Atherosulinosis ya m'mimba msempha - ndi chiyani? Atherosulinosis ya m'mimba msempha ndi matenda wamba, makamaka pakati anthu okalamba. Amayamba chifukwa cha kuchuluka kwa zolembera zamtundu wa atherosselotic pakatikati kwamkati mwa chotengera.
Chingwe chimayamba kukula pang'onopang'ono kukula, kuchepetsa mphamvu ya mtima ndikuwonjeza komanso kusokoneza kayendedwe ka magazi, zomwe zimapangitsa kuti zizindikirika. Kuphatikiza apo, zimakhala zowazungulira chinsaluchi nthawi zonse zimayatsidwa.
Mimba yam'mimba ndi gawo lalikulu la ziwalo zamagazi zamagazi, zomwe zimayang'anira magazi kuti zipereke ziwalo zonse zam'mimba komanso m'munsi.
Chifukwa chake, kuchokera ku nthambi zake, mpweya, magazi, m'mimba, matumbo ang'ono ndi akulu, chiwindi, ndulu, kapamba, kakang'ono komanso zazikulu zam'mimba, peritoneum (serous membrane yomwe imalowa mkati mwa m'mimba) ndi ziwalo zamkati zimapezeka. Ziwalo izi zizunzika koyamba, kenako zizindikirocho zizioneka pamiyendo.
Zomwe zimayambitsa matendawa
Atherosulinosis ya m'mimba msempha umatha kukhala chifukwa cha zovuta zovuta zingapo. Ambiri aiwo amatsagana ndi moyo wa anthu ambiri, ndipo nthawi zina zimakhala zovuta kuzichotsa. Pali magulu angapo a zoopsa.
Nayi mndandanda wachitsanzo cha zifukwa zonse zotheka:
- kubadwa mwabadwa;
- kuperewera kwa zakudya, makamaka kudya zakudya zamafuta ambiri komanso zakudya zamafuta;
- onenepa kwambiri;
- pakati, okhwima ndi okalamba - pafupifupi, wamkulu kuposa zaka 40;
- Amuna amadwala kale komanso pafupipafupi kuposa azimayi;
- mowa ndi kusuta;
- matenda oopsa oopsa (kuthamanga kwa magazi);
- zovuta zomwe zilipo kale mu lipid metabolism;
- matenda a shuga;
- kagayidwe kachakudya matenda - kuphatikiza pamimba kunenepa, kulolerana shuga, kuchuluka kwa triglycerides ndi kuthamanga kwa magazi;
- kusalinganika kwa mahomoni ndi matenda a endocrine dongosolo;
- moyo wongokhala;
- zochitika zopsinjika pafupipafupi;
- matenda opatsirana pafupipafupi komanso a virus;
Kuphatikiza apo, chomwe chimayambitsa kukula kwa matenda a m'magazi chimatha kukhala kuchepa kwa chitetezo cha machitidwe a chitetezo cha mthupi.
Mitundu yamatenda amisala
Pali gulu la mitundu ya atherosulinosis yam'mimba msempha. Gawoli limatengera kuuma kwa zizindikiro zamankhwala.
Kuphatikiza apo, gulu limaganizira kusintha m'mitsempha yamagazi ndi deta kuchokera ku maphunziro a labotale ndi othandizira.
Chifukwa chake, mitundu inayi ya atherosulinosis ya m'mimba msempha imasiyanitsidwa.
Gawo loyambirira - munthawi imeneyi, odwala samadandaula chilichonse, palibe chomwe chimawakhumudwitsa. Mukapereka mankhwala, makamaka ma lipid, kuchuluka kwa lipids kumakhala kwabwinobwino. Ma cholesterol okwera okha komanso ma lipoproteins otsika kwambiri ndi omwe angakope chidwi. Izi zidutswa ndi atherogenic, ndiye kuti, zimathandizira kupanga mapepala. M'matumba omwewo, ngakhale mutawunika mozama, ayi, ngakhale pang'ono, kusintha kudzapezeka. Pakadali pano, odwala amafunikira kuyang'aniridwa nthawi zonse, chifukwa ndiowopsa pakupitilira kwa pathological process.
Nthawi yazachipatala - pakadali pano, kusintha pazowunikira kudzapitilira kapena kukulira. Sipadzakhalabe zizindikiro za kuwonongeka kwa mtima, komabe, ndi angiography (kupimidwa kwa mtima), dopplerografia ndi kuyesa kwa ziwonetsero za ziwiya, kusintha kudzapezeka. Zosintha zimatha kusiyanasiyana kuchokera ku ma lipid oyamba kupita kumawonekedwe amtundu. Umu ndi gawo lomwe limatchulidwanso kuti matendawa.
