ʻO ka obliterans atherosclerosis kahi maʻi maʻi, holomua, maʻi ʻoweliweli e pili pono i nā māla nui a me ka nui. Hoʻoulu ia e kū'ē i ke kua o nā kumu he nui, ke kumu nui o ka cholesterol kiʻekiʻe.
Hoʻopili ʻia ka hapa nui o kēia ʻauwai i ka mānoanoa o ka paia vascular i ke ʻano o nā plika atherosclerotic. Hola ʻia kēia maʻi, koʻikoʻi aku i ko mākou wā.
Kūkākūkā ka ʻatikala i nā kumu, nā hōʻailona a me ka mālama ʻana o kēia maʻi.
ʻO nā kumu o ka lawe ʻana i ka atherosclerosis
Kūkulu ʻia ka hoʻomohala ʻana me ka atherosclerosis me nā kumu he nui, a i ʻole he mea e neʻe ai.
ʻEkolu mauʻano o nā kumu predisposing no ka hooulu ʻana o ka atherosclerosis.
Hoʻokomo pū ka pūʻulu mua i nā kumu i hiki ʻole ke ʻae ʻia ka mana. Wahi a ia, ua kapa ʻia ʻo ia he mea hiki ʻole.
E pili ana kēia:
- ʻO ka predisposition genetic a me ka hoʻoilina paha - ma kahi kokoke i hoʻokahi haneli o nā hihia o ka ulu ʻana i ka atherosclerosis, hiki ke loaʻa ke ʻano like i ka maʻi maʻi kūlohelohe. Hoʻopilikia kahi kumu like i nā maʻi ʻē aʻe o ka lipid metabolism, no ka laʻana, he hypercholesterolemia hoʻoilina, kahi e hala i ka hopena like i hoʻomohala ʻia me ka atherosclerosis.
- Makau. ʻO nā poʻe kūpiopio waena - ʻoi aku ka nui o nā makahiki he 40. Eia nō naʻe, me ke ʻano o ka makahiki, nalowale nā kīʻaha koko i ko lākou ikaika, elasticity a me ka maikaʻi ʻole, kahi e lilo ai i ka puka i ke kolamu.
- Paul Ua ʻoi aku ka makemake o nā wahine i nā pilikia me ka cholesterol ma mua o nā kāne, a ua nānā ʻia nā hōʻailona mua o ka maʻi i nā makahiki he ʻumi ma mua;
- ʻO ka ulaula i ka paka - ua hoʻonui nui ʻia ka poʻe ulaula e ulu wale nō i ka maʻi ʻōpū o ka maʻi lā a me ka maʻi pākīkē, akā pūnaʻi nui hoʻi i ka atherosclerosis me nā hopena hope aʻe.
- ʻO nā pilikia kaupaona ʻo ia ka mea e pono ʻole ai ka hoʻohemo, no ka mea, ʻo ka haki ʻana i ke kaumaha he hiki ke mālama mau, pono wale nō ʻoe a makemake.
ʻO ka lua o nā hua pilikia i kapa ʻia i kekahi hapa, a i ʻole ke hoʻololi ʻia.
I kēia mau mea:
- ʻO ka hōʻino ʻana i nā mea i loko o ke kino e hoʻohui i ka kolamu o nā lipids ʻē aʻe, e like me triglycerides a me chylomicrons;
- He maʻi maʻi ʻo ka Diabetes mellitus ma kēlā me kēia ʻano. I ka hala ʻana o ka manawa, e like me kekahi o nā hoʻopiʻi pono ʻana, e hoʻomohala ana ka maʻi diabetes - a me macroangiopathy - hōʻino i nā kahe koko liʻiliʻi a nui. No ka mea maoli, he kūlana maikaʻi kēia no ka haʻalele ʻana o nā palaki kolesterol. Eia kekahi, ʻoi aku ka nui o ka maʻi maʻi ma mua o ka maʻi (ma ka ʻōlelo kūikawā me ke ʻano maʻi lua);
- ʻO nā pae haʻahaʻa o ka lipoproteins kaʻo haʻahaʻa - ka mea i hoʻopili ʻia ai ka kolamu "i maikaʻi" a ʻaʻole e hoʻopōʻino i ke kino, akā ʻo ka mea i hoʻopili ʻia me nā lipoproteins haʻahaʻa haʻahaʻa ʻaʻole i kōkua. No laila, ma ke kaʻina o ka mālama ʻana ke ʻimi nei lākou e hoʻonui i ka nui o ka "maikaʻi", a hoʻemi i ka pae o ka "maikaʻi" kolesterol;
- ʻO ka mahele metabolic ka inoa ākea no ka nui o nā hōʻike, kahi e komo ai ke hypertension (ke koko kiʻekiʻe), ka pakanaha o nā momona momona (ma luna o ka ʻōpū), hoʻonui triglycerides, a me ke kō kōa koko a me ka uha ʻole (hoʻonaninau i nā ʻokoʻa).
