Tshuaj mob atherosclerosis

Atherosclerosis yog ib qho kev kho mob ntev ntev uas ua rau muaj kev puas tsuaj rau cov leeg ntshav, kom nqaim ntawm lawv cov lumen vim yog cov roj ntsha ua rau cov leeg plahaum. Kev phom sij loj heev tsis yog tsuas yog tsos mob, tab sis kuj muaj kev cuam tshuam ntawm tus kab mob. Yog li, nws yog ib qho tseem ceeb kom pib kho tus kab mob kom raws sijhawm. Tab sis dab tsi tshuaj yuav tsum tau siv rau atherosclerosis? Koj yuav tsum nkag siab qhov teeb meem no.

Cov yam ntxwv ntawm kev siv tshuaj yaj yeeb

Kev kho mob ntawm atherosclerosis nrog cov tshuaj yuav tsum tau xaiv ib tus zuj zus, raws li cov txiaj ntsig ntawm kev kuaj pom. Kev xaiv ntawm kev siv tshuaj, qhov ntau thiab sijhawm ntawm kev kho mob yuav tsum tau nqa tawm los ntawm kws kho mob.

Txhais tau tias siv rau kev kho mob ntawm atherosclerosis tuaj yeem ua tiav cov teebmeem hauv qab no:

1. Tsis tshua muaj qhov tshwm sim mob hnyav,
2. Kev siv tsis tu ncua ntawm cov theem ntawm cov "phem" cov rog hauv cov ntshav siab,
3. Kev tiv thaiv kev chwv cov lipids rau hauv cov hlab ntsa,
4. Normalization ntawm cov rog metabolism,
5. Txhim kho cov teeb meem dav dav ntawm hlwb viav endothelial,
6. Kev ruaj khov ntawm atherosclerotic plaques,
7. Kev kho ntshav ntws hauv lub cev.

Txawm li cas los xij, kev kho tus kheej tsuas yog tuaj yeem ua rau tus txheej txheem pathological nyuaj siab dua, vim li ntawd, cov neeg mob yuav tsum tau nrhiav kev pab los ntawm tus kws phais mob lossis tus sawv cev rov los ua haujlwm.

Kev faib tawm ntawm cov neeg sawv cev rau kev kho mob ntawm atherosclerosis:

• Statins lossis reductase inhibitors,
• Fibrates lossis derivatives ntawm fibric acid,
• Nicotinate Pab Pawg
• Sequestrants ntawm cov kua tsib kua tsib los yog anion txauv resins,
• Txhais tau tias yog nyob ntawm amega-3-triglycerides,
• Tshuaj ntsuab kho qhov muag
• Lwm yam tshuaj.

Nws yog ib qho tsim nyog yuav tau txiav txim siab txhua ntawm cov pab pawg hauv cov ncauj lus ntau dua.

Cov tshuaj Atherosclerosis tuaj yeem thaiv ib qho enzyme uas tswj kev synthesis. roj hepatocytes. Kev siv cov tshuaj tua hluav taws kom tsis tu ncua txo cov roj uas txhaws taus hauv cov hlab ntsha, pab txo cov lipid hauv cov plaques uas twb muaj lawm. Raws li qhov tshwm sim, vascular endothelium ruaj khov, qhov kev pheej hmoo ntawm cov ntshav txhaws vim kev sib tawg ntawm cov quav hniav yog txo.

Cov tshuaj los ntawm cov pab pawg ntawm statins rau atherosclerosis yog kws kho nyob rau hauv cov mob zoo li no:

• Tshaj dhau cov roj (cholesterol) nyob rau hauv cov hlab ntshav. Kev kho yog nqa tawm ntawm keeb kwm ntawm kev noj haus,
• Txhawm rau tiv thaiv kev txhim kho cov hlab plawv pathologies hauv cov tib neeg muaj kev pheej hmoo (haus luam yeeb, keeb kwm ntawm ntshav qab zib, kub siab, keeb caj ces),
• Txhawm rau tiv thaiv kev mob ntawm cov leeg atherosclerotic vascular txhab: plawv nres, angina pectoris, mob stroke,
• Txhua tus neeg mob uas tau mob plawv, mob stroke, muaj keeb kwm tsis txaus ntseeg ntawm tus mob angina pectoris.

Simvastatin (tuaj yeem hloov los ntawm Vabadin, Simvakor, Vazilip, Simvakard, Zokor, Vazostat, Simvatin), Lovastatin thiab Pravastatin - tshuaj ntsuab rau atherosclerosis, uas yog tsim los ntawm cov khoom tseem ceeb ntawm qee cov fungi. Fluvastatin, Atorvastatin (hloov nrog Atorvasterol, Amvastan, Liprimar, Livostor, Torvazin, Torvakard, Tulip) thiab Rosuvastatin (cov khoom lag luam zoo ib yam: Klivas, Rosart, Rosulip, Krestor, Rosucard) yog cov tshuaj siv hluavtaws.

Cov tshuaj twg kho atherosclerosis zoo? Cov tshuaj kho mob tshiab (Rosuvastatin thiab Atorvastatin) muaj cov nyhuv lipid-txo qis. Yog li, cov tshuaj no rau atherosclerosis normalize cov roj (cholesterol) hauv cov neeg mob uas tsis rhiab lwm cov tshuaj.

Statins tsis tuaj yeem tsuas yog txo qis qib ntawm lipids hauv cov hlab ntshav, tab sis kuj tseem muaj cov teebmeem hauv qab no:

• Txhim kho lub xeev ntawm vascular endothelium,
• Anti-inflammatory siv
• Txo cov cell adhesion
• Daws cov pob zeb roj
• Txo cov platelet aggregation (txheej txheem gluing),
• Txo cov leeg leeg ntawm kev ua ib ce,
• Txo cov cholesterol nyob hauv bile
• Kev tiv thaiv ntawm Alzheimer tus kab mob, osteoporosis, mob cancer, vascular dementia.

Nws yog ib qho tseem ceeb kom nco ntsoov tias qee kis, noj cov tshuaj statins ua rau ua txhaum ntawm kev sib txuas ntawm cov vitamin K. Vim li ntawd, calcium pib muab tso rau hauv atherosclerotic plaques, uas ua rau lub cev tsis muaj zog, cuam tshuam ntshav, thiab tuaj yeem ua rau lub plawv nres.

Derivatives of fibric acid belongs rau pawg no tshuaj rau atherosclerosis. Fibrates nrawm kev siv roj ua los ntawm kev ua kom lipoprotein lipase.

Kev noj tshuaj tsis tu ncua ua rau muaj kev nce ntxiv hauv tus nqi ntawm lipid oxidation, ua kom lub cev tsis muaj qabzib, kev noj zaub mov vascular, thiab tiv thaiv kev sib tawg ntawm cov plahaum ntawm cov plahaum.

Raws li kev faib tawm niaj hnub, 4 tiam ntawm fibrates yog qhov txawv:

• Clofibrate. Cov cuab yeej tawm suab tsis siv rau hauv kev kho mob ntawm atherosclerosis,
• Gemfibrozil thiab bezafibrat,
• Fenofibrate thiab ciprofibrate,
• Daim ntawv txhim kho fenofibrate.

Cov tshuaj rau atherosclerosis los ntawm cov pab pawg ntawm cov fibrates tau kho rau:

• Txhawb triglycerides nyob rau hauv cov hlab ntshav nrog tag nrho cov roj (cholesterol),
• Rog dhau
• Kev txhim kho ntawm hyperlipidemia sib xyaw, yog tias muaj kev kho mob statin tsis tuaj yeem ua tau,
• Kev mob ntshav siab
• Keeb kwm ntawm tus neeg mob gout,
• Kev tsim muaj cov ntshav qab zib ua kom ntshav qab zib.
• Cov kev tsis pom zoo rau kev teem caij fibrates yog:
• Cov tib neeg lub siab tsis haum rau ib qho twg hauv cov tshuaj,
• Cov kev ua rau mob hnyav rau daim siab thiab lub raum,
• Kev tsim kho ntawm cov lej cholecystitis,
• Tsoo siv nrog cov tshuaj hepatotoxic
• Kev loj hlob ntawm photosensitivity,
• Txoj kev mob hnyav los yog mob ua mob rau hauv cov txiav.

Nicotinate Pab Pawg

Niacin, nicotinic acid, Enduracin - tshuaj siv hauv kev kho mob atherosclerosis. Lawv muaj peev xwm txo qis triglycerides thiab roj (cholesterol), ua rau cov lipoproteins zoo nyob rau hauv cov hlab ntshav.

Cov tshuaj Nicotinic acid ua rau cov nqi tsim nyog. Lawv yuav tsum tau coj tom qab noj mov nrog tshuaj nrog dej. Yuav kom ua tiav qhov kev kho kom zoo, muaj txog 3 g ntawm nicotinates raug kho ib hnub.

Xws li qhov ntau npaum li cas tuaj yeem ua rau txoj kev txhim kho ntawm cov kev mob tshwm sim tsis zoo hauv qab no:

• Tsaus ntuj li tshav kub
• Kev tsim kho ntawm qhov mob hauv thaj tsam epigastric,
• Mob taub hau
• Ua txhaum ntawm daim siab.

Sequestrants ntawm cov kua tsib kua qaub

Hauv cov khoom muaj statin intolerance, cholestyramine thiab colestipol yog siv los kho atherosclerosis. Kev ua ntawm cov tshuaj yog raws li kev sib khi ntawm cov kua tsib kua qaub, uas ua kom paub tseeb tias nqus ntawm cov rog hauv cov hnyuv. Vim li ntawd, cov qib ntawm cov lipids hauv cov hlab ntshav yog li qub.

Nrog kev siv cov tshuaj tsis tu ncua ntawm cov pab pawg no, ntau tus neeg mob nco ntsoov malabsorption ntawm cov roj-soluble vitamins thiab tshuaj. Yog li, cov tshuaj ntxiv yuav tsum haus 4 teev ua ntej noj mov thiab tshuaj, lossis tom qab 1 teev. Nws raug nquahu kom haus cov tshuaj nrog kua txiv los yog kua zaub kom poob dej tawm qhov tsis txaus siab.

Kev kho mob zoo ntawm cov tshuaj hauv atherosclerosis kev tsim tawm tom qab 3-5 lub lis piam.

Ntev nrog kev siv tshuaj, cov kev mob tshwm sim hauv qab no:

1. Muaj los ntshav ntau
2. Indigestion
3. Ua kom tsawg ntawm cov folic acid ntau ntau.

Omega-3-triglycerides

Atherosclerosis tuaj yeem kho los ntawm cov tshuaj uas suav nrog omega-3-triglycerides: Vitrum-cardio, AngiNorm, Ntses Roj, Omacor, Eikonol. Lawv muaj cov teebmeem hauv qab no:

• Kev Hypolipidemic. Ua hauj lwm zoo rau qib ntawm cov "teeb ​​meem" lipids hauv cov hlab ntshav, cov rog rog,
• Kev txhaj tshuaj tiv thaiv kab mob. Lawv nce ntawm lub cev tiv thaiv
• Anticoagulant. Tiv thaiv kev txhim kho ntawm cov ntshav txhaws,
• Antiaggregant.Txo cov platelet adhesion,
• Sau.

Cov tshuaj yog dav siv rau kev kho mob thiab tiv thaiv atherosclerosis, tiv thaiv kev mob plawv thiab mob stroke.

Txawm li cas los xij, omega-3-triglycerides tsis pom zoo siv rau cov xwm txheej hauv qab no:

• Mob leeg ntsws
• Hemophilia

Phytopreparations

Kev txo qis qis hauv cov roj (cholesterol) hauv cov ntshav tso cai: Ravisol, uas yog cov tshuaj sib xyaw ua ke, thiab cov roj ua noob taub dag. Lub tom kawg tau dav siv hauv kev kho mob ntawm hom IIa thiab IIb hyperlipidemia, kev tiv thaiv ntawm atherosclerotic hloov hauv cov hlab ntshav. Cov roj muaj cov lus tshaj tawm hypolipidemic vim muaj cov vitamin E, cov roj ntsha acids, uas yog ib feem ntawm nws.

Ravisol yog tincture ntawm nees ntseej noob, tua thiab cov nplooj ntawm mistletoe, horsetail nyom thiab periwinkle, txiv hmab txiv ntoo ntawm Japanese Sophora thiab hawthorn, clover paj. Herbal cov khoom xyaw pab ua kom qhov theem ntawm triglycerides thiab roj nyob rau hauv cov hlab ntshav, muaj ib qho diuretic thiab antiaggregant effect.

Cov tshuaj tso cai rau txo cov chav kawm ntawm atherosclerosis (raug rau kev kho mob nyuaj ntawm pathology).

Cov tshuaj tau sau tawm 5 ml peb zaug ib hnub ua ntej noj mov. Co lub raj mis ua ntej siv, tom qab ntawd dilute qhov yuav tsum tau ntawm tincture hauv dej rhaub. Lub sijhawm kho mob yuav tsum tsis pub tshaj 10 hnub.

Ravisol yog qhov sib txawv ntawm cov xwm txheej zoo li no:

• Lub xub ntiag ntawm pathologies ntawm ob lub raum, mob siab, hypotension nyob rau hauv anamnesis,
• Hypersensitivity rau ib qho twg ntawm cov khoom siv sib xyaw ua ke.

Cov tshuaj tau pom zoo zoo, tab sis tsis tshua pom muaj qhov tshwm sim ntau:

• Tachycardia
• Kev Ntshav
• Xeev siab thiab ntuav
• Hnov quav ua tsis taus pa
• Epigastric mob
• Mob thaum tso zis,
• Cov tsos ntawm kev tawm tsam ua xua, uas nrog nrog khaus heev,
• Tsaus ntuj li tshav kub.

Lwm yam tshuaj

Yog tias tus neeg mob tau muaj qhov qhia tseeb ntawm cov kab mob atherosclerotic ntawm cov hlab ntsha ntawm qhov qis qis, tom qab ntawd nrog rau cov tshuaj hypolipidemic, nws yog qhov yuav tsum tau siv tshuaj ntawm cov pawg hauv qab no:

• Angioprotectors (Pentoxifylline, Trental, Persantine, Curantil). Cov tshuaj normalize cov zaub mov xa tuaj rau cov ntaub so ntswg ntawm qhov qis qis, txhim kho cov txheej txheem metabolic. Raws li qhov tshwm sim, qhov mob hnyav heev txo,
• Antiplatelet tus neeg sawv cev. Cov tshuaj Acetylsalicylic acid tiv thaiv cov ntshav txhaws, nyias cov ntshav,
• Beta-blockers (Nebivolol, Atenolol, Metoprolol). Tshuaj muaj cim tau tias qhov mob hypotensive,
• ACE inhibitors (captopril, sinopril, lisiropril). Lawv muaj cov teebmeem cardioprotective, txo cov load ntawm lub myocardium, ntshav siab,
• Cov kab mob hypoglycemic. Tso cai rau koj los tswj cov qib suab thaj hauv cov ntshav.

