Pentoxifylline wa matenda ashuga

Kwa zaka zambiri osalimbana ndi ma DIABETES?

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

Kusankha mankhwala oyenera a matenda a shuga a 2 ndi kofunika kwambiri komanso kofunikira. Pakadali pano, mitundu yopitilira 40 yamankhwala ochepetsa shuga komanso ambiri mayina awo ogulitsira amaperekedwa pamsika wamafuta azamalonda.

• Kodi ochiritsa matenda ashuga ndi ati?
• Mankhwala abwino kwambiri amtundu wa shuga
• Mankhwala ati omwe tiyenera kupewa?
• Mankhwala Atsopano a shuga

Koma musakhumudwe. M'malo mwake, kuchuluka kwa mankhwala othandiza komanso apamwamba sikokwanira kwambiri ndipo tidzakambirana pansipa.

Kodi ochiritsa matenda ashuga ndi ati?

Kupatula pa jakisoni wa insulin, mankhwala onse ochizira "matenda okoma" amtundu 2 amapezeka pamapiritsi, omwe ndiabwino kwambiri kwa odwala. Kuti mumvetsetse zomwe muyenera kusankha, muyenera kumvetsetsa momwe amachitidwe amankhwala amapangira.

Mankhwala onse a matenda a shuga a 2 agawidwa kukhala:

1. Zomwe zimawonjezera chidwi cha maselo kupita ku insulin (masensa).
2. Magenge omwe amalimbikitsa kutulutsa kwa mahomoni kuchokera ku kapamba (chinsinsi). Pakadali pano, madotolo ambiri akuthandiza gulu ili pamapiritsi kwa odwala awo, zomwe sizoyenera kuchita. Amagwiritsa ntchito mphamvu zawo popanga maselo a B kuti azigwira ntchito. Kukomoka kwawo kumayamba msanga, ndipo matenda amtundu wa 2 amadutsa mu 1st. Pali kuperewera kwenikweni kwa insulin.
3. Mankhwala omwe amachepetsa mayamwidwe amthupi kuchokera m'matumbo (alpha glucosidase inhibitors).
4. Mankhwala atsopano.

Mankhwala abwino kwambiri amtundu wa shuga

Pali magulu a mankhwala omwe ndi othandiza, ogwira ntchito komanso otetezeka kwa odwala komanso omwe amakhudza thanzi lawo.

Mankhwala abwino kwambiri a matenda ashuga a 2, omwe nthawi zambiri amaperekedwa kwa odwala, ndi biguanides. Amaphatikizidwa m'gulu la mankhwala, omwe amachititsa kuti matupi onse azigwira ntchito ya mahomoni. Muyezo wagolide ukadali Metformin.

Mayina ake odziwika kwambiri:

• Siofor. Ili ndi mphamvu yofulumira koma yochepa.
• Glucophage. Ili ndi mphamvu pang'onopang'ono komanso yokhalitsa.

Ubwino waukulu wa mankhwalawa ndi awa:

1. Zabwino kwambiri hypoglycemic zotsatira.
2. Kuleza mtima kwabwino.
3. Pafupifupi kupezeka kwathunthu kovuta, kupatulapo kugaya chakudya. Vuto lakuchuluka limakhala nthawi zambiri (kusungunuka m'matumbo).
4. Kuchepetsa chiwopsezo cha kugunda kwamtima ndi mikwingwirima chifukwa cha zomwe zimachitika pakumapezeka kwa lipid.
5. Osatsogolera kukuwonjezeka kwa thupi lamunthu.
6. Mtengo wololera.

Amapezeka m'mapiritsi a 500 mg. Yoyambira mlingo wa 1 g mu 2 mgulu waukulu kawiri pa tsiku theka la ola musanadye.

Alfa glucosidase inhibitors ndi gulu losangalatsa kwambiri la mankhwala omwe amachepetsa kuyamwa kwa matumbo kuchokera m'matumbo. Woimira wamkulu ndi Acarbose. Zogulitsa ndi Glucobay. Mapiritsi a 50-100 mg ndi zakudya zitatu musanadye. Zimaphatikizidwa bwino ndi Metformin.

