Mavitamini ndi zakudya zowonjezera zamatenda am'munsi
Atherosclerosis ndi matenda omwe amakhudza anthu ochulukirachulukira. Pofuna kupewa kufalikira kwa mitsempha yamagazi, othandizira ambiri amagwiritsidwa ntchito. Mavitamini a atherosulinosis ndi gawo lofunika kwambiri pa zamankhwala. Madokotala amawapatsa mankhwala akuluakulu, omwe amathandiza thupi kulimbana ndi mapangidwe a atherosclerotic plaque omwe amathetsa kuunikira kwa ziwiya.
Kugwiritsira ntchito kukonzekera kwa Vitamini kumaphatikizidwa ndi njira yapadera yazakudya. Kutsatira, mutha kukhalabe ndi thanzi la mtima.
Mavitamini Olimbikitsidwa a Atherosulinosis a Bongo
Ndi atherosulinosis ya ziwiya zamafuta, tikulimbikitsidwa kuti titenge mavitamini angapo, mchere ndi flavonoids. Udindo wofunikira pakuchiza ndi kupewa matendawa umaseweredwa ndi antioxidants.
Mwa zina mwazowonjezera zomwe zimagwiritsidwa ntchito pochiza matenda a atherosulinosis, ndikofunikira kuwunikira:
- pectin
- L-arginine,
- antioxidants
- lecithin.
Kupatsa thupi kuchuluka kokwanira kwa zinthu izi, ndikofunikira kudya zipatso zambiri, nthangala, mtedza, mafuta osakhazikika, mbewu. Pewani zakudya zokhala ndi mafuta a trans.
Makampani ambiri omwe amapanga zowonjezera mavitamini amakhalanso ndi mavitamini a ziwiya zamafuta m'zinthu zawo. Pali zitsanzo zambiri.
Ascorutin ndi mavitamini ovuta omwe amakhala ndi ascorbic acid ndi rutin. Chipangizochi chikufuna kukonza zofunikira zaubongo, chothandiza kwambiri komanso chotsika mtengo.
Ginkgo Biloba ndiwowonjezera bwino wazomera zomwe zili ndi mbewu yomweyo. Zina mwazomwe zimapangitsa: Kuyenda bwino kwa ubongo, kupewa kufalikira kwa ziwiya zamafuta.
Madokotala ambiri amavomereza kuti kumwa vitamini imodzi sikokwanira. Ndikofunikira kuphatikiza ndi zakudya zoyenera, kupatula mafuta owopsa, kuchita masewera olimbitsa thupi pafupipafupi, kuyang'anira njira yatsiku ndi tsiku.
Zoyenera kutenga ndi matenda a m'munsi malekezero?
Ndi atherosulinosis yokhala m'munsi, pafupifupi mavitamini ofanana omwe amagwiritsidwa ntchito kuti asunge ziwiya zaubongo. M'magawo onse awiriwa, zomwe zimapangitsa kuti azitsitsa milomo ya magazi m'magazi, kukonza khoma lamitsempha.
Nayi mavitamini ena omwe amalimbikitsidwa kuti azigwiritsidwa ntchito tsiku ndi tsiku:
- Vitamini B3 (nicotinic acid) - amachepetsa kwambiri kuchuluka kwa milomo yochepa ya m'mitsempha yamagazi ndi zimakhala. Imalepheretsa kaphatikizidwe ka cholesterol mthupi, imakulitsa kuunikira kwamitsempha yamagazi, kusintha kayendedwe ka magazi m'malo omwe akukhudzidwa ndi zolembedwa za atherosulinotic.
- Vitamini C - ali ndi zotsatira zambiri. Awa, mankhwalawa atherosulinosis ndi ofunika kwambiri: kuwonjezeka kwa otsika kachulukidwe lipids, kusintha kwa hematopoietic ntchito mafupa, kupewa thrombosis, ndi kusinthika kwa mtima epithelium.
- Vitamini E - monga nicotinic acid, amachepetsa kuyika kwa LDL m'magazi. Zimalepheretsa ma enzymes omwe amapanga mapangidwe a cholesterol amkati. Ili ndi antioxidant ndi antihypoxic zotsatira.
- Thiamine ndi mavitamini opezeka mumbewu monga chimanga. Ndiwowonjezera mphamvu yamtima, mwakutero kusintha magazi.
- B6 - yopezeka mu nsomba, nyama ndi mkaka. Amagwiritsa ntchito cholesterol yochulukirapo, amatulutsa kagayidwe kamafuta.
- Mavitamini a Gulu F ndi mitundu yambiri yamafuta a polyunsaturated acids omwe amalepheretsa mapangidwe a atherosranceotic mapepala khoma lamkati la mitsempha.
Sikovuta kusankha mankhwala okhala ndi mavitamini awa, chifukwa amapezeka pafupifupi multivitamin iliyonse.
Zakudya zamafuta ochepa
Kusunga mkhalidwe wamtima wamtima komanso kupewa atherosulinosis sikuti ntchito yokhala ndi mavitamini okha, komanso michere. Kusankha mankhwala, ndikofunikira kuyang'anitsitsa kupezeka kwake:
- Potaziyamu. Imayang'anira kupindika kwa minofu ya mtima, komwe kumayambitsa kukhudzidwa kwa mitsempha, kumalimbitsa makhoma a mitsempha yamagazi.
- Magnesium Maminolo amathandiza kagayidwe kake mu myocardium, amalepheretsa thrombosis.
- Calcium Amatenga nawo gawo la mapangidwe a mtima, amalimbitsa epithelium yamitsempha yamagazi.
- Phosphorous Ichi ndi zida zomangira ma membrane a ma cell. Popanda izi, minyewa imapangidwanso.
Atherosulinosis imatha kupewedwa mothandizidwa ndi mankhwala osokoneza bongo, komanso kutsatira chakudya. Mavitamini ofunikira kwambiri amapezeka muzakudya zonse.
M'nyengo yozizira, ndibwino kugula vitamini-mineral zovuta, chifukwa nyengo ino mavitamini omwe amapezeka mu zipatso ndi ndiwo zamasamba ndizochepa. Koma m'chilimwe ndibwino kupeza zinthu zonse zofunika pochizira komanso kupewa atherosclerosis ku zinthu zachilengedwe.
Niacin (Vitamini B3)
Amachepetsa kwambiri cholesterol m'magazi ndi zimakhala, imalepheretsa kaphatikizidwe kake m'chiwindi, limafinya mitsempha ya magazi, yomwe imapangitsa magazi kutuluka m'malo omwe akukhudzidwa ndi atherosulinosis.
Amagwiritsidwa ntchito limodzi ndi mavitamini ena komanso ngati mankhwala odziyimira pawokha.
Ascorbic Acid (Vitamini C)
Kuperewera kwa vitaminiyu mthupi, kuchuluka kwa LDL kumawonjezeka ngati njira yachilengedwe yoteteza kuti magazi asatayike.
Ascorbic acid imatenga gawo la hematopoiesis, imalepheretsa magazi, imathandizira kubwezeretsanso minofu (yothandiza ngati zilonda zam'mimba).
Tocopherol Acetate (Vitamini E)
Asayansi awonetsa kuti ndi kuchuluka kwa Vitamini E m'magazi, kuchuluka kwa LDL kumachepa. Zomwe zimachokera zimalepheretsa enzyme yomwe imayambitsa kupezeka kwa mafuta m'thupi m'chiwindi. Gulu la tocopherol lili ndi antioxidant ndi antihypoxic.
Mavitamini ena a B (thiamine, pyridoxine, cyanocobalamin, folic acid) ndi vitamini A sagwiritsidwa ntchito kwenikweni.
Zothandiza
- Masamba ndi zipatso zimakhala ndi mavitamini osiyanasiyana, kutengera nthawi ya chaka komanso malo omwe akukula.
- Kukonzekera kosayenerera ndikuphwanya malamulo osungira kumabweretsa kuwonongeka kwa zinthu zofunika ndi chakudya.
- Kuthandizira kwanyengo zamasomera ndi kukondoweza kwa mahomoni a kukula kwa nyama ndizofunikira zazikulu zachilengedwe za mavitamini.
Vitamini Mavuto
Mavitamini opanga amatha kuthana ndi mavuto a hypovitaminosis ndi kuperewera kwa mavitamini ndikuvuta kupeza zomwe zimachokera ku zachilengedwe.
Mankhwala amapita macheke onse ofunikira kuti muchepetse chiopsezo cha mavuto. Tekinoloje yatsopano pokonzekera ndi kusungirako mavitamini owapatsa mavitamini amawapatsa mwayi wambiri wa bioavailability (mpaka 95% amatengeka ndi thupi laumunthu).
Zakudya zowonjezera zakudya
Zakudya zowonjezera sizingokhala ndi mavitamini ndi michere yokha, komanso mankhwala ena othandizira. Mankhwalawa komanso kupewa matenda a atherosclerosis komanso polimbana ndi matenda othandizira, zotsatirazi ndizothandiza:
- omega-3 ndi omega-6 acids (amachepetsa kutupa, imathandizira machiritso a mabala, cholesterol yotsika),
- Tingafinye wa chestnut (kulimbikitsa ziwiya zazikulu ndi zazing'ono, kuchepetsa edema, antioxidant zotsatira),
- Ginkgo biloba Tingafinye (kuchotsa kwa vasospasm, kupewa magazi ndi kupukutika kwa magazi,
- anti-ischemic kwenikweni, kuchotsa madzi ochulukirapo m'thupi),
- ubiquinone (antioxidant ntchito, kuchuluka kwa vitamini E),
- betaine (imalimbitsa makoma amitsempha yamagazi, imakhudza kapangidwe ka LDL ndi cholesterol),
- lysine (muchepetse kuchuluka kwa mapangidwe a atherosulinotic, pali maphunziro otsimikizira kuthekera kwake kosungunuka kwa lipoproteins pamakoma a mtima).
Ma supplements ndi njira zotchuka zopititsira thanzi. Posachedwa, amagwiritsidwa ntchito kwambiri ndipo ndi oyenerera kupikisana nawo pamankhwala (malinga ngati mfundo zonse zopanga zimatsatiridwa). Polimbana ndi kuthana ndi atherosulinosis, ogwiritsira ntchito awa ndi awa: Doppelgerz Asset Omega-3, Kudesan, Holystaid, Epicuron.
Gawo la zoperekera zakudya: sizili za mankhwala, chifukwa chake sizidutsa mayeso onse otetezeka. Koma ndizoletsedwa kuphatikiza zinthu zamphamvu mu kapangidwe kake.
Ndi chakudya choyenera, kuwononga ma atherosulinosis a ziwiya zamagawo am'munsi kumachepetsa kuthamanga kwake, kuletsa kukula kwa matenda olimba ndi zotsatira zoyipa.
