Atherosclerosis ntawm lub plab aorta - yog dab tsi? Atherosclerosis ntawm lub plab aorta yog ib qho muaj tus kab mob haum, tshwj xeeb ntawm cov neeg nruab nrab thiab laus. Nws nthuav tawm vim yog qhov tso nyiaj ntawm atherosclerotic plaques rau sab hauv kab ntawm lub nkoj.
Cov quav hniav pib maj mam nce zuj zus mus rau qhov loj me, kom nqaim cov vascular lumen ntau thiab ntau dua thiab cuam tshuam kev ua haujlwm ntawm cov ntshav, uas yuav ua rau cov tsos mob sib xws. Ntxiv rau, cov ntaub so ntswg ncig ntawm cov quav hniav yuav pheej ua paug tas li.
Lub plab aorta yog ib ntu loj ntawm cov kab mob ntawm lub cev, uas yog lub luag haujlwm rau cov ntshav xa mus rau txhua qhov plab hnyuv plab thiab lub plab qis.
Raws li, los ntawm nws cov ceg tau txais oxygen-nplua nuj cov ntshav los ntawm lub plab, plab hnyuv thiab lub plab loj, daim siab, tus po, kab mob ua paug, me me thiab loj omentum, peritoneum (cov leeg ua kua rau lub plab hauv lub plab) thiab lub chaw mos. Cov kabmob no yuav raug kev txom nyem hauv thawj qhov chaw, thiab tom qab ntawd ces cov cim yuav pom ntawm ob txhais ceg.
Ua rau muaj tus kabmob
Atherosclerosis ntawm lub plab aorta tuaj yeem txhim kho vim yog cov ua tau cuam tshuam ntawm ntau cov laj thawj. Feem ntau ntawm lawv nrog lub neej ntawm cov neeg coob heev, thiab qee zaus nws nyuaj heev kom tau tshem ntawm lawv. Muaj ntau pab pawg muaj feem cuam tshuam.
Ntawm no yog daim ntawv teev cov qauv ntawm txhua qhov laj thawj:
- raug mob qub txeeg qub teg;
- noj zaub mov tsis zoo, tshwj xeeb yog noj ntau ntawm cov khoom noj ceev thiab cov rog rog;
- thawj;
- nruab nrab, laus thiab laus hnub nyoog - hauv nruab nrab, laus dua 40 xyoo;
- cov txiv neej tau mob ntxov dua thiab ntau dua li poj niam;
- dej cawv thiab haus luam yeeb;
- arterial hypertension (ntshav siab);
- twb muaj lawm kev tsis txaus siab nyob rau hauv lipid metabolism;
- ntshav qab zib mellitus;
- metabolic syndrome - kev sib txuas ntawm kev rog plab, kev ua kom lub ntsej muag tsis hnov qab, ua kom cov triglycerides thiab ntshav siab nce ntxiv;
- hormonal tsis txaus thiab cov kab mob ntawm cov tshuaj endocrine;
- kev ua neej nyob sedentary;
- cov sijhawm ntxhov siab heev;
- nquag kis thiab kis kab mob;
Tsis tas li ntawd, qhov ua rau ntawm kev txhim kho pathology yuav yog qhov tsis muaj kev tiv thaiv tiv thaiv kab mob.
Hom ntawm pathological mob
Muaj qee qhov kev faib tawm ntawm cov ntaub ntawv ntawm atherosclerosis ntawm lub plab aorta. Qhov kev faib tawm yog ua raws cov kev kho mob hnyav hnyav.
Ib qho ntxiv, kev faib tawm coj mus rau hauv qhov kev hloov pauv ntawm cov hlab ntsha thiab cov ntaub ntawv los ntawm kev tshawb fawb thiab ntsuas cov cuab yeej.
Yog li, plaub daim ntawv ntawm atherosclerosis ntawm lub plab aorta tau txawv.
