Kodi ndizotheka kuchiritsa atherosulinosis kwamuyaya komanso ndi njira ziti zomwe zilipo
Pafupifupi theka la matenda onse a mtima omwe amapezeka ndi mitsempha ya mitsempha. Mawonetseredwe ake oyamba amawonekera ali ndi zaka 30 mpaka 40, ndipo pambuyo pa 50 akuwonekera kwathunthu.
Malinga ndi gulu laposachedwa la ICD-10, atherosulinosis amatanthauza "matenda ena okhudzana ndi" ndipo ili ndi code I67. Zizindikiro zimayenderana mwachindunji ndi kusakwanira kwa cerebrovascular - kugona, kukumbukira, kuperewera kwamatenda ambiri, kusokonezeka kwina kwa zochitika zam'maganizo mpaka kukhumudwa.
Chithandizo chovuta nthawi zonse chimagwiritsidwa ntchito ndi nootropics, lipid-kutsitsa, antiplatelet mankhwala. Ndi kusagwira bwino kosamalitsa, kuchitapo kanthu kwa opaleshoni kukuwonetsedwa.
M'masiku ano aubongo, chidwi chachikulu chimaperekedwa ku ziwongo za ziwongo, chifukwa ndi zomwe zimayambitsa zovuta monga matenda a dementia okhala ndi stroke. Mawu akuti "atherosclerosis" amatanthauza kuphwanya hemodynamics (kuthamanga kwa magazi) chifukwa chakufinya kwa lumen kwa mitsempha yamagazi. Kuphatikiza pa kusintha kokhudzana ndi ukalamba, kagayidwe ka lipid kamakhudzanso kudutsa kwamadongosolo a magazi. Pogwiritsa ntchito ma lipoprotein ocheperako (kapena mafuta), amawaika pamakoma a mitsempha yayikulu komanso yaying'ono.
Momwemo, kamvekedwe ka mtima kamachepa, pamene thupi limafunafuna kudzipatula ndi zinthu zomwe zingakhale zoopsa. Izi zimapangitsa kuti kufalikira kwa ulusi wophatikizika ndi kuwerengera kwa ma deposits. Vutoli limawonedwa ngati matenda a okalamba, ngakhale ndi zovuta zina zatsopano zimatha kupezeka mwa ana. Kodi chimayambitsa kukanika kwa mtima ndi matenda?
Pali njira zambiri zothandizira kukhazikika kwa matenda amiseche. Choyamba, uno ndi m'badwo. Ngakhale nditakhala ndi moyo wathanzi komanso thanzi labwino, zinthu zomwe sizithandiza thupi sizitha. Mosalephera, kagayidwe kake kamachepetsa, njira za metabolic zimayamba kugwira ntchito kwambiri za anabolic, ndipo mafuta amawaika pamakoma a mitsempha yayikulu komanso yapakatikati. Pakati pauchidakwa, kusuta kumayamba msanga.
Matenda aliwonse omwe ali ndi vuto lomwe limakhudza kamvekedwe ka khoma lamatumbo ali aang'ono kwambiri:
- ochepa matenda oopsa
- matenda opatsirana
- kuledzera (kuphatikizapo kusuta fodya, kugwiritsa ntchito mankhwala osokoneza bongo, uchidakwa),
- maziko osautsa a psychoemotional - kupsinjika kwakanthawi kapena zokumana nazo, zochitika zomwe zimabweretsa zabwino komanso zosalimbikitsa.
Sizotheka kuzindikira mosazindikira chifukwa chomwe chimayambitsa matenda amisempha m'magazi onse. Popeza zomwe zimapangitsa kuti zimathandizane nthawi zambiri zimagwirira ntchito limodzi, titha kulankhula za chilengedwe cha polyetiological matenda. Ndiye kuti, kuphwanya kwamkati kwamanjenje ndizochitika pazifukwa zingapo.
Chifukwa cha kusokonekera kwamafuta kagayidwe (kuwonjezeka kwa kuchuluka kwa osalimba a lipoprotein m'magazi), amaika mawonekedwe pamakoma amitsempha yamagazi - cholesterol plaques. Popita nthawi, amachulukana, amakula, kenako ndikuyamba kuwopseza moyo.
Ndi mawonekedwe awa omwe amayambitsa thromboembolism - kufalikira kwa zombo zofunika. Kuyang'ana kuchokera pamalo ophatikizika, cholembapo chotere chimazungulira ndi mtsinje wamagazi ndipo, kenako ndikugwera m'chiwiya china chaching'ono, chimatchinga. Ichi ndi chimodzi mwazomwe zimayambitsa matenda a mtima.
China ndi kupangidwa kwa cholembedwa chachikulu mu lumen cha chombo chachikulu popanda kudzipatula. Potseka magazi pang'onopang'ono, zimathandizira kuti pakhale magazi ischemia (kusowa kwa magazi). Ngati tikulankhula za mitsempha ya chithokomiro, ndiye kuti kupezeka kwa cholesterol plaques kumapangitsa kuti ubongo ukhale wopanda thanzi, motero, kukanika kwake.
Ma neuron opatuka amafa pansi pa vuto la kuchepa kwa oxygen, lomwe limawonetsedwa ndi discirculatory encephalopathy. Kuchuluka kwa zowonongeka kumatengera kuchuluka kwa chotengera, kukula kwa zolembazo, komanso mwayi wopanga mgwirizano wamatsenga.
Moyo wamatenda
Chithandizo cha atherosulinosis sichimangokhala ndi zakudya zoyenera, kugwiritsa ntchito mankhwala ndi njira ya opaleshoni kapena yovuta. Ndikofunika kuonetsetsa zochitika zamasiku onse, kusiya zizolowezi zoipa, kuchita masewera olimbitsa thupi tsiku ndi tsiku komanso kupuma mpweya wabwino.
Kuchepetsa thupi kumathandizira kuchepetsa mafuta ochulukirapo amthupi, zomwe zimakhudza bwino machitidwe amitsempha yamagazi. Kuchita zolimbitsa thupi pafupipafupi kumathandizira kulimbitsa ziwiya ndi minyewa ya miyendo ndikuimitsa mayendedwe a matendawa, malinga ndi malingaliro ena onse.
