Atherosulinosis ya ziwiya am'munsi malekezero: Zizindikiro, mankhwala

Kusintha kwa atherosulinotic mu minyewa yamthupi kumatha kuonedwa pa zaka zilizonse, koma nthawi zambiri izi zimakhudza gulu la anthu opitilira zaka 40. Mawonekedwe a atherosulinotic amapezeka pafupifupi ziwiya zilizonse zathupi, komabe, kulimbikira kwamtsogolo kwa izi pathological njira kumadziwika ndi mitsempha yayikulu ya miyendo. Chodabwitsachi m'zochitika zamankhwala chimatanthauziridwa ngati kuthana ndi vuto la kuchepa kwa ziwalo zam'munsi.

Zosiyanitsa

Chofunikira kusiyanitsa matenda oterewa mwa anthu ndiko kupangika kwa ma atheroscotic omwe amakula mu ziwongo zazikulu zam'mbali zam'munsi. Mitunduyi imatchedwa cholesterol plaque ndipo imapangidwa ndi zomwe zili mu atheromatous zomwe zili mu minofu yolumikizana yolumikizana.

Cholesterol ndi chinthu chomwe chimapangidwa m'thupi kuchokera kumafuta ndi chakudya. Zimabwera m'mitundu iwiri: yothandiza komanso yoyipa. Ndi cholesterol yovulaza yomwe imalowa m'thupi limodzi ndi chakudya chomwe chidachokera ku nyama, pambuyo pake, ikudutsa m'mitsempha ndi mtsinje wamagazi, imagundikiza kukhoma. Chifukwa chake, mapangidwe a cholesterol plaque amayambira. Cholesterol chofananira mu kusasinthika chimafanana ndi sera, popeza ili ndi mawonekedwe owuma komanso omata. Komabe, cholesterol plaque ndiwofinya, chifukwa mamolekyulu a calcium omwe ali m'magazi amatha kumamatira. Pang'onopang'ono, chotengera cha atherosclerotic chimayamba kuchepa, ndipo cholesterol malo amachepetsa lumen. Mkhalidwe wam'madzi wamatumbo amtunduwu umatchedwa atherosulinosis, womwe nthawi zina umakhala matenda opha.

Talingalirani magawo akulu akulu obwezeretsera matenda a m'munsi. Zotengera zomwe zimakhudzidwa ndi atherosulinosis zimatha kuvala pakapita nthawi. Pali magawo awiri a matendawa: yoyamba ndi stenosis ya chotengera pamene lumen yake imachepetsedwa, yachiwiri ndi occlusion, zomwe zikutanthauza kuti kufalikira kwathunthu. Kodi kuwononga ma atherosmithosis a ziwiya zapansi kumawonekera bwanji?

Zizindikiro za matendawa

Pa magawo oyambilira a atherosulinosis a ziwiya zamiyendo, matendawo sangadziwonekere mwanjira iliyonse, koma muzochitika zamatenda am'mimba, kuperewera kwa mpweya wa minyewa yopanda magazi, kumayamba zovuta, zomwe pamapeto pake zimabweretsa kutsutsana.

Nthawi zambiri chitukuko cha matenda, kuwonongeka kwa ziwiya zam'munsi kumachitika, ndipo njirayi imayamba mwachangu, popeza katundu wamkulu ali pamiyendo. China chomwe chimathandizira pamenepa ndi kuuma komanso kachulukidwe ka cholesterol, komwe kumatsika ndi magazi.

Zizindikiro zazikulu za matendawa

Kuthana ndi atherosulinosis ya m'munsi yam'munsi kumadziwika ndi zizindikiro zotere:

• Kumva kuzizira m'miyendo. Odwala amangokhalira kudandaula kuti miyendo yawo yam'munsi ikuzizira, ngakhale nyengo yotentha.
• Lameness kudutsa palokha patatha kupumula kwakanthawi.
• Kutupa kwa m'munsi.
• Zomverera zopweteka zomwe zimawonedwa ngakhale ndikuchita zolimbitsa thupi kwakanthawi.
• Kufotokozera za ululu mu minofu ya ng'ombe.
• Kukula pang'ono kwa mano.
• Tsitsi kumalekezero akumunsi limayamba kugwa, ndipo khungu limakhala lotuwa kwambiri komanso louma.
• Pa kukhazikitsidwa kwa yopingasa malo thupi miyendo kwambiri wotumbululuka.
• Zochitika mu atrophic mu minofu ya ng'ombe. M'malo awa, miyendo imatha kuchepa kwambiri.
• Kukula kwa zizindikiro zakulephera kugona kwa amuna, zomwe zimakhudzana mwachindunji ndi kusakwanira kwa magazi ku ziwalo za pelvic.
• Woopsa magawo matenda, mapangidwe trophic zilonda.

Zizindikiro zopezeka ndi atherosulinosis obliterans of the m'mphepete "zimachitika mosasamala, ngakhale matendawa atayamba. Zimatengera moyo wamunthu, komanso machitidwe a thupi lake. Amuna nthawi zambiri amakhala ndi vuto la atherosulinosis obliterans, koma matenda amtunduwu amatha kupezekanso mwa akazi. Atherosulinosis imatha kuchitika ngakhale adakali aang'ono, pamene njira za metabolic zomwe zimakhudzana ndi kukonza lipids zimasokonekera m'thupi la munthu. Chinanso chomwe chimayambitsa matendawa ndi matenda ashuga.

Zoyambitsa zazikulu za atherosulinosis ya malekezero

Ukalamba ndi chinthu chachikulu pakukula kwa atherosulinosis obliterans a m'munsi malekezero. Izi ndichifukwa choti zombo zimatha mphamvu kwambiri chifukwa cha ukalamba ndipo zimalephera kugwira ntchito, ndipo cholesterol yomwe idasonkhanitsidwa kale moyo idakwanitsa kupanga madongosolo owuma pamakoma olimba.

Zinthu zazikuluzikulu zomwe zimachitika kuti ziwonongeke zamatenda am'miyendo ndizo:

• Kulemera kwambiri. Pankhaniyi, anthu amakhala ndi kuphwanya kwa kagayidwe kakang'ono ka mafuta m'thupi ndi katundu wamkulu kapena miyendo yam'munsi.
• Zakudya zopanda pake, munthu akadya mafuta ochulukirapo a nyama, zomwe zimapangitsa kuti pakhale cholesterol cholembera.
• Varicose mtima matenda. Matendawa amathandizanso kuchulukana mu ziwiya zam'munsi.
• Zovuta za chitukuko cha ziwalo za m'chiberekero, komanso matenda a ziwalo izi.
• Ukalamba.
• Frostbite ndi kuvulala kwina mwendo pamene kapangidwe kazombo kamasokonekera.
• Zochita zolimbitsa thupi kwambiri pamapazi.
• Kuchita masewera olimbitsa thupi osakwanira. Maselo a minofu amathanso kukhala ndi moyo wokhala.
• Khalidweli. Pali ena mwa odwala omwe achibale awo enieniwo adadwalanso chimodzimodzi.
• Hormonal kusalinganika m'thupi. Kusintha kwachulukidwe ka mahomoni ena kumapangitsa kuti mapangidwe a atherosclerotic akhazikike.
• Matenda a shuga.
• Hypothermia, pamene ziwiya zokhala m'munsi zimatha kuchepera.
• Kusuta, komwe kumachepetsa kutanuka kwa makoma amitsempha.

Zotsatira za matendawa zimatha kukhala zomvetsa chisoni, chifukwa nthawi yotulutsa kwathunthu ziwiya zamiyendo, zilonda zam'mimba zitha kupezeka, komanso kufa kwa malo ena, mwachitsanzo, zala zakumiyendo. Zotsatira zake ndikuwadula zala kapena dzanja lonse. Kodi kuwononga ma atherosmithosis a ziwiya zapansi kumatha bwanji?

Njira yachitukuko

Pali magawo angapo apadera a mawonekedwe ndi kukula kwa mtima wam'magazi. M'magawo oyamba, amatha kukhala asymptomatic kapena kuwonetsa ngati kupweteka m'miyendo yonyamula katundu wolemera. Ndi chitukuko cha atherosulinosis obliterans a m'munsi malekezero, Zizindikiro za anthu akuchulukirachulukira. Amayamba kumva kulemera m'miyendo yake komanso kusasangalala poyenda kapena pochita masewera olimbitsa thupi. Gawo lotsatira la matendawa limadziwika ndi kupweteka kosalekeza pakupita kwamtunda wawung'ono. Pankhaniyi, ululu sutha ngakhale pakupuma. Gawo lomaliza, lovuta kwambiri, limawonekera mwa kupangika kwa zilonda zam'mimba, ndipo pakalibe kutuluka kwa magazi m'chigawo cham'munsi, njirayi imatha kubweretsa gangore ndipo, chifukwa, kuduladula mwendo.

Zosiyanasiyana

Kuwonongeka kwa atherosclerosis ya m'munsi malekezero a mapangidwe sikungokhala m'chigawo cha shin, kutengera mawonekedwe a thupi. Pokhudzana ndi izi, mitundu ingapo yamatendawa imadziwika. Izi zikuphatikiza:

• Kusintha kwa atherosulinotic mu gawo la chikazi-popliteal.
• Zosintha mu gawo la aortic-iliac.
• Kulowa kwa dera la tibial.
• Dera la popliteal-tibial gawo la mitsempha.
• Mbali yamtunda ya ntchafu, komanso gawo lambiri la mitsempha, pamene zigawo za ziwiya za malo a shin zimasungidwa.
• Kuphatikizika kwa ziwiya zonse za ntchafu, komanso mwendo wotsika, pomwe magazi amatuluka m'mitsempha yamagawo ndi nthambi zina.
• Multilevel zotupa za ochepa dongosolo.

Kugawika kwa gawo kwamitsempha yamagazi ndikuphwanya kayendedwe ka magazi m'magawo ena, omwe ndi mtundu wofala kwambiri wamatsenga pamene magazi amatseka ntchafu. Zithunzi zowononga ma atherosclerosis am'munsi zatsika akuwonetsa kuwopsa kwa matendawa.

Njira zodziwira matendawa kuti adziwe matendawa

Pankhaniyi, ndi dokotala yekha yemwe ayenera kuyambitsa matenda komanso njira zochizira. Ndi zoletsedwa kotheratu kudzizindikira nokha matenda, chifukwa kuopsa kwa kuchepa kwa miyendo chifukwa chogwiritsa ntchito mankhwalawa sikokwanira.

Wodwalayo atadandaula za matenda a atherosulinosis a ziwiya zamiyendo, katswiriyo, monga lamulo, amafotokoza njira zotsatirazi:

• Rheovasography ndi njira yomwe imakuthandizani kuti muone momwe magazi amayendera m'mitsempha yam'munsi. Njira ya mtundu uwu ikuchitika pogwiritsa ntchito zida zapadera, zomwe zikupezeka pafupifupi pafupifupi kuchipatala chilichonse.
• Dopplerografia ndi mtundu wa matenda a ultrasound, momwe mungathere kuzindikira za atherosulinosis, kukhazikitsa kukula kwa lumen yamitsempha yamagazi, kupezeka kwa kuwonongeka kapena ma occlusion.
• Thermography ya infrared ndi njira yomwe imakhazikitsidwa poyeza ma radiation yamafuta, omwe, monga lamulo, amachepetsa m'malo osakwanira magazi.
• Kuyesa kwakuthupi pogwiritsa ntchito njira zolimbitsa thupi posankha kuchuluka kwa kutopa kwa wodwala.
• Arteriography ndi kafukufuku wapadera, yemwe ndi x-ray yomwe idachitika atayambitsa chinthu chosiyanitsa ndi magazi a wodwala. Pogwiritsa ntchito njirayi, mutha kudziwa mosavuta zazombo kapena zotuluka.

Kuphatikiza pa njira zothandizira kudziwa momwe matendawa aliri m'munsi, pali maphunziro ena a labotale omwe amathandiza kuphunzira chithunzi chonse cha matenda. Kutengera zotsatira za mayesowo, mutha kudziwa kuchuluka kwa shuga kwa wodwala kuti musatenge matenda omwe ali ndi matenda a shuga, omwe ndi omwe amachititsa kuti matendawa asinthe. Mwa kusanthula, kuchuluka kwa cholesterol ndi lipids m'magazi kumadziwikanso.

Chithandizo cha atherosulinosis obliterans a m'munsi malekezero

Njira zochizira matenda a mitsempha ndi cholinga chobwezeretsanso umwini wawo. Izi ndi monga:

• Kukana kwathunthu zizolowezi zoipa, komanso kuphatikiza chakudya.
• Kulimbitsa thupi.
• Gulu lochita zolimbitsa thupi pafupipafupi.
• Mankhwala omwe amathandizira kutsika kwa mitsempha yamagazi ndikusungunula zotchinga za atherosulinotic zotengera magazi.
• Kukana kudya nyama zamafuta.
• Njira za physiotherapeutic, mwachitsanzo, ma electrophoresis ogwiritsa ntchito novocaine, darsonvalization, magnetotherapy, ozone therapy, hyperbaric oxygenation ndi njira zina zambiri.
• Mankhwala kusintha matenda metabolic m'thupi. Mankhwala osokoneza bongo a atherosulinosis obliterans a m'munsi malekezero akhoza kukhala othandiza.
• Kugwiritsa ntchito ma multivitamin kuphatikizira kamvekedwe ka minofu yonse.
• Chithandizo cha kwanuko chimathandizira kuchiritsa kwa zilonda zam'mimbazo zikafika.
• Njira yothandiza pochizira matendawa ndi pneumopressotherapy, komwe ndi kupukusa kwapadera kwam'munsi mwa thupi pogwiritsa ntchito kuthamanga kwa magazi. Njirayi imathandizira kubwezeretsa kutalika kwa makoma a mtima.

Ganizirani njira zina zochiritsira matenda a m'munsi.

