Babban abin da ke haifar da mutuwa a cikin ciwon sukari shine cututtukan zuciya da na jijiyoyin jini. Sun mamaye kusan kashi 82%, kuma daga cikinsu mafi girman adadin shine infarction na zuciya.
Hanyar bugun zuciya a cikin marasa lafiya da ciwon sukari sun fi tsanani, ci gaban bugun zuciya, bugun zuciya, arrhythmia da rushewar zuciya.
A wannan yanayin, an samo nauyin dogara da lalacewar cututtukan jijiyoyin zuciya a cikin masu ciwon sukari a kan raunin da ya kamu da cutar kuma an samu karuwar cin zarafin mai.
Sanadin lalacewar zuciya da jijiyoyin jini a cikin mutane masu fama da cutar siga
Abubuwan da ke haifar da cututtukan zuciya suna ƙaruwa a cikin marasa lafiya da masu ciwon sukari, har ma a cikin rukuni tare da raunin carbohydrate mai wahala, wato, tare da ciwon suga. Wannan halin yana da alaƙa da rawar insulin a cikin ƙwayoyin mai. Baya ga kara yawan glucose na jini, karancin insulin yana kunna lipolysis da samuwar sassan jikin ketone.
A lokaci guda, matakin triglycerides a cikin jini yana ƙaruwa, yawan karuwar kitse mai yawa a cikin jini. Dalili na biyu shine karuwa a cikin jijiyoyin jini, samuwar kwarin jini a cikin jiragen. Gluara yawan glucose yana haɓaka samuwar ƙwayoyin glycosylated, haɗinsa tare da haemoglobin yana lalata isar da oxygen zuwa kyallen, wanda ke ƙaruwa da hypoxia.
A cikin nau'in ciwon sukari na 2, duk da karuwar yawan insulin a cikin jini da hyperglycemia, ƙaddamar da masu tayar da insulin yana ƙaruwa. Ofayansu shine somatotropin. Yana haɓaka rarrabewar jijiyoyin jiki mai santsi da shigar azanta mai ƙansu a cikin su.
Atherosclerosis kuma yana ci gaba tare da irin waɗannan dalilai;
- Kiba
- Hawan jini.
- Shan taba.
Bayyanin furotin a cikin fitsari wata alama ce mara kyau da zata iya fuskantar cutar bugun zuciya da ciwon suga.
Ciwon sukari wanda yake fama da ciwon mara mara nauyi
Myocardial infarction a cikin ciwon sukari yana da fasali na bayyanar asibiti. Yana haɓakawa tare da tsawan lokaci na ciwon sukari mellitus, kuma bazai iya kasancewa bayyanannun alamun cutar cututtukan zuciya ba (CHD). Irin wannan ischemia mara jin rauni yana haɓaka cikin “ɓoye”, bugun zuciya na asymptomatic tare da ciwon sukari.
Abubuwanda zasu iya haifar da wannan hanya na iya kasancewa yaduwar raunuka na jijiyoyin jiki zuwa kananan jijiyoyin ciki a jikin bango na zuciya, wanda hakan ke haifar da yaduwar jini da bayyanuwar ischemia da rashin lafiyar cuta na myocardium. Tsarin dystrophic yana rage yawan jin daɗin masu karɓar raɗaɗi a cikin ƙwayar zuciya.
Guda guda daya na kananan capillaries yana kawo cikas ga ci gaban hadin gwiwa (kewayewa) jini, wanda ke taimaka wa maimaitawar zuciya, sabobin lokaci da rushewar zuciya.
A cikin ciwon sukari mellitus da myocardial infarction, irin wannan hanyar mara jin zafi yana haifar da mummunan bincike, wanda ke kara haɗarin mace-mace a cikin marasa lafiya. Wannan yana da haɗari musamman tare da maimaita yawan bugun zuciya, harma da cutar hawan jini.
Dalilan da yasa myocardial infarction da ciwon sukari yawanci suna tare da juna sune:
- Cin nasarar kananan jijiyoyi a cikin zuciyar zuciya.
- Canji a cikin ƙwaƙwalwar coagulation da kuma halayen thrombosis.
- Kwatsam cikin saurin sukari a cikin jini - sanadin labile.
