Matenda a shuga tachycardia

Odwala ambiri amadandaula chifukwa cha kuchuluka kwambiri kwa matenda ashuga. Mwa ena, matenda amapezeka motsutsana ndi kuwonongeka kwa mtima wamtima, mwa zina zimakhala zotsatira za matenda am'mimba, ndipo mwa ena, tachycardia imakhumudwitsidwa ndi kulemera kwambiri komanso kupezeka kwa kulimbitsa thupi kwambiri.

Mosasamala kanthu za chifukwa, kuphwanya koteroko kumawonedwa kukhala koopsa, chifukwa kumayambitsa kuphwanyidwa kwa mtima, komwe kumawonjezera chiopsezo cha zovuta zazikulu: kusakwanira, matenda amitsempha yamagazi, matenda oopsa kwambiri, matenda amitsempha, matenda amitsempha yamagazi, etc.

Chithunzi cha kuchipatala

Odwala ena, kusokonezeka kwa phokoso la mtima sikuyenda ndi zizindikiro zenizeni, ndipo kupatuka kumapezeka ndi ma electrocardiogram. Koma nthawi zina wodwala amamva kugunda kwa mtima, koma sangapereke mayeso enieni. Cholinga chake ndikuti odwala matenda ashuga amatha kukhala ndi zizindikiro zingapo za arrhythmia, zomwe zingafotokozedwe ndi kutopa ndi kupsinjika konse, komanso kukwera kwambiri kwa shuga.

Komabe, kuthamanga kwa matenda ashuga kumayendera limodzi ndi zizindikiro zotsatirazi:

• chizungulire ndi kukomoka,
• chizolowezi cha mtima wachisokonezo (chitha kuthandizira kapena kuchepetsa, kugunda pansi)
• Zovuta zapamtima kwambiri,
• kudziwa zolakwika
• kumverera komwe mtima wanga unayamba kugwa
• kufinya kumverera mu sternum,
• kumverera kwa mtanda waukulu womwe umazungulira mkati mwa chifuwa,
• kupuma movutikira (kuphatikiza popanda kuchita masewera olimbitsa thupi),
• kusowa kwa mpweya.

Kuti muzindikire kuti muli ndi zizindikiro zanuzo, yezani kugunda kwa mtima wanu - zimachoka pamawonekedwe a 60-80 kugunda pamphindi.

Kodi ndimatenda ati omwe arrhasmia amawonetsa?

Mu matenda ashuga, zizindikiro zamatendawa zimawonetsa kukula kwa chimodzi mwazovuta: autonomic neuropathy, microangiopathy, kapena myocardial dystrophy.

Nthawi zambiri, autonomic neuropathy imayamba mu achinyamata odwala matenda ashuga ndi mtundu woyamba wa matenda (wodalira insulin). Ndi chiphuphu chokwanira komanso kuchuluka kwa nthawi yayitali ya hyperglycemia, zotengera ndi minyewa yam'mimba imakhudzidwa, zomwe zimayambitsa kusintha kwakukulu mu minofu ndipo, chifukwa chake, zimasokoneza kumenyedwa kwa chiwalo. Monga lamulo, pali kuchuluka kwambiri kwa zimachitika mu shuga.

Ndi autonomic neuropathy, chidwi cha mitsempha kukakamiza ndi ma signals chimachepetsa, chomwe chimayambitsa osati arrhasmia yokha, komanso atypical course of ischemic matenda. Pankhaniyi, odwala matenda ashuga samva kuwawa pamtima, kutanthauza kuti, matenda oopsa amatha kukhala obisika kapena osabisika. Zotsatira zoyipa za kusachiza ischemia ndi kulowerera m'maso, komwe nthawi zambiri kumabweretsa imfa.

Microangiopathy ndi myocardial dystrophy zimachitika motsutsana ndi maziko a kuchepa kwa insulin kwa nthawi yayitali. Kuperewera kwa mahomoni kumabweretsa kuperewera kwa mphamvu ya minofu ya mtima. Thupi la wodwalayo limayamba kulipirira kuchepa kwake ndikuwotcha mafuta acid, omwe, pamodzi ndi zinthu zowola, amakhazikika m'matumbo amtima ndikuyambitsa zolakwika zamagulu. Ngati wodwala ali ndi matenda obanika kutulutsa mitsempha, ndiye kuti pali zovuta zoopsa monga extrasystole, fibrillation atria, parasystole.

Kuzindikira ndi chithandizo

Kuti apange matenda odalirika, dokotala wamtima ndi endocrinologist amasonkhanitsa chidziwitso chonse cha matendawa komanso kupezeka kwa zovuta, kupereka mayeso wamba (magazi, mkodzo, shuga, chithokomiro ndi mahomoni a pancreas, ndi zina).

Ngati mukukayikira kukoka kwambiri kapena kutsika kwa shuga, dokotala amatenga minyewa yambiri ntchito zosiyanasiyana.

Electrocardiography ikuthandizani kuti muwone zolakwika zonse mu mtima, popeza zikuwonetsa kukula kwa zipinda za minofu, kachulukidwe ndi kapangidwe ka myocardium, kapangidwe ka madipatimenti akulu.

Mothandizidwa ndi MRI, mutha kuwunika mwatsatanetsatane mawonekedwe a minofuyo mpaka kufika pamlingo wokudzaza ndi magazi amitsempha yake yayikulu.

Chithandizo cha odwala matenda ashuga ndi arrhythmia ziyenera kuyamba ndi kuwongolera shuga m'magazi. Pokhapokha chipukutu chokwanira cha matendawa timatha kuyambitsa matenda a mtima.

Dokotalayo amapereka mankhwala omwe ali ndi insulini mu zovuta, komanso mankhwala osokoneza bongo a antiarrhythmic. Ma suwa amatha kukhala achilengedwe, ochokera kumera (tincture wa peony, hawthorn, valerian) kapena kapangidwe (Diazepam, Valocordin ndi ena). Mankhwala a antiarrhythmic ndiwosiyana ndi odwala omwe ali ndi matenda oopsa (Diroton, Lisinopril) ndi odwala a hypotensive (Ephedrine hydrochloride, Ipratropium bromide ndi ena).

Kodi tachycardia ndi chiyani?

Tachycardia ndikusintha kwa kayendedwe ka mtima, komwe kumachitika chifukwa cha zinthu zakunja ndi zamkati.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Zinthu zakunja zomwe zimayambitsa kusintha kwa kayendedwe ka mtima ndi zochitika zolimbitsa thupi komanso zovuta zina. Chimodzi mwazinthu zamkati zomwe zimakulitsa zimachitika ndi matenda a shuga. Mu matenda a shuga, tachycardia amatchedwa pathological ndipo amaumiriza kuwunikira komanso kuchiza matenda mosalekeza. Muzochitika zotere, kugunda kwa mtima, kulumpha pambuyo pochita zolimbitsa thupi, sikuchepetsedwa pawokha, monga momwe munthu amakhalira wathanzi, koma kumangokhala pamlingo wokwera kapena ngakhale kukwera. Zimakhumudwitsidwanso chifukwa chomwa khofi ndi tiyi.

