Atherosulinosis - Zizindikiro ndi chithandizo

Atherosulinosis - Ichi ndi chimodzi mwa matenda akulu akulu komanso owopsa. mtima ndi bongomomwe amodzi kapena angapo amaunika amapangidwira cholesterol ndi lipidmadipozitizachilendo zolembedwa zokomerawopangidwa ndi calcium, cholesterol komanso minofu yolumikizira mkati mwa mitsempha.

Mtsempha womwe khomo limakhudzidwa umakhala wocheperako ndipo, chifukwa chake, umakhala wofiyira. Pang'onopang'ono kukula kwa cholumikizira minyewa yowerengeka ndikuwongolera kumabweretsa kusakanikirana ndi kuchepa kwakukulu kwa lumen pakati pa makoma amitsempha kufikira kutuluka kwathunthu, potero kumapangitsa kusowa kwakukulu kwa magazi komanso limba ischemiaamene amadya kudzera m'mitsempha yomwe yasokonekera. Kuchuluka kwamitsempha kwa mitsempha ndikothekanso. kuundana kwa magazi kapena zomwe zalembedwa kuchokera ku cholembera cha atheromatous, zomwe zimayambitsa zovuta za atherosulinosis, zimabweretsa mapangidwe a necrosis (vuto la mtima) kapena zigawenga mu chiwalo chodyetsedwa bwino.

Zowonongeka zonse m'mitsempha yonse thupi ndi losowa kwenikweni. Nthawi zambiri zimawonedwa kufalikira kwa mitsempha ziwalo zina: ubongo ndi mtima, miyendo, kapena impso. Kupita patsogolo kwa atherosulinosis kumasonyezedwa m'lingaliro loti chifukwa chogwira ntchito mokwanira pa chiwalo, magazi amayenda nkusakwanira. Izi zimabweretsa zosasangalatsa zomverera kuchokera ku chiwalo. Chipatala cha matendawa chimasiyana malinga ndi malo komanso magawidwe amitsempha omwe akhudzidwa. Atherosclerosis ali ndi maphunziro osachiritsika ndipo ndi omwe amayambitsa kulemala ndipo ngakhale kufa msanga.

Atherosclerosis ali matenda oopsa, kunenepa, kuchuluka kwa kupanikizika kwa neuropsychic, kuchuluka kwa cholesterol, matenda ashuga, moyo wopanda thanzi, kusowa kwa magalimoto, kusuta, ndi zina. Nthawi yayitali yomwe atherosulinosis imakhudza thupi la munthu kuyambira zaka 40 mpaka 45. Amuna amakonda chizolowezi cha 3, ndipo nthawi zina 4 r. Nthawi zambiri kuposa amayi, izi zimachitika chifukwa chakuti kupewa atherosulinosis mu kugonana kwamphamvu nthawi zambiri sikugwiritsidwa ntchito mozama. Makamaka, abambo amapitiliza kusuta ndi kumwa mowa, ngakhale akuwopseza matendawa.

Zizindikiro za Atherosulinosis

Monga matenda aliwonse, atherosulinosis imakhala ndi zizindikilo zake zazikulu zomwe matendawa amadziwika ndi matendawa. Zizindikiro za atherosclerosis zitha kukhala zosiyanasiyana. Zonse zimatengera kuchuluka kwake ndi chotupa cha chotengera. Zida zomwe zikukhudzidwa ndi ubongo zimatsogolera ku magazi osakwanira ndipo, monga chotulukapo chake, kuwonongeka kwake ndi ntchito zake. Chizindikiro choyamba pankhaniyi ndi kusokonezeka kukumbukira kukumbukira kwaposachedwa. Dziwitsani atherosulinosis ndi izi zikuchitika zikuwonetsa kusintha kosasintha.

Komanso kusakhazikika mtima pang'onopang'ono luntha lachepera. Nthawi zambiri, odwala amadandaula ndikumverera kwa pulsation ndi "phokoso" m'mutu. Zizindikiro zina za atherosulinosis zimadalira kwambiri momwe mbali ya ubongo imakhudzidwira. Atherossteosis, yomwe imakhudza ziwiya zaubongo, nthawi zambiri imakhala chachikulu ischemic stroke.

Zomwe zimayambitsa matendawa

Choyambitsa chachikulu kwambiri cha atherosulinosis ndi kusachita masewera olimbitsa thupi, kumwa kwambiri shuga, zakudya zosakidwa komanso zakudya zamafuta a cholesterol. Kuwonongeka kwa mtima kungathenso chifukwa cha zifukwa zina, monga kuthamanga kwa magazi, kunenepa kwambiri komanso matenda ashuga. Heredity ndi chimodzi mwazomwe zimayambitsa matendawa.

Kutengera komwe malo oyendetsa ziwiya zowonongeka ndi atherosulinosis, Zizindikiro zake zingakhale motere:

1. Chizindikiro cha atherosulinosis yamitsempha yama mtima ndikuwukira kwa angina (kupweteka mumtima).
2. Atherosulinosis yamitsempha yamagazi ya m'magazi imabweretsa chizungulire, makamaka ndi kusintha kwamphamvu kwa thupi, kusuntha kwadzidzidzi, kumva phokoso m'mutu, kufooketsa kukumbukira, kusintha kwa malingaliro, mitsempha ya mitsempha ya m'mimba imatha kuyambitsa kupasuka komanso matenda a ziwongo. Nthawi zambiri izi zimachitika ndi kuphatikiza kwa matenda a m'magazi a ziwalo za m'magazi ndi matenda oopsa.
3. Mawonekedwe a zotumphukira mtima atherosulinosis ndi kuuma ndi makwinya a khungu, emaciation, mosalekeza ozizira, kupweteka kumbuyo, mikono ndi miyendo, kutopa.

Kodi mitsempha ya mitsempha

Matenda osachiritsika ali m'gulu la matenda amtima, omwe amakonda kupatsanso nthawi zina mthupi lofooka. Popeza metabolism ya lipid-lipid imasokonezeka m'mitsempha yamagazi, madokotala akukamba za malingaliro osasangalatsa monga "cholesterol yoyipa" ndi "atherosranceotic plaques". Matendawa nthawi zambiri amakula mthupi la akazi, koma abambo, mothandizidwa ndi zinthu zoyambitsa kukwiya, nawonso amagwera m'gulu lowopsa. Nthawi zambiri ndi atherosulinosis ya kungʻambika Chipilala, komwe kumabweretsa chitukuko cha mtima ischemia.

Zizindikiro zamatenda zokhala ndi vuto sizimawonekera nthawi yomweyo, poyamba atherosulinosis ndi matenda asymptomatic. Zizindikiro zinanso zimadalira mtima wamagazi, omwe amalandira magazi osakwanira okosijeni omwe ali ndi michere yofunika. Ndikofunikira kudziwa kuthiridwa kwa magazi kwa chiwalo - cholinga cha matenda. Zotsatira zake - kusokonezeka kwa myocardium, ubongo, zovuta zina, sizogwirizana nthawi zonse ndi thupi lamunthu.

