Atherossteosis ke lefu la methapo ea methapo, le khetholloang ke thuto e sa foleng le e tsoelang pele, e etsahala haholo ho batho ba baholo.
Pathogenesis ea lefu lena e kenyelletsa ho thehoa ha methapo ea methapo ea methapo ho methapo ea methapo, ho koaloa ha lumen ea likepe le tlolo ea phepelo ea mali ho litho le lisele tse bonolo.
Lefu lena le lula le kopantsoe le li-pathologies tse ling, tse kang angina pectoris, mofuta oa 2 lefu la tsoekere, khatello ea mali, syndrome ea metabolic le botenya.
Maemong a mangata, lefu lena la tsoibila ea bophelo ha le na kalafo e lekaneng ha le na hantle ka lebaka la mathata a kang hemorrhagic kapa ischemic stroke, myocardial infarction, tlhaselo e khutsitseng ea nakoana le setho se tlase sa litho tsa mokokotlo.
Lintho tse ka behang kotsing ea ho theha lefu la atherosulinosis:
- Hypercholesterolemia ea nako e telele ka lebaka la tlolo ea molao ea ho ja, tloaelo ea ho ja dyslipidemia, botenya, lefu la metabolic, mafu a endocrine (hypothyroidism, lefu la Itsenko-Cushing, lefu la tsoekere).
- Tšenyo e mpe marakong a methapo ea mali ea methapo e meholo le e mahareng - ka lebaka la lisosa tsa hemodynamic (khatello e phahameng ea mali libakeng tsa methapo e mengata ea mali), tšebeliso e mpe ea joala, ho tsuba, ho hloka ts'ebetso ea 'mele, khatello e phahameng ea mali, tšekamelo ea thrombosis le thromboembolism.
Na hoa khoneha ho qoba ho hlaha ha atherosulinosis le lefu la pelo le ho sebelisa joala khafetsa?
Ho na le maikutlo a hore batho ba noang joala khafetsa ba na le likepe ntle le lipopae tsa lefutso.
Hangata, polelo e joalo e ka utluoa ho litsebi tsa mafu a kelello.
Empa ho lokela ho hopoloa hore ena ke maikutlo a subjential feela, a thehiloeng nakong ea mosebetsi.
Batho ba noang lino tse ngata tsa joala ba na le kotsi ea ho bolaoa ke mafu a mang le pele ho nts'etsopele ea liphetoho tsa methapo ea methapo ea methapo.
Ho haella ha lipalo lithutong tsa karolo ho boetse ho anngoa ke khaello ea phepo e nepahetseng le ho fokotsoa ha liprotheine le mafura ho lino tse tahang.
Joala bo hlile bo na le bokhoni ba ho qhibilihisa mafura ho isa bohōleng bo itseng, hobane ethanol ke ntho e kopaneng ka sebopeho sa eona sa lik'hemik'hale, se qhibilihang metsoako e metsi le e mafura.
Liphello tsa tšebeliso e mpe ea tahi
Ho ja lino tse tahang ka bongata bo ka amang maloetse a atherosselotic le rheology ea mali ho tla lebisa ho joala le mafu a amanang le tahi - cardiomyopathy ea joala, encephalopathy le lefu la sebete la joala.
Hape, joala bo feteletseng bo ama karo-karolelano ea likaroloana tsa cholesterol - e fokotsa lipomprotein tse phahameng (anti-atherogenic) mme e eketsa lipoprotein tse tlaase le tse tlase haholo, triglycerides.
Ntle le moo, ts'ebeliso ea meea e mengata khafetsa, tlolo ea ts'ebetso ea metabolic kaofela, ho kenyelletsa le mafura, ea hlaha, e lebisang ho arolelanoeng ha fiber le litheko tse ngata tsa mafu a kang sebete sa mafura le pelo e nonneng ea pelo.
Metabolism ea vithamine e boetse e ferekanngoa, e leng, livithamini tsa B, tse amang bokhoni ba kelello, tlhahiso ea methapo le ts'ebetso ea ts'ebetso ea mpa.
Joala bo ama lebota la methapo ea mali ka tsela e latelang - qalong bo a bo hodisa haholo, ebe bo bo nyopa.
Matla ana a ama methapo e meholo e anngoeng ke atherosulinosis mme e ka lebisa ho phatloha hoa lipopaele le tlolo ea bohlokoa ea phallo ea mali.
Matla a litekanyetso tse kholo tsa lino tse tahang tse ngata lipid lipid le tsona li ka amana le setso sa mokete le ts'ebeliso ea lijo tse nang le cholesterol e le litlamorao tsa joala.
Tšusumetso ea joala ha u noang tekanyetso e nyane
Ka tšebeliso e itekanetseng, ehlile, atherosmithosis le joala lia lumellana, ho ekelletsa moo, ho na le lithuto tsa bongaka mabapi le melemo ea litekanyetso tse nyane tsa lino tse tahang.
