Forum Kauka Kūlana: Kauka atherosclerosis o ka lāʻau hoʻoliʻi haʻahaʻa - Forum Kaukaʻi Kauka
Ka hana i kahi manawa +7 (495) 103-46-23, st. Myasnitskaya, 19
He kūkākūkā ma nā leka pilikino a ma ke kelepona KAUA ua hana ʻia.
E pili ana i ka mālamaʻana i ka absentia
I kulike ai me ko na kanawai o Rusia (Pauku 70 o ke kanawai o ke Kuhina Leka Lūkini Helu 323-ФЗ "Ma ke kumu o ka pale ana i ka olakino o na Lahui ma ka Leka Rusia.") wale nō ke kauka hele i komo i ka kuleana e kuhikuhi i ka mālama ʻana.
"ʻAʻole ke loiloi me ka ʻike ʻole ʻana i ka mea maʻi maʻa wale nō ke hewa, akā ua hoʻohālikelike ʻia ka pōʻino o ke ola a me ka olakino olakino. ʻO ke kiaʻi ʻana i ka olakino o ka mea maʻi i kuhikuhi ʻia e ke kauka komo ma hope o kahi koho pilikino."
Roszdravnadzor.
Kūkākūkā o kahi kauka maʻi vascular.
HANEA ʻO KA MANA Hou.
Akā he mea hoʻohana ʻole ʻole ʻia.
Inā ʻoe i kau inoa ma mua, a laila "login" (inoa inoa ma ka ʻaoʻao ʻākau o ka pūnaewele). ʻO kēia kou manawa mua ma ʻaneʻi, e kau inoa.
Inā ʻoe e kāinoa, hiki iā ʻoe ke nānā i nā pane i kāu mau memo i ka wā e hiki mai ana, e hoʻomau i ka kūkākūkā i nā kumuhana hoihoi me nā mea hoʻohana e like me nā mea loiloi. Eia kekahi, hiki i ke hoʻopaʻa inoa ke hoʻokō iā ʻoe i ka leka pilikino me nā mea kūkākūkā a me nā mea hoʻohana ʻē aʻe o ka pūnaewele.
# 1 Dr_Vadim
- Luna lālā
- Kāpili: Lunahooponopono
- 12 pou
- Hui paʻa: Mar 19 08
- Wehewehe: kāne
- Lungsod: Kiev
He aha ka huakaʻi o ka atherosclerosis?
ʻO ka hiʻohiʻona ma nā paia o nā kīpē o nā palakou kolesterol, e alakaʻi ana i kahi kikoʻī (obliteration) o ka lāʻau a me ka ʻaki ʻole i ke kaʻa o ke koko i ke kaola a i ʻole a me nā kolo e hānai i ka ʻatikala palola.
Hiki i nā kolikora atherosclerotic ke hele mai i kekahi mau ʻuhane o ke kino o ke kanaka, akā naʻe, ʻike pinepine ʻia ia i nā ʻlā o nā lalo o nā lalo. Ke alakaʻi nei kēia i kahi hanana o kahi maʻi - atherosclerosis obliterans o nā lalo haʻahaʻa.
He aha nā kumu o ka hoʻopale atherosclerosis?
ʻO nā kumu kumu pono o nā palaki atherosclerotic, ʻaʻole maopopo, eia naʻe ke kuleana nui i loko o kēia kaʻina ʻo ka metabolic disorders, i nā pilikia o ka momona o ka metabolism ma ke kino. ʻAʻohe kanalua o ka predisposition genetic i kēia maʻi, akā aia nā mea nui aʻe: ʻo ka ulaula (94%), diabetes mellitus (18.2%), huʻihune (21%), hypercholesterolemia (51%), hypertension arterial (47%). ʻO nā mea e kūlike ai ka hopena no ka hoʻomohala ʻana i nā ʻeha o ka atherosclerotic o ka moena ʻoihana pili ʻole ka maʻi, ka hōʻino, ka nohona, kahi ʻano hana ʻoluʻolu. ʻO kaʻoiaʻiʻo, ua wehewehe kēia i nā mea i loaʻa i nā kāne ma waena o nā poʻe maʻi me nā atherosclerosis obliterans o nā hopena haʻahaʻa.
Wahi a ke Kuhina Ola o ka Lūkini Lūkini, ua loaʻa mai ka maʻi mau i ka maʻi o nā hōʻemi haʻahaʻa loa i ka 5 i ka 15% o ka heluna o nā kānaka.
ʻO nā makahiki nui o nā mea maʻi me nā atherosclerosis obliterans o nā haʻahaʻa haʻahaʻa loa he 60-69 mau makahiki no nā kāne, 70-79 mau makahiki no nā wāhine.
He aha nā hōʻailona o ka atherosclerosis obliterans o nā wāwae haʻahaʻa haʻahaʻa?
ʻO ka hōʻailona maʻamau ka loaʻa ʻana o nā palaleka atherosclerotic o nā keʻena o ka hopena o ka lalo o ka hoʻopili intermittent. . ^ E Ha yM. Hoʻomaʻomaʻo ka mea maʻi i ka ʻeha, nā hōʻeha, nā hōʻeha e hele ana i ka wā e hele a hoʻomaha ana ma nā hoʻomaha, ma nā ʻūhā o ka ʻāʻī, ka hui gluteal (kiʻekiʻe clauditt claudication), ʻūhā puʻupuʻu (low clmittent claudication).He hōʻailona kēia i ka hoʻomaha ʻana i ka nui o nā ʻōpū o ka lalo haʻahaʻa e hoʻolako ʻia me ke koko, a i ka wā e hoʻomaʻamaʻa ʻia, ʻaʻole hiki i ka ʻili i ke olakino ke hoʻopuka i ka nui o ke koko, ua hele ka pōolioli.
Me ka neʻe hou aku i ka lāʻau piʻi, a hiki i kona paʻa (neʻe), hoʻomaka ka ʻeha i kahi haʻahaʻa ma lalo (ʻo ke ʻano mākaʻikaʻi ke kaʻawale ka hele, a ma hope ke ʻano o ka ʻeha), a laila hoʻomau lākou i ka hoʻopilikia a hoʻomaha loa. I kēia hihia, hāʻawi ka pae haʻahaʻa i lalo i ka hōʻeha o ka ʻeha. ʻEha i ka hoʻomaha kuhikuhi i ka pauku pono o ka lāʻau, ka aila o ke koko ma kēia hihia ma muli o nā kolamu - ʻo nā ʻili liʻiliʻi e holo pono ana i ka araki clogged (occluded).
Me ka hoʻonui hou ʻana o ke kūlana, hoʻomaka nā ulia e hōʻoki ʻole ʻia ma ka ʻili. , māhuahua lākou e ulu a hohonu i ka make a make - gangrene . ^ E Ha yM. Hoʻomaka pinepine ʻo Gangrene i nā manamana wāwae o ka wāwae, i ka loaʻa ʻole o ka mālama kūpono, ʻo ke kiʻekiʻe o ka laha ʻana o ka gangrene i hoʻoholo ʻia e ka pae a me ka pae o ka hoʻololi i nā kīlā.
ʻO kekahi o nā haʻawina maʻalahi a maopopo loa i ke ʻano o ka hōʻino ʻana i nā kīkala, ʻo ke ana ka kaomi o ka pauku. Mālama kekahi ʻōnaehana kūikawā i ke kahe o ke koko ma nā kīlā o ka wāwae, kahi e hoʻohaʻahaʻa i ka pae koko. ʻOi aku ka nui o ka ʻokoʻa ma waena o ke kaomi o ke koko a me ka hoʻonaninani ʻana i nā keʻa o ka wāwae, ʻoi aku ka ikaika o ka hōʻino ʻana i nā kīhaka.
Ke mālama nei i nā obliterans o atherosclerosis o nā lalo haʻahaʻa.
Hoʻopili ʻia nā mea kūpono o ka mālama ʻana no kēlā me kēia maʻi pākahi a hilinaʻi nui ʻia ma ka pae, ka nui a me ka pae o ka hōʻino i nā ʻōpū, ke ʻano o nā maʻi concomitant. Eia nō naʻe, aia kekahi mau lula pili i kūpono i ka nui o nā hōʻailona;
1. Me nā claudication intermittent ke kuhiia ana o ka pauku o ka pauku o ka auaka. I kēia hihia, maikaʻi ka hana endovascular: dilatation a i ʻole ka hoʻokele kūlia ʻanā wahī.
2. No ka ʻeha ma ka hoʻomaha ua manaʻo ʻia aia he ʻāpana piha i kahi pā palalike me ka loaʻa koko i ka wāwae ma o ka collateral. I kēia hihia, ʻaʻole ʻoi aku ka maikaʻi o ka lāʻau endovascular a hoʻohana wale nō i ka wā hiki ke mālama i ka catheter ma o ka wahi o ka clogged - hiki wale nō me nā blockages liʻiliʻi (occlusions). Me nā occlusions lōʻihi, ua ʻoi aku nā mea lapaʻau hou loa. hana hoʻōla: wehe wehe i nā plher atherosclerotic (endarterectomy) a i ʻole ka hoʻololi i ka wahi i hoʻopiʻi ʻia me kahi vein a i ʻole nāʻuʻu palu (bypass). Me nā lehelehe lehulehu, e hoʻohana pinepine ʻia nā hana hoʻohui. - shunting o kahi ʻāpana o ka pākuʻi a me ka lawe ʻana o ka mea i hoʻopili ʻia.
3. ʻO ka hele ʻana o nā ʻīlio a gangrene paha hōʻike i nā hanana nui o ka arterial, nā multilevel lesions o nā huaʻai me ke kahawai o ka toto o ka collateral. Hoʻemi ʻia nā koho lapaʻau maʻi i kēia hihia. ʻO ka hana Endovascular ma ke ʻano kūʻokoʻa kūleʻa ʻaʻole maikaʻi iki, ʻoiai hiki ke hoʻohana pū ʻia me ka hana ʻoi me ka hana ʻoi. Inā ʻaʻole hiki ke hana pono i ka hana hou a i ʻole ka loli, hoʻomaʻamaʻa ʻia nā amputation ka lālā pili.
Ke nānā aku nei i nā poʻe maʻi: ʻo ka liʻiliʻi o ka lesi atherosclerotic o ke kīkala, ʻoi aku ka maʻalahi a me ka kūleʻa o ka mālama. ʻO ia ke kumu o ka hala ʻana o ka atherosclerosis o nā haʻahaʻa haʻahaʻa, ka mea i makemake nui ʻia no ka mālama ʻana, ʻo ia ke ʻano o ka hoʻopiʻi intermittent. Inā hele mai nā hōʻailona i wehewehe ʻia, pono ke kūkākūkā mua i kahi mea maʻi vascular a endovascular paha. Ma ka lohi i ka hoʻomaka ʻana o ka mālama ʻana "a hiki i ka manawa maikaʻi" ka hāʻawi ʻana i ka holomua o ka maʻi a hoʻonui i ka nui o ka amputation ma kahi kokoke.
Nā kumumana o ka hopena o ka endovascular o nā haʻahaʻa wāwae haʻahaʻa
I loko o ka lumi hana X-ray ka mea, i lalo o ka piha o ka endovascular, hana ka mea lapaʻau i kahi puncture o ka wahine, axillary a i ʻole nā hāmeʻa, e hana ana i kahi catheter i loko o ka lāʻau. Lawe ʻia kahi catheter i kahi kahua ʻona i hoʻopili ʻia, e hoʻāʻo ʻia ka ʻikepili kūʻokoʻa - arteriography, kahi e hiki ai iā ʻoe ke koho i ka nui a me ka pae o ka hoʻokae (occlusion). Ke hele ʻia kahi kumu hoʻopukapuka ma nā wahi i hoʻopili ʻia - he kaula metala me kahi papa manamana. He pookele catheter, he catheter me ke palonika plastik i hoʻihoʻi ʻia ma lalo o ka paina kiʻekiʻe i kahi i kikoʻī ʻia i ke kiko kikoʻī, ua kau ʻia ma ka ʻaoʻao o ka mea lawe ma nā wahi i hoʻopuni ʻia. A laila e hana i ka nui o ka balona inflation (dilatation) ma kahi o ka hoʻopili. I ka manawa like, ke neʻe ʻia nei nā kaha o ka atherosclerotic i loko o ka pā palani a hoʻopuni maikaʻi ʻia, hoʻonui ʻia ka lumen o ka moku. Hana ʻia ka arteriography. Inā hōʻoluʻolu ʻia ka hoʻihoʻi hou ʻana o ka palage o ka artery, ua paʻa ke kaʻina. Inā mālama ʻia kahi ʻiliʻili a i ʻole ʻia paha (elast constriction, compression mai waho, kink), ua waiho ʻia kahi stent i ka pae lesion - kahi hana metala me ka hana puʻu, hoʻonui ʻia e ka pūuna a hoʻoikaika i ka lumen o ke kīleʻa mai loko mai, pale iā ia mai ka hāʻule ʻana. Ma hope o ka hoʻihoʻi hou ʻana i ka pā o ka hauā, ua hoʻoneʻe ʻia nā mea hana endovascular mai ka ʻauhau, ke kī ʻia ʻia ka puncture e ka lima no ka 5-10 mau minuke (a hiki i ke kahe ʻana o ke koko mai ka pae puncture), a laila ua noi ʻia kahi paʻi ikaika no 12 mau hola, ua hoʻomaha ʻia kahi hoʻomaha ʻana a hiki i ke kakahiaka aʻe. Hoʻololi ʻia ʻo Thrombolytics (heparin, fraxiparin) i kekahi mau lā, ma hope o ka hoʻihoʻi ʻole ʻana i nā anticoagulants (aspirin, phenyline, etc.) no 2-3 mau mahina.
Nā hopena
Ma hope koke o ka hoʻihoʻi hou ʻana i ka pā o ke kīwī, hōʻea ka hoʻāla ʻana i ka mau uaua ma ke ʻano o ka wāwae, a ua hoʻihoʻi ka pulse ma nā ʻāpana o ke ao. Inā ua hala ke kuhi i kahi kūlana i ka lawa o ke koko no ka manawa lōʻihi, ʻo ka hoʻihoʻi ʻana o ke kahe koko e hiki ke alakaʻi i ka ʻoma i kapa ʻia he reperfusion. ʻO ke kahe nui o ke kahe koko e hoʻoʻauheʻe i ka umauma, ka huehue, i kekahi manawa ke ʻeha. Nalo kēia ʻano i kekahi mau lā ma hope o ka hana "hoʻohana" i ke kūlana hou o ke koko.
ʻO nā hopena ʻaoʻao, nā hopena, hoʻomaha.
Ma mua o nā hōʻino o nā ʻōpū arterial o nā pāwi haʻahaʻa ʻelua, hoʻihoʻi ka kahe o ke kahe koko i loko o kekahi o lākou e alakaʻi i ka hoʻoheheʻe i ke kahe koko ma loko o ke ʻano ʻē aʻe. ʻO ka hopena, ʻo kahi hoʻopiʻi lohi ma kahi pākuhi i manaʻo ʻia i ke ola maikaʻi loa ma mua o ke hōʻoki ʻia. No laila, he mea pono e nānā pono i nā wāwae āpau a hiki i nā hōʻeha hōʻeha ma kekahi ʻaoʻao hoʻokahi.
ʻO nā mea maʻamau ka hoʻopiʻi pinepine ʻia o kekahi interovovation endovascular ʻo ia ka hematoma o ka pae puncture. ʻAʻole koi kēia hoʻonāukiuki i ka hoʻokipa hou aʻe, ma ka hapa nui o nā hihia ke mālama ʻia.
ʻO nā hōʻeha ma ke kahua o ka hōʻino o ka arterial (thrombosis arterial, partial a complete rupture of the artery) i ka loaʻa ʻole, ka hila e pili ana i ke ʻike o ka mea lapaʻau, ka maikaʻi o nā mea hana a me ka paʻakikī o ka hōʻino o ka arteria. No ka laʻana, ʻo ka hele ʻana o ka calcification (ua uhi ʻia nā palu arterial me ka lime) e hoʻonui i ka ʻūhā o ka paia o ka pā pua i ka wā o kona hana. I nā manawa he nui, hiki ke hoʻopau ʻia nā hōʻuluʻulu like me ka endovascular, akā i ka manawa pinepine no ka hoʻomaʻamaʻa wehe.
ʻO ka hōʻola hou ʻana a i ʻole ka weliweli i ka hōʻailona o ka piha o ka arterial hiki ke hoʻoulu ʻia e ka ʻūhū hou ʻana o ka mahele arterial dilate a i ʻole ka ulu ʻana o ka intima (ka lihi o loko o ka arteria) ma ke kahua o ka paʻu. I kēia hihia, ke hana ʻia nei nā hōʻuluʻulu hope o ka endovascular, me ko ka maikaʻi ʻole - ʻoi aku ka mālama ʻana. Eia nō naʻe, ka hana pinepine o ka ʻili o nā mea pili o nā haʻahaʻa haʻahaʻa e pili ana i ka holomua o ka atherosclerosis. ʻO ka hoʻomohala hou ʻana o nā pā plika atherosclerotic e hana hou i ka hopena o ka endovascular a me nā hōʻiliʻili pono.No laila, he mea koʻikoʻi loa ia i nā mea maʻi me ka atherosclerosis e nānā a hoʻoponopono i ke kaʻe o ke koko, ka nui o ka kolamu, ke kīwī ʻana, hahai i kekahi meaʻai, hoʻololi i ke ʻano o nā hana kaʻa - ʻo ia hoʻi, hoʻololi i ke ʻano o ke ʻano o ke ʻano. Ma kēia hana wale nō, e lōʻihi ka hopena o nā hopena o kekahi lāʻau lapaʻau no ka hemahema o ka lāʻau o nā haʻahaʻa haʻahaʻa.
