Abunda Akertic Atherosclerosis

Take hakkin lipid metabolism yana haifar da lalacewar arteries - elasticity na ganuwar su yana raguwa kuma diamita na tasoshin. Tare da atherosclerosis na aorta, ana ajiye filaye a cikin jirgin ruwa. Irin wadannan sifofin suna rage gajiyawar tasoshin jini da kuma katse hancin jijiyoyin jini, ta rushe wurare dabam dabam na jini. Karatun ya nuna cewa tsarin atherosclerotic yana da cikakkiyar hanya. Tsarin jari-hujjoji na atherosclerotic plaques yana shafar jikin gaba ɗaya, amma yana da takamaiman samarwa.

Me yasa cutar take faruwa?

Babban abin da ke haifar da atherosclerosis na aorta da rassa shi ne rashin daidaituwa na rage kiba, lokacin da matakin lipoproteins a cikin jini ya ragu sakamakon karuwar abubuwa tare da karancin girma. Saurin bayyanar magunan atherosclerotic yana rage diamita na tasoshin. Wannan yana shafar abincin abinci na zuciya kuma yana barazanar bayyanar ischemia.

Sanadin atherosclerosis na arteries sun hada da:

• dabi'ar gado
• rashin motsa jiki
• akai-akai danniya
• rage rigakafi
• kiba
• hauhawar jini
• cuta endocrine, gami da ciwon suga,
• shan taba
• maye da kamuwa da cuta.

Bayyanar cututtuka na asibiti da kuma siffofin ba shakka

Akwai matakai uku na cutar yayin:

• matakin cutar kansa - angina pectoris, reshe, damuna na ciki,
• maɓallin ƙwaƙwalwar mahaifa - bugun jini, infarction myocardial, gangrene na ƙafafun da ya lalace ta hanyar rabuwar thrombus,
• fibrous - mataki na ƙarshe na cutar, lokacin da wuraren atherosclerotic cardiosclerosis suka bayyana, kuma maimakon nama myocardial, ƙwayar fibrous ta bayyana.

Wadannan nau'ikan atherosclerosis na aorta da bawuloli an rarrabe su:

• daidaitaccen lokaci ba tare da alamun bayyanar sifofi ba. Bayyanar cutar a wannan matakin ana aiwatar da ita ne ta amfani da hypercholesterolemia da kuma karancin beta-lipoproteins.
• latent na asibiti. Ana iya gano cin zarafin ta hanyar kayan aiki, amma har yanzu ba a bayyana alamun ba.
• Mataki na musamman bayyanar cututtuka, ischemia da ciwon zuciya farko bayyana. Awararren masani ne kaɗai zai iya bambance atherosclerosis daga hauhawar jini.
• fitina na kullum. Canjin fibrotic da rikicewar ischemic a cikin tasoshin da abin ya shafa ya fara.

Atherosclerosis a cikin thoracic aorta da alamunta

Alamun lalacewar jijiyoyin bugun gini na atherosclerotic sun dogara da dalilai da yawa - tsananin cutar, yankin rarraba, lafiyar gaba ɗaya.

Bayyanar cututtuka na atherosclerosis a cikin thoracic aorta sun hada da:

• kirji
• tsananin farin ciki da ciwon kai
• lipomas a kan fuska da pallor,
• gajiya da ƙwaƙwalwar ajiya,
• asarar sani.

Mafi yawan lokuta cututtukan fata sune atherosclerosis na aorta (lambar don microbial 10 I70.0) da jijiyoyin zuciya da jijiyoyin zuciya (lambar don microbial 10 I25.1). Zub da jini a wannan yankin ya yi muni, wanda ke haifar da ciwon kirji da zai daɗe a cikin sa'o'i ko ma kwanaki. Ana shan ƙwayar aorta, wanda ke ƙara nauyin a kan zuciya, wanda ke haifar da shaƙa da gazawar zuciya. Atherosclerosis na tasoshin zuciya yana nuna ta karuwa a cikin matsa lamba na sama tare da ƙananan al'ada.

Atherosclerosis na kirtic baka yana kaiwa ga babbar murya da kuma haduwa da rauni. Yaduwar cutar atherosclerosis a cikin aorta da jijiyoyin jijiyoyin jiki yana haifar da angina pectoris a cikin kirji tare da komawa hannun hagu, gajeruwar numfashi, cutar zuciya da haɓaka, da kuma yawan bugun zuciya.

Bayyanar cututtuka na atherosclerosis na aorta a cikin rami na ciki

Rashin rikicewar jijiyoyin jijiyoyin jini wanda ke haifar da hanji shine ke haifar da alamun haka:

• bloating da maƙarƙashiya,
• asarar nauyi
• ciwo mai zafi a cibiya,
• rikicewar hanji.

Kari akan haka, za a sami hauhawar matsin lamba, yawan yatsun kafafu, gazawar koda, gazawa, asarar jijiyoyin kafa, iyawar hannu.

Sakamakon mummunan cutar kututtukan ciki na ciki ya hada da gangrene na hanji, toshe hanji tare da zubar jini da amai, jijiyoyin kafa, amai da gudawa, wanda yai sanadiyar mutuwa.

Atherosclerotic cututtukan zuciya

Atherosclerosis na tasirin aortic yana tsokani yawan tasirin cholesterol a ciki ko a jikin bangon jijiyoyin jini. Lokacin da filaye suka bayyana a cikin jijiyoyin wuya, ana tantance ƙwan jijiyoyin ƙwayar jijiya marasa ƙwaƙwalwa.

Menene atherosclerosis na zuciyar aortic? Take hakkin samarda jini ga tsokoki na zuciya, da lalata ko toshewar jijiyoyin jijiyoyin zuciya, yana haifar da atherosclerosis na jijiyoyin zuciya.

Atherosclerosis na jijiyoyin zuciya da jijiyoyin jini daga zuciya ana rarrabe su ne daga m angina pectoris zuwa gazawar zuciya. Atherosclerosis yana tasiri ba kawai tasoshin ba, har ma da bawuloli da ventricles na zuciya.

Binciko

Mai ilimin hanyoyin kwantar da hankali, wanda ya danganci jarrabawar mai haƙuri, ya yi gwajin farko na atherosclerosis na aorta, jijiyoyin zuciya. Bayyanar asali na farko ya haɗa da zuciya na zuciya, bincike akan matakan cholesterol.

