Kulephera mu atherosulinosis ya m'munsi malekezero

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

Monga momwe ziwonetsero zimachitikira komanso akatswiri akunena, odwala amapatsidwa kulumala kwa matenda a ubongo. Zomwezo zimachitika ndi kuwonongeka kwa ziwiya zam'munsi. Ngati tizingolankhula za atherosclerosis monga choncho, ndiye kuti ndi mkhalidwe wamagulu momwe mafuta amafuta amafuta amkati amayikidwa mkati mwa khoma la zotengera, zomwe zimaperekedwa mwa mawonekedwe amipanda. Potere, kuphatikizika ndi kuwonongeka kwa kukhazikika kwa makoma amitsempha kumachitika. Zotsatira zake, pali kufupikitsa kwa lumen ya mitsempha ndi kutsekeka kwa magazi.

Izi zimadzetsa kuti minofu sizilandira michere yofunika, ndipo ziwalo zina zimasiya kugwira ntchito moyenera. Nthawi zambiri zovuta, kufalikira kwamankhwala kumachitika mwa anthu odwala, zomwe zimatsogolera minofu necrosis.

Matendawa, monga lamulo, amadziwika ndi anthu a zaka zapakati komanso zaka zambiri. Komabe, pali zochitika zina zomwe zimachitika mwa ana ang'ono, komanso akhanda. Zowonadi anthu omwe akukumana ndi matenda ofananawo, komanso okondedwa awo, ali ndi chidwi chofuna kudziwa ngati kulumala kumayambitsidwa chifukwa cha mtima wamatenda a mtima.

Zomwe Zimayambitsa Matenda Otsutsa

Akatswiri azindikire zinthu zotsatirazi zomwe zingayambitse kukula kwa matendawa:

Kusuta kungatchedwe chifukwa chachikulu cha atherosulinosis. Nicotine, yomwe imakhala mu fodya, imathandizira kukulitsa vasospasm komanso kusokoneza kayendedwe kabwino ka magazi. Njira iyi ndi yomwe imawongolera kwambiri thrombophlebitis ndi atherosulinosis.
Kunenepa kwambiri.
Kawirikawiri kudya zakudya zamafuta a nyama komanso mafuta ambiri.
Matenda a shuga, kuchepetsa kuchuluka kwa mahomoni ogonana ndi mahomoni a chithokomiro.
Kudziletsa.
Mkhalidwe wopsinjika.
Matenda oopsa
M'badwo.
Kugonana kwa wodwala, zowonongeka m'mitsempha yam'munsi, ambiri mwa odwala, monga lamulo, ali mwa amuna.
Zochita zamagalimoto ochepa.
Kupsinjika kwakukulu kwamaganizidwe ndi nkhawa.

Cerebral Sclerosis Disability

Matendawa amatchulidwa kuti ndiofala kwambiri masiku ano. Ndipo atherosclerosis yamitsempha yamagazi, chamoyo chonse chimavutika. Choopsa chachikulu cha matenda otere ndikuti ndi asymptomatic, chifukwa chomwe sichitha nthawi zonse kuzindikira matenda kumayambiriro ndikuletsa kulephera kwa wodwala.

Kuphatikiza apo, pakati pa zomwe zimayambitsa imfa, ubongo wa arteryosulinosis ndi amodzi mwa malo oyamba padziko lapansi. Munthawi yodwala imeneyi, wodwalayo amakhala wolumala osati chifukwa cha kuwonongeka kwa mtima wokha, koma chifukwa cha zovuta zomwe, pakakhala kuti palibe chithandizo chamankhwala komanso kupewa, zimayamba kuonekera posachedwa.

Wodwala amatha kukhala wolumala ngati atapezeka kuti wamisala stenosis amayamba kugwedezeka ngakhale atakumana ndi zovuta zina. Kuchepa kwa zochitika zotere kumadalira mkhalidwe wa chitetezo cha wodwalayo, kutengera kwa majini komanso zinthu zomwe zitha kuchitikira ngozi. Ngati wodwala sayang'aniridwa ndi madokotala nthawi zonse, matendawa amangopita patsogolo.

Ndi chitukuko cha matenda a ubongo.

ndikupanga makina oyamba,
pa vuto la kuthamanga kwamitseko ya magazi,
vuto la stenosis ndi msempha wa aneurysm.

Iliyonse mwa matenda omwe ali pamwambapa ndiwovuta kuchiza ndipo ngati anyalanyazidwa, zimapangitsa kuti wodwalayo alumale. Pambuyo povulala, wodwalayo amatha kupunduka chifukwa cha ziwalo zamiyendo, kuchepa kwa zochita zawo, komanso kuchepa kwa mphamvu ya ubongo. Kulembetsa kulemala kwa odwala kumakhazikitsidwa pazotsatira zakuwunika kwa chipatala ndi chikhalidwe.

Atherosulinosis ya miyendo ndi kulumala

Pankhani ya kulemala ndi atherosclerosis ya m'munsi malekezero, magulu angapo ndi otheka. Ndipo kusowa kwa chithandizo chanthawi yake kumayambitsa chitukuko cha matendawa.

Koma ndizosatheka kulemba kuti wodwalayo yemwe ali ndi machitidwe amthupi ndi kutengera kwa chibadwa amakhala pachiwopsezo cha kulumala ndi zovuta. Ngati wodwala sakulamulidwa ndi adotolo, ndiye kuti kupititsa patsogolo kwachiphunzitso sikungapeweke. Ndipo izi zili ndi zopweteketsa kwambiri. Ndi chitukuko cha matendawa, ma pathologies monga microstroke ndi stroke, kutha kwa atherosulinosis, myocardial infarction, aneurysm ndi aortic stenosis amalola kuti azindikire kulumala.