Matenda a mtima

Ngati matenda atakhala kuti ali ndi vuto, wodwalayo amakhalanso pang'onopang'ono, ndipo zizindikiro za atherosulinosis zimagona, ndipo amakakamizidwa kuti apatsenso tchuthi chodwala. Ndikulimbikitsidwa kuyang'anitsitsa za zotsatirazi za matendawa, omwe amatha kuchotsedwa kwakanthawi makamaka ndi njira zachipatala, zina:

• kupweteka pachifuwa kupwetekedwa mu myocardium,
• kuchuluka kwa nkhawa pa sternum,
• Zizindikiro za angina,
• kupweteka mukamapumira kwambiri,
• kulephera kwa aimpso
• chiwopsezo cha matenda a mtima,
• kuchepa ndi kudumphira m'magazi.
• kugunda kwamtima.

Zotengera za m'munsi

Madera akumtunda ndi otsika nawonso amagwira nawo gawo la pathological motsutsana ndi kumbuyo kwa kupendekera kwachilendo kwa lumen ya makoma amitsempha a mitsempha yayikulu komanso yapakati. Maofesi amkati otere amachotsedwa mu myocardium, komabe, kuwonongeka kwa zizindikiro kumakhudza kwambiri mkhalidwe wa wodwalayo, kumachepetsa kuyenda kwake. Zizindikiro zakuwonongerani matenda a m'munsi zatsika motere:

• kupweteka kwamiyendo pakuyenda kwakutali,
• dzanzi lam'munsi,
• kusiyana kwa kutentha kwa thupi ndi phazi, kosangalatsa,
• machiritso a nthawi yayitali a mabala otseguka,
• kuchuluka kwa m'munsi,
• kuphwanya kwamphamvu zamitsempha zamiyendo,
• kusuntha kochepa.

Zombo zapamadzi

Mitsempha yayikulu imakhudzidwa mu pathological process, momwe mawonekedwe a atherosulinotic malo amawonedwera. Zotsatira zamagazi osokonezeka, zoyambira zamomwe zimachitika mu mitsempha ya cortex, kufooka kwa mpweya kumapita patsogolo, kuchuluka kwa zovuta za migraine, chizungulire komanso chisokonezo zikuwonjezeka. Mu zamakono zamtima, chizindikiro cha matenda oopsa ndi motere:

• chizungulire pafupipafupi ndi mseru,
• ozungulira pamaso panu
• kusapeza bwino mchipinda chotsekera,
• kukumbukira kwakachepa, kuthekera kwamthupi ndi malingaliro,
• chisokonezo gawo
• kusakhazikika mtima
• kusokoneza kagayidwe kachakudya,
• Zizindikiro zosokoneza m'maganizo.

Musanachiritse matenda a atherosclerosis, ndikofunikira kuphunzira etiology ya pathological process. Zonsezi zimayamba ndi kupanga milingo yamagazi, kufupikitsa lumen ziwiya, ndikupanga mapangidwe a atherosselotic plaque omwe amadzaza ziwiya. Choyambitsa matendawa ndi kudzikundikira kwamafuta, kusintha kwa kapangidwe kazinthu zamagazi. Zoyambitsa zazikulu za njira zamtunduwu komanso zoopsa zimafotokozedwera pansipa:

• kupezeka kwa zizolowezi zoipa,
• gawo limodzi la kunenepa kwambiri,
• matenda ashuga
• dyslipidemia,
• kuperewera kwa zakudya m'thupi
• kusowa kwa masewera olimbitsa thupi
• chibadwa
• mphamvu zochulukitsira,
• ochepa matenda oopsa
• zosintha zokhudzana ndi zaka mthupi,
• kumangokhala
• matenda opatsirana am'mbuyomu okhala ndi zovuta,
• kuledzera ndi matenda
• matenda a endocrine dongosolo,
• kukhudzana kwanthawi yayitali.

Kudziwa zomwe zingayambitse matenda a atherosulinosis, kufunsa kwa munthu ndi mtima ndi kofunikira. Asanayambe mayeso azachipatala ndi maphunziro a labotale, zimawonetsedwa kuti zapenda magawo omwe adalipo kale, makamaka kuthekera ndi kuwonongeka kwakuthwa kwambiri. Mu mtima wamakono, magawo otsatirawa a atherosclerosis amadziwika:

1. Gawo loyamba. Kuchepa kwa magazi kwamatenda, kuchuluka kwamafuta, komanso kusowa kwa zowawa.
2. Gawo lachiwiri. Liposulinosis imayendera limodzi ndi kuchuluka ndi kufalikira kwa minofu ya adipose, kuthekera kwakukulu kwa magazi ndi kuphwanya kwa kayendedwe kazinthu.
3. Gawo lachitatu. Atherocalcinosis imayendera limodzi ndi kuphatikizika kwa ma atherosselotic plaques, kuchuluka kwa calcium, kupindika kwa mtima ndi kuchepetsedwa kwa lumen ndi chiopsezo cha kufalikira.

Zizindikiro

Mu zamtima zamakono, ndizosatheka kudziwa coronary atherosulinosis posungira deta ya anamnesis, kuwonjezera pa kuyang'ana wodwalayo ndikuwerenga mbiri yake ya zamankhwala, ndikofunikira kuti mupite mayeso, kuyendera akatswiri angapo owerengera, ndikuwunikira kwathunthu. Makamaka ndi mawonekedwe a diagnostics amapereka pamalo awa:

• kuyesa kwamwazi wamagazi,
• kusanthula kwa mitsempha ya brachiocephalic ndi miyendo,
• radiopaque angiography,
• ECG, nkhawa ECG, echocardiography,
• Ultrasound, CT ndi MRI
• Ultropopi wa ziwalo zam'mimba,
• radiology.

Ndi chiwonetsero cha matenda, amafunikira kuyamba mankhwala a atherosulinosis munthawi yake. Chisamaliro chachikulu chitha kuperekedwa kudzera munjira zosasamala komanso njira zolimbitsa thupi. Cholinga chachikulu ndicho kudziwa zomwe zimayambitsa matenda ndikuchotsa m'moyo wa wodwala, kusintha kayendedwe ka magazi, kutsitsa cholesterol yoyipa pogwiritsa ntchito mankhwala. Amaloledwa kuchita njira zina zochiritsira, komabe, malingaliro onse ayenera kukambidwanso ndi adokotala. Palibe kuchitapo kanthu, opaleshoni imalimbikitsidwa.

Mankhwala

Gawo loyamba ndikuwongolera zakudya zanu zatsiku ndi tsiku, kuchotsa zakudya zamafuta ndi zokazinga, kuchepetsa kuchuluka kwa mchere, zonunkhira, mafuta a nyama, chakudya chofulumira. Thanzi liyenera kukhala loyenera, lokhala ndi kuchuluka kwamafuta okwanira. Izi zikuthandizira kuchepetsa kulemera, kuchiza kunenepa kwambiri ndikuchotsa m'mimba, kupewa zina. Ponena za kumwa mankhwala, amatsimikiziridwa ndi katswiri wazamtima wodziwika bwino chifukwa cha zamankhwala. Awa ndi magulu azachipatala:

1. Nicotinic acid ndikukonzekera ndi zomwe zili ndikuwonetsetsa kuti katundu wa antiatherogenic, achotse cholesterol yoyipa ndi triglycerides,
2. Sequestrant ya bile acids kuti achepetse kuchuluka kwa lipids mu maselo. Awa ndi mankhwala Colestyramine, Colestipol, Kolesevelam.
3. Beta-blockers kuti athetse zosasangalatsa zomwe zingachitike, muchepetse zovuta zowonongeka. Awa ndi Carvedilol, Metoprolol, Betalok.
4. Ma diuretics okhala ndi diuretic kwambiri chifukwa cha kuyeretsa magazi kwambiri kuchokera ku cholesterol. Awa ndi Hypothiazide, Diacarb, Indapamide.
5. Ma calcium blockers, omwe amayimiridwa ndi mankhwala monga Anipamil, Finoptin, Gallopamil.
6. Fulates kaphatikizidwe ka mafuta anu. Awa ndi clofibrate, bezafibrat, fenofibrat, bezafibrat, gemfibrozil.
7. Statins to kufulumizitsa kuthana ndi kuchotsedwa kwa mafuta. Awa ndi Simvastatin, Atorvastatin, Rosuvastatin.

