Kusuta ndi atherosulinosis

Kusiyanitsa kwakukulu kunapezeka pamiyeso yachitukuko cha matendawa pakati pa omwe amasuta fodya komanso osasuta fodya, komanso pamitengo ya chitukuko cha matendawa pakati pa omwe amasuta komanso omwe kale anali osuta. Kuwonjezeka kwa chitukuko cha atherosulinosis chifukwa chosintha zinthu ndichimodzi mwazinthu zofunika kwambiri pachiwopsezo cha matenda a mtima (CVD). Zinawonetsedwa kuti utsi wa fodya utha kukhala woopsa kwambiri poyerekeza ndi utsi wambiri, ndipo mtima wamunthu yemwe wapezeka utsi wachiwiri atha kusokonezeka ndi zomwe munthu amasuta chifukwa cha kusowa kwa zida zopangira chitetezo. Sizokayikitsa kuti kuwongolera kowonjezereka kwazinthu zina zowopsa kungafotokozere zomwe zimachitika chifukwa cha utsi wachiwiri. Zakhazikitsidwa kuti chitukuko cha atherosulinosis pakati pa omwe amasuta chimapitilapo mwachangu poyerekeza ndi osasuta fodya, ngakhale kukhalapo kwa osasuta omwe kale anali osuta panthawi yopima chitukuko cha matendawa. Itha kuganiziridwa kuti kukulitsa kwa atherosulinosis makamaka chifukwa cha kuchuluka kwa chiwonetsero cha utsi wa fodya, osati mkhalidwe womwe ulipo wa wosuta. Zovuta za kusuta pa chitukuko cha atherosulinosis zimatha kukhala zochulukirapo, zogwirizana ndi mulingo wazowonjezera utsi wa fodya m'moyo wonse ndipo mwina sizingasinthike. Mukamaliza kusuta, zomwe zingachitike pakukula kwa ma atherosulinosis ndi kuti mupewe njira zowonekera pang'onopang'ono.

Poona kuti kusuta kungakulitse chiwopsezo cha CVD polimbikitsa chitukuko cha atheroscrosis ndi njira zina zoyambitsira matenda, zomwe tikuwona sizikutsutsana ndi zambiri zakuchipatala zomwe zikusonyeza kuti mwa anthu ambiri osuta amabwerera pachiwopsezo cha kusasuta anthu zaka 3-5 atachotsa kusuta. Mwinanso, ndizotheka kuti omwe kale anali osuta amasiya kusuta chifukwa chazovuta zokhudzana ndi kupuma komanso matenda amtima. Kusintha kwazomwe zimayambitsa ngozi za CVD kumapangitsa kuti pakhale kusiyana pakati pa omwe amasuta komanso omwe amasuta.

Mphamvu yayikulu yotsogola pakusintha kwa kukula kwamakina kwambiri am'mimba mwa carotid imawonedwa mwa odwala matenda ashuga. Odwala otere amakhala ndi zotupa zazikulu zamitsempha yamagazi. Ubale wofunikira pakati pa kusuta fodya ndi matenda a shuga udawonetsedwa pokhudzana ndi zizindikiro zosiyanasiyana zakugwa ndi kufa. Zowonongeka zamitsempha yama mtima, chifukwa cha matenda ashuga komanso kusuta, imakhala njira imodzi yomwe ingagwiritse ntchito izi. Odwala omwe ali ndi matenda oopsa amathanso kukhala ndi matenda ofanana, ndipo osuta amatha kupanga zofunikira kuti matendawo apite patsogolo mofulumira. Pakuwunikaku, sitinapeze ubale pakati pa nthawi yayitali yokhala ndi utsi wachiwiri ndi zomwe zikuwonetsa kukula kwa atherosulinosis. Zitha kuthekera kuti kuwunika kochulukirapo kwakanthawi kutulutsidwa kotereku kumasiyana kutengera gwero, lomwe limayambitsa kusiyana kwakuyimira mu chizindikiritso cha kuchuluka (koma osati kupezekapo) kuwonekera kwa utsi wachiwiri. Panalibe kusiyana kwakukulu pakati pa omwe amasuta omwe amakhala akusuta fodya wachiwiri ndi omwe amasuta anali asanakumaneko. Komabe, kufanana kwazomwe zimachitika pakukhudzana ndi utsi wachiwiri pakati pa omwe amasuta fodya komanso osuta fodya kumachirikiza malingaliro oti utsi wachiwiri umakhalapo.

Chifukwa chake, kusuta mwachangu kumathandizira kwambiri pakukula kwa atherosulinosis, komanso kukula kwa kusuta. Mphamvu yakuwonetsa utsi wachiwiri kwa chitukuko cha atherosulinosis sikuti idapezeka, komanso idakhala yofunika kwambiri, kupitilira muyeso wa chitukuko cha matendawa ndi 12%, poyerekeza ndi odwala omwe sanadziwike za matendawa. Kusuta makamaka kumachulukitsa kuchuluka kwa atherosulinosis pakati pa odwala matenda a shuga ndi matenda oopsa. Zotsatira za kusuta kwa chitukuko cha atherosulinosis zitha kukhala zowerengeka kapena zosasinthika.

Matendawa chifukwa chotsatira kusuta

Kodi kusuta kwa atherosulinosis kumayambitsa chiyani mthupi, kumayambitsa kusokonezeka kwa metabolic, njira yotupa, kuwonda kwa makoma amitsempha. Mphamvu ya vasoconstrictor ya kusuta imayambitsa kudumphira kwa kuthamanga kwa magazi, kuwonjezeka kwa kuchuluka kwa cholesterol yamagazi.

Zinthu zapoizoni zimawononga makoma amitsempha yamagazi, imathandizira kupanga mapangidwe a atherosrance. Kudzikundikira kwa chinthu chokhala ngati mafuta kumachepetsa m'mitsempha, ndikuchepetsa magazi. Zotsatira zake, magazi amawoneka, amatsogolera ku imfa.

Ndi matendawa, matenda amawonedwa - coronary insuffuffing, it:

1. kumakwiyitsa kapena kuyimitsidwa kwathunthu kwa magazi,
2. mtima umasiya kulandira kuchuluka kwa michere, mpweya,
3. vuto la mtima limachitika.

Madotolo awonetsa kuti omwe amasuta amakhala akufa kawiri kawiri chifukwa cha kuperewera kwa mphamvu ya coronary. Ndikofunikira kudziwa kuti matenda a coronary ndi angina pectoris amakula kale kumayambiriro kwa atherosulinosis, pomwe kusuta kumakulitsa vutoli.

Vutoli limatchedwa fodya angina pectoris; osuta ambiri amaphunzira kuti vuto la mtima ndi liti asanafike zaka 40. Ndikotheka kusiya chiyembekezo chosawoneka bwino chokhacho posiya chizolowezi choyipa. Atherosulinosis ndi kusuta fodya ndizosagwirizana, makamaka kwa wodwala matenda ashuga.

Utsi uliwonse wapa ndudu ukuwonjezeka:

• kuthamanga kwa magazi
• kugunda kwa mtima
• zimachitika.

Kuphatikiza apo, kuyika kwa cholesterol pamakoma amitsempha yamagazi kumathandizira, chiwonetsero cha oksijeni chimatsika, katundu wina pamtima umachitika.

Ngati wodwala matenda ashuga ali ndi zotupa zam'mimba, poyankha kusuta, pambuyo pa mphindi 1-2 kutuluka kwa magazi kutsika ndi 20%, minyewa yam'mimba yotupa, matenda amitsempha yamagazi, matenda a angina amawonjezeka.

Mankhwala osokoneza bongo a Nikotine amathandizira kugunda kwa magazi, kumawonjezera kuchuluka kwa fibrinogen, kuphatikizika kwa ma cell. Izi zimapangitsa kukulitsa kwa osati atherosclerosis yokha, komanso zolembedwa za atherosrance. Kusiya kusuta, patatha zaka ziwiri, chiopsezo cha kufa chifukwa cha zovuta zam'mimba chimatsika ndi 36%, kuchokera ku vuto la mtima ndi 32%.

Achinyamata omwe ali ndi chizindikiro chodziwika bwino cha cholesterol ndi kukakamiza, omwe amayamba kusuta fodya, amayamba kudwala matenda a atherosulinosis, amapanga mapangidwe aorta ndi mitsempha yamagazi. Kufikira nthawi inayake, wodwalayo akumva bwino, koma kenako matendawa amayambira mumtima, miyendo, mutu .. Kusunthira ku zomwe zimatchedwa ndudu zopepuka zomwe zimakhala ndi chikonga chochepa komanso phula sizingathandize kupewa zovuta.

Zotsatira za kusuta pa cholesterol ndi kukula kwa atherosulinosis

M'masiku ano, matenda amtundu wamtima akuwonjezerekanso kuchipatala. Zomwe zimawonekera ndizosiyana kwambiri, koma zofala kwambiri ndizoperewera, kupezeka kwa anthu osokoneza bongo, omwe amakhala ndi moyo wachinyengo. Chimodzi mwazinthu zoyipa ndizodziwika bwino kusuta. Ovuta omwe amasuta omwe ali pachiwopsezo chachikulu cha matenda a mtima ndi mtima. Ndipo zonse chifukwa kusuta kumabweretsa mavuto a metabolic, makamaka lipid metabolism.

