Matenda a coronary artery aorta: ndi chiyani

Ndizotheka kuchiritsa atherosulinosis yamtundu uliwonse. Kuti muchite izi, muyenera kungotsatira moyo wathanzi ndikugwiritsa ntchito mankhwala onse ofunikira.

Mtundu wowopsa wa matenda ndi atherosulinosis ya msempha ndi mitsempha ya m'mimba. Matendawa amadzaza ndi myocardial infarction, mtima kulephera, matenda a mtima.

Kufalikira kwamatumbo kumatha kukhazikika pokhazikika pokhazikitsa chitetezo chokwanira. Ngati chilinganizo chimabwereka kuti chidziwike kapena kuyambitsa thrombosis, ndiye kuti opaleshoni akuwonetsedwa.

Pathogenesis ndi zomwe zimayambitsa matendawa

Kodi atherosulinosis ya msempha ndi mitsempha ya mitsempha ndi yani? Kuti athane ndi nkhaniyi, timakumbukira maphunziro a kusukulu. Msempha ndi chotupa chamagazi chachikulu chomwe chimayambira mu mtima wamanzere.

The msempha agawika ziwiya ziwiri. Nthambi yapamwamba yamankhwala imatchedwa thoracic aorta, ndipo m'munsi - m'mimba msempha. Mitsempha yama coronary imayimira kuthamanga kwa magazi, komwe kumayambitsa kuthamanga kwa magazi mpaka mtima komanso nthambi yapamwamba yam'mitsempha yama coronary.

Tidaganiza. Tsopano kumbukirani lingaliro la atherosulinosis. Pansi pa mawuwa pali matenda omwe mafupa okhala ndi ma lipoprotein otsika kwambiri ndi ma esters amawaika mkati mwa mitsempha ndi mitsempha yamagazi.

Pa magawo oyamba, atherosclerosis siziwonetsa konse. Poyamba, mafuta ochepa amapaka mkatikati mwa chotengera kapena mtsempha wamagazi, womwe umayambitsa kutupa. Kuchepa kwa lipid metabolism kumabweretsa kumtunda kuti lipid banga limayamba kukula kukula.

Pa siteji yotsika ya atherosclerosis, zolembera zam'madzi zam'madzi zimatha kugwiritsidwa ntchito, ndikuti, mchere wa calcium umadziunjikira pang'onopang'ono. Chingalawacho chimakhala chofiyira, chimakulirakulira, ndikuonjezeranso kuwunikira kwa zombozo. Zotsatira zake, kayendedwe ka magazi kamasokonezedwa m'malo a ma cusps, mabulogu a myocardial ndi ma ventricles.

Chifukwa chiyani atherosulinosis ya msempha ziwalo zaubongo ndi mtima zimayamba? Zomwe zimayambitsa matendawa sizikudziwika. Koma madotolo akuti pali zinthu zingapo zomwe zikudziwikiratu kuti chitukuko cha matendawa chikule.

• Gout
• Matenda a mtima, matenda oopsa, matenda ena a CVS.
• Matenda a shuga. Mapangidwe a atherosulinotic amatha chifukwa cha matenda omwe amadalira insulini komanso matenda a insulin.
• Kudya mafuta ambiri anyama. Kugwiritsa ntchito maswiti kwambiri kumakhudzanso kagayidwe ka lipid.
• Hypothyroidism ndi matenda ena a chithokomiro.
• Kupsinjika, kukhumudwa.
• Kukonzanso (majini).
• Chiyanjano cha amuna.
• Kusiya nthawi.
• Kunenepa kwambiri
• Zizolowezi zoipa. Zimasokoneza kwambiri ntchito yamatenda a mtima, uchidakwa, kugwiritsa ntchito mankhwala osokoneza bongo komanso kusuta.
• Moyo wapaulendo (kusowa masewera olimbitsa thupi).
• Ukalamba.

Ndizofunikira kudziwa kuti matendawa ndi a multifactorial, ndiye kuti, amakula pamaso pa zinthu zoposa 2-3 zomwe zimayambitsa mavuto.

Kodi atherosclerosis ya msempha ndi mitsempha yam'mimba imawonekera bwanji?

Zotupa za atherosselotic zam'mitsempha yama coronary ndi msempha zimakhala asymptomatic mu gawo 1. Matendawa amatha kupweteka pachifuwa pang'onopang'ono.

Popita nthawi, matendawa amabweretsa mawonekedwe a angina pectoris. Wodwalayo amapweteka kwambiri m'dera la chifuwa. Ululu wamatsenga umayang'ana ku khomo lachiberekero.

Komanso, pakuwonongeka kwa msempha ndi mitsempha ya m'mimba, wodwala ali:

1. Amalumphira kuthamanga kwa magazi. Nthawi zambiri, zizindikiro za kuthamanga kwa magazi zimaposa chizindikiro cha 140/90 mm Hg.motsutsana ndi maziko a atherosulinosis, matenda oopsa amatha kuyamba.
2. Kupuma pang'ono.
3. Kuchulukitsa thukuta.
4. Ngati mbali yakumbuyo yam'mimba yakhudzidwa, wodwalayo amakhala ndi kudzimbidwa, kutsegula m'mimba, kupweteka kwam'mimba atatha kudya, nseru kapena kusanza.
5. Ngati msempha wabongo wakhudzidwa, kukumbukira kumachepa, kupweteka kwa mutu, chizungulire kumachitika, kukumbukira ndi ntchito zamaganizidwe zimachepa.
6. Zosokoneza tulo.
7. Tinnitus, kusamva kwa makutu.

Zizindikiro zimayamba kutchulidwa pamene zilembo zamtundu wa atheroscotic zimayamba kugunda.

Dziwitsani matenda am'mitsempha yamagazi ndi minyewa ya m'magazi

Zizindikiro zoyambirira za atherosulinosis zikaonekera, muyenera kulumikizana ndi katswiri wamtima. Poyamba, kuyezetsa thupi ndi kafukufuku wapakamwa kumachitika pofuna kufotokoza madandaulo.

Ndikofunikira kuti musanthule magazi a biochemical. Kuwunikaku kukuwonetsa mulingo wa triglycerides, otsika komanso othinana ndi lipoproteins, cholesterol yathunthu. Zomwe zikuyimira bwino zikuwonetsedwa pagome.

Komanso, kuwunika kwa atherosulinosis kumathandizidwa ndi maphunziro awa:

• Kusanthula magazi ndi mkodzo kambiri.
• Mbiri
• Aortography.
• Angiography.
• ECG
• Ultrasound
• MRI

Kutengera ndi zomwe zapezeka, kuwunika kotsiriza kumapangidwa, ndipo njira zamankhwala zimasankhidwa.

Chithandizo cha Atherosulinosis

Ndi atherosulinosis ya msempha ndi matumbo a mitsempha, mankhwalawa amatha kuchitidwa opaleshoni kapena mwamphamvu. Opaleshoni ikuwonetsedwa pakupanga calcification kapena thrombosis. Mankhwala ochita opaleshoni amathandizidwanso chifukwa chowopseza moyo komanso kuthekera kwakukulu kokulitsidwa kwa myocardial infaration.

Maluso omwe amagwiritsidwa ntchito kwambiri ndi coronary artery bypass gitting and sting. Komanso, njira za endovascular and laser zakhala zikugwiritsidwa ntchito posachedwapa.

Milandu yambiri, atherosulinosis imachiritsidwa mosamala. Chithandizo cha mankhwalawa chimaphatikizapo kutsatira malingaliro angapo. Wodwala ayenera:

1. Imwani mankhwala omwe amateteza kagayidwe ka lipid komanso kupewa magazi. Muyenera kutenga ma statins, michere, sequestration ya bile acids, nikotini acid, multivitamin complexes, anticoagulants. Pazifukwa zothandizira, ma bioadditives ndi mankhwala azitsamba (hawthorn, mamawort, valerian) amagwiritsidwa ntchito.
2. Pazovuta zamatumbo, gwiritsani ntchito cerebroprotectors (Piracetam, Ceraxon, Semax, Actovegin, Picamilon).
3. Pewani kudya zakudya zamafuta ndi zotsekemera. Zakudya za atherosulinosis ziyenera kutsatiridwa kwa moyo wonse. Onetsetsani kuti mumadya mafuta osakwaniritsidwa, popeza amachulukitsa kuchuluka kwa lipoproteins (phindu la cholesterol). Magulu abwino kwambiri amafuta ndi walnuts, pistachios, maolivi ndi mafuta opaka.
4. Sunthani zambiri, sewerani masewera.
5. Ndi kuthamanga kwa magazi, imwani mankhwala a hypotonic. Kugwiritsa ntchito okodzetsa, ACE inhibitors, sartans, beta-blockers, calcium blockers blockers amaloledwa.
6. Khalani ndi moyo wathanzi. Akatswiri a mtima amaumirira kuti wodwalayo sayenera kumwa mowa kapena kusuta, apo ayi sipangakhale zotsatira zochizira.

Muyenera kuphunzirabe pafupipafupi. Ikuloleza kuti utha kutsatira mphamvu za matendawa, ndipo, ngati zingafunike, sinthani.

Mavuto ndi kupewa

Kusagwiritsa ntchito mosavomerezeka kwa atherosulinosis ya mitsempha ya mitsempha ndi msempha kumayambitsa zovuta zambiri. Matendawa amakhala ndi zovuta monga matenda a mtima, aortic stenosis, aortic aneurysm, thrombosis, myocardial infarction.

Ndizosatheka kupatula kuthekera kwa kuwonekera kwa zotsatira monga ischemic kapena hemorrhagic stroke, matenda a mtima, matenda oopsa, mtima kapena kulephera kwa impso. Ndi kuwonongeka kwa gawo lam'mimba mwa msempha, aneurysm ndi necrosis imatha kukhazikika.

• Kutsatira malamulo a zakudya zopatsa thanzi.
• Kutsata BMI.Pankhani ya kunenepa kwambiri, njira zoyenera ziyenera kumwedwa - kusewera masewera, kutsatira zakudya zamafuta ochepa.
• Kuthandiza pa nthawi yake matenda a CVD, endocrine pathologies, matenda a shuga.
• Kukhala ndi moyo wakhama komanso wathanzi.
• Kuyesedwa kwapadera ndi madokotala.

Mwa njira, ndi atherosulinosis ya msempha ndi matumbo a mitsempha, wodwala amatha kupatsidwa kulumala.

Nthawi zambiri, maubwino amaperekedwa kwa odwala omwe akuvutika ndi stroko kapena myocardial infarction, ndipo ataya ntchito.

Chifukwa chiyani matendawa amachitika?

Ma lipids okhala ndi oxidized amayamba kuyikiridwa mkati mwa msempha, kutsekereza magazi ndikuchepetsa kukula kwa mtsempha. Okalamba omwe ali ndi zizolowezi zoyipa amatha kuvutika ndi matenda a msempha ndi mafupa amitsempha yamagazi.

Maanticoagulants amathandizira kupewa mapangidwe amafuta. Kuphatikizika kwa folic acid, vitamini C, gulu B, mafuta a chimanga, ndi fulakesi ku chakudya kumachepetsa chiopsezo cha kuchepa kwa msempha. M'chilimwe, masika, tikulimbikitsidwa kugwiritsa ntchito ayodini.

Mitundu yoletsa zinthu:

1. Nyama ya nyama, nsomba zamafuta.
2. Mitundu ya mchere, yosuta, ndi zipatso.
3. Mchere wabwino.
4. Zigawo zamphamvu zogwira ntchito.
5. Madzi okhala ndi asidi wambiri ndi lipid.
6. Zinthu za GMO.

Mkhalidwe wofunikira wokhala ndi moyo wathanzi ndi nthawi yoyendetsedwa ndi ntchito ndikupuma, masewera olimbitsa thupi, kuyenda. Ndikofunikira kuti pakhale zochitika zomwe sizimapatula zovuta zina, zovuta zamavuto. Ulendo wopita ku malo osungira, mapiri, maulendo apamadzi

Chimodzi mwa matendawa ndi mawonekedwe a kufupika, kupweteka mutu, chizungulire, nseru, kupweteka pachifuwa. Chifuwa chimayamba kupweteka, pamapeto pake chimadutsa pansi pa tsamba lamanzere, humerus, nsagwada. Chifukwa chosowa mpweya, kupuma kumasokonekera, magazi amasiya kulowa mu ubongo, hypoxia ndi kufa kwa mathero amitsempha amayamba.

Kuti adziwitse matenda omwe amatsimikizira momwe matendawo amafalira, amapita kukayezetsa kokwanira, kuzindikira komwe kumayambira matendawa. Mitsempha yotseka ya m'mimba imayambitsa sitiroko.

Zoyambitsa ndi zizindikiro

Kukhala moyo wopanda tanthauzo kumatsogolera pakukula kwa matenda. Kugwiritsa ntchito zinthu zopezeka mu hypercholesterol, kusachita masewera olimbitsa thupi, kusuta fodya komanso kumwa mowa, matenda obadwa nawo a mtima dongosolo - izi ndi zinthu zazikulu pakuwonekera kwa matendawa.