Likarolo tse ling tsa ts'ebeliso lia tsebahala - biri - lilithara tse 0,33, veine - limililitara tse 150, vodka kapa cognac - limililitara tse 50 ka ngoe.
Ke litheko tsena tse nkoang li le kalafo, 'me li ka sebelisoa kalafo le ho thibela mafu a lefu la pelo.
Ho pakiloe hore ho nwa ka ho leka-lekana ho fokotsa kotsi ea ho bolaoa ke lefu la pelo, stroke, thrombosis le thromboembolism.
Ho nwa joala bo tahang ka makhetlo a 1-2 ho fokotsa kotsi ea likotsi kamora ho buuoa ho rarolla bothata.
Hape, tšebeliso e itekanetseng e ama bongata ba fibrin le fibrinogen ka plasma ea mali, 'me e eketsa palo ea profibrinolysin, enzyme e qhibilihisang mali, ka ho fapana e fokotsa kotsi ea likhahla tsa mali le emboli methapong ea mali.
Litekanyetso tse nyane tsa lino tse joalo, joalo ka veine, li na le, ntle le joala ba ethyl, li-antioxidants (resveratrol le tse ling), tse amang mefuta eohle ea metabolism 'meleng, hape li thibela restenosis - ho ruruha le ho senyeha ha boemo ba methapo ea pelo.
Boithuto ba bongaka bo bonts'itse hore basali ba jang veine ka mokhoa o itekanetseng ba na le tloaelo e tlase ea ho theola boima ba 'mele ho feta ba sa noeng joala ho hang. Ho theosa le lilemo tse 10 tsa lipatlisiso, sehlopha sa pele se fumane karolelano ea li-kilos tse peli ka tlase ho tse se nang veine.
Tšebeliso ea joala e hanyetsoa ka botlalo ho:
- Ka tlolo ea sebete, joalo ka vaerase, lik'hemik'hale le chefo ea hepatitis, cirrhosis.
- Ka pathologies ea gastrointestinal pampitsana - peptic ulcer ea ka mpeng kapa duodenum le ulcerative colitis.
- Mafu a pancreatic - pancreatitis e matla le e sa foleng, pancreatic necrosis.
- Maloetse a kulisa - asthma ea bronchial le nalane ea Edincke ea edema.
- Mathata a fetileng a lefu la ischemic - myocardial infarction le stroke.
- Mathata a kelello le mafu a bokong a kang sethoathoa le meningitis.
- Tsamaiso ea oncological ea lehae lefe kapa lefe.
- Tekanyo ea khatello ea mali e matla e nang le tšenyo ea litho tse ling.
- Likotsi tse fetileng tsa kelello tse bohloko.
Ha ho ratehe ho noa joala le joala ho beng ka motho ea haufi, ho tahoa ka potlako ho litekanyetso tse nyane le ho senyeha ha mohopolo ka mor'a mokete.
Ho lokela ho hopoloa hore joala ha se sesebelisoa se ikemetseng bakeng sa thibelo kapa kalafo ea lefu lefe kapa lefe, 'me se ke ke sa nkela meriana sebaka.
Tloaelo ea ho nooa joala le eona e bohlokoa - o ka nooa feela ka lijo, ka mpeng e se nang letho, esita le tekanyo e nyane e ka baka ho chesoa ke lik'hemik'hale tsa mucous, 'me nakong e tlang ea lebisa ho peptic ulcer.
Ho khothalletsoa ho noa joala le lijo tsa mantsiboea kapa lihora tse peli pele ho eona.
Joaloka lijo tse bobebe, o hloka ho ja lijo tse nang le mafura a tlase, joalo ka lisalame tsa meroho, likhoho, chisi e mafura a tlase, litholoana.
Ha u sebelisa litlhare tse itseng, joala bo thibetsoe, ka mohlala, kalafong ea khatello ea mali le batho ba beta-blockers le diuretics, ha u nka mokhoa oa kalafo oa antibacterial le kalafong ea lithethefatsi tse seng tsa antiidalidal (Aspirin).
Hape ho thibetsoe ho kopanya li-antidepressants le joala, sena se ka lebisa ho lefu lena.
Lijo le boikoetliso kalafo ea atherosulinosis
Phekolo ea atherosclerosis e na le motsoako oa mekhoa eo e seng ea lithethefatsi le lithethefatsi - ho fetola tsela ea bophelo, ho ja, ho tlohela mekhoa e mebe, meriana.
Haeba ho hlokahala, ts'ebetso ea ts'ebetso ea ts'ebetso ea bongaka e etsoa ts'ebetsong ea ho phekola lefu la sethoathoa.
Lijo tsa atherosclerosis ke hypocaloric, hypolipidemic, mme e reretsoe ho khutlisoa butle butle ha lihlahisoa tsa liphoofolo.
Lihlahisoa tsena li kenyelletsa:
- nama ea kolobe
- konyana le nama e meng e mafura;
- nyeoe;
- mafura;
- mahe a likhoho.
Lijo tse mafura le tse halikiloeng le lijo tse potlakileng li nkeloa sebaka ke lijo tsa lebese le tsa meroho.
