Atherosulinosis mu akulu ndi ana

Njira momwe malo amtsempha amasokonezekera. Atherosclerosis ndi matenda ogwirizana ndi kufalikira kwa lipids pakatikati pa mitsempha. Makamaka mu chipolopolo chamkati. M'mitsempha, kukula kwa minofu yolumikizika kumayamba. Pali makina amitsempha yama mitsempha. Kuwala kwawo kukuchepa.

Ntchito yamitsempha ili motere:

zotanuka
kuperekera magazi kwa ziwalo zina ndi machitidwe

Ndi atherosulinosis, kuchuluka kwa mitsempha kumakhala kovuta. Amasiya kupeleka magazi ku ziwalo ndi machitidwe. Zomwe mu ndondomekoyi zimabweretsa matenda osiyanasiyana.

Kodi etiology yamatenda ndi chiyani? Choyambitsa matenda a atherosulinosis ndi kuthamanga kwa magazi. Komanso kuphipha kwamitsempha yamagazi.

Kuphipha kwamitsempha kumabweretsa kuchepa kwa magwiridwe ake. Chofunika pakupanga atherosulinosis.

Mitundu ya Atherosulinosis

Atherosulinosis ali ndi chithunzi chosiyana ndi zamankhwala. Zonse zimatengera mtundu wa atherosulinosis.

Matenda a mitsempha ya mitsempha ya m'magazi ndi chotupa cha minofu yamtima. Mukukula kwazizindikiro, kufunikira kwakukulu ndi:

angina pectoris
myocardial infaration
kusokoneza mtima

Aortic atherosulinosis imabweretsa kuwonongeka kwa msempha. Pankhaniyi, kukulitsa kwa aortic kumawonedwa. Njira imeneyi imatha kudodometsedwa.

Vutoli ndi aortic aneurysm. Zomwe zikusonyezedwa ndikuphwanya chinthu chopumira ndi kumeza.

Matenda a mitsempha. Njira yowonongeka ku ubongo. Mwakutero - meninges. Zomwe, mosakayika, zimatha kudzetsa matenda a stroke.

Matenda a ziwongo za malekezero. Zitha kutsogolera mphamvu ya ziwalo. Kuletsa kugwira ntchito ndi njira zotupa.

Atherosulinosis, monga tafotokozera pamwambapa, amatha kugawidwa m'mitundu ingapo. Chipatala cha matendawa chimatsimikiziridwa kutengera kutengera momwe mchitidwewo ungathere.

Zizindikiro za matendawa ndi izi:

angina pectoris
myocardial infaration
kukulitsa machitidwe,
matenda oopsa
kuvutika kupuma
kuphwanya machitidwe a kumeza

Zizindikiro zonsezi, mwanjira iliyonse kapena zina, ndizodziwika bwino pazizindikiro zamatherosulinosis. Msempha umadziwika kuti ndi mtsempha waukulu.

Kuphwanya mtsinje waukulu kumabweretsa zotsatira zoyipa. Mpaka kuphedwa.

Zizindikiro

Pali njira zambiri zodziwira atherosulinosis. Poyamba, ma anamnesis amasiyanitsidwa. Ichi ndichidziwitso chodekha. Zambiri zimaphatikizapo kudziwikiratu zamtsogolo.

Kachiwiri kudandaula. Tiyerekezere kuti khungu latsika. Kukumbukira mosakhazikika. Kuthamanga kwa magazi.

Kenako matenda a labotale. Magazi ndi mkodzo kumavumbula njira yotupa. Kafukufuku watsatanetsatane ndi biochemistry.

Kupenda kwamomwe magazi kumawonetsa kuchuluka kwa chinthu.

Kuyesedwa kwa magazi kwa cholesterol. Kutanthauzira chithunzi chazovomerezeka za atherosulinosis. Pankhaniyi, mafuta ochulukirapo amapezeka.

Kuyesa kwa magazi a Serological. Zimakhala ndi kudziwa ma antibodies omwe amapezeka mu matendawa.

Phunziro la electrocardiographic. Imawulula kuphwanya malamulo a mtima.

Kuzindikira kwa Ultrasound kumagwiritsidwanso ntchito ngati njira. Amatsimikiza kukhalapo kwa zodindira mumitsempha yamagazi.

Pesi x-ray. Zimawonetsa kusayenda kwa magazi. Makamaka m'matumbo amtima.

Kupewa

Popeza chomwe chimayambitsa matenda a atherosulinosis ndi kupanga mafuta m'mitsempha. Chifukwa chake, kupewa kudzakhala kofunikira kukonza zakudya. Mwachidziwikire, kupatula zakudya zamafuta.

Ndi kukonza zakudya, kulemera kwa wodwala kumachepa. Chofunika kwambiri popewa matendawa. Poterepa, thupi lamunthu limasintha.

Thanzi liyenera kukhala lopangika komanso lokwanira. Ndi kuphatikiza zipatso ndi ndiwo zamasamba mu chakudya.

Ndikofunika kusiya zosokoneza bongo. Uwu ndiye mowa ndi kusuta. Zonse zomwe zingasokoneze thupi la munthu.

Maphunziro akuthupi. Malinga ndi zokhazokha. Mulingo woyenera wazikhalidwe zakuthupi ndizofunikira.

Chofunika kwambiri ndi thanzi lathupi lathunthu. Matenda a shuga, magazi. Pansi mafuta m'thupi.

Akuluakulu

Atherosulinosis imakhudza anthu omwe ali ndi thupi lochulukirapo. Ambiri ali ndi zaka 45 mpaka 70.

Zimakhala zambiri mwa amuna. Azimayi sangathe kuvutika. Ngakhale pakati pawo pamakhala zochitika zakusokonekera.

Chikwangwani cha atherosulinotic chimadziwika kuti chimapangitsa kupendekera kwa chotengera. Zomwe pambuyo pake zimatsogolera pakupanga kwa magazi.

Makamaka atherosulinosis imakhudza anthu achikulire. Izi zitha kuchitika kaamba ka zinthu zingapo:

kuphwanya lipid kagayidwe,
zolimbitsa thupi
kuthamanga kwa magazi

Zinthu zonsezi zimatha kudwala. Mpaka pomwe kufa kwa chiwalo chofunikira. Tiyeni tinene mitima.

Matenda a atherosclerosis mu ana amatha kuchitika atakalamba. Malinga ndi ziwerengero, mpaka zaka 15. Kodi cholumikizira chofunikira ndi chiani popewa zotupa zam'mimba.

Makolo sangakayikire kuti izi zichitika. Popeza matendawa amakula pang'onopang'ono.

Ndikofunikira kutsatira njira zopewera. Mwakutero, sinthani zakudyazo. Mwanayo azidya zakudya zosavulaza.

Kuchuluka kwa chakudya kumabweretsa mavuto a metabolic. Kulemera mopindulitsa ndizinthu zoyipa. Izi zimathandizira kuti matendawa akule. Izi zikugwiranso ntchito kwa ana amakono. Ngati m'mbuyomu, atherosclerosis inali matenda a okalamba. Ana atherosulinosis ikupita patsogolo.

Njira zazikulu zakuchiritsira ndi ziti. Chithandizo cha atherosulinosis chikhala motere:

maphunziro akuthupi
kudya
mafuta mafuta nyama
masamba ndi zipatso
mankhwala
kudya vitamini

Ndikofunika kutsatira zakudya. Sinthani zakudya zanu m'malo mwa mafuta azamasamba. Musachotse mafuta azinyama.

Masamba ndi zipatso ndizofunikira pakulowetsa zakudya m'thupi. Zomwe zimakhudza metabolism.

Mankhwala osokoneza bongo adzaphatikizanso kumwa ascorbic acid. Ndipo nthawi yayitali.

Kukonzekera kwa ayodini. Mwanjira ya tincture. Sayodin mapiritsi. Kugwiritsa ntchito methionine nthawi yayitali. Komanso choline ndi lecithin. Kudya mavitamini B12 ndi B6 ndikofunikira.

Atherosulinosis imatha kupewedwa. Ndiye kuti, kuyimitsa mapangidwe wamagazi. Imfa ya chiwalo chifukwa cha kuzungulira kwa magazi.

Matenda a atherosclerosis ndi abwino pankhani:

moyo wathanzi
kukonza magetsi,
chithandizo chovuta

Ulosi wabwino ungaganizidwe. Koma zimatengera munthu. Ngati munthu ali ndi moyo wathanzi. Zimagwirizana ndi zakudya zoyenera.

Kudziwitsa bwino zinthu kumawonedwa pakagwa mavuto. Amatha kupha.

Mutha kuyimitsa njirayi mwachindunji. Mapilala mwina sangayambitse thrombosis. Ndikofunikira kokha kuti muwongolere machiritso.

Mwanjira zambiri, zotsatira zake zimatengera mtundu wa atherosulinosis. Ndiye kuti, kuchokera ku chitukuko cha ndondomekoyi.

Zotsatira zabwino kwambiri za aortic atherosulinosis. Koma pali zosiyasiyana!