Yaya za a bincika tasoshin zuciya da ciki na ciki don atherosclerosis? Don gano mataki da kuma rauni na cutar, an tsara hanyoyin bincike masu zuwa:

• Duban dan tayi na zuciya da ciki
• MRI
• dabaru masu ban tsoro
• ECG
• X-ray
• ilimin halittar jini
• scanning na jini.

Jiyya da rigakafin

Zabi na jiyya don atherosclerosis na aorta da na jijiyoyin jini, tasirin sa ya dogara da matsayin lalacewar jijiyoyin bugun gini da kan sigogin jikin mutum.

Hanyar magani na atherosclerosis na aorta da bawuloli

Hanya mai hade da jiyya.

Rashin abinci mai ƙarancin mai.

Musun munanan halaye.

Jiyya cututtukan cututtukan da ke haifar da rikice-rikice na tsarin zuciya da jijiyoyin jini - hauhawar jini, ciwon sukari mellitus.

Aiki na yau da kullun.

Yin amfani da magungunan da ke daidaita daidaiton abinci mai narkewa, narke makabartun kwari da lalata matakan jini:

- jerin abubuwan acid,

- Bitamin B,

Ana amfani dashi a cikin mawuyacin yanayi lokacin da magani ba ya taimaka da haɗarin rufe hanyoyin jini.

Surgically cire mafi yawan sassan sassan aorta.

A maimakon su, an sanya karni don dawo da kwararar jini.

Kulawa da atherosclerosis na aorta na zuciya ya kamata a rubuta ta ta hanyar mai ilimin tauhidi. Maganin magani yana amfani da acid na nicotinic acid, fibrates, masu bin acid acid. Atherosclerosis na aorta da na jijiyoyin jini ba koyaushe suke amsawa game da lura da magunguna ba, saboda haka, a hadarin rikice-rikice, ana yin tiyata.

Abinci da Abincin Tsabta

Abinci da abinci mai gina jiki ga atherosclerosis na motsa jiki shine da nufin inganta nauyi, da rage yawan kiba a dabbobi da kuma kara yawan abincin da aka shuka. Alkahol, kayan kwalliya, soyayyen abinci da kayan yaji, abincin gwangwani, kayan sauss, da sigari ba a cire su daga abincin.

Abincin Bahar Rum tare da abincin teku, kayan lambu, man zaitun abinci ne mai kyau don arteriosclerosis. Abincin don cututtukan fata na cututtukan zuciya na zuciya ya ƙunshi maimakon naman alade da naman sa, cin kifi, kaji, da zomo. Yawancin marasa lafiya suna ba da shawarar yin amfani da dabarar Elena Malysheva don rigakafi da magani mai wahala.

Jiyya na atherosclerosis tare da magungunan jama'a

Amfani da irin waɗannan magunguna a cikin aortic atherosclerosis mai yiwuwa ne kawai tare da izinin likita kuma a hade tare da wasu hanyoyin. Yana rage cholesterol decoction na tafarnuwa, sha'ir, ko flaxseed.

A matsa lamba normalizes da decoction na aronia, ganyen strawberries, hawthorn, mistletoe. Ruwan dankalin turawa, Raw dankalin turawa yana taimakawa wajen dakile cututtukan jini na zuciya.

Rigakafin cutar

Matakan rigakafin na iya hana ci gaba da cutar, da kuma taimakawa farawa daga atherosclerosis na aorta:

- isasshen aiki na jiki,

- daina munanan halaye,

Ba shi yiwuwa a hango koshin lafiya game da cutar. A alamomin farko na attarosclerosis na farko, kuna buƙatar ganin likita. Tabbatar da lafiya da rage gudu daga cutar ta dogara da taimakon da aka bayar na lokaci, wanda ke nufin rage haɗarin zuwa rayuwa.

Zuciyar aortic atherosclerosis - menene?

Atherosclerosis na aortic zuciya wata cuta ce da ta shafi mafi girma na jijiya a jikin mutum kuma tana da hanya mai tsayi. Cutar tana nunawa ta hanyar kasancewa ɗaya ko sama da yawa na adon lipid a cikin rufin ciki na zuciya, wanda ake kira "atheromatous plaques". Yayin da cutar ke ci gaba, haɓakar nama da haɓakar bangon aorta na faruwa, wanda ke haifar da lalacewarsa, kodayake yana da jinkirin, amma ci gaba yana ci gaba. Sakamakon haka, lumen ya ba da labari gaba ɗaya, saboda abin da zuciya da gabobin da ke ƙarƙashinsa ke wahala, waɗanda ke fara fuskantar ƙarancin isasshen jini.

Bugu da kari, cukuwar bakin ciki na zuciya tare da wasu abubuwan da ake iya magana a ciki mai yiwuwa ne: zubar jini, tarkacewar atheromatous, ko duka biyun a lokaci guda. Sakamakon ɓoyewar ƙwayar katako shine jijiyoyin jini (infyoction).

Aorta kanta ya ƙunshi ɓangarori biyu kuma an kasu kashi sassan thoracic da ciki. The thoracic aorta shine farkon wurin da ke cikin zuciya, kuma jijiyoyin da suke daga jikinta suna ba da jini zuwa saman rabin jikin mutum da gabobin dake wurin. Abubuwan da ke ciki na ciki shine tashar da ke kula da gabobin da ke a cikin ƙananan ɓangaren jikin tare da jini, watau a cikin ramin ciki da ƙashin ƙugu.

A cewar kididdigar, mazajen da suka kai shekaru 50 da ƙari, har ma da matan da suka haye zuwa miƙewar shekaru 60, yawancin lokaci suna fama da cututtukan ƙwayar zuciya daga cututtukan zuciya na zuciya.

Bayyanar cututtuka na atherosclerosis na aorta na zuciya

Cutar a farkon matakan tasowa kusan asymptomatally, wani lokacin lokacin plaque samuwar na iya ɗaukar shekaru da yawa. Ya danganta da wani ɓangare na zuciyar zuciyar da aka taɓa, mutum zai sami wasu rashin jin daɗi.

Idan maganin cutar thoracic aorta ya ci gaba da canje-canje na cututtukan cuta, to mutumin zai yi korafi game da alamun da ke gaba:

Jin zafi a kirji, ya tashi da wani lokaci kuma yana da halin konewa,

Tashi a karfin jini na systolic,

Mai yawan zafin kai da yawa

Wahalar hadiye abinci,

Girki na gashi da tsufa

Gashi a cikin kunne,

Samuwar wen a fuska,

Bayyanar wani abu mai haske a jikin matsanancin iris.

