Pentoxifylline don ciwon sukari
Shekaru da yawa ba tare da gwagwarmaya ba game da IYAYE?
Shugaban Cibiyar: “Za ku yi mamakin yadda sauƙin sauƙin magance ciwon sukari ta hanyar shan shi kowace rana.
Zabi maganin da ya dace don kamuwa da ciwon sukari na 2 wani mataki ne mai mahimmanci kuma mai mahimmanci. A halin yanzu, an gabatar da samfuran sunadarai fiye da 40 na magunguna masu rage sukari da kuma adadi mai yawa na kasuwancin su a kasuwar masana'antar magunguna.
- Menene magungunan cututtukan sukari?
- Mafi kyawun magani ga ciwon sukari na 2
- Wadanne magunguna ne ya kamata a guji?
- Sabbin Magunguna na Ciwon Mara
Amma kada ku damu. A zahiri, yawan magunguna masu amfani da ingancin gaske ba su da yawa kuma za a yi magana a ƙasa.
Menene magungunan cututtukan sukari?
Ban da allurar insulin, duk magunguna don maganin nau'in cutar "mai daɗi" ana samun su a cikin allunan, wanda ya dace sosai ga marasa lafiya. Don fahimtar abin da za a zaɓa, kuna buƙatar fahimtar hanyar aiwatar da magunguna.
Duk magunguna don ciwon sukari na 2 sun kasu kashi biyu:
- Waɗanda ke haɓaka hankalin ƙwayoyin sel zuwa insulin (masu sa hankali).
- Abubuwan da ke ƙarfafa ƙwayar hormone daga cututtukan fata (ganyayyaki). A halin yanzu, likitoci da yawa suna ba da tabbaci ga wannan rukuni na allunan ga marasa lafiyar su, wanda bai cancanci yin ba. Suna yin tasirin tasirinsu ta hanyar sa ƙwayoyin B suyi aiki a gefen dama. Ragewarsu ba da daɗewa ba tana ci gaba, kuma cutar nau'in 2 ta shiga cikin 1st. Akwai ƙarancin insulin.
- Magunguna waɗanda ke rage jinkirin shan ƙwayoyin carbohydrates daga hanji (inhibitors na alpha glucosidase).
- Sabbin kwayoyi.
Mafi kyawun magani ga ciwon sukari na 2
Akwai ƙungiyoyi na kwayoyi waɗanda ke da amfani, mafi inganci da aminci ga marasa lafiya da waɗanda ke cutar da lafiyarsu.
Mafi kyawun magunguna don ciwon sukari na 2, wanda kusan ana tsara shi koyaushe ga marasa lafiya, biguanides. An haɗa su a cikin rukunin magunguna, wanda ke kara yawan yiwuwar dukkanin kyallen takarda zuwa aikin homon. Tsarin "zinari" ya kasance Metformin.
Manyan shahararrun sunayen kasuwanci:
- Siofor. Yana da tasiri mai sauri, amma na ɗan gajeren lokaci,
- Glucophage. Yana da sakamako mai hankali da tsawo.
Babban amfanin wadannan magunguna sune masu zuwa:
- M kwarai hypoglycemic sakamako.
- Kyakkyawan haƙuri mai haƙuri.
- Kusan cikakken rashi ne na rashin damuwa, in banda raunin narkewa. Flatulence sau da yawa yana ci gaba (ƙonewa a cikin hanji).
- Rage haɗarin kamuwa da bugun zuciya da bugun jini sakamakon tasirin ƙwaƙwalwar ƙwayar hanta.
- Kada ku haifar da karuwa cikin nauyin jiki.
- Farashin Gaskiya.
Akwai shi a cikin allunan kwayoyi 500. Fara farawa na 1 g a cikin allurai kashi biyu raka sau biyu a rana rabin sa'a kafin abinci.
Alpha glucosidase inhibitors rukuni ne mai ban sha'awa na kwayoyi waɗanda ke rage jinkirin shan carbohydrates daga hanji. Babban wakilin shine Acarbose. Sunan sayarwa shine Glucobay. A cikin allunan 50-100 MG don abinci uku kafin abinci. An haɗu da shi sosai tare da Metformin.
