Atherosclerosis na cututtukan jijiyoyin zuciya

Atherosclerosis na tasoshin jijiyoyin zuciya (jijiyoyin zuciya) cuta ce mai daɗaɗɗar cuta, wacce ke tattare da samuwar manyan ƙwayoyin cholesterol a cikin jijiyoyin zuciya. Bayyanuwa da haɓaka waɗannan lamuran suna da alaƙa da haɓaka mai yawa a cikin jinin abubuwan da ake kira "mummunan" fats a cikin jiki - cholesterol da ƙarancin lipoproteins mai yawa. Yayin da tsarin jijiyoyin cuta ke haɓaka, ana keɓe cholesterol da lipoproteins, ƙwaƙwalwar yana ƙaruwa cikin girman, wanda ke kaiwa zuwa ƙarancin ɓoyewar ƙarancin ƙwayar jijiya. Saboda haka, dukkan alamu da rikice-rikice na cutar. Yi la’akari da sanadin da kuma maganin jijiyar cutar atherosclerosis a cikin ƙarin daki-daki.

Sanadin atherosclerosis na zuciya

1. Shekaru (maza sama da shekaru 55, mata sama da 65). Atherosclerosis yana haɓaka hankali a cikin shekaru da yawa, kuma ta hanyar tsufa, canje-canje a cikin jijiyoyin jini ya zama ake faɗi. Abin da ya sa duk bayyanar cututtuka na atherosclerosis ke faruwa a wannan zamanin.

2. Namiji.
Wannan kuma takamaiman (mai canzawa) ne mai haɗarin haɗari ga cututtukan ƙwayar jijiyoyin zuciya, wanda aka ba mu ta yanayi. Maza dangane da lafiya basu da kariya ta dabi'a daga cuta fiye da mata. Kwayoyin jima'i na mace (estrogens) amintaccen kariya ne daga tasoshin jini daga raunin da yawa. An samar da su ne daga ƙwayar adipose, sabili da haka mahimmancin nauyin wuce kima ba shi da mahimmanci a gare su dangane da haɗarin atherosclerosis fiye da na maza.

3. Kiyayya.
Tsarin yanayin iyali (kasancewar dangin dangi tare da kamuwa da cutar atherosclerosis a karkashin shekara 55 a cikin maza da kuma har zuwa 65 a cikin mata) ƙarin ƙari ne wanda kuma ba a canzawa ba illa ga ci gaban jijiyoyin jini.

Abubuwa masu zuwa na abubuwanda zasu haifarda ci gaban atherosclerosis ana iya yin maye (saboda haka ana cikin tsarin rigakafin wannan cuta).

4. Shan Sigari.
Nikotine yana ɗaukar jijiyoyin jini, da shan sigari na dogon lokaci yana haifar da taƙaitawa daga cikinsu, wanda hakan ya lalata hoton atherosclerosis kuma yana ƙara haɗarin rikitarwarsa.

5. Kiba.
Wuce kima yana da alaƙa da illa ga mai ƙwayar cuta da kuma haɗarin samuwar plaque a cikin jijiya. Hakanan, wuce kima yana ƙara nauyin a kan zuciya, yana ba da gudummawa ga haɓaka haɓakar jini, wanda, bi da bi, ya cutar da mai haƙuri kuma yana haɓaka haɓaka tsarin haɓakawa na haɓakar atherosclerosis.

6. Hypodynamia.
Hypodynamia (rashin aikin motsa jiki) shine haɗarin haɗari ga kiba kuma abu ne mai ba da gudummawa ga samuwar ƙarar jini a cikin jijiyoyin jini. Duk waɗannan hanyoyin guda uku - rashin aiki, kiba da ƙwaƙwalwar ƙwayar cuta suna da alaƙa da juna kuma sune ɓangaren haɗin pathogenesis (inji mai haɓaka) na atherosclerosis.

7. Hawan jini.
Hawan jini na iya samun dalilai masu yawa, gami da wadanda ke hade da atherosclerosis. A gefe guda, hawan jini shine ƙarin nauyi a kan zuciya, canje-canje a cikin ganuwar arteries kuma, a sakamakon haka, ƙarin ƙarin abubuwa don ci gaban atherosclerosis da rikice-rikice.

8. Ciwon sukari mellitus.
Ciwon sukari mellitus cikin sauri yana haifar da canje-canje na cututtukan cuta a cikin bango na jijiya, saboda haka ana ɗaukarsa ɗayan manyan haɗarin haɗari don haɓakar atherosclerosis kuma musamman nau'ikan asibiti.

9. Dyslipidemia (karuwar darajar adadin rashin wadataccen lipoproteins a cikin jini, a kan asalin wani hauhawar yawan lipoproteins mai yawa). Wannan halin shine kai tsaye sanadin bayyanar da haɓakar manyan filayen kitse a jikin bangon jijiya.

10. Zagi da sukari.
Abincin yau da kullun na sukari shine 25 grams. Muna samun sukari ba kawai a cikin tsararren tsari ba, har ma tare da kayan kwalliya, abubuwan dafa abinci, abubuwan sha. Sugar yana da tasirin kai tsaye a jikin bangon arteries. A wuraren lalacewa, cholesterol ya tara, a gaba - siffofin plaque da kuma lumen jirgin ruwa.

Bayyanar cututtuka na atherosclerosis na tasoshin zuciya

Atherosclerosis na cututtukan jijiyoyin zuciya shine babban dalilin ci gaban cututtukan zuciya na zuciya, wanda za'a iya la'akari da shi shine babban nau'i na bayyanuwar cutar atherosclerosis. Cutar na tasowa a hankali, undulating kuma a hankali.

Rarraba cholesterol a bango na jijiya yana haifar da ƙirƙirar ƙwayar cuta ta atherosclerotic. Jirgin yana girma cikin girma kuma sannu a hankali yana haifar da raguwar kwararar jini a cikin jijiyoyin wuya. Bayan canzawar plaque zuwa wani tsari mai tsayayye (tare da fasa da hawaye), hanyar kunna faranti da samuwar jini a saman wannan masifar suna haifar da aiki. Rage yanki na lumen artery yana haifar da bayyanar alamun bayyanar cututtukan zuciya.

Siffofin cututtukan zuciya da jijiyoyin jini:

1. Asymptomatic ("bebe") nau'in cutar. Yana gudana ba tare da alamu ba.
2. Angina pectoris. Wannan wani nau'i ne na wucin gadi, wanda ke bayyana kanta a matsayin gazawar numfashi da zafi a bayan sternum yayin motsa jiki da damuwa.
3. Rashin angina pectoris. Abunda ke faruwa na kai harin da zafi da gazawar numfashi, ba tare da la’akari da takamaiman dalilai ba, wanda aka nuna ta ƙaruwa da kuma yawan alamun bayyanar lokaci.
4. Arrhythmic nau'i na cututtukan zuciya. Wannan nau'i yana faruwa a cikin nau'i na zuciya arrhythmias, mafi yawan lokuta a cikin nau'i na fibrillation atrial.
5. Myocardial infarction. Wannan shine hanyar da mutuwar wani ɓangare na ƙwayar zuciya ke faruwa. Abinda ya zama ruwan dare gama gari shine rabuwa da cutar jini daga bango na jijiya da jijiyoyin zuciya.
6. Mutuwa bugun zuciya kwatsam. Wannan shine kamawar zuciya, dalilin wanda yake raguwa sosai a yawan adadin jinin da aka sadar da zuciya sakamakon cikakkiyar toshewar jijiyoyin zuciya.

Babban alamar ischemia na myocardial shine jin zafi a bayan mafitsara.

