Generalized atherosclerosis yog kab mob vascular nrog los ntawm kev tsim cov atherosclerotic plaques. Hauv qhov no, qhov txhab tuaj yeem pom hauv ntau pawg ntawm cov hlab ntsha ib zaug. Xws li cov txheej txheem pathological feem ntau muaj daim ntawv mob ntev, nws yog raws li kev cuam tshuam ntawm lipid metabolism. Cov teeb meem tshwm sim los ntawm tus kab mob hem kev noj qab haus huv thiab lub neej ntawm tus neeg mob. Cia peb xav txog seb nws yog mob dab tsi, nthuav dav ntxiv, thiab peb tseem yuav txheeb xyuas seb qhov kev kho mob yog dab tsi.
Tus kab mob no tshwm sim li cas?
Qhov laj thawj tseem ceeb ntawm kev mob atherosclerosis yog suav tias yog cov roj cholesterol ntau dhau. Lipids yog tsim los ntawm cov rog uas tuaj nrog zaub mov.
Qhov kab mob no yuav pab txhim kho vim:
- Kev noj zaub mov muaj roj cholesterol.
- Nyob zoo.
- Ntau tshaj.
- Sedentary duablife.
- Kev quav cawv.
- Smoking.
- Cov tshuaj steroid ntau ntau.
- kev nyuaj siab.
Lwm yam uas nyuaj rau cuam tshuam suav nrog:
- Hypertension.
- hnub nyoog tshaj 40.
- Thyroid dysfunction.
- Tsis muaj kev sib deev cov tshuaj hormones hauv poj niam.
- Metabolic tsis ua haujlwm ntawm qib caj ces, thaum cov roj cholesterol tsis ua tiav hauv daim siab.
- Ntxhis cov ntshav, ntshav viscosity.
Hais txog cov laj thawj hauv kev nthuav dav ntxiv
Qee yam ua rau kev loj hlob ntawm tus kab mob yuav tsum tau xav kom ntxaws ntxiv. Vim yog qhov tseem ceeb ntawm cov khoom noj muaj roj hauv cov zaub mov, lipids tau tsim ntau dhau. Lawv deposition tshwm sim tsis tau tsuas yog nyob rau hauv cov ntaub so ntswg adipose, tab sis kuj nyob rau hauv cov hlab ntsha. Ntau cov khoom noj muaj cov roj trans fatty acids uas lub cev tsis tuaj yeem nqus tau, uas dhau los ua qhov ncaj qha ntawm kev tsim cov atherosclerotic plaques.
Generalized atherosclerosis (ICD-10 code - I70) feem ntau kuaj pom hauv cov neeg haus luam yeeb. Qhov tseeb yog tias muaj kev cuam tshuam ntawm cov teeb meem impurities hauv cov phab ntsa ntawm cov hlab ntsha. Qhov no ua rau kev faib cov cell ntau dhau thiab tsim cov quav hniav.
Leej twg txaus ntshai?
Nyob rau hauv cov neeg uas txav me ntsis, qhov kev pheej hmoo ntawm kev tsim kab mob nce ntxiv, qhov no tau yooj yim los ntawm kev tsis muaj oxygen hauv lub cev. Thaum tsis muaj kev tawm dag zog lub cev, ntshav ntws qeeb. Muaj tsis zoo saturation ntawm lub cevoxygen, vim li ntawd, cov txheej txheem ntawm cov roj oxidation yog hampered. Yog li muaj ntau thiab ntau dua.
Tawm tsam keeb kwm yav dhau los ntawm ntshav qab zib thiab cov piam thaj ntau dhau hauv cov ntshav, cov roj metabolism tseem cuam tshuam, cov hlwb raug rhuav tshem thiab muaj kab mob. Generalized thiab unspecified atherosclerosis txawv nyob rau hauv qhov thib ob, qhov ua rau ntawm tus kab mob tseem tsis tau paub.
Pab mob tshwm sim li cas?
Kev puas tsuaj rau lub cev nyob rau hauv generalized atherosclerosis tshwm sim nyob rau hauv ob peb theem. Txij li thaum cov metabolism ntawm lipids thiab cov protein raug cuam tshuam, qhov no ua rau ntau dhau ntawm cov lipoproteins tsawg ntom ntom. Lawv muaj ntau "phem" cov roj cholesterol, qhov tso tawm uas feem ntau pom ntawm phab ntsa ntawm cov hlab ntsha.
High-density lipoproteins, ntawm qhov tsis sib xws, muaj "zoo" cholesterol, lawv txhim kho cov txheej txheem ntawm nws xa mus rau lub siab.
