Ofaya daga cikin rikice-rikice na yau da kullun shine cututtukan ƙwayar mahaifa. Wannan cuta ana ganin shine farkon sanadin nakasassu da mace-mace a cikin yawan jama'a.
Tare da encephalopathy discirculatory, narkewa mai narkewa na katako, wanda ke shafar abincin abinci na kwakwalwa kuma yana ba da gudummawa ga bayyanar ƙwayar atherosclerotic stenosis. Na ƙarshen yakan haifar da bugun zuciya da ƙin jijiyoyin bugun zuciya.
Tun da cutar tana da rikitarwa da yawa a cikin ciwon sukari, lura da cututtukan cerebral arteriosclerosis tare da kwayoyi ya zama wajibi. Amma kafin gudanar da aikin magani, ya kamata ku fahimci sanadin, alamun cutar kuma ku nemi likita.
Siffofin cutar
Atherosclerosis cuta ne na yau da kullun na manyan jijiyoyin jini, wanda ya ƙunshi tarin lipids a jikin bangon jijiyoyin jini da haɓaka nama a cikinsu. Babban hanyar cutar ita ce gazawar samarda mai a jiki. Abubuwan waje da na ciki zasu iya haifar da ci gaba da cutar.
Dalilai iri ɗaya sun haɗa da tsufa, lokacin da tsarin da gabobin suka fara aiki mafi muni saboda tsarin tsufa. Jinsi ma yana taka muhimmiyar rawa a cikin faruwar cutar mahaifa. Don haka, a cikin maza, cutar ta bayyana sau da yawa a kan asali na ƙarancin isrogen, wanda ke shiga cikin rushewar triglycerides.
Tsarin kwayar halittar jini shima yana nufin abubuwanda ba za a iya canzawa ba saboda bayyanar filayen atherosclerotic a jikin membranes na jijiyoyin jini. Abubuwan da za a daidaita da ci gaban cutar sun hada da:
- danniya
- shan barasa, shan taba;
- hypercholesterolemia;
- ciwo na rayuwa;
- hawan jini;
- na kullum hyperglycemia;
- rashin abinci mai gina jiki;
- matsanancin nauyi;
- babban taro na homocysteine a cikin jini;
- na gazawar.
Wani ilimin haɓaka yana haɓakawa da asalin rashin aiki na jiki, hyperfibrinogenemia. Abin lura ne cewa, dangane da dalilin faruwar hakan, ana rarrabe nau'ikan atherosclerosis kamar su na rayuwa, da suka shafi shekaru, mai guba, rashin lafiyan jiki da kumburi (syphilis, tarin fuka).
Idan cutar ta bayyana akan asalin hauhawar jini, to ana kiranta hyalinosis. Lokacin da cutar ta faru saboda tarin ƙwayoyin salals a cikin jijiya, to, ana gano mai haƙuri tare da medacalcinosis.
Akwai matakai guda 4 na ci gaban cerebral arteriosclerosis. A matakin farko, gurɓataccen ƙwayar lipid, kuma a na biyu - filayen fibrous.
Mataki na uku ana nuna shi ne ta hanyar ƙirƙirar filayen atherosclerotic da kuma tarin ƙwayoyin thrombotic. A mataki na karshe na cutar, atherocalcinosis yana faruwa, wanda akwai ingantaccen farfajiya na plaques da nakasar jijiyoyin jiki.
A farkon haɓaka, atherosclerosis kusan ba a bayyana ba. Lokaci ne kawai marasa lafiya ke yin korafin gajiya mai rauni, taro mara kyau, ciwon kai mara hankali.
Yayinda ake yin bincike kan cutar, alamu na gaba suna faruwa:
- tinnitus;
- Dizziness
- tsalle a cikin karfin jini;
- juyayi
- rashin bacci
- ƙwaƙwalwar ƙwaƙwalwar ajiya;
- rashin daidaituwa da motsin hannu;
- malfunctions a cikin ayyukan gani da magana.
A cikin al'amuran da suka ci gaba, akwai rashin daidaituwa na jikin mutum, paresis na fuska, ƙanƙan ƙafafu. Hakanan, atherosclerosis na mataki 3-4 ana nuna shi da alama kamar disorientation. Sau da yawa, marasa lafiya suna koka da cikakken rashin ƙarfin aiki, kuma a cikin wasu marasa lafiya, lalata ƙananan halayen mutum yana faruwa.
Kafin ɗaukar kowane magunguna don atherosclerosis na tasoshin cerebral, cikakken bincike ya zama dole. Karatun dakin gwaje-gwaje sun hada da gwajin jini da gwaje-gwajen jini.
