Zizindikiro, kuzindikira ndi kuchiza kwam'mimba aortic atherosulinosis

Atherosulinosis ya msempha, makamaka mmimba, ndimatenda ofala kwambiri a mtima. Anthu ambiri okalamba amakhudzidwa ndi izi, koma matenda ammimba amatha kusintha - - nthawi zambiri matupi awo amawonekera ali aang'ono.

Lero tilingalira za zoyamba za zizindikiro zomwe zingasonyeze atherosclerosis yam'mimba thunthu, malamulo azidziwitso, kupewa komanso chithandizo.

Kodi m'mimba ndi msempha uti wamitsempha

Aortic atherosulinosis ndi chotupa cha endothelium chachikulu chotengera cham'mimbamo. Aorta imakhala ndi zigawo ziwiri zazikulu - chifuwa ndi m'mimba.

Pansi (m'mimba - BOA) dipatimenti imapereka magazi omwe amapereka magazi kwa ziwalo zambiri zamkati ndi m'chifuwa chaching'ono - impso, chiwindi, malupu a matumbo ang'ono ndi akulu, ndulu, zikopa za pakhungu. Kuwonongeka kwa chotupa cha izi kumatha kubweretsa zovuta zingapo pantchito yama thupi osiyanasiyana.

Chigawo choyambira pakapangidwe ka matendawa ndikuwonjezereka kwa nthawi yayitali kwa cholesterol yaulere m'magazi a zotumphukira. Makamaka - kachigawo kake koyipa (LDL ndi VLDL). Pambuyo pa izi, kuyika kwa lipoprotein m'malo ofooka a endothelium kumachitika. Pambuyo pakubowoka kwa lipid, njira yotupa yam'deralo imachitika mwa izi. Malinga ndi zotulukapo zake, maselo achithovu amapanga. Awa ndi ma macrophages omwe sanamalize ntchito ya phagocytosis ya deposits ndi cholesterol yomwe inalowa mu endothelium.

Maselo akulu ndi ma mamolekyulu amadzi amadziunjikira motero, ndipo zolembera zamtunduwu zimayamba kupanga khoma la msempha. Zotsatira zake, imaphatikizidwa ndi makaloni amchere, imakhala yolimba ndikuwerengeka. Kutsika koteroko sikungovulaza chotengera chokha, ndikuchepetsa mphamvu yake komanso kamvekedwe, komanso kumayambitsa kuphwanya kwa magazi, chifukwa cha stenosis. Pamalo ochepera, ma thrombotic masisitere ndi zina zazikulu za magazi a zotumphukira zimatha kukangika. Zizindikiro za ischemia zimachitika, chiopsezo chokhala ndi aneurysms, kugunda kwa mtima ndi stroko kumawonjezeka.

Kodi matendawa amawoneka bwanji?

Ndi kupitirira kwa atherosulinosis a ziwiya zam'mimba, zotsatirazi kwanuko Zizindikiro wamba:

• Mimba.
• Kupweteka pafupipafupi m'matumbo am'mimba, makamaka mukatha kudya.
• Dyspepsia, kudzimbidwa ndi motility - kutsegula m'mimba ndi chopondapo.
• Kutentha kwa mtima mukatha kudya kumatha kukupangitsani kusanza.
• Kuzungulira msomali ndi kumanzere kwam'mimba pamakhala kukoka kwamphamvu.
• Kuchepa pang'onopang'ono m'thupi.

Ndi chitukuko cha magawo otsatirawa a atherosulinosis yam'mimba, Zizindikiro zatsopano. Siziwonetsero mwachindunji ndipo amafuna kuti awunikire mwatsatanetsatane.

• Odwala amayamba kuvutika ndi kutupa m'mikono ndi miyendo, makamaka m'mawa.
• Kutsukidwa kwa nkhope ndikotheka.
• Violated diuresis - kukodza nthawi zambiri, kovuta. Izi zimagwirizanitsidwa kale ndi zovuta - kulephera kwa impso.

Pa nthawi iyi ya atherosulinosis, amawonetsedwa bwino - pakupanga magazi ndi kusanthula kwamkodzo. Komabe, Zizindikiro zina zitha kuthekera ngati matenda ena - matenda oopsa. Ndikofunikira kwambiri kusiyanitsa izi ndi matenda ndikupanga kuzindikira koyenera panthawi.

Mankhwala odzipatula sasiyanitsidwa - ngati pali chilichonse mwazodandaula izi, muyenera kulankhulana ndi katswiri.

Nthawi zambiri, chotupa cha atherosrance mapangidwe a aneurysm - mtima kutuluka. Njirayi ili ndi zovuta kwambiri, nthawi zina ngakhale zakupha, zovuta, zomwe, malinga ndi ziwerengero, sizachilendo. Makoma a chotengera cha magazi omwe ali ndi aneurysm amakhala ochepa thupi, ndipo kupanikizika komwe kumakhalako kumawonjezereka. Zonsezi zimapangitsa kuti pakhale zotumphukira komanso kupweteka kwam'mimba m'mimba.

Zolinga zakukula kwa matenda amisala

Amakhulupirira kuti atherosclerosis ya m'mimba msempha ndi matenda omwe amapezeka makamaka mwa anthu okalamba azaka zopitilira 55-60. Koma kafukufuku wamakono akuwonetsa kuti izi siziri choncho, ndipo aortic atherosulinosis imatha kuchitika ali aang'ono.

Kuopsa kwa mitsempha yodutsayi pamakhala munthu aliyense ndipo zimatengera kukhalapo kwa zinthu zomwe zimatsogolera pakupanga njira ya atherosselotic.

Ganizirani zofunikira kwambiri komanso wamba:

• Zizolowezi zoyipa - kusuta fodya komanso kumwa mowa mwauchidakwa.
• Kusagwira ntchito, moyo wongokhala, ochepa nkhawa zamagetsi ndi masewera.
• Zakudya zopatsa thanzi, zopanda thanzi - zambiri zokazinga, zosuta, zamchere, komanso zonunkhira.
• Nthawi zambiri zopsinjika, boma losayenera, kugwira ntchito mopitirira muyeso.
• Kukhalapo kwa matenda am'mbuyomu omwe amatha kuchita ngati zinthu zomwe zikuthandizira kukulitsa kwa atherosulinosis ndi matenda oopsa (vuto lomwe kuthamanga kwa magazi kwa systolic kumakulitsidwa mpaka manambala pamwamba pa 140 mmHg), matenda a shuga, hyperthyroidism
• Kuphwanya lipid ndi mapuloteni, zomwe zimapangitsa kuti mafuta a cholesterol awonjezeke.

Kuzindikira matendawa

Zizindikiro zoyambirira zakukula kwa matendawa ndizosagwira mu lipid moyenera, zomwe zikuwoneka mbiri ya lipid. Chifukwa chake, njira yoyamba komanso imodzi mwazomwe mungazindikire matenda am'mimba a atherosulinosis ndi kuyesa kwa ma biochemical magazi.

Mwa njira zothandiza kwambiri pakuzindikira aortic atherosulinosis, angiography, ultrasound yokhala ndi dopplerografia, kubwereza ndi kusanthula kwa patatu, ndi rheoencephalography ndizodziwika. Njira zothandizirazi zimapereka lingaliro la mulingo ndi mtundu wa magazi omwe amaperekedwa ku ziwalo ndi minyewa yomwe ili ndi chidwi. Monga njira zowonjezera zowerengera, gwiritsani ntchito sphygmogram, electrocardiogram ndi ballistic cardiogram. Ndi othandiza kwambiri mu magawo oyamba a atherosulinosis.

Momwe mungachitire pamimba aortic atherosulinosis

Momwe mungachiritsire atherosulinosis yam'mimba ziwiya? Choyamba, chithandizo chamankhwala chikuyenera kukhala chokwanira komanso chokwanira, monga atherosulinosis ya kwina kulikonse. Iyenera kukhala ndi mankhwalawa, njira yachipatala yosinthira mtundu waumoyo ndi zakudya, chithandizo cha mankhwala wowerengeka ndipo ngati pakufunika kuthandizira opaleshoni.

Zakudya za atherosulinosis zimakhala ndi zipatso zambiri zatsopano, mafuta am'mafuta ochepa, CHIKWANGWANI. Zakudya zophika, kusuta, zonunkhira komanso zopatsa mphamvu ziyenera kukhala zochepa. Zokonda zimaperekedwa njira zina zitatu zophikira - kusenda, kuphika ndi kuphika. Chifukwa chake, zinthuzo zimasungabe mavitamini ndi michere yofunikira popanda kukhala ndi milomo yambiri ya zinyama zam'madzi.

