Koj puas muaj cov rog nyob hauv koj cov hlab ntsha? Cia peb tham txog atheroma!

Niaj hnub no peb yuav tham txog ib yam dab tsi uas tseem ceeb rau ntau tus neeg, tab sis tej zaum tsis paub meej. Koj puas tau hnov ​​​​​​txog 'Atheroma' lossis cov rog hauv cov hlab ntsha ? Qhov mob no yog ib yam dab tsi uas yuav tsum txhawj xeeb txog, vim nws tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm peb lub plawv thiab cov ntshav ncig thoob plaws lub cev. Yog li cia peb tham txog nws yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Atheroma yog dab tsi tiag?

Hais yooj yim xwb, atheroma yog ib yam roj uas sib sau ua ke hauv peb cov hlab ntsha, tshwj xeeb tshaj yog peb cov hlab ntsha, dhau sijhawm. Nws zoo li cov av uas sib sau ua ke hauv cov kav dej dhau sijhawm. Ib txhia neeg hu qhov no ua 'atherosclerotic plaque', lossis tsuas yog 'plaque'. Yog li ntawd, 'plaque' no sib sau ua ke rau ntawm phab ntsa sab hauv ntawm cov hlab ntsha, maj mam ua rau txoj kev hla ntshav nqaim zuj zus.

Muaj ntau ntau yam ua rau qhov atheroma no txaus ntshai:

• Ua ntej, cov no maj mam loj zuj zus thiab siv qhov chaw ntau dua hauv cov hlab ntsha. Tom qab ntawd muaj chaw tsawg dua rau cov ntshav hla mus. Ib yam li kev sib tsoo ntawm txoj kev.
• Qhov thib ob, qee zaum cov pob zeb no tuaj yeem tawg sai sai. Thaum qhov ntawd tshwm sim, cov ntshav txhaws tuaj yeem tsim nyob ntawd. Cov ntshav txhaws no tuaj yeem thaiv cov ntshav ntws mus rau ntawd, lossis nws tuaj yeem tawg thiab thaiv cov hlab ntsha nyob rau lwm qhov hauv lub cev.

Xav txog seb, yuav ua li cas yog tias cov hlab ntsha uas xa cov ntshav mus rau lub plawv raug thaiv zoo li no? Thaum ntawd ces yuav muaj mob plawv nres. Ib yam li ntawd, yog tias cov hlab ntsha uas xa cov ntshav mus rau lub hlwb raug thaiv , ces yuav muaj mob hu ua mob stroke. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov atheroma no thiab txo qhov kev pheej hmoo ntawm kev mob plawv.

Cov atheroma no ua los ntawm dab tsi?

Cov pob zeb no, hu ua atheroma, yog tsim los ntawm kev sib sau ua ke ntawm ntau yam khoom uas ncig hauv peb cov ntshav. Lawv feem ntau suav nrog:

• Cov hom hlwb hauv cov ntshav.
• Calcium . Cov calcium no yog qhov ua rau atheroma tawv thiab ntxhib me ntsis. Qhov no hu ua "kev ua kom cov hlab ntsha tawv" lossis "kev ua kom cov hlab ntsha tawv."
• Cov roj cholesterol thiab lwm yam rog. Cov no yog cov khoom xyaw tseem ceeb.
• Cov hlwb ua rau mob .
• Cov protein sib txawv.

Tag nrho cov no ua ke tsim cov khoom tso rau ntawm phab ntsa ntawm cov hlab ntsha.

Atheroma ntawm lub plawv yog dab tsi?

Aortic atheroma yog ib qho mob uas atheroma loj hlob hauv peb cov hlab ntsha tseem ceeb, aorta. Aorta yog cov hlab ntsha loj tshaj plaws hauv peb lub cev. Nws pib ntawm lub plawv thiab khiav mus rau hauv lub hauv siab thiab mus txog rau lub plab. Thaum atheroma tsim nyob rau hauv cov hlab ntsha tseem ceeb no, nws tuaj yeem ua rau muaj ntau yam teeb meem.Tej yam teeb meem yuav tshwm sim tau. Piv txwv li:

• Kev mob ntawm lub plawv aortic
• Mob plawv nres
• Mob stroke

Qhov no puas zoo li mob qog noj ntshav?

