Atherosclerosis o ka ʻōpū o ka ʻōpū - he aha ia? ʻO ka atherosclerosis o ke ʻōpū o ka ʻōpū he maʻi maʻamau, pili loa i waena o ka waena a me ka nui. Hoʻoulu ia ma muli o ka lawe ʻia ʻana o nā pōpoki atherosclerotic ma ka palena o loko o ka moku.
Hoʻomaka ka pākiki ke hoʻonui pinepine i ka nui, e hoʻopili ai i ka venne ākea hou a hoʻopau i ka maʻamau o ka kaila o ke koko, kahi e alakaʻi ai i nā hōʻailona pili. Eia kekahi, e hoʻopili mau ʻia nā ʻili a puni ka pākī.
ʻO ka aorta ʻōpū ka hapa nui o ka ʻōnaehana ka kao o ke kino, nona ke kuleana no ke kahe ʻana i ke koko i nā kino āpau o ka ʻōpū o ka ʻōpū a me nā puʻu haʻahaʻa.
Wahi a ia, mai kāna mau lālā, oxygen, koko, ʻōpū, liʻiliʻi a me nā ʻōpū nui, nā ate, ka spleen, pancreas, ʻĀpana liʻiliʻi a me ka nui, peritoneum (pūpū serous e uhi ana i loko o ka ʻōpū o ka pūpū) a me nā genital. E hōʻeha kēia mau kino i kahi mua, a laila e ʻike ʻia nā hōʻailona ma nā wāwae.
Nā kumu kumu o ka maʻi
Hiki i ke atherosclerosis o ke aorta ʻōpū e hiki ke ulu ma muli o nā hopena paʻakikī o kekahi kumu. ʻO ka hapa nui o lākou me ka ola o kahi lehulehu, a i kekahi manawa paʻakikī paʻakikī ke kāpae iā lākou. Aia he nui nā pūʻulu hanana hiʻona.
Eia kahi papa inoa o nā kumu āpau hiki.
- hoʻoilina ʻōna;
- maikaʻi kai eʻai ai, i ka ʻai pinepine ʻana o nā meaʻai wikiwiki a me nā meaʻai momona;
- momona;
- waena, pakeke a me ʻelemakule - ma ka awelika, ʻoi aku ma mua o 40 mau makahiki;
- maʻi nui ʻia nā kāne ma mua o nā wāhine;
- inu wai a me ka uahi;
- hypertension arterial (kiʻekiʻe koko);
- aia ka pilikia i loko o lipid metabolism;
- diabetes mellitus;
- metabolic syndrome - kahi hui pūpū o ka ʻōpū o ka ʻōpū, hoʻonaninani i ka hoʻohaʻahaʻa glucose i hoʻonaninani, ke ʻano nui o ka triglycerides a me ke koko kiʻekiʻe;
- nā hanaʻino a hormonal a me nā maʻi o ka ʻōnaehana endocrine;
- sedentary lifestyle;
- nā kūlana kaumaha pinepine;
- mau maʻi pinepine a lohi;
Eia kekahi, ʻo ke kumu o ka hoʻomohala ʻana o ka pathology me ka nele o nā hana pale palekana pale.
ʻO nā ʻano o nā pilikia palolo
Aia kekahi papa kuhikuhi o nā ʻano o ka atherosclerosis o ka aorta ʻōpū. Kūkū ʻia ka hoʻonohonoho ʻana ma muli o ka paʻakikī o nā hōʻailona lāʻau lapaʻau.
Eia kekahi, lawe nā ʻano i ka hoʻololi i nā kahe o ke koko a me ka ʻikepili mai ka hana noiʻi a me nā haʻawina.
No laila, ʻokoʻa nā ʻano o ʻehā o atherosclerosis o ka aorta ʻōpū.
ʻO ka manawa preclinical - i kēia manawa, ʻaʻole ʻōhumu nā maʻi i kekahi mea, ʻaʻohe mea e hoʻopilikia iā lākou. Ke kuhikuhi nei i nā hoʻokolohua, ma nā kikoʻī lipid āpau, e lilo ka nui o nā lipid i ka maʻamau. ʻO nā kolamu kiʻekiʻe mau a me ka lipoproteins haʻahaʻa haʻahaʻa wale nō e hoʻoiho i ka nānā. ʻO kēia mau kikoʻī he atherogenic, ʻo ia hoʻi, e hāʻawi ana i ka hoʻokumu ʻia ʻana o nā kolo. I loko o nā moku, ʻoiai me ka hoʻokolokolo pono, ʻaʻohe, ka liʻiliʻi, ka ʻike ʻia nā loli. Ma kēia ʻoma, pono nā mea maʻi e nānā mau i nā mālama lapaʻau, ʻoiai he mea pōʻino no ka holomua o ka hana pathological.
Ke manawa o ka maʻi Clinical - i kēia manawa, e hoʻomau a hoʻonui ʻia paha nā loli i nā loiloi. ʻAʻole nō i ʻike ʻia ka mau hopena o ka hoʻopōʻino vascular, akā naʻe, me ka angiography (ʻike vascular), dopplerography a me ka nānā ʻana i ka ultrasound o nā moku, e ʻike ʻia nā loli. Hiki i nā hoʻololi ke hoʻololi ʻana i nā lehelehe lipid mua i ka palaki ʻana i nā pōpoki. ʻO kēia ka mea i kapa ʻia ʻo ka latent o ka maʻi.
ʻO ka manawa o nā hōʻike nonspecific - i kēia manawa, ʻike ʻia nā hōʻailona. Nui ka poʻe i hoʻomaka e noʻonoʻo he koko koko nui kēia, no ka mea, uaʻike lākou i ka ʻeha, i kekahi manawa "lele" ma mua o nā maka, nā pilikia i loko o ka hana o ka naʻau, ka manawa kīkī o ka hōʻā ʻana i ka ʻeha ma hope o ka sternum (angina pectoris, a me ka "angina pectoris"), i kekahi manawa ka hanu o nā pilikia a me nā pilikia hiki mai. me nā wāwae. ʻO kahi infarction myocardial a i ʻole hahau paha e ulu. I ka manawa like, e ʻike ʻia nā kaha poloka o ka nui o ka nui o nā nui i nā moku me nā ʻano loiloi instrumental.
ʻO ka puka hope he neʻe arterial occlusion, kahi kaʻina holo o ka pani ʻana o nā kīʻaha koko. Kū pinepine ʻo ia e like me ka hopena o ka lapaʻau kūpono ʻole a i ʻole kona haʻalele. He kūlohelohe, ʻo nā loiloi a me ka hōʻike noiʻi e hāʻawi i nā hopena maikaʻi ʻole: hoʻopiʻi piha ʻia kekahi mau moku, pihaʻi i ka kolamu, huaʻai haʻahaʻa lipoproteins haʻalaha, hoʻoneʻe ʻia ka māhele like ʻole o nā lipid kūʻokoʻa.
Kūkala ʻia nā hōʻike maʻi, a ʻo ke ʻano hou aʻe o nā loli me ka neʻe ʻana a me ka necrotic e hele nei i kekahi mau mea. Pono ke ʻano maʻi maʻa mau i kēia hana.
Nā hōʻike maʻi o ka atherosclerosis
Me ka atherosclerosis o ka ʻōpū o ka ʻōpū o ka aorta, ka ʻeha puʻuwai, hepatic, splenic, ʻoi aku ka nui a me nā mea hoʻowalewale mesenteric, ʻōpū, ka ovarian / testicular arteri, a me ka iliac, femoral, popliteal, tibial, fibular, arteri o ka wāwae hope a me nā lālā liʻiliʻi a pau e hele mai ana o lākou.
Hiki ke pālahalaha ʻia ka lesion, ʻo ia hoʻi, e hana ana i ka nui o nā moku i hoʻokahi manawa.
I kēia hihia, e ʻike ʻia nā hōʻailona mai ka pūnaehana ʻana a mai nā lalo haʻahaʻa.