Wadanne magunguna ne ya kamata a guji?
Yawancin lokaci likitoci suna danganta kwayoyi zuwa nau'in ciwon sukari na 2, wanda ke motsa sakin insulin kwayoyin halitta daga sel B. Irin wannan tsarin yana cutar da mara lafiya fiye da taimaka masa.
Dalilin shi ne gaskiyar cewa pancreas ya riga ya fara aiki sau 2 da karfi fiye da wanda aka saba saboda juriya da kyallen takarda zuwa aikin horon. Ta hanyar ƙara yawan aikinta, likita kawai yana hanzarta aiwatar da lalata ƙwayar cuta da haɓaka ƙarancin insulin.
- Glibenclamide. Shafin 1. sau biyu a rana bayan cin abinci,
- Glycidone. Kwaya 1 sau ɗaya a rana
- Glipemiride. 1 kwamfutar hannu sau ɗaya kowace rana.
An basu damar amfani dasu azaman magani na gajeran lokaci don rage hanzari a hankali. Koyaya, ya kamata ka guji yin amfani da waɗannan magunguna na tsawan lokaci.
Wani yanayi mai kama da wannan yana tare da meglithinids (Novonorm, Starlix). Suna hanzarta fitar fitsari kuma basa ɗaukar abu mai kyau ga mara haƙuri.
Sabbin Magunguna na Ciwon Mara
Kowane lokaci, mutane da yawa suna jira da bege, amma shin akwai wani sabon magani game da ciwon sukari? Magunguna don nau'in 2 na Ciwon Cutar Rana yana haifar da masana kimiyya su nemi Sabis na Kemikal mai haɗari.
- Dipeptidyl peptidase-4 (DPP-4) masu hanawa:
- Januvius
- Galvus
- Onglisa,
- Masu neman Glucagon kamar Peptide-1 Agonists (GLP-1):
- Baeta
- Victoza.
Rukunin farko na kwayoyi suna taimakawa wajen haɓaka ƙayyadaddun abubuwa na musamman waɗanda ke kunna samar da insulin nasu, amma ba tare da ɓarnatar Kwayoyin B ba. Sabili da haka, an sami sakamako mai kyau na hypoglycemic.
Sanarwa a cikin allunan 25, 50, 100 MG. Girman yau da kullun shine 100 MG a cikin kashi 1, ba tare da la'akari da abinci ba. Ana ƙara yin amfani da waɗannan magunguna a cikin aikin yau da kullun saboda sauƙi na amfani da kuma rashin sakamako masu illa.
GLP-1 agonists suna da ikon faɗi don sarrafa metabolism mai. Suna taimaka wa mai haƙuri ya rasa nauyi, don haka yana ƙara yawan yiwuwar kyallen kayan jikin mutum zuwa tasirin insulin na hormone. Akwai shi azaman sirinji don injections na subcutaneous. Maganin farawa shine 0.6 MG. Bayan mako guda na irin wannan magani, zaku iya haɓaka shi zuwa 1.2 MG a ƙarƙashin kulawar likita.
Zaɓin maganin da ya dace ya kamata a gudanar da shi a hankali tare da yin la’akari da duk halayen mutum na kowane mai haƙuri. Wani lokacin ma yana zama dole don aiwatar da ƙarin ilimin insulin don ciwon sukari na type 2. A kowane hali, manyan magunguna suna ba da tabbataccen ikon sarrafa glycemic ga kowane haƙuri, wanda kawai ba zai iya yin farin ciki ba.
Wani irin hatsi ga nau'in ciwon sukari na 2 zan iya ci kuma menene fa'idodi?
Magungunan ganyayyaki da warkewar abinci sau da yawa ana amfani da su ne wajen lura da cututtukan da suka shafi cututtukan fata. Kodayake yawancin shirye-shiryen ganye da kayan abinci, irin su hatsi don nau'in ciwon sukari na 2, wanda za'a iya cinye shi, zai iya rage alamun rashin jin daɗi, ya kamata a gudanar da kulawa ta musamman a ƙarƙashin kulawar kwararrun.
