Endothelial Dysfunction ndi High Blood Pressure Chithandizo

Zaka zapitazo pa zokambirana, wokamba nkhani adafunsa antchito "Kodi Mliri Wopambana wa Magazi Ndi Wotani?" Dokotala aliyense mwa omvera anapereka yankho pofotokozera mtengo wa 140/90 mmHg.

Palibe mwa iwo omwe anali mayankho omwe wolembayo anali kuyang'ana.

"Kuthamanga kwa magazi," anatero, "ndiko kusokonekera kwa endothelium ." Chinsinsi chochiza kuthamanga kwa magazi, anati, anali kuchiza matenda osokoneza bongo.

The Endothelium

Mitsempha ya thupi m'thupi lanu sizitsulo zokha zomwe magazi amatha. Iwo ali ochuluka kwambiri. Zili ndi zigawo zingapo ndipo mlingo wamkati wa magazi umatchedwa endothelium. Ganizirani za kusanjikiza ngati mzinda wokha. Pali zambiri zomwe zikuchitika. The endothelium ndi udindo osati magazi okhaokha koma amathandizanso kuteteza magazi. Amapanga zinthu zambiri zomwe zimayendetsa momwe zimbudzi zimayambira kapena zimapeputsa (zimayambitsa). Endothelin ndi chitsanzo cha mkhalapakati wam'deralo omwe amapangidwa ndi mpangidwe uwu womwe umalimbikitsa kugwedeza, kapenanso kuchepetsa chotengera cha magazi. Nitric oxide ndi mkhalapakati wamakono amene amalimbikitsa kusinthanitsa zombo. M'kupita kwa nthawi, pali nkhondo yosalekeza yomwe ikuchitika pakati pa zinthu zomwe zimalimbikitsanso chisokonezo ndi zomwe zimalimbikitsa vasodilation.

Zikuganiziridwa kuti kusamvetseka kwa nkhondoyi kumathandiza kuti vasoconstriction ikhale yothandiza kwambiri pakukula kwa kuthamanga kwa magazi.

Pa mlingo wa selo, kusalinganika kumeneku kungayambitse kuwonjezereka kwa okosijeni ku selo, kupanga mapuloteni a poizoni (kapena amawomboledwa opanda mphamvu) omwe m'kupita kwanthawi angasokoneze khoma la mitsempha ya magazi yomwe imachepetsa kusinthasintha kwake. Endothelial kutayika kumathandizira kuti chitukuko cha pulasitiki chikwaniritsidwe mkati mwazitsulo zamagazi.

Zinthu Zomwe Zimakondweretsa Kutha Kwambiri Kukumana

Pali zifukwa zingapo zomwe zingathandize kuti chitukuko chisamayende bwino.

Chithandizo

Pano pali lingaliro langa ponena izi: mankhwala opatsirana, pamene angathe kuchepetsa kuthamanga kwa magazi, zingakhale zogwira mtima ngati muli ndi endothelium yomwe ilibe thanzi. Taganizirani izi motere: Mankhwala a calcium ndi alpha blockers ndi magulu a mankhwala omwe amachititsa kuti magazi awo asokonezeke chifukwa chogwira ntchito paziwiya zowonjezera magazi. Ngati endothelium yanu ilibe thanzi, kodi mukuganiza kuti mankhwalawa adzakhala othandiza bwanji?

Pali zinthu zina zomwe mungachite kuti mukhale ndi thanzi la mitsempha yanu komanso muthe kuthamanga kwa magazi: