Atherosclerosis bụ nsogbu na-egosi otu n'ime ndị mbụ na-arịa ọrịa shuga.
Mgbanwe usoro ọgwụgwọ na - eme na mgbidi akwara ọbara n'ihi mgbanwe nke ihe mejupụtara kemịkalụ nke ọbara.
Mgbanwe na-eduga n'eziokwu ahụ bụ na mgbidi nke arịa na-aghọ kenkuwa na sclerotic. Changesdị mgbanwe ndị a na mgbidi vaskụla na-eduga na mmepe nke ọrịa shuga atherosclerosis megide mmalite nke ọrịa shuga mellitus.
Ọrịa shuga na atherosclerosis bụ ọrịa ndị a na - ejikọ ọnụ, ebe ọ bụ na atherosclerosis na - apụtakarị ma na - aga n'ihu megide mmepe nke ọrịa shuga.
Atherosclerosis na-arịa ọrịa shuga na-amalite ịmalite mgbe ọrịa na-akpata ahụ na-aga n'ihu ruo ọtụtụ afọ na-enweghị nchịkwa. Mmepe a nke ọrịa shuga na-eduga na ọnọdụ nke ọgba aghara na-ejide arịa buru ibu na obere, na mgbakwunye na nke a, a na-achọpụta mgbanwe na usoro nke ọrịa na myocardium.
Mgbanwe na mgbidi arịa ọbara na-eduga n'ọrịa shuga mellitus.
Ọtụtụ mgbe, onye na-arịa ọrịa mamịrị na-amalite ọrịa shuga na atherosclerosis nke ala nsọ, mana, na mgbakwunye na nke a, ọ na - enwekarị ike ịchọpụta ihe ịrịba ama nke emebi akwara na arịa arịa.
Ọtụtụ mgbe, mmalite na mmepe nke atherosclerosis na ọrịa shuga mellitus bụ n'ihi nrịbama nke usoro ọfụma na usoro nke akpịrị metabolism n'ime ahụ onye ọrịa mamịrị.
Metabolism nke abụba na - eme nri mgbe ọ mebiri insulin.
N’enweghi insulin n’ime ahụ mmadụ n’ime akwara ndị dị na ya, njikọta lipid na-eme, nke na -eche inwe njikọ nke cholesterol.
A na - eme ka mmepe nke atherosclerosis megide ọrịa shuga site na oriri na nri nke nwere nnukwu abụba.
Na mgbakwunye, ọdịdị na ngaghari nke nkwarụ na akwara vaskụla na-adabere n'ọtụtụ oge, ogo nke usoro ahụ na ogo nke ụgwọ maka ọrịa shuga mellitus.
N’ime onye nwere afọ ndụ, ike nke metabolism dị n’ahụ na-ebelata, ọrịa shuga mellitus na-agbatịkwa usoro a.
Abụba ndị ahụ na-abanyeghị ma na-ewepụghị site n'ahụ ahụ na-amalite ịdebe n'akụkụ mgbidi nke arịa ọbara nke usoro ọbara.
Usoro mmepe nke atherosclerosis n'ime ahụ ndị ọrịa mamịrị
Mbibi n'ahụ arịa ọbara arịa nke usoro ọbara na - amalite nwayọ.
Na nmalite izizi nke nsogbu ọrịa shuga mellitus, nke mbụ, imebi nnukwu arịa nke sistem.
N'ịba n’ihu nke ọrịa ahụ, a na-emetụta obere arịa ọbara nke sistem.
Na nmalite nke imebi mgbidi vaskụla, obere ọnya n'ụdị microcracks na-apụta na endothelium vaskụla.
Ihe mmerụ ahụ dị otú ahụ bụ ihe na-eme ka ekpughere endothelium nke ihe dị iche iche na-adịghị mma, n'etiti ndị bụ isi bụ ndị a:
- ọnọdụ nrụgide;
- na-abawanye ụba nke anụ ahụ;
- ụba glucose na ahụ;
- cholesterol di elu n’ime ahu.
Abụba na kọlestrọl dị n'ọbara mgbe niile. Mgbe a na-ebugharị ụgbọ mmiri, ihe ndị a na plasma ọbara mejupụtara na -eme ihe ike na mpaghara microdamage, nke na-eduga n'ichebe ego na ebe ndị a. Ihe ndị a na-etinye na mejupụtara cholesterol na abụba, nke bụ akụkụ nke ọbara.
Usoro a na - eduga n'ịmepụta ihe ncheta cholesterol, nke na - ebute ọrịa ahụ na - abawanye na nha. Ọrịa dị otú a na - eme ka akwara ndị dị n’akwara ọbara sie ike.