Tsis yog, atheroma tsis yog mob qog noj ntshav. Nws tsuas yog cov rog uas tsim nyob rau hauv peb cov hlab ntsha. Qee zaum cov lus kho mob tuaj yeem zoo sib xws, yog li nws tuaj yeem ua rau tsis meej pem. Piv txwv li, lo lus 'atheroma' zoo ib yam li cov lus zoo li 'carcinoma' (ib hom mob qog noj ntshav), yog li qee tus yuav xav tias qhov no kuj yog mob qog noj ntshav. Tab sis tsis muaj kev sib txuas zoo li no. Qhov no yog txuam nrog peb cov hlab ntsha thiab kev noj qab haus huv ntawm lub plawv.

Vim li cas cov atheroma no thiaj tsim tau?

Qhov ua rau muaj atheroma yog kev puas tsuaj rau sab hauv ntawm peb cov hlab ntsha (hu ua endothelium). Cov kws tshawb fawb tseem tab tom tshawb nrhiav ntau yam ua rau muaj kev puas tsuaj no. Tab sis muaj ib qho meej: thaum endothelium no puas tsuaj, qhov ntawd yog qhov uas atheroma pib tsim. Tom qab ntawd, dhau sijhawm, nws maj mam loj zuj zus.

Muaj ntau yam ua rau muaj atheroma:

• Cov kab mob uas ua rau mob: Piv txwv li, cov kab mob xws li mob pob qij txha rheumatoid.
• Mob ntshav qab zib Mellitus: Qhov kev pheej hmoo no siab dua rau cov neeg uas muaj mob ntshav qab zib.
• Kev noj zaub mov tsis zoo: Noj ntau dhau cov khoom noj uas muaj roj saturated, trans fat, thiab cholesterol.
• Ntshav siab.
• Cov roj cholesterol ntau.
• Cov roj triglyceride ntau.
• Kev laus: Qhov kev pheej hmoo nce ntxiv tom qab hnub nyoog 45 xyoo rau cov txiv neej thiab tom qab hnub nyoog 55 xyoo rau cov poj niam.
• Haus luam yeeb thiab siv yeeb: Qhov no yog ib qho tseem ceeb heev rau kev pheej hmoo.

Txawm hais tias cov atheroma tuaj yeem tsim tau hauv txhua txoj hlab ntsha hauv peb lub cev, lawv feem ntau yuav tsim ntawm cov ceg ntoo, lossis qhov twg ib txoj hlab ntsha faib ua ob (bifurcations).

Xav txog peb lub cev ncig ntshav zoo li ib txoj kev sib txuas. Feem ntau muaj kev sib tsoo ntawm cov tsheb sib tshuam, qhov chaw uas cov kev sib ntsib, tsis yog ntawm cov kev ncaj. Ib yam li ntawd, cov rog hauv peb cov hlab ntsha feem ntau tsim ntau dua qhov chaw uas cov hlab ntsha sib ntsib thiab faib. Cov kws tshawb fawb tseem tab tom sim nrhiav seb vim li cas qhov no tshwm sim.

Qhov txawv ntawm atheroma thiab atherosclerosis yog dab tsi?

Qhov no yuav zoo li nyuaj me ntsis, tab sis hais yooj yim xwb:

Atheroma yog cov rog uas muaj roj ntau. Atherosclerosis yog tus kab mob uas tshwm sim los ntawm kev tso cov rog ntawd rau hauv cov hlab ntsha.

Yuav piav qhia ntxiv me ntsis, atheroma yog cov rog uas txhaws koj cov hlab ntsha. Nws sib sau ua ke raws sijhawm thiab ua rau muaj ntau yam teeb meem. Qhov atheroma (lossis plaque) sib sau ua ke no yog cov tsos mob tseem ceeb ntawm tus kab mob hu ua atherosclerosis. Yog tias koj muaj atherosclerosis, nws txhais tau tias koj muaj cov plaque no hauv koj cov hlab ntsha. Cov plaque no tuaj yeem loj hlob qeeb qeeb ntau xyoo, yam tsis ua rau muaj tsos mob .