Kuwonetsedwa koyamba kwa mkhalidwe wamtunduwu kumaganiziridwa kuti ndikuwonjezereka kwa cholesterol yamagazi. Cholesterol okwera amatsogolera pakupanga mapangidwe atherosulinotic mu ziwiya zomwe zimadyetsa mtima, ubongo, ndi ziwalo zina zofunika. Chifukwa chake, pakati pa malingaliro osuta ndi cholesterol pali ubale womveka wa causal.

Mphamvu ya chikonga pa cholesterol ndi mitsempha yamagazi

Ndianthu ochepa omwe amaganiza momwe kusuta fodya kumawononge thanzi. Nicotine ndi mankhwala oopsa omwe amapezeka mu utsi wa fodya ndipo amalowa m'thupi munthu akayamba kusuta. Poizoni amakwiya chitukuko cha atherosulinosis, zomwe zimapangitsa kuti chiwopsezo cha magazi chiwonjezeke.

Atherosulinosis ndi matenda omwe ndi achilengedwe mwachilengedwe. Matendawa amakhudza bedi lamitsempha la ziwalo zonse ndi machitidwe. Pomwe ikupita patsogolo, makoma amitsempha yamagazi amakhala owuma, komwe kumayambitsa stenosis ya lumen yawo. Zotsatira zake ndikuchepa kwa magazi, kuchepa kwa minyewa kumasokonezeka, matenda amkati mwa chibadwa cha ischemic (vuto la mtima, gangrene, stroke) limachitika. Izi ndichifukwa choti kuchuluka kofunikira kwa michere sikumalowa minofu, mpweya wawo umasokonekera.

Cholesterol ndi mankhwala achilengedwe omwe amapangidwa ndi thupi pokonza mafuta kagayidwe. Pali magawo angapo a cholesterol, omwe amatchedwa oyipa komanso abwino (LDL, HDL). Imakhala ndi gawo limodzi lofunikira mu njira zambiri zazamoyo. Pali cholesterol yakunja, yomwe imadzazana ndi chakudya. Zakudya zokhala ndi mafuta ochulukirapo zimayambitsa hypercholesterolemia (kuwonjezereka kwa lipids yotsika-m'magazi). Cholesterol chabwino (HDL) sichimavulaza thupi. M'malo mwake, amagwira ntchito ngati wotsutsa wa LDL.

Kuwonjezeka kwakukulu kwa ma lipids otsika kwambiri m'magazi kumabweretsa kuti ma atherosrance a cholesterol cholembera mumitsempha amafikira zazikulu komanso zimalepheretsa magazi kuyenda bwino. Zotsatira za masinthidwe a pathological awa ndi matenda oopsa a mtima, ubongo.

Osuta kwambiri saganiza za momwe kusuta kumakhudzira cholesterol komanso ngati mulingo wake m'magazi umakwera kufikira mavuto atayamba ndi mtima.

Malingaliro monga kumwa pafupipafupi, kusuta fodya ndi mafuta amthupi ndi olumikizidwa mosiyanasiyana. Kusuta ndi njira yotentha fodya ndikutulutsa utsi wa caustic. Utsi uwu ndiwowopsa chifukwa uli ndi mpweya wa monoxide, nikotini, ma carcinogenic. Carbon monoxide ndi mankhwala omwe amatha kulumikizana ndi hemoglobin, ndikuchotsa mamolekyu a oxygen m'maso mwake. Chifukwa chake, thupi la anthu omwe amasuta fodya limaperewera. Ndikusuta Njira ya oxidation ya LDL. Izi ndichifukwa cha zovuta zamagetsi. Okosijeni, cholesterol yoyipa nthawi yomweyo imayamba kuyikika pachimake cha zotengera, ndikupanga cholesterol.

Ngozi yayikulu ndikusuta kwa omwe ali nako shuga wamkulu m'magazi. Ichi ndi chizindikiro cha matenda otchedwa matenda a shuga. Izi ndizowopsa pamatengera - zimapangitsa kuti makoma awo akhale otetezeka momwe angathere. Ngati wodwala matenda a shuga sangasiye chizolowezi chochita zoipa, ndiye kuti izi zimangokulitsa vutolo. Zotsatira za kusuta ndi matenda ashuga zimapweteka kwambiri - odwala ali pachiwopsezo chotsirizidwa ndikumapeto kwake ngakhale kufa.

Zomwe zili pamwambazi zikuwonetsa kuti kusuta ndi cholesterol kumalumikizana. Kukula kwa kusintha kwa zam'thupi m'thupi kumadalira pang'ono momwe munthu amasuta. Zokwanira 2-3 ndudu patsikukotero kuti cholesterol mulingo wambiri kuposa wabwinobwino. Kusuta kwakutali, kumawononga magazi ndi ziwalo zofunika kwambiri.

Kusuta kumathandizira kukulitsa kwa atherosulinosis

Kusuta ndiko chizolowezi cha anthu ambiri azaka zogwira ntchito, omwe zaka zawo zimasiyana kuyambira 18 mpaka 50 ndi akulu. Achinyamata amayamba kusuta fodya chifukwa chakuwona ngati ndudu chizindikiro cha kukula, ufulu. Popita nthawi, kudalira kwamaganizidwe kumakhala ndi zofunikira zathupi, sizovuta kuthana nokha.

Asayansi atsimikizira kuti kusuta kumachulukitsa chiopsezo chokhala ndi zotupa zam'magazi a mtima. Atherosclerosis ndi kusuta ndi anzanga osatha. Matendawa amatengedwa ngati njira yayikulu ya omwe amasuta. Chinotine, chomwe chimapangidwa panthawi yophatikizana ndi fodya, ndiye poizoni wamphamvu kwambiri pazamoyo zonse. Kulowa m'mapapu kulowa m'magazi, chinthu ichi chimayambitsa vasospasm, kuchuluka kwachilengedwe, kuchuluka kwa mtima, kuchuluka kwa cholesterol, kuchuluka kwake komwe kumakhala mkati mwa magazi.

Popita nthawi, mafupa amatha zilonda, ndipo kulowa m'magazi, kumakhala chifukwa cha kutsekeka kwathunthu kwa lumen ya mtima. Kwa moyo ndi thanzi, vuto linalake ndi kutsekereza kwa m'mapapo, m'mitsempha ya m'mimba, ndi ziwiya zamagetsi zomwe zimadyetsa ubongo. Kuphatikiza pakukweza cholesterol komanso kupanga atherosulinosis, kusuta kumayambitsa:

• matenda a oncological (makamaka a ziwalo zam'mimba zopuma),
• matenda am'mimba dongosolo (zilonda zam'mimba ndi duodenum, gastritis, esophagitis),
• kuwonongeka kwa mano
• chepetsa khungu
• mavuto ndi ziwalo za njira yoberekera.

Kusuta fodya pa nthawi ya pakati kumakhala ndi zovulaza osati kokha mthupi la mayi. Izi zikuwoneka ndikuchedwa kuyambuka kwa mwana wosabadwayo, kubadwa kwa mwana wolumala, imfa yake ya intrauterine.

Fodya wamagetsi, Hookah, Cigars

Masiku ano zilipo njira zina zakusuta fodya. Anthu ambiri omasuta fodya wamba anayamba kukonda ndudu zamagetsi. M'masiku amakono, izi zimatchedwa vape. Kusiya kusuta kwachikhalidwe ndikusinthira mpweya wambiri sikuthetsa vuto lowonjezera mafuta m'thupi. Mpweya wotentha uli ndi chuma chambiri chogwiritsa ntchito mwaulere, makina ochita zomwe sizosiyana ndi fodya. Kuphatikiza apo, chinyezi chonyowa cham'mimba zimayambitsa kupuma komwe kumayambitsa kukwiya, komwe kumayambitsa matenda.

Hookah ndi ndudu osavulaza kuposa ndudu zachizolowezi. Kusuta fodya kapena fodya, kumatenga nthawi yambiri kuti musute fodya wa fodya 5-6. Momwemo, katundu pa kupuma, dongosolo la mtima limachulukitsa, kuchuluka kwa cholesterol yamagazi kumakwera. Chifukwa chake, njira yamakono yosuta fodya yachikhalidwe imakhala ndi kuvulaza thupi.

Kusuta, hypercholesterolemia ndi mtima atherosulinosis ndi maubwenzi atatu omwe amagwirizana. Ngati pali zina zowonjezera, chiwopsezo cha matendawa chimachitika mwachangu kwambiri.

Pofuna kuti musagwidwe ndi vuto la metabolidi ya lipid, komanso mogwirizana ndi atherosclerosis, muyenera kusiya zosokoneza bongo, kutsatira mfundo za zakudya zoyenera, perekani thupi lanu kuchitanso masewera olimbitsa thupi, ndikuwonetsetsa kuchuluka kwa mafuta m'thupi. Ngati ichulukira, muyenera kufunsa dokotala nthawi yomweyo. Siyani kusuta!

Kusuta ndi atherosulinosis

Atherossteosis ndi matenda am'mitsempha yamagazi omwe amadziwika ndi kuchepa kwa lumen yawo. Makoma a mitsempha amakhala amphwaphwi komanso owonda. Mlingo wawo wa kunenepa umachepa, cholesterol plaques amachitika. Ichi ndi chifukwa cha kuchuluka kwachulukidwe ka minofu yolumikizana. Mapleti a cholesterol amasokoneza kagayidwe ka lipid. Kusindikizidwa kwa makoma ozungulira kumapangitsa mavuto ambiri mthupi, komanso utsi wa fodya.

