Atherosclerosis bụ onye ndu na mmebi nke sistem. Uzo agbasa agbagha bu ihe itunanya, oria n’agha n’otu oge ebidola uzo ihe etiological onwu site na oria obi.
Ndụ ịnọ jụụ, enweghị mmega ahụ, mbibi arịa ọbara, kalori na carbohydrate bụ ihe kachasị akpata ihe ncheta. Otu esi egbochi ọnọdụ a, otu esi agwọ ya ma biri na ya ogologo oge.
Kedu ihe ọ bụ na gịnị kpatara ọ na-ebilite?
Atherosclerosis bụ ọrịa nke ihe iriba ama ya bụ itinye ebe nchekwa protein na abụba na akwara nke buru ibu.
Ihe ga - esite na mkpokọta a ga - abụ ma mbelata ịdị nkọ nke akpụ akwara na isi ya, yana mbelata nke lumen, ihe ga - esochi mmebi ọbara na hypoxia anụ ahụ.
E nwere ụzọ ihe abụọ dị ugbu a nke usoro ihe na - akpalite mgbanwe atherosclerotic, nke, n'agbanyeghị ihe karịrị narị afọ akụkọ ihe mere eme, na-amụbeghị.
Otu n'ime ha na-egosi mmerụ ahụ bụ isi sitere na nje, kemịkalụ, anụ ahụ ya na mgbanwe na-esote ya na-eme ka akwara dị omimi.
Nke abụọ na-ekwupụta ọnụnọ nke ndị na-anabata ihe na mkpụrụ ndụ endothelial, ọ bụrụ na mmadụ nwere ọtụtụ mkpụrụ ndụ ihe nketa, mgbe ahụ enwere ike ịnwe ọrịa.
Dabere na data ndị a, e guzobere ihe egwu ihe egwu - njirimara nke ndị mmadụ bi na ọnụọgụgụ nwere ike ime ka ohere nke oria nwekwuo ohere.
Ndị a gụnyere:
- Iri nri ndi nwere abuba na ndi carbohydrates riri nne n’ime nri. Ihe ndị a dị mkpa maka ahụ arụ ọrụ nke ọma, mana mgbe ha riri ha oke, ngwakọta ndị ahụ enweghị oge ịtụgharị ike na metabolites, na-agbakọta ma daba banye na ọdọ mmiri na-ekesa n'efu. Na mgbakwunye, oke nke lipids na-abata asọmpi na-egbochi usoro oxidative ha, nke na-eduga na nnukwu ọgbụgba.
- Afọ na okike. Dabere na ọmụmụ, ndị okenye karịa afọ iri anọ na-emetụtakarị. Nke a bụ n'ihi n'eziokwu na n'ime ụmụ nwanyị tupu menopause, a na-emepụta estrogen hormone, nke nwere ihe mgbochi sclerosing. Afọ na-emetụtakwa ọrụ nke ihe nchekwa antioxidant yana mgbanwe zuru oke nke arịa ahụ, n'ihi na okenye ka mmadụ dị, ọ nwere obere eriri ụyọkọ o nwere.
- Ọrịa shuga mellitus. Dị ka mmebi nke metabolism metabolism, ọrịa shuga enweghị ike imetụta metabolism nke abụba, "ọkụ" site na ire nke saccharides. Igwe na-eme ka metabolic na-enubata n'ihi mbelata na ọnụego nke ndapụta nke ihe niile dị na mmeghachi omume metụtara okirikiri ume. N'ihi nke a, ọtụtụ ihe na - agbanwe agbanwe na ngwaahịa ndị na - etinye ihe n’etiti na-abanye na plasma. Otu n'ime ha bụ abụba trans na kọlọdi ọjọọ.
- Ike adịghị arụ ọrụ na nrụgide. Ndụ mmadụ na-anọkarị otu ebe, ya na obi erughị ala kwa ụbọchị, mmadụ agaghị ahụ ya. Ọkpụkpụ sitere na etiti vasomotor na-akụghasị, ike nke myocardial contractions na-ebelata ike na olu membrane atrophies. Mgbe oyi akwa ahụ tọpụsịrị, ọ dịghị mkpa ichere maka iwe ọkụ ruo ogologo oge.
Na mbu, apughi ihu ihe mgbanwe n’aru akwara na aru ike, n’enighi microscope. Mana nyocha nke akụkọ ihe mere eme na-eto, ihe na-eto nke endothelium, mmụba nke ike nke oghere dị na ha. Ma abụba abụba na kọlestrọl, n'ihi ahaghị ala nke lipoproteins dị elu na ala dị ala, gbaba n'ime sel ma jupụta ya, na-agbasa.
