Aortic Atherosulinosis

Kuwonongeka kwa lipid metabolism kumayambitsa mitsempha - kutanuka kwa makoma awo kumachepera komanso m'mimba mwake mwa ziwiya kumachepa. Ndi atherosulinosis ya msempha, zolembera zimayikidwa mkati mwa zotengera. Kupanga koteroko kumachepetsa kuthamanga kwa mitsempha yamagazi ndikuchepetsa kuyeza kwamitsempha yamagazi, kusokoneza kayendedwe ka magazi. Kafukufuku wasonyeza kuti njira ya atherosselotic imakhala ndi njira yayitali yodziyimira. Momwe akufotokozera mafupa a atherosselotic amakhudza thupi lonse, koma ali ndi kuthekera kwina.

Chifukwa chiyani matendawa amachitika?

Choyambitsa chachikulu cha atherosulinosis ya msempha ndi nthambi zake ndizosasangalatsa kwa lipid, pamene milingo ya lipoproteins m'mwazi imachepa chifukwa chakuwonjezeka kwa zinthu zomwe zimakhala ndi kachulukidwe kotsika. Kuwoneka mwachangu kwa zolembedwa za atherosselotic kumachepetsa m'mimba mwake. Izi zimakhudza thanzi la mtima ndikuwopseza mawonekedwe a ischemia.

Zomwe zimayambitsa matenda a mitsempha ya mitsempha ndi monga:

  • chibadwire
  • kusowa zolimbitsa thupi
  • zopsinjika pafupipafupi
  • kuchepa chitetezo chokwanira
  • onenepa kwambiri
  • matenda oopsa
  • zovuta za endocrine, kuphatikizapo matenda ashuga,
  • kusuta
  • kuledzera ndi matenda.

Mawonetseredwe azachipatala ndi mitundu ya kumene

Pali magawo atatu a matendawa:

  • ischemic siteji - angina pectoris, limping, m'mimba kukokana,
  • thrombonecrotic siteji - sitiroko, myocardial infaration, khungu lamiyendo chifukwa cha kupatukana kwa thrombus,
  • fibrous - gawo lotsiriza la matendawa, pomwe madera a atherosulinotic cardiosclerosis amawoneka, ndipo m'malo mwa minyocardial minofu, minyewa ya fibrous imawoneka.

Mitundu yotere ya atherosulinosis ya msempha ndi mavavu imasiyanitsidwa:

  • nthawi yodziyimira popanda mawonekedwe. Kuzindikira matenda panthawiyi kumachitika pogwiritsa ntchito hypercholesterolemia komanso kachigawo kena ka beta-lipoproteins.
  • latent matenda azachipatala. Kuphwanya malamulo kumatha kuwonekedwa ndi njira zothandizira, koma zizindikirazo sizikuwonetsedwa.
  • gawo la zizindikiro zapadera, ischemia ndi matenda oyamba a mtima amawoneka. Katswiri wokhawo yemwe amatha kusiyanitsa atherosulinosis ndi matenda oopsa.
  • ochepa matenda occlusion. Kusintha kwa Fibrotic ndi zovuta za ischemic m'matumba okhudzidwa zimayamba.

Atherosulinosis mu thoracic aorta ndi zizindikiro zake

Zizindikiro za kuwonongeka kwa mtima wamatenda zimatengera zifukwa zambiri - kuopsa kwa matendawa, malo ogawika, thanzi lathunthu.

Zizindikiro za atherosulinosis mu thoracic aorta zimaphatikizapo:

  • chifuwa cholimba
  • chizungulire ndi mutu
  • lipomas wamaso ndi pallor,
  • kutopa ndi kuiwala,
  • kulephera kudziwa.

Nthawi zambiri amapezeka ndi atherosulinosis ya msempha (code for microbial 10 I70.0) and coronary artery of the heart (code for microbial 10 I25.1). Madzi akutuluka m'derali amayamba kuvuta, zomwe zimabweretsa kupweteka pachifuwa kwa maola angapo kapenanso masiku. Msempha umapanikizika, womwe umakulitsa katundu pamtima, womwe umayambitsa kukwiya komanso mtima. Atherosulinosis yamitsempha yama mtima imasonyezedwa ndi kuwonjezeka kwa kuthamanga ndi kutsika kwapakati.

Atherosulinosis ya kung'ambika Chipilala kumabweretsa mawu okweza ndi kumeza kumeza. Kufalikira kwa atherosulinosis mu msempha ndi mafupa amitsempha yamagazi kumayambitsa chifuwa cha angina pectoris ndikubwerera kumanzere, kupuma movutikira, matenda a mtima a ischemic, komanso kuchuluka kwa mtima.

Zizindikiro za atherosulinosis ya kungʻambika m'mimba

Kusokonezeka kwamitsempha yamagazi komwe kumayambitsa matumbo kumayambitsa zotsatirazi:

  • Kutulutsa ndi kudzimbidwa,
  • kuwonda
  • kupweteka kwambiri msomali,
  • matumbo.

Kuphatikiza apo, padzakhala kuwonjezeka kwa kupanikizika, kunenepa kwa miyendo, kulephera kwa impso, kusabala, kuchepa kwa chidwi cha miyendo, kutsimphina.

Zotsatira zoyipa zam'mimba zam'mimba zotsekemera zimaphatikizapo matumbo am'mimba, kutsekeka kwamatumbo ndikutulutsa magazi ndi kusanza, gule gangrene, aneurysm, kupasuka komwe kumatha kupha.

Matenda a mtima a Atherosclerotic

Atherosclerosis ya aortic arch imakwiyitsa kuchuluka kwa cholesterol mkati kapena pazitseko zamitsempha yamagazi. Minyewa ikawonekera mkati mwa mitsempha, imayambitsa matenda ena amitsempha ya m'magazi.

Kodi atherosulinosis ya aortic mtima ndi chiani? Kuphwanya magazi komwe kumapereka minofu ya mtima, komanso kuwonongeka kwa magazi m'mitsempha yama coronary, kumabweretsa chidziwitso cha mitsempha ya mtima.

Atherosulinosis ya ziwiya za mtima za mtima zimadziwika kuchokera ku angina pectoris wofatsa mtima. Atherosclerosis imakhudzanso osati ziwiya zokha, komanso ma mavuvu ndi ma mtima a mtima.

Zizindikiro

Wothandizira, potengera kudwala kwa wodwala, amapanga kufufuzidwa koyambirira kwa atherosulinosis ya msempha, mitsempha yamitsempha yamagazi. Kuzindikira koyambirira kumaphatikizapo mtima wamtima, kuwunika kwa mafuta m'thupi.

Momwe mungayang'anire ziwiya zamkati ndi zam'mimbazi zamatumbo? Pofuna kudziwa kukula ndi dera la zotupa, njira zotsatirazi ndi zotchulidwa:

  • Ultrasound ya mtima ndi pamimba
  • MRI
  • njira zowukira
  • ECG
  • chifuwa x-ray
  • magazi zamankhwala
  • kusanthula kwamitsempha yamagazi.

