Zizindikiro, zimayambitsa ndi mankhwala a multifocal atherosclerosis

Multifocal atherosulinosis ndi matenda osakhazikika amitsempha omwe amadziwika ndi kuwonongeka kwa maiwe ochepa owerengeka mwa mafupa amafuta chifukwa cha zovuta zam'mbuyo za metabolic. Ndi imodzi mwazomwe zimachitika padziko lonse lapansi, zomwe zimatha kubweretsa zovuta zazikulu monga matenda a mtima kapena sitiroko.

Etiology ndi gulu

Atherosulinosis samachitika kawirikawiri chifukwa cha chifukwa chimodzi. Ndizovuta kudziwa kuti: zingapo zomwe zimapangitsa kuti matenda awonekere. Mitu ikuluikulu ndi:

• kuperewera kwa zakudya m'thupi (zakudya zochuluka zamafuta, kusowa chakudya chamagulu olimba),
• zizolowezi zoipa (kumwa mowa mwauchidakwa komanso kusuta),
• kusachita masewera olimbitsa thupi (ntchito zotsika mtengo),
• jenda (mpaka zaka 55, zodwala zam'mimba ndizofala kwambiri mwa amuna, paukalamba, pafupifupi ziwerengero zomwezo muzogonana zonse),
• zaka (nthawi zambiri zimayamba kupezeka mwa anthu achikulire)
• chibadwa
• matenda ophatikizika (ochepa oopsa, matenda a endocrinological, kunenepa kwambiri).

Kutengera ndi makina a chitukuko cha matendawa, mitundu yake:

• Hemodynamic. Chifukwa cha kupsinjika, chipolopolo chamkati cha sitimacho chimawonongeka - intima. Zotsatira zake, ma lipoproteins amalowa mosavuta mkati mwake ndipo patapita nthawi, zikwangwani zolembedwa pamenepo.
• Metabolic (alimentary). Zimachitika chifukwa cha zovuta za metabolic, makamaka chakudya chamafuta ndi lipids (mafuta). Poterepa, cholesterol yambiri imapezeka m'magazi, omwe amasonkhana m'makoma a mitsempha.
• Zosakanizidwa. Amakula ndimapangidwe amodzimodziwo amomwe timapangira pamwambapa.

Pathogenesis ndi mawonetseredwe azachipatala

Maziko a atherosulinosis ndi kupanga kwa makulidwe amkati mwa mitsempha - otchedwa zolembera. Amakhala ndi kudzikundikira kwa cholesterol, mapuloteni, minofu yakufa yokhala ndi minyewa yosalala. Zotsatira zake, kuunikira ndi kutanuka kwa chotengera kumachepetsedwa kwambiri. Zonsezi zimabweretsa kutsika kwa magazi kulowa mkati mwake. Chifukwa chophwanya rheology yamagazi ndi dongosolo la hemostasis, kuundana kumatha kuchitika pa malo a atherosselotic, omwe pambuyo pake amachititsa kutsekeka kwamtsempha. Izi zimachitika makamaka kumadera akumunsi, komwe magazi amayenda pang'onopang'ono.

Mosiyana ndi classical atherosulinosis, multifocal imapereka mawonekedwe owonjezera, chifukwa imakhudza ziwiya zingapo nthawi imodzi. Potengera momwe panjira yake, zotsatirazi zingachitike:

• matenda a mtima (kupindika kwa lumen kwa mitsempha ya m'mimba),
• sitiroko (onse a hemorrhagic, chifukwa cha kuthamanga kwa magazi, komanso ischemic, chifukwa chotuluka ndi magazi),
• mwendo angiopathy, womwe ungayambitse kudulidwa,
• ischemia yamatumbo
• nephropathy,
• kuwonongeka kwamawonekedwe.

Zizindikiro

Choyamba, adokotala ayenera kutola anamnesis kuchokera kwa wodwala. Mwakutero, kutengera kutengera kwazinthuzi, odwala akuwonetsa zomwe zikugwirizana, kaya ndi angina pectoris kapena kuwonongeka kwamawonekedwe, kupatsirana claudication, kupweteka mutu kapena kwamikodzo kwamkodzo. Kuyesedwa kwakuthupi kumawonetsa kusintha kwa odwala moteremu: mtima hypertrophy, kupezeka kwa madandaulo a m'magazi, komanso zovuta zina.

Wodwalayo amakayezetsa magazi ndi mkodzo, amazindikira kuchuluka kwa lipoproteins, cholesterol, shuga ndi zina zambiri zofunika. Pozindikira mosiyanasiyana, zitsanzo zamankhwala (nitroglycerin ndi dobutamine) zimagwiritsidwa ntchito.

Pofuna kudziwa zoyenera kuzitsatira, njira zotsatirazi zimagwiritsidwa ntchito:

• electrocardiography ndikuwunikira kwa Holter,
• ECHO-KG ndi dopplerography,
• radiology ya OGK,
• Ultrasound yam'mimba,
• radioisotope kuyesa impso,
• angiography
• volumetric sphygmography.

Njira zonsezi zimakupatsani mwayi wodziwikitsa matenda, kudziwa kutanthauzira kwa matenda ndi zomwe zimayambitsa posachedwa, zomwe ndizofunikira kuchipatala.

Chithandizo, zakukula, kuyang'anira odwala

Kulimbana ndi multifocal atherosulinosis ndi ntchito yovuta, chifukwa vutoli limakhudza ziwalo zambiri nthawi imodzi. Chifukwa chake, chithandizo chikuyenera kukhala chokwanira.

Choyamba, ndikofunikira kuthetsa zodetsa nkhawa: kusintha zakudya, kuchita zolimbitsa thupi ndi kusiya zizolowezi zoipa. Kupanda kutero, palibe chithandizo chomwe chingathandize.