Zotsatira zoyipa zimawonedwa ndi zovuta zamagazi. Zomwe zimatsogolera ku imfa ya ziwalo ndi minofu.

Kutalika kwa moyo

Ndi atherosclerosis, chiyembekezo cha moyo sichimalephera. Zizindikiro zokha zomwe zimakhudza chidzalo cha moyo ndizotheka.

Mwachitsanzo, matenda amiseche amatha kuonekera m'njira zosiyanasiyana. Tiyerekeze kuchepa kwa kukumbukira ndi kusamalira. Komanso kusakhazikika kwa gait.

Atherosulinosis pamaso pamavuto. Kapenanso zotsatira zoyipa zimatha kupha. Ndiye kuti, necrosis ya ziwalo. Kodi chiwonetsero chazovuta kwambiri pamafayilidwe.

Zotsatira zake, chiyembekezo cha moyo chikuchepa. Munthu akhoza kufa. Khalani ndi moyo wautali ndikuthandizidwa pa nthawi yake! Izi zikuthandizani kuti mupeze nthawi komanso kupewa zovuta!

Atherosulinosis

shutterstock.com/Getty Zithunzi

Atherosulinosis ndi njira yomwe ma atheromas (atherosulinotic plaques) amawonekera pamakoma a zombo zazikulu komanso zapakati, zomwe zimachepetsa lumen ya chombo.

Ngakhale kupambana kwa madokotala pochiza matenda amtima wamatenda, atherosclerosis ikupitilizabe kupha kapena, makamaka, kulumala.

Atherosulinosis

Pakachitika atherosulinosis, mitsempha yayikulu ndi yapakati imawonongeka, yomwe imapereka magazi kumiyendo, mtima, impso, ubongo, ndi ziwalo zina zofunika. Progressive atherosulinosis imatsogolera ku chakuti makoma amitsempha yamagazi amakula ndikutayika.

Mpaka pano, pali malingaliro awiri omwe amafotokozera za kuchitika kwa atherosulinosis.

1.Kolesterol yayikulu imawononga makoma osinthika, zomwe zimatsogolera pakupanga kutupa. Kuphatikiza apo, cholesterol ndi lipids zina zimadziunjikira pamakoma.

2. Zowopsa kapena kulowerera kwa chitetezo chathupi kumakhudza kusokonezedwa mobwerezabwereza kwa khoma lamitsempha. Mulimonsemo, kukhulupirika kwa makoma a zombo kumaphwanyidwa, ma lipids amayamba kuyikiridwa.

Pakupanga kwa atherosulinosis, kutupa kumayamba, komwe ma cell oyera am'magazi, ma monocytes, macrophages ndi lymphocyte amatenga nawo gawo. Ntchito za monocytes ndi mayendedwe awo kuchokera ku lumen ya chiwiya kupita kukhoma la mtsempha kumayambitsa kukula kwa atherosulinosis. Pambuyo pake, monocytes amasinthidwa kukhala maselo amizere, omwe amayamba kudziunjikira cholesterol ndi lipids zina.

Zilonda zam'madzi zochuluka zimachulukana, maselo ochulukirapo amatha kuchuluka, chifukwa ma atheromas amapanga khoma la mitsempha, yomwe imachepetsa mphamvu ya mitsempha ndikupanga makoma ochepa.

Zomwe zimayambitsa matenda a atherosclerosis zimatha kukhala matenda omwe amayamba chifukwa cha mabakiteriya angapo, mwachitsanzo Chlamydia pneumoniae, yomwe imadziwika kuti kwawo, monga lamulo, m'mapapu ndikuwatsogolera ku chibayo, kapena Helicobacter pylori, yomwe ndi imodzi mwazomwe zimayambitsa gastritis ndi zilonda zam'mimba.

Pankhaniyi, matendawa amawononganso makoma a zotengera, chifukwa chake lipids zimayamba kuyikiridwa, zomwe zimapangitsa kuti chitukuko cha atherosclerosis chidziwike.

Atheromas nthawi zambiri amapezeka m'magawo amitsempha omwe amakhala ndi vuto lalikulu kwambiri la hemodynamic, lomwe limapangidwa chifukwa cha magazi omwe amasokonekera. Mwachitsanzo, gawo logawanitsa mitsempha ya carotid ndi iliac.

Panthawi yopanga atherosclerosis, makoma ochepa amatha kutaya. Atheroma yowonjezereka ikakhala, ndiye kuunikira kwambiri mkati mwa choteracho kumachepera. Popita nthawi, kuchuluka kwa calcium kumadziwika mu atheroma, yomwe imapangitsa khoma kukhala losalimba komanso loonda, mwakutero limakulitsa chiwopsezo chake chovulazidwa ndikuwongoka. Ngati atherosclerotic zolengeza zikulowerera, mtima thrombosis, komanso kugawanika ndi pambuyo pake kusuntha kwa tinthu ta atheroma ndi thrombus limodzi ndi magazi kutaya kwa ochepa dongosolo. Izi zimakhala ndi magazi osayenda bwino, ndipo zimatha kuyambitsa ziwalo zofunika monga chiwindi, impso, mtima, ubongo, ndi zina.

Zizindikiro za Atherosulinosis

Atherosclerosis nthawi zambiri samakhala ndi zizindikiro zowopsa mpaka ziwiya zopapatiza mpaka kukula kwama 70% ka mawonekedwe awo oyambirira. Kuwonekera kwa zizindikiro kumakhudzidwa ndi kukula kwa chotengera, komanso kutuluka konsekonse kwa magazi kudzera m'chiwiya chodwala. Kuphatikiza apo, ndikofunikira kuti ndi malo ati amadziwe omwe chombo chovulala chilipo.

Ngati chitukuko cha atherosulinosis chimakwiyitsa mitsempha ya mtima yomwe imapereka mtima ndi magazi, ndiye kuti wodwalayo amayamba kumva kupweteka kumbuyo kwa sternum, dzina lasayansi lomwe ndi angina pectoris. Kuchepa kwa magazi ndi kupezeka kwa thrombosis m'modzi mwa mitsempha ya m'mimba kumabweretsa kupunduka kwa myocardial.

Kuphatikiza apo, chifukwa cha atherosulinosis, kusokonezeka kwa kugunda kwa mtima komanso mtima kumatha kuyamba, zomwe zikuwopseza moyo. Pakachitika kuphwanya magazi m'mitsempha ya ubongo, pamakhala chiwopsezo chodwala. Kuchepetsa mphamvu ya mitsempha ya m'magazi yomwe imapereka miyendo yam'munsi imayambitsa kulira ndi kukhumudwa. Kuwonongeka kwa magazi m'mitsempha ya impso kungayambitse matenda aimpso kapena matenda oopsa a matenda oopsa.

The atherosulinosis ikamakula, ndipo kuunikira kwamitsempha kumacheperachepera, magazi omwe amapezeka m'matumbo ndi ziwalo zimasokonekera. Mwanjira imeneyi, zizindikiro zamatenda a atherosulinosis omwe amapita patsogolo zimayamba kutchulidwa. Chizindikiro chimodzi cha kusayenda bwino kwa magazi, chomwe chimatsogolera kuperewera kwa okosijeni kumisempha, ndikumva kuwawa.

Masewera olimbitsa thupi akachulukirachulukira, kumafunikira kwambiri ziwalo ndi minofu ya oxygen. Koma popeza chifukwa cha kusayenda bwino kwa magazi, ziwalo ndi minofu sizilandira michere komanso mpweya wabwino womwe umafunikira, ululuwo umayamba kufotokozedwa ndi kuwonjezeka kwa zochitika zolimbitsa thupi. Monga chitsanzo chabwino, kupezeka kwa khunyu komanso kupweteka m'madera akumunsi, komwe kumachitika chifukwa cha kuperewera kwa magazi kuzinthu zawo. Nthawi zambiri, ndi atherosclerosis, zizindikiro zake zimayamba kukula, koma nthawi zonse pamakhala chiopsezo chakuti atheroma imaphulika ndipo pamakhala chotumphukira cha chotengera, chomwe chimalepheretsa magazi kutuluka m'sitimayo, zomwe zingayambitse kugunda kapena kugunda kwamtima.

Njira zopewera

Popewa kuyambika ndi kukula kwa atherosulinosis, kuyenera kuyang'aniridwa mwapadera pazinthu monga kusuta, cholesterol yayikulu magazi, kunenepa kwambiri, komanso kusakhazikika kwa thupi.

Nthawi zambiri, matenda owopsa omwe amafunikira chithandizo chamankhwala mwachangu, monga kugunda kwa mtima, stroke, angina pectoris, arrhythmia, mtima ndi impso, amayamba chifukwa cha atherosulinosis yomwe ikupita patsogolo.

Momwe mungadziwire chida chowonongeka ndi atherosulinosis.

