Matenda a mtsempha wamagazi

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

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

Atherosulinosis imakhudza anthu ochulukirachulukira. Matendawa makamaka ndi anthu azaka 40+. Koma, zimachitika kuti amadwala. Masiku ano, matenda ndi zotsatirapo zake zakhala zofala kwambiri.

Atherosulinosis imachitika chifukwa cha mapangidwe a zolembera, kukula kwake kumene kumapangitsa kuti mitsempha ya magazi ikhale yovuta, komanso zovuta pakunyamula magazi. Magawo osiyana kwambiri a kama am'mimba amatha kugwiridwa motere, koma mitsempha ya brachiocephalic nthawi zambiri imakhudzidwa. Amapereka michere ndi okosijeni ku ubongo, kuzungulira.

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

Thunthu la brachycephalic limakhudzidwa ndi kayendedwe ka magazi kupita ku ubongo ndi torso yapamwamba. Amapanga mitsempha itatu, atasiyana ndi msempha. Ndi thandizo lawo kuti magawo amimbayi ndi kumanja adyetsedwe. Kuonongeka kwa thunthu ili ndi chifukwa chachikulu. Ngati zakhudzidwa ndi atherosulinosis, kufalikira kwa zakudya zazikulu zaubongo kumachitika. Nthawi ngati izi, kusintha kosasintha kumayambira mu ubongo. Izi zimabweretsa matenda a ubongo.

Atherosulinosis yam'mitsempha yama ubongo ya ubongo imachitika mothandizidwa ndi zifukwa zingapo. Matendawa pagulu lapadziko lonse lapansi la matenda (ICD) ali ndi nambala ya 10. Izi zikutanthauza kuti njira yake ndi yovuta kwambiri ndipo mankhwalawo ndiovuta kwambiri. Nthawi zambiri, mogwirizana ndi matenda awa, pamakhalanso zotupa za carotid artery, beta. Chifukwa chake, chithandizo ndicovuta. Popanga cholembera cha atherosselotic, pamafunika nthawi yambiri, motero, sizingatheke kuzindikira mwachangu, chifukwa palibe zizindikilo.

Zidole za cholesterol zimachitika makamaka chifukwa cha:

Zaka 40+. Ndi zaka, thupi la munthu limasintha mosiyanasiyana. Pakati pawo, palinso kutayika kwa mtima wamankhwala, kusokonezeka kwa metabolic. Ichi ndichifukwa chake zaka zimagwira gawo lalikulu popanga atherosulinosis.
Mowa.
Kusuta. Kusuta kumabweretsa mavuto m'mitsempha yamagazi, kuwapangitsa kukhala ochepa.
Kupezeka kwa zakudya zopanda pake mu zakudya.
Matenda a shuga.
Kuthamanga kwa magazi.
Kulephera kuchita zolimbitsa thupi.
Kudya kwambiri shuga.
Mkhalidwe wautali wopsinjika.
Kukhumudwa

Komanso, zomwe zimayambitsa kuyambika ndi kupitilira kwa atherosulinosis kumatha kukhala kusakhazikika mtima.

Amayambitsa atherosulinosis yamitsempha yamitsempha yamagazi

Zomwe zimayambitsa matenda monga atherosulinosis ya mitsempha ya vertebral, pali magulu awiri.

Sakhala vertebrogenic komanso vertebrogenic.

Gulu lachiwirili likugwirizana mwachindunji ndikuphwanya msana wamunthu, ndipo gulu loyamba silidalira kukula kwamatenda a msana.

Matendawa amatha kuonekera ndi zizindikiro zosiyanasiyana, monga kugwedeza manja komanso kulephera kukweza zinthu zolemera. Chifukwa cha chitukuko cha matendawa, ntchito ya chingwe cha msana imasokonekera.

Zovuta za nevertebrogenic zimaphatikizapo:

kuwonongeka kwa chotengera chakumanzere, chifukwa cha kuwonongeka kwa msana,
kupindika kwa minofu ya khosi,
kobadwa nako maliro a mitsempha.

Zomwe zimayambitsa Vertebrogenic zimaphatikizapo kukhalapo kwa:

Scoliosis ya msana.
Njira zosinthira mu intervertebral disc yokhudza msana.
Nthiti yowonjezera ya khosi, yomwe imatchinga magazi amitsempha.
Zowawa chifukwa cha zomwe khosi lakhosi limafooka.

Zizindikiro za wodwala zimapitirira kwathunthu. Izi ndichifukwa choti matendawa amayenda pang'onopang'ono, choncho vutoli limakulanso pang'onopang'ono. Mitsempha yam'mimba imakhudzidwa mosadziwika. Potukula matendawa, magawo awiri amasiyanitsidwa.

Potengera kuchuluka kwa lumen, gawo lopanda chimbudzi limayamba. Kuthamanga kwa magazi sikokwanira, chifukwa chotengera sichikhala choboweka kwathunthu. Zizindikiro sizimawonedwa. Amatha kubwera ubwana wake.

Gawo lonyansa limachitika pokhapokha chithandizo cha gawo lakale. Bowo lomwe limalowe mchombo limadutsa kuposa 50%.

Zizindikiro zazikulu za matenda

Malinga ndi kafukufuku, zofunikira za matendawa zimapangidwa muubwana.

Pakatha zaka 35, mutha kumva zambiri kuposa chizindikiro chimodzi chodwala, koma wodwalayo sangawamvere.

Ndikotheka kuti muzitha kuzindikira kale pali zovuta zambiri. Nthawi zina amawonedwa pambuyo poti wawononga.

Kuti mankhwalawa akhale a panthawi yake, muyenera kudziwa zomwe zimadziwika ndi mtundu wa atherosulinosis.

Zizindikiro zimaphatikizapo kukhalapo kwa:

chizungulire ndi mutu wakuthwa.
ozizira m'malo otsika
angina akuwonongeka, kusokonezeka kukumbukira, kumva kutopa nthawi zonse,
mkwiyo, nkhawa,
kulira ndi kunenepa kwa miyendo,
kuwonongeka kwazidziwitso,
kusawonongeka kwawonedwe,
kusanza ndi kusanza, kusowa kwa zida zamau,
kulira kwamakutu m'makutu, kupweteka m'maso, pakamwa kowuma, mawonekedwe a thukuta logontha,
mphatso yam'mutu mbali imodzi ya mutu, yomwe imakhala ndi mtundu uliwonse wamtundu, womwe umakulirakulira poyenda. Itha kulumikizidwa ndi malo osakhazikika a khosi ndi mutu, hypothermia yamalo awa,
zosokoneza tulo, kusokonezeka kwa chidwi.

Zizindikirozi zitha kuwonetsa matenda angapo. Chifukwa chake, mulimonsemo, muyenera kulumikizana ndi katswiri kuti mupeze upangiri ndi kuzindikira koyenera.

Ndi madokotala okha omwe angadziwe zakomwe mkhalidwe wowonjezereka waumoyo. Amadziwika kuti amatha kukula pang'onopang'ono, koma amatha kupindika kwambiri khosi kapena mutu ukasintha. Zotsatira zake, kufalikira kwa magazi mderali kwathunthu. Izi zimadziwika kuti dontho la dontho. Kenako munthu amagwa, koma chikumbumtima sichitha. Ndikofunika kukumbukira kuti magawo omaliza amatha kukhala ndi zotsatirapo:

Kusokonezeka kwa ntchito ya ubongo. Mkhalidwe wamavuto am'maganizo ungasonyeze chinsalu. Poterepa, pali kusokonekera kwa chikhalidwe cham'maganizo ndi zamaganizidwe, kuphwanya kwa mawonekedwe owoneka, zida zamagetsi zimalephereranso.
Kuphwanya ma mota ntchito. Matenda oterewa amachepetsa wodwala: samatha kukweza miyendo, kuwerama, ndikuyenda. Komanso miyendo imatha kunjenjemera pamene ikuyenda.
Stroke ndiye chovuta kwambiri chotulukapo cha atherosermosis. Kuthandizira opaleshoni makamaka kumachotsa zoopsa zomwe zingachitike chifukwa chotsatira.

Stroko ikhoza kupha, kufooka.

Kuzindikira ndi kuchiza matendawa

Chinthu chachikulu mu matenda awa ndikuwazindikiritsa mu nthawi ndikuyambitsa maphunziro posachedwa.

Kuti muchite izi, muyenera kukayezetsa, ndipo koposa zonse, khalani ndi chidwi ndi thanzi lanu.

Pakufufuza kwathunthu, njira zingapo zodziwitsira matenda zimagwiritsidwa ntchito zomwe zimakupatsani mwayi wazindikirani zopatuka zilizonse machitidwe a thupi.

Choyamba, muyenera kupereka magazi kuti mupeze zamankhwala osiyanasiyana. Kafukufukuyu akuwonetsa kuchuluka kwa cholesterol yathunthu m'magazi, shuga, hemoglobin, triglycerides.

Monga mukudziwa, izi ndizofunikira pa moyo wa thupi. Kuphatikiza apo, muyenera kusanthula magazi ndi mkodzo pafupipafupi.

Mayeso apadera amatha kudziwa momwe zotengera zilili. Izi zikuphatikiza:

kusanthula kwamatumbo kwamitsempha yamagazi,
Doppler ultrasound,
angiography
zosasiyanitsa za MR.

