Kodi matenda amtundu wa m'matumbo: matenda amisala, nkhawa, chithandizo

Pali matenda amitsempha omwe amakhudza osati ntchito ya mtima, komanso ubongo wa munthu. Chimodzi mwazinthu zoyambirira zomwe zimawonetsa matenda a cerebrovascular matenda am'mutu (cephalalgia) ndi kuwonongeka kwa kukumbukira, komwe anthu ambiri amazindikira kuti ndi zizindikiro wamba.

Ngati ululu umathetsedwa ndi citramone kapena analgin, anthu ambiri amatenga mapiritsiwa kwa zaka zambiri osaganizira chifukwa chomwe vutoli silikuyenda bwino. Kuwonongeka kwakumbuyo kumachitika chifukwa cha "sclerosis" okhudzana ndi zaka. Pambuyo pa izi, zizindikilo zowopsa zina zimatha kubuka zomwe zingayambitse kulumala kwa munthu ndikumamupatula kwathunthu pagulu. Nthenda ya cerebrovascular yotchedwa cerebral atherosulinosis imatha kubweretsa zotsatirazi.

Ndi matenda amtundu wamtundu uti?

Cerebral atherosulinosis ndi matenda a cerebrovascular mu omwe endocrine-biochemical process ndi neuroregulatory methics yomwe imayendetsa magazi (ubongo perfusion) imasokonezeka. "Atherosclerosis" mu dzina la matendawa amatanthauza kuchepa kapena kufinya kwamitsempha yamagazi, ndipo mawu oti "chithokomiro" amawonetsa kutuluka kwa chotupa - ziwiya zaubongo.

Ndi kuwonongeka m'magazi kupita ku ubongo, minyewa yamthupi yake imasokonekera, njira zake zamaganizidwe zimatha. Zotsatira zakuphwanya kotereku zimatha kukhala kusintha kwa umunthu komanso luntha.

Kodi chimayambitsa matendawa ndi chiyani, chimawopsa ndi chiyani? Makina opangira matenda a chithokomiro chotupa amachokera ku stenosis ya mitsempha ya m'magazi, yomwe imalowetsa vuto la zakudya m'maselo aubongo ndikupangitsa kuperewera kwa oxygen (ischemia).

Zomwe zimayambitsa stenosis, monga lamulo, ndi cholesterol plaques (atheromas) omwe amapezeka mu intima (khoma lamkati) la chotengera. Makoma otupa amitsempha yamagazi amalephera kutambasulira, kusakhazikika, kukhazikika. Ndi nthawi yayitali yododometsa matenda a m'maso a m'mimba (omwe ali pamwamba pa ubongo) mitsempha kapena kupsinjika kwamatumbo, kukonzekera kungayambike - kutsekeka kwathunthu kwa lumen, chifukwa mafupa amtundu wa ubongo (necrosis) amapangika mu lesion malo.

Malinga ndi kubwereza kwa International Classization of Diseases 10, matenda amtundu wa m'magazi ndi am'gulu la IX "matenda a matenda ozungulira" pamutu wakuti I67 "Matenda ena a cerebrovascular". Mawu ophatikizika a gulu lachifundo ichi ndi:

atheroma a mitsempha yaubongo,
zovuta zam'magazi
matenda a ubongo ndi ena.

Khodi yothandizira matenda a ubongo wa ubongo ndi ma pathologies ofanana malinga ndi ICD-10 ndi I67.2.

Mutu, womwe umadziwika kawirikawiri m'magawo a matenda a chithokomiro, sichizindikiro cha matendawa. Cephalgia imachitika m'matenda ena ambiri omwe samagwirizanitsidwa ndi ma mtima pathologies. Zizindikiro zowona za ubongo wa atherosulinosis ndi zachindunji. Kuperewera kwa magazi kumayambitsa zovuta zosiyanasiyana zamanjenje, zomwe nthawi zambiri sizimayenderana ndi kupweteka komanso zimasiyana kutengera gawo la matendawo.

Cerebral arteriosulinosis

Zizindikiro ndi chithandizo cha matenda amiseche (ICD code 10)

Zifukwa
Magawo a chitukuko cha matendawa
Zizindikiro
Zizindikiro
Chithandizo
Kupewa matenda a arteriosulinosis

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.

Monga kusayenda bwino kwa ubongo, matenda amiseche omwe ali ndi vuto la ICD 10, kukhala m'gulu la matenda osachiritsika, ovuta kuchiza, oyambitsa matenda.

Chofunikira chake ndikuwonetsa ma deposits amafuta mu mawonekedwe amipanda yomwe imapereka magazi ku minyewa yaubongo, yomwe pambuyo pake sikumakula kokha, komanso imasinthidwa kukhala minofu yolumikizidwa. Kuchokera pamenepa, kuunikira pakati pa makoma a ziwiya kumakhala kocheperako ndipo magazi amawongolera ku ubongo.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Cerebral atherosulinosis imapezeka kwambiri mwa okalamba; ICD code yake ndi 10: 167.2; imakhala pafupifupi theka la matenda a mtima.

Diagnostic nthawi yayitali, pomwe odwala ambiri anali ndi ICD yolingana ndi 10 ya arteryosulinosis, zaka 40-50.

Zinthu zomwe zimayambitsa matendawa kumayambira zimadalira moyo wopanda thanzi la munthu:

Kusuta
Kumwa mowa
Kuchulukitsa, kuperewera kwa zakudya m'thupi ndi kuchuluka kwa zakudya zokhala ndi cholesterol yambiri,
Kunenepa kwambiri
Khalidwe labwino
Kuchulukana kwa manjenjemera komanso nkhawa.
Kuthamanga kwa magazi
Matenda a mahomoni
Matenda a shuga
Khalidweli.

Cerebral atherosulinosis

Monga chiwalo chilichonse, ma metabolic osiyanasiyana amapezeka mu ubongo wa munthu. Kudzera m'mitsempha, magazi olemeretsedwa ndi okosijeni ndi zinthu zina zofunika, makamaka shuga, amalowa m'mitsempha yamanjenje. Ndipo pali kusinthana pamlingo wa ma capillaries, kenako magazi omwe ali ndi mpweya wambiri wa kaboni ndi zinthu zopangidwa ndi metabolic kale amatuluka m'mitsempha. Ngati magazi otaya ku ma cell a ubongo asokonezeka, ndiye kuti ischemia ndi hypoxia, komanso kukanika kwa neuronal, kumachitika. Chimodzi mwazifukwa za izi ndi matenda a ubongo. Matendawa amadziwika ndi kuchepetsedwa kwa lumen yamitsempha yamagazi chifukwa cha mapangidwe a cholesterol plaques.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Zoyambitsa matenda a atherosulinosis a ziwiya zamadzimadzi sizosiyana kwenikweni ndi zinthu zomwe zingayambitse vuto la dongosolo la atherosulinotic. Mulinso:

kusadya bwino ndi mafuta ochulukirapo a nyama ndi zakudya zomwe zitha kuwononga khoma lam'mimba ndikupangitsa kuti zikhale zosavuta (zokazinga, zonunkhira, zamchere),
kuphwanya cholesterol kaphatikizidwe ndi maselo a chiwindi,
kupsinjika kwa nthawi yayitali, kupsinjika kwamanjenje ndi kutopa, limodzi ndi kutulutsidwa kwamatumbo m'magazi, zomwe zimayambitsa kupindika kwa minofu yoyenda bwino m'mitsempha ndikupangitsa kukula kwa ischemia,
olemedwa ndi chibadwa,
amuna ndi akazi
kunenepa kwambiri kapena kunenepa kwambiri, limodzi ndi dyslipidemia,
shuga mellitus, chifukwa izi zimasokoneza mafuta kagayidwe,
kusowa kwa magalimoto okwanira,
kusokonezeka kwa mahomoni, makamaka mwa azimayi a postmenopausal,
kuthamanga kwa magazi
matenda oyamba omwe amatha kuwononga khoma lamitsempha.

Kufotokozera kwapfupi

Cerebral atherosulinosis amakula chifukwa chamatsenga osasinthika, zotupa za ma cell owonjezera komanso / kapena intracranial, i.e. mitsempha yothandizira ubongo. Kusokonezeka kwa kufalikira kwa ziwonetsero zam'mimba kumachitika chifukwa cha kusintha komweko m'matumbo omwe amatsogolera kulowetsedwa kwa myocardial kapena claudication yapakati.

Monga gulu la mitundu yamatenda omwe amachitika pang'onopang'ono, gulu la Classified la E.V. Schmidt (1985) lingagwiritsidwe ntchito.

Malinga ndi gawoli, mawu akuti DE akuwonetsa mawonekedwe owonekera a matenda amitsempha yosakhazikika - kuyambira pamavuto owoneka pang'ono mpaka pamlingo wofooka mtima, i.e. imaphatikizapo mitundu yonse yokonzeratu yamatenda a angioneurological.

Discirculatory encephalopathy (DE) - kuphwanya kwapang'onopang'ono kwa magazi kupita ku ubongo, zomwe zimapangitsa kuti pang'onopang'ono kuwonjezereka kwa kusintha kwa ubongo ndi kusokonezeka kwa ntchito. Njira zazikulu za pathogenetic za DE zimaphatikizapo zotupa zamagetsi zowonjezera - komanso ziwalo za ziwalo zamagetsi.

