Munyori: William Ramirez
Zuva Rekusika: 18 Gunyana 2021
Gadziridza Zuva: 13 Mbudzi 2024
Anonim
Atherosclerosis - Pathophysiology
Vhidhiyo: Atherosclerosis - Pathophysiology

Atherosclerosis, dzimwe nguva inonzi "kuomarara kwetsinga," inoitika kana mafuta, cholesterol, nezvimwe zvinhu zvikawanda mumadziro emitsipa. Mari idzi dzinonzi mapepa. Nekufamba kwenguva, mabwendefa aya anogona kutetepa kana kuvhara zvachose tsinga uye kukonzera matambudziko mumuviri wese.

Atherosclerosis chirwere chakajairika.

Atherosclerosis inowanzoitika nekukwegura. Sezvo iwe paunenge uchikura, plaque buildup inoderedza yako arteri uye inoita kuti iome. Shanduko idzi dzinoita kuti zviomere ropa kuyerera kuburikidza nadzo.

Mavhinga anogona kuumbika mune idzi tsinga dzakamanikana uye anovharidzira kuyerera kweropa. Zvidimbu zvebwe rinokwanisa zvakare kutsemuka zvoenda kune tsinga dzeropa diki, dzichidzivirira.

Aya anovharika nenzara zvinyama zveropa neoksijeni. Izvi zvinogona kukonzera kukuvara kana kufa kwemaviri. Icho chikonzero chinowanzoitika chekurwadziwa kwemoyo uye sitiroko.

Kuwedzera kweropa cholesterol mumazinga kunogona kukonzera kuomarara kwetsinga pazera diki.

Kune vanhu vazhinji, yakakwira cholesterol mwero inokonzerwa nechikafu chakanyanyisa mumafuta akazara uye mafuta anotapira.


Zvimwe zvinhu zvinogona kukonzera kuomarara kwetsinga zvinosanganisira:

  • Chirwere cheshuga
  • Nhoroondo yemhuri yekuomarara kwetsinga
  • Kuwedzera kweropa
  • Kushaikwa kwekurovedza muviri
  • Kunyanya kufutisa kana kufutisa
  • Kusvuta

Atherosclerosis haikonzere zviratidzo kudzamara ropa richiyerera kuenda muchikamu chemuviri richinonoka kana kudzivirirwa.

Kana tsinga dzinopa moyo dzikadzikira, kuyerera kweropa kunogona kudzikira kana kumira. Izvi zvinogona kukonzera kurwadziwa kwepfupa (yakadzikama angina), kupfupika kwemweya wekufema, uye zvimwe zviratidzo.

Tsinga dzakadzikira kana dzakavharwa dzinogona zvakare kukonzera matambudziko muura, itsvo, makumbo, uye huropi.

Anopa hutano anoita bvunzo dzepanyama uye anoteerera moyo nemapapu ne stethoscope. Atherosclerosis inogona kugadzira kurira kana kuridza ruzha ("bruit") pamusoro petsinga.

Vose vanhu vakuru vanopfuura makore gumi nemasere vanofanirwa kuongororwa BP yavo gore rega rega. Kuwedzera kunowanzo kuyerwa kunogona kudikanwa kune avo vane nhoroondo yekukwira kweropa kuverenga kana avo vane njodzi zviitiko zvekukwira kweropa.


Kuongororwa kwecholesterol kunokurudzirwa kune vese vakuru. Iwo makuru makuru enhungamiro anosiyana pazera rakataurwa kuti utange kuyedzwa.