Njira za anthu

Chithandizo cha atherosulinosis ya m'munsi malekezero kuchitike ntchito ntchito. Njirazi zimathandizira kuyambiranso kwa mapangidwe oopsa a m'matumbo, omwe amathandizira kwambiri mkhalidwe wa wodwalayo. Ntchito, gwiritsani ntchito kulowetsedwa kwa zitsamba zotsatirazi: sage, chingwe, chamomile, plantain ndi wort wa St. Zosakaniza zonse zimasakanizidwa mofanana, ndiye 1 tbsp. l Sungani ndi kutsanulira 250 ml ya madzi otentha. Madziwo amathiridwa kwa maola angapo (motalikirapo kuposa pamenepo), osasefedwa.

Musanagwiritse ntchito, amafunika kupukuta mwendo ndikuwusambitsa ndi sopo ochapira m'madzi ofunda. Akatentha mpaka 37 ° C, kulowetsaku kumakhala kosungunuka ndi chidutswa cha mankhwala, ndikufinya ndikakulungidwa, ndikuyambira kumapeto kwake ndi chidendene. Mapepala okhala ndi compress amaikidwa pamwamba pa yopyapyala ndikutchinga ndi nsalu ya thonje. Njira ya ntchito ndi kutsimikiza kuwopsa kwa matendawa. Nthawi yayitali ya njirayi ndi masiku 21, pambuyo pa miyezi isanu ndi umodzi chithandizo chikuyenera kubwerezedwa.

Kuwongolera khungu la mwendo wopweteka, tikulimbikitsidwa kupaka ndi mafuta osakanikirana a maolivi ndi ma sea buckthorn (ofanana kuchuluka) nthawi yomweyo musanayambe kugwiritsa ntchito. Mafuta amapaka pakhungu pang'ono pang'ono komanso ndi wosanjikiza 1 nthawi patsiku. Kutalika kwa mankhwalawa kumatengera khungu: nthawi zambiri zimakhala kuyambira masiku 7 mpaka 20.

Ngati mutazindikira matendawa m'mayambiriro a chitukuko chake, kuchiritsa ndikotheka, koma ndikofunikira kuti muchepetse zinthu zomwe zingakulitse. Pambuyo pa chithandizo chamankhwala, muyenera kutsatira malamulo a moyo wathanzi ndikupita kukayezetsa dokotala pafupipafupi. Chithandizo cha atherosulinosis obliterans a m'munsi malekezero sichingokhala ichi.

Mankhwala Opangira Opaleshoni

Mu njira zomwe njira zochiritsira zamatenda zimaperekera zovuta, njira zogwiritsira ntchito zimagwiritsidwa ntchito polimbana ndi izi, komanso ndi zotsatira zomwe zingayambitse. Opaleshoni ya mtima amatenga nawo mbali m'zochita izi. Kutengera gawo la chitukuko cha atherosulinosis a ziwiya zam'munsi, njira zingapo za opaleshoni ndizodziwika bwino, zomwe zimaphatikizapo:

• Balloon angioplasty ndimomwe zimapangidwira bulloon wapadera mu lumen ya zotengera, zomwe zimakulitsa mtsempha wamagazi.
• Opaleshoni ya Bypass - kupanga mawonedwe opanga magazi oyenda ndi magazi pafupi ndi malo obisika kapena kufalikira kwa mitsempha.
• Kuuma - kuyika mkati mwa mtsempha wa zida zapadera zomwe zimapereka magazi kudzera mu chotengera.
• Autodermoplasty ya pakhungu - logwiritsidwa ntchito zotupa za trophic zilonda zazikulu m'miyendo.
• Arterial prosthetics - m'malo mwa magawo ena amitsempha yamagazi ndi zida zochita kupanga.
• Endarterectomy - kuchotsa kwa chotengera chomwe chakhudzidwa.
• Kudulidwa kwa miyendo. Amapangidwa m'milandu yovuta kwambiri, mwachitsanzo, ndi kukula kwa gangrene.

Chithandizo cha atherosulinosis obliterans a ziwiya zam'munsi malembedwe ayenera kukhala munthawi yake. Posachedwa, njira yatsopano yothandizira matenda ngati awa yakhala ikugwiritsidwa ntchito, pomwe kuwonetsedwa kumachitika pogwiritsa ntchito zida za laser. Njira zochitira opaleshoni zoterezi ndizopweteka kwambiri, ndipo pambuyo pawo munthu safuna kukonzanso kwa nthawi yayitali.

Pomaliza

Atherosulinosis obriterans yam'munsi miyendo yam'mimba imakhala yofala kwambiri, makamaka pakati pa amuna, chifukwa chake madokotala amalimbikitsa pambuyo pa zaka 40 kuti achepetse zakudya zomwe zimakhala ndi mafuta ambiri a nyama, omwe amapanga cholesterol "yoyipa", yomwe imayikidwa kukhoma lakumbuyo ndikuyambitsa kukula kwa zovuta. Tidawunika zizindikiritso ndi mankhwala a atherosulinosis obliterans of the limb my limb.

Chifukwa chiyani izi zikuchitika?

Mitsempha yamagazi ikakhala yathanzi, magazi amayenda momasuka ndipo minofu imalandira michere yokwanira ndi mpweya. Kuchepetsa kwa lumen kumayambitsa kuperewera pazakudya zofunika, zomwe zimayambitsa ischemia, kenako - kufa pang'onopang'ono kwa minofu m'deralo yomwe minyewa yam'magazi imakhudzana ndi magazi.

Chifukwa chachikulu choperewera kwa lumen yam'mimba ndikuwonekera kwa mapangidwe a cholesterol pamtunda wamkati wamatumbo. Pambuyo pake, zikwangwani zimatha kutsekereza magazi ndi kuyambitsa zovuta zingapo (mwachitsanzo, gangrene), zodzala ndi kuduladula miyendo.

Ichi ndichifukwa chake ndikofunikira poyamba pazovuta zosafunsa kukaonana ndi katswiri posachedwa, kuti apange chidziwitso cholondola ndikuthandizira kusintha kwa magazi m'magazi omwe akhudzidwa.

Kumbukirani: kusungika kutukusira kwa minofu yokhala ndi ziwongo za m'matumbo am'munsi popanda kuchitidwa opaleshoni, ngati mutazindikira matendawa munthawi ndikuwathandiza.

Atherosclerosis ya ziwiya zam'munsi malekezero: Zizindikiro

Atherosulinosis ya ziwiya zamagawo am'munsi amasonyezedwa ndi zizindikiro zapadera, zomwe:

• Kuyenda, goosebumps, ndi miyendo
  Zomverera ndizofanana ndi zomwe zimatuluka, mwachitsanzo, mukakhala mwendo wanu. Ndi ma atherosulinosis a ziwiya za m'munsi zokhazo omwe amawonekera okha. Mwachitsanzo, poyenda.
  
• Kumva kuzizira m'miyendo
  Amatuluka popanda chifukwa. Kuphatikizira mukadzakhala dzuwa padzuwa lotentha.
  
• Khungu loyera la miyendo
  Amayamba chifukwa choti minyewa imasowa mu magazi.
  
• Kuchepetsa mafuta ndi minyewa ya m'chiuno, m'miyendo ndi kumapazi
  Monga tanenera kale pamwambapa, kusowa kwa michere ndi okosijeni kumakhumudwitsa kagayidwe, chifukwa chomwe minofu yamafuta ndi minofu imachepetsedwa.
  
• Kusintha pang'ono kapena kwathunthu kwa tsitsi kumapazi ndi miyendo yanu osachira
  Ndi mpweya wa minyewa ya pakhungu, khungu limavutika, komanso zowonjezera zake (ma follicles a tsitsi ndi tizi thukuta). Izi zimaphatikizidwa ndi kuwonongeka kwa tsitsi, kuwuma ndi kusinthasintha khungu.
  
• Ululu m'miyendo
  Choyamba muziwoneka poyenda. Matendawa amatchedwa "intermittent claudication syndrome." Ndi kupita patsogolo kwa njirayi, mtunda woyenda popanda kupweteka umachepetsedwa kwambiri. Mtsogolomo, kupweteka m'miyendo kumachitika ngakhale pakupuma (makamaka pogona pansi).
  
• Kuchepa kapena khungu lakhungu lakumunsi, miyendo ndi zala
  Chifukwa cha kuwonjezereka kwa mitsempha yamagazi, khungu limakhala lofiira. Chizindikiro chikuwonetsa kale kuyambika kwa zovuta zowopsa - kufa minofu.
  
• Zilonda zam'miyendo
  Zilonda zotere zimachedwa "trophic." Amawoneka pakhungu ndi ischemia yovuta.
  
• Gangrene (necrosis, kufa kwa minofu)
  Imadziwonekera m'magawo omaliza a matendawa, pomwe njira ya pathological imasinthika. Komanso, kudula sikungatheke.

Monga momwe mumadziwonera nokha, atherosclerosis yamatumbo am'munsi am'magazi ndi matenda owopsa omwe angakupangitseni kuti musakule kapena kutsitsa kufa msanga.

Ngati mukumva kusasangalatsa mumiyendo yanu (kumva, miyendo, kuyabwa, kuzizira) kapena, kupweteka kwambiri, kupweteka komwe kumachitika ngakhale pakupuma komanso kumawonjezereka poyenda kapena kuchita masewera olimbitsa thupi, musachedwe kupita kwa dokotala.

Kumbukirani: Mutha kuchita popanda opareshoni ngati mutazindikira matendawa nthawi. Kodi ndichofunika kumangiriza?

Pangana nthawi pano.

Pangana

Kugawa atherosulinosis ya ziwiya zamagawo am'munsi

Kuthana ndi atherosulinosis yamatumbo am'munsi amtundu wamtunduwu ndi njira imodzi yodziwika bwino ya atherosulinosis (3-5% ya milandu). Matendawa amakula pang'onopang'ono, kuchoka pagawo limodzi kupita ku lina:

• Gawo I - kupweteka m'miyendo kumawonekera mutadutsa mtunda wautali
  
• Gawo lachiwiri - ululu umachitika pambuyo poyenda mpaka 200 m
  
• Gawo lachitatu - ululu umamveka atadutsa mtunda wautali osakwana 50 m, ndipo nthawi zina kupumula
  
• Gawo IV - miyendo imakonda kupweteka popumira, poyenda ululu umawonjezeka, zilonda zam'mimba ndi zilonda zam'mimba zimatuluka

Kuti musankhe chithandizo choyenera, ndikofunikira kuyambitsa matenda mozama: kumvetsetsa ndikumvetsetsa momwe matendawa amayambira.

Atherosclerosis ya ziwiya zam'munsi malekezero: zimayambitsa

Pali zifukwa zambiri komanso zinthu zomwe zitha kupangitsa kuti matendawa azikhala m'munsi. Tiyeni tikambirane zazikulu:

• Okwatirana
  Malinga ndi ziwerengero, amuna amadwala atherosulinosis ya ziwiya zapansi kwambiri nthawi zambiri kuposa azimayi. Zomwe izi zimachitikira sizikudziwikiratu, koma pali mtundu wina womwe mahomoni ogonana achikazi - estrogens - amalepheretsa mapangidwe a cholesterol plagi pamitsempha yamagazi.
  
• M'badwo
  Pambuyo pa zaka 50, chiwerengero cha amuna ndi akazi omwe ali ndi vuto la atherosulinosis yama chotengera cham'munsi chimafanana, chifukwa ndi kuyamba kwa kusintha kwa thupi kwa akazi, kuchuluka kwa mahomoni ogonana - estrogens, omwe, asayansi amati, amathandizanso m'mitsempha yamagazi, amachepetsa kwambiri.
  
• Cholesterol yayikulu
  Ichi ndiye chifukwa chachikulu cha mapangidwe a zipupa pakhoma la mitsempha yamagazi, yomwe imachepetsa lumen yawo chifukwa cha momwe ma arterial thrombosis amapangidwira ndi kuchepa kwathunthu kwa magazi.
  
• Matenda oopsa
  Kuchulukitsa kwa magazi kumathandizira kuti ziwiya ziwonongeke pakapita nthawi: zimataya mphamvu komanso zimakhala zopanda kanthu, chifukwa chomwe kuyikika kwa cholesterol pamakoma ndikupanga cholesterol plaques kumakhala kochuluka kwambiri
  
• Mitundu
  Atherosulinosis ya ziwiya zamagawo am'munsi nthawi zonse kumachitika chifukwa cha kuphatikiza kwa zifukwa zingapo, chimodzi mwazomwe zimatha kukhala cholowa. Kuchokera kwa makolo, timapatsidwa mawonekedwe a lipid metabolism, kuchuluka kwa mphamvu ya chitetezo chamthupi ndi chitetezo cha mthupi, zomwe kuchuluka kwa atherosulinosis kumadalira. Kumbukirani: muli pachiwopsezo ngati atherosclerosis adwala kapena banja lanu lenileni lidwala
  
• Zizolowezi zoipa
  Nicotine, makamaka yambiri, imakhudza kagayidwe ndipo imayambitsa kupindika kwa mitsempha. Zinthu zosokoneza bongo zimachitanso chimodzimodzi, koma zotsatira zake zimakhala zovuta kwambiri. Mowa umathandizira kukulitsa mitsempha yamagazi, koma zovuta zake pamagazi ndi ziwalo zamkati kwathunthu ndizolimba kuposa momwe zimachitidwira kuti ndi chikhalidwe chanu
  
• Matenda oyenda ndi matenda
  Mwachitsanzo, matenda a shuga a shuga, omwe mafuta a kagayidwe ali ndi vuto lalikulu, ndipo anthu ambiri omwe ali ndi matendawa amakhala ndi atherosulinosis yamatumbo am'munsi, omwe amakhala aukali kwambiri
  
• Kuperewera kwa mahomoni a chithokomiro
  Metabolism imakulirakulira, chifukwa chomwe chiopsezo chotenga matenda a atherosulinosis a ziwiya zamagetsi amachepa ndi 35-40%
  
• Kupsinjika
  Makamaka zimasokoneza mkhalidwe wamitsempha yamagazi ndi ntchito ya mtima, ngati kupsinjika kumachitika pafupipafupi ndipo kumatenga nthawi yayitali
  
• Kunenepa kwambiri
  Kunenepa kwambiri, kudwala kokhwima pakokha, sikumangotulutsa matenda aubongo, komanso matenda enanso angapo, kuphatikizapo matenda oopsa oopsa komanso matenda ashuga, omwe amachititsa kuti matendawa azitha kwambiri

Atherosclerosis ya ziwiya zam'munsi malekezero: matenda

Monga lamulo, zizindikiro zimawoneka ngakhale atherosulinosis yamitsempha yam'munsi yam'munsi ikupita patsogolo.Koma ngati palibe zizindikiro zakunja za matendawo, izi sizitanthauza kuti mitsempha yanu ndiyabwino.

