I-Atherossteosis ingukugula okungalapheki, isici esinegalelo laso lokuqongelwa kwe-cholesterol namanye amafutha odongeni lwangaphakathi lwemithambo yegazi. Lokhu kuholela ekuqineni kwezindonga, ukuncipha kokucaca, ukuncipha kwabo kunciphe, okucasule ukuqhuma. Ngenxa yokuwohloka kwemithambo, umthwalo okufika emisipha yenhliziyo uyanda, ngoba kudingeka umzamo owengeziwe ukupompela igazi.
I-Atherossteosis yisifo esiyingozi. Inkambo ethatha isikhathi eside iholela ekuguleni kwenhliziyo, isifo somfutho we-arterial, unhlangothi, ukushaya kwenhliziyo, ukufa kwezicubu, izilonda eziyinqaba emilenzeni nakwezinye izinkinga. Ubungozi bokuthola ukugula buye bukhuphuke ngemuva kweminyaka engu-55 yobudala.
Ngabe i-vascular arteriossteosis ingalapheka? Umuthi wanamuhla akazi izindlela zokuqeda lesi sifo unomphela. I-Pathology ayilapheki, ngokulandelana, ayinelapheki. Kodwa ngosizo lokwelashwa okulondoloziwe, kungenzeka ukumisa ukwakheka kwama-plagi amasha e-atherosclerotic, okuvimbela izinkinga.
Cabanga ngemigomo yokwelashwa kwe-vasher atherossteosis, yiphi imishanguzo ebekelwe ukwelashwa kwalesi sifo?
Amaqhinga ekwelapheni i-atherosulinosis yemithambo
Ukwelashwa kwe-atherosclerosis inqubo eyinkimbinkimbi. Umgomo wokwelapha ukunciphisa ubulukhuni bokubonakaliswa kwemitholampilo, ukuvikela izinkinga zesifo, kanye nokuvikela ukubikwa ngokuphelele kwemithambo yegazi. Kwezokwelapha, kusetshenziswa imithi, ukungenelela okuhlinza, izindlela zabantu, kanye nokudla.
Kuyadingeka ukuthonya lesi sifo ku-mellitus yesifo sikashukela ngokuphelele, kungale ndlela kuphela lapho ukuqhubekela phambili kwenqubo ye-pathological kungamiswa. Ezimweni eziningi, impumelelo yokwelashwa incike esigulini: ukuthi sikulungele kangakanani isifo sikashukela ukulalela nokulandela izincomo zochwepheshe bezokwelapha.
Ingxenye yokwelashwa ukuqedwa kwezimpawu zobungozi. Kuyadingeka ukuyeka ukubhema, ukuphuza utshwala; udinga ukwehlisa isisindo, udle ngakwesokudla, njll. Isifo sikashukela kufanele siqaphe njalo amazinga kashukela, ngoba ushukela omningi usheshisa ukuqhubeka kwe-atherosclerosis.
Izindlela zokwelapha ze-Atherossteosis:
- Ukwelashwa kwe-Conservative (nikeza imithi);
- Ukwelashwa kokudla (ukunciphisa ukuncipha kwekhalori, ukuthanda ukudla okune-cholesterol ephansi);
- Umuthi we-Herbal (ama-decoctions kanye ne-infusions ngamakhambi okwelapha);
- Ukwelashwa kokuhlinzwa.
Ukuxilongwa kwesikhathi kwe-pathology kunikeza i-prognosis enhle. Esigabeni esithuthukile, kunzima ukwelapha i-atherosclerosis, okuholela ezinkingeni zempilo ezinkulu noma ekufeni.
Izimpawu njengesisekelo sokwelashwa kwe-atherosclerosis
Izimo zithinta into ekhethekile ye-enzyme - HMG-CoA, ngenxa yalokho umsebenzi wayo uvinjelwe. Le enzyme ithatha ingxenye ebonakalayo ezinhlelweni eziningi emzimbeni womuntu, ngenxa yalokho kukhiqizwa i- cholesterol. Ngokuncipha kwe-HMG-CoA, ukukhiqizwa kwe-cholesterol kuma-hepatocytes wesibindi kuyancipha, okunciphisa izinga lama-lipoprotein aphansi.
