Cuam tshuam atherosclerosis ntawm qis qis dua: cov duab, theem, cov tsos mob thiab kev kho mob

Atherosclerotic hloov pauv ntawm cov kab mob vascular ntawm lub cev tuaj yeem raug soj ntsuam thaum muaj hnub nyoog li cas, tab sis feem ntau cov kab mob pathology no cuam tshuam ib qeb ntawm cov neeg laus dua 40 xyoo. Atherosclerotic formations tshwm sim nyob rau hauv yuav luag txhua lub nkoj ntawm lub cev, txawm li cas los xij, ib qho kev pheej txuas rau cov txheej txheem pathological no yog cov yam ntxwv ntawm cov hlab ntsha tseem ceeb ntawm cov ceg. Qhov tshwm sim hauv kev kho mob no tau txhais tias yog obliterating atherosclerosis ntawm qis qis.

Cov yam ntxwv sib txawv

Lub cim tseem ceeb tshaj plaws ntawm cov kab mob no hauv tib neeg yog qhov tsim ntawm atherosclerotic kev loj hlob hauv lumens ntawm cov hlab ntsha tseem ceeb ntawm qis qis. Cov qauv tsim no yog hu ua roj plaques thiab muaj cov ntsiab lus atheromatous nyob hauv cov ntaub so ntswg ntau dhau.

Cov roj cholesterol yog ib yam khoom tsim tawm hauv lub cev los ntawm cov rog thiab carbohydrates. Nws los ntawm ob hom: qhov tseem ceeb thiab muaj kev phom sij. Nws yog cov teeb meem roj uas nkag mus rau hauv lub cev nrog rau cov zaub mov ntawm tsiaj keeb kwm, tom qab ntawd, nce mus los ntawm cov hlab ntsha nrog ntshav ntws, nws txuas rau lawv cov phab ntsa. Li no, kev tsim cov roj (cholesterol) cov quav hniav tawm ua ntej. Cov roj (cholesterol) zoo ib yam nyob rau hauv lub sib xws zoo li cov quav ciab, vim nws muaj cov qauv ntom thiab nplaum. Txawm li cas los xij, cov roj (cholesterol) cov quav hauv plab yog qhov ntau dua, vim tias cov calcium calcium uas muaj nyob hauv cov ntshav tuaj yeem txuas nws. Maj mam, cov hlab ntsha atherosclerotic pib poob elasticity, thiab cov plahaum roj plam tseem ceeb nqaim nws lumen. Qhov kab mob pathological ntawm tib neeg cov hlab ntsha yog hu ua atherosclerosis, uas qee zaum muaj kab mob tuag taus.

Xav txog cov theem tseem ceeb ntawm obliterating atherosclerosis ntawm qis qis. Cov hlab ntsha cuam tshuam los ntawm atherosclerosis tuaj yeem txhaws tag sijhawm. Muaj ob theem ntawm tus kabmob no: thawj zaug yog mob hlab ntsha hauv lub nkoj thaum nws lub lumen nqaim, zaum ob yog occlusion, uas txhais tau tias nws txhaws tag. Yuav ua li cas obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis dua tshwm sim nws tus kheej?

Cov tsos mob ntawm tus kab mob

Thaum pib ntawm kev tshwm sim ntawm atherosclerosis ntawm cov hlab ntsha ntawm ob txhais ceg, qhov mob no tej zaum yuav tsis pom nws tus kheej hauv txhua txoj kev, tab sis nyob rau hauv cov xwm txheej ntawm kev txhim kho ntawm cov mob ntev ntev ntawm pathology, oxygen tshaib plab ntawm cov ntaub so ntswg devoid ntawm cov ntshav pib, kev tsim kho dua tshiab yuav nyuaj, uas thaum kawg ua rau lawv cov necrosis.

Feem ntau ntawm txoj kev loj hlob ntawm tus kab mob no, kev puas tsuaj rau cov hlab ntsha ntawm qhov qis qis tshwm sim, thiab cov txheej txheem no loj hlob sai heev, txij li lub nra tseem nyob ntawm ob txhais ceg. Lwm qhov tseem ceeb uas pab txhawb rau qhov no yog qhov mob hnyav thiab tuab ntawm cov roj cholesterol, uas poob qis nrog rau cov ntshav ntws.

Cov cim tseem ceeb ntawm tus kabmob

Obliterating atherosclerosis ntawm qis dua qhov qis yog tsiag ntawv los ntawm cov cim zoo li no:

Tsau tus kheej txias ntawm ob txhais ceg. Cov neeg mob pheej yws yws tias lawv nqaj qis qis kom khov, txawm tias lub caij sov.
Lameness dhau los ntawm nws tus kheej tom qab so ib ntus.
O ntawm qhov qis qis.
Kev hnov mob tsis zoo uas tuaj yeem pom tau txawm hais tias lub cev tsis muaj zog txaus.
Localization ntawm kev mob ntawm lub plab hlaub nqaij.
Kev loj hlob qeeb ntawm cov ntiv taw.
Cov plaub mos nyob rau hauv qis kawg pib poob tawm, thiab daim tawv nqaij ua daj ntseg ntau thiab qhuav.
Thaum lub sij hawm saws los ntawm txoj hauj lwm kab rov tav ntawm lub cev ob txhais ceg ntse tig daj ntseg.
Atrophic tshwm sim hauv plab hlaub nqaij. Hauv cov chaw no, ob txhais ceg tuaj yeem poob ceeb thawj.
Kev loj hlob ntawm cov cim ntawm kev tsis txaus siab kev sib deev hauv tus txiv neej, uas cuam tshuam ncaj qha rau cov ntshav tsis txaus rau lub plab mog.
Hauv theem hnyav ntawm tus kab mob, kev tsim cov mob txhab ntawm ncauj.

Cov tsos mob nrog tus mob atherosclerosis obliterans ntawm qis qis "muaj qhov tsis zoo, tab txawm tus kab mob loj zuj zus. Nws nyob ntawm txoj kev ua neej ntawm tus neeg, raws li tus cwj pwm ntawm nws lub cev. Tus txiv neej feem ntau raug rau tus mob atherosclerosis obliterans, tab sis tus kab mob ntawm cov xwm txheej zoo sib xws kuj tuaj yeem tshwm sim hauv cov poj niam. Atherosclerosis tuaj yeem tshwm sim txawm tias thaum me, thaum lub txheej txheem kev cuam tshuam ntawm cov khoom noj uas cuam tshuam nrog kev tsim cov lipids tau cuam tshuam hauv tib neeg lub cev. Lwm qhov uas ua rau tus mob no yog ntshav qab zib.

Lub hauv paus tseem ceeb ntawm atherosclerosis ntawm qhov kawg

Cov hnub nyoog laus yog lub hauv paus tseem ceeb hauv kev txhim kho atherosclerosis obliterans ntawm qis qis dua. Qhov no yog vim qhov tseeb tias cov hlab ntsha hnav ntau nrog lub hnub nyoog thiab poob lawv qhov kev sib cog lus, thiab cov roj uas txhaws taus thaum lub neej twb tau tswj hwm los tsim cov nyiaj tau tsawg rau ntawm cov leeg ntsa.

Lub hauv paus tseem ceeb rau kev tshwm sim ntawm obliterating atherosclerosis ntawm cov hlab ntsha ntawm ob txhais ceg yog:

Tshaj qhov hnyav. Hauv qhov xwm txheej no, tib neeg muaj kev ua txhaum cov rog hauv cov roj ntsha hauv lub cev thiab lub nra hnyav lossis qis dua.
Khoom noj khoom haus tsis zoo, thaum ib tus neeg noj ntau ntawm cov tsiaj rog, uas pab txhawb kev tsim cov plahaum roj av.
Varicose leeg mob vascular. Tus kab mob no tseem ua rau txhawm rau hauv cov hlab ntsha ntawm qhov qis qis.
Pathologies ntawm kev txhim kho ntawm lub plab mog plab hnyuv, thiab kab mob ntawm cov kabmob no.
Laus lub caij nyoog.
Frostbite thiab lwm yam kev raug mob ceg thaum tus qauv ntawm cov hlab tau cuam tshuam.
Muaj lub cev zoo ntawm cov ceg.
Ua haujlwm tsis txaus. Vascular pathologies tuaj yeem tsim kho nrog kev ua neej nyob sedentary.
Neeg muaj keeb. Muaj qee feem pua ntawm cov neeg mob uas lawv cov txheeb ze ncaj qha muaj cov mob zoo sib xws.
Hormonal tsis txaus nyob rau hauv lub cev. Kev txo qis ntawm qee cov tshuaj hormones yuav ua rau tsim cov atherosclerotic plaques.
Mob ntshav qab zib mellitus.
Hypothermia, thaum cov hlab ntsha ntawm cov qis dua muaj qhov nqaim tas li.
Kev haus luam yeeb, uas txo qhov elasticity ntawm cov hlab ntsa.

Qhov tshwm sim ntawm cov kab mob no tuaj yeem ua rau txaus siab, txij li thaum muaj kev thaiv tag nrho ntawm cov hlab ntsha ntawm ob txhais ceg, mob rau sab hauv trophic tuaj yeem txhim kho, nrog rau kev tuag ntawm qee thaj chaw, piv txwv, ntiv taw. Qhov tsim nyog tau ntawm tus txheej txheem no yog txiav tawm ntawm cov ntiv tes lossis tag nrho nqua. Yuav ua li cas ua kom lub pob zeb tawg ntawm cov hlab ntsha ntawm qhov qis dua hauv kev tsim kho?

Txheej txheem kev tsim kho

Muaj ob peb lub ntsiab tseem ceeb ntawm qhov tshwm sim thiab kev txhim kho ntawm vascular pathology. Hauv cov theem pib, nws tuaj yeem ua asymptomatic los yog ua kom pom tseeb tias mob caj dab nrog ob txhais ceg nrog cov nra hnyav. Nrog txoj kev loj hlob ntawm atherosclerosis obliterans ntawm qis dua qhov qis, tib neeg cov tsos mob tau txhawj xeeb zuj zus. Nws pib hnov mob hauv nws txhais ceg hnyav thiab tsis xis nyob thaum taug kev lossis thaum ua qee yam qoj ib ce. Cov theem tom ntej ntawm tus kabmob yog tsiag ntawv los ntawm kev mob tsis tu ncua thaum lub sijhawm hla ntawm txawm tias mus deb. Hauv qhov no, qhov mob tsis ploj txawm tias yog so. Qhov kawg theem, qhov nyuaj tshaj plaws, yog qhov kev pom ntawm kev tsim ntawm cov mob txhab, thiab hauv qhov ua tiav tsis muaj ntshav txaus rau hauv ceg qis, tus txheej txheem no tuaj yeem ua rau mob caj dab thiab, yog li ntawd, txiav tawm ntawm txhais ceg.

Ntau yam

Cuam tshuam atherosclerosis ntawm qis dua tuaj yeem tsim tsis tsuas yog nyob rau thaj chaw shin, uas nyob ntawm tus kheej cov yam ntxwv ntawm lub cev. Hauv kev sib txuas nrog cov no, muaj ntau yam kabmob ntawm cov kabmob no tau sau tseg. Cov no suav nrog:

Atherosclerotic hloov pauv ntawm ntu ntu femoral-popliteal.
Hloov pauv ntawm ntu aortic-iliac.
Occlusion ntawm thaj av tibial.
Thaj chaw ntawm thaj chaw popliteal-tibial ntawm cov hlab ntsha.
Qhov txawv txav ntawm tus ncej, ntxiv rau qhov ntawm popliteal ntawm cov hlab ntsha, thaum muaj kev ywj pheej ntawm cov hlab hauv thaj chaw shin tau tshwj tseg.
Occlusion ntawm tag nrho cov hlab ntsha ntawm lub ncej puab, ntxiv rau ceg qis, thaum cov ntshav ntws tau khaws cia hauv cov leeg thiab leeg.
Ntau qhov txhab ntawm cov hlab ntshav khov.

Segmental obliteration ntawm cov hlab ntsha yog qhov ua txhaum ntawm cov ntshav txaus hauv qee cov haujlwm, uas yog cov qauv sib txawv thaum cov ntshav ntws tawm thoob plaws tus ncej. Cov duab ntawm obliterating atherosclerosis ntawm qis qis tshaj qhia qhov hnyav ntawm tus mob.

Kev kuaj mob rau txoj kev txiav txim siab tus mob

Hauv qhov no, tsuas yog tus kws kho mob yuav tsum tau sau daim ntawv kuaj mob thiab kho txheej txheem. Nws yog nruj me ntsis txwv tsis pub nws tus kheej siv tshuaj kho tus kab mob no, txij li kev pheej hmoo ntawm kev ua tsis zoo los ntawm kev siv ntawm kev kho tsis tau zoo yog qhov siab dhau.

Tom qab tus neeg mob yws ntawm cov tsos mob ntawm atherosclerosis ntawm cov hlab ntsha ntawm ceg, tus kws tshaj lij, raws li txoj cai, tau sau tseg rau cov txheej txheem kuaj mob hauv qab no:

Rheovasography yog ib qho txheej txheem uas tso cai rau koj los soj ntsuam qhov xwm ntawm ntshav ntws hauv cov hlab ntsha ntawm qhov qis qis. Cov txheej txheem ntawm hom no tau ua tiav siv cov cuab yeej tshwj xeeb, uas niaj hnub no muaj nyob rau hauv yuav luag txhua lub tsev kho mob.
Dopplerography yog ib hom kev kuaj mob ultrasound, nyob rau hauv uas nws muaj peev xwm txheeb xyuas foci ntawm atherosclerosis, tsim kom muaj qhov luaj li cas ntawm lumen ntawm cov hlab ntsha, qhov muaj ntawm obliteration lossis occlusion.
Infrared thermography yog ib txoj kev ua raws li kev ntsuas ntawm kev ntsuas hluav taws xob, uas, raws li txoj cai, raug txo rau hauv cov chaw ntawm cov ntshav tsis txaus.
Kev ntsuam xyuas lub cev uas siv cov txheej txheem kev tawm dag zog thaum txiav txim siab seb tus neeg mob lub cev ua tau zoo npaum li cas.
Arteriography yog ib qho kev kawm tshwj xeeb, uas yog xoo hluav taws xob ua tom qab kev qhia txog cov tshuaj tshwj xeeb sib txawv rau hauv tus neeg mob cov ntshav. Siv cov txheej txheem no, koj tuaj yeem yooj yim kuaj pom kev patency ntawm cov hlab los yog lawv cov txhaws.

Ntxiv nrog rau txoj hauv kev rau kev kuaj mob rau lub xeev ntawm cov hlab ntsha ntawm qhov qis qis dua, muaj qee qhov kev tshawb nrhiav kev kuaj mob uas pab ua kom kawm paub tag nrho cov duab hauv tus kab mob. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, koj tuaj yeem txiav txim siab cov ntshav qab zib cov ntshav hauv tus neeg mob kom tsis suav nrog muaj mob xws li mob ntshav qab zib mellitus, uas yog qhov ua rau atherosclerotic hloov hauv cov hlab ntsha. Los ntawm kev txheeb xyuas, cov qib ntawm cov roj (cholesterol) thiab lipids hauv cov ntshav kuj tau kuaj pom.

Kev kho mob ntawm atherosclerosis obliterans ntawm qis dua qhov qis

Cov hau kev ntawm kev saib xyuas kev kho mob ntawm tus kab mob ntawm cov hlab ntsha yog tsom rau kev kho lawv lub luag haujlwm. Cov no suav nrog cov haujlwm hauv qab no:

Ua tiav tsis lees ntawm cov cwj pwm tsis zoo, nrog rau kev ua kom tau ib txwm ntawm kev noj haus.
Kev ruaj khov ntawm lub cev nyhav.
Kev ua haujlwm ntawm lub cev.
Cov tshuaj uas pab txo cov vasospasms thiab yaj atherosclerotic uas thaiv kom ntshav khiav.
Kev tsis kam noj tsiaj cov rog.
Kev siv dag zog hauv lub cev, piv txwv li, electrophoresis siv novocaine, darsonvalization, kev kho mob siv tshuaj kho mob, kho mob ozone, hyperbaric oxygenation thiab ntau lwm cov txheej txheem.
Tshuaj kho mob rau cov kev ua haujlwm hauv cov cev hauv lub cev kom zoo li qub. Kev siv tshuaj kho mob ntawm atherosclerosis obliterans ntawm qis dua tuaj yeem ua haujlwm zoo.
Kev siv cov multivitamin ntau ceg ua rau kom cov nqaij ntshiv tag nrho.
Kev kho mob hauv zos ua kom sai kho kom zoo ntawm cov muaj mob rau qhov mob thaum muaj mob.
Ib txoj hauv kev zoo los kho tus mob yog pneumopressotherapy, uas yog qhov tshwj xeeb zaws ntawm qhov qis ntawm tib neeg lub cev siv ntshav siab. Txoj hau kev no pab kho lub elasticity ntawm cov leeg ntsa.

