Ọrịa Atherosclerosis

Atherosclerosis, nke a na-akpọ mgbe ụfọdụ "mgbatị akwara," na-eme mgbe abụba, cholesterol na ihe ndị ọzọ na-etolite na mgbidi akwara. A na-akpọ ego ndị a akara. Ka oge na-aga, mpempe akwụkwọ ndị a nwere ike ibelata ma ọ bụ mechie akwara ma kpatara nsogbu n'ime ahụ.

Atherosclerosis bụ ọrịa nkịtị.

Atherosclerosis na-emekarị na ịka nká. Ka ị na-etolite, ihe e dere ede na-ebelata akwara gị ma mee ka ha sie ike karị. Mgbanwe ndị a na-eme ka o sie ike ọbara na-esi na ha agafe.

Ihe nkata nwere ike ịmalite na akwara ndị a dị warara ma gbochie ọbara na-agba. Iberibe ihe ncheta nwekwara ike ịgbaji ma gaa na obere arịa ọbara, na-egbochi ha.

Ihe mgbochi ndị a na-egbu anụ na oxygen. Nke a nwere ike ibute mmebi ma ọ bụ ọnwụ anụ ahụ. Ọ bụ ihe na-akpatakarị ọrịa obi na ọrịa strok.

Ọbara cholesterol dị elu nwere ike ime ka akwara gbasie ike na nwata.

Maka ọtụtụ mmadụ, ọkwa dị elu nke cholesterol bụ n'ihi nri dị oke abụba na abụba abụba.

Ihe ndị ọzọ nwere ike itinye aka na-eme ka akwara gbasie ike gụnyere:

• Ọrịa shuga
• Akụkọ banyere ezinụlọ nke ime ka akwara sie ike
• Ọbara mgbali elu
• Enweghị mmega ahụ
• Ibu ibu ma obu ibu ibu
• Okingụ sịga

Atherosclerosis anaghị ebute mgbaàmà ruo mgbe ọbara na-aga n'akụkụ nke ahụ na-akwụsịlata ma ọ bụ gbochie ya.

Ọ bụrụ na akwara na-enye obi ihe wara wara, ọbara ga-akwụsịlata ma ọ bụ kwụsị. Nke a nwere ike ibute mgbu obi (angina kwụsiri ike), iku ume iku ume, na mgbaàmà ndị ọzọ.

Okirikiri akwara ma ọ bụ nke e gbochiri egbochi nwekwara ike ịkpata nsogbu na eriri afọ, akụrụ, ụkwụ, na ụbụrụ.

Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma gee ntị na obi na ngụgụ na stethoscope. Atherosclerosis nwere ike ịmepụta ọnyá ma ọ bụ ụda na-ada ụda ("ọnya") n'elu akwara.

Ndị okenye niile toro afọ iri na asatọ kwesịrị ịbara ọbara mgbali elu ha kwa afọ. Enwere ike ịdị na-atụ ọtụtụ ugboro maka ndị nwere akụkọ ihe mere eme nke ịgụ ọbara mgbali elu ma ọ bụ ndị nwere ihe egwu maka ọbara mgbali elu.

A na-atụ aro ule cholesterol na ndị okenye niile. Isi ụkpụrụ nduzi mba dị iche na afọ a tụrụ aro ịmalite nyocha.

• Nyocha kwesịrị ịmalite n'etiti afọ 20 ruo 35 maka ụmụ nwoke na afọ 20 ruo 45 maka ụmụ nwanyị.
• Ntugharị nyocha adịghị mkpa maka afọ ise maka ọtụtụ ndị toro eto nwere ọkwa cholesterol nkịtị.
• Enwere ike ịme nyocha ugboro ugboro ma ọ bụrụ na mgbanwe ndụ na-eme, dị ka mmụba dị ukwuu ma ọ bụ mgbanwe nri.
• Ọ dị mkpa ịnwale ọtụtụ mgbe maka ndị okenye nwere akụkọ ihe mere eme nke cholesterol dị elu, ọrịa shuga, nsogbu akụrụ, ọrịa obi, ọrịa strok, na ọnọdụ ndị ọzọ

Enwere ike iji ọtụtụ ọnụọgụ nyocha lee ka ọbara si agagharị akwara gị nke ọma.

