Chithandizo cha atherosulinosis ya ubongo mwa okalamba

Statistics imati kuyambira azaka 55-60, atherosulinosis imawonedwa mu 100% ya odwala. Chifukwa chake, zizindikiritso ndi chithandizo cha matenda amisempha okalamba zimakhalabe mutu wofunikira.

Kuwonongeka kwa kukumbukira, kupweteka mutu, chizungulire, kufooka, kusokonekera kwa kulankhula, kumva, kugwirizanitsa, kukhumudwa - zonsezi zikuwonetsa kukula kwa cholesterol plaque m'mitsempha yamitsempha.

Chithandizo cha pathology chimaphatikizapo mankhwala, zakudya ndi njira zina.

Kuwona kwake matendawa ndiwoti sikungatheke kulosera momwe matendawa angakhalire msanga. Chifukwa chake, chinthu chachikulu ndikuyamba chithandizo chathanzi komanso chapanthawi yake.

Limagwirira a chitukuko cha matenda

Njira ya pathological imayambira kuyambira pomwe kulephera kwa lipid metabolism. Popeza cholesterol siyisungunuka m'magazi, imasamutsidwa ndi mapuloteni - lipoproteins.

Pali lipoproteins yapamwamba kwambiri (HDL), sungunuka m'magazi, ndi ma lipoproteins otsika kwambiri (LDL), zomwe zimakhala zambiri zomwe zimayambitsa kusala.

Ndi chiwerengero chachikulu cha LDL chomwe chimagwira gawo lalikulu pakukula kwa atherosulinosis. Kudzikundikira kwa cholesterol plaques ndi njira yayitali. Mulibe cholesterol yokha, komanso tizigawo ta lipoprotein.

Kupitilira kwa zamatenda kumadutsa magawo atatu:

• Kudzikundikira kwamawanga amafuta. Amadziwika ndi kupanga mikwaso yachikasu pamodzi ndi kutalika konse kukhoma lamkati la chotengera. Pakadali pano, munthu samva zomwe zimachitika mu atherosulinosis. Kuchulukitsa kwa matendawa kumasiyana kuyambira miyezi ingapo mpaka zaka zingapo. Imaphatikizidwa ndi ma concomitant pathologies.
• Kudzikundikira kwa Lipid. Miloza yamafuta imayambitsa kutukusira kwa minofu ya chotengera, komwe pakapita nthawi imayambitsa kuwonongeka kwa lipid ndi kumera kwa minofuyo. Masango onenepa amatsirizika ndikukwera pamwamba pa khoma la mtsempha.

Gawo lachitatu ndi kupezeka kwa zovuta. Matendawa amatha kutengera zochitika ziwiri - kupangika kwa magazi kapena kupundika kwa chidutswa cha atherosselotic.

Kuwonongeka kwa magazi kumayambitsa kuchuluka kwa ziwiya zazikulu, zomwe zimayambitsa stroko, kuwonongeka kwa minofu ya necrotic ndi gangrene. Kuphulika kwa plaque kumabweretsa kukhazikitsidwa kwa madongosolo atsopano komanso kutulutsa magazi ambiri.

Zowopsa za Atherosulinosis

Cerebral atherosulinosis imawonedwa pafupipafupi kuposa zotupa za atheromatous of the coronary shipping and aorta. Komabe, kudziwitsidwa koteroko kukakhazikitsidwa, kuthekera kwa zotsatira zakupha kumawonjezeka kwambiri.

Pali zinthu zambiri zomwe zimawonjezera chiopsezo cha matenda amtundu wa chithokomiro. Ena mwa iwo sangathe kupewedwa, koma pali ena omwe amachotsedwa m'moyo wanu.

Zomwe zimayambitsa matendawa ndi:

1. kusuta ndi chinthu chofunikira kwambiri pakupanga matenda a mtima;
2. hyperlipoproteinemia (cholesterol yathunthu - oposa 5 mmol / l, LDL - oposa 3 mmol / l);
3. kumwa kwambiri mowa, kuchulukitsa magazi;
4. moyo wosachita bwino - harbinger wa atherosulinosis, kunenepa kwambiri ndi matenda a shuga;
5. matenda oopsa a arterial, kuphatikiza kuthamanga kwa intracranial (oposa 140/90 mm Hg);
6. kunenepa kwambiri ndi zizolowezi zakudya (kudya kwambiri mafuta a trans ndi chakudya chamagulutsi);
7. jenda, popeza abambo nthawi zambiri amakhala akumavutika ndi matendawa kuposa azimayi;
8. zaka (azimayi - kuyambira wazaka 55, abambo - kuyambira wazaka 45);
9. matenda a shuga, kupita patsogolo kwa matenda a m'mitsempha kumakhudzanso mitsempha ya magazi;
10. cholowa chamtsogolo, chomwe chimakhudza kupezeka kwa atherosulinosis.

