Aortic atherosulinosis: chithandizo ndi mathero a moyo ndi chiyani

Atherosulinosis ya mapapu ndi matenda osachiritsika omwe amapangika cholesterol yomwe imalepheretsa kuwala kwa mapapo, mitsempha, ndi ziwiya zina. Pali matenda chifukwa cha kukwezeka kwa magazi cholesterol, komwe kumapangitsa kuti magazi azikhala osakwanira komanso kusokoneza thupi lonse. Tizilombo ta m'mapapo sitingathe kugwira ntchito moyenera, ndipo mapiritsi a m'mapapo amakhala ndi vuto.

Zizindikiro za matendawa

Zizindikiro za atherosulinosis yamapapo zimatengera mtundu wamatenda. Pali mitundu iwiri ya matenda am'mitsempha yam'mapapo: yoyamba komanso yachiwiri.

Choyamba zimachitika ngati kupanikizika kwa intrapulmonary ndikwabwinobwino, ndipo chachiwiripomwe kukakamizidwa mu thumba la pulmonary kungapambanitse. Malinga ndi ziwerengero, matenda oterewa amapezeka pakapita zaka zochepa, koma pali milandu yodziwitsa anthu omwe ali ndi zaka 35 zakubadwa.

Pa magawo oyamba, matendawa amatha kuoneka mwanjira iliyonse. Chifukwa chake, imatha kupezeka kokha mothandizidwa ndi zida zapadera. Anthu ambiri amaphunzira zomwe pulmonary atherosulinosis ndi atazindikira kuti ali ndi matenda awa. Ndipo izi zisanachitike, sangayikire ngakhale pang'ono zovuta zomwe zimachitika.

Diffuse atherosulinosis imatha kukhudza msempha kapena magazi m'mapapo. Nthawi zambiri, matendawa amadzimva ngati kuchuluka kwa lipoproteins ndi cholesterol imadzunjikira khoma lamkati lamitsempha, chifukwa minofu yolumikizana imakula, mawonekedwe a fibrous plaques, omwe amatha kuphulika posachedwa.

Munthu amamva kupweteka m'malo osiyanasiyana chifuwa, omwe nthawi zambiri amawoneka, kutopa kosaneneka, kusowa tulo. Nthawi zina kupuma movutikira, kutsokomola komanso kutsitsirana kwa magazi kumasokoneza, khungu lamtambo ndipo nthawi zina limachita khungu pakhungu limawonedwa, nthawi zambiri magazi amakhala chifukwa. Kuwonongeka kwa chiwindi, kutupa kwa miyendo, kukulira mitsempha pakhosi kumawoneka.

Pulmonary sclerosis imatha kupezedwa ndi machitidwe ena a thupi, chifukwa matendawa amakhala ndi ziwalo zomwe akufuna. Izi sizimangotengera mapapu okha, komanso mtima wamtima, popeza atherosulinosis imafalikira ku minofu ya mtima ndi mitsempha yamagazi, impso, ubongo ndi maso, motero mavuto amatha kuchitika mthupi lonse.

Zowopsa ndi Zomwe Zimayambitsa Kutukuka

Mavuto a mtima ndi mtima samapezeka mwa iwo okha. Zinthu zingapo zimathandizira izi. Zomwe zimayambitsa kwambiri zomwe zimathandizira kukulitsa kwa atherosulinosis yamapapu:

• lipid kagayidwe kachakudya (okwana cholesterol ndi LDL),
• kusuta ndi kumwa mowa
• kunenepa kwambiri komanso kunenepa kwambiri
• kumangokhala
• ochepa matenda oopsa
• kupsinjika mosalekeza, kusokonezeka kwamanjenje,
• shuga, shuga,
• achikulire (makamaka amuna osuta),
• cholowa m'malo mwake.

Monga mukuwonera, zomwe zimayambitsa matendawa ndizosiyana kwambiri. Nthawi zambiri, mapapu amakhudzidwa chifukwa cha njira zomwe zilipo kale zotupa, zotupa zomwe zinavulazidwa kale, kapena zimawoneka ngati zovuta zamatenda, mwachitsanzo, hyperglycemia.

Koposa cholesterol yamagazi yabwinobwino kungayambitse kukanikizika kwambiri mu chotupa cham'mapapo, chomwe chingapangitsenso misempha yamagazi. Kuopsa kwa atherosclerosis ndikuti makoma amanzere kapena mapapu amanja amasonkhana mapulateni omwe amawaononga.

Mwa amuna, matendawa amapezeka pafupipafupi kuposa azimayi.

Magawo otukuka

Matendawa ndi amodzi mwa matenda osatha a m'mapapo. Matendawa amakula pang'onopang'ono. Choyamba, makulidwe a lipid amawoneka, kenako pepala losalala, kenako cholembera chokhazikika, kenako osakhazikika, kenako kumayambitsa matenda owopsa.

Mu gawo loyamba mitsempha ndi mitsempha ya m'mapapo imakhudzidwa. Makoma amitsempha yamagazi amasintha kapangidwe kake chifukwa cha kupanikizika, komwe kumapangitsa magazi kutuluka mwachangu. Panthawi ya matendawa, zimawonedwa momwe zigawo zam'mwamba za minofu ndi mitsempha yamagazi zimawonongeka. Mkati, timagulu tating'onoting'ono timagazi, tomwe timakanikizira kukhoma, ndikukulitsa kupezeka kwa maselo am'mimba. Pakadali pano, chigobvu chamkati chimayamba kupanga ma enzyme, ndikuwadziwitsa kuti atulutse zinthu zoyipa za metabolism yoyipa, ndikuzichotsa m'thupi.

Gawo lachiwiri atherosulinosis ya mapapo imayamba pamene pali zinthu zambiri zovulaza, ndipo mulibe ma enzyme okwanira kuti athane ndi chilichonse, motero zinthu zoyipa za metabolic zimadziunjikira m'makoma a mitsempha ndi mitsempha. Kupitilizanso ziwiya zam'mimba, minyewa yawo, minyewa yosalala imakula, yomwe imamwa milomo. Mu chithunzi chazazindikira pamatumba, mawanga am'magulu amafuta amawoneka.