Kenako, pakayamba kudwala matenda a sitiroko, wodwala amatha kulumala chifukwa cha kufooka kwa mitsempha. Otsatirawa akutanthauza ziwalo kapena ma parisisi am'munsi chifukwa chakuwonongeka kwa ziwiya zam'munsi. Ngati simuchiza matendawa ndikunyalanyaza zizindikiro zake, pamapeto pake zimatha kudula miyendo.

Chifukwa chake, odwala omwe ali ndi atherosulinosis yamatumbo amalandila gulu lopuwala. Komabe, uwu ndi umboni kuti njira ya pathological yakula mpaka kufika poti idabweretsa zovuta zazikulu, zomwe zidafotokozedwa pakuchepa pang'ono kwa kuthekera kwina kwa umunthu.

Konstantin Ilyich Bulyshev

Sitemap

Openda magazi
Amasanthula
Atherosulinosis
Mankhwala
Chithandizo
Njira za anthu
Chakudya chopatsa thanzi

Atherosclerosis m'mapapu - momwe mungazindikire ndikugonjetsa matendawa?

Matenda omwe maselo a cholesterol plaque amawonedwa pa pulmonary endothelium amatchedwa pulmonary atherosulinosis. Ndi matenda osachiritsika pomwe pali kuchepa kwapang'onopang'ono kwa lumen ya ziwiya zikuluzikulu, kuphwanya minofu ya m'mapapu komanso kuchuluka kwa magazi ndi mpweya.

Zoyambira zazikulu
Magawo a pathological process
Zizindikiro ndi kuwonetsa matendawa
Chithandizo cha matenda a mtima

Nthawi zambiri, matendawa amakula motsutsana ndi maziko a matenda a mtima (matenda a mtima) komanso matenda a m'mapapo. Mphindi yayikulu yotsitsimutsa ndi kuchuluka kwa lipids m'magazi.

Zoyambira zazikulu

Kusintha kwa m'mitsempha m'mitsempha ya m'mapapo kumadziwika kwambiri kwa amuna pambuyo pa zaka 40, koma posachedwa pakhala njira yodziwika yotsogola. Kuchuluka kwa odwala ndi okhala megacities. Matenda a m'mapapo nthawi zambiri amakula chifukwa cha izi:

matenda a lipid metabolism, limodzi ndi mafuta ambiri a cholesterol ndi triglycerides m'magazi,
kunenepa
ochepa matenda oopsa
kusuta, kuledzera,
kusasamala kwa mahomoni,
matenda a shuga ndi mavuto ena a endocrine.

Ntchito yayikulu pakukula kwa matendawa imachitika ndi kusintha kwa makhoma a msempha. Zitha kuwonongeka chifukwa cha matenda oyambitsidwa ndi ma virus, njira za autoimmune, kutengera kwa majini.

Atherosulinosis ya mapapu ndi matenda omwe ali ndi vuto lalikulu la kulumala kapena kufa posakhala ndi chithandizo chokwanira. Chifukwa chake, patatha zaka 40 pamaso pa zisonyezo zoyambirira za matendawa: kufupika, kupweteka mumtima ndi kutupa m'miyendo, muyenera kufunsa dokotala kuti mumupimire kwathunthu.

Magawo a pathological process

Mapangidwe a zolembera pamakoma a mitsempha ndi msempha amachitika pang'onopang'ono. Ndi chizolowezi kusiyanitsa magawo asanu a matendawa.

Kusintha kwanuko mu khoma lamankhwala kumawonekera m'malo amenewo momwe magazi amachepa kwambiri, ndipo amawadziwa, makamaka pamgwirizano wa msempha wokhala ndi ziwiya zazikulu zam'mapapo. Panthawiyo, zotupa zazing'ono zimadziwika pa endothelium, magulu ang'onoang'ono amayamba kupanga, omwe amawonjezera kuwonongeka ndi kupezeka kwa khoma la mtima. Pakadali pano, thrombosis yogwira imalepheretsedwa ndi ma enzyme omwe amapezeka m'magazi okwanira.
Ma enzymes apadera amakhala osakwanira, omwe amachititsa kuti maselo a atherosselotic aikidwe. Kapangidwe ka elastin kamasintha, ulusi wake umayamba kunenepa. Kapangidwe ka minofu yosalala minyewa imasinthanso. Maselo amayamwa lipids mwachangu ndipo amasinthidwa kukhala omwe azikhala maziko a atherosulinotic process.
M'malo a lipid deposition, minofu yolumikizana imapangidwa. Pa kusasitsa, imathandizira kukula kwa zolembapo zamafuta.
Pamalo opezeka mapepala, kuwonongeka kwa lipids ndi ulusi wa collagen kumayamba. Pali bokosi lomwe lili ndi "phala" lamafuta ndi mapuloteni. Zilonda zoterezi zokhala ndi "porridge" zimatha kupangitsa kuti magazi ayambe kugwa mwachangu.
Mu misa ya atheromatous, mchere wamchere umayamba kuyikiridwa. Gawo lalikulu la aorta ndi zombo zazing'ono lawonongeka kwambiri malo.

Zizindikiro ndi kuwonetsa matendawa

Chizindikiro chachikulu chomwe chimatsimikizira momveka bwino ku atherosulinosis ya m'mapapo chinali Aires syndrome - khungu la khungu, kuchuluka kwambiri kwa maselo ofiira m'magazi, kufupika ndi kuwonjezereka kwa mtima. Kuphatikiza apo, kukula kwa mtima wake sikugwirizana ndi zomwe wodwala ali nazo. Mwa zina mwazizindikiro, kufooka, kutopa kwambiri, kupweteka pachifuwa kumadziwika, hemoptysis, edema ya malekezero am'munsi imatha kuchitika.

Pozindikira, kumayesa, kumenya, kupenya m'mapapo, anamnesis, komanso njira zowunikira zasayansi ndi zida.

kupenda kuyang'ana kwamaso kuti mupeze ma mphete a atherosulinotic,
magazi kukonzanso mbiri ya lipid,
kusiyanitsa ndi mapapu
Ultrasound ya mtima ndi pamimba
kusunthika kwa mapangidwe am'mitsempha,
CT kapena MRI.