Izinga lesifo sikashukela i-mellitus alinciphisi kuphela i-LDL, kodwa futhi lineminye imiphumela yokwelapha. Amathebulethi athuthukisa i-vascular endothelium, inhibit cell adhesion, anciphisa ukuhlangana kwe-platelet (gluing), futhi ancibilikisa amatshe e-cholesterol emgodini.
Imithi imiselwe ukuguqula i-LDL ejwayelekile emzimbeni, ngenhloso yokuvimbela izifo zenhliziyo, izinkinga ze-atherosulinosis - ukushaya kwenhliziyo, ukushaywa unhlangothi, ukuhluleka kwenhliziyo, i-angina pectoris neminye imiphumela emibi.
Imithi enama-statins ayinconywa kumacala alandelayo:
- Ukungabekezelelani kwezinto eziphilayo.
- Ukwanda kwe-pathologies yesibindi.
- Ukwehlulwa kwesibindi kwehlulekile
- Ukwanda kathathu kuma-enzyme wesibindi.
- Ukukhulelwa, ukukhulelwa.
- Isifo sezinso esingamahlalakhona.
Izimo zihlanganiswa nokudla. Inhlanganisela enjalo kuphela enikeza umphumela onenzuzo wokwelapha. Uma onesifo sikashukela engalandeli ekudleni, khona-ke ukuqokwa kwama-statins akunakwenzeka.
Abamele iqembu lama-statins:
- Simvastatin;
- Atorvastatin;
- ILovastatin;
- I-Fluvastatin;
- Rosuvastatin;
- I-Pitavastatin
Ngesikhathi sokwelashwa, kuyadingeka ukulawula ukuqoqwa kwama-enzyme wesibindi. Uma izinga liphakeme kathathu kunokujwayelekile, khona-ke ukwelashwa kuyamiswa.
Ukubuyiselwa okukhulu kwezidakamizwa zaleli qembu kufaka izindleko eziphakeme zemithi yoqobo.
Igcwala ekwelashweni kwamathafa we-atherosulinotic
Imvamisa, ama-atherosclerotic plaques akha i-aorta yesibeletho, imithambo yegazi yamaphethelo aphansi (atherosclerosis obliterans), nasengqondweni. Izimpawu zingenxa yendawo lapho kufakwe khona i-cholesterol amana, ubukhulu bawo, isigaba senqubo ye-pathological.
Ama-figrate atholakala ngezakhi ezisebenzayo - clofibrate, bezafibrate, ciprofibrate, fenofibrate. Kepha imvamisa, imithi equkethe i-fenofibrate yento esebenzayo ibekiwe. Lezi izidakamizwa i-Lipofen SR ne Tricor.
I-atherossteosis ayikwazi ukwelapheka ngokuphelele, njengezindawo ezenziwe nge-atherosulinotic emikhunjini. Inhloso yokusetshenziswa kwezidakamizwa ukuvikela ukwakheka kwama-deposits amasha.
I-fenofibrate ngemuva kokusetshenziswa ivezwa ethonyeni lama-enzyme emzimbeni wesifo sikashukela, ngemuva kwalokho iguqulwe ibe yi-fibroic acid. Ikhuthaza ukuhlukana okusebenzayo kwe-lipids, kususa i-cholesterol eyeqile ku-plasma yegazi.
Contraindication nokusetshenziswa kwama-fibrate:
- Hypersensitivity ekwakhekeni komuthi.
- Ukulimazeka okukhulu kwe-renal / hepatic.
- Uhlobo lokubala lwe-cholecystitis.
- I-photosensitivity.
- Isimo se-pancreatitis esibi nesingamahlalakhona.
Umthamo wezidakamizwa unqunywa ngokuhlukile. Thatha ngomlomo, uphuze uketshezi oluningi oluhlanzekile.
Uma kungakapheli izinyanga ezintathu zokwelashwa kungabonakali imiphumela yokwelashwa, khona-ke ukulungiswa kwendlela yezidakamizwa kuyadingeka.
Izindlela zokwelapha
Ngokuvamile kwenzeka ukuthi okuwukuphela kwendlela yokusiza nge-atherossteosis wukuhlinzwa. Ukuhlinzwa kunconyelwa kwabanesifo sikashukela ezimweni lapho izimpawu zesifo zilimaza kakhulu impilo. Ukuhlinzwa akusizi ukususa imbangela ye-pathology, kepha kunciphisa kuphela imiphumela yako.
