Atherosulinosis yamitsempha yama mtima - kodi ngozi ndiyotani?

Nthawi zambiri kufunafuna chithandizo chamankhwala ndi madandaulo a mtima. Popeza kuchuluka kwa matenda monga atherosulinosis ya mtima, ndikofunikira kuzindikira matendawa munthawi yake ndikuchita zinthu kuti muchepetse zovuta, chifukwa ndizowopsa ndipo zimatha ngakhale kupha.

Lero tilingalira za zomwe zimayambitsa, zomwe zimayambitsa, magawo a mtima uno, komanso tikambirana ngati zitha kuchiritsidwa.

Kodi atherosulinosis yamitsempha yamtima ndi chiyani

Matenda a mtima - ndi chiyani? Uwu ndiye njira yowonongeka yomwe imachitika m'mitsempha yamtima. Monga atherosulinosis ya kutengera kwina, poyamba pali kulephera kwa metabolidi ya lipid, chifukwa chomwe kuchuluka kwa mafuta m'thupi kumawonjezeka. Izi ndizowona makamaka kagawo kake koyipa - LDL, yomwe imatha kutsatira komanso kudziunjikira m'malo ena ofooka a endothelium.

Pakupita kwa kolesterol yayitali m'magazi, imalowa m'malo opanda chofiyira chotengera - matumba a lipid ndi ma tubercles amawonekera. Mu chotupa ichi, kutupa kumayamba, zomwe zimapangitsa kuti khoma la mtima lizipezeka m'malo ano, komanso gulu la maselo a thovu omwe amasakanikirana ndi madigiri amodzi a cholesterol. Kupanga kumeneku kumayambitsa stenosis ndipo kumapangitsa magazi kutuluka kwa laminar. Zigawo zikuluzikulu zamagazi, ma lipoprotein atsopano, ma cell a thrombotic amangiririka m'malo ano. Izi zimapanga mapangidwe a atherosulinotic.

Pankhani ya atherosmithosis ya mtima, zotere zimachitika pa aorta, kuchokera kumbali ya ma Valsalva sinuses (ili ndiye gawo la msempha kuchokera pomwe mitsempha yam'mimba yomwe imadyetsa minofu yamtima imachokera). Maselo amafuta akaikidwa m'derali, magaziwo amawasokoneza, zomwe zimayambitsa zovuta za ischemic ndi zizindikiro zazikulu.

Zomwe zimayambitsa matenda a mtima ndi oimira theka lamunthu wamphamvu, atatha zaka 50. Komabe, kufulumira kwa vutoli kukuchitika chifukwa chakuti m'zaka zaposachedwa, njira zam'mimba izi zakhala zochepa kwambiri, ndipo tsopano akupezeka ali aang'ono kwambiri. Kuphatikiza apo, imatha kupitilira komaliza popanda zowoneka bwino zamankhwala ndikuwonekera pokhapokha omaliza.

Zizindikiro ndi magawo a chitukuko

Atherosclerosis yamitsempha yama mtima simadziwikanso chifukwa cha kuyamba kwadzidzidzi kwa zizindikiro.

Matendawa amakula pang'onopang'ono ndipo ali magawo atatu akuluakulu.

  1. Gawo loyamba. Pazonsezi, njira zodziwonera zimawonetsa ming'alu yaying'ono m'makoma amitsempha yama mtima, ndipo zozungulira zotere zimawonetsa kulowetsedwa kwa lipid. Popita nthawi, michere yaying'ono imeneyi imakula ndikukula, ndikupanga zovuta zowonekera kwambiri komanso zowoneka bwino m'matumbo.
  2. Gawo lachiwiri. Mu mabuku a sayansi amapezekanso pansi pa dzina lipossteosis. Pakadali pano, limagwirira kwambiri pathogenetic ndikudzikundikira ndi kuchuluka kwa kulowa kwa chotupa komwe kumayang'aniridwa ndi maselo amafuta. Ili ndiye gawo loyamba la mapangidwe a atherosselotic. Chifukwa cha kusakhazikika kwake, mapangidwe a parietal awa amatha kuchoka, chifukwa chake gawo lachiwiri la atherosulinosis ya mtima limadziwika ndi chiopsezo chowonjezeka cha thrombosis. Chithandizo cha mankhwalawa ndi chothandiza kwambiri, chifukwa chimatha kutsuka bwino kwambiri ziwiya.
  3. Gawo lachitatu. Ili ndi dzina loti atherocalcinosis. Malo opangira ma atherosselotic, omwe anali osasinthika komanso osakhazikika pamapeto omaliza, amakumana ndi mayankho a calcium ndi ion ya calcium. Chifukwa chake amakhala olimba ndipo amakula kukhoma. Kuphatikiza apo, pamalingaliro oterowo pamakhala kuchuluka kwa ma thrombotic, stenosis ya chotengera imakwera pang'onopang'ono (kutsika m'mimba mwake kwa lumen), yomwe imadzaza ndi occlusion komanso zotsatira zoyipa kwambiri za ischemic.

Chithunzi chachipatala cha atherosulinosis ya mtima kwa nthawi yayitali chimatha kukhala chosakwanira komanso chophimbidwa ndi zizindikiro zamatenda ena (IHD - matenda a mtima, angina pectoris). Nthawi zambiri, odwala amangomva mawuwo pakakhala zovuta za ischemia.

Zizindikiro zoyambira Atherosulinosis of theization:

  • Kukhazikika kwa kuthamanga kwa magazi ndikusintha kowopsa mu ziwerengero zake.
  • Kugona nthawi zonse komanso kutopa.
  • Kuchepetsa kukumbukira ndi ntchito yazidziwitso.
  • Kukhala dzanzi komanso kumva wopanda pake kumazizira kwambiri.
  • Kupweteka kwamatenda otambalala pansi kapena phewa lamanzere.
  • Kufupika komanso kusowa kwa mpweya pambuyo pochita masewera olimbitsa thupi.
  • Kukongola kwa khungu.
  • Pa kutalika kwa kudzoza kapena kufinya, ululu umamveka kumbuyo kwa sternum.
  • Tinnitus.

Zomwe zimayambitsa matendawa komanso zomwe zingachitike pangozi

Kudziwa chomwe chimayambitsa matenda ndi njira yofunikira kwambiri pakuthandizira kwake. Popeza tazindikira ukadaulo wa atherosulinosis, titha kuyendetsa makina ake a pathogenetic. Pokonza izi mtima wam'magazi, zoyambitsa zazikulu ndi:

  • Chakudya chopanda malire.
  • Kusagwira ntchito, moyo wosagwira ntchito wa munthu. Kuphatikiza pa chiwopsezo, zimathandizanso kukulitsa ischemia mu atherosulinosis.
  • Kutsimikiza kwa chibadwa.
  • Mikhalidwe yovuta, yamaganizidwe ndi luntha, zomwe ndizomwe zimachitikira munthu wamakono.
  • Kukhalapo kwa zizolowezi zoipa m'mbiri - kusuta fodya ndikuledzera.
  • Matenda a kumbuyo - matenda oopsa, matenda ashuga.

Mukapatula zina mwa zinthu zoopsa m'moyo wanu, mutha kudzitchinjiriza ku matenda a mtima ndi zovuta zake.