Cholesterol mu ziwiya zaubongo: Zizindikiro ndi mankhwala a zolembera
Kwa zaka zambiri osavutika ndi CHOLESTEROL?
Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.
Atherosulinosis yamitsempha yamagazi ndi njira yomwe imayamba chifukwa cha mapangidwe a cholesterol plaque m'mitsempha yamagazi, zomwe zimawonjezera chiopsezo cha hemorrhagic / ischemic stroke.
Chowoneka bwino cha matendawa ndikuti kumayambiriro kwa chitukuko munthu wodwala matenda ashuga samva zosokoneza komanso zizindikiro. Potengera maziko a kuchepetsedwa kwa lumen ya mitsempha, tinnitus, mutu, chizungulire. Nthawi zambiri, zizindikiro zotere zimadziwika chifukwa cha kutopa kapena zifukwa zina.
Mapangidwe a cholesterol m'mitsempha a ubongo amapangidwa m'magawo atatu. Gawo loyamba limadziwika ndi kupangika kwa milid ya lipid, mawanga. Mu gawo lachiwiri, liposulinosis imapezeka. Pamalo a atherosclerotic neoplasms, minofu yolumikizana ndi mawonekedwe achindunji. Malo ake ndi osagwirizana, fibrin ndi mapulateleti amakhazikika pamenepo.
Pa gawo lachitatu, kuchuluka kwa mchere wa calcium kumawonedwa, mapangidwe a cholesterol amapeza mawonekedwe a denser. Pang'onopang'ono, imachulukana kukula, zomwe zimapangitsa kuti magazi azitsekeka.
Zomwe zimayambitsa komanso zowopsa pakupanga zolembera
Chifukwa chomwe chimapangidwira mapangidwe a cholesterol m'mutu ndi kuchuluka kwa lipoproteins (cholesterol yoyipa) yochepa m'thupi. Kutulutsa kwa neoplasms kumayamba ndi malo ang'onoang'ono. Popita nthawi, amakula kukula. Pakawola, zimayenda mozungulira kudzera m'mitsempha, m'mitsempha, m'matumbo, chifukwa chomwe kufalikira kwa izi kumawonedwa.
Kapangidwe ka milonga ya lipid kumachitika chifukwa cha zinthu zosiyanasiyana. Izi zimaphatikizapo kugwirira ntchito molakwika kwa makoma a njira, zovuta za autoimmune, kuledzera, mwachitsanzo, chifukwa cha zochita za majeremusi kapena protozoa.
Chifukwa china ndi metabolic metabolologies - matenda a shuga, matenda a metabolic. Nthawi zambiri, chifukwa chophatikizira cholesterol chimakhala chifukwa cha kusokonekera kwa magazi m'thupi, zolakwika za endocrine system, komanso chibadwa.
Kuchepa kwa matendawa kumakulanso ndi zinthu zotsatirazi:
- Moyo wosachita bwino (kumwa kwambiri zakumwa zoledzeretsa, kusuta, kugwiritsa ntchito mankhwala osokoneza bongo),
- Kunenepa kwambiri 3 ndi 4 madigiri,
- Shuga wowonjezera,
- Chizolowezi chakudya kwambiri, kudya zakudya zoyipa,
- Chimake
- Chopanga kupanga magazi
- Zochita zamagalimoto ochepa.
Kuperewera kwa mankhwala kwakanthawi nthawi zonse kumabweretsa zovuta. Awa ndi matenda a Alzheimer's, ischemic kapena hemorrhagic stroke, vuto la mtima, angina pectoris, arrhasmia, kapena kufa mwadzidzidzi.
Matenda owonetsera a atherosulinosis aubongo
Zizindikiro za kusintha kwa atherosulinotic mu ubongo ndizosiyanasiyana. Sikuti zizindikiro ndi zizindikiro zonse zimawonekera nthawi yomweyo. Chipatalachi chimayamba kukula pang'onopang'ono - matendawa akamakula, zizindikiro zowonjezereka zimalowerera, pamene kuchuluka kwa mapangidwe a atherosulinotic kumakulirakulira, komanso kufalikira kwa ziwongo kumakulitsidwa.
Pakumayambika kwa zisonyezo zoyambirira, wodwalayo amadzuka nthawi yayitali. Monga lamulo, izi zimawonedwa pambuyo pakuchita masewera olimbitsa thupi kwambiri kapena mutakhala m'chipinda chomwe mulibe mpweya wabwino. Zizindikiro: chizungulire, tinnitus wakunja, kupweteka kwa mutu, kusokonezeka modekha.
Pa nthawi yomwe matenda akupita patsogolo, kuwonjezereka kwa zizindikiro kumadziwika. Kukhudzidwa kwa odwala matenda ashuga kwamphamvu kwambiri, kukhumudwa, kusayenda bwino kwa kayendedwe, kuyankhula kukuchepa. Popita nthawi, ngati simuyamba chithandizo, wodwalayo amatha kuchepa m'maganizo, nzeru zake zimakulirakulira, zovuta zimayamba ndi kudzisamalira - thandizo lakunja likufunika.
Zizindikiro zazikuluzikulu za atherosulinosis ya ubongo:
- Mutu wamitundu yosiyanasiyana nthawi ndi mphamvu.
- Vuto logona - ndizovuta kuti wodwalayo agone, nthawi zambiri amadzuka usiku, usiku amadzuka, kugona.
- Kusokonekera kwa machitidwe - mkwiyo, kukayikira, kukwiya, kusinthasintha, ndi zina zambiri.
- Kutopa kwambiri, kuchepa kwakukulu kogwira ntchito.
- Chizungulire, kusokonezeka kukumbukira.
- Kuyenda pang'onopang'ono, kusokonezeka kwa mgwirizano.
- Kulankhula kopanda tanthauzo.
- "Kubwera" ndi chakudya.
Ischemic stroke imayamba chifukwa chakutseka kwathunthu kwa chotengera, mwa kuyankhula kwina, kufa kwa ubongo kumachitika chifukwa samalandira michere ndi mpweya. Kutengera ndi chotengera chomwe chatsekedwa, zizindikiro zimawoneka: kufooka, kusokonekera kwambiri kwa mawu, kuchepa / kusowa kwa chiwopsezo cha miyendo, kufooka kwa ntchito, kuchepa kwa mgwirizano.
Hemorrhagic stroke mu diabetesics imachitika kangapo. Mbali - imapita patsogolo mwachangu. Poyerekeza ndi za m'matumbo, kukoka kwa magazi mu khungu la imvi / koyera kumachitika, osati kutsekeka kwa chotengera.
Ndikosavuta kudziwa mtundu wa mankhwalawo, ndipo mankhwalawa amasiyana.
Mfundo zachikhalidwe zosagwiritsa ntchito mankhwala osokoneza bongo
Palibe zomwe zapezedwa mu gawo la sayansi zokhudzana ndi njira zatsopano zochizira matenda a atherosulinosis. Chithandizo cha matenda a shuga chimakhala chovuta nthawi zonse, chimaphatikizapo njira zosagwiritsa ntchito mankhwala ndi mankhwala zochizira wodwala.
Chithandizo chamankhwala mosalephera chimaganizira zonse zomwe zimatsogolera pakukula kwa matenda a ubongo. Ndi hypoxia - kuchepa kwa oksijeni m'thupi, wodwalayo amalimbikitsidwa kuyenda tsiku lililonse mu mpweya watsopano, kusamba kwa okosijeni ndi ma cocktails a oxygen amapatsidwa.
Pazowopsa ngati kusachita masewera olimbitsa thupi, masewera olimbitsa thupi amafunikira. Dokotala amalimbikitsa kuyenda, kuthamanga pang'onopang'ono (ngati palibe zotsutsana ndi zamankhwala), yoga kwa odwala matenda ashuga, aerobics, kusambira ndi masewera ena. Mu shuga mellitus, kuyang'anira shuga mthupi monse, kumwa mapiritsi omwe amathandizira kuchepetsa shuga akulimbikitsidwa.
Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Ndi kupsinjika ndi kutengeka mtima, ndikofunikira kusintha mkhalidwe wamaganizidwe a wodwala. Ndikofunikira kukonzanso njira yogona ndi kupumula (kugona osachepera maola asanu ndi atatu patsiku). Ngati ndi kotheka, mupeze mankhwala ochepetsa, mwachitsanzo, Persen kapena tincture wa Motherwort.
Ngati onenepa kwambiri, chakudya chimalimbikitsidwa:
- Zakudya zimaphatikizapo kuletsa zakudya zingapo zomwe zimaphatikiza ndi mafuta ngati mafuta - cholesterol. Ndikofunika kusiya zakumwa zamafuta, nyama zamafuta, mazira a nkhuku, chiwindi cha cod, mafuta onga nyama (mafuta, mafuta a nkhumba),
- Ndimalola kumwa mafuta a azitona, chimanga ndi mpendadzuwa,
- Zosankha zimaphatikizapo mitundu yambiri yazomera. Imapezeka mumasamba atsopano ndi zipatso,
- Onetsetsani kuti mumadya nsomba zam'madzi, nsomba zamafuta ochepa, zipatso, zipatso zouma.
Ngati wodwala ali ndi matenda oopsa, ndiye kuti mavutowo sayenera kupitirira 140 ndi 90 mmHg.
Mankhwala
Pozindikira kuti zasayansi zikuwonetsa kuchuluka kwa cholesterol, ndiye limodzi ndi njira yolondola, mankhwala amathandizidwa kuti athetse cholesterol m'magazi.
Mankhwala onse amaikidwa ndi dokotala okha. Kuyang'anira kwakanthawi kachipatala kumafunika. Mlingo ndi nthawi yogwiritsira ntchito mankhwalawa zimatsimikiziridwa payekhapayekha - zimatengera zaka, zomwe zimagwirizana ndi matenda oopsa (matenda oopsa, shuga mellitus), mulingo wa LDL m'magazi ndi zina.
Malangizo a mankhwalawa amaphatikizapo ma statins, makamaka, Mertenil, Zokor, Atoris. Mankhwalawa samathandizira kuti muchepetse cholesterol, koma amakhazikitsa kukula kwa cholesterol neoplasms, yomwe siyilola kuti iwonjezeke. Imwani mankhwala kamodzi patsiku. Pa mankhwala, kuwunika ntchito kumachitika - kamodzi pa masiku 60-90. Malinga ndi zotsatira za kafukufukuyu, kusintha kwa mlingo kumachitika.
Mankhwala otsatirawa amathandizidwa pochiza matenda a atherosulinosis:
- Gulu la mafupa. Mankhwala amathandizira kuchepetsa magazi a triglycerides. Zovomerezedwa ndi maphunzirowa.
