Kupewa komanso kuchiza matenda a atherosulinosis, atherosulinosis a ziwiya zam'munsi
Matendawa atherosulinosis ndi owopsa, nthawi yayitali amachititsa zotsatira zoyipa. Sindiwo matenda omwe amayambitsa kufa, koma zotulukapo zake: mikwingwirima, mtima. Atherosulinosis imakhala yoopsa kwambiri mu matenda osokoneza bongo; kuphatikiza kwa matendawa kumakhala kovuta kupirira ndi thupi.
Mwachidule, atherosulinosis ndi kukalamba kwamitsempha yamagazi. Madongosolo amawonekera mwa iwo, mawonekedwe a lumen amachepa, kutuluka kwa magazi kumakhala kovuta. M'mbuyomu, vutoli limakhudza odwala okalamba okha, matendawa ayamba kukalamba, anthu azaka 30 mpaka 40 akuvutika nalo vutoli.
Zakhala zikuwatsimikizira kuti matendawa ndi omwe amakhalanso ndi moyo wopanda chifukwa. Ngati munthu amadya mopitirira muyeso, akukhalitsa nthawi yayitali pakompyuta ndikuyenda pang'ono, mosakayikira adzalandira atherosulinosis.
Anthu omwe ali pachiwopsezo chotenga matenda:
- ndi mkwiyo wowoneka bwino komanso wamanjenje,
- chidakwa komanso kusuta,
- ndi matenda oopsa komanso matenda a shuga a mtundu woyamba kapena wachiwiri.
Kuthamangitsa kwa cholesterol kumalumikizidwa ndi kusintha kokhudzana ndi zaka, kusandulika kwa chibadwa. Chifukwa chake, njira zodzitetezera zomwe zimakhala ndi mafuta okwanira olimbitsa thupi ndikofunikira kwambiri.
Zinthu za atherosulinosis mu matenda ashuga
Odwala odwala matenda ashuga amadwala kusintha kwasinthasintha ka 5 pafupipafupi kasanu kuposa odwala ena. Kuphatikiza apo, chiwerengero cha anthu amene amafa m'gululi ndi chachikulu kwambiri, makamaka ukalamba.
Njira yamatendawa yomwe imayang'aniridwa ndi kuphwanya kwa kagayidwe kazakudya kwambiri.
Odwala omwe ali ndi matenda amtundu wa 2 amakhala ndi vuto la kusowa nthawi zonse, menyu awo amaphatikizapo mafuta ambiri. Amakhalanso ndi vuto la metabolic, chisonyezo chowonjezereka cha lipoproteins yotsika, kupanga kwa phospholipids kumasinthidwa, ndipo pali zovuta ndi kapamba.
Poyerekeza ndi matenda ashuga, kuwonjezeka kwa kupezeka kwa mtima, kusokera kwa chinthu chokhala ngati mafuta, kuphwanya njira za oxidative, ndikuwonekera kwa magazi. Odwala ambiri ali ndi zotupa zotupa zam'mimba - matenda ashuga angiopathy.
Odwala amadziwika ndi kuchuluka kwa mafuta m'thupi, matenda a mtima, omwe ali pachiwopsezo chachikulu cha kutsekeka kwamitsempha yamagazi. Symbomatology ya atherosulinosis imakhala yofanana mwa anthu opanda matenda ashuga, koma ochulukirapo.
Zovuta zazikulu za matendawa ndi odwala matenda ashuga ndi:
- aneurysm ya msempha, zotengera zina, kupasuka,
- matenda amtima, matenda a mtima,
- kulephera kwa aimpso ndi nephropathy,
- kuwonongeka m'munsi.
Ndimavuto ndi miyendo yomwe imavutitsa odwala pafupipafupi kuposa ena. Minofu yofewa imadwalanso; posakhalitsa, zilonda zam'mimba ndi zilonda zam'mimba, zomwe zimafunikira kuchitapo kanthu mwachangu, siziperekedwa.
Chifukwa chake, ndikofunikira kuti muchite nawo kupewa kupewa kwa matenda a ziwongo za m'munsi.
Momwe mungadye
Kuthandizira komanso kupewa matenda a atherosulinosis kumayambira ndikusintha kwamakhalidwe ndi kadyedwe. Pongoyambira, zidzakhala zofunikira kuchepetsa kuchepetsedwa kwa mafuta a nyama, izi ndi nyama yanonona, kirimu wowawasa, tchizi chanyumba, batala, mafuta anyama.
Margarine ndiowopsa kuyambira pakuwona kwa atherosulinosis, izi, mwatsoka, zimakonda kuwonjezeredwa ku mafakitale: zinthu zophika, zinthu zotsiriza.Margarine ndi chinthu chopanga, ndi chowopsa chifukwa cha kukhalapo kwa anthu ambiri owononga nyama, omwe amachititsanso oncology.
Chinthu chinanso chowopsa cha odwala matenda ashuga ndi shuga. Sikuti zimangoyambitsa kukula kwa glycemia, zimayambitsanso zovuta za metabolic, kuphatikizapo lipid. Anthu odwala matenda ashuga amalangizidwa kuti asinthe shuga ndi zotsekemera, mwanjira yachilengedwe.
Tiyenera kudziwa kugwiritsa ntchito tiyi wamphamvu komanso khofi wachilengedwe. Izi zakumwa:
- kuwononga mano
- kumasula kwamanjenje
- yambitsani kukalamba msanga kwamitsempha yamagazi.
Zotsatira zake, makoma am'mimba amachepa, amakhala osalimba, ofooka.
Kupewa kwa atherosulinosis kumaphatikizapo kukana mbale zakusuta, zakudya zosavuta, zakudya zomwe zimapezeka pompopompo. Chakudya choterocho chimavulaza mitsempha ya magazi, osatinso zakudya zamafuta.
Kupewera matendawa kumafunikira kuphatikizira zakudya zina zambiri muzakudya, makamaka zikaphika. Pazakudya, muyenera kubetcha masamba ndi zipatso. Muli cholembera kuchuluka kwake, komwe kumatsuka Mitsempha yamagazi, thupi lonse.
Amadya zopangidwa ndi mkaka wokhala ndi mafuta ochepa, amasinthira ku tchizi komanso mafuta ophika kwambiri.
Kugwiritsa ntchito mafuta okwanira okwanira kumathandiza kupewa kusintha kwa ma atherosselotic. Pali zinthu zambiri zofunikira zomwe zimapezeka mu nsomba; sizivulaza mitsempha yamagazi.
Kuphatikiza apo, nsomba zamafuta ndizofunikira kwambiri malinga ndi zomwe zili mu omega-3 acid. Izi ndi zapadera chifukwa cha kuthekera kwawo:
- sinthani mafuta m'thupi,
- khalani ndi zotsatirapo zabwino pakupanga,
- Sinthani bwino kayendedwe ka magazi.
Ndikofunika kudya mafuta osasamba osasankhidwa, makamaka opindika ndi maolivi. Mafuta awa ndi gwero labwino kwambiri la mafuta achilengedwe apamwamba kwambiri. Sikufunika kuti mwachangu mu mafuta, ayenera kusamba masamba saladi.
Pofuna kupewa kufinya kwamankhwala, zonunkhira ziyenera kuwonjezeredwa ku chakudya, kuphatikiza apo, zimalimbana ndi matenda opatsirana. Zonunkhira zimatsuka mitsempha yamagazi ya cholesterol plaques, zimapangitsa mbale zowonda kukhala zamafuta kwambiri.
Njira yolepheretsa kusintha kwa atherosselotic kukhala kogwiritsa ntchito mkate kokha kuchokera ku ufa wonse wa tirigu, iwo, monga masamba, amakhala ndi mitundu yambiri yothandiza. Njira yabwino yothetsera ufa ndi mkate wopanda pake. Pamafunika kudya chimanga, tirigu, oat chinangwa.
Madokotala amalangiza kumwa madzi ambiri oyera monga momwe mungathere, satiety, gwiritsani ntchito zakumwa zazipatso, ma compotes a zipatso zouma.
Zochita zolimbitsa thupi
Chofunikira chogwiritsa ntchito anti-atherosulinotic mankhwala ndizotheka kuchita zolimbitsa thupi. Odwala ayenera kuchita masewera olimbitsa thupi popanda kutentheka, kuyamba ndi masewera olimbitsa thupi. Maphunziro akuthupi amathandiza kuthana ndi kunenepa kwambiri, kuthana ndi mavuto a manjenje, matenda oopsa.
Palibe chifukwa chochitira nthawi yayitali mu holoyo, kumadzinyodola paphokoso. Zaumoyo, tikulimbikitsidwa kuti muphatikize kuyenda tsiku ndi tsiku mu mpweya watsopano, masewera olimbitsa thupi, ndi kuyenda kwambiri.
Kuyendera dziwe kudzakuthandizaninso kukhala ndi thupi labwino, nthawi yotentha mumatha kusambira m'madzi otseguka. Phunziro lithandizanso kupewetsa komanso kupewa atherosulinosis:
Potengera kutsekeka kwamitsempha yamagazi ndi kufalikira kwa cholesterol malo, kuvina, kukwera, ntchito yosoka bowa. Kuchita masewera olimbitsa thupi moyenera kumathandizira kuti magazi azithamanga, kumathandiza kupewa mavuto okhala m'mitsempha.
Pang'onopang'ono, ndizotheka kusungitsa zolembera zakale za cholesterol, ndikuletsa kuwoneka kwatsopano.
Njira za kupewa kwachiwiri
Njira zomwe takambirana pamwambapa ndizo kupewa koyambirira, zimachitika pokhapokha ngati matendawa sanathe, koma pali chiwopsezo cha chitukuko chake. Potsimikizira za matendawa, kupewa kwachiwiri kwa matenda a ziwongo kumachitika.
Anthu odwala matenda ashuga omwe ali ndi atherosulinosis ayenera kulabadira kuchuluka kwa kuthamanga kwa magazi awo. Kwa iwo, chizindikiro cha 140/80 mm Hg chidzakhala malire ovomerezeka. Art. Zizindikiro zilizonse pamwamba pa mulingo uno zimakhala chifukwa chomwa mankhwalawa. Mankhwala amathandizidwa ndi adokotala, kuyambira kwa anamnesis.
Wodwala amafunika kumwa mapiritsi ochepa magazi nthawi zonse, mwachitsanzo, Aspirin, Clopidogrel. Kuti musunge zisonyezo zamafuta ngati mafuta pamlingo woyenera, muyenera kupita ndi ma statins mofananirana.
Madokotala amalimbikitsa kwambiri kusiya zizolowezi zoipa, kupewanso utsi womwe Zimavulaza ziwalo zonse zamkati ndi machitidwe, ndipo sizidutsa mitsempha yamagazi.
Mwa kuchepetsa chikonga ndi mowa, patapita nthawi, zizindikiritso zaumoyo zimasinthidwa kwambiri, zotengera zimatsukidwa phula ndi carcinogens.
Njira zina zopewera
Mankhwala ena akutanthauza kugwiritsa ntchito mankhwala azitsamba popewa. Mankhwalawa amakonzedwa kuchokera ku zipatso za hawthorn, duwa lamtchire, zitsamba zamankhwala, uchi wa njuchi. Tincture wa hawthorn umakhala ndi phindu pamkhalidwe wa odwala matenda ashuga, amatsuka mitsempha yamagazi ndi mtima. Njira zotere nthawi zambiri zimaperekedwa kwa odwala okalamba.
Mchiuno mwa mavitamini padzakhala kulowetsedwa kwa rosehip, kumapha zomera za pathogenic, kukulitsa chitetezo chokwanira, ndikuthandizira kuwotcha cholesterol. Pali zambiri ascorbic acid mmera, zina zofunikira, zimalepheretsa kukalamba.
Pazifukwa zomwezi, amagwiritsa ntchito kulowetsedwa kwa thyme, chomera chimachotsa ma spasms a mtima, kusintha magazi, kumapangitsa kuti ikhale yosalala komanso yokhazikika. Mankhwala achikhalidwe amalimbikitsa kuwonjezera uchi ku chakudya, ngakhale zili ndi zopatsa mphamvu zambiri, zomwe zimapangidwira zimakhala ndi zinthu zambiri zachilengedwe.
