Dokawar manyan jijiyoyin jini likitoci suna daukar su azaman atherosclerosis. A cikin mutanen da basu da cutar cututtukan fata na endocrinological, ana gano canje-canje na atherosclerotic ba tare da takamaiman bambance-bambance ba. Macroangiopathy a cikin ciwon sukari ya zama ruwan dare gama gari kuma yana tasowa shekaru da yawa a baya. Ta yaya za a gane alamun kawo haɗari? Shin akwai wata hanyar da za a iya guje ma ta? Yaya ake magance cutar jijiyoyin jiki?
Mahimmin asalin asalin matsalar rashin haƙuri
The korau, na dogon lokaci, sakamakon ciwon sukari a kan jiki bayyana kanta a cikin wani nau'i na in mun gwada da marigayi rikitarwa - angiopathy (lalacewar jini). Bayyanancin bayyanar cututtuka na cututtukan endocrinological sun haɗa da yanayin gaggawa tare da raguwa mai yawa a cikin sukari na jini (hypoglycemia) ko karuwa mai ci gaba (ketoacidosis), coma.
Jirgin jini yana shiga cikin jikin duka. Sakamakon bambancin da ake da shi a cikin kwalliyarsu (babba da karami), an rarraba macro- da microangiopathy. Ganuwar veins da capillaries suna da laushi da na bakin ciki, sunadaran glucose din ya shafe su daidai.
Shiga cikin jini, kwayoyin halitta suna samar da gubobi masu guba wadanda suke cutarwa ga sel da kyallen takarda. Canje-canje suna faruwa wanda ke haifar da damuwa a cikin aiki na gabobin al'ada. Da farko dai, macroangiopathy a cikin ciwon sukari yana shafar zuciya, kwakwalwa, kafafu; microangiopathy - kodan, idanu, ƙafa.
Baya ga sukari mai yawa, tasoshin jini suna lalata cholesterol da abubuwa da aka kirkira sakamakon shan sigari da kansa ko kuma mutane daga kusancinsa. Hanyoyin jini suna ciccire da filayen cholesterol. A cikin masu ciwon suga, tasoshin suna fuskantar buguwa biyu (glucose da cholesterol). Mai shan sigari yana fallasa kansa ga mummunan sakamako uku. Yana haɗarin samun cutar atherosclerosis, ƙasa da mutum mai ɗauke da cutar sankara.
Ana adana shi a jikin bangon jijiyoyin jiki, cholesterol ya fara rage jini
Hawan jini (BP) shima yana haifar da lalacewar ƙashin da ke cikin jirgin (aorta, veins). An samar da gibba tsakanin sel, ganuwar za ta zama cikakke, kuma an mayar da hankali ga nau'ikan kumburi. Baya ga filayen cholesterol, alamomi na fitowa akan bangon da abin ya shafa. Neoplasms na iya yin wani bangare kuma ko da gaba daya toshe shingen dake cikin jiragen. Akwai nau'in bugun jini na musamman - basur ko basur.
Ciwon mara macroangiopathy ko takaita manyan jiragen ruwa halayyar cuta ne na 2. A matsayinka na mai mulkin, mai haƙuri ya wuce shekara 40 kuma canje-canje na halitta a cikin tsarin jijiyoyin jiki suna mamaye rikicewar cututtukan ciwon sukari. Ba shi yiwuwa a juya hanyoyin gudanar da aiki a cikin kishiyar sabanin, amma ana iya dakatar da samuwar jijiyar wuya.
Halin wani abu wanda zai haifar da ci gaban nau'ikan cututtukan angiopathies bai bayyana sarai ba - yanayin tsinkayen kwayoyin halittar cututtukan zuciya ne.
Kwayar cutar macroangiopathy
Marasa lafiya tare da atherosclerosis suna tsufa fiye da shekarunsu, suna fama da kiba. Suna da sifofi masu launin rawaya a gwiwar hannu da lumana - adibas na cholesterol. A cikin marasa lafiya, bugun tsoka da jijiyoyin jiki suna rauni, zuwa cikakken rashi, jin zafi a cikin ƙwayoyin maraƙin ya bayyana lokacin tafiya da kuma bayan wani lokaci bayan tsayawa. Cutar tana tare da bayani mai ma'ana. Don yin cikakkiyar ganewar asali, ƙwararrun masana suna amfani da hanyar maganin ansar.
An bambanta matakai masu zuwa a cikin cigaban macro- da microangiopathy na ƙananan ƙarshen:
- daidaitacce;
- aikin;
- na halitta
- ulcerative necrotic;
- gangrenous.
