Atherosulinosis ya malekezero - kufotokoza kwathunthu matendawa ndi njira zamankhwala

Atherosulinosis ndi matenda a polyetiological omwe amakhudza khoma lamitsempha ndipo amatha kuwonekera m'malo osiyanasiyana pamagawo osiyanasiyana.

Tidzakambirana imodzi mwazomwe zimapezeka kwambiri ku matenda - atherosulinosis yamitsempha yama m'munsi - tikambirana za zomwe akuwonetsa komanso chithandizo chake, zomwe zili zowopsa komanso momwe zingapeweretsedwe.

Kufotokozera Matenda

Atherosulinosis ya malekezero am'munsi ndi matenda omwe endothelium (mkati wam'kati) yamitsempha yamiyendo imakhudzidwa. Izi zimachitika chifukwa cha kusalinganika mu lipid metabolism. Chifukwa chachikulu onse atherosclerosis ya msempha ndi mitsempha ya miyendo - chosalekeza komanso chosasunthika chosonyeza cholesterol yoyipa m'magazi. Malinga ndi gulu la mayiko, atherosulinosis yamitsempha yam'miyendo imakhala ndi ICD code ya 10: 170.2.

Matendawa amadziwonekera makamaka mu ukalamba komanso msanga, koma zizindikiro zake zasayansi zitha kupezeka kale. Atherosulinosis imatha kukhala m'thupi kwa zaka makumi ambiri koma osawonetsa zizindikiro. Mitsempha yayikulu imakhudzidwa nthawi zambiri. Pang'onopang'ono, kuwunikira kwa chotengera kumatsekedwa ndi cholesterol plaques, ndipo atherosulinosis imakhala pa fomu ya-wall-occlusal. Kodi chapadera ndi chiyani ndi iye? Pankhaniyi, ma sclerotic misa osakanikirana ndi lipids amathiramo lumen yochulukirapo kuposa theka.

Mogwirizana ndi izi, njira zowonongeka zimachitika m'magawo a capillary system. Chifukwa cha kuphatikizika kwa mitsempha yaying'ono, kupindika kwamiyendo ndi mafupa kumasokonezeka, ndipo chithunzi cha matenda chimapangidwa.

Magawo otukula ndi zizindikiro

Kulabadira zaumoyo ndi moyo wanu kumathandizira kuti matenda a miyendo ikhale patsogolo. Zizindikiro zowopsa, zovuta zowopsa m'moyo zimawonekera, zatsopano za zotupa za atherosulinotic zitha kuwoneka. Akatswiri amasiyanitsa magawo angapo a atherosclerosis a miyendo:

Gawo loyesera. Munthawi imeneyi, zikuwonekeratu kuti palibe matenda. Koma pali kuwonongeka kale kwa lipid metabolism ndipo njirayi yayamba. Zomwe zimayambitsa zimagwira gawo lofunikira kwambiri - kunenepa kwambiri, kuperewera kwa zakudya m'thupi ndi zakudya zamafuta ochulukirapo, kusachita masewera olimbitsa thupi, ukalamba, komanso matenda opatsirana. Onsewa amafulumizitsa njira ya matendawa. Dzipezeka kokha mu labotale - pazowunikira ndikuwonetsa kuchuluka kwa cholesterol ndi zigawo zake "zoyipa" - LDL ndi VLDL. Pofanana ndi cholesterol, triglycerides iwonso ikukwera.
Gawo loyamba. Munthawi imeneyi, njira ya sclerosis yamitseko yam'munsi yathamanga kale, koma chithunzi chachipatala sichinafotokozedwe bwino. Zizindikiro sizikupezeka, zimatha kuchitika pokhapokha ngati pali zochulukitsa, kuyenda nthawi yayitali kapena kuthamanga, ndipo nthawi zambiri sizikopa chidwi.
Gawo lachiwiri. Apa mpovuta kale kuti musazindikire mawonekedwe a atherosulinosis. Kukula kwa zizindikiro kumachulukitsa, kupweteka m'miyendo yomwe ikukhudzidwa kungayambitse masewera ochepa komanso masewera olimbitsa thupi. Mtunda wokwanira woyenda ndi ululu wam'mimba ndi 250 mamita. Pakadali pano, kuchitika kwa njirayi ndikotheka. Matenda Otsika Limb Ischemia amakula - HINC - 2A siteji ya atherosulinosis.
Gawo lachitatu. Mitundu yochepa komanso yotsika kwambiri imayambitsa kusasangalala komanso kupweteka. Mtunda woyenda wopanda ululu umachepetsedwa mpaka mita 50.
Gawo lachinayi ndikusokonekera kwa trophic. Imapezekanso m'mabuku omwe ali pansi pa dzina loti "terminal". Ili ndiye gawo lovuta kwambiri la matenda.Chifukwa cha kusokonezeka kwakukulu pakukula kwa mitsempha ndi mitsempha ya m'miyendo ndi magazi m'magawo, zotupa zam'mimba zopanda mafupa kumiyendo, khungu limachita khungu, malo a necrotic (zidutswa za minofu ya necrosis) zimawonekera, ndikupereka minofu ndi minyewa yokhala ndi mpweya imasokonekera. Popanda chithandizo mwachangu, njirazi zimatha kulowa m'mavuto.

Ngakhale kupezeka kwa gawo lalitali la asymptomatic, pomwe wodwala sawonetsa madandaulo aliwonse, matendawa amatha kupezeka kale ndikuchiritsidwa. Ndi kukula kwa ma atherosselotic plaques pamitsempha ya mitsempha, chithunzi cha chipatala chimakulanso. Nthawi zambiri Zizindikiro zoyambirira - Uku ndi kudzimbidwa kwa khungu la kumapazi, kumverera kwa tsekwe komanso kumva kugunda kwamphamvu, kumamva kulemera kwamiyendo.

Kutsatira izi, chifukwa cha stenosis komanso kuchepa kwamitsempha yam'mimba, kukoka kwa mitsempha m'miyendo, chidendene ndi fossa ya popliteal kumachepetsedwa. Chizindikiro chofunikira kwambiri ndikumva kupweteka kwambiri panthawi yogwiritsa ntchito - kuwonekera mukuyenda. Ndi chikhalidwe, nthawi komanso kutulutsa kwawoko komwe kumatsimikizira momwe njira zowonongera zapita.

Mawonetseredwe a atherosclerotic mwa akazi ndi amuna ali ofanana, kupatula kuti mu theka lamphamvu la umunthu mawonetseredwe a matendawa amapezeka zaka zoyambirira. Zaka za chiwopsezo chowonjezereka kwa abambo zimaposa zaka 40-45, kwa akazi - opitilira 50-55.

Diagnosis: momwe mungayang'anire ziwiya zamiyendo ya atherosulinosis

Mpaka pomwe chiwonetsero chachikulu cha atherosulinosis cha mitsempha yam'munsi, malo oyambira asymptomatic amakhala nthawi yayitali. Pa iye, matendawa atha kupezeka kale labotale komanso yothandiza. Ndipo monga mukudziwira, kuzindikira koyambirira kwa zizindikiro za atherosulinosis ndiko njira yake yothandiza. Ganizirani zamakono kwambiri komanso zothandiza njira zodziwitsa ndi cholinga chawo. Izi zikuphatikiza:

Magnetic resonance angiography am'madera akutali.
Anganiography ya MSCT.
Peripheral and collaral arteriography.
Kuwerengeredwa kwa kukakamizidwa ndi cholozera-chakumaso.
Palpation ndikumvetsera kwa pulpation ya ziwiya zamankhwala.
Duplex angioscanning.
Kuonana ndi katswiri - opaleshoni ya mtima.

Zomwe zimayambitsa matenda ndi gulu la oopsa

Zinthu zikuluzikulu pakukula kwa atherosulinosis ya malekezero ake kagayidwe kachakudya matenda. Makamaka, kuwonjezereka kwanthawi yayitali kwa mafuta owopsa a cholesterol.

Kodi cholesterol yoyipa ndi chiyani? Mu lingaliro ili, ndichizolowezi kunena kuti zigawo ziwiri zamafuta awa - otsika kwambiri komanso otsika kwambiri a lipoproteins (LDL ndi VLDL). Izi zimatha kutsata khoma la chotengera komanso china chilichonse. Ndi zochulukirapo m'magazi oyendayenda, amayamba kutsatira ndikugonjera khoma lamitsempha. Kenako, pakulowerera komweko, njira yotupa yakumalo imachitika, lipoproteins zatsopano zimafalikira ndi mawonekedwe a atheromatous malo.

Momwemonso, chifukwa chofunikira chachitukuko cha matenda chibadwirekuti mwa odwala ena akhoza kuumbidwa bwino lomwe. Ngati matendawa anakula pang'onopang'ono komanso mokhazikika m'banjamo, pali chiwopsezo chachikulu kuti chitha kudziwonekeranso mwa inu.

Komabe, ngakhale adakhala kuti akudalira chibadwa, alipo otchedwa magulu oika pachiwopsezo. Awa ndi magulu a anthu omwe atherosulinosis imatha kupezeka pafupipafupi. Magulu omwe ali pachiwopsezo ndi awa:

anthu onenepa kwambiri
odwala omwe ali ndi matenda akumbuyo - matenda a shuga ndi / kapena ochepa matenda oopsa, matenda oopsa
anthu okhala ndi zizolowezi zoipa - kusuta fodya komanso kumwa mowa mwauchidakwa
Amuna opitirira zaka 40
akudwala nyamakazi - kutupa m'makoma a miyendo
odwala omwe ali ndi vuto lodetsa nkhawa komanso moyo - zakudya zamafuta ochulukirapo kumbali yakulephera kugwira ntchito.

Kodi ndizotheka kuchiritsa atherosulinosis ya m'munsi malekezero

Kudziwa momwe matendawa amakulira, magawo omwe amadutsamo ndi momwe amadziwonekera, taganizirani momwe mungathandizire zotupa za mitsempha ya mitsempha ndi mitsempha ya miyendo. Ndipo ndizotheka kufufuta kwathunthu ziwiya zamiyendo.

Choyamba, musanalandire chithandizo chilichonse chamankhwala, muyenera kusintha moyo wanu ndi zakudya zanu. Zakudya za hypocholesterol ndi zochitira zolimbitsa thupi. Ku gawo lachiwiri la kukula kwamatenda amtunduwu am'mphepete, pamakhala mwayi wabwino wowonjezera wathanzi popanda mankhwala.

Muyezo wagolide wothandizirana ndi miyendo ndi matenda ndi manja ndi njira yomwe madokotala aku South Korea amapanga. Ndi okwera mtengo ndipo amachitika m'makliniki awo. Chithandizo cha mankhwalawa ndikulowerera kwa ma cell - gulu la masentimita omwe amaphatikizidwa amachokera m'malo a zotupa. Maselo amenewa amasinthanso ndikubwezeretsa endothelium yowonongeka, kuyeretsa kwake kwa cholesterol ndipo mkhalidwe wa wodwalayo ukupita bwino.

Tsoka ilo, mankhwala akunyumba alibe matekinoloje oterowo. Njira zofala kwambiri komanso zothandiza m'makiriniki athu ndi zolimbitsa, zamankhwala ndi zamankhwala othandizira.

Mankhwala

Chithandizo cha atherosulinosis chiyenera kukhala chokwanira komanso chawanthu. Ndondomeko ya mankhwalawa imapangidwa ndi katswiri woyenera pamaziko a kusanthula deta ndi kafukufuku wazolinga. Mankhwala omwe amalembedwa amachokera ku gulu la ma statins (atorvastatin, rosuvastatin) kapena fibrate (gemfibrozil, fenofibrate), mankhwala omwe amasintha magazi a trophism komanso zotumphukira zamagazi m'magawo apansi (pentoxifylline). Mankhwalawa amakhalanso anticoagulants, vasodilators (vasodilators) ndi mavitamini.

Zithandizo za anthu

Pali maphikidwe ambiri a njira zina zochizira atherosulinosis. Otsatira a wowerengeka azilangizidwa tsiku lililonse kumwa kapu yamasamba, kudya zipatso zina ndi maapulo, ngati kuli kotheka m'malo mwa tiyi wamphamvu kapena khofi ndi infusions wa raspberries ndi m'chiuno. Kuchokera ku chakudya, maphikidwe ochokera ku nsomba zamafuta ochepa ndizotchuka. Amakhala ndi zinthu zambiri, iodini, ndi mafuta odega-3 polyunsaturated mafuta acids. Iodine imasinthasintha magwiridwe antchito a chithokomiro ndi chiwindi, ndipo Omega-3 amatulutsa cholesterol ndipo amathandizira endothelium wamasamba kuti adziyimitse yekha ma lipid amana.

Opaleshoni

Mankhwala othandizira opaleshoni ndi njira yowonekera kwambiri ya atherosclerosis. Amagwiritsidwa ntchito pokhapokha ngati mankhwala kapena chithandizo chamankhwala chisanabweretse zotsatira zomwe zikufunikira ndipo pali chiwopsezo cha zovuta zakupha.

Ntchito zapadera zotsatirazi zilipo:

Opaleshoni ya Bypass ndi njira yomwe imakulolani kuti mupange njira yosankha (yowonjezera) yoperekera magazi kumalo akhudzidwa.
Balloon angioplasty. Munjira imeneyi, chipangizocho chimayambitsidwa mkati mwa chotengera chomwe chimafanana ndi baluni pakuwoneka bwino komanso momwe chimagwirira ntchito. Pambuyo pake, baluniyo imakhuta, potero kukulitsa chotengera ndikumasula patency yoyenda magazi.
Ndikuluma. Nthawi zambiri imachitika pambuyo pa balloon angioplasty. Ndi njira yobweretsera dera lomwe lakhudzidwalo ndi chotengera chomwe chingwe ndi chubu chomwe chimasunga mulifupi mwake. Kuwala kwamphamvu kwa mitsempha kumayerekeza kukonza thupi ndikusintha kayendedwe ka magazi. Ndemanga pambuyo pa opaleshoni ikuwonetsa kukhathamira kwa njirayi.
Ndi kusokoneza atherosulinosis ya m'munsi malekezero ndi zizindikiro zolowererapo claudication, zomvera chisoni.
Vastery prosthetics - m'malo mwa chidutswa cha chiwiya cha m'munsi miyendo ndi kupanga zina.
Ndi ntchito yomwe ikuchitika, kuduladula kwa madera a necrotic (gawo la miyendo, zala) ndi ma prosthetics omwe amatsatira amachitidwa.

Kuneneratu za moyo ndi mwendo atherosulinosis

Kukula kwa matendawo ndikabwino kwambiri.Ngati, pamaso pa zowawa zomwe zimachitika poyenda, kapena madandaulo ena, funsani dokotala nthawi yomweyo, ndiye kuti nthawi zambiri mutha kupewa zovuta zazikulu ndikuletsa matendawa. Ndi malingaliro osalabadira thanzi lanu, njira yovuta yothamanga, yokhala ndi njira zowonekera kale, nthawi zambiri zimatha ndikuduladula kapena zovuta zazikulu zomwe zingayambitse imfa.