Ndi atherosulinosis ya msempha, kupendekera kwapang'onopang'ono kwa magazi kumachitika, ndipo njira yothandizira matenda imatha kupitilira miyezi ingapo, zaka.

Nthawi yomwe coronary artery aortic atherosulinosis imayamba popanda chizindikiro chimatchedwa preclinical.

Kuphwanya ndi kusagwirizana ndi zakudya kumayambitsa mapangidwe a atherosulinosis kwa msempha. Cholesterol imatseka mtsempha wamagazi, ndikupereka magazi kuubongo.

Zomwe zimayambitsa matendawa.

• kumwa kwambiri
• zakudya zamafuta ambiri, zamchere,
• kusuta
• kumangokhala
• onenepa kwambiri
• matenda oopsa
• matenda ashuga
• kuwonongeka kwamanjenje,
• chithokomiro.

Izi zimayambitsa atherosulinosis ya msempha ndi mafupa am'mitsempha. Mukangowasokoneza, mumakhala ndi mwayi wochiritsa chotupa cham'mimba. Stenosis m'dera la valavu yamtima imayambika ndi atherosulinosis. Chinthu chapamwamba kwambiri chimakhudza mitsempha.

Zolinga zomwe sizingagwiritsidwe ntchito zimaphatikizapo: gulu la zaka, kudalira amuna kapena akazi (amuna amavutika kwambiri kuposa azimayi), kusokonezeka kwa kubereka, matendawa amapatsira matenda. Amatha kukhudza thupi, kuyambitsa matenda. Amayi ochepera zaka 40 samadwala atherosulinosis, amuna amadwala ali ndi zaka 30 ndi kupitirira.

The msempha timakumana atherosulinotic kusintha, koma matendawa si owopsa monga kupendekera kwa lumen kwa mitsempha yam'mimba.Kutsika kwa magazi kumayambitsa vuto la mtima. Kuchepetsa mseru komanso kusanza kumawonetsa kukhalapo kwa angina pectoris. Pali chiopsezo chotenga matenda a lipid.

Zizindikiro ndizosiyana, koma pali zofananira, zizindikiro zosiyaniratu zodziwira gawo loyambalo:

1. Ululu pachifuwa.
2. Nthawi zonse chizungulire.
3. Kupuma pang'ono.
4. Ululu m'mimba mutatha kudya.
5. Kuchepetsa thupi.
6. Chakudya sichigwiritsidwa bwino ntchito.

Pachimake gawo, kwambiri

• kukakamiza kugwa, kugunda kwamtima,
• kugunda kwa mtima
• mtima
• kusokonezeka kwa kukumbukira
• kuchepa kwa luntha.

Amayi amatetezedwa ku matendawa pomwe thupi limatulutsa mahomoni a estrogen. Zinthu zimasintha pakusintha kwa msambo.

Fomu yolimba siyingachiritsike, koma kupita kwa dotolo ndikutsatira zomwe akutsimikiza kudzakulitsa moyo wanu.

Mitundu ina yowonongeka kwa myocardial

Mankhwala, pali lingaliro lina la zomwe aortic atherosulinosis ndi. M'malo mwake, uwu ndi matenda a mtima. Pathology imatchulidwa malinga ndi mitundu komanso magawo a matendawa:

• ukuyenda wopanda zowawa,
• angina pectoris amitundu itatu,
• kutentha kwa mtima
• mtima
• kumangidwa kwamtima
• myocardial infaration.

Iliyonse mwanjira imadziwika ndi njira yake komanso zizindikilo zake.

Cholinga cha atherosclerosis cha coronary mitsempha imatsimikizidwa ndi kutanthauzira kwa matenda. Popeza ziwiya zama coronary zimakhudzidwa, kupweteka kwakukulu kumagwera minofu yamtima yomwe amapatsidwa kwa iwo - myocardium.

Pamodzi ndi njira yoyipa yazida, masinthidwe atsopano amawonedwa:

1. Kutetezedwa. Dzina lina kugona myocardium. Kuwonongeka kwakanthawi kwa minofu kumawonedwa. M'malo mwake, myocardium imasinthira kutsika kwa magazi.
2. Chowopsa. Amadziwika ndi kuwonongeka kwakapadera kwa minofu, popanda kufa kwa cell. Dzinali limadabwitsidwa limakhudzana ndi nthawi yayitali yachulukidwe ka myocardial ntchito pambuyo pobwezeretsa kutuluka kwa magazi. Njirayi imatenga maola kapena masiku.
3. Malingaliro a Ischemic. Vutoli limawonedwa pambuyo pazochitika zingapo za ischemia yochepa. Myocardium imagwirizira mawonetsedwe awa, omwe amalola kuti athe kulolera bwino nthawi yayitali ya ischemia.

The ntchito anachita woyamba woyamba matendawa kungathandize kupewa kwambiri kuwonetsa kwa atherosclerosis ya koronare aorta. Mavuto owopsa a chifuwa ndi chifukwa chabwino chofunsira dokotala posachedwa.

Magawo a chitukuko cha matendawa

Pali magawo atatu a matendawo. Mapeto ake ndi osachiritsika.

Gawo loyamba la matendawa limayamba panthawi yomwe lipid ikuyika pakhoma la mtsempha. Pambuyo pake, zolembedwa za cholesterol zimawonekera. Mtsempha wam'madzi umakhala wopanda mphamvu, makoma a chotengera amayamba kufooka, ndipo mainchesi amkati amatsika. Kutha kuthetseratu gawo la ischemic.

Gawo lachiwiri la matendawa ndi lotheka kuchotsedwa pang'ono. Njira ya atherosclerotic lipid imachepetsa kuyenda kwa magazi, zomwe zimapangitsa kuti magazi azisungika.

Coronary thrombosis komanso kuperewera kwa oxygen komwe kumalowa mu ubongo kumakula. Chofunikira mu mankhwalawa ndikugwiritsa ntchito mankhwala.

Siteji imatchedwa boma la thrombosis. Kuzindikira kumawonetsa kuchuluka kwa cholesterol, lipids.

Gawo lachitatu la chitukuko limakwiyitsa matenda amisala, kulumala. Ntchito yamtima imagundika, yomwe singathe kutha. Magawo a fibrous ndi osachiritsika.

Aortic atherosulinosis: Ma code a ICD a ziwiya 10 za coronary ayenera kuthandizidwa nthawi yomweyo.

Pambuyo pakupezeka, dokotala amapanga matenda, amasankha mankhwala, masewera olimbitsa thupi.

Zambiri

Cardiossteosis (myocardiossteosis) ndi njira yoyang'ana kapena kupukusa minyewa yam'mimba ya myocardium yokhala ndi minofu yolumikizira. Popeza etiology, ndichikhalidwe kusiyanitsa pakati pa myocarditis (chifukwa cha myocarditis, rheumatism), atherosranceotic, postinfarction ndi pulayimale (yokhala ndi collagenoses, fibroelastoses) mtima.

Matenda a atherosulinotic mu mtima amatengedwa ngati chiwonetsero cha matenda a mtima chifukwa cha kupitilira kwa mphamvu ya mtima. Matenda a atherosulinotic a mtima amapezeka makamaka pakati pa amuna azaka zapakati komanso achikulire.

Chithandizo cha matenda a mtima

Chithandizo cha matenda am'mitsempha yama coronary ndi aorta ndizovuta, kugwiritsa ntchito mankhwala komanso osagwiritsa ntchito mankhwala. Kudziwikitsa kosagwiritsa ntchito mankhwala kumaphatikiza kukonza kwa moyo womwe unayambitsa kukula kwa matendawa.

Wodwala amapatsidwa zakudya zapadera, zomwe zimakhala ndi zinthu zambiri za hypocholesterol. Wodwala amafunika kupatula zakudya zomwe zili ndi mafuta azakudya zambiri, kudya zakudya zamasamba ambiri, masamba, zipatso.

Ngati tizinena zamankhwala osokoneza bongo, ndiye kuti amapangidwa ndipo amangoikidwa ndi adokotala. Kudzichiritsa nokha kumangokulitsa chitukuko cha matenda, kupangitsa kuti pakhale zovuta zazikulu. Odwala omwe ali ndi vuto la minyewa ya m'magazi a chotupa amapatsidwa mankhwala awa:

1. Madera Amaletsa kupanga cholesterol m'thupi, amachepetsa zomwe zili m'magazi, komanso amalepheretsa kukula kwa zolembedwa za atherosulinotic. Mankhwala amasankhidwa poganizira zomwe zikuwonetsa munthu ndi zomwe akupanga.
2. Fibates. Chepetsani kuchuluka kwa mankhwala a lipid m'magazi, imathandizira kubalana kwa michere yomwe imakhudzana ndi kuphwanya mafuta.
3. Otsatira a bile acid. Mankhwala a gululi amateteza kuchulukana kwa cholesterol mthupi, amathandizira kukulitsa kuunikira kwamitsempha yama coronary.
4. Mavitamini PP. Thandizani kukweza kwa cholesterol synthesis mthupi, chotsani zochuluka.

Musanagwiritse ntchito mankhwala onse omwe ali pamwambapa, ndikofunikira kupatula kukhalapo kwa pakati, thupi lanu siligwirizana komanso kutsutsana kwa magawo, gastritis ndi gout. Mankhwalawa amatchulidwa mosamala kwa odwala omwe ali ndi matenda oopsa a endocrine.

Ngakhale mutadziwa kuti aortic atherosulinosis ndi chiyani ndi matenda omwe amawopseza, musayese kuwachiritsa kunyumba ndi wowerengeka azitsamba. Mankhwala azitsamba angagwiritsidwe ntchito ngati cholumikizira pakuwonekera kwa mankhwala ndipo atatha kukambirana ndi adokotala.

Pomaliza, ziyenera kunenedwa kuti kusowa kwa chithandizo kungaphe. Wodwala amatha kufa mwadzidzidzi chifukwa cha sitiroko, vuto la mtima, aortic aneurysm. Kupanga kwachulukidwe kakang'ono ka minofu necrosis chifukwa cha njira zopangidwira kumawonedwa. Ichi ndichifukwa chake ndikofunikira kulumikizana ndi cardiologist munthawi yake, kusintha momwe mumakhalira ndikuyamba kulandira chithandizo.

Kusankha chithandizo cha atherosulinosis ya msempha ndi mafupa am'mimba, kugwira kwake kumadalira kuchuluka kwa kuwonongeka kwa mtima ndi magawo a thupi.

Atherosulinosis ndi matenda oopsa, pazizindikiro zoyambirira za matendawa muyenera kufunsa uphungu wa akatswiri. Chithandizo cha mankhwala chimakhala magawo angapo - mapangidwe a magazi a zamadzimadzi, kutsika kwa magazi m'mitsempha, kuchepetsa kuchuluka kwa ischemia.

Kusankha ndi nthawi yayitali ya matendawo zimatengera gawo lomwe matendawa adapezeka. Ngati matendawa adadziwika pamayambiriro oyamba, chithandizo chokwanira chamankhwala chochepetsera cholesterol ndi njira yolondola.

Kukana zizolowezi zoyipa, zolimbitsa thupi moyang'aniridwa ndi mtima, zakudya - izi ndi njira zazikulu zopewera komanso kuchizira matenda owonetsa matendawa. Odwala omwe ali ndi matenda ashuga komanso onenepa kwambiri ayenera kulabadira mwapadera zakudya zamagulu olimbitsa thupi komanso kuwonda.

Ngati wodwala wapita patsogolo ku ubongo wa m'matumbo a mtima, dokotala amatha kukupatsani opaleshoni. Pali mitundu ingapo ya maopareshoni omwe amagwiritsidwa ntchito pochiritsa. Zodziwika bwino:

1. Coronary angioplasty ndi mtundu wa opaleshoni yowonjezera kuunikira kwa mitsempha ya coronary, yomwe imatanthawuza njira za opaleshoni yam'mimba. "Catheter" yapadera imayikidwa mu chotengera - imakulitsa mtsempha wamagazi ndikuwabweza magazi. Chomangira chimathandizidwa kuti chichepetse kufupika.
2. Mitsempha yama coronary imadutsa kolumikiza. Chinsinsi cha opaleshoni yogwiritsa ntchito ziwiya zathanzi ndikupanga "Workaround" kwa magazi popanda kutenga mbali ya chotchinga. Chifukwa cha kunyengerera koteroko, magazi ochulukirapo amayenderera kumtima.

Lamulo lalikulu lomwe aliyense ayenera kukumbukira ndikuwonetsetsa ndi koyenera komanso moyenera panthawi yomwe malingaliro onse a dokotala akuwalimbikitsa. Zilibe kanthu ngati mwayikidwa kuti muyende m'mawa kapena mukukonzekera kuchita opareshoni. Kutaya nthawi kumatha kukuwonongerani thanzi komanso ngakhale moyo!

