Mapulogalamu a Carotid: Chithandizo
Imodzi mwa njira zowopsa za mtima wam'magazi ndi ma atherosulinosis, omwe amayamba chifukwa chamitsempha yamagazi. Ngati pali mapangidwe a cholesterol malo mu carotid mtsempha wamagazi - ichi ndi atherosclerosis ya carotid mitsempha. Kutseka kwa ziwiya izi kudutsa zigawo za chifuwa, khosi, ubongo ndikupereka magazi kuubongo wa munthu kumatha kuwononga kwambiri ndikuwapangitsa kuti ayambe kugunda.
Kodi nchifukwa chiyani zigawo za atherosulinotic zimapezeka m'mitsempha yama carotid? Monga lamulo, atherosclerotic zolengeza pa carotid artery amapangika pambuyo pakuwonongeka kwa ziwiya zina za thupi.
Zomwe zimapangira mapangidwe a atherosulinotic malo zimaganiziridwa:
- zizolowezi zoipa monga kusuta fodya komanso mowa.
- matenda oopsa
- onenepa kwambiri
- kumangokhala
- chakudya chopanda pake
- matenda ogwirizana ndi endocrine system,
- kukhala wopsinjika nthawi zonse
Tsoka ilo, mdziko lamakono, anthu ambiri amakhala ndi moyo woterewu, womwe umafotokoza kufala kwa matenda.
Kuphatikiza apo, pali gawo lina la anthu momwe chiopsezo chokhala ndi cholesterol plaque mu carotid artery ndi zina zotengera thupi zimachuluka. Timalemba:
- gawo ili la anthu limaphatikizapo okalamba. Izi zikufotokozedwa ndikuti ndi zaka, kutalika kwa makoma amitsempha yamagazi kumachepa,
- anthu omwe ali ndi vuto la kuthamanga kwa magazi. Chifukwa cha kupanikizika kosalekeza kwa zotengera, kutanuka kwake kumacheperanso ndipo amakonda kuzunzika mosiyanasiyana.
- atherosulinosis ya carotid mitsempha imatha kukhala mwa anthu omwe ali ndi matenda osokoneza bongo, popeza ndi matendawa kuthekera kwa kugawanika kwapang'onopang'ono lipoproteins kumatha,
- kutengera kwa chibadwa kungayambitse cholesterol plaque.
Munthu yemwe ali mgululi ndipo nthawi yomweyo akutsogolera matendawa omwe amayambitsa matendawa amayenera kuonedwa ndi adokotala, apo ayi atherosulinosis ya mitsempha ya carotid imayamba.
Ndi atherosulinosis ya mitsempha ya carotid, zizindikiro zake poyamba sizowoneka.
Monga lamulo, gawo loyambirira la matendawa limapezeka mukazindikira mwanjira ina iliyonse mwangozi.
Komabe, ngakhale kumayambiriro kwa matendawa, zizindikiro zotsatirazi zimachitika mu ubongo chifukwa cha kuchepa kwa okosijeni:
- kutopa,
- kuganizira kwambiri,
- kusowa tulo
- kulemera m'mutu
- tinnitus
- vuto lokumbukira.
Ngati zizindikirozi zikuchitika, muyenera kulumikizana ndi achipatala.
Ndi chitukuko chowonjezeracho cha matendawa, kuchuluka kwa mitsempha ya carotid kumacheperanso, komwe kumayambitsa kuzitcha komwe kumadziwika kuti kwakanthawi kochepa, zizindikiro zomwe zimatha patatha tsiku limodzi.
Zizindikiro zake ndi izi:
- kusokonekera kwa mawu
- kumaso kapena kumanzere, masomphenyawo sawoneka bwino kapena kutayika kwathunthu,
- kusasamala,
- kusazindikira kumanzere kapena kumanja kwa nkhope ndi mawonekedwe a asymmetry mmenemo.
Maonekedwe osachepera chizindikiro chimodzi chimawonetsa chiopsezo chokulumuka kwa ischemic stroke. Dziwani dokotala mwachangu.
Mitundu yamatenda
Pali mitundu ingapo yamatendawa:
- Kwa atherosulinosis yopanda stenotic, lumen ya zotengera imadzazidwa osakwana theka. Ndikokwanira kusintha moyo wanu, kusinthira ku chakudya chamagulu komanso kuchita masewera olimbitsa thupi, ndipo mutha kuthana ndi cholesterol yowonjezera m'magazi.
- Mtundu wotsatira umatchedwa stenosing atherosulinosis ya mitsempha ya carotid ndipo umatengedwa ngati gawo lapamwamba la matendawa. Plaque mu carotid artery amatseka lumen mu chotengera choposa theka. Zizindikiro za matendawa zikuwoneka kale. Matenda amtunduwu amathandizidwa ndi mankhwala osokoneza bongo. Opaleshoni ingafunikenso. Kunyalanyaza chithandizo kungayambitse wodwalayo.
- Mtundu wotsatira wa matendawa umatchedwa multifocal ndipo umadziwika ndi kukula kwamphamvu mthupi la munthu. Kugwiritsa ntchito mankhwala osokoneza bongo sikuthandiza kale, kuchitidwa opaleshoni chifukwa cha kusokonezeka kwa hemodynamic sikutetezeka.
Zizindikiro
Kuzindikiritsa matendawa ndi motere:
- adotolo, pamaziko a madandaulo a wodwala, choyamba amapereka mankhwala a ultrasound ogwiritsa ntchito othandizira. Pambuyo pofufuza kafukufukuyu, pamakhala mawu omaliza okhudza kuthamanga kwa magazi ndi kapangidwe ka mitsempha yamagazi,
- ngati dokotala akuwona kuti ultrasound sikokwanira kuzindikira matendawa, ndiye kuti tomography yodziwika ingathe kuyikidwa. Mothandizidwa ndi radiyo ya x-ray ndi kugwiritsa ntchito kusiyanitsa, chithunzi cha kapangidwe ka zotengera za wodwalayo chimapangidwa,
- Amatha kukupatsani mankhwala othandizira, omwe ndi njira yopweteka kwambiri yomwe singagwiritsidwe ntchito pophunzira kayendedwe ka magazi ndi kapangidwe ka mitsempha ya wodwalayo, komanso momwe angapangire ziwiya zochepa
- angiografi sawonetsedwa kwenikweni, ngakhale kuti kafukufuku wotere amapangitsa kuti athe kuwona ndikuwona masintha onse omwe adachitika m'matumba. Koma mwayi wowononga zolengeza ndikupeza zovuta zina, kuphatikiza ischemic stroke, ndizokwera kwambiri ndi mayeso otere.
