matenda ashuga komanso atherosranceotic. Ngakhale atagwiritsa ntchito mankhwalawa wokwanira, kudula dzanja ndi manja osakhudzidwa sikungapeweke nthawi zonse. Chifukwa chake, maziko azachipatala amakono ndi chisamaliro chamankhwala ayenera kukhala kuzindikira koyambirira ndi kupewa matendawa.

M'zaka zaposachedwa, zidziwitso za pathophysiology zamatenda amtima zakhala zikusinthidwa mowonjezereka, njira zodziwira matenda, zikwangwani zam'mbuyo zikupangidwa, ndipo njira zamankhwala zikupangidwira (Kovaleva O.N., 2010). Zomwe zasinthidwa zimachokera pazodziwikiratu, zophatikizika kuzidziwitso zamavuto komanso kuyesa kwa sayansi pakudziwika kwa kufunikira kwake. Kafukufuku wambiri wa omwe akuyembekezeka kukhala ndi matenda, monga Framingham Mtima Study, adachitapo kafukufuku yemwe adaphunzira ubale pakati pa majini ndi epigenetic ndikupanga mawonekedwe osiyana siyana am'magazi amtsogolo (V. Kulikov, 2012). Zomwe zimapezeka pakuwunika kwa zotsatira zimayambitsa maziko a malingaliro othandizira kupewa matenda a mtima m'matumbo mu 1994. Pambuyo pake, kuyambira 2003, malingaliro atsopano omwe adapangidwa ndi akatswiri a magulu azachipatala asanu ndi atatu apadziko lapansi amafalitsidwa chaka chilichonse, komwe, kuphatikiza mabungwe amtima. malingaliro ndi akatswiri ochokera ku European Association for the Study of Diabetes (EASD) ndi International Diabetes Federation (IDF).

Type 2 matenda a shuga a mellitus (DM) ndi chimodzi mwazomwe zimayambitsa matenda amtima. Zakhazikitsidwa kuti ndi digiri yomweyo ya dyslipidemia, atherosulinosis odwala omwe ali ndi matenda amtundu wa 2 amakhala ndi matenda othamanga kawiri kuposa anthu omwe ali ndi vuto la metabolism (Panov A.V., Laevskaya M.Yu., 2003). Zovuta zoyipa za atherosulinosis zimachitika chifukwa cha kusakanikirana kwa ma lipoproteins ndi kusintha kwawo kwa peroxide, komwe kumawonjezera kuwonjezeka kwawo kwa atherogenicity, komanso kupezeka kwazinthu zina zowopsa za hypercoagulation, zomwe zimafotokoza makamaka zovuta za kuvuta kwachulukidwe kochokera kumbuyo kwa arterial, venous, mtima kulephera.

Pachimake arterial thrombosis monga gawo la ochepa pachimake kusakwanira, monga lamulo, kumachitika chifukwa kuphwanya umphumphu wa mtima khoma, kusintha mu heestatic dongosolo ndi kuchepa magazi. Ngakhale chitukuko cha angiosurgery komanso kutuluka kwa njira zatsopano zothandizira odwala omwe athetsa matenda a atherosulinosis, pafupipafupi kulumikizidwa kwa ziwalo mwa odwala a gululi kumafika 28% m'maiko otukuka mosiyanasiyana ndipo kumasiyana pakati pa 13.7–32.3 pa anthu zana lililonse pachaka. Kuvuta kosamalitsa kwa odwalawa nthawi zambiri kumachitika chifukwa cha kuwuma kwawo, kupezeka kwa mtima wokhudzana ndi mtima komanso matenda amisala, komanso kuwonongeka pafupipafupi kwa matenda a shuga 2 (Dryuk N.F. et al., 1991). Ngakhale pali njira zingapo zogwirira ntchito komanso zothandiza, palibe mgwirizano pa njira yosankhira njira ina yomanganso ya thrombosis ya zombo za ma calibers osiyanasiyana, kuphatikizapo gawo la akazi-popliteal.

Zizindikiro za pachimake thrombosis yam'munsi yam'munsi ndizosinthasintha, koma zingapo zosiyanitsa ziyenera kudziwika:

mwadzidzidzi kupweteka kosalekeza kumayang'ana kumbali ya mbali yakhudzayo,
kumva dzanzi komanso kuzizira,
kumverera kwa "zokwawa" monga chiwonetsero cha kuphwanya kwamvedwe.

Mukamayesa odwala, zimatsimikizira izi:

kusintha kwa khungu: kumayambiriro kwa matendawa - pallor, ndimatchulidwe amodzi otchedwa - njira ya "marble", pambuyo pake zizindikiro za matenda am'mimba zimawonekera.
kutsika kutentha kwa khungu,
kusowa kwam'mapapo pansi pamatsenga,
zovuta zakumvetsetsa kwaposachedwa (kotsekemera, kupweteka) ndi kuzama kwakuya (kopatsirana),
kuvulala kwamphamvu kwa dzanja,
kupweteka palpation minofu amadziwika ndi kupita patsogolo kwa ndondomekoyi ndi kukula kwambiri kwa ischemia,
subfascial minofu edema.

Zochita pafupipafupi, kupezeka kwa matenda osakanikirana ochepa sikubweretsa zovuta. Kuti muzindikire kutulutsa, zomwe zimayambitsa komanso kuchuluka kwa chitukuko cha ma occlusion, njira zowonjezera zowgwiritsira ntchito zimagwiritsidwa ntchito: ultrasound dopplerography, angioscanning, kusiyanasiyana ndi radionuclide angiography, bronchoscopy, bronchography, complication tomography, etc. (Zatevakhin II et al., 2002).

Njira zochizira pozizira kwambiri zosakwanira nthawi zambiri zimagwiritsidwa ntchito ngati njira yothandizira panthawi yoyambira ndi ya postoperative (Batakov S.S., Khmelniker S.M., 2003) kapena ngati njira yodziyimira yokha ndi digiri yoyamba ya ischemia (ischemia ya mavuto, kapena IA ndi IB madigiri malinga ndi gulu la V.S. Savelyev (1974).

Poterepa, gwiritsani ntchito:

anticoagulants (mwachindunji, osalunjika),
intraarterial thrombolytic mankhwala kudzera mu maola 24 oyambirira,
mankhwala antispasmodic kudzera m`mitsempha,
osagwirizana
kukonza kagayidwe kachakudya,
chithandizo cha physiotherapeutic.

Zochita za opaleshoni zimagawidwa m'magulu omwe cholinga chake ndi kupulumutsa ischemic limb (balloon catheter embolo- ndi thrombectomy, endarterectomy, opaleshoni ya opaleshoni) ndi kudula (Tregubenko A.I., Paykin A.E., 1991).

Kuwongolera kosavomerezeka kwa nthawi ya postoperative nthawi zambiri "kumapangitsa" zotsatira za opaleshoniyo (Zatevakhin I.I. et al., 2004). Kuwunikira kwakanthawi kachipatala kwa zinthu zovuta kuzisintha ndikofunikira. Odwala amatha kukhala ndi ziwalo zingapo za postischemic syndrome, zomwe zimawonetsedwa ndi kufinya kwa miyendo, maselo otupa, kuthamanga kwa mapapo ("mapapo amadzidzimu"), kupweteka kwa mtima, komanso kulephera kwa mtima, komanso chotupa cham'mimba, hematoma.

Zomwe zimachitika mutsogolo mwa odwala omwe ali ndi miyendo yochepa yam'mimba ndizokhumudwitsa. Malinga ndi zolembedwazi, mwa odwala omwe ali ndi vuto losachepera lam'mphepete, kupangidwanso kwamitsempha kumachitika mu 60% ya milandu, kudula koyambirira mu 20%, njira zina zamagazi zimayendera 20%, pomwe mchaka 55% yokha yamilandu imakhalabe ndi miyendo yonse iwiri. 25% - dulani "chachikulu". Zotsatira za Lethal mkati mwa chaka 1 kuchokera kukadula kumachitika mu 40-45%, zaka 5 mu 70%, ndipo pofika chaka cha 10, pafupifupi 100% ya ochita (Stoffers H. et al., 1991). Zomwe zimapangitsa kuti anthu azifa kwambiri mu 37% ya milandu ndi kulowerera kwa myocardial, mu 15% - stroke. Prosthetics kumayambiriro koyambira (mpaka zaka 2) imachitika mu 69.4% ya milandu yodulidwa mwendo wotsika, mu 30.3% ya m'chiuno.

Mlandu wamankhwala

Mu chotsatira chachipatala chotsatira, kukulira kwachangu kwamphamvu kwa chotupa cha chotupa cha popliteal komanso kupanga mapangidwe ovuta pamlingo uliwonse wamankhwala akufotokozedwa, omwe amatsimikizira kufunikira koyenera koyambirira kwa matenda komanso chithandizo chamankhwala cha panthawi yake.

Wodwala I., wazaka 76, adavomerezedwa ku dipatimenti ya Clinical Pharmacology ndi Age-Endocrinology of the State Institution "V.P. Institute of Endocrinology and Metabolism" Komisarenko NAMS aku Ukraine "ndi madandaulo a chizungulire, kuchuluka kwa magazi," kusokonezeka "mu ntchito ya mtima, tachycardia, kufupika kwa mpweya pakukwera pamwamba pa chipinda chachitatu, pakamwa kowuma, dzanzi la mikono ndi miyendo, kupweteka kwamiyendo mukamayenda mtunda wa> 300 m, kukokana minofu ya ng'ombe, mawonekedwe owonongeka ndi kukumbukira.

Odwala a 2 matenda ashuga wazaka 18. Kulemera kwa thupi - 82 makilogalamu, kutalika - 166 masentimita, kuzungulira kwa m'chiuno - 102 masentimita, m'chiuno cha m'chiuno - masentimita 112, mzere wamisempha ya thupi - 29.75 kg / m 2. Kuyambira pachiyambi cha matendawa, adalandira pakamwa antihyperglycemic mankhwala (metformin, sulfonylurea kukonzekera mu Mlingo wosiyanasiyana). Panthawi yachipatala, wodwalayo amatenga metformin pa mlingo wa 2500 mg, glimepiride 4 mg, enalapril 10 mg + hydrochlorothiazide 25 mg m'mawa, nebivolol 5 mg m'mawa, nthawi ndi nthawi amalimbitsa 5 mg madzulo, acetylsalicylic acid 75 mg / tsiku kwa miyezi itatu ndi itatu. Osasuta, amamwa mowa wambiri. Pambuyo pa kufufuza kwakukulu kwachipatala ndi zasayansi, kufufuza kwachipatala kunapangidwa: "Type 2 shuga, woopsa, boma. Matenda a shuga. A shuga angiopathy a m'munsi malekezero. A shuga zotumphukira polyneuropathy a m'munsi malekezero, sensorimotor mawonekedwe. Matenda a shuga a retinopathy m'maso onse awiri, osatulutsa gawo, mawonekedwe a hemorrhagic, odziletsa. Kukhwima kwa khungu lamanja. Matenda a pakhungu lamanzere. Matenda a impsoEC: matenda ashuga nephropathy, II Art. Matenda a shuga, atherosselotic, dyscirculatory encephalopathy. Matenda a cholecystitis, gawo la chikhululukiro. Matenda amitsempha yamagazimtima: kusokoneza ndi pambuyo infarction (December 2008) mtima. Mtima kulephera gawo IIA. Matenda oopsa a gawo lachiwiri, digiri yachiwiri, chiopsezo 4. Chidziwitso cha ziwiya zam'munsi. Common osteochondrosis a msana ".

