Atherosclerosis ya ziwiya zamiyendo: Zizindikiro, gulu komanso kupewa

Atherosulinosis obliterans ndi njira yovuta ya mtima yamitsempha yamagazi, yomwe imadziwonetsa yokha pakuwonjezeka kwa lumen ya ziwiya za zotanuka ndi mtundu wa minofu yokhala ndi magazi, odzaza ndi mapuloteni olowetsedwa ndi mafuta, maselo.

Izi zimabweretsa kuwonongeka kwa trophism m'deralo lomwe limayendetsedwa ndi mtsempha wamagazi. Odwala amakumana ndi kusapeza kwakukulu ndi mitundu ya atherosulinosis yam'munsi yam'munsi.

Potere, kufalikira kwa minofu kumachepetsedwa kwambiri, lactic acid ndi ma metabolites amachotsedwa pang'onopang'ono, kotero kuti kupweteka kosalephera kumachitika. Ganizirani za etiology ndi pathogenesis a matenda.

Zolinga ndi makina a chitukuko

Pali zifukwa zambiri zoyambitsa matendawa. Makina oyambitsa matenda a atherosulinosis sanaphunziridwe, koma muzolemba zamakono zopangidwa ndi umboni, magulu owopsa a matendawa amapangidwa. Izi zikutanthauza kuti ngati wodwalayo ali ndi chilichonse mwa mfundo zotsatirazi, ndiye kuti mwayi wa kusintha kwa atherosclerotic ukuwonjezeka.

Izi ndi monga:

• Kunenepa kwambiri. Anthu onenepa kwambiri amakonda kwambiri kudwala chifukwa cha kusokonezeka m'njira zingapo zama metabolic. Monga mafuta aufulu amamangidwa mu minofu ya adipose, ma triglycerides omwewo, cholesterol, zinthu za lipid zimatha kudutsa maselo a endothelial a khoma lamitsempha. Ku gulu lomweli lomwe langozi lingatchulidwe kuti kunanenepetsa mafuta ambiri, zakudya zopatsa mphamvu kwambiri kuphatikiza ndi kusowa kwa michere.
• Zaka, jenda Amayi sakhala otetezedwa ku atherosulinosis chifukwa cha kupezeka kwa estrogen, komwe kumalepheretsa njira zolekanitsira khungu. Amuna amadwala kasanu. Komanso, anthu atatha zaka 40 atenga matendawa chifukwa cha kuwonongeka kwachilengedwe kwa collagen khoma la mtima komanso kuchepa kwa mphamvu zawo.
• Kusuta. Nikotini ndi magawo ena a utsi wa fodya amachititsa kupindika kwamitsempha yamagazi, yomwe imafooketsa pakapita nthawi. Ndikosavuta kulowa mu khoma la cholesterol chotere kuposa lina lofunikira.
• Matenda a shuga. Mwakutero, lipid oxidation siyidutsa mpaka kumapeto, ndipo zinthu zosakongoletsedwa zimayenera kuyendayenda momasuka m'magazi, momwe zimadutsa m'matumbo awo otentha.

Kuthamanga kwa magazi, kukhala moyo wongokhala, komanso cholowa m'malo opezeka matenda amtima pakati pa abale - iyi si mndandanda wathunthu wazinthu zomwe zimatsogolera ku atherosclerosis.

Kodi chimachitika ndi chiyani m'thupi? Poyamba, zosinthazi ndizosafunikira, zimatha kupezeka ndi njira ya biochemical yokha. Cholesterol m'thupi imanyamulidwa m'mayendedwe amtundu wambiri komanso wotsika kwambiri. Yoyamba ndi cholesterol yotchedwa "yothandiza", mumtunduwu imayendetsedwa chifukwa cha kuphatikiza kwa mahomoni ndi kayendedwe ka membrane, komanso kutaya. Mtundu wachiwiri ndi cholesterol transporter yosungira. Nthawi zambiri, ziyenera kukhala zochepa kuwirikiza koyamba, koma nthawi zina zimakhala bwino. Kenako kulowa kwa mafuta kumayamba. Izi zimatchedwa gawo la dolipid.

