Matenda a shuga amayambitsa mavuto osati glycemia, onenepa kwambiri, matendawa amayambitsa kukula kwa atherosulinosis yamitsempha yamagazi. Atherosclerosis ya carotid artery imakhala yoopsa kwambiri yophwanya chakudya.
Ndi matendawa, kukhala bwino kumakulirakulira, wodwalayo amalephera kugwira ntchito, ndipo mwayi wokhala womwalira umawonjezeka. Plaque mu carotid mtsempha wamagazi imasokoneza magazi mu ubongo, imawachotsera chakudya choyenera, chokwanira kugwira ntchito.
Mwapangidwe, zolembera ndizophatikiza ndimphamvu ya mafuta m'thupi, minyewa yolumikizana ndi mafuta ena. Kukula kwa neoplasm kukhala kwakukulu kwambiri, carotid artery thrombosis imayang'aniridwa, ndipo shuga imawopsezedwa ndi stroke .. Cholesterol plaque mu carotid artery ikuwonetsa kuti ma neoplasms amapezekanso m'matumbo ena, chithandizo chikuyenera kuchitika mwachangu.
Kodi zolembera zimapangidwa bwanji?
Khosi laumunthu limakhala ndi carotid ndi mitsempha iwiri ya vertebral nthawi imodzi. Kudzera m'mitsempha yamafupa a khomo lachiberekero, magazi amatuluka kupita ku ubongo ndi nkhope, magazi amatuluka kwambiri, kupatuka kwina kulikonse kumapangitsa kuti moyo ukhale wovuta.
Kuphulika kwa microscopic pamtunda wa chotupa cha carotid, kuchepa kwa magazi m'magawo ena a mtsempha wamagazi, ndipo kupezeka kwa kukula kumadzakhala zinthu zofunika kwambiri. Zifukwa zake ziyenera kufunidwa pakugwiritsa ntchito zakudya zopatsa mphamvu zambiri zopatsa mphamvu. Zotsatira zake, ziphuphu zazing'ono za cholesterol zimadziunjikira m'mitsempha, zimatha kusuntha kudzera pazombo, zimagwirizanitsa ndi malo ofooka kwambiri.
Mpira wamafuta ukangolumikizidwa kukhoma la chotengera, kukula kwamphamvu kwa minofu yolumikizidwa kumadziwika. Madokotala amatcha njirayi liposulinosis. Pakapita kanthawi, kukula kwake kumakula, kokhazikika pamakoma a mtsempha.
Kuphatikiza apo, kuchepekera kukupitilirabe, kukulitsa mwayi wazotsatira zomvetsa chisoni. Ngozi ili m'gulu loti:
- mu matenda a diabetes a atherosulinotic;
- ikang'ambika, kutsekeka pang'ono kapena kokwanira kwa chombo kumachitika;
- nthawi yomweyo kufa kumachitika.
Chikalacho chikakhala kuti chilipo, mchere wamchere umadziunjikira m'gobolomo, ndikupangitsa kuti kuuma. Chifukwa chake, gawo lomaliza la mapangidwe a neoplasm limayamba - atherocalcinosis. Ngakhale khola lolimba limapitilira, limakhalapo kwa zaka zingapo.
Ngati chotupa chili ndi lipids yambiri, chimawerengedwa ngati chosakhazikika, chiopsezo chotumphuka chimachuluka.
Mu odwala matenda ashuga, heterogeneous atherosulinotic plaques amadziwikanso, momwe zinthu zimakhalira zimapangidwira ndi zilonda zam'mimba zambiri.
Zizindikiro, njira zodziwira matenda
Zizindikiro za kupezeka kwa cholesterol plaques sizimadzipangitsa kumverera kwa nthawi yayitali, zomwe zimakhala zowopsa kwa odwala matenda ashuga. Zizindikiro zovuta za matendawa zimadalira malo, kukula kwake, kuchuluka kwa thanzi la wodwalayo.
Nthawi zambiri munthu amawona kutopa kwachilendo pambuyo polimbitsa thupi pang'ono, kufinya modekha. Popeza odwala matenda ashuga ambiri ali onenepa kwambiri, sazindikira chizindikiro cha matendawa, chifukwa cha zovuta zamapaundi owonjezera.
Mivuto yayikulu, kusokonezeka kwa ischemic kumachitika nthawi ndi nthawi, ndi iwo wodwalayo amakhala ndi chisokonezo cholankhula, kudzimbidwa kwa malekezero ake am'munsi kapena otsika, kuwonongeka mu mawonekedwe a mawonekedwe (nthawi zambiri diso limodzi), kufooka kwa minofu. Poyamba, kuukiraku kumakhala kwakanthawi, kenako mpaka tsiku.
Musanayambe chithandizo, dokotala:
- amachita kafukufuku wa wodwalayo;
- imakhazikitsa zizindikilo;
- Amadziwikiratu zinthu zomwe zimawopseza.
Zomwe zimayambitsa ngozi zimaphatikizapo zochitika zowonjezera zomwe zimachitika pafupipafupi, kusachita masewera olimbitsa thupi, kusuta kwa nthawi yayitali, matenda am'mbuyomu, zaka zoposa 35.
Onetsetsani kuti dokotala wakuwonetsa kukonzekera kwamitsempha yama carotid, izi ndizofunikira kuti azindikire kutuluka kwa vortex.
