Cututtukan zuciya da cututtukan zuciya

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Ciwon sukari mellitus yana da haɗari sosai saboda yawanci yanayi yana tasowa tare da shi, yana haifar da damuwa ga rayuwar mai haƙuri. Ofayansu shine cututtukan zuciya da jijiyoyin jini, dama na haɓaka cikin masu ciwon sukari ya fi yadda yake cikin mutane masu lafiya.

Cutar sankarar zuciya da alakar ta da ciwon suga

Ta hanyar cututtukan zuciya da na jijiyoyin jini (CHD) ana nufin wata cuta ce da ke haɓaka lokacin da isasshen iskar oxygen ɗin ba ta shiga cikin ƙwayar zuciya ta hanyar jijiyoyin jini.
Dalilin da ya sa galibi shine atherosclerosis na jijiyoyin jijiyoyin jiki, kumbura na lumen, samuwar plaques.
Take hakkin samar da insulin a jikin marassa lafiyar da ke haifar da cutar sankara yakan haifar da wani lokaci wani babban karuwa a cikin glucose na jini, wanda hakan ke sa tasoshin su zama masu rauni. Haka kuma, mafi girma da sukari, mafi muni ga arteries. Sakamakon wannan, an ƙirƙiri ƙwayar fata, kuma jirkunan sun daina isassun amsawa game da canje-canje a cikin karfin jini.

Duk wannan yana haifar da raguwa a cikin adadin oxygen, kuma tun da ƙwayoyin ba zasu iya yin aiki na yau da kullun a cikin yanayin da ba a sami oxygen ba (a cikin yanayinmu, ƙwaƙwalwar zuciya da ƙwayoyin jijiya), mai haƙuri yana haifar da rikitarwa - ischemia na zuciya tsoka.

Cardiac ischemia na iya faruwa a cikin irin waɗannan cututtukan:

  • Infarction na zuciya na Myocardial;
  • Arrhythmia;
  • Angina pectoris;
  • Kwatsam mutuwa.

Haɓaka wannan cutar tana da halayyar-kamar igiyar ruwa, inda za a maye gurbin matsanancin ciwo ta hanyar mai rauni, da kuma ƙari. A matakin farko, lokacin da aka wayi gari da tsarin ilimin halittu, an nuna shi ta hanyar harin angina pectoris kwatsam tare da yawan aiki ko kuma motsa jiki.

Marasa lafiya lura:

  • Matsowa jin zafi a cikin yanki na tsoka na zuciya (jin abin da ya danganta daga gungume a cikin kirji ko bacin rai);
  • Matsalar numfashi;
  • Rage numfashi;
  • Tsoron mutuwa.
A tsawon lokaci, hare-haren da aka kame a cikin lokaci sun zama mafi yawan lokuta, cutar tana gudana zuwa matsanancin yanayi. Mafi rikice-rikice masu rikitarwa na ischemia sune:

  • Take hakkin rushewar zuciya;
  • Rashin lafiyar zuciya
  • Myocardial tsoka rauni.

Duk waɗannan rikice-rikice sun kara tsananta yanayin da ingancin rayuwar mutumin mara lafiya, har ila yau kuma yakan haifar da nakasa ko ma mutuwa.

Kasancewar cutar sankara a cikin mara lafiya babban lamari ne a cikin yiwuwar hadarin ischemia na zuciya, tunda a wannan yanayin yana nufin rikice-rikice ne na rashin lafiyar. Saboda yanayin haɓakar cutar, duk masu ciwon sukari suna cikin haɗarin cutar ischemia na zuciya. Saboda haka, dukkansu suna bukatar kallo daga likitan zuciya, tunda haduwar wadannan cututtukan guda biyu suna dauke da tsinkayen rashin rayuwa.

Sanadin, haɗari da sifofin ischemia a cikin ciwon sukari

Samun damar ischemia na zuciya a cikin marasa lafiya da ciwon sukari sun fi yawa fiye da sauran rukuni na marasa lafiya - sau 3-5.
Zuwa mafi girma, ci gaba da kuma cutar cututtukan zuciya a wannan yanayin ya dogara da tsawon lokacinsa, maimakon dogaro da yanayin ciwon sukari.

A cikin marasa lafiya da ciwon sukari mellitus, rikice-rikice na ischemia suna haɓaka sosai a baya fiye da sauran rukuni na haɗari. A matakin farko, suna da yawanci asymptomatic, wanda ke sa ya zama da wahala yin gwajin lokaci. Haka kuma cutar ba za ta iya bayyana ba har sai lokacin fama da rauni.
Yawancin lokaci tare da ciwon sukari, cututtukan zuciya na zuciya kamar "tauraron dan adam" yana da:

  • Rashin angina pectoris;
  • Rikicin zuciya;
  • Ciwon zuciya;
  • Naƙasasshen ƙwayar tsoka;
  • Rarraba rauni na gado na jijiyoyin zuciya da jijiyoyin jini.

