Неправильный режим питания, малоподвижный образ жизни, вредные привычки способствуют развитию болезни сосудов. Самая распространённая и очень опасная болезнь – атеросклероз сосудов. Конечно, вылечить патологию можно, только придётся для этого приложить немало усилий. В первую очередь полностью поменять образ жизни. Самым опасным является образование атеросклеротических бляшек в кровеносных сосудах шеи. Потому, что артерии шейного отдела проводят кровь, насыщенную кислородом и полезными веществами к головному мозгу. При отделении тромба высока степень риска развития инсульта. Если есть холестериновые бляшки в сосудах шейного отдела, как от них избавиться?
Причины
Самая распространённая и очень опасная болезнь – атеросклероз сосудов
Нужно разобраться, что такое бляшки и как они образуются.
По своему составу бляшки – это липид, жировое вещество, являющееся «плохим» холестерином. В самом начале на стенках артерий образуется налёт холестерина, который со временем утолщается. Процесс затрагивает кровеносные сосуды по всему организму, не только шею. При большом накапливании ЛПНП происходит дальнейшее повреждение стенки сосуда. В результате этого образуется тромб, который может закупорить кровеносные сосуды сердца или мозга.
Таким образом становится понятно, что серьёзные проблемы со здоровьем возникают при увеличении холестерина в крови. Почему его уровень растёт?
Есть много причин для этого:
- наследственность;
- нарушение липидного обмена;
- сахарный диабет;
- гипертония;
- алкоголизм;
- курение;
- ожирение;
- неправильное питание;
- малоподвижность;
- частые стрессовые ситуации.
Всё это оказывает на организм человека негативное влияние. Увидеть невооружённым взглядом атеросклеротические изменения в сосудах шеи можно только в том случае, когда холестерин заполнит 50% внутренней поверхности сосуда. А на ранних стадиях развития патологии определяют концентрацию холестерина в организме при сдаче крови на лабораторное исследование.
Симптомы
Многие годы человек может не знать о том, что его кровеносная система забита холестериновыми бляшками. Если говорить о симптомах атеросклероза сосудов шейного отдела, то они следующие:
- ощущение слабости;
- немеют конечности;
- человек быстро утомляется;
- снижается острота зрения;
- появляются мушки в глазах;
- появляется неустойчивость при ходьбе;
- возникает чувство безразличия ко всему;
- мучает бессонница.
Диагностика
На ранних стадиях развития патологии определяют концентрацию холестерина в организме при сдаче крови на лабораторное исследование
При обследовании на выявление данной патологии врач выслушивает и анализирует жалобы больного. Собирает информацию о наличии хронических заболеваний, о том какие лекарства принимает пациент. Кроме этого выясняет возможную наследственную предрасположенность к развитию атеросклероза сосудов.
Затем, проводятся следующие исследования:
- УЗИ сосудов шеи. Выясняется проходимость артерий, просчитывается скорость движения крови. Перекрытие артериального просвета считается в процентах и чем ниже показатель, тем выше возможность возникновения необратимых последствий в тканях головного мозга больного.
- МРТ ангиография. Перед проведением исследования пациенту вводится контрастное вещество. Это помогает оценить пропускную способность кровеносных сосудов.
- Компьютерная томографическая ангиография помогает оценить состояние кровеносного русла и анатомическую структуру головного мозга. Больному вводится специальное вещество и делается снимок, который даёт возможность увидеть степень нарушения просветов артерий и точного места расположения холестериновых сгустков.
- Ангиографическое исследование головного мозга даёт информацию о состоянии сосудов шеи. Контрастное вещество подаётся с помощью специального катетера, установленного в артерию.
Лечение
Медикаментозное
Главная цель медикаментозной терапии атеросклероза сосудов шеи – это профилактические мероприятия по предотвращению необратимых процессов в головном мозге пациента.
Лекарственные препараты окажут положительное воздействие, когда сосуды сужены не больше, чем на 50%. Применяют следующие группы лекарственных средств:
- дезагреганты, способствующие разжижению крови и предотвращают её свёртывание. Этот фактор очень важен для больных, страдающих от атеросклероза сосудов шеи. Ведь густая кровь проходит с трудом по суженым сосудам.
- антигипертензивные препараты контролируют и регулируют артериальное давление. Повышенное давление способствует развитию атеросклероза.
