He alakaʻi o Atherosclerosis i kaʻino i ka hoʻopulapula. He mea kupanaha ka nui o ka pālahalaha ʻana, a ʻo ka maʻi iā ia iho no hoʻokahi kenekulia ua lawe ʻo ia i ke kahua mua ma waena o nā mea etiological o ka make mai ka lolo cardiovascular.
ʻO kahi ola maʻalahi, ka nele o ka hana pilikino, ka luku ʻana i nā moku koko, nā meaʻai kiʻekiʻe a me ke kīlea, ʻo ia nā kumu nui o ka pākipiki. Pehea e pale aku ai i kēia kūlana, pehea e mālama ai iā ia a noho pū me ia no kahi manawa lōʻihi?
He aha ia a no ke aha e kū ai?
ʻO ka atherosclerosis kahi maʻi kahi hōʻailona nui ʻo ia ka lawe ʻana o ka detritus fat-protein i ka ʻiʻo a me ka hoʻoneʻe elastic o nā moku nui a me nā hapa nui.
ʻO nā hopena o kēia hōʻiliʻili, e lilo nā hopena i ka elasticity o ka membrane artery a me nā haʻalulu, a me ke ʻāʻī ʻana i ka lumen, i ukali ʻia e ka maʻi kino i ke kahe koko a me ka hypoxia kiko.
ʻElua mau mau manaʻo hou o ka mīkini hoʻololi i nā hoʻololi o ka atherosclerotic, ka mea, ʻoiai ʻo ka ʻoi aku ma kahi o hoʻokahi haneli mau makahiki o ka noiʻi, ʻaʻole i aʻo ʻia.
ʻO kekahi o lākou e hōʻike i ka pōʻino mua i ka moʻolelo ma o kahi maʻi bacterial, Chemical, a me ke kino kūlohelohe me ke ʻano o ka lipid.
Ua ʻōlelo ka lua ma mua o ka loaʻa ʻana o nā mea maʻi loea ma endothelial cells, a inā he nui ke ʻano o ke kanaka, a laila piʻi ka hopena o ka maʻi.
Aia nā ʻikepili nei, ua hoʻokumu ʻia nā mea pōpilikia - nā hiʻohiʻona o ka poʻe e noho nei a ʻoi paha ka nui o ka maʻi i hiki ke hoʻonui.
E pili ana kēia:
- Ka nui o nā meaʻai momona a me nā nui o nā minamina i nā meaʻai. Pono kēia mau mea no ka kino e hana pono, akā inā hoʻopau nui ia, ʻaʻohe manawa ka pūhui i ka manawa e huli i loko o ka ikehu a me ka metabolites, hōʻiliʻili a hāʻule i loko o ka wai ʻauʻau. Eia kekahi, ʻo ka nui o ka lipids i hele mai e hoʻokūkū i kā lākou kaʻina oxidative, e alakaʻi ana i ka infiltration nui loa.
- Ka wahine a me ke kāne. Wahi a nā haʻawina, ʻoi aku ka nui o nā maʻi o nā kāne ma mua o nā makahiki he kanahā. ʻO kēia ke kumu i ka poʻe ma mua o nā menopause, ua hoʻokumu ʻia ka estrogen hormone, he mau waiwai anti-sclerosing. Hoʻomaʻamaʻa hoʻi ka makahiki i ka hana o nā mea mālama antiioxidant a me ka maʻa o ka holo ʻana o ka moku, no ka mea, ʻo ke kanaka makua ʻo ia ka mea nona ka liʻiliʻi o nā fibagen fibora.
- Naʻi maʻi mellitus. A me ka hoʻonui pinepine ʻia o ka mea laʻa ka mea i hoʻoneʻeneʻe aku i nā lolo, ʻaʻole hiki ke hoʻopale i ka maʻi maʻi i ka metabolism o nā momona, kahi "puhi" mai ka lapalapa o nā saccharides. Holo ka ʻāpana o ka pahu metabolic ma muli o ka emi ʻana o ka hopena o ka nui o nā pane nui a pau e pili ana i ka ikehu o ka ikehu. Ma muli o kēia, nui nā huahana piha ʻole i hoʻopau ʻia a me nā huahana waena e komo i ka plasma. I waena o lākou he fats trans a me ka cholesterol maikaʻiʻole.
- Hoʻopilikia i ke kino kino a me ke kaumaha. ʻO kahi ala maʻalahi, i hui pū ʻia me ka manaʻo kaumaha i kēlā me kēia lā, ʻaʻole hiki ke ʻike ʻia e ka naʻau. Hoʻopilikia ka hana hohonu i ke kikowaena vasomotor, nā ikaika o nā aelike a myocardial nāwaliwali a me nā atrophies o nā muscular membrane. Ma hope o ka wehe ʻana o ke papena, ʻaʻole pono e kali no ka exudation no ka lōʻihi.
