Atherosulinosis ya ziwiya zamkati za ubongo

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

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

Atherosulinosis yamitsempha ya chithokomiro ndimatenda omwe amayamba chifukwa cha kuwonongeka kwa ziwiya zaubongo ndi ma cholesterol amana. Ndi kukula kwa nthawi yayitali kumabweretsa imfa. Ndikofunika kuyambitsa chithandizo chanthawi.

Cerebral atherosulinosis

Cerebral atherosulinosis imakulitsa kufalikira kwa chithokomiro, ndimtundu wa dementia. Imapezeka mwa anthu azaka 20, koma imawonedwa kwambiri mwa okalamba.

Cerebral atherosulinosis yokhala ndi matenda oopsa amadziwika ndi kusiyana kwakukulu mu systolic ndi diastolic magazi. Zipsinjo poyambira sizikukwera kwenikweni, koma pamapeto pake zimangokhala zokhazikika. Izi zimawopseza wodwala ndi lamanzere lamitsempha yamagazi hypertrophy, stroke kapena encephalopathy, yomwe imakhala muimfa ya mitsempha yaubongo chifukwa chakutha kwa magazi ndi kuchepa kwa mpweya wabwino.

Magawo a matenda a mtima

Cerebral atherosulinosis ya ziwiya zamadzimadzi imayamba chifukwa cha matenda omwe amachitika chifukwa cha kusokonezeka kwamafuta kagayidwe m'thupi. Matendawa amayamba ndi kuyika kwa cholesterol pazitseko zamkati za mtsempha wamagazi (mapangidwe a lipid mawanga). Pang'onopang'ono, izi zimasandukanso mafuta ndipo zimayamba kukhazikika ndikuphimbidwa ndi minofu yolumikizana (liposulinosis). Zolembera za atherosclerotic zimachitika. Imayamba kutseka gawo la chotengera, ndikupangitsa magazi osakwanira ku ziwalo zapafupi (atherocalcinosis). Kudumpha kwa chotengera kumachitika (kuwonongeka).

Zidole za cholesterol zimadziunjikira m'mitsempha yayikulu komanso yapakati ya ziwalo. Malo amafuta amapezeka m'mitsempha yaying'ono, ndipo ma capillaries ang'onoang'ono samakhudzidwa ndi ubongo wa atherosulinosis.

Amayambitsa Atherosulinosis a Bongo

Atherosulinosis ya mitsempha ya chithokomiro imachitika chifukwa cha kuwonongeka kwa chiwindi, kulephera kwake kubereka kwambiri kachulukidwe “cholesterol” (HDL). Ili ndi anti-sclerotic katundu, imapatsa ziwiya zotanuka ndi mphamvu. Pakachitika vuto la chiwindi, thupi limayamba kupanga maselo am'mimba kuchokera ku cholephera "cholakwika" chochepa. Amakhala akhakula komanso opanga.

Zomwe zimayambitsa matenda amisempha ya ubongo

Hypodynamia - kusafuna kuchita zolimbitsa thupi zolimbitsa thupi.
Kuzolowera zakudya zamafuta kumadzaza chiwindi, chomwe sichitha kuthana ndi mavuto abwinobwino.
Kupsinjika kwakanthawi, kulephera kuthana ndi vutoli kumayambitsa kuchuluka komanso kugwira ntchito mopitirira muyeso. Kumasulidwa kwa makatekolamaini m'mitsempha, komwe kumabweretsa kuphipha kwa mitsempha ndikupita ku ischemia.
Hypertension imapangitsa mavuto osafunikira pazombo zosalimba.
Matenda a shuga amasokoneza kagayidwe ka mafuta.
Zizolowezi zoyipa ndi kuperewera kwa chilengedwe kumachulukitsa matendawa.
Kunenepa kwambiri
Matenda a mahomoni omwe amaphatikizidwa ndi kusamba.
M'badwo - anthu okalamba amatha kugwidwa ndi matenda a minyewa ya m'magazi.
Choyipa.

Zizindikiro za matendawa

Kuzindikira matenda a ubongo m'magawo oyamba kumakhala kovuta kwambiri. Zizindikiro za matendawa zimatengera gawo lomwe wodwalayo ali.

Zizindikiro zoyambirira zomwe zimavutitsa munthu ndimutu. Zomwe zimachitika ndi cholesterol plaque chotchingira chotengera. Zotsatira zake, kuperewera kwa okosijeni ku ubongo kumachitika. Chifukwa chake, mutu wowuma, wopweteka, ukusandulika kwamuyaya. Kutopa kumawonjezeka, kugwira ntchito kumachepa. Kusowa tulo usiku. Odwala amavutika ndi zomwe zimasintha mofulumira. Kupanda mgwirizano kumachitika.

Pambuyo pake, zatsopano zimawonjezeredwa ndi zizindikiritso za ziwongo zamatumbo: kuiwala kukumbukira, tinnitus, chizungulire, shaky gait. Izi zikuchulukirachulukira chifukwa cha vuto laubongo, mawonetseredwe awo amakhala limodzi ndi zizindikilo zosiyanasiyana zomwe zimatengera gawo la chotupa cha ubongo. Kusintha kwa carotid mtsempha wamagazi, dzanzi ndi kuphwanya kwamphamvu kwa theka lathupi kumachitika. Ngati vuto laubongo likukhudza gawo lamanzere, khunyu komanso kusokonekera kwa mawu ndizotheka. Ngati gawo lam'kati mwathupi mwakachetechete ndi kuwona kwamaso, kumeza ntchito.

Kutalika kwa ischemic kuukira osaposa masiku awiri. Wodwala pambuyo popanda kukumbukira. Ngati zimatha kuposa nthawi yomwe ikunenedwa, kumenyedwa kwa ubongo kumachitika. Stroke is is ischemic (yowonetsedwa ndi kutsekeka kwa cholesterol plaque mu lumen chotengera) ndi hemorrhagic (matenda a chotupa cha m'magazi amapezeka motsutsana ndi maziko azotupa a chotengera).

Pa gawo lomaliza la matendawa, zizindikiro za matenda amtunduwu zimasonyezedwa motere: Kusayang'ana kwathunthu pazinthu zonse, kusakhazikika mu nthawi ndi malo, kusokonekera kwamphamvu pakukodza. Kuyankhula kumakhala kotayika kotheratu, ziwalo zimalowa.

Momwe mungagwiritsire matenda a ubongo a atherosulinosis ayenera kuikidwa ndi akatswiri monga akatswiri amisala ndi othandizira. Kuzindikira matenda poyambira kumakhala kovuta kwambiri. Koma akapezeka molondola kumayambiriro kwa matendawa, zotsatirapo zake zimakhala zabwino.

Zizindikiro

Kuti mudziwe bwino, muyenera kupeza mayeso angapo:

Kuyesa kwa magazi a INR, mbiri ya lipid,
Ma Ultrasound a mitsempha (yamkati komanso yamkati carotid) yokhala ndi dopplerography,
angiography yogwiritsa ntchito iodine mosiyanasiyana: kuyesedwa kwa X-ray, gawo lomwe lili m'mitsempha limawunikiridwa,
EEG imawulula kuphwanya kwamphamvu kwa ubongo,
MRI ndiyo yoyeserera kwambiri.

Kupewa

Chithandizo cha matumbo a ziwongo zimatengera makamaka matendawa. Pa gawo loyamba, ndikokwanira kutsogola moyo wathanzi, kutsatira zakudya, kuyenda maulendo ataliatali mlengalenga. Osamadya zakudya zomwe zimakhala ndimafuta ndi cholesterol. Phatikizaninso masamba, zipatso, mkaka, nsomba ndi nsomba zam'madzi muzakudya zanu. Njira zonsezi ndizothandiza monga kupewa, ndipo poyambira matendawa amatha kuthandizira.

Mankhwala

Mu gawo lotsatira, chithandizo chikuchitika moyang'aniridwa ndi dokotala. Ndikofunikira kugwiritsa ntchito mankhwala a magulu otsatirawa:

Osagwirizana (aspirin, clopidogrel) amachepetsa mwayi wamagazi ndi kugunda.
Mankhwala a Hypolipidemic amagwiritsidwa ntchito kuti achepetse kupitilira kwa atherosulinosis, amasintha magazi. Zothandiza kwambiri ndi ma statins: Atorvastatin, Rosart, Simvastatin. Ayenera kutengedwa moyo wawo wonse, kusintha mankhwalawa malinga ndi zotsatira za kusanthula kwa lipid. Mankhwalawa ali ndi mavuto ambiri: amathandizira pakukula kwa matenda ashuga ndi matenda amkati.
Mankhwala othandizira kutupa
Mankhwala a Vasodilator amachotsa kuphipha, kuwonjezera magazi kupita ku mitsempha. Akatengedwa, zizindikiro zimachepa. Izi ndi monga: Eufillin, Papaverine, Diprofen.
Mankhwala othandizira antihypertensive ndi amodzi mwa ofunikira kwambiri pakuchiza matenda amtundu wa m'magazi, chifukwa amachepetsa chiopsezo cha matenda a sitiroko ndi encephalopathy, komanso kuchepa kwa ntchito yaubongo. Captopril, Lozartan, Moxonidine - mankhwala a gululi.
Mankhwala osokoneza bongo: Piracetam, Picamilon - kusintha kufalitsidwa kwa ubongo, sinthanso ubongo ntchito.

Njira zopangira opaleshoni

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

Pomaliza gawo la atherosulinosis yaubongo, kulowererapo kwa opaleshoni kumagwiritsidwa ntchito. Stenosing atherosulinosis imayendetsedwa poyera pamitsempha yamkati komanso yamtundu wa carotid. Kupyola pakubowoleza pakhosi, adotolo amatsegula malo omwe akhudzidwa ndikuchotsa chidikacho pamodzi ndi nembanemba wamkati. Kenako amasinkhana ndikumayikamo ngalande pang'ono. Kuchita kotereku kumachitika motsogozedwa ndi ultrasound ya ubongo ziwiya.

Pa mitsempha ya m'mimba ya m'magazi, ntchito yolumikizira imachitika ndikuyika baluni yomwe imaphwanya chithaphwi, ndipo stent imayikidwa patsamba lino. Pambuyo pa opaleshoni iyi, dokotala amafotokozera kuti akhale osagwirizana ndi moyo wonse.

Zotsatira zake

Pa gawo loyambirira la matendawa, matendawa ndi abwino. Ngati malingaliro onse atsatiridwa, ndizotheka kuthetsa zomwe zimapangitsa kuti matenda apitirire.

Ndi kusintha kwa matenda kupita pagawo lachiwiri, sizingatheke kuti muchotse matenda a atherosulinosis, mutha kuyimitsa chitukuko chake, kupewa kupezeka kwa sitiroko ndi encephalopathy.

Gawo lachitatu lithandizira kuti wodwalayo aphedwe ngati sanachitepo kanthu opaleshoni.

Cerebral atherosulinosis ya ubongo imasintha kwambiri umunthu wa wodwalayo. Makhalidwe ake amasintha, pali zovuta m'mutu, mutu, chizungulire. Komanso mavuto am'deralo: kutaya masomphenya ndi kuyankhula. Ndikofunikira koyambirira kuzindikira matendawo, ndikuyamba chithandizo.

Njira zodziwira matenda amisempha

Kuti mupeze matenda a atherosulinosis a intracranial mtsempha, kuyesa kwa ultrasound, kulingalira kwa maginito, kusakanikirana kwa digito, kuyamwa kwa digito kumafunika. Muyezo wazomwe mungadziwike ndi njira yodziwika bwino, koma munthawi yomweyo ndizosoweka, zimafunikira kuyambitsa njira ina. Zimaperekanso chiopsezo cha kuchepa kwa mitsempha.

Ponena za kulondola kwa njira zomwe sizikufuna kugwiritsa ntchito zida zamankhwala ndi zida, chidziwitso mulibe. Popeza mawonedwe a lumen amatengera kutsika kwa magazi, kuopsa kwa zotupa zam'mimba zitha kupotozedwa.

Kupatula kuwonongeka kwa mitsempha ya intracranial, transcranial dopplerography, MRI imachitidwa, koma ndiosadalirika kokwanira kuti athe kuzindikira kukhalapo kwa stenosis ndikukhazikitsa kuuma kwake. Dopplerography imapereka lingaliro la boma la zombo zapamtunda, zimathandizira kudziwa kuyambiranso kwa cerebrovascular.

Njira yachikhalidwe yodziwitsira matenda imangoyambitsa kukhazikika kwa mitsempha.

Chifukwa chake, pali zophophonya zingapo, makamaka zosatheka kuzindikiritsa:

mbiri ya zolembazo,
kuchuluka kwa kusakhazikika kwamiyala,
zoyambitsa zina za stenosis.

Pakadali pano, maginidwe a maginito oyeserera, mayeso a intravascular ultrasound apeza tanthauzo lapadera. Njira zimathandizira kuphunzira matendawa mwatsatanetsatane. Izi ndizofunikira makamaka kumayambiriro kwa matendawa, pomwe lumen ya mtima imakhudzidwa pang'ono.

MRI imathandizira kuwona chovala chamwazi, kuwona momwe zimapangidwira, kukhazikitsa mawonekedwe, kupezeka kwa zotupa, kuchuluka kwa zochitika zamitsempha. Kafukufuku wamatsenga amawululanso kukha magazi kwakanthawi, kapangidwe kake, kwakukulu. Maluso amtunduwu amapereka mwayi wokopa zoopsa ndi njira zamankhwala zochizira matenda a atherosulinosis of intracranial mtsempha wamagazi.

Njira zofufuzira zopitilira patsogolo ndizofunikira kwambiri pakuwonongeka kwa sitiroko komanso chifukwa chosagwira ntchito yamitsempha, ngati mawonekedwe a malo sangapezeke chifukwa cha njira zakale zakuwonera matenda.

Zizindikiro zamankhwala

Pozindikira, zizindikiro za m'deralo za matenda ndizofunikira kwambiri. Ngati munthu ali ndi atherosulinosis ya mitsempha yomwe imapatsa medulla oblongata, amayamba kupuma a Cheyne-Stokes. Ndi kuwonongeka kwakanthawi kwa kupuma, cyanosis, kupindika kwa minofu ya nkhope kumawonedwa. Kusowa kwa malankhulidwe, khungu, ugonthi, kupuwala miyendo ndizotheka.

Kuyamba kwakanthawi kochepa kumachitika chifukwa cha kupindika kwa mitsempha ya muubongo, ndikukhala ndi mawonekedwe osinthika, lumen imatseka, ndipo gawo lotsatira la matendawa, zinthu zam'mitsempha zimachepa.

Ndi ochepa ma occlusion, minofu ya muubongo imamwalira. Ndi kupasuka kwa makoma a mitsempha, hemorrhage mu minofu amadziwika. Thrombosis imayambitsa matenda aubongo, kuthamanga magazi. Zowonongeka m'malo ofunikira zimayambitsa imfa. Odwala amayenera kuyang'aniridwa ndi katswiri wamatsenga ndi psychiatrist.

Zizindikiro zowopsa za atherosulinosis ya mitsempha ya intracranial ndi:

Stenosis ya chapakati chithokomiro cham'mimba chimapereka infarction ya lacunar, ischemia m'dera loyandikana ndi magazi. Stenosis ya kumtunda kwa carotid imawonetsedwa ndi mphamvu yolimba, nkhani ya imvi imaphatikizidwanso mu pathological process. Pankhaniyi, kuchepa kwa mitsempha kumayamba kutchulidwa kuposa kufooka kwa mitsempha ya chithokomiro.

Kuphatikiza pakukhumudwa kwa magalimoto ndi ma motor pamitsempha ya caudate, gawo la imvi kapena thalamus, wodwala matenda ashuga atha kukhala ndi vuto la kuzindikira. Amakhala opanda matenda amtima chifukwa chakuchepa kwa kufoka kwa m'magazi. Njira ya asymptomatic ya matendawa siyipatula, pomwe izi zimapangitsa kuti matenda azitsamba azimva pokhapokha atayamba kuchita zinthu zingapo.

Atherosulinosis ya mitsempha ya intracranial imatha:

kupita patsogolo
kukhazikika
bwereza.

Palibe zizindikiro, zotsatira za matendawa amakhulupirira kuti ndizabwino. Ndi malekezero amkati mwa mitsempha ya m'mimba yapakati, mphamvu zabwino zimanenedweratu. Ma neoplasms amawerengedwa, amadziwika ndi kuwonjezereka kwa embolism. Phunziroli, madotolo amawona kusiyana pakati pa njira ya stenosis ndi kutulutsa.

Atakhazikitsa makina oyamba a sitiroko yoyamba, dokotala amatha kulosera zamankhwala omwe amabwerezedwa kawirikawiri matendawa.

Nthawi zambiri, zotupa za atherosulinotic zimapezeka m'matumbo am'mimba komanso mkati mwa carotid mtsempha wamagazi.

Chithandizo ndi Kupewa

Chithandizo cha atherosulinosis ya mitsempha ya intracranial imathandizira kupewa kuyambiranso kwamatenda oyenderera.

Pazifukwa izi, kuyang'anira kuchuluka kwa kuthamanga kwa magazi, kusintha kwa zizindikiro za chinthu monga mafuta kumasonyezedwa. Kuwongolera mwaukali pazinthu zomwe zatsala ndikuwopseza kumachitika: kuchepa thupi, kuwonjezera zolimbitsa thupi, kukana zizolowezi zoyipa, kukonza glycemia wabwinobwino. Kuphatikiza apo, mankhwala a antithrombotic adzafunika.

Monotherapy yokhala ndi antiplatelet othandizira imakondedwa, kupewa kupewa kubwereranso koyambirira m'magawo oyambawo, chithandizo cha antiplatelet kawiri chimasonyezedwa. Kumwa mankhwala kumaphatikizidwa ndikukonzanso kwamphamvu kwa zinthu zomwe zimayambitsa matenda.

Kwa nthawi yayitali, kuyesayesa kunachitika pakuchita opaleshoni ya atherosulinotic stenosis ya mitsempha ya intracranial, zotulukapo za matendawa. Njira yoyamba kuphunzira inali kugwiritsa ntchito anastomosis yowonjezera intracranial. Komabe, pakadali pano njira siyikugwiritsidwa ntchito kwambiri.

Nthawi zambiri, njira zamakono zamankhwala zimachitidwa:

kulowererapo kwa mtima pogwiritsa ntchito balloon angioplasty ndi kununkha,
balloon angioplasty.

Kuthandizira opaleshoni nthawi zonse kumapereka zotsatira zabwino, stent ndiyosavuta kukhazikitsa. Komanso, nthawi zina, amakonda kupatsidwa mankhwala.

Mu asymptomatic atherosulinosis, kupewa kwakukulu kwa ischemia kuyenera kuchitika, kukumbukira zinthu zomwe zingayambitse ngozi. Popeza pali kuthekera kwa kupitirira kwa zotupa za atherosulinotic, ndikofunikira kuwunika momwe mitsempha imakhalira kamodzi pazaka ziwiri zilizonse.

Stenosis ya mitsempha ya intracranial imatsutsana ndi maziko a kukomoka kwa magazi a mitsempha, mapangidwe a zigawo za mafuta ochepa. Odwala otere amafunika kupereka mankhwala ndi zotsatira:

neurotrophic
antihypoxic,
kagayidwe.

Actovegin ili ndi malo awa, ili ndi mbiri yabwino yotetezeka.

Kafukufuku wasonyeza kugwirira ntchito bwino kwa Actovegin panthawi yochizira odwala okalamba omwe ali ndi mtima wofatsa wa dementia, kuphatikizira mtima wa etiology. Kuchiza kumayendetsedwa ndi kusintha kwakukulu pamakhalidwe, zotsatira za maphunziro a neuropsychological.

Actovegin amakhudza chidwi, kukumbukira, bwino psychoemotional mkhalidwe odwala matenda ashuga, ndipo amalepheretsa kukula kwa zovuta za atherosulinosis. Ndikotheka kuchepetsa kuuma kwa asthenic, zizindikiro zosautsa, kusintha kugona, zonse kukhala bwino.

Endoterioprotective effect, zotsatira zabwino pa microcirculation zatsimikizidwanso mobwerezabwereza. Kuphatikizidwa kwa mankhwalawa mu regimen yothandizira odwala omwe ali ndi intracranial atherosulinosis, limodzi ndi njira zopewera, kumathandiza kuthetsa kulephera kwa magazi mu ubongo komanso kukonza mkhalidwe wa wodwalayo.

Monga mukuwonera, atherosulinosis ya mitsempha ya intracranial ndiyofunikira kwambiri pakukonzekera kwamatenda oyenda mozungulira, imapereka njira yapadera yodziwira matenda komanso mankhwala. Chifukwa cha kupita patsogolo pakuphunzira matendawa ndi njira zake zofufuzira, munthu akhoza kudalira mphamvu zoyambira zamomwe zimayambira.

Njira zochizira matenda a atherosulinosis zimakambidwa kanema munkhaniyi.

Atherosulinosis ya mitsempha ya chithokomiro - zizindikiro ndi chithandizo

Atherosclerosis ndi matenda owopsa omwe amakhudza mitsempha ya magazi muubongo. Ndi iyo, magawo a cholesterol amana amapangidwa pa chipolopolo chamkati cha mitsempha, amachititsa kufupikitsa kwa lumen kwa ziwiya mpaka kufalikira kwathunthu.

Ndi blockage yowonjezera pang'onopang'ono, zizindikiritso za ubongo wozungulira ubongo zimatsimikiza kuchuluka kwa magazi osakwanira ku ubongo. Ndi kutsekeka mwachangu kwa lumen ya mitsempha ndi thrombus kapena zomwe zili mu cholesterol plaque, ubongo wa necrosis umapangidwa.

Vuto la atherosulinosis ndikuti nthawi yoyambirira matendawa sakumva, ngakhale stenosis yamitsempha pa 2/3 siyikupereka chithunzi chowoneka bwino cha matendawa, koma imangoyambitsa chizungulire komanso tinnitus, yomwe munthuyo amamuuza kuti apanikizika kapena kugwira ntchito mopitirira muyeso.

M'nkhaniyi, tikambirana za zomwe zimayambitsa matenda a ubongo ogwidwa ziwalo zam'mimba, Zizindikiro ndi njira zamankhwala othandizira. Kuphatikiza apo, lingalirani za kadyedwe kochepetsera cholesterol yamagazi.

Matenda a ubongo. Izi ndi chiyani? Gulu

Atherosclerosis yamitsempha yamatumbo ndi matenda enaake omwe ziwiya zamutu zomwe zimapatsa chiwalo ndi okosijeni komanso michere imachepetsedwa ndikuchokera kwa cholesterol mkati mwawo. Matendawa amatchedwa matenda a chithokomiro, koma izi sizowona. Ndi atherosclerosis yaubongo, ziwiya zonse zimakhudzidwa, kuphatikiza ma capillaries, ndipo ndimagazi amafuta a cholesterol amapangidwa kokha m'mitsempha yayikulu komanso yapakati.

Ndi atherosclerosis ya ubongo, pachimake kapena kuperewera kwa kufalitsa kwa ziwalo kapena ischemia ya minofu ya ziwalo imayamba. Kuphatikiza apo, kusintha kwa pathological komwe kukuwonetsedwaku kumakhala ndi vuto losakhwima lodzionetsera (likukulitsa) patatha zaka 50.

Odwala omwe ali ndi vuto la ubongo la nthawi yayitali samakayikira kupezeka kwa matenda.

Kugawidwa kwa matendawa kumasiyanitsa magulu otsatirawo a matendawa, kutengera malo ndi mayina a ziwiya zomwe zimapezeka mu cholesterol:

Ndi atherosulinosis ya magawo akunja am'mutu, carotid mitsempha (yofala, yakunja ndi yamkati), brachiocephalic thunthu, mitsempha yam'maso ndi nkhope, maxillary, occipital ndi vertebral mitsempha imakhudzidwa. Kuphatikiza apo, mitsempha yapamwamba kwambiri yakanthawi kochepa komanso yam'mbuyomu imakhudzidwa.
Ndi atherosulinosis ya mitsempha yamkati ya ubongo, minyewa yam'manja yakumbuyo yakumanja, kumanzere kwam'mimba kwa mitsempha, mitsempha ya mbali ndi kumanja yamatumbo imakhudzidwa.
Ndi kufalikira kwa atherosulinosis, magulu onse am'mitsempha amakhudzidwa (onse akunja ndi intracranial), komanso ziwiya zazing'onoting'ono za ubongo ndi ma capillaries zowonongeka zingapo.

Magulu onse awiri a atherosulinosis a mitsempha ya ziwongo amatsogolera pakuwombana kwakukulu pakuchepa kwa ziwiya zing'onozing'ono ndi ma capillaries, zomwe zimakhudza kugwira ntchito kwa mtima wamanjenje.

Mwa mtundu wa kusintha kwamatumbo akulu mu matenda, mitundu iwiri yamatenda imasiyanitsidwa:

Ndi ma stherotic atherosulinosis omwe sakhala stenotic a mitsempha yayikulu ya mutu, zotengera sizitaya kusintha, ndipo kupendekera kwa lumen kumatheka chifukwa cha cholesterol yoyikidwa pamakoma.
Ndi stenotic atherosulinosis ya mitsempha yayikulu ya mutu, makoma amitsempha m'malo ena amachepera chifukwa chakuwonjezeka kwa kuchuluka kwa minofu yolumikizana. Sangatambasule (chifukwa) chomwe chimatchedwa kuti kupindika (stenosis) chimapezeka nthawi zonse.

Zokhudza gulu la mtunduwu, matendawa atha kukhala ndi zotsatirazi:

ndi njira yobwererera, matendawa amapita patsogolo pamafunde - zizindikirizo zimayamba kukula, koma pakati pakuchulukitsa kumakhala nthawi yayitali yopumula kapena kukhululuka,
ndi atherosulinosis yomwe ikudutsa pang'onopang'ono, ziwonetsero zimakhalapo nthawi zonse, koma kulimba kwake kumawonjezeka pang'onopang'ono, ndipo nthawi yosakhalapo kwathunthu sikukhazikika,
pachimake, Zizindikiro zimachitika mwadzidzidzi ndipo zimakula kwambiri ndikuwonongeka kwamankhwala m'thupi,
ndi kukulira koipa mwa odwala, pamakhala chitukuko champhamvu cha ischemic stroke, kenako dementia ndi dementia.

Ngati simukupeza matenda ndi kuyamba kwa matenda a matenda a m'magazi munthawi yake, mu 90% komanso pafupipafupi, odwala amapeza kusintha kwamkati mwa dongosolo lamanjenje.

Zizindikiro za matenda amiseche

Pankhani ya kukula kwa ziwalo za m'magazi, zizindikiro zoyambirira zimapweteka pamutu wonse, zomwe nthawi zina zimawonekera koyambirira, kenako kukula kwake ndi nthawi yayitali.

Pali kusintha komwe kumachitika kugona ndi kugona: kugona tulo, kugona tulo, kugona tulo, kugona tulo masana. Odwala amazindikira kutopa konse, kuchepa kwa ntchito.

Makhalidwe ndi zizolowezi zimasintha: Kusintha kosinthasintha kwa kusinthasintha, kusakwiya, kulira, kusakhutira ndi moyo ndipo onse omwe ali pafupi ndizotheka.

Nthawi zina pamakhala kusagwirizana komanso kuchepa m'mayendedwe ena.

Mwa anthu ambiri, zizindikiro za atherosulinosis zimadziwonetsera mosiyanasiyana, china chilichonse matendawa chimatha kuwerengedwa chowopsa pazifukwa zomwe ndizovuta kudziwa. Ndipo sikuti ndizovuta kudziwa nthawi komanso zovuta kudziwa, koma choti anthu ambiri samvera chidwi ndi zomwe zimayambitsa matendawa, nthawi zambiri amayamba chifukwa cha kupweteka kumutu, kutopa ndi migraine.

Kutengera maphunzirowa ndi kupitilira kwa zizindikiro zomwe zili pamwambapa za matenda amadzimadzi am'magazi, magawo angapo amadziwika:

Gawo loyamba. Silinatchulidwepo, koma munthu yemwe amayang'anira thanzi lake amawona kusintha, monga kugwira ntchito kwambiri pambuyo poyeserera thupi, chizungulire, kupweteka kwa mutu, kuchepa kukumbukira ndikuchita. Zizindikiro zoterezi nthawi zambiri zimawonekera masana, koma pambuyo pakupuma kapena kugona zimachoka zokha.
Gawo la kupita patsogolo. Pakadali pano, munthu amakonda kuchita mopambanitsa mphamvu zake ndi luso lake, kuwaimba ena chifukwa cha zolephera zake. Pali kuwonjezeka kwa zizindikiro za gawo loyamba. Amalumikizidwa ndi nkhawa, kukhumudwa, kukayikira. Chizungulire, kusakhazikika pansi, kunjenjemera kwa zala kapena mutu, kuyankhula kwamwano, kapena kuthamangitsidwa ndi chakudya zimadziwika nthawi zina.
Gawo la kubwezera. Gawo lovuta kwambiri la matenda a ubongo ochitidwa ndi ubongo, omwe amadziwika ndi kuiwalika, kukhoza kuganiza ndi kudzipereka nokha. Pakadali pano, ziwalo, mikwingwirima imapezeka kawirikawiri. Chisamaliro chofunikira chimafunikira.

Cerebral atherosulinosis imatha kudzetsa vuto la kuchepa kwa magazi m'magazi komanso kukulitsa kwa matenda ena okokomeza m'mimba, komanso kuvulala kwamitsempha yayitali.

Chithandizo cha matenda amadzeru

Njira yochizira matenda a atherosulinosis ndi yayitali, ndipo nthawi zambiri, njira yotalikitsa moyo. Pankhaniyi, zolinga zamankhwala ndizo:

kuchepetsedwa kwa mawonekedwe a ischemic,
kubwezeretsa kwa gawo la maselo ndi ntchito zawo,
kuteteza zotsatira zoyipa za sitiroko,
kusintha kwa mafuta kagayidwe kuti athetse cholesterol "choyipa".

Dokotala wamitsempha amatenga njira yothetsera izi, maudindo ake akuphatikizira kuzindikira anthu omwe ali ndi mavuto omwewo, kuwunika kukula kwa matendawa ndikukhazikitsa njira zochizira. Choyamba, amatchedwa kupititsa magazi ku ubongo, ndikukhala prophylaxis ya arterial thrombosis.

Opaleshoni

Ndi kusagwira ntchito kwa mankhwala, opaleshoni ndiyotheka. Chizindikiro chake ndi kuyesa kwa ultrasound, pomwe 70% kufupika kwa kufalikira kwa chotupa cha ziwongo kumawululidwa. Zimafunikira kukambirana ndi dokotalayo yemwe amasankha mtundu wa opareshoni.

Carotid endarterectomy imagwiritsidwa ntchito nthawi zambiri, momwe khoma la chotengera lomwe limakhudzidwa limatayidwa, thrombus imachotsedwa, mtsempha wam'mimba umabwezeretseka ndikuwotcha. Komanso, mtundu watsopano wa ntchito wakhala ukuwoneka posachedwa - angio pulasitiki. Catheter imayikidwa m'mitsempha, yomwe imakulitsa chotengera, chifukwa chomwe magazi amayenda ndikubwezeretsanso cholesterol.

Nthawi zina, kukakamira kumatha kugwiritsidwa ntchito. Kuti muchite izi, chingwe cholumikizira chimayikidwa mchombo, chomwe chimafalitsa mtsempha wamagetsi ndikugwira mawonekedwe ake.

Kuchita bwino komanso kugwira ntchito bwino kwa mankhwala a atherosulinosis kumatengera ndi zakudya. Nthawi zambiri, anthu onenepa kwambiri amakhudzidwa ndi matendawa. Pofuna kupewa zovuta za matendawa ndikuthandizira kuchira, muyenera kupanga zakudya zamtundu wazakudya.

Zakudya za cholesterol zapamwamba siziyenera kuphatikizidwa ndi zakudya:

Mafuta ndi nsomba,
Zakumwa zoledzeretsa
Chocolate, makeke, muffin, cocoa,
Mafuta ndi msuzi wamafuta ambiri,
Chiwindi, ubongo, impso,
Mitundu yonse yamafuta ndi mafuta a nyama,
Zonunkhira, mchere wamchere,
Kofi, tiyi wakuda wamphamvu.

M'malo mwa mafuta azinyama, mutha kugwiritsa ntchito mafuta amadzimadzi ochokera kumitengo. Chofunika kwambiri ndi mafuta omwe ali ndi mafuta ochulukirapo a polyunsaturated acids a gulu la Omega: Omega-3, Omega-6, Omega-9. Amakhala ndi mafuta ambiri amtundu wa olive ndi maolivi. Ngakhale zili ndi zopatsa mphamvu zambiri, zinthuzi zimathandizira kuyeretsa ndi kulimbitsa mitsempha yamagazi, kubwezeretsa kuchepa kwawo, komanso kusintha momwe kagayidwe kazinthu zimapangidwira.

Tsatirani boma

Wodwala wazaka zilizonse amafunikira kuchita masewera olimbitsa thupi. Kuyenda maulendo atali, kusambira, makalasi mu Gulu la Zaumoyo ndi othandiza. Sikulimbikitsidwa kuchita masewera olimbitsa thupi. Panjinga yochita masewera olimbitsa thupi, muyenera kukhazikitsa modekha.

Wodwala amafunikira zabwino. Athandizira kuchotsa zovuta zoyipa za m'moyo. Pakati pa banja, ndikofunikira kupereka ntchito ndi upangiri wa okalamba. Chidziwitso chake ndi zomwe akuyenera kudziwa ziyenera kuyesedwa ndi abale.

Tiyenera kumvetsetsa kuti matenda amtundu wa chithokomiro amatchulidwa kuti ndi matenda osachiritsika, motero chithandizo nthawi zambiri chimakhala nthawi yayitali. Kutengera nthawi yodziwitsa za matendawa omwe adapezeka komanso chithandizo chake chidayamba, kudutsaku kumadaliranso.

Pochita akatswiri a mitsempha, mitundu yayikulu ya matenda am'madzi amadzimadzi amadziwika, omwe, komabe, adalola anthu kuti azingokhala nthawi yayitali, komanso akhale othandizira. Komabe, nthawi zambiri pamakhala kuwonetseredwa kachipatala koyamba chifukwa cha matenda.

Chifukwa chake, madokotala amatenga mbali yofunika kwambiri pakuwonetsetsa matendawa panthawi yake komanso chithandizo chake choyenera.

Zoyambitsa Atherosulinosis

M'malo mwake, asayansi sanaphunzire bwino za etiology, matendawa amagawidwa pawiri: kodi zotsatira za ukalamba wachilengedwe kapena matenda a atherosulinosis ndi matenda amitsempha?

Koma polankhula zazomwe zimapangitsa kuti matendawa afotokozedwe, poyambirira, ndikofunikira kudziwa zomwe zimayambitsa kupezeka kwa cholesterol plagi pamakoma a chotengera. Popeza ndizochita zomaliza zomwe zimapangitsa kukula kwa matenda a ubongo.

Amadziwika kuti matenda aliwonse omwe amaphatikizidwa ndi kupanga osakwanira kapena kuwonongeka kwa mafuta m'thupi ndi zotsatira zake, monga lamulo, la kusokonezeka kwa lipid (mafuta) metabolism. Vutoli limaphatikizapo atherosulinosis ndi kunenepa kwambiri, chifukwa chake anthu omwe amakonda kuchita zodzaza mseru amatha. Zifukwa zomwe zimathandizira kuti matendawo ayambire ndi:

moyo wongokhala (kusowa masewera olimbitsa thupi),
zosokoneza kagayidwe,
genetic factor (cholowa),
kukhalapo kwa matenda a endocrine,
zizolowezi zoipa (kusuta, mowa),
zakudya zosayenera (kuchuluka kwa mafuta ndi mafuta m'thupi).

Samalani zomwe zikuwonetsa kukangana.
Zovuta zamtunduwu zomwe zimapezeka pano: http://www.neuroplus.ru/bolezni/vegetososudistaya-distoniya/panicheskie-ataki.html.

Mfundo za mankhwala ndi kupewa atherosulinosis

Pambuyo poti chizindikirocho chakhazikitsidwa, chithandizo choyenera ndi katswiri chimalembedwa, koma wodwalayo amakakamizidwanso kuti athandizire kukonza thanzi lake. Udindo wofunikira pankhaniyi ndikudya, momwe tikulimbikitsidwira:

Muchepetse zakudya zamafuta ambiri - mazira, nkhuku mafuta, nsomba zam'chitini, chokoleti, koko, zinthu zamkaka zomwe zimakhala ndi mafuta ambiri.
Melissa, adyo, anyezi, matope am'madzi, zakumwa ngati msuzi kuchokera ku zipatso za hawthorn, tincture zochokera masamba a sitiroberi zamtchire, mizu ndi makungwa a prickly eleutherococcus ali ndi phindu.

Kugwiritsa ntchito mankhwala osokoneza bongo kumaphatikizapo kuikidwa kwa vasodilator mankhwala, antioxidants, komanso Vitamini mankhwala (A, C, E, B2, ayodini).

Kupewa kwa atherosulinosis kumaphatikizanso zochitika zolimbitsa thupi, zomwe zimapangitsa kuchepa kwamtundu wamagulu akulu a minofu - kuyenda kwamkati, kuyenda njinga, kusambira, kuyenda mu mpweya watsopano.

Kumbukirani kuti kudzipereka nokha kwa atherosulinosis kumabweretsa chiopsezo cha matenda akulu, kuphatikizapo imfa.

Zinthu zingapo zimadziwika kuti zimathandizira kukulitsa matenda a ubongo. Izi zikuphatikiza, choyamba, zaka. Ndi m'badwo, atherosulinosis ya ziwiya kumlingo wina kapena wina umawonedwa mu zonse.

Kukula koyambirira kwa kusintha kwa atherosulinotic komanso kupitirira msanga kwa matenda a ubongo kuonedwa ndi chakudya chopanda malire (kumwa kwambiri mafuta ndi chakudya, chakudya chosakwanira chomera, kudya kwambiri, kupezeka kwa nyama yokazinga ndi zonunkhira.

