Matenda a mtima ndi matenda ashuga: zakudya, zakudya, Metformin

Choyambitsa chachikulu cha kufa ndi matenda ashuga ndi mtima ndi mtima wam'mimba. Amakhala pafupifupi 82%, ndipo pakati pawo gawo lalikulu kwambiri ndi chinyengo chamawonedwe.

Nthawi ya vuto la mtima kwa odwala omwe ali ndi matenda ashuga ndiwowonjezereka, kukula kwa kulephera kwa mtima, kumangidwa kwa mtima, kupindika mtima ndi kukhazikika kwa mtima.

Potere, kudalira kwa kuchuluka kwa kuwonongeka kwa ma coronary artery mu diabetics pa shuga wolipidwa komanso kuchuluka kwa mafuta operewera metabolism kunapezeka.

Zimayambitsa kuwonongeka kwa mtima ndi mitsempha yamagazi mwa odwala matenda a shuga

Cholinga cha matenda amtima chimachulukirachulukira odwala omwe ali ndi matenda ashuga, ngakhale m'magulu omwe ali ndi kulekerera kwa carbohydrate, ndiye kuti, ndi prediabetes. Izi zimayenderana ndi gawo la insulin mu mafuta kagayidwe. Kuphatikiza kuwonjezera shuga wamagazi, kuchepa kwa insulin kumayambitsa lipolysis ndikupanga matupi a ketone.

Nthawi yomweyo, mulingo wa triglycerides m'magazi umachulukanso, kuchuluka kwa mafuta acids m'magazi. Choyimira chachiwiri ndikuwonjezera kuchuluka kwa magazi, mapangidwe amitsempha yamagazi. Kuchuluka kwa glucose kumathandizira kupangidwa kwa mapuloteni a glycosylated, kulumikizana kwake ndi hemoglobin kumasokoneza kutumiza kwa oksijeni ku minofu, yomwe imathandizira hypoxia.

Mtundu wachiwiri wa matenda ashuga, ngakhale uchulukane kwambiri wa insulin m'magazi ndi hyperglycemia, kumasulidwa kwa odana ndi insulin kumawonjezeka. Chimodzi mwa izo ndi somatotropin. Zimawonjezera magawikidwe a minyewa yosalala minyewa komanso kulowa kwa mafuta mwa iwo.

Atherosulinosis imachitanso chimodzimodzi ndi zinthu zotere

Kunenepa kwambiri
Matenda oopsa.
Kusuta.

Maonekedwe a protein mu mkodzo ndi chizindikiro chosavomerezeka cha matenda amtima ndi matenda ashuga.

Matenda a shuga osapweteka a myocardial

Myocardial infaration mu shuga imakhala ndi mawonekedwe awonetsedwe kachipatala. Amayamba ndi nthawi yayitali ya matenda a shuga, ndipo sipangakhale chiwonetsero cha matenda a mtima (CHD). Ischemia yopanda ululu yotere imayamba kukhala "wobisika", mtima wokhudzana ndi matenda ashuga.

Zomwe zimayambitsa maphunzirowa zitha kukhala kufalikira kwa zotupa za mtima kumitsekedwe yaying'ono mkati mwa mtima, zomwe zimapangitsa kuti magazi azisokonekera komanso kuwoneka kwa ischemia ndi zakudya zopatsa thanzi. Njira za Dystrophic zimachepetsa mphamvu ya zolowa zolowa mu minofu ya mtima.

Kutupa komweko kwa ma capillaries ang'onoang'ono kumapangitsa kuti magazi aziyenda bwino (zomwe zimadutsa), zomwe zimayambitsa kubwereza kwa mtima, aneurysm ndi kupasuka kwa mtima.

Mu matenda a shuga a mellitus ndi myocardial infaration, njira yopweteka ngati imeneyi imapangitsa kuti adziwe mochedwa, zomwe zimawonjezera ngozi yakufa kwa odwala. Izi ndizowopsa makamaka ndikubwereza mtima pafupipafupi, komanso kuthamanga kwa magazi.

Zomwe zimapangitsa kuti myocardial infarction komanso matenda a shuga azikhala nthawi zambiri ndi izi:

Kugonjetsedwa kwa ziwiya zazing'ono mkati mwa minofu yamtima.
Sinthani mu luso la coagulation ndi chizolowezi cha thrombosis.
Kusintha kwadzidzidzi m'magazi a shuga - odwala matenda a shuga.

Mothandizidwa ndi matenda ashuga, bongo wa insulin, komanso hypoglycemia yomwe imayenderana, amachititsa kuti ma catecholamine atenge magazi m'magazi a adrenal.

Pansi pa zochita zawo, zotengera zimakhala za spasmodic, kugunda kwa mtima kumawonjezeka.

Zomwe zimayambitsa kuwopsa kwa matenda a mtima mu shuga

Ndi matenda a mtima, kuphatikiza pambuyo pa vuto la mtima, matenda ashuga, kufooka kwa mtima, chotupa chofala m'mitsempha yamtima, kumapita patsogolo mwachangu. Kukhalapo kwa matenda ashuga kumapangitsa kuti pakhale zovuta kuchita opaleshoni ya mtima.Chifukwa chake, odwala matenda a shuga ayenera kuyamba kuchiza matenda amtima mapema.

Ndipo dongosolo loyeserera kwa odwala oterewa limaphatikizapo mayeso opsinjika nthawi ya ECG, kuwunikira ma rhy ndi kuchotsedwa kwa ECG masana. Izi zikuwonetsedwa makamaka pakusuta fodya, kunenepa kwambiri m'mimba, matenda oopsa, kuchuluka kwa magazi m'magazi, ndikuchepetsa lipoproteins yapamwamba.

Pakuchitika kwa myocardial infarction, komanso shuga mellitus, cholowa chamtsogolo chimatenga gawo. Chifukwa chake, wodwala wodwala matenda ashuga akapezeka kuti ali ndi abale ake omwe adayamba kudwala matenda osokoneza bongo, angina osakhazikika, kapena mitundu ina yamatenda a mtima, amamuwuza kuti ali pachiwopsezo chowopsa cha masoka am'mimba.

Kuphatikiza apo, zina zowonjezera zomwe zimapangitsa matenda oopsa a mtima kwa odwala omwe ali ndi matenda ashuga ndi:

Peripheral ochepa angiopathy, kusokoneza endarteritis, vasculitis.
Matenda a shuga a retinopathy
Matenda a shuga ndi nephropathy.
Mavuto Akukula
Dyslipidemia

Chithandizo cha myocardial infarction ndi shuga

Chofunikira kwambiri chodziwikitsa kukula kwa vuto la mtima mwa odwala omwe ali ndi matenda osokoneza bongo ndikukhazikika kwa mipherezero ya glycemic. Nthawi yomweyo, amayesera kuti pasakhale kuchuluka kwa shuga kuchokera pa 5 mpaka 7.8 mmol / L, kulola kuwonjezeka kufika pa 10. Kutsika m'munsi mwa 4 kapena 5 mmol / L sikulimbikitsidwa.

Odwala amasonyezedwa chithandizo cha insulin osati mtundu wa 1 shuga wokha, komanso hyperglycemia yopitilira 10 mmol / l, zakudya za makolo, komanso vuto lalikulu. Ngati odwala adalandira chithandizo chamankhwala a mapiritsi, mwachitsanzo, adatenga Metformin, ndipo ali ndi zizindikiro za kupindika, kulephera kwa mtima, kwambiri angina pectoris, ndiye kuti amasamutsidwanso ku insulin.

Insulin yogwira ntchito mwachidule imaperekedwa mosalekeza kudzera mu dontho limodzi ndi 5% shuga. Miyezo ya shuga imayesedwa ola lililonse. Ngati wodwalayo akudziwa, ndiye kuti akhoza kudya chakudya pamaziko olimbitsa insulin.

Kumwa mankhwala kuti muchepetse shuga ngati chithanso cham'madzi cham'magazi kuchokera ku sulfanylurea kapena gulu ladongo ndikotheka ndikuchotsa kwa zizindikiro za kusowa bwino kwa coronary coronary. Mankhwala monga Metformin, omwe amagwiritsidwa ntchito pafupipafupi omwe amachepetsa mwayi wokhala ndi vuto la mtima ndi matenda a mtima, amatsutsana panthawi yovuta kwambiri.

Metformin simalola kuthamanga kwa glycemia, ndipo kayendetsedwe kake mu vuto la kuperewera kwa zakudya m'thupi kumabweretsa chiopsezo cha lactic acidosis.

Metformin imakhudzanso zoyipa zazitali zazomwe zimachitika chifukwa cha kuchepa kwa magazi.

Nthawi yomweyo, umboni udapezeka kuti opaleshoni ya mtima ikadutsa, mankhwala a metformin 850 amasintha magawo a hemodynamic ndikufupikitsa nthawi yochira pambuyo pochita opaleshoni.

Mayendedwe akulu a mankhwalawo

Kusunga shuga wabwinobwino.
Kutsitsa ndikukhala ndi kuthamanga kwa magazi pamlingo wa 130/80 mm Hg
Kutsitsa magazi m'thupi.
Kuchepetsa magazi anticoagulants
Kukonzekera mtima kwa matenda a mtima

Zakudya pambuyo vuto la mtima odwala odwala matenda ashuga

Zakudya zopatsa thanzi pambuyo pa vuto la mtima ndi matenda a shuga zimatengera nthawi yamatendawa. Mu sabata yoyamba pambuyo poti pakubuka kwa myocardial infarction, zakudya zomwe zimapangidwa pafupipafupi ndi msuzi wosenda masamba, masamba osenda, kupatula mbatata, chimanga, kupatula semolina ndi mpunga, akuwonetsedwa. Mchere sungagwiritsidwe ntchito.

Nyama yophika kapena nsomba yopanda msuzi imaloledwa, makamaka mu mawonekedwe a cutlets kapena nthenga. Mutha kudya tchizi chanyumba, amamu omwera ndi zakumwa zonona zamafuta ochepa. Kusuta, ma marinade, katundu wam'chitini, tchizi, khofi ndi chokoleti, tiyi wamphamvu ndi oletsedwa.

Sabata yachiwiri, mutha kupereka chakudya chosadulidwa, koma zoletsa kugwiritsa ntchito mchere, zonunkhira, zokazinga, zamzitini komanso zakudya zamafuta zimatsalira.Zakudya za nsomba ndi nyama saloledwa kudya mopitilira kamodzi patsiku, ndipo Navar ndi yoletsedwa. Mutha kuphika tchizi tchizi ndi casseroles, phala wophika, zukini, kaloti.

Gawo lachitatu la kuwonda limayambira m'mwezi umodzi, ndipo kudya kwa vuto la mtima nthawi imeneyi kuyenera kukhala kochepa kalori, madzi amachepetsa lita imodzi patsiku, ndipo mchere umatha kukhala osakwana 3 g.Mbale zolimbikitsidwa ndi zakudya zam'madzi, komanso zakudya zopezeka ndi potaziyamu: nyemba, nyanja kabichi, mtedza, mphodza.

Mfundo zazikuluzikulu za kadyedwe pambuyo vuto la mtima:

Chepetsani kudya kwa kalori.
Pewani zakudya zomwe muli ndi cholesterol: nyama yamafuta, offal, mafuta, mafuta a nyama, batala, kirimu wowawasa, kirimu wamafuta.
Pewani chakudya chosavuta: shuga, makeke, confectionery.
Kanani cocoa, khofi, zonunkhira. Chepetsa chokoleti ndi tiyi.
Chepetsani madzi ndi mchere.
Simungathe kuphika chakudya.

Zakudya za odwala zimaphatikizapo mafuta a masamba, masamba ena kupatula mbatata, mbewu zonse zamphesa, zipatso zopanda zipatso, ndi zipatso. Ndikwabwino kuchepetsa nyama 1 nthawi tsiku 3-4 pa sabata. Nsomba yamafuta ochepa, tchizi chokoleti, kefir, yogati, mkaka wophika komanso yogati popanda zowonjezera amalimbikitsidwa ngati gwero la mapuloteni. Mutha kuphika omelet 1 nthawi patsiku.

Ndikulimbikitsidwa kudya masamba abwino kwambiri momwe mungathere mu saladi ndi mafuta amasamba ndi zitsamba, mbale zoyambirira zimakonzedwa mu mawonekedwe a masamba. Mutha kuphika chakudya chamasamba kapena kasserole wokongoletsa.

Kuwongolera kukoma kwa mbale, mandimu ndi phwetekere, viniga ya apulosi imagwiritsidwa ntchito. Kuti muwonjezere mawonekedwe azakudya muzakudya, muyenera kugwiritsa ntchito chinangwa monga zowonjezera kumanga, tchizi cha kanyumba ndi zakumwa zamkaka wowawasa.

Malangizo onse azakudya chamagulu odwala matenda ashuga ayenera kutsatiridwa, poganizira kuchepetsa kuchepa kwa mafuta a nyama ndi nyama. Ndikulimbikitsidwa kuti muchepetse thupi mukachuluka, popeza izi zimakhudza kwambiri matenda a shuga ndi matenda a mtima.