Ingancin abincin abinci
Ta amfani da abinci mai dacewa, zaka iya:
- Rage sashi na magunguna waɗanda ke rage ƙirar sukari,
- Rage yawan ci insulin.
Porridge don kamuwa da ciwon sukari shine ɗakunan ajiya na carbohydrates mai lafiya. Abun da waɗannan nau'ikan jita-jita keɓaɓɓu ne saboda sun ƙunshi abubuwa masu zuwa:
- Bitamin
- Da yawa abubuwa alama
- Sunadaran tsire-tsire na musamman.
Waɗannan abubuwan haɗin jiki suna da matukar muhimmanci ga aikin jiki. Don fahimtar wane irin kayan kwandon don ciwon sukari an yarda da amfani dashi, ya zama dole a yi nazarin ainihin abubuwan da suka shafi abinci mai gina jiki a cikin ciwon sukari. Waɗannan sun haɗa da dokoki masu zuwa:
- Samfuran da aka yi amfani dasu dole su sami isasshen abubuwan amfani waɗanda suka zama dole don aikin jiki na yau da kullun.
- Ana buƙatar adadin adadin kuzari na yau da kullun don cika ƙarfin da aka kashe. Wannan lissafin yana ƙididdige daga bayanan shekaru, nauyin jikin mutum, jinsi da aikin mai haƙuri.
- Abubuwan da aka sake amfani da su na carbohydrates an haramta wa marasa lafiya da ciwon sukari. Dole ne a maye gurbinsu da kayan zaki.
- Dabbobin dabbobi suna buƙatar iyakance a cikin abincin yau da kullun.
- Ya kamata a shirya abinci a lokaci guda. Abincin yakamata ya zama akai-akai - har sau 5 a rana, tabbas a kananan allurai.
Zaɓin hatsi
Babban ka'idar aiki - hatsi don nau'in 2 mellitus na sukari an zaɓi yin la'akari da glycemic index. A cewarsa, wane irin hatsi za a iya amfani da shi don ciwon sukari? Miyar mai mahimmanci a cikin wannan binciken ana daukar samfurori tare da ƙarancin GI (har zuwa 55). Irin waɗannan hatsi tare da nau'in ciwon sukari na 2 ana iya haɗa su a cikin menu na yau da kullun a cikin yanayin kiba, tunda suna taimakawa wajen kiyaye yanayin da yakamata.
Marasa lafiya suna sha'awar abin da hatsi za a iya cinye shi da lafiya tare da ciwon sukari. Hatsi ga masu ciwon sukari na 2 suna iya amfana, jerin abubuwan sune kamar haka:
- Sha'ir ko buckwheat
- Sha'ir da hatsi,
- Brown shinkafa da Peas.
Talakawa na sha'ir da ke ci a cikin ciwon sukari, kamar tasa tare da buckwheat, ana ɗauka mafi amfani. Waɗannan samfuran sun ƙunshi:
- Bitamin, musamman rukunin B,
- Duk nau'ikan kananan abubuwa da na macro,
- Amintaccen
- Fiber shine kayan lambu.
Sha'ir sha'ir
Kwatanta kwandon sha'ir a cikin ciwon sukari tare da wasu nau'ikan jita-jita, yana nufin yawancin ƙarancin kalori. GI na irin wannan samfurin ana yin shi da kusan 35.
An shayar da masara ta sha'ir ta halaye masu amfani:
- Tasirin rigakafi
- Rufe dukiya
- Tasirin maganin antispasmodic.
Ganyen sha'ir suna da amfani ga masu cutar siga 2. Ta:
- Normalizes metabolism,
- Inganta jini wurare dabam dabam,
- Da muhimmanci inganta rigakafi.
Don shirya tasa za ku buƙaci waɗannan sinadaran:
- Sha'ir groats - 300 g,
- Tsabtaccen ruwa - 600 ml,
- Gishiyar dafa abinci
- Albasa - 1 pc.,
- Man (duka kayan lambu da kuma mau kirim).