Kutengera madandaulo, deta yoyeserera, ndikuwunika kwa labotale ndi kothandizirana, kupatsanso mtima, kupatsirana, kupangira mankhwala, antihypoxic mankhwala, antihyperglycemic, antiaggregant, antihypertensive ndi hypolipidemic (rosuvastatin 10 mg).

Patsiku la 9 panali zodandaula za kupweteka kwambiri phazi lakumanja, dzanzi la zala zakumanzere, kuzizira kwakanthawi, kutentha thupi mpaka 37.1 ° C. Pakufufuza: zambiri sizisintha, malo a kumaso: khungu la phazi lakumanja limachepetsedwa, limawotcha, kuzizira kukhudza ndi kutchulidwa kwamatenda, kupindika pa. dorsalis pedis ndi a. tibialis wotsogola kumanzere kumanja kulibe.

Malinga ndi kukonzanso kwa ziwiya zamagawo am'munsi ndikuyang'aniridwa kwa dokotala wa opaleshoni yamatumbo, matendawa adakhazikika: "Kuthana ndi atherosulinosis ya m'munsi mwa digiri ya III, kuwonetsa mphamvu ya chotupa chakumanzere kwakumanja, kovuta kwa malo am'munsi kumanja".

Chithandizo chotsatira chinachitika: pentoxifylline, heparin sodium 5000 IU kamodzi, motsatiridwa ndikusintha kwa enoxaparin sodium 8000 IU 2 pa tsiku, dextran / sodium chloride, nicotinic acid, drotaverin, diclofenac sodium, dexketoprofen, omeprazole, sosbitolodium / sodium / sedbitol / sodium. calcium chloride / potaziyamu chloride / magnesium chloride, mankhwala a insulin amayambitsidwa, mankhwala a dyslipidemic adakonzedwa (rosuvastatin 20 mg), antihypertensive tiba sasintha.

Ngakhale zinthu zomwe zidatengedwa, matendawo adakula. Adasankha kusamutsa wodwalayo kupita ku Dipatimenti ya Vascular Surgery ya Kiev Regional Clinical Hospital No. 1.

Tsiku loyamba. Wodwalayo adadutsana ndi arteriography ndi thrombolysis (alteplase 50 mg) ya kumanzere kwamanja, chifukwa chotsatira chake zomwe zimatha kubwezeretsa lumen ya kumtunda komanso pakati pa gawo lachitatu la popliteal artery, stenosis ya m'munsi yachitatu idatsalira pamlingo wa 60-70%. Mankhwala othandizira okhala ndi anticoagulants, antiplatelet othandizira, ma static, nikotini acid, adawonjezera mankhwala othandizira (amooticillin / clavulanic acid).

Tsiku lachiwiri. Wokhala ndi balloon angioplasty wa popliteal, kumbuyo ndi anterior tibial mitsempha kumanja (mkuyu. 1, 2) Pambuyo pa opaleshoniyo, chotupa cha dzanja lake lamanja chinakulanso, hematoma yodzala ndi madzi inatuluka.

Tsiku la 5.Matenda a wodwalawo adakulirakulira, kutsekeka kwathunthu kwa gawo lobwezeretsedwalo la chotupa cha akazi.

Tsiku la 6. Oliguria adawonekera (tsiku ndi tsiku diuresis 200 ml), kuchuluka kwa creatinine (322.0 mmol / L), urea (27,5 mmol / L), mapuloteni onse (48.0 g / L), albumin (27,6 g / L) ), magawo ena amitundu mitundu - mkati mwa malingaliro a postoperative. Pokhudzana ndi chitukuko cha kufooka kwa impso zomwe zimachitika pang'onopang'ono, zinaganiza zodula mwadzidzidzi dzanja lamanja lakumanzere pofika gawo lachitatu la ntchafu.

Mu nthawi yogwira ntchito, wodwalayo adamuwonjezera magazi m'magazi, mankhwala othandizira, kupatsanso mankhwala, hepatoprotective therapy, mpweya wambiri wothira, sodium heparin.

Tsiku lomwelo madzulo, pakuwunikidwa kotsatira, zisonyezo zam'mitsempha zinaululidwa: mphamvu zam'masamba, mawu operewera, kusokonezeka m'malo, kulephera kuchita ntchito zosavuta. Mukamayesedwa ndi katswiri wamitsempha: mutu umatembenukira kumanzere, kulumikizana kwakumaso kwa S≤D, ophunzira S≤D, kayendedwe kazithunzi kumanja kuli ndi malire, kumanja kuchokera kumanja D

Atherosclerosis ndi mtundu 2 shuga: chithandizo

Atherosulinosis ndi njira yothandizira, mawonekedwe a pathogenetic omwe ali atherosulinotic lesion ya mtima endothelium.

Kuwonekera kwa morphological kwa matendawa ndikuwonetsedwa kwa cholesterol ndi lipoproteins ya atherogenic pakhoma lamkati la zombo zam'madzi, ndikuwonongeka pang'onopang'ono komanso kuwerengera kwa zolembazo.

Zomwe Madokotala Amanena Zokhudza Mankhwalawa

Ndakhala ndikuchiza matenda oopsa kwa zaka zambiri. Malinga ndi ziwerengero, mu 89% ya milandu, matenda oopsa amachititsa munthu kugunda kwamtima kapena kugunda kwam'magazi ndipo munthu akafa. Pafupifupi magawo awiri mwa atatu a odwala tsopano amafa zaka 5 zoyambirira za matendawa.

Zotsatirazi - ndizotheka komanso zofunikira kuti muchepetse kupanikizika, koma izi sizichiritsa matendawa palokha. Mankhwala okhawo omwe amavomerezedwa ndi Unduna wa Zaumoyo kuti azichiza matenda oopsa ndipo amagwiritsidwanso ntchito ndi akatswiri a mtima pantchito yawo ndi a NORMIO. Mankhwalawa amakhudza zomwe zimayambitsa matendawa, zomwe zimapangitsa kuti athetseretu matenda oopsa. Kuphatikiza apo, pansi pa pulogalamu ya feduro, aliyense wokhala ku Russian Federation akhoza kulandira ZAULERE .

Matendawa amatenga ziwiya zazikulu komanso zazing'ono mu endothelium.

Nthawi zambiri, matenda a shuga amaphatikizidwa ndi atherosulinosis. Chifukwa chake, atherosulinosis mu matenda ashuga ndi njira ina yofanana.

Nthawi zambiri, zotupa za atherosselotic zimawonedwa mwa odwala omwe ali ndi matenda a shuga a 2, chifukwa kuwonjezera pa kagayidwe kazakudya kagayidwe kamwazi, kayendedwe ka magazi awo kamasokonezeka. Lipid kagayidwe kachakudya ndi njira yomwe imagwirizananso ndi zaka za wodwalayo, jenda, momwe amakhudzira mahomoni ndi moyo wawo.

Dyslipidemia imasokoneza njira yapamwamba ya matenda ashuga, ndipo kuwonjezera apo, imathandizira kukula kwa matendawa.

Limagwirira a chitukuko cha matenda

Kuwonongeka kwa khoma la endothelial mu atherosulinosis kumadziwika ndi mavuto osinthika.

Arterial mtima endothelium imakonda mavuto atheromatous.

Magawo otsatirawa morphological a pathological asiyanitsidwa:

Gawo la Dolipid. Munthawi imeneyi, palibe subjential Symbomatology, koma kusintha kwakanthawi kumawonedwa kale mu data yachipatala.
Masitepe a lipid. Pakadali pano, cholesterol imayikidwa pamalo omwe ali ndi chilema ku endothelium.
Sclerosis ya gawo lapansi. Pakadali pano, zolembera zimamera kudzera mu minofu yowuma. Plaque panthawiyi amakhala wowonda komanso womangidwa mwamphamvu ndi endothelium.
Atherosulinosis.
Kuletsa maphunziro.

The pathogenesis ya systemic atherosulinosis mu kwambiri shuga mellitus imasiyana zina.

Nthawi zambiri, magazi amayenda pabedi lamitsempha pomwe pali mavuto ena, mosasamala kanthu za mawonekedwe amlengalenga.Mwazi umadzaza ziwiya zonse, ngakhale chaching'ono kwambiri. Chifukwa cha izi, zimakhala ndi thupi lonse zili ndi O2.

Maselo ofiira amakhala ndi puloteni wapadera - hemoglobin, yomwe imanyamula katundu mogwirizana ndi okosijeni.

Pophwanya kuchuluka kwamitundu yosiyanasiyana ya zinthu m'magazi am'magazi, komanso kuwunika magazi, kuphwanya kwa mawonekedwe a lipid kumayamba. Choyamba, kuchuluka kwa mapuloteni, zakudya zam'mimba ndi kusintha kwa lipids.

Plasma yaulere imayang'aniridwa ndi cholesterol yaulere, kudzipatula kwa ma atherogenic komanso sanali atherogenic ulalo lipoproteins kumachitika. Mlingo wa anti-atherogenic zinthu umachepa ndipo mbali zoyipa zimamera.

Kupatukana koteroko mu lipid sipekitiramu kumachitika nthawi yamapeto ya atherosulinosis. Ndi kudzikwanira kokwanira, gawo lapansi limapanga cholumikizira chachikulu cha atherosulinosis - cholembera.

Kwa nthawi yayitali, zotupa za endothelium zimakhala asymptomatic. Koma patapita kanthawi, zolekanitsa zimapangidwa pamwamba pa zolembazo, momwe zimayikamo mapulateleti. Pambuyo pa izi, matendawa amayamba kupita patsogolo ndipo nthawi yomweyo, ischemia ya minofu yomwe imaperekedwa kwa chotengera chimayamba.

Chifukwa chake, mapangidwe a atherosulinotic thrombus amachitika, omwe angayambitse kukula kwa matenda oopsa.