Zina mwa zinthuzi ndi monga postmenopause, hypothyroidism, micrinogen okwera kwambiri m'magazi, kupezeka kwa homocysteine ​​mumkodzo komanso zomwe zili m'magazi.

Zizindikiro za atherosulinosis ya mitsempha yaubongo

Mawonekedwe akufotokozedwa ndi mpweya wam'malo wa minyewa ya ubongo. Chizindikiro cha matendawa chimadalira kuchuluka kwa kuperewera kwa vuto la maselo amanjenje.

Maphunziro a zamatsenga amaphatikizidwa ndi kuchepa kwa malingaliro. Chizindikiro chakuwonongeka kwamaubongo ndi chakuti wodwalayo amayamba kuchuluka mphamvu zake, ndipo zikalephera, amadziimba mlandu, koma anthu omwe amakhala pafupi naye.

Chizindikiro cha atherosulinosis yam'mitsempha yamaubongo ndikuti imayamba motsutsana ndi maziko am'munsi mwa ziwiya zazikulu komanso zowonjezera zam'mimba.

Mavuto a Cerebral Atherosulinosis

Kusagwiritsa ntchito bwino kapena mochedwa kwambiri kwa matenda atherosulinosis okalamba, mwatsoka, sikulepheretsa zovuta. Zotsatira zosasangalatsa kwambiri zam'mimba zotupa zam'mimba zimawonedwa kuti ndizovuta kwakanthawi, kusintha kwa ischemic ndi hemorrhagic stroke.

Panthawi yovutikira, wodwalayo amadandaula kuti ali ndi nkhope komanso miyendo, mutu wadzidzidzi, kuwonongeka kwa zida zowonekera, kulumikizidwa bwino, chizungulire, nthawi zina kumatha kuzindikira komanso kuvuta kwa kanthawi kochepa.

Ischemic stroke imadziwika ndi kuyimitsidwa kwathunthu kwa magazi kudzera m'mitsempha yovindikira yomwe imadyetsa ubongo.

Izi zikuphatikizidwa ndi izi:

• Kulephera kusuntha miyendo yanu.
• Kuzindikira kapena kusazindikira kwenikweni m'miyendo.
• Kuperewera koyendetsa kayendedwe.
• Kulephera kumeza ndi kuyankhula.

Kukula kwa hemorrhagic stroke kumachitika mwachangu liwiro. Chifukwa chotumphukira m'mitsempha yama intracerebral, magazi amalowa mkati mwa chigaza, omwe amayambitsa mavuto. Zofunikira zake zimaphatikizapo:

1. mutu wakuthwa;
2. kusanza ndi kusanza
3. kusowa kwa mgwirizano;
4. kupuma kwambiri
5. stupor kapena chikomokere;
6. hemiparesis (kupuwala pang'ono).

Popewa kukula kwa zovuta zotere, ndikofunikira kukhala ndi moyo wathanzi, kusiya zizolowezi zoipa, ndipo ngati pali zikayikiro zokayikitsa, pitani kuchipatala.

Njira zodziwira matendawa

Kuzindikira matenda a ubongo atherosulinosis kumakhudza magawo angapo - kutenga anamnesis, kuwunika kwa wodwala, kudutsa maphunziro a labotale ndi othandizira.

Choyamba, katswiriyo amawona ngati wodwalayo ali pachiwopsezo cha matendawa. Wodwalayo ayenera kusankha zinthu zochotsa, mwachitsanzo, kusuta kapena kunenepa kwambiri.

Pakufufuzidwa, dokotalayo amawona kuthamanga kwa magazi ndikumvetsera kwa mtima. Kutupa ndi kuchepa thupi kwambiri kumathandizanso kuwonetsa kuwonongeka kwa mitsempha.

Ngati mukukayikira kuti matenda a chithokomiro chotupa, dokotala amatumiza wodwalayo kukamuyeza ngati ali ndi matenda enaake:

• biochemical ndi ambiri magazi mayeso;
• kusanthula mkodzo wambiri
• Dopplerografia ya ziwiya zamkati;
• kupimidwa kwa ultrasound kwa ziwiya zamatumbo;
• magonedwe amatsenga;
• kupanga sikani.

Ngati matendawa atsimikiziridwa, ndiye kuti pali zofunika kudziwa bwino komwe malo ogwiritsira ntchito atheroscrotic.

Pokhapokha dokotala amatha kupanga njira yabwino yothandizira yomwe ingathandize kuthana ndi zizindikirazo komanso kupewa zovuta za matenda.