Chithandizo cha matenda a mtima

Atherosulinosis ya mapapu ndi matenda omwe amapezeka kokha motsutsana ndi maziko a matenda a lipid metabolism. Chifukwa chake, njira zamankhwala ochiritsira zimaphatikizapo magawo angapo:

kukonza kagayidwe
kulimbitsa thupi,
masinthidwe amakhudzidwe amakulu
kutsitsa cholesterol yamagazi,
kutsegula kwa kuthyoka kwamafuta ndimagazi,
kulimbitsa khoma lamitsempha,
antiplatelet mankhwala.

Mankhwala onse ayenera kuyikidwa kokha ndi dokotala pambuyo popenda wodwalayo kwathunthu. Mankhwala ambiri amakhala ndi zotsatirapo zake, ndipo ngati agwiritsidwa ntchito mosalamulirika, amatha kusokoneza ntchito ya impso ndi chiwindi.

Chofunika kwambiri mu atherosulinosis ya mapapu, makamaka koyambirira, ndicho chakudya. Mankhwala (ma statins, ma fibrate) amatha kuchepetsa lipids zamagazi, koma simungathe kuchita popanda kukonza zakudya. Kuyambira zakudya za tsiku ndi tsiku ziyenera kusiyidwa kwathunthu zakudya zamafuta a nyama: nyama, batala, mkaka wonse. Makonda ayenera kuperekedwa kwa nsomba ndi nsomba zam'nyanja. Kafukufuku wambiri atsimikizira kuthekera kwawo kutsitsa cholesterol yamagazi ndi 50-65% ndikugwiritsa ntchito kosalekeza.

Pofuna kuchepetsa thupi, pamafunika kuchepetsa kuchuluka kwa mafuta osavuta, ndikuwonjezera kuchuluka kwa fiber: masamba, zipatso ndi amadyera ayenera kupezeka mokwanira mu chakudya cha tsiku ndi tsiku. Pofuna kukonza mawonekedwe a lipid, zakudya zopatsa thanzi zosiyanasiyana zitha kutengedwa: vitamini E, mafuta a nsomba, nikotini acid. Pambuyo pa kufufuza, dokotala amatha kukupatsani mankhwala ochepetsa magazi.

Kufufuza zamankhwala ndi chikhalidwe cha anthu kuti athetse vuto la kuchepa kwa magazi

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Madandaulo akuluakulu a anthu okalamba ndi kupweteka mumtima ndi m'miyendo mukamayenda, kuwonongeka kwa chizindikiritso (kusokonezeka kukumbukira, kugwirizanitsa, kugona tulo).

Zizindikiro zonsezi zimayimira atherosulinosis, yomwe imachitika pafupipafupi kapena imawonekera mwa odwala omwe ali okhwima.

Chachikulu pazinthu zotere ndikufufuza komanso kupereka mankhwala munthawi yake, koma ngati muphonya kamphindi, muthanso kusintha moyo wanu ndikukhala ndi gulu lolumala.

Kodi matenda ndi chiani ndipo amayamba bwanji?

Atherossteosis, yomwe imadziwikanso kuti metabolic arteriosulinosis, ndimatenda amtima wamatenda omwe amakhudza ziwiya za zotanuka komanso zotupa, chifukwa pomwe magazi chubu amataya zinthu zachilengedwe.

Izi zimachitika chifukwa chonyamula mafuta momasuka m'magazi komanso kuthamangitsidwa kwa cholesterol yoipa.

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

Zinthu zilizonse za lipid zimadutsa mosavuta nembanemba ya cell, chifukwa imakhalanso ndi lipids. Chifukwa chake, mafutawa amakakamizidwa mu endothelium ndikuwonetsa njira zonse za metabolic zomwe zimapukutidwa mkati.

Pali zifukwa zingapo zomwe zimakhudza kusintha kwa kusintha kwa ma atherosselotic; chilichonse chamtunduwu chikuwonjezera mwayi wa kuchulukana kangapo.

Mndandanda uli motere:

Age - chotengera chimataya collagen mwachilengedwe ndipo chimakhala chosalimba, chomwe chimawonjezera zovuta, zovuta zake, komanso kuvomerezedwa kwa khoma kwa zinthu za lipid zachilengedwe.
Amuna - akazi amadwala kangapo kangapo kuposa abambo chifukwa cha kupezeka kwa estrogen, mahomoni ogonana omwe ali ndi zotulukanso.
Kudya kwa mafuta kwambiri - zakudya zopatsa mphamvu kwambiri ndi mafuta komanso chakudya chamafuta. Ndizinthu izi zomwe zimadzaza khungu, ndikumachotsa chisangalalo ndikupanga zolembera.
Ntchito zamagalimoto ochepa - okhala ndi hypodynamia, mtima ndi ziwiya zotumphukira "zimalema" kuchokera kupsinjika kosalekeza, komwe kumadzaza ndi chopinga cha malo a vasomotor komanso kusungunuka kwapakati. Magawo ofulumira amtunduwu amalowerera nthawi zambiri.

Kuphatikiza apo, shuga mellitus - kuswa maunyolo a metabolic ndikusokoneza kugwiritsidwa ntchito kwamafuta acid, kudwala kumeneku kumakulitsa kagayidwe kazachilengedwe ndipo kumapangitsa kuti atherossteosis ipezeke.

Kodi ndi liti ndipo malo amapangika nthawi zambiri?

Kupanga kwa ma cell kumachitika mu magawo angapo. Poyamba, maselo ang'onoang'ono nthawi zambiri amatupa pang'ono, ndipo ma cell awo a membrane amakula.Mafuta ochulukirapo amapitilira ndikumadziunjikira komweko, ndizochuluka ma cell.