Pofuna kulimbitsa thupi komanso kupewa matenda amitsempha yamagazi, mutha kumwa supuni ya msuzi wa mbatata m'mawa uliwonse:
- Muzu wazala,
- kusuntha grater yabwino,
- misa imayatsidwa kudzera cheesecloth.
Landirani ndalama kuchokera ku Japan sophora, mbewuyo imadziwika chifukwa cha anti-sclerotic. Maphika amathiridwa ndi mowa wamankhwala, amalimbikitsidwa m'malo ozizira kwa milungu itatu. Tincture wophatikizidwa amamwa theka la supuni yayikulu katatu patsiku. Kutalika kwa maphunzirowa ndi miyezi itatu.
Malo osambira a nettle amathandizira kuthana ndi vutoli moyenera; Gulu la mbewu limayikidwa mu bafa lamadzi otentha, dikirani pafupifupi theka la ola mpaka madziwo atathiridwa. Kusamba kwa mphindi 30, chifukwa chachikulu, njirayi imachitika tsiku lililonse.
Teti ya Melissa imagwira bwino ntchito yolimbana ndi mtima wamatenda, chomera chimakhala chofunikira kwambiri pakulimbana ndi migraines, kusowa tulo, komanso katundu wabwino kwambiri. Kukonzekera msuzi ndikosavuta, muyenera kuwonjezera mafuta pang'ono a mandimu ku tiyi wamtundu wanthawi zonse. Muyenera kumwa mankhwalawa kapu patsiku.
Njira ina yoletsera matendawa ndi vinyo wofiira. Kugwiritsa ntchito moyenera komanso moyenera, zakumwa zimatha kuwononga ma cholesterol. Pion ya mankhwala yakonzedwa kuchokera pamenepo:
- 1 lita imodzi ya vinyo wofiira
- uzere wazovala,
- peel ya mandimu yaying'ono,
- theka kapu ya madzi otsekemera (madzi ndi stevia).
Zosakaniza zimaphatikizidwa kwambiri, zimalimbikitsidwa masiku atatu, kutenga supuni yayikulu tsiku lililonse.
Njira zopewera ndi mankhwala wowerengeka amakhalanso abwinobwino chifukwa ndi zachilengedwe, perekani zovuta zina zomwe sizingachitike. Zowopsa zoyipa ndizovuta kutsutsana ndi thupi, koma apo ayi, maphikidwe a wowerengeka ndi oyenera pafupifupi aliyense.
Popewa matendawa komanso kukhala wathanzi, wodwala matenda ashuga ayenera kupatsa thupi lake chakudya chofunikira, zolimbitsa thupi. Wodwala akangoyamba kukhala ndi moyo wathanzi, chiwopsezo chake chotengera atherosulinosis yamitsempha yamagazi amachepetsa kangapo. Aliyense ayenera kukhala ndi memo yomwe ikufotokoza momveka bwino njira zonse zotheka kupewa matenda oopsa komanso momwe zidutsira
Kupewa kwa atherosulinosis akufotokozedwa mu kanema munkhaniyi.
Dietotherapy mankhwalawa atherosulinosis
Mankhwala othandizira pakudya ndi gawo limodzi komanso losasinthika la pulogalamu yochizira matenda a atherosclerosis omwe cholinga chake ndi kuchepetsa kudya zamafuta kuchokera ku chakudya.
Cholinga chamankhwala othandizira kudya ndikuchepetsa kudya zamafuta ambiri “oyipa” ndi cholesterol - otsika ochulukitsa lipoproteins (LDL), ndikulandila zakudya zamafuta “abwinobwino” - high density lipoproteins (LDL).
Ma lipoprotein "oyipa" ambiri amakhala ndi zinthu zotsatirazi: nyama ya nkhumba, mafuta mkaka ndi mkaka, ndi nyama yang'ombe yaying'ono.
Ma lipoproteins "Othandizira" ali ndi zakudya zambiri zam'nyanja, mafuta a masamba (maolivi, mafunde, dzungu, ndi zina).
Zochita zolimbitsa thupi
Chofunikira chothandizira kupewa mankhwalawa atherosulinosis ndi matenda onse amtima, omwe amakongoletsa kayendedwe ka mtima wa mtima, kumathandizira kubwezeretsa chilengedwe cha endothelium. Kwokwanira tsiku ndi theka theka la ola lathunthu kuyenda kwa kupewa matenda a mtima.
Mankhwala a atherosulinosis
Ndikulimbikitsidwa kusintha kagayidwe ka lipid m'thupi ndipo cholinga chake ndi kutsitsa cholesterol yamagazi, kuletsa mapangidwe a atherosulinotic plaque, komanso njira yayitali yothandizira atherosulinosis - kuti imabwezeretse.
Chithandizo chofala kwambiri pochiza matenda a atherosulinosis ndi gulu la statin. Makina awo amachitidwe ndiwotakata ndipo amawongolera nthawi imodzi pazinthu zingapo. Statins amachepetsa ntchito za ma enzymes omwe amathandizira kaphatikizidwe ka cholesterol m'chiwindi, amathandizira chidwi cha zolandilira za chiwindi mpaka lipoproteins yotsika, zomwe zimathandiza kuchepetsa kugwiritsidwa ntchito kwawo mozungulira magazi. Kuphatikiza apo, ma statins amateteza kuyamwa kwa cholesterol m'matumbo ndikubwezeretsanso ntchito ya endothelium (mkati mwa mitsempha yamagazi), yomwe imathandizira kukhazikitsa malo amodzi a atherosulinotic poletsa magazi kuundana.
Mankhwala akuluakulu ochokera ku gulu la statin ndi lovastatin, simvastatin, atorvastanin. Mankhwalawa ali ndi umboni wokwanira, womwe umawonetsa chitetezo ndi ntchito yabwino.
Ndikofunika kugwiritsa ntchito mankhwala osokoneza bongo a atherosulinosis pokhapokha mutayang'aniridwa kwathunthu ndikuvomereza kwa dokotala. Ndikofunikira kusankha mankhwala ndi mlingo woyenera, kusankha kumeneku kumadalira magawo a biochemical (kuchuluka kwa cholesterol yamagazi) ndi kuchuluka kwa kuwonongeka kwa mtima wamitsempha yamagazi.
Poyerekeza, ndikuyenera kudziwa kuti chithandizo cha atherosulinosis ndi njira zingapo zomwe zimaphatikizapo chithandizo chamankhwala ndi mankhwala. Njira izi ziyenera kuyamba posachedwa komanso mosalekeza, ndiko kuti, moyo. Ndikofunikira kukumbukira kuti kusasamala kwa atherosulinosis kumatha kutaya miyoyo!
Chithandizo cha atherosulinosis ndi wowerengeka azitsamba
Chithandizo cha atherosulinosis ndi wowerengeka azitsamba chadziwonetsa modabwitsa. Kugwiritsa ntchito uphungu wambiri wa makolo athu polimbana ndi matenda oyambawa. Maphikidwe osiyanasiyana opangira mankhwala azitsamba akhazikika mseru wa lipids m'magazi, osalola kupitilira kwa zovuta za atherosulinosis.
Muyenera kudziwa kuti ndizotheka kuthana ndi njira zachikhalidwe molumikizana ndi chithandizo cha mankhwala achikhalidwe.Kugwiritsa ntchito njirazi pochiza matenda a atherosulinosis kuphatikiza ndikofunikira mukakambirana ndi dokotala.
Maphikidwe omwe si achikhalidwe zochizira matenda a atherosulinosis:
Chithandizo ndi kupewa matenda a atherosclerosis a anthu opitilira zaka 40 ndizofunikira pakumwa pafupipafupi madzi a mbatata. Kukula kwabwinobwino kwa mbatata ndikusamba, kupukuta pa groti yayikulu-pansi popanda kutsitsa peel, maso ayenera kutulutsidwa, ndiye kufinya madziwo kudzera m'migawo ya 2-4 ya gauze. Zonse zolimbikitsa kumwa.
Komanso, pochiza matenda a atherosclerosis, muyenera kuthamanga, kuseka, kuyenda kwambiri, kuchita masewera olimbitsa thupi m'mawa, kusambira, kudya nyama yaying'ono, kudya masamba ambiri: masamba, zipatso. M'mawa pamimba yopanda kanthu, idyani zidutswa za walnuts mphindi 30 musanadye chakudya cham'mawa.
Zonsezi:
a) idyani masamba awiri a adyo tsiku lililonse,
b) tengani adyo magalamu 400 ndi msuzi kwa mandimu 24 ndikusakaniza, kusiya kwa masiku 24. Gwedezani musanadye. Tengani supuni 1 mkatikati musanakagone, yikani mu kapu ndi madzi otentha.
Ndikofunika kwambiri kudya 1 apulo 2 maola asanagone.
0,5 malita a mowa wopepuka tsiku lililonse ndi 50% amachepetsa chiopsezo chotengera mitsempha ya magazi. Mowa umakhala ndi amino acid onse komanso mavitamini a B ofunikira m'thupi la munthu.
Chakumwa chomwe chimatha kumwa m'mawa uliwonse pamimba yopanda kanthu: supuni ziwiri za viniga za apulo ndi supuni 1 ya tiyi wa Meyi pa magalamu 250 a madzi. Potaziyamu ndi magnesium mu zakumwa zimalimbitsa thupi, kutsitsa mafuta m'thupi, komanso zimapangitsa kapamba.
Mabhanana amathandizira odwala omwe ali ndi atherosulinosis komanso matenda oopsa pakamapaka mankhwala opangira nthochi masiku osala kudya. Nthochi ndi malo osungira kwenikweni a potaziyamu. Amasintha minofu ya mtima komanso amatulutsa magazi. Ubwino wawukulu wa mankhwala a mgoza ndikuwonjezera kukana kwa mitsempha yamagazi kuti iwoneke kuwonekera kwa magazi, kuchepa kwamitsempha yamagazi, ndikusintha kagayidwe. Mgoza wamkaka wa kavalo umagwiritsidwa ntchito pochiza thrombophlebitis, hemorrhoids, mitsempha ya varicose, atherosulinosis.
Tincture: 20 magalamu a maluwa + 1 kapu ya vodika ndi kulowetsedwa kwa masabata 1 mpaka 2. Gwiritsani ntchito 20 mpaka 30 madontho katatu patsiku musanadye kwa masiku 15-20. Maphunzirowa amatha kuchitika pakadutsa milungu iwiri.
Quoquo ya masamba: 5 magalamu 1 chikho cha madzi otentha, wiritsani kwa mphindi 15. Tengani supuni 1 katatu patsiku musanadye.
Masamba atsopano a maluwa amadya 20 mpaka 25 akutsikira katatu patsiku musanadye.
Mu nkhaka zobiriwira ndi 40% potaziyamu, omwe amawapatsa phindu ndi kuthamanga kwa magazi. Mchitidwe wamanjenje umalimbikitsidwa ndi madzi a nkhaka, ndipo atherosulinosis imatsutsana. Tengani m'mawa musanadye kadzutsa mpaka magalamu 100 a madzi a nkhaka tsiku lililonse.
Chinsinsi chotsatirachi: 300 magalamu a zipatso zamtundu uliwonse - zoumba zouma, maapricots zouma, ma prunes, ndimu (opanda mbewu). Dutsani zipatso zonsezi kudzera mu chopukusira nyama, sakanizani ndi 300 magalamu a uchi ndikudya supuni 1 osachepera 2 pa tsiku 20-30 mphindi musanadye. Kusakaniza uku ndikothandiza ngati matenda monga atherosulinosis, matenda oopsa, matenda a mtima amapezeka.
Ndikofunika kudya zovala ziwiri kapena zitatu za adyo tsiku lililonse pakakhala matenda amtima, angina pectoris, atherosulinosis, matenda oopsa komanso chizungulire.
