Rikicin bugun zuciya a cikin ciwon sukari na iya fitowa daga tushen cutar kanta ko kuma ya faru sakamakon rikice-rikice. Irin waɗannan cututtukan sun haɗa da hauhawar jini, cututtukan zuciya da sauran ƙwayoyin cuta.
Yana da mahimmanci a lura cewa yanayin ɗabi'a da rudani a cikin ciwon sukari na iya zama daban. Sabili da haka, ba kowane yanayi yana buƙatar kulawa mai tsanani ba, saboda yawancin cututtuka sau da yawa suna rakiyar mai haƙuri duk rayuwarsa. Amma wasu cututtuka suna ci gaba cikin hanzari, sakamakon abin da rikitarwa mai rikitarwa ya haifar, wanda ke buƙatar kulawa da gaggawa na likita.
Sau da yawa sau da yawa, tare da nau'in ciwon sukari na 2, tachycardia yana haɓaka. Amma menene wannan cutar kuma ta yaya yake da haɗari ga masu ciwon sukari?
Menene tachycardia kuma menene alamun ta
Wannan cuta tana faruwa ne yayin da bugun zuciya ya rikice yayin da ya zama mafi yawan lokuta.
Haka kuma, gazawa na iya faruwa ba kawai yayin aiki na jiki ba, har ma lokacin da mutum yake cikin hutawa.
Tachycardia shine ilimin halittar jiki da hanya. Nau'in cuta ce ta biyu da zata iya rakiyar masu cutar siga.
Amma a cikin masu ciwon sukari da ke shiga cikin wasanni, ƙarancin zuciya yana bayyana tare da kowane kaya. Bugu da kari, sauran dalilai suna bayar da gudummawa ga wannan sabon al'amari:
- matsananciyar damuwa;
- zagi abubuwan shaye-shayen shaye-shaye;
- tsoro da kaya.
Amma bayan katsewar motsa jiki ko raguwa cikin tashin hankali, yawan zuciya yakan koma kanshi. Yawan ƙimar zuciya na yau da kullun shine 60-80 beats a minti daya. Idan sama da 90, to wannan yana nuna tachycardia, kuma idan yayi ƙasa, bradycardia.
Tachycardia a cikin ciwon sukari ba koyaushe ake nuna shi ta hanyar bayyanar cututtuka ba, don haka marasa lafiya na iya yinin sanin kasancewar wannan cin zarafi. Sau da yawa, ana gano irin wannan cutar ne kawai bayan gwajin electrocardiographic.
Hakanan, haɓaka ƙwayar zuciya na iya kasancewa tare da alamu waɗanda marasa lafiya ke sani ba kamar sauran cututtuka ba. Baya ga jin bugun bugun bugun zuciya, tachycardia yawanci yana tare da wasu alamomin:
- Dizziness
- madadin jinkirin da sauri;
- karancin numfashi
- yanayin kasawa;
- jin juyawar abin da ke ciki ko ɓarna a bayan sternum;
- jin cewa zuciya tana bugawa.
Wasu lokuta matsala a cikin bugun zuciya ana gano su yayin lissafin bugun zuciya ba tare da kasancewar hoton kwalliyar asibiti ba.
Da dama bayyanar cututtuka da cewa mafi yawanci faruwa tare da dogon lokaci na ciwon sukari sau da yawa faruwa a kan tushen ciwon sukari autonomic neuropathy. Wani rikitarwa ne na cututtukan zuciya, lokacin da jijiyoyin dake cikin zuciya suka lalace. Idan an cutar dasu, to akwai cin zarafin bugun zuciya.
A cikin cututtukan zuciya na masu ciwon sukari, sinus tachycardia yana faruwa. Haka kuma, yana bayyana kanta koda mara lafiyar yana hutawa. Yawan zuciya a cikin wannan halin ya kasance daga 100 zuwa 130 beats. a minti daya.
Haka kuma akwai rashin tasirin nutsuwa a kan bugun zuciya. Lokacin da mutum ya sami lafiya, to a lokacin numfashi mai zurfi, raunin zuciya ya zama ba mai yawa ba.