Njira zochizira

Kuti muyambe kulandira chithandizo, muyenera kulipiritsa matenda a shuga, chifukwa ndicho chimayambitsa matenda. Kuti izi zitheke, monga shuga wamagazi, kukhathamiritsa, cholesterol, kagayidwe, ziyenera kukhala zofanana.

Mankhwala a atherosulinosis akuphatikizapo:

kusiya kusuta
matenda a cholesterol komanso shuga m'magazi,
kupewa kuthamanga kwa magazi,
kulimbana ndi kunenepa kwambiri.

Chifukwa chake, zakudya zapadera zimaperekedwa kwa wodwala, momwe mumapezeka zakudya zamagulu ochulukirapo ndi mafuta a nyama samaphatikizidwa ndi zakudya. Ndikulimbikitsidwanso kutenga kukonzekera kwa potaziyamu, mahomoni a anabolic, omwe amathandizira kuyeretsa kwamitsempha yamagazi ndikukula kwawo. Nthawi zambiri amakhala ndi matenda ashuga, odwala matenda ashuga ndi mankhwala. Kugwiritsira ntchito mankhwala a insulin ndi kuchepetsa shuga kumapitiriranso, kutengera mtundu wa matenda ashuga.

Mankhwalawa akuphatikizapo:

Ngati pali umboni, ndiye sankhani nsapato zapadera kuti mwanjira ina muchepetse katundu kumiyendo yakumunsi. Lemberani antioxidants okhala ndi vitamini E, omwe amathandiza pochotsa mitsempha. Njira zolimbitsa thupi ndi plasmapheresis nthawi zina zimakhala zofunika.

Ngati zizindikirozo zikuwonetsa kupundula kwa matendawa, ndiye kuti kuchitapo kanthu kwa opaleshoni ndikulimbikitsidwa, mothandizidwa ndi komwe kukulitsa kwa ziwiya zazikulu kumachitika ndikuyenda bwino kwa magazi. Popanga khungu lonyowa komanso kuchulukana, nthambiyo imadulidwa.

Nthawi zambiri, ngati pali zizindikiro za angiopathy, amathandiza kuyeretsa ziwiya pogwiritsa ntchito njira zina. Komabe, amafunika kuyikidwa limodzi ndi mankhwala osokoneza bongo. Zitsamba zamankhwala zithandiza kukonza kagayidwe. Kugwiritsa bwino ntchito ndi decoctions mbalame chitumbuwa kapena yarrow. Ali ndi katundu wochiritsa. Ma compress a msuzi wa aloe amatha kupaka zilonda zam'miyendo.

Zizindikiro, mankhwala ndi mavuto a kusinthana kwa atherosulinosis ya m'munsi malekezero

Mendo umathetsa atherosulinosis ndi matenda osachiritsika omwe amakhudza mitsempha yayikulu, chifukwa cha magazi osayenda bwino. Zotsatira zake, kusowa kwa mpweya wa okosijeni, komwe minofu yake imawululidwa, kumachitika osati kokha pamitolo yamagalimoto, komanso kupumula. Ichi ndi chimodzi mwazinthu zofala kwambiri zam'magazi. Matendawa amatha kupezeka mosavuta kwa anthu azaka zopitilira 70.

Malinga ndi ziwerengero, kuchokera ku chiwerengero chonse cha dziko lapansi kuchokera ku atherosulinosis zimakhudza 15 mpaka 20%, ndipo awa makamaka akuyimira kugonana kwamphamvu.Nthawi yomweyo, OASNA imatha kupanganso ngati nthumwi zamitundu ina.

Kupewa

Kuti matenda ashuga asakhale ndi matenda monga angiopathy a ziwiya zamagawo am'munsi, njira zoyenera kuziwonera ziyenera kuonedwa. Kuti muchite izi, ndikulimbikitsidwa kuti mutsatire malangizo a dokotala omwe mumamwa mankhwalawa ndikudziwa zizindikiro zake, kukula kwa matendawa. Ndikofunikira kuti mulingo wambiri wamagazi ukhale wokhazikika, chifukwa insulin iyi imatengedwa. Ndi matenda a 2 a shuga, muyenera kutsatira zakudya mosamala kuti musakhale wonenepa kwambiri.

Anthu odwala matenda ashuga ayenera kusamalira bwino miyendo yawo:

saloledwa kuyenda osavala nsapato, kuti musavulaze mapazi ndi zala.
nsapato zoyenera ziyenera kusankhidwa kuti zikhale zopangidwa mwachilengedwe komanso zoyenera kukula,
tsiku ndi tsiku muyenera kusamba mapazi anu ndi madzi ofunda ndikawapukuta,
mafuta owuma khungu kumapazi ndi moisturizer.

Ngati magazi ndi owoneka bwino komanso okhuthala, ndikofunikira kukonzekera kuwonda kuti mitsempha ya magazi isatsekeke. Ichi ndiye chizindikiro choyamba cha chitukuko cha angiopathy am'munsi. Kuphatikiza apo, muyenera kuyang'anitsitsa cholesterol ndikupanga mayesero a chiwindi. Popeza chiwindi chimakhudza kuwonongeka kwa mtima. Muyeneranso kudziwa zizindikiro za matenda akulu kuti mutha kupeza chithandizo chanthawi yoyamba.

Kodi kuthana ndi atherosulinosis?

Nthawi zambiri, malekezero am'munsi amakhudzidwa ndi atherosulinosis. Matendawa amadziwika ndi kupezeka kwa cholesterol plaque pamakoma amitsempha yamagazi, omwe amachepetsa lumen yawo. Nthawi zina kuphatikiza kwathunthu kumawonedwa, komwe kumafuna chithandizo chovuta. Zotsatira zake, minofu sililandira kuchuluka kwa mpweya ndipo imakhala yovuta kwambiri ngati ischemia.

Zimayambitsa ndi njira za chitukuko cha matendawa

Njala ya okosijeni ikakula m'matupi, munthu amamva kupweteka komanso kupindika m'matumbo. Mitundu ikuluikulu ya ischemia imayambitsa zilonda zam'mimba ndi zironda. Zochitika zoterezi ndizosowa ngati munthu, atazindikira zizindikiro, akatembenukira kwa dokotala kuti athandizidwe. Pokhapokha ngati wodwala akumupezerera mosasamala komanso osasamala, milandu yotere imadziwika.

Masiku ano, atherosulinosis ya mitsempha yam'munsi yam'munsi imapezeka mwa anthu 12% azaka zopitilira 65. Nthawi zambiri, kusowa kwa oxygen m'miyendo kumawonedwa mwa kusuta amuna, koma pali chizolowezi chochepetsa zaka za odwala omwe ali ndi matenda oopsa.

Kuphwanya magazi komwe kumachitika chifukwa cha kufinya kwamitsempha yamagazi, makamaka mitsempha, kumatchedwa kuchepa kwamatumbo a ziwiya za m'munsi. Kuchepetsa kwa lumen ndi mtundu uwu wamatenda kumachitika chifukwa cha kukula kwa malo. Pali chiopsezo chomwe chimayambitsa matenda am'mimba am'mphepete, makamaka atherosulinosis obliterans:

kusuta
cholesterol yayikulu magazi,
kuthamanga kwa magazi
kunenepa
chibadwa
matenda ashuga
moyo wongokhala ndi kusowa zochita zolimbitsa thupi.

Malo oyamba mndandandawo ndi osuta, ndipo sikuti mwangozi. Ziwerengero zamankhwala zimati kugwiritsa ntchito chikonga ndi chinthu choopsa kwambiri chomwe chimawonjezera mwayi wamatenda ndikukula kwa matendawa. Choyamba, ndikofunikira kuti musiye kusuta ngati prophylaxis kapena munthawi ya chithandizo.

Zizindikiro za matendawa

Atherosulinosis ya malekezero amodzi amadziwika m'magawo oyamba ndi kusapezeka kwa zizindikiro zowonekera. Pambuyo poyeserera kwakanthawi kwakanthawi kokwanira pamakhala mawonekedwe ofanana ndi kupweteka kwa minofu poyenda ndi kupindika. Kuchepetsa ululu, wodwalayo ayenera kuchepetsa mtunda womwe amayenda osasiya. M'magawo otukuka, ngakhale pakupumula, kupweteka kwa zala ndi mapazi kumadziwika.

Kuperewera kwa Arterial kumadziwika ndi magawo anayi:

Ululu wammbuyo pambuyo pakukula kwambiri.
Zowawa zowawa ndi kupweteka m'misempha pambuyo poyenda pang'ono.
Kupweteka kwambiri mukamayenda mtunda wafupi kapena malo opumira.
Mavuto, omwe amaphatikizidwa ndi mawonekedwe a zilonda zam'mimba ndi miyendo.

Kuphatikiza pazizindikiro zazikulu, odwala azindikiranso zingapo:

kutopa ndi kupweteka m'misempha ya ng'ombe poyenda. Izi zikusonyeza kuti kuwononga ma atherosulinosis a ziwiya zapansi kuli poyambira,
dzanzi mukakwera masitepe
Kuchepetsa kutentha kwa dzanja lakhudzidwa,
kupweteka kwapafupipafupi pakakhala kupsinjika,
kukhalapo kwa mdima kapena zilonda pamapazi ndi zala zamiyendo.

Kulankhula mosavomerezeka kumayendera limodzi ndi zizindikiro zina, kuphatikizapo:

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

mawonekedwe a dzanzi kumtumbo lomwe lakhudzidwa ndi kufalikira.
mabala ndi zilonda m'mawondo, miyendo ndi miyendo zomwe sizichiritsa kwa nthawi yayitali komanso madzimadzi am'madzi,
kusenda ndi ming'alu pakhungu.

Ngati chimodzi mwazizindikiro chikuwoneka, ndikofunikira kukaonana ndi dokotala wamankhwala kuti mupeze matenda ake komanso kuti mupewe matenda osokoneza bongo. Chithandizo cha mavuto a atherosulinosis imakhudzanso kugwiritsa ntchito njira zamphamvu kwambiri ndikodula miyendo.