Moyo uyenera kukhala wotakataka, wolimbitsa thupi tsiku ndi tsiku. Masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, kuyenda mokwanira, kutikita minofu kumakhala kothandiza. Muyenera kusiya zizolowezi zoyipa, yesetsani kupewa mavuto.

Chithandizo cha mankhwala osokoneza bongo chimasankhidwanso payekha, malinga ndi maphunziro a labotale ndi othandizira. Mankhwala odziwika kwambiri othandizira odwala kuchokera kumagulu a fibrate ndi ma statins. Gulu loyamba la mankhwala - fibrate - akuphatikiza Lipantil 200, Gemfibrozil, Fenofibrat, Taykor. Gulu la statins limaphatikizapo mankhwala a mibadwo inayi - kuchokera ku Atorvastatin, kupita ku Krestor, Livazo, Simvastatin ndi Rosuvastatin. Omaliza awo ali ndi zotsutsana ndi zotupa, potero samangoletsa cholesterol yoyipa, komanso kukonza ziwiya zowonongeka.

Kupita patsogolo kwa moyo ndi zovuta zina

Kuletsa chitukuko cha atherosulinosis yam'mimba mwa thunthu la msempha ndikosavuta kuposa kuchitira. Chifukwa chake, ndikofunikira kuyang'anira kudya kwanu, pewani zizolowezi zoipa ndi zina zotopetsa, khalani ndi moyo wathanzi - iyi ndiye njira yofunika kwambiri yopewera. Ngati pali matenda obwera ndi ena omwe ali pagulu la omwe ali pachiwopsezo cha atherosulinosis, ayenera kulabadira chithandizo chawo. Ngati mumatsatira malingaliro a adotolo ndikusintha momwe mungakhalire, mutha kukhala moyo ndi matendawa popanda mawonekedwe ndi zovuta zapadera.

Atherosulinosis yam'mimba thunthu ndi matenda oopsa omwe ali ndi chiwopsezo chambiri. Komabe, ngati muzindikira matendawa munthawi ndikuyamba chithandizo, mutha kupewa zovuta zake ndikuwonetsa. Ngati madandaulo oyamba akuwoneka, ofanana ndi omwe ali ndi atherosulinosis, muyenera kulankhulana ndi dokotala nthawi yomweyo.

Kufotokozera za matendawa, zomwe zimayambitsa ndi magawo

Mimba ya aorta (BA) ndiye chotengera chachikulu m'thupi la munthu. Zimayamba pamlingo wa XII thoracic vertebra ndipo umatha kudera la IV-V lumbar. Mtsempha wamagazi umadyetsa pafupifupi ziwalo zonse zamkati (m'mimba, matumbo, chiwindi, impso, kapamba, peritoneum, ndulu, mazira kapena ma testicle mwa amuna), zomwe zimafotokoza zovuta za chithunzi cha chipatala ngati chitha kugonjetsedwa.

Njira ya atherosclerotic ya mphumu imakhazikitsidwa "kutayikira" kwa khoma lamkati la chotengera (chikondi) lipids ndi yotsatira kupangidwa atherom (zolengeza). Kupezeka kwawo kumatheka kokha pa endothelium yowonongeka. Nthawi ndi nthawi, mafuta amakula amayamba kuwonongeka komanso zimayambitsa matenda.

Kuvulaza khoma lamkati lamimba kumathandizira:

• aakulu Hyperlipidemia, dyslipidemia,
• kukoka kwaukali kwa khoma lamitsempha (endothelium imakokedwa ndi kukakamizidwa kwa magazi ndi odwala omwe ali ndi matenda oopsa), makamaka m'malo a nthambi yama chombo,
• hyperglycemia
• kusuta (phula la fodya ndi kaboni monoxide kumachulukitsa kuchuluka kwa zotupa za mtima ndi kupangitsa minofu edema),
• kukhalapo kwa ma protein ozungulira, prostacyclin I2 m'njira zopatsirana, zamkati kapena autoimmune,
• kuphwanya magazi a magazi.

Gawo la chitukuko cha atherosulinosis yam'mimba:

1. Zachikale - nthawi ya dyslipidemia. Muli kulowetsedwa kwa khoma lamkati la chotengera ndi mafuta ndi mapangidwe a zolembedwa (kuyambira zaka 5 mpaka 30).
2. Zachikazi (chobisika) - kusintha kwa ma pathological mu AD kumatha kupezeka kale ndi njira zofufuzira.
3. Mawonetsedwe azachipatala a Polymorphic - pali zosiyanasiyana zizindikiro za matenda a ziwalo zamkati.
4. Matenda a chombo chambiri - Nthawi yodziwika bwino yamankhwala matenda.

Ngakhale ma atheromas oyamba nthawi zambiri amapezeka pamakoma aorta, m'mimba mwake yayikulu imathandizira kuwonekera kwa matendawa.

Makhalidwe ndi mtundu wa zizindikiro zimadalira:

• mulingo womwe umachitika
• kuchuluka kwa chotengera,
• Kusintha kwa hypoxic m'ziwalo zamagazi.

Zizindikiro zamatenda a AD atherosulinosis ndizosakhazikika, nthawi zambiri zimakhala ndi njira yokhala ngati funde ndipo zimaphimbidwa ndi zina.

Zizindikiro wamba:

• Kupweteka kwam'mimba. Chizindikiro chake chimakhala chosiyana, popanda kutengera kwina (nthawi zina chosunthira), chimachitika pakukhudzidwa, makamaka maola ochepa mutatha kudya, chikuwuma, kulimba kumatha pambuyo pakudya antispasmodics, imatha kutha yokha.
• Dyspepsia. Ndi kukulira kwamatumbo ischemia, kutentha kwa mtima, mseru, kusokonezeka kwam'mimba, kuphwanya masana, kuphwanya chopondapo (chokhala ndi vuto lotsegula m'mimba), kugwirizanitsa ndi zizindikiro zake.
• Malabsorption ndi Maldigestion Syndrome - Kuchepetsa thupi, zizindikiro za hypovitaminosis, kusowa chidwi cha chakudya.
• Matenda aimpso - Anachepetsa diuresis, chosinthika ochepa matenda oopsa, electrolyte kusowa bwino.
• Ululu mu mwana wa ng'ombe mukamayendakupindika pakati, paresthesia ndi kukhudzika kwamiyendo, miyendo hypotrophy yam'munsi malekezero.
• Kukanika kwa Erectile, libido mavuto, yachiwiri kubereka.

Nthawi zambiri kuwunika kwa AD atherosulinosis kumachitika ngakhale pakakhala zovuta:

• thrombosis ya nthambi za m'mimba msempha - mesenteric thrombosis (moyo chiopsezo ofunika kuchitapo opaleshoni yomweyo), blockage a impso artery, aortic bifurcation,
• thromboembolism ya bwalo lalikulu - microinfarction wa visceral ziwalo, kutsekeka kwa mitsempha ya m'munsi malekezero,
• atherosulinotic aortic aneurysm ndiwowopsa kwambiri (kupatsirana kwa khoma kwa khoma losinthika), kuchuluka kwa anthu omwe amawonongeka kapena kuphulika akuposa 85%.

Njira zodziwira matenda: mayeso ndi mayeso oti mudutsemo

Chifukwa cha zizindikiro zosiyanasiyana, wodwala yemwe ali ndi vuto la m'matumbo a minyewa yam'mimba nthawi zambiri amatembenukira kwa gastroenterologist kapena neurologist.

Kuzindikira bwino matendawa kungathandize njira zotsatirazi:

• X-ray yamimba yam'mimba - imakupatsani mwayi wowona zojambula za atherosrance?
• Ultrasound yam'mimba komanso msempha,
• kubwezeretsa kwa m'mimba msempha,
• posankha aortoangiography,
• ozungulira computer tomography,
• MRI mosiyana.

Maphunziro omwe ali pamwambawa amatilola kukhazikitsa gawo lenileni la ndondomeko ya atherosulinotic:

Kuphatikiza apo, atha kulembetsa:

• ambiri matenda a magazi ndi mkodzo, biochemical magawo,
• coagulogram,
• lipid mbiri yowerengera,
• fibrogastroesophagoduodenoscopy (FEGDS),
• ECG, echocardiography, transesophageal electrocardiography.

Njira zamakono zochizira matenda am'mimba

Njira zomwe akutsatira pano pochiza matenda a atherosulinotic a AD ali ndi opareshoni. Conservative Therapy ikuchitika kokha gawo loyambirira Njira kapena ngati pali ma contraindication opangira opaleshoni.