Pali magawo angapo a momwe matenda amathandizira

1. Gawo Limodzi - Lipoidosis. Pakadali pano, mawanga ndi maula a lipid okha ndi omwe angapezeke, zomwe ndi chizindikiro choyamba cha atherosclerosis.
2. Atheromatosis - zolengeza zimakulirakulira, kutseka lumen kwambiri, kumakuliratu ndi capillaries ndi fibrin. Zizindikiro zoyambirira za matendawa zikuwonekera kale.
3. Gawo lotsiriza ndi fibrosis kapena calcization. Chipilalachi chitha kusinthidwa ndi minofu yolumikizika, kapena kuwiluka ndi mchere ndikuumitsa, komwe kumachepetsa njira zamankhwala kuti zithandizidwe.

Kodi atherosulinosis ya ziwiya zamagawo akumunsi

Atherosulinosis ya ziwiya zamiyendo (malinga ndi ICD-10 code 170.2) ndi matenda opatsirana omwe amaphatikizika ndi matenda a lipid metabolism. Pathogeneis: motsogozedwa ndi zinthu zomwe zimawonetsa kuti zitha kugwiritsidwa ntchito, chiwindi chimasokonekera, cholesterol yambiri imayikidwa pakhoma lamankhwala, mapangidwe a atherosclerotic amapangidwa.

Ndi zotupa za atherosulinotic, zombozo ndizochepa kapena pang'ono. Njira yoyamba imatchedwa stenosis, yachiwiri ndi kupukusira. Matendawa amakula m'mitsempha. M'magawo osiyanasiyana, pamakhala kuphwanya kwa chotengeracho, kuphwanya magazi kwa ziwalo, kuchepa kotulutsa mpweya ndi michere. Mitsempha yamagazi yomwe imapereka magazi kumiyendo yam'munsi imachokera ku msempha, aacac, wama femal, popliteal. Zotsatira za atherosulinosis m'madipatimenti amenewa, kuchepa kwa magazi kumawoneka (chifukwa cha kuchepa kwa magazi).

Mitundu ndi gulu

Atherosulinosis ili ndi magulu osiyanasiyana. Kugonjetsedwa kwa miyendo ndi cholesterol plaques kumagawidwa m'mitundu iyi:

1. Kuchepetsa - kuwonongeka kwamitsempha yama m'munsi yam'munsi yomwe imachitika chifukwa cha kuchepa kapena stenosis yamatumbo amiyendo, kukomoka kwa hemodynamics, kuperewera kwa chakudya ndi mpweya wa minofu. Kuthana ndi atherosulinosis ya miyendo kumafuna kusintha kwa moyo, kuyang'anira pafupipafupi, ndi njira zoyenera zamankhwala.
2. Diffuse atherosulinosis imayamba chifukwa chodzikundikira zolembera m'matumba a sing'anga komanso lalikulu. Mchitidwewo umayamba ndi msempha, umafikira kumitsempha ya iliac, yachikazi, yamaondo.
3. Njira yopanda stenotic atherosulinotic imachitika pamene bedi lamitsempha limagunda osakwana 50%. Zizindikiro za mawonekedwe awa zimafotokozedwa pang'ono. Non-stenotic atherosulinosis ya mitsempha popanda chithandizo choyenera ndikuwunikira kwakanthawi kumakhala zotupa za m'munsi.
4. Stenosing atherosulinosis ndi matenda omwe amapezeka pamene lumen ya mitsempha yotsekedwa ndi 50% kapena kuposerapo. Fomuyi imachitika ndi zizindikiro zotchulidwa, imapezeka mosavuta. Pamagawo oyamba, zombo sizimakhala stenose, ndiye, motsogozedwa ndi zina zowonjezera, kulandira gawo latsopano la mafuta kochepa kwambiri.
5. Zilonda zam'magawo zimadziwika ndi kuwonongeka kwa hemodynamic m'gawo linalake (mawonekedwe a chotupa chachikazi chapamwamba).