Chakudya cha Atherosulinosis
Kuti mankhwala azachipatala azigwira bwino ntchito, ndikofunikira kutsatira zakudya zina. Zatsimikiziridwa mwasayansi kuti kukula kwa atherosulinosis kumalumikizidwa makamaka ndi endo native cholesterol. Komanso, pakakhala kuphwanya kagayidwe ka cholesterol mkati mwa thupi, kuyambitsidwa kwa mafuta ochulukirapo ndi chakudya kudzakhala ndi zovulaza pamtundu wa zotengera. Chifukwa chake, cholinga chachikulu cha zakudya za atherosulinosis ndikuchepetsa kuchuluka kwa mafuta omwe amwedwa.
Kuphatikiza apo, kudya shuga kuyenera kukhala kochepa. Ndi zochulukirapo m'thupi, kupanga cholesterol amkati (mkati) kumalimbikitsidwa.
Mafuta a nyama ayenera kusinthidwa ndi mankhwala azitsamba, nsomba ndi nsomba zam'nyanja. Zakudya izi ndizokhala ndi mafuta osakwaniritsidwa ambiri, omwe ndi otsutsana ndi cholesterol. Amatchedwanso kuti "athanzi" amafuta. Kuphatikiza apo, nsomba zam'madzi ndizopangira mchere zomwe zimakhala zabwino mafupa, tsitsi ndi misomali.
Zingakhale bwino kupanga masiku osala kudya kamodzi pa sabata. Maziko a masiku oterewa amakhala zipatso, mkaka wopanda mafuta. Athandizira kuyambitsa metabolism ndikuyamba kugwiritsa ntchito mafuta a thupi kuchokera m'matangadza.
Mankhwala
Mpaka pano, mankhwala ambiri apangidwa omwe amakhudza njira zosiyanasiyana mthupi.
Njira zomwe zimakhudzana ndi kusinthana kwa cholesterol:
- letsa kuyamwa kwa cholesterol yochokera ku chakudya,
- letsa kuphatikizika kwa cholesterol yamkati,
- zimakhudzanso thupi ndi mankhwala a cholesterol, omwe amayenda m'magazi,
- onjezerani cholesterol excretion.
Komanso, mankhwalawa atherosulinosis, mankhwala amagwiritsidwa ntchito omwe amalepheretsa kupititsa patsogolo kwa njira zomwe zimayambitsa kukula kwa matendawa:
- zikukhudza kuperewera kwa mtima (kutsitsa kupenyerera),
- kukhudza magazi,
- zimakhudza kagayidwe ka electrolyte.
Beta sitosterol
Amatanthauzira ku gulu la mankhwala omwe amasokoneza kuyamwa kwa cholesterol m'matumbo. Tengani katatu patsiku ndi chakudya. Njira ya mankhwala osachepera 1 chaka. Palibe mavuto.
Mankhwalawa samangoletsa kaphatikizidwe ka cholesterol, komanso amathandizira pakuchulukitsidwa kwake kwa thupi. Iyenera kumwedwa katatu patsiku. Njira ya mankhwala osachepera 1 chaka.
Mankhwalawa ndi amino acid. Imalimbikitsa kupanga choline. Ndi mafuta osakwanira, mafuta amawaika m'chiwindi. Amapezeka mu mawonekedwe a ufa komanso mapiritsi. Tengani katatu patsiku. Maphunzirowa ali osachepera chaka chimodzi.
Kukonzekera kovuta komwe kumaphatikizapo ascorbic acid, pyridoxine ndi methionine. Ikani 1 nthawi katatu patsiku. Maphunzirowa ndi mwezi umodzi. Koma njira ya chithandizo ndi delipin iyenera kubwerezedwa.
Mankhwala, omwe ali ndi linoleic ndi linolenic acid. Ndi mankhwala azitsamba. Zotsatira zoyipa, kusokonezeka kwa dyspeptic kumatha kuchitika. Njira ya mankhwala osachepera 1 chaka.
Kukonzekera kwa ayodini
Amaganizira imodzi mwazithandizo zakale kwambiri za matenda a atherosulinotic. Zotsatira zake zimaphatikizidwa ndi kukhudzidwa kwa chithokomiro ndi chiwindi. Kuwongolera kagayidwe ka lipid, kamene kamayambitsa ma lipids abwinobwino m'magazi. Pakalibe matenda kuchokera ku chithokomiro cha chithokomiro, kukonzekera kwa ayodini kumayikidwa ambiri. Avereji ya madontho 10 pa chikho chimodzi cha mkaka. Maphunzirowa sapitilira mwezi umodzi (nthawi yachilimwe kapena kumapeto kwa masika).
Atherossteosis sangathe kuthandizidwa popanda kumwa mavitamini. Makamaka omwe amakonda: B1, B2, B12, ascorbic acid. Zonse zimakhudza chiwindi ndi kagayidwe kachakudya mthupi. Kuphatikiza pa kutsitsa cholesterol, kuchuluka kwa ma phospholipids kumawonjezeka. Tengani piritsi la mavitamini 1 ndi supuni 1 m'mawa ndi madzulo. Njira ina yothandizira ndi jakisoni wamitsempha. Njira ya chithandizo ndi miyezi itatu. Kamodzi pachaka, ndikofunikira kubwereza kudya mavitamini.
Nthawi zina, mankhwala a mahomoni amapatsidwa. Komabe, ali ndi zovuta zingapo zoyipa, chifukwa sizomwe zimagwiritsidwa ntchito kawirikawiri pazachipatala. Amalembedwa ngati vuto la atherosulinosis lili mu matenda a ziwalo, chithandizo chake chitha kukhala mankhwala a mahomoni. zitsanzo zimaphatikizapo estradiol, chithokomiro.
Njira zapakati komanso za opaleshoni njira zochizira
Mankhwala sindiye njira yokhayo yothandizira atherosulinosis. Kuthandizira opaleshoni ndikotheka kumapeto, pamene mankhwalawa samabweretsa kufunika. Ngakhale mutatha kusintha njira zovuta, chithandizo chovuta chimafunikira, chomwe chingachepetse kuchuluka kwa zolembedwa za atheroscrotic komanso kuwonjezera moyo wa wodwalayo. Kwa munthu aliyense, chithandizo chimasankhidwa payekhapayekha, chifukwa zimatengera gawo la matendawa komanso kuwonongeka kwa ziwalo ndi minyewa.