Zoyambitsa matenda a shuga Tachycardia

Kukhalapo kwa matenda osokoneza bongo a shuga kumayambitsa zovuta mu ntchito ya parasympathetic NS ndi palpitations a mtima. Ngati matendawa akupita patsogolo, magawano amomwe amachititsa mitsempha ya autonomic amakhudzidwa. Kulingalira kwamitsempha kumawonekera ndikukula, komwe, kumayendera limodzi ndi kukulitsa kwa tachycardia ndi matenda a mtima. Pazifukwa izi, anthu omwe ali ndi matenda ashuga samva kuwawa mtima mpaka atakhala ndi vuto la mtima. Chifukwa chake, mu shuga mellitus, zodetsa zilizonse mu ntchito ya minofu ya mtima ziyenera kukhala chifukwa chochezera ndi kuyesedwa ndi dokotala.

Ngati munthu sanayang'anire tachycardia panthawi, mapangidwe ake amanjenje amomwe amayamba kusintha ndikuwonekera. Chifukwa chotsatira cha tachycardia mu shuga ndi myocardial dystrophy. Zimapangitsa kulephera kwa kagayidwe kachakudya pakakhala insulin yaying'ono m'magazi, motero, glucose samatsikira m'maselo mpaka pamtima.

Kodi matendawa amawonetsedwa bwanji?

Kuti mudziwe kuti ndi zovuta ziti thanzi lanu, komanso zomwe mungathe kukhala nazo moyo wanu wonse, muyenera kukaonana ndi dokotala komanso kukayezetsa. Poyerekeza ndi shuga. Pali mitundu yambiri ya zopatuka kuchokera pamachitidwe a mtima. Ndipo si onse omwe amafuna chithandizo chamankhwala, pali ena omwe samawoneka. Pali zovuta zingapo zomwe zimapita ndipo zimayambitsa kuvulala kwamtima kwambiri. Palinso zotheka za mtundu wa kugunda kwa mtima, popeza tazindikira kuti ndikofunikira kuyamba chithandizo. Ngati matenda a shuga apanga, zolakwika m'matumbo a mtima zimawonekera ndi zofanana ndi anthu ena:

• kugunda kwamtima kosagwirizana
• kumva kugunda kwamtima kolimba,
• chizungulire
• kukomoka
• kuthamanga kwa mtima komanso kugunda kwamtima kosowa,
• kusintha kwapakati komanso kuthamanga kwa mtima,
• kupuma movutikira kapena kusowa kwa mpweya,
• mtima wanga unagwa
• kumverera kwadzidzidzi mwadzidzidzi mu sternum.

Diabetesic autonomic neuropathy ndi mtundu wa zovuta zomwe zimachitika chifukwa cha chithandizo cha matenda ashuga omwe atenga nthawi yayitali. Shuga wamagazi akakwezeka pakapita nthawi, kuwonongeka kwa mitsempha ya mtima kumachitika, komwe kumasokoneza phokoso la mtima. Ndi kupatuka uku, sinus tachycardia imawonedwa m'malo opanda phokoso, pomwe zimachitika ndizomenyedwa pafupifupi 100 kumenyedwa kapena kukwera pamwamba pa 130 kumenyedwa 1 min. Chizindikiro chodziwika bwino cha DAN ndikuti kupuma kwakuya kwa wodwala sikukhudza kuthamanga kwa mtima mwanjira iliyonse, ngakhale mwa munthu wathanzi, kugunda kwake kumachepa ndi kupuma kwakukuru.

Njira zoyesera

Kwa matenda apamwamba komanso odalirika, zambiri zokhudzana ndi matenda ashuga ndi matenda okhudzana nazo zimasonkhanitsidwa. Zotsatira za kusanthula m'mbuyomu zimaganiziridwa. Ngati tachycardia wokayikitsa, wophatikizidwa ndi matenda a shuga, wapezeka, ntchito ya minofu ya mtima imayezedwa pamiyeso yosiyanasiyana. Pambuyo pawo, zimamveka bwino momwe mtima umakhalira nthawi yochita zolimbitsa thupi mwadzidzidzi kapena popuma.

Nthawi zambiri, electrocardiography imagwiritsidwa ntchito pozindikira.

Mukadutsa ECG, mutha kuwona momwe mtima umagwirira ntchito, komanso zolephera zimachitika. Echocardiography imagwiritsidwa ntchito kuti ipeze chithunzi cholondola cha mtima. Zikuwonetsa kukula kwa chipinda cha minofu ya mtima, kukula kwake kwa myocardium. Chophimba chikuwonetsa kupatuka konse mu contractions ndi kapangidwe ka madipatimenti amtima. Nthawi zina wodwalayo amafunsidwa kuti apite ku MRI, yomwe imakupatsani mwayi wopenda minofu ndi kudziwa momwe amapangidwira. Kuti mupeze matenda othandizira kapena kupewa kufooka kwa vutolo, kuyezetsa magazi, mkodzo ndi mahomoni a chithokomiro ndi omwe amapatsidwa.

Njira zochizira

Chithandizo cha zotupa mu ntchito ya mtima chimatanthawuza kuchotsa zomwe zidayambitsa izi ndikukhazikitsa mkhalidwe wa wodwalayo. Poyerekeza ndi matenda a shuga, chithandizo chamankhwala chikuyang'aniridwa ndi dokotala, chifukwa nthawi zambiri amachititsa kuti tachycardia iyambike. Kusankhidwa kwa mankhwalawa kumachitika chifukwa cha matenda ashuga, matenda ena ndipo atakambirana ndi endocrinologist, neurologist ndi mtima.

Mankhwala

The achire zotsatira zimatheka ndi zokhudza zonse kugwiritsa ntchito mankhwala. Amakulolani kuti mulamulire kuchuluka kwa glucose ndikuchepetsa kugunda kwa mtima wanu. Pofuna kuthana ndi tachycardia, mankhwala osokoneza bongo komanso antiarrhythmic action amathandiza. Ma Sedatives amagawidwa zachilengedwe komanso zopangidwa. Kusankhidwa kwa mankhwala oyenera kumachitika ndi dokotala wodziwa mbiri yonse yachipatala. Mankhwala omwe amagwiritsidwa ntchito amaperekedwa pagome.

• Ikani hawthorn ndi duwa lakuthengo losakanikirana ndi mamawort. Amatengedwa pa supuni ndikupanga ngati tiyi. Imwani makapu atatu patsiku.
• Yophika pamoto wochepa, kwa mphindi 10, inflorescence ya chimanga imadyedwa theka lagalasi katatu patsiku. Njira ya mankhwala ndi miyezi iwiri.
• Mafuta a peppermint ndi mandimu amawonjezeredwa tiyi kuti azingokhala komanso kusintha kugona.
• Pali Chinsinsi ndi adyo ndi mandimu, omwe amatengedwa magawo ofanana ndikuwonjezera 1 tbsp. spoonful uchi. Osakaniza amakakamizidwa m'malo amdima kwa sabata limodzi. Gwiritsani ntchito 1 tbsp. supuni m'mawa uliwonse.
• Adonis wosankhidwa bwino amathiridwa ndi madzi otentha ndi kuwiritsa kwa mphindi 15. Kenako amaziziritsa ndikusefa, ndikufinya keke kuti akhaleko. Mumwe mu 1 tbsp. supuni 3 pa tsiku, zokwanira kukwaniritsa wokhalitsa achire zotsatira.

Njira zopewera

Pofuna kupewa zovuta, tikulimbikitsidwa kutsatira zakudya ndi kukana kwathunthu zakudya zamafuta, okazinga ndi mafuta. Chotsani ndudu ndi mowa. Muzikhala moyo wakhazikika. Pewani kuchita masewera olimbitsa thupi kwambiri komanso kupanikizika. Chotsani zakumwa zamagetsi ndi khofi. Sungani kuchuluka kwa shuga m'magazi anu pamalo oyenera kudzera mwa cheke tsiku lililonse ndikutsatira zomwe dokotala akukuuzani. Onetsetsani kuti thupi lanu ndi lolemera, musalole kuti likule kwambiri kapena kwambiri. Amayesedwa panthawi yoyenera ndi dokotala wamtima, endocrinologist, mano ndi madokotala ena.

