Zizindikiro za atherosulinosis zimabisika kwa zaka zambiri. Nazi zizindikiro zochenjeza za kutsekeka kwa mitsempha

Timalankhula za atherosulinosis pamene mitsempha yamagazi yomwe imanyamula mpweya ndi zakudya kuchokera kumtima kupita ku thupi lonse imakhala yolimba komanso yolimba, nthawi zina imalepheretsa kutuluka kwa magazi ku ziwalo ndi minofu. Zinthu zomwe zingawononge mafuta a m’thupi ndi monga kuchuluka kwa mafuta m’thupi, kuthamanga kwa magazi, matenda a shuga, kusuta, kunenepa kwambiri, kusachita masewera olimbitsa thupi komanso kudya zakudya zokhala ndi mafuta ambiri. Kupanda chithandizo kwa atherosulinosis kungayambitse matenda a mtima kapena sitiroko.

  1. Anthu ambiri sadziwa kuti thupi lawo likukula atherosclerosis. Matendawa samawonetsa zizindikiro mpaka cholembera cha atherosclerotic chitha
  2. Komabe, ndikofunikira kulabadira zizindikiro zilizonse zosokoneza, makamaka ngati tili pachiwopsezo
  3. Anthu omwe ali ndi vuto la majini, cholesterol yotsika komanso shuga amakhala ndi mwayi wodwala matenda a atherosulinosis
  4. Mutha kupeza nkhani zambiri zotere patsamba lanyumba la TvoiLokony

Kodi atherosulinosis ndi chiyani?

Atherosulinosis ndi kuchepa kwa mitsempha chifukwa cha kupangika kwa zolembera pamakoma a mitsempha. Atherosclerotic plaque imapangidwa kuchokera ku kuphatikiza kwa cholesterol, mafuta, calcium ndi zigawo zamagazi. Mitsemphayi ndi mitsempha yamagazi yomwe imanyamula magazi odzaza ndi okosijeni kuchokera kumtima kupita ku thupi lonse. Akamachepera komanso kuuma chifukwa cha kuchuluka kwa zolembera, kutuluka kwa magazi kupita ku ziwalo zosiyanasiyana ndi minyewa kumatha kukhala kocheperako, zomwe zitha kubweretsa zovuta zowopsa monga sitiroko ndi matenda amtima.

Atherosulinosis imatha kukhudza mtsempha uliwonse m'thupi. Mitsempha yopita kumtima ikakhudzidwa ndi matenda a atherosclerosis, matendawa amatchedwa matenda a mtima.

Kodi zizindikiro za atherosulinosis ndi ziti?

Nthawi zambiri, atherosulinosis imakhudza okalamba, koma imayamba kukula muunyamata. Ndi atherosulinosis, zizindikiro sizimawonekera mpaka cholembacho ching'ambika kapena kutuluka kwa magazi kutsekeka, ndipo izi zitha kutenga zaka zambiri.

Zizindikiro za atherosulinosis zimadalira mitsempha yomwe imakhudzidwa.

Zizindikiro za atherosulinosis - mitsempha ya carotid

Mitsempha ya carotid ndiyo mitsempha yayikulu ya m'khosi yomwe imapereka magazi ku ubongo, khosi, ndi nkhope. Pali mitsempha iwiri ya carotid, wina kumanja ndi wina kumanzere. Pakhosi, mtsempha uliwonse wa carotid umakhala magawo awiri:

  1. Mtsempha wamkati wa carotid umapereka magazi ku ubongo.
  2. mtsempha wakunja wa carotid umapereka magazi kumaso ndi khosi.

Kuchepa kwa magazi kungayambitse sitiroko.

Zizindikiro za stroke zimatha kubwera mwadzidzidzi ndipo zimaphatikizapo:

  1. kufooka;
  2. kupuma movutikira;
  3. Mutu;
  4. dzanzi la nkhope;
  5. ziwalo.

Ngati munthu ali ndi zizindikiro za sitiroko, amafunikira chithandizo chamankhwala mwamsanga.

Zizindikiro za atherosulinosis - mitsempha yamagazi

Mitsempha yama coronary ndi mitsempha yomwe imanyamula magazi a oxygen kupita ku minofu ya mtima. Mtima umafunika kuperekedwa mosalekeza kwa okosijeni kuti ugwire ntchito ndikukhalabe ndi moyo, monga mmene minofu kapena chiwalo china chilichonse m’thupi. Mitsempha ya coronary imazungulira mtima wonse, ndikugawikana mtsempha wamanzere wakumanzere ndi mtsempha wakumanja. Mtsempha wamagazi wolondola umapereka magazi makamaka kumanja kwa mtima. Mbali yakumanja ya mtima ndi yaing’ono chifukwa imangopopa magazi kupita m’mapapo.

