ʻO Atherosclerosis kahi maʻi maʻi o ka ʻōnaehana vaskular, ka mea i hōʻike ʻia e kahi ʻano maʻi a me ka holomua i ka maʻamau.
ʻO ka pathogenesis o kēia maʻi aia i ka hana ʻana o nā pli atherosclerotic ma ka intima o nā kīhāpai, ka pani ʻana o ka lumen o nā kīʻaha a me ka pale hewa ʻana o ke koko i nā ʻāpana a me nā io palupalu.
Hoʻohui pinepine ʻia kēia maʻi me nā ala ʻē aʻe, e like me ka angina pectoris, type 2 diabetes mellitus, hypertension, metabolic syndrome a me nā momona.
ʻO ka hapa nui, ʻo ka prognosis i ka loaʻa ʻole o ka mālama kūpono e ʻilihune ma muli o nā hoʻopiʻi e like me ka hemorrhagic a ischemic stroke, myocardial infarction, hōʻeha i ka ischemic attack a me ka gang gangene o lalo.
Nā mea pilikia no ka hoʻomohala ʻana i ka atherosclerosis:
- ʻO ka hypercholesterolemia wā lōʻihi ma muli o ka paleʻana i ka papaʻai, kahi ʻohana i ka dyslipidemia, luhi, ka metabola syndrome, nā maʻi endocrine (hypothyroidism, maʻi o Herenko-Cush, maʻi mellitus).
- Hōʻino i nā paia o nā kīʻaha koko o ke kaila nui a me ka nui - ma muli o nā kumu hemodynamic (kiʻekiʻe ke koko ma nā wahi o ka bifurcation o nā kīʻaha koko), inu nui i ka waiʻona, ka ulaula, ka nele o ke ʻano hana kino, ke koko kiʻekiʻe, ka makemake i ka thrombosis a me ka thromboembolism.
Hiki paha ke pale i ka hiki ʻana o ka atherosclerosis a me ka maʻi naʻau coronary me ka ʻina inu wai maʻamau?
Aia kekahi manaʻo e inu maʻamau ka poʻe i ka inu ʻona me nā pōkole no ka atherosclerotic.
ʻO ka manawa pinepine, hiki ke lohe ʻia kēlā ʻōlelo mai ka poʻe pathologists.
Akā e hoʻomanaʻo ʻia hoʻi he manaʻo kēia wale nō kēia, i hoʻokumu ʻia i ka wā o ka hana.
I ka poʻe e inu i ka nui o nā ʻāpana ʻawaʻī, he make i ka make mai nā maʻi ʻē aʻe a ma mua o ka hoʻomohala ʻana o ka loli o ka atherosclerotic vascular.
ʻO ke hema o nā pākahi i kahi hana mahele ʻāpana i loaʻa pū kekahi i ka pōʻino a me ka hoʻohaʻahaʻa ʻana i ka mālama ʻana i nā protein a me nā ʻaina i nā mea hoʻonaninani.
Hiki i ka waiʻona ke hoʻoheoheʻe i nā momona i kekahi mea, ʻoiai kona ʻano kūlohelohe etil ka wai waipiki he waiwai amphiphilic e hoʻomoe ana i nā wai aque a me nā momona.
Hopena o ke kuhi hewa
ʻO ka komo ʻana o ka ʻākala i loko o nā nui e hiki ai ke hoʻopilikia i nā pāpa a atherosclerotic a me ka rheology i ke koko e alakaʻi hou ai i ka ʻākena a me nā maʻi e pili ana - ka waiʻona palalikoopathy, encephalopathy a me nā maʻi ʻakaʻaka.
Eia pū kekahi, ʻo ka nui o ka waiʻona e pili ana i ka pae o nā hōʻemi o ka cholesterol - e hoʻemi ana i nā lipoproteins kiʻekiʻe (anti-atherogenic) a hoʻonui i nā lipoproteins haʻahaʻa haʻahaʻa a haʻahaʻa, triglycerides.
Hoʻohui ia, me ka hoʻohiolo pinepine ʻia o nā ʻuhane, ke kuhi ʻana i nā hana āpau āpau, ʻo ka momona hoʻi, hoʻoulu ʻia, e alakaʻi ana i ka hoʻoili ʻia ʻana o nā fiber, a me ka loaʻa ʻana o nā maʻi e like me ka momona momona a me ka momona o ka puʻuwai haʻahaʻa ("tiger heart").