Mataki na farko ana kiranta asymptomatic ko metabolic, tunda koda bisa ga bayanan gwaje gwajen aiki, ba'a gano ɓarna ba. Mataki na biyu yana da alamun bayyanar cututtuka na asibiti. A ƙarƙashin tasirin magani, rikice-rikice tare da shi har yanzu ana iya sakewa.
Tare da matakin kwayoyin da kuma canje-canje masu zuwa da suka gabata sun riga sun birgesu
Narrowuntatacciyar ƙwayar jini wanda ke kula da wani sashin jiki yana haifar da ischemia (anemia na gida). Irin waɗannan abubuwan mamaki ana lura da su a cikin ɓangaren zuciya. Matsalar ƙwayar jijiyoyin jiki wanda ke faruwa tana haifar da ciwon angina. Marasa lafiya suna lura da jin zafi a bayan kashin baya, rikicewar zuciya.
Kwatsam toshewar jirgin ruwa yana lalata abinci mai gina jiki. Tsiyon jijiyoyin jiki na faruwa (necrosis na gabobin gabobin) da infarction na zuciya. Mutanen da suka sha wahala daga gare ta suna fama da cututtukan zuciya. Kewaya tiyata zai iya inganta rayuwar rayuwar marasa lafiya da cututtukan jijiyoyin zuciya.
Atherosclerosis na ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa yana tare da dizzness, zafi, raunin ƙwaƙwalwa. Kwakwalwa tana faruwa lokacin da aka keta samarda jini ga kwakwalwa. Idan bayan “busa” mutum ya rayu, to, mummunan sakamako (asarar magana, ayyukan motsi) ya faru. Atherosclerosis na iya haifar da bugun jini na ischemic lokacin da zubar jini zuwa kwakwalwa ya rikice saboda yawan cholesterol.
Babban magani ga angiopathy
Kwayar cuta sakamakon sakamako ne na jikin mutum. Ana neman magani ne don amfani da magungunan da ke daidaita nau'ikan metabolism na halayyar cutar macroangiopathy na ciwon sukari.
Late rikice-rikice na ciwon sukari- carbohydrate (insulin, acarbose, biguanides, adadin sulfonylureas);
- kitse (magunguna masu rage kiba);
- furotin (steroid anabolic hormones);
- ruwa-electrolyte (hemodesis, reopoliglyukin, potassium, alli, shirye-shiryen magnesium).
Sau da yawa, ana nuna alamar ƙwayar cholesterol a cikin nau'in mellitus na sukari na 2, ƙara yawan jiki. Ana bincika shi sau biyu a shekara. Idan gwajin jini ya fi na al'ada kyau, to ya zama dole:
- da fari dai, don rikita abincin mai haƙuri (ware mai da dabba, rage carbohydrates mai sauƙin narkewa zuwa 50 g kowace rana, ƙyale mai kayan lambu zuwa 30 ml, kifi, kayan lambu da 'ya'yan itatuwa);
- abu na biyu, shan magunguna (Zokor, Mevacor, Leskol, Lipantil 200M).
Improvedwararruwar jijiyoyin jini suna inganta jijiyoyin jini a cikin jijiyoyin wurare. A layi daya tare da babban far, likitocin endocrinologists suna ba da shawarar yin amfani da bitamin B (thiamine, pyridoxine, cyanocobalamin).
Hakanan ana buƙatar:
- normalization na jini da kwayoyi (Envas, Enalopril, Arifon, Renitek, Korinfar);
- asarar nauyi fiye da kima;
- kawar da jaraba ga shan sigari da barasa;
- raguwa a cikin abincin gishiri;
- nisantar tsawan yanayi mai wahala.
A matsayin mai ba da shawara don lura da cututtukan jijiyoyin bugun zuciya, endocrinologists sun ba da shawarar yin amfani da madadin hanyoyin magani. A saboda wannan dalili, ana amfani da shirye-shiryen magani (buckthorn haushi, tebur masara tare da stigmas, tushen manyan burdock, 'ya'yan itãcen shuka karas, ciyawar gandun daji).
Rashin rikicewar cututtukan ciwon sukari na ci gaba akan watanni, shekaru, da kuma shekarun da suka gabata. A Amurka, Cibiyar Dr. Joslin Foundation ta kafa lambobin yabo na musamman. Wanda ya ci nasara, wanda ya sami nasarar rayuwa tsawon shekaru 30 ba tare da rikice-rikice ba, gami da angiopathy, ana baiwa wannan lambar yabo iri ɗaya. Lambar tana nuna yiwuwar ingancin ingancin cutar na ƙarni.