Code Protocol: P-T-020 "Cerebral Atherosulinosis"

Magawo a chitukuko cha matendawa

Mukukula kwake, ubongo wa atherosulinosis, code malinga ndi ICD 10 167.2, umadutsa magawo ena magawo:

Pa gawo loyamba chitukuko cha matendawa, momwe zimachitikira ndi asymmetric chikhalidwe cha Reflex chimadziwika. Zosachita bwino za ophunzira pakuwala.
Pa gawo lachiwiri, vuto la kukumbukira, kuchepa kwa malingaliro ndi kupirira pantchito zimadziwika. Mikwingwirima yaying'ono yomwe imapangitsa kuti munthu asamagwire ntchito ziwalo komanso azivutika pang'ono.
Gawo lachitatu, minyewa yaubongo imagwidwa ndi zowonongeka, ntchito zamtunduwu ndizowonongeka kwathunthu. Kuchiza ndikovuta. Wodwala amalandira kulumala.

Malinga ndikuwonekera kwa matendawa, magawo ake akhoza kuwonetsedwa motere:

Gawo loyamba. Nthawi zambiri zimachitika Zizindikiro zomwe zimachitika chifukwa chogwira ntchito mopitirira, kudutsa nthawi yopuma.
Kupita patsogolo kwa matenda. Kusintha kwa machitidwe, kusokonezeka kwa gait, zizindikiro zowonjezereka.
Kubwezera. Wodwalayo amasiya kuiwala, sangathe kudzipulumutsa. Mikwingwirima ndi ziwalo zimatheka.
Kupezeka kwa zinthu monga transistor ischemic kuukira, kunja kumafanana ndi sitiroko, koma kudutsa.
Ischemic stroke yomwe imachitika motsutsana ndi maziko azotupa zathunthu za ubongo.

Atherosulinosis ya mitsempha yamitsempha monga ICD 10 imagawidwanso ndi malo omwe amapezeka kuti amachepetsa magazi.

Kuyika kwa magazi ku ubongo kumachitika kudzera mu mitsempha ya thunthu la brachiocephalic, lamanzere amtsempha a subclavian ndi carotid.

Atherosulinosis yamitsempha yama brachiocephalic, kukhala ndi code yodziwika ku ICD 10, ndizovuta kwambiri.

Mitsempha ya nthambi ya brachiocephalic thunthu kukhala nthambi ziwiri ndipo imapereka magazi ku theka lamapeto la dera lam'mphepete ndi ubongo.

Malinga ndi ziwerengero, kuchuluka kwa mapangidwe a atherosulinotic nthawi zambiri kumachitika m'mitsempha yama brachiocephalic. Pa nthawi ya bifurcation, kapena nthambi ya magazi, nthawi ya vortex imapangidwa, nthawi zina kumapangitsa kuphwanya umphumphu wa ziwalo zamitsempha. Tsamba lowonongeka likuyesayesa kudzikonza lokha, maplateri amadziunjikira pamenepo, kenako cholembapo atherosrance.

Nthawi zina zimamera pamodzi ndi chotengera, osasintha hemodynamics, pamenepa atherosulinosis imatchedwa non-stenotic.

Ngati kuchulukana kumachitika m'chiwiya chonse, kutseka lumen ndi kutsekeka kwa magazi, tikulankhula za stenotic atherosulinosis ya mitsempha ya brachiocephalic.

Chizungulire
Mutu, kusokonezeka kowoneka ndi ntchentche zowala pamaso pa maso,
Phokoso m'mutu ndi makutu
Matupi ofiira
Kuperewera koyanjana, kusokonezeka mwadzidzidzi.
Kudzanja kwamanja
Kuchepetsa zombo zopangira ndalama
Zosokoneza tulo
Mafuta akulu mtima,
Kusokonezeka pakulankhula komanso kusintha kwa wodwala amene wayamba kuda nkhawa, wosachedwa kuyamwa komanso wosakwiya.

Zizindikiro

Kuneneratu kwa chitukuko cha matenda a arteriosulinosis kumadalira nthawi yodziwitsa matendawa.

Pa ntchito yoyeserera:

Kuyesedwa kwa magazi ndi mbiri ya lipid kuyesa cholesterol,
CT (compute tomography) yamitsempha yamagazi,
Doppler ultrasound (Doppler ultrasound) yamatumbo amutu ndi khosi,
MRI (imagonance imaging) ya mutu,
Ultrasound wamtima,
X-ray angiography yamitsempha yamagazi.

Pambuyo posiyanitsa matendawa, wamatsenga amasankha njira yochizira.

Mankhwalawa matenda a ubongo atherosulinosis ndi mankhwala osokoneza bongo komanso moyo wathanzi.
Monga mankhwala, magulu angapo a mankhwala amagwiritsidwa ntchito.

Mankhwala

Mankhwala ochepetsa cholesterol ndi ma statins (Atorvastatin, Pravastatin). Pali ma contraindication omwe amamwa mankhwalawa - matenda a impso. Sizovomerezeka kumwa mowa ndi maantibayotiki munthawi yomwe akudya.
Kukonzekera kwa matenda a metabolism yamafuta ndi micrate (Fenofibrate, Gemfibrozil).
Kukonzekera kuthetseratu ischemic syndrome komanso kukonza magazi m'magazi (Heparin, Dipyridamole, Aspirin, Ticlopidine).
Nicotinic acid wa metabolic regulation. Mankhwalawa amakhalanso ndi contraindication, chifukwa chake amatha kugwiritsidwa ntchito pokhapokha ngati akuwongolera dokotala. Mutha kudya zakudya zomwe zimakhala ndi vitamini PP (nicotinic acid): mtedza, ndere, pistachios, nandolo, chiwindi, nkhuku, ng'ombe, nsomba, mackerel, tuna, pike.
Mavuto a mavitamini a B, ascorbic acid.
Kukonzekera kwa matenda a kuthamanga kwa magazi (nawonso adokotala amawauza, malinga ndi momwe wodwalayo alili).
Mankhwala omwe amathandizira kuti magazi azitha kufalikira (Tanakan, Flunarizin).

Ngati thrombosis yapita patali kwambiri, kuchitidwa opaleshoni ndikuchotsa chovala chovalachi.

Zochita zolimbitsa thupi

Wodwalayo akulimbikitsidwa kuti ayende mu mpweya wabwino kuti akhutitse ubongo ndi mpweya, masewera olimbitsa thupi, kusambira, yoga, aerobics.

Monga ntchito yapadera yochita:

Kupuma Belly
Kuchepetsa pang'ono nkhonya, ndi kukweza manja pang'ono,
Tizungulumwe pakumanga kolumikizana mafupa,
Amphaka
Kutsatsa poyenda mutakhala pansi
Kusisita ndi kusenda khosi ndi mutu,
Zungitsani mikono yanu mozungulira.

Kupewa matenda a arteriosulinosis

Kuti mukhale ndi moyo wathanzi komanso wathanzi, muyenera kuganizira zomwe zimayambitsa matenda a atherosulinosis, ndikuyesera kuzipewa:

Ndikofunikira kukhazikitsa masamba abwino ndi zipatso muzakudya zanu, kuchepetsa kupezeka kwa mafuta a nyama, makeke, maswiti, mchere komanso kusungidwa.
Pewani kusuta ndi kumwa mowa.
Pezani nthawi yophunzirira zolimbitsa thupi ndikuyenda moyera.
Pewani kupsinjika.

Kuwonetsedwa kwa matenda a arteriosulinosis ndi chithandizo chake

Odwala ambiri amafunsa momwe angachitire matenda a ubongo. Mawu akuti sclerosis amakhudzana kwambiri ndi kuyiwalika, omwe nthawi zambiri amakula mwa okalamba. M'malo mwake, mawu akuti sclerosis ali ndi tanthauzo lalikulu. Chomwe chikuonetsedweratu ndikuti pali kusintha kwamasamba a ziwalo zokhala ndi minye yolumikizidwa. Atherosclerosis yamitsempha yamatumbo ndi amtundu wa matenda. Zomwe zimayambitsa matenda a atherosulinosis munjira iliyonse zimatha kukhala zosiyana. Komanso, matendawa amatha kukhala osiyanasiyana komanso azizindikiro.

Kodi matenda amtundu wa m'mimba ndi chiyani?

Ndiye matenda a arterial atherosulinosis ndi chiyani? Atherossteosis amatanthauza matenda osachiritsika omwe amasintha makoma amitsempha. Khoma lamitsempha limataya zotanuka ndipo limapangidwa mwamphamvu. Nthawi zambiri, zolembera zimakhazikika pamakoma a zotengera zotere, mapangidwe ake omwe amachititsa kuti mitsempha ya mitsempha ithetse, pomwepo imayambitsa kuphwanya magazi.

Cerebral atherosulinosis imawonedwa ngati yowopsa kwambiri, chifukwa mu nkhani iyi ziwiya zamaubongo zimakhudzidwa. Pakumaliza kwa matendawa, wodwalayo ali ndi matenda a dementia, amataya maluso ambiri omwe iye amapeza ali moyo.Makamaka, zimamuvuta kuti azilankhulana ndi anthu ena.

Malinga ndi ziwerengero, nthendayi imatha kukhudza munthu osati ukalamba, nthawi zina matendawa amapezeka mwa ana aang'ono kwambiri. Kuphatikiza apo, mwa amuna, izi matenda opatsirana ali ndi zaka 45 ndizofala kwambiri kuposa azimayi. Pambuyo pa zaka 50, ziwopsezo za matenda amtundu wa m'mimba m'magulu onse awiri zimafanana.