Tsopano amatchedwa xanthoma (kuchokera ku liwu lachi Greek loti "chikasu"), miyeso imakhala yayitali kwambiri kuposa yabwinobwino, ndipo ntchitoyo imaphwanyidwa. Kufikira kwa maselo odzazidwa ndi mapuloteni okhala ndi mapuloteni amawoneka ngati mikwingwirima yayitali kapena malo owonda onenepa.

Maselo omwe amateteza thupi kutsatira kwa iwo kuchokera kumwamba, amawazindikira kuti ndi achilendo. Koma izi zimangokulitsa kukula kwa zolembazo, zomwe tsopano zimatseka theka la lumen ya chombo.

Kapangidwe kamene kamalowetsedwa ndi mafakitale a fibrin amathanso kutuluka ndikuwatsogolera ku thromboembolism, kapena kutembenuka kukhala zilonda zam'mimba zomwe zimatulukira komanso kutuluka magazi.

Zabwino koposa, koma zosavulaza ndizoperekera. Mapangidwe oterowo ndi ovuta kutuluka mu chipolopolo popanda kuwononga chotengera, ndikutseka chotsekeracho, ndikuwonjezeranso trophism.

Chizindikiro chodziwika bwino kwambiri cha atherosclerotic chotchulidwa mu:

Zida zaubongo. Ubongo umadya shuga wambiri chifukwa chogwira ntchito mopitilira ndipo umafunikira magazi ambiri. Pachifukwa ichi, imakulungidwa ndi mitsempha yochokera m'madziwe awiri - carotid wamba ndi vertebral. Mitsempha yamagazi imagwedezeka kwambiri, pali chikwangwani cha lumen chotengera. Wodwalayo amadandaula za kugona tulo, kusayenda bwino kwa galimoto ndi kudzipatula, kunjenjemera, kulephera kukumbukira. Matenda amtundu wa atherosulinosis amakhala osapweteka, koma amatha kubweretsa sitiroko. Pambuyo popita kuchipatala ndi kufufuza mayendedwe, odwala oterewa amapatsidwa gulu lopuwala mosalephera.
Mitima. Mtima umadyetsedwa ndi mitsempha ingapo yamagazi yamagazi. Madziwo atayamba kuchuluka, magaziwo amakhala akuvulazidwa. Munthu amakhala ndi vuto la angina pectoris pakuyenda komanso bata - ululu woyaka kumbuyo kwa sternum, womwe umalira kudzanja lamanzere, nsagwada. Zotsatira zamtunduwu ndizowononga - myocardial infarction. Odwala amakhalanso olumala.
Aorta. Amayenera kusinthasintha momwe angathere kulipirira zotulutsa zamtima, ndipo ngati izi sizingachitike, kama wam'mimba wamtunduwu umayankha ndikuwonjezeka kwa kukana kwaziphuphu. Izi mosazungulira zimabweretsa kuchuluka kwa kuthamanga kwa magazi, makamaka kutsika.

Kuphatikiza apo, pali zosokoneza pakuyenda kwa magazi kwa nthambi ya m'munsi. Arterial thrombosis pamiyendo imapangitsa kuti zisathe kuchotsa kwathunthu lactic acid m'misempha, ndikupangitsa kupweteka kwambiri.

Kuthana ndi atherosulinosis ndi amodzi mwa matenda oopsa omwe asinthidwa kumene.

Tsopano kukopa kwachipatala kumatha kuchitika ndi njira zina, koma kulumala mu atherosulinosis yokhala m'munsi yotsikirako kumakhazikitsanso malinga ndi zotsatira za ITU.

Kodi maziko olumala ndi otani?

Mwala wapangiri woyeserera kwa odwala ndi cholinga chofuna kupeza gulu lolemala ndikuwunika kwa chipatala komanso chikhalidwe.

Iyi ndi njira yomwe katswiri kapena gulu lawo limapereka kuwunikira kwa katswiri wa kukula kwa matenda ena ake komanso kufunika kopereka ulemu wotsatira pagulu.

Atherosclerosis yamitsempha yamagazi ndi gulu lolumala lomwe limafananirako amasankhidwa pambuyo poyesedwa.

Mulinso ma radiografia, kusiyanitsa kwa Sc scan, angiography, MRI, kuyesa kwanzeru, kukumbukira, kugwirizanitsa, kusuntha kwa kafukufuku wa mbiri ya zamankhwala, kufufuza kwa zolinga.

Pankhaniyi, adokotala akuwunikira:

subtype ya matenda, kuchuluka kwake,
kufotokozera za cholinga chachikulu,
kuchuluka kwa kusokonezeka kwa malingaliro ndi kuzindikira kumachepetsa kuchuluka kwa moyo wa wodwala,
Ali ndi nthawi yayitali bwanji akudwala
kuchuluka kwa kusintha kwa kusintha kwakakhalidwe,
Kodi chithandizo chamankhwala chosasamala ndikuchita opaleshoni ndizothandiza?
kuwunika magwiridwe antchito a ziwalo, hemodynamic magawo,
mawonekedwe ake

Pambuyo pa ITU, kutengera zomwe zawerengedwa, komitiyi imasankha kuti apatse wodwalayo gulu kapena ayi.

Mu gulu I, zovuta zama system zimawonedwa momwe wodwala sangathe kuchita popanda thandizo lakunja, amafunikira chisamaliro chokhazikika. Kuchita kwawo kumachepetsedwa kwambiri.

Gulu Lachiwiri limaphatikizapo iwo omwe ali ndi zovuta zopitilira, koma popanda kufunikira thandizo kuchokera kunja.

Gulu Lachitatu - odwala oterewa amatha kugwira ntchito mwapadera, kuwunikira kwakanthawi ndi ogwira ntchito kuchipatala.

Kodi njira ya atherosclerosis ya m'munsi malekezero?

Kufufuza zamankhwala ndi chikhalidwe cha anthu kuti athetse vuto la atherosulinosis kumakhala ndi zake.

Izi ndichifukwa choti matendawa ali ndi magawo omveka kutengera ndi zizindikiro zake.

