Atherosclerosis constrictive: Zviratidzo neMarapirwo

Atherosclerosis vanowanzochema chirwere ine mhando dzakawanda. Pakati siyana pathological pezvakaitwa akakodzerwa vainyatsotarisirwa constrictive chimiro. Kakawanda richiwanika nevanhu makore 50. With zera, muviri yakawanda vanhu vanouya atherosclerotic kuchinja mumidziyo. Havana chete inozivikanwa chitarisiko zvisingafadzi zviratidzo, asi kukuisa nengozi kuupenyu. Munyaya ino tichakurukura inokosha localization uye zviratidzo stenosis kuti atherosclerosis, uyewo aronga nzira utsinye wenyanzvi chirwere.

Description chirwere uye mashandiro okukura

Constrictive atherosclerosis - mumwe mutoo chirwere, hunoreva huru tsinga muviri. The mashandiro pamusoro parinowanika iri nyore. Nokupesvedzera zvimwe zvinhu zviri vascular masvingo kutanga kunonoka akasununguka mafuta (remafuta akawandisa) uye chimiro plaques. The chirwere inoenda kuburikidza wandei zvokukura kukura, wokupedzisira danho iri aienda pamusoro tsinga kushoma (stenosis). Somugumisiro, nhengo dzomukati uye nhengo, zvichienderana nzvimbo havachanyatsogoni ropa wedzerai, vari kusangana kuperevedza okisijeni uye zvinovaka muviri.

Chinetso yokuwedzera remafuta akawandisa plaques, uye connective zvinyama pakati pavo kunokanganisa siyana huru arteries. Kufungisisa nzvimbo yacho pathological muitiro, kudoma mhando vanoverengeka zvirwere. The pangozi kupfuura vanoonekwa peripheral arteries repasi maoko nemakumbo, chepfungwa uye coronary mwoyo yeropa. Kushaya nenguva kurapwa kazhinji kunotungamirira kusingarapiki myocardial infarction, neronda rinonyenga tsoka, sitiroko, thromboembolism visceral.

The zvikonzero

Kukura atherosclerotic maronda guru arteries anokonzerwa chiito zvitatu zvinokonzera:

1. Kutyora mafuta muviri. muviri remafuta akawandisa usage uye nezvifambiso zvinosvika kana rapera, nekumwisa zvinhu vanovamba rakachengetedzwa pamusoro mudziyo pamadziro. In basa rimwe chikungiso mashandiro anogona kuita somatic chirwere, kudzikama kudya, kufutisa.
2. Enhaka kubatwa. Kana yepedyo akaonekwa constrictive atherosclerosis, pangozi chirwere ichi kunowedzera kanoverengeka.
3. Ungaderedza elasticity of vascular madziro. Remafuta akawandisa plaques hazvigoni kuumbwa pamusoro kwakanaka penyika uye utano. Kuvadza vascular kumadziro kukonzera zvinotevera zvinetso: cheshuga, ndakagara mararamiro, kusvuta.

In pamberi mumwe kana kupfuura zvinhu pamusoro apa rinofanira kubatwa uchinyanya kufunga pachavo utano hwavo, zvimwe uchiongororwa.

Kuratidza stenosis ose chepfungwa arteries

Brachiocephalic arteries yakakura ropa midziyo pakukoka kubva kutsemuka chematenga kurutivi uropi. Multiple ruka kuumba zvavo Willisen denderedzwa. Rinotibatsira izere neropa wedzerai muuropi.

Kana chikamu mudenderedzwa Willis akaumba chipingamupinyi muchimiro ane atherosclerotic Dombo, kutaura pamusoro kukura stenosis. chirwere ichi chinobata ropa wedzerai yose ezvinhu uropi. Kushaya nenguva kunokwanisa kukonzera hypoxia kana nevanga. Zviratidzo pathological kwacho kunobva uwandu atherosclerotic plaques ari arterial mubhedha.

Pakutanga chirwere chacho asymptomatic. Zvino mudziyo lumen chakavharwa Dombo 50% kana kupfuura, murwere anogona riiswe chitarisiko atypical zvirwere. Pakati pavo vane:

• idzokororo vertigo pamusoro pakanyorwa kuderera BP;
• mupfungwa lability ane predominance pamusoro kuora mwoyo;
• ndisipo kufunga;
• kunzwa uye ziso matambudziko (tinnitus, kunzwa vanotaura, kuti chidzoke enhunzi pamberi pemaziso);
• chisingaperi kuneta chirwere;
• chiveve munwe;
• pakakuvara thermoregulation.

Zviratidzo izvi kutanga chinenge hapana zvainoita mararamiro. Varwere vakawanda kungorega hanya navo. Progressive constrictive atherosclerosis kuti brachiocephalic arteries kunokonzera kutsvaka rubatsiro kubva chiremba.