Zolemba zamankhwala ndi kupewa

Chithandizo cha atherosulinosis cha mitsempha ya mtima imaphatikizira miyambo, mankhwala ndi njira zochizira matenda wowerengeka. Chithandizo chitha kutumikiridwa ndi mtima wokhazikika yemwe amapita kwa dokotala, kutengera ndi kuchuluka kwa maphunziro a labotale komanso othandizira odwala. Magulu akuluakulu amankhwala omwe amagwiritsidwa ntchito ku atherosulinosis ya mtima ndi aorta ndi ma fibrate (clofibrate, fenofibrate), ma statins (Lovastatin, Krestor, Torvakard, Mevacol), mankhwala a choleretic, nicotinic acid, othandizira antiplatelet, venotonics, painkillers, anticoagulants ndi vitamini.

Ndi milandu yapamwamba yazachipatala ndi mitundu yayikulu ya matendawa, opaleshoni ikhoza kuwonetsedwa. Pali mitundu ingapo ya chithandizo cha opaleshoni ya mtima.

  • Mankhwala a thrombolytic ndi kuyesa kusungunula ma magazi omwe amapangidwa.
  • Kuchita opaleshoni ya Bypass ndi njira yomwe dokotalayo amapanga chida china chatsopano kuti apereke magazi kuti atulutsire kachidutswacho.
  • Angioplasty. Ndi iyo, catheter imayikidwa mu tsamba la chotengera chomwe chikukhudzidwa, pomwe baluni imayikiridwa ndipo chotengera chimatulutsa. Dongosolo lozungulira limakhazikika ndi stent.
  • Endarterectomy ndi njira yoyeretsera magazi m'mitsempha yama cholesterol.

Kuchiza kuyenera kukhala kokulira ndipo kuyenera kutsagana ndi zakudya zopatsa thanzi - popanda yokazinga, yosuta kwambiri, mchere komanso mchere wamchere - ichi ndiye chinsinsi cha zombo zabwino. Zatsopano zamasamba ndi zipatso, zimakonda kuwira ndi kuwotcha. Kuphatikiza apo, ndikofunikira kuwonjezera masewera olimbitsa thupi tsiku ndi tsiku - masewera olimbitsa thupi, kuyenda kosaletseka, masewera olimbitsa thupi.

Imfa ya atherosulinosis ya mtima

Ngati matenda a mtima atapezeka mochedwa, ndiye kuti matendawa amakhala ndi matenda osachiritsika. M'matumbo, ma plaque ndi aneurysms amapangidwa. Zomwe zimapangitsa wodwalayo kuti afe chifukwa cha kudwala, kukwapula, komanso kugunda kwamtima. Palinso anthu omwe amwalira chifukwa cha kupasuka kwa aneurysm.

Ngati mukukayikira kapena madandaulo ofanana ndi chiwonetsero cha atherosulinosis, muyenera kulumikizana ndi katswiri ndikupita kukayezetsa kwathunthu kuchipatala. Poletsa matenda a mtima, muyenera kukhala ndi moyo wakhama, kudya bwino komanso kupewa mavuto.

Kukula kwa matenda

Chifukwa chachikulu chachitukuko cha atherosulinosis yamitsempha yamagazi mosasamala kanthu za malo a malo opangira pathogenic ndikuphwanya njira za protein metabolism m'makoma a mitsempha ndi mitsempha. Poyerekeza ndi kuphwanya koteroko, kulakwitsa kwa ndende ya cholesterol, mapuloteni ndi phospholipids m'thupi kumawonekera.

Zothandiza! Chikwangwani cha atherosulinotic ndi kuchuluka kwa mafuta omwe amamangiriridwa kumakoma amitsempha yamagazi. Pamene matenda akukulira, mtundu uwu wa mapangidwe umachulukana, ndipo kuwala pakati pa zombozo kumacheperachepera. Potengera maziko awa, njira zoyambira kusokonezeka kwamadzi m'matumbo zimawonekera.

Kodi ndizotheka kuchiritsa matenda a m'mitsempha ya mtima - chiwopsezo cha matendawa chili chifukwa chakuti sichitha kuchira. Pathology imatha kuchitika kwa nthawi yayitali kwambiri, osawonetsa zizindikiro zake.

Ndikofunika kutsindika kuti kufunikira kwa kuyesa kwa madokotala pachaka sikokwanira "ayi" kwa madokotala. Ndi kuyembekezera kwakanthawi, ndizotheka kuchitapo kanthu zochizira munthawi yake, komanso kupewa kuteteza matendawa.

Monga matenda ena aliwonse, atherosulinosis imakhala ndi magawo angapo a chitukuko, iliyonse imaganiziridwa pagome:

Magawo a atherosulinosis yamitsempha yama mtima
GawoMbali yopatsansoZambiri
IneThe lipid banga limapangidwa, kuwonongeka kwakung'ono kwa ziwiya kumawonedwa, makoma akumasulidwa, edema imayamba.Kutalika kwa siteji kumatsimikizika ndi machitidwe a thupi la wodwalayo. Pathology ikhoza kupezeka pano.
IILipossteosis imawonekera, minyewa yolumikizana imapangidwa pafupi ndi malo a lipid. Mawonekedwe a plaques, lumen pakati pa ziwiya zimachepa. Makoma amitsempha yamagazi amatayika mwadongosolo.Ndi matendawa atazindikira matendawa, zotsatira zazikulu zimatha kuchitika pakumwa mankhwala. Pali kuthekera kwa kusungunuka pang'onopang'ono kwa mawonekedwe.
IIIAtherocalcinosis imayamba. Mu malo a atherossteotic, calcium imayikidwa, mawonekedwe ake amathandizidwa. Ngozi ili poti nthawi imeneyi wodwalayo sangamve kuwonetsa zizindikiro zosokoneza matendawo.Pali chiopsezo chachikulu chotchinga bwino kwambiri chotengera, chomwe chimakwera tsiku ndi tsiku. Chifukwa cha zotupa zotere, vuto la mtima limayamba. Thandizo kwa wodwala liyenera kuperekedwa nthawi yomweyo - pamakhala chiopsezo chachikulu cha kufa.

Yang'anani! Momwe mungagwiritsire matenda a atherosclerosis a mitsempha yamtima, kutengera siteji, dokotala angakuwuzeni, malangizo a zochita akhoza kusiyanasiyana. Ndikofunikira kuti muwunikire zoopsa zonse: sikofunikira kugwiritsa ntchito njira zina zolimbana ndi matendawa nokha. Ndikofunika kukumbukira zowopsa ndi zovuta zake.

Atherosulinosis imagawidwa osati kokha ndi magawanidwe am'minyewa, komanso kutengera zomwe zikuwonetsedwa ndi matenda, omwe atha kukhala:

  • hemodynamic (zotupa zam'mimba ndi matenda oopsa),
  • kagayidwe (matenda a endocrine system),
  • kusakaniza (pali zifukwa zingapo).

Ndikofunika kudziwa kuti ndi matenda nthawi zambiri, kufooka kwamitsempha yayikulu kumachitika.

Zifukwa zachitukuko

Zomwe zimayambitsa atherosulinosis yamitsempha yama mtima imatha kugawidwa m'magulu angapo:

  • zinthu zosapeweka
  • mwina zotayira
  • kutengera munthu ndi chikhalidwe chake pa thanzi lake.

