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Arteriosklerose/en: Unterschied zwischen den Versionen

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Arteriosclerosis is a disease of the [[arterial]] vessels that can considerably restrict their function and the patient.
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Arteriosclerosis is a disease of the [[Arteriell/en|arterial]] vessels that can considerably restrict their function and the patient.
  
Arteriosclerosis occurs mainly as a result of bad food, diabetes, too little exercise and smoking. [[Hypertension]] is also a disease that promotes arteriosclerosis.
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Arteriosclerosis occurs mainly as a result of bad food, diabetes, too little exercise and smoking. [[Hypertonie/en|Hypertension]] is also a disease that promotes arteriosclerosis.
  
The endothelium (intima) is damaged and the arteries develop plaques that calcify and harden the vessel wall.
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The endothelium [[Intima/en|intima]] is damaged and the arteries develop plaques that calcify and harden the vessel wall.
  
[[File:Arteriosclerosis1.png|The Three Phases of Arteriosclerosis]]
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[[File:Arteriosklerose1.png|The Three Phases of Arteriosclerosis]]
  
  
Die Entwicklung der Arterisoklerose kann man in drei Phasen unterteilen:
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The development of arteriosclerosis can be divided into three phases:
  
== 1. Phase: ==
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== Phase 1: == Chronically toxic influences such as [[Hypertonie/en|hypertension]], [[Nikotin/en|nicotine]], [[Diabetes/en|diabetes]] and elevated [[Cholesterin/en|cholesterol]] damage the [[Intima/en|intima]]endothelium and allow [[LDL-Cholesterin/en|LDL cholesterol]] to penetrate the [[Gefäßwand/en|vascular wall]].
Chronisch toxische Einflüsse wie [[Hypertonie]], [[Nikotin]], [[Diabetes]] und erhöhtes [[Cholesterin]] schädigen das [[Intima]]endothel und lassen [[LDL-Cholesterin]] in die [[Gefäßwand]] eindringen.
 
  
Gleichzeitig binden sich [[Makrophagen]], auch Fresszellen genannt, an das Endothel.
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At the same time [[Makrophagen/en|macrophages]], also called scavenger cells, bind to the endothelium.
  
[[File:Arteriosklerose_I.mp4|640px]]
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[[File:Arteriosclerosis_1_-_english.mp4|640px]]
  
== 2. Phase ==
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== Phase 2 == In the second stage, the macrophages begin to eat the LDL cholesterol.  
Im zweiten Stadium beginnen die Makrophagen, das LDL-Cholesterin zu fressen.  
 
  
Dadurch schwellen sie an und zeigen eine unter der [[Intima]] liegende schaumartige Schicht.
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This causes them to swell and show a foam-like layer underneath the [[Intima/en|intima]].
  
Die Makrophagen werden jetzt Schaumzellen genannt.
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The macrophages are now called foam cells.
  
Die glatten [[Muskelzellen]] der [[Media]] fangen nun an zu wachsen und wandern in die Intima ein.
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The smooth [[Muskelzellen/en|muscle cells]] of the [[Media/en|media]] now begin to grow and migrate into the intima.
  
Die gesamte Struktur der inneren Gefäßwand verändert sich.
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The entire structure of the inner vessel wall changes.
  
[[File:Arteriosklerose_II.mp4|640px]]
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[[File: Arteriosclerosis 2 - english.mp4 |640px]]
  
== 3. Phase ==
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== 3rd phase ==
  
Im dritten Stadium stellen die Muskelzellen [[Protein]]e her, die den Umbau festigen. So ändert sich die Zusammensetzung und die Größe des arteriosklerotischen Bereichs.  
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In the third stage, the muscle cells produce [[Protein/en|protein]] that consolidate the transformation. This changes the composition and size of the arteriosclerotic region.  
  
Die Muskelzellen und das Protein wachsen in das [[Lumen]] des Gefäßes ein. Durch Kalziumablagerungen, Gewebsumstrukturierung und [[Blutgerinnung]] vergrößert sich die [[Plaques|Plaque]].
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The muscle cells and the protein grow into the [[Lumen/en|lumen]] of the vessel. Calcium deposits, tissue restructuring and [[Blutgerinnung/en|blood clotting]] increase the [[Plaques/en|plaque]].
  
Zum Schluss findest man fast keine Zellen der Tunica Intima mehr. Der Bereich der Plaque wird im Innern [[nekrotisch]]. Es findet eine [[Stenosierung]] statt, die klinisch wirksam wird.  
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At the end you almost can't find any cells of the Tunica Intima anymore. The area of the plaque becomes [[Nekrotisch/en|necrotic]] inside. A [[Stenosierung/en|stenosis]] takes place, which becomes clinically effective.  
  
Plaques können sich von der Gefäßwand lösen und schmalere Teile des Gefäßes verschließen. Das kann sich in engen Arterien wie im Herzen in starken Schmerzen äußern.
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Plaques can become detached from the vessel wall and close narrower parts of the vessel. This can manifest itself in severe pain in narrow arteries such as the heart.
  
Dann ist beispielsweise die [[Sauerstoff]] und [[Nährstoff]]versorgung des Herzens nicht länger gewährleistet und es kann in den [[Endarterien]] zu [[Ischämie, ischämisch|Ischämie]] und [[Herzinfarkt]] kommen.
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Then, for example, the [[Sauerstoff/en|oxygen]] and [[Nährstoff/en|nutrient]] supply of the heart is no longer guaranteed and [[Endarterien/en|endarteries]] may develop [[Ischämie,_ischämisch/en|ischemia]] and [[Herzinfarkt/en|heart attack]].
  
[[File:Arteriosklerose_III.mp4|640px]]
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[[File: Arteriosclerosis 1 - english.mp4 |640px]]

Aktuelle Version vom 9. Juli 2019, 19:28 Uhr

Sprachen:
Deutsch • ‎English

Arteriosclerosis is a disease of the arterial vessels that can considerably restrict their function and the patient.

Arteriosclerosis occurs mainly as a result of bad food, diabetes, too little exercise and smoking. Hypertension is also a disease that promotes arteriosclerosis.

The endothelium intima is damaged and the arteries develop plaques that calcify and harden the vessel wall.

The Three Phases of Arteriosclerosis


The development of arteriosclerosis can be divided into three phases:

== Phase 1: == Chronically toxic influences such as hypertension, nicotine, diabetes and elevated cholesterol damage the intimaendothelium and allow LDL cholesterol to penetrate the vascular wall.

At the same time macrophages, also called scavenger cells, bind to the endothelium.

== Phase 2 == In the second stage, the macrophages begin to eat the LDL cholesterol.

This causes them to swell and show a foam-like layer underneath the intima.

The macrophages are now called foam cells.

The smooth muscle cells of the media now begin to grow and migrate into the intima.

The entire structure of the inner vessel wall changes.

3rd phase

In the third stage, the muscle cells produce protein that consolidate the transformation. This changes the composition and size of the arteriosclerotic region.

The muscle cells and the protein grow into the lumen of the vessel. Calcium deposits, tissue restructuring and blood clotting increase the plaque.

At the end you almost can't find any cells of the Tunica Intima anymore. The area of the plaque becomes necrotic inside. A stenosis takes place, which becomes clinically effective.

Plaques can become detached from the vessel wall and close narrower parts of the vessel. This can manifest itself in severe pain in narrow arteries such as the heart.

Then, for example, the oxygen and nutrient supply of the heart is no longer guaranteed and endarteries may develop ischemia and heart attack.