Matenda a atherosulinosis > Matenda a shuga

Zojambula: 1,2. Magawo amasinthidwe a atherosulinosis. 3,4,5. Magawo osasintha a atherosulinosis

Lembani I(gawo la zotupa zoyambirira) limadziwika ndi kusintha kwachilendo kwa msana wamitsempha yamagazi yoyambitsidwa ndi zinthu zakunja ndi zamkati zosinthika. Kunja, amawonetsedwa ndi kumasula komanso kuwonda kwa glycocalyx yoteteza pamtunda wa endotheliocytes, kukulira kwa mapangidwe a phenndothelial, kudzikundikira mu intima ya hydrophilic glycosaminoglycans ndi edema yake. Pamwambapa madera a endothelium yosinthika, pafupi-khoma kophatikiza kwa ma monocytes ndi mapulateleti amapangidwa. Kusintha kofananira kwa dolipidic muubwenzi kumapezeka ngakhale m'mitsempha ya ana a chaka chimodzi.

Mtundu Wachiwiri(siteji ya lipid mawanga ndi mikwingwirima) amadziwika ndi kusamukira kwa ma monocytes kulowa mu intima komanso kulowerera kwake kwa LDL ndi VLDL - njira zoyambitsidwa ndi endothelial ndi monocytic cytokines. Cytokines - peroxides amachititsa njira za LPO mu endotheliocytes ndi myocyte ofalitsa nkhani. Cytokines - chemoattractants (IL-1, TNFα ndi monocytic chemotactic protein I) yolowetsa ma monocytes atsopano ndi mapulateleti kulowa mu intima kuchokera m'magazi, ndipo kukula kwa mapulateleti (TGF) kumapangitsa kusuntha kwa media myocyte momwemo. Mwachiyanjano, ma lipoproteins amalumikizana ndi mankhwala a lipid peroxidation - malondialdehyde, amakhala acetyl komanso ogwidwa kwambiri ndi "zinyalala" macrophage receptors ndi masisitere osalala amisempha yosunthira media. Amakhala ndi lipoproteins ya atherogenic, amapezeka subendothelially ndipo amatenga mawonekedwe a "zidutswa zopunduka" - mawonekedwe a lipid mawanga ndi mikwingwirima. Gawoli ndilofala kwambiri m'mitsempha ya achinyamata (zaka 2 mpaka 3) komanso ngakhale ana.Zimasinthika ndipo sizimayenda nthawi zonse.

Mitundu III(gawo la liposulinosis),IneV(siteji ya atheroma) ndiV(siteji ya fibroateroma ndi zolembera za fibrous) zimadziwikaosasinthikakusintha kwa kupita kwa atherosulinosis. Chofunika kwambiri pakusintha kusintha kosinthika kukhala komwe sikungasinthidwe ndikuwonjezera kupanga kwa ma cytokines ndikulowerera kwambiri ndi atherogenic lipoproteins. Pakati pa cytokines, kukula kwa zinthu kumakhala ndi gawo lalikulu: IL-I, endothelin I, thrombin, mapuloteni opangidwa kuchokera ku minyewa, chinthu chachikulu cha kukula kwa fibroblast, gawo la kukula kwa zinthu, ndi zina. kudziunjikira khoma la mtima. Atheroma lipids imagwiritsidwa ntchito ndi macrophage lipo oxygenase yophatikizira kuchuluka kwa leukotrienes, komwe kumayambitsa kupindika kwakanthawi kwa chotengera ndikuyambitsa thrombosis mmenemo.

Zotsatira za morphological zamagawo awa a atherosulinotic ndi:

- kuchuluka kwakukulu kwa lipids ndi ma cholesterol am'mimba, omwe amapanga lipid nucleus ya atheroma mu gawo IV,

- kuchulukitsa yogwira ndi kufa kwa "maselo ofiira, kudzikundika kwa zinthu zowonjezera mu intima komanso media ndikupanga" chipewa "chamtundu kuchokera pamenepo pamwamba pa lipid pachimake. Izi zimapanga fayilo ya fibroateromatous kapena fibrous plaque (V siteji),

♦ - Kuchepetsa lumen ya mitsempha, kutulutsa zolembera zam'matumbo mwa iwo.

Magawo oyambirira awonetsedwe a mtundu wachitatu ndi khumi lachitatu la moyo, mtundu IV ndi pakati pazaka zachitatu, ndipo mtundu IV ndi chiyambi cha zaka khumi.

MtunduVIne(gawo la zotupa zovuta) limadziwika ndi kuwerengetsa kwa atheroma (atherocalcinosis), kugawanika kapena kupera kwamatumbo, thrombosis yapamwamba kwambiri ndipo pamapeto pake - matchulidwe a chotengera cha sitimayo ndi ischemia ya dera lolingana. Kulekanitsidwa kwa plaque ndi kowopsa ndi lipid thromboembolism, ndipo kusintha kwake kukhala media kungapangitse kuti mapangidwe a atherosseloticotic aneurysm, kutumphuka komwe m'chiwiya chachikulu (m'mimba aorta) kupha.

Mfundo zachithandizo atherosulinosis ndi motere:

Mankhwala othandizira pakudya pothandizidwa kuchepetsa zakudya zamafuta a cholesterol ndikuwonjezera kuchuluka kwa mafuta okhala ndi mafuta achilengedwe a polyunsaturated

Matenda a thupi, kuchepa thupi, kusuta.

Kuzindikira koyambirira komanso chithandizo cha matenda ashuga komanso matenda oopsa.

Kugwiritsa ntchito mankhwala a hypolipidemic ndi hypocholesterolemic.

Chithandizo cha metabolic ndi mtima mavuto.

Mawonekedwe a matenda, ziwopsezo

Nthawi zambiri, matenda omwe amawaganizira amakhudza mitsempha ya coronary ndi mitsempha ya carotid, mitsempha yamagazi ya ubongo, impso, malekezero am'munsi komanso mesentery, pomwe zizindikiro zake zoyambirira zimatha kupezeka mwa ana, omwe zaka zake zimafika pafupifupi zaka 10. Ali ndi zaka 25 zakubadwa, odwala oterewa amakhala ndi 30 mpaka 50% ya botilo. Kusintha kwatsoka kumakhudza makamaka mbali yamkati ya mitsempha, ndi mtundu uliwonse wa atherosulinosis womwe umasiyanitsidwa ndi magawo a chitukuko, chilichonse chomwe chimatengera kuchuluka kwa kuwonongeka, malo omwe mapangidwe amafunikira, ndi zina za matendawa.

Mitundu yayikulu ya matenda a zam'thupi ndi monga:

Atherosulinosis ya msempha, pomwe wozunzidwayo amatha kukhala ndi zizindikiro komanso madandaulo owonekera. Nthawi zambiri, amapezeka pambuyo pa kuyesedwa. Nthawi zina, matenda oopsa amayamba chifukwa cha zotupa, ngati njira zoyipa zimakhudza msempha - nthambi zake za arc - kukomoka ndi chizungulire zitha kuchitika. Kusintha kwa m'mimba msempha kumapangitsa kuti pakhale kupweteka m'mimba, nthawi zambiri izi zimachitika pakudya. Mkhalidwe wovuta wa atherosulinosis ya msempha ndi aneurysm.
Ndi atherosclerosis yokhudza ziwiya za ubongo wamutu, madandaulo akuluakulu amaphatikizapo chizungulire, mavuto amakumbukiro, kuwonongeka mu zochitika zam'maganizo, kulephera kukhazikika. Nthawi zambiri pamakhala kuchepa kowonekera, kumva phokoso m'mutu. Ndi kukula kwa mtundu uwu wa atherosulinosis, sitiroko imakhala yovuta.
Ngati atherosulinosis imakhudza ziwiya zamiyendo, poyamba pamakhala madandaulo ofooka m'magawo am'munsi, kulimba mu minofu yamatumbo amphongo, omwe amapezeka poyenda ndikudutsa pomwe ayima. Kuzizira kwa zala ndi mapazi kungawonedwe. M'madera ovuta kwambiri, zilonda zam'mimba zimapezeka m'munsi mwa mwendo wotsika, kukula kwa gangrene sikuwonetsedwa.
Ndi zowonongeka m'mitsempha yamtima, odwala amadandaula za kusapeza bwino komwe kumachitika m'dera la minofu yamtima. Choopsa chachikulu cha coronary artery pathology ndi kupangidwa kwa myocardial infarction.

Ponena za zinthu zoopsa, nthawi zambiri matendawa amakula mwa anthu azaka zopitilira 45, pomwe amuna amakhala ndi vuto la atherosulinosis nthawi zambiri kuposa chiwerewere chokomera.

Zowopsa zimakumana ndi omwe amasuta komanso anthu omwe amamwa mowa kwambiri. Vutoli limatha kukhalapo pamaso pa ochepa matenda oopsa, pomwe kuwerenga kwapanthawi zonse kumapitilira mamilimita 140/90 a Mercury. Matendawa nthawi zambiri amawonekera mwa anthu omwe amakhala ndi vuto losafuna kudya, mwa iwo omwe amakonda kunenepa kwambiri, pamaso pa matenda a shuga ndi cholesterol yayikulu (kutanthauza momwe zizindikiro zimaposa 5 mmol / l), komanso ngati pali cholowa kudziwiratu.

Zizindikiro za atherosulinosis ndi momwe mungathane nayo

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

Atherosulinosis ndi matenda osakhalitsa a mtsempha womwe umachitika motsutsana ndi vuto la metabolic, komanso chifukwa cha kuyika kwa mafuta a cholesterol ndi mafayilo ena mwa mapangidwe amtundu wa atherosulinotic pamakoma amitsempha yamagazi. Kuyika koteroko kumapangitsa kukula kwa minyewa yolumikizana mwa iwo, komwe kumapangitsa kuti masheya am'madzi azithamanga komanso azitha kuchepa. Zizindikiro zoyambirira za atherosulinosis zimayambitsidwa ndi zifukwa - zaka za wodwalayo, kuperewera kwa zakudya m'thupi, kupezeka kwa matenda osachiritsika.