Chithandizo ndi kupewa

Kusankha chithandizo cha atherosulinosis ya msempha ndi coronary mitsempha, kugwira kwake kumadalira kuchuluka kwa kuwonongeka kwa mtima ndi magawo a thupi.

Njira zochizira atherosulinosis ya msempha ndi mavavu

Njira yophatikizira yamankhwala.

Zakudya zamafuta ochepa.

Kukana zizolowezi zoipa.

Chithandizo cha matenda a matenda amitsempha yamagazi - matenda oopsa, matenda a shuga.

Kuchita masewera olimbitsa thupi pafupipafupi.

Kugwiritsa ntchito mankhwala osokoneza bongo a lipid, kuchepetsa madzi opaka ndi kuchepetsa mitsempha yamagazi:

- kusinthana kwa ma asidi a bile,

- Mavitamini a B,

Amagwiritsidwa ntchito pamavuto pomwe chithandizo chamankhwala sichithandiza ndi chiopsezo chotseka mitsempha yamagazi.

Chotsani mozungulira mbali zowonongeka kwambiri za msempha.

M'malo mwake, ma prosthes amaikidwa kuti abwezeretse magazi.

Chithandizo cha atherosulinosis ya msempha wamtima uyenera kuikidwa ndi dokotala. Kugwiritsa ntchito mankhwala osokoneza bongo kumaphatikizapo kugwiritsa ntchito nicotinic acid, ma fibrate, othandizira a bile acid. Atherosulinosis ya msempha ndi mitsempha yamitsempha yamagazi sikuti nthawi zonse imayankha mankhwalawa, chifukwa chake, pangozi yamavuto, opaleshoni imachitidwa.

Zakudya Zopatsa Thanzi Ndi Zoyeretsa

Zakudya zopatsa thanzi komanso zakudya zamankhwala atherosulinosis zimapangidwa kuti zithetse kulemera, kuchepetsa kudya kwamafuta a nyama ndikuwonjezera kuchuluka kwa zakudya zam'mera zomwe zimadyedwa. Mowa, mafuta a confectionery, zakudya yokazinga ndi zokometsera, zakudya zamzitini, masoseji, ndi ndudu siziperekedwa kuchakudya.

Zakudya za ku Mediterranean zokhala ndi nsomba zam'madzi, masamba, mafuta a azitona ndi chakudya chabwino kwambiri cha arteriosclerosis. Zakudya za sclerosis zamitsempha yama mtima zimaphatikizira nkhumba ndi ng'ombe, kudya nsomba, nkhuku ndi kalulu. Odwala ambiri amalimbikitsa kugwiritsa ntchito njira ya Elena Malysheva yoletsa kupewa ndi zovuta mankhwala.

Chithandizo cha atherosulinosis ndi wowerengeka azitsamba

Kugwiritsa ntchito mankhwalawa mu aortic atherosulinosis kumatheka kokha ndi chilolezo cha dokotala komanso kuphatikiza njira zina. Amachepetsa cholesterol decoction wa adyo, barele, kapena flaxseed.

Kupsinjika kwamtundu wamtundu wamtundu wa aronia, masamba a sitiroberi, hawthorn, mistletoe. Raw mbatata madzi kumathandiza kupewa matenda a mitsempha ya mtima.

Kupewa matenda

Njira zodzitetezera zimatha kupewa kuyambika ndi matendawa, komanso kuthandizira poyambira atherosulinosis ya msempha:

- zolimbitsa thupi zokwanira

- kusiya zizolowezi zoipa,

Ndikosatheka kuneneratu za matendawa. Pazizindikiro zoyambirira za aortic atherosulinosis, muyenera kuwona wochita zamankhwala. Kusamalira thanzi komanso kuchepa kwa njira ya matendawa kumadalira thandizo lomwe liperekedwa munthawi yake, zomwe zikutanthauza kuchepetsa chiopsezo cha moyo.

Mtima aortic atherosulinosis - ndi chiyani?

Atherosulinosis ya aortic mtima ndimatenda omwe amakhudza kwambiri zotanuka kwambiri m'thupi la munthu ndipo ali ndi vuto losatha. Matendawa amakhala ndi mapangidwe amodzi mwa zingapo za lipid zomwe zimayikidwa mkati mwa mtima wa aorta, wotchedwa "atheromatous plaques". Matendawa akamakula, kukula kwa minofu yolumikizana ndi kukhomoka kwa khoma la msempha kumachitika, komwe kumapangitsa kuchepa kwake, ngakhale kuti sikunachedwe, koma ndikupita patsogolo. Zotsatira zake, kuunikira kumachepa kuwonongeka kokwanira, chifukwa chomwe mtima ndi ziwalo zomwe zimadyetsa zimavutika, zomwe zimayamba kupeza kuperewera kwa magazi.

Kuphatikiza apo, kuphimba kwa msempha wamtima ndi zinthu zosiyanasiyana ndizotheka: magazi amkati, chidutswa chosungunuka, kapena zonse ziwiri nthawi imodzi. Zotsatira za kupangika kwa lumen ya mtsempha wamagazi ndikubowola m'mnyewa wamtima.

Msempha womwewo umakhala ndi magawo awiri ndipo umagawika m'magawo am'mimba komanso pamimba. The thoracic aorta ndi malo oyamba a mtima aorta, ndipo mitsempha yomwe imachokera kwa iye imapereka magazi mpaka theka la thupi ndi ziwalo zomwe zimakhalapo. Mimba ya msempha ndi malo ogwiritsira ntchito malo omwe limadyetsa ziwalo zomwe zimapezeka mkati mwa thupi ndi magazi, ndiko kuti, m'mimba ndi m'chiuno.

Malinga ndi ziwerengero, abambo omwe afika zaka 50 ndi kupitilira, komanso azimayi omwe adutsa zaka 60, nthawi zambiri amadwala matenda a mtima.

Zizindikiro za atherosulinosis ya msempha wamtima

Matendawa m'magawo oyamba amakula pafupifupi asymptomatic, nthawi zina mapangidwe a zolembera amatha kutenga zaka makumi angapo. Kutengera gawo lomwe mtima wakhudzidwa nalo, munthu akhoza kukumana ndi zovuta zina.

Ngati thoracic aorta yasintha matenda, ndiye kuti munthuyu amadandaula za zotsatirazi:

Ululu pachifuwa, kuwuka ndi kusakhalitsa komanso kukhala ndi mawonekedwe owotcha,

Dzukani mu magazi a systolic,

Chizungulire pafupipafupi

Kulephera kumeza chakudya,

Tsitsi lamtundu wamtsogolo komanso kukalamba

Kukula kwa tsitsi m'makutu,

Mapangidwe a wen pamaso,

Kuwoneka ngati mzere wowala pamagamba akunja a iris.

