ʻAʻole i nā manawa i hala aku nei, ua manaʻoʻiʻo ʻia ka maʻi maʻamau me ka mea maʻi ma ka maʻi diabetes e loaʻa pinepine i ka maʻi o ka maʻi naʻau coronary, akā i kēia lā ke ʻōlelo nei nā cardiologists ke loli nei ke kiʻi o ka maʻi maʻi.
ʻO nā maʻi o ka pūnaehana cardiovascular he mea hoʻoholo i ka wā e wānana i ka manaʻolana ʻana i ke ola o nā kānaka me ka maʻi maʻi. Wahi a nā helu helu i haʻi ʻia e nā kānaka ʻepekema Kelemania, he keu ka nui o ka nui o ka hoʻomake ʻana o nā maʻi like ʻole o ka poʻe maʻi me ka maʻi diabetes. Eia nō naʻe, ua like nā ala maʻi vascular e loaʻa ana i nā maʻi me ka maʻi type a me nā type 2.
Ma kahi o nā helu iʻike ʻia i luna aʻe nei, aia kahi kihi koʻikoʻi e haʻi aku nei ʻo Professor Diethelm Chöpe o ke Cardio-Diabetology Center o ke Kulanui o Ruhr ma Bochum (Kelemānia) e noʻonoʻo ai. Ma kāna hōʻike i ka German Diabetes Society, ke hoʻomanaʻo nei ʻo ia inā ʻo ka hemoglobin glycated i hoʻoponopono pololei ʻia, hiki ke hoʻomau ka piʻi nui ʻana. No laila, kauoha mākou e hoʻolohe ʻoe i ka manaʻo o ko mākou loea, ka mea nāna i kūkulu i kahi papa hoʻohālikelike o nā kipa i nā loea, pono e hahai koke ʻia ma hope o ka maʻi o ka maʻi mellitus.
ʻO ke kumu no ka piʻi nui o nā maʻi cardiological ma nā maʻi me ka maʻi maʻi ʻoi kahi ʻoi kino o ka hana ʻana o ka naʻau. ʻO kēia hoʻololi e pili ana i ka nānāʻoleʻana i ka nui o ka pono o ke kino a me kahi lako o ka lako. ʻO ia ka mea e hopohopo i ka puʻuwai, no ka laʻana, i ka maʻi naʻau coronary (CHD). Eia naʻe, ʻaʻole ia he mea kue wale nō i ka hāʻawi o ke koko i ka myocardium. I kēia mau lā, hiki i ka naʻau o ka naʻau a me nā fibrillation atrial, e hoʻonui ai i ka hōʻeha o ka moku, hele i ka mua. Hoʻopili nā ʻōnaehana pathophysiological i ka hopena o ka make puʻuwai ulu koke.
ʻO nā ʻāpana kūʻino
Ua wehewehe ʻo Profesor Chope i nā ʻano kaona o kēia ʻaumana:
- pili nele o ka ikehu ikaika,
- ka hōʻemi ʻana o nā metabolite hoʻoikaika a me nā loli hoʻololi.
- neuropathy autonomic,
- palena hemodinamika.
ʻOiaʻiʻo, me ka hyperglycemia, he nui ka pehu o ka substrate (e hoʻomanaʻo, ʻo ke kumu nui a me ke kūlohelohe o myocardiocytes he kūmole momona a me nā momona momona, mālama lākou i ka 70% o ka ikehu o ka ikehu. ) Akā naʻe, ʻaʻole hiki ke hoʻohana ʻia e ka puʻuwai.
Aia pū kekahi a hōʻuluʻulu ka hua o nā lipid a me nā glucose, e hoʻonāukiuki i ke kūlana ikaika o ka naʻau. Hōʻalo nā ʻōnaehana maʻi i ka fibrotic hoʻoponopono hou me nā loli i ka protein, ka hōʻiliʻili ʻana o nā hua-o nā huahana o ka glycolysis, ka halihali o ka halihali o ka substrate a me ka hoʻohana ʻana i nā maʻi.
ʻO ka Coronarosclerosis (hoʻopōʻino i ka nā coronary arteri o ka puʻuwai) alakaʻi i kahi nele oxygen pili, e hoʻonui ana i ka ikaika o ka ikehu. Hoʻololi ka ʻōnaehana o ka autonomic pūnao o ka puʻuwai, ʻo nā hopena o kēia mau hōʻino he hanana ʻoi aku ka palaualelo a me kahi hoʻololi i ka ʻike ʻana o nā cardiosymptoms. A ma hope loa, he hoʻololi i ke ʻano o ka puʻuwai e hōʻemi i kāna mau hemodynamic (ke kamaʻilio nei mākou e pili ana i ke kaomi ana i ka ʻōnaehana cardiovascular, kahe wikiwiki o ke koko, ka mana o ke kaohi ʻana o ka ventricle hema, a pēlā aku).
Inā hele i kaʻili o ka glucose, hiki iā lākou ke hana i nā kiʻina koko a hopena i ka hōʻeha ʻana i ka puʻuwai. "ʻO ka hui pū me ka microangiopathy kūloko e wehewehe i ka maikaʻi o ka mālama ʻia ʻana o ka mahele ischemic o ka myocardium," i ʻōlelo aku ai ʻo Chardiologie.org iā Chope. I nā huaʻōlelo, ʻo ka prognosis o kahi maʻi me ka maʻi maʻi me ka puʻuwai puʻuwai e ʻoi aku ka ʻino ma mua o ka maʻi o ka poʻe maʻi ʻē aʻe.
He paʻakikī loa ke kūlana inā loaʻa ʻole i kahi puʻuwai naʻau: a ma ka 80 pakeneka o kēia mau mea maʻi i hala i ka paepae o ka lā 65 a make ma loko o ʻekolu mau makahiki.
Inā ʻoi ka haʻahaʻa o ka ejection o ka ventricle hema ma lalo o 35%, aia nui ka make nui o ka make wikiwiki ʻana mai ka hopu ʻana ma ka maʻi maʻi - ma nā mea maʻi me ka maʻi maʻi ʻoi aʻe ke kiʻekiʻe ma mua o nā maʻi me kēia maʻi ʻole, ʻoiai inā nā hopena like ʻole me ka hapa ejection.
A ʻo ka hope loa, pili i ka maʻi maʻi me ka fibrillation atrial (i kapa ʻia ʻo ka atrial fibrillation). Ua hōʻike ʻia nā haʻawina hou i kahi pilina ma waena o ke kiʻekiʻe o ka hemoglobin glycated a me ka loaʻa o ka hoʻouluʻana i ka fibrillation atrial.
ʻO kaʻoiaʻiʻo, ʻo ka kāohi o ke kō o ka kōpaʻa kekahi o nā mea i hoʻoholo ʻia ma ka hoʻōhoʻomaʻi ʻana, ʻaʻole wale nō ke kūlana o ka lāʻau ponoʻī, akā ʻo ka koho ʻana o nā lāʻau lapaʻau ka mea nui. Manaʻo nā mea hōʻike, ua kāpaeʻo Metformin i ka hopena o ka hōʻeha ma ka poʻe me ka maʻi maʻi.
