A cikin yawancin marasa lafiya da ciwon sukari, an shafi zuciya. Saboda haka, kusan kashi 50% na mutane suna da ciwon zuciya. Haka kuma, irin wannan rikice-rikice na iya haɓaka har ma da tsufa.
Rashin zuciya a cikin ciwon sukari yana da alaƙa da haɓakar glucose mai yawa a cikin jiki, saboda wanda aka sanya cholesterol a jikin bangon jijiyoyin jiki. Wannan yana haifar da jinkirin raguwa na lumen su da bayyanar atherosclerosis.
A duk lokacin da ake fama da cutar atherosclerosis, masu ciwon sukari da yawa suna kamuwa da cututtukan zuciya. Haka kuma, tare da haɓaka matakin glucose, jin zafi a cikin ɓangaren ƙwayar cuta an yarda da shi sosai. Hakanan, saboda ɗayan jini, yawan yiwuwar thrombosis yana ƙaruwa.
Bugu da ƙari, masu ciwon sukari na iya ƙara yawan hawan jini, wanda ke taimakawa rikice rikice bayan bugun zuciya (aortic aneurysm). Dangane da rashin ingantacciyar farfadowa daga lokacin tazarar haihuwa, da alama yiwuwar kamuwa da cututtukan zuciya ko ma mutuwa ta karu sosai. Sabili da haka, yana da matukar muhimmanci a san menene lalacewar zuciya a cikin ciwon sukari da kuma yadda za a bi da irin wannan rikicewar.
Sanadin rikicewar zuciya da dalilai masu haɗari
Cutar sukari tana da karancin shekarun rayuwa saboda yawan glucose din jini a koyaushe. Wannan yanayin ana kiranta hyperglycemia, wanda ke da tasirin kai tsaye akan samuwar filayen atherosclerotic. Na ƙarshen kunkuntar ko toshe ƙwayar tasoshin, wanda ke haifar da ischemia na ƙwayar zuciya.
Yawancin likitocin sun gamsu da cewa yawan sukari mai yawa yana tsoratar da cututtukan ƙwayar cuta - wani yanki na tara yawan ƙwayoyi. Sakamakon wannan, ganuwar tasoshin suna zama cikakke kuma fasalin filaye.
Hyperglycemia kuma yana ba da gudummawa ga kunna damuwa na damuwa na oxidative da kuma haifar da tsattsauran ra'ayi, waɗanda kuma suna da mummunar tasiri a cikin endothelium.
Bayan jerin karatuttukan, an kafa dangantaka tsakanin yiwuwar kamuwa da cututtukan zuciya a cikin ciwon suga da kuma haɓaka hawan jini. Saboda haka, idan HbA1c ya karu da 1%, to, haɗarin ischemia yana ƙaruwa da 10%.
Ciwon sukari da cututtukan zuciya da jijiyoyin jini za su zama tsinkaye iri iri idan mai cutar ya bayyana ga dalilai masu illa:
- kiba
- idan daya daga cikin dangin mai cutar siga ta kamu da ciwon zuciya;
- yawanci hauhawar jini;
- shan taba;
- shan giya;
- gaban cholesterol da triglycerides a cikin jini.
Wadanne cututtukan zuciya zasu iya zama rikicewar ciwon sukari?
Mafi sau da yawa, tare da hyperglycemia, cututtukan cututtukan zuciya masu tasowa. Cutar ta bayyana lokacin da myocardium malfunctions a cikin marasa lafiya da ke fama da raunin kamuwa da cuta.
Sau da yawa cutar kusan asymptomatic. Amma wani lokacin mai haƙuri yana dame shi da jin zafi da ciwon bugun zuciya (tachycardia, bradycardia).
A lokaci guda, babban sashin jiki yana dakatar da yin famfo jini da ayyuka a cikin yanayi mai tsauri, saboda girman sa yana ƙaruwa. Sabili da haka, ana kiran wannan yanayin mai ciwon sukari. Ana iya bayyanar da ƙwaƙwalwar ƙwaƙwalwa a cikin balaguro ta hanyar yawo mai zafi, kumburi, gajeriyar numfashi da kuma rashin jinƙai wanda ke faruwa bayan motsa jiki.