Atherosclerosis m'mbuyomu amaganiza kuti ndi matenda omwe amapezeka mwa anthu okalamba. Zoonadi, iwo ali pachiwopsezo chachikulu cha matendawo. Komabe, atherosclerosis tsopano ndiocheperako. Kukhala moyo wongokhala, zizolowezi zambiri zoyipa, kuperewera kwa zakudya m'thupi, cholowa cholakwika - zonsezi zimawonjezera chiopsezo cha matenda. Pakadali pano, atherosclerosis imapezeka mwa anthu azaka 27. Masoka a ziwiya zaubongo, msempha, ndi malekezero otsika amapezeka mwa omwe amasuta kuyambira ali aang'ono.

Zomwe zikukula pamatendawa

Atherosulinosis imayamba ndi kuwonongeka koyamba kwa zotengera za chotengera ndi histamine ndi catecholamine. Izi zimapangitsa kuti pakhale miloproteins yotsika kwambiri. Zotsatira zake, cholesterol, michere yambiri, komanso zinthu zamagazi zimayikidwa pazitseko zamitsempha yamagazi. Zonsezi zimakhudza mwachindunji mapangidwe a calcium calcium ndi minyewa ya fibrous. Makoma amitsempha yamagazi amatayika. Zombo zama coronary zimakhudzidwa, ndipo mtima ischemia umayamba, zomwe sizimachotsa kupezeka kwa myocardial infarction. Kusokonezeka kwa kayendedwe ka magazi kupita ku ubongo kungathenso kuchitika - izi zimakhala ndi sitiroko.

Monga lamulo, atherosclerosis imachitika mwa iwo omwe nthawi zambiri amakhala opsinjika ndi kusuta kwambiri. Kusuta fodya ndi chimodzi mwazinthu zamphamvu kwambiri pakupanga matenda a atherosulinosis. Khalidwe loipa lotere limapangitsa kuti pakhale mapangidwe a cholesterol pamakoma amitsempha yamagazi. Munthu amakhala ndi vuto la kuphatikiza chakudya champhamvu kwambiri, ndipo matenda ashuga amakula. Kupsinjika kwa magazi kumakwera, ndipo atherosulinosis imadzipangitsa kumverera.

Zovuta zamatenda

Zakudya zopanda thanzi komanso kunenepa kwambiri, chibadwidwe ndi kusuntha kochepa kumathandizira kupezeka kwa cholesterol plaque. Kusuta kumangowonjezera chiwonetserochi. Ndudu za fodya zimasokoneza chitetezo cha mthupi. Zinthu zowopsa zimapangitsa kutupa kwa autoimmune kwa makoma amitsempha. Nicotine amatenga nawo mbali popanga matenda oopsa oopsa. Zotsatira zake, zimakhudzanso zovuta zama metabolic. Munthu akayamba kusuta, amafulumira kukhala ndi mavuto osiyanasiyana amtundu.

Kuti mupewe matenda a atherosclerosis, muyenera kudya moyenera, kuyang'anira thupi, kuchita masewera olimbitsa thupi. Ndikofunika kuti ndichotse chimodzi mwazomwe zimayambitsa matenda, ndiko kuti, kusuta. Kupewera chikonga kumachepetsa chiopsezo cha stroko komanso mtima. Ngati munthu ali ndi mitsempha yotupa, ndiye kuti chiyembekezo chamoyo chidzachepetsedwa kwambiri. Ngati muli ndi vuto lililonse, muyenera kupita kukaonana ndi mtima. Pa mankhwala, mapiritsi amathandizidwa omwe amatha kuchepetsa magazi m'thupi. Opaleshoni monga stenting ndi opaleshoni yamphongo nthawi zina amalimbikitsidwa kusintha magazi.

Zotsatira pa Cholesterol

Chifukwa cha kusuta pafupipafupi komanso kwanthawi yayitali, zosintha zoyipa zimachitika m khoma la mitsempha yamagazi. Izi zimathandizira kukulitsa kwa atherosulinosis. Nicotine amachepetsa cholesterol "yabwino". Chiwopsezo cha atherosulinosis ndi matenda a mtima mukusuta chikuwonjezeka kasanu ndi kanayi.

Ngati munthu amasuta ndudu zochulukirapo asanakwanitse zaka 40, ndiye kuti matenda a mtima amamuyembekezera. Mtima ischemia mwa omwe amasuta umakhala nthawi khumi ndi zisanu.

Kuphatikiza apo, pakati pa anthu omwe amadalira chikumbumtima, omwe ali ndi zaka 25 mpaka 34, kusintha kwa atherosulinotic ku aorta kumatchulidwa katatu kuposa pakati pa omwe sanasute fodya. Kusiya kwathunthu fodya kumathandizira kukhazikika kwa cholesterol chaka chonse.

Kusuta fodya ndi atherosclerosis ndi ntchito yoyipa, yomwe imakhala ndi zotsatirapo zambiri zowononga thupi. Chifukwa chake, mukupangiratu kusiya kusuta kwa chikonga ndikubwezeretsa thanzi lanu nthawi isanathe.

Nthano 1. Atherosclerosis imatha kuchiritsidwa.

Atherosulinosis ndi vuto lalikulu lomwe silingathe. Zidole zazikulu zomwe zimapangitsa kuti magazi azingokhala osayenda bwino zimatha kuchotsedwa. Komabe, sizingakhale zodabwitsa kuti anali okhawo opanga a atherosulinotic. Chifukwa chake, chithandizo cha atherosulinosis ndicholinga chothetsa ziwopsezo zomwe zimayendetsedwa:

• kuthamanga kwa magazi (matenda oopsa),
• cholesterol yapamwamba (hypercholesterolemia),
• kusayenda bwino,
• kuperewera kwa zakudya m'thupi
• kusuta
• uchidakwa
• kunenepa kwambiri
• matenda ashuga
• aimpso.

Nkhanizi siziyenera kukukhumudwitsani. Zidutswa zing'onozing'ono sizimayambitsa matenda. Chifukwa chake, ngati kunali kotheka kuchepa, kapena kuletsa kukula kwa atherosulinosis, izi ndizokwanira.

Nthano 2. Zovuta za atherosulinotic zimapezeka kokha mwa anthu omwe ali ndi atherosulinosis.

Asayansi akuyamba kumene kumvetsetsa cholinga choyambirira cha malo amafuta a cholesterol. Malinga ndi chidziwitso chomwe chilipo, gawo limodzi mwamagawo ndikudzipaka ”ndikulakwitsa. Chifukwa chake thupi limavutika ndi kuwonongeka m'mitsempha, yomwe imayambika pakapita moyo wamunthu. Chifukwa chake, anthu azaka zapakati komanso akulu mwina ali ndi cholesterol malo. Izi sizoyenera kuchita mantha. Ndikofunikira kuti kukula kwawo kukhalabe kocheperako, ndiye kuti sikubweretsa vuto lililonse.

Nthano 3. Ziwiya zitha "kutsukidwa" kuchokera kuma cholesterol.

Poganizira anthu ambiri, zombo ndi analog ya mapaipi osowa. "Plaque" (cholesterol plaques) ikhoza kuyikika pamakoma awo, omwe amayenera kuchotsedwa ndi zitsamba, mankhwala, ndi chithandizo cha madzi. Kufanizira kotereku sikugwirizana ndi zenizeni.

Mapangidwe a atherosselotic - osati mafuta ochulukitsa. Izi ndi zida zovuta zopangidwa ndi mitundu ingapo ya timisempha tokhala ndi mitsempha yamagazi. Mapangidwe ake amakula khoma la mitsempha yamagazi. Amatha kuchotsedwa mothandizidwa ndi mawonekedwe amkati mwa mtsempha kapena gawo lake. Mankhwala, wowerengeka azitsamba a atherosulinosis amagwiritsidwa ntchito kukhazikitsa kukula kwa zolembera, kupewa kuwoneka kwatsopano.

Bodza 4. Atherosclerosis ndi vuto la amuna.

Amayi amadwala atherosclerosis pocheperako pang'ono kuposa amuna. Koma mwa okalamba, odwala okalamba, zomwe zimachitika pakati pa akazi ndi amuna zimakhala zofanana. Kusiyanitsa pakati pa amuna ndi akazi komwe kumayenderana ndi zaka za matendawa. Mwa amuna, zolembera za atherosclerotic zimayamba kupangika kale. Pofika zaka 45, amatha kufikira zazikulu, kupangitsa kukhazikika kwa myocardial infarction.

Amakhulupirira kuti kukula koyambirira kwa amuna a atherosulinosis ndi chifukwa cha mawonekedwe a mahomoni a metabolism. Ma mahomoni achikazi achikazi, omwe amateteza thupi la theka lokongola laumunthu ku madigiri, amapangidwa mwa amuna ndi ma gren adrenal ochepa. Kuphatikizika kwawo sikokwanira kuti muchepetse cholesterol. Chiwopsezo cha mapangidwe a atherosselotic zolembera zimawonjezeka chifukwa cha zovuta zopanda pake: kusuta, kuledzera, kukonda nyama, mafuta anyama, okazinga.

Nthano 5. Kutenga estrogen pambuyo kusintha kwa thupi kumathandiza kupewa chitukuko cha atherosulinosis.

Lingaliro lakugwiritsa ntchito mankhwala ochepetsa estrogen linafika m'maganizo a asayansi kwa nthawi yayitali. Kafukufuku angapo adachitika pokhudzana ndi momwe kasamalidwe ka mankhwala amakhudzira mapangidwe a cholesterol plaques. Ngati ubale wabwino utatsimikiziridwa, izi zitha kuchepetsa chiopsezo cha matenda amtima pakati pa azimayi.

