Kupanga nthawi +7 (495) 103-46-23, st. Myasnitskaya, 19

Kuyendera mauthenga achinsinsi komanso pafoni OSATI zikuchitika.

Pazithandizo zakumwa
Malinga ndi malamulo aku Russia (Article 70 ya Federal Law of the Russian Federation No. 323-ФЗ "Pa Maziko Otetezera Nzika Zaumoyo mu Russian Federation") Dokotala wokhayo ndi amene ali ndi ufulu wopereka chithandizo.

"Kuzindikira popanda wodwala kumuyesa wodwala sikungokhala kwawola chabe, komanso kumabweretsa chiwopsezo cha moyo ndi thanzi la nzika. Kuyang'anira kutali zaumoyo wa wodwalayo kumawerengedwa ndi adotolo atapangana ndi mnzake."
Roszdravnadzor.

Kuonana ndi dokotala wamankhwala opaleshoni.

PANGANI UTHENGA Watsopano.

Koma ndinu wogwiritsa ntchito osavomerezeka.

Ngati munalembetsa kale, ndiye kuti "lowani" (fomu yolowera kumtunda kumanja kwa tsambalo). Ngati ino ndi nthawi yanu yoyamba kuno, lowani.

Ngati mungalembetse, mudzatha kutsata mayankho amawu anu mtsogolo, pitilizani kukambirana mitu yosangalatsa ndi ogwiritsa ntchito ena ndi alangizi. Kuphatikiza apo, kulembetsa kudzakuthandizani kuchita makalata azinsinsi ndi alangizi ndi ogwiritsa ntchito tsambalo.

# 1 Dr_Vadim

• 
• Membala wa Novice

• Gulu: Moderator
• 12 nsanamira
• Lowani Tsiku: Mar 19 08
• Amuna: Amuna
• Mzinda: Kiev

Kodi kuletsa matenda amtundu wam'mimba ndi chiani?
Kuwoneka pamakoma amitsempha yama cholesterol, kumayambitsa kutsekeka (kuphwanya) kwa mtsempha wamagazi ndi kuphwanya kwa magazi kwa chiwalo kapena minofu yomwe imadyetsa mtsempha wosinthika.
Mapangidwe a atherosulinotic amapezeka mu mitsempha iliyonse ya thupi, komabe, amapezeka kwambiri m'mitsempha yam'munsi. Izi zimabweretsa kumachitika matenda - atherosulinosis obliterans a m'munsi malekezero.

Kodi zimayambitsa matenda osokoneza bongo atherosulinosis ndi chiyani?
Zomwe zimayambitsa maselo a atherosulinotic sizikudziwika, komabe, gawo lofunikira mu njirayi ndi kusokonezeka kwa metabolic, makamaka zovuta zamafuta a metabolism m'thupi. Palibe kukayikira kutengera kwa chibadwa cha matendawa, koma pali zinthu zina zofunika kwambiri: kusuta (94%), matenda osokoneza bongo (18.2%), kunenepa kwambiri (21%), hypercholesterolemia (51%), matenda oopsa oopsa (47%). Zowopsa zomwe zimayambitsa kukula kwa zotupa za atherosselotic pabedi latsoka ndizovuta, kusuta fodya, moyo wongokhala. Mwachidziwikire, izi zikufotokozera kuti abambo amapambana pakati pa odwala omwe ali ndi atherosulinosis obliterans am'munsi.
Malinga ndi Unduna wa Zaumoyo ku Russian Federation, matenda otha kufalikira a madera otsika amadwala 5 mpaka 15% ya anthu.
M'badwo waukulu wa odwala atherosulinosis obliterans a m'munsi malekezero ndi zaka 60-69 kwa amuna, zaka 70-79 kwa akazi.

Kodi zizindikiro za atherosulinosis obliterans zam'munsi mwamitsempha yamitsempha ndi chiyani?
Chizindikiro chodziwika bwino cha zotupa za atherosselotic zam'mitsempha yam'munsi ndizophatikizira mwachindunji. . Odwala amazindikira kupweteka, kukokana, dzanzi lomwe limachitika poyenda ndikudutsa, kupaka minofu ya ntchafu, dera la gluteal (kutulutsa kocheperako), mwendo wotsika (kutsika pang'ono pang'onopang'ono).Ichi ndi chizindikiro kuti pakupuma minyewa yakumapeto imapatsidwa magazi mokwanira, ndipo mukamachita masewera olimbitsa thupi, mitsempha yopapatizayi imalephera kupereka magazi okwanira, kufa ndi njala.
Ndi kuchepetsa kwa mtsempha wamagazi, mpaka kufalikira kwathunthu (kupindika), ululu umayamba kuwonekera pamtunda wotsika (chitsimikizo chowonekera ndi mtunda womwe amayenda, pambuyo pake kupweteka kumawonekera), ndiye kuti akupitilizabe kusokonezeka ndikupumula kwathunthu. Potere, miyendo yotsika imathandizira kupweteka. Ululu pakupumula awonetse kuti mitsempha yathunthu yasinthika, kupezeka kwa magazi pamenepa ndi chifukwa cha ma kolaroni - mitsempha yaying'ono yomwe ikuyenda mofananirana ndi mtsempha wamagonedwe (wamatsenga).
Ndi kukulira kwazinthuzo, zilonda zosachiritsa zimayamba kuonekera pakhungu. , pang'onopang'ono amawonjezeka ndikuzama mpaka kufa kwathunthu - gangrene . Gangrene nthawi zambiri amayamba ndi zala zakumapazi, pakalibe chithandizo chokwanira, kutalika kwa kufalikira kwa gangrene kumatsimikiziridwa ndi mulingo komanso kusintha kwa mitsempha.
Chimodzi mwazosavuta komanso zofunika kwambiri pofufuza kuchuluka kwa zovuta m'mitsempha yamagazi ndi kuyesa kwa magawo ena. Chipangizo chapadera chimayeza kuthamanga kwa magazi m'mitsempha yama phazi, yomwe nthawi zonse imakhala yotsika kuposa magazi. Kusiyana kwakukulu pakati pamagazi kuyeza kuthamanga kwa magazi ndi kuthamanga kwa magazi m'mitsempha yama phazi, kulimba kwambiri kuwonongeka m'mitsempha.

Chithandizo cha atherosulinosis obliterans a m'munsi malekezero.
Njira zamankhwala za wodwala aliyense zimapangidwa payekhapayekha ndipo zimatengera mulingo, kuchuluka kwake ndi kuwonongeka kwa mitsempha, kupezeka kwa matenda olumikizana. Komabe, pali njira zina zomwe zikugwirizana ndi kuopsa kwa zizindikiro:
1. Ndikulankhula pang'onopang'ono kukhalapo kwa gawo lopendekeka la mtsempha wamagazi kumaganiziridwa. Pankhaniyi, endovascular chithandizo chothandiza: kuchepa kwamadzi kapena kununkha gawo laling'ono lam'mbali.
2. Kuti mumve kupweteka Amaganiziridwa kuti pali gawo logona msempha lomwe lili ndi magazi kumiyendo mwendo kudzera mwa khola. Pankhaniyi, chithandizo cha endovascular sichigwira ntchito bwino ndipo chimagwiritsidwa ntchito pokhapokha ngati ungathe kuchititsa catheter kudzera m'dera lokhalo - chomwe chingatheke ndi ma blockages ochepa (ma occlusions). Ndi ma ma occlusions atali, njira za opaleshoni zimagwiranso ntchito. Chithandizo: kuchotsa poyera kwa ma atherosselotic plaques (endarterectomy) kapena m'malo mwa omwe akhudzidwa ndi mtsempha kapena minyewa yam'mimba. Ndi zotupa zingapo, ntchito zophatikizidwa nthawi zambiri zimagwiritsidwa ntchito. - kusunthika kwa gawo lazophatikizidwa la mtsempha wamagazi ndi kuchepa kwa wochepetsetsa.
3. Kupezeka kwa zilonda kapena zilonda zam'mimba akuwonetsa ma arterial ma occlusions, zotupa za mitsempha zamitsempha yokhala ndi magazi ofooka oyenda. Zosankha zamankhwala othandizira zimachepetsedwa pamenepa. Mankhwala othandizira endovascular as an njira yodziyimira pawokha sothandiza, ngakhale atha kugwiritsidwa ntchito limodzi ndi opareshoni yotseguka. Ngati nkosatheka kuchita zomangamanga kapena kusachita bwino kwake, kudulidwa kumachitika miyendo.

Kuzindikira odwala: ang'onoang'ono ationoscotic chotupa cha mtsempha wamagazi, ndikosavuta komanso bwino. Ichi ndichifukwa chake gawo la kufalikira kwa atherosulinosis ya malekezero a m'munsi, abwino kwambiri pa chithandizo, ndi gawo la kulankhulirana kwapang'onopang'ono. Ngati zizindikiro zomwe zafotokozedwazo zikuchitika, kufunsa dokotala wa mtima kapena wamchiberekero ndikofunikira. Mwa kuchedwetsa kuyamba kwa mankhwalawa "kufikira nthawi yabwino" mumathandizira kuti matendawa athe kupitirira patsogolo komanso kuwonjezera mwayi wakadulidwa posachedwapa.

Njira za endovascular mankhwala a m'munsi miyendo
Mchipinda cha X-ray, malinga ndi mphamvu yonse yodalirika yam'mimba, dokotalayo amatha kubowoleza zazing'onoting'ono, zotupa kapena zotupa zina. A catheter amabweretsedwa kumalo omwe akukhudzidwa ndi arterial, kafukufuku wosiyanako amachitidwa - arteriography, yomwe imakupatsani mwayi kuti mulongosole kuchuluka ndi kuchepa kwa (kuchepa). Kondakitala imadutsa m'dera lomwe lakhudzidwalo - chingwe chachitsulo chokhala ndi nsonga yofewa. Ballooni ya catheter - catheter yokhala ndi baluni pulasitiki yothinitsidwa mopanikizika kwambiri mpaka mainchesi-omasulidwa bwino - aikidwapo limodzi ndi wochititsayo kumalo omwe akhudzidwa. Kenako pangani kukhathamiritsa kwa balloon kambiri pamalo ochepera. Pankhaniyi, zolembera za atherosselotic zimakanikizidwa kukhoma la minyewa ndikusintha bwino, mawonekedwe a chimbudzi amawonjezeka. Kuwongolera arteriography kumachitika. Ngati kubwezeretsa kwa patency ya mitsempha kumakhala kokhutiritsa, njirayi imatsirizika. Ngati malo opendekera kapena otsekedwa asungidwa (kupundika kwa elastic, kukakamira kunja, kink), stent imayikidwa mu lesion malo - chitsulo chotseguka, chowonjezedwa ndi baluni ndikuthandizira lumen ya artery kuchokera mkati, kuti isawonongeke. Pambuyo pobwezeretsa patency yam'mitsempha, zida zam'mimbamu zimachotsedwa mu mtsempha, malo opumira amawakanikiza ndi manja kwa mphindi 5 mpaka 10 (mpaka magazi atasiya kuchoka pamalo opumira), kenako bandage yotsikirako imayikidwa maola 12, kugona pabedi kumayikidwa mpaka m'mawa wotsatira. Supombolytics (heparin, fraxiparin) imayikidwa kwa masiku angapo, pambuyo pake anticoagulants (aspirin, phenyline, ndi zina zotere) amatumizidwa kwa miyezi 2-3.

Zotsatira
Atangobwezeretsa patency yam'madzi, kukakamiza kwa mbali m'mitsempha ya phazi kumakwera, ndipo zimachitika kuti mbali zamkati zimayambiranso. Ngati chiwalo chakhala chikuvuta kwa nthawi yayitali, kubwezeretsanso kwa magazi kumatha kubweretsa vuto lotchedwa reperfusion syndrome. Kutuluka kwa magazi mosadziwika bwino kumayambitsa kufooka kwa miyendo, kutupa, nthawi zina kupweteka. Vutoli limazimiririka patatha masiku ochepa limbilo "itazolowera" kumagazi atsopano.

Zotsatira zoyipa, zovuta, kubwereranso.
Pamaso pa ochepa zotupa za m'munsi zonse, kubwezeretsa magazi mu umodzi wa iwo kumabweretsa kutsika kwa magazi kulowa kwina. Zotsatira zake, kulumikizana pang'onopang'ono pamtunda womwe kale unkadziwika kuti ndi wathanzi kumatha kuonekera atachitidwa opaleshoni. Chifukwa chake, ndikofunikira kupenda miyendo yonse ngakhale ndi zowawa mbali imodzi yokha.
Chovuta chovuta kwambiri pakulowerera kulikonse ndi hematoma ya malo opumira. Vutoli silikukhalanso kuchipatala, nthawi zambiri amathandizidwa mosamala.
Mavuto obwera chifukwa cha kuwonongeka kwa ma arterial thrombosis, mbali kapena kuwonekera konse kwa mitsempha) ndizosowa kwenikweni, pafupipafupi zimatengera zomwe dokotala akuchita, mtundu wa zida komanso kuopsa kwa mitsempha yowonongeka. Mwachitsanzo, kupezeka kwa calcification (malo okumbikakumbika amakutidwa ndi laimu) kumawonjezera mwayi wopasuka wa khoma la mtsempha wamagazi mkati mwake. Nthawi zambiri, zovuta zoterezi zimathetsedwa endovascular, koma nthawi zambiri pamakhala kufunikira kwa opaleshoni yotseguka.
Kukonzanso kapena kuwonjezereka kwa zizindikiro za kuchepa kwa ziwalo zam'mimba zitha kupangika chifukwa chopendekera mobwerezabwereza kwa gawo losakanikirana lakumaso kapena kukula kwa intima (cholowa chamkati cha mtsempha wamagazi) pamalo a stent. Pankhaniyi, kulowerera mobwerezabwereza kumachitika, ndi kusagwira kwawo - chithandizo cha opaleshoni. Komabe, kufupikitsika komwe kumachitika mobwerezabwereza kwamitsempha yam'munsi kumayenderana ndi kupita patsogolo kwa atherosulinosis. Kukhazikitsidwanso kwa mapangidwe a atherosselotic kumapangitsa kubwereza kosalekeza komanso opaleshoni yofunika.Chifukwa chake, ndikofunikira kwambiri kwa odwala omwe athetsa magazi kuonera magazi ndikuwonetsetsa kuthamanga kwa magazi, cholesterol, kusiya kusuta fodya, kutsatira zakudya zina, kusintha magalimoto. Pazomwezi, zotsatira za chithandizo chilichonse cha kuchepa kwa zigawo zam'munsi ndizochepa kwambiri.