Dokotala amatha kuzindikira wodwala ndi atherosulinosis pokhapokha njira zotsatirazi zitachitika:

Kutolere madandaulo a odwala komanso mbiri yachipatala

X-ray ndi zosiyana othandizira angiography

Doppler ultrasound

Njira zakuchiritsa kwa atherosulinosis

Masiku ano, pali njira ziwiri zochizira atherosclerosis: chosasinthika ndi opaleshoni. Munjira yosasamala, kutsimikizika kumayikidwa pa chithandizo chamankhwala cha wodwala, ndipo mu njira ya opaleshoni, opaleshoni yayikulu kapena njira yovutitsa pang'ono. Njira yochizira atherosulinosis imadalira malo omwe chombo chawonongeka, komanso kuchuluka kwa zowonongeka. Njira yakuchiritsira imatha kusankhidwa ndi dokotala, kutengera deta ya wodwala.

Malinga ndi kusokonezeka kwa matendawa, amadzionetsera nthawi zotsatirazi:

1) nthawi yowonekera ndi ma asthenic, neurosis -nd komanso psychopathic syndromes omwe adatulukira pamaziko a zovuta zogwira ntchito chifukwa cha atherosulinosis yamitsempha ya chithokomiro.

2) nthawi yayikulu yowonetsera zamankhwala ndi nkhawa-kukhumudwa, nkhawa-hypochondriac, nkhawa-zachinyengo syndromes ndi chisokonezo chovuta chomwe chimapangidwa pamaziko a atherosranceotic encephalopathy,

3) nthawi ya dementia masana kuti mukhale ndi vuto linalake (pseudo-senile, post-plectic dementia) lomwe limapangidwa chifukwa cha zotupa zazikuluzikulu za ubongo.

Nthawi yoyambirira, asthenia nthawi zambiri amapezeka.Kuchita kwa odwala kumachepa, kutopa kumawonekera, kuvuta kusintha kuchoka pamtundu wamtundu wina kupita kwina, kuvuta kupeza bizinesi yatsopano, kukwiya, kulemera ndi kupsinjika m'mutu, kupweteka mutu, chizungulire, nthawi zina kupepuka paresthesias. Asthenia imayamba pang'onopang'ono, ili ndi njira yokhala ngati funde. Kuchepetsa kukumbukira kumayamba pang'onopang'ono, zimakhala zovuta kwa wodwala kukumbukira masiku, mayina, ndi mawu. Kwa zaka zambiri, odwala amalimbana ndi ntchito zawo, koma amakhala ndi nthawi yochulukirapo pokonzekera. Mavuto azitetezo, zovuta pakugwiritsa ntchito kukumbukira zimadziwika. M'tsogolo, mavuto amakumbukiridwe amakula. Odwala omwe amavutika kukumbukira amakumbukira ndi kuphunzira chidziwitso chatsopano, koma kukumbukira zakale kumakhalabe kolimba kwanthawi yayitali. Nthawi zambiri odwala amawatsitsa, odwala amadziwa zomwe zasintha mwa iwo ndipo amazizunza. Mphepo ya kusiyana kwamaphunzirayo pang'onopang'ono imayamba kutchulidwa pang'ono, zovuta zamaganizidwe zimakhala ndi mawonekedwe osatha, kuwulula chizolowezi chopita patsogolo. Zochita zamaganizo zikuyamba kulimba, mbali imodzi, mabwalo azokondweretsa amachepetsedwa kwambiri ndikuyang'ana zinthu zazing'ono. Khalidwe la odwala likusintha: pali mawonekedwe a kuuma, kugona, osanunkha kanthu, komanso chizolowezi cholowerera nkhani za anthu ena.

Mu nthawi yachiwiri, motsutsana ndi maziko a kukula kwamatenda amisomali ndi mitsempha (onani Matenda amkati. Matenda amtundu wa m'mawere), odwala amakhala ndi mkhalidwe wopsinjika wokhala ndi nkhawa, kulira, kukayikira, kuda nkhawa zaumoyo wawo. Odwala amakumana ndi mayimidwe osiyanasiyana osayima ndi kumva ("kumva nkhope", "kuphika kumbuyo kwa mutu", "miyendo yopunduka", ndi zina). Kukonzekera kwa Hypochondriacal pazinthu zazing'ono zowonongeka kumadziwika. Munthawi yakuda nkhawa, hypochondriacal, odwala akuwonetsa mantha kuti ali ndi matenda aliwonse (omwe nthawi zambiri amakhala ndi khansa), amayang'ana zizindikiro za matendawa. Odwala ena amakumana ndi zovuta zapafupipafupi komanso kuwonongeka kwa kuwonongeka, chiwopsezo, ndi kuzunzidwa (Brlya akutsimikizira kuti anansiwo am'konzera chiwembu kuti amulande, azikhala moyo wake pomupatsa ndalama, machitidwe awo amakhala akusaka tanthauzo lachinsinsi, amasiya kutuluka mnyumbamo , watsekedwa ndi maloko ambiri).

Munthawi yachitatu, boma la Dementia (dementia) limadziwika. Kwa odwala, kukumbukira zochitika zamasiku ano kumakhala kovuta kwambiri komanso kosungidwa kale. Matenda a dementia adadziwika. Odwala ndi osatha thandizo, sangathe kudzipulumutsa okha. Zotsatira zamatumbo muubongo zimatha kukhala kuchepa kwa maganizo a m'maganizo, komwe kumawonetsedwa m'maganizo akulu, kuseka mwamphamvu ndikulira, kusowa chiyembekezo kwathunthu poti simungathe kudzipereka nokha komanso kuwonongeka kwa chilengedwe. Khunyu litayamba. Matenda aubongo a ischemic, odwala ena amayamba kudwala matenda opha ziwalo za m'mimba ndimatenda amisala, kuchepa kwamphamvu kwa kukumbukira ndi kusintha kwa zinthu zakale, kusokonekera kwa chilengedwe komanso umunthu.

Chithandizo cha matenda amisala mu atherosulinosis zimatengera chithunzi cha matenda. Asthenic ndi neurotic state nthawi yoyamba imasinthidwa. Pambuyo mankhwalawa atherosulinosis Kashiamu wa ubongo, ziwiya,

Zomwe zimayambitsa matendawa

Chifukwa chiyani atherosulinosis imachitika m'thupi la munthu ndipo ndi chiyani?

Zotsatira zakusokonekera kwa lipid metabolism, kuyika kwa lipoproteins yotsika kwambiri komanso yotsika kwambiri kumachitika pazitseko zamkati mwa zombo zam'mbuyo. Masungidwe omwe amapangidwawo amatchedwa zolembera. Amapangidwa m'matumbo a impso, mtima, ubongo ndi ena. Izi minyewa yam'mimba imakhala ndi kutalikirana kwabwino chifukwa cha kupendekeka kwa minofu yamphamvu m'mapangidwe awo.

Matendawa amangowoneka ndikuyamba kupita patsogolo, kudziunjikira kwa cholesterol plaques sikukhudza kwambiri moyo wa munthu. Pa gawo loyambirira la chitukuko, matendawa amapitilira popanda chizindikiro chowoneka.

Nthawi zambiri, matendawa amapezeka ali ndi zaka 45+.

Atherosclerosis ya ochepa ziwiya zaubongo chifukwa chimodzi chokha cha maonekedwe - kukhalapo kwa plasma cholesterol.

Kuwoneka kwa kuphwanya kumeneku kumatha kukhala chifukwa cha zinthu zosiyanasiyana.

Zowopsa zake ndi izi:

zaka 45+,
kupezeka kwa thupi lolemera kwambiri,
kukhalapo kwa wodwala wopitilira kuthamanga kwa magazi - matenda oopsa,
cholowa cham'tsogolo - kupezeka kwa matenda amisempha m'magazi,
kukula kwa matenda a shuga wodwala,
kusuta
moyenera kumwa mowa
kumangokhala
kupezeka kwa coagulability mwa munthu.

Oposa theka la odwala ali ndi kuphatikizika kwa mitsempha ya mitsempha m'matupi awo ndi zotupa zofananira zam'malo ena.

Nthawi zambiri, chotupa chimadziwika:

Coronary mtima dongosolo.
Mitsempha yam'munsi.
Mtima dongosolo la impso.
Mitsempha yodyetsa matumbo.

Maonekedwe a wodwalayo wokhala ndi zizindikiritso zochokera ku mitsempha ya mankhwalawa ayenera kuchenjeza adotolo kuyesa kuyesa kwa thupi.

Ngati pali kukayikira kocheperako kwa chitukuko cha kufalikira kwa matendawa, dokotala amayenera kuyambitsa mayeso kuti adziwe kuchuluka kwa matendawa komanso kupereka njira zoyenera zochizira mankhwalawo.

Zizindikiro za matendawa ndi kuzindikiritsa kwake

Pakukula kwa matendawa, zizindikiro zoyambirira za matendawa ndi kuonekera kwa zowawa pamutu wonse wamutu.

Ululu kumayambiriro gawo nthawi zina kumawonekera, ndipo kenako kukula kwawo ndi kutalika kwake.

Nthawi zambiri, odwala samasamala kwambiri ndi zinthu zotere, potchula kutopa ndi kusangalala kwambiri.

