Ciwon sukari tachycardia

Yawancin marasa lafiya suna koka da yawan ƙwayar bugun jini don ciwon sukari. A cikin wasu, ilimin cuta yana faruwa ne akan asalin lalacewar tsarin na zuciya, a wasu kuma sakamako ne na cututtukan cututtukan zuciya, a wasu kuma, tachycardia yana tsokanar wuce haddi da yawaitar aiki.

Ba tare da la’akari da dalilin ba, ana ɗaukar irin wannan cin zarafi mai haɗarin gaske, saboda yana haifar da cin zarafin bugun zuciya, wanda ke haifar da haɗarin rikice-rikice: rashin isasshen cuta, cututtukan jijiyoyin zuciya, rikicin hauhawar jini, infarction na myocardial, infarction na zuciya, jijiyoyin zuciya, da dai sauransu.

Hoto na asibiti

A cikin wasu marasa lafiya, rikicewar bugun zuciya ba a tare da takamaiman alamu, kuma ana gano ɓacewa a cikin hanyar samar da lantarki. Amma wani lokacin mai haƙuri yana jin bugun zuciya, amma ba zai iya ba da takamaiman ƙididdigar ba. Dalilin shi ne, masu ciwon sukari na iya samun alamun alamomi na da yawa, wanda duka gajiya da damuwa ke iya bayyanawa, da kuma hauhawar matakan sukari.

Har yanzu, bugun jini cikin sauri yana hade da wadannan alamomin gama gari:

• fari da bakin ciki,
• m zuciya rhythm (na iya hanzarta ko rage gudu, doke offhand)
• mai wuya da zurfin zuciya,
• hankali
• Jin cewa zuciyata kwatsam
• matsi mai ji a cikin jirgin,
• abin mamakin dunƙule baki wanda ke juya cikin kirji,
• shortness na numfashi (ciki har da ba tare da farko ta jiki aiki),
• rashin isashshen sunadarin oxygen.

Don gano cututtukan arrhythmia a cikin kanku tare da waɗannan alamun, auna ma'aunin zuciyarku - zai rabu da al'ada a 60-80 beats a minti daya.

Waɗanne cututtuka ne arrhythmia ke nunawa?

A cikin ciwon sukari, waɗannan alamun asibiti suna nuna ci gaban ɗayan rikitarwa: neuropathy na autonomic, microangiopathy, ko dystrophy myocardial.

Mafi sau da yawa, neuropathy na autonomic yana haɓaka cikin matasa masu ciwon sukari tare da nau'in cutar ta farko (insulin-dogara). Tare da rashin isasshen diyya da tsawan yanayi na hyperglycemia, tasoshin da jijiyoyin ƙwayar zuciya suna lalata, wanda ke haifar da canje-canje mai mahimmanci a cikin kyallen kuma saboda haka, yana rushe bugun ƙwayoyin. A matsayinka na mai mulki, akwai karuwar yawan bugun zuciya a cikin ciwon sukari.

Tare da neuropathy na autonomic, ƙwaƙwalwar jijiyoyi zuwa abubuwan motsa jiki da alamomi suna raguwa, wanda ke haifar da ba kawai arrhythmia ba, har ma da hanya mai zafi na cutar ischemic. A wannan yanayin, mai ciwon sukari ba ya jin ƙaramin bugun zuciya, wato, cutar rashin rayuwa mai saurin ci gaba ta hanyar da take ɓoye ko a ɓoye. Sakamakon mai haɗari na rashin magance ischemia shine infarction na zuciya, wanda yawanci yakan haifar da mutuwa.

Microangiopathy da myocardial dystrophy suna faruwa ne a kan asalin raunin insulin naƙasasshe. Rashin Hormone yana haifar da isasshen wadatar da ƙarfin ƙwayar zuciya. Jikin mai haƙuri yana fara rama don ƙarancin ta hanyar ƙona kitse, wanda, tare da samfuran lalata, zauna cikin kyallen zuciya kuma yana haifar da lahani na ƙwayar cuta. Idan mai haƙuri yana da cututtukan jijiyoyin zuciya na latent, to, lahani na da haɗari kamar extrasystole, atrial fibrillation, parasystole.

Bayyanar cututtuka da magani

Don yin ingantaccen ganewar asali, masanin ilimin bugun zuciya da endocrinologist sun tattara duk bayanai game da hanyar cutar da kasancewar rikice-rikice, tsara gwaje-gwaje na gaba ɗaya (jini, fitsari, matakin sukari, ƙwayoyin thyroid da cututtukan fata, da dai sauransu).

Idan kuna zargin babban bugun jini a cikin ƙwayar mellitus na sukari, likita yana ɗaukar ma'aunin aikin tsoka tare da nau'ikan nau'ikan kaya.

Electrocardiography zai ba ka damar ganin dukkanin rikice-rikice a cikin rudani na zuciya, tunda yana nuna girman ɗakunan tsoka, da yawa da tsarin myocardium, tsarin manyan sassan.

Tare da taimakon MRI, zaku iya bincika dalla-dalla yadda tsarin tsoka yake har zuwa matsayin cikawa da jinin manyan jijiyoyinta.

Jiyya na masu ciwon sukari tare da arrhythmia ya kamata ya fara da sarrafa matakan glucose na jini. Sai kawai tare da isasshen diyya na cutar za mu iya fara bayyanar cututtukan cututtukan cututtukan zuciya.

Likita ya ba da umarnin insulin-dauke da kwayoyi a cikin hadaddun, kazalika da magungunan shaye-shaye da magungunan rigakafi. 'Yan ƙabilar za su iya zama na halitta, daga asalin tsiro (tincture na peony, hawthorn, valerian) ko na roba (Diazepam, Valocordin da sauransu). Magungunan antiarrhythmic sun bambanta ga marasa lafiya na jini (Diroton, Lisinopril) da kuma marasa lafiya na jarirai (Ephedrine hydrochloride, Ipratropium bromide da sauransu).

Mene ne tachycardia?

Tachycardia wani canji ne na rudani na rikicewar zuciya, wanda ke faruwa saboda dalilai na waje da na ciki.

An rage sukari nan take! Ciwon sukari na tsawon lokaci na iya haifar da tarin cututtuka, kamar matsalolin hangen nesa, yanayin fatar da gashi, ulcers, gangrene har ma da cutar kansa! Mutane sun koyar da ƙwarewar haushi don daidaita matakan sukari. karanta a.

Abubuwan na waje waɗanda ke haifar da canji a cikin rudani shine aiki na jiki da yanayi mai damuwa. Ofaya daga cikin abubuwan ciki na ƙara yawan bugun zuciya shine ciwon sukari. A cikin ciwon sukari, ana kiran tachycardia pathology kuma nace a kan kulawa da kulawa akai-akai. A irin wannan yanayi, bugun zuciya, tsalle bayan aikin jiki, baya raguwa da kansa, kamar yadda yake cikin mutum mai lafiya, amma yakan ci gaba a wani babban matakin ko kuma yana ta birgima. Hakanan ana tsokanar shi da cin mutuncin kofi da shayi.