Chithandizo cha mankhwala opangidwa ndi:

• kutsitsa cholesterol - kutsatira kwambiri zakudya zapadera, kumwa mankhwala ochepetsa mphamvu ya lipid (Atorvastatin, Rosuvastatin, Pitavastatin),
• Chithandizo cha matenda ophatikizika (matenda a mtima, matenda oopsa, matumbo a matumbo),
• kupereka mankhwala otsatirawa:
  • antiplatelet agents, anticoagulants: ASA, Clopidogrel, Dipyridamole, ochepa maselo heparins,
  • Angioprotectors: Alprostadil, Pentoxifylline,
  • anti-yotupa mankhwala: NSAIDs, antispasmodics,
  • β-blockers: Propranolol, Metoprolol, Bisoprolol.
• kusintha kwamachitidwe
• dosed zolimbitsa thupi, zolimbitsa thupi, physiotherapy.

Masiku ano, pali mitundu yambiri ya mankhwalawa (opaleshoni) omwe angayambitse matenda a mphumu.

• Opaleshoni Yotsimikizira:
  • balloon balloon angioplasty,
  • kupweteka kwamphamvu kwa mphumu,
  • transcatheter thrombolysis,
• Zowtsegulira "Open":
  • endarterectomy,
  • lotseguka thrombectomy / embolectomy,
  • lumbar an
  • magawo obwezeretsanso pakubwezeretsa kwatsopano kwa lumen pogwiritsa ntchito allograft kapena kupanga synthes vascular,
  • kudutsa mwa njira yoletsa stenosis.

Kuchita bwino kwa mankhwala achilengedwe: momwe mungadzivulitsire

Kuchiza ndi wowerengeka azitsamba sizothandiza vuto la atherosulinosis yam'mimba.Zina zabwino zokhudzana ndi kugwiritsa ntchito njira zina zamankhwala ndizotheka pachiwonetsero cha matendawa (isanayambike zizindikiro za ischemia) limodzi ndi chithandizo chamankhwala komanso moyo wathanzi.

Monga njira zina zowongolera atherosulinosis ya mphumu imagwiritsidwa ntchito:

• hawthorn, wort wa St.
• mgoza wamahatchi,
• mbewu ya fulakesi, oats,
• viburnum, sea buckthorn, mtedza, nthanga,
• chamomile, dandelion, coltsfoot,
• lemongrass, chomera, heather, tchire,
• nettle, katsabola, adyo, turmeric,
• uchi ndi zopangira njuchi.

Izi zimagwiritsidwa ntchito ngati ma tinctures, chindapusa pokonzekera decoction, akupanga. Ndizothekanso kuzigwiritsa ntchito monga zokometsera ndi zowonjezera zakudya.

Nthawi zambiri atherosulinosis ya m'mimba msempha umatuluka popanda zizindikiro zamankhwala ndipo umakhala ndi zotsimikizika zapamwamba. Kafukufuku wa pathomorphological wautali wawonetsa kuti msempha mwa anthu azaka zapakati nthawi zambiri umakhala wokhudzidwa ndi njira ya atherosulinotic ya magawo osiyanasiyana. Choyamba, dera lachiberekero, kuchuluka kwake ndi mitsempha yaimpso kumavutika. Kuzindikira kwamankhwala kumakhazikitsidwa belatedly, nthawi zambiri mopanda chitukuko cha occlusion, thrombosis ndi embolism. Chiwopsezo cha kuwonongeka kwa msempha chimakhala pakuchitika kwakukulu pangozi:

Zotsatira zotsatirazi zinagwiritsidwa ntchito kukonzekera.

Zinthu zomwe zimathandizira kukulitsa kwa atherosulinosis

Zinthu zotsatirazi zimatha kupangitsa chitukuko cha atherosulinosis yam'mimba:

• Hypertension, momwe kukakamira kwa diastoli kumakwera kuposa 90 mm Hg, ndi systolic yoposa 140.
• Zakudya zopanda pake, chifukwa chomwe cholesterol yambiri ilowa m'thupi.
• Khalidwe labwino.
• Zizolowezi zoipa, monga kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo kapena kusuta.
• Zosintha mu mahomoni chifukwa chakuchepa kwa thupi kapena matenda a endocrine.
• Matenda a metabolism.
• Matenda opatsirana.
• Matenda a chitetezo chamthupi.
• Kudziletsa.
• Nthawi zambiri zopsinja.

Kodi atherosulinosis yam'mimba ndi chiyani?

Chikhalidwe cha matendawa chagona poti m'thupi mumakhala kuphwanya kwa lipid metabolism, zomwe zimayambitsa kukoka kwa lipoprotein kwambiri pamitsempha yamkati ndi kwa msempha. Kapangidwe ka ma atherosselotic plaques kumalumikizidwa ndi cholesterol yayikulu m'magazi.

Popita nthawi, malo omwe amapangidwako amakhala ndi ion ya calcium ndipo amakhala olimba. Ndi atherosulinosis ya m'mimba msempha, kuwonongeka kwa elasticity wa msempha zimachitika.

Matendawa amadziwika ndi kuphwanya kwa lipid metabolism, komwe kumayambitsa kufalikira kwa cholesterol chikhoma pazitseko zamitsempha yamagazi.

Pakapita kanthawi, zimakhazikika, kuvindikira lumenayo ndikuyamba kuyipitsidwa ndi magazi. Atherosclerosis yam'mimba msempha imadziwika ndi kuchepa kwa zotanuka kwa khoma lamitsempha.

Msempha ndi magazi akulu kwambiri m'thupi la munthu.

Amagawidwa m'madipatimenti angapo:

• Chiyambireni pakubwera kwa magazi ndi thoracic aorta. Kuchokera mbali iyi ya msempha, kumtunda kwa thupi la munthu kumaperekedwa ndi magazi. Awa ndi mitsempha ya carotid ndi brachiocephalic yomwe imapereka chakudya ku maselo aubongo. Komanso, kuchokera ku gawo lolondola la aorta, pali chotupa chachikulu chomwe chimadutsa pamimba ndipo chimadyetsa ndi magazi ziwalo zonse za peritoneum,
• Gawo lakumunsi la mzere wapakati limagawidwa kumkati wam'mimba ndi mizere iwiri ya mitsempha ya iliac.

95.0% ya mitundu yonse ya atherosulinosis imapezeka ndendende pa msempha. Kutsekeka kwa msempha msempha ndi atherosselotic zolembera zimayambitsa ischemia ya peritoneum ndi ziwalo za pelvic.

Chiyambireni pakubwera kwa magazi ndi thoracic aorta

Zizindikiro za matendawa

Pali magawo angapo a matendawa, omwe amasiyana pamlingo wowononga chotengera. Pa gawo loyambirira, matendawa samadziwonetsa mwanjira iliyonse, ndipo zolembera za atherosulinotic zimatha kupezeka kokha mothandizidwa ndi tomography yopangidwa. Pang'onopang'ono, vuto la m'mimba limayamba kufooka, ndipo zizindikiro zotsatirazi zimachitika:

• Kulemera ndi kusasangalala pamimba.
• Kupweteka kwapafupipafupi kwam'mimba komwe kumachitika mutatha kudya kulibe malo achitetezo ndipo kumatha kuperekedwa kumunsi kapena kumbuyo kwa dera. Ululu umazimiririka mwa maola ochepa.
• Chimbudzi chimasokonekera, kudzimbidwa kawirikawiri komanso kutsegula m'mimba kumawonekera.
• Mukatha kudya, mseru kapena kutentha kwadzidzidzi kumawonekera.
• M'mimba kumanzere kwa navel kumakhala kumverera kwa kupsinjika ndi kusokonezeka.
• Wodwalayo amayamba kuchepa thupi.

Ngati mankhwala sanayambike pa nthawi yake, impso zimakhudzidwa. Izi zikuwonetsedwa ndi kuphwanya kwamikodzo, kupweteka m'munsi kumbuyo ndi mawonekedwe a edema a nkhope ndi miyendo.

Zikachitika kuti msempha umakhudzidwa m'dera lomwe umagawikana kumanzere kumanzere ndi kumanja kwa iliac, ndiye kuti izi zitha kuyambitsa mavuto m'miyendo. Zizindikiro za matenda a m'matumbo ndi izi:

• Amachepetsa mphamvu ya minofu yam'munsi.
• Kudzaza ndi mapazi ozizira.
• Kusowa kwa zotupa m'mitsempha.
• Kutupa kwamiyendo.
• Mavuto amtundu wa amuna.
• Zilonda pazala ndi kumapazi kumapeto kwa matendawo.

Mitsempha yamavuto amachoka mu msempha, kudyetsa ziwalo zamkati chifukwa cha thrombosis wawo, zizindikiro zotsatirazi zimachitika:

• Kupweteka kwambiri pamimba, kukulira chifukwa cha kufa kwamatumbo am'mimba.
• Kuphwanya matumbo a matumbo.
• Kusanza ndi kusanza.
• Kulemala.
• Kudzimbidwa, kusinthana ndi matenda am'mimba.
• Thupi, kuzizira.