Kuratidza stenosis nhumbi mwoyo

Kuti moyo okisijeni uye zvinovaka muviri chikafu coronary arteries. Atherosclerotic midziyo iyi rinoratidza nengozi zvikuru tsandanyama dzomuviri, kukanganisa wayo mutinhimira uye kukwana maronda. In chirwere ichi, varwere kazhinji chokunyunyuta pamusoro kurwadziwa retrosternal nzvimbo. First vanoonekwa pashure panyama nesimba kana kunetseka. Nokufamba kwenguva, kunetseka haaregi murume, kunyange panguva yokuzorora. Duration kurwadziwa kurwisa maminitsi anenge 30.

Chenjera nokuratidzwa pathological muitiro anoonekwa kuva myocardial infarction. Kurwara achiperekedzwa kurwadziwa mumwoyo, risingagoni kutapudzwa piritsi "nitroglycerin". BP anodonhedza, zvichiguma imwe huru dzungu, utera. Constrictive atherosclerosis, kukanganisa coronary arteries kunogona dzakakomba matambudziko. Izvi zvinosanganisira cardiac aneurysm, cardiogenic kurohwa nehana, uye pakakoromoka pedyo tsandanyama zvakananga. Kakawanda, vanachiremba rokuongorora kuti chirwere chinokuwira kamwe-kamwe rufu.

Kuratidza stenosis pakati arteries repasi wamativi

Kuburikidza femoral tsinga ropa kusvikira zvikuru pfungwa nomuviri, riri pamusoro petsoka. Constrictive atherosclerosis repasi wamativi ane wechitatu soro kakawanda chiitiko. Clinical kuratidzwa ichi chirwere zvakasiyana siyana. Saka here nokuongorora kukura munhu pathological kwacho mumatanho:

1. Panguva kutanga kwekupwanyiwa murwere kunetseka kunzwa pasava noushamwari, nokutsva, kana tingling pamakumbo. The ganda netsoka dzenyu hapana zviripo zvinoonekwa.
2. Nokuti yechipiri Danho dzinoratidzwa chitarisiko kwakaita inoratidza claudication. Mumwe mutezo apo vachifamba kana kuridza mitambo inotanga kuneta kwokutanga pane rumwe. Zvishoma nezvishoma Virtual zvisingafadzi nezvekufadza munzvimbo dzemhuru tsandanyama, pane kuramba cyanosis.
3. In danho rinotevera kunyatsoita inoratidza claudication chaizvo kunowedzera. Murwere zvava zvinonetsa pindai zvatinosiita nzira pasina kumbomira. Kazhinji varwere vanotsutsumwa kuti kurwadziwa nezvigunwe chisingazivi kunyangarika pa zororo. The ganda riri rutsoka anova machena mumvuri, anogona kutsemuka uye wakawondereiko kudai mazuva ose.
4. In danho chechina lameness zvinova kwazvo zvokuti munhu anomanikidzwa kuita kumisa ose 50 tsoka munzira. Zvichida kuonekwa venous maronda, kuzvimba. Kurwadziwa makumbo kudzivirira usiku zororo.

Hatigoni kumirira, apo pachava zvachose migumisiro hosha muchimiro neronda rinonyenga. Kana mukawana zviratidzo havachanyatsogoni kuparadzirwa makumbo (muutera, inoratidza claudication) , pakarepo kwachiremba. Kana nyanzvi inosimbisa constrictive atherosclerosis repasi kumugumo arteries, mishonga zvichabviswa dzakarongwa pakarepo.

nzira nechirwere

Nokukurumidza kuziva chirwere kutanga kurapwa yake uye, varume vose pashure zera 40, vanachiremba vanoti kamwe pagore kunoongororwa. Zvaringana kuti bvunzo ropa anotevera zviratidzi:

• remafuta akawandisa, lipoproteins, triglycerides;
• fibrinogen;
• shuga;
• pakugwamba.

parameters izvi zvinogona sananga anoratidza kutyorwa mapuroteni uye lipid muviri, izvo hunokonzera kukura zvokurwara.

Constrictive atherosclerosis pakati arteries uropi, mwoyo kana rezasi makumbo zviri nyore kuziva. Kuti aite izvi, murwere ushandiswe misoro kuongororwa kuti zvinosanganisira maitiro anotevera:

• intravenous / arterial vascular angiography kushandisa musiyano;
• rheovasography;
• Doppler;
• triplex kushanda pakuvheneka.

