Atherosclerosis constrictive: Mgbaàmà na Ọgwụgwọ

Atherosclerosis bụ a nkịtị aghara nwere ọtụtụ iche. Otu n'ime ihe ndị dịgasị iche iche nke enweghị nchịkwa Filiks kwesịrị nlebara anya pụrụ iche constrictive ụdị. Ọtụtụ mgbe ọ na-adị na mmadụ karịrị afọ 50. Na afọ, ahụ a ọtụtụ ndị na-abịa atherosclerotic mgbanwe arịa. Ha na-abụghị nanị ji ọdịdị wetara mgbaàmà, ma abụrụ oké egwu egwu ka ndụ. N'isiokwu a anyị na-atụle ihe ndị bụ isi orunótu na mgbaàmà nke stenosis nke atherosclerosis, nakwa dị ka ndị ahụ chọrọ ụzọ nke ọgwụgwọ ndị dọkịta nke ọrịa.

Description nke ọrịa na usoro mmepe

Constrictive atherosclerosis - a ọrịa usoro, nke na-emetụta isi akwara nke ahu. The usoro nke ya omume bụ nnọọ mfe. N'okpuru nduzi nke ụfọdụ ihe ndị na-vaskụla mgbidi amalite egbu oge free abụba (cholesterol) na ụdị mbadamba nkume ndị e. The ọrịa na-aga ebe ọtụtụ nkebi nke mmepe, ikpeazụ ogbo bụ a ibelata nke akwara ka a kacha nta (stenosis). N'ihi ya, anụ ahụ na akụkụ, dabere na saịtị nke mkpọchị ọbara esenyịn, na-enwe a ụkọ oxygen na nri.

The nsogbu nke proliferation nke cholesterol mbadamba nkume ndị e, na connective anụ ahụ n'etiti ha na-emetụta ndị dị iche iche na isi akwara. Ewere n'ime akaụntụ na ọnọdụ nke enweghị nchịkwa usoro, mata ọtụtụ ụdị ọrịa. Kacha ngwangwa na-atụle elu akwara nke ala ụkwụ, ụbụrụ na akwara obi aorta. Enweghị adọ ọgwụgwọ na-emekarị na-eduga ná emenụ myocardial infarction, ure anụ ụkwụ, ọrịa strok, thromboembolism visceral.

Isi ihe mere

Mmepe nke atherosclerotic ọnya nke oké akwara na-kpatara ihe nke ihe atọ:

1. Mebiri nke abụba metabolism. Mgbe ahụ nke cholesterol njikọ na iga usoro ada ada, ngafe nke bekee amalite edebe na arịa mgbidi. Na ọrụ nke a akpalite na usoro nwere ike ime ihe somatic ọrịa, ekwesịghị nri, ibu oké ibu.
2. Butere n'aka pụrụ ịrịa. Ọ bụrụ na a ikwu a chọpụtara constrictive atherosclerosis, ihe ize ndụ nke ọrịa a enwekwu ọtụtụ ugboro.
3. Mgbada n'usoro ekwedo nke vaskụla mgbidi. Cholesterol mbadamba nkume ndị e nwere ike ghara kpụrụ na a ezigbo elu ma nwee ahụ ike. Mmebi nke vaskụla mgbidi na-eme ka ndị na-esonụ na-anaghị ekwe: ọrịa shuga, ịnọkarị otu, ise siga.

Na ọnụnọ nke onye ma ọ bụ karịa n'ime ihe ndị ahụ e depụtara n'elu ga-emeso ya na uche pụrụ iche na ha onwe ha ahụ ike, ihe ele ahụ.

Ngosipụta nke stenosis nke ụbụrụ akwara

Brachiocephalic akwara bụ nnukwu ọbara arịa inyịme si aortic njiko kwupụta ụbụrụ. Multiple ikpa-etolite ha Willisen gburugburu. Ọ na-enye a zuru inweta ọbara ụbụrụ.