  • Kuongorora kunofanira kutanga pakati pemakore makumi maviri kusvika makumi matatu nemakumi matatu evarume uye makore makumi maviri kusvika makumi mana nemashanu evakadzi.
  • Dzokorora kuyedzwa hakudiwe kwemakore mashanu kune vanhu vakuru vazhinji vane zvakajairika cholesterol mazinga.
  • Kudzokorora kuyedzwa kunogona kudikanwa kana shanduko yemararamiro ikaitika, senge kuwedzera kukuru kwehuremu kana shanduko mukudya.
  • Kuwedzera kuongororwa kazhinji kunodiwa kune vanhu vakuru vane nhoroondo yeakakwira cholesterol, chirwere cheshuga, matambudziko eitsvo, chirwere chemwoyo, sitiroko, uye mamwe mamiriro

Mimwe miedzo yekufungidzira inogona kushandiswa kuona kuti ropa rinofamba zvakadii mukati medu arteri.

  • Doppler bvunzo dzinoshandisa ultrasound kana masaisai eruzha
  • Magnetic resonance arteriography (MRA), yakasarudzika mhando yeMRI scan
  • Special CT inoongorora inonzi CT angiography
  • Arteriograms kana angiography iyo inoshandisa x-rays uye kusiyanisa zvinhu (dzimwe nguva zvinonzi "dhayi") kuti uone nzira yeropa inoyerera mukati medhiri

Mararamiro ehupenyu anoderedza njodzi yako yeatherosclerosis. Zvinhu zvaunogona kuita zvinosanganisira:


  • Regedza kusvuta: Iyi ndiyo imwe shanduko yakakosha yaunogona kuita kudzikisa njodzi yako yechirwere chemwoyo uye sitiroko.
  • Dzivisa chikafu chine mafuta: Idya zvikafu zvakaenzana zvine mafuta uye cholesterol. Sanganisira dzinoverengeka mazuva ese servings yemichero nemiriwo. Kuwedzera hove kuchikafu chako kanokwana kaviri pasvondo kunogona kubatsira. Zvisinei, usadya hove yakakangwa.
  • Limit doro rakawanda raunonwa: Yakakurudzirwa miganho inwiwa rimwe chete pazuva revakadzi, maviri pazuva kuvarume.
  • Gara uchiita chiitiko chemuviri: Rovedza muviri zvine simba zvine mwero (sekufamba nekukurumidza) mazuva mashanu pavhiki kwemaminitsi makumi matatu pazuva kana uri pahuremu hwakanaka. Kuti uderedze uremu, kurovedza muviri kwemaminitsi makumi matanhatu kusvika makumi mapfumbamwe pazuva. Taura nemupi wako usati watanga chirongwa chitsva chekurovedza muviri, kunyanya kana iwe wakamboonekwa uine chirwere chemwoyo kana iwe wakamborwara nemoyo.

Kana yako BP yakakwira, zvakakosha kuti iwe uidzikise uye uichengetedze iri pasi pesimba.

Chinangwa chekurapa ndechekuderedza yako yeropa kuitira kuti uve nenjodzi yakaderera yezvinetso zvehutano zvinokonzerwa neBP. Iwe nemupi wako munofanira kumisikidza chinangwa cheBP.

  • Usamise kana kushandura yakakwira BP mishonga usinga taure nemupi wako.

Wako mupi angangoda iwe kuti utore mushonga weakawandisa cholesterol mazinga kana neakakwira BP kana mararamiro achinja asingashande. Izvi zvinoenderana ne:

  • Zera rako
  • Mishonga yaunotora
  • Ngozi yako yemhedzisiro kubva kunogoneka mishonga
  • Kunyangwe iwe uine chirwere chemwoyo kana zvimwe zvinetso zvekuyerera kweropa
  • Kunyangwe iwe uchisvuta kana kuti uri kufutisa
  • Kunyangwe iwe uine chirwere cheshuga kana zvimwe chirwere chemoyo njodzi
  • Kunyangwe iwe uine chero mamwe matambudziko ekurapa, senge chirwere cheitsvo

Mupiki wako anogona kupa zano kutora asipurini kana mumwe mushonga kuti ubatsire kudzivirira kuwanda kweropa kubva mukuumba mune yako arteri. Iyi mishonga inonzi antiplatelet zvinodhaka. Usatore aspirin usati watanga kutaura nemupi wako.