Akatswiri odziwa ntchito okhawo omwe amatha kuyesa mozama ndikuzindikira matendawa m'mayambiriro oyambirira, zomwe ndizofunikira kwambiri: kuzindikira kwakanthawi ndi chithandizo chake chithandizire kupewa zovuta zazikulu zowopsa.

Pangani dongosolo pakalipano kuti mupewe ngozi zomwe zingachitike.

Pangana

Dziwitsani matenda atherosulinosis a ziwiya am'munsi malekezero:

• Anamnesis ndi cholinga chowunika
• Kuyendera Cholinga ndi Kuyesa Ntchito
• Ultrasound (ultrasound) ya ziwiya zamagawo akumunsi
• Njira zina zofufuzira

Anamnesis ndi cholinga chowunika

Kuzindikira kumayambira pofotokoza mwatsatanetsatane chidziwitso chomwe dokotala adzachita atakonzekera kuganizira za zonse zomwe zingachitike:

• Zaka (makamaka ndikakhala zaka zopitilira 40)
• Zochitika pa kusuta (ngati mumasuta kapena kusuta)
• Kulemera kwambiri
• Kukhalapo kapena kupezeka kwa chifuwa
• Madandaulo anu opweteka ndi kusasangalala m'miyendo
• Khungu
• Thamangitsani pama mitsempha yayikulu
• Kukhalapo kapena kusapezeka kwa phokoso lanyumba pamene mukumvetsera madera omwe akhudzidwa
• Matenda obwera (mwachitsanzo, matenda oopsa kapena matenda ashuga)
• Kukhalapo kapena kusowa kwa achibale omwe ali ndi atherosulinosis a ziwiya zamagetsi am'munsi komanso matenda ena a mtima

Ngati pakufunika thandizo, dokotalayo adzayesa mayeso ena othandiza omwe angathandize kutsutsa kukayikira kwa mitsempha yamatumbo am'munsi:

• Ntchito yoyeserera Burdenko
  Dokotala wanu wakufunsani kuti mupinde mwendo wanu pa bondo. Ngati minyewa yamakhalidwe ikawoneka pamapazi kapena kumbuyo kwake, ndiye kuti magazi amayenda bwino kuchokera m'chiwendo ndipo nkhope yake imasunthika, zomwe zimachitika kwambiri atherosclerosis.
  
• Kuyesa kwa Hyperemic kwa Shamov / Sitenko
  Kuti muzindikire kusokonezeka kwa magazi mu minyewa yomwe ili ndi vuto la atherosulinosis, adokotala adzaika cuff yapadera ku ntchafu kapena phewa lanu, lomwe, kufinya minofu, kumaphwanya magazi enieni. Pakadutsa mphindi zochepa (kawirikawiri 3-5), adokotala amachotsa cuff. Ngati ziwiya zili m'dongosolo, khungu limabwezeretsa mtundu wake wachilengedwe pambuyo masekondi 25-35. Ngati pali atherosulinosis, kubwezeretsa kwa magazi m'matupi kumatenga mphindi 1-1,5 kapena kuposa - zonse zimatengera momwe mitsempha yamwazi imakhudzidwira.
  
• Mayeso Othandiza a Moshkovich
  Mumagona pabedi, kwezani miyendo yanu mokhazikika osagwada. Kenako nyamuka. Ngati ziwiyazo zili bwino, khungu la miyendoyo lidzachira msanga - m'masekondi 5 mpaka 10. Ngati akukhudzidwa ndi atherosclerosis, pallor adzakhalabe kwa masekondi 20-30 komanso motalikirapo.

Kuunika kwa Ultrasound kumathandizira kuwunika mwatsatanetsatane momwe mitsempha ya magazi imayendera, kuthamanga kwa magazi ndi kupezeka kwa zolembera.

Zolemba za matendawa

Kusokonezeka kwa kayendedwe ka magazi m'mitsempha yopereka magawo oyambira kumayambitsa matenda a atherosulinosis obliterans matenda. Vutoli limalumikizidwa ndi kuchepa kwa mtima lumen kapena kuphatikizira kwathunthu ndi ma cholesterol amana.

Matenda a atherosulinosis amatha kupangira ziwongo m'mitsempha yamagazi mthupi lonse ndikulipidwa, kutengera zovuta za dislocation, zolakwika zogwirizana ndi ziwalo komanso minofu yomwe sinalandire okosijeni komanso zakudya ndi magazi. Ngati zovuta zikupezeka ndi madera otsika, ndiye kuti pali vuto lalikulu kwambiri, minofu necrosis ndi gangrene zingachitike.

Kuchulukana kwa cholesterol madipoziti kumachitika mu ma saizi apakatikati: ziwiya za popliteal komanso zachikazi, komanso mitsempha yayikulu - iliac ndi aorta. The kapangidwe ka madongosolo akhoza monga zinthu zamafuta kagayidwe - lipids.

Popita nthawi, matope okhala pamakoma amitsempha yamagazi amalimbikitsidwa ndi kuwoneka kwa minyewa yolumikizana ndikuwatsogolera pakupanga zolembera. Zinthu zina zimatha kuzisokoneza.Chifukwa chake, tsopano mukudziwa mbiri yachidule yamatenda ngati atherosclerosis obliterans a zotengera zam'munsi, tikambirana kwambiri zomwe zimayambitsa matendawo.

Kanema wotsatira akufotokoza mwatsatanetsatane za lingaliro la matenda ndi mbiri ya matenda otere:

Zomwe zimachitika

Zotsatirazi zimathandizira kuti matendawo asamatsike:

• ntchito zamagalimoto otsika
• mwamuna wamkazi amadwala pafupipafupi
• Kulemera kwambiri kuposa zakubadwa
• kusuta
• matenda oopsa
• matenda ashuga
• cholowa chokhala ndi cholesterol m'magazi,
• kuchuluka kwamitsempha yamagazi
• kagayidwe kachakudya matenda.

Kuthana ndi atherosulinosis ya malekezero a m'munsi (chithunzi)

Chizindikiro chachikulu cha atherosulinosis obliterans of the m'munsi malekezero ndikuwoneka ngati kupweteka m'miyendo mukuyenda. Chifukwa cha kuchepa kwa mitsempha, magazi amayenda pang'onopang'ono, ndipo minyewa ya miyendo imalandira chakudya chochepa kwambiri.

• Munthu akasuntha, kufunikira kwa mpweya ndi michere m'miyendo ya miyendo imakulanso. Chifukwa chododometsa mu mtsempha wamagazi chifukwa cha magazi, kusowa kwa zakudya kumachitika, ndipo izi zimayambitsa kupweteka kwa minofu.
• Ngati munthu waleka, amadzipumitsa, ndiye kuti nthawi imeneyi magazi a venous adzachoka, ndipo mitsempha ya m'mimba imadzaza minofu ndikusowa kwa oxygen komanso zinthu zina zofunika. Pambuyo poyambiranso kuyenda, zowawa zimatha kubwerera. Izi zidzachitika posachedwa - zimatengera kukula kwa matendawo.

Ululu m'miyendo yamiyendo yomwe imachitika pakamayendedwe oyenda amodzi amatchedwa kuchepa kwapakati. Kuchuluka kwa misempha yovutidwa kwambiri ndi ma depoma pamakoma kumabweretsa kupweteka komanso kupumula, makamaka m'malo oyang'ana usiku kugona.

Zizindikiro zazikulu za matendawa ndi monga:

• Chodabwitsa chakudalirana kwapadera.
• Kusavomerezeka kwa kutentha: mwendo, pomwe ziwiya zam'mitsempha zimachepa, zimatha kuzizira poyerekeza ndi nthambi yolimba.
• Mapazi a mapazi odwala amadwala ndipo amaundana.

Pambuyo pake magawo:

• Paliponse pomwe pamapezeka miyendo ndi manja.
• Malo amdima akuwoneka pamiyendo pansi pa chotchingira chotchingira.
• Mabala osachiritsa amawoneka pa dzanja lanu. Izi zimachitika pamwendo wapansi.

Kanema wotsatira afotokoza mwatsatanetsatane zizindikiro zomwe zikuwonetsa kuwonongeka kwa atherosulinosis yam'munsi yotsika:

Magawo a chitukuko cha matendawa

Malinga ndi kuwonongeka kwa ziwiya zamagawo am'munsi mwa matenda, akatswiri adziwa kusiyanitsa magawo anayi:

Zizindikiro

Nthawi yochiritsira chithandizo iyenera kuganizira zonse za matenda a wodwala, khalani payekha. Ndipo pa izi muyenera kuzindikira bwino lomwe vutoli.

Ndikofunikira kufunsa dokotala wa opaleshoni ya mtima. Kuti afotokozere bwino za matendawa, atha kukulemberani njira za angio:

• magonedwe amatsenga,
• zopangidwa tomography.

• kupanga maukini akupanga,
• radiopaque angiography.

Werengani za momwe mankhwalawa amtundu wam'munsi amachitika.

Chiwonetsero cha atherosulinosis obliterans am'munsi miyendo yamitsempha

Chithandizo cha atherosulinosis obliterans a m'munsi malekezero

Kuthandizira kuthamanga kwa magazi komwe kumayenderana ndi kuchepa kwa mphamvu yamitsempha yam'munsi kapena kufalikira kwathunthu kumatengera kulimba kwa vutoli, kufalikira kwa madanda pamakoma.

Vuto likangopezeka posachedwa, chiyembekezo chokwanira chakuti zinthu zitha kusintha popanda zovuta. Pachigawo choyamba, katswiri amatha kusintha, ndikukhala ndi zifukwa zomwe zimathandizira kuyika mu mitsempha, kuphatikizapo kuwonetsa kuti wodwalayo asinthidwe momwe akuchitira.

Atherosulinosis ya ziwiya zamagawo akumunsi - ndi chiyani?

Pali matenda ambiri amitsempha. Mwachitsanzo, mitsempha ya varicose, zilonda zam'mimba, thrombophlebitis. Koma matenda onsewa ndi a matenda a venous system.

Atherosulinosis ya ziwiya zam'munsi zodwala ndi matenda amitsempha yama m'munsi, momwe ma atheromatous, kapena atherosclerotic plaques mkati wamitsempha amatha kupezeka. Kodi tikulankhula ziwiya ziti?

Monga lamulo, "kuyitanira koyamba" ndi chotupa cha m'mimba msempha. Kufotokozera kwa Symbomatology ndi njira zodziwira matenda atha kupezeka m'nkhaniyi pa aortic aneurysm m'gawo loyenerera. Ndipo ndi ziwiya ziti zomwe zimakhudzidwa ndi atherosclerosis pamiyendo?

Kodi atherosulinosis imachokera kuti?

Atherosulinosis ya malekezero ake amakhala ochulukirapo kuposa apamwamba, ndipo kuwonongeka kwa mitsempha kumachepa pamene kukuyandikira kufalikira. Njira ya pathological imatchulidwa mu minofu yayikulu - zotanuka zotsekemera kuposa minofu.

Ndizachilendo kuwona zizindikiro za distal atherosulinosis, mwachitsanzo, m'magulu am'mimba kapena mitsempha yophatikizana. Osati chifukwa chakuti palibe chizindikiro choti wagonja, koma chifukwa choti zomwe zili zowopsa komanso zomwe nthawi zambiri zimakhala zotsatirazi ndi izi:

• mitsempha yotchuka ya iliac.
• mitsempha yachikazi. Ena mwa atsogoleri mwa kuchuluka kwa milandu, makamaka gawo la Hunter Canal zone (kumalire a pakati komanso kutsika kwachitatu kwa ntchafu),
• mitsempha ya popliteal (makamaka pamalo opezeka pamwamba pa bondo, m'malo a nthambi zinanso za popliteal fossa),
• anterior and posterior tibial mitsempha, m'dera lamkati lamkati ndi dorsal mtsempha wamagazi.

Mavuto owopsa kwambiri ndi OAO, kapena ochepa acterial occlusion. Munthawi yayitali, kukula pang'ono pang'ono kwa zizindikiro kumachitika. Kodi atherosulinosis imapangidwa bwanji?

Makina opanga

Pachiyambi, chinthu choyambirira chimatuluka - cholembera cha atherosselotic pa zingwe zamkati za mtsempha. Itha kuchitika chifukwa cha cholesterol yokwera, kusuta, kunenepa kwambiri, matenda a shuga, matenda oopsa, cholowa, kapena zonse zomwe zimatengedwa palimodzi.

Kukula kwa malo amodzi kumapangitsa kuti kufooka kwa chotupa, kapena kuchepa kwake (pang'ono pang'onopang'ono). Zotsatira zake, arteriosulinosis obliterans ya zotengera zam'munsi zimachitika, chithunzi chonse cha matenda ndi chitukuko chake chifukwa cha zisonyezo za distal minofu ischemia, yomwe ili pansi pa tsamba la kuwonongeka.

Kutengera ndi "mpweya kufa ndi" minofu ndi minyewa ya miyendo, kuphweka, magwiridwe antchito a magawo a matenda adapangidwa.

Gawo la atherosclerosis la miyendo, chipatala

Pazonse, pali magawo anayi a atherosulinosis a ziwiya zapansi, kuyambira ochepa kwambiri mpaka ovuta kwambiri. Gawoli ndi losavuta kwambiri kuti aliyense angagwiritse ntchito. Wokondedwa wowerenga, ungakumbukire kuti makolo ake, amalume, amalume kapena abambo sanadandaule chifukwa cha zomwe zafotokozedwa pansipa:

1) Pa gawo loyamba la atherosulinosis, palibe ululu. Pambuyo pakuchita masewera olimbitsa thupi kwa nthawi yayitali, munthu amatopa m'matumbo, zizindikilo zamatenda am'mimba zimawonekera: kutsitsimuka kwa miyendo ndi kuzizira.

2a) Gawo lachiwiri "a": munthu amatha kuyenda kupitirira 200 metres. Pambuyo pa izi, kuyimitsa kumafunikira: miyendo imayamba kupweteka, kupweteka komanso kupweteka. Njala yovuta kwambiri yam'mimba ikuyandikira ndipo ululu umayamba kufanana ndi wa angina pectoris, m'miyendo yokha.

Matenda a trophic amapita patsogolo: pamakhala kuwonjezereka kwa tsitsi pakhungu la miyendo, mawanga otumbululuka amawoneka, kupendama, kusintha kwa thukuta.

2b) Gawo lachiwiri "b", momwe ululu wopweteka m'miyendo sakulolani kupita 200 m, malo enieni ndi 100-150 m.

Gawo lachiwiri la atherosulinosis lomwe ndi "interlient claudication", kapena claudicatio intermitters. Anthu ambiri molakwika amaganiza kuti umu ndi momwe munthu angamakhalire mwendo kapena mwendo umodzi. Izi siziri choncho: nthawi zina zodumphadumpha zimasinthana ndi zinthu zina zoyenda mwanjira yabwino.

3) Gawo lachitatu - ischemia yoyipa ya "kupumula" imawoneka. Zochita zolimbitsa thupi sizifunikanso. Ngakhale mtendere m'matumbo sungathe kupereka mpweya wokwanira ndi michere. Matenda a trophic amapita patsogolo.

Mukamayenda mamilimita 5 mpaka 10, ululu umakhala wolimba kwambiri ngati kale poyenda mita 200. Munthu amalekeredwa malire ndi chipinda ndi nyumba.

Ndi nthawi iyi ya atherosulinosis yomwe zizindikiro za polyneuropathy zowonekera zimawonekera: kuthana ndi mitsempha kumaphwanya gawo lonse la zomverera ndi zamagalimoto. Pali dzanzi, kuchepa kwa khungu komanso kutentha kwa kutentha. Pali kumverera kwa "zokwawa."

Zamasamba - zikopa zakuchepera zimachepa: misomali imayamba kugwa, ming'alu yaying'ono pakhungu ndi abrasions imasiya kuchira. Magawo ena a phazi amayamba kunyezimira, “mkuwa” wamtundu, womwe umawonetsa kusintha kwakutali.

4) Gawo lachinayi. Amadziwika ndi chachikulu minofu necrosis, youma kapena chonyowa gangore, kuledzera, mawonekedwe a cachexia, sepsis.

Ululu zisanachitike izi sizingatheke. Samachotsedwa ngakhale ndi narcotic analgesics, yokonzanso - opaleshoni yamapulasitiki yachedwa kale, komanso kudula, zomwe zimatiwopseza, tsopano zikuwoneka ngati njira yochotsera kupweteka kosalekeza, kuthekera kugona osachepera usiku umodzi.

Zizindikiro zoyambirira za atherosulinosis ya malekezero am'munsi

Monga mukuwonera, gawoli ndi lothandiza kwambiri chifukwa limakupatsani mwayi kuti muyambenso kudutsa matendawa. Ngati tizingolankhula zoyamba, zoyamba za atherosulinosis ya miyendo - uku ndi kuzizira kumiyendo ndi kumapazi, chidwi chochulukirapo kuzizirira, komanso kufunitsitsa kuvala masokosi ofunda. Komanso, nthawi yayitali isanayambike lameness, kusintha kwamphamvu pamapazi kumatha.

Ndikofunikira kudziwa kuti ngati kuwonongeka kwa mitsempha yodontha kumawonekera, ndiye kuti lamumoyo singachitike konse. Kumbali inayo, kuwoneka kwa Leriche syndrome kumatha - pomwe ululu m'tchafu, ma grin ndi matako umaphatikizidwa ndi kuphatikizana kwa lameness ndi kusabala.

• Izi zikuwonetsa kuwonongeka kwa terminal aorta, musanaigawe m'magulu awiri amitsempha ya iliac.

About "malonjezo abodza"

M'pofunika kukumbukira kuti kulankhulirana kwenikweni kumafuna kupumula kwanthawi yayitali. Zimakhudzana mwachindunji ndi nthawi yoyenda, kotero ngati zizindikiro zake zimachitika "mulimonse" - mutatha 200, 150, ndiye 100 m, ndipo tsiku lotsatira mwayenda mita 500 motsatira njira yomweyo, ndiye kuti mukuyang'ana chifukwa china.

Ndi diabetesic polyneuropathy (komanso ndi mowa), kufooka ndi kusayenda bwino pamwendo umodzi kungalakwike pazizindikiro zofananira, zomwezo zimagwiranso ntchito pamikwingwirima "yaying'ono".

Nthawi zambiri, protrusions ndi hernias of the lumbar discs, spinal stenosis, cone-epiconus syndrome, coxarthrosis ndi matenda ena amatengedwa chifukwa cha kusokonezeka kwa mitsempha.

Mavuto a Atherosulinosis

Nthawi zambiri, atherosulinosis obliterans imayamba pang'onopang'ono komanso pang'onopang'ono, koma nthawi zina ma arterial occlusion (AO), kapena trunk thrombosis yayikulu. Izi zikutanthauza kuti mwadzidzidzi chikhomo cha atherosselotic "chidatuluka" ndikutseka chotsekeracho, chomwe chimatsitsidwa ndi mtsinje wamagazi.

Kungoti "ndibwino" kwambiri pachakudya ndi chakuti magazi samayenda kumtima komanso m'mapapo am'mimba. Komabe, kuwopseza kwa gang gang limb ndikwabwino.

Pachimake arterial thrombosis ikuwonetsedwa ndi zizindikiro zotsatirazi:

• kupweteka kwambiri
• kufooka kwa miyendo pansi pa malo a thrombosis,
• kusowa kwa kugwa kwa ziwiya zazikulu pansi pa thrombosis,
• dzanzi, kugona,
• ziwalo, kapena kulephera kusuntha phazi.

Chithunzichi chimakhala ngati "mwatambasulira dzanja lanu" m'maloto, koma nthawi yomweyo pamakhala kupweteka kwambiri m'chiwalo ndipo imakhudzika ndi kuwala kwake. Pankhaniyi, kuthandizidwa kuchipatala msanga ku dipatimenti yothandizira kapena ya opaleshoni ya mtima ndi ma opaleshoni, kapena njira zothandizira kubwezeretsanso malowa zimafunikira.

Izi zimaphatikizira kukhazikitsa kwa fibrinolytics, heparin, kugwiritsa ntchito thrombolytics, antiplatelet agents ndi mankhwala ena.

Ndi ischemia yakuya, kusunthika ndi kugwiritsa ntchito kwa anpom anastomoses kumawonetsedwa, ndipo ndi chilonda chakuya kwambiri komanso kwakutali, dzanja limatha kulumikizidwa ndi magazi, popeza poizoni wokhala ndi ischemia amalowa m'magazi atapanikizika. Kudula kumafunika apa.

Njira zochizira atherosulinosis ya miyendo, mankhwala

Ngati tikulankhula za mankhwala, ndiye kuti chithandizo cha matenda a atherosclerosis

1. Mankhwala omwe amachepetsa maselo ofiira am'magazi (Pentoxifylline),
2. Antiplatelet mankhwala - acetylsalicylic acid, thienopyridines (Clopidogrel),
3. Mankhwala omwe amachepetsa magazi m'magazi (Sulodexide, fibrinolytics monga Wobenzym,
4. Njira zomwe zimakhudza kama wogona ndi capillaries ("Nicantinate xanthinol"),

Njira zosagwiritsa ntchito mankhwalawa zimaphatikizapo magazi a ultraviolet, komanso ma radiation ake a laser.

Ntchito

Muzochitika kuti zizindikiro za atherosulinosis zamatumbo am'munsi, ngakhale chithandizo, kupita patsogolo, ndiye njira zamankhwala zochitira opaleshoni zimagwiritsidwa ntchito. Izi zimatha kudutsa opaleshoni, ndiye kuti, kudutsa malo omwe akukhudzidwawo, ndikusintha gawo lina ndi chiwiya, kapena kuti kutha kwa magazi, ndikubwezeretsa magazi.

Mofananamo, pamene ischemia ili kwambiri, ndiye kuti kuduladula, ngakhale kungamveke bwanji, ndikuchita ntchito mwamphamvu, kulumala, koma kupulumutsa moyo wa wodwalayo.

Chithandizo cha atherosclerosis, kupewa matenda a mtima ndi sitiroko kumawoneka chimodzimodzi. Muyenera kuyamba ndi njira zodzitetezera zomwe zimapangitsa kuti thupi lizikula, shuga ndi mafuta m'thupi.

Muyenera kuyang'anira kuthamanga kwa magazi mkati mwa "chimango", kudya chakudya chopatsa thanzi, komanso kuchitira masewera olimbitsa thupi. Ndikofunika kusiya zizolowezi zoyipa, chifukwa kusuta ndiye chinthu champhamvu kwambiri chomwe chikuyambitsa chitukuko cha atherosulinosis.

Zakudya za atherosulinosis Zombo zokhala m'munsi zodziwika bwino zimatchedwa "Mediterranean." Mitundu yambiri yamasamba, zipatso, mafuta a azitona atsopano, tchizi, nsomba zam'nyanja, buledi wa tirigu wathunthu limakupatsani mwayi kuti mumange ndikuchotsa cholesterol yowonjezereka m'thupi, ndipo masewera olimbitsa thupi ndiwowonjezera chakudya.

Mkhalidwe wokha ndikuti kuti mukwaniritse zotsatira zabwino, chakudyacho chimayenera kukhala cha nthawi yayitali, komanso bwino - moyo wonse.

Izi ndi zomwe "wowerengeka azitsamba" a atherosulinosis a ziwiya zamagawo am'munsi akuwonjezerapo. Tangoganizirani munthu wonenepa, wakumwa komanso wosuta magazi omwe ali ndi shuga yambiri komanso matenda oopsa omwe "amapangira mankhwala" wowerengeka. Ali wokonzeka kugwiritsa ntchito ndalama zambiri pa "zozizwitsa zozizwitsa" - chinthu chachikulu ndichakuti zimathandiza mwachangu komanso nthawi yomweyo. Koma, pankhaniyi, mankhwala sayenera kuwonjezera, koma chotsani owonjezera, komanso mfulu kwathunthu.

Muyenera kukumbukira izi, ndikuyamba kudzipanga nokha.

Achire

• Wodwala, ngati amasuta fodya, ayenera kusiya chizolowezi choyipa.Mukamasuta, ziwiya zimakulira ndipo nthawi yomweyo zimakhala zazifupi chikongacho chikasiya kuyenda. Izi zimathandizira kuti matendawa achulukane komanso amathandizira kulandira chithandizo.
• Kuwonjezeka kwa zolimbitsa thupi thupi lisanayambike kupweteka. Akatswiri amalimbikitsa kuyenda, kupewa kutopa.
  Ngati zizindikiro zosasangalatsa zikuwoneka, muyenera kuima kaye mpaka atapita. Ndi bwinonso kupita kukasambira. Kuchita masewera olimbitsa thupi mopitilira muyeso kumathandizira kuti pakhale maulendo a magazi chifukwa cha gawo lovuta kapena lotsekeka kwambiri la mtsempha. Kuzungulira kozungulira kumawonekera, komwe kumathandiza thupi kuzolowera vutoli komanso kuziteteza ku gangore.
• Ndikofunikira kubwereza zakudya:
  • kupatula zakudya zamafuta, mbatata yokazinga,
  • chepetsa kudya nyama zamafuta,
  • onjezerani chakudyacho ndi nsomba zam'nyanja, nsomba zofiira ndizofunikira kwambiri, kapena musankhe zina zokhala ndi omega-3.
• Kuti muthandizidwe ngati mavuto ena apezeka omwe amakhudza mizere:
  • khazikitsani shuga wambiri,
  • kusintha kagayidwe ngati pakufunika
  • Konzani mkhalidwe wamagazi ngati muyamba kuchita ziwunda za magazi.
• Amathandizidwa chaka chilichonse kuchipatala kuti athandizire mtima.

Mwatsatanetsatane mwanjira zosiyanasiyana zochizira matenda amtunduwu monga kufafaniza atherosulinosis, vidiyo yotsatirayi yokhala ndi mawonekedwe omveka idzafotokoza:

Kodi matenda ndi chiyani?

Atherosclerosis ya m'munsi malekezero ndi matenda omwe ma atherosselotic plaques kapena magazi amapanga mkati mwa mitsempha ya magazi ya miyendo, yomwe pang'ono pang'ono, kenako ndikuletsa magazi. Izi, zimatchinga magazi kulowa m'matumbo ndipo sizimalola kuti alandire mpweya ndi michere. Zotsatira za magawo azotsatira za atherosulinosis zimatha kukhala zilonda zam'mimba, komanso zilonda zam'mimba.