Ngati atherosulinosis ikukhudzana ndi m'mimba mtima, munthu angadandaule:

Milandu yakusiyayo, yosimbidwa ndi kusintha kwa m'mimba ndi kudzimbidwa,

Kuchepetsa thupi pang'onopang'ono

Mavuto opweteka a paroxysmal a otsika kwambiri omwe amachitika mukatha kudya ndikumira pakatha maola awiri,

Kupweteka kwambiri pamimba komwe sikumayima ndi mainkoniller kungasonyeze kukula kwa kutupa kwam'mimba kapena peritoneum yomwe, yomwe imachitika chifukwa cha thrombosis,

Zoyambitsa Aortic Atherosulinosis

Mwa zifukwa zomwe zimatipatsa chitukuko cha atherosulinosis ya msempha wamtima, titha kusiyanitsa:

Wodwalayo ali ndi zaka zopitilira 40. Chiwopsezo cha kukhala ndi atherosulinosis chikuwonjezeka limodzi ndi zaka zomwe zidakhalapo,

Amuna ndi akazi (amuna azaka zapakati pa 55 ali ndi vuto la aortic atherosulinosis nthawi zambiri kuposa azimayi),

Choyambitsa chibadwa, ndiye kuti, chiopsezo chotenga matenda amtundu wa m'mabanja omwe mabanja omwe ali ndi matenda ofanana, amawonjezereka

Zizolowezi zoipa, makamaka, kusuta. Ma Resin ndi chikonga chomwe chimakhala mu utsiwo zimathandizira kuti mitsempha ya m'mitsempha ya m'mimba ichuluke, imawonjezera ngozi ya IHD ndikuwonjezera kuthamanga kwa magazi,

Zakudya zosankhidwa mwakachetechete ndi mafuta ambiri a nyama pamenyu,

Ntchito zamagalimoto ochepa, zomwe zimapangitsa kuti pakhale shuga komanso kunenepa kwambiri, komanso kuchepa kwa njira zama metabolic komanso mapangidwe a malo a atherosranceotic.

Kuthamanga kwa magazi

Matenda pafupipafupi komanso kuledzera kwa thupi.

Chithandizo cha atherosulinosis ya msempha wamtima

Mankhwala akangoyamba kumene, amakula kwambiri. Mankhwalawa amayikidwa, koyamba, kutsitsa cholesterol m'magazi, chachiwiri, pakulimbikitsa kuchoka kwake mthupi ndipo, chachitatu, pakuchotsa matenda omwe akuphatikizana.

Pali magulu ena a mankhwalawa omwe amagwiritsidwa ntchito pochiza matenda amtundu wa mtima, pakati pawo:

Ma Statist omwe amathandizira kuchepa kwa mafuta m'thupi, koma ali ndi zovuta zingapo komanso contraindication (praviol, zokor, mevacor). Zambiri pa ma statin ndi ma fiber,

Derivatives ya nicotinic acid ndi nicotinic acid iyemwini, yemwenso cholinga chake ndi kutsitsa cholesterol yamagazi ndi triglycerides, ali ndi zinthu zotsutsana ndi teratogenic ndikuthandizira kupanga "cholesterol" yabwino,

Zimawoneka bwino kuti muchepetse kapangidwe kazinthu zamafuta ake (miskleron, hevilan, atromide),

Otsata a bile acids, omwe amathandizira ku chimbudzi chawo ndikuchepetsa cholesterol yamagazi (cholesterol, cholestyramine).

Palibe mwa awa mankhwalawa omwe angafotokozedwe ndikugwiritsidwa ntchito ndi wodwalayo payekha, chifukwa ali ndi zotsutsana zingapo ndipo amawopseza kukula kwa zovuta, nthawi zambiri kuchokera pachiwindi. Chifukwa chake, chiwembucho chimayenera kusankhidwa ndi adokotala okha komanso payekha. Dokotala yemwe amathandizira atherosulinosis ndi othandizira anthu wamba. Ngati ndi kotheka, wodwalayo atha kutumizidwa kwa katswiri wocheperako.

Kuphatikiza pa mankhwalawa omwe ali pamwambapa, wodwalayo adzapatsidwa malangizo pazakusintha zakudya. Nthawi zambiri, dokotala amakupangira mavitamini ndi michere yama minerals ndi kukonzekera kwa polyunsaturated mafuta acids (mwachitsanzo, Omacor).

Nthawi zina, kulandira chithandizo chokha chokwanira sikokwanira ndipo kungafunike opareshoni. Ndikofunikira pakakhala chiopsezo ku moyo wa anthu, mwachitsanzo, kuphatikizika kwa myocardial, ischemia ya impso, kapena vuto lina la atherosclerosis ya msempha wamtima.

Ndikosavuta kupereka chiwonetsero chakuchira kwa atherosulinosis, zonse zimatengera kukula kwa matendawo. Komabe, ndi kuchotsedwa kwapanthawi yake kwa zinthu zoopsa, ziwopsezo zakufa zimachepetsedwa kwambiri. Chifukwa chake, kupewa kwa atherosclerosis ndikofunikira kwambiri.

Kupewa kwa atherosulinosis kwa msempha wamtima

Njira zodzitchinjiriza ndi cholinga chopewa kuwonjezeka kwa cholesterol yamagazi ndikuletsa kuti isayikidwe pamakoma aorta.

Kuti muchepetse chiopsezo chotenga matenda a atherosulinosis, muyenera:

Pewani zizolowezi zoyipa, choyambirira, kusuta fodya komanso kumwa mowa.

Fotokozeraninso momwe mungagwiritsire ntchito zakudya. Ngakhale kuchuluka kwa cholesterol yomwe imalowera m'magazi kuchokera mu chakudya sikokwanira kwambiri ndipo imangokhala 25-30%, komabe, monga njira yoletsa, sizingakhale zolakwa kuchotsa mbale zokhala ndi nyama zamafuta pazakudya,

Ngati chimodzi mwazizindikiro zomwe zikuwonetsa zovuta mu ntchito ya aorta ya mtima zindikiridwa, muyenera kuonana ndi dokotala posachedwa ndikuwunika kwambiri,

Munthawi yomweyo chithandizo cha matenda ophatikizana amachepetsa chiopsezo cha mtima wa msempha. Ndizokhudza matenda ashuga, matenda oopsa, kunenepa kwambiri,

Kusungabe moyo wokangalika, kuchita masewera olimbitsa thupi mokhazikika, kuchita masewera olimbitsa thupi kuti zitheke, ngati sizingapewe, ndiye kuchedwa kuwonetsa matendawa.

Ndikofunikira kukhazikitsa zovuta zomwe zingakhale zovuta momwe mungathere, kuchitira kupewa komanso kuchiza matenda opatsirana,

Ndikofunikira kumayesedwa chaka ndi chaka kuchipatala komwe amakhala, komwe ndikofunikira kwa anthu omwe adutsa zaka 40.

Kutsatira njira zochepetsera izi kumachepetsa chiopsezo chotenga matenda a mtima aorta, kupewa zovuta zovuta zamatendawa ndikukhalabe ndi moyo wabwino kwambiri.

