Matenda a shuga

Kodi carotid arteriosulinosis amawonetsedwa bwanji?

Kudzera m'mitsempha ya carotid, magazi amapezeka ku ziwalo zonse zamutu, kuphatikiza ubongo, zimachitika. Ndipo vuto lalikulu ndikulemba m'mitsempha ya carotid, chithandizo chomwe chiyenera kuyambitsidwa nthawi yomweyo.

Zolinga za maonekedwe

Mapepala a Atherosulinotic amawonekera chifukwa cha zinthu zosiyanasiyana. Nthawi zambiri, zolembedwa zamtundu wa atherosselotic zimakhala ndi cholesterol, zomwe zimakhala ndi osalimba a lipoprotein, koma nthawi zina zimakhala ndi ma calcined amana.

Mapangidwe a atherosulinotic amasokoneza kayendedwe kabwinobwino m'magazi, zomwe zimapangitsa kufa ndi njala.

Zomwe zimayambitsa maselo a atherosulinotic mu carotid artery ndi:

kusasamala kwa mahomoni,
onenepa kwambiri
kuperewera kwa zakudya m'thupi, zakudya zamafuta ambiri,
kusowa zolimbitsa thupi kwenikweni,
matenda opatsirana
matenda oopsa

Popeza anthu ambiri achikulire samachita masewera olimbitsa thupi ndipo amayamba kudya mwachangu, pafupifupi aliyense ali pachiwopsezo.

Zinthu zotsatirazi zimathandizira kuti pakhale cholesterol plaque mu carotid artery komanso kuchuluka kwake:

zaka Mwa anthu achikulire, kuchuluka kwa collagen kumatsika kwambiri, zomwe zimapangitsa kuti khungu lizitsekeka mwamitsempha yamagazi.
kuponderezedwa kowonjezereka. Chifukwa cha kuchuluka kwa ziwiya, zotanuka zake zimachepa, ndipo makoma amagwiritsidwa ntchito ndi microtrauma,
matenda ashuga. Chiwopsezo chotenga matenda a atherosulinosis chimawonjezeka kwambiri ngati wodwala ali ndi matenda ashuga. Mu shuga mellitus, thupi silingathe kuyimitsa shuga; chifukwa chake, kuthana ndi milomo ya lipoprotein kumacheperachepera,
chibadwire. Ngati m'banjamo mwakhala mukuchitika za momwe matendawo amakulira, ndiye kuti chiwopsezocho chimakula kwambiri.

Zizindikiro

Zizindikiro zakuwoneka ngati malo am'mitsempha ya carotid ndi motere:

zosokoneza tulo. Wodwala sangathe kugona nthawi yayitali, amazunzidwa ndi zoopsa.
migraine Mutu umachitika chifukwa chosowa oxygen nthawi zonse, chifukwa chake migraine imadziwika ngati chizindikiro chachikulu cha atherosclerosis,
kutopa. Mapangidwe a cholesterol amasokoneza kayendedwe kabwinobwino m'magazi, ndichifukwa chake zakudya zamaubongo zimasokonekera. Chifukwa cha hypoxia yosalekeza, kutopa kwakuthupi ndi kwamaganizidwe kumawonedwa,
kuganizira kwambiri,
tinnitus, kumva kutopetsa m'mutu.

Ngati muli ndi zizindikiro zochepa, ndiye kuti munthu ayenera kuganizira za thanzi lake ndikupimidwa ndi dokotala.

Muzochitika zapamwamba, wodwalayo amatha kukumana ndi kanthawi kochepa. Mwa zizindikiro, imafanana kwambiri ndi sitiroko ndipo imatha kukhala tsiku limodzi. Pankhaniyi, kupita kwa dokotala kuyenera kukhala kwachangu, apo ayi nthawi ina ikhoza kukhala yamenyedwe yeniyeni.

Zotheka

Zotsatira zoyipa kwambiri za arteriosulinosis ya mtsempha wam'magazi ndi sitiroko.

Zomwe mungachite pakadali pano zingakhale zosiyana kwambiri, komabe, zotsatirapo zake zimakhala zachisoni nthawi zonse:

kuchepa kwa magazi kupita ku ubongo. Nthawi inayake, magazi amachoka pafupifupi, ndipo ubongo umayamba.
blockage ya zombo zazing'ono. Pakuphulika mapepala, chidutswa chimayamba kusuntha kudzera m'matombo. Ngati ingalowe mumtsuko wamagazi pang'ono, ndiye kuti imasungidwa pomwepo, mpaka kufa kwa malowa.
magazi kupanga. Ngati magaziwo ndi akulu, ndiye kuti sitiroko limayamba chifukwa chophwanya magazi.

Zizindikiro

Madera a atherosulinotic amathandizira kulandira chithandizo, koma nthawi zambiri vuto limakhala kuzindikira matenda. Ndondomeko ya atherossteotic kwa nthawi yayitali siziwonekera mwanjira iliyonse, koma zotsatirapo zake zimakhala zovulaza thupi la munthu.

Kuti muchepetse kuchuluka kwa cholesterol m'magazi, muyenera kuyezetsa magazi pafupipafupi. Kuchuluka kwa cholesterol mthupi.

Kuphatikiza apo, njira zowonjezera zowunikira zimagwiritsidwa ntchito:

Doppler ultrasound, yomwe imakuthandizani kuti muzitsatira kayendedwe ka magazi ndi kapangidwe ka makhoma amitsempha yamagazi.
zopangidwa tomography. Njirayi imakuthandizani kuti muone momwe minyewa iliyonse imapangidwira. Kusintha chithunzicho, wothandizira mosiyanitsa ali ndi jekeseni yozungulira
magwiridwe amatsenga. Ndi chithandizo chake, kuthamanga kwa magazi kumatsimikiziridwa osati mu carotid artery, komanso m'mitsempha yaying'ono.

Ngati Zizindikiro zikuyamba kudziwonetsa, ndiye kuti chithandizo sichofunikira.

Pankhaniyi, ndikokwanira kugwiritsa ntchito njira zodzitetezera:

kukonza zakudya. Zakudya ziyenera kukhala zokhazikika, zopindika - osachepera 5 pa tsiku. Zakudyazi zimathandizanso kwambiri. Ndikofunikira kuthetseratu kapena kuchepetsa zakudya zomwe zadzaza ndi mafuta m'thupi kapena zomwe zimapangidwira mosavuta m'makoko: zakumwa za shuga zomwe zimapezeka pamoto, nyama zotsekemera, maswiti, zakudya zilizonse zosakonzedwa. Ndikofunikanso kusiya khofi (makamaka pompopompo) ndi mowa,
lekani kusuta, chifukwa chikonga chimachepetsa kagayidwe ndi magazi m'mitsempha,
Chitani masewera olimbitsa thupi nthawi zonse. Kuchita zolimbitsa thupi pafupipafupi kumathandizira kulimbitsa makoma amitsempha yamagazi, komanso imathandizira kagayidwe ka magazi ndikuthandizira kufulumizitsa kusamutsa kwa okosijeni kudzera m'mitsempha yamagazi.

Monga mankhwala osokoneza bongo, mankhwalawa amagwiritsidwa ntchito:

magazi kuwonda. Mankhwala oterewa amalepheretsa mapangidwe magazi - choopsa chachikulu pakupanga matenda a atherosulinosis. Chithandizo chofala kwambiri ndi acetylsalicylic acid (Aspirin),
kutsitsa kuthamanga kwa magazi, mwachitsanzo, Fosicard, Amlodipine, Renipril ndi ena,
kutsika kwa kuchuluka kwa cholesterol m'matumbo - Atorvastatin, Cardiostatin,
kulimbitsa khoma lamanja - Piracetam, Riboxin, Ascorutin,
painkiller ngati ndi kotheka, mwachitsanzo, Ibuprofen.

Ngati zikwangwani za m'mitsempha mwa carotid zimakula msanga, ndikufinya mwachangu ziwongo za m'mitsempha ya carotid, dokotalayo angalimbikitse kuchitapo kanthu. Pogwiritsa ntchito opaleshoni, mutha kuchotsa madongosolo omwe alipo, ndikuwonjezera kukula kwa ma depos.