I ka manawa mua, ʻaʻole hiki ke ʻike ʻia nā loli o ka ʻōnaehana cardiovascular me ka mikroscope. Akā me ka loiloi histochemical, ka umauma o ka endothelium, ke hoʻonui nei i kahi pane o kā lākou membranes, e hōʻike ʻia. A laila kolo a me ka kolamu, ma muli o ka hoʻopalike ʻana o nā lipoproteins kiʻekiʻe a haʻahaʻa haʻahaʻa, e holo i loko o ka pūpū a hoʻopiha, hoʻopuka.
Ano he ʻano hana ʻaʻa manuahi ʻaʻole hiki ke pane pololei i nā kauoha mai luna. Ke hoʻopiha ʻia kahi wahi i ka infiltrate cholesterol, kahi wahi melemele a i ʻole nā ʻāpana puka - ua hoʻomaka ka ʻaoʻao lipid.
Mai kēia manawa, kamaʻilio nā kauka e pili ana i ka hoʻokumuʻana o kahi emolius atherosclerotic.
He aha nā ʻano o nā pālani?
Kahi hiki ke hele i ka hana o ke kaʻina hana. ʻO nā kīʻaha, hōʻuluʻulu, hana i ka papa hana loina ma kahi ʻāpana o ka sila a hoʻopaʻa i ka papa.
ʻO ka manawa pinepine, hōʻiliʻili nā fibrin a me nā platelets a puni ke kiko o ka maʻi, e hōʻemi ana i ka hiki ke kūlohelohe o ke aʻalolo e halihali i nā mea pono.
Kōlepē palipale atherosclerotic. Hiki iā ia nā hoʻopiʻi atheromatous - hoʻokaʻawale a ʻae ulceration paha.
ʻO ke koho neʻe o ka lua e hoʻohālikelike ai, ʻo ia hoʻi, i ka wā humuhumu i loko o ke kōpili me ka paʻakai kalima.
Hoʻokaʻawale ka paʻalā atherosclerotic plika i ka hiki ke āpau, lilo i palupalu a hiki ke puʻe.
ʻO kahi pā e pili ana i kahi ākea e hoʻopuni paʻa i ke ala o ke kahe koko.
He paʻakikī a paʻakikī ka paʻakikī, paʻakikī e mālama. Kēia ʻano ʻano nui o nā paleke atherosclerotic ma ka ultrasound e ʻike maʻalahi.
Ma ka hoʻomau mau ʻia, pale kūʻē:
- Hōʻano haʻahaʻa. Hōʻike kēia ʻano i kahi echogenicity o kona ʻano e like me ke kaiapuni, no laila, ʻike ʻole ʻia i ka ultrasound, a hoʻohui ʻia i nā diagnostics instrumental. I ka loaʻa ʻana o ka manamana mākaʻe a me nā kiko, semi-wai, hiki ke paʻu ka pūpū i kēlā me kēia hoʻonui ʻana i ka kahe koko, e alakaʻi ai i ka hemorrhage, i ka aorta - i kahi aneurysm lua a me ka moku'āina.
- Hoʻolālā paʻa. ʻO ka Petrification i ka mānoanoa o ka meaʻike e kū nei, ʻaʻole i hele, akā i waiwai i nā fibrin a piha i nā platelets. ʻO ia ke ʻano e hiki ai i ka thromboembolism pulmonary, gangrene ʻōpū me ke kaohi ʻana o ka arteriamesenterica, a me nā hoʻopiʻi ʻē aʻe. Eia kekahi, ma muli o kona hana paʻa mau, e hāʻawi ia iā ia i ka lāʻau a ʻike maoli ʻia.
- Ke kūpaʻa kiʻekiʻe. ʻO ka mea nui o kēia hoʻokumu ka collagen hoʻoikaika ma muli o Ca2 + crystals. ʻAʻole hoʻomaʻamaʻa ʻo ia i ka wikiwiki o ke kahe koko, he hana ʻole. He mea ʻoluʻolu loa ia, me ka mea o ka noho ʻana i kekahi wahi nui o ka moku, e hiki ana iā ia ke hana i kahi loiloi kūpono o kona ʻokoʻa ma ka ultrasound.
Hoʻohālikelike ʻia nā ʻano ʻelua o ka hoʻokumu ʻana e ka hoʻolālā. Hōʻailona a homogeneous (homogeneous). ʻO kēia ke kumu he monocomponent, ʻaʻole i hoʻokomo i nā kuhi a ʻaʻole i komo ʻia e ka capillaries, ʻaʻole paʻa ʻia e ka pā. ʻOiai he mau ʻōpiopio lākou, ʻoiai nā ʻano hoʻohālike i maʻalahi ke mālama me ka maʻi kūpono.
Kōwili heneke (heterogeneous) kuhuna. He palaki heterogeneous atherosclerotic ka mea e alakaʻi ai i nā hoʻopiʻi ma kēia ala.
He mea paʻakikī ke wehe, hoʻololi pinepine ia i nā ʻōpala a me nā mumū, a ulu nui koke ma muli o ka trophism maikaʻi o nā capillaries e hāloʻi ma laila.