Thrombosis imabweretsa peritonitis, yomwe imatha kupha.

Ndizovuta kudziwa matendawa, chifukwa zizindikiro zake zimayamba kuonekera mochedwa, komanso zimatha kuwonetsa matenda ena am'mimba. Kutupa kwa msempha kumasonyezedwa ndi kung'ung'udza kwa systolic pamwamba pa msomali pakati pamimba komanso kusalinganika kwa chotengera mkati mwa chotupa.

Kuti muwonetsetse ndikuwonetsetsa ndikuwona kuchuluka kwa aorta kamachepetsedwa, ultrasound kapena compact tomography imagwiritsidwa ntchito. Ndikofunikanso kuyezetsa magazi a cholesterol.

Momwe mungachiritsire matenda

Kuti mankhwalawa agwire bwino ntchito, ndikofunikira kuti musangomwa mankhwala okhawo omwe dokotala amakupatsani, komanso kusintha moyo, kuthetsa zomwe zimathandizira kukulitsa cholesterol.

Mukamasankha mankhwala othandizira matenda, dokotala amaganizira:

• Zaka za wodwala.
• Kulemera.
• Kukhalapo kwa zizolowezi zoyipa.
• Mkhalidwe waumoyo wa wodwala.
• Matenda osachiritsika

Zochizira atherosulinosis ya m'mimba msempha, mankhwala ochokera magulu osiyanasiyana pharmacological amagwiritsidwa ntchito. Mankhwala, dongosolo ndi kutalika kwa kayendetsedwe ka mankhwala, komanso mlingo, zitha kutumikiridwa ndi dokotala malinga ndi zotsatira za kusanthula.

Gulu la ma statins limaphatikizapo mankhwala omwe amakupatsani mwayi wolepheretsa enzyme, mothandizidwa ndi momwe cholesterol imapangidwira m'chiwindi. Kutsitsa mulingo wa chinthu ichi mu hepatocytes kumabweretsa kuwonekera kwa kuchuluka kwambiri kwa otsika osalimba a lipoprotein receptors.

Amakhalanso ndi anti-yotupa, ndikubwezeretsa kuchepa kwa mitsempha ya magazi, kuchepetsa chiopsezo cha mafupa ndi khansa.

Statin agawidwa zachilengedwe (Simvastatin, Lovastatin) ndi zopanga (Atorvastatin, Fluvastatin).

• Matenda a chiwindi.
• Zowopsa zaimpso.
• Hypersensitivity kumagawo.

Mukamagwiritsa ntchito mankhwalawa nthawi zina, zotsatira zoyipa zimakhudza thupi, kugaya mseru, kupweteka kwa minofu, kusokonezeka kukumbukira ndi kulingalira, kugona kapena chizungulire.

Osadalira kwathunthu mankhwala. Munthawi ya chithandizo, ndikofunikira kutsatira zakudya ndi kusiya zizolowezi zoipa.

Zothandiza kuchokera ku fibroic acid pomangira bile acid amachepetsa kupanga mafuta m'thupi. Mankhwalawa akuphatikizapo Taykolor, Lipantil, Gemfibrozil.

Mukamagwiritsa ntchito mankhwala osokoneza bongo, kupweteka kwa minofu, kupukusira kwa m'mimba, thupi lanu limagwirizana. Simungagwiritse ntchito mankhwalawa kwa hypersensitivity ku zigawo zikuluzikulu, matenda aimpso owopsa komanso chiwindi, komanso nthawi yapakati komanso pakhungu.

Nthawi zina, kuphatikiza mafupa okhala ndi ma statins ndikotheka.

Hypolipidemic othandizira

Mankhwala osokoneza bongo omwe ali mgululi amasokoneza kuyamwa kwa cholesterol m'matumbo. Izi zimadzetsa chakuti mphamvu zake m'chiwindi zimachepa, ndipo kuchuluka kwa magazi kumakulanso. Izi zikuphatikizapo Ezithimibe.

Mankhwala a Hypolipidemic, mosiyana ndi ma statins, samalepheretsa kupanga cholesterol m'chiwindi ndipo samapereka ma bile bile ngati mafupa. Sitikulimbikitsidwa kuwagwiritsa ntchito ndi hypersensitivity ku zigawo zikuluzikulu kapena chiwindi choperewera.

Mukamagwiritsa ntchito mankhwala osokoneza bongo, kutsegula m'mimba, kutopa, kupweteka kwa minofu ndi mafupa, kapena matupi awo amachititsa.

Kukonzekera kwa Nicotinic acid

Niacin amathandiza cholesterol yotsika komanso triglycerides pochepetsa kuchuluka kwa kapangidwe ka VLDL. Amatsika chifukwa kuchepa kwa kuchuluka kwamafuta acids omasulidwa ku minofu ya adipose.

Zotsatira zotchuka kwambiri mukamamwa nikotini acid zimakhala pakhungu, zimayambitsa kutentha thupi komanso redness. Nthawi zambiri, imayamba kumayambiriro kwa chithandizo, kenako kufooka. Popewa kuwonetsera, kudya kwa nicotinic acid kumayamba ndi milingo yochepa, yomwe imayamba kuwonjezeka.

Komanso, kuti muchepetse zotsatira zoyipa, mankhwalawa amaphatikizidwa ndi Aspirin. Komanso, nicotinic acid nthawi zambiri imayikidwa limodzi ndi mafupa.

Ngati atherosulinosis ya m'mimba msempha kwachititsa kuti apangidwe a aneurysm, m'mimba mwake, wopitilira 4 cm, opareshoni imachitidwa, kuwonetsera malo omwe akukhudzidwa ndi chotengeracho ndikuwunyoza chilema kapena m'malo mwake ndi kupweteka kwam'mimba.

Ngati chiphuphu cha aneurysm chikupezeka, kuchitapo kanthu mwachangu ndikofunikira.

Zithandizo za anthu

Ndi atherosclerosis yam'mimba msempha, wowerengeka azitsamba amagwiritsidwa ntchito:

• Tincture wa hawthorn. Kuti akonzekere, 200 ga zipatso zatsopano za hawthorn zimatsanulidwa mu 300 ml ya 70% mowa wamankhwala ndikuumirizidwa m'malo amdima kwa sabata. Sefa ndi kutenga 3 ml m'mawa komanso madzulo musanadye. Kulandila kumapitilizidwa kwa miyezi itatu, ndiye amapuma kwa milungu 4 ndipo phwando limayambiranso.
• Achire kulowetsedwa. Udzu wa knotweed, mamawort ndi valerian ndiwosakanikirana chimodzimodzi. 3 g wa chopereka kutsanulira 200 ml ya madzi otentha ndi kunena Mphindi 40. Sulani ndi kumwa m'maling'ono ang'onoang'ono. Gwiritsani ntchito mankhwalawa kamodzi patsiku kwa miyezi iwiri.
• Tincture wa adyo. Mutu waukulu wa adyo umadulidwa, umayikidwa mu mbale yamagalasi yamdima ndikuthira ndi mowa. Amaloledwa kupumira, ndikugwedezeka nthawi ndi sabata. Sefa ndi kutenga madontho 15 m'mawa ndi madzulo kwa miyezi 6.
• Tincture wa viburnum. 200 g wa kucha viburnum zipatso ayenera kudulidwa ndi kuwonjezera 50 g uchi. Kenako kukwiya 400 ml wa vinyo wachilengedwe wopangidwa kuchokera ku mitundu yamphesa yofiira. Lolani kuti zitheke kwa sabata limodzi. Tengani 5 ml katatu patsiku musanadye. Chitani izi kwa miyezi isanu ndi umodzi.
• Tincture wa horseradish muzu. Kuti akonzekere malonda, supuni ziwiri zazu wosweka zimathiridwa mu 100 ml ya vodika ndikuumirizidwa kwa sabata pamalo amdima. Sefa ndikutenga madontho 20 kawiri pa tsiku kwa miyezi inayi.
• Dzungu dzungu. Tsiku lililonse pamimba yopanda kanthu muyenera kumwa 100 ml ya juwisi wokometsedwa kuchokera ku dzungu lakucha. Konzani malonda nthawi yomweyo musanagwiritse ntchito. Chithandizo chotere chiyenera kupitilizidwa kwa miyezi itatu.

Kuti muchepetse cholesterol m'magazi a aorta ndikulimbitsa ziwiya, muyenera kudya moyenera. Chakudya chimatengedwa m'magawo ang'onoang'ono kanayi pa tsiku. Zogulitsazo zimadyedwa mumphika wophika, wophika, wowotchera kapena wothira. Komanso muchepetse mchere wambiri m'mbale. Makonda ayenera kuperekedwa kwa masamba ndi zipatso.

