Kugwiritsidwa ntchito kwa Cardiomagnyl ndi cholesterol yokwanira kumalepheretsa mapangidwe amwazi, omwe amatsutsa kukula kwa zovuta zomwe zimachitika chifukwa cha atherosulinosis.

Cardiomagnyl yokhala ndi cholesterol yokwezeka imalimbikitsidwa kwa odwala omwe ali ndi vuto la stroke kapena vuto la mtima lomwe latuluka motsutsana ndi maziko a thrombosis chifukwa cha kupita patsogolo kwa atherosulinosis.

Kugwiritsa ntchito Cardiomagnyl kumachepetsa cholesterol m'magazi am'magazi, potero kumalepheretsa kupitilira kwa atherosulinosis ndikupanga kwatsopano kwa cholesterol plaque.

Mankhwala ndi a gulu la mankhwalawa omwe ali ndi mawonekedwe osakhala a mahomoni, omwe si amphongo ndipo amawuza anti-yotupa.

Ndikulimbikitsidwa kugwiritsa ntchito mankhwalawa ngati njira yothandizira komanso yothandizira pozindikira matenda osiyanasiyana a mtima.

Mafunso Ogwirizana Nawo

Ngati simunapeze zofunikira pakati pa mayankho a funso ili, kapena ngati vuto lanu ndi losiyana pang'ono ndi lomwe laperekedwa, yesani kufunsa dotolo funso lina patsamba lomwelo ngati ali pamutu wa funso lalikulu.

Mutha kufunsanso funso latsopano, ndipo patapita kanthawi madotolo athu ayankha. Ndi ufulu. Mutha kusanthula zidziwitso zofananira pankhaniyi patsamba lino kapena patsamba losaka. Tidzakhala othokoza kwambiri mutatipangira kwa anzanu pamasamba ochezera.

Contraindication, mtengo ndi fanizo

Cardiologists, monga lamulo, samapereka malangizo ogwiritsira ntchito mankhwalawa kuti achepetse cholesterol yoyipa mthupi la azimayi ochepera zaka 50 ndi amuna omwe ali ndi zaka zosakwana 40. Izi ndichifukwa choti kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumatha kupangitsa kuti magazi ayambe kutuluka.

Chithandizo chosalamulirika ndi Cardiomagnyl chitha kubweretsa kusokonezeka kwakukulu pakugwira ntchito kwa thupi, komwe kungayambitse imfa.

Sizikulimbikitsidwa kugwiritsa ntchito mankhwala munthawi ya bere, komanso poyamwitsa. Kugwiritsa ntchito Cardiomagnyl nthawi yapakati kumatha kubweretsa mawonekedwe osokoneza pakukonzekera kwa mwana wosabadwayo.

Ngati munthu ali ndi contraindication pakugwiritsa ntchito mankhwalawa, akhoza m'malo ndi analogues.

Pakadali pano, akatswiri azamankhwala apanga Cardiomagnyl analogues zotsatirazi:

Kugulitsa mankhwala osokoneza bongo kumachitika popanda mankhwala. Alumali moyo wa mankhwala 5 zaka. Pambuyo pa nthawi imeneyi, mapiritsi amayenera kutayidwa.

Mtengo wa mapiritsi ku Russian Federation ukhoza kusiyana kutengera kuchuluka kwa ma CD, Mlingo ndi dera logulitsidwa ndipo kuchokera ku ruble wa 125 mpaka 260.

Poona ndemanga za odwala ndi madotolo omwe adagwiritsa ntchito mankhwalawa, Cardiomagnyl akhoza kuchepetsa kwambiri cholesterol m'thupi, kuletsa kukula kwa zovuta za atherosulinosis.

Chidule cha Cardiomagnyl chaperekedwa mu kanema munkhaniyi.

Kapangidwe kake ndi mankhwala a mankhwalawa

Chidwi m'zakudya zam'nyanja chikukula nthawi zonse. Ali m'gulu la zakudya zambiri, zomwe amadziwika kuti apeza kukoma. Mwa zakudya zam'nyanja, ambiri amakonda shrimp - monga akamwe zoziziritsa kukhosi kapena ngati gawo la saladi.

Kodi shrimp imatha kugawidwa ngati gawo la chakudya chopatsa thanzi? Ndizosangalatsa kudziwa ngati shrimp ili ndi cholesterol, ndipo kumwa kwawo kungapindulitse kapena kuvulaza anthu omwe ali ndi cholesterol yayikulu magazi.

Osati kale kwambiri, kumapeto kwa zaka zana zapitazi, shrimp idaphatikizidwa pamndandanda wazinthu zomwe ndizowopsa komanso zoletsedwa chifukwa chazomwe mafuta a cholesterol mu shrimp anali okwera. Pali lingaliro lakuti cholesterol imavulaza thanzi, imayambitsa chitukuko cha atherosulinosis, imatsegula njira yolimbana ndi matenda a mtima ndi sitiroko.

Zowonadi, shrimp ili ndi cholesterol yambiri. Mwa zina zam'madzi zomwe zikuyimira ichi, ndi shrimp yomwe imakhala patsogolo, ndikutsatira squid. Kuchuluka kwa cholesterol yomwe imapezeka mu shrimp malinga ndi 100 magalamu a mankhwala akuwonetsedwa pagome.

Mndandanda wa cholesterol mu nsomba ndi nsomba zam'nyanja

Monga tikuwonera patebulo, zakudya za "cholesterol" zambiri zomwe zimadziwika kuti ndizothandiza komanso zofunikira pa matenda a mtima, kuzungulira kwa magazi, kulimbitsa mitsempha yamagazi ndikuwongolera kutha.

Mankhwala tikulimbikitsidwa kuti agwiritsidwe ntchito ngati prophylactic ngati munthu ali ndi cholesterol yayikulu, osuta fodya, komanso ngati wodwala ali ndi matenda a shuga.

Kugwiritsa ntchito mankhwalawa kumalepheretsa kuchitika kwa zovuta zomwe zimakhudzana ndi mkulu wa cholesterol yoyipa m'madzi a m'magazi.

Zomwe zimagwira ntchito kwambiri mwa Cardiomagnyl ndi acetylsalicylic acid - aspirin ndi magnesium hydroxide.

Kuphatikiza pazigawozi, zinthu zotsatirazi zilipo mu kapangidwe kamankhwala monga mankhwala othandizira:

• wowuma chimanga
• cellulose
• magnesium wakuba,
• wowuma mbatata
• propylene glycol
• talcum ufa.

Mankhwalawa amapangidwa ndi Nycomed yemwe amakhala ku Denmark. Mankhwala amapangidwa mwa mawonekedwe a mapiritsi, m'mitima ya mtima ndi mazira.

Mapiritsi okhala ndi mtima ali ndi 150 mg ya aspirin ndi 30.39 mg wa magnesium hydroxide, ndi chowulungika - theka la mlingo.

Mapiritsiwo amawaika m'mipu yamtundu wakuda wakuda ndikuikidwa m'mabokosi. Phukusi lililonse limaperekedwa ndi malangizo omwe ali ndi malingaliro ogwiritsira ntchito mankhwalawa.

Kugwiritsa ntchito mankhwalawa kumalepheretsa kuphatikiza kwa maselo a m'magazi m'thupi pochepetsa kupanga kwa thromboxane.

Zowonjezera zochokera pakugwiritsa ntchito mankhwalawa ndi:

1. Kuchepetsa ululu mumtima.
2. Kuchepetsa kukula kwa njira zotupa.
3. Kutsika kwa kutentha kwa thupi ngati kukwera chifukwa cha kutupa.