Opaleshoni

Ngati njira zoyeserera zatsimikizira kuti sizikuyenda bwino, wodwalayo adayikidwa opaleshoni kuti athetseratu mawonetseredwe onse a atherosulinosis, kuonetsetsa kuti mtima utatsuka kwambiri komanso kutalika kwakukhululuka. Popeza nthendayi imadzetsa chiwopsezo m'moyo wa wodwalayo, dotolo amachitapo kanthu kena mwa izi:

1. Mankhwala a thrombolytic. Mafuta a pathogenic amasungunuka, pomwe kayendedwe ka magazi ka magazi kamasinthasintha, ziwiya zimatsukidwa.
2. Angioplasty. The lumen ya minyewa imakulitsidwa chifukwa cha kubayidwa kwa oxygen pogwiritsa ntchito buluni yapadera yamankhwala.
3. Opaleshoni yam'mimba. Kupanga magazi atsopano pogwiritsa ntchito ziwiya kudutsa malo omwe angayambike kuchekera.
4. Endarterectomy. Kutsukidwa kwapamwamba kwamakoma a mtima ndi zida zapadera, pamakhala mphamvu zoyenera zosunthika.

Pambuyo pa opaleshoni, mawonekedwe a wodwala sakhala osangalatsa kwambiri, chifukwa chake, nthawi yayitali yofunikira ndiyofunikira. Kuti mubwezeretse zonse, wodwalayo ayenera kupita kuchipatala, osatengera zomwe zimayambitsa matenda, asiye zizolowezi ndikusintha zakudya zatsiku ndi tsiku. Fota wazomera, mavitamini, mapuloteni, kupatula shuga ndi lipids zovulaza muzakudya za tsiku ndi tsiku zimathandizira izi. Ndi atherosulinosis, njira zina zamankhwala zingagwiritsidwe ntchito, kenako zinthu za pathogenic zimathetsedwa mosavuta.

Zithandizo za anthu

Kuchokera ku atherosclerosis, madokotala amalimbikitsa kugwiritsa ntchito rosehip decoction, yomwe ili ndi khola lokhazikika. Mankhwalawa amatsuka ziwiya zotsekedwa, amachotsa cholesterol yoyipa, lipids, ndi poizoni. Pokonzekera msuzi wochiritsa 1 tbsp. l zitsamba zouma 1 tbsp. madzi otentha, kunena ndikuwumitsa, imwani pakudya kamodzi kawiri patsiku - m'mawa ndi madzulo. Zakudya zina zodziwika bwino za atherosulinosis zimafotokozedwera pansipa, zothandiza m'matumba a mavuto:

1. Pwanya mizu ya elecampane, osakaniza okonzeka mu voliyumu yofika 1. h. Thirani 300 ml ya madzi, onjezerani oregano, thumba la abusa, mabulosi akutchire. Wiritsani, wiritsani kwa mphindi 5-7. Tengani zomalizidwa tsiku lonse magawo ofanana.
2. 50 g ya Japan sophora kutsanulira 500 g wa mowa wamphamvu, kunena m'malo 30 masiku. Tengani pakamwa pa 1 tsp. katatu patsiku, makamaka musanadye, imwani madzi ambiri.
3. Ikani 50 g ya cloves mu kapu yamagalasi, kutsanulira 500 ml ya mowa wamphamvu, ndikuwapatsa zikuchokera kwa masabata awiri. Tengani 1 tsp. kulowetsedwa katatu patsiku, uku akuwonetsetsa kuti matenda am'mimba osakhalapo.

Chithandizo cha Atherosulinosis

Pali magulu angapo apamwamba a mankhwala omwe amagwiritsidwa ntchito polimbana ndi matenda a atherosulinosis:

• Mankhwala ochokera ku gulu la ma statins - zigawo zomwe zimagwira ndi atorvastatin, simvastatin, lovastatin, etc. Mankhwalawa amathandizira kuchepetsa kuyenda kwa mafuta m'thupi m'matumbo ndikuchotsa zolembera za atherosselotic. Izi zimachepetsa chiopsezo cha magazi.
• Mankhwala omwe amaphatikizapo nicotinic acid. Mankhwalawa amathandizira kuchepetsa kuchuluka kwa cholesterol "yoyipa" ndi triglycerides m'madzi a m'magazi, kumawonjezera cholesterol "yabwino".Kugwiritsa ntchito mankhwala osokoneza bongo a nicotinic acid kumaphwanya kwambiri kuphwanya kwamphamvu kwa chiwindi.
• Kukonzekera kuchokera ku gulu la fibrate (gawo lomwe limagwira ntchito ndi fibroic acid) - kumathandizira kusintha kwa kagayidwe kazakumwa, kuthetsedwa kwa malo a atherosranceotic. Mankhwala a gululi amagwiritsidwa ntchito kwa odwala onenepa kwambiri, omwe amakhala ndi triglycerides yolimbana ndi maziko osaneneka kwambiri a choleopolotein otsika kwambiri ("oyipa" cholesterol).
• Ndi tsankho la statin, wodwala amatha kupatsidwa mankhwala omwe bile bile amathandizira kuti athe - mankhwala a Cholestid kapena Cholestyramine.
• Mankhwala ochepetsa magazi ndi kupewa kukula kwa thrombosis: Aspirin Cardio, Plavix.

Kuphatikiza pa chithandizo chachikulu, amagwiritsa ntchito:

• Mankhwala omwe amaphatikizapo mafuta a omega-3, omega-6, omega-9 polyunsaturated fat acids. Mankhwalawa amapangidwira kuti akhale ndi mphamvu yobwezeretsa, antioxidant komanso antiplatelet thupi. Phatikizani ku normalization wa mulingo wa cholesterol "yoyipa".
• Zithandizo zochokera ku valerian kapena sodium bromide.
• Vitamini zovuta: mavitamini a gulu B, vitamini C

Zakudya za atherosulinosis

Pochiza matenda a atherosulinosis, kufunikira kwakukulu kumaperekedwa kwa zakudya zomwe zimachepetsa kudya zamafuta a cholesterol.

Kuchepetsa:

• mafuta
• nyama (makamaka impso ndi chiwindi)
• mazira
• nsomba zamzitini mu mafuta (sprats, sardines, etc.)
• cocoa
• wa chokoleti
• tiyi wakuda

Zakudya zolimbikitsidwa zomwe zimakonzekera ayodini ndi mavitamini C ndi B₂. Vitamini B₂ imalepheretsa kupanga kwa wosanjikiza wamafuta m'makoma amitsempha yamagazi.