Tachycardia - Momwe Tachycardia ndi Matenda a shuga Amagwirizanirana

Momwe tachycardia ndi shuga zimagwirizirana - Tachycardia

Pali zinthu zakunja ndi zamkati zomwe zimayambitsa tachycardia. Choyamba ndi kupsinjika mtima kwaife, ndipo chachiwiri, choyamba, ndi matenda a shuga a 2. Ngati ndi matenda omwe amachititsa kuti mapapo azikula, ndiye kuti wodwalayo amayenera kupimidwa komanso kuchizidwa nthawi zonse.

Chodabwitsa cha mtundu uwu wamtundu wamtundu wa tachycardia ndikuti pambuyo polimbitsa thupi, mapangidwe ake samatsika palokha, koma nthawi zambiri, m'malo mwake, amawonjezeka. Koma zimachitikanso kuchokera ku kumwa kwakukulu kwa tiyi ndi khofi.

Ngati tachycardia sanapezeke pa nthawi yake, ndiye kuti imatha kuyambitsa matenda a hypotension, kenako myocardial dystrophy. Zonsezi ndizokhudza zinthu zochepa za insulin m'magazi, zomwe zimabweretsa kutsekeka kwa glucose mumtima.

Si matenda onse amtima omwe amaoneka ngati ophatikizika a shuga omwe ali oopsa chimodzimodzi. Pali zina zomwe sizimasokoneza moyo wa munthu kwa zaka zambiri. Koma ma pathologies ena amachititsa kuchuluka kwa mtima.

Zizindikiro za phokoso la mtima wosokonezeka ndizofanana kwa anthu onse:

• kumenyedwa kosaloledwa,
• chizungulire, kuli mwayi wolephera kuzindikira,
• woonekera kwa munthu othamanga kwamtima,
• kutsika kwa kugunda kwa mtima,
• kupuma movutikira kapena kumverera ngati kuti ndi kosatheka kupuma,
• kuopsa kwa mbali yamtima,
• kumva kuti mtima ukusowa,
• Kusintha kwa kuchuluka kwakukulu kwa mapangano kumachepera.

Zimachitika kuti munthu alibe zodabwitsa zachilendo, ndipo kulephera kwamtambo kumatsimikiziridwa pakuwerengetsa kugunda kwake. Simuyenera kukhala osamala pokhapokha mutapezeka kuti muli ndi matendawa, koma pitani kuchipatala msanga. Pamenepo, mudzapambana mayeso oyenera, kukayezetsa. Odwala achichepere omwe ali ndi vuto la matenda ashuga amawonongeka mumitsempha yamtima. Izi zimachokera ku shuga wambiri wamagazi, wotchedwa diabetesic autonomic neuropathy.

Zizindikiro ndi mankhwala a endocarditis opatsirana

Zizindikiro za matenda amtunduwu ndizotsatirazi:
• Kukhazikika kwa pakati pa kupuma ndi kugunda kwa mtima kusiyana ndi munthu wathanzi, pamene kupuma kwamphamvu kumabweretsa mphamvu yaying'ono yamtima,
• ngakhale osachita masewera olimbitsa thupi, pamakhala kugunda kwamphamvu kwakanthawi kokwanira mpaka 100 pamphindi, ndipo nthawi zina mpaka 130.

Zikakhala choncho, kuchedwetsa kukaonana ndi adokotala kumakhala koopsa.

Ndikofunikira kuzindikira ndi kuthandizira moyenera

Choyamba, adokotala amaphunzira zonse zokhudzana ndi matenda ashuga mwa wodwala, matenda opatsirana ndipo amadziwa zotsatira za mayeso am'mbuyomu. Pokayikira koyamba kwa tachycardia, zimachitika kuti limapuma limapuma komanso pambuyo kuchita masewera olimbitsa thupi. Tachycardia mu shuga amadziwika motere. Kuchokera pa mayeso ozindikira pogwiritsa ntchito electrocardiography. Izi zikuwonetsa kusayenda bwino kwa mtima, makulidwe amakhoma a myocardium ndi kukula kwa chipinda chamtima.

Pali nthawi zina pamene pakufunika kusanthula kwa MRI. Njira yodziwitsira mtima imapereka lingaliro la kapangidwe ka minofu yamtima. Kuchokera pa mayeso a labotale, kuti muchepetse kuwonongeka mu thanzi, muyenera kupereka magazi ku mahomoni a chithokomiro komanso mkodzo.

Chithandizo chamankhwala ndicholinga chothetsa zomwe zimayambitsa tachycardia ndikukhazikitsa mkhalidwe wa wodwalayo. Matenda a shuga amafunika kuwongoleredwa ndi madokotala, chifukwa nthawi zambiri zimayambitsa vuto mu mtima. Dokotala woyenera amasankha mankhwala poganizira mawonekedwe a thupi komanso kupezeka kwa matenda ashuga. Izi zifunikira kuonana ndi endocrinologist, cardiologist ndi neurologist.

Mbali ya mankhwalawa tachycardia mu zokhudza zonse mankhwala omwe angathe kuchepetsa shuga wamagazi ndikuwongolera kugunda kwa mtima. Zatsimikiziridwa bwino mu mankhwalawa matendawa, mankhwala osokoneza bongo ndi mankhwala omwe ali ndi zotsutsana. Zithandizo zosankhidwa sizopanga zokha, komanso zitsamba. Chithandizo chilichonse chimayenera kusankhidwa ndi dokotala waluso. Izi ndizofunika kwambiri, mankhwala omwe mumadzipatsa nokha angadzetse mavuto.

Ndikofunika kuganizira popewa zovuta za matenda ashuga. Njira zazikulu ndi:

• Zakudya zoyenera komanso kukana kwathunthu chakudya chamafuta, mafuta, okazinga komanso osuta,
• pewani zizolowezi zoyipa - kusuta ndi kumwa mowa,
• adasiya kuchita masewera olimbitsa thupi mpaka pamlingo wokangalika,
• Kuletsedwa kumwa zakumwa zilizonse zomwe zimakhala ndi khofi
• masewera olimbitsa magazi tsiku ndi tsiku,
• kutsatira malangizo onse a madotolo
• onetsetsani kuti thupi lanu ndi lolemera, muzipewa kuchuluka kwambiri kwa thupi,
• Pitani kumayeso okonzedwa kwa akatswiri akatswiri.

Mulimonsemo, tachycardia si chiganizo, koma zovuta za shuga zomwe zimafuna chithandizo choyenera.

Amayambitsa tachycardia

Tachycardia ndi mtundu wamasokonezo amtundu wa mtima pomwe kuthamanga kwa mtima kumadutsa 90 kugunda pamphindi. Pachikhalidwe cha thupi ndi pathological tachycardia chimasiyanitsidwa. Woyamba akhoza kutchedwa:

• kuchuluka kwa kutentha kwa thupi ndi chilengedwe,
• kupsinjika
• zochita zolimbitsa thupi,
• kukwera kutalika kwenikweni
• kumwa kwambiri tiyi, khofi, zakumwa zoledzeretsa,
• kumwa magulu ena a mankhwala.