Njira Zodziwitsira

Pokhapokha mutazindikira moona mtima pomwe dokotala amapereka chithandizo choyenera. Kuyeserera kwakuthupi kumatha kuchitika mwa njira zingapo:

Patency yam'mimba imatchedwa index ya ankolo-brachial. Iyi ndi njira yopweteka kwambiri yomwe kuthamanga kwa magazi m'miyendo ndikuyerekeza ndi chisonyezo chomwecho m'manja. Izi zimapangitsa kuti azitha kudziwa mphamvu ya kuthamanga kwa magazi m'munsi. Chiyesocho chimapezeka ndipo sichitenga nthawi yambiri, chochitidwa ndi adotolo. Kuthamanga kwa magazi m'chiwuno kumafikira pafupifupi 90% ya kuthamanga kwa magazi m'manja. Ndi atherosclerosis yayikulu, chizindikirocho chimachepera ndi theka.
Doppler ultrasound imaphatikizira kuwona mitsempha ndi mafunde amawu. Zotsatira zake, kuthamanga kwa magazi m'matumbo kumayesedwa, zomwe zimawonetsa kukhalapo kapena kusapezeka kwa mitsempha.
Dongosolo la tomographic angiography likuwonetsa momwe mitsempha imakhalira pamimba, pelvis ndi miyendo yotsika. Njirayi ndi yothandiza, makamaka, kwa odwala omwe ali ndi stent kapena pacemaker yoyikiratu.
Magnetic resonance angiography imaphatikizapo kuyesa popanda kugwiritsa ntchito x-ray. Amapereka zambiri zofanana ndi ma Sc.

Njira ya angiography imaphatikizira kuyambitsa kwa sing'anga m'mitsempha, yomwe, mothandizidwa ndi X-ray, imawonetsa kutuluka kwa magazi. Zotsatira zake, ma pathologies ndi ma blockages a mitsempha yamagazi amawonekera bwino.

Njira yochizira matendawa imadalira gawo la kukula kwa matendawa, kukula kwa malo omwe akukhudzidwawo komanso zomwe zimawonekera, zomwe zikuwonetsa mawonekedwe a matendawa. Ngati kukula kwa matenda a pathologies apezeka koyambirira, ndiye kuti kuchotsa zinthu zoopsa ndikuletsa kupitirira kwa matendawa ndikosavuta kwambiri. Mwa izi, wodwalayo ayenera kusintha moyo wake, ndipo koposa zonse - zakudya.

Ngati zizindikiro zonse zikusonyeza kukhalapo kwa atherosulinosis, ndipo izi zikutsimikiziridwa ndi adokotala, ndiye kuti ndikulimbikitsidwa choyamba:

kuchepetsa kudya zakudya zokhala ndi mafuta ambiri komanso mafuta a nyama,
khazikitsani thupi
lekani kumwa zakumwa zoledzeretsa ndi fodya,
sinthani ndikukhala kuthamanga kwa magazi muzikhalidwe zofanana ndi zaka. Chifukwa chake, anthu opitilira zaka 50 ali ndi vuto la 140/90 mmHg,
pamaso pa anthu odwala matenda ashuga, gwiritsitsani shuga wambiri,
Nthawi zonse onani kuchuluka kwa cholesterol m'magazi.

Pali njira zingapo zazikulu zochizira atherosulinosis ya ziwiya zamiyendo:

chithandizo chopanda mankhwala,
mankhwala
mankhwalawa zotsatira zoyambitsidwa ndi atherosulinosis,
opaleshoni kuchitapo kanthu.

Poyambirira, zakumwa zamankhwala zilizonse zimachotsedwa kotheratu. Chithandizo chimachitika kuti matenda asinthidwe, tichotse zinthu zomwe zingaike pachiwopsezo. Pakakhala vuto limodzi kapena chizindikiro chimodzi chikachotsedwa, chiopsezo cha zovuta komanso kukulitsa kwa matenda a zamitsempha amachepetsa kwambiri. Kuchotsa zinthu zonse kumabweretsa kuchira kwathunthu.

Ndi chithandizo chamankhwala, wodwalayo amatenga mankhwala omwe amachepetsa cholesterol yamagazi, omwe amaletsa mapangidwe a magazi. Madokotala amapereka mankhwala a statins ndi vasodilator. Ndikulimbikitsidwanso kumwa mankhwala omwe amachepetsa magazi, omwe amachepetsa mwayi wa thrombosis. Zimatenga miyezi ingapo kugwiritsa ntchito mankhwala pafupipafupi kuti mankhwalawa apereke zotsatira zabwino.

Kuchita opaleshoni ndikofunikira pakachitika zovuta komanso atherosclerosis yapamwamba. Opaleshoni ya mtima amasiyanitsa mitundu ingapo ya maopareshoni:

opaleshoni yodutsa. Poterepa, magazi amatuluka ndikubwezeretsanso magazi ndikumasenda,
ma prosthetics. Pakhomapo pali malo pomwe panali nyambo
thrombendarterectomy imaphatikizapo kuchotsedwa kwa cholesterol plaque mu chombo chotengera,
kuduladula kapena kuchotsa dzanja. Imathandizidwa ndi magawo apamwamba a matenda, pomwe mwendo sungathe kubwezeretsedwanso.

Njira ziti zomwe zimachitika ndi atherosulinosis

Njira za atherosclerotic zimatha kukhudza mitsempha yonse, komabe, nthawi zambiri matendawa amatulutsidwa m'matumbo akulu - aorta ndi mitsempha yayikulu ya miyendo. Ngati mumayang'ana miyendo, nthawi zambiri timalankhula za mitsempha yotupa komanso yaikazi. Gulu la matenda padziko lonse lapansi limatithandizira matenda a atherosulinotic omwe ali osavuta kapena osavuta pophunzira nambala ya 170. Tiyeni tikambirane zomwe kwenikweni zimapangitsa kuti mitsempha ya minyewa yapamanja, yomwe ili ndi nambala ya 170.2 mu ICD 10. Ndi chitukuko cha matendawa, kupangika kwa zolembedwa zovuta kukhoma lamkati kumayambira. Mapangidwe awa amakhala othandizira kufalikira kwa minofu ndi milomo yochepa yolimba. Popita nthawi, madipoziti amayamba kutha, zomwe zimapangitsa kuti chidule chikhale.

Kukula ndikukula kwa chotengera, mapangidwe ake amathandizira kufalikira kwa magazi, motero, zomwe zimapangidwira atherosclerosis, chifukwa cha mtsempha uwu adalandira zakudya ndi mpweya, zimayamba kusowa zofunika. Gawo lotsatira ndi minofu ischemia, yomwe pakalibe chithandizo chifukwa cha kuchuluka kwa msempha kumakulitsidwa. Kuopsa kwa matenda am'mimba ndikuti kumayambiriro, vutoli litachotsedwa mosavuta, pakati pazizindikiro zowononga ma atherosclerosis pali ululu wocheperako womwe umachitika chifukwa cha kulimbitsa thupi.

Ndi chitukuko cha matenda a pathology, kuphatikizira kwathunthu kwa lumen ndikotheka, komwe kumayambitsa mkhalidwe wosasintha wa necrosis. Pali necrosis ya minofu yomwe ili pansi pa kuwonongeka kwa chotengera ndipo pamenepa tikulankhula za gangrene.

Kutengera mtunda womwe wovutitsidwayo amatha kupitilira kupwetekedwa kapena kupweteka kwa mwendo, atherosclerosis obliterans of the m'mphepete mwa magulu ali m'magawo otsatirawa:

Poyambirira kopanda ululu, mtunda wopitilira kilomita imodzi mutha kuphimbidwa. Zomverera zosasangalatsa zimawonekera ndi kulimbitsa thupi kwakukulu.
Pakatikati - kusapeza kumachitika pamtunda kuchokera pa 50m mpaka 1 km.
Mu gawo lachitatu, lovuta kwambiri la atherosclerosis, ululu umawonekera ngakhale wovutayo asanadutse 50 metres. Nthawi yomweyo, zomverera zosasangalatsa zimatuluka osati ndi zochitika zokha, komanso pakupumula.
Ndi gawo lovuta, magawo a necrotic amawonekera chidendene ndi zala, zomwe zimatha kupangitsa kukula kwa gangrene. Nthawi yomweyo, ngakhale gawo laling'ono laling'ono limayambitsa zowawa.

Kugawa atherosulinosis ya ziwiya zamagawo am'munsi kumayang'aniridwa komanso mogwirizana ndi kuchuluka kwa kufalikira kwa matendawa:

Gawo loyamba ndi dera lopumira.
Chachiwiri - matendawa amapita ku mtsempha wamagazi.
Chachitatu - chotupa cha popliteal chimagwira nawo matendawa.
Mu gawo lachinayi, zombo zonse zazimunthu ndi zazikazi zimakhudzidwa.
Gawo lachisanu, chotupa chachikulu cha mitsempha yonse imawonedwa.

Komanso, gawo la kufalikira kwa atherosulinosis limatha kusiyanasiyana malingana ndi kuuma kwa zizindikirazo:

Pa siteji yofatsa, ndikuphwanya kwa lipid metabolism, momwe zizindikiro zina sizikupezeka.
Mukasunthira ku gawo lachiwiri, lapakati, kupezeka kwa zizindikiro zoyambirira za matenda - kumakhala kuzindikirika kwa malekezero, chidwi chochulukirapo kuzizira, kumverera kwa "ma bose".
Mu gawo lovuta, Zizindikiro zimawonjezeka, pamakhala zosokoneza zina.
Gawo lotsatira ndikupita pang'onopang'ono, pa icho pamawonekera pamiyendo ya zilonda zam'mimba komanso zamphongo ndikutuluka kwa madzimadzi.

Matenda olekanitsa omwe amachititsa kuti mitsempha yam'munsi imatha kukula msanga, mwanjira imeneyi zizindikiro zimakhala zowawa, ndipo kufalikira kwa gangrene kumadziwika ndi kuthamanga. Njira yotereyi ya matenda amafunika kulowererapo mwachangu - kuchipatala kwa wozunzidwayo ndi kudulidwa kumene. Ndi chitukuko cha subacute, kuchulukana kumapitilira ndi nthawi pamene zizindikirizo zimayamba kukhala zosawoneka. Pankhaniyi, akatswiri akuchita mankhwalawa kufalikira kwa ziwengo zamitsempha zam'mipatala, chithandizo chamankhwala chimachepetsa kuchepa kwa matendawa. Ngati matenda operewera acitika, zizindikilo zimatha kukhala zikupezeka kwa nthawi yayitali. Chithandizo cha kuwonongeka pankhaniyi ndi mankhwala.

