Atherosclerosis ya ziwiya za m'munsi malekezero (obleteric) zizindikiro, mankhwala, zimayambitsa, zakudya

Atherosulinosis ya malekezero a m'munsi mwa mitsempha yamagazi, ma cholesterol malo amayikidwa, zomwe zimapangitsa kuchepa kwakukulu kwa minyewa yam'mimba

Atherosulinosis nthawi zambiri imayambitsa matenda opatsika magazi kumadera otsika. Ndi matendawa, cholesterol plaques amayikidwa pamakoma a zombo, zomwe zimapangitsa kuchepa kwakukulu kwa lumen ya ziwiya kapena kuphatikizira kwathunthu. Zotsatira zakuchepa kwa lumen kapena kutsekeka kwathunthu kwa mitsempha yamagazi yonyamula magazi kupita kumadera otsika ndi ischemia - matenda omwe amapezeka ndi mpweya wosakwanira ku minofu ndi maselo.

Kuperewera kwa oxygen m'misempha kumayendera limodzi ndi ululu. Muzovuta kwambiri zamatendawa, kuperewera kwa okosijeni m'matumbo kumatha kuyambitsa zilonda zam'mimba komanso kuzizira.

Komabe, zochitika izi ndizosowa kwambiri. Amapezeka mwa odwala omwe ali ndi kupitirira kwa atherosulinosis, komanso ngati sanalandire chithandizo chokwanira kapena chokwanira.

Pakadali pano, zizindikiro za atherosulinosis zokhala m'munsi kwambiri zimapezeka mu 10-12% ya anthu azaka zopitilira 65. Nthawi zambiri, matendawa amakhudza anthu osuta a zaka zopitilira 50. Komabe, achichepere omwe ali pachiwopsezo cha matendawa amathanso kudwala matenda a ziwongo omwe ali m'zigawo zotsika.

Zizindikiro zake za atherosulinosis zam'munsi zatsika

Ndi atherosclerosis ya ziwiya zamagawo akumunsi, chizindikirocho kwa nthawi yayitali sichingakhale chodziwikiratu, kumadziwonetsa pokhapokha pakuchita masewera olimbitsa thupi.

Chizindikiro chodziwika bwino mu matenda a m'matumbo am'mapazi ndi kupweteka kwamisempha komwe kumachitika ndikuyenda. Chizindikiro cha matendawa nthawi zambiri chimatchedwa lameness apakatikati, chifukwa pakakhala katundu wamkulu pamiyendo, kupweteka kumachitika mwa iwo, ndipo wodwala amayenera kuti aime kuti awachepetse.

Kukula kwa matendawa kukuwonetsedwa pakuchepetsa mtunda womwe munthu amatha kuyenda osayima. M'magawo apambuyo, kupweteka kosalekeza kumakhalapo kumapazi kapena zala, ngakhale pakupumula.

Kutsekeka kwapakati kungaperekedwe ndi zizindikiro zina, monga:

• dzanzi m'chiwendo chomwe chakhudzidwa ndi matendawa.
• zilonda zazitali zosakhazikika ndi mabala kumapazi ndi miyendo,
• ming'alu ndi kukhazikika pakhungu la miyendo.

Ngati mwazindikira chimodzi mwazizindikiro zomwe zili pamwambapa, ndikofunikira kukaonana ndi dokotala wamankhwala kuti mupeze matenda omwe angachitike munthawi yake komanso kupewa njira yothanirana ndi matendawa.

Mawu oti "kuwononga" amagwiritsidwa ntchito poyerekeza ndi matenda amitsempha, ofotokozedwa pang'onopang'ono kupendekera kwa minyewa, kuchititsa magazi kulowa. Kuchepetsa kwa lumen ngati kungasokoneze matenda a atherosulinosis kumachitika chifukwa cha kukula kwa malo a atherosranceotic.

Zomwe zimayambitsa chiopsezo chomwe chingapangitse matenda a atherosulinosis a m'munsi, komanso matenda ena a mtima, ndi:

• kusuta
• kupezeka kwa cholesterol yayikulu m'magazi,
• kuthamanga kwa magazi
• onenepa kwambiri
• cholowa
• shuga wamagazi ambiri
• kusowa zolimbitsa thupi.

Kusuta ndi chinthu choopsa komanso choopsa kwambiri, chikukulitsa mwayi wa matenda komanso kukula kwa atherosulinosis. Pofuna kupewa kuyambika kwa atherosulinosis kapena munthawi ya matenda, muyenera kuganizira kaye zosiya kusuta.

Arterial insufficiency, yomwe ikuwonetsedwa ndikuphwanya magazi m'miyendo, ili ndi magawo anayi:

• Gawo I - kukhalapo kwa zowawa m'miyendo yomwe imachitika pokhapokha chifukwa chodzipereka kwambiri,
• Gawo lachiwiri - kupezeka kwa zowawa poyenda pang'ono (pafupifupi 200 m),
• Gawo lachitatu - mawonekedwe owawa m'miyendo mukamayenda mtunda wafupi (mpaka 50 m) kapena popuma,
• Gawo IV - maonekedwe a zilonda zam'mimba, zomwe nthawi zina zimatsatana ndi gangrene ya m'munsi malekezero.

Odwala akuwonongeka kwa atherosulinosis ya miyendo, onse kapena zingapo zotsatirazi zalembedwa:

• Kutopa kapena kupweteka kwa mwana wa ng'ombe poyenda. Chizindikiro ndicho chizindikiro choyambirira cha atherosulinosis yamitsempha yam'munsi yam'munsi.
• Kumva kuzizira ndi dzanzi kumapazi, kukulirakulira poyenda ndikukwera masitepe.
• Kutentha kosiyanasiyana kwam'mphepete (mwendo womwe umakhudzidwa ndi atherosulinosis ndi wozizira kuposa wathanzi).
• Kupezeka kwa kupweteka kwa mwendo, ngakhale osapanikizika.
• Kukhalapo kwa zilonda kapena mabala osachiritsika m'dera la mwendo kapena phazi.
• Kukhalapo kwa khungu lakuda pamapazi ndi zala.

Chithandizo cha kufafaniza atherosulinosis yam'munsi yotsika imakhazikitsidwa makamaka ndi gawo la matendawa ndi kukula kwa dera lomwe lakhudzidwalo. Pachigawo choyambirira, kuchotsedwa kwa zinthu zoopsa kumatha kuonetsetsa kupewa kwa matendawa. Kuti izi zitheke, wodwalayo ayenera kusintha kadyedwe ndi moyo wake.

Ngati wodwala wapezeka ndi atherosulinosis ya ziwiya zamiyendo, ndiye kuti akufunika, choyamba:

• Sinthani zakudya zanu pochepetsa zakudya zomwe zimakhala ndi mafuta ambiri komanso mafuta a nyama.
• Bwezerani kulemera kwanu.
• Ndikofunikira kusiya zizolowezi zoyipa ndipo, choyambirira, kusiya kusuta.
• Chitani zinthu zopewa kuthamanga kwa magazi mkati mwa zaka zoyenera (kwa anthu azaka zopitilira 50-60, kupanikizika kuyenera kukhala pafupifupi 140/90 mmHg).
• Ngati pali matenda a shuga, ndiye kuti wodwalayo ayenera kuchitapo kanthu kuti akhale ndi shuga.
• Yang'anirani cholesterol yamagazi.

Chithandizo cha atherosulinosis a ziwiya zam'munsi zitha kuchitika m'njira zingapo:

• mankhwala osagwiritsa ntchito mankhwala (osagwiritsa ntchito mankhwala),
• mankhwala othandizira (pogwiritsa ntchito mankhwala),
• Chithandizo cha matenda omwe anayambitsa atherosulinosis,
• opareshoni.

Mankhwala osagwiritsa ntchito mankhwala osokoneza bongo amachitika pofuna kusintha moyo wonse ndikuchotsa zoopsa zake. Ngati vuto limodzi litachotsedwa, ndiye chikhazikitso chochepetsera chiwopsezo cha zovuta zingapo. Kuchotsa kwazinthu zonse kumabweretsa kusintha kwakukulu pakukula kwa matendawo.

Popereka chithandizo chamankhwala popewa magazi, wodwala amatenga mankhwala omwe amachepetsa cholesterol yamagazi. Chithandizo chitha kuchitidwa ndi ma statins (mwachitsanzo, zapor kapena mankhwala ena mgululi), allicor (mankhwala ochepetsa sclerotic ofanana ndi adyo), mankhwala omwe amachepetsa mitsempha yamagazi (cilostazol, verapamil), amachepetsa magazi m'mitsempha yamagazi ndikuchepetsa ma magazi am'magazi (chimes, VesselDue F, thrombo-ass, aspirin, reopoliglyukin, pentoxifylline). Zotsatira zabwino za mankhwalawa zimatheka pokhapokha patatha miyezi ingapo yothandizira.

Momwemonso, ululu ukapezeka kupumula, komanso pamaso pa zilonda zam'mimba kapena necrosis ya phazi, njira yayikulu yothandizira ndi, monga lamulo, njira ya opaleshoni yophatikizira ndi shunting, prosthetics, balloon angioplasty, etc.

Njira zodzitetezera ku atherosulinosis ya ziwiya zamiyendo

Chofunikira pakutsatira kwamatenda a mtima ndi chakudya, chomwe ndi chofunikira kwambiri pochiza matendawa. Cholinga cha kadyedwe ndikuchepetsa kuchuluka kwa zakudya zomwe zimakhala ndi mafuta ochulukirapo a nyama ndi cholesterol.

Ndi bwino kukhala m'zakudya:

• nyama yotsamira ya nkhuku, yamphongo, kalulu,
• nsomba zam'nyanja zilizonse
• mitundu yamafuta ochepa mkaka ndi mkaka,
• Mazira 1-2 pa sabata,
• zipatso ndi masamba okhathamira kumene, msuzi wamasamba,
• mtedza osiyanasiyana
• pasitala ndi zakudya
• buledi
• Zakudya zamafuta ochepa ndi zonunkhira,
• ma cookie osadziwika
• zakumwa zozizilitsa kukhosi, msuzi wopanda shuga, khofi wopanda mphamvu, tiyi.

Zogulitsa zomwe ntchito zake ziyenera kukhala zochepa:

• ng'ombe
• mafuta a masamba
• tchizi
• dzira yolk
• msuzi wa soya
• mayonesi
• maswiti.

Ndi matendawa, timaletsedwa kudya:

• nyama, nyama yankhumba, mafuta anyama, margarine, batala,
• pate, masoseji, masoseji, nyama mafuta,
• mafuta msuzi,
• wolakwa,
• tchizi chamafuta, kirimu wowawasa, kirimu, wopepuka komanso mkaka wonse,
• mafuta tchizi
• ayisikilimu
• tchipisi, nthuli za ku France, mbatata zokazinga,
• kuphika batala,
• mowa
• mafuta mayonesi.

Chakudya chimayenera kudyedwa kapena kuwiritsa ndi kuphika kokha mumafuta a masamba. Pophika nyama msuzi, ndibwino kuchotsa mafuta, ndipo pakuphika, m'malo mwa dzira lonse, ndibwino kugwiritsa ntchito mapuloteni okha. Povala saladi, ndibwino kugwiritsa ntchito mafuta, makamaka maolivi, mungawonjezere mandimu kapena viniga kwa iwo. Mchere umachotsedwa konsekonse kapena pang'ono.

Zakudya zopatsa thanzi kwa odwala omwe ali ndi atherosulinosis ya m'munsi malekezero

Mapira a mapira ndi mkaka, saladi wa masamba omwe amapaka mafuta a mpendadzuwa, khofi.

Tchizi tchizi chokoma, peyala.

Msuzi wamasamba, chidutswa cha veal yophika ndi buckwheat, zipatso zouma zamphepo.

Saladi wokazinga ndi mafuta amasamba ndikupanga kuchokera ku sewed, chidutswa cha nsomba zam'nyanja ndi magawo a mbatata zophika, tiyi ndi mandimu.

Atherosulinosis ya zombo zomwe zili m'munsi, imadzipangitsa kumverera ngati mawonekedwe a kulira kwakanthawi kochepa. Pankhani ya kudwaladwala matenda komanso kusowa kwa chithandizo choyenera, matendawa amatha kukula, omwe angapangitse kudula kwamiyendo. Kukula kwa matendawa kumatsimikiziridwa ndi kuchuluka ndi kuopsa kwa zinthu zomwe zimayenderana ndi ichi (kusuta, shuga, matenda oopsa, kunenepa kwambiri, ndi zina zambiri).