Nthawi yamawonekedwe osakhazikika - panthawiyi, zizindikilo zimawoneka kuti zimachotsedwa. Anthu ambiri amaganiza kuti kuthamanga kwa magazi, chifukwa kumamva kupweteka m'mutu, nthawi zina "kuwuluka" pamaso pa maso, kusokonezedwa ndi ntchito ya mtima, kupweteka kwakanthawi kochepa kumbuyo kwa sternum (angina pectoris, kapena "angina pectoris"), nthawi zina zovuta zam'mimba komanso mavuto zimatha kuchitika. ndi miyendo. Myocardial infarction kapena sitiroko imatha kukulira. Nthawi yomweyo, zolembera zama cholesterol zazikulu zazikulu zimapezeka m'matumba okhala ndi njira zoyeserera.
Fomu yomaliza ndiyosasintha kwanyengo, njira yotulutsa magazi. Nthawi zambiri kumachitika chifukwa chamankhwala osayenera kapena ngakhale kusapezeka. Mwachilengedwe, kusanthula ndi kafukufukuyu kumapereka zotsatira zoyipa: ziwiya zina zaphimbika kwathunthu, cholesterol yathunthu, lipoproteins yotsika imakwezedwa, chiyerekezo cha zigawo zingapo za lipid chimaphwanyidwa.
Mawonekedwe amtundu wamankhwala amatchulidwa kwambiri, ndipo kusintha kosasinthika komanso kosasinthika kukuchitika kale ziwalo zina. Mankhwala othandizira opaleshoni nthawi zambiri amafunika panthawiyi.
Zowonetsera zamankhwala a atherosulinosis
Ndi atherosclerosis yam'mimba yosungirako kwam'mimba, msempha, chiwindi, ma spellic, mapangidwe apamwamba komanso otsika a mesenteric, msempha, ma ovarian / testicular mitsempha, komanso iliac, chikazi, popliteal, tibial, fibular, mitsempha ya kumbuyo kwa miyendo ndi nthambi zonse zazing'ono zomwe zimachokera kwa iwo, zimakhudzidwa.
Chotupacho chimatha kusokoneza, ndiko kuti, chikukhudza ziwiya zambiri nthawi imodzi.
Mwanjira imeneyi, zizindikiro zochokera m'mimba yogaya ndi kuchokera kumadera otsika zidzawonedwa.
Matenda am'mimba adzawonetsedwa pazotsatira zotsatirazi:
- kupweteka m'mimba;
- kuphwanya matumbo kuyenda mu mawonekedwe a m'mimba kapena kudzimbidwa;
- pafupipafupi ulemu
- matumbo kutsekeka - mwadzidzidzi chifukwa cha kuphwanya kwa magazi m'matumbo;
- kutentha kwa mtima;
- nseru
- kusanza
- malamba;
- kuchepa thupi pang'onopang'ono chifukwa cha kuperewera kwa michere;
- potency wosavomerezeka - ndi matenda amitsempha yamagazi popereka ziwalo;
- matenda aikodzo;
- kupweteka kwa impso;
- aimpso ochepa matenda oopsa - chifukwa kuchepetsedwa kwa lumen kwa aimpso.
Ndi zowonongeka pamunsi yotsika, zizindikirazi zidzakhala zosiyana pang'ono:
- Khungu la miyendo limakhala lotumbululuka, nthawi zina limakhala lotuwa, kuzizira mpaka kukhudza.
- Kukula kwa tsitsi kumatsitsidwa m'munsi m'miyendo.
- Misomali idzaphwanya ndi kugwa.
- Odwala amadandaula kuti nthawi zambiri amakhala ndi "tsekwe" m'miyendo yawo.
- Ndizosatheka kuyenda mtunda wautali - anthu nthawi zambiri amayenera kuyima chifukwa cha kuwawa ndi kupsinjika m'miyendo yawo akamayenda, mapazi ozizira, kumva kwa "goosebumps" (mu mankhwala awa amatchedwa "intermittent claudication syndrome", kapena "chizindikiro cha Ribot").
- Miyendo ya distal (m'munsi) imachepera msanga, imawoneka yaying'ono. "
- Zilonda zam'mimba zazitali zosachiritsika zimawonekera chifukwa cha kuperewera kwa magazi pakhungu.
- Kuwonongeka kochepa kwambiri pakhungu kumatha kubweretsa kupangika kwa zilonda zam'mimba za trophic.
Pambuyo pake, khungu lotuwa limatha kutembenuka kukhala lamtambo, kenako nkutembenuka utoto - ichi ndi chizindikiro cha genre lomwe likuphatikizana ndi mpweya (oxygen).
Njira zodziwira matendawa
Kuzindikira komaliza kwam matendawa kumachitika potsatira kusanthula kwa madandaulo a wodwalayo, komanso njira zofufuzira zasayansi ndi zida.