Aroundial kusowa kwa miyendo amagawidwa magawo anayi a matenda:

1. Gawo loyamba limawonetsedwa ndi zowawa pambuyo poyesetsa kwambiri (kuthamanga / kuyenda mtunda wautali).
2. Lachiwiri lagawidwa m'magulu awiri: A ndi B. Odwala amadandaula za kupweteka pambuyo poyenda mtunda wautali (mpaka 1000 metres). IIb - wodwalayo amadutsa kuposa 250 m popanda kupweteka m'miyendo.
3. Gawo lachitatu kapena ischemia yovuta imachepetsa katundu wamba, pamakhala kupweteka m'munsi m'munsi mwa mtunda wa 50 m.
4. Atherosclerosis ya gawo IV mitsempha imadziwika ndi mawonekedwe a zilonda zam'mimba, necrosis mwa mawonekedwe a khungu lakuda. Minyewa ya malekezero imakhazikitsidwa zala, zala, miyendo, m'miyendo, ndi ntchafu. Matendawa ndi owopsa chifukwa mankhwalawo alibe mphamvu, wodwalayo amafunikira chithandizo chamankhwala (dipatimenti ya opaleshoni ya mtima), opaleshoni - kudula dzanja.

Zoyambitsa ndi zizindikiro

Coronary sclerosis, atherosulinosis ya mitsempha ya m'magazi komanso m'munsi mwake imachitika chifukwa cha zinthu zomwe zimayambitsa matenda, kudya komanso kuchita zolimbitsa thupi.

Etiology ya kusintha kwa atherosulinotic mu mitsempha:

1. Mankhwala sangakhudze msinkhu wa munthu komanso gululi. Maonekedwe a matendawa amatengera zinthu ziwiri izi. Amuna nthawi zambiri amakhala ndi vuto la atherosulinosis kuposa azimayi. Malinga ndi ziwerengero, zolembera za cholesterol zimapangidwa mwa amuna zaka 10 zapitazo. Asayansi amati izi zimachitika chifukwa cha mphamvu yamafuta. Amayi amatetezedwa nthawi zonse ndi estrogens. Amalepheretsa kukalamba komanso kusokonezeka kwa lipid metabolism. Mtsikanayo akadutsa malire a kusamba, kusintha kwa mitsempha yamagazi ndi mitsempha. Zomwe zimayambitsa matendawa pambuyo pa 50 ndizomwezogonana.
2. Dziwani matenda atatha zaka 45. Kusintha kokhudzana ndi zaka m'mitsempha yamagazi (kutayika kwa elasticity, kuchuluka kwa thrombosis, kuphwanya kwamatsenga a magazi) kumawonetsedwa kukhoma. Zowonjezera zomwe zimawonjezera vutoli.
3. Kuwonongeka kwa khungu nthawi zambiri ndi komwe kumayambitsa matenda ambiri. Ngati zotupa zam'mitsempha zokhala ndi cholesterol zolembera zimayang'aniridwa mwa makolo, nthenda yofananira iyenera kuyembekezedwa mwa ana. Jenda, zaka komanso cholowa zimathandiza kwambiri kupezeka kwa atherosulinosis. Izi zimatchedwa zosasindikizidwa, zosakonza, sizingalephereke.
4. Kusuta fodya ndi mowa ndi mliri wamakono. Amayi ndi abambo ambiri motere amachepetsa kupsinjika, amayesa kupuma, osaganizira zotsatira zake. Nicotine amachepetsa lumen ya zotengera. Ngati matenda alipo kale, stenosis yowonjezera imangokulitsa vutolo. Zakumwa zoledzeretsa zimawonjezera kuthamanga kwa magazi, zomwe zimathandizanso kuchepetsa mitsempha.
5. Kusakhalapo kwa zolimbitsa thupi zolimbitsa thupi, kugwira ntchito kumathandizira kuwoneka komanso kupitirira kwa vuto la lipid, ischemia, metabolic pathology. Popanda kugwiritsa ntchito mphamvu, kuphatikiza mafuta ochulukirapo kumachitika, komwe kumayikidwa mu intima (chipolopolo chamkati) cham'mitsempha.
6. Matenda a Endocrine samakhala malo omaliza pazomwe zimayambitsa atherosulinosis. Kunenepa kwambiri, matenda a chithokomiro, matenda a shuga amachititsa dothi kuti likhale ndi mafuta ambiri. Ma Horoni ndi omwe amayang'anira njira zonse mthupi. Kusintha pang'ono kwa mphamvu ya mahomoni kumaonekera m'ziwalo zamkati. Metabolic syndrome imadziwika ndi mafuta ambiri, ndipo shuga imasokoneza carbohydrate, lipid, metabolism ya protein.
7. Zakudya zamafuta ambiri zimayambitsa matenda a chiwindi, osatheka kukonza lipids yambiri. Zithunzi za cholesterol mwachangu zimasanjikiza zombo zatsopano.
8. Ndi ochepa matenda oopsa, kuchepetsa mitsempha, kamvekedwe ka minyewa yosakhazikika. Intima yatopa, imataya mphamvu. Potengera zomwe zasintha, kuphatikizika kwa mafuta ndi mapulateleti pamakoma am'mimba kumachitika, kuwundana kwa magazi kumachitika ndi kufalikira kwa masana.
9. Hypothermia, kuvulala kwam'munsi.

Zizindikiro:

• kupweteka m'misempha ya ng'ombe ndiye kudandaula kwakukulu komwe odwala amatembenukira kwa dokotala. Zombo zowonongeka mothandizidwa ndi kulimbitsa thupi (kuyenda, kuthamanga) zimayamba kupweteka. Pa magawo oyamba, odwala amawona kuzizira, mapazi ozizira. Pang'onopang'ono, zomverera zowawa zomwe zimatuluka mu nthawi yopuma ndikuyenda zimawonjezeredwa. M'masiku opambana, olimbitsa mtima sapulumutsa ululu waukulu,
• kuchulukana pang'onopang'ono ndi chiyeso chovomerezeka chodziwitsa anthu matenda. Wodwala sangathe kuyenda mtunda wautali popanda kupuma. Amayimitsa kuti achepetse kupweteka m'miyendo yake. Kupuma pang'ono kumathandizanso kupitilirabe mpaka kupwetekedwa kotsatira,
• matenda a trophic syndrome amadziwonetsera okha: pallor, cyanosis, miyendo yozizira, tsitsi lopunduka pa iwo. Zowawa zam'miyendo, m'chiuno. Zilonda zoyipa kwambiri zimapezeka pakhungu. Zofooka zolimba zimatha kufalikira kudera lonse lamiyendo. Gawo lachivomerezo limadziwika ndi necrosis (gangrene), limadziwonetsera pakhungu lakuda ndi fungo losasangalatsa, loipa.

Kusiyanitsa kwa matenda amtundu wamiyendo

Kusiyanitsa mitundu ya atherosulinosis ya m'munsi malekezero ikuchitika ndi matenda otsatirawa:

• endparteritis yodziwika ndi yodziwikiratu ndi kufalikira kwa atherosulinosis, koma imakhudza anthu osakwana zaka 30.
• arterial thrombosis ndi thromboembolism zimachitika mwadzidzidzi, nthawi zambiri pambuyo pa opaleshoni.
• nonspecific aortoarteritis (Lerish's Syndrome) - mkhalidwe womwe minyewa ya gawo la aorto-iliac imadzunguzika kapena kutsekeka kwathunthu. Zimachitika makamaka mwa amuna. Mbali ina yosiyanitsa ndi zizindikiro: kuperewera kwa mitsempha yam'munsi, kulumikizana pang'ono, kusokonekera kwa ntchito. Zotsatira za matenda a Lerish ndizachisoni: zovuta zamtima, kulumala, imfa.
• matenda ashuga angiopathy. Mwazi wamagazi ambiri umatsogolera ku macroangiopathies, pomwe kumatuluka kwa ziwiya zazing'ono ndi zazikulu. Odwala omwe ali ndi matenda a shuga amadwala phazi la matenda ashuga, m'munsi miyendo.
• hemorrhagic vasculitis amawonetsedwa ndi kuledzera, zotupa, kupweteka molumikizana.

