Kodi coronary artery atherosulinosis cardiosclerosis ndi chiyani?

Aortic atherosulinosis ndi matenda oopsa ogwirizana ndi kuperewera kwa mitsempha. Ndi matenda, cholesterol plaques amayikidwa pamitsempha yamitsempha, yomwe imakhala chifukwa cha zovuta zamtundu uliwonse. Gawo lonyalanyazidwa limawopseza kulumala ngakhale kufa kumene.

Msempha ndi chotupa chachikulu kwambiri chomwe chimadutsa mzere waukulu wamagazi. Zimatenga chiyambi chake mu michere yamanzere. Kutengera ndi komwe kuli, atherosclerosis si stenotic komanso stenosing.

Mbali yoyamba, kuyika kwa mapangidwe a atherosulinotic kumachitika pamakoma amitsempha yama coronary, ndipo chachiwiri, mkati mwa mitsempha yamagazi. Valavuyo ikawonongeka, masango amafalikira m'mphepete mwake. Ngati muzu wamitsempha udawonongeka, malowa ndi ophatikizidwa, ndipo zombo zazing'ono zomwe zili pafupi nazo zimalandidwanso.

Kodi matendawa amakula bwanji?

Ndikofunika kumvetsetsa zomwe atherosulinosis ya msempha ndi mitsempha ya mitsempha. Nthawi zambiri, zomwe zimayambitsa matenda a zam'mimba ndizowonjezereka za cholesterol yoyipa m'magazi. Izi zimachitika pamene metabolidi wa lipid amasokonekera ndipo kusakhazikika kwamafuta mthupi la munthu kumayamba.

Lipids imalowa m'mitsempha kudzera m'magazi ndipo imayikidwa mu mawonekedwe a cholesterol pamakoma amitsempha yamagazi. Amakhala malo amodzi, amayamba kukula, zomwe zimapangitsa kuti mapangidwe a atherosulinotic. M'dera lomwe lakhudzidwalo, minyewa yam'mimba imapangika, chifukwa chake mitsempha imakhala yolimba, yotulutsa, ndikuwonekera mkati mwake imachepa.

Mapangidwe a cholesterol nthawi zina amawonongeka, omwe amachepetsa kuyenderera kwa magazi, amakhumudwitsa kuchuluka kwa maselo ndi mapangidwe a thrombosis. Mitsempha yopapatiza imachulukirachulukira ndipo kufa ndi njala. Mtima ndi mtima zimakhudzidwa makamaka ndi izi.

• Chiwopsezo chotenga matendawa chimakula ndi ukalamba, amuna odwala ambiri opitirira zaka 45. Mwa akazi, kukula kwa matenda amisempha kumayamba pa nthawi ya kusintha kwa msambo, pomwe ma hormonal amasintha.
• Pali zoyambitsa zochotseredwa, zomwe zimaphatikizapo kumangokhala moyo wopanda, kumwa mowa mwauchidakwa, kusuta, kuperewera kwa zakudya m'thupi zomwe zimakhala ndi mafuta ochulukirapo komanso mafuta othamanga.
• Zina zomwe zimachotsedwa zimaphatikizapo kunenepa kwambiri, cholesterol yayikulu magazi, matenda a shuga, matenda oopsa, matenda opatsirana, komanso kuledzera kwamthupi kwambiri.
• Chochitika chosasinthika ndichazaka 40 mpaka 50, komanso chibadwidwe.

Zizindikiro za Aortic Atherosulinosis

Kuti mumvetsetse zamomwe mtima ndi atherosulinosis a minyewa yamitsempha yamagazi, muyenera kudziwa nokha ndi zazikulu za matenda. Zizindikiro zimatengera komwe matendawa amapezeka.

Ngati atherosulinosis imafalikira ku mtima wa wodwalayo, mtima wa wodwalayo umakulirakulira, kupweteka kumamveka m'mutu ndi khosi, ndipo kupweteka kwamphamvu kapena kovuta kumawonekera m'dera la mtima.

Komanso, matenda am'mimba amaphatikizidwa ndi kupuma movutikira, kupweteka mutu, tinnitus, kutuluka thukuta, kugona, kutopa, kukomoka.