Zotsatira zake zinali zotsutsana. M'maphunziro ena, kupita patsogolo kwa atherosulinosis mwa azimayi omwe adapeza estrogens pang'onopang'ono (1), asayansi ena sanapeze kuphatikizika. Popeza kutha kwa mankhwalawo sikunatsimikizike motsimikiza, madokotala salimbikitsa kuti atenge mankhwalawa kuti mupewe matenda a mtima.

Nthano 6. Kukula kwa atherosulinosis kwa ana ndikosatheka.

Zidole za cholesterol zoyambirira zimawoneka m'matumbo a munthu kuyambira wazaka 8-10. Mawonekedwe ake nthawi zambiri amakhala osavulaza, popeza kukula komwe kumachepetsa lumen ya mitsempha sikumachitika posachedwa. Komabe, mwa ana ena, madongosolo amafulumira kumera, amakula msanga. Gulu lowopsa limapangidwa ndi ana omwe ali ndi kunenepa kwambiri komanso matenda a shuga. Kukula kwa atherosulinosis kumalimbikitsidwanso (2):

• kuthamanga kwa magazi
• chibadwire
• mavuto okhumudwa kapena a kupuma,
• matenda ashuga
• matenda a impso,
• Matenda a Kawasaki
• kusuta makamaka kungokhala.

Mwamwayi, milandu yokhudza ana siisowa.

Bodza 7. cholesterol yapamwamba = atherosulinosis.

Sikuti nthawi zonse cholesterol yoyipa imakhala yoipa. Pali zifukwa zitatu zosakhalira motere:

• Choyamba muyenera kudziwa kuti ndi mtundu wanji wa sterol womwe umakwezedwa. Kapangidwe ka mapangidwe a atherosclerotic plaques kumangopangitsa mitundu iwiri yokha ya mitundu - otsika kachulukidwe lipoproteins (LDL), otsika kwambiri kachulukidwe (VLDL). Palinso "cholesterol yabwino" - lipensroseins yapamwamba kwambiri (HDL). Kuphatikiza kwawo kwakukulu, mmalo mwake, kumalumikizidwa ndi chiopsezo chochepa chotengera atherosclerosis. Chopsterol chonse ndi kuchuluka kwa lipoprotein onse. Pakudzipatula, chizindikiro ichi sichosintha.
• Zowonadi zokhala ndi cholesterol yayikulu, ngakhale yoyipa, sizofanana ndi kukhala ndi matenda. Ndi imodzi mwazinthu zangozi zomwe zimawonjezera mwayi wopezeka ndi atherosulinosis.
• Mwinanso zaka zochepa, gawo lachiwiri lidzawerengedwa. Umboni wambiri ukuonekera: cholesterol ndi chizindikiritso payokha chomwe lingaliro loti "wamba" silikugwira ntchito (3.4). Udindo waukulu ukhoza kuchitika osati ndi kuchuluka, koma kukula kwa tinthu tambiri ta sterol.

Zolemba

1. N. Hodis, W.J. Mack, A. Sevanian, P.R. Mahrer, S.P. Azen. Estrogen Poteteza Matenda a Atherosclerosis: Mlandu, Wosaona Kwamphindi, Woyesedwa ndi Malo wa placebo, 2001
2. Sarah D de Ferranti, MD, MPH, Jane W Newburger, MD, MPH. Ana ndi matenda amtima
3. Jennifer J. Brown, PhD. Arthur Agatston, MD: Zowona Zokhudza Cholesterol, 2018
4. Ravnskov U, Da DM et al. Kuperewera kwa mgwirizano kapena mgwirizano pakati pa otsika-lipoprotein cholesterol ndi kufa kwa okalamba: kuwunikira mwadongosolo, 2016

Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.

Ubwenzi wa atherosulinosis ndi kusuta

Atherosclerosis ndi kusuta, malinga ndi asayansi, zimalumikizana.

Kuphatikiza apo, izi zimayambitsa matenda athunthu:

• mavuto a mtima
• khansa ya m'mapapo
• mavuto am'mimba ndi matumbo,
• mavuto amanjenje
• mavuto ndi mano ndi mano
• mavuto amaso ndi kumva.

Kusuta kumapha pang'onopang'ono koma. Kulowetsa thupi ndi chikonga kumayambitsa kusokonezeka kwakukulu kwamitsempha yamagazi, yomwe imayambitsa atherosclerosis, yomwe imakhala ndi zotsatirapo zoopsa mpaka kufa.

Chifukwa chiyani atherosclerosis ndi yoyipa?

Atherosulinosis amatanthauza matenda omwe mtima wawo umayang'aniridwa ndi kukhazikika kwa makhoma awo, amachepetsa, ndipo ma cholesterol amawonekera.

Kusokonekera kwa lipid kagayidwe ndi kagayidwe m'thupi. Matenda opita patsogolo amatsogolera kutsika kwa magazi kupita ku chotengera, chifukwa chotengera chija chimatsekeka ndipo ziwunda za magazi zimatha kupanga.

Atherosulinosis imadziwika kuti ndi matenda a okalamba, koma imatha kukhudza achinyamata kuyambira zaka 20-30. Zomwe zimayambitsa atherosulinosis ndi izi:

• zakudya zosayenera (chakudya mwachangu, koloko, tchipisi, ndi zina),
• kumwa kwambiri mowa,
• kusowa kwamasewera m'moyo watsiku ndi tsiku,
• onenepa kwambiri
• kudziwika ndi kupsinjika
• matenda ashuga
• cholowa
• zaka zopitilira 45.

Kusuta monga chothandizira kukulitsa kwa atherosulinosis

Ambiri mwa omwe amasuta ndi achinyamata ndi akazi ochepera zaka 35. Ngati mudakali aang'ono, kusuta kumatanthauza kuwoneka bwino komanso "kozizira," ndiye kuti kale ndizovuta kusiya chizolowezi choyipa. Atsikana samasiya kusuta, akuwopa kuti achira, pomwe abambo amagwiritsa ntchito fodya ngati njira yochepetsera nkhawa.

Osuta fodya amavulaza ena - osuta okhawo, okakamizidwa kupuma utsi wa ndudu. Koma amadzivulaza okha.

Atherosulinosis ndi chimodzi mwazotsatira zoyipa kwambiri za kusuta, zomwe zimatsogolera ku thrombosis, vuto la ischemic, vuto la mtima kapena stroko.

Iwo amene amayamba kusuta ali achinyamata kapena achinyamata amakhala pachiwopsezo pofika zaka 40 kukumana ndi mavuto amtima. Amuna amadwala atherosclerosis nthawi zambiri kuposa azimayi chifukwa cha kusuta ndudu zochuluka. Ngati mumasuta ndudu 10 patsiku, chiopsezo chokhala ndi atherosclerosis chimawonjezeka katatu.

Pamodzi ndi matenda monga matenda ashuga, kusuta kumayambitsa matenda atherosulinosis, omwe amatsogolera ku thrombosis.

Atherosulinosis monga zotsatira zoyipa za kusuta

Kuvulaza komwe anthu osuta amachititsa matupi awo kumatha kubweretsa atherosclerosis. Nicotine amaipitsa thupi kuchokera mkati, zimayambitsa kuphwanya njira za metabolic, zomwe zimayambitsa kutupa kwamitsempha yamagazi ndi kuwonda kwawo.

Kukhala ndi vasoconstrictive, kusuta kumawonjezera kuchuluka kwa magazi ndi kuwonjezeka kwa cholesterol yamagazi. Zinthu zapoizoni zomwe zili mu ndudu zimayambitsa kuwonongeka kwa makoma amitsempha yamagazi, mapangidwe a atheroscrotic amapangidwa.

Kuphatikiza cholesterol kumabweretsa kutsekeka kwamitsempha yamagazi, magazi amayenda pang'onopang'ono.

Zotsatira zake, amapanga magazi, omwe amatha kupha. Matenda a atherosulinotic amatha kukulitsidwa ndi matenda osokoneza bongo kapena kupangitsa kukula.

Zimabweretsa kuchepa kwathunthu kapena pang'ono kwa magazi, chifukwa mtima suulandila michere ndi okosijeni mulingo woyenera, ndicho choyambitsa vuto la mtima.

Asayansi atsimikizira kuti pafupipafupi anthu omwe amafa chifukwa cha kusuta kwa coronary mwa omwe amasuta amakhala okwanira 2 kuposa omwe samasuta.

Angina pectoris ndi matenda a mtima amatha kuonedwa kale m'magawo oyambira a atherosulinosis, pomwe kusuta nthawi zina kumakulitsa. Vutoli limatchedwa "fodya" angina pectoris. Zotsatira zake, osuta ambiri amakhala ndi vuto la mtima asanakwanitse zaka 40. Kupulumutsidwa kumatha kungochotsa kusuta kwathunthu.

Zokhudza chikonga pa chitukuko cha atherosulinosis

Ambiri omwe amasuta, akuwopa kuti atha kugwera m'mavuto, kusiya kusuta ndudu ndikusinthana ndi hookah kapena chitoliro. Kusuta hookah kapena chitoliro sikuvulanso kuposa ndudu, monganso kumakhala ndi chikonga.

Nikotini ndiye mankhwala oopsa kwambiri mu ndudu. Ndi chifukwa chake kuti atherosulinosis imawonekera. Nikotine amasokoneza mapangidwe a cholesterol, omwe pang'onopang'ono amayamba matenda.