Ndizovuta kwambiri kutchula chifukwa chomwe chinayambitsa njira yomwe idayambitsa kupezeka kwa matenda. Nthawi zina, imatha kukhala njira yotupa kapena kuphwanya magazi, kapena kusintha kulikonse kokhudzana ndi zaka. Munthawi zonsezi, ndikofunikira kuzindikira izi payekha.

Kodi ndizomwe zimayambitsa matendawa?

Mwa zomwe zimayambitsa matendawa, kusuta nthawi zambiri kumatchedwa, komwe pakokha kumayambitsa vasoconstriction.

M'malo achiwiri pali zolakwika mu zakudya. Ngati munthu amakonda zakudya zamchere, zonunkhira, zamafuta, amakhala pachiwopsezo. Kuchita masewera olimbitsa thupi ochepa kungapangitse kuti chiwindi cha mtima chiwonjezeke. Kusamba kumatha kubweretsa kusowa kwa mahomoni, ndipo kulephera kumeneku, kumatha kuyambitsa matenda.

Simungachotsere cholowa chamtsogolo. Ngati wachibale wina anali ndi mavuto ngati amenewa, chiopsezo chodwala m'mabanja mwake chimachulukirapo kangapo. Kunenepa kwambiri ndizowopsa, zomwe zingapangitse wodwalayo kukhala ndi zizindikiro za atherosulinosis.

Mlandu ndi vuto la metabolic. Palibe vuto lililonse ngati kumamwa mowa kwambiri. Kupanga kwamatenda kumayambitsanso kupsinjika mosalekeza, komwe nthawi zambiri kumayambitsa matenda oopsa, kenako atherosulinosis, kenako toherosulinosis yamitsempha ya ziwongo, makamaka. Mwa zina mwa matenda omwe amatsogolera ku matenda awa, amatchedwa:

gout
matenda ashuga
dyslipidemia,
matenda a ndulu.

Atherosulinosis yamitsempha yamatsenga ili ndi magawo atatu:

Pa gawo la 1, mapangidwe a mawola a lipid pamakoma a mtima. Kusintha kotere kumapangitsa mutu kupweteka pafupipafupi.
Pa siteji yachiwiri, mawanga amasinthidwa kukhala mafupa amafuta athunthu.
Gawo lachitatu, zolembera zimachulukana kwambiri, mpaka kukulira kwathunthu kwa lumen ya chombo. Matendawa amatha kumayamba pang'onopang'ono.

Zizindikiro za matendawa

Mwa mitundu yonse ya matenda, iyi ndiye yowopsa kwambiri. Zizindikiro za matendawa zimawonekera pang'onopang'ono, ndipo zizindikirazo zimakhala ndi nthawi zokulira. Mtundu wina wa matenda amatchedwa zilonda. Chowonjezera cha chitukuko cha matenda mu nkhaniyi ndi motere: wodwalayo amakhala ndi mikwingwirima motsatizana. Potere, wodwalayo amakhala ndi vuto lakelo.

Mtundu wina wamtunduwu ndi pachimake. Zimachitika chifukwa cha kusokonezeka kwamagazi m'malo ena a ubongo. Pankhaniyi, zizindikiro zomwe zimakhudzana ndi kuwonongeka kwa zochitika zaubongo zimakonda kupezeka.

Zizindikiro zoyambirira za matendawa zimadziwonetsa ngati kupweteka kwambiri pamutu, makamaka panthawi ya kupsinjika ndi nthawi yamavuto amisala. Ngati mubwereza mobwerezabwereza zinthu ngati izi, thanzi la wodwalayo limakulirakulira. Poyerekeza ndi maziko azizindikirozi, kuchepa kwakukulu kwa ntchito kumawonedwa. Zofooka zambiri zimadziwika, zomwe sizimatha nthawi yayitali. Kusokonezeka kwa tulo kumachitika. Anthu okuzungulirani amayamba kuzindikira kuti munthu akukumana ndi pafupipafupi.

Wodwalayo amayamba kudandaula za:

chizungulire pafupipafupi
kuwonongeka kwamawonekedwe
tinnitus
mavuto amakumbukiro.

Palinso mawonetsedwe akunja a matenda, monga zovuta zomwe zimagwirizanitsidwa ndi luso labwino la manja, kusintha kwa gait, komwe kumakhala kusakhazikika. Zolankhula za wodwalayo zimasokonezeka. Mavuto olankhula ndi kuona ndi ocheperako pang'ono kuposa zizindikiro zina za matendawa. Kuzindikira kwa mkhalidwe wa wodwalayo kumatha kuwonedwa mpaka maola 48, ndiye kuti kusintha komwe kumachitika kumachitika, ndipo mkhalidwe umayamba pang'ono. Izi ngati sizichitika, ndiye kuti madokotala amati thupi silikulipiranso chifukwa chobwera ndi magazi. Ubongo umayamba kuwona zonse zomwe zimachitika chifukwa cha njala.

Chiwopsezo chonse cha matenda a m'magazi a mitsempha ndi chakuti kwa nthawi yayitali zizindikilo zake zoyambirira zimatengedwa ngati zizindikiro za matenda ena. Zotsatira zake, wodwalayo safunafuna thandizo la dokotala mpaka zizindikilo zazikulu zitawonekera, ndipo mavuto amakumbukiridwe, luso la magalimoto, malankhulidwe ndi gait zimadziwika kwa ena.

Katswiri woyamba yemwe wodwalayo nthawi zambiri amatanthauza ndi wothandizira. Pambuyo pakupeza anamnesis, kuyesa kwakunja kwa wodwalayo, iye, pamaziko omwe adapeza, amatsogolera wodwalayo kwa akatswiri opapatiza, nthawi zambiri amakhala a mtima ndi wamisala. Akatswiri otsalawo amatenga nawo mbali mankhwalawo ngati zizindikiro zomwe zimakhudzana ndi ukadaulo zimawonekera.

Kuzindikira koyenera kumakhazikitsidwa pamaziko a:

mbiri ya mbiri ya lipid
kuyesa kwa ultrasound,
mtsempha wamagazi x-ray,
kulingalira kwamatsenga pa ubongo,
kusindikiza kwamitsempha yamagazi,
EEG,
kuyeserera magazi magazi.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pambuyo pokhapokha pakhoza kukhala ndi lingaliro lolondola pankhani ya kukhalapo kwa matenda amisempha.

Chithandizo cha matenda a mtima

Kuyambira pomwe amadziwika, funso limabuka momwe chithandizo cha matenda amtundu wa ubongo chimachitikira.

Pazonse, pali magawo awiri azithandizo:

Njira 1 ndikugwiritsa ntchito mankhwala,
Njira 2 imakhala mu opareshoni.

Chida china chowonjezera chomwe chingakhudze mkhalidwe wa wodwalayo ndicho kusunga zakudya zinazake. Pankhaniyi, kufalikira kwa kuthamanga kwa magazi kumakhala kotheka, ndipo metabolism imabweleranso. Poterepa, muyenera kuchepetsa kuchuluka kwa madzi mpaka malita 1.5. Chofunika ndikukana zakudya zokazinga, zosuta, zamafuta, zamchere, zomwe zimapangitsa kuchuluka kwa magazi.

Mothandizana ndi wodwala uyu, mankhwala omwe amachepetsa kuthamanga kwa magazi ndi omwe amapatsidwa. Chifukwa cha zinthu ngati izi, kagayidwe ka lipid kamakhala bwino ndipo kutsika kwa magazi ku ubongo kumafanizira. Amachepetsa cholesterol yamagazi. Koma chithandizo chotere chimamveka pokhapokha magawo oyamba a matendawa, ndiye kuti mphamvu yake imachepetsedwa kwambiri. Mankhwala amagwiritsidwanso ntchito mwachindunji pochiza matenda awa. Gulu la mankhwalawa limaphatikizapo:

Zosagwirizana, zomwe zimaphatikizapo Aspirin. Mankhwalawa amachepetsa mitsempha ya magazi ndikuchepetsa mwayi wamagazi.
Ma Statin, omwe akuphatikizapo Cerivastatin, Mevacos, Mevacor, Rosuvastatin. Ntchito ya mankhwalawa ndikuletsa njira zomwe zimayambitsa kukula kwa atherosulinosis.
Mankhwala odana ndi zotupa amafunika kuti muchepetse kusintha komwe kumachitika m'matumbo.
Mankhwala a Vasodilator. Zofunika kuti muwonjezere lumen ya mitsempha yamagazi. Gululi limaphatikizapo Papaverine, Eufillin, Klentiazem.
Kuchepetsa Kupsinjika Kwa Magazi: Enalapril, Ramipril, Captopril. Mankhwalawa amasankhidwa kutengera mtundu wa munthu wodwala. Mkhalidwe waukulu wogwiritsidwa ntchito ndiwothandiza pakuchepetsa kupsinjika.
Mankhwala omwe amapangitsa kuti magazi azitha kufalikira: Nimodipine, Tanakan, Detralex, Bilobil, Vinpocetine.