Zinthu zomwe zimathandizira kukulitsa matenda a matenda a m'matumbo

Pokhala mphukira yamatenda aponseponse, atherosulinosis obriterans yama chotengera am'munsi amayamba chifukwa cha zinthu zomwe zimayambitsa matenda onse, chiopsezo cha mapangidwe a matenda chimawonjezeka mu milandu ya:

Gulu la zaka - monga lamulo, mapangidwe a matendawa amayamba patatha zaka makumi anayi.
Jenda - malinga ndi ziwerengero, amuna amapezeka ndi obteric atherosulinosis nthawi zambiri kuposa azimayi.
Kulowerera machitidwe oyipa, makamaka kusuta - Kafukufuku wasonyeza kuti chikonga chitha kupangitsa kupindika kwa zotumphukira zamitsempha yamagazi ndikuthandizira pakupanga njira zamatumbo.
Kukhalapo kwa zinthu zina kukuchepa kwa kuchuluka kwa mahomoni ogonana ndi zinthu zomwe zimapangidwa ndi chithokomiro cha chithokomiro, matenda a shuga, matenda oopsa komanso zina.
Kuwonetsedwa pafupipafupi hypothermia.
Kuchita masewera olimbitsa thupi osakwanira.
Menyu yopangidwa mopanda tanthauzo, yomwe imayang'aniridwa ndi zakudya zomwe zimakhala ndi mafuta azinyama zambiri.
Kulemera kwambiri kwa thupi.
Kuchita zolimbitsa thupi kwambiri komanso kupezeka kwa kuchuluka kwa psycho.
Miyendo yomwe idawonongeka kale komanso chisanu.
Heredity - zinthu zimatanthawuza pamene mulingo wa zigawo zina za lipid m'magazi zimatsimikizika.

Kodi matenda amapezeka bwanji?

Matendawa omwe amawaganizira nthawi zambiri amakhala osakwiya pang'onopang'ono, ndikuwonongeka kwa atherosulinosis, kuopsa kwa zizindikiritso kumatengera kuchuluka kwa chotengera, komanso momwe magazi omwe amapezeka m'misempha yake amadutsidwira. Koma chizindikiro cholimba ndi kupweteka, komwe kumadziwoneka ngati kukhudzana kwapang'onopang'ono. Chowonadi ndi chakuti pamene kufalikira kwamatenda am'magazi kumachitika, poyenda, wolakwiridwayo amatha kuthana mtunda popanda vuto lililonse, pambuyo pake amamva kupweteka m'misempha ya miyendo. Zithunzizi ndizosasangalatsa kotero kuti munthu amakakamizidwa kusiya - kupuma ululu umachoka, koma mayendedwe atayambiranso, amabwereranso.

Cholinga cha kupangika kwa kupweteka kwa chiwonetsero cha mankhwalawa kumawonjezera kumwa kwa okosijeni ndi zigawo za minofu m'miyendo kuti ikhale yopanikizika ndi magazi osakwanira. Ndipo popeza minofu pankhaniyi imasowa osati kutuluka kwa magazi, komanso okosijeni, kuchuluka kwa zinthu za metabolic kumawonjezeka mofulumira, komwe kumabweretsa kupweteka.

Kuvulala kwa atherosclerosis ya m'munsi malekezero nthawi zambiri kumachitika mwendo umodzi uliwonse. Kulankhula modzipereka kumatha kukula pang'onopang'ono, koma m'mbali imodzi ululu umakhala wolimba kuposa wina.

Magawo a chitukuko cha matendawa adaganiziridwa kale pamwambapa, kutengera mtunda womwe wozunzidwayo amatha kuyenda popanda zovuta. Koma kuphatikiza pa izi, pagawo lililonse, zizindikiro zina zakunja zimawonedwa:

Pa gawo loyambirira, khungu la miyendo limadziwika, kutopa kumachitika poyenda, miyendo imakhala yozizira ngakhale itakhala yotentha kunja. Pakadali pano, kuyika kwa cholesterol pamakoma a mtima ndikungoyamba, komwe kumatsimikizira chithandizo chachipatala chachipambano.
Gawo lachiwiri limadziwika ndi maonekedwe a chimanga, mapazi salinso ozizira, komanso ndiwotentha. Khungu la miyendo limataya kusakhazikika, limakhala louma komanso loyaka. Dongosolo la cholesterol likukula, kufalikira kwa magazi kulinso kovuta kwambiri - pakadali pano ndikofunikira kuti mupangana ndi katswiri posachedwa.
Gawo lachitatu la atherosulinosis ndilosavuta kudziwa pokweza miyendo yanu. Khungu la miyendo yakumanjayo limataya mtundu wake wachilengedwe, ndikupeza utoto wotuwa. Pambuyo pakuchepetsa miyendo, khungu limasandulika red. Pakadali pano, opaleshoni yokha ndi yomwe ingathandize.
Gawo lomaliza silimangokhala kupweteka kwambiri komanso kulephera kuyenda, komanso mawonekedwe a zilonda zam'mimba, necrosis komanso kutupa kwambiri miyendo, mapazi. Imfa ya minofu imadutsa mu gangore, njira yothandizira ndikungoduladula mwendo wowonongeka.

Kuphatikiza apo, matenda amitsempha am'munsi amatha kutsatiridwa ndi kutentha ndi malungo, ming'alu m'miyendo, kusabereka kwa amuna pamene matendawa amapita ku mitsempha yachikazi. Pali tsitsi lotayika m'chiuno, miyendo, kupendekeka kwamatumbo a msomali, khungu. Pogona, kukokana kumatha kuchitika.

Matenda a trophic omwe amayamba pakubwezeretsa kwa atherosulinosis yamitsempha ya miyendo amapangidwa motsutsana ndi hypoxia komanso magazi opatsika, minofu yofewa pang'onopang'ono imayamba, komanso madera akumidzi, zala. Kuuma komanso kuwuma kwa khungu, kuchepa kwamkati, kusokonekera, kuchepa kwa zotanuka kumawonedwa. Khungu limatha kuwonongeka mosavuta, pomwe mabala samachiritsa kwa nthawi yayitali. Pali kupendekeka kwapadera kwa minofu yamafuta, kuchepa kwa minofu - motero, mwendo umawoneka wowonda ndipo mukayerekeza ndi nthambi yachiwiri, asymmetry imawoneka bwino.

Ngati zikuwoneka kuti zilonda zam'mimba, dokotala yemwe akupezekapo amatha kuzindikira mtundu wouma kapena wonyowa wa zotupa izi:

Fomu youma ndiyabwino kwambiri; ikapangidwa, malire ofotokozedwa bwino pakati pa minofu yamoyo ndi yakufa amadziwika. Madera omwe akukhudzidwa ndi necrosis amangochita khungu, nthawi zambiri amakhala ndi mtundu wakuda, amataya madzimadzi ndi kuwuma. Nthawi zina amakana gawo lomwe lakhudzidwalo, ululu umakhala wochepa.
Ndi kukana kocheperako, konyowa mtundu wa gangrene nthawi zambiri umawoneka. Pali kutupika kwa mwendo wam'mimba, khungu limasunthidwa kukhala khungu lamtambo, mtundu wa ululu umafotokozedwa bwino. Palibe malire omveka, njira ya necrotic imafalikira mpaka mwendo. Zinthu zomwe zimapangidwa poyizoni zomwe zimayamba kugwiritsidwa ntchito zimayamba kumizidwa ndi thupi, zomwe zimapangitsa kuti zidye kwambiri.

Ngati mankhwalawa adapezeka chifukwa cha mayeso, kuchitapo kanthu mofulumira ndikofunikira. Kupanda kutero, mathero a kuchuluka kwa kuledzera ndi imfa.

Matenda a Pathology

Ganizirani za matenda a atherosulinosis. Wopezekapo amakhazikitsa njira yoyenera yodziwira, kutengera zotsatira zakuwunika kochokera ndi zowunikira zomwe zapezeka pogwiritsa ntchito njira zosiyanasiyana:

Choyamba, kuyezetsa magazi kumasankhidwa, komwe kumakupatsani mwayi kuwona mawonekedwe a mafuta mu plasma ndi kuchuluka kwawo, kuchuluka kwa mapuloteni a fibrinogen, glucose.
Kuzindikira koyenera kumafuna Dopplerography - kafukufukuyu amakupatsani mwayi wofufuza momwe zombo zilili.
Mukamayendetsa kulingalira kwamatsenga, magawo azomwe zimayambitsa matenda a pathogenic amatsimikiza, ngakhale pali gawo loyambirira la chitukuko cha matenda.
Mukamapanga CT angiography, chithunzi chowoneka bwino cha ziwiya zimapezeka, mawonekedwe amomwe magazi amayendera.
Kuyesedwa kwamtunda kumachitika ndikuwonjezereka pang'onopang'ono pomwe wodwala ali paulendo wosayenda - mothandizidwa ndi iwo amawona "mtunda wopanda ululu."

Diagnosis imakupatsani mwayi wodziwikiratu wa atherosulinosis potengera mndandanda wazidziwitso zomwe zimapezeka pakuyesa:

kukhalapo kwa zodandaula za wozunzidwayo - kupweteka kwa miyendo ndi mawonekedwe a kudalirana kwapang'onopang'ono,
kupezeka pa kusanthula kwa minofu ya atrophy,
kufupika kwamitsempha ya m'miyendo kapena kumapazi, zotengera zazikazi, zotupa,
Dopplerography imatsimikizira kuti kuphwanya magazi kumadera otumphukira,
thermometry yokhala ndi thermography ikuwonetsa kuchepa kwa kutentha kwa minofu, mulingo wa radiation ya infrared,
arteriography, momwe maphunziro amachitidwa mosiyanitsa obwera m'matumbo, akuwonetsa malo omwe mitsempha imachepera mu mwendo.

Kuchita kafukufukuyu, tisaiwale za ma carotid mitsempha ndi ziwiya zam'mimba - zikafufuzidwa, vuto lowopsa likhoza kupezeka. Pankhaniyi, njira yothandizira mankhwalawa yochotsa matenda a atherosulinosis imatsimikiziridwa ndi boma la mitsempha yotsimikizika, mwachitsanzo, kukokomeza kwa mitsempha yodutsa m'mitsempha ndikofunikira poyamba, ndipo pambuyo pokhapokha ndi opaleshoni yomwe imakhudza ziwiya zam'munsi.

Kuchiza matenda

Chithandizo cha atherosulinosis obliterans a m'munsi malekezero ake zimakhazikitsidwa pa siteji ya matenda, motero, imatha kukhala yotsika kapena opaleshoni. Mbali yoyamba, kuwongolera ziwopsezo, kumwa mankhwala ndikofunikira. Koma njira zoterezi ndizovomerezeka pokhapokha matendawa atadwala.