Mu magawo oyamba, pakakhala zovuta zovuta, mankhwala othandizira amagwiritsidwa ntchito. Magulu otsatirawa a mankhwala ndi omwe amaperekedwa:

• anticholesterol (kusintha magazi lipid sipekitiramu) - ma statin ndi ma fiber: "Rosuvastatin", "Atorvastatin", "Clofibrate",
• antihypertensive agents (kutsitsa magazi) - beta-blockers, ACE inhibitors, angiotensin receptor blockers, diuretics ndi ena,
• mankhwala a antithrombotic (pofuna kupewa thrombosis): acetylsalicylic acid, Clopidogrel.

Ndi kukula kwamavuto, dokotalayo amapereka mankhwala oyenerera.

Nthawi zambiri amagwiritsidwa ntchito komanso opareshoni. Kufikira izi, njira zotsatirazi zikugwiritsidwa ntchito:

• mitsempha yam'magazi,
• chotupa cham'madzi chodutsa,
• carotid endarterectomy,
• coronary angioplasty.

Popeza multifocal atherosulinosis imakhudza mitsempha yambiri nthawi imodzi, choyambirira, zimakonzedwa kwa iwo omwe mkhalidwe wawo uli pafupi kwambiri ndi zovuta kwambiri. Komabe, ngozi yoti ubwererenso idakalipo. Chifukwa chake, odwala akuwonetsedwa mosalekeza mankhwala ochiritsira ndi mayeso a nthawi ndi a mtima (1 nthawi m'miyezi 6). Malangizo onse azachipatala akatsatiridwa, kudwalaku kumakhala koyenera. Komabe, ziyenera kukumbukiridwa kuti nthawi zambiri osayembekezereka, matenda amtunduwu amatsogolera kuimfa.

Multifocal atherosulinosis ndi mtundu wowopsa kwambiri wamankhwala "wamafuta" wamitsempha chifukwa cha chilengedwe. Pankhaniyi, ziwalo zingapo zimatha kuvutika nthawi imodzi. Dziwani ndi kuchiza matendawa mwachangu.

Chofunikira ndi kukhalapo kwa zinthu zomwe zingasinthe zomwe zimakhudza kwambiri zotsatira za matenda. Kukhala ndi moyo wathanzi kumachepetsa chiopsezo cha matendawa.

Zotsatira zotsatirazi zinagwiritsidwa ntchito kukonzekera.

Zolemba za matendawa

Pofuna kuti musakopedwe ndi multifocal atherosulinosis, muyenera kudziwa kuti ndi chiyani. Multifocal atherosulinosis (ICD code 10 170.0-170.9) ndi njira yatsamba yomwe imakhudza mtima. Nthawi zambiri, atherosulinosis kugunda ziwiya zapansi zamitsempha yama coronary, zigawo zonse za aorta ndi nthambi zake, ziwiya zamatumbo zamitundumitundu yosiyanasiyana, mitsempha yam'mbali yam'munsi. Ndikusintha kwakukulu komanso kosalekeza mu mbiri ya lipid, mafuta (cholesterol, triglycerides) amayamba kuyikika pamitsempha yamagazi, ndikupanga zomwe zimatchedwa kuti malo.

Popita nthawi, kuwala kwa bedi lamitsempha, komwe kumabweretsa kutsekeka kwa magazi. Chifukwa cha stenosis, kuwonjezeka kwa zotumphukira zamitsempha zonse kumachitika, zomwe zikuwopseza kukula kwa matenda oopsa. Kuphwanya kayendedwe ka magazi mu ziwalo kumabweretsa kuwonongeka pang'onopang'ono kwa ischemic. Kuchuluka kwa mapepala mumitsempha yomwe imadyetsa mtima, kumayambitsa kuphwanya kwa magwiridwe ake antchito ndikumapangitsa kusintha kwamtundu wamatumbo m'minyewa yamtima. Kusintha koyipa kumeneku kumawonetsedwa ndi kukulitsa kwa myocardium, mtima arrhythmias, kulimbikira kwa magazi.

Multifocal atherosulinosis ndi matenda omwe zimakhudza ziwiya za machitidwe onse. A mbali ya multivascular lesion ndi kupanga angapo magazi ku lumen ya mitsempha yamagazi zosiyanasiyana. Izi ndi zopangidwa ndi kukula kwamavuto - mapapu, kukomoka, matenda a mtima, omwe nthawi zambiri amayambitsa imfa ya wodwalayo. Chofunikira cha multifocal atherosulinosis ndikuti pamagawo oyamba a chitukuko chake, zizindikiro zilizonse kulibe. Nthawi zambiri anthu amafunafuna chithandizo chamankhwala atapita patsogolo, pamene chotupa cham'mimba chimakulirakulira.

Zimayambitsa komanso zowopsa

Choyambitsa chachikulu cha multifocal atherosulinosis ndi kagayidwe kachakudya cholesterol ndi triglycerides thupi. Lipid yochulukirapo imakhazikika pamadzi oyandikira, ndikupanga cholesterol amana. Mafuta ochulukirapo akamasokonekera, ndizowonjezereka zowonongeka pabedi lamitsempha. Pali zinthu zina zomwe zingayambitse vuto la atherosulinosis:

• chibadwa (kukhalapo kwa matenda aubanja),
• kukonda zakumwa zaukali ndi fodya,
• matenda endocrine
• kumangokhala
• Zakudya zambiri zamafuta a cholesterol,
• woposa theka la zaka
• mapaundi owonjezera.

Multifocal atherosulinosis nthawi zambiri imapeza anthu omwe banja lenileni akudwala matenda amtunduwu. Nicotine, mowa umachepetsa kukana kwathunthu kwa thupi, umawononga magawo onse a khoma lamitsempha. Metabolic, kuperewera kwa zakudya m'thupi kumabweretsa kuphwanya kagayidwe kazakudya, makamaka mafuta. Kunyalanyaza zochitika zolimbitsa thupi, kukonda chakudya chokhala ndi mafuta "oyipa" - iyi ndi njira yolunjika pakukula kwa multifocal atherossteosis. Zoopsa zomwe munthu amakhala nazo zimapangitsa kuti akhale ndi chotupa cham'mimba.