Zizindikiro ndi izi:

chisokonezo cha kugona tulo - kusowa tulo kumawoneka usiku, kugona usiku, kulemera kwa thupi ndikadzuka komanso mavuto ndi kugona tulo,
kuchepa kwa gawo lathupi lathupi,
maonekedwe a ululu wolimba komanso wopezeka kawirikawiri pamutu,
ntchito yolakwika
kuwonongeka kwamawonekedwe
mawonekedwe a tinnitus,
maonekedwe a kusakwiya,
kuyamba kwa kukhumudwa, mawonekedwe a misozi ndi nkhawa,
kupezeka kwamoto ndi thukuta,
wodwala wawonjezera kutopa, kufooka ndi kusokoneza,
chibwano ndi miyendo zikuyamba kunjenjemera
mavuto amakumbukidwe amawonekera.

Maonekedwe a zizindikirozi sizikusonyeza kuti wodwalayo amapanga ubongo wa ziwongo zomwe zimadyetsa ubongo.

Kuti muwonetsetse bwino matendawa, kuphatikizidwa kwa maphunziro kuyenera kuchitika, chifukwa chake, zizindikirozi zikaonekera, muyenera kufunsa dokotala wa neuropathologist kuti akuthandizeni.

Mukamayesedwa, amagwiritsa ntchito njira zodziwitsira matenda komanso zothandiza.

Kuti mudziwe kukula kwa matendawa, kuyezetsa magazi pamimba kumagwiritsidwa ntchito.

Kuphatikiza apo, ngati kuli kofunikira kufotokozera za matendawa, gwiritsani ntchito:

Vascular angiography - njira yodziwira matendawa imakuthandizani kuti muzindikire kukhalapo kwa zisindikizo zamakhoma amitsempha. Kuzindikira kumachitika pogwiritsa ntchito zida zapadera zomwe zimayambitsidwa pabedi lamitsempha.
Transcranial Doppler.
Kusanthula kofananira kapena kupimidwa kwa ma ultrasound a intracranial mtima.

Njira zoyeserera izi ndi zothandiza komanso zotetezeka kwathunthu. Mitundu iyi ya mayeso imachitika limodzi ndi mayeso a labotale.

Pakukonzekera kuyesedwa kwa labotale, kuyezetsa magazi komanso zamankhwala amwazi kumachitika kuti mupeze kuchuluka kwa lipids komanso kuchuluka pakati pamagulu awo osiyanasiyana.

Magawo a kudwala kwamatenda

Cerebral atherosulinosis imatha kupangitsa matenda osokoneza bongo komanso kukula kwa encephalopathy m'thupi la munthu.

Kuphatikiza apo, matendawa amayambitsa kupezeka kwa kanthawi kochepa kwamitsempha yamagazi, komwe kumadziwika kuti kwakanthawi kochepa kumachitika ndipo kumachitika mikwingwirima.

Kutengera ndi matendawa, magawo atatu a matendawa amasiyanitsidwa.

Magawo a matendawa amakhala ndi zizindikiro zotsatirazi:

Gawo loyambirira la matendawa alibe chizindikiro, koma ngati munthu amayang'anitsitsa mkhalidwe waumoyo, amatha kuzindikira zina mwa izo. Choyamba, wodwalayo amakhala ndi kutopa atagwiritsa ntchito thupi lake pang'ono. Pa nthawi iyi ya kudwala kwamatenda, chizungulire komanso kupweteka kwa mutu nthawi zina kumachitika, nthawi yomweyo pamunsiyi pamakhala kuphwanya ntchito zokumbukira komanso magwiridwe antchito. Nthawi zambiri, kuyambika kwa zizindikiro kumadziwika ndi masana. Zizindikiro zodziwika bwino za gawo ili lachitukuko cha matendawa zimadutsa kupumula kwakanthawi popanda kugwiritsa ntchito njira zochizira.
Gawo la kupita patsogolo. Gawoli limadziwika ndi maonekedwe mwa munthu yemwe amakonda kupezerera mphamvu ndi luso lake. Pakadali pano, pali kuwonjezeka kwa zizindikiritso zoyamba za matendawo. Kuda nkhawa komanso kutuluka kwa zikhalidwe zovuta kumalumikizana ndi zomwe zilipo. Kuphatikiza apo, chizungulire, zala zanjenjemera komanso kuyankhula kwamwano kumatha kuchitika.
Gawo la kubwezera. Gawo ili la kupititsa patsogolo kwa matenda a m'mimba ndizovuta. Zimadziwika ndi kutayika kwa kukumbukira ndi luso la kulingalira ndi kutumikira mokwanira. Gawo ili limadziwika ndi kupezeka kwa ziwalo ndi mikwingwirima.

Ngati matendawa afika gawo lomaliza, wodwalayo amafunikira chisamaliro chakunja.

Chithandizo cha matenda amadzeru

Dokotala wamatsenga amatenga nawo mbali mankhwalawa.

Ntchito zake zimaphatikizapo kuzindikira odwala komanso kuwunika kukula kwa masinthidwe m'thupi.

Pambuyo pa kufufuza, dokotala akuwonetsa njira yokwanira ya mankhwala.

Kuchiza matendawa kumatenga nthawi yayitali ndipo nthawi zambiri kumafunikira mankhwala apadera.

Zolinga za maphunziro azachipatala ndi:

kuchepa kwamphamvu kwa mawonekedwe a ischemic,
kubwezeretsa kwa maselo ndi magwiridwe ake,
kupewa mavuto owopsa a mikwingwirima,
kukonza mafuta kagayidwe kuti achepetse plasma woipa wa LDL ndi VLDL.

Mankhwala omwe adalipo panthawi ya chithandizo amayenera kupereka bwino pakusintha kwa magazi ku maselo amanjenje yamanjenje.

Kuphatikiza pazithandizo zamankhwala zachikhalidwe, njira zina zochiritsira zitha kugwiritsidwa ntchito kusintha mkhalidwe wa thupi. Musanagwiritse ntchito mankhwala awa kapena wowerengeka, muyenera kupita kukaonana ndi dokotala ndikuwonana ndi nkhaniyi.

Monga mankhwala wowerengeka, infusions ndi decoctions amalipiritsa ophatikizira zitsamba zosiyanasiyana amagwiritsidwa ntchito.

Chimodzi mwazinthu zothandizira kupewa kupitirira kwa matendawa ndikuwonetsetsa kwa zakudya zapadera zomwe adotolo amafunsa.

Pakukhazikitsa mankhwalawa, mankhwala omwe ali m'magulu osiyanasiyana azamankhwala amagwiritsidwa ntchito.

Njira zochizira zimagwiritsidwa ntchito:

Madera
Fibates. Mapiritsi a cholesterol awa saloledwa kuti agwiritsidwe ntchito ndi ma statins.
Nicotinic acid
Otsatira a bile acid.
Mankhwala a antihypertensive.
Ma antiplatelet.
Vitamini ovuta. Muli ndi mavitamini B, vitamini C ndi vitamini A

Kuphatikiza pa chithandizo chamankhwala, njira ina yobwezeretsanso magazi kuubongo imagwiritsidwa ntchito - kulowererapo.

Njira iyi ya mankhwalawa imagwiritsidwa ntchito posagwiritsa ntchito mphamvu za odwala pakumwa mankhwala.

Chizindikiro chakuchita opareshoni ndi kuyesa kwa ultrasound, komwe kunawululira kuchepa kwa lumen ya ziwiya zoposa 70%.

Pambuyo pozindikira kuphwanya kotere, dokotala wamankhwala opangira opaleshoni amathandizidwa kuti asankhe njira yabwino kwambiri yothandizira opaleshoni.

Opaleshoni yofala kwambiri ndi yovuta. Pokonzekera kununkha, amaika waya mu chotengera, kuthandiza othandizira mkati mwake chonyalazo ndi mawonekedwe ake.

Katswiri mu kanema mu nkhaniyi azikamba za chithandizo cha matenda a ubongo.

Zomwe zimayambitsa ndikuchizira matenda a arteriosulinosis

Zizindikiro za atherosulinosis ya ubongo
Kuopsa konyalanyaza zizindikiro za atherosulinosis
Zomwe zimayambitsa matenda amisempha ya ubongo
Njira zodziwira atherosulinosis
Chithandizo cha Atherosulinosis

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

Atherosulinosis ya mitsempha yamatumbo imapezeka mwa odwala azaka zosiyanasiyana, koma makamaka okalamba. Imadziwonetsera m'misika yaying'ono ya kukumbukira (masiku a tchuthi cha mabanja, mayina a abwenzi, nambala yawo ya foni, ndi zina) kuyiwalika), chizungulire, kupweteka mutu pafupipafupi.

Momwe mungachotsere zovuta izi, zomwe zikuwonjezera miyezo ya matendawa, momwe mungachiritsire matenda amisempha ndipo mwina zitheka? Kodi nthendayi ndiyowopsa bwanji, imatha kuyenda bwanji popanda chithandizo chokwanira? Tikambirana izi pansipa.