• nyanja kale (ayodini)
• nandolo (muli vitamini B₁)
• peeled biringanya wokazinga ndi stewed (kuchepetsa magazi mafuta m'thupi, kukonza kagayidwe)
• kolifulawa
• sitiroberi
• quince yophika
• walnuts (makamaka ndi zoumba ndi nkhuyu)
• tikulimbikitsidwa kudya zipatso zambiri za zipatso m'munda wa 1-2 masiku onse pamimba yopanda kanthu (zimalepheretsa kuyimitsidwa kwa mandimu m'matumbo)
• chivwende, pamodzi ndi okodzetsa, zimathandiza kuchotsa cholesterol owonjezera m'thupi

Kuchepetsa komanso kupewa matenda a atherosulinosis, gwiritsani ntchito mafuta a mpendadzuwa (ali ndi mafuta ambiri osakwaniritsidwa). Ndipo kupewa kuti matenda a atherosulinosis, ndibwino kudya zipatso zambiri.

Kugwiritsa ntchito maapulo pafupipafupi kumachedwetsa kukula kwa atherosulinosis. Maapulo awiri kapena atatu apansi tsiku lililonse cholesterol ndi 10-14%. Mu maapulo ophika ndi ophika, zomwe ma pectins amapita zimakhala zapamwamba.

Ndi senile fragility ya capillaries ndi kukumbukira kufooka, kumwa tiyi wobiriwira wamphamvu.

Limagwirira kukula kwa atherosulinosis

Ndi atherosulinosis, dongosolo la zotupa m'mitsempha imachitika chifukwa cha vuto la lipid ndi mapuloteni a m'mitsempha yamagazi. Mavuto a metabolism amadziwika ndi kusintha kwa chiŵerengero pakati pa cholesterol, phospholipids ndi mapuloteni, komanso kupangika kwakukulu kwa β-lipoproteins.

Amakhulupirira kuti mu chitukuko cha atherosulinosis imadutsa magawo angapo:

Ndayamba - lipid (kapena mafuta) Madontho. Poika mafuta mu khoma lamitsempha, gawo lofunikira limaseweredwa ndi microdamage kukhoma kwamitsempha komanso kutsekemera kwa magazi kwakanthawi. Madera okhala ndi mtima wamatumbo ndi omwe amatha kupezeka ndi matenda a atherosulinosis. Khoma lamanjenje limamasuka ndikutupa. Zida zam'mbali mwa khoma lakale zimasungunula lipids ndikuteteza umphumphu wake. Njira zoteteza zikatha, mapangidwe ophatikizira amitundu amapangidwa m'malo amenewa, omwe amapanga lipids (makamaka cholesterol), mapuloteni, ndipo amawaika mu intima (chipolopolo chamkati) cham'mitsempha. Kutalika kwa gawo la lipid malo ndizosiyana. Malo amafuta oterowo amawonekera kokha pansi pa maikulosikopu; amatha kupezeka ngakhale mwa ana.

Gawo lachiwiri - liposulinosis. Amadziwika ndi kukula m'malo wamafuta ambiri a minyewa yodziwika bwino. Pang'onopang'ono, zolembera zamtundu wa atherosulinotic (kapena atheromatous) zimapangidwa, zomwe zimakhala ndi mafuta ndi minofu yolumikizana minofu. Pakadali pano, zolembera za atherosselotic zikadali zamadzi ndipo zitha kusungunuka. Kumbali inayi, ndi owopsa, chifukwa mawonekedwe ake otayirira amatha kuphulika, ndipo zidutswa za zojambula zimatha kufinya kuunika kwa mitsempha. Khoma la chotengera pamalo ophatikizika ndi zolembera za atheromatous limataya zotanuka, ming'alu ndi zilonda, zomwe zimatsogolera pakupangidwe kwa ziwunda za magazi, zomwe zimapatsanso ngozi.

III gawo - atherocalcinosis. Kupangidwe kwina kwa chilinganizo kumalumikizidwa ndi kuphatikizika kwake ndi mawonekedwe a mchere wamchere mkati mwake. Ndondomeko ya atherosulinotic ikhoza kukhazikika kapena kukula pang'onopang'ono, kupunduka ndi kufupikitsa kuwala kwa chotupa, ndikupangitsa kuphwanya kwamphamvu kwa magazi kwa ziwalo zomwe zakhudzidwa ndi mtsempha. Pankhaniyi, pali kuthekera kwakukulu kwa kufinya kwamkati (chotupa) cham'madzi chokhala ndi chopunthira kapena zidutswa za chifanizo cha atherosranceotic chokhazikitsidwa ndi kukula kwa malo amitsempha yama mtima (necrosis) kapena gangrene m'magazi a magazi kupita ku nthambi ya ziwalo kapena chiwalo.

Malingaliro awa pa makina a chitukuko cha atherosulinosis si okhawo. Amakhulupirira kuti pakukula kwa atherosulinosis, matenda opatsirana (herpes simplex virus, cytomegalovirus, matenda a chlamydial, ndi ena otero), matenda obadwa nawo omwe amaphatikizidwa ndi kuchuluka kwa cholesterol, kusintha kwa maselo a khoma la mtima, ndi zina.

Zowopsa za Atherosclerosis

Zomwe zimakhudza chitukuko cha atherosulinosis zimagawika m'magulu atatu: zakupha, zochotsa komanso zomwe zingachotse.

Zowopsa zimaphatikizapo zomwe sizingalepheretsedwe chifukwa chowonekera pang'onopang'ono kapena kuchipatala. Izi zikuphatikiza:

• M'badwo. Ndi zaka, chiopsezo chotenga atherosulinosis imachuluka. Kusintha kwa atherosclerotic m'mitsempha yamagazi pamlingo wina kapena wina kumawonedwa mwa anthu onse patatha zaka 40-50.
• Paulo Mwa amuna, kukula kwa atherosulinosis kumachitika zaka khumi m'mbuyomu ndipo kumachulukitsa kuchuluka kwa atherosclerosis pakati pa akazi ndi 4 times. Pambuyo zaka 50-55, kuchuluka kwa atherosulinosis pakati pa akazi ndi amuna kumatsatiridwa. Izi zimachitika chifukwa cha kuchepa kwa kupanga kwa estrogen ndi ntchito yawo yoteteza mwa azimayi pa nthawi ya kusamba.
• Cholowa chakabanja. Matendawa nthawi zambiri amakula mwa odwala omwe achibale awo akudwala matendawa. Zimatsimikiziridwa kuti cholowa cha atherosulinosis chimathandizira pakukula kwa matendawo (mpaka zaka 50) matendawa, pomwe patatha zaka 50, ma genetic alibe gawo lofunikira pakukula kwake.

Zoyipa za atherosulinosis ndi zomwe zitha kupatulidwa ndi munthu mwiniyo posintha njira yamoyo. Izi zikuphatikiza:

• Kusuta. Zotsatira zake pakukula kwa atherosulinosis amafotokozedwa ndi zoyipa za chikonga ndi phula pamitsempha yamagazi. Kusuta kwa nthawi yayitali kangapo kumawonjezera chiopsezo cha hyperlipidemia, matenda oopsa oopsa, matenda a mtima a ischemic.
• Chakudya chopanda malire. Kudya mafuta ambiri a nyama kumathandizira kukhazikitsa kusintha kwa mitsempha ya atherosulin.
• Kulephera kuchita masewera olimbitsa thupi. Kusungabe moyo wongokhala kumathandizira kuphwanya kagayidwe kakang'ono ka mafuta ndikukula kwa kunenepa kwambiri, matenda ashuga, mtima wamatenda a mtima.