A cikin labile na ciwon sukari, yawan insulin, da kuma hypoglycemia mai alaƙa, yana haifar da sakin catecholamines cikin jini daga glandar adrenal.
A ƙarƙashin aikinsu, tasoshin suna spasmodic, ƙashin zuciya yana ƙaruwa.
Abubuwan haɗari don rikicewar bugun zuciya a cikin ciwon sukari
Tare da cututtukan zuciya, ciki har da bayan bugun zuciya, tare da ciwon sukari, cututtukan zuciya da rauni, raunin jijiyoyin zuciya, gama yana sauri. Kasancewar ciwon sukari yana kawo wahalar yin aikin tiyata. Sabili da haka, marasa lafiya da ciwon sukari suna buƙatar fara kula da cututtukan zuciya da wuri-wuri.
Kuma shirin gwaji don irin waɗannan marasa lafiya ya haɗa da gwaje-gwaje na damuwa yayin ECG, saka ido na rhyth da cire ECG yayin rana. An nuna wannan musamman tare da shan sigari, yawan kiba na ciki, hauhawar jijiyoyi, ƙaruwar triglycerides a cikin jini, da rage yawan kumburi mai yawa.
A cikin abin da ya faru na infarction myocardial, kazalika da ciwon sukari mellitus, yanayin tsinkaye na taka rawa. Saboda haka, lokacin da aka sami mara haƙuri da masu ciwon sukari yana da dangi na kusa da suka kamu da rauni na zuciya, ko angina mai rauni, ko kuma wasu cututtukan cututtukan zuciya, ana alakanta shi da karuwar haɗarin cututtukan jijiyoyin bugun zuciya.
Bugu da kari, ƙarin abubuwan da ke taimakawa ga mummunan cutar cututtukan zuciya a cikin masu fama da cutar siga sune:
- Cututtuka na jijiya na kashin baya, endarteritis obliterans, vasculitis.
- Rashin maganin ciwon sukari
- Cutar amai da gudawa tare da albuminuria.
- Rashin Tsarin Coagulation
- Dyslipidemia
Jiyya na infarction na zuciya daga cutar sankara
Babban abin da ke tantance tsinkayar bugun zuciya a cikin marassa lafiya da ke fama da cutar sankarau shi ne kwantar da hankulan makasudin glycemic. A lokaci guda, suna ƙoƙarin kiyaye matakin sukari daga 5 zuwa 7.8 mmol / L, ba da damar haɓaka zuwa 10. Rage karɓa a ƙasa 4 ko 5 mmol / L ba da shawarar ba.
An nuna marasa lafiya na maganin insulin ba kawai don nau'in ciwon sukari na 1 na ciwon sukari ba, amma har da m hyperglycemia sama da 10 mmol / l, abinci na parenteral, da mummunan yanayin. Idan marasa lafiya sun karɓi maganin kwaya, alal misali, sun dauki Metformin, kuma suna da alamun arrhythmia, gazawar zuciya, angina pectoris mai zafi, to shima an canza su zuwa insulin.
Ana gudanar da insulin na ɗan gajeren lokaci a cikin cikin nutsuwa tare da sukari 5%. Ana auna matakan sukari a kowace awa. Idan mai haƙuri yana sane, to, zai iya ɗaukar abinci a kan tushen ilimin insulin.
Shan magunguna don rage sukari idan akwai rashin ƙarfi daga myocardial infarction daga sulfanylurea ko rukunin yumbu mai yiwuwa ne kawai tare da kawar da alamun ƙarancin rashin jijiya. Magunguna irin su Metformin, tare da amfani na yau da kullun, yana rage yiwuwar haɓakar infitar ƙarfin ƙwaƙwalwar zuciya da cututtukan zuciya, yana haɓakawa a cikin lokacin babban.
Metformin baya yarda da saurin sarrafa glycemia, kuma gudanarwarsa cikin yanayin rashin abinci mai gina jiki yana haifar da haɗarin haɗari na lactic acidosis.
Metformin kuma yana cutar da sakamako na asibiti na dogon lokaci na lalacewa ta hanyar ɓacin zuciya.