Atherosulinosis yamitsempha yama m'munsi yotsika - zimayambitsa, kuwunika komanso kulandira chithandizo

1. Kodi arteriosulinosis ya mitsempha ndi chiani?
2. Zomwe zimayambitsa matendawa
3. Mawonetseredwe akulu am matendawa
4. Kutanthauzira kwa matenda a mtima
5. Zizindikiro
6. Chithandizo
7. Mfundo za Chithandizo cha Conservative
8. Mankhwala ochepetsa mphamvu
9. Mankhwala othandizira
10. Kugwiritsa ntchito njira zachikhalidwe

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.

Atherosulinosis yamitsempha yama m'munsi yotsika mtengo ndi njira yoopsa ya mtima yomwe imayamba makamaka mu ukalamba. Pa gawo loyambirira, matendawa samawonetsa zizindikiro, muzochitika zapamwamba, kudula miyendo kungafunike kuti muchepetse zovuta zazikulu.

Kuunika kwakanthawi koyamba pa atherosulinosis yamitsempha kumathandizira dokotala kuti apereke njira yodalirika yothandizira odwala.

Ndani angalimbikitsidwe?

Kutupa kwa ziwiya zamiyendo kungafunikire kwa odwala omwe ali ndi matenda omwe ayambitsa kwambiri matenda osokoneza mitsempha ndi mitsempha yam'munsi.

Zizindikiro zingaphatikizeponso:

• Chidziwitso cha zotumphukira zamitsempha.
• Endarteritis yochepetsedwa ndi lumen ya ziwiya pamiyendo.
• Mitsempha ya Varicose ndi thrombosis.
• Atherosulinosis ndi matenda ena omwe adalimbikitsa ma atherosulinotic amana.
• Matenda a matenda ashuga.
• Zilonda zam'mimba ndi kuopseza kwa gangore.

Kuyika shunt ndi njira yabwino pamene odwala ali ndi choletsa angioplasty kapena stenting sizingatheke.

Opaleshoniyo ndi yovuta kwambiri ndipo imafunikira dokotala wa opaleshoniyo mwatsatanetsatane pamlingo wochepetsetsa. Chithandizo cha opaleshoni ya minyewa yodutsa imakhala ndi magwiridwe antchito a malo okhudzidwa ndi mtsempha kapena mtsempha wamiyendo pa mwendo. Manjawo umasokonekera mwachindunji kumalo komwe kuli vutoli, kuti mtsogolomo, magazi amayenderera kudzera mmalo mwa chotengera chopunduka. Monga mankhwalawa, madokotala amatha kugwiritsa ntchito mtsempha wopereka mowolowa manja, wotengedwa kwa wodwalayo, kapenanso zinthu zowoneka ndi maso.

Zochita zogwira ntchito

Kuchita opaleshoni ya vein posakhalitsa kumafunikira njira zowunikira kuti mudziwe zovuta za mtsempha, komanso kumveketsa momwe wodwalayo alili. Kuphika kumatha kuchitika pasadakhale kapena patsiku la opareshoni.

Pamaso pa opareshoni, ndizoyenera kudutsa:

• Chiyeso chachikulu chachipatala.
• Magnetic resonance angiography.
• Makina opanga mawonekedwe a Duplex.
• Kusiyanitsa kuyesa kwa radiographic.

Pamaso pa njirayi, miyendo imapezedwa kuti idziwe komwe kuli malo amtsempha.

Mukawunika ziwerengero zamaphunziro onse ndikamaliza, adotolo adzaganiza zofunikira zonyamula miyendo, ndiye kuti tsiku la opareshoniyo lidzaperekedwa.

Kupita patsogolo

Kodi kugwedezeka kumatha bwanji? Funso limadandaula odwala ambiri. Imachitika pansi pa mankhwala oletsa ululu kapena mankhwala oletsa ululu, kuti chithandizo chikuyenera ngakhale kwa anthu ofooka ndi matendawa komanso opuma pantchito. Mutha kuzolowera nthawi yayikulu yogwirira ntchito pogwiritsa ntchito kanema pa intaneti.

Ngati mungagawe opaleshoni m'magawo, titha kusiyanitsa izi:

• Dotolo amatsegula chikopa ndi minofu chivundikiro pamwamba pamalopo a chotupa cha m'miyendo kuti awonetsetsetsetse kugwiritsa ntchito zida zake.
• Kupeza mtsempha kapena mtsempha womwe wakhudzidwa ndikuwonetsa malo omwe ali opunduka.
• Alterned, mabala amapangidwa pamwambapa ndipo pansi pa gawo la defform ndipo malekezero a shunt amawomba.
• Pakapangidwe kovuta, ma shun angapo amatha kuyikapo pa mavesvessels.
• Gawo lotseguka pamwendo.
• Onani njira za angiography ndi ultrasound kuti mupeze kugunda kokwanira, magazi mu chotengera chogwirira ntchito ndikubwezeretsa kwa magazi m'miyendo.

Kutalika kwa ntchito kumatengera zovuta kukhazikitsa shunt. Itha kukhala pafupifupi maola awiri. Ngati mukukayikira kuti opaleshoniyo idayenda bwino, ndiye kuti apezanso mawonekedwe amagetsi am'madzi.

Nthawi yogwira ntchito

Pambuyo pa opaleshoni, wodwalayo amakhala kuchipatala pafupifupi masiku 10. Nthawi yonseyi adzachitidwa chipilala moyang'aniridwa ndi madokotala ndi ogwira ntchito zachipatala. M'masiku angapo oyamba, wodwalayo amatha kumva ululu komanso kutentha komwe sikumangopezeka pamalo omwe adawonekerayo, koma mwendo wonse. Izi ndichifukwa chobwezeretsanso michere minofu ndi njira yakukonzanso kwawo.

Chifukwa chake, nthawi ya postoperative ya mankhwalawa iphatikizanso kumwa mankhwala a ululu, maantibayotiki, kugwiritsa ntchito kuponderezana, kusintha mavalidwe ndi mankhwalawa. Ngati njira yotupa ikuchitika, nthawi yakuchipatala imatha kuchuluka. Koma ngati palibe zovuta, wodwalayo amachotsedwa ndikumasulidwa kunyumba kuti akonzenso.

Nthawi yogwira ntchito imaphatikizanso kumwa maantibayotiki.

Kubwezeretsa ndikupewa

Panthawi yokonzanso, wodwalayo amatha kupitiliza chithandizo pamankhwala. Kukhala kuchipatala sikulinso kofunikira, koma muyenera kupita kukaonana ndi olimbitsa thupi. Zingatenge nthawi kuti muwonjezere mankhwalawo. Adokotala amawalembera kalata ngati sangapatsidwe mankhwala momasuka. Komanso, akatulutsa, nthawi zambiri amapereka chiphaso chodzakumananso ndi phlebologist kapena kutumiza kwa katswiri kumalo komwe amakhala.

Monga kuwononga mitsempha ya mtima, nthawi zambiri odwala amafunika kuchepetsa kunenepa kwambiri ndikusintha dongosolo la zakudya. Ndikofunikira kuwonjezera zakudya zamasamba zokhala ndi mavitamini ndi fiber pazakudya zanu. Chakudya chizikhala ndi zakudya zamafuta ochepa. Zakudya zonse zomwe zimadyedwa ziyenera kusinthidwa molingana ndi zomwe zikuwonetsa kukula komanso kulemera kwa wodwalayo.

Kuchira msanga kuyenera kukhala ndi moyo wathanzi, kusiya kusuta. Izi zimachepetsa kugunda kwa mtima ndi mtima. Ngati chizolowezi chotupa chikupitirirabe, ndiye mukakambirana ndi dokotala mutha kusintha zakudya zopanda mchere. Zidzakhala sabata limodzi mpaka mwezi, kuchuluka kwa maphunzirowa kumatsimikiziridwa ndi katswiri wazakudya.

Pambuyo pakuchita opaleshoni ya mtima, odwala amawonetsedwa zolimbitsa thupi, koma zochitika zomwe muyenera kuyimirira kwambiri ziyenera kupewa. Pang'onopang'ono, wodwalayo adzabweranso kwathunthu tsiku ndi tsiku. Koma tikulimbikitsidwa kuti tisaiwale kukaonana ndi dokotala kuti akamuwunikire komanso kupewa matenda a mitsempha.

Panthawi yokonzanso, muyenera kuyang'anira kudya kwanu.

Opaleshoni ya atherosulinosis ya m'munsi malekezero: ndemanga

Ngati wodwala wovuta kwambiri komanso wapamwamba wa atherosulinosis ya m'munsi malekezero apezeka, nthawi zina palibe njira ina yoperekera chithandizo monga kudulidwa kwam'munsi.

Kuwonongeka kwa atherosclerosis ya m'munsi malekezero ndi matenda osakhazikika kwamitsempha yama sing'anga yayikulu komanso yayikulu, imayamba chifukwa cha kuphatikizika kwa dyslipidemia ndi kuwonongeka kwa khoma lakale, pakakhala chithandizo choyenera kumabweretsa zovuta ndi kulumala.

Zifukwa zakukula kwa atherosulinosis NK

Pali zifukwa zambiri zoyambitsa kusintha kwa ma atherosselotic m'matumbo a miyendo.

Zomwe zimayambitsa chitukuko cha atherosulinosis zitha kugawidwa m'magulu awiri.

Magulu amtunduwu amomwe amayambitsa ndi zinthu zomwe zimapangitsa kuti chiwopsezo cha cholesterol chokwanira komanso magawo ake m'magazi amwazi ndi zinthu zomwe zochita zake zimabweretsa kuwonongeka kwa mitsempha.

Gulu loyamba limaphatikizapo:

1. Zomwe zimayambitsa cholesterol yochulukirapo ndikulephera kutsatira chakudya chamagulu - kudya mafuta ambiri amtundu wazakudya ndi zakudya zamafuta ambiri, komanso zakudya zomwe zimaphikidwa mu mafuta ambiri, kusuta, zakudya zamchere, komanso chakudya chofulumira. Chofunika kwambiri ndikuchepetsa kwa zakudya zomwe zimapezeka ku fiber - masamba obiriwira, zipatso, chimanga ndi nyemba, osagwirizana ndi boma lakumwa, kugwiritsa ntchito kuchuluka kwa keke, keke, tiyi.
2. Kuchuluka kwa mabanja ndikofunikanso - matenda a mtima, kunenepa kwambiri, kagayidwe kachakudya ka matenda a metabolic, ma endocrine pathologies ena, komanso ku dyslipidemia, Homocysteinemia, ndi matenda ena a matenda a metabolic.

Zomwe zimayambitsa gulu lachiwiri ndi:

• zizolowezi - kumwa moledzera ndi kusuta kumakhudza gawo lamkati la chotengera, kuwononga kapangidwe kake ndikupanga zinthu zomwe zingagwirizane ndi magulu akuluakulu a magazi ndi magazi,
• kusachita mokwanira masewera olimbitsa thupi - okhala ndi masewera olimbitsa thupi ochepa komanso moyo wokhalitsa, mumakonda kukokomeza magazi m'mitsempha yam'munsi, kumawonjezera kukakamiza komanso kuvulaza endothelium,
• kuchita masewera olimbitsa thupi mopitirira muyeso, kugwira ntchito molimbika - kumayambitsa microtrauma a minofu ya miyendo ndipo, motero, zotengera zawo, ndikupanga mipangidwe yolimbikitsira cholesterol plaques,
• kuvulala ndi hypothermia yamapeto - kumayambitsa kusokonezeka kwa magazi m'malo owonongeka a miyendo, ischemia,
• kupezeka kwa atherosulinosis kumakhudzidwa ndi concomitant pathologies - thrombotic kapena thromboembolic matenda, kugwiritsa ntchito mankhwala ena - ophatikizira pakamwa, glucocorticosteroids.

Zina zomwe zimaphatikizapo zaka (zotupa za mtima zimachepetsedwa mwa anthu achikulire) komanso jenda (nthawi zambiri matendawa amakula mwa amuna, chifukwa mahomoni ogonana achikazi amatha kuteteza endothelium).

Mitundu ya zotupa ndi zizindikiro

Nthawi zambiri, mitundu iyi ya zotupa zam'mimba imapezeka - pang'ono kapena stenosis - m'mimba mwake wamitsempha saitsekedwa kwathunthu. Nthawi yomweyo, kutuluka kwa magazi sikungovuta, sikumayambitsa zovuta komanso zizindikiro zazikulu, ndikosavuta kwa njira zochizira.

Mtundu wachiwiri - ma occlusion - lumen ndi yotsekedwa ndi theka, kutuluka kwa magazi sikungathandize kapena kulibe, kumayambitsa zizindikiro ndi zovuta zingapo, kumafunikira opaleshoni, ndipo kungayambitse kulumala.

Zizindikiro za atherosulinosis obliterans zam'munsi zatsika ndizosiyanasiyana ndipo zimadalira kuchuluka kwa matenda.

Zizindikiro zodziwika bwino ndi izi:

1. Kulemera ndi kusasangalala m'miyendo, mpaka kupweteka, pambuyo pakuchita masewera olimbitsa thupi, kuyenda kwakutali.
2. Kuphwanya mphamvu yamatenthedwe - kupendekera kosalekeza kwa mapazi ozizira.
3. Kuphwanya kwamaso ndi zopweteka za malo owonongeka.
4. Kuyenda kovuta, pamene zolembedwa za atherosulinotic zili pamalo aortic bifurcation pamitsempha ya iliac - makonzedwe apakati.
5. Ululu syndrome - kuchokera kuwoneka kwa ululu mu ng'ombe kapena ntchafu zam'mimba pambuyo poyesetsa kwambiri kapena kuyenda motalika, kuthamangira kupweteka kosalekeza, ngakhale pakupuma kapena usiku. Chifukwa cha chikhalidwe cha kupweteka kwa atherosulinosis, nthawi zambiri chosasinthika, osati kwambiri, imatha kuwonjezera pakulimbitsa thupi.
6. Kuphulika kwa trophism ya khungu ndi zophatikizika, minofu - kuwonda ndi kuwuma kwa khungu, kusintha kwa mtundu wake (kuchokera pakalembedwe koyambirira kwa matendawa kukhala wofiirira ndi wakuda pakapangidwe ka gangrene ndi minofu necrosis), kusowa kwa tsitsi m'malo omwe akukhudzidwa, kukulira, misomali yovunda,Imachedwa kuchiritsa mabala pakhungu la mapazi, mapangidwe a zilonda zam'mimba, necrosis ya pakhungu ndi minofu yofewa.