Osangokhala dongosolo la mtima, komanso ziwiya zaubongo zomwe zimawonongeka. Matenda ndi imfa zomwe zimakhudzana ndi kuwonongeka kwa chiwalochi komanso chifukwa cha kusuta fodya ndizofanana kawiri kuposa momwe osasuta.

Kudulidwa kwa malekezero am'munsi ndizovuta zoyipa za atherosulinosis, zomwe zimayambitsidwa ndendende ndi kusuta. Chifukwa cha kukhudzana ndi chikonga, kuwonongeka kwa mitsempha kumachitika, zomwe zimayambitsa gangore ndikuduladula miyendo.

Nicotine imayambitsa kusokonezeka mu ntchito ya mtima, imawonjezera kuthamanga kwa magazi, imalepheretsa kutuluka kwa mpweya, komwe kumayambitsa zotupa za atherosselotic. Zotsatira za atherosulinosis mu nkhani iyi ndi sinusoidal arrhythmia, magazi kuwonongeka, komanso kuwonongeka kwa mitsempha.

Sichokera popanda zotsatira za ubongo, chiwindi, ma genitourinary system, komanso m'mimba. Mphamvu ya chikonga imayambitsa kutsika kwa hemoglobin, chifukwa chomwe zinthu zoyipa zimadziunjikira m'thupi, ndikupangitsa kuledzera.

Nicotine imabweretsa mavuto kwa munthu yemwe ali ndi atherosulinosis, zomwe zimayambitsa matenda amphumu ndi cramping.

Kuti mupewe mavuto omwe amabwera chifukwa cha atherosulinosis, simuyenera kuyamba kusuta fodya kapenanso kusiya mwachangu kuti musiye kusuta. Amayamba ndikuwonjezereka kwa cholesterol yamagazi ndikutha ndi vuto la mtima - chifukwa chachikulu choganiza kuti mupitilize kudzipweteka.

Momwe Mungachepetse Mavuto A Kusuta: Zoonadi 12 ndi Zabodza

Choyamba, onani zomwe zimachitika mkati mwanu mukakoka ndudu. "Utsi wa fodya uli ndi mankhwala pafupifupi 4,000, osachepera zana omwe atsimikizira kuti ndi oopsa.

Ngakhale imodzi mwa ziphezi zana limodzi (mwachitsanzo, benzopyrene) ndi yokwanira kupanga maselo am'mapapu, khungu kapena njira zoberekera kuti zisinthe ndi kupangitsa khansa, "akutero a Denis Gorbachev, dokotala wamtima ku European Medical Center.

- Utsi umasokonezeranso ntchito ya mtima, kupuma kwa hemoglobin - mapuloteni omwe amachititsa kuti minyewa ikhale ndi mpweya wabwino, mpweya wambiri. Zotsatira zake, mtima ndi ubongo zimalandira mpweya wocheperako 20-30% kuposa momwe amafunikira. Kuti zinthu zisinthe mwanjira inayake, maselo ofiira owonjezera akuthamangira kuchipulumutsira, kukakamiza mapuloteni kuti akwaniritse bwino mapulani othandizira okosijeni.

Zotsatira zake, chifukwa cha kuchuluka kwa maselo, magazi amakhala okhuthala, a viscous ndipo ma metabolism amachepetsa. Koma njira ya atherosulinosis (kuyika kwa cholesterol pamakoma amitsempha yamagazi) ikupita patsogolo, ndipo ischemia (kuwonongeka kwa minofu ya oxygen) yayandikira kale, "Dr. Gorbachev adatsimikiza zala zake.

Komabe, aliyense ayenera kuti anamvapo kamodzi kuti pali zithandizo zomwe zimakupatsani mwayi wopitilira kusuta komanso osapeza mavuto akulu azaumoyo. Tiyeni tiwone ngati njira zochepetsera kuvulazirazi zikuthandizadi.

American Cancer Society idapeza kuti iwo omwe amasuta, omwe akutulutsa maso, ali ndi mwayi wokhala ndi khansa yam'mapapo ma 1,79 kuposa omwe amasuta msanga. Komanso "mbalame zoyambilira" zimachulukanso ka 1.59 nthawi yakukula kwa khansa yam'mero ​​kapena larynx.

Apa ziwerengero zakonzedwa mozama. Simudzakhala ndi khansa chifukwa mumamwa fodya m'mano musanayipukuse m'mawa.

M'malo mwake, mumagwira ndudu chifukwa mumakonda kwambiri chikumbumtima ndipo mumasuta kwambiri. Ndipo zimangochitika khansa.

Ngati mumakwanitsa kusuta ndudu zitatu patsiku, zikuonekeratu kuti simudzayamba m'mawa wanu ndikubwezeretsanso nkhokwe zosungidwa.

Choonadi-theka

Aspirin alidi othandizira antiplatelet (mankhwala omwe amachepetsa thrombosis). Ngati mumasuta ndudu pambuyo pazaka 10-5 za kumwa, ma spirin angakuthandizeni kubwezeretsa mitsempha yanu pazaka zisanu zokha.

"Koma chida ichi sichingakhale chothandiza ngati mupitiliza kusuta: mukulitsa chiopsezo cha mtima wam'matumbo mwachangu kuposa momwe aspirin amachepetsera. Ndudu iliyonse imawonjezera kuphatikiza kwa magazi chifukwa cha zana, "akutero Dr. Gorbachev.

Amangofunika kuchotsedwa pazinthu zokha, osati m'mafakitore. Mwachitsanzo, kufunikira kwanu kwa Vitamini C ndiochulukirapo ka 2,5 kuposa kwa osasuta fodya, chifukwa antioxidant iyi imagwiritsidwa ntchito yambiri polimbana ndi zotsalira zaulere.

Pitani pamsika ndikubwezeretserani zinthu ndi mphesa, kiwi, maapulo (monga Antonovka) ndi tsabola wobiriwira. Phatikizaninso zakudya zam'madzi muzakudya zanu zomwe zimakhala ndi mafuta ochulukirapo a polyunsaturated mafuta acids - Mavitamini a Gulu F (seaweed, nsomba, herring).

Athandizira kuyeretsa ziwiya za atherosulinotic plaques.

Kapena, monga momwe pulofesa wa mapapu a Andrei Kuleshov ananenera, "msampha wogulitsa": "Inde, ali ndi chikonga chochepa. Koma mulingo wocheperako, sizimabweretsa chisangalalo chofala - muyenera kusuta pafupipafupi, ndikupitilira mwakuya. Inde, ali ndi zochepa phula. Koma muwapezabe ndi utsi - pokhapokha pochezera pang'ono. "

Zosawonekeratu

"Choyamba, palibe aliyense padziko lapansi yemwe adatsimikizira kuti gadgetyi ilidi yovulaza," akutero katswiri wamapapu, Andrei Kuleshov. "Ndipo chachiwiri, ngakhale bokosi lopanda chikonga silipulumutsa: nthenga zomwe zimadutsa mkati mwake zimakhala zodzaza ndi mafuta enaake ndikamawotchedwa, nitrosamine, diethylene glycol kumene opanga ndudu zamagetsi akupitilizabe."

Yendetsani maso anu pa mayeso a Fagerstrom a chikumbumtima chaukazitape ndikuwona momwe vuto lanu limakhalira. Zotsatira zake zimatengera kuchuluka kwa zomwe mumakonda kwambiri chikumbumtima.

Kuwerenga

• 1A - 0, 1B - 2, 1B - 3
• 2A - 1, 2B - 0
• 3A - 3, 3B - 2, 3B - 1
• 4A - 1, 4B - 0

• 0-3 mfundo - otsika kudalira komanso m'malo zamaganizidwe.
• 4-5 mfundo - pafupifupi mulingo wa kudalira. Mutha kusiya kusuta popanda zotsatira. Mwayi wopanga COPD ndi wotsika.
• Zowerenga 6-8 - kudalirika kwakukulu. Kusiya kusuta kumakupangitsani kukwiyitsa kwambiri, komanso kungapulumutse moyo wanu. Mulimonse momwe musadzinyengere, kuthana ndi chidwi chofuna kusuta, koma pitani kwa akatswiri.

10 nthano zabodza zakugwedeza

Artur Dren · 22/07 · Yasinthidwa 07/05

Kuchulukitsa kwakukulu komanso zifukwa zowerengetsera sizoyambitsa chifukwa kusuta komanso opanga ndudu kuti asiye kufalitsa zabodza zokhudzana ndi kusuta. Kuvulala kwa ndudu kwatsimikiziridwa kangapo ndikutsutsana ndi izi, zitha kuwoneka zopanda ntchito. Komabe, pali malingaliro angapo otchuka pakati pa osuta, angapo a iwo omwe tidaganiza kuti mumveke.

Tsoka ilo, gawo lalikulu la anthu amakhalanso osuta. Mwinanso kungokhumudwitsa mabodza ena kungapulumutse tsogolo la munthu m'modzi.

Kuyambira zoseketsa mpaka zowopsa

Ambiri omwe amasuta saopa kusuta chifukwa amaganiza kuti kusuta sikuopsa monga momwe amanenera ndikumalemba zaiwo. M'malo mwake, kusuta kumakhala koopsa pa thanzi komanso moyo wosuta.

Inde, pali zikhulupiriro zabodza zokhudzana ndi kuopsa kwa kusuta, koma sizambiri za izo ndipo nthano ngati izi nthawi zambiri zimapangidwa kuti athandize omwe amasuta. Komabe, zoyipa kwambiri ndizabodza lodziwika bwino lokhudza zabwino za kusuta, mawonekedwe amtunduwu amachepetsa ndipo safuna kusiya fodya.