Ndi kuwonongeka kwa arc, mizu ya aortic ndi mitsempha ya coronary, mutha kuwona zizindikiro za matenda a mtima, angina pectoris, kugunda kwamtima.

Zizindikiro zimawoneka ngati kupsa kapena kupanikizika kupweteka pachifuwa, kufupika, kusanza, nseru, chizungulire, kudumpha mu kuthamanga kwa magazi, kusazindikira.

1. Ngati atherosulinosis ya msempha wapezeka m'chigawo cha khomalo, wodwalayo amamva kupweteka kwambiri, komwe kumaperekedwa kumanzere, phewa kapena phewa. Kulimbitsa thupi kumatha kuwonjezeka ndikapanikizika komanso kuchita masewera olimbitsa thupi. Mosiyana ndi angina pectoris, zofanana sizingayime ndi Nitroglycerin.
2. Kupuma pang'ono ndi kupuma zimawonedwa, ndimazindikira kulephera mtima. Pankhaniyi, arc imatha kukula, kuyika zovuta pamitsempha ndi trachea. Chifukwa cha izi, zimakhala zovuta kuti munthu amame.
3. Kuwonongeka kwa dera lakutsika la thoracic kumatha kuweruzidwa ndi kupuma movutikira, kupweteka kumbuyo, palpitations, kusintha kwa mawu, chizungulire komanso mutu, kusokonezeka kwa kukumbukira, kusinthika kwa nkhope, komanso kuvuta kumeza.
4. Ndi aortic atherosulinosis pamimba, wodwalayo amamva kupweteka m'mimba atatha kudya. Pambuyo maola ochepa, chisangalalochi chimazimiririka. Komanso, m'mimba mwa wodwalayo mumatupa, mumakhala kudzimbidwa kapena kutsegula m'mimba, ndipo njala imachepa. Nthawi zambiri wodwala amataya thupi msanga.

Ngati matenda atawonedwa m'dera lamanja ndi lamanzere lamitsempha, magazi omwe amapezeka kumapeto amasokonekera.

Nthawi yomweyo, miyendo imayamba kuzizira, dzanzi, kutupa, minofu ndi zala zimafooka, zilonda zimakhazikika pamiyendo.

Zotsatira za matenda

Matendawa ndi owopsa chifukwa pakakhala chithandizo choyenera amatha kuyambitsa mavuto. Ndi atherosclerosis ya mtima aorta, ma artery wall bulge, omwe amachititsa kusokonezeka kwa myocardium ndipo, chifukwa, kulephera kwa mtima. Wodwalayo amapuma movutikira, palpitations, ndipo minyewa yotupa imayamba.

Ndi stratation makoma ndi tumphuka wa aneurysm, zotsatira zakupha zimachitika nthawi zambiri. Ndikofunika kusamala ngati munthu akuwonetsa zizindikiro zakuthwa, kuwonjezereka kwamitsempha ya khomo lachiberekero, kugona, chikumbumtima, mawonekedwe a kupuma kosafunikira.

Ngati kufalikira kwa atherosclerosis kumachitika mu valavu yamitsempha yamagazi, pamakhala chiopsezo chachikulu cha kufa kwa munthu. Arc ikakhudzidwa, stroko, kusowa kwa mawu, ziwalo, kudula kumachitika kawirikawiri. Thoracic aortic atherosulinosis imakhala yovuta ndi stratization wa aneurysm ndi kupasuka komwe kungatheke.

Kuwonongeka kwa m'mimba msempha kumapangitsa kuti visceral artery thrombosis. Wodwalayo amadwala mwadzidzidzi, pomwe wodwalayo amadandaula za kupweteka kwambiri pamimba. Kuphipha nthawi zambiri sikutha, ngakhale mutamwa mankhwala a antispasmodic kapena ululu. Ndikofunika kupereka chisamaliro chanthawi yake kuchipatala kuti muchepetse kukula kwa peritonitis ya peritoneum kapena necrosis yamatumbo.

