Mea Kākau: Robert Simon
Lā O Ka Hana: 15 Iune 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
Chris O’Callaghan: Atherosclerosis & immunity
Wikiō: Chris O’Callaghan: Atherosclerosis & immunity

Anter

He aha ka atherosclerosis?

ʻO ka Atherosclerosis kahi mea liʻiliʻi o nā aʻa i hoʻokumu ʻia e ka buildup o ka pā. ʻO nā aʻa nā kīʻaha koko e lawe i ka oxygen a me nā mea momona mai kou puʻuwai i ke koena o kou kino.

Ke hele a makua ʻoe, hiki i nā momona, kolesterol, a me ka calcium e ʻohiʻohi i loko o kāu mau aʻa a hana i ka pā. ʻO ke kūkulu ʻia ʻana o ka pāka he mea paʻakikī ia e kahe ai ke koko ma waena o kou mau aʻa. Hiki ke hana i kēia kūkulu i nā aʻa i loko o kou kino, e like me kou puʻuwai, nā wāwae, a me nā puʻupaʻa.

Hiki iā ia ke hopena i ka nele o ke koko a me ka oxygen ma nā ʻano like ʻole o kou kino. Hiki i nā ʻāpana o ka pālaki ke haki, ke kumu o ke kō ʻana o ke koko. Inā haʻalele ʻole ʻia, hiki i ke atherosclerosis ke alakaʻi i ka puʻuwai puʻuwai, hahau ʻana, a i ʻole kūleʻa ka puʻuwai.

ʻO Atherosclerosis kahi pilikia maʻamau i pili i ka ʻelemakule. Hiki ke pale ʻia kēia ʻano a nui nā koho kūleʻa kūleʻa.


IKE ANEI OU?

ʻO Atherosclerosis kahi ʻano arteriosclerosis, a i ʻole ʻike ʻia he paʻakikī o nā aʻa. Nā huaʻōlelo atherosclerosis a arteriosclerosis Hoʻohana hoʻololi ʻia kekahi manawa.

He aha ke kumu o ka atherosclerosis?

Kūkulu ka plaque a me ka paʻakikī o nā aʻa i ke kahe o ke koko i loko o nā aʻa, e pale ana i kāu mau ʻōpū a me nā mea mai ke kiʻi ʻana i ke koko oxygenated e pono ai lākou e hana.

ʻO nā kumu aʻe ke kumu o ka paʻakikī o nā aʻa.

Kolesterol kiʻekiʻe

He waxy ʻo Cholesterol, mea melemele i ʻike kūlohelohe ʻia i ke kino a me kekahi o nā meaʻai āu e ʻai ai.

Inā kiʻekiʻe loa nā pae o ka kolesterol i kou koko, hiki iā ia ke kāpili i kou mau aʻa. Lilo ia i pāka paʻakikī e kaohi a i ʻole ālai i ke kahe o ke koko i kou puʻuwai a me nā mea ʻē aʻe.

Meaʻai

He mea nui ka ʻai ʻana i ka papaʻai olakino. Paipai ka American Heart Association (AHA) iā ʻoe e hāhai i kahi ʻano papaʻai olakino holoʻokoʻa hoʻonāukiuki:


  • kahi ākea o nā huaʻai a me nā mea kanu
  • palaoa holoʻokoʻa
  • huahana hana waiū momona momona
  • moa a me ka iʻa, ʻaʻohe ʻili
  • nā nati a me nā legume
  • nā aila mea kanu non-tropical, e like me ka aila a me ka aila sunflower

ʻO kekahi ʻōlelo aʻoaʻo ʻē aʻe:

  • Hōʻalo i nā meaʻai a me nā mea inu me ke kō i hoʻohui ʻia, e like me nā mea inu kō, nā kanakē, a me nā meaʻai meaʻai. Paipai ka AHA ʻaʻole ma mua o 6 teaspoons a i ʻole 100 calories o ke kō i ka lā no ka hapa nui o nā wahine, a ʻaʻole ʻoi aku ma mua o 9 teaspoons a i ʻole 150 calories i ka lā no ka hapa nui o nā kāne.
  • Hōʻalo i nā meaʻai kiʻekiʻe i ka paʻakai. Makemake e loaʻa ʻole ma mua o 2,300 milligrams (mg) o ka sodium i kēlā me kēia lā. ʻO ke kūpono, ʻai ʻole ʻoe ma mua o 1,500 mg i ka lā.
  • Hōʻalo i nā meaʻai kiʻekiʻe i nā momona maikaʻi ʻole, e like me nā momona trans. E kuapo iā lākou me nā momona momona ʻole, ʻoi aku ka maikaʻi ma mua ou. Inā pono ʻoe e hoʻohaʻahaʻa i kou koko kolesterol, e hoʻoliʻiliʻi i ka momona momona i ʻoi aku ma mua o 5 a 6 pakeneka o ka nui o nā calories. No ka mea e ʻai ana he 2000 mau calorie i kēlā lā i kēia lā, ma kahi o 13 gram o ka momona momona.

ʻElemakule

Ke ʻelemakule nei ʻoe, hana nui ka puʻuwai a me nā kīʻaha koko i ka pauma a loaʻa ke koko. E hoʻonāwaliwali paha kou mau aʻa a lilo i mea liʻiliʻi, e maʻalahi iā lākou i ka buildup plaque.


ʻO wai ka makaʻu no ka atherosclerosis?

Nui nā mea e hoʻokau iā ʻoe i ka atherosclerosis. Hiki ke hoʻololi ʻia kekahi mau mea pilikia, ʻoiai ʻaʻole hiki i nā poʻe ʻē aʻe.

Mōʻaukala ʻohana

Inā holo ka atherosclerosis i kou ʻohana, pilikia paha ʻoe no ka paʻakikī o nā aʻa. Hiki ke hoʻoilina ʻia kēia ʻano, a me nā pilikia pili i ka naʻau.

Ka nele o ka hoʻoikaika kino

Maikaʻi ka hoʻoikaika mau i kou puʻuwai. Mālama ia i ka puʻuwai o kou puʻuwai a paipai i ka oxygen a me ke kahe o ke koko ma loko o kou kino.

ʻO ka noho ʻana i kahi nohona sedentary e hoʻonui i kou makaʻu no ka nui o nā kūlana olakino, me ka maʻi puʻuwai.

Piʻi koko kiʻekiʻe

Hiki i ke kahe koko kiʻekiʻe ke hoʻopōʻino i kou mau kīʻaha koko ma ka hoʻoluhi ʻana iā lākou i nā wahi. ʻO Cholesterol a me nā mea ʻē aʻe i kou koko e hōʻemi i ka maʻalahi o kāu mau aʻa i ka manawa.

Puhipaka

Hiki i nā huahana puhi paka ke hōʻino i kāu kīʻaha koko a me ka puʻuwai.

Diabetes

ʻO ka poʻe me ka maʻi diabetes he ʻoi aku ka nui o nā maʻi maʻi coronary artery (CAD).

He aha nā hōʻailona o atherosclerosis?

ʻO ka hapa nui o nā ʻōuli o atherosclerosis ʻaʻole e hōʻike a hiki i ke kū ʻana o kahi paʻa. ʻO nā ʻōuli maʻamau ka:

  • ʻeha ka umauma a angina paha
  • ʻeha ma kou wāwae, lima, a me nā wahi ʻē aʻe i loaʻa kahi aʻa i ālai ʻia
  • pokole o ka hanu
  • luhi
  • huikau, i kū inā pili ka blockage i ka holo i kou lolo
  • nāwaliwali nāʻiʻo i kou mau wāwae mai ka loaʻa ʻole o ka holo

He mea nui nō hoʻi e ʻike i nā ʻōuli o ka puʻuwai puʻuwai a me ka hahau. Hiki ke kumu ʻia kēia mau mea ʻelua e ka atherosclerosis a koi koke ʻia i ka lāʻau lapaʻau.

