Atherosclerotic cardio: matambudziko. Cardiosclerosis: Treatment, Zviratidzo, Zvinokonzera

Zvirwere zvemwoyo hurongwa pokutanga chokutanga kakawanda panowanikwa pose. On rokutanga nzvimbo yaikosha nechirwere chemwoyo uye ayo matambudziko.

Chii coronary tsinga chirwere?

By nechirwere chemwoyo mamiriro inoita kuti somugumisiro ropa kuyerera kuderedzwa munyika huru mamiriro midziyo mwoyo - iri coronary arteries. Somugumisiro, mashoko myocardium kwemoyo anogamuchira zvishoma okisijeni uye kunzwa okisijeni nzara. Nokuda kwechikonzero ichi, kuti mwoyo haagoni zvakanaka kuzadzisa ayo basa, uyewo nokushanda padzimba muganhu wayo kuita. Nokuda kwaizvozvi, pane thickening mwoyo masvingo uye kuwedzera kukura. Pane imwe nguva, pane kushayikwa ropa uye okisijeni, pane kunyanya tsandanyama makakatanwa, uye somugumisiro noushamwari myocardial atsamwira, kana kukuvara mudziyo pamwe kukura ropa (myocardial infarction). Kakawanda, ichi ndee tikafunga atherosclerotic maronda ari coronary midziyo, asi zvikonzero zvayo chitarisiko kunogona kuva zhinji. Zvinobatsira kunzwisisa nei kuva anokosha uye kakawanda ezvinhu ari CHD - atherosclerotic cardio.

Chii chirwere ichi - cardio?

Kazhinji, cardiosclerosis kunzwisisa kusingarapiki muitiro kupfuura mune pakukora mwoyo tsandanyama. Kana aripo zvakajairika cardiomyocyte pakutsiva kubudikidza connective zvinyama, izvo emunhu zvikuru kushanda mwoyo.

Pane nzira huru mbiri siyana, izvo akakamurwa cardio - atherosclerotic uye postinfarction.

Sezvo zita rinoreva, myocardial infarction abuda aimbova nzvimbo necrosis pakati cardiomyocytes - chomwoyo. Under yokutsiva yake tagovera munyama chinhu vasiri muitiro muviri achiedza nokudzosazve kwakakanganisa nenyere. activation kwarwo zvigadziriswe kunzwisisa kuti kudyidzana pakati myocardial masero, connective zvinyama uye masero ari zvirwere.

Cardiosclerosis mu atherosclerotic kwacho kazhinji pathological uye anomhanya zvishoma zvakasiyana pane myocardial kuoma dzimwe nhengo dzomuviri. The kunzwisisa kunobva pakuunganidza zvakaitwa uye kunwa mafuta mamorekuru.

Raireva chirwere ichi, uye munyika dzakawanda kupatsanura zvirwere. Kana paine atherosclerotic cardio - ICD bumbiro yakaitika nechirwere - I24. Panzira. chirwere ichi pachena kune vose, pasina chaakasiya varwere pazero nemakore 55. Chii chinoratidza naye?

Atherosclerosis sepokutangira cardiac chirwere

Sei kuva atherosclerotic cardio? The zvinokonzera chirwere ichi - metabolic nepfungwa chokuita zvikurukuru muviri kwemafuta.

Zvose Runotanga kusaenzana kwezvinhu lipoproteins pamuviri. The rinokosha reDare yakaderera arambe achirema lipoproteins (kuzivikanwa sendarama atherogenic - kukwanisa kuti paumbwe atherosclerotic plaques). Chimwe zvakaenzana chinokosha ndiko kurasikirwa yomunzvimbomo vascular endothelium. Kazhinji endothelium akafuka chaiyo zvinhu izvo kwakavatadzisa kugadzirisa lipoproteins uye ropa. Sezvo zviri sei, mamiriro kuti kuunganidza lipoproteins panzvimbo kukanganisa. Somugumisiro, panzvimbo imwe vascular urema hwapedyo atherosclerotic Dombo. Sezvo kukura kwayo zvishoma nezvishoma aienda ngarava coronary, iyo pave mamiriro nokuda yakachena kukanganisika. Somugumisiro, anenge zvachose rutapudzo rimwe lumen ropa rinomira ichayerera myocardium, uye anovandudza mwoyo wake kurwisa.