Lokacin da atherosclerosis ke shafar lafiyar ciki, mutum na iya koka game da:

Take hakkin sa, ya bayyana a cikin canjin lokaci na zawo tare da maƙarƙashiya,

Rage nauyi

Paroxysmal na jin zafi na ƙananan ƙarfi wanda ke faruwa bayan cin abinci da tsayawa bayan sa'o'i biyu,

Mai tsananin raunin ciki wanda baya tsayawa tare da masu jin murji zai iya nuna ci gaban kumburin cikin gabobin ciki ko kuma cikin jikin kansa, wanda yakan faru ne sakamakon jijiyoyin jini,

Sanadin Aortic Atherosclerosis

Daga cikin abubuwanda ke haifar da ci gaban atherosclerosis na aorta na zuciya, zamu iya bambancewa:

Mai haƙuri ya cika shekara 40 da haihuwa. Hadarin kamuwa da cutar atherosclerosis yana ƙaruwa da daidaici tare da shekarun da suka rayu,

Jinsi (maza thean shekaru 55 suna fama da ciwon zuciya da rashin wadatar zuciya sosai)

Dalilin gado, wato, hadarin kamuwa da cutar atherosclerosis a cikin wadancan dangi inda dangi suka kamu da irin wannan cutar, yana ƙaruwa

Halaye marasa kyau, musamman, shan taba. Resins da nicotine da ke cikin hayaki suna ba da gudummawa ga yawan jijiyoyin jini, da haɓakar haɗarin IHD da haɓaka hawan jini,

Abincin da aka zaɓa ba tare da ƙoshi ba tare da yawancin kuzarin dabbobi akan menu,

Motorarancin aikin motsi, wanda ke haifar da haifar da ciwon sukari da kiba, har zuwa raguwa a cikin matakan tafiyar matakai da haɓaka filayen atherosclerotic,

Hawan jini

Sau da yawa cututtuka da maye na jiki.

Jiyya na atherosclerosis na aorta na zuciya

Nan da nan aka fara jinya, hakan zai yi tasiri sosai. Farfesa an shirya shi ne, da farko, a rage matakin cholesterol a cikin jini, abu na biyu, a hanzarta kawar da kai tsaye daga jikin kuma, na uku, a kawar da abubuwanda suka biyo baya.

Akwai wasu rukuni na kwayoyi da ake amfani dasu don magance atherosclerosis na zuciyar zuciyar, daga cikinsu:

Statins da ke taimakawa rage jini cholesterol, amma suna da yawan sakamako masu illa da kuma contraindications (praviol, zokor, mevacor). Onarin kan statins da fibrates,

Abubuwan da aka samo daga nicotinic acid da nicotinic acid da kanta, waɗanda kuma an yi niyya don rushe cholesterol da triglycerides, suna da kaddarorin anti-teratogenic kuma suna ba da gudummawa ga samar da "mai kyau" cholesterol,

Fibrates da ke nufin rage ƙira na jikin kansa na kitse (miskleron, hevilan, atromide),

Masu neman madaidaicin bile acid, suna bayar da tasu gudummawa ga fitowar su da rage karfin cholesterol (cholesterol, cholestyramine).

Babu ɗayan waɗannan magungunan da mai haƙuri zai iya tsarawa da amfani dashi da kansa, saboda yana da adadin contraindications kuma yana barazanar haɓaka rikice-rikice, mafi yawan lokuta daga hanta. Saboda haka, ya kamata tsarin zaɓaɓɓen likitan ya zaɓa shi kaɗai ta hanyar halartar likita da ɗaiɗaikun. Likitan da ke kula da atherosclerosis likita ne na al'umma. Idan ya cancanta, ana iya kiran mai haƙuri zuwa ƙwararren kunkuntar.

Baya ga magungunan da ke sama, za a ba wa mara lafiya shawarwari kan yadda ake sauya abincin. Sau da yawa, likita ya ba da izinin abubuwan bitamin da ma'adinai da shirye-shiryen polyunsaturated mai acid (alal misali, Omacor).

A wasu halaye, magani kadai bai isa ba kuma yana iya buƙatar tiyata. Ya zama dole idan akwai wata barazana ga rayuwar dan Adam, misali, infyoction din myocardial infarction, ischemia koda, ko wani irin rikitarwa na atherosclerosis na aorta na zuciya.

Zai yi wuya a bayar da hasashen murmurewa daga atherosclerosis, duk ya dogara da matsayin ci gaban cutar. Koyaya, tare da kawar da lokaci mai mahimmanci na abubuwan haɗari, ƙimar mace-mace yana da matukar raguwa. Saboda haka, rigakafin atherosclerosis yana da mahimmanci.

Yin rigakafin atherosclerosis na aorta na zuciya

Matakan rigakafin suna da niyyar hana haɓaka cholesterol jini da hana shi sanyawa a bangon aorta.

Don rage haɗarin haɓakar atherosclerosis, dole ne:

Usearyata halaye marasa kyau, da farko, daga shan taba da shan giya,

Sake inganta tsarin kula da abinci mai gina jiki. Kodayake yawan tasirin cholesterol da ke shiga cikin jinin jini daga abinci bai wuce kima ba kuma ya kai kashi 25-30% kawai, amma, a matsayin matakan kariya, bazai zama mai ma'anar kawar da jita-jita da ke dauke da kitsen dabbobi daga abincin ba,

Idan an lura da akalla ɗaya daga cikin alamun dake nuna matsala a cikin aikin zuciyar zuciyar, to yakamata ku nemi likita da wuri-wuri kuma kuyi bincike mai zurfi,

Kula lokaci-lokaci na cututtukan da ke tattare da rikice-rikice na lokaci-lokaci zai rage hadarin bunkasa aortic atherosclerosis na zuciya. Labari ne game da ciwon sukari, hauhawar jini, kiba,

Kula da salon rayuwa mai kyau, motsa jiki matsakaici, yin amfani da wasannin motsa jiki zai yuwu, idan ba a kiyaye shi ba, to za a jinkirta bayyanuwar cutar,

Wajibi ne a dakatar da yanayin damuwa kamar yadda zai yiwu, don aiwatar da rigakafin da kuma cututtukan cututtuka,

Wajibi ne a gudanar da gwaje-gwaje na shekara-shekara a asibitin a wurin zama, wanda yake da matukar mahimmanci ga mutanen da suka tsallake gaɓar shekaru 40.

