Odwala ambiri amafufuza mosamala kuti adziwe kuti akupeza mankhwala ena ndi omwe amapezeka m'mabuku ena. Nthawi zambiri, odwala matenda ashuga omwe amadwala matenda a mtima amadabwa pomwe, kuwonjezera pa matenda oopsa komanso matenda a angina pectoris, amawona kupezeka kwa atherosclerosis yamitsempha yama coronary.
Angina pectoris - izi ndizomveka, matendawa amayenda ndi kupweteka pachifuwa; ochepa matenda oopsa - kuthamanga kwa magazi kukwera. Koma, kodi coronary sclerosis ndi chiyani, ndipo zotsatila zake zimapezeka bwanji?
Atherossteosis ndi matenda osachiritsika chifukwa cha momwe ma cholesterol malo amayikidwira pamakoma amitsempha yamagazi. Mafuta amaikamo kusokoneza kufalikira kwa magazi, kumapangitsa kutsekeka kwamitsempha yamagazi, komwe kumawopseza kuphwanya pansi kwa magazi, kufa chifukwa cha matenda amtima.
Talingalirani za etiology ya coronary artery atherosulinosis ya mtima, kodi matendawa amadziwonetsa bwanji? Kodi chithandizo ndi kupewa ndi chiani?
Masiteji ndi gulu la mitsempha ya m'magazi
Atherosulinosis yamitsempha yama coronary imawoneka ngati matenda wamba pothana ndi matenda a shuga. Izi matenda amadziwika ndi mapangidwe a atherosselotic zolembera pa makoma a ziwiya zamatsenga - zimapereka magazi kumtima. Kuperewera kwa mankhwala kumatha kudzetsa mavuto akulu komanso kufa.
Nthawi zambiri, matendawa amapezeka mwa odwala omwe ali ndi zaka zopitilira 45. Koma posachedwa, akatswiri azachipatala awona chizolowezi chokonzanso - amuna ndi akazi ambiri akumana ndi izi mpaka zaka makumi atatu.
Kukula kwa atherosulinosis kumachitika chifukwa cha kuchuluka kwa mafuta m'matumbo. Mapilala amapangidwa ndi chinthu chokhala ngati mafuta, makamaka lipoproteins yotsika kwambiri komanso kachulukidwe kakang'ono kwambiri. Mapilala amawonjezeka pang'onopang'ono mpaka atayamba kulumikizana ndi kuwala kwa m'mitsempha yama coronary. Izi zimasokoneza kuyenderera kwa magazi kwathunthu mpaka kutsekeka kwathunthu kwa magazi.
Coronary mtsempha wamagazi stenosis kumabweretsa myocardial hypoxia, mkhutu magwiridwe antchito a mtima minofu odwala matenda ashuga, IHD amakhala - matenda a mtima. Magawo a atherosulinosis yamitsempha yama mtima:
- Pa gawo loyamba, kuthamanga kwa magazi kumachepera pang'ono, ma microcracks amawoneka pa endothelium yamitsempha yamagazi. Kusintha kumeneku kumapangitsa kuti mapangidwe a atherosselotic azimutsikira pamitsempha yamafuta - banga lakuthwa limayamba. Kenako kufooka kwa zotchinga ntchito za thupi kumatsogolera pakuwonjezeka kwa mtima, kupangika kumayamba kuchuluka, ndikusintha kukhala mzere wam'mapapu;
- Mu gawo lachiwiri, zolembera zimakula. Pakadali pano pa chitukuko cha matendawa, mapangidwe a magazi samachotsedwa, omwe amachokera ndikuchotsa lumen kwathunthu kapena pang'ono;
- Pomaliza, mafuta a cholesterol amatsitsidwa, chifukwa mchere wa calcium umayikidwabe. Pali stenosis yamitsempha, kusintha kwawo.
Kutengera ndi kuchuluka kwa stenosis, atherosulinosis imayang'aniridwa kukhala yopanda stenotic (yochepetsedwa ndi ochepera 50%) ndi stenotic (yopapatiza ndi 50% kapena kuposerapo, zizindikiro za matendawa zilipo kale).
M'malo mwake, gulu lotere silofunika kwambiri pakubala, chifukwa odwala matenda ashuga amafuna chithandizo chamankhwala akapezeka kale ndi matenda a mtima.
Zimayambitsa coronary sclerosis
Atherosulinosis yamitsempha yama mtima imayamba chifukwa cha zovuta zoyipa zakunja ndi zamkati. Akatswiri azachipatala adanenanso zinthu zoposa 200 zomwe zimatha kukhala "champhamvu" pakukula kwa matenda osachiritsika.
Chimodzi mwazomwe zimayambitsa ndizowonjezera lipoprotein yotsika kwambiri mu shuga. Vutoli limakulirakulira ngati wodwala matenda ashuga ali ndi mbiri yokhudza matenda oopsa - kuwonjezereka kwa kuthamanga kwa magazi.
Chochititsa kukwiyitsa chimaphatikizapo kuyendetsa galimoto pang'ono. Hypodynamia imayambitsa kuphwanya kwa kagayidwe kazakudya ndi kagayidwe kazinthu, kagayidwe ka lipids, chakudya chamagulu komanso mapuloteni m'thupi amakhumudwa.