Mgbe a na ngalaba nke gburugburu nke Willis kpụrụ ihe na-egbochi n'ụdị ihe atherosclerotic ihe e dere ede, na-ekwu banyere mmepe nke stenosis. Nke a na ọrịa na-emetụta ndị inweta ọbara dum usoro nke ụbụrụ. Enweghị adọ ọgwụgwọ pụrụ iduga hypoxia ma ọ bụ ọrịa strok. Ịrịba ama nke enweghị nchịkwa usoro na-adabere na ego nke atherosclerotic mbadamba nkume ndị e na ọbara bed.

Ná mmalite nke ọrịa bụ asymptomatic. Mgbe arịa ahụ lumen na-egbochi site e dere ede 50% ma ọ bụ karịa, onye ọrịa nwere ike ịkpado ọdịdị gbara gharịị ọrịa. Otu n'ime ha bụ:

• ntighari vertigo na ndabere nke ọnụ ke ọbara mgbali;
• obi lability na a predominance nke dara ya mbà ọnọdụ;
• abiaghi itinye uche;
• anụ na visual nsogbu (tinnitus, ikpe impairment, ntoputa nke ijiji na n'ihu anya);
• ọrịa oké ike ọgwụgwụ;
• nkụnwụ nke mkpịsị aka;
• iro nke thermoregulation.

Ndị a mgbaàmà mbụ nwere ọ nweghị mmetụta na àgwà nke ndụ. Ọtụtụ ndị ọrịa nanị leghara ha anya. Progressive constrictive atherosclerosis nke brachiocephalic akwara akpata ịchọ enyemaka site a dọkịta.

Ngosipụta nke stenosis arịa nke obi

Iji obi oxygen na nri nri site akwara akwara. Atherosclerotic ndia ọnọde a oké njọ n'ihe ize ndụ nke isi akwara nke ahụ, na-emetụta ya n'afọ iri na ụma na izu ezu nke he. Na ọrịa a, ọrịa na-emekarị mkpesa nke mgbu na retrosternal ohere. First ha apụta mgbe ahụ exertion ma ọ bụ nchegbu. N'ime oge ahụ, ahụ erughị ala na-adịghị ahapụ nwoke, ọbụna na ike. Duration nke mgbu agha bụ banyere 30 nkeji.

Nnukwu ngosipụta nke enweghị nchịkwa usoro a na-atụle ga-a myocardial infarction. Ọrịa so site n'oké ihe mgbu na obi, nke ike-mkpirikpi Erere "nitroglycerin". Ọbara mgbali tụlee, dapụtara na ihe siri ike dizziness, adịghị ike. Constrictive atherosclerosis, na-emetụta ndị akwara akwara nwere ike ịkpata oké nsogbu. Ndị a gụnyere ndị gbasara obi aneurysm, cardiogenic ujo, na ọdịiche kpọmkwem site na uru. Ọtụtụ mgbe, ndị dọkịta ịchọpụta na syndrome nke ọnwụ mberede.

Ngosipụta nke stenosis nke akwara nke ala na nsọtụ

Site femoral akwara ọbara kasị oké isi nke ahụ ahụ, emi odude ke ụkwụ. Constrictive atherosclerosis nke ala na nsọtụ nwere nke atọ kasị elu ugboro ole nke na omume. Clinical ngosipụta nke a na ọrịa iche iche iche-iche. Ọ bụ ya mere amamihe na-atụle mmepe nke a enweghị nchịkwa usoro na nkebi:

1. Mgbe mbụ ogbo nke onye ọrịa na-eche banyere mmetụta nke coldness, ọkụ, ma ọ bụ tingling ala ụkwụ. The akpụkpọ gị ụkwụ pales otú ahụ.
2. N'ihi na nke abụọ ogbo ji ọdịdị nke intermittent claudication. Otu N'ịdị mgbe na-eje ije ma ọ bụ na-egwu egwuregwu na-amalite ịgwụ mbụ karịa ndị ọzọ. Nke nta nke nta evolving wetara sensations na mpaghara nke nwa ehi akwara, e nwere a persistent cyanosis.
3. Na nzọụkwụ ọzọ siri intermittent claudication ịrịba enwekwukwa. Onye ọrịa na-aghọ siri ike na-aga site na mbụ ụzọ na-enweghị nkwụsị. Ọtụtụ mgbe ọrịa mkpesa nke mgbu na mkpịsị ụkwụ, nke na-adịghị apụ n'anya na-ezu ike. The akpụkpọ na ụkwụ na-aghọ marble ndo, o nwere ike ịgbawa ma thinner.
4. Nke-anọ nzọụkwụ lameness ọ na-aghọ oké na onye na-amanye ka a na-akwụsị ọ bụla 50 nzọụkwụ nke ụzọ. Ikekwe ọdịdị venous ọnyá, ọzịza. Oké ihe mgbu na ụkwụ gbochie ụra n'abalị.

Anyị nwere ike na-eche, mgbe ahụ ka a ga na-adịgide adịgide ọrịa n'ụdị ure anụ ahụ. Ọ bụrụ na ị na-enwe mgbanwe nke mkpọchị mgbasa ke ụkwụ (adịghị ike, intermittent claudication) , ozugbo-achọ ọgwụ anya. Ọ bụrụ na ndị ọkachamara na-akwado constrictive atherosclerosis nke ala na nsọtụ akwara, na ọgwụgwọ ga-ndokwa ozugbo.

ụzọ nke nchoputa

Iji ngwa ngwa mata ọrịa na-amalite ya ọgwụgwọ, na mmadụ nile mgbe afọ 40, ndị dọkịta nwere ike ikwu na otu ugboro n'afọ lee gị ahụ. Ọ bụ iji na-a ọbara ule ndị na-esonụ na-egosi:

• cholesterol, lipoproteins, triglycerides;
• fibrinogen;
• glucose;
• clotting.

Ndị a kwa nwere ike n'ụzọ na-egosi na a mebiri nke protein na lipid metabolism, nke na-akpata mmepe nke daa ọrịa.

Constrictive atherosclerosis nke akwara nke ụbụrụ, obi ma ọ bụ na ala ụkwụ dị mfe ịchọpụta. Iji mee nke a, onye ọrịa na-kenyere a mbara ule na-agụnye ndị na-esonụ usoro:

• igba ogwu n'akwara / ọbara vaskụla angiography iji iche;
• rheovasography;
• Doppler;
• triplex ịgụ isiokwu.

Na ndabere nke dọkịta natara pụta nke nnyocha e mere na ike gosi nke mbido nchoputa. Mgbe ahụ, onye ọrịa na-kenyere ọgwụgwọ.

ọgwụ ụkpụrụ

Stenotic atherosclerosis ọgwụgwọ n'ụzọ dị ukwuu-adabere na ihe ogbo nke ọrịa ọrịa rịọrọ ndị dọkịta. Mgbe mbụ ogbo, na mgbakwunye na-aṅụ ọgwụ dị mkpa na-agbalị ịgbanwe gị si ebi ndụ. Ọ dị mkpa na-enye elu àgwà ọjọọ, na-agbalị iji nweta ọtụtụ ike. Ma ọ bụghị ya, na-ewere ọgwụ na-akwụsịlata na progression nke ọrịa, ma ọ bụghị kwụsị ya kpam kpam.

Ọ bụ amanyere bụ iwu inye a dọkịta onye ọrịa a nri (table nọmba 10), ọgaranya osisi oriri. Na-emekarị na-atụ aro ka ọrịa na ọbara mgbali ma ọ bụ obi ọdịda. Ọ bụrụ na anyị ejiri obi anyị nri a, i nwere ike ọ bụghị naanị na ibelata ego nke cholesterol oriri, ma na-ịdọrọ ya ngafe si ahụ. Nke a abụghị na-aga na a na-eri ifelata. Ike ga-abụ ezi na zuru ezu. Ma ọ bụghị ya, na ọgwụ adịghị eweta chọrọ N'ihi.

