Atherosclerosis da cholesterol plaques a cikin ciwon sukari

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Atherosclerosis yana daya daga cikin cututtukan farko da ke rikita yanayin ciwon sukari.
Canje-canje na ƙwaƙwalwar ƙwayar cuta yana faruwa a cikin tasoshin jini sakamakon canje-canje a cikin tsarin jini. Jirgin ruwan ya zama mai tozartar, sclerotic, da ciwon sukari atherosclerosis an kafa su.
Menene abubuwan sifofin cutar a cikin masu ciwon sukari? Ta yaya zaku iya hana ko rage bayyanuwar cututtukan atherosclerosis a cikin ciwon sukari?

Yaya ake atherosclerosis?

Atherosclerosis cuta ce ta tasoshin jini, akasari shine jijiyoyin jini, wanda ke tattare da ajiyar manyan kwalaye na cholesterol (ci gaban) a jikin bango.
Menene plalestrol kuma me yasa ilimin sa ba shi da kyau?

Plasta cholesterol: menene?

Da farko, an samar da plalerotic plater daga adhering mai, wanda yayi kama da Semolina a daidaito. Daga baya, an adana fatarar ajiya mai nauyi tare da nama mai haɗuwa.

Rashin yaduwar ƙwayar haɗi cikin ƙwayar cuta ana kiranta "sclerosis." Saboda haka, cutar ana kiranta atherosclerosis na jijiyoyin jini.

Sharuɗɗa biyu sun zama tilas ga samuwar ƙwayoyin cuta:

  • Babban taro na cholesterol a cikin jini.
  • Kasancewar rashin daidaituwa ko raunin cikin gida, kumburi da suturar ciki. Wannan ba wai kawai yana sauƙaƙa da samuwar adhes bane, amma yana haifar da yanayi don ci gabanta. Gaskiyar ita ce cewa ƙwayar cikin haɗin jini na tasoshin jini (endothelium) a cikin ingantaccen yanayin yana hana zurfin shigar jini na cholesterol. Lalacewa ga endothelium mai yiwuwa ne saboda dalilai da yawa. Misali, a matsanancin matsin lamba (sama da 140/90 mm Hg) jiragen ruwa suna karɓar microtraumas kuma suna samar da hanyar sadarwa ta microcracks a saman ciki. A cikin wadannan rikice-rikice-rikice-rikice-rikice-rikice-rikice-rikice-rikice, sunadarai na cholesterol na jinkiri .. A tsawon lokaci, ajiyar tayi girma a zurfin zurfin kuma zurfin, kadara, tayi karfi. A wurin mai mai girma, tokawar tasoshin ke canzawa. Har ila yau bangon jirgin yana da ƙarfi, yana da tauri, ya rasa fata kuma zai iya buɗewa. Lokacin girman plaque yana ɗaukar shekaru da yawa kuma a farkon lokacin baya haifar da rashin jin daɗi.

Ginin jijiyoyin bugun gini da plaque: me yasa wannan mummunan?

  1. Da fari dai, adana cholesterol na toshe bakin jijiyoyin bugun jini da rushe wurare dabam dabam na jini. Rashin jini yana haifar da matsananciyar yunwar oxygen da ke tattare da kwayoyin halitta da isasshen kawar da gubobi daga sel. Wannan yana rinjayar raguwa a cikin rigakafi gaba ɗaya, mahimmanci, gajiya, warkarwa mai rauni. Bayan shekaru da yawa na ci gaba, matukan yana toshe jirgin, ya toshe hanyoyin jini kuma yana haifar da ƙwayar jijiyoyin jini.
  2. Abu na biyu, wasu daga cikin filaye lokaci-lokaci suna fitowa kuma, tare da ragin jini, fara motsawa ta cikin tsarin jini. Inda jirgin ruwan bai da girma sosai, kwatsam sai ya faru. Jini ya daina gudana zuwa kyallen takarda da gabobin jikinsu, kwayoyin halittun da suke dauke da su (necrosis). Don haka ana haifar da bugun zuciya (idan katangar ta faru a cikin jigilar jini), bushere na ciwon sukari (idan an toshe tasoshin sassan jikinsu).
Atherosclerosis an dauki ɗayan cututtukan na ƙarni.
An gano canje-canje na sclerotic a cikin jiragen ruwa a cikin adadi mai yawa na yawan mutanen duniya. Koyaya, a cikin masu ciwon sukari, yana ci gaba tare da babban sauri kuma yana haifar da sauri cikin hanzari na rikitarwa masu zuwa:

  • ciwon zuciya
  • mai karancin jini zuwa ga gabar jiki,
  • daban-daban hanyoyin kumburi.
Me yasa ciwon sukari yana haɓaka samuwar ƙwayoyin cholesterol a bangon jijiyoyin jini?