Mu gawo lotsatira, momwe mafuta adziunjikira, minyewa yolumikizana imapangidwa, pambuyo pake ziphuphu zam'mimba zimapezeka, zomwe zimalepheretsa lumen ya ziwiya.

Gawo lachinayi atherosclerosis ikuwonetsa kuchuluka kwa zolembera, chifukwa chomwe ziwiya zimayamba kutsekeka, magazi amayenda, motero machitidwe onse amthupi amayamba kulephera.

Gawo Lachisanu yodziwika ndi kuwonongeka kwa makoma amitsempha yama magulu osiyanasiyana aukali, pafupi ndi coronarosulinosis - kuchuluka kwa minyewa yolumikizira mitsempha ya mtima.

Zizindikiro

Kuzindikira kwa atherosclerosis kumakhazikika pakuwonetsetsa bwino matendawa m'magawo azizindikiro zazikulu. Zoyambira ndi cholesterol yamagazi. Ngati chizindikiro ichi ndichitali kwambiri kuposa chabwinobwino, chiopsezo chotenga matenda a atherosulinosis ndi chambiri. Chifukwa chake, tikulimbikitsidwa kuti nthawi ndi nthawi mumayeze matenda a lipid metabolism. Izi ndiye maziko azidziwitso.

Ngati kusanthula kunawonetsa kusalinganika kwa lipid ndipo pali zowawa m'mapapu ndi mtima, muyenera kufunsa dokotala. Poyamba amatha kukhala othandizira omwe adzayezetsa zambiri komanso zotsatira za mbiri ya lipid. Dokotala amayenera kupenyerera zamkati zamaso, momwe mphete ya atherosselotic imawonekera, yomwe ikuwonetsa kupanga kwakukulu m'magazi a LDL (cholesterol yoyipa). Ndiwo mozungulira pabwalo lakunja la iris wa mtundu woyera wa opaque. Kenako katswiri wamtima amayang'ana chifuwa kuti asinthe khungu.

Zitha kufunidwa pakuwerenga mozama. Kuti muchite izi, ndikofunikira kulumikizana ndi akatswiri odziwa bwino (akatswiri azakuuzani omwe). Izi zikuphatikiza ma angiografia, kuyesa kwa mtima ndi mapapo, ma x-ray, kuyezetsa magazi m'mitsempha yama cell pogwiritsa ntchito sing'anga. Koma njira yofulumira kwambiri komanso yolondola kwambiri yodziwira matenda ndiyolembetsa.

Chithandizo ndi kupewa

Matendawa akapezeka kuti zizindikiro zoyambirira zisanachitike, dokotalayo amamulembera chithandizo chakudya. Zimatanthawuza kupatula zakudya zomwe zimachulukitsa cholesterol pamwamba pazomwe zimakhazikika kwa anthu, kuonjezera zakudya zomwe zimakhala ndi fiber, polyunsaturated mafuta acids (nsomba yamafuta), kuchepetsa mchere wa patebulo komanso chakudya cham'thupi chofulumira (makeke, maswiti).

Zakudya zoterezi zimaperekedwa kwa miyezi itatu kapena isanu ndi umodzi. Nthawi yomweyo, tikulimbikitsidwa kuti musinthe moyo wanu, kusiya zizolowezi zoipa, ndikuchita masewera. Izi zimachepetsa cholesterol ndi 10-20% ndikuchepetsa kuchuluka kwa mavuto am'mapapu. Ndikosatheka kuchiritsa atherosclerosis kokha ndi zakudya, kupatula njira zoyipa ndi masewera. Njira zochizira pakamwa kapena njira zowonjezereka zingafunikire kuchitidwa opareshoni.

Ngati, patatha miyezi isanu ndi umodzi, chithandizo chamankhwala sichinathandize, dokotala amakupatsani mankhwala, kuphatikizapo mankhwala antisulinotic:

Gulu loyamba limaphatikizapo Lovastatin, Simvastatin, Pravastatin, wachiwiri - Cholesterol, wachitatu - Lopatin, Lipanor, Gemfibrozil ndi ena. Amachepetsa cholesterol yamagazi ndikuwonjezera chitetezo cha mthupi.

Itha kugwiritsidwa ntchito pochiza wowerengeka azitsamba. Kusakanikirana kwa zitsamba zosiyanasiyana, ma tinctures, decoctions kumathandizanso kuyambitsa matenda owopsa a matendawa, kumathandizanso kuchepetsa magazi m'thupi, pomwe kumadzetsa kuvulaza thupi.

Ndikofunika nthawi zonse kukumbukira kuti chithandizo chabwino kwambiri cha matendawa ndikupewa chitukuko chake. Pambuyo pazaka 35, anthu amafunika kuwunika momwe amadya komanso moyo wawo.

Ndikofunika kusintha zakudya zanu osadya zakudya zambiri zomwe zingayambitse kunenepa kwambiri komanso cholesterol yambiri. Masewera amakula thupi lonse, amalimbitsa chitetezo cha mthupi, amachotsa kunenepa kwambiri. Chifukwa chake moyo wokangalika ndichofunikanso. Mphamvu zoyipa mthupi komanso kuonjezera ngozi ya zizolowezi zoipa. Ndikwabwino kusiya kusuta ndi kumwa mowa, kapena osazunza, kukhala ndi thanzi labwino.

Kodi msempha ndi chiani?

The aorta ndiye gawo lalikulu loyenda magazi mthupi la munthu, lomwe limakhala ndi mainchesi akulu kwambiri a lumen.

Mitsempha iyi imachokera kumanzere kwammimba kwa ziwalo zamtima, ndipo pambuyo pokhomera nthambi imapita ku ziwalo zonse.

Aorta ili ndi nthambi zake ziwiri:

• Zowonekera kwa machitidwe a thoracic. Mitsempha imasemphana ndi gawo ili, ndikupereka gawo lam'mwamba la thupi la munthu ndi madzi obwera. Awa ndi mitsempha yam'chiberekero, ziwiya zomwe zimapereka magazi ku ubongo, mitsempha yomwe imadyetsa miyendo ndi ziwalo zomwe zimapereka ziwalo za pachifuwa. Komanso, kuchokera kumtunda wapamwamba, pali chotupa chachikulu chomwe chimadutsa pamimba ndikudyetsa ziwalo zonse zamkati ndi magazi,
• Nthambi za m'munsi za aorta zimagawika mbali ziwiri kulowa mgonero wamanzere wa iiac ndi gawo lamanzere lamanzerezomwe zimadyetsa malo a m'chiberekero ndi magazi, komanso zimapereka malo otsika ndi magazi.