Mbelata nke olu na-ekesa kwa oge site na arịa ọbara yana ọsọ nke mgbasa na-eduga na mmeri nke obere arịa. Ọga n’ihu na nsụkọta ahụ na - ebute mmebi nke anụ ahụ dị iche iche nke a na - enye ọbara site n’arụ ahụ mebiri emebi.
Mmebi nke ihe oriri nke sel anụ ahụ yana inye ha oxygen na-eduga n’arụ ọrụ na arụ ọrụ nke anụ ahụ.
Isi ihe kpatara atherosclerosis na ọrịa shuga
Ọgwụ ọgbara ọhụrụ ekpughewo mmekọrịta doro anya n'etiti ọrịa shuga na atherosclerosis.
Ọ bụrụ na ụzọ nke ọrịa shuga so ya na mmepe nke ọbara ọgbụgba na ahụ onye ọrịa, mgbe ahụ atherosclerotic ọnya nke arịa ọbara na-apụta n'ụdị siri ike karị.
Otu n'ime usoro nke ọrịa pathogenetic na-ebute mmepe nke atherosclerosis na-arịa ọrịa shuga bụ Lipoproteins dị ala. Ọrịa pathology nke akwara vaskụla nke ala akụkụ ahụ na - apụta ugboro anọ karịa n’etiti ụmụ nwoke na ugboro isii 6.4 karịa n’ebe ụmụ nwanyị na - arịa ọrịa shuga nọ ma e jiri ya tụnyere ndị ọrịa enweghi ọrịa shuga.
Ọnọdụ glucose dị elu na-eme ka ọnọdụ pyroxidant dị elu ma na-eduga n'ịrụ ọrụ nke atherogenesis, nke na-eme ka ohere nke ọnya anụ ahụ dịkwuo elu.
Isi ihe na - akpata mmepe nke atherosclerosis nke ala akụkụ ahụ nke onye ọrịa nwere ọrịa shuga bụ:
- Nnukwu mbelata na ọkwa nke mmega ahụ kwa ụbọchị.
- Inggbanwe nri ma webata n’ime nri menu nri bara ụba n’anu abụba na carbohydrates, gụnyere nke sitere n’aka ndị mmadụ.
- Ọnụ ọgụgụ na-arịwanye elu nke nrụgide na-arụ n'ahụ ahụ n'oge a, oge a na-emekarị nke ọnọdụ na-achọ nrụgide mmetụta uche na mgbanwe na ụda nke ndụ.
Na mgbakwunye na ihe ndị a, mmepe nke atherosclerosis nwere ike ịbụ n'ihi arụmọrụ n'ahụ ahụ nke ihe ndị a:
- ezughi oke insulin na-emepụta n'ime ahụ nke pancreas, enweghi insulin na-eduga n'ịgba aghara na metabolism lipid;
- mbelata na ngosipụta nke nnabata nke akwara nke vaskụla na carbohydrates na mmụba nke mgbidi nke arịa ọbara;
- ogologo oge siri ike nke ọrịa shuga;
Na mgbakwunye, ogo nke mmepe atherosclerosis nke ala akụkụ ahụ ka ana-arụ ọrụ site na njikwa ụgwọ na onye ọrịa nwere ọrịa hyperglycemia.
Ihe mgbaàmà nke mmepe nke atherosclerosis na ahụ nwere ọrịa shuga
Atherosclerosis nke obere na nnukwu arịa nke ala nsọtụ na-eduga n'ọgba aghara n'ọrụ ha. Ọkpụkpụ nke ala akụkụ ala yana mmepe nke ọrịa shuga n'ime ahụ bụ ihe kachasị nwee ike ime mgbanwe mgbanwe atherosclerotic.
Ọgwụ nke atherosclerosis chọrọ ọgwụgwọ ọgwụ ogologo oge, na enweghị nsonaazụ dị mma n'oge ọrịa ahụ na ọnọdụ onye ọrịa ahụ na-akawanye njọ, a na-eme ịwa ahụ.
Oge ndozigharị mgbe ọgwụgwọ gasịrị nwere ogologo oge. Na mgbakwunye, mmepe nke nsogbu na usoro akwara.
Njirimara nke njiri mara nke atherosclerosis nke ikpere ala nke ọrịa mamịrị bụ ndị a:
- Ọdịdị nke intermittent ma ọ bụ nke a na-akpọ ịkọwapụta ihe.
- Ngosiputa ihe mgbu n’oge ije, na oge ufodu obuna ezumike.
- Ọdịdị nke ahụrụ nke ụkwụ na ụkwụ, ọkachasị na mpaghara ụkwụ na ala ala.
- Ọdịdị dị na nsọtụ nke ala, ọkachasị n'ụkwụ ụkwụ, mmetụta nke goosebumps.