Kev Tiv Thaiv Atherosclerosis

Cov tshuaj hauv qab no yog faib rau kev tiv thaiv ntawm atherosclerosis:

• Antiplatelet tus neeg sawv cev. Cov tshuaj kho mob cuam tshuam nrog platelet thiab endothelial cell kev sib sau, yog li ntawd lawv tau dav siv los tiv thaiv thrombosis,
• Statins Cov tshuaj tiv thaiv kab mob ua rau cov roj hauv cov ntshav hauv lub siab; yog li ntawd, lawv tau siv dav dav los kho thiab tiv thaiv kev txhim kho cov mob atherosclerosis,
• Sequestrants ntawm cov kua tsib kua qaub. Siv dav dav los tiv thaiv tus kab mob hauv cov neeg uas tsis zam lub zog statins.

Thaum kho cov kab mob atherosclerosis, nws yog ib qho tsim nyog yuav tsum ua raws li txhua tus kws kho mob cov lus pom zoo. Cov tshuaj yuav pab txo tus mob ntawm tus neeg mob, txawm li cas los xij, rau txoj kev kho kom zoo nws yuav tau hloov kho kev ua neej, kev noj zaub mov zoo li qub, thiab qhia kev tawm dag zog ib txwm. Tsuas yog txoj kev kho rau txoj kev kho mob tsuas yog yuav pab tshem tawm cov tsos mob ntawm atherosclerosis, qeeb ntawm txoj kev pathological.

Txoj Kev Kho Atherosclerosis

Kev kho tshuaj atherosclerosis yog tsom rau:

• Txo kev ntxhov siab ntawm cov leeg hlwb,
• Kev kho cov lipid metabolism hauv cov neeg mob lub cev,
• Ntaub so ntswg trophic rov qab los,
• Ua kom muaj zog thiab rov kho cov hlab ntsha,
• Txhim kho cov rheology (fluidity thiab sib npaug ntawm cov khoom siv) ntawm cov ntshav,
• Tswj kev tiv thaiv kab mob nrog cov vitamins thiab pob tshuaj ntxiv.

Tsis tas li ntawd, kev xaiv kom muaj kev noj haus kom raug xaiv, kev ua haujlwm ntawm kev ua haujlwm raug hloov kho, thiab kev coj ua ntawm kev xyaum dhia ua si yog tsim.

• kib zaub mov
• siav nrog roj ntxiv,
• siav los ntawm pickling, pickling, haus luam yeeb,
• qe nyob rau hauv loj naj npawb,
• ntses caviar
• cov kaus poom zaub mov
• cov khoom noj ceev
• Kev sib cav sib ceg
• ntau ntawm qab zib
• ci,
• kas fes
• rog, ntsim, salted cheeses,
• hnyuv ntxwm,
• cov nplua nuj muaj zog,
• Chocolate thiab Cocoa
• nceb
• rog nqaij thiab ntses,
• rog
• lub zog haus
• dej cawv.

Lub sijhawm ua haujlwm yuav tsum tau teeb tsa kom lawv thiaj li tsis nyob hauv tib qho haujlwm. Nws yog ib qho tsim nyog yuav tau hloov txoj haujlwm ntawm lub cev, ua haujlwm zaum thiab sawv ntsug, tsis tu ncua kev taug kev thiab ua cov kev qoj ib ce yooj yim uas ua rau kev tshem tawm cov txheej txheem tsis huv.

Kev ua kom ib ce muaj zog yuav tsum suav nrog kev taug kev, kev txav ntawm caj npab thiab txhais ceg yam tsis muaj kev sib zog, lub caj dab sib tw, ncab ntawm txha nraub qaum nyob rau hauv kev txwv ntau.

Yog tias, vim muaj cov atherosclerotic plaques uas twb muaj lawm, ntshav ncig yuav cuam tshuam thiab cov tshuaj kho mob tsis zoo, tom qab ntawd cov kev kho mob phais siv - vascular reconstruction.

Cov tshuaj uas siv rau hauv atherosclerosis

Kev npaj rau atherosclerosis muaj nyob hauv ntau pawg pharmacological: angioprotectors, antithrombotic, txhim kho microcirculation, txhim kho cerebral thiab / lossis peripheral ntshav ncig, lipid-txo qis.

Angioprotectors yog cov tshuaj zoo antispasmodics uas txo cov suab vascular, lawv kuj nthuav tawm vascular lumens, txhim kho microcirculation, normalize vascular permeability, txo qhov o thiab txhim kho kev zom zaub mov hauv cov vascular phab ntsa.

Antithrombotic ntsiav tshuaj rau atherosclerosis ntawm cov hlab ntshav tiv thaiv kev tsim cov ntshav txhaws thiab txhaws ntawm cov hlab ntshav,

Txhim kho microcirculation - txhim kho cov ntshav kev nyob rau hauv cov hlab ntsha me me ntawm lub cev - cov hlab ntsha, uas yog qhov tseem ceeb rau kev noj zaub mov zoo ntawm cov ntaub so ntswg ntawm tag nrho lub cev, muab rau lawv nrog oxygen,

Txhim kho cov ntshav kev - txhim kho ntshav kev hauv cov hlab ntsha ntawm lub paj hlwb, cov hlab ntsha loj (loj) thiab lwm txoj kev ntshav,

Hypolipidemic tshuaj rau atherosclerosis (statins) - txo cov ntshav lipids thiab roj cholesterol dawb. Nrog atherosclerosis, statins yog tshuaj los ntawm cov kws kho mob, yog li lawv yog cov uas daws qhov teeb meem ntawm theem ntawm nws tshwm sim - ntawm theem ntawm lipid metabolism.

Qhov no tsis yog txhua txoj hauv kev rau kev kho mob ntawm atherosclerosis hauv kev faib tawm. Muaj cov tshuaj uas nyob rau ntau pawg thaum tib lub sijhawm, thiab tseem yog cov tshuaj no yog siv rau kev kho mob ntawm atherosclerosis, uas yog rau lwm cov laj thawj tshuaj.

Piv txwv li, cov tshuaj aspirin tau tsim kho thiab muab tshuaj rau cov neeg mob raws li cov tshuaj uas tsis yog tshuaj steroidal los ua kom kub taub hau, daws qhov mob thiab tshem tawm qhov mob.

Tab sis tib lub sijhawm, nws lub zog ntawm kev txo cov ntshav coagulation yog siv rau hauv kev kho mob ntawm cov leeg ntshav.

Tib yam siv rau cov txheej txheem vitamin: lawv tau npaj rau kev kho mob thiab kev tiv thaiv ntawm hypovitaminosis, tab sis cov kab hauv nws muaj cov txiaj ntsig zoo rau lub xeev cov hlab ntsha thiab cov ntshav sib xyaw, uas ua rau cov vitamins tsis muaj peev xwm nyob rau hauv kev kho mob ntawm kev kho mob ntawm atherosclerosis.

Cov tshuaj twg kho atherosclerosis zoo?

Lo lus teb rau lo lus nug no yooj yim: qhov uas zoo tshaj plaws raws li qhov xav tau ntawm tus neeg mob tshwj xeeb. Kev txuag tus mob atherosclerosis tsuas yog ib txoj kev xaiv los kho tus mob. Lub hom phiaj tseem ceeb ntawm kev siv tshuaj kho muaj raws li hauv qab no:

• normalize lipid metabolism (cov roj (cholesterol), qis, cov lipoproteins ntau ntom, triglycerides),
• tiv thaiv kom tsis txhob mob thrombosis,
• normalize ntshav siab.

Yuav kom ua tiav lub hom phiaj ntawm kev kho mob, tus kws kho mob tau sau tshuaj rau ntau pawg. Tam sim no peb yuav xyuas txhua qhov ntawm no kom meej.

Cov neeg sawv cev hypolipidemic

Hypolipidemic tshuaj rau atherosclerosis yog kho rau qee yam feem ntawm cov rog, cov kab mob pathological uas cuam tshuam nrog kev txhim kho ntawm tus kab mob. Cov no yog cov txiaj ntsig zoo ntawm cov roj (cholesterol), cov roj lipoproteins tsawg (LDL), roj triglycerides, tsis tshua muaj nuj nqis ntawm cov lipoproteins ntau ntom (HDL).

Nyob rau hauv tag nrho, 7 chav kawm ntawm cov tshuaj yuav koom nrog pawg no:

• statins
• fibrates
• nicotinic acid (nws kuj yog vitamin PP, vitamin B3, niacin),
• sequestrants ntawm cov kua tsib kua qaub,
• cov roj uas txhaws taus blockers,
• omega-3 fatty acids
• kev sib koom ua ke txhais tau tias.

Txhua yam tshuaj muaj cov teebmeem sib txawv ntawm cov lipid feem. Yog li no, thaum lawv tau mus noj tshuaj, tus kws kho mob coj mus rau hauv qhov kev ntsuas qhov ntsuas, qhov yuav tsum tau hloov ntau npaum li cas.

Statins yog qhov kev kho mob siab tshaj plaws rau tus mob atherosclerosis. Lub tshuab ntawm lawv cov kev ua yog los thaiv qhov kev coj ua ntawm cov cholesterol. Cov Statins feem ntau cuam tshuam rau cov roj (cholesterol), LDL cov cholesterol, tsawg dua - triglycerides, HDL. Kev siv cov tshuaj tuaj yeem txhim kho lub xeev ntawm cov hlab plawv vim yog cov khoom ntxiv. Statins:

• txhim kho kev mob ntawm cov leeg ntsa,
• tiv thaiv spasm ntawm cov hlab ntsha,
• txo cov ntshav viscosity
• cuam ​​tshuam nrog thrombosis,
• muaj cov nyhuv anti-inflammatory (cov tshuaj tshiab).

Txhua qhov statins uas twb muaj lawm tau muab faib ua plaub tiam:

• thawj (simvastatin, pravastatin, lovastatin),
• thib ob (fluvastatin),
• thib peb (atorvastatin),
• plaub (rosuvastatin, pitavastatin).

Statins yog cov tshuaj uas tsuas yog siv los tiv thaiv atherosclerosis, nrog rau nws cov kev mob hnyav. Kev npaj ua ntej rau kev mob atherosclerosis yog cov sawv cev ntawm 1st tiam. Lawv yog cov khoom pov tseg ntawm microscopic fungi. Lovastatin yog lub hauv paus chiv keeb kiag li, pravastatin, simvastatin yog cov hluavtaws ib nrab. Qhov so ntawm statins yog cov tshuaj siv hluavtaws.

Thawj thawj, tiam thib ob txawv los ntawm cov tshuaj tom qab hauv nws txoj haujlwm tsis muaj zog, ua rau lub cev muaj zog ntau dua, thiab ntev cov npe tshuaj uas sib cuam tshuam tau.

Cov Statins yog tshuaj rau cov neeg mob ua tsis taus zaub mov uas pom tau tias:

• roj ntsha homo- los yog heterozygous hypercholesterolemia,
• sib xyaw hypercholesterolemia,
• hypertriglyceridemia,
• dbetalipoproteinemia.

Kev noj haus yuav tsum raug pom thoob plaws hauv chav kawm ntawm kev kho mob.

Kev siv cov statins rau atherosclerosis tuaj yeem tiv thaiv myocardial infarction, mob ntshav tawm. Yog li, lawv tau qhia rau cov neeg muaj mob plawv, thiab ntxiv rau cov cholesterol, HDL.

Cov sawv cev ntawm lub sijhawm tiam tshiab tam sim no yog cov tshuaj uas tsuas yog tsim nyog tau raug tshuaj rau kev tiv thaiv ntawm asymptomatic atherosclerosis. Qhov no siv rau cov neeg muaj qhov pheej hmoo loj ntawm kev tsim muaj mob hnyav ua mob plawv. Kev pheej hmoo yog cov poj niam laus dua 60 xyoo, cov txiv neej laus dua 50 xyoo, nrog rau cov neeg mob uas muaj cov ntsiab lus siab ntawm CRP protein, uas muaj ib qho ntawm cov kev xav hauv qab no:

• haus luam yeeb
• kev kub siab
• muaj cov neeg txheeb ze nrog kev txhim kho tus kab mob thaum ntxov,
• tsis tshua muaj siab ntawm HDL.

Cov Yuav Tsum Muaj

Kev siv cov statins rau kev kho mob ntawm atherosclerosis yog txwv los ntawm contraindications:

• kev tsis qaug rau ib qho tshuaj twg, suav nrog lactose,
• pathology ntawm lub siab nyob rau hauv mob mob theem,
• mob hlwb
• mob raum tsis ua haujlwm (xaiv cov tshuaj),
• cev xeeb tub
• kev pub mis
• tsis muaj kev tiv thaiv zoo kev tswj tsis taus cov poj niam thaum lub hnub nyoog muaj menyuam.

Qhov siab tshaj plaws ntawm rosuvastatin kuj yuav tsum tsis txhob muab tshuaj:

• cov sawv cev ntawm haiv neeg Moob.
• dej cawv
• nrog mob raum tsis ua haujlwm.

Kev siv cov tshuaj statin rau cov menyuam yaus raug txwv rau ntau hom. Qhov ruaj ntseg ntawm cov chaw so tsis tau tsim.

Yog tias tus neeg mob, ntxiv rau cov ntsiav tshuaj rau atherosclerosis, yuav siv lwm cov tshuaj, nws yog qhov yuav tsum tau kuaj xyuas lawv cov kev sib xyaw. Statins hloov lub siab ntawm qee yam tshuaj tua kab mob, tshuaj tua kab mob, tshuaj anticonvulsants, anticoagulants, tshuaj mob HIV, tshuaj tiv thaiv kab mob, thiab tshuaj tiv thaiv kab mob.

Sab sij huam

Hauv kev kho atherosclerosis nrog statins, qhov tshwm sim ntau tshaj plaws yog:

• mob taub hau
• sib koom tes, mob leeg,
• tsis muaj zog
• nasopharyngitis,
• cem quav, roj, qee zaum raws plab,
• kev fab tshuaj tsis haum
• ntxiv ntshav qab zib.

Tsawg dua cov kev mob tshwm sim:

• insomnia
• npau suav phem
• kiv taub hau
• nco tau tsis meej,
• pom kev pom
• kab mob siab
• pancreatitis
• ua txhaum ntawm kev rhiab
• dermatological teeb meem
• myopathy, rhabdomyolysis,
• dajntoo
• Quincke's edema,
• lub raum tsis ua hauj lwm.