Mu kanema munkhaniyi, tinapitiliza kukulitsa pamitu yokhudza matenda a mtima mu shuga.

Mu anthu odwala matenda ashuga, kulowera kwam'mnyewa kumachitika kawiri kawiri

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Myocardial infarction ndizovuta zazikulu za shuga zomwe zimapezeka mwa odwala mu 50% ya milandu. Mwa odwala matenda ashuga, matenda a stroke komanso matenda a mtima amapezeka adakali achichepere kuposa omwe alibe matenda a shuga.

Myocardial infarction ndi matenda osokoneza bongo ndi matenda oopsa komanso oopsa, chifukwa chake chithandizo cha odwala omwe ali ndi izi ndizovuta kwambiri ndipo chikufunika chisamaliro chapadera.

Zomwe zimachitika ndi matenda a mtima mu shuga

Mwazi wamagazi umakwera, womwe umakwiyitsa kuchuluka kwa cholesterol pamakoma amitsempha yamagazi, mapangidwe a atherosselotic plaques, kuchepa kwa lumen. Zonsezi zimakhala chifukwa cha chitukuko cha matenda a mtima (angina pectoris, arrhythmia ndi kulephera kwa mtima, kugunda kwa mtima).

Kupangika kwa magazi kumapangitsa kuti magazi azithamanga komanso kuphwanya kayendedwe ka magazi. Ntchito ya minofu ya mtima imasokonekera, ndipo chiopsezo chotumphuka ndi matenda a mtima chikuwonjezeka. Izi nthawi zambiri zimakhala ndi imfa ya wodwalayo.

Matenda a mtima omwe ali ndi matenda a shuga amatchedwa "mtima wodwala."

Zambiri pano, ndikuwombedwa, myocardium, pampu ya mtima ikupopa magazi. Mtima umakulanso, ndipo motsutsana ndi izi, mitundu yolephera ya mtima.

Anthu odwala matenda ashuga nthawi zambiri amakhala ndi kuthamanga kwa magazi, zomwe zimabweretsa zovuta zosiyanasiyana - kuphatikiza kwa aortic aneurysm. Izi zimatha kusokoneza kwambiri njira yachilendo yochiritsira ndikupanga mawonekedwe omwe amatchedwa post-infarction bala. Kuopsa kwa kupasuka kwa minofu ya mtima ndi kufa kwa wodwalayo kumakulanso.

Mu myocardium motsutsana ndi maziko a matenda ashuga, kuchuluka kwa njira ya metabolic amachepetsa. Amadziwika kuti odwala matenda ashuga nthawi zambiri imawonjezereka kanayi kuti vuto laling'ono la mtima lomwe limayang'ana pang'ono limasandulika lalikulu.

Nthawi zambiri angina amakula, kuwonekera pachifuwa. Odwala omwe ali ndi zizindikirozi nthawi zambiri amafunikira kulumikizana ndikuluma.

Zokhudza kuchepa thupi komanso kubwezeretsa thupi: kodi ndizotheka kumwa Metformin ngati palibe shuga?

Metformin ndi piritsi yochepetsera shuga yomwe imagwiritsidwa ntchito ndi mtundu 2 odwala matenda ashuga (2T). Mankhwalawa akhala akudziwika kwazaka zambiri.

Katundu wake wotsitsa shuga adapezeka mu 1929. Koma Metformin idagwiritsidwa ntchito kwambiri kokha mu 1970, pomwe ma greatuanide ena adachotsedwa mu malonda.

Mankhwalawa amakhalanso ndi zofunikira zina, kuphatikizapo kuchepetsa kuchepa. Koma kodi ndizotheka kumwa Metformin ngati palibe shuga? Nkhaniyi iphunziridwa mwachangu ndi onse madokotala ndi odwala.

Matenda a mtima ndi matenda ashuga

Myocardial infaration ndi imodzi mwazovuta zazikulu za matenda ashuga. Matenda obwera chifukwa cha kusokonekera kwa metabolic amasokoneza ntchito ya ziwalo zonse zofunika za thupi. Zotsatira zake, chiopsezo cha matenda amtima wamagazi chikukula.

Matenda a shuga ndi matenda ovuta kwambiri pamene shuga wa m'magazi amalepheretsa kugwira ntchito kwa mtima. Thrombosis imayambitsa kuchepa kwamitsempha yamagazi, magazi amayenda. Mwazi umakhala wonenepa komanso wowoneka bwino, kapangidwe kake amasintha. Matendawa amakula msanga, amatuluka kwambiri. Chithandizo cha nthawi yayitali chikufunika kuganizira za pathologies zomwe zimayambitsidwa ndi shuga wambiri.

Matenda a shuga amatchedwa "mtima wodwala"

Mu odwala matenda ashuga, kuwonjezeka kwa kuthamanga kwa magazi kumayang'aniridwa makamaka, chifukwa, mtima umakula kukula, aortic aneurysm imachitika, yomwe nthawi zambiri imayambitsa kukhumudwa kwamtima. Pangozi ndi anthu omwe ali ndi mikhalidwe ina:

matenda obadwa nawo,
kusuta (kuwirikiza kuwopsa kwa vuto la mtima),
uchidakwa
kuthamanga kwa magazi
onenepa kwambiri.

Mu odwala matenda ashuga, kagayidwe kachakudya kamachepa, chitetezo chokwanira chimachepa, angina pectoris amakula. Pali kufunikira kwakanthawi kochita opaleshoni yam'mimbayo ndi kuuma. Chodabwitsa ndichakuti nthawi zambiri vuto la mtima limayamba popanda zizindikiro zopweteka chifukwa cha kuchepa kwa chidwi cha minofu ya mtima.

Matendawa amakula msanga, mavuto amabwera mpaka amapha. Myocardial infaration kwa odwala omwe amadwala matenda a shuga amakwiya kwambiri. Hypoxia imatheka chifukwa chobowoleza mpweya m'matupi.

Kupezeka kwa mapuloteni mumkodzo ndi chizindikiro chosavomerezeka cha matenda amtima wamatenda a shuga.

Zomwe zimayambitsa matenda a mtima mu matenda ashuga ndizovuta zazing'ono zamkati mwa mtima. Kusayenda bwino kwa magazi kumayambitsa matenda a ischemia ndi matenda osokoneza bongo. Njira zosasinthika za necrotic zimachitika. Njira zobwezeretsa zimasokonekera, kukula kwa vuto lalikulu lolimbana ndi mtima kumachitika kawirikawiri kuposa mwa anthu athanzi. Zotsatira zake ndi zovuta zake zimakhala zovuta kwambiri. Pamafunika kukonzanso kwakutali, kutsatira mosamalitsa malingaliro a madokotala, zakudya zoyenera.

Mitundu ikulu ya matenda a mtima mwa odwala matenda ashuga amathandizira pazinthu zingapo:

zotumphukira zamasana,
kusokoneza endarteritis,
vasculitis
matenda a shuga ndi nephropathy
dyslipidemia.

Kuneneratu za matenda am'mtima mwa odwala matenda ashuga, mutha kugwiritsa ntchito njira yolimbikitsira zizindikiro za glycemia. Mlingo wa shuga umasungidwa pamtunda kuchokera pa 6 mpaka 7.8 mmol / L, mtengo wololeza wambiri ndi 10. Sayenera kuloledwa kutsikira pansi 4-5 mmol / L. Mankhwala a insulin ndi omwe amaperekedwa kwa odwala omwe ali ndi matenda a shuga 1 ndipo anthu omwe ali ndi hyperglycemia, omwe amapitilira 10 mmol / l, zakudya za makolo, mawonekedwe oopsa a matendawa. Ngati kumwa mapiritsi sikuthandiza, odwala amamuika insulin.

Mankhwala ochepetsa mphamvu ya glucose amatchulidwa pambuyo pokhazikika kwa kusakhazikika kwa coronary insufficiency. Mayendedwe akulu a mankhwalawo

matenda a shuga
cholesterol yotsika
kusungabe kuthamanga kwa magazi pamlingo wa 130/80 mm RT. Art.
Maanticoagulants a magazi
Mankhwala a mtima ndi kuchiza matenda a mtima.

Wodwala amayenera kutsatira mndandanda wonse wamoyo.

Zizindikiro za vuto la mtima mwa anthu omwe ali ndi matenda ashuga

Odwala omwe ali ndi matenda a shuga, chifukwa chakuchepa kwa minyewa, samazindikira kusintha kwa ma pathological chifukwa chosowa ululu. Zizindikiro zosiyanasiyana zimagwirizanitsidwa ndi matenda ena. Nthawi zina kumangoyesedwa kochitika kumavumbula vuto la mtima. Matendawa amapita patsogolo, njira zake sizingasinthike.

Ndi matenda a shuga, vuto la mtima limatha kuwonekera m'njira zosiyanasiyana:

kusanza popanda chifukwa
malaise
kusokonezeka kwa mtima
kufooka
kupuma movutikira
kupweteka pachifuwa
kupweteka kukhosi, khosi, phewa, kapena mkono.

Kwa odwala matenda ashuga, ndikofunikira nthawi zonse kunyamula mapiritsi a nitroglycerin.

Ziwerengero zimatsimikizira kuti amuna amakhala ndi vuto la mtima nthawi zambiri. Mwa azimayi omwe ali ndi matenda ashuga, Zizindikiro sizitchulidwa pang'ono, samakhala pachiwopsezo cha myocardial infarction.

Nthawi zambiri zizindikiro zoyambirira za matendawa zimachitika chifukwa chogwira ntchito mopitirira muyeso, kutopa, kuzizira, thupi. Kuzolowera moyo kumva kupweteka pakubala, masiku ovuta, azimayi samayanjana ndi mavuto amtima. Chiwopsezo chikuwonjezeka ndi ukalamba, pamene kulemera kowonjezera thupi kumawonekera, kuthamanga kwa magazi kumakwera, ma pathologies okhudzana ndi zaka akuwonjezeredwa, ndipo matenda osachiritsika akuwonjezereka.

Nthawi zina ndi MI nthawi zambiri pamakhala kusasangalala, kutentha kwa mtima. Mukusuta, kumayendetsedwa ndi kupuma pang'ono ndi chifuwa, zomwe zimadziwika ndi zotsatira za chizolowezi choyipa. Zikatero, vutoli limangodziwika pa mtima. Mitundu yoopsa kwambiri imafotokozedwa ndi boma lodzidzimutsa, kusazindikira, pulmonary edema.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, mavuto ali ndi malingaliro awoawo. Kuopsa kwa vuto la mtima kumawonekera mwa anthu kuyambira ali aang'ono. Zizindikiro:

Kutupa ndi kupindika kwa miyendo,
kukodza pafupipafupi
kutopa,
kuchuluka kwambiri kwa thupi
chizungulire.

Kugunda kwamtima ndi matenda a shuga a shuga kwa anthu omwe akudwala matenda kwa nthawi yayitali kumakhala kovuta kwambiri. Kuphwanya ntchito zolimbitsa thupi kumawonjezera chiopsezo cha zovuta, pali ngozi ya kufa. Mwa odwala, kulephera kwa mtima ndi asymptomatic, koma mwachangu kwambiri, nthawi zina mwachangu. Ndikofunika kuchitapo kanthu panthawi komanso kupereka mankhwala okwanira.

Zambiri zamatenda a mtima odwala matenda ashuga:

kuchuluka kwa anthu odwala matenda oopsa kwambiri
kuchulukana kwawombana
kuthekera kwakufa ndikokwera kuposa anthu athanzi.

Ngati sanapatsidwe, "matenda a shuga" ali pachiwopsezo chachikulu kuti aleke.

Kugunda kwamtima ndi matenda ashuga kumawonjezera chiopsezo cha matendawa komanso kuthekera kwamavuto kawiri.

Matenda a shuga pambuyo vuto la mtima

Nthawi zambiri pokhapokha ngati mtima wapezeka ndi vuto lalikulu la shuga m'magazi ndikupezeka ndi matenda a shuga, mtundu ndi mawonekedwewo zimatsimikiziridwa.

Mavuto a mtima amakwiya chifukwa cha kuchuluka kwa glucose, chifukwa chomwe magazi amawasokoneza, njira zosasinthika zimachitika. Kusanthula ndi kulandira chithandizo kumachitika mokwanira. Pang'onopang'ono, mu Mlingo yaying'ono, insulin imayamwa, mtima umabwezeretsa. Zotsatira zimatengera mtundu ndi mawonekedwe a matenda omwe adapezeka, zikuwonetsa zamankhwala, zochizira zochizira zimayikidwa. M'magawo oyamba, insulin siigwiritsidwa ntchito.

Odwala omwe ali ndi matenda ashuga amapatsidwa mitundu iwiri ya kukonzanso pambuyo vuto la mtima:

zolimbitsa thupi (masewera ndi masewera)
zama psychology (kufunsa, psychotropic mankhwala ngati kuli kofunikira).