Pali mankhwala omwe angakhudze metabolism yamafuta. Amatchedwa statins, ndipo amalepheretsa kuwonjezeka kwa cholesterol "yoyipa", yomwe imayambitsa kukula kwa atherosclerosis.

Statin amachepetsa magazi m'thupi. Malinga ndi kafukufuku wina wasayansi, mankhwalawa amatha kuchepetsa kukula kwa malo a atherosulinotic, koma izi sizoyenera kudalira kwambiri.

Kukhazikitsidwa ndi kusankha kwa mankhwalawa kwamankhwala amtunduwu kuyenera kuchitika kokha ndi dokotala. Monga mankhwala ena aliwonse, ali ndi zovuta zingapo, mwachitsanzo, zimakhudza ntchito ya chiwindi.

Pachifukwa ichi, amalembedwa mosamalitsa monga momwe akuwonera, kuyang'ana pa mayeso komanso kuuma kwa matendawa. Kusunthika kwakanthawi kwa ma statin mu Mlingo woyenera ndi njira imodzi yothanirana ndi kupewa matenda a matenda a m'mimba.

Zitha kuwoneka kuti kukula kwa ziwiya zomwe zakhudzidwa m'matumbo a mtima ndizochepa kwambiri pochita opaleshoni. Koma mwamwayi, mankhwala amakono amatha kuchita izi.

Ndi kwambiri angina pectoris kapena kugunda kwamtima kwambiri, kulowerera kwapadera kumachitika - coronary angiography. Kafukufuku wochepetsetsa amachitika m'mitsempha yamtima ndipo kusiyanitsa kumayambitsidwa. Pakukulitsidwa kwakukulu, madokotala amatha kuwona komwe magazi amayenda ndipo amawongolera vutoli.

Ndi baluni yapadera, malo opanikiza amakula ndipo stent imayikidwa - zomanga ngati ma mesh zomwe zimathandizira chiwonetserocho. Izi zimachitika pochita opaleshoni yam'deralo.

Kuphatikiza apo, chifuwa chachikulu sichimafunikira, kungoponya mkono pang'ono kapena ntchafu.

Kuluma kumatha kuwoneka ngati chipulumutso, ngati kulibe koma. Zingwe zomwe zimathandizira kuti zithandizire zimakhudzidwanso ndi atherosulinosis, ngati simutenga ma statin ndi mankhwala ena ambiri. Pambuyo pa opaleshoni, wodwalayo amangokakamizidwa kumwa mankhwala amoyo wonse, malinga ndi dongosolo lina.

Mwachidule, tinganene kuti atherosclerosis ndi mdani woyamba. Koma titapenda kuchokera kumbali zonse, titha kuthana nazo bwino za nkhambakamwa. Chachikulu ndichakuti muzichita panthawi komanso moyenera.

Zotheka

Zotsatira za atherosulinosis yamitsempha yama mtima: kuchuluka kwa mtima, kuchuluka kwamanzere kwamitsempha, chitukuko cha dziko lomwe limayambitsa infarction. Matenda oopsa a arterial. Zokhudza ubongo ndi kusintha kwa mkhalidwe wamalingaliro, kukha magazi.

Kukula kwa stenosis, hypoxia, stroke, sclerosis ndi osafunikira. Kuperewera kwa magazi, kugunda kwa mtima. Kutsutsa komanso kupasuka kwa minofu kumabweretsa magazi ndi kufa. Necrosis yam'mapapo, kukula kwa ziwalo, kusokonekera kwamaso ndi kumva, kapena kufalikira kwathunthu kwa ziwalo.

Chofunika ndikugwiritsa ntchito zowonjezera zakudya pambuyo popezeka ndi kuzindikira kwa atherosulinosis ya coronary artery aorta. Ndikofunika kuwonjezera: folic acid, lecithin, methionine, choline, linden ndi ascorbic acid, mafuta a linseed, mavitamini ambiri. Onjezani zamasamba ndi zakudya zamapulogalamu.

Mu gawo loyambirira la atherosclerosis, masewera olimbitsa thupi amagwiritsidwa ntchito, chakudya, maphikidwe a wowerengeka amayikidwa, omwe amathandiza kupewa zovuta komanso kukonza bwino.

Pathogenesis yamatenda

Kusintha kwa atherosulinotic mu ziwiya za mtima, monga lamulo, kumayendetsedwa ndi kusokonezeka kwa metabolic ndi ischemic pamitsempha yamkamwa. Zotsatira za ischemia ndizomwe zimayambira necrosis yomwe ikulowetsedwa ndi ulusi wamtundu wolumikizana. Pamodzi ndi minyewa ya minofu, ma receptors omwe amachititsa chidwi cha myocardium ya ma molekyulu a oxygen amafa.

Izi zimapangitsa kuti matenda a mtima apite patsogolo komanso matenda a angina pectoris (angina pectoris). Atherosulinotic mtima ndi otchedwa angina pectoris amadziwika ndi kupitirira kwakanthawi komanso kufalitsa kufalikira. Pakutukuka, munthu amapanga zomwe zimatchedwa kuti compensatory hypertrophy ndi cardiomyopathy, zotulukapo zake ndikukula kapena kuchepa kwa lamanzere lamanzere.

Kuopsa kwa izi ndikuwonjezera kuti kulephera kwa mtima kumakhala chifukwa cha kulephera kwa minofu ya mtima. Myocardium yowonongeka siyitha kutsitsa kwathunthu, chifukwa chake, munthu amayamba kulephera kuzungulira kwa magazi ndi ziwopsezo zazikulu za ziwalo zonse ndi machitidwe.

Gawo loyambirira la atherosulinotic mtima ndi chodziwika ndi njira ya asymptomatic. Ngati tikulankhula za odwala a pakati komanso okalamba gulu, ndiye iwo amakhala ndi mawonekedwe owoneka bwino azachipatala a kusintha kwa atherosulinotic. Ngati munthu adadwala kale matenda obanika, osakhala ndi njira zina zowunikira, mutha kukhala otsimikiza kuti zolunjika zingapo, komanso atherosclerotic cardiosranceosis yam'mitsempha yama coronary (coronarossteosis), yapanga pamtunda wamtima wamunthu wodwalayo.

Kwa chithunzi cha matenda amatenda awa, mawonetseredwe oterewa ndi amtundu:

1. M'magawo oyamba a matendawa, munthu amatha kudandaula za kufupika pakulimbitsa thupi. Matendawa akamakula, kupuma movutikira kumawonekera poyenda kwambiri komanso pang'onopang'ono. Chizindikiro china chowonekera ndikuwonjezereka kwa kufooka ndi kuchepa mphamvu pakuchita chilichonse.
2. Mutu ndi chizungulire. Chizindikiro chodziwika bwino ichi nthawi zambiri chimatsatana ndi tinnitus, ndikuwonetsa kufa ndi njala kwa minofu ya ubongo,
3. Ululu m'dera la mtima wopweteka. Kupweteka kwamtima kwa coronary ndi atherosselotic cardiossteosis kumatha kupitilira mphindi zingapo mpaka maola angapo. Komanso, coronary cardiosulinosis imadziwika ndi zizindikiro za angina pectoris (kupweteka kwa mtima komwe kumatulutsa mbali yakumanzere, mkono ndi kolala),
4. Kusokonezeka kwa mtima, komwe kumawonekera mu tachycardia, extrasystole, kapena fibrillation ya atria. Mu anthu omwe akudwala atherosselotic cardiossteosis, kugunda kwa mtima kumatha kupitirira kugunda kwamphindi 120 pamphindi,
5. Edematous syndrome m'miyendo ndi miyendo, yowonetsedwa madzulo. Chizindikiro chikuwonetsa kulephera kwazunguzika.

Pamene mtima kulephera ndi angina zikupita patsogolo, chiwonetsero chazachipatala cha kupsinjika m'mapapo, hepatomegaly, ascites, ndi pleurisy zimawonjezeredwa pazizindikiro zomwe zili pamwambapa. Anthu omwe ali ndi vuto lofananalo amatha kukhala ndi atricortricular ndi intraventricular blockade. Mu magawo oyamba, mavutowa ndi paroxysmal kapena paroxysmal mwachilengedwe. Zilonda zam'mimba za m'matumbo a mtima zimadziwika ndi kuphatikiza kwa mitsempha ya mitsempha, minyewa ya m'mitsempha ndi zotumphukira.

Kuwongolera kwamoyo

Chimodzi mwazomwe zimayambitsa kupangika kwa atherosulinotic mtima ndi njira yolakwika, yomwe imathandizira kudziunjikira kwa lipids zovulaza m'thupi komanso kuwonongeka kwa makoma amitsempha yamagazi.

Dongosolo lokonza njira zamatenda ambiri zimaphatikizapo zinthu zotsatirazi:

• Kusiya mowa ndi kusuta,
• Kupewa kusagwira ntchito mthupi, komwe kumayang'anira kutsegula bwino kwa magalimoto. Anthu odwala matenda amtima amapindula ndi zolimbitsa thupi zolimbitsa thupi. Kuyenda mu mpweya watsopano, kuchezera kusambira, masewera olimbitsa thupi m'mawa ndi masewera olimbitsa thupi ndi oyenera kuchita izi.
• Kukana kudya kwambiri mafuta ndi nyama yokazinga. Mwambowu ukuthandizirani kuwongolera kuchuluka kwa cholesterol pama kayendedwe kazinthu,
• Kupewa kutengeka kwambiri ndi nkhawa. Popeza palibe munthu m'modzi amene angadziteteze kwathunthu ku zochitika za nkhawa, ndikulimbikitsidwa kuti muchepetse kukhudzidwa kwa zomwe zimapangitsa kuti thupi lizigwira ntchito bwino.

Zakudya zamankhwala

Anthu azaka zopitilira 40 ndipo mosasamala kanthu za jenda, tikulimbikitsidwa kuti musamale ndi zakudya zamasiku onse. Pozindikira zotupa za mitsempha ya mitsempha ya m'mimba, pamafunika kusintha kwakukulu pazakudya zathu.

Poletsedwa kwam'magulu, mbale ndi zakudya zomwe zimakhala ndi mafuta ambiri komanso chakudya zimagwa. Kuphatikiza apo, ngati matenda a atherosulinosis adapezeka, osavomerezeka kugwiritsa ntchito zinthu monga:

• Msuzi wosiyanasiyana ndi zokometsera zokometsera,
• Zakudya zamafuta ndi zokazinga, komanso chakudya mwachangu,
• Nsomba zamafuta ndi nyama,
• Confectionery ndi makeke,
• Tiyi wamphamvu komanso khofi
• Zakumwa zokoma za kaboni,
• Mowa

Kupatula izi pazakudya, tikulimbikitsidwa kugwiritsa ntchito masamba abwino ndi zipatso, letesi, zitsamba zatsopano, mkaka, mkate wopanda tirigu ngati njira ina. Tiyi ndi khofi ziyenera kulowedwa ndi msuzi wa rosehip, kulowetsedwa kwa mankhwala a ndimu, peppermint kapena wort wa St. Kuphatikiza apo, tikulimbikitsidwa kuti muzisamalira zakudya zam'mphepete, nsomba zamafuta ochepa komanso nkhuku. Musanadye zipatso ndi ndiwo zamasamba zokhala ndi shuga wambiri, ndikofunikira kuti zitsimikizike kuti kuchuluka kwa shuga wamagazi sikupita kupitilira muyeso wakuthupi.

Mankhwala

Chithandizo cha atherosulinotic cha matendawa chikulimbikitsidwa kuti chiyambire pokhapokha ngati pali chitsimikiziro chodalirika cha kupezeka kwa kusintha kwa ma pathological m'matumbo a coronary.