Madandaulo sangakhale achindunji, ndipo nthawi zambiri amatha kupezeka kuti akuwonetsa matenda a m'mimba thirakiti (kutanthauza zizindikilo zam'mimba). Pachifukwa ichi, odwala amapatsidwa mayeso owonjezera.
Chofunikira kwambiri ndikuwunika kwa magazi ndi njira zosiyanasiyana.
Kulemba kwamwazi m'magazi kumapereka chithunzi chonse cha kapangidwe ka magazi, kumatha kuwonetsa kupezeka kwa magazi m'thupi, kuphwanya kuchuluka kwa zinthu zosiyanasiyana zoumbidwa, ndikuwonetsanso kuchuluka kwa cholesterol. Nthawi zambiri, siziyenera kupitirira 5.2 mmol / l mwa anthu athanzi.
Mbiri ya lipid imayikidwa kuti ipange tsatanetsatane wa zomwe zili zamitundu yonse ya lipids m'magazi.
Mthupi muli mitundu yotere ya mafuta:
- cholesterol yathunthu;
- otsika, otsika kwambiri, apakati komanso okwera kwambiri lipoprotein;
- triglycerides;
- ma chylomicrons.
Ndi mtundu uliwonse wa atherosulinosis, padzakhala kuchuluka kwa cholesterol yambirimbiri komanso kuphatikizana ndi lipoproteins yotsika, kuchuluka kwa triglycerides ndi kuchepa kwa kuchuluka kwa cholesterol yolumikizana ndi high density lipoproteins. Ichi ndiye chithunzi chachikulu cha matenda.
Mwa njira zofufuzira zothandizirana, angiography (kuwunika kwa mtima pogwiritsa ntchito zida zosiyanasiyananso), njira za kafukufuku wamtundu wa intaneti, kafukufuku wapamanja ndi maginito a michere (CT ndi MRI) ndizodziwika.
Pogwiritsa ntchito njirazi, mutha kudziwa komwe malo omwe amapezeka, kukula kwake, mawonekedwe, kuchuluka kwake kwa zotupa zam'mimba, malo owonongera mitsempha yamagazi ndikuletsa kuwonongeka m'malo athanzi.
Chithandizo cha atherosulinosis ya m'mimba msempha
Njira zochizira matendawa zimayendetsedwa nthawi yomweyo magawo angapo a njirayi. Ndikofunika kunena nthawi yomweyo kuti mankhwalawa sakhala achangu, zotsatira zoyambirira zitha kuwoneka patatha chaka chimodzi.
Choyamba, muyenera kusankha payekhapayekha zakudya zomwe zidzaphatikizidwe ndi zakudya zopezeka mu cholesterol komanso mafuta azinyama. Zakudyazo ziyenera kulamulidwa ndi masamba atsopano, zipatso ndi zipatso, zitsamba, nyama yopanda nsomba ndi nsomba, komanso nsomba zam'nyanja. Pamafunika zakudya zambiri, mbale zachikondi. Pewani kudya zakudya zachangu, mafuta, okazinga, osuta, zipatso, maswiti ndi nyemba.
Pafupifupi magawo onse a atherosulinosis, mankhwala ndi omwe amapatsidwa. Zimaphatikizapo kumwa anti-atherosulinotic mankhwala. Izi zikuphatikiza ma statins (Lovastatin, Atorvastatin, Rosuastatin, Akorta), fibrate (Fenofibrate), anion exchange resins (Colestipol, Cholestyramine), bile sequestrants ndi kukonzekera kwa nicotinic acid (Nicotinamide, gulu B vitamini3) Madokotala amalimbikitsa kuti azimwera nawo madzulo, asanagone, chifukwa kuchuluka kwa cholesterol yachilengedwe kumapangidwa m'thupi lathu usiku, kuyambira 4 mpaka 6 m'mawa. Kuphatikiza apo, pali malingaliro ambiri othandizira kumwa mavitamini ndi michere, chifukwa amathandiza kusintha momwe chitetezo chathu chimatetemera, ndipo chidzakhala ngati cholepheretsa matenda.
Kunenepa kwambiri ndi vuto lalikulu kwa odwala omwe ali ndi atherosulinosis. Kuti muchepetse, muyenera kuchita nawo masewera olimbitsa thupi, osachepera tsiku lililonse osachepera theka la ola. Kuyang'ana mkhalidwe wathanzi komanso kulimbitsa thupi, mutha kuwonjezera masewera olimbitsa thupi osiyanasiyana.
Ngati mukufuna, mutha kugwiritsa ntchito wowerengeka azitsamba - mbewu za fulakesi, uchi, phula, mankhwala othandizira azitsamba (njira zosasamalirira zochizira).
Woopsa, opaleshoni ndi mankhwala. Onetsetsani kuti mwasiya zizolowezi zoyipa - kusuta ndi kumwa.
Katswiri mu kanema mu nkhaniyi adzalankhula za aortic atherosulinosis.