Kuchepetsa kugwira ntchito kwa mitsempha yam'mitsempha kumatha kuchepetsa kutuluka kwa okosijeni ndi zakudya kumtima. Izi sizimangokhudza kaphatikizidwe ka minofu ya mtima yokha, komanso zimatha kusokoneza mphamvu ya mtima popopa magazi m'thupi lonse. Choncho, vuto lililonse kapena matenda a mitsempha ya m'mitsempha akhoza kukhala ndi vuto lalikulu pa thanzi, mwina kutsogolera angina, matenda a mtima komanso imfa.

Atherosulinosis m'mitsempha yama coronary imatha kuwoneka motere:

  1. kupweteka pachifuwa;
  2. kusanza;
  3. nkhawa kwambiri;
  4. kutsokomola;
  5. kukomoka.

Zizindikiro za atherosulinosis - aimpso mitsempha

Mitsempha ya aimpso ndi mitsempha iwiri yomwe imatumiza magazi ku impso. Mitsempha ya aimpso imanyamula gawo lalikulu la magazi onse kupita ku impso. Pafupifupi gawo limodzi mwa magawo atatu a mphamvu zonse za mtima zimatha kudutsa m'mitsempha yaimpso ndikusefedwa kudzera mu impso. Ngati magazi omwe amalowa m'mitsempha ya aimpso ndi ochepa, matenda a impso amatha kuchitika.

Atherosulinosis yomwe imakhudza mitsempha yaimpso imawonetsedwa ndi: +

  1. kusowa chilakolako;
  2. kutupa kwa manja ndi mapazi;
  3. mavuto ndi kuganizira.

Zizindikiro za atherosulinosis - zotumphukira mitsempha

Mitsempha yozungulira imatulutsa magazi okhala ndi okosijeni m'thupi (mikono, manja, miyendo, ndi mapazi), ndipo mitsempha yotumphukira imanyamula magazi opanda okosijeni kuchokera ku ma capillaries kumalekezero kubwerera kumtima.

Ngati magazi sangayende bwino mwa iwo, munthu akhoza kumva dzanzi ndi kupweteka kwa miyendo. Pazovuta kwambiri, kufa kwa minofu ndi gangrene kumachitika. Matenda a mitsempha ya m'mitsempha amawonjezera chiopsezo cha sitiroko kapena matenda a mtima.

Kodi zizindikiro za atherosulinosis zimawoneka liti?

Zinthu zotsatirazi ndi zina mwazomwe zimayambitsa atherosulinosis.

  1. Cholesterol Chokwera - ndi zinthu zomwe zimachitika mwachilengedwe m'thupi lathu, komanso muzakudya zina zomwe timadya. Mitsempha yanu imatha kutsekeka ngati cholesterol m'magazi ndi okwera kwambiri. Mitsempha imeneyi imakhala yolimba ndipo zolembera zomwe zimayesedwa zimalepheretsa kapena kutsekereza kufalikira kwa magazi kumtima ndi ziwalo zina.
  2. Age - Pamene ukukalamba, mtima ndi mitsempha ya magazi imagwira ntchito molimbika kupopa ndi kulandira magazi. Mitsemphayo imatha kuuma komanso kusasunthika kwambiri, zomwe zimapangitsa kuti ziwengo zimapangika mosavuta. Kwa amayi, chiopsezo chimakhala chachikulu ngati mukudwala endometriosis kapena polycystic ovary syndrome, kapena mutakhala ndi matenda a shuga kapena pre-eclampsia pa nthawi ya mimba.
  3. Kuthamanga kwa magazi - pakapita nthawi, kuthamanga kwa magazi kumatha kuwononga makoma a mitsempha yanu, zomwe zimapangitsa kuti plaque imangidwe.
  4. Matenda a shuga - kuchuluka kwa shuga m'magazi kumatha kuwononga zigawo zamkati za mitsempha yanu, ndikupangitsa kuti plaque ipangike.
  5. Metabolic syndrome - kuchuluka kwa cholesterol ndi triglycerides m'magazi kumawonjezera chiopsezo cha atherosulinosis.
  6. Zakudya zopanda thanzi - Kudya zakudya zambiri zamafuta ambiri kumatha kukulitsa cholesterol.
  7. Genetics - mungakhale ndi atherosclerosis mwa majini, makamaka ngati muli ndi matenda a kolesterolini obadwa nawo otchedwa family hypercholesterolemia.
  8. Matenda otupa - kutupa kwakukulu kumatha kukwiyitsa mitsempha yamagazi, zomwe zingayambitse kupangika kwa plaque (rheumatoid arthritis ndi psoriasis ndi zitsanzo za matenda).