Njira za Echographic zowunikira mtima ndizotetezeka kwathunthu ndipo sizibweretsa zovuta kwa wodwala. MR angiography ndi njira yatsopano kuposa ena, koma yophunzitsira. Zimatenga mtengo wamtengo wapatali kuposa njira zodziwika bwino. Asanapereke mankhwala, katswiriyo ndi amene amadziwa komwe adzawononge komanso kuchuluka kwake. Kuti achire, wodwalayo ayenera kutsatira malangizo a dokotala. Katswiriyu amapereka mankhwala othandizira, omwe mapangidwe ake amapangidwa molingana ndi mawonekedwe a munthu ndi zomwe zimayambitsa matendawa. Choyamba, wodwalayo ayenera kuchotsa chomwe chimapangitsa atherosulinosis. Izi zitha kukhala zopatsa thanzi, zizolowezi zoipa, kusowa zochita zolimbitsa thupi.

Akatswiri amalimbikitsa kutsatira malamulowa:

Sunthani pang'ono. Ngakhale njira ya moyo ndi ntchito, zochitika zamasewera ziyenera kuphatikizidwa ndi zochitika za tsiku ndi tsiku. Khalani kuti mukukwera njinga. Ngakhale masewera kunyumba amabweretsa zotsatira zofunika.
Kusuta kuyenera kutha. Chizolowezi choyipachi sichimangoyambitsa mavuto amtima, komanso kupuma, komanso chimakhala chofunikira kwambiri pakuchitika kwa matenda omwe amapha.
Kuti tichotse matenda, matenda sayenera kumwa. Samangoyipa mtima, komanso amachepetsa thupi kukana matenda.
Pewani zochitika zovuta, musadandaule.
Kuti muwone kuyang'ana kwa matendawa, muyenera kukayezetsa pafupipafupi.
Onani makhwala akumwa.
Chepetsani kumwa mafuta nyama, mwina m'malo mwake ndi masamba.
Zakudyazo ziyenera kukhala zambiri zamasamba ndi zipatso mpaka zokwanira.

Ngati mawonekedwe a matendawa ndi onenepa, chithandizo chitha kuphatikizira opaleshoni.

Chakudya cha Atherosulinosis

Zakudya zopatsa thanzi kumatenga malo apadera, chifukwa zakudya zotere ziyenera kuchitika pamoyo wonse.

Zakudya ndi gawo la mankhwala, zomwe sizofunika kuposa kumwa mankhwala apadera.

Kusintha kwa kadyedwe kumayambitsa kusintha kwakukulu pamkhalidwe wa wodwala.

Zakudya za BCA atherosulinosis ziyenera kukhala zoyenera.

Zimatengera mfundo izi:

kudya masamba ndi zipatso zambiri,
juwisi wofinya kumene ndiwothandiza kwambiri pa matenda otere,
nsomba zam'nyanja ndi nsomba zimalimbitsa makoma amitsempha yamagazi, komanso minyewa yamtima,
ungodya nyama zopanda mafuta,
muyenera kumwa zamkaka zomwe zimakhala ndi mafuta ochepa,
onjezerani kuchuluka kwa amadyera m'zakudya.

Kuti muchepetse kuwonongeka kwa thupi, muyenera kuchepetsa, ndipo ngati ndi kotheka chotsani kuchokera muzakudya zomwe zimasuta, zokazinga, zamafuta, zakudya zamzitini ndi zinthu zofunika kuzifutsa. Chakudyacho chimapereka chakudya chambiri, koma m'malo ochepa. Chifukwa chake, metabolism ibwerera mwakale, thupi limasintha.

Makamaka chidwi ayenera kuperekedwa kwa njira zodzitetezera, chifukwa mtima atherosulinosis imatha kuonekera ali aang'ono, ndikuwonekera mochedwa. Chifukwa chake, kupewa kuyenera kuperekedwa mwachangu. Komanso, sizitenga nthawi yambiri ndikuchita khama. Choyamba, muyenera kuyang'anira kulemera kwanu, chifukwa kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa kukula kwa matendawa. Ku ichi muyenera kuwonjezedwa kusuta ndi kusowa kochita zolimbitsa thupi. Pamaso pa zinthu izi, Zizindikiro zimatha kudziwonetsa zaka zoyambira 30 zakubadwa.

Momwe mungagwiritsire matenda a atherosclerosis a bongo afotokozere katswiri amene ali munkhaniyi.

Vertebral Cervical Artery Syndrome

Vertebral cervical artery syndrome ndi zovuta kuzinthu zomwe zimachitika muubongo chifukwa cha kuphwanya kwamphamvu kwa chotengera chimodzi kapena ziwirizi za dzina limodzi. Ndi mitsempha iyi yomwe ndi "oyambitsa" dziwe lama vertebro-basilar, lomwe limapereka mbali yakumbuyo ya ubongo (dziwe lachiwiri la ubongo limapangidwa kuchokera kumitsempha ya carotid).

Zomwe zimayambitsa matendawa

Vertebrogenic, ndiye kuti, chifukwa cha mavuto a msana. Mitsempha yama vertebral m'khosi imadutsa pafupi ndi njira ya khomo lachiberekero, ndipo zina mwa matenda awo zimawonekera m'matumbo omwe amapereka ubongo.
Zosagwirizana ndi matenda a msana. Izi zimaphatikizapo kusintha kwa ma pathological mu mitsempha yokha komanso minofu yofewa yoyandikana nayo.

Zotsatira zopanda vertebrogenic zimaphatikizapo:

Atherosulinosis ya mitsempha ya vertebral: nthawi zambiri sitima yamanzere imavutika, chifukwa mwa anthu ambiri imachoka molunjika kuchokera ku chipolopolo cha subclavian artery,
Kubadwa kwa mitsempha yoyipa,
Kuphipha kwamkati mwa khosi.

Zomwe Vertebrogenic zimayambitsa ndi izi:

Scoliosis ya msana
Kukhazikika kwa khomo lachiberekero chifukwa cha kuvulala kapena kuperewera kwa njira,
Njira zosinthira mu intervertebral disc (osteochondrosis),
Nthiti yowonjezera pachiberekero yomwe imalepheretsa magazi kulowa mumtsempha.

Kodi chizindikirocho chikuwoneka bwanji?

Zizindikiro za vertebral artery syndrome ndi motere:

Mutu wowawa, womwe uli ndi izi:
- Imapezeka mu theka limodzi la mutu,
- Ululu wamtundu uliwonse: kuwombera, kuphulika, kuzimiririka, kuwopseza,
- Imatha kutha pamalo ena amutu,
- Imalimba pakuyenda (mwina pogona, ngati mutu wangotenga malo a "predisposing"),
- Kupweteka kwapakati kumatha kuphatikizidwa ndi hypothermia ya khosi kapena malo osakhazikika kwa mutu,
- Kutalika kosiyanasiyana kwa kuukiridwa.
Zowonongeka: "mchenga", "ntchentche", "chophimba" chosakhalitsa pamaso pa anthu.
Zitha kukhala pazowonera ndi maso.
Chizungulire
Tinnitus.
Pakhoza kukhala nseru, kusanza.

Zizindikiro za vertebral artery syndrome zimatha kukula pang'onopang'ono, ndipo zimatha kuchitika kwambiri, ndikusintha kwa mutu, chifukwa chomwe magazi amayenda m'mitsempha atasiya kwathunthu. Zoterezi zikachitika, amadziwika kuti dontho la kugwa: munthu amagwa mwadzidzidzi, pomwe chidziwitso chake chimasungidwa kwathunthu (amachilongosola ngati "mutu woyandama kwinakwake").

Zonse zamankhwala a vertebral artery hypoplasia

Matenda ambiri okhudza ubongo ndi aubongo. Hypoplasia sichoncho. Ichi ndi matenda obadwa nawo okhudza magazi obisika. Chinsinsi cha matendawa, zizindikiro zake, matenda ake ndi chithandizo chake - iyi ndiye nkhani yafukufukuyu.

Zambiri

Circle ya Willis ndiye maziko azomwe magazi amapereka kwa thupi lathu lonse. Bungweli limapangidwa ndi mitsempha yayikulu ya ma vertebral (nthambi zamanzere ndi kumanja). Kukula kwa mitsempha ya vertebral kumachitika chimodzimodzi - munthawi yoyenera. Popita kudera lamkati, chigawo cha subclavia chimazungulira, chomwe nthambi zake pakhomo.

Mawu oti "hypoplasia" amatanthauza chitukuko cha ziwalo zilizonse. Pathologies amapangidwa mwatsopano kapena amatengedwa, koma pankhani ya ochepa hypoplasia, njira yoyamba ndiyofala.

Gawo lotsatira la matenda lipezeka:

wamanzere
wamanja-kumanja
mayiko awiri.

Popeza mphamvu yogwiritsira ntchito yathu yathupi ili ndi malire, hypoplasia imatsogolera kutopa ndi kuwonongeka. Pakadali pano, kuchitapo kanthu opaleshoni yofunikira mwachangu.

Hypoplasia yamitsempha yama vertebral

Kukula kwa intpruter mu intrauterine kungayambitse hypoplasia yokhudzana ndi mtsempha wamagazi wamitsempha. Kuchepetsa kapena kuyamwa kwa mayi woyembekezera, komanso kupitilira nthawi yayitali (gombe, sauna), chikonga ndi mowa zimatha kuyambitsa matenda. Vuto la chimfine kapena rubella limathanso kusokoneza mwana.