Njira zotsatirazi zimagwiritsidwa ntchito pochiza matenda a atherosulinosis a mitsempha ya carotid:
- Zotsatira zabwino, makamaka poyambira kukula kwa matendawa, zitha kupezeka popanda kugwiritsa ntchito mankhwala. Wodwala ayenera kusintha moyo wake, kuti amuthandize kusankha zakudya zapadera, kupita nawo m'makalasi olimbitsa thupi, m'zipinda za kutikiritsa. Nthawi zina izi zimakhala zokwanira kuchiritsa matenda oyambitsidwa.
- Pofuna kuchepetsa mitsempha yamagazi ndikuyeretsa zolembera za cholesterol, mankhwala ndi omwe amapatsidwa. Zomwe zimayeneretsedwa bwino ndi wodwala zikuthandizira kudziwa kafukufuku.
- Panthawi yomwe sizingatheke kuchotsa matendawa mothandizidwa ndi mankhwalawa, ndiko kuti, atherosulinosis m'matumbo a khosi la carotid mitsempha komanso mitsempha ina ya thupi yadzetsa kusintha komwe kukuwopseza moyo, opaleshoni imayikidwa. Njira zosiyanasiyana zimagwiritsidwa ntchito pochiza kusintha kwa atherosulinotic mu mitsempha yamkati ya carotid (ICA). Chimodzi mwa izo ndi thrombolysis, pamene mankhwala ena apadera aponyedwa mchombo, mothandizidwa ndi komwe cholesterol imakula mumtsempha wamkati. Poterepa, mutha kupeza zovuta mu mawonekedwe a kukha mwazi. Ndi chithandizo cha laser, kusintha kwamphamvu kwa zolengeza chifukwa cha zochita za laser kumachitika. Mapilala amatha kuchotsedwa pogwiritsa ntchito carotid endarterectomy. Njira yakuchitikira opaleshoni, pakakhala kugawanika kwa minyewa yam'mitsempha yamagazi ndikupanga kuphuka kwa cholesterol, imakhala yothandiza kwambiri. Kubwezeretsa nthawi pambuyo pakuchita opaleshoni ndikochepa. Mapilala amatha kuchotsedwa pogwiritsa ntchito carotid angioplasty ndi stenting. Kapangidwe kakang'ono kamapangidwa. Kukhazikitsidwa kwa fungo pamalo okutseka chotengera kumathandizira kuti kuchepa kwake kusapitirire. Mukamagwiritsira ntchito opaleshoni yolowerera, ndikofunikira kudziwa kuti mpaka zomwe zimayambitsa matendawa zithetsedwe, mawonetsedwe azizindikiro za matendawo ayambiranso pakapita nthawi.
- Ndikofunika kuchiza matendawa pogwiritsa ntchito njira za anthu. Nthawi yomweyo, mumatha kumwa ma decoctions ndi infusions wa valerian ndi amayi a amayi omwe amadziwika ndi aliyense. Amachepetsa mphamvu ndikuthandizira kuchepetsa mitsempha yamagazi. Pogwiritsa ntchito hawthorn, kuthamanga kwa magazi kupita ku ubongo wamutu ndi kuthamanga kwa magazi zimasinthidwa. Kugwiritsa ntchito mgoza wamahatchi kumathandizira kuchepetsa magazi komanso kufalitsa matenda a metabolism. Rosehip ndi sea buckthorn kulowetsedwa, kugwiritsa ntchito maphikidwe a anthu wowerengeka kuchokera ku adyo kungakhudze kagayidwe ka lipid. Koma nthawi yomweyo, ndikofunikira kuti wodwalayo azifunsa dokotala kuti asadzivulaze. Kugwiritsa ntchito zitsamba zinazake kungayambitse matenda a thrombosis kapena sitiroko. Anthu akhala akugwiritsidwa ntchito kwa nthawi yayitali pochiza matenda osiyanasiyana a misempha. Pakadali pano, hirudotherapy yakhala ikugwiritsidwa ntchito kwambiri, kuphatikiza matenda. Koma ziyenera kudziwidwa kuti ziyenera kuchitika muzipatala zokha.
Kupewa
Popewa kukula kwa matendawa komanso kuthandizira pa opaleshoni yamitsempha yama carotid, malangizo otsatirawa ayenera kutsatiridwa:
- pewani chizolowezi chosuta fodya komanso mowa,
- kuonda
- kudya zakudya zoyenera kumathandiza kwambiri kupewa matenda oopsa amenewa. Zothandiza kwambiri ndizakudya zomwe zimakhala ndi potaziyamu: nkhaka, beets, nthochi. Kugwiritsa ntchito mafuta a chimanga mu saladi ndikothandiza kwambiri. Zakudya za tsiku ndi tsiku za uchi, zipatso zam'madzi amchere, zipatso zouma zimalepheretsa kuphuka kwa cholesterol m'thupi,
- yesetsani kuthana ndi mavuto a moyo,
- kusiya kukhala ndi moyo wosalira zambiri,
- pamaso pa matenda oopsa, matenda a endocrine dongosolo, atherosclerosis, kuvomerezedwa kwachipatala ndikofunikira.
Sikovuta kutsatira njira zodzitetezazi, koma izi zimapewetsa matenda oopsa. Ndipo ndikofunikira kwambiri mukapeza chizindikiro choyamba cha atherosulinosis ya mitsempha ya carotid nthawi yomweyo pitani kwa akatswiri kuchipatala.
Njira yopanga zolembera zamitsempha yamagazi
Monga lamulo, makoma amitsempha ali ndi mawonekedwe osalala. Chifukwa cha izi, magazi amayenda bwino ziwalo zonse zamkati. Komabe, pansi pazinthu zina, zombozo ndizopapatiza, popeza ma atherosclerotic malo amapangira makoma awo. Amatha kukhala ndi cholesterol, calcium, ndi zinthu zina za lipid. Ndi matenda opita patsogolo, mitsempha imatha kutsekeka kwathunthu. Kupereka kwa magazi ku chigaza kumasokonezedwa.
Zilonda za cholesterol zomwe zimachitika m'mitsempha ya carotid ndi zina mwazomwe zimayambitsa stroko. Nthawi zina, pamwamba pa mapangidwe kameneka kamakhala kovuta. Nthawi yomweyo, kutupa kumayambira, kuvala magazi kumachitika, komwe sikungobisa mtsempha, komanso kusuntha ndi magazi.
Mapangidwe a lipid zolembera
Gawo loyamba la njirayi ndi lipoidosis. Mwanjira imeneyi, mawanga ang'onoang'ono a lipids amapangidwa, ali ndi mtundu wachikasu. Ndi kukula kwa matendawa, amalumikizidwa kukhala mafiyilo. Kuphatikiza apo (pamlingo wa liposulinosis) lipids imalowetsa khoma la chotengera, mafupa amtunduwo amapangidwa. Itha kukhala yofewa, kapena yopanda mawonekedwe. Mapale amtundu wotsirizawa amalepheretsa kuthamanga kwa magazi. Gawo lomaliza ndikupanga zolesterol zovuta. Kuthamanga kwa magazi, kuthamanga kwa magazi - mphindi zoterezi zimatha kubweretsa kuwonongeka kwa umphumphu wa mapangidwe a lipid. Kuwala kwa chotengera kumatha kutseka kwathunthu pang'onopang'ono polemba.