Fibrates yog ib pawg tshuaj uas yog derivatives ntawm fibroic acid. Feem ntau, cov neeg mob tau raug fenofibrate, tus sawv cev ntawm kev tsim tshuaj tshiab tam sim no. Lub hauv paus ntsiab lus ntawm lawv cov kev ua yog lub peev xwm ua kom muaj kev sib cais ntawm VLDL uas muaj ntau ntawm triglycerides. Thaum noj cov tshuaj fibrates, cov qib ntawm cov rog nruab nrab qis qis li 20-55%, cov roj cholesterol 10-25%, LDL 10-35%, thiab cov concentration ntawm HDL nce ntxiv los ntawm 10-30%.

Fibrates tsis tshua muaj siv los ua kev kho tus mob atherosclerosis, vim lawv qis dua rau statins hauv qhov ua tau zoo. Lawv raug siv los ua kev kho rau qhov mob siab triglycerides, HDL qis, lossis rau statin intolerance.

Kev phiv tshuaj

Hauv 5-10% ntawm cov neeg mob, noj cov nqaij pob txha mos, xeev siab, mob lub plab tsis xis nyob, mob taub hau. Tsawg dua cov kev mob tshwm sim:

• feem ntau tsis muaj zog
• kab mob siab
• ib qho kev hloov pauv ntawm cov muaj cov kua tsib, uas ua rau muaj kev pheej hmoo ntawm kev muaj tus mob gallstone (tshuaj ntawm 1-2 tiam),
• pancreatitis
• flatulence
• rhiab rwg mus rau lub teeb
• lub raum tsis ua hauj lwm
• mob o
• myopathies
• rhabdomyolysis,
• arrhythmias
• tsis muaj potency (yam ntxwv ntawm cyclofibrate) tsawg dua.

Nicotinic acid

Niacin (niacin, vitamin B3, PP) belongs rau cov vitamins B. Kev noj tshuaj ntau ntawm cov tshuaj muaj cov roj lipid zoo txo ​​qis, tshwj xeeb tshaj yog cuam tshuam nrog cov rog nruab nrab. Nws txo cov roj cholesterol los ntawm 15–15%, 5 ,25% ntawm LDL, 20–35% ntawm triglycerides, thiab nce HDL los ntawm 15–35%.

Txawm li cas los xij, niacin kev npaj rau vascular atherosclerosis tsis tshua muaj siv. Qhov laj thawj yog tus lej ntawm cov kev mob tshwm sim heev. Qhov no tsis yog qhov xav tsis thoob, vim tias kev noj tshuaj vitamin ntau rau ib tus neeg laus yog 20 mg, thiab lipid-txo cov nyhuv yog tshwm sim hauv qhov ntau npaum ntawm 1000-6000 mg.

Qhov tseem ceeb qhia rau kev teem caij yog hypertriglyceridemia. Nicotinic acid tseem siv rau hauv cov neeg mob hnyav uas muaj cov roj cholesterol ua ke nrog statins lossis ua cov tshuaj ywj siab rau lawv tsis kam txais.

Sab sij huam

Noj cov tshuaj hauv 80% ntawm cov neeg mob yog nrog nws khaus, liab ntawm lub ntsej muag, caj dab. Lwm 20% ntawm cov neeg yws yws txog ntawm kev xav, tsis hnov ​​mob plab. Lwm yam kev phiv tshuaj suav nrog:

• feem ntau tsis muaj zog
• mob taub hau
• kiv taub hau
• cov tsos mob ntawm tus mob khaub thuas,
• lub raum tsis ua hauj lwm
• txhaws qa
• o ntawm lub ntsej muag, lub caj pas, tus nplaig, daim di ncauj, qhov muag, caj npab, ceg,
• mob gout
• daim siab puas
• siab qab zib
• zawv plab
• tsis qab los noj mov
• mob leeg nruj
• nyiam txoj kev los ntshav, doog ntshav,
• ncus ntawm koj tus kheej lub plawv dhia,
• tsis pom kev, txog thaum dig muag.

Txheej txheem cej luam ntawm ib cov tshuaj

Actovegin yog siv rau hauv atherosclerosis raws li lub zog ntawm kev tsim cov ntaub so ntswg. Actovegin hauv cov ntsiav tshuaj rau atherosclerosis kho mob vascular, rov qab kho lub hlwb, tshem tawm cov kev cuam tshuam ntawm kev mob hlwb.

Kev hno rau atherosclerosis nrog Actovegin pab tua cov kev tsim cov plaques tshiab hauv qhov lumen ntawm cov hlab ntshav, yog li ntawd normalize ntshav txaus.

Nrog cov mob atherosclerosis, cov tshuaj aspirin robs platelets, txo kev pheej hmoo ntawm cov ntshav txhaws, thiab txo txoj kev pheej hmoo ntawm cov quav hniav.

Raws li tib neeg hais, cov tshuaj aspirin "dilutes ntshav", yog li nws qaug cawv tsis tsuas yog lam tshuaj, tab sis kuj rau kev tiv thaiv lub hom phiaj.

Nws yog qhov tseem ceeb nyob rau hauv kev tiv thaiv ntawm lub plawv nres thiab mob hlab ntsha tawg, nrog rau kev hem thawj ntawm hemorrhage, tom qab kev phais mob ntxiv rau ntawm cov nkoj kom tiv thaiv lawv cov txhaws. Kev siv tshuaj tshwj xeeb, tshuaj aspirin cardio, yog kev pom zoo.

Kev npaj tshuaj Nicotinic acid rau atherosclerosis yog siv los ua cov tshuaj vitamin B thiab ib tus neeg sawv cev lipid-txo qis.

Tom qab noj cov tshuaj nyob rau hauv cov ntshav, cov concentration ntawm tag nrho cov roj cholesterol poob qis, cov txheej txheem coagulation ntshav tau me ntsis inhibited, nws muaj cov vasodilating siv, uas yog, nws nce vascular lumen.

Thaum muaj mob atherosclerosis, nicotinic acid yog siv rau hauv cov qauv ntawm cov ntsiav tshuaj thiab cov kev siv tshuaj tiv thaiv: enduracin (ntsiav tshuaj ntawm qhov kev txiav txim siab ntev), nicoshpan (ua ke nrog drotaverine hydrochloride, nws ua rau cov ntshav khov thiab txo cov mob pob txha),,

Niacin tseem muaj nyob hauv cov vitamins pom zoo rau atherosclerosis thiab lwm yam teeb meem vascular: velmen, gigagamp.

Perftoran yog ntshav ntshav hloov cov tshuaj tiv thaiv atherosclerosis siv hauv tsev kho mob. Kev kho mob ntawm atherosclerosis nrog perftoran yog nqa tawm los ntawm cov tshuaj tswj hwm.

Droppers rau atherosclerosis nrog perfluorane tau muab tso rau hauv cov mob me lossis mob microcirculation tsis meej. Nws raug nquahu kom sib txuas nrog lawv nrog cov mov los ntawm lub qhov ntswg txoj raj lossis daim npog qhov ncauj ntawm huab cua sib xyaw nrog cov pa.

Mexidol nyob rau hauv atherosclerosis zoo rau kev tshem tawm cov teebmeem ntawm hypoxia, rov kho lub hlwb kev noj haus ntawm lub cev, thiab rov pib ua kom tsis muaj zog nyob hauv cov hlab ntsha me me. Nws kuj muaj qhov cuam tshuam los tiv thaiv kev ntxhov siab thiab antitoxic.

Roj ntses rau atherosclerosis yog kws kho ntxiv rau qhov ua pob rau atherosclerosis vascular.

Nws ua lub luag haujlwm tseem ceeb hauv cov txheej txheem redox, koom nrog kev sib xyaw lipid, ua kom muaj kev ncaj ncees ntawm cov ntaub so ntswg epithelial, ntxiv dag zog rau lub cev, txhawb kev ua haujlwm thiab ua haujlwm noj qab haus huv ntawm cov hlab plawv.

Nrog atherosclerosis, lwm yam tshuaj siv kuj yog siv rau kev kho mob.

Phlebodia ua raws li cov venotonic, uas yog, lub suab nrov thiab ntxiv dag zog rau cov leeg ntshav, rov qab kho microcirculation, txhim kho cov pa oxygen rau cov nqaij thiab lawv cov trophic.

Akorta normalizes lipid metabolism, txo cov concentration ntawm "tsis zoo" cov roj hauv cov ntshav thiab tiv thaiv nws cov deposition. Pab lub siab kom tiv thaiv cov rog tuaj ntawm cov khoom noj thiab pab tsim cov roj "zoo" cov rog.

Kev hais qhia txhim kho hemodynamics hauv lub hlwb, txhawb kev txaus oxygen txaus ntawm lub hlwb cov leeg nqaij, nce ntshav khiav ceev.

Allapinin nrog nws cov lus hais txog kev txhim kho kev mob ntshav siab tuaj yeem suav nrog hauv cov txheej txheem rau kev kho mob ntawm cov mob ntshav txhaws.

Liprimar normalizes cov roj cholesterol thiab nrawm nrawm-sib pauv.

Amiodarone pab cuam rau cov tsos mob ntawm tus mob atherosclerosis ntawm cov hlab ntshav ntawm cov hlab ntshav hauv plab, tshem tawm qhov kev xav ntawm lub siab thiab mob hauv lub hauv siab, pab txhawb kev ua pa thiab ruaj khov qhov xav tau oxygen hauv lub plawv.

Atherosclerosis Homeopathy

Kev siv ntawm homeopathy nyob rau hauv kev kho mob ntawm atherosclerosis muab cov txiaj ntsig zoo hauv kev sib xyaw nrog cov txheej txheem ntawm kev kho mob.Ib txoj kev kho mob nrov rau atherosclerosis nrog homeopathy yog esculus compositum.

Nws yog siv rau cov mob arteriosclerosis thiab lwm yam kev mob siab ib leeg ib zaug ntxiv. Nws raug nquahu kom haus cov chav kawm rau cov neeg tau kuaj pom tias muaj tus kab mob vegetovascular dystonia, varicose leeg thiab, tau kawg, mob atherosclerosis. Nws kuj zoo rau normalizing siab.

Cardio-ika nyob rau hauv daim ntawv ntawm homeopathic muaj cov lus hais kom zoo nkauj thiab cuam tshuam los tiv thaiv kev ntxhov siab, nrog rau cov ua lub plawv ntev. Cov cuab yeej no ua tau zoo tiv thaiv nrog kev tshwm sim ntawm cov tsos mob ntawm atherosclerosis ntawm cov hlab ntshav hlab ntsha.

Kev siv lwm yam kev sib tham

Cov tshuaj tua kab mob atherosclerosis tsis muaj kev cuam tshuam, vim tias tus kab mob no tsis muaj cov kab mob tua cov kab mob. Cov tshuaj rau atherosclerosis yog npaj rau kev kho kom rov qab muaj ntshav txaus, txo cov plaques uas tsim thiab tiv thaiv kev tsim cov plaques tshiab.

Cov tshuaj tua kab mob kuj tseem muaj cov kab mob bactericidal thiab bacteriostatic zoo, uas tsis suav nrog hauv cov qauv kho mob.

Cov tshuaj tua kab mob rau cov atherosclerosis ntawm cov hlab ntsha cuam tshuam kev ua haujlwm:

• mob siab, uas tawm mus rau cov rog (hu ua, cov quav hniav muaj cov rog),
• paug cov haujlwm ntawm lub plab thiab rhuav tshem lub plab hnyuv microflora kom zoo, uas ua rau lub cev tsis muaj zog ntawm cov tshuaj uas tau siv rau kev kho mob ntawm atherosclerosis,
• muaj tshuaj lom rau hauv lub hlwb thiab lub plawv.

Thaum kuaj mob atherosclerosis, nws yog ib qho tseem ceeb heev kom muaj lub siab. Nws yog nws leej twg tsim cov roj (cholesterol) uas muaj txiaj ntsig thiab tiv cov roj (cholesterol) phem los ntawm sab nraud.

Yog li ntawd, nrog atherosclerosis, cov tshuaj tau raug kho rau kev kho thiab tiv thaiv cov kab mob siab thiab hepatoprotectors:

1. Antraliv yuav txhawb nqa lub siab nrog rau kev quav yeeb tshuaj, yuav tsum noj tshuaj ntau thiab nrog cov kab mob somatic muab cov teeb meem rau daim siab,
2. Hepatosan kuj siv nyob rau hauv yeeb tshuaj intoxication thiab raws li prophylaxis - nyob rau hauv kev kho mob ntawm cov muaj zog tshuaj,
3. Heptrong muaj cov nyhuv zoo sib xws thiab tseem yog tus pabcuam pabcuam zoo rau lub siab,
4. Qhov tseem ceeb thiab Essliver tshem tawm cov tshuaj phiv los ntawm cov tshuaj, ua kom cov lipid metabolism tsis zoo thiab pab ua kom lub siab tiv taus cov rog.

Npaj rau kev kho mob ntawm cerebral arteriosclerosis: txaj, fibrates, antiplatelet tus neeg sawv cev thiab lwm yam

Kev kho mob ntawm cerebral arteriosclerosis yog cov txheej txheem ntev los tswj cov khoom noj khoom haus ntawm cov leeg hlwb, tiv thaiv lub plawv thiab lub hlwb los ntawm hypoxia, txhim kho cov ntshav ncig thiab elasticity ntawm phab ntsa vascular. Cov kev kho mob zoo tshaj plaws nrog cov tshuaj yuav tsum coj mus rau hauv tus account tsis yog tsuas yog cov xwm txheej uas ua rau muaj kab mob pathology, tab sis kuj ua haujlwm kom tshem tawm cov tsos mob tshwm sim los ntawm spasm thiab nqaim ntawm lumen ntawm lub vascular txaj.

Muab ntau qhov sib txawv ntawm cov duab hauv chaw soj ntsuam, nyob ntawm kev ua kom ze ntawm txheej txheem, cov nyiaj tau raug txiav txim siab raws li cov ntaub ntawv tau txais thaum lub sijhawm kuaj mob ntawm tus neeg mob, kev noj tshuaj rau tus kheej tuaj yeem cuam tshuam loj heev.

Kho pawg

Tshuaj rau kev kho mob ntawm cerebral arteriosclerosis raug xaiv coj mus rau hauv tus account ntau txoj kev kho:

1. vasodilator,
2. cuam ​​tshuam lub elasticity ntawm cov leeg ntsa,
3. txhim kho trophism (khoom noj khoom haus) ntawm lub hlwb cov ntaub so ntswg.

Tsis tas li ntawd, cov tshuaj tiv thaiv kabmob (nrog rau kev mob ntshav siab), cov ntsiav tshuaj muaj ntshav qab zib (nrog rau qhov ntsuas ntshav qab zib ntxiv), thiab cov tshuaj uas pab txo cov roj (cholesterol) yog raug xaj.

Tshuaj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj rau atherosclerosis ntawm cerebral hlab ntsha yog siv rau cov neeg mob kho mob sab hauv. Nyob hauv tsev, qhov kev xaiv yog muab rau cov fias cov ntawv.