Zizindikiro za atherosulinosis ya ubongo

Mutu wokhazikika, kuwonongeka kwa kukumbukira, ndi chizungulire sikutali ndi mndandanda wathunthu wazizindikiro za matenda amtundu wa ubongo.

Matendawa amaphatikizidwa ndi, kuwonjezera pamwambapa, zizindikiro zotsatirazi:

Kupimana
Kusowa tulo
Tinnitus wanthawi zonse,
Zofooka zambiri, mphwayi,
Malo owala pamaso pa maso otseguka,
Thukuta kwambiri
Kuchulukitsidwa kowonjezereka (kuwonetsedwa ndi khungu red)
Kusakwiya
Mikhalidwe yovuta.

Chizindikiro chachikulu ndimutu wopitilira mutu. Zimachitika chifukwa cha kuchuluka kwa mpweya womwe umalowa m'mitsempha yamagazi. Ndipo zolembera za cholesterol zomwe zimamatira m'mitsempha yamagazi zimamulepheretsa kuti adzafike kumeneko. Izi ndi zomwe zimayambitsa matenda a ubongo.

Tinnitus ndi chimodzi mwazidziwitso zomveka bwino za matenda a ubongo. Komabe, tinnitus ndi chizindikiro cha kuthamanga kwa magazi.

Kuopsa konyalanyaza zizindikiro za atherosulinosis

Mukanyalanyaza zizindikiro zomwe zatchulidwa mu matenda am'madzimadzi, kunyalanyaza chithandizo, mutha kuyambitsa matenda opha ziwopsezo, matenda a mtima, ndi zina za mtima. Ndiye chiopsezo cha matenda amiseche.

Tsopano mukudziwa momwe matenda a ubongo am'madzi amawonekera. Ngati zingapo mwazizindikiro zikuwoneka nthawi yomweyo, muyenera kufunsa dokotala, kuti muyeze chosakanikira chimodzi.

Osapeputsa kuopsa kwa matendawa.Kuwonongeka kwa ziwiya zaubongo ndi chovala chamagazi chomwe chatulukira kumbuyo uku kumatha kupangitsa kuti afe (ngati magazi atuluka ndikuchotsa mtsempha wamagazi womwe umapereka magazi ku ubongo).

Blockage ikachitika pang'onopang'ono, zizindikiro za atherosulinosis zimakhala pafupifupi zosaoneka. Ngakhale stenosis yamitsempha ya 23, yoyambitsa chizungulire komanso kupezeka kwa tinnitus, wodwalayo atha kunena kuti watopa kapena mavuto m'moyo komanso osapambana mayeso a atherosulinosis.

Cholesterol ikafika m'matumba, mafilimu amtundu wamtundu wa calcium ndi mchere wamchere amadzisonkhira. Chikwangwani cha atherossteotic, chikuchepetsa lumen. Kukula kumeneku kumakhala cholepheretsa gawo la magazi, chipwirikiti chimachitika mumtsinje wamagazi. Chifukwa chake, maselo oyera ndi ofiira amawonongeka, ndipo magazi amawoneka pang'onopang'ono koma motsimikizika.

Amatha kutuluka nthawi iliyonse ndikubisa chotupa cha ziwalo. Chikwangwani cholanda cha cholesterol chimakhala ndi ngozi yomweyo.

Zomwe zimayambitsa matenda amisempha ya ubongo

Matendawa, pomwe amakhala kumapeto kwa cholesterol plaque. Amachepetsa lumen zonyamula ziwiya ndimomwe zimayambitsa zovuta monga:

Zakudya zoyipa za maselo am'mimba, motero ubongo, ndi mpweya,
Kuwonongeka kwa magazi,
Okosijeni wokwanira kulowa mu ubongo.

Atherosulinosis ya ziwiya zam'mutu imawonetsedwa m'maganizo, kusokonekera kumachitika, chidwi chimachepetsedwa, ntchito yofunika imafooka.

Chimodzi mwazinthu zazikulu zoyambitsa matenda a mitsempha ya muubongo ndi kuperewera bwino ndi kuwonongeka kwa mafuta m'thupi. Zotsatira zake, ntchito ya metabolic imasokonekera (anthu onenepa kwambiri amavutika kwambiri ndi izi komanso matenda ena a mtima).

Omwe amayambitsa matenda a ubongo

Moyo wokhala ndi mayendedwe ochepera
Cholowa chamtsogolo
Matenda a Metabolic,
Matenda a endocrine
Kusuta
Kumwa mowa
Chakudya chopanda malire chokhala ndi zakudya zamafuta, zopanda thanzi.

Zomwe zimachitika pang'onopang'ono chifukwa cha matenda a m'matumbo amtundu wa cell omwe atapezeka mochedwa ndizokhumudwitsa. Ndikofunikira kuzindikira matendawa munthawi ndikuthandizira thupi lanu kuthana nalo pogwiritsa ntchito njira zonse (zotetezeka).

Njira zodziwira atherosulinosis

Kuti muwonetsetse kuti muli ndi atherosclerosis yaubongo, adotolo amangofunika kudziwa mtundu wa zowawa zomwe muli nazo, monga wodwala. Koma kuti mupeze chithandizo choyenera, ndikofunikira kuyendetsa maphunziro angapo malinga ndi ultrasound (ultrasound) yamatumbo a intracranial ndi extracranial.

Kuti muwone gawo la matendawa, angiography imakhala othandiza. Njira yodziwikirayi imagwiritsidwa ntchito kale pakagwiritsidwa ntchito ndi matenda a atherosrance?

Angiography ndi njira yomwe mankhwala otetezedwa amaphatikizidwira m'chiwiya chomwe chitha kudziwa kuchuluka kwa kukhazikika kwa khoma.

Njira zodziwitsira ngati muli ndi kuyezetsa magazi, zimakupatsani mwayi wodziwa kuchuluka kwa cholesterol, zimapangitsa kuwona chithunzi chodalirika cha momwe wodwalayo alili. Ndipo pamaziko a chithunzichi, adotolo azindikira zoyenera kutenga ndi matenda am'madzi am'mutu, omwe amadya.

Chithandizo cha Atherosulinosis

Pambuyo pakuzindikira kuti matenda amiseche amatsimikizika potengera zomwe akuwonetsa, chithandizo chimaperekedwa kwa odwala okalamba ndi achinyamata.

Mankhwalawa ndi mankhwala, koma wodwalayo ayenera kumvetsetsa kuti kuti muchiritsidwe mwachangu, kapena kuti muchepetse Zizindikiro za matendawo, muyenera kutsatira kadyedwe.

Ndi mafuta omwe ali ndi mafuta ambiri omwe amayambitsa matenda.

Pamodzinso ndi mankhwalawa okonzekera mankhwalawa (vasodilating, antioxidants, mavitamini A, E, C, B2, ayodini), zakudya zamafuta a cholesterol siziyenera kuphatikizidwa mumenyu yanu, yomwe ndi:

Chocolate
Salo
Cocoa
Zaamphaka nsomba
Zinthu zamafuta mkaka,
Nkhumba ndi zinthu zokhala ndi nkhumba,
Nkhuku zonenepa.

Makonda ayenera kuperekedwa kwa:

Garlic
Luku
Kale kale,
Madzi a zipatso za hawthorn,
Tincture potengera masamba a sitiroberi,
Tincture wa khungwa ndi muzu wa prickly Eleutherococcus,
Melissa.

Kuzindikira koyambirira kwa matendawa, kuyanjana pafupipafupi pakati pa dokotala ndi wodwala (chithandizo chokwanira chamankhwala komanso kudya mosamala, moyo wokangalika) ungathe, ngati suthetsa matendawa, ndiye kuti ungachepetse kuwonekera kwa zizindikiro, kupweteka, ndikuchepetsa chiopsezo cha stroke.

Chithandizo choyenera cha matenda wamba monga atherosulinosis ya ziwiya zam'magazi potengera zisonyezo, kusintha kwa makhadi m'miyoyo, kusakhalapo kwa zizolowezi zithandiza odwala kudziwa moyo m'mitundu yake yonse (popanda mutu ndi chizungulire) komanso kupewa ngozi yamagazi m'mitsempha.

Zizindikiro ndi mankhwala othandiza matenda a ubongo

Atherosulinosis ndi vuto la metabolic lomwe limadziwika chifukwa cha kupezeka kwa cholesterol plaque khoma lamkati lamitsempha yamagazi komanso kufalikira kwa ziwalo ndi minofu. Amadziwika ndi kuchuluka kwa njira ya pathological, koma kuwonongeka kwa mitsempha ya mutu ndi khosi kumawerengedwa kuti ndi kowopsa. M'mawunikidwe athu, timaganizira za zomwe zimachitika mu ubongo.

Njira yopititsira patsogolo

Kukula kwa atherosulinosis ya ziwiya zamadzimadzi (mitsempha ya ziwalo) ndimapangidwe ovuta kwambiri, ofunika kwambiri kuti timvetsetse matendawa. Lingalirani za pathogenesis yamatenda ndi zinthu zomwe zikukhudza mapangidwe a cholesterol plaque.