Mukachira kwathunthu, kuyenda kwakanthawi mlengalenga, masewera olimbitsa thupi amalimbikitsidwa. Popewa, amachititsa magawo a psychotherapy omwe cholinga chake ndi kukhazikika kwamanjenje. Mitundu yonse ya zojambulajambulajambula ndiyotchuka.

Zakudya za matenda a mtima ndi matenda ashuga

Thanzi limayikidwa kutengera nyengo ya matendawa. Pofuna kupewa zovuta komanso kukonzanso shuga, madokotala amalimbikitsa kudya kwapadera. Zakudya zoyenera zimapangidwa, poganizira za umunthu, kulekerera kwa thupi.

Pakati pa sabata yoyamba ndikofunikira kudya magawo ang'onoang'ono:

supu zosenda masamba ndi mbatata zosenda (kupatula mbatata),
phala (kupatula semolina ndi mpunga),
nyama yokonda ndi nsomba (yophika kapena yofinya),
ma-nyama ndi matumba, ophika wopanda mafuta kapena nthunzi,
zopangidwa mkaka ndi zakumwa,
amamu othira.

Sabata yachiwiri, mbale sizidulidwa. Nsomba ndi nyama muzakudya zimakhalapo nthawi 1 yokha patsiku. Casseroles, masamba osenda amawonjezedwa. Zoyipa:

kusuta
marinade ndi zakudya zamzitini,
tchizi
chokoleti
khofi ndi tiyi wamphamvu.

Zakudya ndizochepa pama calories. Ndiwo zamafuta, msoka, mtedza, ndi mphodza amalimbikitsidwa.

Zakudya zoterezi zimapangidwanso kuti zisakhale ndi matenda osiyanasiyana a shuga. Kuphatikiza ndi kuchuluka kwa zinthu kumawerengedwa ndi dokotala. Odwala ayenera kusungitsa kuchuluka kwa insulin mthupi, kupewa ma shuga.

Zakudya zimatengera zipatso ndi ndiwo zamasamba. Ndikofunika kudya nsomba zowiritsa komanso nsomba zam'nyanja.

Masamba ndi zipatso za matenda ashuga pambuyo vuto la mtima, zomwe akatswiri adalimbikitsa:

tomato
nkhaka
sipinachi
broccoli
kolifulawa, kabichi yoyera ndi maluwa a Brussels,
katsitsumzukwa
mabuluni
yamatcheri
mapichesi
ma apricots
maapulo
malalanje
mapeyala
kiwi

Anthu odwala matenda ashuga amakhala ndi zakudya zapadera moyo wawo wonse. Ndikulimbikitsidwa kusiya mchere, mafuta ndi zakudya zamafuta. Gwiritsani ntchito mafuta a azitona ngati chovala cha saladi. Mfundo zofunika kuzitsatsa:

kupezeka kwa potaziyamu ndi magnesium mu chakudya,
kupatula zakudya zolemera, nyama zamafuta,
Mbale zonse zilibe mchere,
kukana zakudya yokazinga,
kumwa pang'ono, mpaka 1,2 l,
kupezeka kwa nkhuku muzakudya,
ambiri mafuta mbale
tiyi ndi khofi wamphamvu - tiyi,
masamba abwino okha,
kupatula chokoleti
osadziletsa ku chakudya chamafuta othamanga,
buledi suyenera kukhala watsopano.

Kukoma kwa mbale kumakonzedwa ndi mandimu kapena viniga wa apulo. Nthambi imawonjezeredwa pachakudya monga chowonjezera chowonjezera cha fiber. Chakudya chimayenera kukhala chamagulu, kudya maola onse awiri ndi atatu. Kusala kudya sikuloledwa.

Zakudya zomwe zakumana ndi vuto la mtima ndizosiyana ndi zakudya za anthu odwala matenda ashuga. Izi zimakhudza njira ya matendawa, zimachepetsa chiopsezo cha zovuta. Kusagwirizana ndi zomwe zili ndi zovuta zambiri. Njira zapadera zosinthira zakudya za anthu onenepa kwambiri. Zakudya izi ziyenera kutsatidwa moyo wonse.

Zizindikiro za vuto la mtima ndi matenda ashuga

Mu theka la odwala onse omwe ali ndi matenda ashuga, pakupanga matendawa, matenda amtundu wamtima ngati vuto la mtima limachitika. Izi ndichifukwa choti endocrinological matenda amakwiyitsa magazi, kuchepa kwa mitsempha yamagazi ndikuyika cholesterol pamakoma awo. Izi zimakhudza kugwira ntchito kwa mtima, chifukwa chake wodwalayo amayenera kupimidwa nthawi zonse mu dipatimenti yamtima.

Zoyambira zazikulu

Matenda osiyanasiyana amtima omwe ali ndi matenda a shuga amapezeka mu 82% mwa odwala onse omwe ali ndi matendawa. Chiwopsezo cha izi chimakula kwambiri zinthu zotsatirazi zikamachitika:

Kupezeka kwa matenda amtima mu abale apamtima.Izi zikuwonetsa chibadwa chakubadwa, chifukwa chomwe majini osalongosoka nthawi zambiri amatumizidwa kuchokera kwa makolo kupita kwa mwana.
Zizolowezi zina zowopsa. Choyambirira, izi zimagwira ntchito pa kusuta, komwe kumatha kupangitsanso mwayi wovuta. Izi ndichifukwa choti sitimayi imavala kwambiri.
Kuchulukitsa kwa magazi (BP). Mtundu wina uliwonse wamagazi umathandizira kuti pakhale kuchuluka kwa mtima wathunthu.
Kulemera kwambiri, kumapangitsa izi kapena kuchuluka kwake kunenepa kwambiri. Ngati chiuno cha mwamuna chimaposa masentimita 101, ndi masentimita 89 amkazi, ndikofunikira kuyambitsa nkhondo ndi kunenepa kwambiri. Nthawi zambiri, kunenepa kwambiri kumapangika popanga ma atherosselotic zolembera zomwe zimatseka zombozo.
Mafuta ambiri mumagazi. Zotsatira zawo ndizokukulitsa magazi ndikupanga mapangidwe a cholesterol.

Mwanjira imeneyi myocardial infarction ndi shuga - Ili ndi vuto wamba lomwe limayenera kukonzekera.

Zomwe zimayambitsa matenda

Matenda a mtima omwe ali ndi matenda a shuga a 2 samangophatikizidwa ndi kuchuluka kwa shuga m'magazi a wodwalayo, komanso ndi insulin, yomwe amagwiritsa ntchito kuti ikhale yolongosoka. Asayansi apeza kuti ngakhale anthu omwe ali ndi prediabetes ali ndi vuto lotha kukhala ndi matenda ashuga. Izi zikutanthauza kuti madokotala atazindikira kuti kulekerera kwamatumbo kumakhala kofunikira, nthawi yomweyo ayenera kuchitapo kanthu pofuna kukhazikitsa dongosolo la mtima. Zikatero, vuto limakhala makamaka pakusintha kwa metabolidi ya lipid mu thupi la munthu.

Mwambiri, akatswiri amatchula zifukwa zotsatirazi zomwe zimayambitsa matenda a mtima mu shuga:

Kuwonjezeka kwa kuchuluka kwa mafuta m'magazi.
Mlingo wa ndende za ketone.
Mawonekedwe a magazi chifukwa cha magazi.
Maonekedwe a protein yambiri ya glycosylated.
The zimachitika organicoxia.
Kugawika kwa maselo osalala a minofu, kutsatiridwa ndi kulowa kwa lipids mwa iwo kudzera mukutulutsidwa kwa mahomoni okula.

Chifukwa chake, zomwe zimayambitsa kubadwa kwa myocardial infarction mu mtundu 1 ndi mtundu wa 2 shuga zimakhala zosiyanasiyana. Nthawi zambiri, ndizosatheka kudziwa chomwe chimayambitsa kupangika kwa mtima ndi mtima. Izi ndichifukwa choti odwala nthawi zambiri amakhala ndi mavuto angapo azaumoyo omwe ali pamwambapa.

Zizindikiro za matendawa

Zizindikiro za myocardial infaration mwa odwala omwe ali ndi matenda osokoneza bongo zimakhala ndi zotsatirazi, zomwe zikuyenera kuyang'anira:

Kupweteka kwambiri pachifuwa.
Kuchepetsa mseru komanso kugwa.
Zofooka zambiri zomwe zimachepetsa kugwira ntchito.
Kulephera pamlingo wamisempha yamtima.

Nthawi zambiri, kupweteka kwamtima kumakhala kovuta kuti muchepetse ndi okhazikika mtima. Choyamba, izi zimagwira ntchito kwa nitroglycerin. Nthawi zambiri, ululu umapereka khosi, lamba.

Matenda a shuga amachititsa kuti magazi azikhala ndi vuto lochepa kwambiri, koma zizindikiritso zake zimakuthandizani kuti muzitha kudziwa komanso kupewa. Komabe, odwala ena samvera chilichonse chokhudza kusintha kwa thanzi. Izi ndichifukwa choti chifukwa cha mavuto omwe ali ndi endocrine system, chidwi chawo chamkati amkati chimachepa.

Kufotokozera za mankhwalawa

Ambiri amati za Metformin kuti imachulukitsa moyo. Ndipo izi zikunenedwa ndi asayansi omwe akuchita maphunziro osiyanasiyana azachipatala a mankhwalawa. Ngakhale kutsimikizika kwa mankhwalawa kumawonetsa kuti imangotengera shuga mellitus 2T, yomwe imatha kulemedwa ndi kunenepa kwambiri komanso kukana insulini.

Metformin 500 mg

Itha kugwiritsidwanso ntchito kwa odwala matenda a shuga 1T. Komano, Metformin imangowonjezera insulin. Kuchokera pa zomwe zikuwonongeka zikuwonekeratu kuti anthu omwe ali ndi vuto logaya mafuta osavomerezeka sayenera kugwiritsa ntchito mankhwalawa.

Chimachitika ndi chiani ngati mutatenga Metformin popanda matenda a shuga? Yankho limaperekedwa ndi asayansi omwe adaphunzira momwe mankhwalawa amathandizira, kuletsa kukalamba kwa thupi, komanso kuchuluka kwa ma cell.

Mankhwala Metformin:

imathandizira kufalikira kwa matenda a Alzheimer's, momwe ma cell a mitsempha omwe amachititsa kukumbukira kukumbukira,
imalimbitsa maselo am'mimba, imathandizira kuti maselo atsopano a ubongo (ubongo ndi msana),
imathandizira kubwezeretsa maselo amitsempha yama ubongo pambuyo pa sitiroko,
amalepheretsa chitukuko cha multiple sclerosis.

Kuphatikiza pa kuwongolera zinthu muubongo, Metformin imathandizira ntchito ya ziwalo zina ndi machitidwe a thupi:

Amathandizira kupondereza kuperewera kwa thupi komwe kumachitika chifukwa cha kuchuluka kwa matenda ashuga a C,
linalake ndipo tikulephera kukula kwa matenda omwe amayamba chifukwa cha ukalamba wa mtima, mitsempha yamagazi,
zimasokoneza ma calcification wamitsempha, omwe amawononga ntchito ya mtima,
amachepetsa chiopsezo chotenga khansa (Prostate, mapapu, chiwindi, kapamba). Nthawi zina amagwiritsidwa ntchito mu chemotherapy yovuta,
zimalepheretsa matenda ashuga komanso mitundu yofananira,
Amachita zachiwerewere mwa akulu,
amachitira mafupa am'matumbo ndi nyamakazi yokhudzana ndi kukula kwa matenda a shuga,
imakongoletsa ntchito ya chithokomiro,
imathandiza impso ndi nephropathy,
kumalimbitsa chitetezo chathupi
Amathandizira kuteteza kupuma pamatenda.

Ntchito zotsutsa ukalamba za mankhwalawa zapezeka posachedwa. Izi zisanachitike, Metformin anali kugwiritsidwa ntchito kokha pothana ndi matenda a shuga. Koma zambiri zomwe zimapezedwa poyang'anira odwala omwe akuchiritsidwa ndi othandizidwawa adawonetsa kuti amakhala nthawi yayitali kuposa anthu opanda matenda awa.

Izi ndi zomwe zidapangitsa asayansi kuganiza zakuthana ndi kukalamba kwa Metformin. Koma malangizo a kagwiritsidwe kake sikuwonetsa izi, chifukwa kukalamba si matenda, koma njira yachilengedwe yomaliza moyo.

Mchitidwe wokonzanso umakhala ndi:

kuchotsera kwa cholesterol plaque mu zombo. Chiwopsezo cha thrombosis chimachotsedwa, kufalikira kwa magazi kumakhazikitsidwa, kuthamanga kwa magazi kumatheka.
kukonza kagayidwe kachakudya njira. Kulakalaka kumachepetsedwa, komwe kumapangitsa kuti muchepetse, kuchepa thupi komanso kusintha kulemera,
kuchepa kwamatumbo a shuga m'matumbo. Kulumikizana kwa mamolekyulu a protein amapewedwa.