), kusokonezeka kwa metabolic (kunenepa kwambiri, shuga, kusokonezeka kwa mahomoni), kusachita masewera olimbitsa thupi, kusuta fodya, kumwa pafupipafupi mowa.

Yabwino zinthu mwadzidzidzi ndi kupitirira kwa atherosulinosis amapangidwa motsutsana maziko a ochepa matenda oopsa. Nthawi zambiri atherosclerosis ndi matenda oopsa amakhala limodzi, nkumakulitsa wina ndi mnzake.

Matenda operewera ndi kuledzera, komwe kumakhudza khoma lamitsempha, ndizinthu zomwe zikuthandizanso kuti pakhale matenda a ubongo.

Zosafunikira kwenikweni ndi mtundu wa psychoemotional, womwe umatsimikizira kuzindikira kwa munthu wa zochitika zosiyanasiyana za moyo. Kusakhalapo kwa mzimu wodekha komanso wochezeka kumabweretsa kuti zochitika zambiri zimakhala zovuta kwa munthu.

Kupsinjika kumakhudza bwino kamvekedwe ka makoma a ziwiya zamadzimadzi ndipo kumapangitsa kugwa kwamphamvu. Kubwereza kambiri kosintha kwamankhwala kotereku ndi njira yabwino yopititsira matenda a ubongo.

Si mafunso onse a etiology of atherosulinosis omwe ali omveka bwino. Kupezeka kwa zinthu zambiri zodziwikiratu kumawonetsa polyetiology iyi.

Komabe, funso limakhala lotseguka, bwanji mwa ena kuwonongeka kumawonedwa makamaka m'mitsempha yamtima, ndipo mwa ena - ziwiya zamadzimadzi.

Ndikofunikanso kulingalira za magwero amtundu wa cholowa, chifukwa milandu yam'banja yomwe imachitika chifukwa cha matenda amtundu wa chifuwa cha matenda opatsirana chifukwa cha sitiroko amadziwika kwambiri.

Chofunikira kwambiri pamakina a chitukuko cha atherosulinosis ndi lipid dysmetabolism. Chifukwa cha kusapeza bwino kwa metabolic, cholesterol yotsika kwambiri (LDL) imayikidwa pakatikati pamakoma a ziwiya zamadzimadzi.

Njirayi imakhudza makamaka mitsempha yayikulu komanso yapakati. Mapangidwe a otchedwa. zolembera atherosulinotic amapezeka m'magawo - kuchokera pa malo a mafuta kupita ku atherocalcinosis.

Chikwangwani chotsatira cha atherosulinotic, chikukulira, pang'onopang'ono chimakuta kuunikira kwa chotengera chomwe chikukhudzidwa ndipo chimatha kukhala gwero la thromboembolism.

Poyambirira, chifukwa cha kuchepa kwapang'onopang'ono kwa lumen ya chotengera, pakuchepa kwa magazi kufikira gawo lina la ubongo.

Hypoxia ndi kusowa kwa michere kumachitika mu ziwalo za chithokomiro zoterezi - ischemia yosatha imayamba, yomwe pamapeto pake imayambitsa kuwonongeka ndi kufa kwa minyewa imodzi. Makamaka, njirayi imawonetsedwa ndi zizindikiro za discirculatory encephalopathy (DEP).

Kuopsa kwa chotsirizirachi kumatengera kuchuluka kwa atherosulinosis, kuchuluka kwa chotengera chomwe chakhudzidwa, kukula kwa zolembedwa zamtundu wa atherosclerotic, kukula kwa njira ina (yolumikizira) magazi ku ischemic zone yaubongo.

Mlandu wachiwiri, gawo la atherosselotic plaque limasiyidwa ndikusunthidwa ndikusinthidwa kukhala chiwiya chaching'ono cha mawonekedwe a embolus wokhala ndi mtsempha wamagazi, ndikupangitsa mwadzidzidzi komanso kwathunthu occlude (thrombosis).

Kutengera ndi kukula kwa gawo lamwazi lomwe limatulutsira mtsempha wamagazi ndi kukula kwa maselo olimba mtima, kumachitika pang'onopang'ono ischemic attack (TIA) kapena ischemic stroke. Osowa kwambiri, matenda am'matumbo amadzimadzi amachititsa kugundana kwa hemorrhagic.

Kutumphuka kwa khoma lamankhwala kumachitika chifukwa chophwanya mayendedwe ake pamalo opangira ma atherosulinotic amana ndipo nthawi zambiri amayamba chifukwa cha matenda oopsa oopsa.

Makamaka, atherosulinosis yamitsempha ya ziwongo imayamba kuonekera pamene ma atherosselotic plaque omwe ali mkati mwa ziwiya amatsekera magazi amitsempha yambiri kotero kuti ischemia imachitika ndipo discermulatory encephalopathy imayamba. Malinga ndi kukula kwa zovuta zamiseche, magawo atatu a matenda a ubongo amasiyana.

Gawo loyambirira. Zizindikiro zimakhazikika m'chilengedwe, nthawi zambiri zimachitika ndimatenda am'maganizo komanso mwamphamvu komanso zimatha kupuma. Pali asthenic syndrome: kufooka, kutopa kosazolowereka, kuchuluka kwa kusokonekera, ulesi, kuvuta kuyika. Pakhoza kukhala kusokonezeka kwa kugona kwakanthawi monga kugona tulo ndi / kapena kugona tulo masana, nthawi zina chizungulire. Pali kuchepa pang'ono pamlingo wa kuganiza, kuthekera kukumbukira ndi kusunga zidziwitso zatsopano kukumbukira. Odwala ambiri panthawiyi amabwera kudandaula kwa mutu, kuphatikiza ndi phokoso m'mutu, makutu kapena khutu limodzi.
Progressive Cerebral Atherosulinosis. Mavuto amisala komanso kusintha kwa malingaliro m'maganizo kumakulirakulira. Mapangidwe azikhalidwe amachepetsa, kukhumudwa kungayambike. Wodwalayo amakhala wokayikira komanso kuda nkhawa. Zowonongeka pamtima zimatchulidwa momveka bwino - wodwalayo ndi abale ake akuti sangathe kukumbukira zomwe zachitika masiku ano, amasokoneza. Phokoso m'mutu limakhala lokhazikika. Vestibular ataxia, mawu osasangalatsa amadziwika. Kugwedezeka mwamphamvu kwa zala kapena mutu, nthawi zambiri pamakhala kuchepa kwa masomphenyawo komanso kutayika kwamakutu. Pang'onopang'ono, kuthekera kochita ntchito zaluso kumatha.
Dementia. Kuchepa kwa luntha kukuyenda bwino, kulephera kukumbukira zinthu, kusokonekera kwa mawu, chidwi, ulesi, kuchepa kwathunthu kwa chidwi kumawonedwa. Wodwalayo amataya kuyendayenda mu chilengedwe ndipo pakapita nthawi, amataya maluso azodzisamalira, amafunika kuyang'aniridwa.

Mu mitsempha ya odwala omwe ali ndi vuto la ubongo la m'matumbo, kutengera gawo la nthendayi, paresis yodzutsa maso, ma nystagmus, zovuta zina, kukweza kapena kufalikira kwa chidwi, kusakhazikika mu malo a Romberg, kunjenjemera kwa zala zotulutsidwa. Pambuyo pa stroke, pakhoza kukhala paresis ndi vuto linanso la mitsempha. A ophthalmoscopy yochitidwa ndi ophthalmologist amatha kuwona kusintha kwa atherosrance? Pakumva kutaya kumawonetsedwa kufunsira kwa otolaryngologist wokhala ndi audiometry.

Dziwani bwino za atherosulinosis yamitsempha yama ziwongo amalola maphunziro a mtima. Zomwe zimapezeka kwambiri ndi REG. Chidziwitso chochulukirapo ndi ma ultrasound a ziwiya zamutu, kupanga sikani ndi MRI ya ziwiya zaubongo.

Kafukufuku wamasamba mu mphamvu, kuwunika kwa mapangidwe a mitsempha ya carotid ndi mitsempha yayikulu ya intracranial ndikofunikira.

Kusanthula magwiridwe antchito aubongo, EEG imagwiritsidwa ntchito kuwona m'mitsempha yamatumbo (makamaka pakudziwika kuti yamenyedwa) - CT ndi MRI yaubongo.

Ndikosatheka kuchiritsa matenda a ubongo (ubongo), koma kudzera munthawi yake, pafupipafupi komanso zovuta, kuwongolera kwake kumatha kuchepetsedwa. Choyamba, zinthu zomwe zikukulitsa kukula kwa njira ya atherosulinotic ziyenera kuthetsedwa.

Ndikofunikira kutsatira zakudya zamasamba kupatula zakudya zophatikiza ndi mafuta ambiri (nyama, mazira, margarine, nsomba zamzitini, soseji, chakudya chofulumira), kuyambitsa kuyenda tsiku ndi tsiku, kuchepetsa nkhawa, kupatula kusuta ndi kumwa, kukhathamiritsa thupi. Odwala oopsa amafunika kusankha mosamala mankhwala a antihypertensive. Chofunika kwambiri ndikukonzanso kwa lipid sipekitiramu yamagazi, yomwe imayikidwa malinga ndi zotsatira za kafukufuku wokhudza cholesterol ndi lipids m'magazi. Mankhwala othandizira a Hypolipidemic adalembedwa: simvastatin, atromidine, fluvastatin, gemfibrozil, etc.

Chithandizo cha pathogenetic cha matenda a muubongo a chotupa cha m'magazi ndicholinga chokweza kagayidwe kachakudya ndi magazi a mitsempha, kukulitsa kukana kwawo mikhalidwe ya ischemic, kupewa thrombosis, ndikuwongolera ntchito za mnemonic.