A cikin yanayin tsananin, yana iya zama daban - daga rashin jin daɗi mai sauƙi, jin matsin lamba, ƙonawa a cikin kirji zuwa zafin da ba a iya jurewa ba tare da infarction na zuciya. Jin zafi da rashin jin daɗi suna bayyana a bayan mafitar, a tsakiyar kirji da ciki. Zafin ya haskaka (yana ba da) ga hagun hagu, a ƙarƙashin hagu kafada ko ƙasa, zuwa yankin raunin rana. Jajaye da kafada na iya jin rauni. Rikicin angina pectoris yawanci ana haifar dashi ta jiki (ƙasa da sauƙin damuwa-damuwa) damuwa, aikin sanyi, yawan abinci da ake ci - i.e. duk abin da ke haifar da karuwa a cikin kaya.

An dakatar da farmaki na angina pectoris a hutawa, ta kansa, ko kuma ta hanyar shan nitroglycerin.

Ana kuma kiran angina pectoris barga angina pectoris. Ana nuna wannan nau'in kasancewar hare-hare na yaduwa mai zafi a cikin tsananin bayan zafin rana zuwa hagu yayin damuwa ta jiki ko damuwa.

Kadan fiye da kullun, bayyanuwar cutar cututtukan zuciya na zuciya ya zama infarction na zuciya ko mutuwa kwatsam. Myocardial infarction yana bayyana ta hanyar hadadden bayyanar cututtuka: m kaifi mai zafi a baya daga cikin sternum tare da radiation zuwa hannun hagu da baya, tsananin, rauni, rauni, raguwa a cikin karfin jini, da rauni mai rauni. Jin zafi na iya ɓacewa bayan fewan mintuna ko awanni.

Halin arrhythmic na cutar a cikin nau'i na fibrillation atrial ko extrasystole ba alama ce ta ischemia ba. Amma a cikin marasa lafiya da cututtukan zuciya, ana samun karin extrasystole yayin motsa jiki.

Bayyanar cututtuka na ischemic cardiomyopathy halaye ne na rashin zuciya na kowane asali. Yawancin lokaci wannan shine ƙarancin numfashi (jin rashin iska a yayin motsa jiki ko a hutawa), jin zafi a bayan mafitsin.

Jiyya na atherosclerosis na tasoshin zuciya

Jiyya na atherosclerosis na hanyoyin jini na zuciya ya kamata ya zama mai cikakken, mutum da tsari. Ya kamata hadadden hanyoyin warkewa ya kasance cikin kulawa tare da rage abubuwan da ke haifar da hadari, kiyaye filayen atherosclerotic a karkashin kulawa, da kuma amfani da hanyar tiyata ta dace.

Rayuwa

A cikin gyare-gyaren salon rayuwa, masu zuwa suna da mahimmancin mahimmanci: ƙin halaye marasa kyau, haɓaka abincin mutum, rage girman yanayi na damuwa, haɓaka tsarin mutum na aikin jiki, daidaituwa na chronobiology na haƙuri, haɓaka shirin don rama abubuwan batutuwan waje (muhalli).

An haɓaka shi bisa tushen warware matsalolin rage ƙimar kuzarin abinci na yau da kullun, zaɓin abinci tare da tasirin cututtukan sclerotic, tabbatar da isasshen aiki na tsarin sarrafa kansa da kuma kariya ta hanayar motsa jiki.

A cikin maganin rage cin abinci mai narkewa, yakamata a sami fiye da 20-25% na abincin yau da kullun. Yawan cin acid mai iyaka yana da iyaka. Cire gaba daya an daina amfani da squash (fats hydrogenated), da samfuran da suke dasu a kananan adadi (kayan kwalliya, kayan lemo, da sauransu).

Abincin yana ƙara yawan abubuwan da ke cikin monounsaturated da polyunsaturated fatty acid (kaji, kifi, gyada, man zaitun, man sunflower, da sauransu). Recommendedwarin da aka ba da shawarar yawan abincin abinci mai ƙoshin mai shine kashi 15 cikin ɗari na abincin yau da kullun.

Yana da mahimmanci musamman don kawar da carbohydrates mai narkewa mai sauƙi (samfuran gari, sukari, kofi, jam) kuma ƙara "hadaddun" carbohydrates (kayan lambu, ganye, 'ya'yan itatuwa mara amfani) ga abincin. Hakanan wajibi ne don ƙara kayan lambu waɗanda ke ɗauke da adadin ɗimin fiber da mayuka masu kauri (karas da albasa, beets, kabeji, da ganye) a cikin abincin.

Dosed aiki na jiki

Irin wannan nauyin yana ƙara jimiri da ƙwayar zuciya, yana ƙara sautin jijiyoyin bugun jini, yana daidaita karfin jini, yana motsa metabolism. Isasshen lokacin motsa jiki masu ƙarfi - 30-40 minti 1 lokaci ɗaya kowace rana. Nau'in aiki na jiki: dosed tafiya, motsa jiki akan keɓaɓɓun keke, motsa jiki na warkewa, tausa warkewa.

Yin magani na atherosclerosis na tasoshin zuciya

A cikin aikin warkewa don lura da atherosclerosis na tasoshin zuciya, ana amfani da wasu rukunin magunguna: magungunan da ke rage cholesterol jini (statins), jerin abubuwan bile acid, tsawan nau'ikan nicotinic acid, fibrates, antiplatelet, bitamin, magungunan antisclerotic, kwayoyi masu alaƙar cuta.

Yin tiyata na jijiyoyin zuciya atherosclerosis

Tare da takaitaccen ƙwayar ƙwayar ƙwayar jijiyoyi ta hanyar sama da 70%, a gaban angina mai tsayayye, infarction na myocardial, ana amfani da hanyoyin tiyata. Mafi kyawun nau'ikan aikin tiyata a kan tasoshin zuciya: transluminal coronary angioplasty, aorto-coronary artery kewaye grafting, stenting na jirgin ruwa, mara amfani mara kyau don cire filaye, ƙwanƙwasa jini da haɓaka ƙwayar jirgin.

Folk magunguna don lura da atherosclerosis na tasoshin zuciya

Ana amfani da hanyoyin gargajiya tare da kulawa sosai kuma kawai bayan yardawar amfani da likitan halartar. Ga wasu sanannun girke-girke.

1. Zuba tablespoon na 'ya'yan itatuwa Fennel tare da gilashin ruwan zãfi, zafi a cikin wanka mai ruwa, sanyi, ƙwanƙwasa, matsi kuma kawo ƙarar zuwa 200 ml. 1auki 1 tablespoon sau 3-4 a rana.

2. zuma tare da horseradish tare da ischemia mai sanarwa ya kamata a sha da safe, sa'a daya kafin cin abinci. Kuna buƙatar haɗar cokali ɗaya na ƙwayar horseradish tare da cokali ɗaya na zuma (zai fi dacewa lemun tsami). Auki cakuda da ruwa. Haɗa kawai kafin amfani. Don hana ischemia, horseradish tare da hanyar ya kamata a ɗauka a cikin watanni 1-1.5, zai fi dacewa a cikin bazara da kaka.

3. Haɗa fata fata 2, an soke shi tare da cokali 2 na kirim mai tsami da cokali 1 na zuma. Ku ci a kan komai a ciki kowace safiya.

4. A cikin yanayin angina pectoris: zuba 10 g na marsh tari ciyawa tare da gilashin ruwan zãfi, zafi a cikin wanka mai wanka na mintina 15, kwantar da awa ɗaya, sannan zuriya, matsi da kawo ƙarar zuwa 200 ml. Sha 1 / 3-1 / 2 gilashin bayan cin abinci.