Gawoli limapangidwa mogwirizana ndi mtunda womwe wodwalayo angapite popanda kupuma ndi zowawa, komanso momwe akumvera mu gawo lokha.

Zikuwoneka ngati:

Gawo 1 - zodziwika bwino za kumva kugunda kwa zala, kumva kuzizira, kukokana, kugona pang'ono sikusokoneza wodwala. Amatha kuyenda mtunda wopitilira kilomita wopanda ululu, womwe umakwaniritsa zosowa zake kwathunthu. Nthawi zina amatha kuwona kuti mitsempha ya chiwalo chimodzi imagunda kwambiri kuposa yachiwiri, koma sizigwirizana ndi izi. Asymptomatic siteji - chiyambi cha atherosulinosis.
Gawo 2a - kumverera kozizira kuphazi kumakwera pamwamba, mwendo umagoneka ndipo kumafunikira kupukusidwa pafupipafupi. Kutayika kwa tsitsi pakhungu la miyendo chifukwa kusayenda bwino mu minofu yofewa ndikotheka. Wodwala amatha kupitirira 200 metres, koma pambuyo pake amamva kupweteka m'misempha, ndipo amakakamizidwa kusiya. Kenako ululu umatha.
Gawo 2b - nthambi imatembenuka, imatenga mtundu wa nsangalabwi. Mitsempha ya subcutaneous imawoneka. Khungu limafoola, ndipo munthu zimamuvuta kuyenda ngakhale 200 mita osayima. Pakadali pano, kupempha thandizo kwa katswiri kuti athetse vuto lake ndikukhazikitsidwa kwa chithandizo chokwanira ndikuwonetsedwa, chifukwa gawo lotsatira la atherosulinosis ndilovuta kusunga chithandizo.
Gawo 3 - achiwawa. Tsopano khungu limakhala lofiirira, ndipo ululu wake sutha ngakhale kupuma. Amaletsa wodwalayo kugona usiku. Chiwalochi chimakutidwa ndi zilonda zam'mimba, malo a minofu ya necrotic. Awa ndi malo osowa.

Dokotalayo amayeza muyeso wa kalozera wa ankolo-brachial, kukoka kwa mitsempha ya miyendo, ndikuchotsa ntchito yamagetsi yamagazi, kuchita rheovasography, ultrasound pogwiritsa ntchito Doppler zotsatira kuti muphunzitse kuthamanga kwa magazi ndi katundu wa magazi, njira zosiyanitsa.

Kutengera ndi deta ya matendawa, kuthekera kwa munthu kusuntha, Zizindikiro zomwe zikugwirizana, komanso kuchuluka kwa magazi m'miyendo, ITU ikhoza kupatsa gulu la olumala.

Kuti mupeze, muyenera kukhala ndi zikalata monga kutumizira kuti mukawerenge, makope a pasipoti yanu, buku la ntchito, zolemba kuchokera kwa dokotala zamphamvu za nthendayi, mawonekedwe ake pantchito, ndi ena onse.

Chithandizo ndi kupewa matendawa

Kukhazikitsidwa kwa njira zodzitetemera ndikulimbikitsidwa osati kwa odwala omwe ali m'magawo oyambira a pathological process, komanso milandu yapamwamba kwambiri. Izi zimapangidwa kuti muchepetse kukula kwa zolembedwa komanso njira zabwino zamankhwala.

Muyenera kufunsa katswiri wazakudya kuti adye zakudya zowonjezera, chakudya chophatikiza ndi mafuta ochepa komanso mafuta othamanga, cholesterol yoyipa. Chiwerengero chachikulu cha mavitamini, ma antioxidants achilengedwe ndi fiber zimasintha kagayidwe ndi kuteteza mitsempha yamagazi kuti isawonongeke. Dokotala amathanso kukuwuzani zowonjezera zomwe zingakhudze khoma kwanuko, ndikuwonetsa - kusintha kukana kwa chitetezo chathupi, chitetezo chokwanira.

Kusiya zizolowezi zoipa ngati kusuta fodya ndiyofunika. Kupsinjika pafupipafupi kwa mitsempha yamagazi sikuthandizira kuchira, kuwonjezera, chikonga chimasokoneza njira za metabolic. Osatengera izi, mutha kugwiritsa ntchito milingo yaying'ono ya mowa kuti muchepetse kuchuluka kwa mafuta. Koma ayenera kukhala odziletsa, osavulaza chiwindi. Izi ndi zofanana ndi kapu imodzi ya vinyo patsiku.

Kusuntha komanso kuchita zolimbitsa thupi kumathandizira kukhazikitsa chisindikizo cha chisindikizo, komanso kupewa kupindikika kwina. Chiwopsezo cha atherosulinosis m'malo ena sichochepa kwambiri ndi moyo wokangalika.

Ngati chithandizo sichingalephereke, ma statins amagwiritsidwa ntchito ngati mankhwala apamwamba, angioprotectors, anticoagulants ndi fibrinolytics kupasuka magazi. Angioprotectors amateteza choroid. Ngati ndi kotheka, physiotherapy ndi mankhwala.

Kuthandizira opaleshoni kumaphatikizapo opaleshoni ya endovascular, stenting, artery prosthetics ndi vasectomy (kuchotsedwa kwa malo omwe akhudzidwa).

Momwe mungachiritsire matenda amisere yotere (cell)

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Kulephera mu atherosulinosis ya m'munsi malekezero

Atherosclerosis obliterans ya m'munsi malekezero ndi zotupa zam'mitsempha, limodzi ndi mapangidwe lipid zolembera, kufupikitsa minyewa lumen mpaka magazi kwathunthu. Mu magawo akulu a chitukuko cha matendawa mosasintha, odwala amapatsidwa kulumala malinga ndi zotsatira za mayeso azachipatala ndi anzawo.

Monga mukudziwa, kuti mupereke gulu, odwala ayenera kuyesetsa kwambiri ndikuzungulira zipinda zingapo zamankhwala.