Tseem Ceeb! Cov tshuaj tau muab txhaj tshuaj rau qhov quav tshuaj los yog ncaug ntshav rau hauv cov hlab ntshav, uas ua tiav qhov kev kho tau sai.

Hauv kev kho cov kab mob atherosclerotic txhab tau dav siv:

• Vinpocetine thiab CavintonCov. Nquag trophic cov hlab ntaws ua ke, txhim kho cov ntshav ncig.
• Nicotinic acid thiab nws cov derivativesCov. Tswj cov lipoproteins tsawg ntom hauv lub cev, tiv thaiv cov leeg. Lawv qhib cov ntaub so ntswg ua haujlwm, txhim kho lub hlwb kev noj haus ntawm lub cev vim muaj kev nthuav dav ntawm cov nkoj me me. Kev txhaj tshuaj ntawm nicotinic acid yog tshuaj los ntawm kws kho mob. Muaj cov contraindications rau kev kho mob ntawm cov neeg mob uas lub raum tsis ua haujlwm.
• Piracetam (muaj nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj thiab cov ntsiav tshuaj) muaj cov nyhuv nootropic. Nws yog ntawv kho kho mob dementia rau cov neeg laus. Txhim kho lub hlwb kev noj haus. Tshem tawm cov hlab ntshav txhaws.
• Eufillin muaj cov nyhuv vasodilating muaj zog. Nws yog contraindicated rau cov neeg laus raug kev txom nyem los ntawm kab mob plawv. Nws txhim kho lub hlwb kev noj haus thiab txo qhov rhiab siab ntawm cov hlab ntsha hloov mus rau hypoxia tshwm sim los ntawm vasospasm.

Tseem Ceeb! Lawv tsis tsim nyog rau kev kho mob hauv tsev vim muaj cov txiaj ntsig zoo vim muaj kev cuam tshuam los ntawm cov ntshav.

Calcium antagonists

Ib qho yeeb yaj kiab ntawm vasodilating tshuaj ntawm pab pawg no yuav yog qhov xaiv xaiv ntawm cov hlab ntsha, nrog tib lub suab ntawm cov leeg. Vim tias cov nyhuv no, cov ntshav ncig ntawm lub hlwb tau txhim kho los ntawm cov pa oxygen. Lub xeev ntawm kev noj qab haus huv zoo dua, cov tsos mob ntawm cerebral ischemia txo.

Hauv kev kho mob ntawm atherosclerosis, siv cov tshuaj hauv qab no:

• phenylalkylamine derivatives (Isoptin),
• kev npaj nifedipine (Cordipine, Corinfar, Adalat),
• benzothiazepine derivatives (Diazem, Diazepam).

Thawj cov tshuaj muaj ntau yam tsis zoo. Cov tshuaj ntawm pab pawg no ntawm lub cim thib ob suav nrog:

Cov ntsiav tshuaj tshiab tam sim no muaj cov txiaj ntsig zoo li qhov ua ntej, tab sis lawv muaj cov lej zoo:

• ncua sijhawm ntawm kev txiav txim txo qhov ntau npaum li cas thiab kev siv sijhawm ntawm kev tswj hwm,
• kev xaiv ntawm kis kom tsis txhob muaj ntau tus xovtooj ntawm cov teebmeem muaj,
• ob peb sab phiv.

Cov tshuaj siv tau zoo tshaj plaws yog Cinnarizine thiab Nimodipine, uas txhim kho lub hlwb kev noj haus tsis tas cuam tshuam rau lwm lub nkoj.

Tseem Ceeb! Cov tshuaj uas muaj peev xwm ua kom roj ntshav ntxiv yog yuav tsum tau kho hauv ntshav siab. Txawm li cas los xij, kev noj tshuaj rau tus kheej tsis tso cai, nruj me ntsis rau kev muab tshuaj yog tsim nyog los txo qhov tsis zoo ntawm kev siv lub sijhawm ntev.

Vascular muaj zog

Cov tshuaj uas ua rau kom elasticity ntawm cov leeg ntshav phab ntsa thiab qeeb cov laus ntawm cov ntshav ncig. Koj tuaj yeem ua tiav kev ua kom vascular muaj zog los ntawm kev noj cov vitamins, minerals thiab kev noj haus.

Tshuaj uas xaiv:

• Cov vitamins B thiab C (cov txiaj ntsig zoo tshaj plaws tau ua tiav thaum noj lawv),
• selenium
• poov tshuaj
• silicon
• dihydroquercetin.

Vitamin complex tau noj thaum lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg thiab ua rau muaj kev tiv thaiv ntawm lub cev, uas txhais tau hais tias lawv txo qis kev pheej hmoo ntawm kev mob ntshav, uas yog qhov tseem ceeb los tiv thaiv kom tsis txhob mob thrombosis thiab kev puas tsuaj rau cov leeg hauv cov hlab ntshav.

Ntshav ntshav

Cov ntshav ntau dua, qeeb qeeb nws txav los ntawm cov hlab ntsha thiab qhov ntau dua ntawm cov kab mob erythrocyte nyob rau saum npoo ntawm cov plahaum roj av, uas ua rau muaj mob txhaws thiab mob hlwb ischemia, nyob rau hauv cov mob hnyav ntawm mob stroke.

Cov ntshav liquefaction tau ua nyob rau hauv kev tswj hwm nruj ntawm KLA cov kev ntsuas thiab ua raws li cov txheej txheem sau tseg. Kev tso cai tsis raug cai ntawm cov tshuaj tuaj yeem ua rau los ntshav:

• Cov tshuaj tiv thaiv tus mob (Aspirin)yog kho ob qho tib si siv rau kev siv mus ntev thiab ua ib qho tshuaj xwm txheej ceev rau lub hlwb ischemia.
• Cov Tshuaj Anticoagulants (Warfarin, Heprain) tshuaj tom qab kho kho mob thiab nrog tus cwj nrag. Hauv kev kho mob ntawm cerebral atherosclerosis, lawv tsuas yog siv nyob ruaj ruaj.
• ThrombolyticsCov. Lawv tau siv rau cov cwj nrag thiab mob plawv hauv thawj hnub tom qab lawv txoj kev loj hlob. Thrombi yaj.

Kev npaj rau kev kho mob ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis

Nws yog qhov muaj peev xwm yuav kho atherosclerosis ntawm ob txhais ceg.Ua kom zoo li no, tus neeg mob yuav tsum noj qee yam tshuaj uas yuav cuam tshuam rau cov rog rog, tiv thaiv cov ntshav txhaws thiab txhim kho cov ntshav txaus.

Lub hauv paus ntawm txoj kev kho yog 3 pawg ntawm cov tshuaj - statins, fibrates thiab ntxiv rau cov kua tsib kua qaub. Lawv yuav tsum tau kawm hauv cov kev kawm ntev - tsawg kawg 2-3 hlis.

Tus Kws Kho Mob ntawm Medical Sciences, Professor G. Emelyanov:

Kuv tau kho tus mob ntshav siab tau ntau xyoo. Raws li kev txheeb cais, nyob rau hauv 89% ntawm cov neeg mob, ntshav siab ua rau lub plawv nres lossis mob stroke thiab ib tus neeg tuag. Txog li ob feem peb ntawm cov neeg mob tam sim no tuag thaum thawj 5 xyoos ntawm tus kab mob.

Qhov tseeb hauv qab no - nws yog qhov ua tau thiab tsim nyog los daws lub siab, tab sis qhov no tsis kho tus kab mob nws tus kheej.

Cov tshuaj tsuas yog kev pom zoo los ntawm Ministry of Health rau kev kho mob siab thiab nws kuj yog siv los ntawm kev kho plawv hauv lawv txoj haujlwm yog qhov no.

Cov tshuaj cuam tshuam rau kev ua kom muaj tus kabmob, uas ua rau nws muaj peev xwm ua kom tiav ntawm kev kub siab. Ib qho ntxiv, nyob rau hauv tsoomfwv txoj haujlwm, txhua tus neeg nyob hauv Lavxias Lavxias tuaj yeem txais nws PUB DAWB.

Rau cov hom phiaj pab, antispasmodics, anticoagulants, antiplatelet agents, multivitamin complexes, antihypertensive tshuaj yuav siv tau. Txhawm rau tiv thaiv kev txhim kho ntawm kev mob qog thiab mob caj dab, tshuaj kho mob yog cov tshuaj kho cov nqaij mos trophic.

Dab tsi yog atherosclerosis ntawm ob txhais ceg?

Ua ntej xav txog kev kho mob kho mob ntawm atherosclerosis ntawm qis qis, peb yuav sim nkag siab txog pathogenesis, ua rau thiab cov tsos mob ntawm tus kab mob. Yog li, atherosclerosis yog pathology uas yog ib qho txiaj ntsig ntawm kev ua txhaum ntawm lipid metabolism.

Nrog atherosclerosis ntawm ob txhais ceg, cov roj hauv plaques cuam tshuam rau cov hlab ntsha loj thiab cov hlab ntsha uas muab cov ntshav ncig nyob hauv qis qis. Tus kabmob pib nrog kev tsim cov nqaij rog ua rog me me rau hauv qhov tob ntawm cov hlab ntshav. Thaum lub sij hawm, cov quav hniav maj mam nce, thiab tuaj yeem succumb rau calcification (tsub zuj zuj ntawm calcium calcium).

Atherosclerosis ntawm qhov qis qis yog qhov txaus ntshai heev. Tawm tsam cov nyom ntawm tus kab mob, trophic mob rau sab hauv thiab txawm tias mob caj pas tuaj yeem loj hlob. Hauv qhov no, txhais ceg yuav tsum ua kom tau.

Cov kws kho mob tsis tuaj yeem hais meej tias yog vim li cas thiaj mob atherosclerosis. Tab sis muaj ib tug xov tooj ntawm cov tsis tseem ceeb rau kev tsim kho tus kabmob. Txhua yam yog muab faib ua kev hloov kho thiab tsis kho. Cov qub yog amenable mus kho, tus kawg tsis yog.

Ntawm qhov xav tau yog qhov:

• Mob ntshav qab zib mellitus.
• Cov kab mob muaj roj predisposition.
• Laus lub caij nyoog.
• Pob Tsuas
• Kev noj tsis txaus.
• Cov txiv neej ua khub.
• Cov cwj pwm tsis zoo.
• Kev Hypodynamia.
• Kab mob ntawm cov hlab plawv lossis endocrine system.

Nyob rau theem pib, tsis pom meej cov tsos mob ntawm tus kabmob. Txawm li cas los xij, thaum lub sijhawm dhau los, thaum cov quav hniav maj mam loj zuj zus, cov cwj pwm hauv cov kab mob tshwm sim.

Yog li, tus neeg mob pib hnov ​​txias ntawm qhov qis dua, mob nqaij pob txha, mob hnyav hauv ob txhais ceg thaum taug kev. Lameness thiab tsam plab ntawm cov leeg tshwm sim. Sij hawm dhau mus, loog ntawm ob txhais taw, pallor ntawm daim tawv nqaij, tawv nqaij cyanosis (cyanosis) tshwm sim.

Yog tias xav tias atherosclerosis, tus neeg mob yuav tsum yauv mus kuaj ntshav biochemical, undergo ultrasound, CT, MRI thiab angiography.

Statins yog qhov tshiab hauv kev kho mob ntawm atherosclerosis ntawm qis qis dua. Kev npaj pib tau pib siv thawj zaug hauv xyoo 70s. Cov tshuaj tau siv dav hauv CIS lub teb chaws hauv 90s.

Dab tsi yog statins? Lo lus no yog hais txog cov tshuaj uas ua kom cov lipid metabolism li cas los ntawm kev txo cov synthesis ntawm cov roj los ntawm lub siab. Yuav siv tau cov tshuaj Statins txawm tias yuav pab tiv thaiv rau cov neeg muaj ntshav qab zib lossis ua mob rau cov mob atherosclerosis.

Ib qho teeb meem tseem ceeb ntawm cov statins yog tus nqi siab. Cov tshuaj mus ntev yuav ua rau tus neeg mob tsawg kawg yog 5-6 txhiab rubles.Los ntawm txoj kev, statins yuav tsum tau ua ke nrog ceev faj nrog tshuaj rau gout thiab ntshav qab zib, vim tias qhov sib txuam no ua rau muaj qhov mob myopathy zoo dua.

Yuav siv cov tshuaj dab tsi rau atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua? Raws li kev xyaum ua kom pom tseeb, cov tshuaj siv tau zoo tshaj plaws los ntawm cov pab pawg ntawm statins yog li nram no:

1. Simvastatin.
2. Pravastatin.
3. Mekavor.
4. Atorvastatin.
5. Lipostat.
6. Neeg Coob.
7. Holetar.

Statins yog kis nruj me ntsis rau cov neeg mob uas muaj lub siab tsis ua haujlwm, mob ntsws, mob siab. Tsis txhob siv tshuaj rau lactating thiab tus poj niam cev xeeb tub.

Nws yuav tsum raug sau tseg tias statins tuaj yeem ua rau muaj kev tsis zoo, nrog rau txo qis potency, tso zis ntxiv, nce tawm hws, rhuav tshem cov leeg nqaij, thiab mob plab tsis ua hauj lwm.

Cov neeg mob uas siv cov tshuaj statins tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim muaj cov nyom atherosclerosis los ntawm 30-45%.

Yog tias tus neeg mob tau mob atherosclerosis obliterans ntawm qhov qis hauv qab, tom qab ntawd nws yuav tsum siv cov tshuaj fibrates. Vim li cas cov tshuaj no xav tau? Fibrates txo qib ntawm cov rog hauv lub cev, yog li pab kho lipid metabolism.

Nws tau pom tias tib neeg siv cov tshuaj no rau atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis kom tsis txhob muaj kev cuam tshuam ntau yam, suav nrog trophic mob rau sab hauv thiab mob caj pas.

Fibrates yog qhov zoo nyob rau hauv tias lawv tsis tsuas yog pab ua kom cov rog rog tsis txaus, tab sis kuj ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntshav, nruab nrab qhov tsis zoo ntawm cov dawb radicals, thiab tiv thaiv cov ntshav txhaws.

Cov sawv cev ua tau zoo tshaj plaws ntawm fibrates yog:

Nws tsim nyog pom tias cov nyiaj no raug txwv tsis pub coj mus rau cov neeg muaj kab mob siab, mob qog, mob raum lossis mob siab, mob plab, mob tsib lub pob. Fibrates tsis raug them rau cov neeg tsis tau muaj 18 xyoo, kev lactating thiab cov poj niam cev xeeb tub.

Cov kws kho mob tshuaj xyuas kom paub tseeb tias cov tshuaj no muaj ib qho tsis zoo - lawv feem ntau ua rau lub qhov ncauj qhuav, txo qis libido thiab potency, paresthesia, mob taub hau, pw tsaug zog, cuam tshuam txog dyspeptic.