ʻO ke kolu o nā pūʻulu o ka predisposing e hilinaʻi ʻole a hilinaʻi piha i kēlā kanaka. ʻO kēia kahi mea maʻamau ka nohona lūlū - ke kōkua nei i ka paona momona a me ka hoʻomākaukau kino kino kino ʻana o nā kānaka a me ka hopena i ke kino o ke kūlohelohe a me nā hoʻololi kino;
ʻO kekahi pūpū o nā ʻano hua kekahi pū kekahi o ka inu ʻawaʻawa.
Nā hōʻikeʻike haukapila o ka lawe ʻana i ka atherosclerosis
Hiki i nā Atiterosclerosis obliterans hiki i kahi ʻano kūʻokoʻa ʻē aʻe. Hiki i kēia mau coronary (coronary) arteries, aorta, cerebral vessel, mesenteric (mesenteric) arteries, renal vessel, lalo nā wāwae o ka wāwae. ʻO nā kīʻaha o ka puʻuwai a me nā haʻahaʻa haʻahaʻa loa i kau pinepine ʻia, a loaʻa nō hoʻi iā lākou nā hōʻailona pili loa.
ʻO nā mea kuihuna Coronary ka mea mua e hōʻeha i ka nui o ka kolamu ma ke kino. ʻO nā kolana e loaʻa i loko o lākou e hoʻonui i ka nui, protruding a komo i ka lumen o ka moku. ʻO ka lōʻihi o ka manawa, hopohopo nei nā poʻe maʻi e pili ana i nā popo wela o ka wela, ka ʻū ʻana i ka ʻeha ma hope o ka sternum. Hoʻohui pinepine ʻia lākou me nā ʻano like ʻole o ka hoʻoikaika kino, akā me ke kaʻina holo, hiki ke hele mai a hoʻomaha. Ua kapa ʻia kēia mau hōʻino ʻo angina pectoris.
ʻO Angina pectoris kahi hōʻike hou loa loa o ka hōʻike ʻana i ka maʻi naʻau coronary (CHD). Ua kapa ʻia ia ischemic, no ka mea ma muli o ka nāwaliwali o ka honu coronary e ka atherosclerosis a i ʻole no ko lākou stenosis (ʻopaʻī), ʻeha ka puʻuwai puʻuwai ma ka ischemia, ʻo ia hoʻi, mai kahi nele o ka oxygen. Ma muli o kēia, ʻaʻole hiki ke hana maoli ka naʻau, a ke alakaʻi nei kēia i ka neʻe ʻole o ka holo kaʻa. ʻO kahi papa koʻikoʻi o ka maʻi naʻau coronary e hiki ke alakaʻi i ka myocardial infarction i kēlā me kēia manawa.
Me ka atherosclerosis o aorta, hiki i nā ʻōmole ke hinuhinu. Hoʻopiʻi pinepine nā mea maʻi i ka dizziness, ka manawa maʻamau o ka ʻike ʻana, nā ʻeha ʻeha.
ʻO ka poino i nā keaka cerebral (lolo) e ʻike nui ʻia i ka poʻe elemakule a me ka senile. Malia paha, ʻike nā mea he nui i ka wā e hiki ai i nā ʻelemakule ke haʻi aku i ke ʻano o ko lākou wā ʻōpio a me kona ʻōpio, akā ʻaʻole hiki iā lākou ke hoʻomanaʻo maoli i ka mea i hala inanahi a me kā lākou mea ʻai no ka ʻaina kakahiaka. Ua kapa ʻia kēia mau ʻōuli e ka inoa ʻo Ribot. Eia kekahi, ʻo nā loli pinepine i ka ʻāʻī, ke kuʻina, ka ʻōpū, ka ʻāʻī, a me nā hōʻeha o ka poʻo. ʻO ka hoʻopiʻi weliweli loa i ka atherosclerosis cerebral.
