ʻO kahi maʻi maʻi mellitus he maʻi ia i hōʻike ʻia e ka piʻi nui o ka glucose koko. Hāʻawi kahi kūlana like i ka hōʻiliʻili o ka kolamu ma nā paia vascular, e hōʻemi ana i ka patest.
ʻO ka maʻi vascular atherosclerotic ke kumu o ka hoʻomohala ʻana o ka maʻi naʻau coronary a me nā maʻi e pili pū me ia: arrhythmia, angina pectoris and myocardial infarction (MI).
I kēia hihia, e loli ka hoʻonohonoho ʻana o ke koko, ka hoʻonui ʻana a me ka nui o ka viscosity. E kūʻē i ke kua ʻana o kēia maʻi, hoʻomau ka infarction myocardial me nā pilikia nui loa.
Mālama ka thrombosis i ke kahe koko maʻamau, ke hoʻopuka nei ka koko i ka ʻōpū o ka naʻau. Hoʻopunipuni kēia mau mea āpau me ka hoʻomohala ʻana o ka pae o kāna necrosis. He puʻuwai kēia.
Nā kumu kumu o ke kuʻuna
ʻO nā maʻi maʻi Cardiac e pili pū ana me ka mellitus maʻi maʻi i kapa ʻia ʻo "naau maʻi maʻi" e nā kauka. Hoʻonui ka hui i ka nui, ka hōʻike o ka holomua o ka naʻau e holomua.
Hoʻokomo ʻia nā maʻi Diabetes e ke koko kiʻekiʻe a kiʻekiʻe paha. ʻO kēia kekahi kumuhana keu o ka aneurysm aortic.
No nā mea maʻi i loaʻa i ka puʻuwai naʻau, kiʻekiʻe loa ka loaʻa ʻana o ka maʻi maʻi. Ma muli o ka hōʻino ʻole o ka hakoko myocardial, ka mea a ka hōʻailona e hōʻike nei i ka holomua o ka puʻuwai.
Ma muli o ka hoʻonui nui ʻana o ka glucose nui, e hoʻemi ana ka nui o nā kaʻina o ka metabolic, ka hoʻololi ʻana o kahi lesi liʻiliʻi liʻiliʻi o ka naʻau e ulu ana i loko o kahi pupu nui.
ʻO nā kumu maʻi
Hoʻopili i nā kau koko koko nui, ʻo ka hōʻeha o ka primula a me ka hoʻomaʻamaʻa ʻana o ka infococote myocardial e hoʻonui i kēia mau mea:
- hoʻoilina (ka heleʻana o IHD i nā ʻohana pili kokoke: i nā wahine ma lalo o 55 a me nā kāne ma lalo o 65);
- ulaula. ^ E Ha yM. Hāʻawi ʻia i ka lole wikiwiki o nā pā vascular;
- hoonui a, ai, hoʻohaʻahaʻa haʻahaʻa i ke koko. ^ E Ha yM. ʻO ka hoʻomaʻamaʻa haʻahaʻa i ke kiʻekiʻe kiʻekiʻe ke pilikia nui;
- haʻahaʻa HDL ("maikaʻi" cholesterol) alakaʻi i ka hōʻino o ka naʻau a me ke kūlana vascular;
- ʻopi momona. ^ E Ha yM. E ana i ka lepū o ka ʻāʻī me ka lipimika. Inā ʻoi aku ka hopena o ke ana ʻana ma mua o 1000 mm no nā kāne a me 900 mm no nā wahine, hōʻike kēia i ka hoʻomaka o ke kaʻina o ka momona. Hoʻopilikia nui ka hopena o ka maʻi vascular mai nā mākeke koko a me nā ʻōpala kolamu.
Nā Hoʻomaka
ʻO ke kiʻi o ke ala o myocardial infarction, i hui pū ʻia me ka maʻi maʻi maʻi, i kona mau hiʻohiʻona. E like me ka mea i hōʻike ʻia ma mua nei, he paʻakikī ʻo MI i ka maʻi maʻi maʻi, paʻakikī e ka nāwaliwali ʻana o ka hana cardiac, a hiki i ka hopu ʻana i kahi maʻi cardiac holoʻokoʻa. ʻO ka hui pū ʻana o ka hypertension me ka myocardial dystrophy e alakaʻi i ka aneurysm o ka puʻuwai, i piha me ka ʻeha o ka puʻuwai puʻuwai.