- Niacin amalembedwa mogwirizana ndi katswiri wazachipatala. Mankhwala amachepetsa triglycerides, amawonjezera zomwe zili mu HDL - cholesterol yabwino.
- Ma antiplatelet amathandizira kusintha kwa magazi chifukwa amachepetsa madzi amthupi, omwe amachepetsa kwambiri kuwopsa kwa magazi.
- Mavitamini a gulu B, ascorbic acid, Vitamini E. Vitamini amathandizira pakubwezeretsa, amatanthauza chithandizo china.
- Zolemba ma bile acid ndi ma resins omwe amamanga ma lipid acid, chifukwa chake samatengedwa m'matumbo am'mimba.
Njira zochizira matenda oopsa zimaphatikizira mankhwala a antihypertensive, zimachepetsa kuthamanga kwa magazi. Amatengedwa tsiku lililonse.
Kuchepa kwa kuthamanga kwa magazi kumawonjezera vuto la matenda oopsa kwambiri - kuphatikiza mtima ndi mitsempha ya mitsempha, imatha kuyambitsa stroke, chifukwa chomwe ndi kulumala kapena kufa.
Mankhwala othandizira atherosclerosis
Kuchita opaleshoni ndikofunikira muzochitika za chipatala pamene wodwala matenda ashuga ali ndi chiopsezo chambiri chotsekera mitsempha yayikulu. Pogwiritsa ntchito opaleshoni, mutha kuthetsa ziphuphu zazikulu kwambiri. Muzochita zachipatala, njira zingapo zimawonekera.
Endoscopic kulowererapo komwe kumachotsa kuchuluka kwa atherosulinotic. Kapangidwe kakang'ono kamapangidwa m'mitsempha, kenako zida zapadera zimayambitsidwa - endoscope yokhala ndi stent. Muli ndi mankhwala omwe amathandizira kuthana ndi mafuta. Ma endoscope panthawi yopusitsa amatumizidwa kumalo omwe akufuna, pomwe stent imayikiridwa.
Endarterectomy. Dokotala wakuchita opaleshoni amadula khungu, ndiye kuti mwakukhazikika amasiya magazi. Kuchotsa cholesterol plaque kumachitika pogwiritsa ntchito kagawo. Akamaliza maphunziro, adotolo amafufuza mtsempha wamagazi ndi khungu.
Kuti muwonjezere mphamvu ya mankhwala othandizira opaleshoni, chithandizo cha mankhwala chimachitika nthawi yomweyo. Sizoletsedwa kugwiritsa ntchito mankhwala azikhalidwe omwe amathandizira kuchepetsa kuchuluka kwa lipoproteins yotsika m'magazi.
Monga njira yodzitetezera, ndikofunikira kuti muzitsatira regimen ndikumwa moyenera. Njira zodzitetezera zimaphatikizanso zolimbitsa thupi zolimbitsa thupi - kuyenda mu mpweya wabwino, masewera olimbitsa thupi, masewera olimbitsa thupi. Ndikulimbikitsidwa kuti musiye zizolowezi zoyipa, penyani shuga mu shuga. Njira zonsezi, zomwe zimayang'ana pa moyo wathanzi, zimathandizira kulimbitsa thupi ndi thupi lonse.
Akatswiri azikunena za atherosulinosis ya mu vidiyo mu nkhaniyi.
Chithandizo cha Cholesterol Plaque
Atherosulinosis ndi matenda omwe amakula mosapweteka ndipo amakhudza amuna azaka za makumi anayi, ndipo akazi kanayi kuchepera. Atherosulinosis imabweretsa matenda oopsa monga myocardial infarction ndi stroke. Lero zikuyimira ngozi yayikulu pamiyoyo ya anthu, chifukwa malinga ndi ziwerengero amakhala malo oyamba muimfa m'maiko onse, mosasamala kuchuluka kwa chitukuko. Magawo a cholesterol ndiye kapangidwe kake ka atherosulinosis. Ndi zinthu zowopsa zomwe zimayambitsa matendawa.
Njira yamaphunziro
Maonekedwe a zolembera amakhudzidwa ndikuphwanya mafuta kagayidwe. Zimatsimikizika kuti chimodzi mwazinthu zomwe zimapanga mafuta metabolism ndi njira yopangira ndi kugwiritsira ntchito lipoproteins ndi triglycerides. Amapangidwa usiku ndi maselo a chiwindi kuchokera ku mafuta a nyama omwe amalandiridwa kuchokera ku chakudya, kulowa m'magazi, ndikufika pama cellular, komwe amatenga nawo gawo pantchito yopanga minofu, kapangidwe ka mahomoni ndi mavitamini. Zotsalira zimabwezedwa ku chiwindi kuti ziwonongeke. Monga momwe dzinalo limanenera, lipoproteins ndi mankhwala a mamolekyulu amafuta ndi mapuloteni. Gawo lamafuta ndi cholesterol lodziwika kwa onse.
Asayansi apeza tizigawo ting'onoting'ono ta lipoprotein timene timathandizira pakukula kwa atherosulinosis:
- kukwera kwambiri
- kachulukidwe kakang'ono
- kachulukidwe kakang'ono kwambiri.
Ngati lipoprotein yochuluka imadziunjikira (mwina mafuta ambiri amachokera ku chakudya, kapena chiwindi sichitha kukonza), kuvulaza kwawo khoma la mtima kumayamba. Kuphatikiza apo, lipoproteins yapamwamba imakhala ndi zotsatira zabwino, ndipo yotsika - imakhala chida chomanga cholesterol plaque. Mayina "cholesterol abwino" ndi "cholesterol yoyipa" ndi ozika mizu.
Kodi cholembera wa cholesterol ndi chiyani?
Kuti chikwangwani chiwonekere, pamafunika zinthu ziwiri:
- vutoli mu mafuta kagayidwe,
- kuwonongeka kwa khoma lamkati la chotengera.
Nthawi zambiri, mulingo woyenera umasungidwa pakati pa cholesterol chabwino “ndi chabwino”, choloproteins chachikulu. Ndi atherosulinosis, kuchuluka kwa mapuloteni okhala ndi mafuta ochepa komanso ochepa kwambiri.
Pa intima (nkhono yamkati) yamatumbo akulu ndi apakatikati, zotupa zazing'ono zimawonekera. Makamaka nthawi zambiri m'malo a nthambi zapanthambi. Umboni wasayansi umawagwirizanitsa ndi kachilombo ka virus. Ndi fuluwenza, matenda opumira kwambiri a pakhungu, herpes pamilomo ndi mapiko a mphuno, ma virus samapezeka kokha pamatumbo amkati, komanso m'matumbo. Izi zikuwonetsedwa ndi kufananizidwa kwa ziwopsezo zakufa kuchokera ku sitiroko ndi kugunda kwa mtima pakuwuka kwa matenda oyambitsidwa ndi ma virus ndi fuluwenza. Matenda a chlamydial, cytomegalovirus, ali ndi zofanana.
Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Kupitilira apo, mapangidwe a zolembedwa amapitilira magulu atatu:
- Gawo la banga la mafuta - pamalo owonongeka, khoma lamanjenje limasulidwa ndikutupa, limatetezedwa kuti lisatuluke ndi ma enzymes. Akasungika, cholesterol "choyipa" chimasungidwa pachiyanjano chowonongeka. Kutalika kwa njirayi ndikosiyana, pakhoza kukhala malo kuchokera paubwana, popeza pansi pa maikulosikopu imapezeka mwa ana.
- M'malo wamafuta, ulusi wophatikiza umawoneka ndikukula, umakhala wonenepa, koma wotayirira komanso wofewa. Pakadali pano, cholesterol plaque ikhoza kusungunuka ndikuchotseredwa. Komabe, pamakhala ngozi yoti ingang'ambe chidutswa, kupangika kwa mkokomo ndi kutsekeka kwa mtsempha. Khoma lomwe limakhala pamalo ovulalawo limapangidwa makina, limapweteka, zomwe zimapangitsa kuti ziwombere komanso zimawonjezera chiopsezo cha kuwundana kwa magazi.
- Mchere wa calcium umayikidwa (atherocalcinosis), zolembera zimayamba kukula. Kusintha sikungatheke. Mikhalidwe yapangidwa kuti ichepetse kuthamanga kwa magazi ndi kuchuluka kwa magazi. Amapanga zigawo zamagazi (zigawo zamagazi), zomwe zimayambitsa kuwonekera kwamankhwala. Ndi kukula msanga, kudwala mwadzidzidzi kapena matenda osakhalitsa kumachitika ndi kutsekeka pang'onopang'ono kwa magazi kulowa gawo lomwe lakhudzidwa.
Njira ya atherosulinotic imakhudza ziwiya zamagetsi za kukula ndi kukula kwakukulu. Zombo zoyipa ndi zam'mimba, komanso ma capillaries ang'onoang'ono sizowonongeka. Malo omwe amakonda kutukuka kwa malo okumbika ndi zotengera za zotanuka (mitsempha yayikulu, kuphatikiza thoracic ndi m'mimba msempha, chotupa cha akazi) ndi mtundu wa minofu-elastic (carotid artery, shipping ya mtima, ubongo, impso).
Kupezeka kwa cholesterol plaques m'mitsempha ya mtima kumabweretsa kuphwanya kwamphamvu kwa magazi kupita ku myocardium (minofu minofu) ndipo kumayambitsa kuperewera kwa coronary mu mawonekedwe a angina kugunda kapena kugunda kwamtima kwambiri. Kuchuluka kwa kuwonongeka kwa mtima kumadalira dera lomwe lawonongeka, kuchuluka, komanso mphamvu ya thupi yopanga magazi ena (ziwalo zamkati).
Zolemba za cholesterol m'matumbo a khosi zimachepetsa thanzi la ziwalo zonse zomwe zimapezeka m'mutu. Choyamba, ubongo, maso. Izi zikuwonetsedwa ndi kuchepa kwa magwiridwe antchito awo: kukumbukira, kuwona, njira yoganizira, mwayi wophunzirira. Zovuta zam'mutu zomwe zimakhala ndi mseru komanso kusanza, kuchuluka kwa magazi komanso kuthamanga kwa matenda oopsa zimagwirizananso ndi atherosulinosis ya ziwiya zaubongo ndi impso, cholesterol plaque mu carotid artery. Ndi kupatuka kwadzidzidzi kwa magazi kapena gawo la zolengeza, kuphwanya kwamphamvu kwa magazi kumachitika - sitiroko yokhala ndi ziwalo zathunthu zamkati. Chithunzi cha chipatala chimatengera komwe kuli thrombus.
Pakatha zaka makumi asanu ndi limodzi, odwala amatha kuwona chizindikiro cha plaque mu thoracic aorta. Kwambiri, izi zimawonetsedwa ndi kupweteka kosalekeza kumbuyo kwa sternum, mpaka kumbuyo. Mosiyana ndi angina pectoris, samadalira zolimbitsa thupi kapena kupsinjika. Vuto lalikulu ndi kupasuka kwa msempha.
