ʻO ka atherosclerosis vascular ka pohō o nā lāʻau nui a me nā nui e like me ka hōʻiliʻili ʻana o nā pāla atheromatous a me nā mea ulu i luna o ko lākou mau pā hale. Hōʻike ʻia nā hōʻailona mua o nā patology inā ke kāohi ana ʻoi aku ma mua o 50% o ka lumen o ka moku. Ma hope mai, hiki i ka hōʻeha ʻana o ke kahe koko maʻamau ke hoʻomohala i ka maʻi naʻau coronary, ka hōʻeha, ka puʻuwai naʻau, etc.
Ma ka hopena o ka maʻi e komo ai i nā ʻano hana e like me ka hoʻoholo ʻana i ka nui o nā lipids, nā angiographic aʻoi aku, ultrasound o nā moku koko me ka puʻuwai. ʻO ke kumu o ka lapaʻau, ka lāʻau lapaʻau, nā meaʻai kolamu, a ma nā keaka ʻoi aʻe, ka wawaʻi ʻana i ka maʻi.
Nā papa hana o ka hoʻolālāʻana i nā kulekele
ʻOiai ka maʻi nui o ka maʻi, ʻaʻole ʻike ka mea āpau he aha vascular atherosclerosis. Hoʻohālikelike ia me ka lawe ʻana i nā pā plasher atherosclerotic ma nā paia vascular ma muli o ka protein i hoʻopiʻi a me ka lipid metabolism.
ʻO Cholesterol he pūhui lūlū kikowaena, 80% e hoʻohua ʻia e nā kino kūloko o ke kanaka, a ʻo 20% wale nō ka meaʻai me ka meaʻai. No ka hoʻohemo ʻole ʻana i ke koko, ua hoʻoneʻe ʻia ia i nā pūmua protein kūikawā - lipoproteins. ʻElua mau ʻano o ka nui o nā pūhui: lipoproteins kiʻekiʻe-density (HDL) - nui ka hoʻomau i ka wai wai, ke pale aku nei lākou i ka hoʻoili ʻia o nā palaka kolesterol, kahi nui o HDL i ke koko ke hōʻike nei i kahi kanaka kino; lipoproteins haʻahaʻa haʻahaʻa (LDL) - pūpū insoluble i loko o ke koko, ʻo kā lākou mea nui e alakaʻi i ka hoʻohemo ʻana o ka cholesterol i loko o ke ʻano o nā mea ulu a me nā kīwaha.
He mea maʻamau ia e hoʻokaʻawale i waena o ʻekolu mau papa nui o ka hoʻomohala ʻana i ka atherosclerosis o nā kīʻaha koko.
- ʻO ka helehelena o nā lipid. ʻO Microcracks a me ka emi haʻahaʻa o ka hoʻokahe koko i ke kuleana i ka lawe ʻana i nā palaka ma ka paia o ka pā o nā io. Me ka pilikia o ka lipid a me ka protein protein, hoʻokumu i nā pūpū ma nā paia i loaʻa i nā lipids, a me kolamu, a me nā kalama. He mea paʻakikī ke noʻonoʻo i ka lōʻihi o kēia manawa o ka maʻi, no ka mea, kēlā kanaka kēia kanaka. Hiki ke ʻike ʻia nā ʻāpana lipid ma lalo o ka microscope. I kekahi manawa loaʻa lākou i nā pēpē.
- Ke hoʻomohala ʻana o ka liposclerosis. Ma kēia hana, kūiʻi ʻia kahi pōpoki atherosclerotic - kahi paʻakikī o ka hoʻopili a me ka pili adipose. Kūleʻa nui lākou, no laila hiki iā lākou ke hoʻohemo, kahi weliweli. ʻO ka ʻoiaʻiʻo o nā ʻāpana kolamu o nā waihona koloka e hiki ke hoʻopili i ka lumen o ka moku. Hana ʻia nā paia o nā ʻalihi e pili ana i nā waiho atheromatous ma mua a lilo i ko lākou elasticity mua.
