ʻO ke kumu nui o ka make i ka maʻi diabetes ma ka naʻau a me ka maʻi vascular. Noho ʻia lākou ma kahi o 82%, a i waena o lākou ka hapa nui loa o ka infarction myocardial.
ʻO ke ʻano o ka hōʻeha ʻana o ka naʻau ma nā mea maʻi me ka maʻi maʻi ʻoi aku ka ʻeha, ʻo ka hoʻomohala ʻana o ka hana hōʻeha puʻuwai, hopu ʻia, hopu ʻia a me ka ʻoka o ka puʻuwai.
Ma kēia hihia, ua loaʻa ka hilinaʻi o ka hōʻino o ka hōʻino i nā lāʻau coronary i ka maʻi maʻi ma ka maʻi maʻi i hoihoi ʻia a me ke ʻano o ka hōʻino ʻana o ka momona metabolism.
Nā kumu o ka naʻau a me ka vascular e hōʻeha i nā mea maʻi me ka maʻi maʻi
Hoʻonui ka predisposition i ka maʻi puʻuwai i nā mea maʻi me ka maʻi maʻi, a ma nā hui me ka hoʻomanawanui i ka pale kino kalepa, ʻo ia hoʻi, me ka prediabetes. Hoʻopili ʻia kēia ʻano hoʻohālikelike me ka hana o ka insulin i ka momona metabolism. No ka hoʻonui ʻana i ka glucose o ke koko, ka hemahema o ka insulin e hoʻōla i ka lipolysis a me ka hoʻokumu ʻana o nā kino ketone.
I ka manawa like, ʻo ka nui o ka triglycerides i ke koko ke hoʻonui, ke hoʻonui nei o ka nui o nā momona momona i loko o ke koko. ʻO ke kumu ʻelua ka hoʻonui ʻana i ka coagulation koko, ke hoʻokumu ʻana o nā māka koko i loko o nā moku. Hoʻonui ka nui o ka glucose i ka hoʻokumu ʻana o nā protein glycosylated, ʻo kona pilina me ka hemoglobin e hoʻonāukiuki ana i ka hāʻawi ʻana o oxygen i nā ʻili, nā mea e hoʻonui ai i ka hypoxia.
Ma ka maʻi type 2, ʻoiai ke hoʻonui i ka nui o ka insulin i loko o ke koko a me ka hyperglycemia, hoʻonui ka hoʻokuʻu ʻana o nā antagonist insulin. ʻO kekahi o lākou kekahi somatotropin. Hoʻonui ia i ka māhele o nā pūnaʻi ʻōwili o vascular a me ka komo ʻana o nā lem i loko o lākou.
Ke holomua nei ʻo Atherosclerosis me nā ʻano like;
- Nā ʻilima
- He maʻi haole.
- Laula.
ʻO ke kūmua o ka protein i ka urine kahi hōʻailona prognostic maikaʻi ʻole no ka hoʻoulu ʻana i ka puʻuwai me ka maʻi maʻi.
Hoʻokomo ʻia i ka maʻi laʻala ʻole i ka wā maʻi Diabetic
ʻO Myocardial infarction i ka maʻi diabetes he mau hiʻohiʻona o nā hōʻike lapaʻau. Hoʻoulu ia me kahi papa lōʻihi o ka maʻi mellitus o ka maʻi mellitus, a i ʻole ʻike ʻia ʻole o ka hōʻike ʻana o ka maʻi naʻau coronary (CHD). Kahi ʻia kēlā mau palu kaumaha ʻole ʻia i loko o kahi puʻuwai "huna", asymptomatic heart attack me ka maʻi diabetes.
ʻO nā kumu kumu paha o kēia papa, ʻo ka hoʻomalaha ʻana o nā leʻaleʻa vascular i nā capillaries liʻiliʻi i loko o ka paia puʻuwai, ke alakaʻi nei i ke kahe o ke koko a me ke ʻano o ka ischemia a me ka pono myocardial. Hoʻopau nā kaʻina dystrophic i ka hoʻouluʻana o nā ʻeha hōʻeha o ka naʻau puʻuwai.