Kodi ndizomwe zimayambitsa cholesterol plaques?
Mapangidwe a atherosclerotic amapezeka mu carotid artery nthawi zambiri pamene ziwiya zina za thupi zakhudzidwa kale. Zomwe zimathandizira pa njirayi ndi zinthu monga kusuta, kuperewera kwa zakudya m'thupi ndi zakudya zambiri zopanda pake. Matendawa amakulanso chifukwa cha matenda a shuga, kuthamanga kwa magazi (matenda oopsa). Kuchulukanso kwa thrombosis kumatha kupangitsa kuti zinthu za cholesterol zizipezeka.
Zizindikiro za matendawa
Magawo oyambilira a matendawa amatha kuchitika popanda zizindikiro. Komabe, ngati zolengeza zikukula mu mtsempha wama carotid, zizindikiro za atherosclerosis zimakhala motere: wodwalayo amayamba kufooka, kufooka kwodziwika kumadziwika. Komanso, munthu amadandaula za kupweteka kwachilendo, makamaka mu theka limodzi la thupi. Kuwongolera miyendo imodzi (mkono kapena mwendo) kumatha kutayika. Chikumbukiro chasweka. Chikwangwani china cha mu chotupa cha carotid chimachititsanso zizindikilo monga kutontheka pang'ono, kutsika ndikuwonekeratu kwamaso. Kukomoka kungachitike.
Ngati zizindikiro zotere zikuwoneka, muyenera kufunsa dokotala. Ngakhale kuwonetsa kotereku kwa ischemic kumatha kutha pakapita nthawi, sikunganyalanyazidwe. Kulabadira chifukwa chophwanya chilengedwe kungapewe kugunda.
Mankhwala othandizira
Ngati zikwangwani zimapezeka mu carotid artery, chithandizo chingakhale mankhwala. Dokotala amatipatsa mankhwala omwe amachepetsa cholesterol - ma statins ("Krestor", "Lipidor", "Zokor"). Lipid metabolism imakhalanso yodziyimira (Clofibrate, Gemfibrozil, Fenofibrate). Akatswiri omwe amagwiritsa ntchito mankhwala amabweretsa kuthamanga kwa magazi. Mankhwala amagwiritsidwa ntchito omwe amachititsa kuti magazi ayambe kuchepa. Izi zimalepheretsa mapangidwe. Dokotala amalimbikitsa kusintha zakudya kuti zizigwiritsidwa ntchito ndi zakudya zamafuta ochepa. Ngati wodwala amasuta, ndiye kuti zizindikilo zoyambirira za matendawa ziyenera kukhala nthawi yochotsa chizolowezi choyipa. Milandu yowopsa kwambiri ya atherosulinosis ya carotid mtsempha wamagazi imafunikira opaleshoni.
Mitsempha yama carotid. Mapilala, opaleshoni kuti awachotse
Ngati matendawa ndi oopsa komanso chiopsezo chamatenda chachikulu, akatswiri amachititsa opareshoni. Opaleshoni ya carotid artery ikhoza kuchitidwa pogwiritsa ntchito njira ziwiri. Kuthamanga kwa magazi kumakhudzana ndi mawonekedwe ochepa omwe amachotsa cholesterol plaque. Zitha kuchitidwa pansi pa opaleshoni wamba. Pambuyo pa kulowererapo, wodwalayo amakhala m'chipatala masiku angapo. Kuchotsa kotereku m'mitsempha yama carotid ndi njira yothandiza komanso yodziwika bwino. Ngati opaleshoni imeneyi singachitike chifukwa cha zochitika zina, ndiye kuti angioplasty ndi stenting zimachitika pansi pa mankhwala oletsa ululu. Chida chapadera, catheter, chimayikidwa kudzera mu chotupa cha akazi. Kupyola imadutsa zida zofunikira pakunyenga. Angioplasty imakupatsani mwayi kuti mufufuze kuwonongeka kwa chotengera, kubwezeretsa kuwala kwake.
Kuuma ngati mankhwala a atherosulinosis
Stinging ndi opareshoni ya carotid artery (komanso ziwiya zina), zomwe zimaphatikizira kukhazikitsa endoprosthesis mumkati mwake. Fungo lake ndi chubu chachitsulo chomwe chimakhala m'maselo amodzi. Ntchito yake yayikulu ndikuonetsetsa kuti mitsempha ili mowongoka. Chifukwa chake, mitsempha ya mitsempha siyikhala yotsekeka, kufalikira kwa magazi mkati mwake kumakhala kwabwinobwino. Opaleshoni yochotsa zoikika mu chotupa cha carotid ikuchitika motere. Kusiyanitsa kumayambitsidwa kudzera mu catheter mu mtsempha wamagetsi wachikazi. Stent imaperekedwa kudera lakumanzere. Ikuyika, chotengera chiwongoka. Pogwiritsa ntchito chithunzichi pa polojekiti, katswiri amayang'anira momwe ntchito ikuyendera. Pamapeto omaliza, fyuluta ya stent ndi catheter amachotsedwa.
Kukonzanso nthawi
Ngati zolembera zam'madzi za carotid zimachotsedwa opaleshoni, chithandizo ndichofunikanso mu nthawi ya postoperative. Muyenera kukhala okonzekera kuti mankhwalawa atenga nthawi yayitali. Mankhwala amathandizidwa kuti apewe kuwonongeka kwa magazi. Ndikofunikira kutenga ma statins. Izi ndi zinthu zomwe zimachepetsa kukula kwa atherosulinosis. Kuthamanga kwa magazi kuyenera kuyang'aniridwa bwino. Kuyendera kwa neurologist kuyenera kupangidwa pafupipafupi, makamaka ngati matendawo ayambiranso. Ndikofunika kukumbukira kuti kununkha sikungapulumutse ku atherosulinosis. Komabe, imatha kuletsa sitiroko ndi kusintha kwambiri moyo.
Zithandizo za anthu a Folk za cholesterol plaques
Ngati zikwangwani za carotid mtsempha wazindikirika, chithandizo chamankhwala wowerengeka chingakuthandizeni kusintha kayendedwe ka magazi, kuwonjezera kukula kwa ziwiya. Zitsamba monga valerian, mamawort amagwiritsidwa ntchito. Amakhala ndi zopatsa mphamvu, kukulitsa mitsempha. Mfuwa ya kavalo imachepetsa magazi, imathandizira kusintha kagayidwe ka mafuta. Hawthorn ili ndi zotsatira zabwino. Imasintha kayendedwe ka magazi mu ubongo, imakhazikika kugunda kwa mtima komanso kupanikizika. Wowerengeka azitsamba zochizira zolembera, ntchito zomwe zikuwonetsa zabwino - dogrose, sea buckthorn. Pamaziko a duwa lakuthengo, tincture wakonzedwa (kumwa mowa). Chida choterocho chimagwiritsidwa ntchito madontho 20 kangapo patsiku. Ngati mowa ndiwosatheka, chiuno cha duwa chimang'ambika.
