Yaya ake bayyana carotid arteriosclerosis?

Ta hanyar ƙwayar carotid, bayarda jini ga dukkan gabobin kai, har da kwakwalwa, yana faruwa. Kuma babbar matsala ita ce masala a cikin carotid artery, jiyya wanda dole ne a fara shi nan da nan.

Dalilin bayyanar

Magungunan atherosclerotic suna bayyana saboda dalilai da yawa. Mafi sau da yawa, ƙwayar atherosclerotic ta ƙunshi cholesterol, yana kunshe da ƙwayoyin lipoproteins masu yawa, amma wani lokacin suna dauke da adibin calcined.

Magungunan atherosclerotic suna tsoma baki tare da zubar jini na yau da kullun, yana haifar da matsananciyar yunwar oxygen.

Abubuwan da ke haifar da barna a cikin mahaifa sune:

• rashin daidaituwa na hormonal,
• kiba
• rashin abinci mai gina jiki, yawan abinci mai yawa,
• karancin koda karamin aiki,
• cututtuka
• hauhawar jini

Tun da yawancin yawancin balagaggu suna da rashin motsa jiki kuma suna lalata abinci mai sauri, kusan kowa yana cikin haɗari.

Abubuwan da zasu biyo baya zasu iya ba da gudummawa ga faruwar cutar cholesterol a cikin carotid artery da saurin haɓakawa:

1. shekaru A cikin tsofaffi, yawan adadin kumburi yana raguwa sosai, wanda ke haifar da rikicewa a cikin elasticity na ganuwar tasoshin jini,
2. akai kara matsa lamba. Sakamakon karuwar kaya a tasoshin, tsawan su yana raguwa, ganuwar ta zama mai saukin kamuwa da microtrauma,
3. ciwon sukari mellitus. Hadarin kamuwa da cutar atherosclerosis yana ƙaruwa sosai idan mai haƙuri yana da ciwon sukari. A cikin ciwon sukari mellitus, jiki ba zai iya rushe glucose da kansa ba, a saboda haka, karfin rage karfin lipoproteins mai saurin raguwa yana raguwa,
4. dabi'ar gado. Idan a cikin iyali akwai lokuta na haɓakar wannan cutar, to haɗarin yana ƙaruwa sosai.

Symptomatology

Bayyanar bayyanar filayen a cikin carotid artery sune kamar haka:

1. tashin hankalin bacci. Marasa lafiya ba zai iya yin bacci na dogon lokaci ba, ana shan azaba da son dare,
2. migraine Ciwon kai yana faruwa ne sakamakon karancin oxygen, saboda haka ana daukar migraine babban alama ce ta atherosclerosis,
3. gajiya. Kwalayen cholesterol suna tsoma baki tare da rarraba jini na al'ada, wanda shine dalilin da yasa rashin narkewar abinci mai kwakwalwa. Sakamakon gajiyawar jiki, ana lura da gajiya ta jiki da ta tunani,
4. matsaloli tare da taro,
5. tinnitus, ji na nauyi a cikin kai.

Idan kuna da alamun symptomsan alamu, to ya kamata mutum ya yi tunani game da lafiyarsa kuma ya yi gwaji tare da likitansa.

A cikin yanayi na ci gaba, mai haƙuri na iya ɗanɗuwa lokaci-lokaci na kai harin ta ɓoye. Ta hanyar bayyanar cututtuka, yana da matukar kama da bugun jini kuma zai iya ɗaukar kusan kwana ɗaya. A wannan yanayin, ziyarar likita ya kamata ya kasance nan da nan, in ba haka ba a gaba in yana iya zama bugun jini na ainihi.

Sakamakon mai yiwuwa

Sakamakon mummunan sakamako na arteriosclerosis na artery shine bugun jini.

Zaɓuɓɓukan haɓakawa don wannan yanayin na iya bambanta sosai, duk da haka, sakamakon yana da bakin ciki a kowane yanayi:

1. raguwa ga wadatar jini zuwa kwakwalwa. A wani lokaci, isar da jini ke tsayawa gaba daya, kuma kwakwalwa na faruwa,
2. katange kananan jiragen ruwa. Game da fashewar plaque, yanki zai fara yin ƙaura ta tasoshin. Idan ya shiga cikin karamin jirgin ruwa, to nan take zai zama gidan ya toshe, har ya kai ga mutuwar wannan yankin,
3. samar da jini. Idan har jinin haila yana da girma, to sai bugun jini ya tashi sakamakon take hakkin zubar da jini.

Binciko

Magungunan atherosclerotic suna ba da amsa ga magani, amma galibi matsalar ita ce gano cutar. Jikin atherosclerotic na dogon lokaci baya bayyana kansa ta kowace hanya, amma sakamakon zai iya zama cuta ga jikin mutum.

Don sarrafa adadin cholesterol a cikin jini, kuna buƙatar yin gwajin jini akai-akai. Yawan cholesterol a jiki.

Bayan haka, ana amfani da ƙarin hanyoyin bincike:

1. Doppler duban dan tayi, wanda zai baka damar waƙa da motsin jini da tsarin ginin jijiyoyin jini,
2. lissafin tomography. Wannan hanyar tana baku damar tantance yanayin kowane sutura na nama wanda giram ɗin ya ƙunshi. Don haɓaka hoto, wakili ya bambanta na musamman wanda aka allurar dashi cikin tsarin kewaya,
3. Magnetic resonance far. Tare da taimakonsa, an ƙaddamar da saurin motsi na jini ba kawai a cikin carotid artery ba, har ma a cikin ƙananan jiragen ruwa.

Idan alamun sun fara bayyana kansu, to magani, kamar haka, ba lallai ba ne.

A wannan yanayin, ya isa ya aiwatar da matakan kariya:

• gyaran abinci. Abincin yakamata ya zama na yau da kullun, yanki-ƙasa - aƙalla 5 a rana. Abincin kuma yana taka rawa sosai. Wajibi ne a kawar dashi ko aƙalla abincin da yake cike da sinadarin cholesterol ko kuma ya ƙunshi sinadarin carbohydrates mai sauƙin digo: ruwan gishirin shaye-shaye, giya mai ɗanɗano, kayan zaki, kowane abincin da aka sarrafa. Hakanan yana da ƙoshin barin kofi (musamman ma nan take) da barasa,
• daina shan sigari, kamar yadda sinadarin nicotine ke rage kiba da kwararar jini a cikin jiragen,
• ba da jikinka koyaushe. Aiki na yau da kullun yana taimakawa ƙarfafa ganuwar tasoshin jini, kuma yana haɓaka metabolism kuma yana taimakawa haɓaka canja wurin oxygen ta tasoshin jini.

A matsayin magani na kwayoyi, ana amfani da magunguna da nufin:

• bakin jini. Irin waɗannan kwayoyi suna hana samuwar ƙwayar jini - babban haɗari ga haɓakar atherosclerosis. Magungunan da suka fi yawa shine acetylsalicylic acid (Aspirin),
• Rage saukar karfin jini, misali, Fosicard, Amlodipine, Renipril da sauransu,
• raguwa a cikin adadin cholesterol a cikin jiragen ruwa - Atorvastatin, Cardiostatin,
• ƙarfafa jijiyar bugun jini - Piracetam, Riboxin, Ascorutin,
• painkillers idan ya cancanta, misali, Ibuprofen.

Idan filaye a cikin carotid artery suka girma sosai, da sauri yana rage ƙarancin ƙwayar katako a cikin carotid artery, likita na iya ba da shawarar sa hannun tiyata. Amfani da aikin, zaku iya share abubuwan da aka tanada, don haka kara girman adadin adibas.

Akwai nau'ikan tiyata guda biyu:

1. carotid endarterectomy - cire plalestrolrol abubuwa daga artery ta amfani da kayan aikin tiyata. Wannan hanyar ita ce mafi yawan gama gari. Likitan tiyata ya sanya kashi a cikin carotid artery, yana cire filayen atherosclerotic. Wannan aikin ana daukar shi mafi inganci wajen yaƙar bugun jini,
2. carotid angioplasty da stenting - karuwa a diamita na lumen ta amfani da stent. Irin wannan aikin ana yin shi ne a karkashin maganin sa barci na gida. An saka catheter a cikin carotid artery, ta hanyar da aka saka balloon. A hankali hankali na iya faɗaɗawa, don haka yana ƙara ƙaddamarwa. Ana maimaita hanyar sau da yawa.