Atherosclerosis o nā wahī o ke kaʻe haʻahaʻa - nā kumu, ke nānā ʻana a me ka mālama ʻana
- He aha ka arteriosclerosis o nā lāʻau kani
- Nā kumu kumu o ka maʻi
- ʻO nā hōʻike nui o ka maʻi
- Hoʻoikaika papa
- Nā huapau
- Hoʻomaʻamaʻa
- ʻO nā loina o ka mālama lapaʻau
- ʻO nā maʻi hōʻiliʻili liʻiliʻi
- Hana hoʻomaʻamaʻa
- Ke hoʻohana nei i nā ʻano hana
No nā makahiki he nui ke kūleʻa ʻole ʻana me CHOLESTEROL?
Ke poʻo o ka Institute: “E haʻohaʻo ʻoe i ka maʻalahi o ka hoʻohaʻahaʻa ʻana i ka cholesterol ma o ke lawe ʻana iā ia i kēlā me kēia lā.
ʻO Atherosclerosis o nā wahī o ka lalo o nā haʻahaʻa haʻahaʻa ʻoi aku kahi pōpoki vascular pōʻino e ulu nui i ka wā kahiko. Ma ka hoʻomaka mua, ʻaʻole hōʻike ka maʻi i nā hōʻailona ʻano, i nā hanana holomua, hiki ke hoʻopiʻi ʻia ka pale ʻana e pale ai i nā hōʻeha hōʻeha.
ʻO ka hoʻokolohua hele ʻana i nā hōʻailona mua o ka atherosclerosis o nā hāmeʻa e hiki ai i ke kauka ke kuhikuhi i kahi papa conservative kūpono o ka maʻi ma ka mea maʻi.
Hiki ke hāpai ʻia
Pono ka lūlū ʻana o nā kīʻaha o nā wāwae no nā poʻe maʻi me nā maʻi i alakaʻi ʻia i ka pathology nui a me ka hoʻololi ʻana o nā veins a me nā ʻehā o nā hopena o nā haʻahaʻa haʻahaʻa.
Hiki i nā ʻōmole ke:
- Kani mana o nā hāmeʻa o kēlā me kēia.
- Endarteritis me ka hoʻopili ʻana i ka lumen o nā moku ma nā wāwae.
- Nā hopena varicose a me thrombosis.
- Atherosclerosis a me nā maʻi ʻē aʻe i hoʻonāukiuki i nā waihona atherosclerotic.
- ʻO ka maʻi wāwae maʻi maʻi.
- ʻO nā ʻōpio Trophic a me ka hoʻoweliweli o ka gangrene.
ʻO kahi kolohe he ala maikaʻi ke kolohe inā loaʻa ʻole i nā maʻi ke kīnā i ka angioplasty a i ʻole ka mālama ʻana.
He paʻakikī loa ka hana, a e koi ana i ka hoʻāla kiʻekiʻe kiʻekiʻe i ka pae mikroscopic. Hoʻokomo ʻia me ka hana manuahi me ka wehe ʻana i ka hana ma kahi o nā mea i hoʻopuni ʻia o kahi vein a i ʻole ka ʻili i ka wāwae. Hoʻopili pololei ʻia ka shunt i kahi o ka pilikia, a ma ka wā e hiki mai ana, ke neʻe ana ke koko ma ia mea, ʻaʻole i ka moku hoʻohālikelike. Me he shunt, hiki i nā kauka ke hoʻohana i kahi vein donor saphenous, lawe ʻia mai ka mea hoʻomanawanui ʻo ia, a i ʻole nā mea biocompatible artial.
Hoʻoikaika hana
Pono ke keʻokeʻo bypass surgery e hoʻokau i nā kaʻina hoʻonaninani e hoʻoili i ka wahi o ka pilikia o ka vein, i mea e hoʻomaʻamaʻa ʻia ai ke ʻano o ka mea maʻi. Hiki ke hanaʻia ka kuke ʻana i ka ʻaʻa i ka lā a i ka lā o ka hana.
Ma mua o ka hana, pono ia e hele:
- ʻO ka hoʻokolohua lapaʻau ākea.
- Hoʻomauleʻa resonance résonance.
- Nā ʻōkuhi uila pālua.
- Hoʻohālikelike i ka ʻike maka radiographic.
Ma mua o ke kaʻina hana, ʻike ʻia nā wāwae e hoʻoholo i kahi o nā wahi pilikia o nā veins.
Ke pau ka ʻike ʻana i ka huina o nā haʻawina a hoʻoholo ke kauka i ka pono o nā kīpē i nā wāwae, e kau ʻia ka lā o ka hana.
Ke holomua
Pehea e hana shunting? Ua hopohopo kēia nīnau i nā maʻi he nui. Lawe ʻia ia ma lalo o ka maʻi āpau a i ʻole ka maemae kūloko, no laila kūpono ke kūleʻa ʻana no nā poʻe nāwaliwali ʻia e ka maʻi a me nā retirees. Hiki iā ʻoe ke kamaʻilio me nā manawa nui o ka hana bypass me ka hoʻohana ʻana i ke wikiō ma ka Pūnaewele.
Inā ʻoe e hoʻokaʻawale i ka hana i nā hana, a laila hiki iā mākou ke hoʻokaʻawale i kēia:
- Hāʻawi ke kauka i ka ʻili a me ka ʻili o ka ʻili ma luna o ka pae o ka lesion o ka moku ma luna o ka wāwae e hōʻoia i ka komo kino ʻana i nā mea hana i loko.
- Ke ʻike nei i ka pili i ke kīlea i hoʻopā ʻia a pili paha i ke ʻano haina.
- ʻOi aku, hana ʻia nā ʻokiʻoki ma luna a i lalo iho o ka deformation zone a me ka hopena o ka shunt.
- I ka wā paʻakikī, hiki ke hoʻonohonoho ʻia i kekahi mau shunts ma nā microvessels.
- Mahele ʻokoʻa ʻili ma ka wāwae.
- E nānā i nā kaʻina o ka angiography a me ka ultrasound no ka shunting kūpono, kahe koko i loko o ka moku i hana ʻia a me ka hoʻihoʻi ʻana i ke kahe koko i nā wāwae.
ʻO ka lōʻihi o ka hana ma ka paʻakikī o ka hoʻonohonoho ʻana i ka shunt. Hiki iā ia ke lōʻihi ma kahi o 2 mau hola. Inā kānalua ua maikaʻi ka hana, a laila e hoʻoponopono hou lākou me ke ʻano o ka radiografi o nā moku.
ʻO ka wā kūpono
Ma hope o ka hōʻemi ʻana, e noho ka mea maʻi i ka haukapila no kahi o 10 mau lā. I kēia manawa āpau, e hoʻomau ʻo ia i ka hana ma lalo o ka mālama ʻana o nā kauka a me nā limahana maʻi. I nā lā mua, hiki i ka mea maʻi ke loaʻa i ka ʻeha a me ka hōʻā ʻana o ka maʻi ma ke kahua wale o ka kihi, akā ma ka wāwae. ʻO kēia ma muli o ka hoʻihoʻi hou ʻana i ka momona o ka ʻiʻo a me ke kaʻina o kā lākou hoʻoponopono hou.
No laila, ʻo ka wā postoperative o ka lapaʻau e pili i ka lawe ʻana i nā lāʻau lapaʻau hōʻeha, nā pehu, ka hoʻopili ʻana i nā mea hoʻouluulu, hoʻololi i nā lole a me ka mālama suture. Inā hele mai kahi hanana maʻi, hiki ke hoʻonui ʻia ka manawa o ka hale mālama. Akā inā ʻaʻohe pilikia, a laila e hoʻokuʻu ka mea maʻi a hoʻokuʻu i ka home no ka hoʻomau hou ʻana.
ʻO ka wā postoperative ke lawe i nā antibiotics.
Hoʻopau hou a me ka ʻohi
I ka wā o ka hoʻoponopono, hiki i ka mea maʻi ke hoʻomau i ka mālama ʻana ma kahi papa outpatient. ʻAʻole pono ke noho nei i kahi haukapila, akā, e hele ai ʻoe e kipa aku i ka physiotherapist a me ka hoʻomaʻamaʻa lāʻau ʻana. Hiki i kekahi manawa ke hoʻolōʻihi i ka lāʻau. E kākau i ke kauka i kahi papa inoa no lākou inā ʻaʻole lākou i hoʻokaʻawale ʻole ʻia ma nā lāʻau lapaʻau. Eia kekahi, i ka hoʻokuʻu ʻana, hāʻawi lākou i kahi tikiki no kahi koho hou ʻana me kahi phlebologist a i ʻole loiloi i kekahi loea ma kahi o kahi noho.
E like me ka hoʻokaʻawale ʻana o nā kīʻaha koko o ka puʻuwai, pinepine nā mea maʻi e hōʻemi i ka momona nui a hoʻololi i ka ʻōnaehana meaʻai. Pono e hoʻohui i nā mea kanu mea kanu i nā huaora a me ka fiber i ka meaʻai. ʻAi ʻia nā meaʻai i nā kīʻaha haʻahaʻa haʻahaʻa haʻahaʻa. Pono ka laulā o nā meaʻai eʻai ai e like me nā hōʻailona o ke kōkua a me nā makahiki o ka mea maʻi.
No ka wikiwiki e alakaʻi i kahi ola olakino, kāpae i ka ulaula. Hoʻonui kēia i ka puʻuwai naʻau a me ka hana cardiovascular. Inā hoʻomau ka ulu ʻana o ka huʻu, a laila ma hope o ke kamaʻilio ʻana me kāu kauka hiki iā ʻoe ke hele i kahi kīʻaha paʻakai. E mau loa ia mai ka hebedoma a i hoʻokahi mahina, e hoʻoholo ʻia ke alihi ʻana o nā papa e kahi mea lapaʻau.
Ma hope o ka lawena bypass vascular, hōʻike ʻia nā mea maʻi i ka hana kino maʻalahi, akā ʻo kēlā mau hana kahi e kū pono ai e kū pono ʻole e pale. E hele iki ka mea maʻi i ke ola o kēlā me kēia lā. Akā ua ʻōlelo ʻia ʻaʻole e poina i ke kipa ʻana i ke kauka no ka nānā ʻana a me ka pale ʻana i ka mālama ʻana o nā maʻi maʻi vein.
I ka wā o ke kūkulu ʻana, pono ʻoe e nānā i kāu ʻai.
Nā lawelawe no ka atherosclerosis o nā haʻahaʻa haʻahaʻa: nā loiloi
Inā ʻike ka mea maʻi i kahi maʻi koʻikoʻi a me ka hoʻokele o ka atherosclerosis o nā pākiki haʻahaʻa, aia i kekahi mau ala ʻē aʻe i waho o ka hoʻōla ʻana e like me ka amputation o nā hopena haʻahaʻa.
ʻO ka pale ʻana i ka atherosclerosis o nā haʻahaʻa haʻahaʻa ka maʻi koʻikoʻi o ka maʻi vascular maʻi o ka medium a me ka caliber nui, ulu ia ma muli o ka hoʻohui ʻana o ka dyslipidemia ka lōʻihi a me ka hōʻino ʻana i ka paia arterial, ma ka hala ʻole o ka hana kūpono e alakaʻi i ka hoʻopiʻi a me ka pilikia.
ʻO nā kumu no ka hoʻomohala ʻana i ka atherosclerosis NK
Nui nui nā kumu o ke kūkulu ʻana i nā loli o ka atherosclerotic i loko o nā moku o nā wāwae.
ʻO nā kumu e alakaʻi i ka hoʻomohala ʻana o ka atherosclerosis hiki ke hoʻokaʻawale i ʻelua mau pūʻulu.
Kēia mau kumu o nā kumu i mea e hoʻopili ai i ka hoʻonui ʻana o ka pae o ka kolamu a me nā huaʻōlelo i loko o ke kaila koko a me nā mea nāna e hana ka hana i ka hōʻino i ka intima o nā kīʻaha.
ʻO ka hui mua e komo:
- ʻO ke kumu kumu maʻamau o ka hoʻonui ʻana i ka kolamu he nele i ka hahai ʻana i ka ʻai ʻano - ke ʻai ʻana i ka nui o nā momona holoholona a me nā meaʻai i momona i ka kolamu, a me nā meaʻai i loko o ka nui o ka ʻaila, ka uahi, nā mea ʻai a me ka mea ʻai wikiwiki. ʻO ka mea nui nui ka hōʻemi ʻana i ka papaʻaina o nā kumu momona - nā lau ʻona, nā hua ʻai, nā cereals a me nā legumes, ʻaʻole i hoʻokō ʻole i ka pau ʻana o ka inu ʻana, ka hoʻohana ʻana i ka nui o ka wai momona, kahe, kaʻaila.
- He mea koʻikoʻi hoʻi ka propensity ʻohana - i nā maʻi o ka ʻōnaehana cardiovascular, ka momona, metabolabula syndrome, nā mea āpau endocrine, a me ka dyslipidemia ʻohana, homocysteinemia, a me nā maʻi ʻē aʻe o ka maʻi metabol.
ʻO nā kumu no ka hui ʻelua:
- maikaʻi ʻino hewa - ʻoi ka inu wai inu a me ka uahi e hoʻopilikia ai i ka papakū o ka pā o ka moku, me ka hoʻopau ʻana i kona ʻano a hana i nā kūlana no ka hoʻopili ʻana o nā waʻa atheromatous a me nā kīwaha koko.
- lawa ka hana pilikino - me ka haʻahaʻa haʻahaʻa o ke kino a me ke ʻano he sedentary ʻano, aia kahi manaʻo e hoʻokau i ke koko i nā kīʻaha o nā haʻahaʻa haʻahaʻa, hoʻonui i ke kahe i loko o lākou a hōʻeha hoʻi i ka endothelium,
- ka hana kino nui loa, ka hana paʻakikī - alakaʻi i ka microtrauma o nā ʻōpū o nā wāwae a, e like me kā lākou mau moku, e hana ana i nā kūlana no ka hoʻomohala ʻana i nā kolamu kolesterol,
- nā hōʻeha a me ka hypothermia o nā hopena - alakaʻi i nā pilikia o ke kaomi i nā wahi i hōʻino ʻia o nā wāwae, ischemia,
- ka ulu ʻana o ka atherosclerosis e hoʻopilikia i nā pathologies concomitant - thrombotic a thromboembolic maʻi, ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau - hoʻohui i nā kūmole waha, glucocorticosteroids.
Nā kumuhana ʻē aʻe e pili ana i ka makahiki (ua hoʻēmi ʻia ka vascular elasticity i ka poʻe ʻelemakule) a ʻo ka ʻenehana (ʻoi pinepine ka ulu ʻana o ka maʻi i nā kāne, ʻoiai nā ʻōnaehana wahine wahine i ka hopena palekana ma ka endothelium).
Nā ʻano o nā leʻaleʻa a me nā hōʻailona
ʻO ka hapa pinepine, ua loaʻa kēia mau ʻano o nā leʻaleʻa vascular - ʻāpana a i ʻole stenosis paha - ʻaʻole paʻa ʻole ka pale o ka artery. I ka manawa like, ʻaʻole paʻakikī ka holo ʻana o ke kahe, ʻaʻole ia e hoʻolauna i nā hoʻopiʻi a me nā hōʻailona koʻikoʻi, e maʻalahi ka maʻalahi i nā ala hoʻokipa conservative.
ʻAe ke kīʻaha - occlusion - ke ālai ʻia nei ka lumen e ʻoi aku ma mua o ka hapalua, ke kahe ʻia o ke kahe a i ʻole hele ʻole ʻia, hana i nā ʻano ʻano like ʻole a me nā ʻōwili, pono i ke ʻano lāʻau lapaʻau, a hiki ke alakaʻi i ka pilikia.
Nā hōʻailona o ka atherosclerosis obliterans o nā pae haʻahaʻa haʻahaʻa a ʻokoʻa a hilinaʻi ma ke ʻano o ka holomua o ka maʻi.
I nā hiʻohiʻona maʻamau:
- He kaumaha a me ka hōʻeha ʻana i nā wāwae, a hiki i ka ʻeha, ma hope o ka hoʻoikaika kino, hele lōʻihi.
- Ke kuhi nei i ka wela o ka thermal - kahi manaʻo subjective mau loa o nā wāwae anuanu.
- ʻO ka hōʻemiʻana i kahi hana kūpono a me ka hōʻeha ʻana o ka wahi i hōʻino ʻia.
- Ka hele wāwae paʻakikī, i ka wā e loaʻa ai kahi pōpoki atherosclerotic ma ke kahua o ka bifurcation aortic ma nā ʻehā iliac - claudication intermittent.