Kodi atherosulinosis ndi chiyani?
The pathogenesis of atherosulinosis ndi mawonekedwe ake
Zoyambitsa Atherosulinosis
Zizindikiro za matenda ofotokozedwera
Matenda a mtima a Atherosclerotic
Matenda a atherosulinotic pamimba
Atherosclerotic zotupa za mesenteric ziwiya
Atherosulinotic zotupa za aimpso
Atherosulinotic mtima matenda a miyendo
Matenda Aubongo a Atherosulinotic
Mavuto a Atherosulinosis
Gulu la matenda
Nthawi ndi magawo akulu a matenda
Njira zamakono zodziwikirira matenda a atherosulinosis
Mfundo zoyambirira zakuchiritsira matenda
Mankhwala Oteteza

Malinga ndi ziwerengero, zizindikiro zoyambirira za atherosulinosis zimayamba kudziwonetsa okha ali ndi zaka 40. Koma malinga ndi machitidwe omwe alipo, matenda omwe akufotokozedwawa amapezeka ali aang'ono kwambiri, zomwe zikuwonetsa kuwonjezeka kwa matenda ngati amenewo.

Vascular atherosulinosis imakhudza machitidwe ndi ziwalo zilizonse za thupi: mtima, ubongo, ziwalo zam'mimba, zimatha kukhudza malekezero apamwamba komanso otsika. Chifukwa cha kuzindikira kwadzidzidzi, nthendayi yoopsa imatha kupha.

Kodi atherosulinosis ndi chiyani?

Mu thupi lathanzi, magazi amadutsa mosavuta m'mitsempha kupita kumadera onse a thupi la munthu, kumawakwaniritsa ndi okosijeni ndi michere yofunika. Koma ngati pali cholesterol yochuluka kwambiri m'magazi, ndiye kuti imayikidwa pamakoma a mitsempha yamagazi, ndikupanga zolembera za atherosselotic.

Popita nthawi, chinsalu chofotokozedwacho chimakhala chopindika. Ndipo pomwe chilema chidapangika, magazi amapezeka pakhoma la chotengera - ma cell amaphatikizidwa ndi mapuloteni am magazi. Chovala chamagazi chimangowonjezera danga m'mtsempha, imatha kuchoka ndikuyenda kwa magazi kupita kumalo ena ang'onoting'ono m'chiwiya ndikuyimilira pamenepo. Zotsatira zoterezi zidzakhala kufafaniza kwa magazi kufikira gawo limodzi kapena gawo lina la chiwalo, ndipo zotsatira zake, necrosis kapena vuto lina la mtima limayamba.

Atherossteosis si nthenda ya chaka chimodzi, matendawa amadziwika chifukwa chayamba pang'onopang'ono ndikuwonongeka pang'onopang'ono kwa ziwiya zatsopano. Mitsempha ikachepa ndi ¾, minyewa imayamba kusowa magazi.

Ndi atherosulinosis ya nthambi za aortic arch, kusowa kwa magazi kumayamba, kukhudza ubongo. Mkhalidwe wofananawo umawonetsedwa ndi chizungulire, kukomoka, motero, kumenyedwa.
Katswiri wofotokozedwayo yemwe amakhudza mitsempha yama mesenteric yomwe imakhudzidwa m'magazi kupita m'matumbo amatsogolera kumatumbo ndipo chifukwa chake, necrosis yamatumbo ndi mesentery. Zitha kupweteketsa m'mimba kupweteka, makamaka mukatha kudya, komanso kusweka mseru, kusanza komanso kutulutsa.
Ndi atherosclerosis ya mitsempha ya impso, magazi omwe amapezeka m'chiwalo amasokonezeka, zomwe zimayambitsa matenda a impso, omwe sangathe kuchitira achire. Zotsatira zofanana zitha kukhala kulephera kwa impso.
Atherosulinosis ya ziwiya za mbolo, yomwe idayamba motsutsana ndi maziko omwe munthu amayamba kusuta fodya komanso kumwa mowa, ndimomwe amachititsa kuti pakhale zovuta zina.
Kufotokozera komwe kumakhudza madera akum'munsi, komanso atherosulinosis ya ziwiya zapamwamba, kumayambika chifukwa cha kupweteka, kugwidwa, zizindikiro zotsogola, popanda chithandizo choyenera cha matenda, kuti minofu necrosis.

The pathogenesis of atherosulinosis ndi mawonekedwe ake

Pathogenesis ya nthendayi yomwe tafotokozayi imachitika chifukwa cha njira zingapo, Kukula kwake komwe sikumaliza kwa moyo wa munthu. Atherossteosis si matenda odziyimira pawokha, matenda ofotokozedwawo nthawi zambiri amayamba chifukwa cha kuthiridwa kwa mafuta ndi zakudya zamafuta ambiri, zomwe zimakhala ndimafuta owopsa, omwe amasinthidwa kukhala otsika komanso otsika kwambiri a lipoprotein m'thupi la munthu. Zinthu izi zimakhudzanso zingwe zamkati za zombo.

Kumayambiriro kwa chitukuko, nthendayi yofotokozedwayo imakhala ndi njira ya asymptomatic, yomwe imalola kuti madokotala azindikire atherosulinosis ya nthawi yake mwa anthu.

Kuwonekera kachipatala koyamba kwa zisonyezo za atherosulinosis kumadziwulula okha panthawi yomwe chombo chikucheperachepera, komanso kuchepa kwa michere ndi mawonekedwe a ischemia ya chakudya chopatsidwa.

Poyamba, m'magazi a munthu yemwe wapezeka ndi matenda monga atherosulinosis, amasintha pakachulukidwe kamapangidwe kazakudya zam'mimba m'magazi amayamba, mtengo wake umachulukanso. Pambuyo pake, kusintha kumachitika pakupanga kwa lipoproteins chifukwa chakuchepa kwa dongosolo la antioxidant, ndi kuchuluka kwa glucose mu hematopoiesis system. Pambuyo pa zosinthidwa zomwe zafotokozedwazo, kugwira ntchito kwa mtima endothelium kumathandizira kwambiri pathogenesis yamatenda omwe afotokozedwawo.

Ma pathogenesis a atherosulinosis akuwonetsedwa ndi kuyika kwa cholesterol kapena mafuta okha pamakoma amitsempha yamagazi, komanso ndikuwonetsa mchere wamchere wa calcium pamenepo. Panthawi imeneyi, chithandizo chamankhwala sichitha, ndipo vutoli lingapulumutsidwe mwa kuchitapo kanthu opaleshoni.

Zoyambitsa Atherosulinosis

Kuphwanya kagayidwe kachakudya ka mafuta m'thupi ndi chifukwa cha matenda. Zomwe zimayambitsa atherosclerosis sizinaphunziridwe kwathunthu, koma zimatha kuyambitsa matenda - kuthamanga kwa magazi, kupezeka kwa zochitika za matenda ashuga, zizolowezi zoipa, monga kusuta, cholesterol yayikulu chakudya.

Yang'anani! Mukamayankha funso la momwe mungadziwire mtima wamitsempha munthawi yake, ziyenera kukumbukiridwa kuti kupanga mapangidwe kwa matenda omwe afotokozedwawo kumayambira kuyambira ubwana, ndipo ndi ukalamba zimatha kutsika ndikuthamanga.

Atherosulinosis imatha kudziwika kutengera zoopsa zomwe zimapezeka chifukwa cha matenda omwe afotokozedwa. Izi ndi:

Zomwe zimayenderana ndi zaka zakubadwa zokhudzana ndi chilengedwe cha chitukuko cha anthu, ndikuwonjezereka komwe kufotokozedwera kwa matenda kumangokulira.
Zoyimira pakati pa munthu. Mwa amuna, matenda a atherosulinosis amadziwonetsa pofika zaka 45. Mwa oyimira akazi, njira yofotokozedwayo imadziwoneka yokha pofika zaka 55-60. Mwinanso, estrogen ndi momwe zimakhudzira lipoprotein zomwe zimakhudzana ndi kusinthana ndi cholesterol ndizomwe zimayambitsa mlandu.
Chinthu chobadwa nacho chomwe mahomoni amakedzedwe ndi chitetezo chamthupi zimayambitsa kukula kwa matenda omwe afotokozedwawo.
Kunenepa kwambiri, kumathandizira pakupita patsogolo kwa matenda ashuga komanso kukula kwa atherosulinosis.
Zizolowezi zovulaza - kusuta ndudu, zomwe zimakhala ndi chikonga, zikuthandizira kupitilira kwa matenda omwe afotokozedwawo. Zakumwa zoledzeretsa monga mitundu yaying'ono zimalepheretsa matendawa, koma, mwanjira ina, zimatha kukhala chiwopsezo cha matenda a chiwindi.
Chakudya chopatsa thanzi ndichinthu chachikulu choopsa. Kuchuluka kwa chakudya, zakudya zopanda thanzi ndi njira yachindunji yowonekera kwa atherosulinosis mwa anthu.

Yang'anani! Oimira dziko la Japan, kudya zakudya zam'madzi zatsopano, masamba osakaniza, zitsamba, chimanga, amakhala pafupifupi zaka 90. Anthu okhala ku Russia amakhala ndi moyo zaka pafupifupi 60, chifukwa amanyalanyaza zoyambira za chakudya choyenera.

Matenda a mtima a Atherosclerotic

Matendawa afotokozedwa ndi chifukwa cha kupangika kwa mapangidwe a atherosulinotic m'matumbo a coronary, komanso kuchepa kwa kayendedwe ka mpweya ndi michere kumtima.

Coronary atherosulinosis ndi zizindikiro akuwonetsedwa:

Angina pectoris, tachycardia, bradycardia.
Kupweteka pachifuwa kupereka kuchokera kumanzere kupita phewa, phewa, dzanja, zala.
Kupuma kwamatenda, kuwawa mukamapuma kapena kupuma.
Chuma cholimba.