- ʻO ka hiʻohiʻona o ka atherocalcinosis. Hoʻolālā ʻia nā ʻōpala Atherosclerotic, ke kau ʻia nā paʻakai kalaiwa ma ko lākou ʻano. ʻO ka lōʻihi o ka manawa, hiki iā lākou ke hoʻonui i ka nui, ke ʻāʻī a hoʻololi i ke ʻano o ka lāʻau. Ke alakaʻi nei kēia i kahi nele o ka hāʻawiʻana i ke koko i nā kīʻaha, a ma ia manawa e hoʻopiʻi ka pōloli oxygen. Eia nō kekahi, ua kiʻekiʻe ka manawa o ka kuhi (paʻa blockage) o ka moku me kahi thrombus a i ʻole ʻokiʻoki paha o nā pōpoki i wāwahi.
Aia kekahi manaʻo e pili ana ka hiʻohiʻona o ka atherosclerosis e nā maʻi lēpa, nā kuʻuna genetic a me nā loli mutational i loko o nā wahi.
Hoʻomaopopo nā kinipōpō Laumua Atherosclerosis
Aia he mau kumu a me nā kumu e hoʻonui ai i ka ulu ʻana o kēia maʻi. Kaʻana like ʻole a me nā mea hikiʻole, hiki ke hoʻopau ʻia a me nā hoʻoiho ʻole. ʻO nā mea e hiki ʻole ke hoʻoneʻe ʻia e ka mālama olakino a i ʻole makemake i kahi kanaka ponoʻī he mea ʻeha.
E pili ana kēia:
- makahiki - i ke makahiki ʻelemakule, e hoʻomaka ana mai 45-50 mau makahiki, nā hoʻololi atherosclerotic kokoke i nā manawa pinepine;
- ʻanuʻu - ʻo ka hopena o ka atherosclerosis i nā kāne he 4 mau manawa i ka ulu ʻana i ka maʻi i loko o nā kāne, a ua hele ka maʻi 10 mau makahiki ma mua o ka hala;
- aia ka maʻiʻaila - aia ka manaʻo o ka neʻe ʻana o nā hoahānau me kēia pathology e hoʻonui i ka ulu ʻana o kona ulu ʻana i ka makahiki o ka haʻahaʻa ma mua o 50 mau makahiki.
Kekahi mau ala palolo a me nā maʻi i hiki ke hoʻokele ʻia e hoʻopau ʻia. E pili ana kēia:
- ʻO ka dyslipidemia. He kuee ia i ka momona o ka momona o ka momona, ma laila ke kau nei o ke kaila o ke kolamu, LDL a me nā triglycerides. He kuleana koʻikoʻi ia i ka hiki ʻana o ka maʻi maʻi.
- Hypertension. Kuhi ʻia ia e ka piʻi ʻana o ka pilikia ma luna o 140/90 mm Hg, kahi i ka manawa ke alakaʻi i ka emi ʻana o ka elasticity a me ka ikaika o nā lāʻau. Hōʻalo kēia i nā kūlana maikaʻi loa no ka hoʻokumu ʻana ʻana i nā palaki.
- Hoʻopilikia a me nā maʻi. Pākuʻi ʻaihue a me nā ʻano pilokohu e hoʻopilikia nui i ka hana o ke ʻōnaehana cardiovascular.
- Ka momona momona a me ka maʻi diabetes. ʻO ka hele iki ʻana o kekahi o nā maʻi ʻelua e hoʻonui i ka manawa e hoʻonāukiuki i nā mea kanu atheromatous e 5-7 mau manawa. I ka maʻi maʻi maʻi, aia ka hoʻonāukiuki i ka momona o ka momona a me ka hoʻohaʻahaʻa o nā huaʻalani.