Njira zopewera

Kupezeka kwa atherosulinosis kumadalira 100% kutengera ndi moyo. Yesetsani kupewa matenda adakali aang'ono.

Njira zodzitetezera zomwe zimalepheretsa kukula kwa zotupa za atherosulinotic ndi monga:

1. Matenda a kulemera kwa thupi.
2. Mankhwala othandizira pakudya (kuchepetsa zakudya zamafuta, m'malo mwa mafuta ochulukirapo ndi masamba).
3. Pewani zizolowezi zoyipa. Mutha kukhala osakhala osuta, mowa.
4. Pewani hypothermia ya m'munsi yam'munsi.
5. Chitani mabala munthawi yake.
6. Chitani masewera olimbitsa thupi moyenera (kuyenda kwa mphindi 30, kusambira).
7. Chithandizo matenda ophatikizira (ochepa matenda oopsa, matenda a shuga, matenda a mtima, matenda a chithokomiro).
8. Ngati zizindikiro zoyambirira zikuonekera, pitani kuchipatala msanga. Amazindikira matendawa, amawaganizira magawo, magawo, zikuwonetsa, njira zina zochizira.

Atherosulinosis imapangidwa m'moyo wonse. Mafuta ochulukirapo m'zakudya, moyo wokhalitsa, matenda amtima ndi zinthu zofunika kwambiri pakukula kwa matendawa.

Clinic ndi zizindikiro zazikulu za matendawa

Kuwoneka kwa zizindikiro zamankhwala kumalumikizidwa ndi kupendekera kwa lumen ya chotengera ndi oposa 75%. Nthawi zambiri, matenda a pathological amapezeka mkati mwa m'munsi msempha (pansipa pamatupa amitsempha yama impso): 33% - gawo la aorto-iliac, 66% - yachikazi-popliteal.

Kupezeka kwa atherosclerotic plaque ndi mapangidwe a fibrosis (minofu yolumikizana minofu) titha kuwayesa ngati masinthidwe othandizira poyankha kuvulala komanso aseptic kutupa kwa membrane wamkati chifukwa champhamvu magazi akuyenda mumitsempha yayikulu.

Zizindikiro zoyipa zakumaso

Chizindikiro cha matendawa chimayambika chifukwa chophwanya magazi pakatipa yomwe imakhudzidwa ndi minyewa ndi minyewa yamitsempha.

Zizindikiro zodziwika bwino kwambiri zamatumbo am'munsi zatsika:

• kuchepa kwa kulolerako zolimbitsa thupi (kutopa poyenda),
• kuchepa kwapakati ndi chizindikiro chodziwika bwino cha kuwoneka ngati kupweteka kwambiri (kuwotcha) pamendo panthawi yolimbitsa thupi, kufunika koima ndi kupuma,
• ma neuropathies amapezeka chifukwa cha kuperewera kwa michere yamitsempha ndipo amamva ndi goosebumps, dzanzi, kukokana,
• kusintha kwa khungu (kusisita) kwamiyendo, kutsika kwapakhomo,
• Kuchepa kwa gawo lamkati lamafuta onunkhira, minyewa yam'manja (kuchuluka kwa miyendo imasiyana ndi inzake ndi chotupa chosagwirizana),
• kusintha kwa tsitsi lakelo (tsitsi kumiyendo limacheperachepera, kumezuka, kumatha nthawi),
• Hyperkeratosis wa khungu la kumapazi, misomali.