Anthu omwe amalaka matenda amtunduwu ayenera kutsatira mokwanira zakudya zabwino komanso moyo wawo. Osamadya yokazinga, siyani zoipa zonse, muchepetse nkhawa. Atherossteosis sichitha popanda kufunafuna komanso mpaka kalekale - ngati yawoneka kale m'mbiri yaumoyo wodwala, ndiye mawonekedwe ake aliwonse owopsa, imatha kubwereranso ndikuwonekera osati miyendo, koma mwa mawonekedwe ena ndi kutengera kwina.

Mbiri yakukula kwa matendawa

Zomwe zimayambitsa atherosulinosis ya malekezero akumunsi, ICD-10 code yomwe ndi I70, ndi motere:

Kusuta. Zimayambitsa kutsika kwamitsempha yamagazi ndikupanga magazi kulowa, ndikupanga zofunikira za thrombophlebitis ndi atherosulinosis.
Zakumwa zoledzeretsa.
Kulemera kwambiri, mwayi wazakudya zamagulu oopsa omwe amapatsa mphamvu ya cholesterol "yoyipa".
Matenda ena: matenda a shuga, matenda oopsa, kuchepa kwa mahomoni ogonana, ndi kuchepa kwa chithokomiro.
Khalidweli.
Kuyankha kosakwanira pamavuto.
Kupanikizika sikwachilendo.
Zaka (pakati ndi zakale).
Chiwalo chogonana (matendawa amafala kwambiri mu kugonana kwamphamvu).
Race (African-Americaans - 2.5 times more).
Kuperewera kwa mphamvu zolimbitsa thupi.
Pafupipafupi malingaliro ochulukitsa.
Kuvulala

Kwanthawi yayitali, mawonekedwe osinthika a matendawa amatha kukhala asymptomatic, koma kuyambira pomwe chiwonetsero chazachipatala choyambirira chimapitilira mwachangu. Nthawi zina, chifukwa cha thrombosis yozolowereka, matendawo amawonekera mosayembekezereka. Ndikofunika kudziwa bwino chizindikiritso chachikulu cha matenda oterowo mwatsatanetsatane ndikupeza chithandizo choyenera chomwe chingakuthandizeni kuthana nawo mwachangu.

Chizindikiro chachikulu

Imawerengedwa ngati gait yosinthika, yowonetsedwa ndi zowawa m'misempha ya ng'ombe, yomwe imachitika poyenda ndikusowa pambuyo pakupuma kwakanthawi. Ndi zotupa za atherosulinotic, kupweteka kwam'mimba ndi ziwalo zam'mitsempha zam'mimba zimapezeka m'miyendo yotsika, gluteus ndi minofu ya akazi, dera lumbar.

Kwa munthu, mawonetseredwe oterewa amakhala achizolowezi: kuzizira, kuthamanga kwa kusintha kwa kutentha, nthawi zina pamakhala kumverera kwadzidzidzi kumapazi. Mtundu wa miyendo yakusintha kwa miyendo imasintha, poyambira matendawa amatembenuka, kenako nkukhala njovu.

Kusintha kwa utoto

Pamapeto omaliza, chivundikiro cha mapazi ndi zala chimakhala ndi kapeti wamtambo-wamtambo-wamtambo-wakuda (trophic pathologies). Kupangidwe kwa zovuta zamtundu wa trophic kumabweretsa kuchepa kwa tsitsi, misomali yophweka. Pankhani ya occlusion (occlusion) yamagawo achikazi-popliteal, palibe kukula kwa tsitsi, nthawi zambiri pamwendo wapansi, ndipo kuwonongeka kwa gawo la aorto-iliac, dera la dazi limakulanso. Chimodzi mwazomwe zikuwonetsa atherosulinosis ya gawo la aorto-iliac imawonedwa ngati kugonana kwazogonana, kofotokozedwa ndi matenda a magazi mu lingaliro la mitsempha ya iliac. Chizindikiro ichi chimapezeka mu 50% ya odwala.

Njira zodziwika bwino

Ngati atherosclerosis yam'munsi yakukayikira ikukayikiridwa (ICD-10 code - I70), monga lamulo, maphunziro apadera amalembedwa. Izi zikuphatikiza:

angiography a MSCT ndi MR,
arteriography
Kupenda kwamitsempha yamagalimoto,
kuyesa kwamitsempha yam'miyendo,
kuyang'anira kuthamanga kwa magazi kuti kukhazikitse index
kukaona phlebologist.

Zikuyenda bwanji?

Madokotala amayang'ana miyendo ya trophic, amayesa kupezeka kwa mitsempha, kuchepa.Mothandizidwa ndi DS ndi USDG, systolic hum ya ma stenotic artery imamveredwa, ndipo mulingo wanjenjemera amawerengeredwa.

Kuti muwonetsetse matenda a atherosclerosis a m'munsi am'munsi, code I70-10 yomwe ndi I70, kuwunika pafupipafupi kuphatikizira kuchepa kwa magazi m'zinthu zitha kuthandizanso: wodwalayo pamalo opingasa amakweza miyendo ndi 45 °, mawondo ake amawongoka. Dotolo amawerengera kuchuluka kwa kuthamanga kwamiyendo ndi kutopa kwa miyendo.

Kuwongolera mwakuwoneka mphamvu ya mayendedwe opweteka amathandizira madera ovuta. Rotheral radiology imapereka chidziwitso cha kutalika kwa kama wokhala ndi malo osinthika am'mimba, amatha kuthandizira kuwunika kukula, "mizere yozungulira", mtundu wa mitsempha.

Palpation

Chidziwitso chofunikira pa mtundu wa matendawa chimapereka mitsempha yamitsempha yama miyendo. Pochotsa atherosulinosis yam'munsi, ICD-10 code yomwe I70, tsamba la femal-popliteal limakhudzidwa kwambiri, pachifukwa ichi, kuyambira pakufalikira kwamkati kwamitsempha yam'miyendo, kugwedezeka kwamphamvu kwa odwala sikumachitika m'mitsempha yotupa kapena m'mitsempha yamiyendo.

General mankhwala

Kupweteka kosalekeza, munthu akakhala m'malo wodekha, wofuna kugwiritsa ntchito ma pinkiller kwa milungu iwiri kapena kupitilira apo, chilonda cham'maso kapena zala zam'miyendo, miyendo yopangidwa motsutsana ndi maziko a kusakhazikika kwa miyendo, imawerengedwa ngati chisonyezo cha matenda owopsa.

Ngati simukuchitapo kanthu kuti muthandizire magazi, kuwadula kungawonekere mosaletseka. Ndipo nthawi zambiri dokotalayo samakakamiza wodwalayo kuti amudule, koma m'malo mwake, wodwalayo, atatopa ndi ululu komanso kusowa tulo, amapempha adotolo kuti adule mwendo wopanda vuto.

Zowonetsa pakukhazikitsa zochita zokonzanso zamatenda am'mbali zam'munsi (ICD-10 code - I70) ndi:

Zizindikiro za khungu lowopsa la mwendo ndi zizindikiro zake zoyambirira (necrosis ya zala, zilonda zapaziwongo).
Ululu wosakhazikika kumapazi mumalo bata. Kupititsa patsogolo kumawonedwa ndi mwendo wotsika, ndichifukwa chake odwala amagona kwa miyezi yambiri atakhala.
Kuchepetsa mtunda woyenda wopanda ululu mpaka mita 200, ngati njira yakuthandizira siyikuloledwa kuwonjezera mtundawu.

Njira yodziwika bwino yamatendawa imalumikizidwa ndikuwonongeka. Monga lamulo, kuwonjezeka kwa zizindikiro za ischemia kumachitika kwa nthawi yayitali, koma izi ndicholinga chokha mpaka nthawi yomwe thrombosis imachitika. Pakadali pano, maphunziro azachipatala amatha kukulirakulira. Reaction therapy sikuletsa kukula kwa matendawa ndipo, pafupifupi 25% ya odwala, kudulidwa kumatha.

Chizindikiro chazikhalidwe cha atherosulinosis, kuphatikiza opaleshoni, zimangoyankha kwakanthawi kochepa, ndipo patapita nthawi matendawo amabwereranso.

Chithandizo cha atherosulinosis a ziwiya am'munsi malekezero

Kuchitapo kanthu kwa opaleshoni kumachitika pokhapokha ngati chithandizo chikuyenda bwino, kukula kwa matendawo komanso magawo ake omaliza. Mitundu yotchuka kwambiri yoperekera opaleshoni: balloon angioplasty, bioprosthetics, endarterectomy, opaleshoni yodutsa, stenting ndi ena.

Prosthetics ndi njira yochizira matenda a atherosulinosis pomwe chotsekera cholumikizidwa ndimasamba chimasinthidwa ndi gawo la mitsempha ya wodwalayo kapena chogonana. Pamene ma prosthetics, chotengera chomwe chimakhudzidwa chimachotsedwa.
Kuchita opaleshoni ya Bypass ndi njira yochizira matenda omwe amadutsa wina kudzera pomwe adatulukira ndi chotengera cholumikizira - shunt. Mitsempha ya wodwala komanso kupweteka kwaubongo kumatha kukhala kovuta.
Endarterectomy - kuchotsera kwa cholesterol plaques ndi magazi kuundana. Njirayi itha kugwiritsidwa ntchito pang'onopang'ono kapena kufupika kwa mitsempha.
Balloon angioplasty - kuwonjezereka kwa chiwonetsero cha chotengera chodwala chokhala ndi baluni yapadera.Njira yochizira iyi imakhala ndi zotulukapo zabwino zokhazo zotengera zofunikira zina. Zotsatira zake, mwatsoka, si ntchito.
Stinging ndikukhazikitsa kasupe wa tubular mu chotengera cholumikizira, chomwe chimakulitsa chitsime ndikuyambiranso magazi. Njirayi imawerengedwa kuti ndi imodzi mwamakono kwambiri, monga momwe imachitidwira kudzera pakubowola kakang'ono ndipo ndimaloledwa ndi wodwala. Stinging imagwira ntchito pokhapokha ndi zotupa zakumalo, chifukwa cha ichi sichitha kugwiritsidwa ntchito mwanjira iliyonse.

Njira yogwira anthu wamba

Zosonkhanitsa ziyenera kupangidwa kuchokera pazinthu zotsatirazi: wort wa St. Onjezerani kapu yamadzi otentha ku supuni ya udzu ndikulola kusakaniza kuswedwa, kenako kutentha mpaka 37 ° C. Musanapange compress, malo omwe akukhudzidwawo ayenera kutsukidwa ndikuchapidwa ndi sopo yochapira. Bandejiyo izikhala yolungidwa m'magawo angapo (wamkuluyo, wowonda bandejiyo azikhala) ndikuyigwiritsa ntchito kumanja. Ndikofunikira kutentha pakatha nthawi yayitali. Kugwiritsira ntchito kuyenera kuyikidwa kawiri pa tsiku kwa mphindi 3-4 (ndibwino kuzichita usiku). Pa gawo loyamba la matendawa, njira yochizira ndi ma compress imatha milungu itatu, ndiye kuti muyenera kupuma kwa miyezi isanu ndi umodzi ndikubwereza maphunzirowo.

Malangizo onse

Vutoli likapanda kuthandizidwa, odwala 30% mkati mwa zaka 5 matendawa amatha. Kwa zaka 10, chiŵerengerochi chimafika pa 50%. Zomwe zimayambitsa imfa ndi kupasuka kwa mtima (60%) ndi matenda a m'magazi (12%). Kuti mukwaniritse kusintha kwakukulu, ndikofunikira kutsatira izi:

Onani zakudya zoyenera ku matenda a atherosulinosis a m'munsi.
Kulemera kwa thupi.
Pewani zizolowezi zoyipa.
Sankhani nsapato zabwino.
Dulani misomali yanu mosamala.
Yesetsani nthawi yake pakhungu la miyendo.
Pewani hypothermia yamalire.
Kusintha zolimbitsa thupi: theka la ola loyenda mwakachetechete, njinga (yophunzitsa zambiri), kusambira.
Chithandizo matenda oyanjana.

Komanso, njira yabwino kwambiri yopetsera komanso kuchizira imakhala yolimba ndi atherosulinosis ya m'munsi. Itha kuchitika zonse kuchipatala ndikuyitanitsa masseur wakunyumba.

Tsopano njira zochulukirapo za kutikita minofu zakonzedwa kuti zithetse vuto la atherosulinosis, lomwe ambiri amati:

Gawo - miyendo imachotsedwa kuchokera kumagawo ovomerezeka. Zovuta monga kukwapula, kudula kapena kufinya ndizoletsedwa. Nthawi ya opaleshoni, wodwala amafunika kupuma bwino komanso bwino kuti mpweya ukufalikira thupi lonse. Ngati pali zilonda zilizonse pachikuto cha dermatological, ndiye kuti malowa samathandizidwa.
Vampum - imatha kuyambiranso kuyesa kukonzanso, kusintha bandeji yam'mimba, kuthetsa kupuma. Kuphatikiza apo, pambuyo pa chisonkhezero chotere, munthu amamasulidwa ku zowawa ndi zosasangalatsa, kudzikuza ndi kutupa kumachepa.
Kufatsa - amayambiranso magazi m'thupi lonse. Imachitika kuyambira kumapazi kupita kumbuyo, imatha kukhudza khomo lachiberekero. Dokotala amalipira chidwi kumadera omwe akhudzidwa, zikuwonjezedwa zochulukirapo. Nthawi zonse, umakhala ndi ntchito za 15-20 ndi nthawi yayitali ya mphindi 10-15.

Olimbitsa thupi

Masewera olimbitsa thupi a atherosulinosis a m'munsi malekezero amagwira ntchito pokhapokha magawo oyamba. Ndipo, motsatira malingaliro onse.

Kupatula, njira zonse zofotokozedwa pansipa ziyenera kugwiritsidwa ntchito munthawi yopumira ya atherosclerosis komanso magawo ake oyamba. Kuphatikiza apo, muyenera kuganizira zaka zanu komanso momwe thupi lanu lilili. Ngakhale kupweteka kochepa kumachitika, wodwalayo ayenera kupuma kwa mphindi zingapo, kenako ndikupitirirabe.Ngati munthu amachita modekha masewera olimbitsa thupi kwa milungu iwiri ndipo nthawi yomweyo sanamve kufooka, ndiye kuti mutha kuwonjezera katundu.

Masewera olimbitsa matenda a atherosulinosis a m'munsi malekezero, ovuta No. 1:

Imirirani zala zanu. Tumizani kulemera kuchokera ku mwendo umodzi kupita ku umzake. Yesetsani kuchita chilichonse moyenera, osagwedezeka (nthawi 5-8).
Yendani malo, ndikukweza mawondo anu m'mwamba. Mphindi zochepa ndizokwanira.
Kanikizirani manja anu lamba wanu. Gwadani mwendo wanu ndikuyamba kuchita mayendedwe ozungulira, kuyesa kukhalabe osasunthika (nthawi 5-6 mbali iliyonse).
Imani kutsogolo kwa khoma. Gwira zala zakakhoma patali pafupifupi 40-50 cm kuchokera pansi.
Yendani m'chipindacho pachidendene chanu kwa mphindi 1-2.

Asanayambe njira yachipatala, dotolo amayang'anitsitsa mbiri yachipatala kuti athe kuganizira zonse, kupatula, mauthenga omwe adapangitsa kuti matendawa ayambe.