Menene filayen atherosclerotic a cikin carotid arteries?

Ofayan manyan jiragen ruwa shine carotid artery. Yana farawa a cikin rami na kirji. Wannan jirgin ruwa ne mai tagwaye. An bambanta caan wasan carotid hagu da dama. An kasu kashi biyu. Ababen carotid na ciki da na waje suna samar da jini ga kwakwalwa, idanu, da sauran bangarori na kai. Atherosclerosis wani cuta ne da ba a kamu da shi ba wanda ke haɗuwa da ƙwayar mai mai rauni.

Wannan ilimin cuta shine mai haɗarin haɗari don haɓakar hauhawar jini da haɗari mai haɗari na cerebrovascular. Atherosclerosis na gida ne da tsari. A cikin 'yan shekarun nan, adadin marasa lafiya ya karu sosai. Dalilin shine hanyar rayuwa mara kyau. Groupungiyar haɗarin ta haɗa da maza masu shekaru 45. Mata suna rashin lafiya sau 3-4 sau da yawa. Wannan ilimin aikin likita ya mamaye matsayi na gaba a tsarin abubuwanda ke haifar da nakasassu na yawan jama'a. A yau, mafi yawan lokuta ana samun cutar a cikin matasa.

Babban dalilai etiological

Akwai dalilai da yawa na rashin nasarar artro carotid. Abubuwanda zasu biyo baya ga cigaban atherosclerosis:

• Namiji
• m shan taba sigari da hookahs,
• tsufa
• hawan jini
• kiba
• cututtukan endocrine
• rashin abinci mai gina jiki
• kamuwa da cutar cytomegalovirus,
• rashin ayyukan motsa jiki,
• dyslipidemia.

Sau da yawa wannan cuta tana tasowa a cikin mutane masu fama da rashin abinci mai gina jiki. Babban mahimmancin shine cin abinci na abinci mai wadataccen abinci a cikin abinci mai yalwar abinci da kuma ƙirar carbohydrates mai sauƙi. Attananan nau'ikan nama da kifi, mayonnaise, kwakwalwan kwamfuta, man shanu, kirim mai tsami, kayan kwalliya, abubuwan dafa abinci, sandwiches da gwaiduwa kwai suna da illa ga yanayin ƙwayar carotid. Wuce haddi a cikin menu na waɗannan samfuran yana haifar da haɗari ga haɓakar atherosclerosis.

Nitotine da kwalta da ke ƙunshe a cikin hayaƙin sigari suna da mummunan tasiri akan tasoshin jini. A farkon shekarun, atherosclerosis na iya zama sakamakon rashin aiki na jiki. Matasa suna motsawa kadan, suna fifita hawa mota, zama tsawon lokaci a kwamfuta da TV. Duk wannan yana haifar da kiba da rikicewar rayuwa.

Mutanen da suke wasa wasanni ba su da wahala su fama da cutar ta atherosclerosis. Abun haɗari shine hawan jini. Yana ba da gudummawa ga lalacewar bango mai jijiya kuma yana sauƙaƙa sha da endothelium ta fats. Tare da shekaru, raunin ya karu. Dalilin shi ne tsarin halitta na tsufa. Mahimmancin mahimmanci a cikin ci gaban atherosclerosis na ƙwayar carotid ana wasa ta abubuwa kamar su gado, dyslipidemia, da lalata bango na jijiyoyin jiki.

Pathogenesis na haɓakar cutar

Hanyar samuwar plates atherosclerotic akwai hadaddun abubuwa. Akwai matakai guda 3 na ci gaban wannan ilimin. Dalili shine ajiya a cikin kwasfa na ciki na ƙwayar carotid na lipids na atherogenic. Karshen sun hada da LDL da VLDL. Yayi daidai da cutar tasirin jijiyoyin jini masu yawa. Lokacin da aka canza jigon LDL zuwa HDL a cikin shugabanci na tsohuwar, ƙoshin mai ya samo asali a jikin bango.

Atherosclerosis yana haɓaka. A mataki na 1, ana ajiye lipoproteins na atherogenic. Yana ba da gudummawa ga wannan lalacewar a bangon tsokoki da kuma raguwar kwararar jini. Abubuwan da ke tattare da rauni ba su damun hawan jini a cikin jiragen. Ana iya ganin su a karkashin ƙaramin ƙaramin obin na gani. Idan ba a aiwatar da magani ba, to mataki na 2 yana tasowa. Ana kiranta liposclerosis.

A cikin wuraren adon mai, ƙwayoyin haɗi suna haɓaka. An fara samun masala. Suna da taushi kuma suna narkar da lafiya. A wannan matakin, akwai haɗarin haɓakar mai mai rashin ƙarfi. Halin bango na jijiyoyin jiki kuma ya canza. Ya zama bazuka. An samar da lahani iri-iri, wanda hakan ke kara dagula lamarin.

A wannan matakin, kullun jini na fitowa. Ana kiran cutar tahaifa 3 atherocalcinosis. Canje-canje ya zama ba a juyawa. Magunguna ba za su iya narke filayen ba, saboda ɗayan ya zama mai yawa.

Dalilin shine ajiyar salals salts. Quesarna suna ƙaruwa da girman jiki, yana rage rage ƙwayoyin carotid. Wannan yakan haifar da kunkuntar su. Akwai haɗarin ruɗarwa, wanda zai haifar da bugun zuciya da makanta.

Yaya cutar?

Alamun cutar ba su faruwa nan da nan. Matakin ƙurar lipid na iya wuce shekaru da yawa.

Kwayar cutar ta bayyana tare da raguwa (fiye da 50%) a cikin ƙwayar katako na carotid. Rashin nasarar hadin gwiwa ce da bijirewa. Bayanan dake nuna cutar za ta yiwu:

• ciwon kai
• tingling
• itching
• rauni
• karancin magana
• rage gani
• rauni
• ciwon kirji
• take hakkin hankali
• tsananin farin ciki
• disorientation a sarari,
• rauni a cikin wata gabar jiki
• canjin hali
• tashin hankali na bacci
• tinnitus
• damuwa
• haushi
• ƙwaƙwalwar ƙwaƙwalwar ajiya
• jinkirin motsi
• cakulan yayin cin abinci.

A farkon matakan atherosclerosis na bututun carotid na ciki, gunaguni basu da sakaci. Kwayar cutar tana faruwa lokaci-lokaci. Bayan an huta, yanayin ya inganta. A cikin matakan ci gaba, alamu na ƙaruwa. Wataƙila bayyanar rawar jiki a cikin wata gabar jiki. Maganar ta rikice. Duk waɗannan alamun suna faruwa ne saboda rashi ƙwaƙwalwar oxygen a cikin kwakwalwa.

A cikin mataki na lalata, damar keta abubuwa masu cutarwa (ƙwaƙwalwa, tunani, ikon tunawa). Irin waɗannan mutane suna buƙatar kulawa daga ƙaunatattun su. Atherosclerosis na iya haifar da paresis da inna. Rashin haɓakar bugun zuciya ischemic yana ƙaruwa. M hare-haren ischemic na yau da kullun suna ci gaba. Kwayar cutar ta ɓace yayin rana. A cikin hotonsu na asibiti, hare-haren wuce gona da iri suna kama da bugun jini.

Sakamakon arteriosclerosis na arteries

Tare da cututtukan atherosclerotic na cututtukan carotid, toshewarwar yana yiwuwa. Wannan yanayi ne mai haɗari, wanda ke tattare da cikakken ko kuma rashi na katako na tasoshin da ke ciyar da kwakwalwa. Fiye da 50% na lokuta na ischemia na cerebral shine dalilin lalacewar artro carotid. A game da tushen raguwa a cikin jijiyoyin jijiyoyin jini, rashin isashshen sunadarin oxygen da abubuwan gina jiki na faruwa.

Sau da yawa, irin waɗannan mutane suna haɓakar halayyar encephalopathy. Manufofinsa sune:

• bacin rai
• ciwon kai
• amo a cikin kai
• ciwon baya
• arthralgia
• janye hankali
• wahalar maida hankali,
• gajiya yayin aiki na jiki,
• gurguwar tunani
• ƙwaƙwalwar ƙwaƙwalwar ajiya.