- ʻEha ka maʻi ʻeha - mai ke ʻano o ke ʻeha o ke keiki bipi a ʻūhā paha ma hope o ka hoʻoikaika nui a i ʻole ka hele wāwae lōʻihi, holo ana i ka ʻeha mau, ʻo ia ka hoʻomaha a po ʻole paha. ʻO ke ʻano o ka ʻeha ma ka atherosclerosis ka maʻa mau, kū mau ʻole, ʻaʻole paʻa, a hiki ke hoʻonui ʻia i ka wā o ka hōʻino kino.
- ʻO ka hōʻeha o ka trophism o ka ʻili a me nā mea pili i nā ʻili, nā mākala - ʻili a maloʻo ka ʻili o ka ʻili, ke hoʻololi ʻana i kona kala (mai ka palaleka i nā manawa mua o ka maʻi i ka poni a me ka ʻeleʻele i ka wā o ka hoʻokumu ʻana o ke gangrene a me ka necrosis kiko), ka nalowale o ka lauoho i nā wahi i hoʻopili ʻia, nā mānoanoa, ka palupalu, a me ka maloʻo.lohi i ka hoʻōla ʻana o nā hōʻeha ma ka ʻili o nā wāwae, ka hoʻokumu ʻana o nā ʻōpio trophic, necrosis o ka ʻili a me nā ʻāpana palupalu.
ʻO kahi hōʻailona nui o ka hūnā ʻana i nā wāwae o ka hala ʻole o kahi pōpoki i nā pili distal - ʻo ka popliteal, nā neʻe o ka kuʻekuʻe a me nā ʻūhā. Nui ka waiwai i kēia hōʻailona no ka maʻi mua a me ke ake ponoʻī ʻana o ka atherosclerosis.
Nā kahua o ka Atherosclerosis NK
Hoʻololi ʻia ka maʻi maʻi e like me nā pae i mea e hilinaʻi ʻia ai nā pahaki hou o ka lāʻau - ke koho ʻana he kauka a i ʻole nā hana ʻaka conservative, a i ʻole ka hoʻohana ʻana i nā hana hoʻokō.
Hōʻike ʻia ka hana mua i ka wā e loaʻa ai ka eha ma hope o ka hoʻōho kino nui ʻana, ka hele ʻana i kahi mamao aʻe o 1 kilomita ʻaʻole ʻeha. I kēia kaʻina, pono ka mea maʻi e mālama i ka mālama konservative - kahi hoʻololi o ke ʻano ola, a no nā hōʻailona - ka lāʻau lapaʻau lāʻau.
Hōʻike ʻia ka lua o ka hana ma ka hoʻohaʻahaʻa ʻana i ka hana kino, ka hōʻeha ʻana o nā ʻeha ma nā pūpū o nā wāwae i ka wā e hele ai ma kahi mamao mai 250 mika a 1 kilomita. No kēlā mau mea maʻi, loaʻa i ka regimen lapaʻau ka hoʻohana ʻana o nā lāʻau lapaʻau me nā lāʻau lapaʻau.
ʻO ke kolu o ke ala ka lōʻihi o ka hele wāwae ʻole mai ka 50 a 250 mika, ua ʻike ʻia nā hōʻailona ʻē aʻe - he trophic, hoʻonaninani ka hopena, nā hōʻeha i ka pō a me ka hoʻomaha. No kēlā mau maʻi āpau, pono ia e hoʻohui i nā lāʻau lapaʻau a me nā mea hōʻemi hōʻemi o ka mea lapaʻau lāʻau lapaʻau.
ʻO ke ʻano ʻehā i nā ʻano āpau o ke kolu, akā ua hoʻohui ʻia e ka ulu ʻana o nā ʻōpiopio ischemic - ulia trophic, gangrene. Ma ke ʻano he kānāwai, ua hoʻohana ʻia nā ʻano lāʻau lapaʻau no kēlā mau mea maʻi, ʻoiai ma kēia manawa ke ola nui ka maʻi o ka maʻi o ka mea maʻi me ka hoʻomaʻemaʻe kūpono ʻole a me ka hōʻemi.
ʻO ka hoʻomohala ʻana o ka atherosclerosis o nā lalo haʻahaʻa
ʻO ka hana mua i ka maʻi maʻi o ka hōʻiliʻili pono ʻana i kekahi mōʻaukala olakino (i nā manawa ma mua a me nā maʻi mau loa, nā hana ʻeha, nā hōʻeha, nā ʻano ʻōiwi, ka nohona, nā meaʻai hānai, nā hana maikaʻi).
He mea koʻikoʻi nō ka mōʻaukala o ka maʻi (ma ka hoʻomaka ʻana, nā kumu paha, nā hōʻailona mua, ka lōʻihi o ka maʻi, kona hoʻomohala ʻana, nā hana mua, nā hopena).
ʻO nā hana kēia e koho, pono e hōʻoia i ka maʻi maʻi.
Hoʻopili kēia i nā hoʻokolohua laboratorium:
- Ka helu koko piha, urinalysis laulā.
- Hoʻopuka ke koko (ka maʻi o ka maʻi maʻi a me ka wehe ʻana i ka angiopathy diabetes).
- ʻO ka hoʻāʻo wai ka biochemical - hoʻoholo i ka palaki lipid (ka nui o ka kolamu, ka nui a me ka haʻahaʻa lipoproteins density, triglycerides), ʻono (AlAT, AcAT, alkatine phosphatase he mea nui hoʻi.
Hoʻoholo ʻia ka hōʻike hope ʻana ma hope o ka lawe ʻana i nā ʻōnaehana hōʻike loiloi hou e hiki ai iā ʻoe ke hoʻoholo i ke kiʻekiʻe o ka pōʻino, o ka diameter o ke ahonui o ka moku a me ka noʻonoʻo ʻana i ke kahe koko.
E pili ana kēia:
- ʻo ka angiography kekahi o nā maʻalahi me ka maʻalahi o ka hopena diagnostic, i hoʻokumu ʻia i ka X-ray e hoʻohālikelike ai i loko o nā moku a me nā kiʻi X-ray o nā manamana,
- tomispiral compute tomography a me ka magnetic resonance imaging o na pono noiʻi noiʻi nā mea e kōkua i ke ike i ke kiʻekiʻe o ka vascular obstruct,
- ʻO ka nānā ʻana i ka ultrasound ultrasound ka pono gula no ka hōʻike ʻana i ka hala ʻana o ka atherosclerosis, hiki iā ia ke nānā i ke kahe koko ma loko o ka wahi i hōʻino ʻia, e ʻike pū ai i nā moku kolateral.
Pēlā nō hoʻi i ka paʻakikī o nā hana diagnostic ka helu ʻana i ke kahe koko i nā umauma a me nā wāwae, ke helu nei i ka helu ankle-brachial.
ʻO ka mālama maʻi maʻamau no ka atherosclerosis o nā lalo haʻahaʻa
Hoʻokomo ʻia ka hoʻomaʻamaʻa i nā hōʻailona o ka maʻi, kona pae, a me ka hoʻololi ʻana i ke ʻano o ke ʻano maʻi o ka mea maʻi, lāʻau lapaʻau a me nā ʻano ʻoi ʻana.
Hiki ke mālama ʻia nā hana mua o ka hana mua, hāʻawi ʻia ka mea maʻi i nā mea e pili ana i ka mea ʻai, ke ʻano hana maʻalahi, a me ka mālama wāwae.
ʻO ka mea ʻai no ka mālama ʻana i ka atherosclerosis pono e kaulike, me ka hoʻopili ʻana i ka ʻai ʻana i nā mea kanu ʻai a me nā huaʻai, nā pōʻaiʻai, nā ʻano haʻahaʻa haʻahaʻa o ka iʻa a me ka iʻa, kahi ʻano kapu maikaʻi kūpono.
E like me nā kumu o ka protein, ka iʻa moa, ka iʻa momona haʻahaʻa, nā kīlaka, soy, nā ʻōmole hua moa kūpono e kūpono.
ʻAi ʻia ka meaʻai momona momona - sausages, pastes, yolks, meaʻai wikiwiki, nā meaʻai maʻalahi.
He mea nui hoʻi ka mālama wāwae wāwae - ke pale aku i ka hypothermia, e paʻa ʻole, ʻaʻole kokoke, ʻaʻole i nā kāmaʻa orthopedic inā hiki, i nā hoʻomaʻamaʻa kūpono i nā maʻi wāwae, mālama i nā hōʻeha liʻiliʻi ma ka ʻili me nā antiseptics.
Manaʻo ʻia nō hoʻi e hoʻohana i ka hoʻokaʻawale wāwae wāwae me ka decoction o nā mea kanu a me ka paʻakai, ka hānai.
Ma ka Pūnaewele hiki iā ʻoe ke ʻike i nā loiloi kūpono e pili ana i ka hana a nā poʻe kūpuna no ka mālama ʻana, ʻo kēia ka mea i ʻaihue i ka ʻili me ka ʻoliva a i ʻole ʻia ka ʻaina buckthorn moana, decoctions o ka lehu mauna a wai paha. Akā e hoʻomanaʻo ʻia he mea pono ia e hoʻopili i nā ʻano kīʻaha e hui pū me ia i nā hana ʻē aʻe a me ka haʻalele ʻole o nā contraindications.
Ka lāʻau lapaʻau o ka atherosclerosis:
- Nā hui āpana Hypolipidemic - Atorvastatin, Rosuvastatin, Simvastatin, fibrates, ka waikika nicotinic.
- Antispasmodics - No-shpa, Drotaverin, Papaverin.
- ʻO ka lāʻau Vasoactive - Vazoprostan, Trental, Curantil, Cilostazol.
- Nā mea antiplatelet a me nā anticoagulants - Aspirin, Cardiomagnyl, Magnikor, Fraksiparin, Heparin, Enoksiparin, Clopidogrel.
Hoʻohui, hoʻohana ʻia ka lāʻau lapaʻau me ka physiotherapy i ka hana mālama ʻana.
Hoʻohana ʻia i ka atherosclerosis
No ka hoʻihoʻi ʻana i ke kahe koko i ka mua a me ka lua o ka hana, hoʻohana ʻia nā hana endovascular haʻahaʻa haʻahaʻa - stenting, bypass surgery, baloon angioplasty, thrombendarteriectomy, angioplasty me nā alloprosthetics a i ʻole autoprosthetics.
No ka mālamaʻana i ke kolu a me ka ʻehā o ka pae o ka atherosclerosis, hoʻohana ʻia ka hoʻomaʻamaʻa paʻakikī, ka mea i loaʻa i nā ʻōkuhi pili i ke ala o ke ola a me ka meaʻai, mālama ʻana i ka lāʻau lapaʻau a me nā hana.
I nā mea maʻi me ka ischemia koʻikoʻi, ʻaʻole hiki ke hoʻokō e hoʻomaʻamaʻa iki i ka hōʻemi minimally invo, no ka mea, i ka nui o ka holo ʻana o ke kahe, a hiki i nā ischemic kūloko a me nā necrotic e kū mai.
I kekahi manawa wale nō ke ala i loko o ia mau kūlana, i ka loaʻa ʻana o ka nui o ka nui o ka necrotic, hōʻeha ʻaʻole wale ka maʻa wale nō hoʻi, a ʻo ka iwi ʻōpala, ʻo ia ka hōʻuluʻulu ʻana o ka wahi i hoʻopā ʻia.
ʻO kēia kekahi o nā hana hoʻokuahi kahiko loa loa, ʻo kona ʻano ponoi e wehe i kahi hapa o ka wāwae ma ka iwi, amputation o nā haʻahaʻa haʻahaʻa me ka atherosclerosis e hoʻohana wale ʻia i nā hihia i hiki ʻole ke hoʻopakele i ka maʻi maʻi.
Aia i ka kiʻekiʻe o ke kau ʻana o vascular a me nā loli ma nā wahi pili, kiʻekiʻe a kiʻekiʻe a haʻahaʻa.
Piʻi nui ka mana i ka wā e ʻokiʻoki ʻia ke ana ma luna o ke kuli, haʻahaʻa - me ka wehe ʻana i nā manamana lima, wāwae, wāwae ʻahaʻaina.
Ua hoʻokaʻawale ʻia nā hoʻohālikelike i ka papa mua a me ke kula kiʻekiʻe.
Ke aʻo nei no ka hoʻohana ʻana - i ʻole hui vascular piha, hoʻopili ʻia me ka ʻeha nui, nele i ka hopena mai ke mālama ʻana i konservative therapy, nā loli necrotic i loko o ka ʻili a me nā naʻau.
ʻO ka hōʻemi maʻi ʻana e pale i ka loaʻa ʻana o nā hoʻopiʻi - sepsis, ka lua o nā maʻi o nā kino ʻē aʻe.
Pono e hoʻomanaʻo ʻia ma hope o ka amputation, ʻaʻole i pau ka mālama ʻana i kēia mahele, no ka mea, pinepine ka atherosclerosis pinepine i ka multifokal, a hiki koke ke kūlana me kahi kuʻe o ke kahe koko.
Ma hope o kaʻaila radical, pono ʻia nā hana hoʻihoʻi - bypass surgery or stenting, prosthetics o ka hui wehe.
ʻO ka mālamaʻana i nā obliterans atherosclerosis ka mālama ʻana i ka hana pilikino, ka hoʻopili ʻana i ka ʻai kaulike, ka haʻalele ʻana i ka ulaula a me ka inu ʻona, ka nānā ʻana i kēlā me kēia manawa a me nā ʻōkuhi lipid, kaʻe koko, ka mālama ʻana i ka manawa o nā ala e like me ka hanana.
Pehea ka hōʻike ʻana o ka atherosclerosis i ke wikiō i kēia atikala.
He aha ka arteriosclerosis o nā lāʻau kani
Ke loli nei nā hoʻololi ʻole o nā ʻāpana o ke kino e loaʻa i kahi lumen i hāʻawi ʻia i ka holo ʻole ʻole koko a me ka hoʻolaʻa kikoʻī, kēlā me kēia.
ʻO ka ʻiliʻili o ka atherosclerotic o nā kīʻaha nui o nā wāwae he hopena ia o ka hōʻiliʻili ʻana o nā momona i nā paia o loko. Hoʻonohonoho mua nā ʻano lāʻau palaki i ka lumi interclular, he mea maʻamau ke hōʻike i kēia hana o ka hoʻomohala ʻana o ka pathology ma ka huaʻōlelo "fat stain".
Hiki ke pani ʻia nā loli i kēia hana, akā ke ʻike pinepine ʻia nā pli like me ka manawa ke nānā ʻana i nā kīʻaha koko.
Hoʻololi nui ʻia nā pāla atherosclerotic, a ke alakaʻi nei kēia i ka manaʻo o ka lihilihi o nā moku e lilo i mea liʻiliʻi a, no laila, e haunaele ʻia ka wai o ka wai. ʻO ka nele o ka oxygen a me nā mea e momona ai nā mea e hoʻemi ai i ka elasticity o nā moku i hoʻopilikia ʻia, a me ka nui o kā lākou palupalu a me nā loli i nā pili pili.
Mālama, hōʻuluʻulu ka calcium i loko o ka pākeke momona, lilo i mea paʻakikī. Hoʻopilikia nui nā Atherocalcinosis i ke kahe o ke koko, ma muli o ka hypoxia, hele mai ka necrosis kiko. Aia kahi pilikia o ka hoʻokaʻawale loa i nā ʻāpana hope o kahi plomb thrombus, hiki ke hoʻopili i kahi pālei nui a kumu i nā hoʻololi ʻole ʻia.
ʻO nā stenosing atherosclerosis o nā mea kīwī o ka lalo o nā haʻahaʻa haʻahaʻa he mea maʻamau loa i waena o nā mea maʻi ma waena o 60 mau makahiki o ke ʻano, akā, ʻike pinepine ʻia ka maʻi i ka poʻe ʻōpio ma lalo o 40 makahiki. Maʻi ʻeha nā kāne ma kahi o 8 mau manawa i ʻoi aku ai nā manawa ʻo ka wahine, a ʻo ka manawa lōʻihi ka hana ʻana i kahi mea nui i ka neʻe ʻana o nā kahe koko me ka plose plque i loko o ka lāʻau.
Nā kumu kumu o ka maʻi
ʻO nā stenosing atherosclerosis o nā kīʻaha nui o nā haʻahaʻa haʻahaʻa ma lalo o ke alakaʻi ʻana o nā ʻano like ʻole e hoʻonāukiuki ai i ka maʻi.
Loaʻa ka ʻala o ka hoʻomohala ʻana i nā māka i ka poʻe:
- Me kahi predisposition hoʻoilina. Me ka huaʻelima, nā mea like o ka lipid metabolism i loko o ke kino, ka pae o ka hormonal, ke ʻano o ka hoʻopuni ʻana o ka paia arterial, a me ka ʻano o ke ʻano o ka makeʻe, ka mea e pili i ka hoʻomohala ʻana o ka atherosclerosis.
- Me nā hana maikaʻi. Kūkulu ʻia ka poloka me ka hopena atherogenic, akā, ke kīleʻa ʻana aku i ka puhaka i ka nui o nā kīʻaha koko, a ʻo ia ka mea e pōmaikaʻi ai ke kahe o ke koko a hoʻohemo i ka cholesterol maikaʻi ʻole i ka lae. ʻAʻole ʻemi ka hōʻemi a me ka lāʻau lapaʻau i ke kino, hoʻololi koke lākou i ka hana maʻamau o ka pā vascular. Ma kahi ʻē aʻe, ʻike ʻia ka hoʻohana ʻana o ka waiʻona kiʻekiʻe loa i ka ʻilihune me ka pale ʻana o ka waiho ʻana o nā pākela i loko o nā moku.