Kurkura groats sosai (an saka shi da ruwa mai tsabta a cikin rabo na 1: 2), sanya a tsakiyar harshen mai ƙonewa. Idan tafarnuwa fara "puff", to wannan yana nuna shirye-shiryensa. Wajibi ne don rage wuta, ƙara gishiri. Dama sosai don kada kwanon ya ƙone. Sara da albasa kuma toya a cikin kayan lambu. Sanya karamin man shanu a cikin tukunyar miya, murfi, rufe tare da tawul mai dumi, ba da lokaci don shayarwa. Bayan minti 40, zaku iya ƙara da albasarta da aka soya kuma ku fara cin porridge.
Farar shinkafa mai kamuwa da cutar sankara ce kyakkyawar hanyar kariya. Akwai sinadarai a cikin hatsi waɗanda ke ba da gudummawa ga raguwar darajar glucose. Don daidaita wannan alamar, sha'ir yakamata a ƙone sau da yawa a rana. Daga lu'ulu'u sha'ir shirya:
- Miyar
- Abin haushi ko hatsi na viscous.
Masana sun lura cewa yawan amfani da wannan hatsi a abinci yana da amfani mai amfani ga jiki baki daya. Sha'ir yana inganta:
- Cutar zuciya da jijiya,
- Asalin jini da matakin canje-canje,
- Yana rage hadarin bunkasa oncology,
- Mechanarfafa kayan aikin tsaro.
Dole ne a shirya sha'ir kamar haka:
- Kurkura groats karkashin famfo,
- Sanya a cikin akwati ka cika ruwa,
- Bar don kumbura na awa 10,
- Zuba kofi ɗaya na hatsi tare da lita ɗaya na ruwa,
- A sa a turɓaya mai wanka,
- Bayan tafasa, rage zafin,
- An bar samfurin don infuse na 6 hours.
Wani fasaha mai kama da irin wannan don sha'ir yana sa ya yiwu a inganta yawan abubuwan gina jiki.
Don cika tasa, zaka iya amfani da:
Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.
- Milk
- Butter,
- Soyayyen karas da albasarta.
Lokacin fara amfani da sha'ir lu'ulu'u, yakamata ka nemi likitanka kuma ka gano irin hatsi da aka yarda wa masu ciwon sukari.
Oatmeal, sir
Porridge don kamuwa da ciwon sukari na 2, girke-girke wanda muke bugawa, na iya baje menu kuma ya inganta jiki. Mutane suna tambaya shin shin zai yuwu a ci oatmeal da cutar sankara?
A tasa na oatmeal ya cancanci hankalin masu ciwon sukari, saboda akwai:
- Bitamin
- Chrome
- Choline
- Jan karfe da zinc da silicon,
- Protein da sitaci
- Fats mai lafiya da amino acid
- Abun trigonellin da glucose.
Kwakwalwa na bayar da gudummawa ga samar da enzyme da ke tattare da rushewar sukari, kayan kwalliya yana da tasiri mai amfani akan hanta.
Cin porridge ko jelly daga irin waɗannan hatsi, zai juya don rage yawan insulin da ake buƙata ga mai haƙuri, lokacin da nau'in ciwon sukari ya dogara da insulin. Koyaya, dakatar da magani gaba ɗaya tare da wakili na roba ba zaiyi aiki ba.
Wajibi ne a nemi ƙwararrun likitanci tare da menu, tunda likita kawai, dangane da sakamakon karatu da kuma sanya ido akai-akai game da tsananin yanayin cututtukan, yana da ikon ware yiwuwar insulin coma saboda cin abinci mai.
Kasancewar mahimmin kayan abinci yana ba ku damar tsara canje-canje masu zuwa a cikin jiki:
- Abubuwan da ke cutarwa sun fi kyau a keɓe,
- Ana tsabtace tasoshin
- Ana kiyaye matakin glucose da ake buƙata.
Ta cinye wannan samfurin kullun, mutum ba zai wuce gona da iri ba.