Mu magawo oyambilira chitukuko cha multifocal atherosulinosis, chithunzi cha chipatala sichikupezeka konse kapena kufotokozedwa pang'ono. Zizindikiro za matendawa zimawonekera kutengera mitundu ya atherosulinosis komanso momwe mitsempha yamitsempha imagwirira ntchito. Mawonetseredwe azachipatala a multifocal atherosulinosis amakula pofika nthawi yomwe lumen ya m'magazi imachepetsedwa ndi theka.

Kuwonongeka kwa mitsempha yomwe imadyetsa minofu ya mtima kumawonetsedwa ndi zizindikiro zotsatirazi: kukanikiza kapena kuphika kwa chifuwa (mawonetseredwe a ischemia), kusintha kwa zam'magazi mu kugunda kwa mtima, komanso kukhazikika kwa odwala. Ndi kuwonongeka kwakukulu kwa mitsempha ya coronary, chiopsezo chotenga kumanzere kwamitsempha yamatumbo kwa odwala omwe ali ndi matenda a mtima apamwamba kwambiri, omwe amawoneka ndi zizindikiro za kugunda kwa mtima: kutuwa kwambiri, thukuta lakuthwa, cyanosis ya nkhope ndi manja, kupuma movutikira, kupweteka kwambiri kuseri kwa sternum, kugwa kwa mtima. Pamaso pa matenda ashuga, kupweteka kumatha kusavutitsa - izi ndizotsatira za matenda a shuga a polyneuropathy.

Mu magawo amtsogolo atherosulinosis ya msempha amatha kupanga aneurysms. Izi ndi zokutira ngati matumba ake, zomwe zimapangidwa ndi cholinga chakukulitsa kulumikizira kwa chotengera. Choyambitsa chachikulu cha kufa kwa odwala omwe ali ndi multifocal atherosclerosis yophimba ndi msempha ndikutuluka kwa aneurysm.

Kudzikundikira kwamafuta m'makoma a ziwiya zaubongo kumawonetsedwa ndi kuchepa kwa ntchito, kutsika kwa ntchito ya kuzindikira, cephalgia imadziwika kwambiri mwa odwala, kusowa kwa makina owonera ndi kuwunika, dysarthria ikhoza kuwonedwa. Mavuto a atherosulinotic zotupa zamtunduwu ndi ma ischemic stroke (chotengera cha thrombosis) kapena mtundu wa hemorrhagic (chotupa).

Multifocal atherosulinosis miyendo yotsika kuwonetsedwa mwachindunji pakupanga kwa cholesterol kudzikundikira kwamkati mwa ziwiya zamiyendo, zomwe zimatsogolera kutsekeka kwa magazi mkati mwake. Kuwonongeka kwa atherosulinotic kumadera akumunsi kumawonetsedwa:

• ozungulira, khungu lowuma pamiyendo,
• kumva kuthamanga goosebumps
• Tizilombo tating'onoting'ono ta miyendo,
• kuphwanya umphumphu wa khungu (trophic ulceration).

Pamene multifocal atherosulinosis ikupita patsogolo, odwala amayamba kudandaula za kupweteka kwamiyendo pakuchita masewera olimbitsa thupi (makamaka poyenda). M'magawo apamwamba, kupweteka kwambiri sikumasiya odwala ngakhale atapuma kwathunthu, zomwe zimayambitsa chisokonezo cha kugona. Chizindikiro chodabwitsa kwambiri chamtunduwu wa atherosulinosis ndi lameness, yomwe imasinthidwa - wodwalayo amayenda, akumadumphira kumanzere kapena kumanzere phazi lakumanja.

Njira yotchedwa atherosulinotic pamapeto pake imapangitsa kuti ziwalo za m'munsi zisafalikire, zomwe zimaphwanya kwambiri minofu yama trophic. Popita nthawi, matendawa amakula, akuwonetsedwa ndi kuphwasuka kwa minofu yofewa komanso kuledzera kwambiri kwa thupi. Kuti apulumutse moyo wa wodwalayo, madokotala amachitanso ziwalo zina zowonongeka.

Njira Zodziwitsira

Diagnosis ya multifocal atherosclerosis (ICD code 10 170.0-170.) Pamagawo oyamba kumakhala zovuta. Izi ndichifukwa choti chipatala cha matenda sichikupezeka kapena sichimveka bwino. Momwe matenda akupitilira, madandaulo a odwala ali osiyanasiyana mwakuti samalola adotolo kuti azikayikira. Kuti vutoli lithe kumveka bwino, katswiriyo ayenera kuyandikira kusanthula madandaulo a wodwalayo, kusonkhanitsa deta yopatsa chidwi komanso kukonza maphunziro owonjezera.

Kafukufuku wovuta pofuna kudziwa multifocal atherosulinosis imaphatikizapo: magazi a lipid mbiri, ECG, echocardioscopy, kuwunika kwa Holter, kuwunika kwa ma ultrasound ndi dopplerographic pamitsempha yamagazi, angio- ndi coronarography, MRI kapena CT mosiyana. Chofunikira ndikuwongolera kuthamanga kwa magazi, kutsimikiza kwa kutalika ndi kulemera, kutsatiridwa ndi kuwerengera kwa index ya thupi.

Mankhwala amakono amakhala ndi zida zamphamvu zodzitchinjiriza komanso njira zochitira opaleshoni pochiza matenda a matenda a mtima. Kukula kwa nthawi ya matendawa, kukula kwa zotupa zam'mimba zamkati zimakhudza kusankha njira. Chithandizo cha mankhwalawa amtundu wa atherosulinosis ziyenda bwino ngati ubale wodalirika ukhazikitsidwa pakati pa wodwala ndi adokotala. Wodwala ayenera kutsatira mosamalitsa malingaliro ake onse a mtima - izi ndizomwe zimachitika.