Zowopsa zomwe zimatha komanso zochotsa panjira zimaphatikizira zovuta ndi matenda omwe amatha kuwongolera kudzera mu chithandizo chamankhwala. Mulinso:

• Matenda oopsa. Poyerekeza ndi kuwonjezeka kwa kuthamanga kwa magazi, zinthu zimapangidwa kuti ziwonjezere kukhazikika kwa khoma la mtima ndi mafuta, zomwe zimathandizira kupanga mapangidwe a atherosranceotic. Komabe, kuchepa kwa kuchuluka kwa mitsempha ya mitsempha ya m'mimba kumathandizira kuti magazi azithamanga.
• Dyslipidemia. Kuphwanya mafuta kagayidwe m'thupi, kuwonetsedwa ndi cholesterol, triglycerides ndi lipoproteins, kumathandizira pakukula kwa atherosulinosis.
• Kunenepa kwambiri komanso matenda a shuga. Wonjezerani kuthekera kwa atherosulinosis 5-7. Izi zimachitika chifukwa chophwanya mafuta kagayidwe, kamene kamayambitsa matendawa ndipo ndi komwe kumayambitsa maselo a zotupa zam'mimba za atherosulinotic.
• Matenda ndi kuledzera. Othandizira opatsirana komanso oopsa amakhala ndi zowonongeka pamakoma amitsempha, amathandizira kusintha kwawo kwa atherosulinotic.

Kudziwa zinthu zomwe zikuthandizira kukulitsa kwa atherosulinosis ndikofunikira kwambiri popewa, popeza mphamvu ya zochotsa ndi zotheka zimatha kufooka kapena kuthetseratu. Kuthetsa zinthu zoyipa kumachepetsa kwambiri ndikuwongolera chitukuko cha atherosulinosis.

Mavuto a Atherosulinosis

Mavuto a atherosulinosis aakulu kapena pachimake mtima kuperewera kwa magazi m'thupi. Kukula kwa mtima kuperewera kwa mtima kumalumikizidwa ndi kupindika kwapang'onopang'ono (stenosis) kwa lumen kwa artery ndi kusintha kwa atherosulinotic - stenosing atherosulinosis. Kuperewera kwa magazi kwa gawo kapena gawo lake kumabweretsa kusintha kwa ischemia, hypoxia, dystrophic ndi kusintha kwa atrophic, kuchuluka kwa minofu yolumikizana ndikukula kwa kakhazikitsidwe kakang'ono.

Kupezeka kwa pachimake mtima insufficiency kumabweretsa pachimake kufooka kwa mitsempha ndi thrombus kapena embolus, amene akuwonetsedwa ndi chipatala cha pachimake ischemia ndi mtima. Nthawi zina, kugundana kwa mtsempha wamagetsi wokhala ndi vuto loyipa kumatha kuchitika.

Kukula ndi kupewa kwa atherosulinosis

Munjira zambiri, kudalirika kwa atherosulinosis kumatsimikiziridwa ndi machitidwe ndi moyo wa wodwalayo. Kuchotsa kwa zomwe zingachitike pachiwopsezo komanso kugwiritsa ntchito mankhwala osokoneza bongo kungachedwetse kukulitsa kwa atherosulinosis ndikwaniritsa kusintha kwamunthu. Ndi kukula kwa pachimake circulatory matenda ndi mapangidwe a foci a necrosis mu ziwalo, matendawa akuipiraipira.

Pofuna kupewa atherosclerosis, kusuta kufinya, kupatula kwa chinthu chodetsa nkhawa, kusintha kwa mafuta ochepa komanso otsika-cholesterol zakudya, kulimbitsa thupi mwakuthupi mogwirizana ndi kuthekera ndi msinkhu, kulemera kwofunikira ndikofunikira. Ndikofunika kuphatikiza muzakudya zomwe zimakhala ndi CHIKWANGWANI, mafuta a masamba (mafuta a maolivi ndi mafuta a azitona) omwe amasungunula mafuta a cholesterol. Kukula kwa atherosulinosis kumatha kuchepetsedwa ndikumwa mankhwala ochepetsa mphamvu ya mafuta m'thupi.

Anyezi madzi ndi uchi kuchokera ku atherosulinosis

Ichi ndi njira yothana ndi matenda a atherosulinosis, omwe amatha kukonzekera kunyumba. Zimatenga 300 g wofinya (anyezi) kuphatikiza ndi msuzi wa mandimu atatu. Muziganiza, ikani mu chidebe chagalasi, tsitsani mufiriji usiku wonse. 1 tsp. kuchepetsa madziwo mu kapu ya madzi ofunda, tengani pakamwa.

Mitundu ndi zizindikiro za mtima atherosulinosis

Zizindikiro za atherosulinosis zimatengera komwe matendawa ali.

• Matenda a ziwongo. Nthawi zambiri amati "mitsempha ya m'magazi a ziwiya zamafuta." Mwanjira imeneyi, mitsempha yaubongo imakhudzidwa ndi ma cholesterol plaque omwe amapezeka muzombo zazikulu komanso zapakati. Zizindikiro: kusokonezeka kwa kukumbukira, kutsitsa, kuchepa kwa malingaliro, chizungulire, kupweteka kwa mutu. Zizindikiro zamitsempha yamagazi ya m'matumbo a ziwazi nthawi zambiri zimagwirizanitsidwa ndi chizindikiro cha kukalamba.
• Carotid Atherosulinosis (carotid atherosulinosis) ndi matenda omwe amadziwika ndi kuwonongeka kwa mitsempha ya carotid. Mitsempha ya Carotid ndiyo yofunika kwambiri kunyamula mpweya muubongo. Mphamvu yolankhula, kuganiza, zomverera ndi zochitika zamagalimoto zimatengera ntchito yathunthu yazida izi. Ndi kuwonongeka kwa mitsempha ya carotid, ntchito yodzala ndi ubongo ndi ziwalo zonse zimasokonekera.
• Atherosulinosis ya ziwiya zam'mimba. Pali kuphwanya kwa magazi ku minofu ya mtima, kunja kumawonekera ngati kupindika kwa angina pectoris, mtima, mtima arrhythmia, kulowerera kwamtima.
• Thoracic aortic atherosulinosis. Zizindikiro: kuchuluka kwa magazi a systolic, chizungulire, kuwonda, kuvuta kumeza, kukanikiza kwa nthawi yayitali kapena kupweteketsa kupweteka kumbuyo kwa sternum.
• Atherosclerosis ya m'munsi malekezero. Pa magawo oyamba a matendawa, zizindikiro za atherosulinosis zam'munsi kwambiri zimaphatikizapo kutopa ndi kupweteka m'misempha ya ng'ombe, kuzizira kwamiyendo, kukokana, kufinya khungu la miyendo.
• Kugawa atherosulinosis ya ziwiya zamagawo am'munsi, - Uwu ndi mtundu wa atherosulinosis wamiyendo. Ndi matendawa, cholesterol plaques amapanga m'makoma amitsempha, amasokoneza kayendedwe kamagazi, ndikupanga vasoconstriction (stenosis) kapena kufalikira kwathunthu, kotchedwa occlusion kapena kuwononga, chifukwa chake, lankhulani za chotupa cha mafupa a m'miyendo. Mu gawo lotsogola lochotsa matenda a m'matumbo am'munsi, njira yosasinthika ya necrosis imachitika - gangrene mwendo (necrosis ya minofu yonse yam'munsi mwa malo a chotupa cha mtsempha wamagazi).

