Anthu ambiri omwe ali ndi matenda ashuga amakhala ndi vuto la mtima. Nthawi zambiri, odwala amadandaula za kugunda kwamtima kwadzidzidzi, komwe kumadziwonekera osati pakulimbitsa thupi, komanso kukhazikika. Koma nthawi zina, odwala matenda ashuga, m'malo mwake, amatha kukhala ndi mtima wosafunikira kapena kusinthasintha komwe kumachitika kawirikawiri komanso mwachangu.
Mu chilankhulo chamankhwala, kuphwanya kotereku kwa mtima kumatchedwa - arrhythmia. Matenda a shuga amakhalanso amayamba chifukwa cha matenda ashuga okhudza mtima. Izi zitha kukhala matenda a mtima, matenda oopsa komanso matenda ena omwe amakhudza kugwira ntchito kwa minofu ya mtima.
Anthu odwala matenda ashuga nthawi zambiri amawona kuti arrhythmia ndi matenda oopsa komanso osaphula kanthu, chifukwa amatha kudwalitsa matenda amtima komanso kupangitsa kuti mtima usafooke. Chifukwa chake, ndikofunikira kwa odwala onse omwe ali ndi shuga wambiri kudziwa zomwe zimachitika mu shuga ndi momwe izi zimakhudzira thanzi la wodwalayo.
Zizindikiro
Nthawi zina kuphwanya mtunda wa mtima kumachitika popanda chizindikiro. Kuzindikira kusintha koteroko pantchito ya mtima kumatheka pokhapokha pakuwunika pa electrocardiographic. Koma nthawi zambiri, munthu akhoza kumva kupatuka kulikonse mu ntchito ya mtima, koma sangathe kuzitchula molondola.
Odwala omwe apezeka ndi matenda a shuga, mitundu ingapo ya arrhythmia imatha kuwonekera nthawi yomweyo, odwala nthawi zambiri amawafotokozera ndi kutopa kapena kupsinjika ndipo samawagwirizanitsa ndi zosokoneza mu mtima. Pakalipano, zizindikilo zotere nthawi zambiri zimakhala zosasangalatsa kwambiri ndipo zimatha kukhala ndi vuto lalikulu paumoyo wa wodwalayo.
Odwala ambiri amafotokoza momwe akumvera mu mtima. Koma kuphwanya kumeneku kwamenyedwa mtima kumakhala ndi zizindikiritso zolondola:
- Mtima palpitations;
- Pafupipafupi kupweteka kwa chizungulire;
- Kukomoka;
- Zosowa pamtima
- Kusintha kosinthasintha kwa pafupipafupi komanso kosatheka palpitations;
- Kumverera kwa kumira kwadzidzidzi kwa mtima;
- Kumva ngati mtanda waukulu wagundika kumbuyo kwa sternum;
- Kupuma pang'ono. Muzovuta kwambiri, ngakhale m'malo abata.
Nthawi zina odwala matenda ashuga amatha kudziwa kuwonongeka kwawo. Monga lamulo, ndi matendawa, imadziwika pafupipafupi, koma imatha kukhala yachilendo. Kusokonezeka kwa mitsempha ya mtima ndi chifukwa chakukula kwa zovuta zotsatirazi mu shuga:
- Autonomic neuropathy;
- Myocardial dystrophy;
- Microangiopathy.
Autonomic neuropathy
Vutoli limadziwika nthawi zambiri mwa achinyamata omwe ali ndi matenda ashuga a 1 kwa nthawi yayitali. Ndi ufulu wa neuropathy wodwala, kuwonongeka kwa mitsempha kumachitika chifukwa cha kuchuluka kwa shuga m'magazi, komwe kumabweretsa chisokonezo chachikulu cha mtima. Zomwe zimachitika ndi matendawa nthawi zambiri zimathandizira kwambiri.
Kuphatikiza apo, neuropathy yodziyimira yokha imachepetsa chidwi cha mitsempha ndipo imatsogolera pakukula osati kokha arrhythmias, komanso matenda a mtima a atypical. Ndi matenda amtunduwu, odwala matenda ashuga amachepetsa ululu ndipo matenda oopsa amapezeka kwa wodwalayo mopweteka.
Chifukwa cha kusazindikira, wodwalayo ali ndi chidaliro chonse kuti zonse zikuyenda naye, pomwe atha kuvulala kwambiri.
Odwala omwe ali ndi atypical ischemic matenda, ngakhale myocardial infarction imayamba popanda zosasangalatsa zomverera, zomwe zingayambitse imfa ya wodwalayo.
Myocardial dystrophy ndi microangiopathy
Kukula kwa matendawa kumakhudzidwa ndi kuperewera kwa insulin mthupi la odwala matenda ashuga. Chifukwa cha kuchepa kwa timadzi tofunikira, minofu ya mtima imakhala ndi vuto lalikulu la glucose, motero kupatsidwa mphamvu. Kuti athe kulipira mphamvu, mtima wa wodwalayo umayamba kugwiritsa ntchito mafuta monga chakudya, chomwe chimakonda kudzikundika.
Izi zimachepetsa kwambiri matenda a mtima ndipo zimatha kuyambitsa matenda osiyanasiyana a mtima, kuphatikizapo extrasystole, parasystole, atria fibrillation ndi zina zambiri.
Kuphatikizika kwa shuga kumeneku kumawononga mitsempha yaying'ono yamagazi yomwe imadyetsa minofu yamtima. Microangiopathy imatha kuyambitsanso kusokonekera kwa mtima komanso kukula kwa matenda oopsa a mtima.
Chithandizo
Chithandizo chachikulu cha arrhythmias mu shuga ndikuwunika kwambiri shuga. Pambuyo pokhazikitsa chindapusa chachikulu cha matenda ashuga, wodwalayo angatsimikizire kuti mtima wake umatetezedwa ku matenda oopsa.
Popewa kudalirika kwamatenda osokoneza bongo a shuga, kuthamanga kwa shuga m'magazi kuyenera kukhala kuyambira 5.5 mpaka 6 mmol / L, ndipo maola awiri mutatha kudya, kuyambira 7.5 mpaka 8 mmol / L.
Zotsatira za matenda ashuga pamtima zimafotokozedwa muvidiyoyi.