Xav txog lwm txoj kev kho mob ntawm obliterating atherosclerosis ntawm qis qis.

Folk kev

Kev kho mob ntawm atherosclerosis ntawm qis qis dua tuaj yeem nqa tawm siv cov ntawv thov. Cov txheej txheem no pab txhawb cov nplai sclerotic plaques hauv cov hlab ntsha, uas ua tau yooj yim rau tus neeg mob tus mob. Rau kev thov, siv cov kev lis ntshav ntawm cov tshuaj ntsuab hauv qab no: sage, hlua, chamomile, plantain thiab St. John lub wort. Tag nrho cov khoom xyaw yog tov nrog sib npaug sib npaug, tom qab ntawd nqa 1 tbsp. l Sau thiab nchuav 250 ml ntawm dej kub. Cov kua dej ua tsis haum rau ob peb teev (ntev dua qhov zoo dua), tom qab ntawd lim.

Ua ntej thov cov ntawv thov, nws yuav tsum txhuam cov nqaij mob thiab ntxuav nrog xab npum ntxhua khaub ncaws hauv dej sov. Thaum rhuab mus rau 37 ° C, Txoj kev lis ntshav yog moistened nrog ib daim ntawm cov ntawv kho mob, nyem thiab qhwv rau hauv ib qho povtseg, pib los ntawm puab tais thiab xaus nrog pob taws. Cov ntawv txheeb ntawm cov ntawv ntim tau tso rau sab saum toj ntawm daim ntaub nyias nyias thiab ruaj nrog ib daim ntaub ntawm paj rwb ntaub. Lub chav kawm ntawm daim ntawv thov yog txiav txim siab los ntawm qhov loj ntawm tus kab mob. Qhov nruab nrab ntawm cov txheej txheem yog 21 hnub, tom qab rau lub hlis ntawm kev kho mob xav tau rov ua dua.

Txhawm rau txhawm rau txhim kho tawv nqaij mob ntawm mob caj dab, nws raug nquahu kom txhuam nrog sib xyaw ntawm txiv ntseej thiab roj hiav txwv buckthorn roj (hauv cov sib npaug sib npaug) tam sim ua ntej thov cov ntawv thov. Cov roj roj tau muab txhuam rau hauv daim tawv nqaij maj mam muab thiab nrog ib txheej nyias 1 zaug hauv ib hnub. Lub sijhawm ntawm cov kev kho mob yog nyob ntawm qhov mob ntawm daim tawv nqaij: feem ntau nws yog los ntawm 7 txog 20 hnub.

Yog tias koj kuaj pom tus kab mob no thaum ntxov ntawm nws txoj kev loj hlob, ib txoj kev kho tau yooj yim, tab sis nws yog qhov yuav tsum tau tshem tawm cov xwm txheej uas tuaj yeem ua rau nws ntxiv. Tom qab kho, koj yuav tsum ua raws li cov kev cai ntawm kev noj qab haus huv thiab mus tiv thaiv kev kuaj mob los ntawm tus kws kho mob. Kev kho mob ntawm atherosclerosis obliterans ntawm qhov qis qis tsis tas rau qhov no.

Kev Kho Mob Kho Mob

Nyob rau hauv rooj plaub uas txoj kev ntawm kev siv tshuaj los kho tus kab mob no tsis ua rau muaj txiaj ntsig zoo, cov txheej txheem kev ua haujlwm raug siv los tawm tsam nws, nrog rau cov kev rau txim uas nws tuaj yeem ua. Cov kws phais vascular tau koom nrog hauv cov haujlwm no. Nyob ntawm theem ntawm kev loj hlob ntawm atherosclerosis ntawm cov hlab ntsha ntawm cov qis qis, ntau ntau yam kev phais mob tau txawv, uas suav nrog:

Zais pa angioplasty - ib qho txiaj ntsig uas qhov tshwj xeeb zais pa tau muab tso rau hauv lumen ntawm cov hlab ntsha, uas nthuav tawm cov leeg ntshav.
Kev phais Bypass - kev tsim cov khoom neeg hla kev ua rau cov ntshav khiav ze ntawm qhov chaw ntawm obliteration lossis txhaws ntawm cov hlab ntsha.
Stenting - tso rau sab hauv cov leeg ntawm cov khoom tshwj xeeb uas muab cov ntshav ntws hauv lub nkoj.
Autodermoplasty ntawm daim tawv nqaij - siv rau cov qhov txhab ntawm mob txhab rau thaj tsam ntawm ob txhais ceg loj.
Arterial prosthetics - hloov qee seem ntawm cov hlab ntshav nrog cov khoom cuav.
Endarterectomy - tshem tawm ntawm lub nkoj cuam tshuam.
Amputation ntawm tus nqua. Nws yog tsim nyob rau hauv cov teeb meem nyuaj tshaj plaws, piv txwv li, nrog kev loj hlob ntawm kev ua laib.

Kev kho mob ntawm atherosclerosis obliterans ntawm cov hlab ntsha ntawm qhov qis qis kawg yuav tsum tau raws sij hawm. Tsis ntev tas los no, tus txheej txheem tshiab ntawm kev kho cov kab mob zoo li no tau siv ntau zaus, hauv kev sib kis tau siv cov khoom siv laser. Xws li kev phais mob yog qhov tsis mob kiag li, thiab tom qab lawv ib tus neeg tsis xav tau kev rov txhim kho mus ntev.

Xaus

Atherosclerosis obliterans ntawm cov ceg ntawm lub cev qis yog qhov muaj ntau, tshwj xeeb tshaj yog ntawm cov txiv neej, yog li cov kws kho mob pom zoo tom qab 40 xyoo los txwv kev noj zaub mov uas muaj cov tsiaj rog ntau, uas ua rau cov roj av "teeb meem", uas tau tso rau ntawm phab ntsa arterial thiab provokes kev txhim kho ntawm kev cuam tshuam. Peb tau soj ntsuam cov tsos mob thiab kev kho mob ntawm atherosclerosis obliterans ntawm cov leeg ntshav qis.

Vim li cas qhov no tshwm sim?

Thaum cov hlab ntsha noj qab nyob zoo, cov ntshav khiav mus dawb thiab cov ntaub so ntswg tau txais cov khoom noj khoom haus txaus thiab oxygen. Qhov nqaim ntawm lumen ua rau lub cev tsis muaj qhov tsis txaus ntawm cov khoom noj khoom haus uas tsim nyog, uas ua rau ischemia, thiab tom qab ntawd - kev tuag zuj zus ntawm cov nqaij mos hauv thaj chaw uas cuam tshuam rau cov hlab ntsha nrog cov ntshav.

Qhov laj thawj tseem ceeb rau txoj kev nqaim vascular lumen yog cov roj ntsha txhaws ntu nyob rau sab hauv ntawm cov hlab ntsha. Tom qab ntawd, cov quav hniav tuaj yeem thaiv cov ntshav kev ua kom tiav thiab ua rau ntau qhov kev cuam tshuam loj heev (piv txwv li, qog nqaij hlav), nrog rau kev txiav tawm ntawm lub cev.

Tias yog vim li cas nws yog qhov tseem ceeb ntawm thawj cov kev tsis txaus siab mus sab laj rau tus kws tshaj lij sai li sai tau, leej twg yuav ua kom paub tseeb thiab pab txhim kho cov ntshav hauv cov nqaij mos.

Nco ntsoov: txhawm rau khaws cia qhov muaj peev xwm ntawm cov ntaub so ntswg nrog atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua yam tsis muaj kev phais, yog tias koj kuaj pom tus kab mob no nyob rau lub sijhawm thiab kev kho kom zoo.

Atherosclerosis ntawm cov hlab ntawm qhov qis qis: cov tsos mob

Atherosclerosis ntawm cov hlab ntsha ntawm lub qis qis yog pom los ntawm cov tsos mob tshwj xeeb heev, ntawm cov uas:

Khaus, goosebumps, thiab ceg
Qhov kev xav zoo ib yam li cov uas tshwm sim thaum, piv txwv li, koj zaum ntawm koj txhais ceg. Tsuas yog nrog atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis kawg nkaus lawv tshwm sim lawv tus kheej. Piv txwv li, thaum taug kev.
Hnov txias nyob hauv cov ceg
Nws tshwm sim rau qhov tsis muaj laj thawj. Xws li thaum koj nyob hauv lub hnub nyob rau lub hnub sov sov.
Tawv nqaij ntawm txhais ceg
Nws loj hlob tuaj vim qhov tseeb tias cov nqaij mos tau ua kom tsis muaj ntshav txaus.
Txo cov rog thiab cov leeg txheej ntawm lub duav, txhais ceg thiab taw
Raws li twb tau hais los saud, tsis muaj cov as-ham thiab cov pa oxygen txhawb cov metabolism, ua rau cov rog thiab cov leeg nqaij txo hauv ntim.
Ib feem lossis ua tiav cov plaub hau poob rau ntawm qij taws thiab txhais ceg yam tsis tau rov ua dua
Nrog cov pa oxygen tshaib plab ntawm cov ntaub so ntswg, cov tawv nqaij ua rau muaj kev txom nyem, nrog rau nws cov plaub hau (cov hauv paus plaub hau thiab cov qog hws). Qhov no yog nrog los ntawm plaub hau ploj, dryness thiab ua kom tawv nqaij.
Mob hauv ceg
Thawj zaug tshwm sim thaum taug kev. Tus mob no yog hu ua "sib quas ntus claudication syndrome." Nrog cov kev nce qib ntawm cov txheej txheem, qhov kev ncua deb taug kev yam tsis muaj mob yog txo qis. Hauv lub sijhawm yav tom ntej, qhov mob ntawm ob txhais ceg tshwm sim txawm tias yog so (tshwj xeeb yog thaum pw).
Liab lossis tsaus ntawm daim tawv nqaij ntawm qis ceg, ko taw thiab ntiv tes
Vim yog qhov reflex nthuav ntawm cov hlab ntshav, daim tawv nqaij yuav ua liab ploog. Qhov tsos mob no twb qhia qhov pib ntawm qhov txaus ntshai ua mob - nqaij tuag.
Mob rwj
Cov mob rwj no hu ua "trophic." Lawv tshwm sim rau ntawm thaj chaw tawv nqaij nrog ischemia tseem ceeb.
Mob caj pas (necrosis, mob nqaij tuag)
Nws ua tau nws tus kheej hauv cov theem kawg ntawm tus kab mob, thaum txoj kev taug ua pathological tsis tuaj yeem hloov pauv. Ntxiv mus, txiav tes yog kev tsis pom nrias tej.

Raws li koj tuaj yeem pom ntawm koj tus kheej, atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis yog qhov kab mob txaus ntshai uas tuaj yeem ua rau koj xiam oob khab lossis ua rau tuag ntxov.

Yog tias koj hnov zoo li tsis xis nyob hauv koj ob txhais ceg (tingling, goosebumps, khaus, txias) lossis, mob ntxiv, mob uas tshwm sim txawm nyob so thiab ua rau mob siab thaum taug kev lossis qoj ib ce, tsis txhob ncua sijhawm mus ntsib kws kho mob.

Nco ntsoov: Koj tuaj yeem ua yam tsis tau ua haujlwm yog tias koj txheeb xyuas tus kabmob yog sijhawm. Puas tsim nyog nws ua tus ceev?

Teem sijhawm tamsim.

Teem sijhawm

Cuam tshuam atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua

Obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua yog ib qho ntawm cov kab mob feem ntau ntawm atherosclerosis (3-5% ntawm tus neeg mob). Tus kabmob pib loj zuj zus, tsiv ntawm ib theem mus rau lwm yam:

Theem I - qhov mob ntawm ob txhais ceg tshwm sim tom qab dhau kev nrug deb
Theem II - mob tshwm sim tom qab taug kev txog 200 m
Theem III - kev hnov mob tau hnov tom qab dhau ntawm cov chaw me me uas qis dua 50 m, thiab qee zaum thaum so
Theem IV - txhais ceg yuav luag tas li rau mob thaum so, thaum taug kev qhov mob nce ntxiv, mob nqaij thiab mob caj dab

Txhawm rau xaiv cov kev kho mob uas tsim nyog, nws yog ib qho tseem ceeb kom ua rau kev kuaj mob kom ntxaws: to taub thiab nkag siab tias tus mob pib li cas.

Atherosclerosis ntawm cov hlab ntawm qhov qis qis: ua rau

Muaj ntau ntau lub laj thawj thiab cov ntsiab lus uas tuaj yeem ua rau kev txhim kho ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis. Cia peb tham txog lub ntsiab:

Tub los ntxhais
Raws li kev txheeb cais, cov txiv neej raug kev txom nyem los ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua ntau dua li poj niam. Vim li cas qhov no tshwm sim tseem tsis tau meej kiag li, tab sis muaj cov version uas hais txog cov poj niam txiv neej pw ua niam txiv - estrogens - tiv thaiv kev tsim cov roj uas txhaws taus ntawm phab ntsa ntawm cov hlab ntshav.
Lub hnub nyoog
Tom qab 50 xyoo, tus naj npawb ntawm cov txiv neej thiab poj niam muaj kev txom nyem los ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis yog qhov sib npaug, vim hais tias nrog kev pib ntawm lub sijhawm ntawm cov poj niam, cov theem ntawm poj niam txiv neej pw ua ke - estrogens, uas, cov kws tshawb fawb qhia, muaj cov txiaj ntsig zoo ntawm cov hlab ntsha, txo qis.
Cov roj (cholesterol) siab
Qhov no yog qhov laj thawj tseem ceeb rau kev tsim cov quav hniav rau ntawm phab ntsa ntawm cov hlab ntsha, uas nqaim lawv cov lumen thiab vim li cas ntawm txoj kev mob ntsws ntawm cov ntshav nrog txoj kev ua tiav ntawm kev tso ntshav ntws.
Tawg siab
Ua rau cov ntshav siab pab cov hlab ntsha hauv lub sijhawm: lawv poob lawv lub cev thiab lub cev, uas ua rau cov kauv roj uas txhaws taus ntawm cov phab ntsa thiab cov roj uas txhaws taus ua ke ntau dua
Noob caj noob ces
Atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis ib txwm muaj tshwm sim los ntawm kev sib txuam ntawm ntau yam, ib qho ntawm cov kev tsis sib haum xeeb. Los ntawm cov niam txiv, peb tau dhau los ntawm cov yam ntxwv ntawm lipid metabolism, cov tshuaj hormones thiab lub cev tsis muaj zog, uas ntawm tus nqi ntawm kev loj hlob ntawm atherosclerosis feem ntau nyob. Nco ntsoov: koj muaj kev pheej hmoo yog tias atherosclerosis mob lossis koj tsev neeg muaj mob
Cov cwj pwm tsis zoo
Nicotine, tshwj xeeb hauv cov khoom loj, cuam tshuam rau cov metabolism thiab ua rau kev txhaws taus ntawm cov hlab ntsha. Cov tshuaj yeeb dej cawv ua raws tib yam nkaus, tab sis cov kev rau txim yuav nyuaj npaum li cas. Cawv txhawb txoj kev nthuav dav ntawm cov hlab ntshav, tab sis nws tsis zoo cuam tshuam rau cov ntshav thiab cov plab hnyuv siab raum raws li tag nrho yog muaj zog ntau dua li kev siv tshuaj kho mob tsawg kawg uas nws yog kev coj los ua rau nws
Hloov cov kab mob thiab pathologies
Piv txwv li, ntshav qab zib mellitus, nyob rau hauv uas cov rog rog yog qhov tsis txaus, thiab feem coob ntawm cov neeg muaj tus kab mob no muaj kev txhim kho atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis, uas yog kev tawm tsam ntau.
Tsis muaj cov thyroid hormones
Cov kab mob ua kom tsis zoo, tshwm sim los ntawm qhov kev pheej hmoo ntawm kev txhim kho atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis ntxiv nce 35-40%
Kev ntxhov siab
Tshwj xeeb yog kev cuam tshuam rau lub xeev cov hlab ntsha thiab lub siab ua haujlwm, yog tias muaj kev ntxhov siab ntau zaus thiab kav ntev
Kev pham
Kev pham, lub cev mob hnyav rau nws tus kheej, provokes tsis tsuas atherosclerosis, tab sis kuj muaj ntau tus kab mob pathologies, suav nrog rau cov hlab ntsha ntshav siab thiab ntshav qab zib, uas cuam tshuam loj heev ntawm cov chav kawm atherosclerosis.