Njira zimakhazikitsidwa kuti muchepetse ululu womwe umachitika pakapita nthawi pang'ono, kubwezeretsanso kulekerera, kupewa malo oopsa a m'mitsempha, komanso kupewa zilonda zam'mimba.

Atherosclerosis ya ziwiya zamagawo akumunsi ICD code 10

Atherosulinosis ndi matenda achitukuko. Chifukwa cha kuthamanga kwambiri kwa moyo, kusuntha kosalekeza komanso kupsinjika kwa m'maganizo, kugona ndi kudikira kumaphwanyidwa, malamulo a zakudya zabwino amaphwanya.

Izi ndi zina zambiri zimakhudzanso kuti mu matenda a mtima, kusintha kwa mitsempha m'mitsempha yamagazi kumachitika pamalo oyamba pakati pa zoyambitsa kufa ndi kusokonezeka kwapang'onopang'ono.

Malo apadera mu ziwonetserozi amatenga atherosulinosis yamatumbo am'munsi, ngati mkhalidwe womwe umachepetsa kwambiri moyo wa wodwalayo ndikupangitsa kusapeza bwino.

Kufotokozera kwa matenda, code yake malinga ndi ICD-10

Kuwonongeka kwa atherosulinosis ya miyendo ndi matenda am'mimba momwe ma lumen amitsempha amatsekedwa, kufalikira kwa magazi m'mphepete kumalephera. Kutulutsa kwamitsempha kumachitika chifukwa cha kuchuluka kwakukulu kwa lipids mwa iwo.

Cholesterol plaques amapanga pamakoma, omwe pang'onopang'ono amawonjezeka. Zotsatira zake, minyewa yam'mimba imachepa kwambiri, kenako ndikuguliratu. Izi zimadzetsa kusayenda bwino m'mitsempha, osawonedwa m'miyendo yokha, koma m'thupi lonse.

Kuwonongeka kwa atherosulinosis kwa ziwiya zamagawo akumunsi kuli ndi nambala malinga ndi gulu la matenda padziko lonse lapansi (ICD-10) I70.

Kodi zimachitika bwanji?

Matenda a atherossteotic amapezeka chifukwa cha kuwonongeka kwa makoma amitsempha yamagazi ndi cholesterol yayikulu m'magazi. Kupita patsogolo kwa anomaly kumachitika pang'onopang'ono komanso nthawi yayitali pazinthu zoyipa za thupi.

Zitha kupangitsa matenda:

Kusuta fodya komanso kuledzera.
Zakudya zoperewera mukamadya zakudya zambiri ndimafuta ambiri a nyama.
Kuthamanga kwa magazi.
Kunenepa kwambiri.
Kuchita masewera olimbitsa thupi mopitirira malire.
Khalidweli.
Matenda a shuga.
Khalidwe labwino.
Kupanikizika pafupipafupi.
Hypothermia yayitali yamiyendo.

Matenda owopsa nthawi zambiri amakhudza okalamba, koma posachedwapa matendawa ayamba kudwala.

Arterial kuwonongeka limagwirira

Mothandizidwa ndi zinthu zoyipa, kuwonongeka kumawonekera pamakoma a mitsempha. M'malo mwake, lipids zimayamba kudziunjikira, zomwe zimapanga malo achikasu. Pafupi ndi iwo, minofu yolumikizira imayamba kupanga, chifukwa cha momwe chidikiriro chikukula. Zinthu zina zimatha kukhazikika pamwamba pake: mchere, michere ya fibrin, mapulateleti.

Dera lomwe lakhudzidwalo limakhala lotchinga chala. Tinthu tating'onoting'ono timatha kutuluka m'matumbo athu, omwe amayenda kudutsa thupi ndi magazi ndipo amatsekeka.

Chifukwa chosayenda bwino m'mitsempha, minofu imadwala chifukwa chosowa mpweya komanso michere. Izi zimaphatikizapo chitukuko cha ischemia ndi cell necrosis.

Zizindikiro

Matenda oyambitsidwa ndi minyewa amakula zaka zingapo. Zimatha kwa nthawi yayitali osayambitsa mawonetsero osasangalatsa, chifukwa nthawi zambiri munthu samazindikira kuti akudwala.

Nthawi zambiri, zizindikiro zimachitika kale kumapeto kwa matenda. Chizindikiro chachikulu ndikumapweteka pakuyenda. Imadziwoneka yokha ngakhale ndikuyenda pang'ono, komwe kumayendetsedwa ndi kutopa kwambiri mwendo.

Kuphatikiza pa zowawa, odwala ali ndi nkhawa pazowonetsa zotsatirazi:

dzanzi
kumva kwambiri ndi kutentha kochepa,
kumakhala ngati kumayaka kwa khungu,
lamumo
malungo
kuwoneka kwa ming'alu yopweteka pazidendene,
khungu kapena khungu
tsitsi lanyumba
kuwonongeka kwa mawonekedwe a misomali,
kulimbitsa khungu
zilonda
kukokana usiku.

Ndi atherosulinosis ya mitsempha yachikazi mwa amuna, kuphwanya kugonana kumatha kuchitika mpaka kusabereka.

Zopatsa thanzi komanso kusintha kwa moyo wanu

Mapangidwe a atherosulinotic amapangidwa pamaso pa mafuta ambiri owopsa m'magazi. Amakonda kulowa thupi limodzi ndi chakudya. Ichi ndichifukwa chake odwala ayenera kutsatira zakudya.

Zakudyazo sizikhala ndi zakudya zomwe zimakhala ndi mafuta azinyama, zomwe zimaphatikizapo nyama yamafuta, chakudya chofulumira, mkaka wokhala ndi chizindikiro chokwanira cha mafuta, nyama zotentha, nyama zoperewera, soseji, zakudya yokazinga.

Ndikulimbikitsidwa kuti muphatikize zakudya zamasamba ambiri mndandanda: masamba, zipatso, zipatso, masamba. Muyeneranso kudya zipatso monga nyama ndi nsomba.

Odwala omwe ali ndi arteriosulinosis yamitsempha ayenera kusintha kukhala ndi moyo wathanzi. Ndipo izi sizikugwira ntchito pazakudya zokha. Madokotala amalangiza kusuntha kwambiri, kuchita masewera olimbitsa thupi, koma osapanikiza miyendo. Komanso, mosalephera, muyenera kusiya zizolowezi zoipa.

Kumwa mankhwala ndi physiotherapy

Ndi matenda a atherosulinotic, kumwa mankhwala kumafunika kwa nthawi yayitali - miyezi iwiri. Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kugwiritsa ntchito mankhwala otsatirawa:

Mankhwala osokoneza bongo. Mankhwala amathandizira kuti minyewa izikhala yofalikira, yomwe imalepheretsa kukula kwa ischemia.
Ma antiplatelet. Amathandizira kupewa thrombosis, amatulutsa magazi. Pochita mankhwala ndi othandizira otere, kuyezetsa magazi m'magazi a ana kumafunikira pafupipafupi.
Mankhwala opangidwa kuti apangidwe akuchulukitsa magazi a magazi.
Analgesics kuti muchepetse kupweteka m'miyendo mukamayenda.

Monga chowonjezera cha mankhwala, madokotala amatipatsa njira zochizira. Kugwiritsa kwa atherosulinosis kwamatumbo amiyendo monga UHF, electrophoresis, balneotherapy, matope osamba.

Zambiri zokhudzana ndi matendawa komanso zomwe zimayambitsa

Atherossteosis, kapena metabolic arteriosulinosis, ndimatenda a ziwiya zamatumbo akuluakulu komanso apakatikati olembetsedwa komanso otanuka-otupa, motero.

Malinga ndi International Classization of Diseases (ICD-10), matendawa amapatsidwa gulu la atherosulinosis ndi code 170.

Ndi chitukuko cha matenda a mtima, khoma la zotengera zofunikira zowonongeka zimawonongeka, zomwe zimapangitsa kuti kutayika kwa kuthekera kotambasuka bwino komanso kulipira mphamvu pazotulutsa zamtima.

Atherosulinosis imakhudza anthu ambiri - mafuta obwera, mafupa osinthika am'mimba amapezeka ngakhale azaka zapakati pa 14 ndi 14, koma gulu lowopsa limaphatikizapo makamaka amuna (chiyerekezo cha amuna ndi akazi odwala 5 mpaka 1) okulirapo kuposa 40.

Komanso, zomwe zimayambitsa zoopsa, zomwe zimapangitsa kuti matenda azikhala ndi matenda, zimaphatikizapo:

M'badwo.Pambuyo pa zaka 21 m'thupi la munthu, kuphatikizika kwa chithokomiro kumachitika, komwe kumapangitsa kuti maselo asungike, chifukwa cha izi pamakhala vuto lalikulu kwambiri la kuwonongeka kwa mtima wa antigen, komwe ndi chimodzi mwazomwe zimayambitsa matenda a atherosulinosis. Komanso, ndi ukalamba, kuchuluka kwa mitsempha yamagazi mwachilengedwe kumachepa chifukwa cha kuwonongeka kwa collagen, yomwe imathandizira kukomoka kwa khoma ndi puloteni yokhala ndi mapuloteni.
Zakudya zoperewera m'thupi komanso kunenepa kwambiri. Kuchuluka kwa chakudya chamafuta ndimafuta mu chakudya kumapangitsa kuti pakhale kusowa kwa ma enzyme omwe sangathe kuwononga zomwe zikubwera. Chifukwa cha izi, mafuta ndi cholesterol yoyandama m'magazi imasunthidwa kupita ku endothelium khoma la chotengera ndikukhalabe pamenepo, kudziunjikira.
Kulephera kuchita masewera olimbitsa thupi. Anthu m'masiku amakono samayenda kwambiri, ndipo minyewa yamtima imayamba kuwonetsa zizindikiro za atrophy. Izi zimadzetsa kuwonongeka kwa magazi, pomwe zinthu zamafuta zimatha kulowa mkati mwake.
Kusuta. Kusweka kwa pafupipafupi komanso kumasuka kwamitsempha yamagazi chifukwa cha zomwe zimayambitsa chikonga kumayambitsa kuphwanya kwamtundu wamkati. Masisitimu amanjenje, omwe ma tcheni awo onse pamodzi ndi ganglia amakhala pakhomalo, amayankha motsatira malamulo ochokera ku ubongo. Malangizo a motility amasokonezeka, mtsempha wamafunde umakhala wogwiriridwa mosavuta wa fibrin ndi mafuta.

Zomwe zimapangitsa kuti chiwonetsero cha matenda opatsirana chikule kwambiri zimaphatikizanso kupezeka kwa thupi la wodwala matenda ashuga komanso matenda oopsa.

Izi pathologies kangapo zimawonjezera mwayi wa kusintha kwa atherosulinotic.

Matenda a shuga amatsogolera kusakanikirana kwa michere yonse yamatumbo omwe amapezeka ndimitundu yopitilira zana yosokonezeka, kuphatikizapo oxidation ya lipids yaulere ku mphamvu ndi madzi.

Njira zopangira opaleshoni

Kuchitapo kanthu kwa opaleshoni ya atherosulinosis kumaikidwa m'magawo ovuta, pamene ndizosatheka kupirira nawo mothandizidwa ndi mankhwala. Njira zotseguka komanso zowononga zachilengedwe zimagwiritsidwa ntchito. Zotsirizirazi ndizotetezeka, koma zimagwira paling'ono kakang'ono ka zotupa zamagazi.

Ntchito zotsatirazi zimagwiritsidwa ntchito ku atherosulinosis ndi endarteritis yamitsempha yamiyendo:

Endarterectomy. Imatembenuza kuchotsedwa kwa gawo lowonongeka la mtsempha wamagazi.
Opaleshoni yam'mimba. Mu opaleshoni iyi, m'malo mwa gawo lomwe lakhudzidwalo la chotengera, ma prostate ochokera ku zinthu zopangidwa kapena ziwalo zina zamitsempha zina amaikidwa.
Balloon angioplasty. Catheter wapadera wokhala ndi baluni amayikidwa mu lumen yolembedwa. Tithokoze chifukwa chake, makoma olimbitsa mtima amakula, zomwe zimathandizira kufalikira kwa magazi.
Ndikuluma. Fungo limayikidwa mu lumen ya chotengera ndi zinthu zomwe zimathandizira kuyambiranso kwa zolembedwa za atherosulinotic.

Ndikapangira zilonda zam'mimba kapena zilonda zambiri, kuchotsa mwendo kwathunthu kumachitika. Zotsatira zoterezi zimachitika pokhapokha gawo lomaliza la matenda a atherosulinotic, chifukwa chake, ndikofunikira kuyamba kuchitira chithandizo cha mtima posachedwapa.

Kupewa

Arteriosulinosis ndi matenda oopsa, choncho ayenera kusamalidwa kuti mupewe. Njira zopewera zingathandize kuchepetsa chiopsezo chokhala ndi vuto la mtima. Madokotala amalangiza izi:

Idyani pomwe.
Pitani m'masewera.
Pewani zizolowezi zoipa.
Kuwongolera thupi.
Pewani hypothermia yam miyendo.

Komanso, kupewa ndi kupezeka kwa nthawi kwa atherosulinosis, ndikofunikira kumayesedwa kwamisempha chaka chilichonse. Ichi ndiye chinthu chofunikira komanso chofunikira kwambiri chomwe chimakupatsani mwayi wodziteteza ku mavuto ambiri azaumoyo.

Mitundu yamatenda

Kusiyanitsa pakati pa non-stenotic and stenosing atherosulinosis, ngakhale, kwenikweni, nthenda yomweyo. Just-non-stenotic sclerosis ndiye gawo loyamba la matendawa. Pakadali pano, kuchepera kwa lumen yamadzi ndi zosakwana 50% kumadziwika.

Uphungu! Titha kunena kuti non-stenotic atherosulinosis ndi chizindikiro cha zaka.Pafupifupi anthu onse azaka zopitilira 50, mutha kudziwa zizindikiro za matendawa.

Komabe, non-stenotic vasler sclerosis pamaso pa zinthu zoyambitsa zimapita ndipo matendawa amapita pachimake chowopsa. Zizindikiro zazikulu za atherosulinosis yomwe ikupita patsogolo kwamitseko ya miyendo:

kuwoneka ngati khumbo, kumverera kogometsa kapena "kugunda tsekwe",
kutopa, mawonekedwe a ululu m'miyendo, ngakhale kuchita zolimba pang'ono,

Uphungu! Zomwe zimakhudza kwambiri mitsempha, pokhapokha wodwalayo amatha kupita lisanayambe kupweteka. Pambuyo pake, kupweteka kumachitika ngakhale pakupuma.

khungu la miyendo, makamaka kumapazi. Mtundu wa pakhungu umakhala "nsangalabwi", kuuma ndi kupindika kumadziwika. Kusunthika ndi kuthekera pansi kwa zala zazing'ono,
pambuyo pake, zilonda zam'mimba zimapezeka pakhungu, lomwe limachira bwino.

Ngati atherosulinosis sachiritsidwira, ndiye kuti matendawa akuchulukirachulukira. Ndi zovuta kuzungulira kwa magazi, zizindikiro za minofu necrosis zimawonekera. Muchithunzichi mutha kuwona momwe madera omwe akukhudzidwa pamiyendo ya wodwalayo amawonekera. Popita nthawi, necrosis imatha kupita ku gangrene, zomwe zimapangitsa kuti pakhale kudulidwa miyendo.