Nā hōʻailona a me nā hopena o ka hoʻomohala ʻana o nā pathology
ʻO ka mea mua, pono ke hoʻolohe i ka mea maʻi i kona ola ponoʻī, nā kumuhana pilikino, a ma ke kumu o kēia mau ʻike, e nīnau aku i kahi loea e hoʻoponopono i kona pilikia.
Nui ʻia nā hōʻike hōʻike o ka atherosclerosis, a me kēlā me kēia, he mau hōʻailona ponoʻī, ke ʻano o ka papa inoa o nā lāʻau lapaʻau like ʻole.
Hiki ke ʻike ʻia ka hoʻokona maoli ʻana o ka hoʻonaʻauao ma hope o ka nānā ʻana o ka ultrasound.
Inā hoʻokomo ʻia ka luhi ʻokoʻa i loko o ka aorta, a laila emi nui kona mākaukau, a piʻi ke koko, i loko o ka diastolic. Paki nā poʻe maʻi e pili ana i nā hōʻeha, nā tinnitus, "lele" ma mua o nā maka, ka pōkole o ka hanu e hōʻike nei i ka palau o ka puʻuwai. Hiki paha i ka hopena hopena i ka trombosis o ke kahe o ke koko o nā pae haʻahaʻa, hōʻino ʻia i nā ʻokiʻoki, a me nā pūpū.
ʻO ka puka cerebral o ka hoʻomohala kūlohelohe o nā moku o ka loko o ka wai o ka loko o nā carotid a me nā arebore vertebral, ʻoiai e hoʻonui nui ana i ka hana intracranial, maʻi ka mea maʻi, hoʻomanaʻo ʻia ka hoʻomanaʻo ʻana, hiamoe, coordination. ʻO ka hopena e pōpoki he stroke ischemic. Eia kekahi, hiki i nā paʻakai kalaiwa ke hoʻonāukiuki i ka sinus carotid i hoʻopili ʻia e nā receptors, e alakaʻi ai i ka hypertension a me ka hana o nā refondes he ʻelua.
Hoʻomaopopo ka hoʻomohala ʻana o nā patula ma ka puʻuwai e ke kanaka e puhi ana i ka ʻeha a me ka maʻi radiation ma ka lima hema, nā ʻūhā poʻohiwi, a me nā iwi. ʻO kēlā mau hōʻike e like me ke ʻano o ka lanakila, disorganization o nā ʻāpana coronary ʻākau a hema hoʻi e hānai ai i ka puʻuwai, a me ka stenosis o nā kīʻaha ossified.
Inā mālama ʻia kēia ʻano ma ke ʻano he maʻi wale nō, hiki paha i ka infarction myocardial, e alakaʻi ana i kahi mea nui o nā hana o nā ʻāpana o ka puʻuwai a ka ʻāʻī ma hope o ka nekrosis.
Hoʻomaʻamaʻa a me ka pale ʻana i nā patology
Kekahi mālama lāʻau no ka atherosclerosis o nā moku e hoʻomaka me ka hoʻokūkū paʻakikī. I ka hihia o kahi maʻi kūikawā, ua kauoha ʻia ka ultrasound, dopplerography, e koho ʻia ka MRI me ka CT angiography. Hoʻololi ʻia kahi ʻano hōʻike biochemical i ka urine a me ke koko ma ka ʻaoʻao o ka LDL a me HDL. I ka manawa i hoʻokū ʻia ai kahi wahi pilikia kūpono, hiki ke hoʻowali ʻia e like me ka hopena olakino.
ʻO ke paona gula i ka mālama ʻana o ka atherosclerosis he mau stins - nā lāʻau lapaʻau e, i nā ʻanuʻu like ʻole, hoʻohemo i ka kahe o ka kolamu exogenous, e uhaʻi iā ia, a e hoʻolōʻihi i ka excretion. I waena o lākou, Simvastatin, Atorvastatin, Lovastatin, Pravastatin a me nā mea ʻē aʻe.
I ka hui pū me lākou, ua kuhikuhi ʻia nā lāʻau lapaʻau e hoʻoweliweli i ka hoʻopili ʻana o ka kolamu ma muli o kāna mau waiwai komo - Cholestyramine, Enterosgel, Colestipol. No ka hōʻemi ʻana i nā wai hāmeʻa vascular, mauʻu (C, maʻamau, A, E), i hōʻike ʻia nā antioxidants, a me ka angioprotectors. I nā papa i hala, ua hoʻohana ʻia ka wehe ʻana o ka fibrosis o kekahi wahi, ka hoʻomaka ʻana o kahi baluna kūikawā e hoʻonui i ka lumen.
ʻO nā hana kūpono e kau ai i ka meaʻai paʻa, ka hana kino ke hiki i ka maikaʻi loa o kā lākou pono, ke hoʻohana ʻana i nā decoction o ka lāʻau no nā hipp rose, haʻalele i nā hana maikaʻi, ka ʻai nui ʻana o nā mea kanu, ka mea kanu.
Pehea e wehewehe ʻia ai nā ʻano kolane paukē i ka wikiō ma kēia ʻatikala.