Kukula kwa zizindikiro kumatsimikiziridwa ndi mulingo, kukula kwake ndi kuchuluka kwa kupindika (stenosis). Kuphatikiza apo, kupezeka kwa zinthu zopitilira muyeso (shuga mellitus, kusuta, ukalamba) kumawonjezera kudaliraku kwa moyo ndi thanzi la wodwalayo.

Kuwonetsedwa kwa matendawo mwa okalamba: ndizachilendo?

Amuna nthawi zambiri amapezeka ndi matenda, popeza kugonana kofooka kumakhala ndi chitetezo cha estrogen pamaso pa kusintha kwa thupi, zomwe zimalepheretsa kukula kwa atherosulinosis. Kuphatikiza apo, matenda a pathology amapezeka kawirikawiri mwa okalamba chifukwa cha kuchepa kwa magwiridwe antchito komanso njira zina zowonjezera mphamvu. Zomwe zimapangitsa kuti miyendo ya m'magazi ichite kwa odwala ndi:

• kupitirira kwapang'onopang'ono kwa zizindikiro chifukwa cha kuwonongeka kwa ulusi wamanjenje,
• kukula kwa ululu wamankhwala (chifukwa ndikuti mitsempha yolandirana, yomwe imapereka magazi ochepa mu minofu, samakulanso),
• Matenda amtundu: kuchepa thupi, kutopa, kuphwanya malingaliro,
• patsogolo michere,
• zilonda zapakati, osagwiritsika ntchito pakukakamiza,
• chiwopsezo chachikulu cha zovuta (mu 30% ya milandu): gangrene, septic mamiriro.

Zowonjezera zomwe zimayambitsa kupuma, mtima, ndi impso zimapangitsa kuti zikhale zovuta kudziwa ndikusankha chithandizo chamankhwala.

Kuchepetsa chiwalo cham'munsi kumafotokozedwa mu 45% ya matenda omwe ali mwa odwala okalamba, omwe amachititsa kulumala ndi kuwonongeka m'moyo wawo.

Mitundu ndi magawo a atherosclerosis a m'munsi malekezero

Kukhazikika kwa mitsempha yayikulu ya nthambi yam'munsi yokhala ndi cholembera cha atherosclerotic kumapangitsa chipatala chodziwika bwino kutengera ndi gawo la zomwe zimachitika.

Pochita izi, madokotala amagwiritsa ntchito kagawidwe potsatira njira zomwe wodwala amagwira (malinga ndi Fontaine-Pokrovsky)zoperekedwa pagome.

Matenda a III ndi IV amadziwika kuti ndi "ischemia" yofunika, yomwe imafuna chithandizo chamankhwala mwadzidzidzi, nthawi zambiri imachitidwa opaleshoni.

Nthawi zambiri amagwiritsidwa ntchito Gulu la North America, yomwe imaganizira zotsatira za kuyeza kuthina kwa ankolo.

Pa digiri ya 5 ndi 6 ya ischemia, angiography yama sitimayi imatsimikiza kukulira kwa mabatani ndi gawo lathunthu la mitsempha yayikulu ya phazi.

Kodi miyendo yake imawoneka bwanji ngati chotupa cha atherosselotic?

Zosintha pakuwoneka ngati miyendo imadziwika ndi kuchuluka kwa zowonongeka, kuchuluka kwake komanso nthawi yayitali.

Zizindikiro za zovuta pamagawo osiyanasiyana a matenda:

1. Gawo la chithandiziro chogwira ntchito, chomwe chimayamba chifukwa cha zomwe zimachitika mthupi lonse pofuna kukonza kayendedwe ka magazi. Khungu komanso kuzirala kwa khungu, nthawi ndi nthawi zomwe zimayamba kumveka zala.
2. Gawo lothandizira, lomwe limadziwika ndi khungu louma, lidachepa. Chiwalo chomwe chakhudzidwa ndichaching'ono kuposa voliyumu. Pamapazi, kudzimbidwa (hyperkeratosis) kumakula, misomaliyo imaphimbika, imathyoledwa, ndipo madera owoneka bwino pamiyendo amawonedwa. Chithunzi cha atherosclerosis cha malekezero a m'munsi 2:
3. Gawo lowumbika, momwe mumanenedwa maulalo a minofu ndi minyewa yofinya. Khungu limafowoka, zoopsa zochepa zimatsogolera pakupanga zilonda ndi ming'alu. Chithunzi chomwe chili ndi trophic zilonda pamkati mwa mbali yamanzere yolowa.
4. Gawo la kusintha kwanyengo komwe khungu louma limayamba. Gawo la atherosulinosis, lomwe limafunikira opaleshoni yomweyo kuti muchepetse matenda.