Kurasikirwa nehuremu kana iwe uri kuwandisa uye uchideredza shuga yeropa kana iwe uine chirwere cheshuga kana pre-chirwere cheshuga kunogona kubatsira kudzikisa njodzi yekuvandudza atherosclerosis.

Atherosclerosis haigone kudzoserwa kana zvangoitika. Nekudaro, mararamiro anochinja uye kurapa yakakwira cholesterol mazinga anogona kudzivirira kana kunonoka maitiro kubva pakuwedzera. Izvi zvinogona kubatsira kudzikisa mikana yekuve nekurwadziwa kwemoyo uye sitiroko nekuda kweatherosclerosis.

Mune zvimwe zviitiko, dombo iri chikamu chemaitiro anokonzera kushomeka kwemadziro etsinga. Izvi zvinogona kutungamira kubhomba mutsinga inonzi aneurysm. Aneurysms inogona kuvhurika (kuputika). Izvi zvinokonzera kubuda ropa uko kunogona kutyisidzira hupenyu.

Kuomesa tsinga; Arteriosclerosis; Dombo rekuvaka - arteri; Hyperlipidemia - atherosclerosis; Cholesterol - atherosclerosis

  • Abdominal aortic aneurysm kugadzirisa - kuvhura - kubuda
  • Aortic aneurysm kugadzirisa - endovascular - kubuda
  • Aspirin uye chirwere chemwoyo
  • Kutadza kwemoyo - kubuda
  • Kutadza kwemoyo - chii chekubvunza chiremba wako
  • Yakakwira BP - chii chaunobvunza chiremba wako
  • Nyora 2 chirwere cheshuga - chii chekubvunza chiremba wako
  • Carotid stenosis - X-ray yetsinga yekuruboshwe
  • Carotid stenosis - X-ray yetsinga chaiyo
  • Yakawedzera maonero eatherosclerosis
  • Kudzivirira chirwere chemwoyo
  • Kuvandudza maitiro e atherosclerosis
  • Angina
  • Atherosclerosis
  • Vanogadzira cholesterol
  • Coronary artery balloon angioplasty - akateedzana

Arnett DK, Blumenthal RS, Albert MA, Buroker AB, uye al. 2019 ACC / AHA Guideline pamusoro pekutanga kudzivirira kwehutano hwepfungwa: Executive pfupiso: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro. J Ndiri Coll Cardiol. 2019; 74 (10): 1376-1414.PMID: 30894319 yakashambadzirwa.ncbi.nlm.nih.gov/30894319/.

Genest J, Libby P. Lipoprotein kusagadzikana uye chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 48.

James PA, Oparil S, Carter BL, et al. 2014 humbowo-hwakavakirwa nhungamiro ye manejimendi ekudzvinyirira kweropa muvakuru: mushumo kubva kunhengo dzemapaneru dzakasarudzwa kuEthth Joint National Committee (JNC 8). JAMA. 2014; 311 (5): 507-520. PMID: 24352797 pubmed.ncbi.nlm.nih.gov/24352797/.

Libby P. Iyo yevascular biology ye atherosclerosis. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 44.

Mako AR. Cardiac uye kutenderera basa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 47.

US Yekudzivirira Services Task Force webhusaiti. Yekupedzisira kurudziro chirevo: statin shandisa yekutanga kudzivirira chirwere chemoyo muvanhu vakuru: mishonga yekudzivirira. Yakagadziridzwa Mbudzi 13, 2016. Yakasvika muna Ndira 28, 2020. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adult-preventive-medication1.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA nhungamiro yekudzivirira, kuona, kuongorora, uye manejimendi yeropa rakakwira muvakuru: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro. J Ndiri Coll Cardiol. 2018; 71 (19): 2199-2269. PMID: 2914653 pubmed.ncbi.nlm.nih.gov/29146533/.

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