Wannan yana nuna rashin ƙarfi ga aiki na jijiyoyin jijiya wanda ke rage rauni na jijiyoyin zuciya.
Sanadin Tachycardia
A cikin ciwon sukari, ana shafar jijiyoyi masu parasympathetic, wanda ke haifar da saurin bugun zuciya. Tare da ci gaban da cutar, da pathological tsari shafi da m sassan na autonomic NS.
Lokacin da babu tsinkaye a cikin jijiyoyin jijiyoyi, wannan yana ba da gudummawa ba kawai ga ci gaban tachycardia ba, har ma ga ci gaban IHD tare da ingantacciyar hanya. Tare da cutar na jijiyoyin zuciya, da wuya a ji zafi, saboda haka, a cikin wasu masu ciwon sukari, har ma bugun zuciya yakan faru ba tare da rashin jin daɗi da yawa ba.
A cikin wannan ne haɗarin mafi girma da rikice-rikice na ciwon sukari ya ta'allaka ne, saboda ba a aiwatar da magani na lokaci, saboda wanda mutuwa na iya faruwa. Sabili da haka, idan tachycardia barga ya tabbata, ya kamata ka tuntuɓi likitan kwalliyar nan da nan, saboda wannan ita ce hanya daya tilo don ragewa ko dakatar da haɓakar ƙwaƙwalwar ƙwaƙwalwar zuciya a cikin ciwon sukari.
Idan ba'a lura da kasawa a cikin bugun zuciya akan lokaci ba, to akwai canje-canje a cikin NS mai juyayi. An bayyana wannan yanayin ta hanyar bayyanar cututtuka na orthostatic hypotension:
- Goose kumburi;
- duhu cikin idanu;
- farin ciki.
Irin waɗannan alamun suna bayyana lokacin da jikin mutum ya canza. Wasu lokuta sukan wuce da kansu ko kuma su ɓace lokacin da mara lafiya ya koma matsayinsa na asali.
Koyaya, alamomin da ke sama, gami da kasala, na iya faruwa lokacin da ake samun cutar sankara, da rashin damuwa, da toshewar damuwa. Sabili da haka, don sanin ainihin dalilin kasawa a cikin bugun zuciya, bincike na musamman ya zama dole.
Bugu da kari, cututtukan zuciya da ke fama da cutar siga a cikin ciwon suga shima yana da hadari saboda yana kara yiwuwar mutuwa kwatsam da faruwar zuciya ko kamuwa da bugun zuciya idan aka gudanar da aikin magani yayin tiyata.
Hakanan, ciwon sukari na tachycardia yana haɓaka tare da dystrophy na myocardial. Yana tasowa sakamakon rashin aiki na rayuwa wanda tsokanar insulin ke ciki da kuma karancin glucose ya shiga cikin membrane ta jikin tsoka.
A sakamakon haka, yawancin kuzarin kuzari a cikin myocardium na faruwa ne ta hanyar amfani da xylitol mai mai kyauta. A lokaci guda, mayuka masu tarin yawa suna haɗu a cikin tantanin halitta, waɗanda ba su da isasshen oxidized, wanda ke da haɗari musamman idan ciwon sukari yana tare da cututtukan zuciya.
Don haka, myocardial dystrophy na iya haifar da duk nau'ikan rikice-rikice na rudani, ragewa, da firamillation na atrial, da ƙari.
Yana da kyau a lura cewa lura da irin wannan cututtukan ya bambanta da maganin cututtukan cututtukan cututtukan zuciya.
Yana da mahimmanci a lura cewa tare da microangiopathy, ana amfani da ƙananan tasoshin da ke ciyar da myocardium. Bugu da kari, yana haifar da rikice-rikice iri iri a cikin bugun zuciya. Mafi kyawun rigakafin cututtukan cututtukan cututtukan zuciya da neuropathy shine rama don haifar da cutar, wato, ciwon sukari.
