Tonse tamva za cholesterol, sichoncho? Anthu ena amaopa. Koma chifukwa cha cholesterol iyi, nthawi zina zinthu zosayembekezereka zimatha kuchitika m'mitsempha yathu yamagazi. Lero tikambirana za vuto lachipatala lovuta koma lofunika lomwe aliyense ayenera kudziwa. Izi zimatchedwa cholesterol emboli. Mwachidule, izi ndi zokhudza kupangika kwa cholesterol ndikukhazikika m'mitsempha yathu yamagazi.

Kodi ma emboli a cholesterol awa ndi chiyani?

Chabwino, tiyeni tinene mwachidule. Mitsempha yathu yamagazi ili ngati mapaipi omwe amanyamula madzi. Pakapita nthawi, anthu ena amayamba kukhala ndi mafuta ambiri, monga cholesterol, mkati mwa makoma a mitsempha iyi yamagazi. Monga momwe dzimbiri limakhalira pa payipi yakale yamadzi. Timatcha izi buildup plaque kapena atheroma. Vutoli ndi lomwe timalidziwa kuti atherosclerosis, zomwe zikutanthauza kuuma kapena kuchepa kwa mitsempha.

Kwa nthawi yayitali, `(Plaque)` iyi imatha kukhalapo, popanda vuto lililonse. Koma nthawi zina, mbali zina za `(Plaque)` iyi zimasweka ndikuyamba kuyenda ndi magazi m'zidutswa zazing'ono . Taganizirani ngati chidutswa cha pulasitala yakale pakhoma yomwe ikugwa. Zidutswa za cholesterol zosweka izi zimatchedwa `(Cholesterol Emboli)`. Nthawi zina, izi zitha kuchitikanso ngati zotsatira zoyipa za chithandizo chamankhwala, monga `(Heart Catheterization)`, mwachitsanzo. Kapena zitha kuchitika pazifukwa zina.

Pamene `(Chikwangwani)` ichi chikuphwanyika, zidutswa zazing'ono kwambiri `(microemboli)` zake zimatulutsidwa m'magazi nthawi yomweyo . Monga mphepo yamkuntho! Ma cholesterol clotting awa ndi ang'onoang'ono kukula kwake kuposa ma blood clotting akuluakulu omwe amapangidwa magazi akamaundana. Komanso, izi zimapangidwa makamaka ndi ma crystals a cholesterol. Chifukwa chake, nthawi zambiri amamatira osati m'mitsempha yayikulu yamagazi, koma m'mitsempha yaying'ono kapena yapakatikati yamagazi (mitsempha) .

Choncho, pamene mitsempha yaing'ono yamagazi yatsekeka motere, kuyenda kwa magazi kupita ku ziwalo za thupi zomwe zimaperekedwa ndi mitsempha yamagaziyo kumasokonezeka, kapena kutayika kwathunthu . Nthawi zambiri, `(Cholesterol Emboli)` izi zimatsekeka m'mitsempha yamagazi yomwe imapita ku impso zathu, ndipo zimatha kuyambitsa kulephera kwa impso. Komanso, nthawi zina zimatha kutsekekanso m'mitsempha yaing'ono yamagazi m'miyendo, makamaka m'malo monga chala chachikulu chala. Kaya zatsekeka kuti, `(Cholesterol Emboli)` izi zimatha kuwononga pang'onopang'ono ziwalo za thupi lathu, ndipo nthawi zina, zimatha kupha .

Madokotala amagwiritsa ntchito mayina osiyanasiyana pa vutoli. Mwina munamvapo mayina awa:

• Matenda Oletsa Kuchuluka kwa Cholesterol
• Matenda a Blue Toe Syndrome (Izi zimachitika pamene magazi akutsika kupita ku zala)
• Kutsekeka kwa magazi m'thupi (atheroembolism)
• Matenda a Atheromatous Embolization
• Kupangidwa kwa cholesterol-crystal
• Matenda a Impso a Atheroembolic (Izi zikutanthauza pamene impso zakhudzidwa)

Kodi vutoli ndi lofala bwanji?