- Me nā maʻi hoʻopukapuka. He paʻakikī i ka atherosclerosis o nā haʻahaʻa haʻahaʻa ma ka maʻi mellitus; Hoʻokomo ka pūʻulu hanana i ka poʻe i ka mōʻaukala lōʻihi o ka hypertension a me ka maʻi hypothyroidism thyroid.
- ʻOiaʻiʻo.
- Me ka hana kūlohelohe pilikino. Hāʻawi ka Hypodynamia i ka stasis koko i nā haʻahaʻa haʻahaʻa, ʻo ia hoʻi, ua kūkulu ʻia nā kūlana kūpono no ka haʻalele ʻana o ka cholesterol.
- Me ka luhi psycho-naʻau a i ʻole pinepine ka hana i ke kaumaha.
- Me nā hana maʻi i nā arela nui.
Hoʻopili ka pilikia o ka atherosclerosis me ke kanaka, a ʻo ka nui o nā mea hoʻonāukiuki e hana ai i ke kino o ke kanaka, ʻoi aku ka kiʻekiʻe o ka hōʻea o ka vascular.
Hoʻomaopopo ia me ka atherosclerosis o nā māla o ka haki o ka limu i hoʻomaka pinepine e hoʻomohala ma hope o ka pōpō nui, hōʻeha hōʻeha, ka maʻi ʻeha.
ʻO nā hōʻike nui o ka maʻi
Me ka makaʻala loa i kou olakino, hiki i nā hōʻailona mua o ka atherosclerosis o nā wāwae ke hiki ke kanalua i kā lākou.
Noea ʻia e hōʻike ʻia kahi hōʻike hope inā ua kākau ʻia nā loli aʻe:
- Hoʻopau a hoʻoheʻe i nā wāwae. Hoʻomaʻo pinepine, nā mea maʻi e hoʻoholo i ka like o kēlā mau hōʻailona me nā mea e kū ʻia ma hope o ka wā o ka wā e wāholo ʻana i ka umauma. Akā hiki ʻole nā lohi ʻoluʻolu i nā wāwae me ka atherosclerosis e loaʻa ʻole me nā kumu kohu.
- ʻIʻano o ke anuanu i ka umauma i loaʻa. Hoʻomaopopo kēia hōʻailona i nā wā mahana o ka makahiki.
- Pallor o ka ʻili.
- ʻO ka hōʻemi ʻana o ka momona o ke kino a me nā mea ma nā wāwae, nā hips, nā wāwae. Hoʻohui ka degissation Tissue me ka nele o nā mea momona a me ka oxygen.
- Hoʻopili i ka ʻili, paʻi i nā wāwae, discoloration o nā kui. E kūʻē i ke kuʻina o ka atherosclerosis, ulu pinepine nā maʻi ulu.
- ʻO ka lilo ʻana o ka lauoho i nā wāwae me ka hōʻole ʻole o ka lauoho lauoho ma hope. Hoʻopili pū kēia hoʻololi i nā kaʻina degenerative i loko o ka ʻili.
- ʻEha I ka wā mua, ʻike ʻia nā hōʻeha kaumaha i ka wā o ka hoʻoikaika kino, ma ka hoʻomaka mua ʻana he "claudication alternating" e kū mai ana. I nā kūlana holomua, hiki i ka ʻeha ke hoʻomaha.
- ʻO ka hiʻohiʻona o ka stust burgundy stain o ke kino o nā wāwae a me nā wāwae. Hōʻike ka pouli i ka thrombosis, a he harbinger o ka nekrosis.
- ʻO nā ʻōpū o ka holomaka, nā maʻi a me nā hōʻola, ʻaʻole lākou e hana i ka wahi o nā wāwae.
- ʻO Gangrene Hōʻike ʻo Tissue necrosis i ka manawa hope o ka atherosclerosis, wikiwiki ka hoʻopiʻi ʻana i ka hoʻopiʻi ʻana i ka poʻe me ka maʻi maʻi a me kekahi mau ala ʻē aʻe e like me ka hui.
Hoʻoikaika papa
Hoʻololi ʻia ka maʻi like e like me ka loli o ka palalima a me nā hōʻailona o ka maʻi.
Aiaʻo 4 mau wāwae o nā kulekele:
- ʻO ke ʻano mua he preclinical. I kēia hoʻomaka, hele ka lipoidosis - kahi hoʻololi piha i ka metabolism o nā momona, nā mea i hōʻike ʻia e ke ʻano o kahi wahi grease ma nā kīʻaha. Hōʻike wale ka ʻeha i nā wāwae ma hope o ka hele ʻana no ka lōʻihi lōʻihi a i ʻole ma hope o ka hoʻoikaika kino koʻikoʻi me ka neʻe ʻana i nā wāwae haʻahaʻa. Ma hope o ka hoʻomaha ʻana, hala ka ʻeha.
- I ka lua o ke ala o nā patologi, ke hele mai nei ke kaumaha ma ka hopena i hope ma hope o ka hoʻokō ʻana i ka mamao o 250-1000 mau wāwae ma ka wāwae.
- I ke kolu o ke kahua, ua hiki i ka ischemia ke koʻikoʻi. Hoʻeha ʻia ka ʻeha ma nā wāwae ma hope o ka lanakila ʻana o 50-100 mika.
- ʻO ke ʻano ʻehā ka pae o ka ʻike o nā ʻeha a me nā ʻīkīpī me ka gangrene e hiki mai ana. ʻAe ke kanaka i ka ʻeha a me kaʻeha o kona mau wāwae a hiki i ka pō i ka wā hoʻomaha.
Nā huapau
Hiki i ke kauka ʻike hiki ke hōʻeha i nā ululima o nā haʻahaʻa haʻahaʻa a i ke nānā ʻana i ka mea maʻi. Uhai ʻia ka nānā ʻana i ka ʻili o ka ʻili, ka hoʻonaninani a ka iwi, nā ʻāpana o nā lāʻau.
No kahi kikoʻī pololei, koho:
- Angiography. ʻO ke ala maikaʻi loa kēia no ka noiʻi ʻana i nā loli i nā kīʻaha koko. ʻO ka mea mua, ke hoʻopaʻa ʻia nei ka mākaʻi kūlike i ka ʻili wahine a laila lawe ʻia kahi X-hihi o ka umauma. Hiki i ka Angiography ʻoe e hoʻoholo i nā wahi āpau o vasoconstriction a me ka hele ʻana o kahi ʻenehana arterial bypass. No ka mea hiki ke kaʻina kēia hana, ʻaʻole ia i lawe ʻia me nā maʻi puʻupaʻa e pōʻino ana a me ka hoʻomanawanui ʻole i ka medium medium (iodine).
- Ultrasound Dopplerography - hiki i ke kāʻei hana ke ʻike i nā wahi liʻiliʻi ma 95% o nā hihia.
- Hoʻohālikelike tomography.
- Hapa ʻia ke koko e hoʻoholo ai i nā ʻike o kahi kolamu a me nā manawa coagulation koko.
Ua hoʻohana maikaʻi kā mākou poʻe heluhelu iā Aterol e hoʻohaʻahaʻa i ka cholesterol. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.
ʻO ka maʻi a me ka pae ʻana o ka loilo atherosclerotic hana wale nō ma hope o ka loiloi ʻana i ka ʻikepili ʻike āpau.Koho ʻia ka mālama ʻana ma nā ala i koho ʻia.
Inā kānalua ka mea maʻi a hoʻokumu ʻia ka pathology i ka hoʻomaka mua o ka hoʻomohala ʻana, a laila no ka pale ʻana i nā loli hou a e hōʻona i ka hōʻemi ʻana i nā maʻi i hala, pono wale nō ke waiho i ka mana o nā mea hoʻonāukiuki ma ke kino.
Pono ia:
- ʻO ka mea mua, kāpae i ka ulaula
- ʻAi ʻia ma kahi ʻano holoholona e like me ke kumu o nā kolamu maikaʻi a komo i ke kino,
- Hoʻemi ka paona inā he mau pauna ʻē aʻe,
- Kāohi i ka hoʻonui o ke kahe koko ma luna o 140 mm Hg. st
- E hoʻoikaika i ka hoʻoikaika kino. No nā moku o nā wāwae, hele, hele wāwae, aʻauʻau ka pono, hiki iā ʻoe ke hana i nā ʻano ʻaila home ma ka home,
- E mālama i nā maʻi maʻi. Inā loaʻa iā ʻoe ka maʻi maʻi, pono ʻoe e hoʻomau i kahi pae o ka glucose i ke koko.
Ka mālama ʻana o ka stenotic atherosclerosis o nā kīʻaha o nā haʻahaʻa haʻahaʻa ma ke ʻano o ka lua a me hope ma hope o ke ʻano o ka pathology i māhele ʻia i loko o ka conservative, minimally invasive and surgical.
ʻO nā loina o ka mālama lapaʻau
Hoʻokomo ʻia nā ʻano hana ʻoluʻolu o ka mālama ʻana i nā lāʻau lapaʻau a me ke kino. Ua koho ʻia nā papa komo o ka hoʻokomo ʻana i nā mea i hōʻike ʻia i nā lāʻau lapaʻau no 1.5-2 mau mahina, pono e ʻōlelo hou ʻia i hoʻokahi manawa i kēlā me kēia makahiki.
ʻO nā lāʻau lapaʻau i hoʻohana nui ʻia:
- Nā mea hoʻowahāwahā, ʻo ia hoʻi, nā mea lawelawe e pale aku ai i ke ʻano o nā māka koko. ʻO ka aspirin ka mea kaulana loa.
- ʻO nā lāʻau lapaʻau e hoʻomaikaʻi i nā kahe koko. ʻO kēia mau reopoliglyukin (lawelawe ʻia ma ka hale haukapila) a me ka pentoxifylline.
- Antispasmodics. ʻO ka hopena o kēia mau lāʻau lapaʻau ka hoʻemi ʻana i ka vasoconstriction, e hoʻomaikaʻi i ka kahe koko.
- Kūkulu ʻia nā anticoagulants i ke ʻano o ka decompensation.
Hōʻike ʻia ke kumu o statins no ka normalization o ka cholesterol i ke koko. I ka atherosclerosis, hoʻohana pinepine ʻia ka hoʻomākaukau ʻana o ka enzyme, ʻoiai ua maʻi ʻia ka hapa nui me nā loli e ka pancreas.
Pono inu kekahi mau lāʻau lapaʻau i kekahi manawa, hoʻohana ʻia kekahi mau manawa, ma kekahi mau mea e pono ai e lawe ʻia i nā lāʻau no ke ola. Aia nā hiʻohiʻona o ke koho ʻana i ka regimen lapaʻau e pili ana i ke kahua o ka maʻa a me nā maʻi pili i pili ʻia.
ʻO nā maʻi hōʻiliʻili liʻiliʻi
ʻO nā maʻi hōʻoluʻolu no nā poʻe maʻi me ka atherosclerosis o nā haʻahaʻa haʻahaʻa - dilatation a balloon, angioplasty, ke kuʻi ʻana o nā pili ʻehā. ʻO kēia mau kaʻina hana hōʻeuʻeu i hoʻopiʻi e hoʻihoʻi i ke kahe koko me ka nui o nā kahe.
Hoʻopau ʻia lākou me ka hoʻohana ʻana i nā mea hana kūikawā, ka manawa liʻiliʻi o ka hoʻihoʻi ʻana ka manawa a hiki i ka mea maʻi ke hoʻōla ma ka home.
Hana hoʻomaʻamaʻa
ʻAʻole hiki ke hoʻohana mau ʻia nā kāhea minimally invasive. Inā lōʻihi nā ʻāpana o nā clogged o nā moku, a laila ke koi ʻia ke kaʻina hana e hoʻihoʻi i ka kaila o ke koko. Hāʻawi ka mea maʻi i kekahi o kēlā me kēia ʻano hana:
- ʻO nā haʻalulu o ka wahi i hoʻololi ʻia me nā mea synthetic.
- ʻO ka hana ʻo Bypass ka hana ʻana o kahi alanilana ʻike kiʻi e hiki ai i ka neʻe mai o ke kahe o ke koko i ka mea e pono ai.
- Thrombendarterectomy - ka ʻoki ʻana i nā pōpoki atherosclerotic i nā moku.
I nā pilikia a ʻike ʻia ka gangrene a ʻaʻohe ʻano no ke hoʻihoʻi hou ʻana i ke kahe koko, koi nui o ka ʻōpū. Ua kuhikuhi ʻia kēia hana i mea e hoʻopakele ai i ke ola o ka mea maʻi.
Ke hoʻohana nei i nā ʻano hana
ʻO nā mea hōʻike mai ka lāʻau kuʻuna, ʻaʻole pono ia no ka atherosclerosis, inā ʻaʻole ʻoe e hoʻohana i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka. Akā i nā ʻano decoction o nā mea kanu, nā ʻauʻau kūikawā, nā tinctures e kōkua i ka hoʻomaikaʻi ʻana i ke ʻano o nā kīʻaha koko a me ke ʻano o ke koko, a me ka hoʻoikaika ʻana i ka pale kino o ke kino.
Hoʻohana ʻia:
- Nā kiʻi i hoʻoholo ʻia o ka hōʻaila lio, nā hops maʻamau. Ke hoʻonui nei kēia mau lāʻau i ka kaila o ke koko.
- Kaukau paʻū.Hoʻonui kā lākou hoʻohana i ka microcirculation a kōkua iā e hōʻemi i nā pilikia ʻole i ka wā o ka atherosclerosis.
- Ke lāʻau kālaiʻa. 10 ʻōpala o ke kāleka e ʻili ʻia, ʻuwī ʻia a ninini i kahi aniani o ka aila ʻaʻa ʻole ʻia. Pono e hoʻopili ʻia ka hui ʻana no kahi lā, ma hope o ka mālama ʻia. No ka hoʻomaʻamaʻa, ua hui ʻia me kahi kīʻaha o ke aila ʻalani me ke kīwī o ka wai lemon i hoʻomoʻa hou ʻia, inu i ka lāʻau lapaʻau ʻekolu mau manawa i ka lā.
Hōʻike kūpono i ka hahai i kahi papaʻai. Manaʻo ʻia e ʻai i nā mea ʻai a me nā hua, me ka huaʻai o ka atherosclerosis, melon, viburnum, mau nati, ke kō, a me ka iʻa momona pono. Pono e hoʻomanaʻo ʻia ka hoʻokaʻawale ʻana o ka hoʻohana ʻana i ka palupalu, ka momona momona, sausages, pastes, offal, muffin, momona me ka atherosclerosis.
ʻO ka hoʻokō e pili ana i ka meaʻai, ʻaʻole ia e hoʻihoʻi wale i ka elasticity i nā moku, akā ua hoʻopilikia maikaʻi pū i ke kūlana o ke ʻano holoʻokoʻa. Pono ʻoe e inu hou, mea pono e hoʻohana i ka wai maʻemaʻe, huaʻai, ʻala a kīmaʻomaʻo a iʻa paha me ka lemon, decoction o kekahi mau lāʻau lapaʻau.
Nā kuʻuna no ka mālama ʻana i ka atherosclerosis lehulehu
ʻO ka mea i hala koke nei, ua hoʻonui nui ʻia ka pae hoʻomohala o nā maʻi maʻi e like me ka nui o ka atherosclerosis, ke ʻano pili i pili i nā kīʻaha arterial. Hiki ke hoʻokaʻawale ʻia ka maʻi i kekahi mau ʻano, akā ʻo ka mea maʻamau ka mea maʻamau o ka atherosclerosis o nā haʻahaʻa haʻahaʻa. Inā ʻaʻole ʻoe e kūkākūkā i kekahi kauka i ka manawa kūpono, a laila hiki i ka maʻi ke hoʻonāukiuki i nā hōʻeha i hiki ke hōʻeha maikaʻi i ko ke ola o ke kanaka.
Hoʻolālā o ka hanana
ʻO ke ulaula ke kumu nui o ka hoʻomohala ʻana ʻaʻole wale i hoʻolaha i ka atherosclerosis, akā pū kekahi pū hoʻi o ka sclerosis ma ka laulā, ʻoiai ua hāʻawi ka nikotine i ka nui o nā kīʻaha koko, a, ma muli o kahi haunaele i ke kahe koko maʻamau.
Ma kahi o ka ulaula, aia kekahi mau kumu e alakaʻi ai i ka hoʻomohala ʻana i ka atherosclerosis:
- koko koko kiʻekiʻe
- nā maʻi endocrine, ma ke aniani mellitus,
- meaʻai maikaʻi maikaʻi ʻole.
ʻO ke kaupaona ʻana, ke ʻano kaulike, ke kaumaha pinepine a me ke kumu o ke aʻalolo, he mea hoʻoilina - he mea āpau kēia e hiki ai i ka hoʻomohala ʻana i ka atherosclerosis.
Pono e hoʻomaopopo ʻia ka maʻi nui e pili pinepine ana i nā wahine. Eia kekahi, hiki i ka maʻi ke hoʻomohala i kēlā me kēia makahiki, akā maʻamau ka manawa ʻo 20 i 40 mau makahiki.