Atherosulinosis imatha kuyambitsa mizu, komanso kukhudza malo osiyana ndi msempha kapena kutulutsa malo osiyanasiyana, kukhudza mitsempha yonse ya msempha.

Aortic Atherosulinosis

Kutukula kwa atherosclerotic malo ku msempha

Atherosulinosis ya mtsempha waukulu (aorta) imatha kutchukitsidwa m'malo osiyanasiyana, chifukwa aorta ndiye thunthu lalikulu kwambiri la kayendedwe ka magazi komwe kamayenda mthupi lonse la munthu ndikugwira mbali zake zonse.

Magawo akuluakulu a msempha omwe amakhudza atherosulinosis:

• Dipatimenti yokwezaomwe amatuluka mumalowedwe aort ndipo amapita kumutu wakutsogolo.
• Dipatimenti yotsikaili pachifuwa. Awa ndi dera laling'ono kuchokera kumanzere a kumunsi kwa subclavian mpaka chifuwa cha chifuwa,
• Chipilala chaortortkulumikiza gawo lokwera ndi gawo lotsikira,
• Mimbazomwe zimayambira pansi pa dialograg ya pectoral.

Mitsempha yama coronary imachoka ku aorta yomwe ikukwera, pomwe mbali ya mtima imaperekedwa ndi magazi.

Kukula kwa atherossteotic

Chipilala cha aortic chimapereka magazi ku ubongo, komanso sternum yapamwamba.

Magawo am'munsi amadyetsa ziwalo kuchokera kumunsi kwa diaphragm kupita ku ziwalo zam'mimba.

Nthawi zambiri, atherosulinosis imakhudza mitsempha ya cholesterol, ndipo nthawi zambiri kupezeka kwa cholesterol plaques kumakhala pa khola la chifuwa.

Kuphatikiza pa malo achitukuko, atherosulinosis imagawika m'mitundu:

• Mtundu wa matenda osapindika,
• Matenda ododometsa.

Non-stenotic atherosulinosis imadziwika ndi kufalikira kwa cholesterol chikhomo pazotengera, ndipo mtundu wofatsa ndiwo mawonekedwe a lipid mapepala pamtsempha wa choroid.

Ngati kufalikira kwa chotupa kuli pa zida za mtima zam'mimba, ndiye kuti ma lipid madipoziti amapezeka mozungulira ma valve, zomwe zimayambitsa kuphatikizana kwa makoma ndi matenda pantchito yawo.

Madipoziti a cholesterol amakhalanso m'malo omwe amapangira misempha m'magulu ang'onoang'ono.

Kukula kwa aortic atherosulinosis

Chifukwa choyamba cha kukhazikika kwa atherosulinosis, kuphatikizapo aortic, ndikuphwanya thupi la lipid metabolism, pamene lipoproteins yotsika kwambiri imakhala yolimba kwambiri ndi lipoprotein, komanso kuchuluka kwa triglycerides mu molekyulu ya cholesterol.

Ma lipids okhala ndi kulemera kochepa kwambiri amalowa m'matumbo a choroid, ndipo mumatuluka ma cell a lipid (cholesterol), omwe ali ndi mawonekedwe owoneka bwino komanso otanuka. Pakadali pano pa chitukuko cha atherosclerosis, ndizotheka kusungunula kwathunthu matende awa pogwiritsa ntchito machiritso popanda kuwononga dongosolo la magazi.

Kuphatikiza apo, milu ya lipid imakhala yofiyira, ndipo mamolekyu a calcium amawalumikiza, ndipo cholengedwa chowuma cha atherosranceotic chimayamba kupanga pa msempha.

Chombocho chimataya kuyerekeza, ndipo zolembazo zimatseka kuwala kwa bedi lamitsempha kuti magazi azikhala odutsa.

Kuopsa kwa zipid zolembera sikugona pokhapokha kuti atha kutseka kwambiri ndi kuwongolera kwa minyewa ndikuyambitsa kukoka, komanso chifukwa choti amatha kutuluka mu choroid ndikupangitsa kutsekeka kwa mitsempha, zomwe zimatsogolera ku ischemia yamtunduwu womwe mtsempha wake umakhudzidwa ndi thrombosis.

Kutalika kwa msempha

Atherosulinosis, iyi ndi nthenda ya thupi la amuna, amayi amadwala kangapo 4-5 kangapo poyerekeza ndi kugonana kwamphamvu.

Izi zakhala zikuwonetsedwa ngati zokhudzana ndi zaka (matendawa adapezeka atatha zaka 45), koma tsopano matendawa adayamba achichepere, ndipo atakwanitsa zaka makumi atatu, amuna amapezeka ndi atherosulinosis.

Zomwe zimayambitsa zotupa za atherosulinotic kwa msempha ndi mitsempha zimagawika mu:

• Zosintha zachitukuko,
• Zinthu zomwe zitha kuchotsedwa pang'ono
• Zoyambitsa.

Zoyipa zake ndi izi:

• Kukhala moyo wongokhala kumene kumayambitsa kusayenda kwamitsempha yamagazi,
• Kuperewera kwa chikhalidwe cha chakudya; kudya zakudya zamafuta ambiri,
• Uchidakwa wambiri
• Mankhwala osokoneza bongo a Nikotine.

Amayambitsa omwe amatha kuthetseratu pang'ono ndikukonza ma pathologies omwe amachititsa kuti atortosulinosis:

• Kunenepa kwambiri,
• Matenda a lipid metabolism dyslipidemia,
• Endocrine dongosolo matenda a shuga mellitus,
• Matenda oopsa
• Matenda oyambukira ndi ma virus m'thupi,
• Kulimbitsa thupi, komwe kumachitika pafupipafupi.

Zifukwa zomwe sizimasinthika komanso osadalira moyo wa munthu yemwe adadwala matenda atherosulinotic:

• Ma genetic cholowa m'magulu amasinthidwe amtundu wa cell.
• Gulu la zaka zaka 40.