Metformin ndi ya m'badwo wachitatu biguanides. Zomwe zimagwirira ntchito ndi metformin hydrochloride, yomwe imathandizidwa ndi mankhwala ena.

Chiwembu chogwiritsira ntchito mankhwala motsutsana ndi matenda ashuga ndiwofatsa. Muli zoletsa njira ya gluconeogeneis, pomwe mukulimbikitsa glycolysis.

Izi zimabweretsa kuyamwa bwino kwa shuga, pomwe kumachepetsa mayamwidwe ake m'matumbo. Metformin, osakhala othandizira pakupanga insulini, sikuti imayambitsa kutsika kwamphamvu kwa shuga.

Kugwiritsa ntchito Metformin, malinga ndi malangizo omwe aphatikizidwa ndi mankhwalawa, akuwonetsedwa:

chiwonetsero cha insulin kukana kapena metabolic syndrome,
kulolerana kwa shuga
kunenepa kwambiri kokhudzana ndi matenda a shuga
matenda otupa ovary,
shuga mellitus 2T ndi zovuta chithandizo,
shuga 1T ndi jakisoni wa insulin.

Koma kodi Metformin ingatengedwe ngati palibe shuga? Inde, pali zinthu zina zamankhwala zomwe zimatha kuthana ndi kunenepa kwambiri komanso kukalamba mwa anthu opanda matenda a shuga.

Kuchepetsa Ntchito

Kodi ndizotheka kumwa Metformin kuti muchepetse thupi, ngati shuga ndichabwinobwino? Kuwongolera uku kwa mankhwalawo kumachitika chifukwa chakutha kwawo kukamenya nkhondo osati ndimipangiri yamitsempha yamagazi, komanso ma deposits amafuta.

Kuchepetsa thupi mukamamwa mankhwala kumachitika chifukwa chotsatira:

kuthamanga kwamafuta oxidation,
kutsika kwa kuchuluka kwa chakudya chamafuta omwe amapezeka
kuchuluka kwa glucose chifukwa cha minofu.

Izi zimachotsanso kumverera kwanjala yosalekeza, zimathandizira kuti thupi lizikula msanga. Koma muyenera kutentha mafuta mukudya.

Kuti muchepetse kunenepa, muyenera kusiya:

maswiti, zakudya
mankhwala a ufa
mbatata.

Masewera olimbitsa thupi, monga masewera olimbitsa thupi olimbitsa thupi tsiku lililonse, amafunikanso. Ma regimen akumwa ayenera kuyang'aniridwa mosamala. Koma kumwa mowa ndikoletsedwa.

Tiyenera kukumbukira kuti kuchepa thupi kumangowonjezera mphamvu ya mankhwalawo. Ndipo adokotala okha ndi omwe angadziwe kufunika kwa Metformin kuti athane ndi kunenepa kwambiri.

Ntchito yoletsa kukalamba (anti-okalamba)

Metformin imagwiritsidwanso ntchito polepheretsa kusintha kokhudzana ndi zaka m'thupi.

Ngakhale mankhwalawa siwopanda chiyembekezo chaubwana wamuyaya, amakulolani:

bwezeretsani kuchuluka kwa bongo ku mawu ofunikira,
kuchepetsa chiopsezo cha neoplasms yoyipa,
limbitsani mtima minofu.

Vuto lalikulu la chiwalo cholimba cha kukalamba ndi atherosulinosis, yomwe imasokoneza kugwira ntchito kwa mtima ndi mitsempha yamagazi. Ndiye amene amayambitsa imfa zambiri zomwe zimachitika asanakwane.

Zotsatira za cholesterol yomwe imatsogolera ku atherosulinosis imachitika chifukwa:

kuphwanya kachitidwe koyenera ka kapamba,
kulakwitsa kwa chitetezo chamthupi,
mavuto a metabolic.

Cholinga chake ndikukhalanso ndi moyo womwe anthu okalamba amatsogolera, pomwe amakhala ndi chakudya chambiri komanso zopatsa mphamvu, ndipo nthawi zina zimawonjezera.

Izi zimabweretsa kukokomeza magazi m'mitsempha ndikupanga ma cholesterol amana. Mankhwalawa amathandizira kuchepetsa mafuta m'thupi, kusintha kayendedwe ka magazi ndi kusintha ntchito ya ziwalo zonse ndi machitidwe. Ndiye kodi Metformin ingatengedwe ngati palibe shuga? Ndizotheka, koma pokhapokha ngati pali contraindication.

Zoyipa pa Metformin ndi:

acidosis (pachimake kapena chovuta),
nthawi ya pakati, kudyetsa,
Matendawa ndimankhwala
chiwindi kapena vuto la mtima,
myocardial infaration
Zizindikiro za hypoxia mukamwa mankhwalawa.
kuchepa kwa thupi ndi matenda opatsirana,
matenda am'mimba thirakiti (zilonda),
kuchita zolimbitsa thupi kwambiri.

Lemberani Metformin kuti muchepetse thupi komanso kuti musinthe thupi ndikufunika kukumbukira zotsatirapo zoyipa:

chiopsezo chowonjezereka cha anorexia
mseru, kusanza, kutsegula m'mimba kumachitika,
nthawi zina kukoma kwazitsulo kumawonekera
kuchepa magazi kumatha kuchitika
pali kuchepa kwa mavitamini a B, komanso kukonzekera kowonjezera komwe kuli
kugwiritsa ntchito kwambiri, hypoglycemia ingachitike,
Kuchita zosagwirizana kumabweretsa mavuto amtundu wakhungu.

Makhalidwe a pharmacological ndi malangizo ogwiritsira ntchito mankhwala Metformin:

Njira yogwiritsira ntchito Metformin osati pochiza matenda ashuga siyachilendo. Yambani kudzisankhira nokha ndikusankha mlingo woyenera nokha osakakumana ndi opereka chithandizo chamankhwala kuti akhale ndi zotsatila zoopsa zomwe sizingachitike. Ndipo ngakhale atayang'anitsitsa wodwala akamva, kutenga nawo gawo kwa dokotala pakuchepetsa / kuyambiranso ndi Metformin ndikofunikira.

Chithandizo choyamba cha matenda a mtima ndi matenda ashuga

Kuti muthane ndi vuto la mtima lomwe limayambitsa matenda a shuga nthawi, muyenera kumvetsetsa momwe thandizo loyamba liyenera kuchitikira pazochitika zotere. Madokotala amalimbikitsa izi:

Wodwala amafunika kugona yekha kuti gawo lake lakumwamba limadzuke. Nthawi zambiri, odwala sangachite izi pawokha, izi zimayenera kuchitidwa kwa anthu omwe ali pafupi.
Munthu ayenera kuonetsetsa kuti pakukhala mpweya wabwino nthawi zonse. Kuti muchite izi, tsegulani zenera, khowetsani chipinda, chotsani lamba ndikumasula tayeyo.
Nthawi zonse zofunika kuchepetsa kuthamanga kwa magazi komanso kugunda kwa mtima.
Ngati ndi kotheka, wodwalayo ayenera kumwa nitroglycerin kapena mtima wina wosakhazikika. Choyamba, izi zimakhudza kulowetsedwa kwa valerian.

Chifukwa cha zomwe tachitazi, ndizotheka kupulumutsa moyo wa wodwala yemwe ali ndi matenda monga myocardial infarction ndi shuga mellitus.

Kuzindikira matendawa

Kuti mupeze matenda am'mnyewa wamatumbo omwe amayamba chifukwa cha matenda osokoneza bongo, njira zotsatirazi ziyenera kugwiritsidwa ntchito:

Mbiri kutenga. Choyamba, katswiri ayenera kudziwa zomwe zimachitika ndi matenda a endocrinological. Kuphatikiza apo, adotolo ayenera kumvetsetsa pakakhala mavuto ndi mtima, kuchuluka kwa zowawa, ndi zina zambiri.
ECG Electrocardiography imakuthandizani kuti mumvetsetse zomwe zimachitika minofu yamtima.
Kusanthula kwamwazi ndi kukosanso kwamwazi. Kuphunzira kwamtunduwu kumakuthandizani kuti mumvetsetse ngati pali njira zina zotupa mthupi la wodwala kapena mavuto ena, mwachitsanzo, mapangidwe a zipsera mu mtima. Izi zimawonetsedwa nthawi zambiri ndi kuwonjezereka kwa ESR ndi maselo oyera amwazi.
Echocardiography. Iyi ndi imodzi mwanjira za ultrasound, yomwe cholinga chake ndikuphunzira kusintha kwa kusintha kwa mtima ndi magwiridwe antchito ake.
Roentgenography. Ndikofunikira kuti mumvetsetse zomwe zasintha mthupi la anthu.

Mwazi wamagazi pambuyo pa vuto la mtima uyenera kulamulidwa mokwanira. Izi ndichifukwa choti kuchuluka kwa glucose kumatha kubweretsa zotsatira zina zambiri, kuphatikizapo kubwerezanso kwa mavuto a mtima.

Ndikofunikira kudziwa

"Tanthauzo" la kuphatikizika kwa matenda am'mimba m'matenda a shuga ndikuti matendawo nthawi zambiri amakula popanda kupweteka, chifukwa kumverera kwa minofu yamtima kumachepa.

Mu odwala matenda ashuga, nthawi zina pamakhala ululu wosapweteka komanso wowotcha, kuwonetsera komwe kumakhala kwabwinobwino ndi vuto la mtima. Amatha kukayikira kuti ali ndi vuto la mtima, ndikukhalabe nawo.

Popanda chisamaliro chokwanira, zovuta zina pambuyo pake zimayamba kumangidwa.

Nthawi zambiri odwala atagona mu dipatimenti yamatenda a mtima amakana kwathunthu matenda awo ndipo akufulumira kukafufuza. Ndipo ngati shuga alumpha mwadzidzidzi, mtima womwe uli pamenepa ungathe "kusweka"

Gulu lamavuto

Ngati muli ndi matenda ashuga, mudzazindikira nokha zotsatirazi, ndiye kuti muli pachiwopsezo. Muyenera kukhala ndi chidziwitso chowonongekera kuposa anthu ena omwe alibe shuga.

Matenda a shuga enieniwo ali kale pachiwopsezo.
Kuphwanya Myocardial m'modzi mwa abale anu (mpaka zaka 55 mwa akazi ndi kufikira zaka 65 mwa abambo) kumawonjezera mwayi wokhala ndi vuto la mtima mwa inu.
Kusuta fodya kawiri kumawonjezera mwayi wokhala ndi vuto la mtima. Zimathandizira pakuthamanga kwamitsempha yamagazi. Kuwopsa kwa kusuta mu shuga kumafotokozedwa mwatsatanetsatane apa.
Matenda oopsa a magazi kapena matenda oopsa amachititsa kuti mitsempha ikhale yambiri.
Ngati chiuno chimazungulira kupitirira 101 masentimita kwa munthu wamwamuna komanso kupitirira 89 masentimita kwa mzimayi, ndiye kuti izi zikuwonetsa kunenepa kwambiri, mafuta owonjezera "oyipa", chiwopsezo cha mapangidwe a atherosselotic ndi kutsekeka kwa mitsempha ya coronary.
Kuchuluka kwa cholesterol yabwino kumawononga mphamvu ya mtima.
Miyezo yambiri ya triglycerides (mafuta) m'magazi imayambitsa matenda a mtima.

Pazonsezi titha kunena kuti shuga ndi mdani wathu woyamba ndipo tiyenera kulimbana naye poyamba.

Kupewa

Chithandizo chabwino kwambiri, monga mukudziwa, ndi kupewa, ndipo pofuna kupewa matenda a mtima, ndikofunikira:

Yang'anirani shuga wamagazi (tebulo la shuga).
Yang'anirani cholesterol yanu.
Pitani ku endocrinologist wanu ndi mtima pafupipafupi.
Siyani kusuta ndi kumwa mowa. Chifukwa chomwe mowa saloledwa mu shuga ndi yankho la madokotala.
Tsatirani zakudya zoyenera za anthu odwala matenda ashuga.
Imwani mankhwala okhazikitsidwa ndi dokotala.
Yenderani kuthamanga kwa magazi.
Gwiritsitsani kugona ndi kupuma.
Tsatirani njira yoyenera yochitira zolimbitsa thupi.

Njira zochizira

Chithandizo chokwanira cha kulowetsedwa kwa myocardial chidzafunika kufunsidwa ndi mtima wabwino, mayeso okwanira komanso owonetsa zambiri, ndikuwongolera kwathunthu munthawi ya chithandizo.

Kuthana ndi kulowetsedwa ndi matenda osokoneza bongo ndi ntchito yovuta. Zochita monga angioplasty kapena stenting ndizothandiza kwambiri kuposa chithandizo cha thrombolytic. Amachepetsa chiopsezo chobwereza matenda amtima komanso kufa.