A matakai na gaba, hankali zai ragu. Aljani yakan kasance yakan inganta. Dabarar sabis na kai da aka rasa. Marasa lafiya suna zama marasa son kai da rashin kulawa da komai. Sha'awar sha'awar sha'awa ta ɓace. Tafiya yana raguwa. Bayyanar cututtuka ta hanji na baka, bugun hanji, paresis, gurguwa, ƙuguwar fitsari, dysarthria, cututtukan pseudobulbar da rawar jiki sun bayyana a matakai 3 na encephalopathy akan asalin cutar atherosclerosis.

Tare da haɓakar hare-haren ischemic na dan lokaci, rikicewar lokaci yana faruwa. Wadannan alamu zasu yiwu:

• karafa,
• sabbinna,
• karancin gani na gani,
• paresthesia
• numbashi na fuska ko hannaye
• fitowar tabo a gaban idanu,
• rage ƙanshi na gani.

Cikakken toshewar asali daga cututtukan atherosclerotic raunuka na carotid artery yana tasowa a cikin 1% na lokuta. Tare da atherosclerosis, sakamakon mai zuwa zai yiwu:

• asarar motsi a cikin gabar jiki
• paresis daga cikin gyara jijiya,
• aphasia
• ischemic bugun jini
• thrombosis
• inna
• makanta
• optic atrophy,
• canje-canje na kwakwalwa,
• embolism
• basur
• cutar waƙa

Rashin tsinkayen yana kara lalacewa idan ba a warkar da mara lafiya a kan kari.

Jarrabawa da dabarun magani

Tare da atherosclerosis, ana buƙatar waɗannan karatun:

• Dopplerography na tasoshin kwakwalwa da wuya,
• bayanin martaba
• janar da gwaje-gwajen jini na jini,
• tsarin rubutu
• cutarwa
• tsayar da Magnetic magana ko tomography.

Bugu da ƙari, ana tantance yanayin zuciya da jijiyoyin jini. Ana buƙatar kulawa da marasa lafiya bayan bincike da bincike. Yakamata likitanku ya auna karfin jininka. Don rikicewar gani, ana buƙatar binciken ophthalmological. Yadda za a kula da atherosclerosis an san kowane mai ilimin hanyoyin kwantar da hankali da ƙwaƙwalwar ƙwaƙwalwa.

1. Ka daina shan sigari da barasa.
2. Activityara yawan motsa jiki.
3. Bin ingantaccen abinci.
4. Shan kwayoyin da sauran magunguna.

Tare da haɓakar thrombosis, ana wajabta magungunan antiplatelet da maganin anticoagulants. A cikin atherosclerosis, yana da mahimmanci don daidaita ƙirar ƙwayar lipid idan matakan jini na LDL, VLDL, ko triglycerides sun haɗu.A saboda wannan, an tsara statins. Wadannan sun hada da Aterostat, Liprimar, Torvakard, Atorvastatin-Teva, Atoris, Simvastatin Zentiva, Vasilip, Simvor, Pravastatin, Livazo, Rosucard, Tevastor, Roxer, Krestor, Holetar, Cardiostatin, Rovakor, Vero-Lovolastatin da.

Fibrates ba su da cikakken sayan magani. Idan an gano canje-canje na atherosclerotic, to, ba za ku iya yin ba tare da rage cin abinci ba. Kuna buƙatar yin watsi da offal, sausages, kirim mai tsami, man shanu, nama mai ƙima, mayonnaise, kwakwalwan kwamfuta, abincin gwangwani, gwaiduwa kwai, Sweets da man alade. Wajibi ne a rage amfani da gishiri da kayan masara. Magungunan rigakafin ƙwayoyin cuta suna haɗaka sau da yawa a cikin maganin kulawa don carotid arteriosclerosis.

An shawarci marasa lafiya suyi tafiya a cikin iska mai tsayi kowace rana don akalla awanni 1-2. Amfanin iskancin iskar oxygen. Jiyya tare da magungunan jama'a yana yiwuwa, amma ba ya maye gurbin hanyoyin magani. A cikin lokuta masu wahala, ana buƙatar endarterectomy ko endoscopic tiyata.

Sau da yawa ana yin jijiyoyin wuya da ruku'u. Tare da cikakken cirewar, anastomosis an halitta. Saboda haka, lalacewar carotid arteries babban cuta ne wanda zai iya haifar da ischemia mai narkewa.

Carotid Cholesterol Plaque

Narrowuntataccen ɓataccen ƙwayar jijiyar carotid, saboda rauni na atherosclerotic, na iya haifar da sakamako mai warwarewa a cikin ƙwaƙwalwar kwakwalwa, kuma yana haɓaka ƙarancin cututtukan ƙwayoyin hanji, wanda yawanci yakan haifar da mutuwa.

Idan sel kwakwalwa ba su sami oxygen ba, to waɗannan alamun hypoxia na kwakwalwa sun bayyana:

• Dizziness da ciwon kai na bambance bambancen,
• Ba bayyananniyar hangen nesa, kwari a cikin idanu, nebula,
• M gajiya jiki da sauri sauri,
• Rashin damuwa da bacci
• Duhu a cikin idanu da halin da yake karaya, rashin sani,
• Rarraba cikin sarari da lokaci,
• Pawaƙwalwar mara nauyi, hankali, da taro,
• Rashin hankali da nutsuwa, yawan wuce gona da iri da halayyar ɗabi'a. Mutum ya daina sarrafa ayyukansa.

Ingarancin taƙaitaccen ƙwayar jijiyoyin carotid

Mafi sau da yawa, atherosclerosis a cikin tasoshin wuyansa, shafin bifurcation na babban carotid artery da kuma maganin carotid artery (ICA) yana fama. An ajiye allunan atherosclerotic a cikin cikin ƙwayar choroid.

Kusan sau da yawa, atherosclerosis a cikin ƙwayar carotid na ciki yana haifar da canji a bangon kuma har ila yau yana haifar da tsinkaye.

Hadarin irin wannan kayan kwalliyar mahaifa ya ta'allaka ne akan cewa platelet sun manne da rukunin endothelial da suka lalace kuma suka fara haifar da suturar jini, wanda zai iya shiga cikin jijiyoyin jini ta hanyar jini da tsokani isheemiyar kwakwalwa da ta kwakwalwa.

Shanyewar Ischemic, ko infarction cerebral, sune kasha a cikin 5.0% na marasa lafiya da atherosclerosis a cikin carotid arteries.

Saboda haɗarin wannan nau'in ƙwayar cuta a cikin jini, mutanen da suka kai shekaru 35 suna buƙatar ba da gudummawar jini don cholesterol da tsari, kowane watanni 6, kuma a yi gwajin rigakafin don gano rikice-rikice a cikin jijiyoyin jini da jijiyoyin ƙwayar cuta don tantance lokaci atherosclerosis na carotid arteries a farkon matakin ci gaba.

Carotid Cholesterol Plaque

Sanadin carotid sclerosis

Atherosclerosis cuta ce ta jiki wacce ake farata, ci gabanta wanda ke farawa tun farkon bayyanar cututtuka. Zai iya wuce fiye da shekaru 10 daga farkon samuwar tasirin cholesterol a cikin endothelium kuma har sai farkon alamun bayyanuwar kwayar cutar choro.

Atherosclerosis ana yin shi a layi daya tare da cututtukan calcification, wanda ke ɗauka a cikin ƙirƙirar filayen atherosclerotic a kan ƙwayar jijiyoyin carotid.

Kayan ajiya na cholesterol a cikin babban carotid artery an kafa su ne saboda dalilai masu zuwa:

• Raguwa a cikin aikin na lipid metabolism. A cikin tsarin jini akwai adadi mai yawa na kwayoyin cholesterol, haka nan kuma yawan hadaddun kwayoyin lipoproteins masu yawa a cikin jini, wanda hakan ke haifar da ajiyar nauyi mai yawa da kuma cholesterol kyauta a ciki na sinadarin cholesterol a cikin gurbataccen tabo,
• Rashin daidaituwa a cikin tsarin hormonal, wanda ke ƙarfafa haɓaka ƙwayoyin ƙwayoyin lipoprotein ta ƙwayoyin hanta,
• Iyalin hypercholesterolemia na jini,
• Dangane da wannan ka’idar kwararru, sanadin ciwon kai, amsawar macrophages daban-daban, gami da leukocytes zuwa jijiyoyin bugun jini, na iya tsokani cutar atherosclerosis.