Angioplasty ndi kununkha
Njirazi zimakhala ndi matanthauzidwe osiyanasiyana, koma zimagwiritsidwa ntchito palimodzi kuti tipeze zovuta. Thandizo la angioplasty ndikuti limakupatsani mwayi kuti mutseke m'dera lomwe lakhudzidwalo ndi minofu yopanga. Chotsatira, ndikofunikira kukakamiza kwa botilo kuti mupewe kuphipha komanso kuti musawononge mitsempha. Ndi chithandizo ichi, matendawa adzalephera kutchulidwa, ndipo ndikuwonongeka kwa malekezero akumunsi, ma syndromes a ululu amachepa kapena kutha kwathunthu. Koma musaiwale kuti chithandizo cha atherosulinosis chitha kukhala chothandiza ndi njira yophatikizidwa. Zilonda zam'munsi, ndikofunikira kuyang'anitsitsa kuphunzitsa miyendo kuti mupewe chiopsezo chobwereza chilonda.
Mitsempha yama coronary imadutsa kolumikiza
Kuchepetsa kumeneku kuyenera kuchitika pamene matendawa afika gawo lomaliza ndipo njira zochiritsira zosasamala sizibweretsa chiyembekezo kwa wodwalayo. Nthawi zambiri, zizindikirazi zimawonetsedwa ndi angina (kupweteka kumbuyo kwa sternum), yomwe siyimitsidwa ndi nitroglycerin. Pogwiritsa ntchito opaleshoni iyi, magazi amalowera pomwepo amamangidwa pamalo omwe akukhudzidwa ndi mtsempha. Kuchitapo kanthu kumeneku kumakhala kakhadinala ndipo kumachitika pamene kuluma sikulinso kwatheka chifukwa cha kuchuluka kwa malo amisala.
Pazipezi, mitsempha ya m'munsi yotsika imatengedwa. Popeza mtsemphawo umakhala ndi ma valavu, umalowetsedwa usanalowe, motero umapereka magazi popanda chotchinga. Zombozi zimapereka chithandizo kumtima, chifukwa magazi amathamanga pang'onopang'ono panthawi yamatchulidwe a atherosclerotic, koma adzadutsa "ziwiya" zatsopano. Kwa malekezero apansi, opareshoni iyi siyingavulaze kwambiri, chifukwa pali intaneti yayikulu pamiyendo yomwe imatha kulipirira kutayika kwa masentimita angapo.
Chiwopsezo chakuti matendawo adzabweranso sichochepa, koma chikuwonjezeka ndi zaka khumi zilizonse. Mankhwalawa ayenera kukhala okwanira, ndiye kuti, ndikofunikira kuphatikiza moyo wabwino, zakudya zoyenera komanso mankhwala osalekeza. Ndi pokhapo izi pomwepo zomwe zimapangitsa kuti chiwopsezo cha matenda a m'mimba komanso kuchepa kwa magazi chichepe.
Kukonzanso kwamitsempha yamagazi
A matenda monga atherosulinosis amakhudza pafupifupi mitsempha yonse ya thupi. Zida zaubongo zimakhala ndi vuto la sclerosis zosachepera ziwiya za miyendo kapena mtima. Chifukwa chake, pamitsempha yamaubongo adapanga njira zawo zochiritsira.
Zomwe zimapangitsa kuti chotchacho chitsekeke chimatha kukhala chikhomo cha atherosselotic, kapena embolus kapena thrombus, yomwe yachokera ku ziwiya (mwachitsanzo, malekezero am'munsi) ndikulowa mu ubongo. Mothandizidwa ndi opaleshoni yolowerera, pulasitala kapena embolus imachotsedwa. Chiwonetsero chapadera chimasokonekera kumalo ano, chomwe sichingalole kuti chotchukacho chiwonjezeke kapena mgwirizano ndikubwezeretsa kutuluka kwa magazi.
Ngati izi sizichitika pa nthawi yake, ndiye kuti kwakanthawi kochepa sitiroko ndiyotheka. Izi ndichifukwa choti maselo aubongo amamvera kwambiri kuperewera kwa mpweya ndi michere, popeza alibe zinthu zomwe zingapatse maselo osowa mphamvu nthawi yayitali ya ischemia.
Chithandizo cha aortic aneurysm
Arterial khoma dilatation ndi kuphatikizika kwa atherosulinosis. Ndi aneurysm ya ziwiya zamagawo akumunsi, njira yovuta ya mitsempha ya varicose ndiyotheka. Kutupa kowopsa kwambiri ndi kupukusira kwa m'mimba, kotero kukakhazikika, wodwalayo amwalira pambuyo mphindi zochepa kuchokera kuchepa kwambiri kwa magazi.
Nthawi zambiri, kuwonjezeraku kumachitika kumadera akumidzi, chifukwa ndi momwe kuchuluka kwakukulu kwa nthambi kumakhalira. Pokhala ndi kuwonongeka kwakukulu, wodwalayo amamva kupweteka kwambiri pamimba ndi kumbuyo. Palibe chithandizo pamankhwala kapena kugwiritsa ntchito kutentha kumabweretsa mpumulo.
Njira zochizira matenda aortic aneurysms zimangogwira ntchito. Ndikofunikira kuchotsa malo a convex ndi ma prosthetics am'tsogolo, opaleshoni yam'mbuyo kapena kuyikanso kwina komwe akhudzidwa. Kusankha kwa njira yotsekera lumen mu msempha kumadalira kuwonongeka kwa chotengera. Ndi chithandizo ichi, matendawa amatha kubwerera ngati malamulo a zakudya, moyo ndi mankhwala sanatsatidwe.
Kutulutsa kwa laser
Kutulutsa magazi kwa laser kumangothandiza kuchepetsa kuchuluka kwa cholesterol yozungulira. Ndi kuwonongeka kwakukulu kwa mitsempha, thandizo kuchokera ku njirayi silikhala lothandiza. Kuphatikiza apo, poizoniyu akungowonjezera chithandizo chachikulu, popeza njira yogwiritsira ntchitoyo ndi yopanda phindu. Zizindikiro zapamwamba zitha kujambulidwa poyambira matendawa. Kuchepetsa kuchuluka kwa lipids m'magazi ndikuwongolera kulera kwina kwa mtima kumathandizira kuimitsa matendawa pakadali pano komanso kupewa kutukuka kwa zovuta.