Don dafa shinkafa yadda yakamata, ana buƙatar abubuwan da aka haɗa masu zuwa:
- Ruwa - 250 ml
- Milk - 120 ml
- Groats - 0.5 kofuna
- Salt dandana
- Butter - 1 tsp.
Sanya oatmeal a cikin ruwan zãfi da gishiri. Ki dafa porridge akan zafi kadan, ƙara madara bayan minti 20. Cook har lokacin farin ciki, stirring kullum. Bayan an kammala aikin dafa abinci, an ba shi damar ƙara adadin man da aka nuna.
Wannan samfurin ba shine alkama na hatsi ba. Sakamakon aiki, husks tare da burodi, waɗanda suke da amfani ga masu ciwon sukari, suna ajiyayyu a ciki. Harshe ana ɗaukarsa tushen tushen bitamin B1, wanda ake buƙata don aikin jijiyoyin jini. Hakanan, ya ƙunshi macro da micronutrients, fiber mai mahimmanci, furotin, bitamin.
Yawancin likitoci suna ba da shawarar cewa masu ciwon sukari suna ƙara irin wannan samfurin zuwa menu saboda kasancewar fiber na abin da ake ci. Waɗannan abubuwa suna taimakawa rage ƙimar sukari, yayin da rashin wadataccen carbohydrates yana hana shi ƙaruwa.
Ficic acid a cikin shinkafa yana taimakawa wajen kula da matakan sukari, wanda shine wata alama ta amfanin shinkafar launin ruwan kasa.
Ventirƙirar hanyoyi daban-daban na yin tafarnuwa dangane da wannan hatsi. Porridge don kamuwa da cuta na 2 na iya zama:
- M da dadi
- Dafa shi a madara, ruwa ko broth,
- Tare da Bugu da kari kayan lambu, 'ya'yan itatuwa da kwayoyi.
Tare da Pathology, ba kawai shinkafa launin ruwan kasa ba ne, har ma da sauran nau'ikan hatsi za a iya haɗa su a cikin abincin, ban da farin samfurin da aka goge. Babban dokar dafa abinci - shinkafar shinkafa kada ta yi zaki da yawa.
Pea porridge
Encedwararrun masanan lafiya sun ba da shawarar, kuma a ci gaba, a yi amfani da ganyen pea a cikin jerin mutanen da ke da ciwon sukari. Ya ƙunshi abubuwa masu amfani da yawa. Kasancewar babban hadadden kayan hade yake inganta aikin daskararre.
- Jiƙa Peas duk dare
- To canja wurin samfurin zuwa ruwan zãfi da gishiri,
- Cook zuwa ga cikakken yawa,
- Dole ne a zuga kullun a lokacin dafa abinci,
- A ƙarshen dafa abinci, kwantar da hankali da amfani da kowane irin ƙwayar cuta.
Farar shinkafa
Flax tasa asalin halitta ce mai mahimmanci bitamin, enzymes, micro da macro abubuwa. Hakanan, shinkafa tana cike da silicon, tana dauke da sinadarin potassium sau 7 fiye da ayaba.
Babban fasalin irin wannan kayan kwandon shine cewa ya ƙunshi ƙarin ƙwayoyin hormonal na shuka fiye da sauran kayayyakin abinci daga abubuwan haɗin shuka. Suna da tasirin antioxidant mai ƙarfi sosai, suna hana ƙwayoyin cuta, yin kwalliyar kwandon fulawa mai amfani sosai.
Taran yana taimakawa mutanen da ke fama da kowace irin cuta: rashin lafiyan, cututtukan zuciya ko oncological.
Abin da hatsi ba shi yiwuwa tare da ciwon sukari
Sau da yawa rashin iya cin abincin da kuka fi so bayan an kamu da cutar ta kan zama babban matsala. Shin yana yiwuwa a ci porolina porridge a cikin ciwon sukari, yawancin marasa lafiya suna tambaya?
