Atherosclerotic cardio: rikitarwa. Cardiosclerosis: Jiyya, Alamun, Sanadin

Cututtuka na zuciya da jijiyoyin jini tsarin mukamansu farko a aukuwar a duniya. A daya daga cikin wurare na farko da daraja jijiyoyin zuciya da cututtukan zuciya da kuma ta rikitarwa.

Mene ne jijiyoyin zuciya jijiya cuta?

By jijiyoyin zuciya da cututtukan zuciya ne a jihar da cewa tasowa a sakamakon rage jini ya kwarara a cikin babban tsarin na tasoshin zuciya - da jijiyoyin zuciya jijiyoyi. A sakamakon haka, da myocardium na zuciya na'am da kasa oxygen da kuma yana fuskantar oxygen yunwa. Saboda wannan dalili, da zuciya ba zai iya yadda ya kamata cika da aiki, kazalika da aiki a iyaka da kansa yiwuwa. Saboda wannan, akwai wani mai kauri da zuciya ganuwar da wani karuwa a size. A wani matsayi, a wani rashin jini da oxygen, akwai wuce kima tsoka tashin hankali, kuma a sakamakon ɓullo da wani tsokar katsewa, ko lalacewar da jirgin ruwa tare da ci gaban hemorrhage (tsokar zuciya infarction). Mafi sau da yawa, wannan yanayin da ake gyarawa a kan bango na atherosclerotic raunuka na jijiyoyin zuciya tasoshin, amma dalilan da bayyanar iya zama da yawa. Ya taimaka wajen fahimtar dalilin da ya sa tasowa mafi muhimmanci da kuma m yanayin a CHD - atherosclerotic cardio.

Menene wannan cuta - cardio?

Yawancin lokaci, cardiosclerosis fahimtar komowar aiwatar da wucewa a cikin kauri daga cikin zuciya tsoka. Lokacin shi ne ba al'ada cardiomyocyte maye da connective nama, wanda ƙwarai impairs aiki na zuciya.

Akwai biyu main siffofin, wanda ya kasu kashi cardio - atherosclerotic da postinfarction.

Kamar yadda sunan ya nuna, tsokar zuciya infarction ɓullo da a kan tsohon site na necrosis na cardiomyocytes - ciwon zuciya. A karkashin ya maye lalace kyallen takarda ne a physiological tsari na jiki yunƙurin mayar da shafi zuciya da sauransu. Its kunnawa ne hadaddun sunadaran da hulda tsakanin wani tsokar Kwayoyin, connective nama da kuma Kwayoyin na rigakafi da tsarin.

Cardiosclerosis a atherosclerotic aiwatar yawanci pathological da kuma gudanar da wani kadan daban fiye tsokar sclerosis. A hadaddun dogara ne a kan jari na dauki da kuma amfani da kitsen kwayoyin.

Yana magana a kan wannan cuta, da kuma a kasa da kasa rarrabuwa na cututtuka. Idan akwai atherosclerotic cardio - ICD code wanda aka kafa a cikin ganewar asali - I24. Af. Wannan ganewar asali ne fallasa duk, ba tare da togiya, marasa lafiya girmi 55 shekaru. Mene ne halayyar da shi?

Atherosclerosis a matsayin dalilin cardiac cuta

Ta yaya za a iya tasowa atherosclerotic cardio? A Sanadin wannan cuta - rayuwa cuta hade da farko tare da metabolism na fats.

Yana duk yana farawa da wani rashin daidaituwa daga lipoproteins a cikin jiki. A muhimmanci irin rawa da low-yawa lipoproteins (gane a matsayin mafi atherogenic - iya samuwar atherosclerotic plaques). Wani daidai da muhimmanci factor ne gida asarar jijiyoyin bugun gini endothelium. Yadda aka saba, da endothelium aka rufe da musamman abubuwa da hana su magance lipoproteins da jini clots. Tun lokacin da aka shafa, da yanayi na jari na lipoproteins a wuri na ƙeta. A sakamakon haka, a kan site na wani jijiyoyin bugun gini aibi tasowa atherosclerotic plaque. Kamar yadda ta girma ne a hankali a hankali takaita da jijiyoyin zuciya jirgin ruwa, wanda halitta yanayi na oxygen rashi. A sakamakon haka, kusan duka akan rage lumen jini tsaya a nan ba gudãna zuwa ga myocardium, da kuma tasowa da ciwon zuciya.

