Atherosulinosis ndi njira yofunika kwambiri, yomwe imakhudza dongosolo lonse la ziwiya zamunthu. Ndi kukula kwambiri kwa matendawa, pamakhala kuthekera kwakukulu kwa kufa kapena kulumala.
Chimodzi mwazinthu zowopsa za matendawa ndi multifocal atherosulinosis, pomwe chitukuko chake chikugonjetsedwa osati gulu limodzi la zombo, koma zingapo. Izi zimabweretsa kuti pali kuphwanya kwa hemodynamics wa chamoyo chonse, zovuta zimakhalapo pakupanga chidziwitso cholondola ndikupereka mankhwala oyenera. Mbali ya multifocal atherosulinosis ndi zotsatira zoyipa kwambiri pazamoyo zonse.
Oposa theka la odwala omwe ali ndi matendawa amakhala m'gululi lomwe lili ndi multifocal atherosulinosis. Pathogenesis zimatengera zifukwa zosiyanasiyana.
Pali magulu angapo owopsa omwe matenda amapezeka:
- Cholowa. Odwala omwe achibale awo akudwala ndi atherosulinosis amatenga matendawa mosavuta. Komanso m'gululi muli odwala omwe ali ndi vuto la mtima, stroke kapena ischemia;
- Kukhalapo kwa zizolowezi zoyipa. Kuledzera, kumwa mankhwala osokoneza bongo, kusuta fodya kumakhala ndi zotsutsana ndi thupi, zomwe zimapangitsa kuti pakhale matenda atsopano;
- Kuperewera kwa chakudya choyenera, kuchepa mphamvu zolimbitsa thupi, kumwa kwambiri nyama zomwe zimaphwanya kagayidwe ka lipid zimathandizira kukulitsa stenosis;
- Kugwiritsa ntchito kwambiri kwamanjenje, mtundu wamanjenje poyankha pamavuto. Kusakhazikika mtima, kupsinjika pafupipafupi, kusinthasintha mosalekeza;
- M'badwo wodwala;
- Paulo Amuna amatenga matenda mosavuta kuposa azimayi;
- Kukhalapo kwa matenda amodzimodzi, monga kunenepa kwambiri, matenda ashuga, matenda oopsa, matenda a chithokomiro.
Chimodzi mwazifukwa zazikulu zakupanga kwa multifocal atherosulinosis ndi hypercholesterolemia, mawonekedwe ake omwe amachititsanso zifukwa zingapo:
- Mafuta ochulukirapo a nyama mu chakudya osamwa kwambiri masamba ndi zipatso zomwe zimakhala ndi fiber;
- Kuperewera kwa mavitamini pazakudya;
- Madzi akumwa osakwanira.
Wodwala akapezeka ndi multifocal atherosulinosis, ndikofunikira kukumbukira kuti mitundu iliyonse ya mawonekedwe ake imakulitsidwa ndi kukhalapo kwa matenda enaake.
Chifukwa chake, matenda amtundu wamtundu wa m'magazi angayambitse kugunda, ndipo ndi attifical atherosulinosis ya miyendo, matenda a shuga ndiwowonjezera chiopsezo.
Kuphatikiza magulu angapo amitsempha yamagazi, multifocal atherosulinosis ndi matenda oopsa omwe angayambitse zovuta zazikulu pakukhudzidwa kwa mtima kapena stroko. Pokhudzana ndi kugonjetsedwa kwakamodzi kwa masamba angapo, zizindikiro za matendawa zimakhala zosiyanasiyana.
Zizindikiro za matendawa zimadalira thromboembolic ndi hemodynamic zinthu. Pachiwiri, kuchepa kwakukulu kwa magazi kumawonedwa mwa wodwala. Mu zotupa za thromboembolic, mawonekedwe oyera a magazi m'dera la endothelium yowonongeka pamunsi pa zolembazo. Izi ndichifukwa choti mapulateleti amachitidwa. Pa kulekanitsa magazi a pakhungu limayamba. Komanso, odwala nthawi zambiri amadandaula za kuwoneka ngati kufooka wamba; chidwi chosokoneza; kusokonezeka kwa kukumbukira; mawonekedwe a tinnitus; zosokoneza tulo; kusakwiya, kusinthasintha koipa.
