Atherosclerosis bụ ọrịa nke usoro akwara, nke e jiri ụzọ ndụ na-aga n'ihu na-aga n'ihu, na-abụkarị ndị agadi.
Ọrịa pathogenesis nke ọrịa a mejupụtara oghere nke atherosclerotic na intima nke akwara akwara, mmechi nke arịa arịa yana imebi ọbara nye anụ ahụ yana anụ ahụ dị nro.
A na-ejikọkarị ọrịa a yana ọrịa ndị ọzọ, dị ka angina pectoris, ụdị ọrịa shuga 2, ọbara mgbali elu, metabolic syndrome na oke ibu.
N'ọnọdụ ụfọdụ, ịkọwapụta na enweghị ọgwụgwọ zuru oke adịghị mma n'ihi nsogbu ndị dị ka hemorrhagic ma ọ bụ ischemic stroke, myocardial infarction, transient ischemic Attack na obere aka na ụkwụ gangrene.
Ihe ndị dị ize ndụ maka ịmalite atherosclerosis:
- Ogologo hypercholesterolemia n'ihi mmebi nri, ezinụlọ nwere ọrịa dyslipidemia, oke ibu, metabolic syndrome, ọrịa endocrine (hypothyroidism, oria Hisenko-Cushing, ọrịa shuga mellitus).
- Mbibi nke mgbidi arịa ọbara nke nnukwu caliber na - na - n'ihi ihe kpatara hemodike (ọbara mgbali elu na ebe ọnya ọbara ọgbụgba), ị alcoholụbiga mmanya ókè, ise anwụrụ, enweghị mmega ahụ, ọbara mgbali elu, ọchịchọ nke thrombosis na thromboembolism.
Ọ ga - ekwe omume izere ọnọdụ nke atherosclerosis na ọrịa obi na-aba n'anya na ị alcoholụ mmanya mgbe niile.
Enwere echiche na ndị mmadụ na-a alcoholụ mmanya mgbe niile nwere arịa na-enweghị paịlịclerotic.
Ọtụtụ mgbe, enwere ike ịnụ nkwupụta dị otú ahụ site n'aka ndị ọrịa.
Mana ekwesiri icheta na nke a bụ naanị echiche echiche, nke hibere n'oge ọrụ.
Ndị mmadụ na-a drinkụ nnukwu ihe ọ haveụ alcoụ na-egbu egbu nwere ihe ize ndụ nke ọnwụ site na ọrịa ndị ọzọ ọbụna tupu mgbanwe mgbanwe vaskụla atherosclerotic.
Enweghi ihe eji emeju bu ihe omuma nke ihe ojoo bu ihe ndi mmadu n’enye nsogbu.
Mmanya na-egbu egbu nwere ikike nke ịgwari abụba ruo n'ókè ụfọdụ, ebe ọ bụ na site na ya chemical ethyl mmanya bụ ihe nke amphiphilic nke na-agbaze ma ihe oriri ma abụba.
Mmetụta ị Overụbiga mmanya ókè
I Theu ihe ọholicụholicụ na-egbu egbu n’arụ ndị dị otú ahụ nwere ike imetụta ebe a na-arịa ọrịa atherosclerotic na rheology ọbara ga-enweghị ike iduga egbu egbu na ọrịa ndị metụtara ya - ọrịa obi na-egbu egbu, encephalopathy na ọrịa imeju na-egbu egbu.
Ọzọkwa, oke mmanya na - emetụta oke nke cholesterol iberibe - ọ na - ebelata lipoproteins dị elu (mgbochi atherogenic) ma na - abawanye ụba lipoproteins dị ala, nke na - akpata triglycerides.
Na mgbakwunye, na ị ofụbiga mmụọ mmụọ oke mgbe niile, imebi usoro metabolic niile, gụnyere abụba, na - ebute nke na - eduga na nrigharị akwara, yana ọrịa nke dị ka imeju na-egbu ume na obi dystrophy ("obi agu)."