Magnesium hydroxide yomwe imapezeka m'mapiritsi imalepheretsa zotsatira zoyipa za acetylsalicylic acid pa mucosa ya m'mimba. Phindu la chigawocho limawonekera mwa kuphatikiza chapamimba cha mucosa ndi filimu yoteteza komanso kulumikizana kwa chinthuchi ndi madzi a m'mimba ndi hydrochloric acid.

Zomwe zimakhudzana ndi zigawo zonse ziwiri za mankhwalawa zimachitika limodzi ndipo sizikhudza zomwe anzathu akuchita.

Mukamagwiritsa ntchito mankhwalawa, pafupifupi 70% ya aspirin yomwe ikubwera imagwiritsidwa ntchito ndi thupi.

Kuchepetsa cholesterol yopanda Statin: mankhwala ndi zakudya zamafuta

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

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

Matenda a mtima amagwirizana kwambiri ndi cholesterol yayikulu m'magazi. Chifukwa chake, pazachipatala, mankhwalawa amagwiritsidwa ntchito kwambiri omwe amatha kuchepetsa kuchuluka kwa cholesterol yoyipa kapena otsika osalimba a lipoprotein. Pachifukwa ichi, makamaka ma statins (Atorvastatin, Rosuvastatin, etc.) amagwiritsidwa ntchito - mankhwala omwe amaletsa mapangidwe a cholesterol m'maselo a chiwindi. Komabe, anthu ambiri akufunsa momwe angachepetse cholesterol popanda ma statins.

• Kugwiritsa ntchito mankhwala
• Cholesterol mayamwidwe zoletsa
• Fibates
• Otsatira a bile acid
• Mankhwala ena
• Njira zosagwiritsa ntchito mankhwala pofuna kuthana ndi cholesterol yayikulu
• Phytosterols ndipo ali kuti?
• Polyphenols
• Mafuta achepetsa osaphatikizika
• CHIKWANGWANI chamasamba

Pali njira zingapo za izi - kugwiritsa ntchito kukonzekera kwa ma pharmacological ndi njira ina yosinthira, kapena kusintha kwa zakudya ndi kuwonjezera kwa zakudya za chomera zomwe zimakhala ndi phytosterols ndi polyphenols. Njira zonsezi ndizothandiza kuti muchepetse mafuta m'thupi. Dokotala wopezekapo ayenera kusankha zakudya ndi mankhwala, popeza ndi iye yekha amene amatha kudziwa bwino wodwalayo ndi zomwe adalemba, komanso kusankha mlingo woyenera ndi mankhwala ake.

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

Cholesterol mayamwidwe zoletsa

Limodzi mwa magulu amakono a mankhwala omwe amakupatsani mwayi kuti muchepetse kuchuluka kwa cholesterol yomwe imachokera m'matumbo. Yemwe akuyimira ambiri mwa mankhwalawa ndi Ezetimibe.

Kugwiritsa ntchito kwa Ezetimibe ndi mawonekedwe ake monga monotherapy kungachepetse zomwe zili otsika osalimba a lipoproteins (LDL) ndi 20-25%, zomwe zimapangitsa bwino kwambiri kupita patsogolo kwa zinthu zoopsa.

Ambiri achire mlingo 10 mg tsiku, kumwa mapiritsi ndi osadalira kudya. Komabe, chifukwa chakuti cholesterol imapangidwa kwambiri mthupi lokha ndipo samapatsidwa chakudya, monotherapy yokhala ndi cholesterol mayamwidwe sichidziwika. Nthawi zambiri, Ezetimibe imasankhidwa limodzi ndi ma statins. Palinso mitundu yophatikizika ya mlingo.

Zomwe zimayimira ma statins ndi ma fibrate, omwe amachepetsa kuchuluka kwa mafuta m'thupi ndimakina ena. Ziphuphu zimatha kuletsa mapangidwe a triglycerides mu minyewa ya chiwindi - zinthu zofunika kwambiri m'thupi la mafuta. Pachifukwa ichi, gwiritsani ntchito mankhwala monga Lipantil, Besalip, etc. Komanso, ma fibrate amawonjezera kuthamanga kwa metabolidi ya lipid m'maselo a chiwindi. Kudya pafupipafupi kwa fibrate kumapangitsa kuti gawo la LDL liyambe kutsika, ndipo kuchuluka kwa lipoproteins yapamwamba kwambiri, m'malo mwake, kumawonjezeka. Izi zimabweretsa mphamvu ya antiatherosclerotic yogwiritsira ntchito mankhwalawa.

Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito 1-2 pa tsiku musanadye, mwachitsanzo, gemfibrozil. Mankhwala ena amatha kukhala ndi machitidwe awo ogwiritsira ntchito, omwe amatha kupezeka mu malangizo ogwiritsira ntchito ndi dokotala.

Otsatira a bile acid

Gulu lina la mankhwala lomwe lingachepetse cholesterol ndi LDL m'magazi ndi omwe amadzaza ma bile acid - Colestipol ndi Cholestyramine. Mankhwalawa bile bile acid m'matumbo a lumen ndipo salola kuti akhudze mafuta omwe amalandiridwa ndi chakudya. Zotsatira zake, zomwe sizikumizidwa zimachotsedwa, zomwe zimapangitsa kuti cholesterol yotsika m'magazi.

Kukonzekera kumapezeka mu mawonekedwe a ufa, omwe ayenera choyamba kuchepetsedwa ndi madzi. Mankhwalawa samamwetsedwa m'matumbo, chifukwa chake samakhala ndi zotsatirapo zoyipa. Malinga ndi kafukufuku wina, ndi bile acid sequestrants omwe amagwiritsidwa ntchito bwino mwa anthu omwe ali ndi hypercholesterolemia yochepa komanso atazindikira koyamba.

Mankhwala ena

Mankhwala ena, monga Benzaflavin (gulu la mavitamini B2), Essentiale ndi ma hepatoprotector ena, Lipostabil, angagwiritsidwe ntchito kuthana ndi cholesterol yayikulu. Ma lipids a Omega-3 (Omacor, etc.), ndi ena otchuka kwambiri.

Komabe, mulimonse momwe zingakhalire, ndi dokotala wokhayo amene ayenera kulandira mankhwala ndikuwunika momwe amagwirira ntchito, chifukwa chotheka kukulitsa zovuta zake komanso kutha kwa matenda oyamba.

Njira zosagwiritsa ntchito mankhwala pofuna kuthana ndi cholesterol yayikulu

Momwe mungachepetse cholesterol kuti muchepetse matenda a atherosclerosis kapena kuchepetsa kuchuluka kwa mankhwalawa omwe amwedwa? Kuti muchite izi, mutha kudya zakudya zina zomwe zimakhala ndi mamolekyulu achilengedwe omwe amachepetsa cholesterol ndi LDL.

Kugwiritsa ntchito mankhwala azitsamba pochiza matenda omwe afotokozedwa popanda chithandizo chamankhwala sichikulimbikitsidwa.

Phytosterols ndipo ali kuti?

Ma phytosterols ndi mbewu zofananira za cholesterol zomwe zimatha kutengeka ndi thupi lathu, koma nthawi yomweyo zimasiyana mu zochita zawo zamankhwala amitundu mitundu. Phytosterols imachita mpikisano ndi cholesterol yoti imalowe m'matumbo, chifukwa cha ma enzymes ogwirira ntchito, omwe amachititsa kutsika kwa cholesterol ndi LDL m'magazi, komanso kuwonjezeka kwa HDL.