- статины снижают концентрацию холестерина в крови, уменьшают риск образования атеросклеротических бляшек.
Нетрадиционная медицина
Рекомендуется совмещать медикаментозные и народные способы лечения
При лечении сосудов шеи и не только шеи, лучше всего совмещать медикаментозные и народные способы лечения. Но делать это можно только после консультации с лечащим врачом.
Рецепт 1
250 граммов лимона, по 100 граммов чеснока и хрена измельчить с помощью мясорубки. Лимон не нужно очищать от кожуры. Залить полученную смесь стаканом тёплой кипячёной воды. Тщательно перемешать, оставить в холодильнике на 24 часа. Пить по одной столовой ложке три раза в сутки за 30 минут до приёма пищи. Перед употреблением обязательно смешивать с 1 чайной ложкой майского мёда. Курс терапии 30 дней. За год можно провести не больше трёх курсов очищения.
Это средство противопоказано при патологиях ЖКТ.
Рецепт 2
Перемолоть в порошок сухой липовый цвет. Съедать по чайной ложке трижды в день. Можно запивать небольшим количеством воды. Курс – 4 недели.
Противопоказан при проблемах с мочевыделительной системой, потому что липовый цвет обладает мочегонными качествами. Рекомендуется при лечении ожирения.
Рецепт 3
Перемолоть корни одуванчика в порошок. Чайную ложку порошка и залить половиной стакана горячей воды. Пить трижды в сутки за 20 минут перед едой. Курс терапии составляет 2 месяца.
У настоя нет противопоказаний.
Рецепт 4
40 граммов измельчённых корней солодки залить двумя стаканами кипятка. Поставить на малый огонь и прокипятить 10 минут. Отвар профильтровать и пить по одной трети стакана 4 раза в сутки после приёма пищи. Курс составляет 21 день.
Профилактика
Нужно употреблять в пищу больше овощей и фруктов
При внимательном отношении к собственному здоровью можно предотвратить множество неприятностей, используя профилактические меры.
Главное в этом деле, не дожидаться развития атеросклероза, а попробовать предотвратить его. Что для этого нужно? Нужно изменить привычный образ жизни.
- отказаться от пьянства и курения;
- сесть на диету, которая поможет уменьшить концентрацию холестерола в организме;
- избавиться от лишнего веса помогут физический труд и занятия спортом;
- пить больше чистой воды для увеличения скорости метаболизма;
- отказаться от кофе, можно только 2 чашки в день;
- после 40 лет проходить обследования и сдавать кровь на анализы. Это поможет вовремя обнаружить начинающийся атеросклероз.
- Употреблять в пищу больше овощей и фруктов, содержащих витамины и минеральные вещества. Использовать бобовые и цельные злаки. Уменьшить употребление подсластителей, соли и рафинированных злаковых.
- Добавить в меню съедобные семена и орехи. Они содержат витамин Е, моно- и полиненасыщенные жиры, и другие полезные составляющие.
- Исключить из рациона жирные сорта мяса, употреблять только филе кролика, курицы, индейки.
- Пить меньше кофе. Заменить его чаями, можно с добавлением лекарственных растений.
Холестериновые бляшки в сосудах шеи (сонной артерии) опасны, в первую очередь тем, что затрудняют кровоснабжение головного мозга. Холестериновые (атеросклеротические) бляшки в сосудах шейного отдела позвоночника образуются вследствие неправильного питания (злоупотребления жирной и богатой экзогенным холестерином пищей) и малоподвижного образа жизни (вместе – метаболический синдром). Часто атеросклеротические бляшки в сосудах шеи сопровождаются таковыми же в ногах (варикозное расширение вен) и на сердце.
Холестериновые бляшки в шейном отделе хорошо диагностируются методом ультразвукового исследования толщины интима медиа (ТИ) сонной артерии (подробнее о диагностике повышенного холестерина). Наличие холестериновых бляшек в сонной артерии свидетельствует об их скоплении в кровеносных сосудах и других органов и тканей организма, в том числе в коронарных сосудах сердца (что может привести к развитию стенокардии и проявлению инфаркта) и в головном мозгу (инсульт).