Maphikidwe odziwika ndi kugwiritsa ntchito adyo. Amadyedwa mumtundu woyela, ma tinctures a mowa amakonzedwa. Zimatsimikiziridwa kuti zimathandizira kagayidwe, zimakhala ndi phindu pa metabolidi ya lipid.
Zinthu zothandiza kutsekeka kwamitsempha yamagazi
Kuchepetsa kuchuluka kwa mafuta a cholesterol (zolembera mu carotid artery), chithandizo ndi kupewa kuyenera kuphatikizapo kusintha kwa zakudya. Muyenera kudziwa zinthu zomwe ndizothandiza makamaka kwa atherosulinosis. Nkhaka zimagwira bwino pamitsempha yamagazi. Potaziyamu yomwe ali nayo ndi yabwino pamtima komanso pamanjenje. Beetroot ali ndi katundu wofanana. Madzi a masamba oterowo amakhala ndi potaziyamu, magnesium, mavitamini ambiri. Malonda monga chimanga mafuta amachepetsa cholesterol.
Komanso wolemera kwambiri mu potaziyamu ndi nthochi. Amalimbikitsidwa kuti azigwiritsidwa ntchito polemba matenda oopsa komanso kwa atherosulinosis. Matendawa mawonekedwe a magazi a uchi. Ndi malo osungira zinthu zofunikira, mavitamini. Akatswiri amalimbikitsa kudya uchi pafupipafupi (ngati palibe contraindication, chifuwa). Mutha kukonza chisakanizo cha zipatso zouma. Kuti muchite izi, kuwaza maapulo owuma, prunes, ndimu, kuwonjezera supuni zingapo za uchi. Buckwheat imathandizanso. Chosangalatsa kwambiri ndi zipatso zam'madzi am'nyanja. Muli zinthu zomwe zimalepheretsa kuyika kwa cholesterol. Amagwiritsidwa ntchito mwatsopano kapena grated ndi uchi (shuga).
Zomwe zimayambitsa mapangidwe a zolembera mu carotid artery
Zomwe zimayambitsa kwambiri kusintha kwamtundu wa atherosulinosis ndi:
- kuchepa kwokhudzana ndi zaka
- chibadwire
- kusuta
- kuthamanga kwa magazi
- Zakudya zopanda pake zomwe zimapangidwa ndimafuta ambiri, yokazinga, mchere komanso zakudya zazonunkhira, kudya kwambiri, kusowa kwamasamba atsopano ndi zipatso, mafuta a masamba osaphatikizika, nsomba,
- kunenepa
- kusowa kwa masewera olimbitsa thupi
- kusintha kwa thupi
- kagayidwe kachakudya matenda
- matenda ashuga
- kuledzera
- kusiya mowa
- matenda opatsirana
- pafupipafupi nkhawa zopitilira muyeso.
Ndipo nazi zambiri za malo atherosselotic.
Chithandizo cha mapilogalamu a Cholesterol pa Khosi
Njira zochizira cholesterol plaque mu ziwiya za khosi zimatsimikiziridwa ndi gawo la matendawa. Mu atherosulinosis, ndichizolowezi kusiyanitsa magawo angapo: koyamba, pamene kakhazikika (kosasokoneza, i.e., osafunikira othandizira opaleshoni) njira zochotsera cholesterol zolembera zimakhalabe zothandiza, mafomu olemba amafuta pazitseko zamkati zamitsempha yamagazi ndi lipids imalowa m'matumbo a endothelial. Thupi limayankha pambuyo pake pomapanga ma antibodies (macrophages), omwe "amamatira" kupangidwe kwa lipid, ndikupanga pang'onopang'ono chidutswa.
Gawo loyamba lingakhale chithandizo cha cholesterol plaque mu carotid artery kudzera mwakudya mwapadera ndi cholesterol chamagazi, kusewera masewera, kumwa mankhwala osokoneza bongo kuti muchepetse cholesterol yamagazi (ma statins), pogwiritsa ntchito wowerengeka azitsamba ndi zakudya zowonjezera (zakudya zowonjezera) zochokera ku omega- 3 zidulo ndi mafuta opaka. Mafuta omwe amapezeka m'mitsempha yama carotid amathanso kusintha paokha pakapita nthawi, osafuna chithandizo chilichonse. Kuti muchite izi, siyani kwakanthawi kugwiritsa ntchito zotsekemera, zokhuthala komanso mafuta.
Momwe mungagwiritsire cholesterol plaque pa carotid artery yachiwiri? Gawo lachiwirili limatanthawuza kupangika kwa mafayilo a fibrin ("milatho" kuchokera ku ma minyewa okhudzana) pakati pazomwe zimayikidwa pa atherosulinotic - sizikutheka nthawi zonse kuchitira cholesterol ogwiritsidwa ntchito popanda opaleshoni (mutha kuyimitsa vutoli ndikuwongolera pang'onopang'ono chidacho potenga mapiritsi a cholesterol). Komabe, cholesterol plaque mu carotid artery sangafunike chithandizo - amatha kukula mpaka malire, kenako kulowa gawo la zero.
Njira yopititsira patsogolo
Chofunikira kwambiri pakupanga zolembera ndizovuta mafuta kagayidwe. Kulephera kwa kagayidwe kumayambitsa kuphatikizidwa kwa kachulukidwe kochepa kwambiri ka lipid ndi mawonekedwe amkati mwa mitsempha ya carotid. Choyamba, banga la cholesterol limayamba, kenako pang'onopang'ono limakula, minyewa yolumikizana ndi minofu imamera, mchere wamkati umayikidwa.
Chikamakula, zolembazo zimalepheretsa kuyenda kwa magazi, ndipo zigawo zikalekanitsidwa ndi iyo, mawonekedwe a emboli. Zimayenda motsatira ziwiya zaubongo, zimapangitsa kuti zikhale zotsekeka.
Banga la cholesterol
Kuperewera kwa thupi kwa minofu pang'onopang'ono kumasokoneza ntchito ya maselo aubongo, omwe amadziwonetsera okha mu discirculatory encephalopathy. Zizindikiro zake zimatengera kukula kwa zolembazi, kufulumira kwa msanga komanso kuthekera kwa kuthamanga kwa magazi, omwe amachepetsa kwambiri ndi msinkhu.