Yarda da wadannan matakan rigakafin zai rage hadarin bunkasa atherosclerosis na aorta na zuciya, guji mummunan rikice-rikice na cutar da kiyaye ingantacciyar rayuwa.

Ilimi: Diploma a cikin "Cardiology" da aka karɓa a PSMU su. I.M.Sechenova (2015). An wuce makarantar sakandare a nan kuma an sami difloma “Cardiologist”.

7 dalilai don yin squats kowace rana!

Nasihu 9 na lafiya da kasusuwa!

Atherosclerosis cuta ce da take dauke da jini a jikinta wanda aka sanya cholesterol da sauran kifayen ta hanyar plaque da plaque a jikin bangon ciki, kuma ganuwar kansu ta zama mai saurin narkewa. Jirgin ruwa a hankali sun zama da wahala saboda ƙimar mai da ruwan lemun tsami a jikin bango, kuma sun rasa elasticity.

Magungunan ganye a matsayin hanyar jiyya, a cewar likitoci, na iya zama tasiri a atherosclerosis. Sau da yawa ana amfani da ganyayyaki na magani azaman adjuvants don inganta tasirin magungunan kantin magani, kazalika da babbar hanyar magance cutar. Ra'ayoyin marasa lafiya da yawa game da shi ana la'akari da kuskure.

Atherosclerosis na ƙananan ƙarshen rukuni shine rukuni na hanyoyin bincike wanda ya shafi manyan jijiyoyin jini na ƙananan ƙarshen, kuma sune ƙetarewar ci gaba da zubar da jini ga kyallen takarda sakamakon kunkuntar (stenosis) ko toshewar (occlusion) na arteries. Kalmar "sharewa" by.

Atherosclerosis daga cikin tasoshin kwakwalwa wani ci gaba ne na ci gaba mai rauni na jijiyoyin dake cikin sashin daidaituwa. A cikin magani, zaku iya samun wasu ma'anar wannan cuta, alal misali, cututtukan ƙwayoyin cuta na cerebral atherosclerosis ko kuma cututtukan atherosclerotic na jijiyoyin, amma asalin bai canza ba.

Ra'ayin cewa abincin ba shi da daɗi ko da aiki mai raɗaɗi, saboda yana tilasta mutum ya bar yawancin “abinci mai daɗi” saboda “masu lafiya”, ya sami tushe a cikin zuciyar yawancin. Koyaya, jerin samfuran samfuran da aka yarda don amfani dasu a atherosclerosis suna da faɗi sosai. Babban dokar abinci mai gina jiki a cikin tsarin atherosclerotic.

Cutar na da alaƙa da cin zarafin ƙwayar lipid. Irin wannan gazawar tana tsokane tarin abin da ake kira "mummunan" cholesterol a cikin jini. A sakamakon haka, an samar da "matattarar cholesterol". Su, kwanciya akan bangon jijiyoyin jini, suna ɗaukar babban haɗari. A wurin da ake yin plaque, jirgin zai zama mai rauni,.

Da yawa, idan ba duka ba, a kalla sau daya a rayuwarsu sun lura da alamun bayyanannun alamun rashin gamsuwa da ke nuna farkon canje-canje na kwayoyin halitta a cikin kwakwalwa: rashin damuwa mai rauni, ringing da tinnitus, matsalolin ƙwaƙwalwar ajiya, hotunan hoto (azanci na gani na haske a idanu), da dai sauransu Waɗannan. alamomin suna nuna ischemia na cerebral, ko kuma, a saukake, a saurin yaduwar mahalli.

Sanadin cutar

Aortic atherosclerosis ana tsokani shi ta hanyar cin zarafin metabolism. Sanadin canje-canje a cikin mai mai zai iya zama:

• shan taba
• ciwon sukari mellitus
• salon tsinkaye
• rashin abinci mai gina jiki
• dabi'ar gado
• karancin kwayoyin hodar iblis,
• postmenopause
• levelsara matakan adrenocorticotropic da hormonado gonadotropic,
• canje-canje da suka shafi shekaru a jikin mutum bayan shekaru 60.

Hakanan, haɓakar attarosclerosis na aoicic atherosclerosis yana ba da gudummawa ga lalacewar ɓangaren ciki na bangon jirgin ruwa - endothelium. Zai iya zama autoimmune, hoto ko bidiyo mai zagaya yanar gizo da sauri, kwayan cuta a dabi'a.

Alamar halayyar mutum

Wannan jijiya ta ƙunshi sassa da yawa: hawa zuwa sama (bar ƙwallan hagu na hagu na zuciya), ƙwanƙwasa da ɓangaren saukowa, wanda ya kasu kashi bangarorin thoracic da na ciki. Ya danganta da wurin da keɓaɓɓun wuraren ɓarna, atherosclerosis na iya bayyana kanta tare da alamu daban-daban.

Bayyanar cututtukan rauni na ƙayyadaddun sassan aorta

Idan ba ku fara kula da cutar ba a farkon matakai, atherosclerosis na aorta na zuciya yana haifar da rikitarwa masu yawa masu haɗari.

Matsaloli da ka iya yiwuwa

Dukkaninsu suna da alaƙa da isasshen wadatattun kwayoyin halittu masu ɗauke da iskar oxygen da abubuwan gina jiki. Tunda aorta wani jirgi ne wanda daga shi ne babban kewayon zagayawa cikin jini, wasu kuma suka tashi daga wannan jijiya, rikice-rikice na iya shafar kusan jikin duka.

Kula! Abubuwan da ke haifar da atherosclerosis na aorta suna da matukar haɗari kuma suna haifar da mutuwa ko tawaya. A cikin kowane hali kada ku nemi maganin atherosclerosis na kansa da magani don zuwa likita a farkon alamun!

Sakamakon maganin atherosclerosis zai dogara ne da asalin halittar plaque. Mafi girma (kusanci da zuciya) Patalin yana ɗan asalin yankin, mafi haɗarin shi. Atherosclerosis na hawa aorta kuma na iya haifar da dukkanin rikice-rikice waɗanda ke halayyar atherosclerosis na sassan aortic da ke gaba. Amma atherosclerosis na ƙananan sassan aorta ba zai iya tayar da rikice-rikice halayyar atherosclerosis na aorta da ke kusa da zuciya ba.