Zinthu zomwe zimathandizira kuti matendawa akule

Zachidziwikire, kusintha kwa atherosselotic m'thupi kungayambike pazifukwa zosayimira munthu. Kuwoneka kwa kusintha m'matumbo kumachitika chifukwa cha zinthu monga:

chibadwire
zaka
Matenda ophatikizika: matenda oopsa, matenda a shuga, Hyperthyroidism, ndi zina zambiri.

Komabe, nthawi zambiri kupita patsogolo kwa kayendedwe ka matenda kumadzetsa zizolowezi zoyipa za munthu. Zifukwa zazikulu:

kusuntha kochepa
kusuta fodya komanso kumwa mowa pafupipafupi.
kupsinjika
kuperewera kwa zakudya m'thupi. Kudya mafuta ochulukirapo a nyama ndi zakudya zoyengedwa kumatha kuwonjezera kuchuluka kwa cholesterol.

Uphungu! Zakudya zopanda vuto nthawi zambiri zimayambitsa kunenepa kwambiri, ndipo kunenepa kwambiri ndi chinthu chinanso chomwe chimayambitsa kukulira kwa atherosulinosis.

Njira zochizira

M'magawo oyamba, mankhwala amapereka zabwino. Kuti muthandizire bwino matenda a atherosulinosis, ndikofunikira kugwiritsa ntchito mankhwala opangidwa kuti muchepetse kuchuluka kwa cholesterol m'magazi, kulimbitsa makhoma a mitsempha yamagazi, komanso kukonza minyewa.

Kugwiritsa ntchito mankhwala, madokotala nthawi zambiri amapereka mankhwala otsatirawa:

M'magawo oyamba a atherosulinosis kapena prophylaxis, okhazikika amadzimadzi a bile amadziwika. Awa ndi mankhwala monga Colestitis, Questran, etc.
Pogwiritsa ntchito cholesterol yochulukirapo, ma statin ndi omwe amapatsidwa. Awa ndi Mevacor, Pravastatin, Holetar, ndi ena.
Kulimbitsa makoma amitsempha yamagazi, kukonzekera kwa nicotinic acid kumayikidwa.

Mulimonsemo, mankhwalawa amathandizidwa mosiyanasiyana, potengera mawonekedwe a matendawa komanso kupezeka kwa matenda olimba. Chifukwa chake, njira yodziwika yothandizira anthu onse yomwe mulibe.

Pamaso pa zilonda zam'mimba, akuyenera kulandira mankhwalawa. Ikani mafuta okhala ndi maantibayotiki ndi zinthu zomwe zimawonjezera kusinthika.

M'magawo apambuyo matendawo, chithandizo chamankhwala sichitha kukhala chokwanira, motero muyenera kugwiritsa ntchito njira zopangira opaleshoni. Masiku ano, zinthu zotsatirazi nthawi zambiri zimagwiritsidwa ntchito:

Balloon angioplasty. Ichi ndi ntchito yofatsa yomwe imagwiritsidwa ntchito pansi pa opaleshoni yam'nyumba. Pakati pa njirayi, lumen ya ziwiya zomwe zimakhudzidwa imasungunuka.
Kukhazikika. Protein yokhazikika imayikidwa mu gawo lamitsempha, lomwe sililola kuti magazi asatuluke.
Opaleshoni yam'mimba. Opaleshoni yomwe makina ogwira ntchito amapangidwira magazi.
Kuchotsa malo omwe akhudzidwa ndikuisintha ndi zida zopanga.

Mikhalidwe yayikulu ya pathogenesis yamatenda

Pathogenis ya matendawa sanaphunziridwe bwino, koma magawo akulu adawululidwa kale. Mu gawo loyamba la dolipid pakusintha kwamankhwala ocheperako, pali kutuluka pang'ono kwa maselo, kuwonjezeka kwa kuchuluka kwa mamembidwe awo, maziko owonjezereka a mitundu ya mayendedwe a lipid ndi kusalinganika kwawo (kuti asunge homeostasis, kuchuluka kwa kachulukidwe kotsika kwambiri kwa lipoproteins m'dera la 4: 1 liyenera kusungidwa).

Panthawi ya lipoidosis, mapangidwe a maselo a xanthoma (omwe amatchedwanso ma cell a foam) amawonetsedwa, omwe cytoplasm yake imadzaza ndi m'malovu amafuta ndi cholesterol. Macroscopically, ndi maliseche amaso, amapanga mawanga achikaso ndi mikwingwirima mum'chombo.

Mu gawo la fibromatosis, mapulateleti amatsatira kuphwanya, omwe amawona chidacho chomwe chikukula ngati malo owonongeka ndipo akufulumira kukachiyika.

Koma akadziunjikira, amatulutsa michere, kumangokulitsa zinthu. Chopangiracho chimakulirakulira, kutsekeka ndi chimbudzi ndipo chimalepheretsa kuyenda kwa magazi kwa malo ena ake.

Atheromatosis ndi gawo lotsogola, chifukwa chake zovuta zili pano zimayenera kuthandizidwa ndi mankhwala. Iyenera kuthandizidwa makamaka kuti zilonda zam'mimba zisasokonekere komanso kukokoloka kwa khoma la chotengera.

Zizindikiro zazikulu za matenda

Atherosulinosis sikuti imangokhala pamalo amodzi okha. Matendawa ndi othandizira, amakhala ndi mbali zambiri za pathological process m'thupi. Kuwonetsera kumadalira kutengera kwa chidikacho komanso kukula kwake.

Kupweteka kwakukulu ndi kusokonezeka komwe kumachitika chifukwa cha atherosulinosis ya ziwiya zamagetsi zam'munsi, zomwe zimapatsidwa mankhwalawa malinga ndi ICD-10 170.2 Pakadali pano, chidacho chimatseka kuwala kwa ziwiya zazikulu zamiyendo, nthambiyo ilandila mpweya wokwanira ndi michere. Poyamba wodwalayo amangomva kung'ung'udza m'magawo am'mbali, akumwetulira ndi zala.

Kenako, ndikuyenda nthawi yayitali, kumakhala mphamvu yolimba, yomwe imangoima kaye ndikangopumira kaye. Miyendo yanga yayamba kuvulala, ndipo wodwalayo akupunduka. Pazotsatira, zilonda zam'mimba ndi mabala, kupindika kwapadera, kupweteka kwamkaka, kuwonekera, kupweteka kumakhala kosalephera.

Zotsatira za vutoli ndi pang'onopang'ono, kuduladula, kapena kupindika kwa chidutswa cha zombo zovuta.

Msempha umakhudzidwa koyamba, ndipo uku ndi kuwonongeka kwa magazi pakuyenda kwamitsempha yamagazi. Chizindikiro chachikulu mwa odwala chotere ndi kuthamanga kwa magazi. Aortic atherosulinosis imatha kukhala ndi aneurysm komanso kukha magazi kwakukulu.

Atherosulinosis yamitsempha yama mtima ndiyowopsa. Ndi kutukuka kumeneku, IHD (matenda a mtima) mwina amayamba chifukwa cha kuchepa kwa mpweya kwa minofu ya mtima ndi matenda a angina. Mitsempha yamagazi ikuyenda bwino.

Kusintha kwa atherosulinotic mu ziwiya zamadzimadzi kumakhala ndi chikumbumtima chovuta kukumbukira, kugwirizanitsa, kukhumudwa, kugona. Ubongo umatha kusinthika mosavuta ku ischemia, ndipo masango a neural samabwezeretsanso pambuyo pakufa.

Kuzindikira ndi kuchitira atherosulinosis obliterans a m'munsi malekezero

Ngati mukukayikira matenda akulu komanso kupezeka kwa zizindikiro zoyambirira, wodwalayo ayenera kupita kuchipatala. Achita kafukufuku ndikukhazikitsa mayeso angapo othandiza komanso a labotale.

Izi zikuphatikiza kuyesa kwamagazi ndi kwamagazi ambiri a cholesterol, LDL, HDL, chylomicrons, triglycerides yaulere.

Ultrasound imagwiritsidwa ntchito pogwiritsa ntchito dopplerography, rheovasography, arteriography, ndi x-ray pogwiritsa ntchito mosiyana ndi mtima.

Chithandizo cha matenda a zamitsempha chimachitika ndi njira zosakhwimitsa poyambira komanso pothandizidwa ndi opaleshoniyo magawo ena.

Mutha kuyang'ana njira yachipatala yothetsera vutoli ngakhale isanayambike chizindikiro cha kupweteka kwambiri.

Mwa izi, mankhwalawa otsatirawa amagwiritsidwa ntchito:

Zink gelatin kuyika Unna.Mankhwala awa amataya kutchuka kwawo chifukwa chokana ma pharmacies kuti apange zosakanikirana ndi kukonzekera kwawo, koma ndizothandiza kwambiri. Amasintha trophism mu minofu, imagwiritsidwa ntchito motsutsana ndi zilonda zam'mimba ndipo amachepetsa mitsempha yamagazi pamalo ogwiritsira ntchito. Imakonzedwa kuchokera ku gawo limodzi la gelatin, gawo limodzi la Zinc Oxide, magawo anayi amadzi ndi magawo anayi a glycerin. Phala limathira pambuyo pakusenda m'madzi osamba, kenako amadzimanga.
Mankhwala omwe amapangitsa kuti cholesterol yathunthu ndi LDL ipangidwe. Izi zikuphatikizapo Zokor, Cholestyramine, Atorvastatin, Lovastatin, Fluvastatin, Quantalan. Pali maphunziro omwe amathandizira mankhwalawa pochiza matenda a atherosulinosis, koma izi zimangogwira magawo oyamba a matendawa. Mlingo wa cholesterol umasinthidwa mosiyanasiyana ndi mankhwalawa komanso zakudya zopatsa mphamvu, koma ngati kusintha kwa organic khoma la chotengera kwachitika kale, gululi limataya magwiridwe ake.
Kuwongolera trophism, mafuta opatsa thanzi komanso othandizira kufalitsa, kufulumizitsa njira zama metabolic m'maselo, amagwiritsidwa ntchito. Awa ndi Actovegin, Trental, mavitamini a magulu C, B, E m'malo mwa antioxidants ndi otsogola popanga zinthu zatsopano kuti abwezeretse mwachangu zida zowonongeka.
Angioprotectors adalembedwa kuti ateteze zovuta komanso kuti zilepheretse kupita patsogolo kwa matenda. Ikani Parmidin, Quercetin, Dicinon.
Chithandizo cha Syndrome chimachitika ndi antispasmodics (Dibazol, Papaverine, No-Shpa, Pentoxifylline), painkillers.

Njira zopangira opaleshoni zimaphatikizapo angioplasty yoyang'aniridwa ndi manja, kuyambitsa kwa ochepa kapena kukweza kwa chotengera chomwe chikugwiridwacho pogwiritsa ntchito kafukufuku wa baluni. Kuchita bwino kwa njirazi ndikwapamwamba kwambiri.

Ndikosavuta kupewa matenda kuposa kuchiza. Panthawi yakuphwanya atherosulinosis yokhala m'munsi, chithandizo cha zakudya chimasonyezedwa kupatulapo mafuta ambiri anyama ndi mchere woposa 6 g patsiku. Ndikofunikira kuthana ndi zizolowezi, kusuntha kwambiri ndikupita ku physiotherapy.

Momwe mungagwiritsire matenda a atherosclerosis a m'munsi omwe akufotokozedwa mu kanema m'nkhaniyi.

Sonyezani shuga yanu kapena sankhani jenda pamayendedwe Akusaka Osapezeka Kusaka sakupeza Kusaka sikupezeka

Onaninso

Kuwunikiraku kumachitika pa gawo la kutupa pakukonzekera njira ya atherosulinotic kwa odwala omwe ali ndi matenda osokoneza bongo. Malingaliro amakono pazinthu zofala za pathogenetic za kutupa ndi atherogeneis zimaganiziridwa.

Zizindikiro za atherosulinosis zam'munsi kwambiri komanso chodabwitsa cha matendawa Kutseka kwa magazi pamiyendo Pambuyo pa ischemic matenda amtima ndi ubongo, IB yotsika m'munsi imakhala ndi mawonekedwe apadera a atherosclerosis, komwe ndi chifukwa chachikulu chotsekemera kwamitsempha yamagazi, chifukwa chakukula kwa njira za m'magazi.

Njira yodziwira kuopsa kwa ischemia ya minyewa yam'munsi mwa odwala omwe ali ndi ziwalo zam'munsi zam'mimba Patent RU 2473082: Kuyambitsidwa kumakhudzana ndi zamankhwala, makamaka pakuwunika ma laboratori, ndipo angagwiritsidwe ntchito pakupima matenda a labotale komanso kuti adziwe kukula kwa ischemia ya minofu yam'munsi. Odwala omwe amasokoneza ma atherosulinosis a ziwiya zapansi (OASNK). Chofunika cha njirayi ndikuti mu seramu ya wodwalayo imazindikira kukula kwa vascular endothelial protein factor 1, kuwerengetsa chiŵerengero cha vascular endothelial grow factor to monocytic chemotactic protein-1. Ndi mtengo wochokera ku 0.89-0.7, ine digiri yotsika kwa atherosclerosis yamatumbo am'munsi amadziwika.

Atherosulinosis ndimatenda omwe ali ndi matenda osachiritsika, omwe amadziwika ndi kuwonongeka kwa mitsempha ya minofu-zotanuka komanso zotanuka, zomwe zimachitika chifukwa cha kuphwanya kwamafuta kagayidwe, kaphatikizidwe ndi kufalikira kwa cholesterol plaque khoma lamkati lamitsempha yamagazi.

Atherosulinosis ya ziwiya zamagawo am'munsi: zoyambitsa ndi chithandizo Lero, mutu wa zokambirana zathu ndi atherosulinosis, womwe umakhudza ziwiya za m'munsi. Matendawa ndi ofala kwambiri ndipo amatchedwa kuti kuthana ndi atherosulinosis.

Ndi mapangidwe a atherosselotic plaque mu nthambi za msempha zomwe zimadyetsa matumbo, ischemia khoma lake limayamba. Kutsekeka pang'onopang'ono kwa mitsempha kumayambitsa kupweteka kwam'mimba (chitseko cham'mimba) ndi kusokoneza kwa chiwalo (ischemic colitis), ndipo kufalikira kwadzidzidzi kumayamba kugunda kwamtima kwanthawi.

Zizindikiro ndi mankhwala a stenosing atherosulinosis a mitsempha ya m'munsi malekezero Obliterating (stenosing) atherosulinosis amapezeka paubwana. Ndi zaka, lipids imadziunjikira mu lumen ya mitsempha yamagazi mwa anthu, omwe akuphatikizidwa pakupanga cholesterol plaques.

Kodi atherosulinosis ndi chifukwa chiyani nkoopsa Tsopano pafupifupi aliyense amadziwa kuti matenda amtima ndi omwe amafala kwambiri chifukwa cha kulumala ndi kufa mu zaka zopindulitsa kwambiri za munthu.