5. Buro kwalba guda na dill a cikin kofuna waɗanda ruwan zãfi 1.5 kuma bar shi daga. Yi amfani da jiko wanda aka shirya yayin rana tare da angina pectoris.

6. tablespoonsauki 6 tablespoons na 'ya'yan itacen hawthorn da 6 tablespoons na motherwort, zuba kofuna 7 na ruwan zãfi. Bayan wannan, jirgin ruwa da hawthorn da motherwort an lulluɓe shi da dumi kuma ya nace don kwana ɗaya. Iri, matsi da kuma daukar gilashin 1 sau 3 a rana. Don inganta ɗanɗano, zaku iya haɗu tare da broth na fure fure, brewed su a cikin hanyar.

Menene ilimin keɓaɓɓu?

A magani, atherosclerosis na jijiya da jijiya ana kiranta cututtukan jijiyoyin jiki, wanda ke tattare da samuwar adon mai mai mai amo mai yawa akan jijiyar tasoshin. Pathology yana haɓaka hankali kuma a mafi yawan lokuta ana gano shi a cikin matakai na gaba. A zuciyar matsalar ita ce canji a cikin ƙwayar tsoka, wanda a ciki adadin dumin abinci mai ɗorewa ya kasance cikin jini. A tsawon lokaci, waɗannan abubuwa za su sauka a bangon ciki na jirgin - da ciki, saboda abin da lumen shi ya ba da labari.


A matsayinka na mai mulkin, atherosclerosis yana farawa daga cikin jijiyoyin jijiyoyin jini, wato, a cikin manyan sassan jini. Adadin ajiya mai sauƙi yana kusa da rassan. Tsarin cututtukan cuta yana rikitar da zubar jini, sakamakon wanda zuciya ta gaza a cikin iskar oxygen da abubuwan gina jiki. Tunda aikin kwayar halitta yana ci gaba kuma yana da ƙarfi sosai, wannan yana haifar da alamun alamun asibiti.

Atherosclerosis na jijiyoyin jini jijiya mararta tasowa daga matasa. Koyaya, saboda gaskiyar girman haɓaka adon lipid, jinkirin bayyanawa (cutarwar farko) na cutar yana kusa da shekarun ritayar - a shekaru 50-55. Wannan shine dalilin da ya sa ake yawan daukar cutar abokiyar halitta ta tsufa. Koyaya, a cikin 'yan shekarun nan, ƙididdigar likita sun nuna haɓakar haɓakar ischemia na zuciya da mace-mace sakamakon ƙonewar jini a cikin matasa.

Likitocin zuciya sun bada shawarar sosai a duba tasoshinsu na atherosclerosis, farawa daga shekaru 30, kuma idan akwai tsinkayar cutar a baya.

Ci gaban Cutar

Tare da kulawa da hankali ga lafiyar mutum, mutum zai iya gano alamun farko na cututtukan zuciya na atherosclerosis tun kafin tsufa. Wannan, a cewar masana, al'ada ce, musamman la'akari da salon rayuwar mutane na zamani. Yana haifar da bayyanar farkon bayyanuwar manyan kwayar cholesterol a cikin tasoshin da ke ciyar da tsoka zuciya.

A cikin ci gabanta, cutar tana ratsa matakai da yawa, kowane ɗayan na iya wuce shekaru da yawa:

  1. Farkon zuwa matakin asibiti yana zuwa tare da ɗan ƙaramin ƙwayar cholesterol a cikin nau'i na man shafawa a jikin bangon jiragen ruwan. Wannan yawanci yakan faru ne a lokacin da lalacewar cikin jijiya ta lalace. A tsawon lokaci, tabon lipoprotein an canza ta zuwa madaidaicin ko kuma tsinkaye mai kauri, wanda girman sa bai wuce na microns da yawa ba. Alamun asibiti na jijiyoyin zuciya atherosclerosis a wannan matakin basa nan.
  2. Mataki na biyu na asibiti na atherosclerosis daga cikin tasoshin jini na zuciya yana haɗuwa tare da haɓaka ajiya mai tsoka. Sakamakon karuwa a kaurin su, raguwar wadatar jini ga zuciya ana lura dashi, musamman idan mara lafiyar yana cikin yanayin aiki. A wannan matakin, ƙwayoyin fibrin, ƙwayoyin jini suna haɗuwa da filastar cholesterol, babban ɗaukar jini zai iya samarda. Kwararru suna kiran wannan tsari da yawa atherosclerosis na jijiya, wanda yake rikitarwa koyaushe ta hanyar rabuwar jini da mutuwa. Bayyanar cututtuka a wannan matakin an riga an faɗi su sosai: akwai bugun zuciya da gajeriyar numfashi yayin motsa jiki, ana lura da cutar arrhythmia.
  3. Mataki na uku na karshe na jijiyoyin jini da jijiya da jijiya tare da ƙwayar jijiya tare da haɗin ƙwayar cuta saboda ƙari na alli a ciki.Lokaci na arteries a lokaci guda mai mahimmancin narkewa, ganuwar arteries sun lalace, sun zama ƙasa da na bakin ciki kuma mai yawa. Halin yana haɗuwa da raɗaɗi mai ratsa jiki a lokacin tsananin yayin aiki na kowane ƙarfi, arrhythmia, bugun zuciya na lokaci-lokaci, rauni gaba ɗaya.

Duk da gaskiyar cewa maganin zamani yana da babban damar kawar da atherosclerosis, magani ya fi tasiri don gano cutar a farkon matakan.

Binciko

Gano ƙwayoyin cuta na atherosclerosis a cikin mafi yawan lokuta yana faruwa yayin binciken yau da kullun na zuciya. Likita na iya zargin cutar ta hanyar sakamakon ECG: alamun ischemia za a bayyane a kanta. Don tabbatar da ganewar asali ta amfani da hanyoyi masu rikitarwa don gano cutar atherosclerosis. Yawancin lokaci sun haɗa da:

  • scintigraphy na damuwa, wanda ke ba ka damar sanin wurin ajiye adon lipid, girman su da matsayin protrusion a cikin ƙwayar jirgin,
  • Dopplerography na tasoshin jini a hade tare da duban dan tayi a cikin jijiyoyin zuciya, waɗanda suka zama dole don gano wuraren ƙwararrun jijiyoyin ƙwaƙwalwa tare da gudanawar jini da aiki mai ƙarfi,
  • daukar hoto na jini na zuciya tare da bambanci (coronarography), wanda aka ƙaddara don ƙayyade wurin da girman atherosclerotic foci,
  • ilimin halittar dan Adam (echocardiography) tare da danniya, wanda zai baka damar gano keta haddi na zuciya da canje-canje a cikin kwararar jini wanda yake bayyana lokaci-lokaci, alal misali, yayin aikin motsa jiki ko motsa jiki.

Kari akan haka, ana gudanar da jerin gwaje gwaje na gwaji wadanda zasu baka damar tsayar da yawan sinadarin lipoproteins mai yawa a cikin jini.

Cutar ba ta shafi wani bangare na tsarin jijiyoyin jini. Lokacin da ake bincika cututtukan ƙwayar jijiyoyin ƙwayar cuta da ƙwaƙwalwar ƙwayar mahaifa, za a buƙaci nazarin sauran rukunin jiragen ruwa (kai, ƙafar ƙananan ƙafa, rami na ciki, da sauransu).

