IHD MU SHUGA - MAVUTO NDI MATENDA

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Matenda a shuga ndi oopsa kwambiri chifukwa nthawi zambiri pamachitika zinthu zovuta, zomwe zimapangitsa nkhawa ya moyo wa wodwalayo. Chimodzi mwa izo ndi matenda a mtima, mwayi wakukula kwa odwala matenda ashuga ndiwambiri kwambiri kuposa anthu athanzi.

Matenda a mtima komanso mgwirizano wake ndi matenda ashuga

Mwa matenda a mtima (CHD) amatanthauza matenda omwe amayamba pomwe kuchuluka kwa mpweya sikulowa m'misempha ya mtima kudzera m'mitsempha.

Chifukwa chake nthawi zambiri zimakhala kutha kwa mitsempha yam'mimba, kuchepa kwa lumen, kupanga mapangidwe.

Kuphwanya kapangidwe ka insulin mthupi la odwala omwe ali ndi matenda ashuga kumabweretsa kuwonjezeka kwakukulu kwa shuga wamagazi, komwe kumapangitsa kuti ziwiya zisamayende bwino. Komanso, shuga akachuluka, amakhala woipa kwambiri wamitsempha. Zotsatira zake, minofu yokhazikika imapangidwa, ndipo ziwiya zimasiya kuyankha mokwanira kusintha kwa kuthamanga kwa magazi.

Zonsezi zimabweretsa kuchepa kwa kuchuluka kwa mpweya, ndipo chifukwa ma cell sangathe kugwira bwino ntchito m'malo opanda mpweya (kwa ife, mtima ndi maselo ena), wodwalayo amatulutsa zovuta - ischemia wa mtima minofu.

Cardiac ischemia imatha kuchitika ma pathologies:

Infaration Myocardial;
Arrhasmia;
Angina pectoris;
Imfa mwadzidzidzi.

Kukula kwa matendawa kumakhala ndi mawonekedwe ngati mafunde, pomwe gawo lowopsa limasinthidwa ndi losachiritsika, komanso mosemphanitsa. Pa gawo loyamba, pomwe matenda atangopangidwa, adadziwika ndi kugunda mwadzidzidzi kwa angina pectoris pogwira ntchito mopitirira muyeso kapena kuchita masewera olimbitsa thupi.

Chithandizo cha odwala:

Kupanikiza kupweteka m'dera la minofu ya mtima (kumverera kukakamira pamtengo pachifuwa kapena kukhumudwa);
Kupuma kovuta;
Kufupika;
Kuopa imfa.

Popita nthawi, matendawa amakumana pafupipafupi, matendawa amayambanso kudwala. Mavuto owopsa a ischemia ndi awa:

Kuphwanya phokoso la mtima;
Kulephera kwamtima kosalekeza
Myocardial minofu infarction.

Mavuto onsewa amakula kwambiri mkhalidwe ndi moyo wa wodwala, ndipo nthawi zambiri zimayambitsa kulumala kapena ngakhale kufa.

Kupezeka kwa matenda ashuga wodwala ndikofunikira kwambiri pachiwopsezo cha mtima wa ischemia, chifukwa mu nkhani iyi amatanthauza zovuta za matenda. Chifukwa cha kukula kwa matendawa, onse odwala matenda ashuga ali pachiwopsezo cha mtima wamisempha ischemia. Chifukwa chake, onsewa amafunikira kuwunika ndi mtima wamtima, popeza kuphatikiza kwa matenda awiriwa kumabweretsa chiyembekezo chabwino kwa moyo.

Amayambitsa, zoopsa komanso mawonekedwe a ischemia mu shuga

Mwayi wa ischemia wamtima mwa odwala omwe ali ndi matenda a shuga ndiwokwera kwambiri kuposa magulu ena a odwala - katatu.

Kukula kwakukulu, kukula ndi matenda a mtima pamilandu iyi kumadalira kutalika kwake, m'malo mwakuwala kwa matenda ashuga.

Odwala omwe ali ndi matenda a shuga, mavuto a ischemia amakula kwambiri kuposa magulu ena onse omwe ali pachiwopsezo. Pa gawo loyambirira, nthawi zambiri amakhala asymptomatic, zomwe zimapangitsa kuti zikhale zovuta kudziwa nthawi yoyenera. Matendawa amatha kuonekera mpaka kuwonongedwa kosapweteka kwa myocardial.

Nthawi zambiri wodwala matenda ashuga, matenda amtima ngati "satellite" ali ndi:

Angina pectoris wosakhazikika;
Kusokonezeka kwa mtima;
Kulephera kwamtima;
Myocardial minofu infarction;
Zovuta zotupa za bedi lama coronary ndi mitsempha.