Холестериновые бляшки в шее образуются при высоком уровне липопротеинов низкой и особо низкой плотности (ЛПНП и ЛПОНП) в крови. В шее кровеносные сосуды сужаются, что облегчает процесс образования здесь атеросклеротических отложений. Образовавшиеся бляшки могут со временем затвердевать (происходит атерокальционоз, накопление кальция) и лопаться (при этом если лопается свежая холестериновая бляшка, без кальция, то есть риск образования кровяного сгустка – тромба).
Основными симптомами холестериновых бляшек в сонной артерии являются:
- нарушение памяти и когнитивных функций головного мозга;
- головные боли;
- быстрая утомляемость и хроническая усталость;
- приступы головокружения;
- ощущение тяжести в голове;
- ухудшение слуха и зрения (в т.ч. мушки перед глазами), речи;
- нарушение координации движений;
- повышенная раздражительность.
Атеросклероз развивается медленно и, как правило, бессимптомно (симптомы повышенного уровня холестерина в крови вообще отсутствую) до тех пор, пока в сосудах не накопится критическая масса атеросклеротических отложений. Указанные симптомы образования и накопления холестериновых бляшек в сонной артерии и сосудах шейного отдела позвоночника проявляются лишь в 60% наблюдаемых случаев.
Причинам образования атеросклеротических отложений в кровеносных сосудах шеи являются:
- гипертония (повышенное артериальное давление) – кровоток действует на стенки сосудов подобно тарану, чем выше давление, тем выше риск повреждения стенок (хотя гипертония не является причиной повышенного холестерина в крови);
- воспалительные процессы в артериях и венах, ведущие к повреждению эндотелия – в появляющиеся «трещины» происходит инфильтрация липопротеидов;
- поражение сосудов шейного отдела позвоночника вирусами герпеса, цитомегаловируса, микроорганизмами (например, хламидиями);
- разрушение стенок кровеносных сосудов антиоксидантами и (или) свободными радикалами;
- ожирение и повышенный уровень холестерина в крови (гиперхолестеринемия) – основным строительным материалом для атеросклеротических отложений является ЛПНП;
- гормональные сбои (выбросы адренокортикотропного и гонадотропного гормонов, что приводит к увеличению продукции – синтеза – эндогенного, собственного, холестерина).
Надо отметить, что существует целый ряд факторов, повышающих риск того, что одна или несколько из указанных причин образования холестериновых бляшек приведет к их формированию. Сюда относят гиподинамию (малоподвижный образ жизни), курение, злоупотребление алкоголем, сахарный диабет, избыточный вес, повышенное артериальное давление, регулярные стрессы и эмоциональные перенапряжения.
К немодифицируемым факторам (причинам) образования атеросклеротических отложений в сонной артерии относят наследственную предрасположенность, возраст.
Лечение холестериновых бляшек на шее
Метод лечения холестериновых бляшек в сосудах шеи определяется стадией заболевания. У атеросклероза принято выделять несколько стадий: на первой – когда остаются эффективными консервативные (не инвазивные, т.е. не требующие хирургического вмешательства) методы удаления холестериновых бляшек – на внутренних стенках кровеносных сосудов образуется жировой налет, а в повреждения эндотелия проникают липиды. Организм реагирует на последнее выработкой антител (макрофагов), которые «облепливают» липидное образование, постепенно образуя бляшку.
На первой стадии может быть лечение холестериновых бляшек в сонной артерии через специализированные диеты при повышенном уровне холестерина в крови, занятия спортом, прием препаратов для снижении уровня холестерина в крови (статинов), использования народных средств и биологически активных добавок (БАДов) на основе омега-3 кислот и льняного масла. Жировой налет в сонной артерии вообще со временем может рассасываться самостоятельно, не требуя никакого лечения. Для этого следует на время отказаться от употребления сладкого, мучного и жирного.
Как лечить холестериновую бляшку на сонной артерии на второй стадии? Под второй стадией подразумевается образование между отдельными атеросклеротическими отложениями фибриновых нитей («мостиков» из соединительной ткани) – лечить подвергшиеся фиброзу холестериновые бляшки без хирургического вмешательства уже не всегда невозможно (можно купировать состояние и добиться частичного регресса бляшки за счет приема таблеток от холестерина). С другой стороны, холестериновые бляшки в сонной артерии могут и не требовать лечения – они могут расти до определенного предала, после чего выходят в стадию нулевой активности.