Tiyeni tiwone maumboni khumi ofotokoza kwambiri za phindu la utsi wa ndudu:

1. Nthano zachinyamata za mafashoni ndi kalembedwe. Malingaliro oterowo ndi otchuka pakati pa achinyamata omwe amayamba kusuta. Nthano iyi ndi yomwe imayambitsa kusuta kwa achinyamata mu milandu yoposa 70%. M'malo mwake, kusuta kwa utsi m'manja sikulinso fashoni, mwina ndizotsutsana. Nthawi zambiri, chizolowezi chosuta fodya chimasewera motsutsana ndi fodya; lero, thupi lathanzi komanso thupi lonse lathunthu.
2. Zimakhazikika pamikhalidwe yovuta. Imodzi mwa nthano zodziwika bwino pakati pa omwe amasuta ndudu. M'malo mwake, kuwombera kotsatira kumangokulitsa zinthu muzovuta. Nicotine imakwiyitsa dongosolo lamanjenje ndipo limalepheretsa ntchito yake. Kuphatikiza apo, pambuyo pa kusuta ndudu yotsatira, thupi limamva kuponderezedwa ndi utsi wapoizoni, kusowa kwa mpweya munthawi ya kusuta kumangokulitsa nkhawa.
3. Pamenepo Vaska amasuta ndipo palibe. Wosuta mwanjira iliyonse amateteza chidakwa chawo. Kafukufuku wasonyeza kulumikizana mwachindunji pakati pa kusuta ndi kudwala kwambiri. Kuopsa kwa oncology mu wosuta kumawonjezeka ndi 60%. Kuphatikiza apo, omwe amasuta akuwoneka kuti ali ndi matenda monga COPD, zilonda zam'mimba ndi gastritis, komanso mavuto ndi mtima.
4. Fodya wanga ali ndi fayilo yatatu - sindichita mantha. M'malo mwake, zofukiza zam'kamwa zatsopano zongowongolera kukoma kwa ndudu. Zosefera zikupangidwira kuti zipange zabodza za chitetezo cha utsi, koma izi ndizotsatsa zonse.
5. Ndimasuta kuti ndichepetse thupi / nditasiya mafuta. Asayansi adziwa kuti kusuta sikukhudza kulemera kwa munthu mwanjira iliyonse. M'malo mwake, chowonadi chokhudza kusuta ndi ichi: chimakhudza kwambiri mphamvu yakuthupi, munthu amayamba kuyenda pang'onopang'ono / pang'onopang'ono, ndipo kuchuluka kwa kulemera kwakukulu kumatha kuchitika kungoyambira kusuta, ndipo osakhalapo. Malinga ndi ziwerengero, anthu omwe ali ndi vuto la kunenepa kwambiri ndi omwewo pakati pa omwe amasuta komanso omwe sasuta.
6. Zabodza pa ndudu zamagetsi. Kutulutsa zakumwa sizotetezeka ku thanzi. Tidayankhula za kuwopsa kwa olowa m'malo mwatsatanetsatane apa.
7. Imasintha ntchito za ubongo. Ambiri mwina amvapo pakampani yosuta yomwe ikusewera masewera a board akuti "kadi amakonda utsi" kuyatsa ndudu ina. M'malo mwake, ndudu sizingathandize kupambana masewera aluntha. M'malo mwake, kusuta kumayambitsa kuwonongeka kwa kukumbukira, ndipo sipangakhale kuyankhula kwakuyambitsa maubongo.
8. Ndimasuta mapapu anga, motero ndili bwino. Bodza loti kuopsa kosuta fodya “lolemera” ndilofala kwambiri. M'malo mwake, kafukufuku wina akuwonetsa kuti ndudu zopepuka zimatha kukhala zowopsa kwambiri kuposa anzawo.
9. Kusuta fodya sikuvulaza kwenikweni. Zopanda tanthauzo. Utsi wachiwiri womwe umatulutsidwa m'mapapu a munthu wosuta umakhala ndi mitundu 4000 ya poizoni. Kuvulaza kumawonjezeka kwa ena, pomwe amasuta fodya, koma osatulutsa. Pafupifupi 50% ya ana padziko lapansi amayamba kusuta. Khalani anzeru - ngati mumasuta, muteteze ana anu. Osasuta pafupi ndi azimayi oyembekezera.
10. Kusuta si njira yabwino. Pamene tidayamba kulemba nkhani "Zabodza zokhudzana ndi kusuta komanso zenizeni", sitinaganize kuti panali zongopeka choncho. M'malo mwake, pakati pa achinyamata pali ambiri omwe amaganiza motero. Ngati kusuta sikuwononga, sikuti muvulaza ziwalo zamkati, koma zoipa zoyipa zam'kamwa, milomo, maso, mano kuwirikiza.

Choonadi chochepa

Tikukulangizani kuti muwerenge mfundo 10 zodabwitsa zokhudza kuopsa kwa kusuta kwa wofalitsayo, ndizothandiza kwambiri. Ngati mumagwirira ntchito, pokhapokha malinga ndi kafukufuku wa asayansi achi Dutch, kusuta ndi komwe kumayambitsa khansa ya m'mapapo ndi m'mapapo nthawi zopitilira 90%. Chowonadi ndichakuti kusuta ndi chizolowezi chowopsa chomwe nthawi zambiri chimayambitsa kufa msanga.

Osazengereza, kusiya kusuta pompano. Pa tsamba lathu la webusayiti mutha kusankha njira imodzi kapena zingapo zatsimikiziridwe zosiya kusuta. Mukasiya chizolowezi choyipa, mudzakhalanso ngati munthu wathanzi komanso wodalirika.

Mphamvu ya kusuta pamtima

Kusuta kuli ndi vuto lalikulu pakugwira ntchito kwa mtima.

Kafukufuku wambiri awonetsa kuti odwala ambiri omwe ali ndi mbiri ya mtima kapena matenda am'mimba ndi omwe amasuta.

Kuvulaza kwambiri mtima wamtima kumachitika chifukwa cha kusuta.

Zinapezeka kuti kulowetsedwa kwa myocardial kumakhala kokwanira kukhudza anthu omwe tsiku lililonse amapanga chikonga. Kusuta ndikomwe kumayambitsa matenda a hypoxemia - kusowa kwa mpweya m'matumbo. Nikotini ndizomwe zimapangitsa kuti mapangidwe a atherosselotic akhazikike ndi cholesterol.

Utsi wa fodya wokhala ndi kaboni monoxide umalowa m'mitsempha yamagazi m'masekondi angapo, umakulitsa kukakamiza kwa mitsempha komanso kuchuluka kwa norepinephrine (dopamine).

Zotsatira zake, vasospasm imachitika, nthawi yomwe imatha kupitilira maola angapo.

Carbon monoxide imachepetsa kutuluka kwa mpweya m'matumbo a ziwalo, ndipo mtima ndi ziwiya zake zimavutikanso.

Pakusuta kwa nthawi yayitali, njira zopangira magazi zimasokonekera, zomwe zingayambitse thrombosis, komanso ovuta kwambiri m'mapapu a m'mapapo.

Zizindikiro zimatengera kuchuluka kwa kuwonongeka kwa minyewa ya m'mapapo komanso momwe izi zimachitikira mwachangu.

Embolism yofatsa imatha kukhala yofanana kwambiri. Kuthamanga kwathamanga komanso kwakukulu kwa kufalikira kwa mapapu kumatanthauza kuchuluka kwakukulu kwamtima. Zizindikiro zake zimaphatikizanso kupweteka pachifuwa mwadzidzidzi komanso kupuma movutikira, kulephera kwamtima, kusiya kuzindikira, ndi kufa.

Kusuta ndi chiopsezo cha atherosulinosis

Akatswiri odziwa za matenda amtima ndiwotsimikiza kuti kusuta fodya ndi atherosclerosis kumalumikizana bwino, kapena,, zomwezi zimathandizira njira yopititsira patsogolo nthawi zina.

Zotengera za osuta komanso osasuta

Kugwiritsa ntchito chikumbumtima kwa nthawi yayitali kumasokoneza magwiridwe antchito a mtima. Zida zomwe zimakhudzidwa m'malo ena zimayamba kuchepa, magazi amayenda, zomwe pambuyo pake zimatsogolera ku atherosclerosis. Matendawa amakhala ndi zovuta zingapo, nthawi zina zimayambitsa imfa.

Zombo zotsatirazi nthawi zambiri zimachepetsedwa ndikuwonongeka:

Mitsempha yama carotid

Mitsempha yamagazi ndiyo imayendetsa magazi kupita ku ubongo.

Kuchepetsa carotid mtsempha wamagazi kumatha kukhala kovuta kwambiri, chifukwa nthawi zambiri pamitsempha ina yomwe imapereka magazi kupita ku ubongo.

Pambuyo pakutseka kwadzidzidzi kwamitsempha ya carotid ndi magazi, magazi amatha kutulutsidwa m'mitsempha ya ubongo.

Zotsatira zake, sitiroko ya ischemic, nthawi zambiri imakhala ndi zotsatira zazitali zazamoyo (ziwalo, kuchepa kwa mphamvu ya thupi, kuchepa kwa mawu, ndi zina).

Mitsempha yammbali

Impso zimasunga mahomoni ena omwe amayambitsa kuthamanga kwa magazi. Kuphatikiza apo, ndi ziwalo zoyendetsedwa mwamphamvu kwambiri.

Matenda a mitsempha

Pokhapokha, kumwa magazi ndi 20% ya kuchuluka kwa mtima. Vasoconstriction pa maziko a atherosulinosis kumabweretsa kuwonjezeka kwa kuthamanga kwa magazi ndi kukula kwa matenda oopsa.

