Atherosclerotic cardio: nsogbu. Cardiosclerosis: Ọgwụgwọ, Mgbaàmà, akpatara

Ọrịa nke obi usoro kwubara mbụ na ugboro ole nke omume gburugburu ụwa. On otu n'ime ndị mbụ ebe uru ịrịa ọrịa obi na ya nsogbu.

Gịnị bụ akwara akwara ọrịa?

Site ịrịa ọrịa obi bụ ọnọdụ na-amalite dị ka a n'ihi nke belata ọbara na isi usoro nke ihe nile nke obi - na akwara akwara. Dị ka a N'ihi ya, ndị myocardium nke obi na-enweta obere oxygen na-enwe oxygen agụụ. N'ihi nke a, ka obi ike n'ụzọ kwesịrị ekwesị-emezu ya ọrụ, nakwa dị ka na-arụ ọrụ ịgba nke ya ohere. N'ihi nke a, e nwere a ndim nke obi mgbidi na-abawanye na size. Ụfọdụ ebe, na a enweghị ọbara na oxygen, e nwere oké muscle erughị ala, na dị ka a n'ihi na mepụtara a myocardial agbawa, ma ọ bụ mmebi nke arịa na mmepe nke hemorrhage (myocardial infarction). Ọtụtụ mgbe, ọnọdụ a na-ofu megide ndabere nke atherosclerotic ọnya nke akwara arịa, ma ihe mere ọdịdị ya nwere ike ịbụ na ọtụtụ ndị. Ọ na-enyere aka ịghọta ihe mere na-emepe emepe kacha mkpa na Ugboro ọnọdụ CHD - atherosclerotic cardio.

Gịnị bụ ọrịa a - cardio?

Emekarị, cardiosclerosis ịghọta irreversible usoro nke na-agafe na ọkpụrụkpụ nke obi muscle. Mgbe ọ dị ugbu nkịtị cardiomyocyte nnọchi site connective anụ ahụ, nke ukwuu gaghịzi ịrụ ọrụ nke obi.

E nwere isi ihe abụọ na iche-iche, nke na-ekewa n'ime cardio - atherosclerotic na postinfarction.

Dị ka aha na-egosi, myocardial infarction mepụtara na mbụ saịtị nke necrosis nke cardiomyocytes - obi ọgụ. N'okpuru ya nnọchi nke mebiri emebi anụ ahụ bụ a n'ahụ usoro nke ahụ na-agbalị iji weghachi emetụta ngwa. Ya ebighị bụ mgbagwoju usoro nke mmekọrịta dị n'etiti a myocardial sel, connective anụ ahụ na mkpụrụ ndụ nke dịghịzi usoro.

Cardiosclerosis na atherosclerotic usoro emekarị enweghị nchịkwa na-agba a obere dị iche iche ka myocardial sclerosis. The mgbagwoju dabeere na ìgwè mmeghachi omume na oriri nke abụba ụmụ irighiri.

Ọ kwuru na ọrịa a, ma na mba nhazi ọkwa nke ọrịa. Ọ bụrụ na e atherosclerotic cardio - ICD koodu nke a na-edoziri na nchoputa - I24. Site n'ụzọ. Nke a nchoputa na-gụrụ niile, na-enweghị isịneke, ọrịa tọrọ 55 afọ. Gịnị bụ omume ya?

Atherosclerosis dị ka ihe ndabere maka gbasara obi ọrịa

Olee otú na-emepe emepe atherosclerotic cardio? Na-akpata ọrịa a - metabolic ọrịa metụtara isi na metabolism nke abụba.

Ọ niile amalite na ihe ahaghị nhata nke lipoproteins ke idem. The ọrụ dị mkpa na-egwuri site ala-njupụta lipoproteins (ghọtara dị ka ndị kasị atherogenic - ike guzobe atherosclerotic mbadamba nkume ndị e). Ọzọ dịkwa mkpa na-akpata bụ obodo ọnwụ nke vaskụla endothelium. Nọmalị, na endothelium kpuchie pụrụ iche bekee nke gbochie ha edozi lipoproteins na egbochi mkpụkọ nke ọbara. Ebe ọ bụ na ọ na-emetụta, ọnọdụ n'ihi na ìgwè lipoproteins n'ebe ịda iwu. N'ihi ya, na saịtị nke a vaskụla nkwarụ amalite atherosclerotic e dere ede. Dị ka ya ibu bụ a jiri nwayọọ nwayọọ na ibelata nke akwara arịa, nke na-emepụta na ọnọdụ maka oxygen erughi. N'ihi ya, ọ fọrọ nke nta ngụkọta Mbelata lumen ọbara akwụsị eru na myocardium, ma na-amalite ya obi ọgụ.