Mfundo zakuchiritsa matenda

Ziwerengero zamankhwala zimati kumwa mankhwala mu 80% ya milandu kumachotsa chizindikiro cha zotupa zam'mimba ndipo zimathandizira kuletsa kuyambanso.

Mankhwala ayenera kugwiritsa ntchito mankhwala.

Kuthetsa matenda a lipid metabolism, katswiri wodziwitsa mankhwala osiyanasiyana:

Mankhwala otsatirawa akhoza kukhala gawo la zovuta mankhwala:

1. Ma Statist omwe amaletsa kupanga cholesterol ndi chiwindi. Gulu laopeza lidatchuka kwambiri tsopano. Zitsanzo za mankhwala ogwira mtima ndi Atorvastatin ndi Rosuvastatin SZ.
2. LCD zotsatila zomwe zimalepheretsa kuphatikiza kwa bile acid ndi chiwindi. Zotsatira zakuchiritsika zimatheka chifukwa chakuti chiwindi chimayamba kugwiritsa ntchito cholesterol yochulukirapo kuti zitsimikizike kugaya bwino. Mu pharmacy mungapeze Colestyramine ndi Kolesevelam.
3. Zowonda zomwe zimawononga kapangidwe ka triglycerides. Oimira gulu la mankhwalawa ndi Tricor ndi Atromide.
4. Nicotinic acid ndi zotumphukira ndi mankhwala omwe ali ndi vasodilating ndi antispasmodic.

Kuphatikiza pa chithandizo chachikulu, adokotala amatha kupatsa odwala mankhwala ena:

• angioprotectors;
• antispasmodics;
• antiplatelet othandizira;
• sedative;
• mankhwala a vasodilator;
• mavitamini zovuta.

Kuphatikiza pa kumwa mankhwala pochiza matenda a ubongo (ubongo), madera ena amthupi amachepetsa omwe amathandiza kuti magazi aziyenda bwino. Komanso, njira zolimbitsa thupi zolimbana ndi malo ogwiritsira ntchito atheromatous amagwiritsidwa ntchito nthawi zambiri.

Muzochitika zapamwamba, ngati mankhwala osokoneza bongo samabweretsa zotsatira zoyenera, kuchitira opaleshoni ntchito kumagwiritsidwa ntchito.

Zakudya ndi kupewa matenda

Amadziwika kuti 20% ya cholesterol imalowa m'thupi la munthu limodzi ndi chakudya.

Ndi ubongo atherosulinosis, LDL yapamwamba imawonedwa.

Ichi ndichifukwa chake zakudya zapadera zimapatula kudya zakudya zomwe zimakhala ndi cholesterol yambiri ndi zakudya.

Ndi zinthu ziti zomwe zingatheke komanso zomwe zikuphatikizana ndikuphwanya cholesterol metabolism, timaganizira m'ndime.

Chakudyacho cholinga chake ndikuchepetsa kuchuluka kwa mchere womwe umadyedwa, chifukwa kuchuluka kwake mthupi kumabweretsa kuchuluka kwa zinthu zamadzimadzi. Chifukwa chake, izi zimabweretsa kuwonjezeka kwa kuthamanga kwa magazi. Mlingo wa tsiku ndi tsiku wa mchere si woposa 5 g.

Njira zoyenera kwambiri zochizira kutentha pazogulitsa ndi zotentha, zophika kapena zophika. M'malo amchere, zonunkhira zochulukirapo ndi zonunkhira zimaloledwa kuwonjezera pakukoma kwa mbale.

Kupewa kwa atherosselotic zolengeza kumaphatikizanso izi:

1. ndikofunikira kusiya zizolowezi zonse zoyipa;
2. Muyenera kuchita masewera olimbitsa thupi komanso kukhala wathanzi;
3. kuwonetsedwa koyamba kwa matenda amisala ayenera kuchita kutikita minofu;
4. pachimake tizilombo ndi matenda opatsirana ayenera kuthandizidwa moyenera;
5. zakudya zoyenera ziyenera kuonedwa;
6. pamaso pa kunenepa kwambiri, ziyenera kusinthidwa;
7. chiopsezo cha thrombosis ndi thromboembolism ziyenera kuthetsedwa;
8. ngati pali vuto lililonse, pitani kuchipatala.

Palinso chizolowezi chogwiritsa ntchito njira zachikhalidwe zamakhwala polimbana ndi matenda a ubongo. Komabe, kuchuluka kwa kugwiritsa ntchito kwawo kumatha kutsimikiziridwa ndi dokotala.

Kutsatira malangizo onse, kumwa mankhwala ndi kutsatira kadyedwe, mutha kuthetsa zizindikilo za matenda amtundu wa mu ubongo komanso kupewa zovuta zake. Zikatero, kudaliraku kumakhala koyenera.

Ubongo atherosclerosis akufotokozedwa mu kanema munkhaniyi.