Nā hōʻailona hōʻikeʻike
Hoʻomaka ka hōʻailona o ka hoʻomakeke ʻia o ka atherosclerosis me ka liʻiliʻi o ka hōʻeha ʻana i nā wāwae, hiki ke hele nui ʻia me ka hele lōʻihi. Ma hope o kekahi manawa, lilo i lalo nā hōʻeha a hiki i ka ulu ʻana ma kahi kūlana kūʻokoʻa mau loa. ʻAno, hele mai nā hōʻailona e like me ka maʻalea o nā manamana wāwae a me ke nānā ʻana i ke anuanu.
I nā kāne, i ka wā i hoʻolaha ʻia o ka atherosclerosis o nā ʻāpana haʻahaʻa loa, e ulu ai ka impotence, pili kēia i ka kahe koko. Hiki pinepine i ka mea maʻi ke nānā i nā hōʻailona e like me ka kani mau ʻana i ke poʻo, migraine, coordination formable o nā neʻe, ke huhū nui a me ka hoʻomakeke, ke ʻano wikiwiki, a me ka migraine.
Ua hoʻohana maikaʻi kā mākou poʻe heluhelu iā Aterol e hoʻohaʻahaʻa i ka cholesterol. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.
I mea e hoʻoholo ai i ka hele ʻana o ka atherosclerosis vascular, hāʻawi ʻia ka mea maʻi i lalo i nā hoʻokolohua a loaʻa iā ia kahi ʻano o nā hoʻokolohua.
ʻO ka mea mua, pono ʻoe e hana i nā hoʻokaʻamau maʻamau a me nā hoʻokaʻina o ka wai, me ka hoʻokaʻina o ke kō a me ka hoʻololi a nā koloka a hoʻoholo i ka ʻaila koko. Hoʻomaʻamaʻa pinepine nā kauka i kahi scan ultrasound a me X-ray e hōʻoia i ka maʻi maʻi.
E like me ka hoʻohui noiʻi ʻana, kuhikuhi ʻia ka angiography. Ke hoʻohana nei i kēia ʻano, hiki iā ʻoe ke hōʻoia pololei i ka hele ʻana o ka atherosclerosis. Ke lawe nei i nā diagnostics ma kēia ala, hoʻokomo ʻia kahi mea kūikawā i loko o ka moku lolo o ka mea maʻi, e ʻae ʻia e hoʻokū i ka kiʻekiʻe o ka vascular compaction.
Pono ia i nā māka mua loa e kamaʻilio i ke kauka a lawe i nā maʻi, no ka mea ʻoi aku ka maʻalahi o ka atherosclerosis e hoʻomaʻamaʻa i ka hoʻomaka mua o ka maʻi.
Nā kuʻina mālama
Hoʻomaka me ka hoʻomaʻamaʻa ʻana o ka atherosclerosis me ka pani ʻana i ka hoʻomohala hou aʻe o ka maʻi. I ka hihia inā aia ke ʻano o ka pathology i kahi hoʻomaka mua o ka hoʻomohala ʻana, hiki ke hoʻokaʻawale ʻia nā mea mālama paʻa ʻana o ka maʻi.
ʻO ka maʻamau, ʻōlelo ʻia nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol koko - cholestyramine, colestipol. I mea e hoʻoneʻe ai i nā kīʻaha koko a me nā haʻalulu haʻahaʻa, ua noi ʻia nā lāʻau e like me ka Nicotinamide a i ka Nikoverin.
Me ke kōkua o nā lāʻau lapaʻau Cerivastatin, Medostatin a me Atorvastatin, hiki iā ʻoe ke hoʻomaʻamaʻa i ka pae o ke kahe koko. Inā he maʻi e like me ka atherosclerosis o nā haʻahaʻa haʻahaʻa, ua palapa ka ʻili, a laila e hoʻopau i ka pathology ʻo ke ʻano nui loa o ka aila Japanese Sophora.
I kekahi mau pilikia, ke nānā ʻole ʻia nei ke maʻi, hiki ke hoʻoweliweli ʻia ke kaʻina manuahi, hiki ke mālama ʻia i nā ʻano like ʻole.
- Endarterectomy. I ka wā o kēia hana, ua huki ʻia a paia ʻia ka paia o loko o ka moku. Mahalo i kēia ʻano o kēia ʻano maʻi, ʻike hou kahi lumen i loko o ka lāʻau kaniʻi, ma muli o ke ʻano o ke kahe koko.
- ʻO nā mea hoʻohiwahiwa. I loko o kēia hana, ua hoʻopau loa ʻia ka wahi i hoʻopili ʻia o ka moku a kāwili ʻia me kahi synthetic synthetic.
- X-ray kikowaena. Me kēia ala, lawe ʻia ka hana holoʻokoʻa ma o kahi pāho liʻiliʻi. Kūpono ʻia kēlā me ia hana pale inā inā he pilikia koʻikoʻi ma ke ola o ka mea maʻi.
- Hoʻopau i nā angioplasty. I ka wā o ka hōʻeha, ua hoʻonui ʻia kahi lāʻau hōʻino me kahi catheter.
- Hoʻokua. I ka wā o ka hana, hoʻohana ʻia ka hana stent, me ke kōkua o ke ʻano o ka moku, e ʻae ana i ka kahe koko e hoʻomaka ai e neʻe hou.
He mea nui ia e hoʻomanaʻo he maʻi maʻi koʻikoʻi kēia e pono e mālama koke ʻia a ʻaʻole hoʻi i loko o kahi hihia e komo pono i ka ʻoihana kūʻokoʻa, ʻoiai e hiki ke hoʻonui ʻia i nā hopena hopena ʻole loa. Pono ke kauka e hoʻomaʻamaʻa i ka mea maʻi me ka manaʻo o ka hoʻolaha ʻia i ka atherosclerosis, e haʻi i ka mea a e hoʻomaopopo e pili ana i nā hopena koʻikoʻi inā ʻaʻole i hahai ʻia nā ʻōlelo aʻo a pau loa. Maʻa maoli ke ʻano o ka maʻi no kēia maʻi, a hiki ke kauka kauka kau iā ia ma luna o ke kahua kahi e puka ai ka maʻi, a me ke ʻano maʻamau o ka mea maʻi.
Meaʻai kūikawā
ʻO ke koʻikoʻi o ka mālama ʻana i ka meaʻai he hana koʻikoʻi ia i nā poʻe maʻi me ka atherosclerosis lehulehu, ʻoiai e kōkua kēia i ka pale ʻana i ka holomua o ka pathology. ʻO ka mea mua, pono ia e hōʻole i nā meaʻai kiʻekiʻe, ʻo ia ka mea e pono ai ka mea maʻi e hoʻopaʻa i ka hoʻowalewale ʻana i ka momona o ka momona a me ka ʻiʻo, me ka ʻokoʻa o ka moa.
ʻO nā huahana waiwai e like me ke kāhi, ke kīwī kīwī, pono ke haʻalele ʻia i ka wai mai ka meaʻai, ʻaʻole ʻia ke hoʻohana ʻana i ka hua manu.
Pono e hōʻemi a hōʻemi paha i ka hoʻohana ʻana i nā aila ʻaila mai kahi noi aku, no ka mea, kōkua lākou e hōʻemi i ka lipids i ke kino, kahi i hāʻawi ʻia i ka hoʻomohala ʻana o ka sclerosis o nā moku o nā wāwae. Eia kekahi, ʻoi ka nui o ka ʻai ʻana i nā aila huila e hiki ai i ka hoʻomohala ʻana o nā pilikia pathological o ke koko a alakaʻi i ka thrombosis. Ke mālama nei i ka hoʻolaha ʻana i ka atherosclerosis, pono e hoʻomanaʻo e hoʻomāhala ʻia ka mea maʻi: ice cream, chocolate, alcohol, cake, nā pōpoki like ʻole.
Pono e hoʻohui pū i nā meaʻai i hoʻomākaukau ʻia ma ke kumu o ka palaoa wīwī i kaʻai, ʻoiai e hoʻoneʻe ana i nā metala, ʻike a me nā nitrates mai ke kino a kōkua i ke kao ʻana o ka kolamu ma ke kino.Hoʻopili ʻia ka Iodine i ka hoʻomohala ʻana o ka atherosclerosis, no laila ke kuhikuhi ʻia e ʻai i nā huahana he nui no nā huahana o nā ʻano moana, e like me ka squid, mussels, seaweed, crabs. Ka hoʻohiolo ʻana i ke kaʻina o nā metabolism, nā momona B6. ʻO nā greens, soybeans, i kalapoti i nā huaʻai, nā hua ʻai, nā lau ʻai hou, blackcurrants, kaila, ka palaoa - pau kēia mea pono ka hopena pono i ke kino holoʻokoʻa a e kōkua i ka hoʻomōhala ʻana o ka atherosclerosis.
Pono ka papaʻai e mālama ʻia ma nā ʻeono mau mahina ma hope o ke ʻano nui. He mea nui e hoʻomanaʻo e nānā wale i ka meaʻai paʻa a me nā ʻōlelo a pau o ke kauka hele mai, hiki iā ʻoe ke lanakila i ka maʻi maʻi nui e like me ka nui o ka atherosclerosis, ma hope o ka mea e hiki ai i kahi kanaka ke loaʻa ke ola piha.
ʻO ka helu uku a me nā hoʻoholo ʻana
Nui nā manaʻo i ka nui o ke kumukūʻai o nā vein bypass? ʻO ka uku o ka hana e hoʻoholo ʻia ʻaʻole wale nō e nā hōʻoia ʻana o ke loea, akā, ʻo nā wahi kūloko o ke kikowaena kahi e hana ai. Ma Moscow, eʻoi aku ke kiʻekiʻe o kona kumukūʻai, ʻoiai ʻo ka mea ʻole i hoʻohaʻahaʻa ʻia ʻo Vitebsk i ka maikaʻi o ka hāʻawi ʻana i nā lawelawe lapaʻau. Pono e hoʻomanaʻo ʻia, ma ka hoʻohui ʻana iā ia iho, pono e hoʻolilo ka mea maʻi i kekahi manawa i loko o ka haukapila. ʻO ka ʻoluʻolu o ka noho ʻana i kahi lumi i uku ʻia a he ʻelua a i ʻole nā lumi moe he ʻokoʻa.
ʻO ka kumukūʻai kumukūʻai e hiki ai iā ʻoe ke hana i kahi hana ma nā moku o nā wāwae he 100-150 mau tausani rubles Lūkini. A ma nā ʻano he nui, ʻo ka pane i ka nīnau no ka nui o ka pau ʻana o ke keʻena e pili ana i ke kumukūʻai e hana ʻia ma loko o kahi keʻena pilikino a i kahi hanana aupuni. Aia paha a hiki i kahi liʻiliʻi o ke kumukūʻai ke uku ʻia ma lalo o nā kulekele olakino lapaʻau ʻia no ka mea, ʻaʻole ia e hōʻaiʻē ʻia e ka waihona. Akā inā mālama ʻia ka shunting ma ka hoʻolimalima ʻana o ka mea maʻi a i kona mau hoahānau paha, hiki iā ʻoe ke noi no ka uku ʻana no ka ʻuhau.
Ua hoʻokūpaʻa ʻia ka hoʻokūkū bypass Vascular no ka mālama ʻana i ka atherosclerosis holomua, ka ʻōnaʻi venous, a me nā maʻi ʻē aʻe o ke ʻano kaulua o nā wāwae. I mea e loaʻa ai kahi hopena maikaʻi o ka mālama ʻana, ʻo ka mea nui ke koho i kahi kikowaena olakino kahi e hana pinepine ai lākou i nā hōʻino vascular a loaʻa i nā mea hana pono āpau e pono ai.
ʻO nā loiloi hoʻomanawanui hoʻi maikaʻi a maikaʻi ʻole. Akā ʻo ke hoʻoponopono kūpono ʻana i ka manawa kūpono e hāʻawi ʻia, ʻaʻole wale e hoʻopakele i nā ola a e kōkua nō i ka pale ʻana i ka ʻaumua, akā, e hoʻihoʻi hou i ke olakino i nā wāwae.
Loaʻa nā maʻi Vascular i nā wahine a me nā kāne. Hoʻopilikia pinepine nā pathologies i nā poʻe o ka waena a me ka ʻelemakule. ʻO ka liʻiliʻi, ʻike ʻia ka maʻi vascular i ka poʻe ʻōpio. I kekahi mau hihia, he congenital kēlā ʻano. ʻO ka lokomaikaʻi o nā leʻaleʻa o ka ʻōnaehana vascular he coronary, ka cerebral arteries, nā veins o ke rectum a me nā haʻahaʻa haʻahaʻa. Eia naʻe, me ka vasculitis systemic, hiki ke hoʻolilo ʻia ke kaʻina ma loko o ke kino. ʻO kekahi o nā kumu maʻamau no ka hoʻopili ʻana i kahi mea maʻi maʻi varicose veins. Kū pinepine kēia pathology i nā wahine. ʻO nā hōʻailona maʻamau: convoluted veins, hoʻonui lākou, protrusion. ʻO Atherosclerosis kekahi maʻi maʻi vascular. Ke alakaʻi ia nei i nā paka a me ka pīhoihoi koko. I nā hihia holomua me nā ala ʻelua, ke ala ʻia nā moku o nā ʻoi aʻe haʻahaʻa. He hana ʻoki kēia, ʻo ia hoʻi e hiki ke hōʻiliʻili ʻia ke kahe koko.
No ke aha e hana ʻia ai nā moku wāwae?
He hana paʻa no nā maʻi o nā veins a me nā ʻalala e pani i nā moku o nā ʻāpana haʻahaʻa. Ke hana ʻia nei ka hoʻomaʻamaʻa ʻana ma nā papa mua. ʻO nā mea maʻi e hōʻeha nei i nā hōʻeha atherosclerotic e kuhikuhi i nā lāʻau laiki lipid-hoʻohaʻahaʻa (nā lāʻau lapaʻau Atorvastatin, Fenofibrat), kaʻaiʻai. Me nā veins varicose, e paʻa ana i ka lole o elastic i lalo, e noi ʻia ka sclerotherapy.Ke halihali nei ka halihali ʻana o nā moku o ka lalo haʻahaʻa me kahi blockage kīkē o ka lumen o kahi artery a i ʻole vein, he nui o ka thrombosis a me ke kūkulu ʻana o gangrene. ʻO kēia kaʻina hana he kaʻina hana, pono e hana ʻia e ka angiosurgeon. ʻO ka hana hoʻokipa Bypass ka mea o ka hou o kahi moku me kahi implant. I ke hopena, ua hoʻihoʻi ʻia ka hoʻokahe koko, a hoʻemi nui ʻia ka hopena o ka thrombosis. Hiki i ka shunt ke hana i nā mea ʻona a me nā ʻoihana pono o ka mea maʻi. Hoʻohana pinepine ʻia nā moku kīʻaha haʻahaʻa ʻē aʻe e like me ke implant. ʻO ke koho o nā mea e kau ana i ka aniani o ka ʻāʻī a hanana hewa paha, a me nā hiʻohiʻona o nā pathology.
Nā hōʻailona no ka hoʻokaʻawale ʻana i nā moku o nā ʻāpana haʻahaʻa
Hana ʻia ka hana e wehe i nā moku o nā haʻahaʻa haʻahaʻa. E pili ana i nā kaʻina paʻakikī, no laila, pono e hana wale ia e like me nā hōʻike koʻikoʻi. He kūpono ke kūpono i nā kipa i ka moku inā ʻoi aku ma mua o ka 50% o ka lōʻihi o ka ʻehā a i ʻole ka vein i loaʻa. Ma mua o ka hoʻoholo ʻana i kahi hana, kuhikuhi ke kauka i kahi mālama conservative. Hoʻohana ʻia ka lāʻau hōʻemi ma ka hōʻole ʻole o ka hopena o ka hopena. Hoʻokaʻawale ʻia nā kiʻi e hōʻike nei no ka pale ʻana o nā moku o nā lalo haʻahaʻa:
- Nā ʻuhane Arteriosclerosis obliterans.
- Nā mākele pili i ka ʻōnaehana ʻano. ʻO nā pinepine pinepine me nā veins varicose a me nā hoʻoweliweli o thrombophlebitis, hoʻokō a hoʻolilo paha i ka angioplasty. Me nā contraindications i ia mau ʻano o ka mālama ʻana, e hana ʻia ka hana pale bypass.
- Endarteritis. Me kēia pathology, ua hui pū ʻia ka hopena maʻi me ka hala mau o nā moku liʻiliʻi. Hoʻomaʻahaʻa koke nā aʻa, ke alakaʻi ʻana i ka gangrene o ka wāwae. Hoʻohana ʻia kēia maʻi ma waena o ka poʻe kāne.
- ʻO ka aneurysm o nā wahī o ka lalo haʻahaʻa. Hoʻopilikia ka Patology me kahi makalaʻi nui o ke koko, he mea paʻakikī loa ka pale.
I kekahi mau hihia, e hoʻopuni ʻia nā moku o ka ʻaoʻao i lalo me ka gangrene o nā manamana wāwae a i ʻole wāwae. ʻAʻole maikaʻi ke aloha ʻia o ka prognosis no kēia kaʻina hana me ke ʻano o ka necrosis a me nā ʻano pilikino o ke kino. I kekahi mau hihia, alakaʻi i ka hana e hoʻōla i ka gangrene a i ʻole ka hōʻemi o ka nui o ka mea i kau ʻia.
