Kulawa da hauhawar jini a nau'in ciwon sukari na 2: allunan, alamomi

Hawan jini - hawan jini. Matsin lamba a cikin nau'in 2 na mellitus na ciwon sukari yana buƙatar a kiyaye shi a 130/85 mm Hg. Art. Ratesarin girma yana ƙaruwa da saurin bugun jini (sau 3-4), bugun zuciya (sau 3-5), makanta (10-20 sau), gazawar renal (20-25 sau), gangrene tare da yankewa mai zuwa (sau 20). Don kauce wa irin wannan rikice-rikice, sakamakon su, kuna buƙatar ɗaukar magungunan antihypertensive don ciwon sukari.

Hauhawar jini: sanadin, nau'ikan, fasali

Me ke haɗuwa da ciwon sukari da matsin lamba? Yana haɗar da lalacewar ƙwayar cuta: ƙwaƙwalwar zuciya, kodan, tasoshin jini, da kwayar ido. Hawan jini a cikin cututtukan siga yawanci shine na farko, yana gabuwa da cutar.

Iri hauhawar jini	Yiwuwar	Dalilai
Mahimmanci (na farko)	har zuwa 35%	Dalili ba a kafa ba
Keɓewar systolic	har zuwa 45%	Rage ƙwayar jijiyoyin jiki, dysfunction neurohormonal
Ciwon mara na Nephropathy	har zuwa 20%	Lalacewa a cikin jirgin ruwan koda, tsarin aikinsu, ci gaban lalacewa ne
Renal	har zuwa 10%	Pyelonephritis, glomerulonephritis, polycitosis, nephropathy na ciwon sukari
Endocrine	har zuwa 3%	Cutar cututtukan Endocrine: pheochromocytoma, hyperaldosteronism na farko, Cutar ta Itenko-Cushing

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Siffofin hauhawar jini a cikin masu ciwon sukari

Rashin ƙarfin hawan jini ya karye - lokacin da auna ma'aunin dare ya yi sama da rana. Dalilin shine neuropathy.
Ingancin aikin haɗin gwiwar tsarin tsarin juyayi mai cin gashin kansa yana canzawa: ka'idar sautin jijiyoyin jini yana da damuwa.
Wani nau'in orthostatic hypotension yana tasowa - ƙarancin jini a cikin ciwon sukari. Tashin hankali a cikin mutum yana haifar da harin tashin hankali, duhu cikin idanu, rauni, rauni.

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Yakamata a fara jiyya tare da alluran diuretic (diuretics). Mahimmancin kamuwa da cuta na nau'in masu ciwon sukari na 2 1

Mai ƙarfi	Ingancin iumarfin Matsakaici	M rauni diuretics
Furosemide, Mannitol, Lasix	Hypothiazide, Hydrochlorothiazide, Clopamide	Dichlorfenamide, Diacarb
An sanya shi don taimakawa rage zafin jiki, cututtukan burar	Magunguna masu dadewa	Sanya shi a cikin hadaddun don maganin kulawa.
Suna cire ruwan da yawa daga jiki, amma suna da sakamako masu illa. Ana amfani da su na ɗan lokaci a cikin matsanancin cutar.	M mataki, cire hypostases	Yana haɓaka aikin wasu abubuwan hana maye

Muhimmi: Diuretics suna hana ma'aunin lantarki. Suna cire salts na sihiri, sodium, potassium daga jiki, sabili da haka, don dawo da ma'aunin electrolyte, an tsara maganin Triamteren, Spironolactone. Ana karɓar duk abubuwan diure kawai saboda dalilai na likita.

Magungunan Antihypertensive: kungiyoyi

Zaɓin magunguna shine mahimmancin likitoci, magani na kai yana da haɗari ga lafiya da rayuwa. Lokacin zabar magunguna don matsin lamba ga masu ciwon sukari da ƙwayoyi don lura da ciwon sukari na type 2, likitocin suna jagora ta yanayin haƙuri, halayen magunguna, daidaituwa, kuma zaɓi siffofin mafi aminci ga wani haƙuri.

