Atherosulinosis imadziwika kuti ndi matenda oopsa omwe, chifukwa cha kuchuluka kwa cholesterol yambiri, minyewa yolumikizana ndi mitsempha imakula. Izi zimabweretsa kukula kwa makoma komanso kuchepera kwa lumen ya m'mitsempha yamagazi. Psychology yofananira imafikira ku ubongo, impso, miyendo, mtima, msempha.
Ngati magazi atasokonezeka, ziwalo zogwira ntchito zamkati sizilandira zakudya zoyenera ndipo zimatha. Ngati palibe chithandizo chamanthawi yake, zotsatira za matendawo zimalemala, ndipo nthawi zina ngakhale kufa.
Masiku ano, atherosclerosis ikukula mwachangu, ndipo odwala matenda ashuga nthawi zambiri amakhudzidwa ndi metabolid ya lipid. Pofuna kupewa kufalikira kwa matenda a m'mimba, ndikofunikira kudziwa kuti atherosulinosis ndi chiyani, ndi chiopsezo chiti, mitundu yazachipatala, komanso momwe amathandizira komanso kupewa.
Kuwonetsedwa kwa matendawa
Kusintha kwa zinthu kumayambira ndikuwononga makoma amkati mwa mitsempha, zomwe zimayambitsa chiopsezo cha atherosulinosis. Madera omwe akukhudzidwawa amatha kudutsa lipoprotein yotsika kwambiri, yomwe imalowa m'mitsempha ndikupanga malo a lipid mkati mwake.
Cholinga ichi cha kutupa chimakhudzidwa ndi njira zingapo zamankhwala. Zotsatira zake, cholesterol plaques amapezeka m'mitsempha yamagazi, omwe atatha kukula kwa minofu yolumikizana imakhala atherosulinotic. Komanso, kuwung'amba magazi pang'ono ndi ma microcracks m'makoma amkati amitsempha yamagetsi kumathandizira kuti mawonekedwe apangidwe.
Hypercholesterolemia yomwe imatenga nthawi yayitali imayambitsa matenda. Mitsempha yamagazi, chifukwa chakuperewera kwa zakudya, imakhala yocheperako komanso yothinana, imataya kunenepa ndi mawonekedwe. Magazi kudzera m'miyeso yopapatiza sangathe kulowa mokwanira, ndichifukwa chake ziwalo zamkati zimavutika.
Izi zimabweretsa chiwopsezo chowonjezereka, chifukwa kuphwanya lipid metabolism kumabweretsa:
- Ischemia
- Njala ya oxygen;
- Kusintha kwatsopano kwa ziwalo zamkati;
- Yaying'ono yokhazikika sclerosis ndi kuchuluka kwa zolumikizana minofu;
- Pachimake mtima kuperewera, ngati lumen zotumphukira zotsekedwa ndi magazi, pamenepa, kubadwa kwa myocardial kungachitike
- Kutupa kwa aneurysm, kumatsogolera kuimfa.
Pathology yomwe imakhudza mitsempha ya m'magazi imayamba pang'onopang'ono komanso mwachangu.
Malinga ndi gulu lomwe limavomerezedwa kwambiri, zomwe zimayambitsa zotupa za atherosselotic zingakhale zoberekera, zamagulu komanso zochita.
Zachilengedwe zimayambitsa atherosulinosis
Kukhala ndi moyo wathanzi komanso kutsatira chakudya kumachepetsa mwayi wokhala ndi matendawa. Koma pali zinthu zobadwa mwanjira ina zomwe sizingakonzeke. Pachifukwa ichi, chiopsezo chosasinthika cha atherosulinosis ndiyowopsa kwambiri.
Izi zikuphatikiza zifukwa zomwe zalembedwa pamlingo wa DNA, monga zaka, kubadwa ndi jenda. Ndi kuphatikiza kwa zinthu zingapo zachilengedwe, chiopsezo chotenga matendawa chimachulukitsa ka 10-20.
Pofuna kuti musakwiyitse, kuti mupewe matenda a atherosclerosis, ndikofunikira kutsatira malangizo onse a dotolo, kuyang'anira kulemera kwanu, kudya moyenera, kusunthika kwambiri, ndikuyendera mpweya watsopano.