I nā kūlana hea i hoʻohālikelike ʻia ai shunting?
ʻOiai ke kūpono o ka lawena bypass vascular, pono e hoʻomanaʻo he koʻikoʻi nui ka hana. No laila, ua hana wale ʻia i nā hihia ke kōkua ʻole nā ʻano lāʻau ʻē aʻe. Nui kekahi contraindications no nā bypass surgery. I waena o lākou:
ʻAʻole hiki ke halihali i nā moku o nā ʻāpana haʻahaʻa loa inā he mau maʻi luhi, hoʻopōʻino i ka ʻili, ka hoʻēmi ʻana o ka maʻi mellitus. I kēia mau hihia, hana ʻia ka hana ma hope o ka hoʻopaʻa ʻana i ke ʻano o ka mea maʻi.
ʻEkoi Shunting
ʻO ka pinepine, hana ʻia ka hoʻokele bypass artery. ʻO kēia ma muli o ka hana maʻamau o nā ala like ʻole. Eia kekahi, me nā hōʻino venous, ua kuhikuhi ʻia nā ʻano lāʻau ʻē aʻe. I waena o lākou ʻo ka palu angioplasty a me ka hoʻokō. E like me ke aniani e hoʻihoʻi i ke kahe koko arterial, hoʻohana i ka saphenous vein o ka ʻūhā. Me kahi wahi leona nui a i ʻole ke kūlana ʻoluʻolu ʻole o nā moku, hoʻohana ʻia nā mea synthetic implants. He nui nā ʻano hana no ka hana pono. I waena o lākou:
- ʻO Aorto-bifemoral nā keʻena wehe. Hana ʻia ka wawaahi maʻi ma kahi o nā wahi inguinal. ʻO ka hiʻona o ka hana, ʻo ia ke hana i kahi anastomosis bypass ma waena o ka ʻōpū o ka aorta a me nā ʻalala femoral.
- ʻOi aku ka wehe ʻana i ka male popliteal bypass surgery. Hoʻokumu ʻia kahi anastomosis ma waena o ʻelua mau lāʻau nui o ka wāwae ʻokoʻa. Hoʻāla ka pūloko ma ke kumu o ka ʻūhā a lawe ʻia i ka wahi o ke kuli o ke kuli (ma lalo a ma luna paha o ka mana).
- E wehe alaHaki ka anastomosis ma waena o nā ʻelua wahine femoral (mai ka wāwae hema a i ka ʻaoʻao hema hema, a i ʻole ka ʻokoʻa.
- ʻO ka hoʻokō wahine. Hoʻopili ke kōpili vascular i nā ʻehā wahine a me ka tibial.
Ka hoʻomākaukau ʻana i ka mea maʻi no ka vra bypass surgery
ʻO ka hoʻomākaukau no ka hana keʻaleʻa e loaʻa i kahi ʻano o nā kaʻina hana diagnostic, me ka hoʻohana ʻana i nā lāʻau lapaʻau. Ma mua o ka hana, pono ia e hoʻomaʻamaʻa i kahi loiloi kikowaena: OAK, OAM, hoʻāʻo ʻia ka lāʻau biochemical, coagulogram. Hoʻohana ʻia ka Dopplerography o nā moku o nā lalo haʻahaʻa, ʻo ECG, echocardiography. I mea e pale ʻole ai i ka trombosis i ka wā o ke kaʻina, ua hoʻokaʻawale ʻia nā ʻōpē koko i ka hebedoma ma mua o ka wā. ʻO kēia mau lāʻau lapaʻau e like me Aspirin Cardio, Magnikor. Ua kuhikuhi ʻia nō hoʻi nā lāʻau antiibiotics a me nā lāʻau anti-inflammatory. I ke ahiahi, ma ka pō o ka hana, pono ia e ʻae i ka lawe ʻana i ka wai a me ka meaʻai.
ʻEnehana no ka pale ʻana i nā moku o nā ʻāpana haʻahaʻa haʻahaʻa
ʻO ke kāpili ʻana i nā kīʻaha o nā haʻahaʻa haʻahaʻa, he hana paʻakikī, e koi ai i ka ʻoihana kiʻekiʻe o ka mea maʻi. Hana ʻia ka Manipulation ma lalo o ke ʻano holoʻokoʻa. Ka hana ʻia o ka ʻili a me nā ʻili o lalo i lawe ʻia i loko o nā wahi 2 - i luna a i lalo i ka wahi i hoʻopili ʻia o ka arela. Hoʻopili ʻia nā hoʻopili pili i ka moku e pale i ke kahe. Ma hope o ka loiloi ʻana i ka ʻāpana i hana ʻia, ua hana ʻia ke incision ma luna o ka moku a kau ʻia nā ʻū ma kekahi ʻaoʻao. Ma hope aʻe, paʻa kahi vascular flap ma waena o nā ʻāpana a me nā tendons. Pēlā e lawe malie ʻia ka shunt i kahi o ka lua o ka incision (ma luna o ka lesion) a paʻa kona hopena. Ma hope o kēlā, nānā ka mea maʻi i ke ʻano o ka kahe koko. I ka manawa e hoʻomaka ai ka hana ʻōpala i kahi pulsate. I kekahi mau hihia, ua hana ʻia nā hoʻokolohua instrumental. ʻO ke hana hope loa i ka hoʻomaʻamaʻa ʻana i nā kiko hohonu a me nā ʻili.
Pehea ka wā hana.
He mea nui loa ka nānā ʻana i ka maʻi maʻi. ʻOi loa inā ke kaʻe ʻana o kēia hana i nā moku o nā lalo haʻahaʻa. ʻO ka manawa postoperative me ka holomua mālama ʻia e pili ana i 2 wiki. Ma ka lā 7-10th, ua kāpae ke hōʻea i nā lāʻau. ʻOiai ka mea maʻi i ka haukapila, pono ia e hoʻokō i nā kaʻina diagnostic e loiloi i ka hopena o ka mālama. Eia nā mea pono, pono ke kauka e hōʻoia e ʻaʻohe ʻōpiopio postoperative. Ke kiʻi nei i nā lā mua ma hope o ke kaʻina hana, ua hōʻike ʻia e kū. I ka noho a noho ana me ka noho ʻana, pono e hoʻopili ʻia nā wāwae liʻiliʻi i kahi kūlana i hāpai ʻia.
Nā Hoʻolaha Hoʻohui
Ma hope o ka shunting o nā moku o nā pae haʻahaʻa haʻahaʻa, pono ia e nānā i ke ʻano o ke kahe koko. I kēia hopena, pono e nānā pinepine ʻia ka mea maʻi (ultrasound a me Doppler ultrasound). Paipai ʻia nō hoʻi:
- E hooki i ka ulaula.
- Lawe i nā lāʻau antiplatelet e pale ai i ka thrombosis.
- Mālama i ke kaumaha o ke kino. Me ka hoʻonui nui o BMI, kahi kuhikuhi lipid-hoʻemi haʻahaʻa a me ka lāʻau lapaʻau i kuhikuhi ʻia.
- E hele i nā huakaʻi o kēlā me kēia lā.
- E komo i nā kāʻei kūikawā (nā kāmeka) a me nā kāmaʻa.
ʻO ka wehe ʻana o ke alaloa holomua o nā pākuhi haʻahaʻa
Loaʻa nā loiloi o nā mea maʻi e hoʻomaʻamaʻa ʻia i ka maʻi. Hoʻomaopopo ka poʻe maʻi i ka hōʻemi o ka ʻeha, nā hōʻeha i nā wāwae. Eia nō naʻe, ma kekahi mau hihia, hoʻopiʻi ka poʻe i ka hoʻi hou ʻana o nā hōʻailona ma hope o kekahi manawa. ʻO kēia pili ʻia ka hōʻino ʻana i nā pili e pili pono ana a me nā veins. He mea kūpono ia e hoʻomanaʻo nei ʻaʻole he ala ke kaawale ʻana me ka maʻi no ka atherosclerosis, a ʻaʻole i nalowale ke kumu o ka pōʻino o ka maʻi vaskope ma hope o ka hoʻomaʻamaʻa ʻana. No laila, i mea e pale aku ai i ka trombosis a me ke kūkulu ʻana i nā gangrene, pono e nānā i nā hana pale.
Nā kīʻaha Bypass o nā haʻahaʻa haʻahaʻa: nā hopena o ka hana
ʻO nā mea hoʻonā o ka hana ke komo i ka hoʻokumu ʻana o ke kīwaha koko i loko o kahi hū, ke kūkulu ʻia ʻana o ka hina o ka naʻau, pulmonary embolism. I ka wā e hoʻihoʻi nei, suppuration o ka hōʻeha i ka ʻāpana suture a me ke kahe mai ka mea hiki.ʻOiai ka manaʻo o ka hana i manaʻo ʻia he paʻakikī a lōʻihi loa (a hiki i 3 mau hola), ʻaʻole loaʻa nā hopena. ʻO ka pinepine o kā lākou hoʻolālā e pili ana i ka 2%.
ʻO Health-ua.org kahi papa lāʻau lapaʻau no ka kūkākūkā pūnaewele me nā pediatric a me nā kauka makua o nā mea āpau. Hiki iā ʻoe ke nīnau i kahi nīnau ʻ Legpana wāwae a loaʻa kahi kūkākūkā kauka manuahi manuahi.
Ka holomua ʻana o ka ʻepekema a me ka lāʻau lapaʻau ma ka lāʻau antiplatelet
I nā makahiki i hala aku nei, ua hoʻokū ʻia ka hana nui o nā platelets i ka hoʻomohala ʻana o ka maʻi cardiovascular. ʻOiaʻiʻo, ka wehewehe ʻana i ka mea nui o nā platelets i hoʻoikaika ʻia i ka hoʻomohala ʻana o ka nui o nā lāʻau lapaʻau, ...
ʻO nā mea heihei ma ke kuʻuna Peripheral
ʻO ka huaʻōlelo "aneurysm" e wehewehe i ka luawai o ka moku o ka moku a i ʻole ka manaʻo e hōʻino ʻia e nā mea poʻomanaʻo a alakaʻi i nā pilikia like ʻole, a ma luna o nā mea nui loa i nā kaila nui.
ma hope o ka hōʻiliʻili ʻana, ʻoi aku ka wāwae o shunting mai ka ʻaoʻao o ka ʻāʻī o ka wā i ke kaʻa ma hope o 5 mau mahina ma mua o ka ʻāʻī o ka ʻāʻī i ke seam
Iulai 23, 2012
Pane mai ʻo Stashchuk Ruslan Petrovich:
Kauka maʻi kauka o ka helu mua, Ph.D.
Aloha Anastasia! I ka wā o nā hana hōʻopoina, hōʻeha pinepine nā hōʻiliʻili o ka ʻili a me ka subcutaneous i nā lālā nerve, nona ke kuleana no ka hoʻopoina ʻana o ka ʻili. ʻO ka maʻamau, e nalowale ana ka ʻike sensory i loko o 6-12 mahina. ʻAʻole pili kēia i ke kahe koko. Akā no ka hōʻoia pololei, ʻoi aku ka maikaʻi o ke nīnau aku i kāu kauka.
ʻAukake 02, 2012
Pane aku ʻo Tarasyuk Yuri Anatolyevich:
Kauka o ke Keʻena o ka ʻoihana Cardiovascular Surgery
Aloha Anastasia! ʻO ka ʻokoʻa paha, ua hōʻeha ʻia kahi lālā nerve i ka wā o ke komo ʻana. He ʻano maʻamau kēia, akā, ʻaʻole ka hopena koʻikoʻi ma ia mau hana (inā ʻaʻole hiki ʻole ʻoe e hele i nā moku). Ma ke ʻano he kānāwai, i hala aku kēlā mau ʻano leʻaleʻa e lākou iho ma hope o hoʻokahi makahiki a me ka hapa, a i ʻole e ʻōlelo aku i kahi neurologist.
Aloha kauka! ʻO koʻu makuahine (70) loaʻa ischemia wāwae koʻikoʻi ma muli o ka maʻi maʻi a me ka atherosclerosis. Hoʻomaka ia mea a pau i Pepeluali o kēia makahiki (ma mua, ʻaʻole pili ʻo ia i ka ʻeha), ʻeha hōʻeha i ka pō, a ma ka lā a pau, moe ʻelua i loko o nā hale hoʻomaha, hoʻokomo i nā ʻakaʻaka, ka mea hoʻohui, akā ʻaʻohe mea nāna i kōkua, kahi ʻā ma waena o nā manamana wāwae, ʻōlelo ʻia ka mea lapaʻau i ka Pono ʻoe e hoʻokaʻawale i ka manamana lima no ka mea He iwi ka Zantronut. ʻĀnō ʻo ia i ka haukapila ma ke keʻena o ka maʻi vascular, ua hoʻomaʻamaʻa ʻia kekahi wāwae, hōʻike ʻia kahi doppler ua aneane ʻaʻole hapai o ka ʻōpū, hoʻokahe ʻia ke kahe koko i loko o nā moku, haʻi lākou, ʻo ke ala wale nō ke wehe ʻana i ka hoʻomaʻamaʻa e hoʻopakele i ka wāwae. ʻO kaʻu nīnau: ʻĀnō e nānā lākou iā ia i loko o ke haukapila, hiki paha ke hana i kekahi shunting ʻē aʻe a paʻa paha, aia i nā kūlana ke ulia nei i hana i ke shunt? Hoʻopili ka wāwae, hiki ke neʻe i nā manamana lima, ʻaʻole ia e huli i ka uliuli, hōʻeha wale ia. Mahalo nui i mua.
Iune 03, 2011
Pane Vlasova Olga Vladimirovna:
Aloha Olga! ʻO ka hoʻonā i ka nīnau o ka hiki o ke keʻokeʻo bypass hiki ke hoʻoholo ʻia ma hope wale iho o ka hoʻokolokolo ʻana, i hana ʻia no ʻoe, akā, he mea ʻole ke hana i ka hoʻokipa bypass ma mua o ka gangrene a me nā iwi iwi i ke kaʻina.
Aloha Loaʻa kaʻu kāne i ka atherosclerosis o ka moku wāwae, ʻōpiopio 90%. Hiki paha ke hana me ke kū ʻole i ka shunting, prosthetics? A inā ʻaʻole, inā pehea ka nui o ke kumukūʻai o ia hana a kahi hoʻi e hiki ai ke hana.
25 Dekemaba 2013
Pane Lirnik Sergey Vilenovich:
Kauhi maʻi maʻi
Aloha Elena. Ua pane mua au i kāu leka, ua hoʻouna ʻoe iā ʻoe i kaʻu ʻaoʻao ma ka pūnaewele.
Aia nā hana e hoʻihoʻi hou i ke kahe koko i loko o nā moku o ka pili haʻahaʻa. Heʻokoʻa paha lākou. ʻO kēia ka hana o shunt, dilovation endovascular a me nā ʻano hana ʻē aʻe.
Akā me ka nānā ʻole ʻana i kāu kāne, me ka ʻole o nā diagnostics hou aku, hiki ʻole ke pane aku i kāu nīnau, ʻo ka ʻimi i kēia maʻi e hiki ai ke hāʻawi i kahi hopena maikaʻi aʻe.He mea hiki ke kau ʻia me ia i kahi manawa like, ʻaʻole hiki ke hoʻohana ʻia kekahi o nā ala i luna.
Ma ka makemake pono, kaukaʻi maʻi Virole Lirnik S.V.
Ua hōʻike ʻia koʻu hoa i ka thrombophlebitis a me atherosclerosis o nā haʻahaʻa haʻahaʻa, varicose veins ma hope o kā lākou ʻōlelo ʻana e hele ana ʻo gangrene a makemake ʻo ia e hōʻoki i kona ʻūlū ʻākau akā ua hana ʻia ka hoʻomaʻemaʻe keʻoliʻi a kuhikuhi i kekahi ʻano o ka inake nui loa. ʻaʻole lākou i haʻi mai iā mākou i ka maʻi ʻaia inoa.
Iulai 18, 2013
Pane maila ʻo Sychev Victor Anatolyevich:
ʻO kēlā me kēia kūlana. Akā me ke kōkua o shunting, ʻoi aku ka nui o hoʻokahi wāwae i mālama ʻia. A ma kahi ʻoi e mahuʻi ʻo ia paha paha ka prostaglandins (alprostan, vasoprostane, ilomedin). Pono wale lākou e pana ʻia e ka papa, ʻaʻole hoʻokahi hoʻokahi. A i ʻole, aia paha, he aha ka mea ʻē aʻe?) He paʻakikī ke hele mai me kahi lāʻau lapaʻau e nā ʻano hiʻohiʻona).
Aloha ʻoluʻolu, e haʻi mai iaʻu, ua loaʻa ke kupuna kāne (75 makahiki) me ka maʻi ʻeha ʻo Coronary Heart, ascites. He nui ana kāna punahele ma ka ʻōpū o ka ʻōpū, a ʻo ia hoʻi ka puʻu ʻana i nā wāwae. Hōʻea, ua hoʻomaka ka wai i puka mai loko mai o ka wāwae i kahi hoʻopili (paʻu ka ʻili i loko). ʻAʻole kōkua nā Diuretics i kekahi kumu. Pehea e hiki ai iā mākou ke pana i ka wai? Aia kahi koho e pāana i ka paia o ka ʻōpū a hoʻokuʻu i nā nalu, akā e pili ana i nā wāwae? Pehea e hoʻokuke ai i nā kahe mai o lākou aku?