Mankhwala

Clacical pharmacology, atafufuza kwambiri, apanga ndikuyambitsa mankhwala ambiri pamsika, makonzedwe mwatsatanetsatane omwe amachepetsa mawonetseredwe a atherosclerosis, amathandizira kuchepa kwa cholesterol komanso kufalitsa matenda a lipid. Pofuna kuchepetsa kuchuluka kwa zipupa pamakoma amitsempha yamagazi, odwala amawapatsa mankhwala omwe gulu limagawika padziko lonse lapansi manga ("Urokinase", "Actelise"). Mowa wa mankhwalawa umachitika mu chipatala moyang'aniridwa ndi adokotala.

Pofuna kukonza zofunikira zamagazi, magazi amalimbikitsidwa kumwa mankhwala a antithrombotic ofanana ndi acetylsalicylic acid (Magnekor, Losperin, Cardiomagnyl). Kudya kwawo ndikupewa wabwino kupewa matendawa kapena matenda a mtima. Mankhwala a gulu la statin (Simvakard, Simgal) amawonetsedwa kwa anthu omwe ali ndi vuto la hypercholesterolemia. Pofuna kukonza metabolism yamafuta, ma fibrate (Fenofibrate, Miskleron) adziwonetsa okha bwino.

Ndi kuwonjezeka mwatsatanetsatane kwa kuthamanga kwa magazi, odwala amawonetsedwa antihypertensive othandizira (Betalok, Enap, Tahiben).Nthawi zambiri, anthu omwe akudwala multifocal atherosulinosis amakhala ndi kuphwanya kwa kagayidwe kazachilengedwe. Izi zimawonekera ndi kupezeka kwa matenda ashuga. Zikatero, kuti magazi azikhala ndi glucose, amamuika pakamwa hypoglycemic agents (Diaformin, Glibutide).

Opaleshoni

Ngati sikokwanira kuchokera ku chithandizo chamankhwala kapena kupezeka kwathunthu, odwala amawonetsedwa opaleshoni.

Chinsinsi cha njirayi ndikumasulidwa kwamitsempha yamagazi kuchokera ku cholesterol plaque, zigawo zamagazi. Njira iyi yadzitsimikizira kuti ichotsa mafuta m'matumbo am'madzi ndi m'munsi mwake.

Chinsinsi cha opaleshoni yothandizira matenda amitsempha yama brachiocephalic ndikuchita endarterectomy. Kuchita opareshoni kumachitika ndi kutenga nawo gawo kwa anesthetist. Pakati pa kulowererapo, gawo lowoneka bwino la khoma lam'mimba limapangidwa, kudzera lomwe ma plaque kapena zigawo zamagazi zimachotsedwa.

Zakudya ndi wowerengeka azitsamba

Nthawi zambiri, multifocal atherosulinosis mankhwala amaphatikizidwa. Ngakhale asanamwe mankhwala, dokotala amalimbikitsa kuti wodwala azitsatira zakudya. Chofunika chake ndi kukana zakumwa zoledzeretsa zamphamvu zosiyanasiyana, kuchokera kuzakudya zamafuta ambiri. Ndikulimbikitsidwa kuti muchepetse kugwiritsa ntchito zakudya zazinyama, makamaka masamba, zipatso, gwero la mapuloteni azomera.

Ndi multifocal atherosclerosis, wowerengeka azitsamba n`zotheka, kuwonjezera pa chikhalidwe mankhwala. Pali mankhwala omwe amathandizira kukonza kagayidwe ka mafuta, amatulutsa magazi m'thupi. Chifukwa chaichi, mutha kugwiritsa ntchito infusions ndi decoctions a rose m'chiuno, singano, hawthorn. Amachepetsa mafuta a chimanga, omwe amayenera kumwedwa tsiku lililonse 1 supuni. Musanayambe chithandizo chamankhwala azikhalidwe, ndibwino kuti mufunsane ndi a mtima wanu.

Kupewa matenda

Monga matenda aliwonse, multifocal atherosulinosis ndiosavuta kupewa kuposa kuchiza. Kupewa kwamatenda kumatentha kuti muchepetse zinthu zonse zomwe zimayambitsa chitukuko cha atherosulinosis. Poyamba, zakudya zimayenera kukhala zofanana, kupatula zakudya zamafuta ochulukirapo komanso chakudya chamagulu kuchokera ku chakudya. Ndikofunika kuti muzikonda zipatso ndi ndiwo zamasamba zatsopano, nyama zopaka. Mafuta a nyama amasinthidwa bwino ndi mafuta azamasamba.

Tiyenera kusiya zopangidwa ndi fodya ndi zakumwa zoledzeretsa, kusewera masewera kapena kuyenda kwambiri, kupewa zochitika zodetsa nkhawa, kuwongolera kunenepa kwambiri komanso mafuta m'thupi. Anthu omwe ali ndi zaka 50 ayenera kupita kwa dokotala miyezi isanu ndi umodzi iliyonse kuti akayezetsedwe.

Multifocal atherosulinosis ndi matenda oopsa omwe amavuta kuwazindikira koyambirira. Pofuna kuti musawononge thanzi lanu, ndikofunika kupimidwa pafupipafupi, kuyang'anira mafuta a metabolism, kukhala ndi moyo wathanzi, kuchita masewera olimbitsa thupi komanso kudya moyenera.

Mankhwala a thrombolytic

Ndi kuwonongeka kwamitsempha m'mimba ndi m'mitsempha yama coronary, mankhwala othandizira omwe amapanga thrombolytic amagwiritsidwa ntchito.

Kuchiza kuyenera kuyamba mu mawola ochepa pambuyo poti mwayamba kudwala, komanso mkati mwa maola 12 ali ndi matenda owopsa.

Kuyimitsa mapangidwe magazi, anticoagulants amagwiritsidwa ntchito: heparin ndi zotumphukira za Cardioembolic stroke, clopidogrel mu acute coronary syndrome. Ndi ischemic syndrome, mankhwalawa sagwiritsidwa ntchito.