Atherosclerosis ntawm cov hlab ntsha ntawm qis dua: kev kuaj mob

Raws li txoj cai, cov tsos mob tshwm sim txawm tias thaum atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis yog nquag hloov.Tab sis yog tias tsis muaj cov cim sab nraud ntawm txoj kev loj hlob ntawm tus kab mob, qhov no tsis txhais tau tias koj cov hlab ntsha tau noj qab nyob zoo.

Tsuas yog cov kws muaj txuj ci tshwj xeeb tuaj yeem ua qhov kev soj ntsuam kom paub meej thiab paub tus kab mob thaum ntxov, uas yog tshwj xeeb tshaj yog: kev kuaj mob kom raws sijhawm thiab kev kho mob yuav pab kom tsis txhob muaj kev loj hlob ntawm lub cev, uas cuam tshuam rau lub neej.

Teem lub sijhawm tam sim no txhawm rau zam kev pheej hmoo txaus ntshai.

Teem sijhawm

Kev kuaj mob ntawm atherosclerosis ntawm cov hlab ntsha ntawm cov qis qis muaj xws li:

Anamnesis thiab kev kuaj lub hom phiaj
Kev Ntsuam Xyuas Lub Hom Phiaj thiab Kuaj Kev Ntsuam Xyuas
Ultrasound (ultrasound) ntawm cov hlab ntsha ntawm qhov qis qis dua
Lwm txoj kev tshawb nrhiav

Anamnesis thiab kev kuaj lub hom phiaj

Kev kuaj mob pib nrog kev ua tiav cov ncauj lus kom ntxaws uas cov kws kho mob yuav ua thaum thawj zaug teem sijhawm los mus ua tib zoo suav nrog txhua yam tshwm sim:

Muaj hnub nyoog (tseem ceeb yog tias koj hnub nyoog tshaj 40)
Kev paub txog kev haus luam yeeb (yog tias koj tau haus luam yeeb lossis haus luam yeeb ib zaug)
Tshaj qhov hnyav
Qhaj ntawv lossis tsis muaj qhov ua xua
Koj cov lus yws ntawm kev mob thiab tsis xis nyob hauv ob txhais ceg
Cov xim tawv nqaij
Mem tes dhau ntawm cov hlab ntsha loj
Lub xub ntiag los yog qhaj ua kom muaj suab nrov ntxiv thaum mloog cov chaw cuam tshuam
Cov kab mob uas pheej hmoo (yam li mob ntshav siab lossis ntshav qab zib mellitus)
Lub xub ntiag los yog qhaj ntawv ntawm cov neeg txheeb ze nrog atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis thiab lwm yam kab mob plawv

Yog tias qhov kev xav tau tshwm sim, tus kws kho mob yuav ua cov kev ntsuam xyuas ntxiv uas yuav pab pom zoo lossis ua kom tsis tshua ntseeg ntawm cov kab mob atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis:

Kev ntsuam xyuas kev ua haujlwm Burdenko
Koj tus kws kho mob yuav kom koj khoov koj sab ceg hauv caug. Yog hais tias tus yam ntxwv vascular tshwm sim rau ntawm txhais ko taw lossis nws tus kheej, ces cov ntshav ntws tsis zoo los ntawm nqua thiab lub ntsej muag yog tsis huv, uas yog tus mob rau atherosclerosis.
Shamov / Sitenko hyperemic kev xeem
Txhawm rau txheeb xyuas cov kev mob hauv cov nqaij uas muaj cov yam ntxwv ntawm atherosclerosis, tus kws kho mob yuav siv ib daim ntawv tshwj xeeb rau koj sab caj pas lossis lub xub pwg, uas, nyem cov ntaub so ntswg, cuam tshuam nrog kev muab ntshav li qub. Tom qab ob peb feeb (feem ntau yog 3-5), tus kws kho mob yuav tshem tawm lub cuff. Yog tias cov hlab ntsha tau nyob rau hauv kev txiav txim, daim tawv nqaij yuav rov qab nws cov xim xim tom qab 25-35 vib nas this. Yog tias muaj atherosclerosis, qhov rov qab muab cov ntshav hauv cov ntaub so ntswg yuav siv 1-1.5 feeb lossis ntau dua - nws tag nrho yog nyob ntawm seb cov hlab ntsha puas cuam tshuam ntau npaum li cas.
Moshkovich Kev Ntsuam Xyuas Tes Haujlwm
Koj pw ntawm lub rooj zaum, txhawb nqa koj ob txhais ceg ntsug mus rau sab saud tsis khoov hauv lub hauv caug, thiab tuav lawv hauv txoj haujlwm no li 2-3 feeb. Tom qab ntawd tau txais. Yog tias cov hlab ntsha tau noj qab nyob zoo, lub cev nqaij tawv nqaij ntawm txhais ceg yuav rov zoo sai dua - hauv 5-10 vib nas this. Yog tias cuam tshuam los ntawm atherosclerosis, pallor yuav mob siab rau 20-30 vib nas this thiab ntev dua.

Kev kuaj mob ultrasound pab soj ntsuam txhua yam hauv lub xeev cov hlab ntsha, ntshav khiav nrawm thiab qhov plaques.

Cov yam ntxwv ntawm tus kab mob

Kev cuam tshuam ntawm cov ntshav txaus hauv cov hlab ntsha txhawb rau qhov qis qis pib pib atherosclerosis obliterans kab mob. Qhov tshwm sim no cuam tshuam nrog txo qis ntawm vascular lumen lossis nws ua tiav sib tshooj nrog cov roj cholesterol them.

Tus kab mob Atherosclerosis tuaj yeem tsim cov plaques hauv cov hlab ntshav thoob plaws lub cev thiab ua rau mob, nyob ntawm cov teeb meem cuam tshuam, qhov cuam tshuam hauv cov plab hnyuv siab raum thiab cov nqaij uas tsis tau txais oxygen thiab zaub mov noj nrog ntshav. Yog tias muaj teeb meem tshwm sim nrog qis qis dua, tom qab ntawd nrog qhov xwm txheej phem tshaj plaws, ntaub so ntswg necrosis thiab mob caj dab yuav tshwm sim.

Kev hla dhau ntawm cov roj ntsha txhaws tshwm sim hauv nruab nrab ntawm cov hlab ntsha: cov hlab ntsha popliteal thiab cov poj niam, nrog rau cov hlab ntsha loj - lub iliac thiab aorta. Cov sib xyaw ua ke ntawm kev tso nyiaj yuav suav nrog cov khoom ntawm cov rog metabolism - lipids.

Ntev dhau los, qhov quav nyob ntawm cov phab ntsa ntawm cov hlab ntsha yog txhawb nqa los ntawm qhov pom ntawm cov nqaij sib txuas thiab ua rau cov quav hniav. Lwm cov tshuaj yeeb dej caw yuav ua rau khov rau ntawm nws.Yog li, tam sim no koj paub luv luv keeb kwm ntawm xws li tus kab mob li atherosclerosis obliterans ntawm cov hlab ntsha ntawm qhov qis qis, peb yuav tham ntxiv txog qhov ua rau nws tshwm sim.

Cov vis dis aus hauv qab no qhia meej tshaj txog cov tswv yim kab mob thiab keeb kwm ntawm tus kab mob no:

Ua rau

Cov xwm txheej hauv qab no ua rau muaj kev tsis txaus ntseeg ntawm cov qis qis:

tsawg tsav kev ua si
txiv neej nrog txiv neej pw ntau zaus dua
qhov hnyav nyhav dua li qhov ib txwm muaj
haus luam yeeb
ntshav siab
mob ntshav qab zib mellitus
roj ntsha caj ces nyiam cov roj uas txhaws taus nyob rau hauv cov hlab ntshav,
ntxiv ntshav viscosity
metabolic ntshawv siab.

Cuam tshuam atherosclerosis ntawm qis dua qhov kawg (daim duab)

Cov tsos mob tseem ceeb ntawm atherosclerosis obliterans ntawm qis dua yog qhov tsos ntawm qhov mob ntawm txhais ceg thaum taug kev. Vim qhov nqaim ntawm cov hlab ntsha, cov ntshav ntws qeeb qeeb dua, thiab cov ntaub so ntswg ntawm ob txhais ceg tau txais khoom noj khoom haus hauv qhov ntim me dua.

Thaum ib tug neeg tsiv, qhov xav tau oxygen thiab cov khoom noj muaj zog hauv cov leeg ntawm ob txhais ceg nce. Vim muaj ib qho kev cuam tshuam ntawm cov leeg rau cov ntshav ntawm lub cev, kev tsis muaj zaub mov zoo tshwm sim, thiab qhov no ua rau mob nqaij leeg.
Yog tias tus neeg nres, muab nws tus kheej so, tom lub sijhawm no cov ntshav yuav tawm mus, thiab cov leeg ntshav yuav puv cov leeg nrog cov pa oxygen thiab cov tshuaj yeeb dej caw uas tsim nyog. Tom qab kev rov pib taug kev, mob yuav rov qab los. Qhov no yuav tshwm sim sai dua lossis tom qab - nws nyob ntawm qhov mob hnyav ntawm kev txhim kho ntawm tus kabmob.

Kev hnov mob hauv cov leeg ntawm ob txhais ceg uas tau tshwm sim thaum cov neeg taug kev taw tau raug hu ua kev cuam tshuam claudication. Kev paub ntau tshaj plaws ntawm kev mob vascular overgrowth los ntawm kev tso nyiaj rau ntawm phab ntsa ua rau mob thiab thaum so, tshwj xeeb tshaj yog nyob hauv kab rov tav thaum pw tsaug zog.

Cov cim tseem ceeb ntawm tus kabmob muaj:

Qhov tshwm sim ntawm sib quas ntus claudication.
Kev ntsuas kub tsis txaus: ceg, qhov twg cov hlab ntsha ntawm cov hlab ntsha nqaim, yuav muaj peev xwm txias dua piv rau txhais ceg noj qab haus huv.
Ko taw mob mob taw mus loog thiab khov.

Ntawm cov theem tom qab:

Tsis muaj ib tus mem tes nrhiav rau ntawm cov hlab ntsha ntawm nqua.
Tsaus nti tshwm sim ntawm ob txhais ceg hauv qab ntawm cov leeg txhaws.
Tsis kho qhov txhab zoo tshwm rau ntawm qhov mob. Qhov no tshwm sim ntawm txhais ceg qis.

Cov yeeb yaj kiab hauv qab no yuav piav qhia kom ntxaws ntxiv rau cov tsos mob uas taw qhia cov tsos ntawm obliterating atherosclerosis ntawm qis qis:

Qib kev txhim kho ntawm tus kab mob

Raws li kev ua txhaum ntawm kev puas tsuaj rau cov hlab ntsha ntawm cov qis dua los ntawm pathology, cov kws tshwj xeeb sib txawv plaub theem:

Cov tsos mob ntawm tus kab mob hauv ob txhais ceg	theem
Vim tias tsis muaj oxygen nyob rau hauv cov nqaij ntawm cov nqua, cov kev hloov necrotic tshwm sim, trophic mob rwj, kev mob caj dab yog tau.	4
Thaum tsiv ob peb kauj ruam, qhov mob tshwm sim nyob rau hauv qis qis, tib qho kev tshwm sim tshwm sim thaum ib tug neeg so ntawm txoj hauj lwm tav toj.	3
Thaum taug kev ntawm qhov deb ntawm tsawg dua 200 metres, qhov mob tshwm sim hauv cov ceg.	2B
Cov tsos pom nyob rau hauv cov ceg mob mob tom qab dhau ib qho deb ntawm ntau tshaj 200 meters.	2A
Tus neeg mob tau hnov mob hauv qhov qis qis tshaj yog tias nws pom nws tus kheej kom lub cev tawm ntawm lub cev zoo.	1

Kev kuaj mob

Lub sijhawm teem sijhawm kho yuav tsum ua tib zoo suav txhua yam tshwj xeeb ntawm tus neeg mob, yog tus neeg. Thiab rau qhov no koj xav tau kev ntsuas tseeb ntawm cov teeb meem.

Nws yog ib qho tsim nyog yuav tsum sab laj ib tus kws phais vascular. Txhawm rau kom pom tseeb kev kuaj mob, nws tuaj yeem sau cov txheej txheem hauv angio hom:

sib nqus resonance ntsuam xyuas,
xam tomography.

ultrasonic duplex scanning,
radiopaque angiography.

Nyeem txog yuav ua li cas kho mob ntawm atherosclerosis obliterans ntawm cov hlab ntsha ntawm qhov qis qis tshwm sim.

Schematic sawv cev ntawm atherosclerosis obliterans ntawm qis dua ntawm cov leeg ntshav

Kev kho mob ntawm atherosclerosis obliterans ntawm qis dua qhov qis

Pab nrog cov ntshav tsis txaus ua rau muaj kev txo qis hauv kev ua kom tshem tawm ntawm cov hlab ntsha ntawm qhov qis qis los yog lawv cov kev thaiv tag nrho nyob ntawm qhov mob hnyav ntawm cov teeb meem, kev ua kom pom ntawm kev tso nyiaj ntawm phab ntsa.

Qhov teeb meem pom sai dua, qhov muaj kev cia siab ntau dua rau cov xwm txheej ib txwm muaj mob uas tsis muaj teeb meem loj. Nyob rau thawj theem, tus kws tshwj xeeb tuaj yeem hloov kho kom haum, cuam tshuam rau cov laj thawj uas ua rau kom tso rau hauv cov hlab ntsha, nrog rau kev qhia tias tus neeg mob yuav tsum tau pauv nws tus cwj pwm.

Atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis - nws yog dab tsi?

Muaj ntau ntau cov vascular cov kab mob ntawm cov ceg. Piv txwv, varicose leeg, trophic mob rau sab hauv, thrombophlebitis. Tab sis tag nrho cov kab mob no koom nrog pathology ntawm txoj leeg ntshav.

Atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis yog qhov kab mob ntawm cov hlab ntsha loj ntawm cov leeg qis, hauv qhov atheromatous, lossis atherosclerotic plaques nyob rau sab hauv ntawm cov hlab ntsha tuaj yeem kuaj tau. Peb txua lub nkoj dab tsi?

Raws li txoj cai, "thawj hu" yog qhov tawv nqaij ntawm lub plab aorta. Cov lus piav qhia ntawm cov tsos mob no thiab cov txheej txheem kuaj mob tuaj yeem pom hauv cov lus ntawm aortic aneurysm hauv tshooj uas tsim nyog. Thiab cov nkoj twg cuam tshuam nrog atherosclerosis ntawm ob txhais ceg?

Tus mob atherosclerosis tshwm sim nyob qhov twg?

Atherosclerosis ntawm qhov qis qis yog qhov tshwm sim ntau dua ntawm sab qaum, thiab kev puas tsuaj rau cov hlab ntsha poob qis thaum nws mus ze rau qhov sib nrug. Cov txheej txheem pathological muaj tseeb tshaj hauv cov leeg loj - cov hlab ntsha ntau dua li hauv cov leeg.

Nws tsis tshua muaj pom qhov pom ntawm distal atherosclerosis, piv txwv li, hauv lub cev cog ntoo lossis cov hlab ntsha sib kis. Thiab tsis yog vim tias yuav luag tsis muaj cov cim ntawm kev swb, tab sis vim tias qhov chaw muaj kev phom sij thiab feem ntau cuam tshuam hauv ib cheeb tsam yog li nram qab no:

nquag hliav cov hlab ntsha.
poj niam cov hlab ntsha. Qee tus thawj coj hauv pes tsawg tus, tshwj xeeb tshaj yog Thaj Chaw Saib Xyuas Hav Zoov (ntawm ciam teb ntawm nruab nrab thiab qis thib peb hauv tus ncej puab),
popliteal cov hlab ntsha (tshwj xeeb tshaj yog nyob rau thaj chaw saum toj ntawm lub hauv caug sib koom tes, nyob rau hauv qhov chaw ntawm recoil ntawm tsib ceg hauv popliteal fossa),
sab xub ntiag thiab tom qab ntawm tib txoj hlab ntshav, hauv thaj chaw ntawm lub pob luj taws sab hauv thiab txoj leeg o ntawm ko taw.