ʻO nā hiʻohiʻona maka ʻo ia nā mea e hiki ke hoʻopau ʻokoʻa ʻole ma o ka hoʻoponopono ʻana i kou ʻano.
E pili ana kēia:
- ʻAno maikaʻi. ʻO ka mea mua, pono e hoʻomaopopo ʻia i ka ulaula, no ka hoʻopilikia ka hopena o ka nikotine a me nā mea hoʻonā kino i nā moku koko. ʻO nā mea ulaula me ka "ʻike" e nui paha ka maʻi ma ka hypertension, hyperlipidemia a me ka maʻi ischemic puʻuwai. Hoʻopilikia pū kekahi i ka inu maʻamau i ka mokuʻāina o nā kīʻaha koko.
- Ke ʻano hana. Hoʻopili ka Hypodynamia i kahi pōpilikia i ka uluʻana o ka metabolism a me ka hoʻomohala ʻana i nā pathologies koʻikoʻi - obesity, vascular atherosclerosis and diabetes.
Hoʻokomo pū ka pūʻulu pū me ia i nā hana ʻai maikaʻi. ʻO ka hoʻohana mau ʻana i ka meaʻai wikiwiki, nā mea momona, ka paʻakai a me ka mālama ʻana i nā manawa o ka lipid metabolism disturbance.
Ka helu ʻana a me nā ʻōuli o ka maʻi
Ke ulu nei nā mea holomua, pono ke hoʻākāka ʻia kahi asymptomatic a me kahi manawa haukaʻi. ʻO kēia ke kumu i ʻike ʻia nā hōʻailona mua o ka maʻi inā ʻike wale ʻia inā ka clogging 50% o ka lumen o ke kīʻaha. Hoʻololi ʻia ka maʻi maʻi e like me nā moku i pili.
Hoʻololi ʻokoʻa nā hōʻailona o ka atherosclerosis.
Nā ʻōpū (nā ipu i hoʻopili ʻia) | Nā Hoʻomaka |
Nā moku kolona | ʻEha ka maʻi aʻeha, ka ʻā ʻana a me ke ʻano o ke ʻano ma ka sternum. I kekahi manawa i huli ʻia ma ka lima hema, nā ʻūhā poʻohiwi, a i ʻole ma ka lima o ka lima. Keʻano o ka constriction o ka umauma, ʻeha i ka wā inhalation-expiration, angina pectoris, nā kui o ka luaʻi a i ʻole ka hanu, ka haunaele, ka goosebumps, hoʻonui nui loa, ʻeha hoʻi i ka ʻeha a me nā hōʻeha ma ka ʻāʻī o lalo. |
Kākau Aortic | Palpitations puʻuwai, tinnitus, pōkole o ka hanu, nā ʻeha, ka pulupulu koʻikoʻi ma ke poʻo a me ka ʻāʻī, nāwaliwali, nāwaliwali, nui ka luhiluhi, nā mānoanoa, ka hiʻi i loko o ke koko, ke ʻano a me ka luaʻi. |
Ka hoʻopaʻa ʻana i ka atherosclerosis o nā lāʻau brachiocephalic | Ke kala nei i ka hoʻololi ʻana i ke kūlana, ke alo o nā "kumu a lele aʻe" ma mua o nā maka, nā aniani blurred, nā kūlana haʻahaʻa pōkole, nā ʻeha, nā pale o nā wāwae a me nā lima. |
Nā moku koa | ʻAi ka hoʻohui ʻana o ke koko i ka pā ʻana, paʻakikī ka uring, puʻu a me ke ala, ʻeha i ka ʻōpū o hope a me ka ʻōpū, haʻahaʻa me ka pākeke i loko o ke koko. E kūʻē i ke kūmole o ka atherosclerosis o nā māla renal, ka maikaʻi ʻole o ka renal, interstitial nephritis, atheromatous e hōʻino ana i ka lolo a me ka naʻau. |
Nā kīwaha cerebral (atherosclerosis cerebral) | ʻO nā poʻo i kūpono ʻole, ka tinnitus a i kani paha, nā luhi, ka insomnia, nā hopohopo, hopohopo, hoʻololi i ke ʻano, loiloi maikaʻi ʻole, ʻōlelo ʻana i ka hanu, nā hanu a me nā mea ʻai. |
Obliterating atherosclerosis o nā lalo a me luna | Manaʻo i ka maloʻo i nā wāwae a me nā lima, ka palaki o ka ʻili, ka manaʻo i ka "goosebumps", nā lehelehe o nā lauoho ma nā wāwae a me nā lima, nā kīkaha puʻupuʻu, nā ʻeha ʻeha, nā ʻōpala trophic, ka nekrosis kiko, ʻulaʻula o nā wāwae, ka huehue. |
ʻO ka hopena o ka holomua o ka maʻi
ʻAʻole i hōʻike ʻia ʻo atherosclerosis vascular iā ia iho i kekahi ala no ka manawa lōʻihi, hiki iā ia ke hāʻawi i nā hopena koʻikoʻi ma ka mea nona.
