Atherosclerosis nke obi bụ ọrịa nke na - emetụta akwara ozi. Nke a na - ebute nsogbu na - eweta ọbara na myocardium.
Atherosclerosis bụ ihe kachasị akpata ọnwụ. Ọtụtụ mgbe, ọrịa ahụ na-ebilite na ọrịa shuga mellitus, dị ka mgbagha nke hyperglycemia na-adịghị ala ala.
Ọgwụgwọ ọrịa a kwesịrị oge, ogologo na ogologo. Mana tupu ịmalite usoro ọgwụgwọ, ị kwesịrị ịmara onwe gị ihe ndị kpatara, akara na njiri mara nke ọrịa ahụ.
Ihe kpatara
Iji ghọta ihe kpatara atherosclerosis ji eme, ịkwesịrị ịma usoro mmepe ya. Na mbu, obere mgbawa na-eme n’elu mgbidi akwara, ebe cholesterol na-emerụ ahụ na-abanye n’ọbara. Lipoproteins dị obere na-eso akpata mmepe nke ọrịa, nke na-eduga n'ịbawanye akwara njikọ akwara.
Ọrịa dịgasị iche iche n'ahụ ahụ na-eme ka mkpokọta triglycerides na mgbidi vaskụla. Nke a bụ adịghị ike na metabolism lipid ma ọ bụ mgbasa ọbara na-adịghị mma.
Ka oge na-aga, ụba abụba n'ime arịa ndị ahụ na-eduga n'ichepụta iberibe atherosclerotic. Ya mere, lumen dị na akwara ozi, na-ejedebe na akụkụ ha ma ọ bụ mmechi zuru oke.
Nke a na - akpata ụnwụ oxygen na enweghị nri. Ọ bụrụ na hypoxia na-adịghị ala ala na-ebute arịa ndị na-eduga obi, mgbe ahụ ọrịa ischemic na-amalite.
Ya mere, ihe kachasị akpata atherosclerosis nke obi bụ hypercholesterolemia. Ma enwere ihe ndị ọzọ na - eme ka mmadụ nwekwuo ohere ibute ọrịa:
- ọbara mgbali;
- ọrịa shuga mellitus na ọrịa ndị ọzọ endocrine;
- nsogbu nke homonụ;
- na-efe efe
- erighị ihe na-edozi ahụ;
- ọrịa imeju
- ihe mgbochi;
- oke ibu
- arụ ọrụ anụ ahụ;
- ise siga
Ọzọkwa, ọrịa obi atherosclerotic nwere ike ịmalite megide usoro ọmụmụ nke gburugburu ala na nrụgide oge niile. Ihe ndị na - akpata nkụda mmụọ na - eme ka mmadụ nwekwuo ihe gbasara ọrịa obi na - agunye ndị agadi. Ndị ọkà mmụta Geronto kwenyesiri ike na mgbaàmà nke atherosclerosis bụ ihe ngosi na-egosi na dementia mere.
Ndị mkpụrụ ndụ ihe ochie achọpụtala na ọ bụghị naanị okenye, kamakwa okike, na-eme ka ohere nke ọrịa obi nke atherosclerotic dịkwuo elu. Ọtụtụ nnyocha achọpụtala na ọrịa na-ebute ọrịa na ụmụ nwoke.
N’ime ụmụ nwanyị, ihe ize ndụ nke ibute ọrịa ahụ na-abawanye naanị mgbe nwoke anaghị ejide ya, mgbe imepụta homonụ nke mmekọahụ na-ebelata nke ukwuu.
Oge mmepe na akara
Ọrịa obi atherosclerotic na ọrịa arịa arịa ọbara na - ebido na ọkwa. Enwere oria ato nke oria.
N’agba nke mbụ, a na-emepụta akpati anụ ahụ, ọdịdị nke na-eme ka ọ dịrị n ’ọria mgbasa ọbara yana ihe microcracks n’elu akwara ọbara. Otutu mgbe enwere iberibe oria atherosclerotic na ebe branching.