Mkhalidwe wa wodwalayo umayamba kuwonongeka atakula. Kukula kwa zizindikiro zotsatirazi kumawonjezera:

mutu
chizungulire
kuthamanga kwa magazi
kugona
kusokonezeka kwamaganizidwe (ulesi, kusinthasintha kwa zochitika, kukhumudwa),
Vuto lama vestibular
kusazindikira mtima.

Matendawa safuna chithandizo chapadera - thupi palokha limapeza njira yobwezera kulipira magazi. Pazinthu zochepa chabe, kulephera kumachitika - ndiye kuti kuchitapo kanthu kwa madokotala ndikofunikira. Matenda opatsirana ndiye chida chachikulu cha matenda. Mwachitsanzo, atherosulinosis imadzetsa mavuto owonjezereka ndi kufalikira kwa magazi, chifukwa zotengera zimachepetsedwa kwambiri. Odwala amadandaula ndi chidwi cha nyengo komanso zovuta kugona.

Ndikosatheka kuchotsa matendawa pogwiritsa ntchito njira zolembera, koma nthawi zina, mankhwala a vasodilator amagwiritsidwa ntchito, ndipo adokotala angakupatseni opareshoni.

Hypoplasia ya kumanzere vertebral mtsempha wamagazi

Zizindikiro za arterial hypoplasia ya kumanzere ndizogwirizana kwambiri ndi ma pathologies oyenda ndipo samawoneka nthawi yomweyo. Hemodynamic kukanika kuthira mu mtima kukokana, magazi stasis, limba ischemia. Kusintha kwa magwiridwe antchito kumasintha kwa matenda, kotero zovuta sizobisa thupi nthawi yomweyo - ndikutali, kutalika kwa zaka, njira.

Chithunzi cha chipatala chimakula ndikusintha kwokhudzana ndi zaka mu minofu ndi ziwalo, koma magawo oyamba amatha kutsika kuchokera ku dotolo. Chifukwa chake, ndikofunikira kuphunzira mawonetsedwe akunja a matendawa.

Belu lochititsa mantha ndi vuto lopweteka lomwe limakhudza msana (khomo lake lachiberekero). Ngati zizindikiro zina sizikuyang'aniridwa, nkovuta kudziwa bwinobwino. Chowonetsera china chodziwika bwino cha hypoplasia ndi anastomosis (nthambi za ziwiya zazikulu zimayamba kulumikizana). Chifukwa chake thupi limakwanira kukukula kwa mitsempha ya vertebral. Zomwe zimatha kutayika ndikukula kwa mtima.

Hypoplasia yamanzere-yamanzere yadzaza ndi matenda oopsa - kuwonjezeka kwa kuthamanga kwa magazi. Uku ndi kudwala kwachiwiri, mtundu wa chizindikiro chakuti thupi likuyesera kuzolowera zomwe zikuchitika pakali pano.

Zoyambitsa ndi zotsatira zake

Zomwe zimathandizira kupezeka kwa matenda amapezeka ngakhale munthu asanabadwe - pa gawo la kukula kwa fetal. Uku ndi vuto la kubala, choncho makolo ayenera kuganizira zovuta zambiri pakakonzekera kubereka.

Zomwe zimayambitsa hypoplasia yamtsogolo ndi motere:

kuvulala (mwachitsanzo, mabala) a mayi wapakati,
matenda opatsirana a amayi,
poizoniyu
ionizing radiation
nkhanza, nikotini, mankhwala osokoneza bongo, mankhwala osokoneza bongo, mankhwala oopsa pakukonzekera pakati,
chibadwa matenda a matenda ozungulira dongosolo.

Chifukwa cha zochitika zomwe tafotokozazi, hypoplasia sikuti nthawi zonse imayamba - zinthu izi zimangowonjezera kuyambika kwa matenda.

Milandu yakubadwa kwa ana omwe ali ndi hypoplasia adalembedwa popanda chifukwa. Madokotala amakono zimawavuta kupeza lingaliro limodzi lomwe limalongosola izi. Pali ma provocateurs angapo omwe amalimbikitsa chiwonetsero cha matenda.

mawu othandizira a khomo lachiberekero vertebrae ndi spondylolisthesis (kumabweretsa kuwonongeka kwa msana),
mafupa a m'magazi (mafupa amakula)
kupindika komwe kumakhudza membala wa vertebral-occipital,
Kugundika kwamitsempha yamagazi
atherosulinosis yamitsempha yamagazi.

Zomwe zimawopseza matenda

Cholemacho chimatha "kugona" mthupi mpaka nthawi inayake ndikuwonekera mu ukalamba. Nthawi zambiri, zovuta za hemodynamic zimadziwika ndi madokotala chifukwa cha matenda omwe ali ndi zizindikiro zofananira. Chifukwa chake, kuzindikira kwa hypoplasia kuyenera kuperekedwa mwachidwi kwambiri.

Kusintha kwatsoka kumakhudza gawo la ngalande ya mafupa ndi mtsempha wamagazi womwe umalowa. Ndi hypoplasia, minofu ya muubongo imaperekedwa ndi magazi kwambiri, zomwe zimabweretsa zotsatirapo zomvetsa chisoni.

Ndikosatheka kuneneratu za zoyipa zonse, koma zina zake ndizosasangalatsa:

mutu (wowopsa komanso wobwereza)
kutopa,
kumva kuwonongeka
kuchepa kowoneka bwino.

Matendawa amadziwika ndi zizindikiro zosiyanasiyana, ndipo mwa odwala osiyanasiyana "njenjeteti" zimatha kukhala zosiyanasiyana. Izi zimagwira ntchito pakukula kwa mitsempha yamatumbo komanso kukula kwa ululu. Nthawi zambiri, wodwalayo amaphunzira za kupezeka kwake pakuwunika komwe adakonza - zizindikirazo ndizovuta kusiyanitsa, ndipo chithunzi cha chipatala chimakhala chosalongosoka.

Zizindikiro zazikulu za vertebral artery hypoplasia ndi izi:

Mutu (mphamvu zimatha kusintha)
chizungulire chopanda pake komanso chizungulire,
zamagetsi amanjenje
malingaliro osokoneza okhalapo,
kuthamanga kwa magazi
kuphwanya mayendedwe abisika,
mavuto ndi chidwi (chitha kukhudza magawo osiyanasiyana a thupi, chitsanzo chapamwamba ndi miyendo),
zovuta zamagalimoto (ziwalo, paresis),
kuyerekezera zinthu
wosakhazikika pakuyenda,
kutayika kwa mgwirizano wamachitidwe.

Mfundo yomaliza imawoneka ngati mawonekedwe osokonekera opanda zinthu zakuthupi, imagwera ndikumverera kwakukhala nthawi yayitali. Kuchulukitsa kwa mawonekedwe kumawonjezeka ndi kukalamba kwa thupi.

Mankhwala

Mankhwala osokoneza bongo amaphatikizapo kuyambitsidwa kwa mankhwala omwe amakhudza kusintha kwa magazi, njira za metabolic mu minofu ya ubongo ndikupereka magazi ku ubongo. Njirayi sidzathetsa vutoli, koma ubongo udzatetezedwa pakusintha kwa ischemic. Dokotala atha kukulemberani mankhwala otsatirawa:

Actovegin
wamkulu
ndere
vinpocetine,
cinnarizine,
thiocetam
chikomacho,
owonda magazi.

Opaleshoni

Amawonetsedwa pokhapokha ngati vuto lakelo liziwonekera. Opaleshoni yamitsempha ya nthawi yathu amakonda opaleshoni yam'kati. Chinsinsi cha njirayi ndikumayambitsa stent (dilator wapadera) mu lumen ya chotupa chamtsempha.

Tsinde limakulitsa m'mimba mwake momwe malo amasinthira, mwakutero kubwezeretsa magazi enieni. Kuchitapo kanthu ndikutikumbutsa za angiography, chifukwa chake, nthawi zambiri zimachitika molingana ndi njira yodziwitsira matenda.

Zithandizo za anthu

Mankhwala apadera a anthu othana ndi hypoplasia kulibe. Koma maphikidwe ambiri abwino apangidwa omwe amakupatsani mwayi wolimbana ndi matenda a satelayiti (omwewo atherosulinosis).

Nazi zitsanzo zochepa kuchokera ku makampani azachikhalidwe:

mafuta a azitona (tikulimbikitsidwa kumwa supuni zitatu tsiku lililonse pofuna kupewa),
uchi (pali zosiyana zambiri ndi msuzi wa mandimu, mafuta a masamba ndi uchi, kenako ndikusala)
msuzi wa mbatata (woyamwa mbatata imodzi tsiku lililonse),
Japan Sophora (kapu ya zomera zosankhika zosakanizidwa ndi botolo la lita imodzi ya vodika ndikugwiritsira ntchito kulowetsedwa kwa milungu itatu patsiku supuni),
nthangala za katsabola (kuchepetsa mutu)
adyo (mandimu a zimu amaphatikizidwa ndi mutu wa adyo ndi 0,5 malita a madzi - gwiritsani ntchito patatha masiku anayi kulowetsedwa),
Msuzi wa Melissa (umagwirizana ndi tinnitus ndi chizungulire).

Malo omwe mungagwiritse ntchito mankhwala ena (makamaka achi China ndi Chitibetani) pang'onopang'ono amasiya kuonedwa kuti ndi achilendo. Pakadali pano, njira zawo ndizothandiza kwambiri.

kutikita minofu
Katemera
zolimbitsa thupi.