Maphunziro: Diploma mu "Cardiology" yomwe idalandiridwa ku PSMU iwo. I.M.Sechenova (2015). Sukulu yomaliza maphunziro idachitika pano ndipo dipuloma "Cardiologist" idapezeka.

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Atherosulinosis ndi nthenda yamagazi yamtsempha wamagazi momwe cholesterol ndi mafuta ena amkati mwa zolembedwa ndi zolembera zimayikidwa kukhoma lamkati lamitsempha, ndipo makoma enieni amakhala onyansa ndikutha mphamvu. Zombozi zimayamba kuuma pang'onopang'ono chifukwa cha mafuta ndi mandimu pamakoma, ndikutha mphamvu.

Mankhwala azitsamba ngati njira yochizira, malinga ndi madokotala, amatha kukhala othandiza mu atherosulinosis. Zitsamba zamafuta nthawi zambiri zimagwiritsidwa ntchito ngati othandizira kuwonjezera zotsatira za mankhwala opangira mankhwala, komanso njira yayikulu yochizira matendawa. Malingaliro a odwala ambiri amawaona ngati olakwika.

Atherosulinosis yokhala m'munsi yotsika ndi gulu la njira zomwe zimakhudza mitsempha yayikulu yam'munsi, ndipo ndikuphwanya kwapang'onopang'ono kwa magazi kumisempha chifukwa chakufinya (stenosis) kapena kufinya (kufalitsa) kwamitsempha. Mawu oti "kuwononga" ndi.

Atherosclerosis ya ziwiya zaubongo imayenda pang'onopang'ono mwadongosolo zotengera zomwe zili m'chigawo chofanana. Mankhwala, mutha kupeza matanthauzidwe ena a matendawa, mwachitsanzo, zotupa za atherosulinosis kapena zotupa za atherosselotic zotupa zam'mimba, koma tanthauzo silikhala losasinthika.

Malingaliro akuti chakudyacho si ntchito yosasangalatsa komanso yopweteka, chifukwa chimakakamiza munthu kusiya zakudya zambiri “zokoma” chifukwa cha “athanzi,” zakhazikika m'maganizo a ambiri. Komabe, mndandanda wazinthu zovomerezeka kuti zigwiritsidwe ntchito ku atherosulinosis ndiwotakata. Lamulo lalikulu la zakudya m'thupi.

Matendawa amagwirizanitsidwa ndi kuphwanya kwa lipid metabolism. Kulephera koteroko kumakwiyitsa kudziunjikira kwa cholesterol yotchedwa "yoyipa" m'magazi. Zotsatira zake, "cholesterol plaques" amapangidwa. Iwo, atagona pamakoma amitsempha yamagazi, amakhala ndi ngozi yayikulu. Pamalo opangira zolembera, chotengera chimakhala chosalimba, chake.

Ambiri, ngati si onse, kamodzi kamodzi m'moyo wawo adawona mawonetsero owoneka bwino a kusintha kwachilengedwe mu ubongo: mutu wopanda vuto, kulira ndi tinnitus, zovuta zokumbukira, ma photopsies (kumverera kwonyenga kwa maso), ndi zina. Zizindikiro zikuwonetsa ischemia, kapena, mopepuka, kuphwanya magazi.

Zomwe zimayambitsa matendawa

Aortic atherosulinosis imakwiya chifukwa chophwanya lipid metabolism. Zomwe zimayambitsa kusintha kwa mafuta a metabolism amatha:

  • kusuta
  • matenda ashuga
  • kumangokhala
  • kuperewera kwa zakudya m'thupi
  • chibadwire
  • kusowa kwa mahomoni a chithokomiro,
  • postmenopause
  • kuchuluka kwa mahomoni a adrenocorticotropic ndi gonadotropic,
  • zosintha zokhudzana ndi zaka mthupi pambuyo pa zaka 60.

Komanso, kupanga kwa aortic atherosulinosis kumapangitsa kuwonongeka kwamkati mwa khoma la chotengera - endothelium. Ikhoza kukhala autoimmune, ma virus, mabakiteriya achilengedwe.

Zizindikiro zamakhalidwe

Mitsempha iyi imakhala ndi magawo angapo: kukwera (kumachoka kumanzere kwamtima), khwalala ndi gawo lotsika, lomwe limagawidwa m'magawo a thoracic komanso m'mimba. Kutengera ndi komwe malembawo anali, atherosulinosis imatha kudziwonetsa lokha ndi zizindikiro zosiyanasiyana.

Zizindikiro za zotupa za gawo lina la msempha

Kukwera kwa gawo komanso khola la msemphaThoracic gawo limodzi la msempha wotsikiraMimba yam'mimba yotsikira msempha
Kupweteka kwambiri pachifuwa kumayang'ana kuderalo pakati pamapewa ndi khosiKupweteka kovuta m'chifuwa, nthawi zina mpaka kufikira msana, khosi, mikono, hypochondriumKupweteka kwapweteka m'mimba ndi matumbo
Kumeza kovutaKuchulukitsa kwa systolicKufalikira
HoarsRipple mu hypochondrium yoyeneraKudzimbidwa
Kuchepetsa thupi komwe kumachitika chifukwa cha zovuta m'mimba
Kuchepetsa kwa potency komwe kumachitika chifukwa cha kusayenda kwa magazi m'chiwalo zachiberekero
Kuchuluka kwamiyendo, kutupa
Ana a ng'ombe mukamayenda, zikubweretsa lameness

Ngati simuyamba kuchitira matendawa kumayambiriro kwa matendawa, atherosulinosis ya kung'ambika kwa mtima kumabweretsa zovuta zambiri zowopsa.

Zovuta zotheka

Zonsezi zimagwirizanitsidwa ndi kuperewera kwa ziwalo zosiyanasiyana za oxygen ndi michere. Popeza kuti msempha ndi chotengera chomwe magazi amayambira, ndipo ena amachokera mu mtsempha wamagazi, zovuta zake zimakhudza pafupifupi thupi lonse.

Tcherani khutu! Mavuto omwe amayamba chifukwa cha atherosulinosis ya msempha ndi owopsa kwambiri ndipo amatsogolera kuimfa kapena kulumala. Palibe chifukwa musadzinyengerere kuti muthane ndi machitidwe a aortic atherosulinosis ndipo pitani kwa dokotala pazizindikiro zoyambirira!

Zotsatira za aortic atherosulinosis zimatengera makamaka mapangidwe a zolembera. Kutalika (pafupi ndi mtima) kwazomwe zimachitika pazigawo, komwe kumakhala kowopsa. Atherosclerosis ya kukwera kwa msempha imatha kuyambitsa zovuta zonse zomwe zimadziwika ndi atherosulinosis ya zigawo za msempha zomwe zimapezekanso. Koma atherosclerosis ya m'munsi mwa msempha sangayambitse zovuta zotengera atherosulinosis ya msempha womwe uli pafupi ndi mtima.

Zinayi matenda

1.Dongosolo Lokwera

Mitsempha yamagazi yomwe imachokera ku msempha m'derali: mitsempha ya m'magazi (coronary) imatulutsa magazi ku minofu ya mtima.