Buckwheat ndi nthaka mu chopukusira cha khofi, supuni zitatu za ufa zimakhazikitsidwa m'mililita 300 yamadzi ozizira. Payokha, wiritsani madzi okwanira 1 litre ndikuthira pang'onopang'ono ndi ufa wosenda ndi madziwo. Kuphika, kusonkhezera mosalekeza. Idyani 100-150 magalamu a zakudya mkati pakudya m'mawa ndi chakudya chamadzulo. Kutalika kwa mankhwala ndi miyezi iwiri, kenako timapuma 2 mpaka 3 milungu. Zotsatira zake ndi zabwino!
Zakudya zamasiku onse zosaphika za beet saladi zimalepheretsa kukula kwa atherosulinosis, koma ngati zayamba kale, chitukuko chake chimayima.
Mankhwala a Folk amalimbikitsidwa kwa odwala omwe ali ndi atherosulinosis: kuwonjezera kuchuluka kwa magazi nthawi zambiri ndikofunikira kuyenda popanda nsapato, kuphatikiza pansi kapena katatu patsiku kwa nthawi yayitali kuti mutimbitsire miyendo ndi zala zakumiyendo.
Atherosulinosis ya ziwiya zamagawo akumunsi
Sitimazindikira komanso sitiganiza momwe magazi athu amapitilira thupi lonse, pomwe mtima, ngati pampu, umadzaza.Koma tidzayamba kuganiza tikamva kusasangalala kapena kumva kuwawa. Ndi atherosclerosis, magazi amadutsa bwino m'matumbo, chifukwa m'mimba mwake amachepa. Chifukwa chake, magazi, omwe amanyamula mpweya m'matumbo, samachita bwino ndipo magazi omwe amapezeka m'miyendo amasokonezeka.
Atherosulinosis imayamba kukhazikika komanso pang'onopang'ono. Ndikosavuta kuzizindikira, zimadziwoneka nokha zowawa, ndikamayenda.
Matenda omwe amakayikiridwa:
• miyendo imayamba kuzizira kwambiri,
• Khungu limasunthika ndipo limakhala utoto wamtambo,
• miyendo imavulala,
• kukokana poyenda, mdera lamatumbo a caviar,
Matenda ngati amenewa sangathe kuthandizidwa popanda madokotala kuchitapo kanthu, ndipo patatha zaka 5 mwayi wokhala wolumala ukuwonjezeka. Choopsa kwambiri chomwe chingachitike chifukwa cha matenda ndi ischemia yovuta. Panthawi imeneyi, munthu amakhudzidwa ndi kupweteka kwa mwendo tsopano komanso popuma. Popanda kuyamba kulandira chithandizo, mutha kuyamba matenda osokoneza bongo. Anthu omwe sanapite kwa dokotala ndipo sanayambe kulandira chithandizo nthawi zambiri amatha kudula miyendo. Ngati kudulidwa sikunachitike, wodwalayo, mwatsoka, adzafa.
Zomwe zimayambitsa matendawa:
1. Khalidwe
2. Kusuta
3. Kunenepa kwambiri
4. Matenda oopsa
5. Zifukwa zina
Pa gawo loyambirira la matendawa, zakudya ziyenera kuthandiza. Malamulo ochita masewera olimbitsa thupi amasinthidwa, zizolowezi zoyipa kwa wodwalayo zimasiya kukhalapo. Ngati matendawa atakula kwambiri, ndiye kuti kuchitapo kanthu kwa opaleshoni kungakuthandizeni.
Kukana kwa wodwala zizolowezi zoipa komanso kupezeka ndi zizolowezi zabwino ndizabwino kwambiri zodwalitsa. Mwachitsanzo, muyenera kudya moyenera, osakhala tsiku lonse pa TV, koma muziyenda, ndiye kuti, muzichita masewera olimbitsa thupi okwanira.
Munthu wodwala matenda a shuga amafunika kuyang'anitsitsa thanzi lake. Kawirikawiri kupita kukaonana ndi dotolo sikukhumudwitsa. Osanyalanyaza thanzi, muli nawo. Khalani athanzi ndikukhala mosangalala nthawi zonse!
Zomwe simuyenera kudya
Pachiwopsezo chotenga atherosclerosis, kupewa kumaphatikizapo kukana kugwiritsa ntchito zakudya zina. Izi zikuphatikiza:
- khofi
- caviar
- chakudya chamzitini
- mayonesi
- misuzi yogulira ndi ma ketchups,
- nyama zamafuta (ng'ombe, mwanawankhosa, bakha, nkhumba),
- zonona
- jellies
- zipatso
- mowa
- kukhululuka,
- mafuta ndi mafuta
- masoseji,
- tchipisi
- mbale kuchokera kumalo azakudya zachangu (ma French fries, nsapato, nsapato, burger, tortillas).
Ndikulimbikitsidwa kudya nsomba, nyama yamafuta ochepa (bere la nkhuku, kalulu, Turkey) ndi mafuta ochepa mkaka wowawasa. Mayonesi akhoza m'malo ndi masamba kapena mafuta. Komanso, musamadye zakudya zokazinga.
Kupewa kwachiwiri
Kupewera kwa atherosulinosis kwa ziwiya zamagawo am'munsi kumayendetsedwa ndi chithandizo chanthawi yake komanso kupewa zovuta (kuwonongeka kwa ziwiya zazikulu, zam'mimba ndi zam'mimba, vuto la mtima, sitiroko). Pofuna kupewa kupitirira kwa matendawa, muyenera kutsatira chakudya chokhazikika, kusintha matendawa, kumwa mankhwala (ma statins, ma fibrate), kuonedwa ndi adotolo ndikukhala ndi moyo wathanzi.
Munthawi yake mankhwala a kusokoneza endarteritis
Matenda a Vascular - KUTHENGA KWAMBIRI - Chithandizo cha Abroad.ru - 2007
Kukhudza mutu wa matenda am'mitsempha yam'munsi, sitingangotchulapo matenda ofunika monga kuwononga endarteritis. Choyambitsa matendawa sichidziwululidwa mokwanira. Nthawi zomwe zimathandizira kukulitsa matendawa ndi: kuziziritsa kwakutali kwa miyendo, kuvulala kwamitsempha, kusuta.
Limagwirira a chitukuko cha amathetsa endarteritis lili ndi kupota kosalekeza kwa mitsempha yaying'ono yam'munsi, komwe kumayambitsa kuphwanya kwa microcirculation. Izi zimabweretsa zotsatira zofanana ndi atherosulinosis yamatumbo am'munsi. Zizindikiro za matendawa ndi ofanana kwambiri ndi atherosulinosis. Komabe, zamatsenga izi ndizofala kwambiri mwa anyamata.Siziphatikizidwa ndi shuga kapena cholesterol yayikulu.
Chithandizo cha kusokoneza endarteritis osiyana ndi mankhwalawa atherosulinosis a mitsempha. Chowonadi ndi chakuti mphamvu yaying'ono yamitsempha yomwe yakhudzidwa siyilola kugwira ntchito kwakonzanso matendawa. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi mankhwala a vasodilator. Mwa njira za opaleshoni zochizira endarteritis, mankhwalawa amagwiritsidwa ntchito, ofanana ndi opaleshoni yamatenda a Raynaud (mu kapangidwe kake, matenda ofanana ndi ziwiya zam'manja mwendo). Kusiyanako kumangokhala mu mtundu wa opareshoni. Kuphatikiza apo, physiotherapy imagwiritsidwa ntchito kwambiri - ma diadynamic currents, diathermy, barotherapy.
Nthawi zambiri, adotolo amakupangira mankhwala omwe amachepetsa cholesterol yamagazi, komanso kuchepetsa magazi. Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito omwe amachepetsa kuchepa kwa magazi ndipo, chifukwa chake, amachepetsa chiopsezo cha thrombosis.
Kuyenda komanso kuchita masewera olimbitsa thupi kwa mphindi 30 katatu pa sabata kumatha kusintha zizindikiro.
Pali mitundu ingapo ya kuchitapo kanthu pochita opaleshoni, kutengera kuchuluka ndi matendawo, komanso momwe wodwalayo alili, njira zina zopangira opaleshoni zimagwiritsidwa ntchito.
- Opaleshoni yam'mimba Kusuntha kumatanthauza kupanga njira kuti iwolokere kudera lomwe lakhudzidwalo. Nthawi zambiri, gawo la mitsempha yamapazi amiyendo limagwiritsidwa ntchito pamenepa. Kutengera milingo ya opaleshoni, opatsirana aortic-femoral and femal-popliteal bypass ndikusiyanitsidwa. Zombo zazing'onoting'ono sizitha kudutsa. Kuphatikiza apo, pali mtundu wina wa kusuntha ngati kusuntha kopitilira muyeso. Axillo-femoral shunting amatanthauza izi, ndiko kuti, pamene shunt imapangidwa kuchokera ku chotupa cha chotupa cha nyambo kupita pachimake cha akazi. Masewera oterewa amafunikira kwa odwala omwe ali ndi matenda oopsa, kapena kwa omwe achita opaleshoni yam'mimba, kapena atachotsedwa kwa matenda aortic prosthesis.
- Endarterectomy. Njirayi imakhala ndikuchotsa khoma lamkati la mtsempha womwe wakhudzidwa pamodzi ndi zolembera zam'matumbo. Mwakutero, kuunikira kwa mtsempha kumatulutsidwa ndikuyenda kwamphamvu kwa magazi kumabwezeretsedwa.
Angioplasty ndi kununkha. Izi ndi njira zamakono zamankhwala othandizira mtima. Njira ya angioplasty ndikuti catheter yapadera yokhala ndi baluni yotsika kumapeto imayikidwa mu mtsempha wamagazi. Pofika pafupi ndi malo opendekera, baluniyo imapukutidwa ndikuwunikira kwa mtsempha kumakula. Kuti ntchito yotere ikhale yayitali, ntchito iyi imaphatikizidwa ndi kukhazikitsidwa kwa stent - waya wamiyala yama cylindrical yomwe imakhala ngati chimango cha khoma la chotengera. Opaleshoni iyi imatchedwa stenting.
Kusintha kwa moyo
Poyambirira kwamatendawa, mutha kuyesa kusintha mitsempha.
KULIMBITSA KWA ZINSINSI ZA MPHAMVU ZAULEMU
Monga tafotokozera pamwambapa, kupewa matendawa kumakhala ndi kusintha kwa moyo. Izi ndi:
- Chithandizo cha matenda a shuga ndi kuwongolera kwa shuga
- Kutsitsa cholesterol yamagazi - kutsatira zakudya zotsika mu cholesterol (yesani kuchepetsa mafuta a nyama momwe mungathere ndikonda mafuta a masamba)
- Kusuta kufafaniza
- Kulemera kwa thupi
- Chitani masewera olimbitsa thupi pafupipafupi
Matenda am'mimbamo: miyendo ndi njira yoyenera kuchitira?
Malinga ndi ziwerengero za padziko lonse lapansi kuchokera ku World Health Organisation, matenda amtima ndiwomwe amafa kwambiri. Komanso, pakupita nthawi, gulu la matenda limapezeka kwambiri m'magulu otetezedwa - achinyamata, anthu akumidzi. Mwambiri, mawu oti "matenda a mtima" amatanthauza mndandanda wazovuta zam'mitima ya mtima ndi m'magazi, zomwe zimaphatikizidwa kukhala chinthu chimodzi. Gawo lofunikira mndandandawu limakhala ndi matenda a ziwiya zamiyendo.
Matendawa amaphatikizanso mndandanda wonse wazovuta. Kuphatikiza apo, ambiri a iwo poyamba amakhala osavulaza anthu. Pankhaniyi, ndikwabwino kudziwa nokha zomwe ndizizindikiro zazikulu zamatumbo ammimbamo zomwe zimatha kuwonetsa kuwonongeka kwakukuru mthupi.
Endarteritis
Endarteritis ndi matenda ena omwe amapezeka pang'onopang'ono omwe amakhudza kwambiri mitsempha yam'munsi. Amadziwika ndi kupindika kwa zombo mpaka kupasuka kwathunthu, i.e, blockage. Chifukwa cha izi, necrosis ya zimakhala zomwe zimakanidwa ndimagazi zimachitika.