Chifukwa chake, mu ubongo wa arteriosulinosis, Zizindikiro zake, chithandizo chomwe tikambirana pansipa, chimagwira ntchito yofunika:

kuchuluka kwa cholesterol yathunthu,
kusiyana pakati pa HDL ndi LDL,
microdamage ya mtima khoma mtima komanso thrombosis kwambiri.

Kuchuluka kwa cholesterol

Kodi mitsempha ya m'magazi ndi chiani? Imodzi mwa njira zazikulu zopangira chitukuko cha matendawa imakhalabe ndi cholesterol yokwanira m'magazi.

Cholesterol (dzina lina ndi cholesterol) ndi chinthu chokhala ngati mafuta chomwe chili ndi mankhwala omwe ali ndi mankhwala a lipophilic. Zambiri mwa izo (mpaka 75-80%) zimapangidwa m'maselo a adrenal g chiwindi, gawo laling'ono (20-25%) - limalowa m'thupi monga gawo la mafuta a nyama ndi chakudya. Chiyero chovomerezeka chomwe chimapezeka mthupi lathu chimafanana ndi 3.2-5.2 mmol / L.

Cholesterol ndi mankhwala ofunika omwe amapanga zinthu zotsatirazi m'thupi:

Kulimbitsa nembanemba wa cytoplasmic wa maselo: makoma awo amakhala ochulukirapo, olimba komanso olimba.
Kuwongolera kupenyerera kwa nembanemba ya cytoplasmic, cholepheretsa kulowetsa kwa ziphe zina (kuphatikizapo hemolytic) ndi zinthu zina zakupha mu cell.
Kutenga nawo gawo kapangidwe ka mahomoni a adrenal - mineralocorticoids, glucocorticoids, estrogens ndi androgens.
Kutenga nawo gawo pakupanga ma bile acid ndi hepatocytes.
Kutenga nawo gawo pakapangidwe ka vitamini D m'thupi.

Kukula kwachilengedwe kwa cholesterol m'thupi ndikofunikira pakugwira bwino ntchito kwa ziwalo zonse ndi minofu. Komabe, ndi zaka komanso mothandizidwa ndi zifukwa zomwe zafotokozedwera m'ndime ili m'munsiyi, kuchuluka kwa mankhwala a lipophilic m'magazi kumayamba kuchuluka, ndipo chiwopsezo cha kukhala ndi atherosulinosis ya ubongo chikuwonjezeka.

Kuwonekera pakati pamagawo a cholesterol

Popeza mafuta onga ngati mafuta amakhala osakwaniritsidwa m'manyuzipepala amadzimadzi, amawatulutsa kudzera m'magazi ndi mapuloteni apadera onyamula. Kapangidwe kameneka kamachedwa lipoprotein.

Kutengera kapangidwe ndi kuchuluka kwa lipid ndi mapuloteni pamagulu a lipoproteins, amagawidwa:

ma chylomicrons (m'mimba mwake 75 nm - 1.2 ma microni) - mafuta ochuluka kwambiri omwe amapezeka m'matumbo panthawi ya mayamwidwe a lipids omwe amachokera ku chakudya (nthawi zambiri samatsimikiziridwa m'magazi otumphukira),
VLDLP (m'mimba mwake 30-80 nm) - tinthu tating'onoting'ono, timene timapangidwa makamaka timagulu tamadonthomadontho, ndimomwe timayendetsa mafuta amtunduwu kuchokera pachiwindi kupita kuzilonda zotumphukira,
LDL (m'mimba mwake 18-26 nm) - ochepa mwa ma lipoprotein omwe amadzaza ndi mamolekyulu a cholesterol ndipo amapangidwa kuchokera ku VLDL nthawi ya hydrolysis,
HDL (m'mimba mwake 7-11 nm) - lipoprotein yomwe ilibe gawo lamafuta ndipo imanyamula cholesterol kuchokera ku ziwalo ndi minyewa kupita kuchiwindi.

Kuwonjezeka kwa chiwerengero cha LDL ndi kuchepa kwa HDL kumayambitsa dyslipidemia (kuphwanya kagayidwe ka mafuta m'thupi). Lipoprotein yayikulu, yotsika kwambiri yokhala ndi mamolekyulu amafuta, akuyenda m'magazi, "cholesterol" yotayika imakhala mosavuta, yomwe imakhazikika pamakoma amitsempha yamagazi. Kudzikundikira kwa mowa wa lipophilic mu mphamvu ya mitsempha, kuphukira kwake ndi minofu yolumikizana ndikulimbitsa ndi ma calcication ndiye magawo akuluakulu pakukonzekera cholesterol plaque mu arteriosranceosis.

HDL, mosiyana, imatchedwa cholesterol "yabwino". Kusunthira kufalikira kwa chiwindi, chiwindi ichi chimagwira mamolekyulu a cholesterol otayika, kuyeretsa makhoma amitsempha yamagazi ndikumenya dyslipidemia.

Chifukwa chake, kusintha kwa mitsempha ya atherosselotic ndi zotsatira za kusalinganika pakati pa cholesterol "yabwino" ndi "yoyipa". Mankhwala, chiopsezo cha kupititsa patsogolo kwa matendawa kwa wodwala aliyense chimatchedwa kuti atherogenic coefficient. Choyimira chimawerengedwa ndi fomula: KA = (OH-HDL) / HDL.

Kuwonongeka kwa mtima

Kuphwanya kukhulupirika kwa khoma mkati mwa chotengera ndikuwonjezereka kwa thrombosis kumathandizira kwambiri pakukula kwa ziwongo zamitsempha. Pazowonongeka, mafuta a cholesterol akhazikika mwachangu.

Nthawi yamatendawa, magawo 6 otsatizana amakhala osiyana.

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

Zoyambitsa ndi Zoopsa

Zomwe zimayambitsa matendawa, asayansi samamvetsetsa bwino. Atherosulinosis ya mitsempha ya ubongo imachitika mothandizidwa ndi vuto limodzi kapena zingapo:

kusuta, kuledzera,
aakulu matenda a chiwindi (hepatitis, cirrhosis), limodzi ndi kuphwanya cholesterol synthesis,
kunenepa
ochepa matenda oopsa
matenda a metabolic (matenda a shuga, matenda a metabolic),
zolakwika pazakudya, kugwiritsa ntchito mafuta ochulukirapo, zakudya zamafuta, mafuta a nyama,
kusachita masewera olimbitsa thupi, kusachita masewera olimbitsa thupi kwanthawi yayitali,
zopsinjika pafupipafupi
zosintha zokhudzana ndi zaka.

Malinga ndi kafukufuku amakono ambiri, gawo lalikulu pakupanga dyslipidemia limaseweredwa ndi genetic. Izi zimayambitsa matenda amisempha ya ubongo yotupa yomwe imakhala mpaka 45% ya matenda onse a matenda ammimba.

Gulu

Pali magawo angapo a matendawa omwe amagwiritsidwa ntchito ngati mankhwala othandiza.

Kutengera ndi komwe kuli ambiri, atherosulinosis ya ubongo imachitika ndi chotupa chachikulu:

chotupa cha carotid (chonse, chamkati),
mtsempha wamagazi (kutsogolo, kumbuyo),
thunthu la brachiocephalic,
mitsempha yapakati komanso yaying'ono.

Ndi mapangidwe a atherosulinosis a ubongo agawika:

Kupita patsogolo pang'onopang'ono ndiyo njira yofala kwambiri, yomwe ikuyenda limodzi ndi kuwonjezeka pang'onopang'ono kwa zizindikiro za pathological komanso kukula kwa mkhalidwe wa wodwalayo.
Kuchotsa, kodziwika ndi chithunzi cha chipatala cha wavy, mawonekedwe ndi kutha kwa mawonetseredwe azachipatala.
Zoyipa - kuopsa kwa kusiyanasiyana kwa matendawa kumayikidwa pachiwopsezo chachikulu cha mavuto a mtima (kuchepa kwa nthawi yochepa, kupweteka kwa sitiroko), kuphatikizapo kubwerezedwa.
Pachimake - limodzi ndi chithunzi chowoneka bwino cha matenda: Zizindikiro za matenda amisempha

Chithunzi cha kuchipatala

Pa gawo loyambirira, palibe matenda owonetsa matenda a ubongo: kudziwa za mitundu yoyambirira ya matenda ndi zovuta kwambiri. Zizindikiro zoyambirira zimayamba kutulutsa kwakatupa kwa mitsempha yoyambayo, ndipo ubongo umayamba kusowa mpweya ndi michere.

Zizindikiro za matenda a arteriosulinosis amasiyana siyana ndipo zimatengera digiri, chilengedwe komanso kutengera kwa cholesterol amana. Odwala angadandaule za:

kusokonezeka kukumbukira, kuiwala,
kusakhazikika pa zinthu zofunika,
kupweteka mutu pafupipafupi,
chizungulire
tinnitus
vuto kugona tulo,
kufooka, dzanzi, kumva kugontha m'manja ndi miyendo,
kuwonongeka kwapang'onopang'ono kwa masomphenya, kumva ndi zina,
kulimbitsa mtima, mantha, kusokonekera.

