Cardio Atherosclerotic: ukuxakeka. Cardiosclerosis: Ukwelashwa, Izimpawu, Izimbangela

Izifo zenhliziyo uhlelo lifaka kuqala imvamisa nesenzakalo emhlabeni wonke. Ngesinye yezindawo zokuqala kuwufanele senhliziyo kanye nezinkinga zayo.

Kuyini yenhliziyo Umthambo isifo?

Ngu senhliziyo iyisimo esakheka ngenxa encishisiwe ukugeleza kwegazi ohlelweni eyinhloko izitsha inhliziyo - imithambo yenhliziyo. Ngenxa yalokho, myocardium wenhliziyo uthola mpilo omncane ne ihlangabezana-mpilo indlala. Ngenxa yalesi sizathu, inhliziyo abakwazi ukufeza kahle umsebenzi walo, kanye ukusebenza lapho kugcwala isilinganiso amathuba ayo. Ngenxa yalokhu, kukhona ukuqina izindonga inhliziyo nokwanda ngobukhulu. Ngesinye isikhathi esededelwe, ngokuntula igazi nomoya-mpilo, kukhona ngokweqile imisipha ukungezwani, futhi ngenxa yalokho athuthukile uqhekeko esivimba amanzi, noma ukulimala umkhumbi ukuthuthukiswa ukopha (isilethikusebenza). Ngokuvamile, lokhu isimo iqinile ngokumelene isizinda izilonda atherosclerotic izitsha yenhliziyo, kodwa kungaba eziningi izizathu ukubukeka kwayo. Kuyasiza ukuba siqonde ukuthi kungani uthuthukisa isimo ezibaluleke kakhulu futhi kaningi CHD - cardio atherosclerotic.

Siyini ngempela lesi sifo - cardio?

Ngokuvamile, cardiosclerosis ukuqonda inqubo okungenakuhlehliswa ezidlulayo e ukushuba we imisipha yenhliziyo. Lapho-ke likhona evamile cardiomyocyte esikhundleni ngu ezicutshini, ezehlisa kakhulu ukusebenza inhliziyo.

Kukhona izinhlobo ezimbili eziyinhloko, okuyinto zihlukaniswe cardio - atherosclerotic futhi postinfarction.

Njengoba leli gama lisikisela, isilethikusebenza athuthukile kusayithi wangaphambilini we necrosis of cardiomyocytes - yinhliziyo. Ngaphansi esikhundleni sakhe kwezicubu ezilimele kuyinqubo bokuphila emzimbeni izama ukubuyisela isitho abathintekayo. kusebenze zako ziyizindlela izakhi eziyinkimbinkimbi ukuxhumana phakathi amaseli esivimba amanzi, sezicubu zezinzwa futhi amaseli kwesimiso somzimba sokuzivikela ezifweni.

Cardiosclerosis inqubo atherosclerotic ngokuvamile sokugembula ligijime ngokuhlukile kancane kuka sclerosis esivimba amanzi. Isakhiwo kusekelwe ekuqongeleleni ukusabela kanye ukusetshenziswa zishintshe amafutha.

It wayebhekisela kulesi sifo, futhi ngezigaba international izifo. Uma kukhona cardio atherosclerotic - ikhodi ICD okuyinto lihlelwe uphethwe - I24. By the way. Lokhu uphethwe echayeke wonke, ngaphandle kokukhetha, iziguli abaneminyaka engama-55. Kuyini sobuntu bakhe?

Isifo sokuqina kwemithambo yegazi njengesisekelo isifo senhliziyo

ekuthuthukiseni cardio atherosclerotic kanjani? Izimbangela yalesi sifo - iziyaluyalu umzimba okuhlobene ngokuyinhloko umzimba kwamafutha.

Konke kuqala nge ukungalingani lipoproteins emzimbeni. I indima ebalulekile eyadlalwa ephansi kwabantu lipoproteins (neyaziwayo njengoba atherogenic kakhulu - ukukwazi kumiswa zingcwecwe atherosclerotic). Esinye isici esibalulekile ngokulinganayo ukushonelwa endawo endothelium semithambo. Ngokuvamile, endothelium embozwe izinto ezikhethekile lapho nqanda them lipoproteins sokuxazulula kanye amahlule. Njengoba kuthintwa, izimo ekuqongeleleni lipoproteins endaweni mayelana nokwephulwa komthetho. Ngenxa yalokho, kusayithi kunomonakalo semithambo eba qwembe atherosclerotic. Njengoba ukukhula salo ukuvaleka kancane kancane umkhumbi i-coronary, kudala izimo ukuntula umoya-mpilo. Ngenxa yalokho, ukunciphisa cishe ingqikithi inesikhala igazi eyeka ogeleza myocardium, futhi ithuthukisa wakhe uhlaselwe yisifo senhliziyo.