Hoʻopili ka lesion like o nā capillaries liʻiliʻi i ka hoʻomohala ʻana o ka collateral (bypass) i ke kahe o ke koko, ka mea e hoʻopiʻi i ka hoʻoulu ʻana i ka puʻuwai puʻuwai, aneurysm a me ka hakahaka o ka naʻau.
Ma ka maʻi mellitus a me myocardial infarction, ʻo ia hoʻi kahi ʻano ʻeha e alakaʻi i kahi hopena i hala, e hoʻonui ana i ka make o ka make ma ka maʻi. Penei ka pilikia o ka nui o ka hoʻouka ʻana ma ka naʻau, a me ke kahe koko nui.
ʻO nā kumu a me ke kumu piliona a me ke kanesa ka mea like me kēlā me kēia.
- Ka lanakila o nā moku liʻiliʻi ma loko o ka puʻuwai naʻau.
- Hoʻololi i ka hiki a coagulation hiki a me ka makemake i ka thrombosis.
- ʻO ke ʻano wikiwiki.
Ma ka papa inoa o ka maʻi diabetes, he overdose o ka insulin, a me ka hypoglycemia i pili ai, e hoʻowalewale i ka hoʻokuʻu ʻana o catecholamines i loko o ke koko mai nā sela adrenal.
Ma lalo o kā lākou hana, he spasmodic nā moku, e hoʻonui ʻia ana ka puʻuwai.
ʻO nā mea pilikia no ka hōʻeha ʻana o ka naʻau i nā hoʻopiʻi i ka maʻi diabetes
Me ka maʻi puʻuwai coronary, ʻo ia hoʻi ma hope o ka hōʻeha ʻana o ka puʻuwai, me ka maʻi diabetes, congestive heart failed, he lesi maʻamau o nā moku kīʻaha, e holomua me ka wikiwiki. ʻO ka heleʻana o ka maʻi maʻi paʻakikī ka hana i ka hana vpass bypass No laila, pono e nā mea maʻi me ka maʻi diabetes e hoʻomaka i ka mālama ʻana i nā maʻi o ka naʻau ma ka hiki ke hiki.
A ʻo ka hoʻolālā hoʻokolohua no nā mea maʻi e pono ke komo i nā hoʻāʻo ʻana i ka wā i ka ECG, ka nānā ʻana i ka ritika a me ka lawe ʻana o ECG i ka lā Hoʻomaopopo loa kēia i ka ulaula concomitant, ʻōpū o ka ʻōpū o ka ʻōpū, ka hypertension arterial, nui aʻe o ka triglycerides i ke koko, a hoʻemi ʻia nā lipoproteins kiʻekiʻe.
I ka hoʻomakaʻana o ka infarction myocardial, me ka maʻi mellitus maʻi, nui ka predisposition hoʻoilina. No laila, aia ka mea i loaʻa i ka maʻi maʻi maʻi e loaʻa i nā ʻohana pili i loaʻa iā myocardial infarction, ka paʻa ʻole o ka angina, a me nā mea ʻē aʻe o ka maʻi puʻukui coronary, ʻike ʻia ʻo ia i ka piʻi nui ʻana o nā pōʻino vascular.
Eia kekahi, ʻo nā mea hou aʻe e hāʻawi nei i ka papa nui o nā maʻi naʻau ma ka poʻe maʻi me ka maʻi maʻi:
- Angiopathy aripoli peripheral, endarteritis obliterans, vasculitis.
- Retinopathy Diabetic
- ʻO ka nephropathy Diabetic me ka albuminuria.
- Nā Huʻi Coagulation
- ʻO ka dyslipidemia
Ke mālama nei i ka infarction myocardial me ka maʻi diabetes
ʻO ka mea koʻikoʻi e hoʻoholo i ka prognosis o ka hōʻeha ʻana i ka puʻuwai ma nā mea maʻi me ka maʻi mellitus o ke kau ʻana o nā pahuhopu glycemic. I ka manawa like, hoʻāʻo lākou e mālama i ke koena o ka puna mai 5 a 7.8 mmol / L, ʻae lākou i ka hoʻonui i ka 10. ʻO ka emi ʻana ma lalo o 4 a i ʻole 5 mmol / L i ʻole.