Panthawi ya chithandizo chanthawi yake, chithandizo chamankhwala chabwino, kusiya kusuta, kudya, kuwunika mwatsatanetsatane komanso kuwongolera kuthamanga kwa magazi, kuphunzitsa tsiku ndi tsiku, kuperekedwa kwakanthawi kwa angioplasty kapena kuchitidwa opaleshoni yofunikira, ndizotheka kuchepetsa kapena kuchepetsa zizindikiro za matendawa, kusunga miyendo yam'munsi ndikuwongolera moyo wa odwala .

Zambiri za kufalikira kwa matenda a m'matumbo amiyendo: zimayambitsa, magawo, chithandizo

Kuchokera m'nkhaniyi muphunzira: chomwe chikulepheretsa ma atherosulinosis a ziwiya zapansi, magawo omwe alipo. Zotsatira za matendawa ndi ziti, njira zodziwira matenda ndi chithandizo.

Matenda opatsirana ndi omwe mabowo am'madzi am'mbali amachepa, mpaka amakhala atatseka kwathunthu. Matenda ofala kwambiri pagululi ndi atherosulinosis.

Ndi kufalikira kwa atherosmithosis ya m'munsi malekezero, cholesterol zolembera amaikidwa mu mitsempha ya miyendo. Ngati chithandizo sichinayambike pa nthawi, matenda a m'matumbo amatha kubweretsa kulumala chifukwa chosokoneza mitsempha yamagazi.

Ngati zizindikiro za atherosulinosis zikuwoneka, nthawi yomweyo funsani GP wanu yemwe angakutumizireni kwa angiologist - katswiri pakuthandizira mitsempha yamagazi.

Ndikosatheka kuchiritsiratu matendawa mothandizidwa ndi mankhwala ochepetsa mphamvu. Koma chithandizo chithandizanso kupewa zovuta zoopsa komanso kukonza thanzi lanu.

Matendawa amawoneka chifukwa cha kusokonekera kwa metabolic.

Zinthu zomwe zimathandizira kuti matendawa akule:

• cholowa
• kuperewera kwa zakudya m'thupi
• kumangokhala
• kusuta ndi uchidakwa,
• zaka zopitilira 40.

Ngati m'bale wanu ali ndi matenda amtundu wam'magazi, gwiritsitsani chakudya ndipo pewani zizolowezi zoyipa, chifukwa mumatha kudwala.

Kuthana ndi atherosulinosis kumachitika m'njira zingapo:

1. Preclinical atherosulinosis. Pakadali pano, zizindikiro zake sizinawonekerebe. Matendawa mu gawo loyamba amatha kuwonekera pokhapokha ngati mwayang'ana ziwiya. Pa intima (khoma lamkati) lamatumbo mumakhala timafuta tating'onoting'ono tomwe timapangidwa mikwingwirima ndi mawanga.
2. Ofooka. Malo omwe amapezeka pafupipafupi a cholesterol amapezeka m'makoma amitsempha yamagazi. Pakadali pano, zizindikiro zoyambirira zimayamba kuonekera. Ngati muyamba mankhwala panthawiyi, mutha kupewa zovuta komanso kupewa kuti matendawa apitirire.
3. Zafotokozedwa mwamphamvu. Kusintha kwakukuru kumawonedwa pakuwala kwamitsempha. Ma lipid amana amatenga mawonekedwe a malo, amayamba kuchepa lumen wa ziwiya. Pakadali pano, zizindikiro zonse za matendawa zilipo kale, zomwe palibe angazinyalanyaze. Pakali pano pa gawo lachitukuko, matenda a zam'tsogolo amatha kubweretsa zovuta zozungulira zaumoyo.
4. Adalengeza. Pakadali pano, ntchito yamitsempha yamagazi imasokonekera kwathunthu. Zidutswa za atherosselotic zolembera zimatuluka ndikuzungulira mkati mwa mitsempha. Aneurysms (pathological dilatations) imawonekanso pamatumbo, chifukwa chomwe mtsempha umatha kuphulika. Kuphatikiza apo, zolembazo zitha kubisa chotengera. Chifukwa cha zonsezi, magazi omwe amapezeka kumapeto pang'ono amasokonezeka kwambiri.

• Mapazi amayamba kuzizirira mosalekeza
• miyendo nthawi zambiri imasowa
• kutupa kwa miyendo kumachitika
• ngati nthendayo yakhudza mwendo umodzi, nthawi zonse kumakhala kozizira kuposa kathanzi.
• kupweteka m'miyendo mutayenda kwakanthawi.

Izi zikuwonekera mu gawo lachiwiri. Pakadali pano pa chitukuko cha atherosulinosis, munthu amatha kuyenda mamita 1000-1500 popanda kupweteka.

Anthu nthawi zambiri samatengera kufunikira kwa zizindikiro monga kuzizira, kuzungulira kwa nthawi, kupweteka poyenda mtunda wautali. Koma pachabe! Kupatula apo, kuyambira pachipatala chachiwiri cha matenda, mutha kuthana ndi 100%.

• Misomali imakula pang'onopang'ono kuposa kale
• miyendo imayamba kutuluka
• kupweteka kumatha kuchitika kamodzi usana ndi usiku,
• Ululu umachitika pambuyo poyenda mtunda waufupi (250- 900 m).

Zonsezi zimachitika chifukwa cha kusakwanira kwa magazi kwa ziwalo zamiyendo. Ngati simutayamba chithandizo, matendawa atha kulowa gawo 4 - owopsa kwambiri.

Munthu akakhala ndi gawo 4 losokoneza atherosulinosis ya miyendo, sangathe kuyenda 50mapa popanda kupweteka. Kwa odwala oterowo, ngakhale ulendo wokagula umakhala ntchito yayikulu, ndipo nthawi zina umangopita kunja, kukwera masitepe ndikumazunzidwa. Nthawi zambiri, odwala omwe ali ndi gawo 4 amatha amangoyendayenda mnyumba. Ndipo zovuta zikamakula, samayambiranso.

Pakadali pano, chithandizo cha matenda omwe chimasokoneza ma atherosclerosis am'malo ochepa chimakhala chopanda mphamvu, chimatha kuchotsera zizindikiro kwakanthawi ndikupewanso zovuta zina, monga:

• Khungu lakuda m'miyendo,
• zilonda
• gangrene (ndi kuphatikiza uku, kuduladula miyendo ndikofunikira).

Kuti adziwe matendawa, wodwalayo amafunika kuwunika njira zingapo.

Dotolo amayang'ana zomwe wodwalayo adawona, mbiri yake yachipatala (matenda akale), amayeza kuthamanga kwa magazi m'manja ndi m'miyendo, akumamvetsera kutulutsa kwam'mitsempha yam'munsi.

Njirayi imakupatsani mwayi wofufuza momwe mitsempha imakhalira. Pogwiritsa ntchito kupanga kabatani, dokotala amatha kuyang'ana mawonekedwe amitsempha, kudziwa kuthamanga kwa magazi kuchokera kwa iwo.

Uku ndikuwunika kwamitsempha yama miyendo pogwiritsa ntchito makina a x-ray.Asanaphenso, wogwirizira amaperekedwa kwa wodwala. Ngati wodwala samumvera, njirayi imatsutsana.

Peripheral arteriography imatha kuzindikira aneurysms, blockage of mtsempha wamagazi. Nthawi zambiri, madokotala amakupangira imodzi mwanjira zomwe angasankhe: kusanthula kopindulitsa kapena kuyendetsa zinthu m'magazi. Zokonda zimaperekedwa koyamba, popeza sizifunika kukhazikitsidwa kwa sing'anga yosiyasiyana ndipo zimaloleza kuwunika mwatsatanetsatane kayendedwe ka magazi m'miyendo.

Ndondomeko ya Peripheral Arteriography

Uku ndikuwunika mawotchi pogwiritsa ntchito makina a MRI. MR angiography imawonetsa mwatsatanetsatane momwe ziwiya zimapangidwira ndipo zimaloleza ngakhale kusintha kwapang'onopang'ono kwa kapangidwe ka kayendedwe ka magazi ndi magazi kuti apezeke. Njirayi imalembedwa ngati sizotheka kupanga chidziwitso chomaliza pambuyo pofufuza mwa kubwereza kapena kupanga ma arterografia (kaŵirikaŵiri chithandizo chimaperekedwa pambuyo pa imodzi mw njirazi).

Matendawa amatha kuchiritsidwa kwathunthu mothandizidwa ndi ma prosthetics a mtima. Koma njira yovutayi imangofunika pokhapokha pamiyambo ya 3-4: kukonzekera kumakhala kokwanira kwa 1-2, komwe kumalepheretsa madongosolo ena ndikuwabwezeretsa zosasangalatsa za atherosclerosis.

Zitha kuthandizidwa kumayambiriro kwa matendawa (woyamba ndi wachiwiri). Mothandizidwa ndi mankhwalawa, mutha kuchepetsa zizindikilo, kusintha moyo wa wodwalayo ndikupewa kupititsa patsogolo matendawa. Kugwiritsira ntchito mankhwala osokoneza bongo ndikofunikanso pambuyo pakuchita opaleshoni. Muyenera kumwa mankhwala osokoneza bongo nthawi zonse pamoyo wanu.

Opaleshoniyo imafotokozedwa pa magawo 3 ndi 4, pamene chithandizo chokhazikika chimagwira kale.

Chithandizo cha opaleshoni ya atherosranceosis chingafotokoze kupweteka, kutsitsa minyewa yomwe yakhudzidwa, kapena kuikanso ndi ma cell oyambira.

Angioplasty ndi miyendo yamitsempha yoluma

Opaleshoniyo imatha kukhala yotseguka kapena yowononga. Zochita zowononga zachilengedwe ndizosavomerezeka, koma zimagwiritsidwa ntchito pokhapokha malo omwe akukhudzidwa ndi mtsinjewu ndi ochepa.

Ndi zilonda zam'mimba kapena zilonda zambiri, kudula miyendo kumachitika. Nthawi zambiri, kupsinjika kotere kumachitika pokhapokha 4th ya atherosulinosis. Chilichonse chotheka chikuyenera kuchitika kuti chithandizire matendawa chithandizo chisanachitike.

Ngati mumangomwa mankhwala osokoneza bongo, koma ndikupitilizabe kukhala ndi moyo womwewo, chithandizo sichingakhale ndi zotsatira zabwino.

Choyamba, ngati mwazindikira kuti matenda a ziwongo za m'munsi akutha, muyenera kusiya zizolowezi zoipa.

Siyani kusuta kaye. Nicotine imapanga mitsempha yamagazi, yomwe imayambitsa kukhumudwa kwakukulu kwa magazi m'miyendo.

Komanso, musalole kumwa nthawi zambiri komanso pafupipafupi. Mowa umalimbikitsa kupangika kwa edema, yomwe imayamba kale chifukwa cha hemodynamics yomwe imadwala matenda a atherosulinosis.

Gawo la mankhwalawa ndi chakudya chapadera. Tsatirani malamulo azakudya zopatsa thanzi: kukana mafuta, yokazinga, kusuta, zonunkhira, confectionery, chakudya mwachangu, makeke, maswiti, zakumwa zoziziritsa kukhosi. Chepetsani mafuta azinyama. Gwiritsani batala zosaposa 20 g patsiku (ndipo liyenera kukhala mafuta apamwamba kwambiri, osati margarine kapena kufalitsa, omwe ali ndi mafuta a trans).

Onjezani zakudya zina kuzakudya zanu zomwe zimachepetsa cholesterol yamagazi anu. Nayi mindandanda wawo:

• Zipatso za malalanje (mphesa, mandimu, malalanje),
• mapeyala
• mikanda
• maapulo
• zipatso (lingonberries, sitiroberi, currants, blueberries, mphesa).

