Ọ bụ ndị dọkịta ka e meriri na nnukwu arịa ọbara. N'ime ndị na-enweghị ọrịa pancreatic endocrinological, a na-achọpụta mgbanwe atherosclerotic n'enweghị ọdịiche akọwapụtara. Macroangiopathy na ọrịa shuga bụ ihe zuru oke ma na-etolite ọtụtụ iri afọ tupu mgbe ahụ. Otu esi amata ihe iriba ama nke ihe ojoo di egwu? Enwere ụzọ ọ bụla iji zere ya? Kedu otu esi agwọ ọrịa ọrịa vaskụla?
Ihe omuma nke mmalite anakpo angiopathy
Ihe ojoo, rue ogologo oge, mmetụta nke oria shuga n’arụ ahụ na-egosipụta onwe ya n’ụdị nsogbu oge na - adịghị ala ala - angiopathy (mmebi nke arịa ọbara). Ihe ngosiputa oria nke oria endocrinological gunyere onodu ihe mberede na ntuputa nke obara obara (hypoglycemia) ma obu ubara ya (ketoacidosis), coma.
Ọbara ọbara na-abanye na ahụ dum. N'ihi ọdịiche dịnụ na caliber ha (buru ibu na obere), macro- na microangiopathy na-nkewa. Mgbidi nke veins na capillaries dị nro ma dị gịrịgịrị, glucose na-emetụta ha n'otu aka ahụ.
N’etu ka ọ banye n’ime arịa ọbara, ihe ndị dị ndụ na-emepụta nsị kemịkal na-emerụ mkpụrụ ndụ na akwara. Mgbanwe na-ebute nsogbu na-arụ ọrụ nke anụ ahụ. Nke mbu, macroangiopathy na ọrịa shuga na-emetụta obi, ụbụrụ, ụkwụ; microangiopathy - akụrụ, anya, ụkwụ.
Na mgbakwunye na shuga dị elu, akwara ọbara na-emebi cholestrol na ihe ndị mepụtara n'ihi ị smokingụ sịga onye ọrịa ahụ n'onwe ya ma ọ bụ ndị sitere na gburugburu ya. Zọ ọbara dị n'ọbara nke cholesterol jikọtara. N'ime ọrịa shuga, arịa ndị a na-egbu ugboro abụọ (glucose na kọlestrọl). Onye na-ese siga na-ekpughere onwe ya ka ọ nwere ike ibibi ihe atọ. Ọ na-achọ ịnwe ọrịa atherosclerosis, o rughị onye nwere ọrịa shuga.
N'idebere ya na mgbidi akwara, cholesterol na-amalite ibelata obara nke obara
Ọbara mgbali elu (BP) na - edugakwa ná mbibi anụ ahụ dị n’ime arịa ahụ (aorta, veins). Dọ dị n’etiti mkpụrụ ndụ, mgbidi ahụ wee bụrụ nke a na-ele anya, ma bụrụkwa ebe a na-elekwasị anya maka ịba ụba. Na mgbakwunye na plasta cholesterol, scars na-etolite na mgbidi emetụtara. Neoplasms nwere ike imechi akụkụ ụfọdụ na ọbụna kpamkpam igbochi lumen n'ime arịa. Enwere ụdị ọrịa strok pụrụ iche - ọbara ọgbụgba ma ọ bụ ọbara ụbụrụ.
Ọrịa macroangiopathy na-arịa ọrịa ma ọ bụ na-ebelata nnukwu arịa bụ ihe e ji mara ụdị ọrịa 2. Dị ka a na-achị, onye ọrịa ahụ karịrị afọ 40 ma mgbanwe ebumpụta ụwa nke sistem vaskụla na-ebute nsogbu ndị metụtara ọrịa mamịrị. Ọ gaghị ekwe omume ịtụgharị usoro ndị na-agba ọsọ n'akụkụ ọzọ, mana enwere ike ịkwụsị nguzobe anụ ahụ.
Ọrụ ọzọ na-eduga na mmepe nke ụdị angiopathies abụọ amachaghị nke ọma - ihe butere mkpụrụ ndụ ihe nketa na ọrịa obi.
Mgbaàmà nke macroangiopathy
Ndị ọrịa nwere atherosclerosis na-aka okenye karịa afọ ha, na-arịa oke ibu. Ha nwere oghere ekike edo edo na ikpere na nku anya - edobere cholesterol. N'ime ndị ọrịa, nsogbu nke akwara ụkwụ na akwara ozi na-esighi ike, ruo na ọnụnọ zuru oke, ihe mgbu na akwara nwa ehi na-apụta mgbe ị na-eje ije na mgbe oge ụfọdụ kwụsịrị. Ọrịa a na-esonye na ịkọwa okwu na-enweghị atụ. Iji mee nyocha ziri ezi, ndị ọkachamara na-eji usoro anoo.
A na-ahụta usoro ndị a na mmepe nke nnukwu ọrụ na microangiopathy nke ala ala:
- kwụrụ ọtọ;
- ọrụ;
- organic
- ọnya afọ;
- gangrenous.