Tabbas, ta wannan hanyar ne kawai za'a iya hana aukuwar rikice rikicewar cututtukan cututtukan zuciya, gami da microangiopathy, neuropathy da dystrophy na myocardial. Don haka, yawan tattarawar glucose a cikin jini ya zama bai wuce 6 mmol / l sutra akan komai a ciki ba kuma ya zarce 8 mmol / l bayan mintuna 120. bayan an gama cin abincin.
Akwai dalilai da yawa waɗanda zasu iya haɓaka ci gaban tachycardia a cikin ciwon sukari:
- tsawan lokaci na ciwon suga;
- kiba
- hauhawar jini;
- lalata kwayar cutar sankara;
- shan taba
- rikice-rikice masu alaƙa da cututtukan ƙwayar cuta na kullum.
Nau'in Tachycardia
Mafi yawan nau'in rikicewar zuciya shine sinus tachycardia, a cikin sautin yawan bugun jini ya wuce 70. Kirkirar wannan yanayin shine idan ya faru, bugun zuciya baya canzawa, kuma kawai yawan kararraki ya canza.
Cutar na tasowa a cikin kuli-kuli, a cikin wani yanayi mai fitowar sha'awa a cikin yanayi na watsawar al'ada. Gefen yana zaune a gefen dama na zuciya, da farko murnar ta rufe wannan bangare ne na jikin, sannan daga nan ne ake yada shi ta hanyar zuwa zuwa ga atrium hagu.
Idan aikin rukunin sinus-atrial ya lalace, to wannan yana da mummunar illa ga aikin motsa jini daga kumburi zuwa ventricles.
A ECG, sinus tachycardia yana bayyana ta bayyanar cututtuka:
- Yawan zuciya fiye da 90 beats a cikin 60 seconds.
- rashin karkacewa a cikin sinus rhythm;
- karuwa a cikin tazara PQ da amplitude P;
- tabbataccen hakori R.
Hakanan, a kan asalin ciwon sukari, paroxysmal tachycardia na iya faruwa, wanda yanayin haɓaka yake bayyana kuma ɓacewar kwatsam iri ɗaya. Wani nau'in paroxysmal na rikicewar zuciya yana bayyana lokacin da matsala ta faru a cikin bugun zuciya.
Tsawon lokacin da aka kawo harin na iya bambanta daga mintuna 2 zuwa wasu ranaku. A wannan yanayin, raunin zuciya ya bambanta daga 140 zuwa 300 beats. a minti daya.
Akwai nau'ikan nau'ikan paroxysmal tachycardia, wanda aka rarrabe ta wurin fassarar. Yana da nodular, atrial da ventricular.
Don haka, tare da nau'in ventricular, sha'awar pathological ta bayyana a wannan sashin kwayoyin. Sabili da haka, ƙwayar zuciya tana fara aiki da sauri (har zuwa 220 beats a minti daya).
Atrial tachycardia ba kowa bane. Ga masu ciwon sukari, wani nau'in haɗari mafi haɗari da cutar shine ventricular paroxysmal tachycardia.
Bayan haka, hanyar wannan nau'in PT yana da matukar wahala, tare da tsalle-tsalle a cikin karfin jini. Abunda ya faru da wannan nau'in cutar shine nuna ciwon zuciya.
Hakanan, a cikin masu ciwon sukari, zazzillation ventricular na iya faruwa lokacin tsokoki na zuciya ba tare da izini ba tare da adadin su har zuwa 480 beats. Koyaya, ba a aiwatar da cikakken rashi ba.
A kan ECG, ventricular gurguwar jiki yana bayyana da ƙanana da yawan hakora. Wannan halin shine rikitarwa na babban bugun zuciya, wanda yawanci yakan ƙare tare da kama zuciya.
Jiyya da rigakafin
Babban burin jiyya don tachycardia shine lura da ciwon sukari da sauran abubuwan da ke haifar da faruwarsa. A lokaci guda, endocrinologist, mai ilimin neuropathologist, likitan zuciya da sauran likitoci ya kamata su shiga cikin zaɓin hanyoyin warkewa.