Atherosclerotic mgbanwe nke obi mgbidi

Nke a na ụdị CHD - atherosclerotic cardio - bụ isi na-akpata obi ọdịda. Dị ka a n'ihi nke imebi nke myocardial oxygen ọkọnọ na mmepe nke akwara sclerosis usoro-aga ka obi muscle. N'ihi nke a, ọ na-aghọ ngụkọta na captures dum ọkpụrụkpụ nke ahu. The nchoputa nke atherosclerotic Cardiosclerosis nyere ike haziri mmadụ niile tọrọ 55-60 afọ. Bụchaghị ọnụnọ nke ụba ichekwa lipoprotein. Otu nnọọ obere pasent nke ndị mmadụ nwere ike isi zere mmepe nke ọrịa a, nke bụ ya mere i kwesịrị ịma banyere atụmatụ nke ọrịa a.

Ọ na-amalite ruo ogologo oge. Imebi na-amụba nke nta nke nta, nke mere na nchoputa nke atherosclerotic ọnya enweghị mkpa research agaghị ekwe omume. Gịnị bụ ihe mgbaàmà nke ọrịa a na otú ha egosipụta onwe ha dị iche iche ndị mmadụ?

ọrịa ọgwụ

Ọ bụla na-adakarị mgbaàmà adịghị egosipụta onwe ha dị ka ogologo dị ka usoro bụghị dum myocardium abuana, nakwa dị ka ndị ọzọ lining nke obi. Ọ dị mkpa karịsịa na ibelata nke lumen nke akwara arịa. The ọgwụ adịghị dị ka ogologo oge na dayameta nke akwara nke obi ga-belata dịkarịa ala pasent 70 na adịghị ịzụlite atherosclerotic cardio obi.

Mbụ ngosipụta nke ọrịa na-mkpụmkpụ nke ume, ihe mgbu na obi, oge adahade na ọbara mgbali.

Iku ume ọkụ ọkụ na-egosipụta onwe nwayọọ nwayọọ. Ná mmalite, ya mmepe na-ahụkarị nke oké omumu, ma ka oge na-ọdịdị ya nwere ike ịnọ nanị gị.

Ma obi mgbu, ha na-igbu mgbu na ọdịdị na-emekarị egosi na gbasara obi bufee. Anyị nwere ike ikwu na ha nwere stenokardicheskie agwa (contractive mgbu radiating n'ime ogwe aka ma ọ bụ azụ). Na progression nke ihe mgbu bụ na-adịgide adịgide na-agụghị oké anabata anata vasodilators.

Ọ bụrụ na ị na-abịa dị otú ahụ a-enwe ndidi, ma na-eleru-adakarị na ọgwụ na akụkọ ihe mere eme kọwara n'elu, atherosclerotic cardio - nke a bụ ihe ga-eche a ruru eru ọkachamara

nchoputa nke ọrịa

Iji ruo a mkpebi, na azịza nke ajụjụ banyere ihe mere ndị mmadụ na ihe mere o ji na-eme ka ndị dị otú ahụ a mkpesa, ọ dị mkpa na-ebu n'ihu nyochaa onye ọrịa. The nchoputa nke "atherosclerotic cardio" nwere ike achọpụtara na ọnụnọ nke niile ihe mgbaàmà na ihe ize ndụ ihe. Ọzọ mmiri nke ikpeazụ nwere mmetụta na mmepe usoro, ndị ọrịa bụ ndị afọ 55 ma ọ bụ okenye, nwoke, ịnọkarị otu ebe, ogbenye oriri na-edozi.

Iji dokwuo anya nchoputa a ga-rụrụ ọbụna ụfọdụ ọzọ nnyocha. Otu n'ime ha na-abịa mbụ Biochemical analysis of ọbara cholesterol, ngwá na akwara angiography.

Mgbanwe ndị na-ECG, e ji mara nke atherosclerosis nke obi - a ọnụ na voltaji nke ezé (mbenata ha nkịtị size) na a nnọọ nkịtị n'obosara na odidi nke ezé.

Akwara angiography ekpughe ibelata nke akwara arịa na-atụ aro a enweghị oxygen na myocardium.

ọgwụgwọ

Nyere mgbagwoju anya nke pathogenesis nke ọrịa, ị kwesịrị ị na-aghọta na ọgwụgwọ kwesịrị saa mbara. Itule nke na-abụghị ọgwụ adọ, nakwa dị ka ịṅụ ọgwụ ọjọọ na ịwa ahụ adọ ekwe iji nweta ihe ịga nke ọma na ọgwụgwọ nke ịrịa ọrịa obi.