Mankhwalawa atherosulinosis, ndikofunikira kufunafuna thandizo la phlebologist. Popeza ali ndi zaka zodwala, komanso momwe matendawo alili, kupezeka kapena kusakhalapo kwa zovuta, amatha kudziwa njira yamankhwala omwe akubwera.

Tilingalira za chithunzi cham'tsogolo cha ziwopsezo zamatumbo am'munsi, tikuwona kuti zimadziwika ndi kupendekera pang'onopang'ono kwa lumen ya mitsempha momwe kukula kwa zolembera zamtundu wa atherosrance. M'migawo yoyambirira yophwanya mankhwalawa, mankhwalawa amavomerezeka, koma pambuyo pake, chotengera chikangotseka kwathunthu, dokotala anganene kuti afunikire chithandizo chamankhwala ochita opaleshoni.

Zimayambitsa atherosclerosis ya ziwiya am'munsi malekezero

Mwa zina mwazomwe zimayambitsa matenda a atherosulinosis ndi monga:

1. Zakudya zopanda thanzi, kuchuluka kwa zakudya zamafuta,
2. Zizolowezi zoipa (kuphatikizapo kusuta fodya),
3. Moyo wopanda ntchito.

Zina zomwe zimayambitsa ngozi zingaphatikizeponso:

• Kunenepa kwambiri
• Matenda oopsa
• Kuwonekera kwakukulu
• Matenda a mtima ndi mitsempha yamagazi (mitsempha ndi mitsempha),
• Kuchulukitsa kwamitsempha yapamwamba yam'munsi yam'mphepete (mitsempha ya varicose yam'munsi),
• Matenda a shuga.

Gawo la atherosulinosis ya ziwiya za m'munsi

Kuzindikira zomwe zimayambitsa matendawa komanso kuperewera kwa mankhwalawa kumayambitsa kuti matendawa apite patsogolo kwambiri, omwe amakhala ndi zizindikiro zovuta kwambiri.

1. Gawo I - panthawiyi, zizindikiro za atherosulinosis sizowoneka kwenikweni. Zochita zolimbitsa thupi, kumene, zimatha kubweretsa kuwoneka ngati kupweteka kapena kusasangalala, koma izi zimakonda kuchitidwa mopepuka ndipo nthawi zambiri zimanyalanyazidwa.
2. II ndi siteji - ululu umatha kuyambitsa masewera olimbitsa thupi ngakhale pang'ono, monga kuyenda kwapafupi, etc. Popita nthawi, mtunda woyambitsa kusawoneka bwino umatsitsidwa kufika pa 250 metres.
3. Gawo lachitatu - ngakhale laling'ono polimba ndikuchita zolimbitsa thupi kwakanthawi kochepa kumayambitsa kupweteka komanso kusapeza bwino mwa munthu. Ndi nthawi imeneyi pamene zizindikiro zimayamba kuonekera, kukakamiza munthu kufunafuna thandizo kwa katswiri woyenera.
4. Gawo IV - munthawi imeneyi, zizindikiro za matendawa zimadziwonetsa kwambiri. Chifukwa cha kuperewera kwa magazi komanso kuperewera kwa chakudya m'magazi, zilonda zam'mimba zimatha kukhala pamiyendo, khungu limapeza mthunzi wakuda, womwe ndi chizindikiro cha necrosis (i.e., necrosis). Kuperewera kwa chithandizo choyenera pakapita nthawi kumayambitsa gangore.

Ngakhale pali kusiyana komwe kumakhalapo pakati pa magawo a matendawa, mawonekedwe awo omwe amakhala osasangalatsa, kapena kupweteka, omwe amapezeka pakuchita masewera olimbitsa thupi. Kutalika kwawo, komanso mphamvu zake zimatha kusiyanasiyana, komabe ichi ndi chifukwa chomveka kwambiri kuti musamalire zaumoyo wanu komanso ngakhale mupeze chithandizo kuchokera kwa dokotala.

Ndiosavuta kumvetsetsa kuti munthu akangowerenga kumene matendawa ndipo akangopeza thandizo kuchokera kwa katswiri, chithandizo chake ndizosavuta komanso chothandiza. Idzachepetsa chiopsezo cha zovuta, komanso kusintha kwa ma pathological mu zimakhala.

Ganizirani za matendawa mwatsatanetsatane.

Zizindikiro za atherosulinosis ya ziwiya zamagawo am'munsi

Ngakhale kuti m'magawo oyambawo matendawa sangathe kuvutitsa munthu, monga kukula kwa cholesterol chikhoma pamitsempha yamagazi, Zizindikiro zikuwonekera kwambiri. Mkhalidwe wa munthu umakulabe.

Zizindikiro zazikulu za atherosulinosis ya ziwiya zamagawo am'munsi zimaphatikizapo:

1. Ululu m'miyendo yamiyendo, yomwe imatha kukulira mphamvu zolimba.
2. Kumva kulemera m'miyendo
3. Kuchuluka kwamapazi
4. Kusintha khungu la miyendo (kuyambira pallor mpaka cyanosis),
5. Kumverera kozizira mkati mwamiyendo
6. Kukumana kwa ma popliteal fossa ndi maondo anu samveka,
7. Kupanga mawonekedwe a trophic m'dera la m'munsi miyendo ndi mapazi, m'malo mwa chotengera chowonongeka,
8. Khungu lakuda ndi zala zakumiyendo ndi kumapazi (zomwe zimadziwika kwambiri pachithunzi ndi kanema pansipa).

Njala ya okosijeni, yomwe imadziwika kwambiri ndi matenda a atherosulinosis, imathanso kukhudza ntchito ya mtima. Odwala nthawi zambiri amakhala ndi arrhythmia, kuchepa kwa kupirira kwakukulu ndi magwiridwe antchito, kupuma movutikira. Komanso, motsutsana ndi maziko a atherosulinosis, odwala nthawi zambiri amachepetsa thupi, amakhala ndi mavuto pakhungu ndi misomali.

Chithandizo cha Atherosulinosis

Takambirana kale zomwe zotsatira za atherosulinosis zamatumbo am'munsi zimatha. Zizindikiro ndi kuchiza matendawa ndi motere.

Njira yakuchiritsira atherosulinosis imatengera zinthu zingapo. Makamaka, zaka za odwala, makamaka mkhalidwe wa thanzi lake, ndizofunikira. Gawo la matendawo limathandizanso kwambiri. Chifukwa chake, ngati chithandizo chokhwima chovomerezeka kumayambiriro kwa matendawa - kumwa mankhwala, kutsatira zakudya zapadera, kusiya zizolowezi zina zilizonse, ndi zina zambiri. Ndipo ngati ndi kotheka, dokotalayo atha kukulemberani mankhwala othandizira opaleshoni ya atherosulinosis. Monga lamulo, njirazi ndizothandiza kwambiri ndipo kutsatira njira zofunikira panthawi yakukonzanso kumatha kubweretsa zotsatira zofunika.

Monga chithandizo chothandizira, dokotala amathanso kukuthandizani kuchita masewera olimbitsa thupi, komanso mankhwala ena, omwe sangagwiritsidwe ntchito ndi iwo eni, koma akhoza kuyendetsa bwino mayendedwe ake.

Tiyeni tikambirane mwatsatanetsatane mtundu uliwonse wa chithandizo cha matenda a atherosulinosis a ziwiya zam'munsi.

Mankhwala a atherosulinosis

Chofunikira pa chithandizo chamankhwala a atherosulinosis ndi kugwiritsa ntchito mankhwala apadera omwe amasintha magazi, kuchepetsa chiopsezo cha zovuta, komanso kuthetsa matendawa.Nthawi zambiri, dokotala amakupatsani mankhwala otsatirawa:

1. Ma antiplatelet mankhwala omwe amachepetsa magazi ndikulepheretsa magazi kuundana mkati mwa mitsempha ya magazi. Itha kugwiritsidwanso ntchito kupewetsa mitsempha yam'mimba, myocardial infarction. Izi zikuphatikizapo Aspirin 325 mg, Aspecard, Cardiomagnyl, Reopoliglukin.
2. Ma Vasodilators samangotulutsa magazi mkati mwamitsempha yamagazi, komanso amakhala ndi mphamvu ya analgesic, komanso amakhala ndi phindu pa zochitika zolimbitsa thupi za wodwalayo. Awa ndi Agapurin, Vasonite, Pentoxifylline, Trenal.
3. Ma anticoagulants amawongolera kayendedwe ka magazi ndipo samagwira ngati njira yolepheretsa kuchitika kwa magazi. Gulu la mankhwalawa limaphatikizapo Warfarin ndi Heparin.
4. Antispasmodics amachepetsa ululu womwe umachitika panthawi yolimbitsa thupi chifukwa chofuna kuthetseratu vasospasm. Mankhwala oterewa ndi drotaverin komanso ayi-shpa.
5. Vitamini-mineral maofesi amathandiza thupi kukhala ndi chithandizo chokwanira, kupereka minofu yake ndi zinthu zonse zomwe zimafunikira.
6. Pazithandizo zakunja, Delaskin, Levomekol, Troxevasit, Oflokain amathanso kugwiritsidwa ntchito. Kugwiritsa ntchito mankhwalawa kumagwira ntchito ngati prophylactic motsutsana ndi mawonekedwe a zilonda zam'mimba pamiyendo.

Inde, ndalama zomwe zalembedwera ndizotalikirana ndi zokhazo zovomerezeka zochizira atherosermosis. Ndipo ngati pakufunika kutero, dokotalayo amatha kukulitsa mndandandandawo, kuuphatikiza ndi mankhwala ena, kutengera mtundu wawo komanso kuopsa kwa matendawa. Iliyonse ya mankhwalawa ilinso ndi zotsutsana zingapo komanso zoyipa zingapo. Ichi ndichifukwa chake kulandilidwa kwa aliyense wa iwo kutha kuchitika kokha moyang'aniridwa ndi dokotala. Mlingo wa mankhwalawo amayenera kutsimikiziridwa mosasamala.

Chithandizo cha mankhwala a atherosclerosis chitha kuchitika onse motsatana ndi inpatient. Monga chithandizo chokonzanso, wodwalayo amatha kutumikiridwa panjira ya physiotherapeutic, yomwe imaphatikizapo ma electrophoresis a novocaine, darsonvalization komanso, kuwonjezera, masewera olimbitsa thupi.

Mankhwala othandizira atherosclerosis

Chithandizo cha opaleshoni chimalembedwa pokhapokha ngati mankhwala osokoneza bongo samabweretsa zotsatira zomwe zikuyembekezeredwa ndipo palibe kusintha kwaumoyo wa wodwalayo. Komanso ngati milandu nthendayo ipita koopsa.

Pali njira zingapo zochitira opaleshoni:

1. Balloon angioplasty - mu nkhani iyi, balloon yapadera imayambitsidwa mkati mwa chotengera, ndikukulitsa mkati mwake.
2. Opaleshoni ya Bypass ndi opareshoni pomwe njira yowonjezera imapangidwa pafupi ndi chotengera chowonongeka, ndikuonetsetsa kuti magazi amatuluka.
3. Endarterectomy - kuchotsa malo amtsempha wamagazi omwe akhudzidwa ndi matenda, limodzi ndi chiopsezo cha zolembera za atherosselotic.
4. Kuuma kwakanthawi - kuyimitsa njira yopangira chombo mwakuchepetsa ndikupanga spacer yapadera mkati mwake.
5. Prosthetics - m'malo mwa chotengera magazi.
6. Ngati matendawa atha kupanikizika ndi kukula kwa matenda osokoneza bongo, dokotalayo amatha kusintha matumbo ake ndi kukhazikitsa kwa matumba.

Chikhalidwe cha opereshoni chimatengera kuwonongeka kwa mtsempha wamagazi. Nthawi zambiri, chidziwitso chabwino chodikirira chimadikirira odwala atamuchita opaleshoni, koma pali zovuta zina zomwe zilipo.

Pofuna kuchepetsa kukonzekera kwa zovuta za postoperative, komanso kupewa kubwerera kwa matendawa, wodwalayo ayenera kutsatira mosamalitsa malangizo a dokotala, oyenera panthawi yakukonzanso.

Zakudya za atherosulinosis

Kudya kwa atherosulinosis ndikofunikira kuti muchepetse mafuta m'thupi. Malamulo oyambira azakudya ndi monga:

1. Kuchotsedwa kwa zakudya zamafuta omwe amakhala ndi kuchuluka kwa chitetezo cham'mimba, ma carcinogen, ndi zina zambiri.
2. Muchepetse zokazinga, mchere, zakudya.
3. Kuphatikizidwa muzakudya zopangidwa ndi ma omega-3 acid. Izi zimaphwanya cholesterol ndikuwonjezera kukhuthala kwa mitsempha yamagazi.
4. Kukana mowa ndi khofi wamphamvu.

Zakudya zofunika kwambiri kwa atherosclerosis ndi monga zipatso, ndiwo zamasamba, nsomba ndi nsomba zam'madzi, nyama yotsika, mtedza, chimanga, ndi zinthu zamkaka.

Njira zina zofufuzira

Ngati ndi kotheka, dokotala amakupatsirani mayeso ena azachipatala, omwe angaphatikizepo:

• Kuyesedwa kwa Laborator kumathandizira kuzindikira kapena kupatula kuchuluka kwazowonjezera mafuta a cholesterol, komanso kudziwa kuchuluka kwa cholesterol "chabwino" ndi "choyipa" (atherogenic index) ndi ma pathologies ena a ziwalo zamkati
  
• Kafukufuku wa radioisotope athandizira kuwunika kuchepa kwa magazi m'matupi ndikuzindikiritsa molondola kuchuluka kwa ischemia
  
• MRI mosiyanitsa ingathandize, ngati kuli kofunikira, kuzindikira komwe kuli komanso kukula kwake komwe kufalikira kwa lumen kwa zotengera

Ndikofunikira kudziwa: sizivuta nthawi zonse kuzindikira zolondola zamatenda am'munsi, momwe thupi lathu limalumikizirana ndi matendawa pamene limayamba: mitsempha yatsopano ya m'magazi yomwe imaletsa minyewa yomwe imasowa luso la magazi komanso mawonekedwe. Izi zitha kusocheretsa kwa katswiri wosadziwa zambiri.