N'oge ọrịa ahụ, mgbidi nke akwara ndị ahụ mebiri emebi na-aza. Ogologo oge nke ogbo ahụ dabere na njirimara nke ahụ onye ọrịa. Choputa atherosclerosis na ogbo nke mbu ga - ekwe omume naanị site n'enyemaka nke nyocha microscopic.
A na-akpọ ọkwa nke abụọ nke mmepe nke ọrịa liposclerosis. Ejiri ya na mgbasawanye nke akwara njikọ na mpaghara nke LDL na mkpokọ ọbara.
Nkịtị Atheromatous na-apụtapụtakwa, nke gụnyere anụ ahụ na-ejikọ ọnụ. Nkpaghasị usoro etolite na - eduga na mgbochi nke akwara anụ ahụ na thrombrosis ugboro ugboro.
Agba nke atọ nke atherosclerosis nke obi na mgbakwunye nke sọlfọ calcium na ihe ncheta, nke na-eme ka usoro kpụ ọkụ n'ọnụ dị oke ike. Ya mere, ọgwụgwọ n'ọgwụgwụ ikpeazụ bụ ihe siri ike ma na-abụkarị ịwa ahụ.
Ihe mgbaàmà kachasị nke atherosclerosis bụ mgbu obi, nke yiri mbibi angina pectoris. Ahụ erughị ala nke na-eme mgbe niile ma ọ bụ oge na-adịkarị na mpaghara ubu, olu na ogwe aka.
Fọdụ ndị ọrịa rịbara ama na mgbaàmà na-egbu mgbu nwere ike bụrụ ihe mberede, ọkụ. Ọtụtụ mgbe, a na-ahụgharị ya na ọkara nke anụ ahụ ma na-eme mgbe nrụgide ma ọ bụ mmega ahụ gasịrị.
Ihe mgbaàmà ndị ọzọ nke atherosclerosis nke obi:
- Ikike icheta ihe na itinye uche;
- Ọkpụkpụ na-ajụ oyi na -achawanye ọcha;
- adịghị ike na mgbakasị;
- Dizziness
- nsogbu obi nke ọgba-aghara;
- hyperhidrosis;
- mkpụkpu ume
- ọgbụgbọ
- ilo nri;
- atonicity nke uru ahụ dị n'ihu.
Site na ọrịa obi obi atherosclerotic, ụfọdụ ndị ọrịa na-eme mkpesa na mgbochi nke ọrụ mmekọahụ, isi ọwụwa oge. Mgbe ụfọdụ ọ na-esiri ike ikwu okwu, chromate, ọzịza nke akụkụ ikpere azụ.
Ọzọkwa, ọtụtụ ndị ọrịa na-enwekarị ọgụ ụjọ n'ihi ụjọ ọnwụ.
Ihe ndị si na ya pụta
Ọrịa obi atherosclerotic pụrụ iduga n'ọtụtụ nsogbu. Ihe fọrọ nke nta ka ọ bụrụ mgbe niile, a na-ejikọ ya na ọbara mgbali elu, nke nwere ike itinye aka na nsogbu ọbara mgbali elu. Nke ikpeazụ na-ejedebe na myocardial infarction, pulmonary edema, ọrịa strok na encephalopathy (negiros nke ụbụrụ ụbụrụ).
Fọrọ mgbe niile, na-emegide ihe ndabere nke atherosclerosis nke obi, ọrịa obi mgbu ma ọ bụ akwara ọbara sclerosis na-eme. Ejiri akụkụ myocardium jiri akụkụ dochie anya anụ ahụ.
Aortic atherosclerosis na ọbara mgbali na-eso akpata ọrịa aneurysm. Ọtụtụ mgbe, nke a na-ejedebe na mgbaji nke aorta.
Ka ABS na-aga n’ihu, ọ na-ebelata akwara obi, nke na-eduga n’iru mmepe nke:
- myocardiosclerosis (compaction nke akwara obi akwara akwara)
- arrhythmias (ihe ndị na-eme ka obi mmadụ ghara ịgbakasị ya);
- angina pectoris (angina pectoris);
- nkụchi obi (ọnyụnyụ ọnya ụbụrụ).
