Zotsatira zoyipa za matenda ashuga pamtima zimamveka bwino. Matenda ashuga Cardiomyopathy ndi mkhalidwe womwe makonzedwe achilengedwe obowoka amakhudzanso.
Maselo a mtima komanso mtima ndi omwe amayambitsa kufa ndi kulemala mu 80% ya odwala matenda ashuga. Cardiomyopathy imayanjana momasuka ndi matenda ashuga, kutengera kutalika kwake.
Matenda a shuga samayenderana ndi msinkhu, matenda oopsa oopsa komanso matenda amtima wodalirika.
Zoyambitsa Cardiomyopathy
Mikhalidwe ya hyperglycemia, pamakhala kuchepa kwa mphamvu zamagawo, chifukwa chake, zosokoneza pamakutu a oxidation ndi njira zochepetsera zimapangidwa. Matendawa ndimomwe amachititsa matenda ashuga a mtima.
Ngati munthu ali ndi matenda a shuga a m'matumbo, ndiye kuti pali ziwopsezo mu chiwindi, zomwe zimapangitsa kuti magazi ake akhale m'matumbo.
Diabetesic Cardiomyopathy nthawi zambiri imapangidwa mwa anthu omwe amadalira insulin omwe ali ndi matenda a shuga komanso heteroacidoses pafupipafupi.
Kupwetekedwa mtima kotereku kumadziwika ndi zovuta za metabolic mu:
- kuchepetsa ndi makutidwe ndi okosijeni;
- kaphatikizidwe wa mapuloteni;
- kagayidwe ka electrolyte;
- kupatsa maselo mphamvu;
- kusinthana kwa zinthu;
- kunyamula oxygen m'magazi.
Matenda a shuga a matenda a shuga amapangidwa pamaziko a zinthu zingapo, zomwe zingakhale:
- mwamaonekedwe
- zothandiza.
Makamaka, zimapweteketsa:
- kuphwanya diastole ndi systole,
- mitochondrial ntchito,
- utachepa contractility ya cardiomyocyte.
Ntchito yolembera mamolekyulu omwe amachititsa kuti metabolidi a lipid ndi glucose achepetse.
Postpartum cardiomyopathy imawonetsedwa ndi kusinthika kwa myocardial panthawi yobereka. Zowopsa ndizogwiritsa ntchito monodiet nthawi zonse komanso kunenepa kwambiri.
Kukula kwa matenda ashuga a mtima
Matendawa, monga lamulo, amakula pang'onopang'ono komanso pang'onopang'ono.
Mtima sungapatsenso mpumulo komanso kusungunuka, kuperewera kwake kumachuluka.
Kuphwanya kumachitika nthawi yotsika ma mcycyte, komanso kusokonezeka pakupanga NO, komwe kumakulanso vutoli.
Matenda a shuga a mtima amadziwika ndi matenda osakanikirana a metabolism.
Pali mitundu iwiri ya matenda:
- chachikulu chizindikiritso cha myocardial metabolic njira. Zopanda-oxidized cell break product, collagen acnosis, glucuronates, protein ya glycated imadziunjikira. Izi zimachepetsa pang'onopang'ono mtima ndipo zimapangitsa kuti pakhale kusakwanira ndi kusokonekera kwa systolic kapena diastolic.
- yachiwiri imawoneka chifukwa cha matenda ashuga angiopathy. Pakufufuza zamitsempha yamagazi, khungu lawo, kuchepa kwa epithelium kapena kuchuluka kwawululidwa. Mkhalidwe wa kuperewera kwa oxygen nthawi zonse kumabweretsa zovuta zamagulu zomwe zimakhudza mwachindunji ntchito za myocardial kuti zitheke.
Pakadali pano, asayansi atsimikizira kuti zinthu ngati izi zimathandizira pakukula kwa matenda:
- Kukhalitsa kwa hyperglycemia Ndi iye, mtima umayamba kuvutika pang'onopang'ono. Nthawi zambiri zimatenga zaka zambiri kuti matendawo adziwonetsere. Odwala ambiri amawona vuto chifukwa cha chizindikiritso chokhazikika.
- Kuphwanya njira za oxidation ndi kuchira mkati myocyte.
- Mavuto a kuperewera kwa okosijeni chifukwa cha kusintha kwa kapangidwe ka hemoglobin.
Kuchuluka kwa glucose kudula kumabweretsa kuti mtima umakhala wopanda michere. Njira yopangira ATP yokhala ndi mafuta ndi mapuloteni amayamba.
Zopangira poizoni zopangidwa tinthu tating'onoting'ono timapangidwa;
Zizindikiro
Myocardial contractility imachepa popeza maselo am'mimba am'thupi amachepetsa.
Munthawi imeneyi, munthu amatha kudandaula za kupweteka m'dera la mtima, lomwe limadalira pakapita nthawi.
Pambuyo kanthawi kovuta kwa odwala matenda ashuga, kupuma komanso kufupika kumayamba. Izi ndi zizindikiro zazikulu zomwe zikuwonetsa kulephera kwa mtima.
Zotsatira zoyipa za matenda ashuga ndi:
- retinopathy
- nephroangiopathy.