Pali mitundu iwiri ya opaleshoni:

carotid endarterectomy - kuchotsera kwa cholesterol plaque mu mtsempha pogwiritsa ntchito zida zopangira opaleshoni. Njira iyi ndi yofala kwambiri. Dokotalayo amatha kuwoneka m'mitsempha yama carotid, ndikuchotsa mapangidwe a atherosrance. Opaleshoni iyi imawerengedwa kuti yothandiza kwambiri polimbana ndi matenda a sitiroko,
carotid angioplasty ndi stenting - kuchuluka kwa lumen pogwiritsa ntchito stent. Ntchito yamtunduwu imachitidwa pansi pa mankhwala oletsa ululu. Catheter imayikidwa m'mitsempha yama carotid, pomwe amayala. Pang'onopang'ono thes amatha kukula, motero amawonjezera chilolezo. Ndondomeko imabwerezedwa kangapo.

Kodi zikopa za atherosrance ndi chiyani m'mitsempha yama carotid?

Chimodzi mwazida zazikulu kwambiri ndi chotchedwa carotid artery. Imayamba pachifuwa. Ichi ndi chotengera chophatikizika. Mitsempha ya carotid yamanzere ndi kumanja imasiyanitsidwa. Amagawidwa m'magulu awiri. Mitsempha ya carotid yamkati ndi kunja imapereka magazi kuubongo, maso, ndi zina za mutu. Atherosulinosis ndi matenda osachiritsika omwe amapezeka ndi kuphwanya mafuta kagayidwe.

Izi matenda ndi chiopsezo chitukuko cha matenda oopsa ndi pachimake cerebrovascular ngozi. Atherosclerosis ndi wamba komanso mwadongosolo. Zaka zaposachedwa, chiwerengero cha odwala chakwera kwambiri. Cholinga chake ndi njira yolakwika ya moyo. Gulu lowopsa likuphatikiza amuna azaka zapakati pa 45. Amayi amadwala kangapo katatu. Izi matenda amakhala ndi kutsogolera kapangidwe ka zomwe zimayambitsa kulumala kwa anthu. Masiku ano, matendawa nthawi zambiri amapezeka mwa achinyamata.

Zoyambira zazikulu

Pali zifukwa zingapo zakugonjetsedwa kwa mitsempha ya carotid. Zotsatirazi zimatenga nawo mbali pakukula kwa atherosulinosis:

amuna
kusuta kwachangu ndi kugwiritsa ntchito ndudu ndi ndudu,
ukalamba
kuthamanga kwa magazi
kunenepa
matenda endocrine
kuperewera kwa zakudya m'thupi
matenda a cytomegalovirus,
kusowa kwa magalimoto,
dyslipidemia.

Nthawi zambiri matendawa amakula mwa anthu osowa zakudya m'thupi. Chofunika kwambiri ndikugwiritsa ntchito molakwika zakudya zomwe zili ndi lipids zamagulu ndi mafuta osavuta. Mafuta amitundu mitundu ya nyama ndi nsomba, mayonesi, tchipisi, batala, kirimu wowawasa, confectionery, makeke, masangweji ndi dzira yolk zimasokoneza mkhalidwe wamitsempha yama carotid. Kuchuluka kwa mndandanda wazinthu izi ndi chiopsezo cha chitukuko cha atherosulinosis.

Nikotini ndi phula lomwe lili mu utsi wa fodya zimasokoneza mitsempha yamagazi. Ali aang'ono, atherosulinosis imatha kukhala chifukwa chakulephera kugwira ntchito kwakuthupi. Achichepere amayenda pang'ono, amakonda kuyendetsa galimoto, amakhala nthawi yayitali pakompyuta ndi pa TV. Zonsezi zimayambitsa kunenepa kwambiri komanso kusokonezeka kwa metabolic.

Anthu omwe amasewera masewera samavutika ndi atherosulinosis. Choyambitsa chiopsezo ndi kuthamanga kwa magazi. Zimathandizira kuwonongeka kwa khoma lakale ndikuthandizira kuphatikizidwa kwa endothelium ndi mafuta. Ndi zaka, ziwengo zimachuluka. Cholinga chake ndi kukonzekera kwachilengedwe kukalamba. Chofunikira kwambiri pakukula kwa atherosulinosis ya mitsempha ya carotid imaseweredwa ndi zinthu monga cholowa, dyslipidemia, ndi kuwonongeka kwa khoma lamitsempha.

Pathogenesis wa chitukuko cha matenda

Kupanga kwamapangidwe amtundu wa atherosmithotic ndizovuta kwambiri. Pali magawo atatu a chitukuko cha matenda awa. Maziko ndikuwonetsa pa chipolopolo chamkati mwa mitsempha ya carotid ya atherogenic lipids. Omalizawa akuphatikizapo LDL ndi VLDL. Makonda amakhudza mitsempha yayikulu kwambiri yaopeneti ya lipoprotein. Pamene chiŵerengero cha LDL kukhala HDL chikasinthidwa molowera njira yazakale, yamafuta pamakoma.

Atherosulinosis imayamba. Pa siteji 1, lipoproteins ya atherogenic imayikidwa. Zimathandizira pakuwonongeka uku kukhoma kwa mitsempha ndikuchepetsa magazi. Malo a Lipid samasokoneza kutuluka kwa magazi m'matumbo. Zikuwoneka pansi pa maikulosikopu. Ngati chithandizo sichikuchitika, ndiye kuti gawo 2 limayamba. Amatchedwa liposulinosis.

M'madera omwe mafuta amachokera, minofu yolumikizana imakula. Mapilogalamu amayamba kupanga. Amakhala ofewa komanso amasungunuka bwino. Pakadali pano, pali chiopsezo chotukuka kwamafuta olimbitsa thupi. Mkhalidwe wamakhoma wamankhwala umasinthanso. Zimakhala zochepa. Zolakwika zosiyanasiyana zimapangidwa, zomwe zimakulitsanso vutoli.

Pakadali pano, magazi amaundana nthawi zambiri. Matendawa 3 amatchedwa atherocalcinosis. Zosintha zimasinthika. Mankhwala sangathenso kusungunula zikwangwani, chifukwa zomerazi zimayamba kukhala zonenepa.

Cholinga chake ndikuwonetsa mchere wamchere. Mapilala amakula kwambiri, kuchepetsa kutsekeka kwa mitsempha ya carotid. Izi zimatsogolera ku kuchepetsedwa kwawo. Pali chiopsezo cha kuchepa mphamvu, komwe kumayambitsa matenda a ischemic ndi khungu.

Matendawa ali bwanji?

Zizindikiro za matendawa sizichitika mwachangu. Gawo la lipid banga limatha kukhala zaka zingapo.

Zizindikiro zimawoneka ndi kuchepa kwakukulu (kopitilira 50%) ku lumen ya mitsempha ya carotid. Kugonjetsedwa ndikosathandizira komanso kophatikizana. Izi zikuwonetsa matendawa:

mutu
kumva kulira
kuyabwa
kufooka
kusokonekera kwa mawu
kuchepa kwa masomphenya
kufooka
kupweteka pachifuwa
kuphwanya zamkati
chizungulire
kusanja m'mlengalenga,
kufooka miyendo
kusintha kwa machitidwe
kugona kusokonezedwa
tinnitus
nkhawa
kusakhazikika
kusokonezeka kwa kukumbukira
kuyenda kwapang'onopang'ono
kutsamwa kwinaku mukudya.

Mu gawo loyambirira la atherosulinosis yamkati mwa carotid mitsempha, madandaulo ndi osagwirizana. Zizindikiro zimachitika nthawi ndi nthawi. Pambuyo pakupuma, mkhalidwe umakhala bwino. Mukukula, zizindikiro zimakulirakulira. Mwina kuwoneka ngati kunjenjemera miyendo. Kuyankhula kumasokonekera. Zizindikiro zonsezi zimachitika chifukwa cha kuchepa kwa mpweya muubongo.

Mu gawo la kuwongolera, luso la abambo limaphwanyidwa (kukumbukira, kuganiza, kuthekera kukumbukira). Anthu oterowo amafunikira chisamaliro kuchokera kwa okondedwa. Atherossteosis imatha kuyambitsa matenda a parresis ndi ziwalo. Chiwopsezo chokhala ndi ischemic stroke chikukula. Kuchepetsa kwa kanthawi kochepa kumayamba. Zizindikiro zimatha masana. Mu chithunzi chawo chachipatala, kuvutikira kwakanthawi kumafanana ndi sitiroko.

Zotsatira za arteriosulinosis ya mitsempha

Ndi zotupa za atherosulinotic za mitsempha ya carotid, kuchepa kwa kuthekera ndikotheka. Ichi ndi chikhalidwe chowopsa, chomwe chimadziwika ndi kufalikira kokwanira kapena pang'ono pang'ono kwa lumen ya ziwiya zomwe zimadyetsa ubongo. Kuposa 50% ya milandu ischemia yamatumbo chifukwa cha kuwonongeka kwa mitsempha ya carotid. Poyerekeza ndi kuchepa mphamvu kwa mitsempha yamagazi, kusowa kwa mpweya ndi michere kumachitika.