Zizindikiro za atherosulinotic zotupa za kungʻambika masamba:

Ngati wodwala sayambitsa chithandizo cha matenda a mtima m'mitsempha yama mtima ndikuyenda bwino, izi zimayambitsa vuto la mtima.

Mavuto

Fomu yovuta ya atherosulinosis ya masamba omwe akukwera aorta ndipo nthambi zake zimapezeka chifukwa cha magazi osakwanira m'derali. Kuperewera kwa magazi kumayambitsa kuperewera kwa oxygen, komwe kumayambitsa hypoxia mu minofu ya ziwalo.

Hypoxia imakonda kukhazikika mumtima, izi zimapangitsa kuti minofu ya mtima isamve bwino, komwe kumayambitsa matenda a mtima.

Kuchokera pagawo lomwe likukwera, bwalo la kayendedwe ka magazi limayamba, ndipo zambiri zimatengera mkhalidwe wa msempha, pomwe magazi amapezeka ku ziwalo zonse.

Chifukwa cha atherosulinosis ya kumtunda kwa mitsempha, pamakhala kusokonezeka mu ziwalo osati mbali ya chifuwa, komanso chamoyo chonse.

Pachifukwachi, ndizosatheka kunena zomwe zimachitika chifukwa cha thupi lomwe lili atherosulinosis ya msempha, chinthu chokhacho chomwe chingafotokozedwe ndikuti, kuyandikira kwa chidziwitso cha zolengeza komanso kusintha kwamphamvu m'mitsempha yam'mimba, kumakhala kowopsa kwambiri pamoyo wamunthu.

Kukula kwa mtima ndi kusintha kwamphamvu mu zimitsempha zamitsempha ndizosatheka monga kufalikira kwa minofu ya mtima.

Chipilala chaortort

Atherosulinosis ya khola la msempha ndi nthambi zake imakonda kumera monga lipid zolembera pakukwera kwa gawo lalikulu kwambiri la magazi.

Hypoxia, kapena ischemia yamaselo aubongo.

Zizindikiro za kusayenda bwino kwa magazi m'mitsempha ya ziwongo ndi chizungulire, kukomoka, kugona, kapena kusowa tulo, nseru zomwe zimayambitsa kusanza kuchokera mthupi.

Ndi zizindikiro zotere, kulumala kwa munthu kumachepa, wodwalayo amachedwa kukumbukira, zomwe zimayambitsa kusokonezeka kwa m'maganizo ndi matenda amisala.

Stroke ischemic mtundu.

Woopsa kwambiri mavuto a kutulutsira kwa lipid madontho pa kungʻambika Chipilala. Awa ndi njira yowopsa yomwe imatsogolera ku kuwonongeka kwa minyewa yaubongo mu ziwalo zaubongo.

Zizindikiro za kuphatikizika uku ndikusokonezeka m'malo, kupweteka kwambiri m'malo osiyanasiyana ammutu, nseru yayikulu yomwe imayambitsa kusanza, kutentha kwa thupi lonse kumadzuka, kulekanitsa thukuta kumakulirakulira, munthu amasiya kuzindikira.

Komanso, ndi stroko, kupweteka kwamadipatimenti osiyanasiyana amisempha kumatha kuwoneka. Komwe kulumikizidwa kumadalira gawo laubongo lomwe limakhudzidwa ndi sitiroko.

Mtundu wa ischemic wamtunduwu umatha kupha. Kusokonezeka kwa magwiridwe antchito, kuyankhula kwamphamvu kwa ziwalo zowoneka, ziwalo za gawo limodzi la thupi, kapena mbali imodzi ya miyendo, komanso kusamvetseka m'makutu kumatha kukhala zovuta zowopsa m'moyo.

Kusintha kwa ma sclerodegener m'mitsempha ya gawo lamanzere lamanzere lamkati mwa brachial, lomwe limapereka maselo aubongo a ziwalo zonse zamutu, ndipo nthambi zokhala mbali ya mbali ya kumanja ya carotid ndi chotengera cha mbali ya kumanja:

• Kuthamanga kwa magazi kumadera akumtunda kumasokonezeka, komwe kungayambitse ischemia yamtunda wamanja ndikuyambitsa gangore,
• Zosachitika mu magazi mu khosi zimachitika, zomwe sizimalola kufalikira kwa magazi kuubongo.

Kusokonezeka kwa kayendedwe ka magazi m'khosi khosi kumachitika, zomwe sizimalola kufalikira kwa magazi kuubongo

Thoracic gawo limodzi la msempha wotsikira

Mu gawo lotsika la sternum, nthambi za mitsempha imachoka mu msempha, womwe umapereka magazi ku maselo am'mapapu, komanso minyewa yam'mero.

Ngati pali kuphwanya kayendedwe ka magazi, pamakhala ngozi yotenga matenda a m'mapapo a ischemic.

Zizindikiro zakukula kwa matendawa:

• Kupuma pang'ono
• Kulephera kopindulitsa.

Zizindikiro zotere za chitukuko cha ischemia zimatha kubweretsa ziwalo zam'mapapu ndipo zimawonetsedwa ndi zizindikiro zotere:

• Kupuma pang'ono kumakhala kolimba kwambiri ndipo kumawonekera ngakhale pakukhala chete.
• Kuyenda m'mapapu
• Chifuwa, chiyembekezo cha magazi,
• Mtundu wamafuta akhungu,
• Pa nembanemba yam'mimba, mumawonekanso mthunzi wamimba.
• Mloza wamagazi umachepa,
• Wodwalayo akunjenjemera.

Ngati pali kuphwanya kayendedwe ka magazi, pamakhala ngozi yotenga matenda a m'mapapo a ischemic.

M'mimba

M'dera lino la msempha wotsikira, pamakhala timitsempha tating'onoting'ono tomwe timapanga ziwalo izi:

• M'mimba
• Mitsempha yamagazi yomwe imadyetsa magazi ku chiwindi,
• Kwa ndulu
• Mitsempha yam'mimba,
• Zotengera zothandizira ziwalo zonse za m'chiuno zokhala ndi madzimadzi am'madzi,
• Zombo zamkati
• Zotengera za m'munsi.