Cov teeb meem phom sij tshaj plaws yog OAO, lossis mob leeg nqaij ntawm cov leeg. Hauv qhov muaj mob tsis ntev, kev maj mam tshwm sim ntawm cov tsos mob tshwm sim. Atherosclerosis tsim li cas?

Tsim qauv mechanism

Thaum pib, lub ntsiab lus tshwm sim - ib qho quav hniav atherosclerotic nyob rau sab hauv txheej ntawm cov leeg. Nws tuaj yeem tshwm sim los ntawm cov rog hauv siab, haus luam yeeb, rog dhau, mob ntshav qab zib mellitus, kub siab, roj ntsha, lossis tag nrho cov noj ua ke.

Kev loj hlob ntawm cov quav hniav theem ob ua rau txoj kev nqaim ntawm lumen ntawm cov leeg, lossis nws txoj kev ua tsis ncaj (ib nrab overgrowth). Raws li qhov tshwm sim, arteriosclerosis obliterans ntawm cov hlab ntsha ntawm qhov qis qis tshwm sim, tag nrho cov duab hauv tsev kho mob thiab kev loj hlob uas yog vim muaj cov tsos mob ntawm cov ntaub so ntswg uas tsis sib luag ischemia, uas nyob hauv qab ntawm qhov chaw ntawm obliteration.

Ua raws li "oxygen oxygen tshaib plab" ntawm cov leeg thiab cov leeg ntawm ob txhais ceg, qhov yooj yim tshaj plaws, kev faib ua haujlwm ntawm cov theem ntawm tus kabmob tau tsim.

Theem atherosclerosis ntawm ob txhais ceg, chaw kho mob

Nyob rau hauv tag nrho, muaj plaub degrees ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis, los ntawm qhov tseem ceeb tshaj plaws mus rau qhov hnyav tshaj. Qhov kev faib tawm no yooj yim heev yog tias leej twg tuaj yeem siv nws. Nyob zoo nyeem, koj tuaj yeem rov nco qab tias nws niam nws txiv, txiv ntxawm, phauj lossis phooj ywg tsis yws txog cov tsos mob tau piav qhia hauv qab no:

1) Thawj theem ntawm atherosclerosis, tsis muaj mob ntsaws. Tom qab lub cev tawm mus ntev, ib tus neeg hnov zoo li nkees hauv cov nyuj, cov cim ntawm trophic mob tshwm sim: chilliness ntawm nqua thiab txias.

2a) Qhov theem ob "a": tus neeg tuaj yeem taug kev ntau dua 200 meters. Tom qab qhov no, nres yog qhov xav tau: cov ceg pib mob, mob thiab mob. Mob leeg mob plab sai cuag thiab qhov mob pib zoo ib yam li angina pectoris, tsuas yog hauv ceg.

Kev ua tiav ntawm lub ntsej muag: muaj qhov nthuav dav ntawm cov plaub hau nyob rau ntawm daim tawv nqaij ntawm ob txhais ceg, daj ntseg me ntsis tshwm sim, tev tawm, tawm hws.

2b) Qhov theem ob "b", nyob rau hauv qhov kev mob zaws hauv cov ceg tsis tso cai rau koj mus 200 m, thaj chaw tiag yog 100-150 m.

Nws yog theem ob ntawm atherosclerosis uas yog "sib quas ntus claudication", lossis claudicatio intermitters. Coob leej ntau tus xav yuam kev tias qhov no yog qhov xwm txheej uas tus neeg tuag ib sab lossis ib txhais ceg. Qhov no tsis yog: ncua sij hawm hloov pauv nrog cov kev taug kev ib txwm taug.

3) Qeb peb - ntu ischemia ntawm "so" tshwm. Kev siv lub cev tawm yog tsis tas ua haujlwm ntxiv lawm. Txawm hais tias kev sib haum xeeb hauv cov leeg yuav tsis muaj peev xwm muab cov pa oxygen thiab cov khoom noj kom txaus. Kev ua kom tiav ntawm raphic tsis meej.

Thaum taug kev 5-10 meters, qhov mob yuav mob hnyav npaum li yav dhau los thaum taug kev 200 meters. Ib tug neeg tau txwv los ntawm kev txwv ntawm chav thiab tsev.

Nws yog nyob rau theem ntawm atherosclerosis no tias cov tsos mob ntawm tus mob hnyav polyneuropathy tshwm sim: txoj hlab ntsha nqhis dej cuam tshuam txoj kev hla ntawm ob qho kev hnov mob thiab lub cev muaj zog. Nws muaj loog, qhov qis hauv daim tawv nqaij thiab qhov kub thiab txias. Muaj lub siab xav ntawm "taug kev nkag."

Kev noj qab haus huv - trophic influences yog txo: cov rau tes pib flake, cov tawv nqaij me me thiab tawg ua pob txha tsis zoo. Qee feem ntawm ko taw pib ua qhov ci, "tooj liab" hauv xim, uas qhia tau hais tias cov kev hloov pauv sib sib zog nqus.

4) Qeb plaub. Nws yog tus cwj pwm los ntawm cov nqaij mos loj necrosis, qhuav lossis ntub dej txhaws, intoxication, cov tsos ntawm cachexia, sepsis.

Mob ua ntej cov kev pauv hloov no ua tsis haum. Lawv tsis tau tshem tawm txawm tias muaj cov kab mob sib xyaw ua ke, rov ua dua tshiab - kev phais mob yas twb lig dhau lawm, thiab txiav tes txiav, uas siv los ua rau peb txaus ntshai, tam sim no zoo li txoj hauv kev tshem tawm qhov mob tas mus li, muaj peev xwm mus pw tsawg kawg ib hmos.

Thawj cov tsos mob ntawm atherosclerosis ntawm qis qis kawg

Raws li koj tuaj yeem pom, kev faib tawm no tau txais txiaj ntsig zoo heev vim nws tso cai rau koj taug kev hauv theem ntawm kev txhim kho kabmob. Yog tias peb tham txog qhov ntxov tshaj plaws, thawj cov tsos mob ntawm atherosclerosis ntawm ob txhais ceg - qhov no yog chilliness hauv cov ntiv taw thiab ko taw, nce rhiab heev rau qhov txias, thiab ib lub siab xav hnav thom khwm sov. Tsis tas li, qee lub sijhawm ua ntej qhov pib ntawm lameness, txoj hlab ntsha ntawm txoj hlab ntshav ntawm tus taw ploj mus.

Nws yog ib qho tseem ceeb kom paub tias yog tias obliteration ntawm cov lus dag hauv cov leeg ntshav qis tshwm, ces kev lameness tej zaum yuav tsis tshwm sim txhua. Ntawm qhov tod tes, cov tsos ntawm Leriche syndrome yog ua tau - thaum qhov mob ntawm tus ncej puab, puab tais thiab pob tw tau ua ke nrog kev hloov ua ke nrog kev lameness thiab impotence.

Qhov no qhia tau hais tias kev puas tsuaj rau lub davhlau ya nyob twg aorta, ua ntej faib nws ua ob qho ntawm cov hlab ntshav tu.

Txog "cuav sib quas ntus claudication"

Nws yog tsim nyog kom coj mus rau hauv tus account tias qhov tseeb sib quas ntus claudication yuav tsum tau so ntev dua. Nws yog ncaj qha ntsig txog lub sijhawm ntawm kev taug kev, yog li yog tias nws cov tsos mob tshwm sim "txawm li cas" - tom qab 200, 150, tom qab 100 m, thiab hnub tom qab koj taug kev 500 metres raws tib txoj kev, ces saib rau lwm qhov laj thawj.

Nrog rau cov mob ntshav qab zib polyneuropathy (thiab nrog cawv), ua kom tsis muaj zog thiab ua tsis txaus ntseeg hauv ib txhais ceg tuaj yeem yuam kev rau cov tsos mob zoo sib xws, tib yam siv rau lacunar, "me" strokes.

Kuj muaj feem ntau, tiv thaiv thiab ua pob txha ntawm lub pob txha nqaj pob txha nqaj qaum, txha nqaj qaum txha nqaj qaum, mob leeg ntshav-mob hlwb, mob coxarthrosis thiab lwm yam kab mob coj los rau cov tsos mob ntawm tus mob atherosclerosis.

Teeb meem ntawm Atherosclerosis

Feem ntau, atherosclerosis obliterans tau nce qeeb thiab maj mam, tab sis qee zaum arterial occlusion (AO), lossis lub cev loj ntawm cov pob txha ntshav, muaj peev xwm ua tau. Qhov no txhais tau hais tias tam sim ntawd atherosclerotic plaque "tawm los" thiab txhaws lub lumen ntawm cov hlab, nqa los ntawm cov ntshav ntws.

Qhov tsuas yog "zoo dua" occlusion yog qhov tseeb tias ntshav tsis ntws mus rau hauv lub plawv thiab mob ntsws thromboembolism nrog kev txhawm chim thiab mob ntsws txhaws yuav tsis tsim, zoo li cov ntaub ntawv ntawm txoj hlab ntsha. Txawm li cas los xij, kev hem thawj ntawm nqaj tawv nqaij yog qhov tiag.

Mob ntsws vwm ua rau pom tus yam ntxwv li nram no:

mob hnyav
pallor ntawm nqua hauv qab lub xaib ntawm thrombosis,
tsis muaj mem tes rau ntawm lub nkoj loj hauv qab thrombosis,
loog hnyav, ua kom loog,
tuag tes tuag taw lossis tsis tuaj yeem txav ko taw.

Daim duab zoo li yog qhov koj "tso koj txhais tes" hauv qhov npau suav, tab sis tib lub sijhawm muaj mob hnyav ntawm txhais taw thiab nws ntaus nrog nws lub ntsej muag. Hauv qhov no, yuav tsum tau pw hauv tsev kho mob sai sai hauv chav haujlwm ntawm kev kho mob dav lossis vascular thiab kev phais mob, lossis cov hau kev ntawm kev rov ua haujlwm ntawm qhov chaw occlusion.

Cov no suav nrog kev tswj hwm ntawm cov tshuaj fibrinolytics, heparin, kev siv tshuaj thrombolytics, tshuaj antiplatelet thiab lwm yam tshuaj.

Nrog kev sib sib zog nqus ischemia, shunting thiab qhov teeb meem ntawm kev txiav bypass anastomoses yog qhia, thiab nrog qhov mob sib sib zog nqus thiab ntev ntev, qhov hws tsis tuaj yeem txuas nrog cov ntshav, vim tias cov co toxins sib xyaw thaum ischemia yuav nkag mus rau hauv cov hlab ntshav hauv siab. Kev tau sib cav yog qhov xav tau ntawm no.

Txoj kev kho mob ntawm atherosclerosis ntawm ob txhais ceg, siv yeeb siv tshuaj

Yog tias peb tham txog cov tshuaj, tom qab ntawv kho mob ntev ntev ntawm kev siv tshuaj atherosclerosis:

Cov tshuaj noj uas txo cov ntshav liab ua ke (Pentoxifylline),
Antiplatelet tshuaj - acetylsalicylic acid, thienopyridines (Clopidogrel),
Cov tshuaj uas txo cov ntshav viscosity (Sulodexide, fibrinolytics xws li Wobenzym,
Txhais tau tias muaj kev cuam tshuam lub peripheral txaj thiab capillaries ("Nicantinate xanthinol"),

Cov tshuaj tsis siv tshuaj suav nrog ultraviolet ntshav, nrog rau nws cov laser irradiation.

Haujlwm

Thaum muaj cov tsos mob ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis, txawm hais tias txoj kev kho mob, kev nce qib, tom qab ntawd cov hau kev ntawm kev phais mob tau siv. Qhov no tuaj yeem yog kev hla dhau kev phais, uas yog, kev dhau los ntawm thaj chaw muaj qhov cuam tshuam, hloov ib feem ntawm lub nkoj nrog txoj hlab ntsha, lossis endarterectomy, uas yog, tshem tawm ntshav txhaws thiab rov ua kom ntshav khiav.

Nyob rau tib qho xwm txheej, thaum ischemia mob hnyav heev, txiav tawm, txawm li cas los tu siab nws yuav nrov, yog qhov kev ua haujlwm hauv radical, txawm hais tias tuag ceg, tab sis txuag tus neeg mob lub neej.

Kev kho mob ntawm atherosclerosis, kev tiv thaiv ntawm lub plawv thiab mob stroke zoo tib yam. Koj yuav tsum pib nrog kev tiv thaiv kev ntsuas uas yog tsom mus rau lub cev ua kom lub cev hnyav, qab zib thiab roj (cholesterol).

Koj yuav tsum ua kom ntshav siab nyob rau hauv lub “moj khaum”, noj zaub mov kom zoo, thiab ua kom lub cev ua si. Nws tsim nyog tso tseg cov kev coj ua tsis zoo, vim tias kev haus luam yeeb yog qhov muaj zog tshaj plaws ua rau kev txhim kho ntawm atherosclerosis.

Noj cov zaub mov rau atherosclerosis cov hlab ntsha ntawm tus tsuj qis qis yog nrov npe hu ua "Mediterranean." Cov zaub, txiv hmab txiv ntoo, roj txiv ntseej tshiab, cov taum, nqaij ntses, mov ci tseem tso cai rau koj khi thiab tshem cov roj cholesterol ntau hauv lub cev, thiab kev siv lub cev yog qhov zoo ntxiv rau kev noj haus.

Tib qho xwm txheej tsuas yog tias txhawm rau kom ua tiav cov txiaj ntsig zoo, kev noj haus yuav tsum yog ncua ntev, thiab zoo dua - kev ua neej.

Qhov no yog "kev kho mob rau pej xeem" ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis txhawm rau. Xav txog tej yam muaj rog, haus thiab haus luam yeeb tus txiv neej uas muaj ntshav siab thiab cov ntshav siab uas “google” “kho lwm tus neeg”. Nws tab tom npaj yuav siv nyiaj ntau ntawm "txuj ci tincture" - qhov tseem ceeb yog tias nws pab tau sai thiab sai. Tab sis, hauv qhov no, tshuaj yuav tsum tsis txhob ntxiv, tab sis tshem tawm ntau dhau, thiab pub dawb kiag li.

Koj yuav tsum nco ntsoov qhov no, thiab pib ua haujlwm ntawm koj tus kheej.

Kev kho

Tus neeg mob, yog tias nws yog haus luam yeeb, yuav tsum muab tus cwj pwm tsis zoo tso rau.Thaum haus luam yeeb, cov hlab ntsha nthuav dav thiab tam sim ntawd nqaim thaum lub nicotine tsis ntws lawm. Tus txheej txheem no ua rau kev tsim txom ntawm tus kabmob thiab negates kev kho mob.
Kev nce ntawm lub cev ua ntej ua ntej pib mob yog pom. Cov kws txawj pom zoo kom taug kev, zam kev qaug zog.
Yog tias cov tsos mob tsis zoo tshwm sim, koj yuav tsum nres thiab ncua ib ntus kom txog thaum lawv ploj mus. Nws kuj tseem zoo rau kev koom ua luam dej.Qhov ntau dhau ntawm lub cev dhau los pab tsim cov ntshav dhau los vim yog qhov nyuaj lossis txhaws ntawm cov leeg. Cov txheej txheem sib txuam tau tshwm sim, uas pab lub cev hloov kho rau cov teeb meem thiab tiv thaiv kev ua laib.
Nws yog ib qho tsim nyog los soj ntsuam cov khoom noj:
- tsis suav cov khoom noj muaj roj, kib qos yaj ywm,
- txo kev noj ntawm cov tsiaj rog,
- ntxiv cov khoom noj nrog cov nqaij nruab deg, cov ntses liab yog qhov muaj txiaj ntsig tshwj xeeb, lossis khaws lwm cov khoom muaj omega-3.
Yuav tsum tau kho yog tias muaj lwm cov teeb meem pom uas cuam tshuam rau lub xeev ntawm cov hlab:
- khom ntshav ntshav qab zib,
- txhim kho metabolism hauv yog tias xav tau
- Kho cov mob ntshav yog tias nws ua haujlwm tiv thaiv cov ntshav txhaws.
Nws kho txhua xyoo hauv tsev kho mob kom txhawb nqa cov leeg noj qab haus huv.