Kukhazikitsa mankhwala a aspirin kumayambiriro kwa sitiroko ndi matenda a coronary. Kuphatikiza kwa aspirin ndi dipyridamole kumadziwika kuti ndi kothandiza pa matenda osakhalitsa a ischemic.

Kuchotsa kwamphamvu

Njira yomwe imapereka zotsatira zabwino zazitali. Iagawika m'mitundu iwiri - stenting ndi angioplasty ntchito multifocal atherosulinosis yamatumbo mitsempha ya mtima monga njira ya aorto-coronary artery bypass grafting, komanso stenosis yamitsempha ya m'munsi malekezero ndi aimpso.

Njirayi imalola kuchitira opaleshoni nthawi imodzi pamagawo angapo amkati pakachitika magazi pakakhala zofunika kukhazikika mwachangu kukhazikika kwachipatala.

Carotid Endarterectomy

Njira imeneyi imagwiritsidwa ntchito pothetsa kutsekeka kwa mitsempha ya carotid.

Mankhwala othandizira opaleshoni amakhala ndi zoopsa zomwe zimadziwika, komanso ndi multifocal atherosulinosis, imachitika kuyambira kumalo ovuta kwambiri, komwe chiopsezo chokhala mkhalidwe wosasinthika uyenera kuthetsedwa.

Zomwe zimayambitsa matendawa

Multifocal atherosulinosis ndi matenda ogwirizana omwe pazifukwa zingapo malo ena amakhudzidwa nthawi imodzi.

Chochititsa chofala cha matendawa ndi mbiri ya chibadwa. Ngati wodwala akudziwika kuti ali ndi cholowa chamagulu a mafuta metabolism mwanjira ya xanthomatosis kapena metabolism yamafuta, ndiye kuti izi zimatsogolera ku kuwonekera kwa atherosulinosis.

Ngati wodwalayo amadya zakudya zamafuta ndi michere yambiri, ndiye kuti izi zimayambitsa mavuto azakudya zomwe zimayambitsa multifocal atherosulinosis. Zili choncho chifukwa kuchuluka kwa cholesterol m'magazi kumawonjezeka chifukwa cha kunenepa kwambiri.

Matendawa amatha kuchitika chifukwa cha kusachita masewera olimbitsa thupi, komwe kumayambitsa kunenepa kwambiri. Multifocal atherosulinosis ya m'munsi malekezero angachitike nephrotic syndrome. Zomwe zimayambitsa matendawa nthawi zambiri zimakhala mafuta a hepatosis a impso. Komanso matendawa amatha kupezeka ndi maziko a cholelithiasis. Nthawi zambiri, matenda am'mimba amayamba chifukwa cha matenda ashuga.

Odwala ambiri, kukula kwa matendawa kumawonedwa motsutsana ndi maziko a vuto la chithokomiro. Multifocal atherosulinosis imachitika mwa amuna ndi akazi oimira omwe ali ndi vuto la kusasinthasintha kwa mahomoni.

Matendawa amawonekera pazifukwa zosiyanasiyana zomwe zimayambitsa matendawa komanso zimathandizira.

Zizindikiro za matendawa

Multifocal atherosulinosis ndi matenda oopsa, popeza ndi kukula kwake magulu angapo a zombo amakhudzidwa nthawi imodzi. Matendawa amatha kudzetsa mavuto osaneneka okhudza mtima kapena mikwingwirima. Popeza matendawa amakhudza masamba angapo nthawi imodzi, zizindikilo zake zimakhala zosiyanasiyana.

Ndi zotupa za atherosulinotic zam'madzi onse am'matumbo, zizindikiro sizingawoneke konse kwa nthawi yayitali. Nthawi zina, palibe mawonetseredwe azachipatala omwe amawoneka ngakhale chotengera chatsekedwa kwathunthu.

Multifocal atherosulinosis imatha kukhudza mitsempha ya brachiocephalic yomwe ili m'khosi:

Mitsempha iyi ikakhudzidwa, mpweya waubongo umawonedwa.

Zizindikiro za matendawa zimadalira thromboembolic ndi hemodynamic zinthu. Pachiwiri, pali kuchepa kwakukulu kwa kuthamanga kwa magazi mwa wodwala. Mu zotupa za thromboembolic, mawonekedwe oyera a magazi m'dera la endothelium yowonongeka pamunsi pa zolembazo. Izi ndichifukwa choti mapulateleti amachitidwa. Pa kulekanitsa magazi a pakhungu limayamba.

Nthawi yamatendawa, odwala amadandaula za kuwoneka ngati kufooka kwapafupipafupi. Zimakhala zovuta kuti azilingalira kapena kukumbukira china chake. Pankhaniyi, zolephera mu ntchito yaukadaulo woyambira zisanachitike. Nthawi zina, matendawa amaperekedwa ndi tinnitus. Odwala, kugona kumasokonekera, amakhala osakwiya. Zizindikiro zodziwika bwino za atherosulinosis ndi maonekedwe a kusakwiya komanso kusakhazikika maganizo.

Multifocal atherosulinosis imatha kutsagana ndi encephalopathy. Ndi chitukuko cha matendawa m'mitsempha yama bracheocephalic kumapeto kwake, maluso a wodwala amachepa. Odwala atha kukhala kuti asokoneze magalimoto ndikuwonetsa zizindikiro za Parkinson.

Ndi chitukuko cha matenda mu myocardium, nthawi zambiri angina pectoris amawonedwa mwa odwala. Komanso, odwala amadandaula za kupweteka kumbuyo kwa sternum. Matendawa amatha kutsagana ndi kuphwanya kayendedwe ka mtima kapena kulephera kwa mtima. Ndi mankhwala osavomerezeka a atherosulinosis, myocardial infarction imayamba. Ndi zotsatira zabwino za matendawa, wodwalayo amakulitsa atherosulinotic mtima.