Pachimake ischemia kumachitika ndi thrombosis. Ngati magazi a magazi kapena gawo limodzi la malo osungirako silingatsekereze msempha, ndipo pali zotengera zothandizirana, ndiye kuti kufupika kwakanthawi (kwa kanthawi kochepa) kumayamba. Kufalikira kwathunthu kumakhumudwitsa ischemic stroke.
Amayambitsa, magwiridwe antchito ndi chiwopsezo cha zolembera zam'chiberekero
Phula lamafuta ndi tinthu tambiri ta LDL cholesterol yomwe imatsatira endothelium ndikutuluka mu lumen ya minyewa. Popita nthawi, zimamera ndi zinthu zina zofunika kuzilimbitsa, ndikupanga mchere wa calcium. Zimawapangitsa kukhala ovuta. Njira izi zimabweretsa kuchepetsedwa kwa gawo lomwe lakhudzidwa ndi vasculature, magazi osayenda. Chifukwa chake pali matenda oopsa - atherosulinosis. Kukula kwakukhwima kumatha kubwera ndikufalikira m'thupi lonse ndi mtsinje wamagazi, ndikupanga magazi. Izi zimabweretsa chiopsezo ku moyo - tinthu tambiri tomwe timayenderera m'magazi titha kufinya mbali zofunika pabedi la mtima. Thrombosis ya bedi lamitsempha nthawi zambiri imayambitsa zotsatira zoyipa.
Choyambitsa kupangika kwa mapangidwe a atherosulinotic ndikuwonjezereka kwa mafuta m'thupi. Cholinga chachikulu cha izi ndi matenda a metabolic, omwe ndi lipid metabolism. Kuphwanya zamadzimadzi kagayidwe kake ndi kupanga kwatsopano kwamatumbo zamafuta kumachitika mothandizidwa ndi zinthu izi:
- Zakudya zamafuta a nyama, cholesterol,
- mankhwala osokoneza bongo, zakumwa zoledzeretsa,
- kusowa kwa magalimoto,
- kupezeka kwa matenda ashuga, mbiri ya matenda oopsa,
- kuchuluka kwa BMI,
- mapangidwe obisika
- kuvutika kwamafuta,
- autoimmune mavuto a mtima endothelium.
Njira yopangira zolembera ndiyosakwiya. Pa gawo loyamba, matendawa ndi ovuta kukayikira. Mwachitsanzo, cholesterol plaque mu carotid artery ayamba kudziwonekera atangodzaza theka. Matendawa akamakula, malovu amafuta amakula kotero kuti amatha kupanikizika ndi lumen ya mtima. Matenda a odwala omwe anamwalira ndi atherosulinosis akuwonetsa kuti ziwiya zonse zikuluzikulu zimakhala ndi mafuta.
Zizindikiro za Atherosulinosis
Pambuyo nthawi yayitali ya asymptomatic, chiwonetsero cha matenda a matenda ammimba chimachitika pang'onopang'ono. Zizindikiro zoyambirira zimachitika pamene kuchuluka kwa mitsempha ya carotid kutsika ndi theka.
Pachigawo choyamba, mutha kudziwa zizindikiro za asthenia:
- kutopa,
- chizungulire
- kufooka kosalekeza
- kusakhazikika
- mphwayi
- kugona tulo masana
- kuvutika kugona usiku, kudzuka pafupipafupi.
Kusintha kwa ischemic mu ubongo kukulira, odwala amakumana ndi zovuta:
- chidwi chachikulu
- luntha
- kupanga zisankho mwachangu
- Kusunga ndi kupanga zidziwitso,
- kusanthula kwa zochitika ndi ndandanda.
Pang'onopang'ono matenda atherosclerosis akuwonetsedwa:
- mutu wosakhazikika
- kumva kuwawa kapena phokoso m'mutu,
- kusinthasintha
- zochitika zomvetsa chisoni
- wosakhazikika pakuyenda,
- kuda nkhawa, kulira,
- Kumveketsa kwamatchulidwe amawu,
- miyendo ndi mutu,
- kusawona bwino ndi kumva.
Odwala oterewa amafunikira thandizo kuchokera kwa akunja.
Kuchotsa cholesterol malo mu carotid mtsempha wamagazi
Kuchotsa cholesterol plaque pa carotid artery mu gawo lachiwiri (fibrosis) komanso lachitatu (calcosis) kumachitika m'njira zingapo:
- jakisoni wa magazi (ochepa) - koma njirayi imakhala yodziwika pakapangidwe kowonongeka kwamitsempha yamagazi ndipo, chifukwa, mapangidwe atsopano ma atherosulinotic deposits,
- Kukula kwa mitsempha yamagazi, komabe, njirayi siyothandiza pamitsempha yama carotid ndipo imagwiritsidwa ntchito nthawi zambiri ndi mitsempha ya varicose yam'mphepete,
- kuchuluka kwamitsempha yamagazi,
- kuyeretsa magazi kuchokera ku cholesterol - komabe, njirayi sikuti imangowononga zolembera zomwe zilipo, koma imagwira ntchito ngati kupewa kupanga kwatsopano.
Mtengo wochotsa cholesterol plaque pa carotid artery ndi mankhwala umatsimikiziridwa kwathunthu ndi mtengo wa mankhwalawa omwe amagwiritsidwa ntchito. Mtengo wamankhwala othandizira opaleshoni (carotid endarterectomy, angioplasty, stenting) ndiwokwera kwambiri ngati singachitike pa inshuwaransi. Chithandizo cha opaleshoni chimatembenukira ku nthawi yomwe njira zosasinthika zilibe mphamvu.
Momwe mungachotsere cholesterol plaque ku carotid artery? Opaleshoni ili ndi zoopsa zina, ndipo kugwiritsa ntchito mankhwala osokoneza bongo kumakhala ndi zotsutsana komanso zoyipa. Kugwiritsa ntchito mankhwala osokoneza bongo kungapangitse kuchepetsa kuchepa kwa cholesterol ndi chiwindi, kuwonjezera mphamvu ya metabolism m'maselo - mwanjira iyi amachotsa cholesterol yowonjezera m'magazi ndi carotid mitsempha. Njira ina ndi ma infusions, zitsamba zochokera ku cholesterol plaque, koma mphamvu yake imakhalabe yopanda umboni.
Zizindikiro za cholesterol amana mu ziwiya za khosi
Poyamba, mapangidwe ake omwe ali m'mitsempha yamkati mwa chiberekero samadziwonetsa. Chowonadi chakuti pali ma lipid amana mu brachiocephalic artery (BCA), mu mitsempha ya carotid, kapena mkamwa mwa gawo lam'manja la subclavian, zimamveka pokhapokha zizindikiro zoyambirira zikaonekera. Kupitilira chaka chimodzi kuchokera ku kusintha kwa pathological mu khoma la mtima mpaka mawonekedwe a chipatala.