Hanya mafi kyawun kayan aiki don gano atherosclerosis shine MRI. Duban dan tayi, angiography da transcranial dopplerography suna daidai da tasiri.
Babban ka'idodin magani
Dole ne maganin ƙwaƙwalwar ƙwayar cuta ta mahaifa dole ne ya kasance cikakke kuma yana kunshe da alamun cututtukan cututtukan cututtukan cututtukan cututtuka, dabarun pathogenetic da gyaran hanyoyin. Amma kafin shan magunguna, likitoci suna ba da shawara ga marasa lafiya su sake nazarin abin da suke ci.
Maganin rage cin abinci zai sa magani ya zama mai amfani kuma zai rage jinkirin ci gaba da cutar. Babban mahimmancin abinci mai gina jiki a cikin atherosclerosis shine ƙin abinci mai kitse na asalin dabba, iyakantaccen amfani da gishiri da kowane abinci mai cutarwa (abinci mai sauri, sausages, kayan ciye-ciye).
Tare da cututtukan jijiyoyin bugun gini, likitoci suna ba da shawarar kulawa da hawan jini a kai a kai, kula da glucose da matakan cholesterol a cikin jini. Daidai da mahimmanci shine kin amincewa da jaraba, daidaitaccen nauyi, ayyukan yau da kullun. Dole ne mu manta game da matsakaiciyar motsa jiki kuma mu guji yanayin damuwa.
Idan an binciki atherosclerosis na jijiyar mara, magani yana ba ku damar samun sakamako masu kyau:
- daidaitawar karfin jini;
- rage yawan hypoxia na kwakwalwa;
- normalization na lipid metabolism;
- sabuntawa na jijiyoyin bugun jini.
Farfaɗar cututtukan ƙwayar cuta na ƙwaƙwalwar ƙwayar cuta ta mahaifa yana haɗa da amfani da magunguna na ƙungiyoyin magunguna daban-daban.
Statins, bile acid sequestrants, antiplatelet, bitamin PP, fibrates, magungunan anticholesterol da kwayoyi waɗanda ke daidaita jinin jini ana amfani dasu.
Statins
Ana amfani da waɗannan magungunan a matsayin tushen maganin cutar atherosclerosis, kamar yadda suke kawar da sanadin bayyanar ta - hypercholesterolemia.
Sakamakon warkewar statins shine hana sirrin wani enzyme mai gasa wanda ke da alhakin samar da sinadarin cholesterol, da yawaita “yawan amfani” mai-yawa na lipoproteins, daidaita dabi'ar lipid, sake shimfidar wurare atherosclerotic, da kuma karfafawa da kuma wadatar da jijiyoyin jini.
Mafi kyawun kwayoyin hana daukar ciki na jijiya (arteriosclerosis) daga aji na sababbin tsarukan zamani:
| Sunan magani | Siffofin aikace-aikace | Kudinsa |
| Rosuvastatin | Satin na farko shine 10 MG, sannu a hankali yana haɓaka shi zuwa 20-40 MG kowace rana. Allunan za'a iya wajabta su a tsakiya da tsufa. Tsawon lokacin jiyya shine kwana 21 | 250-780 rubles |
| Lovastatin | Ana ɗaukar 1 sau ɗaya kowace rana don 40 MG na dogon lokaci. | 250 rubles |
| Atorvastatin | An nada shi cikin tsufa. Sigar farko shine 10 MG, wanda za'a iya ƙara zuwa 80 MG kowace rana. Matsakaicin lokacin maganin shine makonni 4 | 120-650 rubles |
| Simvastatin | Makonni 4 na farko na magani, zaku iya ɗaukar 5-8 MG na miyagun ƙwayoyi, idan ya cancanta, a hankali an ƙara yawan kashi zuwa 80 MG. Aikin jiyya har zuwa makonni 12 | 70-370 rubles |
| Fluvastatin | Matsakaicin sashi shine kashi 20-40 a rana. Yawan amfani da makonni 3-6 | har zuwa 280 rubles |
| Mertenyl | Sashi daga 10 zuwa 40 MG kowace rana. Tsawon lokacin jiyya shine makonni 8-12 | 530 rubles |
Duk da gaskiyar cewa statins suna da tasiri mai sauƙin rage ƙwayar cutar lipid, suna da sakamako masu illa. Mafi na kowa daga cikin su shine cututtukan ƙwayar tsoka, halayen ƙwayar cuta, rashin aiki na tsakiya na jijiyoyi da tsarin narkewa.
