Cardio Atherosclerotic: iingxaki. Cardiosclerosis: Unyango, Iimpawu, Oonobangela

Izifo sentliziyo inkqubo ubekwa kwindawo yokuqala rhoqo ingenzeka ehlabathini lonke. Ngomhla kwenye yeendawo zokuqala ezixabisa isifo sentliziyo kunye neengxaki zawo.

Yintoni isifo kwemithambo?

Xa isifo sentliziyo ukufa yimeko ukuvela ngenxa yegazi flow reduced kwinkqubo engundoqo iimpahla zentliziyo - imithambo yenhliziyo. Ngenxa yoko, le myocardium entliziyweni lifumana ioksijini ngaphantsi yaye ufumana oxygen yindlala. Ngenxa yesi sizathu, intliziyo akakwazi kakuhle ifezekise umsebenzi wayo, kwakunye ndisebenza umda amathuba alo. Ngenxa yoko, kukho ukuqina iindonga sentliziyo kunye nokwanda ubukhulu. Ngaxa lithile, kukuswela igazi neoksijini, kukho ngokugqithiseleyo ukuqina kwezihlunu, yaye ngenxa yoko liphuhlise komsipha engabalulekanga, okanye umonakalo sitya kunye nophuhliso legazi (iposi engabalulekanga). Amaninzi, le meko esiqingqiweyo nxamnye imvelaphi amanxeba atherosclerotic iimpahla coronary, kodwa izizathu imbonakalo yayo emininzi. Kuyanceda ukuba ukuqonda isizathu sokuba ekuphuhliseni le meko ibalulekileyo yaye ngokufuthi isifo - Cardio atherosclerotic.

Yintoni na le sifo - Cardio?

Ngokuqhelekileyo, cardiosclerosis ukuqonda inkqubo lakho badlula Ebubanzini imisipha yenhliziyo. Xa ekhoyo eqhelekileyo cardiomyocyte ozothatha kwizicwili, ezehlisa kakhulu ukusebenza kwentliziyo.

Kukho iintlobo ezimbini eziphambili, ezo bohlulwa Cardio - atherosclerotic kunye postinfarction.

Nanjengoko igama layo lixela, iposi engabalulekanga iphuhliswe kwisiza owayesakuba necrosis of cardiomyocytes - isifo sentliziyo. Phantsi Esikhundleni sakhe izicwili ezimashakeleyo yinkqubo komzimba umzimba uzama ukubuyisela organ abachaphazelekayo. kusebenze zayo iindlela ezintsonkothileyo yentsebenziswano phakathi iiseli engabalulekanga, kwizicwili kunye iiseli zamajoni omzimba.

Cardiosclerosis kwinkqubo atherosclerotic ngokuqhelekileyo zophendlo lwezifo kwaye isebenza kancinane eyohlukileyo sclerosis engabalulekanga. Esi sakhiwo isekelwe phezu ukuqokelela abasabela nokuselwa iimolekyuli ngamanqatha.

Ngokubhekiselele kwesi sifo, kwaye ulwahlulohlulo ngamazwe izifo. Ukuba kukho Cardio atherosclerotic - ikhowudi ICD leyo imiswe uxilongo - I24. By the way. Esi sifo ubethwa zonke, ngaphandle kokukhetha, izigulana ezindala ngaphezu kweminyaka engama-55. Yintoni uphawu ngaye?

Yamafutha nje ngesiseko isifo intliziyo

Njani ukuphuhlisa Cardio atherosclerotic? Izinto ezibangela le sifo - ukuphazamiseka pathways enxulumene ikakhulu ne nethe kwamafutha.

Yonke lento iqala nge ukungalingani lipoproteins emzimbeni. Indima ebalulekileyo edlalwa lipoproteins ephantsi-mninzi (ithathwa njengokuba yeyona atherogenic - uyakwazi ukuyilwa umonakalo atherosclerotic). Enye into ebalulekileyo ngokulinganayo kukuphelelwa yasekuhlaleni endothelium yegazi. Ngokwesiqhelo, le endothelium igutyungelwe izinto ezikhethekileyo ethintela kubo lipoproteins ekuphuculeni egazi. Ekubeni lo nawo uye uchaphazeleke, iimeko ukuqokelelela lipoproteins kwindawo ekwenzeke kuyo isiphene. Ngenxa yoko, kwisiza yomonakalo semithambo iphuhlise uqweqwe atherosclerotic. Njengoko ukukhula yayo yi exineneyo chu isitya coronary, leyo kudala iimeko ukuswela-oksijini. Ngenxa yoko, ukuncitshiswa phantse lonke igazi le mithambo eyeka eziya myocardium, kwaye kuphuhlisa sisifo sentliziyo yakhe.