- Mwa abambo, chiopsezo chokhala ndi mtima wamatenda am'mimba ndizambiri, popeza azimayi ali ndi chitetezo chamtundu wa mahomoni ogonana. Ma estrogens samalola mapangidwe a atherosulinotic plaques. Koma pa nthawi yomwe amasamba, mawonekedwe amthupiwo amasintha, ndipo kukalamba mwayi wamatenda umayamba.
- Pambuyo pazaka 60, thupi limatha, zomwe zimapangitsa kuchepa kwa chitetezo. Izi nthawi zambiri zimayambitsa chitukuko cha atherosulinosis mwa anthu okalamba.
- Matenda obadwa nawo amathandizanso kutenga matenda. Ngati wachibale wina ali ndi vuto la hypercholesterolemia, muyenera kusamala osati kungopereka tsoka.
Ngati munthu atsata moyo wathanzi, kupita ku ofesi ya dokotala pafupipafupi osayiwala za njira zodzitetezera, simungadandaule za atherosulinosis.
Kukhalapo kwa pathophysiological zinthu
Zotsatira zakuthambo zomwe zimayambitsa matenda a atherosulinosis zimagwira ntchito yofunika kwambiri. Pathology imatha kukhalapo pamaso pa matenda ena, omwe amachepetsa kwambiri kuwonongeka kwa mitsempha yamagazi.
Choyamba, matenda oopsa oopsa amakhala oopsa, chifukwa kuchuluka kwambiri kwa mitsempha kumachepetsa mitsempha, kumachepetsa ndi kufooketsa. Zombo zomwe zikukhudzidwa zimayamba kugwiritsidwa ntchito pazovuta zilizonse, ndipo zolembera za cholesterol zamtunduwu zimapangidwa mwachangu kwambiri.
Kuwonongeka kwa lipid bwino kumabweretsa hypercholesterolemia. Ngati kuchuluka kwa cholesterol yoyipa kwachulukitsidwa kwa nthawi yayitali, izi zimapangitsa kuti ziwonekere kuzinthu zoyipa pamakoma amitsempha ndikupanga mapangidwe a atherosulinotic.
- A kwambiri endocrine matenda monga matenda a shuga kupangitsa matenda kagayidwe kachakudya. Poyamba, kuchuluka kwa shuga m'magazi kumasintha, koma chifukwa cha kunenepa kwambiri komanso kuchuluka kwa mafuta m'thupi la ashuga, kusintha kwa cholesterol kumasintha.
- Kukhalapo kwa kunenepa kwambiri kapena kunenepa kwambiri kumayambitsa kukulira kwa minofu yamafuta, kuphwanya kwa chakudya cham'mimba komanso lipid metabolism. Izi zimapangitsa kuti mafuta azingokhala osati ziwalo zamkati, komanso m'mitsempha yamagazi.
- Ndi hypothyroidism, chithokomiro cha chithokomiro chimachepa ndipo njira ya metabolic imachepera. Izi zimayambitsa kunenepa kwambiri ndi kutupa, zomwe pamapeto pake zimakwiyitsa kuchuluka kwa lipids.
Zonsezi ndizosinthidwa zomwe zimayambitsa vuto la atherosulinosis, lomwe lingapangidwe ndikumwa mankhwala, kutsatira njira yothandizira, kuyeza kuthamanga kwa magazi, ndikuwunika kuchuluka kwa shuga ndi cholesterol m'thupi.
Zonsezi zimachepetsa katundu m'mitsempha ndikupanga magazi kukhala ngati magazi.
Zochitika Pangozi
Ndikofunika kulipira mwapadera zifukwa izi, chifukwa ndi thanzi lake lomwe limatengera zomwe wodwalayo akuchita. Chifukwa chakuti anthu ambiri masiku ano samayang'anira zakudya zawo, amasuntha pang'ono ndikukhala ndi moyo wopanda thanzi, matendawa amayamba achichepere chaka chilichonse. Zinthu zaukhazikika zimatha kuwongoleredwa, koma si nthawi zonse pamene munthu akufuna kusintha moyo wake ndikusiya zizolowezi zoipa.
Ndi kumwa pafupipafupi zakumwa zoledzeretsa, njira za metabolic zimasokonezeka. Ndi kuwonjezeka kwa kagayidwe kachakudya, glucose imadyedwa mwachangu, koma mafuta a metabolism amalephereka. Kupanga kwamafuta acids, omwe amasonkhana m'mitsempha ndi chiwindi, kumathandizidwanso.