Atherosulinosis ndi matenda omwe amakhudza mitsempha yonse yam'magazi (monga ubongo ndi m'munsi mwake). Chithandizo ndichotheka, koma pamafunika kuchita khama kwa wodwalayo. Ndikofunika kumwa mankhwala pafupipafupi, kuona kuchuluka kwake. Njira ya mankhwalawa iyenera kukhala osachepera chaka, chifukwa ndi chithandizo chazitali chokha chomwe chitha kukhala chothandiza. Zochita zolimbitsa thupi ziyenera kukhala. Ndikofunika kwambiri kuti muthetse minofu yam'munsi, popeza imathandizira minofu yamtima, mitsempha yamagazi ndikuletsa kuwoneka kwa mitsempha ya varicose.
Mfundo zakuchiritsa matenda
Pochiza matenda a atherosulinosis, ndikofunikira kutsatira mfundo zingapo zomwe zingathandize kukwaniritsa zotsatira zabwino mwachangu. Pakati pa mfundo zofunika kwambiri, timawona izi:
- kuletsa zakudya zokhala ndi cholesterol yambiri,
- Kuchotsa zonse za cholesterol ndi zinthu zake zowonongeka m'thupi
- kuchita estrogen mankhwala azimayi pa nthawi ya kusintha kwa thupi.
Kutsatira malamulowa kumathandizira kwambiri kudziwiratu kwa kugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi madigiri osiyanasiyana a mtima.
Mankhwala othandizira
Kodi ndizotheka kuchiritsa atherosulinosis mwa njira zosakhwima, ndizosangalatsa kwa odwala ambiri. Inde, podziwidwa koyambirira, kukana zizolowezi zoyipa ndi chithandizo chokwanira, atherosulinosis imatha kugonjetsedwa popanda kuchitidwa opareshoni. Kuchitapo kanthu kwa opaleshoni ya atherosclerosis kumachedwetsedwa kufikira chiwopsezo cha kufalikira kwa mtsempha wamagazi ndi cholesterol plaque kapena magazi amayamba. Izi zimachitika chifukwa chakuchepetsa kwamitsempha yamagazi ndikukhala wakufa moyo wa wodwalayo. Ngati chithokomiro cha atherosulinotic chapezeka m'mbali iliyonse yamitsempha yamagazi, ichi sichiri chifukwa cholowererapo.
Pankhaniyi, madotolo azichita chithandizo chamankhwala kuti achepetse kufalikira, kukhazikitsa magazi ambiri m'derali ndikuchotsa chizindikiro cha atherosulinosis. Kuchita opareshoni kumachitika pang'onopang'ono peresenti ya milandu ngati chiwopsezo cha atherosselotic mu chotengera chitseketsa kuperewera kwa chakudya ndikufikira kwa okosijeni ku ubongo ndi minofu ya mtima. Muzochitika izi, madotolo samalangiza kuti azengereza kulowerera, chifukwa nthawi iliyonse chotengera chimatha kuvala ndi magazi, omwe amatha kupha.
Kuchita opaleshoni kwa wodwala yemwe ali ndi atherosulinosis kumakhala cholemetsa chachikulu, chifukwa chake madokotala amapenda mosamala zisonyezo zonse za opareshoniyo ndikuyesera kuti zikhale zotetezeka momwe zingathere pamoyo wa wodwalayo. Ntchito zonse zimachitika pochita opaleshoni, odwala amapita ku postoperative kukonzanso maphunziro. Kusankhidwa kwa chipatala komwe kuchitira atherosulinosis kuyenera kuyimitsidwa zipatala zapadera ndi malo azachipatala.
Ngati ndi kotheka, kulowererapo m'mitsempha kumachitika mitundu iwiri ya ntchito:
- endarterectomy - kulowererapo kotsegula chombo,
- opaleshoni yam'mimba - opaleshoni yakutali kwa dokotala wa opaleshoni pamalo pomwe pali vutoli.
Njira ya endaretctuomy imagwira ntchito yochotsa khoma lamitsempha lomwe lili ndi cholesterol amana, calcium calcium ndi michere ya fibrous. Pokonzekera opaleshoni, dokotalayo amadzuka m'dera lomwe lakhudzidwalo, akuwolotsa chotengera ndikuyika zikusi za khoma la chotengera. Pambuyo pa izi, lumen ya chotengera imakula kwambiri, magazi amayenda bwino. Njira iyi, ngakhale ikufunika kwambiri kulowetsa ziwiya, nthawi zambiri imakhala yothandiza kuposa njira zina zochizira matenda a atherosclerosis. Nthawi zina, madokotala ochita opaleshoni amaphatikiza ma endarterectomy ndi opaleshoni ya bypass kapena njira zina.
Endarterectomy
Endarterectomy nthawi zambiri imagwiritsidwa ntchito pochiza matenda am'mitsempha yama carotid, ndipo mankhwalawa am'munsi, amtsempha wama impso, komanso ziwongo zotere. Kukonzekera kwa opareshoni kumachitika molingana ndi ma protocol wamba - asanafike kulowetsamo, malo omwe malo opangira atherosselotic amatsimikiziridwa, odwala amapatsidwa magazi owonda, kuyesedwa kwa muyezo kumachitika (kusanthula kwapawiri, maginito a resonance angiography, kusiyanitsa angiography).
Pa nthawi ya opareshoni, kufalikira kwa magazi mu chotengera chomwe chasokonekera chatsekedwa, kukhudzika kumapangidwa, ndipo ma cholesterol omwe amaikidwa pazitseko za chotengera amapukutidwa ndi zida zapadera. Pambuyo pa njirayi, chotengera chimasungunuka, kayendedwe wamagazi mkati mwake chimabwezeretseka.
Carotid cholesterol madipoziti omwe amatengedwa ndi endarterectomy
Opaleshoni nthawi zambiri imakhala ndi zotsatirapo zabwino, koma saloledwa kuchita odwala onse atherosulinosis. Kuchitapo kanthu kwa neoplasms yoyipa, matenda a shuga, angina pectoris, matenda oopsa, kulephera kwa mtima, mapangidwe aubongo omwe amapita patsogolo. Opaleshoniyo imalembedwanso kwa omwe m'miyezi isanu ndi umodzi yapitayi adakumana ndi vuto la mtima. Opaleshoniyo imatheka patatha kanthawi atachiritsa.
