Hoʻomoe no ka mālamaʻana i ka arteriosclerosis cerebral

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ʻO kekahi o nā hoʻopiʻi maʻamau o ka maʻi maʻamau ʻo ka cerebral arteriosclerosis. ʻO kēia maʻi ka manaʻo ʻia ke kumu nui o ke kīnā a me ka make ma ka lehulehu.

Me ka encircal encathy encircalopathy, holo ka vascular lumen, ka mea e hoʻopili ai i ka mea pono o ke kino o ka lolo a kōkua i ke ʻano o ka stherosis atherosclerotic. Hoʻomaʻa pinepine kēia ma hope i ka ischemic stroke a me ka vascular dementia.

No ka mea nui nā maʻi hoʻopiʻi i ka maʻi diabetes, pono e mālama i ka cerebral arteriosclerosis me nā lāʻau lapaʻau. Akā ma mua o ka mālama ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻomaopopo i nā kumu, nā hōʻailona o ka maʻi a e ʻōlelo aku i kahi kauka.

Nā hiʻohiʻona o ka maʻi

ʻO ka atherosclerosis kahi ala maʻamau o nā arteri nui, ka mea i hōʻiliʻili ʻia o nā lipids ma nā paia o nā kīʻaha koko a me nā mea e ulu ana ka mea e hoʻopili ʻia ai i loko o lākou. ʻO ke kumu kumu nui o nā maʻi ʻaʻole he hopena o ka hana momona momona. ʻO nā kumu o waho a me loko e hiki ke alakaʻi i ka ulu ʻana o ka maʻi.

Hoʻokomo ʻia nā kumu like i ka wā ʻelemakule, i ka manawa e hoʻomaka ai nā ʻōnaehana a me nā ʻōpio i nā kino ma muli o nā kaʻina ʻelemakule. He kuleana koʻikoʻi nō hoʻi ka male ʻana i ka wā e hiki ai i ka atherosclerosis cerebral. No laila, i nā kāne, e hele pinepine aku ka maʻi mai ka hope o ka nele o ka estrogen, i pili i ka ʻohi ʻana o ka triglycerides.

Wahi a ka predisposition genetic e pili ana i nā loli ke hoʻololi ʻole i ke ʻano o nā pli atherosclerotic ma nā membrane o nā moku koko. ʻO nā kumu hoʻololi i hoʻomohala ʻia o ka maʻi ka komo ʻana:

  1. manaʻo kaumaha
  2. inu ʻawaʻawa, inu ʻole;
  3. hypercholesterolemia;
  4. metabolism;
  5. ke koko kiʻekiʻe;
  6. hyperglycemia ʻole;
  7. mea kino;
  8. nui loa;
  9. kiʻekiʻe ka haʻahaʻa o nā homocysteine ​​i ke koko;
  10. nā mālamalama maikaʻi ʻole.

Hoʻoulu kekahi kulekele kū'ē i ka mua o ka hana ʻana, hyperfibrinogenemia. He mea kūpono ia, ma muli o ke kumu o ia mea, ʻo ia mau ʻano o ka atherosclerosis e hoʻokaʻawale ʻia e like me metabolic, pili pili, ʻona, meaʻala, maʻi a me ka maʻi maʻi (syphilis, tuberculosis).

Inā kū ʻia ka maʻi ma kahi o ke aniani o ka hypertension arterial, a laila kapa ʻia ʻo ia he hyalinosis. Ke kū nei ka maʻi ma muli o ka hōʻiliʻili o nā paʻakai kaleka ma nā ʻoni, a laila ʻike ka mea maʻi i ka mediacalcinosis.

Aiaʻo 4 mau holomua o ka hoʻomohala ʻana i ka arteriosclerosis cerebral. I ka hoʻomaka mua ʻana, pae ʻia nā lipid pae, a i ka lua - nā pli fibrous.

ʻO ke kolu o ke kolamu ke nānā ʻia e ka hoʻokumu ʻana o nā pā plika atherosclerotic a me ka hōʻiliʻili ʻana o nā mea thrombotic. I ka manawa hope loa o ka maʻi, ua kū ka atherocalcinosis, kahi i loaʻa ka hoʻomohala ʻana i nā palaka a me ka de vascular deformation.

I ka hoʻomaka ʻana o ka hoʻomohala ʻana, ʻaʻole i hōʻike ʻia ka atherosclerosis. Hoʻokumu wale i nā mea maʻi i ka luhi o ka maʻi, ke palupalu ʻilihune, hōʻeha ʻole o ka hōʻeha.