Gwero lalikulu lama phytosterols opindulitsa ndi mafuta a masamba, mtedza ndi nyemba. Kunena mwachidule - ali m'zomera zilizonse, koma zomaliza zimatengera njira yomwe ingapangidwire - ndikofunika kuti isakhudze kutentha ndi kutentha kwambiri.

Polyphenols

Ma polyphenols amapezekanso pafupifupi muzomera zonse ndipo ali ndi magwiridwe antchito awiri: choyambirira, amatchinga ma free radicals, omwe amagwira ntchito yofunika kwambiri pakukula kwa atherosclerosis, ndipo chachiwiri, amachepetsa kuchuluka kwa cholesterol ndi LDL m'magazi, ndikuwonjezera HDL. Izi zimakuthandizani kuti mubwezeretse kuchuluka kwa lipids ndikuchepetsa chiopsezo chotukusira zotupa zam'mimba.

Mochulukitsa, ma polyphenol amapezeka mumphesa, mitundu yosiyanasiyana ya mpunga, masamba ndi zipatso, komanso m'miyendo.

Kugwiritsa ntchito mankhwalawa pafupipafupi. Ndikofunika kukumbukira kuti zokhazo zomwe zimakhazikitsidwa pamera sizingathandize kuchepetsa cholesterol ndi LDL m'matenda owoneka bwino, monga matenda a mtima. Ndikofunikira nthawi zonse kusintha mankhwalawo ndi kutenga nawo mbali akatswiri onse.

Mafuta achepetsa osaphatikizika

Njira yofunikira kwambiri yoyendetsera cholesterol, yotsika komanso yapamwamba kwambiri ya lipoprotein ndi mafuta ocids - omega-3 ndi omega-6, omwe sangathe kupanga thupi la munthu, ndipo amangobwera kuchokera kunja ndi chakudya. Mafuta osasinthika amakhudza metabolidi ya lipid, zomwe zimatsogolera kuchepa kwa LDL, cholesterol komanso kuchuluka kwa HDL. Izi zimathandizira kuchepetsa milingo ya atherosulinotic njira mu thupi, komanso imakhala ndi njira zabwino zodzitetezera pangozi yakukula kwa matenda amtima.

Mafuta achepetsa osaphatikizika amapezeka m'madzi ambiri, nsomba zamasamba osiyanasiyana ndi mafuta amchere, monga ma amondi. Komabe, nthawi zambiri zinthu ngati izi zimakhala ndi mafuta achilengedwe ambiri, zomwe zimapangitsa kuti pakhale cholesterol ndi LDL. Pankhani imeneyi, nsomba, mtedza ndi mafuta ziyenera kusinthidwa.

CHIKWANGWANI chamasamba

Chimodzi mwazinthu zochepa zomwe ndimadya m'mafuta a cholesterol ndi fiber yokhazikika, yopezeka mumasamba ambiri, zipatso, ndi zipatso. Zimakuthandizani kuti muchepetse kuchuluka kwa mafuta am'mimba komanso chakudya cham'mimba, komanso imapereka ntchito yofananira yamatumbo.

Kuphatikiza apo, muzakudya zambiri zam'mera pali pectin polysaccharide yomwe imalepheretsa mayamwidwe a cholesterol kudzera khoma lamatumbo.

Kuwongolera cholesterol m'mwazi ndikotheka popanda ma statins, koma pokhapokha pogwiritsa ntchito mankhwala a magulu ena ndikupanga zakudya zoyenera.Ndikofunika kukumbukira kuti ndikosavomerezeka kupereka mankhwala nokha kapena kuwakana. Kusankhidwa kwa mankhwala ndi mtundu wake ndi kwa dokotala. Ndipo kudzidziwitsa nokha kungapangitse kuti matenda ayambe kudwala komanso kukulitsa zovuta zazikulu, monga myocardial infarction, stroke, etc.

Malangizo ogwiritsira ntchito mankhwalawa

Zomwe zimapangidwa pakuphatikizidwa kwa mankhwalawa zimagwiritsidwa ntchito kupewa matenda, zomwe zimayambitsidwa chifukwa cha kufalikira kwa mitsempha ya magazi.

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

Matenda oterewa amakula chifukwa cha kusuntha kwa thupi la atherosulinosis komwe kumachitika chifukwa cha kuchuluka kwa plasma cholesterol.

Nthawi zambiri, dokotala yemwe amakupatsiranipo mankhwala amakupatsani mankhwala wodwala akazindikira kuti akuwopsa mtima. Kugwiritsa ntchito mankhwalawa kungachepetse kukhudzika kwa magazi. Tikatero kuchepetsa mwayi wamagazi.

Kuphatikiza apo, malinga ndi malangizo ogwiritsira ntchito, Cardiomagnyl akulimbikitsidwa kuti agwiritse ntchito pazotsatirazi:

• mukazindikira mawonekedwe a mtima osakhazikika komanso mawonekedwe oyamba a angina pectoris,
• kupewa matenda oyamba ndi matenda ashuga,
• kuteteza magazi kuundana,
• pamaso pa cholesterol yayikulu komanso kunenepa kwambiri,
• kusintha mkhalidwe wodwala pamaso pa matenda a shuga m'thupi,
• Pambuyo pa njira yoletsa kupewa kwa thromboembolism,
• ngati wodwala ali ndi vuto lakubadwa ndi matenda amtima,
• pa milandu ya fodya.

Kugwiritsa ntchito mankhwala kumatheka ngati wodwala alibe zotsutsana.

Malinga ndi malangizo ogwiritsira ntchito mankhwalawa, milandu zotsatirazi ndizotsutsana ndikugwiritsa ntchito kwake:

1. Kupezeka kwa zilonda zam'mimba mwa wodwala.
2. Kukula kwa hemorrhoidal sitiroko.
3. Kuchepa kwa chiwerengero chonse cha mapulateleti mthupi, kuwonetsedwa pakupanga magazi.
4. The kukhalapo kwa aimpso kulephera wodwala.
5. Kupezeka kwa wodwala ndi mphumu ya bronchial. Kupezeka kwake kumakwiya ndikugwiritsa ntchito mankhwala oletsa kutupa.

Sizoletsedwa kugwiritsa ntchito Cardiomagnyl mwa anthu omwe ali ndi tsankho lactose komanso osowa vitamini K.

Kuphatikiza apo, pali choletsa kugwiritsa ntchito mankhwalawa ndi odwala omwe sanakwanitse zaka 18.

Kulandila mapiritsi kumachitika onse mu mawonekedwe osweka, ndipo osafuna kutafuna. Mukatha kugwiritsa ntchito mankhwalawa, ayenera kutsukidwa ndi madzi okwanira.

Pofuna kupewa matenda a thrombosis, mankhwalawa amagwiritsidwa ntchito Mlingo wa 75 mg. Ndikulimbikitsidwa kuti mutenge piritsi limodzi patsiku.

Pofuna kupewa kubwerezanso kwa vuto la mtima, muyenera kugwiritsa ntchito mankhwalawa mosankhidwa omwe adokotala amapita. Mankhwalawa amamwe kamodzi patsiku.

Pophwanya mlingo wovomerezeka, mankhwala osokoneza bongo amatha kuchitika.

Zizindikiro za bongo ndi:

• kulira m'makutu
• kusanza
• kumva kuwonongeka
• kusokonezeka kwa chikumbumtima ndi mgwirizano.

Ndi bongo wamphamvu, chikomokere chingachitike.