Hanyoyin jiyya

Hanya don lura da cutar ta dogara ne akan matakan canje-canje na atherosclerotic da alamomin yanzu. A matakin farko na cututtukan jijiyoyin zuciya atherosclerosis, jiyya yana ɗaukar magani na ra'ayin mazan jiya. Don hana ci gaba da cutar, ya isa canza rayuwar:

  • daina shan sigari da barasa,
  • normalize abinci mai gina jiki, da farko, ware dabbobi mai yawa da Sweets daga menu, maye gurbinsu da kayan lambu da 'ya'yan itace, fararen abincin abinci da kifi,
  • a kai a kai a cikin wasanni masu yiwuwa - yin iyo, yoga, dakin motsa jiki ko tseren tsere (ingantaccen wasan motsa jiki da ƙimar damuwa za a ƙaddara su ga likitan halartar).

Baya ga karfafa tasoshin jini da kuma daidaita matakan cutarwa na lipoproteins a cikin jini, wadannan matakan zasu taimaka wajen daidaita nauyi.

An nuna shi don atherosclerosis na jijiyoyin zuciya da magunguna. An tsara wa marasa lafiya da ke da irin wannan cutar magani hadaddun hanyoyin rage lipids mai cutarwa a cikin jini. Baya ga abincin musamman, ana amfani da statins: Atorvastatin, Rosuvastatin, Pitavastatin da analogues nasu. Magungunan wannan ƙungiya suna hana enzymes alhakin alhakin ƙirar ƙwayoyin mai cutarwa a cikin hepatocytes. Bugu da kari, suna bayar da gudummawa wajen maido da ruhin jini na ciki. Saboda wannan dukiya, suna da mahimmanci a farkon matakan atherosclerosis.

Ba a tsara statins ga marasa lafiya da mummunar aikin hanta: tare da hepatosis, hepatitis, hanta hanta, cirrhosis.


Bugu da ƙari, marasa lafiya tare da atherosclerosis an wajabta magunguna waɗanda ke rage buƙatar oxygen na myocardial, rage tsananin canje-canje na ischemic da rage haɗarin thrombosis. A saboda wannan dalili, ana amfani da kwayoyi na ƙungiyoyi da yawa:

  • shirye-shiryen da ke kunshe da sinadarin beta-blockers - Bisoprolol, Nebilet, Betalok, Anaprilin,
  • ACE magungunan hanawa - Enalapril, Lisinopril, Perindopril,
  • allunan tashar alli - Amlodipine, Amlotop, Diltiazem, Cardilolo,
  • masu tunani na jini da rigakafin ƙwayoyin jini - Clopidogrel, Aspicore, Aspirin Cardio.

An zabi sashi da hadewar magunguna ta likita daban-daban, yin la'akari da yanayin mai haƙuri na yanzu, sakamakon gwaje-gwajen da cututtukan da ke gudana.

Idan mai haƙuri yana da alamun ƙwayar cutar atherosclerosis na ƙwayar jijiyoyin jini, koma zuwa aikin tiyata. Yayin aikin, ana amfani da hanyoyi da yawa:

  • na jijiyoyin zuciya jijiya mahaifa grafting don ƙirƙirar gado na wucin gadi kewaye da yankunan da abin ya shafa na artery,
  • balloon angioplasty don tilasta fadada daga cikin lumen na jijiya,
  • stenting na artery don fadada ta lumen.

Irin waɗannan hanyoyin za su iya warware matsalar a cikin maganganu masu tasowa, amma ba su soke cin gaba na tsawon lokaci na magungunan da aka lissafa ba.

Hasashen cutar atherosclerosis na gaba daya ya dogara da gano cutar lokacin da kuma yardawar mai haƙuri tare da dukkan magunguna na likitan zuciya. Tare da isasshen jiyya mai iya cancanta, tsinkayen abu ne mai kyau, yayin da manyan maganganu na atherosclerosis na zuciya sau da yawa suna ƙarewa cikin rikitarwa mai ƙarfi da mutuwa.

Sanadin Atherosclerosis

Babban dalilin ci gaban jijiyoyin zuciya shine atherosclerosis shine kasancewar kwayar cholesterol (kimanin 6 mmol / l ko sama da haka) a cikin jini. Me zai iya haifar da wannan halin:

  • Yawan cin kitse na dabbobi da yawa.
  • Rage aiki na rayuwa.
  • Rashin ƙwayar hanji cikin sharuddan cire abubuwa masu ɗauke da mai.
  • Kasancewar yanayin gado ne ga jijiyoyin jini.
  • Overstrain na yanayin tabin-hankali da yanayin damuwa.
  • Ciwon sukari mellitus.
  • Kasawar Hormonal.
  • Saurin hauhawar nauyi, i.e. kiba.
  • Rashin lalacewar tsarin juyayi na tsakiya.
  • Rayuwa mara aiki (i.e. rashin aiki ta jiki).
  • Kar a manta da shekarun masu cutar da jinsi. Ba asirce ba cewa tsohuwar mutum, ta kasance mai saurin narkewa. Har zuwa shekaru 60, cutar ta fi samun yawanci a cikin maza, a cikin mata, hadarin kamuwa da cutar yana ƙaruwa bayan farawar menopause.

  • Hawan jini (i.e. hauhawar jini).

Lura! Za'a iya haifar da atherosclerosis na aorons na jijiya ta hanyar abubuwan guda ɗaya kamar yadda aka bayyana a sama. Tunawa: aorta ita ce jigilar jini mafi girma da ke sama da bawul ɗin aoicic. Daga gareshi ne manyan jijiyoyi biyu (dama da hagu) na kayan aikin jijiyoyin jini suna tashi.

Hanyar haɓakar atherosclerosis na hanyoyin jini

Wurin farawa don haɓakar atherosclerosis na aorta na tasoshin jijiyoyin jini da jijiya shine lalacewar endothelium sakamakon cututtukan autoimmune, bayyanar ƙwayoyin cuta da ƙwayoyin cuta, gami da halayen rashin lafiyan ƙwayoyi. A waɗannan wurare ne ake adana fatunan ajiya (filaye). Bayan lokaci, sun yawaita, kamar yadda ake ci gaba da samun sabbin kundin "kayan gini". A sakamakon haka, an kirkiro ƙwayoyin haɗin kai a cikin raunuka, wanda ke haifar da kunkuntar ƙwayar katako na jijiyoyin aorta da na jijiyoyin zuciya, toshewar su, gazawar tsarin zagayawa da jini a cikin gida, kuma a sakamakon haka, mummunan cututtukan yanayi mai rauni (alal misali, cututtukan zuciya da na jijiyoyin zuciya ko rashin ƙarfi na zuciya) har ma da mutuwa . Wato, a gaban manyan wurarenda ake daukar cholesterol, akwai zabi biyu don haɓakar ƙwayoyin cuta: na farko - jirgin yana sannu a hankali amma tabbas ya kulle shi har zuwa ƙarshenta na biyu, na biyu - thrombus, tun da ya ƙaru cikin girma, kawai yana ɓoyewa don haka ya toshe duk wani motsi na jini ta hanyar jijiya. Dukansu mugaye ne.

Wanda ke cikin hadarin

Wanene ke yin maganin cututtukan mahaifa da jijiyoyin jijiyoyin zuciya? Akwai wasu gungun mutane wadanda suke da kowace dama da irin wannan cutar ta taso a jikinsu. Wannan rukuni ya haɗa da waɗanda:

  • Yana jagorantar yanayin rayuwa, watau, kullun ko dai yana zaune ko karya. Sakamakon haka, tsayarwar jini yana faruwa a cikin jikin mutum kuma, a sakamakon haka, cholesterol yana zaune akan bangon arteries.
  • Yana da babban cholesterol.