Harshe guda huɗu na cutar:

1. Ma'aikatar Sama ta sama

Kwayoyin jijiyoyi waɗanda suke tashi daga yardar a cikin wannan yanki: jijiyoyin zuciya (jijiyoyin zuciya) arteries suna samar da jini zuwa ƙwaƙwalwar zuciya.

Hadarin dake tattare da atherosclerosis wannan sashe na aortic (tsokanar da karancin kwararar jini zuwa ga sassan jikin jijiya):

• Cardiac ischemia - isasshen wadatar jini zuwa tsoka. An bayyana shi a cikin arrhythmias, tachycardia, rashi mai tasiri na jijiyoyi a cikin zuciya, zafi da rashin jin daɗi a cikin kirji, gazawar numfashi. Ischemia yana haifar da angina pectoris. Hakanan yana iya haifar da bugun zuciya. Zuciya ischemia
• Angina pectoris (cikin mutane gama gari - angina pectoris). Yana bayyana kanta a cikin ƙonewa, yana matse ciwon kirji, wanda ke ba da hannun hagu, wani lokacin ga muƙamuƙi, ƙwannafi, tashin zuciya, da colic.
• Myocardial infarction necrosis na wani ɓangare na ƙwayar zuciya. Yana bayyana kanta azaman ciwo mai zafi a kirji (na iya bayarwa ga makogwaro, hannaye, ruwan wukake, ciki), gazawar numfashi, tari, zazzagewa, tashin zuciya.

Wani lokacin infarction na zuciya na zuciya yakan haifar da kama mutum.

Rashin nasarar cutar sankaran carotid (hagu)

• Ischemia (isasshen wadataccen jini) na kwakwalwa. Bayyanar cututtuka: tsananin farin ciki, fitsari, gajiya, ciwon kai, tashin zuciya da amai, yawan bugun zuciya, raguwar ƙwaƙwalwa da aiki, rikicewar yanayin tabin-hankali. Daya daga cikin rikitowar ischemia shine bugun jini.
• Ischemic bugun jini wani babban yanki ne wanda ke yaduwar jini a cikin kwakwalwa, wanda ke tare da halakar da wani sashi na kwakwalwar kwakwalwa. Babban bayyanar cututtuka: disorientation a sararin samaniya, ciwon kai, tashin zuciya da amai, zazzabi, haɓaka gumi, asarar ƙwaƙwalwa. Har ila yau, yaduwar sassan jikin mutum da wasu alamomin da suka danganci wani ɓangaren kwakwalwa ya lalata kuma zai iya faruwa. Cutar bugun zuciya na iya zama mai mutuwa, da kuma rikitarwa mai rikitawa (kamar gurguwa, kurma, makanta, rashin magana, da sauransu).

3. Thoracic ɓangare na saukowar aorta

Hanyoyin ƙwayoyin cuta waɗanda ke ciyar da ƙwayar ƙwayar cuta da reshen huhu a wannan yanki.

Wataƙila rikicewa shine ischemia na huhu. An bayyana shi cikin gazawar numfashi, gazawar numfashi. Zai iya haifar da ciwon zuciya (necrosis) na huhu. Babban alamun cututtukan huhu: tsananin gazawar numfashi, tashin hankali, yawan fitar jini, yawan fatar jiki da fata, hanji, ƙarancin jini, jin sanyi.

4. Sashin ciki na dake sauko da aorta

Anan ne shahararrun ƙwayoyin cuta, ciyar da ciki, hanta, saifa, ƙodan, hanji, gabobin ƙashin ƙugu, kafafu.

Fannin ciki na ciki wanda ya sauko daga aorta

Matsaloli masu iya yiwuwa a cikin rushe wannan rukunin:

• Ischemia na ciki. An bayyana shi a cikin ciki, maƙarƙashiya, ciwon ciki. Zai iya haifar da infarction na hanji. Alamar ta: zafin ciki, dakatar da tsarin narkewa, kasancewar jini a cikin feces.
• Kodan ischemia. Bayyanar cututtuka: hauhawar jini, hauhawar jini, tashin zuciya a cikin ƙananan baya, tashin zuciya, amai. Zai iya haifar da bugun zuciya na koda. Kwayar cutar iri daya ce da ta ischemia, amma kuma ana kara jini a cikin fitsari, haka nan kuma an rage adadin fitsari da kodan ke haifarwa.
• Rashin ƙarfi (a cikin maza) da rashin haihuwa (a cikin maza biyu). Yana faruwa saboda isasshen wadatar jini ga gabobin ƙashin ƙugu.
• Maƙaƙa, gangrene na ƙananan ƙarshen.

Abubuwan haɗari

Atherosclerosis cuta ce ta yau da kullun wanda takaddun ƙwayoyin cuta a jikin bangon jirgin yake. Irin wannan adibas ya ƙunshi cholesterol, ragowar lipoprotein, ƙwayoyin jini, nama mai haɗuwa. Ilmi na balaga har yakan tsiro da tasoshin sa. Wutar Atherosclerotic a cikin kananan tasoshin tana iya murƙushe lumen su, kuma a cikin manyan manyan jijiyoyi irin su aorta, zata iya lalata artery kanta kuma ta toshe hanyoyin jini a cikin tasoshin da ke fita.

Aortic atherosclerosis yana haɗu a hankali - shekaru da yawa. A wannan lokacin, abubuwanda ke lalata abubuwa da yawa suna shafar bangon artery. Saboda haka, ba shi yiwuwa a ambaci sanadin cutar. Akwai jerin abubuwan haɗari waɗanda zasu iya haifar da haɓakar atherosclerosis:

• tsufa-da-tsufa da arteries. A cikin tsofaffi, ganuwar tasoshin suna zama mafi rauni, mai saurin rauni. Matsakaicin mahimmancin maza shine bayan shekaru 50, ga mata bayan haila,
• babban matsin lamba
• babban cholesterol, LDL,
• shan taba
• kiba
• kwayoyin halittar jini
• na kullum damuwa
• rashin ƙarfi
• cututtuka na kumburi na kullum.

Dangane da rarrabuwar ƙasashen duniya na cututtuka na bita na 10 (ICB-10), an sanya lambar is70 zuwa atherosclerosis na aorta.

