Kuthana ndi atherosulinosis ya malekezero a m'magazi a shuga ndi matenda ofala kwambiri, osokoneza bongo komanso owopsa. Mwa munthu, kusintha kwa magazi, zotupa zam'miyendo, zotupa zazikulu zam'mimba zimakhudzidwa.
Zotsatira zake, ma psychology amafikira ku popliteal, femal, tibial circulatory system, izi zimapangitsa kuwonongeka kwa mwendo wotsika ndi phazi. Matendawa amatenga zaka zambiri mosazindikira, munthawi yake amatha kupezeka theka lokhalo.
Chifukwa chake, ndikofunikira kudziwa momwe mungasiyanitsire cholakwika kuti muwone ndikuyimitsa panthawi. Kufufuzaku kumathandiza kupewa zovuta zazikulu ndikusankha njira yoyenera yoyambira.
Zimayambitsa atherosulinosis ya miyendo
Ma cell a mtima amatha kukhala magawo angapo, kutengera kuopsa kwa matendawa ndi kuchuluka kwa zovuta zake. Digiri yoyamba preclinical imadziwika ndi kukhalapo kwa lipoidosis kapena kuphwanya kwakukulu kwa lipid metabolism. Mothandizidwa ndi izi, wodwalayo amamva kupweteka m'munsi pang'ono ngati ayenda nthawi yayitali kapena akuchita zinthu zina zolimbitsa thupi. Fomuyi nthawi zambiri ilibe zizindikiro zoonekeratu.
Pa gawo lachiwiri, kuzindikira kwakukulu kwa kufalikira kwa atherosulinosis kumawulula kudzazidwa kwa kuwala kwa mitsempha ya magazi ndi 60-80 peresenti. Kwa wodwala, kupweteka m'miyendo kumawonekera mutadutsa mita 250. Ngati ischemia yovuta yapezeka pagawo lachitatu, zizindikiro zomveka zimatha kuonekera. Pankhaniyi, ululu umawonekera pambuyo pa 50 metres.
Gawo lachinayi limaphatikizidwa ndi zotupa zopendekera zam'munsi, zilonda zam'mimba, minofu necrosis, gangrene imapangika m'munsi. Kulemera ndi kupweteka m'miyendo kumawoneka nthawi iliyonse, kuphatikiza usiku.
Pali zinthu zikuluzikulu zomwe zimadzetsa mkwiyo:
- Kusuta pafupipafupi kumayambitsa spasms ya msempha ndi mitsempha, yomwe imapangitsa kuti magazi asamavute, izi zimakhala zofunika kuti mapangidwe a atherosselotic plaque azikhala magazi.
- Kuledzeretsa kumayambitsanso atherosulinosis.
- Ndi kunenepa kwambiri m'magazi a munthu, kuchuluka kwa cholesterol yoyipa kumachuluka, kugwiritsa ntchito mafuta komanso zakudya zama calorie ambiri kumabweretsa izi.
- Atherosclerosis yamitsempha yama coronary ndi ziwiya zamiyendo nthawi zambiri imapangidwa motsutsana ndi matenda a shuga, matenda oopsa, kuchepa kwa mahomoni ogonana, komanso kugwira bwino ntchito kwa chithokomiro cha chithokomiro.
- Pamaso pa kubadwa kwa cholowa cha hyperlipidemia, pamakhala chiopsezo chokhala ndi matenda.
- Kuwonongeka kwa lipid metabolism nthawi zambiri kumachitika motsutsana ndi maziko a kupsinjika kwakukulu, kupsinjika kwa malingaliro, masewera olimbitsa thupi, komanso zoopsa.
- Matendawa amapezeka kawirikawiri kwa amuna, ndipo atherosulinosis imadzipatsanso imakhudzidwa ndi okalamba komanso achikulire.
Monga lamulo, matenda a psychology samadziwonetsa kwa zaka zambiri, chifukwa chake, pa 50, amapezeka mwa wodwala aliyense wachisanu. Chifukwa chake, ndikofunikira kuti mupange matenda amtundu wamatumbo am'munsi mwa nthawi yoletsa matenda kumayambiriro.
Kupanda kutero, opaleshoniyo idzafunika mpaka atadulidwa mwendo womwe wakhudzidwa.
Momwe mungadziwire matenda
Choopsa ndichakuti matendawa samadziwonetsa kwa nthawi yayitali. Mafuta am'mimba atatsekedwa ndi ma cholesterol amana, wodwala amayamba kukhala ndi mavuto ambiri azaumoyo.