Ada

NSAIDs, wothandizira antiplatelet. Makina a zochita za acetylsalicylic acid amachokera pazolepheretsa za enzyme ya COX-1, chifukwa chomwe kuphatikiza kwa thromboxane A2 kwatsekedwa ndipo kuphatikiza kwa mapulateleti kumakanikizidwa. Amakhulupirira kuti acetylsalicylic acid ali ndi njira zina zothandizira kuponderezana kuphatikizana kwa maselo othandiza magazi kuundana, omwe amakulitsa kukula kwake m'magulu osiyanasiyana a mtima. Acetylsalicylic acid ilinso ndi anti-yotupa, analgesic ndi antipyretic zotsatira.

Magnesium hydroxide, yomwe ndi gawo la Cardiomagnyl, amateteza mucosa wam'matumbo kuti asawonongedwe ndi acetylsalicylic acid.

Mutatha kumwa mankhwalawo mkati, acetylsalicylic acid amakamwa m'matumbo oyandikira pafupifupi.

The bioavailability wa acetylsalicylic acid ndi pafupifupi 70%, koma phindu limadziwika ndi kusinthasintha kwakukulu kwamunthu chifukwa chakhazikitso hydrolysis mu mucous nembanemba wam'mimba ndipo mu chiwindi ndi mapangidwe a salicylic acid pansi pa michere. The bioavailability wa salicylic acid ndi 80-100%.

Kutetemera ndi chimbudzi

T1 / 2 acetylsalicylic acid ndi pafupifupi mphindi 15, chifukwa ndi nawo ma enzymes, imathamanga hydrolyzed kuti salicylic acid m'matumbo, chiwindi ndi madzi a m'magazi. T1 / 2 salicylic acid - pafupifupi maola atatu, koma mutatenga acetylsalicylic acid muyezo waukulu (> 3 g), chizindikirochi chimatha kukula kwambiri chifukwa cha kuchuluka kwa ma enzyme.

Magnesium hydroxide (muyezo wogwiritsa ntchito) samakhudza bioavailability wa acetylsalicylic acid.

Kugwiritsa ntchito mankhwala CARDIOMAGNIL pa mimba ndi mkaka wa m`mawere

Kugwiritsa ntchito salicylates mu Mlingo woyambirira m'nthawi yoyambirira ya mimba kumalumikizidwa ndi kuchuluka kwa zolakwika za fetal. Mu trimester yachiwiri yokhudzana ndi kubereka, ma salicylates amatha kuyikidwa pokhapokha ngati akuwonetsetsa kuti ali pachiwopsezo komanso kupindula. Mu wachitatu trimester wa mimba, salicylates muyezo waukulu (> 300 mg /) chifukwa zoletsa, ntchito kutsekeka kwa ductus arteriosus mu mwana wosabadwayo, kuchuluka magazi mwa mayi ndi mwana wosabadwayo, ndi makonzedwe yomweyo asanabadwe kungayambitse kukha magazi kwakanthawi, makamaka ana akhanda. Kukhazikitsidwa kwa ma salicylates mu I ndi III trimesters am'mimba kumatsutsana.

Zambiri zomwe zimapezeka kuchipatala ndizosakwanira kukhazikitsa njira yomwe ingagwiritsidwe ntchito poyamwitsa. Musanapereke mankhwala acetylsalicylic acid mukamayamwitsa, phindu lomwe lingakhalepo lamankhwala liyenera kuyesedwa poyerekeza ndi chiopsezo cha makanda.

Gwiritsani ntchito ntchito yolakwika yaimpso
Mankhwala ndi contraindicated mu kwambiri aimpso kulephera (CC zosakwana 10 ml / min), ndi aimpso kulephera ayenera kugwiritsidwa ntchito mosamala.
Malangizo apadera

Imwani mankhwala Cardiomagnyl Zimatsatira pambuyo poika dokotala.

Acetylsalicylic acid imatha kupangitsa bronchospasm, komanso chifukwa cha mphumu ya bronchial ndi ena hypersensitivity reaction. Zovuta zomwe zili pachiwopsezo ndi mbiri ya mphumu, hay fever, polyposis, matenda opatsirana a kupuma, komanso zovuta zina (monga, pakhungu, pakhungu, kuyabwa, urticaria) ku mankhwala ena.

Acetylsalicylic acid imatha kuyambitsa magazi osiyanasiyana pakapita nthawi ya opaleshoni.

Masiku angapo asanafike opaleshoni yomwe idakonzedwa, chiopsezo chotaya magazi poyerekeza ndi mwayi wokhala ndi zovuta za ischemic kwa odwala omwe atenga Mlingo wochepa wa acetylsalicylic acid ayenera kuyesedwa. Ngati chiopsezo chakutuluka magazi ndichofunikira, acetylsalicylic acid iyenera kusiyidwa kwakanthawi.

Kuphatikiza kwa acetylsalicylic acid ndi anticoagulants, thrombolytics ndi antiplatelet mankhwala kumalumikizidwa ndi chiopsezo chowonjezereka cha magazi.

Kulandilidwa kwa acetylsalicylic acid mu Mlingo wotsika kumatha kupangitsa kuti gout isanayambike mwa anthu omwe adayamba kufooka (atatsika uric acid excretion).

Kuphatikiza kwa acetylsalicylic acid wokhala ndi methotrexate kumayendera limodzi ndi kuchuluka kwa zotsatira zoyipa kuchokera m'magazi.

Kulandila kwa Mlingo wambiri wa acetylsalicylic acid uli ndi vuto la hypoglycemic, lomwe liyenera kukumbukiridwa pakapereka mankhwala kwa odwala omwe ali ndi matenda osokoneza bongo omwe amalandila hypoglycemic othandizira pakamwa ndi insulin.

Ndi kuphatikiza kwaconic corticosteroids ndi salicylates, ziyenera kukumbukiridwa kuti pa mankhwala, kuchuluka kwa ma salicylates m'magazi kumachepetsedwa, ndipo atatha kufooka kwa systemic corticosteroids, mankhwala ochulukirapo a salicylates amatha.

Kuphatikiza kwa acetylsalicylic acid ndi ibuprofen sikulimbikitsidwa kwa odwala omwe ali ndi chiopsezo cha matenda amtima: pogwiritsa ntchito ibuprofen, kuchepa kwa antiplatelet zotsatira za acetylsalicylic acid mu Mlingo mpaka 300 mg amawonedwa, zomwe zimapangitsa kuchepa kwa mtima ndi zotsatira za acetylsalicylic acid.

Kupitilira muyeso wa acetylsalicylic acid kuposa mankhwala othandizira amathandizika chifukwa cha magazi.

Pogwiritsa ntchito mankhwala acetylsalicylic acid kwa nthawi yayitali ngati mankhwala a antiplatelet, kusamala ndikofunikira kwa odwala okalamba chifukwa cha kutaya magazi m'matumbo.

Ndi munthawi yomweyo makonzedwe acetylsalicylic acid ndi mowa, chiopsezo cha kuwonongeka kwa mucosa am'mimba komanso nthawi yayitali yotuluka magazi imachulukitsidwa.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Mankhwala akukonzekera acetylsalicylic acid, odwala ayenera kusamala poyendetsa magalimoto komanso kuchita zinthu zoopsa zomwe zimafuna kuti anthu azisamalira komanso azithamanga kwambiri.

Zizindikiro za kuchuluka kwa zolimbitsa zovuta: nseru, kusanza, tinnitus, kusamva makutu, chizungulire, chisokonezo.

Chithandizo: azimutsuka m'mimba, kupereka mankhwala opangira makala, kuchitira monga mankhwala.