Etiology ya atherosulinosis yamatsenga a mtima:
- Kusuta. Chikhalidwe chowopsa ichi chimatsogolera pakupanga kwa nitric oxide, komwe kumasokoneza magazi, kuwonongeka kwa ziwiya zam'mimba kumawonekera;
- Zakudya zopanda pake, makamaka, kudya zakudya zochuluka zomwe zimakhala ndi mafuta ambiri a nyama;
- Kubadwa kwamtundu;
- Zosintha zokhudzana ndi zaka m'thupi. Nthawi zambiri, atherosclerosis amapezeka odwala azaka zoposa 45;
- Kunenepa kwambiri Matenda a shuga a Mtundu 2 ndi onenepa kwambiri, zomwe zimawonjezera chiopsezo cha matenda a coronary sclerosis katatu;
- Mowa. Ethanol imasokoneza kayendedwe ka magazi, imagwira ntchito monga chofunikira kwambiri pakuchulukitsa kwa lipoprotein otsika kwambiri m'matumbo.
Malinga ndi ziwerengero zamankhwala, mwa amayi omwe ali ndi zaka za kubala, atherosulinosis yamitsempha yama coron samadziwika kwambiri. Izi zikuchitika chifukwa cha kupangidwa kwa estrogen - mahomoni achikazi omwe amateteza mitsempha yamagazi.
Koma pa kusamba, chiwopsezo chimawonjezeka, chomwe chimakhudzana ndi kuphwanya maziko a mahomoni.
Matenda owonetsera a arterial stenosis
Mu magawo oyambilira a pathological process, palibe zizindikiro za matendawa. Kuzindikira matendawa ndizosatheka. Popeza zimayamba pang'onopang'ono, zizindikilo zimayamba pamene zovuta zake zilipo kale.
Ichi ndichifukwa chake akatswiri azachipatala amalimbikitsa kuti odwala matenda ashuga azichita mayeso apachaka kuti adziwe matenda akadali achichepere. Zizindikiro zoyambirira zimaphatikizapo kupweteka m'dera la chifuwa - kupweteka kumapereka kumbuyo kapena phewa lamanzere. Poyerekeza ndi ululu, kupuma movutikira kumachitika.
Nthawi zambiri, odwala matenda ashuga amadandaula za nseru, kusanza, chizungulire. Komabe, muzojambula zambiri, zizindikirozi zimapangidwa ndi matenda a shuga, omwe amachedwetsa chithandizo kwakanthawi kochepa. Ndi kukula kwa matendawo, mawonetsedwe azachipatala otsatirawa amakhala:
- Angina pectoris - vutoli limatsatiridwa ndi kupweteka kwa episodic m'dera la chifuwa, lomwe limayamba chifukwa chazolimbitsa thupi kapena kupsinjika mtima.
- Cardiosulinosis - pachimake ischemia ya mtima minofu, zikubweretsa mapangidwe a fibrosis malo lonse myocardium. Pathology imaphwanya ntchito za contractile ya mtima.
- Arrhasmia imawonetsedwa chifukwa cha kuwonongeka kwa minofu ya mtima, pali kuchepa kwa kapangidwe kogwiritsa ntchito.
Khola lachiberekero litapindika m'mitsempha yama coronary, vuto la matenda ashuga limayamba. Nthawi zambiri, izi zimachitika kuyambira 4,00 mpaka 10,00 m'mawa, pamene kuchuluka kwa adrenaline kumawonjezereka.
Mu 50% ya milandu, zizindikiro zomwe zili pamwambapa zimawonekera, zomwe zimakhala zovuta kwambiri kwa kugwidwa.
Mankhwala ochepetsa mphamvu komanso opaleshoni
Mankhwala ayenera kugwiritsa ntchito kuti mankhwalawo agwire ntchito mbali zingapo nthawi imodzi. Choyamba, ndikofunikira kukopa ma pathological pawokha - njira ya atherosclerotic m'thupi, komanso mulingo wazachipatala, kupewa matenda a mtima.
Njira zamankhwala zochizira zimatsimikiziridwa ndi gawo la matendawa. M'mayambiriro oyamba, odwala matenda ashuga amalangizidwa kuti asinthe moyo wawo. Ndikofunikira kusiya mikhalidwe yoopsa - kumwa mowa, kusuta. Ndikofunikira kusintha zakudya m'thupi, kutsatira zakudya - kuchepetsa kudya kwamafuta a nyama, kukana mafuta / okazinga / zakudya zonunkhira.
Kusintha njira zama metabolic ndi metabolic, akatswiri a mtima amataya mankhwala olimbitsa thupi. Masewerawa amasankhidwa poganizira ma anamnesis, zaka, thanzi la wodwalayo. Kwa kunenepa kwambiri, muyenera kuchepetsa kunenepa.