Atherosclerotic rokuchinja mwoyo rusvingo

chimiro ichi CHD - atherosclerotic cardio - ndicho chikonzero chikuru mwoyo kukundikana. Somugumisiro kutyorwa myocardial okisijeni romugove uye kukura coronary kuoma dzimwe nhengo dzomuviri kwacho anoenda pomwoyo. Nokuda kwaizvozvi, zvinova zvachose uye inobudisa yose ukobvu muviri. The chirwere pamusoro atherosclerotic Cardiosclerosis simba kufanorongwa vanhu vose vakuru 55-60 nemakore. Hako kuvapo vawedzere uwandu lipoprotein. An zvikuru diki chikamu vanhu vanogona kudzivisa kukura chirwere ichi, chiri nei uchifanira kuziva pamusoro zvinoitwa chirwere ichi.

Inokudziridza pamusoro refu kwenguva. Kutyorwa vari kuwedzera zvishoma nezvishoma, ndokusaka chirwere pamusoro atherosclerotic maronda pasina akakodzera tsvakurudzo hazviiti. Ndezvipi zviratidzo chirwere ichi uye kuti vanoratidza pachavo vari vanhu vakasiyana?

zvirwere kiriniki

Chero zvekuchipatara zviratidzo regai anozviratidza chero kwacho hakusi myocardium yose rinobatanidzwa, uyewo mamwe lining mwoyo. Zvinokosha zvikuru uye aienda pamusoro lumen ari coronary nhumbi. The kiriniki haataurwi sokuvapo dhayamita ari arteries mumoyo haangazozikamwi kuderedzwa dzinenge 70 muzana uye kwete kuva atherosclerotic cardio mwoyo.

Kutanga zvinoratidza chirwere vari kupfupika mweya, kurwadziwa mwoyo, nguva nenguva rinobuda BP.

Kupfupika mweya hworatidza pacharo zvishoma nezvishoma. Pakutanga, ayo kukura kwese kunoitika kunyanya muviri, asi pamusoro nguva yaro chitarisiko kunogona oga.

Kana kurwadziwa mwoyo, vari vachirwadziwa zvakasikwa uye kazhinji Akaonekwa cardiac zadzisa. Hatigoni kutaura kuti vane stenokardicheskie hunhu (contractive marwadzo zvichiratidza mumaoko kana shure). With kuchiita marwadzo ndekwechigarire uye havaratidzi vanoteerera kugamuchira vasodilators.

Kana wasvika murwere yakadaro, uye akacherechedza kurapwa uye kurapwa nhoroondo pamusoro apa, atherosclerotic cardio - izvi ndizvo zvinofanira kunge vakafunga anokwanisa nyanzvi

chirwere chirwere

Kusvika mutongo, uye mhinduro yomubvunzo wokuti chii chakaitika kumurume uye nei anoita chichemo yakadaro, zvinokosha kuti tiite zvimwe kuzviongorora murwere. The chirwere kuti "atherosclerotic cardio" dzinogona kuonekwa pamberi ose zviratidzo uye zvinhu zvinokonzera njodzi. Zvimwe zvinoumba yokupedzisira ane simba pamusoro pokumuka muitiro, varwere vari zera 55 kana vakura, somurume, ndakagara mararamiro, murombo muviri.

Kujekesa nechirwere yaifanira kunyange mamwe tsvakurudzo. Pakati pavo kuuya kutanga nokukanganisika kuongorora remafuta akawandisa ropa, unonzi, electrocardiograph uye coronary angiography.

Kuchinja ECG, hunhu atherosclerosis mwoyo - kuti kuderera voltage kwemeno (achidzikisa zvavo nomumhu) pamwe chaizvo zvakajairika pahupamhi uye hunhu kwemeno.

Coronary angiography inoratidza aienda pamusoro coronary midziyo uye kunoratidza kusava okisijeni kusvika myocardium.

mabatiro

Akapiwa kunzwisisa kwakaita pathogenesis kwechirwere chacho, unofanira kunzwisisa kuti kurapwa kunofanira nzwisisika. Pakuenzanisa asiri zvinodhaka kupindira, uyewo zvinodhaka uye zvomusejari kupindira kubvumira kuti vabudirire zvikuru kubudirira pakurapa nechirwere chemwoyo.