Ganizirani zomwe zatchulidwa pamutu wakuti "atherosclerosis of the m'munsi - ndikolemala," zina.

Zoyenera kuyang'ana

Ndi matenda a atherosulinosis, kulumala sikuchitika nthawi yomweyo. Kuchita kwake mochenjera kwa matendawa kuli m'mbali kuti m'magawo ake oyamba, odwala amamva bwino ndipo samamva kuwawa. Kukhazikika kwa matenda othandizira kumathandizira kuzindikira:

Kuyesedwa kwa biochemical kwamagazi komwe kumakhala ndi kuchuluka kwa triglycerides ndi LDL (lipotroteins-low).
Hardware ultrasound yowunika yamitsempha yamagazi, mothandizidwa ndi yomwe mafupa amafuta pazitseko zamkati zamitsempha amapezeka.

Pambuyo pake, pamene zolembera zamtundu wa atherosulinotic zimatseka lumen yamitsempha, odwala amabwera kwa madokotala akudandaula ndi izi:

Sinthani khungu pakhungu lowonongeka, maonekedwe ake, nthawi zina pamakhala kupindika.
Kuchepetsa kutentha kwa dzanja lomwe lakhudzidwa, mwendo mpaka kukhudza ndiwowonekerapo kuzizira kuposa wathanzi.
Kuwonongeka, kutaya mtima, ngati kuti wodwala wathetsa mwendo wake.
Usiku, kukokana kumasokoneza wodwalayo.
Pambuyo pakuyenda kapena kuchita masewera ena olimbitsa thupi, kupweteka m'miyendo kumayamba, komwe kumatha pambuyo pakupumula, ndipo m'magawo osatha samasowa ngakhale usiku.

Munthu akhoza kuvutitsidwa ndi zina mwa zizindikiro zomwe zalembedwa, kapena zonse palimodzi. Njira yotsatirayi imakhala yofala kwambiri pamene wodwalayo ali kale pafupi ndi stroko kapena mtima.

Ndi kukula kwambiri kwa mitsempha ya mitsempha yolumikizidwa ndi vuto la mtima, kukhumudwa kapena kusintha kwamitsempha yama miyendo, odwala amalephera kugwira ntchito ndi moyo wabwinobwino, zomwe zikutanthauza kulumala kosatha. Monga lamulo, sangathe kudzisamalira ndipo amafunikira chithandizo chanyumba ndi chachipatala.

Popeza kuopsa ndi kusasinthika kwa matendawa, odwala ali ndi chidwi ndi funso lofunika: kodi amapatsa gulu lomwe lazindikira kuti ali ndi vuto la atherosclerosis?

Tikufuna kutsimikizira: ITU (kuyesa kwa zamankhwala ndi zachitukuko), popeza yakhazikitsa kukula kwamatendawa, ipatsa gulu la olumala ndikuwunikira njira yakuthandizira yomwe ili yoyenera kwambiri kuti wodwalayo akhazikike ndikuyimitsa kupitiriranso kwa matendawo.

Njira zolembera zamagulu

Ndi atherosclerosis yamatumbo am'munsi, kulumala kumachitika chifukwa cha wodwalayo, chikhalidwe chake komanso kuwonongeka kwake komwe kumayenderana ndi maziko a matendawo.

Kuti apatse munthu momwe aliri munthu wolumala, madokotala amaphunzira kuchuluka kwa zinthu zotsatirazi:

Kutalika kwa matendawo.
Magawo a zaka.
Kutha kusuntha popanda thandizo.
Kuchuluka kwa mphamvu ya mitsempha ndi zotupa za miyendo.
Kupezeka kwa matenda ena okhalitsa, zotheka zovuta.

Kwa odwala omwe miyendo yawo idachotsedwa chifukwa cha kusintha kwakuthwa komwe kumachitika chifukwa cha atherosulinosis, kulemala kumaperekedwa ngakhale pomwe Prostyle imakonzeka. Pakakhala zovuta zina, odwala oterowo amapatsidwa gulu lachitatu.

Kuletsedwa kwa antchito

Odwala omwe adadwala miyendo kwambiri, kuphatikiza omwe adadulidwa, amaletsedwa kugwira ntchito zomwe zikuphatikiza:

Zambiri kapena zolimbitsa kwambiri malo ogwirira ntchito.
Ntchito yokhudza malo autali.
Mikhalidwe yokhudzana ndi kupsinjika kwa psychoemotional kapena kupsinjika kwa mphamvu.
Gwirani ntchito mzipinda / zigawo zokhala ndi chinyezi chachikulu kapena kutentha kwambiri.
Kupanga koipa, kugwira ntchito mosalekeza ndi mankhwala ophera tizilombo kapena m'mikhalidwe ya radioactivity.

Kufunika kopatsa gulu

Odwala, akakhazikitsa mwayi wopereka zovuta, amatumizidwa ku mitundu yotsatirayi yamaphunziro:

Kuyesedwa kwamagazi ndi a biochemical kuzindikira njira yotupa ndi kuchuluka kwa "zabwino", "zoipa" cholesterol m'magazi ndi zizindikiro zina.
Kukonzanso.
Dopplerographic kusanthula kwamitsempha yamagazi.
Coagulogram - kuyezetsa magazi komwe kumawulula coagulability wake.

ITU ikuchitika mu milandu yotsatirayi:

Wodwalayo akachitidwa opaleshoni, kudziwikiratu ndikulimbikitsa ndipo ndikofunikira kudziwa njira inanso yolandirira.
Wodwala amafunika kusamutsidwira ku ntchito yosavuta.
Zolosera zakukula kwa matendawa sizili bwino, wodwalayo amafunika kupatsidwa magulu awiri kapena awiri olumala.
Mankhwala othandizira kapena opareshoni sanabweretse zotsatira zomwe zikuyembekezeka ndipo mkhalidwe wa wodwalayo ukupitilirabe kuwonongeka.
Wodwala amapatsidwa galimoto yapadera.
Ndikofunikira kumuwonetsa wodwalayo kuti athe kupeza chomwe chayambitsa vuto lalikulu.