ʻO nā ʻōuli o ke kuʻi puʻuwai pū kekahi:

  • ʻeha o ka umauma a hōʻoluʻolu ʻole paha
  • ʻeha ma nā poʻohiwi, kua, ʻāʻī, lima, a me ka iwi ā
  • abdominal eha
  • pokole o ka hanu
  • ka hou ʻana
  • ʻālohilohi
  • nausea a luaʻi paha
  • he ʻano o ka luku e hiki mai ana

ʻO nā ʻōuli o ka hahau pū kekahi:

  • nāwaliwali a mū paha i ka maka a me nā lālā
  • pilikia i ka ʻōlelo ʻana
  • hoʻopilikia i ka hoʻomaopopo ʻana i ka ʻōlelo
  • pilikia pilikia ʻike
  • lilo o ke kaulike
  • hikiwawe, ʻeha ke poʻo

ʻO ka hōʻeha puʻuwai a me ka hahau nā pilikia olakino ʻelua.Kāhea iā 911 a i ʻole nā ​​lawelawe kūloko kūloko a hele i kahi lumi pilikia o kahi haukapila i ka wā hiki ke ʻike ʻoe i nā ʻōuli o ka puʻuwai a i ʻole ka hahau.

Pehea e ʻike ʻia ai ka atherosclerosis?

E hana ana kāu kauka i kahi hoʻokolohua kino inā loaʻa iā ʻoe nā ʻōuli o atherosclerosis. E nānā lākou no:

  • he lāʻau i nāwaliwali
  • kahi aneurysm, kahi huehue ʻole a ākea paha o ke aʻa ma muli o ka nāwaliwali o ka paia arterial
  • hoʻōla hōʻoluʻolu, kahi e hōʻike ai i ke kahe o ke kahe o ke kahe

E hoʻolohe paha kahi kauka lāʻau i kou puʻuwai e ʻike inā loaʻa kekahi o kāu mau leo ​​ʻokoʻa. E hoʻolohe ana lākou i kahi kani kani, e hōʻike ana ua ālai ʻia ke aʻa. E kauoha aku kāu kauka i nā hoʻokolohua hou inā manaʻo lākou he atherosclerosis paha kāu.

Hiki i nā hoʻokolohua ke hoʻopili:

  • kahi ho'āʻo koko e nānā i kāu mau pae kolesterol
  • kahi ultrasound Doppler, kahi e hoʻohana ai i nā nalu kani e hana i kahi kiʻi o ke aʻa e hōʻike inā aia ka paʻa
  • kahi kuʻekuʻe wāwae-brachial index (ABI), kahi e nānā ai i kahi blockage i kou mau lima a me kou mau wāwae ma ka hoʻohālikelike ʻana i ke kahe o ke koko i kēlā me kēia lālā.
  • kahi angiography resonance magnet (MRA) a i ʻole kahi angiography tomography i helu ʻia (CTA) e hana i nā kiʻi o nā aʻa nui i kou kino.
  • kahi angiogram naʻau, kahi ʻano o ka X-ray umauma i lawe ʻia ma hope o ka hoʻopili ʻia ʻana o kou aʻa puʻuwai me ka kala radioactive
  • kahi electrocardiogram (ECG a i ʻole EKG), ka mea e ana i ka hana uila i loko o kou puʻuwai e nānā no nā wahi o ke kahe o ke kahe o ke kahe.
  • kahi hoʻāʻo koʻikoʻi, a i ʻole ka hoʻowalewale hoʻowalewale hoʻowalewale, kahi e nānā ai i ka helu o kou puʻuwai a me ke kahe o ke koko ʻoiai ʻoe e hoʻoikaika i ka treadmill a i ʻole keke kaʻa kaʻa

Pehea e mālama ʻia ai ka atherosclerosis?