Gulu lirilonse la zifukwa liyenera kuganiziridwa mosiyana.

Zinthu Zosasinthika

Mankhwala amakono pakali pano samapereka njira zokwanira zothetsera kapena kuchepetsa zomwe zimachitika chifukwa cha zinthu izi za atherosulinosis ya mtima ndi mitsempha yamagazi.

Zina mwazinthu zomwe zimawonjezera mwayi wopezeka ndi mitsempha ya mtima ya mtima, pali:

  1. Wodwala jenda. Kafukufuku akuwonetsa kuti zotupa zimayamba kupezeka mwa amuna nthawi zambiri komanso zaka 10 kale kuposa akazi. Amayi amakumana ndi matendawa atakwanitsa zaka 50. Madokotala amagwirizanitsa "kuteteza kwa amayi" ndi gawo lapadera lamahomoni la woimira m'badwo wobereka. Zimatsimikiziridwa kuti ndi estrogen yachikazi yomwe imateteza mtima.
  2. Mzere wazaka. Odwala omwe ali m'gulu la okalamba amatha kupeza mawonekedwe a matendawa. Ndi chiopsezo cha atherosulinosis chomwe chimawonjezeka kwa odwala onse omwe ali ndi zaka 45.
  3. Kudziletsa. Chowonadi cha chitukuko cha matendawa m'mibadwo ingapo chimatsimikiziridwa, chifukwa ngati m'mabanja, ngati anthu omwe akumana ndi zotupa zam'magazi, chisamaliro chapadera chikuyenera kulipira ku mayeso.

Jini yomwe imapangitsa kuti mtima ndi mitsempha ilimbike, ndi yofunika kuti ichitike pafupifupi 50%, koma kuonetsetsa njira zopewera matenda kumathandiza wodwalayo.

Zomwe Zitha Kutheka

Mndandanda wa zomwe zingathe kuchotsedwa umaphatikizapo matenda omwe alipo mwa wodwala.

Matenda a atherosselotic a mtima ndi mitsempha ya magazi amatha kuchitika motsutsana ndi maziko a:

  1. Matenda oopsa. Ndi matenda oopsa, mphamvu yokhutiritsa makhoma a mitsempha ndi mafuta imawonjezeka, ndipo chifukwa chake, zofunikira zakukula kwa atherosulinosis zimapangidwa.
  2. Matenda a shuga. Chiwopsezo cha kuwonekera kwa atherosulinosis kwa odwala matenda ashuga chikuwonjezeka ndi 7. Kusintha kofananako kumachitika motsutsana ndi maziko akusintha kwakukulu mu chikhalidwe cha njira ya metabolic mu thupi la wodwala winawake.
  3. Wothandizila matenda. Ubwenzi wamatenda omwe amawonongeka ndi minyewa unachitika posachedwa - zimatsimikiziridwa kuti atherosulinosis yamitsempha yamtima imakula bwino mthupi la odwala omwe ali ndi matenda a chlamydial.
  4. Matenda a metabolism. Zofananazo nthawi zambiri zimapangitsa wodwala kuyamba kunenepa kwambiri. Potengera maziko a kunenepa kwambiri, zinthu zopindulitsa pa chitukuko cha atherosulinosis zimapangidwa. Kuphwanya njira kagayidwe kachakudya, kuchuluka kwa lipoproteins m'magazi kumachitika.

Odwala ayenera kulabadira kuti kuti achepetse kuwonetseredwa kwa atherosulinosis, ndikofunikira kukayezetsa kuchipatala munthawi yake ndikulabadira njira zamankhwala zochizira matenda.

Zinthu zomwe zingachotsedwe

Kuwonongeka kwa mitsempha yokhala ndi mafuta a cholesterol nthawi zambiri kumachitika mwa anthu omwe amakhala ndi moyo wosayenera.

Magulu omwe ali pachiwopsezo akuphatikizapo:

  1. Osuta - Kukana kwakanthawi kodalira ndiko kupewa kwa mawonetseredwe a mtima.
  2. Chakudya chosalamulirika - Ogwiritsa ntchito zamasamba nthawi zambiri amakhala osakumana ndi mavuto a mtima.
  3. Zochita zolimbitsa thupi - Popeza kusachita masewera olimbitsa thupi ndi mdani wamagazi, masewera olimbitsa thupi atha kupindula.

Zinthu zotayidwa zimakhudza mayendedwe a pathologies onse omwe amapezeka m'thupi. Chifukwa chake, kukana kwakanthawi zizolowezi zowononga ndi gawo lotsimikizika panjira yochira.

Yang'anani! Matenda a mtima komanso a atherosulinosis a mtima ndi matenda owopsa omwe, akayandikana nawo, amapanga zovuta m'moyo wa wodwalayo.

Matenda a mtima ndi mitsempha ya magazi amachepetsedwa ndi gawo limodzi pachiwopsezo cha kuwonetsa zotsatira zowopsa kwa wodwala yemwe ali ndi khansa. Kuthekera kwa kufa kwa matenda onsewa ndikwambiri kwambiri. Ichi ndichifukwa chake njira zodzitetezera ndizofunikira kwambiri kuti mukhale ndi moyo wopambana, wathanzi komanso wautali (onani ziwiya zoyeretsa zochokera ku cholesterol plaques: njira zabwino kwambiri).

Zizindikiro za matenda

Zizindikiro za atherosulinosis yamitsempha yama mtima nthawi zambiri zimakhalapo isanayambike chitukuko cha matendawa. Kuyesedwa kwa magazi kungathandize kudziwa kukhalapo kwa matenda. Nthawi zambiri, zosintha zimadziwika pambuyo pa mayeso angapo osavuta.

Zowonadi! Odwala omwe ali ndi zaka 40 mpaka 40 ayenera kuyesedwa ndi mafuta m'thupi, ngakhale zizindikiro za matendawo sizikupezeka konse.

Pali magawo atatu a chitukuko cha matendawa ndipo zomwe zimawoneka pa chilichonse zimasiyana kwambiri.

Gawo la fibrotic ndiloyambirira, wodwalayo amatha kuwona zotsatirazi:

  • kupsinjika pang'ono m'dera la mtima,
  • mawonekedwe ofupika,
  • kupweteka pachifuwa
  • kutopa.

Gawo la ischemic ndilachiwiri, ndipo kuwonetsa matendawa kumatha kukhala kowopsa. Wodwala amatha kuona zizindikiro za angina pectoris.

Yang'anani! Owopsa kwambiri ndi gawo la thrombonecrotic. Thrombosis yamitsempha yowonongeka imachitika. Ngati ziwiya zamtima zakhudzidwa, mwina kufa modzidzimutsa kapena vuto la mtima.

Ngati zizindikiro za vuto la mtima zikuchitika, gulu lodzidzimutsa liyenera kuyitanidwa mosachedwa.

Zizindikiro

Momwe mungayang'anire mitsempha yamtima wamtima wa atherosulinosis sadziwika kwa odwala onse, koma zambiri zotere ziyenera kumveka. Nzika zochulukirapo ziyenera kuyesedwa kamodzi pazaka zisanu, ndi anthu omwe ali m'magulu oopsa - chaka chilichonse. Zochita zoterezi zithandiza kuchepetsa mwayi wazotsatira zoyipa za atherosulinosis.