Osayesa kuloweza chithandizo chachikhalidwe ndi wowerengeka azitsamba - izi zidzapangitsa kuti matendawo apitirire. Izi ndizowona makamaka kwa odwala omwe ali ndi atherosulinosis a digiri 3 ndi pamwambapa - apa simungathe kuchita popanda kuchita opareshoni. Komabe, mankhwala azachikhalidwe amapereka njira zambiri zomwe zingakhale zowonjezereka ku chithandizo chamankhwala ndikupangitsa chithandizo kukhala chopambana.

Musanagwiritse ntchito mankhwala aliwonse a anthu, funsani dokotala wanu, chifukwa akhoza kukhala kuti ali ndi zotsutsana.

Wowerengeka azitsamba kuwononga atherosulinosis ziwiya zamiyendo:

Thanzi la atherosulinosis ya m'munsi malekezero: mndandanda wazinthu zofunikira

Atherosclerosis imagwirizanitsidwa makamaka ndi zakudya za anthu. Chifukwa cha izi, chakudya cha atherosulinosis cha ziwiya zamagetsi cham'munsi ndizofunikira kwambiri pakuchiritsa matenda, ndipo popanda izi, kusintha mkhalidwe wa wodwala ndikosatheka ngakhale ndi mankhwala amakono kwambiri. Pathology imachitika chifukwa chophwanya lipid (mafuta) metabolism.

Zofunika! Choyipacho chimangokhala cholesterol yoyipa, pomwe zabwino ndizofunikira, chifukwa chake, pakudya, ndikofunikira kuti muchepetse kudya koyambirira kokha.

Malangizo okhudzana ndi zakudya popewa matenda a atherosulinosis

Mwanjira zambiri, kutsatira malamulo ochepa osavuta muzakudya kumathandiza kupewa kuwonekera kwa atherosulinosis ya mitsempha ya miyendo, yomwe ndi njira yoopsa kwambiri yamatenda, chifukwa imadziwoneka yokha pokhapokha patency yamatumbo itaphwanyidwa kale kwakukulu, ndipo zovuta zinayamba kukulira. Mwanjira yonyalanyazidwa makamaka, matendawa amayambitsa gangore ndipo amachititsa kuti magawo ake akhale otsika.

Malamulo oyambira azakudya ndi:

1. ½ Kupereka chakudya kuyenera kukhala ndi masamba kapena zipatso.
2. Kutumiza 1/3 kumakhala zakudya zomwe zimakhala ndi zakudya pang'ono (monga phala).
3. Gawo 1/3 - chakudya chama protein, kuphatikizapo mafuta azinyama.
4. Gwiritsani ntchito zophika zokha, nthenga kapena zophika. Zakudya zophika ndi kusuta ndizoletsedwa.

Malingaliro atsopano atsopano pazakudya zamatumbo a miyendo ndi kupewa ndiye kuti tsiku lililonse mumadya zipatso kapena ndiwo zamasamba zosachepera 100, zokhala ndi mitundu iyi:

Payokha, ndiyoyenera kuwunikira mbewu ya adyo ndi fakilale, yomwe iyenera kukhala pachakudya cha tsiku ndi tsiku, chifukwa amathandizira pakuwonongeka kwa malo omwe alipo, makamaka m'munsi.

Ndikofunika kukumbukira kuti kudya kokha, ngakhale kutsatira kwambiri, sikungateteze kwathunthu ku matendawa ngati, kuwonjezera pa kuperewera kwa zakudya m'thupi, pali zinthu zina zomwe zimayambitsa matendawa. Zinthu zotsatirazi zimathandizira kuti mapangidwe amtundu wa atherosselotic mu mitsempha ya miyendo:

• kusowa zolimbitsa thupi,
• kudya kwambiri
• kumwa mowa
• kupsinjika kwakanthawi
• zovuta zachilengedwe.

Kuti tikwaniritse zotsatira zabwino, kuwonjezera pa zakudya, thanzi liyenera kuunikidwanso ndi cholinga chowonjezera zochitika zolimbitsa thupi, kuchepetsa zovuta komanso kukhalabe kwakanthawi mdzikolo m'malo okhala ndi mpweya wabwino.

Popeza vasher atherosulinosis ikukula msanga, ndipo malembedwe amawonekera kale ngakhale muubwana, ndikofunikira kuphunzitsa mwana kudya zakudya zoyenera ndi moyo kuyambira ubwana kuti apewe zovuta zina zamitsempha zam'miyendo.

Cholesterol yoyipa, mosiyana ndi zabwino, satenga nawo mbali pakupanga mahomoni ndikupanga mafupa athanzi. Nthawi yomweyo, chinthucho chimalowa m'magazi ndipo, osagwiritsidwa ntchito ndikugawanika, chimakhazikika pang'onopang'ono pamakoma amitsempha. Zotsatira zake, munthu amakumana ndi vuto la endarteritis. Cholesterol oyipa amalowa mthupi ndi chakudya chochuluka, pomwe cholesterol yabwino imapangidwa ndi chiwindi.

Mukamadya zakudya kuti muchepetse cholesterol yoyipa m'thupi, ndikofunikira kuti musangophatikiza zinthu zina menyu ndi kusakaniza zina kuchokera pamenepo, komanso kuti muzitsatira njira yoyenera yomwera, konzekerani bwino ndikudya chakudya. Muyenera kuyang'anira kuchuluka kwa mchere tsiku lililonse, komwe sikuyenera kupitirira 10 g.

Popeza kuchuluka kwa chakudya chamagulu mu zakudya kumachepetsedwa kwambiri, pali kuchuluka kwakukulu pamiyendo, chifukwa chake, kuti muchepetse mawonekedwe a miyala ndi mchenga, muyenera kumwa osachepera malita awiri a madzi oyera tsiku lililonse. Kutentha, kuchuluka kwa madzi kumayenera kuwonjezeka mpaka malita atatu.

Kuphatikiza pa madzi, ndikofunikira kumwa zitsamba zamtundu watsopano wopanda shuga. Pofuna kutsekemera, uchi utha kuwonjezedwa pang'ono.

Yang'anani! Ngati pali matenda a impso, ndiye kuti zakudya ziyenera kufikiridwa mosamala kuti zisayambitse vutolo. Musanakumane ndi urologist muyenera.

Kudya kumayenera kukhala kwamtundu, m'malo ochepa kuti thupi lisamayike kwambiri. Ziyenera kukhala pambuyo pa maola 3-4, osakhala ndi zakudya zazakudya pakati pa chakudya. Ngati mukufuna kudya, ndiye kuti mutha kudya zipatso kapena ndiwo zamasamba, koma osapitirira 300 g nthawi imodzi, ndipo sayenera kukhala ndi wowuma ambiri.

Kugwiritsa ntchito mafuta masamba, makamaka azitona ndi mafuta opendekera. Ndizovomerezeka kugwiritsa ntchito dzungu. Pamafuta awa, simuyenera kungophika chakudya, komanso saladi nawo. Batala, ngakhale yaying'ono, ndizoletsedwa.

Kugwirizana ndi zakudya za atherosulinosis ya miyendo ndikofunikira pamoyo. Kuphwanya kwake sikumaloledwa kupitanso kawiri pachaka, koma pokhapokha ngati sikukuipiraipiratu ndipo sikumupweteka kuwoneka ngati m'miyendo kapena kuwonongeka kwa chiwindi.

Mowa wokhala ndi matenda am'mitsempha ndi mitsempha yam'munsi yokhala ndikugwiritsidwa ntchito pafupipafupi kumabweretsa chakuti cholesterol zolembera m'matumbo amayamba kuwonjezeka kwambiri, chifukwa chomwe mkhalidwe wa wodwalayo umakulirakulira, komanso kupweteka kwakukulu m'miyendo kumachitika.

Chovomerezeka kugwiritsa ntchito vinyo wofiira wowuma pokhapokha pang'ono (osapitirira 100 ml) kamodzi pakatha miyezi iwiri iliyonse.

Ngati ndi kotheka, mowa uliwonse uyenera kutayidwa.

Zogulitsa zingapo za atherosulinosis ya ziwiya zamagawo am'munsi ndizoletsedwa kwambiri ndipo ziyenera kuphatikizidwa kuchokera kuzosankha. Zina zitha kugwiritsidwa ntchito, koma ochulukirapo kapena osungika pang'ono.

Kugwiritsa ntchito mazira kwa atherosulinosis kumayeneranso kusamalidwa. Kwa nthawi yayitali panali malingaliro olakwika akuti chinthu chapaderachi chimachokera ku cholesterol yoyipa. Masiku ano, zikatsimikiziridwa kuti izi siziri choncho, ambiri akupitilizabe kukhulupirira zikhulupiriro ndikusiya mazira.

Cholesterol, yomwe imapezeka m'mazira a nkhuku, ndi yabwino ndipo sikuvulaza mitsempha yamagazi. Komabe, chifukwa chakuti zinthu zomwe zimapangidwa ndi mazira, zikagwiritsidwa ntchito mopitirira, zimatha kuyambitsa kuchuluka kwa chiwindi pazakudya zamatumbo ochepa, ndikofunikira kuti mudzichepetse mpaka mazira 8 sabata limodzi.

Pali zinthu zambiri zomwe zimaloledwa kwa odwala, chifukwa chake zakudya ndizosiyanasiyana. Chalangizidwa kuti mugwiritse ntchito:

• zipatso - makamaka maluwa ofiira, achikasu ndi amdima,
• zipatso - makamaka zipatso ndi makangaza,
• Zipatso zouma pang'ono,
• masamba
• amadyera - ndibwino kwambiri kudya masamba a parsley,
• mtedza - osapitirira 40 g patsiku,
• bowa
• zinthu zopanda mkaka zopanda shuga,
• Nyama zotsamira - makamaka ng'ombe ndi nyama ya kalulu,
• nsomba zam'nyanja
• nsomba zowonda
• m'chiuno ndi zakudya zake,
• kuyera kwa uchi - osati shuga.

Pamaso pa matenda aliwonse osachiritsika, zinthu zina zowonjezera zitha kuphatikizidwa muzakudya kapena zina zovomerezeka zitha kuperekedwa kunja. Dokotala amatsimikizira izi.

Kugwiritsa ntchito zakudya kwa atherosulinosis ya ziwiya zamagetsi zam'munsi zophatikizidwa kumaphatikizidwa ndi zovuta zochizira, chifukwa chake kusinthidwa kwa zakudya kumatha kuchitika pokhapokha kuyang'aniridwa ndi dokotala. Wodwalayo sangathe kukhazikitsa zakudya zatsopano m'zakudya kapena kupatula iliyonse ya izo. Nthawi zambiri, chithandizo chamankhwala chokwanira ndikuti tiletse kupitilira kwa matendawa ndikukhalanso athanzi.

Amayambitsa ndi mankhwala a atherosulinosis obliterans a ziwiya zam'munsi

Atherosclerosis ndi matenda osachiritsika omwe atherosulinotic plaque pang'ono kapena kwathunthu atakulungidwa lumen yake imapangidwa mkati mwa mitsempha. Kuwononga atherosulinosis yamatumbo am'munsi amayamba mwa omwe amasuta, anthu omwe ali ndi matenda ashuga, othamanga magazi, komanso onenepa kwambiri.

Malinga ndi gulu la matenda akumasinthidwe a 10, matendawa adapangidwa kuti akhale ndi nambala ya 170. Ndi kuwonongeka kwa atherosulinosis m'mitsempha ya miyendo, kukhalapo kapena kusapezeka kwa gangrene kumawonetsedwa ndi index.

• 0 - wopanda gangore,
• 1 - ndi gangrene.

Atherosulinosis imayamba pang'onopang'ono. Choyambitsa chachikulu chikhoza kukhala mibadwo, zizolowezi zoipa (kusuta, kumwa mowa), kumangokhala phee, kudya mokwanira, kupsinjika.

Zoyambira zazikulu:

• zaka: amuna azaka zopitilira 45, azimayi oposa zaka 50,
• kugonana kwamphamvu kumakhala ndi atherosclerosis 1.5-3 nthawi zambiri,
• Matenda ochitika: matenda oopsa, matenda a shuga, kulephera kwa chithokomiro,
• onenepa kwambiri.

Kugwedezeka kapena kufooka kwa mitsempha kumasokoneza kayendedwe ka miyendo. Tiziwalo tathupi timasowa mpweya, michere, mamvekedwe amwazi timachulukana, ndipo chiopsezo cha kuundana kwa magazi chikuwonjezeka.