Njira izi sizizindikirika nthawi zonse ndi mankhwala ovomerezeka, chifukwa chake muyenera kufunsa dokotala musanakumane ndi mabungwe ena. Nthawi zina ndikofunikira kuphatikiza chithandizo chamankhwala chosasamala komanso chofunikira kwambiri - chofunikira, onetsetsani kuti akatswiri a malo ena ali ndi ziphaso zoyenera.

Tikukulimbikitsani kuti muwerenge zomwe zalembedwera pachiphuphu.

Amayambitsa ndi zotsatira za kugona kwa mitsempha yamitsempha

Nthawi zambiri matenda oopsa ndipo mitsempha imachitika chifukwa chakuthwa kwa mitsempha. Zosagwirizana ndi zoterezi ndi chotengera chachikulu cha carotid ndi vertebral. M'mapanga oyendetsa mitsempha, magazi amayenda pang'onopang'ono ndipo izi zimakhudza thanzi la munthu. Chifukwa cha kukhalapo kwa anomatic, chiopsezo chokhala ndi ischemic stroke chikuwonjezeka ndi 30%. Pa chifukwa chomwechi, ngozi zam'magazi zimachitika.

Zomwe zimayambitsa kusiyana

Kuwonongeka kwa mitsempha ya vertebral nthawi zambiri kumakhala kobadwa nako ndipo kumatengera cholowa. Izi ndichifukwa choti m'matumbo amitsempha yamagazi kuchuluka kwa zotupa za elastic zimaposa kuchuluka kwa collagen, chifukwa chomwe mitsempha yayikulu (vertebral ndi carotid) imakhala yopindika. Phulusa limawoneka motsutsana ndi maziko a kuwonongeka ndi kuwonda kwa zida zam'mitsempha. Kusokonezeka kwa magazi kumachitikanso kumachitika motsutsana ndi maziko a atherosulinosis - mapangidwe a cholesterol plaque mu lumen ya mitsempha yamagazi.

Kuwonongeka kwa mitsempha ya vertebral m'magawo oyambawo kulibe zizindikiro ndipo thupi limazolowera zovuta zotere pakapita nthawi. Kuopseza kukula kwa micostroke ndi ischemia kumawonekera ngati atherosulinosis ikuperekera kuzunzidwa - mawonekedwe am'mabowo m'mitsempha yamagazi ndi kufalitsidwa kwa mitsempha imasokonekera. Kusintha kwa mtima nthawi zambiri kumachitika kulowa kolowetsa mafupa. Njira yodziwika bwino kwambiri ya mitsempha ya vertebral imapezeka m'magawo a 1 ndi 2 vertebrae am'chiberekero, komwe, chifukwa cha kusinthika, ma kink, malupu, aneurysms ndi spurs amatha kupanga makoma a chotengera.

The anomaly palokha siyowopsa m'moyo ngati muganizira zaumoyo wanu mosamala ndikupewa chitukuko cha atherosulinosis. Kuti muchite izi, muyenera kudya moyenera, kumayesedwa ndi katswiri wamtima ndipo osagwiritsa ntchito zizolowezi zoipa. Ndi kukhudzika kwa mitsempha ya vertebral, mankhwala omwe amachepetsa kuthamanga kwa magazi ndi mankhwala kuti athetse zizindikiro za vuto la vestibular akhoza kuikidwa. Nthawi zina, kuchitapo kanthu kwa opaleshoni kumafunikira ngati ma bends amapezeka gawo la 1 la vertebral artery ndipo pamakhala chiwopsezo cha kugunda kwamphamvu kwa ischemic.

Zotsatira zake

PA spasm imawonetsedwa ndi zizindikiro zosasangalatsa zachipatala. Koma zotsatira za kupsinjika kwa chotengera zimapangitsa kuti matendawo akhale akulu.

Ndi zovuta ziti zomwe zingayambitse matenda? Zina mwazotsatira za PA spasm, izi zowopsa kwambiri zitha kusiyanitsidwa:

Neurological akusowa kosiyanasiyana zovuta. Itha kudziwonetsa yokha mwanjira ya kuiwala, kusokonezeka pakulankhula, kuchepa kwa luntha. Mwina kuphwanya kwamphamvu kwa khungu kapena kulimba kwamisempha pa nthambi limodzi kapena zingapo. Zizindikiro zolembedwa za kulephera kwa PA zitha kuphatikizidwa ndi mawu akuti kusakhalitsa kwa ischemic.
Zotsatira zoopsa kwambiri, zomwe zitha kukhala pachiwopsezo cha matendawa ndi matenda a ubongo. Pankhaniyi, tsamba la ziwalo sizimapereka magazi kwa nthawi yayitali, necrosis ya maselo amitsempha imachitika. Imfa ya gawo limodzi la ubongo imabweretsa mavuto akulu, ndipo nthawi zina imafanso.
Kukula kwa matenda oopsa ndi njira yothandizira thupi lathu. Amakhala ndi kukakamira kowonjezereka poyankha kuthamanga kwa magazi kudzera mu PA. Zingayambitse matenda a mtima ndi zina zazikulu.

Ndizotsatira zoyipa za matendawa zomwe ndi chifukwa chomveka chodziwitsira matenda ake.

Njira Zothandizira

Kuwongolera mkhalidwe wa wodwalayo, kuthamangitsa chithandizo chamankhwala, kuphatikiza zotsatira za mankhwala, njira zowonjezera zochizira zimachitika.

Njira zothandizira ndi monga:

Zochita zolimbitsa thupi.
Yoga zam'mimba.
Valani zovala zamtundu wamatumbo, monga khola la Shants.
Kugunda kwa khola lachiberekero.
Balneotherapy.
Njira zosiyanasiyana za physiotherapy.
Sanatorium chithandizo.

Njirazi zimapangidwa kuti muchepetse kutupa m'malo owonongeka, kuchepetsa zizindikiro za matendawa komanso kusintha matendawa. Achire olimbitsa, minofu ndi physiotherapy amachedwetsa kupititsa patsogolo kwa osteochondrosis, yomwe imakomera mkhalidwe wa odwala.

Mankhwala othandizira

Kuchita opaleshoni ya vertebral artery syndrome kumachitika pafupipafupi, ngati kuli kotheka kuthetsa vutoli pogwiritsa ntchito njira zoteteza.

Nthawi zambiri, kulowererapo kumaphatikizapo kuchotsedwa kwa zomwe zimayambitsa matendawa - kuchotsedwa kwa chophukacho, chotupa, kulumikizana kwa zam'mimba pakati pa ziwiya, zotsatira za zoopsa. Pambuyo pa njirayi, magazi amatuluka mumtsempha amatulutsa ndipo zizindikiro zimatha.

Pafupipafupi, ntchito zimagwiridwa pa chotengera chowonongeka chomwe. Izi zikuyenera kuchitidwa ndi kubadwa kwatsopano, kufooka kwa chotupa cha chotengera, chotupa, khoma lamiyala. Kuchitapo kanthu kumakhala kovuta komanso kochitidwa ndi akatswiri othandizira opaleshoni ya mtima.

Vertebral stenosis ndi vuto loopsa lomwe limayambitsa kuphwanya kwa magazi muubongo. Chombo ichi chimabweretsa 25% ya kuchuluka kwa magazi amitsempha ya ubongo. Zotsatira zake, pakuchepa kwake, hypoxia of neurons (cell nerve) ndi ischemic stroke imachitika.

Kodi matenda ndi chiyani?

Vertebro-basilar syndrome - omwe amatchedwa matenda a sayansi m'chinenedwe cha sayansi, kupezeka kwakanthawi ndi chithandizo ndikofunikira. Pakachepetsa ½ ya chotengera, munthu amakhala akuvutika ndikuzindikira ndikuwukira kwa ischemic komwe kumapangitsa kufa kwa maselo a muubongo.

Tanthauzo la "dziwe lalikulu" la spinal mu mankhwala layamba posachedwa. Zimatanthawuza kudzikundikira kwamitsempha yamagazi komwe kumabweretsa magazi m'munsi mwaubongo.

Werengani za spinal canalosis apa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito bwino Artrade. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pakubwera kwa dopplerografia (kuyesa kwa magazi m'thupi kudzera m'mitsempha) ndi kuyerekezera kwa maginito, mapepala ambiri ofufuza zamtunduwu apezeka.

Zambiri zosangalatsa za vertebral insufficiency syndrome:

Dziwe la vertebrobasilar limapereka magazi m'chigawo chachitatu cha ubongo, chifukwa chake, m'mene magazi amachokera kumitsempha yamitsempha yam'mimba atasiya mwadzidzidzi, munthu amadziona.
Ndikusowa kwa nthawi yayitali kochulukitsa kwa maselo aubongo mu beseni la vertebro-basilar, mawonekedwe a wodwalayo amachepa, kusokonezeka kwa mgwirizano kumawonekera, kukumbukira ndi kuwonongeka kwa nzeru,
Zachilengedwe zimateteza chotengera ichi kuti chiwonongeke mwa kuyiyika mu mabowo amkati mwa khosi lachiberekero. Komabe, kusunthika kapena kusokonezeka kwa khomo lachiberekero kumabweretsa kutsekeka kwa lumen.

Mwachidziwikire, stenosis ya mtsempha wamagazi wam'magazi imawopseza moyo wa munthu, chifukwa kukhalapo kwa nthawi yayitali kumayambitsa kusowa kwa okisijeni mu minyewa ya ubongo.