Zowawa kumbuyo.
Ululu kumanzere kwa khosi, khutu, nsagwada.
Chisokonezo, kusazindikira.
Kumverera kofooka m'miyendo.
Chilala, thukuta kwambiri.
Kuukira mseru, kusanza.

Kufotokozera kwokhudzana ndi msempha wamtima, chifukwa cha kuwonongeka kwa chotengera ndi zolembedwa za atherosulinotic, kumayamba chifukwa cha izi:

Kuyaka kwambiri pachifuwa.
Kuchuluka kwa magazi a systolic.
Kukhazikika kwa chizungulire.
Kuvuta kumeza chakudya.

Matenda a atherosulinotic pamimba

Katswiri wofotokozedwayo yemwe amakhudza gawo lam'mimba mwa msempha ndi nthambi zake zokhala ndi malo a atherosulinotic akuwonetsedwa ndi zizindikiro zotsatirazi:

Kutsekula m'mimba, kudzimbidwa.
Kufalikira.

Kupweteka pafupipafupi mutatha kudya.
Kuchepetsa thupi kwakanthawi.
Zowawa zakuthwa zamkati zam'mimba zomwe sizitha kuyimitsidwa ngakhale ndi ma painkiller.
Kulephera kwina.
Kuthamanga kwa magazi.

Kodi kafukufuku wamankhwala osokoneza bongo wa magawo a atherosulinosis ndi chiyani?

Morphogenesis ya atherosulinosis ndikuphunzira minofu, mitsempha yamagazi ndi ma deposits mumitsempha yamagazi. Magawo a atherosulinosis morphogeneis amatha kukhala ochulukirapo kwa zaka makumi ambiri kuchokera kukulira mafupa ndi kusintha kwa minyewa ya lipid kuti apangidwe mapangidwe m'mitsempha yamagazi ndikuwonongeka kwa mapangidwe am'magazi ndi mitsempha yamagazi ndi mitsempha.

Matenda azamatenda amakula msanga popanda kulimbana komanso osakhala ndi moyo wopanda nkhawa.

Gawo la dolipid la atherosulinosis limadziwika ndi kuchuluka kwa lipids ndi mapuloteni ophatikizika mumisempha yosalala. Ochita masewera omwe amayamba kulemera msanga komanso kulemera minofu yolimba panthawi yophunzitsidwa kwakanthawi ayenera kuphunzira bwino izi. Zomwe zimapanga ziwalo zakunja zimapunduka, mapangidwe ofunda am'magazi amatha, kupanga collagen m'thupi kumasintha. Minofu minofu imayamba kuchepa. Ndi nthawi imeneyi yomwe kuyesayesa kwakukulu kuyenera kuchitidwa kuti thupi likhale lolimba. Atherosulinosis ya digiri yoyamba imatha kusinthidwa ndikukhalanso ndi moyo wathanzi komanso kuwongolera zakudya.
Gawo la lipoid silimawoneka kunja, kupatula kuwonjezeka kwa kuchuluka kwa minofu yolumikizana. Kulemera msanga kumadziwika; maselo ofunda amawoneka mu minofu ndi minye yolumikizana.
Lipossteosis imadziwika ndi mapangidwe opanga ma fibrous malo omwe zombo zimakula.
Atheromatosis ndi gawo lakuwonongedwa kwa zolembedwa za atherosselotic ndi mapangidwe a granular misa kuchokera ku cholesterol ndi mafuta acids. Pakadali pano, zilonda za atherosselotic zimayamba kuwoneka chifukwa cha kuwonongeka kwa mitsempha yamagazi. Osati mitsempha yamagazi yokha yomwe imakhudzidwa, komanso minofu yamatumbo, yolumikizika. Zotsatira zakusintha, mitsempha yamthupi imavutika. Pakhoza kukhala zotupa m'maganizo, kusowa kwa mpweya m'maselo a muubongo. Chifukwa cha atherosclerosis, kufa kwa mbali zazikulu za ubongo kumaonedwa.
Gawo lotsatira ndikuwerengera, pomwe zolengeza zimapangika zolembera zolimba ndi calcium. Zotengera zimataya kwathunthu, kukhala zopanda pake. Mawonekedwe amitsempha yamagazi ndi opunduka. Mitsempha yayikulu, mtima ndi zotengera za m'mimba zimavutika.

Momwe mungadziwire zamtundu wa atherosulinosis

Anthu ena osangalala amakhala ndi mawonekedwe apamwamba, kulimba kwam'maso komanso kumveka bwino muukalamba. Izi zimachitika chifukwa cha kubadwa kwabwino, kadyedwe koyenera komanso kulimbitsa thupi pang'ono.

Kukonda kwambiri masewera kapena kulimbikira ntchito, kudya mopitirira muyeso, zizolowezi zoyipa kumayambitsa kuvulaza kwakuthupi, kosawoneka muubwana, koma kuwonetsedwa mwa matenda ovuta kwambiri mukamakula.

Zinthu zofunika kwambiri pakukula kwa atherosulinosis ndi izi:

Kupsinjika, kusokonezeka kwa kugona, ntchito usiku. Matenda a metabolism nthawi zambiri amawonetsedwa pamitsempha yamanjenje,
Matenda a shuga, zovuta za metabolic, mavuto a chithokomiro, kunenepa kwambiri kapena kuwonda kwambiri,
Ukalamba. Kukula kwa magawo oyambira a mtima wamatenda amadziwika ndi zaka 40 mpaka 40,
Kusuta. Zinthu zomwe zili mu ndudu zimayambitsa vasospasm, yomwe ndiyofunikira kuti chitukuko cha atherosclerosis chichitike. Kugwiritsa ntchito mankhwala a narcotic kumayambitsanso vasospasm, koma, mwatsoka, osokoneza bongo sangakhale ndi moyo wopitilira kukula kwa matenda a mtima. Pali mavuto enanso ambiri,
Mowa Kumwa moledzera pang'onopang'ono kumayambitsa kusokonezeka kwa metabolic m'thupi, zomwe zimathandizira kukulitsa kwa atherosulinosis,
Chiyanjano cha amuna. Atherosclerosis mwa amuna amakula nthawi zambiri kuposa akazi ndi zaka 10 kale.

Atherosulinosis imakhudza thupi lonse ndipo ndimatenda achiwonetsero. Pazithandizo ndi kupewa matendawa, ndikofunikira kuwongolera cholesterol ndikulabadira moyo wokangalika. Kukhala ndi thanzi lazitsulo mudakali achichepere, kusakhalapo kwa zovulaza zochokera zizolowezi zoyipa nthawi zambiri kumakhala kofunikira kuti pakhale matenda oopsa a dongosolo, omwe amadzionetsera pambuyo pake.

Pathological anatomy a matenda

Kusintha kwa atherosulinotic kumachitika m'njira zingapo. Ma Microscopical amatha kusiyanitsidwa:

Malo owoneka ngati mafuta kapena mikwingwirima, yomwe imayimira madera achikaso, achikaso otuwa, omwe amakhala ogwirizana. Mapangidwe oterowo ndi osalala kwathunthu, okhala ndi lipids.
Makulidwe onyansa a lipid amitundu yozungulira yomwe ikukwera pamwamba pa chimacho ndi mafupa amkati. Nthawi zambiri mitundu yake imakhala yoyera, nthawi zina imakhala ndimtambo wachikasu, kapangidwe kake ndi kachulu. Mapilogalamu amatha kuphatikiza, zomwe zimakulitsa mtsempha wamagazi.
Muzochitika izi pamene kuwonongeka kwa mapuloteni osakanikirana ndi mafuta kumayambira m'zigawo, mapangidwe a atheroma amachitika. Mavuto oterewa amabweretsa kuwonongeka kwa zilonda zam'mimba, zotupa m'makulidwe ake, ndikupangika kwa ma pulobotic. Njira zoterezi zimayambitsa ziwonetsero za chotengera komanso kuwonongeka kwa ziwalo zomwe zimaperekedwa ndi magazi kudzera m'mitsempha womwe wakhudzidwa ndi matendawa.
Gawo lomaliza la atherosulinosis ndikuwerengeka, gawoli limadziwika ndi kupezeka kwa mchere wa calcium mu makulidwe a zolembazo, zomwe zimasanduka stony, zomwe zimatsogolera pakuchepa kwa mtima.

Komanso, pakuwunika kwama microscopic, magawo a atherosulinosis morphogeneis amatsimikiza, omwe ayenera kuwonedwa mwatsatanetsatane:

Gawo loyambirira limatchedwa dolipid ndipo limadziwika ndi kuwonongeka kwa mitsempha chifukwa cha kuwonekera kwa lipoproteins. Morphologically mu intima kudziwa kuchuluka kwa acidic glycosaminoglycans.
Pa gawo lachiwiri, lipidosis imayamba, momwe ma lipids amalowerera mkati mwa mitsempha yamatumbo, yomwe imatsogolera kulowa kwawo. Zotsatira zake, mawanga achikasu achikaso amapanga mawonekedwe amkati mwa mitsempha. Pakadali pano chitukuko, matendawa amasinthidwanso, koma vuto lalikulu limakhala kuthekera kwenikweni kozindikira atherosranceosis.
Gawo lachitatu limatchedwa atheromatosis. Munthawi imeneyi, mapangidwe a zolembera zochokera minofu yolumikizidwa. Chilichonse chokhala ndi mawonekedwewo chimakhala ndi minyewa ya khungu. Chikwangwani chilichonse chimakwera pamwamba pa khoma lamkati la chombocho, ndikutuluka m'chiwunjikiro chake, ndikuchepetsa. Pakadali pano, zizindikilo zimatha kukhalabe pomwe gawo lachepetsetsa ndilosafunikira kwenikweni.
Pa gawo lachinayi, kupindika kwapanja kumachitika - nthawi zambiri zimachitika pambuyo poti atheromatosis ikayamba kuchepa matayala. Pambuyo kuwonongeka pamtunda, kuwonongeka kwa minofu kumalowera m'magazi, zomwe zimapangitsa kuti mitsempha ikhale yambiri komanso zovuta zingapo - stroko, myocardial infarction, ndi njira zina zam'magazi.
Kapenanso, kuphulika sikungachitike, chifukwa chake zolembazo zimasweka ndikuwonekera. Pankhaniyi, zizindikiro zomwe zikuwonetsa kuyambika kwa matenda othandizira zimakulirakulira.
Gawo lomaliza la matendawa omwe akuwunika ndi calcification, imapangidwa ndimapangidwe oyimbira chifukwa cha kapangidwe ka calcium kamene kamayikidwa mu makulidwe.