Nthawi zambiri, anthu otere amakhala ndi dyscirculatory encephalopathy. Zofunikira zake ndi:

kukhumudwa
mutu
phokoso m'mutu
kupweteka kumbuyo
arthralgia,
zosokoneza
kuganizira kwambiri,
kutopa pakugwira ntchito zolimbitsa thupi,
malingaliro operewera
kusokonezeka kwa kukumbukira.

M'magawo apambuyo, nzeru zimachepa. Dementia imayamba. Maluso a kudzisamalira amatayika. Anthu odwala amadwala ndipo alibe chidwi ndi chilichonse. Chidwi pa zosangalatsa zimatayika. Kuyenda kumachepetsa. Zizindikiro za kukomoka kwamkamwa, khunyu, kuperewera, kufinya, kupweteka pachifuwa, kukomoka, kupweteka kwa pseudobulbar ndi kugwedezeka kwa magawo atatu a encephalopathy motsutsana ndi maziko a atherosulinosis.

Ndi kukula kwa kanthawi kochepa kugunda, mavuto osakhalitsa amachitika. Zizindikiro izi ndizotheka:

monoparesis,
hemiparesis,
kusoweka kowonera m'maso,
paresthesia
dzanzi la nkhope kapena manja,
Maonekedwe a mawanga pamaso,
kuchepa kowoneka bwino.

Kutchinga kwathunthu kuzungulira kwa zotupa za atherosselotic za carotid mtsempha wamagetsi zimayamba mu 1% ya milandu. Ndi atherosulinosis, zotsatirazi ndizotheka:

kutayika kwa miyendo
paresis a nkhope
aphasia
ischemic stroke
thrombosis
ziwalo
khungu
atrophy
kusintha kwamisala muubongo,
embolism
kutulutsa magazi
dementia

Matendawa amafooka ngati wodwala sanachiritsidwe munthawi yake.

Njira zoyeserera komanso njira zamankhwala

Ndi atherosulinosis, maphunziro otsatirawa amafunikira:

Kutulutsa ziwiya zaubongo ndi khosi,
mbiri ya lipid
kuyezetsa magazi komanso kopitilira muyeso,
coagulogram
angiography
maginito oyang'anira kapena maginito olemba.

Kuphatikiza apo, mkhalidwe wamtima ndi zombo zama coronary zimayesedwa. Odwala amafunika kuthandizidwa pambuyo pofufuza ndi kufufuza. Dokotala wanu ayenera kuyeza kuthamanga kwa magazi anu. Pazosokoneza zowoneka, kuyezetsa kwamaso kumafunika. Momwe mungachiritsire atherosclerosis amadziwika kwa akatswiri ndi akatswiri onse a mitsempha.

Kusiya kusuta fodya komanso mowa.
Kuchulukitsa kwa magalimoto.
Kutsatira mosamalitsa zakudya.
Kutenga ma statins ndi mankhwala ena.

Ndi chitukuko cha thrombosis, antiplatelet agents ndi anticoagulants ndi mankhwala. Mu atherosclerosis, ndikofunikira kusintha mawonekedwe a lipid ngati milingo ya LDL, VLDL, kapena triglycerides itakwezedwa.Pachifukwa ichi, ma statin adayikidwa. Izi zikuphatikizapo Aterostat, Liprimar, Torvakard, Atorvastatin-Teva, Atoris, Simvastatin Zentiva, Vasilip, Simvor, Pravastatin, Livazo, Rosucard, Tevastor, Roxer, Krestor, Holetar, Cardiostatin, Rovakor, Vero-Lovolastatin ndi.

Mafayilo sakhala otchulidwa pang'ono. Ngati kusintha kwa atherosselotic, ndiye kuti simungathe kuchita popanda kudya. Muyenera kusiya ma offal, soseji, kirimu wowawasa, batala, nyama yamafuta, mayonesi, tchipisi, zakudya zamzitini, mazira a mazira, maswiti ndi mafuta anyama. Ndikofunikira kuti muchepetse kumwa kwamchere ndi zinthu zopangira buledi. Mankhwala a antihypertensive nthawi zambiri amaphatikizidwa ndi mankhwalawa a carotid arteriosulinosis.

Odwala amalangizidwa kuti aziyenda mu mpweya wabwino tsiku lililonse kwa maola osachepera 1-2. Zothandiza ma oxygen. Kuchiza ndi wowerengeka azitsamba ndikotheka, koma sikusintha mankhwala osokoneza bongo. Woopsa, opaleshoni ya endarterectomy kapena endoscopic imafunika.

Nthawi zambiri zonunkhira komanso ma prosthetics zimachitika. Ndi kuphatikizira kwathunthu, anastomosis imapangidwa. Chifukwa chake, kuwonongeka kwa mitsempha ya carotid ndi vuto lalikulu lomwe lingayambitse ischemia yamatumbo.

Carotid Cholesterol Plaque

Kuchepetsa pang'ono mitsempha ya carotid, chifukwa cha zotupa za atherosselotic, kumatha kubweretsa zovuta m'maselo aubongo, ndikupanga zovuta za mitsempha ya ziwalo, zomwe nthawi zambiri zimayambitsa kufa.

Ngati ma cell aubongo samalandira oxygen, ndiye kuti zizindikiro za ubongo za hypogia zikuwonekera:

Chizungulire komanso kupweteka kwamitundu yosiyanasiyana,
Osawoneka bwino, amawuluka m'maso, nebula,
Kutopa kwamthupi nthawi zonse komanso kutopa kwambiri,
Kugona posokoneza tulo
Mdima m'maso ndi kukomoka, kulephera kudziwa,
Kusintha kwa malo ndi nthawi,
Kukumbukira kwamphamvu, luntha, komanso kusamala
Amisala am'maganizo komanso okhumudwa, orexcation komanso zonyansa zamakhalidwe. Munthu amaleka kuwongolera zochita zake.

Kuchepetsa pang'ono kwamitsempha yama carotid

Nthawi zambiri, atherosclerosis m'matumbo a khosi, malo ophatikizika amodzi mwa chotupa chachikulu cha carotid artery ndi mkati mwa carotid artery (ICA) amavutika. Madera a atherosselotic amawaika mumtsempha wa choroid.

Nthawi zambiri, atherosulinosis mkati mwa carotid mitsempha imatsogolera kusintha m'makoma ndipo kungayambitse occlusion.

Kuopsa kwa mapangidwe amtundu wa atherosselotic kumachitika chifukwa chakuti mapulateleti amamatirira kumtundu wowonongeka wa endothelial ndikuyamba kupanga magazi omwe amatha kulowa m'mitsempha ya ziwalo kudzera m'magazi ndikuyambitsa matenda a ischemia ndi ubongo.

Mikwingwirima ya Ischemic, kapena kulowetsedwa kwa ubongo, imapha mu 5.0% ya odwala omwe ali ndi atherosulinosis mu mitsempha ya carotid.

Chifukwa cha kuopsa kwa matenda amtunduwu m'magazi, anthu omwe ali ndi zaka 35 amafunika kupereka magazi chifukwa cha cholesterol mwanjira iliyonse, miyezi isanu ndi umodzi iliyonse, ndipo amayesedwa kuti athetse matenda omwe ali m'mitsempha yamagazi ndi mitsempha kuti adziwe nthawi yake pa gawo loyamba lachitukuko.

Carotid Cholesterol Plaque

Zimayambitsa carotid sclerosis

Matenda a atherosclerosis ndi matenda opatsika mosiyanasiyana, omwe amakula omwe amayambira kale asanayambike zizindikiro zake. Zimatha kupitirira zaka 10 kuchokera pa chiyambi cha kupangidwa kwa cholesterol pamalo a endothelium mpaka mpaka chizindikiritso choyamba cha stenosis cha choroid.

Atherosulinosis imapangidwa limodzi ndi ma pathologies a calcification, omwe amatenga nawo mbali pakapangidwe ka ma atherosselotic plaques pamtsempha wa mitsempha ya carotid.

Mafuta a cholesterol omwe amapezeka mumitsempha yayikulu ya carotid amapangidwa pazifukwa zotsatirazi:

Kutembenuka mu magwiridwe a lipid metabolism. M'magazi mumakhala kuchuluka kwa mamolekyulu a cholesterol aulere, komanso kuchuluka kwa ma cell ochepa a lipoprotein m'magazi, zomwe zimapangitsa kuti thupi likhale lozama komanso cholesterol yaulere mkati mwa choroid monga malo a lipid.
Kulephera kwa mahomoni, komwe kumakweza kapangidwe ka mamolekyulu a lipoprotein ndi maselo a chiwindi,
Genetic mabanja hypercholesterolemia,
Malinga ndi lingaliro la akatswiri awa, zomwe zimayambitsa autoimmune, momwe ma macrophages osiyanasiyana, kuphatikizapo leukocytes mpaka mtima omwe amapangika amatha kupangitsa matenda a atherosulinosis.