Pono e hoʻolauna i nā hoʻopiʻi o nā maʻi like ʻole he prognosis maikaʻi ʻole.
I ka manawa pinepine, ma muli o ka hoʻomohala ʻana o ka atherosclerosis, hōʻeha ʻia nā mea maʻi i nā ala pili:
- maʻi maʻi coronary;
- Ka neʻe ʻana ma ka palaki ischemic (neʻe hewa ʻana ka ʻike o ke koko i ka lolo a i ʻole retina ka maka);
- myocardial infarction;
- ʻeha ʻana a me ka puʻe ʻana i ka naʻau;
- kahi aneurysm aortic (hoʻokahi wale nō ka hana neʻe i ka holo ʻana);
- pilikia ʻole;
- mesenteric thrombosis a i ʻole kakela mesenteric i ʻole;
- nā ʻōpū o ka ʻōpū a i ʻole nā ʻawaʻawa (ʻo ke ʻano wale nō ka hopena).
ʻO ka hana koʻikoʻi i ka mālama ʻana i ka atherosclerosis e mālama ʻia e ka maʻi manawa. A i ʻole, pili mai ka maʻi i nā pilikia he nui, e komo pū ai Maʻi maʻi Ischemic.
Hoʻopilikia pinepine me nā pōʻino nui o ka pōkole a me nā moku nui, he hopena lethal e loaʻa.
Nā kuʻuna no ka hoʻomohala ʻana i ka atherosclerosis
ʻO ka mea mua, ke hoʻolohe nei kahi cardiologist i nā hoʻopiʻi a ka mea maʻi, hōʻiliʻili i ka ʻikepili a me nā mea pili i ka pilikia.
Hōʻike ʻia ka maʻi e nā hōʻailona e like me ka leehae, nā loli o ka trophic, ka hoʻolilo ʻana, ka hele ʻana o ka wen i ke kino, ka hypertension a me ke hoʻololi ʻana i nā puluna o nā kīʻaha koko.
ʻO ka maʻi maʻi o ka atherosclerosis pū kekahi ʻano o nā ʻano hana.
E pili ana kēia:
- Pūnaewele noiʻi. Hoʻomaopopo ka maʻi i ka piʻi ʻana o ka neʻe o ka cholesterol, LDL a me ka triglycerides i ke koko.
- Alahele Me ka atherosclerosis, me ke kōkua o kēia noi, hiki ke hoʻokū i ka hoʻopili ʻana, elongation a me ka helu ʻana o ka aorta. Hoʻohana ʻia ka aneurysm a me ka aortic hoʻonui i loko o ka thoracic a i ʻole ka ʻōpū ʻōpū.
- Kāleka Hoʻopuka ʻia ka hoʻokolohua me nā loli o ka atheromatous i nā moku coronary.