Pa magawo oyambilira a mapangidwe a atherosulinosis, ndi katswiri wodziwa yekha yemwe angazindikire, pogwiritsa ntchito maphunziro apadera kuti adziwe zoyenera kuzitsimikizira.

Zowonongeka za Corteryary Artery

Pa gawo loyamba, njira za dystrophic zomwe zimapangidwa myocardium zimawonedwa, popanda zizindikiro zowonekera. Dziwani zavutoli, ndikuyang'ana mawonekedwe a angina pectoris syndrome. Khadi limatha kuzindikira zovuta zina - nthawi yayitali ya S-T. Kusintha kumaonekera kwambiri pambuyo polimbitsa thupi. Gawo lomwe likuganiziridwalo limadziwika ndi kuchepa pang'ono kwa ntchito, mawonekedwe a kupuma movutikira.

Gawo lachiwiri limatchedwa necrotic, ndi momwe amakulira:

Mapangidwe a necrosis osati ofunikira kwambiri osintha. Nthawi zambiri, zinthu zoterezi zimayendera limodzi ndi stenotic atherosulinosis.
Mapangidwe a myocardial infarction, nthawi zina, chotengera cha thrombosis chimatha kutsagana nawo.
Kuchekacheka, okhoza kubwereza matenda amtima.

Mukamapereka mankhwala opanga ma electrocardiography, osati kusintha kwapakatikati pa S-T kumadziwika, komanso mafunde a Q ndi T. Kutsika kwamagetsi ndi kukhalapo kwa mphamvu yogwira ntchito kumatsimikizidwanso.

Pa gawo lachitatu, atherosclerotic cardiosulinosis imayamba, yodziwika ndi kupangidwa kwa minofu yovuta, yomwe imayang'ana kapena wamba. Mafuta oterewa nthawi zambiri amakhumudwitsa minofu, kukumbukira za aneurysm. Pakadali pano, kuwoneka kwa fibrillation ya atgency, kukulira kwa kusakwanira kwa kulera kwa ziwalo za thupi, kupangika kwa mphumu ya mtima ndi njira zingapo zopangira ndizotheka. Pali kusokonekera kwa kayendedwe ka magazi kamene kamasinthasintha kapena pang'onopang'ono, ndi zovuta zina.

Zowonongeka m'mitsempha ya impso

Gawo loyamba mu mawonekedwe aimpso a atherosulinosis amatchedwa ischemic, amadziwika ndi kuchepa kwa magazi. Ntchito zina sizikhudzidwa. Chovuta cha ischemic mkhalidwe ndikupanga ochepa matenda oopsa.

Pa gawo lachiwiri, mapangidwe a thrombosis a mitsempha ya impso, amaphatikizidwa ndi njira za necrotic zomwe zimayamba mu parenchyma.

Gawo lachitatu limadziwika ndi zizindikiro za atherosulinotic nephrocirrhosis - Zizindikiro zikuwonetsa kulephera kwa impso, kusintha kwa zam'mimba mu mkodzo ndikotheka.

Kukonda madera apansi

Pachigawo choyamba, kumva zopweteka kumachitika zomwe zimafanana ndi kukhazikika pakulankhula kwapang'onopang'ono. Ndi kufalikira kwa atherosulinosis ya ziwiya zamiyendo, kuphipha kwamitsempha yamagazi kumawonedwa. Kuzizira kwa khungu, pallor wake samasiyanitsidwa. Kuchuluka kwa malekezero, kusokonekera kwa magwiridwe antchito kumachitika.

Pa gawo lachiwiri, mawonekedwe a thrombosis, ndiye kuti necrosis yamatenda okhudzana ndi zotumphukira - minofu, khungu, mapazi ndi manja a malekezero, zala.

Gawo lachitatu limadziwika ndi sclerosis ndi minofu atrophy, yomwe imawoneka m'malo omwe akukhudzana ndi madera a necrosis.

Popanda chithandizo chokwanira komanso chapanthawi yake, mapangidwe a zotupa za pakhungu la miyendo ndiwosatheka. Zizindikiro zotere zimayambika kumapeto kwa matenda.

Kuzindikira matendawa

Kuzindikira koyambira kwa matenda am'mimba kumachitika ndi akatswiri othandizira, iyi ndi njira yokhayo yomwe ndi gawo lachiwonetsero chovomerezeka pachaka m'derali. Monga gawo la kuyeserera, ma anamnesis amatengedwa, kuthinikizidwa kumayezedwa, kotheka ndipo zinthu zomwe zikupezeka pangozi zimatsimikizika, ndipo chidziwitso cha wodwala chimayendera. Ndikofunikanso:

palpation yamitsempha,
onani cholesterol
kudziwa lipid bwino ndi atherogenic
kutenga chifuwa x-ray.

Kufotokozera, maphunziro owonjezera angachitike, kuphatikiza:

Cholinga cha echocardiography kuphatikizidwa ndi kupimidwa kwa mtima wa minofu ya mtima ndi msempha. Kuti mukhale ndi chithunzi chokwanira, mayeso opsinjika nthawi zambiri amachitidwa.
Njira zowowerera zimagwiritsidwa ntchito, kuphatikiza maonekedwe a mkati mwa zombo, coronarography ndi angiography.
Kuti mumve zambiri zamomwe magazi amayendera, njira yogwiritsira ntchito ma ultrasound imagwiritsidwa ntchito - kupanga ndikubwereza ndi maulendo atatu.
Kupenda zolembedwa zopangidwa ndikuwona momwe makoma azombo amatengera, maginidwe oyendera maginito amagwiritsidwa ntchito.

Chithandizo cha matenda: mfundo ndi zakudya

Pali mfundo zingapo pamaziko amomwe njira yochiritsira matenda a atherosulinosis imapangidwira:

Kuthekera kwa kuwonekera kwa tizilombo toyambitsa matenda omwe alipo kale kumaganiziridwa.
Ngati ndi kotheka, njira zochiritsira zina zimachitika.
Kuyeserera kofunikira kumawunikidwa kuchotsedwa kwa cholesterol ndi metabolites yake ndikumachepetsa magwero ake olowa mthupi.
Gwiritsani ntchito maselo kuti muchepetse kupanga cholesterol.

Ndikofunikira kusintha moyo ndi zochitika za tsiku ndi tsiku, kuwerenganso zakudya ndikukonzekera zakudya, ndikuchotsa magwero a cholesterol momwe mungathere. Mukamasintha zokhudzana ndi zakudya, zinthu zingapo ziyenera kukumbukiridwa:

Zakudya zosankhidwa sizisiyane ndi kuchuluka kwama calorie - chizindikiritsochi, momwe chikuyenera, chimatsika ndi pafupifupi 15%, ngati pali owonjezera thupi, ndiye 20% yazakudya za tsiku ndi tsiku.
Masana muyenera kudya mafuta osaposa 80 magalamu, kuchuluka kwa chakudya chamafuta kumayenera kukhala magalamu 300-400.
Mapuloteni a tsiku ndi tsiku omwe amasinthidwa amachokera ku 1,2 mpaka 1.5 magalamu a zinthu pa kilogalamu ya zozunzidwa.
Chakudya chomwe chimakhala ndi chakudya chamafuta pang'ono kapena mafuta aminyama chimachepetsedwa.
Mukakonza chakudya, zinthu zimasankhidwa zomwe zimakhala ndi ascorbic acid, tocopherol, rutin ndi niacin, pyridoxine. Mavitamini C ndi P ndiofunikira kwambiri, chifukwa amathandizira kulimbitsa makoma amitsempha, omwe amalepheretsa cholesterol kulowa m'thupi. Kuphatikiza apo, vitamini C imathandizira kusokonekera kwa cholesterol ndikuchotsedwa kwina m'thupi.

Ngati mungaganizire zakudya zomwe mungadye ndi atherosclerosis, makonda ayenera kuperekedwa kwa nyama zotsamira ndi nsomba, masamba atsopano, zipatso zamitchi, buckwheat ndi oatmeal, mkate wa chinangwa ndi tchizi chamafuta ochepa. Mwa zakumwa, ndibwino kusiya madzi amchere, chakumwa chochepa cha mkaka, tiyi wopanda shuga wowonjezera, mwatsopano mwatsopano madzi owonjezera pamenyu. Kugwiritsiridwa ntchito kwamafuta a masamba kumachepetsedwa - kuchuluka kwa tsiku ndi tsiku sikuyenera kupitirira 40 g. Pakati pa sabata, simungadye mazira oposa awiri, ndikofunikira kuti muchepetse kumwa kwa pasitala ndi mikate yoyera, mkaka wonse, mwanawankhosa, ng'ombe - ngati timalankhula za mitundu iyi ya nyama, simungatenge magalamu oposa 150 patsiku.

Muyenera kusiya mafuta ndi nyama, margarine ndi mazira a mazira. Simungadye nyama zamtundu wamafuta ndi mafuta, komanso masoseji, masoseji, bakha wophika ndi nyama y tsekwe.Kuletsedwa kumayikidwa pa cheesecakes - onse kukonzedwa ndi tchizi tchizi - zipatso zotsekemera, chokoleti ndi marshmallows, kupanikizana ndi marmalade, kirimu. Kuchuluka kwa mchere sikuyenera kupitirira magalamu 8 tsiku lonse.