Chithandizo cha mankhwala a atherosclerotic cardiosulinosis chimaphatikizapo magulu otsatirawa a mankhwala:

1. Madera Mankhwalawa amakhudza kagayidwe ka lipid m'thupi, potero amachepetsa kuchuluka kwa cholesterol mu kayendedwe kazinthu, komanso kupewa atherosulinosis. Mankhwalawa amaphatikizapo simvastatin, rosuvastatin, komanso atorvastatin. Kukhazikitsidwa kwa ndalamazi kumachitidwanso chifukwa cha prophylactic, pamene munthu ali ndi chiwopsezo cha ntchito ya chiwindi m'matenda osiyanasiyana.
2. Ma antiplatelet. Gulu la mankhwalawa limagwira ntchito pamakina a omwe amatchedwa kuphatikizana kwa maselo, kuletsa kuthamanga kwa magazi. Oyimira bwino ma mankhwalawa ndi acetylsalicylic acid kapena aspirin, komanso Cardiomagnyl. Kusagwirizana kwa mankhwala kumapangitsa kuti magazi asungidwe komanso kupanga mapangidwe atheromatous,
3. Kukonzekera kuchokera ku gulu la nitrate. Gulu la mankhwalawa likugwira ntchito poletsa matenda a mtima. Nitroglycerin mu mawonekedwe apiritsi ndi mawonekedwe a kutsitsi ndi othandiza kwambiri. Chopanga chokhacho ndikuti zochita za nitroglycerin zimachitika kwakanthawi. Ngati munthu akuda nkhawa ndi pafupipafupi matenda a mtima, iye akulimbikitsidwa kumwa nitrate wautali, womwe umatenga maola 12. Mankhwalawa akuphatikizapo Mononitrate kapena Isosorbide Dinitrate,
4. Diuretics (okodzetsa).Kuchepetsa mphamvu ya edematous syndrome komanso kulimbana ndi matenda oopsa mu mtima, odwala amalembedwa ma okosijeni monga Veroshpiron, Furosemide kapena Spironolactone,
5. Ma antihypertensive othandizira. Ngati munthu ali ndi magazi ochulukirachulukira (kuthamanga kwa magazi), ndiye kuti achepetse katunduyo myocardium, amamuika Captopril, Enalapril kapena Lisinopril.

Ndi arrhythmias ndi ululu, anthu odwala atherosulinotic cardiosulinosis ndi mankhwala omwe amaperekedwa ndi izi:

• Kulimbitsa mtima wathu
• Kuchepetsa kuwunikira kwa ziwiya zamagetsi,
• Kuchepetsa kusefukira kwa pathological foci ya myocardium.

Kuphatikiza apo, monga njira zowonjezera zamankhwala, odwala omwe ali ndi atherosulinotic mtima ndi mtima amapatsidwa njira zotere:

• Kukonzekera kwa potaziyamu ndi magnesium (Asparkam ndi Panangin Magnesium B6),
• Multivitamin maofesi
• Ma antidepressants
• Ma tranquilizer.

Mankhwala othandizira

Ngati sizotheka kuchiritsa atherosulinosis pogwiritsa ntchito njira zowonjezera mphamvu, akatswiri azachipatala amatengera kugwiritsa ntchito njira za opaleshoni kuti abwezeretsenso myocardial trophism. Zochizira atherosclerotic cardiossteosis, mndandanda wawung'ono wa njira zamankhwala ogwiritsira ntchito mankhwalawa umagwiritsidwa ntchito. Mwa njira zomwe zimagwiritsidwa ntchito, balloon angioplasty, shunting ndi stent yodziwika bwino amadziwika.

Kutsetsereka kwa mitsempha ya coronary ndi njira yoopsa komanso yovuta yochitira opaleshoni yomwe imagwiritsidwa ntchito poyera.

Njira ya balloon angioplasty ndi yomwe imatchedwa yoyamba magawo a stenting, koma muzochitika zina zamankhwala imagwiritsidwa ntchito ngati njira yodziyimira pawokha. Balloon angioplasty imachitika motsogozedwa ndi radiation ya x-ray. Chomwe chimagwirira ntchito ndi kukhazikitsa catheter yapadera ndi buluni mu chotengera cha coronary, pomwe ballo ikakwezedwa, kuchuluka kwa mitsempha kumabwezeretsedwa.

Akamachita stenting, akatswiri azachipatala amayambitsa mawonekedwe apadera (stent) mu lumen of the coronary chombo. Ntchito ya kachulukidwe kameneka ndi kukulitsa kuunikira kwa chotengera cha coronary. Pofuna kupezeka m'mitsempha ya mtima, odwala amachita catheterization yamtsempha wamagazi.

Physiotherapy

Ngakhale kuti njira zochiritsira zolimbitsa thupi sizikhala zovuta pamitsempha yama mtima, kugwiritsa ntchito kwawo kungachepetse zomwe zimachitika kwa odwala komanso kuchepetsa kuchepa kwa matendawa. Odwala omwe ali ndi atherosulinotic cardiossteosis, njira ya electrophoresis yakumalo pogwiritsa ntchito mankhwala apadera imagwiritsidwa ntchito. Electrophoresis yokhala ndi ma statins ndiofala, zomwe zimathandiza kuwonjezera kuchuluka kwa mankhwalawa mumtima.

Kuphatikiza apo, anthu omwe ali ndi vuto lofananalo amalimbikitsidwa chithandizo cha spa m'malo ammapiri. Cholinga cha mankhwalawa ndikulemeretsa thupi ndi mpweya, kusintha magazi komanso kulimbitsa thupi lonse. Kuphatikiza pa chithandizo chanyengo, mdera lamaphunziro a sanatorium-resort, odwala amalandizidwa pazokhudzana ndi zakudya, zochitika tsiku ndi tsiku komanso kuchuluka kwa zolimbitsa thupi.

Micro ndi macroangiopathies mu shuga: ndi chiyani?

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

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

Matenda a shuga a diabetesic macroangiopathy ndi matenda opatsirana kapena a atososcotic omwe amapezeka pakatikati kapena mitsempha yayikulu yomwe imakhala ndi nthawi yayitali ya mtundu 1 komanso mtundu wa 2.

Chochitika chofananacho sichina koma pathogenesis, chimayambitsa mawonekedwe a mtima wamatumbo, ndipo munthu nthawi zambiri amakhala ndi matenda oopsa, zotupa zokhudzana ndi mitsempha yam'mphepete, ndipo kufalikira kwa mitsempha kumasokonekera.

Dziwani za matendawa popanga ma electrocardiograms, echocardiograms, Doppler ultrasound, impso, mitsempha yama ubongo, mitsempha yam'mphepete mwa magazi imayesedwa.

Chithandizo chimakhala pakuwongolera kuthamanga kwa magazi, kukonza kayendedwe ka magazi, kukonza hyperglycemia.

Kufotokozera za matendawa

Kodi coronary atherosranceosis ndi chiyani? Ichi ndi matenda osachiritsika omwe amatsogolera kupangika pang'onopang'ono ndikuchepa kwa mitsempha ya m'mimba chifukwa cha chitukuko cha mafupa pamitsempha yotupa ya mtima. Matendawa amatenga kwazaka zambiri.

Nthawi zambiri, zizindikiro zoyambirira za zotupa zamatenda a atherosulinotic zimawonekera ali aang'ono, koma matendawa amayamba kupita patsogolo mwa anthu azaka zapakati. Zizindikiro zoyambirira za coronary artery atherosulinosis nthawi zambiri zimawonekera patatha zaka 45-55.

Kapangidwe ka ma atherosselotic plaques kumachitika motsutsana ndi maziko a kupezeka kwa kachulukidwe kachulukidwe ka lipoproteins, kamene kali ndi cholesterol.

Pathological neoplasms pang'onopang'ono imakula, imayamba kukulira ndikuwunikira kwa coronary artery. Izi zimapangitsa kuti magazi ayambe kuyenda mpaka kusiya. Kuchepetsa kwa lumen ya mitsempha kumayambitsa kuperewera kwa minofu ya mtima, kuphwanya ntchito yake, kukulitsa kuwonongeka kwa ischemic.

Atherosulinosis yam'mitsempha yama coronary ili ndi magawo otsatirawa:

1. M'magawo oyamba a matenda, kuchepa kwa magazi, maonekedwe a ma cellcracks pamitsempha yam'mimba amadziwika. Kusintha kotereku kumapangitsa kuti ma lipids azikhala pang'onopang'ono pamitsempha yam'mitsempha, motero pamatuluka malo onenepa. Kuchepa mphamvu kwa njira zoteteza kumapangitsa kuti chiwonjezeke cha khoma la mtima chiwonjezeke, kukula kwa ma neoplasms, kuphatikizika kwawo kukhala mizere ya lipid.
2. Mu gawo lachiwiri, kuchuluka kwamafuta kumadziwika. Zotsatira zake, mapangidwe a atherosclerotic amapezeka pazowopsa zamitsempha yama coronary. Pakadali pano, kupanga zigawo zamagazi ndizotheka, zomwe zimatha kutseka ndikutseka kuwala kwa mtsempha wamagazi.
3. Pamapeto omaliza, zolembera zamtunduwu zimawonedwa chifukwa cha kuchuluka kwa mchere wamchere. Izi zimakwiyitsa kuchepera kwa kuwala kwa mitsempha, kusintha kwake.

Pathogenesis ya atherosulinotic mtima

Stenosing atherosclerosis yamitsempha yama coronary imayendera limodzi ndi ischemia ndi kusokonezeka kwa metabolic mu myocardium, ndipo, chifukwa chake, pang'onopang'ono komanso pang'onopang'ono timatumbo tating'onoting'ono, atrophy ndi kufa kwa minofu minofu, pomwe malo a necrosis ndi microscopic mabala. Imfa ya zolandilira imathandizira kuchepetsa kukhudzika kwa michere ya myocardial ku oxygen, zomwe zimatsogolera kupitanso patsogolo kwa matenda a mtima.

Matenda a atherosulinotic mtima amapatsirana komanso amakhala nthawi yayitali. Ndi kukula kwa atherosclerotic cardiossteosis, compertatory hypertrophy imayamba, kenako kuchepa kwamanzere kwamitseko, zizindikiro za mtima kulephera.

Popeza njira zopangira pathogenetic, ischemic, postinfarction, ndi mitundu yosiyanasiyana ya atherosulinotic mtima ndi mtima zimasiyanitsidwa. Ischemic matenda amtima amayamba chifukwa chotenga nthawi yayitali, kumayenda pang'onopang'ono, ndikuwononga minofu ya mtima. Post-infarction (post-necrotic) zamtima zimakhazikitsidwa pamalo omwe kale anali necrosis. Matenda osakanikirana (osakhalitsa) a atherosranceotic mtima amaphatikizira zonse ziwiri pamwambapa ndipo amadziwika ndi kupendekera kwapang'onopang'ono kwa minofu ya fibrous, yomwe necrotic foci nthawi ndi nthawi imapangika mobwerezabwereza infarction.

Zoyambitsa zazikulu za atherosulinosis

Atherosulinosis ya m'matumbo a mtima amatha kukhazikitsidwa ndi zifukwa zakunja ndi zamkati. Madokotala amasiyanitsa pafupifupi zinthu 200 zopatsa chidwi zomwe zimawonjezera mwayi wokhala ndi matenda.

Komabe, ambiri ndi awa:

• Kukweza mulingo wa cholesterol "yoyipa" m'magazi. Izi ndi gawo lalikulu la zolembera za atherosulinotic, chifukwa chake, pazoyipa kwambiri, zimatha kukhazikika pamakoma amitsempha yamagazi.
• Kusuta. Chizolowezi choyipa chimakwiyitsa kaphatikizidwe ka nitric oxide, kamene kamasokoneza kayendedwe ka magazi, kamathandizira kukulitsa kwa atherosulinosis yamitsempha yamagazi.
• Matenda oopsa
• Kulephera kuchita masewera olimbitsa thupi. Kukhala moyo wongokhala kumabweretsa kutsika kwa kagayidwe kazinthu, kuperewera kwa mafuta ndi mapuloteni,
• Kudya zakudya zamafuta ambiri,
• Kudziletsa
• Okwatirana Azimayi amsinkhu wo kubereka samakonda kukhala coronary arteriosulinosis. Izi ndichifukwa cha kapangidwe ka estrogen, kamene kamateteza mitsempha. Komabe, atasiya kubereka, azimayi amawonjezera mwayi wokhala ndi matendawa.
• M'badwo. Anthu azaka zopitilira 35 azolowereka kukhala atherosulinosis,
• Kunenepa kwambiri Odwala onenepa kwambiri nthawi zambiri amatha kuwonongeka pamitsempha yamafupa,
• Mowa Kuledzera kwa zakumwa zoledzeretsa kumabweretsa kutsekeka kwa magazi, kumayambitsa chitukuko cha atherosulinosis,
• Matenda a shuga. Matendawa amabweretsa kusokonezeka kwa metabolic m'thupi, chifukwa chake, kumawonjezera kwambiri chiopsezo cha coronary atherosulinosis.

Matenda a atherosranceotic mtima

Kuzindikira kwa atherosclerotic cardiossteosis kumakhazikika pa anamnesis (kukhalapo kwa matenda a mtima, atherosulinosis, arrhythmias, myocardial infarction, ndi zina) ndi zizindikiro zamkati. Kuyesedwa kwa biochemical kumavumbulutsa hypercholesterolemia, kuchuluka kwa beta-lipoproteins. Pa ECG, zizindikiro za kuchepa kwa coronary, zipsera zamkati mwa infarction, masinthidwe am'mimba komanso intracardiac conduction zosokoneza, zolimbitsa kumanzere kwamitsempha yamagazi kumatsimikiziridwa. Dongosolo la Echocardiography la atherosselotic cardiosranceosis limadziwika ndi matenda opatsirana am'mnyewa wamtima (hypokinesia, dyskinesia, akinesia of the segment). Njinga ergometry imakuthandizani kuti mumvetse bwino kuchuluka kwa kusokonezeka kwa mtima ndi zosungika za mtima.