Pachological tachycardia imachitika munthu akakhala ndi matenda ndipo ndi chimodzi mwazizindikiro. Kuwonjezeka kwa kugunda kwa mtima kumatha chifukwa cha:

• myocarditis
• kupunduka kwa mtima
• myocardial infaration
• sitiroko
• mtima
• matenda am'mapapo, ziwiya zam'mapapo ndi chifuwa, zomwe zimabweretsa kutuluka kwa "mtima wamapapu",
• thyrotoxicosis,
• pheochromocytoma
• kuchepa magazi
• neurosis
• matenda opatsirana
• pachimake zinthu monga magazi ndi impso colic.

Kodi tachycardia imatha kuchitika chifukwa cha matenda ashuga?

Anthu ambiri amadziwa kuti matenda ashuga akamapitilira, odwala amapanga matenda amkati mwa mtima, omwe nthawi zambiri amachititsa munthu kufa, koma kodi tachycardia imachitika bwanji mwa odwala omwe ali ndi matendawa?

Kwenikweni, kuchuluka kwa kugunda kwa mtima kumachitika chifukwa cha:

1. Onjezani "kachulukidwe" magazi. Zimachitika chifukwa chophwanya chakudya cha carbohydrate metabolism, momwe glucose amalephera kulowa m'maselo ndipo amakhala m'mitsempha yamagazi.
2. Myocardial dystrophy. Osakwanira kuchuluka kwa insulin ya insulin (ya mtundu wa 1 shuga) kapena kusazindikira maselo a maselo a ziwalo za peptide (a mtundu 2 shuga) kumabweretsa kuti glucose simalowa mu mtima.
   

Thupi limayankha izi, chifukwa chomwe kutuluka kwa madzi kulowa m'mitsempha kuthira magazi kumakulitsidwa, komabe, motsutsana ndi maziko a izi, kutulutsa kwa gawo lamadzi ndi impso kumathandizidwanso. Zotsatira zake - kusowa kwamadzi, "kukula" kwa magazi.

Ischemic tachycardia ndi subtype ya arrhythmia yomwe imachitika chifukwa cha matenda amitsempha yamagazi, mu pathogenesis yomwe matenda a shuga a mellitus, kunenepa kwambiri, kupezeka kwa zizolowezi zoipa, komanso cholesterol yayikulu yamagazi imagwira ntchito yofunika.

Zizindikiro zoyenda

Munthu nthawi zambiri amamva zoyamba za matenda ashuga patatha zaka zochepa, zovuta zikayamba kumuonekera. Kuphatikiza pa tachycardia, odwala nthawi zambiri amadandaula:

• kusanza ndi kusanza
• thukuta lozizira
• chizungulire
• kupuma movutikira
• kupweteka pachifuwa
• kufooka
• mutu
• kulephera kudziwa
• nkhawa zopanda nkhawa
• Kugudubuka kwamaso pamaso,
• kusintha pang'ono pang'onopang'ono kwa kutentha kwa mtima,
• kumverera kwa mtima wozama.

Odwala omwe ali ndi matenda ashuga a m'mimba, chizindikiro chodziwika chimachitika pamene kupuma kwamphamvu kwa munthu kulibe vuto lililonse pamtima, pomwe anthu abwinobwino amachedwa.

Nthawi yomweyo, odwala ena omwe ali ndi matenda a shuga, ngakhale ali ndi tachycardia, samva kusintha kulikonse pamachitidwe apadera, ndipo kuyeza kokha komwe kungathandize kukayikira kuti china chake sichili bwino kunyumba.

Mavuto omwe angakhalepo pazotsatira zamatenda a shuga

Ngati munthu sanatsatire tachycardia panthawi, kapena ngati chithandizo chake sichinali chothandiza, zotsatirazi zingachitike:

1. Zosintha pakupanga kwamachitidwe amanjenje achifundo, kuwonetsa zizindikiritso.
2. Kupanda magazi kopanda kanthu. Ngakhale kuti nthawi zambiri chitukuko cha matendawa chimachitika, munthu akumva kupweteka kwambiri, komwe kumawonjezeka pakapita nthawi, chifukwa cha matenda ashuga oopsa, munthu samatha kumva kuwopseza mtima ndikupanga zomwe akuchita tsiku ndi tsiku. Choyipa chachikulu, ntchito ngati imeneyi imapha.
3. Orthostatic ochepa ochepa hypotension. Popewa kusokonezeka kwamagazi kwambiri pachimake pa tachycardia, thupi limayankha mwakuwonetsa kuchepa kwa magazi chifukwa cha vasodilation. Munthawi yoyenera (ya thupi lathanzi), munthu amasinthanso kamvekedwe ka kayendedwe kazinthu zamagetsi, kamene kamakhala ndi vuto lalikulu la shuga. Zotsatira zake, kuchepa kwa magazi kwa wodwala kumatha kukhala kwakukulu kwambiri, komwe kungakhudze magazi ake kupita ku ziwalo zofunika.

Odwala omwe ali ndi orthostatic hypotension nthawi zambiri amadandaula za kutopa kosalekeza, chizungulire, komanso kuchepa kwa ntchito m'mawa. Anthu amavutikanso ndi mutu, mphamvu yake yomwe imatsika kwambiri ikagona kapena m'malo mokakamizidwa, mutu umakhala pamwamba pa thupi (anthu ambiri amagona popanda mapilo pazifukwa izi).

Ndi dokotala uti amene akuchiza?

Chithandizo cha arrhythmias mu matenda ashuga chimaphatikizapo kuchotsa zifukwa zomwe zimayambitsa mtima, zomwe zimatha kusokoneza dongosolo la mtima la mtima, matenda a mtima, mtsempha wamagazi.

Choyamba, wodwalayo akulimbikitsidwa kuti ayendere katswiri, yemwe amakakamizidwa kuti ayesetse wodwalayo, amutumize kukayezetsa, komanso malingana ndi kukhalapo kwa matenda owonjezera (kupatula matenda a shuga), muperekezeni kwa katswiri yemwe ali ndi matenda ochepa. Madokotala oterewa amatha kukhala a endocrinologist, a neurologist komanso a mtima. Amatha kupatsa munthu chithandizo chokwanira kwambiri.

Zizindikiro

Kuphatikiza pa kuyeza shuga wamagazi nthawi zosiyanasiyana masana kutsimikizira matenda a shuga, a tachycardia, mayeso otsatirawa amachitika:

1. Electrocardiography - njira yayikulu yothandizira ma arrhythmias, omwe amakupatsani mwayi kuti musokoneze kugunda kwa mtima, kugunda kwa mtima, nthawi zina, kudziwa mtundu wa tachycardia, kapena kumapangitsa kukayikira kupweteketsa mtima kosavulaza.
2. Kuwunikira Tsiku ndi Tsiku Holter ECG - amagwiritsidwa ntchito kuti athe kudziwa mgwirizano womwe ulipo pakati pa nthawi ya tsiku ndi kugunda kwa mtima wa wodwala.
3. Echocardiography - imakupatsani mwayi wofufuza ntchito ya minofu ya mtima, momwe zipinda zilili, ma valves, makulidwe amitseko ya myocardium, kuthinikizika m'mitsempha ndi kuthamanga kwa magazi, kuzindikira matenda amtima, kusakwanira kapena kuzindikira kusintha kwa minofu yamtima, kutsekeka kwa magazi kwa ziwalo.
4. Mayeso apadera - mu kafukufukuyu, zitsanzo za adrenergic blockers, insulin, zochitika zolimbitsa thupi zitha kugwiritsidwa ntchito. Zambiri zomwe zidapezedwa pamayeso zikuthandizira kuwunikira komwe kumakhala kwamanjenje yamagetsi.
5. Phunziro la electroneuromyographic - njira zingapo zomwe zingavumbulutsenso mtundu wa matenda ashuga odziletsa a matenda ashuga.
6. Kuyesa kwamtima - izi zimaphatikizapo kuyesedwa ndi kupuma kwakuya, kuyesa kwa orthostatic, kuyesedwa kwa Valsalva.