Pambuyo pakuchita opaleshoni, odwala amawona akusamalidwa kwambiri tsiku loyamba, kenako amasamutsidwa kupita ku wodi yayikulu. Nthawi zambiri, machiritso a suture amachitika popanda zovuta. Pakatha mwezi umodzi, kufunsanso mobwerezabwereza ndi dokotala wa opaleshoni yamtima ndi kuwunika koyambira ndikofunikira.
Vuto lowopsa kwambiri pambuyo pa dongosolo la endarterectomy ndikupanga myocardial infarction. Madokotala amalimbikira kupita kuchipatala mwachangu atachitidwa opaleshoni, ngati wodwala atero:
- kufooka koopsa
- kupweteka kumbuyo kwa sternum m'dera la mtima,
- dzanzi la miyendo
- mavuto ndi malankhulidwe, masomphenya,
- kuvutika kupuma.
Chiwopsezo chotenga zovuta zimachokera ku wani mpaka atatu peresenti, motero kugwira ntchito kwa endarterectomy kumawerengedwa kuti ndi njira imodzi yothandiza kwambiri yolimbana ndi matenda a atherosulinosis.
Endovascular chithandizo cha matenda
Njira yothandizira matenda a atherosulinosis imayamba ndi kupweteka kwa mtsempha wamagazi ngati mtsempha wabwino kwambiri Catheter imayikidwa mu mtsempha wamagazi ndipo ma arteryography amachitika, momwe zingatheke kukhazikitsa gawo la kupendekera kwachithunzicho ndi kutulutsa kwa cholesterol. Chingwe chapadera chachitsulo chokhala ndi nsonga yofewa imakokedwa kudzera patsamba la lesion. Balloon catheter baluni amamuthira pamlingo winawake ndipo potero amakulitsa kuyaluka kwa chombo.
Kupopera kwa mpweya kotereku kumachitika kangapo. Nthawi ikamachitika, baluniyo imakhala pafupi kwambiri ndi khoma la sitimayo kotero kuti malo ogwiritsira ntchito cholesterol amapanikizika, kunyengerera ndikutsatira mwamphamvu makoma a chombo. Chifukwa cha njirayi, lumen ya chotengera imakula kwambiri, magazi amayenda bwino. Ngati kukangika kwa chombo kusasoweka, madokotala amaika stent kuti athandizire kukhoma kwa chotengera mu kukula komwe kukufunika.
Balloon pamalo opanga cholesterol plaque
Pambuyo pochotsa atherosclerosis ndi kubwezeretsa kutuluka kwa magazi, zida zonse zimachotsedwa, ndipo chilondacho chimadzichepetsedwa kapena chimangolungidwa ndi chala. Nthawi zambiri, odwala samakhala nthawi yayitali kuchipatala ndikupitiliza mankhwala kunyumba. Mavuto omwe amachitika pambuyo pa njirayi ndi osowa kwambiri, ndipo amakhudzidwa ndi kuphulika kwa malo opumira.
Opaleshoni yam'mimba
Ngati atherosulinosis ya msempha wamtima atapezeka, ndiye kuti wodwalayo akumana ndi vuto la mtima. Izi matenda amathetsedwa ndi shunting. Opaleshoni ya bypass nthawi zambiri amagwiritsidwa ntchito pamtima ischemia, yomwe imachitika chifukwa cha atherosulinosis. Mtima umadwala kwambiri kuperewera kwa oxygen ndi michere. Ngati chotengera chake chachikulu - aorta - chili ndi cholesterol m'makoma ake, ndiye kuti mtima sukupatsidwanso kwathunthu ndi zinthu zofunika.
Chomwe chimapangitsa kuti pakhale kusunthika ndikuwona kuti kusintha kwa magazi kumapangika, kudutsa malo ovuta. Pakuchepetsa, mutha kugwiritsa ntchito ziwiya zanu zonse komanso thanzi lanu.
Musanagwiritse ntchito kwa aortic atherosulinosis, opaleshoni yoyesera imachitika yomwe imapangitsa odwala mtima - electrocardiogram, coronary angiography, ndi ultrasound ya mtima. Nthawi zambiri, madokotala amakonda kugwiritsa ntchito gawo lina la chotengera chachikazi chomwe chimakhala ndi kuwala kambiri kuti chizipanga chopanga.
Nthawi yopanga opaleshoni ili pafupifupi maola awiri.
Munthawi imeneyi, shunt imakhazikitsidwa kwa wodwala, mtima umayamba ndipo kupatsidwa magazi kumayendera. Ngati chithandizocho chayenda bwino, wodwalayo amawonedwa kwakanthawi kachipinda kenakake kenaka amamuthandizira. Nthawi zambiri zipatala zimakhala masiku khumi. Ndi opaleshoni yotere, kuchuluka kwa chithandizo chokwanira kumakhala kokwanira, motero palibe chifukwa choopa kusunthika - kwa odwala ambiri ovuta, kusuntha ndi mwayi wokhawo wopulumutsa moyo.
Ndikukonzanso koyenera, zovuta zotere sizimabuka. Ndi odwala ochepa chabe omwe anali ndi kuwonjezeka kwa kuthamanga kwa magazi, kufinya kwamitsempha komanso matenda aimpso.
Njira zina zochizira
Chombo cha atherosclerotic chitha kuchiritsidwa osati ndi njira zachikhalidwe, komanso mothandizidwa ndi mankhwala achikhalidwe. Atherossteosis adadziwika ndi dziko lapansi kwanthawi yayitali, chifukwa chake, makolo athu adakhalanso ndi mankhwala omwe ali ndi zida zawo motsutsana ndi matenda awa.