Mankhwala ati omwe tiyenera kupewa?

Madokotala nthawi zambiri amati mankhwalawa ndi amtundu wa shuga wachiwiri, omwe amachititsa kuti maselo a B amasulidwe. Njira ngati izi zimapweteketsa wodwala kuposa momwe zimamuthandizira.

Cholinga chake ndichakuti kapamba kayamba kugwira ntchito ka 2 mwamphamvu kuposa masiku onse chifukwa chokana kukanika kwa minyewa. Powonjezera ntchito yake, adokotala amangokulitsa njira ya kufooka kwa ziwalo komanso kukulitsa kuchepa kwathunthu kwa insulin.

• Glibenclamide. 1 tabu. kawiri patsiku mutadya,
• Glycidone. 1 piritsi kamodzi patsiku
• Glipemiride. Piritsi limodzi kamodzi tsiku lililonse.

Amaloledwa kugwiritsidwa ntchito ngati chithandizo chamanthawi yochepa kuti muchepetse glycemia. Komabe, muyenera kupewa kugwiritsa ntchito mankhwalawa kwa nthawi yayitali.

Zofanananso ndi meglithinids (Novonorm, Starlix). Amakhetsa mwachangu kapamba ndipo satengera chilichonse chabwino kwa wodwala.

Mankhwala Atsopano a shuga

Nthawi iliyonse, ambiri amayembekeza ndi chiyembekezo, koma kodi pali njira yatsopano yothandizira matenda ashuga? Malangizo a Mtundu Wathu wa Matenda a shuga Ati Amayambitsa Asayansi Kuyang'ana Zipangizo Zatsopano za Chemical.

• Dipeptidyl peptidase-4 (DPP-4) zoletsa:
  • Januvius
  • Galvus
  • Onglisa,
• Glucagon-ngati Peptide-1 Agonists (GLP-1):
  • Baeta
  • Victoza.

Gulu loyamba la mankhwalawa limathandizira kuwonjezera kuchuluka kwa zinthu zomwe zimapangitsa kuti pakhale insulin, koma popanda kufooka kwa maselo a B. Chifukwa chake, zotsatira zabwino za hypoglycemic zimatheka.

Wogulitsa mapiritsi a 25, 50, 100 mg. Mlingo wa tsiku ndi tsiku ndi 100 mg mu 1 mlingo, ngakhale zakudya. Mankhwalawa amagwiritsidwa ntchito kwambiri muzochitika za tsiku ndi tsiku chifukwa chogwiritsa ntchito mosavuta komanso kusowa kwa mavuto.

Agonists a GLP-1 amatha kutulutsa mafuta kagayidwe. Amathandizira wodwalayo kuchepa thupi, mwakutero amalimbikitsa chiwopsezo cha minofu ya thupi ku zotsatira za insulin. Imapezeka ngati cholembera cha jakisoni wa subcutaneous. Mlingo woyambira ndi 0.6 mg. Pambuyo pa sabata la chithandizo chotere, mutha kukweza kwa 1.2 mg moyang'aniridwa ndi dokotala.

Kusankhidwa kwa mankhwala oyenera kuyenera kuchitika mosamala kwambiri ndikuganizira mawonekedwe onse a wodwala aliyense. Nthawi zina ndikofunikira kuchita insulin yothandizira matenda a shuga a 2. Mulimonsemo, mitundu yambiri ya mankhwala imakhala yodalirika pakuwongolera wodwala aliyense, yemwe sangakhale wosangalala.

Mitundu yamtundu wanji ya matenda ashuga a 2 omwe ndingadye ndikubwera ndi maubwino otani?

Mankhwala azitsamba ndi mankhwala othandizira kudya nthawi zambiri amagwiritsidwa ntchito pochiza matenda a pathologies okhudzana ndi kapamba. Ngakhale kukonzekera kwazitsamba ndi zakudya zambiri, monga chimanga chodwala matenda amitundu iwiri, omwe amatha kudya, zimatha kuchepetsa zosasangalatsa, chithandizo chikuyenera kuchitika moyang'aniridwa ndi katswiri.