izinguquko Atherosclerotic odongeni inhliziyo

Le ndlela CHD - cardio atherosclerotic - mbangela eyinhloko ephethwe yisifo senhliziyo. Ngenxa yalokho kwephulwa esivimba amanzi umoya-mpilo umncane kanye nokuthuthukiswa yenhliziyo inqubo sclerosis iya imisipha yenhliziyo. Ngenxa yalokhu, kuba inani ithumba lonke ukushuba emzimbeni. Sitholakele Cardiosclerosis atherosclerotic amandla okuhleliwe bonke abantu abaneminyaka engama 55-60. Ngempela khona amanani andayo alabo Esilula. Kuvele Inani elincane kakhulu abantu ungagwema ukuthuthukiswa yalesi sifo, yingakho kufanele ukwazi ngezici yalesi sifo.

Kutfutfukisa phezu isikhathi eside. Ukwephulwa zikhulisa kancane kancane, yingakho sitholakele izilonda atherosclerotic ngaphandle ucwaningo olufanele engenakwenzeka. Ziyini izimpawu zalesi sifo futhi kanjani they azibonakalisa abantu abahlukahlukene?

izifo umtholampilo

Noma yimuphi izimpawu zokwelashwa musa azibonakali nje inqubo akuyona yonke myocardium ehilelekile, kanye nezinye ulwelwesi lwesisu, kwenze inhliziyo. Kubaluleke ngokukhethekile futhi ukuvaleka mafutha anciphisa isikhala esingaphakathi izitsha yenhliziyo. Umtholampilo akubonakali nje ububanzi imithambo wenhliziyo ngeke lehla ngamaphesenti angu-okungenani 70 hhayi ukuthuthukisa atherosclerotic inhliziyo cardio.

ukubonakaliswa kokuqala zezifo iphika, ubuhlungu enhliziyweni, liyaphuma ngezikhathi blood pressure.

Ukuphelelwa ngumoya kuzibonakalisa kancane kancane. Ekuqaleni, ukukhula kwawo esivamile umsebenzi ngokweqile, kodwa ngokuhamba kwesikhathi ukubonakala kwawo kungaba wedwa.

Njengoba for ubuhlungu benhliziyo, basuke ezidabukile ngokwemvelo futhi ngokuvamile avele sindisa inhliziyo. Asinakusho ukuthi banayo stenokardicheskie uhlamvu (ubuhlungu contractive imbuthuma esifubeni noma emuva). Nge ukuqhubeka ubuhlungu njalo nengenawo zilalela ethola vasodilators.

Uma ufika isiguli enjalo, futhi eqaphela umlando emitholampilo yezokwelapha ezichazwe ngenhla, cardio atherosclerotic - yilokhu okufanele baye bacabanga onguchwepheshe oqeqeshiwe

sitholakele isifo

Ukuze bakhiphe isahlulelo, futhi impendulo yombuzo othi lokho okwenzeka kulo muntu futhi kungani wenza sikhalazo, kubalulekile ukuba afeze ukusihlola isiguli. Sitholakele "cardio atherosclerotic" kungatholakala ebukhoneni zonke izimpawu nezinto ingozi. izingxenye engeziwe wale mithandazo kunemtselela inqubo ukuthuthukiswa, iziguli engu-55 noma ngaphezulu, ubulili besilisa, yokuphila umzimba, ukudla okungenamsoco.

Ukucacisa uphethwe yini kufanele kwenziwe ngisho ucwaningo oluthe xaxa. Phakathi kwabo ukuza ukuhlaziywa kuqala kwamakhemikhali egazi cholesterol, electrocardiogram futhi angiography yenhliziyo.

Ushintsho E-ECG, nobuntu isifo sokuqina kwemithambo yegazi wenhliziyo - ukwehla voltage amazinyo (ekunciphiseni ubungako bawo evamile) nge evamile kakhulu nobubanzi kanye nohlobo amazinyo.

angiography coronary lembula ukuvaleka imithambo yenhliziyo iphinde iphakamise yokushodelwa umoya ukuze myocardium.

ukwelashwa

Banikezwe yinkimbinkimbi pathogenesis lesi sifo, kufanele uqonde ukuthi ukwelashwa kufanele kube olunzulu. Ibhalansi ye-non-izidakamizwa ukungenelela, kanye izidakamizwa kanye nokungenelela kuhlinzwa uvumele impumelelo eside ekwelapheni isifo senhliziyo.

Okokuqala, kuzomele kube ngenhloso yokwakha impilo enhle. Njengoba yaziwa, ukuhlukumeza umsoco ofanele kuyimbangela eyinhloko ukulimala inhliziyo negazi izitsha inhliziyo. Ngaphezu kwalokho, umsebenzi abanekhono ivumela inhliziyo ngendlela efanele ulungiselela uhlobo okwalandela on umsebenzi.

Ukuhambisana nale mithetho elula (Ukudla ukulinganisela futhi umsebenzi) enze kube nokwenzeka ukuba alibale ukuqala yenhliziyo Umthambo isifo isikhathi esithile. Ukusetshenziswa kwezidakamizwa uyoqeda imbangela yesifo nayo ukubuyisela umzimba evamile.

Into esemqoka okufanele ukuthi uyinake uma ufuna ukwelapha cardio atherosclerotic - pathogenesis lesi sifo. Acting on amayunithi zalo eziyisisekelo ipumelelo esijana nokwelashwa kwezifo kungakephuzi.

ukwelashwa

Ukwelashwa nokuvikelwa atherosclerotic Cardiosclerosis izidakamizwa kufanele uqale kuphela uma evumelekile futhi waqinisekisa khona ephethwe yisifo senhliziyo, kanye izilonda semithambo. Ngenxa yale njongo, kusho amaqembu ezifana ejenti antihypertensive, ama-ejenti yokulwa ukumelwa inhliziyo, statin, fibrates futhi metabolites.

yokwelapha Antihypertensive kuhilela ukusetshenziswa inhibitor ka angiotensin ukuguqulela enzayimu ( "Enalapril", "captopril"), isisu ( "Indap" "Furosemide"). Isisu nazo elisetshenziswa khona yinhliziyo futhi baphakathi kwalabo ukwakhiwa ukuthi wabelwe kuqala.

kunconywa ukusebenzisa izidakamizwa umzimba ( "Mildronat", "Cardiomagnyl") ukuze uthuthukise ukusebenza inhliziyo. Abakwazi ngcono igazi eligciniwe ukuze imisipha yenhliziyo, kanye neqhaza kwethulwa izinqubo okuzivuselela.

Ngaphezu kwalokho, lapho Ukushaya kwenhliziyo ukwephulwa okusebenza kakhulu ukusebenzisa glycosides inhliziyo ( "Digoxin", "Strofantin").

Ukusetshenziswa statin futhi fibrates

Statin yizidakamizwa ezinkulu ekwelapheni isifo sokuqina kwemithambo yegazi. Ingqikithi wezenzo zazo iwukuba ukunciphisa izinga lipoproteins atherogenic e-plasma, ukuwohloka kwabo futhi kukhuthaza, negazi ukugcwaliswa lipoproteins antiatherogenic (HDL - high density amaprotheni). Ukwandisa ingqondo, ngcono izakhiwo oluvikelayo endothelium semithambo, kuyinto oluqinisayo salo, esiwulwazi ebambezela ukuthuthukiswa zingcwecwe entsha.

Fibrates nemiphumela efanayo, kodwa ukuzisebenzisa kanye statin akuvunyelwe nhlobo ngenxa ukuthuthukiswa amathuba okuba nemiphumela engemihle.

Ngoba impatho wasebenzisa izidakamizwa ezifana "Lovastatin," "Simvastatin", "Rosuvastatin." Of fibrates kabanzi bamukela "Clofibrate", "bezafibrate", "Gemfibrozil."

Le mithi kumele sisetshenziswe kuphela ku kadokotela futhi ngaphansi saziso ukuqapha impilo, ngoba akuzona zonke iziguli lezi izidakamizwa bubekezelelwa kahle.

ukwelashwa kuhlinzwa

Nge ukwehluleka ukwelashwa non-izidakamizwa futhi enquma yakhetha ukusetshenziswa ukuhlinzwa. Spectrum imisebenzi olwenziwa kulesi zokugula, amancane, futhi wagxila ikakhulu yokusakazeka ayisesemikhulu ukuxhumelela imithambo yenhliziyo nokubuyisela ukugeleza kwegazi. I kabanzi kunazo dlula ukuhlinzwa, stenting kanye ibhaluni angioplasty.

ukuhlinzwa Dula ngokuvamile kwenziwa Ukuhlinzwa okukhulu kwenhliziyo futhi kuwumsebenzi sasivumela kuyinkimbinkimbi futhi iyingozi.

Stenting iyisingeniso phakathi komgodi isakhiwo metal bomkhumbi, okuyinto injongo - ukunwetshwa mechanical izitsha ayisesemikhulu.