ʻO ka mesenteric, a i ʻole mesenteric, e hoʻopili pinepine ʻia nā ʻalihi. Hōʻike ʻia lākou e nā ʻano like ʻole o ke aihue, ke wela ʻana ma ka ʻōpū, i kekahi manawa a luaʻi, a me ka ʻahū hoʻi i ka ʻōpū. Eia naʻe, hiki ke ʻike ʻia nā mea like me kekahi mau maʻi ʻē aʻe o ka nenehana kūloko, i pili me ia he mea koʻikoʻi loa ia e hoʻohālikelike i ka maʻi maʻi (diagnaction diagnosis) me nā ala like like i loko o ka haukapila.
Hoʻololi ʻo Atherosclerosis o nā ʻalā renal i kāna manawa ma mua. Loaʻa ka mea maʻi i ka hoʻonui koʻikoʻi, a aneane hiki ʻole ke hoʻihoʻi mai. ʻO kēia ka mea i kapa ʻia he sekela lua, a hōʻailona paha, he hypertension renal. Eia nō naʻe, pilikia lākou i ka ʻeha o ka hōʻokoʻa o ka hoʻoikaika ʻana.
ʻO ka Obliterating atherosclerosis o nā haʻahaʻa haʻahaʻa e ulu pinepine pinepine ai, a ʻoi aku ka paʻakikī o kāna pathogenesis. E kūkākūkā hou mākou e pili ana.
Obliterating atherosclerosis o nā lalo haʻahaʻa
Ke kaumaha nei kēia ʻano atherosclerosis i kahi lehulehu o nā poʻe. Hoʻopiʻi ka poʻe maʻi i ka palaualelo o ka wāwae, ka wikiwiki wikiwiki, ka parasthesia ("kuʻu palu") o nā wāwae, ka pīhoihoi o ka ʻili o nā puʻupuʻu haʻahaʻa, nā hāʻule ʻole o ka lauoho i nā wāwae, ka ulu ʻana o ka nail a me ka lōʻihi o ka wā o ka ulia trophic ulia a me ka gangrene e hoʻomohala i ka wā e hiki mai ana.
ʻO nā ʻeha a me nā gangrene trophic, i ka hopena o ke kaʻina, he nui ke nānā i nā mea maʻi me ka maʻi mellitus. I ka wā mua, huli wale nā wāwae i kekahi manawa, aia i kekahi manawa hiki ke kala ʻulaʻula. A laila, i ka wā hele, ʻōmaʻomaʻo ka ʻili, huehue ka wāwae, ʻaʻole nā ka maʻi ʻeha o ka trophic, a me kekahi hōʻeha i nā wāwae, ʻoiai he lipi iki, mauʻu, he ipo ingrown a i kahi hōʻeha paha hiki ke alakaʻi koke i ka gangrene.
Me gangrene, amputation o kekahi ʻāpana o ka wāwae e hōʻike ʻia, e pili ana i ka hoʻolaha o ka necrosis. E like me kāu e ʻike ai, pili nui ka amputation e pili ana i ka maʻi kīnā. ʻO ia no ia mau hopena hoʻonāukiuki i nā maʻi maʻi e hāʻawi i nā kauka i nā ʻōlelo hāpai no ka mālama wāwae. E mālama mau lākou i ka mahana, e pale aku i kekahi, ʻo ka hōʻino iki wale nō hoʻi o ka ʻili, a paʻa mau nā kāmaʻa like ʻole.
ʻO kahi maʻi maʻamau loa o ka lawe ʻana i ka atherosclerosis o nā haʻahaʻa haʻahaʻa e hoʻopili ʻia i waena. Ma ka manawa like, ʻo ka mea i hala, ke hele nei ma nā wahi like ʻole, e koi ʻia e hoʻōki i kēlā me kēia manawa, no ka mea, ke hopohopo nei ʻo ia no ka puhi ʻana i nā hōʻeha ma kona mau wāwae, ka honu ʻana, ka maʻalea ʻana, a me ka manaʻo o ka "goosebumps." Wahi a ia, ua hōʻike ʻia kēia hōʻike ʻehā i nā ʻano ʻehā o ka obliterating atherosclerosis:
- ʻO ka mea mua - hiki i kahi kanaka ke hele maluhia ma kahi mamao iʻoi aku ma kahi o hoʻokahi kilomita, a ʻike ʻo ia i ka ʻeha me ka hoʻoikaika kino wale nō.
- ʻO ka lua (a) - hiki i ka mea maʻi ke hele pololei wale nō ma kahi mamao o 250 mika a hoʻokahi kilomita.
- ʻO ka lua (b) - hiki ke hele ākea ʻole ma kahi mamao o 50 a 250 mika.