No ka infarction myocardial wahaʻī, ʻo ia nā hiʻohiʻona e hōʻike nei:
- ʻeha, me ka lōʻihi o ka hōʻeha ʻana i ka ʻeha ma hope o ka sternum;
- ʻōpū, me nā ʻōuli o kahi "ʻeha poʻo";
- huna ("ʻā," walaʻau);
- he mele hīnaʻi, me nā hōʻike o arrhythmia a me tachycardia;
- cerebral, hele pū me ka paresis, ʻōkōlapa, ʻike ʻole.
ʻO ka lōʻihi o ka wā e pili ana i nā makana he 1-1.5 mau pule. Aia kahi hāʻule o ke koko, kahi piʻi i ke aniani.
I ka wā o ka maʻi maʻamau, hiki i kēia mau pilikia pilikia:
- edema poloka;
- ka nānā ʻana o ka kānana hepatic;
- Pāhoʻoloke cardiogenic.
Hoʻopau ʻole nā puʻuwai naʻau
Hoʻopau ka CHF i kahi hoʻopiʻi hope o ka infacction myocardial. Ua ukali pū ʻia me ia mau hōʻike like:
- luhi wikiwiki;
- ʻeha hōʻeha i ka naʻau;
- ka ʻeu ʻana o nā wāwae;
- pilikia hanu
- hemoptysis, huā;
- ʻōpulohū ʻano kekeʻe pulse;
- ʻeha i ka hypochondrium ʻākau.
Hoʻomaʻa pinepine, ʻaʻole hiki i kekahi kanaka ke manaʻo hewa ua hele kekahi pōpilikia i ke kino, a hoʻomau ka ola e like me ka mea ʻaʻohe mea i loaʻa. ʻO kēia ka pōʻino o ka mea i kapaʻiaʻo "kaomi" ʻōlelo i hōʻeha ʻia.
Hōʻeu ka nui o nā poʻe maʻi hōʻeha ʻana i ka poʻe maʻi me ka ʻoweliweli a ua hoʻihoʻi koke lākou. Akā i ka hiki koke ʻana o ke kō koko koko "lele", hoʻomaka ka naʻau naʻau i ka "hoʻēʻe i nā seams".
Naʻi hoʻolika
Aia he 3 mau mana nui e hoʻomaopopo ʻia ai kahi maʻi.
- ke helehelena o ka mea maʻi, kāna hoʻopiʻi;
- nā ʻikepili i loaʻa mai kahi hōʻike koko;
- ʻikepili i loaʻa mai nā hopena ECG.
Ma kahi o 25% o nā hihia, ʻaʻohe ʻike i ʻike ʻia ma ka ECG. Akā, ʻaʻole ia e lilo i pōʻino.
No laila, ʻelua mea nui e hoʻomaka i ka maʻi maʻi. Inā kānalua ka ʻeha puʻuwai, pili i ka mea maʻi i ka haukapila. Inā manaʻo ʻo ia e noho ma ka home, a laila he nui ka manawa o ka make o kona make ma ka lā mua loa o ka maʻi.
I loko o kahi halemai, ua hoʻohana ʻia nā ʻano diagnostic penei:
- echocardiography;
- ʻO nā diagnostics X-ray. ʻO kahi ala e hoʻhoihoi ai nā x-ray diagnostics ʻo ka angiography. ʻO ka hoʻohana ʻana i kahi pāʻina ʻē aʻe e hiki ai iā ʻoe ke hoʻomaopopo i nā wahi o nā moku koko me ka liʻiliʻi o ka pākaukau ma muli o nā plika atherosclerotic a me nā māka koko;
- ka moʻolelo i hoʻohui ʻia, MRI. ʻO ka ʻikepili i loaʻa i hiki iā ʻoe ke hōʻoia pololei i ke ʻano o ka naʻau.
ʻO ka lāʻau lapaʻau
ʻAʻole hana maʻalahi ka mālama ʻana i ka naʻau. Inā loaʻa i ka "bouquet" kekahi maʻi maʻi, ʻoi aku ka paʻakikī o ka mālamaʻana. I ka ʻike o ka hana pono, ʻoi aku ka maikaʻi o ka hoʻouluʻana i ka thrombolytic ʻano ma mua o nā ʻano hana like ʻole e like me ka vascular stenting a me ka angioplasty.