Popeza gawo loyambirira la matenda ashuga a mtima ndi asymptomatic nthawi zambiri, pali kusiyana kwakukulu pakati pa kuwonekera kwa zochitika zamtima zoyambirira komanso njira zothandizira asanazindikire.
Mwa anthu ochepera zaka 40, matenda ashuga a mtima atha kupezeka ndi ECG ngati njira yoteteza. Pafupifupi theka la milandu yowerengera ikuwonetsa kuti pali zolakwika pantchito ya mtima.
Pali njira zodziwira matenda ashuga a mtima:
Kusintha kwa mano R ndi P,
- kusintha kwa T wave chifukwa cha katundu,
- kusintha kwapakati pa P-Q ndi Q-T, QRS zovuta, kugunda kwamtima ndi conduction.
Kusintha kwakukulu, tachycardia kapena bradycardia ndi zovuta zina zitha kuonekeranso.
Kuzindikira ndi chithandizo
Cardiomyopathy mu shuga amatanthauza kuti muyenera kudziwa zomwe zimapangitsa matendawa.
Pankhaniyi, mndandanda wazomwe zimagwiritsidwa ntchito pozindikira.
Kuchita masewera olimbitsa thupi pafupipafupi kumatha kukhala ndi mphamvu pa metabolism. Chifukwa chake, kukana insulini kumachepetsedwa, ndipo kulolera shuga kumakulanso. Ndi moyo wokangalika, mutha kuwotcha mafuta a asidi aulere ndikugwiritsa ntchito shuga m'magazi.
Kuti adotolo azindikire moyenera, mitundu yotsatirayi ndiyofunika:
- chiwonetsero chazachipatala komanso madandaulo
- electrocardiography
- mbiri ya glucosuric ndi glycemic,
- kuwunika tsiku ndi tsiku ECG ndi kuthamanga kwa magazi,
- magwiridwe antchito,
- kuwerenga kwa lipid mawonekedwe amwazi,
- Doppler echocardiography.
Chithandizo chachikulu cha matenda ashuga a mtima ndi monga:
- kukonza njira ya insulin, onani mfundo zamankhwala othandizira odwala matenda ashuga komanso kutsatira machitidwe olimbitsa thupi kuti mukwaniritse zochitika zokhazikika za glycemic,
- ntchito zamtima ndi kagayidwe kazakudya ka ATP, potaziyamu ndi L-carnitine,
- Mavitamini a B okhudza zotsatira za neurotropic;
- mankhwala omwe amachepetsa minyewa.
Pakakhala arrhythmia, mankhwala a antiarrhythmic ayenera kugwiritsidwa ntchito. Ngati pali zizindikiro za kulephera kwa mtima, lembani izi:
- ACE inhibitor
- okodzetsa
- mtima glycosides.
Njira zochizira matenda amtunduwu zidakali zovuta, chifukwa muyenera kukhudza machitidwe a metabolic athunthu aumunthu. Komabe, ndikuzindikira koyenera kwa vutoli, ndizotheka kukwaniritsa zotsatira zogwira mtima ndikusintha kwambiri moyo wamunthu wodwala.
Ngati chithandizo cha mankhwala sichothandiza, ndiye kuti njira zina za opaleshoni nthawi zina zimatha kugwiritsidwa ntchito pazifukwa zovuta zamankhwala.
Pankhani yamatenda oopsa kwambiri, njira yokhayo yopulumutsira ndikukuika mtima.
Njira zopewera
Pazolinga zopewera, muyenera kusintha moyo wanu. Wodwala ayenera kuyamba kuchita masewera olimbitsa thupi moyenera komanso kuyang'anira zakudya zawo.
Anthu odwala matenda ashuga ayenera kuchitapo kanthu kuti athetse hyperglycemia, komanso kuti athetse:
- zamafuta acid
- insulin kukana.
Pakadali pano, asayansi alibe chidziwitso chokwanira, popeza kuchuluka kofunikira pakufufuza momwe matenda ashuga a mtima m'magawo oyambira sikunachitike.
Ngati pali mtima wofuna kulephera, ndikofunikira kusiya mowa, kuchuluka kwake komwe kumakulitsa katundu pamtima. Ndikofunikira kuteteza thupi, kupewa kuthana ndi zolimbitsa thupi.
Mutha kufunsa ndi katswiri wazakudya zokhudzana ndi zakudya zomwe munthu amadya. Ndikofunikanso kusintha moyo wawo ndikusiya kusuta fodya komanso kumwa mowa. Muyenera kuyamba kuchita masewera olimbitsa thupi a shuga mellitus, mwachitsanzo, kuyenda kapena kusambira.
Kuti muthane ndi zinthu zoyipa zomwe zimakhudza mtima, mankhwala azikhalidwe angagwiritsidwe ntchito. Ma infusions amathandizira kuchepetsa kupanikizika ndikuchotsa kusokonezeka kwa mtima.
Ndikofunika kumwa tincture ndi viburnum ndi uchi pafupifupi masiku 30. Chakumwa chake chimakhudza thupi lonse. Kugwiritsa ntchito njira zina zodzitetezera kuyenera kuvomerezedwa ndi dokotala.
Kanemayo munkhaniyi akukamba za zomwe zimayambitsa, zomwe zimayambitsa, komanso chithandizo cha matenda a mtima.