Ndi dokotala yekha yemwe amadziwa bwino wodwalayo komanso mbiri yakukula kwa matenda ake omwe angasankhe dongosolo lofunikira la chithandizo. Nthawi zambiri ndikofunikira kusankha mosamala mankhwala ofunikira, chifukwa si onse omwe amatha kukhala ndi chithandizo chokwanira chifukwa cha mawonekedwe a thupi la wodwalayo.

Masewera omwe lumen ya chotengera imatsekeka pafupifupi, opaleshoni imachitidwa. Muzochuluka kwambiri, malo omwe akhudzidwa ndi ziwiya amaloledwa ndi ma prosthesis.

Ndi zowonongeka kwakukulu m'matumbo, kufa kwa minofu yaubongo kumawonedwa, komwe kungayambitse imfa ya wodwalayo.

Ngati munthu ali ndi atherosulinosis, chithandizo chamankhwala wowerengeka chimayenera kuchitika limodzi ndi mankhwala omwe madokotala amakupatsani.

Kuchokera pazomera zofunikira, tikulimbikitsidwa kugwiritsa ntchito masamba a birch, omwe amathiridwa ndi madzi ndi kuwiritsa kwa mphindi 15, kenako nkukhazikika. Chifukwa msuzi waledzera 0,5 makapu 4 pa tsiku. Pa zolinga zomwezo, tikulimbikitsidwa kutenga decoction ya hawthorn, sitiroberi, mafuta a ndimu.

Konstantin Ilyich Bulyshev

Sitemap

Openda magazi
Amasanthula
Atherosulinosis
Mankhwala
Chithandizo
Njira za anthu
Chakudya chopatsa thanzi

Zizindikiro zake zamatsenga

Chizindikiro cha matendawa chimayamba kuonekera ndi kuperewera kwa mphamvu ya okosijeni mu ubongo, zomwe zimachitika pamene minyewa yam'mimba itatsekeka ndimatumbo amafuta. Odwala amazindikira zizindikiro zoyambirira za atherosulinosis yamitsempha yamitsempha pambuyo pakukhudzidwa mtima kapena poyeserera mwamphamvu. Mukabwereranso pamtunda wokhazikika, zizindikilo zonse ndi mawonekedwe a matenda amakonzanso.

Nthawi zambiri, chizindikiro choyamba cha matenda am'mimba ndimakomoka omwe amakhala osatha komanso osakwaniritsidwa chifukwa cha mankhwala opweteka. Ichi ndi chisonyezo chakuti kufalikira kwa magazi mu mtima wamagetsi komwe kumadyetsa minyewa yaubongo kumadodometsedwa. Anthu omwe ali ndi vuto la ubongo chotupa amachepetsa magwiridwe antchito, amatopa msanga kwambiri, matenda amtundu wamkati amakumbukira (kukumbukira kumachepetsa, kuthekera kwakuyang'ana nthawi yayitali pachinthu), kumazima poyenda.

Cerebral atherosulinosis - amodzi mwa mitundu ya atherosulinosiskumabweretsa zovuta zazikulu ndi zotsatirapo zake. Odwala nthawi zambiri amakumana ndimisala yochepa kwambiri yomwe imakhala yofanana ndi kugwidwa muubongo. Mawonekedwe awo ndi kubwezeretsa kwa zizindikiro zonse tsiku lonse. Ngati patapita nthawi mawonekedwe a pathological akuwonekerabe, ndiye kuti titha kulankhula za kuphwanyidwa kwazida kwambiri. Kuphatikizika kwa mitsempha ya mitsempha ya m'magazi ndi matenda oopsa nthawi zambiri kumayambitsa kukokoloka kwa magazi. Vutoli lowopsa nthawi zambiri limayambitsa imfa ya odwala.

Chithunzi chachipatala cha matendawa, mwanjira zingapo kapena zingapo, zimatengera mawonekedwe am'maganizo mwa odwalawo, kotero mbiri yamatenda a wodwala aliyense ndi payekhapayekha. Pakudutsa kwamatendawa, odwala amalephera kudzisamalira, malo awo okhalamo ndi osakhalitsa amawonongeka, amasiya kuzindikira achibale komanso anzawo. Dysarthria yotheka kapena aphasia yathunthu, kukodzanso kwamkati ndi kuchepera, kuwonongeka kwathunthu kwamunthu.

Zoyambitsa ndi zomwe zimayambitsa matendawa

Chifukwa chachikulu chomwe chimagwirira matenda a chithokomiro cha matumbo ndicho kuphwanya mafuta kagayidwe. Chifukwa cha zochitika zosiyanasiyana, chiwindi sichingagwiritse ntchito zigawo za cholesterol cha "LDL" "yoyipa" mokwanira. Izi zimabweretsa kuwonjezeka kwa msambo wawo wamagazi ndi kumamatira kukalowa mkati mwa kama wamitsempha.

Zomwe zimayambitsa kukonzekera kwa matendawa zimatsimikizidwanso: moyo wamankhwala osokonekera, kukonda zakudya zamafuta ambiri, kupanikizika kosalekeza, ukalamba, kupezeka kwa zosokoneza, chiyembekezo chakutsogolo kwa atherossteosis. Matenda okhala ndi vuto limodzi, monga matenda a shuga, matenda oopsa, kunenepa kwambiri zimapangitsa kuti matenda ena azitha. Mukugonana kwabwinoko nthawi yakusamba, kusintha kwa ma mahomoni amakonzedweranso matendawa.

Gulu

Pali magawo osiyanasiyana osiyanasiyana amtunduwu:

Kutengera kutengera kwa njira yayikuluyo, chotupa cham'mbuyo, chotupa chamkati kapena chofala, chotupa cha brachiocephalic, komanso zombo zazing'onoting'ono. Mwanjira iyi, minyewa yamatenda yamatenda idzasintha.
Malinga ndi maphunziro azachipatala, matenda amiseche amatha kukhala pang'onopang'ono, kupita patsogolo pang'onopang'ono, pachimake kapena kupweteka. Njira yotsirizirayi ndiyo mtundu wowopsa kwambiri wa matendawa ndipo zimatsogolera ku dementia kapena kufa kwa wodwalayo chifukwa chomenyedwa pafupipafupi.

Kutengera ndi kuopsa kwa vuto la wodwala komanso dera la chotupa, madigiri atatu a chithokomiro cha mtima amadziwika:

Pa magawo oyamba, zizindikiro zimangowoneka mwa apo ndi apo, pokhapokha pazochitika zowonjezera. Kusokoneza kwa Vasomotor kumachitika makamaka m'chilengedwe.
Ndi atherosulinosis ya digiri yachiwiri, kusintha m'matumbo sikungogwira ntchito kokha, komanso morphological, ndikuwonetsa matendawa kukhazikika.
Pa madigiri atatu kuwonongeka kwa mitsempha ya chithokomiro chifukwa chodukiza mobwerezabwereza, necrosis ya mbali zina za ubongo imachitika, pomwe patapita nthawi imasinthidwa ndi minyesi yolumikizana ndikumangotaya ntchito yawo yoyambirira. Zizindikiro za matendawa zimakhalapo nthawi zonse ndipo nthawi zambiri zimayambitsa kudwala kwa wodwala.

Zizindikiro zamitsempha yamagazi m'matumbo zimagwirizanitsidwa ndi kusokonekera kwa gawo lina la ubongo, kapena kufooka kwa zochitika zaubongo nthawi zambiri. Zowonekera kwambiri za matendawa ndi:

kusamalira chidwi ndi kukumbukira,
kuchepa kwa luntha,
kugona kuwonongeka
kumva ndi kuwona
tinnitus, yosagwirizana ndi matenda a ziwalo za ENT,
kupweteka mutu pafupipafupi,
nkhope zimayamba kutuluka thukuta,
kufooka kapena kunjenjemera miyendo,
kulimbitsa mtima, kulira, kukhumudwa pang'ono,
kusintha kwachilendo kumveka kapena kokometsa,
unachepa m'maganizo ndi chizolowezi chokhala wokhumudwa.

Ndi chitukuko cha ma microstroke, ndizotheka kulumikiza zizindikiro zoyang'ana (paresis, ziwalo, aphasia, ndi zina).

Momwe mungagwiritsire matenda a ubongo

Odwala omwe adapezeka kuti ali ndi matenda a chithokomiro chotupa amasautsika ndi funso loti imfayo imatha kuchitika kwanthawi yayitali bwanji komanso momwe angapewere. Chithandizo chofulumira chimayambika kuyambira pomwe amadziwika kuti ndi wodwala, zomwe zimapangitsa kuti wodwalayo akhale ndi moyo wabwino mtsogolo. Tiyenera kumvetsetsa kuti matenda a ubongo a ubongo sangathe kuchiritsidwa kwathunthu, koma ndizotheka kupewa kupitilirabe komanso kuwonjezera kwa zovuta. Kuti mulimbane ndi matendawa kuti muchite bwino, muyenera kutsatira mosamala zomwe dokotala wanu akukuuzani!

ICD 10 ya atherosulinosis yamatumbo: kodi izi zikutanthauza chiyani ndikuchiza matendawa?

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Cerebral atherosulinosis code malinga ndi ICD 10 ndi njira yomwe imatsogolera kupezeka kwa zosokoneza m'magazi kupita ku ubongo.

Cerebral atherosulinosis imayamba m'thupi chifukwa chodabwitsa cha zotupa ndi zotupa za m'mitsempha yomwe imayambitsa magazi ku ubongo.