Mitsempha yachikazi ndi ziwiya zam'mapazi zapansi zimakhudzidwa, kuzizira kwamiyendo, lamile, komwe kumakupatsani kusiya kupweteka, kuphwanya phazi ndi kupweteka kwambiri komanso kuwonongeka kwa minofu, kumachitika.
Zosintha m'mitsempha yama impso zimatha kuchotsa chiwalo chogwira ntchito, zomwe zimabweretsa kulephera kwa impso, kudzikundikira kwa zinthu za nayitrogeni komanso poizoni yemwe sanatsidwe mkodzo. Kuperewera kwa zakudya m'thupi kwa adrenal kumapangitsa kuti magazi asamangokhala osagwirizana.
Kutsekeka kwa m'mimba msempha kumapangitsa kupweteka kwam'mimba, necrosis yamatumbo, kapamba.
Kukula kwa atherosulinosis koyambirira kwa ziwiya zazing'onoting'ono zimapezeka ndi kuchepa kwa potency ndi kukokoloka kwa erectile mwa amuna.
Dipo lama cholesterol ndi lotheka pakhungu la mafupa, khosi, chifuwa. Zambiri mwa azimayi. Komabe, sizolumikizana konse ndi zombo. Dzinalo loyenera la cholesterol plaques kumaso ndi xanthelasma. Amawoneka ngati chifukwa cha kusokonekera kwamafuta kagayidwe. Ena mpaka amawawona ngati mtundu wa chisonyezo cha kukula kwa njira ya atherosulinotic m'thupi.
Ma Xanthelasms amakhala ndi mawonekedwe ozungulira, osalala kapena oterera, kuyambira ochepa kwambiri mpaka nandolo. Awa ndi mayendedwe abwino. Amakula nthawi yonse ya moyo, osapweteka, ofewa kukhudza. Malo omwe ma cholesterol amapezeka m'maso ndi vuto lochita zodzikongoletsera, sizikhudza masomphenya. Malingaliro a madokotala pazakudya ndi chimodzimodzi ndi chitukuko cha atherosulinosis. Xanthelasma imatha kumera, kuwonekanso malo ena. Pofunsidwa ndi wodwalayo, kuchotsedwa kwa cholesterol plaque kumapeto kumachitika pogwiritsa ntchito kuzizira (cryotherapy), thermocoagulation, mtengo wa laser, komanso opaleshoni.
Kodi mungaimitse bwanji atherosclerosis?
Simungachotse zolembera za cholesterol ndi mankhwala. Chifukwa cha izi, njira zingapo za opaleshoni zimagwiritsidwa ntchito.
Choyamba, odwala ayenera kupimidwa mozama kuti athe kupeza mayeso osiyanasiyana, kuphatikizapo tanthauzo la milomo yowonjezera, kuwunika kwa electrocardiographic, kuyesa kwa mtima, impso. Mphamvu zaubongo zimawerengeredwa pogwiritsa ntchito computer tomography, electroencephalography. Mwa kuyambitsa zinthu zosiyanasiyananso panthawi ya angiography, kulingalira kwa maginito, malo ndi kukula kwa magazi omwe ali mumtsikawo amatsimikizika.
Nthawi ya opaleshoni, dokotala wa opaleshoniyo, pamodzi ndi thrombus, amachotsa gawo limodzi la zolembazo. Momwe mungachotsere cholesterol malo mwachangu zimatengera kulimba kwa thupi lomwe lakhudzidwalo komanso munthu mwiniyo.
Pa magawo oyamba a matendawa (mafuta banga), mankhwala monga ma enzymes amagwiritsidwa ntchito kusungunula cholesterol plaques, koma amayenera kuperekedwa mwachindunji ndi tsamba la zotupa. Chithandizo chotere ndi chovuta kwambiri ndipo chimatheka m'magawo apadera a mtima. Chifukwa chake, ndizowona kwambiri kuti musaganize momwe mungachotsere cholesterol, koma momwe mungapewere mawonekedwe awo oyamba, okhudzana ndi mwayi wopewa matenda a atherosulinosis.
Pali mitundu iwiri yoyambitsa matenda a atherosulinosis:
- zifukwa zomwe sitingathe kutengera (zaka, chibadwa, chibadwa),
- kugwa m'malire amomwe munthu angathe kuchita ngati akufuna.
Ndi njira yachiwiri yomwe iyenera kukondweretsa anthu patatha zaka makumi anayi.
Madera asanu adadziwika momwe udindo wa munthu ndiofunika:
- kudya mafuta ochulukirapo a nyama zomwe zidachokera - zimayambitsa kudya mafuta ochulukitsa "oyipa", omwe chiwindi chimalephera kupirira,
- Kusowa kwa mayendedwe - kumachepetsa kudya mafuta m'thupi mwa thupi, kuchepa kwamafuta a metabolism kumabweretsa matenda,
- kusuta ndi uchidakwa - chimodzi mwazochita za chikonga ndi mowa zimayamba kuwonongeka koopsa kwa chiwindi ndipo thupi siligwirizana ndi kukonza mafuta,
- kunenepa kwambiri - kumayambitsa kuphwanya mitundu yonse ya kagayidwe, kuphatikizapo mafuta,
- kuchuluka kukhudzika kwa nkhawa - thupi limakhala likuchitidwa ndi adrenaline ya mahomoni, izi zimasokoneza makina osinthika, zimayambitsa kudzikundikira kwa lipoproteins yotsika.
Chakudya chosemphana ndi mafuta a metabolism sayenera kupatula mafuta a nyama (mafuta a nyama, mafuta anyama, batala, kirimu), mbale zotsekemera ndi ufa. Tsiku lililonse muyenera kutenga osachepera 0,4 kg a zipatso ndi ndiwo zamasamba. Zimatsimikiziridwa kuti pokhapokha pakudya kwa mwezi umodzi, cholesterol "yoyipa" itha kutsitsidwa ndi khumi.
Zochita zolimbitsa thupi zimayenera kupakidwa, mpaka mphindi 40 tsiku lililonse. Kuyenda, kusambira, kuyendetsa njinga ndikulimbikitsidwa. Palibe chifukwa chomwe muyenera kuchita masewera olimbitsa thupi atakwanitsa zaka 50.
Kukana kupsinjika mtima kumatha kupangidwa mothandizidwa ndi masewera olimbitsa thupi, kumwa mankhwala ochepetsa zitsamba othandizira.
Mwa mankhwala omwe amathandiza kuchepetsa cholesterol, ma statins amagwiritsidwa ntchito kwambiri. Dokotala angakuthandizeni kusankha mankhwala oyenera.
Thanzi la atherosulinosis yamitsempha yamagazi
Atherosclerosis amawonedwa mwa amuna ambiri azaka zapakati pa 40 mpaka 60. Amayi amayang'anizana ndi pathological pambuyo pa 50.
Atherosulinosis regimen
Zakudya zopatsa mphamvu ku ubongo wa arteryoscrosis ziyenera kuchitika m'magawo ang'onoang'ono a 5-6 patsiku, mutha kudzitengera nokha ndi zomwe mwapeza kuchokera pazakudya zanu. Chifukwa chake, sipadzakhala katundu wosafunikira pazakudya zamagetsi ndi ma cholesterol amana. Chakudyacho chimakhala chokhala ndi kulemera koyenera. Kulemera kwa thupi ndikofunikira chifukwa katundu amakhala wolengedwa osati ndi machitidwe a musculoskeletal, komanso mtima.
Mukamadya, ndikosayenera kuwerenga, kuwonera TV, kuyankhula, motere, chimbudzi chimasokonezedwanso. Kuyang'aniridwa kwakukulu kumayenera kulipidwa mpaka maola omwe munthu amadya. Chakudyacho chizikhala maola awiri usanagone.
Zakudyazo sizikhala ndi zopatsa mphamvu zambiri. Zakudya zam'madzi zololedwa, zakudya zamasamba, chimanga, nsomba zopanda mafuta, zakudya zam'kati, yogati, shuga, chokoleti ndi uchi ziyenera kukhala zochepa.
Kupatsa thanzi kwa matenda aubongo
Kupatsa thanzi kwa atherosulinosis ndikofunikira chifukwa chakudya chimapatsa mphamvu komanso chitetezo cha mthupi, makamaka ngati mumadya chokoleti. Odwala ayenera kutsatira zakudya. Kuphatikiza apo, zakudya zoyenera za atherosulinosis zili ndi zinthu zofunika zomwe muyenera kudya.
- Sea kale, ndikupanga kuchepa kwa ayodini,
- Nandolo, yomwe ili ndi mavitamini B2,
- Biringanya, kusintha kagayidwe, kutsitsa mafuta m'thupi,
- Mchere wa calcium
- Chivwende chomwe chimachotsa cholesterol yambiri
- Sitiroberi wamtchire
- Kucha chitumbuwa.
Mukamadya ndi atherosulinosis ya ziwiya zamafuta, munthu samva kuperewera, chifukwa chida chotere chimapangitsa kugwiritsidwa ntchito kwa zinthu zonse, koma pang'ono. Pali zosiyana, koma popanda iwo wodwalayo sangamve bwino.
Ngati tikulankhula za zakudya za matenda a m'matumbo a mtima, ndiye kuti zinthuzo zimakhalabe zofanana ndi matenda aubongo - osachepera ena.
Zakudya za kuwonongeka kwamitsempha ya miyendo
Zakudya zamatenda a atherosulinosis a ziwiya zamagawo am'munsi ndizofunikira nthawi iliyonse yamankhwala. Panthawi yochizira matendawa, zakudya zopatsa thanzi ziyenera kukhalapo, ndiye maziko osinthira vutoli. Cholinga cha chakudyacho ndikuchepetsa kudya komwe kumakweza cholesterol, malamulo amchere, madzi, nyama.
Zakudya ndi kupewa kwa atherosulinosis yamtundu uliwonse zizikhala njira ya moyo, yomwe iyenera kusamalidwa nthawi zonse. Chakudya chamafuta ocheperako chimaperekedwa kwa anthu onenepa kwambiri komanso kupewa matenda. Ndikusowa kwa oxygen m'miyendo, chiopsezo chokhala ndi zilonda zam'mimba ndizambiri.Kulimbana ndi matenda ofanana, tikulimbikitsidwa kugwiritsa ntchito kabichi yokhala ndi vitamini C. Zomwe zimagwiritsidwa ntchito popanga mankhwala ndi magalamu 100 tsiku lililonse.
Ndi atherosclerosis, simungathe kudya kwambiri.