Kuzindikira kwa kusokonekera kwa mitsempha

Kupeza matendawo ndi chidziwitso cha matendawa kumaphatikizapo kugwiritsa ntchito njira zotsatirazi:

Ultrasound dopplerography yam'chiberekero yam'mimba imalola kuti ma ultrasound azindikire kuchepa kwa mitsempha,
Angiography ndi kafukufuku wosiyana ndi x-ray. Imagwiritsidwa ntchito ngati pali kukayikira kwa chotupa cha atherosselotic kapena kusokonekera kwa anatomical mkati mwa chotengera,
Magnetic resonance angiography - imaphatikizapo kusanthula mosiyanasiyana mitsempha.Njirayi imagwiritsidwa ntchito kuphatikiza chidziwitso chomwe sichingapezeke ndi radiology ndi ultrasound,
Kuphatikizika kwamakina ndi kukhazikitsidwa kwa sing'anga mumtsempha kumakupatsani mwayi kuti mudziwe kuchuluka kwake,
Cont kusiyanitsa panangiography ndi njira ya X-ray yomwe imagwiritsidwa ntchito kuthetsa vuto la kulowererapo kwa opaleshoni pakukumana ndi magazi ofunikira (magazi a magazi).

Kodi matenda amatanthauza chiyani?

Arterial atherosulinosis ndi matenda momwe kupendekera kwa lumen kumawonedwa kudzera mukuchulukana kwa cholesterol amana. Poyamba, khoma lamkati la zombo limakhala losalala bwino, koma chifukwa cha kusintha kwa kapangidwe kake, ming'alu yaying'ono ndikukula kumawoneka kuti mumseru wamafuta. Popita nthawi, mapangidwe ake amakula ndikuletsa magazi.

Kutengera kuchuluka kwa mitsempha yodutsitsa pamitsempha ya atheroscrotic, mitundu iwiri yayikulu yamatendayo imapezeka:

Non-stenotic atherosulinosis ya ziwiya zamitsempha yamagazi ndi gawo loyambirira la chitukuko cha matenda a mtima. Pakadali pano, zolembedwa zikungoyamba kupanga ndipo zidutsa chotchinga cha sitimayo osaposa 50%. Popeza kuperekera magazi sikusintha, zizindikiritso zake ndizakanthawi ndipo sizitchulidwa.
Pamalo osagwira stenotic, mankhwala osagwiritsa ntchito mankhwala osokoneza bongo ndi mankhwala olimbitsa thupi ndi omwe amapatsidwa. Ngati njirazi sizothandiza, ndikulimbikitsidwa kukalandira chithandizo chamankhwala.
Stenosis - Mitsempha yama vertebral imakhudzidwa kwambiri. Pali zotsekemera za lumen zoposa 50%. Njira ya mankhwala amakhazikitsidwa yomweyo. Kuchepetsa lumen yoposa 70% ndichizindikiro chovutikira opaleshoni.
Gawo lovuta kwambiri pakusintha kwa ma pathological ndi chotupa cha chotengera, pomwe magazi amasiya kwathunthu.

Zomwe zimapangidwa ndi atherosclerosis a mawonekedwe awa

Mitsempha ya Vertebral imatulutsa magazi kuma ziwalo zosiyanasiyana zamkati ndi ubongo womwe. Kuphwanya kapangidwe ndi umphumphu kumabweretsa zotsatirapo zoyipa zomwe zimakhudzana ndi ntchito ya minofu ndi mafupa, ubongo ntchito, ndi zina zambiri.

Kuwonongeka kwa mitsempha yonseyi kumapangitsa kuti zinthu ziziwayambira bwino kwambiri komanso kuti ziwonjezeke. Koma popeza zotengera zimatetezedwa ndi mafupa nthawi yonseyi, ma pathologies amapezeka makamaka pamgwirizano wamitsempha iwiri.

Ngakhale atherosulinosis yoyambirira ya ziwiya za lumbar ndi mbali zina za msana imakhala yacymptomatic, kumapeto kwa chitukuko, matendawa angayambitse zovuta zotsatirazi:

Kuwonongeka kwa ubongo ntchito. Kapangidwe ka zolengeza kumawonetsedwa ndi kuwonekera kwa zovuta zama psychoemotional, zosokoneza pakugwira ntchito kwa ziwalo zamasomphenya ndi dongosolo la masculoskeletal.
Kuphwanya ntchito zamagalimoto. Kuvuta kwa atherosulinosis ya mitsempha yayikulu ya m'magazi kumapangitsa kuti wodwalayo alephere kukweza zolemera, kuyenda pafupipafupi kapena kutenga zinthu. Miyendo Yanjenjemera.
Stroke ndi chimodzi mwazotsatira zoyipa za matendawa. Vertebral artery opaleshoni ya atherosulinosis imachitika makamaka kupewa chitukuko cha mtundu uwu wamavuto.

Zakudya monga gawo la mankhwalawa

Njira zochizira zachikhalidwe zimawona zakudya monga njira imodzi yothandiza kwambiri yothanirana ndi matenda a atherosulinosis. Ngakhale matenda a etiology sanaphunzirepo, kusintha zizolowezi za kadyedwe nthawi zambiri kumapangitsa kuti wodwalayo akhale bwino.

Mukakambirana ndi mtima wazachipatala, dokotala afotokozere za njira zomwe zingagwiritsidwe ntchito pakudya ndi kukambirana kuchuluka kwa zovuta komanso zovuta zomwe zingayembekezeredwe ndi hypoplasia ya chotupa chamtsempha wamanja.

Njira yokhayo yolimbana ndi atherosulinosis ndi mankhwala komanso opareshoni. Njira zina zitha kugwiritsidwa ntchito ngati njira yoteteza komanso osaletsa chithandizo cha mankhwala.

Kufotokozera kwamatenda am'mitsempha yamaitsempha

Pachimake matenda mu ubongo nthawi zambiri kumapangitsa kukula kwa ischemic sitiroko.

Pafupifupi 60% ya milandu, vuto la kuthamanga kwa magazi ndi chifukwa cha atherosulinosis ya mitsempha ya vertebral. Zolemba za cholesterol zomwe zimadutsa mkati mwa mitsempha imatsogolera ku matenda awa.

Pali zinthu zambiri zomwe zimapangitsa kuti matendawa athe, komabe, palibe chifukwa chilichonse chokwanira chothandizira kuti matendawa athe kufalikira. Masiku ano, pali malingaliro angapo pamakina amomwe amapangira matenda awa:

Zambiri patsamba lino ndizongowatsogolera zokha ndipo ASATSOGOLA zochita!
Mutha kuperekera EXACT DIAGNOSIS PAKUTI kokha!
Tikukupemphani kuti musadzilimbikitse, koma lowani kwa katswiri!
Zaumoyo kwa inu ndi okondedwa anu!

Zomwe zimayambitsa atherosulinosis ndi ma genetic omwe amapezeka mu metabolic metabolism.
Mikhalidwe yamoyo imayambitsa kukulira matendawa. Ndi njira iyi, kuphatikiza kwa zinthu zingapo kumatengedwa ngati maziko a matendawa.
Choyambitsa matenda a atherosulinosis ndi kumwa kwambiri nyama zamafuta, zomwe zimayambitsa kuphwanya kwa lipid metabolism. Kuchepa kwa mapangidwe a matenda kumachulukitsa ndikosakwanira zolimbitsa thupi.
Atherosulinosis imalumikizidwa ndi kufalikira pang'onopang'ono pamavuto mu neuro-endocrine yamafuta a metabolism ndi mkhalidwe wamitsempha yama mtima. Mikhalidwe ina ya moyo wamunthu imayambitsa kuphwanyidwa kotere, komwe kumakhala ndi zotsatira zoyipa zamagetsi.

Pali lingaliro lodziwika bwino lakukula kwa atherosulinosis, lomwe limapangidwa chifukwa chakuti munthu akalandira mafuta ambiri m'thupi, amakhala ndi mwayi wokhala ndi matendawa.
Ngati munthu adya mafuta ochepa a nyama, cholesterol yaying'ono imadziunjikira m'thupi lake, chifukwa chake kuwopsa kwa mitsempha yowonongeka kwa atherosulinosis ndi kochepa.
Zachidziwikire, pali zochitika zamankhwala pomwe, ngakhale kuchuluka kwa cholesterol muzakudya, palibe zizindikiro za atherosulinosis zomwe zidapezeka.
Komanso, nthawi zina pamachitika zinthu zomwe munthu amadya mafuta ochepa a nyama, koma pakapita nthawi, atherosulinosis yopita patsogolo imapezeka mwa iye. Izi zitsanzo mwanjira zimachepetsa kutsutsana kwa lingaliro lazopatsa thanzi la chiyambi cha atherosclerosis.
Nthawi yomweyo, asayansi amakono komanso madotolo samakayikira kuti mafuta azakudya komanso cholesterol ndizomwe zimawonjezera mwayi wokhala ndi atherosulinosis.

Lingaliro linanso lazomwe zimayambitsa matendawa ndi neuro-metabolic. Iye samakana mwanjira iliyonse zofunikira za thanzi, komabe, akugogomezera kuti zakudya sizofunikira pazomwe zimayambira matenda.
Ngati munthu ali ndi malamulo abwino, ndiye kuti kudya mafuta ochulukirapo sikungayambitse kukula kwa atherosulinosis. Ngati njirayi ikuphwanyidwa, gwero laling'ono la cholesterol m'zakudya likhala lokwanira kuwoneka ngati matenda.
Pokomera chiphunzitsochi, asayansi amaika zinthu zina patsogolo. Mwachitsanzo, anthu omwe, mwachilengedwe cha zochita zawo, amakumana ndi kupsinjika kwakanthawi amatha kukhala atherosulinosis.