Chizindikiro cha kusokonezeka kwamiyendo ndicho kusowa kwa phokoso m'mitsempha yam'mimba - popliteal, mitsempha ya pachifuwa ndi ntchafu. Chizindikiro ichi ndi chofunikira kwambiri pakuwonetsetsa koyambirira ndikuzindikira matenda a atherosulinosis.

Magawo a Atherosulinosis NK

Matendawa amawerengedwa mogwirizana ndi magawo omwe njira zina zochiritsira zimadalira - kusankha kwa dokotala kapena njira zosasamala, kapena kugwiritsa ntchito njira zopangira opaleshoni.

Gawo loyamba limadziwika ngati kupweteka kumachitika pokhapokha ngati mukuchita zolimbitsa thupi kwambiri, kuyenda mtunda wopitilira kilomita imodzi sikupweteka. Pakadali pano, wodwala amafunikira chithandizo chamankhwala - chosinthika cha moyo, ndi zisonyezo - mankhwala.

Gawo lachiwiri limadziwika ndi kuchepa kwa kulolera kwa zochitika zolimbitsa thupi, kupezeka kwa zowawa m'misempha m'miyendo mukamayenda mtunda wa 250 kuchokera pa kilomita. Kwa odwala oterewa, njira yothandizira mankhwalawa imagwiritsidwa ntchito m'njira zosagwiritsa ntchito mankhwala komanso mankhwala.

Gawo lachitatu ndi mtunda woyenda wopanda ululu kuchokera pa 50 mpaka 250 metres, zizindikiro zina zilipo - trophic, sensitivity sensitivity, ululu ndizotheka usiku komanso pakupuma. Kwa odwala oterowo, ndikofunikira kuphatikiza njira zamankhwala zochiritsira komanso zosafunikira.

Gawo lachinayi liri ndi mawonekedwe onse a lachitatu, koma limathandizidwa ndi kupezeka kwa zovuta za ischemic - zilonda zam'mimba, gangrene. Monga lamulo, njira zamankhwala othandizira opaleshoni zimagwiritsidwa ntchito kwa odwala oterowo, popeza pakadali pano mwayi wopunduka kwa wodwala ndi chithandizo chosayenera komanso chosayenera ndiwambiri.

Kuzindikira atherosulinosis ya m'munsi malekezero

Gawo loyamba lazidziwitso ndikupeza mbiri ya udokotala mosamala (matenda akale ndi osachiritsika, ma opaleshoni, kuvulala, malingaliro am'banja, moyo, zakudya, zizolowezi zoipa).

Mbiri ya matendawa ndiyofunikanso (kuyambika, zoyambitsa, zifukwa zoyambirira, kutalika kwa matendawa, chitukuko, chithandizo cham'mbuyomu, zotsatira zake).

Njira zotsatirazi ndizosankha, zofunikira kuti zitsimikizireni matendawa.

Izi zikuphatikiza mayeso a labotale:

• Kuwerengera kwamwazi konse, kuchepa kwamkodzo.
• Magazi a m'magazi (kuzindikira matenda a shuga komanso kuphatikizidwa kwa matenda a shuga).
• Kuyesa kwa magazi a biochemical - kudziwa kuchuluka kwa lipid (kuchuluka kwa cholesterol okwanira, kuchuluka komanso kutsika kwa lipoproteins), chiwindi (AlAT, AcAT, phosphatase ya alkal ndiyofunikanso - ma statins adatsutsana ndi kuwonjezeka kwa magawo awa) ndi impso (creatinine, urea).

Kuzindikira komaliza kumatsimikizika pambuyo poti njira zowonjezera zowonjezera zikuchitika, zomwe zimakupatsani mwayi kuti muwone kuchuluka kwa kuwonongeka, kutalika kwa patency ya chotengera ngakhale kuona m'magazi.

Izi zikuphatikiza:

1. angiography ndi njira imodzi yosavuta kwambiri komanso yotsika mtengo yodziwira, pokhazikitsidwa ndi X-ray yothandizira m'matumba ndi zithunzi za X-ray zamankhwala,
2. multispiral compute tomography ndi imagonance imaging njira zophunzitsira zothandiza zomwe zimathandizira kuwona mulingo wa kutsekeka kwa mtima,
3. kusanthula kwa duplex ndi mtundu wa golide wothandiza kuzindikira kufalikira kwa ma atherosulinosis, umapangitsa kutsata magazi kudzera m'dera lowonongeka, kuwona m'mitsempha yamagalimoto.

Komanso pakuvuta kwa njira zodziwira matendawa kumaphatikizapo kuyeza kuthamanga kwa magazi kumiyendo ndi miyendo, kuwerengera kalozera wamchiuno.

Muli mankhwala a atherosulinosis a m'munsi malekezero

Chithandizo chimatengera zizindikiro za nthendayo, magawo ake, ndipo zimaphatikizanso kusintha kwa moyo wa wodwalayo, mankhwala ake ndi njira zopangira opaleshoni.

Chithandizo cha magawo oyamba amatha kuchitika mosamala, wodwalayo amalimbikitsidwa pazakudya, zolimbitsa thupi, komanso chisamaliro cha phazi.

Zakudya zochizira matenda a atherosulinosis ziyenera kukhala zokwanira, komanso kuphatikizidwa pakudya zamasamba ndi zipatso, chimanga, mitundu yochepa yamafuta ndi nsomba, mndandanda wokwanira woyamwa.

Monga gwero la mapuloteni, nyama ya nkhuku, nsomba zamafuta ochepa, nyemba, soya, mapuloteni a dzira lofunikira.

Zakudya zamafuta ambiri sizimaphatikizidwa kwathunthu - soseji, pastes, yolks, chakudya chothamanga, zakudya zopatsa chidwi.

Kusamalidwa koyenera kwamapazi ndikofunikanso - kupewa hypothermia, kuvala nsapato zapafupi, osati pafupi, kapena zamankhwala ngati kuli kotheka, kuchita bwino maulendo, kuchitira zilonda zazing'ono pakhungu ndi antiseptics.

Amatinso kugwiritsa ntchito kusamba kosiyanitsa phazi ndi decoctions azitsamba kapena mchere, kutikita minofu.

Pa intaneti mungapezeko ndemanga zabwino za mankhwala azikhalidwe, monga mafuta opaka khungu ndi mafuta a maolivi kapena nyanja. Koma ziyenera kukumbukiridwa kuti maphikidwe otere ayenera kugwiritsidwa ntchito limodzi ndi chithandizo china komanso pakakhala kuti pali contraindication.

Chithandizo cha mankhwala a atherosulinosis:

• Othandizira a Hypolipidemic - Atorvastatin, Rosuvastatin, Simvastatin, fibrate, nicotinic acid.
• Antispasmodics - No-shpa, Drotaverin, Papaverin.
• Mankhwala othandizira - Vazoprostan, Trental, Curantil, Cilostazol.
• Ma antiplatelet othandizira ndi ma anticoagulants - Aspirin, Cardiomagnyl, Magnikor, Fraksiparin, Heparin, Enoksiparin, Clopidogrel.

Kuphatikiza apo, mavitamini ndi physiotherapy amagwiritsidwa ntchito pochiza.

Mankhwala othandizira atherosclerosis

Kubwezeretsa kutuluka kwa magazi mu magawo oyamba ndi achiwiri, ntchito zamagetsi zomwe zimagwiritsidwa ntchito pang'onopang'ono zimagwiritsidwa ntchito - stenting, opaleshoni yodutsa, balloon angioplasty, thrombendarteriectomy, angioplasty ndi alloprosthetics kapena autoprosthetics.

Zochizira za magawo achitatu ndi chinayi a atherosulinosis, chithandizo chovuta kwambiri chimagwiritsidwa ntchito, chomwe chimaphatikizapo malangizo onse panjira ya moyo ndi zakudya, mankhwala osokoneza bongo komanso opaleshoni.

Kwa odwala omwe ali ndi ischemia yovuta, sikutheka kuchita opaleshoni yovutitsa, chifukwa kutuluka kwa magazi kumakhala kovuta kwambiri, ndipo kusintha kosasintha kwa ischemic ndi necrotic kumachitika.

Nthawi zina njira yokhayo yotulukamo, mwa kuchuluka kwa minofu ya necrotic, kuwonongeka osati kokha kofewa komanso minofu yamafupa, ndikudulidwa kwa malo omwe akhudzidwa.

Ichi ndi chimodzi mwazochita zakale zakuchita opaleshoni, tanthauzo lake ndikuchotsa gawo limodzi ndi fupa.

Kutengera mulingo wa kusintha kwa mitsempha ndi kusintha kwa malo oyandikana nawo, kudula kwapamwamba komanso kotsika kumasiyanitsidwa.

Kuduladula kwapamwamba kumatchedwa pomwe nthambi imadulidwa pamwamba pa bondo, yotsika - ndi mawonekedwe a zala, phazi, mwendo wotsika.

Zomaliza zimagawikidwanso kukhala pulayimale ndi sekondale.

Zisonyezero zogwiritsira ntchito - mtima wathunthu wamatsenga, limodzi ndi kupweteka kwambiri, kusowa kwa mphamvu yochizira, kusintha kwachuma pakhungu ndi minofu.

Opaleshoni yayikulu imalepheretsa kuchitika kwa zovuta - sepsis, matenda ena owonjezera a ziwalo zina.
Kumbukirani kuti mutadulidwa, chithandizo panthawiyi sichitha, popeza atherosulinosis imakhala ikuchitika nthawi zambiri, ndipo posachedwa vutoli likuphwanya magazi.

Pambuyo pakuchitapo kanthu kwakukulu kwa opaleshoni, njira zobwezeretsa ndizofunikira - opaleshoni yodutsa kapena yowuma, ma prosthetics a olowa.

Kupewa kwa atherosulinosis obliterans kumakhala ndikuchita masewera olimbitsa thupi, kutsatira zakudya zabwino, kusiya kusuta fodya komanso kumwa mowa mwauchidakwa, nthawi zina kuyang'anira cholesterol ndi zigawo zina za lipid, kuthamanga kwa magazi, chithandizo cha panthawi yake.

Momwe ma atherosulinosis amathandizira akufotokozedwa mu kanema munkhaniyi.

Kodi arteriosulinosis ya mitsempha ndi chiani?

Mitsempha yosasinthika ya gawo lililonse la thupi imakhala ndi chounikira chotere chomwe chimapangitsa kuyenda kosasunthika magazi ndi minofu zakudya, motero.

Kuchepetsa kwa mitsempha ya minyewa yayikulu ndi miyendo ndi chifukwa chodzikundikira mafuta m'makoma amkati. Zikhazikikazo zimakhazikitsidwa pamalo ophatikizira malo, ndichizolowezi kutanthauza gawo ili lachitukuko cha matenda a matenda amisempha kuti "banga banga".

Zosintha zomwe zikuchitika pakadali pano zitha kuyimitsidwa, koma zolembedwazo nthawi zambiri zimapezeka mwamwayi mukamayang'ana mitsempha yamagazi.

Pang'onopang'ono, zolembera za atherosulinotic zimakula, ndipo izi zimatsogolera kuti m'mimba mwake mumachepa pang'ono, motero, magazi amthupi akusokonezeka. Kuperewera kwa okosijeni ndi michere kumapangitsa kuchepa kwa zotumphukira za ziwiya zomwe zakhudzidwa, kuchepa kwawo kwa matenthedwe komanso kusintha kwa minofu yapafupi.

Pang'onopang'ono, calcium imadziunjikira mkati mwa zolembera zamafuta, imayamba kulimba. Atherocalcinosis imasokoneza kwambiri magazi, chifukwa cha hypoxia, minofu necrosis imachitika. Pali chiopsezo chodzilekanitsidwa ndi zigawo zomaliza za chikwangwani cha thrombus, chomwe chitha kutseka mtsempha waukulu ndikuyambitsa kusintha kosasinthika.

Stenosing atherosulinosis yamitsempha yama m'munsi kwambiri imakhala yofala pakati pa okalamba omwe ali ndi zaka zopitilira 60, koma matendawa sapezeka kawirikawiri kwa achinyamata ochepera zaka 40. Amuna amadwala pafupifupi nthawi 8 kuposa azimayi, ndipo kusuta kwa nthawi yayitali kumathandizira kuti kuchepa kwamitsempha yamagazi ndi ziwonetsero zozungulira mu mitsempha.

Zomwe zimayambitsa matendawa

Stenosing atherosulinosis ya mitsempha yayikulu yam'munsi yam'munsi imachitika mchikakamizo cha zinthu zosiyanasiyana zomwe zimadzetsa matendawa.

Kuchepa kwa mapangidwe a matenda kumachulukirachulukira mwa anthu:

1. Ndi cholowa chamtsogolo. Pamodzi ndi majini, mawonekedwe a lipid metabolism m'thupi, kuchuluka kwa mahomoni, kapangidwe ka khoma lamkati, komanso kuchuluka kwa chitetezo chokwanira, chomwe chimakhudza kuchuluka kwa chitukuko cha atherosulinosis.
2. Ndi zizolowezi zoyipa. Nicotine ya ndudu imapatsidwa mphamvu ya atherogenic, koma kuwonjezera apo, kusuta kumayambitsa kuphipha kwamitsempha yamagazi, ndipo ndizomwe zimapangitsa magazi kuyipa ndikupangitsa cholesterol yoyipa kulowa m'mitsempha. Mowa ndi mankhwala osokoneza bongo sizimavulaza thupi, zimasinthanso mwachangu kayendedwe ka khoma lamitsempha. Kumbali inayi, kugwiritsa ntchito moledzera kwamtengo wapamwamba kwambiri kumalingaliridwa kuti ndikolepheretsa kuyika kwa zolembera mkati mwa zotengera.
3. Ndi matenda onga. Atherosulinosis ya malekezero akumakhala ovuta shuga, odwala omwe ali ndi vuto la cholesterol plaques amapezeka mwachangu kwambiri. Gulu lamavuto limaphatikizapo iwo omwe ali ndi mbiri yayitali ya matenda oopsa komanso chithokomiro cha chithokomiro.
4. Zambiri.
5. Ndi masewera olimbitsa thupi osakwanira. Hypodynamia imapangitsa kuti magazi a m'magazi akhale otsika, ndiye kuti, malo oyenera amapangidwira kufotokozera kwa cholesterol.
6. Ndi kuchepa kwakutali kwa m'maganizo kapena kupsinjika nthawi zambiri.
7. Ndi zotupa njira mu mitsempha yayikulu.

