![心脏病居家康复指导](https://wfqqreader-1252317822.image.myqcloud.com/cover/126/30573126/b_30573126.jpg)
第二章 冠心病居家康复的秘笈在这里
第一节 人老了,病来了,动脉粥样硬化是什么
“我爱佳人手,一抚细如丝。肤如凝脂色,指若削葱根”。这首“打油诗”描述的是姣美的年轻人的皮肤。那么,年轻人血管内皮是不是也是光滑的呢?
血管的管壁分为三层结构,由里到外分别为内膜、中膜、外膜。内膜的内皮细胞作为血管的内衬,使血管内壁形成光滑面,便于血液流动。动脉和静脉的区别是动脉有弹力膜(平滑肌),静脉有静脉瓣(防止静脉血反流)。
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer119.jpg?sign=1739301242-I495LZAWBS4dexAZDpXhw1HrA0AuFSaL-0-181a8283b043168c68bbb94380dc28e6)
血管
一、什么是动脉粥样硬化
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer121.jpg?sign=1739301242-EEosBMvi6Aj4j2wVbSeK794jbD4xLbfd-0-3cc3a440a2b2fd6b9c4f05efea99419a)
动脉粥样斑块及动脉狭窄
动脉粥样硬化是动脉变硬了吗?动脉粥样硬化是指血管壁内侧沉积的胆固醇等物质使血管变硬的状态。胆固醇等物质沉积所形成的粥样斑块也称“粥瘤”,粥瘤在血管壁内侧凸起。动脉粥样硬化如果进一步发展,就会使血管狭窄,甚至堵塞,也会使血管失去弹性而容易破裂。
二、用“心”聆听:什么原因会造成动脉粥样硬化
动脉粥样硬化的病因主要有7种,即吸烟、压力过大、肥胖、高血压、高龄、糖尿病以及脂质代谢异常。理论上就是这么简单!
生活中,除了年龄和家族史等不可改变的危险因素之外,血压、血脂、血糖的异常,吸烟、肥胖和压力过大都可以通过调整生活方式和治疗予以改善。
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer120.jpg?sign=1739301242-3kmibqbIulW5RyrJMwODsiZRvB0UH8ga-0-744243e50606bcd326f9c3f70d31d3e2)
吸烟
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer122.jpg?sign=1739301242-DJN6CSlPv6ofFkAUjQKasy6XIQJpibth-0-38fb052fac8cd0fbde0716616d823381)
压力过大
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer123.jpg?sign=1739301242-xxOfk01SJiNoIKfd9VdI3qOpC4VmpLXC-0-bd88ba9ccb3716138cb140047934cf7d)
肥胖
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer124.jpg?sign=1739301242-Vt0lov7gc8TcJTrZ8iaapCHzN6NBIvjg-0-8237280bff8871dc497fcd5ca8d222f7)
高血压
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer125.jpg?sign=1739301242-oy0R2lNTpY6Lo8n9u4SlGDu9fmyaNYIA-0-b21efaf7e5bc5efe35688e62bcbeb74c)
高龄
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer126.jpg?sign=1739301242-69T2IEKCIWijvdfdcxNq3HwkbYxNLXVR-0-012de395efbca8c7984dc6a51a7f20f0)
糖尿病
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer127.jpg?sign=1739301242-WMNUrxlohx4vAwidqM1YYVtCgckZnxsw-0-48ed9490797625011bd421f3927191f8)
脂质代谢异常
三、警惕,动脉粥样硬化原来这么可怕
动脉粥样硬化可以发生于身体里的任何血管,特别是脑动脉、心脏冠状动脉、肾动脉、下肢动脉。
如果您正为此困扰,那么,快往下看!
如果脑动脉粥样硬化,会导致血管末端供应给脑部的血液减少。如果脑动脉粥样斑块破裂,可造成血管内血栓形成而导致脑梗死;也可能导致血管破裂引起脑出血。如果下肢动脉粥样硬化甚至闭塞,则可引起下肢冷痛症状甚至局部坏死。如果心脏冠状动脉粥样硬化则可引起心绞痛发作,也可由于动脉粥样斑块破裂堵塞冠状动脉导致心肌梗死。上述并发症非常严重,请及早重视动脉粥样硬化!
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer128.jpg?sign=1739301242-m4bN9UDiJiKemF2HsOxER6ZQrTt69Gr4-0-a85f6547eb6632393a8aa796bc472f64)
脑梗死
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer129.jpg?sign=1739301242-wnV676rO2qGFuJNzD55fPBhqXTR2Xjmx-0-90a008cd8fa0dad6a0f87885616fb62b)
脑出血
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer130.jpg?sign=1739301242-oOSaffWIXOycQhNKiIC3PRhOdbFRegnj-0-53395bbc21472ff47ebfb907dd8c7239)
动脉栓塞
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer132.jpg?sign=1739301242-8Z7wJC40ymEn96yLb4OIfQJjYFnLDral-0-0c668e69af7aa10fa60fd041d6c2003d)
心绞痛
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer131.jpg?sign=1739301242-6XdRt9k80BB3Dzz2SStnx5OkcBa2xYPG-0-4cf067e59a6e87d2522ad699e8aedeab)
心肌梗死
四、动脉粥样硬化的前因后果,如何预防调理,都在这里
正如上面所说,控制动脉粥样硬化形成的危险因素,可有效延缓动脉粥样硬化的进程。滚蛋吧,动脉粥样硬化君!我们可以做到的是:戒烟、控制体重、低脂饮食、控制血糖、控制血压、缓解压力等。
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer133.jpg?sign=1739301242-Qpx5xCyi1U6WfouJZ9Wo4DReCBSa9pgo-0-5ad1ab72f48d0bf42c4e9f317c8faef2)
戒烟
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer32.jpg?sign=1739301242-XYq5BVaEmkh0e6R9X4nL03mpJUWk3Rnd-0-bffaa1ec71eab4fba9b4c84a522942c4)
控制体重
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer134.jpg?sign=1739301242-FhxObFijCKAEdmPXEtxBwwGqYnPepFcR-0-0796ca1b0c500c1979668dd4c857e92b)
低脂饮食
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer135.jpg?sign=1739301242-oh5lH6WqjaYh8KctL5tf6KXEDLxdv3G2-0-82d033afe0164a8fc924936305167373)
控制血糖
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer136.jpg?sign=1739301242-EQlcmhch6o7olHhmFUe3sJfdtsJXvSxT-0-457c6c99726c2e16762b1856695bf841)
控制血压
![](https://epubservercos.yuewen.com/D84B7C/16679181104812406/epubprivate/OEBPS/Images/figer137.jpg?sign=1739301242-Woyi6m2Ecf98CF89CifULtuisRogkN3z-0-1b126ba6ada4f9a91d458140a1edcb56)
释放压力、放松心情