Contraindications don daukar mutum-mutumi - cutar hanta, yara 'yan ƙasa da shekara 8, rashin haƙuri ɗaya.
An hana amfani da magunguna don amfani da shi idan ya kasance cikin ciki, lactation kuma tare da babban abun ciki na transaminases a cikin jini.
Fibrates
Abubuwan da ke cikin Fibroic acid sune rukuni na biyu mafi inganci na magunguna don daidaita metabolism na lipid. Suna rage adadin kuzarin dake cutarwa a jiki da kashi 50%, suna kara alamomin kyakkyawan cholesterol a cikin jini. Ana samun sakamako mai warkewa ta hanyar haɓaka taro na enzymes na musamman waɗanda ke kunna cirewar ƙarancin lipoproteins daga jiki ta hanyar bile.
A cikin alluna na atherosclerotic, an tsara fibrates tare da statins, musamman idan hypercholesterolemia yana tare da triglyceridemia. Amma tare da rashin haƙuri ga masu hana enzyme hanta, ana iya ɗaukar abubuwan da ke cikin fibroic acid dabam dabam.
Wani ingantaccen magani don cututtukan ƙwayar cuta na ƙwayar cuta shine Fenofibrate. Yawan maganin yau da kullun na iya zuwa daga 140 zuwa 400 MG.
Kalaman fibroic acid, kamar statins, ana ɗauka cikin darussan - daga watanni 3. Allunan suna bugu har sau 2 a rana.
Shahararrun kwayoyi daga aji na fibrates:
- Bezafibrat. Kuna iya ɗaukar 0.3 g na samfurin a lokaci guda.
- Clofibrate. Yana da tasirin tsari - yana toshe hanta enzyme, yana karya fitsari, yana rage danko jini da maida hankali ga uric acid. Kuna iya sha har zuwa capsules 9 a kowace rana, kwayoyi 2-3 a lokaci guda.
- Gemfibrozil. Ana shan maganin 1 (900 MG) ko 2 (600 MG) sau ɗaya a rana kafin abinci.
- Lipanor Sashi a cikin kwanakin 90 na farko na magani shine 100 MG kowace rana, to ana iya ƙara zuwa 200 MG. Idan ya cancanta, ana amfani da miyagun ƙwayoyi shekaru da yawa.
- Ciprofibrate. Ya bambanta da sauran fibrates a cikin tsawan aikin, wanda ke rage tsawon lokacin magani da yawan adadin magunguna. Makonni na 8-12 na farko, an wajabta magungunan a cikin hanyar monotherapy, sannan amfani dashi tare da sauran magungunan anti-atherosclerotic.
Binciken yawancin mutanen da ke fama da cutar atherosclerosis na tabbatar da cewa a cikin 90% na lokuta, an yarda da zazzagewar fibrates. Sabili da haka, mummunan halayen (rashin lafiyan, tashin zuciya, hauhawar narkewa, rashin ƙarfi). Koyaya, a cikin yanayin haɗin gwiwar acid na fibroic tare da statins, aikin hanta sau da yawa yana ƙaruwa.
Duk wani abin da aka zazzage shi a ciki na koda ko kuma hepatic insufficiency, ciki da lactation.
Ba a sanya irin waɗannan magunguna don lalata ƙwayoyin cuta a cikin metabolism na metabolism, kuma yara da matasa sun hana shan su.
Magungunan rigakafi da masu bin tsari
Ma'aikatan antiplatelet sune wakilai da ke rage karfin ma'anar enzymes mai siffa, wanda ke kara hawan jini kuma yana hana samuwar jini. Mafi shahararrun magunguna na wannan rukunin magunguna shine Asfirin.
Amfanin maganin yana da tsada mara ƙima da aiki mai sauri. Koyaya, ya kamata ka san cewa acetylsalicylic acid yana haushi da jijiyoyin ciki, saboda haka yana cikin cikin ciki da ciwan ciki.
Sauran sanannun wakilai na antiplatelet, amfani na yau da kullun wanda ke taimaka wajan guje wa shigarwar tiyata don thrombosis, sune Thrombo ACC, Cardiomagnyl, Clopidogrel.
Masu bin Bile acid sune rukuni na magunguna waɗanda aka wajabta don maganin ƙwaƙwalwar ƙwayar cuta. Wakilan suna aiki da ka'idodin ƙa'idar musayar ion na resins. Magunguna suna cire mai mai daga jiki, gami da cholesterol mara kyau.