Zizindikiro za atherosulinosis - zizindikiro

Kuzindikira kwa atherosulinosis koyambirira kumatengera mbiri yachipatala komanso kuyezetsa thupi, komwe dokotala amagwiritsa ntchito stethoscope kuti amvetsere mitsempha chifukwa cha kupuma movutikira. Izi zitha kuwonetsa kusayenda bwino kwa magazi chifukwa cha kuchuluka kwa ma plaque.

Onani ngati angakhale atherosclerosis

Phukusi la Atherosulinosis Diagnostics Package - gulu loyesa magazi loperekedwa ndi FixCare limathandizira kuwongolera bwino momwe mitsempha ilili.

Njira zodziwika bwino za atherosulinosis ndi:

  1. ankle-brachial index (ABI) - Pakuyezetsa uku, ma cuffs a kuthamanga kwa magazi amayikidwa pamwamba pa mikono ndi akakolo. Kuyezako kumayerekezera kuthamanga kwa magazi m’bondo lanu ndi komwe kuli m’manja mwanu. Uku ndikuwunika kwa atherosulinosis m'mitsempha ya miyendo ndi mapazi. Kusiyana pakati pa kuyeza kwa magazi pa bondo ndi kumtunda kwa mkono kungakhale chifukwa cha matenda a mitsempha ya mitsempha, yomwe nthawi zambiri imayamba chifukwa cha atherosclerosis;
  2. kuyesa magazi - Mayeso a magazi amayang'ana kuchuluka kwa mafuta, cholesterol, shuga ndi mapuloteni m'magazi zomwe zingasonyeze matenda a mtima;
  3. electrocardiogram (EKG) - mayeso amayesa ntchito ya mtima. Pakuyesa, ma electrode amamangiriridwa pachifuwa ndikulumikizidwa ndi makina ena onse. Zotsatira za mayesero zingathandize kudziwa ngati magazi akuyenda pamtima amachepetsa;
  4. echocardiogram - ndi kuyesa ndi mkanda wa mafunde a phokoso kusonyeza kutuluka kwa magazi kupyolera mu mtima. Izi nthawi zina zimachitika ndi kuyesa masewera olimbitsa thupi;
  5. Kuyesa masewero olimbitsa thupi - panthawi yoyezetsa, wodwala amayenera kuchita masewera olimbitsa thupi, mwachitsanzo pa treadmill kapena njinga yosasunthika, ndipo nthawi yomweyo madokotala amawunika mtima wake. Ngati munthu sangathe kuchita masewera olimbitsa thupi, mankhwala amaperekedwa kuti awonjezere kugunda kwa mtima. Kuchita masewera olimbitsa thupi kumapangitsa mtima kugunda kwambiri komanso mofulumira kuposa zochitika zambiri za tsiku ndi tsiku, kuyesa kupsinjika maganizo kungasonyeze mavuto a mtima omwe mwina angaphonye;
  6. Doppler ultrasound - kuyezetsa komwe kumagwiritsidwa ntchito poyesa kuthamanga kwa magazi kudzera m'mitsempha yamagazi powonetsa mafunde amphamvu kwambiri ochokera m'maselo ofiira amagazi;
  7. catheterization ya mtima ndi angiography - kufufuza pogwiritsa ntchito catheter ndikulowetsa m'mitsempha ya magazi, nthawi zambiri mu groin kapena dzanja, kumtima. Utoto umalowa m’kati mwa catheter kupita m’mitsempha yapamtima ndipo umathandiza kusonyeza bwino mitsempha ya m’mitsemphayo m’zithunzi zimene zimatengedwa pofufuza.

Pozindikira matenda a atherosulinosis, mayeso ena amathanso kugwiritsidwa ntchito, monga maginito resonance angiography kapena positron emission tomography (PET). Mayeserowa angasonyeze kuuma ndi kuchepera kwa mitsempha yayikulu, komanso aneurysms.

Zizindikiro ndi chithandizo cha atherosulinosis

Njira yochizira matenda a atherosulinosis imatengera momwe vutoli lilili komanso zizindikiro za atherosulinosis zomwe wodwala ali nazo (zomwe mitsempha imakhudzidwa ndi atherosulinosis).