Ofufuza akadali osatsimikiza kuti vutoli ndi lofala bwanji, chifukwa nthawi zina zimakhala zovuta kuzizindikira. Komabe, akuti milandu yoopsa kwambiri yoti ifunike chithandizo ingakhudze pafupifupi 3% ya akuluakulu. Vutoli limapezeka kwambiri mwa anthu azaka zopitilira 60, omwe ali kale ndi atherosclerosis, komanso omwe ali ndi matenda ena amtima .

Kodi zizindikiro za cholesterol embolism ndi ziti?

Ma `(Cholesterol Emboli)` amenewa amayambitsa kutupa m'thupi. Izi zikutanthauza kuti thupi limatupa. Izi zingakupangitseni kukhala ndi zizindikiro izi:

• Kumva kutopa (Kutopa)
• Malungo
• Kupweteka kwa minofu (Myalgia)
• Kuchepetsa thupi popanda chifukwa

Kuwonjezera pa zizindikiro zodziwika bwinozi, zizindikiro zina zingachitikenso. Izi zimatengera mitsempha yamagazi yomwe yatsekedwa ndi ma cholesterol plaques komanso ziwalo za thupi zomwe magazi amaperekedwa ndi mitsempha yamagaziyo . Izi ndi zina mwa zizindikiro zomwe zingachitike kutengera ziwalo za thupi zomwe zakhudzidwa:

Khungu (nthawi zambiri pa miyendo kapena mapazi)

• Kapangidwe kofanana ndi ukonde pakhungu, malo ena otumbululuka ndipo ena ofiira/abuluu (Livedo Reticularis)
• Chala cham'manja kapena gawo lina la phazi likusintha kukhala lofiirira kapena labuluu (izi zimatchedwa "Blue Toe Syndrome")
• Ziwalo zina za khungu zimafa ndikuda (Gangrene)
• Zilonda za Pakhungu
• Purpura (madontho ofiirira omwe amayamba chifukwa cha kutuluka magazi pang'ono pansi pa khungu)

Impso

• Zizindikiro za kulephera kwa impso - mwachitsanzo, kuchepa kwa mkodzo, kutupa kwa miyendo, komanso kuvutika kupuma.

Dongosolo la m'mimba

• Ululu m'mimba, msana, kapena m'mbali
• Kutuluka magazi, monga magazi mu chopondapo
• Kutsegula m'mimba

Ubongo

• Chisokonezo
• Kutaya Kukumbukira
• Chizungulire
• Mutu
• Zizindikiro za kuukira kwa ischemic kwa nthawi yochepa (TIA) - kofanana ndi kuukira kwa mini-stroke - zimachitika chifukwa cha kusokonekera kwakanthawi kwa magazi kupita ku ubongo.
• Stroke

Maso

• Kupweteka kwa maso
• Maso osawoneka bwino
• Makristalo achikasu a cholesterol amaoneka m'mitsempha ya retina ya diso (izi zimatchedwa ``Hollenhorst Plaques'', zomwe zimaonekera kwa dokotala akamayesedwa)

Chofunika: Ngati muli ndi chimodzi mwa zizindikiro izi, sizitanthauza kuti nthawi zonse muli ndi Cholesterol Emboli. Komabe, ngati muli ndi chimodzi mwa zizindikirozi, ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo .

Kodi n’chiyani chimayambitsa matenda a cholesterol emboli awa?

Pafupifupi 70% ya nthawi , `(Cholesterol Emboli)` izi zimachitika ngati zotsatira zoyipa za mankhwala omwe amakhudza mitsempha yathu yamagazi. Mwachitsanzo, zinthu monga `(Heart Catheterization)` zomwe zatchulidwa kale. Mankhwala amtunduwu akachitika, `(Plaque)` m'mitsempha yamagazi imatha kukhudzidwa ndipo imatha kuphulika.

Ngati cholesterol embolism imachitika ngati vuto la chithandizo chamankhwala, nthawi zambiri imachitika pambuyo pa angiogram . (Angiogram ndi mayeso apadera a X-ray omwe amachitidwa kuti aone momwe mitsempha yamagazi ilili.) Koma ndikofunikira kukumbukira kuti angiogram nthawi zambiri ndi mayeso otetezeka, omwe ali ndi chiopsezo chochepa cha zovuta zazikulu. Komabe, cholesterol embolism ndi chiopsezo chosowa koma chotheka .