Bayyanar cutar raunuka

Akwai sassan 4 na aorta:

• Sashin hawan aorta, wanda yake biye da ƙwayar aortic, ƙwayoyin jijiyoyin zuciya waɗanda ke ciyar da zuciya zuciya suna barin shi.
• Aoarfin katako wani ɗan gajeren sashi ne na jirgin ruwa wanda yake haɗu da hawa zuwa sama, sassa. Duk da karancinsa, yana da matukar muhimmanci. Daga maharkar mulki, harbin na subclavian artery, jijiyar carotid hagu, da gangar jikin brachiocephalic sun tashi. Wadannan jijiyoyin suna ciyar da kwakwalwa, wuya, da kafadu.
• An rarraba bangare zuwa kashi na thoracic da ciki aorta. Zai wuce a gaban kashin baya tare da tsawon tsawon kirjin, ramin ciki. Jirgin da ke ciyar da gabobin ƙashin ƙashin ƙugu, na ciki, da reshe a kirji.

Aortic atherosclerosis na iya shafar kowane ɗayan waɗannan sassan. Alamar cutar ta dogara da wurin da keɓaɓɓen ƙwaƙwalwar atherosclerotic.

Alamun cutar Aortic Atherosclerosis

Cutar na iya haɓaka shekaru 30-40 ba tare da cutar guda ba. Magungunan atherosclerotic plates a kan aorta ana samun su sau da yawa bayan sakamako mai ƙisa, kodayake yayin rayuwa mutum bai sami alamun cutar ba. Alamun aortic atherosclerosis suna da bambanci sosai kuma ana iya tantance su ta hanyar ma'anar ajiya, da kasancewar rikice-rikice.

Juya part din

Rashin hauhawar hauhawar zai iya shafawa a cikin wuraren ɓarkewar ƙwayoyin cuta, amma na dogon lokaci ba sa jin kansu. Hatta ci gaban aneurysm baya tare da takamaiman bayyanar cututtuka. Mafi yawan lokuta ana kan gano sabon yanayin lokacin tashin hankali, duban dan tayi na zuciya. Tare da haɓaka rikice-rikice, alamun cututtukan aortic atherosclerosis a cikin wannan sashen sun haɗa da:

• kaifi rauni
• pallor
• zafin kirji
• sau da yawa - asarar hankali.

Tare da irin wannan bayyanar cututtuka, yana da gaggawa a kira motar asibiti. Wataƙila watsawar aortic ya fara, yana buƙatar tiyata na gaggawa.

Idan ƙwaƙwalwar ƙwayar cholesterol tana toshe bakin ƙwayar jijiyoyin zuciya, abubuwan jin daɗi suna kama da waɗanda ke da ischemia na ƙwayar zuciya, gazawar zuciya:

• jin zafi kwatsam a tsakiyar, hagu na kirji, matsi. Wannan sabon abu ana kiransa angina pectoris,
• gajiya,
• karancin numfashi
• jin zuciyar ka,
• kumburi.

Ammar baka

Daga wannan bangare na artery, tasoshin da ke samar da wuya, kwakwalwa, yankin kafada zasu tashi. Idan iskar ƙwaƙwalwar ƙwayar cuta ta atherosclerotic ko tabbataccen labarun ƙwayar ɗayan waɗannan jijiyoyin ƙwaƙwalwar ƙwaƙwalwa, ƙwaƙwalwar zata sami ƙarancin oxygen, wanda ke kula da ingancin wadatar jini. Saboda haka, yana ba da amsa ga abinci mai gina jiki da farko.

A matakin farko, bayyanar cutar atherosclerosis na aortic baka ta hanyar bayyanar cututtuka masu zuwa:

• zazzabi
• rauni
• talaucin abinci
• dare gumi
• hadin gwiwa, ciwon tsoka,
• ciwon kirji
• kumburi da tonsils.

A wani mataki daga baya a cikin marasa lafiya lura:

• tsananin farin ciki
• ciwon kai
• suma
• micro shanyewar jiki
• katsewa
• tashin zuciya, amai,
• hannayen sanyi, ƙafa
• karancin gani.

Bangaren Thoracic

Atherosclerosis a cikin wannan yanki yana shafar zagayawa da jini na jikin gabobin kirji. A hankali, wannan na iya bayyana kansa:

• aortalgia - ƙonewa da / ko matsi mai zafi a bayan mafitar, yana bayarwa a hannu biyu, wuyansa, baya, ciki na sama. Zafin ya tsananta tare da motsa jiki, damuwa. An bambanta shi da angina pectoris ta haƙuri. Aortalgia na iya ɗaukar tsawon awanni ko ma kwanaki, sannan yana ƙaruwa, sannan ya raunana,
• wahalar hadiye saboda matsawa daga cikin esophagus ta hanyar dized,
• hoarseness
• launuka daban-daban na ɗalibai
• ciwon kai
• tsananin farin ciki
• cramps tasowa tare da kaifi kawun shugaban,
• ciwon baya, hakarkarinsa yana kama da intercostal neuralgia.

Abun ciki

Atherosclerosis na aorta na tasowa a mafi yawan lokuta kuma koyaushe. Bakin tasoshin suna ciyar da gabobin ƙashin ƙugu na kashin ciki, rami na ciki, da ƙafar ƙafa. Kwayar cutar za ta danganta ne da wurin da kewayen ɓarna na ƙwayoyin cuta na atherosclerotic. Alamu masu yiwuwa:

• m bayani,
• sanyaya, sanyaya, kafafu
• rauni na kafa
• bacin ciki (belching, tashin zuciya, flatulence).

Hanyar ganewar asali

Aortic atherosclerosis yawanci ana gano shi kwatsam yayin bincike. Bayan haka, cutar ba ta tare da kowane alamu na dogon lokaci. Lokacin sauraron zuciya, tasoshin jini, likita zai iya gano sautin jijiyoyin jiki, canza sautikan. Kusa bugun jini a hannayen biyu na iya zama asimmetric.