Momwe mungagwiritsire stenotic atherosulinosis ya mitsempha ya brachiocephalic Stenosing atherosulinosis ya mitsempha ya brachiocephalic, chithandizo chomwe chiri ndi mbali zina, ndi njira imodzi yodziwika bwino ya atherossteosis.

Kuwononga atherosulinosis yamatumbo am'munsi am'munsi: kodi nkoyenera kuda nkhawa? Pali matenda angapo omwe amabwera mosadziwikiratu anthu. Amadziulula pomwe pali chiwopsezo chathanzi kale.

Cerebral atherosulinosis ya ziwiya zamafuta, njira yopita ku dementia. Mukuyankhula kwachilendo, "sclerosis" amatanthauza kuchepa kwa kukumbukira, nthawi zambiri kumagwirizanitsa ndi kukalamba.

Matenda a mtima, amodzi mwa ofala kwambiri masiku ano. Makamaka, zomwe zimayambitsa ambiri mwa ma pathological ano ndi kusintha kwa mtima kwa atherosulinotic.

Atherosulinosis ya ziwiya zamagawo am'munsi: zoyambitsa ndi chithandizo Kuti mupewe matenda a atherosclerosis, ndikofunikira kuphatikiza zinthu zomwe zimapangitsa magazi kulowa mu chakudya chanu.

Non-stenotic atherosulinosis ndi mtundu woyambirira wa matenda amitsempha omwe amatha kuwongolera ndi chithandizo cha nthawi yake. Matenda a atherosclerotic nthawi zambiri amakhudza kayendedwe ka magazi a anthu okalamba, omwe ziwiya zawo zimasinthika chifukwa cha kukalamba kwa thupi.

Atherosulinosis ya ziwiya: nthenda iyi ndi iti ndipo imathandizidwa bwanji? Atherosulinosis ndi matenda oopsa omwe, popanda chithandizo choyenera, amabweretsa zovuta, ndipo nthawi zina, kumwalira kwa munthu.

Atherosclerosis ya ubongo ziwiya zizindikiro. Matenda a ubongo a atherosulinosis, omwe amakhudza ziwiya zaubongo, ndi matenda ofala kwambiri.

Mwa munthu wathanzi, magazi amayenda momasuka kudzera m'mitsempha yama thupi yonse. Mwazi umapereka okosijeni ndi michere ku miyendo yonse ya thupi lathu. Ndi matendawa - atherosulinosis, otchedwa zolembera amapangidwa pamakoma amkati amitsempha, omwe amatsogolera kuchepa kwa mitsempha, zomwe zimapangitsa kutsika kwamitsempha yamagazi.

Kumapeto kwa XX komanso kumayambiriro kwa zaka za XXI zam'magazi zamatumbo adapeza mkhalidwe wa mliri, chifukwa chachikulu chodala ndikufa kwa chiwerengero cha mayiko otukuka.

Chifukwa chomwe atherosulinotic cardiosulinosis imayambitsa imfa. Zaka zaposachedwa, pakhala njira “yokonzanso” mitundu ina yamatenda amtima.

Mawonekedwe a chitukuko cha matendawa Atherosulinosis ndi matenda osachiritsika omwe makulidwe amitsempha yama magazi amaphwanyidwa ndipo lumen yawo imachepetsedwa.

Ngozi yamatenda oopsa kwambiri (CMS): ndi chiyani? 1. Kupereka magazi ku ubongo 2. Zomwe zimayambitsa matendawa 3. Njira zopitilira 4. Zowonekera zamankhwala 5. Kuzindikira 6.Chithandizo Cerebrovascular matenda amakhala patsogolo pakati pa matenda onse a minyewa.

Zizindikiro ndi mankhwala obleteric atherosulinosis mitsempha ya m'munsi malembedwe Atherosulinosis mitsempha ya m'munsi malekezero, Zizindikiro, chithandizo cha matenda ndi mutu wotentha m'nthawi yathu ino.

Opaleshoni mankhwala a atherosulinotic zotupa za mitsempha ya thonje. Dipatimenti ya Neurosurgery ya Russian Mil Army Medical Academy, St. Petersburg, Russia.

Zizindikiro ndi kuchiza kwa matenda a arteryosulinosis

Kodi kuletsa matenda amtundu wam'mimba ndi chiani? Kodi zizindikiro zake ndi ziti, kupezeka ndi matenda komanso kuthandizira?

Kupweteka kwa mwendo nthawi zambiri kumachitika chifukwa cha kutopa kwambiri, koma nthawi zambiri, makamaka mukulirapo, mawonetseredwe oterewa amatha kuwonetsa matenda oopsa - kufalikira kwa atherosulinosis.

Kuti athane ndi matenda owopsa amenewa, amatembenukira ku thandizo la akatswiri (ma phlebologists, akatswiri a zamankhwala, othandizira, etc.). Kusamalira kwakanthawi kachipatala komwe kumaperekedwa, ngati sikubwezeretsanso ziwiya zonse, kumathandizira wodwalayo.

Atherosulinosis obliterans - ndi choncho?

Atherosulinosis obliterans ndi matenda omwe amadziwika ndi zovuta zambiri:

kusokonezeka kwa magazi,
kukulitsa kwa minofu yama trophic, etc.

Mu zochitika zapamwamba kwambiri, kukula kwa matenda amzeru kumakhudza ziwiya zazikulu zomwe zimapezeka m'mimba. Zotsatira zake, mitsempha monga popliteal, femoral ndi tibial imakhudzidwa makamaka, ndipo m'mimba mwake mumachepa. Ngati matendawa sanalandiridwe, ndiye kuti miyendo ndi miyendo yotsika zimakhudzidwa.

Zofunika! Matendawa amatenga nthawi yayitali (nthawi zina njirayi imatha kupitilira kwa zaka khumi kapena kupitilira apo) ndipo imabadwa mosayembekezereka.

Pali magawo anayi pakukula kwa minyewa:

Yoyamba (preclinical) imadziwika ndi kuphwanya kwa metabolid ya lipid. Ululu wam'munsi umawonekera pokhapokha mutachita zolimbitsa thupi kwanthawi yayitali kapena kuyenda. Nthawi zambiri, gawoli limachitika popanda chizindikiro.
Gawo lachiwiri, mawonetseredwe oyamba a matenda amtunduwu ndiwowoneka bwino: kupweteka kwakumapeto kumapeto atayenda pang'ono (mpaka 250-1000 mita). Komanso mitsempha ya magazi imachepetsedwa ndi 20-40%.
Gawo lachitatu limatsatiridwa ndi ischemia yovuta, ndipo kupweteka kwamiyendo kumawonekera pambuyo pa 50-100 metres.
Gawo lachinayi limadziwika ndi kupezeka kwa zilonda zam'mimba, necrosis ndi gangrene. Mwanjira imeneyi, ululu umakhala mnzake wa munthu, ngakhale pogona.

Ngati mungatembenukire kwa akatswiri atangoyamba kumene matendawa, mungachepetse chiopsezo cha necrosis ndi gangore, ndipo, chifukwa chake, pewani kuchitapo kanthu opaleshoni (kuphatikizapo kudula manja ndi manja).

Pa gulu la matenda padziko lonse lapansi (mcb 10), kufalikira kwa ma atherosclerosis a ziwiya zokhala m'munsi kumakhala ndi code I70.2.

Pathogeneis: njira zopititsira patsogolo

Ponena za pathogenesis yamatenda, malingaliro a akatswiri amasiyana. Nthawi zambiri chifukwa chachikulu chakukula kwamatendawa ndikuwonjezereka kwa makulidwe a lipids. Zimayambitsa kupangika kwa mapangidwe otsika a lipoproteins (LDL).

Zotsatira zake, kukwiya komanso kuwonongeka kwina mkati mwa makoma a chotengera kumachitika. Pakukhazikika kwa zotupa, maselo amafuta amayikidwa, zolembera zamtundu wa cell zimapangidwa ndipo, chifukwa chake, kufupika kwa mipata m'matumbo.

Zofunika! Kuchulukana kwa atherosclerotic plaque, kumamvekera kwambiri zizindikiro za arteriosulinosis obliterans ndipo kumakhala pachiwopsezo chovuta kwambiri.

Kuti kupezeka kwa lipids m'magazi kukhazikitse matenda oopsa, zinthu zingapo ziyenera kuphatikizidwa. Zinthu zomwe zimakhudza kapangidwe kamisempha:

chibadwa
jenda (Nthawi zambiri amuna amadwala matendawa),
m'badwo (mawonetsedwe oyamba a matenda amapezeka muukalamba),
matenda oopsa
matenda ashuga
zizolowezi zoipa
kuphwanya zakudya
onenepa kwambiri
kumangokhala
kuchuluka zolimbitsa thupi,
kuvulala, hypothermia kapena chisanu cha m'munsi.

Njira zakuchiritsa kwa atherosulinosis

Njira zochizira matenda amathetsa zimapangidwa munjira iliyonse. Nthawi zambiri, limodzi ndi mankhwala achikhalidwe, njira zopanda mankhwala zimagwiritsidwa ntchito. Ndi mankhwala, mankhwala otsatirawa amagwiritsidwa ntchito:

kuteteza mapangidwe magazi (reopoliglyukin kapena aspirin),
kutsegula kupirira kwa thupi (cilostazol),
kutsitsa cholesterol yamagazi,
Kusintha kwa magazi,
anticoagulants (heparin),
antispasmodics
mafuta onunkhiritsa (okhala ndi zilonda zam'mimba),
kukonza zakudya zama minofu (zincteralol),
vasodilator (trenalol, vasonitol),
ma statins (lovastatin),
mafupa
nicotinic acid (pakalibe zotsutsana),
mavitamini
sequestrant of bile acid (m'magawo oyamba a matendawa).

Njira zogwiritsira ntchito pochizira mawonekedwe osungunuka zimaphatikizapo:

opaleshoni yodutsa
balloon angioplasty,
zotupa zam'mimba,
endarterectomy,
autodermoplasty,
ma prosthet a m'deralo,
mankhwala
physiotherapy.

Pamodzi ndi mankhwala, physiotherapy ingagwiritsidwenso ntchito. Akatswiri amalimbikitsa njira zotsatirazi:

mankhwala osokoneza (zomwe zimakhudza minofu yomwe ikukhudzidwa mwachindunji komanso mosinthana pakalipano),
electrophoresis
zamankhwala othandizira
UHF

Tiyeneranso kudziwa kuti pochizira matenda am'mbuyomu komanso monga prophylaxis, madokotala saletsa kugwiritsa ntchito mankhwala achikhalidwe.

Kodi kudula ndikofunikira?

Maonekedwe a mabala otseguka kapena gangrene ndi chizindikiro cha kuchepa kwam'mimba. Pankhaniyi, mwayi wa madokotala ochita opaleshoni ndi ochepa.

Zofunika! Kupezeka kwa minofu ndi gangrene necrosis, komanso kusatheka kwa kubwezeretsanso magazi mozungulira, kumabweretsa kuduladula chiwalo, chifukwa iyi ndi njira yokhayo yopulumutsira moyo wodwala.

Nthawi zina pambuyo pa opaleshoni, zovuta zina ndi zotsatira zake zimatha.

Mndandanda wamavuto amtsempha wamagetsi am'magazi ::

wodwalayo pang'onopang'ono, wodwala amafunikira thandizo ndi kuyenda, mpaka ndodo,
hematomas m'malo opumira omwe ndi osangalatsa kwambiri ndipo amafunikira chivundikiro pansi pa zovala,
thrombosis kapena chotupa cha mitsempha (izi ndizosowa kwambiri),
calcification imadziwika ndi kusokonekera kwa minofu ndi mafupa, ndizopwetekanso kuti munthu aziyenda ndipo, nthawi zambiri, amafunika thandizo.

Kubwezeretsanso matendawa, tikulimbikitsidwa kuti tichite maphunziro ena, ndipo ngati ndi kotheka, khalani ndi njira zina zochizira.

Zofunika! Musaiwale kuti kuyambiranso kwa zizindikiro kungasonyeze kupita patsogolo kwa matendawa.

Kusiyana kwakukulu kuchokera ku endarteritis ndikuti poyamba, kutsekeka kwa chotengera kumachitika chifukwa chamafuta am'makoma a zombo, ndipo chachiwiri, chombocho chimachepa chifukwa chotupa.

Atherosulinosis ya ziwiya zamagawo akumunsi (kufafaniza) - malamulo malinga ndi ICD-10

Onaninso

Atherosulinosis ndimatenda omwe ali ndi matenda osachiritsika, omwe amadziwika ndi kuwonongeka kwa mitsempha ya minofu-zotanuka komanso zotanuka, zomwe zimachitika chifukwa cha kuphwanya kwamafuta kagayidwe, kaphatikizidwe ndi kufalikira kwa cholesterol plaque khoma lamkati lamitsempha yamagazi.

Kodi atherosulinosis ndi chifukwa chiyani nkoopsa Tsopano pafupifupi aliyense amadziwa kuti matenda amtima ndi omwe amafala kwambiri chifukwa cha kulumala ndi kufa mu zaka zopindulitsa kwambiri za munthu.

Kuwononga atherosulinosis yamatumbo am'munsi am'munsi: kodi nkoyenera kuda nkhawa? Pali matenda angapo omwe amabwera mosadziwikiratu anthu. Amadziulula pomwe pali chiwopsezo chathanzi kale.

Cerebral atherosulinosis ya ziwiya zamafuta, njira yopita ku dementia. Mukuyankhula kwachilendo, "sclerosis" amatanthauza kuchepa kwa kukumbukira, nthawi zambiri kumagwirizanitsa ndi kukalamba.

Matenda a mtima, amodzi mwa ofala kwambiri masiku ano. Makamaka, zomwe zimayambitsa ambiri mwa ma pathological ano ndi kusintha kwa mtima kwa atherosulinotic.

Atherosulinosis ya ziwiya zamagawo am'munsi: zoyambitsa ndi chithandizo Kuti mupewe matenda a atherosclerosis, ndikofunikira kuphatikiza zinthu zomwe zimapangitsa magazi kulowa mu chakudya chanu.

Atherosclerosis ya ubongo ziwiya zizindikiro. Matenda a ubongo a atherosulinosis, omwe amakhudza ziwiya zaubongo, ndi matenda ofala kwambiri.

Kumapeto kwa XX komanso kumayambiriro kwa zaka za XXI zam'magazi zamatumbo adapeza mkhalidwe wa mliri, chifukwa chachikulu chodala ndikufa kwa chiwerengero cha mayiko otukuka.

Chifukwa chomwe atherosulinotic cardiosulinosis imayambitsa imfa. Zaka zaposachedwa, pakhala njira “yokonzanso” mitundu ina yamatenda amtima.

Mawonekedwe a chitukuko cha matendawa Atherosulinosis ndi matenda osachiritsika omwe makulidwe amitsempha yama magazi amaphwanyidwa ndipo lumen yawo imachepetsedwa.

Ngozi yamatenda oopsa kwambiri (CMS): ndi chiyani? 1. Kupereka magazi ku ubongo 2. Amayambitsa matendawa 3. Njira za chitukuko 4. Mawonekedwe a zamankhwala 5. Kuzindikira 6. Kuthandizira kwa matenda amitsempha ya m'magazi ndiko kutsogolera pakati pa matenda onse amitsempha.