Sanadin ciwon sukari Tachycardia

Kasancewar ciwon sukari mellitus yana haifar da nakasa a cikin aikin parasympathetic NS da bugun zuciya. Idan cutar ta ci gaba, za a ga tsarin parasympathetic na jijiyoyin kai. Rashin hankali na jijiyoyi yana bayyana kuma yana ci gaba, wanda, bi da bi, yana haɗuwa da haɓakar tachycardia da cututtukan zuciya da jijiyoyin jini. A saboda wannan dalili, mutanen da ke da ciwon sukari basa jin zafin zuciya har sai sun kamu da bugun zuciya. Sabili da haka, a cikin ciwon sukari na mellitus, kowane ɓarna a cikin aikin ƙwaƙwalwar zuciya ya kamata ya zama dalilin ziyarar kai tsaye da bincika ta likita.

Idan mutum baiyi binciken tachycardia akan lokaci ba, tsarin tsarin juyayi mai juyayi zai fara canzawa kuma alamu na nunawa. Dalili na gaba don haɓakar tachycardia a cikin ciwon sukari shine dystrophy na myocardial. Yana haifar da gazawar metabolism lokacin da karancin insulin a cikin jini kuma, sabili da haka, glucose baya kwance cikin sel zuwa zuciya.

Ta yaya ake bayyana cutar?

Don gano wanne cuta ke da haɗari ga lafiya, kuma wacce zaku iya rayuwa tsawon rayuwa, kuna buƙatar ganin likita kuma kuyi gwaji. A kan asalin ciwon sukari akwai nau'ikan karkacewa ga dabi'un aikin zuciya. Kuma ba dukansu suna buƙatar maganin ƙwayar cuta ba, akwai waɗanda ba su bayyana ba. Akwai rikice-rikice da yawa waɗanda ke ci gaba kuma suna haifar da mummunan rauni na zuciya. Akwai kuma irin waɗannan cututtukan cututtukan cututtukan zuciya, bayan gano wanda yake da gaggawa don fara magani. Idan ciwon sukari ya haifar, damuwa cikin damuwa na zuciya shine alamomi iri ɗaya kamar sauran mutane:

• wanda bai dace ba bugun zuciya
• zuciyar mai karfin buguwa,
• tsananin farin ciki
• suma
• low low rate da kuma bugun bugun zuciya,
• madadin mara nauyi da zurfin zuciya,
• karancin numfashi ko rashin iska,
• Zuciyata ta faɗi
• ji na wani nauyi kwatsam a cikin sternum.

Ciwon sukari mai ciwon sukari wani nau'in rikice-rikice ne da ke tasowa daga maganin cutar sankara na dogon lokaci. Lokacin da sukari sukari na jini sama akan lokaci, lalacewar jijiyoyin zuciya yakan faru, wanda hakan ke lalata rudani na zuciya. Da wannan karkatarwa, ana ganin sinadarin sinadarin tachycardia cikin kwanciyar hankali, lokacin da bugun jini ya ci gaba da bugun 100 ko kuma ya haura sama da bugun 130 a cikin 1 min. Alamar halayyar DAN shine cewa zurfin numfashi mai haƙuri ba ya shafar ƙwanƙwasa zuciya ta kowace hanya, kodayake a cikin mutum lafiya, ƙwanƙwasa yana yin ƙasa da iska mai zurfi.

Matakan bincike

Don ingantaccen inganci da ingantaccen ganewar asali, ana tattara duk bayanai game da ciwon sukari da cututtuka masu alaƙa. Sakamakon binciken da ya gabata ana yin la'akari dashi. Idan ana zargin tachycardia, an haɗa shi tare da ciwon sukari, ana auna ƙarfin ƙwayar zuciya a manyan lodi. Bayan su, ya zama bayyananne yadda zuciya take yin aiki yayin kwatsam ko a huta.

Mafi sau da yawa, ana amfani da electrocardiography don ganewar asali.

Bayan wucewa da ECG, zaku iya ganin yadda zuciya take aiki, kuma lokacin da kasawa suka faru. Ana amfani da Echocardiography don samun cikakken hoto na zuciya. Ya nuna girman girman dakin da zuciya yake, kauri na myocardium. Allon yana nuna duk karkacewa a cikin rikice-rikice da tsarin sassan sassan zuciya. Wani lokaci ana tambayar mai haƙuri don yin MRI, wanda zai ba ku damar cikakken hankali da matakai don bincika tsarin tsoka. Don gano cututtukan da ke tattare da cuta ko hana haɓaka da yanayin, ana yin gwaje-gwaje na jini, fitsari da kuma kwayoyin hodar iblis.

Hanyoyin jiyya

Koyarwar cutarwa a cikin aikin zuciya yana nufin kawar da abin da ya haifar da waɗannan mahaukatan da kuma daidaita yanayin mai haƙuri. A waje da tushen ciwon sukari, far yana ƙarƙashin karuwar kulawa na likita, tun da yake mafi yawan lokuta ya tsokani farkon cutar tachycardia. Zaɓin magungunan ana aiwatar da shi ne la'akari da ciwon sukari, wasu cututtuka da kuma bayan tattaunawa tare da endocrinologist, neurologist da cardiologist.

Magungunan magani

Ana samun sakamako na warkewa ta hanyar amfani da kwayoyi. Suna ba ku damar sarrafa matakan glucose da rage yawan zuciyar ku. Don kawar da tachycardia, kwayoyi na rigakafi da antiarrhythmic aikin taimako. Sedatives sun kasu kashi biyu na halitta da na roba. Zaɓin maganin da ya dace ana gudanar da shi ta hanyar likita wanda ya saba da cikakken tarihin lafiya. Magungunan da aka yi amfani dasu an gabatar dasu a cikin tebur.

• Aiwatar da hawthorn da daji fure hade da motherwort. An ɗauke su a cokali ɗaya kuma ana sha kamar shayi. Amfani da kofuna waɗanda 3 a rana.
• Tafasa a kan zafi kadan, na minti 10, ana cin inflorescences na masara na rabin gilashin sau uku a rana. Aikin likita shine watanni 2.
• An ƙara barkono da lemun tsami a cikin shayi don tasirin magani da inganta bacci.
• Akwai girke-girke tare da tafarnuwa da lemun tsami, waɗanda aka ɗauka a cikin rabo daidai kuma ƙara 1 tbsp. cokali biyu na zuma. An cakuda cakuda a cikin duhu har sati daya. Yi amfani da 1 tbsp. cokali kowace safiya.
• Adonis yankakken yankakken an zuba shi da ruwan zãfi kuma a dafa shi na mintina 15. Sai suka sanyaya kuma tace, matsi da kewar a cikin kayan ado. Kashi in 1 tbsp. cokali sau 3 a rana, wanda ya isa ya sami sakamako mai dorewa na dindindin.

Hanyoyin rigakafin

Don rigakafin rikitarwa, ana bada shawara don bin abinci tare da cikakken ƙin karɓar carbohydrates mai sauƙi, soyayyen abinci mai mai mai yawa. Guji taba sigari da barasa. Jagoranci rayuwa yadda ya kamata. Guji matsanancin motsa jiki da damuwa. Rage ruwan sha da maganin kafeyin. Rike matakan sukarin jinin ku a matakin al'ada ta hanyar binciken yau da kullun kuma ku bi shawarar likitanka. Sanya a hankali sarrafa nauyin jiki; lallai ne kar ku ƙyale shi ya haɓaka mai ƙarfi ko ƙari. Anyi gwajin da aka shirya lokacin gwaji daga likitan zuciya, endocrinologist, likitan hakora da sauran likitoci.