Zowona kuti zotengera za khosi zokhazikika ndi mafuta zimatha kuganiziridwa pakaonekera zizindikiro zotsatirazi: cephalalgia, kumva kukomoka kwa malekezero apamwamba, kuthinana kwa madontho akuda pamaso pa maso, kusokonezeka kwa tulo, kusawona bwino, kusokonezeka kwakanthawi, kumachepa thupi.
Kuti muzindikire cholesterol zolembera za khosi, wodwalayo ayenera kukayezetsa. Kuzindikira kwamakono kwamatendawa kumaphatikizapo ma ultrasound a ziwiya zam'mutu ndi khosi, angiography amtunduwu. Kuti dokotala athe kuyesa mtundu wa metabolidi ya lipid, wodwalayo ayenera kupereka magazi ku mbiri ya lipid. Kusanthula uku kumakupatsani mwayi kuti muwone kuchuluka kwa seramu cholesterol, komanso kuchuluka kwa magawo ake onse.
Zakudya za cholesterol zolembera mu carotid mitsempha
Zakudya za cholesterol plaque mu ziwiya za khosi zimakhala prophylactic ndipo zimaphatikizapo kukana zakudya zamafuta (mafuta a nyama ndiye maziko a "zomangamanga" popanga cholesterol amkati), zakudya zopezeka kwambiri mu cholesterol (kunja). Komanso, chakudya chambiri chomera chikuyembekezeka muzakudya (osachepera 400 magalamu kapena, mwakutanthauza ulusi wabwino - sungunuka komanso osapatsa - mpaka 30 g).
Kugwiritsanso ntchito: mafuta opukutidwa ndi fulakesi, omega-3 ndi - mocheperako - ma omega-6 acids (omwe amapezeka mu nsomba zamadzi ozizira ndi mafuta a nsomba). Vitamini C, adyo (mafuta ofunikira) sanawonetse phindu lililonse pokhudzana ndi ma atherosulinotic amana, komabe, amagwira ntchito motsutsana ndi njira zotupa, zomwe nthawi zambiri zimayambitsa kuwonongeka kwamitsempha yamagazi ndipo, mapangidwe ake.
Mankhwala monga ma statins, ma fibrate, nicotinic acid ndi bile acid zotsatizana zimakhazikika pamakhomedwe - mankhwalawa sangathe kuwononga ma atherosclerotic amana, koma amatha kuchepetsa kapena kupondereza kupangika kwa ma deposits atsopano.
Opaleshoni yochotsa cholesterol zolembera pakhosi
Kuthandizira kwa opaleshoni (opareshoni) yochotsa cholesterol plaque m'mitsempha ya khosi kumadziwika kuti njira zamankhwala sizinabweretse (kapena sizingabweretse) zotsatira, kapena ngati matenda oyambitsidwa adabweretsa zovuta. Opaleshoni yochotsa cholesterol zolembedwa pakhosi sizikuyambitsa kuchira kwathunthu, chifukwa osati chomwe chimayambitsa matendawa kuchotsedwa, koma zotulukapo zake.
Opaleshoni yochotsa cholesterol plaque pamitsempha wama carotid imatchedwa opaleshoni ya carotid artery bypass. Cholinga cha ndondomekoyi, komanso kutsimikiza mtima komwe kungachitike pangozi ya thanzi ndi moyo wa wodwalayo, kumachitika ndi dokotala wa opaleshoni ya mtima, mtima ndi mtima. Zotsatira zake, opaleshoni yamitsempha yamagazi imabwezeretseka, i.e. kukonzanso kumachitika.
Njira ina yopangira opaleshoni kuti ichotse cholesterol plaque mu carotid artery ndiyo kununkha kwamitsempha yamagazi - njira yotsitsimutsa kwambiri yomwe stent imayikidwa mu artery kuti ikulitse lumen ya chotengera ndi zosefera zapadera. Membranes amasefa magazi kuchokera ku microthrombi, koma osasokoneza magazi mu ubongo.
Maphunziro olimbitsa thupi ndi zochitika zolimbitsa thupi ndi atherosulinosis yamitsempha yam'khosi
Maphunziro olimbitsa thupi komanso kuchita masewera olimbitsa thupi ngati atherosulinosis ya mitsempha ya carotid ndi mitsempha yamakhosi imakhala yoteteza ku chilengedwe ndipo cholinga chake ndi kutsitsa cholesterol ya LDL ndikuwonjezera HDL, kukulitsa kukula kwa makoma amitsempha yamagazi, kuchepetsa kuchepa kwa iwo. Ndondomeko ya zochitika zolimbitsa thupi zamatenda am'mkhosi zimapangidwa malinga ndi mkhalidwe waumoyo wa wodwala, kukula kwake kwamatenda oyamba ndi omwe amayanjana nawo.
Kuchita masewera olimbitsa thupi kwa atherosulinosis yamitsempha yama khosi kumaphatikiza, ngati kuli kotheka, kuyenda tsiku ndi tsiku, kusambira (mpaka katatu mpaka katatu pamlungu), kuthamanga (mutadutsa mayeso opsinjika ndi chilolezo cha mtima). Kuchita masewera olimbitsa thupi sikungathetse cholesterol plaque mu khomo lachiberekero, koma ndi njira yolepheretsira kupititsa patsogolo kwa matendawa.
Physiotherapy ya atherosulinosis ya carotid mitsempha yodwala ngati ili ndi matenda akuluakulu imaphatikizanso masewera olimbitsa thupi a magulu onse a minofu. Monga ndi kusankha kwa masewera olimbitsa thupi pulogalamu yamatenda aubongo, kayendedwe kamene kamasinthidwa kwambiri ndi kusintha kwa mutu (kuphatikizapo kuthamanga kapena kuzungulira kwa mutu ndi thupi) sikuyenera kuyikidwa pambali.Achire olimbitsa thupi ndi physiotherapy ya atherosulinosis ya ziwiya za khosi (carotid artery) imaphatikizapo zolimbitsa zolimbitsa thupi, masewera olimbitsa thupi.
Njira Zodziwitsira
Pakufufuza za mawonekedwe a mitsempha, ndikotheka kuzindikira kayendedwe ka maso, ma asymmetry, kuchepa kapena kuwonjezereka kwa tendon, kunjenjemera kwa mikono yolunjikidwa chamtsogolo, komanso kuthekera kochita mayeso ogwirizanitsa.
Njira zoyezera zida zamagetsi ndi zida:
- ophthalmoscopy - atherosulinotic retinopathy,
- Ultrasound yokhala ndi kukopera koyendetsa, CT ndi MRI - kukhalapo kwa zolengeza, mulingo wakuphwanya kayendedwe ka magazi motsatira chotupa cha carotid,
- EEG - kuchepa kwa magwiridwe antchito a ubongo,
- mayeso a biochemical magazi - dyslipidemia, kuchuluka kwa cholesterol ndi triglycerides, shuga (wokhala ndi matenda ashuga), chizolowezi chowonjezereka cha thrombosis.