Odwala omwe ali pachiwopsezo chachikulu cha matenda oopsa a coronary syndrome amachitidwa mankhwala oopsa. Izi nthawi zambiri zimachitapo kanthu limodzi ndi mankhwala.

Anthu odwala matenda ashuga ali ndi chiopsezo chowonjezeka cha zovuta. Chifukwa chake, kuti awapewe, madokotala nthawi zambiri amagwiritsa ntchito njira za opaleshoni ya x-ray zobwezeretsanso ziwiya za m'mimba. Njirayi imagwiritsidwa ntchito koyamba patatha maola 12 mutachita stenting.

M'dziko lathu, chithandizo chakutsogolo sichikupezeka. Ndipo popeza si aliyense amene angakwanitse kuwakwanitsa, ambiri ali ndi chidwi ndi nkhani ya mankhwala.

Popeza kusokonezeka kwa metabolic kumachitika m'matenda a shuga, njira ya metabolic imakhala yothandiza kwambiri.

Mwambiri, kugwiritsa ntchito njira zodulira mosadukiza komanso mankhwala atsopano omwe atsimikiziridwa kuti ndiwothandiza sikuti kungangochepetsa chiopsezo cha matenda amtima komanso kupewa matenda obwera chifukwa cha kufooka kwa mtima ndi sitiroko.

Ntchito Yagulu

Malinga ndi dongosolo la Unduna wa Zaumoyo wa 04.06.1991 No. 117 kwa ana omwe ali ndi vuto la matenda osokoneza bongo, chilolezo chachipatala chimaperekedwa paudindowu mpaka zaka 18. Matenda a shuga molingana ndi lamuloli amapatsidwa gawo lachitatu: ili ndi mndandanda wazikhalidwe zomwe zimapereka ufulu wopatsa olumala. Ndime 15 imawonetsa matenda a shuga (mitundu yake ya insulin).

Izi zimatsogolera kuchepera kwa moyo wa mwana. Amafuna chitetezo chamtundu, thandizo la boma.

Kupatula apo, mtundu wa matenda a shuga omwe amadalira insulin ndi omwe amachititsa kuti pakhale kusokonezeka kwakukulu kosagwiritsidwa ntchito kwa makina ndi ziwalo. Satifiketi ya udokotala pakapatsidwa vuto la kulemala imaperekedwa nthawi 1 mpaka zaka 18. Tsiku la 18 lakubadwa lisanachitike, ana amapita kukayesedwa.

Payokha, lipoti lachipatala limapangidwa za kufunika kopatsa mwana zida zothandizira. Izi zimaphatikizapo zida zapadera, zida zofunika kulipirira mkhalidwewo ndikuwongolera kusintha kwake.

Anathandizira

Malinga ndi malamulo a Federation, ana omwe akudwala matenda ashuga, nthumwi zawo ziyenera kudalira:

kuperekedwa kwa chisamaliro chaulere kuchipatala (kapena mwanjira zokonda),
kugawa mankhwala ofunikira,
chiphaso cha kuthekera ndi chithandizo cha mankhwala a mwana amene ali ndi vuto linalake (nzika yoyendetsedwa nayo imapatsidwa voti yofanana),
kuyenda kwaulere kumalo opangira chithandizo cha spa (kamodzi pachaka),
kusiya msonkho
kuvomereza kulephera kwathunthu pantchito yankhondo,
kuchotsera pa zinthu zofunikira ndi renti mu 50%,
kuchotsedwa pakulipira msonkho wamagalimoto (kuyenera kukhala katundu wa mwana wolumala),
kumasula msonkho: nthaka, katundu wa munthu payekha, mphatso, cholowa,
kubwezera ndalama zolipirira maphunziro apanyumba,
kuvomerezedwa ku mabungwe ophunzitsira pamsika wopanda mpikisano.

Mabanja omwe ana odwala matenda ashuga amaleredwa ali ndi ufulu wowerengera zomwe adzachite pomanga kapena kukonza malo owerengera.

Ufulu wowonjezera umaperekedwa kwa makolo ngati mwana wawo wapezeka ndi matenda a shuga ndipo ali ndi vuto:

Ulendo waulere kupita kumalo azithandizo,
masiku 4 ochulukirapo pamwezi (adapatsidwa kholo 1),
kuperekedwa kwa masiku 14 osaperekedwa,
kuchepa kwa ndalama za msonkho,
Nthawi yosamalira mwana wolumala yomwe yapatsidwa imawerengedwa kutalika kwa ntchito.

Ngati mwana wazindikiridwa kuti ndi wolumala wazaka zosakwana zisanu ndi zitatu, ndiye kuti kholo lomwe limam'samalira lili ndi zaka zopitilira 20, ali ndi ufulu wopuma pantchito pasadakhale: azimayi azaka 50, abambo 55.

Amayi aana omwe ali ndi zilema, omwe adalandidwa ufulu wawo, akhoza kulandira mwayi wokaona gawo loyang'anira kamodzi kamodzi pachaka kwa masiku 7.

Chilolezo chalemala

Asanamvetsetse momwe kuperekera kwa ana odwala matenda ashuga kumachitika, kulemala kuyenera kulembetsa. Adakali matenda a shuga aang'ono kwambiri. Ana onse omwe ali ndi matenda amtunduwu ali ndi ufulu kukhala ndi mwayi wokhala wolumala: gulu silipatsidwa kwa iwo. Bungwe la zamankhwala limapereka chiyembekezo kuti mwanayo ndi mwana wolumala. Kuti mupereke mawonekedwe awa muyenera:

ntchito kwa woimira mwalamulo (woyang'anira, kholo),
chidziwitso cha mwana ndi woimira
zolemba zachipatala (khadi, zotsatira zoyeserera, kuchotsedwa kuchipatala),
zambiri zokhudzana ndi kufunikira komwe adotolo akuti.

Mutapanga lingaliro ndikupereka gulu, muyembekezere kulandira zabwino. Ana amalandiriranso penshoni yodwala. Kukula kwake mu 2017 ndi ma ruble 11,903.51.

Makolo amathanso kudalira gawo lazoyang'anira ana ochepa - izi ndi zolipiritsa kwa kholo lomwe silikugwira ntchito lomwe limakakamizidwa kusamalira mwana yemwe ali ndi vuto. Kukula kwake kumakhazikitsidwa ndi Lamulo la Purezidenti wa Russian Federation ndipo amafika ma ruble 5500. kwa makolo ndi oyang'anira. Anthu ena adzalandira chindapusa mu kuchuluka kwa ma ruble 1200. Malipiro a pamwezi amachitika limodzi ndi penshoni ya mwana.

Kupeza mankhwala

Makolo omwe ali ndi ana olumala ali ndi chidwi ndi zomwe amapereka kwaulere ku pharmacy. Mankhwala aulere ayenera kutumizidwa ndi adokotala. Pansi pa malamulo, odwala omwe apatsidwa zilema amayenera kulandira:

mankhwala opangidwa kuti muchepetse shuga,
gluceter ndi kuyesa kuti,
Mankhwala ena omwe amafunikira mankhwalawa pazotsatira ndi zovuta za matendawa.

Mankhwala ayenera kuperekedwa mwa kuchuluka kwa adotolo. The endocrinologist iyenera kutsogozedwa ndi muyezo wazachipatala kwa odwala omwe amadalira insulin. Amalemba mankhwala othandizira: ayenera kulandira pakadutsa mwezi umodzi kuchokera nthawi yomwe mankhwala adalandira. Pafupifupi mankhwala onse operekedwa kwa odwala matenda ashuga amakonda.

M'mwezi umodzi mutha kupeza:

100 mowa wa ethyl
insulini, singano,
syringes monga "Plyapen", "Novopen" 1 ndi 2,
insulin

Komanso, odwala matenda a shuga amatha kudalira kuperekedwa kwaulere kwa mankhwala apadera. Mndandanda wamankhwala okondera:

Insulin Glargin: yankho la subcutaneous makonzedwe,
Insulin Aspart: yankho la jekeseni,
Chitsulo cha Insulin: jekeseni pansi pa khungu,
Insulin Aspart: kuyimitsidwa kwa biphasic kwa jekeseni,
Human biphasic insulin mwa mawonekedwe a kuyimitsidwa kwa subcutaneous makonzedwe,
Insulin Lizpro mwa njira yothetsera jakisoni,
sungunuka wa insulin ya anthu mwa njira yothetsera jakisoni,
Isulin insulin: kuyimitsidwa kwa jakisoni.

Mankhwala enieni amasankhidwa ndi adokotala. Ndani amafunikira insulini yaulere? Ana onse omwe ali ndi mtundu wa shuga wodalira insulin amayenera kulandira.

Kuphatikiza apo, mankhwala ena amadalira matenda ngati awa:

kusankha beta-blockers
beta ndi alpha blockers,
zotumphukira za dihydropyridine, phenylalkylamine,
ACE zoletsa
angiotensin II olimbana nawo,
HMG-CoA reductase inhibitors,
mafupa
kuthana kwa glycogen mahomoni,
othandizira a gulu la penicillin, kuphatikiza ndi kuphatikiza ndi beta-lactamase inhibitors,
salicylic acid (zotumphukira zake),
chimfine.

Chinsinsicho chidalembedwa pamaziko a mayeso ndi mayeso. Nthawi zambiri, endocrinologists amakupangira mankhwala kuti akhale okwanira pamwezi. Mutha kulandira mankhwala okondera ku mafakitala apadera a boma m'madipatimenti apadera kuti muthe kupereka mankhwala kwaulere.

Mutha kudziwa zakupezeka kwa mankhwala aulere ku pharmacy yomwe ili pafupi ndi chipatala chanu. Nambala yake ya foni iyenera kuwonetsedwa pazoperekera mankhwala Komanso, zidziwitso zokhudzana ndi ngati mankhwala aulere aliko zitha kupezeka poyimbira anthuwa chithandizo chachipatala cha maola 24.

Mitundu ina yothandizira

Kuphatikiza pa mankhwala aulere, ana omwe ali ndi matenda ashuga amathanso kulandira ndalama zothandizira kudziwa njira zodziwira matenda. Izi zikuphatikiza:

glucometer
zingwe zoyesera zofunika kuyeza shuga.

Ndikosavuta kudziwa kuchuluka kwa magawo a glucometer omwe amaperekedwa kwa odwala omwe ali ndi matenda a shuga 1. Kusankhidwa kuyenera kuchitidwa ndi achipatala, kutengera zizindikiritso zofunika. Nthawi zambiri, amaganiza kuti anthu omwe amadalira insulin amafunikira magawo atatu patsiku. Ngati zingwe zazikulu zowonjezera zikufunika kuti zitsimikizire ntchito zofunika, ndipo izi zatsimikiziridwa ndi madokotala, ndiye kuti titha kuyembekezera kuzilandira mu kuchuluka kofunikira.

Ngati bungwe la zamankhwala litazindikira kuti wodwala wodwala yemwe amadalira insulin amafuna mankhwala osagwirizana ndi chithandizo, amaperekedwanso kwaulere. Izi zikugwira ntchito kwa onse mankhwala ndi zida zofunika pakuwunika boma ndikukhalitsa wathanzi.

M'madera ena, amakana kupereka mizere yaulere mwa mayeso, kuti ndiwotheka kudya, osati chida chofufuzira. Koma kusaloledwa kwa machitidwe otere kumatsimikiziridwa ndi machitidwe oweruza.

Komanso, odwala amatha kubwera kuchipatala pafupipafupi 730 pachaka kukayeza magazi ndi kutsimikiza mtima kwa glucose.

Dongosolo la Boma la Russian Federation la pa Disembala 29, 2014 No. 2762-r lidawonetsanso mndandanda wazinthu zomwe zimaperekedwa ngati magulu azithandizo azamalamulo amaperekedwa malinga ndi zomwe zikulembedwera, komanso ndalama zomwe zimayikidwa m'thupi ngati gawo la mapulogalamu othandizira kupereka chithandizo chamankhwala kwaulere. Izi zikuphatikiza:

machitidwe oyang'anira shuga,
mapampu a kulowetsedwa ndi insulin okhala ndi glucometer yomangidwa,
insulin autoinjectors yokhala ndi ma cartridge osinthika ophatikizidwa,
oyambitsa kulowetsedwa insulin cannula.

Mutha kudziwa momwe mungapezere zida ndi mankhwala kuchokera kwa akatswiri kapena a endocrinologist. Koma ngakhale atalandira zida zothandizira kuzindikira ndikusamalira zaulere, odwala (makolo awo) nthawi zambiri amayenera kugula zinthu zosiyanasiyana kuti azigula.

Chithandizo cha MI

Pofuna kuteteza matenda omwe munthu akudwala, ayenera kuwongolera kuthamanga kwa magazi ndi kugunda kwa mtima.

Kuphatikiza apo, ndikofunikira kutulutsa kuchuluka kwa shuga ndi mafuta m'thupi.