Duk waɗannan yanayin suna ɗaukar babban haɗari ga rayuwar mai haƙuri, sabili da haka, suna buƙatar magani na lokaci. Koyaya, kasancewar kamuwa da cutar siga a cikin mara lafiya yana matukar rikitar da tsarin magudi na likitanci da kuma yadda ake gudanar da aiki a kan jijiyoyin zuciya.

A cikin marasa lafiya da ciwon sukari, abubuwan da ke haifar da ischemia na iya zama:

  • Hypodynamia;
  • Hyperinsulinemia;
  • Hyperglycemia;
  • Hawan jini;
  • Wuce kima da kiba;
  • Shan taba
  • Tsarin kwayoyin halitta;
  • Shekarun ci gaba;
  • Rashin maganin ciwon sukari;
  • Rashin rikicewar jinin haila (taɓar da ƙwaƙwalwar ƙwayar cuta);
  • Cutar amai da gudawa;
  • Babban cholesterol.
Ciwon sukari mellitus cuta ce mai yawa wanda ke shafar yawancin tsarin jikin mutum yayin haɓaka rikice-rikice. Ya haɗu da dalilai masu haɗari masu yawa waɗanda ba su da matsala ga cututtukan zuciya, waɗanda wani lokacin suna da matukar wahalar ganewa, musamman ma a farkon matakan, a kan kari. Saboda haka, hanyoyin kawarwa, jarrabawa da magani ya kamata a fara da wuri, musamman kasancewar abubuwan da ke tattare da haɗarin cutar sankarau da aka ambata a sama.

Yin rigakafi da magani na cututtukan jijiyoyin hannu a cikin marasa lafiya da ciwon sukari

Matakan hanawa

Cututtukan zuciya da na jijiyoyin jini - cuta ce mai girman gaske. Saboda haka, mutanen da ke cikin haɗari, waɗanda suka hada da masu ciwon sukari, suna buƙatar ɗaukar matakan kariya waɗanda zasu iya hana ci gaban wannan yanayin.
Daga cikinsu, kungiyoyi da yawa ana bambanta su:

  • mara amfani da magunguna,
  • kula da ganewar asali.
Rukunin farko sun hada da:

  • Canjin rayuwa;
  • Rage nauyi;
  • Ayyukan jiki a cikin iyakoki na al'ada;
  • Motsa jiki na motsa jiki don masu ciwon sukari;
  • Cire shan sigari, barasa;
  • Normalizing abinci mai gina jiki mai ciwon sukari bisa ga abinci na musamman;
  • Gudanar da glucose na jini;
  • Shan karamin asfirin yau da kullun (an ba shi izinin kawai bayan tattaunawa da likita saboda yawan haɗarin zubar jini).
Hanyar sarrafawa da gano hanyoyin sun hada da:

  • Gwajin wahalar damuwa;
  • Kulawar ECG a cikin yanayin yau da kullun.

Kulawar cututtukan zuciya da jijiyoyin jini

Ikon glucose shine mafi mahimmanci a cikin jiyya da rigakafin ischemia na zuciya, tun da babban ƙa'idar kulawa da ciwon sukari mellitus da kuma hana haɓaka yanayi mai haɗari shine kiyaye matakan sukari na plasma a tsakanin ƙimar al'ada.
Abin dogaro ne wanda aka tabbatar da cewa wannan yana rage jinkirin haifar da cututtukan da ke tare da cututtuka. Mafi sau da yawa, don wannan dalili, marasa lafiya da ciwon sukari mellitus an tsara su don insulin ko wakilai na hypoglycemic idan abincin da aka tsara bai isa ya kula da wannan ma'aunin al'ada.

Wani muhimmin mahimmanci game da hana samuwar ischemia na zuciya shine daidaituwa da rage hauhawar jini. Don sarrafa wannan alamar, shawarar da aka saka a kullum game da karfin jini ta hanyar auna girman tanomita.

Idan ya cancanta, likita ne ya ba da magani, wanda ke da kaddarorin rigakafin jini da dakatar da ci gaban cututtukan zuciya. Wannan shi ne:

  • ACE inhibitors tare da masu toshe fuska;
  • Diuretics.

Game da haɓaka yanayi mai haɗari (bugun zuciya), an tsara masu ciwon sukari ci gaba da magunguna tare da statins. Wannan yana ba da gudummawa ga hanzarta murmurewa, magani da rigakafin samuwar sauran rikice-rikice.

Babban mummunan sakamako na haɗuwa da ciwon sukari da ischemia shine haɗarin haɗarin thromboembolism da thrombosis.
Irin waɗannan marasa lafiya yawanci ana ba su maganin cututtukan anticoagulant, suna yin la'akari da contraindications akan hanyar gama gari. Mafi sau da yawa, ana ƙaddamar da asfirin a cikin ƙananan allurai don wannan dalili, an ɗauka tare da m wajibi na coagulation jini.
Kada a jinkirta ganewar asali da magani na gaba! Zabi da rajista na likita a yanzu:

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