Ugbu a, ọ bụ ụrọ mmanụ ụfụfụ na-enweghị ike ịza ajụjụ zuru oke site n'elu. Mgbe mpaghara cholesterol jupụtara, ntụpọ edo edo ma ọ bụ mpempe warara - ogwurugwu ahụ amalitela.
Site n'oge a, ndị dọkịta na-ekwu maka ịmepụta embolus anherosclerotic embolus.
Typesdị plaques ndị dị a ?aa?
Ugbu a mmepe nke pathological usoro nwere ike ịga dị iche iche. Abụba, na-agbakọta, na-etolite akwa-nkebi nke akara na gbochie ụzọ.
Mgbe mgbe, fibrin na platelet na-agbakọ ebe ọrịa ahụ na-elekwasị anya, nke na-ebelata ike nke ọkpọkọ organic na-ebugharị ihe ndị dị na ya.
Ngwurugwu atherosclerotic dị nro. O nwere ike nke nsogbu atheromatous - nkewa ma ọ bụ ọnya afọ.
Nhọrọ mmepe nke abuo bu imezu nkpuru osisi, ya bu mgbe ejiri ihe ndi ozo nke cluster juju na mmanu calcium.
Ihe ncheta nke anherosclerotic nke arupuru aru na-efunari ikike nile nke ibute oru, odighi emebi ma nwe ike.
Mgbidi nke dara ada na-emechi ụzọ nke ịmịnye ọbara.
Ihe ncheta siri ezigbo ike ma buru oke ibu, odi ike ịgwọ ya. A na-achọpụta ụdị ụdị akwa a nke atherosclerotic na ultrasound dị mfe.
Site na nkwụsi ike, iguzogide mmiri:
- Nnukwu nkwụsi ike. Thisdị a na-egosi ụdị ihe eji arụ ọrụ ya na gburugburu ebe obibi, ya mere ọ bụ ihe na-adịghị ahụkebe site na ultrasound, nke na-agbagha usoro nchọpụta ngwaọrụ. N’inwe ihe dị nkenke na ụdị nke nwere otu ihe nwere mmiri, afụ ahụ nwere ike gbawa ọsọ ọ bụla na-agba ọsọ ọsọ ọsọ, nke ga-eduga n'ọbara ọgbụgba, n'ọbara ọzọ - ruo n'ọkwa ọzọ.
- Nkwụsi ike n'etiti. Ntinye mmanụ na ọkpụrụkpụ nke ihe ahụ esetịbebeghị, mana ọ bara ụba na fibrin ma jupụta na platelet. Ọ bụ ụdị a nwere ike ibute ọgbụgba ukwu nke akwara umeji, azụmazu ime na mgbochi nke arteriamesenterica, yana nsogbu ndị ọzọ dị egwu. Ọzọkwa, n'ihi ụlọ ya kwụsiri ike, ọ na-arara onwe ya nye ọgwụgwọ, achọpụtakwa ya.
- Nnukwu nkwụsi ike. Akụkụ dị mkpa nke otu a bụ nke akpọlọ akpọkasị n'ihi klọọkụ Ca2 +. Ọ fọrọ nke nta adịghị eme ọsọ ọsọ ọbara ọgbụgba, bụ ọrụ. A na-ahụ ya anya site na ịwa ahụ, n'agbanyeghị eziokwu na ọ nwere nnukwu akụkụ nke arịa ahụ, na-eme ka o sie ike ịme nyocha zuru oke banyere oke ya site na ultrasound.
A na-amata ụdị nhazi abụọ n'ụdị. Homogeneous (homogeneous) ihe ncheta. Nke a pụtara na ihe mejupụtara ahụ bụ otu ihe, anaghị enwe ihe ọ bụla ma ọ bụ na capillaị adịghị abanye na ya. Ọtụtụ mgbe, ndị a bụ ndị na-eto eto, ọbụna usoro dị mfe iji gwọọ ọrịa dị mma.
Odighi ihe di iche (heterogeneous). Ihe ncheta atherosclerotic heterogeneous bu ihe na-eduga na nsogbu na akwukwo a.
O siri ike iwepu, ọ na-agbanwekarị na ọnya na ọrịa, na-eto ngwa ngwa n'ihi ezigbo trophism nke capillaries pulitere site na ya.
