Matenda a atherosulinosis ndi omwe amachititsa kwambiri kuti asadwale kwambiri chifukwa cha matenda ena apamwamba. Ichi ndichifukwa chake zizindikiro ndi chithandizo cha matenda a atherosulinosis a ziwiya zam'mphepete zam'mphepete zimafunikira kuyankha mwachangu ndi chithandizo chachikulu.
Kuchepetsa kapena kuletsa zinthu chifukwa cha kuchepa kwa maselo a m'magazi kumachepetsa kuyenda kwa magazi mpaka kumtunda pa nthawi yochita masewera olimbitsa thupi kapena kupuma. Kuwonekera kwa zizindikiro kumawonekera, kuopsa kwake komwe kumatengera kuchuluka kwa kutengapo gawo komanso kufalikira kogwirizana.
Chifukwa chake, Zizindikiro zimatha kukhala kupweteka mpaka kupuma movutikira ndikutembenuzira mkono, kufinya zinthu zazing'ono m'manja, komanso poyesera kuchita masewera olimbitsa thupi.
Arteriosulinosis ya malekezero ndi matenda amitsempha omwe amachititsa kuti mitsempha yotupa isamachepetse komanso kuumitsa. Izi zimachepetsa kuyenda kwa magazi, komwe kumatha kuwononga mitsempha ndi minyewa ina. Popita nthawi, thupi limayamba kusuntha magazi kuchokera ku miyendo (mikono, miyendo) ndi khungu kupita kumagawo ena a thupi, monga pachifuwa ndi pamimba. Zinthu zilizonse zachilendo zomwe zimapezeka m'ziwalo ndi minofu ya thupi zimabweretsa zosokonezeka munthawi zoyambira za thupi:
- matenda a mtima
- nyamakazi;
- kuumitsa minofu ndi mitsempha ya thupi;
- calcium calcium muma.
Ndiye chifukwa chake atherosulinosis ya malekezero oyamba ayenera kuyambitsidwa kuchitidwa mwachangu, ndipo chifukwa cha izi muyenera kusiyanitsa pakati pa zisonyezo za nthendayo ndikudziwa chithandizo chomwe chiri chothandiza kwambiri.
Zizindikiro zamatendawa
Zachidziwikire, mtima wa atherosclerosis wam'mphepete mwamtunda uli ndi zizindikiro zake. Chifukwa chakuti mitsempha yaying'ono imasokoneza kayendedwe koyenera ka magazi kupita ku minofu, chifukwa, izi zimabweretsa kuwonongeka mu ntchito ya dzanja.
Ululu wopweteka umawonekeranso, makamaka mukamasuntha ndi dzanja. Ichi ndiye chizindikiro chachikulu kapena chimodzi mwazizindikiro za matendawa. Ngati arteriosulinosis ili m'manja ndi mbali zonse, kulimba kwa zizindikirazo kumakulirakulira.
Kuphatikiza apo, zizindikiro zotsatirazi zikuwonekera:
- kusasangalala kapena kupweteka m'manja;
- cramping mu dzanja limodzi kapena onse nthawi imodzi;
- kumverera kolemetsa;
- kumverera kwa kufooka;
- Chizungulire
- mutu;
- kupweteka m'dera lumbar.
Ndikothekanso kusintha mtundu wa miyendo. Zizindikiro zonsezi nthawi zambiri zimatha pambuyo pochita masewera olimbitsa thupi apadera. Mwachitsanzo, gulu ili la odwala likulimbikitsidwa kuchita masewera olimbitsa thupi, kapena kuyendera dziwe pafupipafupi.
Kuti mupeze chithandizo choyenera chamankhwala, ndikofunikira kufufuza moyenera matendawa. Mwachitsanzo, pakuyesa, katswiri wazachipatala angapeze phokoso kumtunda kwa dzanja pamwamba pa mtsempha, kuyesedwa kwamtunduwu kumachitika pogwiritsa ntchito stethoscope. Kuchepetsa kuthamanga kwa magazi mu chiwalo chomwe chakhudzidwacho kungapezekenso.
Kuphatikiza apo, akuti:
- Kutsika kapena kusowa kwa miyendo kapena kumapazi.
- Kuyesedwa kumatha kuwonetsa cholesterol yayikulu.
Kuphatikiza apo, ubale wopanda pake umapezeka pakati pa kuthamanga kwa magazi kwa chidendene chamapewa ndi phewa - cholowera chakumaso / phewa kapena angiography yamitsempha m'miyendo.