Anyezi okhala ndi uchi - zolemetsa "zolemetsa" pankhondo yolimbana ndi matenda a matenda a m'mimba
Ndizotheka kuchitira atherosclerosis ndi wowerengeka azitsamba kokha mwa chilolezo chodwala. Nthawi zambiri, madokotala amalangizira kugwiritsa ntchito njira zina zochizira gawo loyambirira la atherosulinosis, pomwe chidziwitso cha chotengera chilibe tanthauzo ndipo palibe chiopsezo chodwala mofulumira. Nayi maphikidwe ogwira mtima othandizira kumasula thupi lanu ku cholesterol yoyipa:
- tincture wa birch masamba - supuni imodzi ya masamba owuma a birch imathiridwa ndi kapu ya madzi ndikuwiritsa kwa kotala la ola. Kenako muyenera kusiya chochitikacho kwa ola limodzi kuti kuziziretu kwachilengedwe, kenako ndikutchotsa ku keke. Mankhwalawa amamwetsedwa theka lagalasi kanayi patsiku,
- tincture wa maluwa a hawthorn - kutsanulira supuni imodzi ya maluwa owuma a hawthorn ndi kapu yamadzi, kubweretsa kwa chithupsa pamoto ndikuphika kwa mphindi 15. Kenako chinthucho chimatsekedwa ndi chivindikiro ndipo chimayimiranso ola lina. Pambuyo pake, madziwo amasefedwa ndikuledzera theka lagalasi kawiri patsiku musanadye,
- tincture wa buckwheat - supuni imodzi yamaluwa a buckwheat imapangidwa ndi magalasi awiri amadzi otentha ndikuyika kabokosi mwamphamvu ndi chivindikiro. Chifukwa chake madziwo amafunika kupirira maola angapo. Ndikulimbikitsidwa kumwa mankhwala opangidwira theka kapu kanayi patsiku, mukapanikizika kwambiri ndi maziko a atherosclerosis, mutha kuwonjezera udzu wokhala ndi phokoso la mash.
- muzu wa elecampane ungakhale njira yabwino yothetsera vutoli. Kuti mukonzekere malonda, muyenera 30 magalamu a mizu ya elecampane ndi botolo la vodika. Mizu ya mbewu imaphwanyidwa ndikuthira ndi vodka. Kusakaniza kumatsalira m'malo amdima kwa masiku makumi anayi. Pakutha kwa nthawi, amamwa madontho 25 a mankhwala musanadye. Populists makamaka amalimbikitsa yankho la mankhwala kwa odwala omwe ali ndi vuto la ubongo
- Strawberry amakhala othandizira abwino polimbana ndi atherosulinosis yamatumbo amiyendo. Muzu wouma wa mtengowo ndi nthaka ndipo supuni imodzi imathiridwa mu kapu yamadzi. Masamba a Strawberry amawonjezedwanso pano - supuni ziwiri. Chogulitsacho chimaphikidwa kwa mphindi 20, kenako ndikuwumiriza kwa maola ena awiri. Ndikofunikira kumwa 50 ml kanayi patsiku,
- anyezi madzi ndiwothandiza atherosulinosis. Iyenera kudyedwa ndi uchi. Zosakaniza zimatengedwa zofanana ndikuphatikizidwa mpaka yosalala. Supuni zitatu zosakaniza amatengedwa patsiku,
- anyezi omwe ali ndi shuga amathanso ndi atherosulinosis. Kuti muchite izi, muyenera kuthira magalamu zana a anyezi pa grater kuti mutu upereke madzi, ndikudzaza gruel ndi kapu ya shuga. M'pofunika kunena kuti mankhwalawa kwa masiku anayi, kenako tikulimbikitsidwa kutenga supuni kanayi pa tsiku.
Pochiza wowerengeka azitsamba, ndikofunikira kukumbukira kuti atherosclerosis ndi vuto lalikulu la mtima lomwe limasokoneza moyo wa munthu. Osati nthawi zonse, njira zachikhalidwe zimatha kuthana ndi matendawa. Pofuna kukulitsa nthendayi komanso osaphonya nthawi yamtengo wapatali, chithandizo chamankhwala chimayang'aniridwa ndi dokotala.
Vasel atherosulinosis imawakhudza kulikonse. Zowopsa kwambiri pamiyoyo ya anthu ndizolembera zama cholesterol zomwe zimalepheretsa magazi kulowa mu ubongo ndi mtima. Pofuna kuchiza matendawa, madokotala amagwiritsa ntchito njira zosiyanasiyana zomwe, pogwiritsa ntchito nthawi yake, zimapereka zotsatira zabwino.
Mfundo zachikhalidwe zamankhwala
Kuti mankhwalawa asinthidwe atherosselotic m'matombo kuti akhale opambana, chithandizo chovuta ndichofunikira. Za mankhwala omwe adapangidwa ndi adotolo azifotokozedwa pansipa. Malamulo oyambira kuthetsa zizindikilo za matendawa ndi awa:
- kukana zosokoneza bongo - kusuta fodya ndi kumwa mowa (mwa anthu omwe ali ndi vuto lauchidakwa komanso kusuta fodya kwa zaka zambiri, mitsempha yamagazi imakhala itachepetsedwa kale, zomwe zimapangitsa kuti matendawa apitirire).
- moyo wokangalika
- kupewa mavuto opsinjika ndi kusamvana - dokotala wotchuka Evdokimenko akuti zomwe zimayambitsa matenda onse aanthu zili pakulimbikitsa kwamanjenje. Pamavuto, tiziwalo timene timatulutsa timadzi tambiri timene timasokoneza masoka komanso kupangitsa matenda osiyanasiyana.
- kukhazikitsidwa kwa mankhwala azitsamba chifukwa cha mantha ndi ntchito yolimba - kutengera muzu wa valerian, mankhwala a ndimu, peony, sodium bromide,
- kugwiritsa ntchito mavitamini ovuta okhala ndi magulu C ndi B, ndalama ndi ma omega acid.
Popewa matendawa, ndikofunika kumwa zakumwa zoziziritsa kukhwala zamankhwala monga mawonekedwe a tiyi tsiku lililonse. Awa ndi m'chiuno cha rose, kiranberi, lingonberry, chomera, mankhwala a mandimu, sitiroberi. Kuchepetsa kuchuluka kwa cholesterol m'mwazi, kulowetsedwa kwa eleutherococcus pa vodka kumagwiritsidwa ntchito pazomwe zimachitika 1: 1. Pambuyo popita kuchipatala, kamvekedwe ka minyewa kamafalikira, kutopa kumachepa, komanso kamvekedwe kamatchulidwe.
Ndikofunikira kuchita masewera olimbitsa thupi tsiku ndi tsiku - kukulitsa minofu ya makina am'mimba, miyendo, mikono, lamba wamapewa, khosi. Kuchita masewera olimbitsa thupi pafupipafupi kuphatikiza masewera olimbitsa thupi kumapangitsa kuti magazi azikwana ndi mpweya, kusinthitsa kupezeka kwa ziwalo zonse ndi minofu, kuthandiza mtima ndi mapapu.