Kuphatikiza apo, nthawi zambiri , cholesterol emboli imatha kuchitika popanda chifukwa chilichonse chodziwika bwino. Izi zimatchedwa autoimmune embolism.

Kodi zinthu zoopsa ndi ziti?

Muli pachiwopsezo chachikulu chotenga "Cholesterol Emboli" ngati chimodzi mwa izi chikukugwirani ntchito:

• Kukhala ndi zaka zoposa 50.
• Kukhala mwamuna (amuna ndi omwe ali ndi vutoli kuposa akazi)
• Kuchuluka kwa ma plaque m'mitsempha yamagazi (monga, atherosclerosis yayikulu).
• Zinthu zomwe zimayambitsa atherosclerosis ndi izi: +
• Kuthamanga kwa Magazi Kwambiri
• Cholesterol Yambiri
• Matenda a shuga
• Kusuta kapena kugwiritsa ntchito zinthu zina za fodya.
• Kukhala ndi matenda a impso osatha.

Kodi ndi mavuto ati omwe angayambitse cholesterol embolism?

Cholesterol emboli imatha kuwononga ziwalo zosiyanasiyana m'thupi lanu. Chofunika kwambiri mwa izi ndi impso, khungu, matumbo, ndi ubongo . Kuti akupatseni kuchira kwabwino kwambiri, madokotala adzachita zonse zomwe angathe kuti achiritse kuwonongeka kwa ziwalozi.

Tangoganizirani, ngati magazi asiya kupita ku impso, impso sizigwira ntchito bwino. Kenako zimakhudza thupi lonse. Izi zimachitikanso ndi ziwalo zina.

Kodi matendawa amapezeka bwanji? (Kuzindikira)

Kuzindikira `(Cholesterol Emboli)` nthawi zina kungakhale kovuta pang'ono.Chifukwa zizindikiro zambiri sizili zenizeni. Izi zikutanthauza kuti zimatha kukhala zofala pa matenda ena ambiri. Dokotala wanu adzakuyesani mwakuthupi ndikukambirana nanu za:

• Za zizindikiro zilizonse zomwe muli nazo.
• Za mbiri yanu yachipatala .
• Za chithandizo chilichonse chamankhwala chomwe mwalandira posachedwapa.

Ngati dokotala wanu akukayikira kuti cholesterol emboli yayamba, angakufunseni kuti muyese magazi . Mwachitsanzo, mungayese magazi onse (CBC) kuti muwone ngati pali kutupa m'thupi kapena ngati impso sizikugwira ntchito bwino.

Ngati pali kukayikira kulikonse, dokotala wanu angakupatseni biopsy . Izi zikuphatikizapo kutenga chidutswa cha minofu kuchokera ku gawo la thupi lanu (nthawi zambiri khungu kapena impso) ndikuchiyang'ana pansi pa maikulosikopu kuti muwone ngati pali makristalo a cholesterol.

Kodi izi zimachiritsidwa bwanji?

Madokotala amakonza chithandizo kutengera zosowa zanu komanso kuopsa kwa vuto lanu. Njira zina zochiritsira zingaphatikizepo:

• Mankhwala othandizira kupewa matenda a mtima: Dokotala wanu angakulembereni mankhwala ochepetsa kuthamanga kwa magazi, mankhwala ochepetsa cholesterol otchedwa statins, ndi mankhwala oletsa ma platelet. Mankhwalawa angathandize kulimbitsa mitsempha yamagazi ndikuletsa kuti isasweke ndikupanga cholesterol emboli mtsogolo .
• Kusintha moyo: Dokotala wanu angakulangizeni kusintha moyo wanu, monga kupewa fodya konse. Kusintha kumeneku kungathandize kuti mitsempha yamagazi ndi mtima wanu zikhale zathanzi .
• Mankhwala ochepetsa kutupa: Popeza cholesterol emboli ingayambitse kutupa m'thupi lonse, mankhwala amatha kuperekedwa kuti achepetse kutupa. Izi zingathandize kuchepetsa zizindikiro.
• Opaleshoni: Iyi ndi njira yomaliza, ngati pali ngozi ya moyo . Ngati malo enieni a cholesterol clot adziwika, dokotala angakulangizeni opaleshoni ya bypass kuti asinthe njira yoyendera magazi kapena endarterectomy kuti achotse mafuta omwe ali mkati mwa mitsempha yamagazi.