Hauv kev qhia ntxaws ntxiv txog ntau txoj hauv kev ntawm kev kho mob zoo li kev mob taub hau ntawm kev mob pob qij txha, cov yeeb yaj kiab hauv qab no yuav qhia koj nrog cov phiaj xwm kev nkag siab:

Tus kab mob no yog dab tsi?

Atherosclerosis ntawm qis qis dua yog ib yam kab mob uas cov nqaij atherosclerotic plaques los yog cov ntshav txhaws ua rau lub puab sab hauv cov hlab ntshav ntawm ob txhais ceg, uas ua ntej zoo li tus kab mob, thiab tom qab ntawd tag nrho thaiv cov ntshav txaus. Qhov no, nyeg, thaiv kev nkag mus ntawm cov ntshav mus rau cov ntaub so ntswg thiab tsis pub lawv txais oxygen thiab cov as-ham. Qhov tshwm sim ntawm cov theem tom qab ntawm atherosclerosis tuaj yeem ua kom mob trophic, mob li mob caj dab.

Rau kev kho mob ntawm atherosclerosis, nws yog ib qho tsim nyog yuav tsum nrhiav kev pab ntawm phlebologist. Muab lub hnub nyoog ntawm nws tus neeg mob, nrog rau qee yam tshwj xeeb ntawm nws tus kab mob, kev kuaj pom lossis tsis muaj kev cuam tshuam, nws tuaj yeem txiav txim siab lub tswv yim rau kev kho mob tom ntej.

Xav txog cov duab kho mob ntawm obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua, peb nco ntsoov tias nws yog tus cwj pwm maj mam nqaim ntawm cov lumen ntawm cov hlab ntsha raws li qhov loj me ntawm atherosclerotic quav hniav nce. Hauv cov theem pib ntawm kev ua txhaum no, siv tshuaj kho tau, tab sis tom qab, thaum lub nkoj yuav luag tag nrho, tus kws phais mob tuaj yeem hais tias yuav tsum tau kho qhov kev phais mob.

Ua rau ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis

Ntawm cov kev tsim muaj feem ntau ua rau atherosclerosis suav nrog:

Kev noj zaub mov tsis zoo, muaj ntau yam ntawm cov zaub mov muaj roj,
Cov cwj pwm tsis zoo (suav nrog kev haus luam yeeb dhau),
Nquag tsis ua neej.

Thiab, kev pheej hmoo yuav suav nrog:

Kev pham
Tawg siab
Muaj kev ntxhov siab siab
Cov kab mob ntawm lub plawv thiab cov hlab ntsha (hlab ntsha thiab leeg ntshav),
Kev xa tawm ntawm cov leeg ntawm cov leeg ntshav ntawm qis dua (varicose leeg ntawm cov leeg qis),
Mob ntshav qab zib mellitus.

Theem atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua

Kev tsis saib xyuas cov tsos mob thiab ua rau tus kabmob, nrog rau cov tsis muaj kev kho kom zoo, tuaj yeem ua rau qhov tseeb tias tus kabmob no yuav mus rau kev mob hnyav, uas yog pom los ntawm ntau cov tsos mob nyuaj.

Theem I - nyob rau lub sijhawm no, cov tsos mob ntawm atherosclerosis yuav luag tsis pom. Kev qoj ib ce, ntawm chav kawm, tuaj yeem ua rau qhov tsos ntawm qhov mob lossis tsis xis nyob, tab sis qhov no feem ntau ua rau pom zoo thiab feem ntau tsis quav ntsej.
II thiab theem - qhov mob tuaj yeem ua rau txawm tias lub cev kev hnyav me me, xws li taug kev luv luv, thiab lwm yam. Sij hawm dhau mus, qhov kev ncua deb ua rau pom kev tsis xis nyob yog txo mus txog 250 meters.
Theem III - txawm tias siv me me thiab siv lub cev ua rau luv luv ntev ntev ua rau mob thiab tsis xis nyob hauv tus neeg. Nws yog nyob rau theem no uas cov tsos mob pib tshwm, yuam tus neeg nrhiav kev pab ntawm cov kws tshaj lij.
Theem IV - nyob rau lub sijhawm no, cov tsos mob ntawm tus kabmob nthuav qhia lawv tus kheej hnyav heev. Vim tias cov ntshav tsis txaus thiab cov pa oxygen tshaib plab, mob rwj tuaj yeem tsim rau ntawm ob txhais ceg, daim tawv nqaij tau txais kev tsaus ntuj nti, uas yog qhov taw qhia ntawm cov nqaij mos necrosis (i.e., necrosis). Tsis muaj kev kho kom zoo rau lub sijhawm yuav ua rau menyuam yaus.

Txawm hais tias qhov sib txawv uas muaj nyob nruab nrab ntawm cov theem ntawm tus kab mob, lawv cov yam ntxwv tsis zoo yog qhov tsis zoo, lossis mob, uas tshwm sim thaum kev tawm dag zog lub cev. Lawv qhov ntev, nrog rau kev siv sib txawv tuaj yeem sib txawv, txawm li cas los xij, qhov no yog qhov laj thawj tseem ceeb uas yuav tau them sai sai rau koj txoj kev noj qab haus huv thiab txawm tias nrhiav kev pab los ntawm kws kho mob.

Nws yog ib qho yooj yim to taub tias sai dua ib tus neeg sau tseg cov tsos mob ntawm tus kab mob thiab sai dua nws nrhiav kev pab los ntawm cov kws kho mob tshwj xeeb, txoj kev kho tau yooj yim thiab siv tau ntau dua. Nws yuav txo qhov kev pheej hmoo ntawm cov kev tsis sib haum xeeb, nrog rau kev tso tseg kab mob kev hloov pauv ntawm cov ntaub so ntswg.

Xav txog cov tsos mob ntawm tus kab mob hauv kev qhia ntau dua.

Cov tsos mob ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis

Txawm hais tias qhov tseeb tias nyob rau theem thaum ntxov tus kabmob tuaj yeem ua rau tsis thab tus neeg, vim tias kev loj hlob ntawm cov plahaum roj av ntawm cov hlab ntsha, cov tsos mob tau pom ntau dua. Tus mob ntawm ib tug neeg worsens.

Cov tsos mob tseem ceeb ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis hauv qab no muaj xws li:

Mob hauv cov leeg ntawm ob txhais ceg, uas tuaj yeem sib zog tom qab kev tawm dag zog lub cev,
Hnov qhov hnyav ntawm cov ceg
Tsa ob txhais taw
Hloov qhov ntxoov ntxoo ntawm daim tawv nqaij ntawm ob txhais ceg (los ntawm pallor rau cyanosis),
Txias hnov sab hauv ob txhais ceg
Cov mem tes hauv popliteal fossa thiab pob taws feem ntau tsis hnov zoo li,
Ua rau trophic formations nyob hauv thaj av ntawm lub ceg qis thiab txhais taw, nyob rau hauv qhov chaw ntawm lub nkoj uas puas lawm,
Qhov tsaus nti ntawm daim tawv nqaij ntawm cov ntiv taw thiab taw (uas yog tshwj xeeb pom hauv daim duab thiab video hauv qab no).

Cov pa oxygen tshaib plab, uas yog qhov tshwm sim heev rau atherosclerosis, tuaj yeem ua rau tsis zoo rau lub plawv kev ua haujlwm. Cov neeg mob feem ntau muaj arrhythmia, txo qis ntawm tag nrho endurance thiab kev ua tau zoo, ua pa nyuaj. Tsis tas li, tawm tsam keeb kwm ntawm atherosclerosis, cov neeg mob feem ntau poob phaus, lawv muaj teeb meem ntawm daim tawv nqaij thiab ntsia hlau.

Kev Kho Mob Atherosclerosis

Peb twb tau xav txog qhov yuav tshwm sim uas atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis tuaj yeem ua rau. Cov tsos mob thiab kev kho mob ntawm tus kab mob yog li nram no.

Cov tswv yim kho mob rau atherosclerosis nyob ntawm ntau yam. Hauv tshwj xeeb, lub hnub nyoog ntawm tus neeg mob, tshwj xeeb yog lub xeev ntawm nws txoj kev noj qab haus huv, yog qhov tseem ceeb. Cov theem ntawm tus kabmob kuj tseem ua txoj haujlwm tseem ceeb. Yog li, yog tias kev kho kom zoo yog pom zoo thaum ntxov ntawm tus kab mob - noj tshuaj, ua raws li cov zaub mov tshwj xeeb, tso tseg cov cwj pwm tsis zoo, thiab lwm yam, cov theem siab dua yuav tsum muaj kev ntsuas sib txawv me ntsis. Thiab yog tias tsim nyog, tus kws kho mob tuaj yeem sau ntawv kho mob phais mob rau atherosclerosis. Raws li txoj cai, cov kev ntsuas no muaj txiaj ntsig zoo thiab ua raws li cov kev ntsuas tsim nyog thaum lub sijhawm rov kho dua tshiab tuaj yeem coj cov txiaj ntsig tsim nyog.

Ua ib qho kev pabcuam pabcuam, tus kws kho mob kuj tuaj yeem ua lub zog ua lub dag lub zog nrog rau kev tawm dag zog, nrog rau lwm txoj kev siv tshuaj, uas tsis tuaj yeem siv nws tus kheej, tabsis tuaj yeem ua tau zoo dua qub kev kho mob.

Cia peb xav txog hauv kev nthuav dav ntxiv txhua yam kev kho mob rau atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis.

Cov tshuaj rau atherosclerosis

Lub luag haujlwm tseem ceeb ntawm kev kho mob ntawm atherosclerosis yog kev siv cov tshuaj tshwj xeeb uas txhim kho cov ntshav ncig, txo qhov kev pheej hmoo ntawm cov teeb meem, nrog rau txo cov chav kawm ntawm tus kab mob.Feem ntau, tus kws kho mob tuaj yeem sau cov tshuaj nram qab no:

Antiplatelet tshuaj uas ua kom ntshav me thiab tiv thaiv cov ntshav txhaws ntawm cov hlab ntshav. Lawv kuj tseem tuaj yeem siv los tiv thaiv leeg txoj hlab ntshav ntawm qhov qis qis, myocardial infarction. Cov no suav nrog cov tshuaj Aspirin 325 mg, Aspecard, Cardiomagnyl, Reopoliglukin.
Vasodilators tsis tsuas yog txhim kho cov ntshav txaus hauv cov hlab ntsha xwb, tab sis kuj muaj qhov ua kom loog, thiab kuj muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub cev. Cov no yog Agapurin, Vasonite, Pentoxifylline, Trenal.
Cov tshuaj tiv thaiv Anticoagulants tswj cov txheej txheem ntawm cov ntshav coagulation thiab tsis ua txoj haujlwm ntawm kev tiv thaiv qhov tshwm sim ntawm cov ntshav txhaws. Pawg tshuaj no suav nrog Warfarin thiab Heparin.
Antispasmodics txo qis mob uas tshwm sim thaum qoj ib ce vim muaj peev xwm tshem tawm vasospasm. Cov tshuaj no yog drotaverin thiab tsis-shpa.
Vitamin-mineral complexes muab lub cev nrog kev pab txhawb nqa, muab nws cov ntaub so ntswg nrog txhua yam tshuaj nws xav tau.
Rau kev kho mob sab nraud, Delaskin, Levomekol, Troxevasit, Oflokain kuj tseem siv tau. Kev siv cov tshuaj no ua ib qho txiaj ntsig tawm tsam cov tsos ntawm trophic mob rau ntawm txhais ceg.

Yog lawm, cov peev nyiaj tau teev tseg nyob deb ntawm tib qhov uas siv tau rau kev kho mob ntawm atherosclerosis. Thiab yog tias tsim nyog, tus kws kho mob tuaj yeem nthuav cov npe no, ntxiv rau nws nrog lwm cov tshuaj, nyob ntawm seb qhov xwm txheej thiab mob hnyav ntawm tus kab mob. Txhua ntawm cov tshuaj no kuj muaj ib tug xov tooj ntawm contraindications thiab phiv. Tias yog vim li cas kev txais tos ntawm lawv txhua tus tuaj yeem nqa tau tshwj tsis yog muaj kev saib xyuas ntawm tus kws kho mob. Qhov ntau ntawm cov tshuaj yuav tsum tau txiav txim siab ncaj qha ntawm tus kheej.

Kev siv tshuaj kho cov mob atherosclerosis tuaj yeem nqa tawm ntawm ob qho chaw sab nrauv thiab sab hauv tsev kho mob. Raws li kev txhawb nqa kev kho mob, tus neeg mob tuaj yeem kho cov txheej txheem ntawm lub cev, uas suav nrog electrophoresis nrog novocaine, darsonvalization thiab, ntxiv rau, kev tawm dag zog lub cev.

Kev kho mob phais mob atherosclerosis

Kev kho mob phais mob tau raug kho nyob rau qee kis uas kev kho tshuaj tsis tuaj yeem ua tiav qhov kev cia siab thiab tsis muaj kev txhim kho ntawm tus neeg mob lub cev. Thiab tseem nyob rau kis uas tus kab mob mus rau theem nyuaj dua.

Muaj ntau txoj hauv kev ntawm kev phais mob:

Zais pa angioplasty - hauv qhov no, tshwj xeeb zais pa tau nkag mus rau hauv cov kab noj hniav ntawm lub nkoj, nthuav tawm nws cov kab noj hniav sab hauv.
Kev phais ntshav yog kev ua haujlwm thaum lub sijhawm ib txoj hauv kev ntxiv raug tsim nyob ze ntawm lub nkoj uas puas lawm, kom ntseeg tau tias cov ntshav ntws ib txwm.
Endarterectomy - tshem tawm ib qhov chaw ntawm cov hlab ntshav cuam tshuam los ntawm tus kab mob, ua ke nrog kev pheej hmoo ntawm cov quav hniav atherosclerotic.
Arterial stenting - cheem cov txheej txheem ntawm lub nkoj nqaim los ntawm kev qhia qhov tshwj xeeb tubular spacer rau hauv nws cov kab noj hniav sab hauv.
Prosthetics - hloov ntawm cov hlab ntsha cuam tshuam.
Yog hais tias chav kawm ntawm tus kab mob yog qhov nyuaj los ntawm kev loj hlob ntawm kev sib deev, tus kws kho mob yuav hloov mus rau kev txiav tawm ntawm cov ntaub so ntswg tuag nrog rau kev teeb tsa ntawm lub ntsej muag.

Qhov xwm ntawm kev phais mob nyob ntawm seb qhov kev puas tsuaj npaum li cas rau cov hlab ntshav puas yog. Feem ntau, qhov pom tias muaj txiaj ntsig zoo tos rau cov neeg mob tom qab kev phais mob, tab sis qee qhov kev pheej hmoo tseem muaj nyob rau.

Txhawm rau txo qis ntawm kev txhim kho ntawm kev mob tom qab, nrog rau kev tiv thaiv kom rov qab mob, tus neeg mob yuav tsum ua raws li kws kho mob cov lus qhia, muaj feem rau lub sijhawm rov kho dua.

Noj cov zaub mov rau atherosclerosis

Kev noj zaub mov rau atherosclerosis yog qhov tsim nyog nyob rau hauv thiaj li yuav txo cov roj cholesterol. Cov cai ntawm kev noj zaub mov noj suav nrog:

Kev cais tawm ntawm kev noj haus ntawm cov zaub mov muaj roj uas muaj ntau ntawm cov khoom siv ua kom tsis muaj zog, carcinogens, thiab lwm yam.
Txwv tsis pub kib, qab ntsev, noj zaub mov.
Kev xam nrog rau hauv cov khoom noj ntawm cov khoom muaj omega-3 acids. Cov tshuaj no rhuav cov roj (cholesterol) thiab ua kom cov hlab ntshav kev loj hlob.
Tsis kam ntawm dej cawv thiab khov kho kas fes.

Cov khoom noj uas muaj txiaj ntsig zoo ntawm atherosclerosis suav nrog cov txiv hmab txiv ntoo, zaub, ntses thiab nqaij ntses, nqaij ntshiv, txiv ntoo, cereals, thiab khoom noj siv mis.

