Ungasusa kanjani imithambo yegazi ye-cholesterol plaque?

Ukuhlanza imithambo yegazi yama-cholesterol plaque kubandakanya izindlela ezahlukahlukene zezidakamizwa nez ezingezona izidakamizwa.

Ngaphezu kokuthatha imishanguzo efana nama-statins, i-fibrate, i-nicotinic acid kanye ne-LCD, kufanele ulandele indlela odla ngayo nokuzivocavoca. Enye inketho yokwelashwa kwezidakamizwa, ukondleka kanye nokulungiswa kwendlela yokuphila yi-hirudotherapy, i-acupuncture, ukwelashwa ngamatshe, ukwelashwa kwe-vacuum kanye nokusebenzisa amakhambi abantu.

Umbuzo uhlala uthi kungenzeka yini ukusula imikhumbi yama-cholesterol plaque. Kuyiqiniso, uma usondela le nkinga ngokungathi sína futhi uyinkimbinkimbi ukuze uhambisane nazo zonke izincomo zikadokotela, ungavimbela isifo sokuqina kwemizwa nemiphumela yako.

Izisekelo Zokudla

Kanye nokudla, cishe i-20% ye-cholesterol ingena emizimbeni yethu, ngoba ukudla kudlala indima ebalulekile ekuvinjelweni nasekwelashweni kwe-atherossteosis.

I-cholesterol ithwalwa ngokuphuma kwegazi ngamaprotheni akhethekile - ama-lipoprotein. Kukhona ama-lipoproteins aphezulu (HDL) kanye nokuqina kwabantu (LDL). Umehluko omkhulu phakathi kwabo ukuthi i-HDL ingena kalula egazini futhi ayisi-atherogenic, futhi i-LDL ayincibiliki ku-plasma futhi yakha i-precipitate.

Kungukunyuka kwezinga le-LDL, okuqukethwe kwe-cholesterol okuthi kwesinye isikhathi kufinyelele ku-45-50%, kuholele ekwakhekeni kwezigcawu ze-atherosclerotic.

Ukuze uvikele izinguquko ze-atherogenic emithanjeni yemithambo, kuyadingeka ukunciphisa ukusetshenziswa kokudla, kufaka phakathi i-cholesterol (Xc). Le mikhiqizo ifaka:

1. ubuchopho benyama noma yengulube (2000 mg Chs in 100 g).
2. isikhupha seqanda (1480 mg Xc ku-100g).
3. ushizi onzima (1500 mg Xs in 100g).
4. isibindi senyama yenkomo (530 mg Xc ku-100g).
5. izinso (375 mg Xc ku-100g).
6. ghee (285 mg Xc ku-100g).
7. ingulube (80 mg Xc ku-100g).

Ukudla nsuku zonke kwe-cholesterol kungama-200 mg. Ngokunciphisa kuphela ukusetshenziswa kwemikhiqizo engenhla, ungahlanza imikhumbi.

Izincomo zokudla ngokuvikela nokwelashwa kwe-atherosulinosis:

• Yehlisa ukungena kwama-carbohydrate angagayeka kalula. Zitholakala empahleni ebhakwe, ushokoledi, amaswidi, pasta, amazambane, amanzi amnandi e-carbonated.
• Thuthukisa ukudla kwakho ngokudla okuqukethe okunamafutha e-polyunsaturated. Lokhu kufaka phakathi i-oyela yemifino, inhlanzi yolwandle, imbewu yethanga, imbewu yesame.
• Ukudla kufanele kususelwe enyameni engenamafutha (inkukhu, iturkey, unogwaja), imikhiqizo yobisi enamaphesenti aphansi wamafutha, i-legumes, okusanhlamvu okune-fiber, imifino eluhlaza nezithelo.
• Khawulela umthamo usawoti (ojwayelekile kuya ku-5 g ngosuku). Usawoti omningi emzimbeni uholela ekugcineni ukugeleza kanye nokukhula komfutho wegazi. Futhi, kungcono ukukhipha ngokuphelele ukudla okukhethiwe, okunosawoti, nokubhemayo ekudleni.