Preclinical theem - nyob rau lub sijhawm no, cov neeg mob tsis yws txhua yam, tsis muaj dab tsi thab lawv. Thaum muab tshuaj rau kev ntsuam xyuas, tshwj xeeb hauv lipid profiles, tag nrho cov lipids yuav zoo li qub. Tsuas yog cov roj (cholesterol) siab thiab qis lipoproteins uas tsis txaus siab yuav ua rau muaj ntsej muag. Cov zauv feem no yog atherogenic, uas yog, pab txhawb kev tsim cov quav hniav. Hauv cov hlab lawv tus kheej, txawm tias muaj cov lus qhia tseeb, tsis muaj, txawm tias tsawg heev, kev hloov pauv yuav raug kuaj pom. Nyob rau theem no, cov neeg mob xav tau kev saib xyuas tas li, vim tias nws yog qhov txaus ntshai rau kev loj hlob ntawm cov txheej txheem pathological.
Lub caij nyoog latent - nyob rau qib no, cov kev hloov pauv hauv qhov ntsuas yuav mob siab lossis txawm sib zog. Tseem yuav tsis muaj cov tsos mob ntawm kev puas tsuaj rau vascular, txawm li cas los xij, nrog angiography (kuaj vascular), dopplerography thiab kuaj ultrasound ntawm cov hlab ntsha, kev hloov pauv yuav raug kuaj pom. Cov pauv tuaj yeem sib txawv los ntawm thawj daim tawv lipid ua rau calcification ntawm cov quav hniav. Qhov no yog qhov sib voos theem ntawm tus kab mob.
Lub sijhawm ntawm tsis tseem ceeb tshwm sim - lub sijhawm no, cov tsos mob tshwm sim me ntsis lawm. Ntau tus neeg pib xav tias qhov no yog ntshav siab, vim tias lawv hnov mob taub hau, qee zaum "yoov" nyob rau hauv lub qhov muag, cuam tshuam hauv kev ua haujlwm hauv lub plawv, ntu tawm tsam mob tom qab ntawm pob tw (angina pectoris, lossis "angina pectoris"), qee zaum kev mob plab thiab teeb meem tuaj yeem tshwm sim nrog ob txhais ceg. Myocardial infarction lossis mob stroke tuaj yeem pib txhim kho. Nyob rau tib lub sijhawm, cov yam ntxwv ntawm cov plahaum ntawm plaques ntawm qhov ntau thiab tsawg yuav raug kuaj hauv cov hlab nrog cov twj kuaj.
Daim foos kawg yog mob ntsig txog txoj hlab ntshav ntawm txoj leeg ntshav, txoj kev ua haujlwm txhaws ntawm cov hlab ntshav. Feem ntau tshwm sim raws li lub txiaj ntsig ntawm kev kho tsis tsim nyog lossis txawm nws qhov tsis tuaj. Lawm, ob qho kev txheeb xyuas thiab cov ntaub ntawv soj ntsuam muab cov txiaj ntsig tsis zoo: qee lub nkoj tau txhaws tag nrho, tag nrho cov roj (cholesterol), cov lipoproteins tsawg kawg yog nce, qhov sib piv ntawm cov lipid sib txawv yog ua txhaum.
Cov chaw soj ntsuam tau tshaj tawm, thiab tsis tuaj yeem hloov kho tsis zoo thiab cov kev hloov necrotic twb tshwm sim hauv qee cov kabmob. Kev kho mob phais feem ntau xav tau nyob rau theem no.
Soj ntsuam qhov tsos mob ntawm atherosclerosis
Nrog atherosclerosis ntawm lub plab calving ntawm lub aorta, lub plab, hepatic, splenic, superior thiab inferior mesenteric cov hlab ntsha, uterine, zes qe menyuam / testicular cov hlab ntsha, nrog rau cov leeg, femoral, popliteal, tibial, fibular, cov hlab ntsha ntawm cov leeg tom qab thiab txhua ceg me txuas ntawm lawv, cuam tshuam.
Lub qhov txhab tuaj yeem ua diffuse, uas yog, cuam tshuam rau ntau ntawm cov nkoj hauv ib zaug.
Hauv qhov no, cov tsos mob los ntawm lub plab zom mov thiab los ntawm qis hauv qhov kawg yuav pom.