Zizindikiro za bongo wamphamvu: malungo, hyperventilation, ketoacidosis, kupuma alkalosis, chikomokere, mtima ndi kupuma kulephera, kwambiri hypoglycemia.

Chithandizo: Kugonekedwa kuchipatala m'madipatimenti apadera othandizira chithandizo chamankhwala - chifuwa cham'mimba, kutsimikiza kwa acid-base, alkaline ndikukakamiza zamkati zamkati, hemodialysis, kuyambitsa njira zamchere, kuyambitsa makala, chizindikiro. Mukamachita alkaline diuresis, ndikofunikira kukwaniritsa mfundo za pH pakati pa 7.5 ndi 8. Kukakamizidwa kwa dialis ya kukakamiza kuyenera kuchitidwa pamene kuchuluka kwa salicylates mu plasma kukupitilira 500 mg / L (3,6 mmol / L) mwa akulu ndi 300 mg / L (2.2 mmol / L) mu ana.

Ndi munthawi yomweyo kugwiritsa ntchito acetylsalicylic acid timapitiriza izi:

- methotrexate (chifukwa cha kuchepa kwa mawonekedwe a impso ndi kuchoka kwake pakulankhulana ndi mapuloteni),

- heparin ndi anticoagulants osalunjika (chifukwa cha kuwonongeka kwa mapulogalamu am'matumbo ndikuchotsa ma anticoagulants osakanikirana kulumikizana ndi mapuloteni),

- thrombolytic ndi antiplatelet ndi anticoagulant mankhwala (ticlopidine),

- digoxin (chifukwa cha kuchepa kwa impso yake),

- othandizira a hypoglycemic operekera pakamwa (sulfonylurea derivatives) ndi insulin (chifukwa cha kuchuluka kwa hypoglycemic ya acetylsalicylic acid yokha pamtunda waukulu komanso kutuluka kwa zotumphukira za sulfonylurea chifukwa cha mapuloteni a plasma),

- valproic acid (chifukwa chakuchoka kwawo kulumikizana ndi mapuloteni).

Kugwiritsa ntchito munthawi yomweyo acetylsalicylic acid wokhala ndi ibuprofen kumapangitsa kuchepa kwa mtima ndi zotsatira za acetylsalicylic acid.

Mphamvu yowonjezera imawonedwa mukumwa mankhwala acetylsalicylic acid ndi Mowa.

Acetylsalicylic acid imafooketsa mphamvu ya uricosuric agents (benzbromarone) chifukwa cha mpikisano wothana ndi uric acid.

Mwa kukulitsa kuchotsa kwa ma salicylates, systemic corticosteroids imafooketsa mphamvu yawo.

Maantacid ndi colestyramine wogwiritsa ntchito munthawi yomweyo amachepetsa kuyamwa kwa mankhwalawaCardiomagnyl.

Mankhwala Okhala Pamalo a Pharmacy

Mankhwala amavomerezedwa kuti agwiritsidwe ntchito ngati mankhwala.

Migwirizano ndi magwiritsidwe akusungidwa

Mankhwalawa amayenera kusungidwa pamalo owuma, amdima komanso osawoneka ana pa kutentha osaposa 25 ° C. Moyo wa alumali ndi zaka 5.

Zofooka pakuvomerezedwa

Akatswiri a mtima samawerengetsa Cardiomagnyl kuti achepetse cholesterol yamagazi mwa azimayi ochepera zaka 50 ndi amuna ochepera zaka 40. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kuti muchepetse magazi m'thupi ali aang'ono kumayenderana ndi chiopsezo chotsegula magazi mkati. Chithandizo chosalamulirika ndi Cardiomagnyl chitha kupweteka kwambiri komanso kufa.

Mankhwala ndi oletsedwa kugwiritsidwa ntchito ngati wodwala ali:

• zilonda zam'mimba
• kuchuluka kwa magazi
• hemorrhagic stroke,
• kulephera kwa aimpso
• mphumu ya bronchial yomwe imayamba chifukwa cha kugwiritsa ntchito acetylsalicylic acid kapena mankhwala othana ndi kutupa,
• kutumizidwa kwa opaleshoni m'milungu iwiri yotsatira.

Cardiomagnyl, wolembedwera cholesterol yambiri, imatha kukulitsa vuto la wodwala wokhala ndi lactose tsankho kapena kuchepa kwa Vitamini K.

Kuchotsedwera pompopompo kwa mankhwalawa kumafunikira mawonekedwe a bongo. Izi zikuphatikiza:

• kumva ndi kusazindikira.
• chisokonezo,
• zovuta zamgwirizano
• tinnitus
• kupumira msanga
• kuzizira.

Poizoni wowopsa, kupuma kwam'mimba kumafunikira, ndikutsatira kufunsa kuchipatala.

Acetylsalicylic acid, yomwe ndi gawo la Cardiomagnyl, imatha kuyanjana ndi mankhwala ambiri. Asanapereke mankhwala, dokotala ayenera kumveketsa mndandanda wonse wa mankhwala omwe wodwala amatenga kuti athane ndi ma pathologies osiyanasiyana, kuti ateteze kukula kwa zovuta zazikulu. Kuphatikiza pazakudya zamagetsi kapena mankhwala azitsamba othandizira kulimbitsa mtima, mtima wamkati umatha kuyambitsa poyizoni, sitiroko. Njira zochepetsera kuthamanga kwa magazi komanso kuchitira gout kuphatikiza ndi acetylsalicylic acid kumakhala kothandiza. Mothandizidwa ndi iye, mankhwala omwe amawongolera shuga amawonjezera ntchito.

Mimba komanso kuyamwa

Mu trimester yoyamba, kutenga Cardiomagnyl ku cholesterol koletsedwa. Acetylsalicylic acid imasokoneza mapangidwe a ziwalo za fetal. Mu wachitatu trimester, kumwa mankhwalawa kumachepetsa cholesterol ndi ntchito, kumawonjezera mwayi wokhetsa magazi kwa amayi apakati ndi mwana wosabadwayo. Ngati pakufunika thandizo mwachangu, Cardiomagnyl amaloledwa kutengedwa wachiwiri nthawi ya mimba ndi kuvomerezedwa kosunga mikhalidwe, kuphatikiza:

• kuyang'anira mosalekeza ndi woyang'anira
• zosaposa 100 mg patsiku,
• kwa nthawi yochepa.

Kugwiritsa ntchito mankhwala pafupipafupi pa mkaka wa m'mawere kumatsutsana. Kulowa mkaka, mankhwalawa amasokoneza makina am'mimba a mwana. Ndi kagwiritsidwe ntchito ka Cardiomagnyl mwanjira yochepetsera cholesterol panthawi yoyamwitsa, onse akatswiri a mtima ndi ana amaumirira kukana kuyamwitsa. Kusiyana ndi mtundu umodzi wa mankhwalawo, osapitilira muyeso wovomerezeka watsiku ndi tsiku. Pankhaniyi, simungakane kuyamwitsa mwana.

Ndiwosavuta kutchinga cholesterol mothandizidwa ndi Cardiomagnyl ngati mutsatira malingaliro onse a dotolo wanu ndikumamufotokozera panthawi yomwe akusintha m'thupi.

Chithandizo cha matenda a arteriosulinosis ndi mankhwala

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

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

Atherosulinotic zotupa za thupi la munthu kumabweretsa chitukuko cha matenda osiyanasiyana omwe amayambitsidwa ndi kusokonekera kwa magazi ku ziwalo zamkati. Pankhaniyi, odwala amafunika kuti azindikiritsa matendawa nthawi, komanso kuti apatsidwe mankhwala oyenera. Kodi kuchitira matenda a arteriosulinosis? Mwa izi, pali magulu angapo a mankhwalawa omwe amasiyana wina ndi mnzake mu kapangidwe ka zochita zawo ndi machitidwe a phwando.