Kukula kwa boa atherosclerosis kumadalira gawo la matendawa:

• Ngati matendawa apezeka munthawi ya asymptomatic kapena nyengo yaposachedwa, ndikotheka kubwezeretsa kuchuluka kwa mitsempha yamagazi mwa kuphatikiza zakudya komanso kukana zizolowezi zoipa.
• Mu gawo la ischemic la matendawa, makoma aorta amakhala osakhazikika, ndipo samayankha bwino pakusintha kwa magazi. Sizotheka kuthana ndi vutoli kwathunthu, koma ndi chithandizo choyenera, kupititsa patsogolo matendawa kutha.
• M'tsogolo, mkhalidwe wamitsempha ya wodwala umadalira chithandizo choyenera komanso matenda omwe amagwirizana nawo. Nthawi zina, mphamvu ya atherosulinosis imatha kuyimitsidwa.

Zovuta zotheka

Zikachitika kuti pakapita nthawi musayamba kulandira chithandizo cham'mimba zotupa, matendawa angayambitse zovuta zingapo:

• Kupanikizika kwadzidzidzi kumatha.
• Kulephera kwina.
• Kulowa mkati mwa khoma.
• Ischemic kapena hemorrhagic stroke.
• Aortic aneurysm, pa kupasuka komwe wodwala angafe.

Kupewa

Pofuna kupewa aortic atherosulinosis, ndikofunikira:

• Khalani ndi moyo wathanzi.
• Pewani zizolowezi zoipa.
• Sinthani zakudya.
• Pitani m'masewera.
• Mu nthawi yochizira matenda opatsirana.
• Limbitsani chitetezo cha mthupi.
• Thanani ndi kunenepa kwambiri.

Atherosulinosis ya m'mimba msempha umayamba pang'onopang'ono, ndipo chithandizo chake chimatenga nthawi yayitali. Ngati zizindikiro zosasangalatsa zikuwoneka, pitani kuchipatala.

Kodi matenda ndi chiyani?

Mankhwala, matenda amenewa amatchedwa abdominal aortic aneurysm (AAA). Padziko lonse lapansi opaleshoni yamtima, a AAA omwe ali ndi mainchesi opitilira 3 cm ndi ofunika kwambiri kuchipatala. Ngati atherosulinosis ya aortic aorta ikafika pa gawo ili, ndiye kuti kupweteka pachifuwa, zizindikiro zam'mimba zimawonekera, ndiye, pali zizindikiro zonena za kufooka kwa magazi ndipo, chifukwa chake, pamakhala kugwedezeka kwamphamvu. .

Koma mpaka aneurysm afikire kukula kwakukulu kapena kutuluka, munthu samadandaula chilichonse.

Atherossteosis nthawi zambiri imadziwika mwatsatanetsatane panthawi yoyeserera munthu kapena pozindikira ma pathologies ena.

Kusakhudzidwa ndi kupweteka kumatha kuchitika m'mbali iliyonse yamatumbo, pansi pa nthiti kapena kumayambiriro kwa chiuno. Chizindikiro chodziwika bwino cha aneurysm ndikutulutsa kugwedeza pamimba, kukumbukira ntchito ya mtima. Ngakhale atadya chakudya chovomerezeka, anthu amadandaula kuti ali ndi vuto lodzaza m'mimba, nseru, nthawi zina ngakhale kusanza.

Zowopsa

Ambiri amakhulupirira kuti ndi anthu achikulire okha omwe amadwala atherosulinosis. Koma lero, mwatsoka, sizili choncho. Mimba yam'mimba imatha kuphimbidwa ndi zolembedwa za atherosselotic osati chifukwa cha kusintha kwakukhudzana ndi zaka, matenda amapezeka mwa anthu azaka zonse. Pali zinthu zina zomwe zimachulukitsa mwayi wokhala ndi atherosulinosis yam'mimba. Izi zikuphatikiza:

• Kusuta.
• Mowa kapena uchidakwa.
• Ntchito yopuma, ntchito zolimbitsa thupi.
• Matenda oopsa a arterial, ngati zowunikira kwambiri zikupitilira 140 mm RT. Art., Ndi otsika - 90 mm RT. Art.
• Kupsinjika pafupipafupi, kuda nkhawa, kugwira ntchito kwambiri.
• Hormonal kusalinganika mwa akazi ndi isanayambike kusamba.
• Zakudya zopanda pake - zakudya zopatsa thanzi kwambiri komanso zopatsa thanzi ndizovulaza.
• Kuzolowera kunenepa kwambiri, matenda ashuga.
• Hypotheriosis ndi zina za matenda a chithokomiro.
• Kusokonezeka kwa mapuloteni ndi lipid metabolism, zomwe zimayambitsa kuchuluka kwa cholesterol.

Pali zinthu zambiri, ndipo zambiri zake zimatha kupewedwa. Koma ena ndi obadwa, ndipo palibe kale zomwe munthu angachite - amatha kuyang'anira thanzi lake nthawi zonse komanso osayambitsa chitukuko cha atherosulinosis yam'mimba yokhala ndi zizolowezi zoipa komanso moyo wosayenera. Mothandizidwa ndi chinthu chimodzi chokha, matenda a ubongo samayamba. Izi zikuyenera kukumbukiridwa kwa anthu omwe amagwera pagulu langozi kwambiri, ndikuchita zinthu mwanzeru. Izi ndizowona makamaka kwa amuna omwe ali ndi zaka makumi asanu.

Zizindikiro zake

Masiku ano, chifukwa cha kupezeka kwa zida zamakono, ndizotheka kudziwa atherosclerosis yam'mimba m'magawo oyambira. Matendawa ndi asymptomatic, amatha kupezeka ndi mayeso osakwatiwa. Tomography yowerengedwa ikuwonetsa kusintha komwe kumapitilira kumayambiriro kwa matendawa. Koma kuzindikira kunja kwa atherosclerosis yam'mimba ndikovuta kwambiri, munthu amatha kukhala ndi izi kwa zaka zambiri osazindikira. Koma pamene kupita patsogolo kumayambira, zizindikiritso zam'mimba zamatumbo zimayamba kuonekera:

1. Kusakhazikika pamimba.
2. Kupweteka pafupipafupi mkati mwa m'mimba, komwe kumakhala kolimba mutatha kudya.
3. Matenda am'mimba - kudzimbidwa kapena kutsegula m'mimba.
4. Kugudubuza contractions mbali yakumanzere yam'mimba ndikuzungulira msomali.
5. Kuchepetsa, kutentha kwa mtima, nseru pambuyo chakudya.
6. Kuchepetsa thupi.

Pamene kukula kwa atherosulinosis yam'mimba, ziwalo zonse zamkati zimayamba kuvutika. Choyamba, impso zimakhudzidwa. Chifukwa cha kuchepa kwa michere, maselo abwinobwino amayamba kusinthidwa ndi minofu yolumikizidwa. Izi zimabweretsa zochitika monga:

• Kutupa kwa mikono ndi miyendo,
• m'mawa kutupa kwa nkhope,
• kovuta, kawirikawiri kukodza.

Ngati pakadali pano kuwunika mkodzo wa wodwala kwachitika, ndikosavuta kudziwa kusintha kwamphamvu kwamankhwala ake. Ndikofunika kuti musasokoneze zizindikiro za atherosulinosis yam'mimba ndi mawonekedwe a ochepa oopsa. Munjira zina, ali ofanana kwambiri. Odwala ambiri amaganiza kuti khungu lawo limafotokozedwa ndi kupsinjika, ndipo amayamba kumwa mankhwala olakwika konse. Kapena lembani chilichonse mpaka kutopa ndi kusowa tulo.

Kunyalanyaza zizindikiritso za auricm wa m'magazi osazichiritsa ndizowopsa chifukwa ndiye mzere wamagazi kwambiri. Kuthamanga kwa magazi kumasungidwa nthawi zonse mkati mwake. Ngati sichilamuliridwa ndipo sichitengedwa, aneurysm imawonjezeka pafupifupi theka la sentimita pachaka. Ndiye kuti, zaka khumi, mowonera, zimatha kuphulika nthawi iliyonse ndipo munthu akafa. Izi zimachitika chifukwa chotupa kukha magazi kuchokera pachiwiya chotumphukira kumimba. Zotsatira zoterezi ndizofala kwambiri komanso sizosowa konse. Pofuna kupewa zovuta, kuzindikira matendawa munthawi ndikuyamba chithandizo chake, munthu asayiwale za kufufuzidwa pafupipafupi ndi mtima.

Zitha kukhala zotsatirapo zake

Atherosulinosis ya msempha wa msempha umapangitsa kufa msanga kwa odwala ambiri, matendawa amadziwika ndi madipoziti ochulukirapo amafuta pamakoma aorta. Izi zimakulira pamene matendawa akupita patsogolo, mawonekedwe a atherosulinosis. Zonsezi zimayambitsa kuchepetsedwa kwa minyewa yam'mimba komanso kudya kosakwanira kwa ziwalo zogwirizana - magazi sawafikira pazofunikira.