utshintsho Atherosclerotic eludongeni intliziyo

Olu hlobo isifo - Cardio atherosclerotic - ngoyena nobangela ukusilela kwentliziyo. Ngenxa yoko kwephulwa oksijini engabalulekanga kunye nophuhliso inkqubo coronary sclerosis iya imisipha intliziyo. Ngenxa yoku, kuba zizonke kwaye nokhupho lwe ububanzi umzimba. Lokufunyaniswa Cardiosclerosis atherosclerotic amandla sadlala bonke abantu abadala ngaphezu kweminyaka 55-60. Ukuba ubukho eyandileyo imali lipoprotein. An ipesenti encinane kakhulu abantu baphephe uphuhliso esi sifo, apho kungenxa yokuba kufuneka uyazi malunga iimpawu kwesi sifo.

Uqala kwithuba elide. Ukunyhashwa ziyanda ngokuthe ngcembe, nto leyo esisizathu sokuba lokufunyaniswa izilonda atherosclerotic ngaphandle uphando olufanelekileyo akunakwenzeka. Ziintoni iimpawu zesi sifo yaye azibonakali njani abantu ezahlukeneyo?

ikliniki izifo

Naziphi na Iimpawu onyango musa azibonakalisa nje le nkqubo hayi myocardium yonke libandakanyeka, kwakunye nezinye ingaphakathi intliziyo. Kubaluleke nangakumbi kwaye licuthe le mithambo iimpahla coronary. Le klinikhi ayikhangeleki njengokuba logama nje sangqa kwemithambo zentliziyo akuyi kuncitshiswa yi-70 ekhulwini kwaye inhliziyo atherosclerotic Cardio.

izinto zokuqala ze zesifo ukuphelelwa umoya, iintlungu entliziyweni, lunyuka ngamaxesha athile uxinzelelo lwegazi.

Ukuphelelwa umoya kubonakala ngcembe. Ekuqaleni, uphuhliso yayo Zinjalo umthambo ngokugqithisileyo, kodwa ngokuhamba kwexesha imbonakalo wayo ube wedwa.

Njengoko intlungu entliziyweni, zifutha kwindalo kunye ngesiqhelo kwi sindisa intliziyo. Asikwazi bathi baye stenokardicheskie ubhalo (iintlungu contractive ibonakala zibe iingalo okanye umva). Kunye ukuqhubela phambili nobuhlungu esisigxina kakuhle nezisabelayo kwi ekufumaneni vasodilators.

Ukuba ufika nesigulana eso, waza waphawula imbali lwezonyango kunye yezonyango ezichazwe ngasentla, Cardio atherosclerotic - le nto kufuneka ukuba bacinga oyingcaphephe afanelekayo

lokufunyaniswa kwesifo

Ukufikelela isigwebo, kwaye impendulo yombuzo ngento eyenzekayo kule ndoda yaye kutheni wenza isikhalazo esinjalo, oko kuyimfuneko ukuze enze olunye uviwo malunga nesigulane eso. Lokufunyaniswa "Cardio atherosclerotic" kungabonwa phambi kwazo zonke iimpawu nezinto eziyingozi. Awongeziweyo amaqela ngabaya unefuthe kwinkqubo yophuhliso, izigulane yobudala 55 okanye ngaphezulu, isini into eyindoda, uhleli ungenzi nto, ukungondleki kakuhle.

Ukucacisa Uxilongo kufuneka wenziwe nokuba uphando. Phakathi kwabo beze uhlalutyo yokuqala zengqo- ngenxa yegazi, electrocardiogram kunye angiography sentliziyo.

Utshintsho kwi ECG, uphawu ngenxa yamafutha bentliziyo - ukuhla kwi ombane kwamazinyo (ukunciphisa ubungakanani yabo eqhelekileyo) kunye kakhulu normal ububanzi kunye nohlobo kwamazinyo.

angiography Uqhaqho utyhila licuthe iimpahla coronary kwaye icebisa nokungabikho oxygen myocardium.

unyango

Ngenxa ukuntsonkotha Pathogenesis esi sifo, kufuneka siqonde ukuba unyango kufuneka comprehensive. Intsalela ungenelelo non-kweziyobisi, kwakunye kweziyobisi kunye nongenelelo zotyando ukuvumela ukuba ukuphumelela elininzi ukunyanga isifo sentliziyo.