Zoyenera kuphatikiza pazotsatira zotsatirazi:

Ma atherosulinotic occlusion apeza mawonekedwe osasintha, osasintha, zomwe zimapangitsa kuti wodwalayo apitirize kugwira ntchito pazomwe zidachitika kale.
Chiwalo chodwala chimachotsedwa ndikusungidwa, atherosulinosis 1 tbsp. opulumutsidwa.
Munthu amene wachitidwa opaleshoni, pamakhala zovuta zina zotaya magazi pamaso pa atherosulinosis 1 ndi 2 tbsp.

Zimasankhidwa ngati izi zimachitika:

Atherosclerosis ndi matenda, Kukula kwake kumakhazikitsidwa mpaka 3 ndi 4 tbsp.
Lonse miyendo imakhudzidwa ndi kuphatikizika: imodzi imachotsedwa, ndipo atherosulinosis 2 tbsp.
Mwendo udachotsedwa pamwamba pa bondo, pafupi ndi pelvis.
Ngati kudulidwa mwendo kumachitidwa, koma malo oyenerera sanapangidwebe.
Ngati mwendo watengedwa pamwamba pa bondo, ndipo zotupa za sclerotic zimapezeka m'mizere ya ubongo.
Ngati chiwalo chayamba kale kupangika, koma chovala chija chimavalidwa bwino, malo ake omwe amaphatikizika amangothamangitsidwa.

Mutha kulembetsa kwa dokotala wogwira ntchito mumzinda wanu mwachindunji patsamba lathu.

Amalandira kwa odwala ovuta kwambiri omwe ataya mwayi wawo wogwira ntchito komanso wodzipereka. Monga lamulo, zochitika zotsatirazi zikuwonetsa izi:

Matenda am'miyendo ya miyendo yonse iwiri, omwe sangasinthe.
Kugwidwa kwa mwendo umodzi ndi atherosclerosis inayo.
Miyendo yonse iwiri imakwezedwa pamwamba pa bondo, pafupi ndi dera la groin.
Zowonjezera zomwe wodwalayo ali nazo pakusintha kwa atherosulinotic m'mitsempha yamagazi ndizovuta kwambiri.
Pambuyo pakuchita opaleshoni, sepsis yovuta imawonedwa, yomwe imayika moyo wa wodwalayo pachiwopsezo.

Chifukwa chake, ndi kwambiri atherosulinosis ya miyendo, yolumikizana ndi kusintha kosasintha kwa minofu yofewa, kulumala kuyenera kuperekedwa poganizira momwe wodwalayo alili.

Kufufuza zamankhwala ndi chikhalidwe cha anthu kuti athetse vuto la kuchepa kwa magazi

Gulu lopuwala la matenda amtundu wamtsempha limatsimikiza pakuwunika kwa chipatala ndi anthu. Dongosolo la mabungwe amenewa limayendetsedwa ndi Order of the Ministry of Labor of Russia la 11.10.2012 No. 310n.

Zowonongeka zimatha kupezeka ngati pali mndandanda wazina zomwe wakwanitsa.

Zomwe Madokotala Amanena Zokhudza Mankhwalawa

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

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

Kodi cerebrosclerosis ndi magawo ati a matenda ndi magulu olumala, komanso magawo a zikalata zake zoyenera kuphatikizidwira, omwe mumawerengera.

Zambiri pa Cerebrosulinosis

Ndi kufalikira kwa cholesterol malo, mkati makoma a ziwiya za bongo zoposa theka kukhala atherossteosis. Matendawa amatchedwanso matenda osokoneza bongo (cerebrovascular insufficiency (CHMC)), matenda osokoneza bongo.

Matendawa amatenga malo achiwiri pambuyo pa matenda oopsa pakati pa matenda onse a mtima. Mwayi wa cerebrosranceosis ulipo zaka zilizonse, koma kwambiri mwa okalamba. Kukhalapo kwa kuthamanga kwa magazi ndi CMP kumachepetsa kwambiri ntchito ndi kudwala kwamankhwala.

Cerebrosulinosis imayamba motsutsana ndi maziko a lipoid metabolism, omwe amaphatikizidwanso ndi vuto la chakudya, mapuloteni ndi metabolism yamchere. Zotsatirazi zimakhudza njira yatsamba:

kusuta
onenepa kwambiri
chibadwa
matenda ashuga
kupsinjika kwakanthawi
ochepa matenda oopsa
kumwa kwambiri mafuta ndi mafuta,
kumangokhala
jenda komanso zaka za wodwalayo.

Mchitidwewo umayamba ndikuchokera kwa lipids, kuphatikizapo cholesterol ndi ma esters ake ndi kukula kwa malo a atherosulinotic pamakoma a mitsempha. Ndi cerebrosclerosis, zotupa za brachiocephalic (zazikulu) ziwiya zomwe zimadyetsa ubongo zimachitika.

Komabe, amapezeka kawirikawiri ndi matenda amtundu wambiri, wokhudzana ndi ziwalo zingapo zofunika, mwachitsanzo, mtima, msempha, nthambi zam'munsi komanso zapamwamba, komanso impso.

Ndipo pali kupangidwe kwa minofu yolumikizira. Zotsatira zake, mitsempha imataya mphamvu komanso imakhala yopapatiza. Kuchepetsa kwa lumen kumabweretsa thanzi labwino muubongo.

Magawo a atherosulinosis ya ubongo

Popeza kukula kwa cholesterol plaque ndi kupindika kwa lumen yam'mimba kumachitika pang'onopang'ono, magawo atatu a ubongo wa arteriosulinosis ayenera kusiyanitsidwa: ischemic, thrombonecrotic ndi sclerotic.

Gawo loyamba ndi ischemic.