Malinga ndi gulu lachipatala lapadziko lonse lapansi la matenda amtunduwu wamatenda amisala, ubongo wa digito 167.2 wapatsidwa

Kusokonezeka komwe kumayambitsa ngozi ya ubongo kumachitika chifukwa cha kusinthika kofanana ndi komwe kumayambitsa kuwoneka kwa myocardial infarction komanso claudication yapakati.

Zimayambitsa kusintha kwa atherosulinotic

Chinsinsi cha matendawa chagona poti ndikudutsa kwake, mapangidwe amadzimadzi am'makoma amitsempha yamagalimoto am'mimba amachitika, omwe amatsimikizira kuti magazi amaperekedwa m'maselo aubongo.

Mafuta opangidwawo amawonjezera pakapita nthawi komanso kuwonjezera kuchuluka kwake, komanso kukhala ochulukitsidwa ndi membrane wa minyewa. Chifukwa cha njirazi, pali kuchepa kwamphamvu kwamkati m'mitsempha ndipo magazi ake amayenda mopita ku ubongo.

Kukula kwa mitsempha ya mitsempha ya m'mimba nthawi zambiri amalembedwa mwa okalamba. Matendawa amafalitsa pafupifupi 50% ya matenda onse amtundu wamtima.

Nthawi zambiri, kulembetsa kupezeka kwa matendawa kumachitika kwa odwala azaka zapakati pa 40 mpaka 50.

Makina oyambira omwe akuthandizira kukulitsa matenda a matenda samadziwika bwinobe pakadali pano, koma pali zifukwa zina zomwe zapezeka zomwe zimapangitsa kuti matendawa agwire bwino ntchito.

Zowopsa zake ndi izi:

kusuta
kukhalapo kwa chisonyezo chachikulu cha cholesterol m'madzi a m'magazi,
kukhalapo kwa kuchuluka kwa triglycerides mu madzi amadzi,
hyperhomocysteinemia,
chibadwa
kugwiritsa ntchito njira zakulera za pakamwa,
kukhalapo kwa ochepa matenda oopsa,
kupezeka kwa kanthawi kochepa kugwedezeka,
kukula kwa matenda ashuga
kupezeka kwa kunenepa kwambiri kwa wodwala,
kumangokhala
kuphwanya chikhalidwe,
kudziwika pafupipafupi ndi thupi,
zosokoneza mu mahomoni.

Kuphatikiza pazomwe zimayambitsa, matendawa amatha kukhazikika chifukwa cha kuwonekera kwa zakudya zamafuta osapatsa thanzi, zomwe zimapangitsa kuti pakhale kuchuluka kowonjezereka pachiwindi cha munthu.

Zizindikiro zamatendawa

Kuzindikiritsa matendawa m'magawo oyambirira a chitukuko ndikovuta kwambiri.

Zizindikiro zake ndi mawonekedwe ake zimatengera gawo la kudwala.

Chizindikiro choyamba chomwe chikuwonetsa kuti pali kuphwanyidwa ndikuwoneka ngati mutu.

Chomwe chimayambitsa chizindikirochi ndi kupezeka kwa cholesterol plaque, ndikutchingira kuunikira kwa chotengera.

Zotsatira za njirayi ndizosokoneza pakupezeka kwa maselo aubongo okhala ndi michere ndi mpweya.

Kuperewera kwa mpweya kumapangitsa kuti pakhale kupweteka, kupweteka m'mutu, komwe pakapita nthawi kumakhala kwamuyaya.

Wodwalayo wawonjezera kutopa ndikuchepa kwa ntchito.

Usiku, kusowa tulo kumayamba kuzunza munthu, ndipo nthawi ya masana, munthu wodwala matenda am'maganizo amakhala ndi vuto losintha mwachangu. Popitiliza matendawa, wodwalayo amakhala ndi vuto lochita kusuntha.

Kukula kopitilira muyeso ndikuwonjezera matendawa kumabweretsa:

Kuchepa kwa ntchito zokumbukira.
Kwa mawonekedwe a tinnitus.
Pazaka za chizungulire.
Kuwoneka ngati kusakhazikika mu gait.

Zizindikiro zonsezi zimakulirakulira chifukwa cha kuwukira kwaubongo, komwe kumawonetsedwa ndi zizindikiro zosiyanasiyana. Zizindikiro za kuukira kwa ubongo zimadalira tsamba lowonongeka mu minofu ya muubongo.

Zosintha pamitsempha yama carotid zimayambitsa dzanzi ndikuchepa kwa chidwi cha theka la thupi.

Ngati vuto laubongo likukhudza gawo lamanzere, ndikotheka kuti kugwidwa kwa khunyu komanso ntchito yolankhula.

Ndi kuwonongeka kwa gawo la mzimu kapena kwakanthawi muubongo, kuwoneka kopindika kumayang'aniridwa, ndipo palinso kuphwanya kwa ntchito zam'meza.

Kutalika kwa kusokonekera kwa ubongo wa ischemic sikupita masiku awiri. Pambuyo pakutha kwa kuwukira kwa ischemic, wodwalayo sangakumbukire chilichonse.

Ngati nthawi ya kuukira kwa nthawi yoposa masiku awiri, kusintha kwa vuto la ubongo ndikotheka.

Sitiroko imatha kukhala ndi mitundu iwiri:

ischemic - imawonekera chifukwa chakutseka kwa chotengera ndi zolembera za cholesterol,
hemorrhagic - akufotokozera motsutsana maziko a chotupa cha chotengera ndi kupezeka kwa kukha mwazi mu minofu ya ubongo.

Gawo lomaliza la matendawa limadziwika ndi kuwonetsa kusayang'ana kwathunthu kwachilengedwe, kuyang'ana koyipa munthawi ndi malo, komanso kuphwanya kuwongolera pakukodza.

Wodwalayo amalephera konse kulankhula ndipo pali ziwalo zathunthu.

Kuzindikira matendawa

Kuneneratu kwa chitukuko cha matendawa kumatengera nthawi yodziwitsa matendawa ndikuwonetsetsa.

Kuti mudziwe zambiri za momwe thupi la wodwalayo limagwiritsidwira ntchito, njira za kagwiritsidwe ntchito ka ntchito ngati ma labotale ndi zothandizira kudziwa zagwiritsidwa ntchito.

Pa matenda a labotale, kuyezetsa magazi komanso kwamphamvu kumachitika. Mukamayesa magazi a biochemical, mbiri ya lipid imatsimikiza kuyesa kuchuluka kwa cholesterol.

Njira zotsatirazi zimagwiritsidwa ntchito ngati njira yodziwitsira matenda:

Yogwirizana ya tomography yamitsempha yamagazi.
UZGD - Doppler ultrasound ya mtima dongosolo la khosi ndi khosi.
Magnetic resonance imaging ya mutu.
Kupenda kwa mtima kwa mtima.
X-ray angiography yamitsempha yamagazi.

Pambuyo pakufufuzira ndi kudziwa zonse zokhudza momwe thupi liliri, dokotalayo amasankha kugwiritsa ntchito njira inayake yothandizira.

Kusankha kwa njira zamankhwala kuyenera kuchitidwa ndi adokotala okha, poganizira zomwe zalandira zaumoyo komanso mawonekedwe a thupi la wodwalayo.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Ngati matendawa apezeka molondola pamlingo woyambira, ndiye kuti matendawo amathandizanso, zomwe zimapewe kukula kwa zovuta zovuta zoyambitsidwa ndi matenda mu matenda.

Mankhwala osokoneza bongo a pathology

Kutengera ndi gawo lomwe matendawa adapezeka ndi kuchuluka kwa zovuta, dokotala amatsimikiza ndi njira zochizira.

Njira ziwiri zamankhwala ndi opaleshoni zowonekera zimagwiritsidwa ntchito pochiza matendawa.

Pochita mankhwala othandizira, njira yolumikizidwa imagwiritsidwa ntchito kupeza zotsatira zabwino.

Pa mankhwala, tikulimbikitsidwa kuti gulu lonse la mankhwala omwe ali m'magulu osiyanasiyana azamankhwala azigwiritsidwa ntchito.

Mankhwala omwe amagwiritsidwa ntchito pochiza ali m'gulu lotsatira la mankhwalawa:

Osagwirizana - Aspirin, Clopidogrel, mankhwala amachepetsa mwayi wamagazi ndikugwidwa.
Mankhwala a Hypolipidemic amagwiritsidwa ntchito kuti achepetse kupitilira kwa kusintha kwa atherosulinotic komanso kusintha magazi. Njira zofala kwambiri ndi mankhwala omwe ali m'gulu la ma statins. Kugwiritsa ntchito mankhwalawa kumatha kukonza kagayidwe ka cholesterol, ndikuchepetsa mulingo wa LDL ndi VLDL m'madzi a m'magazi. Gulu la mankhwalawa lili ndi zoyipa zingapo zomwe zimayenera kuganiziridwa popereka mankhwala.
Mankhwala othana ndi zotupa, kumwa mankhwalawa kumapangitsa kuti mtima wam'magazi usalimbane ndi zinthu zoyipa.
Vasodilator - mankhwalawa amathandizira kuthetsa kuphipha kwa minofu ya khoma lamitsempha ndikupangitsa magazi kulowa m'mitsempha ya muubongo. Gululi limaphatikizapo Eufillin, Papaverine ndi Diprofen.
Njira zomwe zimathandizira kuti magazi aziyenda bwino komanso kuti matendawa agwire bwino ntchito. Gulu la mankhwalawa limaphatikizapo Piracetam, Picamilon.