Qhov kev sib sau ua ke ntawm cov quav hniav no tuaj yeem pib thaum koj muaj hnub nyoog nees nkaum lossis peb caug xyoo, thiab tom qab ntawd txuas ntxiv mus thoob plaws koj lub neej. Nws raug cuam tshuam los ntawm peb cov zaub mov noj, kev ua neej, thiab cov yam ntxwv ntawm caj ces. Tab sis rau qee tus neeg, cov txheej txheem no tshwm sim sai dua li lwm tus. Thiab qee tus neeg yuav muaj teeb meem thaum ntxov ntawm lub neej. Qhov no feem ntau yog vim muaj cov yam ntxwv xws li kev haus luam yeeb lossis keeb kwm tsev neeg ntawm kab mob plawv thaum tseem hluas.

Kab mob Atherosclerosis tuaj yeem txo cov ntshav ntws mus rau ntau qhov chaw ntawm lub cev. Thaum cov atheroma loj hlob tuaj, nws siv ntau qhov chaw hauv cov hlab ntsha. Raws li lub sijhawm dhau mus, cov plaque no tuaj yeem ua rau muaj cov mob xws li:

• Kab mob Aortoiliac occlusive (kev thaiv ntawm cov hlab ntsha uas muab ntshav mus rau lub plab thiab ob txhais ceg)
• Kab mob carotid artery (kev thaiv ntawm cov hlab ntsha uas muab ntshav mus rau lub hlwb)
• Kab mob plawv (kev thaiv ntawm cov hlab ntsha uas muab ntshav mus rau lub plawv)
• Mesenteric ischemia (txo cov ntshav mus rau cov hnyuv)
• Kab mob ntawm cov hlab ntsha peripheral (kev thaiv ntawm cov hlab ntsha hauv caj npab thiab ceg)
• Kab mob ntawm cov hlab ntsha hauv lub raum (kev thaiv ntawm cov hlab ntsha uas muab ntshav mus rau lub raum)
• Kab mob ntawm cov hlab ntsha hauv lub cev (kev thaiv ntawm cov hlab ntsha uas cuam tshuam nrog tus txha nqaj qaum)

Koj yuav paub li cas yog tias koj muaj atheroma? Cov tsos mob yog dab tsi?

Feem ntau nws nyuaj rau paub seb koj puas muaj cov quav hniav hauv koj cov hlab ntsha, vim tias tej zaum yuav tsis muaj tsos mob thaum ntxov. Qhov tseeb, koj yuav tsis pom muaj tsos mob dab tsi kom txog thaum koj cov hlab ntsha raug thaiv tsawg kawg yog 70% . Cov tsos mob uas koj muaj yuav nyob ntawm seb cov hlab ntsha twg raug thaiv.

• Yog tias cov hlab ntsha uas muab ntshav mus rau lub plawv (cov hlab ntsha coronary) raug thaiv: Koj yuav mob hauv siab lossis tsis xis nyob thaum koj ua ub ua no thiab nws yuav txo qis thaum koj so ('Stable angina').
• Yog tias cov hlab ntsha uas muab ntshav mus rau lub duav thiab ob txhais ceg (iliac lossis femoral arteries) raug thaiv: Qhov mob hauv ob txhais ceg tshwm sim thaum lub sijhawm ua ub ua no, xws li taug kev, thiab nws yuav ploj mus thaum so ('Claudication').
• Yog tias cov hlab ntsha uas muab ntshav mus rau lub hlwb (carotid arteries) raug thaiv: Mob stroke tuaj yeem tshwm sim.
• Yog tias cov hlab ntsha uas muab ntshav mus rau txoj hnyuv (mesenteric arteries) raug thaiv: Mob plab tom qab noj mov (tseem hu ua 'Postprandial cramps' lossis 'abdominal angina').
• Yog tias cov hlab ntsha uas xa ntshav mus rau lub raum (cov hlab ntsha raum) raug thaiv: Kev mob ntshav siab theem ob thiab kev ua haujlwm ntawm lub raum tsis zoo tuaj yeem tshwm sim.

Vim tias cov atheroma tuaj yeem tshwm sim yam tsis muaj tsos mob, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob tsawg kawg ib xyoos ib zaug kom kuaj xyuas. Koj tus kws kho mob yuav tham txog koj cov yam ntxwv uas ua rau muaj kev pheej hmoo, koj tsev neeg keeb kwm muaj kab mob plawv, thiab, yog tias tsim nyog, xaj kev kuaj mob los xyuas koj lub plawv thiab cov hlab ntsha.

Puas yog tus kab mob atheroma no raug tshem tawm tag nrho thaum nws tsim los lawm?