Atherosclerotic canje-canje na zuciya bango

Wannan nau'i na CHD - atherosclerotic cardio - shi ne babban dalilin da zuciya rashin cin nasara. A sakamakon keta tsokar oxygen wadata da kuma ci gaban da jijiyoyin zuciya sclerosis aiwatar ke zuwa zuciya tsoka. Saboda wannan, shi ya zama jimlar da na kama dukan kauri daga cikin jiki. A ganewar asali da atherosclerotic Cardiosclerosis karfafuwa halshen duk mutane girmi 55-60 shekaru. Dole gaban ƙãra yawa na lipoprotein. An musamman kananan yawan mutane za su iya kauce wa ci gaban da wannan cuta, wanda shi ne dalilin da ya sa ya kamata ka sani game da siffofin da wannan cuta.

Yana tasowa a kan wani dogon lokaci. Keta suna kara hankali, wanda shi ne dalilin da ya sa ganewar asali atherosclerotic raunuka ba tare da dacewa da bincike ba zai yiwu ba. Mene ne bayyanar cututtuka da wannan cuta da kuma yadda za su bayyana kansu a cikin mutane daban-daban?

cututtuka asibitin

Duk wani asibiti cututtuka ba bayyana kansu matuƙar tsari ba dukan myocardium ya ƙunsa, kazalika da sauran rufi na zuciya. Shi ne da muhimmanci musamman da kuma takaita da lumen na jijiyoyin zuciya tasoshin. A asibitin bai bayyana kamar dai diamita daga cikin jijiyoyi da zuciya ba za a rage by akalla kashi 70 cikin dari da kuma ba ci gaba atherosclerotic cardio zuciya.

Harufan manifestations da cutar ne shortness na numfashi, zafi a cikin zuciya, lokaci-lokaci yakan a jini.

Shortness na numfashi bayyana kanta a hankali. Da farko, ta ci gaba ne na hali na wuce kima motsa jiki, amma a kan lokaci ta bayyanar iya zama shi kadai.

Amma ga zuciya zafi, suna aching a cikin yanayi da kuma yawanci bayyana a cardiac obalodi. Ba za mu iya ce cewa suna da stenokardicheskie harafin (contractive zafi haskakawa cikin makamai ko da baya). Tare da ci gaban na zafi ne m da talauci m zuwa samun vasodilators.

Idan ka zo da irin wannan haƙuri, da kuma lura asibiti da likita tarihi aka bayyana a sama, atherosclerotic cardio - wannan shi ne abin da ya kamata su yi tunani a m gwani

ganewar asali da cutar

Don isa wani hukunci, da kuma amsar wannan tambaya na abin da ya faru da mutumin da dalilin da ya sa ya sa irin wannan korafin, shi wajibi ne a gudanar da wani m jarrabawa na haƙuri. A ganewar asali da "atherosclerotic cardio" za a iya gano a gaban dukan bayyanar cututtuka da kuma hadarin dalilai. Ƙarin gyara na karshen tsoma cikin matakai na ci gaba ne da shekaru da marasa lafiya girmi 55 shekaru, namiji jinsi, sedentary salon, matalauta abinci mai gina jiki.

Don fayyace wannan ganewar asali kamata a da za'ayi ko da wasu karin bincike. Daga cikin su zo na farko biochemical bincike na jini cholesterol, electrocardiogram da jijiyoyin zuciya angiography.

Canje-canje a cikin ECG, halayyar atherosclerosis daga cikin zuciya - wani karu a cikin irin ƙarfin lantarki da hakora (rage su al'ada size) tare da wani sosai al'ada a fadi da yanayin da hakora.

Jijiyoyin zuciya angiography bayyana takaita da jijiyoyin zuciya tasoshin da kuma nuna rashin oxygen zuwa myocardium.

magani

Ganin wuya daga cikin pathogenesis da cutar, ya kamata ka gane cewa magani ya zama m. A ma'auni na ba-miyagun ƙwayoyi shisshigi, kazalika da miyagun ƙwayoyi da kuma m shisshigi ba da damar cimma babba nasara a lura da jijiyoyin zuciya da cututtukan zuciya.

