Yamafutha constrictive: Iimpawu and Treatment

Yamafutha na ukuphazamiseka eziqhelekileyo na iintlobo eziliqela. Phakathi ezahlukeneyo iinkqubo zophendlo lwezifo ufanelwe ifomu constrictive ekhethekileyo ingqalelo. Kaninzi kwenzeka amadoda angaphezu kweminyaka engama-50. Nge ubudala, umzimba abantu abaninzi kubakho utshintsho atherosclerotic kwimikhumbi. Oko nje kuphela luphawulwa ukubonakala iimpawu mnandi, kodwa ingxaki enkulu ebomini. Kweli nqaku siza kuqwalasela le lizwe olusisiseko kunye neempawu ze stenosis ngenxa yamafutha, kwakunye neendlela ecetywayo zonyango ngoogqirha zesi sifo.

Inkcazelo kwesifo kunye indlela yophuhliso

yamafutha Constrictive - inkqubo isifo, leyo isebenza kwemithambo engundoqo umzimba. Indlela ingenzeka yayo ilula. Phantsi yempembelelo yeemeko ezithile kwiindonga nemithambo baqale ezilibazisekileyo amanqatha mahala (cholesterol) kunye nefomu umonakalo. Isifo iya kwizigaba ezininzi zophuhliso, isigaba sokugqibela i licuthe kwemithambo ukuya ubuncinane (stenosis). Ngenxa yoko, ancedisana amalungu, kuxhomekeka kwindawo igazi kakuhle, melene yokunqongophala kwe-oksijini kunye nezondlo.

Ingxaki Unyebeleziso umonakalo cholesterol, kunye zomzimba nokuqina phakathi kwabo uchaphazela imithambo ezahlukeneyo eziphambili. Thathela ingqalelo indawo inkqubo lwezidumbu, ukuchonga iintlobo ezininzi izifo. Eyona olusengozini ingqalelo imithambo engabalulekanga nemilenze, ebuchotsheni kunye nemithambo intliziyo aorta. Yokunqongophala konyango ngexesha kukhokelela vuhlayiseki iposi engabalulekanga, babe iinyawo, stroke, thromboembolism visceral.

Izizathu

Uphuhliso amanxeba atherosclerotic kwemithambo enkulu kubangelwa sisenzo yezi zinto zintathu:

1. Ukophulwa ukutya okunamafutha. Xa umzimba cholesterol amagama kunye nenkqubo yezothutho akaphumeleli, ngaphaya kwezinto baqalisa zidipozithwe kwi emithanjeni. Xa indima indlela aqala enze ukugula somatic, nezingafezekanga, ukutyeba.
2. nezici zamafa. Ukuba kwisizalwane esisondeleyo kwafunyaniswa yamafutha constrictive, ingozi yokuba esi sifo kwandisa izihlandlo eziliqela.
3. Ukwehla luthambe beendonga nemithambo. umonakalo cholesterol ayikwazi kuyilwa kwindawo ogudileyo nobunempilo. Ukonakala nodonga nemithambo negalelo ukuphazamiseka zilandelayo: isifo seswekile, uhleli ungenzi nto, ukutshaya.

Phambi enye okanye ngaphezulu kwezi zinto zidweliswe apha ngasentla kufuneka ziphathwe ingqalelo ekhethekileyo impilo yabo, ihlolwe ngakumbi.

Zokubonisa stenosis ezincinane yobuchopho

imithambo Brachiocephalic zitya yegazi enkulu elandisiweyo ukususela arch aortic ukuya ebuchotsheni. aluka Multiple elawo isangqa Willisen. Inika kwegazi opheleleyo ebuchotsheni.

Xa icandelo kwisangqa Willis bakha yimiqobo ngohlobo i nebhodi atherosclerotic, uthethe kuphuhliso stenosis. Esi sifo sichaphazela unikezelo igazi ukuba yonke inkqubo ingqondo. Yokunqongophala konyango kwangexesha kungakhokelela hypoxia okanye icala. Iimpawu kwenkqubo zophendlo lwezifo kuxhomekeke kubungakanani umonakalo atherosclerotic ebhedini yodidi oluphezulu.

Ekuqaleni esi sifo nazimpawu. Xa le mithambo isikepe ivalwe nebhodi-50% okanye ngaphezulu, isigulana nga ilabhuli imbonakalo ukuphazamiseka Nedlac. Phakathi kwazo kukho ezi:

• vertigo nezolo kwisiqalo of ukuhla wegazi;
• lability ngokweemvakalelo ngakumbi ubukho mood edakumbisayo;
• ndingekhoyo kwentliziyo;
• zokuva neengxaki ezibonwayo (ukuduma, ukungase-, ukuvela iimpukane phambi kwamehlo);
• chronic fatigue syndrome;
• ndindisholo weminwe;
• ukophulwa thermoregulation.

Ezi mpawu kuqala babe phantse nafuthe umgangatho wobomi. Izigulane ezininzi ngoyaba nje kubo. Progressive yamafutha constrictive ezincinane brachiocephalic ubangela ukuba bafune uncedo evela kugqirha.