Kuphatikiza apo, ngati pali kuwonongeka kwa ziwalo, chithandizo chothandizira chingafunikenso. Mwachitsanzo:

• Dialysis kuti ithandize impso kugwira ntchito.
• Opaleshoni yochotsa gawo kapena m'matumbo onse.
• Kudula ziwalo ndi kuchotsa chiwalo, monga mkono kapena mwendo (izi zimachitika pazochitika zoopsa monga chilonda cha mwendo).

Kodi ndingachepetse bwanji chiopsezo cha cholesterol emboli?

Atherosclerosis, kuchuluka kwa mafuta m'mitsempha yamagaziKuchita zonse zomwe mungathe kuti muchepetse kuchuluka kwa cholesterol m'magazi anu kudzakuthandizani kuchepetsa chiopsezo chanu cha cholesterol emboli. Nazi zina zomwe mungachite:

• Pewani fodya wonse. Ngati mukusuta fodya panopa, funsani dokotala wanu kuti akuthandizeni kusiya kusuta.
• Idyani zakudya zopatsa thanzi pamtima. Mwachitsanzo, Zakudya za ku Mediterranean. Izi zikutanthauza kudya ndiwo zamasamba, zipatso, nyemba, mtedza, ndi nsomba zambiri. Kuchepetsa mafuta, shuga, ndi mchere.
• Chitani masewera olimbitsa thupi nthawi zonse , monga momwe dokotala wanu walangizira.
• Imwani mankhwala omwe dokotala wakupatsani molondola komanso panthawi yake.
• Onetsetsani kuti mwapita kukayezetsa dokotala chaka chilichonse ndipo pitani kwa dokotala pa masiku omwe akonzedwa.

Kodi chiyembekezo chili bwanji?

Kuyezetsa matenda anu kumadalira zinthu zingapo, kuphatikizapo matenda ena omwe mukukumana nawo komanso kuchuluka kwa kuwonongeka kwa ziwalo zanu. Kafukufuku wina wasonyeza kuti kuwonongeka kwa impso kungagwirizane ndi zotsatira zoyipa .

Nthawi zina cholesterol emboli imapha . Ofufuza akuyerekeza kuti chiwerengero cha imfa chimafika pa 63%. Komabe, chiwerengerochi chikhoza kuwonjezeka kapena kuchepa, kutengera kuchuluka kwa kuwonongeka kwa ziwalo ndi thanzi lanu lonse.

Dokotala wanu yekha ndi amene angakupatseni chidziwitso chabwino kwambiri chokhudza tsogolo lanu, kutanthauza zomwe mungayembekezere mtsogolo. Iye akhoza kuwunika momwe matenda anu alili potengera mbiri yanu yachipatala komanso momwe mulili panopa.

Kodi ndimadzisamalira bwanji?

Dokotala wanu adzakuuzani momwe mungadzisamalire kunyumba. Ndikofunikira kwambiri kutsatira malangizo ake molondola, makamaka okhudza mankhwala . Ngati pali chilichonse chomwe sichikumveka bwino, funsani dokotala wanu.

Ndiyenera kupita kwa dokotala liti?

Adzakuuzani kangati komwe muyenera kupita kwa dokotala.