Mphamvu ya zakudya

Kugwiritsa ntchito zakudya zoyenera:

• Chepetsani mulingo wa mankhwala omwe amachepetsa index ya shuga,
• Kuchepetsa kudya kwa insulin.

Porridge la matenda ashuga ndi nkhokwe ya chakudya chamafuta. Zomwe zili zoterezi ndizapadera chifukwa zimakhala ndi izi:

• Mavitamini
• Zinthu zambiri
• Mapuloteni azomera apadera.

Izi ndizofunikira kwambiri pakuchita bwino kwa thupi. Kuti mumvetsetse mtundu wamtundu wanji wa shuga wovomerezeka kuti mugwiritse ntchito, ndikofunikira kuphunzira zolemba zoyambirira zokhudzana ndi zakudya zamagulu a shuga. Izi zikuphatikiza malamulo otsatirawa:

• Zinthu zomwe zimagwiritsidwa ntchito ziyenera kukhala ndi zinthu zofunikira zomwe zimafunikira kuti thupi lizigwira ntchito bwino.
• Mlingo wa kudya tsiku ndi tsiku wa calorie umafunidwanso kuti ubwezere mphamvu zomwe udagwiritsa ntchito. Chizindikiro ichi chimawerengeredwa kuchokera ku data yausinkhu, kulemera kwa thupi, jenda komanso ntchito ya wodwala.
• Zakudya zoziziritsa kukhosi ndizoletsedwa kwa odwala omwe ali ndi matenda ashuga. Ziyenera kulozedwa m'malo ndi zotsekemera.
• Mafuta a nyama amafunika kukhala ochepa pazosankha za tsiku ndi tsiku.
• Chakudya chizikhala chamagulu nthawi yomweyo. Chakudya chizikhala pafupipafupi - mpaka kasanu pa tsiku, makamaka pazingwe zochepa.

Kusankhidwa kwa mbewu monga chimanga

Njira yayikulu yochitira - chimanga chamtundu wa 2 shuga chimasankhidwa poganizira index ya glycemic. Malinga ndi iye, ndimatama amtundu wanji omwe angagwiritsidwe ntchito pa matenda ashuga? Chakudya chamtengo wapatali munjira iyi chimawonedwa ngati zopangidwa ndi GI yotsika (mpaka 55). Maphala oterewa omwe ali ndi matenda a shuga a 2 amatha kuphatikizidwa mumenyu ya tsiku ndi tsiku mu vuto la kunenepa kwambiri, chifukwa amathandizira kuti pakhale mawonekedwe oyenera.

Odwala nthawi zonse amakhala ndi chidwi chofuna kudziwa kuti ndi zakudya ziti zomwe zingadyedwe bwino ndi matenda ashuga. Mphesa zamtundu wa 2 odwala matenda ashuga amatha kupindula, mndandanda womwe uli motere:

• Barele kapena burwheat
• Barele ndi oats,
• Mpunga wakuda komanso nandolo.

Mbale za barele wamba mu shuga, monga mbale yokhala ndi buckwheat, zimawerengedwa kuti ndizothandiza kwambiri. Malonda awa ali:

• Mavitamini, makamaka gulu B,
• Mitundu yonse yazinthu zazing'ono ndi zazikulu,
• Mapuloteni
• CHIKWANGWANI ndi masamba.

Barele akulira

Poyerekeza phala la barele mu shuga ndi mitundu ina ya mbale, amatanthauza chakudya chochepa kwambiri chama calorie. GI ya zotere imachitika pafupifupi 35.

Phala la barele limadziwika ndi zinthu zotsatirazi:

• Zotsatira zothandizira
• Kukutira katundu
• Cholimba antispasmodic zotsatira.

Mafuta a barele ndi othandiza pa matenda ashuga 2. Iye:

• Matenda a metabolism
• Amasintha magazi,
• Mochulukirapo chitetezo chokwanira.

Pokonzekera mbaleyi muyenera zotsatirazi:

• Mafuta a barele - 300 g,
• Madzi oyera - 600 ml,
• Khitchini mchere
• Anyezi - 1 pc.,
• Mafuta (onse masamba ndi poterera).