Vuto lalikulu chimodzimodzi ndi:

• Kulephera kwamkati, chifukwa chakuperewera kwa magazi, maselo amafa pang'onopang'ono ndipo amasinthidwa ndi minyewa yolumikizana;
• Hypertension chifukwa chophwanya magazi mu impso ndi kutsegula kwa renin-angiotensin-aldosterone dongosolo;
• Angina pectoris wokhala ndi magazi osakwanira kupita ku myocardium;
• Ischemia wa ziwalo ndi minofu chifukwa cha matenda a okosijeni okalamba;
• Pachimake mtima kuchepa kapena kugwa.

Chithandizo cha atherosulinosis kwa msempha ndi matumbo mitsempha

Kuzindikira matendawa kumakhala ndikuwunika mayeso a wodwala, mayeso othandizira komanso a labotale, komanso kutenga anamnesis. Pa kuvomereza, zizindikiro za pathology zimapezeka, kuthamanga kwa magazi kumayesedwa, kulemera kwa thupi kumayesedwa, zomwe zimayambitsa ndi zifukwa za aortic atherosulinosis zimatsimikiziridwa.

Wodwala amayenera kukayezetsa magazi kuti adziwe kuchuluka kwa cholesterol yoyipa ndi yabwino, kudziwa kuchuluka kwa triglycerides. Electrocardiogram imapangidwa kuti iwone momwe minofu yamtima ili. Kugwiritsa ntchito angiografia ndi aortography, mitsempha yamagazi imayang'aniridwa zotupa, calcification ndi aneurysm.

Kuphunzira mitsempha ya coronary, coriary angiography imachitika. Pogwiritsa ntchito ultrasound, dokotala amadziwa kuti:

1. Kuchuluka kwa magazi kwakanthawi kochepa;
2. Kodi kuchepa kwa mtima lumen ndi kotani?
3. Kodi mumakhala ziwopsezo ndi ziwonetsero zamagazi m'matumbo;
4. Kodi pali aneurysm?

Kuti muwone kuthamanga kwa magazi mu atherosulinosis, rheovasography imachitika. Kuphatikiza apo kugwiritsa ntchito computer tomography, x-ray. Aortography imapereka chidziwitso cholondola chokhudza malo ndi kukula kwa aneurysm.

Ndizotheka kuchiza matendawa mothandizidwa ndi njira zamakono zochizira, koma choyambirira ndikofunikira kuyang'ananso zakudya zanu, pitani masewera olimbitsa thupi ndikuyamba kukhala ndi moyo wathanzi.

Malinga ndi ndemanga za madokotala, njira yapadera yothandizirana ndimathandizanso. Wodwala ayenera kukana momwe angathere:

• Zakudya zamafuta;
• Trans mafuta akudya
• Zakudya zamchere;
• Mazira
• Shuga woyesedwa;
• Tiyi wamphamvu komanso khofi.

Ndikofunika kuphatikiza muzakudya zipatso, ndiwo zamasamba, nyemba, mafuta amkaka omwe amakhala ndi mafuta ochepa, makeke, nkhuku, nkhuku. Mothandizidwa ndi kadyedwe koyenera komanso masewera olimbitsa thupi, ndikotheka kuteteza kulemera, komwe ndikofunikira kwambiri kwa ma atherosselotic amana.

Ngakhale kuchita masewera olimbitsa thupi tsiku lililonse kungachepetse kuchuluka kwa lipids zovulaza. Koma kuti zinthu zisinthe pamafunika kusiya kusuta ndikusamwa zakumwa zoledzeretsa.

Kuphatikiza apo, dokotalayo amakupatsani mankhwala kuti muthane ndi chizindikiro cha aortic atherosulinosis.