Mavuto a atherosulinosis a kungʻambika gawo (amakwiya chifukwa cha magazi osakwanira kwa mitsempha yama nthambi):

  • Cardiac ischemia - magazi osakwanira kwa minofu ya mtima. Imafotokozedwa mu arrhythmias, tachycardia, kusokonekera kwa kulowetsedwa kwa mitsempha mkati mwa mtima, kupweteka komanso kusasangalala pachifuwa, kufupika. Ischemia imatsogolera ku angina pectoris. Zimayambitsanso vuto la mtima. Mtima ischemia
  • Angina pectoris (mwa anthu wamba - angina pectoris). Imadziwoneka ngati yowawa, yopweteka pachifuwa, yomwe imaperekera kumanzere, nthawi zina mpaka nsagwada, kutentha kwa mtima, nseru, ndi colic.
  • Myocardial infarction ndi necrosis ya gawo la mtima. Imadziwoneka ngati ululu wambiri pachifuwa (imatha kupatsa khosi, mikono, phewa, m'mimba), kupuma movutikira, kutsokomola, thukuta, chitoliro.

Nthawi zina infirction yamtima wamatenda imabweretsa kumangidwa kwamtima.

Kugonjetsedwa kwa chotupa chama carotid (kumanzere)

  • Ischemia (magazi okwanira) aubongo. Zizindikiro: chizungulire, kukomoka, kugona, kupweteka mutu, kusanza komanso kusanza, dzanzi pamapeto, kuchepa kwa kukumbukira ndi magwiridwe, kusokonezeka kwa gawo la psycho. Chimodzi mwazovuta za ischemia ndi stroke.
  • Ischemic stroke ndi njira yovuta kwambiri ya kufalikira kwa magazi mu ubongo, komwe kumayendera limodzi ndi kuwonongeka kwa gawo linalake la minyewa yaubongo. Zizindikiro zikuluzikulu: kusokonezeka m'malo, mutu, nseru ndi kusanza, kutentha thupi, thukuta kwambiri, kusazindikira. Kutembenuka kwamitundu yosiyanasiyana ya thupi ndi zizindikilo zina zomwe zimatengera gawo liti la ubongo zomwe zawonongeka zitha kuchitika. Stroko imatha kupha, komanso mavuto osintha (monga kufooka, kusamva, khungu, kusowa chonena, ndi zina zotere).

3. Thoracic gawo la kutsika kwa msempha

Mitsempha yama cell yomwe imadyetsa nthambi yam'mero ​​ndi mapapu m'derali.

Vuto lothekera ndi ischemia m'mapapo. Amanenedwa mofupika, kulephera kupuma. Zingayambitse matenda a mtima (necrosis) ya m'mapapo. Zizindikiro zazikulu zamkati zam'mapapo mwanga: kupuma movutikira, kufinya, kutsokomola magazi, khungu la pakhungu ndi mucous nembanemba, kuthamanga kwa magazi, kuzizira.

4. M'mimba mwa msempha wotsikira

Apa mitsempha nthambi, kudyetsa m'mimba, chiwindi, ndulu, impso, matumbo, ziwalo za m'chiuno, miyendo.

Mitsempha yam'mimba ya gawo lotsikira

Zovuta zomwe zingachitike pakugonjetseka kwa dipatimenti iyi:

  • Mimba ischemia. Amafotokozedwa pachimake, kudzimbidwa, kupweteka pamimba. Zitha kuyambitsa matumbo. Zizindikiro zake: kupweteka kwam'mimba, kuletsa njira zamkati, kupezeka kwa magazi mu ndowe.
  • Ischemia impso. Zizindikiro: hyperthermia, matenda oopsa, kupweteka kumbuyo, nseru, kusanza. Zingayambitse kudwala kwa mtima kwa impso. Zizindikiro zake ndizofanana ndi ischemia, koma magazi mumkodzo nawonso amawonjezeredwa, komanso kuchepa kwa kuchuluka kwa mkodzo womwe umapangidwa ndi impso.
  • Kusabala (mwa abambo) ndi kusabereka (mwa amuna ndi akazi onse). Zimachitika chifukwa cha kusakwanira kwa magazi ku ziwalo za m'chiberekero.
  • Zilonda zam'mimba.

Zowopsa

Atherosulinosis ndi matenda osachiritsika omwe mafowo a atherosulinotic amapezeka pamakoma a chotengera. Zosungidwa zotere zimakhala ndi cholesterol, zotsalira za lipoprotein, maselo am'magazi, minofu yolumikizana. Maphunziro okhwima amafikira ngakhale zida zake zokha. Chingwe cha atherossteotic m'matumba ang'onoang'ono amatha kubowoleza lumen, ndipo m'mitsempha yayikulu monga aorta, imatha kupunduza mtsempha womwewo ndikulepheretsa magazi kulowa m'mitsempha yotuluka.

Aortic atherosulinosis imayamba pang'onopang'ono - makumi angapo. Panthawi imeneyi, zinthu zambiri zowonongeka zimasokoneza makoma amtsempha. Chifukwa chake, ndizosatheka kutchula chifukwa chomveka bwino cha matendawa. Pali mndandanda wazovuta zomwe zingayambitse kukula kwa atherosulinosis:

  • ukalamba wokhudzana ndi misempha. Kwa anthu achikulire, makoma azombo amawotchera, amakhala ovulala. M'badwo wovuta kwa amuna ndi pambuyo pa zaka 50, kwa akazi atasiya kusamba,
  • kuthamanga
  • cholesterol yayikulu, LDL,
  • kusuta
  • onenepa kwambiri
  • chibadwa
  • kupsinjika kwakanthawi
  • kusayenda bwino
  • matenda opatsirana otupa.

Malinga ndi gulu lapadziko lonse lapansi la matenda obwezeretsa 10 (ICB-10), code І70 imaperekedwa ku atherosulinosis ya msempha.

Kufalikira kwa zotupa

Pali magawo anayi a aorta:

  • Gawo lakukwera la msempha, lomwe limatsata mawonekedwe aortic, mitsempha ya m'mimba yomwe imadyetsa mtima kuchoka pamenepo.
  • Chipilala cha aortic ndi gawo lalifupi la chotengera cholumikizira kukwera, kutsika. Ngakhale ndizochepa, ndizofunikira kwambiri. Kuchokera pa mgodi wa aortic, mtsempha wamanzere wam'madzi wam'madzi, chotupa chakumanzere, komanso chigwa cha brachiocephalic. Mitsempha iyi imadyetsa ubongo, khosi, ndi mapewa.
  • Gawo lotsikira limagawidwa mu thoracic ndi m'mimba msempha. Imadutsa kutsogolo kwa msana kudutsa m'chifuwa chonse, m'mimba. Zida zomwe zimadyetsa ziwalo za m'chigono chaching'ono, gawo lam'mimba, ndi nthambi pachifuwa sizichokerako.