Удаление холестериновых бляшек в сонной артерии
Удаление холестериновых бляшек на сонной артерии на второй стадии (фиброза) и на третьей (кальционоза) может происходить несколькими способами:
- нагнетанием кровяного (артериального) давления – но этот путь чреват образованием новых повреждений кровеносных сосудов и, как следствие, образованием новых атеросклеротических отложений;
- расширением кровеносных сосудов, однако этот метод малоэффективен на сонной артерии и применяется чаще при варикозном расширении сосудов конечностей;
- повышением тонуса кровеносных сосудов;
- очищением крови от холестерина – однако, этот метод не столько разрушает уже существующие бляшки, сколько служит профилактикой образования новых.
Цена удаления холестериновых бляшек на сонной артерии медикаментозными средствами целиком определяется стоимостью используемых препаратов. Цена оперативного лечения (каротидная эндартерэктомия, ангиопластика, стентирование) еще выше, если делается не по страховому полюсу. К оперативному лечению прибегают, когда консервативные методы оказываются бессильны.
Как удалить холестериновые бляшки из сонной артерии безопасно? Оперативное вмешательство имеет некоторые риски, а медикаментозное лечение – противопоказания и побочные эффекты. Медикаментозное лечение может быть направлено на снижение уровня синтеза холестерина печенью, увеличение энергетического обмена в клетках – так удается удалить из крови и сонных артерий избыточный холестерин. Альтернативой являются настои, травы от холестериновых бляшек, но их эффективность остается недоказанной.
Как убрать холестериновые бляшки из сонной артерии
Решение о том, как лучше убрать холестериновые бляшки на сосудах шеи и сонной артерии принимается по результатам обследования у кардиолога, окулиста, невролога, нефролога и сосудистого хирурга. Назначаются нагрузочные тесты, ЭКГ, коронография, УЗИ аорты и сосудов сердца, ангиография. Оценить кровоток в сонной артерии позволяет дуплексное и триплексное сканирование. Также может потребоваться МРТ – для визуализации сосудов и бляшек в них.
Чтобы убрать холестериновые бляшки в сосудах шейного отдела позвоночника будет назначено изменение образа жизни, терапия с применением медикаментозных препаратов.
Диета при холестериновых бляшках в сонных артериях
Диета при холестериновых бляшках в сосудах шеи носит профилактический характер и предполагает отказ от жирной пищи (животный жир является основой «строительного материала» для образования эндогенного холестерина), продуктов питания с высоким содержанием холестерина (экзогенного). Также в рационе питания предполагается большое количество растительной пищи (не менее 400 грамм или в присчёте на чистую клетчатку – растворимую и нерастворимую – до 30 г).
Также эффективны: льняное масло и льняные семечки, омега-3 и – в меньшей степени – омега-6 кислоты (содержатся в холодноводной рыбе и рыбьем жире). Витамин C, чеснок (эфирные масла) не показали сколь-нибудь заметного эффекта против атеросклеротических отложений, однако они эффективны против воспалительных процессов, часто являющихся первопричиной повреждения кровеносных сосудов и, следовательно, образования бляшек.
Стабилизирующими свойствами обладают такие препараты как статины, фибраты, никотиновая кислота и секверстанты желчных кислот – эти медикаментозные средства не способны разрушить атеросклеротические отложения, но могут замедлить или подавить образование новых отложений.
Операция по удалению холестериновых бляшек на шее
Хирургическое вмешательство (операция) по удалению холестериновых бляшек в сосудах шеи назначается, когда медикаментозные методы лечение не принесли (или не могут принести) эффекта, или если основное заболевание привело к осложнениям. Операция по удалению холестериновых бляшек на шее не ведет к полному выздоровлению, т.к. устраняется не причина заболевания, а его следствие.
Операция по удалению холестериновых бляшек на сонной артерии называется шунтированием сонной артерии. Назначение процедуры, как и определение возможных рисков для здоровья и жизни пациента осуществляется хирургом, кардиохирургом и сосудистым хирургом. В результате операции восстанавливается проходимость сосудов для крови, т.е. выполняется реваскуляризация.
Альтернативой операции по удалению холестериновой бляшке в сонной артерии является стентирование кровеносного сосуда – это малотравматическая процедура, при которой в артерии устанавливается стент, расширяющий просвет сосуда, и специальные мембранные фильтры. Мембраны фильтруют кровь от микротромбов, но не препятствуют кровообращению в мозгу.