Dab neeg ntawm peb cov nyeem

Ua kom kub siab hauv tsev. Ib hlis tau dhau mus txij thaum kuv tsis nco qab txog qhov nce siab. Oh, ntau npaum li cas kuv sim txhua yam - tsis muaj dab tsi pab. Muaj pes tsawg zaus kuv tau mus rau tom tsev kho mob, tab sis kuv tau raug txwv tsis pub siv tshuaj ntau dua, thiab thaum kuv rov qab los, cov kws kho mob tsuas thab laum. Thaum kawg, Kuv mob nrog lub siab, thiab txhua yam ua tsaug. Txhua tus neeg uas muaj teeb meem nrog lub siab yuav tsum nyeem!

Yog tias muaj kev mob tshwm sim thaum noj cov tshuaj fibrates, koj yuav tsum hloov cov tshuaj los yog hloov cov tshuaj.

Bile acid sequestrants yog tshuaj rau kev kho mob ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis, uas pab ua kom cov lipid metabolism hauv lub cev tsawg dua, txo cov roj (cholesterol) phem, thiab zam kev mob plawv thiab lwm cov CVS pathologies.

Lub hauv paus ntsiab lus ntawm kev ua yeeb tshuaj yog raws li kev khi ntawm cov roj (cholesterol) thiab kua tsib acids hauv daim siab. Vim qhov no, ib qho dhau heev ntawm cov cholesterol tsis nkag mus rau cov ntaub so ntswg. Sequestrants ntawm cov kua tsib kua qaub tiv thaiv kev cuam tshuam ntawm cov hlab ntsha thiab cov hlab ntshav.

Cov cuab yeej zoo tshaj plaws ntawm pab pawg no yog:

Kev npaj kho mob ntawm cov pab pawg no muaj kev sib kis hauv cov neeg uas mob atherosclerosis ntawm cov hlab ntsha yog nrog cov mob siab daim siab loj, ua kom cov leeg ntshav tawm mus. Thaum cev xeeb tub thiab lactation, nws yuav tsum noj cov tshuaj nrog ceev faj heev.

Sequestrants ntawm cov kua tsib kua qaub tau zoo zam los ntawm feem coob ntawm cov neeg mob. Txawm li cas los xij, muaj qee kis paub qhov twg noj tshuaj ua rau dyspepsia, cem quav, biliary colic, tsis muaj cov vitamins A thiab D.

Sequestrants ntawm cov kua tsib acids feem ntau ua ke nrog fibrates thiab statins.

Kev kho mob kom raug

TV thiab online tshaj tawm muaj txuj ci tseem ceeb txhais tau tias kev tu lub siab thiab cov hlab ntshav, cog lus tib lub sijhawm poob phaus, ntxiv kev tiv thaiv kab mob thiab tshem tawm cov tsos mob vascular - txias dhau, kiv taub hau, siab poob, pallor ntawm daim tawv nqaij.

Feem ntau siv cov tshuaj zoo li no, muab tso rau qhov siv rau atherosclerosis, cuam tshuam cov metabolism, hloov cov ntshav txuam, dhia hauv cov ntshav roj thiab ntshav qabzib, thaum cov txheej txheem vascular sclerosis thiab kev tsim cov plua plav plahaum tsis qeeb txhua.

Tus neeg mob txoj kev cia siab rau qhov ua tau zoo ntawm cov tshuaj tuaj yeem ua rau muaj kev puas siab ntsws, thiab qee lub sijhawm nws yuav zoo siab.

Tab sis tus kab mob yuav rov qab los rau hauv lub xeev uas muaj kev saib xyuas ntau dua, ntau lub lim tiam ua ntej pib kev kho mob pseudo, “txhais tau tias tsis tau txais txiaj ntsig” txhais tau tias.

Ntxiv mus, tshaj tawm cov tshuaj tshaj tawm, uas tsis tshua pom zoo rau kev siv tshuaj kho mob los ntawm kev noj qab haus huv, tuaj yeem ua rau muaj kev phom sij rau cov neeg mob lub plab, mob siab thiab mob raum, uas yuav ua rau mob ntxiv rau kev kho mob atherosclerosis nrog cov tshuaj uas kws kho mob tau sau tseg.

Tsis tas li ntawd qhov kev txhaum loj yog kev tshuaj xyuas tus kheej ntawm cov tshuaj raws li cov ntaub ntawv coj los ntawm qhov chaw qhib, lossis los ntawm cov qauv sib piv nrog cov hau kev ntawm kev kho mob ntawm cov phooj ywg thiab cov txheeb ze.

Qhov tseeb tias kev kho mob zoo rau ib tus neeg mob tsis txhais tau tias nws cov txiaj ntsig rau lwm tus neeg mob. Tab sis feem ntau cov neeg mob nyiam kho los ntawm kev pab cov neeg lawv hlub, es tsis yog qhov lawv tus kws kho mob pom zoo.

Qhov xwm txheej tseem phem dua thaum tus neeg mob kuaj mob. Cov duab hauv chaw kho mob feem ntau vascular thiab kab mob plawv zoo sib xws, thiab muaj tus kab mob zoo li cas hauv tus neeg mob tsuas yog txiav txim los ntawm tus kws kho mob raws li kev soj ntsuam hauv chav kuaj thiab kuaj mob.

Yuav siv lwm yam tshuaj dabtsi ntxiv?

Atherosclerosis feem ntau yog nrog ntshav siab. Yog li, txoj kev kho atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis tshaj yog siv cov ntsiav tshuaj rau cov ntshav siab. Cov tshuaj ntawm kev xaiv yog ACE inhibitors thiab sartans.

Raws li lwm txoj hau kev, diuretics, beta-1-blockers, calcium antagonists tuaj yeem siv. Hauv kev kub siab ntawm cov teeb meem tsis txaus, hypotensive central kev ua haujlwm yog siv lossis intramuscular txhaj ntawm Magnesia yog siv.

Txhawm rau txhim kho cov ntshav kev thiab nce kev ua haujlwm ntawm kev kho, tus neeg mob yuav raug sau tseg:

• Antispasmodics (Spazmalgon, No-shpa, Drotaverinum). Lawv pab daws mob plab thiab colic ntawm ntau yam etiologies.
• Nyob rau hauv muaj cov mob txhab trophic, tshuaj pleev yuav siv. Kev lig kev cai, Levomekol, Solcoseryl, Betadine, Methyluracil-D yog siv.
• Antithrombotic tus neeg sawv cev - Aspirin, Aspekard.
• Cov tshuaj Anticoagulants. Cov tshuaj noj kom ntshav khov, tiv thaiv kom tsis txhob tuaj ntshav. Qhov tshuaj zoo tshaj yog Heparin thiab Warfarin.
• Cov tshuaj tiv thaiv kab mob (Curantil, Ventavis, Agrel, Ilomedin) txhim kho cov nqaij mos trophism, ua kom muaj kev tiv thaiv hauv zos. Cov nyiaj muaj nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj thiab ntsiav tshuaj.
• Yuav Hlob vas hnoos qeev. Txhais tau tias txhim kho cov nqaij mos trophic, tiv thaiv kom tsis txhob mob thrombosis thiab lwm yam mob ntawm atherosclerosis. Vasodilators yog muab rau leeg nrog cov tee. Cov tshuaj zoo tshaj plaws ntawm cov pab pawg no yog Trental, Pentilin, Pentoxifylline.
• Multivitamin ntau ceg thiab Niacin (nicotinic acid).

Hauv kev kho ntawm obliterating atherosclerosis ntawm qis dua, kev siv yeeb siv tshuaj tsis txaus. Tus neeg mob yuav tsum coj lub neej noj qab nyob zoo thiab nquag mus tshuaj xyuas cov kws kho mob ib txwm ua. Qhov yuav tsum tau ua ntej rau kev kho yog kev noj zaub mov rau mob atherosclerosis.

Hauv kev xaus, Kuv xav nco ntsoov tias txhua yam tshuaj kho mob tshwj xeeb los ntawm tus kws kho mob tuaj koom. Thaum xaiv cov tshuaj ntau npaum li cas, ntau tus yam ntxwv ntawm tus neeg mob tau coj mus rau hauv tus account.

Tsis txhob muab tshuaj rau tus kheej lossis cia siab rau lwm cov tshuaj noj. Kev ncua sij hawm yog fraught nrog ntau qhov teeb meem txaus ntshai, suav nrog lub plawv nres, thrombosis, ischemic mob plawv, kub siab, trophic mob rau, mob caj dab.

Kev mob plawv thiab mob nkees yog qhov ua rau kwv yees li 70% ntawm tag nrho cov neeg tuag hauv ntiaj teb. Xya tawm ntawm kaum tus neeg tuag vim kev txhaws ntawm cov hlab ntsha ntawm lub plawv lossis paj hlwb.

Qhov tshwj xeeb tshaj yog txaus ntshai yog qhov tseeb tias ntau tus neeg tsis txawm xav tias lawv muaj ntshav siab. Thiab lawv tsis muaj sijhawm los kho qee yam, tsuas yog dooming lawv tus kheej kom tuag.

• Mob taub hau
• Lub plawv palpitations
• Dub tsuas me me pem hauv ntej lub qhov muag (yoov)
• Apathy, txob taus, tsis tsaug zog
• Qhov muag plooj
• Kev tawm hws
• Ntev heev ua rog
• Teb lub ntsej muag
• Ntsej muag thiab ua daus no ntawm cov ntiv tes
• Siab surges

Txawm tias ib qho ntawm cov tsos mob no yuav tsum ua rau koj xav. Thiab yog tias muaj ob, ces tsis txhob yig - koj muaj kub siab.

Yuav kho cov ntshav siab thaum lub sij hawm muaj tshuaj ntau uas raug nqi ntau?

Feem ntau cov tshuaj yuav tsis ua ib qho zoo, thiab qee qhov tseem tuaj yeem tsim kev puas tsuaj! Lub sijhawm no, tsuas yog cov tshuaj nkaus xwb uas tau pom zoo los ntawm Ministry of Health rau kev kho mob siab yog qhov no.

Rau Lub koom haum ntawm Cardiology, ua ke nrog Ministry of Health, yog ua qhov program “ tsis muaj kub siab“. Nyob rau hauv uas cov tshuaj muaj pab dawb, txhua tus neeg nyob hauv nroog thiab thaj chaw!

Qhia txog cov tshuaj niaj hnub rau kev kho mob atherosclerosis

Atherosclerosis yog hu ua tus tua neeg uas ntsiag to. Ntev ntev, tus kabmob yog asymptomatic. Kev npaj rau kev kho mob ntawm atherosclerosis pab ua kom qeeb ntawm qhov kab mob pathology, thiab tseem ceeb tshaj, tiv thaiv kev txhim kho ntawm cov teeb meem: mob plawv, mob hlwb, myocardial infarction, mob hlab ntsha tawg, mob ceg txhawm.

Cov tshuaj Atherosclerosis: pawg ntawm cov tshuaj thiab cov tshuaj sib txuas ua ke

Atherosclerotic plaques coj ntau thiab ntau lub neej nyob rau txhua xyoo, vim hais tias tsis yog tsuas yog cov neeg laus tau cuam tshuam los ntawm cov kab mob no vim kev coj ua tsis ncaj ncees rau cov neeg niaj hnub.

Ua tsaug rau txoj kev txhim kho tshuaj, niaj hnub no muaj ntau yam tshuaj rau kev kho mob ntawm atherosclerosis.

Cov tshuaj noj tau muab faib ua ntau pawg nyob ntawm lawv txoj haujlwm, yog li koj yuav tsum ntsib tus kws kho mob los kho lawv kom raug lossis xam rau koj tus kheej.

Tshuaj pab pawg

Atherosclerotic plaques tshwm sim vim cov metabolism tsis hnov ​​qab ntawm LDL (lipoproteins uas tsis muaj ntau). Qhov phom sij tshaj plaws yog cov roj (cholesterol), uas sau ntau ntxiv ntawm cov phab ntsa ntawm cov hlab ntsha thiab sab hauv lawv, ua rau kom txoj kev nqaim ntawm cov lumen ntawm cov hlab ntsha tseem ceeb ntawm lub cev (carotid, aorta, lub taub hau thiab lwm tus). Txoj kev kho yuav tsum yog kho kom ntxaws. Hnub no muaj 4 pab pawg ntawm cov tshuaj:

• fibrates
• statins
• cov tshuaj nicotinic acid
• cov cai ntawm bile acid metabolism.

Nrog rau kev txhim kho cov mob atherosclerosis, nws yog qhov zoo dua rau sab laj tus kws kho plawv, vim hais tias kev sib xyaw tshuaj kho kom raug yog lub luag haujlwm tseem ceeb hauv kev kho mob.

Nicotinic Acid Kev Npaj

Cov tshuaj noj raws li nicotinic acid (vitamin B3 lossis PP) muaj cov cuab yeej ntawm kev txo cov roj ntshav los ntawm kev ua kom nws tawg thiab txo cov synthesis ntawm triglycerides hauv lub siab, thaum cov tshuaj no nce HDL ntau. Ntxiv nrog rau kev txhim kho cov roj metabolism, ntau tus neeg mob pom tias muaj qhov txo qis hauv cov tsos mob mob uas ua nrog rau cov theem qeeb ntawm atherosclerosis.

Rau kev kho mob, ntsiav tshuaj lossis kev txhaj tshuaj ntawm cov nicotinic acid yooj yim, nrog rau kev npaj raws nws, tuaj yeem siv. Piv txwv, Enduracil, tus neeg sawv cev uas nws cov tshuaj muaj zog yog vitamin B3, txo cov roj hauv cov ntshav roj, tab sis, tsis zoo li "cov khoom ntshiab", vim tias muaj cov khoom ntxiv uas nws ua haujlwm ntev dua.

Nicotinic acid yuav siv tsis tau rau cov kab mob ntawm lub raum, mob siab, mob ntshav qab zib, mob ntshav qab zib, kub siab, cev xeeb tub.

Bile Acid Cov Cai Tswj Kev Mob

Cov kua tsib cov kua qaub ua rau cov roj (cholesterol) thiab lwm cov roj triglycerides, yog li cov tshuaj sib luag yog siv los kho cov mob atherosclerosis - tshuaj uas ua rau cov synthesis ntau dua ntawm cov tshuaj no. Vim tias qhov no, ntshav ntau dua thiab ntau dua qhov sib cais ntawm LDL tshwm sim, tab sis tib lub sijhawm HDL tseem niaj hnub muaj ntshav hauv cov ntshav.