Mankhwala
Ndizosatheka kuchotsa kwathunthu atherosclerosis mwa njira iliyonse yodziwika. Njira zonse zamankhwala zimapangidwa kuti muchepetse kupita patsogolo kwa njirayo komanso kukula kwa zovuta.
Kuti muchite izi, choyambirira, muyenera kusintha moyo wanu - kupatula kusuta, mowa, nyama yamafuta, offal, zakudya zamzitini, chakudya mwachangu, makeke ndi maswiti. Maziko azakudya ayenera kukhala atsopano komanso ophika masamba, zipatso, chimanga, nsomba.
Tsiku lililonse muyenera kukhala osachepera mphindi 30 kuchita masewera olimbitsa thupi (kuyenda, masewera olimbitsa thupi, kusambira, kuvina, kuthamanga pang'ono). Kunenepa kwambiri, mkhalidwe wofunikira popewa kuzungulira kwa ubongo muubwinobwino ndi kuchuluka kwa kulemera.
Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo magulu otsatirawa a mankhwalawa:
- lipid-low (Simgal, Lovastatin, Zokor),
- antihypertensives (Enap, Prenesa),
- antiplatelet agents (Tiklid, Cardiomagnyl, Aspirin),
- vasodilator (Agapurin, Cavinton, Nimotop, Sermion),
- Nootropics (Phenotropil, Glycine, Somazin),
- zopatsa mphamvu za metabolic (Memoplant, Cytochrome, Actovegin).
Chotsani kudzera pa ntchito
Zisonyezero zamankhwala opaleshoni ndi:
- mobwerezabwereza kuukira ischemia,
- sitiroko
- Kuchepetsa mphamvu ya mitsempha ya carotid ndi oposa 70%,
- chidule chosakhazikika.
Pankhaniyi, kuchotsedwa kwa cholesterol plaque ndi gawo la membrane wamkati (endarterectomy of the carotid zone) ndi kupangidwa kwa polojekiti yomwe imadutsa malo a chopingacho (posadutsa) chitha kuchitika. Nthawi zina, kukulitsa baluni kumayikidwa ndi kukhazikitsidwa kwa chitsulo - stent, kapena ma prosthetics a carotid artery.
Onerani vidiyoyi pa lingaliro lochotsa zolembera za cholesterol:
Momwe mungachotsere njira za wowerengeka
Mankhwala azitsamba amawonetsedwa pokhapokha ngati akuwonetsa atherosulinosis kapena kupewa kuwoneka ndi matenda oopsa, matenda oopsa a shuga, matenda obadwala, okalamba. Pachifukwa ichi, zitsamba zimagwiritsidwa ntchito zomwe zimalepheretsa kulowa kwa mafuta kulowa mkati mwa mitsempha, kusintha kusalolera kwa cholesterol ndi ma asidi a bile, ndikuthandizira kuthana ndi lipids owonjezera m'thupi.
Ma tiyi azachipatala angaphatikizepo:
- maluwa ofiira ofiira
- Masamba a mabulosi ndi zipatso,
- zipatso ndi maluwa a hawthorn,
- udzu
- tsamba la rasipiberi
- zipatso za chokeberry
- Maluwa a maluwa aku Sudan
- Scutellaria baicalensis udzu,
- Udzu wa Astragalus
- ananyamuka zipatso.
Kuti ayeretse zotengera zamagaleta, gulu lofanana la maluwa osatha ndi chamomile, udzu wa wort wa St. Supuni imathiridwa ndi 400 ml ya madzi otentha, yoyikidwa usiku wonse mu thermos. The kulowetsedwa amatengedwa 200 ml m'mawa ndi madzulo asanagone ndi kuwonjezera supuni ya uchi linden.
Ndipo apa pali zambiri za stenosing atherosulinosis.
Cholesterol plaque mu carotid mitsempha imachepetsa kutuluka kwa magazi kupita ku ubongo. Izi zimawonetsedwa ndi discirculatory encephalopathy kapena kuchepa kwa ischemic. Ndi kufalikira kwathunthu, kupweteka kwa ischemic kumachitika. M'magawo oyambira, atherosulinosis imayambitsa matenda osazindikira a asthenia, chifukwa dementia ikupita, dementia ndiyotheka.
Mankhwala, mankhwalawa amagwiritsidwa ntchito, kuchotsedwa kwa opaleshoni, zitsamba zitha kugwiritsidwa ntchito pa prophylactic.
Kanema wothandiza
Onani kanemayo pa carotid arteriosulinosis:
Atherosulinosis yamitsempha yama khosi imakhala ndi zovuta zina kwa wodwala. Ndikofunika kwambiri kuti muchepetse kukula kwa matendawa. Nanga bwanji ngati matendawa ayamba kale?
Muzovuta, kutenga ma statins a atherosulinosis ndi mankhwala amoyo. Amagwira ntchito yofunika kwambiri pochotsa ziwiya za m'matumbo, kupewa matenda a mtima ndi matenda ena. Pali zachilengedwe komanso zamankhwala.
Carotid endarterectomy imagwira ntchito ngati njira yoletsa kukhumudwa. Opaleshoni imatha kuchitika pamitsempha yama carotid. Amawerengedwa kuti ndi odekha. Kubwezeretsa kuchokera ku eversion endarterectomy kumachitika msanga.
Chifukwa cha atherosulinosis ndi matenda ena, stenosis ya carotid artery ingachitike. Zitha kukhala zovuta komanso zopatsa chidwi, kukhala ndi madigiri osiyanasiyana. Zizindikiro zimathandizira kusankha chithandizo chamankhwala, kupatula ngati pakufunika ntchito. Kodi mathedwe amoyo ndi otani?
Mapangidwe a atherosclerotic amapezeka pafupifupi chotengera chilichonse - mu carotid artery, aorta, zotupa za khosi, m'mimba msempha. Amatha kukhala osakanikirana, ophatikizidwa. Zomwe zimayambitsa amana ndi cholesterol yayikulu, cholowa. Chithandizo chitha kuchitidwa ndi njira zina, mankhwala, zakudya. Kuchotsa kumachitika ndi opareshoni.
Pambuyo pa zaka 65, non-stenotic atherosclerosis yam'mimba msempha ndi iliac mitsempha imapezeka mwa 1 mwa anthu 20. Ndi chithandizo chiti chovomerezeka pamenepa?