Tachycardia - Yadda Tachycardia da Cutar Cutar sukari Sun dace

Yadda tachycardia da ciwon sukari suke dacewa - Tachycardia

Akwai dalilai na waje da na ciki waɗanda ke haifar da tachycardia. Na farko shine damuwa da muka saba, na biyu, na farko, shine nau'in ciwon sukari na 2. Idan wannan cuta ce ke haifar da bugun zuciya, to mara lafiyar yana buƙatar yin gwaje-gwaje na yau da kullun da magani.

Ingancin wannan nau'in tachycardia shine cewa bayan aikin jiki, bugun jini baya raguwa da kansa, amma akasin haka, yana ƙaruwa. Amma kuma yana faruwa ne daga yawan amfani da shayi da kofi.

Idan ba a gano tachycardia akan lokaci ba, to, yana iya haifar da alamun cututtukan hypotension, sannan kuma myocardial dystrophy. Dukkanin abu ne game da ƙananan abun ciki na insulin a cikin jini, wanda ke haifar da ci gaba da glucose a cikin zuciya.

Ba duk cututtukan zuciya bane waɗanda ke fitowa azaman ciwon sukari suna daidai da haɗari. Akwai wadanda ba su tsoma baki ga rayuwar rayuwar mutum tsawon shekaru. Amma wasu cututtukan cuta suna haifar da karuwar zuciya.

Bayyanar cututtukan zuciya da ke damun su iri ɗaya ne ga duka mutane:

Un rashin daidaituwa na wannan sashin,
• cikin fushi, akwai yuwuwar rasa tunani,
• m ga mutum kara bugun zuciya,
• raguwa a cikin yawan zuciya,
• karancin numfashi ko jin kamar ba zai yiwu a numfasa ba,
• tsananin tsananin rauni a fannin zuciya,
• jin cewa zuciyar ta bace,
Change Canja lamba mai yawa na raguwa zuwa ragu.

Yana faruwa da cewa mutum ba shi da sabon abu abin mamaki, kuma an kasa yin rawar jiki ta hanyar ƙidaya bugun jini. Bai kamata kawai kuyi hankali ba idan kun sami kanku kuna da irin waɗannan alamun, amma tuntuɓi likita nan da nan a asibiti. A nan, lallai ne za ku wuce gwaje-gwajen da suka dace, yin gwaji .. Matasa marasa lafiya masu fama da cutar sukari mellitus suna fama da lahani ga jijiyoyin zuciya. Wannan ya fito ne daga sukarin jini na kodayaushe, wanda ake kira masu ciwon sukari mai ciwon kansa.

Bayyanar cututtuka da magani na endocarditis na cuta

Bayyanar cututtukan irin wannan ilimin cuta sune kamar haka:
The Rashin alaqa tsakanin numfashi da bugun zuciya kamar yadda ya saba da lafiyayyen mutum, lokacin da zurfin numfashi ya zama karancin matsewar zuciya,
• koda ba tare da motsa jiki ba, akwai bugun zuciya mai sauri har zuwa bugun 100 a minti daya, wani lokacin kuma har zuwa 130.

A irin wannan yanayin, jinkirta ziyarar likita abune mai haɗari.

Yana da mahimmanci a bincika kuma a bi da shi daidai

Da farko dai, likita yasan duk cikakkun bayanai game da cutar sankarau a wani sanannen mai haƙuri, cututtukan da ke tattare da rikice-rikice kuma yana sane da sakamakon gwajin da ya gabata. A tuhuma ta farko na tachycardia, ana la'akari da bugun hutawa da bayan motsa jiki. An gano Tachycardia a cikin ciwon sukari ta wannan hanyar. Daga binciken gwaji ta amfani da kayan lantarki. Wannan yana nuna mummunar aiki na zuciya, kauri daga bangon myocardium da girman ɗakin zuciya.

Akwai wasu lokuta da ake buƙatar bincika MRI. Wannan hanyar ganewar asali tana ba da ra'ayi game da tsarin ƙwayar zuciya. Daga gwaje-gwaje na dakin gwaje-gwaje, don hana lalacewa a cikin lafiya, kuna buƙatar ba da gudummawar jini ga hormones na thyroid da fitsari.

Magungunan warkewa yana nufin kawar da abubuwan da ke haifar da tachycardia da kuma daidaita yanayin haƙuri. Cutar sankarau na buƙatar madaidaicin iko daga likitoci, saboda a mafi yawan lokuta tana haifar da rashin aiki a cikin zuciya. Kwararren likita ya zaɓi magunguna waɗanda ke yin la’akari da halayen jiki da kasancewar ciwon sukari. Wannan na buƙatar tattaunawa tare da endocrinologist, likitan zuciya da kuma likitan zuciyar.

Wani fasali na lura da tachycardia a cikin tsarin magunguna wanda zai iya daidaita matakan glucose na jini da karfin bugun zuciya. An tabbatar da inganci sosai wurin lura da wannan cuta, magunguna da magunguna waɗanda suke da tasirin cutar ta antiarrhythmic. An wajabta maniyyata ba kawai na roba ba, har ma a kan ganye. Duk wani magani yakamata ya zaɓi ƙwararren likita. Wannan lamari ne mai matukar muni, duk wani magani na kai na iya haifar da sakamako wanda ba zai yiwu ba.

Yana da mahimmanci a yi tunani game da hana rikice-rikice daga ciwon sukari. Babban hanyoyin sune:

• ingantaccen abinci mai gina jiki da cikakken ƙin karuwar carbohydrates mai sauƙi, mai mai, soyayyen da kyafaffen,
Kawar da munanan halaye - shan taba da shan giya,
Do ɗaukar abin motsa jiki har zuwa yanayin rayuwa mai aiki,
• haramun ne cin duk abin shan da ke dauke da maganin kafeyin,
• motsa jiki na sarrafa sukari na yau da kullum,
• bi duk umarnin likitoci
Keep Kiyaye nauyin ka a cikin kulawa, hana karuwa a jiki,
• je gwajin da aka shirya zuwa kwararrun kwararru.

A kowane hali, tachycardia ba jumla ba ce, amma rikicewar ciwon sukari da ke buƙatar magani mai dacewa.

Sanadin tachycardia

Tachycardia wani nau'in rikicewar zuciya ne wanda yawan zuciya ya zarce kashi 90 a minti daya. An rarrabe ilimin halittar jiki da na cututtukan tachycardia. Na farko ana iya kiransa:

• karuwa a yanayin zafin jiki da muhalli,
• danniya
• activityara aiki a jiki,
• hawa zuwa babba mai tsayi
• yawan amfani da shayi, kofi, abin sha mai kuzari, giya,
• shan wasu gungun kwayoyi.

Pathological tachycardia na faruwa ne yayin da mutum yake da cututtuka kuma yana ɗaya daga cikin alamun cutar. Haɓaka ƙimar zuciya na iya jawo ta:

• myocarditis
• lahani na zuciya
• infarction na zuciya
• bugun jini
• cardiosclerosis
• Pathology na huhu, jijiyoyin zuciya da kirji, wanda ke haifar da fitowar "zuciyar huhun ciki",
• sabbinna,
• kumarasanaci,
• anemia
• neurosis
• cututtuka
• m yanayi kamar jini asara da kuma na koda

Shin tachycardia zai iya haifar da ciwon sukari?