1. Mothandizidwa ndi ma statins, kuchuluka kwa cholesterol m'magazi kumachepetsedwa ndikuchepetsa kupanga kwake ndi thupi. Koma mankhwalawa ali ndi mavuto obwera chifukwa chodwala chiwindi.
2. Kuchulukitsa zomwe zili ndi cholesterol yabwino, kuchepetsa kuchuluka kwa triglycerides, kutenga nicotinic acid ndi zotumphukira zake. Mankhwalawa amatha kuyambitsa mavuto pakhungu, pakhungu, khungu, komanso kufinya kwam'mimba.
3. Omwe amathandizanso kukhazikika, omwe amachitika pa cholesterol ndikuichotsa m'thupi. Mapiritsi oterewa sikuti amabweretsa mavuto, koma nthawi zina wodwalayo amakhala ndi mseru, kutentha kwadzidzidzi, kudzimbidwa, kugonja.
4. Poletsa kaphatikizidwe ka triglycerides mu chiwindi ndi kuthamangitsa kuchulukitsidwa kwawo kuchokera m'magazi, mafupa amagwiritsidwa ntchito. Mankhwala osokoneza bongo amatha kusokoneza dongosolo lamanjenje, ndipo nthawi zina amathandizira kukwiya, kusanza, kusanza, kutsekula m'mimba.
5. Pogwira nawo beta-blockers, kupweteka kwambiri kumatsitsidwa, kuthamanga kwa magazi kumachepa. Koma kusamala kuyenera kuchitidwa, popeza mankhwalawa amatha kuchepetsa kugunda kwa mtima, kukhala ndi poizoni m'thupi, kutsika kwamwazi wamagazi, komanso mphumu.

Woopsa, pamene mapiritsi sathandizira, chithandizo cha opaleshoni chimachitika. Mothandizidwa ndi angioplasty, ziwiya zowonongeka zimabwezeretseka ndipo lumen yawo imakulitsidwa. Kuti matenda a magazi asokonezeke, opaleshoni yam'mimba imachitika.

Aneurysm akapezeka, opaleshoni imachitidwa kuti atulukemo, tsamba lakutali limasinthidwa ndi ma prostheses opanga. Ngati mphete ya aortic itasungunuka, valavuyo imatayidwa ndikusinthidwa ndi zida zochitira ena. Panthawi yotumphukira kwa aneurysms, opaleshoni imachitidwa mwachangu.

Monga njira yolepheretsa komanso poyambira matendawa, mankhwala odziwika bwino amathandiza kwambiri. Amagwiritsidwa ntchito ngati cholumikizira chithandizo chachikulu.

• 300 g wa adyo ndi osenda, osankhidwa, ndikuyika mumtsuko wagalasi ndikutsanulira 500 ml ya mowa wamphamvu. Mankhwalawa amaumirizidwa kwa milungu itatu, pambuyo pake madontho 20 amatengedwa tsiku lililonse, omwe kale anali ndi mkaka.
• Kapenanso, adyo amasakanizidwa ndi uchi muyezo wa 1 mpaka 2. osakaniza amatengedwa kanayi patsiku musanadye.
• Komanso m'mawa pamimba yopanda kanthu ndikofunika kumwa madzi osakaniza, mandimu ndi mandimu. Njira yofananayo imabwezeretsa chitetezo chokwanira komanso kuthetsa cholesterol yoyipa.
• Kulimbitsa mtima ndi mitsempha yamagazi, amamwa madzi kuchokera ku beets ndi nkhaka. Izi zamasamba zimakhala ndi potaziyamu ambiri, zomwe zimakhudza mtima wamtima.

Pofuna kupewa matenda, matenda amafunika kuchotsa zonse zomwe zimakhudza thanzi la wodwalayo. Makamaka, ndikofunikira kusiya kusuta ndi kumwa mowa, kuphunzira kudya moyenera ndikusunganso zolemeretsa zamasiku onse, kuchita masewera olimbitsa thupi pafupipafupi, kuyang'anira kunenepa kwanu, komanso kupewa mavuto.

Ngati muli ndi vuto lotengera kubadwa kwa makolo kapena zinthu zina, muyenera kupita kwa dokotala pafupipafupi ndikupereka magazi kuti akuwunikeni. Ndikofunikira kwambiri kuwunikira cholesterol mu shuga, matenda oopsa, kunenepa kwambiri, kusowa kwa mahomoni ogonana, kupsinjika kwamphamvu, angina pectoris.

Aortic atherosulinosis akufotokozedwa mu kanema munkhaniyi.