- ʻO ke kolu - ma kēia manawa hiki i ka ischemia kikokiko kikoo ke noho, ʻaʻole hiki i ka mea maʻi ke hele mālie ma kahi o 50 mau mika. Hiki i ka ʻeha ma ka hoʻomaha a me ka pō.
- ʻO ka ʻehā - o ke ʻano o nā ulia trophic, a me nā gangrene ma hope mai.
Hiki i ke atherosclerosis o nā hopena haʻahaʻa haʻahaʻa ke kū pololei, subacute a me ka maʻamau. Hōʻike ʻia ka papa o ka maʻi maʻamau me ka hoʻomohala wikiwiki o nā maʻi trophic a me ka gangrene, i pili pū me nā mea e lawe koke ʻia i ka poʻe maʻi a hoʻoliʻi. I loko o ka papa o ka subacute o ka maʻi, ka atherosclerosis i intermetiological ma ke ʻano, ʻo ia hoʻi, ke hoʻololi ʻia nā exacerbations e nā manawa o ka maikaʻi.
I kahi papa maʻi, ʻike mau ka hōʻailona a lohi.
Nā ala e hoʻohuli ai i ka maʻi
E nānā i nā mea maʻi me nā mea e nānā ana i ka arteriosclerosis pono e mālama nui ʻia. I ka hoʻomaka, mālama mau lākou i nā hoʻopiʻi maʻamau i ka maʻi o ka poʻe maʻi: ka luhi o ka wāwae i ka wā e hele ai, hoʻonaninani, ʻike ʻūlū, hōʻili ʻia ka lauoho, ka helehelena o nā ʻōpala trophic a me ka wehe ʻana o ka ʻili o nā haʻahaʻa haʻahaʻa. Eia kekahi, ua paʻa mau ka pulsation o nā māla peripheral - nā kikoʻī o ka dorsal o ka wāwae, tibia, popliteal a me nā femoral. Hoʻololi ʻia ka hōʻike hoʻokolohua mai ka lalo a lalo, no ka mea, ʻo ka hapa ma lalo (haʻahaʻa) e hoʻomaka ana e hōʻeha ma mua, a me ka mua o ka pulsation o ka wahī neʻe i nāwaliwali a nalowale paha. He kauoha kēia kaʻina no nā maʻi me ka maʻi maʻi ma muli o ka hopena kiʻekiʻe o ka hoʻomohala ʻana i ka microic micro- a me ka macroangiopathies.
Ka manawa i koho 'ia ai o ka hana o ke kikowaena a me nā pono hana noiʻi. Mai nā ʻano hana loea, hoʻouna ʻia nā mea maʻi i kahi lipid lipid - kahi hōʻike e hōʻike ana i ka hoʻohālikelike o nā ʻano lipids āpau i ke koko (ka nui kolesterol, haʻahaʻa loa, haʻahaʻa loa, waena me nā lipoproteins density kiʻekiʻe, triglycerides a me chylomicrons).
No nā hana kōkua, ua nānā ʻia ka nānā ʻana o ke kīnika o nā moku koko, ka angiography me ka hoʻohālikelike ʻana a me ke ʻano (magnetic resonance therapy) (MRI). ʻO ka Angiography e hoʻohana ana i nā hoʻohālikelike kūʻokoʻa e hiki ai ke hoʻoholo i ka hoʻomohu o nā ʻōpala, ka pae o ka liʻiliʻi, ka hele ʻana o nā kīwaha koko a me nā kīpē kolamu. ʻO ka MRI kahi ala kuʻuna e aʻo ai i ke ʻano kūloko o nā moku koko me ka loaʻa ʻana o nā hemorrhages. ʻAʻohe mea hōʻeha i ka nānā ʻana i ke kahe o ke koko a ʻimi i ke aʻo ʻana i kahi mea maʻi o ka maʻi maʻi, no ka mea hiki ke hōʻola ʻia (e like me ka stenting - implantation o kahi baluna metala e hoʻonui ai i ka lumen o ke kīʻaha a me ka "wīwī" i ke kīpī o ka kolamu. nā ala kūpono e pale i ka nūhou ʻana o ka atherosclerosis).