Mankhwalawa atherosclerosis, zakudya No. 10 ziyenera kutsatiridwa ndi odwala onse. Kuphatikiza pa zakudya zomwe zakhazikitsidwa, mutha kugwiritsa ntchito njira yanu ndikuiphika. Chachikulu ndichakuti chakudya chizikhala ndi zopatsa mphamvu zochepa.
Zakudya kwa kupendekera kwa carotid mitsempha ndi senile atherosulinosis
Carotid arteriosulinosis imadziwika kuti ndi matenda oopsa. Zakudya zimathandiza wodwala kupewa matenda a sitiroko. Ngakhale ndizoletsa, koma zakudya zosankhidwa bwino ndi maziko a chithandizo.
Zakudya No. 10 chifukwa cha atherosulinosis ya carotid mitsempha ndiyonse komanso yoyenera mitundu yonse yamatenda am'mimba. Ndi matenda opita patsogolo, zakudya zopatsa thanzi komanso zosagwiritsidwa ntchito masiku ano sizigwira ntchito bwino, motero pambuyo pake lingaliro lingachitike pakuthandizira opaleshoni.
Zakudya za wodwala pazakudya za matenda a ubongo - sayenera kukhala ndi shuga, uchi, mkaka wokhala ndi mafuta opitilira 1%, confectionery, nyama yamafuta pamndandanda wazinthu. Zogulitsazi zimakhala ndi cholesterol yochuluka, yomwe imakhudza thanzi lomwe kale.
Zinthu Zovomerezeka za Atherosulinosis
Nutritionists akupanga dongosolo labwino lazakudyazi. Mndandanda wazakudya zoyenera ndikuyerekeza, koma maziko ake ndiwotsimikizika kwa wodwala aliyense yemwe amadziwa njira ya pathological yogwirizana ndi cholesterol.
- Chinyumba cha nkhuku (makamaka kusowa kwa mafuta, khungu),
- Chinyama, kalulu,
- Game (mtundu wina uyenera kufotokozedwa ndi sing'anga wopezekapo),
- Nsomba zam'nyanja (mitundu yamafuta imaloledwa, chifukwa momwe zimachitikira m'mitsempha yamagazi zimachitika),
- Zinthu zamkaka (yogati, tchizi tchizi, mkaka wowotchera),
- Mazira (zosaposa zidutswa ziwiri pa sabata ndizovomerezeka),
- Zipatso (mphesa zokha, deti ndizoletsedwa, popeza zimakhala ndi shuga),
- Maphika onse amaloledwa (Chinsinsi chanu ndichololeka)
- Mitengo yochepa ya pasitala
- Mkate wowala osati magawo awiri patsiku,
- Uchi (mlingo umakambirana payekha),
- Tiyi wofyoka wopanda mphamvu (kupatula shuga mu zakumwa), chokoleti chamdima.
Popewa kukula kwa atherosulinosis patatha zaka 40, tikulimbikitsidwa kumwa timadziti kuchokera ku mbatata ndi masamba. Mandimu ndi malalanje nawonso ndi othandiza, kapena m'malo mwake juwisi.
Zakudya zoletsedwa za atherosulinosis
Nyama yamafuta siyenera kuyikidwa pambali pakudya, makamaka zidutswa zomwe mafuta amawoneka bwino. Batala pang'ono, mafuta anyama, margarine - oletsedwa. Ndiponso:
- Kuyika chiwindi
- Magongo, impso, chiwindi chilichonse,
- Msuzi wolemera, msuzi,
- Masoseji,
- Mafuta ambiri amkaka
- Wofupika Mkaka, v
- Ayisikilimu
- Chips,
- Msuzi, mayonesi,
- Kuphika.
Pali zakudya zomwe zili zovomerezeka, koma zochepa. Tikuyankhula za zinthu monga mafuta amasamba, uchi, nyama yopendekera, nyama yamphesa, tchizi chamafuta ochepa, vinyo wofiira. Chinsinsi chilichonse kuchokera ku zakudyachi chimayenera kukhala ndi zopatsa mphamvu zochepa.
Maswiti ololedwa
Maswiti omwe amaloledwa ku atherosulinosis alipo. Chokoleti chakuda, halva, marmalade, marshmallows, marshmallows akhoza kuwonjezeredwa mndandanda wazosankha. Zogulitsa uchi zimaloledwa, mwachitsanzo, uchi ungaphatikizidwe ndi mkaka wopanda mafuta, pomwe udzasinthira shuga. Sizoletsedwa kupangiranso mchere (zomwe mwapanga).
Chokoleti chakuda chopangidwa kuchokera ku nyemba za cocoa chimapatsa mphamvu thupi, ndiye kuti simuyenera kuchotsera. Imathandizira bwino ndi pathological process. Inde, chikhalidwe cha maswiti ayenera kukambirana ndi adokotala.
Zakudya zotsekemera ndizofunikira kwambiri kwa thupi ndi atherosulinosis, koma musaiwale za zopatsa mphamvu. Ndi matenda amitsempha, ndikofunikira kuti mukhale ndi khola lolemera lomwe silidutsa muyezo. Thanzi laumunthu limadaliranso. Monga lamulo, kulemera mopitirira muyeso kumayambitsa limagwirira lomwe lili ndi cholesterol.
Ubwino wazakudya zowonjezera zamatenda a atherosulinosis
Mavitamini ofunikira atherosulinosis, wodwala amatha kuchokera pazakudya zowonjezera. Mwachitsanzo, malonda okhala ndi adyo (Allikor) amathandizadi ndi matendawa, koma mankhwalawa amakhala ndi zotsatira zabwino akakhala atsopano.
Chofunikira kwambiri ndizophatikiza zomwe zimakhala ndimafuta a nsomba, mafuta acids, ndi zinthu zovuta za vitamini. Zakudya zowonjezera izi zitha kuphatikizidwa muzakudya zamagulu kokha ngati munthu samadya nsomba zam'nyanja malinga ndi zomwe amakhulupirira. Zitha kugwiritsidwa ntchito ngati prophylaxis, koposa zonse, kudziwa kuchuluka kwa mankhwalawa komanso njira zina.
Mulimonsemo, ziribe kanthu mtundu wa atherosulinosis womwe umayikidwa, ndikofunikira kutsatira zakudya zoyenera, kumwa mavitamini. Zakudyazo zimayenera kuyang'aniridwa, chifukwa kuzinyalanyaza kumabweretsa zotsatirapo zomvetsa chisoni.
Malangizo a atherosulinosis ndi zakudya
Mwa njira zodzitetezera, kulimbana ndi neurosis komanso kugwira ntchito mopitirira muyeso ndikofunikira kwambiri. Odwala ayenera kulimbikitsidwa kupuma pafupipafupi, makamaka kugona nthawi yayitali, komwe kumatheka bwino ndikamakhala mwatsopano, kumatha kusamba kophatikizana ndi mapiritsi ang'onoang'ono a mapiritsi ogona musanagone.
Maphunziro olimbitsa thupi kapena kugwira ntchito zolimbitsa thupi ndizofunikira kwambiri, zomwe zimapangitsa kuti kagayidwe kake kazichite (mwachidziwikire, poganizira zotsutsana ndi zolimbitsa thupi).
Ponena za regimen, zovuta zoyipa za nikotini ndi mowa ziyenera kukumbukiridwa.
Mavitamini a Atherosulinosis
Mavitamini amakhudzanso cholesterol metabolism ndi lipoid deposition m'makhoma ochepa. Ascorbic acid (Vitamini C) mu Mlingo waukulu umachepetsa cholesterol yamagazi ndipo nthawi yomweyo imakulitsa kutulutsa mafuta m'thupi ndi chiwindi. Muyenera kupewa kugwiritsa ntchito ascorbic acid okhala ndi magazi atsopano, makamaka m'mitsempha yama coronary (kuthekera kwa kuchuluka kwa zomwe zili mu prothrombin m'magazi).
Imodzi ndi ascorbic acid, tinodine ya ayodini imayendetsedwa. Mankhwalawa atherosclerosis, kukonzekera kwa ayodini posachedwapa kukopa chidwi. Mothandizidwa ndi ayodini, ntchito ya chithokomiro imalimbikitsidwa, yomwe imayendetsedwa ndi kutulutsidwa kwa thyroxine, mothandizidwa ndi momwe kuchuluka kwa cholesterol kumachepetsedwa.
Pamodzi ndi vitamini C, mavitamini B ovuta amagwiritsidwa ntchito kwambiri, omwe amakhala ndi lipotropic yokhazikitsidwa ndi kukhalapo kwa choline ndi methionine mwa iwo, zinthu zazikulu za lipotropic. Mothandizidwa ndi mavitamini B12 ndi B3, sikuyenera kuchepa chabe kwa cholesterol, komanso kuwonjezeka kwa lecithin, komwe kumakulitsa kuchuluka kwa lecithin-cholesterol.
Choline imakhala ndi phindu pa cholid metabolism motero amalimbikitsidwa kwa atherosulinosis ndi cholinga cha prophylactic ndi achire. Mothandizidwa ndi choline, kuchuluka kwa cholesterol kumachepa, kuchuluka kwa phospholipids (lecithin) kumawonjezeka, zomwe zimathandiza kuchepetsa kufalikira kwa cholesterol m'makoma amitsempha yamagazi. Methionine wofotokozedwayo ukuchitanso.
Mankhwala a Atherosulinosis
Statins - (HMG-CoA reductase inhibitors) amagwiritsidwa ntchito kwambiri pochiza hypercholesterolemia. Statins amachepetsa kuchuluka kwa cholesterol biosynthesis, kutsitsa kwambiri kuchuluka kwa otsika osalimba a lipoproteins (LDL) ndikuwonjezera kuchuluka kwa kuchuluka kwa lipoproteins (HDL). Komabe, ma statins ali ndi zovuta zomwe zimatha kupweteketsa mutu, nseru, kusanza, kudzimbidwa kapena kutsegula m'mimba, zotupa pakhungu, ndi kupweteka kwa minofu. Myopathy (kupweteka kwa minofu kapena kufooka) ndi statin monotherapy kumachitika mwa pafupifupi 1 mwa odwala 1000, komanso okhudzana ndi mlingo. Ngati wodwala yemwe sakudziwika za myopathy akupitiliza kumwa mankhwalawa, ndiye kuti kuchepa kwa minyewa yolumikizidwa minyewa komanso kulephera kwaimpso kungayambike. Ngati myopathy atapezeka pa nthawi yake ndipo mankhwalawo atha, ndiye kuti minyewa ya m'misempha imasinthidwanso, ndipo zomwe zimachitika ndi kulephera kwa impso ndizokayikitsa.
Ma Statins amasiyana muzochitika zawo zamankhwala komanso zamankhwala, motero kusankha kwa mankhwala kumachitika bwino ndi dokotala.