Nthawi yomweyo, chithandizo cha antihypertensive chikulimbikitsidwa, chomwe chimathandiza kuchepetsa chiopsezo cha stroke ndi encephalopathy. Pachifukwa ichi, Captopril, losartan, moxonidine amagwiritsidwa ntchito.

Mankhwala othandizira opaleshoni ya matenda a m'magazi komanso matenda a majeremusi

Matenda akapezeka kumapeto, chitukuko chimagwiritsidwa ntchito pochiza matenda.

Chithandizo cha matenda a zam'mimba pochita opaleshoni chikuwonetsedwa pokhapokha ngati pali kusintha kwina kuchokera pakugwiritsa ntchito mankhwala.

Stenosing atherosulinosis imayendetsedwa ndi njira yotseguka pamitsempha wamkati komanso wamba wa carotid.

Pakusokoneza khosi, dokotala wothandizirayo amangojambula mbali yakhudzidwayo ndikuchotsa chodikiracho limodzi ndi nembanemba wamkati.

Pambuyo pochotsa cholesterol plaque, adokotala amasuntha ndikukhazikitsa ngalande yaying'ono. Opaleshoni yotereyi imachitika motsogozedwa ndi ma ultrasound a mitsempha ya muubongo.

Ngati ndi kotheka, kuchitapo kanthu kwa opaleshoni yamitsempha yamkati ya m'magazi imagwiritsa ntchito njira yofinya poyambitsa baluni yomwe imakulitsa makoma a chotengera ndikuwaphwanya cholesterol plaque. Patsamba lowonongeka, imayikidwa stent yomwe imathandizira kuwunikira kwamkati mwa chotengera pamalingaliro ofunikira.

Pambuyo pa opaleshoni, dokotala amafotokozera kuti atenge mankhwala omwe amaletsa magazi kuunjikana m'moyo wonse.

Ngati matenda a pathological apezeka mu gawo loyambirira la kupita patsogolo, kudalirika kumakhala kwabwino. Malinga ndi malingaliro a adokotala, zomwe zimapangitsa kuti matendawa athe kukula ndikukula kwakeko kumayima.

Pankhani ya kusintha kwa matendawa kupita pagawo lachiwiri, ndizosatheka kuti munthu apezenso matendawa. Mukamapereka njira zochizira pakadali pano, zimangoyimitsa kupititsa patsogolo matendawa komanso kupewa kuyambika kwa striping ndi encephalopathy.

Pamene chitukuko cha matenda a gawo lachitatu chikwaniritsidwa, kuthekera kwa zotsatira zakupha kwa wodwala ndikokwera, ngati kuchitapo kanthu opaleshoni yakeyo sikunachitike.

Cerebral atherosulinosis ndi matenda omwe amakhudza kwambiri umunthu wa munthu. Matendawa amatsogolera kusintha kwa zochita za wodwalayo, chifukwa cha kuchepa kwa magazi ndi zochitika za muubongo, kusokonezeka kwa malingaliro, kutayika kwa mawonekedwe ndi kuyankhula kumachitika.

Pofuna kupewa zovuta za matendawa pa psyche ndi momwe wodwalayo alili, ndikofunikira kuzindikira matendawa koyambirira ndikuyamba njira yothandizira munthawi yake.

About ubongo wamatumbo akufotokozedwa mu kanema munkhaniyi.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Amayambitsa ndi kuchiza matenda amadzimadzi a m'magazi

Zimayambitsa kuwonetsedwa kwa matenda
Zizindikiro
Mavuto omwe angakhalepo
Mfundo Zachithandizo
Chithandizo chowonjezera
Mwachidule

Cerebral atherosulinosis ndi njira yoopsa, kuperewera kwa chithandizo komwe kumatha kubweretsa mavuto, mwachitsanzo, matenda a dementia ndi stroke. Choyambitsa chachikulu cha matendawa ndi kupangidwa kwa cholesterol plaque pamatumbo amkati ndi mitsempha yodutsa mu ubongo. Ili ndi vuto lomwe limayambitsa kusayenda bwino kwa magazi mu ubongo, zomwe zimabweretsa zotsatira zoyipa mthupi.

Cerebral atherosulinosis mu mitundu yosiyanasiyana ya kakulidwe kake kumachitika mwaoposa 10% ya anthu achikulire, ndipo zaka za odwala zikucheperachepera. Matendawa amatchedwa senile dementia, omwe amawonekera kwambiri mwa anthu omwe adutsa zaka 50.

Zimayambitsa kuwonetsedwa kwa matenda

Palibe chifukwa chapadera chowoneka ngati vuto lomwe limakhudza ziwiya zaubongo. Zinthu zazikulu zakunja zimatha kutsogolera ku vuto lofooka. Mwanjira ina, kukhala ndi moyo wosayenera komanso zakudya zopatsa thanzi kumatsogolera pakupanga mafupa amitsempha yamafupa, ndipo ngati ziwiya zaubongo zakhudzidwa, matenda a ubongo a ubongo amawonongeka pamavuto ake.

Udindo waukulu pakupanga ndi kutukuka kwa mitsempha yowopsa yam'matumbo mu thupi umaperekedwa kwa chiwindi. Matendawa amapezeka chifukwa cha kukula kwa ma pathologies a genesis osiyana nawo. Chiwindi chimangoleka kugwira ntchito zake zachilengedwe ndikuyamba kupanga cholesterol yoyipa yambiri. Vutoli, mosiyana ndi cholesterol yopindulitsa, imapangitsa kupunduka kwamatenda, imakhala yodziwika bwino, motero, atherosulinosis ya ubongo imayamba.

Zomwe zimayambitsa vuto lofanana mthupi zitha kukhala zotsatirazi:

Zakudya za tsiku ndi tsiku zamafuta a nyama,
Kusuta. Nicotine amatha kuyipitsa khoma lamitsempha yamagazi, amayamba kukhala ochepa komanso osakhazikika,
Pafupipafupi kapena kupitilizika kwamanjenje ndi malingaliro,
Zambiri zamtundu,
Kukhala m'dera lowonongeka,
Zambiri zovuta zochitika ndi kupuma pang'ono
Kukalamba kwachilengedwe.

Mowa sakuphatikizidwa pamndandandawu chifukwa cha zomwe amachita. Mwachindunji pamitsempha yamagazi ndi kuthamanga kwa magazi, zimakhala ndi zotsatira zabwino. Mitsempha imakulitsa, ndipo magazi amayenda kwambiri. Nthawi yomweyo, pamakhala zovuta pa chiwindi komanso pakudya kwa minofu ndi ziwalo, kutengera kusowa kwa mpweya. Chifukwa chake, sikoyenera kuwaona ngati achire komanso othandizira, kupatula mankhwala apadera azitsamba, pomwe amatsitsidwa.

Zizindikiro zodziwika bwino za matendawa ndi mawonekedwe akunja a umunthu. Zizindikiro zakutsogolo kwa atherosclerosis ndizodziwika bwino. Zina mwazowonetsa kwambiri za atherosulinosis ndi asthenia ndi zovuta zina zamaganizidwe. Munthu amayamba kutopa msanga, movutikira kwambiri kuchoka pa mtundu wina wa ntchito kapena ntchito zapakhomo kupita kwina, zovuta zina pakumvetsetsa kwatsopano kapena zochitika m'moyo zimawonekera.

Osatinso kawirikawiri, munthu wodwala atherosulinosis, amadziwa mavuto amakumbukiro. Odwala amakumbukira mosavuta zomwe zinachitika zaka zambiri zapitazo komanso nthawi yomweyo satha kunena zomwe zidachitika mphindi 5 mpaka 10 zapitazo.

Nthawi yomweyo, zosokoneza zina mu vegetovascular system zimawonedwa. Munthu amayamba kugwira ntchito yosavuta pang'onopang'ono, ndipo ngati mungamufulumizitse, ukali wina umadziwika kwambiri.

Ndi mitundu yapamwamba kwambiri yamatenda, wodwalayo watulutsa zodetsa nkhawa. Anthu otere amakhala ochezeka ndipo, mosiyana, osakwiya, odzikonda komanso osangalatsidwa.

Mwa zovuta zomwe zimakhudzidwa ndi thupi lakutali, kuwonetsa kwa matenda oopsa komanso kusintha m'mitsempha ya impso kumatha kudziwika. Chifukwa chake, ndi zomwe zimayambitsa matendawa ndi zizindikiro ziti zomwe achibale amafunika kuti amveke alamu ndi kukaonana ndi katswiri.

Izi ndi zinthu zosasangalatsa monga:

Kuchepa kwa ntchito zamaganizidwe ndi kukumbukira,
Chizungulire chachikulu ndi tinnitus,
Kuvuta kwa luso lamoto labwino m'manja komanso kusagwira mtima mosatekeseka,
Kuchulukana kowonjezereka.

Nthawi ndi nthawi, matendawa amatha kuwoneka ndi zizindikiro zazikulu monga vuto la ubongo kapena kupweteka kwambiri m'mutu, kufooka miyendo, kusawona bwino komanso kugwira ntchito zamagalimoto. Vuto lofananalo limatha kukhala masiku awiri, pambuyo pake zizindikiro zimayamba kukhazikika. Ngati zizindikiro sizichoka mu masiku 3-4, mutha kuweruza kumayambiriro ndi kukula kwa stroko. Zimafunikira kuchipatala wodwala mwachangu.