• Nyocha Doppler na-eji ultrasound ma ọ bụ ebili mmiri
• Igwe ihe na-agba ume (MRA), ụdị MRI pụrụ iche
• Ihe nyocha CT pụrụ iche a na-akpọ CT angiography
• Arteriogram ma ọ bụ angiography nke na-eji ụzarị ọkụ na ihe dị iche (mgbe ụfọdụ a na-akpọ "agba") iji hụ ụzọ ọbara na-aga n'ime akwara

Mgbanwe ndụ na-ebelata ihe egwu gị nke atherosclerosis. Ihe ị nwere ike ime gụnyere:

• Kwụsị ise siga: Nke a bụ otu mgbanwe kachasị mkpa ị nwere ike ịme iji belata ihe egwu gị na ọrịa obi na ọrịa strok.
• Zere nri ndị nwere abụba: Rie nri na-edozi ahụ nke nwere abụba na kolesterol. Gụnye ọtụtụ nri kwa ụbọchị nke mkpụrụ osisi na akwụkwọ nri. Gbakwunye azụ na nri gị ọ dịkarịa ala ugboro abụọ n’izu nwere ike inye aka. Agbanyeghị, erila azụ eghe.
• Belata oke mmanya ị na-a drinkụ: Akwadoro oke bụ otu ihe ọ areụ drinkụ kwa ụbọchị maka ụmụ nwanyị, abụọ kwa ụbọchị maka ụmụ nwoke.
• Na-emega ahụ́ mgbe nile: Jiri mgbatị dị uchu na-emega ahụ (dịka ije ije na-adịghị agwụ agwụ) daysbọchị 5 n’izu maka minit 30 kwa ụbọchị ma ọ bụrụ na ị dị arọ. Maka ọnwụ dị arọ, na-emega ahụ maka minit 60 ruo 90 kwa ụbọchị. Gwa onye na-enye gị ọrụ tupu ịmalite usoro mmega ahụ ọhụụ, ọkachasị ma ọ bụrụ na achọpụtala gị na ọrịa obi ma ọ bụ nwee obi ọgụ.

Ọ bụrụ na ọbara mgbali elu gị dị elu, ọ dị mkpa ka ị belata ma jidekwa ya.

Ebumnuche nke ọgwụgwọ bụ iji belata ọbara mgbali gị ka ị nwee obere nsogbu nsogbu ahụike nke ọbara mgbali elu kpatara. Gị na onye na-eweta gị kwesịrị isetịpụrụ gị ebumnuche ọbara mgbali.

• Akwụsịla ma ọ bụ gbanwee ọgwụ mgbali elu n'ejighị onye na-enye gị ọrụ.

Onye na-enye gị ọrụ nwere ike chọọ ka ị medicineụọ ọgwụ maka nsogbu kọlụm ndị na-adịghị ahụkebe ma ọ bụ maka ọbara mgbali elu ma ọ bụrụ na mgbanwe ndụ anaghị arụ ọrụ. Nke a ga-adabere na:

• Afọ gị
• Ọgwụ ị na-a .ụ
• Ihe ize ndụ gị nke mmetụta sitere na ọgwụ ndị nwere ike ime
• Ma ị nwere ọrịa obi ma ọ bụ nsogbu ọbara ọgbụgba ndị ọzọ
• Ma ị na-ese anwụrụ ma ọ bụ na ị buru oke ibu
• Ma ị nwere ọrịa shuga ma ọ bụ ihe ndị ọzọ kpatara ọrịa obi
• Ma ị nwere nsogbu ahụike ọ bụla, dịka ọrịa akụrụ

Onye na-enye gị ọrụ nwere ike ikwu ka ị were ọgwụ aspirin ma ọ bụ ọgwụ ọzọ nyere aka gbochie mkpụkọ ọbara n’ịkpụkọ akwara gị. A na-akpọ ọgwụ ndị a ọgwụ antiplatelet. EJIla ọgwụ aspirin n’ebughị ụzọ gwa onye na-enye gị ọrụ.