Palibe amene angakane kukhudzidwa kwa chitukuko cha atherosulinosis ya zinthu monga kusakwanira zolimbitsa thupi mdziko lina la dziko.
Chiwonetserochi ndichikhalidwe cha okhala ku United States, omwe nthawi zambiri amakumana ndi coronary atherosclerosis.
Komanso gawo lofunikira pakukula kwa matendawa limaseweredwa ndi kusuta.

Mitundu ya matenda

Kutengera kuwonongeka kwa masinthidwe am'magazi, pali mitundu iwiri yayikulu yamatenda:

Amawerengedwa kuti ndi gawo loyambirira la matendawa.
Pakadali pano, kupangidwa kwa zolembedwa kumangoyamba kumene, motero kumatchinga chotchinga ndi 50%.
Popeza kuchuluka kwa magazi sikusintha kwenikweni, zizindikiro za mitsempha ya mitsempha ya ziwalo zam'mimba sizowonekeratu.
Pakadali pano matenda, mankhwalawa osagwiritsa ntchito mankhwala osokoneza bongo komanso maphunziro apadera a thupi amagwiritsidwa ntchito. Ngati njirazi sizikupereka zofunika, munthu ayenera kupita kuchipatala.

Pakadali pano, pali kutsekeka kwa mitsempha ya m'mimba.
Poterepa, chilolezocho chotsekeredwa ndi oposa 50%.
Zikatero, chithandizo chamankhwala chiyenera kuchitidwa mwachangu.
Ngati lumen imachepa kuposa 70%, pakufunika kuchitapo kanthu opaleshoni.

Tikuuzaninso za BCA atherosulinosis ndi momwe chidulechi chimapangidwira.

Chithandizo cha atherosulinosis ya mitsempha yamitsempha yamagazi

Ngati munthu wapezeka ndi stenotic atherosclerosis, chithandizo chitha kuchitidwa ndi njira ziwiri - mankhwala ndi opareshoni. Kusankha kwa njira inayake kumachitika ndi dokotala, kutengera kunyalanyaza kwa njira ya pathological.

Njira zamtunduwu zimagawidwa pochiza matenda a atherosulinotic m'matumbo komanso polimbana ndi zizindikiro za matendawa. Pathogenetic chithandizo cha matendawa ndizosatheka popanda kugwiritsa ntchito mankhwala omwe amathandizira kuchepetsa kuyamwa kwa cholesterol kuchokera m'mimba.
Chifukwa chaichi, ma resin a anion amagwiritsidwa ntchito. Mankhwala osokoneza bongo monga gemfibrozil kapena cholestyramine, akamalowa m'matumbo lumen, amalimbikitsa adsorption yamafuta acid ndi cholesterol.
Mankhwala oterewa amatha kukwaniritsa zotsatira zowoneka pokhapokha ngati mukugwiritsidwa ntchito kwa nthawi yayitali. Sizikhudza cholesterol, yomwe yafika kale pamakoma amitsempha yamagazi. Chifukwa chake, ndi zovuta zama metabolic, chithandizo chotere sichingapereke zotsatira zomwe mukufuna.
Zofananazo zimakhala ndi chomera cham'madzi - mwachitsanzo, gitala. Komabe, mankhwalawa amayenera kumwedwa nthawi zonse, kumwa madzi ambiri. Chifukwa chake, mankhwalawa sangagwiritsidwe ntchito kwanthawi yayitali ndi anthu omwe akudwala matenda oopsa.
Njira zomwe zimathandizira cholesterol adsorption zimatsogolera kumangiriza kwa mankhwala, michere ndi mavitamini.
Zinthu zomwe zimachepetsa kupanga kwa triglycerides ndi cholesterol m'chiwindi ndizothandiza kwambiri. Chifukwa cha izi, kuchuluka kwa zinthu zovulaza m'magazi kumachepa. Mankhwalawa amasokoneza kagayidwe ka lipid m'maselo a chiwindi. Nthawi yomweyo, zimakhudza kagayidwe kazinthu zomwezo m'maselo a machitidwe ena.
Othandizira kwambiri ndi lovastatin, clofibrate, simvastatin. Mankhwala oterowo amayenera kufotokozedwa ndi dokotala pambuyo pakupenda mwatsatanetsatane wodwala.
Therapy iyenera limodzi ndi lipid kagayidwe. Nicotinic acid imagweranso mgawo lomweli - mankhwalawa amalembedwa kwa odwala omwe ali ndi atherosulinosis.
Njira yatsopano yochizira matendawa ndikugwiritsa ntchito mankhwala omwe amathandizira kuthamanga kwa mafuta a cholesterol omwe amapangidwa m'thupi la munthu.
Chithandizo cha Zizindikiro ndikuchotsa mawonetseredwe a matendawa. Chifukwa chake, ndikuwoneka ngati ululu, vasodilators amagwiritsidwa ntchito - makamaka, nitroglycerin. Itha kugwiritsidwanso ntchito ngati mankhwalawa popanga matenda a arrhythmias, mavitamini, mankhwala osokoneza bongo a magazi pofuna kupewa thrombosis.

Popeza chithandizo cha opaleshoni ya atherosulinosis chimakhudzana ndi zoopsa zina, chimagwiritsidwa ntchito pokhapokha pochita kwambiri.
Bungwe Loona za Umoyo Padziko Lonse lalimbikitsa kuti opaleshoniyo ichitike pokhapokha ngati 70% kapena kukulitsa mphamvu yakunyumba.
Panthawi ya kulowererapo, zolembera za atherosselotic zimachotsedwa kapena chiwiya chotsekedwa chimasinthidwa ndi chatsopano.

Atherosulinosis ya kumanzere kwa vertebral mtsempha wamagazi kapena matenda ena ofanana ayenera kuchitidwa pokhapokha njira zachikhalidwe. Kugwiritsa ntchito mankhwala azikhalidwe kungachititse kuti pakhale zovuta zowopsa.
Infusions ndi decoctions a mankhwala azitsamba angapangitse mawonekedwe a thrombosis komanso kukula kwa matendawa. Chifukwa chake, njira ina iliyonse yosagwiritsidwa ntchito masiku onse yamankhwala iyenera kuvomerezedwa ndi adokotala.
Njira imodzi yothandiza kwambiri yothanirana ndi kupewa matenda a atherosulinosis ndi chakudya. Ngakhale kuti zifukwa zomwe zimayambitsa matendawa sizimveka bwino, kusintha kwa zizolowezi za kadyedwe nthawi zambiri kumabweretsa kusintha kwakukulu paumoyo wa anthu.

Kuti musunge thanzi lanu komanso moyo wanu, ndikofunikira kulumikizana ndi katswiri woyenera ngati zizindikiro zoyambirira za matendawo ziwoneka

Chithandizo cha Vertebral Artery Syndrome

Chithandizo cha matendawa chimachitika poganizira zomwe zimayambitsa matenda.

Ndi stenosis yogwira, mankhwala amagwiritsidwa ntchito kuchepetsa kuthamanga kwa magazi, owongoletsa mafupa kuti muchepetse kusokonekera kwa khomo lachiberekero.

Mu nthawi yovuta yamatendawa, kuwongolera kwa coagulation ndi angiocorrection ndikofunikira pakuchita opareshoni.

Pochita, ma neuropathologists anali otsimikiza kuti kukonzekera kwa neurotrophic zotsatira ndi antioxidants amathandizira magulu onse a odwala omwe ali ndi matenda awa.

Zomwe mapiritsi amathandizira pakhungu la vertebrobasilar:

Vinpocetine,
Instenon
Fezam
Encephabol
Cinnarizine,
Emoxipin
Pentoxifylline
Mildronate
Ndapeza
Mankhwala osokoneza bongo oletsa kuponderezana.

Njira zopangira opaleshoni

Zomwe zimagwiritsidwa ntchito ngati stenosis yamitsempha yamitsempha yamagazi:

Endarterectomy - kuchotsa kwa gawo lowonongeka la chiwiya ndi kuyika chovetsa kapena chotengera,
Arteriolysis kapena kukonzanso - opaleshoni yolimbitsa,
Kukhazikika kwa ma vertebrae oyenda,
Kuchotsa ma osteophytes osavomerezeka,
Kukhazikika kwa khomo lachiberekero (ndi kupindika kwambiri).

Mwachidziwikire, stenosis yamitsempha yam'chiberekero yam'mimba ndi njira yoopsa yomwe imafunikira kukonza kwakanthawi kachipatala. Popanda chithandizo chokwanira, chizimba ndikupita patsogolo.

Matenda a msana

Subchondral sclerosis ya msana ndi njira yodutsamo kanthu komwe mafupa amapanga a vertebrae amapanga. Ndi chizindikiro cha radiology ndipo chimachitika motsutsana ndi maziko a matenda osachiritsika omwe amadwala msana. Mawu oti "subchondral" potanthauzira amatanthauza subchondral. Sclerosis imayamba m'dera la malata otseka, omwe amapezeka pakati pa thupi la vertebral disc.