Baya ga abubuwa da yawa da ke haifar da cutar atherosclerosis da aka gano, sanadin da ya zama ruwan dare a aikin likitanci ya zama cin zarafi a cikin lafiyar jiki.

A saboda wannan, haɗuwa da cholesterol a cikin jini yana ƙaruwa, wanda ke haifar da samuwar atorosclerotic neoplasms akan choroid.

Iri na Carotid Atherosclerosis

Dogaro da bayyanar asibiti, an ƙaddara hanyoyin da yawa. Dangane da ICD-10, nau'ikan 3 na ci gaba na ƙwayar cuta a cikin ƙwayar carotid an bambanta su:

• Stenosing nau'in carotid atherosclerosis lumen artery an rage shi sama da kashi 50.0%. Hakanan magani ya kamata ya kasance tare da tsayayyen tsarin rigakafin cholesterol, amma tare da wannan nau'in atherosclerosis, ƙwayar carotid yana lalata, wanda dole ne a gyara shi tare da aikin tiyata, ko kuma tsawon lokaci na magani tare da magunguna yakamata a yi amfani da shi,
• Non-stenotic irin carotid atherosclerosis mafi ƙarancin kashi 50,0 %. Babban magani ga wannan nau'in atherosclerosis an yi shi ne da amfani da sauye-sauyen abinci da haɓaka ayyukan jiki a jikin mutum, da kuma amfani da magunguna waɗanda ke nufin rage yawan ƙwayar cholesterol a cikin jini. Ba a da amfani da hanyoyin maganin tiyata,
• Nau'in nau'in atherosclerosis mai yawa a kan ƙwayar carotid. Wannan nau'in cigaba na ilimin halayyar dan adam ana kulawa dashi gwargwadon yanayin damuwa na hemodynamic a cikin jijiyoyin kwakwalwa, da kuma yanayin aiki na sassan kwakwalwa. A kan tushen cikakken bincike, yana yiwuwa a gano filaye a kan ƙwayar carotid kuma likita zai ba da yadda za a bi da su.

Sau da yawa ana amfani da hanyoyin aikin tiyata don magance cututtukan fata a cikin jijiyoyin carotid.

Tare da taimakon tiyata, zaku iya fitar da warin atherosclerotic da sauri daga jijiya kuma ku tsayar da kwararar jini zuwa kwakwalwa.

Iri na atherosclerosis na carotid arteries

Bayyanar cututtuka na atherosclerosis na manyan ƙwayoyin carotid

Bayyanar cututtukan cututtukan ƙwayar cuta ta carotid artle sclerosis a matakin farko ba su bayyana ta kowace hanya ba, ya dogara da gaskiyar cewa diamita na waɗannan manyan hanyoyi yana da girma sosai, don haka aiwatarwar ƙwayar cuta ana ɗaukar sama da shekara guda.

Alamar farko na kasantuwar atherosclerosis a cikin tasoshin wuyansa sun fara bayyana cikin irin wannan alamun:

• Mai haƙuri yana fara jin ƙaranci a cikin wuya a ɓangaren abin da ya shafa na jijiya. A farko, kisa na faruwa na wani ɗan gajeren lokaci, amma idan cutar ta ci gaba, to ana iya jin kima a wani yanki mafi girma kuma ana ɗaukar lokaci mai tsawo,
• Ayyukan fahimi na kwakwalwa suna da illa tare da ci gaban ƙwayar atherosclerotic da kuma takaitaccen ƙwayar jijiya,
• Ikon aiki yana raguwa kuma mai haƙuri yana jin rauni a duk jiki. Tare da muhimmiyar rufe ƙwanƙwasa ƙwayar jijiya ta wani plaque, sel kwakwalwa sun fara shan wahala daga hypoxia. Jiki yana fara yin ƙasa da abincinta, kuma akwai raguwa cikin aiki akan matakin hankali da na jiki,
• Rashin hangen nesa kaɗan. Wannan alamar tana bayyana kanta a ƙarshen matakai na ci gaban ilimin cuta kuma shine cikon bugun jini na ischemic.

Irin waɗannan bayyanar cututtuka na iya faruwa tare da sauran cututtukan jijiyoyin bugun gini da matsaloli a cikin kwakwalwa, amma wannan alama ce mai nuna cewa wajibi ne a yi gwajin ƙwaƙwalwa don kafa tushen cututtukan carotid atherosclerosis.

Mai haƙuri yana jin rauni a jiki

Wanne likita zan tuntuɓi?

Idan alamun farko na rikicewar tashin jini a cikin atherosclerotic OSA sun faru, kuna buƙatar zuwa alƙawari tare da likita-therapist. Bayan an bincika kuma an ba da izinin likita, likita ya ba da haƙuri ga likita. Masanin ilimin halittar dan adam yana maganin jijiyoyin jini, mai ilimin likitan fata yana kula da jijiyoyin jini.

Idan nau'in atherosclerosis da yawa suna haɓaka da jijiyoyin zuciya da jijiyoyin zuciya da jijiyoyin zuciya, to, kuna buƙatar zuwa alƙawari tare da likitan zuciya. Tare da ci gaba na atherosclerosis na carotid artery kuma tare da lalacewar kwakwalwa, masanin ilimin ƙwaƙwalwar ƙwaƙwalwa ya shiga cikin aikin jiyya.

Hakanan, don aikin tiyata na wannan ilimin, likita na jijiyoyin bugun jini, ko mai ƙwayar jijiya, ya ƙunsa.

Don aikin tiyata na wannan ilimin, likita na jijiyoyin bugun jini ya shiga

Jiyya na atherosclerosis na tasoshin carotid

Dole ne a gudanar da ɓoye ƙwayoyin cuta a kan OSA kuma an fara aiwatar da shi don farawa da tsarin warkewa kanta da wuri.

Ba a amfani da girke-girke na maganin gargajiya don kula da atherosclerosis na ƙwayoyin carotid, saboda an tabbatar da rashin ingancinsu, amma lokacin wannan magani yana gudana, kuma a wannan lokacin atherosclerosis na iya shiga tsari mai rikitarwa, wanda zai haifar da mutuwa.

Da farko dai, don yin salon rayuwa da kuma daidaita abinci mai gina jiki.

Magungunan abinci yana hana yin amfani da irin waɗannan abinci:

• Yi jita-jita wadda aka shirya ta abinci da shan sigari,
• Kayayyakin da suka haɗa da kitsen dabba, abinci mai kiba, man alade, nama, qwai,
• Carbon da abin sha mai dadi,
• Barasa
• Naturalarfi mai ƙarfi na yau da kullun kofi da shayi,
• Gurasa da lemo daga mafi girman digo na farin gari,
• Sugar da Sweets.

Ya kamata menu ya ƙunshi manyan ɗimbin yawa:

• Fresh kayan lambu, har da berries, 'ya'yan itãcen marmari da ganye,
• Kifi a cikin teku aƙalla sau 4 a mako,
• Nama irin farin mai mai-kitse,
• Kwayoyi, Kayan lambu,
• Abincin da ya dogara da hatsi, da wake da wake,
• Kayan kayayyakin madara.

Lokacin cin abinci, kuna buƙatar cinye har sau 6 a rana, kuma servings ya zama ba ya wuce milili 200, kuma kada ku manta game da amfani da tsarkakakken ruwan yau da kullun zuwa 1,500.0 milliliters.

Ya kamata menu ya ƙunshi manyan kayan lambu sabo ne, gami da berries, 'ya'yan itatuwa da ganye

Magungunan magani

Don lura da atherosclerosis a cikin ƙwayar carotid, ana amfani da magunguna don rage haɗuwar cholesterol a cikin jini, haka kuma magunguna don sauƙaƙe alamun cututtukan ƙwayar cuta (sclerosis):

• Magunguna don rage ma'aunin hawan jini,
• Statin da fibrate kwayoyi don rage mummunan tasirin cholesterol,
• Magunguna masu ɗaukar ƙwayar bile acid don kunna bile, wanda ke tsunduma cikin amfani da yawan ƙwayar lipids,
• Magunguna don mayar da metabolism a cikin jiki,
• Magungunan rigakafi wadanda ke hana samuwar jini da kuma ganuwar jijiyoyin jini. Amincewa da cututtukan cututtukan ƙwayoyin cuta a atherosclerosis ana ɗauka don rayuwa.