Monga antiplatelet therapy, kuyang'anira kwa nthawi yayitali ngati ticlide kapena waukulu Mlingo wa acetylsalicylic acid ndi mankhwala. Maselo a mtima amachitidwa ndi pentoxifylline ndi vinpocetine, nifedipine. Chithandizo cha Neurometabolic chimaphatikizapo kuikidwa kwa mavitamini a B, glycine, ndi gingko biloba.

Kusintha kwa luso la kuzindikira kumathandizidwa ndi kugwiritsa ntchito nootropics: piracetam, picamilon, nicergoline, etc.

Kubwereza TIA, matenda ochepa, kufotokozera kwamitsempha yama carotid ndi kuchepa kwa chilolezo chake choposa 70% ndizizindikiro za opaleshoni ya matenda a ubongo.

Pali mitundu iwiri ya maopareshoni: endarterectomy (kuchotsedwa kwa cholembera cha atherosselotic komanso malo a chotengera) ndikupanga chotupa cham'mimba chomwe chimadutsa chododometsa cha atherosulinotic plaque.

Malinga ndi zomwe zikuwonetsa, ma neurosurgeons amachita carotid endarterectomy, mapangidwe a anastomosis yowonjezera-intracranial, ma cell a brachiocephalic shaft ndi ntchito zina.

Kukula ndi kupewa kwa atherosulinosis

Matenda a ubongo wa atherosulinosis amasiyana kwambiri. Zambiri zimatengera zaka za wodwalayo, kuchuluka kwa njira zomwe adalandira, njira zothetsera mavuto onse omwe alipo. Mavuto akulu kwambiri a matenda am'matumbo am'matumbo ndi matenda am'mimba, zomwe zimapangitsa kuti wodwalayo alumale komanso zotsatira zake zingaphe.

Njira zabwino kwambiri zopewera matenda a atherosclerosis a kwachilengedwe chilichonse ndi moyo wathanzi, womwe umatanthawuza masewera olimbitsa thupi, kudya mokwanira, kukhalabe ndi mpweya wabwino, moyo wabwino komanso kusinthana kokwanira pantchito ndi kupuma.

Chenjezo lachitukuko cha njira ya atherosselotic ndikuchotsedwera m'moyo wanu pazinthu zonse zomwe zikuthandizira pakukula kwake, kuphatikiza zoyipa (mkwiyo, mkwiyo, mkwiyo, mkwiyo.).

), zomwe zimadzetsa kusintha kwamphamvu m'matumbo amzimbe.

Kusintha kwakanthawi kakhalidwe kanu, chithandizo chokwanira, ndipo ngati kuli kotheka, kukonza magazi oyenda mozungulira - njira zonsezi zitha kudziwitsidwa ndi miyeso yachiwiri yopewera matenda amitsempha ya m'matumbo, yomwe imathandiza kupewa zovuta zake monga matenda a stroko ndi dementia.

Atherosulinosis ya intracranial mitsempha yaubongo: chithandizo ndi kupewa

Atherosulinosis ya mitsempha ya intracranial yaubongo ndi yomwe imapangitsa kwambiri kuchitidwa ndi stroke. Ndizofunikira kudziwa kuti chiwopsezo cha matendawa chimatengera khungu, azungu sakhala otetezeka ku matenda kuposa oyimira amipikisano ya ku Asia ndi Negroid.

Zomwe zimayambitsa kuphwanya ndi kukhalapo kwa malo a atherosulinotic pamlomo wa ochepa chotupa, arterio-arterial embolism, ndi hyperfunction ya minofu ya muubongo. Pafupipafupi kubwereranso kumachitika chifukwa cha kuchepa kwa magazi.

Pathology imayambitsa kusokonezeka kwakukulu kwa mitsempha muubongo, wofanana ndi kusintha kwa atheroscrotic m'mitsempha yama coronary. Kuwopseza kumalumikizidwa ndi kutupa chifukwa cha kuyambika, kufalikira, komanso kuwonongeka kwa zolembedwa za atherosulinotic.

Kuopsa kwa matendawa kuli pamalo achiwiri pambuyo pa matenda a m'matumbo a mtima. Zizindikiro za matendawa ndi:

kusokonezeka kukumbukira
kuchepa kwamaganizidwe,
kutopa kwawonjezeka.

Odwala amasiya kukhazikika m'maganizo, kupanikizika kwakumaso kumawuka, kupweteka mutu kumayamba, makamaka ndikusunthira kuchoka pansi kupita pomwepo. Odwala amakhala ndi vuto lalikulu pamaganizidwe, kusapeza bwino mu khosi lachiberekero.

Mankhwala ochizira matenda a ubongo

Cholinga chachikulu cha opareshoniyo ndi kupewa kukwiya. Kuti muchite izi, chotsani kapena kuchepetsa mapangidwe a atherosselotic plaque ndi kukulitsa kwa mitsempha, yomwe imatsimikizira kuti magazi amatuluka kupita ku ubongo. Chithandizo cha opaleshoni chimaganiziridwa ngati zizindikiro siziyankha.

chithandizo chamankhwala. Mwachitsanzo, chizindikiro cha opareshoni ndi:

Kupezeka kwa ma TIA kapena mikwingwirima mobwerezabwereza.
Kutsimikiza kwa kuchuluka kwa stenosis.
Mwazi wosakwanira ku gawo lirilonse la ubongo.

Balloon angioplasty / stenting - Ichi ndi njira yolowerera yozizira, pomwe chikwangwani chimakanikizika ndipo m'mimba mwake mumakula. Kulowerera mkati mwa mtima kumatanthauza kuti njirayi imagwiridwa mkati mwa chotengera pogwiritsa ntchito catheter yosinthika. Catheter imayikidwira mumtsempha wachikazi mu grin yomwe ikuyang'aniridwa ndi angiography. Catheteryo imayenda kudzera m'magazi kupita komwe kuli mtsinje wopyapyala wokhala ndi cholembera.

Cholinga chachikulu cha njirayi ndikuchepetsa stenosis ndi osakwana 50%, chifukwa chomwe kuwonjezeka pang'ono m'mimba mwake kumathandizira kuti magazi azituluka.

Pamalo oyenera, baluni yocheperako imakwezedwa pang'onopang'ono, imakula ndikuwonjezera mawonekedwe a pathological omwe ali pakhoma la mtsempha. Kenako balloo amatsitsidwa ndikuchotsedwa. Baluyo ikachotsedwa, chubu lodzikulitsa lomwe limatchedwa stent limayikidwa m'dera lachigawo. Imagwira mtsinjewo m malo momasuka. Fungo limakhalabe m'mitsempha nthawi zonse.

Zovuta pambuyo pa angioplasty zingaphatikizepo:

sitiroko
kuwonongeka kwa khoma la chotengera ndi catheter kapena balloon,
kuphipha kwamitsempha yamagazi.

Angioplasty nthawi zambiri imachitidwa ndi stenosis yamitsempha yambiri (yoposa 70%) ndi chipatala chobwereranso ku TIA kapena stroke, chomwe sichikonzedwa ndi chithandizo chamankhwala. Angioplasty / stenting amatha kuchepetsa stenosis mpaka 30% popanda zovuta mu 60-80% ya odwala.

Cerebral artery bypass graftingUku ndiye kuchitapo kanthu pochita opaleshoni, pomwe magazi amatumizidwa kudutsa gawo la chotolacho ndi zolengeza. Nthawi ya opaleshoni, dzenje limapangidwa mu chigaza, lotchedwa craniotomy. Chombo chopereka chimatengedwa kuchokera ku khungu, chomwe chimasiyanitsidwa ndi malo ake abwinobwino kumapeto kwake, chimawunjikitsidwira chigaza ndikukulumikizidwa ndi mtsempha wokhala pamwamba pa ubongo. Mitsempha yamkati imapatsa ubongo magazi, ndikudutsa chotchinga.

Mavuto omwe amachitika pambuyo pochita opaleshoni yapamtunda ndi monga:

sitiroko
vasospasm
kuchuluka kwa magazi mumtsempha wopereka.

Pafupipafupi nthawi zambiri amalimbikitsidwa ngati mtsempha watsekedwa ndi 100% ndipo ngati angioplasty sangathe. Zotsatira za opaleshoni yodutsa mosiyanasiyana zimasiyana mosiyanasiyana malingana ndi komwe akuchitira opaleshoniyo.

Vidiyo: Opaleshoni yam'mimba pamatumbo a ubongo

Mukabwereranso ku chipatala, muyenera kutsatira upangiri wa dokotala wanu kapena wa zamankhwala zokhudzana ndi kubwereranso ku moyo wabwinobwino. Kusamalira malowo ndikuwunika zizindikiro za matenda, monga kutentha thupi, kuzizira, ululu wosazolowereka, kutuluka magazi, kapena kutupa pamalo owonekerawo, ndikofunikira. Ngati mankhwala adalembedwa kuti aletse mapangidwe a thrombotic, muyenera kumwa motsatira malangizo a chipatala.

Chisamaliro chiyenera kutengedwa ngati vuto laubongo lidayikidwa ndipo mutatha opaleshoni muyenera kuvala magalasi. Ngati magalasi ali pafupi kwambiri ndi akachisi, zokongoletsa zimatha kuwonongeka. Kuti mupewe izi, muyenera kuteteza malo owonongeka ndi swab ya gauze.

Pambuyo pokakamira kapena pakuchita opaleshoni, ndikofunikira kutsatira maulendo onse okonzekera kutsatira kwa dokotala. Zingafunikenso kuyesedwa kwakanthawi kapena kuyezetsa kuti dokotala azitha kuwona momwe thanzi liliri.