Mavuto omwe angakhalepo

Poyerekeza ndi matenda omwe apita patsogolo, munthu amatha kudwala matenda oopsa a ubongo, omwe amadziwika ndi zizindikiro monga:

Kuchita mantha ndi zinthu wamba,
Kulira mwankhanza ndi kuseka
Kusokoneza kwathunthu kapena pang'ono,
Ambiri ali ndi kuyerekezera zinthu zina.

Makamaka owopsa pankhaniyi ndi mayiko oganiza moperewera. Wodwalayo mwina akuganiza kuti chiwembu komanso kumumenya, akumayamba kudzitsekera kunyumba ndikumadana ndi aliyense womuzungulira. Ndi chitukuko chotere, moyo wa wodwalayo mwiniyo komanso anthu omwe akukhala pafupi amakhala mayeso enieni. Zonsezi zikuwonetsa kufunikira kwa matenda omwe apezeka munthawi yake komanso chithandizo cha matendawa.

Mfundo Zachithandizo

Chithandizo cha matenda amtundu uliwonse wa chithokomiro, komanso matenda ena aliwonse, zimatha kupereka zotsatira zoyenera pokhapokha pasadakhale. Madokotala odziwa bwino ntchito yochotsa matendawa ndikuwathandizanso kupereka mankhwala omwe amapezeka kuti athetse magazi, kuchepetsa kuchuluka kwa cholesterol yoyipa m'magazi.

Mukazindikira mavuto omwe amaphatikizidwa ndi ziwiya zaubongo, madokotala amalangiza mankhwala omwe cholinga chake ndi magazi kuwonda, kusintha hemodynamics ndi kuwonjezera magazi. Komanso, wodwalayo amatenga mankhwala omwe dokotala amachepetsa kutupa m'matumbo, ndikukulitsa.

Ndikofunikira kumwa ma multivitamini, omwe amasintha machitidwe a mitsempha ya mtima ndi mtima, ndipo mavitamini ena amasintha mofulumira magazi. Osati popanda lipotropic mankhwala.

Ngati, chifukwa cha chitukuko cha matendawa, ziwiya zapafupi ndi 70%, chithandizo chamankhwala chokha sichingakhale chokwanira. Zikatero, opaleshoni imalembedwa, ndiye kuti, opaleshoni yochotsa ziwiya m'matumbo. Mumitundu yambiri yodwala, chotengera chomwe chimakhudzidwa chimachotsedwa kwathunthu ndi ma prosthetics omwe amatsatira.

Chithandizo chowonjezera

Kuphatikiza pa chithandizo chamankhwala chodalirika, odwala matenda a chithokomiro chotupa amapatsidwa mankhwala ena ndi maphikidwe a mankhwala ena. Simungathetse vutoli kwathunthu, koma mutha kusintha bwino zomwe wodwalayo achotsa, osachiritsika.

Nayi maphikidwe otchuka komanso ogwira mtima:

Vodka ndi adyo. Njira imodzi yothandiza kwambiri polimbana ndi matenda a atherosulinosis. Kukonzekera mankhwala, muyenera kutenga mphamvu ya theka la lita, kudzaza ndi adyo wosankhidwa mpaka theka, kapangidwe kake kamadzaza ndi vodka mpaka pamwamba. Chombocho chimatsekedwa mwamphamvu ndikutsukidwa m'malo amdima kwa masiku 12-14. Ngakhale osakaniza amawupaka, amafunika kugwedezeka tsiku lililonse. Musanatenge madontho 5, tinctures timadzipaka supuni ya madzi. Mankhwala amatengedwa katatu patsiku mphindi 20 asanadye.
Chithandizo cha Kombucha. Zakumwa zitha kumwedwa mulingo uliwonse. Amawonetsedwa pakuwapanikizika kwambiri, amachepetsa mutu ndipo amachepetsa kwambiri kuchuluka kwa cholesterol yoyipa m'magazi.
Aronia. Madzi ochokera ku zipatsozi bwino komanso modekha amachepetsa kukakamiza, ndiye kuti, amachepetsa zizindikiro zosasangalatsa za matenda a ubongo. Madzi amatengedwa mu maphunziro a pamwezi a 50 ml katatu. Patatha masiku 10, maphunzirowo atha kubwereza.
Msuzi wa mbatata ndi madzi a beetroot. Awa ndi achire othandizira omwe amathandizira mawonetseredwe onse a atherosulinosis. Madzi a beet amatengedwa kanayi pa tsiku. Kuonjezera phindu kwa chakumwa, chitha kuphatikizidwa ndi uchi limodzi mpaka gawo limodzi. Pambuyo posakanikirana, kapangidwe kamatengedwa kamodzi. Ponena za msuzi wa mbatata, ndizotheka kuti azitha kusintha madzi ndikumwa madzi okwanira malita 1.5 kapena kuposa patsiku.
Garlic ndi masamba amafuta ndi njira ina yabwino yodziwira matendawo. Kuti mukonzekere, muyenera kutenga mutu wa adyo, wowaza mosamala ndikuthira mu chidebe chagalasi. Zonsezi ndizodzaza ndi mafuta, makamaka osasankhidwa. Chikho chimatha kuyikidwa pamalo abwino kwa tsiku limodzi. Mutha kumwa mankhwalawa tsiku lotsatira supuni katatu patsiku. Njira ya mankhwala imatenga miyezi itatu.
Chithandizo cha Dandelion. Pachifukwa ichi, muyenera kutenga mizu ya mbewuyo, kupera ndi kudya magalamu 5 tsiku lililonse. Chomera chiribe zotsutsana. Dandelion samachiritsa atherosulinosis, koma imathandiza bwino kwambiri moyo. Kutchuka kwa chida ichi kumatengera kuphweka kwa kukonzekera, palibe chomwe chimafunikira kusungunuka ndikuumirizidwa.
Parsley Iyi ndi njira ina yosavuta komanso yothandiza kwambiri yochizira matenda a mtima. Msuzi wosavuta umakonzedwa kuchokera ku amadyera, okonzedwa pamaziko a mwatsopano kapena wowuma wa parsley. Muluwu umapangidwa m'madzi otentha ndipo pambuyo pa kuziziratu udakumwa ngati tiyi, koma osapitirira kawiri kapena katatu patsiku. Parsley ndiwothandiza kwambiri ndipo alibe zotsutsana.

Nthawi yomweyo ndi ndalama zilizonse zomwe mwatchulazi, mutha kumwa tiyi wapadera. Kukonzekera chakumwa cha katsabola, duwa lamtchire, masamba a sitiroberi, mahatchi ndi tchire. Zonsezi zimatengedwa pa magalamu 10, osakanizidwa ndikudzazidwa ndi madzi muyeso wa malita 0,5. Pambuyo kuwira, msuzi uyenera kukakamizidwa kwa maola atatu ndipo mutha kumwa mankhwalawo. Muyenera kumwa tiyi imodzi ya magalasi pafupifupi katatu patsiku.

Mwachidule

Pomaliza, ndikofunikira kudziwa njira zoyenera zopewera matenda amtunduwu, chifukwa ndizosavuta kuziletsa kuposa kuthetsa matenda, zotsatira zake zomwe sizingasinthe.

Ndikofunikira kutsatira zakudya zapadera - kuchotsa nyama zamafuta ndimafuta a masamba, kudya masamba ambiri ndi zipatso, komanso zakudya zapadera zomwe zimakhala ndi ulusi wachilengedwe. Ndikofunikanso kuyang'anira maulamuliro mosamala, kuchita maphunziro akuthupi. Tsiku lililonse muyenera kukonzekera kuti pakhale nthawi yokwanira tchuthi chabwino. Izi zimateteza ku kupsinjika ndi kusokonezeka kwa mitsempha.

Mankhwala

Cholinga chachikulu cha mankhwala ochizira matenda amtundu wamatumbo ndikuchepetsa serum cholesterol ndikuyikhazikitsa pamlingo wokhazikika. Pachifukwa ichi, mankhwala omwe ali ndi hypolipidemic ntchito "Atorvastatin", "Lovastatin", "Cardiostatin" amagwiritsidwa ntchito. Kuti mupewe zovuta za thrombotic, ndikofunikira kumwa mankhwala omwe amasintha magazi a Cardiomagnyl, Aspecard, Lospirin. Kusintha magwiridwe antchito a chiwindi, Essentials, Lipostabil, ndi Dialipon adziwonetsa okha bwino.

Poyerekeza ndi momwe mankhwalawa amathandizira, odwala ayenera kutsatira zakudya. Ndikofunikira kupatula zakudya zomwe zimakhala ndi mafuta okwanira, komanso kuwonjezera mafuta ochulukirapo. Ndikofunika kupereka zokonda zamasamba atsopano, nyama yodontha, mafuta ochulukirapo.