Khoom cua ua kom zoo dua qub vim muaj cov nyhuv tshwj xeeb uas tau siv cov kua roj tsib ntawm cov kua tsib hauv cov hnyuv. Cov tshuaj ntxuav tes ua ke ntawm cov tshuaj khi lawv thiab tshem tawm ntawm lub cev. Vim tias qhov no, cov rog hauv cov hnyuv zom tawm zuj zus, yog li ntawd lub siab pib tsim cov kua qaub ntau ntxiv rau qhov qub.

Thaum thov kev thov tshuaj, nws yog ib qho tseem ceeb uas yuav tsum xav txog kev noj tshuaj thiab sijhawm ntev npaum li cas, vim tias siv cov tshuaj tsis haum rau cov tshuaj no ua rau muaj cov vitamins tsis muaj rog (A, E, D, K), vim tias lawv raug rhuav tshem los ntawm kev txhoj puab heev ntawm ntau cov kua tsib.

Sequestrants ntawm cov kua tsib kua qaub muaj xws li:

Kev tswj hwm ntawm kev sib pauv ntawm cov kua tsib kua qaub tsis tuaj yeem siv rau cov kab mob ntawm daim siab, lub zais zis, lub raum, mob plab thiab plab hnyuv, cev xeeb tub thiab lactation.

Kho sib txuas ua ke

Kev npaj rau kev kho mob ntawm atherosclerotic plaques yuav tsum tau coj los ua ke, tsuas yog tom qab ntawd cov tshuaj noj lossis tshuaj txhaj yuav muab cov nyhuv sai thiab mob siab. Nco ntsoov tias tsuas yog ib tus kws kho mob tuaj yeem xaiv txoj kev kho mob thiab siv tshuaj, vim tias ntau ntau nyob ntawm qhov mob ntawm tus neeg mob, theem ntawm atherosclerosis, tsis haum rau qee yam tshuaj.

Fibrates feem ntau kho mob los ntawm cov kws kho mob nrog rau cov statins, vim hais tias cov khub zoo li no ua tau zoo dua, tab sis tib lub sij hawm tsis ua rau muaj zog rau daim siab mob.

Yog hais tias tus neeg mob tau statin tsis kam lossis contraindications rau lawv siv, uas fibrates tau ua ke nrog nicotinic acid thiab tsawg dua nrog cov kua tsib acid sequestrants.

Kev siv tshuaj kho kab mob atherosclerosis nrog kev noj tshuaj thiab kev txhaj tshuaj

Atherosclerosis yog kab mob raws li kev ua txhaum ntawm lipid cov txheej txheem hauv tib neeg lub cev. Tawm tsam keeb kwm yav dhau los ntawm tus kab mob, cov rog tau tso rau sab hauv phab ntsa ntawm cov hlab ntshav ntawm nruab nrab thiab loj caliber, uas zoo li yog qhov muaj feem ua rau mob hlab ntsha tawg thiab mob plawv.

Atherosclerosis nyob txoj haujlwm ua tus kab mob uas ua rau tuag taus. Raws li cov ntaub ntawv sau tseg qhia, txhua 10 tus neeg tuag hauv ntiaj teb yog qhov tshwm sim ntawm atherosclerotic hloov hauv cov nkoj.

Kub siab mob ntshav qab zib, mob ntshav qab zib mellitus, lub cev tsis ua haujlwm, thiab cov mob muaj keeb yog ntawm cov pov thawj hauv kev tsim pathology. Cov chaw kho mob raug hnyav ntxiv los ntawm kev mob plab zom mov, qhov tsis txaus ntseeg, tsis txaus noj haus, thiab tsis txaus ntshai.

Txoj kev kho yog ib qho kev ntsuas dav dav uas suav nrog kev siv tshuaj, kev hloov pauv hauv lub neej, thiab kev tiv thaiv lwm yam. Kev kho mob thiab kev tiv thaiv ntawm atherosclerosis, kev kho mob ntawm pej xeem zoo - peb yuav xav hauv tshuaj xyuas.

Statins hauv kev kho mob ntawm atherosclerosis

Kev siv tshuaj kho tus mob atherosclerosis yog tus kheej. Tus kws kho mob yuav tsum coj mus rau tus naj npawb ntawm cov roj lipoproteins tsawg hauv cov ntshav, theem ntawm HDL, triglycerides, pab pawg rau cov hnub nyoog muaj hnub nyoog, cov kab mob mus ntev hauv cov anamnesis - ntshav qab zib, kub siab, mob plawv, thiab lwm yam.

Feem ntau, cov tshuaj uas cuam tshuam nrog statins raug pom zoo. Lawv muaj peev xwm los thaiv cov enzyme uas tswj kev tsim cov cholesterol los ntawm hepatocytes.

Kev siv statins li qub txo cov roj hauv cov ntshav, txo qis lipid qhov tseem ceeb hauv cov ntawv tsim muaj. Qhov no tso cai rau koj tswj lub endothelium ntawm cov hlab ntshav, txo kev pheej hmoo ntawm cov ntshav txhaws vim tawg ntawm atherosclerotic plaques.

Nws raug nquahu kom siv cov statins hauv cov xwm txheej hauv qab no:

• High concentration ntawm cov cholesterol nyob rau hauv cov ntshav. Statins mus nrog zaub mov noj
• Kev tiv thaiv ntawm cov kab mob plawv hauv cov neeg mob uas muaj kev pheej hmoo (haus luam yeeb, haus dej cawv, yog tias muaj keeb kwm muaj ntshav qab zib, ntshav siab, muaj mob muaj keeb)
• Txhawm rau tiv thaiv kom tsis txhob mob atherosclerosis: hemorrhagic / ischemic stroke, myocardial infarction, pulmonary embolism, angina pectoris,
• Txhua tus neeg mob ntshav qab zib uas tau ua mob stroke lossis plawv nres muaj ib qho tsis khov ntawm tus mob angina pectoris.

Kev kho mob ntawm cov leeg ntshav atherosclerosis koom nrog kev siv cov tshuaj: simvastatin, lovastatin, pravastatin, fluvastatin, atorvastatin, rosuvastatin. Raws li lwm txoj kev xaiv rau cov tshuaj kawg, Rosart thiab Krestor ntsiav tshuaj raug pom zoo kom coj - lawv yog ntawm cov keeb kwm hluavtaws.

Cov tshuaj siv tau zoo tshaj plaws yog kev tsim yeeb tshuaj tshiab tam sim no, tshwj xeeb, Atorvastatin thiab Rosuvastatin. Lawv muaj cov lus hais lipid-txo qis dua, pab ua kom cov qib roj cholesterol hauv lub sijhawm luv tshaj plaws. Statins tsis tsuas yog txo cov nyiaj ntawm LDL, tab sis kuj tseem muaj cov khoom hauv qab no:

1. Txhim kho lub xeev ntawm vascular endothelium.
2. Lawv muaj cov khoom sau los tiv thaiv.
3. Txo cov cell adhesion.
4. Dipolve cov cholesterol cov nyiaj tso cia.
5. Txo cov platelet ua ke.
6. Kev tiv thaiv ntawm txha, Alzheimer tus kab mob, oncological kev.

Statins muaj contraindications: mob qog, cev xeeb tub, nce rau hauv cov kev ua ntawm daim siab enzymes los ntawm 3 zaug. Thiab tseem, tsis pom tseeb txog kab mob siab, lactation, organic intolerance rau cov tshuaj ntawm cov tshuaj.

Qee zaum statins ua rau muaj kev ua txhaum ntawm kev tsim cov vitamin K hauv lub cev, uas ua rau cov khoom ntau ntxiv ntawm calcium hauv atherosclerotic plaques.

Qhov no ua rau tsis muaj zog thiab tsis yooj yim ntawm cov hlab ntshav, ua rau cov ntshav khiav qeeb, thiab kev pheej hmoo ntawm lub plawv nrog ntshav qab zib nce ntxiv.

Kho cov tshuaj tiv thaiv siab nyob hauv siab

Cov kev kho tshiab tshiab niaj hnub los tawm tsam atherosclerosis suav nrog cov tshuaj Repatha. Cov tshuaj no tuaj yeem muas hauv Tebchaws Europe. Qhov no ampoule yog siv ua kev txhaj tshuaj. Kev txhaj tshuaj yog ua nyob hauv tsev ob zaug hauv ib asthiv. Cov kev tshawb fawb soj ntsuam tau pom tias cov tshuaj tsis ua rau kev txhim kho ntawm qhov tshwm sim tsis zoo, thaum lub sij hawm txo cov roj (cholesterol) hauv cov ntshav ntawm cov ntshav qab zib.

Nrog atherosclerosis, Aspirin qee zaum siv raws li kev tiv thaiv ntawm lub plawv nres - nws dilutes cov ntshav. Nws tsis paub meej tias puas yuav sau tshuaj Aspirin nrog kev pheej hmoo mob plawv rau cov neeg mob, vim tias tseem tsis tau pom zoo nyob hauv cov voj voog kev kho mob.

Nicotinic acid suav nrog kev kho mob tus mob. Nws koom tes nrog kev ua kom muaj cov carbohydrate thiab protein. Muaj txiaj ntsig zoo ntawm cov hlab ntsha hauv nruab nrab, muaj cov cuab yeej vasodilating, txo cov ntshav ntawm LDL hauv cov ntshav. Yog hais tias noj nyob rau hauv cov tshuaj ntau, kev txo qis hauv triglycerides yog pom.

Nicotinic acid tuaj yeem siv rau hauv kev nce zuj zus. Yog tias qhov khaus khaus khaus pom ntawm tus mob ntshav qab zib, kev kho mob cuam tshuam tam sim. Pib noj nrog 50 mg, tom qab tshuaj rau txhua hnub tau hloov kho rau 1 g. Ua tib zoo siv rau cov neeg mob ntawm lub hnub nyoog yug menyuam.

Kev txuag kho muaj xws li tshuaj noj:

• Nicotinic acid derivatives (Acipimox),
• Omega-based khoom (Omacor),
• Sequestrants ntawm cov kua tsib kua qaub (Cholestipol),
• Fibrates (Clofibrate),
• Cov tshuaj tiv thaiv kab mob (Curantyl).

Qee cov neeg mob ntshav qab zib mob rau homeopathy. Cov tshuaj zoo homeopathic rau atherosclerosis yog: Holvacor (ib yam tshuaj uas ua kom muaj cov roj metabolism hauv lub cev), Pulsatilla (feem ntau siv rau atherosclerosis ntawm qis qis).

Hauv kev kho mob atherosclerosis, tshuaj Lipostabil yog siv. Sau los ntawm cov phospholipids tseem ceeb.

Cov ntsiav tshuaj normalize rog metabolism, txhim kho daim siab ua haujlwm, inhibit qhov ua tau zoo ntawm atherosclerosis, thiab txhim kho cov ntshav ncig hauv lub cev.

Cov vitamins rau Cov Roj Cholesterol Tshaj Tawm

Feem ntau, cov neeg mob raug nquahu kom noj cov vitamins thiab pob zeb hauv av ua haujlwm rau kev kho thiab tiv thaiv ntawm atherosclerosis. Cov tshuaj pov thawj raws sij hawm tsis tau lees paub cov txiaj ntsig zoo ntawm cov vitamins nyob rau hauv chav kawm ntawm atherosclerosis. Txawm li cas los xij, cov kws kho mob tau sau tseg tias qhov tsis muaj qee yam tshuaj hnyav dua lub chaw kho mob, uas ua rau txoj kev loj hlob ntawm IHD. Yog vim li cas cov vitamins yog ib feem ntawm txoj kev kho.

Nrog atherosclerosis hauv ntshav qab zib, ascorbic acid yuav tsum tau noj. Nws tsis yog tsim tawm hauv lub cev. Vitamin C tswj kev ua haujlwm oxidative thiab txo qis, txhim kho permeability ntawm daim tawv nqaij capillaries.

Cov zaub mov pom zoo suav nrog suav cov zaub nyoos, txiv hmab txiv ntoo, thiab kua txiv. Koj tuaj yeem noj cov tshuaj vitamin C hauv ntsiav tshuaj yog tias tsis muaj cov tshuaj sib kis. Kev muab tshuaj txhua hnub txog li 500 mg.

Qhov tseem ceeb tshaj plaws cov vitamins rau atherosclerosis:

1. Vitamin B1. Nws koom nrog kev zom zaub mov ntawm cov roj carbohydrates, txhim kho kev ua haujlwm ntawm cov hlab plawv, cov hlab ntaws, endocrine thiab lub plab zom mov.
2. Vitamin B6 txhim kho cov roj metabolism hauv lub siab, ua haujlwm lub siab, tswj kev ua haujlwm ntawm lub hauv nruab nrab cov hlab hlwb, thiab ntxiv dag zog rau lub cev tiv thaiv.
3. Vitamin B12 muaj kev ua haujlwm siab. Favorably cuam tshuam rau cov txheej txheem carbohydrate thiab lipid, txo LDL hauv cov ntshav, ua rau cov ntshav ncig tsis txaus.
4. Retinol yog ib qho antioxidant zoo. Nrog ntshav qab zib, nws ua lub luag haujlwm tseem ceeb hauv cov txheej txheem trophic.
5. Tocopherol - tiv thaiv qhov oxidation ntawm retinol hauv txoj hnyuv plab.

Vitamin E thiab A raug muab ua ke ua ke. Cov vitamins B1 thiab B6 raug pom zoo txhua lwm hnub - ib hnub B1, nyob rau hnub thib ob - B6, nyiam dua hauv daim ntawv ntawm kev txhaj tshuaj. Kev kho mob Vitamin yog nqa tawm ob zaug hauv ib xyoos, chav kawm yog ib hlis.

Pej xeem sawv daws rau kev ntxuav cov hlab ntshav

Cov tshuaj hauv zej zog suav daws txiav txim siab tsis muaj txiaj ntsig tsawg hauv kev siv tshuaj tiv thaiv atherosclerosis. Lawv pab ntxuav cov hlab ntsha ntawm atherosclerotic tso nyiaj, txhim kho kev zoo tag nrho, thiab muaj tonic thiab anti-inflammatory cuam tshuam. Nyob hauv tsev, decoctions, infusions thiab tinctures yog npaj.

Hauv cov ntshav qab zib mellitus, dandelion cov hauv paus hniav yog siv los txo cov ntshav cov roj. Daim ntawv qhia: hauv 250 ml ntawm dej kub ntxiv 10 g ntawm cov khoom siv qhuav, hais kom ob teev, lim. Haus peb zaug ib hnub rau 50 ml. Cov khoom tshem tawm cov co toxins hauv lub cev, txhim kho cov metabolism hauv lipid.

Qej txo qis ntshav qab zib, tawm tsam tiv thaiv cov tsos mob atherosclerosis, ntau ntxiv lumen ntawm cov hlab ntsha. Hauv 250 ml dej cawv ntxiv 20 g ntawm cov qij tsoo, hais 21 hnub, tom qab ntawd lim. Haus 20 tee peb zaug ib hnub. Tincture muab ntxiv rau dej lossis mis.