Kuyesedwa kwa Valsalva kumakhala kuti wodwalayo ayenera kutuluka kwathunthu, kutuluka, kenako ndikumapuma ndikuyesera kutulutsa ndi pakamwa komanso mphuno. Zotsatira zake, chifukwa cha kuchuluka kwa glottis, kupindika kwa ma diaphragm, kupuma komanso minyewa yam'mimba, kuwonjezereka kwa kukhudzika kwa m'mimba ndi intrathoracic kumawonedwa, komwe kumachepetsa kubwerera kwamimba, kugwa kwamitsempha yamagalasi akuluakulu. Kuyesaku ndikuwonetsera chitetezo cha ogwirizana, apakati komanso othandizira a baroreflex (amathandizira kuwunika mkhalidwe wa dongosolo laumwini lazovuta).

Chithandizo cha tachycardia mu shuga

Pofuna kuthana ndi tachycardia, choyambirira, ndikofunikira kuti pakhale kulipira kolimbikitsidwa kwa matenda a shuga komanso kudziwa momwe angadziyang'anire pawokha magazi a shuga. Komanso khalani wolumikizana ndi dokotala yemwe amayang'anira chithandizo.

Ngati munthu akudziwa kuti ali ndi matenda a shuga, zovuta zina zayamba kumuvutitsa, ndipo ngati wodwalayo akufuna kukhalabe wathanzi ndi moyo, chisamaliro chikuyenera kutetezedwa kuti matendawa asapitilire. Kuti muchite izi, muyenera kumayendera madokotala nthawi, kuphatikizapo onse a endocrinologist, a mtima, a neuropathologist, osanyalanyaza malangizo awo, kutsatira njira ya chithandizo ndikutsatira malamulo onse azakudya ndi odwala matenda ashuga.

Mankhwala Olimbikitsidwa

Pofuna kuthana ndi tachycardia mu matenda a shuga, magulu ena a mankhwala amagwiritsidwa ntchito.

Izi zikuphatikiza:

1. Anxiolytics. Mankhwala ofala kwambiri: Diazepam, Sibazon, Diazepex. Mankhwala amatha kupezeka mu mtundu uliwonse wa mankhwala, ndi otetezeka. Simalimbikitsidwa kuti agwiritsidwe ntchito ndi anthu omwe ali ndi hypersensitive kwa benzodiazepines, kupuma kwambiri, hepatic insufflication, sleep apnea syndrome, kapena ngati odwala akuda nkhawa za phobias, state obsessive, and psychoses aakulu.
2. Angiotensin-otembenuza enzyme zoletsa. Oimira ena pagululi: Lisinopril (Diroton), Captopril, Vitopril. Mankhwalawa ndi othandiza kwambiri pochiza matenda a tachycardia mwa odwala omwe masheya awo achifundo sanamvepo matenda ashuga, ndipo palibe zodziwikiratu zoonetsa. Amagwiritsidwanso ntchito nthawi zambiri ngati wodwala ali ndi vuto lalikulu la mtima kapena kupunduka kwa mtima chifukwa cha matenda ashuga othana ndi vuto la matenda ashuga, myocardial dystrophy. Mankhwala obwera mwatsopano alibe poizoni, koma amaletsedwa kugwiritsidwa ntchito pa vuto la hypersensitivity ndi cholowa / cholowa cha angioedema.
3. Mankhwala osokoneza bongo omwe ali ndi chidwi chotsitsa. Mankhwalawa tachycardia mu matenda a shuga, Valocordin, omwe amadziwonetsa yekha pakakhala zovuta zamasamba, ndi Phenobarbital, amagwiritsidwa ntchito nthawi zambiri. Njira yotsirizirayi imakhala ndi mphamvu zochepa mu Mlingo wocheperako, chifukwa uyenera kuyang'aniridwa mosamala kwambiri ndipo dosing iyenera kuonedwa.

Phenobarbital iyenera kusiyidwa pang'onopang'ono, popeza pakakhala kusiya kwambiri kwa mankhwalawa, matendawo amayamba. Kusamala makamaka mukamagwiritsa ntchito mankhwala kuyenera kuchitika kwa odwala omwe ali ndi vuto, chifukwa mankhwalawa amayambitsa kukhumudwa, kukhumudwa, ndi chisokonezo, ngakhale pamankhwala ochepa.

Gulu lodzipatula limaphatikizapo mankhwala omwe amagwiritsidwa ntchito popanga hypotension, omwe amayamba ndi kuwonongeka kwa gawo lachisoni la dongosolo lodziyimira payekha mu mitundu yayikulu ya matenda a shuga ndi tachycardia. Zina mwa izo ndi:

1. M-cholinergic blockers (Atropine sulfate, Ipratropium bromide). Mankhwala amasintha atrioventricular conduction, yomwe imathandizira kwambiri odwala omwe ali ndi arrhythmias.
2. Alfa ndi beta adrenoreceptor zolimbikitsa. Mankhwala othandiza kwambiri ndi ephedrine hydrochloride. Zimayambitsa kuwonjezeka kwa kuthamanga kwa magazi chifukwa cha kukondoweza kwa alpha1-adrenergic receptors yomwe ili mkati mwa khoma la chotengera ndikupangitsa kupendekera kwotsirizira.

Chithandizo cha Ephedrine chimatanthawuza kuyang'anira koyenera kwa kuchuluka kwa shuga m'magazi, popeza mankhwalawa amatha kuwonjezera kuchuluka kwake.

Njira zopewera tachycardia mu shuga

Pofuna kupewa kuchitika kwa tachycardia mu matenda a shuga, muyenera:

1. Tsatirani zakudya zamafuta ochepa (zakudya zosavuta, chakudya chokocha ndi zamafuta siziphatikizidwa kwathunthu).
2. Yenderani kuthamanga kwa magazi anu.
3. Pewani zakumwa zamphamvu komanso khofi.
4. Onetsetsani bwino kulemera kwa thupi (lakuthwa kapena pang'ono pang'onopang'ono, koma kuwonjezeka kwakukulu kwa thupi kumakhumudwitsa kuwoneka koyambirira kwa tachycardia kapena diabetesic autonomic neuropathy).
5. Pewani zizolowezi zoipa (mowa, kusuta).
6. Yang'anirani shuga yanu.
7. Khalani ndi moyo wogwira (komabe, muyenera kusamala ndi zochulukirapo).

Ngakhale kuti shuga, komanso zovuta zake, zowonetsedwa ndi tachycardia ndi zizindikiro zina, ndizovuta kuchiza, khalani oleza mtima ndikutsatira chithandizo chamankhwala. Ndipo ngati simukufuna kudziwa za matenda ngati amenewa, yesani kuyeza kuchuluka kwa shuga m'magazi ndikuyendera madokotala panthawi yovutikira.

Palpitations ndi tachycardia

Kugunda kwa mtima ndi tachycardia, mosasamala kanthu za zovuta kapena kutetezedwa kwa zifukwa zomwe zimayambitsa, perekani odwala kwa mphindi zosasangalatsa komanso nkhawa. Ngati mukukumana ndi vuto lofananalo, muyenera kulumikizana ndi a mtima kuti:

1. Dziwani chomwe chimayambitsa kugunda kwa mtima ndi tachycardia.
2. Chotsani zizindikiro zopweteka ndikuyambiranso moyo wakhama.