Mukalumikizana nafe, kumbukirani: akatswiri athu ndi akatswiri odziwa bwino ntchito zaka zambiri azidziwitsa za matenda amtundu wam'mphepete, omwe adzamvetsetsa bwino mavuto anu komanso kudziwa momwe zombo zanu zilili zabwino.

Yambani ndi kupita kwa adotolo. Pangana nthawi pano.

Pangana

Atherosclerosis ya ziwiya am'munsi malekezero: mankhwalawa

Kodi kuchitira atherosclerosis ya ziwiya am'munsi malekezero? Zonse zimatengera kuchuluka kwa matendawa, matendawo, zaka zanu, kuchuluka kwa thupi ndi zinthu zina zingapo zomwe akatswiri athu adzazilingalira kuti chithandizocho chitha kugwira bwino ntchito.

• Mankhwala
• Physiotherapy

Mankhwala

Chofunika kwambiri ndikubwezeretsanso magazi ake. Mwa izi, monga lamulo, mankhwala amaikidwa kuti athetse mtima wa vasospasm ndikuletsa kufalikira, kukulitsa lumen, kutsekereza magazi, ndikuwonjezera kutuluka kwa magazi.

Chonde dziwani: kuti mukwaniritse zotsatira zoyenera zathanzi lanu, akatswiri athu azisankha mankhwalawa aliyense payekhapayekha, poganizira zinthu zonse zofunika - kuchokera kuukali kwa matendawa kupita ku mtundu wanu munthawi ya chithandizo.

Physiotherapy

Kuti mankhwalawa akhale othandiza monga momwe mungathere, limodzi ndi chithandizo chamankhwala, akatswiri athu azakusankhirani njira zamankhwala zolimbitsa thupi zomwe zingakuthandizeni kubwezeretsanso momwe magwiridwe antchito akukhudzidwira.

Chidziwitso: mankhwalawa, physiotherapy ndi zakudya zapadera, zomwe tikambirana pansipa - njira zomwe zimagwira ntchito poyambira chitukuko cha atherosulinosis yamatumbo am'munsi. Ngati matendawa ayamba ndipo ziwiya zasokonekera kwambiri, ndi maopaleshoni okhawo omwe angathandize.

Kupewa matenda a atherosulinosis a ziwiya zamagawo am'munsi

Zakudya kwa atherosulinosis ya m'munsi malekezero ndi imodzi mwazinthu zofunikira kwambiri pochiza. Kuti izi zitheke, ndikofunika kuonetsetsa nthawi zonse. Mwina poyamba simungakhale omasuka kusiya zizolowezi zomwe mudadya kale, koma patapita nthawi yochepa thupi lanu lidzamanganso, ndipo mudzazindikira kadyedwe kake ngati njira yatsopano yosangalatsa, yodzala ndi kuwala komanso yopanda chakudya. Kuphatikiza apo, pali zinthu zochepa kwambiri zomwe timalimbikitsa kusiya.

Zinthu zomwe timalimbikitsa:

• Nyama yokhala ndi mafuta ochepa komanso nkhuku (mwachitsanzo, Turkey)
• Nsomba (kuphatikizapo mafuta)
• Zipatso zatsopano, masamba, zipatso
• Zinthu zamkaka (kuphatikizapo mafuta)
• Mazira owiritsa, ma omelet
• Mafuta a azitona ndi mpendadzuwa
• Mbale
• Wholemeal pasitala
• Mkate
• Tiyi yobiriwira
• Mtedza (walnuts ndi amondi ndiwofunika kwambiri)
• Ngala, Nyemba, Nandolo
• Tchizi (zamafuta m'munsimu 30%)

Chofunika kupatula:

• Margarine, kufalitsa ndi zinthu zina zamafuta zopangidwa ndi mafuta
• Offal (impso, chiwindi, ubongo), komanso zinthu zochokera kwa iwo
• Zogulitsa Soseji
• Mayonesi, ketchup ndi msuzi wina wama mafakitale
• Mbatata yokazinga
• Chakudya chofulumira

Kuphatikiza apo, khalani ndi moyo wokangalika, masewera olimbitsa thupi (mwachitsanzo, kusambira), nthawi zambiri kumakhala mlengalenga, pitani pamapazi ndipo musachite mantha pazinthu zazing'ono.

Kumbukirani: atherosulinosis ya ziwiya zamagawo am'munsi ndi matenda omwe amatha kuchiritsidwa poyambira osachitidwa opaleshoni komanso munthawi yoletsa kukula kwa zovuta zomwe zingayambitse kupweteka komanso kufa msanga.

Chifukwa chake, osazengereza kuchezera. Pangana ndi akatswiri pakalipano.

Kupewa matenda

Zomwe zimathandizira kuyikamo mafuta a cholesterol siziyenera kuphatikizidwa ndipo zizolowezi zabwino:

• khalani ndi zakudya zomwe sizikuthandizira kutsekeka kwa makoma amitsempha yamagazi - gwiritsani ntchito zakudya zopanda mafuta a cholesterol,
• osasuta
• perekani zolimbitsa thupi.

Kufotokozera za matendawa komanso kufalikira kwake

Malinga ndi maphunziro azachipatala, kuwononga ma atherosclerosis a ziwiya zamiyendo pafupifupi 16-17% yamatenda onse am'mitsempha. Nthawi yomweyo odwala ambiri omwe ali ndi matendawa amakhala magulu olumala 1-2, ndipo wachinayi aliyense wa iwo ayenera kudula miyendo yakumunsi.

Chithunzi choyerekeza cha wodwala: bambo wosuta wa zaka zopuma asanapume pantchito kapena wamkulu, akuvutika ndi kunenepa kwambiri komanso matenda oopsa.

Matendawa ndi wodwala wopita patsogolo. Makina a kupezeka kwake ndi chitukuko ali motere:

1. Pazifukwa zosiyanasiyana, zomwe tidzakambirana pansipa, gawo limodzi kapena zingapo za cholesterol deposits (zolembera) zimawonekera kukhoma lamkati la mitsempha.
2. Pang'onopang'ono, zolembera zimakula, motero zimapangitsa kufooka kwa chotengera ndikupangika.
3. Zotsatira zake mtsempha wamafunde umakhala pang'ono kapena walephereka - kutuluka kwa magazi, ma hypoxia a ziwalo zam'manja zapafupi ndi kulowa.
4. M'masiku otukuka, minyewa yam'mimba yopanda zakudya komanso mpweya wabwino umayamba kufa, womwe umayambitsa gangore.
5. Matendawa amatha kupangitsa magazi kuundana, yomwe imakhala yakufa ngati ingakumane ndi mitsempha yamagazi ya ziwalo zofunika (mtima, mapapu, ubongo).

Zoyambitsa ndi Zoopsa

Choyambitsa matenda a atherosclerosis obliterans ndikuphwanya mafuta kagayidwe, kamene kamatsogolera mapangidwe a cholesterol otchedwa "oyipa" ndi kukhazikika kwake pamakoma amitsempha yamagazi ndi mapangidwe a atherosulinotic malo.

Madokotala azindikira kuti izi zimachitika mwa munthu, makamaka m'moyo wake izi:

• kunenepa
• matenda ashuga
• matenda a mtima
• kuthamanga kwa magazi
• matenda a autoimmune
• cholesterol yayikulu magazi,
• vuto la magazi,
• kusowa kwa masewera olimbitsa thupi
• moyo wosavomerezeka (kusuta fodya ndi kumwa kwambiri),
• ntchito yolemetsa, yolumikizidwa ndi katundu waukulu pamiyendo.

Zowonjezera zomwe zingayambitse chiwopsezo cha atherosulinosis ndi:

• m'badwo - wamkulu, mwayi waukulu wodwala
• jenda - Amuna amadwala kangapo kuposa akazi
• kubadwa kwamatendawa kumatendawa,
• Mbiri yakuvulala kwamiyendo ndi mabala olowera.

Gulu ndi magawo

Kuwonongeka kwa atherosulinosis ya miyendo kumatha kutengera malo:

• unilateral kapena mayiko awiri
• zachikazi, popliteal, kapena iliac mitsempha.

Nthawi yamatendawa pali magawo angapo, zomwe zimafotokozeranso nthawi yomweyo matenda:

• Gawo 1 - mawonetseredwe oyamba. Pakadali pano, matenda akungoyamba kumene, kotero wodwalayo sakhudzidwa ndi vuto lakelo: amatha kungodziwa kuti mwendo wafika pang'onopang'ono ndipo nthawi zonse umawuma, kutopa kumachitika poyenda.
• 2A siteji - kulowererapo pang'ono. Kutopa ndi kuuma kwa minofu ya miyendo kumawonjezeka: mukayesa kuyenda mtunda wa pafupifupi 200 m, kupweteka kwa mwendo kumawonekera.
• 2B siteji - zoletsa ntchito yamagalimoto. Wodwala sangathe kuyenda 200 m osayima ndikupuma - kupweteka kwambiri ndi kukhazikika mu mwendo zimasokoneza.
• 3 siteji - kupweteka kwambiri. Kupweteka ndi kusasangalala kwa mwendo kumayendera ndi wodwalayo ngakhale pakupuma. Kuyenda kumakhala kovuta.
• Gawo 4 - zilonda zam'mimba ndi zilonda zam'mimba. Magawo a necrosis amawonekera pamapazi owawa, zilonda zam'mimba ndizo chizindikiro choyamba cha kutupa kwamatumbo.

Zithunzizi zikuwonetsa magawo atatu ndi anayi a kusinthanitsa kwa atherosulinosis a ziwiya zamagawo akumunsi:

Gawo lachitatu ndi chithunzi chake:

Chithunzi chachinayi, miyendo imayamba kuvunda, zilonda ndi mawonekedwe am'mimba:

Dziwani zambiri za matendawa patsamba ili:

Kuopsa komanso zovuta

Ndi kutha kwa atherosulinosis kuthekera kwakukulu kwachitukuko:

• kusabala kwa amuna chifukwa cha kusokonezeka kwa mitsempha ya iliac,
• pachimake ochepa mitsempha,
• zilonda zam'mimba ndi necrosis yamatumbo,
• chouma kapena chonyowa,
• thrombosis ya mitsempha ina yofunika yomwe ingayambitse matenda a mtima kapena sitiroko.

Popanda chithandizo cha matendawa, munthu amawopsezedwa ndi kulumala kapena kudula mwendo, mu nthawi yomvetsa chisoni kwambiri - imfa chifukwa cha zovuta zingapo.

Zizindikiro, matenda ndi njira zochizira

Zizindikiro zakuwonongerani kwa mtima ku ziwiya zamiyendo makamaka:

• kupweteka m'misempha ya ng'ombe: poyamba pokhapokha ngati mukuchita ntchito, ndiye - komanso pakupuma,
• Khungu ndi kuzirala kwadzidzidzi kwa khungu lanu.
• dzanzi ndi tsekwe zam'miyendo,
• omwe amatchedwa "kudalirana kwapang'onopang'ono" - pamene munthu akuyenda mwadzidzidzi amayamba kugwa pamwendo wake wowawa.
• kufooka kapena kusowa kwathunthu kwamkati pa mwendo umodzi.
• khungu pakhungu - mu magawo oyamba a matendawa, pakhungu pakhungu limayamba kukhala lachiwindi, mabala amachiritso a nthawi yayitali komanso abrasions
• mwendo wodwala umawoneka wosiyana ndi wathanzi: umatha kuwoneka wowonda, misomali ndi tsitsi pa ilo limakula pang'onopang'ono kapena ayi konse.

Muzochita zamankhwala, kuphatikiza kuwerengera ndi madandaulo a odwala pakudziwitsa za kufafaniza kwa atherosclerosis Njira zofufuzira zotsatirazi ndizothandiza:

• kuyesa kwamagazi ndi mkodzo,
• kuyezetsa magazi kwa cholesterol,
• Ultrasound yamitsempha yamagazi ndi dopplerography,
• X-ray angiography mosiyana,
• rheovasography - kuyang'ana kayendedwe ka magazi m'mitsempha ya miyendo pogwiritsa ntchito chida chojambulira,
• kulingalira kwa maginito kapena njira yofufuzira njira yolondola kwambiri mpaka pano.

Chithandizo cha kufafaniza matenda a atherosulinosis chiyenera kukhala chokwanira komanso chokwanira kuteteza kukulira kwa njira yodutsira m'magazi komanso kukula kwa zovuta zazikulu.

Ntchito njira zochizira atherosulinosis obliterans a m'munsi miyendo mitsempha:

• Mankhwala. Mankhwala osokoneza bongo kuti muchepetse cholesterol, antithrombotic ndi vasodilator, multivitamini ndi antioxidants.
• Njira zolimbitsa thupi: electrotherapy, magnetotherapy, laser mankhwala, balneotherapy, hydrogen sulfide matope ntchito, ozoni ndi barotherapy.
• Opaleshoni akuwonetsedwa pa magawo 3 ndi 4 a matenda, nthawi zina kale - pofuna kupewa kutengako dzanja. Mitundu ya maopaleshoni owopsa othandiza kugwiritsidwa ntchito: balloon angioplastic, cryoplasty, stenting.
  

Mitundu ya opaleshoni yotseguka yotsokomola atherosulinosis yamatumbo am'munsi pomwe mukusunga nthambi yam'munsi: opaleshoni yam'mbuyo, endarterectomy, sympathectomy, artery prosthetics. Mu gawo la chinayi la odwala, kuduladula chiwalo chomwe chakhudzidwa chikuyenera kuchitidwa.