Hoʻololi ka hoʻomaʻamaʻa i ka hoʻololi ʻana i kou nohona o kēia manawa e hoʻemi i ka nui o nā momona a me nā kolamu āu e ʻai ai. Pono ʻoe e hoʻoikaika hou aʻe e hoʻomaikaʻi i ke olakino o kou puʻuwai a me nā kīʻaha koko.

Inā ʻaʻole koʻikoʻi kāu atherosclerosis, hiki i kāu kauka ke koi aku i nā loli nohona e like me ka laina mua o ka lapaʻau. Hiki paha iā ʻoe ke mālama i nā lāʻau lapaʻau hou, e like me nā lāʻau a i ʻole ke ʻoki.

Nā Lapaʻau

Hiki i nā lāʻau ke kōkua i ke pale ʻana i ka atherosclerosis mai ka ʻino ʻana.

ʻO nā lāʻau no ka mālama ʻana i ka atherosclerosis me:

  • nā lāʻau hoʻohaʻahaʻa kolesterol, e pili ana i nā statins a me nā fibrates
  • nā mea hoʻonāukiuki angiotensin-hoʻololi i ka enzyme (ACE), kahi e kōkua ai i ka pale ʻana i kou aʻa
  • ʻO nā beta-blockers a i ʻole nā ​​blockers channel calcium e hoʻohaʻahaʻa i kou kahe koko
  • diuretics, a i ʻole nā ​​pila wai, e kōkua i ka hoʻohaʻahaʻa i kou kahe koko
  • anticoagulants a me nā lāʻau antiplatelet e like me aspirin e pale ai i ke koko mai ke kāpili ʻana a me ke keakea ʻana i kou mau aʻa

ʻOi aku ka maikaʻi o ka Aspirin no ka poʻe me ka mōʻaukala o atherosclerotic cardiovascular disease (e laʻa me ka puʻuwai puʻuwai a me ka hahau). Hiki i kahi regimina regirin ke hōʻemi i kou makaʻu i ka loaʻa ʻana o kahi hanana olakino ʻē aʻe.

Inā ʻaʻohe mōʻaukala mua o ka atherosclerotic maʻi maʻi maʻi, pono ʻoe e hoʻohana i ka aspirin ma ke ʻano he lāʻau pale inā he haʻahaʻa kou kahe ʻana o ke kahe a kiʻekiʻe kou makaʻu o ka atherosclerotic maʻi maʻi maʻi.

ʻOki kino

Inā koʻikoʻi loa nā ʻōuli a i ʻole inā e pau ka maka i ka ʻili a ʻili paha, pono paha ke ʻoki.

ʻO nā ʻoki kūpono no ka mālama ʻana i ka atherosclerosis me:

  • ʻoki kino, i pili i ka hoʻohana ʻana i kahi moku mai kahi ʻē aʻe i kou kino a i ʻole kahi ʻōpala synthetic e hoʻohuli i ke koko a puni i kou aʻa i hoʻopaʻa ʻia a liʻiliʻi paha.
  • thrombolytic therapy, e pili ana i ka hoʻopau ʻana i kahi kōkō o ke koko ma o ka hoʻokomo ʻana i kahi lāʻau i loko o kou aʻa pili
  • angioplasty, e pili ana i ka hoʻohana ʻana i ka catheter a me kahi baluna e hoʻonui i kou aʻa, i kekahi manawa e hoʻokomo nei i kahi stent e waiho hāmama ai ke aʻa.
  • endarterectomy, e pili ana i ka wehe ʻana i ka waihona momona mai kāu aʻa
  • atherectomy, e pili ana i ka hemo ʻana i nā pā mai kāu mau aʻa ma ka hoʻohana ʻana i ka catheter me kahi pahiʻoiʻoi ma hoʻokahi wēlau

He aha kāu e manaʻo ai i ka wā lōʻihi?

