Cutar sankara (mellitus) cuta ce da ke nuna mutum ta ƙaruwa a cikin glucose na jini. Yanayi mai kama da haka yana ba da gudummawa ga tarawar cholesterol a jikin bangon jijiyoyin jiki, yana rage karfinsu.
Cutar atherosclerotic vascular shine dalilin ci gaban cututtukan zuciya da cututtukan da ke hade da shi: arrhythmia, angina pectoris da infarction myocardial (MI).
A wannan yanayin, abun da ke ciki ya canza jini, yawan sa da danko zai karu. A duk tushen wannan cuta, infarction na tazara na ta ta haifar da matsala mafi girma.
Thrombosis yana hana hawan jini na yau da kullun, samarda jini zuwa tsoka zuciya yana damuwa. Duk wannan yana da nasaba da haɓakar shafin ƙwaƙwalwar ƙwayoyinta. Wannan bugun zuciya ne.
Sanadin cutar sankara
Kwayoyin cutar Cardiac da ke da alaƙa da ciwon sukari mellitus ana kiransu "zuciyar masu ciwon suga" ta likitoci. Jiki yana ƙaruwa cikin girma, alamun bayyanar ci gaban zuciya.
Ana nuna masu cutar siga ta hanyar hauka ko hawan jini. Wannan shine ƙarin haɗarin cutar aortic aneurysm.
Ga marasa lafiya da suka riga suka kamu da ciwon zuciya, haɗarin sake dawo da cutar yana da girma ƙwarai. Sakamakon rikice-rikice na mayocardial, halayyar haɓakar haɓakar bugun zuciya.
Sakamakon cewa tare da haɓaka matakin glucose, ana rage yawan hanyoyin tafiyar da rayuwa, da yiwuwar wuce gona da iri a cikin zuciya yana ƙaruwa har sau huɗu.
Abubuwan haɗari
Toari kan cutar hawan jini, haɗarin na farko da maimaita yawan faɗuwar myocardial infarction yana ƙaruwa da waɗannan abubuwan:
- gado (kasancewar IHD a cikin dangi na kusa: a cikin mata yan kasa da shekara 55 da kuma a cikin maza yan kasa da 65);
- shan taba. Yana ba da gudummawa ga saurin lalata ganuwar jijiyoyin bugun gini;
- ya karu ko kuma, yayi magana, saukar karfin jini. Juyayawar ƙananan zuwa matsin lamba yana da haɗari musamman;
- low HDL ("mai kyau" cholesterol) yana haifar da lalata zuciya da jijiyoyin bugun jini;
- kiba. Auna zagaye na kugu tare da tef na santimita na dinki na al'ada. Idan sakamakon ma'aunin ya wuce 1000 mm ga maza da 900 mm ga mata, wannan yana nuna farkon aiwatar da kiba. Rashin haɗarin jijiyoyin bugun jini daga makarar jini da kuma filayen cholesterol yana ƙaruwa sosai /
Kwayar cutar
Hoto na hanyar lalacewa na ciki, wanda aka haɗu da ciwon sukari, yana da halaye na kansa. Kamar yadda aka riga aka ambata, MI a cikin masu ciwon sukari yana da wahala, yana rikitarwa ta hanyar raunana ayyukan zuciya, har zuwa cikakken kamewa. Haɗuwa da hauhawar jini tare da ƙwayar jijiyar myocardial yana haifar da ɓacin zuciya, fashewar fashewar ƙwayar zuciya.
Don tsananin lalacewa na ƙwayar cuta, waɗannan siffofin suna da halayyar:
- mai raɗaɗi, tare da tsawan lokaci na jin zafi a bayan sternum;
- ciki, tare da alamun wani "m ciki";
- ɓoye ("bebe", mara jin zafi);
- arrhythmic, tare da bayyanar cututtuka na arrhythmia da tachycardia;
- maƙarƙashiya, tare da paresis, gurguwa, rashin lalacewa.
Tsawon lokacin haihuwar shine makonni 1-1.5. Akwai raguwa a cikin karfin jini, haɓaka yawan zafin jiki.
A cikin lokacin m, irin wannan yanayin mai haɗari na iya faruwa:
- huhun ciki;
- dakatar da tacewar hepatic;
- bugun zuciya.
Rashin lafiyar zuciya
CHF shine farkon rikicewar rikicewar cuta na mama. Yana tare da irin waɗannan bayyanar:
- saurin gajiyawa;
- lokaci mai zafi a cikin zuciya;
- kumburi kafafu;
- Matsalar numfashi
- hawan jini, tari;
- bugun bugun zuciya;
- jin zafi a madaidaiciyar hypochondrium.
Sau da yawa, mutum baya tunanin ko masifa ta riga ta faru a jikin, kuma yaci gaba da rayuwa kamar babu abinda ya faru. Wannan shi ne haɗarin abin da ake kira bugun zuciya.