Ke holomua nei ka ʻatikala, hiki i kēia mau hōʻailona:

  • tinnitus;
  • ʻʻAla
  • lele i loko o ke koko;
  • piʻohū
  • ʻōpala
  • nā hana hoʻomanaʻo hoʻomanaʻo;
  • ke kaulua a me ke kumu o nā lima;
  • hana maikaʻi ʻole i ka hana ʻike a me ka haʻi.

I nā kūlana holomua, aia kahi unilateral paralysis o ke kino, paresis o ka maka, he hapahola o nā manamana. Eia kekahi, atherosclerosis o ke kahua 3-4 i hōʻike ʻia e kahi hōʻailona e like me ka disorientation. Hoʻomaʻa pinepine, nā mea maʻi e hoʻopiʻi nei i ka nele o ka hiki ke hana, a i loko o kekahi mau mea maʻi, hiki i kahi hōʻemi ke ʻano o nā ʻano.

Ma mua o ka lawe ʻana i nā lāʻau lapaʻau no ka atherosclerosis o nā moku cerebral, pono kahi maʻi maʻi holoʻokoʻa. Hoʻokomo ʻia nā haʻawina hoʻokolohua i nā hoʻokolohua immunological a me biochemical.

ʻO ke ala maikaʻi maikaʻi loa no ka ʻike ʻana i ka atherosclerosis ʻo MRI. ʻO ka ultrasound, ka angiography a me transcranial dopplerography e like me ka maikaʻi.

ʻO nā kumuhana ākea o ka mālamaʻana

Pono ka therapy o ka cerebral arteriosclerosis e holo a piha i loko o nā ʻano poma, pathogenetic a me nā hoʻoponopono hoʻoponopono. Akā ma mua o ka lawe ʻana i nā lāʻau lapaʻau, ʻōlelo aku nā kauka i nā mea maʻi e loiloi i kā lākou ʻai.

E hana aku ana ka lāʻau mālamaʻai i nā lāʻau lapaʻau i ʻoi aku ka maikaʻi a e hoʻolōʻihi i ka holomua o ka maʻi. ʻO ke kumu nui o ka meaʻai i loko o ka atherosclerosis cerebral o ka hōʻole ʻana i ka momona o nā mea momona o nā kumu holoholona, ​​ka hoʻohana ʻole ʻana i ka paʻakai a me kekahi mau meaʻai maikaʻi (ka meaʻai wikiwiki, mau kīlī, nā kīlī).

Me nā ala polili vascular, kaukaʻi nā kauka i ka nānā ʻana i ke kahe o ke koko, nānā i ka pae o glucose a me ka kolamu ma ke koko. He kūpono koʻikoʻi ka mea e hōʻole ʻia i nā pono, ke hoʻoponopono maʻamau o ka nui, ka hana maʻamau o kēlā me kēia lā. ʻAʻole mākou e poina e pili ana i ka hana hoʻoikaika kino a pale i nā kūlana kaumaha.

Inā loaʻa ka atherosclerosis o nā moku cerebral, hiki i ka lāʻau lapaʻau e hiki ai iā ʻoe ke kiʻi i kēia hopena kūpono:

  1. hoʻopaʻa paʻa koko;
  2. ua hōʻemi ʻia o ka naʻau hypoxia;
  3. hana maʻamau o ka lipid metabolism;
  4. ka hoʻou hou o ka venne lumen.

ʻO ka hana maʻi o ka atherosclerosis cerebral e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i nā hui like ʻole.

ʻO nā statins, ʻo nā hua palapala i hoʻoponopono ʻia, nā ʻenehana antiplatelet, vitamina PP, nā mea momona, nā lāʻau anticholesterol a me nā lāʻau lapaʻau e hoʻomaʻamaʻa i ke koko.

Nā ʻākala

Ua manaʻo ʻia kēia mau lāʻau i ke kumu no ka mālama ʻana o ka atherosclerosis, ʻoiai ke kāpae nei lākou i ke kumu o kona helehelena - hypercholesterolemia.

ʻO ka hopena o nā statins e hoʻokaʻawale i ka mea huna o ka enzyme i hoʻomohala ʻia no ka hoʻoulu ʻana o ka kolamu, hoʻonui i ke koʻo o "lipoproteins" high-density, normalize lipid metabolism, hoʻoulu i ka atherosclerotic pākia, a hoʻoikaika a hoʻōla i nā kīʻaha koko.