Aortic atherosulinosis imatha kukhudza iliyonse mwa madipatimenti awa. Zizindikiro za matendawa zimatengera komwe kuli zolembera za atherosulinotic.

Zizindikiro za Aortic Atherosulinosis

Matendawa amatha kukhala ndi zaka 30 mpaka 40 popanda chizindikiro chimodzi. Matende a atherosclerotic pa msempha amapezeka nthawi zambiri atafa, ngakhale nthawi ya moyo munthu alibe zizindikiro za matendawa. Zizindikiro za aortic atherosulinosis ndizosiyanasiyana ndipo zimatsimikiziridwa ndi kutulutsidwa kwa madongosolo, komanso kukhalapo kwa zovuta.

Kukwera gawo

Gawo lomwe likukwera limatha kukhudzidwa ndi cholesterol plaque, koma kwa nthawi yayitali sadzipangitsa kuti amve. Ngakhale kukula kwa aneurysm sikuyenda ndi zizindikiro zapadera. Nthawi zambiri aneurysm imadziwika nthawi yosankha fluorography, ultrasound ya mtima. Ndi kukula kwamavuto, Zizindikiro za aortic atherosulinosis mu dipatimenti iyi ndi:

  • kufooka kwambiri
  • womvera
  • kupweteka pachifuwa
  • nthawi zambiri - kusazindikira.

Ndi zizindikiro zotere, ndikofunikira kuyitanitsa ambulansi. Mwinanso aortic dissection wayamba, kufuna opaleshoni yodzidzimutsa.

Ngati cholesterol cholembera atseka pakamwa pa mitsempha, mphamvu zake ndizofanana ndi zomwe zimapangitsa minofu ya mtima, kulephera kwa mtima:

  • kupweteka mwadzidzidzi pakati, mbali yakumanzere ya chifuwa, kufinya. Izi zimatchedwa angina pectoris,
  • kutopa,
  • kupuma movutikira
  • kumverera kwakusweka mtima kwanu,
  • kutupa.

Chipilala chaortort

Kuchokera pagawo ili la mtsempha, zotengera zomwe zimapatsa khosi, ubongo, malo amapewa. Ngati cholembera cha atherosselotic kapena chikalepheretsa kukula kwa imodzi mwa mitsempha imeneyi, ubongo umalandira mpweya wochepa, womwe umakhudzidwa kwambiri ndi kuchuluka kwa magazi. Chifukwa chake, amayankha matenda oyipa m'thupi.

Pa gawo loyamba, atherosclerosis ya kungʻambika Chipilala akuwonetsedwa ndi izi:

  • malungo
  • kufooka
  • kusadya bwino
  • thukuta lausiku
  • kupweteka, kupweteka kwa minofu,
  • kupweteka pachifuwa
  • kutupa kwa toni.

Nthawi ina odwala adati:

  • chizungulire
  • mutu
  • kukomoka
  • mikwingwirima yaying'ono
  • kukokana
  • kusanza, kusanza,
  • manja ozizira, mapazi
  • kuwonongeka kwamawonekedwe.

Thoracic department

Atherosclerosis m'derali imakhudza kufalikira kwa ziwalo za chifuwa chamkati. Mwachidziwitso, izi zitha kudziwonekera:

  • aortalgia - kuwotcha ndi / kapena kukanikiza kupweteka kumbuyo kwa sternum, kupatsa m'manja, m'khosi, kumbuyo, pamimba pamimba. Ululu umakulirakulira ndi kulimbitsa thupi, kupsinjika. Amasiyanitsidwa ndi angina pectoris ndi kukhalabe. Aortalgia imatha kukhala kwa maola angapo kapena masiku, kenako kukulira, kenako kufooka,
  • kumeza movutikira chifukwa cha kupanikizika kwa mtsempha wam'magazi wotupa,
  • kuyamwa
  • makulidwe osiyanasiyana a ana asukulu
  • mutu
  • chizungulire
  • matupi opukutira ndi mutu.
  • kupweteka kumbuyo, nthiti zikufanana ndi neostgia ya patali.

Mimba

Atherosulinosis ya m'mimba msempha umayamba kwambiri nthawi zambiri. Pakamwa pa ziwiya zodyetsa ziwalo za m'chiuno chaching'ono, kumimba kwam'mimba, ndi miyendo kumachepera. Zizindikiro zimadalira malo omwe kuli ma atherosselotic plaques. Zizindikiro zomwe zingatheke:

  • kulankhulirana
  • kuzizira, dzanzi, miyendo yotuwa,
  • zilonda zam'miyendo
  • kudzimbidwa (belching, nseru, bata).

Njira Zodziwitsira

Aortic atherosclerosis nthawi zambiri imapezeka mwamwayi panthawi yoyesedwa. Kupatula apo, matendawa samayendera limodzi ndi zizindikiro kwanthawi yayitali. Mukamamvetsera pamtima, m'mitsempha yamagazi, dokotala amatha kuwona phokoso lamagazi, kusintha masinthidwe. Kugunda kwa manja onse kumatha kukhala kosasangalatsa.

Kuti mumve zambiri wodwalayo, amatumizidwa kukayezetsa zofunikira:

  • Ultrasound yamtima. Amakulolani kuti muwonere kukula kwa kukwera kwa msempha, komanso khola la msempha, makulidwe awo a khoma, kukhalapo kwa zolakwika, aneurysms.
  • Transesophageal echocardiography. Njira yosiyanasiyana ya ultrasound ya mtima, aorta, momwe sensa imamezedwa ndi wodwala. Njira imeneyi imakuthandizani kuti mukwaniritse zithunzi zapamwamba kwambiri. Kupatula apo, chotengera chimadzilekanitsa ndi sensor kokha khoma loonda la esophagus. Amagwiritsidwa ntchito pozindikira aortic atherossteosis, ngati kungoganiza mwatsatanetsatane kumafunikira.
  • Dopplerography. Mtundu wapadera wa kuyeserera kwa ultrasound, komwe kumapatsa dokotala kumvetsetsa kwa kuthamanga kwa magazi kwa magawo osiyanasiyana a mtsempha wamagazi.
  • CT, MRI. Maphunziro onsewa amalola adokotala kuti apeze chithunzi cha zotengera. Zitha kuchitidwa kapena mosiyana. Njira yotsiriza yofunsira ikuphatikiza kuyatsidwa kwapadera kwa utoto wapadera wamankhwala womwe umapangitsa kuwala kwa chotengera m'chithunzicho kumveka bwino. Koma popeza kuti mtsempha womwe umaphunzirira ndi waukulu kwambiri, aortic atherosulinosis imawoneka bwino popanda kugwiritsa ntchito kusiyana.

Chithandizo chamakono

Chithandizo cha atherosulinosis imakhudza njira zitatu zazikulu:

  • kusintha kwa moyo wawo, kuwunika zakudya zawo,
  • kumwa mankhwala
  • opaleshoni kuchitapo kanthu.

Nthawi zambiri yoyamba imakakamizidwa, ndipo inayo inayo imasonyezedwa.