Kupangidwe kwa mapangidwe a atherosulinotic kumabweretsa kusuta kwa nthawi yayitali. Nikotini amayambitsa kusokonekera ndi kusokonekera kwa mitsempha yamagazi. M'mitsempha yowonongeka, kuphatikiza mafomu a cholesterol, omwe pambuyo pake amapanga ma cholesterol plaques.
- Kudya kwambiri ndi vuto linalake. Ndi kudya kwambiri alibe nthawi yogaya. Zotsatira zake, mafuta opangira mafuta amapangidwa kuchokera ku zinyalala za chakudya, zomwe zimayikidwa ziwalo zonse zamkati, kuphatikiza mitsempha yamagazi.
- Ndi chakudya chopanda malire komanso kuchuluka kwa mafuta ndi michere yambiri, kagayidwe kachakudya kamasokonekera. Zowopsa zambiri ndizogulitsa monga mafuta anyama, mazira, batala, nyama yamafuta, zonona zamkaka, popeza zimakhala ndi cholesterol yambiri.
- Ngati munthu ayenda pang'ono ndikuyamba kukhala ndi moyo wopanda ntchito, mphamvu zake zimayenda, chifukwa chake, mapangidwe amafuta am'mimba amapezeka. Lipids, kenako, imakhazikika m'mitsempha, imayambitsa atherosulinosis.
Zinthu zonsezi zimayambitsa kunenepa kwambiri, zomwe zimabweretsa zovuta zambiri komanso matenda. Pofuna kupewa zoterezi, ndikofunikira kutsatira malingaliro a madotolo, kusewera masewera, kuyenda tsiku ndi tsiku, kudya moyenera ndikuwunika kunenepa kwanu.
Ndi zokumana nazo zamphamvu komanso zamaganizidwe, kuthamanga kwa magazi kumakwera, kuchuluka kwa mtima kumawonjezeka, mitsempha ya magazi yopapatiza, kutulutsa kwamtima kwa magazi ndi zotumphukira zamagetsi zimawonjezeka. Izi zimabweretsa kusokonezeka kwa kayendedwe ka magazi achilengedwe komanso kusintha kwa makhoma amitsempha yamagazi.
Chifukwa chake, matenda a mtima nthawi zambiri amakula ndi kupsinjika pafupipafupi, nkhawa zochulukirapo komanso udani.
Matenda a Atherosulinosis
Kuti muthandizire munthu munthawi yake komanso kupewa kukula kwa zovuta zazikulu, ndikofunikira kuti muzitha kuzindikira matendawa. Popeza Zizindikiro sizikudziwika koyambirira, ndikulimbikitsidwa kuyezetsa magazi ndi kuyezetsa magazi.
Kuchepa kwa lipid metabolism kumatha kuzindikiridwa ndi zizindikiro zina. Khungu la wodwalayo likuuma, tsitsi likugwera, ndipo mafupa am'munsi amathandizidwa.
Zizindikiro zina ndi zina za matendawa zimayamba kuonekera pambuyo pake kwa atherosulinosis. Nthawi zina zimachitika mwadzidzidzi pachimake ischemia kumachitika motsutsana ndi maziko wamba wamba.
Zizindikiro zimatengera momwe gawo lamkati limakhudzidwira.
- Ngati atherosclerosis ya msempha wamtima atapezeka, kupweteka kwambiri pachifuwa kumamveka pakulimbitsa thupi kapena kupuma. Kuthamanga kwa magazi kumakwera kwambiri, kung'ung'udza kwa systolic kumawonekera pamimba ndikukwera kwa msempha.
- Ndi atherosulinosis yamitsempha yama coronary, kupweteka kwapachifuwa kumadzuka mkono wamanzere, kugunda kwa mtima kumasokonezeka, khungu limatupa, kuthamanga kwa magazi, komanso kugwidwa ndi mphumu. Ngati mitsempha ya coronary itatsekeka kwathunthu, kupweteka kwambiri pachifuwa kumawonekera kumapewa, pomwe wodwalayo alibe mpweya wokwanira ndipo amavutika kupumira.