Hoʻololi ka huela o ka protein, ʻo ia hoʻi, nā vitamina B, ka mea e pili ai i nā kūlohelohe kognitive, ka hoʻokuʻi o ke a me nā hana o ke kuapo o ka gastrointestinal.
Hoʻopilikia ka waiʻona i ka paia o nā kīʻaha koko e like me kēia - ma ka mua hoʻonui ia i mea hoʻonui iā lākou, a laila palupalu.
Hoʻopilikia kēia hopena i nā ʻili i hoʻopili ʻia e ka atherosclerosis a hiki ke alakaʻi i ka wāwahi i nā pākeke a me kahi hala nui o ke kahe koko.
Hiki i ka hopena o nā wai nui o nā wai inu nui ma ka pae lipid koko hiki ke pili i ka moʻomeheu o ka ʻahaʻaina a me ka hoʻohana ʻana i nā meaʻai me nā kolamu e like me nā mea kīnā no ka wai inu.
ʻO ka hopena o ka waiʻona ke inu i nā wai liʻiliʻi
Me ka hoʻohana pono ʻana, ʻoiaʻiʻo, e kūpono ana ka atherosclerosis a me ka waiʻona, ʻo ia hoʻi, aia kekahi mau noiʻi e pili ana i nā pōmaikaʻi o nā pika liʻiliʻi o nā mea inu ʻaka.
Hoʻohana ʻia nā ʻāpana like ʻole - pia - 0.33 lita, waina - 150 milliliters, vodka a i ʻole cognac - 50 milliliters kēlā me kēia.
ʻO kēia mau doses i manaʻo ʻia he therapeutic, a hiki ke hoʻohana ʻia i ka mālama a me ka pale ʻana i nā maʻi o ka ʻōnaehana cardiovascular.
Ua hōʻike ʻia ma ka hoʻemi ʻemi hoʻemi ʻana i ka hōʻemi o ka make mai ka puʻuwai pu, hōʻeha, ka thrombosis a me ka thromboembolism.
ʻO ka inu ʻana i ka lawelawe ʻana o ka wai o ka 1-2 o ka mea e hōʻemi ai i ka hopena o ka hoʻopiʻi ʻana ma hope o ka pau ʻana o ka hoʻomaʻamaʻa ʻana e hoʻoponopono ai.
No ka hōʻemi a hoʻonaninani ka hopena i ka nui o fibrin a me nā fibrinogen i loko o ke koko koko, a hoʻonui i ka nui o ka profibrinolysin, he enzyme e hoʻokaʻawale i nā clots koko, e hoʻoliʻiliʻi ana i ka hopena o nā kīnā koko a me ka emboli i nā kīʻaha koko.
ʻO nā kīʻaha liʻiliʻi o nā mea inu, e like me ka waina, ka mea, i ka hoʻohui i ka ethyl alkohol, antioxidants (resveratrol a me nā mea ʻē aʻe), ka mea e hoʻopale kino i nā ʻano ʻano metabolism i loko o ke kino, a pale pū hoʻi i ka restenosis - ʻehaʻeha a me nā stent patent impaired i ka vascular.
Ua hōʻike ʻia nā noiʻi lāʻau lapaʻau i nā wahine e ʻai ʻana i ka waina maʻa mau ke hoʻohaʻahaʻa haʻahaʻa i loaʻa ke kaumaha o ke kino ma mua o ka poʻe inu ʻole i ka waiʻona. Ma ke kakali he 10 mau noiʻi, ua loaʻa i ka hui mua he awelika o 2 kilograms ma mua o ka mea ʻaʻohe o ka waina.
ʻO ka hoʻohana ʻana i ka waiʻona ua contraindicated ʻokoʻa loa i loko o:
- Me nā paleʻole o ka ate, e like me ka viral, kaomi a me ka maʻi hepatitis, cirrhosis.
- Me nā pathologies o ka gastrointestinal tract - ulia peptic o ka ʻōpū a i ʻole duodenum a me ulcerative colitis.
- ʻO nā maʻi pancreatic - ka maʻi a me ka maʻi pancreatitis, pancreatic necrosis.
- Nā maʻi maʻi ʻona - ka maʻi bronchial a me ka mōʻaukala o ka edema Quincke.
- ʻO nā hoʻopiʻi i hala iho nei o ka maʻi ischemic - myocardial infarction a me ka hahau.
- Nā maʻi noʻonoʻo a me nā maʻi ʻōpala lolo e like me ka epilepsy a me ka meningitis.