Akatswiri amalimbikitsanso magazi omwe amamwa mowa, chifukwa vutoli limayambitsa mapangidwe a magazi omwe amatha kutseka chotengera ndikupatsanso mtima wina.

Mankhwala

Matenda a shuga a shuga, ngakhale atakhala kuti akudwala matenda opha ziwalo zina, amafunikira chithandizo cha insulin.Pamafunika kugwiritsa ntchito insulin yochepa chabe.

Madokotala samalimbikitsa kuti kumwa mankhwala omwe amachepetsa shuga, pomwe mukunena za sulfanyl urea kapena magulu adongo. Izi zikugwira, mwachitsanzo, Metformin.

Pofuna kuonda magazi, wodwalayo ayenera kugona. Kuphatikiza pa iwo, mankhwala a antihypertensive amaperekedwa pamodzi ndi mtima glycosides.

Kugwiritsa ntchito mankhwala osokoneza bongo kumagwiritsidwa ntchito pokhapokha ngati pali contraindication kuchitapo opaleshoni. Zotsalazo zimakupatsani mwayi wobwezeretsa magazi m'thupi mwake mwachangu. Izi zimachitika ndi angioplasty kapena pofinya ziwiya.

Kuchita opaleshoni kungachitike pokhapokha ngati mwamuna kapena mkazi ali okhazikika, osakhala ndi zovuta zomwe zayambitsa matenda ashuga.

Zakudya zamagulu pambuyo vuto la mtima

Zakudya pambuyo poti wodwalayo awononga myocardium ya mtima ndi gawo lofunikira kwambiri pamankhwala. Choyamba, madokotala m'masiku oyambilira amaletsa munthu kudya mchere. Kuphatikiza apo, panthawiyi, ndikulimbikitsidwa kokha kugwiritsa ntchito masamba. Mbatata ndi mbewu zosiyanasiyana zimaloledwa, kupatula semolina ndi mpunga.

Zochitika zonse za zakudya za anthu zomwe zimadwala matenda am'mimba zimafotokozedwa mu chakudya No. 9. Ngati pali ngozi yoti mungayambirenso, madokotala angalimbikitse malamulo okhwima a chakudya.

Malamulo oyamba azakudya pambuyo pa MI mu shuga.

Zakudya za wodwala ziyenera kukhala zochepa. Nyama imatha kudyedwa mwapadera.
Sizoletsedwa kudya zakudya zamafuta ambiri. Chakudya chokhala ndi mafuta a nyama sichilimbikitsidwanso. Izi zimagwira ntchito pa nyama ndi mkaka, limodzi ndi mitundu yosiyanasiyana yoyipa.
Ndikofunikira kuti muchepetse kudya kwanu zakudya zosavuta zamafuta. Amatha kumvetsetsa shuga m'magazi a anthu.
Ndikofunika kupatula cocoa, khofi ndi zonunkhira kuchokera muzakudya. Potengera izi, muyenera kuchepetsa kugwiritsa ntchito tiyi, chokoleti, zakumwa ndi mchere.
Zakudya zophika zimatha kuyambitsa chizindikiritso chimodzi, ndiye muyenera kuzipewa.

Matenda a shuga ndi matenda oopsa, chifukwa amatha kupangitsa kuti pakhale zovuta zina zomwe zimakhudza moyo wa munthu komanso thanzi. Ichi ndichifukwa chake ndikofunikira kwambiri kutsatira mosamalitsa malangizo onse a dotolo ndikuwunikanso nthawi zonse ziwalo ndi machitidwe a thupi.

A. T. Ogulov: Magazi ochepa ndi omwe amayambitsa miyala, matenda a mtima komanso matenda a shuga

Dzina langa ndine Andrey, ndakhala ndikudwala matenda ashuga kwa zaka zoposa 35. Zikomo chifukwa chakuyendera tsamba langa. Diabei za kuthandiza anthu odwala matenda ashuga.

Ndimalemba nkhani zokhudzana ndi matenda osiyanasiyana ndipo ndimalangiza pandekha anthu aku Moscow omwe amafunikira thandizo, chifukwa pazaka zambiri zapitazi ndawona zinthu zambiri kuchokera pazomwe ndakumana nazo, ndayesera njira zambiri komanso mankhwala.

Chaka chino cha 2018, ukadaulo ukupanga kwambiri, anthu sadziwa za zinthu zambiri zomwe zidapangidwa pakalipano chifukwa chokhala ndi moyo wabwino wa anthu odwala matenda ashuga, choncho ndidapeza cholinga changa ndikuthandizira anthu omwe ali ndi matenda ashuga, momwe angathere, kukhala osavuta komanso osangalala.

Myocardial infarction ndi matenda ashuga

Malinga ndi ziwerengero, theka la anthu omwe ali ndi matenda osokoneza bongo a mellitus (DM) amakumana ndi myocardial infarction (MI). Myocardial infarction ndi shuga ndi matenda owopsa omwe nthawi zambiri amaphatikizidwa.

Zomwe zimachitika ndi matenda a shuga zimapangitsa kuti magazi azikula, kuchepa kwamphamvu kwa mitsempha yamagazi ndi kuyika kwa cholesterol pamakoma awo, ndichifukwa chake chiopsezo cha kuphwanya myocardial chikuwonjezeka.

Mu shuga, wodwalayo ayenera kuyang'anira thanzi lawo nthawi zonse.

Zimayambitsa matenda a shuga

Kukula kwa vuto la mtima ndi matenda amtundu wa 1 komanso matenda a shuga 2 sikugwirizana ndi kuchuluka kwa shuga m'thupi, komanso insulin.Kukhazikika kwa vuto la mtima kumadziwika ngakhale ndi anthu omwe ali ndi prediabetes, pomwe kulekerera kwa chakudya chamthupi kumangokhala kokha. Izi zimachitika chifukwa cha metabolidi ya lipid komanso gawo la insulin pochita izi. Mwambiri, zifukwa zotsatirazi zamatenda a mtima mu shuga zitha kusiyanitsidwa:

kuwonjezeka kwamisempha yamagazi ndi kukondoweza kwa mapangidwe a matupi a ketone chifukwa chosowa insulin,
magazi, kuchuluka kwa magazi,
mapangidwe a protein ya glycosylated chifukwa kuchuluka kwa shuga mthupi,
Hypoxia chifukwa cholumikizana ndi shuga ndi hemoglobin,
kugawa kwamitsempha yosalala minyewa ndi kulowa kwa lipids mwa iwo chifukwa cha kutulutsidwa kwa kukula kwa mahomoni - wotsutsana ndi insulin.

Zizindikiro zamatsenga

Myocardial infarction ndizovuta zazikulu za shuga zomwe zimapezeka mwa odwala mu 50% ya milandu.

Zizindikiro zazikulu za vuto la mtima mwa azimayi ndi abambo omwe ali ndi matenda ashuga ndi:

kukanikiza ululu pachifuwa,
kusanza, kusanza,
kufooka wamba
kulephera kwa phokoso la kugunda kwa mtima.

Sizotheka kuyimitsa ululu ndi nitroglycerin, umapatsa khosi, mapewa, nsagwada. Kukhalapo kwa zizindikiro zotere kumawonetsa mavuto amtima ndipo kumalola thandizo la panthawi yake kwa wodwalayo. Komabe, sizovuta nthawi zonse kuzindikira vuto la mtima lomwe limachitika motsutsana ndi maziko a matenda ashuga.

Mosasamala mtundu wa shuga, chidwi cha wodwalayo cham'kati chimachepa, chifukwa chake kugunda kwa mtima sikupweteka. Chifukwa cha izi, munthu samalandira chithandizo chofunikira, chomwe chimakhudza mkhalidwe wamkati wamtima ndipo chingayambitse kupasuka kwake.

Chiwopsezo cha matenda a mtima mwa odwala matenda ashuga pambuyo vuto la mtima chikuchulukirachulukira.

Mankhwala

Mosasamala mtundu wa shuga, odwala amawonetsedwa ndi insulin. Insulin yofikira mwachidule imagwiritsidwa ntchito. Mankhwala omwe amachepetsa shuga kuchokera ku sulfonylurea kapena gulu ladongo, mwachitsanzo, Metformin, singatengedwe panthawi yovuta kwambiri.

Kuchepetsa magazi ndi kuthetsa magazi, mabedi ndi omwe amapatsidwa. Mankhwala a antihypertensive ndi mtima glycosides amagwiritsidwanso ntchito. Kugwiritsa ntchito mankhwala osokoneza bongo sikothandiza kwenikweni kuposa kuchitidwa opareshoni, ndipo kumachitika pamaso pa contraindication kuti opaleshoni ayambe.

Mwapang'onopang'ono komanso moyenera kubwezeretsa kutuluka kwa magazi kumapangitsa kuti angioplasty ndi mtima stenting.

Metformin yamankhwala yokhala ndi matenda a shuga a 2: zabwino, zovuta, zisonyezo

Chithandizo cha matenda ashuga ndizovuta kwambiri komanso payekha. Kugwiritsa ntchito mankhwala ena kumachitika osati chifukwa cha kukula kwa matendawa, momwe wodwalayo alili, njira zofananira, komanso mtundu wa matenda omwewo. Mtundu woyamba umatengera insulin, chachikulu ndikugwiritsa ntchito insulin m'malo mwake ndi chithandizo chamankhwala a concomitant pathologies.

Mtundu wachiwiri wa matenda a shuga umanena za matenda omwe angathe kubereka ndipo amakula m'moyo ngati pali zovuta zomwe zimabweretsa. Mankhwala Metformin a matenda a shuga a 2 agwiritsidwa ntchito kwazaka zambiri. Mwa kapangidwe ka mankhwala, ili m'gulu la Biguanides.

Ili ndi njira zingapo zochizira, zofunikira kwambiri pochiza matenda amtundu wa 2 shuga.

Gulu la mankhwala

Metformin adadziwika kalekale. Mwa kapangidwe ka mankhwala, ili m'gulu la Biguanides.

Makina ochitapo kanthu a Metformin adakhazikitsidwa ndi kukhazikitsidwa kwa mapuloteni a cellular kinase powonjezera kupanga kwa adenosine monophosphate (AMP) mu cell nucleus.

Pogwiritsa ntchito mitochondrial complexes, Metformin mosatulutsa imakulitsa kuchuluka kwa mapuloteni kinase a cell cytoplasm. Amadziwika za enzyme iyi kuti zotulukapo zake zimakhala.

Ndi kuchuluka kwa zolimbitsa thupi, yogwira mapuloteni kinase limapereka zotsatira zabwino za kagayidwe ka mtima.
Puloteni kinase yomwe imapangidwa mu hypothalamus imayendetsa pakati pazakudya zopatsa thanzi, potero zimachepetsa chilimbikitso.
Amagwira mwachindunji pakayendetsedwe ka shuga ndi lipid base metabolism.

Kufunika kwa mankhwala omwe ali m'magulu angapo a mankhwala ndi magulu ndikofunikira pakuthandizira matenda a shuga a 2. Mkhalidwe wa odwala omwe ali ndi hyperglycemia nthawi zambiri amakhala wosakwanira kapena wosalipidwa konse chifukwa chakuti:

Mlingo wa wothandizira wa hypoglycemic amasankhidwa bwino,
palibe kuwongolera koyenera kwamagazi a shuga,
Kutsitsa kwa shuga kumaperekedwa ndi mankhwala a gulu limodzi la mankhwala.

Thandizo kwa odwala omwe ali ndi matenda a shuga a mtundu II

Ngati munthu yemwe ali ndi matenda osokoneza bongo omwe amadalira insulin atapatsidwa chilema, ndiye kuti adzakhala ndi ufulu wolandila mankhwala aulere komanso azidziwitso.

Chifukwa chake, malinga ndi Unduna wa Zaumoyo Namba 748 pa 12/11 / 2007, odwala matenda ashuga akuyenera:

Zida zoyeserera za 180
Kupereka cholembera chindende chogwiritsira ntchito insulin (kamodzi, ngati kuli kotheka, kuikanso m'malo mwake kumachitika kamodzi pachaka 2),
kuperekedwa kwa singano za jakisoni zolembera (110 pachaka).

Mndandanda wa mankhwala aulere a 2017 a mtundu wa 2 odwala matenda ashuga akuphatikiza mankhwala otsatirawa mu mawonekedwe a piritsi:

Glyclazide
Glycidone
Acarbose
Chikwanje,
Glipizide,
Glibenclamide,
Glimepiride
Metformin
Repaglinide,
Rosiglitazone.

Mankhwala oyenera amasankhidwa ndi adokotala. Amalemba mankhwala pazomwe adalandira kwaulere: kuchuluka kwa maphukusi amawerengedwa pamwezi. Dokotala amalemba mankhwala mogwirizana ndi ndandanda yolimbikitsidwa ya kumwa mankhwalawo. Monga lamulo, ndalama zotsika mtengo zam'nyumba zimaperekedwa kwaulere. Odwala ambiri amati sizothandiza. Chifukwa chake, muyenera kugula mankhwala mwachangu.