Mitsuko yopukutira bwino (iyenera kuthiridwa ndi madzi oyera mu chiyerekezo cha 1: 2), ikani lawi la moto wapakati. Ngati phala ikayamba "kuwomba", ndiye kuti ikusonyeza kukonzeka kwake. Ndikofunikira kuchepetsa moto, uzipereka mchere. Sambani bwino kuti mbale isatenthe. Kuwaza anyezi ndi mwachangu mu mafuta a masamba. Ikani batala pang'ono mumsuzi, chivundikiro, chivundikiro ndi thaulo lotentha, perekani nthawi yopanga. Pambuyo pa mphindi 40, mutha kuwonjezera anyezi wokazinga ndikuyamba kudya phala.

Phala la barele lomwe lili ndi matenda ashuga ndi njira yabwino kwambiri yopewera. Pali zosakaniza mu chimanga zomwe zimapangitsa kutsika kwa shuga. Kuti izi zitheke, balere amayenera kudyedwa kangapo patsiku. Kuchokera pa barele wokonzera:

• Supu
• Mbewu zodzinyenga kapena zowoneka bwino.

Akatswiri akuwona kuti kumwa izi pachakudya kumatha kuthandiza thupi lonse. Balere amatukuka:

• Mtima ndi mantha dongosolo,
• Komwe magazi amayambira komanso kuchuluka kwa kusintha kwa mahomoni.
• Amachepetsa chiopsezo chokhala ndi oncology,
• Imalimbikitsa njira zoteteza.

Barele iyenera kukonzedwa motere:

• Muzimutsuka mafuta pansi pa mpopi,
• Ikani mumtsuko ndipo mudzaze ndi madzi,
• Siyani kutupa kwa maola 10,
• Thirani chikho chimodzi cha chimanga ndi lita imodzi yamadzi,
• Sambani madzi osamba,
• Mukawiritsa, chepetsa kutentha,
• Chogulacho chimatsalira kuti chizipereka kwa maola 6.

Tekinoloje yofananira pakukonzera balere imapangitsa kuti zochulukitsa zizigwira.

Kudzaza mbale, mungagwiritse ntchito:

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

• Mkaka
• Batala,
• Kaloti wokazinga ndi anyezi.

Mukayamba kugwiritsa ntchito barele wa ngale, muyenera kufunsa dokotala kuti mudziwe kuti ndi zakudya ziti zomwe zimaloledwa kwa odwala matenda ashuga.

Oatmeal, bwana

Porridge ya matenda ashuga a 2, maphikidwe omwe timafalitsa, amatha kusiyanitsa menyu ndi kukonza thupi. Anthu amafunsa ngati ndizotheka kudya oatmeal omwe ali ndi matenda ashuga?

Zakudya za oatmeal ziyenera kuyang'aniridwa ndi odwala matenda ashuga, chifukwa pali:

• Mavitamini
• Chrome
• Choline
• Mkuwa ndi zinc ndi silicon,
• Mapuloteni ndi wowuma
• Mafuta athanzi ndi amino acid
• Mankhwala trigonellin ndi shuga.

Croup imathandizira kuti pakhale enzyme yomwe ikukhudzidwa ndi kuwonongeka kwa shuga, phala imakhala ndi zotsatira zabwino pakugwira ntchito kwa chiwindi.

Kudya phala kapena zakudya kuchokera ku mbewu zoterezi, zidzachitika kuti muchepetse insulin yofunikira kwa wodwala, pomwe mawonekedwe a shuga amadalira insulin. Komabe, kusiya kwathunthu chithandizo ndi wopanga sikungathandize.

Ndikofunikira kufunsa katswiri ndi menyu, popeza ndi dokotala yekha, wotengera zotsatira za maphunziro ndikuwunika kawirikawiri zovuta za pathological, amatha kusiyanitsa kuthekera kwa vuto la insulin chifukwa chakudya kwa oats.

Kukhalapo kwa mitundu yosiyanasiyana ya zosakaniza kumakupatsani mwayi wopanga zosintha mthupi:

• Zinthu zoyipa zimapukusidwa bwino,
• Zombozi zimatsukidwa
• Mlingo wofunikira wa glucose umasungidwa.