Magungunan rigakafin rigakafi bisa ga likitancin za su iya kasu kashi biyar.

Jerin nau'in kwayar cutar sankarar mahaifa 2

Kungiyar	Aikin magunguna	Shirye-shirye
Beta blockers tare da vasodilating mataki	kwayoyi wadanda ke hana aikin beta-adrenergic masu karɓar zuciya, tasoshin jini da sauran gabobin.	Nebivolol, Atenolol Corvitol, Bisoprolol, Carvedilol

Mahimmanci: Allunan don hawan jini - Beta-blockers tare da tasirin vasodilating - mafi zamani, magunguna marasa lafiya - fadada ƙananan tasoshin jini, suna da tasiri mai amfani ga metabolism-lipid metabolism.

Lura cewa wasu masu binciken sun yi imanin cewa magungunan da suka fi aminci ga hauhawar jini a cikin cututtukan sukari, masu fama da cutar rashin insulin-insulin sune Nebivolol, Carvedilol. Sauran allunan rukunin beta-blocker ana ɗaukarsu masu haɗari, basu dace da cutar ta sankara ba.

Mahimmanci: Beta-blockers yana rufe alamun bayyanar cututtukan hypoglycemia, sabili da haka, ya kamata a wajabta shi tare da babban kulawa.

Magungunan rigakafin ƙwayoyi don jerin nau'in ciwon sukari na 2 3

Kungiyar	Aikin magunguna	Shirye-shirye
Masu zaba na Alfa	Rage lalacewar zaruruwa da jijiyoyinsu. Suna da hypotensive, vasodilating, antispasmodic Properties.

Doxazosin

Mahimmanci: Masu tallata alpha masu tonon sililin suna da "tasirin farko-kashi." Kwaya ta farko tana ɗaukar rikicewar orthostatic - saboda yaduwar tasoshin jini, haɓaka mai ƙarfi yana haifar da zubar jini daga kai zuwa ƙasa. Mutum ya rasa hankali kuma yana iya rauni.

Magunguna don magance hauhawar jini a cikin nau'in 2 na ciwon sukari na mellitus 4

Kungiyar	Aikin magunguna	Shirye-shirye
Masu maganin kishi	Yana rage yawan ion alli a cikin ƙwayoyin zuciya, ƙwayar tsoka na jijiya, yana rage spasm, yana rage matsa lamba. Yana inganta hawan jini zuwa ƙwayar zuciya	Nifedipine, felodipine,
Direct renin inhibitor	Yana rage matsin lamba, yana kiyaye kodan. Ba a yi nazarin magani ba sosai.	Rasilez

Magungunan motar asibiti don saukar gaggawa na saukar karfin jini: Andipal, Captopril, Nifedipine, Clonidine, Anaprilin. Aikin har zuwa awa 6.

Allunan don hauhawar jini a cikin nau'in ciwon sukari na 2 5

Kungiyar	Aikin magunguna	Shirye-shirye
Masu adawa da Angola	Suna da mafi ƙasƙanci abin da ya faru na sakamako masu illa, rage haɗarin bugun jini, bugun zuciya, gazawar koda	Losartan, Valsartan, Telmisartan

Angiotensin Canza Enzyme (ACE) InhibitorsRage matsin lamba, rage nauyi a kan myocardium, yana hana haɓakar haɓakar bugun zuciyaCaptopril, Enalapril, Ramipril, Fosinopril, Thrandolapril, Berlipril

Ba a iyakance magungunan rage karfin jini a waɗannan jerin abubuwan ba. Jerin magunguna ana sabunta su koyaushe tare da sabbin abubuwa, sababbi, ingantattun ci gaba.

Victoria K., 42, zanen.

Na riga na sami hauhawar jini da nau'in ciwon sukari na 2 har shekara biyu. Ban sha magungunan ba, ana bi da ni da ganye, amma sun daina taimakawa. Abinda yakamata ayi Aboki ya ce za ka iya kawar da cutar hawan jini idan ka dauki bisaprolol. Wadanne kwayoyin hana daukar ciki ne suka fi kyau a sha? Abinda yakamata ayi

Victor Podporin, endocrinologist.