Okokuqala, kufuneka ibe kukukhuthaza indlela yokuphila esempilweni. Njengoko yaziwa, nokuhluthwa lwesondlo olufanelekileyo ngoyena nobangela uphambili umonakalo ezityeni intliziyo negazi kwentliziyo. Ukongeza, lo msebenzi onobuchule ivumela intliziyo ukulungiselela ngokufanelekileyo ukuze uxinzelelo elandelayo umsebenzi.

Ukuthobela le mithetho elula (ukutya okunempilo umthambo) kwenza kube lula ukuba alulibazisayo uhlaselo kwemithambo kangangexesha elithile. Ukusetyenziswa kweziyobisi iya kuphelisa unobangela sifo yaye ukubuyisela ukutya yesiqhelo.

Eyona nto kufuneka sinikele ingqalelo xa ufuna ukunyanga Cardio atherosclerotic - Pathogenesis kwesi sifo. Owenza units zalo ezisisiseko onokufikelela impumelelo elininzi kunyango sifo.

unyango ngamachiza

Unyango amachiza Cardiosclerosis atherosclerotic kufuneka iqale kuphela xa luyasebenza kwaye yaqinisekisa ubukho sisifo sentliziyo, kunye izilonda nemithambo. Ukulungiselela le njongo, ithetha amaqela afana ne-arhente umfutho, arhente yokulwa ukusilela intliziyo, statins, fibrates kunye metabolites.

therapy umfutho kubandakanya ukusetyenziswa inhibitors of angiotensin ukuguqula enzyme ( "Enalapril", "captopril"), womchamo ( "Indap" "Furosemide"). Womchamo nazo kusetyenziswa phambi sisifo sentliziyo kwaye phakathi kwabo nemixube ukuba abelwe kuqala.

kucetyiswa ukuba usebenzise amachiza pathways ( "Mildronat", "Cardiomagnyl") ukuphucula ukusebenza kwentliziyo. Banakho ukuphucula unikezelo igazi imisipha intliziyo, kwakunye negalelo ukusungulwa kweenkqubo okungenisa.

Ukongeza, xa ophilisayo izinga lentliziyo kunye nokuhlukunyezwa esebenza kakuhle ukusebenzisa glycosides kwentliziyo ( "digoxin", "Strofantin").

Ukusetyenziswa statins kunye fibrates

Statins iziyobisi enkulu unyango ngenxa yamafutha. Eli nyathelo labo kukunciphisa izinga lipoproteins atherogenic kwi plasma yegazi, ukuwa kwabo zinomgutyulo, kwaye Ukwanda igazi lipoproteins antiatherogenic (HDL - iiproteni ezixineneyo). Ukunyusa ingqondo yabo, uphucula iimpawu sokhuselo endothelium semithambo, uqinisa wayo, ntoleyo ephazamisana uphuhliso umonakalo ezintsha.

Fibrates zineziphumo efanayo, kodwa ukuba sizisebenzise kunye statin Akuvunyelwe ngokungqongqo ngenxa kuphuhliso yeziphumo ebezingalindelekanga.

Kuba le mithi unyango kusetyenziswa ezifana "Lovastatin," "Simvastatin", "Rosuvastatin." Of fibrates ngokubanzi yamkelwa "Clofibrate", "bezafibrate", "Gemfibrozil."

La machiza kufuneka isetyenziswe kuphela amayeza kwaye phantsi esweni zempilo mandatory, njengoko ingengabo bonke izigulane ezi amachiza ukunyamezeleka kakuhle.

unyango ngotyando

Ngenxa kwawo unyango non-kweziyobisi ebeka wabhenela ukusetyenziswa zotyando. imisebenzi spectrum olwenziwe kule ngezifo, amancinane, kwaye zijolise kakhulu ekwandeni kwemithambo iingqameko nokubuyisela ithombo legazi. Eyona ngokubanzi esa igazi, stenting kunye ibhaloni angioplasty.

utyando badlule yenziwa uqhaqho open-intliziyo yaye ngumsebenzi noko enzima yingozi.

Stenting ke kokukhutshelwa em- lwesakhiwo yenkcenkce isitya, injongo - ukwanda ngomatshini beempahla iingqameko.