Chithandizo cha atherosulinosis chimaphatikizapo kusintha kwa moyo, mankhwala operekedwa ndi dokotala, komanso opaleshoni. Kusintha kwa moyo nthawi zambiri kumakhala upangiri woyamba ndipo kungathandize, ngakhale wodwalayo angafunike chithandizo chosiyana.

Chithandizo chamankhwala cha atherosulinosis chimatha kutsitsa kuthamanga kwa magazi, kuwongolera kuchuluka kwa cholesterol yoyipa, ndikuchepetsa chiwopsezo chopanga magazi owopsa. Mwa mankhwala omwe amagwiritsidwa ntchito pochiza atherosulinosis, ma statins ndi antihypertensive mankhwala amagwiritsidwa ntchito.

  1. Statins - amagwiritsidwa ntchito kuchepetsa cholesterol ndikuletsa atherosulinosis. Nthawi zina, wodwala angafunike mitundu yambiri ya mankhwala a kolesterolini. Mwa zina zomwe zimagwiritsidwa ntchito pochepetsa cholesterol, niacin, fibrate ndi bile acid sequestrants zitha kutchulidwa.
  2. Aspirin - Imachepetsa magazi ndikuletsa mapangidwe a magazi. Kwa anthu ena, kumwa aspirin tsiku lililonse kungakhale njira imodzi yopewera matenda a mtima kapena sitiroko. Komabe, muyenera kudziwa kuti kugwiritsa ntchito mankhwalawa kungayambitse mavuto osiyanasiyana, kuphatikizapo magazi m'mimba ndi matumbo.
  3. Mankhwala osokoneza bongo - ngakhale kuti mankhwalawa sathandiza kuthetsa zotsatira za atherosclerosis, amalepheretsa kapena kuchiza zovuta zomwe zimagwirizanitsidwa ndi atherosclerosis, mwachitsanzo, zingathandize kuchepetsa chiopsezo cha matenda a mtima.

Kuonjezera apo, pochiza matenda a atherosclerosis, mankhwala ena nthawi zina amagwiritsidwa ntchito pa matenda ena, monga matenda a shuga omwe amawonjezera chiopsezo cha atherosclerosis. Mankhwala amagwiritsidwanso ntchito pazizindikiro zina za atherosulinosis, monga kupweteka kwa miyendo panthawi yolimbitsa thupi.

  1. Yesani kusakaniza kwa zitsamba za abambo Klimuszko kwa atherosulinosis ndi kuuma kwa mitsempha

Zimachitika, komabe, kuti chithandizo cha atherosulinosis chidzafunika chithandizo china.

  1. Angioplasty - amagwiritsidwa ntchito pochiza matenda a mitsempha ya m'mitsempha yomwe imakhudza miyendo, m'mitsempha ya mtima pofuna kuchiza matenda a mitsempha ya mitsempha, kapena pakhosi pofuna kuchiza stenosis ya mitsempha ya carotid. Kumaphatikizapo kugwiritsira ntchito catheter ndi kuiika m’mtsempha wa magazi, kaŵirikaŵiri m’chuuno kapena padzanja, ndiyeno kuulozera kumalo otsekeka. Pamapeto pa catheter pali sheath yapadera yomwe imatha kukulitsa kuti mutsegule mtsempha. Dokotala wanu akhoza kuyikanso kachubu kakang'ono kamene kamatchedwa stent kuti muchepetse chiopsezo chochepetsera mtsempha wamagazi kachiwiri.
  2. Endarterectomy - amagwiritsidwa ntchito kuchotsa zolembera za atherosclerotic pamakoma a mitsempha yopapatiza.
  3. Chithandizo cha Fibrinolytic - amagwiritsa ntchito mankhwala kuti asungunuke magazi omwe amalepheretsa kutuluka kwa magazi mumtsempha.
  4. Coronary artery bypass graft (CABG) - Zomwe zimadziwikanso kuti bypass, uku ndiko kuchotsedwa kwa mitsempha yamagazi yathanzi ku mbali ina ya thupi kuti apange njira yatsopano ya magazi mu mtima. Kenako magazi amazungulira mtsempha wapamtima wotsekeka kapena wopapatiza. Njira imeneyi ndi opaleshoni ya mtima yotseguka. Izi nthawi zambiri zimangochitika mwa anthu omwe ali ndi mitsempha yambiri yopapatiza pamtima.

Zizindikiro za atherosulinosis - zovuta

Kulephera kuchiza zizindikiro za atherosulinosis kungayambitse zovuta zambiri.