Kuphatikiza pazifukwa zambiri za atherosulinosis zomwe zadziwika, choyambitsa chachikulu chazachipatala ndiz kuphwanya lipid metabolism ya thupi.

Pazifukwa izi, kuchuluka kwa cholesterol m'magazi kumawonjezeka, komwe kumayambitsa mapangidwe a atherosulinotic neoplasms pa choroid.

Mitundu ya Carotid Atherosulinosis

Kutengera mawonetseredwe azachipatala, matenda osiyanasiyana amatsimikiza. Malinga ndi ICD-10, mitundu itatu ya chitukuko cha sclerosis m'mitsempha ya carotid imadziwika:

Stenosing mtundu wa carotid atherosulinosis arterial lumen yafupika ndi oposa 50.0%. Chithandizo chimayeneranso kutsatiridwa ndi zakudya zotsutsana ndi cholesterol, koma ndi mtundu uwu wa atherosermosis, mitsempha ya carotid imakhala yopunduka, yomwe imayenera kuwongoleredwa ndi chithandizo cha opaleshoni, kapena chithandizo chamanthawi yayitali ndi mankhwala chikuyenera kugwiritsidwa ntchito.
Mtundu wa non-stenotic wa carotid atherosulinosis arterial lumen imachepetsedwa ndi osakwana 50.0%. Chithandizo chachikulu cha mtundu uwu wa atherosulinosis ndicholinga chogwiritsa ntchito kusintha kwa zakudya komanso kuwonjezera zochitika zolimbitsa thupi, komanso kugwiritsa ntchito mankhwala omwe cholinga chake ndi kutsitsa ndende ya cholesterol m'magazi. Njira zochizira opaleshoni sizigwiritsidwa ntchito kawirikawiri,
Multifocal mtundu wa atherosulinosis pa carotid mitsempha. Mapangidwe amtunduwu a matenda amtundu wa mankhwalawa amathandizidwa malinga ndi kusokonezeka kwa mitsempha m'mitsempha ya ziwalo, komanso momwe magwiridwe ntchito a ziwalo zaubongo. Pokhapokha atazindikira mozama, ndikotheka kudziwa zolemba pamitsempha yama carotid ndipo adotolo adzafotokozere momwe angawathandizire.

Nthawi zambiri, njira zochizira opaleshoni zimagwiritsidwa ntchito pochiza matenda amitsempha yamagazi.

Mothandizidwa ndi opaleshoni, mutha kuchotsa mwachangu zolembera za mu ubongo ndi kukhazikitsa magazi kupita ku ubongo.

Zosiyanasiyana za atherosulinosis ya mitsempha ya carotid

Zizindikiro za atherosulinosis ya mitsempha yayikulu ya carotid

Zizindikiro za carotid artery sclerosis koyambira koyambirira sizikuwoneka mwanjira iliyonse, zimatengera kuti m'misewu yayikuluyi ndi yayikulu mokwanira, kotero njira ya arterial sclerosis imatenga oposa chaka chimodzi.

Zizindikiro zoyambirira za kukhalapo kwa atherosulinosis m'mitsempha ya khosi zimayamba kuoneka ngati izi:

Wodwalayo amayamba kumva dzanzi m'khosi atakhudzidwa ndi mtsempha. Poyamba, dzanzi limayamba kwakanthawi kochepa, koma matendawa akamakula, ndiye kuti dzanzi limakhudzidwa kwambiri ndikumatenga nthawi yayitali,
Ntchito zamkati mwaubongo zimasokonekera ndi kukula kwa zolengedwa zam'matumbo komanso kuchepera kwa kuwala kwam'mbuyo,
Mphamvu yogwira ntchito imachepa ndipo wodwalayo amamva kufooka thupi lonse. Ndi kutsekeka kwakukulu kwa ochepa kwa lumen ndi zolengeza, maselo amtundu wa ubongo amayamba kudwala hypoxia. Thupi limayamba kuchepetsa zofunikira zake, ndipo kuchepa kwa zochitika pamlingo waluntha komanso thupi,
Kuwonongeka kwakanthawi kochepa. Chizindikiro chimadziwonekera kumapeto kwa chitukuko cha matenda am'mimba ndipo ndi harbinger wa ischemic stroke.

Zizindikiro zoterezi zimatha kuchitika ndimatenda ena a mtima komanso mavuto muubongo, koma ichi ndi chizindikiro kuti ndikofunikira kuyang'ana kuti mupeze matenda a atherosclerosis a mtsempha wama carotid.

Wodwalayo amamva kufooka thupi lonse

Ndi dokotala uti yemwe ndiyenera kulumikizana naye?

Ngati zizindikiro zoyambirira za matenda otaya magazi ku atherosulinotic OSA zikuchitika, muyenera kupita kuonana ndi dokotala-akatswiri. Pambuyo pakufufuza ndi kudziwa njira zodziwitsira, dokotala amamuwuza dokotala. Katswiri wamatsenga amatenga mitsempha yam'magazi, phlebologist imagwira mitsempha.

Ngati mtundu wina wa atherosulinosis utakula ndipo mitsempha ya mtima ndi mtima zimakhudzidwa, ndiye muyenera kupita kukapangana ndi mtima. Ndi gawo lotsogola la atherosulinosis la chotupa cha carotid komanso kuwonongeka kwa ubongo, wamanjenje amatenga nawo mbali mankhwalawo.

Komanso, pochita opaleshoni ya matenda amtunduwu, dokotala wamankhwala ochita kupanga, kapena neurosurgeon, amaphatikizidwa.

Mankhwala othandizira opaleshoni ya khansa imeneyi, dokotala wa opaleshoni yam'mimba amakhudzidwa

Chithandizo cha atherosclerosis ya carotid ziwiya

Chithandizo cha ma sclerotic amana ku OSA ziyenera kuchitika mokwanira ndipo njira zochizira zokha ziyenera kuyamba mofulumira.

Maphikidwe achikhalidwe chachikhalidwe chothandizira matenda a atherosulinosis a carotid mitsempha sagwiritsidwa ntchito, chifukwa kusakhazikika kwawo kwatsimikiziridwa, koma nthawi yamankhwala iyi yatha, ndipo munthawi imeneyi atherosulinosis imatha kulowa mu mawonekedwe ovuta, omwe angayambitse imfa.

Choyamba, kuchita moyo komanso kusintha kwaumoyo.

Chithandizo cha zakudya chimaletsa kugwiritsa ntchito zakudya:

Zakudya zokonzedwa ndi kuwotcha ndi kusuta,
Zinthu zomwe zimaphatikizapo mafuta a nyama, zakudya zamafuta amkaka, mafuta anyama, nyama, mazira,
Zakumwa zoziziritsa kukhosi ndi zokometsera,
Mowa
Khofi wamphamvu komanso chilengedwe ndi tiyi,
Mkate ndi makeke ochokera kumigawo yapamwamba kwambiri ya ufa woyera,
Shuga ndi maswiti.

Zosankha ziyenera kukhala ndizambiri:

Zatsopano zamasamba, komanso zipatso, zipatso ndi zipatso;
Nsomba zam'madzi osachepera kanayi pa sabata,
Nyama yamitundu yoyera yokhala ndi mafuta ochepa,
Mtedza, Mafuta Ophukira,
Mbale zochokera ku chimanga, komanso nyemba ndi nyemba,
Malonda amkaka opepuka.

Mukamadya, muyenera kudya mpaka katatu pa tsiku, ndipo ma servings sayenera kupitirira 200 milliliters, ndipo musaiwale za kugwiritsa ntchito madzi oyeretsedwa tsiku lililonse mpaka mamililita 1,500.0.