Mndandanda wa njira zophunzitsira bwino kwambiri umaphatikizapo:

  1. Kuyesa kwamwazi wamagazi. Kusanthula kumeneku kumakupatsani mwayi wowongolera kusintha kwa glucose ndi lipoprotein m'magazi.
  2. Phunzirani pa cholesterol. Amalembera odwala omwe ali ndi vuto losakanikirana ndi magazi ndipo anthu omwe ali m'gulu lowopsa. Kafukufukuyu amakupatsani mwayi kuti muwone kuchuluka kwa ma lipoproteins a zigawo zonse.
  3. ECG Amakulolani kuti muwone kupezeka kwa kusintha kwa mtima ndikuzindikira kusokonezeka kwa mtima.
  4. Kuyesa kwa Ultrasound Limakupatsani mwayi kuti mudziwe komwe mbali yamitsempha yakhudzidwa ndikuwona kuchuluka kwa milomo yamtima.
  5. Mbiri Imalola kudziwa kufooka kwamitsempha.

Mtima waposachedwa wa atherosulinotic ndi matenda am'mimba, ndi mwayi waukulu wodwala kubwerera ku moyo wathunthu.

Njira zomwe zimatengedwa pa nthawi yake zimathandiza kuzindikira kupezeka kwa kusintha ndikuyamba kugwiritsa ntchito mankhwala. Kanemayo munkhaniyi azizoloweretsa odwala zomwe zingakhale zovuta za matenda.

Njira zochiritsira ziyenera kumwedwa poyambira chitukuko cha matenda.

Zolinga zazikulu za zochitika:

  • kukwaniritsa cholesterol yoyenera m'thupi,
  • kuchotsa kwa VLDL ndi LDL kuchokera mthupi,
  • Kuchepetsa mphamvu ya zinthu zomwe zikuthandizira kukula kwa matenda.

Choyamba, wodwalayo ayenera kusintha mtundu wa moyo wake: kusiya kusuta, kusinthasintha kugona ndi kugona, kusintha njira zolimbitsa thupi.

Yang'anani! Kuchita masewera olimbitsa thupi ndi gawo lofunikira la chithandizo. Ndikofunika kukumbukira kuti kusinthasintha ndikofunikira: muyenera kuyamba ndi masewera olimbitsa thupi, motsatizana bwino zovuta.

Mankhwala a atherosulinosis a mitsempha ya mtima ayenera kuikidwa ndi dokotala. Mtengo wa mankhwala amenewa ndiwokwera kwambiri, chifukwa odwala ambiri amagwiritsa ntchito wowerengeka azitsamba. Njira zoterezi zimayimira njira zopewetsera zinthu, koma sizithandiza kutsegulira zinthuzo m'malo zovuta.

Njira zochizira

M'magawo oyamba a zotupa za atherosulinotic, njira zochiritsira zimagwiritsidwa ntchito.

Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kugwiritsa ntchito mankhwalawa:

  1. Nicotinic acid Chithandizo cha mankhwalawa ndikufuna kukhathamiritsa cholesterol yabwino.
  2. Fibates. Mankhwala omwe amachepetsa kukula kwa kupanga kwa lipid ndi minofu ya thupi.
  3. Madera Perekani kuchepa kwa ndende ya LDL.
  4. Kukonzekera kwa chimbudzi cha bile acid.

Yang'anani! Akatswiri ambiri amalimbikitsa kugwiritsa ntchito mafuta a nsomba chifukwa cha mitsempha ya mtima. Ichi ndi gawo lofunikira la omega 3 acids.

Mulimonsemo, chithandizo chikuyenera kuchitika moyang'aniridwa ndi katswiri (onani Mavitamini a mitsempha yamagazi ndi mtima - sankhani zabwino). Wodwala amayenera kuyesedwa pafupipafupi ndikuwonetsa chithunzi cha kusintha kwa thupi.

Opaleshoni

Mochulukitsa kwambiri atheroxlerosis ya mtima ndi mitsempha ya m'magazi, chithandizo chamankhwala sichitha kukhala chothandiza. Ngati pali kufalikira kwamitsempha yamagazi - zotsatira zake zingakhale zowopsa. Kuti apulumutse moyo wa wodwalayo, kuchitapo kanthu mwachangu kwachipatala kumafunika.

Pali njira zingapo zowonetsera. Muzochitika zapamwamba, kuchitapo kanthu kochitidwa. Ngati nkotheka kugwiritsa ntchito njira yochepetsetsa, mumakonda. Chithunzichi chikuwonetsa kupita patsogolo kwa maopaleshoni (onani opaleshoni ya mtima ndi: opaleshoni yomwe ingapulumutse moyo). Mtengo wa opaleshoniyo umasiyana kwambiri kutengera njira yomwe wasankhidwa.

Chithandizo cha zitsamba

Ndikofunika kukumbukira kuti matenda monga atherosclerosis amatha kukhala owopsa. Kugonjetsedwa kwamitsempha yamagazi kumakhala ndi chiwonetsero cha kupatuka kosiyanasiyana mu ntchito ya mtima. Ochiritsa ambiri amalimbikitsa kupanga njira zina zochizira matenda a mtima, koma njira zoterezi zitha kugwiritsidwa ntchito mukakumana ndi dokotala.

Pokonzekera ma broths ochiritsa, zitsamba zosiyanasiyana zimagwiritsidwa ntchito, zomwe zimapangitsa kuti munthu asamve bwino. Musanagwiritse ntchito ndalama zotere, muyenera kuonetsetsa kuti palibe zomwe zingachitike. Zithandizo za anthu siziyenera kukhala njira yokhayo yothandizira, koma zitha kugwiritsidwa ntchito popewa kuwonetsa matendawa.

Kupewa

Njira zopewera munthawi yake zimathandizira kupewa kuwonetsa kwa matenda.

Pofuna kuchepetsa mwayi wa mawonetseredwe a atherosulinosis a mitsempha ya mtima, malamulo awa ayenera kuonedwa:

  • kukana mowa ndi chizolowezi cha chikonga,
  • kuchepetsa nkhawa
  • kuyezetsa magazi pafupipafupi.

Njira zopewera ndi njira zosavuta, koma ndi njira yabwino yoletsera msonkhano ndi matenda. Zizindikiro za atherosulinosis yamitsempha yama mtima zimatha kuoneka kwa nthawi yayitali. Kuzindikira matendawo, njira zakuzindikira zimagwiritsidwa ntchito.

Ngati matendawa adapezeka m'magawo oyamba, chithandizo chimachitika molingana ndi njira yofatsa - mankhwala. Pakapita nthawi matendawa atakula, njira yothandizira opaleshoni imagwiritsidwa ntchito, ndikutsatira kukonzanso malo a spa.

Zomwe zimayambitsa matendawa

Pofuna kupewa matenda amtundu wa atherosulinotic ndi aortic atherosulinosis, ndikofunikira kukumbukira chifukwa chomwe chikuyambitsa vuto lotere. Akatswiri amakono sangavomereze pankhaniyi. Anatha kudziwa zinthu zingapo zomwe zimayambitsa matendawa:

  1. Kukhala nthawi yayitali pamavuto, nkhawa.
  2. Kuphwanya malamulo a zakudya zabwino, kugwiritsa ntchito molakwika zakudya zopanda zakudya, zakudya zamafuta ndi yokazinga.
  3. Kukhala m'malo okhala ndi zovuta zachilengedwe.
  4. Kusuta fodya ndi kumwa.
  5. Kulephera kuchita zolimbitsa thupi.
  6. Matenda a shuga.
  7. Cholowa chamtsogolo.