Koma kapangidwe ka muyezo wa chisamaliro chamankhwala kwa odwala omwe ali ndi matenda omwe samadalira insulini akuphatikizira mankhwala ena:

othandizira omwe amakhudza mtima ndi dongosolo la mtima: ACE inhibitors, AT-1 receptor blockers, beta-blockers, calcium antagonists,
othandizira magazi: antianemic, lipid-kuchepetsa,
mankhwala ophatikizika
mankhwala ofunikira zochizira kwamikodzo ndi impso,
mankhwala opangira zochizira mafupa
mankhwala ofunikira kuchiza ndi kupewa matenda opatsirana (mankhwala a antibacterial).

Akapangana, anthu olumala ali ndi ufulu wolamula kuti apatsidwe mankhwala aulere.

Mukapereka gulu, wodwala matenda ashuga amalandira penshoni yolumala. Kukula kwake kudzatengera kutalika kwa ntchito, kuchuluka kwa mapenshoni omwe amapezeka.

Mankhwala Olumala

Pagulu la olumala lomwe mwapatsidwa, mankhwala ofunikira amayenera kuperekedwa kwaulere. Koma ngati wodwala wapezeka ndi matenda a shuga, ndiye kuti ali ndi ufulu kudalira thandizo laulere kuchokera ku boma. Pamodzi ndi olumala, ayenera:

mankhwala opatsirana (mankhwala a hypoglycemic ndi mankhwala ochizira zotsatira za matenda ashuga),
Patani mitunda yoyeserera ya mita
perekani chithandizo chamankhwala, tumizani mayeso kumadera apadera.

Koma maubwino a odwala omwe ali ndi matenda a shuga a 2 opanda kulumala sadzalandira. Sayenera kudalira:

kulandira penshoni
kuchotsedwa kwa misonkho ndi chindapusa,
kuchotsera ndalama zolipirira,
kulandira chithandizo cha spa mwaulere.

Komanso, odwala matenda ashuga ayenera kugula pawokha glucometer.

Boma likuyesera kuthandiza anthu ndi ana omwe akudwala matenda a shuga. Koma nthawi zambiri thandizo lomwe limaperekedwa silokwanira: odwala amakakamizidwa kuti apeze gawo la mankhwalawo, kutanthauza kuti adziwe momwe alili komanso kulipira okha matendawa.

Zotsatira za metformin

Biguanides ambiri, Metformin makamaka, ali ndi zabwino zambiri poyerekeza ndi mankhwala ena amtunduwu.Zotsatira zamankhwala othandizira amadziwikiridwa pamlingo wa khungu, ndiye kuti, sizimachepetsa kuchuluka kwa shuga m'magazi, koma kumawonjezera chidwi cha maselo kuti apange insulin. Zotsatira za khungu lomwe Metformin ili:

kuchuluka kwa glucose kupanga ndi chiwindi akutsikira
kumawonjezera ntchito ya oxidative njira yamafuta acid,
kumawonjezera insulin chiwopsezo cha maselo,
kuchuluka kwa glucose omwe amaphatikizidwa m'matumbo ang'ono kumachepa.

Kuchepa kwa shuga m'magazi kumachitika chifukwa cha kuchuluka kwa insulin m'maselo. Kuchepetsa kuchuluka kwa shuga komwe kumalowa m'matumbo kumachitika pang'ono, komabe, izi Metformin ndizofunikiranso.

Kuwonetsera kwabwino kwa kuchuluka kwa makutidwe ndi okosijeni amafuta ache:

kuchepetsa chiopsezo cha atherosselotic plaque mapangidwe a mtima endothelium,
Kuchepetsa thupi, makamaka kwa odwala omwe ali ndi kunenepa kwambiri,
Anachepetsa kuthamanga kwa magazi.

Werengani komanso Kodi ndingalandire bwanji kuti ndikuyenda ndi matenda ashuga

Mapiritsi a Metformin, akagwidwa ndi odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga, samatulutsa chiwonetsero cha kuchuluka kwa thupi, samathandizanso pakuwonjezeka kwamankhwala a insulin (hyperinsulinemia), komanso kutsika kowopsa kwambiri m'magazi a glucose (hypoglycemia).

Kukula kwa ntchito ya lipid oxidation pamene mukutenga Metformin, kuwonjezera pazotsatira zabwino, monga kutsika kwa cholesterol ndi maziko a triglyceride m'magazi, ili ndi mbali yotsutsana.

Zoyipa zamagwiritsidwe ntchito

Mapiritsi a Metformin amayambitsa mtundu wa anaerobic wowonjezera wa oxidation wa triglycerides ndi mafuta acids. Mukuwonongeka kwa mankhwala ndi phosphorylation ya mankhwala, kuchuluka kwa lactate kumapangidwa, komwe kungayambitse kuchepa kwa index ya hydrogen ya homeostasis yamkati - acidosis.

Mankhwala awa - lactate - ndi mankhwala a metabolic, omwe kuchuluka kwake amachepetsedwa kwambiri pamene Metformin imagwiritsidwa ntchito pophatikiza mankhwala a shuga mellitus.

Tiyenera kudziwa kuti kupezeka kwa lactic acidosis kungakhale kosayembekezereka, ndizosasangalatsa makamaka ndi matenda. Zizindikiro zakuchepa kwa kalozera wa hydrogen wamkati mwazinthu zopangidwa ndi acetolysis - lactate, zimafotokozedwa mofooka ndipo sizomwe zili ndi izi.

Pang'onopang'ono kufooka.
Kuchulukitsa kugona.
Kuletsa zochita.
Chizungulire chikuwonekera.
Pafupipafupi kayendedwe ka kupuma kukukulira.
Mpweya wake ndi wochepa.
Kuthamanga kwa magazi kumachepa.
Kutentha kwa thupi kumachepa.
Ululu wopweteka m'magulu osiyanasiyana.
Kupweteka kwam'mimba kumatha kuchitika.

Mankhwalawa lactic acidosis, symptomatic mankhwala zotchulidwa, woopsa milandu, hemodialysis limasonyezedwa.

Kuyanjana kwa makina a metformin

Kuphwanya kwakukulu komwe sikulimbikitsidwa kupereka mapiritsi a Metformin ndikusintha kwa matenda ndi impso, mapapu, mtima ndi zina za thupi.

Mtundu wachiwiri wa matenda ashuga, kuponderezana kwathunthu pofuna kupereka mankhwalawa ndi kulephera kwa impso kapena kusokonezeka kwinanso kwa impso.

Izi ndichifukwa choti ndi zovuta za ziwalo zama impso, mankhwalawa amatha kuzikika kwambiri mu minyewa ya impso, chimbudzi cha mkodzo umagundika, ndipo izi zimapangitsa kuti ziwonjezeke.

Hepatic matenda amafunikanso kusamala popereka mankhwala. Matenda monga hepatitis yosachiritsika kapena yapakhungu, chiwindi cha chiwindi cha zakumwa zoledzeretsa kapena zakumwa popanda zakumwa zili pamndandanda wa zotsutsana ndi mankhwalawa. Ngakhale kuwonjezeka pang'ono kwakanthawi kwamankhwala a hepatic transaminase kumakankhira Metformin kuti igwiritsidwe ntchito mtundu wa 2 shuga.

Kuledzera kwaukali kumakhalanso ndi gawo lalikulu pamndandanda wazolakwika zokhudzana ndi chithandizo cha Metformin.

Kulephera kwamtima ndi kuponderezana chifukwa chakuchepa kwa kuchuluka kwa kagayidwe kachakudya. Pazifukwa zomwezi, kukalamba kwa odwala, pafupifupi zaka makumi asanu ndi limodzi ndi okulirapo, kumatha kutchedwa kuti contraindication.

Werengani komanso Zomwe muyenera kudziwa pokhudzana ndi matenda a shuga a mtundu 1 ndi mtundu 2.

Malinga ndi ofufuza ena, mbiri ya kuphwanya myocardial si kutsimikiza kopereka.

Onetsetsani kuti mwasiya mapiritsi masiku angapo musanayambe:

maphunziro a radioisotope a ziwalo zamagetsi,
chithandizo chilichonse chopangira opaleshoni.

Kugwiritsa ntchito ma radioisotopes kumakhudza ntchito ya chiwindi, ndipo kugwiritsa ntchito mankhwalawa kumatha kuyambitsa zovuta zomwe zikuchitika pakugwira ntchito kwa thupi.

Zotsatira zoyipa za Metformin pakapangidwe ka fibrin clot zimafotokozedwa kuti nthawi yakutulutsa magazi ingachuluke. Mothandizidwa ndi maopaleshoni ochulukirapo, izi zimapangitsa kuti magazi azituluka kwambiri komanso kuti magazi atheretu.

Pa nthawi yoyembekezera komanso mkaka wa m'mawere, munthu ayenera kukumbukira nthawi zonse kuti Metformin sayenera kukhazikitsidwa m'magulu. Izi ndichifukwa choti pakati pa nthawi yoyembekezera komanso nthawi yoberekera, katundu pa impso ndi chiwindi umachulukana kangapo, motero Metformin imatsutsana.

Zisonyezero zakudikirira

Kukula kwakukulu kwa mitundu yokhala ndi matenda a shuga 2, omwe, limodzi ndi zotsutsana zomwe zimawerengedwa, ndizofunikira kwambiri kuti apatsidwe mankhwala Metformin.

Khola lokwera magazi.
Kunenepa kwambiri, kunenepa kwambiri.
Magazi a magazi okhazikika.

Monga tanena kale, mapiritsi a Metformin amapereka mphamvu zowonjezera zamitsempha yama cell kuti insulini, yambitsa metabolism, iyambe kuchepa kwa chilimbikitso, ndikuchepetsa chiopsezo cha atherosranceotic cha mtima.

Chifukwa chake, ndi matenda oopsa, omwe amaphatikizidwa ndi matenda a shuga a 2, chithandizo ndi mankhwalawa chikulimbikitsidwa. Anachepetsa kwambiri chiwopsezo chokhala ndi vuto la mtima ndi minyewa ya atherosrance.

Kuchepetsa thupi kwa odwala kumachitika chifukwa cha chakudya. Pakatikati panjala yamanjenje imalephereka, kuphatikiza zakudya - mothandizana ndi izi zimatha ndipo odwala amatha kuchepetsa kulemera kwamomwe thupi limagwirira ntchito.

Kutsika kwa glucose wamagazi sikumachitika chifukwa cha hypoglycemia, koma chifukwa cha kuchepa kwa kukana kwa zotumphukira kwa insulin. Chifukwa chake, kuchuluka kwa insulin m'magazi kumatsika, zomwe zimakhudzanso odwala omwe ali ndi matenda a shuga a 2.

Pomaliza

Mlingo wa mankhwalawa ali payekha. Mapiritsiwo ali ndi ma milligram 500 a chinthu chomwe chikugwira ntchito ndipo amalembedwa koyambirira kwa mapiritsi, piritsi limodzi kapena awiri patsiku, ndiye kuti mlingo woyenera uyenera kukhala mapiritsi atatu mpaka anayi patsiku. Kuwongolera kumachitika moyang'aniridwa ndi dokotala.

Ndikofunika kukumbukira kuti kumwa mankhwalawa sikugwirizana ndi zakumwa zoledzeretsa, izi zimayambitsa kudzipereka kwa lactic acidosis.

Kodi ndi mtundu uti wa shuga womwe Metformin amatchulidwa?

Metformin ndi imodzi mwamankhwala omwe amadziwika kuti amathandizira odwala matenda ashuga, ngati palibe zotsatira kuchokera ku chithandizo chamankhwala komanso zolimbitsa thupi. Komabe, mankhwalawa amagwiritsidwanso ntchito ngati polycystic ovary syndrome, matenda a impso, kulephera kwa mtima, komanso mavuto a chiwindi.

Metformin imagwiritsidwanso ntchito pochiza matenda a prediabetes, omwe amachepetsa kwambiri vuto la matenda ashuga a 2. Zimathandizira kuti maselo amwe insulin, komanso shuga wochepa.

Mtundu wachiwiri wa matenda ashuga, shuga amakhala ambiri pamwamba pa 7.9 mmol / L.Ndi zizindikirozi, kulandira chithandizo mwachangu ndikofunikira, zovuta zomwe zimaphatikizapo chithandizo cha zakudya, zolimbitsa thupi ndi chithandizo chamankhwala.

Momwe Metformin Imakhudzira Matenda A shuga

Metformin amatengedwa ngati mankhwala othandizira matenda a shuga a mtundu wachiwiri. Zimathandizira kuchepetsa kuchuluka kwa shuga komwe umatulutsidwa ndi chiwindi. Kuphatikiza apo, insulin ya mahomoni imayamba kuwoneka bwino ndi maselo amthupi, kuthandiza minofu kuti izigwiritsa ntchito moyenera.