Chiwopsezo cha atherosclerosis chimawonjezeka ndi zaka, ndipo zinthu zomwe zimapangitsa kukhala mthupi la munthu, ndizowonjezereka zowonongeka kwa mtima.

Amadziwika kuti atherosulinosis yamitsempha yama miyendo imayamba kukhazikika pambuyo pochulukirachulukira, kuvulala koopsa, opaleshoni yam'mimba.

Mawonetseredwe akulu am matendawa

Ndi chisamaliro chathanzi lanu, ngakhale zizindikiro zoyambirira za atherosulinosis ya miyendo zimatha kukayikiridwa paokha.

Ndikulimbikitsidwa kuti mupimidwe pang'ono ngati zosintha izi zalembedwa:

• Kuyenda ndi zokwawa miyendo. Nthawi zambiri, odwala amawona kufanana kwa zizindikirozi ndi zomwe zimawonekera pambuyo povulaza dzanja nthawi yayitali. Koma kumva kosavutikira mumiyendo ndi atherosulinosis kumachitika popanda zifukwa zomveka.
• Kutentha kuzizira kwa dzanja. Chizindikiro ichi chimawonedwa mu nyengo zotentha za chaka.
• Kukongola kwa khungu.
• Kuchepetsa mafuta amthupi ndi minofu pamiyendo, m'chiuno, kumapazi. Kusintha kwa minofu kumalumikizidwa ndi kusowa kwa michere ndi mpweya.
• Kusungunula khungu, ming'alu m'miyendo, kusintha kwa misomali. Poyerekeza ndi maziko a atherosulinosis, matenda a fungal nthawi zambiri amakula.
• Kutayika kwa tsitsi pamiyendo popanda kubwezeretsa tsitsi pambuyo pake. Kusintha kumeneku kumagwirizananso ndi njira zowonongeka pakhungu.
• Ululu Poyamba, kumva zopweteka kumachitika pakulimbitsa thupi, poyambira koyamba "kusinthana mawu" kumawonekera. Mwazovuta, kupweteka kumatha kupuma.
• Maonekedwe akunja kwakubadwa kwa khungu la mapazi ndi miyendo. Mdima wakuda umawonetsa thrombosis, ndipo ndi harbinger wa necrosis.
• Zilonda zamiyendo zamphongo, zopanda machiritso, nthawi zambiri amapezeka m'dera lamapazi.
• Gangrene Tissue necrosis imachitika kumapeto kwa atherosulinosis, kufalikira mwachangu kumapangidwa mwa anthu omwe ali ndi matenda ashuga komanso ena mwa ma concomitant pathologies.

Kutanthauzira kwa matenda a mtima

Matendawa amasankhidwa malinga ndi kusintha kwa mitsempha ndi zizindikiro za matendawa.

Pali magawo anayi a matenda:

• Gawo loyamba ndi lachilendo. Pakadali pano, lipoidosis imachitika - kusintha kwathunthu kwamafuta a mafuta, omwe akuwoneka ndi mawonekedwe a malo amafuta m'mitsempha. Kuvulala m'miyendo kumachitika pokhapokha ngati mutayenda mtunda wautali kapena mutangolimbitsa thupi mwamphamvu ndi miyendo yake. Pambuyo pakupuma, ululu amachoka.
• Pa gawo lachiwiri la matenda, zipsinjo kumapeto kumawonekera kale atagunda mtunda wa 250-1000 mita pamapazi.
• Mu gawo lachitatu, ischemia imafika pamtengo wofunikira. Kupweteka m'miyendo kumachitika atagunda mamita 50-100.
• Gawo lachinayi ndi gawo lomwe limawonekera zilonda zam'mimba ndi necrosis zomwe zingatheke pambuyo pake. Munthu amamva kupweteka kwambiri komanso kusasangalala m'miyendo yake ngakhale usiku nthawi yopuma.

Zizindikiro

Dokotala wodziwa zambiri angayikire kuwonongeka kwamitsempha yam'munsi yamagetsi kale pakuyang'ana wodwala. Kuyang'aniridwa kumalipiridwa pakhungu la khungu, minofu atrophy, pulsation ya mitsempha.

Kuti mupeze matenda olondola, sankhani:

• Angiography. Iyi ndi njira yolondola kwambiri yothandizira kusintha kwamitsempha yamagazi. Choyamba, wogwirizirayo amalowetsedwa mu mtsempha wachikazi kenako X-ray ya miyendoyo. Angiography imakupatsani mwayi kuti mupeze malo onse a vasoconstriction komanso kupezeka kwa njira yolumikizana. Popeza njirayi imagwira ntchito, imagwiritsidwa ntchito limodzi ndi matenda a impso komanso kuletsa chidwi kwa wophatikizana ndi ayodini.
• Ultrasound Dopplerography - njirayi imakuthandizani kuti mupeze malo ochepera mu 95% ya milandu.
• Zolemba pamakompyuta.
• Kuyesedwa kwa magazi kuti mupeze zomwe zimakhala ndi cholesterol yoyipa komanso nthawi ya magazi.

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

Kuzindikira ndi kuchuluka kwa zotupa za atherosulinotic zimapangidwa pokhapokha pofufuza zonse zowunika.Chithandizo chimasankhidwa malinga ndi zomwe zidadziwika.

Ngati wodwala ali ndi mwayi ndipo matenda atakhazikitsidwa koyambirira kwa chitukuko, ndiye kuti kupewa zina ndikusintha zovuta zomwe zilipo, zingakhale zofunikira kupatula zomwe zingayambitse thupi.

Ndikofunikira:

• Choyamba, siyani kusuta
• Idyani m'njira yoti mafuta ochepa a nyama monga gwero la cholesterol oyipa amalowa mthupi,
• Kuchepetsa thupi ngati pali mapaundi owonjezera,
• Pewani kuwonjezeka kwa kuthamanga kwa magazi kuposa 140 mm Hg. st
• Limbitsa zolimbitsa thupi. Zida zamiyendo, kuyenda, kuyenda panjinga, kusambira ndizothandiza, mutha kuchita masewera olimbitsa thupi kunyumba,
• Kuchiza matenda osachiritsika. Ngati muli ndi matenda ashuga, muyenera kusunganso shuga m'magazi.

Chithandizo cha stenotic atherosulinosis yamitsempha yam'munsi yachiwiri komanso magawo a matenda am'magazi amagawika mosasintha, osasokoneza komanso opaleshoni.

Mfundo za Chithandizo cha Conservative

Njira zochizira zochizira zimaphatikizapo kumwa mankhwala ndi physiotherapy. Maphunziro omwe amatenga osankhidwa mwapadera malingana ndi kusintha komwe kwawonekera mumankhwala amapangidwira miyezi 1.5-2, amafunika kubwerezedwa mpaka 4 pachaka.

Mwa mankhwala omwe amagwiritsidwa ntchito makamaka:

• Otsutsana, ndiye kuti, othandizira omwe amalepheretsa mapangidwe azigazi. Wosagwirizana wotchuka kwambiri ndi aspirin.
• Mankhwala omwe amasintha magazi. Awa ndi reopoliglyukin (kutumikiridwa mu chipatala) ndi pentoxifylline.
• Antispasmodics. Zotsatira za mankhwalawa ndikuchepetsa vasoconstriction, omwe amasintha magazi.
• Ma Anticoagulants amalembedwa mu gawo la kubwezera.

Cholinga cha ma statins chifukwa cha matenda a cholesterol m'magazi chikuwonetsedwa. Mu atherossteosis, kukonzekera kwa enzyme kumagwiritsidwanso ntchito nthawi zambiri, chifukwa matendawa nthawi zambiri amakhala ndi kusintha kwa kapamba.

Mankhwala ena amayenera kumwa kamodzi, ena amagwiritsidwa ntchito nthawi zina, nthawi zina makhwala amayenera kumwa kwa moyo wonse. Zomwe zimachitika posankha chithandizo cha mankhwalawa zimatengera gawo la matenda ndi zovuta zina.

Mankhwala ochepetsa mphamvu

Njira zothandizira odwala omwe ali ndi atherosulinosis a m'munsi malekezero - kuchepera kwa baluni, angioplasty, kudukiza kwa mitsempha yomwe yakhudzidwa. Njira zowonongera pang'ono izi zimabwezeretsa kuyenda kwa magazi popanda kuchitidwa opaleshoni yayikulu.

Zimachitika pogwiritsa ntchito zida zapadera, nthawi yokonzanso imatenga nthawi yochepa ndipo wodwalayo amatha kuchira kunyumba.

Mankhwala othandizira

Njira zochepa zowukira sizingagwiritsidwe ntchito nthawi zonse. Ngati mbali zotsekeka za ziwiyazi ndizitali, ndiye kuti kuchitapo kanthu pakufunika kwa opaleshoni kuyenera kubwezeretsa magazi. Wodwalayo amaperekedwa ndi amodzi mwa mitundu ya opaleshoni:

• Prosthetics ya gawo losinthidwa la chotengera ndi zinthu zopangidwa.
• Opaleshoni ya Bypass ndikupanga ngalande yochita kupanga yomwe imalola kuti magazi aziyenda m njira yamagazi momwe amafunikira.
• Thrombendarterectomy - kudula ma atherosselotic malo mu ziwiya.

Milandu yomwe matenda am'magazi adapezeka ndipo palibe zofunikira kubwezeretsa magazi, kudula chiwalo ndikofunikira. Opaleshoniyo amalembedwa kuti apulumutse moyo wa wodwalayo.

Kugwiritsa ntchito njira zachikhalidwe

Mankhwala ochokera ku mankhwala amchikhalidwe sichothandiza kwa atherosulinosis, ngati simugwiritsa ntchito mankhwala omwe adokotala adakupatsani. Koma mitundu ingapo ya zitsamba, malo osambira apadera, ma tinctures amathandizira kusintha kwamitsempha yamagazi ndi kapangidwe ka magazi, komanso imathandizira kukana kwa thupi kwathunthu.

Ntchito:

• Zodzikongoletsera za mgoza wa mahatchi, zodzipweteka wamba. Zitsamba izi zimakulitsa magazi.
• Kusamba kwa nettle.Kugwiritsa ntchito kwake kumakongoletsa microcirculation ndipo kumathandizira kuchepetsa kusapeza bwino pa atherosulinosis.
• Mankhwala a Garlic. 10 cloves wa adyo ayenera peeled, wosweka ndi kutsanulira kapu ya mafuta osasankhidwa masamba. Osakaniza amayenera kuthiridwa kwa tsiku, pambuyo pake amathanso kuthandizidwa. Mankhwalawa, supuni ya mafuta a adyo imasakanizidwa ndi supuni ya mandimu watsopano mwatsopano wofinyidwa, imwani mankhwalawa katatu patsiku.

Onetsetsani kuti mwatsata chakudya. Ndikulimbikitsidwa kudya masamba ndi zipatso zambiri, ndi mphesa yazipatso, vwende, viburnum, mtedza, tchizi, ndi nsomba zamafuta ndizothandiza. Tiyenera kukumbukira kuti kugwiritsa ntchito batala, nyama yamafuta, soseji, pastes, offal, muffin, mayonesi wamafuta atherosulinosis uyenera kuthetseratu.

Kugwirizana ndi chakudyacho sikungobwezeretsa zotengera zokha, komanso kungakhudze zomwe zimakhala chonse. Muyenera kumwa zochulukirapo, ndikofunikira kugwiritsa ntchito madzi oyera, zipatso zosafunikira, tiyi wobiriwira kapena tiyi ndi mandimu, mankhwala ena azitsamba.

Mfundo zochizira ma atherosulinosis ambiri

Posachedwa, kuchuluka kwa matenda oopsa kwambiri monga ma atherosclerosis angapo, matenda okhudza ziwiya zamagetsi, akuwonekeratu. Matendawa amatha kugawidwa m'magulu angapo, koma ambiri mwa iwo ndi atherosulinosis ya m'munsi. Ngati simukuonana ndi dokotala munthawi yake, ndiye kuti matendawa amayambitsa zovuta zomwe zingawononge kwambiri moyo wamunthu.

Kukopa kwa chodabwitsachi

Kusuta ndiko chifukwa chachikulu chachitukuko cha osati kufalitsidwa kwa atherosulinosis, komanso matenda a sclerosis ambiri, chifukwa chikonga chimathandizira kuphipha kwamitsempha yamagazi, ndipo, chifukwa chake, pakusokoneza kayendedwe kabwino ka magazi.

Kuphatikiza pa kusuta, pali zifukwa zingapo zomwe zimatsogolera pakukula kwa atherosulinosis:

• kuthamanga kwa magazi
• matenda endocrine, makamaka matenda a shuga,
• chakudya chabwino.

Kunenepa kwambiri, kukhala moyo wongokhala, kupsinjika pafupipafupi komanso kuda nkhawa, cholowa cholowa - zonsezi zimatha kubweretsanso chitukuko cha atherosulinosis.

Dziwani kuti matendawa amakhudza azimayi nthawi zambiri. Kuphatikiza apo, matendawa amatha kupezeka ali ndi zaka zilizonse, koma kwenikweni ndi nthawi ya zaka 20 mpaka 40.

Mawonetsero azizindikiro

Zizindikiro za kufalikira kwa ma atherosulinosis zimayamba ndi kusakhazikika m'miyendo, zomwe zimachitika makamaka ndikuyenda kwakanthawi. Pakapita nthawi, ululuwo umakulirakulira komanso umakhala wolimba kwambiri ndipo umatha kuchitika ngakhale mu mpumulo wopanda malire. Pang'onopang'ono, zizindikilo monga kufooka kwa zala ndi kumva kuzizira kumawonekera.