Zochizira atherosulinosis ya coronary mtsempha wamagazi, mankhwala akhoza kutumikiridwa:
- Mankhwala, mphamvu ya pharmacological yomwe imayang'ana kwambiri pakuchepetsa mphamvu ya okosijeni ya myocardial, yomwe imathandizira kuchepetsa zizindikiro zoyipa za matenda a mtima. Fotokozerani calcium blockers, angiotensin-otembenuza enzyme zoletsa, antiplatelet othandizira;
- Mankhwala omwe amalepheretsa chitukuko cha atherosulinosis. Ikani mapiritsi a gulu la ma statins. Amachepetsa ndende ya LDL cholesterol, amalepheretsa mapangidwe a atherosulinotic plaabetes.
Chithandizo cha atherosclerosis chimaphatikizapo kuchotsedwa kwa zinthu zomwe zimayambitsa kukula kwa matenda osachiritsika. Mwachitsanzo, mu shuga mellitus, amafunika kukwaniritsa chindapusa chokhazikika cha matendawa, kukhalabe ndi shuga m'thupi.
Odwala apamwamba, pamene mankhwalawa sakupereka chithandizo chokwanira, pitani ku opaleshoni:
- Mitsempha yama coronary imadutsa ndikumalumikiza. Nthawi ya opaleshoni, dokotala amapanga ma worksaround kumagazi, kudutsa malo owonongeka.
- Balloon angioplasty. Catheter yapadera imayikidwa mkati mwa chotupa chachikazi, pambuyo pake imakwezedwa kupita kumalo omwe mukufuna. Kenako balloonyo imakhudzidwa, zomwe zimapangitsa kukulitsa kwa chotupa cha coronary.
- Zodandaula. Kudzinyenga kwachipatala kumaphatikizanso kukhazikitsidwa kwa stent yokhazikika mumtsempha womwe wakhudzidwa.
Mutha kuthandizira mankhwalawa ndi mankhwala a homeopathic. Homeopathy imapereka mitundu yambiri yazinthu zomwe zimathandizira kusungunula cholesterol plaques. Mankhwala othandiza kwambiri a atherosulinosis akuphatikizapo Holvacor, Cholesterolum, Pulsatilla.
Homeopathic mankhwala ikuchitika motsogozedwa ndi homeopath omwe amatha kuwunika momwe mankhwalawo amathandizira, ndipo ngati ndi kotheka, sinthani njira yochizira.
Mavuto omwe angakhalepo komanso kupewa
Atherosulinosis yamitsempha yama coronary imatsitsa kuwonongeka kwa minofu yamtima. Makamaka, izi zimawonetsedwa ndi vuto la mtima, angina pectoris, chisokonezo cha mtima. Zizindikiro zakulephera kwa mtima zimapezeka nthawi zina.
Ngati cholesterol plaques agwera ziwiya zingapo nthawi imodzi, ndiye kuti izi zimawonjezera chiopsezo cha kufa mu shuga mellitus. Palinso kuthekera kwakukulu kwa kufa chifukwa chakuphulika. Nthawi zambiri zimachitika nthawi yozizira m'mawa. Provocateur - kupsinjika kwambiri kapena kuchita masewera olimbitsa thupi mopitirira malire.
Ngati magazi amtundu, omwe amatchinga m'mitsempha yama coron, chiopsezo cha imfa chimakhala chambiri. Ziwerengero zimawonetsa kuti pama 60 peresenti ya wodwalayo alibe nthawi yopita kuchipatala - amamwalira. Ndi kuwonongeka pang'ono, angina pectoris amachitika. Nthawi zambiri myocardial infarction imayamba; Zizindikiro zake ndi izi:
- Zowawa m'malo a chifuwa - zikuwonekera kumbuyo;
- Kutsitsa magazi;
- Chikumbumtima;
- Kupuma pang'ono.
Ndi zizindikirozi, chisamaliro chamankhwala chamtsogolo chimafunika. Vuto linanso ndi mtima. Pathology imadziwika ndi kusinthana kwa maselo abwinobwino okhala ndi minyewa yochepa. Minofu yotere siyitenga nawo gawo pakukhudzika mtima, komwe kumabweretsa gawo lochulukirapo pa myocardium.
Kupewa matenda a shuga:
- Kuyang'anira tsiku ndi tsiku shuga, kuthamanga kwa magazi, cholesterol yoyipa.
- Matenda a kuthamanga kwa thupi kudzera munzakudya komanso masewera.
- Zakudya zoyenera, poganizira za cholesterol zomwe zili muzakudya, glycemic index.
- Kutsatira kwathunthu malangizo onse a dokotala.
- Zolimbitsa thupi zolimbitsa thupi (kusambira, kuyenda, kuthamanga, aerobics).
- Kuthandiza pa nthawi yake matenda opatsirana.
- Mayeso oyang'anira.
Imfa yodwala matenda a mtima okhudzana ndi matenda ashuga ndiwokwera kwambiri - kwenikweni, ndiyomwe imapangitsa anthu kufa azaka zopitilira 50. Ubwino wamoyo pamkhalidwewu umatengera kwathunthu zofuna za wodwala: pa chikhumbo chake chokhala moyo wautali komanso wathanzi.
Hypertension ndi atherosclerosis akufotokozedwa mu kanema munkhaniyi.