Zambiri pazokhudza matendawa, zizindikiro ndi njira zamakono zochizira matenda am'matumbo am'munsi, onani vidiyo:

Ngati kusokoneza atherosulinosis wapezeka koyamba, ndiye wodwala amakhala ndi chithandizo chanthawi yayitali komanso chopitilira. Malinga ndi malingaliro onse omwe adokotala amathandizidwa nawo, wina sangaope zovuta za matenda amtunduwu - zakutsogolo pankhaniyi ndi zabwino.

Ngati njira ya pathological yapita kwambiri kotero kuti wodwalayo amakumana ndi zovuta zina pamene akusuntha ndipo sangathe kugonja ngakhale 200 m pamapazi, amadzuka kufunika kochita opareshoni. Njira zowonongera zomwe zimapangidwa pakuchita opaleshoni ya mtima zomwe zimachitidwa pano zimapereka zotsatira zabwino komanso zimathandizira wodwala kuti azikhala ndi vuto lolemala.

Nthawi yomweyo, ndikofunikira kukumbukira kuti opaleshoniyo sithandizira wodwalayo kufunika kopitiliza maphunziro othandizira kupewa matenda a atherosclerotic, penyani bwino zaumoyo wake ndikupewa mitundu yonse ya chiopsezo cha atherosulinosis.

Mu 25% ya milandu, atherosulinosis obliterans imabweretsa kuchepa kwa miyendo chifukwa chodulidwa. Ndizosatheka kupewa izi ngati pali zizindikiro za gangrene, ululuwo suyenda bwino ndipo umalepheretsa munthu kugona, chithandizo chamankhwala sichitha, ndipo matendawa amapita patsogolo.

Njira zopewera

Kupewa kwa atherosulinosis obliterans ndi:

• letsa kukula kwa matendawa mwa odwala omwe ali pachiwopsezo (kunenepa kwambiri, cholowa chovuta, osuta, etc.),
• chepetsani kapena siyani kupita patsogolo konse matenda m'magawo ake oyamba.

Kuti muchite izi, muyenera:

• limbana ndi kunenepa kwambiri, kunenepa kwambiri komanso kusachita masewera olimbitsa thupi,
• lekani kugwiritsa ntchito chikonga ndi mowa,
• mankhwalawa opatsirana omwe amachititsa kuti matendawa azitha - matenda oopsa, matenda a endocrine,
• ndi cholesterol yokwera, gwiritsani ntchito manambala omwe adokotala adakuwuzani,
• kutsatira zakudya zotsutsana ndi atherosclerotic - tebulo lamankhwala No. 10 lokhala ndi mafuta ochepa a nyama, ufa ndi confectionery,
• Poyamba, muthane ndi dokotala wa opaleshoni ya mtima kapena phlebologist ndipo nthawi yomweyo yambani kulandira chithandizo ngati pakufunika kutero.
• analola kugwiritsa ntchito mankhwala ena wowerengeka.

Pafupifupi munthu m'modzi mwa anthu khumi padziko lapansi ali ndi matenda a atherosulinosis ob maoto a miyendo. Mwa odwala zana, makumi awiri ndi asanu adzataya mwendo umodzi kapena onse, ndipo khumi adzafa chifukwa chovuta kwambiri. Koma thanzi la miyendo yawo linali m'manja mwawo - ngakhale zitamveka bwanji.

Zizindikiro za matenda atapezeka munthawi yake, kuyimbira foni dokotala komanso kuthandizidwadi ndi chitsimikizo moyo wopanda chilema ngati ungathetse matenda a atherosulinosis.

Miyendo yathu ili ndi matenda ambiri am'mitsempha, ndipo ngati zonse sizili zowopsa m'mitsempha, ndiye kuti palibe chifukwa choti tingatambe ndi mitsempha. Kuwonongeka kwa atherosulinosis kwa ziwiya zamagawo am'munsi kumangokhudza mitsempha yamagazi yomwe mtsinje wamagazi umayenda. Ngati chilolezo chawo chimakhala chosweka pang'ono, munthu amadzimva yekha. Chizindikiro chachikulu cha matendawa ndi kupweteka kwa minofu, chifukwa alibe michere ndi mpweya.Atherosulinosis obliterans (OA) ndi njira yowopsa yomwe ingayambitse kutayika kwa miyendo, ndipo nthawi zina imfa.

Matendawa amatchedwa gawo la general atherosulinosis, chifukwa ngati iwonekera m'malire am'munsi, ndiye kuti ilinso m'matumba apamwamba pamwamba pake. Amadziwika ndi okalamba, ochulukanso mwa amuna. Chithandizo cha kutha kwa atherosulinosis imakhala ndi mitundu iwiri ya njira zochizira: mankhwala osokoneza bongo. Pokhapokha akaphatikizidwa timatha kukambirana za mwayi wochira. Matendawa amakhala ndi magawo angapo a chitukuko, ndipo akapezeka msanga, amakhala ndi mwayi wopeza bwino.

Zomwe zimayambitsa matenda

Atherosclerosis obliterans ya mitsempha yam'munsi yamapazi ndi matenda osachiritsika omwe amakhudza ziwiya zazikulu kwambiri zamiyendo - mitsempha ndi msempha. Madokotala adazindikira zoopsa zingapo zomwe zimapangitsa kuti matendawa akhale ambiri: zaka za munthu wopitilira 40, jenda (wamwamuna), kusuta, kupezeka kwa matenda oopsa, kusokonezeka kwa lipid kapena kagayidwe kazakudya. Koma pambali pawo, palinso zifukwa zina za sclerosis.

Kuthana ndi atherosulinosis ya malekezero a m'munsi kumatha kuonekera chifukwa cha zifukwa zotsatirazi:

• Kunenepa kwambiri
• Matenda a shuga
• Zizolowezi zoipa
• Makamaka
• Khalidwe labwino
• Kupsinjika ndi kusokonezeka kwa malingaliro
• Kuwonetsedwa kozizira

Pakukula kwa matenda a m'mitsempha, kungokhala kuchuluka kwa cholesterol sikokwanira. Zina ziyenera kukhudza thanzi la makoma opaka, kuti iye athe kupita nawo.

Pazifukwa zonsezi, khoma la mitsempha limasiyanitsidwa, ndipo mafuta m'thupi amayamba kuyikamo. Kenako chinyontho cha ziwiya pang'onopang'ono chimazirala mpaka chikufikiratu, chomwe chitha kuyimitsa magazi mu mwendo. Zotsatira zake, zilonda zam'mimba ndi necrosis zimawonekera.

Zizindikiro zakutha kwa atherosulinosis

Mawonetsedwe azachipatala a kuwononga atherosulinosis sikuti amadzimva pamayambiriro, koma pamapeto pake sangasinthe. Chizindikiro choyamba cha vuto ndi kupweteka kwa minofu, poyamba kungokhala ndi kulimbitsa thupi kwakanthawi. Miyendo nthawi yochita masewera olimbitsa thupi imafunikira mpweya ochulukirapo, womwe mitsempha imatha kuwapatsa mulingo woyenera. Chifukwa chake ululu. Komabe, amapita mofulumira akapuma. Matendawa akamakula, zizindikiro zina zimayamba kuonekera:

1. Kumva dzanzi kapena goosebumps kumapazi
2. Mwendo wakhudzidwa umakhala wozizira bwino
3. Kenako zowawa zimawonekera ngakhale popanda kupsinjika
4. Khungu la miyendo limayamba kupindika, ndipo mapazi ndi zala zimadetsedwa
5. Mwa abambo, kusowa chiyembekezo ndikotheka
6. Kukula kwa mabala osachiritsa

Mu chithunzi chowononga atherosulinosis ya m'munsi yam'munsi, simudzatha kuwona chilichonse cha matendawa, pokhapokha magawo akumapeto awonekere. Kukula kwake kungadziwike kuti mtunda wa wodwala ndi "wopanda ululu". Mwachitsanzo, munthu amene ali ndi gawo loyambirira la atherosulinosis amatha kuthamanga kuposa kilomita, ndipo ndi pomwe zowawa zimawonekera. Pagawo lachiwiri, magulu awiri ndi osiyana: gawo 2A limatha kudutsa popanda kupweteka mtunda kuchokera pa 250m kupita 1 km, siteji 2B - kuchokera 50 mpaka 250 m. Wodwala mu gawo lachitatu, ululu umayamba kale kuchokera pazitepe zoyambirira. Fomu lomaliza limatsimikiziridwa ndi kukhalapo kwa zilonda kapena gangrene mwa wodwala.

Palinso gulu lina la matendawa - kutalika kwa ziwiya zomwe zakhudzidwa. Ngati zikwangwani zimayamba kuwoneka m'mitsempha ya azimayi kapena chachikazi kapena aorta, uku ndi matenda apamwamba kwambiri. Ngati mitsempha ya bondo ndi mwendo wotsika yakhudzidwa, mulingo wamba. Matendawa atawoneka m'minyewa ya mwendo wapansi komanso kumapazi, uku ndikochita kotsika. Zizindikiro zakuwonongeka kwa atherosulinosis yokhala m'munsi kwambiri imatha kupezeka mwa anthu ambiri, koma sikuti nthawi zonse pamakhala chizindikiro cha izi. Chifukwa chake, kuti mudziwe zolondola muyenera kuwona dokotala.

Kukula kwa matenda

Monga lamulo, anthu azaka zopuma pantchito amakumana ndi matendawa. Koma matendawa amayamba kukula zaka zingapo zizindikiro zoyamba zoyipa zisanachitike. Amuna, monga lamulo, akuyenera kupitilira kwa mtundu uwu wa atherosulinosis. Koma ndi matenda angapo ophatikizika, amathanso kukhala achikazi. Chochititsa chidwi ndi kusamba. Zowonadi, munthawi imeneyi, mphamvu ya mahomoni imapangidwanso, zomwe zimachitika m'thupi zimasinthika magazi. Izi zimatsogolera kuti zimakhala zochulukirapo, zomwe zimapangika pang'onopang'ono. Nthawi zambiri kusokoneza atherosulinosis ya m'munsi malekezero kukula motsutsana ndi maziko a thrombophlebitis kapena venous kusakwanira.

Zinthu zazikulu zomwe zingayambitse kukula kwa matendawa ndi monga:

- shuga mellitus, momwe kuchuluka kwa shuga kumakulirakulira,

- wodwala matenda a mtima,

- Kukula kwa mitsempha yomwe imadutsa m'dera la m'chiberekero,

- zovuta zamagazi mumitsempha ya ubongo,

- gawo la parresthesias ndi paresis ya malekezero apansi.

Komanso, mwayi wokhala ndi matendawa ndiwopamwamba mwa anthu omwe amasuta, amamwa mowa nthawi zonse, amakhalanso ndi moyo wokhala phee, ndipo nthawi yomweyo amadya zakudya zabwino zambiri komanso mafuta a nyama.

Madokotala ena akuti arteriosulinosis ya ziwiya zamagetsi zam'munsi zimachitika chifukwa chosagwira bwino ntchito kwamanjenje. Imaleka kuyang'anira machitidwe a metabolic omwe amachitika mthupi.

Anthu ambiri amaganiza kuti zingakhale zovomerezeka kuti azingoonana ndi dokotala pokhapokha chizindikiro cha chitukuko cha matendawa chikufotokozedwa kale. Chifukwa chake, chizindikiritso cha kufooka kwa atherosulinosis ndi ululu m'matumbo a ng'ombe ndi ntchafu zomwe zimachitika poyenda. Zomverera zosasangalatsa zimawonekera chifukwa chakuti pakulimbitsa thupi magazi ambiri amafunika kulowa m'matumbo, omwe amapatsa mpweya wofunikira kwa iwo. Ndi mavuto amitsempha, ma arterioles ndi ma capillaries m'misempha, kufa ndi mpweya wa oxygen. Ichi ndiye chifukwa chachikulu cha zowawa.

Poyamba, ngakhale kupumula pang'ono ndikokwanira kuti zovuta zisathe, ndipo munthuyo akhoza kupitilizabe kusuntha. Mankhwala, chodabwachi chimatchedwa kuti kupatsirana padera. Ndiye chizindikiro chachikulu chomwe munthu amayamba kukhala ndi atherosulinosis yotsika ya m'munsi. Chithunzi cha mapazi a odwala omwe ali ndi matenda opititsa patsogolo zimapangitsa kuti amvetsetse kuti sizoyenera kukoka kukaonana ndi adokotala.

Muyeneranso kudziwa kuti kupweteka kwakanthawi m'mitsempha ya ng'ombe kumatchedwa kutsika, ndipo m'chiuno - kukhudzana kwakukulu. Nthawi zina amasokonezeka ndi zizindikiro za nyamakazi. Koma kuwasiyanitsa sikovuta. Ndi mavuto olowa nawo, ululu womwe umayenda umachepa pang'ono, koma ndi kufooka kwa ziwalo, mmalo mwake, amakula. Kulongosola mwatsatanetsatane zamtundu wazisokonezo komanso nthawi yomwe zidzachitike zimapangitsa dokotala kuti azindikire msanga.

Magawo a matenda

Nthawi zambiri, kufafaniza ma atherosulinosis a ziwiya zamagawo am'munsi kumachitika kwa nthawi yayitali. Mbiri yazachipatala imatha kukhala zaka zingapo.

Mu magawo oyamba, ndi anthu ochepa omwe amamvetsera zomwe akuwonetsa ndikuwunika mayeso. Ambiri amapita kwa madokotala pokhapokha kukakhala kovuta kwa iwo kuyenda ngakhale mita 100. Kutengera ndi nthawi yayitali yosayenda movutikira, magawo angapo a matendawa amasiyanitsidwa.

Yang'anirani mkhalidwe wamiyendo yawo ngati kupweteka kumachitika panthawi yochita masewera olimbitsa thupi. Chifukwa chake, zimatha kuchitika mukamayenda mtunda wopitilira 1 km. Poterepa, tikulankhula za gawo loyamba la matendawa.