Komabe pali zizindikiro zina za gawo loyamba la matenda. Makamaka, wodwalayo amatha kudwala pang'ono, kutsekeka kwa miyendo, embolism kapena thrombosis, kupweteka kwamkati, pallor ndi cyanosis pakhungu, kukokana, kupweteka m'munsi, komwe kumakulirakulira poyenda, kupindika kwa misomali, kusowa kwa kugwedeza bondo, m'chiuno ndi maondo.
Ngati munthawi yomweyo chithandizo cha non-stenotic atherosulinosis ya m'munsi yam'munsi sichinayambike, kufalikira konsekonse kwamitsempha kumayamba, kuphwanya kwamiyendo, kutupa, gangren.
- Poyamba, wodwalayo amadandaula za spasms mu ng'ombe, dzanzi la zala, pomwe miyendo imayamba kuzizira. Komanso, munthu amatopa msanga ndi kulimbitsa thupi.
- Mukuyenda, wodwalayo nthawi zambiri amakhala ndi miyendo yolemetsa ndi miyendo, zilonda zam'mimba, ndipo munthu sangathe kuyendabe. Pambuyo pakupuma kwakanthawi, maguluwo amabwerera mwachidule, koma zinthu zimangobwereza chilichonse.
- Kukokana kwanyengo kumatha kuchitika mwa osuta. Ngati muthana ndi kusuta, chitukuko cha matenda amimitsa mu nthawi.
Mothandizidwa ndi zida zamakono zozindikiritsa, matenda omwe ali ndi zofananira amatha kusiyidwa, mkhalidwe wamitsempha yamagazi, makoma ochepera komanso venous amatha kufufuza, ndipo zotupa zamkati zimatha kupezeka. Ntchito zofananazi zimaperekedwa ndi malo alionse azidziwitso amakono.
Ngati dokotala akuwaganizira kukhalapo kwa atherosulinosis ya miyendo, wodwalayo adzakumana ndi MSCT angiography, MR angiography, arteriography, ndi ultrasound yamitsempha yamagazi. Komanso, kupweteka kwam'mitsempha yam'munsi kumayesedwa, kuthamanga kwa magazi kumayang'aniridwa, kuchuluka kwa cholesterol m'magazi kumadziwika.
Mukamayesedwa, adotolo amawona zilonda zam'mimba, amawunika momwe mitsempha imayendera komanso kuchuluka kwa kuphipha. Kuti afotokozere za matendawa, wodwalayo amapemphedwa kuti akweze miyendo yowongoka pakona pa madigiri 45. Kutengera ndi momwe ma peyala amatembenukira mwachangu ndi miyendo kutopa, kupezeka kapena kusapezeka kwa vuto la lipid metabolism kutsimikiza.
Mothandizidwa ndi zotumphukira za angiography, kutalika kwa ziwiya zowonongeka kumayezedwa, thrombosis imapezeka, mkhalidwe wamitsempha umayesedwa.
Chithandizo cha matenda a mtima
Njira yakuchiritsira imasankhidwa kutengera mtundu wa nthendayo, zotsatira za kuwunika ndi machitidwe a thupi la wodwalayo. Kuphatikiza apo, mankhwala achikhalidwe amagwiritsidwa ntchito kusintha zomwe zimachitika.
Wodwala ayenera kutsatira njira yapadera yochiritsira zakudya ndikuwongolera cholesterol yomwe imadyedwa ndi chakudya. Ndikofunikira kusiya nyama yamafuta, nyama yapa ng'ombe, mafuta amkati, zakudya zam'mimba, confectionery, batala ndi zonona zonona momwe ndingathere.
Kulemera kumayenera kusinthidwa, chifukwa kunenepa kwambiri ndiye chifukwa chachikulu cha atherosulinosis. Wodwala amasankhidwa nsapato zosavuta komanso zabwino zomwe sizipukusa phazi. Ndikofunikira kuwunika momwe malekezero am'munsi, kuchitira zilonda zam'miyendo mu nthawi, komanso kupewa hypothermia. Ndikulimbikitsidwa kuti muzisambira, muziyenda pang'ono tsiku lililonse mu mpweya watsopano, kukwera njinga.
Mankhwala amathandiza kuchepetsa ululu kuchokera ku kuwonda ndi kuwonda, kubwezeretsa kulolera kuchita masewera olimbitsa thupi, kupewa kutsekeka kwamitsempha, komanso kupewa kupezeka kwa mendulo ndi gangore.