Lijo li lokela ho kenyelletsa lijo tse nang le mafura a mangata. Lijo tsena li kenyelletsa salads; khábeche; meroho; lijo-thollo le linaoa; bohobe bo felletseng; matlakala
Mehloli ea lijo tse se nang mafura (tlhapi, oli ea limela, li-avocados, lipeo le linate) le protheine (protheine ea lehe, likhoho, veal e mafura a mangata, nama ea khomo, lihlahisoa tsa lebese) e lokela ho kenngoa lijong.
Ho khothalletsoa ho sebelisa litha e le nngwe tsa 1.5 - 2 tsa metsi a ntseng a le teng ka letsatsi, ho fokotsa tšebeliso ea tee le kofi, ho tlosa metsi a khabisitsoeng ka botlalo, lino tse nang le matla.
Karolo ea bohlokoa kalafong ea atherosclerosis ke ts'ebetso ea 'mele, ho qala ka bonyane. Tloaelo e khothalletsoang:
- ho tsamaea
- aerobics
- e mathang
- futhumala;
- Boikoetliso ba 'mele;
- litlelase tsa ho ikoetlisa;
- ho sesa.
Ho lokela ho hopoloa hore o hloka ho qala ho ikoetlisa butle-butle, ho hlokomela bophelo bo botle, ho otla le khatello ea mali.
Ho eletsoa ho eketsa palo ea mojaro feela ka mamello e tloaelehileng le ho ba sieo ha li-contraindication.
Tšebeliso ea meriana
Ha ho na le litholoana tse ntle tse tsoang ts'ebelisong ea lijo le mojaro oa lipapali, kalafo ea lithethefatsi e sebelisoa.
Bakeng sa kalafo e sebelisang meriana, ho sebelisoa lithethefatsi tsa lihlopha tse fapaneng tsa meriana.
Ts'ebeliso ea litlhare e lokela ho tsamaisana le ho latela lijo tse thehiloeng le tsa mojaro oa lipapali bakeng sa 'mele.
Phekolo e kenyelletsa:
- Lithethefatsi tse nang le phello ea hypolipidemic ea li-statins (Simvastatin, Lovastatin, Atorvastatin, Fluvastatin, Pravastatin);
- Niacin, fibrate (Fenofibrate, Bezafibrat, Tsiprofibrat), probucol, li-sequestrants tsa bile acid.
- Li-antiplatelet agents - Acetylsalicylic acid, Magnikor, Asparkam, Cardiomagnyl, Plavix, Clopidogrel.
- Litokisetso tse nang le ketso ea anticoagulant - Heparin, Enoxiparin.
- Lithethefatsi tse tlatsetsang - Vazoprostan, Cilostazol.
- Lithethefatsi tsa antispasmodic (No-shpa, Drotaverin, Papaverine, Riabal).
- Litokisetso tsa Vitamin (livithamini C, sehlopha B, ascorutin), phekolo e thetsang le e susumetsang (Afobazol, Glycine, Valocordin, Donormil), lithethefatsi tsa nootropic (Aminalon, Nootropil, Bilobil, Phenotropil).
- Phekolo ea lehae ea mathata a atherosulinosis (litlolo tsa antibacterial), meriana ea litlama.
Hoa hlokahala le ho phekola maloetse a kopaneng.
Bakeng sa kalafo ea angina pectoris, li-nitrate li sebelisoa ho emisa litlhaselo tsa bohloko, li-antiplatelet agents le anticoagulants.
Hypertension e phekoloa ho sebelisoa li-inhibitors tsa ACE, bahanyetsi ba calcium, ba thibelang beta, diuretics le angiotensin receptor antagonists.
Therapy ea lefu la tsoekere e sebelisoa le lithethefatsi tsa molomo tsa hypoglycemic, mohlala Metformin.
Lithane tsa calcium li boetse li ama molumo oa pelo le ho li holisa, li eketsa phallo ea mali ho ea lithong.
Thepa ena e bohlokoa haholo ho atherosulinosis ea likepe tsa likhoerekhoere. Kenya litlhare tse kang Verapamil, Amlodipine, Corinfar, Adalat, Nimodipine.
Thibelo ea atherosulinosis, e ka sehloohong ke mokhoa o akaretsang, o kenyeletsang kalafo ea mafu a kopaneng (khatello ea maikutlo, lefu la tsoekere le ba bang), ho latela lijo tse nang le phepo e matla le ho ikoetlisa hanyane ka hanyane.
Ho hlokahala ho lekola matšoao a khatello (lipalo tse tloaelehileng li ka tlase ho 130 ho isa ho 90, tse nepahetseng ha li ka tlase ho 120 ho isa ho 80) le profid ea mali (cholesterol e felletseng e ka tlase ho 5.5). Glucose ea mali e lokela ho ba maemong a 3,3 ho isa ho 5.5. Mafu a sa foleng a lokela ho phekoloa ka nako e loketseng.
Kameho ea joala 'meleng e hlalositsoe videong ena.