- Kutopa kwa malekezero,
- Miyendo yayitali yozizira,
- Zingwe
- Miyendo yakuthwa kwambiri
- Kulankhula momveka bwino.
Mitsempha ya Varicose, kapena mitsempha ya varicose. chifukwa amamutcha iye mokondera. Matenda okhudza mitsempha ya miyendo. Zikachitika, kusinthasintha kwa mitsempha kumatayika, kumatambasuka, ndikukula bwino. Izi zimachitika chifukwa cha kusayenda bwino kwa mavenda am'mimba, omwe amachititsa kuti magazi asinthe m'mitsempha.
Matendawa amakula pang'onopang'ono, nthawi zambiri pazaka, pang'onopang'ono, kudziunjikira zizindikiro, zomwe mu zovuta zimatchedwa "matenda amiyendo yayikulu":
- Kutupa kwa mitsempha yamapapo. chowoneka ndi maso
- Kumva kulemera m'miyendo
- Kutopa kochulukirapo kwa zigawo zapansi,
- Kutentha kwa magazi
- Tizilombo tambiri tating'ono, makamaka usiku,
- Kutupa kwamiyendo, miyendo, ndi matako.
Chiwopsezo sichiri mitsempha ya varicose yokha, koma mawonetseredwe ndi zovuta za venous kusakwanira. akuwuka kumbuyo kwa chitukuko chake kapena thrombophlebitis.
Vuto la mtima
Pachimake kutsekeka kwa mitsempha yamapeto ndi matenda omwe amapezeka kumbuyo kwa kusintha kwa makoma a mtsempha wamagazi, komanso matenda ena amitsempha - embolism. thrombosis. Vuto linanso la kupezeka kwake lingakhale kuvulala kwa mtsempha wamafunde kapena kukakamira kwake. Zizindikiro za matendawa ndi:
- Kupezeka kowawa kwambiri m'miyendo,
- Kupindika kwammanja konse mu chiwalo chowonongeka komanso chathanzi.
Mitsempha yamkati
Pachimake venous chotchinga ndi matenda amadziwika ndi kupezeka kwa magazi kuwundana (ma magazi) m'mitsempha ya miyendo makamaka. Matendawa amapezeka 10-20% ya anthu padziko lapansi. Zizindikiro zake ndi motere:
- Mofulumira kukulira miyendo
- Thupi lomwe lawonongeka m'thupi
- Ululu
- The zimachitika ochepa.
Saphenous vein thrombosis
Kutsekeka kwa venous system nthawi zambiri kumakhala matenda ogwirizana ndi mitsempha ya varicose. Zizindikiro:
- Redness
- Lowani m'mitsempha momwe magazi amang'ambika
- Ululu m'mbali yovulala.
Ili ndiye mndandanda wazomwe zimachitika kwambiri mu ziwiya zamiyendo. Mndandanda wathunthu wa matenda omwe malekezero ake ali osakulirapo, komabe Mulimonsemo, phlebologist yekha ndi amene angadziwe zoyenera. Koma ngati kupweteka m'miyendo kumayamba kuvuta pafupipafupi ndipo kumayendera limodzi ndi chimodzi mwazizindikiro zomwe tafotokozazi, ndichizindikiro chowonekeratu kuti thandizo la dokotala ndilofunikira mwachangu. Ngati ziwiya zamiyendo zikupweteka nthawi zonse, izi zikuwonetsa chitukuko cha matenda amodzi omwe atchulidwa.
Chithandizo cha ziwiya zamiyendo: ntchito zazikulu
Mukazindikira matenda aliwonse am'mitsempha yam'munsi, dokotalayo amapereka mankhwala othandizira. Zotsatira za mankhwalawa ndi zochitika monga:
- Masewera olimbitsa thupi opangidwira kukhazikitsa kutuluka kwa magazi kuchokera kumadera otsika.
- Kugwiritsa ntchito komanso kuvala pafupipafupi kuvala kotakata kotsekemera - kulimbitsa ndi bandeji zotanuka, kugwiritsa ntchito zovala zopondera.
- Kugwiritsa ntchito miyala yamtengo wapatali ya tonic kulimbitsa makoma a mitsempha ndi mitsempha.
- Monga wothandizira anti-kutupa, ma compress a vodka amagwiritsidwa ntchito nthawi zambiri.
- Imwani mankhwala ambiri azitsamba.
Mankhwala, opaleshoni kapena chithandizo chilichonse cha ziwiya zamiyendo kuphatikiza pa njira zolimbikitsira izi. Momwemonso, mankhwalawa omwe amathandizidwa amasankhidwa.
Mankhwala achikhalidwe pochiza magazi
Chithandizo cha mankhwala osokoneza bongo ndi njira yodalirika yolimbana ndi matendawa. Koma wowerengeka azitsamba atha kukupulumutsani mukakumana ndi zotengera m'miyendo kupweteka. Nthawi zambiri, ndalama izi zimapangidwira kuthana ndi mitsempha ya varicose, koma matenda ena amitsempha azitha kukhala m'manja mwawo.
- Muzu wa Dandelion ndiye chida chachikulu polimbana ndi mitsempha ya varicose. Amasonkhanitsidwa, amauma ndikuwonjezera chakudya mu mawonekedwe owuma. Momwe amamwa pakadutsa mitsempha ya varicose amadziwika kuti ndi mizu iwiri patsiku, ndipo ngati mukudwala nawonso matenda a shuga, mlingo uyenera kuwiriridwa kawiri.
- Magetsi ambiri amtsempha ali ndi Tingafinye mifuwa ya kavalo. Mankhwala, ndikofunikira kukonza tincture wa chestnut zipatso motere: 50 magalamu a zipatso pa 0,5 lita imodzi ya mowa wamphamvu. Kuumirira kumayenera kukhala kwa milungu iwiri, pambuyo pake 30 30 akutsikira katatu patsiku.
- Monga mankhwala akunja a zotupa m'matumbo a miyendo, mutha kugwiritsa ntchito udzu. Masamba ake amagwiritsidwa ntchito kuvala, zomwe zimayenera kuchitidwa usiku kwa masiku 10. Masamba obiriwira apamwamba a kabichi amatchuka nawonso chifukwa.
- Njira ina yothandizira ma compress ndi parsley. Msuzi wake uyenera kuphatikizidwa ndi mkaka muyezo wa 1: 2 ndipo madziwa ayenera kugwiritsidwa ntchito ngati maziko a compress.
Mankhwala onse awa ndi abwino munjira yawo. Ndikofunikira kumvetsetsa kuti ndizosatheka kuchiritsa kwathunthu matenda a ziwiya zam'munsi zokhazokha mothandizidwa ndi iwo. Ndiwothandiza kuti muchepetse zizindikiro zopweteka, kuchepetsa kutupa, kutopa kwa mwendo, chifukwa chake ndibwino kugwiritsa ntchito mankhwalawa ndi mankhwala amtundu wa mankhwala amodzi nthawi yomweyo.
Kupewa matenda ammiyendo
Njira yofunika mtsogolomo kupewa matenda a ziwiya zamiyendo ndiyo kupewa kwawo kwakanthaŵi. Kuphatikizika kwa njira zopewera izi sikungathandize kupewa matenda osasangalatsa awa, komanso kulimbikitsanso mtima wamunthu wonse. Kodi chofunikira ndi chiyani pamenepa?
Zakudya zoyenera. Izi zikutanthauza: zophatikiza, zoyenera, panthawi yake. Ndikofunikira kwambiri zombo - musamadye kwambiri usiku. Chifukwa cha zakudya zoterezi, kuphimba magazi kumawonjezeka kwambiri usiku, zomwe zimayambitsa mapangidwe magazi.
Timalimbikitsa kuphunzira: mwatsatanetsatane zakudya zopatsa thanzi kupewa matendawa.
Kusuntha kwamoyo Kuyenda mokhazikika mumlengalenga kumalepheretsa mapangidwe, kusokonekera munjira yoyendayenda ndikuthandizira nthawi komanso mokwanira maselo ndi mpweya, zomwe zimathandizira kuchulukana kwamitsempha yamagazi.
Zovala zabwino ndi nsapato . Kulowa chifukwa cha zovala zolimba, nsapato, kuvala zidendene zapamwamba - zonsezi zimakwiyitsa zotupa za miyendo.Ndikwabwino kuyesa kusankha zovala zanu mu kukula ndi chitonthozo kuti mupewe mavuto amtsogolo.
Zakudya za Vitamini . Kuthandizira mitsempha yamagazi, ndikofunikira kugwiritsa ntchito mavitamini a magulu C, P ndi K. Vitamini P amathandizira kuwonjezera kukondoweza kwa mitsempha yamagazi, vitamini K imawonjezera mphamvu zawo ndipo nthawi yomweyo imathandizira kuchepetsa kutsika kwawo, ndipo vitamini C imathandizira kupanga collagen, yomwe imabwezeretsa mawu ku minofu yofooka. kuchuluka ndi makoma amitsempha yamagazi.
Chifukwa chake, matenda a mtima wam'munsi am'mimba ndizinthu zomwe zimapezeka nthawi zambiri pakati pa anthu amakono azikhalidwe zosiyanasiyana komanso mabungwe othandizira anzawo, sizingatheke kokha, komanso ndizofunikira kulimbana nawo. Kuphatikiza pa njira zazikulu zamankhwala zomwe phlebologist amafotokozera ngati zizindikiro za matendawa zikuwonekera, m'malo ovuta kwambiri kubwezeretsa mitsempha yamagazi, mankhwala azikhalidwe azithandiza. Kutengera njira zodzitetezera, monga kukhalabe ndi moyo wathanzi komanso kudya mavitamini ovuta, chiopsezo chotenga mndandanda uliwonse wamatenda a ziwiya zam'munsi zachepetsedwa.
Zizindikiro za atherosulinosis ya ziwiya zamagawo am'munsi, mitundu yake, kupewa ndi kuchiza
Masiku ano, matenda a atherosclerosis omwe ali m'munsi kwambiri ndi matenda ofala kwambiri okhudza mtima ndi mtima. Zimayambitsa kugunda kwamtima, kugunda, matenda a mtima, komanso matenda am'munsi.
Monga matenda, atherosulinosis imayamba kukula muubwana kapena ngakhale ubwana. Kuwala kwa mitsempha kumacheperachepera pazaka. Izi zimachitika chifukwa cha kuyika kwa zigawo za lipid kukhoma lamkati la mitsempha, zomwe zimatsogolera pakupangidwe kwa cholesterol plaques.
Izi ndizofunikira! Kukula kwamatenda kumachitika chifukwa chakuti kuunikira kwa mitsempha sikungapezeke mpaka atachepetsedwa kupitirira theka. Munthu pa gawo loyamba la matendawa samva kupweteka kulikonse. Pokhapokha panthawiyo pamene m'mimba mwake mumatsika mpaka 60%, kuwonekera kwamatenda kumayambira.
Zotheka atherosulinosis m'munsi malekezero
Monga tafotokozera pamwambapa, odwala ambiri sadziwa za matendawa mpaka atawunika mayeso ena. Koma theka lachiwiri la odwala amadandaula za zizindikiro zina za matendawa.
Zizindikiro zazikulu:
- Kuwoneka kupweteka kwakanthawi kwamisempha pakamasuntha, pakulankhula kwapang'onopang'ono. Zowawa zimachitika pafupipafupi, zolimba zimakhala zovuta kuzimeza pakadali pano,
- Ululu m'malo opingasa. M'magawo apambuyo pobwera matenda, amadziwonekera osati pakusunthika, komanso pakupuma. Nthawi zambiri, ululu umachitika usiku ndipo umasokoneza tulo tokwanira,
- Kutayika kwa tsitsi pamapazi apansi, kuwonongeka kwa zala ndi bowa,
- Kumva kutopa kwamiyendo. Tsitsi lakuthwa khungu, ngati mutakweza miyendo yanu pamwamba pa lamba,
- Kudzimva kwamphamvu yosuntha mu bondo kapena kolowera chindodo,
- Zilonda zam'mimba ndi zala zam'mimba zomwe zimayambitsidwa ndi mpweya wambiri wa minofu.