ʻO nā paena maikaʻi loa no ka arteriosclerosis cerebral mai ka papa o nā statins hanauna hou:

Kau inoa inoaNā hiʻohiʻona noiUila
RosuvastatinʻO ka dosage kumu he 10 mg, e hoʻonui pinepine ʻia i 20-40 mg i kēlā me kēia lā. Hiki ke kuhikuhi ʻia nā papa i ka wā waena a me ke ʻelemakule. ʻO ka lōʻihi loa o ka lapaʻau he 21 mau lā250-780 rubles
LovastatinHoʻoholo ʻia iā ia he 1 mau lā no ka 40 mg mau lā.250 mau rubles
AtorvastatinHoʻoweliweli ʻia i ka wā kahiko. ʻO ka dosage ma mua he 10 mg, hiki ke hoʻonui ʻia i 80 mg i kēlā me kēia lā. ʻO ka manawa maʻamau o ka lapaʻau ʻia he 4 mau pule120-650 rubles
SimvastatinʻO ka 4 mau pule o ka lapaʻau mua, hiki iā ʻoe ke lawe i ka 5-8 mg o ka lāʻau lapaʻau, inā pono, e hoʻonui pinepine ʻia ka lāʻau i 80 mg. ʻO ka papa manawa o ka mālamaʻana a hiki i ka 12 hebedoma70-370 mau rubles
FluvastatinʻO ka awelika nui he 20-40 mg i kēlā me kēia lā. Ka lōʻihi o ka hoʻohana ʻana i 3-6 pulea i nā 280 rubles
MertenylHoʻopau i 10 a 40 mg i ka lā. ʻO ka lōʻihi loa o ka mālamaʻana he 8-12 mau pule530 mau rubles

ʻOiai ke kū nei o nā statins i ka hopena lipid-hoʻohaʻahaʻa i ka hopena therapeutic, he nui nā wahi o lākou. ʻO ka mea maʻamau ka maʻi maʻamau o nā ʻuhane ʻāwī o ka maʻi, ka hopena kūlohelohe, ka hana hewa ʻana o ka pūnaehana nūnū a me ka hana ʻana o ka ʻaki hana.

Nā kumikina e lawe i nā statins - nā maʻi o ke keiki, nā keiki ma lalo o 8 mau makahiki he mau makahiki, ka intolerance pilikino.

Lele ʻia nā lāʻau lapaʻau e hoʻohana ma ka hihia o ka hapai, lactation a me kahi koina o ka transaminases i ke koko.

Hoʻopuka ʻana

ʻO nā derivatives o Fibroic ka lua o ka hui maikaʻi loa o ka lāʻau no ka hoʻomaʻamaʻa i ka lipid metabolism. Hoʻemi lākou i ka nui o nā momona maikaʻi i loko o ke kino ma ka 50%, hoʻonui i nā hōʻailona o ka cholesterol maikaʻi i loko o ke koko. Loaʻa ka hopena therapeutic i ka hoʻonui ʻana i ka kao o nā enzyme kūikawā e hoʻihoʻi i ka wehe ʻana i nā lipoproteins haʻahaʻa haʻahaʻa mai ke kino ma o ka hua bile.

I nā poli atherosclerotic, ua hoʻohālikelike ʻia nā fibrates me nā statins, ʻoiai inā he hypercholesterolemia me ka triglyceridemia. Akā me ka hoʻomaloka ʻana i nā pale o ka enzyme inhibitors, hiki ke hoʻokaʻawale ʻē aʻe i nā ʻano o ka acid fibroic.

ʻO kahi lāʻau lapaʻau kūpono no ka arteriosclerosis cerebral mai ka papa o nā fibrates ka Fenofibrate. ʻO ka dosage i kēlā me kēia lā o ka lāʻau lapaʻau ke hiki mai ka 140 a 400 mg.

Lawe ʻia nā huaʻala o ka waikawa fibroic, e like me nā statins, i nā papa - mai 3 mau mahina. Inu inu nā papa i nā manawa 2 i ka lā.

Nā lāʻau lapaʻau kaulana mai ka papa o nā fibrates.