Mutane da yawa sun san cewa yayin da ciwon sukari ke ci gaba, marasa lafiya suna haɓaka cututtukan cututtukan zuciya, wanda galibi yakan haifar da mutuwar mutum, amma ta wace hanya tachycardia ke faruwa a cikin marasa lafiya da wannan cuta?

Ainihin, sakamakon tasirin zuciya shine saboda:

1. Theara yawan "jini". Yana faruwa ne sakamakon cin zarafin ƙwayoyin halittar carbohydrate, wanda glucose baya iya shiga cikin sel kuma ya kasance cikin tasoshin jini.
2. Myocardial dystrophy. Babu isasshen insulin na endogenous insulin (don nau'in ciwon sukari na 1) ko kuma rashin kula da masu karɓar sel zuwa ƙwayar peptide (don nau'in ciwon sukari na 2) yana haifar da gaskiyar cewa glucose baya shiga cikin cardiomyocytes, wanda ke haifar da dystrophy.
   

Jiki yana amsa wannan sabon abu, sakamakon wanda ya kwarara ruwa zuwa cikin tasoshin don narke jini yana ƙaruwa, duk da haka, a bangon wannan, haɓakar sashin ruwa da kodan shima ya inganta. A sakamakon haka - bushewa, "toka" da jini.

Ischemic tachycardia wani yanki ne na arrhythmia wanda ke faruwa sakamakon cututtukan jijiyoyin zuciya, a cikin pathogenesis wanda ciwon sukari mellitus, kiba, kasancewar halaye marasa kyau, da kuma cholesterol mai jini suna taka muhimmiyar rawa.

Bayyanar cututtuka

Mutun yawanci yana jin alamun farko na ciwon sukari bayan wasu shekaru, lokacin da rikice-rikice suka fara bayyana a cikin shi. Baya ga tachycardia, marasa lafiya galibi suna korafin cewa:

• tashin zuciya da amai
• gumi mai sanyi
• tsananin farin ciki
• karancin numfashi
• ciwon kirji
• rauni
• ciwon kai
• asarar sani
• unmotivated tashin hankali
• Fushin kukan da idanunku a idanunku,
• canji a cikin jinkirin da m bugun zuciya,
• jin zuciya mai nutsuwa.

A cikin marasa lafiya da ke fama da cutar sankara, wata alama ta halayyar mutum tana faruwa ne yayin da numfashi mai zurfi na mutum ba shi da wani tasiri a kan bugun zuciya, yayin da a cikin mutane masu lafiya akwai saurin bugun zuciya.

A lokaci guda, wasu masu haƙuri tare da mellitus na sukari, har ma a gaban tachycardia, ba su jin wani canje-canje na musamman a cikin yanayin janar su, kuma ma'aunin bugun jini ne kawai zai taimaka wajen zargin wani abu ba daidai ba a gida.

Matsaloli da ka iya faruwa da sakamakon tachycardia a cikin ciwon sukari

Idan mutum bai bi tachycardia a kan lokaci ba, ko kuma idan magani bai yi tasiri ba, sakamakon da zai biyo baya na iya faruwa:

1. Canje-canje a cikin tsarin tsarin juyayi mai juyayi, yana nuna alamun rashin ƙarfi.
2. Myocardial infarction mara jin zafi. Duk da gaskiyar cewa yawanci tare da haɓakar wannan ilimin, mutum yana jin ciwo mai zafi, wanda ke ƙaruwa a kan lokaci, saboda ciwon sukari mai ciwon sukari, mutum bazai ji mummunar haɗari ga zuciya ba kuma yana yin ayyukan yau da kullun. A mafi munin yanayi, irin wannan aikin yana da mutuwa.
3. Ciwon jijiyoyin jijiya na tsoka. Don guje wa rikicewar jijiyoyin cuta yayin tachycardia, jiki yana amsa tare da raguwa na sassauci a cikin jini saboda vasodilation. A karkashin yanayi na al'ada (na tsarin lafiya), mutum yakan canza sautin tsarin jijiyoyin kai na rayuwa, wanda yake wahala sosai a cikin cututtukan ƙwayar cutar sankara ta unellensus. A sakamakon haka, raguwar mai haƙuri a cikin jini na iya zama mai mahimmanci, wanda zai shafi samar da jini ga gabobin mahimmanci.

Marasa lafiya tare da hypoension orthostatic sau da yawa suna yin koke game da yawan gajiya, farin ciki, da kuma rage ikon aiki da safe. Hakanan mutane suna damuwa da ciwon kai, tsananin ƙarfinsa yana raguwa sosai lokacin da yake kwance ko a cikin matsanancin matsayi, lokacin da kansa yake saman jikin (yawancin mutane suna bacci ba tare da matashin kai ba saboda wannan dalilin).

Wanne likita yake bi?

Kulawa da arrhythmias a cikin ciwon sukari ya ƙunshi kawar da tushen dalilin zuciya arrhythmias, wanda zai iya zama rikice-rikice na tsarin juyayi na autonomic, cututtukan zuciya, jijiyoyin jini.

Da farko dai, ana bada shawarar mai haƙuri ya ziyarci babban likita, wanda ya wajaba a bincika mai haƙuri, aika shi don gwaje-gwaje, kuma ya dogara da kasancewar ƙarin cututtuka (ban da ciwon sukari), tura shi zuwa ƙwararren likita tare da ƙwararrun kunkuntar. Irin waɗannan likitocin na iya zama likitancin endocrinologist, ƙwararren mahaifa da kuma likitan zuciya. Suna iya yin wasiyya ga mutum mafi ilimin hauka.

Binciko

Baya ga auna glucose na jini a lokuta daban-daban na rana don tabbatar da bayyanar cutar sankara, tare da tachycardia, ana gudanar da gwaje-gwaje masu zuwa:

1. Labarun - babbar hanyar maganin arrhythmias, wacce zata baku damar gano tashin hankali na zuciya, raunin zuciya, a wasu yanayi, don tantance nau'in tachycardia ko kuma ya sanya yiwuwar tuhumar rashin karfin myocardial infarction.
2. Kulawa na Holter ECG - ana amfani dashi don tantance alaƙar tsakanin lokacin rana da ƙimar zuciyar mai haƙuri.
3. Echocardiography - yana ba ku damar kimanta aikin ƙwaƙwalwar zuciya, yanayin ɗakuna, bawul, kauri da bangon myocardium, matsin lamba a cikin cavites da saurin gudanawar jini, bincika cututtukan zuciya, ƙarancin ko gano canje-canje a cikin ƙwayar zuciya, ƙarancin kwararar jini zuwa ga jikin.
4. Musamman gwaje-gwaje - a cikin wannan binciken, samfurori tare da adrenergic blockers, insulin, za a iya amfani da aikin jiki. Bayanan da aka samo yayin gwajin zai taimaka wajen tantance yanayin tsarin juyayi mai cin gashin kansa.
5. Nazarin electroneuromyographic - jerin fasahohi wadanda zasu iya bayyana ainihin yanayin cututtukan zuciya masu ciwon sukari.
6. Gwajin zuciya - wannan ya hada da gwaji tare da numfashi mai zurfi, gwajin orthostatic, gwajin Valsalva.