Kutheka kwa matendawa
Kuwona kuchuluka kwa kayendedwe ka magazi pazotumphu kungathandize zida zapadera zomwe adokotala amagwiritsa ntchito. Komanso, mtundu wa mbale ya msomali, phokoso losakhalitsa m'chigawo chachikazi limatha kudzetsa malingaliro ena a dokotala. Ngati atherosulinosis yapezeka m'mitsempha yam'munsi yotsika, njira yothandizira imayenera kuyambika nthawi yomweyo.
Monga njira zothandiza pofufuza matenda, ultrasound, compact tomography kapena MRI imagwiritsidwa ntchito. Mphamvu zakuchiritsa kwazitsulo zamatumbo am'munsi ndizomwe zimakhala zapamwamba, matendawa amapezeka kwambiri koyambirira. Izi zikuthandizira kuphunzira kuyesa kwa magazi kwa cholesterol ndi msana wake.
Kukonda kwa m'munsi malekezero ndi kuwononga atherosulinosis
Izi atherosulinosis zokhala kumapeto zimakhudza mitsempha yamiyendo. Matendawa amadziwika ndi kuchepa kwa magazi pang'ono kapena pang'ono m'miyendo. Izi zimachitika chifukwa cha kufalikira kwamitsempha yamagazi ndi zigawo zamagazi kapena malo amitsempha.
Matendawa nthawi zambiri amapezeka mwa anthu atatha zaka 65. Amapezeka mu 10% ya anthu omwe amapanga m'badwo uno. Amuna osuta amaphatikizidwa pagulu lalikulu kwambiri lofufuzira. Zowopsa zomwe zimafanana ndi matenda onse amitsempha, kuphatikizapo matenda amtundu wamatumbo, ndizodziwika ndimatendawa.
- Kusuta
- Mawonetsedwe oopsa (kuthamanga kwa magazi),
- Mafuta akulu kwambiri
- Kulephera kuchita masewera olimbitsa thupi,
- Kunenepa kwambiri
- Matenda a shuga
- Khalidweli.
Kuphatikiza mankhwala a atherosulinosis a miyendo
Gawo lofunika kwambiri lazithandizo limagwirizanitsidwa ndi kupumula kwa ma syndromes, kupweteka komanso kuwonetsa kwina kwamatenda.
Izi ndizofunikira! Masiku ano, ndizosatheka kuchiritsa kwathunthu atherosulinosis. Kukula kwa matendawa kuyimitsidwa. Kupewa kumathandizira kuchepetsa ziwopsezo.
Chithandizo cha atherosulinosis ndi kusintha kwathunthu munthawi yamoyo. Kusuta mwanjira iliyonse kuyenera kutayidwa. Kusuta, makamaka nthawi yayitali, ndiye chinthu chofunikira kwambiri chomwe chimayambitsa matenda omwe afotokozedwawo. Fodya amakhala ndi chikonga, chomwe chimalepheretsa mitsempha kuphipha. Izi zimalepheretsa kutuluka kwa magazi kupita ku ziwalo ndi minyewa. Komanso kusuta kumachepetsa mpweya wa okosijeni m'magazi, zomwe zimapangitsa kuti magazi azikula komanso chiwopsezo cha kuchuluka kwa magazi mkati mwake.
Chifukwa cha kuthamanga kwa magazi, komwe sikulamulidwa, kugwira ntchito kwamtima kumachitika ndi katundu wambiri. Katundu wotere umapangitsa kuti mikangano yowonjezereka iwonongeke.
Kuthana ndi atherosulinosis ya phazi, komanso kupewa, ndikutsatira zakudya. Ndikofunikira kuwongolera kuchuluka kwa magazi a cholesterol. Kuchokera pachakudya, ndikofunikira kupatula kugwiritsa ntchito mafuta amtundu wa nyama ndi tchizi, dzira la dzira. Yesani kudya zakudya zambiri zomwe zimakhala ndi mafuta azamasamba. Kuchepetsa kuthamanga kwa magazi ndi mapangidwe a edema, tikulimbikitsidwa kutsatira zakudya zomwe zimaletsa kudya mchere. Munthu wonenepa kwambiri amafunikira chakudya chambiri chomwe chimalimbikitsa kunenepa.
Tcherani khutu! Kuyenda masana masana kumachepetsa kukula kwa atherosulinosis ya ziwongo zam'mphepete zam'mphepete mwa theka. Amathandizanso odwala omwe ali ndi vuto la kunjenjemera kuti azindikire chizindikiro ichi pachikhalidwe chawo chachipatala.
Matenda a shuga amachititsa kuti matendawa asayambirepo, komanso amathandizira kupititsa patsogolo kwake msanga. Kuwongolera shuga la magazi kumapatsidwa tanthauzo lalikulu. Ndikofunikanso kusamalira bwino mapazi anu, kuwunikira tsiku lililonse.
Njira zochizira atherosulinosis zimaphatikizanso pharmacological. Dokotala nthawi zambiri, kuphatikiza pazomupangira zina, amapereka mankhwala omwe amachepetsa chiopsezo cha mtima kapena stroko (ma antiplatelet agents).
Pamodzi ndi gulu ili la mankhwala, anticoagulant mankhwala nthawi zambiri amaloledwa. Zinthu zawo zimaletsa magazi kuwundana ndi magazi. Nthawi zambiri gulu la mankhwalawa limapezeka pamapiritsi.
Kodi opaleshoni ndiyofunikira
Kugwiritsa ntchito njira zopangira opaleshoni kuti muchotse atherosulinosis ya miyendo imayikidwa pamlanduwu ngati chithandizo chokhwima sichimabweretsa zotsatira zilizonse, komanso kukhala ndi zizindikiro zowoneka zopita patsogolo kwa matenda. Amabweretsa zofunikira zazikulu m'miyoyo ya odwala.
Pa chithandizo cha opaleshoni, ntchito yake ndi kudziwa komwe kuli mtsempha wopendekera kapena wotsekeka. Pachifukwa ichi, kugwiritsa ntchito kupanga kwa kupanga kwakupanga kumakhala koyenera. Phunziroli limachitika pochita opaleshoni yakumaloko. Kuboola kumapangidwa m'chigawo chomaliza, kenako ndikumayambitsa catheter pamkati mwa chotupa cha akazi. Kudzera mu izi, mumapezeka utoto wapadera, womwe umathandizira kuzindikira zovuta.
Pambuyo poti adziwe komwe kumatsekera kapena kupindika kwa mtsempha, angachitire opareshoni ya shunt kapena endovascular. Kupanga mankhwalawa ndi njira yachiwiri, baluni yapadera imagwiritsidwa ntchito kukulitsa chotengera. Amulowetsa iwo mu masinthidwe amisomo kudzera mwa kupumira koyambira.
Maopaleshoni onse awiriwa ndi otetezeka ndipo amapereka zabwino. Zowopsa zazikuluzikulu ziyenera kulingaliridwa.
Ndi kupitilira kwa atherosulinosis komanso kusapezeka kwa mankhwalawa, matendawa amatha kupita patsogolo ndikubweretsa mavuto akulu azaumoyo. Kuyendera dokotala panthawi yake komanso kufunika kopewa kumachepetsa kuopsa kwa kupita patsogolo komanso kukuthandizani kumva bwino.
(Palibe mitengo, ndikhale woyamba)
Tikukweza.
Zifukwa zachitukuko
Chifukwa chachikulu chomwe chitukuko cha zotupa zam'mimba zimakhalira. Kodi atherosulinosis ndi chiyani? Iyi ndi njira ya m'magazi yomwe imakhazikika m'mitsempha yama mitsempha kapena m'mitsempha yam'munsi, komanso m'matumbo ena, zomwe zimayambitsa kuchepetsedwa kwa lumen yawo ndikuphwanya kwa magazi kwa ziwalo. Zotsatira zake, izi zimayambitsa minofu ischemia ndi mawonekedwe a zizindikiro, makamaka kupweteka kwambiri ndi zovuta za trophic, zomwe zingayambitse minofu necrosis.
Cholesterol wotsika komanso wapamwamba komanso lipoproteins ndikofunikira kuti isanayambike komanso kupititsa patsogolo kwa atherosclerosis.
Udindo wofunikira pakuwoneka kwa malo opangira ma atherosulinotic amasewera ndi kusintha kwa lipid mbiri yamwazi, yomwe imaphatikizapo kuwonjezereka kwa cholesterol, lipoproteins yotsika komanso yotsika kwambiri, komanso kuchepa kwa chiwerengero cha lipoproteins yapamwamba.
Kusintha kotereku kumabweretsa kuwonjezereka kwa kayendedwe ka lipids kuchokera ku chiwindi minofu kupita ku ziwalo zotumphukira, ndikupangitsa mawonekedwe awo m'makoma amitsempha yamagazi ndikupanga zolembera komanso mawonetseredwe azachipatala omwe amayamba chifukwa cha iwo. Komabe, pakokha, kusintha kwa kagayidwe kazakudya m'thupi sikungachitike, pokhapokha pazifukwa zobadwa nazo zomwe zimakhudzana ndi kubadwa kwa majini.
Zomwe zimayambitsa atherosulinosis ndizosiyana, koma pali zinthu zingapo zoopsa zomwe zimakhudza mwachindunji kupezeka kwa arteriosulinosis obliterans:
- Kusintha kwa majini komwe kumakhudzana ndi kuwonongeka kwa majini omwe amayambitsa kupangika kwa mafuta m'thupi la munthu.
- Zakudya zosavomerezeka za anthu ndi predominance yamafuta azakudya ndi zakudya zamafuta othamanga (confectionery, pastries, etc.).
- Kusuta fodya ndikovuta kwambiri komanso kosanyalanyaza komwe kungachititse kuti mitsempha ya mitsempha ya m'munsi iyambike. Zinthu zomwe zili mu utsi wa fodya zimatha kulowetsedwa m'mitsempha kuchokera m'mapapu ndikuwononga mwachindunji zingwe zamkati zamitsempha zamagetsi, zomwe palokha ndizofunikira kwambiri pakuyamba kwa lipid deposition komanso kupangidwa kwa atherosranceotic plaque.
- Matenda a matenda ashuga, kuphatikiza matenda ashuga eni eni, amachititsa kuti masinthidwe amitsempha amitsempha yamagazi ndipo angayambitse matenda am'miyendo.
- Matenda oopsa a causation aliwonse, komanso matenda oopsa.
- Uchidakwa komanso zizolowezi zina zoyipa.
Zinthu zonsezi zimatha kuyambitsa payekha njira ya atherosulinotic mwa anthu. Komabe, nthawi zambiri wodwala m'modzi amakhala ndi zifukwa zingapo zosonyezera, zomwe zimapangitsa kuti matenda a atherosulinosis a ziwiya zamagawo am'munsi amveke.
Gulu la matenda
Chofunika kwambiri kuti mudziwe njira zochizira zothetsera matendawa ndi kupatsirana kwa matenda osokoneza bongo. Gulu lalikulu lomwe limagwiritsidwa ntchito pazachipatala limatchulidwa mayina a madokotala awiri - Fontaine ndi Pokrovsky.
Malinga ndi izi, magawo asanu a atherosulinosis a ziwiya zamiyendo amadziwika:
- Pa siteji yoyamba ya nthendayi, wodwalayo amakhala ndi zofooka zazing'onoting'ono zokhala ndi kuzizira, kumva thukuta komanso kuzizira kuphazi ndi mwendo wapansi, komanso kutopa poyenda ndikubinya khungu.
- Mu gawo IIA, kuwonjezereka kwa zizindikiro zonse kudzazindikirika, komanso kupweteka kwa minofu ya kumbuyo kwa mwendo wotsika ndikuyenda mtunda wopitilira 200 metres. Izi zikuwonetsa kukulitsa kwa atherosulinosis ya malekezero ndi kupendekera kwakukulu kwa lumen ya ziwiya.
- Pa siteji ya IIB, kuchepa kwapakati kumachitika, kokhala ndi kuwuma, kutopa ndi kupweteka m'misempha mwendo ndikuyenda kosasunthika osachepera 200 metres.