Mwa kudya mankhwala nthawi zonse, munthu sangakhale wonenepa kwambiri.

Kuphika bwino phala, zotsatirazi ndizofunikira:

• Madzi - 250 ml
• Mkaka - 120 ml
• Groats - makapu 0,5
• Mchere kulawa
• Batala - 1 tsp.

Onjezerani oatmeal kumadzi otentha ndi mchere. Kuphika phala pamoto wotsika, kuwonjezera mkaka pambuyo mphindi 20. Kuphika mpaka wandiweyani, oyambitsa pafupipafupi. Mukamaliza kuphika, amaloledwa kuwonjezera kuchuluka kwa mafuta.

Izi ndi tirigu wosasankhidwa. Chifukwa cha kukonzedwa, mankhusu okhala ndi chinangwa, omwe ndi othandiza mu shuga, amasungidwa mmenemo. Cereal imatengedwa ngati gwero la vitamini B1, lomwe limafunikira pakugwira ntchito yamitsempha yamagazi. Komanso ili ndi macro ndi micronutrients, ma fiber ofunika, mapuloteni, mavitamini.

Madokotala ambiri amalimbikitsa kuti odwala matenda ashuga awonjezere zotere pamenyu chifukwa cha kuchuluka kwa zakudya. Zinthu izi zimathandizira kuchepetsa kufunika kwa shuga, pomwe kusapezeka kwa chakudya chamafuta kumachepetsa kukula.

Folic acid mu mpunga umathandizira kukhala ndi shuga, zomwe zimasonyezeranso kuti mpunga wa bulauni ndi wothandiza.

Anayambitsa njira zosiyanasiyana zopangira phala malinga ndi phala ili. Porridge shuga 2 akhoza kukhala:

• Amchere komanso okoma
• Yophika mkaka, madzi kapena msuzi,
• Ndi kuwonjezera zamasamba, zipatso ndi mtedza.

Ndi pathology, osati mpunga wa bulauni, komanso mitundu ina ya chimanga ikhoza kuphatikizidwa muzakudya, kupatula chinthu choyera chopukutidwa. Lamulo lalikulu lophika - phala la mpunga sayenera kukhala wokoma kwambiri.

Pea phala

Akatswiri azakudya azolimbitsa thupi amalimbikitsa, ndipo mosalekeza, gwiritsani ntchito phala ya pea mumndandanda wa anthu odwala matenda ashuga. Ili ndi zinthu zambiri zothandiza. Kukhalapo kwa kuphatikizika kwazinthu zopangika bwino kumathandizira ntchito ya chovalacho.

• Zilowerere nandolo usiku wonse
• Kenako sinthani ndi madzi otentha ndi mchere,
• Kuphika kumlingo wonse,
• Mbaleyi imayenera kumakhalitsidwa nthawi zonse kuphika,
• Pamapeto kuphika, konzekerani ndikugwiritsa ntchito mitundu iliyonse yamatenda.

Fridgeseed porridge

Mbale ya fulakesi ndimtundu wachilengedwe wa mavitamini ofunikira, ma enzymes, michere ndi micro yayikulu. Komanso phala imakhala yodzaza ndi silicon, imakhala ndi potaziyamu nthawi 7 kuposa nthochi.

Chofunikira kwambiri pa phala lotere ndiloti limakhala ndi mahomoni azomera zambiri kuposa zinthu zina zopangidwa kuchokera kuzomera. Amakhala ndi antioxidant amphamvu kwambiri, amalepheretsa chifuwa, kupanga porridge wamba yamalonda yofunikira kwambiri.

Mbaleyi imathandiza anthu omwe ali ndi matenda amtundu uliwonse: thupi lonse, mtima kapena oncological.

Zomwe chimanga sizingatheke ndi matenda ashuga

Nthawi zambiri kulephera kudya zakudya zomwe mumakonda mutapezeka kuti muli ndi matenda a shuga kumakhala chiphokoso chachikulu. Kodi ndizotheka kudya semolina phala mu shuga, odwala ambiri amafunsa?