- Atherosclerosis yamitsempha yamatumbo imayendera limodzi ndi kutopa msanga, kupweteka kwa mutu ndi chizungulire, mawonekedwe a tinnitus, kuwonongeka kwa mawonekedwe, kuchepa kwa nzeru, kusakhazikika, komanso kusintha kosinthasintha. Panthawi imeneyi, pamakhala chiopsezo chodwala.
- Ndi kukwezedwa kwambiri kwa magazi, matenda a m'mitsempha a impso amatha kuzindikira. Ngati munthu ali ndi mgwirizano wapakati pa matenda a chiwopsezo, amakhala woipa kwambiri.
- Ndi atherosclerosis yam'mimba msempha, kupweteka kumachitika pamimba, kulemera kumachepetsedwa, kulemera, nseru ndi kutentha kwamtima kumamveka mutatha kudya. Kudzimbidwa kumachitika nthawi zambiri. Wotsogola, kukula kwa gangrene kwamatumbo ndikotheka, komwe kumafunika kuchitapo kanthu mwadzidzidzi.
- Nthawi zambiri matendawa amafalikira kumiyendo. Pankhaniyi, kupweteka kwa minofu m'miyendo kumawoneka poyenda, zomwe zimayambitsa kulira. M'dera lomwe lakhudzidwalo, khungu limasunthira ndipo tsitsi limatuluka, kutupira kumawonjezeka, ndipo kumanjenjemera kumamveka kumapazi. Woopsa, mawonekedwe a misomali amasintha, zilonda zam'mimba zam'mimba, zimayamba.
Nthawi zina ziwalo zingapo zamkati zimakhudzidwa nthawi yomweyo, izi zimayamba kukhala zovuta kwambiri.
Momwe mungapewere matendawa
Kupewa kukula kwa matenda a zam'tsogolo ndikosavuta. Chachikulu ndikuwunika thanzi lanu mosamala ndikuchita chilichonse kuti mupewe kupezeka kwa zinthu zomwe zimayambitsa.
Munthu aliyense azitha kuyeserera pawokha magazi kunyumba. Kuti muchite izi, muyenera kugula chipangizo chapadera, mutha kupeza zida zambiri zosavuta zomwe sizikufuna maluso apadera kuti muyesedwe.
Ngati zisonyezo za nthawi yayitali zitha kupitirira mulingo wa 140/90 mm RT. Art., Muyenera kulumikizana ndi dokotala ndikukufufuzani ndikupita mayeso onse ofunikira. Ngati wodwala ali ndi matenda oopsa, adokotala amatha kukupatsani mankhwala okhala ndi ma cell komanso ma antiplatelet.
- Munthu yemwe amakhala ndi chibadwa cha makolo amafunika kutsatira njira yochizira komanso kukhala ndi moyo wathanzi, kuti asayambitse matenda. Monga prophylaxis, mankhwala otsimikiziridwa wowerengeka motsutsana ndi hypercholesterolemia amagwiritsidwa ntchito. Moyo wokangalika umafunikanso.
- Kuti machitidwe a mtima azikhala bwino, wodwalayo amalangizidwa kuti azidya moyenera. Zakudyazi zikuphatikiza zakudya zam'mera, nsomba, nkhuku, mkaka wosenda, masamba ndi zipatso. Mafuta, okazinga, zakudya zamchere komanso chakudya chothamanga siziyenera kuperekedwa kuchakudya.
- Mukamachita masewera olimbitsa thupi, muyenera kuzindikira kuti mufunika kuchita chiyani komanso osapanikizika, kuti thupi likhale labwino, koma osatha. Ndi matenda a mtima, madokotala amalimbikitsa kuyenda ndi kuyenda mu mpweya watsopano. Muyenera kuyenda osachepera 3 km patsiku kapena kuchita masewera olimbitsa thupi kwa mphindi 30.
- Kusuta ndi kumwa mowa kumapangidwa kwa anthu omwe ali ndi cholowa chobadwa nawo.
Ngati munthu akudwala matenda ashuga, njira zimatengedwa kuti muchepetse magazi kuti magazi ake asungidwe. Dokotala adzalembera mankhwala oyenera a pathogenetic ndikusankha mulingo woyenera wa mankhwalawa.
The etiology ndi chiopsezo cha atherosulinosis chafotokozedwa mu kanema munkhaniyi.