Multifocal atherosulinosis imatha kutsagana ndi encephalopathies. Ndi chitukuko cha matendawa m'mitsempha yama bracheocephalic kumapeto kwake, maluso a wodwala amachepa. Odwala mwina adasokoneza kuyendetsa bwino magalimoto.
Multifocal coronary arteriosulinosis amachititsa izi:
- Maonekedwe a angina pectoris;
- Kupweteka kwakanthawi kumbuyo kwa sternum;
- Mitundu ya mtima kusokonezedwa kapena mawonekedwe a kulephera mtima.
Ngati mankhwala a atherosulinosis a coronary ndi mtima ena samachitika, myocardial infarction imayamba.
Mowa ukawonongeka ndi atherosulinosis, odwala amadandaula kuti:
- Maonekedwe a ululu kumbuyo, khosi, phewa, kumbuyo kwa sternum;
- Mutu wapafupipafupi komanso wosiyanasiyana;
- Kuwoneka kwa chifuwa, kusinthasintha mawu;
- Kutupa kwa nkhope, komwe kumachitika chifukwa cha kupyapyala kwa vena cava wapamwamba.
Pozindikira atherosulinosis ya m'mimba msempha, odwala amazindikira ululu pamimba. Kuphatikiza apo, ndi kuwonongeka kwa thupi, kupukusira kwam'mimba nthawi zambiri kumawonedwa.
Ndi kuwonongeka kwa mitsempha yotumphukira, kuchepa kwa kutentha kwa khungu ndi malekezero am'munsi kumaonekera. Izi zimabweretsa kuti zimakhala zovuta kwambiri kuti munthu ayende ndipo malemu akuwonekera.
Ngati minyewa ya impso yakhudzidwa, ischemia ya organic imawonedwa.
Kwa multifocal atherosulinosis, kupezeka kwa zizindikiro zosiyanasiyana kumakhala ndi chikhalidwe, zomwe zimatengera malo ake.
Popeza Zizindikiro za multifocal atherosulinosis zimasiyana siyana, wodwalayo amayenera kupimidwa kuchipatala kuti adziwe momwe matendawa aliri.
Poyamba, katswiri amatenga mbiri yonse ya wodwala. M'pofunika kuti muwerenge mbiri yonse yazachipatala kuti mupewe matenda ena akuluakulu. Kenako, kuyesedwa kwakunja kumachitika, palpation ya omwe akhudzidwa. Njira izi zimatchedwa mayeso oyambira.
Kenako muyenera kulembetsa ndikuwerenga minda yamagetsi yomwe imapangidwa chifukwa cha ntchito yamtima. Ntchito yamagetsi yama minofu ya mtima imawunikiranso.
Izi zotsatirazi zikuwonetsedwanso:
- Nthawi ndi nthawi, chifukwa mumatha kudziwa zomwe zimachitika minofu ya mtima. Kugwiritsa ntchito mayeso a Holter, mutha kuyang'anira zochitika zam'kati mokhazikika, kuwunika zochitika zamtima panthawi yochita masewera olimbitsa thupi komanso kupuma, ndikujambulanso zolakwika zazing'ono;
- ECG, yomwe mutha kuyesa momwe ntchito yamtima yayendera. Ma electrocardiograph amatenga mafunde amagetsi nthawi yopuma komanso ya minyewa yamtima;
- Doppler ultrasound, yomwe imagwiritsidwa ntchito pophunzira mitsempha yamagazi ndi kuthamanga kwa magazi;
- Transcranial dopplerography, chifukwa chomwe chimakhala chowerengera chokwanira komanso chodalirika cha kapangidwe ndi ntchito yogwira ntchito ya mitsempha ya brachiocephalic;
- Kusanthula kwa duplex ndi coronarography, komwe kungathandize kuyesa kuchuluka kwa mawonekedwe a patency, kukula kwa lumen ndi kusintha kwake;
- Ultrasound ya ziwalo zonse zamkati;
- Echocardiography, chifukwa chomwe ndikotheka kuyang'ana kulera kwa minofu ya mtima;
- Kugwiritsa ntchito mayeso a X-ray kumakuthandizani kuti muphunzire mawonekedwe ndi ntchito za ziwalo zonse zofunika za thupi;
- Pofuna kudziwa kuchepa kwa mtima wa mtima, kuyesedwa kwa dobutamine ndi nitroglycerin kumachitika;
- Chofunikira ndi kuphunzira magazi ndi mkodzo wa wodwala;
- Ventriculography imapangidwa kuti iwone momwe ubongo umagwirira ntchito komanso momwe zinthu zimayendera.