Msempha ukawonongeka ndi atherosulinosis, odwala amadandaula za kuwoneka kwa ululu m'deralo:

Komanso, matendawa amadziwika ndi mawonekedwe a mutu. Odwala amadandaula za kutsokomola. Odwala, mawu nthawi zambiri amasintha. Ndi mawonekedwe a atherosclerosis, vena cava yapamwamba imakanikizidwa, komwe kumapangitsa kutupa.

Ndi atherosclerosis yam'mimba msempha, odwala amadandaula kuti amamva kuwawa, kupweteka pamimba. Pa nthawi yamatendawa, kugaya chakudya m'mimba kapena kuwonekera kwa aneurysm kumawonedwa.

Chifukwa cha kuwonongeka kwa mitsempha yotupa, kutentha kwa khungu m'manja ndi miyendo kumachepa. Ngati chithandizo cha matendawa panthawi yake sichingachitike, ndiye kuti zimakhala zovuta kwambiri kuti munthu ayende, zomwe zimabweretsa kubuma. Nthawi zina, kupezeka kwa owopsa arterial kutsekeka kumapezeka. Multifocal atherosulinosis ya m'munsi yam'munsi imatha kukhala limodzi ndi sclerosis komanso kusintha kwa minofu ya atrophic.

Ndi kuwonongeka kwa mitsempha ya impso, ischemia ya chiwalo imawonedwa. Popeza kuchepa kwa magazi aimpso kumachepa nthawi ya atherosulinosis, izi zimatsogolera ku kuwonekera kwa matenda oopsa.

Multifocal atherosulinosis imadziwika ndi kukhalapo kwa zizindikiro zosiyanasiyana, kutengera komwe zimapezeka. Imawoneka nthawi zambiri chifukwa cha kuthamanga kwa magazi.

Kuchiza matenda

Multifocal atherosulinosis imatha kuthandizidwa ndi akatswiri osiyanasiyana, kutengera gawo la kuwonongeka kwa mtima:

Mosatengera komwe matendawa ali, ndikofunikira kugwiritsa ntchito mankhwalawa pakudya. Wodwala amaletsedwa kudya ubongo, mackerel, batala, chiwindi, lilime, caviar, nkhanu, tchizi cholimba, shrimp.

Wodwala amayenera kudya mafuta ochepa a nyama momwe angathere. Ngati pali kulemera kochulukirapo, chakudyacho chimapangidwa kuti chichepetse. Odwala amalangizidwa kuti azidya zipatso ndi ndiwo zamasamba monga zosaphika momwe angathere. Muthanso kudya nyama yophika ndi nsomba. Kudya kumayenera kuchitika nthawi zambiri (osachepera kasanu patsiku), koma m'magawo ang'onoang'ono.

Ngati multifocal atherosulinosis imayamba chifukwa cha matenda a impso kapena chiwindi, matenda a shuga, matenda a chithokomiro, komanso kunenepa kwambiri, ndiye kuti ndikofunikira kuwachitira mothandizidwa ndi mankhwala apadera. Multifocal atherosulinosis imachotsedwa pakumwa mankhwala a vasodilating ndi antispasmodics. Kuti athandize wodwalayo, amamuika mankhwala osokoneza bongo a vitamini komanso mankhwala ochepetsa.

Kuchita kwakukulu kwa mankhwalawa atherosulinosis kumawonedwa mukutenga antiplatelet agents. Madokotala amalimbikitsa kugwiritsa ntchito angioprotectors kuchiza matendawa. Nthawi zambiri, odwala amapatsidwa mankhwala, omwe zochita zawo zimapangitsa kuti zakudya zikhale zofunikira, kuthana ndi magazi komanso kuthamanga kwa magazi. Komanso, wodwalayo ayenera kutenga lipid-normalizing wothandizila ndi ma satin.

Chithandizo cha matenda mothandizidwa ndi mankhwala ziyenera kuchitika mokwanira. Kusankhidwa kwa mankhwalawa kuyenera kuchitika ndi adokotala, kutengera komwe akudwala komanso zomwe wodwalayo ali nazo.

Mankhwala achikhalidwe polimbana ndi matendawa

Kuonjezera phindu la mankhwala achikhalidwe, mankhwala achikhalidwe angagwiritsidwe ntchito. Kugwiritsa ntchito ndalamazi cholinga chake ndikukhazikitsa kuchuluka kwa seramu m'magazi, komanso kuthamanga kwa magazi. Nthawi zambiri, mankhwalawa atherosulinosis ikuchitika mothandizidwa ndi tincture wa adyo. Pa kukonzekera kwake, ndikofunikira kudula bwino malonda ndikuwonjezera madzi. Mankhwalawa amayenera kumuyamwa kwa mwezi umodzi. Mankhwala amatengedwa pakamwa.

Pofuna kuthana ndi atherosulinosis, Kombucha amagwiritsidwa ntchito nthawi zambiri, yomwe imatha kudzalidwa mumtsuko kukhitchini. Ma Blueberries ndi raspberries amathandizira pakukhazikika kwa magazi. Kuti thanzi la wodwalayo likhale labwino, amafunika kudya saladi ya mtedza, nkhuyu, ma apricots owuma, zoumba tsiku ndi tsiku.

Zochizira za multifocal atherossteosis, mutha kugwiritsa ntchito decoctions ndi infusions wa dandelion, masharubu agolide, elecampane, clover, coltsfoot, hawthorn, plantain.

Multifocal atherosulinosis ndi matenda omwe akukula msanga omwe amafunika chithandizo chanthawi yake. Amakhala ndikumwa mankhwala oyenera. Kupititsa patsogolo machitidwe awo, mankhwala ena osagwiritsidwa ntchito angagwiritsidwe ntchito. Chithandizo chikuyenera kuchitika molingana ndi chiwembu chopangidwa ndi dokotala. Ngati mukufuna kugwiritsa ntchito mankhwala achikhalidwe, muyenera kufunsa dokotala.