ʻO ka hōʻike ʻokoʻa ʻana o ka pale ʻana i ka atherosclerosis me nā maʻi like e like me ka maʻi o Raynaud, e hoʻopau ana i ka endarteritis a me ka thromboangiitis, sciatic neuritis a me ka maʻi Monkeberg he mea nui loa. Me ka neuritis nerve sciatic, ʻike kahi ʻeha, ʻeha a me ka tingling e ʻike ʻia i ka ʻū hope a ma ka ʻaoʻao o ka ʻōpū o ka ʻōpū, a ʻo ka atherosclerosis kēia mau ʻōuli e hoʻomaka e puka mai i lalo o nā wāwae. ʻO ka maʻi Monkeberg ua hoʻoili ʻia i ka moʻomeheu, a i ka manawa like, ua poni ʻia nā membra o nā ʻāpana nunui a pau.
I kēia hihia, ʻaʻole ʻike ʻia nā hana kolohe o ka lipid metabolism, ʻoiai ʻaʻohe mea pono mua no ka hoʻomohala ʻana i ka atherosclerosis.
ʻO ka mālama ʻana a me ka pale ʻana i ka hoʻokele atherosclerosis
ʻO ka hoʻokō ʻana i nā hana therapeutic a me ka hoʻohana ʻana i nā lāʻau lapaʻau i ka mālama ʻana i ka maʻi pono e nānā ʻia e ke kauka komo.
ʻO ka mālama ʻana i nā obliterans atherosclerosis o nā lalo haʻahaʻa e loaʻa i kekahi mau papa nui.
Nā hana mālama o ka mālama ʻana - e komo lākou i ka hoʻohana ʻana o nā hui kūikawā o nā lāʻau lapaʻau, e like me nā statins, fibrates, anion exchange sequestrants a me ka hoʻomākaukau ʻana o ka acid nicotinic. ʻO nā ʻōmomi ma kā lākou hoʻohana ʻana he mau pilikia pilikia. Hoʻohana ʻia nā antispasmodics e hiki ke hoʻopau i ka kōpana o nā kahe koko (Papaverine, No-shpa).
ʻO mandatory ke koho i nā anticoagulants a me nā mea hana antiplatelet - kēia mau lāʻau lapaʻa e hoʻāla i ka hoʻoliʻi koko.
ʻO Diet kekahi o nā hana nui i ka hakakā ʻana me ka cholesterol. Pono e kaupalena a kī ʻole paha i ka hoʻokaʻawale ʻana o nā meaʻai me ke ʻano kiʻekiʻe o ka cholesterol mai ka papaʻai, ʻai nui me nā momona, nā pāʻai, ka uahi a me ka paʻakai.
Ma kahi o ka mea, ua ʻōlelo ʻia e hoʻonui i ka ʻai o nā lau ʻai i nā hua ʻai a me nā huaʻai, nā huaʻai, nā mea kanu, Kāloti, kāloti, nā nati, ka aila ʻaila, ʻaila, haʻahaʻa haʻahaʻa haʻahaʻa o ka iʻa a me ka iʻa, a me ka kai. Pono ʻoe e hōʻemi nui i ka nui o ke kō, ke ʻeleʻele a me ke kofe.
Ua kauoha ʻia nā hana kūlohelohe - ma ke ʻano pono o ka physiotherapy (hoʻoikaika kino), ka hele ʻana o kēlā me kēia lā no ka liʻiliʻi o ka hapalua hola, no ka mea, kōkua kēia āpau i ka hoʻoulu ʻana i ke kahe koko i loko o nā wāwae a hoʻohemo i nā paona hou.
I kēia mau makahiki i hala aku nei, ʻoi aku ka maikaʻi o nā loiloi e pili ana i ka mālama ʻana i ka homeopathy a me nā hoʻohui hoʻohui biologically (BAA).
Ma ke noi a nā mea maʻi, hiki ke mālama i ka hoʻoponopono o nā kānaka, no ka laʻana, ka infusions a me nā decoction o nā mea kanu, hiki ke maʻalahi i ka hale;
I nā pilikia koʻikoʻi, hoʻohana ʻia nā hana hoʻokele holomua ʻoi aku ka mālama ʻana (stenting, shunting).
ʻO ke keʻena o ka lawe ʻana i ka atherosclerosis kahi hana maʻalahi loa. Pono ʻoe e haʻalele i nā hana maikaʻi, ʻai pono, hoʻomaʻamaʻa maʻamau, mālama pono i ke koʻikoʻi a me ka pae o ka kolamu, a hoʻoponopono pū kekahi manawa i nā pilikia olakino ʻē aʻe hiki ke alakaʻi i ka atherosclerosis.
ʻO kekahi loea i ka wikiō ma kēia atikala e kamaʻilio e pili ana i ka obliterating atherosclerosis.