Kugwetsa ma atherosulinosis a m'munsi malekezero a digiri yachiwiri kumadziwika ndi mawonekedwe a kupweteka ndi katundu wochepa. Munthu amatha kuyenda kuchoka pa 50m kupita 1 km.Nthawi yomweyo, gawo la 2a limasiyanitsidwa, pomwe mtunda woyenda wopanda ululu umachokera ku 250 mpaka 1000 metres, ndi siteji ya 2b - nayo, zotsekemera zimatha kuchitika kale pambuyo pa 50 m.

Ischemia yovuta imatchedwa gawo lachitatu. Zimadziwika ndi mfundo yoti munthu sangathe kuyenda ngakhale mamita 50. Kuphatikiza apo, zowawa zimasautsa wodwalayo ndikupuma, nthawi zambiri zimachitika usiku. Mutha kuthetsa vutoli ngati mutatsitsa miyendo yanu pabedi. Magazi amayamba kuyenda ndi miyendo yovuta, yomwe imachepetsa vutoli.

Gawo lachinayi limadziwika ndi kuwoneka kwa zovuta zamatumbo. Nthawi zambiri, necrosis imawoneka zidendene komanso zala. Amawoneka ngati zikopa zakuda. Maonekedwe awo amatha kumapatsa kukula kwa gangore.

Kufufuza koyenera

Izi zimachitika kuti pa gawo loyamba lokhala ndi matendawa, palibe kusintha komwe kumapezeka pakamayesedwa. Pankhaniyi, pogwiritsa ntchito kupanga kabwereza kapena kuwunika kwa dopplerography, mutha kuthandizira kuzindikira kufalikira kwa mathero am'munsi.

Mukamachita maphunziro awa, ndikofunikira kuti mupange mayeso a nitroglycerin. Ndi chithandizo chake, mutha kuwunika malo otsalawo a mitsempha yomwe yakhudzidwa. Zimathandizanso kudziwa LPI (index ya ankle-brachial). Chizindikirochi chimazindikira kuchuluka kwa kukakamizidwa mu mitsempha ya mwendo ndi phewa. Nthawi zambiri, liyenera kukhala lalikulupo kuposa 1. Ndi kuwonongeka kwa atherosulinosis, chizindikirochi nthawi zambiri chimakhala chochepera 1, bola ngati miyendo yakumtunda sikukhudzidwa. Ndi ischemia yovuta, chiwerengerochi chikhoza kukhala 0,3.

Komanso, mosalephera, adotolo adzalembera mayeso a magazi a shuga ndi kafukufuku wamankhwala osokoneza bongo. Ndikofunikira kuti mudziwe kuchuluka kwa mafuta acids ndi cholesterol. Kuunika kwathunthu kumakupatsani mwayi wofotokozera ngati wodwalayo ali ndi atherosulinosis obliterans of the m'munsi malekezero. Chithandizo chimatengera njira ya matendawa, gawo lomwe lakhazikitsidwa ndi chotengera. Amatha kufufuzidwa pogwiritsa ntchito njira zamagetsi zamagetsi.

Chida chozindikira

Ngakhale mutakhala kuti mwayamba kudwala matenda otani, muyenera kumuuza nthawi yoyamba yomwe zizindikiro za matendawo ziwonekera, kuti athe kulingalira za matenda anu.

Kugwetsa ma atherosulinosis a m'munsi malekezero kumatha kupezeka ndi ultrasound ndi Doppler. Njira iyi ndi yopezeka kwambiri komanso yophunzitsa. Malinga ndi kutsimikiza kwa systolic, zimapangitsa kuti athe kuyesa momwe magazi akutumphukira.

Mphamvu yamphamvu yam'mitsempha yam'manja imapangitsa kuti mayiyo azitha kuyang'anitsitsa chikhazikitso cha ankolo-brachial, chomwe chimatsimikiziridwa ndikuphatikizira kuyesa kwa treadmill. Kufufuza komwe kwatchulidwa kumapangitsa kumveketsa bwino matendawa ndikuzindikira odwala omwe mkhalidwe wawo ukuyandikira ischemia.

Chimodzi mwazabwino kwambiri ndikusanthula kwa duplex. Zipangizo zamakono zimapangitsa kuwona mawonekedwe a chotengera ndikuwunikira kayendedwe ka magazi mu lumen yake. Pogwiritsa ntchito njirayi, mutha kuwona stenosis, occlusion, kuwona malo oyenda ndi magazi, omwe amawoneka chifukwa cha kuwonongeka kwa makoma amitsempha yamagazi.

Odwala omwe atherosulinosis obliterans ya m'munsi malekezero a gawo lakuvutika ischemia amayeza kuwonongeka kwa oxygen. Izi zimakuthandizani kuti muwunike ngati minofu ili ndi yogwira, ndikupereka chidziwitso pakuchiritsa zilonda zotseguka.

Mutha kuwona mtengo wathunthu wamankhwala, kuyambira kwa msempha ndikutha ndi mapazi, pogwiritsa ntchito angiography. Zithunzi zimatengedwa pang'onopang'ono: molunjika ndi mbali.

Chithunzi chachipatala cha magawo oyamba, mbiri ya zamankhwala

Mutha kukayikira kukula kwa matendawa mwa inu nokha ndikuwoneka ngati ululu m'miyendo mukuchita masewera olimbitsa thupi. Koma sindiye chizindikiro chokhacho chomwe tingathe kudziwa kuthana ndi vuto lakelo.Mbiri yazachipatala ya odwala ambiri ndi yofanana. Amadandaula zakumva kutentha pang'ono, kumva kutopa, kutopa m'mbali mwamavuto. Koma chizindikiro chomwe chimatchulidwa kwambiri ndikulankhula pang'ono. Ndi katundu wina, kupweteka kumawonekera mwendo, ndikupangitsa wodwalayo kuti ayime. Kupumula pang'ono (kwa mphindi 1-2) ndikokwanira kuti zovuta zisathe. Koma amabwerera pambuyo poti wodwala wadutsa mtunda winawake.

Zowona, si odwala onse omwe amachita chidwi ndi mabala osuntha. Ambiri a iwo ndi okalamba omwe amawona zovuta pakuyenda ngati vuto lachilendo, zomwe sizipanga nzeru kudandaula. Komanso, ambiri aiwo amakhala moyo wongokhala, kotero sangakhale kuti adalankhula.

Kukula kwa matenda

Pamene kusokoneza atherosulinosis yamitsempha yam'munsi yam'munsi ikuyamba kupita patsogolo, ndiye kuti kupweteka kumawonekera pakupuma. Izi ndichifukwa choti kuchuluka kwa magazi kumakhala kosakwanira kuti tikwaniritse zosowa za minofu. Odwala ambiri amadandaula za kupweteka kumapazi ndi zala, zomwe zimachitika pakupuma. M'malo opingasa, kuthamanga kwa hydrostatic kumachepa, motero, magazi amachepa m'makhalidwe ofunikira, chomwe ndi chifukwa chowoneka chosasangalatsa, komwe wodwalayo amadzuka. Ndizofunikira kudziwa kuti mawonekedwe a ululu okha sangathe kunyalanyazidwa, chifukwa gawo lotsatira lidzakhala kukulira kwa gangrene. Ambiri sadziwa chomwe kufalikira kwa mathedwe a matendawa ndi; amaganiza ngati chithandizo cha vuto lakumwa. Ndipo ichi ndi chimodzi mwazifukwa zomwe matendawa amapita patsogolo.

Gawo lachinayi, kusokonezeka kwa ma trophic mu mawonekedwe a zotupa zam'mimba zimawonekera. Amawerengedwa ngati ischemic ngati adapezeka ndi ma cell am'mitsempha yama cell ndipo sangathe kuchiritsidwa kwa masabata 6. Nthawi zambiri zimawoneka pakatikati, pakati pa zala. Zowonongeka zilizonse za khungu m'malo awa sizichiritsidwa ndipo zimapita patsogolo. Mwa odwala ena, zala zimasinthiratu ndi necrotic. Gawo lomaliza ndilowala ndi kukula kwa gangore. Matendawa akayamba kudwala, matendawa amatha kuyamba.

Njira zoyeserera

Kudziwa momwe kusungunulira kwa mitsempha yamatumbo am'mimba kumakhalira (mbiri yaumoyo ya odwala ena imatha kupereka chithunzi chonse), titha kumvetsetsa kuti ndikofunikira kupita kwa dokotala zizindikiridwe zoyambirira zikayamba. Kuchiza kumadalira mwachindunji pamlingo womwe matenda adatsimikizika.

Mu magawo oyamba, chithandizo cha mankhwala chimakhala kupangira zakudya, kuwonjezera zochitika zolimbitsa thupi komanso kutsitsa kuchuluka kwa mafuta m'thupi m'magazi. Aspirin imalembedwanso mosalephera. Mankhwalawa amathandizira magazi ndikuthandizira kuwonjezera kayendedwe ka mitsempha ndi mitsempha. Kuphatikiza apo, madokotala amalimbikitsa kugwiritsa ntchito anticoagulants. Mankhwala monga Troxevasin, Warfarin, Pentoxifyline, Heparin, Detralex akhoza kulembedwa.

Mankhwala ena omwe amachepetsa kuphipha kwamitsempha yamagazi. Ndizofunikira ngati matendawa anali "akuwonongeka kwa mitsempha yamitsempha yam'munsi." Mankhwalawa amachitika mothandizidwa ndi mankhwala monga No-Shpa, Nikoshpan, Galidor, Bupatol, Midokalm. Nthawi zina, mahomoni antispasmodics amafunika. Gulu la mankhwalawa limaphatikizapo Depopadutin, Andekalin, Delminal. Ma blockers a Ganglion amatha kulembedwa: "Dicolin", "Diprofen", "Hexonium".

Kuphatikiza apo, ndikofunikira kuti muchepetse zowawa. Kwa izi, analgesics, perinephric blockade ndi intraarterial blockade yopanda novocaine amagwiritsidwa ntchito. Ndizotheka kusintha njira zama metabolic mu minofu mothandizidwa ndi vitamini. Pazifukwa izi, onani Ascorutin, mavitamini B15, B6, B1, nicotinic acid.

Komanso, chithandizo cha atherosulinosis obliterans a ziwiya zam'munsi zimaphatikizira sedative chithandizo. Amakhala ndikumwa ma antipsychotic. Izi zimaphatikizapo mankhwala "Frenolon", "Triftazin", "Aminazin." Chithandizo chotsimikizika chofunikira chimakhala pakumwa mankhwala monga Suprastin, diphenhydramine, Pipolfen.

Kuthandizira opaleshoni

Ndi kukula kwa matendawa, njira zochizira opaleshoni nthawi zambiri zimalembedwa. Uwu ukhoza kukhala mzere wamavuto am'mitsempha yamavuto, balloon angioplasty. Imeneyi ndiye njira yofatsa kwambiri yochizira ziwopsezo zamatumbo am'munsi zitha kuchitika. Buluni yokhala ndi ma catheter owili-nyali imayikidwa mu mtsempha wamavuto ndikuthira mkati. Ndi chithandizo chake, khoma lam'mimba limatambasuka ndipo magazi amayamba kuyenda bwino.

Koma nthawi zina ndikofunikira kuchititsa zochitika poyera. Endarterectomy imachitika pokhapokha mtsempha wamkazi ukakhudzidwa. Pogwiritsa ntchito mankhwalawa, madera osinthika atherosselotot amachotsedwa, ndikuyenda kwa magazi kumabwezeretsedwa pogwiritsa ntchito zotsekera za mtima.

Njira imodzi yodziwika ndi kuchitira opaleshoni. Pogwira ntchito iyi, chojambula chojambulira chimapangidwa kuchokera ku ziwonetsero zamagetsi kapena zaubongo. Izi zimakuthandizani kuti mubwezeretse magazi.

Njira ina

Ngati simukufuna atherosulinosis obliterans kuti ipitirize kupita patsogolo, ndiye kuti muyenera kuyang'ana pa chithandizo chamankhwala. Koma ndikofunikanso kuti muzitsatira zakudya zoyenera ndikupereka thupi mokwanira. Zakudya zamafuta sizimayikidwa muzakudya (zindikirani kuti ngakhale khungu la nkhuku limawonedwa kuti ndi loyipa), mafuta amkaka am'mafuta ambiri, ndi mazira a mazira. Zakudyazo ziyenera kukhala zopangidwa kuchokera ku ufa wa wholemeal. Ndikofunikanso kuphatikiza zakudya zam'madzi (mussels, squids, seaweed) menyu.

Chakudya chizikhala chopindika. Ndikwabwino kukonzekera menyu kuti muzidya kangapo patsiku. Chakudya chamadzulo chimayenera kukhala pafupifupi maola atatu asanagone.

Njira zochizira atherosulinosis obliterans zam'munsi zokhala ndi kugwiritsa ntchito ntchito zamavuto. Amapangidwa kuchokera kusakaniza zitsamba zosiyanasiyana. Chifukwa chake, njira yotsatirayi ndiyotchuka: supuni ya zosakaniza, zomwe zimaphatikizapo chamomile, plantain, wort wa St. Amalimbikira kwa pafupifupi maola awiri. Pambuyo pake, kulowetsedwa ndikutha kugwiritsidwa ntchito. Kutenthetsa mpaka 37 0С, wopota wotchingira mumakhala wothira momwemo. Kenako amakulunga mwendo wake, kuphimba pamwamba ndi pepala lopindika kapena nsalu ya thonje. Ndondomeko ziyenera kuchitidwa kawiri pa tsiku kwa maola 2-3.

Koma ziyenera kukumbukiridwa kuti ma compress sangathe kukonza bwino mitsempha yamagazi. Chifukwa chake, kukana chithandizo chamankhwala osafunikira kapena kuchitapo kanthu poyambitsa opaleshoni, wodwalayo amaika moyo wake pangozi, chifukwa pamapeto pake amatha kupanga njira zowoneka bwino m'mizere ya miyendo yake.