Ba haka ba da daɗewa, an yi imani cewa marasa lafiya da keɓaɓɓiyar diabetologist galibi suna fuskantar gwajin cutar cututtukan zuciya, amma a yau likitocin kwalliya sun ce hoton asibiti yana canzawa: rikice-rikice masu ciwon sukari kamar gawar zuciya da kuma ƙarancin ƙwayar cuta atonia sun zo kan gaba.
Cututtukan cututtukan zuciya sune ke yanke hukunci idan ana maganar tsinkayar rayuwar mutane masu ciwon sukari. Dangane da kididdigar da masana kimiyya na kasar Jamus suka ambata, maza masu dauke da cutar sankara na da ninki biyu na ninka hadarin kamuwa da irin wadannan cututtukan, kuma ya ninka har sau 6 a cikin mata. Haka kuma, cututtukan jijiyoyin jiki wanda ke faruwa a cikin marasa lafiya da nau'in 1 da nau'in ciwon sukari na 2 iri daya ne.
Baya ga kyawawan lambobin da aka ambata a sama, akwai wani muhimmin batun da Farfesa Diethelm Chöpe na Cibiyar Cardio-Diabetology na Jami'ar Ruhr da ke Bochum (Jamus) ya yi kira da a yi la’akari. A cikin rahotonsa ga Diungiyar Ciwon Ciwon da ke Jamusawa, ya tunatar da cewa ko da an daidaita madaidaiciyar haemoglobin daidai, ƙara haɗarin zai iya ci gaba. Sabili da haka, muna bada shawara cewa ku saurari ra'ayin ƙwararren namu, wanda ya tsara jadawalin jadawalin ziyarar zuwa ga ƙwararrun likitoci, wanda yakamata a bi shi nan da nan bayan kamuwa da cutar sankarar bargo.
Dalilin yawaitar cututtukan zuciya a cikin marasa lafiya da masu ciwon sukari shine sake fasalin tsarin zuciya. Wannan canjin ya faru ne sakamakon rashin daidaituwa a cikin bukatun kuzarin jiki da wadatar samar da makamashi. Yana sanya zuciya cikin rauni, alal misali, a cikin cututtukan zuciya na zuciya (CHD). Ko yaya, hakan kawai cin zarafin zubar da jini ne zuwa ga myocardium. A yau, gazawar zuciya da jijiyoyin zuciya, wanda ke kara hadarin bugun zuciya, ya zuwa gaba. Abubuwan Pathophysiological suna kara haɗarin mutuwar kwatsam.
4 lamuran lalacewa
Farfesa Chope ya bambanta nau'ikan yanayin lalacewa:
- karancin karfin zuciya,
- jari na mai amsawa metabolites da kuma tsarin canje-canje,
- cardiac autonomic neuropathy,
- iyakance hemodynamics.
Lallai, tare da hyperglycemia, akwai matsanancin ƙarfi na substrate (tuno, babban maɓallin makamashi don myocardiocytes shine mai tsaka tsaki da mai mai, suna da alhakin kashi 70% na samar da makamashi. ) Ko ta yaya, zuciya ba zata iya amfani da ita ba.
Hakanan akwai tarin abubuwa masu yawa na yawan maganin kiba da glucose, wanda ke dagula yanayin kuzarin zuciya. Abubuwan da ke haifar da kumburi suna haifar da sabuntawar fibrotic tare da canje-canje a cikin sunadarai, tarawar samfuran samfuran glycolysis, jigilar kayayyaki na substrate da amfani mara amfani.
Coronarosclerosis (lalacewa da jijiyoyin zuciya da jijiyoyin zuciya) yana haifar da karancin iskar oxygen, wanda ke kara kuzarin kuzarin kuzari. Hakanan lalacewar tsarin juyayi na zuciya yana lalata, sakamakon wannan lalacewa shine rikice-rikice da kuma canji a cikin tsinkaye na cututtukan zuciya. Kuma a ƙarshe, canji a cikin tsarin zuciya yana rage halayensa na hemodynamic (muna magana ne game da matsin lamba a cikin tsarin zuciya, hawan jini, ƙanƙancewa na hagu, da sauransu).
Idan kololuwar glucose ta faru, zasu iya ba da gudummawa ga ƙwanƙwasa jini kuma a ƙarshe haifar da bugun zuciya. "Haɗuwa tare da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta yana bayanin mummunan yanayin aikin ischemic na myocardium," in ji kardiologie.org. A takaice dai, tsinkayar mai haƙuri tare da ciwon sukari tare da ciwon zuciya ya fi muni ta tsohuwa fiye da sauran marasa lafiya.
Halin yana da rikitarwa sosai idan mutum ya rigaya yana da rauni a zuciya: har zuwa kashi 80 na waɗannan marasa lafiya waɗanda suka ƙetare ƙofar bikin cika shekaru 65 suna mutuwa cikin shekaru uku.
Idan ɓarin jini na ventricle na hagu ya ragu da kashi 35%, to akwai haɗarin mutuwa kwatsam daga kamuwa da zuciya - a cikin marasa lafiya da masu ciwon sukari ya fi yadda yake cikin marasa lafiya ba tare da wannan cutar ba, koda kuwa ƙarshen yana da irin waɗannan matsalolin tare da ƙaddamarwar ƙwayar jini.
Kuma a ƙarshe, ciwon sukari yana da alaƙa da alaƙa da firamillation na atonia (wanda kuma ake kira atrial fibrillation). Karatun da aka yi kwanan nan ya nuna alaƙar tazara tsakanin matakin gemoclobin glycated da haɗarin haɓakar ƙwayoyin tsoka.
Tabbas, sarrafa matakin sukari shine ɗayan abubuwan yanke hukunci a cikin tsinkaye, kuma ba wai kawai gaskiyar maganin kansa ba, har ma da zaɓin magunguna yana da mahimmanci. Masana sun yi imanin cewa Metformin yana rage haɗarin bugun jini a cikin mutane masu ciwon sukari.
