Atherosulinosis: Zizindikiro ndi kulandira chithandizo kwa akuluakulu
Atherossteosis ndi matenda ophatikizika a polyetiological vascular, omwe amaphatikizidwa ndi kufotokozera kwa lipids mu chipolopolo chawo chamkati, kukula kwa njira zotupa, zomwe zimabweretsa zovuta zina zotchulidwa chifukwa cha kufinya kwa mitsempha kapena mapangidwe a magazi.
Atherosulinosis imadziwika kwambiri pakati pa anthu amakono, ndipo ndi njira zolakwika zamankhwala zingayambitse zovuta.
Mawonekedwe ake oyamba nthawi zambiri amachotsedwa, ndipo anthu samawalabadira, amabwera kwa madokotala pokhapokha pakabuka zovuta. Ichi ndichifukwa chake mutu wa atherosulinosis ndi wofunikira kwambiri.
Kodi chifukwa chiyani ma arteriosulinosis amachitika?
Monga tafotokozera pamatanthauzidwe a atherosulinosis omwe, matendawa ali ndi zifukwa zosiyanasiyana.
Zachidziwikire, chilichonse payekhapayekha chingayambitse kukulitsa kwa zotupa zam'mimba. Komabe, kuphatikiza kofala kwambiri kwa zifukwa zitatu kapena zingapo zomwe pamodzi zimathandizira kuti chiwopsezo cha matenda chikwanirike.
Chifukwa chake, pali magulu atatu a chiopsezo cha atherosulinosis. Gulu loyamba limaphatikizanso zinthu zomwe sizingasinthe.
Achikulire ndi okalamba - anthu opitilira zaka 40-50 ndi omwe ali pachiwopsezo chachikulu, chifukwa zombo zawo sizolimba komanso zotanuka monga paubwana wawo, ndipo njira za metabolic nthawi zambiri zimasokonezedwa ndikusokonekera.
Kukhazikika kwa chiwopsezo - ndi amodzi mwa malo oyamba mndandanda wazomwe zimayambitsa atherosulinosis. Achibale apafupi nthawi zambiri amadwala matenda a atherosulinosis omwe ali ndi zisonyezo, komanso amatha kusiyanitsa mitundu yamatenda a lipid metabolism, yomwe ndiyofunikira mwachindunji pakukula kwa matendawa.
Amuna - amayamba kuzindikira zoyamba za atherosclerosis pafupifupi zaka 10 m'mbuyomu komanso nthawi zinayi kuposa akazi.
Kusuta - khalani ndi zotsatira zoyipa kupumira ndi mtima. Chifukwa chokhala ndi chikumbumtima chambiri, chiwopsezo cha bronchitis chambiri chimakulirakulira. Munjira, chikonga chimachepetsa mphamvu zotupa za khoma lamitsempha, zimakulitsa kuperewera ndikuwonongeka pang'ono. Ichi ndi chikhalidwe chabwino kwambiri kulowa kwa atherogenic cholesterol mu nembanemba yamitsempha, ndipo kenako kupanga mapangidwe a atherosclerotic.
Matenda oopsa a arterial - ndimatenda amtunduwu, kuthamanga kwa magazi kumachulukirachulukira, ndipo zotengera zili munkhokwe. Kupindika kwa nthawi yayitali kwamitsempha yamagetsi kumapangitsa kuti minyewa yawo ikhale yofooka, kuwonongedwa kwa gawo lina la mafayilo a choroid, omwe, amathandiziranso kulowerera kwa cholesterol yowonjezera ndi mawonekedwe ake mkati mwa mitsempha yamkati.
Gulu lachiwiri la zinthu zomwe zili pachiwopsezo ndi zinthu zomwe zingasinthe. Munthu akhoza kuzikhudza pang'ono. Izi ndi zinthu monga:
- Hyperlipidemia, hypercholesterolemia ndi hypertriglyceridemia ndi kuchuluka kwa lipids (mafuta), cholesterol yathunthu ndi triglycerides. Ndi chifukwa cha zovuta za lipid kagayidwe kamene njira zoyambira zopangira zolembera zimapangidwira, makamaka, ndi kuwonjezeka kwa cholesterol yolumikizana ndi lipoproteins yotsika.
- Glucose okwera (hyperglycemia) ndi matenda a shuga - pafupifupi odwala onse omwe ali ndi matenda ashuga, zovuta zingapo zimayamba pakapita nthawi, pomwe ma microangiopathy ndi macroangiopathy (kuwonongeka kwa ziwiya zazing'onoting'ono ndi zazikulu) amakhala malo apadera, omwe amapezeka chifukwa cha kuyang'ana kwambiri. kuchuluka kwa shuga. Zikachitika, zombozo zimawonongeka kuchokera mkati, ndipo palibe zopinga zomwe zingalepheretse kulowa kwa cholesterol mkati mwake.
- Kuchuluka kwa ma lipoproteins apamwamba - cholesterol yolumikizidwa ndi mtundu uwu wa lipoproteins imatchedwa "zabwino", ndipo kuchuluka kwake sikumabweretsa mapangidwe. Mankhwala, madotolo amayesa kukwaniritsa kuchuluka kwa lipoprotein okwera kwambiri komanso kuchepa kwa mapuloteni otsika kwambiri (atherogenic).
- Metabolic syndrome ndi kuphatikiza kwa zizindikiro, zomwe zimaphatikizapo kuchuluka kwamafuta m'mimba (kapena kunenepa kwambiri, mtundu wam'mimba), kulolerana kwa glucose (mulingo wosakhazikika, koma osakhalapo shuga), kuchuluka kwakukulu kwa triglycerides ndi matenda oopsa,
- Kuperewera kwa Hormonal - azimayi omwe ali ndi nyengo yanthawi yayitali, komanso kuchokera kwa munthu yemwe ali ndi endocrine pathologies (hyperthyroidism, matenda a Itsenko-Cushing) amatenga kwambiri matendawa.
Ndipo pamapeto pake, gulu lomaliza la zinthu zowopsa - lotchedwa "ena." Izi zikuphatikiza ndi izi:
- Kulephera kuchita masewera olimbitsa thupi, kapena kukhala moyo wawofuwofu, ndi anthu omwe amakhala nthawi yayitali muofesi, pakompyuta kapena kunyumba, amalemera msanga, amasiya kuchita masewera olimbitsa thupi, amakhala olimba mtima, zotengera zawo zimasowa mphamvu komanso kunenepa. Zonsezi ndi khomo lotseguka la cholesterol.
- Zochitika pafupipafupi - zochitika zina zovuta zimakhudza kwathunthu ziwalo zonse. Amayambitsa mantha amanjenje, zomwe zimapangitsa kuti amasulidwe ambiri a adrenaline. Adrenaline, nayenso, amawonda kwambiri mitsempha yamagazi. Kubwereza pafupipafupi kwa ma episkopi kotere sikuwonetsedwa bwino m'mitsempha yosalala, ndipo kumabweretsa zotsatirazi.
Kuphatikiza apo, kumwa mowa mwauchidakwa kuli m'gulu lino - mowa ndi chilengedwe chake ndi mankhwala osokoneza bongo. Ndi kudya mosasintha, mwadongosolo thupi, amawononga pang'onopang'ono minofu yonse, kusokoneza ma metabolism mwa iwo, kuphatikizapo lipid metabolism.
Kupitilira apo, cholesterol ikhoza kuyikidwamo mwaulemu monga zododometsa.