Yawancin marasa lafiya na bugun zuciya sun yi imani da kuskure cewa sun “tsere da tsoro” kuma cewa sun warke cikin sauri. Amma da zaran jini ya “tashi”, tsoka sai zuciyar ta fara “zazzagewa a kogunan”.
Binciko
Akwai sharuɗɗa na asali guda uku waɗanda ana gane cutar ta:
- bayyanar mara lafiya, koke-kokensa;
- bayanan da aka samo daga gwajin jini;
- bayanin da aka samo daga sakamakon ECG.
A cikin kusan 25% na lokuta, ba a gano canje-canje a kan ECG ba. Amma cutar daga wannan ba ta zama mai haɗari sosai.
Sabili da haka, wasu dalilai guda biyu suna da mahimmanci a cikin ganewar asali. Idan ana tsammanin bugun zuciya, to mara lafiyan zai iya zuwa asibiti. Idan ya nace a kan zama a gida, to hadarin mutuwarsa a ranar farko ta cutar ya ninka da yawa.
A asibiti, ana amfani da hanyoyin bincike masu zuwa:
- nazarin halittu;
- X-ray bayyanar cututtuka. Hanyar sabuwar hanya ta gwajin x-ray shine angiography. Yin amfani da matsakaiciyar matsakaici yana ba ka damar gano wuraren jijiyoyin jini tare da iyakantaccen tsari saboda ƙarancin atherosclerotic plats da ƙwaƙwalwar jini;
- lissafin tomography, MRI. Bayanin da aka samu yana ba ka damar tantance yanayin yadda zuciyar take daidai.
Magungunan magani
Maganin bugun zuciya ba aiki bane mai sauki. Idan "bouquet" shima yana da ciwon sukari, lura yakan zama mafi wahala. Dangane da tasiri, warkarwa na al'ada na thrombolytic yana ƙasa da irin waɗannan hanyoyin sababbin abubuwa kamar bugun bugun jini da angioplasty.
Coronary Angioplasty
Kyakkyawan sakamako shine haɗakar magani da maganin shiga tsakani. Sake fassarar tasoshin jijiyoyin jini, wanda aka gudanar a farkon rabin rana daga farkon cutar, yana rage yiwuwar rikitarwa.
Yana da kyau a yi amfani da hanyoyin motsa jiki, tunda ciwon sukari yana da alaƙa da cutar cuta na rayuwa. Wani muhimmin al'amari a farji shine daidaitawa da kwantar da sukari na jini.
Don lura da marasa lafiya da cututtukan zuciya, ana amfani da rukuni na gaba na ƙwayoyi:
- magunguna da ke nufin rage ƙwayar jini cholesterol;
- thrombolytic, magungunan anticoagulant;
- masu maganin tashin zuciya;
- magunguna tare da tasirin antiarrhythmic;
- masu hana beta.
Matakan hanawa
Yarda da wani hadadden matakai na rigakafi zai rage yiwuwar cututtukan zuciya:
- kulawar cholesterol jini;
- shawarwari na yau da kullun tare da likitan zuciya da endocrinologist;
- sarrafawar glucose na jini. Don yin wannan, yana da kyau a sayi glucometer;
- cikakken ƙin shan giya da shan sigari;
- ingantaccen abinci mai gina jiki. Kalmar "abinci" a nan ba daidai bane. Abincin da ya dace ya kamata ya zama wani ɓangare na rayuwar;
- shan magunguna wanda likita ya umarta;
- sarrafa karfin jini;
- inganta yanayin bacci da hutawa;
- matsakaiciyar motsa jiki, an yarda da ƙwararrun masani;
- tallafawa magani mai guba.
Abincin bayan bugun zuciya da cutar sankara
A cikin mako na farko da rabi daga farkon cutar, an nuna rage abincin abinci:
- mashed kayan marmari kayan yaji (amma ban da dankalin turawa soups);
- hatsi: dafaffen buckwheat, oatmeal;
- tururi ko dafaffen kifi;
- daga kayan kiwo - yogurt, cuku mai ƙarancin mai, kefir;
- naman da aka dafa da katako;
- tururi na omelet daga sunadarai.
A hankali, ana iya fadada jerin jita-jita. Koyaya, ya wajaba a nisanci irin waɗannan samfuran:
- farin gari, kayayyakin da ke ciki;
- hatsi: shinkafa, semolina;
- soyayyen abinci, mai abinci;
- babban kayan kiwo;
- kyafaffen, gwangwani, kayan girki.
Mahimmanci mahimmanci shine bin umarnin tsarin sha. Matsakaicin adadin ruwa yayin rana shine lita 1.
Bidiyo masu alaƙa
Game da cututtukan zuciya da na jijiyoyin zuciya da sikila na ciwon suga a cikin bidiyon:
Tsawon lokacin jiyya da murmurewa daga bugun zuciya a masu ciwon suga ya dogara ne da yanayin vasculature da yadda lalata ƙwaƙwalwar zuciya ke lalacewa. Jiyya ya fi rikitarwa kuma tsawanta da ciwon suga na labile, hawan jini, da lalacewar koda.