Nge-atherossteosis, i-lumen yemikhumbi iyancipha, ephazamisa ukuhamba kwegazi ukuphuma. Odokotela bangancoma indlela edlula lapho. Kubandakanya ukwakhiwa kwendlela eyengeziwe yokuhamba koketshezi lwebhayoloji edlula endaweni ethintekile.
Umnyombo wokungenelela ukuthi udokotela wethula i-shunt enamathela ezindaweni ezinempilo zemithambo yegazi. Ixhuma izindawo ezingathinteki nge-shunt, ekuvumela ukuthi wakhe indlela yegazi entsha. Njengokufakelwa, izinto zokwenziwa noma imithambo yesiguli iyasetshenziswa.
I-Angioplasty inqubo yezokwelapha lapho udokotela efaka i-catheter eyandayo ngebhaluni esitsheni. I-balloon, inflating, yonakalisa i-atherosclerotic plaque, esiza ukwandisa umphumela. Izinhlobo ezilandelayo zomsebenzi ziyahlukaniswa:
- Inqubo enamafutha;
- Indlela ye-Laser;
- Indlela yokuhumusha.
Inketho yokuqala yenziwa ukuze kuvikelwe ukuvaleka okuphindaphindiwe komkhumbi osetshenziswayo. Uhlobo olwehlukile lwendlela ye-laser ukuthi ama-plaque abhujiswa ngokusebenzisa ugongolo lwe-laser.
I-Transluminal angioplasty ifaka ukufakwa kwe-catheter ngokusebenzisa ukubhula okuncane; Kwenziwa ngaphansi kwe-anesthesia yendawo, isikhathi eside sokutakula asidingeki. Ngemuva kokuhlinzwa, lowo onesifo sikashukela usesibhedlela isikhathi esingaphezu kwezinsuku ezintathu.
Ngemuva kokulungiswa kokuhlinzwa, izinkinga zingakhula. Imiphumela ejwayelekile yesifo sikashukela ifaka ukuvuvukala nokuvuvukala endaweni yezilonda.
Kwesinye isikhathi ukuphuma kwegazi kwenzeka. Ungabukeli ebungozini bokuqalwa kabusha. Kwimidwebo eminingi, lokhu kusebenza kwabanesifo sikashukela esikhulile, kanye nabantu abangazange bayeke ukubhema.
Ukwelashwa kokudla
Ukudla okune-carb ephansi nge-cholesterol ephezulu nesifo sikashukela kufanele kube nekhalori ephansi, kuyilapho kuqukethe inani elanele lamavithamini, amaminerali nezinye izinto ezilusizo ezidingekayo ekusebenzeni komzimba okujwayelekile.
Ukondliwa okufanele kufaka phakathi ukulawula ukudla okuqukethe i-cholesterol nokudla ukudla okwenza i-LDL ingasebenzi. Umthombo we-cholesterol yimikhiqizo yezilwane.
Ukudla amakhalori kufanele kube ngaphansi kwe-10-15% uma kuqhathaniswa nokudla okujwayelekile. Uma isifo sikashukela sinokukhuluphala, khona-ke sincishiswa ngo-20%. Umthamo wansuku zonke wamafutha awudluli kuma-80 g, nama-carbohydrate afinyelela kuma-300 g .Kukuthola isifo sokuqina kwemizwa, kunconywa ukudla inyama enamafutha, inhlanzi, abamhlophe amaqanda, imifino emisha nezithelo, i-rye / bran isinkwa, ushizi we-cottage shizi.
Kunconywa ukunciphisa umkhawulo ukusetshenziswa:
- Imikhiqizo eseqediwe.
- Inhlanzi / inyama ebunjiwe
- Ukudla okusheshayo.
- Iziphuzo ze-Carbonated.
- Wotshwala.
- Ibhotela, imajarini.
Kunemikhiqizo eminingana esiza ukunciphisa i-LDL. Lokhu kufaka iklabishi elimhlophe, izaqathe, utamatisi, isalmon, ukolweni amabele, ama-aphula, ubhanana, uphizi, amagilebhisi, ummbila.