Chithandizo cha Shishonin
Dr. Yu.A. Shishonin, yemwe adakhala nthawi yayitali pakuphunzira matenda a atherosulinosis, adalowa mu gawo la zomwe zimachitika mu thupi la wodwala. Dokotala wapanga njira yothandizira mankhwala yomwe imasiyana ndi chikhalidwe, chifukwa zimakhudzanso kuphatikizidwa kwa mapepala ndi mawonekedwe a thrombotic mwanjira yachilengedwe.
Dokotala amakhulupirira kuti mutha kuthana ndi atherosclerosis pomvetsetsa zomwe zimayambitsa matendawa komanso makina a chitukuko. Amati matenda a matenda si matenda odziyimira pawokha, koma amayamba chifukwa cha zovuta zingapo mthupi, makamaka magwiridwe antchito a metabolism. Adanenanso vutolo ngati "lipid nkhawa syndrome", chifukwa cha pancreatitis, cholelithiasis, ndi mafuta a hepatosis.
Popeza Shishonin amakhulupirira kuti atherosclerosis imachitika chifukwa chophwanya bile ya metabolism m'thupi (osati mafuta), akuganiza zopanga chilengedwe kuti chiwonetsero cha chiwindi chikhale bwino komanso kubwezeretsa minofu yake:
- Apatseni thupi kuchuluka okwanira mafuta achilengedwe obwera (masamba kapena nyama). Chifukwa chake, mutha kupanga kutulutsa kwathunthu kwa bile kuchokera ku chiwindi kupita ku duodenum. Njira ychithandizo ndi yodziwika kwa wodwala aliyense.
- Sungani magazi bwino mumitsempha yama chiwindi kuti ikhale yopyapyala ya bile ndikubwezeretsa minofu ya chiwindi. Kuti izi zitheke, Shishonin pamodzi ndi anzawo adapanga njira yopumira komanso yochita zolimbitsa thupi. Cholinga chake ndikuwonjezera magazi ku chiwindi ndi kutikita kwake kwachilengedwe pochepetsa minyewa yam'mimba komanso diaphragm.
- Amayang'anira zochitika zamtundu wa chiwindi poyang'anira nthawi zonse kuchuluka kwa mahomoni opangidwa ndi pituitary ndi hypothalamus. Odwala ambiri omwe ali ndi matenda amtima komanso atherosclerosis, amalumpha mu hormone imodzi kapena ina adapezeka. Chifukwa chake, adotolo akuonetsa kuti pakhale chithandizo chamankhwala cha mahomoni kuti akhalebe wolimba pituitary ndi hypothalamus.
Odwala omwe adatha kuyesa njira zina zamankhwala molingana ndi Shishonin, amati chithandizo chotere ndi chothandiza kwambiri. Malinga ndi akatswiri, zowona, atapima mayeso mu odwala omwe ali ndi ziwonetsero zazikulu ndi kusakhazikika kwa bile chifukwa chamankhwala malinga ndi Shishonin, pali kusintha kwakukulu kochira.
Homeopathy
Ma homeopath amati kumwa mankhwala a statin, sequestrant, ndi nicotinic ndi othandiza, koma mukamaliza mankhwalawa matendawo amayambanso kupita patsogolo. Ndipo mothandizidwa ndi mankhwala a homeopathic mutha kuthana ndi atherosulinosis chifukwa cha zomwe zimayambitsa matendawa.
Kukonzekera kwazitsamba kumayambitsa kudziwongolera mthupi, zomwe zimathandizira kuchotsa zizindikiro zowopsa za atherosulinosis. Amagwira pamaselo a cellular, kubwezeretsa minyewa yomwe yakhudzidwa ndi matendawa. Mwazi umatsukidwa ndi "cholesterol" yoyipa ", mapangidwe a zolembera ndi ziwunda za magazi amaletsedwa, ndikuwonetsa kwa ziwiya kumakulitsidwa.
Nthawi zambiri, ma homeopaths amalimbikitsa kutsatira njira zotsatirazi:
Odwala omwe ali ndi zizindikiro zazikulu za atherosulinosis amatchulidwa mankhwala omwe amathandiza kuti magazi atuluke - Botrops, Gelleborus, Ginko Biloba, Lachezis. Koma katswiri wakunyumba yekha ndi yemwe angalimbikitse chithandizo chilichonse.
Kodi matendawa amakula bwanji?
Atherosulinosis ya ziwiya zamagawo am'munsi amayamba ndikusokonekera kwa cholesterol yowonjezera mkati mwa zotengera. Popita nthawi, makutidwe ndi okosijeni a madongosolo, mawonekedwe a chitetezo cha mthupi. Makoma a zotengera amatenthedwa ndikukula. Kenako amayamba kukula kwa mapanga, limodzi ndi kufinya kwa mitsempha, ndikuchepetsa magazi. Chifukwa cha kusintha kumeneku, magazi amaundana m'malo amadzi a cholesterol, ndikupanga magazi owundana.
Magawo a matenda
Atherosulinosis imachiritsidwa ndi gawo la matendawa:
- Gawo loyamba limadziwika ndi lipoidosis, kusokonekera kwa lipid metabolism. Ululu umachitika pambuyo poyenda kwakutali. Pathology imakula mwachangu komanso mopanda tanthauzo,
- Gawo lachiwiri, ululu umayamba kuwoneka, chifukwa chakuchepa kwa lumen ya ziwalo zamiyendo, 60% yodzazidwa ndi malo atherosselotic.
- Gawo lachitatu limatchedwa "ischemia yovuta." Munthu samathanso kuyenda mamilimita 50 popanda kupweteka,
- Pa gawo lachinayi, zilonda zam'mimba, necrosis, gangrene. Wodwalayo amakhala ndi ululu wosalekeza.
Kodi ndizotheka kuchiritsa atherosclerosis ya m'munsi malekezero - ndizotheka, koma pokhapokha matenda. Pathology imachiritsidwa kwathunthu ngati wodwalayo atsatira malingaliro a katswiri.
Mu gawo lachiwiri, matendawa amatenga nthawi yayitali ndipo amafunika chithandizo chautali, nthawi zina. Pa gawo lachitatu, ndizosatheka kuchiritsa matendawa, kugwiritsa ntchito mankhwala osokoneza bongo amalembedwa kuti asiye zizindikiro zosasangalatsa. Pa gawo lachinayi, kuchitapo kanthu pakuchita opaleshoniyo ndikudulanso miyendo.