Kugunda kwa mtima - kumverera kwa kugunda kwamtima kapena kowonjezereka. Nthawi zambiri kuphatikiza tachycardia - kuwonjezeka kwa kugunda kwa mtima kwa oposa 90 pamphindi.

Kugunda kwa mtima ndi chizindikiro chofanizira. Anthu ena nthawi zina amakumana ndimavuto abwinobwino amtima, pomwe ena satha kusokonezeka kwambiri. Chifukwa chake, kumverera komwe kumenyedwa ndi mtima sikuti chizindikiro cha matenda a mtima.

Kulimbitsa ndikuwonjezereka kwa kugunda kwa mtima ndimachitidwe abwinobwino a thupi pochita zolimbitsa thupi, kupsinjika, komwe kumamveka ngati kugunda kwa mtima ndi tachycardia. Kuphatikiza ndi zizindikiro zina kokha kumene kugunda kwamtima kungawonetse zovuta. Zizindikiro zomwe zimayenderana ndi kugunda kwa mtima zimadalira matenda omwe ali chiwonetsero.

Amayambitsa palpitations ndi tachycardia

Palpitations ndi tachycardia amapezeka matenda otsatirawa:

1. Arrhythmias (zam'mtima arrhythmias),
2. Endocarditis myocarditis.
3. Myocardial dystrophy, mtima.
4. Matenda oopsa.
5. Matumbo a mumtima.
6. Anemia
7. Neurosis.
8. Masamba dystonia.
9. Matenda a Endocrine (thyrotooticosis, pheochromocytoma, mkhalidwe wa hypoglycemic mu shuga mellitus).
10. Mikhalidwe.
11. Chimake

Nthawi zina, kugunda kwa mtima kwadzidzidzi kumawopsa munthu, kumapangitsa chisangalalo, motero, kukulitsa kugunda kwa mtima ndi tachycardia. Izi zimapanga bwalo loipa lomwe lingawononge kwambiri moyo.

Nthawi zina, kuphatikiza kwa palpitations ndi tachycardia ndi nkhawa yayikulu, kusinthika kwa michere yowonjezera (kutuluka thukuta, kumva kusowa kwa mpweya, kunjenjemera kwa miyendo, kuwala kwamaso) kumapangitsa wodwalayo kuopa imfa ndi chikhulupiriro chabodza choti ali ndi matenda oopsa, oopsa. Zikatero, kutenga nawo mbali pothandizidwa ndi psychotherapist ndi kothandiza.Chithunzi chojambulidwa cha momwe mtima wam'magazi udzaperekedwera ndi maphunziro monga kuwunika tsiku ndi tsiku Holter wa ECG ndi mayeso a kupsinjika (kukwera pansi, kuyendetsa njinga - ECG yonyamula).

Mtima ndi matenda ashuga

Mitundu yamavuto amtundu wa shuga Amatha kukhala chifukwa cha matenda ashuga omwe, komanso chifukwa cha matenda ena oyamba: matenda a mtima, matenda oopsa komanso zina.

Masinthidwe a phokoso ndi kusokonezeka kwa shuga mu shuga nawonso ndi osiyana kwambiri.

Osati kusokonezeka konse kwa mtima komwe kumafuna chithandizo chamankhwala. Zambiri mwazosokoneza izi kapena zovuta zina zopitilira muyeso zikupitirirabe mwa anthu pamoyo wawo wamtsogolo. Komabe, ena a iwo amatha kupita patsogolo ndikubweretsa zovuta zazikulu, pomwe ena amafunikira chithandizo chamankhwala mwadzidzidzi.

Udindo wofunikira umachitika ndi kuzindikira kwa wodekha njira zamakhalidwe pazosokoneza zosiyanasiyana.

Indedi, sizoyipa zonse za mtima komanso kuvulaza zomwe zimatha kudziwonetsa zokha, ndiye kuti, zimayambitsa zomwe zikugwirizana. Ambiri mwa mavuto awa amatha kuwonekera kokha mwa kuyesa kwa electrocardiographic.

Nthawi yomweyo, mtima wogwiritsa ntchito mtima amatha kudziwonetsa ndi zizindikiro zosiyanasiyana zomwe munthu samayanjana nthawi zonse ndi arrhythmias.

Kuphatikiza apo pamakhala kugunda kwamtima kosagwirizana ndi mtima, komwe kumatchedwa zosokoneza zosokoneza zina mawonetsedwe azachipatala:

• kugunda kwa mtima
• chizungulire
• kukomoka
• mtima wosowa
• Kusinthana kwa nyimbo yamtundu wa kawirikawiri,
• Kumva mtima wakamira
• kumverera kwa chikomokere kapena kutembenukira kumbuyo kwa sternum,
• kupuma movutikira.

Nthawi zina, zosokoneza pamiyeso zimapezeka mukamawerengera zamkati mopanda kugawana ndi zomveka.

Muzochitika zonsezi Chithandizo chamankhwala kwa dokotala ndikofunikira. Kungowunikidwa koyenera komanso kuwonetsetsa zotsatira zake ndi zomwe zingathandize dokotala wanu kusankha njira yabwino yothandizira.

Zizindikiro zingapo, nthawi zambiri mwa achinyamata omwe ali ndi shuga yayitali, atha kukhala chifukwa diabetesic autonomic neuropathy. Uku ndi kuphatikizika kwa matenda ashuga, momwe mitsempha ya mtima imawonongeka chifukwa cha shuga wamkati wamitunda yayitali. Ndi kugonjetsedwa kwa mitsempha iyi komwe kusokonezedwa kwa kayendedwe ka mtima kumalumikizidwa. Zizindikiro za kupweteka kwa matenda ashuga ndi awa:

• sinus tachycardia ngakhale kupumula ndi mtima wokhazikika mpaka 90-100, ndipo nthawi zina kumenyedwa mpaka 130 pamphindi,
• kupezeka kwa mphamvu ya kupumira pamtima (monga kupumira movutikira, kuthamanga kwa mtima wa munthu kumachepa). Izi zikuwonetsa kufooka kwa ntchito ya mitsempha ya parasympathetic, yomwe imachepetsa kugunda kwa mtima.

Izi zimafunika kuchita kafukufuku wapadera ndi magwiridwe antchito owunika kuti azindikire momwe mankhwalawo amayendera mumtima ndi kugwiritsa ntchito mankhwala omwe amaletsa kupitilira kwa neuropathy komanso kuchepetsa mphamvu ya mtima wamanjenje.

Dongosolo lamanjenje la autonomic, lomwe limakhala ndi zomvera chisoni komanso parasympathetic, limayang'anira zochitika pamtima.

Mitsempha ya Parasympathetic - muchepetse kugunda kwa mtima.

Mitsempha yachifundo - onjezerani ndikuthamanga kugunda kwa mtima.

Mu shuga mellitus, mitsempha ya parasympathetic imakhudzidwa makamaka, motero, kugunda kwa mtima kumapitilira. Kusintha kwina kumachitika mu gawo lazomvera la dongosolo la Autonomic mantha.

Kugonjetsedwa kwa ulusi wamitsempha ya chidwi kumabweretsa osati tachycardia, komanso atypical maphunziro a matenda a mtima mwa odwalawa. Pali kusiyanasiyana kwa njira ya matenda a ischemic ndi kufooka kowawa, mpaka pakumapanda kupweteka (ischemia yopweteka), ndipo ngakhale myocardial infarction imapeza njira yopweteka. Chizindikiro ichi cha kuwonongeka kwa matenda ashuga ndichowopsa chifukwa chimapereka chithunzithunzi chokhala bwino.