Физкультура и физические нагрузки при атеросклерозе сосудов шеи
Физкультура и физические нагрузки при атеросклерозе сонной артерии и сосудов шеи носят профилактический характер и направлены на уменьшение уровня холестерина ЛПНП и повышение ЛПВП, увеличение эластичности стенок кровеносных сосудов, снижение уровня воспаления в них. Программа физических нагрузок при атеросклерозе сосудов шеи составляется согласно состоянию здоровья пациента, степени развития основного и сопутствующих заболеваний.
Физические упражнения при атеросклерозе сосудов шеи включают в себя, по возможности, ежедневные пешие прогулки, плавание (до 2 – 3 раз в неделю), бег (после прохождения стресс-теста и разрешения кардиолога). Физические упражнения не способны устранить холестериновые бляшки в шейном отделе, однако они являются средством профилактики дальнейшего развития заболевания.
Физиотерапия при атеросклерозе сонных артерий в случае выраженного заболевания включает в себя комплекс упражнений на все группы мышц. Как и при выборе упражнений для программы физкультуры при атеросклерозе головного мозга следует исключить движения, связанные с резким изменением положения головы (включая быстрые наклоны или вращения головой и туловищем). Лечебная гимнастика и физиотерапия при атеросклерозе сосудов шеи (сонной артерии) включает в себя общеукрепляющие упражнения, дыхательную гимнастику.
В современном мире все больше людей ведут малоактивный образ проживания, а также многие, начиная с юного возраста, злоупотребляют алкогольными напитками и имеют никотиновую привязанность.
Ко всем этим факторам добавляется, и мода на быстрые перекусы фаст-фудами и приготовление блюд из полуфабрикатов.
Результатом такого поведения и является нарушение обмена жиров в организме, который приводит не только к ожирению и сахарному диабету, но и провоцирует такое сложное и коварное заболевание атеросклероз сосудов системы кровотока.
Коварность данного заболевания в том, что на первоначальной стадии развития оно проходит бессимптомно и человек никак не замечает того, что ему нужно изменить образ жизни, чтобы остановить последствия нарастания бляшки в сосудах.
Холестериновая бляшка — это жировое отложение холестерина, которое постепенно обрастает молекулами кальция и становится твёрдой консистенции.
Опасно ли нарастание артериальной бляшки в шейном отделе?
Наиболее опасные места атеросклеротических отложений, это бляшки на артериях в грудном отделе и чем ближе их локация к сердечному органу, или же к головному мозгу, тем выше шансы у атеросклероза перейти в опасную осложнённую форму.
Атеросклероз — это процесс отложения на внутренних стенках оболочек сосудов липидных молекул низкой плотности.
При несвоевременно начатом лечении данной патологии, особенно когда бляшки локализуются в сосудах отдела шеи, высокий риск развития инсульта геморрагического, или же ишемического типа.
Артерии, которые проходят в районе шеи, питают кровью клетки головного мозга при помощи мозговых сосудов, и недостаточность циркуляции крови приводит к голоданию тканей мозга и гипоксии.
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Что опаснее — бляшка или тромб?
Когда на внутренней стороне сосудистой оболочки происходит значительное накопление холестерина, тогда на этом месте формируется тромб.
Он, попадая в систему кровотока, может привести к закупориванию просвета для движения крови, провоцируя возникновение патологии окклюзия.
Если закупоривается тромбом крупный сосуд шейного отдела, тогда кровяной поток не попадает в мозговые сосуды и происходит дефицит кислорода в тканях мозга, происходит гипоксия головного мозга, которая может привести к некрозу мозговых клеток, что и есть следствием ишемического типа инсульта.