Hōʻike ʻia nā mea maʻi i ka insulin insulin ʻaʻole wale nō no ka type 1 diabetes mellitus, akā mau nō ka hyperglycemia mau loa ma luna o 10 mmol / l, nā meaʻai makua, a me nā kūlana koʻikoʻi. Inā loaʻa nā maʻi maʻi i nā maʻi pill, no ka laʻana, ua lawe lākou iā Metformin, a loaʻa iā lākou nā hōʻailona o ka arrhythmia, hōʻeha ka naʻau, pectoris angina nui, a laila e hoʻohuli ʻia lākou i ka insulin.
Hoʻokele ʻia ka hana pōkole hana pōkole me ka hoʻomehana i loko o kahi pāheʻe i kūlike me ka 5% glucose. Hoʻonohonoho ʻia nā pae gula ma kēlā me kēia hola. Inā ʻike ka mea maʻi, a laila hiki iā ia ke ʻai i ka meaʻai ma ke kua o ka hoʻomehana ʻo insulin.
ʻO ka lawe ʻana i nā lāʻau lapaʻau e hōʻemi i ke kōpaʻa i ka hihia o ka myocardial infarction mai ka sulfanylurea a i ʻole ka hui pālolo a hiki wale paha me ka wehe ʻana i nā hōʻailona o ka maʻi coronary insufficiency. ʻO kahi lāʻau lapaʻau e like me Metformin, me ka hoʻohana pinepine, hōʻemi i ka hopena o ka hoʻomohala ʻana i ka myocardial infarction a me ka maʻi naʻau coronary, i pāpā ʻia i ka wā kūlohelohe.
ʻAʻole e ʻae ʻo Metformin i ka mālama wikiwiki o ka glycemia, a me kona alakaʻi i nā kūlana o ka maʻi hānai e alakaʻi i ka nui o ka uluʻana o ka acidact lactic.
Hoʻopilikia pū kekahi ʻo Metformin i ka hopena lōʻihi o ka hopena neʻe ʻana no ka maʻi myocardial.
I ka manawa like, ua loaʻa ka hōʻike hōʻike ma hope o ka wehe ʻana o ka vascular bypass, ʻo ka lāʻau metformin 850 e hoʻomaikaʻi i ka hemodynamics a e hoʻolōʻihi ana i ka wā o ka hoʻihoʻi ʻana ma hope o ka hana.
ʻO nā kuhikuhi nui o ka mālamaʻana no ka infarction myocardial:
- Mālama i ke kō koko koko maʻamau.
- ʻO ka hoʻohaʻahaʻa a me ka mālama ʻana i ke koko i ke kiʻekiʻe o ka 130/80 mm Hg
- ʻO ka hoʻohaʻahaʻa ʻana i ke kolamu koko.
- Nā koko hoʻonaninani anticoagulants
- Hoʻomākaukau naʻau no ka mālama ʻana i ka maʻi naʻau coronary
Maʻaʻai ma hope o ka hōʻeha ʻana o ka naʻau ma nā mea maʻi me ka maʻi maʻi
ʻO nā meaʻai ma hope o ka hōʻeha ʻana o ka naʻau me ka maʻi maʻi maʻi hilinaʻi i ka manawa o ka maʻi. I ka hebedoma mua ma hope o ka hoʻomohala ʻana i ka myocardial infarction, hoʻolaʻa pinepine ʻia nā pāʻina me ka masin huʻu i hoʻōla ʻia, nā lau kanu i ʻole, koe wale nō no nā ʻuala, cereals, koe wale nō me semolina a me ka laiki. ʻAʻole hiki ke hoʻohana ʻia ka paʻakai.
ʻAi ʻia ka ʻiʻo iʻa ʻili a iʻa ʻole me nā iʻa ʻole i ʻawa ʻia, ʻoi aku ka maikaʻi o ke ʻano hiʻi a ʻūlū. Hiki iā 'oe ke' ai i ka pīkī aiʻai, ka pahu uapoa a me nā mea inu momona waiū. E kāʻae ʻia, ka ʻaʻa, nā huahana kalai, kīwī, kofe a me nā keke, ʻāpono ikaika.