Akatswiri amati phala ili limathandizira kuti munthu akhale wonenepa. Ili ndi zinthu zochepa zofunikira zomwe zili ndi msambo waukulu wa GI. Chifukwa cha izi, osati anthu omwe ali ndi matenda ashuga okha, komanso wina aliyense amene ali ndi vuto la metabolic, phala lotere limaphatikizidwa muzakudya.Kuphatikiza apo, ma grit oterowo amalimbikitsa kukoka kwa calcium kuchokera m'mafupa, chifukwa mumakhala phosphorous yambiri, yomwe imalepheretsa kulowa kwa calcium kofunikira kulowa m'magazi. Chifukwa cha izi, zotupa za parathyroid zimayamba kutenga magazi, ndipo sizitha kuchira mokwanira, chifukwa njira za metabolic mwa odwala omwe ali ndi matenda ashuga komanso kusinthika kwa chinthu chodwala ndizosachedwa kwambiri kuposa mwa anthu athanzi.

Ndikofunikira kukumbukira kuti matenda ashuga ndi matenda omwe amayamba chifukwa cha kusokonekera kwa kagayidwe kachakudya, kotero kudya zakudya zomwe zitha kuvulaza thupi ndi njira yosavomerezeka. Popeza semolina imakhala ndi kuchuluka kwakukulu kwa gluteni, komwe kumayambitsa matenda a celiac nthawi zina, kumatha kuyambitsa matenda osakwanira ndi matumbo a zinthu zofunikira za thupi. Sikuti mitundu yonse ya chimanga ndi yothandizanso kwa anthu omwe ali ndi matenda ashuga. Ndi semolina yomwe imayenera kupakidwa ndi mbale zomwe zimabweretsa phindu locepa. Ngati munthu amakonda kwambiri phala loterolo, amafunika kuti agwiritse ntchito m'magawo ochepa, akumapeza chakudya chambiri, makamaka masamba. Ngakhale ziyenera kukumbukiridwa kuti semolina ndi matenda a shuga ndizogwirizana zomwe zimagwirizana.

Macroangiopathy - vuto lalikulu la matenda ashuga

Matenda a shuga a diabetesic macroangiopathy ndi lingaliro lophatikizika lomwe limaphatikizapo zotupa za mitsempha yayikulu komanso yayikulu kwa odwala matenda a shuga.

Kudzikundikira kwa cholesterol m'makoma amitsempha yamagazi kumayambitsa mapangidwe a atherosclerotic plaques. Amalepheretsa ochepa lumen, amasokoneza magazi.

Macroangiopathy mu shuga mellitus amatenga matenda monga ischemic stroke, myocardial infarction, angina pectoris, kukonzanso matenda oopsa, komanso matenda ashuga.

Zida zosatetezeka kwambiri za mtima, ubongo ndi m'munsi kwambiri.

Gulu

Kusintha kwa ziwiya zikuluzikulu za anthu odwala matenda ashuga kumawonetsedwa mwa mtundu wa atherosulinosis, kupangitsa kuti Minkerberg sclerosis, kuyimitsa khungu kwambiri (chotengera cha pachifuwa - gawo lamkati la mtsempha kapena mtsempha, womwe umakhala pansi pa ziwalo ziwiri - kunja (zotanuka) ndi minofu.

Mitundu iyi ya matenda ashuga a macroangiopathy imayamba mu mitsempha ya ubongo, impso, miyendo (kumtunda ndi kutsika), komanso m'mitsempha yama coronary.

Kufufuza kwathunthu matenda a shuga ndi njira imodzi yabwino kwambiri yopeweretsera zovuta zonse zomwe zingachitike ndi matendawa.

Kusintha kwatsoka chifukwa cha macroangiopathy kuli ofanana mu odwala matenda ashuga komanso odwala matenda ashuga. Komabe, mu shuga, kusintha koteroko kumachitika mwa anthu aang'ono kwambiri.