- ʻO nā kaʻina loina i kēlā me kēia hanana.
- ʻO ka maʻi hypertension koʻikoʻi me nā meaʻino kekahi mau kino.
- ʻO nā ʻeha hōʻeha o ka lolo traumatic.
He mea pono ʻole e inu i ka waiʻona me ka inu ʻākena i nā hoahānau pili pili nui, i ka wikiwiki e hōʻemi ʻia mai nā wai liʻiliʻi a me nā mea hoʻomanaʻo hoʻomanaʻo ma hope o kahi pāʻina.
Pono e hoʻomanaʻo ʻia ʻo ka waiʻona he ʻokoʻa kūleʻa ʻole no ka pale a me ka mālama ʻana i kekahi maʻi, ʻaʻole hiki ke hoʻololi i nā lāʻau lapaʻau.
He mea nui hoʻi ka moʻomeheu ʻawa ʻawaʻawa - hiki iā ʻoe ke inu wale me ka meaʻai, ma kahi ʻōpū ʻole, ʻo ia ka liʻiliʻi liʻiliʻi e hiki ke hoʻonāukiuki i ka puhi o ka mucous membrane, a i ka wā e hiki mai ana i ka ulia peptic.
Hōʻike ʻia e inu i ka waiʻona me kahi pāʻina ahiahi a i ʻelua paha hola ma mua.
E like me ka meaʻawa, pono ʻoe e ʻai i nā meaʻai haʻahaʻa haʻahaʻa, e like me ka moʻo ʻana i nā mea ʻai, nā moa, nā ihi momona haʻahaʻa, nā hua.
Ke hoʻohana ʻia nei i kekahi mau lāʻau lapaʻau, pāpā ʻia ka waiʻona, no ka laʻana, i ka mālama ʻana i ka hypertension me nā beta-blockers a me ka diuretics, ke hele nei i kahi papa o ka maʻi antibacterial a i ka mālama ʻana i nā lāʻau anti-inflammatory non-steroidal (Aspirin).
ʻAʻole pāpā ʻia ka hoʻohui ʻana i ka antidepressants a me ka waiʻona, hiki i kēia ke alakaʻi i ka holomua o ka maʻi.
Diet a hoʻomaʻamaʻa ma ka mālama ʻana i ka atherosclerosis
ʻO ka mālamaʻana i ka atherosclerosis kahi mea i hoʻohui ʻole i nā lāʻau me ka lāʻau lapaʻau - hoʻololi i ke ʻano o ke ola, kaʻai ʻana, ka hāʻawi ʻana i nā hana maikaʻi, nā lāʻau lapaʻau.
Inā pono, hoʻokuʻi ʻia nā mea hoʻoponopono ma ke kaʻina o ka mālama ʻana i ka pathology.
ʻO ka papaʻai no ka atherosclerosis ka hypocaloric, hypolipidemic, a ke manaʻo nei i ka hoʻololi hou ʻana o nā huahana holoholona.
ʻO kēia mau huahana me:
- puaa puaa
- hipa a me nā mea momona ʻē aʻe;
- wehe ʻole;
- momona;
- hua moa.
ʻO nā mea momona a me nā meaʻaiʻai a me nā meaʻai wikiwiki e hoʻololi mau ai e nā meaʻai momona a me nā meaʻai ʻai.
ʻO ka papaʻai e hoʻokomo i nā meaʻai momona. ʻO kēia mau meaʻai ka salads; kāpeti; greens; nā palaoa a me nā legumes; palaoa a pau; bran.
Nā kumuwaiwai o nā momona unsaturated maikaʻi loa (ka iʻa, nā aila ʻāpala, nā mea ʻona, nā hua a me nā nati) a me nā protein (hua keʻokeʻo keʻokeʻo, moa, manuahi, hoʻonaninani liʻiliʻi, pipi, pipi i ka huahana) e hoʻokomo i ka meaʻai.
Manaʻo ʻia e hoʻohana i ka 1,5 - 2 lita o ka wai mau i kēlā me kēia lā, hoʻemi i ka hoʻohana ʻana o kaʻaila a me ke kofe, hoʻopau loa i ka wai carbonated, ka inu ʻola.
ʻO ka hana nui ma ka mālama ʻana i ka atherosclerosis ka hana kino, e hoʻomaka ana me ka liʻiliʻi. Hana ʻia
- hele
- aerobics
- ke holo nei
- e hōʻoluʻolu;
- hoʻoikaika kino pilikino;
- nā papa ma ke mele;
- ʻauʻau.