- Angiography. Ma ka hoʻopuka ʻana o kahi ʻano kūlike me ka radiography, hiki ke nānā i ke kūlana o nā moku o nā pae haʻahaʻa haʻahaʻa.
- ʻO Dopplerography (Doppler ultrasound) o nā moku ʻaihue. Ke kōkua nei kēia ʻano i ke hōʻoia ʻana a i ʻole hoʻi i ke ʻole o ka ʻaihue ʻia i ʻōlelo ʻia i nā lālani atheromatous.
- ʻO ka pōkole o nā peku o nā ʻāpana haʻahaʻa o ka naʻau, ka puʻuwai a me aorta. Kōkua i ka ʻike ʻana i nā pōpoki atherosclerotic, ke kahe o nā kiʻi koko a hoʻemi i ka hāʻawi ʻana i ke koko nui.
Hoʻohui ʻia, e hoʻohana ʻia ana kahi reovasography o nā ʻāpana haʻahaʻa haʻahaʻa. Ua ʻōkuhi ʻia i nā hanana ʻano liʻiliʻi e loiloi i ke ʻano o ke kahe koko.
ʻO ka lāʻau lapaʻau a me nā hana lapaʻau
ʻAʻole hiki ke hoʻōla mai ka atherosclerosis hoʻokahi a me nā mea a pau: pono i kēia neʻe pili pono.
Holo ka hana o ka maʻi i ka hoʻopulapula i ke kō ʻana o ka kolamu me ka meaʻai, hoʻomaikaʻi i nā kaʻina metabolic i loko o ke kino, e lawe ana i ka estrogen i ka wā menopause a hoʻopilikia i nā mea kumu kumu o nā maʻi.
Hoʻokomo ʻia ka lāʻau lapaʻau o nā patula he mau pūʻulu o nā lāʻau lapaʻau kūpono.
Ma ke kaʻina hana o ka mālama ʻana:
- ʻO nā Fibrates nā lāʻau lapaʻau e hōʻemi i ka synt synt fat. Hiki i kahi mea loea ke koho i kahi hopena, no ka mea aia kahi maʻi hepatic disfunction a me cholelithiasis.
- ʻO Niacin a me kāna mau mea i hoʻohana ʻia i nā lāʻau i hoʻohaʻahaʻa i ka cholesterol a me ka triglycerides, a me ke hoʻonui ʻana i ka HDL. ʻO kēia pūʻulu o nā lāʻau lapaʻau e contraindicated ma nā puʻuwai naʻau.
- ʻO nā Statins ka mea maʻamau e hana pinepine ai i ka hakakā ʻana i ka atherosclerosis a me nā maʻi e pili ana i ka cholesterol kiʻekiʻe. Hoʻoholo ka ka hana o ka hana i ka hōʻemi ʻana i ka hana o ke kino.
- ʻO nā ʻōkuhi LCD he mau lāʻau lapaʻau e hoʻopili ai a hoʻomaʻemaʻe i nā mea i loko o nā waikawa bile. Ma muli o kēia, ua hoʻemi nui ʻia ka ʻike ʻana o nā lipids a me ka cholesterol. Ma waena o nā hopena ʻino, hoʻohanohano ʻia ka hoʻomohala ʻana a me ka constipation.
Ma ke ʻano he lāʻau hou, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e loaʻa ana i nā Omega-6 a me nā Omega-3 polyunsaturated fatty acid, sedatives, a me nā kūmole wai-mineral.
Me ka nui o ka pilikia o ka piʻinaʻi o ka artery, ka pli a iʻa koko paha i nā hana lapaʻau ʻo ka mālama ʻana.
Me ka atherosclerosis, ua hana ʻia nā hana penei:
- Endarterectomy - ʻokiʻoki o kahi palaki kolala me kahi hapa o ka pā o ka moku i hoʻopau ʻia.
- ʻO ka hana Endovascular - dilatation o ka moku e hoʻohana ana i ka catheter baluna e ukali ʻia e ka waiho ʻana o ka paʻu ma kahi o kona ʻiliʻī.