Mwa amuna, pakufalikira kwa atherosulinosis ya m'munsi kwambiri, kusabala kungayambike, izi zimachitika chifukwa cha kutsika kwa magazi. Nthawi zambiri wodwalayo amathanso kuwona zizindikiro monga mkokomo wosasinthika m'mutu, migraine, kusokonekera kwa kayendedwe ka kayendedwe, kusakwiya kwambiri ndi kugwetsa misozi, kugunda kwamtima mwachangu, komanso migraine.

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

Pofuna kudziwa kukhalapo kwa mitsempha ya mitsempha, wodwalayo amapatsidwa mayeso ndikuchita mayeso angapo.

Choyamba, muyenera kuchita kuyezetsa magazi ndi mkodzo, komanso kuyezetsa shuga ndi kolesterol ndikuzindikira kuchuluka kwa magazi. Nthawi zambiri, madokotala amalimbikitsa kuti pakhale ma scan ndi ma X-ray kuti atsimikizire kuti ali ndi vutoli.

Monga kusanthula kowonjezera, angiography imalembedwa. Pogwiritsa ntchito njirayi, mutha kutsimikizira molondola kupezeka kwa atherosulinosis. Mukamayambitsa matenda mwanjira imeneyi, chinthu chapadera chimayambitsidwa mu mtsempha wa ubongo wa wodwalayo, chomwe chimalola kukhazikitsa kuchuluka kwa mtima wamankhwala.

Ndikofunikira pazizindikiro zoyambirira kufunsa dokotala ndikuzindikira, popeza atherosclerosis ndiosavuta kuchiritsa poyambira matendawa.

Mfundo zachithandizo

Chithandizo cha matenda opatsirana atherosulinosis chiyenera kuyamba ndi kuyimitsa chitukuko cha matenda. Pomwe patakhala kuti matenda akadali a matenda adakali kumayambiriro kwa chitukuko, njira zokhazo zochizira zomwe zitha kugawidwa ndi.

Nthawi zambiri, mankhwala amaikidwa kuti muchepetse cholesterol yamagazi - cholestyramine, colestipol. Kuti muchepetse mitsempha yamagazi ndi ma lipids apansi am'magazi, mankhwala monga Nicotinamide kapena Nikoverin amalimbikitsidwa.

Mothandizidwa ndi mankhwala Cerivastatin, Medostatin ndi Atorvastatin, muthanso kusintha magazi. Ngati muli ndi matenda monga atherosulinosis a m'munsi, khungu limawonongeka, ndiye kuti athetse matenda njira zothandiza kwambiri ndi mafuta a Japan a Sophora.

Nthawi zina, matendawa atanyalanyazidwa kwambiri, kufunikira kwa opaleshoni kungafunike, komwe kungachitike m'njira zosiyanasiyana:

1. Endarterectomy. Pogwira ntchito imeneyi, khoma lamkati la chombo, lomwe lodetsedwa ndi zolembera, limachotsedwa ndikukuluka. Chifukwa cha njira iyi yochizira, lumen imawonekanso m'mitsempha, chifukwa cha momwe magazi amayendera.
2. Prosthetics. Pogwira ntchito imeneyi, malo omwe akhudzidwa ndi chotengeracho amachotsedwa kwathunthu ndikusinthidwa ndi synthesis.
3. Opaleshoni ya X-ray. Ndi njirayi, opaleshoni yonse imagwidwa kudzera pakupumira pang'ono. Kulowerera koteroko kumalimbikitsidwa ngati pali chiopsezo kwambiri pamoyo wa wodwalayo.
4. Transluminal angioplasty. Pakupanga opaleshoni, mtsempha wowonongeka umakulanso ndi catheter.
5. Ndikuluma. Pa opaleshoni, stent imagwiritsidwa ntchito, mothandizidwa ndi chotengera, chomwe chimakulitsa kuti magazi ake ayambenso kuyenda.

Ndikofunika kukumbukira kuti ichi ndi matenda oopsa kwambiri omwe amayenera kuthandizidwa mwachangu ndipo sayenera kuthandizidwa pongodziyimira pawokha, chifukwa amatha kuopsa kwambiri. Dotolo ayenera kudziwa wodwalayo kuti angafalitse matenda a atherosulinosis, auze zomwe zili komanso ngati atatsatiridwa malangizo onse osatsatiridwa. Chithandizo cha matendawa chimangokhala chokhacho, ndipo ndi dokotala yekha amene angafotokozere chifukwa cha matenda omwe akuchokera komanso zomwe wodwala ali nazo.

Zakudya zapadera

Kutsatira kwambiri zakudyazo kumachita mbali yofunika kwambiri kwa odwala omwe ali ndi matenda ambiri a m'matumbo, chifukwa izi zimathandiza kupewa kupitilira kwa matenda. Choyamba, ndikofunikira kukana zakudya zopatsa mphamvu zambiri, ndiye kuti, wodwalayo ayenera kuchepetsa kudya zakudya zamafuta ndi nyama, kupatula nkhuku.

Zinthu zamkaka monga tchizi, tchizi chokoleti, zonona siziyenera kuphatikizidwa kuchokera kuzakudya, kugwiritsa ntchito yolk ya mazira sikulimbikitsidwa.

Ndikofunikira kuchepetsa kapena kuthetsa kugwiritsa ntchito mafuta a masamba kuchokera pakugwiritsa ntchito, chifukwa amathandizira kuchepetsa lipids m'thupi, zomwe zimathandiza kukulitsa ziwengo zam'miyendo. Kuphatikiza apo, kumwa kwambiri mafuta amasamba kumatha kuyambitsa kukula kwa magazi m'magazi ndikupangitsa kuti mukhale ndi thrombosis. Pochiza matenda opatsirana atherosclerosis, ndikofunikira kukumbukira kuti wodwalayo amatsutsana: ayisikilimu, chokoleti, mowa, makeke, ma cocktails osiyanasiyana.

Ndikofunikira kuphatikiza zinthu zomwe zakonzedwa pamiyeso ya ufa wongokhala mu chakudya, chifukwa amachotsa zitsulo, amachepetsa komanso nitrate kuchokera mthupi ndikuthandizira pakumanga kwa cholesterol m'thupi.Iodine imapatula kukula kwa atherosulinosis, chifukwa chake tikulimbikitsidwa kudya zakudya zambiri zam'madzi zam'madzi, monga squid, mussels, seaweed, nkhanu. Pofuna kusintha momwe mafuta amathandizira mu thupi, vitamini B6 amalimbikitsidwa. Greens, soya, mbatata zophika, zipatso, masamba atsopano, blackcurrants, yogati, chimanga - zonsezi zimathandiza thupi lonse komanso zithandiza kuyimitsa chitukuko cha atherosclerosis.

Zakudyazo ziyenera kuchitika kwa pafupifupi miyezi isanu ndi umodzi pambuyo pa chithandizo chachikulu. Ndikofunika kukumbukira kuti pokhapokha mukaona kudya mosamalitsa komanso malangizo onse omwe madokotala akupatsirani, mutha kuthana ndi vuto lalikulu ngati atherosclerosis yambiri, pambuyo pake munthu adzakhalanso ndi moyo wokwanira.

Ndalama zolipirira ndi zomaliza

Ambiri ali ndi chidwi chambiri kuti opaleshoni yamitsempha yam'mimba imawononga ndalama zingati? Mtengo wa opaleshoniyo umatsimikiziridwa osati kokha ndi ziyeneretso za katswiri, komanso ndi dera lomwe chipatala chizichitira. Ku Moscow, mtengo wake udzakhala wokwera, ngakhale Vitebsk sidzakhala yotsika pamlingo wopereka chithandizo chamankhwala. Tiyenera kukumbukira kuti, kuwonjezera pa opareshoni palokha, wodwalayo afunika kukhala nthawi yayitali kuchipatala. Chitonthozo chokhala m'chipinda chimodzi cholipira kamodzi kapena kawiri kapena yaying'ono ndizosiyana.

Mtengo wapakati womwe ungagwire ntchito pa ziwiya zamiyendo ndi ma ruble a ku Russia pafupifupi 100-150. Ndipo munjira zambiri yankho ku funso loti opereshoni yodutsa ndiyotengera ndalama zambiri zimatengera ngati lidzachitidwa kuchipatala chayekha kapena ku boma. Ndizotheka kuti gawo lina la ndalamazo lilipilidwe pansi pa inshuwaransi ya chipatala kuti isabwereke kubanki. Koma ngati kusokonezekaku kunachitika kwathunthu chifukwa cha zovuta za wodwalayo kapena abale ake, ndiye kuti mutha kuyitanitsa kubweza msonkho kwa chithandizo.

Opaleshoni ya bycass ya mtima imakhazikitsidwa bwino pochiza matenda apamwamba a atherosulinosis, chotupa, komanso matenda ena angapo amitsempha yama miyendo. Kuti mupeze zotsatira zabwino zamankhwala, chinthu chachikulu ndikusankha malo azaumoyo omwe amachitidwa opaleshoni ya mtima nthawi zonse ndipo ali ndi zida zonse zofunikira.

Ndemanga za odwala zimakhala zabwino komanso zoipa. Koma kuchitapo kanthu moyenera pa opaleshoni yoyenera yomwe sinachitike sikungapulumutse miyoyo kokha komanso kuthandizira kupewa kudula, komanso kubwezeretsa thanzi ku miyendo.

Matenda a mtima amapezeka mwa amayi ndi abambo onse. Nthawi zambiri pathologies amakhudza anthu azaka zapakati komanso zakale. Pafupipafupi, matenda a mtima amawonedwa mwa achinyamata. Nthawi zina, ma pathologies oterewa amabadwa nako. Monga wamba zotupa za mtima dongosolo ndi zam'mimba, mitsempha, mitsempha ya rectum ndi m'munsi malekezero. Komabe, ndi systemic vasculitis, njirayi imafalitsa thupi lonse. Chimodzi mwazifukwa zofala zolumikizirana ndi dokotala wa opaleshoni ndi mitsempha ya varicose. Izi matenda nthawi zambiri amapezeka mwa akazi. Zizindikiro zamtunduwu ndi: mitsempha yolowa, kukula kwake, kutuluka. Matendawa ndi matenda ena amitsempha. Zimabweretsa mitsempha yokhazikika komanso patency ya magazi. M'malo apamwamba kwambiri ndi ma pathologies onse, ziwiya zamagawo otsika zimadutsa. Kuchita opareshoni, ndikuthokoza komwe kuthamanga kwa magazi kumatha kubwezeretsedweratu.

Kodi miyendo ya miyendo imagwedezeka chifukwa chiyani?

Muyeso wokakamiza wa matenda amitsempha ndi mitsempha ndi mitsempha ya m'munsi. Kuchiza koyambirira kumachitika. Odwala omwe ali ndi zotupa za atherosulinotic amapatsidwa mankhwala ochepetsa lipid (Atorvastatin, mankhwala a Fenofibrat), komanso zakudya. Ndi mitsempha ya varicose, yovala zovala zapadera zotanuka, sclerotherapy imalimbikitsa.Kutupa kwa ziwiya zam'munsi kumachitika ndi kufalikira kwa chotupa cha mtsempha wamagazi kapena mtsempha, chiopsezo cha thrombosis komanso kukula kwa gangrene. Njira iyi ndi opareshoni, iyenera kuchitidwa ndi angiosurgeon. Opaleshoni yam'mimba ndi kulowetsedwa kwa gawo lina la chotengera chofunikira. Zotsatira zake, magazi amawabwezeretsa, ndipo chiopsezo cha thrombosis chimachepetsedwa kwambiri. Mng'oma umatha kupangidwa ndi zida zojambula kapena zingwe zodwala. Nthawi zambiri ziwiya zapafupi zam'manja zimagwiritsidwa ntchito ngati chodzala. Kusankhidwa kwa zinthu kumadalira m'mimba mwake wamitsempha kapena mitsempha yowonongeka, komanso mikhalidwe ya pathology.

Zisonyezo zodutsa zombo za m'munsi

Kuchita opaleshoni yodutsa zonyamula zokhala m'munsi kwambiri kumachitika mu dipatimenti yapadera kapena ya opaleshoni kuchipatala. Zimatanthawuza njira zovuta, chifukwa chake, ziyenera kuchitidwa malinga ndi mawonekedwe okhwima. Ndikofunika kugwiritsa ntchito zodutsa ngati zodutsa 50% za m'mimba mwake. Asanaganize chochita opaleshoni, madokotala amamulembera mankhwala othandiza. Kuchitapo kanthu kwa opaleshoni kumachitika pokhapokha pakuchitika zovuta zamankhwala. Izi zikuwonetsa izi:

1. Arteriosulinosis obliterans mitsempha.
2. Matenda ofunsira a venous system. Nthawi zambiri ndi varicose mitsempha ndi kuwopseza kwa thrombophlebitis, stenting kapena angioplasty amachitidwa. Ndi contraindication mwa njira zamankhwala zotere, opaleshoni yam'madzi yam'mimba imachitidwa.
3. Endarteritis. Ndi matenda amtunduwu, kutupa komwe kumachitika ndikuphatikizidwa ndikuwonekera pang'onopang'ono kwa ziwiya zazing'ono. Pang'onopang'ono, mitsempha imatsekeka kwathunthu, ndikupangitsa kuti pakhale phazi lamapazi. Matendawa amafala kwambiri pakati pa amuna.
4. Chidziwitso cha mitsempha yam'munsi. Pathology ndiyowopsa ndikuteteza magazi kwambiri, zomwe ndizovuta kwambiri kuyimitsa.

Nthawi zina, zonyamula zokhala m'munsi zimadutsana ndi zala zakumiyendo kapena kumapazi. Momwe matendawa amathandizira pakuchita opaleshoni iyi siabwino nthawi zonse ndipo zimatengera gawo la necrosis komanso machitidwe a thupi. Nthawi zina, opareshoniyo imabweretsa kuchiritsidwa kwa matenda osokoneza bongo kapena kuchepa kwa omwe akukhudzidwa.

Kodi ndimikhalidwe iti yomwe imasokonekera?