Zosankha ziyenera kukhala ndi masamba ambiri atsopano, komanso zipatso, zipatso ndi amadyera

Mankhwala

Zochizira atherosulinosis mu carotid mitsempha, mankhwala amagwiritsidwa ntchito kuchepetsa kuchuluka kwa mafuta m'thupi m'magazi, komanso mankhwala osokoneza bongo omwe amachititsa kuti munthu asadwale:

Mankhwala ochepetsa magazi
Mankhwala a Statin ndi fibrate kuti muchepetse cholesterol yanu yoyipa,
Mankhwala omwe amaphatikizana ndi bile acid kuti ayambe kugwira ntchito ya bile, omwe amagwiritsidwa ntchito pakugwiritsa ntchito lipids zowonjezera,
Mankhwala obwezeretsa kagayidwe kachakudya mthupi,
Ma antiplatelet othandizira omwe amateteza kupangika kwa magazi kuundana ndi thrombosis yamitsempha. Kulandila kwa anticoagulants ku atherosulinosis kumatenga moyo.

Mankhwala onse amathandizidwa ndi adotolo ndipo mankhwala omwe amadzichiritsa okha amaloledwa, chifukwa adzabweretsa zovuta ndi kufa.

Mankhwala omwe amagwiritsidwa ntchito pochiza atherosulinosis mu mitsempha ya carotid

Mankhwala ochizira atherosclerosis CA

Ngati mankhwala osokoneza bongo sanathandizire kuchepetsa mawonekedwe a atherosulinotic chiwonetsero, ndiye kuti amayesedwa kuti mugwiritsidwe ntchito pochita opareshoni. Ntchito zotseguka zimachitika pamitsempha yama carotid ndi njira yovuta kwambiri, yomwe imagwiritsa ntchito zoopsa, imagwiritsidwa ntchito.

Njira yoperekera opaleshoni imasankhidwa ndi dokotala potengera zotsatira za kuzindikira kwa operewera.

Njira zakugwiritsira ntchito mitsempha ya carotid:

Opaleshoni ya Carotid endarterectomy lotseguka kuti athetse chithokomiro cha atherosulinotic,
Balloon mtundu wa angioplasty umachitika m'malo osafikirika pomwe ndizosatheka kuchita endarterectomy,
Njira yochepetsera yoluma. Kudzera pakabowoleza thupi, stent imayikidwa mu carotid artery, yomwe imakulitsa mphamvu yowunikira.

Carotid Endarterectomy

Kupewa

Njira zodzitetezera zimagwiritsa ntchito malamulo awa:

Kusiya kusuta fodya komanso kumwa mowa
Limbitsani zolimbitsa thupi zolimbitsa thupi ndikuwonjezera ntchito,
Zakudya zoyenera
Menyani mapaundi owonjezera amenewo
Pewani kupsinjika kwamanjenje ndi zovuta zina,
Nthawi zonse yang'anirani ndikusintha ma glucose komanso kuthira magazi.

Atherossteosis amatanthauza ma pathologies omwe ndi osavuta kupewa kupewanso kuchiritsidwa pambuyo pake.

Ndi njira yachipatala, matenda awa samachiritsidwa kwathunthu, ndipo chithandizo cha opaleshoni chimatha kubwezeretsa magazi, koma nthawi zonse pamakhala chiopsezo chodziwika ndi ziwonetsero zina m'mitsempha yayikulu.

Kanema: Carotid stenosis. Zomwe zimalepheretsa magazi kutuluka?

Ngakhale akatswiri odziwa bwino ntchito sangachite kuti adziwe za matendawa ndipo sanganene motsimikiza kuti atherosulinosis m'mitsempha yayikulu ya carotid iwonekera. Sclerosis ndiyabwino kwambiri ndipo imatha kukhala yodziwikiratu ndikuwoneka ngati stroke, yomwe imamupangitsa wodwalayo kuti afe.

Ndipo sclerosis yamtundu wosakhala stenotic, womwe umatenga nthawi yayitali ndipo umabweretsa zovuta zambiri kwa wodwala, ndi chithandizo choyenera komanso njira yoyenera, imakulitsa moyo wa wodwalayo kwa zaka makumi angapo.

Kodi amapanga bwanji?

Mchiberekero cha munthu aliyense, mitsempha iwiri ya carotid imadutsa nthawi yomweyo, kuphatikiza ma vertebrates awiri kumanzere ndi kumanja. Kudzera m'mitsempha iyi ya khomo lachiberekero, magazi amayenda kumaso ndi ubongo. Poyerekeza ndi kutuluka kwa magazi mu msana, mu chifuwa cha khomo lachiberekero zonse zimachitika kwambiri, ndipo kupatuka kwina kulikonse kumachepetsa kuthamanga kwa magazi ndi kukhudza moyo wamunthu. Ichi ndichifukwa chake kufunikira kwa mitsempha ya carotid ndikokwera kwambiri.

Inde, matendawa samachitika tsiku limodzi ndipo nthawi zina ngakhale mchaka chimodzi, koma kusintha kwina komwe kumachitika mthupi la munthu ndikudziwika kuti matendawa atayamba. Choyamba, kuti kusintha koteroko kuchitika, munthu ayenera kukhala ndi zina zoyambirira ndi zina zabwino. Izi zikhoza kukhala kuphulika kwa microscopic m'mitsempha yama carotid, pomwe cholesterol imatha kuyikidwanso. Kuchepa kwa magazi kudera linalake ndi mwayi wina kuti zolembera zizipezeka m'malo ano mtsogolo. Pomaliza, madotolo amawona kuti nthawi zambiri vutoli limapezeka pamalo omwe amapangika mafupa a carotid, pomwe makoma a zotengera amakhala ochepa thupi.

Chifukwa chake, zomwe zimayang'ana mwachindunji kuwonekera kwa kakulidwe ka cholesterol pamakoma a chotupa cha carotid ndiko kumwa kwambiri mafuta, lipoprotein wolemera-wotsika otsika zakudya.

Kwa munthu wathanzi, kuchuluka kwa calorie kudya sikungayambitse mavuto mu mtima, koma ngati kudya kwambiri kumachitika pafupipafupi, ndiye kuti chitetezo chamthupi chimayamba kulephera. Ngati ma enzymes a parietal nthawi zambiri amathandizira kuthana ndi mafuta, ndiye chifukwa chamafuta ochulukirapo a calorie, sangathe kuthana ndi kuchuluka kwa ntchito yomwe amayenera kuchita. Ndipo, motero, ma lipids ovuta, mapuloteni ndi cholesterol amapangidwa m'matumbo amitsempha yamagazi ndi mitsempha. Malupu ang'onoang'ono awa amatha kusunthira mumitsempha yamagalasi ndikulumikizana ndi gawo lofooka kwambiri, pomwe parietal lapansi imakhala yotupa komanso yotupa.Zotheka kuti kuphatikiza kumeneku kumachitika ndendende mu chotupa cha carotid.

Mpira wamafuta utalowa khoma, palinso kuwonjezeka kwa minofu yatsopano yolumikizidwa. Akatswiri amatcha gawo ili liposulinosis. Pakapita kanthawi, kukula kumapangidwa kale ndikukhazikika pakhoma. Kupitilira apo, zolembera za atherosclerotic zipitilirabe.

Plaque kapangidwe

Akatswiri amagawa zolembera za sclerotic m'magawo awiri - pakati ndi tayara (kunja kwake). Pakatikati pali cholesterol yaulere yokhala ndi ether pang'ono, yomwe imathandizira kulimbitsa. Pafupifupi nyukiliya, munthu amatha kuwona ma "foamy" ma cell. Awa ndi ma macrophages, omwe nthawi zambiri amapangidwa ndi mafuta. Popita nthawi, zinthu zamafuta zimakhudza ma macrophages ndikulowera mu ma nyukiliya.

Danga lakunja la zolembera zamtundu wa atheroscrotic ndi membrane wa fibrous wokhala ndi ululu wa elastin ndi collagen. Kuchuluka kwa collagen ndi elastin zimakhudza mwachindunji kuthekera kwa tayala kupasuka.

Pamagawo oyamba, zolembera zam'madzi a carotid zilibe mphamvu kwambiri. Zomwe zili mkati zimatha kutchedwa kuti theka-zamadzi, motero zimatha kusungunuka. Zachidziwikire, ngati munthu akudziwa za kukhalapo kwawo pakadali pano, ndiye kuti chithandizo chake chimakhala chosavuta. Mwa njira, ngakhale pakadali pano, chikhodzodzo cha atherosulinotic chayamba kale kuopsa. Ndi kulekanitsidwa kwa zinthu zomwe zimapangitsa munthu kukula, kutsekeka kwathunthu kwa chombo kungachitike. Kutseka koteroko kwa chotupa cha carotid kumachitika ngati gawo loyambalo litaima pamalo ena, mwachitsanzo, pamalo opezekera foloko.