A na - enye nsogbu metabolism vitamin, ya bụ, vitamin B, nke na - emetụta ike ọgụgụ isi, usoro akwara na arụ ọrụ nke eriri afọ.
Mmanya na-emetụta mgbidi nke arịa ọbara dị ka ndị a - na mbụ ọ na-agbasawanye ha nke ọma, emesịa ọ na-akọ.
Mmetụta a na-emetụta akwara ndị ọrịa atherosclerosis na-emetụta nke ukwuu ma nwee ike iduga na mgbapu nke okwute na imebi nnukwu mgbasa ọbara.
Mmetụta nke nnukwu ihe ọ ofụ ofụ mmanya dị ukwuu na ọkwa nke nwere ike ịmetụta ọbara na oriri nke oriri cholesterol dị ka nri maka mmanya.
Mmetụta nke mmanya mgbe ị na-a smallụ obere obere
Site n'iji obere oge, n'ezie, atherosclerosis na mmanya na-ekwekọ, na mgbakwunye, enwere ọmụmụ ihe gbasara ahụ ike banyere uru nke obere ihe ọholicụholicụ na-aba n'anya.
A na - amata akụkụ dị otú ahụ - biya - 0.33 lita, mmanya - 150 milliliters, vodka ma ọ bụ cognac - 50 milliliters ọ bụla.
Ọ bụ usoro ogwu ndị a ka a na-ahụta ọgwụgwọ, enwere ike iji ya na ọgwụgwọ na mgbochi nke ọrịa nke usoro obi.
Ekwenyewo na ị thatụ mmanya na-egbu egbu na-ebelata ohere nke ọnwụ site na nkụchi obi, ọrịa strok, thrombosis na thromboembolism.
1-2ụ ihe ọ ofụ reducesụ 1-2 nke mmanya na-ebelata ohere nke nsogbu mgbe ịwachara ahụ iji dozie.
Ọzọkwa, ị modụ obere mmanya na-emetụta ọnụọgụ fibrin na fibrinogen na plasma ọbara, ma na-abawanye ụba nke profibrinolysin, enzyme nke na-agbaze mkpụkọ ọbara, n'otu n'otu, na-ebelata ohere nke ọbara ọgbụgba na emboli n'ime arịa ọbara.
Obere usoro ihe ọ suchụ drinksụ ndị dị ka mmanya, nwere, na mgbakwunye na ethyl mmanya, antioxidants (resveratrol na ndị ọzọ), nke na-emetụta ụdị ụdị metabolism niile dị na ahụ, na-egbochi njigide - mbufụt na -akpata ikike stent na oghere akwara.
Nnyocha ọmụmụ ọgwụ egosila na ụmụ nwanyị ndị na-a wineụ mmanya obere oge nwere obere echiche nke oke ahụ oke karịa ndị anaghị a doụ mmanya. N'ime afọ iri nke nyocha, ndị otu mbụ nwetara ọkara kilogram abụọ erughị ndị na-enweghị mmanya.
Ihe ọ ofụ alcoholụ na-aba n'anya na-emebi emebi na:
- Site na imebi imeju, dịka nje, ọgwụ na ịba ọcha n'anya, cirrhosis.
- Na pathologies nke eriri afọ - peptic ọnya nke afọ ma ọ bụ duodenum na ọnya afọ.
- Ọrịa pancreatic - ọrịa akwara na-egbu mgbu na nke na-adịghị ala ala, necrosis.
- Ọrịa Allergic - ụkwara ume ọkụ na akụkọ banyere ụbụrụ Quincke.
- Nsogbu ndị gara aga banyere ọrịa ischemic - infarction myocardial na ọrịa strok.
- Ọrịa ụbụrụ na ọrịa ụbụrụ Organic dị ka Akwụkwụ na-adọ na meningitis.
- Oncological Filiks nke nsụkọrọ ọ bụla.