Cututtukan zuciya na zuciya tare da ciwon sukari suna haɓaka sau 3-5 sau da yawa fiye da mutane masu lafiya. Abin lura ne cewa hadarin kamuwa da cutar bugun zuciya baya ta'allaƙa da tsananin cutar, amma akan tsawon sa.
Ischemia a cikin masu ciwon sukari sau da yawa yakan gudana ba tare da alamun bayyanar ba, wanda hakan yakan haifar da ci gaba da rauni a cikin zuciya. Bugu da ƙari, cutar ta ci gaba a cikin raƙuman ruwa, lokacin da aka maye gurbin mummunan hare-hare ta hanyar hanya.
Abubuwan da ke tattare da cututtukan cututtukan zuciya shine cewa bayan basur a cikin myocardium, a kan asalin cututtukan ƙwayar cuta na zuciya, cututtukan zuciya, gazawar zuciya da lalacewar jijiyoyin jini suna fara haɓaka da sauri. Hoton asibiti na ischemia a cikin masu ciwon sukari:
- karancin numfashi
- arrhythmia;
- wahalar numfashi
- matsananciyar damuwa a cikin zuciya;
- damuwa da ke tattare da tsoron mutuwa.
Haɗin ischemia tare da ciwon sukari na iya haifar da haɓaka infarction na zuciya. Haka kuma, wannan rikitarwa yana da wasu fasalulluka, kamar bugun bugun zuciya, huhun ciki, zafin zuciya da ke haskakawa ga wuyan kwalaji, wuya, jaƙa ko kuma kafada. Wani lokacin mara lafiya yana jin ciwo mai zafi a cikin kirji, tashin zuciya da amai.
Abin baƙin ciki, yawancin marasa lafiya suna da bugun zuciya saboda ba su ma san da ciwon sukari ba. A halin yanzu, haɗuwa da hauhawar cututtukan cuta yana haifar da rikitarwa mai haɗari.
A cikin masu ciwon sukari, da yiwuwar ci gaban angina pectoris ya ninka biyu. Manyan bayyanannunsa sune bayyanar mutum, zazzabin cizon sauro, gumi, da kuma matsi
Angina pectoris, wanda ya tashi daga tushen ciwon sukari, yana da halaye na kansa. Don haka, cigabanta baya tasiri da tsananin cutar, amma da tsawon lokacin ciwon zuciya. Bugu da ƙari, a cikin marasa lafiya da sukari mai yawa, ƙarancin wadataccen jini ga myocardium yana haɓaka da sauri fiye da lafiyar mutane.
A cikin masu ciwon sukari da yawa, alamun angina pectoris suna da laushi ko kuma ba su nan gaba ɗaya. Haka kuma, yawanci suna da matsala a cikin bugun zuciya, wanda yawanci yakan ƙare da mutuwa.
Wani sakamakon cutar ciwon sukari na 2 shine rashin karfin zuciya, wanda, kamar sauran rikicewar zuciya wanda ya taso daga hauhawar jini, yana da takamaiman bayani. Don haka, gazawar zuciya tare da yawan sukari sau da yawa yana tasowa a farkon haihuwa, musamman ma a cikin maza. Alamomin halayyar cutar sun hada da:
- kumburi da kyawun wata gabar jiki;
- yawaita zuciya a girma;
- urination akai-akai
- gajiya;
- haɓaka cikin nauyin jiki, wanda aka bayyana shi ta hanyar riƙe riƙe ruwa a cikin jiki;
- Dizziness
- karancin numfashi
- tari.
Ciwon sukari mai dauke da ciwon suga shima yana haifar da cin zarafin bugun zuciya. Pathology yana faruwa ne sakamakon rashin aiki a cikin hanyoyin haɓaka, wanda tsokanar insulin ta tsokane shi, wanda ke kawo cikas ga sashin glucose ta hanyar ƙwayar myocardial. Sakamakon haka, oxidized mai mai yawa ya tara a cikin ƙwayar zuciya.
Hanyar dystrophy na myocardial yana haifar da bayyanar da hankali na rikicewar tashin hankali, damuwa arrhythmias, extrasystoles ko parasystoles. Hakanan, microangiopathy a cikin ciwon sukari yana ba da gudummawa ga shan kashi na ƙananan tasoshin da ke ciyar da myocardium.