Lwm txoj kev tshawb nrhiav

Yog tias tsim nyog, tus kws kho mob yuav sau ntawv rau koj lwm yam kev kuaj mob, uas yuav suav nrog:

Cov kev ntsuas hauv chav sim yuav pab txheeb xyuas lossis cais tawm cov kev sib ntxiv ntawm cov roj (cholesterol) tag nrho, nrog rau kev txiav txim siab cov roj "zoo" thiab "phem" (atherogenic index) thiab lwm yam kab mob ntawm cov kabmob hauv nruab nrog.
Kev kawm rau radioisotope yuav pab ntsuas qhov tsis muaj peev xwm ntawm cov ntshav rau cov ntaub so ntswg thiab txiav txim siab cov neeg ntawm ischemia ntau npaum li cas
MRI nrog kev sib thooj yuav pab, yog tias tsim nyog, txhawm rau txheeb xyuas qhov chaw thiab pes tsawg qhov nqaim ntawm lub lumen ntawm cov hlab ntsha

Nws yog ib qho tseem ceeb kom paub: nws tsis yog ib qho yooj yim los kho qhov tseeb ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis, vim peb lub cev yoog raws cov kab mob no thaum nws txhim kho: cov hlab ntsha tshiab uas txhawb cov nqaij mos uas tsis muaj kev paub txog kev nrhiav ntshav thiab daim ntawv. Qhov no tuaj yeem nkag siab yuam kev rau cov kws tshaj lij uas tsis tau paub txog.

Thaum hu rau peb, nco ntsoov: peb cov kws tshaj lij yog cov tub txawg siab nrog ntau xyoo dhau los ntawm kev paub thiab kev kho mob ntawm cov kab mob ntawm cov hlab ntsha ntawm qhov qis qis, leej twg yuav nkag siab txog koj qhov xwm txheej thiab txiav txim siab seb koj cov hlab ntsha huv li cas.

Pib nrog kev mus ntsib kws kho mob. Teem sijhawm tamsim.

Teem sijhawm

Atherosclerosis ntawm cov hlab ntawm qhov qis qis: kev kho mob

Yuav ua li cas kho atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua? Txhua yam nws yog nyob ntawm qhov ntau ntawm cov kab mob, cov kab mob sib kis, koj lub hnub nyoog, cov kab mob ntawm lub cev, thiab ntau lwm yam uas peb cov kws tshaj lij yuav tau coj mus siv ua ntej txhawm rau kev kho kom zoo thiab nyab xeeb rau koj kev noj qab haus huv.

Tshuaj kho mob nkeeg
Kev tawm dag zog lub cev

Tshuaj kho mob nkeeg

Qhov tseem ceeb tshaj plaws yog los ua kom rov qab muaj ntshav txaus. Rau qhov no, raws li txoj cai, cov tshuaj tau raug hais tias pab txo vasospasm thiab tiv thaiv kom txoj kev nqaim, nthuav dav cov lumen, thaiv cov ntshav txhaws, thiab nce ntshav txaus.

Thov nco tseg: txhawm rau kom ua tiav qhov txiaj ntsig zoo tshaj plaws rau kev nyab xeeb rau koj txoj kev noj qab haus huv, peb cov kws tshaj lij yuav xaiv tag nrho cov tshuaj nruj me ntsis ntawm tus kheej, suav txog txhua yam tseem ceeb - los ntawm kev mob hnyav mus rau koj tus mob feem ntau thaum lub sijhawm kho.

Kev tawm dag zog lub cev

Txhawm rau cov kev kho kom zoo li qhov ua tau, nrog rau kev kho mob, peb cov kws tshaj lij yuav xaiv cov txheej txheem ntawm lub cev rau koj uas yuav pab kho kom rov ua haujlwm thiab kev ua haujlwm ntawm cov hlab ntsha cuam tshuam.

Nco tseg: kev siv tshuaj kho mob, kho lub cev thiab noj zaub mov tshwj xeeb, uas peb yuav tham txog hauv qab no - kev ntsuas uas ua tau haujlwm zoo thaum ntxov ntawm kev txhim kho atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis. Yog tias pib muaj tus kabmob thiab cov hlab ntsha cuam tshuam loj heev, tsuas yog kev phais mob tuaj yeem pab tau.

Kev tiv thaiv ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis

Kev noj haus rau atherosclerosis ntawm qis qis yog ib qho ntawm cov kev mob tseem ceeb rau kev kho kom zoo. Txhawm rau kom tshwm sim, nws yog ib qho tseem ceeb kom soj ntsuam nws tas li. Tej zaum thaum xub thawj koj yuav tsis xis nyob kom tsis txhob noj cov zaub mov uas koj tau siv los ua, tab sis tom qab lub sijhawm luv luv koj lub cev yuav rov tsim kho, thiab koj yuav pom tias kev noj zaub mov zoo li kev ua neej tshiab thiab zoo siab, uas muaj lub teeb ci thiab tsis muaj zaub mov qab dua. Ntxiv mus, muaj ntau qhov tsawg heev cov khoom uas peb pom zoo kom tsis txhob ua.

Cov khoom peb pom zoo:

Cov nqaij uas muaj rog tsawg thiab nqaij qaib (piv txwv: qaib cov txwv)
Ntses (suav nrog rau roj)
Txiv hmab txiv ntoo, zaub, thiab txiv ntoo
Khoom noj siv mis (nrog rau cov rog)
Hau qe, omelets
Txiv roj thiab sunflower roj
Cereals
Cov nplej zom ntxas tag nrho
Mov ci
Ntsuab tshuaj yej
Cov txiv ntoo (walnuts thiab almonds tshwj xeeb tshaj yog pab tau)
Lentils, Taum, Peas
Cheese (cov rog hauv qab 30%)

Dab tsi yog qhov tseem ceeb rau cais:

Margarine, kis thiab lwm yam trans ntau-nplua nuj hluavtaws cov khoom lag luam
Offal (raum, mob siab, hlwb), nrog rau cov khoom lag luam los ntawm lawv
Hnyuv Ntxwm Khoom
Mayonnaise, ketchup thiab lwm cov kua ntses muaj kev lag luam
Kib qos
Cov khoom noj ceev ceev

Ib qho ntxiv, ua lub neej nquag, qoj ib ce (piv txwv li, ua luam dej), ntau zaus yuav tau nyob hauv huab cua, mus ko taw thiab tsis txhob txaj muag dua trifles.

Nco ntsoov: atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis yog tus kab mob uas tuaj yeem kho thaum ntxov tsis muaj kev phais mob thiab sijhawm kom tiv thaiv kev txhim kho ntawm lub neej muaj teeb meem uas tuaj yeem ua rau neeg xiam oob khab thiab tuag ntxov.

Yog li ntawd, tsis txhob ncua kev mus ntsib. Teem sijhawm nrog peb cov kws tshaj lij tam sim no.

Kev tiv thaiv kabmob

Cov ntsiab lus uas ua rau cov nyiaj tso hauv siab yuav tsum tau muab cais tawm thiab kev noj qab haus huv zoo ntxiv:

tswj kev noj zaub mov kom tsis ua rau txhawm rau ntawm phab ntsa ntawm cov hlab ntsha - siv cov khoom noj muaj roj (cholesterol) uas tsis muaj roj,
tsis txhob haus luam yeeb
muab lub cev ua tau.

Kev piav qhia ntawm tus kab mob thiab nws nthuav dav

Raws li kev tshawb fawb txog kev kho mob, obliterating atherosclerosis ntawm cov hlab ntsha ntawm txhais ceg yog li 16-17% ntawm tag nrho cov kab mob vascular. Nyob rau tib lub sijhawm feem ntau cov neeg mob uas muaj tus kab mob no ua rau pawg neeg tsis taus 1-2, thiab txhua plaub ntawm lawv muaj ua rau tu sab ceg qis.

Qhov xwm yeem ntawm tus neeg mob: tus txiv neej haus luam yeeb ntawm lub hnub nyoog so haujlwm lossis laus dua, muaj kev rog dhau thiab mob ntshav siab.

Tus kab mob no yog ntev kawm ua cimCov. Tus txheej txheem ntawm nws qhov tshwm sim thiab kev txhim kho muaj raws li hauv qab no:

Rau ntau yam laj thawj, uas yuav tau tham txog hauv qab no, ib qho los yog ntau foci ntawm cov roj (cov quav hniav) tshwm nyob rau sab hauv phab ntsa ntawm cov hlab ntsha.
Maj mam, cov quav hniav loj zuj zus, yog li ua rau txoj kev nqaim ntawm lub lumen ntawm lub nkoj thiab nws cov khoom deformation.
Raws li qhov tshwm sim cov leeg ntshav yog ib nrab lossis txhaws tag - ntshav khiav nres, hypoxia ntawm cov ceg tawv nyob ze ze teev hauv.
Hauv kev hais txog kev ua haujlwm siab, txhais ceg cov nqaij mos, cov khoom noj tsis zoo thiab cov pa oxygen, pib tuag, uas ua rau kev ua laib.
Atherosclerotic plaques tuaj yeem ua rau cov ntshav txhaws, uas yog dhau los yog tuag taus yog tias lawv nkag mus rau hauv cov hlab ntshav ntawm cov kabmob tseem ceeb (lub plawv, lub ntsws, lub hlwb).

Cov Neeg Ua thiab Teeb Meem Qhov Tseeb

Qhov ua rau atherosclerosis obliterans yog kev ua txhaum ntawm cov rog metabolism, uas ua rau kev tsim ntawm cov tshuaj tiv thaiv kab mob "phom sij" thiab nws txoj kev ziab ntawm phab ntsa ntawm cov hlab ntshav nrog kev tsim ua txuas ntawm atherosclerotic plaques.

Cov kws kho mob tau tsim tsa hais tias hom kab mob pathology no muaj peev xwm nthuav dav hauv tus neeg, ntau dua hauv nws lub neej cov hauv qab no provoking yam:

rog dhau
mob ntshav qab zib mellitus
mob plawv plawv
theem siab ntawm kev kub siab,
cov kab mob autoimmune
ntshav siab cov roj,
los ntshav tsis meej,
vim tsis muaj kev tawm dag zog
lub neej tsis zoo (haus luam yeeb thiab haus cawv ntau dhau),
lub cev ua haujlwm hnyav, txuam nrog ib qho kev thauj khoom ntawm ob txhais ceg.

Lwm yam kev pheej hmoo ntxiv rau kev txhim kho kev lag luam atiteosclerosis yog:

hnub nyoog - laus dua, qhov yuav muaj tus mob ntau dua
yog txivneej lossis pojniam - txivneej muaj mob ntau zaus ntau dua li pojniam
roj ntsha predisposition rau tus kab mob no,
keeb kwm ntawm txhais ceg kev raug mob nrog tob tob qhov txhab.

Kev faib tawm thiab theem

Cawv ntshav atherosclerosis ntawm ob txhais ceg tej zaum yuav nyob ntawm qhov chaw nyob:

unilateral los yog ob sab
femoral, popliteal, lossis leeg ntshav hlab ntaws.

Lub sijhawm ntawm mob muaj ntau theem, uas tib lub sij hawm qhia qhov degree ntawm tus txheej txheem pathological:

Theem 1 - pib tshwm sim. Nyob rau theem no, txoj kev mob taub hau nyuam qhuav pib, yog li tus neeg mob tsis ua haujlwm txhawj xeeb txog nws tus mob: nws tsuas yog pom tias txhais ceg tau daj thiab tas li khov, qhov nkees tuaj sai dua thaum taug kev.
2A theem - sib quas ntus claudication. Qaug zog thiab txhav nyob rau hauv cov leeg ntawm ob txhais ceg nce: thaum koj sim taug kev qhov deb ntawm 200 m, qhov mob tshwm sim ntawm txhais ceg.
2B theem - kev txwv kev siv lub cev muaj zog. Tus neeg mob tsis tuaj yeem taug kev 200 m yam tsis nres thiab chaw so - mob hnyav thiab nruj ntawm txhais ceg cuam tshuam.
3 theem - mob hnyav. Mob thiab tsis xis nyob hauv txhais ceg nrog tus neeg mob txawm tias nyob so. Taug kev yuav luag tsis yooj yim.
Theem 4 - mob rau sab hauv thiab mob caj dab. Cov kab mob ntawm tus mob necrosis tshwm ntawm tus mob ko taw, mob rwj yog thawj cov tsos mob ntawm kev kis mob hlwb.

Cov duab no qhia 3 thiab 4 theem ntawm obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis:

Cov theem peb thiab nws daim duab:

Daim duab ntawm qib plaub, ob txhais ceg pib zoo li pib mob, mob txhab thiab daim ntawv voos:

Xav paub ntxiv txog tus kabmob los ntawm daim vis dis aus no:

Kev phom sij thiab teeb meem

Nrog obliterating atherosclerosis siab qhov tshwm sim ntawm txoj kev loj hlob:

impotence nyob rau hauv cov txiv neej vim circulatory mob nyob rau hauv cov hlab ntsha iliac,
mob leeg ntshav vas
trophic mob rwj thiab nqaij necrosis,
qhuav lossis ntub dej cawv,
mob ntsws ntawm lwm cov hlab ntsha tseem ceeb uas tuaj yeem ua rau lub plawv nres lossis hlab ntsha tawg.

Thaum tsis muaj kev kho rau tus kab mob, ib tus neeg tau raug teeb meem nrog tsawg kawg ntawm kev xiam oob qhab lossis txiav ntawm tes taw, hauv qhov kev tu siab tshaj plaws - kev tuag vim muaj ntau yam mob.

Cov tsos mob, kuaj mob thiab kho cov hau kev

Cov cim ntawm obliterating atherosclerosis ntawm cov hlab ntsha ntawm ceg yog feem ntau:

mob hauv cov leeg plab plab: thaum thawj zaug tsuas yog thaum ua haujlwm, tom qab ntawd - thiab thaum so,
chilliness thiab hnov txias ntawm daim tawv nqaij ntawm cov ceg cuam tshuam,
loog thiab goosebumps mob mob ceg,
qhov thiaj li hu ua "sib cav sib ceg" - thaum, thaum taug kev, ib tug neeg cia li pib rau ntawm nws txhais ceg mob,
txoj kev ua kom tsis muaj zog lossis ua kom tiav ntawm cov mem tes ntawm ib qho ntawm ob txhais ceg,
blanching ntawm daim tawv nqaij - nyob rau hauv thawj theem ntawm tus kab mob, tom qab ntawd rau ntawm daim tawv nqaij ntawm txhais ceg ua cyanotic, ntev ntev kho qhov txhab thiab abrasions tshwm,
ib txhais ceg mob zoo li txawv ntawm kev noj qab haus huv: nws tuaj yeem saib zoo dua, ntsia hlau thiab plaub hau nws loj dua qeeb lossis tsis tuaj yeem.

Hauv tsev kho mob kev coj ua, ntxiv rau cov ntaub ntawv tshuaj xyuas thiab cov neeg tsis txaus siab hauv kev kuaj mob ntawm obliterating atherosclerosis Cov hauv qab no kev tshawb fawb muaj feem cuam tshuam:

kuaj ntshav thiab tso zis,
kuaj ntshav rau cov roj (cholesterol),
Ultrasound ntawm cov hlab ntsha thiab dopplerography,
Xoo hluav taws xob xoo hluav taws xob nrog kev sib piv,
rheovasography - kuaj ntshav ntws hauv cov hlab ntsha ntawm ob txhais ceg siv lub ntsuas suab,
magnetic resonance imaging los yog laij tomography yog qhov tseeb tshaj plaws tshawb fawb txog hnub.

Kev kho mob ntawm obliterating atherosclerosis yuav tsum txuas ntxiv thiab muaj kev tiv thaiv kom tsis txhob ua rau kev ua kom tsis ncaj ntawm cov txheej txheem pathological thiab kev txhim kho ntawm cov kev mob hnyav.

Cov kev coj ua los kho tus mob atherosclerosis obliterans ntawm cov leeg ntshav qis:

Kev siv tshuaj (kev txuag tshuaj)Cov. Siv cov tshuaj kom txo qis cov roj (cholesterol), antithrombotic thiab vasodilator tshuaj, multivitamins thiab antioxidant.
Cov txheej txheem kho lub cev: kev siv tshuaj kho mob, kev kho hluav taws xob, kho laser, kho pob kws, tshuaj hydrogen sulfide av nkos, ozone thiab barotherapy.
Kev phais mob qhia nyob rau theem 3 thiab 4 ntawm tus kabmob, qee zaum ua ntej - txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhav los txog ntawm tus leeg. Cov yam tsis tshua muaj kev cuam tshuam phais mob: zais pa angioplastic, cryoplasty, stenting.