Dukkanin magunguna an umurce ta da halartar likitan likitanci kuma ba a yarda da shan maganin kansa na wannan ilimin ba, saboda zai haifar da rikice-rikice da mutuwa.

Kwayoyi suna amfani da su don magance atherosclerosis a cikin artro carotid

Yin aikin tiyata na atherosclerosis CA

Idan maganin ƙwaƙwalwar ƙwayoyi bai taimaka rage alamun bayyanar cututtuka na atherosclerotic ba, to an wajabta bincike don amfani da magani tare da tiyata. Ana aiwatar da nau'ikan nau'ikan nau'ikan carotid arteries kuma an yi amfani da wata dabara ta wulaƙanci kaɗan, wacce ba ta da rauni ko kaɗan.

Hanyar tiyata ta hanyar likita ne aka zaba ta hanyar sakamakon bincike na asali.

Hanyar sarrafa carotid arteries:

• Carotid endarterectomy na bude tiyata don cire sinadarin atherosclerotic,
• An yi nau'in Balloon angioplasty a cikin wurin da ba a iya isa inda ba zai yiwu a aiwatar da endarterectomy,
• Imarancin kaɗan na saurin murɗawa. Ta hanyar huda jiki, an saka sutudi a cikin jijiyar carotid, wanda ke haɓaka ƙwayar jijiya.

Fassarar Carotid

Yin rigakafin

Matakan hanyoyin kariya sun kunshi aikace-aikacen irin waɗannan dokokin zaman:

• Barin shan taba da shan giya
• Activityarfafa aikin jiki a jiki da ƙara yawan aiki,
• Ingantaccen abinci mai gina jiki
• Ku yaki wadanda karin fam
• Guji damuwa mai wahala da yanayin damuwa,
• Kullum saka idanu da kuma daidaita glucose da alamun jini.

Atherosclerosis yana nufin waɗancan cututtukan waɗanda suke da sauƙin hanawa fiye da warkewar gaba.

Tare da hanyar likita, wannan ilimin ba a warke gaba daya, kuma tiyata na iya dawo da kwararar jini, amma koyaushe akwai haɗarin ginin plaque a wasu wurare a cikin manyan tasoshin.

Bidiyo: Carotid stenosis. Me zai hana kwararar jini?

Ko da ƙwararrun kwararrun likita ba suyi niyyar yin hangen nesa na wannan ilimin ba kuma ba za su iya yin ƙarfin gwiwa su faɗi yadda atherosclerosis a cikin manyan hanyoyin artabu zai bayyana kanta ba. Sclerosis abu ne mai saurin ɓoyewa kuma yana iya zama asymptomatic kuma nan da nan ya bayyana azaman bugun jini, wanda ke kaiwa haƙuri ga mutuwa.

Kuma sclerosis na nau'in rashin daidaituwa, wanda ya gudana na dogon lokaci kuma yana kawo alamu masu raɗaɗi da yawa ga mai haƙuri, tare da magani na gari da madaidaiciyar rayuwa, yana tsawan rayuwar mai haƙuri tsawon shekaru dubun.

Yaya ake yin plaque a cikin carotid artery?

A cikin yankin mahaifa na kowane mutum, ƙwayoyin carotid 2 suna wucewa nan da nan, da ƙananan layi 2 a gefen hagu da dama. Ta hanyar waɗannan jijiyoyin kasusuwa na kashin mahaifa, jini yana gudana zuwa fuska da kwakwalwa. Idan aka kwatanta shi da kwararar jini a cikin kashin, a cikin kashin mahaifa komai yana faruwa sosai sosai, kuma duk wata karkacewa da al'ada ta rage kwararar jini kuma yana shafar ingancin rayuwar mutum. Abin da ya sa mahimmancin mahimmancin carotid arteries yana da girma sosai.

Tabbas, tsarin ba ya faruwa a rana guda kuma wani lokacin ma har cikin shekara guda, amma wani tsari na canje-canje da ke faruwa a jikin mutum shine sifar cutar. Da fari dai, domin irin wadannan canje-canje su faru, dole ne mutum ya sami wasu abubuwan da ake bukata da kuma halayen da suka dace. Wannan na iya zama lalacewar microscopic a cikin carotid artery, inda za a fi samun yawan kwalakwala. Ragewar zubar jini a wani yanki wata dama ce ta wata alama ta zama wani wuri a nan gaba. A ƙarshe, likitocin sun lura cewa sau da yawa wannan matsalar tana faruwa a wurin da cokali mai na carotid artery, inda ganuwar tasoshin ke da laushi.

Don haka, abubuwan da ake amfani da su kai tsaye don bayyanar tasowar cholesterol a jikin bangon carotid artery shine yawan wuce kima mai yawa, abinci mai karancin abinci mai yawa na abinci mai narkewa.

Ga lafiyayyen mutum, karuwar yawan adadin kuzari ba shi da wata matsala da zai haifar da matsaloli a cikin tsarin zuciya, kodayake, idan yawan yin abinci yakan faru a kai a kai, hanyoyin kariya na jiki sun fara kasawa. Idan enzymes na parietal yawanci sun taimaka rage kitse, to, tare da wucewar abinci mai yawan adadin kuzari, ba za su iya jimre da yawan aikin da za su yi ba. Sabili da haka, hadaddun mahaifa na lipids, sunadarai da cholesterol an kafa su a cikin tasoshin jijiyoyin jini da jijiyoyin jini. Wadannan kananan kasusuwa na iya yin ƙaura cikin tsarin jijiyoyin jiki kuma a haɗe zuwa ga mafi rauni, inda saman parietal ya kasance sako-sako da kumbura.Wataƙila wannan haɗin yana faruwa daidai a cikin carotid artery.

Bayan ƙwallon mai ya shiga bango, akwai haɓaka sabo mai haɗi. Kwararrun suna kiran wannan matakin liposclerosis. Bayan wani lokaci, an riga an inganta girman girma kuma an gyara shi akan bango. Hakanan, ƙwaƙwalwar atherosclerotic zata ci gaba da haɓaka.

Tsarin plaque

Masana sun rarraba ƙwaƙwalwar ƙwayar cuta zuwa gaɓoɓi biyu - ainihin da taya (maƙalar waje). Babban abun yana kunshe da cholesterol kyauta tare da dan karamin ether, wanda ke taimakawa wajen karfafawa. Kusa da nucleus, mutum na iya lura da fasalin “kumfa”. Waɗannan macrophages ne, waɗanda yawancin sassan jikinsu suke cike da kitse. A lokaci mai tsawo, abubuwan da ke cikin mai sun shafi macrophages kuma sun shiga cikin tsakiya.

Fuskar matattarar ƙwayar ƙwayar ƙwayar cuta ta mahaifa mahaifa ce mai ɗauke da ƙwayoyin sel da kuma sinadarin collagen. Adadin kwamba da elastin kai tsaye suna shafan iya ƙarfin taya zuwa katsewa.

A farkon matakan, filayen da ke cikin carotid artery ba su da ƙarfi sosai. Abun cikin su za'a iya kiran shi ruwa mai ruwa-ruwa, sabili da haka yana iya rushewa. Tabbas, idan mutum ya san game da rayuwarsu a wannan lokacin, to, magani zai zama mafi sauƙi. Af, har ma a wannan matakin, mataccen atherosclerotic riga mai haɗari mai haɗari. Tare da rabuwa abubuwa daban daban na haɓaka, cikakkiyar rufe jirgin ruwa na iya faruwa. Irin wannan toshewar ƙwayar ƙwayar ƙwayar carotid yana faruwa idan sashin da aka ware ya tsaya a wani, sashin kunkuntar, alal misali, a wurin da cokali mai yatsa.