Ọ bụ ihe kwesịrị ịrịba ama na cardiosclerosis post-infarction nwere ike ịkpalite nkwarụ. Na mgbakwunye, ọrịa atherosclerotic na-emetụta ọ bụghị naanị obi, kamakwa akụkụ ndị ọzọ na usoro. Ọtụtụ mgbe, ndị a bụ arịa nke ụbụrụ na akụkụ ala.
Yabụ, site na ọnya anụ ahụ nke anụ ahụ na –eche pop na ya na iliac nke akwara akwara nke ụkwụ, ọ na - ebute atherosclerosis. Ọ bụrụ na plaques etolite na akwara carotid, brachiocephalic atherosclerosis na-eme, na-edugakarị na ọrịa strok na ụbụrụ. Mana nsonaazụ kachasị dị ize ndụ nke atherosclerosis bụ ọnwụ obi mberede.
Ihe na-egbu egbu na-ebute n'ihi njide obi ọ kpatara mgbochi ụbụrụ akwara ozi zuru oke.
Diagnostics
Nke mbu, Dọkịta na-achịkọta akụkọ gbasara ahụike. Nke a dị mkpa iji chọpụta ihe ndị na-akpata ya, ihe na-eso akpata ya, mgbaàmà nke ọrịa.
Onye dibia bekee na-emekwa nyocha nke onye ọrịa. Enwere ike igosipụta ọnụnọ nke ọrịa obi atherosclerotic site na nsogbu trophic na nsọtụ, ọzịza, mgbanwe ibu na nsonaazụ nyocha. Dọkịta ọzọ nwere ike ịchọpụta mkpesa systolic na atụ nke aorta, mmụba obi na ọbara mgbali elu.
Iji chọpụta atherosclerosis nke akwara obi, a na-eme nyocha ụlọ nyocha. Ọ kachasị, ọ dị mkpa imepụta profaịlụ nke ihe na-ekpebi ogo nke lipoproteins na ego nke triglycerides n'ime ọbara.
Thezọ kachasị dị mma maka ịchọpụta ọrịa obi atherosclerotic bụ nyocha dị egwu, gụnyere usoro ndị a:
- Nnwale nrụgide - gosipụtara etu obi si emeghachi omume na mmega ahụ.
- Electrocardiography - na - edekọ mkpali eletrik, na - ekpughe nsogbu mgbasa.
- Angiography - n’oge ọmụmụ a, a na-abanye ihe dị iche n’ime akwara akwara, nke ga-enye gị ohere ịchọpụta ebe warara na mgbochi.
- Ngụgụ tomography agbakọrọ - na-eme X-ray nke obi, na-egosi ọnọdụ ọnya akwara.
- Ihe omumu ihe nlere - na - enye gi ohere ime ihe omuma nke obi site na ultrasound, nke na - eme ka o kwe omume ichoputa nmekorita nke aru.
Ọgwụ na ịwa ahụ
Na ọrịa obi atherosclerotic kpatara hypercholesterolemia, ihe ndabere nke ọgwụgwọ mgbanwe bụ akpụ. Ọgwụ ndị ahụ na-egbochi mmiri ịgwọ ọrịa nke ịba ọcha n'anya maka ịmịpụta cholesterol. Usoro ọgwụgwọ ndị a ma ama site na otu a bụ Rosuvastatin na Atorvastatin.
Ejiri ọgwụ ndị Nicotinic acid mee ka ha na-akwalite metabolism lipid. Ọzọkwa, yana ngwugwu atherosclerotic dị na akwara akwara, ọ dị mkpa iji were fibrates na-emebi ogige abụba na sistem.
Ọbụna na atherosclerosis, ACE Inhibitors (Perindopril, Ramipril) ma ọ bụ ndị na-egbochi beta (Losartan, Valsartan). Ọgwụ ndị a na-ewepụ ngosipụta nke ọbara mgbali, arrhythmias ma gbochie ọganihu nke ABS.
Ọgwụ ndị ọzọ ka edepụtara maka ọrịa obi atherosclerotic
- Ndị na-emegide Antiplatelet (Aspirin, Ticagrelor) - gbochie thrombosis.