Chokutanga, unofanira kuva kusimudzira noutano mararamiro. Sezvo chikazozikamwa, mitemo kudya zvinovaka muviri ndicho chikuru chinokonzera kuvadza mwoyo uye ropa nhumbi mwoyo. Uyewo, hwakakwana muviri kunoita mwoyo kuti zvakanaka kugadzirira haizopereri kunetsa basa.

Pawakaperera nokuchengeta mirayiro iyi nyore (mikwende kudya uye muviri) zvinoita kunonoka kutanga coronary tsinga chirwere kwenguva yakati. Kushandisa zvinodhaka achabvisa mhaka chirwere uye kudzorera chakaipa muviri.

Chinhu chikuru kuti unofanira kuteerera kana uchida kubata atherosclerotic cardio - pathogenesis of chirwere. Zvinoenderana yayo inokosha dzakabatana anogona kuzadzisa wandei kubudirira pakurapa chirwere.

zvinodhaka kurapa

Mabatirwo atherosclerotic Cardiosclerosis mishonga zvinofanira akatanga chete kana munhu kushanda uye akasimbisa kuvapo mwoyo kukundikana, uye vascular maronda. Nokuti chinangwa ichi, zvinoreva mapoka zvakadai antihypertensive vamiririri, vamiririri nokuti chinorwisa mwoyo kukundikana, statins, fibrates uye metabolites.

Antihypertensive kurapa kunosanganisira kushandisa FIs ose angiotensin rokutendeutsa enzayemu ( "Enalapril", "captopril"), diuretics ( "Indap" "Furosemide"). Diuretics anoshandiswawo pamberi mwoyo nokukundikana uye ndevamwe Formulations vekutanga basa.

Zvinokurudzirwa kushandisa metabolic zvinodhaka ( "Mildronat", "Cardiomagnyl") kuvandudza mabasa mwoyo. Vanogona kuvandudza ropa wedzerai mwoyo tsandanyama, uyewo kubatsira kushanda rokuzvivandudza rakaita kuti irambe kwendangariro.

Uyezve, kana rokumuka kwemwoyo uye kutyorwa zvinoshanda zvakanaka kushandisa cardiac glycosides ( "Digoxin", "Strofantin").

Kushandiswa statins uye fibrates

Statins vari zvinodhaka zvikuru pakurapa atherosclerosis. Musimboti wavo vaite kuderedza huwandu atherogenic lipoproteins muropa plasma, ravo Kuparara uye excretion, uye neropa saturation antiatherogenic lipoproteins (HDL - yakakwirira arambe achirema mapurotini). Kuwedzera kwavo wevasungwa, anovandudza kudzivirira ehupfumi ari vascular endothelium, chiri kusimbisa, izvo zvinokanganisa kukura plaques matsva.

Fibrates zvakafanana migumisiro, asi kuzvishandisa pamwe statin iri zvaisambobvumirwa nokuda kukura nemishonga.

Nokuti kurapa aishandisa zvinodhaka zvakadai se "Lovastatin," "Simvastatin", "Rosuvastatin." Of fibrates nevakawanda kushandisa "Clofibrate", "bezafibrate", "Gemfibrozil."

zvinodhaka izvi zvinofanira chete kushandiswa pamusoro mushonga uye pasi fanira utano zvichiongororwa, sezvo asina varwere vose mishonga iyi zvakanaka zvaitombova.

kuvhiya kurapwa

Tiine ineffectiveness vasiri zvinodhaka kurapa uye varwere vakaungana pakushandisa pakuvhiya. YOKOHAMA akavhiyiwa inoitwa zvokurwara ichi, diki, uye vari chakabatikana zvikurukuru pakuwedzera kujekesa coronary tsinga uye kudzorera ropa riyerere. Yainyanya ndavhiyiwa, stenting uye chibharuma angioplasty.

Ndavhiyiwa ari raiwanzoitwa Kuvhiya mwoyo uye ari zvakarurama yakaoma uye ine ngozi oparesheni.

Stenting ndiye sumo kupinda mhango pakati simbi nemamiriro mudziyo, izvo chinangwa - zvokuimba kuwedzera kujekesa midziyo.