Cholesterol Synthesis Inhibitors
Zoletsa za cholesterol synthesis zimachepetsa mayamwidwe a cholesterol kuchokera m'matumbo, potero amachepetsa cholesterol yapamwamba ya plasma. Kuphatikiza apo, ali ndi mphamvu yotsutsa-yotupa ndipo amachepetsa kwambiri kumamatira kwa monocytes. Zoletsa cholesterol synthesis zimakhudza vasodilation, ziletsa kuphatikizira kupatsidwa zinthu za m'magazi, oxidation wa otsika osalimba lipoprotein komanso kuchuluka kwa maselo osalala.
Nthawi zina mankhwalawa amagwiritsidwa ntchito limodzi ndi ma statins (gawo la mankhwala osakanikirana).
Mukamagwiritsidwa ntchito nokha, zotsatira zoyipa zimaphatikizapo kupweteka kwam'mimba, kupweteka kumbuyo, kutsegula m'mimba. Kuphatikiza ndi ma statins, zoyipa zimatha kuphatikizira kupweteka pachifuwa, chizungulire, kupweteka kwa mutu, kupweteka kwa minofu, komanso matenda am'mimba opatsirana.
Fibates - zotumphukira za fibroic acid, zimayambitsa kuchepa kwa magazi triglycerides ndi kuchuluka kwa osalimba a lipoproteins. Fibates ndi agonists a zida za nyukiliya - ma intracellular zigawo zomwe zimakhala ndi ma enzymes, ma activation omwe amalimbitsa machitidwe mu cell nucleus, amawongolera kagayidwe ka lipoprotein, kaphatikizidwe wa apoproteins, ndi makutidwe ndi okosijeni amafuta acid. Kukhazikitsa kwa njirazi kumabweretsa kutseguka kwa plasma ndi lipoprotein lipases, ma enzymes omwe amawongolera ma hydrolysis a lipoprotein, omwe, amachititsa kutsika kwa magawo awo m'magazi a magazi. Zotsatira zoyipa zimaphatikizira kupweteka kwa mutu, kupweteka kwam'mimba ndi kupweteka kwa msana, komanso mavuto a kupuma.
Kusinthana kwa Ion
Ma resin osinthana ndi Ion (othandizira a bile acids) agwiritsidwa ntchito ngati othandizira kutsitsa kwa lipid kwa zaka zoposa 30. Iwo bile bile zidulo mu lumen yaingʻono matumbo ndi kumapangitsa chimbudzi chawo ndi ndowe. Chifukwa cha kuchepa kwa mayamwidwe amadzimadzi am'mimba kuchokera m'matumbo, ma receptor owonjezera a B-E amapangidwa m'chiwindi kuti amalipire kuchepa kwa cholesterol, komwe kumapangitsa kuchepa kwa cholesterol m'madzi a m'magazi.
Zotsatira zoyipa zingaphatikizepo kudzimbidwa ndi kuchuluka kwa zotupa za m'mimba, kudzimbidwa, kupweteka kwa minofu, zilonda zapakhosi, kufooka ndikuwonjezera magazi, chifukwa Ma resion a ion amafunikira kuchuluka kwa vitamini K, komwe kumakhudzana ndi kuchuluka kwa magazi. Kuphatikiza ndi vitamini K kudzathandiza kuthetsa vutoli.
Mankhwala ena
Mankhwala osiyanasiyana amagwiritsidwa ntchito pochiza atherosulinosis:
- antioxidants: mavitamini E, A, C,
- omega-3 polyunsaturated fat acids,
- mankhwala obwezeretsa mahomoni (estrogens),
- anticoagulants.
Pakadali pano, zabwino zomwe ambiri mwa mankhwalawa sanalandire. Komabe, nthawi zina, kugwiritsa ntchito ndalama zina pamwambazi ndi chifukwa.
Mu milandu yomwe mankhwala a atherosulinosis sagwira ntchito mokwanira kapena sangagwiritsidwe ntchito, plasmapheresis imagwiritsidwa ntchito.
Matenda a atherosulinosis amawonjezereka ngati amaphatikizidwa ndi matenda oopsa ndipo makamaka ndi kuperewera kwa coronary.
"Momwe mungachiritsire atherosclerosis" ndi zolemba zina kuchokera ku gawo la Atherosulinosis
Mphamvu ya ramipril ndi vitamini Ε mu atherosulinosis.
Zotsatira za Ramipril ndi Vitamini E pa Atherosulinosis
Kafukufuku Wowunika Kusintha kwa Carotid Ultrasound mu Odwala Kuchitiridwa Ndi
Ramipril ndi Vitamini E (SECURE)
Lonn E.M. Yusuf S. Dzavik V. Doris C.I. Yi Q. Smith S.,
Moore-Cox A. Bosch J. Riley W.A. Teo K.K. kuchokera kwa ofufuza a SECURE
Kuyamba Kutsegula kwa renin-angiotensin-aldosterone dongosolo ndi makutidwe ndi okosijeni a otsika kachulukidwe lipoproteins (LDL) amagwira ntchito yayikulu pakukula kwa atherosulinosis. The SECURE omwe akuyembekezeredwa kuti azichita kafukufuku wamaso awiri ndi 3x2 factorial kapangidwe kake (monga gawo la HOPE) adawerengera zotsatira za mankhwala omwe amakhala nawo kwa nthawi yayitali ndi ramipril ndi vitamini ан angiotensin-kutembenuza enzyme inhibitor pakukula kwa atherosulinosis mwa odwala omwe ali pachiwopsezo chachikulu.
Njira ndi zotsatira. Odwala 732 azaka zapakati pa 555 anali osasinthika omwe anali ndi vuto la minyewa kapena matenda a shuga kuphatikiza ndi vuto limodzi, koma osakhala ndi vuto la mtima kapena gawo laling'ono lamanzere amitsempha. Amasankhidwa a ramipril pa Mlingo wa 2,5 kapena 10 mg / tsiku kapena vitamini Ε (RRR-α-tocopherol acetate) kapena placebo yolingana. Kutsatira kwapakati kunali zaka 4.5. Kupita patsogolo kwa atherosulinosis kunayesedwa pogwiritsa ntchito kupimidwa kwa mitsempha ya carotid. Chiyero chambiri chowonjezeka pakukula kwa carotid artery intima-media anali 0,0217 mm pachaka pagulu la placebo, 0,0180 mm pachaka pagulu la ramipril 2,5 mg / tsiku ndi 0,0137 mm pachaka pagulu la ramipril 10 mg / tsiku (p = 0.033). Kuchulukitsa kwa atherosulinosis pogwiritsa ntchito vitamini Ε sikunasiyanane ndi zomwe zimachitika pakatha placebo.
Pomaliza Kuchiza kwakanthawi yayitali ndi ramipril kumakhala ndi phindu pa kukula kwa atherosulinosis, pomwe vitamini Ε ilibe phindu pa izo.
Kafukufuku wazowerengera ndi epidemiological akuwonetsa kuti kutsegulira kwa renin-angiotensin-aldos-terone system ndi kusintha kwa oxidative kwa otsika kachulukidwe lipoprotein cholesterol (LDL) kumagwira ntchito yofunika kwambiri pa atherogeneis, komanso kugwiritsa ntchito nthawi yayitali ndi ACE inhibitor kapena antioxidant vitamini Ε 2. Zotsatira za mankhwalawa pakukula kwa atherosulinosis mwa anthu zaphunziridwa mu mayeso ochepa chabe. Pankhaniyi, tinayambitsa mayeso azachipatala oyembekezeredwa kuti ayese zotsatira za ramipril ndi vitamini pakukula kwa atherosulinosis. Phunziro la SECURE linali gawo la kafukufuku wa HOPE, omwe adasanthula mphamvu ya mankhwalawa popewa zovuta zamtima mu 9,541 odwala 3.4.
Mapangidwe ndi mawonekedwe a phunziroli afotokozedwa mwatsatanetsatane kale. Chidule chachidule chimaperekedwa.
Phunziro la HOPE ndi kafukufuku wake wapansi wa SECURE adaphatikizanso odwala omwe ali pachiwopsezo chokhala ndi zovuta zam'mtima 3-5. Odwala adalembedwa kuyambira Disembala 1993 mpaka Ogasiti 1995 m'malo 6 a Canada. Awiri mwa iwo adakumana ndi gawo la sonography yamagawo awiri a carotid artery.Phunziroli lidaphatikizapo odwala ≥ wazaka 55 wazaka omwe ali ndi vuto la minyewa kapena matenda a shuga komanso kuphatikiza chimodzi chomwe chinali pachiwopsezo cha mtima ndi zithunzi zokwanira zinajambulidwa ndikumveka koyambirira kwamitsempha yama carotid. Chowunikira choyenera chinali kuthekera kopima molondola makulidwe a intima-media of the carotid artery m'malo osachepera anayi osankhidwa. Njira zowachotsera panali kulephera kwa mtima, kuchepa kwa khumbo lamanzere lamitsempha yamanzere yoposa 40%, kulowerera kwa myocardial, angina osakhazikika kapena sitiroko m'mwezi wapitawu, chithandizo cha ACE inhibitor kapena Vitamin E, matenda osagwirizana ndi magazi (> 160/100 mm Hg), nephropathy yodziwikiratu. kapena matenda akulu omwe angakusokonezeni kutengapo gawo kwanu mu phunziroli. Odwala onse adapereka chidziwitso cholemba, ndipo phunziroli lidavomerezedwa ndi komiti yoyang'anira malo onse.
Kupanga Kwophunzira, Kupanga Zopangika, Kukhazikika, ndi Kuwunika
Odwala adayesedwa mwezi umodzi pambuyo pa chisawawa, kenako miyezi isanu ndi umodzi. Maulendo onse ndi ma ultrasound adamalizidwa ndi Julayi 1, 1999. Kuthamanga kwa magazi kwa systolic ndi diastolic kunayesedwa ndi anamwino odziwa ntchito panthawi yachisawawa, atatha mwezi umodzi, zaka ziwiri komanso kumapeto kwa kafukufukuyo pogwiritsa ntchito standard sphygmomanometer molingana ndi protocol yokhazikika (muyeso unachitika m'mawa , pomwe odwalawo adamwa mankhwalawa madzulo, kugwiritsa ntchito cuff yokwanira, odwalawo anali mgonero kwa mphindi ≥5, pomwe kuthamanga kwa magazi kudalembedwa kawiri pa mkono uliwonse, mtengo wofunikira wa min zizindikiro akagwa pa dzanja lamanja ndi kumanzere).
