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动脉血管硬化怎么办?怎么预防动脉细胞硬化?

发布时间:2016-08-21   问大夫  责任编辑:红豆

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随着人们生活水平的提高和环境的变化,心梗、中风等疾病已经逐渐成为威胁健康的主要疾病。这些疾病的发生都与血管有着密切的关系,血管硬化是判断血管是否健康的一个重要指标。那么,动脉血管硬化怎么办?怎么预防动脉细胞硬化呢?下面小编就给大家介绍一下,需要了解的朋友看一下吧。

动脉细胞硬化的征兆

动脉硬化是导致许多疾病的根本原因。

当我们出现动脉硬化的时候,身体会有哪些早期信号呢?

1、老年环

这是指眼角膜,也就是黑眼珠,靠近巩膜,白眼球的边缘出现的一圈灰白色的或者白色宽大约12毫米的浑浊环。看上去就像戴了一副天然的眼镜。出现这一情况以中老年人居多,因此叫做角膜老年环。这是血液中的胆固醇、磷脂、甘油三酯等过多沉积在角膜边缘所致。老年环是医学上所公认的脑动脉硬化的特征。

2、脸黄色疣

这是指眼睑内侧皮肤上出现对称的黄色斑块。中年人容易出现,它是典型的体内胆固醇、甘油三酯浓度过高所致。这种肥胖者容易出现。它可以被看作动脉硬化已近出现的标志。

3、耳鸣

动脉硬化会导致全身血液循环障碍。一些对于血液环境比较敏感的器官,就容易率先受到影响。所以,当动脉硬化导致缺血的时候,我们的耳鸣就会出现耳鸣、耳聋、眩晕等现象。一般来说,耳鸣的动脉硬化患者,要高度警惕冠心病的发生。

4、耳垂出现皱纹

这就是所谓的冠心沟。它是指在动脉硬化发生时,耳垂上出现一条斜向条纹。这一点已经被很多心内科医生所重视。

一般来说,当出现上述现象的任何一种是,我们都应该到医院检查一下血脂、血压、血糖,针对性服务药控制,从而降低疾病的发生几率。

动脉血管硬化的饮食原则

合理的饮食可防治动脉硬化,因为血脂升高是动脉硬化的主要病因,所以饮食防治的目的是有效地控制血脂。合理饮食原则可归纳为以下几个方面:

1、适当控制总热量:可使体重保持在正常标准范围。超重和肥胖者,应控制好每天的进食量,但控制饮食应逐渐进行,可结合运动疗法,每月体重减轻 0.5l 千克即可。糖和含糖量较高的糖果、糕点应尽量少吃。

2、少吃高胆固醇食物:高胆固醇食物如动物内脏、皮蛋等应尽量少吃,特别是血浆胆固醇升高者,更应严格控制,但要保证足够的蛋白质摄入量。蛋黄虽然含胆醇较高,但其中含有卵磷脂,对动脉硬化有防治作用,可以适当食用,但每天不宜超过 2 个。

3、少吃动物油(猪油):防治动脉硬化应多吃不饱和脂肪酸,要以植物油为主。因为动物油中主要为饱和脂肪酸,所以应尽量少吃,但也不能完全不吃动物油,否则会给全身带来一些其他的不良影响,一般应使动物油和植物油的比例在 1:3 左右为宜。

4、多食含维生素和纤维素较丰富的食物:多种维生素都具有降低胆固醇、防止动脉硬化的作用,在饮食中可多吃些含维生素和纤维素较丰富的食物,如新鲜水果、豆类、蔬菜,主食不要吃得太精,因为谷类的胚芽中含有较丰富的维生素 E 等有益成分。

5、多吃富含钾、碘、铬的食物:目前是认为钾盐可保护心血管,而钠盐会增加心脏负担,因此动脉硬化病人,食物不宜太咸,同时要多食含钾丰富的食物,如蘑菇、豆类(黄豆、绿豆、赤豆、蚕豆)、菠菜、紫菜、莲子、苋菜等。碘能降低血中胆固醇,对防治动脉硬化有好处,所以,含碘丰富的食物,如海鱼、海参、海虾、海带、海菜等应多吃。经常食用含铬较高的食物,如豆类、鸡肉、贝类等,也有防治动脉硬化的作用。

6、少吃多餐、禁烟酒、常喝茶:进食次数多些有利于降低机体的低密度脂蛋白,在保证每天进食总量不变的情况,可安排一天 45 餐。此外由于烟酒会影响心血管系统功能,故动脉硬化患者应戒除烟酒,但适量饮用红葡萄酒能防治动脉硬化。经常喝茶是可以预防血管硬化的,因为茶叶中含有的儿茶酸,能减轻血清胆固醇浓度和胆固醇与磷脂的比值,有增加血管柔韧性、弹性和渗透性的作用,能预防血管硬化。

动脉细胞硬化怎么办

首先进行实验室检查,是否存在脂代谢失常或高脂蛋白血症,如血总胆固醇增高,LDL增高,HDL降低,血甘油三酯增高,血β脂蛋白增高,载脂蛋白B增高,载脂蛋白A降低,脂蛋白(α)增高,脂蛋白电泳图形异常,血黏滞度增高,血小板活性增高。

如果存在明显的全身表现,还需要X线检查,如电子计算机数字减影动脉造影,可以发现冠状动脉,脑动脉,肾动脉,肠系膜动脉和四肢动脉是否存在粥样硬化所造成的管腔狭窄或动脉瘤病变,以及明确部位、范围和程度,有助于确定外科治疗的适应证和手术方式。多普勒超声检查有助于判断四肢动脉和肾动脉的血流情况。血管内超声和血管镜检查可以直接从动脉腔内观察粥样硬化病变。放射性核素检查有助于了解心脑肾组织的血供情况。超声心动图和心电图检查及其负荷试验所示的特征性变化有助于诊断冠状动脉粥样硬化。

动脉细胞硬化的预防和治疗

轻度的动脉硬化,注意精神放松、合理饮食、适当运动即可,例如饮食以清淡为主,减少油腻性食物和富含胆固醇的食物。

中度的动脉硬化,需要扩张血管、调节血脂,适当应用抗血小板粘附和聚集的药物,防止血管阻塞性疾病的发生和发展。

严重的动脉硬化,对动脉内血栓导致管腔狭窄或阻塞者,可用溶解血栓药、抗凝药,如尿激酶、重组组织型纤维蛋白溶解酶原激活剂、肝素等,必要时需要手术治疗。

如果合并高血压、高血糖,也需要对症治疗。

对于严重的动脉硬化引起的眼睛疾病,例如导致视力迅速下降甚至完全丧失的视网膜动脉栓塞和更为常见引起眼底出血的静脉阻塞,当然应由眼科医师给予适当的治疗。

最后,再提醒大家,动脉硬化患者千万不要忘了到眼科随访检查眼底,因为眼睛是惟一可以直接观察血管的器官哦。

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