Mbụ niile, ọ ga-abụ na-akwalite ahụ ike lifestyles. Dị ka a maara, ndị mebiri nke kwesịrị ekwesị oriri na-edozi bụ isi na-akpata mmebi nke obi na ọbara arịa nke obi. Ke adianade do, eru mmega na-enye ohere ka obi kwesịrị ekwesị na-akwadebe maka ụdi nje na-arụ ọrụ.

Nnabata ndị a dị mfe iwu (kwesịrị isi nri na ihe omumu) eme ka o kwe ka oge na mmalite nke akwara akwara ọrịa ruo oge ụfọdụ. The iji ọgwụ ga-ewepụ ihe na-akpata ọrịa na iweghachi nkịtị metabolism.

Ndị isi ihe na ị ga-aṅa ntị ma ọ bụrụ na ị chọrọ na-emeso atherosclerotic cardio - pathogenesis nke ọrịa. Ime ya isi nkeji nwere ike isi nweta ihe ịga nke ọma na ọgwụgwọ nke ọrịa.

aṅụ ọgwụ

Ọgwụgwọ nke atherosclerotic Cardiosclerosis ọgwụ ọjọọ ga-malitere naanị mgbe a nti na enen ọnụnọ nke obi ọdịda, na vaskụla ọnya. N'ihi nke a, pụtara ndị dị otú ahụ dị iche iche dị ka antihypertensive mmadụ, mmadụ maka Iguzogide obi ọdịda, statins, fibrates na metabolites.

Antihypertensive ọgwụ na-agụnye iji inhibitors nke angiotensin n'ịtụgharị enzyme ( "Enalapril", "captopril"), diuretics ( "Indap" "Furosemide"). Diuretics na-eji na ọnụnọ nke obi odida na nọ n'etiti ndị formulations na e kenyere mbụ.

ọ na-atụ aro iji a metabolic ọgwụ ọjọọ ( "Mildronat", "Cardiomagnyl") iji melite arụmọrụ nke obi. Ha nwere ike melite inweta ọbara obi muscle, nakwa dị ka na-eme ka igba egbe nke regenerative Filiks.

Ke adianade do, mgbe quickening obi ọnụego na imebi ya na-arụ ọrụ kacha mma iji gbasara obi glycosides ( "Digoxin", "Strofantin").

The ojiji nke statins na fibrates

Statins bụ isi na ọgwụ ọjọọ na ọgwụgwọ nke atherosclerosis. Ihe kachasi mkpa ha edinam bụ ibelata nke atherogenic lipoproteins ọbara plasma, ha mmebi na excretion, na ọbara saturation antiatherogenic lipoproteins (HDL - elu njupụta na-edozi). Ịba ha ịta, mma na-echebe Njirimara nke vaskụla endothelium, bụ ya ike, nke na-egbochi mmepe nke ọhụrụ mbadamba nkume ndị e.

Fibrates nwere yiri mmetụta, ma na-eji ha na a statin na-machibidoro n'ihi na mmepe nke mmetụta.

Maka ọgwụgwọ na-eji ọgwụ ọjọọ eme ihe ndị dị otú ahụ dị ka "Lovastatin," "Simvastatin", "Rosuvastatin." Of fibrates n'ọtụtụ ebe adiaha "Clofibrate", "bezafibrate", "Gemfibrozil."

Ọgwụ ndị a ga na-eji na ọgwụ na n'okpuru amanyere bụ iwu nke ahụ ike nlekota oru, ebe ọ bụ na ọ bụghị ihe niile ndị ọrịa ndị a ọgwụ ọjọọ eme ihe na-ọma na-anabata.

ịwa ahụ ọgwụgwọ

Na adịghị ike nke ndị na-abụghị usoro ọgwụ na prescribing malitere ojiji nke ịwa ahụ. Ụdịdị dị iche iche arụmọrụ ekenịmde ke a daa ọrịa, obere, ha na-elekwasị anya tumadi na mgbasa nke narrowed akwara akwara na Iweghachi ọbara. The kasị n'ọtụtụ wasịrị, stenting na balloon angioplasty.

Wasịrị na-na-arụ na-emeghe-ịwa obi na a pụtara mgbagwoju anya na ize ndụ ọrụ.

Stenting bụ iwebata n'ime uji eze nke metal Ọdịdị nke ahụ arịa, nke nzube - n'ibu mgbasawanye nke narrowed arịa.