Chifukwa cha kuchuluka kwa shuga, cholesterol, kuthamanga kwa magazi, zizolowezi zoipa, kufukiza kwa atherosulinosis kumayamba. Ndikosavuta kuzindikira nthawi yayitali ya BCA, mitsempha ya m'mimba ndi carotid, ziwiya zamagawo am'munsi, matenda amtundu wamatumbo, komanso zovuta kuchitira.
Matenda a mitsempha ya mitsempha ya impso amakula chifukwa cha zaka, zizolowezi zoipa, kunenepa kwambiri. Poyamba, Zizindikiro zimabisidwa, ngati zikuwoneka, ndiye matendawa amakula kwambiri. Pankhaniyi, mankhwala kapena opaleshoni ndiyofunikira.
Pofuna kupewa kukonzanso, ndi kuthamanga kwa magazi komanso mavuto ena ndi mitsempha, timalimbikitsidwa kuchita ziwongo za ziwiya zaubongo. Nthawi zambiri, opaleshoni imasintha kwambiri moyo.
Yeretsani chiwindi
Omwe amagwiritsa ntchito njira zina zamankhwala amakhulupirira kuti kuyeretsa chiwindi ndi njira yothandiza yomwe imathandizira mafuta kagayidwe. Chiwalochi chimaphwanya cholesterol yowonjezereka, ndikupanga gawo lake laling'ono. Kuyeretsa kumathandizanso kukonza ntchito yake. Kusakhazikika kwa bile mu hepatic ducts kumakhalanso chifukwa cha magwiridwe antchito a hepatobiliary thirakiti.
Kudya kwa tsiku limodzi ndi imodzi mwanjira zachangu kwambiri zoyeretsera chiwindi. Kuti muchite izi, muyenera kuphika madzi a kiranberi popanda shuga ndi madzi oyera (1: 3 ratio). Thirani mu supuni ya ½ ya sinamoni wapansi ndi supuni ya ¼ ya mafuta a nutmeg. Wiritsani zosakaniza zotentha pa moto wochepa pafupifupi theka la ola, ozizira ndikutsanulira mu mandimu atatu akulu a mandimu. Pa tsiku la chakudya muyenera kumwa malita 2 a madzi akumwa ndi 2 malita a mankhwala a pion. Osamadya panthawi yakutsuka! Kuti muthandize chiwindi mwanjira imeneyi, muyenera kufunsa katswiri wa zamankhwala!
Kuwongolera zakudya komanso chikhalidwe
Ndizotheka kuchepetsa kuchuluka kwa seramu cholesterol, kuti muchepetse mapangidwe a plaque mwa kukonza zakudya komanso kukhala ndi moyo wathanzi. Zakudya zomwe zimayambitsa mafuta a nyama ndi cholesterol (nyama yamafuta, masoseji, nyama zosuta, zakudya zamkaka zamafuta kwambiri, chakudya chofulumira) siziyenera kulekedwera. Makonda ayenera kuperekedwa kwa masamba, zipatso, chimanga, nkhuku, nyama ya kalulu, tchizi wopanda mafuta.
Lekani kumwa mowa, lekani kusuta. Muyeneranso kusintha BMI.
Zochita zolimbitsa thupi pafupipafupi
Hypodynamia ndichinthu chachikulu chomwe chikuthandizira kuwonjezeka kwa cholesterol yamagazi. Ndikofunikira kupangitsa thupi kuti lizichita zinthu zolimbitsa thupi mwadongosolo. Ndi mawonekedwe a cholesterol amakula m'mitsempha yamkati, masewera olimbitsa thupi apadera a khosi kapena zolimbitsa thupi zomwe zimakweza minofu kamvekedwe ka thupi lonse ndi koyenera. Ndikofunikira kusewera masewera osachepera katatu pa sabata. Makonda ayenera kuperekedwa ku katundu wa Cardio (kuthamanga, kuyenda, kusambira, kupalasa njinga).
Njira za anthu
Njira yopanga ma deposits amafuta mu carotid artery imatha kuchepetsedwa pogwiritsa ntchito mankhwala azitsamba. Mankhwala osagwiritsa ntchito amapereka kwa ziwiya zoyera ndi ma decoctions, kulowetsedwa, timadziti, ma ufa. Zokonzekera zawo gwiritsani ntchito mankhwala azomera, zipatso, zipatso. Chodziwika kwambiri ndi njira yochotsera ma firiji yamafuta amkati pogwiritsa ntchito mandimu ndi kuwonjezera kwa adyo ndi horseradish. Kuti muchite izi, pogaya mandimu pamodzi ndi zest, onjezerani kwa iye magalamu 50 a adyo wosankhidwa, magalamu 50 a horseradish. Zonsezi amathira kapu yamadzi ofunda. Kuumirira tsiku mufiriji. Tengani supuni ziwiri musanadye chilichonse.
Mutha kugwiritsa ntchito kulowetsedwa kopangidwa kuchokera ku dandelion kapena mizu ya licorice. Zomera izi zimagwirizanitsidwa bwino ndi thupi, sizimayambitsa zochitika zosafunikira.
Ma Statin ndi mankhwala ena otsitsa cholesterol
Pofuna kuthana ndi cholesterol yayikulu ndi mafuta ambiri, mankhwalawa amati kugwiritsa ntchito mankhwala osokoneza bongo. Izi zikuphatikiza ma statins, mankhwala ozikidwa pa fibroic acid, sequestrants of bile acids. Odwala ayenera kukumbukira kuti ngakhale mankhwala sangathetseretu mapangidwe a atherosulinotic. Dokotala amamulembera chithandizo!
Kuchotsa zolembera
Njira yochitira opaleshoni yochotsera mafupawo imagwiritsidwa ntchito akakhala akudzikika mu gawo lina la bedi lamankhwala, komanso pachiwopsezo chachikulu chakulekanitsidwa kwama deposits amafuta ndi kufalikira kwa lumen ya chotengera. Kuchotsa phula ku carotid artery amatchedwa carotid endarterectomy. Chombocho chimamasulidwa kuchokera ku minofu yofewa, yaying'ono yaying'ono imapangidwa kukhoma lake, pomwe dokotala wochita opaleshoniyo amachotsa tinthu tambiri mafuta. Ndi kuchepetsedwa kwa thonje lamadzi ndi kutsika magazi, kukokomeza kumachitika - stent imayikidwa mu chotengera, chomwe chimapangitsa kuti magazi azituluka bwino. Mtengo wa opaleshoni iyi ndiwokwera kwambiri.
Kutuluka kwa cholesterol plaque mkati mwa zotengera kumakhala kofala kwambiri. Pofuna kuti musagwidwe ndi matenda, muyenera kuyang'anira kuchuluka kwa mafuta a seramu, kukhala ndi moyo wathanzi, kudya moyenera, kuchita masewera olimbitsa thupi komanso masewera. Chithandizo chimathandizira kuti muchepetse kukula kwa mafuta omwe alipo, komanso kumathandizira kupangika kwatsopano.