Atherosulinosis ndi matenda am'mitsempha yama mtima, yodziwika ndi njira yodwala komanso yopita patsogolo, imapezeka makamaka mwa okalamba.
Pathogenesis yamatendawa imapangidwa pakupanga ma atherosselotic plaque pamitsempha, kutsekeka kwa lumen ya ziwiya komanso kuphwanya kwa magazi kwa ziwalo ndi minofu yofewa.
Matendawa nthawi zambiri amaphatikizidwa ndi ma pathologies ena, monga angina pectoris, mtundu 2 shuga mellitus, matenda oopsa, matenda a metabolic komanso kunenepa kwambiri.
Nthawi zambiri, matendawa pakakhala chithandizo chokwanira amakhala osakwanira chifukwa cha zovuta monga hemorrhagic kapena ischemic stroke, infarction ya myocardial, kuchepa kwapang'onopang'ono kwa ischemic.
Zomwe zimayambitsa kupezeka kwa atherosulinosis:
- Hypercholesterolemia ya nthawi yayitali chifukwa cha kuphwanya zakudya, banja limakonda kudya, kunenepa kwambiri, metabolic syndrome, matenda a endocrine (hypothyroidism, matenda a Itsenko-Cushing, matenda a shuga mellitus).
- Kuwonongeka kwa makoma amitsempha yamagazi yayikulu komanso yapakati - chifukwa cha hemodynamic (kuthamanga kwa magazi m'malo opezeka magazi), uchidakwa, kusuta fodya, kusowa zochita zolimbitsa thupi, kuthamanga kwa magazi, chizolowezi cha thrombosis ndi thromboembolism.
Kodi ndizotheka kupewa kupezeka kwa atherosulinosis ndi matenda a mtima ndi kumwa pafupipafupi?
Pali lingaliro kuti anthu omwe amamwa mowa nthawi zonse amakhala ndi zotengera popanda ma atherosulinotic malo.
Nthawi zambiri, mawu ngati awa amatha kumveka kuchokera kwa akatswiri a zamankhwala.
Koma ziyenera kukumbukiridwa kuti awa ndi malingaliro ongoganizira, opangidwa pantchito.
Anthu omwe amamwa zakumwa zoledzeretsa zambiri amakhala ndi chiopsezo cha kufa ndi matenda ena ngakhale asanafike kusintha kwa mitsempha ya atherosselotic.
Kuperewera kwa mapepala mu kafukufuku wamagawo kumakhudzidwanso ndi kuperewera kwa zakudya komanso kuchepetsedwa kwa mapuloteni ndi mafuta mu zidakwa.
Mowa umatha kusungunula mafuta pang'ono, popeza ethanol ndi chinthu chochulukirapo mwa mphamvu yake ya mankhwala, yomwe imasungunula mankhwala amadzi ndi mafuta.
Zovuta za Mowa Mopitirira Muyeso
Kumwa zakumwa zoledzeretsa zochuluka kotero zomwe zingakhudze mapangidwe a atherosselotic ndi rheology yamagazi kungayambitse uchidakwa ndi matenda ena okhudzana ndi mowa - mtima ndi mtima, matenda a encephalopathy ndi matenda a chiwindi.
Komanso, mowa wambiri umakhudzanso kuchuluka kwa magawo a cholesterol - amachepetsa kwambiri kuchuluka kwa ma lipoproteins (anti-atherogenic) ndikuchulukitsa otsika kwambiri komanso otsika kwambiri a lipoproteins, triglycerides.
Kuphatikiza apo, kugwiritsa ntchito mizimu mopitilira muyeso, kuphwanya njira zonse za metabolic, kuphatikiza mafuta, kumayamba, komwe kumabweretsa magawidwe osagwirizana, komanso kupezeka kwa matenda monga mafuta a chiwindi ndi mtima wa dystrophy ("tiger heart").
Vitamini metabolism imasokonezedwanso, yomwe ndi mavitamini a B, omwe amakhudza luntha la kuzindikira, kuperekera kwa mitsempha ndi magwiridwe antchito a m'mimba.
Mowa umakhudza khoma lamitsempha yamagazi motere - poyamba umakulitsa kwambiri, kenako umachepa.
Mchitidwewu umakhudza mitsempha yomwe imakhudzidwa ndi atherosulinosis ndipo ingayambitse kupindika komanso kuphwanya kwambiri magazi.
Zotsatira zazikulu za zakumwa zazikulu pa milingo ya magazi zam'magazi zitha kufanananso ndi chikhalidwe cha phwandolo komanso kugwiritsa ntchito zakudya zomwe zili ndi cholesterol monga zakumwa zoledzeretsa.
Zotsatira za mowa pakumwa waukulu Mlingo
Pogwiritsa ntchito moyenera, kwenikweni, atherosclerosis ndi mowa zimagwirizana, kuphatikiza apo, pali maphunziro azachipatala okhudzana ndi phindu la zakumwa zochepa za zakumwa zoledzeretsa.