Chithandizo cha mankhwala

Ndi chitukuko cha atherosulinosis, mankhwala amathandizira kukonza kagayidwe kachakudya njira, kusintha magazi ake ndi mbiri ya lipid, ndikuwongolera matenda ashuga. Malinga ndi zolinga zomwe zakhazikitsidwa, kukonzekera zamankhwala kumagawidwa m'magulu anayi ofunika:

Mankhwala omwe amaletsa kuyamwa kwa cholesterol ndi ziwalo zosiyanasiyana komanso makoma amitsempha.
Mankhwala omwe amachepetsa kaphatikizidwe ndi cholesterol, triglycerides m'thupi.
Zimatanthawuza, zomwe zimapangidwa kuti zithetse, kuthamangitsa lipids kapena lipoproteins.
Zida zina zowonjezera.

Zochitika zowawa kwambiri, pamene chithandizo chamankhwala sichipereka zotsatira zomwe zikuyembekezeka, kulowererapo kungagwiritsidwe ntchito. Ndizofunikira pakukula kwa chiwopsezo chosagwedezeka, mawonekedwe a occlusion. Katswiriyu amatha kutumiza ntchito yotseguka - endarterectomy kapena kugwiritsa ntchito njira yotsiriza. Kulumikizana kwa mitsempha ya m'mitsempha mozungulira kungafunike ndi njira yotchulira matenda yomwe ikukhudza ziwiya za mtima.

Koma za matendawa, amayamba kukulira ndi kupezeka kwa zigawo za necrosis zomwe zimakhudzana ndimatenda owopsa. Ngati pali zizindikiro zosonyeza atherosclerosis, sizovomerezeka kusunthira mayeso ndi chithandizo kumbali.

Atherosclerotic zotupa za mesenteric ziwiya

Kufanizira kwofananako kumachitika chifukwa cha kuwonongeka m'mitsempha yopereka matumbo ndi magazi. Zizindikiro za matenda omwe akufotokozedwa amawonetsedwa mu mawonekedwe a:

Mimbulu yam'mimba - ululu wam'mimba mutatha kudya, flatulence, dyspepsia.
Zizindikiro za pachimake thrombosis, ndipo kenako necrosis wamatumbo khoma kapena mesentery.

Atherosulinotic mtima matenda a miyendo

Pathology mu mawonekedwe a kufalikira kwa atherosulinosis ya malekezero akuwonjezeka lesion of atherosselotic zolembera zamatumbo a manja kapena mapazi, ndikulimbikira kuchepera kwa kuwala kwawo.

Zizindikiro za matenda amtunduwu zimayambitsidwa ndi:

Khungu loyera komanso lofiirira.
Kuzizira mikono ndi miyendo.

Kutumiza kwa "goosebumps" pakhungu.

Atherosulinosis ya ziwiya zam'mwamba ndizosowa. Pa gawo loyambirira, atherosclerosis yamatumbo am'mlengalenga amatha kupweteka, kukokana, zala zam'manja kapena kufooka kufooka kwa dzanja limodzi kapena awiri.

Matenda Aubongo a Atherosulinotic

Cerebral atherosulinosis ndi mtundu wowopsa kwambiri wamatenda omwe afotokozedwa. Kuwonongeka kwa kufalikira kwa ziwongo kumabweretsa zotsatirapo zoyipa - matenda a sitiroko, chifukwa cha chikomokere ndi kufa.

Zizindikiro za matenda amiseche zimawonetsedwa mu mawonekedwe a:

Tinnitus.
Cephalgia ndi chizungulire.
Kuthamanga kwa magazi.
Kusowa tulo.
Lethargy komanso kutopa kwambiri.
Kusintha kwamakhalidwe.
Mankhwala osokoneza bongo komanso osangalala.
Matenda opatsirana, mawu osachedwa, kusokonezeka kwa kutafuna kwa zakudya ndi kumeza chakudya.
Kuwonongeka kwamtima.

Kodi chimayambitsa matendawa ndi chiyani?

Atherosulinosis imatha kuchitika motsogozedwa ndi zinthu zambiri zatsikulo. Choyambitsa chachikulu ndichomwe chimaphatikizidwa pazinthu zingapo limodzi.

Malinga ndi chidziwitso chamakono chachipatala, pali mitundu itatu ya zoopsa zomwe zimapangitsa kuti matendawa atukuke. Gulu loyamba ndi zomwe zimadziwika kuti sizingasinthe, chachiwiri ndi chosinthika (chachitatu) ndipo chachitatu ndichinthu chosinthanso.

Gulu loyamba la zinthu zomwe zimakhudza dongosolo la atherosulinosis ndi izi:

Makamaka.
Zaka za munthu.
Kuyanjana pakati pa amuna ndi akazi.
Kukhalapo kwa zizolowezi zoyipa.
Kukhalapo kwa kuthamanga kwa magazi

Gulu lachiwiri la zinthu ndi monga:

kuchuluka kwa cholesterol, lipids ndi triglycerides,
shuga ndi hyperglycemia,
milingo yotsika kwambiri ya lipoproteins,
kukhalapo kwa kagayidwe kachakudya matenda.

Gulu lachitatu limaphatikizidwa ndikukhala moyo wongokhala, kupsinjika m'maganizo, kupezeka kwa zizolowezi zoipa.

Nthawi ndi magawo akulu a matenda

Nthawi yotsiriza ndiyabwino chifukwa cha:

Mavuto a Vasomotor.
Mavuto ovuta a labotale.

Nthawi yofufuza zamankhwala chifukwa cha:

Gawo la ischemia.
Gawo la mawonekedwe a necrotic.
Gawo lachi Sclerotic.

Njira ya atherosselotic state:

Kupita patsogolo kwa matenda ofotokozedwawo.
Kukhazikika kwina.
Kupsinjika.

Njira zamakono zodziwikirira matenda a atherosulinosis

Momwe mungadziwire matenda a atherosulinosis? Izi sizovuta kuchita, popeza matendawa amadziwulula kale kumayambiriro kwa chitukuko chake. Koma kuzindikira kutanthauzira kwa matenda ndi kudziwa chotupa nthawi zina kumakhala kovuta kwenikweni kwa katswiri weniweni.

Njira zazikulu zodziwitsira matenda zimawonetsedwa:

Mbiri ya wodwala.
Kuyang'ana koyambirira kwa wodwalayo.
Kuyesedwa kwa Laborator kuti mupeze kuchuluka kwa cholesterol mu hematopoiesis dongosolo, lipid bwino, muzindikire kuchuluka kwa atherogenic.

Njira zothandizira kugwiritsa ntchito chifuwa x-ray, ma ultrasound a mtima ndi m'mimba, angiography, dopplerography yamatumbo am'mphepete kapena miyendo.

Mfundo zoyambirira zakuchiritsira matenda

Zizindikiro zopezeka munthawi yake komanso chithandizo cha zochita zake zimathandizadi kudziwa zotsatira za matenda.

Njira zochizira matenda a atherosulinosis zimakhazikika pa mfundo izi:

Kukana kwamtuwagonjera.
Kutsatira zakudya zinazake.
Kukhala moyo wokangalika.
Mankhwala.
Kuthandizira opaleshoni (ngati kuli kotheka).

Kumbukirani! Mu 80% ya milandu, mankhwalawa amaletsa kukula kwa atherosulinosis ndipo ngakhale zotsatira zake zowopsa.

Mankhwala Oteteza

Pofuna kupewa, ndikofunikira kusiya zosokoneza zomwe zilipo, zomwe zingatheke kusuta komanso kumwa mowa. Ngati ndi kotheka, muchepetseni zakudya mopitirira muyeso, komanso, ngati zingatheke, kuwonjezera zolimbitsa thupi.

Zakudya zopatsa thanzi ziyenera kukhala zamagulu ochepa ndimchere wotsika komanso cholesterol. Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo: masamba, zipatso, mabulosi (chikasu ndi lalanje), chimanga, komanso yogurts ndi mafuta a mpendadzuwa.

Kusintha kulemera, muyenera kutsatira zakudya zina ndikuchita zolimbitsa thupi, koma ndi lingaliro laumoyo wanu komanso zaka zanu. Ndi psychology yofotokozedwayo, muyenera kuyang'aniridwa ndi dokotala ndikutsatira malingaliro ake onse, komanso ndikudziyimira pawokha zifukwa zonse zoyipa zomwe zimatsogolera pakukula kwa matenda oopsawa.

Zizindikiro zoyambirira za atherosulinosis ndi magawo asanu a kukula kwake

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Atherosulinosis munthawi yathu ino imakhudza anthu ambiri. Mwachilengedwe, atherosclerosis ndi matenda osachiritsika, omwe amapezeka nthawi zambiri omwe angayambitse zinthu zambiri.

Pakupanga kwa pathological process, atherosulinotic plaque amangoikidwa m'matumbo, omwe patapita nthawi amawachepetsa lumen yawo ndikupangitsa zovuta kapena zochepa zotchulidwa kuzungulira ziwalo zogwirizana ndi ziwalo.

Ndikofunikira kuti aliyense athe kuzindikira mawonetseredwe oyamba a matendawa, makamaka momwe gawo loyambirira la atherosclerosis limawonekera.

Nthawi zambiri imakhala yofatsa kwambiri, yodwala, motero, matendawa amapezeka kawiri kawiri pambuyo pake.

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

Makhalidwe a zinthu zosasintha zomwe zimayambitsa matenda a atherosulinosis

Kudziwitsa zam'badwo - mwatsoka, zovuta zambiri zomwe zimakhudzana ndi kuperewera kwa lipid (mafuta) metabolism zimabadwa ndipo zimayambitsidwa ndi zolakwika zina mu chromosomes. Ndipo popeza cholesterol yowonjezera mthupi ndi imodzi mwazomwe zimayambitsa atherosulinosis, cholowa pamenepa ndi amodzi mwa malo oyamba.