Mitsempha yotsika

Kuchepa kwamitsempha yamagazi kumayambitsa mawonekedwe a otchedwa ischemic matenda am'munsi.

Chizindikiro chake chachikulu ndikumva kupweteka m'khosi lomwe lakhudzidwa ndikuyenda.

Zowawa zimachitika chifukwa cha kusowa kwa minofu ya okosijeni, zomwe zimapangitsa kukula kwa atherosulinosis, zomwe zimatsogolera mitsempha ya varicose, thrombosis.

Msempha ndi chotupa chachikulu kwambiri chozungulira thupi.

Atherossteosis limodzi ndi kuthamanga kwa magazi kungayambitse kufooka kwa khoma lake komanso mapangidwe a aneurysm.

Zida zamaso

Njira ya atherosulinotic imawononga mitsempha yaying'ono ya mtima wa retina, motero, imawonjezera chiopsezo cha kuchepa kwa macular - kuchepa kwa masomphenya.

Kusuta ndiye njira yoyamba yodzetsa matenda a mtima ndi matenda a m'mitsempha.

Nawonso matendawa amatha kudzetsa matenda a m'magazi omwe amadetsa thanzi la munthu.

Kodi kusuta kumakhudza mitsempha ya magazi?

Polankhula za chiopsezo cha atherosulinosis kuchokera ku kusuta, mtundu wina wa matenda uyenera kuganiziridwa:

• mawa
• nseru
• sokoneza
• multifocal
• wamba
• wobalalika.

Zotsatira zoyipa ndikuti chifukwa cha kuphipha kwamitsempha yamagazi ndi mitsempha yoyenda chifukwa cha chikonga, ma microcirculation abwinobwino amasokonezeka mwa omwe amasuta, ndipo ischemia imachitika. Kuphatikiza apo, chizolowezi choyipa chimathandizira kupanga mapangidwe amwazi ndi cholesterol malo.

otengedwa pa njira: Vladimir Tsygankov

Nicotine ndi dongosolo lozungulira limalumikizana mwachindunji, chifukwa ndi alkaloid iyi yomwe imalowa nthawi yomweyo m'magazi kuchokera ku utsi wa ndudu, womwe umakulitsa kwambiri kupendekera. Zotsatira zake, zimalumikizana, ndikupanga zigawo (ma magazi).

Matenda omwe amasuta amawoneka ngati chifukwa cha kuchuluka kwa zinthu monga adrenaline. Zotsatira zake, minofu yamtima imayamba kumva kufa ndi mpweya, ndipo mawonekedwe a coronary amatha kuyamba kukulira.

Muyenera kuda nkhawa ndi zotsatirazi:

• kusasangalala ndi ululu pachifuwa,
• kupuma kupuma
• angina pectoris
• kulira m'makutu
• kufooka miyendo
• kuzizira
• kugona kusokonezedwa
• kudziwa zolakwika.

Nthawi zambiri, kusuta kumakhala ngati chiwopsezo cha matenda, komwe ma malekezero akuvutika, omwe nthawi zambiri amachititsa kuti azidulidwa.

Kodi ndingathe kusuta ndi atherosclerosis?

Kusuta ndi atherosulinosis sikuvomerezeka.Kwa odwala omwe sasuta, mankhwalawo amakula pang'onopang'ono kuposa omwe sangathe kusiya ndudu.

Kutulutsa kwa ziwiya zamagawo am'munsi kuchokera ku matendawa ndi kwamphamvu kwambiri kotero kuti kufalikira kwa magazi mwa iwo sikokwanira.

Kubwezeretsa ku kulephera?

Kukana utsi wa fodya kumapangitsa kuti zinthu ziziyeretsanso m'thupi. Kuchepetsa ndudu zomwe zasuta kumathandizanso. Koma chinthu chachikulu sikuti ndikungosuta fodya, komanso thanzi labwino.

Zakudyazo ziyenera kusinthidwa kwathunthu. Ndikofunika kupatula kwathunthu maswiti, mafuta, zakudya zosuta. Ndikofunikira kuchotsa pamenyu chilichonse chomwe chimapangitsa kuti pakhale cholesterol yoyipa ndipo, chifukwa chake, kusintha kwa ma pathological kuzungulira kwa dongosolo.

Mukapanda kusiya kusuta, ndiye kuti makhoma azotengera apitilizabe kugwa ndipo njira zotupa zimachitika. Thupi lidzayesa "kukoka" malo oterowo ndi cholesterol malo, omwe, kenako, adzatsogolera kukula kwa kufalikira kwa kufalikira kwa dongosolo.

Nkhani yokhudza moyo

Mlandu woseketsa wochitidwa ndi dokotala m'modzi. Atayamba kukakamiza wodwala wake kuti asiye kusuta, adamva kuti "chitsulo". Anatinso amasuta pokhapokha kumwa, ndipo vodka ndi chida chotsimikiziridwa chotsuka ziwiya.

Chifukwa chake kusuta pambuyo pakumwa sikulinso kovulaza kuposa nthawi yonseyo. Pali zikhulupiriro zambiri zokhudzana ndi atherosulinosis ndi kusuta. Mwachitsanzo, kuti mukaponya ma depos a mafuta amayamba kuoneka ndipo matenda amapezeka. Izi sizowona.

Kafukufuku wambiri omwe adachitika mu 2017-2018, adangotsimikizira kuti chitukuko cha matendawa chikugwirizana kwambiri ndi moyo. Chifukwa chake, kudya moyenera ndi moyo wokangalika kumathandiza kuthana ndi vutoli.

Kumwa ndi kusuta ndi atherosulinosis ndi koyipa. Nthabwala yomwe zidakwa zimakhala ndi ziwiya zoyera bwino sizipangitsa kuti akhale anthu athanzi labwino. Ndipo kuyera kumeneku nthawi zambiri kumapezeka pa autopsy.

Nikotini ngati chochititsa chidwi

Makani osuta, akuwopa zoyipa zomwe zingachitike chifukwa cha chizolowezi choyipa, donthotsani ndudu ndikupita pa chitoliro, hooka. Mukuyenera kudziwa kuti chitoliro ndi hookah sizowopsa ku thanzi kuposa ndudu, chifukwa nikotini ilinso mwa iwo.

Chinotine ndimankhwala oopsa kwambiri a ndudu; samakhudzana ndi mtima, komanso mitsempha yamagazi muubongo. Zotsatira zoyipa za matendawa ndikudula kwam'munsi.

Zotsatira za chikonga zimatha kusokoneza mitsempha, ndikuti ndizomwe zimapangitsa kuti khungu likhale lofooka - matenda amathetsa endarteritis.

Kusuta, kulephera kwa mtima kumachitika, kuchuluka kwa kuthamanga kwa magazi kumakwera, ndipo magazi amatuluka. Posakhalitsa, wodwalayo amatha kupezeka ndi matenda osokoneza bongo.

Palibe wowopsa kwambiri amene angawononge ubongo, ma genitourinary system, chiwindi ndi ziwalo za m'mimba. Nicotine amagwetsa pansi hemoglobin, chifukwa cha izi, kudzikundikira kwa poizoni ndi cholesterol kumayamba. Thupi limayambitsa champhamvu kwambiri:

Tiyenera kukumbukira kuti atherosulinosis ndi matenda osachiritsika. Kulephera kutsatira kumapangitsa kuti zinthu zisinthe.

Kuti muchepetse chiwopsezo cha zovuta, kukula kwa magawo a atherosulinosis, ndikofunikira kufunsa dokotala munthawi yake.

Muzovuta kwambiri, tikukamba za kupulumutsa miyoyo, osati ziwalo za thupi ndi ziwalo. Mitundu yoyambira ya atherosulinosis imakhala yosavuta kusiya, nthawi zina ingosiya kusuta.

Kusuta kwachangu kumathandizira kwambiri pakukula kwa kusintha kwa atherosselotic, komanso kukula kwa kusuta. Mavuto obwera chifukwa cha utsi wokhala ndi fodya amakhalanso oopsa.

Makamaka, nthawi zambiri matendawa amakula ndi matenda ashuga komanso matenda oopsa.

Zina zomwe zimayambitsa kusuta

Ngati simusiya kusuta, munthu wodwala matenda ashuga kumbuyo kwa vuto la matumbo a coronary oyambitsa ischemia. Zotengera sizimatha kupereka myocardium ndi magazi ofunikira, minofu yamtima imasintha.

Kusuta ndi chimodzi mwazinthu zoyambira kudziwiratu chifukwa kaboni monoxide umayambitsa hypoxia. Ischemia lero imawerengedwa kuti ndi imodzi mwazinthu zazikulu za omwe amasuta. Zimatsimikiziridwa kuti kusuta ndudu 20 tsiku lililonse, kusuta mu 80% ya milandu kumayambitsa kufa ndendende ndi matenda a mtima. Ndi kusuta kwaulimi, izi ndi pafupifupi 30-35% ya milandu.

Madotolo adawona kuti chiopsezo cha matenda amtima wovuta kwambiri kwa osuta osakwanitsa zaka 45 ndiochulukirapo ka 6 kuposa momwe anthu odwala matenda ashuga samakhalira. Ndizodziwika kuti kuchuluka kwa odwala ndi akazi.