Sinus tachycardia yana faruwa tare da juyayi ko ƙwayar jiki. Bayan haka, aikin zuciya mai sauri yana da mahimmanci don samar da jiki tare da abubuwan gina jiki da oxygen. Amma idan sukari na jini ya hauhawa koyaushe, to lallai zuciyar tana yin aiki ne cikin yanayin habaka.
Koyaya, a cikin masu ciwon sukari, myocardium ba zai iya yin kwanciyar hankali da sauri ba. Sakamakon haka, oxygen da abubuwan gina jiki ba su shiga cikin zuciya, wanda yawanci yakan haifar da bugun zuciya da mutuwa.
Tare da ciwon sukari mai ciwon sukari, bambancin yawan zuciya na iya haɓaka. Don irin wannan halin, arrhythmia yana faruwa ne saboda canji a cikin juriya na tsarin jijiyoyin mahaifa, wanda NS dole ne ya sarrafa.
Wani rikicewar ciwon sukari shine maganin orthostatic hypotension. Ana nuna su da raguwa a cikin karfin jini. Alamar hauhawar jini shine tsananin farin ciki, zazzabi, da rauni. Ana kuma nuna masa rauni ta farkawa bayan farkawarta da ciwon kai na kullum.
Tun da tare da ƙarancin karuwa a cikin sukari na jini akwai matsaloli masu yawa, yana da mahimmanci a san yadda za a ƙarfafa zuciya a cikin ciwon sukari da kuma wane magani za a zaɓa idan cutar ta riga ta inganta.
Magungunan ƙwayar cuta na cututtukan zuciya a cikin masu ciwon sukari
Tushen magani shine don hana haɓakar mummunan sakamako kuma dakatar da ci gaba na rikice-rikice masu gudana. Don yin wannan, yana da mahimmanci don al'ada glycemia na azumi, sarrafa matakan sukari da hana shi tashi ko da awanni 2 bayan cin abinci.
Don wannan dalili, tare da nau'in ciwon sukari na 2, an tsara jami'ai daga ƙungiyar biguanide. Waɗannan su ne Metformin da Siofor.
Tasirin Metformin an ƙaddara shi ta ikonsa na hana gluconeogenesis, kunna glycolysis, wanda ke inganta ɓoyewar ƙwayar pyruvate da lactate a cikin ƙwayar tsoka da ƙashin mai. Hakanan, kwayar tana hana haɓaka tsokoki na laushi na ganuwar jijiyoyin jiki kuma suna amfanuwa da zuciya.
Satin farko shine 100 MG kowace rana. Koyaya, akwai abubuwa da yawa na contraindications don ɗaukar maganin, musamman don yin hankali ga waɗanda ke da lalacewar hanta.
Hakanan, tare da nau'in ciwon sukari na 2, Siofor galibi ana wajabta shi, wanda yake da tasiri musamman lokacin da abinci da motsa jiki basa taimakawa rage nauyi. An zaɓi kashi na yau da kullun daban-daban dangane da taro na glucose.
Don Siofor ta yi tasiri, adadinta yana ficewa koyaushe - daga allunan 1 zuwa 3. Amma matsakaicin adadin maganin bai kamata ya wuce gram uku ba.
Siofor yana contraindicated idan akwai wani insulin-dogara type 1 ciwon sukari, myocardial infarction, ciki, gazawar zuciya da kuma mummunan huhu cututtuka. Hakanan, ba a shan magani idan hanta, kodan kuma a cikin yanayin ciwon sukari ba aiki sosai. Kari akan haka, Siofor bai kamata ya bugu ba idan an kula da yara ko marasa lafiya fiye da 65.
Don kawar da angina pectoris, ischemia, don hana haɓakar infarction na zuciya da sauran rikice-rikicewar zuciya da ke tasowa daga ciwon sukari, ya zama dole a dauki rukunoni daban-daban na kwayoyi:
- Magungunan rigakafi.
- ARBs - hana hauhawar jini na jini.
- Beta-blockers - daidaita al'ada zuciya da kuma daidaita jini saukar jini.
- Diuretics - rage kumburi.