A eia naʻe, ke noʻonoʻo nei mākou i ka hoʻokele heart heart, akā ua paʻa ʻo ia i ka hopohopo a makaʻu ʻole e lawe iā ia i Kiev a i Donetsk paha (ʻo mākou mai ka ʻāina Lugansk), aia paha kekahi mau manaʻo e pili ana i kēia? Ua ʻōlelo ka poʻe kauka kūloko i ka puhiwa o ka hoʻomaʻamaʻa, akā, ʻaʻole lākou i hana i ka angiography coronary.
Pepeluali 08, 2013
ʻ answerslelo maila ʻo Bugaev Mikhail Valentinovich:
ʻO kahi maʻi Cardiac o ke kūlana kiʻekiʻe
Aloha. ʻO ke kaumaha, ʻaʻole hiki iā ʻoe ke noʻonoʻo hou aʻe e pili ana i ka shunting. ʻO kēlā ʻano maʻi koʻikoʻi he contraindication no ke kaʻina, ʻaʻole ia e kōkua. ʻAʻole hōʻike ʻia ka Coronarography (e like me ka paʻakikī o ke kūlana). Hiki ke hāʻawi wale ʻia ka diuretics intravenously. He pōʻino, ʻo nā ʻoihana ma ke kaiāulu e mālama i kou kupuna kāne.
Aloha ʻO kahi mea a hiki i 25 mau makahiki he paona 52-54 kg. ʻAʻohe manawa no 4 mau mahina a hoʻihoʻi au i ka 30 kg. I ka 27 makahiki, ua hānau au, loaʻa 10 kg., 8 hānau hānau koke ʻo ia. I nā mahina 8 o kona hapaha, ua wāwahi ʻo ia i kona wāwae.
8-10 mahina ma hope o ka hānau ʻana, hoʻomaka ke koko, pono e hoʻopaʻa ʻia me nā hormone, ʻaʻole kōkua ke kālā ʻē aʻe. Ma hope o 3 mahina, hoʻomaka ke hana a dicinone a hoʻōki au i ka inu ʻana i nā hormones. Ua loaʻa iaʻu nā contraindications - ʻehaʻeha kaʻeha (ua hana pinepine wau i ka mālama ʻana i nā veins) no laila he huhū loa, no laila ua hoʻōki au i ka inu ʻana i nā hormones (regulon). I nā makahiki 28-29, ua hoʻopiʻi kahi hoʻopiʻi e pili ana i kahi hui kokoke i kahi hiʻi. ʻAʻole hana ʻia nā loiloi hou. ʻAʻole wau i maopopo e pili ana i ka loaʻa ʻana o nā kuʻuna. Aia i loko o 30 mau makahiki o koʻu mau manawa no 7 mau mahina. Ua loaʻa hou iā 24 kg. ʻO 32, ʻaʻole i hoʻopaʻa ʻia no ka lōʻihi. ʻO ka manawa hope he kaupaona 107 kg. Ua hoʻāʻo wau e hana i nā hoʻomaʻamaʻa, akā hoʻopilikia loa iaʻu. ʻO nā ʻōpū o nā kuli a hiki i nā lima, ʻeha ke kua.
ʻAʻole wau i maopopo e kōkua ʻia ka hoʻomaʻemaʻe gastric e kōkua iaʻu, makemake wau e ʻike i kou manaʻo.
ʻAʻole wau e noho i ka papa kai paʻa, akā ʻai wau i ka meaʻai homemade.
Pepeluali 13, 2013
Pane Ventskovskaya Elena Vladimirovna:
Aloha Oksana! Pono ʻoe e nānā ʻia. No ka hana i kēia, pono ʻoe e kipa i kahi gastroenterologist, cardiologist a me ka gynecologist. He mea koʻikoʻi loa ka meaʻaiʻai i kekahi paona. Pono e koho i ka ʻaiʻai. E like me ka hiki ʻana ma nā hāmeʻa hiki, hiki iā ʻoe ke kūkākūkā i kēia pilikia ma hope o ka hoʻokolokolo ʻana i ka hālāwai kūkā ʻana me ka gastroenterologist.
Nīnau iā Alla Anatolyevna:
He 56 makahiki wau. Hypertension mai 25 makahiki. Heredity ma ka laina o ka makuahine a me ka makuakāne .. ua loaʻa ka makuakāne me ka puʻuwai. ʻeha, ka huhū o ka puʻuwai hema ʻole. Ua make ʻo Māmā i kona mau makahiki he 69 - he kauka .. ua make loa ma koʻu mau lima. Ua naʻau ʻo ia .. ʻeha aku nei kahi puʻuwai, ʻaʻohe mea nāna e hoʻōla.ʻO Brother, he 56 mau makahiki, he microinfarction, kahi ala, a make ma hope o 3 mau mahina ma ka moeʻuhane. I a au i nā fibroid liʻiliʻi, MRI spinal - lecr protrusion o ka intervertebral disc L50c1, osteochondrosis, spondylarthrosis, ʻōpū o nā kihi o nā kuli, nā poʻohiwi. Ua mālama ʻia wau i koʻu ola a pau. Hoʻomaka i nā makahiki 20 me ke clonidine. ʻO nā hemahema i ka puʻuwai o ka finoptin i nā makahiki he 25. Akā ke nānā pinepine ʻia nā extrosystoles .. i paʻa i ka hāmeʻa. Ma Ekg a me Echo, ʻaʻole i loaʻa i nā kauka kekahi mea kūikawā. No nā makahiki he nui, ua hoʻāla ʻia ka nui o ke koko i loko o ke koko ... akā ʻōlelo lākou hiki iā ʻoe ke hana .. ʻaʻole weliweli ... Mai Mei, ua huakaʻe kou mau wāwae i ka nui loa ... nā ultrasound ... ka hakahaka o nā haʻahaʻa haʻahaʻa .. akā ke manaʻo nei au i nā mea ʻole me nā lima ... e hōʻeha nā lima .. lima hui pū i ka pō a me ke ao ... edema mai detralex, venorus, phlebodia 600 ʻaʻole i hoʻohala. ʻAʻole kōkua nā lāʻau hāleau .. Hāʻawi ʻia ke koko i ka lāʻau. Antigoag ... ua palena nā palena ... i hoʻonui ʻia nā lymphocytes ... Ua noi iho wau e hana i kēia ma ka hale uku uku. aia ke koko maʻamau, ʻaʻohe mea e ... ʻO wai ke huli i ... i nā kauka ... kahi i kū. Ua hana ʻo Muscovite .. i kona ola a pau no 40 mau makahiki he nui .. ma ke kula .... he nui ke kālā ma ka noiʻi i uku ʻia, no ka mea ʻaʻole lākou e hāʻawi i kekahi mea i loko o kahi papa maʻalahi .. a ʻaʻole lākou i ʻike i kekahi mea. HELE. ʻO 2 kaʻu keiki wahine he 2 wale nō makahiki ... pono wau e hana .. ʻAʻole au makemake e hoʻopaʻa ʻia a hele paha i koʻu mau mākua holoʻokoʻa ... ʻAʻole inu kuʻu kaikuaʻana, ʻaʻole i ulaula ... akā haʻalele ma kahi 56. Ma koʻu makuakāne ma ka makahiki 68, he makuahine i 69. He mau wahi pokole no nā Muscovites kahi e hiki ai iā ʻoe ke nānā ʻia. A mai holo a puni i ka ʻimi ʻana i nā kauka. ʻAʻole lākou ʻike i ke kumu i ka pale e hoʻouna ai iā lākou i kekahi wahi ... A me ka ʻāʻī ʻana i luna o nā wāwae o kahi keiki keiki mau makahiki ʻelua ... ʻike ʻo ia iā Regards A.A.
Kepakemapa 24, 2012
ʻ answerslelo maila ʻo Vazquez Estuardo Eduardovich:
Laua nui, Ph.D.
Aloha Alla Anatolyevna! E haʻi pololei wau iā ʻoe: ʻo nā mea pilikia, inā, ʻo ka ʻike e pili ana i nā ʻohana, kou hypertension lōʻihi, nā pilikia mai nā umauma wahine a me ka ʻōnaehana o ka osteoarticular, ʻaʻole ia he hana maʻalahi no ke kauka o kekahi pae a me kahi pae kūpono. Akā, ʻaʻole pono ʻoe e hopohopo, ʻoiai ma muli ʻoe he moʻopuna a, aloha paha i nā ʻohana aloha ʻē aʻe, nona ka pono e noho ai. No kēia mau makahiki āpau ʻoe i aʻo ai e ola me kēia mau pilikia, akā hiki ke hoʻomaopopo ʻaʻole ʻole me ka paʻakikī. I kēia manawa, nui nā lāʻau lapaʻau hou e hoʻomaikaʻi ana i nā wānana o kou kūlana, kēlā, a me ka maikaʻi o ke ola, ʻaʻole i loaʻa ma mua o ka make ʻana o kou mau hoahānau.
E pili pono i kāu pili mālama i ka pale ʻana i ke hypertension a me ke kākoʻo naʻau. ʻO nā mea āpau (spine, joints, women organ) pono wale nō i ka mālama naʻau. ʻAʻole hiki iaʻu ke haʻi iā ʻoe i ka absentia i nā lāʻau kūpono nā kūpono iā ʻoe, no ka mea e ʻike hou ʻia aku ʻoe i kāu kauka hele mai - ke aʻo aku wau iā ʻoe e hilinaʻi a kūkākūkā pinepine me ia, me ke komo pū a me ka nīnau ma hea a mai a e nīnau hou aku ai. Pili wale wau: pili ia i ka mālama ʻana i kāu mau maʻi ma ka hōʻoia, i mea e pale ʻole ai i nā hōʻeha, ʻaʻole ia e pili ana i ka mālama ʻana. Pono mākou e hoʻomau, e like me ka hiki, e pili ana i kēlā mau pilikia olakino a me nā pilikia paʻakikī.
Ua maʻi koʻu makuakāne. Ua mālama ʻia ka hana Bypass ma hoʻokahi wāwae i 5 mau makahiki i hala aku nei, i kēia lā ua hana ʻia kahi hana pale by part i ka wāwae ʻelua a ma kēia wāwae ua loaʻa iā ia kahi maʻi hōʻeha ʻole i ka kuʻekuʻe hoʻokahi makahiki. He mea e hana
ʻOkakopa 03, 2011
Pane ʻo Agababov Ernest Danielovich:
Kālana nui
Aloha ʻoe Marina, inā hiki, e hoʻouna mai iaʻu i nā hoʻokolohua a pau a me ka hoʻokuʻu ʻana mai ka hale hoʻokipa iaʻu e ka leka uila, e ʻae kēia i kahi loiloi hoʻokō o ke kūlana - pale ʻia ka leka uila
Aloha awakea Ua hana koʻu makuakāne i kahi hana "aorta-caranal bypass surgery" a lawe i kahi vein mai kona ʻūhā, hōʻola kona umauma, akā ua hoʻomaka kekahi mea i ʻula a ʻulaʻula. He aha ka mea e hana ai mākou i hele aku ai i ka haukapila?
ʻAukake 18, 2011
ʻ answerslelo maila ʻo Bugaev Mikhail Valentinovich:
ʻO kahi maʻi Cardiac o ke kūlana kiʻekiʻe
Aloha. E hele i ka haukapila.
Aʻe ʻia ka lima a 7 mau hola ma hope o ka hōʻeha
Me ka puʻuwai traumatic o kahi lim, ʻaʻole i nui nā kauka i ʻoi aku he 2-3 mau hola i mea e huki ai i kahi lima i hōʻoki ʻia a i ʻole wāwae paha me ka hopena nui o ka kūleʻa a hoʻihoʻi i ke kahe koko i loko. Hiki i ka haukapila mai Dallas ke hoʻopakele i ka lima o ka mea maʻi ma hope o 7 mau hola.
E loli nā kūleʻa o ka naʻau me ke ʻole ʻoi ʻana
Hāʻawi ke kauka maʻi Cardiac ma ka Rush University Medical Center i ka hōʻuluʻulu ʻana o ka mea hoʻonaninani transcatheter minimally invasive no nā maʻi me nā maʻi puʻuwai.ʻAʻole pono kēia ʻano hana i ka wehe wehe
Pehea e lawe ʻia ai ka angioplasty o nā moku o nā mea haʻahaʻa haʻahaʻa loa.
No kekahi mau makahiki, ʻaʻole kūleʻa hakakā i ka hypertension?
Ke poʻo o ka Institute: "E haʻihaʻo ʻoe i ka maʻalahi o ka hoʻopakele ʻana i ke maʻi hypertension ma ka lawe ʻana i kēlā me kēia lā.
ʻO ka Angioplasty kahi hanaʻenehana kiʻekiʻe hou e kōkua ai i ka hoʻihoʻi ʻana i ka patency i nā moku, me nā mea e kū ana ma nā pae haʻahaʻa. Hiki ke hoʻopaʻa ʻia a pani ʻia paha ka lumen arterial ma muli o nā polani atherosclerotic, i hoʻokumu ʻia ma muli o ka lawe ʻana o ke kolamu, nā ʻoka a me nā mea waiwai ʻē aʻe ma ka paia o ka pa.
- Nā hōʻailona no ka ʻoihana
- Pehea ka hana ʻana?
- Nā Hōʻike Hoʻomaʻi
Nā hōʻailona no ka ʻoihana
Hoʻohana ʻia ka Angioplasty e mālama i nā maʻi i hoʻoiho ʻia e nā leʻa hope:
Ua hoʻohana maikaʻi kā mākou poʻe heluhelu iā ReCardio e mālama i ka hypertension. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.
- Maʻi maʻi Ischemic,
- maʻi maʻi vascular
- hana ʻino i ka arai carotid,
- Maʻi maʻi renovascular.
ʻO ka Angioplasty o nā wahī e loaʻa ana i nā haʻahaʻa haʻahaʻa e hiki ke hana me ka maʻi maʻi o ka maʻi maʻi. Ma ka hoʻihoʻi ʻana i ke kahe koko me kēia ʻano, hiki ke hōʻoki ʻia ka ʻōpū a me ka ulia trophic ma ka wāwae.
Pehea ka hana ʻana?
ʻO ka mea mua, hāʻawi ʻia ka mea maʻi i kahi lāʻau lapaʻau e kōkua ai i ka hoʻomaha a ʻaʻole i ʻike ka manaʻo i ke kaumaha. ʻOiai i ka paʻakikī ʻana o ka hana, ʻaʻole ia e mau ʻia i ka ʻoluʻolu. Ma kahi i hoʻokomo ʻia ai ka catheter, hana ʻia kahi anesthesia kūloko. Ke hiamoe nei kekahi mau maʻi i ke kaʻina hana.
Hoʻihoʻi hou o ka lumen o nā moku pani
Ma hope o kēlā, e kau ana ke kauka i kahi catheter i loko o ke kīʻaha koko, ʻo ia ke ʻano he leʻaleʻa a ʻōpio loa. Me ke kōkua o X-hihi, ʻike ke kauka i ka neʻe a me kahi o ka catheter.
Kahi ʻia ka honu mākeke ma ka wahi paʻa o ka moku koko, i holo ʻia kahi mini-catheter, me kahi microballon ma ka hope.
I ka hiki ʻana i kahi kūpono, e piʻi nui ka palu, a ʻo ka wahi i hoʻopulapula ʻia. A laila hoʻokomo ʻia kahi ʻano i kēia wahi, ʻo ia ka mea e mālama ai i ke kahe koko maikaʻi i ka wā e hiki mai ana. Ma hope o ka implantation, e hoʻoneʻe ʻia nā mea hana a pau.
Ma hope o ke kaʻina hana, ua hoʻopili ʻia kahi paʻi ikaika e pale i ke kahe koko. Lawe ʻia ka mea maʻi i kahi hoʻomaha. Hoʻohana pinepine ʻia i loko o ka hale pule i hoʻokahi a ʻekolu lā.
I kēia lā, ke hoʻokō nei ka maikaʻi o ke kaʻina hana i ka 100%. ʻOiai he mea kūpono ia e ʻike ana i kahi mau hihia paʻakikī e hōʻino ʻia i nā aronika coronary i ʻike ʻia, ʻaʻole e ʻae ʻia no ka angioplasty a paʻakikī paha i ke kaʻina. Loaʻa ia i ka hanana ma hope o ka mea hana, hoʻomohala hou ka stenosis i kēia mau mea i loko o ʻeono mahina.
E like me kāu e ʻike ai, ʻo ka angioplasty kahi hana hōʻemi minimally e hana ʻia ma o ka puncture liʻiliʻi ma ka ʻili. Eia kekahi, ʻo ka nui nui i hoʻohana ʻia ka anesthesia aoao, ka mea o ke ola o ka mea maʻi ʻaʻole ia e loaʻa i kahi kaumaha hou.
Nā Hōʻike Hoʻomaʻi
Hiki iā ʻoe ke maopopo i ka mea e hilinaʻi i ka angioplasty mai nā loiloi o kekahi poʻe. ʻO kahi laʻana, ʻōlelo kekahi kanaka i kahi hana ʻoi aku ka hana maikaʻi loa, haʻahaʻa haʻahaʻa loa e hōʻalo i nā hōʻeha koʻikoʻi. ʻO ka mea maʻi, nona ka angioplasty i hana ʻelua, haʻi ʻia e ʻaʻole ʻoe e makaʻu i kēia ʻano hana pono.