Zifukwa zachitukuko

Odwala ambiri omwe amapezeka ndi atherosulinosis ali ndi mtundu wa multifocal.

Multifocal lesion ili ndi zifukwa zake zomwe zimachitikira m'magazi:

• Choyimira chinthu. Ngati mu banja la abale magazi magazi ali ndi matenda a metabolism atherosulinosis, ndiye kuti ndizotheka kuti matenda amtunduwu apangidwe. Komanso, pamakhala chiopsezo chachikulu chokhala ndi vuto la mtima, kapena matenda a mtima.
• Zizolowezi zovulaza zimayambitsa atherosulinosis. Kudalira kwakutali ndi nikotini ndi mowa kumapangitsa kuti choroid iwonongeke ndipo cholesterol malo amayikidwa pamalo a microtrauma, omwe amapanga multifocal atherossteosis,
• Ntchito zoopsa zapantchito, kapena ndi kupsinjika kwakuthupi, amathanso kuyambitsa kukulitsa kwa matenda amisempha,
• Kukhala ndi moyo wopendekera (kusowa masewera olimbitsa thupi) - ichi ndi chimodzi mwazinthu zazikulu zosokoneza mu kayendedwe ka magazi ndi chitukuko cha systemic pathologies, kuphatikizapo multifocal atherosulinosis,
• Kuperewera kwa zakudya m'thupi. Ma pathologies ambiri mthupi la munthu amakula chifukwa cha kuperewera kwa zakudya m'thupi, ndi ma pathologies omwe amapezeka chifukwa cha kuchuluka kwa cholesterol m'magazi zimatengera zakudya zomwe zimadyedwa. Ngati wodwalayo amadya pafupipafupi mankhwala ochokera ku nyama, ndiye kuti kuphwanya kwa lipid metabolism kumachitika mthupi, cholesterol index imadzuka mpaka pazovuta, zomwe zidzapangitse kuwonjezereka kwa mapangidwe a atherosulinotic ndi chitukuko cha systemic pathologies,
• Ntchito yamanjenje. Izi zitha kuphatikizira zinthu zotere mwa munthu - mkhalidwe wopsinjika, wokhumudwa, wosakhazikika mumtima.
• M'badwo wopirira. Nthawi zambiri, atherosulinosis imayamba kukula muukalamba, koma m'zaka khumi zapitazi, akupezeka ndi matenda amtunduwu, omwe amapezeka kale amuna atatha zaka 30,
• Okwatirana. Kwa abambo, atherosulinosis imayamba kuchulukitsidwa kanayi mpaka kasanu kuposa amayi,
• Pathologies omwe angapangitse kukulira kwa multifocal atherosulinosis - matenda a endocrine dongosolo (shuga mellitus ndi hypothyroidism), kuthamanga kwa magazi.

Hypercholesterolemia

Hypercholesterolemia imatha kukhala ndi zifukwa zina:

• Mukamadya mafuta ambiri anyama,
• Kuperewera kwamasamba, zitsamba, ndi zipatso ndi zipatso
• Mavitamini ochepera pazakudya,
• Pang'ono pang'ono madzi akumwa oyeretsedwa.

Ndi matenda am'mimba, mtundu wa attifosaleosis, mtundu uliwonse wa matendawa uli ndi matenda ake, omwe amachititsa kuti pakhale zotupa za atherosulinotic:

• Ndi zotupa za atherosulinotic zam'magazi, matenda a matenda oopsa, amatha kupweteka,
• Ndi ma atherosclerotic plaque mu coronary artery, chifukwa chachikulu cha kukula kwawo ndi hypercholesterolemia,
• Ndi atherosulinosis ya malekezero am'munsi, omwe ali gawo la mitundu ya multifocal ya pathology, provocateur ndi matenda a endocrine system - shuga mellitus,
• Chiwopsezo cha mitundu yonse ya atherosulinosis mu hypercholesterolemia ndi chikonga komanso kudalira mowa.

Popanga mapangidwe a atherosselotic plaque mu gawo limodzi la magazi, amawonjezeranso ena, zomwe zimapangitsa kuti pakhale mtundu wa atterosulinosis.

Zoyambitsa zomwe sizingapewe, koma zomwe ziyenera kukumbukiridwa nthawi zonse ndizochenjera ndi zaka, jenda, komanso chibadwa.

Zomwe zimatulutsa ziyenera kuthetsedwera ndikuchepa kwa chikhalidwe m'zakudya, kusachita masewera olimbitsa thupi, kusuta, kulimbana ndi kunenepa kwambiri komanso kupewa nkhawa.

Kugonjetsedwa kwa dongosolo la kayendedwe ka magazi ndi ma atherosselotic plaques ndi asymptomatic kwa nthawi yayitali, ndipo ndi multifocal atherosulinosis, magawo angapo akakhudzidwa, zizindikiro zimayamba kuwonekera pokhapokha ngati 50.0% ya lumen ya arterial yotsekedwa ndi stenosing atherosulinotic plaque.

Kupanga atherosulinosis popanda zizindikiro zotchulidwa kumangotsimikizika ndi chidziwitso chazida.

Ziwalo zambiri zimayankha mapangidwe a ma atherosulinotic amana ndi mawonekedwe awo:

Ngati atherosulinosis ya chotupa cha carotid kapena chotupa cha brachiocephalic chitayamba, ndiye kuti magazi akuyenda m'maselo a ubongo asokonezeka ndipo kuchepa kwa mpweya ndi michere m'maselo a muubongo kumawululidwa ndi zizindikiro zotsatirazi:

• Mutu ukupindika
• Mutu wowawa
• Osati masomphenya omveka
• Kutopa konse.
• Kusokonezeka tulo - kusowa tulo
• Mdima m'maso ndi kukomoka,
• Kuwonongeka kwakanthawi
• Kusintha kwa malo ndi nthawi,
• Kuwonongeka kwamtima
• Kuchepa kwa luntha.
• Kulephera kulolera
• Kusintha kwamakhalidwe.