Popita nthawi, chigamba chakunja chimayamba kuvunda. Imakhala ndi mchere wamchere, womwe umawonjezera kuuma. Ndiye akuyamba gawo lomaliza la atherosselotic zolengeza mapangidwe - atherocalcinosis. Tsopano chinsalu cha cholesterol chikukula pang'onopang'ono, chokhazikika komanso chosasunthika kwathunthu. Pakadali pano, pali kuwonongeka pakubwera kwa magazi mderali. Mwa njira, ngakhale khola lolimba limatha kupitilira, koma izi zidzachitika kwa zaka zingapo. Collagen yomwe ilimo imathandizira kuti makoma a pentiyo azikhala odalilika komanso kuti isagunduke.

Ngati kapangidwe kake ndi zolembedwazo kuli ndi kuchuluka kwa lipids, ndiye kuti mapangidwe oterowo amaonedwa ngati osakhazikika. Izi zikutanthauza kuti mwina mwayi wake wopasuka, womwe ungayambitse thrombosis.

Palinso zinthu monga heterogeneous atherosulinotic plaque. Pankhaniyi, matendawa amapezeka ndi zotupa komanso zilonda zomwe zimapezeka pafupipafupi ndi cholesterol plaque. Mphepete mwa mapangidwe oterewa ndi osagwirizana;

Magawo opanga zolengeza mu carotid artery.

Kudzikundikira kwamatumbo amafuta omwe samatheka kuti athe kusungunuka.
Maselo othandizira amakhudzidwa ndi njirayi - T-lymphocyte ndi monocytes.
Monocytes amasamukira kukhoma, potero amawononga mawonekedwe a endothelium ndi mawonekedwe a maselo a thovu.
Mapulatifomu ochokera m'magazi amakopeka ndi malo omwe awonongeka.
Zotsatira za kuwonongeka kwa endothelium, thupi limasunga okhazikika maselo otetezedwa, ndikuyesetsanso kumanga malo omwe awonongeka.
Kupanga kowonjezereka kwa collagen ndi elastin kumabweretsa kudzikundikira kwanuko ndikuwoneka ngati tabu mu mawonekedwe aulere a chombo.
Kukula kumapangidwa ndikukula kukula.

Zitha kuoneka kwa nthawi yayitali, ndipo izi ndi zoopsa kwambiri. Zizindikiro zowoneka zitha kukhala zosiyana ndipo zimatengera zinthu zambiri - kukula kwa kusungitsa, kutulutsa, ndi zina zotero. Nthawi zambiri, ndi kuchepa kwa magazi m'dera linalake, amadziwika ndi kutopa pambuyo pakuchita masewera olimbitsa thupi kapena kuthamanga kulikonse kwa magazi. Odwala ambiri amafotokoza kuwawa pang'ono, koma osayang'anira. Ndipo zachidziwikire, chizindikiro cha kuwonongeka kwa cholesterol chosakhazikika ndi vuto la mtima kapena stroke.

Nthawi zambiri, zizindikiro zimayendera limodzi ndi zizindikilo zomwe zimawonedwa mwa odwala onenepa kwambiri. Chifukwa chake, kuukira kwa ischemic kumatha kuchitika, pomwe zotsatirazi zingaoneke:

Kusokoneza kalankhulidwe. Kuphwanya magazi komwe kumabweretsa mu ubongo kumabweretsa kusintha kosiyanasiyana, zomwe zimapangitsa kuti pakhale kusokonezeka kwa kalankhulidwe. Kusowa kwa chakudya kwa oxygen koteroko kumalepheretsa munthu kupanga sentensi yosavuta.
Kudzera. Imawoneka mwadzidzidzi ndipo imakhala mbali imodzi yokha ya thupi.
Zowonongeka m'maso amodzi. Chizindikiro chowopsa kwambiri, chikuyankhula za momwe thupi lisanafike.
Zofooka. Mwinanso osafunikira kwenikweni, malinga ndi odwala, chizindikiro. Chowonadi ndi chakuti zolembera zamtundu wa atherosselotic zimatseka magazi, zomwe zimapangitsa kuti pakhale mpweya wabwino. Kenako, thupi limatembenuka ndi "kupulumutsa mphamvu". Wodwalayo amamva kutopa mosalekeza, mosakhazikika ndipo ngakhale akumva kusweka popanda ntchito yolimbitsa thupi.

Mwa munthu aliyense payekha, zizindikiro zake zimatha kutchulidwa kapena kufooka. Odwala ena ali ndi chizindikiro chimodzi chokhachokha kuchokera pamndandandawu, pomwe ena amafotokoza chithunzi chonse chachipatala. Poyamba, kuukira kwa ischemic kumatha kukhala kochepa kwambiri, mpaka ola limodzi, ndipo pambuyo pake kumatha pafupifupi tsiku limodzi. Popita nthawi, nthawi pakati pamagwidwa ikhoza kuchepetsedwa, ndipo tsopano munthu amakhala wodwala wa mtima yemwe amafunika chithandizo cham'tsogolo.

Mankhwala othandizira

Kuchita opaleshoniyo kudzachotsa cholesterol plaque ndikubwezeretsa kutuluka kwa magazi. Lingaliro lazomwe njira iyi ichitikire ayenera kuchitidwa ndi adokotala okha. Masiku ano, pali mitundu iwiri ya opaleshoni yomwe imagwiritsidwa ntchito pochita opaleshoni nthawi zambiri imagwiritsidwa ntchito pochiza vutoli - balloon angioplasty yotsatiridwa ndi stenting ndi endarterectomy.

Njira yoyamba imachitidwa pansi pa mankhwala oletsa ululu. Kuti muchite izi, dokotala amayambitsa baluni yodutsa kudzera mu catheter mumtsempha wamagetsi kapena mu radial artery pa mkono. Mloza ukafika pamalo ofunikira mu carotid artery, umangokulitsa kuwala. Komanso, stent imayikidwa mu malo ochepera. Uwu ndi khola laling'ono lachitsulo, lomwe limakhazikika m'malo omwe kale anali ochepa kwambiri a chotupa cha carotid ndipo potero limakupatsani mwayi wobwezeretsa magazi.

Endarterectomy imachitika pokhapokha ngati mankhwala oletsa kupweteka. Potere, adokotala amayambitsa chida chosinthira, chomwe chimafika pang'onopang'ono. Tsopano opaleshoniyo amachotsa pang'onopang'ono palokha, zomwe zimatchinga magazi. Tsoka ilo, milandu ingapo yobwereza matendawa imafotokozedwa, chifukwa kapangidwe ka khoma la chotengera m'malo ano sichabwino, zomwe zikutanthauza kuti matendawa amatha kubwereranso.

Chithandizo cha laser chingagwiritsidwenso ntchito. Poterepa, adotolo amawongolera mtanda wa laser ndendende pamalo opangira zolembera. Mothandizidwa ndi mtanda, mawonekedwe amaphulika.

Therapy ya Ozone imatha kutchedwa opaleshoni ndikutambasula pang'ono. Potere, adotolo amabweretsa ozone m'magazi a wodwala, omwe ali ndi zida zowothandizira kuphatikiza oxidom ndi immunomodulator. Imasungunuka zotupa zam'madzi m'magazi, zimathandizira kagayidwe, kameneka kwa odwala ambiri omwe ali ndi vuto la chotupa cha carotid ndikofunikira.

Pomaliza, thrombolysis ingatchulidwenso ndi njira zopangira opaleshoni. Chofunikira chake ndikuti dokotala amubweretsa chinthu chapadera chogwira mtima mu mtsempha wamagazi. Chokoleti cha cholesterol chimasungunukiratu, ndipo magazi amayenda bwino.

Zizindikiro zakuchita opareshoni

Loyamba ndi kukula kwa zolembazo. Monga lamulo, amamuika ngati zolengeza mu carotid artery yotseka zoposa 70% ya lumen yonse. Ma depositi omwe amapangidwa kwa zaka zingapo, ndipo wodwalayo nthawi yonseyi adakhala akuwonongeka. Zizindikiro zowoneka zimaphatikizapo kudera nkhawa kwa wodwala pa mankhwala. Mwanjira ina, ngati kumwa mankhwalawa sikunapereke chifukwa, ndiye kuti nthawi zambiri dokotalayo amaganiza kuchitira wodwalayo njira zopangira opaleshoni, zomwe zingakhale chipulumutso chenicheni kwa wodwalayo. Komanso, kusakhazikika kwa zolembazo, nembanemba yake, yomwe nthawi iliyonse imatha kupezeka ndikuvulaza, imatha kuzindikirika ngati chizindikiro cha opereshoni. Ngati wodwalayo ali kale ndi vuto la strinfarction kapena sitiroko, ndiye kuti opaleshoniyo siyiyenera kuchepetsedwa.