Kuperewera kwa okosijeni ndi michere kumayambitsa kutupa. Kupititsa pang'onopang'ono kwa atherosulinosis kumabweretsa kusintha, kuwola kwa maselo. Thupi limazindikira kuti zimakhala ndi zosalongosoka ngati zachilendo - njira ya autoimmune yakomweko imayamba. Maselo oteteza khungu amatsutsana ndi zinthu zomwe zasintha, ndikupha. Mwachikhalidwe, izi zimawonetsedwa ndi zilonda zam'mimba, minofu necrosis.

Sizodziwika kuti zosungidwa nthawi zambiri zimapangidwa m'malo opanga magazi. Mitsempha yamagazi ikagawika, ma vortices amapangidwa omwe amawononga mawonekedwe osakanikirana am'mitsempha. Madzi otuluka m'magawo awa amachepetsedwa, zomwe zimathandizira kukhala pansi.

Kutengera kuchuluka kwa kuwonongeka kwa mtima, kusokonezeka kwa magazi, magawo 5 a matenda a atherosclerosis amadziwika.

1. Zachikale. Kukula kwa atherosulinosis kumayamba ndi kuwonongeka kwa chotengera. Malo ake amkati amasiya kukhala osalala, zigawo za magazi zimatsamira mosavuta: lipoproteins yotsika kwambiri, ulusi wolumikizana, ndi maselo amwazi. Chigoba chamafuta kapena chamizeremizere pamtunda, chomwe sichituluka pang'onopang'ono. Ili ndi gawo la asymptomatic.
2. Zothandiza. Magawo atsopano a lipoprotein, ulusi, maselo am magazi amayamba kumamatira ku malo oyambira. Mafangirowo amakula, amaphatikizana ndi oyandikana nawo, mawonekedwe a proten a lumen of the artery. Zizindikiro zoyambirira za kufalikira kwa ma atherosulinosis zimawonekera.
3. Kubweza. Chikalacho chimakula. Zida zam'miyendo ndizosakwanira mu okosijeni. Thupi limatha chifukwa chofuna kubwezeretsa chifukwa mkhalidwe wa anthu umakulirakulira.
4. Kubwezera. Miyendo yomwe yakhudzidwa siyilandira gawo lalikulu la mpweya. Maselo amakhala pachiwopsezo cha kuwonongeka kulikonse. Mikwingwirima yopepuka, kudula misomali kumayambitsa mawonekedwe a ming'alu ndi zilonda zosachiritsa.
5. Zosintha zowonongeka. Zilonda za m'munsi kwambiri zimafa, gule limayamba.

Zizindikiro za matendawa zimatengera kunyalanyaza kwake, komanso kutengera kwa zolembazo. Ngati mawonekedwe akukhala mkati mwa mitsempha ya ntchafu kapena popliteal dera, "kuchepa" kumayamba. Kupweteka kwake pakati pa ana a ng'ombe ndi mawonekedwe. Mimba ya m'mimba kapena ya artery ya m'mimba itawonongeka, kuwonda kumatchedwa "kukwera." Imadziwika ndi ululu m'matumbo a matako, m'chiuno, ndi m'chiuno molumikizana. The minofu ya minofu atrophy, theka la amuna limayamba kukhala lopanda mphamvu.

Ndi mtundu wofatsa wa atherosulinosis, anthu amadandaula za kutopa msanga, kuzizira, kukokana, kuwawa, kuwotcha nsonga za zala, kunachepetsa kumva kwamiyendo. Munthu wosowa kwambiri amawonana ndi dokotala wokhala ndi zizindikiro zosamveka zotere, zomwe ndi chisoni. Pakadali pano, palibe zosintha zomwe sizinasinthebe. Chifukwa chake, chithandizo chikhala chothandiza kwambiri.

Wodwalayo akafunsidwa kuti ayesedwe, ndiye kuti atayenda mtunda wa 500-1000 mita, ayamba kuthamanga. Kuti mumalize phunziroli, munthu adzapemphedwa kuti aziyenda mpaka ululu wamisempha ya ng'ombe udatuluke, komanso kuthekera kwathunthu kopitilira. Zizindikiro zonsezi zimagwiritsidwa ntchito ndi dokotala kuti azindikire, kudziwa momwe mankhwalawa amathandizira.

Pogwiritsa ntchito atherosulinosis, khungu la kumapazi, miyendo yotsika limakhala louma, lotsekeka, limayamba kusweka. Zidendene zimakutidwa ndi khungu loyiyidwa, lomwe limakonda kuchita ming'alu.Kukula kwa misomali kumachepetsa, ndipo misomaliyo yokha siziwoneka yabwinobwino (yotentha, yosasalala, yofinya). Tsitsi la vuto limayamba kugwa, mbali zamadazi zimapangidwa. Munthu wosalumala amatha kuyenda 200-250 m (gawo 2a) kapena pang'ono (gawo 2b).

Miyendo imapweteka ngakhale munthu atasuntha. Khungu likucheperachepera. Zovulala zazing'ono (kudula misomali, kukwapula, mikwingwirima yaying'ono) kumatsogolera pakupanga zilonda zosaya, zilonda. Mtundu wa pakhungu umatengera malo ndi miyendo. Wakweza mwendo ukuwoneka wotumbululuka, wotsitsidwa pansi - wofiyidwa. Munthu amatha kumangoyendayenda m'nyumba. Ngakhale kuyenda kwakanthawi (25-50 m) kumayendetsedwa ndi kupuma, kupweteka kwambiri.

Gawo 4 losweka atherosulinosis ya miyendo imadziwika ndi kupweteka kosalekeza. Zala zakumiyendo, miyendo imakutidwa ndi zilonda zopaka, zosachiritsa, zodzaza ndi zakuda zakuda. Mapazi, miyendo yotupa. Gangrene amakula.

Atherosclerosis imatha kupezeka ndi zizindikiro zapadera. Mayeso othandizira amafunikira ndi dokotala kuti azindikire kutuluka kwa zodutsa, kukula kwake, kuchuluka kwake, kuchuluka kwa zovuta zamagazi. Izi zimuthandiza kusankha njira zabwino zochizira.

Njira yosavuta yothandizira kupeza madongosolo ndikuyesa kuchuluka kwa mtima wanu. Kusapezeka kwa mtsempha wamkazi kumapangitsa kuti mitsempha ya ziac igundike. Ngati palibe kugunda pamitsempha ya popliteal, kuwononga kumapangidwira kumtundu wachombo kapena wachikazi.

Pa nthawi ya mayeso, adokotala amatha kuyesa limodzi kapena zingapo zothandiza zomwe zimathandiza kuyerekeza kuchuluka kwa kusokonezeka kwa magazi.

Chodabwitsa cha bondo cha Panchenko. Wodwalayo adapemphedwa kuti aponyere mwendo wake pachilonda. Ngati pali chisokonezo chozungulira, pakapita kanthawi munthu amayamba kudandaula za kupweteka m'misempha ya ng'ombe, kumverera kwadzuwa, kumva kunjenjemera kwa nyerere zofika m'manja.

Goldman, mayesero a Samuels. Wodwalayo wagona kumbuyo kwake, miyendo itakwezedwa pamwamba pa kama. Amapemphedwa kuti akhote khosi. Ndi magazi osakwanira, pambuyo masekondi 10 mpaka 20 munthu amamva kupweteka.

Zambiri zolondola zitha kupezeka pogwiritsa ntchito mayeso othandizira:

• Doppler ultrasound. Pogwiritsa ntchito makina apadera a ultrasound, dokotalayo amawona momwe magazi amayendera m'magawo osiyanasiyana a mitsempha. Madera amadziwika ndi kuyenda pang'onopang'ono kwa magazi.
• Angiography imakupatsani mwayi wowonera zowonongeka. Kuti ziwonekere, ziwonetsero zina zimayilowetsedwa m'mtsempha. Kwa angiography ya classical, makina a X-ray amagwiritsidwa ntchito, njira zatsopano zofufuzira ndi MRI, CT.

Chithandizo chokwanira chogonjetsera atherosulinosis yamitsempha chimatheka pokhapokha ngati matendawa angatenge matendawa. Kukana zizolowezi zoyipa (kusuta fodya, kumwa mowa mwauchidakwa), chakudya chopatsa thanzi, zolimbitsa thupi sizilola kuti matenda apite patsogolo.

Gawo 1, 2a yotheka kuthandizira pochizira, apamwamba kwambiri - amafunikira opaleshoni. Ngati opaleshoni yaponderezedwa, chithandizo cha mankhwalawa chingathandize kukonza moyo wabwino.

Odwala onse amalangizidwa kuti azitsatira zakudya zomwe zimachepetsa mafuta m'thupi, zomwe zimalepheretsa kupitilira kwa atherosulinosis.

Mankhwala othandizira ochita kusamba ayenera kukhala okwanira. Ntchito zake zazikulu:

• Kupha kwa vasospasm - kukwaniritsidwa ndi antispasmodics (pentoxifylline, kutsatira, vazaprostan, nikoshpan, cinnarizine),
• kupweteka kwapweteka (ibuprofen),
• kusintha kwa kagayidwe kazakudya (solcoseryl, mavitamini a B, zilonda zapakhosi, dalargin, prodectin, parmidin),
• thrombosis kupewa (warfarin, heparin, zapamwamba, aspirin, reopoliglyukin),
• Matenda a cholesterol kuchuluka - zakudya, cholesterol synthesis zoletsa (rosuvastatin, lypimar, zokor).

Mankhwala odziwika kwambiri koyambirira kwa matendawa ndi pentoxifylline.Anayambitsa mtima atherosulinosis obliterans bwino amachita vazaprostan. Ndi chikhalidwe chamtundu wa autoimmune, corticosteroids tikulimbikitsidwa.

Opaleshoni ikuwonetsedwa kwa odwala omwe ali ndi 2b-4 magawo a matendawa. Mankhwala a atherosulinosis akuphatikizapo:

• Opaleshoni yam'mimba. Imodzi mwazinthu zodziwika bwino. Kupereka kwa magazi kumabwezeretsedwa chifukwa cha chotengera kapena chiwiya chachilengedwe, chomwe chimakonzedwa pamwambapa, pansi pa tsamba laling'ono. Kudutsa komwe kumalola magazi kumayenda momasuka kudzera mu mtsempha wamagazi.
• Ndikuluma. Chinsinsi cha njirayi ndikuyika "kasupe", yemwe amakonza zolembazo, ndikuwonjezeranso kuwunikira kwa chotengera.
• Laser angioplasty. Pogwiritsa ntchito laser yapadera, madipoziti amatulutsidwa kapena kubowoleka.
• Balloon angioplasty. Catheter yokhala ndi buluni kumapeto imayikidwa mu chotengera. Moyang'aniridwa ndi makompyuta, amalimbikitsidwa kupita kumalo opangira zolembera. Baluni watukula. Kuwala kwamtsempha kumakulirakulira, zolembazo zimaphwanyika kapena zidutswa.
• Zizindikiro Kuchotsa mitsempha ingapo yachifundo yomwe imapangitsa kukhoma kwa chotengera kumathandizira kupumira kwawo. Sympathectomy imagwira ntchito kwa odwala omwe amadwala matenda ena. Njirayi imagwiritsidwanso ntchito pamatumbo amtundu wamatumbo ambiri.

Kuwonongeka kwa mtima, mafuta ochulukirapo a plasma ndi zinthu ziwiri zazikulu pakukula kwa atherosulinosis. Zomwe zimapangitsa gawo lalikulu la kuphwanya malamulo kotereku ndi moyo, komanso kuperewera kwa zakudya m'thupi. Kuthana ndi zizolowezi zoyipa, kukonza zakudya kumathandizira poyambira kuti aletse matendawa. Mu magawo amtsogolo - chepetsani kupita patsogolo ndikuwonjezera mphamvu ya mankhwalawa.

Kuti tichite izi, tikulimbikitsidwa:

• osamamwa mowa kwambiri
• kukana nyama yofiira, mkaka wonse kapena kuchepetsa kumwa,
• kuchepetsa kuchuluka kwa mazira
• Pewani zakudya zoyengedwa, shuga, mafuta ochita kupanga. Pali ambiri a iwo ogulitsa zakudya,
• pangani mbewu monga chimanga, zipatso, masamba, nyemba, zakudya
• Dzisungeni ndi nsomba zamafuta (hering'i, mackerel, halibut, tuna, nsomba).