Kuzindikira kwa moyo wa wodwalayo ndi atherosulinosis ndikabwino. Ngati mungayang'ane ndi dotolo ngati zizindikiro zoyambirira zikuchitika, ndiye kuti mu 80% muthane ndi chiopsezo cha kufalitsa kwambiri magazi. Kusasamala kwa 95% kumabweretsa kudula miyendo, ndipo nthawi zina mpaka kufa kuchokera ku kuledzera kwa thupi. Ngati mungayang'ane ndi dokotala mochedwa, zotsatirazi za atherosulinosis zingachitike:
Kuchepa kwa zovuta za atherosulinosis zimatengera kupezeka kwa chithandizo chothandiza, cholowa, zomwe zimachitika wodwalayo, msinkhu wake, ndi moyo wake.
Ngati matenda otere atapangidwa, wina sayenera kutaya mtima, chifukwa mtima wamatenda wamatenda amathandizidwa mosavuta. Choyamba, muyenera kuganizira za moyo wanu - kusiya mowa ndi kusuta.
Makamaka chidwi chake chikuyenera kulipira pakudya. Ndikofunikira kupewa zakudya zamafuta, kuphika, zonunkhira. Ndikofunikira kuchepetsa kugwiritsa ntchito mchere, chifukwa zimakhudza bwino magawo a mitsempha yamagazi. Zakudyazo zimaphatikizapo zakudya zam'nyanja, chimanga, zipatso zatsopano, masamba. Ndikofunikira kuti muchepetse kunenepa kwanu.
Kuyenera koyenera ndikuchita zolimbitsa thupi zolimbitsa thupi. Kwa odwala omwe ali ndi atherosulinosis, kusambira, kuyendetsa njinga, kuyenda ndi koyenera. Maphunzirawa amathandizira kuchepetsa thupi, kulimbitsa ziwiya zamatenda.
Mankhwala
Chithandizo cha atherosulinosis ya m'munsi malekezero zimaphatikizapo kumwa mankhwala. Zotsatira zabwino zimaperekedwa ndi kugwiritsa ntchito:
- Fibratov
- Madera
- Nicotinic acid
- Zilonda,
- Mankhwala a Antispasmodic,
- Vasodilators,
- Omwe akukhathamiritsa mafuta acids.
Mankhwala omwe alembedwa samalola kuti cholesterol iunjike, kuthetseratu kwamitsempha.
Ngati mutenga ma statin kwa zaka zopitilira 2, ndiye kuti kukulitsa zovuta za atherosclerosis kumachepetsedwa ndi 30%.
Kuphatikiza pa mankhwala, ndikofunikira kuti thupi likhale ndi mavitamini. Kuphatikiza pa chithandizo chamankhwala, physiotherapy ndi mankhwala. Physiotherapy imatha kusintha kayendedwe ka mankhwalawa kukhala zigawo zakuya, kuchepetsa kutupa, ndikuchotsa ululu. Kuti muchite izi, ndikulimbikitsa kugwiritsa ntchito:
- Electrophoresis ndi Novocaine,
- Darsonvalization
- Hyperbaric oxygenation.
Opaleshoni
Ngati chithandizo cha Conservative sichikupereka zotsatira zomwe zikuyembekezeka, matendawo amapita patsogolo, kuchitapo kanthu kwa opaleshoni kukuwonetsedwa. Ngati wodwala akuzunzidwa ndi ululu waukulu, ndiye kuti chotengera chowonongeka chimasinthidwa. Mothandizidwa ndi opaleshoni, zovuta zoyipa za atherosulinosis zitha kupewedwa. Ndizotheka kuchiritsa matendawa ndi:
- Ndikuluma
- Autodermoplastics,
- Endarterectomy,
- Kutekemera,
- Angioplasty,
- Prosthetics.
Atherosulinosis imathandizidwa bwino ngati wodwala amafunsira dokotala mwachangu ndikukwaniritsa zonse zomwe akulimbikitsidwa. Powunikiranso momwe amakhalira ndikuwona malamulo osavuta a kupewa, mutha kupewa kupangidwako kwa cholesterol plaque ndi kupitirira kwa matendawa.
Njira zochizira matenda
Ngati dokotalayo wapeza atherosulinosis, musataye mtima ndi kutaya mtima. Magawo oyamba a matendawa amathandizika bwino, muyenera kungowonanso momwe mumadyera komanso moyo wanu. Anthu odwala matenda ashuga, ngati sanachite izi kale, ayenera kusiya kusuta, osamwa mowa. Nikotini ndi mowa zimawononga kwambiri mkhalidwe wamtima wamtima.
Kuphatikiza apo, ndikofunikira kulabadira zakudya. Kuchokera pamenyu, chakudya chomwe chimakhala ndi mafuta ambiri a nyama, zophika ndi msuzi woipa zimachotsedwa. Musaganize kuti kutsitsa cholesterol chizindikiro chanu kumafunikira zoletsa zopweteka komanso zovuta kudya. M'malo mwake, ngakhale ndi kusintha kwa atherosselotic, mutha kudya mosangalatsa komanso mosiyanasiyana, ngakhale kuti simukuvutika ndi njala.
Patebulo pazikhala masamba, zipatso, chimanga, nsomba.
Malangizo achiwiri othandizira mankhwalawa atherosulinosis ndi ntchito yofunikira. Malinga ndi ziwerengero, pafupifupi 60% ya anthu odwala matenda ashuga omwe amakayikira atherosulinosis ndi onenepa kwambiri, amakhala moyo wongokhala.
Muyenera kuchita masewera olimbitsa thupi pafupipafupi kapena osayesa kusuntha kwambiri. Odwala ndi oyenera kuyenda maulendo ataliatali, kupalasa njinga, kusambira. Maphunziro amalimbitsa bwino mitsempha yamagazi, mtima, amathandizira kuti muchepetse kulemera kokha, komanso mafuta ngati mafuta.
Kodi atherosulinosis angachiritsidwe? Matendawa akapita patsogolo, dokotalayo amalimbikitsa njira yokhala ndi mankhwalawa yoletsa vasodilation kuti athane nayo.
Njira zochizira zikalephera, chithandizo cha opaleshoni ndiyofunikira kwambiri.