Ke Korona Angioplasty
ʻO ka hopena maikaʻi ʻo ka hui pū ʻana o ka lāʻau lapaʻau a me ka wawa interventional. ʻO ka hana hou ʻana o nā moku coronary i hana ʻia i ka hapa mua o ka lā mai ka hoʻomaka ʻana o ka maʻi nui e hōʻemi pono i nā hōʻeha.
Hoʻouna ʻia e hoʻohana i ka metabolic therapy, ʻoiai e pili pū ana ka maʻi diabetes me nā maʻi kūlohelohe. ʻO kahi mea nui i ka therapy ʻo ka maʻamau o ka maʻamau a me ka hoʻopaʻa ʻana i ke kō koko.
No ka mālamaʻana i nā mea maʻi me nā puʻuwai puʻuwai, ua hoʻohana ʻia nā pūʻulu like me nā lāʻau lapaʻau:
- nā lāʻau lapaʻau e kuhikuhi ana i ka hoʻohaʻahaʻa ʻana i ke kolamu o ke koko;
- nā lāʻau thrombolytic, nā lāʻau anticoagulant;
- nā antagonis kaluna;
- nā lāʻau me nā hopena antiarrhythmic;
- mau pōʻai beta.
Nā hana kūpono
ʻO ka hoʻokō me kahi paʻakikī o nā hana pale maʻalahi e hōʻemi i ka hopena o nā pathologies cardiovascular:
- control koko kolamu;
- nā kūkākūkā maʻamau me kahi cardiologist a me ka endocrinologist;
- kaohi koko. No ka hana ʻana i kēia, e pono ke kūʻai i kahi glucometer;
- ka hoole loa ana i ka inu waipuna a me ka uahi;
- ʻai kūpono. ʻAʻole pololei loa ka huaʻōlelo ʻo "kaʻai" ma ʻaneʻi. ʻO ka papa kūpono ka ʻāpana o ke ola;
- lawe i nā lāʻau lapaʻau i kauoha ʻia e ke kauka;
- ke koko holo koko;
- ka hoʻonohonoho ʻana o ka hiamoe a hoʻomaha hoʻi;
- hana kino kino, kūpaʻa me ka ʻenehana kūikawā;
- ke kākoʻo ʻana i ka lāʻau lapaʻau.
Kuhi ma hope o ka puʻuwai pu me ka maʻi maʻi maʻi maʻi
I ka hebedoma mua a me ka hapa mai ka hoʻomaka ʻana o ka maʻi, ua hōʻike ʻia kahi pāʻana pākahi.
- mass kalo nā mea kanu (me ka hoʻowahāwahā ʻia i nā mea ʻuala);
- nā pākuʻi: i lawe ʻia i ka ʻōpala, oatmeal;
- waʻa a iʻa lau ʻia paha;
- mai nā huahana kīwaha - miraka, keke ʻo ka pākeke haʻahaʻa, kefir;
- ʻai ʻai lau;
- mau kumukane aʻa mai nā protein.
Hoʻolaha, hiki ke hoʻonuiʻia ka papa inoa o nā kīʻaha. Eia nō naʻe, pono e hōʻole i ia mau huahana:
- palaoa palaoa, nā huahana i loaʻa;
- nā cereals: laiki, semolina;
- palaoa, meaʻai momona;
- nā huahana momona momona kiʻekiʻe;
- pauʻa, ʻāpopo, nā huahana ʻohiʻoki.
ʻO ka hana nui, ʻo ia ka hoʻokō pono ʻana i ka noho inu. ʻO ka nui o ka wai no ka lā he 1 lita.
Nā wikiō pili
E pili ana i ka maʻi naʻau coronary a me ka infococose myocardial i ka maʻi maʻi i ka wikiō:
ʻO ka lōʻihi o ka mālama ʻana a me ka hoʻōla mai ka hōʻeha ʻana i ka puʻuwai ma nā maʻi hānai e pili ana i ke kūlana o ka vasculature a pehea e hōʻino ʻia ai ka puʻuwai naʻau. ʻOi aku ka paʻakikī o ka mālama ʻana me ka lōʻihi o ke lolo me ka maʻi maʻamau o ka maʻi labile, ke koko kiʻekiʻe, a me nā maʻi o ka maʻi diabetes.