Opaleshoni mankhwala a atherosulinotic zotupa za mitsempha ya thonje. Dipatimenti ya Neurosurgery ya Russian Mil Army Medical Academy, St. Petersburg, Russia.

Zizindikiro ndi kuchiza kwa matenda a arteryosulinosis

Kodi kuletsa matenda amtundu wam'mimba ndi chiani? Kodi zizindikiro zake ndi ziti, kupezeka ndi matenda komanso kuthandizira?

Atherosulinosis obliterans - ndi choncho?

Atherosulinosis obliterans ndi matenda omwe amadziwika ndi zovuta zambiri:

kusokonezeka kwa magazi,
kukulitsa kwa minofu yama trophic, etc.

Zofunika! Matendawa amatenga nthawi yayitali (nthawi zina njirayi imatha kupitilira kwa zaka khumi kapena kupitilira apo) ndipo imabadwa mosayembekezereka.

Pali magawo anayi pakukula kwa minyewa:

Yoyamba (preclinical) imadziwika ndi kuphwanya kwa metabolid ya lipid. Ululu wam'munsi umawonekera pokhapokha mutachita zolimbitsa thupi kwanthawi yayitali kapena kuyenda. Nthawi zambiri, gawoli limachitika popanda chizindikiro.
Gawo lachiwiri, mawonetseredwe oyamba a matenda amtunduwu ndiwowoneka bwino: kupweteka kwakumapeto kumapeto atayenda pang'ono (mpaka 250-1000 mita). Komanso mitsempha ya magazi imachepetsedwa ndi 20-40%.
Gawo lachitatu limatsatiridwa ndi ischemia yovuta, ndipo kupweteka kwamiyendo kumawonekera pambuyo pa 50-100 metres.
Gawo lachinayi limadziwika ndi kupezeka kwa zilonda zam'mimba, necrosis ndi gangrene. Mwanjira imeneyi, ululu umakhala mnzake wa munthu, ngakhale pogona.

Pa gulu la matenda padziko lonse lapansi (mcb 10), kufalikira kwa ma atherosclerosis a ziwiya zokhala m'munsi kumakhala ndi code I70.2.

Pathogeneis: njira zopititsira patsogolo

Zofunika! Kuchulukana kwa atherosclerotic plaque, kumamvekera kwambiri zizindikiro za arteriosulinosis obliterans ndipo kumakhala pachiwopsezo chovuta kwambiri.

Kuti kupezeka kwa lipids m'magazi kukhazikitse matenda oopsa, zinthu zingapo ziyenera kuphatikizidwa. Zinthu zomwe zimakhudza kapangidwe kamisempha:

chibadwa
jenda (Nthawi zambiri amuna amadwala matendawa),
m'badwo (mawonetsedwe oyamba a matenda amapezeka muukalamba),
matenda oopsa
matenda ashuga
zizolowezi zoipa
kuphwanya zakudya
onenepa kwambiri
kumangokhala
kuchuluka zolimbitsa thupi,
kuvulala, hypothermia kapena chisanu cha m'munsi.

Zizindikiro

Ngati mungayang'anire thanzi lanu ndikumvera zomwe akumva, ndiye kuti chiwonetsero cha matenda chitha kuzindikira ngakhale palokha. Matendawa ali ndi izi:

kumva kuyabwa, kuyaka m'miyendo,
dzanzi, mapazi ozizira,
khungu lotuwa la m'munsi,
kuwonongeka kwa minyewa m'chiuno ndi ma ankolo (vasoconstriction kumabweretsa kusokonezeka kwa kagayidwe kachakudya ka minofu mu minofu, ndipo izi zimayambitsa kuchepa kwa minofu ndi mafutawo),
kutaya kwathunthu kapena pang'ono kwa miyendo chifukwa cha magazi osakwanira,
kupweteka ndi kulira, kuphatikizana ndi kupweteka kwakumapeto.

CHIYAMBI! Pambuyo pake matendawa, kusintha kwa khungu la kumapazi ndi zala kumawonedwa. Izi zikusonyeza kuti ziwiya zotumphukira ndikuyamba kusayenda magazi. Ngati panthawiyi simukufunsira kwa katswiri ndipo simukuchitapo kanthu, ndiye kuti zilonda zam'mimbazi zimagona pamiyendo yanu.

Ngati akatswiri akukayikira za matendawa, ndiye kuti njira yofufuzira njira imachitika. Njira zoyenera kutsimikizira kuti matenda a atherosulinosis ndi osagwirizana ndi awa:

multislice composed tomography,
zamatsenga zamatsenga,
arteriography
Doppler ultrasound,
kuyesa kwa zotupa zam'munsi zatsika,
kuyang'anira kuthamanga kwa magazi pakuwerengera kalozera wa ankolo,
kukambirana ndi phlebologist,
kuyezetsa magazi.

Kuzindikira mokwanira sikuti kumangopangitsa kudziwa gawo la matendawa, komanso kumathandizira kuthetsa matenda omwe ali ndi zizindikiro zofananira.

Njira zakuchiritsa kwa atherosulinosis

kuteteza mapangidwe magazi (reopoliglyukin kapena aspirin),
kutsegula kupirira kwa thupi (cilostazol),
kutsitsa cholesterol yamagazi,
Kusintha kwa magazi,
anticoagulants (heparin),
antispasmodics
mafuta onunkhiritsa (okhala ndi zilonda zam'mimba),
kukonza zakudya zama minofu (zincteralol),
vasodilator (trenalol, vasonitol),
ma statins (lovastatin),
mafupa
nicotinic acid (pakalibe zotsutsana),
mavitamini
sequestrant of bile acid (m'magawo oyamba a matendawa).

Njira zogwiritsira ntchito pochizira mawonekedwe osungunuka zimaphatikizapo:

opaleshoni yodutsa
balloon angioplasty,
zotupa zam'mimba,
endarterectomy,
autodermoplasty,
ma prosthet a m'deralo,
mankhwala
physiotherapy.

Pamodzi ndi mankhwala, physiotherapy ingagwiritsidwenso ntchito. Akatswiri amalimbikitsa njira zotsatirazi:

mankhwala osokoneza (zomwe zimakhudza minofu yomwe ikukhudzidwa mwachindunji komanso mosinthana pakalipano),
electrophoresis
zamankhwala othandizira
UHF

Tiyeneranso kudziwa kuti pochizira matenda am'mbuyomu komanso monga prophylaxis, madokotala saletsa kugwiritsa ntchito mankhwala achikhalidwe.

Kodi kudula ndikofunikira?

Maonekedwe a mabala otseguka kapena gangrene ndi chizindikiro cha kuchepa kwam'mimba. Pankhaniyi, mwayi wa madokotala ochita opaleshoni ndi ochepa.

Nthawi zina pambuyo pa opaleshoni, zovuta zina ndi zotsatira zake zimatha.

Mndandanda wamavuto amtsempha wamagetsi am'magazi ::

wodwalayo pang'onopang'ono, wodwala amafunikira thandizo ndi kuyenda, mpaka ndodo,
hematomas m'malo opumira omwe ndi osangalatsa kwambiri ndipo amafunikira chivundikiro pansi pa zovala,
thrombosis kapena chotupa cha mitsempha (izi ndizosowa kwambiri),
calcification imadziwika ndi kusokonekera kwa minofu ndi mafupa, ndizopwetekanso kuti munthu aziyenda ndipo, nthawi zambiri, amafunika thandizo.

Kubwezeretsanso matendawa, tikulimbikitsidwa kuti tichite maphunziro ena, ndipo ngati ndi kotheka, khalani ndi njira zina zochizira.

Zofunika! Musaiwale kuti kuyambiranso kwa zizindikiro kungasonyeze kupita patsogolo kwa matendawa.

Kusiyana kwakukulu kuchokera ku endarteritis ndikuti poyamba, kutsekeka kwa chotengera kumachitika chifukwa chamafuta am'makoma a zombo, ndipo chachiwiri, chombocho chimachepa chifukwa chotupa.

Pomaliza

Atherosulinosis obliterans ndi chimodzi mwazizindikiro zoyambira kukalamba. Amayamba kukhala ndi anthu azaka zopitilira 60. Ngati, pazizindikiro zoyambirira za matendawa, munthu saonana ndi katswiri ndipo samayamba maphunziro, ndiye kuti zotsatirapo zake zimakhala zovuta kwambiri.

ICB code 10 yowononga atherosulinosis yokhala m'munsi

Onaninso

Diphtheria mu akulu: zimayambitsa, Zizindikiro, matenda, chithandizo ndi kupewa Diphtheria ndimatenda opatsirana oyambitsidwa ndi bacterium Corynebacterium diphtheriae. Matendawa amadziwika ndi zizindikiro zotere ...

Periostitis, kapena flux wamano pakati pa anthu, ndimatenda omwe amayambitsidwa ndi kutupa, omwe amatsatira kuchokera kumapeto kwa "um", omwe nthawi zonse amatanthauza, mu terminology ya zamankhwala, kutupa kwa china chake. Mu ...

Periodontitis ndi matenda omwe amatsogolera mu kupangika kwa periodontal pathology (mpaka 93% ya milandu). Matendawa amachititsa kutupa osati mano, komanso minyewa yozungulira mano, yomwe ...

Athonia (kutaya mawu). Zomwe zimayambitsa, zizindikiritso ndi chithandizo cha aphonia Afonia (kutaya mawu) - mkhalidwe wotayika wamwana wamawu, - kuthekera kuyankhula pakungonong'ona. M'malo mwake, aphonia ndiye kusowa ...

Pachimake kupuma matenda, chimfine ndi rhinitis (kuthamanga mphuno) nthawi zambiri limodzi ndi kutupa kwa paranasal sinuses (sinuses). Pali zingapo. Dzinalo lodziwika chifukwa cha kutupa kwawo limatchedwa sinusitis. Koma kutupa ...

Osteomyelitis - Zizindikiro, zoyambitsa, mitundu ndi chithandizo cha osteomyelitis Tsiku labwino, owerenga okondedwa! Munkhani ya lero, tikambirana nanu matenda a osteomyelitis ana ndi ...

Kyphosis - Zizindikiro, zoyambitsa, mitundu, madigiri ndi chithandizo cha kyphosis Tsiku labwino, owerenga okondedwa! M'nkhani ya lero, tikambirana nanu matenda a msana, monga ...

Kutentha ndi kutentha kwambiri kwa thupi: 37, 38, 39, 40 ° С. Kutentha kwa thupi ndi chizindikiro cha matenthedwe amthupi lamunthu, chomwe chikuwonetsa kuchuluka pakati pakupanga kutentha kwa ziwalo zosiyanasiyana ...

Ana nthawi zambiri amatha kuposa kuzizira chifukwa cha akuluakulu. Izi zimadziwika kwa ambiri. Ana nthawi zambiri amatha kuposa kuzizira chifukwa cha akuluakulu. Izi zimadziwika kwa ambiri. Ndi chiyambi cha kuzizira ...

Sphenoiditis. Zizindikiro, zoyambitsa, mitundu ndi chithandizo cha sphenoiditis Tsiku labwino, owerenga okondedwa! M'nkhani ya lero, tikambirana nanu matenda monga - sphenoiditis. Sphenoiditis ...

Kugwedeza pamiyendo. Kupweteka pang'ono kwanthawi kwam'mbuyo. Kutopa kwa msana. Magawo osiyanasiyana amapewa. Kusweka kwa miyendo ya pakhungu. "Skew of the pelvis. Torso"

Munkhaniyi tikambirana za mitundu yamatumbo ndi mitundu yawo yonse. Colon irritable bowel syndrome (spastic colitis, SRKT) imawonetsedwa ndi kutulutsa, kukokana komanso kusagwira bwino ntchito ...

Tsiku labwino, owerenga inu okondedwa! Munkhaniyi tikambirana mafunso awiri: - chochita ngati munthu wagwa pansi pa madzi oundana,? - thandizo loyamba polephera ...

Matendawa endocarditis adalandira dzina kuchokera ku mawu akuti "endocardium". Endocardium ndi gawo lamkati la mtima, lopangidwa ndi minofu ya endothelial ndi subendothelial, khoma la atria, minofu yosalala ...

Poizoni woledzera: Zizindikiro, thandizo loyamba, chithandizo Tsiku labwino, owerenga okondedwa! Ndikuganiza kuti ngati muyamba kuwerenga nkhaniyi, ndiye mwina nthawi ya tsiku ndi ...

Neuritis ndi matenda otupa a mitsempha yotumphukira yomwe imatsogolera kusintha kwamachitidwe mu minyewa yamanjenje. Imadziwoneka ngati ululu wamankhwala, kuchepa ndi kuwonongeka kwa zomverera, paresis ndi ziwalo. Neuritis ...

Poizoni wazakudya ndi kupukusa kwam'mimba kwambiri komwe kumayamba chifukwa cha kumeza kwa tizilombo tating'onoting'ono toyambitsa matenda (mabakiteriya, tiziromboti, ndi zina) komanso chakudya kapena zakumwa. Zomwe thupi likuchita ...

Zotsatira zowopsa kwambiri za borreliosis ndizovuta zochokera pakuluma kwamtundu. Njira yovuta ya borreliosis, yomwe imakhalapo pakhungu la pakhungu, imakhala yofatsa komanso 90% imachiritsa, ...

Enteritis ndi matenda otupa a m'matumbo aang'ono. Nthawi zina, enteritis imatha kuphatikizidwa ndi gastritis (gastroenteritis) komanso / kapena kukhudza colon (enterocolitis). Enteritis imatha kuchitika ...

Ziwengo Zizindikiro zazikulu za chifuwa cha mnyumba ndi njira za kapewedwe kake Zizindikiro za chifuwa: mphuno, khungu, kuukira kwa mphumu ndi conjunctivitis, zovuta zamagazi ...

Dermatitis ndi matenda otupa a pakhungu omwe amachitika chifukwa chodziwonetsa zinthu zosiyanasiyana zakunja kapena zakunja zomwe zimapangitsa kuti pakhale thupi, mankhwala kapena kwachilengedwe. Chifukwa cha izi ...

Mphumu ya bronchial: woyamba zizindikiro ndi zizindikiro, zimayambitsa ndi chithandizo Matenda amphumu ndi matenda osachiritsika, maziko a kudwala kumeneku sikukutupa kosaletseka m'misewu ya m'mlengalenga. Kukhazikika kwa mphumu ya bronchial ...

Nyengo yotentha sikokwanira popanda udzudzu. Ngati pafupi ndi mitsinje, maiwe, madambo ndi nkhalango, ndiye kuti kuchuluka kwa magazi kumawonjezeka. Kuluma udzudzu nthawi zambiri kulibe ...

. kapena: Cerebral spinal paralization, matenda a msana, matenda a Heine-Medina nonparalytic polio: Zizindikiro zakumwa zoledzeretsa (Zizindikiro zakupha thupi m'thupi la pathogen) - kutentha kwapakati kwa thupi 37,5 - ...