Idan aka kwatanta da magungunan da ke sama, masu bin gado suna da ingantaccen ƙwayar magunguna. Amma suna da fa'idodi - farashi mai sauƙi da ƙarancin haɗarin halayen m.
Mashahurin masu jerin gwanon:
- Quantalan. Ana ɗaukar dakatarwar a baka a cikin sashi na 4 g a lokaci kafin abinci. Tsawon likitan yana ƙaddara da likita. Sakamakon mummunan sakamako mai cutarwa ne na narkewa, raguwa a cikin adadin bitamin mai-mai narkewa a cikin jiki.
- Colestipol ko Colestid. Akwai shi a cikin nau'ikan Allunan (5 g) da foda (1 g). A matakin farko na magani, kashi ɗaya na magani shine 5 grams, daga baya, adadin zai iya ƙaruwa zuwa gram 30.
- Questran yana samuwa a cikin foda. Adadin yau da kullun ga yara shine 1 sachet, ga manya - 6 sachets. Yayin yin jiyya tare da maganin, ana bada shawara a sha mai yawa.
Sauran magunguna masu tasiri
Vitamin PP yana taka muhimmiyar rawa a cikin lura da atherosclerosis. Kayan yana da yawan halaye na kwarai. Yana da hypotensive, anticholesterol, vasodilator da sakamako fibrinolytic.
Niacin a cikin cerebral arteriosclerosis yana kunna lipoproteidlipases kuma yana kawar da kitse mai mai kyauta, yana rage taro na TG.
Ana samun samfuran Vitamin PP a cikin nau'ikan sashi daban-daban kuma ana ɗaukar su bayan abinci. Shawarar da aka bada shawarar yau da kullun shine gram 3-5.
Overaukar ƙwayoyi da yawa bisa tushen nicotinic acid na iya haifar da filasha mai zafi. Contraindications - urolithiasis, gazawar hanta, rashin aikin narkewa.
Hakanan, tare da atherosclerosis, an wajabta vasodilators. Suna fadada kashin jijiyoyin kwakwalwa da sauƙaƙa hanyar cutar, wanda ke inganta zagayawa da jini da ƙara haɓakar ƙwayoyin jijiyoyin jiki.
Ingancin magungunan vasodilator:
- Cinnarizine;
- Norvask
- Nimodipine;
- Lacipil;
- Adalat da sauransu.
Na dabam, yana da mahimmanci a lura da wani magani da ake kira Detralex. Wannan magani ne ingantacce wanda ke wankewa da kuma saukad da jijiyoyin jijiyoyin jini. Amma sau da yawa, ana amfani da Detralex don soke atherosclerosis, saboda yana kawar da kumburi, nauyi da jin zafi a kafafu.
Bitamin da ma'adanai muhimmiyar bangare ne na hadaddun jiyya don toshewar jijiyoyin halittar ƙwayoyin cholesterol. Abubuwan amfani masu mahimmanci don abubuwan jijiyoyin bugun jini: bitamin PP, C, B da abubuwan abubuwan ganowa - silicon, potassium, selenium.
Tunda atherosclerosis yawanci yana tare da hauhawar jini, atomatik ana haɗuwa da magunguna don haɗarin kamuwa da cutar siga. Indapamide, Captopril, Hydrochlorothiazide, Nifedipine da Carvedilol suna da sakamako mai kyau na warkewa. Kuma tare da matakan ci gaba na atherosclerosis, ana iya ba wa mara lafiya damar buɗewa tare da magunguna masu ƙarfi don tsarkake da bakin ciki.
Don kawar da alamun rashin gamsuwa da cututtukan jijiyoyin bugun gini, ana yin aikin tiyata. Sau da yawa, likita ya ba da umarnin maganin rigakafi, magungunan psychotropic, analgesics, nutsuwa.
A matsayin maganin haɗin gwiwa tare da haɓakar haɗarin cututtukan jini, ana iya amfani da maganin shafawa akan tsire-tsire na magani. Kuma idan ana so, marasa lafiya zasu iya ba da cikakkiyar magani tare da magungunan jama'a.
Tare da atherosclerosis na kwakwalwa, ganye irin su periwinkle, lemun tsami, valerian, dill, Mint, borax, melilot, meadowsweet, taimakon Clover. Don motsa jiki na microcirculation, kawar da jijiyoyin bugun jini da kuma narkar da jini, ana amfani da shirye-shiryen da ke dauke da ginko-biloba -Tanakan, Ginko Fort da Bilobil.
Yadda aka kula da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa a cikin bidiyo a wannan labarin.
