Osati kale kwambiri, tinkakhulupirira kuti odwala omwe ali ndi matenda ashuga nthawi zambiri amakhala atazindikira kuti ali ndi matenda a mtima.
Matenda a mtima ndi chidziwitso chodziwika bwino ikafika polosera za chiyembekezo cha moyo wa anthu odwala matenda ashuga. Malinga ndi ziwerengero zotchulidwa ndi asayansi aku Germany, abambo omwe ali ndi matenda ashuga ali ndi chiopsezo chowonjezereka cha matendawa, ndipo mpaka 6 amapitilira mwa azimayi. Kuphatikiza apo, zotupa zam'mimba zomwe zimapezeka mwa odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 ali ofanana.
Kuphatikiza pa manambala osangalatsa omwe atchulidwa pamwambapa, palinso mfundo ina yofunika yomwe Pulofesa Diethelm Chöpe wa Cardio-Diabetesology Center ya University ya Ruhr ku Bochum (Germany) amafuna kuti atiganizire. M'lipoti lake ku Germany Diabetes Society, amakumbukira kuti ngakhale hemoglobin itasinthidwa molondola, chiwopsezo chowonjezereka chikhoza kukhalabe. Chifukwa chake, tikukulimbikitsani kuti mumvere malingaliro a katswiri wathu, yemwe wapanga dongosolo lokwanira loyendera akatswiri, omwe akuyenera kutsatidwa atazindikira kuti matenda a shuga ndi omwe amachititsa kuti anthu asamve bwino.
Zomwe zimachitika pafupipafupi zamatenda amtima mwa odwala omwe ali ndi matenda ashuga ndikukonzanso pang'onopang'ono kwa mawonekedwe a mtima. Kusintha kumeneku kumachitika chifukwa chakuchepa kwa zosowa za thupi komanso mphamvu zamagetsi. Zimapangitsa mtima kukhala pachiwopsezo, mwachitsanzo, matenda a mtima (CHD). Komabe, sikuti ndikuphwanya magazi kokha kupita ku myocardium. Masiku ano, kulephera kwa mtima ndi kufinya kwam'mimba, zomwe zimawonjezera chiopsezo cha stroke, zikuwonekeratu. Njira zakuthambo zimakulitsa chiopsezo cha kufa mwadzidzidzi kwamtima.
Magulu anayi owonongeka
Pulofesa Chope amasiyanitsa mitundu iyi pazowonongeka:
- kuchepa kwamphamvu kwa mtima,
- kudzikundikira kwa metabolites yogwira ntchito komanso kusintha kwamapangidwe,
- mtima autonomic neuropathy,
- ochepa hemodynamics.
Zowonadi, ndi hyperglycemia, palinso mphamvu yochulukirapo ya gawo (kumbukirani, gawo lalikulu lamphamvu la myocardiocytes ndilamafuta osaloledwa ndi mafuta acids, ali ndi udindo wopatsa mphamvu 70%.) Pochepera, mphamvu zamagetsi zimachitika chifukwa cha glucose komanso magwiridwe ake, komanso ma amino acid ndi mapuloteni. ) Komabe, singagwiritsidwe ntchito ndi mtima.
Palinso kuchuluka kwa lipid ndi glucose metabolites, komwe kumakulitsa mphamvu yamtima. Njira zotupa zimayambitsa kukonzanso kwa fibrotic ndi kusintha kwa mapuloteni, kudzikundikira kwa zinthu zamatumbo a glycolysis, kayendedwe kathupi ka magawo ndi magwiridwe antchito.
Coronarossteosis (kuwonongeka kwa mitsempha ya mtima) kumabweretsa kuchepa kwa mpweya wa okosijeni, womwe umawonjezera kuchepa kwa mphamvu. Momwe mtima wamanjenje umasinthidwira, zotsatira za zowonongekazo ndi kusokonezeka kwa mpweya ndi kusintha kwa malingaliro a mtima. Ndipo, pomaliza, kusintha kwa mtima kumachepetsa mawonekedwe ake a mtima (tikulankhula za kukakamiza mu mtima, kayendedwe ka magazi, mphamvu yokhudzana ndi gawo lamanzere, ndi zina zotero).
Ngati nsonga za glucose zitha, zitha kuthandizira kuwundana kwamagazi ndipo pamapeto pake zimayambitsa vuto la mtima. "Kuphatikiza kwa microangiopathy yosatha kumafotokozera bwino magawo osungika a myocardium," a kardiologie.org adagwira mawu a Chope. Mwanjira ina, kuchuluka kwa odwala omwe ali ndi matenda ashuga omwe ali ndi vuto la mtima kumakhala koyipa kwambiri ndikosiyana ndi kwa odwala ena.
Vutoli limakhala lovuta kwambiri ngati munthu ali kale ndi vuto la mtima: mpaka 80 peresenti ya odwalawa omwe adadutsa zaka 65 afa atatha zaka zitatu.
Ngati gawo la epention lamanzere limatsika kuposa 35%, pamakhala chiopsezo chachikulu cha kufa mwadzidzidzi chifukwa chomangidwa ndi mtima - odwala omwe ali ndi matenda ashuga amatha kwambiri kuposa odwala popanda kuzindikira, ngakhale atakhala kuti ali ndi mavuto ofanana ndi kachigawo kakang'ono.
Ndipo pamapeto pake, shuga imakhudzana kwambiri ndi atria fibrillation (yomwe imatchedwanso kuti atria fibrillation). Kafukufuku waposachedwa awonetsa mgwirizano womwe ulipo pakati pa msana wa hemoglobin wa glycated komanso chiopsezo chokhala ndi fibrillation ya atria.
Inde, kuwongolera kuchuluka kwa shuga ndichimodzi mwazinthu zofunikira kwambiri pakukula, komanso osati chidziwitso chamankhwala, komanso kusankha kwa mankhwala ndikofunikira. Akatswiri akukhulupirira kuti Metformin imachepetsa chiopsezo cha matenda amtundu wa shuga.