Ngakhale opaleshoni yam'mimba inadutsa, ndikofunikira kukumbukira kuti opareshoni yotereyi ndiyowopsa. Chifukwa chake, zimachitika pokhapokha ngati njira zina zochiritsira sizikuthandizira. Pali zingapo zotsutsana za opaleshoni yamphongo. Zina mwa izo ndi:

Kutupa kwa ziwiya za m'munsi kwambiri sikungachitike chifukwa cha matenda opatsirana, kuwonongeka pakhungu, kuwonongeka kwa matenda a shuga. Muzochitika izi, opareshoni imachitika pambuyo pokhazikika kwa wodwalayo.

Njira Zowonongera

Nthawi zambiri, opaleshoni ya mitsempha ya m'mimba imachitidwa. Izi ndichifukwa choti ma pathologies oterewa ndiofala. Kuphatikiza apo, ndi kuwonongeka kwa venous, njira zina zamankhwala zimalimbikitsidwa. Zina mwazo ndi balloon angioplasty ndi stenting. Monga shunt yobwezeretsa magazi ochepa, gwiritsani ntchito chotupa cha ntchafu. Ndi dera lalikulu la lesion kapena mkhalidwe wosakhutira wa zotengera, zofunikira kupanga. Pali njira zingapo zogwirira ntchito. Zina mwa izo ndi:

1. Opaleshoni ya aorto-bifemoral bypass. Kuchitapo kanthu kwa opaleshoni kumachitika pamlingo wa derainal. Chinsinsi cha ntchitoyo ndikupanga anastomosis yodutsa pakati pamimba ya msempha ndi mafupa amphongo.
2. Opaleshoni yachikazi ya popliteal bypass. Anastomosis imapangidwa pakati pamitsempha iwiri yayikulu yam'munsi. Shunt imachokera kumunsi kwa ntchafu ndipo imabweretsedwa m'dera la bondo lolumikizana (pansi kapena pamwamba pa cholumikizira).
3. WolokeraniAnastomosis imadutsa pakati pa mitsempha iwiri yachikazi (kuchokera kumanzere kumanzere kumanzere dzanja, kapena mosemphanitsa).
4. Kutupa kwachikazi. Kukongoletsa kwam'mimba kumalumikiza mitsempha yachikazi komanso ya tibial.

Kukonzekera wodwala opaleshoni yam'mimbayo

Kukonzekera opaleshoni yodutsa kumaphatikizapo njira zingapo zodziwitsira matenda, komanso kugwiritsa ntchito mankhwalawa. Pamaso pa opareshoni, ndikofunikira kukayezetsa zasayansi: OAK, OAM, kuyezetsa kwamwazi wamagazi, coagulogram. Dopplerografia ya ziwiya zamagawo akumunsi, ECG, echocardiography imachitidwanso. Popewa thrombosis pakuchita opaleshoni, opatulira magazi amawayikidwa sabata lisanafike. Izi zimaphatikizapo mankhwala monga Aspirin Cardio, Magnikor. Maantibayotiki ndi mankhwala othana ndi kutupa nawonso amakwaniritsidwa. Madzulo, tsiku loti liwonongeke, ndikofunikira kusiya kumwa ndi chakudya.

Njira yakumapeto kwa zombo zam'munsi

Kuyika ziwiya zamagawo akum'munsi ndi ntchito yovuta, yomwe imafunikira katswiri wa opaleshoniyo. Kudzimbidwa kumachitika pansi pa opaleshoni wamba. Kusintha kwa khungu ndi minyewa yapakati imachitika m'malo a 2 - pamwambapa komanso pansipa pokhudzidwa ndi mtsempha. Ma Clampu amayikidwa pachiwiya kuti magazi asatayike. Pambuyo pakuyesa dera lomwe lakhudzidwalo, kuyikika kumapangidwa pamatenthengako ndipo shuntyo imakhazikika mbali imodzi. Kenako, chotupa cham'mimba chimakhazikitsidwa pakati pa minofu ndi minyewa. Chifukwa chake, shunt imabweretsedwa pang'onopang'ono kumalo kwachiwiri (pamwamba pa chotupa) ndikutha kwake. Pambuyo pake, dokotalayo amawunika momwe magazi akutuluka. Pamene opaleshoni yoyendetsa bwino ntchito imayamba kupindika. Nthawi zina, njira zoyeserera zofunikira zimachitidwa. Gawo lomaliza la opaleshoni ndikusisita minofu yakuya komanso khungu.

Kodi nthawi ya postoperative ili bwanji?

Kuyang'anira wodwala amene wachitidwa opaleshoni ndikofunikira kwambiri. Makamaka ngati kudalitsa uku kudutsa ziwiya zam'munsi. Nthawi yothandizira ndi chithandizo chathanzi ili pafupifupi milungu iwiri. Patsiku la 7-10, dokotalayo amachotsa zipsera. Wodwalayo ali m'chipatala, ndikofunikira kuchita njira zodziwunikira kuti adziwe kuyenera kwa chithandizo. Kuphatikiza apo, adotolo ayenera kuonetsetsa kuti palibe zovuta za postoperative. Kale m'masiku oyamba atachitidwa opaleshoni, tikulimbikitsidwa kuyimirira. Pakukhala ndi kugona, miyendo yam'munsi imayenera kukhazikika.

Malangizo Kubwezeretsa

Pambuyo pakutseka ziwiya zamagawo am'munsi, ndikofunikira kuyang'anira momwe magazi akuyendera. Kuti izi zitheke, wodwalayo amayenera kuwunikira nthawi ndi nthawi (ultrasound ndi Doppler ultrasound). Yalimbikitsa:

1. Siyani kusuta.
2. Tengani mankhwala a antiplatelet kuti muchepetse thrombosis.
3. Yang'anirani thupi. Ndi kuchuluka kwa BMI, zakudya zopatsa lipid ndi kuchepetsa mankhwala zimayikidwa.
4. Yendani tsiku ndi tsiku.
5. Valani masokisi apadera (masokosi) ndi nsapato.

Opaleshoni odutsa ofunitsitsa am'munsi malekezero: ndemanga za wodwala

Ndemanga za odwala omwe adachitidwa opaleshoni ndiyabwino kwambiri. Odwala adawona kuchepa kwa ululu, dzanzi m'miyendo. Komabe, nthawi zambiri, anthu amadandaula za kubwerezanso kwa zizindikiro patapita nthawi. Izi zikuchitika chifukwa cha kuwonongeka kwa mitsempha yoyandikira ndi mitsempha. Ndikofunika kukumbukira kuti opaleshoni yopitilira si njira yothandizira atherosulinosis, ndipo chomwe chimapangitsa kuti minyewa iwonongeke sichitha pambuyo pakuchita opareshoni. Chifukwa chake, popewa thrombosis komanso kukula kwa gangrene, ndikofunikira kuwona njira zopewera.

Minyewa ya m'munsi yam'mphepete: zovuta za opaleshoni

Mavuto a opareshoniwa ndi monga kupangika kwa magazi mkati mwa mankhwalawa, kukula kwa mtima wovuta, kupuma kwa mapapu. Munthawi yakuchira, kuwonjezeranso chilonda m'malo otupa ndikutsuka magazi ndizotheka.Ngakhale kuti opareshoni imawonedwa ngati yovuta komanso yayitali (mpaka maola atatu), zovuta ndizochepa. Pafupipafupi kukula kwawo kuli pafupifupi 2%.

Health-ua.org ndi njira yachipatala yolumikizirana pa intaneti madokotala a ana ndi akulu a zamagetsi. Mutha kufunsa funso 'Mwendo wopitilira' ndi kupeza upangiri wa dokotala waulele pa intaneti.

Kupita patsogolo kwa sayansi komanso zamankhwala mu antiplatelet therapy

Pazaka khumi zapitazi, gawo lofunikira kwambiri lothandiza kuti magazi a mtima ayambike. Zowonadi, kufotokozera zakufunika kwamapulateleti kunalimbikitsa kwambiri kuchuluka kwa mankhwala, ...

Zowonjezera za Artery Pertery

Mawu oti "aneurysm" amafotokozera kukula kwa chotengera kapena mtima wopangidwa chifukwa cha zinthu zowonongeka ndikupanga zovuta zambiri, ndipo koposa zonse, pamavuto akulu ndi magazi.

atachitidwa opaleshoni, miyendo yoduka imaphika mbali ya bondo itadutsa pambuyo pakuchita opaleshoni miyezi isanu

Julayi 23, 2012

Mayankho Stashchuk Ruslan Petrovich:

Dokotala wothandizira dokotala woyamba, Ph.D.

Moni Anastasia! Pakadutsa ntchito, khungu limakhudzika komanso minyewa yodontha nthawi zambiri imawononga nthambi zamitsempha, zomwe zimayambitsa khungu. Mwachizolowezi, kuchepa kwa mphamvu kumatha mkati mwa miyezi 6-12. Izi sizikhudza kuthamanga kwa magazi. Koma kuti mukhale otsimikizika, ndibwino kukaonana ndi dokotala.

Ogasiti 02, 2012

Mayankho Tarasyuk Yuri Anatolyevich:

Dokotala wa Dipatimenti ya Opaleshoni Yamtima

Moni Anastasia! Mwambiri, nthambi yamitsempha inavulala panthawi yopanga opaleshoni (kuvulala). Izi ndizofotokozedwa pafupipafupi, koma osati zovuta kuchita izi (apo ayi simungathe kupita kuma sitima). Monga lamulo, zochitika zosasangalatsa ngati izi zimadutsa zokha patatha chaka ndi theka, kapena kuonana ndi katswiri wamitsempha.

Moni dokotala! Mayi anga (70) ali ndi miyendo yovuta ya ischemia chifukwa cha matenda ashuga komanso matenda a m'mimba. Zonse zidayamba muFebruary chaka chino (m'mbuyomu, samadwala ululu), kupweteka kwambiri usiku, kenako tsiku lonse, kugona kawiri mzipatala, kuyika otsika, oponderezana, koma palibe chomwe chidathandiza, bala lomwe lidapangidwa pakati pa zala zakumaso, dotolo adatero muyenera kuchotsa chala chifukwa Zantronut kale fupa. Tsopano ali m'chipatala mu dipatimenti yochita opaleshoni ya mtima, kuyezetsa miyendo kunachitika, kachiwonetsero kenaka kanawonetsa kuti sipanatulutse mwendo, kutsika magazi m'mitsempha, akuti njira yokhayo yotumizira anali opaleshoni yopulumutsa mwendo. Funso langa ndikuti: tsopano amupima iye kuchipatala, kodi zingatheke kuyambiranso kapena nthawi yachedwa, m'malo mwake kwachedwa kwambiri kuchita shunt? Mwendo umagwira, umatha kusuntha zala, osatembenukira wakuda, umangopweteka. Zikomo kwambiri pasadakhale.

Juni 03, 2011

Mayankho Vlasova Olga Vladimirovna:

Moni Olga! Yankho lafunso loti atha kuyamba kuchita opaleshoni yaposachedwa itha kuthetsedwa atangoyeserera kwathunthu, komwe kumakuchitirani, koma sikungathandize pochita opaleshoni yamaso chifukwa cha gangrene ndi minofu yamafupa.

Moni Mwamuna wanga ali ndi atherosclerosis ya mwendo chotengera, 90%. Kodi ndizotheka kuchita popanda kusuntha, ma prosthetics? Ndipo ngati sichoncho, ntchito ngati imeneyi imawononga ndalama zingati ndipo ingachitike pati.

Disembala 25, 2013

Mayankho a Lirnik Sergey Vilenovich:

Opaleshoni ya mtima

Wokondedwa Elena. Ndayankha kale ku kalata yanu, mwatumiza patsamba langa patsamba latsamba.
Pali njira zina zobwezeretsera magazi mu ziwiya za m'munsi. Amatha kukhala osiyana. Awa ndi ntchito za shunt, kupindika kwamkati mwaukadaulo ndi njira zina.
Koma popanda kupenda mamuna wanu, popanda zowunikira zowonjezera, sizingatheke kuyankha funso lanu, ndi njira iti yomwe wodwala uyu angapangire ndikupereka zotsatira zabwino.Ndizotheka kuti ndi chidziwitso chotere, palibe njira iliyonse pamwambapa yomwe ingagwiritsidwe ntchito.
Wodzipereka, dokotala wa opaleshoni ya mtima a Lirnik S.V.

Mzanga wapezeka ndi thrombophlebitis ndi atherosulinosis ya m'munsi, varicose mitsempha pambuyo pa zonse zomwe ananena kuti amapita kuchipatala ndipo akufuna kuti amudule mwendo wamanja koma adachitapo opaleshoni yaposachedwa ndikumupatsa jakisoni wamtundu wina womwe ndi wokwera mtengo kwambiri. Chonde ndiuzeni ngati opaleshoni yapaderayi athandiza kusunga mwendo wa agogo anga ndi zomwe angatchule. sanatiuze jakisoni wa dzinali. Babula ali ndi zaka makumi asanu ndi awiri ndi chimodzi.

Julayi 18, 2013

Mayankho a Sychev Victor Anatolyevich:

Mkhalidwe uliwonse umakhala payekhapayekha. Koma mothandizidwa ndimanjenje, opitilira mwendo umodzi adapulumutsidwa. Ndipo jakisoni wofunika ndi mwina ndi ma prostaglandins (alprostan, vasoprostan, ilomedin). Amangofunika kupyozedwa ndi maphunzirowa, osati kamodzi. Kapena, mwina, china ndi chiani?) Ndikosavuta kupeza mankhwala omwe ali ndi mikhalidwe yotere).

Moni, chonde ndikuuzeni, agogo anga aamuna (a zaka 75) adapezeka ndi matenda a mtima a Coronary, ascites. Ali ndi madzimadzi ambiri pamimba, komanso miyendo yambiri. Dzulo, ngakhale madzi amadzimadzi adayamba kutuluka kuchokera kumiyendo mwakachetechete (khungu lidang'ambika). Ma diuretics samathandiza pazifukwa zina. Kodi tingayendetsenso bwanji madzimadzi? Pali njira yokhotakhota khoma pamimba ndikutulutsa madzimadzi, koma bwanji miyendo? Kodi kuthamangitsa madzi kuchokera mwa iwo?
Ndipo, tikuganiza za opaleshoni yamtima, koma ali pamavuto kwambiri ndipo tikuopa kuti tisam'pititse ku Kiev kapena Donetsk (ndife ochokera ku dera la Lugansk), mwina pali maupangiri pa izi? Madotolo am'deralo akuti kunali kwachedwa kuchitidwa opareshoni, koma sanachitire konse coriary angiography.