Ngati atherosulinosis imayamba m'mitsempha yama coronary, ndiye kuti zizindikiro zazikulu zimayamba motere:

• Zowawa pachifuwa, kumverera kovutikira. Ululu umaperekedwa kwa msana, komanso msana wamchiberekero, miyendo ndi kumenyedwa pansi pa nthiti.
• Zowawa zimawonekera kudera lachiberekero ndi kumbuyo komwe pakati pa masamba.
• Mlozera wamagazi wothamanga (makamaka kupanikizika kwa systolic),
• Kuyankha kwa kugunda kwa mtima pansi pa nthiti mbali ya kudzanja lamanja,
• Angina pectoris ndi arrhythmia
• Myocardial infarction imayamba.

Ngati atherosulinotic ikupanga mawonekedwe mu mitsempha yodyetsa miyendo yomwe imadyetsa miyendo ndi magazi, ndiye kuti pali zotsatirazi:

• Ululu wam'mimba pa kusuntha ndikupangitsa kukhudzana kwapakati,
• The kufalikira ululu zimatengera amene mtsempha amakhudzidwa ndi sclerosis,
• Zosintha khungu
• Miyezo yamadazi
• Kuuma kwa khungu lakumaso ndi khunyu,
• Matenda oyamba ndi mafangasi pa mbale ya msomali, komanso pakhungu la zala ndi zidendene,
• Kudzera m'miyendo
• Pali zilonda zam'mimba
• Chepetsani kutentha kuchokera pamalo okhudzidwa mpaka pansi pa dzanja.
• Minyewa imayamba kukhazikika mwendo.

Njira zochizira

Ndi multifocal mtundu wa kuwonongeka kwa mitsempha yayikulu ndi atherosulinosis, ndikofunikira kupita kwa mankhwalawo kwathunthu ndikugwiritsa ntchito njira zosiyanasiyana:

• Mankhwala osagwiritsa ntchito mankhwala
• Mankhwala
• Opaleshoni ya opaleshoni mankhwala a matenda a multifocal atherosulinosis.

Chithandizo chiyenera kuyambitsidwa kumayambiriro, chifukwa kuwonongeka kwa mitsempha yayikulu kumayendera msanga ndipo kumalowa m'njira yovuta, kutsogoza wodwala kupita pagome kwa dokotala.

Ndikulimbikira kwambiri kwa atherosulinosis, palinso zoopsa za zotsatira zoyipa mu nthawi ya postoperative.

Kwa dokotala yemwe amathandizira mtundu wa atherosulinosis wa 2 multifocal, pali zolinga ziwiri:

• Izi zimalepheretsa chitukuko cha malo omwe ma atherosselotic plaques ndi magazi amawundana,
• Kuchotsa opaleshoni ya atherosulinotic kumaika pama mitsempha akuluakulu omwe amatchinga magazi.

Mankhwala

Njira zochizira matenda a multifocal atherosulinosis zimaphatikizapo kuperekedwa kwa mankhwala a pharmacological magulu:

• Madera. Gulu la mankhwalawa limachepetsa kupanga lipids ndi maselo a chiwindi, omwe amathandiza kuchepetsa kuchuluka kwa cholesterol m'magazi ndi mamolekyu otsika a lipoprotein. Ma Statin ali ndi zovuta zambiri, koma kugwiritsa ntchito kwawo mankhwalawa a multifocal atherosulinosis ndiyo njira yokhayo ya mankhwala yosafalitsira kukula kwa atherosulinotic. Mbadwo waposachedwa wa mankhwala umagwiritsidwa ntchito - awa ndi Atorvastatin, mankhwala a Rosuvastatin, mapiritsi a Torvacard,
• Fibates. Nthawi zambiri zotchulidwa wowonjezera mankhwala ndi ma statins. Mfundo zoyenera kuchitira mankhwalawa, poyambitsa ma reductase receptors, omwe amakulolani kugwiritsa ntchito lipids zowonjezera m'magazi zimakupatsani mwayi wowachotsa kunja kwa thupi mothandizidwa ndi matumbo. Mapiritsi a Gemfibrozil, Fenofibrat mankhwala,
• Ma antiplatelet - Aspirin, Clopidogrel, mapiritsi a Dipyridamole,
• Otsatira a bile acid. Mankhwala osokoneza bongo amathandizira kupanga bile, yomwe imagwiritsa ntchito molekyulu yaulesteroli yaulere. Mankhwala ndi Cholesterol,
• Vitamini Complex ndi kumwa mankhwala okhala ndi Omega3.

Mankhwala osagwiritsa ntchito mankhwala osokoneza bongo monga zakudya

Nthawi zambiri, akazindikira kuchuluka kwa ma atherosulinosis, dokotala amapanga zakudya zamafuta, zomwe zingathandize kuchepetsa magazi a cholesterol komanso kuphatikiza mankhwala.

Pali malamulo ena azakudya zochepetsera cholesterol:

• Pafupipafupi kudya kangapo patsiku,
• Chakudya chizikhala chamafuta komanso chopanda mafuta.
• Osamadya zopangidwa ndi kusuta ndi kukazinga,
• Muchepetse kuchuluka kwa mchere womwe umagwiritsidwa ntchito mpaka 0 - 0,0 magalamu patsiku,
• Nyama yodya mitundu yamafuta ochepa - nkhuku, nkhuku,
• Yambitsani kugwiritsa ntchito nsomba zam'madzi m'zakudya - katatu pa sabata,
• Idyani mbewu monga chimanga,
• Idyani mkaka wa skim.
• Kuchuluka kwazosankha kumayenera kukhala masamba (mpaka 60.0%).

Siyani kugwiritsa ntchito zakudya zotere:

• Sankhani shuga kwathunthu menyu,
• Pewani mowa
• Osamadya zamzitini
• Khofi wamphamvu wachilengedwe
• Mkate woyera watsopano
• Mitundu yonse yamiphika ndi zakudya zotsekemera.