Ngaphezu kwalesi sidlo, kungcono ukupheka kwifomu elibilisiwe, elibhakwe noma elosiwe. Ukudla kufanele kuchotshozwe: kungakuhle ukuthi udle izingxenye ezincane ezingama-5-6 ngosuku.

Ukulungiswa kwendlela yokuphila

I-Hypodynamia (indlela yokuphila yokwehlisa umzimba) ngenye yezinto eziphambili ezithinta ukubekelwa phansi kwamachashaza e-cholesterol ezindongeni zemithambo yegazi.

Izinqubo ze-Pathological emithanjeni zenzeka lapho i-metabolism incipha futhi kuxazululwa i-LDL.

Ngakho-ke, kuyadingeka ukwethula njengomthetho ohamba nsuku zonke emoyeni omusha kanye nokuzivocavoca okulinganiselayo. Ngokungangabazeki bazosizakala: bazothuthukisa imetabolism, banikeze amandla futhi basize ekuhlanzeni imikhumbi.

Nge-atherossteosis, odokotela batusa:

1. ukuzibandakanya ekuhambeni nasekugijimeni;
2. dlala imidlalo ehlanganayo yemidlalo (volleyball, ibhola lezinyawo);
3. hamba uyobhukuda ngoba kufaka wonke amaqembu emisipha;
4. ukuzibandakanya kumdanso, pilates ne-yoga.

I-Alcohol ne-nicotine yimikhuba emibi okufanele ilahlwe ukuvikela ukugcwala kwe-cholesterol. Ukuphuza utshwala nokubhema kulimaza izindonga zemithambo yegazi, kunciphile futhi kunciphise ukuqina kwawo, okuholela kuma-pathologies ahlukahlukene enhliziyo.

Ingxenye ebalulekile yokwelashwa okungeyona yezidakamizwa ye-atherossteosis ukulungiswa kwesisindo. Ukukhuluphala ngokweqile kuholela ekunciphiseni kwe-metabolism kanye nokubekwa kwe-LDL. Uma isiguli sikhuluphele ngokweqile, kufanele sifune usizo lodokotela wezokudla ukusiza ukwehlisa isisindo sabo. Ezimweni ezinjalo, kufanele ulandele ukudla nokuzivocavoca. Izinsuku zokuzila (ukuzila ukudla) nazo zihlala zilungile.

Elinye iphuzu elibalulekile ukulinganiselwa kwakho kusuka ekucindezelekeni nasekuxinekeni ngokomzwelo. Ngesikhathi sezimo ezicindezelayo, izindlala ze-adrenal zikhiqiza i-hormone cortisol, ekhulisa ukugcwala kwe-cholesterol.

Kuyadingeka futhi ukuguqula umbuso wosuku, unamathele ekulaleni okunempilo (okungenani amahora angu-8), kunengqondo ukushintshana ngokuphumula nokusebenza.

Imigomo yokwelashwa kwezidakamizwa

Kuyadingeka ukubhekana ne-atherosclerosis ngendlela ebanzi, ngakho-ke ayikho indlela ongayenza ngaphandle kokwelashwa ngezidakamizwa.

Ukuzikhethela komuthi wokwelashwa kufanele kwenziwe kuphela ngudokotela.

Ukuzelapha kungavunyelwe ngokuphelele.

Kunamaqembu ambalwa okwelapha izidakamizwa anciphisa ukugcwala kwe-cholesterol egazini:

• ama-statin
• imicu;
• Abalandelisi be-LCD;
• i-nicotinic acid.

Izimo ziyimithi enciphisa i-lipid, ngokuya isetshenziswa kwezokwelapha zanamuhla. Zinqabela i-HMG-CoAreductase enzyme, okumqoka ekuguqulweni kwe-melovanate ibe yi-cholesterol. Okwamanje, kunama-taestatins:

1. Isizukulwane sokuqala - Simvastatin (Zokor), Lovastatin (Holetar, Lovacor).
2. Isizukulwane sesibili yiFluvastatin (Leskol).
3. Isizukulwane sesithathu yi-Atorvastatin (Torvacard, Atoris).
4. Isizukulwane sesine yiRosuvastatin (Roxer, Rosucard, Crestor).