  • Bezafibrat. Hiki iā ʻoe ke lawe i ka 0.3 g o ka huahana i ka manawa.
  • Hoʻopili. Loaʻa ia ia kahi hopena system - ke kāohi nei i ka hoʻoweliweli o ka ate, wāwahi i nā momona, hoʻoneʻe i ka nānā koko a me ka kukuna uric acid. Hiki iā ʻoe ke inu a 9 kapala i kēlā me kēia lā, 2-3 pālima ma ka manawa.
  • Gemfibrozil. Lawe ʻia ka lāʻau lāʻau 1 (900 mg) aiʻole 2 (600 mg) hoʻokahi i ka lā ma mua o ka ʻaina.
  • Lipanor ʻO ka maʻi ma ka 90 mau lā o ka mālamaʻana he 100 mg i ka lā, a laila hiki ke hoʻonui ʻia i 200 mg. Inā kūpono, hoʻohana ʻia ka lāʻau lapaʻau no kekahi mau makahiki.
  • ʻĀpopopibrate. ʻOkoʻa nā ʻokoʻa i nā fibrates ma kahi hana lōʻihi, e hōʻemi ana i ka lōʻihi o ka mālama ʻana a me ka helu o ka nui o ka lāʻau. ʻO nā wiki 8 8 mua, ua kuhikuhi ʻia ka lāʻau lapaʻau i ke ʻano o ka monotherapy, a laila hui pū ʻia kona hoʻohana me nā lāʻau anti-atherosclerotic.

ʻO nā loiloi o ka hapanui o ka poʻe e loaʻa ana i ka atherosclerosis cerebral e hōʻoia ana ma ka 90% o nā hihia, ua hoʻomanawanui maikaʻi nā fibrates. No laila, ʻokoʻa ka hoʻonāukiuki (kūlohelohe, pōkole, pālua o ka hoʻoweliweli, hōʻemi ʻana o ka potency). Eia nō naʻe, ma ka hihia o ka hoʻokele ʻana o ka waikawa fibroic me nā statins, hoʻomaʻamaʻa pinepine ka hana i ka ate.

Kekahi fibrate contraindicated ma ka palaka a i ʻole ka hepatic insufficiency, hāpai a me ka lactation.

ʻAʻole i kuhikuhi ʻia kēlā mau lāʻau no nā kolohe o ka genetic i loko o ka hana kāʻei o ka hoʻokaʻawale, a ʻo nā keiki a me nā ʻōpio ua pāpā ʻole aku iā lākou.

Nā hui Antiplatelet a me nā olakino

ʻO nā māka Antiplatelet nā mea hana e hōʻemi ai i ka hiki ke paʻa ʻana i nā pūhui enehana, e hoʻonui ana i ke kahe koko a pale i ka hoʻokumu ʻana o nā māka koko. ʻO ka lāʻau kaulana kaulana loa o kēia pūʻulu lāʻau ʻo Aspirin.

ʻO nā pono o ka lāʻau lapaʻau he haʻahaʻa haʻahaʻa a me ka wikiwiki. Akā, pono ʻoe e ʻike he ka acetylsalicylic acid e hoʻonāukiuki i ka mucosa gastrointestinal, no laila ua contraindicated ma gastritis a me nā ulia.

ʻO nā kumuwaiwai antiplatelet i ʻike ʻia, ka hoʻohana maʻamau o ka mea e kōkua ai i ka pale aku i ka hōʻawa ʻana no ka thrombosis, ʻo Thrombo ACC, Cardiomagnyl, Clopidogrel.

ʻO nā mea kanu loiloi he hui ʻē aʻe i kauoha ʻia no ka cerebral arteriosclerosis. E hana nā mea kikowaena e like me ke kānāwai kūikawā o ke kaloli o nā resins. ʻO nā lāʻau lapaʻau e wehe i nā momona momona mai ke kino, me ka kolesterol maikaʻiʻole.

Ke hoʻohālikelike ʻia me nā lāʻau lapaʻau o luna aʻe, he hopena kūpono nā lāʻau lapaʻau. Akā loaʻa lākou nā pōmaikaʻi - ke kumu kūʻai a me ka liʻiliʻi o ka hopena o nā hopena kūlike.

Nā ʻōmole kaulana:

  1. Kahi. Hoʻopaʻi ʻia ka hoʻokuʻu ʻia ʻana ma ke ʻano he 4 g i ka manawa ma mua o ka ʻai. Hoʻoholo ʻia ka lōʻihi e ke kauka. Hiki i nā hopena maikaʻiʻole ke pale aku i ka kahe ʻana, ke kahe ʻana o ka nui o nā momona momona i ke momona o ke kino.
  2. Colestipol a Colestid paha. Loaʻa i ke ʻano o nā papa (5 g) a me ka pauka (1 g). I ka hoʻomaka mua o ka hoʻōla, hoʻokahi hapala o ka lāʻau lapaʻau he 5 mau grama, ma hope iho, hiki i ka nui ke hoʻonui i ka 30 gram.
  3. Loaʻa ka Questran i ka pauka form. ʻO ka lā helu no nā lā he 1 mau ʻeke, no nā pākeke - 6 ʻeke. I ka wā o ka mālama ʻana me ka lāʻau lapaʻau, ua ʻōlelo ʻia e inu i nā nui o nā ʻano wai.