Hom qhib kev phais mob rau obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua thaum khaws cia rau hauv qab ceg: bypass phais, endarterectomy, sympathectomy, leeg txoj hnyuv twsCov. Hauv plaub ntawm cov neeg mob, txiav tes txiav tawm ntawm tus caj ceg uas raug cuam tshuam tau ua.

Ntau txog cov kev kuaj mob, cov tsos mob thiab txoj kev niaj hnub los kho tus mob atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis, saib cov yeeb yaj kiab:

Yog tias obliterating atherosclerosis raug kuaj pom thaum pib theem, tom qab ntawd tus neeg mob yuav muaj kev kho mob ntev ntev thiab zoo sib xwsCov. Qhia hais tias tag nrho cov lus pom zoo ntawm cov kws kho mob koom yog saib, ib qho tsis tuaj yeem ntshai ntawm cov teeb meem loj ntawm cov kab mob no - kev soj ntsuam hauv qhov no yog qhov muaj txiaj ntsig zoo.

Yog hais tias cov txheej txheem pathological tau ploj mus kom deb li deb uas tus neeg mob ntsib teeb meem tseem ceeb thaum tsiv thiab tsis tuaj yeem kov yeej txawm 200 m ntawm ko taw, nws tau sawv qhov xav tau phaisCov. Txoj kev ua kom tsawg tshaj plaws ntawm txoj kev phais ntshav viav vias tam sim no tau muab cov txiaj ntsig zoo tshaj plaws thiab nplij tus neeg mob ntawm lub zeem muag ntawm txoj kev tsis taus.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev phais mob tsis thwm rau tus neeg mob ntawm qhov yuav tsum tau mus txuas ntxiv rau kev kho mob kom tiv thaiv kev mob atherosclerotic, ua tib zoo saib xyuas nws tus kheej kev noj qab haus huv thiab zam txhua yam kev pheej hmoo ntawm atherosclerosis.

Hauv 25% ntawm cov neeg mob, mob atherosclerosis obliterans ua rau kom ceg tawv poob vim txiav tes txiavCov. Nws yog tsis yooj yim sua kom tsis txhob muaj qhov no yog tias muaj cov cim qhia txog kev qoj ib ce, qhov mob tau dhau los ua tsis taus thiab tiv thaiv tus neeg los ntawm kev pw tsaug zog, kev kho kom zoo yog qhov tsis muaj txiaj ntsig, thiab tus kab mob zuj zus.

Kev tiv thaiv kev ntsuas

Kev tiv thaiv ntawm atherosclerosis obliterans yog:

tiv thaiv kev txhim kho kabmob hauv cov neeg mob uas muaj pheej hmoo (nrog rau kev rog, qhov tsis sib haum xeeb, haus luam yeeb, thiab lwm yam),
majmam lossis nres thwm kev zoo rau nws tus kab mob hauv nws cov theem pib.

Ua li no, koj yuav tsum:

tua rog dhau lawm, rog thiab lub cev tsis ciaj sia,
txiav luam yeeb thiab haus cawv,
kho cov kab mob concomitant uas ua rau kev loj hlob ntawm atherosclerosis - kub siab, kab mob endocrine,
nrog rau hauv cov roj hauv siab, siv cov kev ntsuas zoo uas koj tus kws kho mob sau,
ua raws li kev noj haus tshuaj tiv thaiv atherosclerotic - kho cov lus Tsis Yog 10 nrog yam tsawg ntawm cov tsiaj rog, hmoov nplej thiab khoom ci,
ntawm thawj cov tsos mob ntawm atherosclerosis, tam sim ntawd hu rau kws kho mob vascular lossis phlebologist thiab pib kho mob yog tias tsim nyog,
tso cai siv qee yam tshuaj kho rau pej xeem.

Li ntawm ib tus neeg hauv kaum leej neeg hauv ntiaj teb raug mob los ntawm atherosclerosis obliterans ntawm ceg. Tawm ntawm ib puas tus neeg mob, nees nkaum tsib yuav kawg poob ib lossis ob txhais ceg, thiab kaum yuav tuag los ntawm cov kev mob hnyav. Tab sis kev noj qab haus huv ntawm lawv cov ceg yog Ameslikas hauv lawv txhais tes - tsis muaj teeb meem li cas nws yuav hnov.

Lub sijhawm mob sai sai, kev maj nrawm hu rau tus kws kho mob thiab kev kho tsis zoo yog qhov yuav luag lav lub neej tsis muaj qhov tsis taus thaum lub sij hawm ua mob atherosclerosis.

Peb ob txhais ceg muaj ntau cov kab mob vascular, thiab yog tias txhua yam tsis txaus ntshai rau cov leeg ntshav, ces koj tuaj yeem tsis tso dag nrog cov hlab ntsha hauv txhua kis. Cuam tshuam atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis dua tsuas yog cuam tshuam rau cov hlab ntsha ntawm cov ntshav ntws uas tseem ceeb. Yog tias lawv qhov kev ntshiab tag txawm tias me me tawg, tus neeg yuav hnov nws ntawm nws tus kheej. Cov tsos mob tseem ceeb ntawm tus kabmob yog mob leeg, vim tias lawv tsis muaj cov as-ham thiab oxygen.Atherosclerosis obliterans (OA) yog ib qho kab mob txaus ntshai heev uas tuaj yeem ua rau poob ntawm tes taw, thiab qee zaum kev tuag.

Tus kab mob no tuaj yeem raug hu ua ib feem ntawm kev mob atherosclerosis, vim tias yog tias nws tshwm sim hauv qis qis, tom qab ntawd nws kuj muaj nyob hauv cov hlab ntsha saum lawv. Nws yog tus cwj pwm ntawm cov neeg laus, muaj ntau rau cov txiv neej. Kev kho mob ntawm obliterating atherosclerosis muaj 2 hom kev kho: tshuaj thiab tsis siv tshuaj. Tsuas yog thaum lawv tau sib xyaw ua ke peb tuaj yeem tham txog txoj kev pheej hmoo yuav rov qab los. Tus kab mob no muaj ob peb theem ntawm kev loj hlob, thiab thaum ntxov paub, tus neeg mob muaj feem ntau ntawm cov txiaj ntsig zoo.

Cov ua tseem ceeb ntawm pathology

Atherosclerosis obliterans ntawm cov hlab ntsha ntawm qhov qis qis yog kev mob caj dab uas cuam tshuam rau cov hlab ntsha loj tshaj plaws ntawm ceg - cov hlab ntsha thiab aorta. Cov kws kho mob tau txheeb xyuas ntau yam pheej hmoo uas ua rau muaj feem ntau ntawm kev muaj kabmob: tus neeg muaj hnub nyoog (laus dua 40), pojniam txivneej (txiv neej), haus luam yeeb, muaj ntshav siab, tsis zoo lipid lossis carbohydrate metabolism. Tab sis dua li lawv, muaj lwm yam ua rau mob sclerosis.

Khom atherosclerosis ntawm qis qis kawg yuav tshwm sim vim yog cov hauv qab no:

Rog dhau
Mob ntshav qab zib mellitus
Cov cwj pwm tsis zoo
Kev tshuaj ntsuam genetic predisposition
Sedentary lub neej
Kev ntxhov siab thiab lub siab
Kab mob khaub thuas

Rau kev txhim kho pathology, tsuas yog tsis yog theem loj ntawm cov cholesterol yog tsis txaus. Qee yam yuav tsum muaj kev cuam tshuam kev noj qab haus huv ntawm phab ntsa ntsa, kom nws muaj peev xwm nce lub foothold ntawm lawv.

Rau ib qho ntawm cov laj thawj no, lub phab ntsa leeg yuav tsis xwm yeem, thiab cov cholesterol pib muab tso rau hauv nws. Tom qab ntawd lub lumen ntawm lub nkoj maj mam nqaim kom txog thaum nws tag nrho sib tshooj, uas yuav nres ntshav ncig hauv ceg. Vim li ntawd, mob rwj thiab necrosis tshwm rau nws.

Cov tsos mob ntawm obliterating atherosclerosis

Cov kev sim kho mob ntawm obliterating atherosclerosis tsis ua rau lawv tus kheej hnov thaum pib, tab sis thaum kawg lawv tsis tuaj yeem hloov kho. Thawj qhov cim ntawm qhov teeb meem yog mob leeg, thaum xub thawj tsuas yog nrog lub zog ntev. Ob txhais ceg thaum qoj ib ce yuav tsum muaj pa oxygen ntau dua, uas cov hlab ntsha tsis tuaj yeem muab lawv ua qhov yog. Li no qhov mob. Txawm li cas los xij, lawv hla sai tom qab so. Thaum tus kab mob zuj zus, lwm cov tsos mob pib tshwm:

Zoo nkaus li loog lossis goosebumps hauv taw
Cuam tshuam tus caj ces ua txias zoo
Tom qab ntawd cov kev mob siab txawm tshwm sim yam tsis muaj kev ntxhov siab
Daim tawv nqaij ntawm ob txhais ceg tau daj, thiab cov taw thiab ntiv tes tsaus ntuj nti
Tus txiv neej, impotence yog tau
Qhov tshwm sim ntawm qhov tsis kho

Hauv daim duab ntawm obliterating atherosclerosis ntawm qis qis dua, koj yuav tsis tuaj yeem pom cov tsos mob ntawm tus kab mob, tsuas yog hauv cov theem kawg sab nraud thiaj li pom tshwm. Qhov mob hnyav tau txiav txim siab los ntawm qhov kev ncua deb rau tus neeg mob yog “tsis mob”. Piv txwv li, ib tus neeg nrog rau thawj theem ntawm atherosclerosis tuaj yeem khiav ntau dua li ib mais, thiab tsuas yog tom qab ntawd qhov mob yuav tshwm sim. Rau theem ob, 2 pab pawg muaj qhov sib txawv: theem 2A tuaj yeem hla tsis muaj qhov mob deb ntawm 250m txog 1 km, theem 2B - txij li 50 txog 250 m. Hauv tus neeg mob nyob rau theem peb, kev mob pib pib los ntawm thawj kauj ruam. Daim foos kawg yog txiav txim siab los ntawm qhov muaj qhov txhab lossis mob qog nqaij hauv tus neeg mob.

Muaj lwm qhov kev faib tawm ntawm tus kabmob - qhov siab ntawm cov hlab ntsha cuam tshuam. Yog tias cov quav hniav pib tshwm sim hauv txoj hnyuv hlaus thiab mob pob txha caj qaum los yog aorta, qhov no yog qib siab atherosclerosis. Yog tias cov hlab ntsha ntawm lub hauv caug thiab sab ceg qis tau cuam tshuam, qhov nruab nrab. Thaum tus kab mob tau tshwm sim hauv ib qho ntawm cov hlab ntsha ntawm cov ceg qis thiab hauv ob txhais taw, qhov no yog qib qes tsawg. Cov tsos mob ntawm obliterating atherosclerosis ntawm qis qis tuaj yeem pom nyob hauv ntau tus neeg, tab sis qhov no tsis yog ib txwm muaj tus cim ntawm pathology. Yog li, txhawm rau ua kom muaj kev txheeb xyuas tseeb koj yuav tsum mus ntsib kws kho mob.

Kev tsim kho kabmob

Raws li txoj cai, cov neeg ntawm lub hnub nyoog so haujlwm ntsib nrog tus kab mob. Tab sis tus kab mob pib tsim kho ob peb xyoos ua ntej thawj cov tsos mob tshwm sim. Cov txiv neej, raws li txoj cai, yog raug rau kev muaj mob ntawm hom mob atherosclerosis no. Tab sis nrog ib tug xov tooj ntawm cov kab mob sib kis, nws kuj tuaj yeem txhim kho hauv poj niam. Qhov ua tau tsis txaus ntseeg yog lawm. Tseeb tiag, nyob rau lub sijhawm no, keeb kwm keeb thawj xeeb menyuam yog rov tsim kho, rheological yam ntxwv ntawm kev hloov ntshav. Qhov no ua rau qhov tseeb tias nws dhau los ua ntau ntom nti, nws txoj kev poob qis tam sim no. Feem ntau obliterating atherosclerosis ntawm qis dua ntawm kev txhim kho tiv thaiv keeb kwm ntawm thrombophlebitis lossis venous tsis txaus.

Lub hauv paus tseem ceeb uas tuaj yeem ua rau kev txhim kho kabmob muaj xws li:

- mob ntshav qab zib mellitus, uas cov qib qabzib tseem ceeb nce ntxiv,

- decompensated mob plawv mob plawv,

- nthuav dav ntawm cov leeg dua hauv thaj chaw hu ua pelvic,

- cov roj ntsha hauv cov hlab ntsha ntawm lub hlwb,

- ib nrab ntawm paresthesias thiab paresis ntawm qis qis.

Tsis tas li ntawd, qhov ntxim nyiam ntawm kev muaj tus kab mob no muaj ntau dua rau cov neeg haus luam yeeb, haus dej haus cawv kom tsis tu ncua, ua rau lub neej tsis muaj zog, thiab tib lub sijhawm haus cov zaub mov ntau thiab cov tsiaj rog.

Qee tus kws kho mob tau hais tias txoj hlab ntsha ntawm cov hlab ntsha ntawm qhov qis qis tshwm sim vim yog kev ua haujlwm ntawm lub hauv nruab nrab cov hlab ntsha txhawm. Nws nres kom muaj kev tswj hwm txoj kev zom zaub mov kom zoo ntxiv mus rau hauv lub cev.

Coob leej xav tias nws yuav xav tau rau lawv mus ntsib kws kho mob tsuas yog thaum pom cov cim ntawm kev txhim kho ntawm tus kab mob tau qhia meej meej meej. Yog li, qhov tsos mob ntawm obliterating atherosclerosis yog mob rau cov leeg ntawm lub plab hlaub thiab ncej puab uas tshwm sim thaum taug kev. Kev hnov tsis zoo tshwm sim vim qhov tseeb tias thaum lub cev ua haujlwm ntau dhau los ntawm cov ntshav yuav tsum ntws mus rau hauv cov ntaub so ntswg, uas xa cov pa oxygen uas tsim nyog rau lawv. Muaj teeb meem nrog cov hlab ntsha, cov hlab ntsha thiab cov hlab ntsha hauv cov leeg, oxygen starvation tshwm sim. Qhov no yog qhov tseem ceeb ntawm qhov mob.

Thaum xub thawj, txawm tias kev so me ntsis yog qhov txaus rau qhov tsis xis nyob mus, thiab tus neeg tuaj yeem txuas ntxiv mus. Hauv cov tshuaj, qhov tshwm sim no hu ua sib quas ntus claudication. Nws yog cov tsos mob tseem ceeb uas tus neeg pib txhim kho obliterating atherosclerosis ntawm qis qis. Daim duab ntawm ko taw ntawm cov neeg mob nrog tus kab mob siab dua ua rau nws nkag siab tias nws tsis tsim nyog los ua qhov kev mus ntsib kws kho mob.

Koj kuj yuav tsum paub tias kev mob ib ntus hauv plab plab hlaub yog hu ua qis, thiab nyob rau hauv lub duav - siab sib cuam tshuam claudication. Lawv qee zaum tsis meej pem nrog cov tsos mob ntawm mob caj dab. Tab sis kev paub qhov txawv lawv tsis yog qhov nyuaj. Nrog rau cov teeb meem sib koom tes, qhov mob thaum txav mus los me ntsis, tab sis nrog obliterating sclerosis, ntawm qhov tsis tooj, lawv nce. Cov lus qhia ntxaws ntxaws txog qhov xwm ntawm qhov tsis zoo siab thiab lub sijhawm ntawm lawv tshwm sim yuav cia tus kws kho mob kuaj pom sai.

Qib kabmob ntawm tus kabmob

Nyob rau hauv Feem ntau, obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis hauv kev txhim kho rau lub sijhawm ntev txaus. Cov keeb kwm kho mob tuaj yeem siv sijhawm ntau xyoo.

Hauv thawj qib, ob peb tus neeg them sai sai rau cov tsos mob thiab txiav txim siab rau kev kuaj mob. Coob leej mus cuag kws kho mob tsuas yog thaum nws yuav nyuaj rau lawv taug kev txawm 100 meters. Ua raws li qhov ntev ntawm kev taug kev tsis mob, ntau theem ntawm tus kab mob tau txawv.

Ua tib zoo saib xyuas cov xwm txheej ntawm lawv cov ceg yog tias mob tshwm sim thaum qoj ib ce. Yog li, lawv tuaj yeem tshwm sim thaum taug kev ntawm qhov deb tshaj 1 km. Hauv qhov no, peb tab tom tham txog thawj theem ntawm tus kabmob.