Njira zina zitha kukhala zothandiza magawo oyamba a matendawa, makamaka ngati mumatsatira zakudya.

Kuti mupewe matenda a atherosulinosis, yesani kutsatira chimodzi mwazinthu zotsatirazi.

Palibe maphikidwe odziwika omwe amadziwika ndi anthu omwe amathandizira pang'onopang'ono. Onetsetsani kuti mwamuwuza dokotala yemwe mumamwa mankhwala azitsamba omwe mumalandira. Kulandilidwa kwa ena a iwo ndiotsutsana pakupanga mankhwala.

Kuwonongeka kwa atherosulinosis ya ziwiya zamagawo am'munsi kumafuna moyo wonse mankhwala, nthawi ndi nthawi kuchipatala. Malangizo osavuta amatha kuletsa kapena kuchepetsa kudutsa kwake:

• lekani kusuta - zigawo za utsi wa fodya zimawononga makhoma amitsempha yamagazi,
• onani zakudya zanu - izi zikuthandizani kupewa kuphwanya kagayidwe ka mafuta,
• kuwongolera kunenepa kwanu
• osamamwa mowa kwambiri
• musayambitse matenda osachiritsika,
• Kuyambira kuyambira zaka 20, onani cholesterol yanu yonse, LDL, ndi triglycerides.

1. Ann Giorgi. Matenda a Peripheral Vascular, 2016
2. Violi, F, Basili, S, Berger, JS, Hiatt, WR (2012). Mankhwala othandizira antiplatelet mu zotumphukira matenda a mtsempha wamagazi, 2012
3. Ruiz-Canela, M, Martínez-González, MA. Miyoyo yamoyo ndi zakudya zomwe zimayambitsa matenda opatsirana a m'matumbo, 2014

Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.

1. 
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   Malinovsky M.S., Svet-Moldavskaya S.D. Menopause and Menopause, State Publishing House of Medical Literature - M., 2014. - 224 p.
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   Hirsch Axel Kugonjetsa Matenda A shuga (186 pp., Kutanthauzira kwa Germany, chidziwitso cha kufalitsa ndi kufalitsa sichikupezeka).

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Njira zomwe zimachitika mthupi ndikusowetsa magazi kwa miyendo

Ndi kutha kwa atherosclerosis, pali kuwonjezeka kwa malo a atherosclerotic kumbali yamkati yamitsempha yayikulu, yomwe imapereka magazi kumadera otsika. Izi zimatsogolera kuti magazi amayenda kumapeto amakhala operewera, ndipo amachititsa ischemia ya zimakhala zamiyendo.

Komanso, pakapita nthawi, kuyerekezera chinsalachi kumachitika, chifukwa chogwirizana ndi mchere wamchere ndi cholembera cha atherosclerotic chimakhala chovuta kwambiri.

Pa gawo lotere pakukula kwa matenda am'mimba, ndikovuta kuthana ndi kufalikira kwa ma atherosulinosis ndipo izi zimatenga nthawi yayitali.

Pang'onopang'ono chinsaluchi chimaphimba zinthuzo.

Pakadali pano, mitundu iwiri yolumikizira mitsempha yayikulu imapangidwa:

• Arterial stenosis kuchepa kwa minyewa yam'mimba,
• Kukhazikika mitsempha yolumikizidwa ndi zolembera za atherosselotic, kapena thrombus. Kusintha pang'ono kapena kwathunthu kumatsimikiziridwa.

Chingalacho pang'onopang'ono chimatsekeranso kuwala

Zizindikiro zakutha kwa atherosulinosis

M'magawo oyamba, mapangidwe amtundu wa atherosselotic amapezeka m'mitsempha yayikulu yam'munsi, izi zimapangidwa modabwitsa, ndipo munthuyu samazindikira chilichonse.

Zizindikiro zakukula kwa matenda am'mimba zimayamba pokhapokha ngati necrosis yamisempha yayamba kupangika chifukwa cha kuchepa kwa okosijeni m'matumbo amiyendo.

M'mitsempha yayikulu yam'munsi, kutha kwa atherosulinosis kukuyenda bwino kwambiri, chifukwa cha katundu wambiri wamiyendo, zomwe zimabweretsa zotsatira zoyipa.

Zizindikiro zopambana za matenda

Pali zizindikiro zosiyanitsa za mapangidwe a atherosulinotic m'mitsempha yayikulu yomwe imadyetsa miyendo yam'munsi.

Zizindikiro zotchulidwa izi zimaphatikizapo:

• Miyendo ndi yozizira komanso nthawi yotentha,
• Lamisi limayamba kuwoneka poyenda. Atapumula kwakanthawi, ziphuphu zimadutsa,
• Miyendo imayenda mosayenda bwino,
• Zowawa zimawonekera, makamaka mu ng'ombe ndi kumapazi kuchokera zazing'ono osati zazitali,
• Kudziwonetsa kwa matenda a ululu kulibe dera linalake mwendo, ndi atherosulinosis yomwe ingathe, kungakhale kuchokera pachiwindi mpaka kumunsi kwa minyewa ya ng'ombe.
• Vutoli lomwe lili kumapeto limakhala louuma, tsitsi limasiya kukula, ndipo miyendo ya miyendo imachitika. Khungu m'mphepete mwake limakhala lopindika, lopweteka,
• Mbale ya msomali pamunsi yotsika imachepetsa kukula kwake,
• Ndi kusinthasintha kwachangu kwa matenda osokoneza bongo a atherosclerosis, ndi malo ofukurira thupi, magazi amathamanga kupita kumiyendo ndipo miyendo imakhala yofiyira, ndipo ngati mutayambiranso, ndiye kuti khungu limatulukira.
• Kukhazikika kwa minofu ya minofu ya ng'ombe. Mwendo umayamba kuchepa msanga m'mbali mwa mwendo wapansi komanso cholocha,
• Mwa amuna, potency ikucheperachepera. Kuphwanya kumeneku kumachitika chifukwa cha kuchepa kwa magazi kufikira ziwalo za m'chifuwa,
• Kuwoneka kwa zilonda za trophic pamadera akumunsi kumawonetsa kuti atherosulinosis obliterans ili kumapeto kwa chitukuko,
• M'mphepete mwake, intaneti ya ma cyanotic venous imawonekera
• Pali zizindikiro za necrosis ya minofu pa miyendo - buluu, kapena khungu lakuda kumapeto, kapena m'dera la zidendene.

Kuyenda kwamwala kumayamba kuwoneka

Zifukwa zachitukuko

Mtundu wa atherosulinosis kwazaka zambiri, umapezeka wokhwima (pambuyo pa zaka 60), pomwe nembanemba ya choroid imataya kuuma ndi kusakhazikika.

M'zaka makumi angapo zapitazi, kufalikira kwa ma atherosclerosis kwathandizanso kwambiri ndipo amapezeka mwa amuna azaka 40. Chifukwa cha asymptomatic pathology, achinyamata sazindikira kuwopsa kwa thupi.

Zomwe zimapangitsa kuti khungu likhale lopanda malire m'magawo otsika likhoza kukhala:

• Kunenepa kwambiri. Unyinji waukulu wolemera kwambiri umadzaza miyendo yam'munsi, zomwe zimapangitsa kupitirira kwa matenda,
• Kulephera kutsatira chikhalidwe cha chakudya. Wodwalayo amadya mafuta ochulukirapo amachokera ku nyama komanso chakudya chamagulu, zomwe zimapangitsa kuti magazi azikhala ndi magazi ambiri, zomwe zimapangitsa kuti pakhale zovuta zam'magazi komanso kukula kwa cholesterol plaque pamagobolati am'magazi,
• Matenda a mitsempha ya varicose. Mitsempha ya Varicose imatha kukhala yothandiza kuti magazi athetse vuto lathunthu kuti magazi asadutse komanso asatuluke magazi amiyendo,
• Matenda a ziwalo zam'mimba m'chiuno, omwe amatha kukhala othandizira a atherosermosis m'miyendo,
• Zaka za wodwala. Kwa amuna, m'badwo wovuta anali zaka 40; kwa akazi, msambo wamsambo ndi kusamba:
• Wovulala miyendo
• Frostbite yamiyendo ndi miyendo yakumunsi. Pankhaniyi, kusintha kwamatumbo kumachitika m'mitsempha ndi m'mitsempha.
• Kuchulukitsa thupi ndi ntchito yolimba, komanso ntchito ngati kwa maola 8 10 munthu ali pamapazi,
• Moyo wopuma ndi ntchito yokhala pansi kumathandizira kuphwanya magazi m'miyendo,
• Khalidweli. Ngati wachibale akudwala ndi atherosulinosis, ndiye kuti chiwopsezo cha chitukuko chimawonjezeka nthawi 8,
• Mavuto opitilira,
• Zovuta pamayendedwe amakulu,
• Matenda a shuga a m'matenda,
• Mowa ndi chikumbumtima cha bongo zimachepetsa kuchepa kwa ziwalo zamkati.

Magawo akumasokoneza atherosulinosis

Atherosclerosis obliterans of the malekezero ili ndi magawo anayi okhala ndi zizindikiro zazikulu pagawo lililonse:

Ikani chithunzi cha magawo pa Pokrovsky-Fontaine

Oasnk nthawi zambiri imakhala ndi kutukuka osati m'chigawo cha shin, komanso m'malo ena miyendo.

Gawo la m'munsi miyendo ischemia

Chitukuko

Pali mitundu ingapo ya atherosclerosis patsamba lachitukuko chake:

• OASK mu gawo ndi ntchafu yapamwamba,
• Ileal aortic atherosulinosis,
• Kukhazikika kwa mwendo wotsika,
• Popliteal SLA,
• Matenda a distal femur, pamene magazi a m'mitsempha yam'munsi amakhalapo,
• Kuvulala m'chiuno ndi m'munsi mwendo, koma nthambi zina zamitsempha nthawi zambiri zimapereka magazi kupita ku mwendo.
• Angapo atherosulinosis yamitsempha yama miyendo.

Mendo miyendo

Zizindikiro

Diagnosis ya minyewa ya miyendo ikuchitika m'magawo:

• Wodwala akafika kwa dokotala, amamuwunika koyambirira kutengera madandaulo ake,
• Pogwiritsa ntchito mankhwala amkamwa, dokotalayo amafufuza kuti awone ngati zimachitika bwanji m'chiwendo, kapena m'miyendo yonse iwiri.
• Pambuyo pakuwunika ndi mbiri yakale yakuchipatala, adotolo amamuwuza wodwala kuti azindikire zofunikira,
• Diagnostics pogwiritsa ntchito rheovasography imatha kuwunika kuchuluka kwa magazi m'magawo otsika,
• Doppler ultrasound imazindikira kutulutsa kwa zolembera komanso kuwonongeka,
• IR thermography. Njirayi imayang'ana kuti kutentha kwa chiwalo kuchokera kumtunda, malo omwe akukhudzidwawo sadzakhalabe ozizira,
• Kuyesa kwambiri,
• Arteriography mosiyanitsa imakupatsani mwayi kuti muzindikire malo onse azomwe zimakhazikitsidwa ndi matenda komanso momwe kupendekera kwa lumen kwa chombo.

Zojambula

Atherosulinosis ya m'munsi malekezero

Chithandizo cha atherosulinosis obliterans a mitsempha yayikulu yamiyendo ndi zovuta m'njira zosagwiritsa ntchito mankhwala ndi mankhwala.

Njira zochizira zosagwiritsa ntchito mankhwalawa zimaphatikizapo:

• Zakudya zosinthidwa
• Kukana zakumwa zoledzeretsa ndi chikonga,
• Kuchulukitsa pang'onopang'ono kwa katundu pathupi ndikuwonjezera ntchito,
• Njira za physiotherapeutic, electrophoresis yokhala ndi novocaine, zotupa za ozone zam'munsi zamitsempha, kuwonetsa zamitsempha zamiyendo kuzinthu zamatsenga,
• Vitamini ndi ma mineral complexes kuti apititse patsogolo zinthu zina mthupi,
• Mankhwala a Omega-3
• Chithandizo chapamwamba pakuchiritsa zilonda
• Maphikidwe a mankhwala achikhalidwe.