Zomwe zimayambitsa macroangiopathy zimachitika chifukwa cha zifukwa zosiyanasiyana:

• Zizolowezi zoipa (kumwa, kusuta).
• Kunenepa kwambiri.
• Matenda oopsa - zambiri zamatendawa.
• Cholesterol wokwera (ndi mafuta ena) m'magazi.
• Zinthu zoyipa.
• Wodwala ali ndi zaka zopitilira 50.
• Kukhalapo kwa fibrillation ya atria.

Zina zapadera zogwirizana ndi matenda a shuga:

• Hyperglycemia.
• Kuchuluka kwa kuchuluka kwa insulin ya m'magazi (hyperinsulinemia).
• Kukana kwa insulini (kuteteza zochita za mahomoni).
• Matenda a impso mu matenda ashuga (magawo onse a matenda ashuga nephropathy).
• Zochitika zofunikira kwambiri ndi matenda ashuga.

Kutulutsa kwambiri kwa insulin m'magazi ndi chimodzi mwazomwe zimayambitsa kusintha kwa atherosulinotic mu macroangiopathy.

Insulin imathandizira kufalikira kwa cholesterol plaques ndi tizigawo tina ta lipoprotein, tomwe timatengera makoma a mitsempha, komanso chifukwa cha kukhudzika kwa metabolid ya lipid.

Zovuta zotheka

Chiwopsezo cha kukhala ndi macroangiopathy chimafotokozedwanso kwambiri kwa odwala omwe ali ndi matenda amtundu wa 2. Imfa kuchokera ku zovuta zake ndi 35-75%. Mwa awa, theka la milanduyi ndi kuphwanya m'maso.

Macroangiopathy oopsa komanso odwala matenda ashuga, amayambitsa ischemia.

Kukula kwa odwala omwe ali ndi atherosulinosis ya magawo atatu a mtima nthawi imodzi - mitsempha ya mtima, mtsempha wamagazi, ubongo wam'munsi umakhumudwitsa. Kupitilira mwendo woposa 50% kumachitika chifukwa cha macroangiopathy.

Matenda a shuga a macroangiopathy a m'munsi am'munsi amatsogolera zilonda zawo zam'mimba ndipo amathandizira kukulitsa matenda a shuga (kuwonongeka kwa mitsempha yamitsempha, mitsempha, minofu yofewa komanso mafupa a phazi, chifukwa chomwe minyewa ya necrotic komanso njira zowonongeka zimayambitsa).

Kupweteka kwamatenda a shuga a matenda ashuga kumawonetsedwa pang'ono. Koma, ngakhale izi, pamaso pa zisonyezo zakuduladula, opaleshoni sayenera kuimitsidwa, popeza kuchedwa kumapangitsa kuchiritsa kwa mabala komanso (nthawi zina) kuchitapo kanthu opaleshoni mobwerezabwereza.

Njira zochizira

Chithandizo cha matenda ashuga macroangiopathy adapangidwa kuti achepetse kukula kwa zovuta zam'mimba.

Njira zochizira ndizofunikira kuchepetsa shuga wa magazi, kusintha kagayidwe ka lipid, kuphatikizika kwa magazi ndi kuthamanga kwa magazi.

Odwala amaikidwa insulin mankhwala, malinga ndi kuwunika kwa shuga m'magazi. Kubwezeretsanso kwa kagayidwe kazakudya kumaperekedwa ndikumwa mankhwala (ma statins, antioxidants, fibrate), komanso kutsatira zakudya zotsika za lipid.

Kupewa kwa thrombosis kumatheka kudzera mu mankhwala omwe ali ndi antiplatelet kwenikweni (heparin, dipyridamole, acetylsalicylic acid, pentoxifylline.

Ndi matenda a shuga a shuga am'munsi am'munsi, kuthamanga kwa magazi kumabwera pamlingo wa 130/85 mm RT. Art. Kwa izi, ACE inhibitors (Captopril) ndi diuretics (veroshpiron, furosemide) amagwiritsidwa ntchito.

Odwala omwe ali ndi myocardial infarction amawonetsedwa beta-blockers.

Pamavuto odwala, chisamaliro chachikulu chimachitika. Pamaso pazisonyezo zoyenera, wodwalayo amayendetsedwa.