Pahwaro chiremba vakagamuchira migumisiro muongororo anogona kusimbisa rokutanga zvawanikwa. Pashure paizvozvo, murwere basa kurapwa.

kurapa misimboti

Stenotic atherosclerosis kurapwa zvikurukuru hunobva chii pavaipfuura chirwere murwere nyaya yacho kuna chiremba. Panguva kutanga kwekupwanyiwa, kuwedzera zvinodhaka kurapa zvinokosha kuti kuedza kuchinja mararamiro enyu. Zvakakosha kupa tsika dzakaipa, edza vachiwana zororo. Zvikasadaro, kunwa mushonga chete sipidhi kuchiita chirwere, asi kwete kurega zvachose.

Zviri fanira kugadza chiremba murwere zvokudya (tafura nhamba 10), akapfuma chirimwa zvokudya. Kazhinji inokurudzirwa varwere vane BP kana mwoyo kukundikana. Kana tikaramba tiri pedyo zvokudya, haugoni chete kuderedza uwandu remafuta akawandisa yaunodya, asiwo kuti mubve zvakawandisa wayo kubva mumuviri. Izvi hazvisi kuenda kudya kuderedza uremu. Power anofanira nepakati uye kwakakwana. Zvikasadaro, kurapa hakuiti hunokwanisa mugumisiro.

Varwere vane chirwere che "stenosing atherosclerosis repasi wamativi" kurapwa zvinofanira vaisanganisa pamwe zvemitambo. Sarudzo dzinofanira kupiwa Nordic kufamba kana kushambira. Nezviratidzo yokutanga kuneta makumbo vanofanira zororo pakarepo, pasina overloading muviri.

Kushandisa zvinodhaka

Mabatirwo atherosclerosis zvisingaiti kufungidzira pasina kushandisa mishonga. Yemanyorero varwere nechirwere zvinodhaka zvaitaurwa anotevera mapoka:

1. Antiplatelet yomuchipatara. Kudzivisa paumbwe ropa clots zviri muropa.
2. Antispasmodics. Vandudza kweropa rose muviri.
3. Mishonga normalizing ropa rheology. Chokutanga, ushandiswe inodonha zvinodhaka, zvino ari vakatsiviwa piritsi fomu.
4. Anticoagulants.

mishonga All vanosarudzirwa mumwe murwere nomumwe. Iva nechokwadi chiremba anofanira kufunga padariro chirwere, uye ayo chimiro.

kushanda kupindira

Atherosclerosis constrictive kunoda kunonoka pavaipfuura oparesheni. Surgery anogona kudzorera chakaipa mudziyo patency, bvisa remafuta akawandisa plaques. Kwaizvozvi, mumwe yokunzvenga, angioplasty kana stenting. manipulations aya kunze vose endoscopic uye rakavhurika netsika kushandisa talk yokutindivadza.

Zvakaipira chirwere

Migumisiro chirwere ichi chinogona kuva dzakakomba zvikuru uye upenyu pangozi. Somuenzaniso, mashoko constrictive atherosclerosis pakati arteries uropi kunowanzokonzera sitiroko. Chokwadi, kuomesa ichi hariwaniki zvachose. Zvose zvinoenderana zvinoitwa nhengo, susceptibility nechirwere chidzoke. Ongororo dzinoratidza kuti inenge 70% yevanhu makore 60 anonyunyuta ari kuratidzwa siyana atherosclerosis. chirwere ichi ndicho chikonzero chikuru chepfungwa insufficiency syndrome.

Constrictive atherosclerosis pakati rezasi wamativi uye hapasi kuva zvakanaka fungidziro. Kana tsinga iri makavhara chose, kuwedzera mukana wokuti nekukudziridza ischemic neronda rinonyenga. Zvikurukuru yakajairika zvokurwara kunoitika muna vanhu vane chirwere cheshuga, nokuti Inowedzera chirwere muitiro stenosis.

matanho

Tanga kuita kudzivirira atherosclerosis stenosis chinodiwa kubva pazera. Vanhu vose vanoomerera kunaka mararamiro, vari pangozi chirwere.

Prevention zvinosanganisira:

• Utsanana zvaiitwa;
• muviri zvine mwero;
• zvaidiwa basa uye zororo.

Usakanganwa pamusoro kudya zvinovaka muviri. Zvokudya zvinofanira kunyanya kuva dzakaonda nyama uye zvomugungwa, uyewo chirimwa chikafu.

Healthy mararamiro kunoreva kuramba tsika dzakaipa. Zvisinei zviri nani kwete kutanga kusvuta uye kunwa doro.

mazano izvi zvinofanira kutevedzerwa zvose panguva kurapwa uye kukwira naye. Mazano akadaro kudzivisa chirwere matambudziko. Kana zviratidzo zvokutanga anoratidza constrictive atherosclerosis, vanofanira kuona chiremba kuti aone yenyu nemidziyo ropa. Kana zvakakodzera, chiremba vanonyorera yakakodzera kurapwa.