Chifukwa chake ndi mawonekedwe a tachycardia yokhazikika mu matenda a shuga, muyenera kufunsa dokotala kwa kupewa panthawi ya matenda a shuga a mtima matenda a mtima.

Pambuyo pake matendawa ndi matenda a shuga komanso matenda ashuga odziyimira pakhungu, kusintha kwamankhwala amanjenje kumachitika. Kusintha kumeneku kumadziwika ndi zizindikiro za orthostatic hypotension - chizungulire, khungu m'maso, kuthinana kwa "ntchentche". Izi zimadzuka ndikusintha kowopsa kwamphamvu thupi, mwachitsanzo, podzuka modzidzimutsa. Amatha kuchitika pawokha kapena kutsogolera pakufunika koyamba kukhala ndi thupi.

Kumbali inayi, mawonetseredwe ofanana azachipatala, mpaka kutaya chikumbumtima, amatha kuchitika ndi mawonekedwe ofooka a sinus, atrioventricular block, kusokonezeka kwa phokoso la paroxysmal. Katswiri wodziwa ntchito yekha ndi amene angadziwe zomwe zimayambitsa matenda, nthawi zina amafunika njira zothanirana mwachangu komanso zochizira.

Kuwoneka kwa chizungulire, kusadetsa khungu m'maso, kukomoka kumafuna chisamaliro chamankhwala.

Tiyenera kudziwa kuti mtima wamitsempha m'mitsempha ya shuga ndi wowopsa pazifukwa zina. Kuphatikizika kwa shuga kumeneku kumawonjezera chiopsezo cha kufa mwadzidzidzi ndi kumangidwa kwa mtima nthawi yayitali pakumwa mankhwala. Chifukwa chake, kupewa kwa neuropathy ndikutetezanso izi.

China chomwe chimayambitsa kusokonezeka kwa mtima mu shuga diabetesic myocardial dystrophy. Amayamba chifukwa cha kusowa kwa metabolic komwe kumachitika chifukwa cha kuchepa kwa insulin komanso kuchepa kwa glucose kudzera mu membrane wa cell kulowa m'maselo a minofu ya mtima. Zotsatira zake, ndalama zambiri zomwe zimagwiritsidwa ntchito pakupanga minofu ya mtima ndi chifukwa chakugwiritsa ntchito mafuta aulere acids. Pankhaniyi, kudzikundikira kwamafuta amchere am'magazi mu cell kumachitika, komwe kumakhala koyipa kwambiri pamene matenda a mtima agwirizana ndi matenda ashuga. Zotsatira zake, myocardial dystrophy imatha kuyambitsa kusokonezeka kwakumapeto kwa phokoso (extrasystole, parasystole), kusokonezeka kwa msambo, fibrillation ya atria, ndi zina zambiri. Komabe, mawonekedwe a kusokonezeka kwamtunduwu amafunikira njira yosiyanasiyana yosiyanasiyana poyerekeza ndi matenda a shuga.

Matenda a shuga a shuga a shuga imakhudzanso ziwiya zing'onozing'ono zomwe zimadyetsa minofu ya mtima. Ikhozanso kukhala chifukwa cha mndandanda wamtima. Popewa, komanso kupewa neuropathy ndi matenda ashuga a myocardial dystrophy, choyambirira, kubwezeretsedwa kwakukulu kwa matenda ashuga kumafunika.

Chokhwima kulipira shuga amathandiza kupewa zovuta matendawa, kuphatikizapo matenda ashuga a mtima, matenda ashuga a myocardial dystrophy ndi microangiopathy.

Shuga wamagazi sayenera kupitirira:

• 5.5-6 mmol / L pamimba yopanda kanthu ndipo
• 7.5-8 mmol / l maola 2 mutatha kudya.

Inde, choyambitsa chachikulu cha kusokonezeka kwa mtima m'matenda a shuga ndi matenda amtima wapamtima, omwe mungasokonezedwe ndi mafunde awa.

Chifukwa chake, titha kunena kuti kusokonezeka kwa nthito ya mtima kumatha kukhala ndi mawonekedwe osiyanasiyana azachipatala, omwe nthawi zambiri sawunikira moyenera ndi wodwala iye mwini. Kuphatikiza apo, kusokonezeka kwa miyambo kumatha kukhala ndi zifukwa zosiyanasiyana. Chifukwa chake, chithandizo chodziyimira payekha cha mtima sichovomerezeka. Simuyenera kumvera malangizo a anzanu kapena odwala ena omwe adathandizidwapo kale ndi mankhwala. Mankhwalawa sangakuthandizireni, komanso kukulitsa matendawa. Ngakhale pali nkhokwe yayikulu ya mankhwala osokoneza bongo a antiarrhythmic, sitimayankhula mwadala za iwo ndipo sitipereka malingaliro aliwonse a mankhwalawa. Ndi dokotala wokhazikika pazochitika zonse atapima mayeso oyenerera omwe angakhazikitse mawonekedwe ndi zomwe zimayambitsa kusokonezeka kwa mtima, ndipo ndi madokotala okha omwe angapereke malangizo othandizira antiarrhythmic mankhwala.

Tiyenera kukumbukira kuti matenda a mtima nthawi zambiri amakhala ndi matenda ashuga. Chifukwa chake, wodwala aliyense yemwe ali ndi matenda ashuga, ndiye ngati alibe zizindikiro zochokera mu mtima, amayenera kuwunikidwa nthawi ndi nthawi ndi mtima. Ngati mukukumana ndi zilizonse zomwe zalembedwa m'nkhaniyi, muyenera kulumikizana osati ndi endocrinologist, komanso a mtima.

Endocrinology: matenda, zizindikiro, matenda, mankhwala, zambiri

Zowonongeka pamtima m'matenda a shuga: zimayambitsa ndi zizindikiro.

Mu shuga mellitus, motsutsana ndi kuwonjezereka kwa shuga wamagazi (matenda oopsa a hyperglycemia), masinthidwe angapo oyipa amachitika mu zotumphukira zamitsempha yamagazi.

Mu shuga mellitus, motsutsana ndi kuwonjezereka kwa shuga wamagazi (matenda oopsa a hyperglycemia), masinthidwe angapo oyipa amachitika mu zotumphukira zamitsempha yamagazi. Mtima "umvera" malamulo olakwika ndikuyamba kugwira ntchito mosinthana. Kuwonongeka kwa mtima mu shuga kumachitika chifukwa cha kusokonezeka kwakukulu kwa metabolic m'misempha ya mtima ndi kayendetsedwe kake.

Mtima mawonekedwe diabetesic autonomic neuropathy imadziwonetsera yokha mwa mawonekedwe otsatirawa: pali kugunda kwamtima (sinus tachycardia kupuma), kusokonezeka (kusinthasintha kwa mtima), kulowetsedwa kwa myocardial kumatha kuchitika mwa mawonekedwe osapweteka, kukwera koopsa kumatsitsa kuthamanga kwa magazi (orthostatic arterial hypotension), kupweteka kochepa madera a mtima (Cardialgia). Tipenda mwatsatanetsatane zizindikiro zamatenda zamtunduwu.

