Hauhawar jini a cikin marasa lafiya da ciwon sukari mellitus: fasali na hanya na cututtuka da magani

Hadaddun canje-canje a cikin maganganun maganganun cuta suna mummunar tasiri kan rayuwar rayuwar kowane mai haƙuri.

Hauhawar jini a cikin ciwon sukari ya zama sanadi na dagula matsalolin cuta.

Abubuwan lura na asibiti sun nuna cewa a cikin marasa lafiya tare da raunin insulin na kusa ko na dangi, sau da yawa ƙara yawan karfin jini ya zama babban haɗarin haɗari ga rikicewar kwakwalwa.

Sanadin karuwar hawan jini a cikin cututtukan da suka dogara da insulin

Ba tare da insulin, ana amfani da glucose ta tsoka, tsotse nama da hepatocytes. A cikin ciwon sukari da ke fama da nau'in I cuta, wani ɓangaren sel wanda ke da alhakin samar da wannan hormone ya shafa.

Abubuwan da aka adana na endocrine na pancreas ba su iya rufe duk bukatun insulin. Saboda haka, jiki yana ɗaukar wani guntun sashi na haɗin jiki da karɓar glucose daga abinci.

Yawan wuce kima na cikin jiki. Wani ɓangare na glucose yana ɗaure zuwa ƙwayoyin plasma, haemoglobin, wani gwargwado an fallasa shi a cikin fitsari.

Don abinci mai gina jiki, abubuwan ajiyar kaya, fats, amino acid an fara amfani dasu. Abubuwa na ƙarshe na lalacewa na kayan abinci masu mahimmanci suna haifar da canji a cikin tsarin jini. A matakin kodan, gurbatar da abubuwa ya rikice, membrane na dunƙule ya yi kauri, kwararar jinsi na haɓaka, da kuma nunawa nephropathy. Wannan yanayin ya zama juzu'i don haɗawa da 2 irin wannan cututtuka irin su ciwon sukari na mellitus da hauhawar jini.

Ragewar gudanawar jini a cikin kodan yana haifar da karuwar aiki na tsarin renin-angiotensin-aldosterone (RAAS).

Wannan hadaddun yana ba da gudummawa ga haɓaka kai tsaye a cikin sautin arterioles da haɓakawa ga mayar da martani ga ƙwarin gwiwar autonomic.

Tare da canje-canje na ƙwayar cuta, muhimmiyar rawa a cikin pathogenesis na hawan jini yana wasa ta hanyar jinkiri a cikin jikin sodium yayin ƙirar plasma ta kodan da hyperglycemia. Wani adadin gishiri da glucose yana ɗaukar ruwa a cikin jijiyoyin jijiyoyin bugun gini da na cikin jijiyoyin jiki, wanda hakan yana ba da hawan jini sakamakon ɓangaren ƙwayar (hypervolemia).

Tashi a cikin karfin jini tare da rashi irin kwayoyi

Babban bambancin tare da wannan haɗakar yanayi shine haɗin gwiwa na bayyanuwar cututtuka. Akwai lokuta da yawa yayin da hauhawar jini ta zama mai cutar sikila ta rashin lafiyar insulin-da ke fama da cutar kansa.

Tare da raunin insulin na dangi, wani yanayi ya taso lokacin da farji ya samar da adadin wannan kwayar ta zama dole domin rufe bukatun. Koyaya, wasu ƙwayoyin niyya sun rasa hankalinsu game da ƙarshen.

Matsayin glucose na mai haƙuri ya tashi kuma insulin ya zagaya, wanda ke da abubuwa da dama:

• hormone yana shafar tsarin kansa, yana inganta ayyukan haɗin haɗin gwiwa;
• yana haifar da dawowar ions sodium ion a cikin kodan (reabsorption);
• yana haifar da ɗaukar tsohuwar ganuwar arterioles saboda yaduwar ƙwayoyin tsoka mai santsi.

Siffofin bayyanar asibiti

A bango na alamomin alamun cutar sankarau ta hanyar yawan fitsari, shaye shaye, ƙishirwa, farin ciki, ciwon kai, bayyanar kwari da tabo a gaban idanun.

Wani fasali na rarrabuwar cuta shine haɓakar haɓakar jini da daddare, haɓakar orthostatic hypotension da bayyananniyar haɗi tare da amfani da abinci mai gishiri sosai.

Wadanda ba Balarabe da Masu Layi na Dare ba

A cikin marasa lafiya tare da aikin ilimin halittar jiki na tsarin kansa, yawan canzawar yau da kullun a cikin karfin jini yana cikin kewayon 10-20%.

A wannan yanayin, ana yin rikodin ƙimar matsin lamba yayin rana, da ƙaramin matakin - da dare.

A cikin masu ciwon sukari tare da kwayar cutar kansa ta hanji, za'ayi amfani da jijiyoyin farji yayin babban bacci.

Don haka, babu raguwa na al'ada a cikin karfin jini a cikin dare (marasa lafiya ba 'yan ci-rani bane) ko kuma, akasin haka, akwai mummunar amsa tare da karuwar alamu na matsa lamba (na masu neman dare).

Ciwon sukari mellitus da hauhawar jini

Lalacewa ga hanyoyin haɗin kai tsaye na tsarin jijiyoyin kai a cikin masu ciwon sukari yana haifar da cin zarafin bangon jijiyoyin bugun jini.