Inā, e like me ia, ʻo ka manawa mua ua makaʻu iā ia, a laila ʻo ka lua o ka mālie. E like me kāna i ʻōlelo ai, ua maʻalahi ke ola. Ua haʻi kekahi kanaka ʻē aʻe e kauka i ke kauka e hōʻike ana i nā angioplasty me ka hoʻokūkū nui, no ka mea, he kōkua maoli ia e hōʻalo i nā hōʻeha koʻikoʻi.
E like me kāu e ʻike ai, lawe nui ka angioplasty i nā pōmaikaʻi ʻike, ʻo nā kauka a me nā mea maʻi hoʻi e kamaʻilio e pili ana i kēia.No laila, mai makaʻu ʻoe i ka paʻa ʻana, ma kēlā, ʻaʻole pono ʻoe e ʻoliʻoli, no ka mea he manawa kūpono kēia e hoʻomaikaʻi ai i ke ʻano o ke ola.
- Ke waiho nei i kahi manaʻo, e ʻae ʻoe i ka Hoʻohui Mea Nui
- Naona Aria
- Atherosclerosis
- Nā urupa varicose
- Varicocele
- Kukui
- ʻĀponoʻehā
- Hypertension
- Nā maʻi haipule
- Nā huapau
- Dystonia
- ʻOkelelo
- Aʻole puʻuwai
- Ischemia
- Koko
- Nā hana
- Kauʻeha
- ʻĀwaʻi
- ʻAniha pectoris
- Tachycardia
- ʻO ka thrombosis a me thrombophlebitis
- Koi ʻōpū
- Hypertonium
- Ke kūpaʻa maoli
- ʻAneau
- Allapinin
- Asparkam
- Detralex
ʻO nā hōʻailona a me ke mālama ʻana i ka atherosclerosis cerebral
I nā kānaka, ua kau nā mea āpau i nā mana o waho. Ma lalo o ka hopena o nā mea kū maikaʻi i ke kino, hiki mai nā hana ʻole, hōʻike ʻia i ka ʻano o nā maʻi like ʻole. ʻAʻohe kahiʻokoʻa o ka lolo. ʻO kekahi o nā maʻi maʻi maʻamau o ka nui ke kino o ka atherosclerosis. ʻO kahi ʻano maʻi weliweli ʻo ka atherosclerosis cerebral pololei. E hoʻāʻo kākou e hoʻomaopopo i ka mea he atherosclerosis cerebral a ʻo ke ala e noho ai no ka hemo ʻana.
ʻO nā hōʻike a me nā hōʻola
ʻO Atherosclerosis o nā moku serebral, ʻoi loa i ka hoʻomaka ʻana o ka maʻi, paʻakikī paʻakikī ka hoʻoholo ʻana. Akā pehea pehea e mālama ai i ka atherosclerosis cerebral? A pinepine pinepine ʻoe i ka huli i nā poʻe loea i kēia ʻano. ʻO ka mea mua, he mea pono no ka mea i hoʻomohala ʻia me kēia ʻano maʻi e nānā ʻia e kahi mea lapaʻau, nāna e hāʻawi i kahi kuhikuhi i kahi kiʻi kikoʻī o nā kauka kūikawā. He poʻe cardiologist kēia, nā neuropathologist a me angiosurgeon. E hoʻomaopopo i ka atherosclerosis cerebral, pono ia ke nānā aku:
- Hāʻawi i ke koko e ʻike i ke ʻano o ka pāwanana o ke ao o ka hoʻokele maʻamau (INR), ke ana o ka coagulation.
- Hōʻōnaehana o nā lāʻau uila hou-cerebral e hoʻohana ana i ka dopplerography.
- ʻO ka Transcranial dopplerography kahi haʻawina o nā kīʻaha koko ma loko o ka lolo.
- Hiki i ka hōʻike Angiographic ʻoe e nānā i nā moku cerebral ma o ka x-ray. Hoʻokomo ʻia kahi mea kūikawā i loko o kahi vein i hiki ke hoʻomaopopo pono ʻia ka pathology. Ma muli o ka pilikia o kēia ʻano, ke kuhikuhi ʻia nei ia ma muli o kahi hōʻike paʻa.
- Electroencephalogram. Ke kōkua nei kēia ʻano i ke ʻike ʻana i nā ʻōnaehana cortical o ka lolo.
- ʻO ka hōʻike immunological e hiki ai iā ʻoe ke hoʻoholo i ke kiʻekiʻe o ka cholesterol i ke kino o ke kanaka.
- Hoʻohana ka tomography hoʻohālikelike i nā hihia i loaʻa ai i ka mea maʻi ka maʻi. Hiki i kēia ala ke hoʻoholo iā ʻoe e pehea e hoʻomau hou ai i ka atherosclerosis cerebral.
- Hoʻomaʻamaʻa ʻo Magonic resonance therapy (MRI) - hiki i kēia ala ke hiki iā ʻoe ke hoʻomaopopo pololei i ka hōʻailona o ka maʻi.
Hiki i kahi loea i hoʻokokoke aku i ka hoʻokolokolo me ka kuleana e hiki ke hoʻoholo i ke kiʻekiʻe a me ke ʻano o ka atherosclerosis cerebral. ʻO kahi hopena, e lilo ia i hiki ke koho i ka koho mālama kūpono.
Ke mālama nei i ka atherosclerosis cerebral
Ma kēia hoʻomaʻamaʻa, ʻelua mau ala o ka mālama ʻana i ka atherosclerosis cerebral. He ʻano lāʻau lapaʻau kēia a me ka hōʻiliʻili o ka wā maʻi. Akā, me kēia, pono ka mea maʻi i ka hoʻomaha koʻikoʻi a me kahi meaʻai kūikawā. Inā he hoʻomaka mua ka pae, a laila hoʻohana ʻia ke ʻano o ka lāʻau lapaʻau no ka mālama ʻana me nā ʻano lāʻau like ʻole:
- ʻO nā hui antiplatelet he Aspirin, e hōʻemi ana i ka hoʻopauʻana o nā kiʻina koko ma luna o kahi pā i paʻi ʻia. A laila, ke hoʻemi nui nei ka pilikia o ka ischemic stroke.
- make nā lipid-hoʻēmi haʻahaʻa e pale i ka hala o ka maʻi. ʻO ka lāʻau lapaʻau maikaʻi ka statin. Lawe ʻia ia i ke ola holoʻokoʻa. Akā e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau ma muli o ka heluhelu ʻia o ke koko.
- Hiki ke kōkua i nā lāʻau anti-inflammatory e hōʻemi i ka paia vascular a paʻa iā ia ke kūpaʻa ʻole i nā mea kūwaho o waho,
- nā lāʻau lapaʻau me ka hopena vasodilating.ʻO kēia ʻano lāʻau lapaʻau ka hōʻemi o ka spasm vascular, ma laila e hoʻonui ai i ke kahe koko i nā neurons. ʻO kēia ka: "Eufillin", "Papaverine", "Diprofen",
- Hoʻohana ʻia nā lāʻau hypotensive e hoʻoponopono i ka pohō i ka hana lapaʻau. Aia kēia mau lāʻau me: "Enalapril", "Ramipril", "Copika",
- ʻO Piracetam a me Picamilon nā lāʻau lapaʻau e hoʻomaikaʻi i ka hana o ka lolo a me ka lele o cerebral.
Inā hōʻike ka mea maʻi i ka hana hope loa o ka atherosclerosis, a laila pono ke kāpili ʻia o ka hōʻemi. Ma hope o ka manawa hea ʻoi aku ka maikaʻi o ka hoʻokō ʻana? ʻOi koke kēia hana, ʻoi aku ka maikaʻi o ke ola a me ke olakino o ka mea maʻi. ʻO ka hoʻokele i ka atherosclerosis kūloko e lawelawe ʻia ma ka hāmama ma luna o nā hāmeʻa a me nā mea maʻamau. Ke hana ʻia nei kēia hana ma lalo o ka mākaʻikaʻi koʻikoʻi o ka diagnostics ultrasound o nā moku cerebral.
ʻO nā puna ʻokoʻa o loko o ka lolo, hele mai ka wawaō ʻana ma o ke kūpeʻe ʻana. Ma hope o kēia hana, ka mea hiki i ke kauka hele i kuhikuhi i ka hoʻohana ʻana i nā kū'ē ʻole i ke ao holoʻokoʻa.
ʻO ke kumu mua o ka cerebral arteriosclerosis kahi mea kūpono i nā kūlana. Akā pono ʻoe e hahai i nā papa mua a ke kauka a pili i kahi meaʻai. Ma ka ʻalua o ka maʻi o ka maʻi, hiki ke hoʻopau ʻia i ka atherosclerosis hiki ʻole. Hiki wale ke kāpae i ke ʻano o ka hoʻomohala ʻana i ka maʻi a pale i ka hanana ʻana o ka ʻeha. ʻO ke kolu o ke kolu o ka hoʻomohala ʻana o ka maʻi, ke alakaʻi nei i ka make o ka mea maʻi inā ʻaʻole i lawe ʻia ke keʻakeʻa ma ka manawa.
He maʻi maʻi ʻo ka cerebral atherosclerosis, no laila pono ʻoe e mākaukau no ka ʻoiaʻiʻo e ola ke ola. Loaʻa paha ka mālama ʻia ʻana o nā kuʻuna. Akā ʻoi aku ka maikaʻi me ka makaʻu ʻole o kēia ʻano maʻi. Inā ʻoe e koho i ka mālama kūpono a mālama i kēia ʻano maʻi me ka kuleana, a laila ʻaʻole hiki i ke kanaka ke helu wale i ka ola lōʻihi, akā e noho mau nō ka maikaʻi.
Kālepa pale pilikia vascular
Aia he pale o ka pale ana o na maʻi a me kona holo hou ana no na 3 degere o ka mai. ʻAʻole pono ka ʻai i nā meaʻai momona, paʻakai a me nā mea ʻai pā. He mea nui nā haʻawina calorie e hōʻemi. 2000 - 2500 ʻae ʻia i kēia mau lā. ʻO nā huahana waiū-momona, nā iʻa kai a me nā iʻa momona hoʻi e hoʻopau pinepine ʻia. A e nānā e ʻai i nā iʻa a me nā huahana hua ʻōpala. Hoʻohaʻahaʻa lākou i ke kolamu koko a hoʻōla i ka metabolism. E noʻonoʻo e inu i ka lita 1,5 o ka wai i kēlā me kēia lā. ʻO ke kāʻei mua he pae kumu a me ka lua.
Hoʻolālā:
- papa o ka inu rama a me ka inu rama,
- hilahila koko koko
- e hele mau ana i kahi hola i hoʻokahi lā,
- hoopau i nā kūlana kaumaha
- ʻauʻau, holo, hoʻouluulu, yoga, etc.
Hoʻokomo ka hoʻokaʻawale luaʻi i ka hoʻohana ʻana i nā lāʻau lapaʻau i kauoha ʻia e ka loea ma ke ao holoʻokoʻa.
He mea nui loa ka pale a me ka meaʻai, a inā e pili ana ʻoe i kēia, hiki ke pale aku i ka atherosclerosis cerebral a me kona mau hopena. Pono ʻia ke kūkākūkā me ke kauka komo i ka maʻi āpau.
Pehea e lawe ai i ka nifedipine a i ke kaomi: ke kauoha
Hōʻalo ke koko i ke koko he nui no ka poʻe o kēia mau lā, ʻoiai i ka wā ʻōpio. No laila, ʻimi nā mea a pau i ke ala ʻoi loa ke hana pono i kēia hōʻailona. ʻO kekahi o kēia mau lāʻau lapaʻau i ka mākeke o ka lāʻau lapaʻau ʻo Nifedipine, nā ʻōlelo e pili ana i ka hoʻohana pono ʻia e noʻonoʻo pono i kekahi. Ua ʻike mākou i ka mea e pono ai ke hoʻohana ʻia.
- ʻO ka hiʻohiʻona o ka lāʻau lapaʻau
- Nā hōʻailona no ka hoʻohana ʻana
- ʻLelo: ʻōlelo
- Nā hopena hopena
- Nā maʻi hoʻohālikelike i ka hoʻohana ʻia ʻana o ka lāʻau lapaʻau
- Nifedipine i ka wā hāpai
- Hoʻopili me nā lāʻau lapaʻau ʻē aʻe
- Nā hiʻohiʻona o ka lāʻau
Ma ke ʻano o ke kaomi e hiki ai iaʻu ke lawe i ka lāʻau lapaʻau ʻAmelona |
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau Betaxolol |
Ma ke ʻano o ka hoʻokaumaha hiki iaʻu ke lawe iā Valz |
Normodipine: nā ʻōkuhi no ka hoʻohana |
ʻO ka hiʻohiʻona o ka lāʻau lapaʻau
Kuhi ʻia ʻo Nifedipine i ka hui o nā mea huna kalima. Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa. ʻO ka hana ikaika o kēia lāʻau lapaʻau he nifedipine. Eia pū kekahi ona palapala kikoʻī i ia mau mea kōkua:
- mikuleka
- konekena stearate,
- hohaihono,
- titanium hone
- ka leʻaleʻa talcum
- waiū waiū
- kalaka kākāʻau.
Ma muli o kēia kikoʻī, ua loaʻa i ka Nifedipine ka hopena maikaʻi i ka hana o ka ʻōnaehana cardiovascular, e hoʻihoʻi i ka mea hoʻoliʻoli i ke koko i ke ʻano maʻamau. Kūʻai ʻia kēia lāʻau lapaʻau ma luna o ka poʻe kū'ē. ʻO ka kumukūʻai kumukūʻai ma Rusia he 35 rubles. Ma Ukraine, ke kumukūʻai o ka lāʻau lapaʻau he 7 UAH. ʻO Nifedipine kekahi o nā lāʻau lapaʻau loa, akā naʻe, he mea koʻikoʻi loa.
Nā hōʻailona no ka hoʻohana ʻana
He aha ka manaʻo e lawe ai i ka nifedipine? Ua kuhikuhi ʻia no ke kiʻekiʻe o ke koko. No laila, ʻo kēia lāʻau lapaʻau kekahi o nā ala kaulana loa e hoʻopili ai i ke kino me ka hypertension. Manaʻo ʻia ʻia e hoʻohana i ia no ia mau maʻi:
- ʻinalelo angina pectoris
- maʻi maʻi ischemic puʻuwai,
- puʻuwai paʻakikī.
Eia kekahi, ʻo Nifedipine e hoʻohana ʻia ma ke ʻano he prophylactic no ka hypertension i kēlā mau hihia:
- makahiki kahiko o ka mea maʻi
- ainalolia hypertension,
- atherosclerosis o nā moku o nā lalo haʻahaʻa a i ʻole ka carotid artery,
- nā wahine i ka wā hāpai.
Ua hoʻohana maikaʻi kā mākou poʻe heluhelu iā ReCardio e mālama i ka hypertension. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.
ʻLelo: ʻōlelo
Hiki ke hoʻohana ʻia nā papa Nifedipine i kahi manawa lōʻihi e hoʻohaʻahaʻa i ke koko. ʻO ka papa helu ʻola māhuahua i kēlā me kēia lā he 3 papa. Inā makemake, hiki ke hoʻonui ʻia ia i 2 mau papa 2 mau manawa i ka lā. ʻO ka nui loa o ka lā i helu ʻia o ka lālani he 4 papa. ʻAʻole hiki ke poina i ka nui o nā lāʻau lapaʻau e hōʻemi ʻia e 2 manawa i nā kūlana like:
- i ka ʻelemakule, inā ua ʻōlelo ʻia ka lāʻau paʻakikī,
- lawelawe aho ʻaia,
- Kāpilikia serebrovascular.
Me kahi piʻi nui o ka neʻe koko, pono e kau i ka papa ma lalo o ka alelo. No ka wikiwiki o ka hana, hiki iā ʻoe ke hoʻomaʻamaʻa iā ia.
Nā hopena hopena
I ka nui o nā hihia, ʻaeʻoluʻolu ʻia ka nifedipine. Akā me ka hoʻohana nui ʻana o nā papa, hiki ke ʻike ʻia nā hopena like ʻole:
- Mai ka pūnaehana cardiovascular: maʻi, palpitations, kahi hoʻemi i ke kahe o ke koko, ka hema ʻana o ka naʻau.
- Mai ka hale kikowaena kikowaena: kaumaha, kaumaha, wikiwiki ka hana, hoʻomoe ka moe, mālie haʻalulu.
- Mai ka gastrointestinal tract: nausea, i kekahi manawa ke alakaʻi nei i ka luaʻi, constipation a i ʻole ka lolo ʻana.
- Mai ka ʻili: nā mea hoʻohālikelike i ke ʻano o ka urticaria, kaʻeha, a me nā rashes ʻē aʻe.
- Mai ka ʻōnaehana genitourinary: kahi hoʻonui i ka nui o ka urine i kēlā me kēia lā, nā pilikia o ka ʻōnaehana.
ʻO ka hoʻohana lōʻihi o ka Nifedipine me ka nānā ʻole ʻana o kahi kauka hiki ke alakaʻi i ka hana maʻi puho hewa, a me ka hōʻeha ʻana o ka ʻike.