Pambuyo ndi njira zodziwira matenda: ultrasound, MRI, CT, kuyesa kwa magazi.
Mankhwala
Mankhwala othandizira odwala matenda ashuga atherosulinosis amathandizira kuchepetsa kukula kwa chotupa popanda opaleshoni. Kukonzekera kolembedwa ndi akatswiri a mtima kumapangitsa kuchepetsa mafuta m'mitsempha yamagazi. Popeza kukula kwa cholesterol yotsika kwambiri, ndikotheka kukonza kukula kwa zolembazi, kusiya kukula kwina.
Gawo lamankhwala limapangidwa kuti muchepetse kuthamanga kwa magazi, kuwonda magazi. Ndalama zoterezi zikhala gawo loletsa kupangira zolembedwera zatsopano, kukonza moyo wabwino. Kwa odwala matenda ashuga ambiri, mapiritsi oterewa amaperekedwa kuti ateteze mavuto azaumoyo.
Potengera momwe magazi amawonongeka, ziwiya zofooka ndi zowonongeka zimayamba kugwiritsidwa ntchito kwambiri, kuchuluka kwa mapulateleti. Mankhwala sayenera kukhala chithandizo chokha, koma gawo la moyo wa wodwalayo.
Kuchiza sikungapereke zotsatira, kuchotsera mitsempha sikungathandize, ngati zinthu zoopsa sizichotsedwa, ndikofunikira:
- Unikani zakudya;
- chakudyacho chimapereka fiber zambiri;
- kuchita maphunziro akuthupi;
- pumulani wabwino.
Munthawi yonse ya mankhwalawa, ndikofunikira kuti thupi lanu lizilamuliridwa, ndikuyenda bwino ndikuloledwa kusiya kumwa mankhwala. Kutengera maupangiri omwe ali pamwambapa, odwala matenda ashuga sawopsezedwa ndi zovuta komanso zowopsa, chiwopsezo chobwereranso zero.
Ponena za njira zina zochiritsira, ndizosathandiza pachinthu zana limodzi la milandu.
Kuchotsa zolembera
Kuchotsa cholesterol plaque ku carotid mitsempha kumachitika mwa njira zosiyanasiyana, dokotala amasankha njira payekha payekhapayekha. Ndikotheka kuchotsa neoplasm ndi balloon angioplasty kutsatiridwa ndi kununkha kapena kudzera mwa endarterectomy.
Ndi balloon angioplasty, mankhwala ogwiritsa ntchito komweko amagwiritsidwa ntchito, endarterectomy imagwira ntchito makamaka pochita opaleshoni. Nthawi zina, kuchotsera kwa laser plaque ndi thrombolysis kumachitika.
Zisonyezero za opaleshoni zimakhala kukula kwakukulu. Kutaya kwa opaleshoni kumakhala koyenera ngati neoplasm imakhala m'malo opitilira 70% a chithokomiro cha mtsempha. Zomwe zimasungidwa nthawi zambiri zimakhala kwa nthawi yayitali, odwala matenda ashuga nthawi yonseyi samamva bwino komanso amakhala ndi zikhalidwe zina, koma sanachite chilichonse.
Zizindikiro zina zomveka zakufunika kokulamulira:
- kusowa kwamphamvu pakatha kugwiritsa ntchito mankhwala;
- kusakhazikika kwa zolengeza;
- kusawerengeka kwa chigamba.
Simungazengereze ndi opaleshoniyo, ngati pali chizindikiro chodziwika bwino cha strinfarction, stroke. Mtengo wakuchedwa ndi moyo wa wodwala.
Pali zotsutsana ndi njirayi, monga ndemanga za madokotala zikuwonetsa kuti kutali ndi onse omwe ali ndi matenda ashuga ndi oyenera kuchitidwa opareshoni ya atherosranceotic amana, makamaka ndi matenda osokoneza bongo a mellitus. Kuchita opareshoni sikungachitike pamene kuthamanga kwa magazi kukwera kwambiri. Cardiologist imayika ntchitoyi kuti igwirizanitse kupanikizika, kulephera kuchita izi kumachepetsa kuchitako.
Kusatheka ndikuphwanyidwa kwa phokoso la mtima, kulowererapo sikungachitike ndi njira yotupa yotalika. Zifukwa zake ndizosavuta - thupi lingayankhe moyenerera pakubweretsa kwa opaleshoni. Mankhwala opha matendawa kwa mankhwala ena nawonso ndi oopsa, popanda chifukwa chake ndi kosatheka.
Balloon angioplasty imachitika pamene endarterectomy siyotheka pazifukwa zingapo. Kuphatikiza apo, njirayi imalimbikitsidwa pamaso pa matenda amtsempha wamagazi, omwe angalepheretse kugwiritsa ntchito zida zamkati.
Chotsutsana kwambiri ndi kuphatikizika kwamitsempha yamagazi, chinthu chovuta kuzindikira chomwe chimadukiza. Pakakhala zotupa m'mimba m'mbiri ya zamankhwala, opaleshoni imachedwa kwa miyezi ingapo. Ndikosatheka kuyeserera njira zochizira matenda a Alzheimer's, thrombolysis.
Katswiri mu kanema mu nkhaniyi adzalankhula za atherosulinosis.