Lokacin tashi daga gado daga matsayi na kwance a cikin marasa lafiya da ke fama da ciwon sukari, ana lura da raguwa mai yawa a cikin karfin jini sakamakon rashin isasshen sautin arterioles saboda lalacewar autonomic.

Marasa lafiya da aka lura a lokacin irin waɗannan lokutan wahala, duhu a idanu, rauni mai kaifi har zuwa rawar jiki a cikin wata gabar jiki da suma.

Jihar hadari

Rashin daidaituwa a cikin batun hauhawar jini da ciwon sukari mellitus (DM) tare da hanyar da ba a sarrafa shi ba game da cututtukan ƙwayar cuta yana ɗaukar manyan haɗari na haɓakar haɓakar kwakwalwa.

Damagearfin ƙwayoyin cuta da yawa a bango na jijiya, sun canza abubuwan da ke tattare da kwayoyin halitta na jini, hypoxia na nama, da kuma raguwar kwararawar jini yana haifar da gaskiyar cewa ƙwaƙwalwar kwakwalwa ta sha ischemia.

Marasa lafiya suna da damar da ba ta dace ba na ciwan bugun jini da basur a cikin subarachnoid sarari.

Bayyanar cututtuka da magani

Valuesididdigar ƙimar fiye da 140/90 mm RT. Art., Wanda aka yi rikodi a lokuta daban-daban, yana ba ku damar yin nazarin yanayin hauhawar jini.

Ari ga haka, don tabbatar da canji na rikicewa a cikin yanayin bugun jini, ana gudanar da aikin Holter.

Babban burin aikin jiyya shine cimma nasara game da Pathology. Likitocin sun adana karfin jini da kasa da 130/80 mm Hg. Art. Yana da mahimmanci a la'akari da cewa ana amfani da jikin mai haƙuri zuwa wasu canje-canje na hemodynamic. Rashin nasara na ƙimar abubuwan ƙima yana zama babban damuwa.

Tushen magani shine abinci

An ba da haƙuri ga masu amfani da abinci mai gishiri.

Idan mutane masu lafiya suna buƙatar iyakance abuncin gishirin zuwa 5 g a rana, to, marasa lafiya masu ciwon sukari suna buƙatar rage wannan adadin sau 2.

Don haka, an haramta shi sosai don ƙara abinci, kuma a cikin shirye-shiryen abinci kai tsaye zuwa matsakaicin don guje wa amfani da wannan kayan ƙanshi.

Hypersensitivity na sodium yana haifar da iyakance gishirin a cikin masu ciwon sukari zuwa 2.5-3 g kowace rana.

Ragowar menu zai dace da tebur mai lamba 9. An dafa abinci a cikin tanda, steamed, Boiled. Iyakance kitsen kuma, in ya yiwu, ki yarda da abubuwan carbohydrates masu sauƙi. Soyayyen abinci, mai gasa mara Yawan abinci mai yawa yana zuwa sau 5-6 a rana. Makarantar masu ciwon sukari tayi bayani game da tsarin gurasar burodi, wanda a kan haka ne mai haƙuri da kansa yake tattara abincinsa.

Alkawarin likita

Matsalar zabar maganin cututtukan cututtukan cututtukan zuciya a cikin kowane mai haƙuri tare da ciwon sukari yana ƙaruwa da kasancewar cututtukan cututtukan cututtukan ƙwayar metabolism.

Daga cikin magungunan da aka zaba don magance hauhawar jini a cikin marasa lafiya da ciwon sukari, an zaɓi magunguna masu zuwa:

• mafi inganci tare da ƙananan sakamako masu illa;
• ba shafi metabolism-lipid metabolism;
• tare da nephroprotection da tasiri mai kyau akan myocardium.

Angiotensin-mai canza enzyme inhibitors (ACE inhibitors) da angiotensinogen II antagonists (ARA II) sun cika ka'idodi don amincin lafiyar mai cutar sukari. Amfanin masu inhibitors na ACE yana da tasirin gaske akan ƙwayar renal. Iyakantacce don amfani da wannan rukuni an haɗu da mahimmancin ƙwayoyin cutar koda.

ARA II da wakilan ACE inhibitors ana ɗaukarsu azaman kwayoyi ne na layin farko na jiyya don yanayin hauhawar jini a cikin masu ciwon sukari.

Haɗe-haɗe na sauran kwayoyi suna da amfani don magance hauhawar jini a cikin marasa lafiya da ciwon sukari. Magungunan da za a iya tsarawa an gabatar dasu a cikin tebur:

Bidiyo masu alaƙa

Nazarin magunguna don hauhawar jini da aka wajabta wa masu ciwon sukari:

Batun sarrafa marasa lafiya tare da hade da tsarin cuta da kuma rikitarwa hanya na ciwon sukari ya kasance dacewa ga fiye da ɗaruruwan dubban marasa lafiya. Kawai cikakkiyar hanya don kulawa, bin haƙuri, cin abinci, ƙin yarda daga barasa da taba, sarrafa glycemic da kuma cimma ƙayyadaddun dabi'u na hawan jini yana taimakawa wajen haifar da cutar mafi kyawun mai haƙuri da rage haɗarin matsalolin rikice-rikice na rayuwa.