Gawo loyambirira

Ndikosavuta kuzindikira gawo loyambirira la ziwongo zamatumbo. Kukula pang'onopang'ono ndi kukula kwa chithunzithunzi kumabweretsa kuti munthu amazolowera mkhalidwe wake ndipo sawona chifukwa chakuwonera dokotala. Muyenera kuyang'anira kwambiri thanzi lanu kuti muwone zovuta izi:

kusamalira chidwi, kukumbukira, kuwerenga kuwerenga,
kupezeka kwachilendo pamtundu wina kapena zokonda,
kusokonezeka kwa kapangidwe ka kuzindikira kwa kutentha - mawonekedwe akumawoneka ngati kutentha kapena kuzizira posakhalapo ndi matupi enieni,
kuwonongeka kwa luso labwino la manja m'manja (kulephera kugwira ntchito ndi zinthu zazing'ono kapena kutsatira njira mwachangu),
chizungulire, nthawi zina zimasokoneza mgwirizano,
kufooka miyendo
kusokonezeka kwa tulo (kuvuta kugona, kulota usiku, kudzuka pafupipafupi).

Nthawi zambiri pamachitika munthu akakhala wovuta kumva m'khutu limodzi kapena khungu limodzi. Kuukira kwapang'onopang'ono (chosakhalitsa) ischemic attack (TIA) kumawonekera.

Chithandizo cha anthu

Chithandizo cha matenda amtundu wa m'mimba mothandizidwa ndi wowerengeka azitsamba amagwiritsidwa ntchito limodzi ndi chithandizo chamankhwala. Odwala ayenera kudya zipatso za hawthorn kapena chiuno chanyamuka, muzu wa elecampane, maluwa a marigold, oregano kapena mankhwala a mandimu. Mwa izi, mutha kukonzekera tincture zamadzi kapena decoctions. Pofuna kusintha kayendedwe ka magazi m'mitsempha yomwe imadyetsa bongo, ndikofunikira kuti muthe kugwiritsa ntchito msuzi wa adyo, parsley, anyezi kapena radish wakuda.

Opaleshoni

Momwe chithandizo chamankhwala chosasinthika sichingachitike, muyenera kuyambanso kuchita opaleshoni. Chofunikira chake ndikubwezeretsa kutuluka kwa magazi pamalo owonongeka a bedi lamitsempha ndikumasula lumen yake pakuthana ndi makina (atherosranceotic strata). Pachifukwa ichi, ndizotheka kugwiritsa ntchito njira zonse ziwiri "zopanda magazi" (kuyika kwa stent, ma angioplastic), komanso kugwiritsa ntchito maopaleshoni yayitali (endarterectomy) Kusankha kwa chithandizo chamankhwala kumatengera kuuma kwa njira ya pathological.

Kusokonekera kwamalingaliro ndi kuzindikira

Ndi ubongo atherosulinosis ya 2nd degree (kapena siteji), kuwonongeka mu chikhalidwe cha wodwalayo kumawonedwa, komwe kumatchulidwa kwambiri, ndikuti:

luntha lachepera
kufooka mtima (kufatsa, kusasunthika), ngati sichinawonedwe kale.
kupita patsogolo kwa kukumbukira - zochitika zam'mbuyomu zimakumbukiridwa bwino kwambiri kuposa zomwe zidachitika tsiku lina kapena mphindi zochepa zapitazo,
kuwonongeka kwakali mu ndende, odwala sazindikira tanthauzo la zomwe amawerenga, sangathe kukumbukira, amayankha mafunso.

Poyerekeza ndi zovuta zamavuto am'maganizo, munthu amadalira zakunja, amakhudzidwa kwambiri ngakhale ndimomwe amadzidzimuka ndikumangobwera ndi mavuto omwe palibe. Mwachitsanzo, imadzilimbitsa yokha kuti imadwala ndi matenda ena osachiritsika, imakhala ndi nkhawa yakuopa kufa chifukwa chomangidwa ndi mtima komanso mavuto ena a m'maganizo omwe amagwirizana ndi matenda a ubongo.

Gawo lachitatu la matenda amisempha yokhala ndi ubongo ndiosavomerezeka kwambiri pokhudzana ndi chiopsezo cha sitiroko. Zotsatira za dementia (senile dementia, "senile dementia", anapeza dementia) amadziwika ndi:

kulimbikira kwamphamvu mu zochitika zamunthu,
kutaya luso lomwe mwapeza kale,
kulephera kupeza chidziwitso chatsopano,
kuyenerera kwathunthu kwamunthu.

Mokulira kwa odwala omwe ali ndi dementia nthawi zina amakhala ovuta ndikuwopseza chitetezo osati wodwala yekha, komanso anthu omwe amakhala nawo.

Kodi kuchitira?

Kuchokera pamawu ofotokozedwa pamwambapa omwe ali ndi matenda amtunduwu, zikuonekeratu kuti nthenda iyi ndi yovuta kwambiri kuchiza. Njira zamatsenga zomwe zimachitika muubongo ndi matenda a cerebrovascular sizisintha, makamaka pambuyo pake. Izi zikuchokera pamenepa kuti chithandizo cha matenda a m'magazi (chithokomiro) chimayambira kumayambiriro.

Gawo lotsatira ndi kugwiritsa ntchito mankhwala osokoneza bongo, kuphatikiza:

Mankhwala a nootropic omwe amalimbikitsa kukana kwa maselo aubongo ku zochitika zoyipa ndikusintha magazi kupita ku ubongo,
mankhwala omwe amasintha kufalikira kwa magazi komanso kuchepetsa magazi m'magazi (acetylsalicylic acid),
mankhwala kuti magazi azitha kukhala otetezeka,
Nthawi zina, mankhwala osokoneza bongo ndi zina zama psychotropic kuti muthe kukhazikitsa malingaliro am'maganizo,
ma statin ndi mankhwala ena ochepetsa lipid omwe amachepetsa cholesterol yamagazi,
Mavitamini omwe amathandizira kuwongolera ntchito zamagulu amanjenje (makamaka gulu B).

Nthawi zina, ntchito ya opaleshoni imagwiritsidwa ntchito.

Njira zoyenera zolimbana ndi matenda atherosulinosis ndi physiotherapy (BIMP - kuyendera maginito opatsa mphamvu), ma radiation a ultraviolet - ma radiation a ultraviolet omwe amasintha ma microcirculation komanso rheological katundu wamagazi (fluidity), cervical collar massage, hyperbaric oxygenation (oxygenation), ndi ena.

Cervical collar massage ndi imodzi mwanjira zochizira

Kodi chithandizo chamankhwala azikhalidwe zimagwira?

Kuwerengera chithandizo cha mankhwala ochizira wowerengeka cha matenda oopsa monga matenda a ubongo. Mankhwala achikhalidwe amangovomereza zinthu zomwe ndizothandiza kuteteza matenda a lipid komanso kuchepetsa cholesterol “yoyipa”. Izi ndi zakudya, zomwe mbale zake ndizothandiza kuphatikiza zakudya za wodwala:

tiyi wobiriwira, timadziti (mphesa, zipatso),
mafuta a masamba, walnuts,
nsomba zakale zam'madzi ndi zina zam'nyanja,
nandolo zobiriwira, adyo, anyezi, nkhaka, kaloti, dzungu, zukini, mavwende, kabichi.

Kuchokera azitsamba azitsamba, mutha kupatsa infusions pamafuta a mandimu, masamba a sitiroberi, makoma a zipatso a zipatso.

Popanda chithandizo cha matenda a ubongo. Zowonongeka ndi asociality ndizotsatira zomwe zimachitika kawirikawiri pakusintha kwa atherosulinotic mu ziwiya zaubongo. Chiwopsezo chotenga matenda a ischemic stroke ndiwokwera kwambiri, nthawi zambiri zimakhala ndi zotsatira zakupha. Odwala omwe ali ndi vuto la m'mimba kawirikawiri sabwereranso ku zochitika zawo kapena ntchito zawo.

Njira zopewera kulimbitsa mitsempha

Mutha kupewa matenda oopsa otchedwa chithokomiro cha ubongo ngati mukuthandizira zolimbitsa ziwiya kuyambira muli mwana. Kukhala ndi moyo wathanzi pamenepa ndiye njira yayikulu yopewera matenda. Izi zikutanthauza:

Zakudya zabwino komanso zopatsa thanzi,
kumwa madzi okwanira (kusintha magazi m'thupi),
zokwanira, zaka zokwanira, zolimbitsa thupi,
magwiridwe apadera olimbitsa thupi,
kuphunzira kukumbukira kosalekeza
zosangalatsa zothandiza, zosangalatsa.

Kukhala wodekha, kukhalabe ndi mizimu yabwino, chidwi komanso malingaliro abwino kwa ena ndizofunikanso kukulira kukana kupsinjika, kulimbitsa dongosolo lamkati lamanjenje ndikupewa mtima wamitsempha.

Kupewa matenda

Pofuna kuti musagwere ku matenda a ubongo, muyenera kutsatira malangizo osavuta. Madokotala amalangizani kuti mukhale ndi moyo wam'manja, idyani moyenera, chotsani zokonda, ngati mukunenepa kwambiri, onenepa msanga, onjezerani mayeso ofunikira (lipid mbiri, kuwunika kwa chiwindi), komanso pamaso pa matenda osakhazikika musawayambitse.

Cerebral atherosulinosis ndi chidziwitso chobisika chomwe chimatenga mioyo masauzande padziko lonse lapansi. Koma ngati mutazindikira ndi nthawi ndikutsatira malangizo a adotolo, ndiye kuti pali mwayi uliwonse wopitiliza kusangalala ndi moyo wonse!