Stages
Cov kev hloov pauv tsis zoo hauv cov metabolism ua rau muaj kev ua txhaum ntawm qhov piv ntawm phospholipids, cholesterol, thiab cov proteins.
- Thawj theem - pom cov lipid me ntsis nyob rau hauv cov phab ntsa ntawm cov hlab ntsha tau sau tseg. Lub ntsiab provoking yam muaj xws li microtrauma ntawm cov hlab ntsha thiab ua rau cov ntshav khiav qeeb. Nyob rau hauv lawv lub zog, loosening thiab o ntawm phab ntsa vascular tshwm sim. Kev tshawb pom cov lipid stains tsuas yog ua tau nrog lub tshuab tsom.
- theem ob yog liposclerosis. Hauv cov chaw uas muaj cov rog tso, cov ntaub so ntswg thiab cov atherosclerotic plaques tshwm. Lawv lub ntsiab txaus ntshai yog thaum lawv tawg, nws tuaj yeem txhawsfragments ntawm lumen ntawm cov hlab ntsha. Lwm qhov teeb meem yog cov ntshav txhaws uas tshwm sim ntawm cov quav hniav.
- theem peb yog tus cwj pwm los ntawm atherocalcinosis - pathological formations loj hlob. Lawv ua denser, calcium ntsev yog tso rau hauv lawv. Raws li cov plaques loj hlob, lub lumen ntawm cov hlab ntsha ua me me, cov ntshav muab rau hauv nruab nrog cev raug kev txom nyem. Kev mob hnyav ntawm lub nkoj tsis suav nrog. Vim cov ntshav ntws mus rau hauv nruab nrog cev thiab cov ntaub so ntswg tsis zoo, muaj teeb meem xws li mob stroke, plawv nres, mob ischemia ntawm qis extremities tshwm sim.
Generalized atherosclerosis thiab nws cov txiaj ntsig yog ib feem ntawm cov tshuaj tiv thaiv kab mob hauv tib neeg lub cev, uas tau qhia nyob rau hauv daim ntawv ntawm cov txheej txheem pathological ntawm lipid metabolism. Nws tseem hu ua "lipid distress syndrome."
Localization ntawm pathology
Localization ntawm generalized atherosclerosis (raws li ICD-10 I70) yog pom nyob rau hauv cov nram no: nyob rau hauv lub hlwb, caj dab, coronary, peripheral hlab ntsha. Nws muaj ib tug synchronous tsim ntawm foci ntawm pathology. Nrog rau kev swb ntawm cov hlab ntsha, qhov xwm txheej hnyav tshaj plaws.
Huab cua
Kev ntsuas yuav tsis zoo rau feem ntau, vim muaj ntau yam teeb meem nrog rau txheej txheem. Yog tias muaj kev puas tsuaj rau cov hlab ntsha peripheral, nrog rau cov hlab ntsha ntawm lub hlwb thiab lub caj dab, ces cov plaques tsis sib npaug. Tias yog vim li cas lub cheeb ntawm lub lumen ntawm cov hlab ntsha cuam tshuam txawv.
Cov tsos mob ntawm tus kab mob yog dab tsi?
Generalized atherosclerosis (ICD-10 code - I70) yog nrog ntau yam tsos mob. Nws ncaj qha nyob ntawm cov tub ceev xwmtsis muaj oxygen thiab cov as-ham.
Yog li, qhov mob tuaj yeem pom hauv:
- Nkoj lub hlwb, caj dab.
- Aorte.
- Mesenteric hlab ntsha.
- Cov nkoj hauv qis qis.
- Cov hlab ntsha.
- lub raum hlab ntsha.
Cov tsos mob ntawm tus mob atherosclerosis yog dab tsi?
Thaum cov hlab ntsha ntawm lub paj hlwb puas lawm, muaj qhov ua tau zoo ntawm lub hlwb thiab lub cev, kev xav tsis zoo, kev nco tsis zoo. Qee zaum pw tsaug zog ntxhov siab, kiv taub hau. Hauv cov xwm txheej nyuaj tshwj xeeb, qhov muaj peev xwm ntawm kev puas siab puas ntsws, mob hlab ntsha tawg hauv lub hlwb, hemorrhages, thrombosis tsis raug txiav tawm.
Thaum cov roj cholesterol plaques tshwm hauv cov hlab ntsha ntawm caj dab, muaj cov cim qhia ntawm cov ntshav tsis txaus rau lub hlwb, uas yog nrog:
- Nco deterioration.
- Zoo.
- Kev sib koom ua ke.
- Nkauj siab.
- Kev tsis pom kev, hnov, hais lus.
Cov tsos mob ntawm aortic lesion muaj xws li:
- ntshav siab.
- mob hauv siab, tawm mus rau caj dab, plab, caj npab, nraub qaum.