- Nitrates - dakatar da bugun zuciya.
- ACE inhibitors - suna da tasirin ƙarfafa gaba ɗaya akan zuciya;
- Anticoagulants - sa jini ya rage yawan viscous.
- Glycosides an nuna shi don edema da firamil na atrial.
Asingara da yawa, tare da nau'in ciwon sukari na 2, tare da matsalolin zuciya, likitan halartar likita ya ba da izinin Dibicor. Yana kunna tafiyar matakai na rayuwa a kyallen takarda, yana samar dasu da makamashi.
Dibicor yana da tasiri ga hanta, zuciya da jijiyoyin jini. Bugu da ƙari, bayan kwanaki 14 daga farkon maganin, akwai raguwa a cikin yawan sukarin jini.
Jiyya tare da raunin zuciya ya ƙunshi shan Allunan (250-500 mg) 2 p. kowace rana. Haka kuma, ana shawarar Dibikor a sha a cikin minti 20. kafin cin abinci. Matsakaicin adadin maganin yau da kullun shine 3000 MG.
Dibicor yana contraindicated a cikin yaro a lokacin daukar ciki, lactation kuma idan akwai taurine rashin haƙuri. Bugu da ƙari, Dibicor ba za a iya ɗauka tare da glycosides cardiac da BKK ba.
Jiyya na tiyata
Yawancin masu ciwon sukari suna kula da yadda ake bi da raunin zuciya tare da tiyata. Ana yin magani mai tsayi lokacin da ƙarfafa tsarin zuciya da taimakon magunguna bai kawo sakamakon da ake so ba. Alamu ga hanyoyin tiyata sune:
- canje-canje a cikin katin zuciya;
- idan yankin kirji yana da ciwo koyaushe;
- kumburi
- arrhythmia;
- shakku kan bugun zuciya;
- ci gaban angina pectoris.
Yin tiyata saboda raunin zuciya ya hada da jijiyar jiki. Tare da taimakonsa, ragewar hanyoyin jijiya, wanda ke haɓaka zuciya, an cire shi. Yayin aikin, ana saka catheter a cikin artery, wanda za'a kawo balloon zuwa yankin matsalar.
Yawancin abin da ake kira Aortocoronary stenting ana yin sa yayin da aka shigar da tsarin raga a cikin jijiya wanda ke hana samuwar ƙwayoyin cholesterol. Kuma tare da jijiyoyin zuciya jijiya marasa lafiya ƙirƙirar ƙarin yanayi don gudanawar jini kyauta, wanda ke rage haɗarin sake dawowa.
Game da ciwon sukari mai ciwon sukari, tiyata mai jiyya tare da fashewar na'urar bugun zuciya yana nuna. Wannan na'urar tana ɗaukar kowane canje-canje a cikin zuciya kuma tana gyara su kai tsaye, wanda ke rage yiwuwar arrhythmias.
Koyaya, kafin aiwatar da waɗannan ayyukan, yana da mahimmanci ba kawai don daidaita yawan haɗuwar glucose ba, har ma don rama ciwon sukari. Tun da ko da karamin saƙo (alal misali, buɗe ƙurji, cire ƙusa), wanda aka gudanar a cikin lura da mutane masu lafiya a kan aikin marasa lafiya, a cikin masu ciwon sukari ana yin su a cikin asibitin tiyata.
Haka kuma, kafin a sami sahihancin aikin tiyata, ana tura marasa lafiya masu dauke da cutar sikila zuwa insulin. A wannan yanayin, an nuna gabatarwar insulin mai sauƙi (3-5 allurai). Kuma yayin rana yana da mahimmanci don sarrafa glycosuria da sukari na jini.
Tunda cututtukan zuciya da ciwon sukari sun kasance jigogi masu jituwa, mutanen da ke da glycemia suna buƙatar saka idanu akai-akai game da aiki na tsarin zuciya. Hakanan yana da mahimmanci a sarrafa nawa sukari na jini ya karu, saboda tare da tsananin hyperglycemia, bugun zuciya na iya faruwa, wanda ke kaiwa ga mutuwa.
A cikin bidiyo a cikin wannan labarin, an ci gaba da batun cututtukan zuciya a cikin ciwon sukari.