I ka lua o ka pule, hiki iā ʻoe ke hāʻawi i ka ʻai i ʻole i ʻoki ʻia, akā mau mea paʻa no ka hoʻohana ʻana i ka paʻakai, ka ʻono, ka aniani, ka pā a me nā mea momona a koe. ʻAi ʻia ka iʻa a me ka iʻa ʻai ʻole ke ʻai aku ma mua o hoʻokahi lā, a pāpā ʻia ʻo Navar. Hiki iā ʻoe ke kuke i ka wai ʻaihā a me nā cassaloles cereal, cauliflower mashed, zucchini, kāloti.
Hoʻomaka ka kolu o ka papa ʻalani i ka malama, a ʻo ka ʻai no ka hōʻeha ʻana i ka puʻuwai ma loko o kēia manawa he hoʻohaʻahaʻa ka calorie, ua kaupalena ʻia ka wai i loko o ka lita i kēlā me kēia lā, a ʻo ka paʻakai ka nui o nā pipi he 3 i kikoo ʻia. kāpeti, ʻala, nā lentil.
ʻO nā kumu koʻikoʻi o ka meaʻai ma hope o ka puʻuwai pu:
- Hoʻemi i ka helu calorie.
- ʻAno i nā meaʻai me ka kolamu: nā momona momona, ka hoʻalima, ka momona, nā momona holoholona, ka pata, ka ʻona kulala, ʻona momona.
- E haʻalele i nā kalapona maʻalahi: ke kō, nā palapula, confectionery.
- E hōʻole i ka koko, kofe, mea ʻala. Hoʻohālikelike i ke kīpoki a me nā tihi.
- Hoʻemi i ka wai a me ka paʻakai.
- ʻAʻole hiki iā ʻoe ke pālua i ka meaʻai.
ʻO ka meaʻai a nā mea maʻi e loaʻa i nā aila ʻaila, nā mea kanu ʻē aʻe ma mua o ka ʻuala, ka ʻuala palaoa a pau, nā hua i hoʻopaʻa ʻia, a me nā hua. ʻOi aku ka maikaʻi ma ka hoʻopaʻa ʻana i ka ʻai i ka manawa 1 i ka lā 3-4 mau manawa i ka hebedoma. ʻO ka iʻa momona haʻahaʻa, ʻaʻa kīkī, kefir, ka yogurt, ka waiū i hoʻomoʻi ʻia a me ka ʻākala me ka hoʻohui ʻole ʻia i ʻōlelo ʻia me ke kumu o ka protein. Hiki iā ʻoe ke kuke i ka omelet 1 ka manawa i ka lā.
Hoʻomaopopo ʻia e hoʻopau i nā mea kanu like me ka mea e like me ka mea i loko o nā lapalapa me nā aila ʻona a me nā mea kanu, ua hoʻomākaukau ʻia nā kīʻaha mua ma nā ʻano o nā mea kūleʻa vegetarian. Hiki ke kuke ʻia ke Garnish me ka palaoa a me ka casserole.
E hoʻowalewale i ka ʻono o nā pāʻai, nā lemona a me nā wai melemele, ua hoʻohana ʻia ka pāmaele apple cider. E hoʻonui i nā ʻike fiber i ka meaʻai, pono ʻoe e hoʻohana i ka bran ma kahi mea hoʻohui i ka cereals, ke kīwī a me nā inu waiū.
Pono e hahai i nā loina a pau i kaʻai ʻana i ka maʻi diabetes, me ka hoʻopoina ʻana i ka hoʻemi ʻana o ka paina o nā ʻano holoholona a me ka ʻai. Hoʻomaopopo ʻia e hoʻemi i ka paona i ka wā e hoʻonui ai, no ka mea e hoʻopilikia pono kēia i ka papa o ka maʻi diabetes a me ka maʻi coronary.
I ke wikiō ma kēia ʻatikala, hoʻomau mākou e pālahalaha aku i ke kumuhana o ka hoʻoulu ʻia ʻana ma ka maʻi diabetes.