Txoj kev kho mob hauv pej xeem rau kev ntxuav cov ntshav hauv cov roj (cholesterol):

• Ib tsob nroj thyme tshuaj ua kom ntshav siab, qib ntshav txhaws, thiab muab cov nyhuv tsis zoo. Hauv 250 ml ntawm dej npau npau ntxiv ib me nyuam diav ntawm nyom, nqa mus rau ib lub rhaub, txias. Siv 60-70 ml ib hnub ob zaug,
• Cov dej qab zib pab txo LDL. Noj thaum sawv ntxov ua ntej noj mov. Kua txiv yog muab los ntawm ib nrab-qhov loj qhov me qos. Cov kev kho mob no muaj cov tshuaj xyuas zoo,
• Broth nrog nettle dioecious. Hauv 500 ml dej ntxiv 20 g ntawm nyom, tawm rau 4 teev, lim. Haus 50 ml txog 4 zaug hauv ib hnub. Lub sijhawm kho yog ib hlis.

Hawthorn yog siv rau atherosclerosis ntawm kev mob ntshav ntawm lub plawv. Daim ntawv qhia: grind 500 g ntawm berries rau hauv pulp, ntxiv 100 ml dej. Stew hauv dej da dej rau 10 feeb. Txias, nyem tawm cov kua. Haus 2 tbsp. 4 zaug ib hnub. Qhov kev kawm yog 4 lub lis piam.

Calcium channel thaiv cov tshuaj pab pawg

Cov tshuaj ua kom cov leeg ntsaig ntawm cov hlab ntsha, thaum tswj kev ncaj ncees ntawm cov leeg. Cov ntshav ntws rov qab, lub hlwb lub hlwb tau txais cov vitamins, cov zaub mov kom tsim nyog rau metabolism.Kev siv tshuaj kho mob muab kev kho mob rau atherosclerosis ntawm cov hlab ntsha hauv lub hlwb thiab atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis. Nws ua txoj haujlwm ua kom rov zoo rau cov hlab ntsha thiab cov hlab ntaws ntawm tag nrho lub cev. Nws yog ntawv pov thawj los ntawm kws kho mob, siv nyob rau hauv kev tswj hwm nruj, vim nws tuaj yeem tsim kev phiv. Lub hauv paus ntsiab lus ntawm kev nqis tes ua - thaiv cov ndlwg calcium los ntawm cov kab kev los ntawm cov ntshav mus rau ntawm tes, tswj kev txav hauv cov hlwb, txo cov kev nyuaj siab hauv cov neeg mob, tiv thaiv lub plawv. Muaj peb qho sib faib, nyob ntawm lub hom phiaj:

• Npaj rau kev kho mob ntawm cerebral arteriosclerosis (thawj tiam) - “Verapamil”, “Diltiazem”, “Nifedipine”. Qhov tsis zoo yog qhov qis dua bioavailability. Lawv muaj lub sijhawm ntev ntawm kev nqis tes, qhov tshwm sim tsis zoo raug pom (tachycardia, ua xua, mob taub hau).
• Pawg tshuaj (tiam thib ob) - “Isradipine”, “Gallopamine”, “Riodipin”, “Felodipine”, “Klentiazem”, “Latsipil”, “Cinnarizine”. Lawv muaj lub sijhawm luv luv ntawm kev nqis tes ua, ntau yam ua tau zoo tsis zoo li thawj zaug. Kev xav ntau hauv cov ntshav ntawm cov neeg mob yog pom nyob rau lub sijhawm sib txawv.

Tus kws kho mob hlwb tau sau tshuaj rau kev kho mob: muaj ntau cov tshuaj, tab sis lawv ib txwm muaj cov txiaj ntsig zoo, txo tus neeg mob txoj kev txom nyem

• Kev npaj rau kev kho mob ntshav atherosclerosis ntawm lub taub hau nruab nrab rau kev sib koom tes ntawm tib neeg cov haujlwm (tiam thib peb) - “Lekarnidipin”, “Lacidipine”, “Amlodipine”. Siab bioavailability, kev ua tau zoo rau cov neeg mob.

Cov kev txwv tsis pub siv rau cov calcium antagonists:

• Lub plawv tsis ua hauj lwm.
• Cov ntshav siab qis.
• Cev xeeb tub, nrog rau kev zam ntawm Nifedipine thiab Verapamil.

Nws yog txwv tsis pub noj cov tshuaj uas thaiv cov calcium calcium raws. Tham nrog kws kho paj hlwb, kws kho plawv. Tus kws kho mob yuav sau ntawv tawm yog tias tsim nyog yog cov tshuaj mus tas li. Rau cov nqua, qhov kho yog tsim los ntawm kws kho mob. Lub chav kawm yog los ntawm 1.5 txog 3.5 hli.

Pawg ntawm cov tshuaj muaj cov organic sib txuas

Cov tshuaj kho mob kom zoo rau atherosclerosis ntawm cerebral cov hlab ntsha nrog cov khoom ntuj tsim. Hauv kev tsim cov khoom siv kho mob periwinkle yog qhov nquag.

Kev noj tshuaj nrog cov tshuaj uas tswj kev ua kom muaj ntshav khov siab yog nqa tawm tsis tu ncua

Sawv cev ntawm cov pab pawg - "Vinpocetine", "Cavinton", "Telektol". Cov tshuaj nquag, vinca alkaloid, so lub capillary plexuses ntawm lub hlwb, tshem tawm kev ua haujlwm, thiab rov qab cov metabolism hauv cov tshuaj uas muaj txiaj ntsig thiab cov ntshav microcirculation. Nws txwv tsis pub cov nplaum ua kom ntshav txhaws, rov qab cov khoom noj khoom haus ntawm lub paj hlwb. Cov cuab yeej tsis muaj contraindications. Muab rau ntau tus neeg mob. Nws yog tsim nyob rau hauv daim ntawv ntawm kev txhaj tshuaj thiab ntsiav tshuaj. Koomhaum los ntawm tus kws kho mob, siv nyob rau hauv nws kev saib xyuas. Cov kev mob tshwm sim - kiv taub hau, tawm pob, mob thrombophlebitis, xeev siab - yog qhov tsis tshua muaj. Contraindications rau siv:

• cev xeeb tub lub sijhawm
• ib tug neeg intolerance mus rau lub Cheebtsam,
• tachycardia
• ischemia
• cov me nyuam muaj hnub nyoog.

Kev saib xyuas ntau dhau tsis tau pom, txoj kev kho yog 10-14 hnub. Kev npaj rov qab oxygen oxygen txaus ntawm cov hlwb, txhim kho capillary kev noj haus, thiab nthuav cov hlab ntsha. Kev siv tshuaj rau tus kab mob yog kws kho mob sau tseg, nyob ntawm tus ntsuas ntawm tus neeg mob lub cev.

Tom qab ib chav kawm ntawm kev kho mob, rheological thaj chaw ntawm cov ntshav nce ntxiv, platelet aggregation tsawg dua, thiab cov txheej txheem rov qab hauv cov neeg mob atherosclerosis yog nrawm.

Cov Tshuaj Tshuaj Nicotinic Acid

Dab tsi los haus nrog atherosclerosis, tus kws kho mob yuav muab tshuaj. Cov tshuaj siv tau zoo raws li cov nicotinic acid. Siv lawv nyob rau hauv kev saib xyuas ntawm tus kws kho mob, vim tias lawv tuaj yeem ua rau muaj kev phom sij rau daim siab. Cuam tshuam cov hlab ntsha loj. Lawv muaj cov nyhuv nthuav dav, ntxiv dag zog rau cov phab ntsa ntawm capillaries, txo cov plahaum roj. Siv los ua cov neeg sawv cev yooj yim.Muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj (Enduratin, Nicoshpam), txhaj tshuaj (nicotinic acid).

Npaj rau ntxiv dag zog rau phab ntsa ntawm capillaries

Yuav kho tus mob hlwb li cas? Kev siv tshuaj kho tau raug xaj tau nyob rau hauv kev hloov kho. Txhawm rau ntxiv dag zog rau cov vascular phab ntsa, txhim kho cov txheej txheem metabolic, nce elasticity, cov vitamins yog kws kho, txij li cov txheej txheem rov ua haujlwm yam tsis muaj kab kawm tsis yooj yim sua. Txhawm rau txhim kho lub hlwb kev ua haujlwm, nws raug nquahu kom noj zaub mov thiab vitamins. Lawv tau yuav hauv khw muag tshuaj raws li kws kho mob tau sau lossis tsis muaj nws. Kev siv tus kheej yog qhov ua tau. Tus neeg mob yuav tsum ua raws li cov kev coj ua qhia los ntawm lub tuam txhab ua khoom hauv cov lus qhia. Lub ntsiab tseem ceeb ntawm cov pab pawg:

Atherosclerosis ntawm lub cerebral hlab ntsha tau zoo kho nrog vitamin uas tswj cov metabolism hauv.

• Vitamin P yog ib qho tseem ceeb rau kev kho mob, ntxiv dag zog, thiab tiv thaiv cov leeg. Nws muaj lub zog dav dav ntxiv rau qhov muaj zog, vitamin C txhim kho cov nyhuv ntawm vitamin P. Ib qho loj hauv Ascorutin.
• Kab kawm (potassium, selenium, silicon).
• Bioflavonoids.

Atherosclerosis kho nrog tshuaj kho mob los daws teeb meem cov roj hauv plaques. Lawv qhov kev txiav txim siab koom tes txo qhov nce hauv qhov txhaws. Tus kws kho mob suav cov koob tshuaj uas tau tso cai nyob ntawm seb cov ntshav muaj roj ntau npaum li cas nyob hauv tus neeg mob cov ntshav. Kev noj cov tshuaj yog tsim ib hnub ib zaug. Txoj kev kawm yog 2-3 lub hlis. Cov tshuaj muaj xws li: Liprimar, Zokor, Mertinil. Kev siv tshuaj yuav tsum raug coj mus rau cov mob hnyav ntawm hom kab mob. Cov kev mob tshwm sim yog qhov tseem ceeb. Ntuj statins rau kev kho mob tau zoo.

Cov tshuaj sib xyaw

Muaj ntau cov tshuaj uas muaj ob qhov sib txawv los txo cov lipids los sis ib qho lipid txo qis thiab qhov ob lub siab. Cov tshuaj sib xyaw ua ke siv nyob rau hauv kev kho mob ntawm atherosclerosis muaj cov nyhuv tib yam li qhov xam qhov tseem ntawm cov tshuaj qub.

Niaj hnub no, cov tshuaj hauv qab no muaj:

• Inegi. Cov tshuaj suav nrog statin simvastatin, ib qho tshuaj tiv thaiv ntawm kev nqus ntshav txhaws ezetimibe,
• Asiator, Statesi. Ob qho tshuaj raws li atorvastatin, ezetimibe. Nws txawv ntawm cov tshuaj dhau los hauv kev ua haujlwm ntxiv,
• Amlostat, Biperin, Duplexor, Caduet. Cov npe lag luam tawm rau cov ntsiav tshuaj atherosclerosis yog kev sib xyaw ntawm atorvastatin thiab cov tshuaj tiv thaiv hypotensive ntawm amlodipine. Nquag siv los kho cov neeg mob ntshav siab thiab ntshav siab.

Contraindications, phiv tshuaj yog tib yam li cov uas pib.

Kev tiv thaiv kev ntsuas

Kev tiv thaiv ntawm atherosclerosis yog thawj thiab theem nrab. Kev tiv thaiv thawj yog pom zoo rau cov neeg mob uas muaj kev pheej hmoo - ntshav qab zib, ntshav siab. Thib ob prophylaxis yog qhia nyob rau kis uas tus mob atherosclerosis twb muaj lawm. Nws tiv thaiv kev txhim kho ntawm cov teeb meem.

Lub cev nyhav dhau heev lawm yog qhov ua rau poob. Yog li ntawd, nws yog qhov yuav tsum tau ua kom lub cev hnyav. Kev poob phaus ntse kuj tseem muaj kev ntxhov siab heev, yog li ntawd, lawv maj mam ua - lawv txo cov calories ntau ntawm cov zaub mov, coj lub cev ua kom lub cev.

Calorie txais kev pab yog xaiv nyob ntawm pab pawg hnub nyoog ntawm ntshav qab zib, poj niam txiv neej, kev ua si. Qhov nruab nrab txhua hnub muaj calorie ntau ntau nws txawv ntawm 2200 txog 2800 calories. Nws tsis yog yuav tsum tau txo qhov khoom noj kom tsawg, vim qhov no ua rau lub cev txo qis.

Txoj hauv kev zoo tshaj plaws ntawm kev tawm dag zog yog kev qhia aerobic. Lawv tsim nyog rau cov mob ntshav qab zib tsis hais hnub nyoog li cas. Thaum ntaus kis las, koj yuav tsum ua raws li txoj cai:

1. Tawm dag zog tsawg kawg peb zaug hauv ib lub lim tiam.
2. Thauj khoom nce zuj zus.
3. Lub sij hawm kawm siab tshaj tawm thaum sawv ntxov.
4. Cov sijhawm kawm tsawg kawg yog 30 feeb, qhov siab tshaj yog ib teev.
5. Thaum ua si, ua pa kom tusyees.
6. Ua ntej kev cob qhia, kev sov siab 5-feeb yuav ua.
7. Ncua ntawm kis las thiab pluas noj yam tsawg ib thiab ib nrab xuaj moos.
8. Rau kev khiav, taug kev, thiab lwm yam, koj yuav tsum yuav cov khau tshwj xeeb.

Hom kev tawm dag zog aerobic: ua luam dej, khiav qeeb, caij tsheb kauj vab, dhia seev cev, ntaus pob.

Kev noj haus zoo rau lub cev yog lub hauv paus rau kev kho kom zoo. Nws yog ib qho tsim nyog yuav tsum tswj kom muaj kev sib npaug ntawm cov rog, cov protein thiab carbohydrates, los tswj cov roj cholesterol ntau.

Cov ntawv qhia zaub mov suav nrog ntau yam khoom noj muaj fiber ntau. Txiav kev haus luam yeeb. Inhalation ntawm cov pa luam yeeb ua rau muaj kev puas tsuaj hauv lub xeev cov hlab ntsha, ua kom nrawm rau kev tsim cov atherosclerotic plaques.

Tsis tas li, haus luam yeeb qib nce ntshav siab.

Secondary prophylaxis yog tsom ntsoov rau kev txwv tsis pub cov cholesterol tawm thiab kev txo qis hauv tsev kho mob ntawm tus kab mob. Nws suav tag nrho cov haujlwm tseem ceeb thiab qee qhov kev pom zoo ntxiv.

Tus neeg mob ntshav qab zib yuav tsum tswj ntshav qab zib, ntshav siab, noj tshuaj uas txo cov ntshav txhaws, haus tshuaj kom txo cov ntshav qab zib, thiab siv cov tshuaj uas ua kom cov roj (cholesterol) sib luag.