Sankhani zambiri za zinthu zoyipazi mothandizidwa ndi aliyense wa ife. Zomwe zimayambitsa matenda a atherosulinosis zimachotsedwa, mwayi waukulu wamachiritso wabwino.

Malinga ndi kafukufuku wa mawerengero, kuthekera kwa kufa mwadzidzidzi kuchokera ku atherosclerosis kumawonjezeka ndi kuchuluka kwa cholesterol m'mwazi. Chifukwa chake, ndikofunikira kwambiri kuwongolera chizindikirochi.

Magawo a chitukuko cha matendawa

Matendawa samawoneka mwadzidzidzi. Ndi kuchuluka pang'onopang'ono kwa maselo a lipid pamakoma amitsempha yamagazi, atherosulinosis imayamba pang'onopang'ono. Njirayi imagawidwa m'magawo akuluakulu angapo:

  1. Choyamba. Kuthamanga kwa magazi kumayamba kuchepa pang'onopang'ono. Ming'alu yama microscopic imapezeka pamakoma a mitsempha yamagazi. Pamalo azilonda zoterezi, kuchuluka kwa maselo a lipid kumayamba. Pang'onopang'ono, ming'alu imachulukira kukula, ndipo ma deposits amafuta nawonso amakula nawo.
  2. Gawo lachiwiri la atherosulinosis. Amatchedwa liposulinosis. Pali chiwopsezo chokulirapo kwa minofu ya adipose. Pakadali pano, matendawa amayenera kulandira chithandizo. Zikhazikiko zingathe kusungunuka bwino. Nthawi yomweyo, mwayi wokhala ndi thrombosis ukuwonjezeka kangapo. Izi zimatha kufalikira kwa mtsempha wamagazi ndi kufa.
  3. Atherocalcinosis. Pali kapangidwe kazigawo mumitsempha ya mtima, komwe kumakwiyitsa kuchuluka kwa calcium. Kuchotsera kumakhala kochepa kwambiri. Kukula kwamphamvu kwa thrombus kumachitika, komwe kumayendetsedwa ndi kuwonongeka kwakukulu kwa chotengera. Chiwopsezo cha occlusion ndi necrosis chikuchulukirachulukira. Woopsa milandu, gangrene amayamba m'derali.

Kuchiza kumadalira kwambiri gawo la atherosulinosis. Pakapita nthawi, chithandizo chamankhwala chimakhala chovuta komanso chotalika. Tsoka ilo, sizitengera zotsatira zabwino nthawi zonse. Chifukwa chake, ndikofunikira kuzindikira vutoli mwachangu momwe mungathere.

Kodi matendawa amawonekera bwanji?

Ndi mtima atherosulinosis, Zizindikiro zake sizingawonekere mwachangu. Nthawi zambiri, anthu amayamba kuda nkhawa zaumoyo wawo pokhapokha ngati maonekedwe owoneka bwino a ischemia kapena myocardial infaration awonekere. Chifukwa chake, ndikofunikira kulabadira mawonedwe oyamba a matendawa:

  1. Khungu pakhungu.
  2. Miyendo nthawi zambiri imazizira ngakhale kutentha kwachilendo.
  3. Kulumpha kowopsa m'magazi kumawonedwa.
  4. Kukumbukira kumakulirakulira.
  5. Munthu amakhala atatopa nthawi zonse, amafuna kugona nthawi zonse.
  6. Kusakwiya, manjenje amakula.
  7. Zomverera zopweteka za kukanikiza komwe kumapereka m'manja kapena pansi pa phewa.
  8. Ndi mpweya wambiri kapena kutuluka, amamva kuwawa m'masiku a dzuwa.
  9. Pambuyo pochita masewera olimbitsa thupi, pamakhala kuchepa kwamphamvu kwa mpweya.
  10. Mawonekedwe a matendawa akuphatikizira kutentha kwa thupi lonse, komwe kumalowetsedwa ndi kuzizira.
  11. Pali tinnitus.
  12. Kutha kwakanthawi kochepa kumatha kuchitika.

Chidwi chachikulu chazindikiritso zoyipa ziyenera kuperekedwa kwa anthu omwe ali ndi matenda ashuga komanso aimpso ntchito. Pazizindikiro zoyambirira za vutoli, muyenera kufunsa dokotala ndikuyezetsa kuchipatala.

Njira zoyesera

Dokotala wazachipatala amatha kudziwa bwinobwino matenda a atherosulinosis atadwala kokwanira. Choyamba, katswiri amayesa wodwalayo. Kukhalapo kwa edema, wen pa thupi, zovuta zamatumbo ndi zizindikiro zina. Onetsetsani kuti mwayezera kuthamanga ndi kuthamanga kwa mtima. Pambuyo pake, katswiriyo amafotokoza njira zotsatirazi:

  1. Kuyeserera kwa magazi. Kuphatikizika kwa cholesterol ndi triglycerides kutsimikiza.
  2. Aortography. Uku ndikuwerengera zamtundu wamagazi omwe amagwiritsa ntchito radiology. Pogwiritsa ntchito njirayi, ndizotheka kudziwa kupezeka kwa zisindikizo, aneurysms, calcication ndi ma pathologies ena.
  3. Angiography ndimaphunziro momwe zimatha kudziwa kuphwanya kwamadzi mu gawo la kafukufuku. Madera osinthika adapezeka ndikuyambitsa wothandizira wosiyanitsa ena.
  4. Ultrasound Kugwiritsa ntchito ultrasound, momwe mitsempha yamagazi yoyandikana ndi minofu yamtima imaphunziridwa.

Kutengera ndi zomwe kafukufukuyu wapeza, katswiriyo amatsimikiza kuti pali matenda. Ndipokhapo pokhapo pomwe titha kupitiriza kukulitsa dongosolo labwino lachipatala.

Njira zochizira

Nthawi zambiri, anthu amapita kwa dokotala pambuyo pakupweteka kwambiri mumtima ndikuwonetsa zina za ischemia kapena vuto la mtima. Pankhaniyi, chithandizo chamankhwala cha atherosulinosis chofunikira, chomwe chimaphatikizapo mankhwala otsatirawa:

  1. Ophera. M'pofunika kusiya mwachangu kuukira. Nthawi zambiri, Nitroglycerin amagwiritsidwa ntchito pazolinga izi.
  2. Zimatanthawuza kutulutsa magazi.
  3. Mankhwala omwe amalimbitsa magazi.