Ibhaloni angioplasty liqonga sokuqala ngokusesikweni stenting, kodwa maxa wambi Ingasetyenziselwa kwakhona ngokuzimeleyo. It lwenziwa phantsi kolawulo X-ray. Le nqanawa utyholwa catheter ibhaluni. Akuba ibhaloni constriction sele olunyuswe, flattening lo uqweqwe ndlela banzi isitya.

ukuyifundisa

Xa unyango lwezifo sentliziyo iindlela physiotherapeutic andifumananga isicelo esithile, kodwa kuba lula kwizigulane kunye nezinye inkqubo nokumiswa lwezidumbu, ukuze zisetyenziswe.

Electrophoresis idla isicelo ngokwasekuhlaleni kummandla intliziyo kunye nokusetyenziswa kweziyobisi. Amaninzi, usebenzisa i zangoku ngqo kwi intliziyo statins. Ngaloo ndlela ke unako ukwenza yoxinaniso wasekuhlaleni into eya kwenza ngqo ngentliziyo kunye nokwanda egazini, kuse empahleni yonke.

It akuyiphazamisi izigulane kunye nonyango Spa ezintabeni. Kwaba khona ukuba ngcono kakhulu umsebenzi zothutho igazi Ukwanda le myocardium kunye neminye imibutho igazi ioksijini-rich.

umthambo therapeutic kunokunceda bunjani uxinzelelo lwegazi, ngokuyinxenye ukunciphisa iindleko umthambo, cholesterol kunye carbohydrate kwaye wena kunye nomzimba wakho ngethoni akhokele.

Cardio Atherosclerotic - iingxaki

Njengazo zonke izifo, isifo sentliziyo ineziphumo zayo ezimbi okanye iingxaki.

Okokuqala, yaphula intliziyo ngenxa izitshanguba yamafutha kuchaphazela yokuphila yesigulane. Ngaba ukuphuhlisa ukuphelelwa kakhulu ngumphefumlo kwi ikhomishini nawuphi na umsebenzi.

Amaxesha amaninzi xa ekuphuhliseni Cardio atherosclerotic, iingxaki ekunokwenzeka kophulwa umthetho izinga lentliziyo kunye nesingqisho ukuphazamiseka imbonakalo. Kukholisa ukuba kubekho fibrillation ventricular kunye ekuvaleni zophuhliso atrial, abagulayo sinus syndrome. Kwiimeko ezinqabe kakhulu, kukho asystole, kunye nokufa intliziyo ngesiquphe.

Ukuba umntu Cardio atherosclerotic, iingxaki badla ukuphuhlisa ngaphandle intliziyo. waphula kunokwenzeka-ethe eziphelweni, ingakumbi izandla neenyawo, iindawo data ebandayo umzimba, uphuhliso yome. Kwakhona ingqondo kunye imithambo yegazi, amehlo, kunye nezinye iinkqubo omzimba.

Ekuhambeni kwexesha, isifo semithambo kwanwenwa wonke umzimba. Kulo mzekelo, akukho unyango olukhethekileyo luyasebenza kwaye enze kuphela nomqondiso. Xa inkqubo isebenza sisiphumo kuphela apho ukubala umntu ongenamdla Cardio atherosclerotic - ukufa.

Prevention of yamafutha

Yinto eyaziwayo ukuba nasiphi na isifo kulula ukunqanda kunokuba ukunyangeka. Izifo entliziyweni nokufuya ngcamango. Kungenxa yoko le nto kufuneka wazi malunga iziganeko eziphambili kunye neendlela ukunceda ukuthintela Cardio atherosclerotic. Iingxaki kulo mzekelo, ukuba wenze yonke into kakuhle, akanakuze ukubonisa.

Okokuqala, simele sinikele ingqalelo indlela emini kunye yokutya. Kufuneka ungadli emva yesithandathu ngokuhlwa, yaye ukuba unayo zingenakunyamezeleka ngokupheleleyo, kungcono ukuba usele iglasi yobisi ophantsi-fat okanye iyogurt.

Qiniseka ukuba ixesha kunye nemfundo ngokwasemzimbeni. Uqeqesho kwentliziyo soze isenokubaxeka. Kuba kakuhle ifanele ukuhamba umsengi, yokuqubha.

Musa ukungazihoyi kunye ihlolwe. Ngokwesiqhelo phakathi kwabo, yaye watyhila oku okanye loo ngxaki, ngoko ke kungcono ukuba swi ubume impilo yabo kweentsuku ezimbalwa, kunokunyanga ngokwakho ukuba ubomi bakho.

Phambi iimpawu kungcono ukudibana kwangoko nogqirha ukumisela isicwangciso elandelayo amanyathelo.