A na-akpọkwa ọkwa mbụ dị ka asymptomatic ma ọ bụ metabolic, ebe ọ bụ na dịka data nke nnwale arụ ọrụ, a chọpụtaghị mmebi iwu. Agba nke abuo nwere ihe nlere di egwu. N'okpuru mmetụta nke ọgwụgwọ, nsogbu ndị nwere ya ka nwere ike idogharia.
Site na usoro Organic na mgbanwe ụdi mechara bụrụ ndị a na-agbanwe agbanwe
Ibelata arịa ọbara nke na-enye otu akụkụ ahụ na-eduga na ischemia (anaemia mpaghara). A na-ahụkarị ụdị ihe ịtụnanya a na mpaghara obi. Ọkpụkpụ akwara na-adị na-akpata ọgụ angina. Ndị ọrịa na-achọpụta ihe mgbu n'azụ azụ azụ, ọgba aghara nke obi ọgụ.
Ihe mgbochi nke akwara obi mberede na-emebi oriri na-edozi ahụ. Nsi neisosis na-eme (necrosis nke akụkụ ahụ) yana infarction myocardial. Ndị mmadụ butere ya bụ ọrịa obi obi. Wa ahụ nwere ike belata ogo ndụ nke ndị ọrịa nwere ọrịa akwara ị na-arịa.
Atherosclerosis nke akwara ụbụrụ na-esonye na ọgbụgbọ, mgbu, na ebe nchekwa. Ọrịa strok na - eme mgbe enwere mmebi nke inye ụbara n’ ụbụrụ. Ọ bụrụ na 'mmadụ' gabịa 'mmadụ ka ọ dị ndụ, mgbe ahụ ọ ga-ebute nsonaazụ (ọnwụghị ikwu okwu, ọrụ moto). Atherosclerosis nwere ike ibute ọrịa azụ mgbu mgbe ọbara eruga na ụbụrụ na-agbagha n'ihi oke cholesterol.
Isi ọgwụgwọ maka angiopathy
Ihe mejupụtara ya bụ nsonaazụ nke metabolism dị n'ahụ. Emere ọgwụgwọ a iji ọgwụ ndị na-eme ka ụdị metabolism dị iche iche mara ọrịa macroangiopathy na-arịa ọrịa shuga.
Mbido ọrịa shuga- carbohydrate (insulin, acarbose, biguanides, ọtụtụ sulfonylureas);
- abụba (ọgwụ na-akụda Lible);
- protein (homonụ anabolic steroid);
- mmiri-electrolyte (hemodesis, reopoliglyukin, potassium, calcium, magnesium).
Ọtụtụ mgbe, a na-ahụ ihe na-egosi cholesterol na ụdị ọrịa shuga nke ọrịa shuga nke 2, mụbaa ahu. A na-enyocha ya ugboro abụọ n'afọ. Ọ bụrụ nnwale ọbara dị elu karịa nke nkịtị, mgbe ahụ ọ dị mkpa:
- nke mbu, imebi nri onye oria (ewezuga ihe abuba umu anumanu, belata carbohydrates di mfe iri rue 50 g kwa ubochi, kwe ka mmanu akwukwo nri di 30 ml, azu, akwukwo nri na nkpuru osisi);
- nke abuo, were ogwu (Zokor, Mevacor, Leskol, Lipantil 200M).
Site na angioprotectors na-emezi mgbasa nke ọbara na arịa ime ala. N'ikwekọ na usoro ọgwụgwọ bụ isi, ndị ọkà mmụta ọgwụ endocrinologists na-atụ aro iji vitamin B (nitamine, pyridoxine, cyanocobalamin).
Ihe ozo achoro:
- normalization nke ọbara mgbali na ọgwụ (Envas, Enalopril, Arifon, Renitek, Korinfar);
- ụta nke ukwuu;
- na-ewepụ ihe riri ahụ na sịga na mmanya na-aba n'anya;
- mbelata n’ime oriri nnu;
- izere ọnọdụ oge nrụgide ogologo.
Dị ka onye na-ahụ maka ọgwụgwọ nke ọrịa vaskụla, ọrịa ọgwụ endocrinologists tụrụ aro ka iji usoro ọgwụgwọ ọzọ. Maka ebumnuche a, a na-eji nkwadebe ọgwụ ọgwụ (buckthorn ogbugbo, tebụl ọka nwere stigmas, mgbọrọgwụ nke nnukwu burdock, mkpụrụ nke ịkụ karọt, ahịhịa ahịhịa ala).
Ọrịa ịrịa afọ na-arịa ka ọnwa, afọ, na iri afọ. Na United States, Dr. Joslin Foundation guzobere nrịba ama pụrụ iche. Ọrịa shuga na-emeri, bụ onye jisiri ike dịrị ndụ afọ iri atọ n’enweghị nsogbu, gụnyere angiopathy, ka a na-enye otu aha ahụ. Ihe nrịba ama gosipụtara na enwere ike ịchịkwa ọrịa nke narị afọ.