Mavuto omwe amachitika chifukwa cha kuwonongeka kwa makoma a mitsempha ya malo otsikira:

• Kuperewera kwa okosijeni m'mimba komwe kumayambitsa ischemia wa chiwalo ichi. Zizindikiro za kutumphuka m'matumbo, kusefukira kwam'mimba, kudzimbidwa pafupipafupi, kupweteka pamimba,
• Intestinal cell infaration. Zizindikiro zake zimawoneka m'matumbo, m'mimba, kapenanso kuyimitsidwa kwathunthu kwa chimbudzi, magazi amapezeka pampando.
• Ral organ ischemia. Zizindikiro za mawonekedwe a chiwonetsero cha matenda a hyperthermia, kupweteka kwambiri m'chigawo lumbar, nseru, kwambiri mpaka zimadutsa.
• Ral organ infaration. Zizindikiro zakuyamba kwa zizindikiro ndizofanana ndi ischemia ya ziwalo, koma palinso zizindikiritso, awa ndi magazi mu mkodzo, ndipo pakuchepa kwakukulu kwa kuchuluka kwa mkodzo kuchokera mthupi,
• Chifukwa cha kuchepa kwa magazi pakapita nthawi yotsekemerakusabereka kumachitika, komanso mtima arthrosis umabweretsa kusabereka kwa amayi ndi abambo,
• Ndi magazi osakwanira m'magawo otsika,: Ululu m'miyendo mukamayenda, makulidwe akukhazikika kwa pakati, kutentha pang'ono pamapazi, dzanzi ndi kutuwa kwamapeto, redness pa ana ang'ono ndi kumapazi, necrosis ya zotumphukira ndipo imatha kuyambitsa matenda osokoneza miyendo.

Chifukwa cha kuchepa kwa magazi koyenera kupita m'chigawo cha m'chiberekero, kusowa kwa thupi kwamambo kumachitika

Kuyesa kwa Ultrasound

Kufufuza matenda a Ultrasound kumathandiza adokotala kuzindikira zovuta zotsatirazi m'magazi:

• Kuwonongeka kwa magazi kumayenda m'njira zazikulu,
• Kuchepetsa m'mimba mwake
• Kupezeka kwa atherosclerotic malo mu mtsempha wamagazi
• Kukhalapo kwa kuwundana kwa magazi ndi emboli m'magazi
• Maonekedwe pa choroid wa aneurysm. Kuzindikira aneurysms of aortic artery, njira za compute tomography (CT) ndi maginito a resonance imaging (MRI) amagwiritsidwanso ntchito,
• Kwa thoracic aortic aneurysm, radiography ndi CT zimagwiritsidwa ntchito.

Njira zochizira

Mankhwala othandizira amafunikira kuthetsa zizindikirazo ndikuletsa matendawa, osamupatsa mwayi wopitilira patsogolo mtsogolo komanso kupewa kutulutsa kwa atherosulinosis kukhala mawonekedwe ovuta.

Ngati muyamba mankhwala kumayambiriro kwa chitukuko cha matendawa, ndiye kuti mutha kuyimitsa kupititsa patsogolo kwa matenda aortic scellosis amodzi, kwa maphunziro awiri apamwamba, omwe amakhala masiku 120 mpaka 150, maphunziro amodzi.

Pambuyo pa maphunziro akuluakulu azachipatala, ndikofunikira kuchita zochizira, zomwe zimatha zaka zingapo mpaka kumapeto kwa moyo (zimatengera mphamvu ya thupi yokhala ndi kukokana kwa kuchuluka kwa lipoproteins m'magazi).

Pa magawo onse akukhazikika kwa atherosclerosis ya arterial, ndikofunikira kutsatira zakudya zopanda mafuta a cholesterol, zomwe sizimalola lipoprotein yotsika pang'ono kulowa thupi, zomwe zimayambitsa matenda awa.

Ngati mankhwalawa atherosulinosis ayambika kumapeto kwa chitukuko chake, pamene lipid malo omwe adaphimba zoposa 50.0% ya lumen ya mtima, ndiye kuti wodwalayo akhoza kupulumutsidwa pokhapokha ngati amachitidwa opereshoni.

Zolemba zoterezi sizingathetse pawokha komanso mothandizidwa ndi mankhwala.

Ndi chithandizo cha opaleshoni, njira ya opaleshoni yodutsa m'mimba ndi aortic, komanso njira yochitira opaleshoni ya angioplasty, imagwiritsidwa ntchito.

Ndi aneurysm wa chotengera, ntchito yotseguka imagwiritsidwa ntchito kuti isinthe chotengera chomwe chasokonekera ndi ma cell ochita kupanga.

Mankhwala

Zakudya zamagulu

Zakudya zamafuta ochepa:

Kupewa

Njira zodzitetezera pofuna kupewa kutulutsa kwa msempha:

• Njira yodziwika yodzitetezera,
• Kukana kusuta kwa chikonga,
• Osamamwa mowa
• Chotsani kusachita masewera olimbitsa thupi ndikuyamba kusewera masewera,
• Pewani kupsinjika
• Wunikirani kuthamanga kwa magazi, komanso kuwongolera kuchuluka kwa shuga m'magazi,
• Nkhondo yolimbana ndi kunenepa kwambiri ikupitirirabe, onse pofuna kupewa komanso njira yochizira.

Mbiri ya moyo

Ndi kulumikizana ndi nthawi ndi dokotala wamtima, mutha kuthana ndi cholesterol plaque m'miyezi ingapo.

Kupuma konseko kumatengera wodwalayo yekha. Ngati mumatsata pafupipafupi kudya komanso kumwa mankhwala okonzanso, ndiye kuti matendawo ndi abwino.

Ngati simusintha chilichonse m'moyo wanu, komanso osachotsa zinthu zomwe zimayambitsa matenda a atherosulinosis, ndiye kuti mawonekedwe atherosclerosis ovuta kwambiri angayambitse matenda owopsa.

Pomaliza

Kukula kwa aortosclerosis kumadalira malo ndi matendawo. Prognosis yosavomerezeka ya pulmonary sclerosis yoyamba. Ngati matenda amakhudza aorta wokhayo, matendawa amatengedwa moyenera malinga ndi njira zamankhwala. Ngati ziwiya zamkati zikhudzidwa ndipo njirayo imayendetsedwa ndi angina pectoris, matendawa amakhala osavomerezeka.