Me ka mālama ʻana, ʻike paha ʻoe i ka hoʻomaikaʻi o kou olakino, akā lōʻihi paha kēia. ʻO ka kūleʻa o kāu mālama ʻana e pili iā:

  • ke koʻikoʻi o kou ʻano
  • pehea ka mālama koke ʻana
  • inā paha ua hoʻopili ʻia nā mea ʻē aʻe

ʻAʻole hiki ke hoʻohuli ʻia ka paʻakikī o nā aʻa. Eia nō naʻe, ʻo ka mālama ʻana i ke kumu kumu a me ka hana ʻana i ka nohona olakino a me nā loli dietary hiki ke kōkua i ka hoʻolohi i ke kaʻina hana a pale iā ia mai ka ʻino.

Pono ʻoe e hana pū me kāu kauka e hoʻololi i ka nohona kūpono. Pono ʻoe e lawe i nā lāʻau kūpono e kāohi ai i kou ʻano a pale i nā pilikia.

He aha nā pilikia e pili ana i ka atherosclerosis?

Hiki i ke Atherosclerosis ke kumu:

  • puʻuwai puʻuwai
  • maʻi hohola
  • manaʻo puʻuwai puʻuwai
  • hahau
  • make

Pili pū ʻia me nā maʻi aʻe:

ʻO ka maʻi ahulau coronary (CAD)

ʻO nā aʻa coronary nā kīʻaha koko e hāʻawi i ka mākala puʻuwai o kou puʻuwai me ka oxygen a me ke koko. Kū ka maʻi maʻi aʻa (CAD) ke paʻakikī ka ʻaʻa o ke aʻa.

Maʻi maʻi aʻa Carotid

Loaʻa nā aʻa carotid i kou ʻāʻī a hāʻawi i ke koko i kou lolo.

Hiki ke hoʻopili ʻia kēia mau aʻa inā kūkulu ka pā i loko o kā lākou paia. Hiki i ka hemahema o ke kaapuni ke hoʻoliʻiliʻi i ka nui o ke koko a me ka oxygen e hōʻea i kouʻiʻo a me nā hunaola. E aʻo hou aʻe e pili ana i ka maʻi carotid artery.

Maʻi maʻi peripheral artery

Kau kou mau wāwae, lima, a me kou kino ma lalo i kou aʻa e hāʻawi i ke koko a me ka oxygen i ko lākou mauʻaʻaʻa. Hiki i nā aʻa ʻoʻoleʻa ke hoʻopilikia i nā pilikia i kēia mau wahi o ke kino.

ʻO ka maʻi kīwī

Hāʻawi nā aʻa o ke ākea i ke koko i kāu mau puʻupaʻa. Kānana nā hakuʻala i nā huahana neoneo a me ka wai keu o kou koko.

Hiki ke alakaʻi ʻia ke atherosclerosis o kēia mau aʻa i ke kō ʻole o ka hakuʻala.

ʻO nā loli olakino hea e kōkua ai e mālama a pale i ka atherosclerosis?

Hiki i nā loli nohona ke kōkua i ka pale ʻana a me ka mālama ʻana i ka atherosclerosis, keu hoʻi no ka poʻe me ka maʻi diabetes type 2.

Hoʻololi nā ʻano nohona kōkua i:

  • e ʻai nei i kahi papaʻai olakino haʻahaʻa i ka momona a me ka momona momona
  • pale i nā meaʻai momona
  • hoʻohui i ka iʻa i kāu papaʻai i ʻelua mau manawa i kēlā me kēia pule
  • ke kiʻi ʻana ma kahi o 75 mau minuke o ka hoʻoikaika kino ikaika a i ʻole 150 mau minuke o ka hoʻoikaika kino kaulike i kēlā me kēia pule
  • haʻalele i ka puhipaka inā ʻoe he puhipaka
  • ke kaupaona ʻana inā ʻoe i kaupaona a momona paha
  • hoʻokele koʻikoʻi
  • ka mālama ʻana i nā kūlana e pili pū ana me ka atherosclerosis, e like me hypertension, high cholesterol, a me diabetes

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