Kev kho mob ntawm atherosclerosis tau piav qhia hauv kev yees duab hauv kab lus no.

Qhia koj qab zib lossis xaiv tus tub los ntxhais rau cov lus pom zoo Nrhiav. Nrhiav tsis pom. Tshawb pom. Nrhiav tsis pom. Pom. Nrhiav tsis pom.

Yuav kho li cas

Yuav ua li cas xaiv cov kev kho mob zoo tshaj plaws rau vascular atherosclerosis? Nws tsis muaj lus teb rau lo lus nug no, uas yog muaj kuab heev.

Tom qab tag nrho, cov kab mob tsis muaj nyob ntawm lawv tus kheej thiaj li txiav txim siab tias ib qho kev kho mob zoo rau tus mob atherosclerosis thiab siv nws hauv txhua kis.

Lawv txhim kho nyob rau hauv tus neeg mob nyob rau hauv tus neeg mob, nyuaj nyob rau hauv ib tug neeg txoj kev thiab mus nrog ntau tsos mob.

Txhua tus tib neeg lub cev teb tshuaj rau tshuaj kho mob atherosclerosis hauv nws txoj kev.

Yog li, ib tug neeg mob uas muaj atherosclerosis, tus kws kho mob qhia tias cov ntsiav tshuaj haus, lwm tus pom zoo rau tshuaj rau vascular atherosclerosis nyob rau hauv daim ntawv ntawm kev txhaj tshuaj, thiab tus neeg mob thib peb nrog atherosclerosis tau txais kev kho mob nrog cov tshuaj uas tau muab raws li cov kua ntshav.

Tus neeg mob thib plaub, thaum sim tsis muaj tshuaj kho cov mob atherosclerosis, txoj kev kho mob yuav ua rau hauv chav saib xyuas cov leeg phais.

Cov tshuaj twg uas yuav tsum noj nrog atherosclerosis, tus kws kho mob koom yuav qhia koj.

Yog tias qhov teeb meem cuam tshuam nrog veins, ces tus kws kho mob phlebologist yuav sau ntawv tawm tsam kev tiv thaiv atherosclerosis tom qab kev kuaj mob tag nrho, yog tias qhov teeb meem nyob hauv cov hlab ntsha, tom qab ntawd koj yuav tsum hu rau tus kws kho qhov muag txhawm rau tshuaj rau anti-arteriosclerosis tshuaj.

Tus kws kho mob txiav txim rau ib tus neeg noj ntau npaum rau kev kho mob ya atherosclerosis thiab nws hom tsiaj.

Yog lawm, cov lus qhia rau kev siv txhua yam tshuaj muaj cov lus qhia ntxaws ntxaws, tab sis tus kws kho mob koom nrog tsis yog saib xyuas cov lus pom zoo no nkaus xwb, tab sis kuj hais txog kev noj qab haus huv thiab kev mob ntawm tus neeg mob tshwj xeeb.

Nws yog ib qho tseem ceeb rau tus neeg mob tsis yog tsuas yog soj qab saib cov kev mob rau kev noj tshuaj, tab sis tseem yuav saib xyuas kev hloov pauv ntawm lawv kev nyob zoo. Yog tias muaj kev txhim kho pom, ces tus kws kho mob, kawm txog lawv, tuaj yeem txo qhov ntau npaum ntawm cov tshuaj, uas yuav pab txhawb kev ua haujlwm ntawm lub siab thiab lub raum.

Yog tias tsis muaj kev txhim kho raug pom, ces tus kws kho mob yuav hloov cov phiaj xwm los ntawm kev tshem qee cov tshuaj ntawm nws thiab qhia lwm tus. Yog hais tias tus neeg mob sau ntawv tsis zoo, qhov no yog lub caij nyoog rau kev tshuaj xyuas ntau ntxiv ntawm nws txhawm rau kom meej meej txog kev kuaj mob thiab hloov txoj kev kho kom meej.

Nws yog ib qho tseem ceeb rau tus neeg mob kom nco ntsoov tias tsuas yog ib txoj kev sib koom ua ke yuav pab nws tiv nrog atherosclerosis, uas yog, ib koob tshuaj, txawm hais tias los ntawm tag nrho cov cai, yuav tsis txaus.

Nws yog ib qho tsim nyog hloov txoj kev ua neej uas ua rau muaj tus kabmob mus rau lub cev kom noj qab nyob zoo, uas yuav ua rau rov qab los: noj kom yog, tsis noj ntau dhau, ua lub cev kev kho mob, zam kev ntxhov siab thiab hloov kho hom kev ua haujlwm.

Tshuaj Pab cuam tshuam rau xiam hlwb

Cov tshuaj hauv qab no yog siv los txhawb kev ua haujlwm hauv lub siab vim los ntawm kev cuam tshuam los ntawm tus kab mob, lossis nce lub luag haujlwm ntawm kev txhim kho hlwb:

• Nootropics ("Nootropil", "Piracetam") - kho cov tshuaj atherosclerosis uas pab ua kom muaj zog ntau ntxiv, rov ua haujlwm kev xav, tshem tawm cov txheej txheem inhibition.

Piracetam yog siv los kho kom zoo atherosclerosis.

• Vascular (Detralex) - txhim kho cov ntshav ncig.
• Neuropeptides ("Semax") - nrog rau kev mob hlwb ntau ntxiv, muaj siab, txhim kho kev nco.

Kev siv tshuaj ntawm cov pab pawg no tso cai rau koj los kho cov txheej txheem ntawm kev xav, kev xav, kev xav.

Caj Npab Kho Kev Kho Mob

Raws li tus neeg ntawm lub neej tsis muaj tseeb, kev coj tsis zoo, atherosclerosis obliterans ntawm qis qis dua nthuav dav. Txhawb cov roj khov ua rau cov ntshav tawm ntawm cov quav hniav, uas thaum kawg ua cov ntshav txhaws.

Kev kho mob ntawm atherosclerosis ntawm qis qis hauv plawv yog kev kho mob txhawm rau txhawm rau ntshav, rov ua kom ntshav ncig, thiab nce cov lumen ntawm capillaries. Txhawm rau kom kho tus kabmob kom huv nrog kev siv tshuaj, tsis muaj txoj hauv kev. Nws yog ib qho tsim nyog los tswj lub xeev, nce elasticity ntawm cov hlab ntshav, txo cov roj cholesterol. Ib hom tshuaj ntawm cov tshuaj yog tshuaj uas ua rau muaj kev ntxhov siab uas ua kom lub luag haujlwm tseem ceeb ntawm cov hlab ntsha. Kev kho mob ntawm atherosclerosis ntawm qis qis tshaj plaws yog kev kho mob nrog nrog kev kho lub cev, pneumocompression. Kev kho kom qoj ib ce yog pom zoo.

Raws li kev siv tshuaj kho mob tau pom, kev kis ntawm capillaries, leeg thiab cov hlab ntsha nrog cov plahaum roj av yog ib qho tseem ceeb ua rau kev tuag. Nws muaj peev xwm los kho tus kab mob los ntawm kev kho mob, tab sis qhov no yog txheej txheem ntev. Qee zaum kev siv yeeb tshuaj yog kho kom txog thaum tas lub neej. Hauv xyoo 2016, txoj kev tshiab rau kev kho mob ntawm atherosclerosis tau tsim - atherectomy. Hniav rhuav tshem cov quav hniav tso rau hauv cov leeg los ntawm txoj raj. Cov seem yog tas nyob hauv cov ntshav. Lub sijhawm ua haujlwm yog qhov txaus ntshai vim qhov kev pheej hmoo ntawm kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha. Nws tau tsim nws tus kheej raws li ib txoj hauv kev zoo los kho tus mob.

Keeb Kwm Tso Tawm 2017-03-06 10:34:40.

OMEGA 3 fatty acids

Ntawm tag nrho cov tshuaj rau kev kho mob ntawm atherosclerosis, omega-3 fatty acids yog qhov tshaj plaws. Ntau cov omega-3 fatty acids muaj cov roj ntses, txawm hais tias koj tuaj yeem nrhiav cov tshuaj tshwj xeeb ntxiv.

Cov tshuaj yog kho nrog qhov nce me ntsis hauv cov cholesterol, triglycerides, LDL. Lawv tuaj yeem raug siv los ua lwm txoj haujlwm rau fibrates lossis ntxiv rau cov statins.

Cov Hluav Taws Xob Mob (Inhibitors)

Tus sawv cev tseem ceeb ntawm pab pawg no yog ezetimibe. Nws inhibits kev ua ub no ntawm cov protein nqa khoom tshwj xeeb, tsis muaj cov khoom noj roj tsis tuaj yeem nqus tau. Txo cov ntsiab lus sterol hauv LDL los ntawm 18%.

Ezetimibe tuaj yeem yog ib feem ntawm cov kev kho mob nyuaj nrog statins lossis siv los ua cov tshuaj cais rau lawv tus kheej tsis kam txais. Cov tshuaj tseem raug sau tseg rau cov neeg mob uas muaj kev mob tshwm sim tsis tshua muaj tshwm sim - sitosterolemia, hauv cov nroj tsuag sterols tau nqus zoo kawg.

Kev npaj tshuaj ntsuab

Cov tshuaj nyob rau hauv kev kho mob ntawm atherosclerosis tuaj yeem yog tsob ntoo keeb kwm. Cov tshuaj no muaj cov nyhuv ua rau mob me me, tsis tshua muaj nrog kev phiv tshuaj. Txawm li cas los xij, kev kho mob ntawm atherosclerosis nrog tshuaj ntsuab npaj tsis tshua muaj txiaj ntsig tshwm sim tau. Yog li, nws raug nquahu kom coj lawv mus rau theem pib ntawm tus kabmob.

Lipid-txo cov tshuaj ntsuab suav nrog:

• Revital Qej Cov hlaws. Cov no yog cov nkaws mos cov tshuaj ntsiav ua rau lub hauv paus ntawm qej extract. Txo cov nyiaj ntawm LDL, nce HDL, muaj choleretic, immunostimulating effect. Lub ntsiab ua yeeb yam tseem ceeb yog kev siv tshuaj tua kab mob allicin.
• Cov roj ua noob taub dag.Lowers cov rog, tiv thaiv kom tsis txhob mob plab, txhawb txoj kev tso tawm cov kua tsib, hloov nws cov lus sib xyaw, txo cov ntshav siab.
• Ravisol. Tincture ua los ntawm cov dawb mistletoe, horsetail, Japanese sophora, txiv ntoo hawthorn, clover paj, txiv ntseej txiv ntoo, periwinkle nyom. Txo cov roj cholesterol, triglycerides, LDL, txhim kho cov ntshav ncig hauv lub plawv, lub hlwb, tiv thaiv cov ntshav txhaws.

Cov tshuaj antihypertensive

Ntshav siab tau suav tias yog ib qho ntawm cov kev puas tsuaj tseem ceeb uas cuam tshuam rau vascular phab ntsa. Thiab vim tias muaj cov leeg ntawm cov hlab ntsha yog qhov xav tau rau kev txhim kho ntawm atherosclerosis, nws yog qhov tseem ceeb heev kom tshem tawm cov yam no.

Muaj 8 chav kawm tseem ceeb ntawm cov tshuaj tiv thaiv antihypertensive:

• diuretics (spironolactone, furosemide, indapamide, chlortalidone),
• beta-blockers (propranolol, sotanol, bisoprolol),
• adrenergic receptor agonists (clonidine, methyldopa, moxonidine),
• calcium channel blockers (nifedipine, amplodipine, nimodipine, diltiazem, verapamil),
• ACE inhibitors (captopril, enalapril, ramipril, perindopril, fosinopril),
• Angiotensin-2 receptor antagonists (losartan, valsartan, candesartan),
• vasodilators (nitroglycerin, hydralazine, minoxidil),
• ncaj qha renin inhibitors (aliskiren).

Antithrombotic tshuaj

Nrog atherosclerosis, qhov pheej hmoo ntawm thrombosis nce. Cov ntshav ntws los ntawm thaj chaw nqaim qis, uas tsim cov xwm txheej rau kev tsim cov ntshav txhaws. Txhua cov tshuaj hauv pab pawg no tau muab faib ua 3 chav kawm:

• antiaggregant - tiv thaiv platelet adhesion,
• anticoagulants - Kuv tiv thaiv cov ntshav coagulation,
• thrombolytic - yaj tsim cov ntshav txhaws.

Feem ntau feem ntau, nrog kev mob atherosclerosis, anticoagulants warfarin siv, ib yam li acetylsalicylic acid (tshuaj aspirin). Warfarin muaj peev xwm cuam tshuam nrog ntau yam tshuaj lipid-txo qis. Yog li ntawd, nws txoj kev siv yuav tsum tau tswj hwm cov ntshav coagulability.

Npaj rau kev kho mob ntawm qee hom atherosclerosis

Hauv daim ntawv teev cov tshuaj rau kev kho mob ntawm atherosclerosis ntawm lub hlwb, nws yog qhov yuav tsum tau ntxiv cov tshuaj uas txhim kho cov khoom noj khoom haus ntawm cov leeg. Muaj 3 pawg ntawm cov tshuaj uas muaj txiaj ntsig zoo ntawm cov metabolism hauv lub hlwb:

• Nootropics (cortexin, piracetam, nootropil, thiocetam),
• cerebroprotectors (neuroxon, sermion, fesam, cinnarizine)
• microcirculation normalizers (cavinton, cerebrolysin, trental).

Kev kho mob rau atherosclerosis ntawm qhov kawg no suav nrog cov tshuaj uas:

• tshem tawm cov mob (ibuprofen)
• tshem tawm vascular spasm - antispasmodics yog kho rau lub hom phiaj no (vazaprostan, nikoshpan, kev ua raws, pentoxifylline, cinnarizine),
• txhim kho cov ntaub so ntswg metabolism (B vitamins, solcoseryl, prodectin, parmidin, dalargin, angin).

Rau kev ua tiav zoo ntawm atherosclerosis ntawm ib daim ntawv twg, nws yog ib qho tseem ceeb kom them sai sai rau cov kab mob concomitant (kab mob siab, ntshav qab zib mellitus, mob qog).

Ntaub Ntawv

1. M.A. TUCHINSKAYA, O.I. SHUSHLYAPIN. Kev tiv thaiv thiab kho ntawm atherosclerosis hauv cov lus nug thiab lus teb, 2007
2. A.K. Myshkina. Tshuaj Sab Hauv Tsev: cov lus qhia sau tseg, 2011
3. A. Kudryavtsev. Kev Kho Atherosclerosis, 2017

Cov ntaub ntawv npaj los ntawm tus sau phau ntawv ntawm qhov project
raws li txoj cai kho ntaub ntawv ntawm lub xaib.