Zokubonisa iimpahla stenosis intliziyo

Ukuze intliziyo oksijini kunye nezakhi wondla yi nemithambo yenhliziyo. Atherosclerotic ezi zitya lizisa ingxaki enkulu kwizihlunu ezinkulu umzimba, ochaphazela isingqi sayo kunye nokugqitywa eyiqalise ngayo. Kule sifo, izigulane ngokuqhelekileyo ezikhala intlungu kwisithuba retrosternal. Kuqala ke kuvela emva amandla omzimba okanye ntshikilelo. Ekuhambeni kwexesha, le nto angazishiyi mntu, nokuba baphumle. Ubude yokuhlaselwa buhlungu malunga nemizuzu engama-30.

kubonakaliswa Acute yenkqubo zophendlo lwezifo uthathwa ukuba iposi engabalulekanga. Ukugula sikhatshwe ziintlungu qatha entliziyweni, zibe kunqunyulwa ipilisi elifutshane "Nitroglycerin". blood pressure uwisa, okutsho ukuba nesiyezi eqatha, buthathaka. yamafutha Constrictive, echaphazela nemithambo yenhliziyo kungakhokelela kubunzima ezinzulu. Ezi ziquka kwemithambo kwentliziyo, ukothuka cardiogenic, yaye umsantsa ngqo izihlunu. Amaxesha amaninzi, oogqirha ukufumanisa syndrome ukufa ngequbuliso.

Zokubonisa stenosis kwemithambo kweqondo asezantsi

Ngokusebenzisa kwemithambo yegazi femoral amanqaku ezininzi kakhulu umzimba, ibekwe kwi iinyawo. yamafutha Constrictive kweqondo kwezinto amaza yesithathu aphezulu ingenzeka. obubonakala kwezonyango esi sifo ohlukahlukeneyo iifom. Kuyacetyiswa ke ngoko ukuba siqwalasele uphuhliso inkqubo zophendlo lwezifo ngokwezigaba:

1. Xa lokuqala isigulane ochaphazelekayo malunga imvakalelo silwa, ukutsha, okanye ukuntlontlozela ezinyaweni. Ulusu ezinyaweni zenu iba ngokuphawulekayo.
2. Kuba lesibini ibakala luphawulwa imbonakalo ye claudication uveza. Enye omzimba xa ehamba okanye ukudlala imidlalo iqala ukudinwa ngaphambili ngaphezu enye. Ngokuthe ngcembe kusenzeka mizwa ekhathazayo kwingingqi izihlunu ithole, kukho cyanosis elimandundu.
3. In kwinyathelo elilandelayo le engamandla claudication uveza ngeyona ngcono. Isigulane kube nzima ukuya ngokusebenzisa indlela eqhelekileyo ngaphandle kokuma. Kaninzi izigulane ezikhala uqaqanjelwa iinzwane, engaquki kuphela ukuphumla. Kwesikhumba unyawo uba marble umthunzi, oko ngothanda kunye thinner.
4. In inyathelo ekuqhwaleleni yesine kube kubi kangangokuba umntu kunyanzeleke ukuba wenze stop onke amanyathelo 50 endleleni. Mhlawumbi ukubonakala izilonda lwemithambo, ukudumba. iintlungu eziqatha imilenze ukuthintela abanye ebusuku.

Asikwazi ukulinda, xa kuya kubakho iziphumo asisigxina sifo ngohlobo ukubola. Ukuba ngaba wehlelwa iimpawu ejikeleza kakuhle imilenze (buthathaka, claudication uveza) , ngoko nangoko funa uqwalaselo lwamayeza. Ukuba ngcali iqinisekisa yamafutha constrictive kwemithambo esiphelweni asezantsi, unyango aya kulungiselelwa ngoko nangoko.

iindlela isifo

Ukuze ngokukhawuleza ukuchonga isifo kwaye uqale unyango yakhe, onke amadoda emva kweminyaka engama-40, oogqirha bacebisa kanye kuxilongelwa ngonyaka. Kwanele ukuba athathe uvavanyo lwegazi kwiziphawuli zilandelayo:

• cholesterol, lipoproteins, triglycerides;
• lwefibrinogen;
• glucose;
• ekunqandeni.

Ezi parameters anganalo ibonisa ukuba kophulwa protein kunye lipid ukutya, nto leyo ebangela uphuhliso ngezifo.

yamafutha Constrictive of imithambo ingqondo, intliziyo okanye uphantsi imilenze kulula ngoxilongo. Ukuze benze oku, isigulane emiselweyo uviwo olubanzi olubandakanya nkqubo zilandelayo:

• emthanjeni / lwemithambo angiography nemithambo usebenzisa umahluko;
• rheovasography;
• Doppler;
• ayisuse-ntathu.