Gwajin Valsalva ya ƙunshi cewa mai haƙuri dole ne ya shanye gabaɗaya, shaɗa, sannan kuma ya riƙe numfashinsa kuma yayi ƙoƙari ya cika bakinsa da hanci da hanci. Sakamakon haka, saboda ruɗarwar glottis, raguwar diaphragm, motsin rai da na ciki, ana lura da haɓakar hauhawar cikin ciki da tashin hankali na ciki, wanda ke iyakance dawowar mara zuwa, yana tattara manyan jijiyoyin jiki. Wannan gwajin kwatanci ne na aminci na hanyoyin afferent, tsakiya da efferent na baroreflex (yana taimakawa wajen tantance yanayin tsarin juyayi mai cin gashin kansa).

Jiyya na tachycardia a cikin ciwon sukari

Domin kawar da tachycardia, da farko, ya zama dole don samun sakamako mai dorewa da mellitus na ciwon sukari da koyon yadda ake gudanar da ayyukan glucose din jini kai tsaye. Kuma ku ci gaba da tuntuɓar likitan da ke kulawa da ilimin.

Idan mutum yasan yana da cutar sankara, wataƙila wasu rikice-rikice sun riga sun fara dame shi, kuma idan mai haƙuri yana da sha'awar ci gaba da kasancewa da ƙoshin lafiyarsa da rayuwarsa, ya kamata a kula da hankali don hana cutar ci gaba. Don yin wannan, dole ne koyaushe ziyarci likitoci a kan lokaci, ciki har da duka endocrinologist da kuma likitan zuciya, neuropathologist, kada ku manta da shawararsu, ku bi hanyar magani kuma ku bi duk ka'idodin abinci mai gina jiki da salon rayuwar masu ciwon sukari.

Magungunan da aka ba da shawarar

Don kawar da tachycardia a cikin ciwon sukari na mellitus, ana amfani da wasu rukuni na kwayoyi.

Wadannan sun hada da:

1. Rashin Tashin hankali. Magungunan da suka fi yawa: Diazepam, Sibazon, Diazepex. Ana iya samun magunguna a kowane nau'i mai dacewa, suna da aminci. Ba'a bada shawara don amfani da mutanen da ke da rashin hankali ga benzodiazepines, matsanancin numfashi, rashin damuwa na hepatic, rashin bacci, ko kuma idan marasa lafiya sun damu da cutar sikila, jihohi masu damuwa, da tabin hankali.
2. Angiotensin-mai canza mai hana enzyme. Misali wakilan ƙungiyar: Lisinopril (Diroton), Captopril, Vitopril. Wadannan kwayoyi suna da tasiri musamman a cikin magance tachycardia a cikin marasa lafiya waɗanda tsarin juyayi mai juyayi wanda bai taɓa shan wahala daga ciwon sukari ba, kuma babu alamun bayyanar cututtuka. Hakanan ana amfani dashi idan mai haƙuri yana da matsanancin ƙwayar myocardial infarction ko rauni na zuciya wanda ya haifar da ciwon sukari na ciwon sukari, dystrophy na myocardial. Sabbin magunguna na zamani ba su da guba, amma an haramta amfani da su a yanayin rashin lafiyar da jijiyoyin jiki / maganin angioedema.
3. Magunguna waɗanda ke da magani mai shayarwa, sakamako mai narkewa. A cikin lura da tachycardia a cikin ciwon sukari na mellitus, Valocordin, wanda ke nuna kanta sosai a gaban mummunan rikicewar ciyayi, da Phenobarbital, galibi ana amfani dasu. Maganin na ƙarshe yana da sakamako mai magani mai narkewa kawai a cikin ƙananan allurai, saboda abin da dole ne a ɗauka ƙarƙashin kulawa mai mahimmanci kuma dole ne a lura da dosing.

Ya kamata a daina amfani da Phenobarbital a hankali, tunda a yayin da aka sami magani mai kaifi, cutar ta cirewa tana faruwa. Musamman taka tsantsan lokacin amfani da kwayoyi ya kamata a lura da marasa lafiya masu rauni, tun da kwayoyi suna haifar da tashin hankali, damuwa, da rikice-rikice, har ma da ƙananan matakan.

Separateungiya ta dabam ta haɗa da kwayoyi waɗanda ake amfani da su don tashin hankali, wanda ke haɓaka tare da lalacewar ɓangaren juyayi na tsarin mai juyayi a cikin nau'ikan cututtukan cututtukan ƙwayar cuta tare da tachycardia. Daga cikinsu akwai:

1. M-cholinergic mai hanawa (Atropine sulfate, Ipratropium bromide). Magunguna suna haɓaka aikin atrioventricular, wanda ke sauƙaƙe yanayin marasa lafiya tare da arrhythmias.
2. Alfa da beta adrenoreceptor na kara kuzari. Mafi inganci magani shine ephedrine hydrochloride. Yana haifar da haɓakar hawan jini sakamakon haɓakar masu karɓa na alpha1-adrenergic wanda ke cikin bangon jirgin kuma yana haifar da taƙaitawa na ƙarshen.

Kulawa tare da Ephedrine yana haifar da iko na wajibi a kan matakin glucose a cikin jini, tun da miyagun ƙwayoyi na iya ƙara maida hankali.

Matakan don rigakafin cututtukan tachycardia a cikin ciwon sukari

Don guje wa faruwar cutar tachycardia a cikin ciwon sukari na mellitus, ya kamata ka:

1. Biye da karancin abincin carb (mai sauƙaƙe carbohydrates, soyayyen abinci mai mai ƙare gaba ɗaya).
2. Kula da karfin jininka.
3. Kare abubuwan sha da makamashi.
4. A bayyane yake kula da nauyin jikin mutum (mai kaifi ne ko kuma a hankali, amma gagarumin ƙaruwa a cikin nauyin jikin mutum yana tsokanar farkon bayyanar tachycardia ko neuropathy masu ciwon sukari).
5. Guji mummunan halaye (barasa, shan taba).
6. Kula da sukarin jininka.
7. Kula da salon rayuwa mai aiki (duk da haka, ya kamata ku yi hankali da ɗaukar nauyi).

Duk da gaskiyar cewa ciwon sukari, da rikitarwarsa, wanda aka nuna ta hanyar tachycardia da sauran alamu, suna da wuyar magani, yin haƙuri kuma bi warkewa. Kuma idan ba kwa son samun masaniya da irin wannan cutar, to gwada lokaci-lokaci gwargwadon matakin glucose a cikin jini da kuma ziyartar likitocin kan lokaci don gwajin rigakafin.

Palpitations da tachycardia

Zuciyar bugun zuciya da tachycardia, ba tare da la’akari da ƙarancin lafiyar ba ko kuma rashin lafiyar abin da ke haifar da su, suna ba marasa lafiya da yawa mintuna marasa damuwa da damuwa. Idan kun sami irin wannan matsalar, kuna buƙatar tuntuɓar likitan zuciyar don:

1. Gano dalilin bugun bugun zuciya da tachycardia.
2. Ka rabu da alamu masu raɗaɗi kuma ka koma rayuwa ta yau da kullun.

Bewancen bugun zuciya - ji na saurin buguwa ko ƙara yawan bugun bugun zuciya. Sau da yawa a haɗe tare da tachycardia - karuwa a cikin yawan zuciya fiye da 90 beats a minti daya.