Pali mfundo zina zomwe zimawonetsa momwe mungagwiritsire ntchito kuthana ndi matenda a atherosulinosis:

Ndi mankhwala osagwiritsa ntchito mankhwala osokoneza bongo, zomwe zikuwoneka zowopsa zimakonzedwa - zimathandizira kuchepetsa kunenepa kwambiri, kuchiza matenda oopsa komanso matenda ashuga, ndikusiya kusuta. Milingo ya cholesterol imachepetsedwa ndi zakudya komanso kugwiritsa ntchito mankhwala oyenera.
Kukhazikika kwa mankhwala osokoneza bongo amalembedwa, mothandizidwa ndi mankhwala omwe amapezeka m'matumbo, amachepetsa kuchuluka kwa maselo ofiira am'magazi - Trental, Pentoxifylline, Reopoliglukin kapena Reomacrodes.
Ikani mankhwala kuti muchepetse kuphatikiza kwa maselo am'magazi, amaphatikiza ndi ma aspirin, omwe mlingo wake ndi 100-325 mg / tsiku. Zithandizo zothandiza kwambiri zimaphatikizapo Plavix.
Kuchepetsa kukhuthala kwa magazi ndi kuchepetsa kuchuluka kwa lipids, fibrinogen, zotumphukira za heparin tikulimbikitsidwa - mwachitsanzo, Sulodexide, yomwe ili ndi zotsatirapo zabwino.
Mwa michere ya proteinolytic, Wobenzym ndi Phloenzyme amasankhidwa. Mankhwalawa amagwiritsidwa ntchito kuti achepetse kuwonongeka kwa mayendedwe a trophic ndi njira yotupa.
Xanthinol nicotinate imagwiritsidwa ntchito kupukusa mitsempha yamagazi.

Kuphatikiza apo, kuwonetsedwa kwa laser kungagwiritsidwe ntchito polimbikitsa kusweka kwa fibrin. Ma Ultraviolet lasers amathandizanso kuchepa kwamitsempha yamagazi. Ngati njira zochizira atherosulinosis sizikupereka zotsatira zoyenera, chifukwa cha kuwonongeka kwa ziwiya zam'munsi, chithandizo chitha kuperekedwa pochita opaleshoni:

Ntchito za endovascular zimalowerera pakhungu ndi minofu yosanjikiza kupita ku chotengera chomwe chikukhudzidwa kudzera pazida zapadera. Zitatha izi, kukula kwake ndi kununkha kumachitika - chimango chapadera chimayikidwa mchombo, chomwe sichimalola kuti lumen ichepetsenso.
Ndi endarterectomy, katswiriyo, pogwiritsa ntchito kulowererapo kwaulere, amachotsa zolembera ndi mitsempha yamagazi m'mitsempha.
Opaleshoni ya bypass ikhoza kuchitidwa, momwe magazi othandizira amapangidwira, ma prosthetics amitsempha amachitidwa - chachiwiri, ndikofunikira kuchotsa tsamba la chotengera chomwe chakhudzidwacho ndikuyika ma prosthesis m'malo mwake.
Osati nthawi zambiri, sympathectomy imagwiritsidwa ntchito pochiza matenda opatsirana m'matenda - maopareshoni ndiwowoneka bwino, mothandizidwa ndi mitsempha yotetezedwa ku spasms, amakulitsa mitsempha yaying'ono ndikuthandizira magazi.
Ntchito ina yachilendo ndikumathanyula pogwiritsa ntchito kusinthanso mphamvu. Kuti muchite bwino, fupa la mwendo limawonongeka mwadala, chifukwa cha momwe maonekedwe atsopano amagwirira ntchito.
Osafunikira, koma nthawi zina chithandizo chofunikira chimakhala chodulidwa mwendo, zimawonetsedwa posakhalapo njira zina zochizira, ndikupanga matenda a gangore.

Njira zodzitetezera ku OASNK

Monga momwe machitidwe akusonyezera, matenda aliwonse amasavuta kupewa kuposa kuchiza. Atherosulinosis obliterans palinso zosiyana, ndikokwanira kutsatira malamulo osavuta kuti mukhalebe ndi miyendo ndi miyendo yokongola. Kugwiritsa ntchito prophylaxis yogwiritsa ntchito atherosulinosis ndi izi:

Ndikofunikira kuphunzira kudzipatula wekha pakudya ndi kukana kudya mopitirira muyeso - ngati kulemera kukufanana ndi kutalika, katundu woperekedwa kumiyendo ndi wotsika kwambiri poyerekeza ndi pomwe pali kunenepa kwambiri.
Muyenera kudya moyenera, ndipo chifukwa cha ichi, zakudya zamafuta ndi zolemetsa zimachotsedwa muzakudya, pazowopsa, zimachepetsa kuchuluka kwawo pamenyu momwe mungathere - ndi njira iyi, kuchuluka kwa mafuta m'thupi omwe amalowa mthupi kumachepa kwambiri.
Muyenera kusiya zizolowezi zoyipa - kusuta fodya komanso kumwa mowa. Mowa umasokoneza minyewa ya mtima ndi kayendedwe kazinthu, pomwe chikonga chimathandizira kuti mawonekedwe a mtima apangidwe.
Ndi atherosulinosis ya ziwiya zamiyendo, muyenera kuganizira momwe mumakhalira. Ngakhale ntchitoyo itangokhala, panthawi yopuma ndi pambuyo pake muyenera kuyenda - komanso momwe mungathere. Mutha kukana kugwiritsa ntchito chikepe, zoyendera pagulu ndi galimoto, kukumbukira phindu la maphunziro akuthupi ndikuchita masewera olimbitsa thupi m'mawa. Kuchita izi sikungangotukula mkhalidwe wamagetsi, komanso kusunga kukongola kwa chiwonetserocho.

Tiyenera kukumbukira kuti kumayambiriro kwa mapangidwe, matendawo omwe amafunikawa amasinthidwanso. Koma nthawi zambiri palibe amene amapita kukacheza ndi akatswiri ngati atadutsa mtunda wautali m'miyendo mumakhala ululu. Pakadali pano, kuyezetsa magazi kwapachaka kwa mitsempha yam'munsi kumapeto kumapangitsa kudziwika kwa matenda. Komanso, ultrasound, kuwonjezera pakuwonongeka, imatha kuzindikira mitsempha ya varicose - matendawa nthawi zambiri amaphatikizana kwambiri ndi matenda a atherosselotic.

Malingaliro oyenera atha kupangidwa - atherosclerosis a ziwiya zamankhwala amatha kupewedwa ndikutsatira moyo wathanzi, zakudya zoyenera ndi kayendetsedwe ka magalimoto, kusiya zosokoneza bongo, ndikukhalabe ndi kulemera koyenera. Pokhapokha pokhapokha pokhapokha pazotheka kukhalabe ndi zochitika zake pazaka zazitali za moyo.

Atherosulinosis ya ziwiya zamiyendo: mwadzidzidzi, mankhwala, udokotala

Atherosulinosis ya ziwiya zamagetsi am'munsi ndi amodzi mwa matenda oopsa kwambiri amitsempha miyendo. Amadziwika ndi chifukwa chakuti, chifukwa cha kufalikira kwa mitsempha ya magazi ndi malo amitsempha kapena magazi, kuwunika kwakanthawi kapena kokwanira kwa magazi m'magawo otsika kumachitika.

Ndi atherosclerosis, kupendekera (stenosis) kapena kutsekeka kwathunthu (chidziwitso) cha ma lumen am'magazi omwe amapereka magazi kumapeto kumachitika, zomwe zimalepheretsa kuyenda kwamagazi kumisempha. Ndi arterial stenosis yoposa 70%, zikuwonetsa kuthamanga ndi mawonekedwe amtundu wamagazi amasintha kwambiri, magazi osakwanira m'maselo ndi minyewa yokhala ndi mpweya komanso michere imachitika, ndipo amasiya kugwira ntchito mwachizolowezi.

Kuwonongeka kwa mitsempha kumabweretsa kupweteka m'miyendo. Pankhani yakudwala kwamatenda, komanso ngati mulibe chithandizo chokwanira kapena cholakwika, zilonda zam'mimba za m'mimba kapena ngakhale necrosis ya malekezero (gangrene) imatha kuonekera. Mwamwayi, izi zimachitika kawirikawiri.

Arteriosclerosis obliterans ya mitsempha yam'munsi yamatenda ndi matenda ofala kwambiri amitsempha yama miyendo. Chiwerengero chachikulu cha milandu imapezeka mu gulu lazaka zopitilira 60 - 5-7%, wazaka 50-60 wazaka - 2-3%, wazaka 40-50 - 1%. Koma atherosulinosis imatha kupezekanso mwa anthu achichepere - mu 0.3% amadwala odwala azaka 30 mpaka 40. Ndizofunikira kudziwa kuti amuna amadwala atherosclerosis 8 nthawi zambiri kuposa akazi.

Zoona zake: Amuna osuta opitirira zaka 50 ali pachiwopsezo chachikulu chotenga matenda a atherosranceosis obliterans.

Zoyambitsa zazikulu za atherosulinosis

Choyambitsa chachikulu cha atherosulinosis ndi kusuta. Nikotini yomwe ili mu fodya imayambitsa mitsempha kuti isamenye, motero imalepheretsa magazi kuyenda m'mitsempha ndikuwonjezera mwayi wamagazi mkati mwake.

Zowonjezera zomwe zimapangitsa atherosclerosis yamitsempha yama m'munsi ndipo zimayambitsa kumayambiriro komanso matenda oopsa:

cholesterol yayikulu yokhala ndi zakudya zamafuta a nyama nthawi zambiri,
kuthamanga kwa magazi
onenepa kwambiri
chibadwire
matenda ashuga
kusowa mokwanira zolimbitsa thupi,
zopsinjika pafupipafupi.

Zizindikiro za atherosulinosis ya ziwiya zamiyendo

Chizindikiro chachikulu chomwe muyenera kuyang'anira ndi kupweteka kwa mwendo. Nthawi zambiri, ululu umachitika poyenda mu minofu ya ng'ombe ndi minofu yamatumbo. Mukamayenda m'matumbo am'munsi, kufunikira kwa magazi ochepa kumawonjezeka, komwe kumapereka mpweya ku minofu. Mitsempha yopingasa panthawi yolimbitsa thupi singakwaniritse zokwanira kufunikira kwa magazi am'magazi, chifukwa chake kufa ndi njala kumayamba mwa iwo, ndikudziwoneka ngati ululu waukulu. Kumayambiriro kwa matendawa, ululu umadutsa mwachangu machitidwe olimbitsa thupi atatha, koma kenako amabwereranso mukamasuntha.Pali ena otchedwa intermittent claudication syndrome, omwe ndi amodzi mwa zizindikiro zazikulu zamatenda a atherosulinosis obliterans a mitsempha yam'munsi. Ululu m'matumbo a chiuno umatchedwa ululu wamtundu wanthawi yayitali, ndipo kupweteka m'matumbo amiyendo kumatchedwa kupweteka kwa mtundu wocheperako pang'onopang'ono.