- Ọdịdị nke ahụ mgbu mgbu na ụkwụ na paresthesias ndị ọzọ.
Na nmalite nke mmalite nke nsogbu, akpụkpọ ahụ nke ụkwụ na-enweta ụcha ụcha, nke na-emesịa bụrụ njiri mara cyanosis. A na-achọpụta mbelata okpomọkụ nke anụahụ n’akụkụ mmepe nke nsogbu yana aka a emetụtara.
Na nmalite mmalite nke ọrịa ahụ, a na-ahụ mbelata ihe mmịpụta n'ebe palpation nke pulse na nnukwu arịa ndị dị na ukwu na na popliteal gbagọrọ agbagọ. N'ọdịnihu, a na-ahụ otu ihe ahụ na palpation nke ire ere na arịa nke ukwu ụkwụ.
Ọrịa ọnya na-aga n'ihu na-eduga n'inwe ọnya ọrịa trophic ogologo. Thegwọ ọnya ndị dị otú ahụ siri ezigbo ike n'ihi nrịbama nke atherosclerosis. Mgbakwunye ọzọ na ọgwụgwọ nke ọnya anaghị agwọ ọrịa bụ mmụba shuga dị n'ahụ onye ọrịa.
Atherosclerosis n'ụdị dị elu na-eduga na mmepe nke nsogbu gangrenous na aka n'ụkwụ metụtara.
Ọgwụgwọ ụdị nsogbu a, mmepe nke a na-akpasu iwe na atherosclerosis, a na-ejikarị enyemaka nke ịwa ahụ. A na-eme usoro ịwa ahụ n'ụlọ ọgwụ ụlọ ọrụ ọgwụ.
Okwesiri iburu n'uche na atherosclerosis nwere ike ịga n’ihu n’ike n’ike n’ike nwata.
Maka nke a, ịchọpụta shuga ọbara a na-egbu n’oge na ọgwụgwọ n’oge iji mee ka ọkwa shuga dị n’ahụ dị ezigbo mkpa.
Ọgwụ nke ọrịa mamịrị atherosclerosis
Ọgwụ ọgbara ọhụrụ na-atụle ụzọ abụọ iji gwọọ atherosclerosis nke mpaghara ala.
Suchzọ ụdị ọgwụgwọ dị otú a bụ usoro ọgwụgwọ nke ị medicationsụ ọgwụ, nke akwadoro maka iji ya mgbe ị na-eme mmetụta ahụike na ọrịa.
Wa ahụ ịwa ahụ bụ naanị mgbe ejiri ọgwụ ndị ọkachamara na njikọ ya na nri emegharịrị yana inye anụ ahụ arụ ọrụ n'ahụ ahụ ekweghị ka ọ nweta nsonaazụ a chọrọ.
A na-eme ọgwụgwọ nke atherosclerosis na ọnụnọ nke ọrịa shuga n'ọrịa.
Isi ebe ọgwụgwọ dị:
- Na-eduzi usoro ọgwụgwọ hypoglycemic zuru oke. Ojiji nke ịba ọcha n'anya nke hypoglycemic ma ọ bụ ọgwụ achọrọ nke insulin sịntetik na-eme ka ị nwee ike ịchịkwa ọkwa shuga n'ahụ ahụ onye ọrịa n'ime usoro physiologically kpebiri. Ọnụnọ nke nnukwu shuga n'ọbara na-enyere aka igbochi mbibi nke mgbidi arịa ọbara.
- Ijikwa oke ibu na ọgụ megide oke ibu na-enye gị ohere izere mmepe nke oke ibu n’ahụ. Mbelata lipids na cholesterol belatara ohere mmadụ nwere ivu cholesterol na mgbidi nke arịa ọbara mebiri emebi.
- Ọgwụgwọ ibili ọnọdụ ọbara mgbali elu na ime ka ọ̀tụ̀tụ̀ ọbara ji erugharị n’ahụ n’ime onye ọrịa na-enye gị ohere ibelata nrụgide n’arụ n’obi, akụrụ na ụbụrụ.
- Usingjụ omume ọjọọ na ịnọgide na-ebi ndụ ike na-eme ka ọgwụgwọ nke atherosclerotic pathologies.
Ntinye nke usoro ọgwụgwọ kwesiri ịgụnye usoro agbakọ. Ekwesịrị ịgwọ ọrịa atherosclerosis na usoro ọgwụgwọ nke ọrịa shuga.
Ọ bụ ndị ọrịa mamịrị ga-ebu ụzọ mgbochi iji gbochie atherosclerosis ọbụlagodi ma onye ọrịa ahụ enweghị akara nke nsogbu.
Vidiyo dị n’isiokwu a ga-ekwu maka ụzọ isi gwọọ ndị ọrịa mamịrị atherosclerosis.