Eia kekahi, ʻo ka coronary artery bypass grafting e hoʻohana ʻia - kahi hana pale i pale i ka hoʻomohala ʻana o ka infoction myocardial.
Nā wānana a me nā mea pale
Me ka hoʻomaka ʻana o nā kahe koko, ke ʻano a me ka mālama ʻana i ka atherosclerosis, hiki i ka prognosis ka maikaʻi. ʻO ka hana kūpono me ka meaʻai kūikawā a me kahi hana e ola ai ka mea e pale aku ai i ke ʻano o ka plel atheromatous hou a me nā mea hoʻoikaika.
ʻO ka ʻike ʻana i nā hana hōʻino o ka hoʻokahe koko i nā kino a me ka hoʻokumu ʻana o nā pūnaewele necrotic e hōʻike ana i ka hōʻino i ke kūlana o ka mea maʻi a me kona hoʻomaikaʻi.
Hoʻokō ʻia ka hana koʻikoʻi i ka mālama ʻia ʻana o ka maʻi e ka ʻai a ka hypocholesterol. Wahi a nā loiloi, pono e loaʻa i ka papa hoʻomanawanui nā huahana aʻe:
- nā ʻiʻo haʻahaʻa a me nā papa iʻa;
- momona momona lactic acid;
- mauʻaʻa ʻaila;
- nā kamaliʻi ua waiwai i loko o ka momona kūlohelohe;
- kīwī ʻōmaʻomaʻo, compotesened compotes, uzvar;
- nā huaʻaiʻai, nā lau ʻai, nā huaʻai a me nā mea kanu.
I ka manawa like, pono nā kīʻaha e hoʻonui i ka kolesterol mai ka meaʻai;
- ʻili, kāpili ʻia, paʻakai a hoʻomoʻa i nā pā;
- nā ʻiʻo holoholona (cream cream, lard, cream);
- iʻa momona a me nā iʻa;
- offal (uka, ʻōpū);
- huaʻakika hua manu;
- keʻokeʻo keʻokeʻo, kāwele palaoa, pastries;
- Kāwili, pōkole, keke;
- nā meaʻai kūpono a me ka meaʻai wikiwiki;
- ka wai piha a me ke kalo, ka paila momona;
- nā huahana pālua me ka nui o ka momona momona%.
He mea nui ia e kaupalena i ka kōpaʻa paʻakai i loko o kāu meaʻai o kēlā me kēia lā. ʻO ka ʻōlelo i hāʻawi ʻia e piʻi i ka 5 mau grika no ka lā. Ke ʻai nei i ka nui o nā meaʻai paʻakai, ka nui o ke kahe i loko o ke kino e hoʻonui, e hoʻonui ana i ke koko, e hoʻopilikia kino ʻia i ke ʻano o nā moku.
I mea e mālama ai i ka kolamu kiʻekiʻe, ua aʻo ʻia e ʻai i nā hua ʻōmaʻomaʻo, ʻāpala, kanawai, ʻono a me nā meaʻuʻala hihiu ma kahi ʻōpū ʻole.
I ka hakakā ʻana me ka atherosclerosis, momona ka ʻaila linseed i nā momona momona o polyunsaturated a me nā huaora. I ka lā ua ʻae ʻia ia e inu i 2 tbsp. la l aila ʻaʻa ma kahi ʻōpū ʻole, holoi ʻia me ka wai.
Nui pū kekahi nui o nā kuʻemaka kūwaho i hoʻohana ʻia no ka pale ʻana a me ka mālama ʻana i nā atherosclerosis. Eia nō naʻe, ma mua o ka hoʻohana ʻana iā lākou, he mea kauoha ʻukui o ka mea lapaʻau loina.
Pehea e mālama ai i ka atherosclerosis o nā moku e haʻi i ka mea loea i ka wikiō ma kēia ʻatikala.