Kupewa matenda a mtima ngati muli ndi matenda a shuga a mtundu wa 2
Ngati muli ndi matenda a shuga a mtundu wa 2 , moyo wathanzi, kuphatikizapo zakudya, masewero olimbitsa thupi ndi kulemera ndi mbali yofunika kwambiri ya mankhwala. Mwinanso mungafunikire kumwa mankhwala achamwa , mwina mankhwala osokoneza bongo kapena mankhwala osokoneza bongo. Ngati mtundu wanu wa shuga 2 sutetezedwa bwino pamamwa pamlomo, mungafunikire kutenga jekeseni wa insulini.
Dziwani Zinthu Zanu Zowopsa za ABC
Anthu ambiri okhala ndi matenda a shuga a mtundu wachiwiri amakhalanso ndi kuthamanga kwa magazi komanso cholesterol.
Kuphatikizidwa kwa zinthuzi kumapangitsa kuti mukhale ndi chiopsezo cha mtima komanso kukwapulidwa. American Heart Association ndi American College of Cardiology amalimbikitsa kuti anthu omwe ali ndi matenda a shuga a mtundu 2 amadziwa ABC awo:
- "A" ya HgA1c - kuyezetsa magazi zomwe zimasonyeza momwe shuga lanu la magazi likuyendetsera bwino
- "B" chifukwa cha kuthamanga kwa magazi
- "C" ya kolesterolini, makamaka LDL, kapena "cholesterol" choipa
Pamodzi ndi mankhwala anu a shuga (mwina pakamwa ndi / kapena insulini), mungafunikire kuchiritsidwa chifukwa cha kuthamanga kwa magazi komanso cholesterol. Kuchiza koteroko kungathandize kuchepetsa kapena kuchepetsa kukula kwa matenda a mtima, matenda a zilonda, ndi impso.
Koma Choyamba, Tengani Aspirin!
Ngati muli ndi matenda a shuga a mtundu wa 2 ndipo muli ndi zaka zoposa 30, dokotala wanu angakulimbikitseni kuti mutenge aspirin tsiku ndi tsiku kuti muchepetse chiopsezo cha mtima ndi kupwetekedwa.
Malinga ndi bungwe la American Diabetes Association, aspirin idzakuthandizira kuchepetsa chiopsezo cha matenda a mtima kwa anthu omwe ali ndi shuga amene kale ali ndi vuto la mtima.
Kuwonjezera pamenepo, aspirin ingathandize kuchepetsa kuvutika kwa mtima kwa anthu omwe ali ndi shuga amene ali ndi zifukwa zotsatirazi:
- Mbiri ya banja la matenda a mtima
- Ndili ndi zaka 40
- Kusuta
- Kuthamanga kwa magazi
- Kunenepa kwambiri
- Cholesterol Chokwera
Komabe, kumwa aspirin sikungokhala koopsa. Aspirin ukhoza kuyambitsa m'mimba ndi m'mimba mwazi.
Lankhulani ndi dokotala musanayambe kugwiritsa ntchito aspirin kuti muonetsetse kuti zili bwino. Dokotala wanu angakulimbikitseni kuti mugwiritse ntchito aspirin yokhala mkati, yomwe ingachepetse chiopsezo chanu chokhala ndi magazi.
Mankhwala Oletsa Kuthamanga Kwambiri kwa Magazi Anthu Odwala Matenda a Shuga
Ambiri, ngati si ambiri omwe ali ndi matenda a shuga amakhala kapena adzakhala ndi kuthamanga kwa magazi.
Chifukwa chakuti shuga ndi kuthamanga kwa magazi zimagwirizanitsidwa kwambiri, bungwe la American Diabetes Association ndi American Heart Association likugogomezera kuti kuteteza magazi anu kuyenera kukhala kofunika kwambiri monga kuyang'anira shuga lanu la magazi. Mabungwe awa amalimbikitsa kuti anthu omwe ali ndi shuga ayenera kuchiritsidwa ndi mankhwala ngati kuthamanga kwa magazi kuli pamwamba pa 130/80 mmHg.