Tuna! Idan aka samu yawan kwalakwala a cikin jini, to yawan hadarin jini zai haifar.

  • Ya sha wahala daga cutar sankara. Metabolism shine ɗayan manyan abubuwan da ke haifar da cutar sankara.
  • Yayi nauyi

  • Cin Abinci ba daidai ba. Wato, ana amfani da gishiri mai yawa da ƙoshin dabbobi a cikin abincin.
  • Yana da matsin lamba (wannan yana taimakawa lalacewar ganuwar jijiyoyin jini).
  • Sau da yawa murmushi mai yawa.

Alamomin cutar

Dukkanin alamun da ke gudana na jini a cikin zuciya ba ya zuwa matsayin daidaitacce ya kasu kashi biyu - ischemic da kuma janar. Tsoffin suna da alaƙa kai tsaye da aikin ƙwaƙwalwar zuciya, na ƙarshen kuma suna da alaƙa da lalatawar jini a cikin sassan jikin mutum.

Daga cikin alamun cutar ischemic, yana da daraja a nuna abubuwan da ke tafe:

  • Kasancewar bugun zuciya, wanda ya sha bamban da na al'ada. Wannan na faruwa ne sakamakon gaskiyar cewa tare da isasshen jini zuciya zata fara aiki “rago”.

  • Akwai karuwa a cutar hawan jini sakamakon ambaliya a cikin jijiyoyin zuciya.
  • Haƙiƙar tsoro a cikin haƙuri yana haifar da matsaloli tare da ƙwayar zuciya. Samun bugun jini yana ƙaruwa, kuma yawan hauhawar testosterone yana ƙaruwa, wanda kawai ya kara dagula lamarin.

Bayyanar cututtukan mahaifa atherosclerosis na yanayin gaba ɗaya:

  • Rage numfashi, wanda aka lura a matakin farko na farmaki.
  • Dizziness sakamakon rashin isasshen hawan jini.
  • Rashin tsarin juyayi na tsakiya.
  • Kasancewar jin zafi (ƙonewa da zalunci) a cikin sternum, wanda zai iya ba da kafada ta hagu ko baya. A matsayinka na mai mulkin, suna tasowa yayin aiki na jiki, kuma suna da alaƙa da rashin isashshen sunadarin oxygen a cikin zuciya.

  • Nervousara yawan juyayi.
  • Rashin sani.
  • Cold sanyi ji a cikin wata gabar jiki (kafafu da hannu).
  • Kwari.
  • Takaici da rauni.
  • Yanayin tashin zuciya, wani lokacin juyawa cikin amai.
  • Redness na fata.

Mahimmanci! A matakin farko na ci gaba, atherosclerosis na jiragen ruwa na jijiyoyin jini ba ya bayyana kanta a kowace hanya. Alamar farko tana bayyana ne kawai a daidai lokacin da filayen ke fara ƙaruwa da ɓoye wani ɓangare na lumen jiragen ruwa. Sabili da haka, wajibi ne don gudanar da bincike akai-akai, musamman ga mutanen da ke cikin haɗari.

Babban matakai na atherosclerosis

Babban matakai na ci gaba da cutar na iya ɗaukar shekaru da dama kuma idan babu wani yaƙi da cutar na iya haifar da mummunan sakamako. Akwai matakai guda biyar na atherosclerosis:

  • Tsarin Dolipid. An kwatanta shi da takamaiman tarin abubuwan gina jiki da kuma lipids a cikin kyawawan tsokoki. A wannan lokacin, akwai lalacewa daga cikin membranes intercellular, samuwar ƙwanƙwasa jini (a cikin tsarinta mai laushi), asarar ƙwayar ƙwayar tsoka, da kuma samar da ƙwaƙwalwa a cikin jiki. A wannan matakin, yana yiwuwa ku koma al'ada idan kun bi abubuwan da suka dace da rayuwa mai kyau.
  • Lipoid lokaci. Mai haƙuri bai nuna damuwa ba, duk da gaskiyar cewa ci gaba da haɓaka nama yana faruwa. A wannan lokacin, ana samun saurin hauhawa a jiki.
  • Lokaci na liposclerosis. Cikakken cikakken fibrous plaques form.

  • Lokaci na atheromatosis. A wannan matakin, lalata filayen atherosclerotic, tasoshin jini, tsoka da tsoka mai haɗuwa. Sakamakon wannan, hargitsi a cikin aiki na tsarin juyayi na tsakiya ya faru. Zai yiwu zubar da jini a cikin kwakwalwa.
  • Lokaci na calcination. Ana lura da ɓoyayyen jakar filaye a kan filayen, jiragen ruwa suna zama da ƙarfe kuma sun daina ɗaukar fitowarsu da sifar su.

Atherosclerosis na jijiyar jijiya

Cutar na iya bunkasa na dogon lokaci gabaɗaya ko tare da wasu bayyanannun bayyanannun. Asibitin an fara duba shi ne kawai lokacin da masalaha da yanayin dabi'ar atherosclerotic suka riga suka tsoma baki tare da gudanawar hanji, suna haifar da ischemia da lalata jijiyoyin jini a cikin kwakwalwa (wato, disseculopathy encephalopathy). Sakamakon haka, ko lalata jiki na ɗan lokaci ko mummunar lalacewar nama yana faruwa.

Akwai matakai guda uku na atherosclerosis na aorta na cututtukan jijiyoyin zuciya:

  • Na farko. Wannan shine matakin farko, wanda alamomi ke nunawa kamar rauni gaba daya, gajiya, kasala, ciwon kai, gazawar maida hankali, tinnitus, raguwar ayyukan tunani da haushi.
  • Na biyun. Wannan shine ci gaba mai gudana, wanda haɓaka haɓakawa da rikice-rikice na ruhi. Mai haƙuri yana haɓaka halin baƙin ciki, rawar jiki na yatsunsu ko kai, matsalolin ƙwaƙwalwar ajiya, ji da gani, ciwon kai, tinnitus na yau da kullun, motsin da ba a daidaita ba, magana mai laushi, damuwa da damuwa.
  • Na ukun. A wannan matakin, mai haƙuri yana da tsayayyen keta hakkin aikin magana, cikakkiyar kulawa ga bayyanar sa (watau rashin kulawa), ƙarancin ƙwaƙwalwa da asarar ƙwarewar kulawa.

Yin jiyya na ƙwayar jijiyoyin jiki tsari ne mai tsayi kuma ba zai haifar da cikakkiyar warkarwa ba. Gaskiya ne, sakamakon sakamako na yau da kullun da rikitarwa, za a iya samun raguwar ci gaba a cikin ci gaban ilimin cututtukan cuta.

Akwai hanyoyi da yawa na tiyata don lura da rashin lafiya:

  • Kewaya tiyata (watau tiyata na filastik), wanda ke ba da izinin zubar jini don wuce yankin da jirgin ruwan ya shafa.
  • Endarterectomy, lokacin da cirewar atherosclerotic plaque da kuma canza jijiyar jikin bangon jirgin yana faruwa.
  • Anastomosis na karin-intracranial (shine, haɗin tsarin na ciki na ƙwayar carotid tare da kayan aikinta na waje).
  • Ana cire yanki da abin ya shafa na artery (i.e., an ɓoye ta wurin matsi na atherosclerotic) da kuma mayar da shi ta hanyar shigar da ƙirar wucin gadi (i.e., prosthetics na akwati brachiocephalic).
  • Abubuwan da ke cikin Carotid endarterectomy. Sakamakon matakan tiyata, kama yana kama da abin da ke cikin carotid artery.