Cell hypoxia imayamba, minofu necrotic ndipo pang'ono ndi pang'ono imafa. Makoma a chotengera amatayika msanga, amakhala owuma, koma nthawi imodzimodziyo amakhala osalimba, omwe amakhala osweka ndi zilonda. Zilonda pazitseko zamitsempha yamagazi zimakula pang'onopang'ono, kwa zaka zingapo wodwalayo samatha kumva chilichonse cha matenda a pathology. Koma ikukula pang'onopang'ono ndipo imabweretsa zovuta zotere zomwe zimawopseza moyo wa munthu:

• Kugonjetsedwa osati kwa msempha wokha, komanso zombo zazing'ono ndi ma capillaries omwe amapangira pamenepo,
• Hypoxia ya ubongo ndi minofu ya mtima, pambuyo pake ziwalo zina zamkati zimayamba kuvutika.
• minofu necrosis chifukwa cha stenosis makoma mtima,
• Pafupipafupi wa atherosulinosis, umatha kutuluka khoma la mtima. Pali chovala chamwazi, chotchinga ndi msewu waukulu ndikuletsa magazi,
• Kuphulika kwa minofu kumapangitsa kuti minofu ikhale yodziwika bwino, yomwe imadziwoneka ngati gangore, kupindika komanso kuwonongeka kwa matumbo, komanso kufa kwa maselo a ziwalo zina.

Myocardial infarction, matenda a mtima, stroko - zonsezi ndi zotsatira zofala kwambiri zobisika zamitsempha yamagazi, mpaka kumwalira. Atherosclerosis yam'mimba msempha imatha kuthandizidwa, koma chifukwa cha izi muyenera kuzindikira munthawi yake, kukaonana ndi dokotala ndikuwonetsa. Ngakhale amakhulupirira kuti ndizosatheka kuchotsa kwathunthu izi. Vuto ndiloti kuwonongeka kwa msempha sikumayekha; mtima ndi impso zimakhudzidwa makamaka. Ndipo izi zimatsogolera pakukula kwa myocardial infarction ndi kulephera kwa impso. Ndizotheka kuchepetsa kuwonongeka kwa thupi mothandizidwa ndi chithandizo chanthawi komanso chokwanira.

Chinanso chomwe matendawo angayambitse ndi chiyani?

Ngati mbali za aneurysm zimatuluka, magazi amawalowa m'magazi ambiri. Amayenda m'magazi ndikutseka mitsempha yaying'ono. Zotsatira zake, miyendo yakumunsi kapena yapamwamba simalandira mpweya wokwanira ndi michere. Zikuwoneka motere:

1. Khungu m'manja ndi m'miyendo
2. Pali kumverera kwadzidzidzi ndi dzanzi m'thupi lomwe ziwiya zake zidakhudzidwa,
3. Zilonda pa miyendo zimachitika chifukwa cha kufooka kwa minofu.

Ngati aneurysm ikwera mpaka masentimita asanu, chiopsezo chotumphukira kwathunthu ndi chachikulu kwambiri. Kutulutsa magazi kwambiri kumayamba, ngati wodwalayo sanapatsidwe chithandizo chamankhwala mwadzidzidzi, amadzidzimuka ndikufa m'maola ochepa. Vutoli limawonetsedwa ndi kuthamanga kwa magazi, kuthamanga, koma nthawi yomweyo kufinya kwamphamvu, kupuma movutikira. Wodwalayo akayamba kuvuta, ayamba thukuta kwambiri, amatha kuzindikira, ndipo nthawi zambiri kusanza kumachitika. Zonsezi ndizotsatira zoyipa zam'mimba zam'mimba zomwe zili gawo lotsiriza. Kulowetsedwa magazi mwachangu kokha ndi komwe kungapulumutse wodwalayo. Mu 20% ya milandu, chotupa cha m'mimba chimachitika mwadzidzidzi ndikupangitsa kuti munthu afe msanga.

Zotsatira zina zowopsa za matenda a m'matumbo ndi visceral artery thrombosis. Zikopa zomwe zimadyetsa matumbo ndi ziwalo za pelvic zimachokera ku msempha. Pansipa pali mitsempha yachikazi. Ngati akhudzidwa, wodwalayo amakhala ndi ululu wammbuyo wamtunda, kutsika, kudzimbidwa pafupipafupi, kapena, matendawa. Izi zimatha kudzetsa miyendo. Kenako, malupu a matumbo atatha, peritonitis imayamba kukulira - kutupa kwamkati mwako. Pankhaniyi, komanso popanda chithandizo chamankhwala mwadzidzidzi, wodwalayo amamwalira.

Gulu la matenda

Chinsinsi cha matendawa, chomwe chimadziwika kuti ndi m'mimba aortic atherosulinosis, ndimawonekedwe amkati mwa chotengera chachikuluchi cha cholesterol "patches", mothandizidwa ndi momwe thupi limayesa kuyimitsa kuwonongeka kwa intima (chigoba chamkati) cha msempha. Matendawa akamakula, odwala amatha kusintha magwiridwe osiyanasiyana omwe amakhudza ziwalo zamkati zomwe zimapezeka m'malo obwezeretsanso, ziwalo za m'chifuwa, komanso m'munsi.

Magulu azachipatala amasiyanitsa matenda osiyanasiyana, kutengera kusintha kwa ziwiya zam'mitsempha:

1. Gawo loyambirira - silimawonetsedwa ndi zisonyezo zilizonse, limapezeka mwadzidzidzi pakagwiritsidwa ntchito pozindikira (MRI kapena CT) ya ziwalo zathupi lonse kapena ziwalo zam'mimba. Dokotala angatanthauzenso kukhalapo kwake pamene akusanthula kuchuluka kwa magazi amwazi, kuwunika kuchuluka kwa lipoproteins yotsika. Komabe, kudziwika koyenera sikuloleza kuyezetsa magazi, chifukwa zotengera zilizonse, osati zam'mimba zokha, zimatha kusintha.
2. Gawo lachiwiri lotsatira - kusintha kwa atherosulinotic kumaonekera pazithunzi za MRI kapena CT, koma palibe zizindikiro zotchulidwa za kusokonekera kwa dongosolo la magazi ndi ziwalo zamkati. Kuyesedwa kwa magazi ndi magazi kumawonetsa kuchuluka kwa lipoprotein otsika kwambiri.
3. Gawo lachitatu la ischemic - limayendera limodzi ndi zizindikiro zoyambirira zomwe zikusonyeza kuperewera kwa magazi ku ziwalo zamkati ndi m'munsi mwake. Pakadali pano, aneurysms yam'mimba imatha kuchitika.
4. Gawo lachinayi lomaliza ndi kupangika kwa ma membala am'mitsempha pang'ono - komanso kusintha kwam'magazi komwe magazi amalowera, kudutsa m'mimba msempha. Gawo ili limayendera limodzi ndi zizindikiro zazikulu komanso kuphwanya kosasinthika kwa ziwalo zamkati.

Malinga ndi kufalikira kwa tsamba lomwe malo akuluakulu a cholesterol amapezeka, atherosulinosis ya m'mimba msempha imagawika m'mitundu itatu:

1. Kuphatikizika kwapang'onopang'ono - njira yochepetsetsa yam'mimba yomwe ili mkati mwa malo omwe amapezeka komanso kusintha kwa nthambi za iliac.
2. Middle occlusion - malo opanikizika amakhala mu proximal abortinal aorta.
3. Kukonzekera kwakukulu - kutsitsa kwa malowo kumawonedwa pansipa ndi nthambi za mitsempha ya impso.

Fomu iliyonse komanso mitundu yosiyanasiyana ya atherosulinosis yam'mimba imadziwika ndi zizindikiritso zina ndi kusintha kwina mu ntchito zamkati, kotero pozindikira ndikofunikira kufotokoza bwino za matenda.

Zolemba za matendawa

The aorta ndiye gawo lalikulu kwambiri pamafayilo, kumapereka ziwalo zofunika ndi kuchuluka kofunikira kwamadzimadzi, mpweya ndi michere. Popeza m'mimba mwake wamkati ndikulu wokwanira, kuti atherosulinosis ya m'mimba ichitike pamafunika nthawi yochulukirapo kuposa kukula kwa matenda a ziwiya zina. Chifukwa chake, mu 95% ya milandu, matenda am'mimba amapezeka mwa okalamba kwambiri.

Mosiyana ndi kusintha kwa atherosulinotic pamutu, miyendo ndi mtima, milomo ya lipoprotein imayikidwa pazitseko zam'mimba ndi ziwalo zam'mimba sizimayendera limodzi ndi zizindikiro zamankhwala zomwe zimatsimikizira mosazindikira kuyambika kwa atherossteosis.