Mukakalamba, zopweteka zotere zimasokonezeka mosavuta ndi kupweteka komwe kumalumikizana ndi arthrosis ndi matenda ena olowa. Arthrosis sodziwika ndi minofu, ndiyo, ululu wamkati, womwe umakhala ndi mphamvu yayikulu kwambiri poyambira kusunthira, kenako kenako umafooka wodwala "akamayenda."

Kuphatikiza pa kupweteka m'misempha ya miyendo mukuyenda, atherosclerosis obliterans yamitsempha yam'munsi yam'munsi imatha kuyambitsa zizindikiro zotsatirazi mwa odwala (amodzi mwa iwo kapena angapo):

Kuzizira ndi dzanzi kumapazi, kukulitsidwa ndikukwera masitepe, kuyenda kapena katundu wina.
Kusiyana kotentha pakati pamagawo am'munsi (mwendo womwe umakhudzidwa ndi atherosulinosis yamatumbo nthawi zambiri kumakhala kozizira pang'ono kuposa wathanzi).
Ululu wammbuyo popanda kulimbitsa thupi.
Zilonda zopanda machiritso kapena zilonda zimawoneka kumapazi kapena kutsika kwachitatu kwa mwendo.
Malo amdima amapezeka kumapazi ndi kumapazi.
Chizindikiro china cha atherosclerosis chikhoza kukhala kuchepa kwa zamkati m'mitsempha yam'munsi - kumbuyo kwa chidendene chamkati, mu popliteal fossa, pa ntchafu.

Magawo a matenda

Malinga ndi gulu lomwe lili ndi vuto la kuchepa kwa ziwalo zamiyendo, zizindikiro zomwe zili pamwambazi zitha kugawidwa m'magawo anayi a matenda.

Gawo I - kupweteka m'miyendo, komwe kumawoneka pambuyo pazochita zambiri zolimbitsa thupi, monga kuyenda mtunda wautali.
IIa siteji - kupweteka poyenda mtunda wautali (250-1000 m).
IIb siteji - mtunda woyenda wopanda ululu amachepetsa mpaka 50-250 m.
Gawo III (ischemia yovuta) - kupweteka kwamiyendo kumawoneka poyenda mtunda wosakwana 50. Pakadali pano, ululu m'mitsempha yam'munsi imatha kuyamba ngakhale wodwalayo atapuma, izi zimawonetsedwa makamaka usiku. Kuti muchepetse ululu, odwala nthawi zambiri amatsitsa miyendo yawo kuchokera pabedi.
IV siteji - pakadali pano pamapezeka zilonda zam'mimba. Monga lamulo, madera akhungu lakuda (necrosis) amawonekera pazala kapena malo othala. Mtsogolo, izi zitha kuyambitsa gangore.

Pofuna kuti matenda asamawonongeke kwambiri, ndibwino kuti muzindikire munthawi yake ndikupereka chithandizo kuchipatala.

Chithandizo cha atherosulinosis yamitsempha yama m'munsi

Matendawa amafunika mtundu wa wodwala aliyense payekha. Chithandizo cha atherosclerosis ya ziwiya zam'munsi malembedwe zimatengera gawo la matenda, nthawi yake, mulingo wowonongeka m'mitsempha yamagazi. Kuphatikiza apo, kudziwika ndi kuphatikizika kwa chithunzi chachipatala kumathandizanso kupezeka kwa matenda oyanjana ndi wodwala.

Ngati kuwonongeka kwa atherosulinosis kwapezeka koyambirira, kungakhale kokwanira kuti muchepetse zinthu zomwe zikuwoneka kuti zitha kusintha. Potere, thandizirani:

Kukakamiza kusuta fodya komanso zizolowezi zina zoyipa.
Kutsatira zakudya zochepa m'mafuta a nyama ndi kutsitsa mafuta m'thupi.
Ngati onenepa kwambiri kapena onenepa kwambiri - kunenepa.
Kusungabe kuthamanga kwa magazi pamlingo wosaposa 140/90 mm RT. Art.
Zochita zolimbitsa thupi pafupipafupi (kuyenda, dziwe losambira, kuchita njinga yochitira masewera olimbitsa thupi, ndi zina zambiri).
Kwa odwala matenda a shuga - magazi amawongolera.

Pankhani ya atherosulinosis ya mtima, zotsatirazi ndizoletsedwa: batala, margarine, mafuta anyama, margarine, nyama yamafuta, soseji, pastes, offal, mkaka wokhala ndi mafuta ambiri, mbatata yokazinga, ayisikilimu, mayonesi, makeke.

Chofunikira: Kukhala moyo wongokhala kumapangitsa kuti ziwiya zisamayende bwino ndipo zimathandizira kukula kwa matendawa.

Nthawi zina, njira zotsatirazi zimagwiritsidwa ntchito pochiza matenda a atherosulinosis a ziwiya zotsika:

Zodzikongoletsa
Endovascular (pang'ono zowononga),
Yogwira.

Chithandizo cha Conservative

Itha kugwiritsidwanso ntchito poyambira matendawa, komanso panjira yomwe wodwalayo salola kugwiritsa ntchito njira zina (zovuta za concomitant pathology). Chithandizo cha Conservative chimaphatikizapo kugwiritsa ntchito mankhwala, physiotherapy komanso pneumopressotherapy, dosed kuyenda ndikuchita masewera olimbitsa thupi.

Tsoka ilo, palibe mankhwala omwe angabwezeretsenso magazi moyenera m'mitsempha yotsekeka komanso kuchiritsa atherosclerosis. Kugwiritsira ntchito mankhwala osokoneza bongo kumangothandizira komanso kukhudza ziwiya zing'onozing'ono zomwe magazi amayenda gawo lozungulira la mtsempha. Chithandizo cha mankhwala ndicholinga chakukula ndi "ntchito izi" ndikuthandizira kuti magazi asamayende bwino.

Kuti muchepetse kuphipha m'mitsempha yaying'ono yam'madzi, onjezerani magazi ndikuteteza makoma a mitsempha kuti iwonongeke kwambiri, mumagwiritsidwa ntchito mankhwala apadera, omwe ena amafunika kuledzera ndi maphunziro, ndipo ena amayenera kumwa mosalekeza.

Kuphatikiza pa mankhwala, odwala amamuika pneumopressotherapy - kutikita minofu yofewa mwendo mothandizidwa ndi zida zapadera. Mwa kusinthasintha kutsika komanso kuthamanga kwa cuff yomwe imavala dzanja, zotupa zam'mitsempha zimakulitsa, magazi amayenda pakhungu, minofu ndi minyewa yodutsa m'mimba imakulitsidwa.

Mankhwala a Endovascular

Njira zofala kwambiri zochizira matenda am'miyendo ndi njira zamkati - zonunkha zamitsempha, balloon dilatation, angioplasty. Amakulolani kuti mubwezeretse magazi mozungulira ngati chotupa popanda kuchitapo opareshoni.

Njira zotere zimachitika mu x-ray, pazida zapadera. Mapeto ake, kuvala kovutirapo kumayikidwa mwendo wa wodwala, ndipo ayenera kupumula kwa kama kwa maola 12-18.

Mankhwala othandizira

Ngati mbali zolumikizirana zam'mitsempha m'miyendo ndizitali kwambiri kuti njira zamkati zisabwezeretse magazi m'miyendo, imodzi mwanjira zotsatirazi:

Prosthetics of the artery site with a artificial chombo (alloprosthesis),
Opaleshoni ya Bypass - kubwezeretsa kayendedwe ka magazi mwa kuwongolera kuthamanga kwa magazi kudzera mu chotengera chopanga (shunt). Monga shunt, gawo lamtsempha wa wodwalayo lingagwiritsidwe ntchito,
Thrombendarterectomy - kuchotsedwa kwa zolembedwa za atherosselotic kuchokera kumtsempha wamagazi.

Njira zopangira opaleshoni zimatha kuphatikizidwa kapena kuthandizidwa ndi mitundu ina ya opareshoni. Ngati opaleshoniyo ikuchitika pa gawo la IV la matendawa, pomwe mbali zakufa zayamba kale kuchitika, kuchotsedwa kwa madera ndikutsekeka kwa zilonda zam'mimba zokhala ndi kukulira kwa khungu kumachitika.

Ngati kufooketsa atherosulinosis kwapita patsogolo kwambiri, pamene wodwala wapanga matenda am'munsi ndipo ndikosatheka kubwezeretsa magazi, kudula mwendo kumachitika. Nthawi zina iyi imakhala njira yokhayo yopulumutsira moyo wa wodwala.

Zakudya za atherosulinosis

Kupatula kuthekera kwa kuwonongeka kwa ziwiya zamiyendo, ndikofunikira kutsatira zakudya zapadera, zomwe zimakhala ndi gawo lofunikira pakulandila. Cholinga cha zakudya zopatsa thanzi ndikuchepetsa kuchuluka kwa zakudya zomwe zimakhala ndi mafuta ndi cholesterol. Ndikulimbikitsidwa kutenga:

nyama ya nsomba
nyama yotsika ya nkhuku, kalulu, nkhuku,
mkaka ndi mkaka,
osaposa mazira awiri pa sabata,
zipatso ndi masamba ambiri,
walnuts ndi mtedza wa mkungudza
pasitala
chimanga
mankhwala a ufa
mwatsopano madzi opukusa, ma compotes, khofi ofooka, tiyi.

Chepetsani kufunika kotenga zotsatirazi:

Mndandanda wazinthu zomwe mukufuna kupatula kwathunthu kuzakudya:

nyama yankhumba, nyama yankhumba, nyama,
margarine, batala,
kukhululuka,
tchizi chamafuta ndi zonona wowawasa,
tchipisi, ma phala achi french,
mayonesi
mowa

Malonda a fodya samaphatikizidwanso.

Ndi bwino kudya chakudya chopatsa kapena chophika. Mukamaphika, gwiritsani ntchito zoyera zokha, ndipo mukaphika broth nyama, mafuta azichotsedwa. Gwiritsani ntchito mafuta a azitona monga chovala cha saladi, onjezerani mandimu atsopano kapena viniga. Chepetsa mchere wambiri.

Kodi kupewa matenda?

Kupewa matenda a atherosulinosis ndi koyamba:

Kusuta kufafaniza.
Zakudya zoyenera, zakudya zopanda mafuta a cholesterol.
Zochita zolimbitsa thupi.

Awa ndi maunyolo atatu omwe amachepetsa chiopsezo cha atherosulinosis a ziwiya zapansi. Sizofunikira kuti mutopetse zolimbitsa thupi, mutha kumangoyenda tsiku ndi tsiku ndikuchita masewera olimbitsa thupi miyendo. Kuphatikiza apo, acupressure yapadera ndi maphikidwe achikhalidwe chamankhwala amathandizira monga prophylactic.

