Mlembi: William Ramirez
Tsiku La Chilengedwe: 18 Sepitembala 2021
Sinthani Tsiku: 19 Sepitembala 2024
Anonim
BANKI M’KHONDE - Episode 65
Kanema: BANKI M’KHONDE - Episode 65

Matenda a atherosclerosis, omwe nthawi zina amatchedwa "kuuma kwa mitsempha," amapezeka pamene mafuta, cholesterol, ndi zinthu zina zimakhazikika pamakoma amitsempha. Madipoziti amatchedwa zikwangwani. Popita nthawi, zolembazi zimatha kuchepa kapena kutsekereza mitsempha yambiri ndikuyambitsa mavuto mthupi lonse.

Atherosclerosis ndimatenda wamba.

Matenda a atherosclerosis nthawi zambiri amapezeka ndi ukalamba. Mukamakula, zolembera zimachepetsa mitsempha yanu ndikuipangitsa kuuma. Kusintha kumeneku kumapangitsa kuti magazi azitha kudutsa.

Zilonda zimatha kupanga m'mitsempha yochepetsetsa iyi ndikuletsa magazi. Zidutswa za chikwangwani zimatha kuthyoka ndikupita kumtunda wamagazi ang'onoang'ono, kutseka.

Izi zotchinga zimapha njala zamagazi ndi mpweya. Izi zitha kubweretsa kuwonongeka kapena kufa minofu. Ndichifukwa chodziwika bwino cha matenda a mtima ndi kupwetekedwa mtima.

Kuchuluka kwa cholesterol m'mwazi kumatha kuyambitsa mitsempha idakali yaying'ono.

Kwa anthu ambiri, cholesterol yambiri imabwera chifukwa cha zakudya zomwe zimakhala zamafuta ambiri komanso mafuta osinthasintha.


Zinthu zina zomwe zingapangitse mitsempha kuuma ndizo:

  • Matenda a shuga
  • Mbiri yakubanja yolimba kwamitsempha
  • Kuthamanga kwa magazi
  • Kusachita masewera olimbitsa thupi
  • Kukhala wonenepa kwambiri kapena wonenepa kwambiri
  • Kusuta

Matenda a atherosclerosis sayambitsa zizindikilo mpaka magazi atuluka m'magulu ena achepetsedwa kapena kutsekedwa.

Mitsempha yopatsira mtima ikakhala yopapatiza, magazi amatha kuchepa kapena kuima. Izi zimatha kuyambitsa kupweteka pachifuwa (khola la angina), kupuma movutikira, ndi zizindikilo zina.

Mitsempha yopapatiza kapena yotseka ingayambitsenso mavuto m'matumbo, impso, miyendo, ndi ubongo.

Wothandizira zaumoyo adzayesa thupi ndikumvetsera mtima ndi mapapo ndi stethoscope. Matenda a atherosclerosis amatha kupanga phokoso kapena kuwomba ("bruit") pamtsempha.

Akuluakulu onse azaka zopitilira 18 ayenera kuyezetsa magazi awo chaka chilichonse. Kuyeza pafupipafupi kumafunikira kwa iwo omwe ali ndi mbiri yowerengera kuthamanga kwa magazi kapena omwe ali ndi zoopsa zakuthamanga kwa magazi.


Kuyesedwa kwa cholesterol kumalimbikitsidwa mwa akulu onse. Malangizo akulu amtunduwu amasiyana pazaka zakubadwa zoyambira kuyesa.

  • Kuunikira kuyenera kuyambira pakati pa zaka 20 mpaka 35 za abambo ndi zaka 20 mpaka 45 kwa akazi.
  • Kubwereza kuyesa sikofunikira kwa zaka zisanu kwa achikulire ambiri omwe ali ndi mafuta ambiri a cholesterol.
  • Kuyesanso mobwerezabwereza kungafunike ngati zosintha pamoyo wanu zimachitika, monga kuchuluka kwakulu kunenepa kapena kusintha kwa zakudya.
  • Kuyesedwa pafupipafupi kumafunikira kwa achikulire omwe ali ndi mbiri ya cholesterol, shuga, mavuto a impso, matenda amtima, sitiroko, ndi zina

Mayesero angapo angagwiritsidwe ntchito kuti muwone momwe magazi amayendera bwino mumitsempha yanu.