Masana sun ce wannan hatsi na ba da gudummawa wajen samun nauyi. Ya ƙunshi ƙarancin abubuwa masu mahimmanci tare da babban matakin GI. Godiya ga wannan, ba wai kawai mutanen da ke da ciwon sukari ba, har ma duk sauran mutane waɗanda ke da dysfunction na rayuwa, irin wannan hatsi ya kememe cikin tsarin abincin.Bugu da kari, irin wannan grits yana inganta leaching na alli daga kasusuwa, saboda ya ƙunshi sinadarin phosphorus mai yawa, wanda ke hana shigar azzakari na alli mai mahimmanci cikin jini. Saboda wannan, glandon parathyroid ya fara ɗaukar shi daga jini, kuma ba zai iya murmurewa da inganci ba, tun da hanyoyin haɓakawa a cikin marasa lafiya da ke fama da ciwon sukari da kuma sake farfado da ƙwayoyin cuta marasa hankali sosai fiye da na mutane masu lafiya.
Yana da matukar muhimmanci a tuna cewa cutar sankarau cuta cuta ce ta tsotsar zuciya, don haka cin abinci da zai cutar da jiki hanya ce da ba za a yarda da ita ba. Tunda semolina ya ƙunshi adadin kuzari, wanda ke tsokanar cutar celiac a wasu yanayi, zai iya haifar da ciwo na ƙoshin da bai cika ba ta hanjin abubuwa masu amfani ga jiki. Ba duk nau'ikan hatsi suna da amfani daidai ga mutanen da ke fama da ciwon sukari ba. Semolina ne wanda ya kamata a danganta ga waɗancan jita-jita waɗanda ke haifar da fa'ida kaɗan. Idan mutum yana jin daɗin irin wannan tafarnuwa, ana buƙatar amfani da shi a cikin ƙaramin rabo, yana ɗaukar adadin abincin shuka, musamman kayan lambu. Kodayake dole ne a tuna cewa semolina da ciwon sukari suna cikin rarrabuwar kawuna.
Macroangiopathy - rikitarwa mai yawa na ciwon sukari
Macroangiopathy na ciwon sukari shine babban ra'ayi wanda ya haɗa da cututtukan cututtukan sclerotic na matsakaici da kuma manyan jijiya a cikin marasa lafiya da masu ciwon sukari na mellitus.
Rarraba cholesterol a jikin bangon jijiyoyin jini yana haifar da samuwar manyan filayen atherosclerotic. Sun toshe bakin fitsari, suna fama da zubar jini.
Macroangiopathy a cikin ciwon sukari mellitus yana haifar da cututtuka irin su ischemic stroke, infarction myocardial, angina pectoris, hauhawar jijiyoyin jini, da gangrene na ciwon sukari.
Mafi kyawun tasoshin zuciya, kwakwalwa da ƙananan sassan.
Rarrabawa
Canje-canje a cikin manyan tasoshin a cikin masu ciwon sukari suna bayyana a cikin nau'i na atherosclerosis, calcifying Minkerberg sclerosis, yaduwar fibrosis mai ban sha'awa (tasirin intima - ciki na ciki na jijiya ko jijiya, wanda ke ƙarƙashin membranes biyu - na waje (na roba na ciki) da tsoka).
Wadannan nau'ikan macroangiopathy na masu ciwon sukari suna haɓakawa a cikin jijiyoyin ƙwaƙwalwar ƙwaƙwalwa, kodan, wata gabar jiki (babba da ƙananan), har ma a cikin jijiyoyin zuciya.
Cikakken bincike na binciken cutar sankara na daya daga cikin matakan rigakafi don duk matsalolin da ka iya faruwa tare da wannan cutar.
Canje-canje na ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa wanda macroangiopathy ya haifar iri ɗaya ne a cikin masu ciwon sukari da marasa lafiyar masu ciwon sukari. Koyaya, a cikin ciwon sukari, irin waɗannan canje-canje suna faruwa a cikin mutanen ƙarami.
Abubuwan da ke haifar da macroangiopathy sune saboda dalilai daban-daban:
- Mummunan halaye (shan giya, shan taba).