ʻO nā lāʻau lapaʻau maikaʻi

ʻO ka vitamin PP ka hana koʻikoʻi i ka mālamaʻana i ka atherosclerosis. ʻO nā kumuwaiwai he nui o nā waiwai kūpono. He ona hypotensive, anticholesterol, vasodilator a me nā hopena fibrinolytic.

Hoʻokomo ʻo Niacin i ka cerebral arteriosclerosis hoʻoheheʻe i nā lipoproteidlipases a hemo aku i nā momona momona, hoʻoneʻe i ka kaila o TG.

Loaʻa nā huahana huaola-hua ʻona i nā ʻano ʻano like ʻole a lawe ʻia ma hope o ka ʻai. ʻO ka dosage i kēlā me kēia lā i ʻōlelo ʻia ʻo 3-5 gram.

ʻO kahi overdose o nā lāʻau lapaʻau e pili ana i ka waikawa nicotinic e hiki ai i nā wela wela. Nā kūmole - urolithiasis, maikaʻi ole o ka nalo, hana hewa o ka pānaʻi ʻana.

Eia kekahi, me ka atherosclerosis, ua kuhikuhi ʻia nā vasodilator. Hoʻonui lākou i ka lumen o nā māla o ka lolo a hoʻomaʻamaʻa i ka papa o ka maʻi, hoʻomaikaʻi i ka kaila o ke koko a hoʻonui i ka hoʻoliʻi neural energy.

ʻO nā lāʻau lapaʻau kūpono vasodilator:

  • Cinnarizine;
  • Norvask
  • Nimodipine;
  • Lacipil;
  • Adalat a me nā mea ʻē aʻe.

Heʻokoʻa wale, pono ia ʻike i kahi lāʻau lapaʻau i kapa ʻia ʻo Detralex. He lāʻau lapaʻau hou kēia e hoʻomaʻemaʻe wikiwiki a kani i nā moku koko o ka lolo. Akā ʻo ka maʻamau, mālama ʻia ʻo Detralex no ka hōʻai ʻana i ka atherosclerosis, me ka hoʻokaʻawale ʻana i ka huhū ʻana, ka kaumaha a me ka ʻeha i nā wāwae.

ʻO ka nui o ka waiū a me nā minelala he mea nui o ka hoʻomaʻamaʻa paʻakikī ʻana no ka hoʻopaʻa ʻana o nā lāʻau i nā polaki kolesterol. ʻO nā mea kūpono e pono ai no nā vascular pathologies: mau huaora PP, C, B a me nā mea nānā i loko - mea silika, potassium, selenium.

No ka mea ke hele pinepine nei ka atherosclerosis e ka hypertension arterial, komo ʻia nā lāʻau hypotensive i ka mālama paʻakikī ʻana i ka maʻi diabetes. ʻO Indapamide, Captopril, Hydrochlorothiazide, kahi Nifedipine a me Carvedilol i loaʻa ka hopena therapeutic maikaʻi. A me nā mahele holomua o ka atherosclerosis, hiki i kahi mea maʻi ke hāʻawi i nā ʻaluna me nā lāʻai e hoʻomaʻemaʻe ai a hoʻomaʻemaʻe i ke koko.

E hoʻopau i nā hōʻailona maikaʻiʻole o nā ala vascular, hoʻokō ʻia ka lāʻau lapaʻau maʻi maʻi. I ka manawa pinepine, ke kauka nei ke kauka i nā antidepressants, nā lāʻau psychotropic, analgesics, tranquilizer.

E like me ka lāʻau papa hana me ka nui o nā kuʻuna o ke koko koko, hiki ke hoʻohana ʻia i ka aila e pili ana i nā lāʻau lapaʻau. A inā makemake, hiki i nā mea maʻi ke hoʻohui i ka mālama piha ʻana me ka hopena o nā kānaka.

Me ka atherosclerosis o ka lolo, nā mea kanu e like me ka periwinkle, lemon balm, valerian, dill, mint, borax, melilot, meadowsweet, kōkua kōkua clover. No ka hoʻouluʻana i ka microcirculation, hoʻopau i ka spasm vascular a hōʻoki i ke koko, nā mākau e loaʻa ana i ka ginko-biloba extract -Tanakan, Ginko Fort a me Bilobil ka hoʻohana ʻia.

Pehea e mālama ʻia ai ka lolo atherosclerosis i ke wikiō i kēia atikala.

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