Zinthu zonsezi zimakhala ndi chiopsezo kwambiri pamoyo wa wodwalayo, chifukwa chake, amafunikira chithandizo chanthawi yake. Komabe, kukhalapo kwa matenda ashuga odwala kumadwalitsa kwambiri zochita pa mankhwalawa.

Odwala omwe ali ndi matenda ashuga, zomwe zimayambitsa ischemia zitha kukhala:

Hypodynamia;
Hyperinsulinemia;
Hyperglycemia;
Matenda oopsa;
Kunenepa kwambiri komanso kunenepa kwambiri;
Kusuta

Kubadwa kwamtundu;
Zaka zotsogola;
Matenda a shuga a retinopathy;
Magazi kuvala chisokonezo (kuchuluka coagulability);
Matenda ashuga nephropathy;
Cholesterol yayikulu.

Matenda a shuga ndi matenda opatsirana omwe amakhudza machitidwe osiyanasiyana a thupi pakukonzekera zovuta. Zimaphatikiza zingapo zomwe sizoyambitsa matenda a mtima, zomwe nthawi zina zimakhala zovuta kudziwa, makamaka magawo oyambira, munthawi yake. Chifukwa chake, njira zochotsera, kuyezetsa komanso kulandira chithandizo ziyenera kuyambitsidwa molawirira, makamaka pamaso pa zinthu zomwe zimayambitsa matenda obwera chifukwa cha matenda ashuga zomwe tanena kale.

Kupewa komanso kuchiza matenda a coronary odwala omwe ali ndi matenda ashuga

Njira zopewera

Matenda a mtima - matenda oopsa. Chifukwa chake, anthu omwe ali pachiwopsezo, omwe amaphatikizanso odwala matenda ashuga, ayenera kuchitapo kanthu njira zomwe zingalepheretse izi.

Pakati pawo, magulu angapo adadziwika:

zosagwiritsa ntchito mankhwala osokoneza bongo komanso mankhwala,
kudziwitsa.

Gulu loyamba limaphatikizapo:

Kusintha kwa moyo;
Kuchepetsa thupi;
Zochita zolimbitsa thupi munthawi yochepa;
Zochita zolimbitsa thupi zolimbitsa thupi kwa odwala matenda ashuga;
Kusiya kusuta, mowa;
Matenda a shuga odwala matenda ashuga malinga ndi zakudya zapadera;
Magazi amawongolera;
Kumwa mlingo wochepa wa aspirin tsiku lililonse (amaloledwa pokhapokha atakambilana ndi dokotala chifukwa choopsa kwambiri chotulutsa magazi).

Njira yodziwira ndi yodziwira matenda ndi monga:

Mayeso a kupsinjika;
Kuwunikira ECG mumasiku onse.

Coronary matenda a mtima

Kuwongolera glucose ndikofunikira kwambiri pakuchiritsira ndi kupewa mtima ischemia, popeza mfundo yayikulu yothandizira matenda osokoneza bongo komanso kupewa ndi kukula kwa mikhalidwe yoyipa ndikusunga kuchuluka kwa shuga m'magazi wamba.

Zimatsimikiziridwa kuti izi zimachepetsa mapangidwe a matenda oyambitsidwa ndi matenda. Nthawi zambiri, chifukwa chaichi, odwala matenda ashuga amawonetsedwa ndi insulin kapena hypoglycemic wothandizila ngati zakudya zosakwanira sizingakwanitse kukhalabe zovomerezeka.

Chinthu china chofunikira pakulepheretsa mapangidwe a ischemia a mtima ndikudziwikitsa komanso kuchepetsa kuthamanga kwa magazi. Kuti muthane ndi chizindikiro ichi, ndikulimbikitsa kuyang'anira kuthamanga kwa magazi tsiku lililonse poyeza tonometer.

Ngati ndi kotheka, mankhwala amaikidwa ndi dokotala, yemwe ali ndi antihypertensive katundu ndipo amaletsa kukula kwa matenda a mtima. Izi ndi:

ACE zoletsa ndi blockers;
Zodzikongoletsera.

Pankhani ya kukula kwa mikhalidwe yoopsa (vuto la mtima), anthu odwala matenda ashuga amawayikira mosalekeza mankhwala okhala ndi ma statins. Izi zimathandizira kuti kuchira kwachangu, chithandizo komanso kupewa mapangidwe ena azovuta.

Zotsatira zoyipa zakuphatikiza kwa shuga ndi ischemia ndi chiopsezo chowonjezereka cha thromboembolism ndi thrombosis.

Odwala otere nthawi zambiri amapatsidwa mankhwala opha antagagant, poganizira zotsutsana panthawi imodzi. Nthawi zambiri, aspirin ndi mankhwala ochepa Mlingo wa mankhwalawa, amatengedwa ndi kukakamiza kwa magazi kuwundana.
Musazengereze kuzindikira komanso kulandira chithandizo pambuyo pake! Kusankha ndi kulembetsa dokotala pakali pano:

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