Atherosulinosis ya ziwiya zamagawo akumunsi (kufafaniza) - malamulo malinga ndi ICD-10

Matenda a atherosulinotic ophatikizika ndi ma occlusion angayambitse thromboembolism, zilonda zam'mimba zam'mimba komanso zilonda zam'mimba.Kuzindikiritsa ena mwa mavutowa kumafunikira chidziwitso cholembera zomwe zikuwonetsedwa mu ICD 10. Atherosulinosis ya malekezero apansi pa International Classization of Diseases 10 lili mu gawo la I70 - I79.

Nthawi zambiri, manambala a matenda enaake amadziwika bwino kwa madokotala omwe ali ndi mankhwalawa.

Komabe, mavuto a kayendedwe ka magazi omwe afotokozedwa mu ICD 10 atha kukumana ndi madotolo amisili yonse, chifukwa chake, zidziwitso zokhudzana ndi matenda amitsempha ziyenera kuthandizidwa.

Kuphukira kwa mitengo ikuluikulu yamtundu uliwonse m'thupi kungathe kudziwonetsa ndi zizindikiro zosiyanasiyana. Kudziwa njira yodziwira matendawa kungakuthandizeni kuthana ndi matenda ambiri amitsempha.

Gulu la matenda omwe amagwirizana ndi zotupa za atherosulinotic

Matenda onse omwe amapezeka motsutsana ndi maziko a zovuta zosavuta kapena zovuta za atherosulinosis amapangidwa mwanjira ya I70 ndipo amaphatikiza njira zotsatirazi:

matenda a atherosulinotic aortic (I70.0),
kuwonongeka kwa mitsempha ya impso (I70.1),
atherosulinosis yamitsempha yama m'munsi yam'munsi (I70.2),
kuchepa kwa mitsempha ina iliyonse yoyambitsidwa ndi pathological atherogenesis (I70.8),
njira zingapo kapena zosadziwika zomwe zimachitika motsutsana ndi maziko a atherosulinosis (I70.9).

Dokotala amatha kugwiritsa ntchito kachidindo kalikonse kuchokera ku ICD 10 kuti awonetse matenda a mtima. Ndikofunikira kugawa atherosulinosis ya malekezero a m'munsi m'magawo awiri - mtundu wovuta kapena wosavuta. Kugwetsa ma atherosulinosis a ziwiya kumakhomereredwa ndi nambala I70.2.

Vuto la minyewa yamatumbo, yokhazikitsidwa mu International Classization

Chofunikira kwambiri pakuwonetsetsa kutuluka kwa magazi kumiyendo ndi matenda a msempha kapena mitsempha yayikulu.

Makamaka, ngati zolembera za atherosselotic zadzetsa magazi, kuwonjezereka kwa mtundu wa seurysm ya cellular kumapangika pamwamba pa kupendekera.

Ngati atherosulinosis imakwiyitsa mapangidwe a aneurysmal kukula kwa msempha kapena ziwiya zapakati, adotolo akhazikitsa dongosolo lotsatirali kuchokera mu gulu la 10 la kuwunikirako:

m'mimba aortic aneurysm wokhala ndi kapena wopanda chotupa (I71.3-I71.4),
kukula kwa mitsempha ya iliac (I72.3),
aneurysm yamitsempha yam'munsi yam'munsi (I72.4),
Kukula kwa aneurysmal kwachulukidwe kapena chosadziwika (I72.8 -I72.9).

Mu gulu la zotumphukira zotupa, International Classization of Revision 10 ikuwonetsa njira zotsatirazi:

kuphipha kwamitsempha yama mitsempha yaying'ono kapena ya raynaud's syndrome (I73.0),
thromboangiitis obliterans, kuphatikiza kutupa ndi thrombosis (I73.1),
otchulidwa kapena osafotokozedwa a zotumphukira mtima matenda (I73.8-I73.9).

Ngati atherosulinosis m'dera la zotupa za miyendo imayambitsa zovuta za thrombotic, ndiye kuti mavuto amtunduwu adagawidwa m'munsimu:

abortinal aortic thromboembolism (I74.0),
thrombosis yamitsempha ya m'munsi malekezero (I74.3),
kutsekeka kwa mitsempha ya iliac ndi thrombi kapena emboli (I74.5).

Kusiyanitsa mosiyanasiyana kwa mtima wamitsempha kumaikidwa ngati muyezo. Pankhani yamavuto akulu (gangrene, trophic ulcers), ICD 10 code ikufanana ndi nambala yofananira, komanso atherosulinosis yamitsempha yam'mbuyo ya ntchafu ndi mwendo wotsika (I70.2).

Dokotala aliyense ayenera kudziwa ndikugwiritsa ntchito manambala a International Classization of matenda. Pankhani ya matenda amitsempha ya miyendo, ndikofunikira kuti mumvetsetse kuti pansi pa nambala imodzi pamakhala zosankha zingapo - kuwononga kapena zovuta kwa atherosulinosis ya malekezero apansi.

Kutengera ndi matenda oyamba, dokotalayo adzagwiritsa ntchito njira zoyenera komanso zodziwikitsa zofufuzira kuti atsimikizire mitundu yamatendawa ndikusankha mtundu wabwino kwambiri wamankhwala. Kukhalapo kwa zovuta ndizofunikira kwambiri: ngati dokotala akuwona zilonda zam'mimba, ndiye kuti chithandizo chikuyenera kuyambika nthawi yomweyo.

Komabe, pazochitika zonse, kupewa kumapereka zotsatira zabwino, choncho muyenera kutsatira malangizo a dokotala pamlingo wocheperako wazizindikiro, osadikirira mawonekedwe a zilonda pakhungu kapena zilonda zam'miyendo.

Katswiri wofooketsa ziwengo za ziwiya za m'munsi m'mphepete mwa ICD 10

Malinga ndi gulu la matenda padziko lonse lapansi (ma code a 170, malinga ndi ICD 10), atherosulinosis obriterans am'munsi miyendo ndi chida cham'mitsempha cham'munsi, chomwe chimadziwika ndi kuchuluka kwambiri kwa cholesterol ndi lipids pamakoma otupa.

Maguluwa omwe amadzisonkhanitsa amatchedwa atherosulinotic plaques, amatha kukula ndikuyambitsa stenosis, kapena amatha kutseka zombozo kwathunthu, ndikupangitsa kuwonongeka kwakukulu kumapeto.

Komanso pazomwe zimayambitsa, kuzindikira komanso kuchiza matenda a atherosulinosis oblocerans of the m'munsi malembedwe (code 170 malinga ndi ICD 10), chidziwitsochi chitha kukhala chothandiza kwa onse omwe amasamala zaumoyo wawo.

Kuwononga atherosulinosis ya ziwiya zamagawo am'munsi kwambiri ndizofala kwambiri. Malinga ndi kafukufuku wapafupipafupi, ndi mtundu uwu wa matenda, zotupa za occlusal-stenotic zimapezeka mwa 20% ya odwala.

Gulu lamavuto limaphatikizapo okalamba. Pathology imapezeka mwa anthu 8% omwe zaka zawo ndi zopitilira 55. Komabe, anthu azaka zapakati pa 45 mpaka 55 amadwala matendawa 4% ya milandu. Oimira theka lamphamvu la anthu nthawi zambiri amavutika ndi matenda.

Mwa akazi, matendawa amapezeka pafupipafupi.

Ndikofunika kudziwa kuti anthu omwe ali ndi zizolowezi zoipa, makamaka osuta fodya, nthawi zambiri amadwala. Pakhoza kukhala zifukwa zingapo za kukhazikitsidwa kwa chikhalidwe cha pathological.

Chifukwa chachikulu ndikuchepa kwa lipid metabolism, mwakulankhula kwina, kuchuluka kwa cholesterol m'magazi. Koma madotolo ati kungodziwika kokha kwa cholesterol sikokwanira pakukula kwamatendawa.

Zatsimikiziridwa kuti zinthu zina zoopsa ziyenera kukhalapo, ndipo zitha kukhala motere:

gulu la zaka kuyambira 45
jenda, makamaka amuna
kusuta
kupezeka kwa matenda, mwachitsanzo, matenda a shuga kapena matenda oopsa,
zakudya zopanda thanzi, kudya mafuta ambiri anyama,
kumangokhala
kunenepa
nkhawa yayikulu, yolimbitsa thupi kwambiri,
kuzizira kwambiri kwa miyendo, chisanu,
kuvulala kwa mwendo.

Masiku ano, asayansi akuphatikizaponso majini omwe ali pachiwopsezo chakuyambitsa matenda. Zimatsimikiziridwa kuti nthawi zina ndi chibadwidwe chomwe chimatha kukhudza chidwi chofuna kuwonjezera kuchuluka kwa cholesterol.

Zomwe matendawa amatengera matendawa zimadalira mwachindunji momwe matenda amapangidwira komanso gawo lawo. Gawo limatsimikizika ndi momwe chotupa cha mitsempha chatsekedwera komanso momwe vutoli limakhalira chifukwa cha kuwoneka kwa zovuta m'magazi. Masiku ano, mankhwalawa, magawo anayi a kusintha kwa matenda a m'matumbo am'munsi amadzipatula ndipo akufotokozedwa:

1. Ndimasintha. Zizindikiro pakadali pano sizichitika. Kuzindikira kwa matenda amapezeka pokhapokha kudzera mu biochemistry, zotsatira zake zomwe zimawulula kuchuluka kwa cholesterol m'magazi.
2. II siteji. Pakadali pano, munthu amatha kumva zizindikiro zoyambirira, zomwe zimafotokozedwa ngati miyendo yosayankhula, minyewa yam'miyendo m'miyendo ndi kupweteka pang'ono.
3. siteji ya III. Chipatalachi pakadali pano chikutchulidwa. Munthu amamva kuwawa kwambiri, pali kubuma. Pakhungu, mutha kuwona zilonda zazing'ono ndi mabala.
4. IV gawo. Amadziwika ndi zizindikiro zazikulu. Kutupa kwa minyewa kumachitika, munthu amakhala akumva kupweteka, kuwonda kumadwala, kumayamba kuluma, zomwe zimapangitsa kuti dzanja lidulidwe.

Mukamapanga zoyamba za matenda, ndikofunikira kulumikizana ndi dokotala wochita.

Dokotala yekha ndi amene angayese kuchuluka kwa kuwonongeka, kutumiza munthu kuti amupime, kuyika matenda oyenera pazotsatira ndikupereka mankhwala othandiza.

Matendawa amapezeka molingana ndi zotsatira za anamnesis, zomwe adokotala amapeza.Kuzindikira kumakhazikitsidwa pazizindikiro zamankhwala ndi ma labotale, maphunziro othandizira.

Kuchokera ku maphunziro a labotale, magazi ndi mkodzo amapereka nthawi zambiri amalembedwa, ndipo kuchokera ku mayeso apadera azachipatala, rheovasography, Dopplerografia, thermometry, arteriography amachitidwa, zitsanzo zomwe zimakhala ndi magwiridwe antchito zimatengedwa.

Pambuyo pakufufuza kwathunthu kuchitika, dokotalayo amamulembera njira imodzi yochizira matenda. Malangizo a mankhwalawa amaphatikizidwa poganizira matendawo matendawa komanso njira ya matenda. Kukhalapo kwa zovuta kumakhudza kapangidwe ka regimen ya chithandizo. Mankhwalawa amatha kukhala osakhazikika, opanikizika kapena opaleshoni. Chithandizo cha mankhwalawa chimatha kukhala ndi miyambo yathanzi, monga:

kusuta,
kusintha zakudya, kuchepetsa kudya ndi cholesterol,
mankhwalawa a pathologies omwe amuchiritsa kwambiri matenda a atherosulinosis,
olimbitsa thupi azachipatala
kuteteza miyendo ku kuvulala ndi hypothermia.

Mankhwala osokoneza bongo amaphatikiza mafuta opangira mafuta ozikirira a antiotic, physiotherapy, mankhwala, vasodilator, vitamini complexes, mankhwala omwe amachepetsa kuphipha komanso mankhwala omwe amabwezeretsa zakudya m'thupi lathu.

Njira zopumira zimaphatikizapo angioplasty, kuchepa kwa balloon ndi strenting. Njira zamtunduwu zamankhwala zimawonedwa ngati zothandiza kwambiri, ndizothandiza kwambiri kubwezeretsa magazi mu mtima.

Chithandizo cha opaleshoni chimagwiritsidwa ntchito pokhapokha njira zina sizinapereke chithandizo chabwino. Opaleshoni imagwiritsidwa ntchito pamavuto, monga ma prosthetics, opaleshoni yam'mimba, kapena thrombendarterectomy.

Ngati matendawa amatsogolera ku gangrene, minofu necrosis, ndiye kuti kuchotsedwa kwina kwa madera omwe akhudzidwa ndikuchitika. Kulemala chifukwa chakudula miyendo kumachitika - ichi ndi chifukwa cha atherosulinosis yomwe ikupita patsogolo.

Monga chithandizo chovuta, mwachilolezo cha dokotala, mutha kugwiritsa ntchito maphikidwe kuchokera kwa anthu, zithandizo zomwe mankhwala ena amakupatsani. Maphikidwe otchuka kwambiri ndi awa:

1. Kuti muchepetse kutupa, ndikofunikira kumwa ma broths a hawthorn, clover, muzu wa burdck ndi clover. Msuzi umapangidwa mosavuta. Ndikofunikira kutenga 1 tbsp. l sakanizani imodzi yazomera zamankhwala ndi kapu yamadzi ndikubweretsa. Wiritsani masekondi 60 ndipo, ndikuchotsa mu chitofu, tsimikizani pansi pa chivindikiro chotsekedwa kwa mphindi 20. Iyenera kumwedwa mutatha kusefedwa, gawo limodzi mwa magawo atatu a chikho katatu patsiku musanadye. Ziwongolezo ziyenera kuchitidwa.
2. Mapulogalamu ozikidwa pa tchire, wort wa St. John, chamomile, plantain ndi motsatizana. Zitsamba ziyenera kusakanikirana magawo ofanana. Kenako muyenera kutenga supuni yosonkhetsa ndi kutsanulira kapu ya madzi otentha, kunena kwa nthawi yayitali. Musanagwire ntchito, phazi liyenera kutsukidwa ndi sopo wochapira wakuda ndi osakaniza ndi 37 ° C. Chotsatira, muyenera kupukuta mawonekedwewo ndikuyika zigawo zamiyendo, osapitilira 4. Kutalika kwa ntchito zimatengera kuopsa kwa njira ya matendawa.
3. Mankhwalawa atherosulinosis, ndikofunikira kukhala ndi chiwindi chathanzi. Ozizira ozizira amalimbikitsidwa m'dera la chiwindi m'mawa ndi madzulo. Njira yabwino yothetsera chiwindi ndi mkaka ndipo sufa. Ndalamazi zitha kugulidwa ku malo aliwonse a mankhwala ndipo zimatengedwa malinga ndi malangizo.

Ndikofunika kumvetsetsa kuti maziko a chithandizo chilichonse ndi mankhwala achikhalidwe, njira zina zonse zimayenera kugwirizanitsidwa ndi adokotala, chifukwa kudzipereka kungayambitse zovuta zina zomwe zingayambitse kudula miyendo kapena ngakhale kufa kwa wodwalayo.

Kuwononga atherosclerosis ya ziwiya m'munsi malekezero mcb 10 code

Nthawi zambiri, manambala a matenda enaake amadziwika bwino kwa madokotala omwe ali ndi mankhwalawa.