Zaka za anthu - anthu azaka zapakati pa 40 ndi kupitilira amatenga matenda. Mu zaka izi, kukonzanso kwina kwa thupi kumayamba, mphamvu yawo yam'mimba imataya mphamvu komanso kutanuka, mavuto okhala ndi kupanikizika ndi kagayidwe ka chakudya nthawi zambiri amayamba,

Amuna kapena amuna - amuna amadwala atherosulinosis pafupifupi nthawi zinayi kuposa akazi, komanso zaka 10 m'mbuyomu.

Kusuta kwa nthawi yayitali komanso pafupipafupi - nikotini ndi poizoni yemwe amakhudza thupi pang'onopang'ono, zomwe zimawononga maselo a kupuma komanso mtima. Pafupifupi onse omwe amasuta amakhala ndi matenda opatsirana. Koma zombozo, mothandizidwa ndi chikonga zimakhala zosalimba komanso zomveka, chifukwa cholesterol imalowa mkatikati mwa mtima ndipo imayikidwa mu ziwonetsero.

Hypertension ndi kuchuluka kwa magazi pafupipafupi, nthawi zambiri popanda chifukwa chomveka. Potere, zombozi nthawi zambiri zimakonda kupindika. Kupindika kwa nthawi yayitali nthawi zonse kumavulaza minyewa yam'mitsempha, ndipo izi zimapangitsa kuwonongeka kwa gawo la myocyte (maselo osalala).

Ma sewerolo amalephera kuyankha mwachangu kukhudzika kwa mitsempha, ndipo ma molekyulu a lipid amatha kulowa mosavuta kuzungulira kwawo ndipo, monga momwe akuyembekezerera, amapanga zolembera.

Makhalidwe azinthu zosintha pang'ono

Kuchuluka kwa cholesterol, lipids ndi triglycerides - hypercholesterolemia, hyperlipidemia ndi hypertriglyceridemia. Chofunika kwambiri ndikuwonjezereka kwa kachulukidwe kokhala ndi cholesterol yotsika, komwe, kwenikweni, ndi atherogenic.

Matenda a shuga ndi hyperglycemia (shuga m'magazi) - onse odwala matenda ashuga amakumana ndi zovuta posachedwa. Awa ndi matenda a shuga a retinopathy (kuwonongeka kwa retina), neuropathy (kuwonongeka kwa mitsempha), nephropathy (kuwonongeka kwa impso) ndi angiopathy (kuwonongeka kwamitsempha). Pali microangiopathy - zotupa zazing'onoting'ono, ndi macroangiopathy - pamene zombo zazikulu zimavutika. Zonsezi zimachitika chifukwa cha kuchuluka kwa shuga pamitsempha yamagazi, ndichifukwa chake amawonongeka pang'onopang'ono.

Mlingo wotsika kwambiri wa lipoprotein wapamwamba - wogwirizanitsidwa ndi iwo cholesterol amatchedwa "zabwino" chifukwa si gawo la malo. Mankhwala athunthu, kuchuluka kwawo kwakanthawi komanso kupsinjika kwa lipoprotein kofunikira kumafunika.

Metabolic syndrome ndimawu amodzimodzi pakuwonetsa zingapo. Izi zimaphatikizapo kunenepa kwambiri kwam'mimba (kuchuluka kwa mafuta m'mimba), kutsika kwa glucose kulolera (kusakhazikika kwa ndende), kuchuluka kwa triglycerides m'magazi, ndi matenda oopsa.

Chizindikiro cha zinthu zomwe zingasinthe

Gulu lachitatu la mpunga ndi omwe amatchedwa "ena". Amadalira kwathunthu ndi munthu yemwe, ndipo kupezeka kwawo m'miyoyo yathu kungathetsedwe kwathunthu.

Kukhala moyo wongokhala - Mwasayansi, izi ndi zopanda ntchito. Kwa anthu ambiri, ntchito imalumikizidwa ndi makompyuta, zojambula zosatha, ndipo zonsezi zimachitikanso muofesi yabwino. Ntchito ngati izi zimakhudza mphamvu yayikulu yathupi. Anthu amapeza mapaundi owonjezereka, amakhala oonda pang'ono, komanso kuthamanga kwa magazi kumawonekanso, komwe, kumakhala ndi zotsatira zoyipa pamitsempha yamagazi.

Kukhumudwa kwambiri - kukhumudwa ndi chimodzi mwazifukwa zomwe zimayambitsa matenda oopsa. Monga mukudziwira, pomwe zombozo zimayang'aniridwa nthawi yayitali. Panthawi imeneyi, minyewa yam'mitsempha yama mitsempha imakumana ndi microdamage. Izi zimakhudza ziwalo zawo ziwiri - mucosa ndi serous. Ngakhale kuvulala kwambiri m'mitsempha kumakhala chitseko choti munthu azigwira mafuta m'thupi mokwanira.

Uchidakwa wambiri - mowa wa ethyl mwa chikhalidwe chake ndi wa poizoni. Amagawa mitundu yonse ya njira zama metabolic mthupi, izi zimawonetsedwa mu metabolism yamafuta.

Miyezo ya lipid m'magazi imasokonekera, ndipo njira yopangira zolembera zamtundu wa chembere imayamba.

Pathanatomy ndi pathophysilogy ya atherosulinosis

Njira zonse zomwe zimapezeka m'matumbo omwe ali ndi atherosulinosis zimaphunziridwa mwatsatanetsatane ndi sayansi yotchedwa pathological anatomy (pathanatomy) ndi pathological physiology (pathophysiology). Amafotokoza pathogenesis yathunthu yamatenda.

Kuwonongeka kwa khoma la chotengera motsogozedwa ndi zina zakunja kumatchedwa kusinthika. Kusintha kumabweretsa kusowa kwa mzere wamkati wamitsempha - endothelium. Chifukwa cha kusokonekera kwa endothelial, kupindika kwamitsempha kumawonjezeka kwambiri, kupanga zinthu zapadera zomwe zimapangitsa kuti magazi azigwira komanso kutsekeka kwa lumen ya chotengera kumawonjezereka.

Kusintha kwamasamba mu vuto la atherosulinosis kumachitika mchikakamizo cha cholesterol yochulukirapo, matenda osiyanasiyana, kapena mahomoni owonjezera. Pakapita kanthawi, kumakhala kulowetsedwa, ndiko kuti, kulowetsedwa, kwamkati mwa mitsempha mozungulira kuzungulira maselo m'magazi otchedwa monocytes. Ma monocytes amasintha kukhala ma cell a macrophage, omwe amatha kudziunjikira cholesterol esters. Ma esters omwe amasonkhanitsidwa amasinthidwa kukhala ma cell foam, omwe amapanga zomwe zimatchedwa lipid strips pa intima (mkati lamkati) yamitsempha. Ma macrophages amapanga zinthu zapadera zomwe zimathandizira kaphatikizidwe ka minofu yolumikizana. Zingwe zamitsempha zabwinobwino zimasinthidwa ndi minofu yolumikizana. M'mabuku asayansi, njirayi imatchedwa sclerosis. Sclerosis imatha kuchitika pambuyo poyambira m'mnyewa wamtima.

Njira zonse pamwambapa zimayambitsa kutupa kosalekeza m'matumbo. Phale la atherosulinotic amapanga pang'onopang'ono. Ndi cholesterol yozungulira ya cell cell. Gawani malo oyambira komanso mochedwa. Zoyambirira, kapena zoyambirira, zolemba zokha ndi zachikaso, zimakhala zodzikongoletsera ndipo sizipezeka ndi njira zowonjezera zakufufuzira. Ngati chikasu chachikaso chawonongeka kapena kupangidwanso, ndiye kuti pamavala magazi, omwe amatsogolera ku otchedwa acute coronary syndrome.

Kwa nthawi yayitali, mochedwa, kapena zoyera, mapangidwe a malo. Amadziwikanso kuti fibrous. Amakhala mozungulira mozungulira kuzungulira kwa botilo ndipo amayambitsa kusokonezeka kwakukulu kwa hemodynamic ndipo akuwonetsedwa pakuwukira kwa angina.

Malinga ndi kusintha konse komwe kufotokozedwera, magawo 5 a atherosulinosis amadziwika:

Gawo la Dolipid - pankhaniyi, zombozo zokha sizinawonongedwe, kuphatikiza kwache kokha kwa cholesterol otsika-lipoprotein cholesterol (atherogenic cholesterol) kumachuluka.
Lipoidosis ndi gawo la mapangidwe a lipid mizere, pomwe lipoproteins imangoyamba kudziunjikira mumitsempha yama mitsempha.
Lipossteosis - minofu yongopangika kumene imayamba kuwonjezera milids, chifukwa ma plaque amawonjezeka kukula,
Atheromatosis ndi ulceration wa atherosulinotic plaque.

Gawo lotsiriza ndi atherocalcinosis - pali kudzikundikira ndikuwonekera kwa mchere wa calcium pamtunda wa zolembazo.

Zizindikiro zakukula kwa atherosulinosis

Atherosulinosis imadziwika chifukwa cha kudandaula kwa odwala. Kwenikweni, uwu ndi chizindikiro cha matenda.Zimatengera mwachindunji komwe njira ya matenda. Pali mitsempha yambiri yayikulu yomwe imavutika nthawi zambiri.

Mitsempha yama coronary - imakhudzidwa nthawi zambiri. Nthawi yomweyo, atherosclerosis nthawi zambiri imathetsa, ndiye kuti, kuphimba kwathunthu ndikuwunika kwa chotengera. Nthawi zambiri imafotokozedwa m'matumbo a mtima (CHD). Odwala nthawi zambiri amakhala ndi vuto lakuwotcha, kupweteka kupweteka kumbuyo kwa sternum, yomwe nthawi zambiri imakhudzana ndi kuchita masewera olimbitsa thupi kapena kuvuta kwambiri. Zovuta zina zimatha kukhala ndi kupuma pang'ono komanso kumakhala ndi mantha okwanira akufa. Ndi kuwonongeka kwakukulu m'mitsempha, kubowoleza kwam'maso kumatha kukhazikika.