Mankhwala a atherosulinosis a mitsempha ya mtima, mankhwala amafunika kuchepetsa kuchuluka kwa mafuta m'thupi. Agawidwa m'magulu angapo:

  1. Fibates. Pewani kupanga mafuta m'chiwindi. Kugwiritsa ntchito kwakanthawi ma fibrate sikovomerezeka, chifukwa mafuta amafunikira kuti thupi lonse lizigwira ntchito. Amagwira nawo ntchito yomanga ma cell ndi ntchito yama enzymatic system. Mafayilo amaphatikiza clofibrate ndi fenofibrate.
  2. Madera Gululi limaphatikizapo Lovastatin, Mevacol, Simvastatin ndi ena. Kuti akwaniritse zotsatira zabwino, ayenera kugwiritsidwa ntchito kwa nthawi yayitali.
  3. Cholagogue Amapangidwa kuti awonjezere kuchuluka kwa bile. Gululi limaphatikizapo cholestyramine, cholestide ndi ena.
  4. Nicotinic acid

Pa mankhwala othandizira, ndikofunikira kutsatira mosamalitsa malingaliro onse a dokotala. Kucheka kokha kwamankhwala kapena kusintha kwa mankhwalawa kumatha kukhala ndi zotsatirapo zovuta paumoyo komanso ngakhale moyo.

Mankhwala enieni ndi mlingo wake amasankhidwa ndi akatswiri omwe amapezeka. Musanamwe mankhwala, werengani mosamala malangizo omwe akubwera nawo.

Mankhwala othandizira

Milandu yayikulu ya atherosulinosis, kuthandizira opaleshoni sikungaperekedwe. Izi zimathandiza kupulumutsa wodwala. Njira zotsatirazi zimagwiritsidwa ntchito:

  1. Therapy a thrombolytic. Zoyesedwa zimatengedwa kuti zithetsere magazi omwe akutuluka. Izi zimathandiza kukonzanso magazi nthawi zonse.
  2. Opaleshoni yam'mimba. Pogwiritsa ntchito ziwiya zawo za thupi kapena machubu apadera, akatswiri amapereka kuthamanga kwa magazi, kudutsa malo owonongeka. Poterepa, kugunda kwa mtima ndi kupatsidwa michere kuzinthu zonse zamkati zimasinthidwa.
  3. Angioplasty. Panthawi imeneyi, mmalo mofooketsa chotengera, ma catheters amayikidwa. Chimodzi mwa izo chili ndi silinda yoyimilidwa. Amasewera ndi mpweya, womwe umakulolani kuti muwonjezere chilolezo. Pofuna kukonza makulidwe pazomwe mukufuna, ndizovomerezeka kukhazikitsa stent.
  4. Endarterectomy. Njirayi imaphatikizapo kuyeretsa kwamitsempha kuchokera m'maselo owundana. Zotsatira zake, ziwiya zamtima zimayamba kugwira ntchito mwamphamvu.

Kuchita opaleshoni kumabweretsa chiopsezo ku thanzi ndi moyo wa wodwalayo. Koma nthawi zambiri iyi imakhala njira yokhayo yopulumutsira.

Udindo wofunikira kwambiri pa matenda a atherosulinosis a mtima umasewera ndi zakudya zoyenera. Iyi ndi njira yokhayo yochepetsera cholesterol yamagazi ndikuletsa mapangidwe atsopano. Malangizo akulu akuyenera kutsatiridwa:

  1. Choyamba, kudya mapuloteni tsiku ndi tsiku, mafuta ndi chakudya kumakhala kusintha. Patsani kudya mavitamini ndi michere yokwanira.
  2. Chiwerengero cha zopatsa mphamvu chofunikira kwa wodwala chimawerengeredwa potengera kulemera kwa thupi. Kuchulukitsa izi kungakhudze thanzi labwino.
  3. Chakudya chizikhala chokhazikika, nthawi zinayi patsiku. Kupuma nthawi yayitali pakati pa chakudya kumakulitsa matendawa.
  4. Ndikofunikira kupatula kwathunthu nyama zakusuta, chakudya cham'madzi chokhazikika, chakudya chokazinga ndi mafuta ku menyu. Zakudya zamchere ndi zonunkhira ziyenera kuchepetsedwa.
  5. Zakudya za wodwala wokhala ndi atherosclerosis ziyenera kuphatikizapo zakudya monga chimanga ndi mkate kuchokera ku ufa wa wholemeal. Muffin ndi zinthu kuchokera ku premium ufa ziyenera kutayidwa.
  6. Amaloledwa kugwiritsa ntchito zinthu zamafuta zamafuta ochepa. Koma ndikwabwino kukana mitundu yaiwisi ya tchizi ndi mkaka wonse.
  7. Menyu yanu iyenera kukhala ndi masamba. Msuzi wolemera uyenera kukhala chinthu zakale.
  8. Kugwiritsa ntchito nsomba zamtundu uliwonse ndikulimbikitsidwa. Ikhoza kuwotedwa kapena kuwotchera.
  9. Okonda nsomba zam'madzi amaloledwa kudya ma scallops ndi oyster. Shrimp, squid ndi mussels ziyenera kusiyidwa.
  10. Zakudyazi ziyenera kuphatikizapo zogulitsa nyama. Itha kukhala yamchere, masewera, nkhuku kapena kalulu. Sizoletsedwa kulowa bakha, nyama yamafuta, masoseji, zosewerera menyu.
  11. Mutha kudya masamba aliwonse. Lamulo lalikulu ndikuti ayenera kukhala oyang'anira kapena opondera. Kudya zakudya yokazinga nkoletsedwa.
  12. Zopindulitsa za thupi zimabweretsa walnuts, ma hazelnuts, amondi ndi mtedza.
  13. Mutha kumwa tiyi, timadziti, zakumwa za zipatso ndi zakumwa zamtundu wopanda shuga.

Pogwiritsa ntchito malamulo oyambira azakudya, mutha kuchepetsa zovuta komanso kufulumizitsa machiritso anu. Kupanga zakudya zoyenera ndikofunikira molumikizana ndi katswiri.

Njira zachikhalidwe zochizira matendawa

Ngati njira inanso yochizira matenda a mtima, mutha kugwiritsa ntchito maphikidwe a mankhwala ena. Njira zachilengedwe zosavuta chonchi zikuthandizira kuwonjezera chithandizo cha mankhwala. Mwa mankhwala othandiza kwambiri angadziwike:

  1. Tincture wa masamba odula. Supuni ya zida zouma zosaphika imayatsidwa ndi kapu yamadzi otentha. Pambuyo pa theka la ola, mankhwalawo ali okonzeka kugwiritsa ntchito. Ndikulimbikitsidwa kumwa mu kuchuluka kwa galasi mu magawo ofanana tsiku lonse.
  2. Tincture wa adyo. Ma cloves angapo ayenera aphwanyidwira kumtundu wa mushy ndikutsanulira kapu ya vodka. Malondawa adzakhala okonzeka kugwiritsidwa ntchito atatha masiku asanu. Amatengedwa madontho 10 katatu patsiku. Asanagwiritse ntchito, tincture amadziwitsidwa m'madzi ochepa.
  3. Kulowetsedwa kwa Rosehip. Ikani zipatso zouma zochepa m'mbale. Thirani vodka kotero kuti imakwirira zipatsozo. Pambuyo pakulimbikitsa milungu iwiri, mutha kumwa mankhwalawa 20 madontho patsiku.
  4. Madzi a zipatso za hawthorn. Dzazani theka lagalasi ndi zipatso zatsopano zosankhidwa. Thirani madzi ofunda, oyera. Finyani madziwo. Iyenera kumwa supuni musanadye kangapo patsiku.
  5. Chodzikongoletsera cha zitsamba. Wotentha mu kapu yamadzi otentha pa supuni ya elecampane, oregano, masamba amtundu wakuda ndi thumba la abusa. Pambuyo pa theka la ola, thirani madzi otentha kulowetsedwa kuti 300 ml ya malonda atenge. Imayenera kuledzera masana, igawidwe m'magulu anayi ofanana.
  6. Sakanizani mofanananira mapesi ndi masamba a sitiroberi, lunguzi, dandelion ndi mankhwala a ndimu. Steam 300 ml ya madzi otentha. Pambuyo pa ola limodzi, mankhwalawa amakhala okonzekera kugwiritsa ntchito. Imayenera kukhala yoledzera masana.
  7. Pindani mu thermos ya ochepa sitiroberi ndi maluwa akuthengo. Onjezani udzu ndi oat. Nthaka ndi madzi otentha. Pakatha ola limodzi, chithandizo chimayamba. Magalasi awiri a chinthucho amayenera kudyedwa masana. Pankhaniyi, limodzi mlingo ayenera kukhala osachepera 100 ml.
  8. Phatikizani supuni 4 za dieelle ndi gawo limodzi la hawthorn. Onjezani supuni ziwiri za masamba angonberry ndi rasipiberi. Supuni ya tiyi ya pokonzekera iyenera kukhala yopunthwa mu kapu yamadzi otentha. Chida ichi chagawika magawo anayi ndikuledzera tsiku lonse.
  9. Phatikizani mapesi osankhidwa a katsabola ndi burdock. Onjezani mahatchi ndi kalata yoyamba. Supuni ya supuni yokonzekererayo imayatsidwa chikho cha madzi otentha ndikumalimbikira pafupifupi theka la ola. Ndikofunikira kutenga magawo ofanana tsiku lonse.
  10. Sakanizani ma servings ofanana a calendula ndi clover. Onjezani mzere ndi zigawo za chimanga. Supuni ya kapangidwe kameneka imakhala yotentha chikho cha madzi otentha ndipo imatengedwa tsiku lonse muyezo.

Kugwiritsa ntchito zoterezi kumatha kukhala ndi zotsutsana, makamaka thupi lawo siligwirizana. Chifukwa chake, musanagwiritse ntchito, muyenera kufunsa katswiri.

Mavuto omwe angakhalepo komanso kupewa

Ngati zizindikiro zapezeka pakanthawi ndipo chithandizo chayamba, ndiye kuti kukulitsa zovuta kumakhala kochepa. Kupanda kutero, matendawa amakhala osachiritsika. Kuperewera kwa mtima kumayamba. Amatha kubweretsa vuto la mtima kapena matenda a mtima.

Ndi aneurysm wopangidwa mum chotengera mumikhalidwe yovuta amatha kupasuka. Zodabwitsazi nthawi zambiri zimatsogolera ku kufa kwa wodwala. Atherosclerosis imatha kuyambitsa kugunda, kugunda kwa mtima, kapena vuto la mtima.

Ndi kuyamba kwakanthawi kwamankhwala, matendawo ndiabwino. Ngati nthawi yamtengo wapatali itayika, mupita nthawi yayitali chithandizo ndikuchira. Potere, muyenera kutsatira zakudya zabwino komanso moyo wathanzi. Pambuyo pa kuchiritsiraku, akatswiri amalimbikitsa kuti ayambirenso kuchipatala. Pulogalamuyi imakonzedwa palokha kwa wodwala aliyense.

Posachedwa, matendawa ayamba kukhudza anthu azaka zosiyanasiyana. Chifukwa chake, ndikofunikira kuyang'anira thanzi lanu kuyambira muli mwana. Tsatirani malamulo osavuta kupewa:

  1. Ndi atherosulinosis ya ziwiya zamtima, kusuta ndi kofunikira. Kuwonongeka kwa utsi wa fodya kumawononga mphamvu pamakoma amitsempha yamagazi. Kuledzeretsa kumadzetsa zotsatirazi. Mowa umatha kuledzera ochepa.
  2. Yesani kusunthira zina. Kuchita masewera olimbitsa thupi kwathunthu kumalimbikitsa kulimbitsa thupi. Masewera olimbitsa thupi, kusambira, kuyenda mu mpweya watsopano ndikofunikira.
  3. Tsatirani ndondomeko yabwino yazakudya. Yesetsani kuti musayambitse zakudya zoyipa muzakudya zanu. Idyani zamasamba ambiri, zipatso, nsomba zamafuta ochepa ndi nyama.
  4. Valani nyengo. Kutentha kofananira, komanso hypothermia kumawonongera mkhalidwe wamtima wamtima.
  5. Zindikirani ndikuchiritsa mavuto amtima ndi minyewa munthawi yake. Yang'anani kuthamanga kwa magazi anu.
  6. Osamagwira ntchito zolimbitsa thupi.
  7. Kuwongolera thupi. Kunenepa kwambiri kumakhala chinthu chomwe chimathandizira kukulitsa kwa atherosulinosis.
  8. Pewani zochitika zovuta, yesetsani kukhala ndi mtendere wamalingaliro komanso bata m'mikhalidwe iliyonse.

Kutsatira malamulo osavuta oterowo kupewa kumachepetsa chiopsezo chotenga matendawa. Zakudya zabwino komanso moyo wathanzi zingakuthandizeni kukhala achichepere komanso athanzi kwa nthawi yayitali.

Atherosulinosis ya mitsempha ya mtima ndi matenda oopsa omwe amafunikira chithandizo chachikulu. Chifukwa chake, ngati muwona zoyamba zowopsa, muyenera kufunsa dokotala. Pambuyo pakuwunika kwathunthu zamankhwala ndikamatha kupanga pulogalamu yabwino yachipatala. Pa chithandizo, malingaliro onse omwe amapereka kuchokera kwa katswiri amayenera kuonedwa mosamala.

Matenda a mtima - ndi chiyani?

Ndi atherosulinosis ya mtima, ziwiya zam'mimba ndi msempha, gawo lalikulu la mthupi la munthu, limakhudzidwa. Pamakoma awo, zolembera za cholesterol zimasokonekera, zomwe zimapangitsa kutsika kwa chotengera, kutsekeka kwa magazi ndi kuperekera kwa oksijeni ku myocardium.

Atherosclerotic zotupa za mitsempha ya mtima kumabweretsa chitukuko cha matenda a mtima, matenda oopsa, komanso kuphatikizika kwa myocardial ndi kufa.

Amadziwika kuti abambo ali pachiwopsezo chachikulu cha matenda kuposa azimayi. Kuchepa mphamvu kwa estrogenic (mwa akazi) ndi androgenic (mwa amuna) amagwira ntchito ndi zaka kumapangitsa kuti chitukuko cha mtima chiwonjezeke kwambiri.

Matenda oopsa, cholesterol komanso matenda oopsa a shuga ndi zinthu zina zomwe zimayambitsa ngozi, ngakhale kuti ndi amuna kapena akazi. Paubwana, kusuta kumawerengedwa kuti ndi chinthu chofunikira kwambiri.

Nicotine imawonjezera kuchepa kwa okosijeni wa myocardial, kumachepetsa kuyenda kwa magazi, kumatha kuyambitsa vasospasm ndikukulitsa chizolowezi cha thrombosis.