Zakudya za arteriosulinosis obliterans a mitsempha ya miyendo

Pachigawo choyambirira cha matenda opatsirana, kugwiritsidwa ntchito kwa chakudya cha anticholesterol, komwe kumatha kutsitsa cholozera m'magazi a cholesterol ndikuyimitsa chitukuko cha atherosulinosis m'mitsempha ya miyendo.

Mfundo zoyenera kudya ndi izi:

• Ndikothekanso kupatula kugwiritsa ntchito mafuta a nyama mumazira 2 zidutswa pa sabata, nyama yoyonda iyenera kugwiritsidwa ntchito (nyama yamwana wamphongo, nkhuku, nkhuku),
• Zopangira mkaka wowonda ziyenera kukhala zamafuta ochepa. Sizoletsedwa kudya mafuta amtundu wa tchizi ndi batala,
• Osamadya mkate woyera ndi ufa, komanso yisiti yophika ndi yisiti.
• Osadya shuga ndi maswiti, komanso mowa.
• Idyani zamasamba atsopano, masamba, zipatso ndi zipatso, komanso gwiritsani ntchito maolivi azitona, sesame,
• Idyani nsomba osachepera 2 pa sabata,
• Tsiku lililonse, menyu amayenera kukhala ndi chimanga, kapena nyemba,
• Zogulitsa ziyenera kuphikidwa ndi kuwotcha, kuwira, kapena kuphika, mutha kugwiritsa ntchito kuphika mu boiler iwiri.

Idyani nsomba osachepera 2 pa sabata

Mankhwala achikhalidwe

Ndikofunika kukumbukira kwa wodwala aliyense kuti maphikidwe a asing'anga achikhalidwe akhoza kukhala othandiza pothana ndi mankhwala:

Mankhwala

Mankhwala osokoneza bongo amathandiza kuyimitsa kupitilira kwa atherosulinosis m'magawo oyamba a matenda, ndipo amagwiritsidwanso ntchito pambuyo pakuchita opaleshoni ndi mankhwala omwe ayenera kumwa;

Mankhwala

Kodi atherosulinosis ya malekezero ake ndi iti?

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

Mitsempha yamagazi ndi mitsempha yayikulu yamagazi. Munthawi yabwinobwino - kuunikira kwa mitsempha ndi kwaulere ndipo magazi amayenda momasuka kudzera m'magazi. Komabe, nthawi zina, kuunikira kwa ziwiya kumachepa, ndipo minyewa yoyandikana nayo imasowa michere ndi mpweya wofunikira kuti ikhale yogwira ntchito, chifukwa cha chomwe ischemia ndi necrosis yotsatira imayamba.

Mwachidule, maziko a mapangidwe a matendawa amatuluka kwa ziwiya kapena kupendekera kwawo. Kugwedeza ndimtundu wofala, mwachitsanzo, kwa thupi la osuta kwambiri. Kutulutsa kumatha kuchitika ngati chinthu chokhala ngati mafuta - cholesterol (LDL - lipoprotein tata) ikayikidwa pazitseko za mitsempha yam'munsi. Komabe, njira yopangira matenda othandizira matenda sizosavuta kwambiri ndipo imafunikira malongosoledwe atsatanetsatane.

Mankhwala othandizira

Njira zotsatirazi za opaleshoni zimagwiritsidwa ntchito pochiza matenda amtundu wam'mphepete m'mitsempha yam'munsi:

• Angioplasty pobweretsa balloon mu mtsempha wamagazi. Iyi ndi njira yovuta kwambiri yobweretsera balloon mu mtsempha wamagetsi kuti mukulitse kuunikira kwa ngalande yayikulu m'dera lomwe lakhudzidwalo,
• Opaleshoni yam'mimba Njira iyi imakhala popanga njira yolowera pamalo owonongeka mtsempha wamagetsi,
• Njira yoluma. Choyimira chimayikidwa mumsewu waukulu, womwe umakulitsa lumen komanso kupewa kugunda kwa mitsempha,
• Autodermoplasty amachitidwa m'malo akulu a zilonda zam'mimbazi.
• Ma prosthetics am'mbali m'malo mwa okhudza mitsempha yomwe yakhudzidwa ndi yatsopano. Uwu ndi opareshoni kumapeto kwa atherosulinosis,
• Artery Endarterectomy Kugundika kwa mtsempha kumachitika ndipo zolengedwa zamtunduwu zimachotsedwa pamenepa,
• Kucheka manja ndi khungu.

Komanso, kuwononga ma atherosulinosis a malekezero amatha kuthandizidwa ndi laser. Ntchito izi zimafunikira kanthawi kochepa kakonzedwe, koma akatswiri samapereka chitsimikizo cha 100.0% pakuchiritsa kwa matenda.

Njira yamatendawa ndi yokhayokha, motero, njira zamankhwala zimasankhidwira payekhapayekha.

Ndikofunikira kuchitira atherosulinosis obliterans kwa nthawi yayitali, chifukwa kufooka kwa matendawa kumachitika nthawi zonse.

Angioplasty pobweretsa balloon mu mtsempha wamagazi

Kupewa

Atherosulinosis obliterans of the malexander ndi matenda omwe ndi osavuta kupewa kupewanso kuchiritsidwa pambuyo pake.

Popewa kukula kwa matendawa, ndikofunikira nthawi yayitali kuti isapangidwe njira zopewetsedwera komanso kuti musaiwale kuti zolembera zam'matumbo zimatha kukhala zaka zambiri:

• Pewani kuzolowera zakumwa zoledzeretsa komanso chizolowezi cha chikumbumtima,
• Kusintha kosalekeza kuti muchepetse kunenepa kwambiri,
• Zochita zolimbitsa thupi tsiku ndi tsiku,
• Zakudya zopatsa thanzi ndi nyama zochepa,
• Valani nsapato zopanda zidendene,
• Muzipita kukayezetsa pachipatalachi ndikuwunika momwe magazi amapezeka ndi mbiri ya lipid.

Chithandizo cha atherosulinosis a ziwiya am'munsi malekezero

Chithandizo cha kufafaniza atherosulinosis yam'munsi yotsika imakhazikitsidwa makamaka ndi gawo la matendawa ndi kukula kwa dera lomwe lakhudzidwalo.Pachigawo choyambirira, kuchotsedwa kwa zinthu zoopsa kumatha kuonetsetsa kupewa kwa matendawa. Kuti izi zitheke, wodwalayo ayenera kusintha kadyedwe ndi moyo wake.

Ngati wodwala wapezeka ndi atherosulinosis ya ziwiya zamiyendo, ndiye kuti akufunika, choyamba:

• Sinthani zakudya zanu pochepetsa zakudya zomwe zimakhala ndi mafuta ambiri komanso mafuta a nyama.
• Bwezerani kulemera kwanu.
• Ndikofunikira kusiya zizolowezi zoyipa ndipo, choyambirira, kusiya kusuta.
• Chitani zinthu zopewa kuthamanga kwa magazi mkati mwa zaka zoyenera (kwa anthu azaka zopitilira 50-60, kupanikizika kuyenera kukhala pafupifupi 140/90 mmHg).
• Ngati pali matenda a shuga, ndiye kuti wodwalayo ayenera kuchitapo kanthu kuti akhale ndi shuga.
• Yang'anirani cholesterol yamagazi.

Chithandizo cha atherosulinosis a ziwiya zam'munsi zitha kuchitika m'njira zingapo:

• mankhwala osagwiritsa ntchito mankhwala (osagwiritsa ntchito mankhwala),
• mankhwala othandizira (pogwiritsa ntchito mankhwala),
• Chithandizo cha matenda omwe anayambitsa atherosulinosis,
• opareshoni.

Mankhwala osagwiritsa ntchito mankhwala osokoneza bongo amachitika pofuna kusintha moyo wonse ndikuchotsa zoopsa zake. Ngati vuto limodzi litachotsedwa, ndiye chikhazikitso chochepetsera chiwopsezo cha zovuta zingapo. Kuchotsa kwazinthu zonse kumabweretsa kusintha kwakukulu pakukula kwa matendawo.

Popereka chithandizo chamankhwala popewa magazi, wodwala amatenga mankhwala omwe amachepetsa cholesterol yamagazi. Chithandizo chitha kuchitidwa ndi ma statins (mwachitsanzo, zapor kapena mankhwala ena mgululi), allicor (mankhwala ochepetsa sclerotic ofanana ndi adyo), mankhwala omwe amachepetsa mitsempha yamagazi (cilostazol, verapamil), amachepetsa magazi m'mitsempha yamagazi ndikuchepetsa ma magazi am'magazi (chimes, VesselDue F, thrombo-ass, aspirin, reopoliglyukin, pentoxifylline). Zotsatira zabwino za mankhwalawa zimatheka pokhapokha patatha miyezi ingapo yothandizira.

Momwemonso, ululu ukapezeka kupumula, komanso pamaso pa zilonda zam'mimba kapena necrosis ya phazi, njira yayikulu yothandizira ndi, monga lamulo, njira ya opaleshoni yophatikizira ndi shunting, prosthetics, balloon angioplasty, etc.

Asanagone

Atherosulinosis ya zombo zomwe zili m'munsi, imadzipangitsa kumverera ngati mawonekedwe a kulira kwakanthawi kochepa. Pankhani ya kudwaladwala matenda komanso kusowa kwa chithandizo choyenera, matendawa amatha kukula, omwe angapangitse kudula kwamiyendo. Kukula kwa matendawa kumatsimikiziridwa ndi kuchuluka ndi kuopsa kwa zinthu zomwe zimayenderana ndi ichi (kusuta, shuga, matenda oopsa, kunenepa kwambiri, ndi zina zambiri).

Panthawi ya chithandizo chanthawi yake, chithandizo chamankhwala chabwino, kusiya kusuta, kudya, kuwunika mwatsatanetsatane komanso kuwongolera kuthamanga kwa magazi, kuphunzitsa tsiku ndi tsiku, kuperekedwa kwakanthawi kwa angioplasty kapena kuchitidwa opaleshoni yofunikira, ndizotheka kuchepetsa kapena kuchepetsa zizindikiro za matendawa, kusunga miyendo yam'munsi ndikuwongolera moyo wa odwala .

Limagwirira a chitukuko cha matenda

Nthawi zambiri, atherosulinosis ya ziwiya zam'munsi zimadziwonetsa mu ukalamba ndipo amayamba chifukwa cha kupindika kwa lipoprotein metabolism. Njira yotukula imadutsa magawo otsatirawa.

Ma cholesterol ndi ma triglycerides omwe amalowa m'thupi (omwe amalowetsedwa mu khoma lamatumbo) amagwidwa ndi mapuloteni apadera a mapuloteni - ma chylomicrons ndikusamutsira magazi.

Chiwindi chimagwira zinthu zomwe zimapangidwira ndikupanga mafuta ena apadera - VLDL (choletsa mafuta ochepa).

M'magazi, lipoproteidlipase enzyme imachita pa mamolekyulu a VLDL. Pachigawo choyamba cha kupangika kwa mankhwala, VLDLP imadutsa kukhala pakati pamaopaleti a lipoprotein (kapena STLPs), kenako pagawo lachiwirili, VLDLP imasinthidwa kukhala LDLA (cholesterol otsika-kachulukidwe). LDL ndiye cholesterol yotchedwa "yoyipa" ndipo ndiyomwe imayambitsa atherogenic (ndiye kuti, imatha kuyambitsa matenda atherosulinosis).

Zidutswa zamafuta zimalowa m'chiwindi kuti zikonzenso. Apa, cholesterol yapamwamba kwambiri (HDL) imapangidwa kuchokera ku lipoproteins (LDL ndi HDL), yomwe ili ndi zotsutsana nazo ndipo imatha kuyeretsa makhoma amitsempha yamagazi kuchokera kumagawo a cholesterol. Ichi ndiye cholesterol yotchedwa "chabwino". Gawo limodzi la mafuta omwe amaphatikizidwa limapangidwa kukhala michere ya bile, yomwe ndi yofunikira pakuchita bwino kwa chakudya, ndipo imatumizidwa m'matumbo.

Pakadali pano, maselo a hepatic amatha kulephera (mwabadwa kapena chifukwa cha ukalamba), chifukwa chake m'malo mwa HDL kutuluka, mafupipafupi a mafuta osakhalitsa sangakhale osasinthika ndikulowa m'magazi.