Matenda a Atherosulinosis

Zotsatira za atherosulinosis, njira yokhazikika ya autoimmune imayamba kukhala m'matchulidwe a atherosclerotic. Minofu yolumikizana imakula ndipo izi zimapangitsa kuti mapangidwe ake achepetse komanso osachepera malire, potero kumayambitsa kuchepa, pang'onopang'ono, kuonjezera kusakwanira kwa magazi kwa gawo lomwe limadutsa mu mtsempha wamagetsi. Ndizothekanso kutsekedwa kwa lumen ndi thrombus kapena zokhala ndi zolembera zomwe zimasokoneza. Zotsatira za thrombosis yotere imatha kukhala vuto la mtima (necrosis) kapena gangrene mu chiwalo chomwe chimadya pamtsempha.

Zotsatira za matenda a chithokomiro matenda am'mimba, chiwopsezo cha ischemic kapena hemorrhagic chitha kupezeka - zinthu zonsezi ndizowopsa.

Myocardial infarction (zotsatira za coronary arteriosulinosis) ndi chimodzi mwazomwe zimapangitsa kuti anthu azifa.

Kuteteza kwa Atherosulinosis

Kupewa kwa atherosulinosis kumaphatikizaponso kusiya kusuta, kuwongolera kunenepa, kuchepetsa kuchuluka kwa malingaliro, zoletsa zina za chakudya, ndi kuwonjezera zolimbitsa thupi.

Kuti thupi lipitirize kukhala ndi thanzi komanso kupewa matenda a atherosulinosis, zakudya zofunikira mchere, shuga ndi cholesterol ziyenera kudyedwa. Zakudya zamafuta ochepa, zamafuta ochepa zimalimbikitsidwa. Muyenera kudya chimanga, masamba, zitsamba, vinyo wofiira, mafuta osapsa a masamba.

Malangizo athu a atherosulinosis

Mankhwala a Dienai ndi oyenera chifukwa cha atherosclerosis omwe apezeka kale komanso kupewa matenda a mtima. Potere, kusiyana kumangokhala munthawi yoyang'anira komanso kuchuluka kwa mankhwalawa.

Mwachitsanzo kupewa matenda a arteriosulinosis Midivirin imatha kutengedwa - gwero la oligonucleotides ndi taurine wachilengedwe.

Pofuna kupewa matenda a mtima - mutha kutenga Dienai imodzi yoyambirira kapena kuphatikiza ndi Venomax, - gwero la oligonucleotides ndi bioflavonoids, mankhwalawa amayeretsa mitsempha yamagazi ndikuthandizira makoma amitsempha yamagazi.

Pofuna kupewa atherosclerosis ya ziwiya am'munsi malekezero - Muthanso kutenga Venomax, koma kuphatikiza ndi Venomax Axiom. Venomax Axima imathandizira kutuluka kwa zamitsempha kuchokera m'minyewa m'magazi momwe magazi amachepetsedwa, amachotsa edema ya m'munsi.

Panthawi ya atherosulinosis yomwe ikupita patsogolo Otsatirawa angalimbikitsidwe:

1. Matenda a matenda a ziwindi, - mankhwala:
   • Mwezi woyamba: Dienai 70 makapisozi
   • Mwezi wachiwiri: maVapoti a Venomax 50 + Vazomax makapisozi 30
   • Mwezi watatu: Midivirin 70 makapisozi
   • Mwezi wa 4: Neurostim makapisozi 50
   • Mwezi wa 5: Neurostim Indigo 10 makapisozi
2. Kuthana ndi atherosclerosis ya ziwiya zokhala m'munsi, - kukonzekera:
   • Mwezi woyamba: Dienai + Venomax Axiom 10 makapisozi
   • Mwezi wachiwiri: Venomax + Venomax Axiom
   • ikhoza kubwerezedwanso pambuyo pake
3. Atherosulinosis yamitsempha yama mtima, - mankhwala:
   • Mwezi woyamba: Dienai makapisozi 70 + Wazomax makapisozi 30
   • Mwezi wachiwiri: makapisozi a Venomax 50 + Venomax Axiom 10 makapisozi
   • ikhoza kubwerezedwanso pambuyo pake

Dienai ndi Venomax - muchepetse cholesterol ndi triglycerides m'mwazi, komanso okhala ndi katundu wa immunomodulatory.

Neurostim - zakudya zamankhwala zama minyewa yamanjenje.

Midivirin - Mankhwala abwino opangira ziwiya zamafuta.

Katundu Venomax zimaphatikizapo antioxidant ndi lipid-kutsitsa zimatha zomera flavonoids. Kafukufuku wofufuza komanso wazachipatala awonetsa kuti maantiamuwa amatha “kukonza” maukali okosijeni omwe amawononga ma cell am'mitsempha, amachepetsa kuphatikizika kwa cholesterol, amathandizira kukhathamiritsa kwa acid acids ndikuletsa njira yotupa m'mitsempha yamagazi. Zotsirizirazi ndizofunikira kwambiri, chifukwa chotsatira cha kutupa, zolembera zamtundu wa atherosselotic zimakhala zosakhazikika ndipo nthawi iliyonse zimatha kuphulika, zimakhala ndi kupangika kwa magazi a magazi ndi kupangika kwa myocardial infarction.

Ziyeso ZamankhwalaDienai"Zawonetsedwa kuti mulingo wa cholesterol ndi triglycerides m'magazi amachepetsedwa ndi 25-30%, mosiyana ndi kukonzekera kwa ma cellins, omwe amalepheretsa mwachindunji kapangidwe ka cholesterol, kuletsa kulandira"Dienai"Sizimapangitsa kuti pakhale cholefuka. "Dienai»Iyenera kuchitika ndi mankhwala achilengedwe omwe amachepetsa lipid, popeza njira zomwe anti-atherogenic zochita zimasiyanirana, chifukwa chake zimakwaniritsa ndikuti zimapangitsa zovuta kuthandizira kwa multifacterial atherosulinosis.

Ndondomeko yolandirira

Mankhwala onse omwe ali pamwambawa amagwiritsidwa ntchito mosiyanasiyana, koyamba kwa mankhwala amodzi, kenako ena, etc. Phukusi lililonse ndi maphunziro kwa mwezi umodzi.

Mlingo: yambani ndi kapisozi imodzi patsiku, ndiye kuti masiku atatu aliwonse muwonjezere mlingo ndi 1 kapisozi. Mlingo woyenera kwambiri ndi makapisozi 3-4 patsiku.

Ndi atherosclerosis ya ziwiya zamutu, ndikofunikira kumvetsetsa kuti kukonzekera kwa Dienai kumatsuka ziwiya (chifukwa ziwiya zam'mutu ndikosazindikira), pamakhala kusamvana mu mawonekedwe amutu. Poterepa, ingochepetsani mulingo wabwino.

Pankhani ya infarction ya myocardial, sitiroko, enterteritis, mtundu 1 kapena mtundu 2 wa shuga, kumwa mankhwala omwe ali pamwambawa ndikofunikira limodzi ndi mankhwala a pharmacological omwe adokotala adawauza.