A lokaci guda, an samu tabbaci cewa bayan tiyata ta hanyar tiyata, ƙwayar metformin 850 tana inganta hemodynamics kuma yana gajarta lokacin murmurewa bayan tiyata.
Babban hanyoyin da aka samu na jiyya don tazarar jini daga ciki:
- Kula da sukarin jini na al'ada.
- Ragewa da kuma kula da karfin jini a matakin 130/80 mm Hg
- Rage cholesterol na jini.
- Jinkirin jini na ragewar anticoagulants
- Shirye-shiryen zuciya don maganin cututtukan zuciya
Abincin bayan bugun zuciya a cikin marasa lafiya da ciwon sukari
Abinci mai gina jiki bayan bugun zuciya da cutar sankara ya dogara da lokacin cutar. A farkon mako bayan ci gaban myocardial infarction, ana raba kayan abinci tare da soyayyen kayan miya, kayan lambu, sai dai dankali, hatsi, banda semolina da shinkafa. Ba za a iya amfani da gishiri ba.
An ba da nama da dafaffun nama ko kifi ba tare da biredi ba, zai fi dacewa a cikin nau'in sarewar kuzari, ko gurasar nama. Zaku iya cin cuku gida, omelet mai ƙarfi da mai-mai-madara mara yawa. Shan taba, marinade, kayan gwangwani, cuku, kofi da cakulan, haramtaccen shayi haramun ne.
A cikin mako na biyu, zaku iya ba abincin da ba yankakken, amma hane-hane akan amfani da gishiri, kayan yaji, soyayyen, gwangwani da abinci mai mai ya ragu. An yarda kifi da kayan abinci na nama ba fiye da sau ɗaya a rana ba, kuma an haramta Navar. Kuna iya dafa cuku gida da casseroles na hatsi, farin kabeji, masara, karas.
Mataki na uku na scarring yana farawa a cikin wata daya, kuma abincin don ciwon zuciya yayin wannan lokacin ya kamata ya zama mai ƙarancin kalori, ruwa yana iyakance zuwa lita a kowace rana, kuma gishiri zai iya zama bai wuce 3 g. kabeji, kwayoyi, lentils.
Ka'idodi na abinci mai gina jiki bayan bugun zuciya:
- Rage yawan adadin kuzari.
- Ka ware abinci tare da cholesterol: nama mai, mai kamshi, mai, kitse na dabbobi, man shanu, kirim mai tsami, kirim mai tsami.
- Ware da carbohydrates masu sauki: sukari, kayan marmari, kayan kwalliya.
- Ki ƙi koko, kofi, kayan ƙanshi. Taƙaita cakulan da shayi.
- Rage ruwa da gishiri.
- Ba za ku iya soya abinci ba.
Abincin mai haƙuri ya haɗa da man kayan lambu, kayan lambu ban da dankali, hatsi na hatsi gaba ɗaya, 'ya'yan itatuwa mara amfani, da berries. Zai fi kyau iyakance naman zuwa lokaci 1 a rana sau 3-4 a mako. Kifi mara nauyi, cuku gida, kefir, yogurt, madara da aka dafa da yogurt ba tare da ƙari ba ana bada shawarar su zama tushen furotin. Kuna iya dafa omelet sau 1 a rana.
An ba da shawarar cinye kayan lambu kamar sabo ne sosai a cikin salads tare da man kayan lambu da ganye, an shirya jita-jita na farko a cikin nau'in kayan miya. Garnish za'a iya dafa shi tare da stew kayan lambu ko casserole.
Don haɓaka dandano na jita-jita, ruwan lemun tsami da ruwan tumatir, ana amfani da apple cider vinegar. Don haɓaka abun cikin fiber a cikin abincin, kuna buƙatar amfani da bran a matsayin ƙari ga hatsi, gida cuku da abin sha mai madara.
Duk ka'idoji na abinci don ciwon sukari ya kamata a bi, la'akari da rage yawan abincin dabbobi da nama. An ba da shawarar a rage nauyi lokacin da aka yawaita, saboda wannan yana da tasiri sosai ga yanayin ciwon sukari da cututtukan zuciya da jijiyoyin jini.
A cikin bidiyon a cikin wannan labarin, mun ci gaba da faɗaɗa kan batun bugun zuciya a cikin ciwon sukari.