Nkhani ya kulemala, ngati chithandizo chidayenda bwino, wodwalayo akulimbikitsidwa ntchito yopepuka. Komabe, ngati aortosulinosis yafalikira ku ziwiya zamatumbo, wodwalayo amapatsidwa kulumala, popeza matendawa amakhudza dongosolo lamanjenje.

Kodi matenda a m'mapapo ndi njira yochiritsira

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.

Aortosulinosis ya mapapu, omwe amatchedwanso atherosclerosis, ndi matenda omwe amapezeka cholesterol, kutsekeka kwam'mapapo ndipo motero kumapangitsa kutsekeka. Izi zimadzetsa mavuto ndi machulukidwe am'mapapo, ndipo thupi lonse, limapuma ndi okosijeni, limayambitsa zovuta, mpaka kumwalira.

Nthawi zambiri, aortosulinosis imayamba:

• okhala m'mizinda yayikulu
• anthu atatha zaka 45.

Kwa abambo, vutoli limatha kudutsa zaka 10 kapena kuposerapo kuposa amayi, omwe ali ndi chikhalidwe komanso chikhalidwe.

Zomwe zimayambitsa matenda

Aortosulinosis ndi matenda omwe, monga lamulo, amakhala amodzi mwa ma endologies omwe amayenda ndi ena ndikupanga monga zotsatira zawo zachilengedwe. Monga lamulo, awa ndi ma pathologies omwe amakhudza kuchuluka kwa kupsinjika kwa mapapu.

Ngakhale kuti atherosclerosis nthawi zambiri imadalira matenda am'mapapo mwanga komanso mtima, pali zinthu zingapo zomwe zingathandizenso kukulitsa matendawa.

1. Khalidweli.
2. Mavuto pambuyo matenda opatsirana.
3. Cholesterol yayikulu.
4. Matenda oopsa.
5. Matenda oopsa
6. Matenda a shuga.
7. Kunenepa.
8. Mikhalidwe yovuta.
9. Zakudya zamafuta kwambiri.

Atherosulinosis ya mapapu imayamba kukhala chifukwa chachilengedwe cha mitral stenosis - pamene kudutsa magazi kudutsa mu mtima kumakulirakulira, kuthamanga kwa magazi m'mapapo kumawonjezeka. Matenda enanso omwe nthawi zambiri amakhumudwitsa mavuto a atherosselotic ndi emphysema, omwe amachitika ngati wodwala akudwala matenda a bronchitis. Lung fibrosis amathanso kuyambitsa kukula kwa atherosulinosis.

Atherosulinosis ya m'mapapo aortic ali ndi zizindikiritso zingapo zodziwika.

• Kukula kwa kufupika kwa mpweya.
• Angina pectoris.

• Kupuma movutikira.
• Kuchulukana komanso kuchuluka kwa matenda oopsa.
• Kupweteka ndi kuwundana pachifuwa ndikusiya malo oyanjana.
• Kutopa kwambiri.
• Kutupa.
• Chizungulire.

Magawo a matenda matendawa akamakula komanso kusintha kwamkati kumawoneka motere:

Kodi cholesterol yayikulu imakhala yoopsa bwanji m'thupi la munthu?

Ziwerengero zimati nthawi zambiri kufa msanga kumayambitsa atherosulinosis. Matendawa amabweretsa vasoconstriction, chifukwa pomwe pamakhala kugunda kwa magazi, mitsempha ndi mtima zimayamba. Koma kodi cholesterol imagwira ntchito yanji pamenepa?

Monga mukudziwa, mukamadya mafuta a nyama, zotsala zawo sizimangodziunjikira pakhungu. Amasonkhananso m'matumbo, ndikupanga zolembera zamtundu wa cell zomwe zimasokoneza kuthamanga kwa magazi. Zotsatira zake, katundu pamtima amawonjezeka ndipo kupanikizika kumakula. Thupi likamakula, vutolo limakulirakulira ndipo ischemia ikukula.

Kukula kwa mapepala kumapangitsa kuti magazi azitsekeka, necrosis komanso mawonekedwe a gangrene. Izi ndi gawo laling'ono chabe lazotsatira za hypercholesterolemia. Izi ndizowopsa makamaka kwa odwala matenda ashuga, anthu omwe samatsata zakudya ndipo amakhala ndi zizolowezi zoyipa. Chifukwa chake, aliyense ayenera kudziwa chomwe chiri cholesterol chowopsa komanso momwe angasinthire kuchuluka kwake.

Kodi cholesterol ndi chiyani?

Cholesterol ndi ester yamafuta acids. Amapangidwa ndikuwupanga m'chiwindi. Ndi chakudya, ndi gawo laling'ono chabe la zinthu lomwe limalowa m'thupi.

Mwanjira yolumikizidwa, organic pompopompo imapezeka mu lipoproteins ndi cholesterols. LDL ndi lipoprotein wotsika kwambiri. Amapangitsa cholesterol kukhala yoyipa. Katunduyu amaikidwa pamakoma am'mimba, amachepetsa lumen wawo.

HDL - ndi lipoproteins yapamwamba. Ndizothandiza kwa thupi, chifukwa zimalepheretsa mapangidwe a atherosrance.

Ngakhale kuvulaza kwa LDL, kugwira ntchito bwino kwa thupi popanda sizingatheke. Kutsogolera cholesterol ntchito:

1. Ndi gawo la ma membrane a ma cell,
2. amatenga nawo gawo pantchito ya adrenal glands, kupanga mafupa amitsempha,
3. imapereka kapangidwe kazakudya zam'mimba ndi michere ya bile,
4. lipid kagayidwe ndi kosatheka popanda izo,
5. gawo lamavitamini osungunuka a mafuta ndi mahomoni,
6. imapereka kubereka,
7. amasintha dzuwa kukhala Vitamini D,
8. amateteza maselo ofiira m'magazi a hemolytic,
9. ndi gawo limodzi la dongosolo la mapangidwe a bile,
10. imasintha magwiridwe antchito a serotonin receptors, omwe amayang'anira mawonekedwe a chisangalalo ndi chisangalalo.