- Atherosulinosis yam'mitsempha yam'munsi ya gawo lachitatu imalumikizidwa ndi kuwoneka kwa ululu wolimba, wophatikizika wamisempha ngakhale pakupuma, komwe kumachepetsa kwambiri moyo wa wodwalayo ndipo kumafunikira kuikidwa kwa mankhwala ndi chithandizo china.
- Zizindikiro zikuluzikulu za gawo la atherosulinosis ya miyendo, kuphatikiza pa kupweteka kwambiri, zimaphatikizanso zovuta za trophic mu minofu yofewa, mpaka pakupanga zolakwika ndi zilonda zam'mimba.
Kafotokozeredwe ka atherosulinosis obliterans am'munsi malekezero ake amachokera pa chithunzi cha matendawa ndipo samaganizira za mawonekedwe ndi kuchuluka kwa kufupika kwa lumen m'mitsempha.
Mawonetsero akulu
Atherosulinosis ya malekezero am'munsi imatsogolera ku mawonekedwe ofunikira - kulowerera pang'onopang'ono, kodziwika ndi ululu m'mitsempha yam'munsi, kupindika kwapafupipafupi, kumverera kwachisoni komanso kutopa m'miyendo. Kuphatikiza apo, zizindikiro zonsezi zimawonekera pakuyenda ndikutha kupumula (kupatula gawo lachitatu ndi IV la matendawa). Kulimbirana kwapakati kumachitika mu minofu ya ng'ombe (gastrocnemius, pekee, ndi zina), komabe, mwa odwala ena, amatha kuwoneka m'magulu a minofu kapena matako, koma milandu iyi ndiyosowa.
Ndi atherosclerosis ya ziwiya zamagawo akumunsi, mtunda womwe wodwalayo amatha kupita osawoneka ngati zizindikiro za lameness umachepa pang'onopang'ono, womwe umalumikizidwa ndi kuwonjezeka kwa mapangidwe a atherosselotic ndi kuchuluka kwa ischemia. Ngati ischemia yayamba kale kusinthika ndipo matchulidwe amasinthidwa amawoneka mu minofu yofewa, ndiye kuti kulumikizana kwapang'onopang'ono kumawonedwanso pakupumula, kuphatikiza usiku.
Zizindikiro za ischemia zitha kuwoneka kwa nthawi yayitali, ngakhale kukula kwamiyala ikhoza kukhala yayikulu. Chifukwa chake, ndikofunikira kuyambitsa mayeso azachipatala.
M'magawo oyamba a matendawa, zizindikiro za atherosulinosis zimatha kusakhalapo. Komabe, dotolo wodziwa bwino nthawi yoyesedwa ndi munthu pazifukwa zina zilizonse, amatha kuzindikira kusapezeka kwa kupindika kwa mitsempha ya miyendo, chomwe ndi mawonekedwe a chikhalidwechi.
Ndi kupita patsogolo kwa atherosulinosis kwamadera okhala ndi chitukuko cha kuchuluka kwa ischemia, zizindikiro zotsalazo zimawoneka motsatana. Kuchokera kupweteka pakapita nthawi yayitali komanso kutha ndi zovuta zam'mimba zotupa (zilonda, malo owuma komanso onyowa), zomwe zimapereka chidziwitso pakutsatira kwa opaleshoni ya ziwiya zam'munsi.
Zizindikiro za matendawa zimapezeka mosavuta pakumuwunika wodwala, chifukwa chake musafotokozere zovuta za matenda. Komabe, kuti muwone kuchuluka kwa kuwonongeka kwa mitsempha, ndikofunikira kuchita njira zowonjezera, kuphatikiza maphunziro osiyanasiyana othandizira kuti mupeze kuchuluka kwa kayendedwe ka magazi m'mitsempha, komanso kudziwa kuchuluka ndi kufupika kwa kama wogona.
Kuzindikira matendawa
Matendawa atadziwika, ndikofunikira kuchita kafukufuku wowonjezera, kuphatikizapo njira zama labotale komanso zothandizira, komanso kufunsa dokotala wa opaleshoni ya mtima.
Njira zasayansi zochokera ku kuphunzira kwa lipid yamagazi kuti azindikire zinthu zomwe zingayambitse matenda.Pakuwunika kwamwazi wamagazi, mafuta otsatirawa amawunikira:
- Cholesterol ndi gawo lofunikira la zolembera za atherosulinotic. Pali umboni wotsimikizika wamagulu ake pantchito yodwala mwendo ischemia, yomwe imatsogolera pakuwunika kwake pofufuza matendawa.
- Ma lipoprotein otsika kwambiri komanso otsika kwambiri ndi atherogenic, chifukwa amanyamula cholesterol ndi lipids zina kuchokera ku chiwindi kupita kumakoma a mitsempha, kulimbikitsa kukula kwa zolembera.
- Ma lipoproteins apamwamba kwambiri, m'malo mwake, amathandizira kuthana ndi atherosulinosis pochotsa cholesterol m'mitsempha ndikuyitumiza ku chiwindi, komwe imatha kukhala mamolekyulu osiyanasiyana.
Mankhwala a m'munsi miyendo ischemia zimatheka mwa oyamba, asymptomatic siteji ya matenda.
Chofunika kwambiri kuti mudziwe kuchuluka kwa kuwonongeka kwa mitsempha ndi kuikidwa kwa chithandizo chofunikira cha atherosulinosis ya malekezero am'munsi ndi njira zothandiza:
- Kutsimikiza kwa ankolo-brachial index, potengera kuyerekezera kwa kuthamanga kwa magazi ndi kuthamanga kwa magazi m'mitsempha ya malo ena ake. Njirayi imakuthandizani kuti muyeze kuyenda kwa magazi m'miyendo ndipo ndi njira yofufuzira kuti mupeze ischemia.
- Kufufuza kwa Ultrasound kwa ziwiya zamagawo akumunsi komwe kuli dopplerometry (kupanga mawonekedwe obwereza) ndiko "muyezo wagolide" podziwitsa anthu omwe ali ndi matenda ofooketsa a ziwiya zamiyendo.
- Multispiral compute tomography (MSCT) angiography yamitsempha ndi miyendo imagwiritsidwa ntchito kwambiri munthawi yamankhwala ndikuwonetsetsa kuti magazi akuyenda bwino mu kama. Zimakupatsani mwayi kuwona m'magazi momwe magazi amayendera kudzera m'matumbo ndi ma atherosselotic plaques, omwe amafunikira kusankha njira zoyenera zochizira atherosulinosis yamitsempha yam'munsi.
- Routine angiography pogwiritsa ntchito njira za radiopaque.
Izi zothandiza pophunzira zimapangitsa kuti ziwonetsere kuwonongeka kwa magazi m'magazi am'munsi, komwe ndikofunikira kwambiri posankha chithandizo chamankhwala komanso kudziwa zomwe wodwala wina angachite.
Njira zopanda mankhwala
Kuchotsa kwa chiopsezo cha matenda kumathandizira kwambiri pakulimbikitsa kwawo koyambirira, kupezeka kwa kusintha kwa atherosulinotic popanda chiwonetsero chilichonse chamankhwala.
Njira zofananira zamankhwala zimaphatikizira:
- Zosintha pa zakudya, kuphatikiza pa zakudya zomwe mafuta onse, zakudya yokazinga, komanso confectionery, zakumwa zoziziritsa kukhosi za carbon diat, etc.
- Kulimbana ndi kunenepa kwambiri komanso kunenepa kwambiri.
- Kukana kusuta fodya ndikuledzera.
- Kuyenda (makamaka mwa akazi) ndi zina zolimbitsa thupi zolimbitsa thupi.
- Kumwa mankhwala a matenda oopsa komanso zina zokhudzana ndi matenda.
- Matendawa amagona komanso kulimbana ndi kupsinjika kwa nthawi yayitali.
Ndi dokotala wopita komwe ayenera kufotokozera wodwalayo kufunika kwa malangizowo pangozi zonse zomwe zimachitika chifukwa cha kudwalaku.
Chidwi chachikulu chiyenera kulipidwa kuti athe kugwiritsa ntchito njira zolimbitsa thupi, monga ma electrophoresis, UHF, mitundu yosiyanasiyana ya magnetotherapy, malo osambira mankhwala azitsamba, etc.
Njira zachipatala
Njira zochizira matenda a m'munsi omwe amagwiritsidwa ntchito ndi mankhwalawa zimatha kusokoneza bedi lamitsempha, kuwonjezera magazi kulowa mmalo mwake ndikuletsa mapangidwe a magazi.
Mankhwala otsatirawa amagwiritsidwa ntchito:
- Kusintha ma microcirculation, monga pentoxifylline, dextrans, etc.
- Antispasmodics yomwe imatsogolera ku vasodilation: no-shpa, papaverine, xanthinol, etc.
- Ma antiplatelet othandizira kupewa thrombosis: clopidogrel, acetylsalicylic acid, etc.
Ma painkiller a atherosulinosis a m'munsi malekezero amagwiritsidwa ntchito, kuyambira pa siteji IIB yamatendawa.Mankhwalawa amalola kupweteka kosaneneka komanso kumabweretsa kuwonjezeka kwa moyo wa wodwalayo, womwe ndi wofunikira kwambiri pochita mankhwalawa.
Kukonzekera kwa matenda a atherosulinosis a ziwiya zamagawo am'munsi sikuchiritsa matendawa, koma kungochepetsa kuchuluka kwake komwe kumayambira ndikuchepetsa zotsatira zoyipa.
Opaleshoni
Kuchita ntchito yobwezeretsa magazi kuchokera ku atherosulinosis ya m'munsi yam'munsi ndiyo njira yayikulu yothandizira, kuyambira gawo lachiwiri la matenda. Pachifukwa ichi, monga opaleshoni ya mtima, endarterectomy, mitundu yosiyanasiyana ya opaleshoni yam'mimba, ma prosthetics amokhudzana ndi mitsempha, etc., adapangidwa ndikugwiritsidwa ntchito.
Sympathectomy kapena desympathization amatha kuthandizira kusintha magazi. Ntchito zoterezi zimayang'aniridwa kuti adutse mitsempha yamanjenje yomvera chisoni, yomwe imatsogolera ku vasodilation ndikuwongolera kotunga magazi kuzinthu zofewa. Laser chithandizo cha atherosulinosis ya m'munsi malekezero ndi njira yatsopano, yomwe ikulowetsedwa mwachangu muzochita zamankhwala. Komabe, chifukwa cha moyo wamfupi wa malowa, kudali kovuta kudziwa ngati mankhwala a laser a atherosulinosis amagwira ntchito nthawi yayitali.
Kodi ndizotheka kuchiritsa atherosclerosis ndi njirazi? Tsoka ilo, ndi atherosulinosis ya mitsempha, chithandizo cha ziwiya zokhazokha sizokwanira. Popeza machitidwe oterewa amatha kubwezeretsa magazi m'malo amodzi, ndipo njira ya atherosulinotic palokha. Izi zimabweretsa kuthekera kwa kukula kwa zolembera zatsopano ndikuphwanya lumen ya mitsempha ndi kukula kwa ischemia.
Mfundo yayikulu yothandizira ndi kuphatikiza kwa chithandizo cha mankhwala a atherosulinosis ndi njira zopangira opaleshoni, popeza pokhapokha pokhapokha ndikotheka kukwaniritsa zonse zomwe zimayambitsa chitukuko cha ischemia ndikuwonetsa kusintha kwachidziwitso cha nthawi yayitali.
Kupewera kwa atherosulinosis kwa ziwiya zamagawo am'munsi kumapezeka pakukonzekera kwa zinthu zomwe zingayambike mpaka isanayambike zizindikiro za matendawa, komanso kupezeka kwa zolembedwa za atherosselotic zotchulidwa ndi njira zothandizira. Zimaphatikizanso kusintha kwa kadyedwe, kakhalidwe, kakonzedwe kazinthu zopatika momwe zimapangidwira m'magazi a lipid, ndi zina zambiri. Ndi bungwe loteteza matenda a ischemic a ziwiya zamiyendo yomwe ndi yofunika kwambiri kwa asing'anga ndi anthu omwe.