Причины развития
Этиология формирования холестериновой бляшки заключается в следующем:
- Недостаточное количество употребляемых в пищу витаминов, и дефицит в белковой пище, употребление большого количества в еду быстро усваиваемых углеводов;
- Никотиновая зависимость, которая приводит к спазмированию сосудов шейного отдела;
- Употребление в хронической форме алкогольных напитков, приводит к нарушению целостности внутренней мембраны оболочки, что позволяет молекулам жира попадать в микротрещины и формировать в них бляшки;
- Нарушения в обмене липидов. При нарушении происходит снижение выработки ЛПВП, а ЛПНП преобладают в холестериновой молекуле;
- Перегрузка организма на физическом уровне;
- Стрессовая ситуация, вызывающая эмоциональную перегрузку;
- Гиподинамия. При малой активности происходит накапливание жировой массы, а также при сниженной скорости движения в кровотоке биологической жидкости, в местах застоя формируется холестериновая бляшка;
- Недостаток свежего воздуха вызывает дефицит кислорода, что также снижает скорость кровотока и вызывает в нем застой;
- Возрастные изменения в организме;
- Половая принадлежность, бляшки на сосудах шеи появляются у мужчин в 4 раза чаще, чем в женском организме;
- Генетическая наследственная предрасположенность;
- Гипертоническая болезнь, с высоким индексом АД, протекающая в хронической стадии;
- Неправильный метаболизм в организме.
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Факторы-провокаторы
| факторы риска развития склероза сосудов | проявления |
|---|---|
| условия проживания пациента | Условия для жизни, из которых формируются привычки по образу жизни, а также по культуре пинания, формирование режима дня, распределение между работой и отдыхом. Также сюда входят привычки, относящиеся к профессиональной деятельности. |
| малоподвижный образ жизни больного | Малоподвижная работа, которая заставляет находиться пациента длительное время в одной позе, также не применение никаких физических нагрузок приводит к накапливанию в организме лишних жировых отложений, что приводят к патологии — ожирение. Также употребление в пищу большого количества жирных продуктов и углеводов, только помогают быстрому накоплению лишних килограммов. |
| генетическая наследственная предрасположенность, накапливание атеросклеротических бляшек на артериях | Если в роду, кровные родственники страдали от атеросклероза отдела шеи, или же по роду идет патология высокого индекса давления, тогда высокий риск развития атеросклероза в сосудах в шейном отделе системы кровотока. Осложнённая форма наличие бляшки в артерии шеи — это гипоксия клеток всех отделов головного мозга, а также развитие инсульта, как геморрагического типа, так и ишемического типа, а также ишемии сердечного органа с поражением миокарда. |
| невротическое и психосоматическое состояние | Патология нейроциркуляторная дистония становится провокатором постоянного состояния нервного перенапряжения и состояния стресса. При нарушениях в системе неврологических органов, происходит отклонения в обменных процессах организма. Нарушения в липидном процессе обмена, а также в обмене белками, приводит к тому, что накапливается в составе крови липопротеиды низкой плотности строения молекулы. Проблема углеводного обмена, приводит к тому, что происходит отложение жира не только под кожей, но и в виде бляшки сосуда. |
| Перенапряжение в нервной системе приводит к хронической гипертонии, когда цифры АД не опускаются до нормального уровня, это приводит к тому, что нарушается деятельность органов эндокринной системы, выработка гормонов, которая провоцирует не только атеросклероз артерий шейного отдела, но и патологию сахарный диабет. |
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Симптомы
Атеросклеротическая бляшка в шейных сосудах длительное время не проявляет никаких признаков развития, и первая симптоматика появляется тогда, когда уже атеросклеротические образования имеют довольно большие размеры.
Частым проявлениями есть такие симптомы:
- Боль в голове, которая проявляется часто и возникает внезапно;
- Сильное кружение в голове;
- Слабость организма;
- Человек очень быстро устает;
- Чувство постоянного переутомления;
- Немеют верхние конечности, пальцы на руках теряют чувствительность;
Мерцание мушек в зрительном органе;- Снижается зрение;
- Проявляется бессонница в ночное время суток и сонливость на протяжении дня;
- Неустойчивость и шаткость походки;
- Поражения мозговых сосудов проявляются в снижении памяти;
- Выраженное состояние нарушения в интеллектуальных способностях;
- Развивается слабоумие;
- Апатическое и депрессивное состояние.
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Диагностика
Для того чтобы поставить диагноз атеросклероза артерий шейного отдела, необходимо посетить доктора, который проведет первичное обследование и выпишет направление на дополнительную диагностику исследования бляшки в сосудах шеи.
Первичная установка диагноза происходит по такой схеме:
- Визуальный осмотр больного;
- Сбор анамнеза;
- Выявление факторов-провокаторов развития бляшек на сосудах шеи;
- Измерение индекса АД.
