Matenda a shuga

Etiology ndi pathogenesis

Hyperglycemia, ochepa matenda oopsa, kukomoka, kunenepa, insulini, Hypercoagulation, kusokonekera kwa endothelial, kupsinjika kwa oxidative

Chiwopsezo chotenga matenda a mtima ndi matenda a shuga a 2 ndiwokulirapo kuposa 6 m'misewu yopanda matenda a shuga. Matenda oopsa a arterial amapezeka 20% ya odwala matenda amtundu 1 komanso mwa 75% ya odwala matenda a shuga a 2. Peripheral arteriosulinosis mu zotumphukira zotengera zimayamba mu 10%, ndipo ubongo thromboembolism mu 8% ya odwala matenda ashuga

Mawonetseredwe akulu azachipatala

Zofanana ndi zomwe zimapezeka mwa anthu opanda shuga. Ndi shuga myocardial infarction mu 30% yaopanda zopweteka

Zofanana ndi zomwe zimapezeka mwa anthu opanda shuga.

Matenda ena amtima, matenda oopsa a matenda oopsa, dyslipidemia yachiwiri

Mankhwala othandizira antihypertensive, kukonza dyslipidemia, antiplatelet mankhwala, kuwunika ndi kuchiza matenda a mtima

Matenda amtima amwalira 75% ya odwala omwe ali ndi matenda a 2 a shuga komanso 35% ya odwala matenda amtundu 1

Matenda a shuga a shuga

Chofunikira chomwe chimapangitsa kuti pakhale matenda ashuga osavomerezeka ndi chithandizo chovuta cha matenda a shuga, pomwe kusokonezeka kwakukulu kumachitika osati kokha mu metabolism ya kagayidwe kakang'ono ka magazi komanso kuchuluka (kwa 6 mmol / l) kutsika masana, komanso mapuloteni komanso mafuta. Zikatero, mpweya umaperekedwa kwa zimakhala, kuphatikiza makhoma amitsempha yamagazi, zimachepa ndipo magazi amayenda m'mitsempha yaying'ono amasokonezedwa.

Kusavomerezeka kwa mahomoni m'thupi, kuwonjezeka kwazinsinsi za mahomoni angapo, zomwe zimakulitsa kusokonezeka kwa metabolic komanso zimakhudza khoma lamitsempha, ndizofunikanso.

Mashuga a macroangiopathy

Zida zokhudzana ndi matenda a shuga a macroangiopathy amakhala makamaka mtima komanso malekezero ena. M'malo mwake, macroangiopathy imakhala mukuyenda patsogolo kwambiri kwa machitidwe a atherosulinotic m'matumbo amtima komanso m'munsi mwake.

Matenda a shuga a shuga

• Matenda a shuga
• Matenda a shuga a retinopathy
• Microangiopathy ya ziwiya zamagawo akumunsi

Minyewa ya retina (diabetesic angioretinopathy) ndi ma capillaries amwazi a glomeruli a nephrons (diabetesic angionephropathy) nthawi zambiri amakhala ndi vuto la matenda ashuga. Chifukwa chake, zigawo zikuluzikulu za matenda a shuga a shuga ndi maso ndi impso.