  • Mayeso a Doppler omwe amagwiritsa ntchito mafunde amtundu wa ultrasound kapena mawu
  • Magnetic resonance arteriography (MRA), mtundu wapadera wa MRI scan
  • Makina apadera a CT otchedwa CT angiography
  • Ma arteriograms kapena ma angiography omwe amagwiritsa ntchito ma x-ray ndi zinthu zosiyana (zomwe nthawi zina zimatchedwa "utoto") kuti muwone momwe magazi amayendera mkati mwa mitsempha

Kusintha kwa moyo kumachepetsa chiopsezo cha atherosclerosis. Zinthu zomwe mungachite ndi izi:


  • Siyani kusuta: Uku ndikusintha kofunikira kwambiri komwe mungachite kuti muchepetse matenda amtima ndi sitiroko.
  • Pewani zakudya zamafuta: Idyani zakudya zopatsa thanzi zomwe zilibe mafuta komanso cholesterol. Phatikizani zipatso ndi ndiwo zamasamba zingapo patsiku. Kuonjezeranso nsomba pa chakudya chanu kawiri pa sabata kungakhale kothandiza. Komabe, musadye nsomba yokazinga.
  • Chepetsani kuchuluka kwa zakumwa zomwe mumamwa: Malire omwe mungakonde kumwa ndikumwa kamodzi patsiku kwa azimayi, awiri patsiku kwa amuna.
  • Chitani masewera olimbitsa thupi nthawi zonse: Chitani masewera olimbitsa thupi mwamphamvu (monga kuyenda mwachangu) masiku 5 pa sabata kwa mphindi 30 patsiku ngati mukulemera. Kuchepetsa thupi, kuchita masewera olimbitsa thupi kwa mphindi 60 mpaka 90 patsiku. Lankhulani ndi omwe amakupatsani chithandizo musanayambe dongosolo latsopano lochita masewera olimbitsa thupi, makamaka ngati mwapezeka kuti muli ndi matenda amtima kapena mwadwalapo mtima.

Ngati kuthamanga kwa magazi kukukwera, ndikofunikira kuti muchepetse ndikuyiyang'anira.

Cholinga cha chithandizo ndikuchepetsa kuthamanga kwa magazi kuti mukhale ndi chiopsezo chochepa chazovuta zathanzi zomwe zimayambitsidwa ndi kuthamanga kwa magazi. Inu ndi wothandizira anu muyenera kukhazikitsa cholinga chothana ndi magazi.

  • Osayimitsa kapena kusintha mankhwala othamanga magazi osalankhula ndi omwe amakupatsani.

Wothandizira anu angafune kuti mutenge mankhwala a cholesterol osadziwika kapena kuthamanga kwa magazi ngati kusintha kwa moyo sikugwira ntchito. Izi zitengera:

  • Zaka zanu
  • Mankhwala omwe mumamwa
  • Chiwopsezo chanu chazotsatira zoyipa za mankhwala
  • Kaya muli ndi matenda amtima kapena mavuto ena am'magazi
  • Kaya mumasuta kapena ndinu onenepa kwambiri
  • Kaya muli ndi matenda ashuga kapena matenda ena amtima
  • Kaya muli ndi mavuto ena azachipatala, monga matenda a impso

Wothandizira anu atha kupereka lingaliro la kumwa aspirin kapena mankhwala ena kuti ateteze kuundana kwamagazi m'mitsempha yanu. Mankhwalawa amatchedwa mankhwala antiplatelet. Musatenge aspirin musanalankhule ndi omwe akukupatsani.