Kukhazikitsidwa kwa mayeso a pharmacological, kuwunikira tsiku ndi tsiku kwa ECG, polycardiography, rhythmocardiography, ventriculography, coronary angiography, MRI ya mtima ndi maphunziro ena angathandizire kuthetsa mavuto azidziwitso mu atherosulinotic cardiossteosis. Pofuna kumveketsa kukhalapo kwa kuphatikizika, ndi ma ultrasound a ma pleural cavities, chifuwa x-ray, ma ultrasound am'mimbamo amachitidwa.

Momwe mungayang'anire ziwiya zamkati ndi zam'mimbazi zamatumbo? Pofuna kudziwa kukula ndi dera la zotupa, njira zotsatirazi ndi zotchulidwa:

• Ultrasound ya mtima ndi pamimba
• MRI
• njira zowukira
• ECG
• pachifuwa x-ray
• magazi zamankhwala
• kusanthula kwamitsempha yamagazi.

Kuzindikiritsa kwa atherosclerotic cardiossteosis kumachitika ngati cholumikizira chilonda minyewa myocardium chikuyamba kukula, ndi minofu atrophy. Ichi ndichifukwa cha zotupa za ma atolosselotic.

Chofunika cha matenda

Kodi atherosulinotic mtima ndi chiyani? Iyi ndi njira yothandizira momwe minofu yamkati yam'mimba imasinthidwa ndi ulusi wa minyewa. Cardiosulinosis imatha kusiyana mu etiology ya pathological process, ikhoza kukhala myocardial, atherosulinotic, pulayimale komanso kufotokozera kwaposachedwa.

Mu cardiology, matenda amtunduwu amawonedwa ngati atherosulinosis yamatumbo a coronary komanso monga chiwonetsero cha matenda a mtima, atherosranceotic cardiosranceosis nthawi zambiri imawonedwa ndi amuna azaka zapakati komanso okalamba.

Chithunzi cha kuchipatala

Poyambirira, atherosulinosis ya mtima yamitsempha yama mtima imatuluka. Nthawi zambiri, zizindikiro zoyambirira za matendawa ndi anthu azaka zapakati.

Chifukwa chake, madokotala amalimbikitsa kuyesedwa kwapachaka kwa anthu onse omwe adutsa zaka 35. Komabe, kusuta, matenda oopsa, hypercholesterolemia kungayambitse kukula kwamtsogolo kwa zizindikiro za coronary artery atherosulinosis.

Zizindikiro zoyambirira za matendawa ndi izi:

• Zowawa pachifuwa zowongoka kumbuyo kapena phewa lamanzere,
• Maonekedwe ofupika kufupi kumayambiriro kwa ululu. Nthawi zina odwala samatha kukhala opingasa chifukwa cha kupuma,
• Chizungulire
• Kusanza ndi kusanza.

Zizindikiro zotchulidwa za coronary artery atherosulinosis sizodziwika mwachindunji, chifukwa chake nthawi zambiri zimasokonezedwa ndi zina za mtima dongosolo. Izi zimasokoneza kwambiri kuzindikira ndi matendawo.

Ndi kupita patsogolo kwa coronary atherosulinosis, Zizindikiro zimayambitsa izi:

• Angina pectoris. Vutoli limadziwika ndi kupweteka kwakanthawi kumbuyo kwa sternum, komwe kumachitika pambuyo poyesetsa kwambiri kapena kukhumudwa kwambiri,
• Matenda a mtima Pachimake myocardial ischemia kumabweretsa mapangidwe a malo a fibrosis mu mtima wonse. Vutoli limayambitsa kuphwanyidwa kwa mtima wothandizirana ndi mtima,
• Arrhasmia. Pathology imayamba chifukwa cha kuwonongeka kwa mtima pansi, kusokonekera kwa kulowetsedwa,
• Matenda a mtima Ngati cholesterol cholembera chikugundika, ndiye kuti magazi amapezeka pansi. Kuphwanya kumeneku kumasokoneza kayendedwe kabwino ka magazi, kumayambitsa kukula kwa mtima wa mtima. Nthawi zambiri, vuto la mtima limayamba kuyambira 4 mpaka 10 m'mawa, pomwe adrenaline imakwera m'magazi. Pafupifupi 50% imanenanso zoyamba zam'mbuyo.

Pali magawo atatu a matendawa:

• ischemic siteji - angina pectoris, limping, m'mimba kukokana,
• thrombonecrotic siteji - stroko, myocardial infaration, gangrene pamapazi, chifukwa cha kupatukana kwa thrombus,
• fibrous - gawo lotsiriza la matendawa, pamene zigamba za atherosulinotic cardiosclerosis zikuwonekera, ndipo minyewa ya fibrous imawonekera m'malo mwa minofu ya myocardial.

Mitundu yotere ya atherosulinosis ya msempha ndi mavavu imasiyanitsidwa:

• nthawi yodziyimira popanda mawonekedwe. Kuzindikira matenda panthawiyi kumachitika pogwiritsa ntchito hypercholesterolemia komanso kachigawo kena ka beta-lipoproteins.
• latent matenda azachipatala. Kuphwanya malamulo kumatha kuwonekedwa ndi njira zothandizira, koma zizindikirazo sizikuwonetsedwa.
• gawo la zizindikiro zapadera, ischemia ndi matenda oyamba a mtima amawoneka. Katswiri wokhawo yemwe amatha kusiyanitsa atherosulinosis ndi matenda oopsa.
• ochepa matenda occlusion. Kusintha kwa Fibrotic ndi zovuta za ischemic m'matumba okhudzidwa zimayamba.

Zizindikiro za kuwonongeka kwa mtima wamatenda zimatengera zifukwa zambiri - kuopsa kwa matendawa, malo ogawika, thanzi lathunthu.

Zizindikiro za atherosulinosis mu thoracic aorta zimaphatikizapo:

• chifuwa cholimba
• chizungulire ndi mutu
• lipomas wamaso ndi pallor,
• kutopa ndi kuiwala,
• kulephera kudziwa.

Nthawi zambiri amapezeka atherosulinosis ya msempha (code for microbial 10 I70.0) and coronary artery of the heart (code for microbial 10 I25.1). Magazi akutuluka m'derali amayamba kuwonongeka, zomwe zimabweretsa kupweteka pachifuwa kwa maola angapo kapenanso masiku.

Msempha umapanikizika, womwe umakulitsa katundu pamtima, womwe umayambitsa kukhumudwa komanso mtima.Atherosulinosis yamitsempha yama mtima imasonyezedwa ndi kuwonjezeka kwa kuthamanga ndi kutsika kwapakati.

Atherosulinosis ya kung'ambika Chipilala kumabweretsa mawu okweza ndi kumeza kumeza. Kufalikira kwa atherosulinosis mu msempha ndi mafupa amitsempha yamagazi kumayambitsa chifuwa cha angina pectoris ndikubwerera kumanzere, kupuma movutikira, matenda a mtima a ischemic, komanso kuchuluka kwa mtima.

Kusokonezeka kwamitsempha yamagazi komwe kumayambitsa matumbo kumayambitsa zotsatirazi:

• Kutulutsa ndi kudzimbidwa,
• kuwonda
• kupweteka kwambiri msomali,
• matumbo.

Kuphatikiza apo, padzakhala kuwonjezeka kwa kupanikizika, kunenepa kwa miyendo, kulephera kwa impso, kusabala, kulephera kumva kwamiyendo, miyendo.

Atherosclerosis ya aortic arch imakwiyitsa kuchuluka kwa cholesterol mkati kapena pazitseko zamitsempha yamagazi. Minyewa ikawonekera mkati mwa mitsempha, imayambitsa matenda ena amitsempha ya m'magazi.

Kodi atherosulinosis ya aortic mtima ndi chiani? Kuphwanya magazi komwe kumapereka minofu ya mtima, komanso kuwonongeka kwa magazi m'mitsempha yama coronary, kumabweretsa ku mitsempha ya mitsempha ya mtima.

Atherosulinosis ya ziwiya za mtima za mtima zimadziwika kuchokera ku angina pectoris wofatsa mtima. Atherosclerosis imakhudzanso osati ziwiya zokha, komanso ma mavuvu ndi ma mtima a mtima.

Mitundu iwiri yamatenda amatsimikiza: preclinical and clinical. Poyamba, odwala samva kupweteka mumtima, kusayenda bwino, kupweteka mutu, komanso kutopa.

Chizindikiro cha matenda am'mimba chimasiyanasiyana ndipo zimatengera mwachindunji gawo la chitukuko chake ndi komwe amachokera. Odwala amatha kupwetekedwa mutu, chizungulire, kupweteka mumtima.

Kuyang'ana kowonekera kukuwonetsa panjira izi:

• khungu lokhala ndi makwinya ambiri, atrophic, kupatsa chidwi komanso kudziwika ndiuma,
• m'dera la ziphuphu pafupi ndi kamwana - mawonekedwe a lipoids, omwe akuwonetsedwa ndi senile arch, maso owala,
• imvi zoyambirira, dazi.

Zimayambitsa macroangiopathy mu shuga

Munthu akayamba kudwala matenda a shuga kwa nthawi yayitali, ma capillaries ang'onoang'ono, makoma ochepa ndi mitsempha mothandizidwa ndi kuchuluka kwa glucose kumayamba kuwonongeka.

Chifukwa chake, kupendekera mwamphamvu, kusakanikirana, kapena, koteroko, uku ndi kuwongola kwa mitsempha yamagazi.

Pachifukwachi, kayendedwe ka magazi ndi kagayidwe pakati pa ziwalo zamkati zimasokonezeka, zomwe zimayambitsa matenda a hypoxia kapena okosijeni a minyewa yozungulira, kuwonongeka kwa ziwalo zambiri za odwala matenda ashuga.

• Nthawi zambiri, ziwiya zazikulu zam'munsi komanso mtima zimakhudzidwa, izi zimachitika mu 70 peresenti ya milandu. Ziwalo zathupi izi zimalandira katundu wambiri, choncho zotengera zimakhudzidwa kwambiri. Mu diabetesic microangiopathy, fundus imakhudzidwa nthawi zambiri, yomwe imapezeka ngati retinopathy;
• Nthawi zambiri, matenda ashuga macroangiopathy amakhudzanso matenda am'mimba, aimpso, aimpso. Izi zimaphatikizidwa ndi angina pectoris, myocardial infarction, ischemic stroke, matenda ashuga, komanso matenda okonzanso. Ndi kuwonongeka kwakanthawi kwamitsempha yamagazi, chiopsezo chotenga matenda a mtima ndi matenda a sitiroko chimachulukitsa katatu.
• Matenda ambiri okhudzana ndi matenda ashuga amatsogolera ku arteriosulinosis yamitsempha yamagazi.Matendawa amapezeka mwa anthu omwe ali ndi mtundu woyamba wa 2 ndi mtundu wa 2 matenda a shuga zaka 15 m'mbuyomu kuposa mwa odwala athanzi. Komanso, matenda omwe ali ndi matenda ashuga amatha kupita patsogolo mofulumira.
• Matendawa amachepetsa zipinda zapansi panthaka zazikulu komanso zam'mitsempha, momwe mapangidwe a atherosclerotic amapanga. Chifukwa cha kuwerengera, kuwonekera ndi necrosis ya zolembera, kuwundana kwa magazi kumapangika kwanuko, kuwunikira kwa ziwiya kumatseka, chifukwa, kuthamanga kwa magazi m'dera lomwe lakhudzidwa kumasokonezeka mu matenda ashuga.

Monga lamulo, matenda ashuga a macroangiopathy amakhudza mitsempha, ubongo, mawonekedwe amitsempha, kotero madokotala amachita chilichonse kuti aletse kusintha kumeneku pogwiritsa ntchito njira zopewera.

Chiwopsezo cha pathogenesis ndi hyperglycemia, dyslipidemia, insulin, kunenepa kwambiri, matenda oopsa, kuchuluka kwa magazi, kuperewera kwa endothelial, kupsinjika kwa oxidative, kuchepa kwamatenda a cellic ndikofunikira kwambiri.

Komanso, atherosclerosis nthawi zambiri imayamba kukhala osuta, pamaso pa zinthu zopanda ntchito, komanso kuledzera kwa akatswiri. Pangozi ndi amuna azaka zopitilira 45 ndipo azimayi opitirira 55.

Nthawi zambiri chomwe chimayambitsa matendawa chimakhala cholowa chamabadwa.

Matenda a diabetes angiopathy ndi mitundu yake

Diabetes angiopathy ndi lingaliro lophatikizira lomwe likuyimira pathogeneis ndipo limaphatikizapo kuphwanya kwamitsempha yamagazi - yaying'ono, yayikulu komanso yapakati.