Munthawi zonse, dokotala yemwe amapezeka ndi wodwalayo, amatipatsa njira zingapo zodziwira matenda a multifocal atherosclerosis.
Ndikofunikira kugwiritsa ntchito zakudya zapadera pochiza matenda a multifocal atherosulinosis, ngakhale ali kuti. Nthawi yomweyo, odwala amaletsedwa kudya nsomba zamafuta, batala, tchizi cholimba. Ndikofunikira kuchepetsa kumwa kwamafuta a nyama. Ndikofunika kuti odwala asiyanitse zakudya ndi zipatso ndi ndiwo zamasamba. Zakudya ziyenera kumwedwa m'magawo ang'onoang'ono kasanu patsiku.
Muzochitika zomwe zimayambitsa multifocal atherosulinosis ndi matenda a impso kapena chiwindi, mtundu wa 2 matenda a shuga, matenda a chithokomiro, choyambirira, amathandizidwa ndi mankhwala. Matendawa amatha kutha chifukwa cha ntchito mankhwalawa vasodilator ndi antispasmodics.
Zotsatira zabwino kwambiri komanso kugwiritsa ntchito kwambiri mankhwalawa zimawonedwa mukamayamwa ma antiplatelet. Nthawi zambiri, odwala amapatsidwa mankhwala omwe amathandiza kusintha magazi. Kuphatikiza pa kuchiritsa matendawa, ndikofunikira kugwiritsa ntchito lipid-normalizing othandizira, makamaka ma statins.
Kugwiritsa ntchito mankhwala mankhwalawa kuyenera kuchitidwa kwathunthu. Katswiri amasankha mankhwalawa kutengera ndi malo a atherosulinotic malo ndi mawonekedwe a thupi la wodwalayo.
Kumayambiriro kwa matendawa, kugwiritsa ntchito mankhwala othandizira a atherosulinosis ndikotheka, ndipo ngati magazi awundana, pakufunika opaleshoni yofunika. Mwa njira za opaleshoni zomwe zimagwiritsidwa ntchito pochiza matendawa, izi ndizodziwika:
- Coronary mtsempha wamagazi kudutsa Ankalumikiza;
- Njira ya thrombectomy;
- Kuchotsa kwamphamvu;
- Carotid endarterectomy.
Pakukulitsa mtundu wa chithandizo ndi mankhwala, mutha kugwiritsa ntchito mankhwala achikhalidwe. Amakhala ndi chikhazikitso cha kuthamanga kwa magazi a anthu. Njira imodzi yofala ndikugwiritsa ntchito tincture wa adyo. Ikukonzekera mophweka. Choyamba, adyo amasankhidwa ndikuthira ndimadzi; mankhwala adalowetsedwa pafupifupi mwezi. Imwani mankhwalawa tsiku lililonse.
Njira yabwino kwambiri yothanirana ndi atherosulinosis ndi kugwiritsa ntchito Kombucha. Mutha kulima nokha ku banki. Amatsimikiziranso kuti ndi abwino pochotsa cholesterol plaques blueberries ndi raspberries. Tsiku lililonse tikulimbikitsidwa kudya ma walnuts, nkhuyu, ma apricots zouma, zoumba zoumba.
Zambiri pa atherosulinosis zafotokozedwa mu kanema munkhaniyi.