Kuchepetsa thupi ngati mukulemera kwambiri ndikuchepetsa shuga m'magazi ngati muli ndi matenda ashuga kapena matenda ashuga angathandize kuchepetsa chiopsezo chokhala ndi atherosclerosis.

Matenda a atherosclerosis sangasinthidwe kamodzi zikachitika. Komabe, kusintha kwa moyo komanso kuchiza mafuta ambiri m'thupi kungalepheretse kapena kuchedwetsa ntchitoyo. Izi zitha kuthandiza kuchepetsa mwayi wokhala ndi vuto la mtima komanso sitiroko chifukwa cha atherosclerosis.

Nthawi zina, chikwangwani chimakhala gawo la zomwe zimapangitsa kufooka kwa khoma la mtsempha. Izi zitha kubweretsa chotupa mumtsempha wotchedwa aneurysm. Ma Aneurysms amatha kutseguka (kutuluka). Izi zimayambitsa kukha mwazi komwe kumatha kuopseza moyo.

Kuumitsa mitsempha; Matenda a m'mimba; Kapangidwe kazitsulo - mitsempha; Hyperlipidemia - atherosclerosis; Cholesterol - atherosclerosis

  • Kukonzekera kwa m'mimba kwa aortic aneurysm - kutseguka - kutulutsa
  • Kukonza kwa aortic aneurysm - endovascular - kutulutsa
  • Aspirin ndi matenda amtima
  • Kulephera kwa mtima - kutulutsa
  • Kulephera kwa mtima - zomwe mungafunse dokotala wanu
  • Kuthamanga kwa magazi - zomwe mungafunse dokotala wanu
  • Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu
  • Carotid stenosis - X-ray yamitsempha yamanzere
  • Carotid stenosis - X-ray yamitsempha yolondola
  • Kukulitsa kwa atherosclerosis
  • Kupewa matenda amtima
  • Kukula kwa atherosclerosis
  • Angina
  • Matenda a m'mimba
  • Opanga cholesterol
  • Coronary artery balloon angioplasty - mndandanda

Arnett DK, Blumenthal RS, Albert MA, Buroker AB, ndi al. Ndondomeko ya 2019 ACC / AHA yokhudza kupewa koyambirira kwamatenda amtima: chidule chachikulu: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines. J Ndine Coll Cardiol. 2019; 74 (10): 1376-1414. PMID: 30894319 adatulutsidwa.ncbi.nlm.nih.gov/30894319/.

Genest J, Libby P. Lipoprotein zovuta ndi matenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 48.

James PA, Oparil S, Carter BL, ndi al. Ndondomeko ya 2014 yokhudzana ndi kasamalidwe ka kuthamanga kwa magazi kwa achikulire: lipoti kuchokera kwa mamembala omwe asankhidwa kukhala Eighth Joint National Committee (JNC 8). JAMA. 2014; 311 (5): 507-520 (Pamasamba) PMID: 24352797 pubed.ncbi.nlm.nih.gov/24352797/.

Libby P. Biology ya mitsempha ya atherosclerosis. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 44.

Maliko AR. Ntchito yamtima ndi kuzungulira kwa magazi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 47.

Tsamba la US Preventive Services Task Force. Mawu omaliza omaliza: ntchito ya statin popewa matenda amtima mwa akulu: mankhwala oteteza. Idasinthidwa Novembala 13, 2016. Idapezeka pa Januware 28, 2020. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adult-preventive-medication1.

Whelton PK, Carey RM, Aronow WS, ndi al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA malangizo othandizira kupewa, kuzindikira, kuwunika, ndi kuwongolera kuthamanga kwa magazi mwa achikulire: lipoti la American College of Cardiology / American Gulu Lantchito Yogwira Mtima Pazitsogoleredwe Zamankhwala. J Ndine Coll Cardiol. 2018; 71 (19): 2199-2269. PMID: 2914653 pubed.ncbi.nlm.nih.gov/29146533/.

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