- Ọbara mgbali elu nke mebiri akụkụ ahụ ndị ọzọ.
- Gara aga mmerụ ahụ ụbụrụ.
Ọ bụ ihe na-adịghị mma ị drinkụ mmanya na-egbu egbu na ndị ikwu dị nso, ị intoụ mmanya ngwa ngwa site na obere doses na nkwarụ ncheta mgbe oriri.
Ekwesịrị icheta na mmanya abụghị ngwá nnwere onwe maka igbochi ma ọ bụ ọgwụgwọ nke ọrịa ọ bụla, na enweghị ike dochie ọgwụ.
Ọdịbendị nke ị drinkingụ mmanya na-egbu egbu dịkwa mkpa - ị nwere ike ị drinkụ naanị nri, na afọ na-enweghị ihe ọ bụla, ọbụna obere ọgwụ nwere ike ịkpasu ọkụ kemịkal nke mucous ahụ, ma nwee ọdịnihu ga - ebute ọnya afọ.
A na-atụ aro ka ị alcoholụọ mmanya na nri mgbede ma ọ bụ awa abụọ tupu ya.
Dịka nri, i kwesịrị iri nri ndị nwere obere abụba, dịka salads, anụ ọkụkọ, chiiz nwere obere abụba, mkpụrụ osisi.
Mgbe ị na-eji ọgwụ ụfọdụ, amachibidoro mmanya, dịka ọmụmaatụ, na ọgwụgwọ nke ọbara mgbali elu na beta-blockers na diuretics, mgbe ị na-aga usoro ọgwụgwọ antibacterial na ọgwụgwọ nke ọgwụ mgbochi mkpali (Aspirin).
Amachibidoro ịjikọ ọgwụ na ị andụ mmanya na-aba n'anya, nke a nwere ike iduga n'ọrịa ahụ.
Nri na mmega ahụ na usoro ọgwụgwọ nke atherosclerosis
Ọgwụ nke atherosclerosis bụ nchikota nke ọgwụ ọjọọ na ụzọ ọgwụ - na-agbanwe ụzọ ndụ, nri, ịhapụ omume ọjọọ, ọgwụ.
Ọ bụrụ na ọ dị mkpa, a na-arụ ọrụ ịwa ahụ na usoro nke ịgwọ ọrịa ahụ.
Nri maka atherosclerosis bụ hypocaloric, hypoliplera, ma na ebum n’obi ya iji were nwayọ were dochie anya anụ ụmụ anụmanụ.
Ngwaahịa ndị a gụnyere:
- anụ ezi
- nwa atụrụ na anụ ndị ọzọ mara abụba;
- mgbaka;
- abụba;
- anụ ọkụkọ.
A na-eji mmiri ara ehi na akwukwo nri dochie abụba na nri e ghere eghe na nri ngwa ngwa.
Ihe oriri kwesịrị ịgụnye nri nwere fịbaị. Nri ndị a gụnyere salads; kabeeji; akpukpo osisi; ọka na ọka; achicha ọka; bran.
Isi mmalite nke abụba abụba (azụ, mmanụ ihe oriri, ube oyibo, mkpụrụ na mkpụrụ) na protein (na-acha ọcha, ọkụkọ, anụ ndị nwere obere abụba, anụ ehi, ngwaahịa mmiri ara ehi) ga-ewebata.
A na-atụ aro iji 1.5 - 2 lita mmiri mmiri kwa ụbọchị, belata ojiji tii na kọfị, kpochapụ mmiri kpamkpam, ọ drinksụ energyụ mmanya.
Ọrụ dị mkpa na ọgwụgwọ nke atherosclerosis bụ mmega ahụ, na-ebido obere. Ndụmọdụ A Na-atụ aro:
- ije
- ikuku
- na-agba ọsọ
- kpoo ọkụ;
- mmega ahụ;
- klas na mgbatị ahụ;
- igwu mmiri.