Vertebral sclerosis imachitika chifukwa chophwanya magazi awo, zomwe zimapangitsa kuti azichulukana komanso azikhala ndi minofu yolumikizana. Chomwe chimayambitsa matendawa ndi kutukusira kwa msana m'dera lomwe kuwonongedwa kwa disc intervertebral disc. Kupita patsogolo kwa njira ya pathological kumathandizira kuti zikutukuka - mafupa, omwe amavulaza minofu yofewa ndikuwonjezera matendawa. Bwalo lomwe limadziwika kuti ndi loyipa limapangidwa - njira yotupa imayambitsa mapangidwe a osteophytes, omwe amathandiza othandizira kusintha kwa kusintha kwa thupi ndi kusinthika kwa dystrophic.

Matenda a msana amawoneka chifukwa chotsatira:

kuvulala kumbuyo
osteochondrosis,
kubadwa kapena kukulira kwa chitukuko cha mafupa a msana,
multiple sclerosis
kumangokhala
kusadya bwino,
magwiridwe antchito (ogwira ntchito, omanga),
ochita masewera olimbitsa thupi (ovina, osewera mpira, omenyera),
endocrine matenda (kunenepa kwambiri, matenda a shuga),
zaka 55 zapitazo
chibadwa.

Zinthu zobalalika za sclerosis mu minofu ya vertebrae ndizotsatira zomwe zimapangitsa kuti chinthu chowonongeka chikhale.Nthawi zambiri, chomwe chimayambitsa matenda a pathological ndi osteochondrosis. Kukula kwake kumabweretsa mawonekedwe a protrusion ndi hernial, zomwe zimayambitsa kuphatikizika kwa mizu ya mitsempha ndikupanga zizindikiro zamitsempha.

Chithunzi cha kuchipatala

Mawonetseredwe azachipatala a spinal sclerosis makamaka amadalira matenda omwe adachititsa kuti ziwonetsedwe m'mafupa. Kutengera komwe malo a matenda am'mimba amapezeka, chifuwa chamchiberekero, khomalo ndi thoracic chimasiyanitsidwa. Woopsa milandu, gawo lonse la msana limakhudzidwa, zomwe zimabweretsa kudwala koyipa kwa matendawa.

The khomo lachiberekero ndi lumbar msana nthawi zambiri amakhudzidwa. Izi zimachitika chifukwa cha kusuntha kwakukulu ndi katundu mukasunthira m'khosi ndikutsikira kumbuyo. Dipatimenti ya thoracic imagwira nawo njira yothandizira matenda a pathological nthawi zambiri ndipo imakhala yofanana kwambiri, ndipo matendawa amapezeka kawiri kawiri pamalopo. Nthawi zina odwala amadera nkhawa kupweteka pachifuwa, kufupika, kusapeza bwino mumtima.

Zizindikiro za zotupa za khomo lachiberekero:

kupweteka kwa khosi, komwe kumakulirakukhazikika ndikukutembenuza mutu,
kusasamala
dzanzi lamanja,
kusokonezeka kwa kukumbukira
kupweteka kwamisempha mosiyanasiyana, chizungulire,
paresthesia ya zala (kumva kugunda, kumva moto, "kukwawa"),
amachepetsa kumva komanso kuona.

Zizindikiro za zotupa za msana wa lumbar:

kupweteka m'dera lumbar, kukulitsidwa ndi kufinya thupi,
Zowawa zimafika mpaka kumunsi,
dzanzi miyendo, paresthesia kumapazi (kuwotcha, kugunda kwa zala),
kusokonekera kwa ziwalo za m'chiberekero (kudzimbidwa, kutsekeka kwamikodzo).

Chifukwa cha matenda am'mimba, chotupa cha minofu choteteza chimachitika pamalo otupa, omwe amakulitsa ululu kumbuyo. Ululu wamtunduwu umakulitsidwa ndikupanga ma osteophytes, omwe amavulaza minofu yofewa komanso amakhumudwitsa mathero a mitsempha. Mu milandu yayikulu yamankhwala, kupweteka kwambiri kumatha kuchotsedwa pambuyo pakuchita opaleshoni kuti muwachotse.

Atherosclerosis ya ziwiya za khosi: zoyambitsa, zizindikiro ndi mawonekedwe, kuwunika, momwe angachitire

Atherossteosis ndi matenda a metabolic (mafuta ndi mapuloteni) omwe amadziwika ndi kukhazikitsidwa mkati mwa zipupa zazikulu za cholesterol ndi zigawo za lipoproteins, zomwe zimapanga zolembedwa za atherosulinotic. Zokha zolembera za atherosulinotic pa gawo linalake la chitukuko chake zimapangitsa kuti magazi asamayende bwino, yomwe imaphwanya magazi ku chiwalo chonse kapena gawo lake.

Zakale

Kuyika kwa magazi kuubongo kumachitika kudzera m'magulu awiri a mitsempha - carotid ndi vertebral. Kuti mumvetsetse matenda a atherosulinosis a mitsempha ya khosi, muyenera kumvetsetsa kuti ndi gawo liti la mutu lomwe limaperekedwa ndi mtsempha winawake, womwe umatsimikizira zizindikiro za atherosulinosis yamitsempha yama khosi.

Mitsempha yama carotid (carotid) lomwe lili mdera lamkati mwa khosi, lotakutidwa ndi zofewa za khosi ndipo limatha kumva mosavuta ndi zala za munthu wosakonzekera. Pa mulingo wakumapeto kwa chithokomiro cha chithokomiro (pafupifupi msinkhu wofanana ndi apulo ya Adamu), mitsempha ya carotid imagawika m'magulu akunja ndi amkati, m'malo ano ndi gawo lofunikira kwambiri la thupi lathu - sinus ya carotid, yomwe imagwira ntchito zambiri zofunika. Mitsempha yakunja ya carotid makamaka imanyamula magazi kupita ndi zofewa zam'mutu kunja kwa kholingo, chotupa chamkati chimatulutsa magazi ambiri omwe amagwiritsidwa ntchito ndi ubongo.

Mitsempha ya Vertebral (Vertebral) kudutsa mkati mwa njira zosinthika za khomo lachiberekero, limalowa mkatikati mwa ubongo ndipo limapatsa mpaka 35% ya zosowa za ubongo ndi magazi, kuphatikiza gawo la msana ndi ubongo mu gawo la kumbuyo kwa cranial fossa.

Carotid Atherosulinosis

Atherosulinosis ya mitsempha yayikulu ya khosi imakhala ndi njira yosatsimikizika. Kumayambiriro kwa chitukuko chake, sichimasokoneza kayendedwe ka magazi ndipo imatchedwa non-stenotic atherosclerosis, pomwe, kupatula komwe kumachitika malo omwe mapangidwe a atherosranceotic amapezeka m'chigawo cha sinus ya carotid, matendawa samangowonetsa chilichonse. Gawo ili la chitukuko cha atherosulinosis yamitsempha yama khosi imatha kukhala moyo popanda kudziwonetsa, koma nthawi zambiri, pafupifupi sizimasokoneza mwadzidzidzi ma atherosulinosis yamitsempha yam'khosi, imapita patsogolo mwachangu, kuwonetsa mawonetseredwe azachipatala a ischemic stroke kapena kuchepa kwa ischemic (TIA).

Kugawika kwa mawonetseredwe a atherosulinosis a ziwongo zam'mazira a ziwalo zakale za Soviet Union kwakhazikitsidwa pazizindikiro komanso kutalika kwa kulimbikira kwake:

Gawo loyamba limadziwika ndi kukhalapo kwa stenosis yodziwika bwino yokhudza matenda a khomo lachiberekero popanda chizindikiro,
Lachiwiri - atherosclerosis ya mitsempha yamkhosi imadziwonekera mu mawonekedwe amitsempha yoyang'ana mozungulira, yomwe imazimiririka mkati mwa tsiku limodzi (nthawi zambiri pambuyo pa mphindi 20-30),
Chachitatu - chimadziwika ndi zizindikiro za matenda amiseche, otchedwa discirculatory encephalopathy,
Gawo lachinayi likhazikitsidwa ngati munthu wavulala modetsa nkhawa kwathunthu (kapena wolumala) kapena osatulutsa mikwingwirima.

Zizindikiro za carotid arteriosulinosis kawirikawiri onetsa sitiroko yayikulu, zomwe zimayambitsidwa ndikudutsa kwakanthawi kovomerezeka:

Mutu womwe umasokonezeka ndi mankhwala a analgesic,
Malingaliro a tinnitus, omwe amapitilira kwakanthawi, kenako amatha popanda chofufuza,
Chizungulire chakanthawi kochepa popanda chinthu chomveka.
Kumverera kwa dzanzi, kumva ngati mukugunda, kapena kumva kuti simukuyenda bwino m'mbali zina za thupi, nthawi zina kangapo, koma nthawi zambiri mawonekedwe awa amakhala mbali imodzi (theka la lilime kapena nkhope, miyendo yakumanzere kapena yamunsi kumanja kapena kumanzere),
Kutayika kwakanthawi kochepa kapena kutayika kwa maonedwe owoneka,
Mavuto olankhula (aphasia) pamene munthu sazindikira kuti akulankhula, kapena samazindikira kuyankhula, kapena asokoneza mawu.

Zizindikirozi zimatha kukhala zotsogola komanso zimafunikira kuchipatala msanga, chifukwa ndi chithunzi cha chipatala chofotokozedwa pamwambapa, chiwopsezo cha kuponderezedwa kwambiri kwa ischemic chikuwonjezeka nthawi zambiri.