Chizindikiro cha matendawa nthawi zambiri chimafufutidwa ndipo sichimayambitsa kukayikira kwamitsempha yam'mimba.

Nthawi zambiri, atherosclerosis ya gawo ili la magazi ndi limodzi ndi kupweteka kwam'mimba. Amakhala akulakwitsa nthawi yayitali chifukwa cha matenda am'mimba, chifukwa chake atherosclerosis yam'matumbo samathandizidwa ndipo amapita patsogolo.

Zizindikiro za Aortic Atherosulinosis

Ndi atherosclerosis yam'mimba msempha, chizindikiro chake chimadalira malo omwe kupezeka kwa cholesterol komwe kumakhalako. Mulimonsemo, mankhwalawa amakhudza ntchito yamatumbo, chifukwa chake padzakhala:

• kupweteka kwa m'mimba komwe kumachitika pakudya, komanso pakukhala ndi nkhawa kapena kupsinjika.
• kupangika kwa mpweya, kugundana m'mimba, kusokonezeka kwa chopondapo, komwe kumayambitsa kuchepa kwa peristalsis ndi zomwe zimapangitsa njira yake kuyaka m'matumbo,
• kuwonda ngakhale kuwonongeka kwam'mimba.

Ngati kusintha kwa atherosulinotic kumakhala bifurcation (bifurcation of the m'mimba aorta), pali umboni wosiyana pang'ono, womwe pafupifupi ziwalo zonse za malo a retroperitoneal ndi pelvis yaying'ono zimakhudzidwa.

Kuphatikiza pa zovuta zam'mimba, odwala amakumana:

• ntchito yolakwika ya erectile,
• kuchepa kwamphamvu kwamiyendo
• lamumo
• Kukula kwa gangrene a m'munsi malekezero.

Ndi mapangidwe a calcifying pa makoma a mtsempha wamagazi mwa odwala, kutupira kwa miyendo kumawonedwa. Nthawi yomweyo, ngakhale akupita patsogolo kwambiri komanso kuwonjezeka kwa zizindikiro, matumbo am'mimba amatha kunyalanyazidwa chifukwa chofanana ndi chithunzi cha chipatala chomwe chili ndi aimpso.

Chithandizo ndi kupewa

Matendawa amatengedwa kuti ndi osachiritsika, motero, ndi aortic atherosulinosis, chithandizo chimakhala nthawi yayitali. Kuchotsa kwa zizindikiro ndikofunikira, koma osati kofunikira kwambiri pothandizira matenda am'mimba aortic atherosulinosis. Udindo wofunikira kwambiri umachitika ndi njira zochepetsera mulingo wa milomo yovulaza m'magazi, kubwezeretsa thanzi lathupi lathu komanso ziwalo zathu. Mukabwezeretsa izi mwazonse, zizindikirazo zidzachepa. Komabe, kutha kwawo kwathunthu sikungatheke ngakhale ndi kulowererapo kwakukulu.

Malangizo apakati pa odwala

Ndi atherosclerosis ya zombo zilizonse, gawo lotsogolera limaseweredwa ndi kukumbukira kwamakhalidwe abwino komanso kumvetsetsa vutoli ndi odwala. Tsoka ilo, kukana matenda muukalamba kumachitika nthawi zambiri. Chifukwa chake, ndikofunikira kuti adokotala afotokozere wodwalayo kufunika kotsatira izi:

1. Sinthani m'moyo wanu kuti mukhale wodekha komanso woyesedwa, wopanda nkhawa komanso kuchita masewera olimbitsa thupi mopitirira muyeso. Zochitika zoterezi zimatha kubweretsa kusinthasintha kwa kuthamanga kwa magazi, komwe ndi kowopsa kwa atherosulinosis.
2. Sinthani muzakudya. Kuchotsera pa menyu wamafuta achinyama, shuga, zopatsa mphamvu zamafuta ndi zinthu zoyengedwa, mowa. Kuwonjezeka kwa masamba atsopano ndi zipatso, chimanga, nyama yoyera ndi nsomba zamasamba, mafuta a masamba. Zakudya zoterezi zimachepetsa kuchuluka kwa ziwonetsero za atherosulinotic.
3. Kukana zizolowezi zoipa. Mowa, kusuta, kusachita masewera olimbitsa thupi kumabweretsa kuwonongeka kwa makoma a mtima, omwe amakwiya

kupezeka kwa cholesterol zolembera pa iwo. Chifukwa chake, mutazindikira, ndikofunikira kupatula izi m'moyo.
Mankhwala othandizira ndizofunikira panthawi iliyonse yamatendawa. Pamalo oyamba komanso omaliza, kutsatira kwawo kumathandizira kuti matendawo asapitirire. M'magawo a ischemic ndi ma terminal, amathandizira kuchedwetsa ngoziyo kapena kupewa zonsezo.

Chachikulu achire miyeso ya zotupa otsika kachulukidwe lipoproteins (LDL) pamimba aorta ikuchitika mosasamala, ndiko kuti, ndi ntchito mankhwala. Mulinso magulu angapo a mankhwala:

• cholic acid sequestrants (Colestipol, Colextran, Cholestyramine ndi ena) - kusintha mtundu wa LDL m'mwazi mwakuchepetsa kaphatikizidwe kazinthu izi m'chiwindi,
• fibrate (ciprofibrate, clofibrate ndi ena) - mankhwala othandizira lipid metabolism komanso kusintha ma seramu lipids, kulimbitsa makhoma aortic ndikusintha magazi.
• ma statins (Atorvastatin, Simvastatin, Fluvastatin ndi ena) - mankhwala osintha kagayidwe kake ka mafuta m'thupi ndi seramu ya magazi pokana ma enzymes ena,
• othandizira ma antiplatelet (Aspirin Cardio, Thrombo Ass, Aspicore ndi ena) - mankhwala omwe amachepetsa magazi ndikuwongolera kuchuluka kwamagazi,
• ACE inhibitors (enalapril, lisinopril ndi ena) - mankhwala. Mukukulolani kuti muwongolere kuthamanga kwa magazi ndikuwusunga mkati mwazoyenera.

Kuphatikiza apo, mapangidwe ovuta a mavitamini amagwiritsidwa ntchito, kuphatikizapo zinthu zomwe zimakhudza kukana kwa mitsempha yamagazi chifukwa cha zinthu zoyipa.

Njira zopangira opaleshoni

Ngati chithandizo cha mawonetseredwe ndi zizindikiro za kusokonezeka kwa msempha wa msempha sizimabweretsa zotsatira zabwino, mankhwala othandizira amagwiritsidwa ntchito. Popeza m'mimba mwake kwa msempha ndikakulu kwambiri kuti akukhazikitse stent, ikawonongeka, opaleshoni yam'mimba yokha imagwiritsidwa ntchito, pomwe malo omwe akhudzidwa ndi aorta amachotsedwa ndikusinthidwa.

Kuthandizira opaleshoni kumachitika pokhapokha ngati chiwopsezo cha msempha chikuwonongeka kapena kuwonongeka kwake (kupasuka kwa aneurysm).

Zimayambitsa atherosulinosis ya m'mimba msempha

Kapangidwe ka ma atherosclerotic amana amapezeka ndi vuto la lipid metabolism, pamene lipoprotein yotsika-maselo otulutsa magazi imapezeka m'magazi ndipo mumakhala ma cell mamolekyulu ambiri a cholesterol m'magazi.

Izi zimabweretsa kutsatana kwa mafuta banga kumakhoma aorta.

Pathology imatha kupita patsogolo mwachangu chifukwa cha kuchuluka kwa mafuta m'thupi. Khola lantherosselotic likatseka kuwala kwa aortic ndi 70.0% kapena kuposerapo, mtima ischemia ya mtima imayamba kuwonekera.

Zomwe zimapangitsa kuti chitukuko cha matenda a m'magazi, kuphatikizapo matenda aortic, ndi awa:

• Mtundu wobadwa nawo wa hypercholesterolemia,
• Kusowa kwathunthu zolimbitsa thupi ndi kupsinjika,
• Matenda a ziwalo za endocrine,
• Kunenepa kwambiri,
• Kubwera kwa othandizira opatsirana,
• Zinthu zosokoneza bongo za mowa ndi kusuta,
• Zakudya zopanda thanzi ndikudya mafuta ochulukirapo,
• Mlingo wa kuchuluka kwa mitsempha.

Zina mwazonsezi zimatha kuyambitsa kuphwanya kwa lipid metabolism, yomwe imatsogolera ku atherosulinosis.