- kiv taub hau.
- Swooning.
- Ua tsis taus pa.
Nyob rau hauv lub xub ntiag ntawm cov txheej txheem pathological, aneurysm tshwm sim (protrusion ntawm phab ntsa hlab ntsha).
Kab mob Coronary vascular manifests nws tus kheej:
- mob plab.
- Irregular heart rate.
- Angina.
- Tshuaj mob plawv tsis ua hauj lwm.
Ib yam mob txaus ntshai ntawm hom mob no yog kev tuag tam sim.
Tawm tsam keeb kwm ntawm kev txhim kho atherosclerotic plaques hauv cov hlab ntsha mesenteric, lub plab zom mov raug cuam tshuam (qhov no tshwm sim los ntawm cem quav lossis raws plab, tsam plab). Qee lub sij hawm tom qab noj mov, qhov mob hnyav tshwm sim. Qee lub sij hawm tus neeg mob raug kev kub ntxhov.
Nyob rau hauv lub xub ntiag ntawm atherosclerotic deposits nyob rau hauv cov hlab ntsha ntawm lub qis extremities, cov tsos mob xws li tas li qaug zog, tsis muaj zog, chilliness ntawm extremities, intermittent claudication tshwm sim (mob tshwm sim thaum taug kev, nws ploj thaum so). Nyob rau hauv lub neej yav tom ntej, muaj kev ua txhaum ntawm trophism ntawm daim tawv nqaij, uas yog nrog los ntawm kev tsim ntawm ulcers. Kev pheej hmoo loj ntawm gangrene.
Muaj peev xwm tshwm sim ntawm atherosclerosis dav dav
Qhov tshwm sim ntawm tus kab mob yog qhov nqaim ntawm lumen ntawm cov hlab ntsha. Muaj cov ntshav tsis txaus rau hauv nruab nrog cev, uas yog fraught nrog cov teeb meem hauv qab no:
- Ischemia.
- Hypoxia.
- Small focal sclerosis.
Muaj kev loj hlob ntawm cov ntaub so ntswg, tag nrho cov no yog nrog los ntawm kev hloov dystrophic. Yog hais tias lub hlab ntsha txhaws lub thrombus, ib qho embolus, qhov teeb meem no yuav ua rau mob vascular insufficiency lossis plawv nres. Lub ntsiab ua rau tuag nyob rau hauv generalized atherosclerosis yog aneurysm rupture.
Tus kab mob no kuaj tau li cas?
Kev kuaj mob ntawm "generalized atherosclerosis" yog tsim los ntawm tus neeg mob cov lus tsis txaus siab thiab cov txiaj ntsig kev tshawb fawb.
Qhia tawmtxiav txim siab cov tsos mob ntawm tus kab mob arterial ua ib qho kev ntsuam xyuas dav dav ntawm lub sijhawm:
- Nyob qhov hnyav.
- Puffiness.
- Tshuaj mob plab.
- Vim lub xub ntiag.
Ua auscultation, uas tus kws kho mob mloog lub suab tshwm sim uas tshwm sim hauv tus neeg mob lub cev. Pathology tuaj yeem qhia tau los ntawm qhov muaj cov systolic yws, hloov pauv hauv cov hlab ntsha.
Raws li kev kuaj mob ntawm lipid kev nyuaj siab, kev kuaj ntshav biochemical tau sau tseg. Nrog rau daim ntawv dav dav ntawm tus kab mob, cov roj cholesterol siab, muaj cov lipoproteins tsawg ntom ntom, thiab triglycerides raug kuaj pom.
Lawv kuj tshuaj xyuas lub siab, microbiosphere ntawm txoj hnyuv (lawv ua coprogram, kuaj kab mob).
Nyob rau kev kuaj mob
Cov txheej txheem ua haujlwm rau kev kuaj mob muaj xws li:
- Angiography.
- Coronary angiography.
- Aortography.
- YUltrasound.
- Duplex Scan.
Vim muaj ntau yam tsos mob, ib qho kev kuaj xyuas dav dav feem ntau raug sau tseg.
Kev kho tus kab mob no
Muab kev kuaj mob kom raug thiab kev kho mob pib raws sijhawm, nws tuaj yeem kho tus neeg mob tus mob zoo. Tab sis yog tias daim ntawv ntawm atherosclerosis dav dav (ICD-10 code I70) tab tom khiav, tus kab mob no yuav kho tau nyuaj dua. Kev kho yog ua raws li kev saib xyuas thiab kev phais.
Cov kev xaiv khaws cia suav nrog kev noj tshuaj hypocholesterolemic,Qhov kev txiav txim ntawm uas yog tsom rau txo qis cov roj cholesterol hauv cov ntshav.