Chibharuma angioplasty chinhu chakarongwa kutanga kwekupwanyiwa stenting, asi dzimwe nguva inogona kushandiswa tisingatungamirirwi. It rinoitwa pasi X-ray kuzvidzora. Ngarava akapiwa chibharumu anobudisa mushonga zvishoma nezvishoma. Paaizosvika constriction chibharuma iri inflated, nokudaro flattening bheji racho uye anokudza mudziyo.

physiotherapy

In pakurapa zvemwoyo physiotherapeutic nzira havana kuwana chaiyo chikumbiro, asi nokuda kudekara varwere uye vamwe pathological kuturika muitiro, aitwe.

Electrophoresis Kazhinji aishanda munharaunda kunharaunda mwoyo nokushandiswa kwezvinodhaka. Kakawanda, achishandisa kuitika zvakananga mumwoyo kuti statins. Saka zvinobvira kusika munhu munharaunda pfungwa imwe pfuma kuti achaita zvakananga nomwoyo uye kuparadzirwa kuburikidza muropa kuti midziyo yose.

Hazvina kuvhiringidza kuvarwere uye Spa kurapwa mumakomo. Zvaiva imomo kuti akavandudzika zvikuru chokufambisa kushanda ropa saturation pamusoro myocardium uye dzimwe nhengo okisijeni-mupfumi ropa.

Kuchirapa muviri kunogona kubatsira normalize BP, pamwe yokuderedza mari muviri, remafuta akawandisa uye makabhohaidhiretsi uye vatungamirire pachako uye muviri wako inzwi richinjwe.

Atherosclerotic cardio - yematambudziko

Sezvo nezvirwere zvose, nechirwere chemwoyo ine kunaka zvaitika ayo kana matambudziko.

Chokutanga, kutyora mwoyo pamusana atherosclerosis maronda zvazvinoita murwere mararamiro. Anogona kuva chakakomba kupfupika kufema basa chero basa.

Kazhinji kana dzichiri atherosclerotic cardio, matambudziko anogona kuitika sezvo kutyorwa kwemwoyo uye mutinhimira Kuvhiringidza chitarisiko. Kazhinji pane ventricular fibrillation uye atrial kukura blockades, sinus achirwara syndrome. Mune zvisingawanzoitiki kacho pane asystole, uye kungoerekana cardiac rufu.

Kana munhu aine atherosclerotic cardio, zvakaoma kunzwisisa kazhinji kukudziridza uye kunze mwoyo. Possible kutyora nehanya pamakona, kunyanya maoko nemakumbo, chando mashoko nzvimbo muviri, atrophy kukura. Vanogonawo kutambudzika uropi nemidziyo ropa, maziso, uye dzimwe nhengo enyika.

Nokufamba kwenguva, vascular chirwere rinopararira yose muviri. Muchiitiko chino, hapana vavashandire unoshanda uye anoita evasingatombonamati symptomatic. Kana achimhanya zvinoitawo chete mugumisiro zvinogona kuverenga munhu akabata chinhu atherosclerotic cardio - rufu.

Kudzivirira atherosclerosis

Zvinozivikanwa kuti chero chirwere nyore kudzivirira pane kurapa. zvirwere mwoyo vari zvakare yakakodzera Pfungwa iyi. Ndokusaka unofanira kuziva huru zviitiko uye nzira kubatsira kudzivirira atherosclerotic cardio. Matambudziko muchiitiko ichi, kana muchiita zvinhu zvose zvakarurama, haungatongogoni kwete kuratidza.

Chokutanga, tinofanira kuteerera kwadzinoita zuva uye zvokudya. Haufaniri kudya pashure nhanhatu ari manheru, uye kana uine zvachose sokusingatsungiririki, zviri nani kuti kunwa girazi pasi-mafuta mukaka kana yogati.

Iva nechokwadi kuti nguva uye dzidzo chaiko. Training mwoyo hauzombofi okushamisira. Nokuti anonyatsorayiridzwa wakanyatsokodzera ndakawedzera kufamba, kushambira.

Ita kuregera uye uchiongororwa. Kazhinji panguva pavo, uye akazivisa izvi kana kuti dambudziko, uye naizvozvo zviri nani vakaomerera utano hwavo mamiriro pezvizuva, pane kurapa pachako vamwe hwako.

In pamberi zviratidzo zvakanaka pakarepo chiremba kuti aone inotevera kuita.