Nthambi za m'mimba

Kutanthauzira kwa matenda a mtima

Mankhwala, occlusion imagawidwa m'magawo atatu a plugging a aortic lumen.

Malinga ndi gawoli, digiri ya organ ischemia imadziwika:

• Maphunziro ochepa. Kuphatikizika kwa msempha kwa msempha kumawonekera,
• Wapakati digiri ya occlusion. Pali blockage ya aortic lumen pamlingo waukulu,
• Kusintha kwakukulu kwa msempha utagunda pamene ma cell atherosulinotic amadzaza lumen pansi pazigawo zamitsempha.

M'malo othandiza kuzindikira matenda, pali gulu la Fontaine losungidwa pamimba la atortosranceosis.

Amagawana matenda m'magawo anayi a kukula kwake:

• Gawo lokonzekera. Pathology ndi asymptomatic. Mukayang'anidwa ndi njira zopangira zida, atherosulinosis imawonedwa. Kuchuluka kwa lipoprotein m'magazi sikupitilira zizindikiro zowonekera. Kupenda kwatsatanetsatane wa mapangidwe a magazi kumawonetsa kuwonjezeka kwa mamolekyulu a LDL ndi zizindikiro za hypercholesterolemia. Ndikofunikira kuti muchepetse kukula kwa atherosulinosis, kusintha zakudya komanso kupewa kuchepetsa cholesterol,
• Gawo lachitukuko cha atherosulinosis. Ndi zida zothandizira kuzindikira, kuchuluka kwa kusintha kwamkati wa msempha kumawonekera. Kusintha kwa lipid metabolism ndi pathologies m'magazi, wodwalayo amapezeka ndi atherosulinosis yam'mimba,
• Gawo la zizindikiro zosadziwika. Wodwalayo amadziona ngati ischemia yam'mimba pakugona. Atherosulinosis imatha kupezeka ndi zida zothandizira kudziwa zinthu,
• Mawonekedwe a mawonekedwe a aortic occlusion ndi zizindikiro za trophic pakhungu. Ischemia ya makoma aorta ndi ziwalo zam'mimba zimachitika, ndipo kusokonezeka kwa fibrotic kumachitika m'maselo a minofu ya ziwalo.

Magawo a atherosulinosis

Zovuta za kukula kwa atherosulinosis yam'mimba msempha

Kuphatikiza pa kukula kwa thrombosis mu mitsempha yayikulu, atherosulinosis ya peritoneal aorta imatha kukhala ndi kulephera kwa aimpso.

Mtundu wovuta wa atherosulinosis umadutsa magawo angapo a chitukuko, ndipo pagawo lililonse ndi chithandizo chakanthawi, sikuti zotsatira zoyipa zimatheka:

• Digiri yoyamba ya ischemia. Pathology ndi lameness, kuwonda pamimba kumawonekera, palinso mawonekedwe a angina pectoris,
• Digiri ya Thrombonecrotic kukula kwa atherosulinosis. Pathology imafika pachimake pa maphunzirowa ndipo nthawi zambiri chifukwa cha thrombosis, zovuta monga gangrene wa ziwalo zakhudzidwa, vuto la mtima, stroke,
• Mlingo wotsiriza wa kukula kwa atherosulinosis yam'mimba ndi fibrous. Pa siteji iyi, pali chiwopsezo cha chitukuko cha mtima, komanso aneurysms ya aortic membrane. 90.0% kupasuka kwa aortic aneurysm kumapha.

Zizindikiro za atherosulinosis ya m'mimba msempha

Mu 95% ya odwala, atherosulinosis imadziwonetsa ngati zowawa pang'ono m'chigawo cha peritoneal, kapena kupweteka kwambiri. Kufotokozera za ululu kumatha kukhala m'malo osiyanasiyana am'mimbamo.

Zizindikiro za atherocalcinosis zitha kukhala:

• Kulimba m'mimba m'mimba pakudya. Zizindikirozi zimachitika chifukwa chosowa magazi oyenda mpaka ziwalo zam'mimba,
• Kuphwanya kachitidwe ka ziwalo zonse zamatumbo,
• Kuchepetsa thupi.

Ndi zizindikiro zotere, muyenera kufunsa dokotala kuti akalandire chithandizo choyenera. Simungathe kudzimva nokha ndikusiya kuzunzika ndi ma painkillers.

Ndi matenda osayembekezereka, mutha kuphonya chithandizo chamtengo wapatali cham'magazi oyambira. Kukula kwa zizindikiro zopweteka kumayenderana ndi gawo la chitukuko cha atherosulinosis.

Ndi mtundu wa non-stenotic wa atherosulinosis wam'mimba, kusintha kwamankhwala kumadziwika.

Wodwalayo amakumana ndi zotsatirazi:

• Mutu ukupindika
• Phokoso m'gululo
• Zofooka za m'munsi,
• Kuchuluka kwa mwendo womwe wakhudzidwa.

Chithandizo cha pamimba aortic sclerosis

M'pofunika kuchitira aortic atherosclerosis pamimba dera kwathunthu. Panthawi yolemba mankhwala, muyenera kuganizira zaka za wodwalayo, jenda, zomwe zimapangitsa kuti matenda a pathology azikula komanso kuchuluka kwa momwe amathandizira.

Chithandizo chimayamba ndi kuchepa kwa cholesterol yamagazi:

• Sinthani ku zakudya zopanda mafuta a cholesterol,
• Siyani zizolowezi zoyipa,
• Gwiritsani ntchito mankhwala ozunguza bongo,
• Gwiritsani ntchito mankhwalawa mankhwalawa.

Mankhwala osokoneza bongo ali ndi magulu otsatirawa a mankhwala:

• Gulu la mankhwala a statin amachepetsa kapangidwe ka mamolekyulu a cholesterol a maselo a chiwindi,
• Mphamvu ya antiplatelet ya mankhwala kuti muchepetse magazi,
• Gulu la mankhwala a fibrate limachepetsa kupanga ochepa lipid,
• Mavitamini antioxidant,
• Mankhwala osokoneza bongo a calcium.

Mankhwala

Chithandizo cha mankhwala achikhalidwe

Chithandizo cha aortic sclerosis pamimba yokhala ndi mankhwala ozikidwa ndi maphikidwe a ochiritsa achikhalidwe chitha kugwiritsidwa ntchito, ngati chithandizo chogwirizira, ku njira zazikulu zamankhwala komanso ndi chilolezo chodwala.

Mankhwala, ndikofunikira kugwiritsa ntchito mankhwala azitsamba, masamba ndi mankhwala wowerengeka wokonzekera:

• Ndikofunikira kugwiritsa ntchito mbewu zomwe zimatsitsa cholesterol index m'magazi. Kuti muchite izi, gwiritsani ntchito mankhwalawa omwa pa adyo ndi barele, komanso zipatso za nthomba ndi tiyi kuchokera ku nthula zamkaka,
• Ndikofunikira kugwiritsa ntchito mbewu zomwe zimatha kuwonda m'madzi a m'magazi pochizira. Katunduyu ali ndi masamba a sitiroberi ndi rasipiberi, mphukira zobiriwira za hawthorn ndi aronia, masamba ndi maluwa oyera a mistletoe. Zodzikongoletsera zozikidwa pa iwo zimathandizira kupewa mapangidwe amu magazi pabedi.

Zakudya zakudya za atherosulinosis yam'mimba msempha

Mankhwalawa a pathologies omwe amagwirizana ndi cholesterol yokwezeka, ndikofunikira kuphatikiza zakudya za anticholesterol, zomwe zimathandiza mankhwala kutsitsa lipids.

Chofunikira chakudyacho ndikuti nkofunikira kuchepetsa kugwiritsidwa ntchito kwa nyama, omwe amapereka cholesterol ku thupi kuchokera kunja.

Mafuta a nyama amayenera kusinthidwa kukhala mafuta amasamba. Ngati ndi kotheka, muchepetsani kudya zakudya zamafuta ndipo musiyiratu shuga.

Gwiritsani mchere osaposa magalamu 2.0 patsiku.

Idyani nthawi 5 6 pa tsiku. Chiwerengero chokwanira pazakudya ziyenera kukhala masamba ndi zipatso. Lowetsani nsomba zam'madzi (mpaka kanayi pa sabata) ndi mitundu yopanda mafuta (nkhuku, nkhuku) muzakudya.

Kanema: Zizindikiro zam'mimba komanso zam'mimbazi zomwe zimayambitsa

Zimatengera kuuma kwa matenda ndi chithandizo choyenera. Zimatengera kwambiri kwa wodwala kuchuluka momwe amatsatila malangizo a dokotala.

Ndi njira yoyenera yothanirana ndi zovuta mankhwala, matulukidwewo ndi abwino. Popanda chithandizo, matenda a m'mimba a m'mimba amayamba mofulumira ndipo amayamba kufa.