Ya Victoria, ba zan ba ku shawara ku saurari budurwarku ba. Ba tare da takardar izinin likita ba, ba a shawarar shan magunguna. Hawan jini a cikin ciwon sukari yana da bambancin etiology (haddasawa) kuma yana buƙatar tsarin daban don magani. Magunguna don cutar hawan jini shine kawai likita ya umarta.

Magunguna na mutane don hauhawar jini

Hauhawar jini a cikin jijiya yana haifar da take hakkin metabolism na carbohydrates a cikin kashi 50-70% na lokuta. A cikin 40% na marasa lafiya, hauhawar jini na jijiya yana haɓaka ciwon sukari irin na 2. Dalilin shine juriya na insulin - juriya insulin. Ciwon sukari mellitus da matsa lamba na buƙatar magani na gaggawa.

Kulawa da hauhawar jini tare da magungunan jama'a don kamuwa da cuta ya kamata a fara su tare da kiyaye ka'idodin tsarin rayuwa mai kyau: kula da nauyin al'ada, dakatar da shan sigari, shan giya, iyakance yawan gishiri da abinci masu cutarwa.

Magunguna na mutane don rage matsin lamba cikin jerin masu ciwon sukari guda 2:

Decoction na Mint, Sage, chamomile	Yana rage damuwa sakamakon damuwa
Ruwan 'ya'yan itace da aka yi sabo da kokwamba, gwoza, tumatir	Yana rage matsin lamba, inganta kyautatawa gaba daya
Fresh 'ya'yan itatuwa na hawthorn (bayan cin 50-100 g' ya'yan itace sau 3 a rana)	Rage karfin jini da hawan jini
Ganyayyaki na Birch, 'ya'yan itaciyar lingonberry, strawberries, shudi, shuki, flalar, valerian, mint, motherwort, lemun tsami	Anyi amfani dashi a cikin haɗuwa iri-iri don kayan ado ko infusions da mashawarcin endocrinologist ya bayar

Kula da hauhawar jini tare da magungunan jama'a don ciwon sukari ba koyaushe yake tasiri ba, sabili da haka, tare da maganin ganye, kuna buƙatar shan magunguna. Ya kamata a yi amfani da magungunan ɗan adam a hankali, bayan shawara tare da endocrinologist.

Al'adun Nutrition ko Abincin da ya dace

Abinci don hauhawar jini da nau'in ciwon sukari na 2 ana nufin rage karfin jini da daidaita matakan glucose na jini. Ya kamata a yarda da abinci mai gina jiki don hauhawar jini da nau'in ciwon sukari na 2 na mahaifa tare da masaniyar endocrinologist da kuma mai gina jiki.

Tsarin abinci mai dacewa (madaidaiciya rabo da adadin) na sunadarai, carbohydrates, fats.
-Arancin carb, mai wadataccen abinci a cikin bitamin, potassium, magnesium, abubuwan abinci masu kayan abinci.
Shan giya fiye da 5 g a rana.
Isasshen adadin kayan lambu da 'ya'yan itatuwa.
Tsarin abinci mai gina jiki (aƙalla sau 4-5 a rana).
Yarda da abinci A'a. 9 ko No. 10.

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Kammalawa

Magunguna don hauhawar jini ana wakilta su sosai a kasuwar magunguna. Magunguna na asali, abubuwan da ke tattare da manufofin farashi daban-daban suna da fa'idodin su, alamu da contraindications. Ciwon sukari mellitus da na jijiyoyin jini hauhawar juna, suna buƙatar takamaiman magani. Saboda haka, a cikin wani akwati ya kamata ka kai magani. Hanyoyi na zamani kawai don magance cututtukan sukari da hauhawar jini, alƙawura masu dacewa ta hanyar endocrinologist da likitan zuciya zai haifar da sakamakon da ake so. Kasance cikin koshin lafiya!