Da farko, ya kamata ya kasance ga inganta lafiya rayuwa. Kamar yadda aka sani, da take hakkin dace abinci mai gina jiki shi ne babban dalilin lalacewar da zuciya da jini na zuciya. Bugu da kari, da m motsa jiki damar da zuciya su yadda ya kamata a shirya a m iri a kan aiki.

Yarda da wadannan sauki dokoki (daidaita cin abincin nasu da kuma motsa jiki) sa shi yiwuwa a jinkirta farko na jijiyoyin zuciya jijiya cuta don wani lokaci. Da amfani da kwayoyi zai kawar da dalili na cutar da kuma maido da metabolism.

Babban abu da ya kamata ka kula da idan kana so ka yi wa atherosclerotic cardio - pathogenesis da cutar. Mukaddashin a kan ta asali raka'a iya cimma babba nasara a lura da cutar.

miyagun ƙwayoyi far

Jiyya na atherosclerotic Cardiosclerosis kwayoyi ya kamata a fara kawai a lokacin da mai aiki da kuma tabbatar da kasancewar zuciya rashin cin nasara, da kuma jijiyoyin bugun gini raunuka. A saboda wannan dalili, yana nufin irin wadannan kungiyoyi kamar yadda antihypertensive jamiái, jamiái domin magance zuciya rashin cin nasara, statins, fibrates da metabolites.

Antihypertensive far shafi yin amfani da hanawa na angiotensin tana mayar enzyme ( "Enalapril", "captopril"), diuretics ( "Indap" "Furosemide"). Diuretics ma amfani a gaban zuciya da kuma gazawar ne daga waɗanda formulations cewa an sanya farko.

shi bada shawarar yin amfani da wata rayuwa kwayoyi ( "Mildronat", "Cardiomagnyl") don inganta wasan kwaikwayon na zuciya. Za su iya inganta jinin samar wa zuciya tsoka, kazalika da bayar da gudummawa ga kaddamar da regenerative tafiyar matakai.

Bugu da kari, a lokacin da quickening zuciya kudi da kuma keta yake aiki mafi kyau don amfani cardiac glycosides ( "Digoxin", "Strofantin").

A amfani da statins da fibrates

Statins ne babbar kwayoyi a lura da atherosclerosis. Jigon su mataki ne don rage matakin na atherogenic lipoproteins a jini jini, su fashewa da tukar tumbi, da kuma jini jikewa antiatherogenic lipoproteins (HDL - high yawa sunadarai). Kara da taro, inganta m Properties na jijiyoyin bugun gini endothelium, shi ne ta tabbatarwa, wanda ya hana ci gaban sabon plaques.

Fibrates da irin wannan effects, amma don amfani da su tare da wani statin aka tsananin haramta saboda ci gaban da illa.

Domin lura da amfani da kwayoyi kamar "Lovastatin," "Simvastatin", "Rosuvastatin." Na fibrates yadu soma "Clofibrate", "bezafibrate", "Gemfibrozil."

Wadannan kwayoyi kamata kawai a yi amfani a kan sayan magani da kuma a karkashin m kiwon lafiya saka idanu, tun ba dukan marasa lafiya wadannan kwayoyi suna da kyau jure.

m magani

Tare da ineffectiveness na ba-miyagun ƙwayoyi far da kuma danganci koma ga yin amfani da tiyata. Bakan ayyukan gudanar a cikin wannan Pathology, kananan, kuma sũ, yafi maida hankali ne a kan fa] a] quntata jijiyoyin zuciya jijiya da kuma maido da jini ya kwarara. A mafi yadu kewaye tiyata, stenting da balan-balan angioplasty.

Kewaya tiyata da aka saba yi bude-zuciya tiyata da kuma shi ne mai fairly rikitarwa, kuma m aiki.

Stenting shi ne gabatarwar a cikin kogo na karfe tsarin da jirgin ruwa, wanda manufarsa - inji fadada quntata tasoshin.