Kuti thupi likhale lathanzi, komanso kuti dongosolo lake lonse lizigwira ntchito mokwanira, pamafunika kuyesetsa pakati pa HDL ndi LDL. Mlingo wa cholesterol m'magazi umatengera zaka, jenda komanso thupi. Chifukwa chake, mwa azimayi panthawi yoyembekezera, kugwiritsidwa ntchito kwa zinthu kumachulukitsidwa pang'ono, komwe kumalumikizidwa ndi kukonzanso kwakumbuyo ya mahomoni.

Mulingo wa cholesterol wokwanira kwa munthu wosakwana zaka 25 ndi 4.6 mmol / l. Chizindikiro chovomerezeka kwa abambo chimachokera ku 2.25 mpaka 4.82 mmol / l, kwa akazi - 1.92-4.51 mmol / l.

Pazaka, zikhalidwe zimatha kusintha, mwachitsanzo, zaka 40-60, mlingo wochokera pa 6.7 mpaka 7.2 mmol / l ndovomerezeka.

Amayambitsa ndi zizindikiro za hypercholesterolemia

Pali zinthu zambiri zomwe zimatha kuwonjezera kuchuluka kwa LDL m'magazi. Cholinga chachikulu ndikugwiritsa ntchito zakudya zomwe zimakhala ndi mafuta omwe amasokoneza mtima wamtima.

Miyezo ya cholesterol imawonjezeka ndi masewera olimbitsa thupi osakwanira. Kusowa kwa kupsinjika kumachepetsa njira za metabolic ndipo kumathandizira kuti LDL isungidwe m'matumba. M'tsogolomu, izi zingayambitse kukula kwa matenda ashuga amtundu wa 2.

Kuopsa kwa hypercholesterolemia kumawonjezeka ndi kugwiritsa ntchito mankhwala ena pafupipafupi. Izi zikuphatikiza ndi steroid, njira zolerera komanso corticosteroids.

Chifukwa china chomwe chimapangitsa mafuta ochulukirapo ndimasamba a bile mu chiwindi. Mchitidwewu umayamba motsutsana ndi komwe kachilombo kamayambitsa matenda osokoneza bongo, uchidakwa komanso kugwiritsa ntchito mankhwalawa.

Zina zomwe zimathandizira kupezeka kwa LDL m'magazi:

• kunenepa
• chithokomiro cha chithokomiro,
• chibadwa
• gout
• matenda oopsa
• kusiya zizolowezi (kumwa mowa mwauchidakwa komanso kusuta),
• kusamba kusanachitike
• kupsinjika kosalekeza
• matenda a impso
• megaloblastic anemia.

Matenda osatha am'mapapo, nyamakazi, kudzikongoletsa kwamadzi am'madzi, khansa ya Prostate, matenda a Werner komanso matenda a mtima amathandizanso kuti mafuta asawonongeke. Ngakhale nyengo imakhudza mulingo wa LDL. Chifukwa chake, mwa anthu akum'mwera akumayiko ambiri kumanzere kwamafuta akuthupi kumadutsa kwambiri kuposa anthu omwe akukhetsa kumpoto.

Kuchuluka kwa cholesterol kumabweretsa shuga. Ndipo mulingo wa zinthu zovulaza zimatengera zaka komanso jenda. Kafukufuku wasonyeza kuti abambo amatha kuvutika ndi hypercholesterolemia, ndipo okalamba amakhala ndi kuchepa kwa kagayidwe kachakudya, nchifukwa chake kupezeka kwamitsempha kwam'mimba kumatulutsa ndipo zinthu zovulaza zimalowa mosavuta m'makoma awo.

Mutha kudziwa kukhalapo kwa cholesterol yayikulu m'magazi kunyumba, ngati mumalabadira zizindikiro zingapo. Ndi kudzikundikira kwa chinthu chonga mafuta m'thupi, kupweteka kumachitika m'munsi komanso khosi, kufupika, angina pectoris, migraine, matenda oopsa.

Xanthomas amawoneka pakhungu la wodwala. Awa ndi mawanga achikaso omwe amapezeka mozungulira maso. Zizindikiro zina za hypercholesterolemia:

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

1. coronary thrombosis,
2. onenepa kwambiri
3. kulephera kwa mtima
4. zosokoneza m'mimba,
5. kusowa kwa vitamini
6. kuwonongeka kowoneka ndi kupasuka kwamitsempha yamagazi.

Vutoli mafuta m'thupi

Kodi zochulukirapo za LDL zingaopseze chiyani? Zinthu zokhala ndi cholesterol zikakhala zabwinobwino, atherosulinosis imayamba, zomwe zimawonjezera mwayi wokhala ndi stroke kapena vuto la mtima. Zotsirizazo zimawonekera chifukwa cha kuwonongeka kwa mitsempha ya coronary yomwe imadyetsa myocardium ndi malo a atherosranceotic.

Mitsempha yamagazi ikatsekeka, magazi okwanira okwanira ndi mpweya sizilowa mumtima. Umu ndi m'mene mtima umakhalira, pomwe wodwala amakhala ndi kufooka, mtima wake umasokonekera, ndipo kugona kumatuluka.

Ngati matendawa sanazindikiridwe munthawi yake, ndiye kuti kupweteka kwambiri mumtima kumachitika ndi mitundu ya IHD. Ischemia ndiowopsa chifukwa imatsogolera kugunda kapena kugunda kwa mtima.

Komanso kuvulaza kwa hypercholesterolemia ndikuti kumapangitsa kuti ma cell a ubongo awoneke. Zotsatira zakusadya bwino kwa thupi, munthu amayamba kuyiwalika, amavutitsidwa ndimutu, amakhala akhungu m'maso mwake. Ngati matenda amitsempha yamagazi imagwirizana ndi matenda oopsa, ndiye kuti matendawa angawonjezeke nthawi 10.

Koma chowopsa chachikulu paumoyo ndikuti zolemba za atherosselotic nthawi zambiri zimathandizira kupasuka kwa msempha. Ndipo izi ndizovunda ndi imfa, ndipo zimathandizira kuthandiza munthu pazochitika 10% zokha.