Umuthi ohlukile
Abanesifo sikashukela bavunyelwe ukusebenzisa amakhambi abantu ekwelashweni. Zilungiselelwe ngesisekelo sezitshalo zokwelapha, imikhiqizo yezinyosi. Ngokusho kokubuyekezwa, umuthi onamandla osetshenziswa kakhulu ezigabeni zokuqala zesifo. Ngakho-ke, kanjani ukwelapha i-atherosclerosis yemisipha ekhaya?
Esikhathini sokuqala kwe-atherossteosis, ikhambi elinjalo liyasiza: Izimpande eziyi-10 g zezimpunga ze-burdock zixutshwe ne-10 g ye-Horsetail yasensimini, i-15 g ye-dill ne-15 g yencwadi yemithi. Ku-250 ml wamanzi ashisayo engeza i-spoonful yokuphulukisa, qinisa imizuzu engama-60. Thatha "umuthi" amahlandla ayisihlanu ngosuku, umthamo isicelo ngasinye ngu-50 ml. Isikhathi senkambo yokwelashwa okungenani izinyanga eziyi-6.
Iresiphi yamaphethelo e-atherosclerotic: hlanganisa ngokulingana okulinganayo yarrow, hawthorn, amaqabunga e-birch, i-coltsfoot. Ku-500 ml wamanzi ashisayo athulule 2 tbsp. iqoqo, phisa amahora amabili. Phuza ama-50 ml izikhathi ezi-4 ngosuku. Isikhathi sokusetshenziswa - kusuka ezinyangeni ezi-3.
Amaresiphi asiza ukuguquguqula i-cholesterol metabolism ku-atherossteosis:
- Hlanganisa i-20 g yezimpande ze-elecampane, i-dandelion, i-calendula inflorescence, dill, izithelo ze-rollan ne-oregano. Ku-400 ml wamanzi abilayo engeza isipuni seqoqo, ulethe ku-thumba kubhavu wamanzi, vumela ukupholisa ngokwemvelo. Phuza izikhathi ezine ngosuku nge-400 ml; uthathe ngemuva kokudla. Abanesifo sikashukela belulekwa ukuba bathathe isilinganiso esithile izinyanga eziningi;
- Hlanganisa ama-20 g we amahlumela we-Horsetail, amaqabunga e-raspberry, izimpande ze-elecampane, ama-inflorescence ama-marigold kanye ne-chestnut yamahhashi. Ku-500 ml wamanzi ashisayo engeza i-20 g yengxube, faka imizuzu engama-60. Phuza i-100 ml kathathu ngosuku. Ukwelapha kuthatha izinyanga ezimbili, ngemuva kwekhefu elingapheli inyanga, kuphinda futhi.
Umuthi wabantu abasebenza i-arteryosulinosis enobuchopho: hlanganisa u-50 g we-celandine, isikhwama somelusi, i-oregano, isihlahla esidliwayo esinamagatsha anamanzi, izithelo ezi-rowan, amaqabunga e-birch kanye namaqabunga e-sitrobheli. Ku-400 ml wamanzi abilayo engeza i-10 g yengxube yezidakamizwa, ibilise phezu kokushisa okuphansi imizuzu engama-20-25. Vumela ukupholisa, ukuhlunga. Phuza izikhathi ezine ngosuku nge-50-70 ml. Kwamukelwe imizuzu engama-30 ngaphambi kokudla.
Ukwelashwa kwe-atherosclerosis yemikhawulo engezansi thatha ukugeza ngezimbabazane. Ukuze wenze lokhu, gcwalisa okugeza ngesitshalo esisha, uthele amanzi abilayo. Bayeke benze imizuzu engama-30, engeza inani elidingekayo lamanzi apholile. Isikhathi senqubo yimizuzu engama-30, geza zonke ezinye izinsuku. Inkambo yizinyanga eziyi-1-2.
Njengokuvimbela i-atherosclerosis ku-mellitus yesifo sikashukela, iziguli ziyakhuthazwa ukuthi zibukeze ukudla kwazo, zihole indlela yokuphila esebenzayo, ziqaphe isisindo somzimba, zilawule i-glucose, umfutho wegazi, i-LDL ne-triglycerides.
Ungalapha kanjani i-atherosclerosis yemikhumbi izotshela uchwepheshe kule vidiyo ekulesi sihloko.