Pazomwe zimachitika komanso kumapeto kwa kafukufukuyo (zaka 4-5 zitachitika mwachisawawa, zaka 4,5), carotid artery echography idachitidwa kawiri (ndikusiya kwa kupitilira masabata atatu), ndikuwunika kamodzi kokha kopitilira muyeso patatha zaka 1.5-2.2 patachitika chisankho. Njira yofufuzira ikufotokozedwa mwatsatanetsatane kale. Zojambula zapamwamba kwambiri zimachitika ndi akatswiri atatu odziwa bwino komanso ovomerezeka. Kafukufuku wokhazikika wofanizira komanso kutanthauzira kwa 6.7 adagwiritsidwa ntchito. Mwakuyerekeza kwakanthawi pang'ono, makulidwe apamwamba a media (TIM) adalemba m'gawo lililonse la magawo 12 a carotid artery 1 cm (mkati mwa carotid artery, bifurcation, common carotid artery). Kusanthula kwa chithunzi kunachitika ndi akatswiri awiri ovomerezeka njira yakhungu. Kwa wodwala aliyense, pafupifupi TIM yayitali idawerengeredwa pamitengo khumi ndi iwiri. Kusiyana kwapakati pa TIM yapakati pakati pa miyeso ya 732 yophatikizidwa panali 0.014 ± 0.17 mm, kusiyana kwathunthu kunali 0.12 ± 0.11 mm, ndipo cholumikizira cha Pearson cholingana chinali 0.87. Pamapeto pa kafukufukuyu, kusiyana kwapakati pa TIM kutalika kwapakati pa 641 miyeso ya paired kunali 0.004 ± 0.09 mm, kusiyana kwathunthu kunali -0.06 ± 0.06 mm, ndipo cholumikizira cholumikizira chinali 0.97. Kusanthula kwatsatanetsatane kwa kusiyanasiyana kwakatundu komanso pakati paubwenzi kunawonetsa kuwonjezereka kwa zotsatira komanso kusasinthika kwake pakupita nthawi.
Mapeto oyambira phunziroli anali kuchuluka kwapachaka komwe kukuwonjezeka kwapakati pa TIM. Kutsirizika kwachiwiri kunali kuwonjezeka kwapachaka kwa TIM yayikulu kwambiri m'magawo a chotupa cha carotid. Monga gawo la kafukufuku wa HOPE, zotsatira zamankhwala zidalembedwanso ndikuwunika. Kafukufukuyu anali wamphamvu mokwanira kuti aphunzire za mankhwala awiri omwe ali pachiwopsezo cha zovuta zamtima.
Kusanthula kunachitika mwa zitsanzo za odwala omwe anayamba chithandizo pogwiritsa ntchito pulogalamu ya SAS 6.12. Mukamasanthula malembedwe oyambira ndi sekondale, panalibe kuyanjana pakati pa mankhwalawa (p = 0.90 ir = 0.61, motero, njira ya ANOVA). Pankhaniyi, kusiyana pakati pa ramipril kwathunthu komanso mosiyanasiyana Mlingo ndi placebo kunayesedwa, komanso pakati pa vitamini соответствующим ndi yolumikiza yolingana. Makhalidwe oyambira poyerekeza amafananizidwa pogwiritsa ntchito njira ya ANOVA ndi kuyesa kwa chi-mraba. Kuwonjezeka kwa kuchuluka kwapakati pa TIM komanso TIM yayitali kwambiri m'gawo lililonse la wodwala aliyense amawerengedwa potengera zotsatira za kafukufuku wambiri pogwiritsa ntchito njira yolembetsera (atatsimikizira kusapezeka kwa kupatuka kwakukulu kuchokera pamzere wolozeka). Zotsatira zonse za ramipril, zomwe zimapangitsa kuti mlingo uliwonse wa ramipril (2,5 ndi 10 mg) ndi vitamini Ε adasanthula pogwiritsa ntchito njira ya ANOVA. Chiwonjezero cha kuchuluka kwa TIM yayikulu kwambiri chinali chodalira, ndipo mankhwalawo anali odziyimira pawokha. Pogwiritsa ntchito njira ya ANCOVA, kusanthula kunachitika ndikukonzanso kusintha kwa magazi a systolic ndi diastolic ndikusinthidwa pazinthu zingapo zomwe zidapangitsa kuchuluka kwa kukwera kwa TIM malinga ndi kusanthula mosagwirizana. Pofuna kukonza kuti pakhale kugwiritsa ntchito ulamuliro umodzi, njira ya Dunnett idagwiritsidwa ntchito kuyerekezera milingo iwiri ya ramipril. Kusanthula koyambirira kunaphatikizapo odwala onse omwe kunali kotheka kuwunikira mphamvu ya TIM, i.e. Pamaso pa maphunziro awiri oyambilira a Ultra komanso kuphunzira kamodzi mu mphamvu.
Makhalidwe Abwino, Kuwona, ndi Kudzipereka
Zomwe zimakhazikitsidwa sizinasiyane pakati pamagulu oyerekeza, kupatula kusuta kofulumira, komwe kunali kokulirapo pagulu la odwala omwe amalandira vitamini Ε (Gome 1). Makhalidwe oyambira a odwala 693 omwe anaphatikizidwa pakuwunika koyambirira kumapeto kwa kafukufuku anali ofanana.
MUTU 1. Zoyambirira (M ± o)
About Vitamin E ndi Atherosulinosis
Ine, monga anthu ena ambiri, timadera nkhawa za matendawa. Matendawa akuterera osadziwika. Choyamba, kuthamanga kwa magazi, kenako kulemera, kusokonekera kwa glucose, ndiye kumenyedwa koyamba kapena vuto la mtima ... Ndipo zaka za "ozunzidwayo" zikukula mwachangu.
Malinga ndi mawonedwe amakono, ma radicals aulere amaukira mamolekyulu a LDL (otsika kachulukidwe lipoprotein kapena cholesterol "yoyipa") m'makoma amitsempha yamagazi ndikuwasandutsa mafuta ochulukirapo. Kusintha kwofunikaku kwa LDL lero kukuwoneka ngati chiyambi cha atherosulinosis. Ngati makutidwe a oxidation a LDL samachitika mobwerezabwereza, tsiku lililonse komanso usiku uliwonse, tikukhulupirira kuti mitsempha imakhalabe yaying'ono osatsekedwa. Pokhapokha makulidwe a oxidamu pomwe ma molekyuluwa amayamba kuchita nawo mapangidwe a cholesterol, omwe amatchingira mitsempha ndikuwapangitsa kukhala owuma.
Mutha kupulumutsa mitsempha yanu ku ukalamba wosafunikira m'njira ziwiri.
- Choyamba, muyenera kupewa mafuta ndi zinthu zina zomwe ndi magwero a zotsalira zopanda ufulu kulowa m'thupi.
- Kachiwiri, muyenera kukhathamiritsa magazi ndi ma antioxidants kuti asinthe ma radicals aulere ndiku kuwaletsa kuti asakopere LDL yanu. Izi zimayimitsa zomwe zimayambitsa matenda a atherosulinosis, ndipo zilibe kanthu kuti muli ndi zaka zingati. Inde, mukayamba kuyamba, mitsempha yanu imakhala yocheperako.
Katatu kugunda pa ukalamba
Mwayi wabwino kwambiri wokhoza kuyimitsa oxidation wa LDL ndi atherosulinosis ndi Vitamini E, Vitamini C ndi Yubikinol-10 (Coenzyme Q-10). Awa ndi malingaliro a Dr. Balz Fry, wofufuza za momwe ma radicals aulere amnjira zamagazi amachokera ku Boston University School of Medicine.
Vitamini E: kuchapa ufa wam'mitsempha
Pofuna kusamalira komanso kubwezeretsa unyamata wam'mitsempha, ndikofunikira kutenga osachepera 100, makamaka 400 IU ya vitamini E patsiku.
Ndikofunikira kwambiri, akukhulupirira, kulimbitsa chitetezo mkati ndi kunja kwa molekyulu ya LDL, ndipo ma antioxidants atatu awa amagwira ntchito limodzi. "Yubikinol ndiye njira yoyamba kuteteza," akutero Dr. Fry. Popeza samatha kusungunuka, imalowa molekyulu ya LDL ndikulephera kuyesa mwamphamvu.
Njira yodalirika ndi mavitamini E osungunuka mafuta, omwe amathandizanso kukoka kwa oxidation mwachindunji mkati mwa molekyulu ya LDL. Vitamini C, kwinaku, imazungulira mumadzi othamanga, kuteteza kusintha kwaulere kwa ma molekyulu a LDL. Chifukwa chake, kuti mukwaniritse zotsatira zabwino, mumafunikira Mlingo waukulu wa antioxidants onse atatu, komanso zinthu zina zambiri zopindulitsa.
Mitengo yovomerezeka (RNPs) ya vitamini E ndi iyi:
Phindu la mavitamini ndi zakudya zowonjezera pothandizira matenda a atherosulinosis
Chinsinsi cha chithandizo cha atherosclerosis ndikuchotsa cholesterol plaque m'mitsempha yamagazi. Popanda mavitamini, kudya zakudya zowonjezera, kuchenjeza ndikuchotsa matendawa ndizosatheka.
Chomwe theka la matenda amakalipira ndi kusowa kwa zakudya komanso kusowa kwa zinthu. Mutha kupewa chitukuko cha atherosulinosis posintha zakudya, kutsatira moyo wathanzi komanso kubwezeretsanso zinthu, mavitamini. Kupewa matenda ndi bio-zinthu ndizovomerezeka kwa odwala omwe ali ndi atherosulinosis.
Zotsatira za Vitamini za Atherosulinosis
Kuphatikizika kwa mankhwalawa kumaphatikizapo mankhwala, kusintha kwa moyo, kudya komanso kuchuluka kwa zinthu zofunika. Gawo lililonse ndilofunikira, mavitamini a atherosulinosis amatenga mbali yofunika kwambiri.
Pankhani ya kakulidwe ka matenda, thupi limafunikira kuchuluka kwa zinthu izi.
Magulu B (B1, Mu2, Mu3, Mu6, Mu12, Mu15) zimakhudza zovuta, nicotinic acid (niacin, B3) ndi wa udindo waukulu mu:
- cholesterol yotsika
- kupindika,
- kutsika kwa mapulogalamu am'madzi,
- Kupanga njira zoyendetsera magazi,
- otsika triglycerides,
- utachepa wa kapoproteins m'chiwindi,
- kutsekereza kwakanema kwamasulidwe amafuta acid kuchokera ku ma adipose zimakhala.
Kuchita bwino kumachitika mu Mlingo wa 3-5 g. Kupezeka kwa lipotropic zinthu za choline ndi methionine, komwe kumakhudza cholesterol, kumawonjezera kuchuluka kwa phospholipids (lecithin), kumachepetsa kuchuluka kwa mapepala m'matumbo ndikuletsa kukula kwa aortic atherosulinosis.