Ekwesịrị icheta na ịkwesịrị ịmalite mgbatị ahụ, nyochaa ahụike gị, akwara na ọbara mgbali gị.
Ọ bụ ihe amamihe dị na ịbawanye ọnụ ọgụgụ nke ibu naanị na ntachi nkịtị na enweghị contraindications.
Ogwu eji ogwu
Enweghị nsonaazụ dị mma site na iji nri na ibu ibu, a na-eji ọgwụ ọgwụ eme ihe.
Maka ọgwụgwọ iji ọgwụ ọgwụ, a na-eji ọgwụ ndị dị iche iche nke ọgwụ ọgwụ eme ihe.
Ojiji nke ọgwụ ga-esonyere yana imebere iwu nri etigharịrị na egwuregwu egwuregwu maka ahụ.
Ọgwụ gụnyere:
- Ọgwụ na hypolipPs utịp nke statins (Simvastatin, Lovastatin, Atorvastatin, Fluvastatin, Pravastatin);
- Niacin, fibrates (Fenofibrate, Bezafibrat, Tsiprofibrat), probucol, usoro nke bile acid.
- Ndị ọrụ Antiplatelet - Acetylsalicylic acid, Magnikor, Asparkam, Cardiomagnyl, Plavix, Clopidogrel.
- Nkwadebe na usoro anticoagulant - Heparin, Enoxiparin.
- Ọgwụ Vasoactive - Vazoprostan, Cilostazol.
- Ọgwụ antispasmodic (No-shpa, Drotaverin, Papaverine, Riabal).
- Nkwadebe nke vitamin (vitamin C, otu B, ascorutin), ọgwụ na-egbochi ma na-akụghasị (Afobazol, Glycine, Valocordin, Donormil), ọgwụ nootropic (Aminalon, Nootropil, Bilobil, Phenotropil).
- Usoro ọgwụgwọ nke atherosclerosis mgbagwoju (ọgwụ nje nje), ọgwụ mkpá akwụkwọ.
Ọ dịkwa mkpa ịgwọ ọrịa na-efe efe.
Maka ọgwụgwọ nke angina pectoris, a na-eji nitrates iji kwụsị mwakpo ihe mgbu, ndị na-ahụ maka antiplatelet na anticoagulants.
A na-emeso ọbara mgbali elu site na iji ndị mgbochi ACE, ndị na-emegide calcium, ndị na-egbochi beta, diuretics na antagonist receptor antagonists.
A na-eji ọgwụ hypoglycemic ọgwụ agwọ ọrịa shuga, dịka ọmụmaatụ Metformin.
Ndị na-emegide Calcium na-emetụtakwa ụda olu vaskụla ma gbasaa ha, na-amụba ọbara n'ọba.
Ngwongwo a dị ezigbo mkpa maka atherosclerosis nke arịa ụbụrụ. Tinye ọgwụ ndị dị ka Verapamil, Amlodipine, Korinfar, Adalat, Nimodipine.
Na mgbochi nke atherosclerosis, ihe bụ isi bụ usoro zuru oke, nke mejupụtara na ọgwụgwọ nke ọrịa concomitant (ọbara mgbali, ọrịa shuga na ndị ọzọ), na-agbaso usoro hypocaloric nri dị mma na obere mmega ahụ.
A choro ka o mee nlekota nke ihe ngosiputa nke nrụgide (ọnụọgụ nkịtị - erughị 130 ruo 90, nke kachasị mma - erughị 120 ruo 80) yana profaịlụ ọbara nwere (kọlestrọl ọnụ - ihe na-erughị 5.5). Ọbara glucose kwesịrị ịdị n’etiti nke 3.3 ruo 5.5. Ekwesịrị ịgwọ ọrịa na-adịghị ala ala n'oge oge.
A kọwara mmetụta mmanya na-eme n’arụ na vidiyo n’okwu a.