Mtima palpitations (sinus tachycardia) limachitika kawirikawiri ngati munthu ali ndi mantha kapena akachita masewera olimbitsa thupi. Muzochitika izi, kugunda kwamphamvu kwa mtima kumafunika kuti ziwalo ndi minofu ikhale ndi mpweya komanso michere. Koma ndi nthawi yayitali komanso / kapena matenda a shuga owonjezera, mtima umakakamizidwa, pazifukwa zosiyanasiyana, kugwira ntchito mwadzidzidzi usana ndi usiku. Nthawi zambiri, kugunda kwa mtima ndi 60 - 70 kumenyedwa pamphindi, i.e. sekondi iliyonse, mtima umagwira, ndipo ndi sinus tachycardia imagwira ntchito kangapo kapena kawiri - kugunda kwa mtima nthawi zina kumakhala kumenyedwa pafupifupi 120 kapena kupitilira mphindi imodzi. Ngakhale usiku, pamene ziwalo zonse ndi minofu ikupuma, ntchito ya mtima imapitilira muyeso womwewo. Ngati pali vuto la matenda ashuga, mtima sutha kuwonjezera kuchuluka kwa ma contract, kotero kuti ziwalo ndi minofu yomwe ikukhudzidwa ndi ntchito yayikulu imalandira mpweya ndi michere mowonjezera.

Kusintha kwa mtima

Ndi mtima mawonekedwe a matenda ashuga autonomic neuropathy, arrhythmia imatha kuwonedwa, yomwe imayambika chifukwa cha kusinthasintha kwa mphamvu ya zotumphukira zamitsempha yamagazi - chifukwa imayendetsedwa makamaka ndi dongosolo lamanjenje.

Kupanda magazi kopanda kanthu

Chiwalo chilichonse, ngati "nchabwino kwa iye," chimapatsa eni ake chizindikiro "SOS" mu ululu. Zowawa zikuwonetsa kuti china chake chidachitika kwa limba ndipo thandizo lofunikira likufunika. Myocardial infaration ndi vuto lalikulu kwa mtima; sikuti mwangozi kuti amatchedwa ngozi yam'mimba. Ndi infrction ya myocardial, imodzi mwazidziwitso zofunikira kwambiri zomwe zimathandiza dokotala kuti azindikire molondola komanso moyenera kuyamba kwa chithandizo. Zimachitika pang'onopang'ono (ngakhale pogona tulo), komanso nthawi yolimbitsa thupi. Zowawa zimakhazikika msanga ndipo zimatha mphindi 30 kapena kupitirira. Ndi diabetesic autonomic neuropathy, kupweteka sikuchitika, chifukwa chake, munthu amakhala ndi moyo womwewo: amachita bwino, ndipo nthawi zina amakhala wolimbitsa thupi, amakhala wamanjenje, amasangalala. Nthawi yomweyo, mtima umakhala ndi mavuto akulu omwe ndi owopsa, chifukwa zitha kutha mwadzidzidzi.

Orthostatic ochepa ochepa hypotension - hypotension (kutsitsa magazi). Thupi laumunthu limapangidwa moyenera kwambiri pamene ziwalo ndi machitidwe zimayesetsa kulipiritsa kapena kuthana nazo chifukwa cha "kulumala kwakanthawi" kwa odwala. Izi zikuwonetsedwa bwino ndi orthostatic, i.e. Kusintha kwakuthwa kwamphamvu pamthupi (kusintha kuchokera ku "kunama" kukhala pamzere). Pakadali pano, mitsempha yamagazi ndi yopapatiza, yomwe ikanathandiza kuchepa kwa magazi. Koma nthawi yomweyo, zochitika za apadera - achifundo - gawo lamanjenje limawonjezeka ndipo kuthamanga kwa magazi sikuchepa. Tsoka ilo, chifukwa cha matenda osokoneza bongo omwe amakhala osavomerezeka kwa nthawi yayitali, zochitika za gawo ili la mantha zimatsekedwa.

Kodi hypotension ya orthostatic imawonetsedwa bwanji?

Zizindikiro zake ndi kufooka, kukomoka, chizungulire. Izi zimatchulidwa makamaka ndikusintha kwachangu kuchokera kuzungulira kupita patali. Nthawi zina, orthostatic hypotension imatsatana ndi mutu wotalikirapo komanso kuchepa kwakukulu kwa ntchito m'mawa. Kukula kwa mutu kumachepa pambuyo posunthira pamalo opingasa, nthawi zambiri kumabweretsa mpumulo pamalo omwe amakakamizidwa mutu umakhala pansi pa torso kapena pamlingo wake (odwala ambiri sagwiritsa ntchito pilo).

Kugwiritsa ntchito mankhwala munthawi yochizira matenda am'mutu (analgesics - analgin, spazgan, paracetamol, etc.) sikuthandiza.

Pankhani imeneyi, kuphatikiza pa mankhwala, malamulo ena ochenjeza ayenera kusamalidwa:

- pewani kusintha kwamwadzidzidzi pamthupi,

- kuti uchoke pakama, uyenera kukhala kwa mphindi zochepa ndikupumira kwambiri,

- podzuka pakama, imani chilili pafupi naye kwa masekondi angapo,

- tengani mankhwala okodzetsa ndi mankhwala a antihypertensive mosamala (makamaka "awiri m'modzi",

Zomwe zili ndi zotsutsa komanso zotsikiritsa),

- kudzuka pampando, mpando nawonso sufunika kuthamanga.

Ndimayeso otani omwe amalimbikitsidwa?

1. Zachidziwikire, choyambirira, kufunsira kwa katswiri wamatsenga ndi mtima.

2. Kufunsa - kugwiritsa ntchito mafunso apadera kumakupatsani mwayi kuti mumvetsetse ndi kuzindikira

Zizindikiro zazikulu za neuropathy.

3. Ndikofunikira kwambiri kupanga ECG: ndi phunziroli, mutha kuzindikira kapena kukayikira osapweteka

myocardial infarction kapena mtima arrhythmias (sinus tachycardia ndi / kapena arrhythmia).

4. ECHO cardiogram imakupatsani mwayi wowunika magawo angapo ofunikira

5. Kuchita mayeso apadera - mayeso ogwiritsa ntchito adrenoblockers, kuyesa ndi insulin, kuyesedwa kochita masewera olimbitsa thupi.

Mayesowa amatilola kuti tiwunikenso gawo la autonomic mantha system pokonzanso homeostasis.

6. Phunziro la electroneuromyographic. Njirayi imaphatikizaponso njira zingapo zodziyimira zokha zopezeka ndi mtundu wina wodwala matenda ashuga.

7. Kuchita mayesero amtima - kupuma kwambiri, kuyesa kwa orthostatic (kuyesa kwa Shelong), kuyesa kwa Valsalva, ndi zina zambiri.

Kodi akuyenera kuchita chiyani kuti mtima wodwala matenda ashuga asamalire kwambiri aoneke mochedwa momwe angathere komanso ndi chithandizo chiti chayikidwa?

1. Choyamba, ndikofunikira kukwaniritsa chindapusa cha matenda ashuga.

2. Kudziyang'anira pawokha nthawi zonse ndikofunikira.

3.Ubale wokhazikika ndi dokotala, yemwe amathandizidwa ndi matenda a shuga.

Mu zida zamankhwala amakono, pali mankhwala angapo omwe amagwiritsidwa ntchito pochiza matenda a shuga. Izi zimaphatikizapo ma antioxidants, alpha reductase inhibitors, vasodilators, antiplatelet agents, anticoagulants, lipoic acid kukonzekera, ndi zina zina. Ndi dokotala wokhazokha yemwe angasankhe mankhwala ndikuwonetsa njira ya mankhwalawa - osadziletsa!