Kuzindikira ndi kuchitira atherosulinosis obliterans a ziwiya am'munsi malekezero
- Njira ziti zomwe zimachitika ndi atherosulinosis
- Kuzindikira ndi mawonekedwe
- Zomwe zimachitika
- Magawo a matenda
- Kodi diagnostic amachitika bwanji?
- Njira zazikulu zamankhwala
- Mankhwala othandizira
- Njira zopewera
Kusintha kwa atherosulinotic mu chotengera kumatha kuchitika pazaka zilizonse komanso mbali iliyonse ya thupi. Nthawi yomweyo, kulimbikira kwa mapangidwe a atherosulinosis kwakukulu ndi miyendo yayikulu. Chodabwitsachi chimatchedwa kuti kuthana ndi vuto la ziwengo za ziwiya za m'munsi.
Chifukwa chiyani nthendayi imayamba, kuthandizidwa, kupewa ndi kudziwitsa - zambiri zomwe zaperekedwa pano.
Njira ziti zomwe zimachitika ndi atherosulinosis
Mbali yodziwika bwino ya matendawa ndi kupangika kwa zibowo zamkati mwa mtsempha wamagazi. Amakhala ndi minofu yolumikizika yolumikizana, momwe mumapangika ma atheromatous. Izi zimachepetsa mphamvu ya mtima ndipo zimabweretsa kusakwanira kwa magazi kumiyendo. Izi zomwe zimatchedwa minofu ischemia zimachitika makamaka pachifukwa ichi.
Popita nthawi, mapepala amayamba kuvuta chifukwa chakuchulukitsidwa ndimchere, zomwe zimatchedwa kuti kuchepera kumachitika. Zimakhala zovuta kuthana ndi gawo ili la matendawa, kumatulutsa pang'onopang'ono mitsempha yamagazi.
Pankhaniyi, mawonekedwe otsatirawa ndi osiyana:
- Stenosis - kuchepa kwa lumen kwa mitsempha yamagazi,
- Kukhazikika - kufalikira kwa mitsempha yamagazi ndi mitsempha. Itha kukhala yodzaza komanso yoperewera.
Ngati chimodzi mwazovuta izi zapezeka, ndipo nthawi zina chithunzi cham'chipatala chitha kuphatikizidwa ndi zizindikiro zina, tikulankhula za kufalikira kwa matenda aubongo.
Kuzindikira ndi mawonekedwe
Poyambirira, matendawa sangathe kudziwonekera mwanjira iliyonse, koma "kufooka" kwa okosijeni kumasokoneza masanjidwe obadwanso mwatsopano ndipo kungayambitse necrosis (necrosis) ya minofu.
Nthawi zambiri, mitsempha yayikulu yam'munsi yam'munsi imayang'aniridwa ndi njirazi, ndipo chifukwa cha kuchuluka kwazomwe zimachitika ku dipatimenti iyi, matendawa amakula mwachangu kwambiri osati nthawi zonse amakhala ndi zotulukapo bwino.
Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Zizindikiro zakukula kwa atherosulinosis:
- Mapazi amakhala ozizira nthawi zonse kukhudza, ngakhale nyengo yotentha.
- Lamisi imawoneka, yomwe imakonda kupita yokha ikangopumira.
- Miyendo nthawi zambiri imatha.
- Kupweteka kwamawonekedwe kumawonekera ngakhale ndi katundu wochepa.
- Kukhazikika kwawawa kumatha kukhala kosiyana, kuyambira minofu ya ng'ombe ndikutha ndi kumbuyo kwamunsi.
- Pali zovuta ndi khungu la miyendo, imakhala youma komanso yotuwa, tsitsi limayamba kutuluka.
- Kukula kwabwinobwino kwa zala kumachepetsedwa.
- Mwa mitundu yayikulu ya matendawa, magazi amathamangira kumalo am'munsi pomwe akuimirira. Ikakhala yopingasa, miyendo imasunuka nthawi yomweyo.
- Kukwiya kwa minofu ya ng'ombe. Mwendo umachepa, makamaka pamalo pomwe phazi latsikirako.
- Mwa amuna, kusagonja kwa kugonana kumawonekeranso. Izi zimachitika chifukwa chophwanya magazi mu ziwalo za m'chifuwa.
- M'magawo omaliza a matendawa, zilonda zam'mimba ndi kuvulala nthawi zambiri kumawonekera, ndipo ma network amtambo amawonekera bwino.
Zizindikiro zimawonekera pang'onopang'ono, ndipo matendawa amakula mosagwirizana, kutengera mawonekedwe a thupi ndi moyo wawo. Amuna ndi akazi onse amakhudzidwa ndi matendawa mpaka magulu osiyanasiyana (osowa). Itha kudziwonetsa ngakhaleoyambanso, motero ndikofunikira kulabadira zovuta zilizonse ndi ntchito yamagalimoto, komanso zizindikiro pamwambapa.
Zomwe zimachitika
Ili ndi matenda ofala kwambiri, ndipo nthawi zambiri amapezeka mwa anthu okalamba. Maonekedwe ake amathandizidwanso ndimavuto ndimitsempha yamagazi, kukula kwa njira zamagulu ena komanso mawonekedwe a matenda osachiritsika. Zonsezi pamodzi zimafooketsa thupi, komanso zimasokoneza magwiridwe antchito a magazi.
Tsopano matendawa "adakonzanso", ndipo atha kupezeka kale azaka makumi anayi kapena zapitazo. Izi zimathandizidwa ndi zinthu zingapo, zomwe zikufotokozedwa pansipa.
Zoyambitsa zazikulu za arteriosulinosis obliterans:
- Kulemera kwambiri kwa thupi. Katundu pa miyendo yakumbuyo pamenepa ndi wamkulu kwambiri.
- Zakudya zopanda pake. Kudya mafuta ochulukirapo kumathandizira kupanga mapangidwe amitsempha yamagazi.
- Mitsempha ya Varicose. Matenda oyenda, komanso ophatikizira magazi m'miyendo.
- Matenda a m'chiuno. Zitha kuthandizanso kukulitsa matendawa.
- Zosintha zokhudzana ndi zaka. Mzere "wovomerezeka" wa matendawa umabwera patatha zaka makumi anayi.
- Kuvulala ndi matalala a miyendo. Pankhaniyi, pakadali pano kuphwanya kwamitsempha yamagazi ndi mitsempha.
- Kuchulukitsa zolimbitsa thupi. Izi zitha kutanthauzidwanso chifukwa chogwira ntchito nthawi zonse kumapazi kwawo.
- Kuchita masewera olimbitsa thupi osakwanira. Kukhala moyo wongokhala kumakwiyitsanso mtima.
- Zinthu zoyipa. Pankhaniyi, pamakhala kulosera ngati wachibale wachindewu adakumana nawonso akudwala.
- Zinthu zovuta.Matenda a atherosulinosis sangachitike "kuchokera kumtambo", koma mavuto amanjenje amachepetsa thupi, kotero mavuto ang'onoang'ono omwe amapezeka amatha kukhala matenda oopsa.
- Kusokonezeka kwa mahormoni. Kutsika kwa kupanga mahomoni ena kumatha kupangitsa kuti ziwongo ziwonekere m'matumba.
- Matenda ena, makamaka matenda a shuga, amatha kuyambitsa kutsekeka kwa mitsempha yamagazi ndi mitsempha.
- Hypothermia imatanthauzanso zinthu zoyambitsa, pomwe zopweteka zimayamba kuonekera patapita nthawi, zomwe zimapangitsa kuti azindikire komanso kupezanso chithandizo.
- Kusuta kumayambitsa mavuto ndi kutanuka kwa makoma amitsempha.
Zotsatira za matendawa ndizowopsa kuposa izi, chifukwa nthawi zina, kudula manja ndikofunikira. Ichi ndi chimodzi mwazomwe chimayambitsa kudwala mdziko lathu, chifukwa chake musayambe ndikunyalanyaza zizindikiro za matendawa.
Magawo a matenda
Matendawa ali ndi magawo anayi a chitukuko. Matendawa amakula pang'onopang'ono, kotero poyambira, odwala samalabadira zomwe ali nazo.
Magawo akuchulukitsa matenda aubongo:
- Gawo loyamba limadziwika ndi kupweteka kwakanthawi kochepa m'mphepete mwamphamvu kwambiri.
- Mu gawo lachiwiri la matenda, kumva kupsinjika m'miyendo ndi kusasangalala kumachitika pambuyo poyenda kwakanthawi kochepa kapena masewera olimbitsa thupi.
- Gawo lachitatu, kupweteka kwapafupipafupi kumayamba pakudutsa kamtunda kochepa. Wodwalayo amatha kumva kuti alibe nkhawa ngakhale usiku.
- Gawo lachinayi ndikusokonezeka kwakukulu mu minofu ndi minofu. Kukula pang'onopang'ono kwa matendawa kungayambitse matenda osafunikira a necrosis.
Atherosclerosis obliterans yamitsempha yam'munsi yopanda matumbo imatha kuchitika pakatikati. Kutengera kutengera kwa thupi, kuchepa kwa mitsempha kumatha kuyamba m'madipatimenti ena. Palinso lingaliro la atherosulinosis obliterans malekezero apamwamba, pamene vuto lalikulu limayambira mu dipatimenti yofunika.
Kuphatikiza apo, malinga ndi kufalikira kwa zovuta zamagazi, mitundu iyi imasiyanitsidwa:
- Kuthana ndi atherosulinosis ya chazinyama - gawo loguluka,
- Aorto - gawo laac,
- Kukhazikika kwa mwendo wotsika,
- Popliteal - gawo la tibial,
- Gawo la mbali ya ntchafu ndi popliteal gawo la mtsempha, patency m'dera la shin imasungidwa,
- Kukhazikika kwa mbali zonse za ntchafu ndi mwendo wotsika, koma ulemu umasungidwa limodzi ndi nthambi zina za mtsempha,
- Multistory zotupa zam'mitsempha.
Kulekanitsidwa kwa gawo kumadziwika ndi kuphwanya magazi mu gawo linalake. Mtundu wofala wamatsenga momwe umunthu wonse wachikazi umatsekedwa. Kutengera kuchuluka kwa zowonongeka ndi kuchuluka kwa kuchuluka kwa matenda, njira ya chithandizo imapangidwa. Zambiri pazamaluso akulu tafotokozeredwa pansipa.
Kodi diagnostic amachitika bwanji?
Kukhazikitsidwa kwa njira ndi mankhwala kuyenera kuvomerezedwa ndi dokotala. Pankhaniyi, ndikofunikira kulumikizana ndi akatswiri, kenako, motsogozedwa ndi adokotala, mumayesedwe koyenera ndikufunsira katswiri.
Kodi matendawa amachitika bwanji:
- Wodwalayo amadandaula za ululu kapena dzanzi lakumapeto. Komanso, zizindikiro zoterezi zimatha kukhala pamwendo umodzi, koma nthawi zambiri zimakhudza onse nthawi imodzi.
- Kufufuza kwa dokotala kumavumbula zovuta zamtundu wa zofewa. Mutha kuonanso kuchepa kapena kusowa kwa chiwopsezo cha mtima kudera lomwe lakhudzidwalo
- Kafukufuku wapadera - rheovasography (RVH) amakupatsani mwayi wopenda magazi m'mitsempha ya miyendo. Kuti muchite izi, mufunika zida zapadera, zomwe, mwamwayi, zili pafupifupi kuchipatala chilichonse.
- Kuunika kwa ultrasound (Dopplerography) kumachitidwa, komwe kuyang'ana mozama komanso kuchuluka kwa zowonongeka kumapezeka.
- Thermography ya infrared imaperekanso lingaliro la wodwalayo. Njirayi imakhazikika poyerekeza ndi ma radiation yamafuta, omwe amatsika kwambiri m'malo osatulutsa magazi.
- Mayeso akuthupi okhala ndi katundu wogwira ntchito. Mlingo wa kutopa pambuyo pa zochitika zina zolimbitsa thupi komanso kulimba kwa mawonekedwe a kupweteka kwa ischemic kutsimikiza.