Imachitika m'magawo awiri - zizindikiritso zoyambirira ndi discirculatory encephalopathy (DEP). Gawo lomaliza lagawidwa m'magawo atatu:

I - zolimbitsa, zodziwika ndi zizindikiro za pseudo-neurotic: kudzitsitsa, kukakamira, kugonja.
II - subcompensated encephalopathy yachilengedwe chotchulidwa ndi kusakhazikika kwakhazikika.
ІІІ - decephalopathy wopukutidwa wokhala ndi chithunzi cha chipatala komanso matenda a dementia.

Ndi chitukuko cha zomwe zili pamwambapa, muyenera kupita ku ofesi ya dokotala kuti muchepetse kulumala.

Owerenga athu amalemba

Moni Dzina langa ndi
Lyudmila Petrovna, ndikufuna kuthokoza ine ndi tsamba lanu.

Pomaliza, ndinatha kuthana ndi matenda oopsa. Ndimatsogolera chithunzi
moyo, khalani ndi kusangalala mphindi iliyonse!

Kuyambira wazaka 45, kupanikizika kumayambira, kudayamba kukhala koipa, kusakonda komanso kufooka. Nditakwanitsa zaka 63, ndinazindikira kale kuti moyo sunali wautali, zonse zinali zoipa kwambiri. Adayimbira ambulansi pafupifupi sabata iliyonse, nthawi yonseyi akuganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi idandichotsa kudziko lina. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika.

Ndani akufuna kukhala ndi moyo wautali komanso wamphamvu wopanda ma stroke, kuthamanga kwa mtima ndi kupanikizika kwamphamvu, tengani mphindi 5 ndikuwerenga nkhaniyi.

Malinga ndi ITU, katswiri amatha kupatsa magulu olumala awa:

Gulu I: kusokonezeka kosalekeza komanso kwakukulu kwa kugwira ntchito kwa thupi, komwe kumafunikira thandizo ndi chisamaliro cha odwala. Lamuloli limatanthauzira milandu yomwe imalola kuti anthu olumala a gulu I agwire ntchito mochuluka.
Gulu Lachiwiri: zovuta zopitilizabe zomwe sizikufunika chisamaliro chokwanira komanso thandizo. Odwala kwa nthawi yayitali kapena olumala nthawi zonse. Nthawi zina amaloledwa kugwira ntchito mwapadera chifukwa cha izi.
Gulu Lachitatu: kusokonezeka pang'ono kwa zinthu zina zomwe zimakhudza luso la munthu kugwira ntchito. Odwala ayenera kusintha magwiridwe antchito.

Tiyenera kudziwa kuti mu kapangidwe ka zilema ku Russia, 15% amatenga odwala omwe ali ndi gulu loyamba, 60% - wachiwiri ndi 25% - ndi wachitatu.

Mndandanda wamakalata wolumala

Funso loti ndiyambireni kulumala ndilothandiza kwambiri.

Choyamba muyenera kupita kwa akatswiri odziwa zamavuto ndi kufotokoza vuto lanu. Dokotala adzalemba zonse zofunikira mu khadi la kunja ndikupereka zofunikira kuti zimupime. Kwa wodwala uyu, muyenera kuyikidwa kuchipatala kuti mukamayesenso.

Mukadutsa ITU, muyenera kuunikira ufulu wanu ndikuwonetsa kuti mtima wa atherosulinosis umasokoneza kukhala ndi moyo mokwanira komanso kugwira ntchito.

Kulembetsa kwazomwekulemala, wodwala sangathe popanda:

mayendedwe opita ku ITU,
mapasipoti ndi zithunzi,
zojambula zamabuku olemba
zochokera ku chipatalachi (zoyambira ndi zojambula),
mbiri yazachipatala
machitidwe kuchokera kuntchito kapena kuwerenga,
Chitanipo kanthu pa matenda a pantchito kapena kuvulala kwamafuta (f.N-1),
ntchito zowerengera,
ndalama zopezera (nthawi zina zofunika).

Mukayang'anidwanso, setifiketi ya anthu olumala komanso pulogalamu yoyeserera payokha (IPR) iyenera kutumizidwa.

Ngati chilema chikutsimikiziridwa, munthuyo amapatsidwa IPR ndi satifiketi yotsimikizira kulumala kwake.

Fotokozani

Matenda a mtima komanso mikwingwirima ndizomwe zimayambitsa pafupifupi 70% ya imfa zonse padziko lapansi. Anthu asanu ndi awiri mwa anthu khumi amafa chifukwa chotseka mitsempha ya mtima kapena ubongo.

Choyipa chachikulu ndikuti anthu ambiri saganiza kuti ali ndi matenda oopsa. Ndipo amaphonya mwayi wokonza kena kake, kumadzipangitsa kufa.

Mutu
Zosangalatsa pamtima
Madontho akuda patsogolo pa maso (ntchentche)
Kupanda chidwi, kusakwiya, kugona
Masomphenya opanda pake
Kutukwana
Kutopa kwambiri
Kutupa kwa nkhope
Nambala komanso chala chala
Kupanikizika kumapitilira

Ngakhale chimodzi mwazizindikirozi chikuyenera kukupangitsani kuganiza. Ndipo ngati pali awiri, musazengereze - muli ndi matenda oopsa.

Momwe mungathanirane ndi matenda oopsa pakakhala kuchuluka kwa mankhwala omwe amawononga ndalama zambiri?

Mankhwala ambiri sangachite bwino, ndipo ena amatha kupweteketsa! Pakadali pano, mankhwala okhawo omwe amavomerezedwa ndi Unduna wa Zaumoyo pa zamankhwala olemba matenda oopsa ndi NORMIO.

Kuti Institute of Cardiology, pamodzi ndi Unduna wa Zaumoyo, ukuchita pulogalamu " wopanda matenda oopsa". Momwe NORMIO imapezeka ZAULERE , onse okhala mumzinda ndi dera!