Akwai nau'ikan manyan nau'ikan magunguna guda 2 da ake amfani da su a cikin tachycardia. Sun haɗa da magungunan hana haifuwa da cututtukan cututtukan fata.
Sedatives na iya zama bisa ga tsarin na zahiri da na halitta. A cikin ciwon sukari, yana da kyau a yi amfani da kwayoyi tare da abubuwan da aka gyara a jiki, kuma likitan halartar ya kamata ya zaɓi su.
A cikin abubuwan da ake amfani da su na halitta ana amfani da su ne kamar:
- hawthorn;
- valerian;
- peony;
- mamayert da kaya.
Hakanan akwai magunguna masu rikitarwa waɗanda ke da mint, valerian da melissa a cikin kayan haɗin su. Waɗannan sun haɗa da Persen da Novo-Passit.
Duk da gaskiyar cewa waɗannan magungunan suna dauke da sucrose, zaku iya ɗaukar su da ciwon sukari. Bayan haka, kwamfutar hannu 1 ta ƙunshi karamin adadin sukari, wanda kusan ba ya shafar matakin glucose.
Magungunan roba sun haɗa da Phenobarbital, Diazepam da analogues. Tare da taimakonsu, zaku iya kawar da jin damuwa da tsoro, kawar da rashin bacci da hana ci gaban hare-hare na tachycardia.
Ya kamata a zaɓi magungunan antiarrhythmic don ciwon sukari tare da taka tsantsan, tunda an tsara su ne bisa dalilan cutar. Don haka, shan kwayoyin daga nau'in tachycardia na iya kara cutar da wani nau'in cutar.
Don haka, tare da tachycardia, ana amfani da magungunan masu zuwa:
- Verapamine yana da tasiri a yanayin yanayin cutar, amma a lokaci guda yana taimakawa rage glucose jini.
- Rhythmylene - wanda aka yi amfani da shi don tsayar da yanayin tashin iska da na fata.
- Adenosine - an wajabta shi don paroxysmal da tachycardia na supraventricular.
Hakanan, tare da mahaukaci a cikin aikin zuciya, ana iya tsara Anaprilin, wanda ke rage yawan zuciya, samar da sakamako mai kwantar da hankali. Magungunan yana sake dawo da isar da oxygen zuwa myocardium, yana kunna aikin sa. Koyaya, Anaprilin yana rage yawan zuciya, ta haka ya ɓoye bugun zuciya mai ƙarfi, wanda shine babban alamun hypoglycemia.
Hakanan, ana iya bi da tachycardia tare da hanyoyin motsa jiki, wanda ya haɗa da bayyanar wutar lantarki da kuma farfadowa. Ana amfani da hanyar ta ƙarshe don paroxysmal nau'i na tashin hankali na zuciya. Yayin aikin, an saka mai haƙuri a kan fuskarsa, bayan haka ya yi ƙoƙarin yin tari da matsewa.
Idan wannan hanyar ta zama mara amfani, to ana amfani da tasirin electropulse. A wannan yanayin, wayoyin suna haɗe da kirjin mai haƙuri, sannan kuma ana yin ƙaramin halin yanzu ta hanyar su, wanda ke ba da haɓakar aikin myocardium. Koyaya, irin wannan magani za'a iya aiwatar dashi ne kawai a asibiti, akasari ana amfani dashi idan yanayi mai mahimmanci na zuciya.
An yi tiyata don tachycardia a lokuta biyu. Na farko shine cututtukan zuciya na cikin gida, cututtukan zuciya da cututtukan zuciya da cututtukan zuciya da cuta bayan cututtukan cututtukan zuciya, na biyu shine rikicewar hormonal.
Yin rigakafin cututtukan tachycardia a cikin ciwon sukari shine don guje wa matsanancin aiki da yanayin damuwa. Bugu da ƙari, kuna buƙatar barin makamashi, maganin kafeyin, barasa da nicotine. Amma da farko, rama don ciwon sukari yana da mahimmanci saboda haɗarin sukari koyaushe al'ada ne.
Bidiyo a cikin wannan labarin ya bada cikakken bayani game da tachycardia da magani.