- Arteriography ndi kafukufuku wapadera ndi kukhazikitsidwa kwa chinthu chokhala ndi pigment m'magazi. Chifukwa chake, ndizotheka kuphunzira moona mtima patency.
Njira zonsezi zimapangidwira kutsimikiza molondola kwa dera lomwe lakhudzidwalo komanso kuchuluka kwa matendawo. Chidziwitsochi chiyenera kukumbukiridwa mukamakonzanso dongosolo la chithandizo. Sizolakwika komanso zopanda tanthauzo kuchita zilizonse zokhudzana ndi thupi ndikupereka mankhwala popanda mayeso odalirika.
Kuphatikiza pa mayeso apadera, wodwalayo amayenera kupimitsa mayeso wamba kuti adziwe momwe thupi lilili. Ngati ndi kotheka, kuchuluka kwa shuga m'magazi kumatsimikiza kuthana ndi matenda ashuga monga chifukwa cha atherosulinosis.
Kupenda kofikira kwa mkhalidwe kumaganizira zina za wodwala: zaka, kulemera, njira yodwala, matenda osachiritsika, zizolowezi zoyipa ndi magawo ena. Njira yokhayo yophatikizidwa ndikuwunika zomwe zingathandize kudziwikitsa moyenera ndikuwunika kuwonongeka. Zitatha izi, titha kulankhula za kuikidwa kwa mankhwala.
Njira zazikulu zamankhwala
Conservative Therapy umalimbana kubwezeretsa patency yamitsempha yamagazi ndi mitsempha. Njira zopatukana zimathandiza kukonza zowonongeka pamitsempha yamaukosi, koma kuchira kwathunthu sikutsatira.
Njira zochizira zoopsa:
- Kukana zizolowezi zoyipa ndikusintha kwa zakudya,
- Kulimbitsa thupi la wodwala ngati kuli kotheka,
- Kukhazikika zolimbitsa thupi,
- Mankhwala othandizira kukonza patency ndikuthandizira vasospasm,
- Zochita zathupi. Izi zitha kukhala darsonvalization, electrophoresis yokhala ndi novocaine, ozoni chithandizo, kuwonetsa kwa maginito, kuchepa kwa okosijeni ndi njira zina,
- Mankhwala omwe amapangitsa kuti zakudya zizikhala ndi maselo ofewa,
- Kulandila kwa zovuta za multivitamin zolimbitsa thupi
- Ngati ndi kotheka, chithandizo cha mankhwala am'deralo amathandizira kuchiritsa zilonda zam'mimba.
Kugwiritsa ntchito pneumopressotherapy ndi kothandiza. Kuphwanya kwamphamvu kumeneku kwa kukakamiza kwa gawo lamkati la thupi kuti kuwonjezera mphamvu ya mtima komanso kuchepa kwapang'onopang'ono.
Poyambirira, kuchiritsa ndizotheka, koma ndikofunikira kukonza zoopsa zomwe zimabweretsa. M'tsogolomu, tikulimbikitsidwa kuti nthawi zonse timayesedwa ndikuyang'anira momwe sitima zapamadzi zilili ndi mayeso apadera. Izi zikuthandizira kuzindikira kuyambiranso ndikuchitapo kanthu munthawi.
Mankhwala othandizira
Mu udokotala, kusokoneza atherosulinosis a ziwiya zam'munsi, mankhwalawa ikuchitika manambala apadera ndi othandiza kwambiri. Muyenera kupita kwa katswiri wopanikizika - opaleshoni ya mtima.
Kutengera ndi kuopsa kwa vutoli, pali njira zingapo zofatsa komanso zosavuta zothetsera vuto lotere.
Mitundu ya kulowererapo kwa opaleshoni:
- Balloon angioplasty imakhala yofatsa momwe imalowetsedwa mwapadera mkati mwa chotengera, kukulitsa kuunikira kwa mtsempha.
- Opaleshoni ya Bypass - kupanga njira yolowera magazi mozungulira malo amachepetsa (nthawi zambiri amagwiritsidwa ntchito pogwiritsa ntchito fanizo lozungulira kapena gawo la mitsempha ya wodwala yomwe yatengedwa m'dera lina).
- Kununkhiza kwakanthawi - kuyika mkati mwazinthu, zomwe zimapangitsa kuti pakhale zosunga zobwezeretsa ndikukula kukula kwa mtsempha.
- Autodermoplasty ya pakhungu imagwiritsidwa ntchito zotupa zambiri komanso gawo lalikulu la kusintha kwa trophic.
- Vascular prosthetics - m'malo mwa malo ochepetsedwa kapena kusakhalapo kwake ndi misewu yatsopano. Ntchito kumapeto kwa matendawa ngati njira ina yothandizira.
- Vascular endarterectomy - kuchotsa kwa omwe akhudzidwa pamodzi ndi zolembera.
- Kusintha kosasintha kwa miyendo ndi lingaliro kumachotsedwa. Kudula ndikofunikira kuti muchepetse matenda opweteka komanso kupulumutsa wodwalayo. Chochitika choterechi sichiri chithandizo; pambuyo pa opaleshoniyo, njira yothandizira kubwezeretsanso njira zina zowonjezera mtima ndizofunikira.
Kuti mankhwalawa akuwononga atherosulinosis ya m'munsi malekezedwe angathe kuchitidwa laser zida. Kuchita koteroko sikopanda magazi ndipo sikutanthauza kuti pakhale nthawi yayitali kukonzanso. Tsoka ilo, kulosera sikudzakhala zongolimbikitsa, chifukwa matendawa ndi amodzi payekha.
Njira zopewera
Atherosclerosis obliterans ya m'munsi miyendo yamitsempha, chithandizo chomwe chimafotokozedwa mwatsatanetsatane m'nkhani yathu, ndizosavuta kupewa kuposa kuchiritsa. Ngakhale kufala kwa matendawa, izi sizitanthauza kuti aliyense adzakumana ndi mavuto ngati amenewa.
Njira zoyenera komanso kusintha zinthu zina zoyipa zithandiza kukhala ndi moyo wonse, popanda kukumana ndi zovuta komanso zowawa munthawi zonse.
Njira zazikulu zodzitetezera:
- Kusiya kusuta fodya ndi kumwa kwambiri. Izi zimachepetsa mphamvu ya mtima, zomwe zimapangitsa kuti azitsekeka.
- Kuchepetsa thupi. Pochepetsa katunduyo pansipa, simungangodziteteza ku arteriosclerosis, komanso ku matenda ena ambiri.
- Kuchita masewera olimbitsa thupi moyenera kumathandizanso kuti muzimva bwino muzaka zilizonse.
- Zakudya zabwino. Mwa kukonda zakudya "zopatsa thanzi", muthanso kuchepetsa cholesterol yoyipa komanso chiopsezo chokhala ndi ziwiya.
- Kusankhidwa kwa nsapato zabwino popanda zidendene zapamwamba.
- Kuyeserera pafupipafupi komanso kuyesa.
Atherosulinosis obliterans ya m'munsi malekezero ndi matenda oopsa amadziwika ndi kuchepa kwa magazi kumitsempha yamagazi ndi mitsempha. Mapangidwe a atherosulinotic pamakhoma amitsempha yamagazi, omwe amalepheretsa kapena kutsekereza magazi ndi mpweya kulowa m'matipi. Izi zimabweretsa kuwonongeka kwa minofu yofewa, komanso kukula kwa njira zosasinthika za necrotic.
Mlingo wa zowonongeka ndi chithandizo chofunikira zimatsimikiziridwa ndi katswiri, ndipo dongosolo la chithandizo ndilovuta kwambiri ndipo limafuna nthawi yayitali. Kukula kwake kumatengera mkhalidwe wam'mitsempha, kupezeka kwa matenda opatsirana, komanso umunthu wa wodwalayo (zaka, kulemera, zakudya). Zambiri zokhudzana ndi matendawa, komanso njira zamankhwala othandizira komanso kupewa zimafotokozedwa mwatsatanetsatane muzidziwitso zathu.
Kusintha kwamoyo
Odwala onse atherosulinosis a ziwiya zamagawo am'munsi amalimbikitsidwa:
- kusiya kusuta ndi kumwa mowa,
- kutsatira zakudya zofanizira,
- kuchepa thupi,
- Matenda a zolimbitsa thupi olimbitsa thupi,
- kuthamanga kwa magazi komanso kupewa matenda oopsa,
- magazi shuga
- kuyan'anila za matenda opatsirana.
Mankhwala othandizira
Magulu osiyanasiyana a mankhwalawa atha kuphatikizidwa ndi mankhwalawa a mankhwalawa a atherosulinosis a ziwiya zam'munsi amene zochita zake zimapangitsa kuti magazi azithamanga komanso kuti magazi asamasunthe kwambiri. Mankhwala otsatirawa akhoza kuperekedwa kwa wodwala:
- Othandizira ku antiplatelet (Aspirin, Cardiomagnyl, Clopidogrel): mankhwalawa amathandizira kutsika kwa magazi, amathandizira kupewa kuwonongeka kwa magazi ndi kukula kwa stroko ndi mtima.
- Maanticoagulants (Warfarin, Heparin): mankhwalawa amalembedwa chifukwa choopsa cha thrombosis. Kuchita kwawo ndikutchinga kuti muchepetse thrombosis komanso intravascular coagulation.
- Statins (Lovastatin, Zokor, Mevacor, Quantalan, Medostatin): mankhwalawa ali ndi mphamvu yochepetsa lipid ndikuthandizira kuchepetsa kuchuluka kwa cholesterol "yoyipa". Kuchita izi kumathandizira kupewa kukula kwa zolembera za atherosulinotic komanso kumachepetsa chiopsezo chokhala ndi stroketi komanso mtima.
- Derivatives ya nicotinic acid (Nicotinic acid, Nikoshpan): mankhwalawa amathandizira kuti matupi amtundu wam'munsi azitha.
- Pentoxifylline (Trental, Fentoxil): mankhwalawa amathandiza kuyenda kwa magazi ndipo amatulutsa magazi m'magawo otsika.
- Cilostazol (Pletal): Mankhwalawa ali ndi mphamvu yozungulira pamitsempha yam'munsi ndipo amalepheretsa kuphatikiza kwa kupindika.
- Mankhwala osokoneza bongo poletsa kukwera kwa kuthamanga kwa magazi (Nebile, Atenolol, Betalok ZOK, Egilok C): mankhwalawa amagwiritsidwa ntchito popewa kukula kwa mavuto obwera chifukwa cha magazi, omwe angayambitse kupatukana kwa ziwunda za magazi, kuphwanya magazi ndi mitsempha.
- Multivitamin complexes, mavitamini, antioxidants ndi zakudya zowonjezera (Stress formula + E, vitamini E yokhala ndi selenium, Chromium picolinate, mavitamini B, Ascorbic acid, Omega 3, Vitrum atherolitin, Tri-Vi-plus, Biotorin, Vitamax kuphatikiza ndi antioxidants): deta ndalama zimakhala ndi mphamvu yolimbitsa, zimathandizira kuti kagayidwe kazachilengedwe kakonzedwe komanso kusintha kusintha kwa zinthu zina.
Kuphatikiza pa mankhwala, njira zotsatirazi zikuwonetsedwa kwa odwala omwe ali ndi mitsempha yamatumbo am'munsi:
- Chitani masewera olimbitsa thupi
- akuyenda
- kutikita minofu
- mankhwala othandizirana,
- magesi ndi matope osambira,
- electropuncture,
- mankhwala ozoni
- maginotherapy
- SMT ya dera lumbar,
- barotherapy
- sanatorium-resort chithandizo (Kuyalnik, Truskavetsk, Pyatigorsk, etc.).
Monga lamulo, mankhwalawa atherosulinosis a ziwiya zamagetsi zam'munsi ndizitali ndipo amafunika kuwunika pafupipafupi kuchuluka kwa magazi ndi momwe mitsempha yamiyendo imayendera. Ngati ndi kotheka, dokotala amatha kusintha mtundu wa mankhwalawo ndikusintha Mlingo wa mankhwala.