Siffofin atherosclerosis a cikin masu ciwon sukari

Mene ne mafi ƙarancin cholesterol?

Cholesterol a jikin mutum abu ne mai mahimmanci na gini. Ya ƙunshi membranes cell da jijiyoyin jijiya. Bugu da kari, sinadarin cholesterol lipids

  • Shiga cikin samar da homon da bile,
  • a haɗa corticosteroids,
  • Taimaka wa shan Vitamin D

Kitsen da yake shiga jiki yana yin oxidized a cikin hanta kuma yana gudana cikin jini ta hanyar yawan abinci mai yawa na lipoproteins. Wannan tsari yana samarda ayyukan da aka lissafa na gina membranes da kuma inganta bitamin.

Idan kitsen mai yawa suka shiga jikin mutum, basu da lokacin yin oxidize kuma suna shiga cikin jini tare da ƙarancin lipoproteins mai yawa. Wannan nau'in kitse ne wanda aka ajiye shi a jikin bangon jijiyoyin jini kuma ya cika filaye.

Wace rawa insulin da glucose suke takawa a jikin mai?

Glucose yana shiga cikin jini ana buƙata ta sel daban-daban don tallafawa makamashi.
Ana ajiye glucose mai yawa a cikin hanta azaman glycogen. Lokacin da yawan glucose a cikin hanta ya kai 6% na yawanta, samuwar glycogen zai tsaya. Ana sarrafa ƙarin sugars a cikin mai mai kitse kuma ana jigi da shi tare da kwararar jini zuwa wuraren ajiya (wannan shine mai adadi mai narkewa)

Fats ma wani nau'in ajiyar makamashi ne, don haka ana ajiye ragowar a cikin tsopose nama.

Insulin yana karfafa halittar mai, juyawarsu ya zama sikari mai narkewa (babban yawan lipoproteins).
Saboda haka, karancin insulin bawai kawai yana kara sukarin jini ba, amma kuma yana hana shan kitse mai. A cikin jikin mutum, fatsin da ya shiga hada hada hadarin hada abu a cikin hanta ya ke kuma an adana shi, ana kiran sa babban yawa na lipoproteins.

Tare da rashin insulin, ƙarancin mai mai yawa (lipoproteins) ya shiga cikin jini, wanda ke samar da adon cholesterol a jikin bangon jijiyoyin jini. Abin da ya sa tare da ciwon sukari, atherosclerosis yana haɓaka ta tsalle-tsalle da ƙayyadaddun abubuwa kuma yana haifar da cututtuka daban-daban na tsarin zuciya.

Ischemia na asymptomatic ciwon sukari

Siffar atherosclerosis a cikin masu ciwon sukari shine yawan asymptomatic hanya na rikitarwa.
Misali, cututtukan zuciya da na jijiyoyin jini (cututtukan zuciya) wani rikitarwa ne na atherosclerosis, wanda a ciki jiragen da suka lalace ba su iya fadadawa da kuma karuwar hauhawar jini zuwa gawar zuciya yayin aikin jiki. Kwakwalwar zuciya (myocardium) tana fuskantar matsananciyar yunwar oxygen. Tare da tsawan lokaci na ciwon sukari da rashi oxygen na tsawan lokaci, ana samar da bangarorin necrosis a cikin tsokoki wadanda basu da hankali.

Saboda haka, masu ciwon sukari sau da yawa suna da cututtukan zuciya da jijiyoyin jini ba tare da alamun jin zafi ba, har zuwa bugun zuciya mara jin zafi.

Hanyar magani da rigakafin atherosclerosis a cikin ciwon sukari

Jiyya da rigakafin rikice-rikice na atherosclerosis a cikin masu ciwon sukari ya kamata a ci gaba. Wadanne magunguna ne likita ya tsara?

  • Rage cholesterol (fibrates, statins).
  • Janar ƙarfafawa: bitamin.
  • Anti-mai kumburi (idan an nuna).

Yin rigakafin atherosclerosis yana rage rage lalata hanyoyin jini kuma yana kan matakan da suka biyo baya:

  • Cararancin abincin carb.
  • Gudanar da glucose na jini.
  • Gudanar da matsi (ba don ba da izinin haɓakawa ba fiye da 130/80 mm RT. Art.).
  • Ikon cholesterol na jini (bai wuce 5 mol / l ba).
  • Motsa jiki.
  • Nazarin yau da kullun na ƙafafu da fata.
Yana da mahimmanci ga marasa lafiya da aka gano da cutar sukari su san game da yiwuwar rikitar cutar su. Don jinkirta bayyanarsu da tsawaita tsawon rayuwarsa.

Kada ku yanke lafiyar lafiyarku har sai daga baya! Zaɓin zaɓi da kuma ganawa tare da likita:

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