• Zolinga zamankhwala ndi kusankha
• Madera: gwiritsani ntchito ndi kumwa
• Kugwiritsa ntchito mafupa
• Nootropics ndi antioxidants
• Kukonzekera kwa Nicotinic acid
• Kugwiritsa ntchito antiplatelet agents

Kusankhidwa koyenera kwa mankhwala othandizira ndi ntchito yofunika kwambiri kwa dokotala komanso wodwalayo. Mankhwala osokoneza bongo a atherosulinosis angayambitse mavuto. Pankhani imeneyi, ndikofunikira kuyendayenda, mukamawaika, kuzisonyezo zomwe zilipo komanso zotsutsana.

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

Zolinga zamankhwala ndi kusankha

Atherosulinosis ya ziwiya zaubongo ndi khosi ndi matenda oopsa, opangitsa kuwonjezeka pang'onopang'ono kwa zovuta za wodwalayo ndi kulumala kwake pokhudzana ndi kukula kwa zovuta zazikulu, monga kuchepa kwa kanthawi kochepa ndi mikwingwirima.

Pankhani imeneyi, pali ntchito zingapo zazikuluzikulu za chithandizo chonse:

1. Kupititsa patsogolo magazi m'magazi am'magazi ndikuchepetsa hypoxia.
2. Kubwezeretsa magazi okwanira kumitsempha ya ziwongo pogwirizana ndi kuchuluka kwawo.
3. Matenda a metabolism yamafuta m'thupi.
4. Kuwunikira kuthamanga kwa magazi kuti muchepetse kukula kwa zovuta zamagulu.

Kugwiritsa ntchito mankhwala kuyenera kuchitika pokhapokha ngati mukuwongolera komanso kuyang'aniridwa ndi dokotala.

Zolinga zofananazo zimatheka ndi kugwiritsa ntchito bwino mankhwala kwa atherosulinosis. Magulu akuluakulu a mankhwala a atherosulinosis a ziwiya zamafuta ndi monga:

• Madera a mibadwo yosiyanasiyana.
• Zimayendera komanso sequestrants za bile acid.
• Nicotinic acid
• Nootropics ndi antioxidants.
• Ma antihypertensive othandizira.

Kugwiritsa ntchito moyenera mankhwalawa kumatha kupititsa patsogolo pang'onopang'ono chithandizo cha matenda ambiri mwa odwala, popanda chiwopsezo cha mavuto.

Madera: gwiritsani ntchito ndi kumwa

Mankhwala osokoneza bongo a cholesterol yayikulu m'magazi amatengera kugwiritsa ntchito ma statins a mibadwo yambiri. Adziwonetsa bwino muzochita zamankhwala ndipo amaperekedwa kwa anthu osiyanasiyana. Statins imalepheretsa chidwi chachikulu mu kapangidwe ka cholesterol m'chiwindi, chomwe chimapangitsa kutsika kwake m'magazi, ndikuchepetsa nawonso kuchuluka kwa lipoproteins (LDL), komwe amathandizira pakukula ndi kupititsa patsogolo kwa atherossteosis.

Ndikofunika kudziwa kuti kugwiritsa ntchito mankhwalawa kwa matenda a statin kwa atherosulinosis kungayambitse kukulitsa zotsatira zoyipa zosiyanasiyana. Chifukwa chake, ndikofunikira kufunsa dokotala ndipo musagwiritse ntchito mankhwalawo.

Ndikofunika kuyimilira pa omwe akuyimira gulu lino la mankhwalawa.

• Liprimar ndi amodzi mwa mankhwala omwe amachepetsa kwambiri cholesterol. Chofunikira chachikulu pakuphatikizika kwake ndi atorvastatin. Liprimar imagwiritsidwa ntchito muyezo wa 80 mg patsiku madzulo. Potere, nthawi yayitali ya mankhwalawa ndi milungu 4. Pogwiritsa ntchito mankhwalawa, ndikofunikira kuwongolera mawonekedwe a magazi a lipid. Izi zimakupatsani mwayi wowunika momwe mankhwalawo amathandizira ndikuwonjezera mlingo woyenera.
• Atoris ilinso ndi atorvastatin monga mankhwala othandizira. Komabe, Mlingo wa chinthu chomwechi mumalomo ndiwopamwamba. Njira zochizira pankhaniyi zilinso ndi zosiyana zina. Mlingo woyambira ndi 10 mg, pambuyo pake, kutengera mphamvu ya mankhwalawa, singasinthidwe pakugwirizana ndi adokotala. Mlingo wapamwamba tsiku lililonse ndi 80 mg. Kuwonjezeka kwapang'onopang'ono kotere kwa mankhwalawa kumachitika chifukwa chakufunika kuyeserera momwe thupi limayankhira ndikuwonetsetsa koyambirira kwa zovuta zaminyewa zosafunika.
• Chofunikira chachikulu mu Mertinil ndi Rosuvastatin, yemwe, monga ma statin ena, amachita pa hepatic enzyme HMG-CoA reductase, kuchepetsa kuchuluka kwa cholesterol yopangidwa. Mlingo woyambira mankhwalawa atherosulinosis a ziwiya zam'mutu ndi bongo ndi 5 kapena 10 mg. Pambuyo pake, mlingo umatha kusinthidwa m'mwamba.

Ma Statin ndi gulu lothandiza kwambiri la mankhwala kuti mupeze magazi a cholesterol.

Ndi ma statins omwe amathandizira ku ubongo wa arteriosulinosis, popeza amathandizira kuchepa kwa cholesterol ndi milomo yochepa ya lipoprotein m'magazi, potero amachepetsa ndikuletsa kukula kwa zolembera za atherosulinotic.

Kugwiritsa ntchito mafupa

Njira zochizira atherosclerosis zimaphatikizira ma fibrate, gulu la mankhwala omwe awonetsedwa kuti ndi abwino kwambiri pakuchepetsa kuchuluka kwa triglycerides ndi cholesterol m'magazi. Ndikofunika kukumbukira kuti kugwiritsa ntchito mankhwalawa kumafunikira kutsimikiza kwa magawo a ma labidamu a magazi.

Clofibrate ndiye mankhwala ofunika kwambiri kuchokera ku fibrate. Imagwira mosiyanasiyana mthupi la munthu, motero imagwiritsidwa ntchito ngati mankhwala ochizira matenda amisempha. Mlingo watsiku ndi tsiku amawerengedwa potengera zaka za wodwalayo komanso kuopsa kwa matendawa, ndipo amatha kukhala osiyanasiyana mpaka magalamu 1.5 mpaka 2.3. mankhwala patsiku. Mankhwalawa amagwiritsidwa ntchito katatu patsiku, ndipo nthawi yayitali ya mankhwalawa imayamba mpaka milungu itatu mpaka isanu. Ngati ndi kotheka, maphunziro obwerezedwa angagwiritsidwe ntchito.

Woyimira wina wa gulu la mafayilo ndi Bezafibrat, yemwe ali ndi njira zofananira. Mlingo umodzi ndi 0,3 g. Malinga ndi malangizo ogwiritsira ntchito, mulingo woyenera wa mankhwala oyambira ayenera kukhala piritsi limodzi lokha. Popanda zovuta, mlingo umakulitsidwa.

Nootropics ndi antioxidants

Kukonzekera kwa matenda amtundu wa arteriosulinosis kumakhalanso ndi magulu awiri a mankhwala omwe ali osiyana ndi mankhwala: nootropics ndi antioxidants. Komabe, onse ali ndi zotsatirapo zingapo zabwino mu ubongo:

1. Amapangitsa ma neuron kukhala osagwirizana ndi kuwonongeka kwa hypoxic komanso kupewa kufa kwawo.
2. Sinthani magwiridwe antchito opulumuka a neurons.
3. Amawonjezera gawo la ntchito zamavuto mwa anthu (kuthamanga kwa kuganiza, kukumbukira, ndi zina).
4. Sinthani kudalitsika kwanthawi yayitali kwa wodwala mogwirizana ndi moyo wake.

Nootropics ndi antioxidants ndi mankhwala othandizira ndipo sangathe kufotokozedwa ngati monotherapy.

Mankhwala monga Nootropil, Piracetam, Phenotropil, etc. amatchulidwa kuti nootropics. Kulandila kwawo kuyenera kumachitika nthawi zonse pokhapokha atakambirana ndi adokotala, zomwe zimathandiza kupewa kukulitsa mavuto. Ma antioxidants (Tocopherol, Dihydroquercetin, etc.) amateteza ma neurons ku hypoxia komanso amachepetsa kuwonongeka kwa minofu ya muubongo. Pankhaniyi, kukulira kosafunika kwa mankhwala osokoneza bongo ndikosowa kwambiri.

Kukonzekera kwa Nicotinic acid

Kugwiritsa ntchito nicotinic acid ku atherosulinosis kumachitika chifukwa cha zovuta zingapo pakhungu la munthu:

1. Kuchuluka kwa cholesterol yamagazi ndi milingo ya LDL, ndikuwonjezeka kwamtundu umodzi wa lipoproteins yapamwamba.
2. Kuwongolera magazi kupita ku ubongo chifukwa cha kuchuluka kwa mitsempha yamagazi.
3. Niacin amathandiza kusungunula magazi ang'onoang'ono.
4. Ndi kugwiritsa ntchito nthawi yayitali, kuthamanga kwa magazi kumachepa.

Chifukwa cha zabwino zambiri, nicotinic acid imagwiritsidwa ntchito kwambiri pochiza matenda a atherosermosis a malo aliwonse, kuphatikizapo kuwonongeka kwa ziwiya zamafuta. Mulingo waukulu masana ndi 6 g. Komabe, kupitiliza kothandiza kumawonedwa kale pa mlingo wa 2-4 g. patsiku. Monga lamulo, kumwa mankhwalawa kumayamba ndi mlingo wochepa, pang'onopang'ono ukuwonjezera. Niacin imapezeka m'mitundu yosiyanasiyana: ufa, mapiritsi a atherosulinosis, etc.

Kugwiritsa ntchito antiplatelet agents

Kugwiritsa ntchito ma antiplatelet othandizira mu atherosulinotic njira kungalepheretse kukula kwa thrombosis ndi zovuta zina.

• Cardiomagnyl ndiye woimira gulu lonse la mankhwalawa. Zimaphatikizanso ndi aspirin odziwika ndi magnesium hydroxide, yomwe imachepetsa mphamvu ya mapiritsi a gastric mucosa. Mlingo wa mankhwalawa patsiku ndi 150 mg, i.e. piritsi limodzi. Kutalika kwa maphunzirowo ndi kufunika kwa kubwereza kwake kumatsimikiziridwa ndi dokotala.
• Thrombo ACC ndi woimira wina wa gulu la antiplatelet. Lili ndi acetylsalicylic acid ndipo limalepheretsa kuphatikizana ndimatumbo ndikupanga magazi. Mlingo wa mankhwala masana kuchokera pa 50 mpaka 100 mg. Kumwa mankhwalawa kumatha kukhala zaka zingapo, chifukwa chiopsezo cha thrombosis mwa odwala chotere chimawonedwa nthawi zonse.

Kuphatikiza pa mankhwalawa, ma inhibitors a m'mimba a cholesterol mayamwidwe (Ezetimibe, etc.), komanso bile acid sequestrants (Colestipol ndi Quantantan), amakhala ndi malo enaake pochiza matenda a arteriosulinosis. Komabe, kugwiritsa ntchito mankhwalawa ndikosowa. Mukawasankha ngati njira yayikulu yothandizira, ndikofunikira kulandira upangiri kuchokera kwa dokotala wokhudzana ndi Mlingo komanso kuchuluka kwa makonzedwe.

Chithandizo cha atherosulinotic mu ziwiya zaubongo imafuna njira yolumikizira, kuphatikizapo kugwiritsa ntchito mankhwala ndi njira zina zopanda mankhwala (kukonza zakudya, kuchita masewera olimbitsa thupi komanso kusintha kwa moyo). Pankhani imeneyi, ngati zizindikiro zilizonse za matendawa zikuwoneka, muyenera kufunsa dokotala kuti adziwe ndikupereka mankhwala oyenera.

Momwe mungathanirane ndi cholesterol plaques

Kukhala m'tawuni yamakono yopanga moyo wopanda thanzi kumakhala kodzadza ndi zovuta zingapo zomwe zakhala vuto lalikulu m'zaka za zana la 20. Izi zimaphatikizapo atherosclerosis, matenda osachiritsika omwe amayenda ndi cholesterol plaque m'matumbo. Pakadali pano, atherosclerosis ndi chimodzi mwazomwe zimayambitsa kulumala msanga ndikuchepetsa chiyembekezo chamoyo.

Kodi zolembera za cholesterol ndi ziti?

Kukula kwa atherosulinosis kumawonetsa mawonekedwe amitsempha yama cholesterol plaques. Awa ndi "zophuka" zomwe zimapangira mkati mwa mitsempha ya magazi ndikusokoneza kayendedwe kazikhala magazi. Mapalewa ali ndi mafuta osakanikirana, koma chinthu chawo chachikulu ndi cholesterol. Itha kubwera ndi kuchuluka kwakukulu ndi chakudya, koma gawo lina limapangidwa mthupi palokha, monga zofunika poyambira mahomoni amomwe amapanga ma cellid a bileid, bile acid, komanso monga gawo la maselo am'mimba.

Zolemba za cholesterol zimadziwikanso kuti zamtali. Izi zikutanthauza kuti atakutidwa ndi chipolopolo cholimbitsa, kuphatikiza calcium. Ngati kuwonongeka kwa nembanizi kumachitika, ndiye kuti kuchitika kwa kachulukidwe kamene kamayambitsa, komwe kumapangitsa kuti pakhale magazi omwe amapangidwamo ndi chotupa chonse cha chotengera kapena cha thromboembolism.

Kodi zikwangwani zimapangika bwanji?

Chifukwa cha zinthu zingapo, mapangidwe a maselo a endothelial m'mitsempha yamagazi amatha kusokonezeka. Kutengeka ndi kutaya kwa magazi, maselo okufa amasiyira zingwe zopanda kanthu, pomwe maplatelet amadzagwa. Kuwonongeka pang'onopang'ono kwa khoma la mitsempha kumachitika ndipo lipoproteins yotsika (madontho a cholesterol mumalaya a protein) amamangiriridwa ndi mapulateleti.

Chifukwa chake, zolembazo zimachulukana, zimakutidwa ndi michere yolumikizana ndi mchere wamkati, ndikupitiliza kuwononga khoma la mtsempha. Makamaka mitundu ikuluikulu imatha kuchoka ndikuyenda mozungulira m'magazi mpaka atalowa m'chiwiya chaching'ono (capillary). Mwaletsa kwathunthu kutuluka kwa magazi m'malo ano, zolembera zitha kupangitsa kuti chiwalo chilichonse chiphe. Izi zimachitika, mwachitsanzo, myocardial infarction kapena matenda am'mimba.