A tsawon lokaci, harsashi na waje ya zama denser. Yana tara salts na kalis, wanda a additionari yana ba shi nessarfin. Don haka farawa na karshe na atherosclerotic plaque samuwar - atherocalcinosis. Yanzu wannan ƙwaƙwalwar cholesterol tayi girma a hankali, barga ce kuma gabaɗaya babu motsi. A wannan lokacin, ana samun raguwar zubar jini a wannan yanki. Af, ko da barga mai tsayayye zai iya ci gaba, amma wannan zai faru shekaru da yawa. Ginin da ke tattare da shi yana taimaka wa bangon dutse ya zama na roba kuma yana hana fashewa.

Idan abun da ke tattare da plaque yana da mafi yawan yawan lipids, to ana daukar irin wannan rudani ne mara tsayayye. Wannan yana nuna cewa akwai yiwuwar rushewarsa, wanda zai haifar da tsawan jini.

Akwai kuma irin wannan abu a matsayin mahallin atherosclerotic mai cuta. A wannan yanayin, hanyar cutar tana rikitarwa ta hanyar basur da kumburi waɗanda ke faruwa akai-akai a saman ƙwayar cuta ta cholesterol. Dukkanin wadannan nau'ikan halittar ba a daidaita suke ba, akwai abubuwan damuwa da suke kwance a kasa.

Matakan samuwar plaque a cikin aksar carotid.

1. Lationarshe a cikin tasoshin mai mai wanda ba shi da damar ingantawa.
2. Kwayoyin kumburi suna cikin aikin - T-lymphocytes da monocytes.
3. Monocytes sunyi ƙaura zuwa bango na jijiya, don haka lalata tsarin endothelium da kumburin kumfa.
4. Filatoci daga jini suna jawo hankalin su ga yankin da ya lalace.
5. Sakamakon lalacewar endothelium, jikin yana ɓoye matsakanci na kare cell, kuma yana ƙoƙarin haɓaka yankin da ya lalace.
6. Productionarin haɓakar kwalagen kwala da elastin yana haifar da tarawa a cikin gida da kuma bayyanar tarin ƙwayar cuta a cikin lumen jirgin ruwa kyauta.
7. Girma yana haɗuwa da ƙaruwa.

Wataƙila ba su bayyana na dogon lokaci, kuma wannan babban haɗari ne. Alamun za a iya samun bambanci kuma sun dogara da dalilai da yawa - girman adadin ajiya, keɓewa, da sauransu. Mafi yawan lokuta, tare da raguwa da yaduwar jini a wani yanki, ana nuna shi ta bayyanar da gajiya bayan ƙoƙarin jiki ko tare da kowane hanzari na wurare dabam dabam na jini. Yawancin marasa lafiya suna ba da rahoton ƙarancin ƙwayar cuta, amma ba sa ba da hankali. Kuma hakika, alamar lalacewar ƙwayar cholesterol mai ɗorewa shine bugun zuciya ko bugun jini.

Mafi sau da yawa, alamu suna faruwa a layi ɗaya tare da waɗancan alamun da aka lura a cikin marasa lafiya masu kiba. Don haka, hare-hare na ischemic na iya faruwa, yayin da za'a iya lura da masu zuwa:

1. Rikicewar magana. Take hakkin samarda jini ga kwakwalwa yana haifar da canje-canje da yawa, alamomin wandanda zasu iya haɗawa da rikicewar magana. Irin wannan yunwar oxygen din kwakwalwa tana hana mutum yin jumla ko da jumla.
2. Numbness. Yana bayyana kwatsam kuma an kewaye shi a gefe ɗaya na jiki.
3. Rashin gani a ido guda. Wata alama ce mai tsananin gaske, tana Magana game da yanayin bugun jini.
4. Rashin ƙarfi. Wataƙila mafi yawan marasa mahimmanci, bisa ga marasa lafiya, alama. Haƙiƙar ita ce ƙwaƙwalwar atherosclerotic tana rufe hanyoyin jini, wanda ke haifar da rashin isashshen sunadarin oxygen. Yayin da yake, jiki yakan kunna yanayin “kiyaye makamashi”. Mai haƙuri yana jin gajiya kullun, kullun har ma yana jin fashewa ba tare da aikin jiki ba.

A cikin kowane mutum, alamomin za su iya zama mafi bayyanuwa ko rauni. Wasu marasa lafiya suna da alamar guda ɗaya kawai daga jerin, yayin da wasu ke bayanin cikakken hoton asibiti. Da farko, hare-haren ischemic na iya zama gajere, har zuwa awa ɗaya, kuma daga baya na iya ɗaukar kusan a rana. A tsawon lokaci, za a iya rage lokacin da ke tsakanin mawuyacin hali, kuma yanzu mutum ya zama mai haƙuri ga likitan zuciya wanda ke buƙatar magani na gaggawa.

Jiyya na tiyata

Wannan aikin zai kawar da barkewar cholesterol gaba daya ya kuma dawo da kwararar jini. Yanke shawarar ta wacce hanya za'a yishi wannan kawai ya kamata likita ya yanke. A yau, nau'ikan aikin tiyata guda biyu ana amfani da su sau da yawa don magance wannan matsalar - balloon angioplasty yana biye da stenting da endarterectomy.

Hanya ta farko ana yin ta ne a karkashin maganin sa barci na gida. Don yin wannan, likitan ya gabatar da balanbalan balloon ta hanyar catheter a cikin jijiyar feminin ko radial artery a hannu. Lokacin da balanbalen ya isa wurin da ake so a cikin carotid artery, kawai zai kara lumen. Bugu da kari, an saka turare a cikin kunkuntar shafin. Wannan ƙaramin ƙarfe ne na ƙarfe, wanda aka tsaida shi sosai a wurin tsohon ɓata ɓarke ​​na carotid artery don haka zai baka damar dawo da zubar jini.

Ana yin aikin haɓaka mai zurfi ne kawai a ƙarƙashin maganin sa barci na gaba ɗaya ko na gida. A wannan yanayin, likita ya gabatar da kayan aiki mai sauƙin, wanda ya isa zuwa ga kunkuntar. Yanzu likitan tiyata a hankali yana cire plaque kansa, wanda ke toshe hanyoyin jini. Abin takaici, an ambaci lokuta da yawa game da cutar, saboda tsarin bangon jirgin ruwa a wannan wuri bai da kyau, wanda ke nufin cewa cutar na iya dawowa.

Hakanan za'a iya amfani da magani na Laser. A wannan yanayin, likita ya ba da umarnin katako na laser daidai a wurin da aka samar da plaque. Karkashin ikon wannan katako, ajiya a zahiri na bushewa.

Za'a iya kiran aikin tiyata na Ozone tare da ɗan madaidaiciya. A wannan yanayin, likitan ya gabatar da ozone a cikin jinin mai haƙuri, wanda ke da kaddarorin mai amfani da sinadarin oxidizing da immunomodulator. Yana narke manyan ƙwayar lipid a cikin jini, yana haɓaka metabolism, wanda ga yawancin marasa lafiya da filaye a cikin carotid artery shine kawai dole.

A ƙarshe, thrombolysis kuma ana iya danganta shi da hanyoyin tiyata. Asalinsa shine likita ya gabatar da wani abu na musamman tare da sakamako mai warwarewa a cikin jijiyar carotid. Barkewar cholesterol ya rushe gaba daya, ya kuma dawo da kwararar jini.

Alamu don tiyata

Na farko shine girman plaque. A matsayinka na mai mulki, an tsara shi idan wani wutsi cikin abin da aka shafa na carotid artery ya wuce 70% na jimlar lumen. Irin wannan adibas ɗin an kafa shi shekaru da yawa, kuma mai haƙuri duk wannan lokacin ya ji rashin lalacewa. Alamu marasa kyau sun haɗa da rashin haƙuri na lura da magani. A takaice dai, idan shan magungunan ba su ba da wani sakamako ba, to, mafi yawan lokuta likita ya yanke shawarar kula da mara lafiyar tare da hanyoyin tiyata, wanda zai iya zama tabbataccen ceto ga mai haƙuri. Hakanan, yanayin rashin kwanciyar hankali na plaque, membrane mara daidaituwa, wanda a kowane lokaci na iya zuwa yana haifar da lahanin da ba za a iya jurewa ba, ana iya ɗauka a zaman alama don maganin tiyata. Idan mai haƙuri ya riga ya sami alamun microinfarction ko bugun jini, to aikin shima bai kamata a jinkirta ba.