Ukusetshenziswa kwezidakamizwa ezinjalo kusiza ukwehlisa ukuqoqwa kwe-cholesterol ephelele ne-LDL, kunciphisa usayizi wama-plaipleheroticotic futhi kwandise izinga le-HDL.

Ama-fibrate (clofibrate, fenofibrate) izidakamizwa ezinciphisa ukuqoqwa kwe-LDL ne-triglycerides, kanye nokwandisa i-HDL. Ngakho-ke, kunokuhlanzwa kwemithambo yegazi evela kuma-cholesterol plaque. Indlela yokusebenza ye-fibrate ihlotshaniswa nokwenza kusebenze i-enzyme lipoprotein lipase.

Ama-sexile e-Bile acid izidakamizwa ezandisa ukucasulwa kwama-bile acid futhi ziphazamisa ukumuncwa kwe-LDL emathunjini. Ngenxa yokwamukela abahleli be-LCD, kungenzeka ukuthi wehlise i-cholesterol futhi uhlanze imikhumbi.

I-Nicotinic acid, kanye nokutholakala kwayo, kwaqala ukusetshenziswa ngo-1950s. Kwehlise ngempumelelo amazinga we-LDL futhi kwenyusa namazinga e-HDL. Kepha ngenxa yokuba khona kwenani elikhulu lokuphendula okungalungile, okwamanje alisetshenziswa.

Kwezinye izimo, kunikezwa eminye imithi yokuhlanza i-arterial, enjenge-Probucol, i-Omega-3-glycerides, ne-Ezetemib.

Ukuhlinzwa kwenhliziyo ukuhlanza umkhumbi

Izindlela zokuhlinzwa zenhliziyo ziba yisidingo lapho izidakamizwa ezisehlisa i-lipid ziba zingasebenzi, kanti i-atherosulinosis ibanga izinkinga ezinkulu.

Kwesinye isikhathi iziguli zifunda nge-atherosclerosis lapho sezilaliswe esibhedlela.

Ezimweni ezinjalo, imithambo igaxwe kakhulu ngamadola we-cholesterol kangangokuba ilayisha ukuhamba kwegazi. Ngasikhathi sinye, inhliziyo ayinikezwa ngokwanele i-oxygen.

Kunezinhlobo eziningi zokuhlinzwa zokwelapha i-atherossteosis:

• I-Plasmapheresis Kuyindlela engaphandle kokuhlanza imithambo evela ezilondeni ze-atherosulinotic. Ingqikithi yayo ilele ekuhlunga i-plasma ngokusebenzisa i-apparatus ekhethekile. Ngemuva kwezinqubo ze-4-5, ukuthuthukiswa kwempilo yeziguli kuyabonakala. Ngemuva kwalokhu, kufanele ulandele ukudla, unikeze imikhuba emibi futhi udlale imidlalo.
• I-Angioplasty. Le ndlela yokuhlaseleka engajwayelekile, efaka ukwethulwa kwe-balloon catheter endaweni yokunciphisa umkhumbi, enwebeka ngo-lumen wayo. Ukungenelela kokuhlinzwa kwenziwa ngempumelelo emithanjeni yobuchopho, inhliziyo kanye nemikhawulo ephansi. Kodwa-ke, ngokuhamba kwesikhathi, i-plaque iqala ukukhula futhi, okuwukungathandeki okuyinhloko kwale ndlela (umphumela wesikhashana).
• I-Stent. Inqubo yokwazisa isikebhe sensimbi emgodini wegazi, okhulisa izikhala ezishisiwe. Iziguli ezinethuba elikhudlwana lokukhula i-thrombosis ne-thrombophlebitis zinikezwa isihlungi esikhethekile ukuvimba izigaxa zegazi ukuthi zingangeni egazini. Uma kuqhathaniswa nezinye izinqubo, ukufakwa ngamazinyo kuyindlela engabizi kakhulu yokuhlasela.

Ngaphezu kwalokho, indlela yedlula esetshenziswa. Indlela eyinkimbinkimbi yokubuyisela ukujikeleza kwegazi okungenampilo, lapho udokotela ohlinzayo akha umkhumbi omusha, imvamisa kusuka engxenyeni yomthambo wesitho sowesifazane. Ngakho-ke, amathuba okuba nesifo senhliziyo nesifo senhliziyo kuncishisiwe.

