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A new study shows that 1/3 of Chinese adults have carotid atherosclerotic plaques, and it is developing towards a younger age
I am an ultrasound doctor who specializes in checking your blood vessels for "garbage" and classifying them
Such plaques are "time bombs"
In fact, the soft spots and hard spots that everyone talks about are actually talking about the stability of the plaques
First of all, plaques with smooth surface and regular shape are generally not easy to rupture; while plaques with uneven appearance and irregular shape are easy to rupture under the impact of blood flow
For example, plaques with uneven thickness of the superficial fibrous cap are easily ruptured when the blood pressure fluctuates.
Secondly, considering that the calcified plaque is relatively hard, it should be relatively stable in common sense, but our clinical practice has found that the part and scope of calcification are different, and the stability of the plaque is also different
If it is punctate calcification inside the plaque, then it is a cholesterol necrotic crystal, but it is an unstable factor; if calcification appears on the surface of the plaque, it will cause the plaque to be irregular in shape and easy to rupture
Master five terms to understand the classification of blood vessel "garbage" in seconds
So how do we discover the shape and composition of plaques? This is what ultrasound is good at.
Usually ultrasound examination of the internal echo of plaque is divided into the following types from low to high:
The main components of low echo are lipids (cholesterol), old bleeding, and inflammatory cells
Low to anechoic levels are usually fresh bleeding within the plaque
The main component of isoechoic is fibrosis
The main component of strong echo is calcification
Mixed echoes The various types of plaque features described above can be present in the same patient, within the same or different plaques
Therefore, it is impossible to find out that it is a soft plaque and be nervous and have a heavy mental burden, and you must not sit back and relax after finding out that it is a hard plaque and neglect prevention
Is the category divided once and for all? In fact, arterial damage occurs all the time, and high blood pressure, smoking, some chemicals, diabetes, immune inflammatory damage (such as vasculitis and other connective tissue diseases) are factors that aggravate arterial damage
Most plaques will gradually become larger, but in our clinical observation, we found that some plaques can lose weight or even disappear by actively controlling risk factors in the early stage of their formation and when they are mainly lipid components.
Non-recyclable garbage also has a small coup for consumption
So what to do with so much unrecyclable waste? In clinical practice, we have encountered many patients who hope to remove the plaque in the blood vessels by using "descaler", shovel shovel, and suction with a tube
.
This is probably a misunderstanding of plaque
.
Plaque is not a thrombus, and our blood vessels are not steel pipes.
Plaques accumulate little by little on the walls of blood vessels and are not so easy to remove
.
So what do we do?
The most basic action is to make unhealthy life>
The diet that refuses to taste heavy, high oil, high salt, high sugar, and more meat than vegetarian, will lead to excessive intake of salt, oil and sugar.
Excessive salt will dilate blood vessels and increase blood pressure; excess lipids not only It will be deposited on the blood vessel wall to block the blood vessel, and it will also increase the viscosity of the blood; sugar will indirectly block the blood vessel
.
Therefore, in order to eliminate the plaque in the blood vessels, the first is to prevent the blockage of the blood vessels from continuing to develop, and to eat a light diet
.
Smoking cessation contains harmful substances such as nicotine, carbon monoxide, oxygen free radicals, polycyclic aromatic hydrocarbons and butadiene.
After reaching the blood vessels, it will interfere with the fat metabolism in the blood, destroy the elasticity of blood vessels, damage the vascular endothelium, and block the circulation of blood vessels
.
Quit laziness and insist on exercising for a long time without exercising, and there is no way to discharge the "garbage" in the blood vessels; and patients with vascular diseases can significantly improve the function of blood vessels as long as they insist on exercising
.
Don't be angry.
Many cardiovascular and cerebrovascular diseases are related to excessive mood swings
.
If you want healthy blood vessels, a peaceful mind is essential
.
This is because when a person is angry, the body releases some inflammatory substances that can stimulate blood vessels to grow atherosclerotic plaques, or cause existing plaques to rupture, narrow, and develop further
.
So, for the sake of vascular health, really don't get mad
.
The formation and development of plaque is a complex process, so in the face of plaque, we only need to understand and control our "three highs" (lowering lipids, regulating sugar, and regulating sugar) on the basis of adhering to a healthy life, and at the same time according to the doctor's guidance.
Medication can be used to prevent cardiovascular events
.
It is not scary to have garbage, but you are afraid that you will not know the true face of garbage.
Let us use the piercing eyes of ultrasound to help you ward off demons and demons
.
(Xia Mingyu Capital Medical University Xuanwu Hospital)