Ọrịa na a nchoputa nke "stenosing atherosclerosis nke ala na nsọtụ" ọgwụgwọ a ga-gbakwunyere na egwuregwu. Mmasị e kwesịrị Nordic na-eje ije ma ọ bụ igwu mmiri. Ke akpa ihe ịrịba ama nke ike ọgwụgwụ na ụkwụ chọrọ izu ike ozugbo, na-enweghị overloading ahu.

The iji ọgwụ

Ọgwụgwọ nke atherosclerosis bụ omume ka ewere n'ejighị ọgwụ. A ọrịa chọpụtara na ọgwụ ọgwụ ọjọọ ndị na-esonụ iche iche:

1. Antiplatelet mmadụ. Gbochie kpụworo egbochi mkpụkọ nke ọbara ke n'ọbara.
2. Antispasmodics. Mma ọbara ofụri idem.
3. Ọgwụ maka normalizing ọbara rheology. Akpa, kenyere ntapu ọgwụ, mgbe ahụ, ọ na-anọchi na a mbadamba ụdị.
4. Anticoagulants.

All ọgwụ na-họọrọ ọ bụla ndidi n'otu n'otu. Jide n'aka na dọkịta ga-gaa na akaụntụ ogbo nke ọrịa, na ya udi.

ịkpa aka

Atherosclerosis constrictive achọ a mbubreyo ogbo nke ọrụ. Surgery nwere ike iweghachi nkịtị arịa patency, wepụ cholesterol mbadamba nkume ndị e. Iji mezuo nke a, a uzo, angioplasty ma ọ bụ stenting. Ndị a manipulations na-rụrụ ma endoscopic na-emeghe ụzọ na-eji n'ozuzu ná Nkụnwụ.

Ndị na-esi nke ọrịa

Na nke a pụta ọrịa nwere ike ịbụ nnọọ oké njọ ma-eyi ndụ egwu. Ka ihe atụ, constrictive atherosclerosis nke akwara nke ụbụrụ na-akpatakarị ọrịa strok. N'ezie, nke a sikwuoro adịghị egosi mgbe nile. Ihe niile na-adabere na àgwà nke organism, susceptibility ọrịa ntoputa. Studies na-egosi na ihe dị ka 70% nke ndị bi na karịrị afọ 60 ọdọhọde nke ndị dị iche iche bụ ngosipụta nke atherosclerosis. Nke a na ọrịa bụ isi na-akpata ọrịa ụbụrụ insufficiency syndrome.

Constrictive atherosclerosis nke ala na nsọtụ na-adịghị mgbe niile nwere a mma prognosis. Ọ bụrụ na ndị akwara kpamkpam egbochi, amụba likelihood nke na-emepe emepe ischemic ure anụ ahụ. Karịsịa nkịtị daa ọrịa emee na ndị mmadụ na-arịa ọrịa shuga, n'ihi na ọ na accelerates ọrịa usoro stenosis.

mgbochi

Malite na-arụ mgbochi nke atherosclerosis stenosis dị mkpa si n'oge afọ. All ndị rube isi na-adịghị mma si ebi ndụ, na-na n'ihe ize ndụ nke ọrịa.

Prevention na-agụnye:

• ịdị ọcha Usoro;
• mmega;
• nnabata ya na-arụ ọrụ na ike.

Echefula banyere kwesịrị ekwesị oriri na-edozi. Ihe oriri kwesịrị ọkacha mma iso nke dabere anụ na azụ, dị ka nke ọma dị ka osisi nri.

Ike ndụ na-egosi a ojuju nke àgwà ọjọọ. Otú ọ dị ọ bụ mma ghara amalite ịṅụ sịga na-aṅụ mmanya.

Ndị a nwere ikwu ga-agbasoriri ma n'oge ọgwụgwọ na ruo ya. Dị otú ahụ Atụmatụ zere ọrịa nsogbu. Mgbe mbụ mgbaàmà na-egosi nke constrictive atherosclerosis, kwesịrị ịkpọ onye dọkịta na-elele gị ọbara arịa. Ọ bụrụ na ọ dị mkpa, ndị dọkịta ga-nye iwu kwesịrị ekwesị ọgwụgwọ.