После установки первичного диагноза, доктор направляет на инструментальную и лабораторную диагностику:
- УЗИ с допплером по исследованию артерий шейного отдела;
- Ангиография с контрастом для изучения состояния сосудов шеи;
- Компьютерная томография выявления на сосудах бляшек липидных отложений;
- Общий анализ состава крови;
- Липидный анализ методом биохимии, для выявления хорошего и плохого холестерина в составе крови.
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Как избавиться от атеросклероза шейного отдела?
Бляшки на сосудах приводят к развитию серьезных патологий, поэтому с ними бороться необходимо на начальном этапе липидного формирования отложений.
На первоначальном этапе применение правильной терапии, позволит растворить липидные жировые пятна, и от холестериновых бляшек не останется и следа на стенках сосудов отдела шеи.
На раннем развитии атеросклероза в отделе шеи, избавиться от бляшки можно не применяя лечение медикаментозными препаратами:
- Первое — это корректировка питания больного. Безхолестериновая диета снижает попадание в организм липопротеидов низкой плотности с продуктами питания и восстанавливает метаболизм в организме и жировой обмен;
- Увеличение активности позволит улучшить скорость потока крови в системе, что повысит насыщаемость ее молекулами кислорода, и увеличит функциональность молекул транспортёров холестерина. Также физические нагрузки позволят избавиться от жировых подкожных отложений;
- Ограничить употребление кофеиносодержащих напитков;
- Отказаться от курения;
- Не пить алкоголь;
- Следить за водным балансом организма и пить не менее 1500 миллилитров очищенной воды;
- Постоянно контролировать индекс холестерина методом биохимического анализа.
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Медикаментозное лечение
После диагностирования в сосудах холестериновые бляшки, лечение назначается медикаментозным методом. Для терапии склероза в сосудах отдела шеи применяют медикаменты группы препаратов статины, а также группы лекарственных средств — фибратов.
Медикаменты данных групп нельзя применять в качестве самолечения бляшек сосудов, потому что эти медикаменты имеют множество побочных эффектов и длительность терапии.
Дозировка лекарств назначается доктором в индивидуальном порядке и на основании диагностических исследований шейного отдела системы кровотока.
Характеристика фибратов, что применяются для лечения бляшек в сосудах шеи:
- Препарат Безафибрат — снижает холестерин в составе крови и индекс глюкозы, предотвращает образование сгустков;
- Лекарство Клофибрат — повышает обмен в крови липидов;
- Медикамент Фенофибрат — антиагрегационное действие на липопротеинлипазу;
- Средство для рассасывания бляшек в сосудах Ципрофибрат — фибринолитический эффект.
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Характеристика препаратов группы статинов
| группа статинов | род | какое поколение | наименование препаратов данного вида |
|---|---|---|---|
| Розувастатин | синтетический | 4-е | · Акорта; |
| · препарат Тевастор; | |||
| · медикамент Крестор; | |||
| · лекарство Розарт; | |||
| средство лечить атеросклероз Роксера. | |||
| Аторвастатин | синтетический | 3-е | · Атомакс; |
| · препарат Аторис; | |||
| · медикамент Канон; | |||
| · Липримар; | |||
| · препарат Торвакард; | |||
| · средство Тулип. | |||
| Симвастатин | полусинтетика | 2-е | · Вазилип; |
| · препарат Зокор; | |||
| · медикамент Симвагексал; | |||
| · Симвакард; | |||
| · препарат Симвастол; | |||
| · средство Симгал. | |||
| Флувастатин | синтетика | 3-е | · препарат Лескол Форте. |
| Ловастатин | природный | 1-е | · препарат Кардиостатин; |
| · медикамент Холетар. |
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Дополнительные медикаменты
Для того, чтобы избавиться от бляшки на сосудах шеи, также в лечении применяются другие группы препаратов, которые усиливают эффект основных медикаментозных средств в лечении атеросклероза:
- Препараты группы антикоагулянтов;
- Прием антиоксидантов;
- Витамин В3 (никотиновая кислота);
- Препараты Омега 3;
- Гормональные медикаменты — Климонорм, препарат Клиогест (назначают женщинам в период менопаузы).
Также в лечении применяются препараты группы секвестранты кислот жёлчи:
- Препарат Колестирамин, который объединяет полимеры;
- Средство Колестипол — сополимер связывающий жиры;
- Медикамент Колесевелам — подавляет синтезирование липопротеидов, снижая общий холестерин в крови.