Balan-balan angioplasty ne ƙa'ida da farko na stenting, amma wani lokacin shi kuma za a iya amfani da kansa. An yi karkashin X-ray iko. A jirgin ruwa da aka tuhuma da wani balan-balan catheter. Bayan kai da constriction balan-balan ne inflated, haka flattening da plaque da widening da jirgin ruwa.

physiotherapy

A lura da cututtuka na zuciya cututtuka physiotherapeutic hanyoyin ba su samu musamman aikace-aikace, amma ga sauƙi da marasa lafiya da kuma wasu dakatar pathological tsari, su za a iya amfani.

Electrophoresis mafi yawa ana amfani da gida zuwa yankin na zuciya tare da yin amfani da kwayoyi. Mafi sau da yawa, ta amfani da wani halin yanzu kai tsaye a cikin zuciyata to statins. Kamar wancan ne, yana yiwuwa ya haifar da wani gida maida hankali wani abu da zai yi aiki kai tsaye tare da zuciya da kuma yada ta hanyar jini to duk tasoshin.

Yana ba ya tsoma baki da marasa lafiya da kuma dima jiki jiyya a duwãtsu. A wannan wuri ne ƙwarai inganta sufuri da aiki na jini jikewa na myocardium da sauran gabobin da oxygen-arziki jini.

Warkewa motsa jiki za su iya taimaka normalize jini, jera don rage kudi na wasan motsa jiki, cholesterol, da carbohydrates da kuma kai kanka da kuma jikinka a sautin.

Atherosclerotic cardio - rikitarwa

Kamar yadda da dukan cututtuka, jijiyoyin zuciya da cututtukan zuciya da na da mummunan sakamakon ko rikitarwa.

Da farko, a take hakkin da zuciya a sakamakon atherosclerosis raunuka shafi haƙuri da salon. Zai iya ci gaba mai tsanani shortness na numfashi a hukumar na wani aiki.

Sau da yawa lokacin da yake bunkasa atherosclerotic cardio, rikitarwa na iya faruwa a matsayin take hakkin zuciya kudi da kuma kari rushewa bayyanar. Yawancin lokaci akwai na ramin zuciya fibrillation da atrial cin blockades, marasa lafiya sinus ciwo. A rare lokatai, akwai asystole, da kuma kwatsam cardiac mutuwa.

Idan mutum yana da wani atherosclerotic cardio, rikitarwa sau da yawa ci gaba da kuma waje da zuciya. Zai yiwu take hakkin da ýan a kan extremities, musamman da hannuwana da ƙafafuna, sanyi data yankunan na jiki, atrophy ci gaba. Suna iya ma sha kwakwalwa da jini, da idanu, da kuma sauran sashin jiki tsarin.

A tsawon lokaci, jijiyoyin bugun gini cuta shimfidawa a ko'ina cikin jiki. A wannan yanayin, babu musamman magani ne tasiri da kuma abubuwa zalla symptomatic. Lokacin da wani a guje tsari ne kawai sakamako wanda zai iya ƙidaya wani mutumin da ya riqe wani atherosclerotic cardio - Mutuwa.

Rigakafin atherosclerosis

An sani cewa duk wani ciwo ne sauki su hana fiye da warkewarta. Zuciya cututtuka ma dace da wannan halitta. Wannan shi ne dalilin da ya sa ya kamata ka sani game da babban events da kuma hanyoyi don taimakawa kare atherosclerotic cardio. Matsalolin a cikin wannan hali, idan ka yi duk abin da daidai, za a iya taba nuna.

Da farko, ya kamata mu kula da yanayin da rana da kuma rage cin abinci. Ya kamata ka ba ci bayan shida da yamma, kuma idan kana da cikakken numfashi ba, shi ne mafi alhẽri sha gilashin low-mai madara ko yogurt.

Tabbata ya dauki lokaci da ilimin motsa jiki. Training of zuciya zai taba zama superfluous. Domin shi ne daidai dace brisk tafiya, yin iyo.

Shin, ba sakaci da checkups. Yawancin lokaci a lokacin su, da kuma saukar da wannan ko matsala, kuma haka mafi za a mayar da hankali a kan kiwon lafiya matsayi kamar wata kwana, fiye da za mu bi da kanka zuwa ga sauran rayuwarka.

A gaban bayyanar cututtuka shi ne mafi kyau ga nan da nan tuntubar likita domin sanin gaba mataki shirin.