Don ƙarin cikakken bincike na mai haƙuri, an aika su don binciken kayan aiki:

• Duban dan tayi na zuciya. Yana ba ku damar kimanta girman haɓakar aorta, kazalika da ƙarar aortic, kaurin bangon su, kasancewar lahani, sabo.
• Echocardiography Transesophageal. Bambancin duban dan tayi ne na zuciya, aorta, wanda mai haƙuri ya hadiye shi. Wannan dabarar tana ba ku damar samun hotuna masu inganci sosai. Bayan haka, jirgin yana rabawa daga mai haskakawa kawai bangon bakin ciki na esophagus. Ana amfani dashi don bincika attarosclerosis aortic atherosclerosis, lokacin da ake buƙatar cikakken hoto.
• Dopplerography. Musamman nau'in gwaje-gwajen duban dan tayi, wanda ke ba likita damar fahimtar yanayin tafiyar hawainiya da yawa na sassan jijiya.
• CT, MRI. Dukkanin binciken suna ba da izinin likita don samun hoton tasoshin. Ana iya yin su tare da ko ba tare da bambanci ba. Hanya na gwaji na ƙarshe ya ƙunshi gudanarwar jijiya na fenti na likitanci na musamman wanda ke sa ƙwayar jirgin ruwa a cikin hoton ya fito fili. Amma tunda artery a karkashin bincike yana da girma sosai, aortic atherosclerosis ana iya ganinsa da kyau ba tare da amfani da bambanci ba.

Jiyya na zamani

Kulawa da atherosclerosis ya ƙunshi manyan hanyoyi uku:

• canje-canjen rayuwa, bita da tsarin abincinsu,
• shan magani
• shiga tsakani.

Yawancin lokaci na farko na wajibi ne, dayan biyun ana nuna su.

Hakanan akwai wasu shahararrun hanyoyin maganin, amma yawancin likitocin basu gane su ba.

Canjin rayuwa, abinci

Aortic atherosclerosis a cikin farkon matakan za a iya rage gudu ba tare da magani ba. Cikakke kayan kwalliyar atherosclerotic ba zai baka damar kawar da duk wata hanyar magani ba. An lura da kyautata rayuwar marasa lafiya da yawa tare da:

• daina shan sigari. Shan taba mai aiki ko m yana da illa mai illa a jikin bangon jirgin. Karyata sigari, guje wa tarin masu shan sigari na taimaka wajan rage girman hadarin kamuwa da cutar atherosclerosis,
• ayyukan yau da kullun na jiki. Hawan keke ko tafiya, aikin lambu, iyo, yoga ko kuma duk wani wasanni ya zama tilas ne ya shafi rayuwar yau da kullun. Mintuna 30 na motsa jiki a kowace rana na iya rage tasirin cholesterol,
• normalization na nauyi. Cire karin fam yana cire matsanancin damuwa daga zuciya, haka kuma yana daidaita matakan cholesterol. Hadaddun yana da amfani mai amfani ga lafiyar mara lafiyar,
• dan rage damuwa. Yi ƙoƙari don kauce wa yanayin damuwa, sami lokaci don shakatawa. Idan ba za ku iya ba ku da kanku, juya zuwa likitan ilimin halayyar don ƙwararrun masu sana'a.

Abinci don aortic atherosclerosis ya ƙunshi:

• kin amincewa da kayayyakin dauke da fats mai trans. Suna haɓaka abubuwan da ke tattare da rashin lafiyayyun abinci mai haɓaka, suna rage abun cikin masu kyau. Trans fats sune soyayyen abinci na abinci waɗanda zasu iya ɓoye a cikin yawancin abincin da aka sarrafa. Dole ne a bincika lakabin don abubuwan da abubuwan da ba a so,
• Tushen abincin shine abincin da yake da fiber. Kayan lambu, 'ya'yan itatuwa, hatsi, kayan gargajiya na Legumes na ƙumshi sun ƙunshi adadin mai narkewa, ƙwayar abinci mai narkewa. Duk nau'ikan fiber suna inganta yanayin zuciya da jijiyoyin jini, yayin da fiber mai narkewa shima yana rage LDL,
• mafi karancin mai. Red nama, musamman ma nau'ikan mai, mai gida mai yawan kitse, cuku, cream, gwaiduwa ƙwai - waɗannan samfurori ne, abun da dole ne ya iyakance. Dukkansu suna haɓaka cholesterol,
• omega-3 mai kitse abubuwa ne masu mahimmanci na abincin. Likitocin Amurka sun ba da shawarar cin nau'in kifin mai ƙima a kalla sau biyu a mako. Herring, mackerel, kifi, maskerel, tuna - sun ƙunshi adadin mayuka masu ɗorewa mara nauyi, kuma sune tushen furotin mai mahimmanci. Masu cin ganyayyaki na iya samun kiba mai omega-3 daga tsaba mai, flawa, almon, walnuts,
• isasshen ruwan sha. 1.5-2 na ruwa na ruwa / rana yana taimakawa wajen daidaita cholesterol. Idan jiki bai karɓi ruwa ba, yana haɓaka yawan ƙwaro, yana kiyaye sel daga rashin ruwa.

Magunguna

Late mataki aortic atherosclerosis yana buƙatar amfani da kwayoyi. Ya danganta da alamu da lafiyar gaba ɗaya na mai haƙuri, likita zai iya ba da umarnin:

• magunguna masu rage kumburi - rukuni na kwayoyi wadanda ke daidaita kwalakwala, LDL, HDL, cholesterol. Mafi yawancin lokuta a cikin hanyoyin maganin warkewa na zamani, ana amfani da statins wanda ke toshe tsarin kwayar cholesterol. Babban wakilan ƙungiyar sune atorvastatin, rosuvastatin, simvastatin. Tare da ƙara ƙanƙantawa a matakin matattara, ana iya tsara majiyyacin fibrates, shirye-shiryen acid mara amfani, jerin bile acid, nicotinic acid,
• kwayoyi wadanda ke daidaita hawan jini suma suna saukaka zuciya. Sau da yawa, bisoprolol, amplodipine, nitroglycerin, enalapril ana amfani dasu don magance aortic atherosclerosis,
• corticosteroids - suna da sakamako mai tsauri. Idan hanyar atherosclerosis ta tsananta daga kumburi, an wajabta haƙuri a kan magunguna ko magunguna masu dangantaka,
• anticoagulants - rage haɗarin thrombosis ta hanyar rage danko na jini, hana adanar sel. Shahararrun kwayoyi sune asfirin, ticlopidine, warfarin, streptokinase.