Yin rigakafin

Domin kada a magance magance cututtukan atherosclerosis daga baya, dole ne a dauki matakai da yawa na kariya:

  • A kai a kai ana sanya jiki tare da motsa jiki na yau da kullun (alal misali, tafiya, iyo, yin motsawar safe ko kuma kawai haƙa gadaje a cikin lambun ka). Abu mafi mahimmanci shine mafi yawan motsi.
  • Kuyi dace da kowane irin ilimin da kuke dashi. Zai yi kyau idan ka ziyarci likitan zuciya sau daya a cikin 'yan shekaru.

  • Yi ƙoƙarin kauce wa yanayin damuwa ko aƙalla daga gare su. Duk wani wuce gona da iri na tunanin mutum-yana cutar da lafiya.
  • Idan kun yi kiba sosai, a tabbata an yi faɗa da ita.
  • Yi ƙoƙarin sauya abubuwa ta jiki tare da annashuwa.
  • Ingantaccen abinci shine mabuɗin lafiyar. Me ake buƙatar yi? Usearyata kitsen dabba, ƙwai, man shanu, kayan kiwo mai haɓaka mai yawa, kirim mai tsami, har ma da nama da kifaye iri-iri masu kiba. Kayan lambu da 'ya'yan itatuwa maraba.
  • Dakatar da shan sigari da yawan shan giya mai karfi.
  • Yi tafiya na yau da kullun a cikin sabon iska.
  • Yi amfani da girke-girke na gargajiya.

Lura! Idan atherosclerosis ya riga ya inganta, to gwada ƙoƙarin rage ci gaba. Bi shawarwarin likitan ku game da magani da salon rayuwa. Idan tiyata babu makawa, to, kada ku jinkirta shi.

Bayanin kwatancen jijiyoyin zuciya

Tsarin samar da filayen lipid kai tsaye yana da dangantaka da yawan kiba a jikin kiba - cholesterols, wadanda sukan iya tarawa su zauna a jikin bangon jijiyoyin jini.

Lokacin da yawancin yadudduka masu yawa, toshewar a cikin tasoshin ke fara da fadi, saboda abin da ke cikin jini yana da damuwa kuma ischemia na nama ya faru - rashi oxygen da abubuwan gina jiki.

Atherosclerosis na iya fitowa a cikin nau'ikan tasoshin:

  • thoracic da ciki aorta,
  • kwakwalwa
  • na koda
  • tasoshin ƙananan ƙarshen.

Koyaya, mafi haɗari shine rashin nasara na tasoshin jijiyoyin jini, tunda haɓakar angina pectoris yana faruwa, sakamakon abin da myocardial infarction na iya faruwa.

Ci gaban atherosclerosis ya hada da matakai da yawa:

  1. Stage mai tabo - Ana fara sanya kitse a bango na jijiya idan ƙananan ƙwayoyin cuta sun faru kuma guduwar jini ta yi ƙasa a hankali. Kwayar jijiyoyin bugun gini saboda wannan ya fara kumbura kuma ya kwance - wannan yakan faru ne a wuraren yin jifar jirgin ruwa. Tsawon lokaci na mataki ya bambanta, zaka iya nemo alamun ta har cikin yaran shekara daya. Ana iya bincika stains a karkashin ƙaramin microscope.
  2. Matsayi na liposclerosis - a cikin wuraren adadi mai ɗimbin yawa, ƙwaƙwalwar haɗin kai na matasa ya fara girma, siffofin ƙwayoyin cuta na atherosclerotic. A wannan matakin, plaque har ila yau yana da daidaituwa na ruwa kuma ana iya narkar dashi, amma wannan ba shi da matsala, tunda matsanancin ruɗani na iya fashewa, guntun tara yana iya rufe bakin fatar. A wurin da aka gyara mashi, jirgi ya zama mai rauni a cikin daskarewa, wanda hakan na iya haifar da rashin zuwa ga jini (hrombosis).
  3. Matsayi na atherocalcinosis - a kan lokaci, ƙwaƙwalwar fara fara zama mai yawa kuma ana saka salts na baƙin ciki a ciki. Wannan shine matakin karshe na halittar plaque - yanzu haka ya tabbata kuma yana hankali, yana tasiri sannu-sancewar yanayin jini.

Ana rarrabar atherosclerosis da digiri na ragewa hanyoyin jijiyoyi:

  • mara stenosing - lokacin da namu ya zama kasa da kashi 50%,
  • stenosing - lumen ya rage fiye da 50% kuma wannan ya bayyana ta bayyanar cututtuka.

Ya danganta da nau'ikan jijiyoyin jini da rassan su, ana bambanta nau'ikan atherosclerosis:

  • gangar jikin hagu na jijiya,
  • madaidaiciya jijiya,
  • na gaba daya interventricular reshe na hagu na jijiya jijiya,
  • ambulaf reshen hagu na jijiya.

Babban dalilai

Abubuwanda zasu iya haifar da samuwar atherosclerosis na cututtukan jijiyoyin jini sune ɗaruruwan ɗari, amma ana ɗauka abubuwan da suka fi yawa, wanda za'a iya rarrabu cikin kungiyoyi da yawa:

  1. M - ba za a iya rinjayar su ta hanyar watsawar likita ba:
    • shekaru - mafi yawanci cutar ana kafa a cikin maza sama da shekaru 45,
    • kwayoyin halittar jini - alal misali, tasoshin haɓaka marasa ƙarfi, arrhythmia da sauran mahaukaci,
    • jinsi - mata basa iya kamuwa da cutar atherosclerosis, tunda suna da estrogen, wani sinadari wanda ke taimakawa kare jini. Amma idan haila ta zo, yanayin ya canza sosai, mace kuma tana cikin haɗarin haɓaka cutar.
  2. Za a iya yarwa - galibi wadannan sune halaye da salon rayuwar mutum, ta yadda zai iya tasiri sosai su canza lamarin:
    • munanan halaye - suna shafar kai tsaye da samuwar atherosclerosis na ƙwayar jijiya, nicotine yana da tasirin gaske,
    • karancin abinci mai gina jiki - atherosclerosis yana haɓaka da sauri idan mutum yaci ɗumbin kitse na dabbobi,
    • rashin motsa jiki - aikin bacci, yanayin rayuwa mai rauni yana shafar metabolism na mai, wanda ke haifar da kiba, ciwon sukari da atherosclerosis na jijiyoyin jiki.
  3. Anyi waje daya - Waɗannan sune cututtuka ko rikice-rikice waɗanda za a iya gyara ko bi da su:
    • ciwon sukari - yana lalata dukkan hanyoyin jiki,
    • hauhawar jini - in mai haƙuri yana da hawan jini, ganuwar zazzabi ta fara cike da ƙoshin abinci, wanda shine dalilin da ya sa suka fara samar da filaye,
    • cututtuka da maye - suna taimakawa ga ci gaban atherosclerosis, suna da lahani a jikin bangon jijiyoyin jini,
    • dyslipidemia - akwai karuwa a cikin cholesterol, triglycerides da lipoproteins, wanda ke haifar da cin zarafin mai da kuma samar da atherosclerosis.

Kafin mai haƙuri ya haɓaka kowane alamun bayyanar asibiti, lokacin asymptomatic zai kasance na dogon lokaci, tunda an yi imani cewa tun shekaru 30, yawancin mutane suna da canje-canje na atherosclerotic.