Cov tshuaj uas tau sau ntau tshaj plaws yog:
- YBile acid sequestrants (Cholestyramine, Colestipol).
- Nicotinic acid (Enduracin, Acipimox, Niceritrol).
- statins (Simvastatin, Lovastatin, Pravastatin, thiab lwm yam).
Yog tias pom pom dav dav atherosclerosis ntawm qis qis, cov tshuaj tau sau tseg uas tuaj yeem tswj hwm vascular tone thiab txhim kho cov ntaub so ntswg metabolism. Cov koob tshuaj, lub sijhawm ntawm kev tswj hwm yog txiav txim los ntawm tus kws kho mob.
Vim kev kho tsis siv tshuaj, cov kev pheej hmoo tseem ceeb raug tshem tawm. Cov no suav nrog:
- kev hloov pauv kev ua neej.
- Nyhav normalization.
- Nyob rau hauv lub cev.
- Txhob tus cwj pwm phem.
- Control dhau txoj haujlwm ntawm lub plab zom mov.
- kev zam kev ntxhov siab.
- Kev kho mob ntawm concomitant ailments (hypertension, diabetes).
Generalized atherosclerosis kuj kho phais. Lawv tshem cov quav hniav, tso cov stent rau hauv lub lumen ntawm lub nkoj, nthuav cov lumen ntawm lub nkoj, thiab lwm yam. Ua tsaug rau qhov kev cuam tshuam no, qhov kev pheej hmoo ntawm kev mob plawv lossis mob stroke raug txo.
Kev kho mob nrog cov txhais tau tias tsis yog ib txwm tso cai, tab sis kev sab laj nrog tus kws tshaj lij yog xav tau.
Tshwj xeeb, nrog cov kab mob zoo li no, cov tshuaj niaj hnub qhia kom haus 3 lub lis piam ib hnub. diav roj zaub los yog haus kua txiv ntawm 1 qos yaj ywm thaum sawv ntxov.
Txoj kev zoo yog sib xyaw ntawm zib ntab, kua txiv qaub, roj zaub,noj nyob rau hauv sib npaug proportions. Cov tshuaj yuav tsum tau siv 1 zaug hauv ib hnub (thaum sawv ntxov ntawm lub plab khoob) rau 1 lub rooj. diav.
Kev noj haus
Nws yog ib qho tseem ceeb kom noj zaub mov kom zoo. Cov zaub mov uas muaj roj ntau hauv tsiaj tsis suav nrog tag nrho cov khoom noj:
- nqaij npua.
- Salo.
- Offal.
- khoom noj kaus poom.
- Butter.
Cov carbohydrates yooj yim kuj tseem xav kom tshem tawm (cov hmoov nplej thiab qab zib). Kev siv mayonnaise, dej qab zib caffeinated yog txwv. Koj tuaj yeem siv tsis ntau tshaj 4 g ntsev ib hnub.
Kuv yuav noj dab tsi?
- Nqaij.
- Seafood.
- Nug.
- Low-fat meat (veal, beef, luav).
- Groats (tshwj xeeb yog buckwheat, millet).
- zaub, zaub.
- txiv hmab txiv ntoo thiab txiv hmab txiv ntoo qhuav.
- Garlic.
Los ntawm cov dej haus tso cai tsis muaj zog tshuaj yej, kua txiv.
ntsuas kev tiv thaiv
Kev tiv thaiv kab mob atherosclerosis dav dav yuav suav tias yog ua raws li cov cai yooj yim. Nws yog ib qho tseem ceeb uas yuav tau coj txoj kev noj qab nyob zoo. Cawv thiab luam yeeb raug txwv.
Txhawm rau pab lub cev tshem tawm cov roj cholesterol ntau dhau, rog, siv zog ua haujlwm. Koj tuaj yeem ua haujlwm hauv gym, ua luam dej, khiav lossis taug kev xwb. Ib teev ib hnub twg txaus. Kev ua kis las ua rau txo qis kev pheej hmoo ntawm kev mob atherosclerosis, txhim kho myocardial kev ua haujlwm, pab txhawb rauhnyav normalization.
Nws yog ib qho tsim nyog yuav tsum tau kuaj ntshav txhua xyoo los tswj cov tshuaj hormones, suav nrog cov suav nrog hauv pawg steroid. Lawv pab nce qib roj cholesterol.
Nws yog qhov tsim nyog los kho cov kab mob sib kis (mob ntshav qab zib, ntshav siab). Cov xwm txheej ntxhov siab yuav tsum zam. Tag nrho cov kev tiv thaiv no tseem ceeb rau cov neeg muaj hnub nyoog tshaj 50 xyoo.