Chipilala cha aortic - ndi kugonjetsedwa kwake, odwala amatha kudandaula za chizungulire, kutaya kwakanthawi, chikumbumtima. Ndi chotupa chochulukirapo, pamakhala kuphwanya kwa chinthu chomeza ndi mawu osokosera.

Mitsempha yamagazi - nthawi zambiri imakhudzidwa ndi ukalamba. Gawo loyambirira la matenda a m'matumbo a mitsempha imayendera limodzi ndi kupweteka m'mutu, kuwonongeka kwa kukumbukira, kusokonezeka kwa malingaliro, kukwiya kwa wodwala komanso kusakhazikika kwa kulowerera. Pafupifupi odwala onse, pali chizindikiro cha Ribot, momwe amakumbukirira zochitika zakale, koma sanganene zomwe zinachitika m'mawa kapena dzulo. Chifukwa cha matenda amtundu wa m'mimba, sitiroko imayamba.

Mitsempha yama Mesenteric ndi ziwiya za mesentery zamatumbo. Pankhaniyi, odwala adzadandaula za kutentha, kupweteka kwam'mimba kosapweteka, kusokonezeka kwa chopondapo.

Mitsempha yamkati - koyambirira, kupweteka kochepa kumbuyo kumachitika. Kenako kupsinjika kumatha kuwonjezeka popanda chifukwa, komwe kumakhala kovuta kuchepetsa ndi mankhwala.

Mitsempha yam'munsi yotsika - nthawi zambiri amavutika kwambiri odwala omwe ali ndi matenda ashuga. Anthu amadandaula za kuzizira kwamiyendo, kugona kwawo, komanso kusokonekera kwa tsitsi pakhungu la miyendo. Nthawi zina miyendo imatha kutembenukira buluu. Komanso, odwala sangayende mtunda wautali kwa nthawi yayitali, ndipo amakakamizidwa kuti ayime, miyendo yawo ikayamba kugwa, kutembenuka, kuyamba kupweteka, ndipo "matumbo oyenda" amayenda kumapazi kwawo. Zizindikiro zake ndi claudication syndrome. Popita nthawi, zilonda zam'mimba zimatha kuwoneka pakhungu. M'tsogolomu, izi zimayamba kukhala zigawenga.

Zombo zonse, kupatula ubongo, zimatchedwa extracranial, kapena extracranial.

Kuchiza komanso kupewa matenda a atherosulinosis kumakhala kotsatira kutsatira zakudya zomwe dokotala amatenga, kumwa ma anticholesterolemic mankhwala omwe amathandizira kuyeretsa kwamitsempha yamagazi. Mufunikanso kuchita masewera olimbitsa thupi pafupipafupi, mungathenso kutsatira malingaliro a kagwiritsidwe ntchito ka mankhwala wowerengeka, omwe angathe kukonzekera kunyumba. Zikhala zofunikira kuthandizidwa kwakanthawi komanso osasokonezedwa, chifukwa zotsatira zoyambirira zitha kuonekera patatha chaka chimodzi.

Momwe mungadziwire atherosclerosis m'magawo oyamba akufotokozedwa mu kanema munkhaniyi.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Kodi mitsempha ya mitsempha, imawonekera bwanji ndipo imathandizidwa bwanji

Atherosulinosis ya ziwiya - ndi chiyani? Awa ndi matenda ovuta omwe amapezeka nthawi zonse. Chofunikira chake chimakhala chakuti pali zotchinga zamitsempha yamagazi. Makoma awo amakhala owonda, osasinthika. Ndi kukula kwa matendawa, amatha kuchepa: chifukwa cha izi, thupi limavutika ndi kayendedwe ka magazi. Maselo otupa a mtima. Momwe mungachotsere zolembera za atheroscrotic? Kodi nyamakazi imatha? Kodi magawo a atherosulinosis ndi ati?

Zizindikiro za matenda amitsempha yamagazi

Choyipa chachikulu ndikuti zonunkhira zomwe zimapangidwa mu chombo zimatha kutseka. Wodwala akayamba kusokonekera magazi, pamakhala chiwopsezo cha kuundana kwa magazi. Chifukwa chake, kuwonongeka kwa ischemic kwa chiwalo chilichonse kumatha kuchitika. Ndikofunikira kuchita kuyeretsa kwamitsempha yamagazi kuchokera ku cholesterol plaque. Njira yotalikira ya mitsempha yamagazi imatha kupha.

Kodi atherosulinosis ndi chiyani? Kodi mitsempha ya mitsempha yotupa imachiritsidwa? Zambiri zimatengera gawo la momwe matendawo amakulira komanso zaka za wodwalayo.

Chifukwa chiyani ma cholesterol plaque amawonekera m'mitsempha yamagazi? Kodi ndingachotse bwanji mapepala atherosselotic? Kodi kuyeretsa zombo kumachitika kangati? Kodi zizindikiro za atherosulinosis ndi zoopsa bwanji? Mafunso ngati amenewa amadetsa nkhawa anthu ambiri omwe akudwala matendawa. Nthawi zambiri, kukula kwa mtima atherosulinosis kumachitika pakati ziwiya.

Atherosulinosis ndi zizindikilo zake zimatengera mamembala omwe ali ndi vuto la kuchepa magazi:

Zizindikiro zake ndizofatsa, ndipo zimakhala zovuta kudziwa njira ya atherosulinosis. Mitundu yosiyanasiyana ya atherosulinosis ili ndi mitundu yosiyanasiyana.

Momwe mungayeretsere ziwiya zama cholesterol? Ndikofunikira kuzindikira ndi kusankha chithandizo.

Kodi zikanda zandewu ndi ziti ndipo zimawoneka bwanji ngati matenda amtunduwu akupezeka? Zizindikiro za matendawa zimatengera ndi ziwiya ziti zomwe zikuvutikira kupereka magazi. Akatswiri amatha kusiyanitsa nyengo ziwiri. Kumayambiriro komwe matendawo amayambika, zizindikilo zimasowa ndipo pokhapokha chotchinga chitatsekedwa wodwalayo amayamba kumva mavuto azaumoyo ndipo amakayikira arteriosclerosis, njira yochotsera yomwe imatha kutenga zaka.

Ngati magazi akusokonezeka mu ubongo, wodwalayo amakhala ndi vuto la mtima:

kupweteka kwa mutu, zomwe zimadziwika kwambiri. Ululu umafalikira m'mutu wonse ndipo ukuphulika
wodwalayo amva tinnitus
kusokonezeka kwa tulo kumatha kubweretsa kusowa tulo kapena kufunitsitsa kugona tulo. Potere, malotowa adzakhala opanda maloto komanso osasangalatsa.
wodwala amatha kukhala wamanjenje, wosakwiya, mawonekedwe ake amasintha kwambiri,
munthu amayamba kukhala ndi nkhawa yosalephera, kuda nkhawa, kukhala wamanjenje,
amayamba kutopa msanga komanso kumva kuwawa,
kuyankhula kumasokonekera, kumeza nkovuta, wodwalayo amapuma kwambiri,

pamakhala kuphwanya koyanjana kwa kayendedwe, kuchepa kwa kuyang'ana m'malo. Poterepa, cerebellum imasiya kukwaniritsa ntchito zake mokwanira.

Zizindikiro za atherosulinosis ya mtima zimatha kuoneka mosayembekezereka. Ndi kuwonongeka kwa ziwiya zama coronary, ntchito yamtima imayamba kuwonongeka. Pankhaniyi, zolembera za atherosselotic pafupifupi zimaphwanya lumen. Kutsuka minyewa kungathandize. Mawonekedwe akuwonetsedwa bwino amatchedwa angina pectoris.

Pankhaniyi, wodwala adzakumana ndi:

Ululu pachifuwa. Adzadziwika ndi kupweteka kapena kutentha kwa zomverera ndipo adzapereka kudzanja lamanzere.
Kulemera pachifuwa.
Ululu pakupuma ndi zovuta zake.

Kugonjetsedwa kwa ziwiya zamtima kumachitika ndi zizindikiro zake:

Ululu umamveka kupweteka m'khutu, khosi komanso khutu kumanzere,
msana upweteke
Matendawa amakhala opanda chitetezo, ofooka amamva m'miyendo,
Wodwalayo amamva kuzizira ndipo adzaona thukuta likukulirakulira.
munthu adzakhala ndi kugunda kwamtima mwachangu ndi zowawa mu mtima, kapena, kuchepa kwa kuchuluka kwa mapangidwe amtima,
nseru musanayambe kusanza
pang'ono pang'ono komanso kugona kwakanthawi.

Atherosulinosis ndi zizindikiro zake zimatha kukula ndikugwiritsa ntchito mankhwala enieni, kupsinjika kwakanthawi, kugwiritsa ntchito chakudya chochuluka. Arteriosclerosis ndimatenda opatsirana. Ndondomeko ya cholesterol ingayambitsenso magazi kuyenda.

Chifukwa cha kuwonongeka kwa ziwiya zomwe zimayendetsa magazi m'manja ndi miyendo, zizindikirika izi:

Manja ndi miyendo nthawi zambiri zimazizira.
Wodwalayo amadzimva ngati nyerere zikuyenda miyendo yawo.
Khungu limasanduka lotumbulika ndipo mitsempha imawonekera.
Kuwonongeka tsitsi kumawonedwa.
Ululu m'chiuno, matako ndi m'munsi mwendo, kotero wodwalayo amatha kudumphadumpha.
Zilonda zam'mimba zomwe zimachiritsa kwambiri zimatha kupanga.
Zala zidzatupa.
Pambuyo pake, necrosis ndi gangrene amakula.

Zizindikiro zitha kukhala zosiyana kapena sizimabwera palimodzi. Zambiri zimatengera momwe thupi limakhalira, koma zolembera zamtunduwu zimasokoneza kayendedwe ka magazi. Pankhaniyi, kuyeretsa ziwiya kungalimbikitsidwe.