Bayyanar cututtuka na jijiyoyin zuciya atherosclerosis sun haɗa da bayyanannun bayyanannun:

  • mai kaifi da zafi a cikin kirji, wanda ana iya ji a cikin kafada ko hagu,
  • dyspnea gabanin jin zafi
  • tsananin farin ciki
  • zawo
  • amai

Ana iya gano waɗannan alamun a cikin 50% na marasa lafiya kafin bugun zuciya. Seriousarin alamun bayyanar cututtuka sun haɗa da:

  • arrhythmia - wani canji a cikin mataki na aiwatar da impulses a cikin zuciya,
  • angina pectoris - yana faruwa ne a gaban aiki na jiki da damuwa na damuwa,
  • cardiosclerosis - samuwar ƙwayar haɗin haɗin kai, wanda a hankali ya maye gurbin ƙwayar tsoka, wanda ke haifar da kwanciyar hankali na myocardium.

Magungunan magani

Magungunan ƙwayar cuta ta haɗa da amfani da wasu rukunin magunguna, waɗanda suka haɗa da:

Lipid-rage kwayoyi - Babban burin su shi ne rage yawan cholesterol a cikin jini. Daga wannan rukuni na kwayoyi za a iya wajabta:

    Statins - Magunguna mafi inganci don rage ƙwayar cholesterol, saboda suna rage samarwarsa a jiki. Ana amfani da waɗannan magunguna a cikin dare, saboda yadda ake samar da ƙwayoyin cuta a cikin dare. Amfani da su na iya haifar da illa ga aikin hanta.
    An tsara Simvastatin, Pravastatin da Lovastatin - magunguna tare da abun da ke da asali, babban bangaren wanda shine ainihin samfurin naman gwari.
    Hakanan an tsara Fluvastatin, Atorvastatin da Rosuvastatin - magungunan roba ne. Suna da sakamako da aka ambata a cikin jini.
    Statins ma suna da fa'idodi da yawa:

  • Suna narke duwatsun cholesterol,
  • rage adon platelet,
  • rage adheshin tantanin halitta.
  • Nisan foda na nicotinic acid - yi tasirin rage kiba. Contraindicated a cikin mutane da cutar hanta (nicotinic acid, niacin, enduracin).
  • Fibrates - hana fitar da kayan jikinta na kitse. Shan magunguna na yau da kullun yana haifar da haɓaka yawan kuzarin kiba, abinci mai narkewa, da hana katsewa cikin manyan ƙwayoyin cholesterol. Zuriya masu zuwa na wadannan kwayoyi sun wanzu:
    • Gemfibrozil da bezafibrat,
    • Fenofibrate da ciprofibrate,
    • Kyakkyawan nau'i na fenofibrate.
  • Masu neman bile acid - zabi ne ga rashin juriya na statin. Komawa ga reshin musayar ion polymer-musanya. A cikin hanjin, suna samar da hadaddun abubuwanda ba za su iya rikitarwa da sinadarin cholesterol da bile acid, wanda hakan ke rage shakar (cholesterol) a cikin narkewar abinci.
    Kamar yadda sakamako masu illa, rashin ƙarfi ko maƙarƙashiya zai yiwu. An bada shawara don ɗaukar masu bin sa'o'i 4 kafin abinci ko awa daya bayan (cholestyramine, colestipol).
  • Magungunan-bakin jini - ana amfani da su ba kawai ga bakin ciki na jini ba, har ma don inganta microcirculation na jini a cikin jijiyoyin wurare, kazalika da haɓakar kewaya (Curantil, Warfarin, Fenilin).

    Magungunan rigakafi - ya kamata a zaɓa su a hankali, kamar yadda wasu suke samun damar cutar metabolism na rashin ƙarfi. Ya dace da magani, alal misali, Olmesartan - yana da tasirin anti-atherosclerotic a matakai daban-daban na cutar, ba tare da la'akari da shekarun masu haƙuri ba.

    Atherosclerosis na cututtukan jijiyoyin zuciya

    Ya danganta da matakin rage ɓarin ƙwayoyin jijiya, waɗannan nau'ikan atherosclerosis suna nan:

    • mara-stenosing (lumen jirgin ruwa yana kunkuntar kasa da 50%, baya bayyana kansa a asibiti),
    • stenosing (lumen jirgin ruwan yana kunkuntar fiye da 50%, akwai alamun bayyanar asibiti).

    Yana da mahimmanci a fahimci cewa, a zahiri, wannan rarrabuwa ba ta da mahimmanci na asibiti, tunda marasa lafiya galibi suna juya wurin likita don taimako tare da alamun bayyanar cututtukan cututtukan zuciya, wato, tare da stenosing atherosclerosis. Ya kamata kuma a san cewa za a iya yin irin wannan binciken bayan binciken da aka yi na kayan aiki, tare da hangen nesa na kai tsaye.

    Ya danganta da jijiyoyin wuya da rassan su, waɗanda ke ba da kansu ga canje-canje na atherosclerotic, an rarrabe tsarin rarrabewar mutum:

    • atherosclerosis na gangar jikin hagu na jijiya jijiya,
    • atherosclerosis daga cikin reshen tsakiya na tsakiya na hagu na jijiya,
    • atherosclerosis na ambulaf daga reshen hagu na jijiya,
    • atherosclerosis na hanji na jijiya.

    An bambanta yawan cututtukan atherosclerosis:

    • yan ƙananan (babba, tsakiya, ɓangare na ƙananan jirgin ruwa),
    • yaxuwa.

    Sanadin atherosclerosis, abubuwan haɗari

    Ba a kafa tushen rashin daidaituwa game da cutar atherosclerosis ba, amma akwai dangantaka ta kai tsaye tsakanin cutar, mace-mace daga cututtukan zuciya da haɓaka cholesterol. Don haka, mahimmancin asibiti shine karuwa a cikin jimlar ƙwayoyin cholesterol fiye da 5 mmol / L da ƙananan lipoproteins na ƙananan fiye da 3 mmol / L.

    Hakanan mahimmanci shine kasancewar abubuwan da ke tattare da haɗarin cututtukan zuciya, wanda tare da dyslipidemia ke haifar da ci gaba da cututtukan zuciya da jijiyoyin jini sakamakon cututtukan jijiyoyin zuciya. Mafi mahimmancin abubuwan haɗari an gabatar dasu a ƙasa.

    Wadanda ba a canza su ba:

    • tsufa (maza sama da shekara 55, mata sama da 65).
    • Namiji
    • nauyin tarihin dangi (kasancewar dangin dangi da aka kamu da cutar asherosclerosis a karkashin shekarun 55 a cikin maza, har zuwa 65 cikin mata).

    Wadanda aka gyara:

    • shan taba
    • kiba
    • rashin motsa jiki
    • hauhawar jini
    • ciwon sukari mellitus
    • dyslipidemia (haɓaka ƙarancin lipoproteins mai yawa tare da raguwa a cikin ɗimbin ƙwayoyin lipoproteins da yawa),
    • shan giya.