ʻO nā maʻi Digestive e hōʻike ʻia i loko o kēia mau hōʻailona:
- kuni i nā ʻeha ma ka ʻōpū;
- ka hōʻemi ʻana i nā neʻe o ka ʻāpana i loko o ke ʻano o ka maʻi a i ʻole ka constipation;
- hākihi pinepine;
- ka hopena o ka pōpilikia - kahi hanana i loaʻa ʻole ma muli o ka hōʻino ʻole o ke kahe koko i loko o nā ʻāpana;
- puʻuwai;
- ninini
- utuka
- kalalau;
- ka kaumaha o ka kaumaha keu ma muli o ka malabsorption o nā ponoʻai;
- kaha pānaʻi - i kahi maʻi o nā moku koko e hāʻawi ana i ka ʻōpū;
- nā maʻi urination;
- ʻeha ma nā ʻeha;
- hipertension hipalula - ma muli o ka ʻili o ka lumen o nā ʻenehana kūwau.
Me ka hanaʻino ʻana i nā pākuhi haʻahaʻa, e ʻokoʻa iki ka hōʻailona:
- Palaualelo ka ʻili o nā wāwae, i kekahi manawa palaka i ka pā ʻana.
- Hoʻopilikia ka ulu o nā lauoho ma nā ʻāpana haʻahaʻa o nā wāwae.
- E hoʻohuli nā limahana a hoʻohuli.
- E hoʻopiʻi ka poʻe maʻi i nā maʻamau pinepine o nā "goose bumps" i loko o ko lākou mau wāwae.
- Ua aneane hiki ʻole ke hele i kahi lōʻihi - pono ke hoʻōki i ka poʻe ma muli o ka puhi ʻana i ka ʻeha a me ka ʻāʻī ʻana i ko lākou mau wāwae i ka wā e hele ai, nā wāwae anu, ke ʻano o "goosebumps" (i ka lāʻau lapaʻau ka mea i kapa ʻia kēia "intermittent claudication syndrome", a i ʻole ʻo "Ribot sign").
- ʻO ka wāwae liʻiliʻi (lalo) e lohi loa i ke kaumaha, e nānā iki hoʻi ka liʻiliʻi. "
- Ke hōʻike ʻia nei nā maʻi ulia trophic no ka lōʻihi o ka hāʻawi ʻana i ke koko i ka ʻili.
- Ka liʻiliʻi o ka hōʻeha i ka ʻili e hiki ke alakaʻi i ka hoʻokumu ʻana o nā maʻi ulia trophic o luna.
Ma hope iho, hiki i ka ʻuli kuʻi ke hoʻohuli i ka uliuli, a laila hoʻohuli i ka poni - he hōʻailona ia o ke ʻano gangrene aila (necrosis o kahi ʻāpana e pili ai me ka oxygen).
Nā ala e hoʻohuli ai i ka maʻi
ʻO ka hōʻike hope loa o ka maʻi e loaʻa ma ka kumu o ka nānā ʻana i nā hoʻopiʻi o ka maʻi, a me ka ʻenehana a me nā hana noiʻi noiʻi.
ʻAʻole kiko piha nā hoʻopiʻi ʻana, a hiki ke ʻike pinepine ʻia i nā hōʻike ʻana o kahi maʻi o ka pēpē o ka gastrointestinal (i ʻike ʻia i nā hōʻailona o ka digestive). No kēia, ua kuhikuhi ʻia nā mea maʻi i kahi hoʻokolokolo hou.
ʻO ka mea nui nui nā hōʻike koko biochemical a me kahi ʻaoʻao lipid.
Hāʻawi ke biochemistry koko i ke kiʻi holoʻokoʻa o ka hoʻohui ʻana o ke koko, hiki ke hōʻike i ka hele ʻana o ka anemia, ka uhai ʻana i ka ratio o nā mea like ʻole, a hōʻike pū nō hoʻi i ka pae ākea o ka cholesterol. ʻO ka maʻamau, ʻaʻole ia eʻoi aku ma kahi o 5.2 mmol / l i nā poʻe olakino.
Ua kuhikuhi ʻia kahi kaila lipid no kahi kikoʻī kikoʻī o nā ʻike o nā ʻano lipids āpau i ke koko.
I loko o ke kino he mau ʻano momona:
- huakini piha;
- haʻahaʻa, haʻahaʻa loa, waena o nā lipoproteins density kiʻekiʻe;
- triglycerides;
- chylomicrons.
Me kēlā me kēia ʻano o ka atherosclerosis, e nui ka nui o ka hoʻonui ʻana o ka kolamu a me ka pili me nā lipoproteins haʻahaʻa haʻahaʻa, hoʻonui i ka triglycerides a me kahi hoʻohaʻahaʻa i ka nui o ka kolamu e pili ana i nā lipoproteins density kiʻekiʻe. ʻO ke kiʻi maʻamau o ka maʻi.