Kuchiza ndi kuzindikira matenda: momwe mungathetsere vuto la atherosulinosis

Chifukwa chachikulu chakukhazikitsidwa kwa matenda a zamatumbo sichimamveka bwino, chifukwa chake, madokotala amatchula zinthu zingapo zomwe zimatanthauzira komanso kupatsa chidwi. Therapy ya atherosulinosis imakhudzanso zovuta:

• zinthu zoopsa (kunenepa kwambiri, kusuta fodya,)
• pathogenesis yamatenda (kukulira kwa lumen, kusintha kwa magazi),
• opaleshoni
• kupewa kwachiwiri kwa mavuto.

Ndani amasamalira zamatsenga komanso omwe angalumikizane naye

Kuti mupeze matenda a atherosulinosis omwe ali ndi vuto la magazi m'magawo otsika, kufunsa kwa akatswiri otere ndikofunikira:

• mtima
• mtima opaleshoni ya matenda osiyanitsa ndi pathologies a venous bed, endarteritis, thromboangitis,
• dokotala wa opaleshoni ya endovascular and radiologist - akatswiri omwe amapanga njira zosiyana zopezera matenda,
• endocrinologist - pamaso pa shuga wodwala.

Chithandizo cha atherosclerosis ya m'munsi malekezero ikuchitika pambuyo kudziwa zoyambitsa kuphwanya aliyense wodwala, zikuonetsa ndi contraindication poika mankhwala kapena opaleshoni njira.

Kodi muyenera kufufuza kaye chiyani?

Kufufuza kwamankhwala ndi katswiri kumatanthauza:

• Kuyesa kwamkati mu mitsempha ya kumbuyo. Mlingo wa kuchepa kwatsimikiziro ndi malo okwera: ngati kuphipha kulibe kumtunda wamkazi, kuwonongeka kwa gawo la aorto-iliac, popliteal - femoral.
• Kukopa - kung'ung'udza kwa systolic kumatsimikiziridwa pamalo omwe akhudzidwa.
• Ntchito zoyeserera za Oppel, Panchenka (adataya mtengo wawo wazidziwitso).

Njira zofufuzira za paraclinical zofunikira komanso kusintha kofunikira kuti muzitsatira zotupa za atherosulinotic zimafotokozedwa pagome:

Njira zowonjezerazi zimaphatikizapo kudziwa mulingo wa homocysteine: kukhathamira kwa omwe amapezako, komweko kumakhala chiwopsezo cha matendawa.

Mankhwala osokoneza bongo: mankhwala omwe mankhwalawa amapatsidwa kwa atherosclerosis a m'munsi malekezero

Conservative mankhwala a atherosulinosis ikuchitika pa gawo la 1-2 la matenda chifukwa chosonyeza opaleshoni kulowererapo. Mfundo zazikuluzikulu zamankhwala ndi magulu a mankhwala omwe amagwiritsidwa ntchito amaperekedwa pagome.

Chofunikira pakuchiritsa moyenera ndi kubwezeretsa matenda ena (matenda a shuga, matenda a kupuma, chiwindi ndi impso).

Momwe mungathandizire kupweteka

Njira yamadandaulo imalumikizidwa ndi kuchepa kwa magazi ndi chitukuko cha kutupa kwa aseptic, chifukwa chake, chithandizo cha atherosulinosis chimaphatikizapo analgesia ndi mankhwala omwe si a steroidal.