Ajiyar zuciya wata alama ce ta zazzabi. Wasu mutane lokaci-lokaci suna jin daɗin maƙarƙashiyar cututtukan zuciya na yau da kullun, yayin da wasu zasu iya jin mummunan tashin hankalin rudani. Saboda haka, jin bugun zuciya ba alama ce ta cututtukan zuciya ba.

Andarfafawa da haɓaka ƙimar zuciya shine amsawar al'ada ta jiki ga aikin jiki, damuwa, wanda yake jin kamar bugun zuciya da tachycardia. Kawai a hade tare da wasu alamu ne kawai bugun zuciya zai iya nuna alamun rashin bacci. Bayyanar cututtukan da ke tattare da bugun zuciya suna dogara ne da cututtukan da suke zama bayyanuwa.

Sanadin palpitations da tachycardia

Palpitations da tachycardia suna faruwa ne a cikin cututtuka masu zuwa:

1. Arrhythmias (cardiac arrhythmias),
2. Endocarditis myocarditis.
3. Dodrophy na zuciya, cardiosclerosis.
4. Hawan jini.
5. Alamar zuciya.
6. Cutar amai da gudawa
7. Neurosis.
8. Kayan lambu-na jijiyoyin jiki dystonia.
9. Cututtukan endocrine (thyrotoxicosis, pheochromocytoma, yanayin hypoglycemic a cikin ciwon sukari mellitus).
10. Yanayin Fabrairu.
11. Karin bayani

Wani lokacin, kwatsam bugun zuciya yakan tsoratar da mutum, yana haifar da farin ciki kuma, a saboda haka, kara bugun bugun zuciya da tachycardia. Wannan yana haifar da mummunan da'ira wanda zai lalata lalata rayuwa sosai.

A wasu halaye, haɗuwa da palpitations da tachycardia tare da damuwa mai zurfi, ƙarin halayen ciyayi (gumi, jin rashin iska, rawar jiki, ƙwanƙwasawa) sa mai haƙuri jin tsoron mutuwa da imani na karya cewa yana da mummunar cuta, mai barazanar rayuwa. A irin waɗannan halayen, sa hannu a cikin aikin likitan ilimin psychotherapist yana da tasiri.Za a ba da hoto mai ma'ana game da yanayin tsarin zuciya da jijiyoyin jini ta hanyar nazarin irin su Holter saka idanu akan ECG da gwajin damuwa (treadmill, ergometry keke - ECG tare da kaya).

Zuciya da ciwon sukari

Rashin damuwa na zuciya a cikin ciwon sukari na iya haɓaka sakamakon ciwon kansa, kuma dangane da wasu cututtukan haɗin gwiwa: cututtukan zuciya da na jijiyoyin zuciya, hauhawar jini da sauran jijiyoyi.

Halin kwalliya da fitowar damuwa a cikin ciwon sukari shima ya sha bamban.

Ba dukkan rikice-rikicen zuciya suna buƙatar kulawa da lafiya na gaggawa ba. Yawancin waɗannan rudani ko damuwa ba su tabbata ga mutane ba har tsawon rayuwarsu. Koyaya, wasu daga cikinsu na iya ci gaba kuma suna haifar da mummunar rikice-rikice, yayin da wasu ke buƙatar taimakon likita na gaggawa.

Ana taka muhimmiyar rawa ta hanyar sanar da masu haƙuri game da dabarun halayen cikin rikice-rikice iri-iri.

Tabbas, ba duk cin zarafin zuciya bane da rawar kai zasu iya bayyanuwa da kansu a asibiti, shine, haifar da abubuwan da zasu dace. Yawancin waɗannan rikice-rikice za a iya gano su ta hanyar binciken lantarki kawai.

A lokaci guda, cardiac arrhythmias na iya bayyana kansu tare da alamomi daban-daban waɗanda mutum ba koyaushe ya yi tarayya da arrhythmias ba.

Baya ga abin da aka saba ji na rashin bugun zuciya, wanda ake kira katsewa sauran rudani damuwa bayyanuwar asibiti:

• bugun zuciya
• tsananin farin ciki
• yanayin kasawa
• a rare bugun jini
• sãɓãwar da rare kuma m zuciya kari,
• Jin bugun zuciya
• abin mamaki a matsayin kwayan ko juya bayan sternum,
• increasedarancin karancin numfashi.

A wasu halayen, ana gano rudani cikin damuwa yayin ƙididdige bugun bugun gabaɗayan babu jiyo abubuwan ciki.

A duk wadannan halayen Dole ne likita ya zama dole. Bincike mai zurfi da cikakken ƙididdigar sakamakon zai ba likitanku damar zaɓar dabarar magani mai ma'ana.

Da yawa bayyanar cututtuka, mafi sau da yawa a cikin matasa da dogon fama da ciwon sukari, na iya zama saboda masu ciwon sukari mai cutar kansa. Wannan rikitarwa ne na ciwon sukari, wanda cikin jijiyoyin zuciya sun lalace saboda yawan sukarin jini mai tsawo. Ya kasance tare da shan kashi na waɗannan jijiyoyi cewa bugun zuciya yana haɗuwa. Bayyanar cututtukan ciwon sukari kamar haka:

• sinus tachycardia harda hutawa tare da ajiyayyen zuciya wanda yakai 90-100, wani lokacin kuma har zuwa 130 beats a minti daya,
• rashin sakamakon numfashi a kan bugun zuciya (al'ada tare da zurfin numfashi, yawan zuciyar mutum yana raguwa). Wannan yana nuna rauni ga aikin jijiyoyin jijiyoyi, waɗanda ke rage yawan zuciya.

Wannan yanayin yana buƙatar gudanar da bincike na musamman tare da aiwatar da gwaje-gwaje na aikin don tantance yanayin tsarin juyayi na zuciya da amfani da kwayoyi wadanda ke hana ci gaban neuropathy da rage tasirin tsarin juyayi mai juyayi a cikin zuciya.

Tsarin tsarin juyayi mai zaman kansa, wanda ya kunshi jijiyoyi da jijiyoyi masu juyayi, sune ke sarrafa ayyukan zuciya.

Parasympathetic jijiyoyi - rage yawan zuciya.

Jijiyoyin hannu masu haɓaka - haɓaka da haɓaka ƙimar zuciya.

A cikin ciwon sukari mellitus, parasympathetic jijiyoyi ne da farko shafi, saboda haka, bugun zuciya ya zama mafi m. Changesarin canje-canje suna faruwa a cikin ɓangaren juyayi na tsarin juyayi na autonomic.

Rashin nasarar ƙwayoyin jijiya mai mahimmanci yana haifar da ba kawai ga tachycardia ba, har ma ga hanya mai ban tsoro na cututtukan zuciya a cikin wadannan marasa lafiya. Akwai bambance-bambancen hanya ta cutar ischemic tare da rauni mai raɗaɗi na ciwo, har zuwa cikakken rashin jin ciwo (ischemia mai raɗaɗi), har ma da iskar maƙarƙashiya ta sami hanya mara jin ciwo. Wannan alamar lalacewar cututtukan zuciya tana da haɗari saboda yana ba da kwarin gwiwar jin daɗin rayuwa.