Ngati mupitilira mafuta a cholesterol m'magazi, ndiye kuti pali zovuta zina zomwe zingachitike,

• kusokonezeka kwa mahomoni
• Matenda a chiwindi ndi ma adrenal gland,
• matenda ashuga nephropathy,
• angina pectoris
• pulmonary embolism,
• kulephera kwa mtima

Momwe mungapangire mafuta a cholesterol

Hypercholesterolemia iyenera kuthandizidwa kwambiri. Ngati cholesterol ili yofunikira, kuti muchepetse muyenera kufunsa dokotala yemwe akupatseni mankhwala. Mankhwala odziwika a atherosulinosis ndi ma statins, bile acid sequestrants, ma fibrate, ACE inhibitors, vasodilators ndi omega-3 acid. Alpha lipoic acid amalembanso.

Kuphatikiza pa kumwa mankhwala, kuchita masewera olimbitsa thupi komanso kuyenda kunja kumathandizira kuchepetsa cholesterol ya LDL yoopsa. M'pofunikanso kusiya zosokoneza bongo, kupewa kupsinjika ndikuthandizira matenda a impso, chiwindi, mapapo, mtima, kapamba.

Zakudya zoyenera zimathandizanso kuchepetsa cholesterol m'magazi. Ndi hypercholesterolemia, ndikofunikira kuti muchepetse zakudya:

1. nyama zamafuta
2. maswiti
3. msuzi wa phwetekere
4. mankhwala omalizidwa
5. zakudya zokazinga
6. kuphika,
7. khofi
8. maapulo.

Ndikulimbikitsidwa kudya zakudya zomwe zimatha kutsitsa cholesterol. Awa ndi ma hercules, kaloti, chimanga, rye kapena mkate wopanda bulauni. Komanso, odwala matenda ashuga omwe ali ndi atherosulinosis ayenera kuphatikizanso zipatso za zipatso, adyo, mapeyala, nsomba zam'madzi, maapulo ndi nyemba mu zakudya.

Ndemanga ya anthu omwe ali ndi mavuto ndi mtima wamtima zatsimikizira momwe magwiritsidwe ntchito a mafuta a linseed alili. Chogulitsachi chili ndi mafuta ambiri, omwe amayang'anira kuchuluka kwa LDL ku HDL. Kupanga cholesterol yotsika, ndikokwanira kudya pafupifupi 50 ml ya mafuta patsiku.

Parsley, yemwe ali ndi zakudya zamafuta oyeretsa matumbo, amathandizira kuthetsa hypercholesterolemia. Ngakhale polimbana ndi cholesterol yoyipa, bowa wa oyisitara amagwiritsidwa ntchito. Bowa ali ndi statin yachilengedwe yomwe imapangitsa matenda a lipid metabolism.

Phindu ndi zovulaza za cholesterol zafotokozedwa mu kanema munkhaniyi.

Zithandizo za anthu

Mu magawo oyamba, ndi matenda apakanthawi, matendawa amatha kuchiritsidwa pogwiritsa ntchito mankhwala achikhalidwe.

Musanagwiritse ntchito chilichonse, ndikofunikira kufunsa katswiri kuti musayang'ane ndi zoyipa ndi mayankho olakwika a thupi.

Zithandizo za Folk zimathandizira kuchepetsa mafuta m'thupi:

• Kudya tsiku lililonse supuni zitatu za maolivi kapena mafuta afuta,
• Kugwiritsa ntchito mankhwala azitsamba, makamaka a ku Japan, sophora, kudzakhudzanso bwino mkhalidwe wosangokhala ziwiya zam'mapapu zokha, komanso thupi lonse. Chitani maphunziro olimbikitsidwa. Kuti mukonzekere, tsanulira kapu ya nyemba zosaphika ndi theka la malita a vodika. Siyani kukapatsa malo ozizira kwa milungu itatu. Kulowetsedwa amatengedwa katatu patsiku, asanadye, supuni imodzi. Maphunzirowa atenga miyezi itatu,
• Kugwiritsa ntchito uchi. Kuti akonze mankhwalawo, mafuta a maolivi, mandimu ndi uchi amaphatikizidwa mosiyanasiyana. Kusakaniza kumalimbikitsidwa kugwiritsidwa ntchito kamodzi patsiku, m'mawa chakudya chisanafike,
• Katundu wabwino wochiritsa ndi msuzi wa mbatata, womwe umalimbikitsidwa m'mawa uliwonse ndikudya pamimba yopanda kanthu,
• Chida chabwino kwambiri chomwe chimagwiritsidwa ntchito pochiza pulmonary arteriosulinosis ndi adyo. Kugwiritsa ntchito bwino kwambiri ndiko kukonzekeretsa kwamitundu yonse yamafuta. Muyenera kuwaza mutu umodzi wa adyo ndi ndimu yaying'ono yapakatikati. Mukasakaniza zosakaniza, mudzazeni ndi theka la madzi ndi kusiya kwa masiku anayi. M'pofunika kudya supuni ziwiri m'mawa uliwonse,
• Kuchokera kumutu komwe kumakhala limodzi ndi matendawa, mbewu za katsabola zimathandiza. Supuni ya mbewu imathiridwa mu kapu yamadzi otentha. ndikofunika kugwiritsa ntchito kanayi pa supuni,
• Ngati wodwala akumana ndi chizungulire kapena mavuto m'makutu, melissa angagwiritsidwe ntchito. Chifukwa cha kununkhira kwake komanso kukoma kwake, msuzi wake umatha kumamwa ngati tiyi kangapo patsiku,
• Malo osambira a nettle ndi njira yothanirana ndi atherosulinosis. Kuti muchite izi, mumafunika nettle watsopano, yemwe amangoyikidwa osamba ndikuthiridwa ndi madzi otentha. Pakapita kanthawi, madziwo amawumitsidwa kuti azitha kutentha ndikuthiramo madzi osamba kwa theka la ola. Njirayi iyenera kubwerezedwa tsiku lililonse.

Kupititsa patsogolo nkhondo yolimbana ndi matenda a mapapu, zakudya zopatsa thanzi ndi mavitamini zingagwiritsidwe ntchito.

Atherossteosis akufotokozedwa mu kanema munkhaniyi.