Werengani zambiri za kupewa kwathunthu kwa atherosulinosis apa.

Chithandizo cha atherosclerosis a m'munsi malezala azitsamba

Cholesterol ikhoza kuyikidwa mu chotengera chilichonse, koma nthawi zambiri thrombosis imakhudza mitsempha ndi mitsempha yam'munsi. Kukula kwa mitsempha ya mitsempha imayambitsa kupweteka, kuwonda komanso kudula miyendo. Chithandizo cha matenda othandizira matenda am'mimba chimalimbikitsa ntchito zamtima, kukonza magazi komanso kuyeretsa mitsempha ndi mitsempha. Pamodzi ndi njira zopewera matenda a ziwengo zam'munsi, chithandizo chogwiritsidwa ntchito ndi wowerengeka azitsamba chimagwiritsidwa ntchito. Zimayamba ndi gulu la zakudya zoyenera ndipo cholinga chake ndikuchepetsa kuchuluka kwa cholesterol m'madzi a m'magazi ndikuchotsa kunenepa kwambiri.

"Zakudya" zochizira atherosulinosis

"Chithandizo" cha atherosulinosis zakudya zimakhazikika pa kusankha kwa chakudya. Zoyengedwa (semolina, ufa wapamwamba kwambiri, mpunga woyengeka, pasitala) pamaso pa malo ogwiritsira ntchito atherosselotic osavomerezeka. Kutsuka mitsempha ndi mafupa am'magazi:

chinangwa kuchokera ku oats ndi tirigu,
njere zosayeretsa
buledi wabwino
amadyera, masamba, zipatso.

Zakudya za tsiku ndi tsiku za wodwala wokhala ndi atherosulinosis ya miyendo tikulimbikitsidwa kuti muphatikize masamba 300 a masamba ndi 200 ga zipatso. Zakudya ziyenera kukhala zosiyanasiyana. Ndi kuphatikiza zipatso ndi ndiwo zamasamba zomwe zimapanga zinthu zofunikira, zotsatira zomwe zimayembekezeredwa zimakulitsidwa. Mukamapanga menyu, mutha kugwiritsa ntchito kukongoletsa mtundu. Tsiku lililonse muyenera kudya zakudya muzithunzi zina:

chikasu (zipatso)
ofiira (phwetekere, apulo),
rasipiberi (beet),
zobiriwira (nkhaka, saladi),
zoyera (kolifulawa, kabichi yoyera).

Ngati "zakudya" zochizira atherosulinosis ndi thrombosis, ndikofunikira kuti musamadye kwambiri. Zotsatira zabwino za zinthu zitha kuwonongedwa chifukwa chogwiritsa ntchito nthawi imodzi. Ndi atherossteosis, chakudyacho chizikhala njira ya moyo. Njira yabwino yazakudya patebulo ndi No. 10. Monga mankhwala osiyanasiyana, gwiritsani ntchito adyo ndi anyezi. Odwala azaka 40 ndi kupitilira apo tikulimbikitsidwa kuti timwe madzi atsopano a mbatata, nkhaka, beets.

Chithandizo cha atherosulinosis ndi chothandiza kwambiri ngati kuyeretsa chiwindi kumachitidwa kale. Kuti mubwezeretse, makamaka, ma compress ozizira amagwiritsidwa ntchito. Amayikidwa m'dera la hypochondrium yoyenera m'mawa ndi madzulo kwa milungu iwiri.

Chithandizo cha zitsamba

Ma infusions ndi decoctions azitsamba amagwiritsidwa ntchito osati kupewa. Koma pang'onopang'ono atherosulinosis yokhala m'munsi yotalikirapo, wowerengeka azitsamba ayenera kukopeka, ngakhale njira zina zochiritsira, atakambirana ndi dokotala.

Njira zakugwiritsira ntchito mkati

Momwe machitidwe a mankhwala azitsamba ndi infusions amathandizira kutsitsa shuga m'magazi, kuchepetsa ndi kuyeretsa mankhwala a lipid.

Maphikidwe ogwira bwino azitsamba

Masingano owuma a paini - supuni zisanu, zipatso za rosehip - supuni zitatu, anyezi wa peel - supuniTsitsani zosakaniza, kuthira madzi okwanira. Simmer kwa mphindi 10 pa moto wochepa. Phimbani ndi thaulo, zilekeniImwani msuzi wonse patsikuTsiku lililonse pokonzekera decoction yatsopano, mankhwalawa mwina mwezi umodzi Phulusa lamapiri, sitiroberi, kachikena, marigold, mahatchi, tsamba la lingonberry, muzu wamamba otalikirana -Mu 300 g madzi otentha, kutsanulira supuni ya chopereka, kuphika kwa mphindi 3-4. Lolani kuti ziphulikire kwa pafupifupi maola awiri, mavutoImwani pa chopanda kanthu m'mimba ½ chikho anayi pa tsikuChidachi chimagwiritsidwa ntchito pofotokoza zizindikiro za atherosulinosis. Zomera zouma - 15 gThirani kapu yamadzi otentha mu udzu, kunenaImwani kamodzi pamimba yopanda kanthuKumwa kumalimbikitsidwa m'malo ochepa Maluwa kapena zipatso za Sophora japonica - 50 gThirani Sophora ½ lita imodzi ya mowa wamphamvu, mulole iwo ubwere kwa mwezi umodziTengani supuni katatu patsiku kwa miyezi itatu kapena inayiSophora amayeretsa bwino makhoma amitsempha yamagazi kuchokera kumchere wachilengedwe Mizu ya elecampane - 30 gThirani mizu ½ lita imodzi ya vodika, kunena m'malo ozizira amdima kwa masiku 40Imwani pamimba yopanda kanthu 25 madonthoZoonjezera za elecampane - kuthetseratu mutu

Osati kutsimikizira koyipa kwa hawthorn. Waledzera pamimba yopanda 30 amathira katatu patsiku.

Chithandizo chapafupi

Zithandizo zakunja zimathandizira kuthetsa ululu ndi kulemera m'miyendo, imathandizira kuthamanga kwa magazi ndikuchotsa kutupa.

Njira zomwe zingagwiritsidwe ntchito kwanuko

MafutaMizu Yodzaza Dioscorea - 100 g, Pork Fat - 400 gSungunulani mafuta, onjezani udzu, sakanizani. Imirirani maola awiri mumbafa yamadziPakani masiku 35 tsiku lililonse m'miyendo yomwe yawonongeka. Mukapuma masiku 20, mubwerezenso maphunzirowoPakupaka mafuta, tikulimbikitsidwa kuti tichite zolimbitsa thupi BathNettleThirani madzi otentha, mulole amuke, onjezerani kusambaKutalika kwa njirayi ndi mphindi 30.Gwiritsani Ntchito Bwino Grass Yatsopano AppliqueSage, wort wa St. John, plantain, motsatizana - supuniKutolere kutsanulira 300 ml ya madzi otentha. Kuumirira maola asanu ndi limodzi, mavutoMoisten gauze mu wofunda wothandizira, valani malo omwe akhudzidwa. Kutalika kwa njirayi ndi maola atatu. Gwiritsani ntchito kawiri pa tsiku - masana ndi usiku. Njira - masiku 20Pamaso pa njirayi, miyendo imatsukidwa ndi sopo wochapa. Gauze amalimbikitsidwa kuti apindidwe m'magawo angapo

Kusiyanitsa malo osambira akulimbikitsidwa. Miyendo yodwala imasungidwa mosiyanasiyana m'madzi ozizira ndi otentha: ozizira - mpaka masekondi atatu, otentha (mpaka 45 °) - osachepera mphindi zisanu.

Zinthu zambiri zogwira ntchito zomwe zingathandize polimbana ndi atherosulinosis zimapezeka mu reindeer moss. Imalimbikitsa magazi, imasintha kayendedwe ka magazi ndi kagayidwe kachakudya, imakhala ndi phindu pa ntchito yopopa mtima.

Mankhwala a Bee

Nthawi zambiri, uchi umagwiritsidwa ntchito ndi atherosulinosis komanso thrombosis. Amadyedwa pang'onopang'ono pamimba yopanda kanthu kapena kuledzera ngati gawo lamankhwala ochiritsa:

15 g wa viniga ya apulo cider amawundikira mu lita imodzi yamadzi ndipo 60 g uchi umawonjezeredwa. Imwani kapu ya ½ tsiku lililonse
Mandimu asanu ndi mitu isanu ya adyo imaphwanyidwa, 1 makilogalamu a uchi amawonjezeredwa. Mankhwalawa amasungidwa mufiriji, kwa mwezi uliwonse tsiku lililonse amamwa supu yopanda kanthu. Sitikulimbikitsidwa kuti mugwiritse ntchito ndi kuchuluka kwa acidity komanso m'mimba.

Amamwa uchi ndi gruel wa adyo, ndi madzi a plantain, ndi mandimu. Mafuta amayeretsa bwino mitsempha ndi mitsempha yachifumu. M'miyeso yaying'ono (kumapeto kwa mpeni), imatengedwa kawiri pamwezi pamwezi.

Zokhudza thupi

Kuchita masewera olimbitsa thupi ndi kuwonetsa kwa thrombosis ndi atherosclerosis ya miyendo imapangitsa magazi kutuluka kwa mitsempha ndi mitsempha. Kusisita kumalimbitsa njira yotengera zipsera ndi kuchira kwa ma cell. Kuphatikizika kwa masewera olimbitsa thupi kumachitidwa modabwitsa, pang'onopang'ono kukulitsa kuchuluka kwa katundu. Akatswiri amalimbikitsa:

Zala zakumaso kuti zikweze pansi kuchokera pansi ndi zala zanu.Ngati zakhumudwitsidwa zachitika, imirani, kwezani miyendo yanu.
Yendani "zala zanu" (yendani mita kutsogolo ndikusunthanso, mukusuntha ndikukhazikitsa zala zanu, ngati kuti mukuyenda pansi),
Ikani “bearish” gait (yendani mita kutsogolo ndi njira yosinthira, bulabu yamkati ndikulunjika mbali zosiyanasiyana),
Pindani miyendo (mutakhala, mwagona) - kwa masekondi asanu ndi awiri mbali zosiyanasiyana.

Pali mankhwala ambiri achikhalidwe amagwiritsidwa ntchito pochiza matenda a atherosulinosis ndi thrombosis a m'munsi malekezero. Mukamagwiritsa ntchito, chinthu chachikulu ndiku kutsatira zonse zophika ndikuwunika momwe thupi limayambira.