Contraindications zuwa aikin tiyata

Abin takaici, yawancin marasa lafiya da wannan matsala suna da hawan jini, kuma wannan yana yin nasa gyare-gyare don shiga aikin tiyata. Da farko, likitan zuciya yayi kokarin daidaita matsa lamba. Rashin kawo bugun jini na mai haƙuri zuwa ga ƙasa mai karko shine contraindication zuwa farkon aikin tiyata. Har ila yau, Zalunci shine cin zarafin zuciya.

Hakanan, bai kamata a gudanar da aikin ba yayin lokacin tafiyar matakai masu kumburi da ke faruwa a jiki. A wannan yanayin, jiki zai iya dacewa da kulawa da magungunan da likitan likitan ke kula da su. Kasancewar halayen halayen ƙwayoyin cuta ga magungunan da ake gudanarwa yayin tiyata, ƙaƙƙarfan ne a cikin soke tsarin.

Balloon angioplasty yana biye da stenting yawanci ana yin shi idan endarterectomy ba zai yiwu ba saboda wasu dalilai. Hakanan, ba a yin angioplasty a gaban kowane cuta na jijiyoyin jiki wanda ke rikicewa tare da amfani da kayan aikin endovascular. A ƙarshe, duka na jijiyoyin bugun ƙwayar cuta shine ainihin contraindication zuwa stenting angioplasty. Bayyanar da jijiyar wuya da tasoshin jiragen ruwa wani lamari ne mai rikitarwa ga aikin tiyata, kuma a wannan yanayin, aikin tiyata ya fi dacewa ta hanyar kwararrun kwararru suka yi.

Idan mara lafiyar ya kamu da cutar mahaifa a cikin watanni biyu da suka gabata, to ya kamata a jinkirta aikin. Ba a yin su don marasa lafiya da cutar Alzheimer.

Har ila yau, thrombolysis na iya zama haɗari. Gaskiyar ita ce idan amfani da likitan kwararru bai yi daidai ba, suna iya haifar da zubar da jini ko lalata ƙwayar cuta.

Rayuwar mai haƙuri bayan tiyata

Yarda da ka'idodi a cikin bayan aikin na iya inganta sakamako wanda likita mai tiyata ya yi yawa. M wajabta jini thinners. Af, mafi sauƙin asfirin copes tare da wannan mai kyau, kuma shi ne ya yawanci ya bayyana a cikin girke-girke, ko takardar sayen magani. Hakanan an wajabta statins, wanda ke taimakawa rage jinkirin ci gaban atherosclerosis.

Magungunan magungunan gargajiya

Zasu iya hada magani sosai. Hirudotherapy yana da mafi kyawun sakamako. Af, ana amfani da maganin leech a yanzu a yawancin cibiyoyin zuciya. Kalmar da take ɗora sirrin tana narke jini sosai. Wannan hanyar tana ba ku damar hanzarta cire alamun rashin lafiya, wanda shine sakamakon ƙirƙirar ƙwaƙwalwa a cikin jijiyar carotid. Sakamakon yana da dogon lokaci.

Wasu samfura suna taimakawa wajen daidaita abubuwan da ke cikin jini da rage filayen cholesterol a cikin kashin mahaifa. Don haka, ruwan 'ya'yan itace gwoza, wanda aka ƙara a cikin adadi kaɗan ga kowane abin sha, yana haɓaka rushewar abubuwan haɗin lipid kuma yana hana su ƙirƙirar sifofin mara lafiyan a cikin tasoshin.

Ether wanda ke cikin albasa da tafarnuwa yana da irin wannan sakamako na warkewa a jikin bango na jijiyoyin jiki. Af, samfuran sabo ne kawai ba tare da ƙaramar zafin jiyya ba suna da irin wannan tasirin.

Normalizes da sinadaran abun da ke ciki na jini da zuma. Idan babu rashin lafiyan a ciki, mutum ya sha cokali biyu na zuma kowace rana. Ana bada shawarar cire sukari mai tsabta daga abincin.

Ayyukan jijiyoyin jini na wuyansa da kuma haɗarin raunin su

Kayan jijiyar Carotid sune ɗayan mahimman jirgi a jikin mutum. Suna ciyar da dukkanin gabobin kai, gami da mafi mahimmancin gaske - kwakwalwa. Kuma shi, kamar yadda ka sani, yana cinye 1/5 na duk oxygen shiga jini. Saboda haka, tare da kunkuntar ƙwayar waɗannan jijiyoyin jini, mafi mahimmancin sashin jiki suna wahala.

Kayan bango na yau da kullun suna da laushi, tare da cikakkiyar rashi na kowane ɓangaren abubuwa a kai. Idan aka ajiye allunan cholesterol a jikin bango, wata cuta da ake kira atherosclerosis tana tasowa. Abun da yadudduka na abubuwa sun hada da alli, adibas na ciki. Dukkansu suna rushe tsarin jini na yau da kullun.

Sanya jari a jikin bangon carotid arteries na faruwa ne yayin da sauran cututtukan jijiyoyin cutar da atherosclerosis suka kamu da su. Haɓaka lamba da girman irin wannan adibas na haifar da rikicewa a cikin abincin kwakwalwa, wanda, bi da bi, yana haifar da ci gaba da rikitarwa masu yawa masu haɗari. Mafi tsananin tsanani daga cikinsu shine ischemic or hemorrhagic stroke, yawanci yakan kai ga mutuwa.

A farkon matakan, mai haƙuri yana haɓaka marassa ƙarfi a cikin atherosclerosis, har yanzu bai kai ga takaita ɓarin jirgin ba. Amma a cikin matakai na gaba na cutar, stenotic atherosclerosis ya bayyana, wanda ke haifar da katange jijiyar jini, wanda shine mafi mahimmanci a rayuwa.

Me yasa cutar ta haɓaka?

Ya kamata a fara amfani da hanyoyin carotid kamar yadda ya kamata. Wannan yana da mahimmanci saboda suna ɗaukar oxygen da abubuwan gina jiki zuwa kwakwalwa. Koyaya, a kan lokaci, za su iya daɗaɗa da ɗauri. Wannan na faruwa ne saboda tarawar atherosclerotic plaques akan bangon su.

Babban dalilan ci gaban carotid atherosclerosis sune:

1. Halaye marasa kyau, wato, shan taba sigari da kuma shan giya.
2. Hawan jini.
3. Rashin daidaituwa na gabobin ciki.
4. Daban-daban pathologies na mai metabolism (da fari shi ne kiba).
5. Kurakurai a cikin abincin, cin zarafin abincin da likita ya umarta.
6. Rashin yanayin ƙwayar cuta.
7. Mai yawan damuwa damuwa.
8. Rashin aiki, shi ne, rashin motsa jiki.
9. Wasu daga baya daukar kwayar cutar cututtuka a baya.
10. Rashin damuwa a cikin tsarin rigakafi (har ma da wasu hanyoyin cututtukan autoimmune).
11. Ciwon sukari mellitus. Irin wannan cutar tana cutar da tasirin mai mai yawa, sakamakon abin da jikin yake samin kitse ba shi da kyau.
12. Matsayi mai kyau na cholesterol "mara kyau", triglycerides a cikin jini shima yana ba da gudummawa ga kwaskwarimar ɗakunan ajiya na atherosclerotic a jikin bangon carotid arteries.

Yawanci, abubuwan da ke sama sun shafi jiki a cikin hadaddun. Saboda wannan, ana kara samun yiwuwar bunkasa atherosclerosis.

A lokuta da dama, cutar na iya haɓaka saboda carotid artery aneurysm ko dysplasia.

Alamar halayyar cutar

Cutar atherosclerotic rauni na tasoshin wuyan yana da haɗari saboda a farkon matakin bai bayyana kansa ba, baya bayar da alamun bayyanannu. Kuma likita sau da yawa yana gano cutar koda lokacin lalacewar artro carotid na cikin gida ya kai matakin da aka ambata.

Amma har yanzu akwai alamu da yawa waɗanda za ku iya zargin cutar da kanku kuma ku nemi likita a cikin lokaci.

Don haka, a farkon matakan, hare-hare na ischemic, wanda, duk da haka, ya wuce da sauri, ya kamata faɗakarwa. Bayyanar cututtuka irin wannan harin:

• tingling ko numbness na rabin jiki,
• itching a cikin wata gabar jiki
• ƙage
• karancin magana (ya zama ba shi da izini),
• raunin gani a ido ɗaya,
• asarar ji na wani reshe.

