Ateroskleroza
April 7, 2009
Šta je ateroskleroza ?
Jedan od najozbiljnijih zdravstvenih problema vezanih za visok krvni pritisak je ateroskleroza, koja potpomaže razvoj bolest koronarne arterije.
Osobe sa visokim krvnim pritiskom ima mnogo veće izglede za razvoj bolesti koronarne arterije zato što krvni pritisak vrši dodatni pritisak na zidove arterija. Tokom vremena, ovaj povećani pritisak može oštetiti arterije i izlaže ih sužavanju. Sužene arterije ograničavaju a ponekad i sprečavaju normalan protok krvi u srčani mišić ostavljajući srce bez kiseonika.
Koji su simptomi ateroskleroze ?
Ateroskleroza obično nema vidljivih simptoma sve dok sužene koronarne arterije ozbiljno ne ugroze normalan dotok krvi u srce. Tada, možemo osetiti bol u grudima zbog toga što je dotok krvi u srce nedovoljan. Ovaj bol dolazi sa naporom a može se javiti i tokom odmora ili sna.
Kako se otkriva ateroskleroza ?
Ateroskleroza se obično otkrije tek kada se osoba javi se bolovima u grudima. Tada, lekar može proveriti zdravstveno stanje pacijenta i izloženost riziku dobijanja srčane bolesti, što uključuje:
- elektrokardiogram EKG – ovaj test meri električnu aktivnost, brzinu i ritam otkucaja srca preko elektroda priključenih na ruke, noge i grudi pacijenta. Ovaj test može otkriti dali ste imali srčani udar ili ga sada preživljavate kao i veličinu vašeg srca. Ovaj test ne može predvideti rizike nastajanja bolesti srca.
- Stres test sa vežbama - tokom ovog testa, pacijent vežba na sobnom biciklu ili traci za trčanje da bi povećao broj otkucaja srca dok se ona očitavaju na elektrokardiogramu EKG. Ovaj test se često izvodi zajedno sa snimanjem srca kao što je ehokardiogram ili nuklidna skeniranja, da bi dao bolje podatke o bolesti srca.
- kardijalna kateterizacija - tokom ove procedure, katetar – mala savitljiva cevčica – u ubacuje u arteriju koje je vode do koronarnih arterija, i tako lekaru omogućava da locira blokirane delove koronarne arterije i posmatra krvni pritisak i protok krvi u srcu. Tokom kardijalne kateterizacije, kardiolog je u mogućnosti da odčepi začepljene arterije direktno koristeći proceduru zvanu angioplastija. Ovim putem može se ugraditi i mali pomoćni uredjaj u krvni sud koji zovemo stent
- ehokardiogram – ovaj test šalje ultrazvučne talase koji nam daju sliku srčanih zalizaka i srčanih komora, dajući nam informacije o veličini i debljini zidova srčanih komora i informacije o tome kako krv prolazi kroz srčane komore.
- kompjuterizovana tomografija CT - rentgenski zraci i računar se koriste da bi se dobila slika srca
- magnetna rezonanca arterijografija - ovaj test nam daje slike srčanih zalizaka i mesta gde bi oni mogli biti blokirani
Kako se leči ateroskleroza ?
Ateroskleroza se u principu leči korekcijom ishrane, fizičkim vežbama a često i lekovima da bi se smanjio nivo masti i holesterola u krvi. Ostali vidovi lečenja obuhvataju angioplastiju i ugradnju stenta. Ponekad je čak potrebna operacija na otvorenom srcu.
Autor KardioNet · u Dijagnoza i testovi kod hipertenzije
O autoru: KardioNet je prvi domaći Internet portal - servis koji pružaocima zdravstvenih usluga u domenu kardiologije, naučno-istraživačkim organizacijama, lekarima, predstavnicima farmaceutske i industrije medicinske opreme, države i fondova osiguranja, kao i pacijentima i zdravoj populaciji, omogućava pristup traženim medicinskim informacijama u bilo kom momentu, sa bilo kog mesta.
[...] Koronarna bolest srca predstavlja sindrom čiji je glavni uzrok smanjen protok krvi kroz srčane arterije, a u korenu ovih poremećaja je ateroskleroza. [...]
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France captain Patrice Evra claims that coach Raymond Domenech dropped him from the squad for “no valid reason” and denied him the chance to apologise to the French public by reading out the players’ statement himself.
http://soccernet.espn.go.com/world-cup/story/_/id/800527/ce/uk/?cc=5739&ver=global
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