Mavuto ena a munthu amene amasuta fodya ndi matenda oopsa, magazi osokonekera. Kuzindikira monga coronary syndrome ndikotheka. Ndi iyo, kuwonjezera pakuchepetsa kuthamanga kwa magazi, kuwonjezeka kwa kuchuluka kwa mafuta pazenera zamitsempha, kuphipha kumadziwika.

Kuphwanya koopsa ndi zotsatira zake, magazi:

• singathe kuyenda bwino m'mitsempha,
• perekani mtima ndi michere
• kupereka mamolekyulu a oksijeni.

Wodwala, woopsa kwambiri, matenda oopsa amakhala nawo limodzi ndi matenda omwe alipo. Izi zikuphatikizapo angina pectoris, kupweteka kwamtima kwambiri, arrhythmia, pambuyo-infarction mtima, kumangidwa kwamtima.

Vuto lalikulu kwambiri lokhudza munthu amene amasuta fodya ndi vuto la kufooka kwa magazi kumakhala vuto la mtima. Ndi iyo, kufa kwa mbali zina za minofu yamtima kumawonedwa.

Malinga ndi ziwerengero, ku Russia ndimatenda amtima omwe amayambitsa kufa 60%.

Momwe mungachepetse zoopsa

Chisankho chodziwikiratu komanso cholondola kwambiri ndichakuti kukana ndudu kwathunthu. Kafukufuku waposachedwa akuwonetsa kuti chiyembekezo cha moyo wa abambo osuta chimachepetsedwa ndi zaka 7, ndipo akazi amakhala zaka 5 zochepa.

Sachedwa kwambiri kusiya kusuta, chifukwa thupi la munthu limatha kuchira komanso kukhala loyera. Zaka 10-15 mutachotsa uchidakwa, zovuta za atherosulinosis zidzachepa kufikira anthu osasuta.

Wodwala Odwala

Ngati simungathe kusiya ndudu yomweyo, ndikofunikira kuti ziwonjezeke. Ndikofunikira kudya mokwanira, chotsani maswiti, mafuta ndi mafuta osuta zakudya. Izi zithandiza kupewa kuchuluka kwa cholesterol ya LDL m'magazi.

Tisaiwale za moyo wokangalika, kupita kokachita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, kuthamanga m'mawa. Ngati ndi kotheka, gwiritsani ntchito mayendedwe ocheperako, gwiritsani ntchito malo oyenda pansi oyenda. Ndikofunika kubwezeretsa pamalo pokweza masitepe.

Njira yabwino yopititsira patsogolo magazi - Cardio:

1. kusambira
2. Kuyenda
3. kukwera njinga.

Ndikofunikira kugona mokwanira, kutsatira machitidwe abwino a tsiku ndi tsiku. Chakudyacho chimafunikira kuti chikwanire ndi zinthu zofunikira. Kusunga mitsempha yamagazi ndi mtima pambuyo posuta kwa nthawi yayitali, ndibwino kumwa mavitamini a magulu B, C, E, folic acid.

Malangizo sangakhale othandiza ngati wodwala matenda ashuga apitiliza kusuta kwambiri, amadzipweteka ndi chikonga. Chifukwa chake, muyenera kuganizira zaumoyo wanu ndikuyesetsa kuthana ndi chizolowezi choyipa.

Kuwopsa kwa kusuta akufotokozedwa mu kanema m'nkhaniyi.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Zonse Zokhudza Cholesterol

• Nikotini
• Carbon monoxide
• Zovuta za fodya

Atherosulinosis ndi matenda achilengedwe. Amakhudza mitsempha ya ziwalo zonse: m'munsi ndi kumbuyo miyendo, mtima, ubongo, matumbo, impso ndi mapapu.

Makoma otupa, pang'onopang'ono kukula, amateteza malo ochepa komwe magazi amayenda. Makoma omwe ali ndi matendawo amakutidwa ndi cholesterol plaque, yomwe pamapeto pake imasanduka zigawo za magazi zomwe zitha kubisa chotengera.

Kusuta ndi atherosulinosis kumathandizira kukula kwa matendawa komanso kumakwiyitsa kupanga mafuta oyipa, omwe akuphatikizidwa pakupanga cholesterol plaques.

Zowopsa zomwe zimayambitsa matenda a atherosulinosis: kusuta, mowa, zakudya zamafuta, kusayenda, shuga, matenda oopsa.

Utsi wa fodya umayambitsa maluwa ambiri osiyanasiyana:

• matenda a mtima
• khansa ya m'mapapo
• kulephera pamimba
• mavuto a chingamu, mano
• mavuto amanjenje
• Kuchepetsa kuwona ndi kumva

Kulowetsa thupi ndi zinthu zomwe zili ndi fodya, pang'onopang'ono zimayambitsa mavuto.

Zakuti kusuta kumayambitsa matenda a atherosclerosis, ambiri amadzionera okha. Kolesterolo wamagazi okwera amawonedwa nthawi zambiri mukakalamba. Komabe, anthu omwe amayamba kusuta ngakhale azaka zaunyamata, pofika zaka 40, ali pachiwopsezo chotenga mavuto a mtima. Chifukwa chogwiritsa ntchito fodya kwambiri, amuna amadwala atherosulinosis kawiri kawiri kuposa akazi.

Osuta kwambiri m'mwazi akuchulukitsa kuchuluka kwa lipids, cholesterol ndi triglycerides kangapo. Chifukwa chake, ubale wolunjika pakati pa kusuta fodya ndi atherosclerosis watsimikiziridwa ndi maphunziro ambiri komanso zowonera.

Kusuta ndudu imodzi kumabweza thupi lonse m'mphindi zochepa. Podziwa mphamvu ya kusuta kwa atherosulinosis, osuta ambiri amasiya ndudu ndikusinthana ndi chitoliro kapena hookah.

Komabe, zovulaza kuchokera pazida izi sizocheperako, popeza palibe fodya wopanda vuto. Ndudu imodzi imakweza magazi ndi magawo 30, imathandizira ntchito ya minofu ya mtima (arrhythmia), imathandizira kufalikira kwa cholesterol khoma lamitsempha chifukwa cha magazi.

Mwazi wamagazi umakhala ndi nkhawa yayikulu pamtima, popeza kupatsa kwake kumafunikira kuchita khama.

Nikotini ndi kaboni monoxide, womwe umapezeka mu fodya wambiri, umakhala ndi vuto pa mtima.

Vutoli, lomwe ndi gawo la fodya, ndi loopsa kwambiri. Zokhudza thupi la munthu ndi motere:

• zimayambitsa kupwetekedwa mtima
• kumawonjezera kuthamanga kwa magazi
• amachepetsa kupereka kwa okosijeni kumisempha yamtima
• amachepetsa kutuluka kwa magazi
• amachititsa kuphipha kwamitsempha yamagazi

Chifukwa chake, kusuta ndi cholesterol malo amodzi ndizogwirizana kwambiri, chifukwa chikonga chimakulitsa chizolowezi cha thrombosis.

Carbon monoxide

Zinthu zomwe zili mu utsi wa fodya zimathandizira kupanga carboxyhemoglobin, yomwe imalepheretsa hemoglobin kulumikizana ndi mpweya. Izi zimathandiza kwambiri pakufikitsa okosijeni ku ziwalo ndi minofu.

Mwa osuta, kuchuluka kwa zinthu zovulazidwazo m'magazi kumafikira 5-6%, pomwe kuli ndi thupi lathanzi kumayenera kusakhalapo. Chifukwa chake, mwa osuta, kuchuluka kwa atherosulinosis kumachulukitsidwa ndi 20% kapena kuposerapo.

Zovuta za fodya

Kusuta kumakhudzanso atherosulinosis mwanjira yoti zoipa zoyipa za fodya sizingakhudze mtima wam'thupi, komanso mitsempha ya ubongo.

Imfa zochokera ku maudu osuta zimapezeka kawiri konse kuposa anthu omwe sagwiritsa ntchito fodya.

Pakadali kotheka, munthu amagwa ndi dementia (dementia), sangadzipulumutse yekha, kuzunza abale ake ndi abwenzi.

Zovuta za kusuta pamtima ndi sinusoidal arrhythmias, matenda amitsempha yamagazi, komanso kuwundana kwa magazi ku msempha. Zotsatira zake, utsi wa fodya umayambitsa zosokoneza mu ntchito ya minofu ya mtima, zomwe zingayambitse kulowetsedwa kwa myocardial.

Kusuta fodya ndi mtima atherosulinosis kumayambitsa zotsatira zoyipa zam'munsi - - kudulidwa. Kuperewera kwa okosijeni komanso kuperewera kwa minyewa ya miyendo kumayambitsa necrosis ndi gangrene.

• osuta akuvutika ndi m'mimba thirakiti ndi chikhodzodzo
• Azimayi omwe amasuta panthawi yoyembekezera amakhala pachiwopsezo chokhala ndi mwana wobadwa nawo wa mtima ndi ubongo
• anyamata achiwerewere amakhala opanda mphamvu

Kusuta fodya kumathandizanso kwambiri pa thanzi labwino. Anthu ali m'chipinda chimodzi omwe amasuta fodya komanso utsi wa fodya, womwe umakhudza thanzi la m'mitsempha yamagazi ndi m'mapapu.

Kusiya kusuta ndi atherosulinosis kumachepetsa chiopsezo cha matenda amtima komanso mwayi wamatenda obwera chifukwa cha matenda a m'matumbo. Kuphatikiza apo, anthu omwe amasiya kusuta amalimbitsa chidwi chawo, kusintha mawonekedwe, kuwoneka bwino m'thupi, kupweteka mutu komanso kulemera m'miyendo kumachepa.