Ngokwesiseko ugqirha bafumana iziphumo zophando bangakuqinisekisa uxilongo lokuqala. Emva koko, isigulana wabelwa unyango.

imigaqo yonyango

unyango yamafutha Stenotic ixhomeke kuxeshani kwesi sifo isigulane wabhenela kwagqirha. Ngelo isanda, ukongeza kunyango ngamachiza kuyimfuneko ukuzama ukutshintsha indlela yakho. Kubalulekile ukunika imikhuba emibi, zama ukufumana intabalala ukuphumla. Kungenjalo, iyeza ethatha kuphela isantya ukuqhubela phambili kwesifo, kodwa bayeke ngokupheleleyo.

Kunyanzelekile ukuba amisele ugqirha kwisigulana ukutya (itheyibhile 10), izityebi ekutyeni zezityalo. Kudla kucetyiswa ukuba izigulane kunye lwegazi okanye ukusilela intliziyo. Ukuba asigungqi ukudla, awukwazi kuphela ukwehlisa isixa cholesterol, kodwa ukurhoxisa kwemfuneko wayo emzimbeni. Oku akuthethi ukuba aye ukutya ukuncipha. Power kumele ukwayanyaniswa nangokupheleleyo. Kungenjalo, uthomalaliso engazisi isiphumo oyifunayo.

Izigulane unesifo "stenosing yamafutha kweqondo asezantsi" unyango kufuneka zongezwe kunye nemidlalo. Kuqala kufuneka inikwe ukuhamba Nordic okanye ukuqubha. Yimiqondiso zokuqala ukudinwa kwi imilenze kufuneka kuphumla kwangoko, ngaphandle sithwalisa umzimba.

Ukusetyenziswa kweziyobisi

Unyango ngenxa yamafutha Kunzima ukucinga ngaphandle kokusebenzisa amayeza. izigulane Ngokuqhelekileyo une iziyobisi emiselweyo amaqela alandelayo:

1. arhente Antiplatelet. Ukuthintela ukuyilwa egazi igazi egazini.
2. Antispasmodics. Ukuphucula igazi ejikeleza wonke umzimba.
3. Amayeza normalizing rheology igazi. Okokuqala, emiselweyo iziyobisi drip, ngoko ke indawo ifomu tablet.
4. Anticoagulants.

Onke amayeza abakhethelwe isigulane ngamnye. Qiniseka ukuba ugqirha kufuneka athathele ingqalelo nqanaba sifo, kunye nemilo yayo.

ukungenelela operative

Yamafutha constrictive ifuna kade inqanaba lo msebenzi. Surgery unako ukubuyisela isitya patency eqhelekileyo, susa umonakalo cholesterol. Ukuza kuthi ga ngoku, kukho esa, angioplasty okanye stenting. Ezi zazo ziqhutywa ngendlela zombini endoscopic kwaye evulekileyo usebenzisa Ukubulawa jikelele.

Iziphumo sifo

Imiphumo yale sifo kuba kubi kakhulu, lisibekele ubomi. Umzekelo, ukuba yamafutha constrictive ezincinane yobuchopho kubangela stroke. Kakade ke, aliveli yonke loo ingxaki. Yonke into ixhomekeke iimpawu ephilayo, susceptibility ukuya ukuvela sifo. Uphando lubonisa ukuba malunga nama-70% abemi abaneminyaka engaphezu kwe-60 ikhalazela ezi mpawu ezahlukeneyo yegazi. Esi sifo sesona sizathu siphambili Palsy insufficiency syndrome.

Constrictive yamafutha ye kweqondo ezisezantsi ayisoloko ukuba abantu abane entle. Ukuba kwemithambo iyabhlokwa ngokupheleleyo, ukwandisa amathuba nokuphuhlisa ukubola kobuchopho. Ingakumbi leengxaki eqhelekileyo kwenzeka kubantu abanesifo seswekile, kuba ibalekisa inkqubo isifo stenosis.

amanyathelo othintelo

Qala ukuzibandakanya ekuthinteleni yamafutha stenosis kuyimfuneko esemncinane. Bonke abantu abanamathela i yokuphila mpilweni, basemngciphekweni esi sifo.

Nokuthintela iquka:

• abakwisigaba zisempilweni;
• ukuzilolonga;
• ukuthotyelwa emsebenzini kunye nabanye.

Musa ukulibala ngokudla efanelekileyo. Yokudla kufuneka luqulathe igama inyama angamarhoqorhoqo, nentlanzi, ngokunjalo wokutya kwezityalo.

yokuphila enempilo ithetha uyalahlwa nemikhwa emibi. Kodwa kungcono ukuba ukuqalisa ukutshaya nokusela utywala.

Ezi ngcebiso kufuneka ilandelwe omabini ngexesha unyango kunye phezulu kuye. Lamacebiso ukuphepha iingxaki sifo. Xa iimpawu zokuqala lidiza ngenxa yamafutha constrictive, kufuneka udibane nogqirha ukukhangela imithambo yegazi lakho. Ukuba kuyimfuneko, ugqirha uyakukumisela unyango olufanelekileyo.