Balloon angioplasty bụ a iwu mbụ ogbo stenting, ma mgbe ụfọdụ, ọ pụkwara ga-eji onwe ha. Ọ na-rụrụ n'okpuru X-ray akara. The arịa a na ebubo na a balloon catheter. N'elu-eru constriction balloon na-inflated, si otú abadaba ndị e dere ede na-ebuwanye ibu na arịa.

physiotherapy

Na ọgwụgwọ nke ọrịa obi physiotherapeutic ụzọ achọtaghi akpan akpan ngwa, ma n'ihi na ala nke ọrịa na ụfọdụ enweghị nchịkwa nkwusioru usoro, ha nwere ike ji mee.

Electrophoresis a na-etinyere na mpaghara n'ógbè nke obi na iji ọgwụ ọjọọ eme. Ọtụtụ mgbe, iji a ugbu a kpọmkwem n'ime obi statins. N'ihi ya, ọ bụ ekwe omume ike a local ịta nke a umi na ga-eme ihe ozugbo na obi na-agbasa site n'ọbara niile arịa.

Ọ na-adịghị egbochi ọrịa na spa ọgwụgwọ na n'ugwu. Ọ bụ n'ebe ahụ ukwuu mma ndị ụgbọ ọrụ nke ọbara saturation nke myocardium na ndị ọzọ na akụkụ nke oxygen-ọgaranya ọbara.

Therapeutic omumu nwere ike aka normalize ọbara mgbali, nwere obere iji belata efu nke mmega ahụ, cholesterol na carbohydrates na-edu onwe gị na gị ahu na ụda.

Atherosclerotic cardio - nsogbu

Dị ka ọrịa niile, ịrịa ọrịa obi nwere ya na-ezighị ezi pụta ma ọ bụ nsogbu.

Mbụ, a mebiri nke obi dị ka a n'ihi nke atherosclerosis ọnya emetụta ọrịa si ebi ndụ. Ike ịzụlite oké iku ume ọkụ ọkụ na ọrụ nke ọ bụla ọrụ.

Ọtụtụ mgbe, mgbe na-emepe emepe atherosclerotic cardio, nsogbu nwere ike ime ka a mebiri nke obi ọnụego na n'afọ iri na ụma emeghasịkwa anya. Na-emekarị na e nwere ventricular fibrillation na atrial development blockades, na-arịa ọrịa imi syndrome. Na obere okwu, e nwere asystole, na mberede gbasara obi ọnwụ.

Ọ bụrụ na mmadụ nwere ihe atherosclerotic cardio, nsogbu mgbe ịzụlite na n'èzí obi. Ekwe Omume mebiri nke uche na nsọtụ, karịsịa aka na ụkwụ, oyi data ebe ahụ, atrophy development. Ha nwekwara ike na-ata ahụhụ ụbụrụ na ọbara arịa, anya, na ndị ọzọ na ngwa usoro.

N'ime oge ahụ, vaskụla Ọrịa na-agbasa ofụri idem. Na nke a, enweghị pụrụ iche ọgwụgwọ dị irè na-eme kpere symptomatic. Mgbe a na-agba ọsọ usoro bụ nanị pụta nke nwere ike ịgụ a onye na-esetịpụ ihe atherosclerotic cardio - ọnwụ.

Prevention of atherosclerosis

Ọ maara na ọ bụla ọrịa mfe iji gbochie karịa iji gwọọ. Obi ọrịa na-adabara a Nwa. Ọ bụ ya mere i kwesịrị ịma banyere isi ihe na ụzọ nyere aka gbochie atherosclerotic cardio. Nsogbu na nke a, ma ọ bụrụ na ị na-eme ihe niile n'ụzọ ziri ezi, nwere ike mgbe na-egosi.

Nke mbụ, anyị kwesịrị ntị ka mode nke ụbọchị na nri. Ị ghara iri mgbe isii na mgbede, na ọ bụrụ na i nwere nnọọ egwu, ọ dị mma na-aṅụ otu iko nke ala-abụba mmiri ara ehi ma ọ bụ yogot.

Jide n'aka na-na-oge na mmụta. Ọzụzụ nke obi ga-adị n'ekpere. N'ihi na ọ bụ n'ụzọ zuru okè ruru eru ịgasi ije, igwu mmiri.

Adịla na-eleghara na ele ahụ. Na-emekarị n'oge ha, na kpughere nke a ma ọ bụ na nsogbu, ya mere mma ga-elekwasị anya na ha na ike okwa a di na nwunye nke ụbọchị, karịa na-emeso onwe gị ka ndị fọdụrụ nke ndụ gị.

Na ọnụnọ nke mgbaàmà ọ kasị mma ozugbo ịkpọ onye dọkịta na-ekpebi na-esote edinam plan.