Zida za mankhwalawa atherosclerosis a malekezero apamwamba
Chithandizo chimayang'ana kwambiri pothandiza kuchepetsa magazi komanso kusintha magazi. Anthu ena omwe ali ndi vuto la chotupa cham'mitsempha angafunike kuchotsedwa manja. Kuchulukitsa kumadula kwambiri pakati pa anthu aku America ku America ndi ku Spain. Njira zina zopangira opaleshoni zimaphatikizanso balloon angioplasty, njira yofananayo yomwe imagwiritsidwa ntchito kutsegula mitsempha yamitsempha yamagazi koma imagwiritsidwa ntchito pamitsempha ya magazi ya chiwalo chathanzi. Izi zitha kutsatiridwa ndi kuphatikizika kwa stent, chithandizo cha laser, kapena njira zina zochiritsira.
Ndikofunikanso kuchita masewera olimbitsa thupi moyenera ndi kupuma. Kuyenda pafupipafupi kapena kuchita masewera olimbitsa thupi apadera. Popita nthawi, magazi amayenda bwino ngati mawonekedwe atsopano, ang'onoang'ono amitsempha yamagazi. Ndi beta blockers, kufalikira kwa magazi m'miyendo kumachepa.
Ndikofunika kudziwa kuti kusuta kumachepetsa mitsempha, kumachepetsa mphamvu ya magazi kunyamula mpweya komanso kumawonjezera chiopsezo cha kuundana --LRB-clots and embolism -RRB-. Kusamalira thanzi lanu ndikofunikira kwambiri ngati muli ndi matenda ashuga. Pankhaniyi, muyenera kulabadira kudula kulikonse, zipsera kapena kuvulala. Ayenera kugwiridwa molondola komanso mawonekedwe ake amapewedwa kwambiri. Minofu imachira pang'onopang'ono ndi magazi omwe amachepetsa ndipo imayamba kutenga matenda.
Ngati cholesterol ndi yokwanira, zakudya zomwe zimakhala ndi cholesterol yochepa komanso zakudya zamafuta ochepa ziyenera kudyedwa.
Malangizo azithandizo
Chithandizo chamankhwala nthawi zambiri chimangoyang'ana pa kuchepetsa zizindikiro. Komabe, njira zomwe zimachepetsa kuchepa kwa matenda a atherosulinosis, mosiyana ndi njira zosavuta zochizira, ndizothandiza kwambiri. Mankhwala osagulitsa mankhwala nthawi zambiri amakhala chithandizo choyambirira, monga kusiya kusuta fodya komanso kuchita masewera olimbitsa thupi nthawi zonse. Ngati njirazi sizigwira ntchito, mankhwala nthawi zambiri amakhala gawo lotsatirali pakuchiza matenda amtima ndipo, ndikusintha, akukhala njira yothandiza kwambiri pakapita nthawi.
Chinsinsi cha njira zopindulitsa kwambiri ndikuphatikiza njira zingapo zingapo zamankhwala. Arteriossteosis, kapena "kuumitsa mitsempha," nthawi zambiri imakhudza miyendo. Kutsekeka kwamitsempha kungapangitse kutsekeka kwathunthu kwa chotengera. Makoma a mtima amakhala osakhazikika ndipo sangatseguke kuti apereke magazi ambiri ngati kuli kofunikira, monga pa maphunziro.
CT coronary angiogram imathandizira kutsika kwamitsempha yamagazi pambuyo pa utoto wa jekeseni wamkati. Calcium kuyika m'makoma amitsempha yamagetsi kumathandizira kuchepetsedwa komanso kuwuma.
Awa ndi matenda ofala, nthawi zambiri amakhudza amuna achikulire kuposa zaka 50. Anthu ali pachiwopsezo chachikulu ngati ali ndi mbiri kapena mbiri yakale, komanso:
- matenda ashuga
- matenda a mtima
- matenda amtsempha wamagazi
- kuthamanga kwa magazi;
- matenda a impso, hemodialysis;
- matenda amisala.
Chiwopsezo cha kuchuluka kwa mchere wamchere ndimachulukirachulukira ngati atherosulinosis yomwe ikupita patsogolo imakwiyitsa matenda a mtima komanso sitiroko.
Zomwe Zimayambitsa Matenda
Vuto la mtima lam'mphepete mwamagetsi limatha kukhala chizindikiro cha zotumphukira zamatenda omwe amayamba chifukwa cha atherosulinosis.
Pankhaniyi, ndikofunikira kwambiri kudziwa momwe chotengera chilili, ndikuchotsanso mwayi wokhala ndi vuto la atherosclerosis.
Muyenera kuyesa kuchepetsa zomwe zingayambitse matenda.
Zoyipa za atherosulinosis zimaphatikizapo:
- Kusuta.
- Mafuta akulu kwambiri.
- Kuthamanga kwa magazi.
- Kunenepa kwambiri.
- Mbiri ya banja yodwala mtima kapena matenda a mtima.