Zogwiritsidwa ntchito zoterezi ndizovomerezeka - mowa - malita 0,33, vinyo - mamililita 150, vodika kapena cognac - 50 milliliters aliyense.
Ndiwo Mlingo omwe amaonedwa ngati achire, ndipo angagwiritsidwe ntchito pochiza komanso kupewa matenda a mtima.
Zatsimikiziridwa kuti kumwa pang'ono kumachepetsa chiopsezo cha kufa chifukwa cha kugunda kwa mtima, stroke, thrombosis ndi thromboembolism.
Kumwa zakumwa zoledzeretsa za 1-2 kumachepetsa chiopsezo cha zovuta pambuyo pakuchita opaleshoni kuti muthane.
Komanso, kumwa moyenera kumakhudza kuchuluka kwa fibrin ndi fibrinogen m'magazi am'magazi, ndikuwonjezera kuchuluka kwa profibrinolysin, enzyme yomwe imasungunuka magazi, motero, kuchepetsa chiopsezo cha kuundana kwa magazi ndi emboli m'mitsempha yamagazi.
Mlingo wocheperako wa zakumwa zotere, monga vinyo, muli, kuwonjezera pa mowa wa ethyl, antioxidants (resveratrol ndi ena), womwe umakhudza mitundu yonse ya kagayidwe kachakudya mthupi, komanso umalepheretsa restenosis - kutupa ndi kuvulala kwamphamvu kwa patent.
Kafukufuku wazachipatala awonetsa kuti azimayi omwe amamwa mowa mopitirira muyeso amakhala ndi chizolowezi chocheperako chofuna kulemera kwambiri thupi kuposa omwe samamwa mowa konse. Pazaka 10 zofufuzira, gulu loyamba lidapeza pafupifupi ma kilogalamu 2 ochepera kuposa omwe alibe vinyo.
Kugwiritsa ntchito mowa kumatsutsana kwathunthu mu:
- Ndi kuphwanya chiwindi, monga mavairasi, mankhwala ndi hepatitis woopsa, cirrhosis.
- Ndi pathologies a m'mimba thirakiti - chironda chachikulu m'mimba kapena duodenum ndi anam`peza matenda am`matumbo.
- Matenda a kapamba - chifuwa chachikulu cha kapamba komanso kapamba.
- Matenda oopsa - mphumu ya bronchial ndi mbiri ya edema ya Quincke.
- Zovuta zam'mbuyomu za ischemic matenda - myocardial infarction ndi stroke.
- Mavuto am'mimba komanso matenda obwera ndi ubongo monga khunyu komanso meningitis.
- Njira za oncological zamtundu uliwonse.
- Matenda oopsa oopsa ndi ziwalo zina.
- Zotsatira zowopsa za ubongo.
Ndikosayenera kumwa mowa ndi zakumwa zoledzeretsa kwa abale apamtima, kumwa moledzera kwamphongo yaying'ono ndikuwonongeka kwakumbuyo pambuyo pa phwando.
Kumbukirani kuti mowa si chida chodziyimira popewa kapena kuchiza matenda aliwonse, ndipo sangathe kulowa m'malo mwa mankhwala.
Chikhalidwe cha kumwa mowa ndikofunikanso - mutha kumwa kokha ndi chakudya, pamimba yopanda kanthu, ngakhale mlingo wocheperako umatha kuyambitsa kutentha kwa membrane wa mucous, ndipo mtsogolomo kumabweretsa zilonda zam'mimba.
Ndikulimbikitsidwa kumwa mowa ndi chakudya chamadzulo kapena maola awiri chisanachitike.
Monga zakudya, muyenera kudya zakudya zamafuta ochepa, monga masamba a masamba, nkhuku, tchizi yamafuta ochepa, zipatso.
Mukamagwiritsa ntchito mankhwala ena, mowa umaletsedwa, mwachitsanzo, pochiza matenda oopsa a beta-blockers ndi okodzetsa, mukamamwa mankhwala a antibacterial komanso mankhwalawa osagwiritsa ntchito mankhwala a antipatitis (Aspirin).
Amaletsedwanso kuphatikiza antidepressants ndi mowa, izi zitha kutsogolera matendawa.
Zakudya ndi masewera olimbitsa thupi atherosulinosis
Chithandizo cha atherosulinosis imakhala ndi kuphatikiza kwa njira zosagwiritsa ntchito mankhwala ndi mankhwala - kusintha njira ya moyo, kudya, kusiya zizolowezi zoipa, mankhwala.
Ngati ndi kotheka, kuchitapo kanthu kwa opaleshoni kumachitika pochiritsa matenda.
Zakudya za atherosulinosis ndi hypocaloric, hypolipidemic, ndipo cholinga chake ndikulengera pang'onopang'ono zinthu zachilengedwe.
Izi ndi monga:
- nkhumba
- mwanawankhosa ndi nyama zina zamafuta;
- offal;
- mafuta;
- mazira a nkhuku.
Zakudya zamafuta ndi zokazinga komanso zakudya zachangu zimasinthidwa pang'onopang'ono ndi zakudya zamkaka komanso zamasamba.