Pali ma syndromes angapo azachipatala omwe amawonetsa atherosulinosis yamitsempha yamitsempha. Werengani zambiri za iwo m'gawo ili m'munsiyi.

Circulatory encephalopathy

Discirculatory encephalopathy (DEP) ndi matenda otchuka kwambiri a atherosulinosis, limodzi ndi kuchepa kwa mtima. Amalumikizidwa ndimatenda osiyanasiyana amitsempha yama ubongo, omwe amawonetsedwa ndi kuchepa kwa mitsempha komanso psychotic. Nthawi zambiri, zotere zimapezeka mwa okalamba. Nthawi zambiri, DEP ndi chifukwa cha kugonjetsedwa kwa cholesterol ndi zigawo zazikulu za mitengo yamaubongo - carotid artery, brachiocephalic thunthu.

Matendawa 1 matenda amadziwika ndi magwiridwe antchito amomwe masinthidwe am'thupi. Zizindikiro zoyambirira za matendawa ndizodziwika bwino:

phokoso m'mutu ndi makutu
kupweteka mutu, chizungulire,
kusokoneza kukumbukira ndi kusamalira ndende,
kusowa tulo
kuponderezedwa kwa magwiridwe antchito ya ubongo;
kugwedezeka pang'ono, kusatsimikizika kwa gait, kugwedezeka kosavuta poyenda.

Kusintha kwachilengedwe komwe kumatha kusintha pambuyo pake. Gawo lachiwiri la DEP limadziwika ndi kakulidwe kazotsatira zotsatirazi za matenda a ubongo:

kuchuluka kukumbukira ndi mavuto a kupsinjika,
Kuchepetsa kusakhazikika pansi ndikuwongolera zochita zawo,
mantha, kukwiya, kuwonjezeka kwa chapakati mantha dongosolo,
kukhumudwa, hypochondria,
magawo oyamba a misadaptation.

Ndi atherosulinosis yomwe ikukula pang'onopang'ono, ziwiya 3, za discirculatory encephalopathy zimayamba. Amadziwika ndi kusinthika kwa kuchepa kwa mitsempha, kuphatikizika ndi kuchepa kwa mitsempha, kuchepa kwa ntchito yokhudzidwa ndi chidwi komanso kusakhalapo kwathunthu kwathetsa odwala.

Kuchepa kwa mtima

Vascular dementia (dementia) ndi vuto lomwe limayendera limodzi ndi zovuta zina zamagazi kupita ku ubongo mwa okalamba. Popanda chithandizo cha panthawi yake, zimayambitsa kulumala kwa wodwala ndipo nthawi zambiri zimayambitsa kufa.

Pa gawo loyamba, mawonetseredwe a matendawa ndi osakhazikika komanso otengera matenda ena ambiri. Odwala amakula:

Kuyiwala, kusasamala,
Ena osakhazikika m'maganizo
Zilota, kugona tulo ndi mavuto ena ogona,
Kusinthasintha kwa malingaliro, kuvutikika mtima,
Kukhumudwa
Mavuto azolowera m'malo osazolowereka (mu sitolo yosadziwika, mumsewu).

Pambuyo pake, matendawa amapita patsogolo, ndipo kusintha kwachilengedwe mu ubongo kumayamba kutchulidwa:

Zowonongeka pamtima, zolephera,
Kusintha kwakuthwa, kugwidwa mwankhaza, kutsatiridwa ndi kusayanja kwathunthu ndi mosemphanitsa,
Kuponderezedwa kwa zochitika zachikhalidwe, kusafuna kucheza ndi ena,
Kuyanjana kwamiseche, kunjenjemera ndi zizindikiro zina zamanjenje,
Kuchulukitsa kuzisamalira, kusokoneza nyumba.

Gawo lodana ndi kuchepa kwa mitsempha ya mitsempha limayendera limodzi ndi zotupa zoopsa. Mwa zina mwazovuta za matendawa:

Kuphulika kwa kuzungulira kwanyengo,
Zizindikiro zama Psychotic: malingaliro onyenga ndi kuyerekezera zinthu zina,
Amnesia pang'ono: Nthawi zambiri odwala amaiwala mayina a abale, zomwe zidawachitikira mphindi zochepa zapitazo,
Ziwawa zopanda nzeru,
Kuthetsa kulumikizana kwathunthu ndi anthu ena (odwala amayankha mafunso omwe amafunsidwa, mwachangu),
Kuphwanya kwa malingaliro ndi magawo a magalimoto,
Kusatheka kokwanira kodzisamalira nokha, kufunika kosamalidwa nthawi zonse.

Pakadali pano matenda, kudwala kwa wodwalayo sikuli bwino: zotsatira zakupha, monga lamulo, zimachitika mkati mwa zaka zochepa zotsatira.

Mavuto omwe angakhalepo (sitiroko)

Cerebral atherosulinosis ndi owopsa osati pang'onopang'ono, zomwe zimatsogolera kuwonongeka kwa ubongo, komanso chiwopsezo chachikulu cha zovuta.

Stroke, kapena pachimake kusokonezeka kwamitsempha yamagazi - vuto lomwe nthawi zambiri limasokoneza njira ya atherosulinosis. Amadziwika ndi kuchepa kwakukulu kwa magazi m'mitsempha ndi kufa kwa gawo lina la minyewa yaubongo. Vutoli limapangitsa kuti pafupifupi 35% yaimfa.

Mitundu iwiri yodziwika ya stroko imasiyanitsidwa - ischemic ndi hemorrhagic. Mwambiri, mawonekedwe awo azachipatala ndi ofanana, koma aliyense ali ndi njira zake zopangira komanso mawonekedwe.

Chifukwa chake, mwachitsanzo, ischemic necrosis imalumikizidwa ndi necrosis yama cell aubongo chifukwa chokwanira kapena kugawana kwamitsempha yama cell ndi cholesterol plaques. Mtundu wamtunduwu wamavuto umapezeka kwambiri kwa odwala atherosulinosis. Amadziwika ndi kukula pang'onopang'ono kwa zizindikiro (zizindikiro za kuchepa kwa mitsempha zakutsogolo). Hemorrhagic mtundu wa sitiroko limodzi ndi hemorrhage mu ubongo minofu. Monga lamulo, limayamba modzidzimutsa, patangopita mphindi zochepa, ndipo limatsagana ndi zodziwika bwino za chithokomiro.

Zizindikiro za Khosi

Ndipo mawonetsedwe azachipatala akuwonetsa chiyani? Kuzindikiritsa kwa matenda amisempha yam'madzi am'mimba kumapanga chitukuko cha:

Zofooka zambiri
Kudzimva kutopa, kumanjenjemera miyendo ndi nkhope (nthawi zambiri mbali imodzi - kumanja kapena kumanzere),
Kusokoneza kwina kwamphamvu ndi zochitika zamagalimoto,
Kuwonongeka kwakuthwa m'masomphenya kapena makutu,
Mkulu (nthawi zambiri wosaleza) mutu, chizungulire.

Momwe mungadziwire sitiroko si katswiri? Pa kuzindikira kosavuta kwazomwe zikuchitika m'mabanja, American Association of Neurologists idapanga chiwembu cha FAST (Chingerezi - mwachangu), chokhala ndi mfundo zinayi:

F (Chingerezi Chingerezi) - pemphani munthuyo kuti azimwetulira kwambiri. Mukumenyedwa, theka la nkhope ya wogwidwayo "imvera" lamulo la ubongo ndikumwetulira, pomwe linalo silikuyenda, pomwe milomo imatsitsidwa.
A (Eng. Arm - nkono) - pemphani munthu kuti atambasule mikono yake patsogolo pake. A stroke akuwonetsedwa ndikuchepetsa pang'ono miyendo kumbali yomwe yakhudzidwa.
S (Eng. Kalankhulidwe - Kalankhulidwe) - Funsani munthu mafunso osavuta, mwachitsanzo, dzina lake ndi ndani, kapena ndi tsiku lanji lero. Ndi sitiroko, kuyankhula kwa odwala sikungokhala, sikulepheretsa.
T (Eng. Lilime - chilankhulo) - pemphani munthu kuti atulutsire lilime lake. Nsonga yake idzagwetsedwa mbali.

Zotsatira za stroko ndizabwino kwambiri. Gawo limodzi la odwala omwe ali ndi stroko amaphedwa ambulansi isanafike, enawo amalemala ndi vuto lotupa. Wodwala akamalandira chithandizo chamankhwala chapadera, amakhala ndi mwayi waukulu wochira.

TIA, kapena kanthawi kochepa kugunda, ndi kusokonezeka kwakanthawi kwamitsempha yamaubongo momwe zizindikiro za m'magazi zimafanana ndi chipatala cha stroke, koma zimangodutsa mwa maola 24 okha. Mukamapereka chithandizo choyamba, zovuta zonse za atherosclerosis zimachitika ngati stroke. "Kukwanilitsidwanso" kuzindikira kumeneku pakuwukiridwa kwakanthawi kochepa kumatheka pokhapokha kuwonedwa.