Mankhwalawa ndi a gulu la Biguanides, omwe ali ndi zinthu zotere:

kuchepetsa kuchuluka kwa shuga wopangidwa ndi chiwindi,
kusintha insulin chiwopsezo cha maselo,
ziletsa matumbo mayamwidwe.

Mankhwalawa sangathe kuchiritsa munthu wodwala matenda ashuga, koma kuphatikiza koyenera kwa mankhwala, kudya komanso kuchita masewera olimbitsa thupi kungathandizenso matenda a shuga.

Kukhazikika kwa ndende ya magazi, komwe kumachitika pogwiritsa ntchito Metformin, kumathandiza kupewa zovuta za matenda ashuga, monga mtima, kukanika, kuwonongeka kwa impso, maso ndi mitsempha.

Momwe mungatenge Metformin pa matenda ashuga

Mlingo wosankhidwa bwino ndi wofunikira kwambiri pakuchiza, chifukwa samathandizira kuchepetsa kuchuluka kwa shuga, komanso kusintha kwa chiwopsezo cha insulin.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Imwani mankhwalawa pakamwa, nthawi zambiri katatu patsiku ndi chakudya. Mukatha kumwa, muyenera kumwa mapiritsi ndi madzi ambiri.

Mtundu woyamba wa shuga

Pochiza matenda a shuga 1, Metformin sagwiritsidwa ntchito, chifukwa sangathe kukhudza maselo. Izi ndichifukwa choti ndi mtundu wamatendawa maselo amatha kudziwa insulini, komabe, kapamba amatulutsa kachulukidwe ka timadzi tambiri kapena samatulutsa konse, chifukwa chake, mulingo wa glucose m'magazi umakwera.

Type 2 shuga

Mlingo wa matenda ashuga a 2 amawerengedwa potengera zomwe zimachitika munthu komanso kupezeka kwa matenda omwe amakhalapo. Mankhwala amatchulidwa kuganizira zinthu zosiyanasiyana, monga:

zaka
zambiri
matenda ophatikizika
kumwa mankhwala ena
kakhalidwe
mankhwala.

Kuti mupeze phindu lokwanira kuchokera ku chithandizo, muyenera kutsatira mosamala malangizo a dokotala.

Kwa akuluakulu (kuyambira zaka 18). Mlingo woyamba nthawi zambiri umakhala 500 mg 2 kawiri pa tsiku, kapena 850 mg kamodzi patsiku. Mankhwala ayenera kumwedwa ndi zakudya. Zosintha muyezo zimayikidwa ndi adokotala: zimachulukitsidwa ndi 500 mg pa sabata kapena 850 mg mu masabata awiri. Chifukwa chake, mlingo wonse ndi 2550 mg patsiku. Ngati mulingo wokwanira uposa 2000 mg patsiku, ndiye kuti uyenera kugawidwa m'magawo atatu. Mlingo wovomerezeka waukulu ndi 2550 mg patsiku.
Kwa ana (wa zaka 10 mpaka 17). Mlingo woyamba ndi 500 mg patsiku, womwe umagawidwa pawiri. Popanda kuwongolera kuchuluka kwa shuga, mulingo umakwera kufika pa 1000 mg ndipo umatengedwa kawiri patsiku. Pambuyo pake, gawo limatha kuwonjezeka ndi wina wa 1000 mg. Mlingo wololeka wambiri ndi 2000 mg patsiku.

Zotsatira zoyipa

Monga mankhwala aliwonse, metformin imatha kuyambitsa mavuto. Mwa iwo, kuphwanya machitidwe osiyanasiyana amthupi kulembedwa:

dongosolo lamanjenje: kusokoneza kukoma, mutu,
khungu: zotupa, kuyabwa, urticaria, erythema,
m'mimba thirakiti: nseru, kutentha pa chifuwa, kutsegula m'mimba, kusokonezeka m'mimba, kupweteka m'mimba, kusanza,
psyche: manjenje, kusowa tulo.

Zotsatira zotere sizifunikira chithandizo chapadera, kuwonjezera pa kusintha kwa mlingo. Nthawi zambiri, zimatha patatha masiku angapo kapena milungu ingapo.

Ngati zotsatira zoyipa zikuchuluka komanso kusowetsa mtendere, muyenera kulumikizana ndi ambulansi. Zinthu ngati izi zitha kukhala zowopsa pamoyo wamunthu. Pankhani ya lactic acidosis, zizindikiro zotsatirazi ziwoneka:

kutopa
kufooka
kupweteka kwa minofu
kupuma movutikira
kugona
kupweteka kwambiri m'mimba
chizungulire
kugunda kwamtima komanso kosakhazikika.

Kuphatikiza apo, Metformin ingayambitse kuchepa kwambiri kwa ndende yamagazi, yomwe imayendera limodzi ndi zizindikilo zotere:

mutu
kufooka
kunjenjemera m'thupi
chizungulire
kusakhazikika
thukuta
njala
zokonda mtima.

Mankhwala amatha kusokoneza thupi la munthu m'njira zosiyanasiyana. Chifukwa chake, pakakhala zovuta, muyenera kusiya kumwa ndipo nthawi yomweyo funsani kwa dokotala kuti musinthe mankhwalawa.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Madokotala amafufuza

Metformin ndi mankhwala ofunikira othandizira ovuta a 2 a shuga. Chofunikira ndi chithandizo cha zakudya, koma Metformin imathandiza maselo a anthu kuyamwa insulin. Odwala ambiri amasintha kuchuluka kwa shuga m'masiku 10 oyambirira a chithandizo. Chithandizo chotsatira ndikofunikira kusunga zotsatira.

Alexander Motvienko, endocrinologist.

Timapereka mankhwala a metformin kwa odwala athu kuti athandizire insulin kumva komanso kuchepetsa matumbo a glucose. Mankhwalawa amathandiza thupi kuthana ndi matendawa popanda kugwiritsa ntchito insulin. Odwala ambiri amaiwala kumwa mankhwalawa panthawi, chifukwa cha izi, chithandizo sichothandiza ndipo amasintha jakisoni. Komabe, anthu ambiri omwe amatsatira malingaliro athu amakhala ndi njira yabwino yothandizira pakulandila.

Victoria Yakovleva, endocrinologist.

Ndemanga Zahudwala

Ndili ndi matenda a shuga a 2, motero ndimamwa Metformin kawiri pa tsiku 500 mg. Nditayamba kuona kuwongolera, ndasiya kuchepa thupi ndipo zinthu zanga zonse zikuyenda bwino. Sindimawona mavuto aliwonse.

Ndinapezeka kuti ndili ndi matenda a shuga 2 miyezi 1.5 yapitayo. Mulingo wanga wa shuga anali 15.8. Dokotala adadziwitsa Metformin 500 mg kamodzi patsiku la sabata loyamba komanso kawiri patsiku. Patatha mwezi umodzi, thanzi langa linayamba kuyenda bwino, shuga amawasunganso pafupifupi 7.9. Ndinasinthanso kudya pang'ono popewa kutsekula m'mimba.

Metformin amatanthauza mankhwala omwe amathandiza kuti matenda ashuga amtundu wa 2 athe. Zimawonjezera kukhudzika kwa maselo ku insulin ndipo zimalepheretsa kupanga shuga ndi chiwindi. Mwa zina zoyipa, zotchulidwa kwambiri ndi kusokonezeka kwa m'mimba. Metformin imathandizira kuchiza matenda amtundu wa 2, komabe, pali magulu a anthu omwe amatsutsana pamankhwala awa.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Zotsatira zochizira Metformin

Zovuta zakuthambo zomwe zimakhala ndi shuga ndi mtundu wina wa matenda osokoneza bongo ndi chimodzi mwazabwino za mankhwala ogwira mtima. Yogwira pophika imagwira shuga wamagazi, komanso imasintha kagayidwe ka lipid. Mankhwala amakula mphamvu ya kapamba (chiwonetsero cha zotumphukira zake), kuchepa kwambiri kwa ndende ya glucose sikumayikidwa padera.

Mutatenga Metformin, thupi limakhudzana ndi zigawo za wothandizila wodwala matenda ashuga:

kuchuluka kwa mapangidwe a shuga kuchokera ku lipids ndi mapuloteni amachepetsa,
minofu kumverera kwa insulin kumawonjezera
glycogen imamasulidwa m'maselo a chiwindi pang'ono pang'onopang'ono, shuga m'magazi amabwerera mwakale,
ulusi wa minofu umatha glucose mwachangu,
kuthetsedwa kwa cholesterol yoyipa kumatheka, mafuta kagayidwe amasintha,
kuyamwa kwa shuga m'matumbo sikugwira ntchito kwenikweni,
m'mimba mumakhala kusintha kwamphamvu kwa glucose.

Oposa 50% ya odwala omwe ali ndi insulin kukana komanso osakwanira kupanga insulin amalandila mphamvu ya hypoglycemic.

Kodi Metformin ikhoza kugwiritsidwa ntchito poteteza matenda ashuga?

Madokotala aku America chakumapeto kwa zaka za zana la 20 adachita kafukufuku wambiri kuti adziwe zotsatira za wothandizira wa hypoglycemic wokhala ndi zotumphukira.

Odwala omwe ali pachiwopsezo adayitanidwa: ndi kulolerana kwa glucose komanso kutsimikiziridwa prediabetes.

Ambiri anali onenepa kwambiri, adadandaula za kuthamanga kwa magazi, mavuto amtima, komanso mayeso adawonetsa kuchuluka kwa triglycerides ndi cholesterol yoyipa.

Miyeso yapadera ndi zoyeserera zinachitidwa ku malo 27. Odwala amalandira Metformin kawiri patsiku pa 850 g kwa zaka zitatu. Kafukufuku akuwonetsa: chithandizo cha mankhwala osokoneza bongo, kuphatikiza kukonza moyo ndi zakudya, zimachepetsa kufa kwa mtima.

Mankhwala othandizira odwala matenda ashuga adawonetsa kukhathamiritsa kwakukulu ndikuwonetsa kukhazikika kwa shuga mumagazi ndikudziwikiratu kwa matenda ashuga mwa anthu omwe ali ndi kunenepa kwambiri. Ngakhale ndi moyo wamba, mwayi wopanga mtundu wa shuga wokha wopanda shuga umachepa ndi 30%. Zotsatira zamankhwala mukamadya, kuwonjezereka kwa ntchito zamagalimoto, ndi kuchepa kwamlingo wopsinjika kunakulirakulira: mu 58% ya anthu omwe ali pachiwopsezo, glucose akhazikika.

Kuchita bwino komanso kuchitira nthawi kwakanthawi kumachepetsa chiopsezo cha kukhala ndi hyperglycemia. Ngati matenda a prediabetes ndi insulin apezeka ndi malangizo a endocrinologist, muyenera kumwa mapiritsi a Metformin kapena analogues omwe ali ndi chinthu chomwechi kuti muthe kusintha matenda a shuga.

Malangizo apadera

Pochiza ndi Metformin, ndikofunikira kudziwa: kuchuluka kwambiri kwa zomwe zimagwira sikubweretsa hypoglycemia, koma ndi mankhwala osokoneza bongo, ndizotheka kukulitsa vuto lowopsa - lactic acidosis. Odwala odwala matenda ashuga komanso achibale ayenera kudziwa chizindikiro cha kusintha kwa mankhwalawo kuti afotokozere mwachangu ambulansi kuti amugulitse.

Chithunzi cha chipatala ndi kukula kwa lactic acidosis:

kupumira msanga
kutsegula m'mimba
hypothermia
nseru
kupweteka kwam'mimba
kusanza
kupweteka kwa minofu
kulephera kudziwa.

Ndikofunika kulabadira zizindikiro za lactic acidosis munthawi, kuletsa Metformin, ndikuyang'ana kwa dokotala. Ngati sathandizidwa, kukomoka kwa lactacidic kumayamba, kenako ndikufa.

Metformin hydrochloride ndi gawo la mankhwala ambiri. Makampani opanga zamankhwala amapereka mankhwala okhala ndi zosakaniza zogwira ntchito pansi pa mayina osiyanasiyana kupita ku mafakisi. Kusiyana kwazinthu zothandizira kwenikweni sikukhudza kayendedwe ka thupi.

Mayina ogwira mtima potengera metformin hydrochloride:

Fomu.
Glucophage.
Metospanin.
Glycomet.
Siofor.
Glyminfor.
Novoformin.
Vero-Metformin.
Bagomet.
Dianormet ndi ena.

Ndemanga za Metformin ndi ma fanizo ake zimatsimikizira kukhazikika kwa mtundu wa shuga.

Zotsatira zabwino za mankhwala omwe ali ndi insulin amadalira mtundu wa matenda amawonetsedwanso. Kutengera ndi chizolowezi cha tsiku ndi tsiku, zovuta zoyipa zimachitika mwa ochepa odwala. Mtengo wovomerezeka (kuchokera ku ma ruble 110 mpaka 190, ma CD a No. 30 ndi No. 60) ndi mwayi wosakayikira wokhala ndi chithandizo chambiri.