Palinso njira zambiri zotchuka zochizira, koma zambiri sizizindikirika ndi mankhwala ovomerezeka.

Kusintha kwamoyo, zakudya

Aortic atherosulinosis m'magawo oyamba amatha kuchepetsedwa popanda mankhwala. Kuchotsa kwathunthu mapangidwe a atherosselotic sikukulolani kuti muchotse njira iliyonse yochizira. Kupititsa patsogolo thanzi la odwala ambiri kumawonedwa ndi:

  • kusiya kusuta. Kusuta kwachangu kapena kungokhala ndi zowononga pamakoma a chotengera. Kukana ndudu, kupewa kusonkhanitsa anthu omwe amasuta kumathandiza kuti muchepetse chiopsezo chokhala ndi vuto la atherosclerosis,
  • zolimbitsa thupi tsiku ndi tsiku. Kuyendetsa njinga kapena kuyenda, kulima dimba, kusambira, masewera a yoga kapena masewera ena aliwonse ayenera kukhala ndi moyo watsiku ndi tsiku. Kungolimbitsa thupi kwa mphindi 30 tsiku lililonse kumachepetsa cholesterol,
  • Matenda a kulemera. Kuchotsa mapaundi owonjezera kumachotsa kupsinjika kwakukulu pamtima, komanso kumathandizanso kuti cholesterol ikhale yambiri. Kusintha kwake kumakhala ndi zotsatira zabwino pa thanzi la wodwalayo,
  • kuchepetsa nkhawa. Yesetsani kupewa zopanikiza, pezani nthawi yopuma. Ngati simungathe kuzichita nokha, pitani kwa katswiri wazamisala kuti akuthandizeni akatswiri.

Zakudya kwa aortic atherosulinosis zimaphatikizapo:

  • kukanidwa kwa zinthu zomwe zimakhala ndi mafuta a trans. Amachulukitsa zomwe zili ndi lipoproteins zoyipa, amachepetsa zomwe zimakhala zabwino. Mafuta a Trans ndi anzanu omwe anaphika omwe amatha kubisala mu zakudya zambiri. Muyenera kuphunzira zilembedwe mosamala pazinthu zosafunikira,
  • maziko a chakudyacho ndi zakudya zamafuta ambiri. Masamba, zipatso, mbewu monga chimanga, nyemba za mandimu zimakhala ndi mitundu yambiri ya sungunuka, yopanda chakudya. Mitundu yonse iwiriyi ya fiber imasintha mkhalidwe wamtima ndi m'mitsempha yamagazi, pomwe fiber yosungunuka imathandizanso LDL,
  • mafuta ochepa kwambiri. Nyama yofiyira, makamaka mitundu yamafuta, tchizi chamafuta, tchizi, kirimu, dzira lamazira - izi ndi zinthu, zomwe ziyenera kukhala zochepa. Onsewa amatulutsa cholesterol yoyipa,
  • Ma acid a omega-3 ndi gawo lofunikira pakudya. Madokotala aku America amalimbikitsa kudya mitundu yamafuta am'madzi kamodzi kawiri pa sabata. Hering, mackerel, nsomba, mackerel, tuna - ali ndi mafuta odabwitsa ac acid, komanso ali ndi puloteni yofunikira kwambiri. Masamba amatha kupeza ma omega-3 mafuta acids kuchokera ku mbewu za fulakesi, ma almond, walnuts,
  • kudya okwanira kwamadzi. 1.5-2 malita a madzi / tsiku amathandizira kusintha mafuta m'thupi. Ngati thupi sililandira madzi, limakulitsa kuchuluka kwa sterol, kuteteza maselo ake ku madzi osafunikira.

Mankhwala

Mochedwa siteji ya aortic atherosclerosis imafuna kugwiritsa ntchito mankhwala. Kutengera ndi zomwe wodwalayo ali ndi thanzi lake, adotolo angadziwitse:

  • lipid-kuchepetsa mankhwala - gulu la mankhwala omwe amatulutsa cholesterol, LDL, HDL, cholesterol. Nthawi zambiri mu ma regimens achire amakono, ma statin amagwiritsidwa ntchito omwe amatseka kapangidwe ka cholesterol. Omwe akuimira gululi ndi atorvastatin, rosuvastatin, simvastatin. Ndi chiwopsezo chochepa pamlingo wa sterol, wodwalayo atha kutumizidwa mafupa, mafuta osakanizidwa a mafuta, mafuta amchere a bile acid, nicotinic acid,
  • Mankhwala omwe amapangitsa kuti magazi azikhala achilendo amathandizanso kuti mtima ukhale wosavuta. Nthawi zambiri, bisoprolol, amplodipine, nitroglycerin, enalapril amagwiritsidwa ntchito pofuna kuchiza matenda aortic atherosulinosis,
  • corticosteroids - ali odana ndi yotupa. Ngati njira ya atherosulinosis ikukulira chifukwa cha kutupa, wodwalayo amapatsidwa mankhwala a prednisone kapena mankhwala ena okhudzana,
  • anticoagulants - muchepetse chiopsezo cha thrombosis pochepetsa kukhuthala kwa magazi, kupewa ma cell omatira. Mankhwala odziwika bwino ndi aspirin, ticlopidine, warfarin, streptokinase.

Njira zopangira opaleshoni

Chithandizo cha opaleshoni ya aortic atherosulinosis ikuwonetsedwa kwa anthu omwe ali ndi madandaulo akuluakulu a thanzi, chiwopsezo chachikulu cha zovuta: stroko, myocardial infarction, kupasuka kapena kuphwanya kwa msempha. Pali njira zingapo zogwirira ntchito:

  • Kuwona malo opangira atherosselotic ndi opareshoni pomwe dokotalayo amachotsa matope pakuwoneka. Chotengera ndi bala zimasungidwa. Kuvuta kwa chinyengo kumafotokozedwa ndi malo a aorta (m'mbali mwa msana), komanso kufunikira kwake kwa thupi, komanso kuchuluka kwa magazi.
  • Angioplasty ndi ntchito yovuta, pomwe gawo lowonongeka limatulutsidwa, ndikusinthidwa.
  • Kutsitsa kwa balloon sikumachitidwe kovutirapo, kumaphatikizapo kuyambitsa kwa catheter wokhala ndi mpira wophatikizika. Dokotalayo akafika polekezera, amadzuka kambirimbiri, kwinaku akuwombera. Kukhala ndi chopendekera kumawongola. Opaleshoni kuchitira aortic atherosulinosis kungayambitse kuyikika kwa stent - chimango chomwe chikhazikitsa chimbudzi cha chotengera kuchokera mkati. Kupusitsa kumeneku kumatchedwa kuti kununkha.