Vutoli limadziwika kuti ndi chifukwa cha matenda obwera chifukwa cha matenda ashuga, omwe amapezeka zaka 15 patadutsa matendawa.

Matenda a shuga a macroangiopathy amaphatikizidwa ndi ma syndromes monga atherosulinosis ya msempha ndi mitsempha ya m'mimba, zotupa za mitsempha kapena mitsempha.

1. Pa microangiopathy mu matenda a shuga, retinopathy, nephropathy, ndi matenda ashuga a m'munsi amawonedwa.
2. Nthawi zina, mitsempha yamagazi ikawonongeka, angiopathy yapadziko lonse imapezeka, lingaliro lake limaphatikizapo matenda a shuga-macroangiopathy.

Endoneural diabetesic microangiopathy imayambitsa kuphwanya kwamitsempha yamafungo, izi zimayambitsa matenda a shuga.

Matenda a shuga a macroangiopathy ndi zizindikiro zake

Ndi atherosclerosis ya msempha ndi coronary mitsempha, zomwe zimayambitsa matenda ashuga macroangiopathy am'munsi komanso mbali zina za thupi, wodwala matenda ashuga amatha kudziwa matenda amtima, matenda amitsempha yamagazi, angina pectoris, mtima.

Matenda a mtima pamenepa amayamba mu mawonekedwe aumunthu, osamva ululu ndipo amakhala ndi arrhythmia. Matendawa ndi oopsa kwambiri, chifukwa angayambitse kufa mwadzidzidzi kwa coronary.

Pathogenesis mu odwala matenda ashuga nthawi zambiri amaphatikizapo zovuta pambuyo-infaration monga aneurysm, arrhythmia, thromboembolism, Cardiogenic mantha, mtima. Ngati madokotala atsimikiza kuti matenda ashuga a macroangiopathy ndi omwe amachititsa kuti myocardial infarction ichitike, zonse ziyenera kuchitidwa kuti vuto la mtima lisabwerenso, chifukwa chiwopsezo chake ndi chachikulu.

• Malinga ndi ziwerengero, a Type 1 and Type 2 diabetesics ali ndi mwayi wowirikiza kufa ndi myocardial infaration ngati anthu omwe alibe matenda ashuga. Pafupifupi 10 peresenti ya odwala amadwala matenda amitsempha yama bongo chifukwa cha matenda ashuga macroangiopathy.
• Atherosulinosis mu matenda ashuga amadzipangitsa okha kumva kupukusa kwa ischemic stroke kapena matenda a ischemia osachiritsika. Ngati wodwalayo ali ndi matenda oopsa, chiwopsezo cha kukhala ndi zovuta za m'magazi chimakulitsa katatu.
• Mu 10 peresenti ya odwala, zotupa zophera ziwalo zamatumbo zimapezeka mu mawonekedwe a atherosulinosis obliterans. Matenda ashuga macroangiopathy amaphatikizidwa ndi dzanzi, kuzizira kwamapazi, kulumikizana kwina, kupsinjika kwa hypostatic.
• Wodwalayo akumva kupweteka kwambiri minofu yamatumbo, ntchafu, mwendo wapansi, womwe umalimbana ndi zovuta zilizonse zolimbitsa thupi. Ngati magazi akuyenda m'mphepete mwa distal asokonezeka kwambiri, izi zimayambitsa ischemia yovuta, yomwe pamapeto pake imayambitsa necrosis yamiyendo ndi miyendo yotsika mu mawonekedwe a gangrene.
• Khungu komanso minyewa yolumikizira khungu limatha kudzipanga okha, popanda kuwonongeka kwa makina. Koma, monga lamulo, necrosis imachitika ndi kuphwanya kwamkati kwa khungu - mawonekedwe a ming'alu, zotupa zam'mimba, mabala.

Pamene vuto la kuthamanga kwa magazi silitchulidwa pang'ono, matenda ashuga a macroangiopathy amachititsa mawonekedwe a zilonda zam'mimba za m'mimba zomwe zimakhala ndi matenda osokoneza bongo m'miyendo.

Kodi matenda ashuga a macroangiopathy amapezeka bwanji?

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

Kuzindikira ndikuwonetsetsa momwe ziwiya zam'mimba, zam'mimba komanso zotumphukira zimakhudzidwira.

Kuti mudziwe njira yoyenera yofunsira, wodwalayo ayenera kufunsa dokotala.

Kuunikiridwa kumachitika ndi endocrinologist, katswiri wa matenda ashuga, mtima, katswiri wa zamitsempha, opaleshoni yamtima, wamisala.

Mtundu woyamba wa 2 komanso wa matenda ashuga a mtundu wachiwiri, mitundu yotsatirayi ya diagnostics imayikidwa kuti idziwe pathogenesis:

1. Kuyesedwa kwa magazi kwamomweku kumachitika kuti mupeze kuchuluka kwa shuga, triglycerides, cholesterol, mapulateleti, lipoproteins. Kuyesedwa kwa magazi kumapangidwanso.
2. Onetsetsani kuti mumayesa mtima wamagazi pogwiritsa ntchito electrocardiogram, kuwunika kwa magazi pafupipafupi, kuyezetsa kupsinjika, echocardiogram, ultrasound dopplerography ya aorta, myocardial perfusion scintigraphy, coronarography, computer tomographic angiography.
3. Kusintha kwamitsempha kwa wodwalayo kumawonetsedwa pogwiritsa ntchito ziwonetsero za ultrasound za ziwongo, kusanthula mobwerezabwereza ndi angiography yamitsempha yamitsempha imachitidwanso.
4. Kuti muwone momwe mitsempha yamitsempha yamapazi ilili, miyendo imawunikidwa pogwiritsa ntchito kuwunika kwapawiri, ma dopplerografia, kupindika kwa arteriography, rheovasography, capillaroscopy, arterial oscillography.

Chithandizo cha matenda a shuga a shuga

Kuthandizira matendawa mu odwala matenda ashuga makamaka kumakhala ndi njira zomwe zingachepetse kupita patsogolo kwa mitsempha yoopsa, yomwe ikhoza kumuwopseza wodwala olumala kapena ngakhale kufa.

Zilonda za trophic zam'mwamba komanso zotsika zimayang'aniridwa ndikuyang'aniridwa ndi dokotala. Pankhani ya zovuta pachimake mtima, chithandizo choyenera chikuchitika. Komanso, adotolo atha kuloza ku opaleshoni, yomwe imakhala mu endarterectomy, kuchotsa kuchepa kwa magazi m'thupi, kuchepa kwa dzanja lanu, ngati ali kale ndi matenda osokoneza bongo.

Mfundo zazikuluzikulu zamankhwala zimagwirizana ndi kukonza ma syndromes owopsa, omwe amaphatikizapo hyperglycemia, dyslipidemia, hypercoagulation, ochepa hypertension.

• Kulipira chakudya cha metabolism mu odwala matenda ashuga, adokotala amatiuza mankhwala a insulin komanso kuwunika pafupipafupi kuchuluka kwa shuga m'magazi. Mwa izi, wodwalayo amatenga mankhwala ochepetsa a lipid - ma statins, antioxidants, fibrate. Kuphatikiza apo, ndikofunikira kutsatira zakudya zapadera zochiritsira komanso zoletsa kugwiritsa ntchito zakudya zomwe zili ndi mafuta azinyama.
• Pakakhala chiopsezo chokhala ndi zovuta za thromboembolic, mankhwala a antiplatelet amalembedwa - acetylsalicylic acid, dipyridamole, pentoxifylline, heparin.
• Mankhwala othandizira antihypertensive pokhudzana ndi kupezeka kwa matenda ashuga a macroangiopathy ndikwaniritsa ndikusunga kuthamanga kwa magazi a 130/85 mm RT. Art. Chifukwa chaichi, wodwala amatenga zoletsa za ACE, okodzetsa.Ngati munthu wavutika ndi myocardial infarction, beta-blockers amayikidwa.

Njira zopewera

Malinga ndi ziwerengero, ndi mtundu 1 komanso mtundu wa 2 matenda a shuga, chifukwa cha zovuta zamtima mu mtima mwa odwala, amafa amachokera pa 35 mpaka 75 peresenti. Mu theka la odwalawa, kufa kumachitika ndi matenda obanika, mu 15 peresenti ya zomwe zimayambitsa matendawa ndi pachimake.

Pofuna kupewa kukula kwa matenda ashuga a macroangiopathy, ndikofunikira kuchita zonse zodzitchinjiriza. Wodwalayo amayenera kuwunika shuga nthawi zonse, kuyeza kuthamanga kwa magazi, kutsatira zakudya zochizira, kuyang'anira kulemera kwake, kutsatira malangizo onse azachipatala ndi kusiya zizolowezi zoyipa momwe angathere.

Mu kanema munkhaniyi, njira zochizira matenda ashuga a macroangiopathy a malekezikulu amakambidwa.

Zizindikiro za matendawa

Vuto lalikulu lomwe limagwirizanitsidwa ndi atherosulinosis ya mitsempha ya m'mimba limachitika chifukwa cha kulephera kuzindikira matenda oyambira m'magawo oyambira. Kukhazikitsidwa kuti malo opangira atherosselotic amapangidwa m'thupi ndi zaka 10. Poyamba, izi ndi mawonekedwe a lipids - owonjezera cholesterol ndi triglycerides. Amawoneka ngati mikwingwirima kapena mawanga pa endothelium yam'mitsempha. Popeza kusokonezeka kwa magazi sikumayang'aniridwa, mawonekedwe oyamba a matenda amatha popanda zizindikiro.

Gawo lotsatira la atherosulinosis limalumikizidwa ndikupanga minofu yolumikizana ndi ma depisiti ndi malowedwe awo kukhoma la mitsempha yamagazi. Amakhala ngati "ozika mizu." Izi zimapanga zolembera. Ngati kuwonongeka kwa mitsempha ya coronary, izi zimatsogolera ku izi:

• kupweteka mumtima, chifuwa,
• kupuma movutikira pakulimbitsa thupi,
• chizungulire
• kufooka wamba, kukulitsidwa ndi kutopa msanga.

Zizindikiro zambiri zimadziwika ndi mitundu ina ya atherosulinosis. Kuwonongeka kwa mitsempha ya coronary kumatha kusiyanitsidwa ndi chikhalidwe ndi kutengera kwa ululu. Ubale wawo ndi zochitika zolimbitsa thupi umawonedwa, chifukwa chakuti kusowa kwa mpweya m'molecodeamu kumakulitsidwa. Wodwalayo amamva kupweteka komanso kutentha kwambiri. Kutulutsa kwanyumba kumamvekera mbali yakumanzere kwa chifuwa, kumatha kupita ku scapula.

Amayambitsa ndi pathogenesis

Zomwe zimayambitsa chitukuko cha matendawa zitha kukhala motere:

• onenepa kwambiri
• cholesterol yayikulu
• zizolowezi zoipa
• kumangokhala
• matenda a shuga ndi mavuto ena a endocrine,
• matenda a mtima.

Zinthu za atherosulinotic mu mtima zimatsogolera ku necrosis pamitsempha ya mtima, ma receptors amafa chifukwa cha matenda amtunduwu, omwe amatsogolera kuchepa kwa chidwi cha mtima ndi mpweya.

Matendawa amadziwika ndi nthawi yayitali komanso yogwira ntchito mwachangu, chifukwa chake, mpweya wamanzere umachulukira kwambiri, womwe umayenda ndi kulephera kwa mtima ndi zonse zomwe zikupezeka (kusokonezeka kwa phokoso la mtima, angina pectoris, ndi zina).

Zizindikiro zamakhalidwe

Zizindikiro za atherosulinotic mtima ndi zosiyana mwamphamvu, zimatengera kutanthauzira kwake kwa njirayi komanso kuchuluka kwake. Pa magawo oyamba a matendawo, wodwalayo amakhala ndi nkhawa yokhudza kupuma movutikira, ndipo zimachitika ndi kulimbitsa thupi komwe m'mbuyomu sikunayambitse zizindikiro zilizonse. Ndi chitukuko cha matendawa, dyspnea imayamba kuwoneka pakupuma. Kuphatikiza apo, atherosclerotic cardiosulinosis imawonetsedwa motere:

• arrhasmia imayamba
• pamakhala kupweteka m'dera la mtima, ndipo kulimba kwake kumatha kukhala kosiyanasiyana - kuyambira pang'ono kusinthika mpaka kuwukiridwa kowopsa, nthawi zambiri kupweteka kumaperekedwa mbali yakumanzere ya thupi,
• kuthamanga kwa magazi kumakhala kosalala,
• chizungulire ndi makutu otakasuka ndizotheka,
• kutupa kumawonekera.

Ngati post-infarction cardiosclerosis ili ndi zizindikiro zonsezi modabwitsa komanso mosalekeza, ndiye kuti atherosulinotic imadziwika ndi njira ya wavy, popeza njira za m'melocardium zimachitika pang'onopang'ono.