Pono e hoʻomanaʻo ʻia e pono ʻoe e hoʻomaka i ka hoʻomaʻamaʻa mālie, kiaʻi i kou olakino, pulse a me ke koko.
Hoʻomaopopo ia e hoʻonui i ka nui o nā ukana me ka hoʻomanawanui maʻamau a me ka nalo ʻana o nā contraindications.
ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau
I ka haʻalele ʻana o nā hopena kūpono mai ka hoʻohana ʻana i ka ʻai a me nā haina haʻuki, hoʻohana ʻia ka lāʻau lapaʻau.
No ka hana lapaʻau me ka hoʻohana ʻana i nā lāʻau lapaʻau, hoʻohana ʻia nā lāʻau pili i nā ʻano like ʻole o nā lāʻau lapaʻau.
Pono ka hoʻohana ʻana i nā lāʻau lapaʻau me ka mālama pono ʻana i nā meaʻai a me nā ukana haʻuki no ke kino.
Ke komo pū ka lāʻau lapaʻau:
- Nā huaʻala me ka hopena hypolipidemic o statins (Simvastatin, Lovastatin, Atorvastatin, Fluvastatin, Pravastatin);
- Niacin, nāʻaina (Fenofibrate, Bezafibrat, Tsiprofibrat), probucol, nā ʻōpio o nā waikawa bile.
- Nā ʻeka o Antiplatelet - Ka waikawa Acetylsalicylic, Magnikor, Asparkam, Cardiomagnyl, Plavix, Clopidogrel.
- Hoʻomoe a me ka hana anticoagulant - Heparin, Enoxiparin.
- ʻO ka lāʻau Vasoactive - Vazoprostan, Cilostazol.
- Nā lāʻau lapaʻau antispasmodic (No-shpa, Drotaverin, Papaverine, Riabal).
- Hoʻomākaukau huaʻala (vitamina C, pūʻulu B, ascorutin), sedative a me nā sedative therapy (Afobazol, Glycine, Valocordin, Donormil), nootropic drug (Aminalon, Nootropil, Bilobil, Phenotropil).
- ʻO ka hoʻōla kūloko o nā maʻi hoʻopiʻi atherosclerosis (nā poni antibacterial), lāʻau lapaʻau lāʻau.
Pono kēlā e mālama i nā maʻi concomitant.
No ka mālamaʻana o ka pectoris angina, hoʻohana ʻia nā nitrates e hooki i ka hōʻeha ʻana i nā hōʻeha ʻana, nā ʻāpana antiplatelet a me nā anticoagulants.
Hoʻohana ʻia ka hypertension me ka hoʻohana ʻana i ka ACE inhibitors, calcium antagonists, beta blockers, diuretics and angiotensin receptor antagonist.
Hoʻohana ʻia ka lāʻau lapaʻau o ka maʻi maʻi me nā lālani hypoglycemic waha, no ka laʻana ʻo Metformin.
Hoʻopilikia maikaʻi ka antagonis kalakalia i ke kani vascular a hoʻonui iā lākou, e hoʻonui ana i ke kahe koko i nā kino.
He mea koʻikoʻi kēia waiwai no ka atherosclerosis o nā moku cerebral. E noi i nā lāʻau lapaʻau e like me Verapamil, Amlodipine, Corinfar, Adalat, Nimodipine.
I ka pale ʻana o ka atherosclerosis, ʻo ka mea nui ke ala holoʻokoʻa, kahi i mālama ai i nā maʻi concomitant (hypertension, diabetes mellitus a me nā mea ʻē aʻe), ka mālama ʻana i ka ʻai hypocaloric maikaʻiʻole a me ka hana kino kino.
Pono ia e hana i ke nānā ʻana i nā mākaukau o ke kaomi (ma nā helu maʻamau - ma mua o 130 a 90, ke kūleʻa - emi ma mua o ka 120 a i ka 80) a me ka paʻi lipid koko (ka nui o ka kolala - ma lalo o 5.5). Pono ka glucose o ke koko ma ka pae o 3.3 a i 5.5. ʻO nā maʻi maʻi maʻi hoʻi e mālama ʻia i loko o kahi manawa kūpono.
ʻO ka hopena o ka waiʻona ma ke kino ua wehewehe ʻia ma ke wikiō ma kēia ʻatikala.