February 08, 2013

Bugaev Mikhail Valentinovich amayankha:

Opaleshoni yamtima wa gulu lapamwamba kwambiri

Moni. Tsoka ilo, simungaganizenso zongocheza. Mkhalidwe wovuta ngati uwu ndi kuphwanya kwa opaleshoni, sikungathandize. Coronarography sikuwonetsedwa (mwakuya kwamikhalidwe). Ma diuretics amatha kuperekedwa kudzera mu mafupa. Kalanga ine, akatswiri azachipatala pamudzi tsopano azichitira agogo anu.

Moni Pena pake mpaka zaka 25 ndidali wolemera 52-54 kg. Panalibe nthawi ya miyezi 4 ndipo ndinachira ndi 30 kg. Ndili ndi 27, ndinakhala ndi pakati, ndinapeza 10 kg., 8 ndinabadwa nthawi yomweyo. Pa miyezi isanu ndi itatu ya mimba, adaduka mwendo.
Miyezi 8-10 pambuyo pobadwa, magazi anayamba, amayenera kuyimitsidwa ndi mahomoni, ndalama zina sizinathandize. Patatha pafupifupi miyezi itatu, dicinone adayamba kuchita ndipo ndidasiya kumwa mahomoni. Ndili ndi zotsutsana - miyendo ndimatumbo (ndimakhala ndikupatsidwa mankhwala a mitsempha) idakwiya kwambiri, kotero ndidasiya kumwa mahomoni (ma regon). Pazaka 28-29, zovuta zinapita kwa olumikizana nawo pafupi ndi kuwonongeka. Zowunikira zowonjezera sizinachitike. Sindikudziwa za matenda. Kwina kwazaka 30 nyengo yanga kwa miyezi 7 yasowa. Apezanso 24 kg. Tsopano 32, sinakhale kulemedwa kwa nthawi yayitali. Nthawi yotsiriza tinali kulemera makilogalamu 107. Ndimayesetsa kuchita masewera olimbitsa thupi, koma zimandipweteka. Kuphatikizika kwa mawondo ngakhale mikono, kumbuyo kumawawa.
Sindikudziwa kuti opaleshoni yam'mimba idzandithandizira, ndikufuna kudziwa malingaliro anu.
Sindikudya zakudya zokhwima, koma ndimangodya zomwe sizipezeka zokha.

February 13, 2013

Mayankho Ventskovskaya Elena Vladimirovna:

Wokondedwa Oksana! Muyenera kuyesedwa. Kuti muchite izi, muyenera kupita kukaonana ndi gastroenterologist, cardiologist ndi gynecologist. Chakudya chopatsa thanzi ndichofunikira kwambiri paz kulemera kulikonse. Ndikofunikira kusankha chakudya chamunthu aliyense. Ponena za opaleshoni yodutsa kumene, mutha kukambirana za nkhaniyi mukamawunika pokambirana ndi a gastroenterologist.

Asla Alla Anatolyevna:

Ndili ndi zaka 56. Matenda oopsa kuyambira zaka 25. Heredity pamzere wa amayi ndi abambo .. abambo anali ndi vuto la mtima. stroko, anamwalira ndi kupweteka mtima. Amayi anamwalira ali ndi zaka 69 - anali dokotala .. adamwalira m'manja mwanga nthawi yomweyo. Adadwala matenda okhathamira .. adadandaula za mtima, koma palibe wowachiritsa.Mwalira wake nthawi yomweyo.Mbale, wazaka 56, anali ndi vuto lalikulu, wadutsa, ndipo wamwalira patatha miyezi itatu m'maloto. Ndili ndi fibroid yaying'ono, MRI ya kumbuyo - dorsal protrusion ya intervertebral disc L50c1, osteochondrosis, spondylarthrosis, nyamakazi yam'malo am'mapewa, mapewa. Ndakhala ndikugwiriridwa moyo wanga wonse. Yambirani zaka 20 ndi clonidine. Kulephera pamtima wa finoptin ali ndi zaka 25. Koma ma extrosystoles amawoneka nthawi ndi nthawi .. amakhazikika pa chipangizocho. Ku Ekg ndi Echo, madokotala samapeza chilichonse chapadera. Kwa zaka zambiri, milingo yamagazi idakwezedwa m'magazi ... koma adati mutha kugwira ntchito .. sizowopsa ... Kuyambira Meyi, miyendo yanu yatupa kwambiri ... ultrasound ... venous insuffential of the m'munsi .. koma ndikuganiza zamkutu zomwezi ndi manja anga ... manja anga akupweteka .. miyendo ... miyendo ndi miyendo .. manja pamodzi usiku ndi usana ... edema yochokera ku detralex, venorus, phlebodia 600 sazirala. Mafuta sathandizira .. Anapereka magazi popukutira .. Antigoag ... malire ndi ochepa ... kuchuluka kwa ma lymphocyte ... Ine ndekha ndidafunsa kuti ndichite izi pashelefu yolipira. magazi wamba samawonetsa kanthu ... Ndani wina kuti atembenukire kwa ... komwe madotolo ... komwe kumachokera. Muscovite .. moyo wake wonse adagwira zaka 40 zokumana nazo .. kusukulu .... ndalama zidagwiritsa ntchito ndalama zambiri pofufuza, chifukwa sapereka chilichonse pang'onopang'ono .. kapena sakudziwa kalikonse. MTHANDIZO. Mdzukulu wanga wamwamuna ali ndi zaka 2 zokha ... Ndikufunika kugwira ntchito .. sindikufuna kumangidwa kapena kupita kwa makolo anga kwathunthu ... Mchimwene wanga sanamwe, sanasute ... koma anasiya ali ndi zaka 56. Abambo ali ndi zaka 61, amayi ali ndi zaka 69. Kodi pali malo a Muscovites komwe mungayesedwe. Ndipo musayende mozungulira mukuyang'ana madokotala. Iwo sawona chifukwa pashelefu kuti awatumize kwina ... Ndipo kutupira pamapazi a mwana wazaka 2 akuwona ... Regards A.A.

Seputembara 24, 2012

Vazquez Estuardo Eduardovich amayankha:

Dokotala wamkulu, Ph.D.

Moni Alla Anatolyevna! Ndikukuuzani mwachindunji: zinthu zowopsa, makamaka, zambiri zokhudzana ndi achibale, kuchuluka kwanu kwa matenda oopsa, mavuto ochokera ku ziwalo zachikazi komanso dongosolo la nyamakazi si ntchito yovuta kwa dokotala wa msinkhu uliwonse komanso kuyenerera. Koma simuyenera kukhumudwa, makamaka popeza muli ndi mdzukulu, mwina abale anu achikondi, omwe muyenera kukhala ndi moyo ndikukhalamo. Kwa zaka zonsezi mwaphunzira kukhala ndi zovuta izi, koma ndizomveka osati zovuta. Pakadali pano, pali mankhwala ambiri amakono omwe amakonzeratu kulosera kwa mkhalidwe wanu, motsatana, ndi moyo wabwino, womwe sunapezeke abale anu atamwalira.
Chithandizo chanu chiyenera kuyang'ana kwambiri pakuwongolera matenda oopsa komanso kuthandizira kwa mtima. China chilichonse (msana, mafupa, ziwalo zazimayi) chimangofunika chithandizo chamankhwala. Sindingakuuzeni mosasamala kuti ndi mankhwala ati omwe ali oyenera chifukwa, chifukwa ziziwoneka bwino kwa adotolo anu omwe akupezekapo - ndikukulangizani kuti mumudalire komanso nthawi zambiri mukamakambirana naye, kuphatikiza komanso funso la komwe ndi kuti ukakambirane ndi ndani. Ndimangobwereza bwereza: ndikuti muyenera kuyang'anira matenda anu, kuti mupewe zovuta, osati zithandizo zonse. Tiyenera kupitiliza kukhala moyo, moyenera momwe tingathere, ngakhale tili ndi mavuto azaumoyo komanso zovuta m'moyo.

Abambo anga ali ndi matenda ashuga. Opaleshoni yam'mimba idachitidwa pa mwendo umodzi zaka 5 zapitazo, lero opaleshoni yodutsa pang'ono adachitidwa pa mwendo wachiwiri ndipo pamwendo uwu adakhala ndi zilonda zosachiritsa chidendene chaka chimodzi tsopano. Zoyenera kuchita

Okutobala 03, 2011

Mayankho Agababov Ernest Danielovich:

Wothandizira onse

Moni Marina, ngati kuli kotheka, nditumizireni mayeso onse ndikutulutsa kuchokera kuchipatala kwa ine imelo, izi zithandizira kuwunika kwa momwe zinthu ziliri - imelo yotetezedwa

Masana abwino Abambo anga adachitidwa opaleshoni "ya aorta-caranal bypass" ndipo adatenga mtsempha kuchokera kumiyendo yake, chifuwa chake chidachiritsidwa, koma china chake chidayamba kutupa ndikusandulika. Kodi tingatani kuti tisapite kuchipatala?

Ogasiti 18, 2011

Bugaev Mikhail Valentinovich amayankha:

Opaleshoni yamtima wa gulu lapamwamba kwambiri

Moni. Pitani kuchipatala.

Dzanja lidasoka patatha maola 7 chovulala

Chifukwa chodula mwendo kapena mwendo, madokotala alibe maola opitilira 2-3 kuti asoke mkono woboola kapena mwendo wokhala ndi mwayi waukulu wopambana ndikuyambitsa magazi kutulukamo. Dokotala wochita opaleshoni yochokera ku Dallas adatha kupulumutsa mkono wa wodwalayo atatha maola 7.

Mavavu amtima asintha popanda opaleshoni

Opaleshoni yamtima ku Rush University Medical Center amapereka malo ochepetsa kuwononga odwala omwe ali ndi vuto la mtima lobadwa nalo.Njira imeneyi sikufuna opareshoni yotseguka

Kodi angioplasty a ziwiya zokhala m'munsi amachitika bwanji?

Kwa zaka zambiri, kulimbana ndi matenda oopsa osagonjetseka?

Mkulu wa Sukulu: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiza matenda oopsa tsiku lililonse.

Angioplasty ndi njira yamakono yapamwamba kwambiri yomwe imathandizira kubwezeretsa patency m'matumba, kuphatikizapo omwe ali kumapeto kwenikweni. The arterial lumen ikhoza kukhala yochepetsedwa kapena kutsekeka chifukwa cha zolembedwa za atherosulinotic, zomwe zimapangidwa chifukwa cha kuyika kwa cholesterol, mafuta ndi zinthu zina pakhoma lakumbuyo.

• Zizindikiro zakuchita opareshoni
• Kodi opareshoni amachitika bwanji?
• Ndemanga za Odwala

Zizindikiro zakuchita opareshoni

Angioplasty amagwiritsidwa ntchito pofuna kuchiza matenda omwe amayamba chifukwa cha zotupa zotsatirazi:

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

• Matenda a mtima wa Ischemic,
• zotumphukira mtima matenda
• kuwonongeka kwa mitsempha ya carotid,
• Matendawa.

Angioplasty ya mitsempha yomwe ili kumapeto kwenikweni amatha kuchitika ndi matenda am'mimba opatsirana. Pobwezeretsa kutaya kwa magazi ndi njirayi, kudula miyendo kumatha kupewetsedwa ndipo zilonda zam'mapazi zapaziwazo zimapola.

Kodi opareshoni amachitika bwanji?

Choyamba, wodwalayo amapatsidwa mankhwala omwe amathandizira kuti asamasuke komanso asakhale ndi nkhawa. Ngakhale opareshoniyo siliyovuta, ikadali yothandiza kuti muchepetse. M'malo momwe catheter amayikiramo, mankhwala oletsa ululu amachitidwa. Odwala ena amagona mkati mwa njirayi.

Kubwezeretsa kwa lumen kwa ziwiya zotsekeka

Pambuyo pake, adotolo amaika catheter m'mitsempha yamagazi, yomwe ndi chubu chosavuta komanso chochepa thupi. Mothandizidwa ndi ma X-ray, adokotala amawona mayendedwe ndi malo a catheter.

Kondakitala woonda amadutsa pamalo opapatiza a mtsempha wamagazi, pomwe mini-catheter imasuntha, wokhala ndi ma microballon kumapeto.

Ikafika pamalo oyenera, baluniyo imakwera, kotero kuti malo omwe akukhudzidwa amawongoka. Kenako stent imayikidwa m'malo ano, yomwe imawonetsetsa kuti magazi akuyenda bwino mtsogolo. Pambuyo pakuzilowetsa, zida zonse zimachotsedwa.

Pambuyo pa njirayi, bandeji yothinikiza imayikidwa kuti isataye magazi. Wodwala amatengedwa kupita kuchipinda chogona. Nthawi zambiri kuchipatala amakhala tsiku limodzi kapena atatu.

Lero, kupambana kwa njirayi kukuyandikira 100%. Ngakhale zili zofunikira kudziwa kuti pali zochitika zovuta zomwe zimawonongeka m'mitsempha yama coronary, zomwe sizimalola angioplasty kapena kupanikiza njirayi. Sizichitika kawirikawiri kuti opaleshoni, kupweteka kwa stenosis kumayamba, izi zimachitika pakatha miyezi isanu ndi umodzi.

Monga mukuwonera, angioplasty ndi njira yotsatsira pang'ono yomwe imagwiritsidwa ntchito podulira pakhungu kakang'ono. Kuphatikiza apo, kuphatikiza kwakukulu ndikuti mankhwala ochita kupanga samagwiritsidwa ntchito, zomwe zikutanthauza kuti thupi la wodwala silikhala ndi kupsinjika kowonjezereka.

Ndemanga za Odwala

Mutha kudziwa ngati angioplasty ayenera kudalirika kuchokera ku malingaliro a anthu ena. Mwachitsanzo, munthu wina adati kukomoka ndi njira yabwino kwambiri, yotsika mtengo yomwe imapewera mavuto akulu. Wodwala wina, yemwe anali ndi matenda a angioplasty adachita kawiri, adanena kuti simuyenera kuwopa njira zothandiza.