Hanyoyin tiyata

An nuna tiyata na maganin aortic atherosclerosis ga mutanen da ke da matukar koke-kokensu game da jin daɗin rayuwa gaba ɗaya, babban haɗarin rikice-rikice: bugun jini, ɓarnawar zuciya, katsewa ko watsawar aorta. Akwai dabarun sarrafawa da yawa:

• Wucewar ɓoɓin ƙwayar cuta na atherosclerotic aiki ne wanda lokacin da likitan tiyata zai cire labulen ta hanyar lalacewa. Jirgin ruwa da rauni suna narkewa. An bayyana mawuyacin amfanin man ta wurin wurin da aorta (tare da kashin baya), da mahimmancin jikin sa, da yuwuwar zubar da jini.
• Angioplasty aiki ne mai wahala, a lokacin da aka tsinke ɓarna na jirgin ruwa, an maye gurbinsu da aikin ruɓaɓɓiyar ruwa.
• Balagawar balloon ba ƙaramin yanayin tashin hankali ba ne, ya ƙunshi gabatarwar catheter tare da ƙwallon ƙwallon ƙafa. Lokacin da likitan tiyata ya kai matakin kunkuntar, sai ya cika sau da yawa, ya busa balbal. Samun kunkuntar ta madaidaiciya. Yin aiki don magance atherosclerosis aortic atherosclerosis na iya haifar da shigarwa na ƙira - tsarin da zai riƙe bututun jirgin daga ciki. Ana kiran wannan man rudani.

Magungunan magungunan gargajiya

Yayinda babu buƙatar shan magunguna, zaku iya sarrafa cutar ta amfani da hanyoyin mutuntaka:

• Birch buds. Fr 5 g na shuka tare da gilashin ruwa, kawo zuwa tafasa, sannan simmer na mintina 15, cire daga zafin rana, bar shi daga awa 1. Auki rauni broth rabin kofin awa daya kafin abinci sau 4 / rana,
• Furanni na Hawthorn. Zuba 5 g furanni a cikin gilashin ruwan zãfi, saka ƙarƙashin murfi a cikin wanka mai ruwa. Bayan mintina 15, cire, sanyi zuwa zazzabi dakin. Ku zo da ƙarar sakamakon zuwa 200 ml. Minti 30 kafin cin abinci, ku sha rabin gilashin safe, da yamma,
• Tushen elecampane. Zuba 30 g na foda tare da 500 ml na vodka, bar kwanaki 40 a wuri mai duhu. Sha 25 saukad da abinci,
• Gyada Ku ci 100 g kwayoyi a kowace rana, masu rarraba sabis zuwa allurai 3,
• Hauwa. Niƙa da fure kwatangwalo, zuba su a cikin kwalba na rabin lita. 'Ya'yan itãcen marmari, ya kamata su kashi biyu cikin uku na ƙara. Zuba vodka a saman. Nace a cikin wuri mai duhu, girgiza kullun. 2auki sau 2 / rana don saukad da 20.

Tashin hankali, rigakafin

Aortic atherosclerosis shine mafi yawan dalilin cututtukan daji. Saboda haka ake kira protrusion na jirgin bango, wanda zai iya isa da girma dabam dabam. Danan hanyoyin karkatar da cutar ba cutarwa bane ga mutane. Suna zama matsala yayin isa ga wasu masu girma dabam. Bangon artery yana da laushi sosai, wanda na iya haifar da juzu'in sa ko cikar sa.

Kashin zuciya yana jujjuyawa ana kiransa dissection. A wannan yanayin, kawai harsashi na ciki na jirgin ruwa ko fashewar ciki da ta tsakiya. Zubar da jini ya hau zuwa wurin rauni, yana zubar da yadudduka daban-daban na jijiya tare da juna. Aortic dissection yana buƙatar kulawa da tiyata ta gaggawa, in ba haka ba komai zai ƙare cikin mutuwa.

Tare da fashewar dukkan bangarorin uku na jirgin, ana zubar da jini mai yawa, sama da kashi 90% na mutane suna mutuwa.

Yin rigakafin atherosclerosis ya shafi kawar da abubuwan haɗarin cutar. Don yin wannan, dole ne ka:

• ku ci daidai
• Yana da kyau a yi wasanni,
• dauki matakan da suka dace don magance cututtukan na kullum,
• sarrafa matsi
• daina shan taba
• sha barasa a matsakaici
• yi gwaje-gwaje na rigakafi a kai a kai.

Duk da bayyananniyar sauƙi, irin waɗannan matakan da gaske suna kare mutum daga mummunan tsarin atherosclerosis, wanda ke nufin cewa yana yiwuwa a sami cikakken rayuwa har ma bayan ritaya.

Littattafai

1. Bourantas CV, Loh HP, Sherwi N, Tweddel AC, de Silva R, Lukaschuk EI, Nicholson A, Rigby AS, Thackray SD, Ettles DF, Nikitin NP, Clark AL, Cleland JG. Cutar atherosclerotic na ciki aorta da rassanta: abubuwan da ake amfani da su na fadada marasa lafiya a cikin raunin zuciya, 2012
2. Raimund Erbel. Cututtuka na thoracic aorta, 2001

Abubuwan da marubutan aikin suka shirya
bisa ga tsarin edita na shafin.

Hanyoyin jiyya

Ilimin Conservative yana da nufin kawar da alamun da kuma dakatar da ci gaba na cutar aortic atherosclerosis. Ana aiwatar da irin wannan hanyar a farkon matakan cutar. Babban hanyar magani yana da watanni 3-4. A nan gaba, ana buƙatar ƙarancin magunguna don kula da sakamako.

Idan abubuwanda ke cikin cholesterol sun takaita lakar jirgin ruwa kuma suna haifar da ischemia mai wahala na wasu gabobin, ana cire su cikin tiyata, tunda ba su iya “warwarewa”.

Cire plaque daga carotid artery. Danna hoto don faɗaɗawa

Magunguna waɗanda ake amfani da su don magani

Bugu da kari, ana amfani da tsarin abinci wanda ake rage kiba mai yawan kitse da kitsen dabbobi sannan kuma ya ninka yawan kiba mai narkewa.

Kula! Abincin iri ɗaya kuma yana dacewa da rigakafin cututtukan aortic atherosclerosis, idan kun kasance cikin hadari (duba "Sanadin Aortic Atherosclerosis").

Lokacin tuntuɓar likitan zuciya a farkon matakin cutar kuma tsananin bin duk shawarwarin da aka bayar, ana iya kammala magani a cikin darussan da yawa na watanni 3-4. Don haka kawai kuna buƙatar tsayar da bin tsarin abinci kuma ku sha kallo kai tsaye. Amma gaba daya atherosclerosis, da rashin alheri, ba za a iya warke ba, kuma a nan gaba, ana iya buƙatar maimaita darussan na shan magunguna.