    Gadget Ikon Atherosclerosis

    A yau, akwai na'urori da yawa waɗanda zasu iya auna ƙididdigar jini a gida. Duk mun san game da glucose, wanda ke auna sukari na jini, yana da mahimmanci musamman ga mutanen da ke da ciwon sukari, game da gwaje-gwaje masu sauri don sanin adadin haemoglobin a cikin jini. Amma ga marasa lafiya waɗanda ke da bayanin martabar zuciya tare da atherosclerosis, ko don mutanen da ke bin abincin da ke sarrafa mai mai yawa, an iya samar da na'urar tantancewar ƙwararruwar ƙwayar jini mai yawa, wanda, ban da alamomin da ke sama, da ke ƙayyade matakin jimlar cholesterol, ƙarancin lipoproteins da triglycerides. Amma fasahar ɗakin gwajin gida ba ta tsaya ba, alal misali, injiniya daga Jami'ar Cornell a cikin Amurka sun ƙirƙira katin ƙwaƙwalwar ajiya kuma sun ƙirƙiri aikace-aikacen da ke ba ku damar auna cholesterol daga wayoyin hannu ta amfani da ruwa mai narkewa kamar su jini, yau, da gumi. Wannan na'urar ta hada da kyautar kati wanda ke manne da kyamarar wayar salula da kuma tarkokin gwaji. Katin kaifin kwakwalwa yana da Flash-ginan ciki wanda yake haskaka tsiri gwajin da aka saka cikin na'urar.

    Aikace-aikacen da aka sanya a kan wayar yana rufe jikewa da darajar canjin launi akan ratsi kuma yana canza wannan bayanin sakamakon sakamakon allon wayar. Masu haɓakawa suna da'awar cewa wannan na'urar tare da babban inganci ta ƙayyade matakin cholesterol, suna buƙatar ƙaramar ƙoƙari da lokaci don wannan - a cikin minti 1 kawai. Don haka, irin wannan na'urar zata haifar da tasiri sosai game da rigakafin cutar atherosclerosis, ganowar farko da ikon sarrafawa - kowa zai iya duba matakin cholesterol ɗin sa yayin da yake kwance a kujera.

    Cututturar jijiyoyin zuciya Atherosclerosis Jiyya

    Atherosclerosis cuta ce da za a iya hana ta ko a jinkirta lokacin bayyanarta. Ana iya samun haka cikin sauƙi idan kun bi hanyoyin samun sauƙaƙe na rigakafi, haka kuma da maganin atherosclerosis:

    • saka idanu sosai da rage hadarin,
    • yi hango ko sarrafa abubuwanda ake kwantawa, amsa lokaci zuwa rabuwarsu,
    • babban inganci da saukin tiyata na lokaci-lokaci.

    A ƙarshe

    Kula da lafiyar ka, musamman zuciyar ka. Haka kuma, irin wannan cutar ta atherosclerosis na jijiya mara jijiyoyi ta bayyana kanta a duk darajarta ta musamman a matakin gaba. Wannan cuta tana da wuyar magani, amma ana iya dakatar da shi, wani lokacin kuma zai iya samun ingantaccen ci gaba. Ka tuna: Babban abu shine fara farawa da jijiyoyin jini arteriosclerosis a cikin lokaci. Lafiya a gare ku da ƙaunatattunku!

    Sanyawa

    Ana amfani da wannan hanyar don dawo da ikon jijiyoyin wuya. Stent - firam ɗin waya ce mai bakin ciki da sikelin silili, wacce aka ƙera ta da ƙira mai ƙoshin lafiya. Lokacin da aka shigar da shi a cikin kunkuntar artery, stent yana faɗaɗa lumen kuma ya dawo da jijiyoyin jijiyoyin jiki. Fa'idodin hanyoyin sune:

    • Hanyar kusan ba ta da ciwo kuma ƙasa da rauni,
    • yana taimakawa haɓaka tsinkayen yawancin cututtukan zuciya,
    • an aiwatar da shi ta hanyar karamin tari, wanda ya shafi dawo da hankali,
    • bayan aiki, kawai kuna buƙatar kwanakin 1-2 na asibiti.

    Idan ba a tsara aikin da gaggawa ba, mara lafiyar yana buƙatar yin jerin karatuttukan likitanci don tantance yiwuwar contraindications.

    Daga nan sai a kare balanbaren sannan a cire shi tare da catheter, kuma madaidaiciyar jingina ya rage, ta yadda hakan zai hana jirgin ya sake yin ta kuma tabbatar da cikakken yaduwa. A yayin da aka gano jiragen ruwa da yawa da abin ya shafa, an saka wasu sigoji da yawa. A ƙarshen fatin, ana amfani da suturar matsin lamba a ƙarshen aikin.

    Bayan tiyata, mai haƙuri yana buƙatar hutawa na sa'o'i da yawa. Game da haɓaka mai kyau, ana iya sallama mai haƙuri gobe.

    Kewaya tiyata

    Wannan wata hanya ce wacce manufarta ita ce ɗinkaɗar ɓarna na musamman da nufin samar da jini mafi kyau ga zuciya. Yana taimakawa wajen samarda ƙarin hanyoyin jini na gudana zuwa zuciya.
    Akwai hanyoyi da yawa don yin tiyata ta hanyar jijiyoyin zuciya - tare da ba tare da kama bugun zuciya ba. Don fahimtar awo da yawa a jikin mai haƙuri, ana yin angiography.

    Tsawon lokacin aikin shine 4-5 hours, gwargwadon yawan hanyoyin wucewar jijiya. Bayan an kwantar da majinyacin, likitocin tiyata sun fara shirya jijiyoyin wuya waɗanda za a yi amfani da su don ɓoye.

    Akwai nau'ikan da yawa daga cikinsu - mafi yawan lokuta ana amfani da su don maganin jijiyoyin jini, amma kuma ana iya samun ɗayan radial. Idan ana amfani da nau'in na biyu, to bayan aikin, mai haƙuri zai buƙaci ɗaukar shingen alli a cikin watanni na watanni, tunda waɗannan kwayoyi suna taimakawa ci gaba da jijiya.

    Bayan likitan tiyata ya gama rufe shunts ɗin, an kashe kayan aikin numfashi kuma zuciya za ta fara bugun kansa. Kafin rufe kirji tare da waya ta musamman, wajan wa'azin na wucin gadi ana sanya shi a zuciya don yin kwalliyar zuciya har sai ta sake dawowa da karar ta. Bayan aikin, ana tura mai haƙuri zuwa kulawa mai zurfi ko kulawa mai zurfi kuma ana kiyaye shi a cikin sauran kwanaki 2.

    Girke-girke jama'a

    Don lura da atherosclerosis, ana kuma amfani da maganin gargajiya:

    • Inabi ya mallaki maganin antisclerotic da tonic Properties, da pectin, wanda yake a cikin fibrous septa na innabi, yana taimakawa rage kwayar cholesterol da bude tarin tarkace.
    • Bishiyar daji. Yana cire gishiri da yawa.20auki 20 g na ganyayyaki na ƙasa, zuba gilashin ruwan zãfi kuma tafasa don 5-10 na mintuna, to, ku bar shi daga awa 2 da iri. Aauki tablespoon sau uku a rana.
    • Melissa - Da amfani a cikin sabo ko bushe form, Hakanan zaka iya shirya kayan ado. A gare shi, ɗauki 1 tablespoon na ciyawa kuma zuba gilashin ruwan zãfi, bari ya sha kadan, bayan wannan zaka iya sha shi sau ɗaya a rana.

    Haduwa da tsinkaya

    Tare da atherosclerosis, rikitarwa masu zuwa na iya faruwa:

    • infarction na zuciya
    • bugun jini
    • gangrene, cututtukan trophic,
    • haɗarin mahaifa,
    • angina pectoris, gajiyawar zuciya.

    Hasashen zai dogara ne da wurin da kuma tsananin. Mafi yawan lokuta yana dogara da salon rayuwar mai haƙuri. Idan kuna bin wasu ƙa'idodi da shawarwari, kawar da yiwuwar haɗarin haɗari, ɗauki magunguna, to, tsinkayen ya sami kyakkyawan launi. Idan ci gaban rikicewar jijiyoyin jini ya faru, to hasashen zai zama mafi muni.

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