Njira zochizira matenda amisempha

Pali mbewu zosiyanasiyana zomwe zimagwiritsidwa ntchito ngati mankhwala omwe amathandiza kuti munthu achepetse kuuma kapena kupewa kutulutsa matenda a atherosulinosis. Muubongo, sizinthu zonse zomwe zimalowa, chifukwa chotchinga cha magazi ndimakonzedwa, komabe mankhwala angapo amatha kukhala othandiza kwa ASGM.

Garlic imakhala ndi allicin, yomwe yapezeka kuti ichepetse cholesterol ya LDL. Garlic amathanso kutsitsa triglycerides mthupi ndi 20%. Kutsika kwamigulu ya triglyceride kumayimitsanso kupanga mapangidwe mkati mwa mitsempha yamagazi.

Garlic amatha kuyimitsa kukhathamiritsa kwa maselo m'mitsempha, kuti asawonongeke. Ma mankhwala ena mu chomera amathanso kusungunuka magazi.

Izi kum'mwera chakum'mawa ufa uli ndi curcumin. Imakhala yolimba kwambiri kuposa vitamini E motsutsana ndi oxidation. Kugwiritsidwa ntchito kwake kumalepheretsa kuwonongeka kwa makoma amitsempha yamagazi, kumalimbitsa ndikuwongolera kayendedwe ka magazi m'mitsempha. Turmeric yakhala ikugwiritsidwa ntchito ngati mankhwala ku India kuchiritsa mabala, koma amathanso kutsitsa cholesterol, lipids, komanso magazi omwe amayenda pang'onopang'ono.

Amadyera nthawi zonse amakhala ndi zotsatira zabwino thupi. Ngakhale mtundu wobiriwira pawokha umatha kusokoneza maso. Sipinachi, komabe, ndiwothandiza kwambiri thanzi la mtima ndi mitsempha yamagazi. Ichi ndi masamba opatsa thanzi kwambiri omwe amatha kutsitsa magazi. Muli selenium, beta-carotene ndi manganese, omwe amalimbana ndi atherosulinosis. Amatanthauzanso neoxanthin ndi violaxanthin, omwe ali anti-kutupa mankhwala omwe amathandizira thanzi lamitsempha yamagazi, kupewa kutupa kwa makoma awo.

Kuti muwonetsetse kuti mtima ndi mitsempha yamagazi ndiyathanzi, ikugwira ntchito moyenera, muyenera kusintha zina zina m'moyo wanu, monga kukana kudya mwachangu ndi kutsatira malamulo azakudya zachilengedwe. Nyemba ndizabwino kwambiri kwa anthu. Muli michere yambiri ndipo mulibe mafuta oyipa. Ngati muphunzira kuphika nyemba, zimatha kukhala chokoma kwambiri komanso chopatsa thanzi.

Ma legamu ambiri amakhala ndi potaziyamu yambiri, chifukwa amachepetsa kuthamanga kwa magazi. Izi zimachitika pakukula kwamitsempha yamagazi, yomwe chifukwa cha izi imachepetsa katundu pa mtima wonse.

Ngati ziwiya zaubongo zili pachiwopsezo, ndikulimbikitsidwa kupewa kudya nyama momwe ndingathere. Cholinga chake ndikuti mapuloteni ndi michere ina yomwe ili m'zinthu izi imawononga mosavuta maselo amthupi. Ngakhale kudya nyama kumakhala kovuta kwambiri mthupi, nsomba ndi njira yabwino kwambiri yothandizira thanzi lanu. Mitundu yamitundu iyi imakhala ndi mafuta a HDL cholesterol ndi LDL cholesterol limodzi ndi mchere wambiri monga potaziyamu, selenium, choline ndi pantothenic acid, womwe umathandiza anthu.

Potaziyamu yomwe ili ndi nsomba imatha kuchepetsa nkhawa pamitsempha yama mtima, imathandizira kuti magazi asamasuke, ndichifukwa chake amatchedwanso vasodilator. Muyenera kusamala ndi zomwe zili mu nsomba za nsomba, zomwe pamlingo wina wake zimabweretsa zovuta.

Anthu ambiri amakhulupirira molakwika kuti mafuta onse ndi oyipa, omwe siolondola konse. Thupi laumunthu limafunikira mitundu yamafuta yamafuta, yomwe imawonetsetsa kuti ziwalo zonse ndi machitidwe zimatha kugwira bwino ntchito. Makamaka, pakufunika kuwongolera kwina pakati pa mafuta a omega-3 acids.

Mafuta a nsomba amakhala ndi mafuta ambiri a omega-3 acids, omwe amatha kuyendetsa magazi m'thupi mozama. Zimalepheretsanso kuchulukana kwa cholesterol plaque m'mitsempha yamagazi, yomwe ndiyomwe imayambitsa matenda a atherosulinosis. Kuphatikiza apo, mwayi wamagazi, kugunda kapena kugunda kwa mtima kumachepetsedwa.

Ginger ndi zonunkhira zamphamvu kwambiri motsutsana ndi kuchuluka kwa LDL cholesterol, magazi wandiweyani, komanso kuphatikiza kwa mapulateleti. Izi zamasamba zimachepetsa kuthamanga kwa magazi komanso kupewa kutayika kwa mitsempha yamagazi. Kusintha kayendedwe ka magazi, ndikofunikira kwambiri kuphatikiza muzakudya.

Tiyi yobiriwira imakhala ndi zabwino zosiyanasiyana. Pakati pawo pali mphamvu yake ya antioxidant. Zimalepheretsa kuwonongeka kwa maselo a mitsempha ndi ma free radicals. Mulinso ma polyphenols amaletsa kulowa kwa cholesterol kudzera khoma lamatumbo.

Bulosi uyu ali ndi mphamvu ya antioxidant yomwe imateteza mitsempha yamagazi pakupangidwe kwa cholesterol plaque. Zitha kuthandizanso kutsitsa kuthamanga kwa magazi komanso kuchepetsa kuchuluka kwa cholesterol. Zotsatira zake, zotengera zimakhala zolimba, chifukwa chake, hawthorn ndi chida chabwino chothana ndi atherosulinosis.

Zakudya za matenda am'matumbo

Chakudya chopatsa thanzi chimatsitsa cholesterol ya LDL ndi triglycerides. Lili ndi:

Zakudya zamagulu osiyanasiyana zomwe zimakhala ndi mafuta ochepa komanso cholesterol komanso zokwera kwambiri.
Zipatso zambiri ndi masamba.
Mulingo wochepa.

Mafuta sayenera kupitirira 30%, ndipo mafuta okwanira sayenera kupitirira 8-10% ya zopatsa mphamvu tsiku lililonse malinga ndi American Cardiology Association.

Cholesterol iyenera kukhala yochepa pafupifupi mamiligamu 300 patsiku, ndi sodium (mchere) mpaka mamiligalamu 2400.

Pafupifupi kuchuluka kwa zakudya za tsiku ndi tsiku:

6-11 mikate, mkate, mpunga, ndi pasitala,
3-5 servings zamasamba
2-4 servings chipatso
Masamba atatu mkaka, yogati ndi tchizi,
2-3 servings ya nyama, nkhuku, nsomba, nyemba zouma, mazira ndi mtedza.

Mafuta, mafuta ndi maswiti ayenera kugwiritsidwa ntchito mosamala. Mafuta okhala ndi ma monounsaturated monga maolivi ndi canola (canola) ndi njira yabwino yophikira.

Vidiyo: Zakudya za atherosulinosis yamitsempha yamagazi

Atherosulinosis ya mitsempha ya chotupa: zotulukapo

Matenda omwe amayamba chifukwa cha matenda amtundu wa m'mimba amatha kuwononga thanzi la wodwala. Ndi kuthamanga kwa matenda a arteriosulinosis, matenda oopsa a arteryopathy, matenda a Alzheimer's, sitiroko imatha kuchitika.

Hypergency arteriopathy

Njira ya pathological iyi ndi yolimba komanso yowonongeka kwa makoma a arterioles. Ndi chitukuko chake, malekezero a ma arterioles, omwe amapezeka mkati mwaimvi ginito ndi nkhani yoyera yaubongo, amakhudzidwa makamaka. Amakhulupilira kuti izi ndi zomwe zimapangitsa kuti ubongo usinthe m'zizama kwambiri. Kuwonongeka kotereku kwa ziwiya zing'onozing'ono kumathandizanso kuchepetsa chilolezo cha amyloid, potero kumawonjezera mwayi wazovuta zina.

Matenda a Alzheimer's ndi mtundu wa dementia yomwe imayambitsa ubongo atrophy. Cerebral amyloid angiopathy imapezeka mu 90% ya milandu pa autopsy, pomwe 25% imakhala yovuta kwambiri matenda.

Mikwingwirima imayamba chifukwa magazi amatuluka mwadzidzidzi mbali iliyonse ya ubongo. Kusokonezeka kwa magazi kumachitika kawirikawiri chifukwa cha kufooka kapena kutaya magazi. Kafukufuku wokhudzana ndi matenda omwe adachitika pambuyo pa imfa adawonetsa kuti kuchuluka kwa malo amodzi a atherosocolotic kudachitika mwa anthu opitilira theka, ndipo oposa gawo limodzi mwa magawo atatu onse awonetsa kuwonjezeka kwa stenosis.

Pomaliza

Matenda a atherosclerosis ndi matenda opita kwa nthawi yayitali omwe poyamba samawoneka konse. Atherosulinosis yamitsempha yamatumbo ndi amodzi mwa mitundu ya matendawa, ndipo muzovuta kwambiri imatha kuphatikizidwa ndi stroke kapena zovuta zina za pathologies.