I waena o nā noiʻi noiʻi noiʻi, ka angiography (nānā vascular me ka hoʻohana ʻana i nā mea hoʻohālikelike), nā ʻano hana noiʻi o ka noi ʻana o ka ultrasound intravascular, compute tomography a me magnetic resonance imaging (CT a me ka MRI).
Ke hoʻohana nei i kēia mau kaʻina hana, hiki iā ʻoe ke ʻike i ke wahi kūpono o nā pākia, ka nui, ka nui, ka pae o ka blockage o ka vanu lumen, kahi o ka luku ʻana i nā kīʻaha koko a pale aku i nā pōʻino i nā wahi olakino.
Ke mālama nei i ka atherosclerosis o ka ʻōpū o ka ʻōpū
Hoʻokomo koke ʻia nā lāʻau lapaʻau no kēia maʻi i kekahi mau wahi o ke kaʻina. He kūpono ke ʻōlelo koke ʻana ʻaʻole wikiwiki, ʻo ka hopena mua ke ʻike ʻia ma hope o hoʻokahi makahiki.
ʻO ka mea mua, pono ʻoe e koho pilikino i kahi meaʻai e kau ai i ka haʻalele mai ka papaʻaina o nā meaʻai i kiʻekiʻe i ka kolamu a me nā momona holoholona. ʻO ka ʻai kai e hānai ʻia e nā lau o nā lau, nā hua a me nā huaʻai, nā mea kanu, nā ʻiʻo a me ka iʻa, a me ka wai kai. Pono ke kīʻaha hou, nā kīʻaha palupalu. Hōʻalo i ka ʻai ʻai ʻana i ka meaʻai, nā mea ʻala, ke aniani, ka umau, nā pūpū, nā pāpale a me nā kuʻi pū.
Ma kahi kokoke i nā pae āpau o ka atherosclerosis, hoʻōla ʻia ka lāʻau lapaʻau. Hoʻokomo ʻia ka lawe ʻana i nā lāʻau anti-atherosclerotic. Hoʻopili kēia i nā statins (Lovastatin, Atorvastatin, Rosuastatin, Akorta), nā fibrates (Fenofibrate), ka wai paʻakai anion (Colestipol, Cholestyramine), nā bile sequestrants a me ka hoʻomākaukau ʻana i ka wai nikotinic (Nicotinamide, vitamin B pūʻulu3) Hoʻomaopopo nā kauka i ka lawe ʻana iā lākou i ke ahiahi, ma mua o ka moe ʻana, no ka mea ʻo ka ʻōpū o ka cholesterol kūlohelohe i kā ʻia i loko o ko mākou kino i ka pō, mai 4 a 6 i ke kakahiaka. Eia kekahi, he nui nā manaʻo aʻoaʻo no ka lawe ʻana i ka huaora a me nā minela, no ka mea e hoʻomaikaʻi lākou i ke kūlana maʻamau a me nā pale o ke kino, a e lawelawe ʻia e like me kahi ʻano pale i nā maʻi.
ʻO ke kaumaha koʻikoʻi ka pilikia nui no nā poʻe maʻi me ka atherosclerosis. No ka hōʻemiʻana, ponoʻoe e hele pinepine i nā haʻuki, ma ka liʻiliʻi e hele ma kēlā me kēia lā no ka liʻiliʻi o ka hapalua hola. Ma ka nānā ʻana i ke kūlana o ke olakino a me ka olakino olakino, hiki iā ʻoe ke hoʻohui i nā hana o nā ʻano ulu like ʻole.
Inā makemake ʻia, hiki iā ʻoe ke hoʻohana i nā kuʻuna mai ka iwi - nā lūlū aila, meli, propolis, tincture me nā lāʻau lapaʻau.
I nā pilikia koʻikoʻi, kuhikuhi ʻia ka hana. E noʻonoʻo e haʻalele i ka hewa maikaʻi - ka uahi a inu.
ʻO kekahi loea i ka wikiō ma kēia atikala e kamaʻilio e pili ana i ka atherosclerosis aortic.