Pofuna kuthandizira kuthamanga kwa magazi, dokotala wanu angapereke mankhwala oletsa kutembenuka kwa angiotensin (ACE). Mankhwalawa amachepetsa kuthamanga kwanu kwa magazi ndikuthandizani kuchepetsa ntchito yanu pamtima mwanu. ACE inhibitors angakuthandizeni kuchepetsa chiopsezo cha mtima wanu, kupweteka, komanso kufa msanga.
Dokotala wanu angakulimbikitseni kuti mutenge kachilombo ka ACE ngakhale mulibe kuthamanga kwa magazi. ACE inhibitors angathandize kuchepetsa kapena kuchepetsa kuopsa kwa matenda a shuga monga matenda a impso, zilonda za m'mapazi, ndi kuwonongeka kwa diso.
Zitsanzo za ACE inhibitors zikuphatikizapo: (mankhwalawa amalembedwa mwachidule )
- Benazepril (Lotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Fosinopril (Monopril)
- Lisinopril (Prinivil kapena Zestril)
- Quinapril (Accupril)
- Ramipril (Altace)
- Perindopril (Aceon)
- Trandolapril (Mavik)
Ngati ACE inhibitor ikuthandizani kusunga magazi anu osachepera 130/80 mmHg, dokotala wanu angapatsenso mankhwala a thiazide kapena diuretic ofanana monga chlorothiazide (Diuril), hydrochlorothiazide (Hydrodiuril kapena Esidrix), indapamide (Lozol), ndi methyclothiazide (Enduron).
Ngati muli ndi zotsatira zoyipa kuchokera ku ACE inhibitor, monga chifuwa (chomwe chimakhudza pafupifupi 10 peresenti ya anthu omwe amachititsa ACE inhibitor) kapena kuti sagwiritsidwe ntchito, dokotala wanu angapereke mankhwala osiyana-siyana - khungu la obisala la angiotensin (ARB ) - kuthandiza kuthandizira kuthamanga kwa magazi.
Zitsanzo za ma ARB zimaphatikizapo: (mankhwalawa sapezeka m'machitidwe achibadwa)
- Atacand (candesartan)
- Avapro (irbesartan)
- Cozaar (losartan)
- Diovan (valsartan)
- Micardis (telmisartan)
- Teveten (eprosartan)
Ambiri a ACE inhibitors ndi ARBs amapezeka pamodzi ndi diuretic.
Mankhwala Oletsa Cholesterol ndi Matenda a Shuga
Ngati muli ndi matenda a shuga, kutenga mankhwala a statin kuti muchepetse cholesterol wanu kungachepetse chiopsezo cha matenda a mtima. Ndipotu, statins ikhoza kuchepetsa chiopsezo cha mtima ndi kupwetekedwa ndi pafupifupi 30 peresenti kwa anthu omwe ali ndi shuga, ngakhale omwe alibe "choipa" (LDL) cholesterol kapena matenda omwe alipo.
Malinga ndi bungwe lina la American Diabetes Association, cholinga cha mafuta a shuga ndi LDL cholesterol chomwe chili pansipa 100 mg / dl kapena mlingo wa cholesterol wa LDL pansi pa 70 mg / dl kwa anthu omwe ali ndi shuga ali ndi chiopsezo chachikulu cha matenda a mtima.
Zitsanzo za mankhwala a statin ndi awa:
- Crestor (rosuvastatin)
- Lescol (fluvastatin)
- Lipitor (atorvastatin)
- Mevacor (lovastatin)
- Pravachol (pravastatin)
- Zocor (simvastatin)
Chitsime:
Association of American Diabetes Association. "Malamulo Amankhwala Odwala Matenda a Shuga 2008" Chisamaliro cha Shuga 2008 31: S5-S11.