Ngati dokotala wanu akuzindikirani kuti muli ndi Cholesterol Emboli, mudzafunika chithandizo cha nthawi yayitali komanso chisamaliro kuti muthane ndi vuto lanu ndikuchepetsa kuwonongeka kwa ziwalo. Ndikofunikira kutsatira nthawi yokumana ndi dokotala kuti mukhale ndi moyo wautali momwe mungathere.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Ngati muli ndi zizindikiro za kuukira kwa ischemic kwa nthawi yochepa (TIA) kapena sitiroko , imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo. Izi ndi zadzidzidzi zachipatala zomwe zimafuna chithandizo chachangu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Lankhulani ndi dokotala wanu za chiopsezo chanu chokhala ndi Cholesterol Emboli ndi momwe mungachepetsere chiopsezo chimenecho. Mafunso ena enieni omwe mungafune kufunsa ndi awa:

• Kodi ndi zinthu ziti zomwe zingandipangitse kukhala ndi `(Cholesterol Emboli)`?
• Ngati ndiyenera kuchitidwa opaleshoni ya mtima kapena chithandizo chilichonse, kodi tingatani kuti tichepetse chiopsezochi?
• Ndi zizindikiro ziti zomwe ndiyenera kuyang'anitsitsa?

Ngati mwapezeka ndi `(Cholesterol Emboli)`, funsani dokotala wanu mafunso awa:

• Ndi njira ziti zochiritsira zomwe zingandithandize?
• Ndi kusintha kotani kwa moyo komwe ndiyenera kusintha?
• Kodi maganizo anga ndi otani?

Kutupa kwa cholesterol nthawi zina kumachitika mosayembekezereka chifukwa cha kusungunuka kwa plaque m'mitsempha yathu yamagazi. Ngakhale kuti pali zinthu zina zomwe zimawonjezera chiopsezo cha kuphulika kwa plaque iyi, nthawi zina sizimveka bwino chifukwa chake anthu ena amadwala matendawa ndipo ena sadwala. Ngati dokotala wanu wakupezani ndi atherosclerosis, ndikofunikira kuchita zonse zomwe mungathe kuti muchepetse chiopsezo chanu cha zovuta . Izi zikutanthauza kugwira ntchito ndi dokotala wanu kuti musamale bwino mitsempha yanu yamagazi ndi mtima.

Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Kambiranani zomwe mungachite tsiku ndi tsiku kuti muchepetse chiopsezo chanu cha Cholesterol Emboli ndi mavuto ena a matenda a mtima.

Zimene tiyenera kukumbukira kuchokera apa (Uthenga Wopita Nawo Kunyumba)

Mwachidule, `(Cholesterol Emboli)` ndi pamene zidutswa za cholesterol `(Plaque)` zomwe zimayikidwa m'mitsempha yathu yamagazi zimasweka ndikukakamira m'mitsempha yaying'ono yamagazi. Izi zingayambitse mavuto akulu azaumoyo, makamaka kuwonongeka kwa ziwalo monga impso, khungu, ndi ubongo.

• Kudziwa bwino nkhaniyi n'kofunika: Kudziwa bwino za vutoli ndi zizindikiro zake kumakuthandizani kupeza chithandizo mwachangu.
• Dziwani zinthu zomwe zingakubweretsereni mavuto: Ngati muli ndi matenda monga cholesterol yambiri, kuthamanga kwa magazi, matenda a shuga, kapena ngati mumasuta fodya, chiopsezochi chimakhala chachikulu.
• Moyo Wathanzi: Matenda a atherosclerosis amatha kuthetsedwa mwa kudya zakudya zabwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta fodya. Izi zimachepetsa chiopsezo cha matenda a cholesterol emboli.
• Tsatirani malangizo a dokotala: Imwani mankhwala anu monga mwalangizidwira. Musamalumphe kupita kukayezetsa kuchipatala.
• Samalani ndi zizindikiro zachilendo: Pitani kwa dokotala nthawi yomweyo, makamaka ngati mukumva kupweteka mwadzidzidzi m'miyendo yanu, kusintha mtundu, kupuma movutikira, kapena kusokonezeka.

Kumbukirani, thanzi lanu lili m'manja mwanu. Njira yabwino yodzitetezera ku matenda amenewa ndi kudziwitsidwa ndikutsatira malangizo a dokotala.

Cholesterol , emboli, mitsempha yamagazi, matenda amtima, matenda a impso, angiogram, zizindikiro