Zifukwa zachitukuko

Kapangidwe ka cholesterol plaques kumayambitsidwa ndi kuwonongeka kwa khoma la chotengera (mwachitsanzo, chifukwa cha kusokonekera kwa khoma lamitsempha kapena kuwonongeka kwake ndi tizilombo tating'onoting'ono), kusakwanira kwa mahomoni m'thupi (kaphatikizidwe ka cholesterol). Asayansi amaonanso chinthu china chokhudza makolo awo komanso chikhalidwe chawo.

Zomwe zimayambitsa chitukuko cha atherosulinosis zimatha kukhala kuchuluka kwa otsika osalimba a lipoproteins (LDL), omwe amatchedwanso "atherogenic". Amagwidwa ndi macrophages ndikuyika pamakoma amitsempha yamagazi.

Polankhula pazomwe zimayambitsa matenda a atherosulinosis, zinthu zingapo zomwe zikulingalira ziyenera kusiyanitsidwa:

• Khalidwe labwino
• Zakudya zamafuta kwambiri
• Kusuta
• Mowa
• Kupsinjika pafupipafupi
• Matenda a shuga
• Matenda oopsa
• Hyperlipoproteinemia
• Kunenepa kwambiri

Pangozi ndi azimayi ndi amuna omwe ali pambuyo pa zaka 45.

Zizindikiro za Plaque

Tsoka ilo, atherosulinosis amatanthauza matenda omwe amayamba pang'onopang'ono ndipo sadzipangitsa kuti azimva kwa nthawi yayitali. Anthu ambiri sakudziwa kuti ali ndi cholesterol malo. Zizindikiro zawo zotumphukira kwamitsempha yamagazi zimadalira kutengera kwa matenda.

Chifukwa chake, kuphwanya magazi m'magazi kupita ku ubongo kumayambitsa kukhumudwa, kugona, ndi mutu. Ngati matendawa akula, ndiye kuti angayambitse matenda a maganizo, omwe wodwalayo amataika nthawi ndi malo, amakhala ndi nkhawa kwambiri, sangadzipulumutse.

Kutseka kwa ziwiya zomwe zimadyetsa mtima kumakhala kofupikika ndimatenda a arrhythmias, infarction myocardial, kulephera kwa mtima, komanso ngakhale kufa kwadzidzidzi kwa wodwalayo.

Kuchepetsa ziwiya zamiyendo kumabweretsa zowawa poyenda, kukokana, dzanzi la zala. Zoopsa kwambiri, zilonda zam'mimba zimachitika.

Matenda oopsa ngati aortic aneurysm (chotupa chachikulu kwambiri cha thupi) amayamba chifukwa cha atherosulinosis. Ngati msempha unawonongeka pamimba, ndiye kuti wodwalayo akutupa, kupweteka, matumbo osafunikira. Ngati chidikirocho chikuwonekera pamalo pomwe panali msempha - womwe uli wozizira, kulumikizana pang'ono, sizimawoneka ngati zilonda zam'miyendo.

Kuwonongeka kwa mitsempha ya impso nthawi zonse kumayendetsedwa ndi kusintha kwamkodzo, kuwonjezeka kwa kuthamanga kwa magazi.

Zotheka kamodzi kapena zingapo za cholesterol zimatha kuonekeranso kumaso (nthawi zambiri pakona yamkati). Izi zikuwonetsa kuyikika kwa cholesterol mu ziwiya ndi kufunika kwa chithandizo chapadera.

Kupewa

Popewa kukula kwa atherosulinosis, mphamvu ya zinthu zomwe zimayambitsa vuto ziyenera kupatula. Chofunika kwambiri ndikuwunika mtundu wa chakudya: osagwiritsa ntchito zakudya zamafuta, komanso zakudya yokazinga komanso yosuta. Kuphatikiza apo, ngati munthu ali pachiwopsezo, amafunika kuwunika pafupipafupi kuchuluka kwa lipids ndi cholesterol m'magazi. Kwa prophylaxis, Cardiomagnyl kapena Aspirin Cardio nthawi zambiri amakhazikitsidwa.Kukonzekera uku kumakhala ndi acetylsalicylic acid, womwe pa mlingo winawake umathandizira kukonza magazi m'thupi.

Chithandizo cha Cholesterol Plaque

Ndikofunika kupewa kuteteza kwa mtima, koma ngati zolembera zawonekera kale, ndiye kuti chithandizo choyenera ndikofunikira. Popeza kutchulidwa matenda mawonetseredwe ndi vuto la lipoprotein, mankhwala ayenera kuyamba ndi zakudya ndi physiotherapy.

Kusungunuka kwa cholesterol plaques kumathandizira kuti pakhale zakudya monga mandimu, mtedza, adyo, mafuta a azitona. Ndikulimbikitsidwanso kuti muzitsatira chakudya chamafuta kapena mafuta ochepa.

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

Ngati, atawunika, dokotalayo adazindikira kufunika kwa kumwa mankhwalawo, ndiye kuti kukhalabe odzipereka ku chithandizo ndi ntchito yoyera ya wodwalayo. Nthawi zambiri zotchulidwa mankhwala, zomwe zimapangitsa kuti matenda a lipoprotein akhale olimba komanso kulimbitsa mtima. Izi zikuphatikiza:

• Fibates
• Otsatira a bile acid
• Madera
• Nicotinic acid

Tiyenera kukumbukira kuti ndizosatheka kuchotsa ziphuphu za cholesterol. Kutsatira njira yodziwira mankhwala, mutha kuyimitsa chitukuko cha atherosulinosis. Mtengo wowunikira womwe umawonetsera cholesterol yathunthu m'magazi ndi lipoprotein ukwaniritsidwa, umayang'aniridwa chaka chilichonse.

Ndi matenda opita patsogolo, pamene kuchotsedwa kwa zolembera kukugwirizana mwachindunji ndi kupulumutsa moyo wa wodwala, kulowererapo kwa opaleshoni ndikotheka. Kutaya kwa cholesterol plaque - carotid endarterectomy - kumaphatikizapo kuchotsedwa kwa khoma lamkati la mtsempha wamagazi pamodzi ndi "kukula".

Pofuna kupewa kulowetsedwa kwa myocardial, ndi matenda am'mitsempha yamagazi, kugwirira kwa mitsempha ya m'mitsempha kumachitika. Ngati kuli kofunikira kupewa mapangidwe a gangrene pazigawo zotsika, ma prosthetics a ziwiya zazikulu amachitidwa.

Kuthandizira opaleshoni sikufuna kuthana ndi zomwe zimayambitsa matenda a atherosulinosis, zimangochotsa kukula kwa zovuta. Chifukwa chake, pambuyo pa opareshoni, mankhwala othandizira mankhwala amapitilizidwa nthawi zonse.

Njira zamakono zamankhwala zimatha kuchepetsa kufa pakati pa odwala omwe ali ndi cholesterol plaque ndikuwonjezera moyo wawo, komabe, sangathe kuchiritsa wodwalayo kwathunthu. Nthawi zambiri, kupereka mankhwala kwa dokotala kumatanthauza kumwa mankhwala amoyo wonse. Poganizira izi, muyenera kusamala ndi moyo wanu, muteteze mitsempha ya magazi anu komanso mupewe kukula kwa zolemba.