Ibhaluni angioplasty kuyinto esisemthethweni kokuqala stenting esiteji, kodwa ngezinye izikhathi lungasetshenziswa ngokuzimela. It wenziwa ngaphansi kolawulo-X-ray. Lo mkhumbi usolwa ipayipi ibhaluni. Lapho ufika ibhaluni constriction is Ayihaba, ngaleyo ndlela aba uqwembe ube banzi isitsha.

Physiotherapy

Ekwelapheni izifo zenhliziyo hhayi izindlela physiotherapeutic bathole isicelo esithile, kodwa ukuze bakhululeke iziguli kanye nenqubo ezinye sokugembula ukumiswa, kungasetshenziselwa.

Electrophoresis livame bangakini ukuze esifundeni inhliziyo nokusetshenziswa kwezidakamizwa. Ngokuvamile, kusetshenziswa zamanje ngqo enhliziyweni ukuba ama-statin. Ngakho kungenzeka ukwakha lokuhlushwa endawo ikhemikhali uyokwenza ngqo ngenhliziyo ukusabalala ngemithambo yegazi ukuze zonke izinto.

Akukona ukugxambukela iziguli ukwelashwa spa ezintabeni. Kwaba kukhona ukuthi yathuthuka kakhulu ukusebenza kwezithuthi we ukugcwaliswa igazi we myocardium nezinye izinhlaka igazi elinomoya-mpilo.

umsebenzi zokwelapha kungasiza kujwayeleke blood pressure, ngokwengxenye ukunciphisa izindleko ukuvivinya umzimba, i-cholesterol kanye carbohydrate phila wena emzimbeni wakho ithoni.

cardio Atherosclerotic - yezinkinga

Njengazo zonke izifo, isifo senhliziyo has nemiphumela yako emibi noma izinkinga.

Okokuqala, ukuhlukumeza wenhliziyo ngenxa isifo sokuqina kwemithambo yegazi izilonda kuthinte yokuphila lesiguli. Can ukuthuthukisa kufushane okunzima umoya ikhomishana kwanoma yimuphi umsebenzi.

Ngokuvamile uma ethuthukisa cardio atherosclerotic, ukuxakeka kungenzeka ukuhlukumeza kwenhliziyo isigqi ukuphazamiseka ukubukeka. Ngokuvamile kukhona fibrillation ventricular futhi atrial ukuthuthukiswa blockades, ogulayo itheku syndrome. Ezimweni ezingavamile, kukhona asystole, futhi kungazelelwe ukufa inhliziyo.

Uma umuntu ine cardio atherosclerotic, kokuhlinzwa ngokuvamile ukuthuthukisa nangaphandle inhliziyo. kungenzeka yini ukuthi kwephulwe ukuzwela emachosheni, ikakhulukazi ezandleni nasezinyaweni, abandayo izindawo idatha yomzimba, ukuthuthukiswa yoma. Bangase ahlupheke ubuchopho futhi imithambo yegazi, amehlo, futhi olunye uhlaka izinhlelo.

Ngokuhamba kwesikhathi, isifo semithambo zibhebhetheka wonke umzimba. Kulokhu, akukho ukwelashwa okukhethekile kuyaphumelela futhi izenzo luyingxenye lingaze. Lapho inqubo egijima kuyimiphumela kuphela ezingasetshenziswa ukubala umuntu onesitifiketi i cardio atherosclerotic - ukufa.

Ukuvimbela isifo sokuqina kwemithambo yegazi

Kuyaziwa ukuthi yisiphi isifo kulula ukuvimbela kuka ukwelapha ezaziwayo. izifo zenhliziyo nazo afanelekile ekwakhiweni. Yingakho kufanele wazi ngezenzakalo main nezindlela ukusiza ukuvimbela cardio atherosclerotic. Izinkinga kuleli cala, uma wenza konke ngendlela efanele, ngeke siphinde ungabonisi.

Okokuqala, kufanele sinake imodi kosuku futhi ekudleni. Akumele udle emva lesithupha ntambama, kanti uma unanoma ngokuphelele babulawa, kungcono uphuze ingilazi ubisi olunamafutha amancane noma yogurt.

Qiniseka ukuthi uthathe isikhathi nemfundo ngokomzimba. Ukuqeqeshwa inhliziyo akusoze engadingekile. Ngoba kahle kuhambisana usheshe, ukubhukuda.

Ungavuli inganakiwe futhi ibekwe endaweni ukuhlolwa. Ngokuvamile phakathi kwabo, futhi wembula lokhu noma lokhuya nkinga, ngakho-ke kungcono ligxile sempilo yabo izinsukwana, esingayenza ngaphandle kokuthi siphathe ngokwakho konke ukuphila kwakho.

Ephambi kwezinduna izimpawu kungcono ngokushesha kudokotela ukuze sithathe isinqumo uhlelo olulandelayo.