Yayin da cutar ke ci gaba, wannan alamar tana nuna kanta sosai kuma yana ɗaukar haske, kuma hare-haren na ɗan lokaci suna daɗewa. Wannan tabbataccen alama ce cewa kuna buƙatar ganin likita da wuri-wuri.

Muna jawo hankalin masu karatu akan gaskiyar cewa alamomin da ke sama sune masu cutar bugun jini. Wannan ya sake nuna cewa ana buƙatar taimakon likita da wuri-wuri!

Zaɓuɓɓuka don haɓaka cutar

Kamar yadda aka fada a baya, hadarin da yafi hadarin atherosclerosis shine bugun jini. Akwai irin waɗannan zaɓuɓɓuka don haɓaka cutar tare da clogging of arteries with atherosclerotic plaques:

• Rage ci gaba a cikin jini na gudana zuwa kwakwalwa.
• Pturearke tatsuniyar atherosclerotic. Koyaya, zasu iya yada tare da jini zuwa cikin ƙananan tasoshin. Don haka akwai toshewar tsarin jinni na al'ada zuwa wani sashe na kwakwalwa, wanda saboda shi yakan mutu.
• Jiki na gudana ta hanyar jinin haila (jinin haila). Wannan shi ne saboda gaskiyar cewa platelet suna tarawa a cikin jini saboda rushewar kaguwa. Suna haɗi kuma suna samar da jini. Idan babba ne, yana rage jinkirin jini, wanda yake haifar da girgiza kai (apoplexy shock).

Siffofin Ganewa

• Yin cikakken nazari game da mai haƙuri ya zama dole don yin gwaji. Sai bayan cikakken isasshen bincike za'a iya yin maganin daidai na atherosclerosis na ƙwayoyin carotid. Bayyanar cututtuka ta fara ne da tarihin likita. Dole ne likita ya ƙayyade abubuwan haɗarin cutar.
• Yana da mahimmanci a tsayar da sauraro (sauraro) na artro carotid.
• Tabbatar don auna hawan jini, saboda alamu masu haɓaka hawan jini na iya nuna cin zarafi a cikin aikin artro carotid.
• Duban dan tayi tare da Doppler scanning na hanyoyin jini shima ya zama tilas. Wannan hanyar gwajin lafiya gaba daya bata da lafiya kuma ba zai ba ku damar iya tantance cutar ba daidai.

Tare da sakamakon sakamako na gwaji, dole ne a rubuta mai haƙuri irin waɗannan nau'ikan alamomi kamar:

1. Utedididdigar zanan Tomography (CT). Yana sanya ya yiwu a tantance tsarin hallarci daidai. CT scan dole ne a yi ta yin amfani da matsakaici matsakaici.
2. Hoton sake magana na Magnetic.
3. Dole ne a yi aikin Angiography ta hanyar amfani da wakilai na bambanci. Saboda haɗarin rabuwa da ƙwayar cutar atherosclerotic, irin wannan nau'in cutar ba da wuya a yi amfani da ita yanzu.

Ciplesa'idojin jiyya

Ya kamata a sani cewa kawai hadaddun jiyya ne kawai zai iya daidaita yanayin ƙwayar jijiya. Kuma kuna buƙatar fara shi da wuri-wuri.

Jiyya tare da magungunan jama'a, a matsayin mai mulkin, ba ya kawo sakamakon da ake tsammanin. A wannan yanayin, lokaci mai mahimmanci ya ɓace, kuma a maimakon sauƙaƙa, ƙararren da aka ambata na cutar yana faruwa.

Da farko dai, kuna buƙatar daidaita wutar lantarki. Abinci ya hana amfani da abinci kamar:

• kyafaffen abinci
• mai
• mai abinci mai kima
• soda
• barasa
• kofi da kuma shayi mai karfi,
• farashi na abinci,
• Sweets.

Yakamata menu ya sami karin kayan lambu, 'ya'yan itatuwa, jita-jita.

Magungunan shan magani shima wajibi ne:

1. Ana amfani da magunguna waɗanda ke taimakawa bayyanar cututtuka na atherosclerosis.
2. Yawanci, an wajabta mai haƙuri da magunguna waɗanda ke rage karfin jini. Dole ne a auna nauyin ganawar su.
3. Yana da matukar muhimmanci a sha magunguna don rage cholesterol na jini. Suna taimakawa rage yawan ɗimbin ajiyar alluran atherosclerotic a jikin bangon jijiyoyin jini.
4. A lokaci guda, ana kuma amfani da magunguna don daidaita yanayin metabolism da ƙarfafa tasoshin jini.
5. Wani lokaci likita na iya yin wasiƙar ƙaramin acid na acetylsalicylic acid ga mai haƙuri don hana haɓakar ƙwayar jini. Ya kamata a gudanar da irin wannan magani na dogon lokaci. Rashin asfirin na yau da kullun yana ba da gudummawa ga daidaituwa game da wurare dabam dabam na jini da kuma rage haɗarin haɗarin haɗari.

Kai kai na atherosclerosis an contraindicated! Zai iya haifar da mummunan sakamako.

Turewa

Idan hanyoyin da ke ƙasa da ra'ayin mazan jiya na magani ba su kawo sakamakon da ake tsammanin ba, to ana yin la’akari da batun maganin tiyata. Don wannan, likita zai iya ba da irin waɗannan nau'ikan ayyukan kamar:

1. Abubuwan da ke cikin Carotid endarterectomy. Ana yin hakan koyaushe ta amfani da maganin sa barci gaba ɗaya. Bayan likita yayi karamin rauni, sai a cire plaque.
2. Balloon angioplasty ana yin shi ne a cikin yanayin inda aka sami haɗin endarterectomy. Irin wannan aikin kuma an baratar da shi idan ɓarin atherosclerotic yana cikin wuri mai wahala. Za'a iya aiwatar da wannan saƙo a ƙarƙashin maganin sa barci na gida.
3. Magana ita ce, an yi wa mashin dame a cinya ko kafada. Sannan sai a saka stent a cikin ƙwayar carotid artery - karamin kayan ƙarfe. Yana faɗaɗa lumen jirgin ruwa kuma yana ba da izinin gudana jini na al'ada.

Angioplasty shine sabon magani yanzu. Tasirinsa akan tasoshin jini da kan jiki baki daya har yanzu shine batun bincike mai zurfi. Koyaya, a cikin marasa lafiya da babban haɗarin rikitarwa, waɗannan nau'ikan ayyukan suna tabbatar da ingancin su.

Game da madadin magani da rigakafin cutar

Bi kawai cin abinci na musamman yana da barata ne kawai a farkon matakan. Baya ga canza sheka zuwa tsarin abinci mai ratsa jiki, zai zama da amfani sosai a bi wadannan shawarwari:

1. Ku ci har 1 kg na cherries kowace rana (yana da kyau ku sha su tare da madara).
2. Yana da amfani ku ci baƙar fata currants, plums, eggplant, kankana.
3. Ana iya cinye sukari, amma a cikin iyaka mai iyaka.
4. Dole ne menu ya sami karin tafarnuwa da albasarta.
5. Madadin madarar baƙi na yau da kullun, kuna buƙatar sha abin sha daga ganyen blackcurrant, strawberries, blueberries, 'ya'yan itatuwa da aka bushe.
6. Walnuts, masara da man zaitun suna taimakawa don cire cholesterol "mara kyau".
7. Decoctions da teas daga lemun tsami lemo, hawthorn suna daidaita matsin lamba.

Irin waɗannan matakan warkewa suna dacewa kawai idan cutar ba ta yi nisa ba. Idan akwai bukatar tiyata, dole ne ayi shi da wuri-wuri.

Daga cikin matakan kariya, ya zama dole mu haskaka masu zuwa:

• daina fitowar sigari da shan giya,
• motsa jiki
• cin abinci
• normalization na jiki nauyi
• saka idanu akan karfin jini da sukari na jini.

Don hana irin wannan cutar ta fi sauƙi da magani. A yawancin lokuta, ana ba da shawarar sa hannun tiyata don samun nasarar dawo da zagayawa ta al'ada.