Contraindication opaleshoni mankhwala

Tsoka ilo, odwala ambiri omwe ali ndi vutoli amakhala ndi kuthamanga kwa magazi, ndipo izi zimapanga zake momwe masinthidwe othandizira opaleshoni. Poyamba, wamtima amayesa kufanana kukakamizidwa. Kulephera kudzetsa magazi kwa wodwala kuchipani chokhazikika ndikuphwanya chiyambi cha opaleshoni. Kuvutikanso ndikuphwanya mzere wamtima.

Komanso, opareshoni sayenera kuchitika panthawi ya kutupa komwe kumachitika mthupi. Pankhaniyi, thupi litha kuyankha moyenera pakayendetsedwe ka mankhwala omwe amathandizidwa ndi opaleshoni. Kukhalapo kwa matupi awo sagwirizana ndi mankhwala omwe amaperekedwa pakuchita opareshoni ndi chinthu chofunikira kwambiri pakuzimitsa kwa njirayi.

Balloon angioplasty kutsatiridwa ndi stenting nthawi zambiri kumachitika ngati endarterectomy siyotheka pazifukwa zina. Komanso, angioplasty samachitidwa pamaso pa matenda aliwonse amitsempha omwe amasokoneza kugwiritsa ntchito zida zam'mimbazi. Pomaliza, mtima wathunthu wamatsenga umaphatikizanso mwachindunji kwa stenting angioplasty. Kukutulutsa kokhazikika ndi kuwononga kwa ziwiyazi ndi njira yovuta yopangira opaleshoni, ndipo pankhaniyi, kuchitapo kanthu opaleshoniyo ndi bwino kuchitidwa ndi katswiri waluso.

Ngati wodwalayo anali ndi vuto la kukomoka kwa magazi m'miyezi iwiri yapitayo, ndiye kuti opaleshoni iyenera kukhazikikanso. Sapangidwira odwala omwe ali ndi matenda a Alzheimer's.

Thrombolysis ingakhalenso ngozi. Chowonadi ndi chakuti ngati ziwopsezo za dokotala wa opaleshoni wosazindikira sizolondola, zimatha kuyambitsa kutaya magazi kapena kupasuka kwa capillaries.

Moyo wa wodwala atachitidwa opaleshoni

Kutsatira malamulowo panthawi yogwira ntchito kungathe kusintha zotsatira zomwe dokotala wachita opaleshoniyo wachita zambiri. Kuvomerezedwa zotchulidwa magazi. Mwa njira, aspirin wosavuta kwambiri amathana ndi izi bwino, ndipo ndiamene amapezeka mu Chinsinsi, kapena pepala lolemba. Statin amalembedwanso, omwe amathandiza kuti muchepetse kukula kwa atherosulinosis.

Zithandizo za anthu

Amatha kuphatikiza chithandizo chovuta. Hirudotherapy imakhala ndi zotsatira zabwino kwambiri. Mwa njira, mankhwala a leech tsopano amachitika m'malo ambiri a mtima. Mbale yomwe imakhazikika imasokoneza magazi. Njirayi imakuthandizani kuti muchotse mwachangu zisonyezo zaumoyo wopanda vuto, zomwe zidachitika chifukwa cha mapangidwe amtundu wa carotid. Zotsatira zimatenga nthawi yayitali kwambiri.

Zinthu zina zimathandizira kuti magazi azisintha komanso kuti muchepetse magazi m'thupi. Chifukwa chake, madzi a beet, omwe amawonjezeredwa pang'ono pakumwa chilichonse, amalimbikitsa kusungunuka kwa zigawo za lipid ndikuzilepheretsa kupanga mawonekedwe okhazikika oyenda m'matumba.

Ether yomwe ili mu anyezi ndi adyo imathandizanso chimodzimodzi ku khoma lamitsempha. Mwa njira, zinthu zatsopano zokha popanda chithandizo chochepa kwambiri cha kutentha ndizomwe zimabweretsa izi.

Matendawa amakhala ngati magazi ndi uchi. Pakalibe zilonda, munthu amatenga supuni ziwiri za uchi patsiku. Shuga wopanda shuga amalimbikitsidwa kuti asayanjanitsidwe pazakudya.

Udindo wamitsempha yamagazi m'khosi ndi chiopsezo chakugonjetsedwa

Mitsempha ya Carotid ndi imodzi mwazida zofunika kwambiri mthupi la munthu. Amadyetsa ziwalo zonse zamutu, kuphatikiza chofunikira kwambiri - ubongo. Ndipo iye, monga mukudziwa, amamwa 1/5 wa okosijeni onse omwe amalowa m'magazi. Chifukwa chake, pakuchepa kwa lumen kwa mitsempha iyi, gawo lofunikira kwambiri la thupi limavutika.

Khoma labwinobwino la ngalawa limakhala losalala, kusakhalapo kwina kwa zinthu zina zakunja. Ngati cholesterol plaque ayikidwa pakhoma, nthenda yotchedwa atherosulinosis imayamba. Kuphatikizidwa kwa zolembazo kumaphatikizanso calcium, lipid amana. Zonsezi zimasokoneza kuyenda kwa magazi koyenera.

Kuyika kwa plaque pamakoma a mitsempha ya carotid kumachitika pamene mitsempha ina imakhudzidwa kale ndi atherosulinosis. Kuwonjezeka kwa kuchuluka ndi kukula kwa madipoziti otere kumabweretsa kusokonezeka kwa michere ya bongo, yomwe, imayambitsa kukulira kwa zovuta zingapo zowopsa. Chovuta kwambiri mwaiwo ndi ischemic kapena hemorrhagic stroke, nthawi zambiri imayambitsa imfa.

M'migawo yoyambirira, wodwalayo amakhala ndi atherosclerosis yopanda stenotic, sizitengera kuchepa kwa lumen ya chotengera. Koma pambuyo pake matendawa, stenotic atherosulinosis imayamba, yomwe imayambitsa kutsekeka kwa mtsempha wamagazi, womwe ndi wofunikira kwambiri pamoyo.

Kodi matendawa amakula bwanji?

Mitsempha yama carotid iyenera kuyenda bwino. Izi ndizofunikira chifukwa zimakhala ndi mpweya ndi michere ku ubongo. Komabe, pakapita nthawi, amatha kuchepa komanso kukhala owuma. Izi zimachitika chifukwa cha kudzikundikira kwa zolembedwa za atherosulinotic pamakoma awo.

Zomwe zimayambitsa kukula kwa carotid atherosulinosis ndi:

Zizolowezi zoipa, ndiye kuti, kusuta fodya komanso kumwa mowa.
Matenda oopsa.
Kusokonezeka kwa ziwalo zamkati zamkati.
Ma pathologies osiyanasiyana amafuta a metabolism (koyamba ndi kunenepa kwambiri).
Zolakwika mu zakudya, kuphwanya zakudya zomwe dokotala watchulidwa.
Kusintha kwamtundu.
Nthawi zambiri nkhawa zamanjenje.
Kuchita ntchito, ndiye kuti, kusowa zolimbitsa thupi.
Ena opatsirana kale opatsirana.
Kusokonezeka kwa chitetezo chathupi (komanso ma autoimmune pathologies).
Matenda a shuga. Matendawa amatengera mafuta kagayidwe, chifukwa thupi limadwala bwino.
Mkulu wokwanira wa cholesterol "yoyipa", triglycerides m'magazi amathandizanso kuti ziwalo zamtundu wa carotid ziwonjezeke.

Nthawi zambiri, zomwe zimachitika pamwambapa zimakhudza thupi mu zovuta. Chifukwa cha izi, mwayi wokhala ndi atherosulinosis ukuwonjezereka.

Nthawi zina, matendawa amatha chifukwa cha carotid artery aneurysm kapena dysplasia.

Zizindikiro zamatendawa

Atherosclerotic zotupa za ziwiya za khosi ndizowopsa chifukwa m'magawo oyambirira sizimawoneka zokha, sizimapereka chizindikiro. Ndipo dokotala nthawi zambiri amapeza matendawa pomwe kuwonongeka kwa mitsempha yamkati ya carotid kufikira.

Komabe pali zizindikiro zingapo zomwe mutha kukayikira matenda mwa inu nokha ndi kukaonana ndi dokotala munthawi yake.

Chifukwa chake, koyambirira, kuukira kwa ischemic, komwe, komabe, kumadutsa mwachangu, kuyenera kukhala chenjezo. Zizindikiro za izi:

kulira kapena kutopa kwa theka la thupi,
kuyabwa m'miyendo
dzanzi
kusokonekera kwamalankhulidwe (zimakhala zosadziwika),
kuwonongeka kowonekera m'diso limodzi,
kutayika kwa mphamvu ya dzanja limodzi.