Mfundo Zazidziwitso

Kuzindikira matenda amitsempha yamagalimoto kumafunika njira yolumikizira. Wodwala wokayikira matenda amatchulidwa mayeso otsatirawa:

Kutoletsa madandaulo ndi mbiri yachipatala. Pokambirana, dokotala yemwe amapezekapo amakhala ndi chidwi ndi zomwe wodwalayo akuda nkhawa nazo, pomwe zizindikiro za matendawa zimadziwika koyamba, ngati chithandizo chilichonse chidatengedwa pamenepa.
Kupima zamankhwala, kuphatikiza kuthamanga kwa magazi, kukhudzika kwa mtima ndi mapapu.
Mayeso a Laborator: mayeso wamba (magazi, mkodzo) - kuwunika momwe thupi lilili ndikudziwa zovuta zomwe zilipo, kuyezetsa magazi mosiyanasiyana kuti mupeze magawo akuluakulu, mbiri ya lipid - pakuphunzira mozama kolesterol ndi zigawo zake (LDL, HDL, TG) komanso kokwanira atherogenicity, coagulogram, magazi, ngati pakufunika - mayeso ena.
Zoyeserera za chida: Doppler ultrasound, angiography, MRI ndi MR-hagiography.

Kuyesedwa kwa labotale pakupezeka kwa matenda atherosulinosis kumathandiza. Amapangidwa kuti azitsimikizira kapena kutsutsa za chiwopsezo cha pathogenetic pakukula kwa matendawa - hypercholesterolemia, dyslipidemia, chizolowezi chowonjezera thrombosis. Ndikothekanso kudziwa kuthekera kwakukulu, mawonekedwe ndi kuuma kwa njira ya atherosulinotic mu ziwiya zaubongo pogwiritsa ntchito njira zopenyerera.

Doppler ultrasound ndi njira yothandiza komanso yothetsera matenda yozizira potengera mphamvu ya Doppler - kusintha kwa ma radiation omwe akupanga akuwonekera kuchokera m'maselo a m'magazi. Kuunika koteroko kumakuthandizani kudziwa komwe akuyenda, kuthamanga ndi kuthamanga kwa magazi, komanso zopinga zilizonse chifukwa cha izi - kuphatikiza kwamatenda am'mimba, ma atherosselotic plaques, kuwerengera ndi aneurysms.

Angiography ndi njira yofufuzira x-ray yamitsempha yamagazi yomwe imafuna kugwiritsa ntchito sing'anga yosiyana. Kugwiritsa ntchito, munthu amatha kupenda momwe mitsempha ya ubongo imagwirira ntchito ndikufotokozera mtundu wa zovuta zamagazi.

MR angiography ndi njira yamakono yopangira kafukufuku wosagwirizana, potengera momwe maginito amagwiritsa ntchito. Kugwiritsa ntchito kwambiri, kotetezeka kwa wodwala, sikuwonetsa ma radiation.

Kuphatikiza apo, mtima atherosulinosis ungatsimikizidwe kugwiritsa ntchito njira zosakhudzana - kunenepa kwambiri kwa matenda a endocrine, kukhalapo kwa mafuta m'mthupi - otchedwa xanthoma ndi xanthelasm.

Chithandizo chapamwamba

Chithandizo cha atherosulinosis ndi njira yayitali komanso yopweteketsa yomwe imafunikira malingaliro abwino kuchokera kwa katswiri wazachipatala komanso kwa wodwalayo. Pomwe zimayamba, wodwalayo amakhala ndi mwayi wopeza magazi m'thupi komanso kupewa zovuta zazikulu. Momwe mungachiritsire matenda amiseche pogwiritsa ntchito njira zamakono komanso zoyenera?

Kuwongolera kwamoyo

Chithandizo cha matenda nthawi zonse chiyenera kuyamba ndi kukonza moyo.

Chotsani zizolowezi zoyipa m'moyo wanu. Kuchita kwa chikonga ndi mowa kumangokulitsa chizolowezi cha matenda a m'matenda, kotero kukana kwawo kumakupatsani mwayi woti muvomereze pamabedi amitsempha yamafuta.
Sinthani zambiri (monga momwe adavomerezera ndi adotolo). Kuchita masewera olimbitsa thupi wokwanira (voliyumu yomwe imasankhidwa kwa wodwala aliyense payekhapayekha. Kusambira, kuyenda, kuyenda, yoga, Pilates, callanetics imawerengedwa kuti ndi masewera omwe amawakonda omwe amakhala ndi vuto losagwa m'magazi.)
Sinthani kulemera kwa thupi. Kuchepetsa thupi ndikofunikira kwa wodwala onenepa kwambiri. Kunenepa kwambiri kwamthupi kumapangitsa kuti cholesterol iwonjezeke komanso kukulitsa njira za pathogenetic za atherosulinosis.
Pewani kupsinjika. Mkhalidwe uliwonse wosakhala wokhazikika komanso wama psycho-othana nawo umaphatikizidwa ndi kutulutsidwa kwa mahomoni ambiri a cortisol (glucocorticosteroids adrenal stress) kulowa m'magazi. Njirayi imachitika nthawi zonse ndikuwonjezeka kwa cholesterol komanso chiopsezo chotenga atherosclerosis.

Zakudya zochizira ndi gawo lofunikira la mankhwala

Ndipo momwe mungathanirane ndi atherosulinosis pogwiritsa ntchito zakudya zapadera? Ndikulimbikitsidwa kuti odwala onse omwe akumwa chithandizo asatenge zakudya zomwe zili ndi mafuta ena ake m'thupi:

Mafuta, nyama ya nkhumba, nkhumba, mutton ndi mafuta ena a nyama,
Offal (impso, lilime, ubongo, chiwindi),
Mafuta amkaka ndi mkaka (batala, kirimu),
Thukuta zolimba,
Chakudya chofulumira
Zinthu zochokera margarine ndi mafuta ophikira (maswiti am'mafakitale, makeke, makeke.

Nthawi yomweyo, masamba ndi zipatso zomwe zimakhala ndi fiber, mitundu yosiyanasiyana ya chimanga, nyama yochepa yamafuta a kalulu, nkhuku, nkhuku ndi nsomba ziyenera kukhala maziko azakudya zamankhwala. Kwa chithandizo chabwino kwambiri chamankhwala komanso kuthamanga kwa matenda a metabolism, odwala ayenera kutsatira njira ya kumwa - gwiritsani ntchito malita 1.5-2.0 amadzi abwino.

Mankhwala

Mankhwala amathandizidwa pokhapokha ngati njira zopanda mankhwala zosagwiritsira ntchito mankhwala zimathandizira.

Pakati pamagulu azachipatala omwe amagwiritsidwa ntchito ku atherosulinosis, zotsatirazi ndizodziwika bwino:

Hypolipidemic mankhwala:
- Ma Statin (amasokoneza kapangidwe ka cholesterol awo omwe m'maselo a chiwindi),
- Imapangira (kuwonjezera kuchulukitsidwa kwa lipophilic mankhwala mwachilengedwe)
- Omwe amachokera ku bile acid (amachepetsa mphamvu ya cholesterol yomwe imabwera ndi chakudya),
- Omega-3 (amachotsa dyslipidemia, zimakhudza bwino ntchito ya mtima dongosolo).
Ma antiplatelet othandizira, omwe nthawi zambiri amakhala otsika mlingo wa aspirin (amachepetsa mphamvu ya mapangidwe a thrombus, amapereka prophylaxis yosalunjika kwa atherosulinosis.
Kukonzekera kwamasamba (komwe kumapangidwira kuti magazi azisokonekera.

Mankhwala othandizira

Cerebral atherosulinosis mu magawo amtsogolo nthawi zambiri chimakhala chizindikiro cha opaleshoni. Kuthandizira opaleshoni yamitsempha ya bongo kumalumikizidwa ndi zoopsa zina, chifukwa chake pamafunika dokotala wodziwa bwino kwambiri.

Pakadali pano, njira zowononga zachilengedwe zowononga zachilengedwe ndizotsalira. Kuchotsa kwa atherosselotic zolembera mu ziwiya zamutu nthawi zambiri kumachitika mwa kupendekeka kwapakhosi. Ngati ndi kotheka, mumagwiritsa ntchito njira zokakamira, kugwiritsa ntchito maukonde poyendetsa zinthu ndi ma prosthetics.

Pamwambapa, tidasanthula chifukwa chake atherosulinosis yamitsempha yama mutu ndi khosi imayamba, momwe imadziwonekera yokha komanso yomwe ili yowopsa. Ngakhale kuti matendawa sanapezeke koyamba pa matendawa, matendawa ndi operewera. Popanda chithandizo choyenera, kuperewera kwa mafuta m'thupi kumatha kuyambitsa zovuta monga kugwa kwamitsempha komanso kusokonezeka kwakanthawi.