Популярные статинык содержанию ↑
Оперативное лечение
Если происходит закупоривание сосудов отдела шеи холестериновыми бляшками, или же тромбами, а также в том случае, когда бляшки закрыли больше 50,0% просвета сосудистого русла, применяется хирургическое лечение.
Чаще всего в районе шейного отдела от бляшки страдает сонная артерия, поэтому для спасения человеку жизни применяют оперативное вмешательство в организм.
После операции, пациенту необходимо полностью изменить привычный образ жизни и пересмотреть свое меню. Диета при атеросклерозе соблюдается пожизненно.
Методики оперирования сосудов:
- Методика стентирования (методика с минимумом травмирования системы кровотока) — не открытая операция, по внедрению в сосуд стент, а также фильтров сосудистых мембран, чтобы иметь возможность максимально расширить просвет сосудистого русла в месте нарастания бляшки. Липидные образования удаляются, и отфильтровывается кровь, что предотвратит тромбообразование кровеносной системы;
- Способ оперативного лечения шунтирование. Данная методика предполагает, не нарушая целостности сосуда в шейном отделе, провести шунтирование, посредством небольшого диаметра прокол. Данная операция позволяет избавиться от холестериновых бляшек в сосудах, и восстановить нормальный кровоток в магистралях;
- Эндартерэктомия каротидного типа. Данная методика позволяет сделать надрез в сосуде в месте скопления липидной бляшки и удалить холестериновое отложение. После этого сосуд зашивается и налаживается в нём кровоток.
Также существуют другие способы восстановления кровотока в месте поражения сосуда в отделе шеи, но данные способы не достаточно эффективны, а некоторые и опасны.
Народные средства
Если установлен диагноз атеросклероз шейного отдела на первоначальной стадии развития, когда бляшки на сосудах не приобрели больших размеров, можно избавиться от них при помощи немедикаментозных способов.
Данные методики направлены на восстановления функции печени, что позволит откорректировать обмен жирами в организме, и увеличить синтезирование высокомолекулярного холестерина, что сможет очистить сосуды от нарастания в них бляшек с низкомолекулярными липидами:
- Способ лечения — ЛФК;
- Физические и спортивные нагрузки;
- Если нет высокого давления — массаж отдела шеи и воротниковой зоны;
- Способ гирудотерапии — это применение в растворении липидных бляшек на сосудах пиявок, что помогают разжижжению крови и восстановлению жирового обмена в организме;
- Гомеопатические препараты на основе лекарственных растительных компонентов, совместно с безхолестериновой диетой, позволяют нормализовать обмен липидов в организме и снизить количество низкомолекулярного холестерина, который и входит в состав бляшки на сосуде в отделе шеи;
- Физиотерапевтические методики лечения — данные методики позволяют остановить прогрессирование нарастания сосудистых бляшек на шейном отделе и откорректировать индекс холестерина.
Отвары травк содержанию ↑
Профилактика
Методы профилактики направлены на то, чтобы предотвратить влияние факторов риска на увеличение холестеринового накапливания организмом, что приводит к излишним отложениям на оболочках сосудов.
Наиболее подвержены накапливанию бляшек, магистрали шейного отдела.
Способы профилактического воздействия на атеросклероз:
- Правильное питание, в котором минимум холестерин содержащих продуктов;
- Избавиться от лишнего веса, что поможет восстановить липидный обмен;
- Постоянная борьба с гиподинамией — включать спортивные нагрузки на организм, хотя бы несколько раз в неделю;
- Избавиться от алкогольной зависимости;
- Избавиться от курения;
- Избегать стрессовой ситуации.
Прогноз на жизнь
При нарастании бляшек на шейных сосудах, необходимо начинать лечение на ранней стадии.
При своевременной и правильной терапии, а также при постоянной диете и поддерживающей терапии, можно прекратить развитие атеросклероза шейного отдела. Прогноз благоприятный.
Если лечение атеросклероза шейного отдела не проводится, или же пациент не придерживается диеты и не избавился от факторов-провокаторов, тогда прогноз неблагоприятный, потому что сосудистая бляшка на шее может спровоцировать инсульт мозговых сосудов и привести к смертельному исходу.
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