Kuti muzindikire matendawa, onse mayeso a labotale ndi njira zothandiza pakuzindikira amagwiritsidwa ntchito. Mankhwalawa atherosclerosis, ndikofunikira onse kusintha kwa moyo, zolimbitsa thupi, komanso kugwiritsa ntchito mankhwala oyenera. Ngati ndi kotheka, njira zina zowonekera zingagwiritsidwe ntchito, ndipo pazowopsa, opaleshoni imachitidwa.

Vidiyo: Kuchepetsa magazi, kupewa atherosulinosis ndi thrombophlebitis. Malangizo osavuta

Zomwe zimayambitsa matendawa

Akatswiri azindikira ambiri omwe amayambitsa matenda amisempha, omwe nthawi zambiri amakhala ophatikizana. Chochitika chachikulu komanso chofala kwambiri chomwe chimatsogolera pakuwonekera kwa cholesterol malo mu ziwiya zamaubongo imawonedwa ngati zaka. Pambuyo pa zaka 50, matendawa mpaka pamlingo wina kapena umodzi amapezeka mwa 8 mwa 10. Zomwe zidachitika sizinawonekeretu kwathunthu, koma asayansi akukhulupirira kuti kutsika kwachilengedwe kwa kagayidwe kazinthu komanso kusintha kwa mahomoni kumapangitsa kuti thupi lisalepheretse kuchotsa lipids zovulaza m'thupi.

Kuphatikiza apo, zotsatirazi zingathe kuthana ndi chiopsezo cha atherosulinosis ali aang'ono:

Zakudya zopanda mafuta komanso kuchuluka kwa mafuta, zakudya yokazinga wokhala ndi mafuta ndi mafuta ambiri, zonunkhira zonunkhira zakumaso kwa masamba osapsa ndi zipatso,
Zakudya zosakhazikika, nthawi zamavuto akudya zomwe sizingachitike ndi kudya kwambiri,
matenda a metabolic - matenda ashuga, kunenepa kwambiri, hypo- ndi hyperthyroidism, ndi ena,
kusachita masewera olimbitsa thupi kapena kusachita zolimbitsa thupi komanso kunenepa kwambiri.
zizolowezi zoyipa - kusuta fodya komanso uchidakwa, zomwe zimayambitsa kuchepa kwamitsempha yamagazi, zimakhudza dongosolo lonse loyenda magazi.

Madokotala samachotsa kutengera kwa chibadwa. Malinga ndi ziwerengero, mwa anthu 9 mwa anthu 10 omwe ali ndi vuto la ubongo, abale ake apamtima nawonso adakumana ndi matenda omwe amayamba chifukwa cha kuchuluka kwa mafuta m'thupi.

Popeza atherosclerosis nthawi zambiri imakhala yotsutsana ndi matenda oopsa, akatswiri amawona matendawa kukhala opatsa chidwi. Popeza kupsinjika ndi chifukwa chachikulu cha kuthamanga kwa magazi, amathandizidwanso kuti sanakhudzidwe ndi matenda. Mothandizidwa ndi psychoemotional factor, mitsempha yamagazi imatha kusintha mamvekedwe awo kangapo masana (yopapatiza komanso yopuma), chifukwa chomwe microdamages imapanga mkati mwawo. Zilonda zoterezi, cholesterol imakhazikika mwachangu, ndikupanga zolembera.

Ngakhale akuwunikira omwe amayambitsa matendawa, madokotala sangathe kudziwa chomwe chimayambitsa ubongo atherosulinosis. Amatcha matendawa polyetiological, ndiye kuti, pamene zinthu zingapo zimaphatikizidwa.

Kodi chiwopsezo cha matenda a m'magazi ndi chani?

Ngakhale zoyesayesa zomwe madokotala akuchita kuti apewe matendawa, atherosulinosis ndi imodzi mwazofala kwambiri. Amakhala wachiwiri paudindo wa zomwe zimayambitsa matenda amitsempha komanso 45% ya mtima. Ziwopsezo zazikulu za atherosulinosis ya mitsempha yayikulu ya ubongo ndi motere:

kusokonezeka kwamitsempha imodzi - kuchepa kwa masomphenya, kuiwala makutu, kukumbukira, kulephera kugwira ntchito moyenera, kuyembekezera zotsatira za zochita zawo,
vasomotor mavuto mu mawonekedwe a kusowa kapena kuchepa mphamvu ya ziwalo za thupi ndi miyendo, paresis ndi ziwalo, utachepa motility,
mavuto amisala omwe munthu amadzitaya okha, sangathe kuyanjana ndi maiko akunja ndipo nthawi zina amawopseza ena chifukwa cha kupatuka.

Koma izi sizoyipa kwambiri, chifukwa chakuti ma cell a ubongo ndi oopsa. Ndi matendawa, kuthekera kwa njira zoperewera, zosasinthika ndikokwanira. Malinga ndi ziwerengero, ndi atherosclerosis yamitsempha yamitsempha yamagazi, kulemala kwamasiyana kosiyanasiyana kumapatsidwa 80% ya odwala omwe amafunsa thandizo la dokotala.

Ngati matendawa sanayang'anitsidwe ndi akatswiri, ndipo wodwala sanalandire chithandizo chovuta, zomwe zimapangitsa kuti moyo ukhale ndi matenda amtundu wamtumbo ndizovuta kwambiri:

75% ya odwala imakhala ndi vuto losasintha la mitsempha lomwe silitha kuthandizidwa,
60% ya odwala omwe amagwira ntchito zamavuto akuwonjezeka, kuphatikizapo kuchepa kwa magazi,
mu 90% ya odwala, kuchulukitsa kumachitika, komwe kumatha ndi ischemia yamagawo osiyanasiyana a ubongo, momwe ma pathologies amawonedwa, omwe amafunikira chisamaliro chachipatala kwa wodwala nthawi zonse.

Ndizofunikira kudziwa kuti ngakhale mutalandira chithandizo chanthawi yake komanso chokwanira, zotsatirapo zake ndizosapeweka. Mankhwala amakono amapereka njira zochizira zomwe zimathandizira kuchepetsa kuuma kwawo komanso kuchepetsa mwayi wakufa, komabe, kuchotsa zizindikirazi ndikotheka kokha ngati matenda atapezeka koyambirira.

Zizindikiro zamatsenga

Zizindikiro zovuta zamatumbo amadzimadzi zimawonekera patatha nthawi yayitali kuchokera kumayendedwe a cholesterol. Zizindikiro zimawonekera pambuyo pakatikati mwa mitsempha yayikulu komanso ma capillaries ang'onoang'ono a ubongo atapendekera kotero kuti kuchuluka komwe kumalowera m'chiwalo cha magazi kumatsika ndi 15% kapena kupitirira.

Matenda a matenda amitsempha yamagazi yotupa amasiyana malinga ndi gawo la kukula kwa matendawa:

Pa gawo loyambirira la odwala, zizindikiro za matenda zimawonekera pokhapokha kuwonjezeka kwa kupsinjika kwakuthupi ndi kwakumisala ndipo kumadutsa msanga mokwanira mukamapuma. Amawonetsedwa mu asthenia, yomwe imatsagana ndi kufooka, kutopa, kufoka komanso kuwonongeka poyang'anira komanso chidwi. Nthawi zina, kusowa tulo kumachitika chifukwa cha kusowa tulo kapena kugona nthawi masana. Odwala ambiri amadandaula za mutu, tinnitus. Kutha kukumbukira chidziwitso chatsopano kumachepetsedwa.
Ndi kupita patsogolo kowonjezereka, atherosulinosis imayendera limodzi ndi kusokonezeka kwa malingaliro mwanjira yakukayikira yowonjezereka, kusinthasintha kwa machitidwe, chizolowezi chokhala ndi nkhawa komanso nkhawa. Mavuto amakumbukidwe amayamba kutchulidwa: wodwalayo amaiwala zomwe zachitika masiku ano, amasokonezeka kukumbukira. Mutu ndi tinnitus zimakhala zosatha. Ndi atherosulinosis yomwe ikupita patsogolo kwamitsempha yayikulu ya ubongo, kusokonezeka pakulankhula kosagwedezeka (chizungulire, kusintha kwa matchulidwe), zovuta za vestibular mu mawonekedwe a chizungulire ndi kusakhazikika kwa gait zimawonedwa. Ntchito zopindulitsa zikucheperachepera chifukwa cha kuwonongeka kwamaso komanso kumva, kunjenjemera kwa miyendo ndi mutu, komanso kulephera kuganiza bwino komanso zomveka.
Gawo lomaliza la atherosulinosis yamutu limatsatiridwa ndi dementia kapena dementia. Luntha limafooka kwambiri, wodwalayo amaganiza komanso kuchita zinthu ngati mwana kapena amakhala wankhanza kapena wolira mosazolowereka. Odwala ambiri amakhala ndi kukumbukira kwathunthu kapena pang'ono, kukumbukira, kusakonda chidwi ndi zinthu ndi zochitika zina zowazungulira. Odwala amalephera kuyenda m'malo ndi nthawi. Odwala oterewa amafunikira kuwunikira komanso kusamalidwa nthawi zonse chifukwa cha kutaya kwathunthu maluso odzisamalira.

Gawo lomaliza la matendawa silisintha ndipo silisintha komanso kufooketsa. Chifukwa chake, ndikofunikira kuzindikira kusintha kwa atherosulinotic m'matumbo amutu m'magawo oyamba. Iyi ndiye njira yokhayo yosungira maluso oyisamalira a wodwalayo komanso kukumbukira.

Kuchiza matenda

Chithandizo cha atherosulinosis nthawi zonse chimakhala chokhazikitsidwa pobwezeretsa njira za metabolic momwe cholesterol yoyipa singatengeke ndi kukhazikika m'matumba. Kuphatikiza apo, ndikofunikira kulabadira kubwezeretsanso kwa magazi ndi chakudya cha minofu yaubongo, kupewa matenda oopsa kwambiri.