- Yawan kiba.
- Hawan jini - ƙarin bayani game da wannan cuta.
- Manyan cholesterol (da sauran kitse) a cikin jini.
- Abubuwan gado.
- Mai haƙuri ya cika shekara 50 da haihuwa.
- Kasancewar kasancewar firamillation na atrial.
Raba abubuwa daban kai tsaye hade da ciwon sukari mellitus:
- Hyperglycemia.
- Increasedara yawan ƙwayar insulin a cikin jini (hyperinsulinemia).
- Insulin juriya (rigakafi ga aikin hormone).
- Pathology na kodan a cikin ciwon sukari (duk matakai na masu ciwon sukari nephropathy a nan).
- Muhimmiyar kwarewa game da ciwon sukari.
Releaseaddamarwar insulin cikin jini shine ɗayan manyan abubuwan da ke haifar da canje-canje na atherosclerotic a cikin macroangiopathy.
Insulin yana ba da gudummawa ga kwalliyar filayen barikin cholesterol da wasu juzu'ai na lipoproteins, duka ta hanyar tasiri kai tsaye a jikin bangon jijiya, kuma saboda tasirinsa akan ƙwayar ƙwayar tsoka.
Matsaloli da ka iya yiwuwa
Hadarin da ke tattare da cutar macroangiopathy ya fi bayyana a cikin marasa lafiya da ke fama da ciwon sukari na 2 Mutuwar daga rikicewar ta 35-75%. Daga cikin waɗannan, rabin maganganun sune infarction myocardial.
Mai haɗari da cutar macroangiopathy na tasirin jijiyoyin, na haifar da ischemia mai m.
Tsinkaya ga marasa lafiya da atherosclerosis na bangarorin jijiyoyin jini guda 3 a lokaci daya - jijiyoyin zuciya na jijiyoyin jini, jijiyoyin kwakwalwa, qarshen hanzari ba abin karfafa gwiwa bane. Fiye da 50% na yankan ƙafa ana yin su ta hanyar macroangiopathy.
Macroangiopathy na ciwon kai na ƙananan ƙarshen yana haifar da rauni na rauni kuma yana ba da gudummawa ga haɓaka ƙafar masu ciwon sukari (lalacewar jijiyoyin jini, jijiyoyi, kasusuwa masu taushi da ƙashi na ƙafa, sakamakon abin da ƙwayoyin necrotic da tsarin purulent-putrefactive ke ci gaba).
Ciwon mara a cikin ciwon sukari ana bayyana dan kadan. Amma, duk da wannan, a gaban alamomi don yankewa, bai kamata a jinkirta tiyata ba, tunda jinkiri yana haifar da tsawan warkar da raunuka kuma (a wasu lokuta) maimaita aikin tiyata.
Matakan lura
Kulawa da macroangiopathy na ciwon sukari an tsara shi don rage ƙimar ci gaban manyan matsaloli na jijiyoyin jiki.
Matakan hanyoyin warkewa suna nufin rage yawan sukari na jini, daidaitaccen tsarin kiba, yawan motsa jini da hawan jini.
An tsara wa marasa lafiya magani na insulin, ƙarƙashin kulawar glucose a cikin jini. Ana bayar da farfado da metabolism na metabolism ta hanyar shan magunguna (statins, antioxidants, fibrates), kazalika da bin tsarin rage kiba.
Ana samun nasarar rigakafin thrombosis ta hanyar kwayoyi tare da tasirin antiplatelet (heparin, dipyridamole, acetylsalicylic acid, pentoxifylline).
Tare da ciwon sukari na angiopathy na ƙananan ƙarshen, ana kawo hawan jini zuwa matakin 130/85 mm RT. Art. Don wannan, ana amfani da inhibitors na ACE (captopril) da diuretics (veroshpiron, furosemide).
An nuna masu haƙuri tare da infarction na myocardial infarction beta-blockers.
A cikin mawuyacin yanayin haƙuri, ana aiwatar da kulawa mai zurfi. A gaban alamun da suka dace, ana yin aikin mai haƙuri akan.