Kuzindikira matendawa

Kuzindikira kumakhazikitsidwa ndi kafukufuku wa hardware, chifukwa zizindikiro zomwe zafotokozedwa pamwambapa zitha kuonedwanso ndi matenda ena omwe sagwirizana ndi mtima, mwachitsanzo, mphumu. Mtundu wolimbikira kwambiri wa diagnostics wa Hardware ndi ECG. Ndikofunika kwambiri kupulumutsa zotsatira zonse za ECG kuti adotolo athe kudziwa momwe matendawo akutsutsira komanso nthawi yake. Zovuta pa ECG zitha kupangidwanso ndi katswiri.

Ngati pali zizindikiro za kusokonezeka kwa mtima, ma extrasystoles amodzi amawonekera pamtima, ngati chithandizocho chikuperewera, adokotala amawona, ndipo mano amatha kuwonekeranso mu mtima, omwe wodwalayo sanakhale nawo kale.

Ultrasound yamtima imaperekanso chidziwitso chakuyenda bwino kwa magazi. Pozindikira matenda am'mimba, njira zina zofufuzira zimagwiritsidwanso ntchito - echocardiography ndi ergometry ya njinga. Maphunzirowa amapereka chidziwitso cholondola chokhudza momwe mtima ulili pakupumula komanso nthawi yomwe mukuchita khama.

Kodi kuopsa kwa matendawa ndi chiani ndipo mwina zovuta zake ndi ziti

Matenda a atherosulinotic ndi matenda am'tsogolo, ndipo popeza umalumikizidwa ndi mtima, ngozi imadzilankhulira yokha. Matenda a mtima ndi oopsa chifukwa cha kusintha kwake kosasinthika. Zotsatira za magazi osayenda bwino myocardium, kufa ndi mpweya wa okosijeni, ndipo mtima sugwira ntchito moyenera. Zotsatira zake, makoma amtima amalemera, ndipo amakula kukula. Chifukwa cha kusokonezeka kwambiri kwa minofu, chotengera chingawonongeke (kapena kung'ambika kwathunthu), kulowetsedwa kwa myocardial kumachitika.

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

Mavuto a atherosulinotic mtima ndi matenda osiyanasiyana amtima omwe amatha kupha.

Mitundu ndi magawo a mtima

Pali magawo angapo a chitukuko cha matenda a m'matumbo, chilichonse chimakhala ndi zofunikira zake, ndipo chithandizo pamagulu osiyanasiyana amakhalanso ndi kusiyana:

• Gawo 1 - tachycardia ndi kupuma movutikira, zimachitika pokhapokha pochita masewera olimbitsa thupi,
• Gawo lachiwiri ndi kulephera kwamitsempha kwamanzere - Zizindikiro zimachitika ndi masewera olimbitsa thupi,
• Gawo lachiwiri ngati vuto la kupezeka kwamanja lamitsempha - pali zotupa pamiyendo, palpitations, mwachangu, acrocyanosis wamphepete,
• Gawo 2B - kusayenda kumawonedwa m'magawo onse oyenda magazi, chiwindi chimakulitsidwa, kutupa sikuchepa,
• Gawo 3 - zizindikirazi ndizokhazikika, ntchito ya machitidwe ndi ziwalo zonse zimasokonekera.

Matenda a mtima akhoza kukhala amodzi mwa awa:

• atherosulinotic - akufotokozera chifukwa kutsika kwa atherosulinotic malo mu coronary zombo,
• chidziwitso pambuyo
• kusokoneza mtima - minofu ya mtima yophimbidwa kwathunthu ndi njira ya pathological,
• postmyocardial - njira zotupa mu myocardium.

Kuchiza matenda

Chinthu choyamba chomwe chimalimbikitsidwa kwa wodwala ndi chakudya chamagulu. Ndikofunikira kusiya kudya mafuta, yokazinga, ufa, mchere ndi mchere wosuta. Ndikofunika kuti muchepetse chimanga, nyama yazakudya monga nkhuku, nkhuku, nyama yamchere, idyani zipatso zambiri komanso masamba.

Zomwe zikuwonetsedwanso ndikusintha kwa moyo - masewera olimbitsa thupi (kusambira, kuthamanga osayenda, kuyenda), pang'onopang'ono katunduyo akuyenera kuwonjezeka. Njira zonsezi ndi chithandizo chothandizira pa mankhwala osokoneza bongo, popanda kusintha kwa odwala omwe ali ndi atherosulinosis.

Mankhwala omwe angagwiritsidwe ntchito pochiza matenda a mtima atherosulinotic, dokotala akuyenera kukuthandizani, ndizosatheka kumwa nokha mankhwala, kuti mupewe zovuta.

Mankhwala omwe amathandizira kuti muchepetse magazi m'magazi - Cardiomagnyl kapena Aspirin. Kulandilidwa kwawo ndikofunikira kuti mapangidwe a zolembedwazo amachepetsedwa ndipo kutsekeka kwa chotengera sikumachitika. Kudya nthawi yayitali komanso kugwiritsa ntchito ndalamazi ndizothandiza kupewa kulowetsedwa kwa magazi.

Mankhwala omwe amatsitsa lipids yamagazi: Simvastatin, Atorvastatin, Rosuvastatin. Nitroglycerin akuwonetsa kuti akuwukira matenda a mtima a ischemic, komabe, zotsatira zake ndizakanthawi kochepa, ngati kuukira kumachitika pafupipafupi, ndiye koyenera kugwiritsa ntchito mankhwala omwe ali ndi mphamvu yayitali.

Ndi edema yayikulu, diuretics Spironolactone, Veroshpiron ndi mankhwala, ngati ndalamazi sizothandiza, ndiye kuti Furosemide ndi mankhwala. Kuphatikiza apo, mankhwalawa amayikidwa kuti achepetse kuthamanga kwa magazi komanso kuthana ndi zizindikiro zakulephera kwa mtima: Enalapril, Captopril, Lisinopril.

Ngati ndi kotheka, mankhwala ena amawonjezeredwa ku regimen yothandizira. Ndi kusagwira ntchito kwa mankhwala, kugwiritsa ntchito opaleshoni kumathandizidwa, komwe cholinga chake ndikupanga magazi kupita ku myocardium.

Zotsogola ndi njira zopewera

Matendawa amatha kuperekedwa pokhapokha ngati wodwala atazindikira kwathunthu, kuwunika kwake komanso kuchuluka kwa matenda oyambitsidwa. Malinga ndi ziwerengero, ngati atherosulinotic cardiosulinosis sinapereke zovuta komanso zowopsa m'moyo, ndipo ngati chithandizo chinayambika panthawi yake ndikuchita bwino, titha kulankhula za kupulumuka 100%.

Ndiyenera kunena kuti pafupifupi zovuta zonse zomwe zimakhudza kuchuluka kwa kupulumuka zimakhudzana ndi zomwe wodwalayo pambuyo pake amatembenukira kwa dokotala kuti akathandizidwe, komanso kulephera kutsatira malingaliro onse omwe katswiri adayambitsa.

Mankhwalawa a mtima ndi mtima matenda, kuphatikizapo atherosulinosis, ndiwotalikirapo komanso osavuta, chifukwa chake, ngati munthu ali ndi vuto latsopanoli, ndiye kuti kuyenera kupewa kupewera munthawi yake. Kudziwa zomwe zimayambitsa matendawa, ndikosavuta kumvetsetsa zomwe kuletsa matenda a mtima:

1. Zakudya zoyenera. Zakudya ziyenera kukhala zopindulitsa thupi zokha, ziyenera kuphikidwa ndi mafuta ochepa, ndiye kuti, njira zophika zofatsa ziyenera kugwiritsidwa ntchito. Zakudya zamafuta ndi zakusuta ziyenera kuchepetsedwa kwambiri;
2. Matenda a kulemera. Ukalamba usanachitike komanso mavuto ambiri mthupi amachitika chifukwa cha kunenepa kwambiri. Sizofunikira kutsatira zakudya zokhwima komanso zowononga thanzi, ndizokwanira kudya moyenerera komanso moyenera, ndipo kulemera kwake kumakhalanso kosavulaza komanso kuvutikira thupi.
3. Onetsetsani kuti mwasiya zizolowezi zoipa. Iyi ndi mfundo yofunika kwambiri pa matenda a mtima ndi mtima. Kusuta fodya komanso kumwa mowa mwauchidakwa zimakhudza mkhalidwe wa mthupi ndi ziwalo zonse za anthu, zosokoneza bongo zimawononga mitsempha yamagazi komanso njira zoyipa za metabolic.
4. Kukhala wakhama ndi kofunika kwambiri kuti munthu akhale wathanzi komanso kulimbitsa thupi lathunthu. Komabe, sizoyenera kukhala wachangu kwambiri pamasewera, zolimbitsa thupi ziyenera kukhala zotheka ndikupatsa munthu chisangalalo. Ngati palibe chikhumbo chothamanga ndikusambira, ndiye kuti mutha kusankha mayendedwe kapena ntchito zina.

Kupewa kwamatenda am'mtima komanso mtima wamakhalidwe ndi moyo wathanzi. Tsoka ilo, m'zaka zaposachedwa, anthu ochepa omwe amasamala zaumoyo wawo ndikumvera malangizo a madokotala, ayenera kukumbukira kuti atherosranceotic cardiosranceosis ndi matenda omwe amapezeka zaka zambiri, sangathe kuchiritsidwa msanga, koma amatha kupewedwa.

Matenda a mtima pambuyo pa vuto la mtima: gulu, zoyambitsa ndi chithandizo

Chimodzi mwazinthu zowopsa kwambiri, zomwe nthawi zambiri zimabweretsa kudwala kwa wodwala, chiwonetsero cha matenda a mtima (CHD) titha kumuwona ngati vuto ladzidzidzi la infarction ya myocardial infarction ndi post-infarction cardiossteosis.

Ndizosatheka kuzindikira patokha zovuta ngati izi, titha kungoganiza za kukoka kogwirira kapena matenda ena.

Nthawi zambiri, chiwonetsero chachikulu cha akatswiri a zamatenda monga post-infarction atherosulinosis chimatha kusintha kusintha kwa mtima, komanso kusunga kwa ululu.

Kuti mumvetse momwe mungathanirane ndi mawonekedwe osiyanasiyana a matenda a mtima, kuti muphunzire momwe mungakhalire moyenera (ngati pambuyo pake infarctionosis yakhala ikuwoneka m'moyo wanu), ndikofunikira kuti mumvetsetse zomwe tafotokozazi.

• Kodi zinthu zili bwanji?
• Kutanthauzira kwa matenda a mtima
• Kodi zikuchokera kuti?
• Zizindikiro ndi mawonekedwe a pathology
• Zizindikiro
• Zovuta zotheka
• Chithandizo chamankhwala
• Zoneneratu komanso njira zodzitetezera

Kodi zinthu zili bwanji?

Mwa lingaliro la post-infarction cardiosranceosis ndi mwambo kutanthauza mtundu wa ischemic wamtima matenda (kapena matenda a mtima) omwe amatha kuwonekera ndikusintha magawo amodzi a myocardium (minofu yake ya minofu) yokhala ndi zotupa zolumikizika.

Tiyenera kumvetsetsa kuti pambuyo pa mawonekedwe owopsa a ischemic matenda a mtima komanso vuto ladzidzidzi la kuchepa kwa mtima, kuchepa kwa minofu kumachitika kwenikweni, ndipo chilonda cha atherosselotic nthawi zonse chimapezeka m'malo a chachikulu necrosis.

Mwanjira ina, post-infarction cardiossteosis nthawi zonse zimakhala zotsatira zomveka za mawonekedwe a IHD monga myocardial infarction. Nthawi zina zimatha kutenga pafupifupi milungu itatu kapena ngakhale inayi kuti machiritso athunthu a myocardial malo akhudzidwe ndi necrosis.

Ndiye chifukwa chake, kusiyapo konse, odwala onse omwe adakumana ndi vuto la mtima amapezeka mwadzidzidzi ndi matenda amtundu wa infarctioni of digiri imodzi kapena imzake, ndipo nthawi zambiri madokotala amatha kufotokozera mtundu ndi kukula kwa bala la atherosranceotic.

Tsoka ilo, khungu la atherosclerotic pamsempha wamtima lomwe limapezedwa pambuyo poti lisokonekera mokwanira, silikhala ndi mphamvu yokwanira, silimalimba, limalimbitsa ndipo limasokoneza minofu ya myocardial yapafupi, kukulitsa mawonekedwe a mtima.

Kutanthauzira kwa matenda a mtima

Mankhwala amakono azachipatala amafotokoza njira zotsatirazi za matenda amtima (monga chiwonetsero chofala kwambiri cha matenda a mtima a ischemic kapena matenda a mtima):

• mawonekedwe oyang'ana
• fotokozerani mawonekedwe:
• matenda ndi zotupa za zotumphukira zida.