Ngati, malinga ndi iye, nthawi yoyamba yomwe anali ndi mantha, nthawi yachiwiri anali wodekha. Monga ananenera, moyo umakhala wosavuta. Mwamuna wina adati dokotala yemwe amalimbikitsa angioplasty amagwira ntchito bwino, chifukwa zimathandiza kupewa zovuta zazikulu.

Monga mukuwonera, angioplasty imabweretsa zabwino zowoneka bwino, madokotala ndi odwala amalankhula za izi.Chifukwa chake, simuyenera kuopa kuchigwira, m'malo mwake, muyenera kukhala osangalala, chifukwa uwu ndi mwayi wabwino wowongolera moyo wabwino.

- kusiya malingaliro, mukuvomereza Chigwirizano cha Wogwiritsa ntchito

• Arrhasmia
• Atherosulinosis
• Mitsempha ya Varicose
• Varicocele
• Zotupa
• Magazi
• Matenda oopsa
• Hypotension
• Zizindikiro
• Dystonia
• Stroko
• Matenda a mtima
• Ischemia
• Mwazi
• Ntchito
• Mtima
• Zotengera
• Angina pectoris
• Tachycardia
• Thrombosis ndi thrombophlebitis

• Tiyi wamtima
• Hypertonium
• Bongo lamakani
• Normalife
• Allapinin
• Asparkam
• Detralex

Zizindikiro ndi matenda a matenda a ubongo

Mwa anthu, ziwalo zonse zimakhudzidwa ndi zinthu zakunja. Mothandizidwa ndi zinthu zoyipa mthupi, kulephera kumachitika, kuwonekera mwa matenda osiyanasiyana. Ubongo sichinali chimodzimodzi. Chimodzi mwazofooka kwambiri matenda opatsirana chachikulu ndi atherosulinosis. Mtundu wowopsa wa matenda ndi matenda a chithokomiro cha ubongo. Tiyeni tiyesetse kumvetsetsa kuti ubongo wa atherosulinosis ndi chiyani komanso ndi njira ziti zomwe zimathetsedwera.

Zoyeserera ndi zamankhwala

Atherosulinosis yamitsempha yamagazi, makamaka kumayambiriro kwa matendawa, ndizovuta kudziwa. Koma chochita ndi matenda a ubongo? Ndipo nthawi zambiri muyenera kutembenukira kwa akatswiri osiyanasiyana pamunda uno. Choyamba, ndikofunikira kuti wodwala yemwe ali ndi chizindikirocho awoneke ndi akatswiri othandizira, omwe angapereke chiwonetsero chakuchepa kwa madokotala apadera. Awa ndi a mtima, a neuropathologist ndi angiosurgeon. Kuzindikira matenda a ubongo

• Kupereka magazi kuti mupeze zodziwika bwino za kuchuluka kwa mitundu yodziwika bwino yapadziko lonse lapansi (INR), kuphatikizika kwa magawo.
• Ultrasound yamitsempha yamagazi owonjezera pogwiritsa ntchito dopplerography.
• Transcranial dopplerography ndikuwerenga mitsempha yamagazi mkati mwa ubongo.
• Kuunika kwa angiographic kumakupatsani mwayi wopenda ziwiya zamadzimadzi ndi x-ray. Chinthu chapadera chimabayidwa m'mitsempha kuti matenda awoneke bwino. Koma chifukwa choopsa cha njirayi, imasankhidwa chifukwa cha umboni wokwanira.
• Electroencephalogram. Njirayi imathandizira kuzindikira mawonekedwe a ubongo.
• Kusanthula kwa chitetezo cha mthupi kumakupatsani mwayi wodziwa kuchuluka kwa cholesterol m'thupi la munthu.
• Compression tomography imagwiritsidwa ntchito pofikira pomwe wodwala wavulala. Njirayi imakulolani kuti mudziwe momwe mungathandizire matenda a ubongo.
• Magnetic resonanceapy (MRI) - njirayi imakuthandizani kuti muzindikire bwino zomwe matendawa amatenga.

Katswiri yemwe adayandikira mayeso omwe ali kale ndiudindo amatha kudziwa kuchuluka kwa matenda a ubongo. Zotsatira zake, zimatha kusankha njira yoyenera yoyenera.

Chithandizo cha matenda a ubongo

Mchitidwewu, pali njira ziwiri zochizira matenda a ubongo. Iyi ndi njira yachipatala komanso kulowererapo. Koma, pamodzi ndi izi, wodwalayo amafunika kupumula kwambiri komanso kudya zakudya zapadera. Ngati sitejiyo ndiyoyamba, ndiye kuti njira ya mankhwalawo imagwiritsidwa ntchito pochiza mitundu yotsatirayi ya mankhwala:

• othandizira ma antiplatelet ndi Aspirin, omwe amachepetsa chiopsezo cha magazi kumaundika pamalo owonongeka. Chifukwa chake, chiopsezo cha matenda a ischemic amachepetsa kwambiri,
• mankhwala ochepetsa lipid amachepetsa kuthana ndi matendawa. Mankhwala abwino kwambiri ndi statin. Amatengedwa moyo wonse. Koma kuchuluka kwa mankhwalawa kuyenera kusinthidwa malinga ndi momwe magazi amawerengera,
• anti-kutupa mankhwala amathandiza kuti muchepetse khoma lamitsempha ndipo limapangitsa kuti likhale lolimba ndi zovuta zakunja,
• Mankhwala okhala ndi vasodilating.Mankhwala amtunduwu amachepetsa kuphipha kwamitsempha, motero zimapangitsa magazi kupita ku mitsempha. Izi zikuphatikiza: "Eufillin", "Papaverine", "diprofen",
• mankhwala ogwiritsira ntchito mankhwala othandizira amagwiritsidwa ntchito kukhazikitsa kukakamiza muzochita zamankhwala. Mankhwalawa akuphatikizapo: "Enalapril", "Ramipril", "Captopril",
• Piracetam ndi Picamilon ndi mankhwala omwe amasintha kugwira ntchito kwa ubongo ndi kufalikira kwa ubongo.

Ngati wodwala wavumbulutsa gawo lotsiriza la atherosulinosis, ndiye kuti kuchitapo kanthu pakufunika opaleshoni ndikofunikira. Pakakhala nthawi iti kuchita opareshoni? Izi zikachitika, ndibwino kuti mukhale ndi thanzi komanso thanzi la wodwala. Stenosing ya ubongo ya atherosulinosis iyenera kuchitidwa poyera pa mitsempha wamba komanso yamkati ya carotid. Opaleshoni iyi ikuchitika motsogozedwa mwamphamvu ndi ma diagnostics a chithokomiro cha ultrasound.

Zokhudza mitsempha yamkati ya ubongo, kulowererapo kwa opaleshoni kumachitika ndi kuluma - kuyika balloon. Pambuyo pa opaleshoni iyi, dokotala amakupatsani mankhwala osagwirizana moyo wonse.

Gawo loyamba la matenda a arteriosulinosis ndi nyengo yabwino. Koma muyenera kutsatira mosamalitsa zomwe dokotala akukuuzani ndikutsatira zakudya zina. Pa gawo lachiwiri la matenda, kuthetseratu kwathunthu kwa atherosulinosis sikutheka. Ndi zotheka kuyimitsa gawo la chitukuko cha matenda ndikupewa kuchitika kwa sitiroko. Ponena za gawo lachitatu lokhazikika kwa matendawa, zimatsogolera kuimfa ya wodwalayo ngati chithandizo cha opaleshoni sichinatenge nthawi.

Cerebral atherosulinosis ndi matenda osachiritsika, chifukwa chake muyenera kukhala okonzekera kuti mankhwalawa akhale amoyo wonse. Mwina mankhwalawa wowerengeka azitsamba. Koma ndibwino kuti musayike pachiwopsezo ndi matendawa. Ngati musankha chithandizo choyenera ndikuchiza matenda amtunduwu, ndiye kuti munthu sangangokhala ndi moyo wautali, komanso kukhalabe wogwira ntchito.

Kuteteza vuto la mtima

Pali kuletsa kupewa matendawa ndikukula kwake kopitilira madigiri 3 a matendawa. Zakudya siziyenera kukhala ndi mafuta, mchere komanso zakudya zonunkhira. Zopatsa kalori ndizofunikira kuti muchepetse. 2000 - 2500 zopatsa mphamvu amaloledwa patsiku. Zakudya za mkaka wowawasa, nsomba zam'nyanja ndi nyama yopanda mphamvu ziyenera kumudya nthawi zambiri. Ndipo onetsetsani kuti mumadya ma nyemba ndi zopangira. Amatsitsa cholesterol yamagazi ndi kutsegula kagayidwe. Onetsetsani kuti mumamwa malita 1.5 amadzi tsiku lililonse. Kupewa ndikofunikira komanso kwachiwiri.

Poyamba:

• Kuletsa kusuta ndi kumwa mowa,
• shuga wamagazi amayenera kukhala wabwinobwino
• kuyenda pafupipafupi pafupifupi ola limodzi patsiku,
• Chotsani mavuto
• kusambira, kuthamanga, kusinkhasinkha, yoga, etc.

Kupewa kwachiwiri kumagwiritsidwa ntchito ngati mankhwala omwe akatswiri adapereka kwa moyo wonse.

Kupewa ndi kudya ndizofunikira kwambiri, ndipo ngati mumatsatira izi, ndiye kuti mutha kupewa matenda a ubongo (and ubongo) ndi zotsatirapo zake. Kukambirana ndi adotolo pakudwala kofunikanso kumafunikira.

Momwe mungatenge nifedipine ndi kukakamiza: malangizo

Kupsinjika kwa magazi kumadumphira nkhawa anthu amakono, ngakhale adakali aang'ono. Chifukwa chake, aliyense akuyesera kupeza njira yabwino kwambiri yosinthira chizindikiro ichi. Chimodzi mwazomwezi pamsika wamakono wa pharmacology ndi Nifedipine, malangizo ogwiritsira ntchito omwe ayenera kuwonedwa mwatsatanetsatane. Tikupezanso za kukakamiza komwe kuyenera kugwiritsidwa ntchito.

• The zikuchokera mankhwala
• Zizindikiro zogwiritsidwa ntchito
• Mlingo: malangizo
• Zotsatira zoyipa
• Contraindication kugwiritsa ntchito mankhwalawa
• Nifedipine pa nthawi yapakati
• Kuchita ndi mankhwala ena
• Mitu ya mankhwalawa

The zikuchokera mankhwala

Nifedipine ndi wa gulu la calcium blockers. Mankhwala amapezeka monga mapiritsi. Yogwira pophika ya mankhwalawa ndi nifedipine. Kuphatikizikanso kwake kumaphatikizapo zinthu zothandiza:

• cellcrystalline mapadi,
• magnesium wakuba,
• hypopellose,
• titanium dioxide
• talcum ufa
• shuga mkaka
• wowuma mbatata.

Chifukwa cha izi, Nifedipine ali ndi phindu pa kachitidwe ka mtima, kubweretsanso chizindikiritso cha magazi kukhala chazonse. Mankhwalawa amagulitsidwa pamakontrakitala. Mtengo wapakati ku Russia ndi ma ruble 35. Ku Ukraine, mtengo wokwanira wa mankhwalawa ndi 7 UAH. Nifedipine ndi imodzi mwamankhwala otsika mtengo, komabe, ndi othandiza kwambiri.

Zizindikiro zogwiritsidwa ntchito

Kodi ndiyenera kumwa nifedipine pakukakamiza kwanji? Amawerengera kuthamanga kwa magazi. Chifukwa chake, mankhwalawa ndi njira imodzi yotchuka yothandizira thupi ndi matenda oopsa. Ndikulimbikitsidwanso kuti mugwiritse ntchito matenda ngati awa:

• angina pectoris
• matenda a mtima a ischemic,
• kulephera kwa mtima.

Kuphatikiza apo, Nifedipine amagwiritsidwa ntchito ngati prophylactic pa matenda oopsa pazinthu zotere:

• ukalamba wa wodwala
• systolic matenda oopsa,
• atherosulinosis yamatumbo am'munsi am'munsi kapena carotid artery,
• azimayi pa nthawi yoyembekezera.

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Mlingo: malangizo

Mapiritsi a Nifedipine amatha kugwiritsa ntchito nthawi yayitali kuti muchepetse kuthamanga kwa magazi. Mulingo woyenera tsiku lililonse ndi mapiritsi atatu. Ngati ndi kotheka, imatha kuwonjezeka mpaka mapiritsi 2 2 pa tsiku. Pazipita tsiku lililonse mankhwalawa ndi mapiritsi 4. Tisaiwale kuti kuchuluka kwa mankhwalawa kuyenera kuchepetsedwa ndi 2 nthawi zotere:

• kukalamba, ngati mankhwala alamula,
• chiwindi ntchito,
• ngozi yamitsempha.

Ndi kuwonjezeka kowopsa kwa kuthamanga kwa magazi, piritsi liyenera kuyikidwa pansi pa lilime. Mwa kuchitapo kanthu mwachangu, mutha kuwayeza.

Zotsatira zoyipa

Nthawi zambiri, nifedipine amaloledwa mosavuta. Koma kugwiritsa ntchito mapiritsi mopitilira muyeso, zotsatirapo zake zimawonedwa:

1. Kuchokera pamtima dongosolo: malungo, palpitations, kuchepa kwambiri magazi, kulephera kwa mtima.
2. Kuchokera pakatikati wamanjenje: kupweteka mutu, chizungulire, kugwira ntchito mwachangu, kusokonezeka kwa kugona, kugwedezeka pang'ono.
3. Kuchokera m'mimba thirakiti: nseru, nthawi zina zomwe zimayambitsa kusanza, kudzimbidwa kapena kutsegula m'mimba.
4. Kuchokera pakhungu: matupi awo sagwirizana ndi urticaria, kuyabwa, zotupa zina.
5. Kuchokera ku genitourinary system: kuwonjezeka kwa mkodzo patsiku, kuwonongeka kwa aimpso.

Kugwiritsa ntchito nthawi yayitali kwa Nifedipine popanda kuyang'aniridwa ndi dokotala kungayambitse vuto la chiwindi, komanso kuwonongeka kwamawonekedwe.