Matendawa akamakula, chizindikiro ichi chimawonekera kwambiri, ndipo kumatsalira kwakanthawi kumatenga nthawi yayitali. Ichi ndi chizindikiro chotsimikizika kuti muyenera kuwona dokotala posachedwa.

Timalimbikitsa chidwi cha owerenga podziwa kuti zizindikiro zomwe zili pamwambapa ndi kuzungulira kwa sitiroko. Izi zikusonyezeranso kuti thandizo la dokotala ndilofunikira mwachangu!

Zosankha pakukula kwa matendawa

Monga tanena kale, zovuta zowopsa za atherosulinosis ndi sitiroko. Pali njira zina zomwe zingapangitse kuti matendawa akwaniritsidwe ndikutseka mitsempha ndi ziphuphu za atherosrance

Kutsika kwapang'onopang'ono kwa magazi ochepa kumapita ku ubongo.
Kutupa kwa malo opangira ma atherosselotic. Komabe, zimatha kufalikira ndi magazi kukhala zing'onozing'ono. Chifukwa chake, pali kufalikira kwa magazi abwinobwino kufikira gawo lina la ubongo, chifukwa chake limafa.
Kutulutsa magazi kutuluka kwa magazi (magazi). Izi ndichifukwa choti mapulateleti amadziunjikira m'magazi chifukwa chotumphuka maselo. Amalumikiza ndikupanga magazi. Ngati ndi yayikulu, imachepetsa kuyenda kwa magazi, komwe kumayambitsa kukhumudwa.

Mawonekedwe Ozindikira

Kupenda wodwalayo ndikofunikira kuti athe kuzindikira. Pokhapokha kuyezetsa kokwanira komwe kumatha kupereka mankhwala oyenera a atherosulinosis ya mitsempha ya carotid. Kuzindikira kumayamba ndi mbiri yachipatala. Dokotala ayenera kudziwa zomwe zimayambitsa matendawa.
Ndikofunikira kukhazikitsa kutulutsa chidwi (kumvetsera) kwamitsempha yama carotid.
Onetsetsani kuti mukuyezera kuthamanga kwa magazi, chifukwa zisonyezo zapamwamba za magazi zitha kuwonetsa kuphwanya ntchito mu mitsempha ya carotid.
Ultrasound yokhala ndi kupindika kwa Doppler yamitsempha yamagazi imakhalanso yovomerezeka. Njira yofunsirayi ndiyotetezedwa komanso yopweteka ndipo imakupatsani mwayi wodziwa matendawo.

Ndi zotsatira zokayikitsa za mayeso, wodwalayo ayenera kuthandizidwa kudziwa mitundu yodziwira ngati:

Scut tomography (CT) Scan. Zimapangitsa kudziwa molondola kapangidwe ka mitsempha. Kujambula kwa CT kumachitidwa pogwiritsa ntchito sing'anga.
Magnetic resonance imaging.
Angiography imachitidwa pogwiritsa ntchito zida zapadera. Chifukwa cha chiwopsezo cholekanitsa zolembera zamtundu wa atherosulin, mtundu uwu wa matenda sazindikira kwenikweni pano.

Mfundo zachithandizo

Dziwani kuti chithandizo chovuta kwambiri chomwe chingapangitse matenda a mitsempha. Ndipo muyenera kuyiyambitsa posachedwa.

Kuchiza ndi wowerengeka azitsamba, monga lamulo, sizimabweretsa zotsatira zomwe zikuyembekezeka. Potere, nthawi yamtengo wapatali yatayika, ndipo m'malo momasuka, kutulutsa kochulukira kwa matenda kumachitika.

Choyamba, muyenera kusintha mphamvu. Zakudya zimaletsa kugwiritsa ntchito zakudya monga:

wosuta mbale
mafuta
zakudya zamafuta
koloko
mowa
khofi ndi tiyi wamphamvu,
mkate wopambana
maswiti.

Menyuyi muyenera kukhala ndi masamba atsopano, zipatso, mbale zotentha.

Chithandizo cha mankhwala ndikofunikira:

Mankhwala amagwiritsidwa ntchito omwe amachepetsa zizindikiro za atherosulinosis.
Nthawi zambiri, wodwalayo amapatsidwa mankhwala omwe amachepetsa kuthamanga kwa magazi. Kufunika kwawo kuikidwa kuyenera kuyesedwa.
Ndikofunika kwambiri kumwa mankhwala kuti muchepetse cholesterol yamagazi. Amathandizira kuchepetsa kukula kwa chikhazikitso cha atherosselotic zolembera pamitsempha yamagazi.
Nthawi yomweyo, mankhwalawa amagwiritsidwanso ntchito kuteteza matenda a metabolism ndikulimbitsa mitsempha ya magazi.
Nthawi zina dokotala amatha kupereka mankhwala ochepa acetylsalicylic acid kwa odwala kuti asapange magazi. Chithandizo chotere chikuyenera kuchitika kwa nthawi yayitali. Kudya kwa aspirin pafupipafupi kumathandizira kuti magazi azithamanga komanso kumachepetsa chiopsezo cha zovuta zoopsa.

Kudzichitira okha atherosulinosis ndi contraindicated! Zimatha kubweretsa zotsatira zowopsa.

Opaleshoni

Ngati njira zakuchiritsi zomwe zili pamwambazi sizikubweretsa zotsatira zomwe zikuyembekezeka, ndiye funso la chithandizo cha opaleshoni limaganiziridwa. Pazifukwa izi, adokotala atha kukulemberani mitundu yotere:

Carotid endarterectomy. Nthawi zambiri imagwiritsidwa ntchito pogwiritsa ntchito mankhwala oletsa ululu. Dokotala atapanga chovala chaching'ono, zolengeza zimachotsedwa.
Balloon angioplasty amachitika mu milandu pomwe endarterectomy imatsutsana. Kuchita koteroko kumathandizidwanso ngati zolembera za atherosulinotic zili m'malo ovuta. Izi zitha kuchitidwa opaleshoni yakumalo.
Kununkha ndikuti mtsempha wamiyendo umabooleredwa m'tchafu kapena phewa. Fungo limalowetsedwa mu chotengera cha chotupa cha carotid - chida chachitsulo chaching'ono. Imakulitsa kuunikira kwa chotengera ndikuchilola kutuluka kwamagazi kwabwinobwino.

Angioplasty ndi njira yatsopano masiku ano. Zomwe zimachitika m'mitsempha yamagazi ndi pathupi lonse lathunthu akadali nkhani ya kafukufuku wosanthula. Komabe, mwa odwala omwe ali ndi chiopsezo chachikulu cha zovuta, mitundu iyi ya maopareshoni imatsimikizira kugwira ntchito kwawo.

About chithandizo chamankhwala ndi kupewa matenda

Kungotsatira kudya kwapadera kumakhala koyenera pokhapokha koyambirira. Kuphatikiza pa kusinthira kuzakudya zochepa, ndizothandiza kwambiri kutsatira malangizo awa:

Idyani mpaka 1 makilogalamu a yamatcheri patsiku (ndikwabwino kumwa iwo ndi mkaka).
Ndikofunika kudya chakuda currants, plums, biringanya, chivwende.
Shuga amathanso kudyedwa, koma ochepa.
Menyuyi muyenera kukhala ndi adyo komanso anyezi wambiri.
M'malo momwa tiyi wakuda nthawi zonse, muyenera kumwa zakumwa zochokera kumasamba a blackcurrant, sitiroberi, mabuliberi, zipatso zouma.
Ma Walnuts, chimanga ndi mafuta a azitona amathandizira kuchotsa "cholesterol" yoyipa ".
Zodzikongoletsera ndi tiyi kuchokera ku mankhwala a ndimu, hawthorn amatulutsa kukakamiza.

Njira zochizira zoterezi ndizothandiza pokhapokha ngati matendawa sanapite patali. Ngati pakufunika opareshoni, ziyenera kuchitika mwachangu.

Mwa zina mwa njira zopewera, ndikofunikira kufotokoza izi:

kusiyiratu kusuta ndi kumwa mowa,
zolimbitsa thupi
kudya
Matenda a kulemera kwa thupi
kuwunika kuthamanga kwa magazi ndi shuga wamagazi.

Kupewa matenda amtunduwu ndikosavuta kuposa kuchiza. Nthawi zambiri, kuthandizira opaleshoni kumalimbikitsidwa kuti zibwezeretse magazi moyenera.

Kusiya Ndemanga Yanu