Komabe, mavuto a kayendedwe ka magazi omwe afotokozedwa mu ICD 10 atha kukumana ndi madotolo amisili yonse, chifukwa chake, zidziwitso zokhudzana ndi matenda amitsempha ziyenera kuthandizidwa.

Kuwonongeka kwa atherosulinosis yamitsempha ya m'munsi yam'munsi (manambala a tizilombo tating'onoting'ono 10): chithandizo ndi kupewa

Ngati pali kuphwanya kwa magazi m'mitsempha ya miyendo, limodzi ndi kufupika kwa mawonekedwe awo am'mimba komanso kuchepa kwa masisitimu am'mimba mwa azimayi ndi popliteal, kufalikira kwa atherosulinosis yamitsempha yam'munsi yakumapeto kumapezeka ndi ICD code ya 10: 170.2.

Kutseka ma lumen amitsempha yamagazi kumachitika ngati yankho la kuchuluka kwa lipid ndi cholesterol formations. Izi malembedwe, poyamba ochepa, pang'ono ndi pang'ono kukula ndi kukula mu lumen ya artery. Arterial stenosis imachitika, kenako amatseka kwathunthu.

ICD 10 imatanthauzira atherosulinosis yamitsempha yamiyendo yam'munsi ngati njira yokhudzana ndi kuchuluka kwa cholesterol pamakoma amitsempha yamatenda.

Koma zimadziwika kuti mwa anthu omwe ali ndi zaka zisanafike nthawi yopuma pantchito, kuchuluka kwa matenda opatsirana a atherosclerosis a m'munsi kumayandikira 4%, ndipo patatha zaka 10 - kawiri.

Pofuna kuti cholesterol yochulukirapo m'magazi ipange matenda oopsa monga atherosulinosis yamitsempha yam'munsi, yophatikizidwa ndi gulu la ICD 10, kuphatikiza kwa zinthu zingapo zakukhudza kapangidwe ka mitsempha kuyenera kupezekapo:

Makamaka prerequisites (mwa iwo omwe ali ndi abale omwe ali ndi atherosulinosis, pali mtundu wamba womwe umayambitsa matendawa),
Amuna
Ukalamba
Matenda oopsa
Matenda a shuga
Kutsatira kusuta
Khalidwe losayenera kudya
Kunenepa kwambiri
Kulephera kuchita masewera olimbitsa thupi,
Kuchita masewera olimbitsa thupi pafupipafupi
Kuyika pansi miyendo ndi chisanu,
Mbiri yakale yovulala mwendo.

Gawo ndi zizindikiro za matendawa

Kukula kwa zizindikiro ndi chikhalidwe chake zimatengera kuchuluka kwa kakulidwe komanso kutukuka kwa atherosulinosis ya malekezero a m'munsi (ICD code 10), kutenga nawo gawo pamitsempha yamiyendo ndi kuphatikizika kwa lumen yawo.

Pali magawo anayi omwe amasiyanitsidwa ndi mawonedwe azachipatala:

Gawo loyamba - kuzindikira kumakhazikitsidwa pokhapokha pazotsatira za mayeso a labotale, kupezeka kwa cholesterol yambiri. Palibe mawonetseredwe amatenda omwe amawonekera ndi wodwalayo.
Gawo lachiwiri limadziwika ndi kukhalapo kwa chizindikiro choyambirira cha matendawa, kuphatikiza dzanzi, kupweteka m'munsi, maonekedwe a minyewa komanso kuzizira (komwe kufotokozedwa ndi kuchepa kwa magazi kufikira ziwalo za thupi).
Pa gawo lachitatu, zizindikiro zamankhwala zimawonetsedwa bwino: kuwonda kwa khungu m'miyendo, kumasuka kwa khungu ndikuwoneka mabala, kuwonda ndi kupweteka kwambiri m'munsi m'munsi kumawonekera.
Gawo lachinayi ndi vuto lalikulu. Kwa wodwala, kuwonda kumakhala kosalekeza, kupweteka kosalekeza kumapitirira, minyewa ya m'miyendo. Mwinanso kukulira kwa zilonda zam'mimba ndi zilonda zam'mimba, zomwe zingakhale ndi zotsatira zakupha mpaka kutayika kwa dzanja.

Mukazindikira zizindikiro zomwe zafotokozedwazo, ngati pali zochitika zoopsa, ndikofunikira kukaonana ndi dokotala posachedwa kuti mumupime, mupeze matenda ndi kulandira chithandizo.Atherosclerosis yamanzere yosasamaliridwa ya ziwiya zamagawo akumunsi (ICD code 10) imabweretsa kulumala.

Amayambitsa ndi chithandizo chamankhwala osokoneza bongo a ziwiya zam'munsi

Atherosulinosis ndi matenda osachiritsika pomwe fupa la atherosulinotic pang'ono kapena lokwiratu ndi lumen yake limapangidwa mkati mwamitsempha. Kuwononga atherosulinosis yamatumbo am'munsi amayamba mwa omwe amasuta, anthu omwe ali ndi matenda ashuga, othamanga magazi, komanso onenepa kwambiri.

Zomwe zimayambitsa matendawa

Atherosulinosis imayamba pang'onopang'ono. Choyambitsa chachikulu chikhoza kukhala mibadwo, zizolowezi zoipa (kusuta, kumwa mowa), kumangokhala phee, kudya mokwanira, kupsinjika.

Zoyambira zazikulu:

zaka: amuna azaka zopitilira 45, azimayi oposa zaka 50,
kugonana kwamphamvu kumakhala ndi atherosclerosis 1.5-3 nthawi zambiri,
Matenda ochitika: matenda oopsa, matenda a shuga, kulephera kwa chithokomiro,
onenepa kwambiri.

Kugwedezeka kapena kufooka kwa mitsempha kumasokoneza kayendedwe ka miyendo. Tiziwalo tathupi timasowa mpweya, michere, mamvekedwe amwazi timachulukana, ndipo chiopsezo cha kuundana kwa magazi chikuwonjezeka.

Kuperewera kwa okosijeni ndi michere kumayambitsa kutupa. Kupititsa pang'onopang'ono kwa atherosulinosis kumabweretsa kusintha, kuwola kwa maselo. Thupi limazindikira kuti zimakhala ndi zosalongosoka ngati zachilendo - njira ya autoimmune yakomweko imayamba. Maselo oteteza khungu amatsutsana ndi zinthu zomwe zasintha, ndikupha. Mwachikhalidwe, izi zimawonetsedwa ndi zilonda zam'mimba, minofu necrosis.

Sizodziwika kuti zosungidwa nthawi zambiri zimapangidwa m'malo opanga magazi. Mitsempha yamagazi ikagawika, ma vortices amapangidwa omwe amawononga mawonekedwe osakanikirana am'mitsempha. Madzi otuluka m'magawo awa amachepetsedwa, zomwe zimathandizira kukhala pansi.

Magawo a pathology

Kutengera kuchuluka kwa kuwonongeka kwa mtima, kusokonezeka kwa magazi, magawo 5 a matenda a atherosclerosis amadziwika.

Zachikale. Kukula kwa atherosulinosis kumayamba ndi kuwonongeka kwa chotengera. Malo ake amkati amasiya kukhala osalala, zigawo za magazi zimatsamira mosavuta: lipoproteins yotsika, ulusi wolumikizana, ndi maselo amwazi. Chigoba chamafuta kapena chamizeremizere pamtunda, chomwe sichituluka pang'onopang'ono. Ili ndi gawo la asymptomatic.
Zothandiza. Magawo atsopano a lipoprotein, ulusi, maselo am magazi amayamba kumamatira ku malo oyambira. Mafangirowo amakula, amaphatikizana ndi oyandikana nawo, mawonekedwe a proten a lumen of the artery. Zizindikiro zoyambirira za kufalikira kwa ma atherosulinosis zimawonekera.
Kubweza. Chikalacho chimakula. Zida zam'miyendo ndizosakwanira mu okosijeni. Thupi limatha chifukwa chofuna kubwezeretsa chifukwa mkhalidwe wa anthu umakulirakulira.
Kubwezera. Miyendo yomwe yakhudzidwa siyilandira gawo lalikulu la mpweya. Maselo amakhala pachiwopsezo cha kuwonongeka kulikonse. Mikwingwirima yopepuka, kudula misomali kumayambitsa mawonekedwe a ming'alu ndi zilonda zosachiritsa.
Zosintha zowonongeka. Zilonda za m'munsi kwambiri zimafa, gule limayamba.

Mawonetseredwe azachipatala

Zizindikiro za matendawa zimatengera kunyalanyaza kwake, komanso kutengera kwa zolembazo. Ngati mawonekedwe akukhala mkati mwa mitsempha ya ntchafu kapena popliteal dera, "kuchepa" kumayamba. Kupweteka kwake pakati pa ana a ng'ombe ndi mawonekedwe.

Mimba ya m'mimba kapena ya artery ya m'mimba itawonongeka, kuwonda kumatchedwa "kukwera." Imadziwika ndi ululu m'matumbo a matako, m'chiuno, ndi m'chiuno molumikizana. The minofu ya minofu atrophy, theka la amuna limayamba kukhala lopanda mphamvu.

Zizindikiro za gawo loyamba

Ndi mtundu wofatsa wa atherosulinosis, anthu amadandaula za kutopa msanga, kuzizira, kukokana, kuwawa, kuwotcha nsonga za zala, kunachepetsa kumva kwamiyendo. Munthu wosowa kwambiri amawonana ndi dokotala wokhala ndi zizindikiro zosamveka zotere, zomwe ndi chisoni. Pakadali pano, palibe zosintha zomwe sizinasinthebe.Chifukwa chake, chithandizo chikhala chothandiza kwambiri.

Wodwalayo akafunsidwa kuti ayesedwe, ndiye kuti atayenda mtunda wa 500-1000 mita, ayamba kuthamanga. Kuti mumalize phunziroli, munthu adzapemphedwa kuti aziyenda mpaka ululu wamisempha ya ng'ombe udatuluke, komanso kuthekera kwathunthu kopitilira. Zizindikiro zonsezi zimagwiritsidwa ntchito ndi dokotala kuti azindikire, kudziwa kuyenera kwa chithandizo.

Zizindikiro za gawo lachiwiri

Pogwiritsa ntchito atherosulinosis, khungu la kumapazi, miyendo yotsika limakhala louma, lamatumbo, limayamba kusweka. Zidendene zimakutidwa ndi khungu loyiyidwa, lomwe limakonda kuchita ming'alu.

Kukula kwa misomali kumachepetsa, ndipo misomaliyo yokha siziwoneka yabwinobwino (yotentha, yosasalala, yofinya). Tsitsi la vuto limayamba kugwa, mbali zamadazi zimapangidwa.

Munthu wosalumala amatha kuyenda 200-250 m (gawo 2a) kapena pang'ono (gawo 2b).

Zizindikiro za gawo lachitatu

Miyendo imapweteka ngakhale munthu atasuntha. Khungu likucheperachepera. Zovulala zazing'ono (kudula misomali, kukwapula, mikwingwirima yaying'ono) kumatsogolera pakupanga zilonda zosaya, zilonda.

Mtundu wa pakhungu umatengera malo ndi miyendo. Wakweza mwendo ukuwoneka wotumbululuka, wotsitsidwa pansi - wofiyidwa. Munthu amatha kumangoyendayenda m'nyumba.

Ngakhale kuyenda kwakanthawi (25-50 m) kumayendetsedwa ndi kupuma, kupweteka kwambiri.

Atherosulinosis ya malekezero a m'munsi: ICD-10 code, zimayambitsa, Zizindikiro, matenda ndi njira zakuchiritsira

Kufotokozera Matenda

Magawo otukula ndi zizindikiro

Diagnosis: momwe mungayang'anire ziwiya zamiyendo ya atherosulinosis

Zomwe zimayambitsa matenda ndi gulu la oopsa

Kodi ndizotheka kuchiritsa atherosulinosis ya m'munsi malekezero

Mankhwala

Zithandizo za anthu

Opaleshoni

Kuneneratu za moyo ndi mwendo atherosulinosis

Mbiri yakukula kwa matendawa

Chizindikiro chachikulu

Kusintha kwa utoto

Njira zodziwika bwino

Zikuyenda bwanji?

Palpation

General mankhwala

Chithandizo cha atherosulinosis a ziwiya am'munsi malekezero

Njira yogwira anthu wamba

Malangizo onse

Olimbitsa thupi

Atherosclerosis ya ziwiya zamagawo akumunsi ICD code 10

Kufotokozera kwa matenda, code yake malinga ndi ICD-10

Kodi zimachitika bwanji?

Arterial kuwonongeka limagwirira

Zizindikiro

Zopatsa thanzi komanso kusintha kwa moyo wanu

Kumwa mankhwala ndi physiotherapy

Zambiri zokhudzana ndi matendawa komanso zomwe zimayambitsa

Njira zopangira opaleshoni

Kupewa

Mitundu yamatenda

Zinthu zomwe zimathandizira kuti matendawa akule

Njira zochizira

Mikhalidwe yayikulu ya pathogenesis yamatenda

Zizindikiro zazikulu za matenda

Kuzindikira ndi kuchitira atherosulinosis obliterans a m'munsi malekezero

Onaninso

Kodi kuletsa matenda amtundu wam'mimba ndi chiani? Kodi zizindikiro zake ndi ziti, kupezeka ndi matenda komanso kuthandizira?

Atherosulinosis obliterans - ndi choncho?

Pathogeneis: njira zopititsira patsogolo

Njira zakuchiritsa kwa atherosulinosis

Kodi kudula ndikofunikira?

Atherosulinosis ya ziwiya zamagawo akumunsi (kufafaniza) - malamulo malinga ndi ICD-10

Onaninso

Kodi kuletsa matenda amtundu wam'mimba ndi chiani? Kodi zizindikiro zake ndi ziti, kupezeka ndi matenda komanso kuthandizira?

Atherosulinosis obliterans - ndi choncho?

Pathogeneis: njira zopititsira patsogolo

Zizindikiro

Njira zakuchiritsa kwa atherosulinosis

Kodi kudula ndikofunikira?

Pomaliza

ICB code 10 yowononga atherosulinosis yokhala m'munsi

Onaninso

Atherosulinosis ya ziwiya zamagawo akumunsi (kufafaniza) - malamulo malinga ndi ICD-10

Gulu la matenda omwe amagwirizana ndi zotupa za atherosulinotic

Vuto la minyewa yamatumbo, yokhazikitsidwa mu International Classization

Katswiri wofooketsa ziwengo za ziwiya za m'munsi m'mphepete mwa ICD 10

Kuwononga atherosclerosis ya ziwiya m'munsi malekezero mcb 10 code

Kuwonongeka kwa atherosulinosis yamitsempha ya m'munsi yam'munsi (manambala a tizilombo tating'onoting'ono 10): chithandizo ndi kupewa

Gawo ndi zizindikiro za matendawa

Amayambitsa ndi chithandizo chamankhwala osokoneza bongo a ziwiya zam'munsi

Zomwe zimayambitsa matendawa

Magawo a pathology

Mawonetseredwe azachipatala

Zizindikiro za gawo loyamba

Zizindikiro za gawo lachiwiri

Zizindikiro za gawo lachitatu

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