Nthawi zambiri timafunsidwa: kodi Dienai, Venomax ndiotetezeka?

Kodi magazi atatuluka?

Pansipa pali kanema "labu" pamutuwu. Mbiriyi ndi yakale, siyotsatsa ayi, koma zomwe zikuchitika pamaso panu zimangokhala zongoyerekeza.

Tanthauzo lake ndikuti: thrombus imayikidwa mu chubu choyesera ndi yankho la saline, pambuyo pake mankhwala (ma enzymes mu mawonekedwe amadzimadzi) amawonjezeredwa pa chubu chimodzi cha mayeso. Nthawi imawonetsa nthawi. Ndipo mumazindikira ndi maso anu zomwe zimachitika chimodzimodzi ndi chovala chamwazi ichi.

Chonde onetsetsani kuti mawuwo ayatsidwa pa kompyuta yanu ndikudina wosewera mpira!

Mankhwala omwe adagwiritsidwa ntchito poyesa izi ndi Imosimaza, enzyme mwa mawonekedwe ake oyera, mtundu wa mankhwala amakono a Dienai ndi Venomax.

Tili ndi nkhani yosangalatsa kwambiri.
Amvera! Ndi ufulu.

Zambiri zathu zidzakuthandizani
khalani nthawi yayitali komanso wopanda matenda!

Kodi atherosulinosis - gawo la matenda

Matenda a atherosulinosis makamaka amakhudza ziwiya zazikulu za thupi: carotid ndi minyewa ya m'mimba, aimpso, mtima ndi m'mimba msempha. Maziko a matendawa amasintha machitidwe a metabolic, momwe mumakhala kuchuluka kwambiri kwa cholesterol ndi? -Lipoprotein m'magazi motsutsana ndi maziko a kuchepa kwa kuchuluka kwa ma phospholipids ndi mapuloteni. Zotsatira za kusalinganika uku ndikusintha mwadongosolo m'makoma amitsempha, kudutsa magawo angapo. Akamabwera, zosintha zotsatirazi zimachitika:

1. Gawo la lipid (mafuta) banga, momwe kuwonongeka ndi kumasula kwa epithelium kumawonekera pamwamba pa khoma la mtima. Pakadali pano, kuwonongeka kwam'mimba sikufa, komanso, sizingatheke kuzindikira, chifukwa milomo ya lipid pamatumbo imakhala pazolumikizana zam'mitsempha zomwe zimatchedwa intima. Kukula kwa zamadzimadzi mawanga - makamaka mu nthambi ya mitsempha.
2. Gawo la liposulinosis kapena kuchuluka kwa lipomatous zolengeza chifukwa yogwira popanga pamalo owonongeka a minofu yolumikizana. Pakadali pano, ndikosavuta kuthana ndi neoplasms, chifukwa mankhwalawa ochizira atherosulinosis amatha kusungunula zofewa mosavuta. Kumbali ina, ndi panthawiyi yomwe chitukuko cha matendawa chimakwaniritsidwa chifukwa cha kuchuluka kwa zidutswazidutswa zomwe zatsekedwa pambuyo pake. Pa gawo ili la atherosulinosis, kusintha kwa maonekedwe a khoma lamitsempha kumakhala kakhalidwe - kumakhala kocheperako ndipo kumakhala kosavuta kupweteka.
3. Gawo la atherocalcinosis kapena kuphatikizika kwa zolembedwa za atherosulinotic chifukwa cha machulukitsidwe ake ndi mchere wamchere. Pakadali pano, kusintha kwa zamatenda kumafika pachimake - madongosolo amakula ndikuchepetsa magazi chifukwa cha kuwonongeka kwa makoma amitsempha. Pakadali pano, atherosulinosis ya mitsempha imasonyezedwa ndikupanga kwa necrosis kapena gangrene pa miyendo ndi ziwalo zomwe zimathandizira chotengera chowonongeka.

Kuphatikiza pa zomwe tafotokozazi, chifukwa chachikulu cha atherosulinosis chimatha kukhala ndi kachilombo ka herpes, cytomegalovirus, chlamydia, kusintha kwa maselo a epithelial a circulatory system, matenda obadwa nawo omwe amachititsa kusintha kwa metabolid ya lipid. Ngakhale zimayambitsa zoyambirira za atherosclerosis, matendawa mulimonsemo amapita pamiyeso yonse yomwe tafotokozazi.

Zambiri ndi magulu omwe ali pachiwopsezo

Akatswiri azindikira magulu angapo amomwe anthu omwe ali pachiwopsezo cha atherosulinosis ndiofunikira kwambiri:

1. Pazaka zakubadwa - anthu opitilira zaka 40-50.
2. Mwa jenda - abambo amatenga matenda mosavuta kuposa azimayi.
3. Heredity - chiopsezo cha atherosulinosis ndi chokwanira kwambiri kwa omwe achibale awo amadzazindikira.

Zinthu zomwe zalembedwazi sizingachotseke ndipo sizingasinthidwe ndi munthu. Mankhwala, apatsidwa tanthauzo la "kupha".

Gulu lachiwiri la zinthu zomwe zimayambitsa kupezeka kwa atherosulinosis zimatchedwa kuti zochotsa. Izi zikuphatikiza ma systemic pathologies omwe amatsogolera kusintha kwa ntchito zamtima. Zotsatira zake zoyipa zitha kupewedwa ngati wodwala atamwa mankhwalawa adokotala.

Zomwe zimachotsedwa pamikhalidweyi ndi monga:

1. Matenda oopsa.
2. Dyslipidemia kapena kuwonjezeka kwa cholesterol yamagazi.
3. Kulumikizana ndi othandizira opatsirana.
4. Matenda a shuga.
5. Kunenepa kwambiri

Zoyipa za atherosulinosis zimaphatikizira moyo wosavomerezeka ndi zizolowezi zoyipa: kusuta, uchidakwa, kusachita masewera olimbitsa thupi komanso kudya mokwanira. Zimayambitsa kupezeka kwamatenda omwe, pakalibe chithandizo, amathana ndi atherosulinosis. Zinthu zotere zimathandizira kwambiri kupita patsogolo kwa matendawa ndikuwonjezera chiopsezo cha kufa kuchokera ku atherosulinosis.

Kuwonetsedwa kwa atherosulinosis kwa msempha

Ngati pathological njira ikuchitika mu kungʻambika Chipilala ndi nthambi zake, zodziwika matenda oopsa zimachitika odwala. Matenda amtunduwu amachitika limodzi ndi matenda obwera m'mitsempha muubongo komanso lamba. Matendawa amaphatikizidwa ndi zizindikiro zotsatirazi ndikuwonetsa:

• kuchuluka kwa ma systole pazosasintha mwazizindikiro kapena zabwinobwino za dystolia,
• mutu ndi chizungulire,
• kukomoka
• paresthesias ndi kumva kufooka m'manja

Ngati minyewa yotupa yam'mimba idayamba m'mimba msempha, mawonekedwe akulu a atherosulinosis akuchepa kwa kukoka kwa magazi m'mitsempha yachikazi komanso ya popliteal, kusokonezeka kwa kugwira ntchito kwa ziwalo zina zamkati (zidziwitso zambiri zidzakambidwa pambuyo pake).