Zakudyazo ziyenera kuphatikizapo zakudya zomwe zimakhala ndi fiber. Zakudya izi zimaphatikizapo saladi; kabichi; amadyera; chimanga ndi nyemba; buledi wa tirigu wathunthu; chinangwa.
Magulu a mafuta opanda mafuta (nsomba, mafuta a masamba, mapeyala, njere) ndi mapuloteni (zoyera, dzira, nkhuku, mafuta amkaka, ng'ombe, mankhwala amkaka) ziyenera kuyambitsidwa muzakudya.
Ndikulimbikitsidwa kugwiritsa ntchito 1.5 - 2 malita a madzi akadali patsiku, kuchepetsa kugwiritsa ntchito tiyi ndi khofi, kuthetseratu madzi okhala ndi kaboni, zakumwa zamphamvu.
Udindo wofunika kwambiri pa matenda a atherosulinosis ndi kuchita masewera olimbitsa thupi, kuyambira pang'ono. Chithandizo Cholimbikitsidwa:
- akuyenda
- aerobics
- kuthamanga
- tenthetsani;
- zolimbitsa thupi;
- makalasi ochita masewera olimbitsa thupi;
- kusambira.
Kumbukirani kuti muyenera kuyamba kuchita masewera olimbitsa thupi pang'onopang'ono, kuyang'anira thanzi lanu, kugunda kwanu komanso kuthamanga kwa magazi.
Ndikofunika kuwonjezera kuchuluka kwa akatundu kokha pololera bwino komanso kusapezeka kwa ma contraindication.
Kugwiritsa ntchito mankhwala
Pokhapokha pakhala zotsatira zabwino kuchokera pakudya ndi zakudya zamasewera, chithandizo chamankhwala chimagwiritsidwa ntchito.
Zochizira pogwiritsa ntchito mankhwala, mankhwala omwe amagwiritsidwa ntchito m'magulu osiyanasiyana azachipatala amagwiritsidwa ntchito.
Kugwiritsa ntchito mankhwala kuyenera kutsatana ndikutsatira zakudya zomwe zakhazikitsidwa komanso masewera olimbitsa thupi.
Mankhwala akuphatikizapo:
- Mankhwala osokoneza bongo okhala ndi hypolipidemic zotsatira za statins (Simvastatin, Lovastatin, Atorvastatin, Fluvastatin, Pravastatin);
- Niacin, fibrate (Fenofibrate, Bezafibrat, Tsiprofibrat), phenucol, sequestrants of bile acids.
- Ma antiplatelet - Acetylsalicylic acid, Magnikor, Asparkam, Cardiomagnyl, Plavix, Clopidogrel.
- Kukonzekera ndi anticoagulant kanthu - Heparin, Enoxiparin.
- Mankhwala othandizira - Vazoprostan, Cilostazol.
- Mankhwala a Antispasmodic (No-shpa, Drotaverin, Papaverine, Riabal).
- Kukonzekera kwa Vitamini (mavitamini C, gulu B, ascorutin), sedative and sedative therapy (Afobazol, Glycine, Valocordin, Donormil), mankhwala a nootropic (Aminalon, Nootropil, Bilobil, Phenotropil).
- Mankhwalawa mankhwala a atherosulinosis zovuta (antibacterial mafuta), mankhwala azitsamba.
M'pofunikanso kuchiza matenda ofanana.
Zochizira za angina pectoris, ma nitrate amagwiritsidwa ntchito kuletsa kupweteka, ma antiplatelet othandizira ndi anticoagulants.
Hypertension imathandizidwa pogwiritsa ntchito ACE inhibitors, otsutsana ndi calcium, beta blockers, diuretics ndi angiotensin receptor antagonists.
Chithandizo cha matenda ashuga chimagwiritsidwa ntchito ndimankhwala a hypoglycemic, mwachitsanzo Metformin.
Ma calcium antagonists amathandizanso kusintha kamvekedwe ka mtima ndikukula, ndikuchulukitsa kwa magazi kupita ku ziwalo.
Katunduyu ndiwofunika kwambiri makamaka kwa atherosulinosis ya ziwiya zamafuta. Ikani mankhwala monga Verapamil, Amlodipine, Corinfar, Adalat, Nimodipine.
Poletsa matenda a atherosulinosis, chachikulu ndi njira yophatikiza, yomwe imaperekedwa pa matenda a concomitant matenda (matenda oopsa, matenda a shuga ndi ena), kutsatira machitidwe olimbitsa thupi ochita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi pang'ono.
Zimayenera kuchita zowunikira zizindikiro za kupsinjika (ziwerengero zabwinobwino - zosakwana 130 mpaka 90, zolondola - zosakwana 120 mpaka 80) ndi mbiri ya magazi lipid (yonse cholesterol - yochepera 5.5). Magazi a glucose ayenera kukhala osiyanasiyana 3.3 mpaka 5.5. Matenda opatsirana amayeneranso kuthandizidwa munthawi yake.
Mavuto a mowa mthupi akufotokozedwa mu kanema munkhaniyi.