Saboda haka tare da bayyanar da tsayayyen tachycardia a cikin ciwon sukari mellitus, yakamata ku nemi likita don rigakafin dacewa na ci gaban cututtukan zuciya na zuciya masu ciwon sukari.

A wani lokaci na gaba na cutar tare da ciwon sukari mellitus tare da masu ciwon sukari mai ciwon kansa, canji a cikin juyayi tsarin juyayi yana faruwa. Wadannan canje-canjen ana nuna su ta alamun orthostatic hypotension - tsananin ƙima, duhu a idanun, girgiza "kwari". Waɗannan abubuwan firikwensin suna tasowa tare da canji mai ƙarfi a cikin jikin mutum, alal misali, lokacin da ya tashi daga kan gado. Suna iya faruwa da kansu ko haifar da buƙatar ɗaukar matsayin farko na jiki.

A gefe guda, bayyanar cututtuka na asibiti iri ɗaya, har zuwa asarar hankali, na iya faruwa tare da ƙararrakin sinus mai rauni, shinge na atrioventricular, paroxysmal rushth damuwa. Awararren ƙwararren ƙwararren likita ne kaɗai zai iya sanin dalilin yanayin kwatancin asibiti, wani lokacin kuma yana buƙatar matakan gaggawa da hanyoyin warkewa.

Bayyanarwarwarwar farin ciki, duhu cikin idanu, yanayin sanyin jiki yana buƙatar kulawa da lafiya na gaggawa.

Ya kamata a lura cewa cututtukan zuciya da ke cikin cututtukan zuciya suna da haɗari ga wani dalili. Wannan rikitarwa na ciwon sukari yana ƙara haɗarin mutuwa kwatsam da bugun jini a lokacin gudanar da magunguna yayin tiyata. Saboda haka, rigakafin cututtukan neuropathy shine kuma rigakafin wannan haɗarin.

Wata hanyar haifar da rudani cikin damuwa a cikin ciwon sukari shine mai ciwon sukari mai narkewa. Ana haifar da shi ta hanyar rikicewar metabolism wanda ya haifar da rashi insulin da ciwan glucose mai rauni ta hanyar ƙwayoyin sel zuwa cikin ƙwayoyin tsoka na zuciya. Sakamakon haka, yawancin kuzarin kuzari a cikin ƙwaƙwalwar zuciya yana faruwa ne sakamakon amfani da mayukan kitse kyauta. A wannan yanayin, tara ƙwayoyin mayukan kitse a cikin tantanin halitta na faruwa, wanda yake baƙon abu musamman lokacin da cututtukan zuciya ke haɗuwa da ciwon sukari. A sakamakon haka, myocardial dystrophy na iya haifar da rikice-rikice iri-iri na rudani (extrasystole, parasystole), rikicewar nakasa, atrial fibrillation, da sauransu. Koyaya, yanayin waɗannan rikice-rikice na yau da kullun zasu buƙaci wata dabara ta daban daban fiye da ta masu ciwon suga.

Ciwon sukari microangiopathy a cikin ciwon sukari Hakanan yana rinjayar ƙananan tasoshin da ke ciyar da ƙwaƙwalwar zuciya. Hakanan yana iya zama sanadin cututtukan zuciya daban-daban. Don rigakafin ta, da kuma don rigakafin cutar neuropathy da dystrophy na ciwon sukari, da farko, ana buƙatar mafi girman diyya don ciwon sukari.

Matsakaici diyya na cutar kansa yana taimakawa hana rikice-rikice na cutar, gami da cututtukan zuciya da ke fama da cutar sankara, da mai ciwon suga na mamacin da kuma microangiopathy.

Kada sukari jini ya wuce:

• 5.5-6 mmol / L akan komai a ciki kuma
• 7.5-8 mmol / l 2 sa'o'i bayan cin abinci.

Tabbas, sanadin rikicewar cututtukan zuciya na yau da kullun shine cututtukan zuciya na yau da kullun, wanda za'a iya lura da kowane ɗayan waɗannan rudani a cikin rudani.

Don haka, zamu iya yanke hukuncin bugun zuciya na iya samun bambance bambancen bayyanar cututtuka na asibiti, wanda ba koyaushe yake daidai da haƙuri yadda ya kamata ba. Bugu da kari, rudani cikin damuwa na iya samun dalilai iri daban-daban. Sabili da haka, yarda mai zaman kanta na maganin cututtukan zuciya ba ya karɓa. Ya kamata ku kasa kunne ga shawarar abokai ko kuma wasu majinyata waɗanda a da aka kula da su sosai tare da kowane magani. Wannan miyagun ƙwayoyi ba zai iya taimaka maka ba kawai, har ma ya kara cutar da cutar. Duk da kasancewar babban magungunan antiarrhythmic na kwayoyi, da gangan ba mu magana game da su kuma ba mu bayar da shawarwari don maganin ƙwayar cuta ba. Awararren likita ne kawai a cikin kowane yanayi bayan binciken da ya dace zai iya tsayar da yanayin da kuma haifar da rikicewar zuciya, kuma likita ne kawai zai iya ba da shawarwari don maganin cututtukan farji.

Ya kamata a tuna da hakan cututtukan zuciya sau da yawa suna haɗuwa da ciwon sukari. Sabili da haka, kowane haƙuri tare da ciwon sukari, to idan ba shi da alamun bayyanar cututtuka daga tsarin zuciya, yakamata a bincika lokaci-lokaci ta hanyar likitan zuciya. Idan kun sami ɗaya daga cikin alamun cututtukan da aka lissafa a wannan labarin, yakamata kuyi tuntuɓar bawai kawai endocrinologist ba, har ma likitan zuciya.

Endocrinology: cututtuka, alamu, ganewar asali, magani, ƙari

Lalacewa ga zuciya a cikin ciwon sukari: sanadi da bayyanar cututtuka.

A cikin ciwon sukari mellitus, a bango na karuwa a cikin sukari na jini (hyperglycemia na kullum), da yawa canje-canje masu illa suna faruwa a cikin jijiyar jijiya na gefe.

A cikin ciwon sukari mellitus, a bango na karuwa a cikin sukari na jini (hyperglycemia na kullum), da yawa canje-canje masu illa suna faruwa a cikin jijiyar jijiya na gefe. Zuciya "tana yin biyayya" ga umarnin da ba daidai ba kuma ya fara aiki ba tare da ɓata lokaci ba. Lalacewa ga zuciya a cikin ciwon sukari yana faruwa ne saboda yawan damuwa na rayuwa a cikin ƙwayar zuciya da tsarin gudanarwarsa.

Tsarin zuciya diabetic autonomic neuropathy yana bayyana kanta a cikin alamomin masu zuwa: akwai saurin bugun zuciya (sinus tachycardia a hutu), damuwa yankuna na zuciya (cardialgia). Zamu bincika daki-daki wadannan alamomin cututtukan zuciya.