Obliterating atherosclerosis ntawm qis dua ntawm qhov kawg ntawm qib ob yog tus cwj pwm los ntawm qhov pom ntawm kev mob nrog cov mob me. Ib tus neeg tuaj yeem taug kev ntawm 50 m mus rau 1 km.Nyob rau tib lub sijhawm, theem 2a yog qhov txawv txav, uas qhov kev ncua deb ntawm taug kev tsis muaj mob yog los ntawm 250 mus rau 1000 metres, thiab theem 2b - nrog nws, qhov tsis hnov zoo siab tuaj yeem tshwm sim twb tau tom qab 50 m.

Kev tseem ceeb ischemia yog hu ua theem peb. Nws yog qhov txawv txav ntawm qhov tseeb tias ib tus neeg tsis tuaj yeem taug kev txawm 50 meters. Ib qho ntxiv, mob txhawj xeeb tus neeg mob thiab thaum so, lawv feem ntau tshwm sim thaum tsaus ntuj. Koj tuaj yeem txo tus mob yog tias koj txo koj ob sab ceg ntawm lub txaj. Cov ntshav pib ntws mus rau qhov teeb meem nqua, uas txhawb tus mob.

Qeb plaub yog pom los ntawm qhov pom ntawm trophic tsis meej. Feem ntau, necrosis tshwm hauv pob taws thiab ntawm qhov taw. Lawv zoo li thaj ua rau tawv nqaij plooj. Lawv cov yeeb yam thaum kawg yuav ua rau kev loj hlob ntawm kev ua laib.

Cov kev tshawb fawb tsim nyog

Nws tshwm sim uas nyob rau thawj theem ntawm kev txhim kho kabmob, tsis muaj kev hloov pauv thaum lub sijhawm kuaj xyuas phau ntawv. Hauv qhov no, siv kev soj ntsuam duplex lossis ultrasound dopplerography, koj tuaj yeem ua rau kev kuaj mob ntawm obliterating atherosclerosis ntawm qis qis tshaj.

Thaum ua qhov kev tshawb fawb no, nws tseem ntshaw kom ua rau kev kuaj ntshav nitroglycerin. Nrog nws cov kev pab, koj tuaj yeem soj ntsuam cov nyiaj seem ntawm cov hlab ntsha cuam tshuam. Nws kuj tseem ua rau nws muaj peev xwm txiav txim siab LPI (pob taws-pob taws-taw tes ntu). Qhov ntsuas no txiav txim siab qhov sib piv ntawm lub siab hauv cov hlab ntsha ntawm txhais ceg thiab lub xub pwg. Nquag, nws yuav tsum muaj ntau dua 1. Nrog obliterating atherosclerosis, qhov ntsuas no feem ntau tsawg dua 1, muab tias lub nqaj qaum tsis cuam tshuam. Nrog ischemia tseem ceeb, daim duab no kuj tseem tuaj yeem yog 0.3.

Tsis tas li, tsis muaj qhov tsis ua tiav, tus kws kho mob yuav sau ntawv ntsuas ntshav qab zib thiab kev kawm biochemical. Nws yog qhov tsim nyog txhawm rau txhawm rau txiav txim siab qib ntawm cov roj ntsha thiab cov roj (cholesterol). Kev soj ntsuam tag nrho tso cai rau koj kom paub meej seb tus neeg mob puas mob atherosclerosis obliterans ntawm qis qis dua. Kev kho yog nyob ntawm chav kawm ntawm tus kabmob, cov theem tsim thiab txheej txheem ntawm lub nkoj. Lawv tuaj yeem kuaj xyuas siv cov kev tshawb fawb kev kho vajtse.

Kev kuaj mob Instrumental

Tsis hais txog ntawm theem twg hauv kev txhim kho tus kab mob koj tig mus rau kws kho mob vascular, koj yuav tsum tau qhia nws thaum thawj cov tsos mob tshwm sim, yog li nws tuaj yeem xav txog koj tus mob yog dab tsi.

Obliterating atherosclerosis ntawm qis qis dua tuaj yeem kuaj tau los ntawm ultrasound nrog Doppler. Hom no yog qhov feem ntau nkag thiab cov ntaub ntawv. Raws li kev txiav txim siab systolic siab, nws ua rau nws muaj peev xwm los ntsuas lub xeev ntawm peripheral ntshav ncig.

Lub peev txheej ua kom tau txais kev noj qab haus huv ntawm txhais caj npab ua rau nws muaj peev xwm ntsuas tus luj taws-caj dab, uas tau txiav txim siab ua ke nrog kev ntsuas ntsuas. Cov kev tshuaj ntsuam xyuas tshwj xeeb ua rau nws muaj peev xwm hais kom meej meej txog theem ntawm tus kab mob thiab txheeb xyuas cov neeg mob uas lawv tau mus cuag ischemia tseem ceeb heev.

Ib qho zoo tshaj plaws yog duplex ultrasound scanning. Cov khoom siv niaj hnub no ua rau nws pom tau tus qauv ntawm lub nkoj thiab tshawb xyuas qhov ntshav khiav hauv nws lumen. Siv txoj hau kev no, koj tuaj yeem pom stenosis, occlusion, pom lub cheeb tsam ntawm ntshav khov txaus, uas tshwm sim vim kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha.

Cov neeg mob nyob rau hauv uas atherosclerosis obliterans ntawm qis dua qhov qis yog nyob rau theem ntawm tseem ceeb ischemia yog ntsuas rau percutaneous oxygen tsis haum. Qhov no tso cai rau koj los soj ntsuam seb daim ntaub yog qhov siv tau, thiab muab kev kwv yees rau kev kho kom zoo ntawm qhib qhov mob.

Koj tuaj yeem pom tag nrho cov vascular tsob ntoo, pib los ntawm aorta thiab xaus nrog tus taw, siv cov duab angiography. Cov duab thaij hauv ob qhov kev sau cia: ncaj thiab sab.

Cov kab mob kev soj ntsuam ntawm thawj theem, keeb kwm kho mob

Koj tuaj yeem xav tias qhov kev loj hlob ntawm tus kab mob no hauv koj tus kheej nrog cov tsos mob tshwm sim hauv cov ceg thaum ua exercise. Tab sis qhov no tsis yog tib qho kev kos npe uas nws muaj peev xwm txiav txim siab obliterating atherosclerosis ntawm qis qis dua.Cov keeb kwm kho mob ntawm ntau cov neeg mob zoo sib xws. Lawv yws txog qhov tsis txaus siab rau qhov kub tsis tshua muaj zog, zoo li loog, qaug zog hauv qhov teeb meem ntawm tes. Tab sis feem ntau cov tsos mob hais tawm yog sib quas ntus claudication. Nrog qee qhov kev thauj khoom, qhov mob tshwm sim ntawm txhais ceg, ua rau tus neeg mob nres. So me ntsis (rau 1-2 feeb) yog txaus rau qhov tsis xis nyob kom ploj mus. Tab sis lawv rov qab los tom qab tus neeg mob tau mus txog ib qho deb.

Muaj tseeb, tsis yog txhua tus neeg mob them nyiaj rau kev txav mus rau hauv lub cev. Lawv feem ntau yog cov neeg laus laus uas pom tias nyuaj rau kev taug kev xws li qhov xwm txheej ib txwm muaj, uas ua rau tsis muaj qhov tsis txaus siab yws. Tsis tas li, feem ntau ntawm lawv coj kev ua neej nyob sedentary, yog li lawv yuav tsis muaj chua leeg.

Kev tsim kho kabmob

Thaum obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis tshaj pib ua kev vam meej, tom qab ntawd qhov mob tshwm ntawm so. Qhov no yog vim qhov tseeb tias qib ntawm cov ntshav ntws ua lub cev tsis txaus kom thiaj li ua tiav qhov kev xav tau ntawm cov nqaij leeg. Cov neeg mob feem ntau yws yws ntawm qhov mob ntawm taw thiab taw, uas tshwm sim thaum so. Hauv txoj hauj lwm tav toj, lub cev hydrostatic txo qis, feem, cov ntshav ntws tuaj rau qhov tseem ceeb, uas yog qhov ua rau pom qhov tsis zoo ntawm kev hnov, ntawm qhov uas tus neeg mob sawv. Nws yog tsim nyog sau cia tias cov tsos ntawm kev mob ib leeg tsis tuaj yeem tsis quav ntsej, vim hais tias kauj ruam tom ntej yuav yog kev txhim kho ntawm kev sib deev. Ntau tus tsis paub dab tsi obliterating atherosclerosis ntawm qis qis yog; lawv xav txog kev kho mob ntawm qhov tsos mob ua si xaiv. Thiab qhov no yog ib qho ntawm cov laj thawj uas tus kab mob mus zuj zus ntxiv.

Hauv theem plaub, cov kab mob trophic cuam tshuam rau hauv daim ntawv ntawm ulcerative txhab tshwm. Lawv raug txiav txim siab ischemic yog tias lawv tshwm sim nrog occlusive stenotic lesions ntawm cov hlab ntsha thiab tsis tuaj yeem kho rau 6 lub lis piam. Feem ntau lawv tshwm sim ntawm tus kheej, nruab nrab ntawm cov ntiv taw. Txhua qhov kev puas tsuaj ntawm daim tawv nqaij hauv cov chaw no tsis tuaj yeem kho thiab loj zuj zus. Hauv qee tus neeg mob, tus ntiv tes hloov pauv tsis tiav necrotic. Qeb kawg tau teev tseg yog fraught nrog txoj kev loj hlob ntawm kev lom zem. Thaum kis tus kab mob thib ob tshwm sim, ntub dej txhaws laus thiab sepsis yuav pib.

Kev nqis tes ua

Kev paub yuav ua li cas obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis tau tsim (keeb kwm kev kho mob ntawm lwm tus neeg mob tuaj yeem muab daim duab ua tiav), peb tuaj yeem nkag siab tias nws yog qhov yuav tsum tau mus cuag kws kho mob thaum muaj cov tsos mob thawj zaug. Txoj kev kho yuav ncaj qha nyob ntawm theem twg thiaj txiav txim siab tau tus mob.

Nyob rau thawj thawj theem, kev kho muaj nyob rau hauv kev sau khoom noj kom zoo, ua kom lub cev ua kom lub cev tsawg dua thiab txo qis cov roj cholesterol hauv cov ntshav. Aspirin tseem raug sau tseg yam tsis poob ib zaug. Cov tshuaj no dilutes cov ntshav thiab pab txhawb nws cov dej ntws los ntawm cov hlab ntsha thiab cov leeg ntshav. Ntxiv rau, cov kws kho mob pom zoo kom siv cov tshuaj anticoagulants. Cov tshuaj xws li Troxevasin, Warfarin, Pentoxifyline, Heparin, Detralex tuaj yeem kho tau.

Kuj tseem muab cov tshuaj uas daws cov spasm ntawm cov hlab ntshav. Lawv yog qhov tsim nyog yog tias kev kuaj mob tau "obliterating atherosclerosis ntawm cov hlab ntsha ntawm cov qis qis." Cov kev kho mob yog nqa tawm nrog kev pab ntawm cov tshuaj xws li No-Shpa, Nikoshpan, Halidor, Bupatol, Midokalm. Qee qhov xwm txheej, kev tiv thaiv tshuaj hormonal yog tsim nyog. Pab pawg tshuaj no suav nrog Depopadutin, Andekalin, Delminal. Ganglion blockers tuaj yeem muab tshuaj: "Dicolin", "Diprofen", "Hexonium".

Ntxiv rau, nws yog qhov tsim nyog los daws qhov mob. Rau qhov no, analgesics, perinephric blockade thiab intraarterial blockade nrog novocaine yog siv. Nws muaj peev xwm txhim kho cov txheej txheem hauv metabolic hauv cov ntaub so ntswg nrog kev pab ntawm kev kho vitamin. Rau cov laj thawj no, sau ntawv Ascorutin, cov vitamins B15, B6, B1, nicotinic acid.

Tsis tas li, kev kho mob ntawm atherosclerosis obliterans ntawm qis qis dua suav nrog kev kho mob sedative. Nws muaj nyob hauv kev noj tshuaj tiv thaiv kev tawm tsam. Cov no suav nrog cov tshuaj "Frenolon", "Triftazin", "Aminazin." Cov kev kho mob kom tsim nyog muaj nyob hauv kev siv cov tshuaj xws li Suprastin, Diphenhydramine, Pipolfen.

Kev phais mob

Nrog kev muaj mob ntawm tus mob, kev kho mob phais mob feem ntau kho. Qhov no tuaj yeem yog bougieument ntawm teeb meem hlab ntsha, zais pa angioplasty. Qhov no yog suav hais tias yog txoj kev ua kom zoo tshaj plaws los ntawm kev kho mob ntawm obliterating atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis tuaj yeem nqa tawm. Muab ob npaug rau-lumen catheter zais tso rau hauv cov teeb meem artery thiab inflated sab hauv. Nrog nws cov kev pab, vascular phab ntsa yog ncav us txog thiab cov ntshav khiav lag luam zoo tuaj.

Tab sis nyob rau qee kis nws tsim nyog coj los qhib ua haujlwm. Qhov kawg ntawm lub cev txhawm rau ua kom tiav thaum cov leeg ntawm caj pas cuam tshuam. Nrog txoj haujlwm no, atherosclerotically hloov thaj chaw raug tshem tawm, thiab cov ntshav ntws rov qab yog siv rov qab rau cov leeg ntshav tom qab.

Ib qho ntawm txoj kev siv ntau tshaj plaws yog kev phais. Thaum lub sijhawm ua haujlwm no, ib qho khoom siv dag yog tsim los ntawm kev ua pov thawj lossis hluav taws xob prostheses. Qhov no tso cai rau koj los kho lub ntsiab ntshav ntws.

Lwm cov tshuaj

Yog tias koj tsis xav kom obliterating atherosclerosis txuas ntxiv mus rau qhov ua tau zoo, tom qab ntawd koj yuav tsum tsom rau kev kho kom zoo. Tab sis nws tseem ceeb tib yam nkaus rau kev ua raws li kev noj haus zoo thiab muab lub cev ua si kom txaus. Cov rog rog tsis suav nrog hauv kev noj zaub mov (nco ntsoov tias txawm tias nqaij qaib ntawm daim tawv nqaij yog txiav txim tias tsis zoo), cov khoom noj muaj rog, thiab cov nkaub qe. Qhov kev noj haus yuav tsum yog cov khoom ua los ntawm hmoov nplej dawb. Nws tseem yog ib qho tseem ceeb muaj xws li nqaij ntses nyoo (nqaij plooj, nqaj, seaweed) hauv cov zaub mov.

Cov zaub mov yuav tsum yog feem me me. Nws yog qhov zoo dua yog npaj cov zaub mov kom koj noj 5 zaug ib hnub. Noj hmo yuav tsum muaj tsawg kawg yog 3 teev ua ntej yuav mus pw.

Lwm txoj kev kho mob ntawm atherosclerosis obliterans ntawm qhov qis dua yog siv daim ntawv thov rau ntawm thaj chaw muaj teeb meem. Lawv tau ua los ntawm kev sib xyaw ntawm ntau yam tshuaj ntsuab. Yog li, daim ntawv qhia hauv qab no yog nrov: ib tug tablespoon ntawm sib tov, uas suav nrog chamomile, plantain, St. John lub wort, ib txoj hlua thiab sage, tau sau nrog ib khob ntawm dej npau npau. Nws hais kom tsawg kawg yog 2 teev. Tom qab ntawd, Txoj kev lis ntshav tuaj yeem siv. Ua kom nws sov txog 37 0С, daim ntaub nyias nyias uas daim nyias nyias ntub rau hauv nws. Nws mam li muab qhwv nws txhais ceg, yuav tsum vov sab saum toj nrog ntaub qhwv lossis ntaub paj rwb. Cov txheej txheem yuav tsum tau ua ob zaug ib hnub rau 2-3 teev.

Tab sis nws yuav tsum nco ntsoov tias cov compresses tsis tuaj yeem txhim kho txoj kev mob ntshav. Yog li, tsis kam kho txoj kev kho lossis kev pab cuam phais mob kom zoo, tus neeg mob yuav muaj kev phom sij rau nws tus kheej lub neej, vim tias nws yuav thaum kawg tsim cov txheej txheem necrotic hauv cov nqaij ntawm nws ob txhais ceg.