Mgbaàmà na nsonaazụ nke mmepe pathology
Nke mbu, onye ọrịa kwesiri ige nti banyere aru ike ya, ihe ndi mmadu na-ekwu, ya na ihe data a, gakwuru onye okacha idozi nsogbu ya.
A mụrụ ọtụtụ ngosipụta isi nke atherosclerosis, na nke ọ bụla n'ime ha nwere akara nke ya, ndepụta ọgwụ ọgwụ pharmacopeia dịgasị iche.
Enwere ike ịchọpụta nsonaazụ agụmakwụkwọ naanị mgbe nyochachara ultrasound.
Ọ bụrụ n'ụdị akpọrọ akpọrọ akpọrọ ke aorta, ike ya na-akwụghachi belata nke ukwuu, ọbara mgbali na-ebili, ọkachasị. Ndị ọrịa dị otú a na-eme mkpesa banyere isi ọwụwa, tinnitus, "ijiji" n'ihu anya, mkpụmkpụ ume dị ka ngosipụta nke nkụda obi. Ihe nwere ike isi na ya pụta nwere ike ịbụ ọbara nke akwara dị ala, mmebi akụkụ ahụ na akụrụ.
Thedị n'ụbụrụ nke mmepe nke aghara aghara nke arịa nke ọdọ mmiri nke carotid na akwara vertebral, ebe ọ na-abawanye nrụgide intracranial, onye ọrịa ahụ na-arịa ọrịa, ncheta na-ama jijiji, ụra, nhazi. Nsonaazụ dị egwu bụ ọrịa ọnya afọ ischemic. Ọzọkwa, sọlfọ nwere ike imejọ carotid sinus nke ndị na-anabata ya ga-abanye, nke ga-eduga n'ọbara na dysfunction nke ọtụtụ mgbanwe enweghị ọnọdụ.
Ọrịa mmadụ na-enwe mmepe nke pathology n'ime obi dị ka ihe na-ere mgbu sirinji ya na ogwe aka ekpe, agụba na jaw. Ngosipụta ndị dị otú ahụ bụ njirimara nke mmeri, nhazi nke akwara aka nri na aka ekpe nke na-enye mkpụrụ obi ume, yana stenosis nke valvụ agba ọtọ.
Ọ bụrụ na a na-agwọ ọrịa a naanị n'ọrịa, mịcardial infarction bụ ihe ga - ekwe omume, nke na - eduga n'ịbe nnukwu ọrụ na ọrụ akụkụ akụkụ obi gị mgbe ọ bụla ọ bụla necrosis.
Ọgwụgwọ na mgbochi nke ọrịa
Usoro ọgwụgwọ ọ bụla maka atherosclerosis nke arịa ndị ahụ na-amalite site na nyocha dị mma. N'ihe banyere ọrịa a kapịrị ọnụ, a na-akwado ultrasound, akwụkwọ nyocha, enwere ike MRI na angiography CT. A na-eme nyocha ndụ nke mmamịrị na ọbara na profaịlụ nke LDL na HDL. Mgbe emebere ebe nsogbu nsogbu zuru oke, enwere ike iwere ya ọgwụ.
Thekpụrụ ọla edo na ọgwụgwọ nke atherosclerosis bụ statins - ọgwụ nke, na ọkwa dị iche iche, na-egbu oge ị na-egbu cholesterol mmiri ọgwụ, gbarie ya, ma mee ka ọ dị ngwa. N'ime ha, Simvastatin, Atorvastatin, Lovastatin, Pravastatin na ndị ọzọ.
Na ha, a na-enye ọgwụ ọgwụ nke na-egbochi nnabata nke cholesterol n'ihi ihe ndị na-anabata ya - Cholestyramine, Enterosgel, Colestipol. Iji belata ntinye tube vaskụla, a na-egosi vitamin (C, rutin, A, E), antioxidants, na angioprotector. N'ime usoro dị iche iche, a na-eji mwepụ ịwa ahụ nke otu mpaghara, iwebata balloon pụrụ iche iji gbasaa lumen.
Ihe mgbochi gụnyere nri siri ike, imega ahụ ruo na ike kachasị gị niile, iji ihe ndị metụtara ahịhịa nke rose hips, hapụ omume ọjọọ, ị ofụ nnukwu ahịhịa, akwụkwọ nri.
Etuputara uzo cholesterol plaquesrol na vidiyo n’isiokwu a.