Kusintha kwa postinfarction atherosulinotic focal myocardial kusintha kumachitika nthawi zambiri.

Kuwonongeka komweko kwa minofu yam'mimba kumatha kuchitika pambuyo pa mawonekedwe a myocarditis. Momwe thunthu la postinfarction cardiosranceosis limakhazikitsidwa bwino lomwe limapangidwa bwino lomwe.

Kuopsa kwa matendawa kumadalira zinthu zobwera pambuyo poti zimachitika pambuyo pake:

1. Kuzama kwa necrotic myocardial kuwonongeka, komwe kumatengera mtundu wa vuto la mtima. Pathology ikhoza kukhala yopambanitsa kapena yopatsirana, pomwe necrosis ikhoza kufalikira mpaka kuzungulira kwakhoma lonse la minofu.
2. Kukula kwa chidwi cha necrotic. Tikukamba za zotupa zazikulu kapena zazing'ono zoyambira zotsekera. Mokulirapo dera la cicatricial lesion, ndi pamene matchulidwe amtundu wamtima adzakhazikika, chiyembekezo chake chotsala pang'ono kupulumuka chidzakhala.
3. Kufotokozera za cholinga. Mwachitsanzo, foci yomwe ili m'makoma a atria kapena interventricular septa siowopsa monga cicatricial inclusions pamakoma a ventricle akumanzere.
4. Mwa kuchuluka kwa mapangidwe a foci a necrosis. Pankhaniyi, kuopsa kwa zovuta komanso kulosera kwamtsogolo kwa kupulumuka kumadalira mwachindunji kuchuluka kwa maziko oyamba a necrosis.
5. Kuchokera pakuwonongeka kwa dongosolo la conduction. Atherossteotic foci yomwe imakhudza mitolo ya mtima, monga lamulo, imayambitsa kuphwanya kovuta kwambiri pakugwira ntchito kwa mtima, kwakukulu.

Polankhula za mtundu wamtundu wa mtima wosakanikirana, ziyenera kudziwidwa kuti ndi mtundu wamtunduwu, zotupa zamatumbo zimagawidwa mofananamo, kulikonse.Mtima wamtunduwu umatha kukhazikika osati kuwonongeka kwamtima, komanso mwa matenda a mtima.

Matenda a mtima, omwe amakhudza zida zamagetsi zamtima, ndizosowa kwambiri, chifukwa poyamba mavuvu amakhala ndi mawonekedwe ofunikira a minofu.

Komabe, madokotala amatha kusiyanitsa mitundu iwiri ya zotupa za mtima: ma valavu osakwanira kapena kuuma kwake.

Kodi zikuchokera kuti?

Ndizosatheka kunena kuti matenda aliwonse ali ndi magwero ake. Chifukwa chachikulu chomwe chitukuko cha matenda amtima chimawonedwa ngati matenda a mtima (kapena matenda a mtima).

Kuchokera pakuwona momwe limagwirira ntchito ya mtima, zomwe zimapangitsa kuchepa kwa minofu:

• kuchepa kwa ziwiya zazikulu zam'mimba, zomwe zimapangitsa kuti magazi asakwanitse kupita ku minofu ya mtima, ku hypoxia ndi necrosis,
• Njira zotupa zomwe zimatha kusintha mawonekedwe a myocardium,
• kuchuluka kwakukulu kwa myocardium, kutalika kwake, ndikuti, chifukwa cha mtundu wa mtima wamatumbo wamatumbo.

Kuphatikiza apo, kukulitsa kwa mtima wama mtima, kapena kupitilira kwake, kumatha kuchitika chifukwa cha kubadwa komanso mawonekedwe a moyo wina.

Fotokozani njira ya matenda amtima:

• kusowa kochita zolimbitsa thupi mokwanira, komwe kumafunikira mwachangu pakukonzanso mtima kapena matenda ena a mtima.
• kukhalabe ndi zizolowezi zoyipa,
• kuperewera kwa zakudya m'thupi
• kupsinjika kosalekeza
• kukana njira yoyenera yodzitetezera.

Tsoka ilo, chifukwa cha zotsatira za zomwe tafotokozazi, mtima ndi chaka zimapangitsa kufa kwa anthu ambiri.

Zizindikiro ndi mawonekedwe a pathology

Chifukwa chakuti post-infarction cardiosulinosis imapanga zotupa m'matumbo amtundu womwe sungagwire bwino, kuwonekera kwa matenda osalephera a mtima kumaganiziridwa kuti ndi njira zazikulu zowonetsera matendawa.

Nthawi zambiri, odwala omwe akudwala matendawa amatha kudandaula:

• kupuma movutikira ngakhale osachita zolimbitsa thupi,
• kuchuluka kwambiri kwa kugunda kwa mtima, ngati mawonekedwe a kuyankha kutsika kwa zigawo zamagetsi,
• mtundu wamilomo, miyendo, malo ozungulira mphuno,
• mitundu yosiyanasiyana ya arrhythmias - titi, utoto wa atria, kapena extrasystole, m'malo ovuta kwambiri, tachycardia yobwerezabwereza, yomwe nthawi zambiri imatha kupha wodwala,
• Amati kukhathamiritsa kwamphamvu kwa madzi mthupi - Kukula kwa hydrothorax, hydropericardium, ascites, komwe kumathandizanso kuti wodwalayo afe.

Komanso, pambuyo-infarction cardiossteosis nthawi zambiri kumayambitsa kusintha kwamachitidwe m'malo omwe anali ndi thanzi la myocardium.

Minofu yamatenda amtima imakhazikika, kutsika kwa mtima kumatha kukula, zonsezi zimabweretsa kukonzanso gawo lonse.

Zotsatira zake, vutoli limangowonjezera kuchuluka kwa zizindikiro zakulephera kwa mtima.

Zovuta zotheka

Tiyenera kumvetsetsa kuti onse myocardial infarction ndi post-infarction cardiosranceosis, matendawa amatha kubweretsa imfa kwa wodwalayo.

Koma, mwa zovuta zochepa za vutoli, madokotala amayimba:

• kukula kwa kayendedwe ka mtima,
• mawonekedwe a atria fibrillation,
• extrasystoles - otchedwa zachilendo contractions wa myocardium,
• chotchinga mtima, momwe "kupompa" ntchito yoyendetsa mtima imatha kusokonekera,
• aneurysms ya mtima - kukulira kowopsa kapena kutsika kwa magawo ena a minofu ya mtima, ndikuwonjezera chiopsezo chotaya magazi,
• kulephera kwa mtima.

Nthawi yomweyo, ziwerengero zamankhwala zimatsimikizira kuti zovuta zilizonse za vuto lalikulu (matenda a mtima, kuchepa kwa mtima, kapena infarction cardiosclerosis) zimawonjezera ngozi yakufa kwa wodwala.

Gulu la matendawa

Mankhwala, pali lingaliro lina la zomwe aortic atherosulinosis ndi. M'malo mwake, uwu ndi matenda a mtima. Pathology imatchulidwa malinga ndi mitundu komanso magawo a matendawa:

• ukuyenda wopanda zowawa,
• angina pectoris amitundu itatu,
• kutentha kwa mtima
• mtima
• kumangidwa kwamtima
• myocardial infaration.

Iliyonse mwanjira imadziwika ndi njira yake komanso zizindikilo zake.

Angina pectoris

Dzina lodziwika bwino la matendawa ndi angina pectoris. Mu atherosulinosis ya coronary artery aorta, kutengera mtundu wa maphunzirowa, mitundu iyi ya angina imasiyanitsidwa:

1. woyamba wawuka
2. khola - matendawa amapitilira popanda kusintha kwa nthawi yayitali,
3. osakhazikika - matendawa amapita patsogolo, ali ndi chiopsezo cha myocardial infarction kapena mtima wam'mbuyo.

Ngakhale ndi angina pectoris yokhazikika, zovuta zimatha kuchitika, popeza matenda omwe amakhala ndi mawonekedwe pafupipafupi amatha kukhala osakhazikika.

Chithandizo chamankhwala

Tiyenera kumvetsetsa kuti ntchito za madera a myocardium omwe amakhudzidwa ndi mtima ndiosatheka kubwezeretsanso.

Ndiye chifukwa chake, chithandizo cha matenda ammimba pambuyo pakukula, nthawi zambiri, cholinga chake ndikulepheretsa kupitirira kwa njira zam'magazi, popewa zovuta, komanso kuchepetsa zizindikiro zosasangalatsa.

Mankhwala osokoneza bongo a mtima ndi ofanana kwambiri ndi njira zochizira zomwe zimagwiritsidwa ntchito mu matenda a mtima, kuphatikiza kwa mankhwalawa kuti muchotse kulephera kwa mtima.

Monga lamulo, ndi matenda awa, zotsatirazi zitha kuperekedwa:

• mankhwala okodzetsa
• mankhwala ochokera pagulu la ACE zoletsa, kulola kuti achepetse ntchito yomanganso dongosolo la myocardial,
• anticoagulant othandizira kuti magazi asadutse,
• metabolic mankhwala kusintha myocyte zakudya,
• osiyanasiyana beta-blockers, ngati njira yodzitetezera kukulira kwa arrhythmias.

Ngati aneurysms ya pambuyo-infaration yapezeka yomwe imachepetsa kwambiri kupukusira kwa myocardium, chithandizo chitha kuchitidwa opaleshoni, ndikuchotsa aneurysm opaleshoni. Nthawi zambiri, amatha nthawi imodzi kumayendetsa gwero la mitsempha ya m'mitsempha.

Pofuna kupititsa patsogolo ntchito za malo omwe ali ndi myocardial, odwala akhoza kulangizidwa kuti ayang'ane balloon angioplasty kapena stenting.

Zoneneratu komanso njira zodzitetezera

Nthawi zambiri, kudwala kwa kupulumuka kwa odwala omwe akukumana ndi vuto la infarction cardiosulinosis kungatsimikizidwe:

• kuchuluka kwa tinthu tinatake tomwe timakomoka,
• kuopsa kwa masinthidwe amisempha mu minofu ya mtima,
• mkhalidwe weniweni wamitsempha yama coronary yonse.

Mwachitsanzo, ndi chitukuko cha multifocal postinfarction atherosulinosis, ndi khunyu yotsikira ya zosakwana makumi awiri ndi zisanu, kuchuluka kwathunthu kwa odwala nthawi zambiri sikungathe kupitirira zaka zitatu.

Post-infarction cardiossteosis, (komanso vuto la mtima pakokha) ndi matenda owopsa, chifukwa chake, madokotala amalimbikitsa kufunika kofunikira kwa wodwalayo kuti azitsatira mitundu yonse ya njira zachiwiri zopewera kuti asayambirenso vutoli.

Ndi mafotokozedwe a pathologies, madokotala amayesa kukulitsa nthawi yachikhululukiro momwe angathere, chifukwa kufalikira kulikonse kumathandizira kuti pakhale zotupa zatsopano.

Pofuna kupewa kubwerezanso kwa matenda a m'matumbo, ndikofunikira:

• idyani moyenera (pewani zakudya zoyipa, patsani zakudya zathanzi, zolimba),
• pewani kupsinjika ndi mantha amanjenje,
• yesetsani kupatula kuchita masewera olimbitsa thupi mopitilira muyeso, koma osakana kuchita zochiritsira zolondola,
• Nthawi zambiri kuyenda mu mpweya wabwino.

yang'anirani phindu la kugona ndi kupuma. Ndikofunikira kuti muchepetse kusowa tulo komanso kusowa tulo, mwachitsanzo, kugwiritsa ntchito njira zosavuta komanso zotsika mtengo monga pilo yathanzi "Yathanzi".

Mwa njira, pilo yachipatala ya Zdorov imapangidwa ndi zinthu zotsutsana ndi zonse ndipo ndiotetezeka kugwiritsa ntchito,

Pomaliza, ndikufuna kudziwa - matenda obwera pambuyo pamtima ndi matenda omwe sangathe kuchiritsidwa kwathunthu.

Zofunika! Zowonadi, sizingatheke kuchotsa zipsera zonse zomwe zidalipo pambuyo pa infilate pamakoma amtima. Koma, izi sizitanthauza konse kuti kuzindikira kumeneku kumabweretsa kudwala komwe wodwalayo akumwalira.

Ndi kupewa koyenera kubwereranso, ndi chithandizo chokwanira chavutoli, odwala amatha kutalikitsa moyo wawo. Ndipo izi, mukuwona, ndizofunikira!

• Kodi mumakumana ndi zovuta m'malo a mtima (kupweteka, kumva kuwawa, kuwundana)?
• Mwinanso mungamve kufooka komanso kutopa ...
• Nthawi zonse pamakhala mavuto ochulukirapo ...
• Za kufupika kwa mpweya pambuyo polimbitsa thupi pang'ono komanso osalankhula ...
• Ndipo mwakhala mukutenga gulu la mankhwala kwanthawi yayitali, mukudya ndikuwonetsetsa