Digestive ntshawv siab yuav qhia hauv cov tsos mob hauv qab no:
- kev txhim kho mob hauv plab;
- ua txhaum txoj hnyuv quav ua rau raws plab lossis quav tawv;
- nquag flatulence;
- mob hnyuv - qhov tsis tshua muaj tshwm sim vim kev ua txhaum ntawm kev muab ntshav rau cov hnyuv;
- Kev mob siab;
- xeev siab
- ntuav
- siv tawv;
- hnyav zuj zus poob vim malabsorption cov as-ham;
- tsis muaj zog potency - nrog tus kab mob ntawm cov hlab ntsha muab khoom xa rau qhov chaw mos;
- tso zis tsis xis nyob;
- mob hauv lub raum;
- renal arterial hypertension - vim yog txoj kev nqaim ntawm lumen ntawm cov hlab ntsha hauv raum.
Nrog kev puas tsuaj rau sab hauv qab, qhov tshwm sim yuav txawv me ntsis:
- Cov tawv nqaij ntawm ob txhais ceg yuav daj ntseg, qee zaum bluish, txias rau qhov kov.
- Cov plaub hau kev loj hlob yuav muaj qhov cuam tshuam ntawm qhov qis ntawm ob txhais ceg.
- Cov ntsia hlau yuav deform thiab tsaus muag.
- Cov neeg mob yuav yws yws ntawm qhov kev xav mus tas li ntawm "goose bumps" hauv lawv txhais ceg.
- Nws yuav luag tsis yooj yim sua kom mus kev deb - cov neeg feem ntau yuav tsum tau nres vim kev mob mob thiab loog hauv lawv ceg thaum taug kev, ko taw txias, qhov hnov ntawm "goosebumps" (hauv tshuaj no yog hu ua "sib quas ntus claudication syndrome", lossis "Ribot kos npe").
- Lub distal (qis dua) ceg sai sai poob phaus, pom tsis pom. "
- Ntev tsis ua rau qhov txhab mob rau qhov txhab tshwm vim yog cov ntshav tsis txaus rau daim tawv nqaij.
- Kev puas tsuaj me ntsis rau ntawm daim tawv nqaij tuaj yeem ua rau qhov tsim ntawm qhov mob qog ntawm trophic.
Tom qab, daim tawv nqaij daj yuav tuaj yeem hloov xiav, thiab tom qab ntawd hloov xim - qhov no yog tus yam ntxwv ntawm tus cwj pwm ua kom tsis haum (necrosis ntawm ib daim nqaij uas sib chwv nrog oxygen).
Cov hau kev rau kev kuaj tus kab mob
Kev kuaj mob zaum kawg yog tsim raws kev soj ntsuam ntawm tus neeg mob cov lus tsis txaus siab, nrog rau kev kuaj thiab ntsuas txoj kev tshawb nrhiav.
Kev tsis txaus siab tsis tuaj yeem hais meej kiag li, thiab feem ntau tuaj yeem raug ntaus nqi rau qhov tshwm sim ntawm kev mob ntawm txoj hnyuv plab (txhais tau tias yog lub plab zom mov). Rau qhov no, cov neeg mob tau raug xaj kuaj xyuas ntxiv.
Ntawm qhov tshwj xeeb tseem ceeb yog cov kev kuaj ntshav biochemical thiab cov lipid profile.
Kev lim ntshav biochemistry muab daim duab ua tiav ntawm cov sib xyaw ntawm cov ntshav, tuaj yeem ua kom pom qhov tsis muaj ntshav, ua txhaum ntawm qhov feem ntawm ntau cov duab, thiab tseem qhia tau tias tag nrho qib roj. Nquag, nws yuav tsum tsis pub tshaj 5.2 mmol / l hauv cov neeg noj qab haus huv.
Daim tawv lipid yog tsim rau kev tshawb xyuas qhov tseeb ntawm cov ntsiab lus ntawm txhua hom lipids hauv cov ntshav.
Hauv lub cev muaj cov rog zoo li no:
- tag nrho cov roj;
- qis, qis heev, nruab nrab thiab siab lipoproteins;
- triglycerides;
- chylomicrons.
Nrog rau txhua yam kev mob atherosclerosis, yuav muaj kev nce siab ntawm cov roj cholesterol tag nrho thiab cuam tshuam nrog cov lipoproteins uas tsis muaj ntau, qhov ua kom muaj triglycerides thiab txo cov roj uas txuam nrog lipoproteins ntau ntom. Nov yog duab tshaj plaws ntawm tus kabmob.
Ntawm cov cuab yeej siv kev tshawb fawb, cov duab thev naus laus zis (soj ntsuam vascular siv tus neeg sawv cev sib piv), cov kev tshawb fawb ntawm ultrasound intravascular kev tshawb fawb, suav tomography thiab cov duab sib nqus resonance (CT thiab MRI) yog qhov txawv.
Siv cov hau kev no, koj tuaj yeem pom qhov chaw nyob ntawm cov quav, nws qhov loj me, cov duab, qib ntawm kev thaiv ntawm cov vascular lumen, qhov chaw puas tsuaj ntawm cov hlab ntsha thiab tiv thaiv kev puas tsuaj rau thaj chaw noj qab haus huv.
Kev kho mob ntawm atherosclerosis ntawm lub plab aorta
Kev ntsuas kho rau tus kab mob no tau hais ncaj qha rau ntau ntu ntawm cov txheej txheem. Nws yog tsim nyog hais tam sim ntawd tias kev kho mob yuav tsis nrawm, pom thawj qhov kev tshwm sim tuaj yeem pom tsuas yog tom qab ib xyoos.
Ua ntej, koj yuav tsum xaiv ib tus neeg noj cov zaub mov uas yuav suav nrog kev cais tawm ntawm cov zaub mov muaj zaub mov roj thiab tsiaj rog. Qhov kev noj haus yuav tsum tau ua los ntawm cov zaub tshiab, txiv hmab txiv ntoo thiab cov txiv ntoo, tshuaj ntsuab, nqaij ntshiv thiab ntses, nrog rau nqaij ntses nyoo. Xav tau zaub mov noj ntau dua, cov tais diav sib tw. Tsis txhob noj zaub mov sai, rog, kib, haus luam yeeb, pickles, khoom qab zib thiab legumes.
Yuav luag txhua theem ntawm atherosclerosis, kev siv tshuaj kho yog kho. Nws koom nrog kev noj tshuaj tiv thaiv atherosclerotic. Cov no suav nrog cov statins (Lovastatin, Atorvastatin, Rosuastatin, Akorta), fibrates (Fenofibrate), anion txauv resins (Colestipol, Cholestyramine), bile sequestrants thiab nicotinic acid npaj (Nicotinamide, pab pawg B vitamin3) Cov kws kho mob pom zoo kom noj lawv yav tsaus ntuj, ua ntej yuav mus pw, vim tias cov roj uas txhaws ntau yog ua rau hauv peb lub cev thaum hmo ntuj, thaum 4 txog 6 nyob rau thaum sawv ntxov. Tsis tas li ntawd, muaj ntau cov lus pom zoo rau kev noj cov vitamins thiab cov zaub mov, vim lawv yuav txhim kho cov teeb meem dav dav thiab kev tiv thaiv ntawm lub cev, thiab yuav ua haujlwm ua hom thaiv cov kab mob.
Kev hnyav dhau yog qhov teeb meem loj rau cov neeg mob atherosclerosis. Txhawm rau txo nws, koj yuav tsum tau nquag koom nrog kev ua kis las, yam tsawg kawg taug kev txhua hnub rau tsawg kawg ib nrab teev. Tsom ntsoov rau lub xeev kev noj qab haus huv thiab kev nyab xeeb lub cev, koj tuaj yeem ntxiv kev tawm dag zog ntawm ntau yam.
Yog tias xav tau, koj tuaj yeem siv tshuaj ntsuab tshuaj - flax noob, zib ntab, propolis, tshuaj ntsuab tinctures (cov kev txuag ntawm kev kho mob).
Thaum muaj mob hnyav, yuav tsum tau phais. Nco ntsoov tseg txoj kev ua phem - haus luam yeeb thiab haus.
Tus kws tshaj lij hauv cov yeeb yaj kiab hauv tsab xov xwm no yuav tham txog aortic atherosclerosis.