Mankhwala omwe amagwiritsidwa ntchito kwambiri:

• "Nimid" - gel yogwiritsira ntchito wamba,
• "Diclofenac" (munthawi ya mafuta 1 kapena mafuta odzola apakhungu),
• "Dolobene-gel" (chinthu chomwe chimagwira ndi heparin) - chimagwiritsidwa ntchito poletsa kukonzanso khungu.

Kuchipatala, ululu umathandizidwanso ndi ma anesthetics am'deralo kapena ma proaglandin anifesto ya makolo.

Njira zamakono zopangira opaleshoni

Kugwiritsa ntchito kwamankhwala othandizira kwatsimikiziridwa pokhapokha poyambira, chifukwa chake, kuchitapo kanthu kwa opaleshoni kumagwiritsidwa ntchito kukonzanso magazi. Ntchito zomwe zimagwiritsidwa ntchito kwambiri zimaperekedwa patebulo.

Ndi necrosis kapena gangrene, kuduladula miyendo ndikofunikira, kutengera mtundu wa kuwonongeka: chala, kuphatikiza chidendene, bondo.

Kuyenda kuyenda: kutalika ndi kulimba mtima ndi chiyani?

Odwala onse amafunikira pulogalamu yapadera yokonzanso physiotherapy. Njira yothandiza kwambiri ndikusintha poyenda (pamtunda wamtunda - poyenda).

Mfundo zoyambira kukhazikitsidwa:

• nthawi yayitali - mphindi 35, kukwera pang'onopang'ono mpaka mphindi 60,
• Chitani katatu pa sabata,
• kukula kumatsimikiziridwa payekhapayekha pamlingo wonyamula, zomwe zimayambitsa kulira kwa mphindi 3-4,
• ndikusintha pang'onopang'ono pamlingo woyenda, kuonjezera mphamvu chifukwa cha liwiro, osati nthawi yolimbitsa thupi.

Ndikulimbikitsidwa kuyambitsa makalasi mukakhala mu sanatorium moyang'aniridwa ndi dokotala. Panthawi yofupika kapena kupweteka kumbuyo kwa sternum, funsani katswiri.

Kupewa kuwononga ziwiya za m'munsi

Kuchepa kwa magazi m'mitsempha ya miyendo ndikutuluka kwa magazi kudutsa mitsempha yayikulu komanso kutuluka kovuta chifukwa cha mphamvu yokoka. Kupezeka kwa atherosulinosis ndi ma cell pathological enaake kumagwirizana mwachindunji ndi kukopa kwa zinthu zachilengedwe.

Kupewera koyambirira kumaphatikizapo:

• masewera olimbitsa thupi okwanira (ali aang'ono - masewera, okalamba - kuyenda tsiku ndi tsiku),
• kuwongolera thupi (kunenepa kwambiri kumathandizira kuwonjezera kuchuluka kwa magazi ozungulira, kuwonjezera kuthamanga kwa magazi, katundu pazitseko zamiyendo),
• kuwunika milingo ya lipid mwa odwala omwe ali ndi mbiri yolemetsa yapa banja,
• zakudya zopatsa thanzi zophatikiza ndi mavitamini B, mapuloteni, mafuta ochulukirapo (mafuta a masamba), phospholipids (nsomba zam'nyanja),
• kulipira matenda a ziwalo zina ndi machitidwe,
• kusiya zizolowezi zoipa: kusuta, kumwa mowa.

Zotupa za atherosulinotic zam'mitsempha yam'munsi yam'magazi ndizofala zamatenda, zomwe zimakhudza makamaka achikulire. Kusokonezeka kwa magazi ndi chimodzi mwazomwe zimayambitsa kudula ndi kulemala kwa anthu. Kuzindikira kwathunthu kogwiritsa ntchito njira zamakono ndi njira yosiyanitsira chithandizo kumapewetsa zovuta.

Zotsatira zotsatirazi zinagwiritsidwa ntchito kukonzekera.