Osachepera, komanso mwina ma atherogenic, amasinthidwa kapena kusinthidwa lipoprotein. Mwachitsanzo, oxidized powonetsedwa ndi H2O2 (hydrogen peroxide).

Zingwe zamafuta ochepa (LDL) zimakhazikika pamakoma amitsempha yama m'munsi. Kukhalapo kwachilendo kwa zinthu zakunja mu lumen yamitsempha yamagazi kumathandizira kutupa. Komabe, ma macrophages kapena leukocytes sangathe kuthana ndi tizigawo ta cholesterol. Ngati njirayi imakoka, magawo am'mowa - amapangidwa. Izi madanga amakhala ndi kachulukidwe kakang'ono kwambiri ndipo amasokoneza kayendedwe ka magazi.

Chuma chambiri cha cholesterol "choyipa" chimatsegulidwa, ndipo magazi amawonekera pakumenyekedwa kapena kuwonongeka kwa kapisozi. Kuwaza magazi kumakhala ndi chiwonetsero chowonjezereka cha occlusive ndi mitsempha yovunda kwambiri.

Pang'onopang'ono, kachigawo ka cholesterol kamene kamaphatikizidwa ndi magazi kumatenga kokhazikika, chifukwa cha kuchuluka kwa mchere wa calcium. Makoma a mitsempha amasiya kutalika kwawo ndikulimba, zomwe zimapangitsa kuti zitheke. Kuphatikiza pa chilichonse, ischemia yokhazikika komanso necrosis ya zimakhala zapafupi zimapangidwa chifukwa cha hypoxia komanso kusowa kwa michere.

Atherosulinosis ya ziwiya zamagawo am'munsi ndizopanda nzeru. Nthawi zina, sizitha kuonekera konse kapena kudziwonetsa ndi zizindikiro zopanda pake. Mwachitsanzo, wodwalayo angafotokozere kufooka kwa miyendo kapena "kupindika" chifukwa chakuti "wakhala pansi" kapena "wagona" nthambi.

Zizindikiro za atherosulinosis ya m'munsi malekezero

Atherosulinosis ya malekezero ake ndizosavuta kuzindikira ngakhale pawokha, kutengera chisamaliro chaumoyo wawo komanso zomwe akumva. Amawonetsedwa ndi dongosolo la zodziwika ndi zodziwika bwino.

Kutalika kwa kuyabwa, "miyendo" m'miyendo, zikwanje, ndi zina zambiri. Odwala amatanthauzira izi mosiyanasiyana, koma nthawi zambiri kumverera kumafanana ndi dzanzi chifukwa chokhala nthawi yayitali m'malo osavomerezeka. Pankhaniyi, chizindikirocho chilipo popanda chifukwa.

Kumva kuzizira kumadera otsika. Komanso pakalibe chifukwa chowoneka. Itha kuonedwa munthawi yotentha.

Khungu loyera la miyendo.

Kuchepetsa minofu ndi matumbo a mafuta m'matako, miyendo ndi miyendo yotsika. Kuchepetsa kapena kufalikira kwa mitsempha, komwe kumapereka mpweya ndi michere minofu, kumabweretsa minofu yolimba.

Kutayika kwathunthu kapena pang'ono kwa tsitsi lanu ndi miyendo yotsika popanda kukula kwa tsitsi. Zimaphatikizidwanso ndi kukula kwa minofu yowonongeka. Dongosolo la capillary mu miyendo yomwe yakhudzidwa likukula mosadziwika bwino, koma silingabwezeretse kuchepa kwa magazi.

Ululu m'miyendo.Amayang'aniridwa modekha, poyenda ndipo zochitika zilizonse zolimbitsa thupi zimakulirakulira. Chizindikiro china cha atherosulinosis ndi kuwonda, chifukwa cha kupweteka kwambiri kwa paroxysmal.

Milandu yambiri "yonyalanyazidwa" Zizindikiro ndizoyambira kutsogola kwa zovuta zamtunduwu monga necrosis.

Kupangidwe kwa zilonda zam'miyendo (zotchedwa zilonda zam'mimba).

Matenda necrosis (gangrene). Zikuwoneka mu magawo omaliza a njirayi. Popeza matendawa amakula msanga, gawo limatha kuyamba mwachangu.

Chifukwa chake, ndikuwonongeka kwa atherosulinosis ya malekezero am'munsi, kuphatikizika kwa zizindikiro zoopsa kumawonedwa. Mawonetsero awo akuwonetsa kufunikira kwa chithandizo chamankhwala chothamanga. Nthawi zambiri, kuchedwa komanso kukayikira kwa madokotala ndi odwala kumadulidwa.

Zoyambitsa Atherosulinosis ya M'munsi Pansi

Kuthana ndi atherosulinosis ya m'munsi yam'munsi kumatha kukhala pazifukwa zambiri:

Paulo Amuna ndi akazi onse amakhudzidwa chimodzimodzi. Zaka za anthu omwe akuvutika ndi atherosulinosis zimachokera ku 45 kwa amuna komanso kuchokera zaka 50 kwa akazi. Amuna, monga lamulo, ali ndi mwayi wopeza mankhwalawa nthawi 1.5-5. Zomwe zimapangitsa kuti pakhale kusiyana kwakukulu sizodziwikiratu, koma akukhulupirira kuti estrogen (timadzi tating'onoting'ono ta akazi) amatha kuteteza kutulutsa mitsempha.

M'badwo. Monga ananenera, chiopsezo chodwala chikuwonjezeka moyenerera ndi zaka. Ndi kuyambika kwa kusintha kwa thupi, ntchito yopanga mahomoni ogonana mu thupi la akazi amachepetsa, chifukwa chake, patatha zaka 50-55, kuchuluka kwa milandu pakati pa amuna ndi akazi ndi chimodzimodzi. Ku Russia, ziwerengero zamatenda oopsa kwambiri. ¾ Amuna ndi under azimayi ochepera zaka 40 amadwala matenda amisempha. Ndipo pazaka zomwe zafotokozedwa pamwambapa, chiwerengerochi chimayandikira 90%.

Kukwezedwa cholesterol ndi triglycerides. Zinthu zonsezi zimatha kubisa zotengera komanso kuyambitsa ischemia. Momwe mungachepetse magazi triglycerides?

Matenda oopsa Ndiwowonjezera kuchuluka kwa kuthamanga kwa magazi. Makhalidwe abwinobwino amachokera ku 120/80 mpaka 130/85. Kukhalitsa kapena kuchuluka kwa manambala motere kumawonetsa kuchuluka kwa matenda oopsa. Ma Vessel omwe ali ndi matenda oopsa kwambiri amawonongeka msanga ndipo amakhala ochepa. Mkati, zombo zovekerako sizimasalala ndipo zimawuma. Mdziko lino, ma cholesterol malo amapangika kwambiri.

Zabadwa. Atherosulinosis ndi nthenda ya polyetiological. Chinthu chobadwa nacho chimachita mbali yofunika kwambiri. Mwa cholowa, machitidwe a lipid metabolism m'thupi, mawonekedwe a mahomoni, komanso zofunikira za chitetezo cha mthupi, zomwe chitukuko cha atherosulinosis chimatha kupita mwachangu kapena pang'onopang'ono, chimakhudzidwa.

Zizolowezi zoipa. Nicotine, yomwe imachuluka kwambiri m'thupi, imalowa m'magazi, ndi atherogenic kwambiri. Komabe, mwa omwe amasuta fodya, maupangidwe a atherosulinosis ndiwosiyana mwanjira ina. Mosakaikira, nikotini imatha kukhudza kagayidwe ka lipoprotein m'thupi, koma nthawi zambiri zomwe zimapangitsa kuti magazi asamayende bwino ndizovuta zam'mitsempha yam'munsi, ndipo siwotupa. Mankhwala ali ndi vuto lofananalo, koma chowononga kwambiri ndikugwiritsa ntchito kwawo pazochulukirapo kumatanthauza kufa kwina kapena kulumala kwakukulu. Mowa wocheperako Mlingo wocheperako, m'malo mwake, ungakhale ndi njira zabwino zodzitetezera.

Kukhalapo kwa matenda oyanjana ndi matenda. Dzanja limodzi ndi atherosulinosis ndi matenda ashuga.Mu shuga mellitus, lipid ndi lipoprotein metabolism dysfunctions zimayang'aniridwa, momwe 75-80% ya matenda ashuga atherosulinosis imayamba zaka 4-5 kapena mofulumira.

Kuperewera kwa mahomoni a chithokomiro (chithokomiro cha chithokomiro) kumakhudzanso kagayidwe kabwinobwino, kumawonjezera mwayi wokhala ndi atherosulinosis ya malekezero otsika ndi 35-40%.

Kupsinjika. Makamaka ngati ndi okhazikika komanso otetezedwa.

Kunenepa kwambiri Paokha, nthawi zambiri imalankhula za kupezeka kwa zovuta za metabolic.

Tsekani zotupa m'mitsempha yayikulu yamagazi.

Mbiri yazachipatala

Pakufufuza koyambirira, dokotala wokayikira atherosulinosis wodwala ayenera kupenda wodwalayo mwatsatanetsatane ndikuwunika zonse.

Monga lamulo, m'mbiri ya odwala ndi kuphatikiza zinthu izi:

Kukhalapo kwa "zochitika" za kusuta,

Kuchulukitsa thupi

Kuperewera kwa matenda oyipa,

Zoposa zaka 40

Kunja, wodwala amawoneka wokalamba kuposa msinkhu weniweni,

Zodandaula za zowawa ndi mavuto ndi miyendo yonse iwiri,

Pafupipafupi kapena pafupipafupi motsutsana ndi kukhudzana kwapakati, komwe kumatenga minofu yambiri ya miyendo: kuyambira matako mpaka ana a ng'ombe.

Khungu la kumapazi limakhala lotumbululuka,

Kugunda kwa mitsempha yayikulu sikumveka. Mukamamvetsera kumadera omwe akhudzidwa, phokoso lakunja limapezeka.

Pakalipano: matenda oopsa, matenda a mtima ndi / kapena matenda a shuga.

Kuwonetsera ndizosatha. Sizitengera nthawi ya chaka kapena tsiku.

Panali anthu m'banjamo omwe anali ndi matenda amtima. Ndi kuthekera kwakukulu ndipo wodwala ali ndi mavuto ndi cholesterol.

Ntchito Zoyeserera ndi Kuyesa

Pamapeto pa kusonkhanitsa kwakale kwachipatala, adotolo amatsimikizira kufunafuna kwake poyesa mayeso apadera:

Ntchito yoyeserera Burdenko. Atherosulinosis imalumikizidwa ndi njira zoyenda m'matumbo. Pogwada mwendo pa bondo, phazi (lokhalo) limakutidwa ndi mawonekedwe am'manja. Izi zikuwonetsa kutuluka magazi kuchokera m'chiwendo.

Mayeso a Hyperemic Shamov / Sitenko. Chifukwa cha machitidwe omwewo omwe amayenda, kufalikira kwa minofu kumasokonekera. Kuti mupeze vuto la atherosselotic pantchito yamitsempha yamagazi kwa mphindi 3-5, cuff yapadera imayikidwa paphewa kapena ntchafu. Imakakamiza minofu yoyandikana nayo, kusokoneza kayendedwe kabwino ka magazi. Kupereka magazi mwachizolowezi (ndipo, motero, mtundu wapinki) wa minofu nthawi zambiri amabwerera masekondi 25 mpaka 35. Ngati ziwiya zimakhudzidwa ndi atherosulinosis, zitha kutenga mphindi ndi theka kapena kupitilira, kutengera ndi kuchuluka kwa njira yochepetsera magazi.

Mayeso ogwira ntchito a Moshkovich kuti ayese chizindikiro cha mbewu. Wodwalayo amakhala pamalo apamwamba. Kenako akukweza miyendo yake mokhazikika osawagwada. Pakadali pano, wodwalayo amafunsidwa kuti akhalebe kwa mphindi ziwiri kapena zitatu. Kenako wodwalayo amayimirira. Nthawi zambiri, mwa munthu wathanzi, khungu limasanduka lachiwonetsero koyamba, chifukwa magazi amatuluka kuchokera kumadera am'munsi, ndipo akangotuluka, magaziwo amabwezeretseka, ndipo khungu limayamba kubwereranso mkati mwa masekondi 8-10 kapena mwachangu. Odwala atherosulinosis izi sizimawonedwa. Khungu kuchokera masekondi 30 kapena kupitilira amatha kukhala ndi utoto wotumbululuka, mawonekedwe ammadzi am'mimba, etc.