- Nitroglycerin - kọchara akwara akwara, nke na - eme ka ọbara nweta akwara obi.
- Diuretics (Torasemide, Furosemide) - wepu oke mmiri na ahụ.
- Ihe ndị dị na vitamin - na-ewusi obi na arịa ọbara ike.
Ọ bụrụ na atụghị anya na usoro ọgwụgwọ ọgwụ, n'ọnọdụ ndị dị elu mgbe ihe egwu ọnwụ na-abawanye, a na-eme ọgwụgwọ ịwa ahụ. N'iburu ngwongwo nke atherosclerotic na akwara akwara, a na-eji otutu ihe aru oru.
Firstzọ nke mbụ bụ usoro akụrụngwa akwara ọbara, nke na-enye gị ohere anzọ ọzọ iji meziwanye usoro ọbara. Usoro nke abuo - ntughari intravascular, na-etinye ntinye n’ime mpaghara emetụtara nke stent, na-agbasa vaskụla lumen.
Ọzọkwa, site na ọrịa atherosclerotic, enwere ike ịme olulu ihu balloon. Isi ihe dị n’ọrụ ahụ bụ na etinyere catheter n’ime akwara jiri balloon ke ya, na-agbadata nwayọ.
Ọ bụrụ na ballatation enweghị ike idozi olulu, a na-eji laser angioplasty.
N'oge ịwa ahụ, dọkịta na-awa ahụ weghachite udi na ikike arụmọrụ nke arịa ndị emetụtara site na laser.
Usoro nri na usoro ọgwụgwọ ndị mmadụ
Isi ihe na-ebute mmepe nke ọrịa atherosclerotic bụ cholesterol ọbara dị elu. Ọtụtụ mgbe, nchịkọta LDL n'ime arịa na-eduga n'erighị ihe na-edozi ahụ, nke ukwuu na nri na-emerụ ahụ na abụba. Ya mere, a na-ewere nnabata maka nri pụrụ iche dịka ọnọdụ dị mkpa maka mgbake.
Nke mbu, ị ghapu ịhapụ anụ mara abụba (anụ ezi, ọbọgwụ, atụrụ) na offal (ụbụrụ, imeju). Ga-amachikwa oriri nnu, ụtọ, ihe ọ bụla nke sitere n'anụmanụ. Mmachibido iwu ahụ gụnyere sausages, anụ ndị a pickụrụ n’ọkụ, achịcha, nri ngwa ngwa, mmanya ọaryụaryụ.
Na atherosclerosis, ndị ọkachamara n'ihe banyere nri na-atụ aro iwebata nri cholesterol dị ala n’ime nri kwa ụbọchị:
- akwụkwọ nri (cucumbers, tomato, broccoli, zucchini, beets, radishes, carrots);
- olu (olu oporo);
- mkpo;
- mkpụrụ osisi (ube oyibo, mkpụrụ osisi citrus);
- anụ nri (ọkụkọ, tolotolo, oke bekee, anụ ọhịa);
- mkpụrụ (almọnd);
- mmanụ oriri na - enweghị akwụkwọ;
- azu (azụ azụ akachaghị acha, tuna, hake);
- ọka ọka;
- ngwaahịa mmiri ara ehi nwere obere abụba.
Dika ihe inyeaka maka ABS, enwere ike iji akwukwo nri ozo. Maka mgbakwunye usoro nke akụrụngwa obi, a na-eji ngwaahịa anu, mkpụrụ osisi na mkpụrụ osisi akpọnwụ akpọnwụ. Sedative mmetụta nwere valerian, motherwort na Mint.
Calendula, horsetail, eleutherococcus, blackcurrant ga - enyere aka wepu arrhythmia. Lingonberry, klova, pasili, na hawthorn nwere mmetụta ọria.
Mmetụta dị mgbagwoju anya nke atherosclerosis bụ tincture nke galiki, ahịhịa hips ma ọ bụ akwụkwọ plantain. Ọ dịghị uru dị nro bụ mma nke ahịhịa osisi na nchịkọta mmanụ a withụ na lemon.
Etule ka esi ehicha arịa nke akwa cholesterol na vidiyo n’isiokwu a.