- Kusintha kwa magazi, kuteteza thrombosis ndi zovuta zake, dokotala amakupatsani mankhwala omwe angagwiritsidwe ntchito ngati antiplatelet, kuphatikizapo Aspirin ndi Reopoliglyukin.
- Pofuna kupititsa patsogolo kupirira kwamthupi, kuthandizira kuyenda ndikuyenda bwino kwa magazi kumiyendo, cilostazol ndi pentoxifylline amagwiritsidwa ntchito.
- Ma anticoagulants amathandiza magazi kuwonda komanso amalepheretsa kukula kwa magazi. Mankhwala odziwika kwambiri ndi heparin ndi warfarin.
- Kuti muchepetse kupweteka komanso kusiya kukokana, tengani Drotaverinum kapena antispasmodics.
- Ndi zilonda za trophic, mafuta onunkhira omwe amagwiritsidwa ntchito ndi ma antibayotiki ndi othandiza - Delaskin, Oflokain, Levomekol
- Kuti muchepetse cholesterol yoyipa, ma statins amagwiritsidwa ntchito ngati Simvastatin, Lovastatin, Pravastatin. Misinkhu yayikulu ya triglyceride imachepetsedwa mothandizidwa ndi fibrate Besafibrate, Clofibrate.
Kuphatikiza wodwala amatenga zovuta za mavitamini kuti azitha kusintha matupi athu. Electrophoresis, darsonvalization, oxygenation imawonedwanso kuti ndiyothandiza. Ngati tachycardia imawonedwa, kuphatikiza apo, adokotala amatha kukupatsani mankhwala oletsa ma b-blockers. Mafuta a Sophora amagwiritsidwa ntchito pochiritsa mabala ang'onoang'ono pamiyendo.
Ngati matendawa ayamba ndipo chithandizo chamankhwala sichithandiza, wodwala amatumizidwa kuti akam'chitire opareshoni. Kugwedezeka kumachitika kuti magazi azithamanga m'malo ovuta. Kugwiritsa ntchito balloon angioplasty, baluni imayikidwa pabedi lamitsempha, izi zimakupatsani mwayi wokulitsira lumen yokhotakhota.
Stinging imapangidwa kuti iwongolere kukula kwa lumen mwa kukhazikitsa tubac spacer mumtsempha wowonongeka. Dera lomwe lakhudzidwa ndikuwunjikana kwamachira kumachotsedwa pa endarterectomy. Autodermoplasty imayikidwa ngati zilonda zam'mimba sizitha kuthekera ku chithandizo cham'deralo.
Ngati nkosatheka kusintha zinthu, gawo lamkati la mwendo limadulidwapo, pambuyo pake ma prosthetics amachitika.
Kupewa kwa atherosulinosis ya miyendo
Popeza matenda a shuga a m'mitsempha yam'munsi am'magazi ndi matenda oopsa, ndikosavuta kupewa kuposa kuchiritsa. Ngakhale kuti zamakono ndizofala ngakhale pakati pa achinyamata, musakhale ndi mantha pasadakhale.
Ngati mungatengere njira yoyenera yothandizira kuti mukhale ndi thanzi komanso kukonza nthawi zonse pamavuto, mutha kupewa mavuto ambiri. Choyamba, muyenera kusiya kusuta fodya komanso kumwa mowa mwauchidakwa, chifukwa zizolowezi zoipa zimathandizira kuti magazi atseke kwambiri.
Powongolera kunenepa kwanu komanso kuchepetsa kuchuluka kwa thupi, mutha kuchepetsa kwambiri miyendo, komanso kupewa kukula kwa atherosulinosis chifukwa chophwanya mawonekedwe a magazi. Ndikofunika kuti usaiwale kugonjera thupi kuti uzichita zolimbitsa thupi, kuti thupi likhale bwino.
Wodwalayo ayenera kuchita chilichonse kuti achepetse kuchuluka kwa zamadzimadzi m'magazi ndikuchotsa zolembera zodziwika bwino za atherosrance. Ndikulimbikitsidwa kukhala ndi tebulo ndi zakudya zonse zovulaza zomwe zimakhala ndi cholesterol. Kuti muwonetsetse kuti palibe matenda, ndikofunikira kupita kukayezetsa dokotala ndikupititsa mayeso ofunikira.
About obliterating atherosulinosis akufotokozedwa mu kanema munkhaniyi.