Zimayambitsa maonekedwe ndi mitundu ya matenda

Kodi chimayambitsa matenda atherosulinosis ndi chiyani? Nthawi zina, amatha kukhala amodzi payekha. Kuzindikira atherosulinosis kungathandize kuzindikiritsa.

Chifukwa chiyani atherosulinosis imawonetsedwa:

Kuthamanga kwa magazi.
Kugwiritsa ntchito chikonga.
Kukweza shuga kwa magazi.
Cholesterol yambiri m'mwazi.

Ndi zaka, kuthekera kwodziwitsa atherosclerosis kumatuluka, koma kumayamba ndi zaka 10. Ndi arteriosulinosis m'matumbo, zizindikilo ndi chithandizo zimadalira msinkhu wa wodwalayo. M'pofunika kudziwa zomwe zimayambitsa matenda a atherosulinosis, kuti musapusitse chitukuko cha matendawa. Ndipo kumbukiraninso kuti kuyeretsa zombozo kuzithandizira kuchotsa ma depositi osiyanasiyana. Kodi chingayambitse kukula kwa mitsempha ya mitsempha?

Ndani ali pachiwopsezo:

Nthawi zambiri matendawa amapezeka mwa amuna. Zizindikiro zoyambirira zitha kuonekera patatha zaka 45. Mwa akazi, imayamba kuwonedwa pambuyo pa zaka 55. Kusintha kwa mahomoni ndi kagayidwe kachakudya kamene kamakhudza izi,
Okalamba wodwala, amakhala ndi mwayi wopeza matenda,
chibadwire
kumwa mowa ndi chikonga, makamaka ambiri.
onenepa kwambiri
chakudya chomwe mumapezeka mafuta ambiri.

Kodi atherosulinosis imakhala ndi gulu? Ndi mitundu iti ya mtima wamatenda yomwe imapezeka? Ndi liti lomwe matendawa amapezeka ndi matendawa?

Kugawidwa kwa atherosulinosis ndi motere:

Arteriosulinosis yamatsenga a mtima.
Kukula kwa msempha mawonekedwe a atherosulinosis.
Matenda a ziwongo.
Matenda a manja ndi mapazi.
Matenda a ziwongo za impso.

Kodi matendawa amakula bwanji?

Matendawa "atherosulinosis" amapezeka nthawi zambiri, mwatsoka, ndi omwe amafa. Kuphwanya kwamitsempha kumakhudza kugwira ntchito kwa machitidwe ndi ziwalo zonse. Matendawa amadutsa pamiyeso ingapo mukukula.

Atherosulinosis ndi magawo ake:

Kumayambiriro kwa matendawo, mapangidwe amipanda yamafuta amapezeka. Wodwala sakudziwa za izi. Pali kusintha kwa makoma a zotengera, osati kutalika konse, koma m'malo ena. Pakhoza kukhala zinthu zina zomwe zitha kupititsa patsogolo njirayi. Uku ndi shuga wambiri, wonenepa kwambiri, komanso matenda osachiritsika.
Kenako pali magawikidwe azinthu zachilengedwe ndi kukula kwa kayendetsedwe kazinthu zotupa. Chitetezo cha chitetezo chidzayesa kukana machitidwe omwe akupitilira. Kenako minofuyo imaphuka, ndipo kudzikundikira kwamafuta kumapangira kapisozi, kamene kamakhala kukhoma la chotengera.
Pa gawo lomaliza la matendawa, zimadziwika kuti zimayambitsa zovuta. Chikalacho chimatha kuphulika ndikupangitsa magazi kuwundana. Izi zimatha kudzetsa stroko kapena gangore. Chifukwa chake, funso la momwe mungachotsere zolembera za atherosselotic ndizofunikira pakadali pano.

Ndikosatheka kuneneratu kuti matendawa adzakula mwachangu bwanji. Nthawi zina zimatenga zaka, ndipo pali odwala omwe pakatha miyezi yochepa amayamba kuwona kuwonongeka kwakukulu m'moyo wawo. Ndizovuta kwambiri kulosera zamtsogolo, zambiri zimatengera mawonekedwe amunthu.

Kuzindikira Matenda

Momwe mungadziwire matenda a atherosulinosis? Katswiri wodziwa bwino azidzazindikira matendawa. Ndikosavuta kudziwa malo omwe njira yotupa imachitikira.

Njira yodziwitsira matenda iyenera kuchitika malinga ndi chiwembuchi:

Dokotala amapeza madandaulo a wodwala, momwe akukhalira, kupezeka kwa matenda osachiritsika kapena osamutsidwa.
Umboni wa cholowa cha matenda a ziwiya zam'madziwo umawululidwa.
Pali mayeso muofesi ya adotolo.
Kuyesedwa komwe kumachitika kumachitika.

Mukaphatikiza zonse zomwe zapezeka, kuzindikira kumakhazikitsidwa.

Zitha kupangitsa kuti matendawa akhazikike:

matenda oopsa
stroko kapena mtima
angina pectoris
Kukula kwa ntchito ndi ntchito ya impso.

Panthawi yoyeserera, dokotala amayenera kuyang'anitsitsa zinthu ngati izi kuti matenda a atherosulinosis akhale olondola:

Kutayika kwa tsitsi kumiyendo ndi miyendo.
Kuchepetsa thupi mwadzidzidzi.
Kuthamanga kwa magazi.
Kusokoneza mtima.
Sinthani mawonekedwe a misomali.
Kukhalapo kwa puffuff.

Kafukufuku wa Laborator:

kuyezetsa magazi
X-ray ndi kupimidwa kwa mtima ndi angiography,
kuyesa kwa ultrasound.

Atherosulinosis ndi kuunika kwake kumatsimikizira zina zomwe dokotala ndi wodwala angachite. Kutengera zotsatira, katswiri amasankha njira yochizira. Itha kukhala mankhwala, koma kulowererapo kwa opaleshoni kungagwiritsidwenso ntchito, momwe chotengera chomwe chingakhudze chimachotsedwa.

Chithandizo ndi kupewa

Atherosclerosis ndi chithandizo chake pamafunika kuchita mwadongosolo. Momwe mungachotsere cholesterol malo? Kodi kuchotsa atherosulinosis? Kodi kuchitira mtima atherosulinosis? Kodi kuyeretsa ziwiya? Dokotala amayenera kuyankha mafunso onsewa kwa wodwala atazindikira.

Childs, mankhwalawa mtima atherosulinosis kumachitika ndi ntchito mankhwala:

ma statins. Mankhwalawa amawongolera ntchito ya chiwindi kuti achepetse kupanga mafuta a cholesterol. Mukamasankha mankhwalawa, muyenera kugwiritsa ntchito zida zomwe zingathandize kuti mtima uziyenda bwino. Akatswiri ena amaganiza kuti njira yothandizira mankhwalawa ndi yopanda ntchito,
ma lcd olandila. Gululi limakhudza kupanga kwa ma acid ndi chiwindi. Chifukwa cha izi, kugwiritsidwa ntchito kwa cholesterol m'thupi kumachitika. Poterepa, njira yogaya chakudya ingakhudzidwe. Njira iyi ya mankhwala ndi yoyenera kumayambiriro kwa chitukuko cha atherosulinosis,
Ma fiber amagwiritsidwa ntchito polimbana ndi mafuta amthupi. Koma pali zotsutsana ngati wodwala ali ndi matenda a chiwindi,
gulu la mankhwala ogwiritsa ntchito nicotinic acid. Amatha kuchepetsa mitsempha yamagazi ndikuchepetsa ululu. M'matenda a shuga, chiwindi ndi ndulu, njira iyi siyabwino.

Kodi mungachotse bwanji cholesterol plaque m'mitsempha yamagazi? Kodi kuthana ndi atherosulinosis? Izi zingafune opaleshoni. Mu atherossteosis m'matumbo, chithandizo chitha kuchitika kuchipatala.

Ngati chithandizo cha opaleshoni chikufunika, njira zitatu zochizira atherosulinosis zimagwiritsidwa ntchito:

Mwinanso anachita opaleshoni yodutsa. Njirayi imakhala yolumikizira chotengera chowonongeka ndi choyenera. Njira yatsopano yoperekera magazi m'thupi imachitika.
Kugwiritsa ntchito posintha chotengera chowonongeka ndi chomangira.
Kuyika kwa catheter kumatchedwa angioplasty. Idzayikika kudzera mu mtsempha wopezeka mu ntchafu pamalo omwe awonongera chotengera.

Kuyeretsa kwamitsempha yamagazi nthawi zina kumachitika ndipo wowerengeka azitsamba mogwirizana ndi adokotala. Amatsukidwa ndi uchi, mandimu ndi adyo. Izi zikuthandizira kuchotsa zolembera ndikuchepetsa chiopsezo cha zovuta. Popewa kuwonekera kwa matenda am'mitsempha, munthu asayiwale za njira zopewera.

Izi zikuphatikiza:

moyo wathanzi
pa cholinga cha prophylactic, mitsempha ya magazi iyenera kutsukidwa,
chakudya chomwe chizikhala ndi mchere wochepa komanso mafuta a cholesterol. Ndikokwanira ngati mukuchotsa zakudya zamafuta. Kaloti, nsomba yophika, yogati, adyo, zipatso, zimakhala ndi zotsatira zabwino.
kuwunika kunenepa.Muyenera kulimbana ndi kunenepa kwambiri, kudya moyenera, masewera olimbitsa thupi (mutha kuyenda). Njirayi imapezeka kwa aliyense komanso wazaka zilizonse.

Chithandizo cha atherosulinosis chiyenera kuchitika motsogozedwa ndi dokotala.

Zotsatira za atherosulinosis zimatengera gawo lomwe lakhudzidwa. Awa ndi mikwingwirima, matenda a mtima, ischemia, ngakhale kufa.

Pambuyo pa atherossteosis, zotsatira zake sizingatheke. Atherosulinosis ndi zovuta zake zimadzetsa thanzi la wodwalayo. Madokotala amapereka upangiri: "Chotsani ma cholesterol plaque panthawi - ndipo magazi sangasokonezedwe."