  1. Inatsekeratu matenda mtsempha wamagazi - Atherosulinosis, yomwe imachepetsetsa mitsempha pafupi ndi mtima, mukhoza kukhala ndi matenda a mitsempha, omwe angayambitse kupweteka pachifuwa (angina), matenda a mtima kapena kulephera kwa mtima.
  2. Peripheral arterial matenda - matenda omwe tawatchulawa amabwera chifukwa cha kuchepa kwa mitsempha m'manja kapena m'miyendo, zomwe zimapangitsa kuti pakhale mavuto ndi kutuluka kwa magazi mwa iwo. Munthu wodwala amakhala wosakhudzidwa kwambiri ndi kutentha ndi kuzizira, ndipo chiopsezo cha kutentha kapena chisanu chimawonjezeka. Nthawi zambiri, kusowa kwa magazi m'mikono kapena m'miyendo kungayambitse kufa kwa minofu (gangrene).
  3. Carotid stenosis - zingayambitse matenda a ischemic (TIA) kapena sitiroko.
  4. Aneurysms - Kunyalanyaza zizindikiro za atherosulinosis kungayambitse chitukuko cha aneurysms, chomwe chingachitike paliponse m'thupi. Choyipa kwambiri, ma aneurysm nthawi zambiri amakhala opanda zizindikiro (munthu yemwe ali ndi aneurysm nthawi zina amamva kuwawa komanso kugunda mozungulira mtsempha wamagazi). Ngati aneurysm yaphulika, imatha kuyambitsa magazi owopsa mkati mwa thupi.
  5. matenda aakulu impso - ngati zizindikiro za atherosulinosis zimakhudza mitsempha ya impso, zimatha kusiya kutulutsa magazi okwanira okosijeni kupita ku impso. Impso zimafunikira magazi okwanira kuti zisefe zonyansa ndikuchotsa madzi ochulukirapo. Atherosulinosis ya mitsempha iyi imatha kuyambitsa kulephera kwa impso.

Zizindikiro za atherosulinosis - kupewa

Zizindikiro za atherosulinosis zimatha kupewedwa zisanachitike, potsatira malamulo ena.

  1. Kuchita masewera olimbitsa thupi - kuchita masewera olimbitsa thupi nthawi zonse kumaganiziridwa kuti kumapangitsa kuti magazi aziyenda bwino, kuchepetsa kuthamanga kwa magazi komanso kuchepetsa chiopsezo cha zinthu zomwe zimawonjezera chiopsezo cha atherosclerosis ndi matenda a mtima. Ogwira ntchito zachipatala amalimbikitsa kuchita masewera olimbitsa thupi kwa mphindi 150 kapena mphindi 75 zolimbitsa thupi mwamphamvu pa sabata. Komabe, simuyenera kudziletsa kuchita masewera olimbitsa thupi wamba monga ma squats, mutha kungosiya ma elevator ndikugwiritsa ntchito masitepe.
  2. Kusunga kulemera kwathanzi - Kuonda kumachepetsa chiopsezo cha matenda a mtima chifukwa cha atherosclerosis.
  3. Musiye kusuta fodya - Kusiya kusuta ndi njira yabwino yochepetsera chiopsezo cha matenda a atherosclerotic monga matenda a mtima. Izi zili choncho chifukwa chikonga chimalimbitsa mitsempha ya magazi ndi kukakamiza mtima kugwira ntchito molimbika.
  4. Healthy Kudya - zakudya zopatsa thanzi ziyenera kukhala ndi zipatso, masamba ndi mbewu zonse. M'malo mwake, muyenera kusiya zakudya zama carbohydrate, shuga, mafuta odzaza ndi mchere. Izi zimathandiza kuti thupi likhale lolemera, kuthamanga kwa magazi, cholesterol ndi shuga wamagazi.
  5. Kuchepetsa kupsinjika ndi zovuta - Kupsinjika maganizo kumakhudza kwambiri miyoyo yathu, ndipo ochita kafukufuku amakhulupirira kuti ikhoza kuwononganso mitsempha, kuchititsa kutupa. Kuphatikiza apo, mahomoni omwe amatulutsidwa m'magazi akamapanikizika amatha kukweza cholesterol komanso kuthamanga kwa magazi. Kuti muchepetse kupsinjika, ndikofunikira kuchita masewera olimbitsa thupi osati thupi lokha, komanso malingaliro, pogwiritsa ntchito njira zopumula monga yoga kapena kupuma kwambiri. Izi zitha kutsitsa kuthamanga kwa magazi kwakanthawi, ndikuchepetsa chiopsezo chokhala ndi atherosulinosis.

Siyani Mumakonda