Ngati kuphwanya kwadziwika, dokotala amamuyesa kachiwiri, mozama, kuti akhazikitse kuchuluka kwa kulephera kwa magazi (chizindikiro chomera). Kuti muchite izi, wodwalayo amagona pansi natambasula miyendo yake. Koma tsopano akupemphedwa kuti awerama miyendo yake mosagwirizana kapena palimodzi. Kuchita zamagalimoto kumafuna kuthamanga kwa magazi, ndipo kuchepa kwake kumapangitsa kuti minofu ifepuke msanga. Matenda a atherosclerosis amakumana ndi kutopa msanga ndi matalala a kumapazi. Kutengera kukula ndi kuthamanga kwa kuyambika kwa zinthu ziwirizi, ndizotheka kukhazikitsa kuchuluka kwa kusowa kwa magazi.

Njira zina zofufuzira

Ali ochulukirapo ndipo adapatsidwa ntchito yotsimikizira kuti ali ndi matenda:

Kafukufuku wa zasayansi (amasanthula). Monga lamulo, atherosulinosis pali kuchuluka kwa triglycerides, LDL, ndi chidziwitso cholondola kwambiri komanso chodziwikiratu ndizomwe zimatchedwa atherogenic index (chokwanira), zomwe zimatsimikiziridwa pamaziko a gawo pakati pa "zabwino" ndi cholesterol yathunthu.

Kafukufuku wa radioisotope amatha kudziwa kuchuluka ndi kuchuluka kwa magazi mu minofu ndikukhazikitsa kuchuluka kwa kuchepa kwa magazi.

Radiography imapangitsa kukhazikitsa kutulutsa ndi kukula kwa ma miclusions a mtima.

Njira zatsopano zodziwitsira matenda zikuyambitsidwa mwachangu, monga kuwunika kowoneka bwino, momwe zimathekera kuti mufufuze magetsi amitsempha yomwe yakhudzidwa, kudziwa kuthamanga kwa magazi kudzera mwa iwo ndikuwonetsetsa kuthamanga, ndi ena.

Katswiri wosazindikira nthawi zambiri amakhala pachiwopsezo chosawona matendawa. Chomwe chimapangitsa kuti thupi lizisinthasintha pazinthu zosiyanasiyana zoyipa. Wodwalayo amakhala ndi magazi amgwirizano. Magazi atsopano amapangidwa ndipo amakula omwe amapereka minofu ndi zinthu zofunika. Ngakhale njirayi siyitha kulowa m'malo mwake momwe magazi amayendera m'deralo, kubwezeredwa pang'ono kumakhalabe. Chithunzi cholakwika ichi, kusokoneza adotolo.

Chithandizo cha atherosulinosis ya m'munsi malekezero

Chithandizo cha atherosulinosis cha m'munsi chotsika ndizovuta kwambiri, chifukwa matendawa, monga tanena kale, ndi a polyetiological. Chifukwa chake, zitha kuchitidwa pazifukwa zambiri. Chithandizo chimakhala ndikuchotsa zomwe zimayambitsa ndikuchotsa zosasangalatsa komanso zowopsa m'moyo. Dokotala ayenera kuchita bwino komanso mwachangu. Atherosclerosis sikuti imangochepetsa moyo, komanso imawopseza thanzi la wodwalayo.

Njira zosankhira mankhwalawa ndizambiri.

Njira zodzitchinjiriza zimaphatikizapo:

Ngati muli ndi vuto lalikulu, sinthani njira za opaleshoni. Pachikhalidwe, maopaleshoni oopsa omwe amagwiritsidwa ntchito masiku ano amagwiritsidwa ntchito masiku ano, komabe, njira zopewera zoopsa zomwe zili zofunikira kwambiri ndizofunikira kwambiri.

Mankhwala

Mankhwala osokoneza bongo ndi ovuta. Maphunzirowa amathandizika, amachitika kwa miyezi 1.5-2 ndi pafupipafupi mpaka 4 pachaka, kutengera chithunzi cha chipatala. Mankhwalawa cholinga chake ndi kuthana ndi kuphipha kwamitsempha yamagazi ndi kuchepa kwake. Ma antispasmodics ndi mankhwala amagwiritsidwa ntchito omwe amakulitsa lumen ya mitsempha yamagazi (monga no-shpa, compalamine, etc.).

Udindo wofunikira umaperekedwa ku mankhwala omwe amalimbikitsa magazi mosiyanasiyana komanso, potero, amasintha magazi ake (kuphatikiza mankhwala odziwika bwino a aspirin, kapena, pakakhala kusalolera, mankhwala "odekha": chimes, ndi zina).

Odwala ambiri omwe ali ndi atherosulinosis amakhala ndi chiyembekezo chokhala ndi matenda ashuga (ndipo ngakhale odwala ochulukirapo ali ndi mbiri yakale). Chifukwa chake, kukonzekera kwa pancreatic kumaphatikizidwanso munjira yamankhwala.

Physiotherapy

Amagwiritsidwa ntchito limodzi ndi mankhwala othandizira. Mitundu yotsatirayi ndiyothandiza kwambiri:

Zokhudza madera omwe akhudzidwa ndi kuphatikiza kwachindunji ndi kusinthasintha kwamakono.

Kupereka mankhwala mwakuya kudzera pakanema wamagetsi (electrophoresis).

Njira zochizira izi zimathandizira kubwezeretsa kwathunthu kapena pang'ono kwa ziwiya zomwe zakhudzidwa.

Kuphatikiza apo, njirazi ndizothandiza kwambiri koyambirira kwamatenda kapena pambuyo pake. Mu 90% ya milandu, kuphatikiza ndi kudya kwa hypocholesterol kapena kusiya zizolowezi zina, chithandizo chokhazikika chimapereka zomwe zimafunidwa.

Komabe, chithandizo sichithandiza nthawi zonse. Kuphatikiza apo, zitha kuchitika momwe njirayi idapita patali kwambiri ndipo zotengera zatha ntchito yake popanda kuabwezeretsa. Pankhaniyi, opaleshoni ndiyofunikira.

Mankhwala othandizira

Pachikhalidwe, njira yayikulu imakhalabe ya ma prosthetics. Chombo chomwe chikukhudzidwa ndikuchotsa ntchito zake chimachotsedwa, prosthesis imayikidwa m'malo mwake. Ma prostheses amakono am'mimba samasiyana kwambiri ndi minofu yachilengedwe, chifukwa chake amakwaniritsa ntchito yawo ndi ulemu ndikulola wodwalayo kuti akhale ndi moyo wabwinobwino komanso wathunthu.

Mwamwayi kwa odwala, nthawi siyimayima ndipo chotengera chakhudzidwa, koma osataya mawonekedwe ake, chimatha kubwezeretsedwanso ndi angioplasty. Iyi ndi njira yolowerera koma yothandiza kwambiri ya endoscopic yochotsa kuphatikizira kapena stenosis yamitsempha yamagazi.

Chomwe chimapezekanso ndikuti chidziwitso cham'mbuyo chomwe chimayang'aniridwa ndi kamera ya kanema kudzera pamakina amkati mwa chikazi chimasunthira catheter m'mphepete mwa magazi kupita kumalo omwe akhudzidwa. Atafika m'dera lomwe lakhudzidwa ndi mtsempha, dokotalayo amakulitsa, kapena kuchotsa zinthu zakunja, chifukwa chomwe ntchito ya chombocho imabweranso. Mosiyana ndi opaleshoni yovuta kukhazikitsa ma prosthesis, angioplasty sakhala owopsa. Funso lina sikuti nthawi zonse ndizomwe mungachite.

Zakudya kwa atherosulinosis ya m'munsi malekezero

Pokha, kusintha kwa zakudya sikungapereke chithandizo chilichonse. Imagwira ntchito limodzi ndi njira zina zochiritsira, kapena monga kupewa.

Zakudya za atherosulinosis ya malekezero am'munsi sikuti kungokhala nthawi imodzi. Kuti mukwaniritse zomwe mukufuna, muyenera kutsatira izi kwa nthawi yayitali. Njira yatsopano ya kudya iyenera kukhala mtundu wamakhalidwe. Izi zimapereka chithandizo, komanso nthawi yomweyo kupewa. Komabe, nthawi zambiri, kumayambiriro kwa matendawa, sizofunikira kwenikweni kukana malonda kwa nthawi yayitali.

Zakudya za wodwala ndi atherosulinosis ziyenera kuphatikizapo:

Zinthu zopangidwa ndi nyama. Nyama yamafuta ochepa, nkhuku (zokonda zimaperekedwa ku Turkey).

Nsomba. Nsomba zamafuta zimaloledwa, chifukwa mafuta ake amakhala ndi zotsatira zabwino m'mitsempha yamagazi.

Zipatso zatsopano, masamba ndi zipatso - zopanda malire.

Zopangira mkaka, kuphatikizapo zamafuta.

Mazira owiritsa ndi ophika (omelets). Lecithin yomwe ili mkati mwake, komanso mafuta ochulukirapo, omwe, ndikakonzekera bwino, amasintha kukhala "abwino", adzatsuka ziwiya zonse.

Mafuta ophikira (mafuta a maolivi ndi mpendadzuwa).

Mimbulu, pasitala kuchokera ku ufa wa wholemeal. Komanso chinangwa ndi buledi.

Mbeu za nyemba ndi nthangala (nthangala, nyemba, nandolo).

Imani vinyo wofiira.

Tchizi (zosakwana 30% zamafuta).

M'pofunika kuchepetsa kudya zakudya zotsatirazi:

Zakudya zopangidwa ndi mafuta ambiri. Ichi ndi margarine, kufalitsa.

Chepetsa kumwa kwa offal (ubongo, impso, chiwindi) ndi zinthu kuchokera kwa iwo.

Mayonesi, ketchup ndi msuzi wina amapangidwa mwaluso.

Mbatata (yokazinga) ndi chakudya mwachangu. Mbatata ndizovomerezeka zazing'ono kwambiri ndipo zimangophika (mu yunifolomu yawo) kapena zophika.

Kutsatira zakudya zoterezi molumikizana ndi chithandizo chamankhwala ndi physiotherapy kungachepetse vutoli ndikuchotsa zotsatirapo za matendawo.

Chifukwa chake, atherosulinosis obliterans ya mitsempha yam'munsi yotsika imatha kukhala yokhudzana mwachindunji ndi kuchuluka kwa cholesterol m'magazi, ndipo mwina sangakhale ndi chochita nayo. Mwanjira imodzi, iyi ndi matenda owopsa, omwe pakakhala chithandizo chokwanira amabweretsa mavuto. Ndikovuta kudziwa kuti izi (zanu zokha - ndizosatheka). Dokotala wodziwa bwino yekha ndi amene angathe kupirira vutoli komanso kupereka mankhwala.

Mwamwayi, pakugwiritsa ntchito zamakono zamankhwala pamakhala njira zosiyanasiyana zodziwira matenda. Kuchiza kumakhala kokhazikika masiku oyambira. Kuphatikiza pa mankhwala achikhalidwe ndi physiotherapy, kuchiritsa kwamphamvu kwa thupi ndi kugwiritsa ntchito zakudya zapadera kumalimbikitsidwa. Komabe, m'malo ovuta kwambiri, pitani ku opareshoni.

Maphunziro: Moscow State University of Medicine ndi Dentistry (1996). Mu 2003, adalandira dipuloma kuchokera ku Training and Science Science Center for Management ya Purezidenti wa Russian Federation.

Chokoma komanso chopatsa thanzi kwambiri "whisk" - maphikidwe abwino kwambiri

9 mankhwala othandizira zilonda zam'mimba - Zambiri za sayansi!

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

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

Atherosclerosis ya msempha wamtima ndi matenda osachiritsika omwe amakhudza chotupa cha mitsempha. Amadziwika ndi mapangidwe amodzi kapena zingapo za lipid amana, otchedwa atheromatous malo, mkati mwa mkati mwa mtima. Kufikira pamlingo.

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

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

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

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