Polyneuropathy, cheylosis imakula ndipo njira ya matendawa ndi yovuta. Zakudya zoyenera zimasunga thiamine moyenera, kusintha magazi ndikuwateteza ku zotsatirapo zake. Vitamini B6zopezeka mu nsomba, munyama ndi mkaka, zimachepetsa cholesterol ndikukhazikitsa njira zamafuta a metabolic.
Ndi chakudya chosakwanira12 pali chiopsezo chokhala ndi kuchepa kwa magazi m'thupi, komwe kumakulitsa katundu pamtima ndikupanga zofunikira za hypoxia ya thupi.
Mavitamini A, D ndi E omwe ali ndi atherosulinosis ali ndi phindu pa:
- magazi achepa,
- Kuwonongeka kwa magazi
- kulimbitsa mtima
- onjezerani katundu wa antioxidant.
Ntchito ya vitamini D imaphatikizanso kuphatikiza kwa calcium metabolism ndi osteogeneis, kusinthika kwa katulutsidwe ka insulin, mahomoni a chithokomiro ndi mahomoni a parathyroid.
Ascorbic acid (vitamini C) imathandizira njira yogwiritsira ntchito lipid metabolism komanso kumasulidwa kwa cholesterol ndi chiwindi, imathandizira kusinthasintha kwa makoma a mtima ndikuwonjezera ntchito ya rutin, ndikupangitsa makoma kukhala olimba komanso osatha.
Zinthu za gulu F (ma polyunsaturated mafuta acids) zimalepheretsa kuwoneka kwa malo a atherosulinotic pazitseko zamkati za mitsempha.
Atherosulinosis prophylaxis ndi chithandizo chochitika zimachitika monga adokotala adafotokozera. Mutha kuzigula m'masitolo ogulitsa mankhwala.
Malamulo Ovomerezeka
Mankhwala, mankhwalawa amatengedwa pamiyeso yayikulu kuposa kupewa.
Mu6 opezeka muzinthu zopangidwa ndi nyama, yisiti, chiwindi, mkaka, masamba obiriwira.
Kumwa vitamini A wopanda E sikungakhudze thupi. Gawo lachiwiri ndikutenga 200 IU, pakalibe kusinthika, kuonjezera mlingo mpaka 600 IU.
Mphamvu ya zakudya zothandizira atherosulinosis
Amati kudya zakudya zowonjezera mphamvu kumatha kupewa mavuto.
Ndizofunikira kudziwa kuti mndandanda wazowonjezera zachilengedwe pali zambiri zothandiza monga achire kapena ngati prophylactic agents. Zowonjezera za atherosulinosis zimagwira ntchito zosiyanasiyana. Monga ma antioxidants ali:
Vitamini biocomplexes (okhala ndi mafuta am'madzi am'madzi am'madzi am'madzi am'madzi am'madzi am'madzi am'madzi amchere) imathandizira kutetezedwa kwa ziwiya zamafuta, kuchepetsa mwayi wotseka. Mafuta acids amawonjezeredwa ku thupi, kufunikira kwake komwe kumachitika chifukwa chopanga ma eicosanoids, omwe amakana matenda a mtima ndikukhazikika kwa kuthamanga kwa magazi.
Zothandiza pazakudya zothandizira kuti mudzaze zinthu zomwe zikusoweka: calcium, magnesium, potaziyamu, selenium. Kuperewera kwa kufufuza zinthu kumabweretsa chitukuko cha atherosulinosis, kuchuluka kokwanira kumateteza motsutsana nacho. Kudya kwa calcium kumagwira, komwe kumayikidwa ndi magnesium. Kuchita bwino kwa zowonjezera kumakhala kokwanira pamene milingo imawonedwa.
Mwa zina zowonjezera pali omwe ntchito yawo imakokometsedwa ndi opanga osazindikira. Zakudya zina zothandizira pakudya zimayambitsa kusatetezeka kwa thupi, kupereka zovuta.
Mankhwala ena osatetezedwa, zoletsa kugwiritsa ntchito mavitamini komanso zakudya zopanda thanzi sizimasiyanitsa phindu labwino la mankhwala omwe amathandiza mankhwalawa komanso kupewa.
Mavitamini oteteza atherosulinosis
Matendawa amapezeka motsutsana ndi maziko a kusapezeka bwino, kusowa kwa zinthu zina, kusayang'anira moyo wathanzi.
Kupewera matendawa kumaphatikizapo kusintha kwa zakudya, ntchito zowonjezereka, kuchotsedwa kwa zizolowezi zoyipa ndikusunga vitamini ndi microelement bwino. Kuphatikizidwa kwa mankhwala okhala ndi mavitamini muzakudya kungakhale kokwanira, kuchokera pakuwonetsetsa kupewa, mkhalidwe. Zowonjezera zowopsa: matenda a shuga, matenda oopsa, zina zovuta, maumboni oyambira.
Contraindication
Kuthandiza kwa Vitamini C ndikosatsimikizika, mankhwala osokoneza bongo amatsogolera pakupanga oxalic acid ndikuwonjezera chikhalidwe cha impso. Anthu omwe ali ndi magazi omwe amangopangidwa kumene samaloledwa kutenga ascorbic acid chifukwa choopsa cha prothrombin.
Mu12 kumawonjezera kusokonekera kwa magazi ndipo kumafunikira prothrombin control.
Kugwiritsa ntchito vitamini K kumayambitsa mapangidwe a magazi, kumakhala malire ngati kuwonongeka kwa malekezero am'munsi ndi zinthu zina za thrombotic (kuwononga endarteritis).
Kumwa vitamini E kumafuna kuwongolera kuthamanga kwa magazi anu.
Mavitamini B
Pakati pagulu la mavitamini awa, nicotinic acid idakopa chidwi chapadera. Mankhwala ali ndi phindu pa atherosulinosis. Madokotala omwe amagwiritsa ntchito nicotinic acid odwala omwe ali ndi atherosulinosis (makamaka mafupa am'mitsempha yamagazi) omwe ali ndi Mlingo wambiri - 2 g patsiku masabata angapo, nthawi zambiri amawona kuchepa kwathunthu kwa cholesterol, koma kachigawo ka phospholipids sikusintha. Zoyesera zinapezekanso zomwe zimayankhula za kulepheretsa kukula kwa atherosulinosis ya nicotinic acid. Zowona, ku Institute of AMS chithandizo, mukamagwiritsa ntchito mitundu yaying'ono ya mankhwalawa, palibe kusintha kwakukulu komwe kunawoneka pakuwonekera kwa lipids yamagazi m'chipatalacho, ndipo poyesa, komabe, zotsatira za waukulu zazikulu sizingakane. Mlingo wawukulu wa nicotinic acid suvomerezedwa nthawi zonse ndi odwala, koma chifukwa chida ichi ndi chosafunikira kwenikweni. Monga mukudziwa, nicotinic acid itangotha kupangika imayambitsa khungu la nkhope ndi thupi mwachangu ndikumamva kutentha kwadzidzidzi ndikugundana kumutu. Mosakayikira amalankhula za kuphatikiza kwa mankhwalawa, motero, adayamba kugwiritsidwa ntchito zosiyanasiyana ischemic, kuphatikizapo atherosclerosis yam'munsi, komanso angina pectoris. Kugwiritsa ntchito nthawi yayitali mankhwala a nicotinic nthawi zina kumabweretsa zovuta - chizungulire, kupweteka mutu, nthawi zina ngakhale kusokonezeka kwakanthawi.
Pyridoxine (Vitamini B6) ndiwokondweretsa chifukwa amathandizira kusinthana kwamafuta acid osapanga. Ndikusowa kwa vitamini B6 mthupi, matenda am chiwindi amayamba. Kuperewera kwa vitamini B6 ku nyani kumapangitsa kuti mtima ukhale wamitsempha. Komabe, posachedwa Fidanza ndi ogwira ntchito ku Roma adalephera kukhazikitsa mphamvu ya pyridoxine wamagazi ndi chiwindi cholesterol (poyesa makoswe pazakudya zomwe ndizopanda kapena zopanda pyridoxine).Kukhazikitsidwa kwa vitamini B6 kwa odwala atherosulinosis omwe ali ndi cholesterinemia yambiri kumatsogolera nthawi zambiri kutsika kwapang'onopang'ono kwa cholesterol. Pa kuyesa kwa kalulu, kuperekedwa kwa 50 mg ya vitamini B6 munthawi yomweyo ndi cholesterol sikukukhudza kwambiri atherosulinosis poyerekeza ndi kuwongolera. Komabe, milingo yayikulu ya vitamini B6 (100 mg patsiku) imafooketsa akhunyu hypercholesterolemia ndi aortic lipoidosis.
Vitamini B12 yapezekanso kuti imagwira ntchito motsutsana ndi lipids, chitukuko cha kuyesa kwa atherosulinosis. Zomwe zimadziwika ndi mavitamini awa ngati lipotropic zimapezeka. Chifukwa chake, kuyendetsa vitamini B12 kwa nyama pakamayendedwe wamafuta kumayendetsa chiwindi kumachepetsa kunenepa kwambiri, mankhwalawa amatha kukhala ndi vuto linalake lomwe limapangitsa kuti pakhale mafuta achilengedwe komanso ziwalo zina. Mu makoswe, kuchokera kuzakudya zomwe vitamini B12 imachotsedwa, zomwe ma phospholipids mu seramu ndi zimakhala zimachepa, ndipo pambuyo pa kukhazikitsidwa kwa vitamini iyi - imawonjezeka.
Ndizosangalatsa kudziwa kuti vitamini B12 akaperekedwa kwa odwala omwe ali ndi atherosulinosis, zomwe zili mu choline m'magazi awo zimawonjezeka, chifukwa chake, ndizotheka kuti phindu la vitamini B12 ndikuwonjezera zinthu za lipotropic mthupi (kuwonjezeka kwa zomwe zili ndi choline ndi phospholipids m'magazi). Madokotala aku India adapeza zofanana ndi zathu pa mavitamini B12 pa chitukuko cha kuyesa kwa atherosclerosis.
Ponena za vitamini B1 (thiamine), kufunikira kwake pochiza njira ya atherosulinotic sikunatsimikizidwe. Mphamvu yokhayo yomwe yakhazikitsidwa ndi zotupa za miyendo pamaziko a atherosulinosis, mwina chifukwa cha kuwonjezeka kwa kamvekedwe ka dipatimenti ya parasympathetic ya dongosolo lamanjenje ndi kuwonjezeka kwa ntchito ya acetylcholine. Mwinanso, coenzyme yake - cocarboxylase - imathandizanso mu atherosranceotic mtima ndi mtima kuti musinthe trophism (metabolism) ya minofu yamtima. Pankhani imeneyi, kugwiritsa ntchito kwachilendo kwa cocarboxylase m'njira zosiyanasiyana zopezeka ndi matendawa ndikofunikira.