Ukuhlinzwa kwe-Bypass kwenziwa kahle emikhunjini yama-coronary, kanye nemithambo yemikhawulo engezansi nengaphezulu.

Ukwelashwa okuhlukile

Kwesinye isikhathi iziguli zisebenzisa ezinye izindlela zokwelapha ezimweni lapho umuthi ungakhiqizi umphumela owufunayo. Cabanga ngezindlela ezidumile njenge-hirudotherapy, i-acupuncture, i-vacuum therapy kanye nokwelapha ngamatshe.

Ukuphinda uzuze izingcezu zegazi nama-atherosselotic plaque kungatholakala ngenxa ye-hirudotherapy. Le ndlela yokwelashwa ehlukile ukusebenzisa ama-leeches wezokwelapha.

Umphumela wokwelapha ubonakaliswa eqinisweni lokuthi ama-leeches avumela ama-enzyme akhethekile egazini lomuntu - i-hirudin nama-enzyme. Bangena ukujikeleza kwe-systemic futhi bancibilikise izingqimba zegazi nezinsimbi ezincane.

IHirudotherapy ayisetshenziselwa kuphela ukuvimbela nokwelashwa kwe-atherosulinosis. Isetshenziselwa ngempumelelo ukuphazamiseka kwegazi, ukukhathala, ukukhulelwa, isigaba se-cesarean, esenziwa izinyanga ezi-4, nomfutho wegazi ophansi njalo.

Enye into i-acupuncture (i-acupuncture), equkethe ekuvumelaniseni ukuhamba kwamandla esiteshi, okuthinta ngokuqinile imetabolism ye-lipid.

Ukwelapha ngomjovo kusetshenziswa njengesijobelelo ekwelashweni okuyinhloko kwe-atherosclerosis. Ukuqunjelwa kwe-massage kuyenziwa ngokuqagela komgogodla. Umphumela wokwelapha ukwandisa imithambo yegazi, ukuthuthukisa isimo sama-pores esikhumba, ukuqeda izinqubo ezimi futhi kusheshise izinqubo ze-metabolic.

Ukwelashwa ngamatshe ukusetshenziswa kwamatshe abandayo nawashisayo ukuqinisa izindonga zemithambo yegazi.

Le nqubo ikhiqiza umphumela omuhle wokuphumula futhi isheshise imetabolism, esiza ukunciphisa i-LDL futhi inyuse i-HDL.

Zokupheka zemithi yendabuko

Izindlela zokupheka zemithi ezihlukile ngokuhambisana nokwelashwa kwezidakamizwa zinciphisa imithambo yegazi yama-cholesterol plaque futhi zivikele ukukhula kwesifo sohlangothi, ukushaya kwenhliziyo, isifo se-angina pectoris nesifo senhliziyo.

Ngaphambi kokuba asebenzise amakhambi abantu, isiguli kumele siye kudokotela wakho okwelapha. Uchwepheshe uzokwazisa isiguli ukuthi angazidla yini izidakamizwa, ngoba ezinye zazo zinezimpikiswano. Isibonelo, imikhiqizo esekwe kugarlic ayivunyelwe ukusetshenziswa ku-pathologies yesisu esiswini - isilonda esiswini kanye ne-duodenal ulcer, gastritis, cholecystitis, isifo se-gallstone, njll.

Ngokusho kokubuyekezwa kweziguli eziningi ezihlushwa i-atherossteosis, izihlanza ezisebenza kahle kakhulu zephunga elisuselwa kugalikhi nakulamula, oats, walnuts namakhambi.

Ngokunikezwa kwe-contraindication kanye nokuzikhethela komuntu, isiguli singazikhethela ithuluzi elihle kakhulu lokuhlanza imithambo yegazi kusuka ku-cholesterol kanye nokuqhekeka kwegazi.

Mayelana nokuhlanzwa kwemikhumbi enamakhambi abantu kuchazwe kuvidiyo kule ndatshana.