Matenda a mtsempha wamagazi

Mawonetsedwe azachipatala a atherosulinosis a mitsempha ya vertebral ali ofanana kwambiri ndi mawonekedwe a kupindika kwa mitsempha ya carotid, koma ali ndi mawonekedwe awo omwe amagwirizana ndi gawo la ubongo lomwe amapereka ndi magazi. Chithunzi chachipatala cha kufupika kwa mitsempha yam'mimba imakhala ndi dzina - vertebro-basilar kusakwanira, chimodzi mwazifukwa zomwe stenosing atherosclerosis.

Osatengera zomwe zimayambitsa kutsekeka kwa magazi kudzera m'mitsempha yama vertebral, zizindikiro ndizofanana:

Misozi yayikulu kapena yopweteka kwambiri yamomwe munthu amakhala, osavomerezeka,
Kuchepetsa mseru, osati kusanza, komwe kumachitika mpumulo.
Zowonongeka - zowawa ndi kupenyerera kawiri, chophimba kapena chifunga pamaso, kutayika kwa malo owonekera, ngakhale khungu lakanthawi,
Phokoso, kugunda kwamtima m'makutu ndi m'mutu, chizungulire, kusamva kwakanthawi kwakanthawi.
Osatsimikiza poyenda (shaky gait),
Mkhalidwe wamatsenga - kusiya chidwi ndi moyo, kufooka, kutopa,
Mavuto olankhula ndi kumeza.

Ngakhale magazi ochepa omwe amaperekedwa kudzera m'mitsempha ya mu ubongo, kukula kwa matenda a ischemic mu dziwe lawo nthawi zambiri kumakhala koopsa kuposa gawo lamagazi kupita kumitsempha yama carotid, popeza magazi amayenda m'mitsempha ya vertebral kupita ku malo ofunikira kwambiri - zotupa za kupuma ndi vasomotor zomwe zimabweretsa chiwopsezo chachindunji. wa moyo.

Ngati zizindikiro za kuperewera kwa vertebrobasilar zikuwoneka, muyenera kuyendera katswiri wazovomerezeka posachedwa, ndipo ngati zasungidwa nthawi yayitali, nthawi yomweyo imbani ambulansi.

Matenda a atherosulinosis a mitsempha ya khosi

Chifukwa cha mawonekedwe osiyanasiyana a anatomical, kuwunika kwa atherosulinosis kwa mitsempha yayikulu ya khosi kumakhala kosiyana. Komabe, pali njira zofufuzira zomwe zimakupatsani mwayi wofufuza zonse zomwe zimachitika mu mitsempha ya vertebral and carotid. Njirazi ndi monga:

Dopplerography ndikuwunika kwa mitsempha yayikulu ya khosi, komwe kumatsimikiza kukhalapo kwa zopinga zamagazi, komanso kusintha kwa kuthamanga ndi kayendedwe ka magazi,
Kafukufuku wama Magnetic resonance imaging (MRI) popanda chowunikira cha radiation, chomwe chimakuthandizani kudziwa kukhalapo kwa foci ya ubongo ischemia, kupezeka kwake, kukula kwake ndi malo omwe oletsa magazi kuyenda,
Angiography - kukhazikitsidwa kwa sing'anga pakati pamatumbo a khosi ndi mawonekedwe awo amtsogolo pogwiritsa ntchito CT, MRI kapena X-ray.

Chifukwa chodziwika bwino kwa mitsempha yam'mimba, njira zina zodalirika komanso zodalirika zowunikira sizinapangidwe pakadali pano pakupanga sayansi yazachipatala.

Kuti muzindikire atherosulinosis ya mitsempha ya carotid, njira zosavuta komanso zotsika mtengo zofufuzira zimagwiritsidwanso ntchito, koma kulimba kwake sikukayikira:

Zowonetsa - kumvera makutu amitsempha yama carotid pogwiritsa ntchito phonendoscope kumakupatsani mwayi wodziwa kung'ung'udza, komwe kumayambitsa chideru cha atherosselotic.
Palpation - muzochitika zotsogola, zitha kukhala ndi vuto lodziwitsa zamitsempha yama carotid, komabe, izi zimapangitsa kuti zizichita mosamala kwambiri.

Chidziwitso chofunikira kwambiri cha Prosticic chimaperekedwa ndi mayeso a labotale, omwe amawonetsa kusokonezeka kwa metabolic m'thupi ndikuthandizira kusankha njira zamankhwala othandizira. Kupenda koteroko kumaphatikizapo:

Mlingo wa cholesterol yathunthu m'magazi,
Kudziwitsa za milingo yapamwamba kachulukidwe lipoproteins (HDL),
Kafukufuku wama lipoproteins otsika kwambiri (LDL),
Masautso a triglycerides (TGD),
Kukwanira kwa atherogenic
Mkhalidwe wamagetsi opanga magazi.

Chithandizo cha atherosulinotic zotupa za mitsempha yayikulu ya khosi imatanthawuza mwadongosolo njira yomwe ikuphatikiza yotsimikiza ndi njira zochizira.

Chithandizo cha mankhwala osokoneza bongo chitha kuchepetsa chiwopsezo cha chiwonetsero cha kuchipatala komanso kulimba kwawo, komanso zimachepetsa mwayi wokhala ndi stroko ischemic:

Ma antiplatelet agents (Aspirin) amalimbikitsidwa pa mlingo wa ma milligram 75 75-25 25 tsiku lililonse,
Ntchito za anticoagulants (clopidogrel, dipyridamole), kusankha kwa mankhwala ndi Mlingo kumachitika payekhapayekha,
Vitamin K Antagonists (Warfarin),
Statins (Pravastatin, Lovastatin, Pitavastatin) amatulutsa kapangidwe kake ndi cholesterol m'magazi,
Matenda a kuthamanga kwa magazi amayendetsedwa ndi kusankha kwamankhwala ndi Mlingo womwe umakhala wokwanira wamagazi mpaka bongo.
Kuchulukitsa kwa kuchuluka kwa shuga m'magazi, komwe kumapangitsa ubongo kukhala trophism, ndikofunikira kwambiri.
Kulimbana ndi kunenepa kwambiri, zizolowezi zoyipa (makamaka kusuta fodya komanso mowa), kusachita masewera olimbitsa thupi, kudya mokwanira kumathandiza kwambiri matendawa.

Chithandizo cha opaleshoni chimatanthawuza yankho lalikulu pamavuto a atherosulinosis a ziwiya za khosi, zimasintha kwambiri moyo wa wodwalayo komanso chidziwitso chonse, komabe, kuchitapo kanthu kwa opaleshoni kumalumikizidwa ndi chiwopsezo chachikulu cha zovuta zowopsa ndipo zimachitika kokha kwa odwala omwe amachepetsa kwambiri mitsempha ya carotid, kapena mawonetseredwe azachipatala.

Carotid endarterectomy (CEA) - opaleshoni yomwe thovu la carotid limamenyedwera pamwambapa ndi pansi pa chithokomiro cha atherosselotic, nthawi zina ndikupanga anastomosis yolola magazi kupita kuubongo nthawi ya opareshoni, ndiye kuti njira ya utali wamtundu wautali (kapena njira yopotokola) imatulutsa gawo la carotid. Pambuyo pake chithunzithunzi cha atherosselotic, chomwe chimabwezeretsa magazi okwanira ku ubongo, ndiye kuti pulasitiki (kubwezeretsa) khoma lamankhwala limachitika.

Kuchotsa kuchotsedwa kwa atherosclerotic zolengeza

Carotid angioplasty yokhala ndi stenting (CAS) ndikugwira ntchito mosasamala, kuphatikiza kuyambitsa kwa conductor x-ray mu carotid artery kudzera mu chithokomiro chachikazi, kutsekeka kwa chotupa cha carotid pamwamba pa mulingo wa atherossteosis wokhala ndi balloon wapadera (kusefera), kukhazikitsidwa kwa stent yodzikulitsa yokha, yomwe imatsimikizira kukonzanso kwa mtima kukulitsa kwanu kosalekeza, ndiye kuti mawonekedwe a X-ray amawongolera opareshoniyo amachitika ndipo fyuluta ndi catheter zimachotsedwa mu ziwiya.

angioplasty (B) ndi stenting yotsatira (D) - njira yochepetsetsa kwambiri yothandizira kuti athetse chideru

Mu atherosulinosis ya mitsempha ya vertebral, opaleshoni imaphatikizapo njira ziwiri zazikulu, endarterectomy ndi stenting, zomwe zimabwezeretsa magazi m'mitsempha iyi. Komabe, chifukwa cha mawonekedwe a anatomical a malo amitsempha yamagetsi, zovuta za opaleshoni yofikira zimachulukirachulukira ndipo chiwopsezo cha zovuta zimachuluka, chifukwa chake, njira zopangira opaleshoni yamitsempha yam'mimba ndizosowa, njira zochizira zadzitopetsa, ndipo maubwino opaleshoni amapitilira chiopsezo.

Pomaliza

Atherosulinosis yam'mitsempha ya khosi ndimatenda oopsa omwe nthawi zambiri amabweretsa imfa ndi kulumala, chifukwa chake amafunika kuyang'aniridwa mwachangu ndi onse adotolo komanso wodwala. Kukula kwa matendawa kumatha kuimitsidwa ndi chithandizo chamankhwala chosasinthika. Kuchita bwino kwa maopaleshoni kumathandizira kwambiri tsogolo ndi moyo wa munthu, koma kumafunikira chidwi chowonjezera paumoyo wawo ndi moyo wawo, popeza pali mwayi wokhala ndi atherosclerosis yachilendo, zonse ziwiya za khosi ndi ziwalo zina zofunika.