Zithandizo za anthu

Ngakhale palibe chifukwa chomwa mankhwala, mutha kuthana ndi matendawa pogwiritsa ntchito njira za anthu wamba:

  • Birch masamba. Thirani 5 ga chomera ndi kapu ya madzi, kubweretsa kwa chithupsa, kenako kuwira kwa mphindi 15, kuchotsa kuchokera pamoto, musiyeni mutha kwa ola limodzi. Tengani msuzi wopindika theka la ola limodzi musanadye maulendo 4 / tsiku,
  • Maluwa a Hawthorn. Thirani maluwa 5 g mu kapu yamadzi otentha, kuyikiridwa ndi chivindikiro mu madzi osamba. Pambuyo mphindi 15, chotsani, kutentha kuzizira. Bweretsani kuchuluka kwa 200 ml. Mphindi 30 asanadye, imwani kapu imodzi m'mawa, madzulo,
  • Mizu ya elecampane. Thirani 30 g wa ufa ndi 500 ml ya vodika, chokani kwa masiku 40 m'malo amdima. Imwani 25 akutsikira musanadye,
  • Walnut Idyani mtedza 100 tsiku lililonse, ndikugawa zakudya zamitundu itatu,
  • Rosehip. Pogaya m'chiuno, ndi kutsanulira mumtsuko wa theka-lita. Zipatso ziyenera kukhala magawo awiri mwa magawo atatu a buku. Thirani vodka pamwamba. Kuumirira m'malo amdima, kugwedezeka tsiku ndi tsiku. Tengani nthawi 2 / tsiku madontho 20.

Zovuta, kupewa

Aortic atherosulinosis ndi omwe amachititsa kwambiri aneurysms. Amatchedwa kutulutsa kwa khoma la chotengera, lomwe limatha kukula mosiyanasiyana. Ma diverticulum ang'onoang'ono sakhala owopsa kwa anthu. Zimakhala zovuta zikafika pamitundu ingapo. Khoma la mitsempha limakhala lovuta kwambiri, lomwe limatha kubowoleza pang'ono kapena kwathunthu.

Kupasuka kwapang'onopang'ono kumatchedwa aortic dissection. Poterepa, ndi chipolopolo chamkati cha chotengeracho kapena mkatikati wamkati ndi wapakati. Kuthamanga kwa magazi kumathamangira kumalo ovulazidwa, ndikupanga zigawo zingapo za mtsempha wina ndi mzake. Aortic dissection imafuna chithandizo chamankhwala mwadzidzidzi, apo ayi chilichonse chidzatha muimfa.

Ndi kupasuka kwa zipolopolo zonse zitatu za chotengera, kutulutsa magazi kwakukulu kumachitika, anthu opitilira 90% amafa.

Kupewa kwa aortic atherosulinosis kumaphatikizapo kuchotsedwa kwa zinthu zomwe zingayambitse matenda. Kuti muchite izi, muyenera:

  • idyani pomwe
  • kusuntha kwambiri, ndikofunikira kusewera masewera,
  • Chitani zinthu panthawi yake
  • onetsetsani kuti mwapanikizika
  • kusiya kusuta
  • kumwa mowa moyenera
  • Nthawi zambiri amapita kukayezetsa matenda.

Ngakhale kuti kuphweka kumawonekera, njira zoterezi zimateteza munthu ku mitundu yayikulu ya atherosulinosis, zomwe zikutanthauza kuti azitha kukhala moyo wonse ngakhale atapuma pantchito.

Zolemba

  1. Bourantas CV, Loh HP, Sherwi N, Tweddel AC, de Silva R, Lukaschuk EI, Nicholson A, Rigby AS, Thackray SD, Ettles DF, Nikitin NP, Clark AL, Cleland JG. Matenda a atherosulinotic a m'mimba msempha ndi nthambi zake: tanthauzo lakutsogolo kwa odwala omwe ali ndi vuto la mtima, 2012
  2. Raimund Erbel. Matenda a thoracic aorta, 2001

Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.

Njira zochizira

Conservative mankhwala umalimbana ndikuchotsa Zizindikiro ndikuyimitsa kupititsa patsogolo kwa matenda aortic atherosulinosis. Chithandizo chotere chimachitika koyambirira kwa matenda. Njira yayikulu ya chithandizo imatha miyezi 3-4. M'tsogolomu, mankhwala ocheperako amafunikira kuti asunge zotsatira.

Ngati cholesterol zolembera zimachepetsa lumen ya chiwiya ndikuyambitsa kwambiri ischemia ya ziwalo zina, amachotsedwa mothandizidwa, popeza sangathe "kukonza".

Kuchotsa kuchotsedwa kwa zolengeza ku carotid artery. Dinani pa chithunzi kuti mukulitse

Mankhwala omwe amagwiritsidwa ntchito pochiza

Gulu la mankhwala osokoneza bongoZotsatiraZitsanzo
MaderaPansi mafuta m'thupiLovastatin, Imvastatin, Rosuvastatin, Fluvastatin, Atorvastatin
Mafashoni, FenofibrateChepetsani mafuta am magaziFenofibrate, Clofibrate, Gemfibrozil
Mafuta achepetsa osaphatikizikaImathandizira kuchotsedwa kwa lipids mthupiThioctic acid, Linetol, Polyspamine
Mankhwala a EndotheliotropicKwezani zamkati zamkati mwa mitsempha ndikuyimitsa kuyika kwa cholesterol mkati mwa chotengeraPolicosanol, Piricarbat, Vasoprostan
Mankhwala ochizira aortic atherosulinosis

Kuphatikiza apo, zakudya zimachitika momwe kudya mafuta amafuta a cholesterol ndi nyama kumachepetsedwa ndipo kudya mafuta osaphatikizika kumachulukitsidwa.

Onjezerani ku zakudyaChotsani ku zakudya
Mafuta azipatso zamasamba (maolivi, nthomba za nthomba, nthangala za sesame, nthangala za hemp, mbewu za mpendadzuwa, ndi zina zambiri.)Mafuta onenepa (nkhumba, mwanawankhosa, ng'ombe), ubongo, chiwindi
Nsomba ndi nsomba zam'nyanjaKirimu, tchizi mafuta, zonona wowawasa
Nkhuku (nkhuku, fillet)Batala
Masamba, Zipatso, Mitundu, NyembaMazira
Porridge (mpunga, buckwheat)Chocolate, ayisikilimu, mchere, chakudya chofulumira (zopangidwa ndi "mafuta azamasamba" zolembedwa)

Tcherani khutu! Kudya komweko kumathandizanso kupewa matenda aortic atherosulinosis ngati muli pachiwopsezo (onani "Zomwe Zimapangitsa Aortic Atherosranceosis").

Mukalumikizana ndi cardiologist kumayambiriro kwa matendawa ndikutsatira mwamphamvu pazomvera zake zonse, chithandizo chitha kumaliza maphunziro angapo a miyezi 3-4. Kenako muyenera kutsatira zakudya mosamalitsa ndikumawonetsetsa nthawi zonse. Koma atherosclerosis kwathunthu, mwatsoka, singathe kuchiritsidwa, ndipo mtsogolomo, maphunziro obwerezabwereza a kumwa mankhwala angafunike.

Kusiya Ndemanga Yanu