Weighttụlata ibu ma ọ bụrụ na i buru oke ibu ma belata shuga dị n’ọbara ma ọ bụrụ na ị nwere ọrịa shuga ma ọ bụ tupu ịrịa ọrịa shuga nwere ike inyere aka belata ohere nke ibute atherosclerosis.

Atherosclerosis enweghị ike ịgbanwere ya ozugbo ọ mere. Otú ọ dị, mgbanwe ndụ na ịgwọ ogo nke cholesterol dị elu nwere ike igbochi ma ọ bụ mee ka usoro ahụ ghara ịka njọ. Nke a nwere ike inye aka belata ohere ịnweta nkụchi obi na ọrịa strok n'ihi atherosclerosis.

N'ọnọdụ ụfọdụ, ihe e dere ede bụ akụkụ nke usoro nke na-eme ka mgbidi mgbidi na-adịghị ike. Nke a nwere ike ibute ntopute nke akwara akwara na-akpọ aneurysm. Aneurysms nwere ike imebi (mgbapu). Nke a na - ebute ọbara ọgbụgba nke nwere ike iyi ndụ egwu.

Ikwusi akwara ike; Ọkpụkpụ akwara; Ihe e dere ede - akwara; Hyperlipidemia - atherosclerosis; Cholesterol - atherosclerosis

• Imezi ihe omimi nke afọ - imeghe - nhapu
• Aortic aneurysm mmezi - endovascular - orùrù
• Pụ Ọgwụ Aspirin na ọrịa obi
• Obi odida - ihapu
• Obi mgbawa - ihe ị ga-ajụ dọkịta gị
• Ọbara mgbali elu - ihe ị ga-ajụ dọkịta gị
• Pịnye ụdị ọrịa shuga abụọ - ihe ị ga-ajụ dọkịta gị

• Carotid stenosis - X-ray nke akwara aka ekpe
• Carotid stenosis - X-ray nke akwara aka nri
• Gbasara echiche nke atherosclerosis
• Mgbochi ọrịa obi
• Usoro mmepe nke atherosclerosis
• Angina
• Ọrịa Atherosclerosis
• Ndị na-emepụta kọlesterol
• Ọkpụkpụ akwara balloon angioplasty - usoro

Arnett DK, Blumenthal RS, Albert MA, Buroker AB, et al. Ntughari Ntuziaka 2019 ACC / AHA maka mgbochi mgbochi ọrịa obi: nchịkọta nchịkọta: akụkọ nke American College of Cardiology / American Heart Association Task Force on Clinical Guidelines. J Am Coll Cardiol. 2019; 74 (10): 1376-1414. PMID: 30894319 pubmed.ncbi.nlm.nih.gov/30894319/.

Genest J, Libby P. Nsogbu Lipoprotein na ọrịa obi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 48.

James PA, Oparil S, Carter BL, et al. Ọgwụgwọ Ntuziaka sitere na 2014 maka ihe akaebe maka njikwa ọbara mgbali elu na ndị okenye: akụkọ sitere n'aka ndị otu kọmitii a họpụtara na Kọmitii Na-ahụ Maka Mba asatọ (JNC 8) JAMA. 2014; 311 (5): 507-520. PMID: 24352797 pubmed.ncbi.nlm.nih.gov/24352797/.

Libby P. Ihe omimi nke vascular nke atherosclerosis. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 44.

Akara AR. Ọrụ obi na ikuku ọbara. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 47.

Ebe nrụọrụ weebụ US Preventive Services Task Force. Nkwupụta nkwupụta ikpeazụ: iji statin mee ihe maka mgbochi mbụ nke ọrịa obi na ndị okenye: ọgwụ mgbochi. Emelitere November 13, 2016. Nabata Jenụwarị 28, 2020. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adults-preventive-medication1.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA ụkpụrụ nduzi maka mgbochi, nchọpụta, nyocha, na njikwa ọbara mgbali elu na ndị okenye: akụkọ nke American College of Cardiology / American Associationtù Na-ahụ Maka Ndị Ọrụ Na-ahụ Maka Obi na Clinical Practice Guidelines. J Am Coll Cardiol. 2018; 71 (19): 2199-2269. PMID: 2914653 pubmed.ncbi.nlm.nih.gov/29146533/.