Kumwa mowa pafupipafupi kumayambitsa kusintha kwakukulu kwa lipid metabolism, ndiko kuti kuchuluka kwa mafuta m'thupi.

Zocheperako, koma zosafunikira ndizofunikira komanso kuzichita kwakuthupi.

Matenda a mtima
Zinthu zosinthaZosasinthika
1. Zakudya zoperewera1.Age
2.Smwing2.Floor
3. uchidakwa3. Kupangidwira kwakabadwa kwa cholesterol yayikulu magazi, matenda oopsa, matenda ashuga.
4. Muzichita masewera olimbitsa thupi komanso onenepa kwambiri
5. Kupanikizika kosalekeza.
ku nkhani zake ↑
GawoMawonetseredwe azachipatala
ChoyambaVasoconstriction, yomwe imatsogolera ku kusowa kwa michere ya mtima. Zowonetsedwa ndi matenda a angina.
ChachiwiriImfa ya minofu yamtima kapena popanda coronary thrombosis. Mwachiwonetsero chawonekera myocardial infaration.
ChachitatuKuwonongeka kwa kuwonongeka kwa minofu yamtima.
Matenda a mtima akupanga matenda.
ku nkhani zake ↑

Zizindikiro za atherosulinosis yamitsempha yama mtima

Nthawi zambiri zimachitika kuti ndikasokonezeka pang'ono m'magazi, zimavuta kuzindikira matenda a mtima komanso kudziwa kuuma kwake. Chimodzi mwazowopsa za atherosulinosis ya mtima ndi matenda a mtima (CHD), omwe ndi amodzi mwa mawonekedwe - angina pectoris.

Angina pectoris amadziwika ndi kupweteka kwapadera, kapena kumverera kwapangidwe kumbuyo kwa sternum ("angina pectoris"), pomwe amabwerera nthawi zambiri kumapewa, phewa lamanzere, kapena mkono.

Kupweteka, kuwotcha, kapena kupweteka m'maso kumachitika nthawi zambiri mukuyenda, kapena zochitika zina zolimbitsa thupi, komanso motsogozedwa ndi mawu.

Kufooka kwakukulu kumawonekeranso, kupuma movutikira komanso kuyesetsa pang'ono, kulumpha mu kuthamanga kwa magazi kumadziwika.

Zizindikiro za atherosulinosis kuchokera ku ziwalo zina ndi machitidwe:

Pa khungu, chidwi chimakopa kukalamba msanga pakhungu. Zimakhala zowuma komanso zowonda. Kuchokera ku dongosolo lamanjenje: kukumbukira kumasokonezeka, kupweteka kwakantha mutu, chizungulire, ndipo nthawi zina kukomoka kumawonedwa.

Pamene njirayi ikupitilira, mawonekedwe awa akuwonjezeka, magwiridwe antchito amachepetsa, kusachedwa kuwonekera, ndipo mavuto amagona nthawi zambiri.

Njira zopangira zida

Dzina la njiraKufotokozera
ECGNjira yotetezeka yoyeserera kugunda kwamtima ndi kutsika kwake, kuwunika madera omwe alibe magazi okwanira kumitsempha ya mtima.
Doppler ultrasoundNjira yosasinthika yomwe imakupatsani mwayi wophunzirira zamomwe mtima umagwirira ntchito, kudziwa kusokonezeka kwa magazi m'mitsempha yama coronary, kudziwa zoyamba za matenda a mtima, kupezeka kwa aneurysms ndi kuwundana kwa magazi.
AortographyNjira yoyeserera ya X-ray pogwiritsa ntchito sing'anga. Zimakupatsani mwayi kuti muwone kupezeka kwa zisindikizo, aneurysms, calcification aorta.

Njira yina yophunzirira atherosulinosis ya mtima ndikuyesa mayeso ergometric, kapena kupsinjika.

Njira imalola kudziwa kukhalapo kwa angina pectoris pakuwonjezera zolimbitsa thupi, koma zimaphatikizidwa muzochitika zamtima zamtima zambiri, ngozi zam'mitsempha, komanso kutentha thupi.

Opaleshoni yam'mimba ku nkhani zake ↑

Chithandizo cha Matenda a Mtima

Kuchita bwino kwa atherosulinosis yamatsenga a mtima kumakhala ndi njira yophatikizira: kumwa lipid-kuchepetsa mankhwala ndipo ngati kuli kotheka, kuchititsa opareshoni yaukatswiri.

MankhwalaAmagwiritsidwa ntchito pafupipafupi, kuyambira panthawi yomwe atapezeka kuti atherosulinosis ya mtima komanso kulephera kwa mankhwala. Magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:
1.Statins. Zimalepheretsa mapangidwe a cholesterol, chifukwa cha puloteni yomwe imayambitsa kapangidwe kake. Mankhwala omwe ali mgululi ayenera kutengedwa motsogozedwa ndi labotale kuchuluka kwa michere ya chiwindi.
2. Kukonzekera kwa mafuta a nsomba. Muli ma omega-3 polyunsaturated mafuta acids omwe amachepetsa LDL, amalepheretsa kuphatikizana kwa mapulateleti, komanso kusintha magazi. Itha kutengedwa ndi gulu loyamba.
3. Nicotinic acid. Kuchepetsa kuchuluka kwa cholesterol "yoyipa", kumawonjezera kuchuluka kwa anti-atherogenic cholesterol (HDL).
4.Fibates. Amathandizira LDL catabolism, amalepheretsa kaphatikizidwe kake m'chiwindi komanso amakulitsa milingo ya LDL.
Mankhwala osagwiritsa ntchito mankhwalaKuchotsa kwina kwa atherogenic LDL. Amagwiritsidwa ntchito pakusagwira ntchito bwino kwa mankhwala ndi mankhwala. Kukwaniritsidwa ndi plasmapheresis. Ndondomeko iyenera kubwerezedwa nthawi ndi nthawi.
Mankhwala othandiziraZimaphatikizidwa ndi zoopsa ku thanzi ndi moyo wa wodwalayo, koma nthawi zambiri zimakhala njira yokhayo yodziwira matenda a mtima. Njira zotsatirazi zimagwiritsidwa ntchito:
1. Kuyungunuka - kupanga njira yowonjezeramo chotengera chomwe chingayambukiridwe ndi atherosulinosis.
2. Angioplasty - kukhazikitsidwa kwa kolimba.
3. Endarterectomy - kuyeretsa kwamitsempha yamagazi kuchokera kuma cell odziunjikira, chifukwa chomwe kuunikira kwa mitsempha kumakulira ndikuyenda kwa magazi kumabwezeretsedwa.
ku nkhani zake ↑

Zakudya zamankhwala

Ndizodziwika bwino kuti chithandizo cha odwala omwe ali ndi atherosulinosis ya mtima ayenera kuyamba ndi mayendedwe azakudya. Cholinga cha chakudyacho ndikuchepetsa kuchuluka kwa atherogenic lipoproteins (LDL) pansipa pazizindikiro zowopsa, zomwe zimayenera kulandira mankhwala.

Mwachidziwikire, pakumanga kolesterol yathunthu pamtunda wa 3.0 mmol / L, zero yokhala ndi cholesterol khoma la mitsempha imayang'aniridwa.

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