Kayan zuciya (bugun zuciya) yakan faru ne lokacin da mutum yake juyayi ko kuma yana da matsanancin aiki. A cikin waɗannan halayen, ana buƙatar saurin haɓakar zuciya don samar da gabobin da kyallen takarda tare da oxygen da abubuwan gina jiki. Amma tare da tsawanta da / ko raunin rashin lafiyar mellitus mai raunin hankali, ana tilasta zuciya, saboda dalilai daban-daban, don yin aiki a cikin yanayin gaggawa dare da rana. A yadda aka saba, yawan zuciya shine 60 - 70 beats a minti daya, i.e. kowane sakan, zuciya tana aiki, kuma tare da sinus tachycardia yana aiki sau biyu ko fiye fiye da kima - yawan zuciya yakan zama sau 120 ko fiye da kowane minti daya. Ko da dare, lokacin da dukkanin gabobin da kasusuwa ke hutawa, aikin zuciya ya ci gaba cikin irin rawar jiki. Idan akwai lalataccen ciwon sukari, zuciya ba ta iya kara yawan maimaituwa, wanda ya sa gabobin da kyallen takarda da ke cikin aiki ke karbar oxygen da abubuwan gina jiki a cikin girma.

Canjin zuciya

Tare da nau'in zuciya na jijiyoyin zuciya wanda ke da cutar kansa, za a iya lura da farhythmia, wanda ke haifar da sauyawa a cikin juriya na tsarin jijiyoyin mahaifa - saboda ana sarrafa shi da farko ta tsarin juyayi.

Myocardial infarction mara jin zafi

Duk wani sashin jiki, idan yayi "mara kyau a gare shi," yana ba wa mai shi siginar "SOS" ta hanyar jin zafi. Raunin ya nuna cewa wani abu ya faru da kwayoyin kuma ana buƙatar taimako na gaggawa. Samun rauni na zuciya shine matsala babba ga zuciya; ba kwatsam bane ace ana kiransa bala'i na jijiyoyin jiki. Tare da infarction na myocardial, ɗayan mahimman bayyananniya waɗanda ke taimaka wa likita don gano lafiya daidai da farawa na lokaci shine jin zafi. Yana faruwa duka a hutawa (har a lokacin bacci), da kuma lokacin ƙoƙarin jiki. Ciwon da sauri zai fara tashi ya wuce minti 30 ko fiye. Tare da ciwon sukari mai ciwon sukari mai ciwon kansa, jin zafi baya faruwa, saboda haka, mutum yana rayuwa iri ɗaya: yana yin al'ada, kuma wani lokacin yana ƙaruwa da aiki na jiki, yana da juyayi, yana farin ciki. A lokaci guda, zuciya ta riga ta sami matsaloli masu haɗari waɗanda ke da haɗari, saboda na iya ƙare da mutuwa kwatsam.

Ciwon jijiyoyin jini na jijiyoyin jini na jini - hypotension (rage karfin jini). Jikin mutum yana da tsari mai ma'ana yayin da gabobi da tsarin ke kokarin ramawa ko kuma daukar nauyin idan aka sami “nakasassu na wani lokaci” na marasa lafiya. An bayyana wannan a sarari tare da orthostatic, i.e. canji mai sauƙin matsayi a cikin jiki (miƙa mulki daga "kwance" zuwa tsaye). A wannan lokacin, magudanar jini, wanda zai taimaka wajan rage karfin jini. Amma a lokaci guda, ayyukan na musamman - mai juyayi - ɓangare na tsarin juyayi yana ƙaruwa kuma karfin jini baya raguwa. Abin baƙin ciki, tare da dogon lokaci raunin ciwon sukari mellitus, ayyukan wannan ɓangare na tsarin juyayi ana katange shi.

Ta yaya ake nuna yanayin orthostatic hypotension?

Alamar ta sune rauni gaba ɗaya, fainting, dizzness. Ana kiran wannan musamman tare da saurin canzawa daga kwance zuwa layi a tsaye. A cikin wasu halayen, orthostatic hypotension yana haɗuwa tare da tsawan ciwon kai da raguwa mai yawa a cikin ƙarfin aiki da safe. Intensarfin ciwon kai yana raguwa bayan motsawa zuwa matsayi na kwance, sau da yawa yana kawo sauƙin kai ga matsa lamba yayin da kai yake ƙasa da ƙwanƙwasa ko a matakinsa (marasa lafiya da yawa basa amfani da matashin kai).

Amfani da daidaitaccen tsarin magunguna don maganin ciwon kai (analgesics - analgin, spazgan, paracetamol, da sauransu) ba shi da tasiri.

A wannan batun, ban da magunguna, ya kamata a kiyaye wasu ka'idoji na hankali:

- guji canje-canje kwatsam a matsayin jiki,

- tashi daga gado, kuna buƙatar zama don secondsan seconds don numfashi mai zurfi,

- lokacin tashi daga gado, tsaya a hankali kusa da ita na wasu 'yan dakiku.

- drugsauki diuretic da antihypertensive kwayoyi a hankali (musamman na zamani “biyu cikin ɗaya”,

waxanda suke da dukkan alamu da jijiyoyi),

- tashi daga kujera, kujera kuma baya bukatar tayiwa.

Wadanne ƙarin gwaje-gwaje ake ba da shawarar?

1. Tabbas, da farko, shawarwari game da likitan ƙwayar cuta da ƙwallon zuciya.

2. Tambaya - amfani da tambayoyi na musamman zai baka damar fahimta da ganewa

babban alamun neuropathy.

3. Yana da matukar muhimmanci a yi ECG: tare da wannan binciken, zaku iya gano ko shakku mara ciwo

myocardial infarction ko cardiac arrhythmias (sinus tachycardia da / ko arrhythmia).

4. ECHO cardiogram zai ba ku damar kimanta yawancin sigogi masu mahimmanci na jihar aiki

5. Gudanar da takamaiman gwaje-gwaje - gwaji ta amfani da adrenoblockers, gwaji tare da insulin, gwaji tare da aikin jiki.

Wadannan gwaje-gwajen sun ba mu damar kimanta rawar da tsarin juyayi na autonomic ke ci gaba da kiyayewa na homeostasis.

6. Nazarin electroneuromyographic. Wannan hanyar tana kunshe da tsarin wasu hanyoyin 'yanci kwatankwacinsu wadanda ake kokarin gano asali a koda yaushe wadanda suka kamu da cutar siga.

7. Gudanar da gwaji na zuciya - tare da numfashi mai zurfi, gwajin orthostatic (gwajin Shelong), gwajin Valsalva, da dai sauransu.

Me yakamata ayi domin tsarin na zuciya da jijiyoyin jini ya bayyana da wuri-wuri kuma wane magani aka wajabta?

1. Da farko dai, ya zama dole don a sami sakamako mai dorewa na cutar sankarau.

2. Kula da kai na matakan glucose akai-akai yana da matukar muhimmanci.

3.Kulla dangantaka ta yau da kullun tare da likitan halartar, wanda ke kulawa da kula da cutar sikari.

A cikin arsenal na magunguna na zamani, akwai da yawa magunguna waɗanda ake amfani da su wajen magance cututtukan cututtukan zuciya da ke haifar da cutar kansa. Waɗannan sun haɗa da antioxidants, alpha reductase inhibitors, vasodilators, antiplatelet, anticoagulants, shirye-shiryen lipoic acid, da dai sauransu kawai likitan halartar na iya zaɓar magani kuma ya ba da hanya ta magani - kar a ba da magani!