Popeza mankhwalawa atherosulinosis omwe ali ndi zochitika zotere samayamba nthawi yomweyo, matendawa amatha kuthana ndi aneurysm yamagawo osiyanasiyana aorta. Pankhaniyi, zizindikiro zotsatirazi zimachitika:

• kuwonongeka kwa msempha kuwonongeka, kupweteka kwakanthawi kapena kupsinjika kwa chifuwa komwe kumachitika ndikutha pang'onopang'ono,
• ndi kuwonongeka kwa khola laling'ono - hoarseness, kupuma movutikira, kutuluka kwa larynx,
• ndi kuwonongeka kwa gawo lotsikira la msempha - kupweteka pachifuwa ndi kumbuyo, kumva kukakamira kwa esophagus.

Disort ya disort imayendera limodzi ndi kupweteka kwambiri pachifuwa m'chigawo cha epigastric. Nthawi yomweyo, wodwalayo amadwala chifukwa chosowa mpweya komanso kufooka kwambiri chifukwa chochepetsa kwambiri magazi.

Aortic dissection imawonedwa ngati yakufa. Kupulumuka kwake kumakhala kochepera 50%, ndipo pokhapokha ngati chithandizo chamankhwala chapanthawi yake chimaperekedwa.

Kuwonetsedwa kwa atherosulinosis yamatumbo a mesenteric

Ndi zotupa za mesenteric chotengera, ndikofunikira kuzindikira zizindikiro za matenda mu nthawi, popeza mtundu uwu wa atherosulinosis umadziwonetsa wokha mofananitsidwa ndi kuchuluka kwa zilonda zam'mimba. Mothandizidwa, wodwalayo amatha kuwona:

• ukufalikira
• kusowa kapena kufooka kwakukulu kwa peristalsis,
• Zowawa poyesa kupukusa pamimba,
• kusokonezeka pang'ono kwa khoma lam'mimba.

Zizindikiro zazikulu za atherosulinosis ya ziwiya zam'mimba zam'mimba ndizopweteka zomwe zimachitika mutatha kudya. Kusiyanitsa matenda ndi kusakhalapo kwa zotsatira za kumwa mankhwala cholinga kuteteza kugaya. Nthawi yomweyo, kutenga nitroglycerin amasiya kuukira.

Ndi mankhwala osayembekezereka, atherosclerosis yamtunduwu imatha ndi thrombosis mwadzidzidzi, yomwe imayenderana ndi kupweteka kwamkati kapena kutulutsa kwam'mimba, kusungunuka kwa nkhope, kusanza ndi kuphatikizika kwa bile ndi magazi. Kuzindikira koyipa komanso kuchedwa kwakanthawi kumatha kubweretsa matumbo.

Kuwonetsedwa kwa atherosulinosis ya ziwiya zamiyendo

Kusintha kwa atherosulinotic kumadera akumunsi kumawonetsedwa ndi vuto la kuchepa kwapakati, paresthesia ndi kumverera kuzizira kwa dzanja. Kuyesedwa kwakunja kwa miyendo kungathe kuwonetsa zotsatirazi za matendawa:

• pulsation ikuchepera,
• Zilonda zam'mimba pazala, miyendo, kapena chidendene,
• Khungu lakhungu,
• kupatulira ndi khungu louma.

Vein thrombosis, yomwe imachitika motsutsana ndi maziko a kusintha kwa atherosulinotic, imabweretsa zowawa zowonjezereka ndikuwoneka kwamitsempha yokulitsidwa kwambiri m'miyendo.

Kuwonetsedwa kwa matenda amiseche

Mu matenda monga atherosulinosis, gulu limaphatikizanso kuwonongeka kwa ziwiya zamadzimadzi. Matenda amtunduwu akuwonetsedwa ndikuwonongeka kwakukulu pakugwira ntchito kwa dongosolo lamkati lamanjenje, lomwe limafotokozeredwa ndi:

• kuchepa kwa magwiridwe
• kusamalira chidwi ndi kukumbukira,
• luntha lachepera
• kugona kusokonezedwa
• chizungulire.

Komanso, wodwalayo amatha kusokonezedwa ndi mutu. Nthawi yomweyo, kusintha kwakukuru m'maganizo kumachitika. Izi subsheries of atherosulinosis ndizowopsa ndi zovuta monga stroko.

Kuwonetsedwa kwa atherosulinosis kwamitsempha yamagazi

Ndi kuwonongeka kwamitsempha yama coronary, wodwalayo amadandaula za kupweteka kumbuyo kwa sternum, kumverera kwofooka ndi kutopa. Pakuchulukirachulukirachulukira kwa matendawa, kumakhala kudzimva dzanja kumanzere, kupuma movutikira. Zowukira zimaphatikizidwa ndi mantha a imfa, kusokonezeka kapena kuwonongeka kwathunthu kwa chikumbumtima. Kuopsa kwa mtundu uwu wa matenda ndi chiopsezo chachikulu cha kufa chifukwa cha myocardial infarction.

Njira zochizira matendawa

Chithandizo chachikulu cha mtima wamatenda a mtima ndi kumwa mankhwala ndikusintha moyo wa wodwala. Choyamba, wodwalayo amapatsidwa mankhwala osokoneza bongo omwe zochita zake zimachepetsa magazi a cholesterol ndikuchepetsa minofu hypoxia (makamaka kuwonongeka kwa ziwiya zam'mimba). Poterepa, gwiritsani ntchito:

• kukonzekera kwa nicotinic acid mapiritsi ndi jakisoni,
• otsatizana a bile acid,
• ma statins
• mafupa.

Magulu omwe atchulidwa a atherosulinosis amalembedwa malinga ndi kukhalapo kwa zisonyezo ndi contraindication, ndipo muyezo amawerengedwa payekhapayekha.

Chakudya chokhwima, chomwe chimatanthawuza kuchepa kwamafuta a nyama, chimathanso kusintha mkhalidwe wa wodwalayo. Thanzi liyenera kutsatira mfundo za mankhwala tebulo No. 10c. Ndi zovuta zovuta za matendawa, chakudya No. 5 chimagwiritsidwa ntchito.

Ndi kuthekera kwakukulu kwa chotupa cha ziwiya zomwe zakhudzidwa, odwala amasonyezedwa chithandizo cha opaleshoni:

• endarterectomy - opaleshoni yotseguka,
• endovascularapy - ochepa omwe akuwonetsa opaleshoni yam'mitsempha.

Pa njirazi, timitengo timalowetsedwa mu mtsempha wamagazi kapena kuti mtsempha wamagazi timadzipaka pogwiritsa ntchito matebulo obalalika. Ndi kuwonongeka kwa ziwiya zama coronary, ma coronary artery bypass grafting amachitika.

Njira zopewera

Atherosulinosis samapezeka kwambiri mwa anthu omwe anamnesis samakulitsidwa ndi matenda a metabolic. Komabe, ngakhale ali pachiwopsezo, popeza atherosulinosis imatha kupewedwa pokhapokha ngati chikhalidwe chaumoyo chimawonedwa. Chepetsani chiopsezo cha matenda amtunduwu mwa kusiya zizolowezi zoyipa, kusintha zakudya m'thupi komanso kuwonjezera masewera olimbitsa thupi. Pamaso pa atherosulinosis yomwe ikukula pang'onopang'ono, tikulimbikitsidwa kuyang'anitsitsa malangizo a dokotala pokhudzana ndi kapangidwe ka mankhwala.