Dokotala wa opaleshoni ya mitsempha amayesa kudziwa ngati wodwala akudwala matenda amitsempha yakumanja, ndikupatsanso njira yabwino kwambiri yothandizira.
Nthawi zambiri, dokotala wamankhwala ochita opaleshoni amatha kufunsa mafunso monga:
- kuchuluka kwa thanzi;
- mbiri yakale ndi iti;
- kukhalapo kwa zizindikiro zamakhalidwe.
Komanso, katswiri azichita zoyeserera. Funsani za mbiri ya mabanja komanso zamankhwala. Dokotala akukufunsani kuti mufotokozere zomwe akuwonetsa, komanso kukuwonetsa kuti zimachitika kangati komanso komwe zimachokera.
Kugwiritsa ntchito cholembera chakuthambo kumvetsera magazi akuyenda m'mbale, dokotalayo amatha kudziwa mphamvu yoyenda.
Popeza minyewa yam'mimba imatha kukhudza mtsempha uliwonse m'thupi, dokotala nthawi zambiri amayang'ana mitsempha m'malo ena osati manja.
Pachifukwa ichi, kafukufuku amafunika kugwiritsa ntchito njira zotsatirazi:
- Zojambula zamtundu wa digito.
- Magnetic resonance angiography.
- Makompyuta a tomographic angiography.
Monga njira yodziwitsa, njira ya angiography imagwiritsidwa ntchito.
Kugwiritsa ntchito zakudya
Kusintha kwa zakudya kungathandizire kupewa chitukuko cha atherosulinosis. Umboni woyambirira ukusonyeza kuti zakudya zomwe zili ndi mkaka sizikukhudza kapena kuchepetsa chiopsezo cha matenda amtima.
Kudya kwambiri zipatso ndi ndiwo zamasamba kumachepetsa chiwopsezo cha matenda ndi imfa. Umboni ukusonyeza kuti zakudya zaku Mediterranean zimatha kusintha mawonedwe odwala. Palinso umboni kuti zakudya zaku Mediterranean zimatha kukhala zabwino kuposa chakudya chamafuta ochepa chifukwa cha kusintha kwa nthawi yayitali pazovuta za mtima (mwachitsanzo, kuchepetsa cholesterol ndi kuthamanga kwa magazi).
Gulu la mankhwala otchedwa statins amagwiritsidwa ntchito kwambiri pochiza atherosulinosis. Awonetsedwa kuti ndi othandiza kuchepetsa matenda amtima komanso kufa kwa anthu omwe ali ndi cholesterol yayikulu yokhala ndi zovuta zochepa.
Monocytes, komanso cholesterol chikhomo, monga chiŵerengero cha LDL, HDL ndi chiyerekezo cha apolipiprotein B, apolipoprotein A-1, chitha kugwiritsidwa ntchito ngati zolembera kuwongolera kuchuluka kwa atherosselotic regression, komwe kumathandizanso pochiza odwala.
Kodi muyenera kukumbukira chiyani pochiza matenda?
Pamene atherosulinosis ikufika kumapeto kwake ndikukula kwa ischemia, opaleshoni ingafunike.
Opaleshoni yam'mimba yomwe imadutsa imatha kubwezeretsa kuyenderera mozungulira gawo loyambalo. Kugwiritsa ntchito angioplasty ndi stenting kumakupatsani mwayi wobwezeretsa magazi kudzera m'chiwiya chochepa.
Kulumikizana kwa mitsempha ya coronary kudutsa kuwongolera kuthamanga kwa magazi, komwe kunachepetsa mwayi wokhala ndi stroke komanso kufa poyerekeza ndi mtima wokonzanso mtima.
Pali umboni kuti ma anticoagulants ena, makamaka Warfarin, omwe amalepheretsa kupangika kwa magazi, amasokoneza kagayidwe K vitamini ndipo angathandizire kuchepa kwa nthawi yayitali, ngakhale atakhala kuti amatha kupanga mapangidwe pang'onopang'ono.
Dziwani kuti kutha kwa mathero am'mimba ndi vuto lalikulu ngati chithandizo cha nthawi yake sichinayambike.
Ndiye chifukwa chake, akatswiri onse amalangiza kuwunika zakudya zawo ndikumakhala ndi moyo wathanzi, pokhapokha ngati izi zingatheke kupewa mavuto amitsempha yamagazi.
Pankhani ya mankhwalawa, mwanjira iyi ndi bwino kugwiritsa ntchito njira zovuta. Simuyenera kugwiritsa ntchito chithandizo chamankhwala kapena chithandizo chokha, komanso kutsatira zakudya komanso kuchita masewera olimbitsa thupi mwapadera.
Katswiri wa kanemayu munkhaniyi alankhula mwatsatanetsatane za atherosulinosis.