Qhov tseeb, thaum cov atheroma tsim los lawm , nws tsis muaj peev xwm kho nws kom rov qab zoo li qub. Qhov ntawd yog, nws nyuaj rau yaj thiab tshem nws tawm tag nrho.

Tiamsis tsis txhob txhawj! Muaj ntau yam uas koj ua tau los pab kom qeeb qeeb qhov kev loj hlob ntawm atherosclerosis.

Kev hloov pauv hauv lub neej thiab cov tshuaj uas kws kho mob tau sau tseg ua lub luag haujlwm tseem ceeb hauv qhov no. Yog tias koj tau kuaj pom tias muaj atherosclerosis, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham thiab tau txais cov lus qhia txog yuav ua li cas tswj tus mob no.

Yog li ntawd, yuav ua li cas thiaj tswj tau thiab txo qhov kev tsim cov atheroma?

Feem ntau, cov hauv qab no pab tswj kev sib sau ua ke ntawm atheroma hauv cov hlab ntsha:

• Tso tseg kev haus luam yeeb thiab siv cov khoom luam yeeb tag nrho. Kev siv luam yeeb yog ib qho ntawm cov yam ua rau muaj kev pheej hmoo loj tshaj plaws rau cov kab mob plawv. Nug koj tus kws kho mob kom pab tso tseg.
• Noj zaub mov zoo rau lub plawv. Tsis txhob noj cov khoom noj uas muaj roj ntau (xws li nqaij rog, cov khoom noj mis nyuj uas muaj roj ntau). Tsis txhob noj cov khoom noj uas muaj roj trans (khoom noj sai, khoom noj ntim). Tsis txhob noj qab zib, ntsev, thiab cov carbohydrates uas tau ua kom zoo (xws li mov ci).
• Kev Ua Si. Sim ua kom tau tsawg kawg 150 feeb ntawm kev tawm dag zog nruab nrab hauv ib lub lim tiam. Qhov no yuav yog kev taug kev rau 30 feeb hauv ib hnub, 5 hnub hauv ib lub lim tiam. Los yog koj tuaj yeem ua lwm yam kev ua ub no uas koj nyiam (xws li caij tsheb kauj vab lossis ua luam dej). Nws yog ib qho tseem ceeb uas yuav tsum tau nrog koj tus kws kho mob tham ua ntej pib txoj kev npaj tawm dag zog tshiab.
• Noj koj cov tshuaj raws li tau qhia. Cov tshuaj tuaj yeem pab tswj cov yam uas ua rau muaj kab mob atherosclerosis (xws li ntshav siab thiab roj cholesterol). Qhia rau koj tus kws kho mob tam sim ntawd yog tias koj muaj tej yam tshwm sim tsis zoo. Tsis txhob tsum noj tshuaj yam tsis tau nrog koj tus kws kho mob tham.
• Mus kuaj mob tsawg kawg ib xyoos ib zaug. Koj tus kws kho mob yuav soj ntsuam koj qhov kev pheej hmoo ntawm kev mob atherosclerosis thiab lwm yam kab mob plawv. Nco ntsoov mus ntsib koj tus kws kho mob raws sijhawm, thiab nrog koj tus kws kho mob tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj.

Hauv kev xaus lus (Cov Lus Qhia Txog Kev Coj Mus Tsev)

Yog li ntawd, txawm koj hu nws ua atheroma lossis plaque, cov rog no uas tsim nyob rau hauv koj cov hlab ntsha tsis zoo rau koj txoj kev noj qab haus huv. Tab sis koj tsis yog tib tug hauv koj txoj kev tawm tsam atherosclerosis. Tham nrog koj tus kws kho mob txog cov hau kev los qeeb qeeb qhov kev tsim cov plaque no hauv koj cov hlab ntsha.Kev hloov pauv hauv lub neej xws li tso kev haus luam yeeb thiab noj zaub mov zoo yuav pab tiv thaiv koj cov hlab ntsha rau ntau xyoo tom ntej. Nco ntsoov tias, lub plawv noj qab nyob zoo yog qhov tseem ceeb rau lub neej noj qab nyob zoo! Yog li ntawd, saib xyuas koj lub plawv.

` Atheroma, Atherosclerosis, Cholesterol, Kab mob plawv, Kev thaiv cov hlab ntsha, Mob plawv nres, Mob stroke