Litlamorao tse mpe tsa lefu la tsoekere ho pelo le methapo ea kutlo li utloisisoa hantle. Lefu la lefu la tsoekere ke boemo boo ho bona ho nchafatsoang tšebetsong le ho hlophisehileng hoa myocardial ho etsahala.
Maseli a pelo le pelo ke sesosa se ka sehloohong sa lefu le ho holofala ho 80% ea batho ba nang le lefu la tsoekere. Cardiomyopathy e na le kamano e hlakileng le lefu la tsoekere, ho latela nako ea lona.
Lefu la tsoekere ha le tsamaisane le lilemo, khatello ea methapo ea mali le lefu la pelo le pelo.
Lisosa tsa Cardiomyopathy
Maemong a hyperglycemia, ho na le khaello ea likarolo tse nyane tsa matla, ka hona, ho ba le pherekano nakong ea li-oxidation le mekhoa ea ho fokotsa e thehiloe. Mathata ana ke sesosa sa mantlha sa lefu la tsoekere la lefu la tsoekere.
Haeba motho a e-na le lefu la tsoekere le lefu la tsoekere, joale ho na le ho ba le litlolo tse amang sebete, tse mpefatsang boemo ba methapo e amanang le methapo.
Diabetesic cardiomyopathy hangata e etsoa ho batho ba itšetlehang ka insulin ba nang le lefu la tsoekere le heteroacidoses khafetsa.
Tšenyo e joalo ea pelo e bontšoa ke mathata a metabolic ho:
- phokotso le liphetoho tsa oxidation;
- protheine ea tlhaho;
- electrolyte metabolism;
- ho fa lisele matla;
- phapanyetsano ea lintho tse fumanehang;
- ho tsamaisa oksijene maling.
Lefu la tsoekere la lefu la tsoekere le thehiloe motheong oa lintlha tse 'maloa, e ka bang:
- ka sebopeho
- sebetsa.
Ka ho khetheha, e khopisa:
- tlolo ea diastole le systole,
- ts'ebetso ea mitochondrial,
- ea fokotseha contractility ea cardiomyocytee.
Ts'ebetso ea ho supa limolek'hule tse ikarabellang bakeng sa metabolism ea lipid le glucose e ka fokotseha.
Postpartum cardiomyopathy e bontšoa ke myocardial deformation nakong ea tlhaho ea ngoana. Kotsi ke ts'ebeliso e sa feleng ea monodiet le boima bo feteletseng.
Ntshetsopele ea lefu la tsoekere la lefu la tsoekere
Boloetse bona, e le molao, bo tsoela butle butle butle butle.
Pelo ha e khone ho fana ka boikhathollo le boqapi, ho haella ha eona ho ea eketseha.
Ho tlosoa hoa molao ho etsahala nakong ea depolarization ea myocyte, hammoho le ho sitisoa ha tlhahiso ea NO, e leng ho mpefatsang boemo le ho feta.
Lefu la tsoekere la lefu la tsoekere le tšoauoa haholo ke bokuli bo kopaneng ba metabolic le lefu la pelo.
Ho na le mefuta e 'meli ea pathology:
- litšobotsi tsa mantlha tse khethollang lits'ebetso tsa myocardial metabolic. Lihlahisoa tsa tšenyo ea sele e ka tlase ho oxidized, li-collagen tse sa tloaelehang, li-glucuronates, protheine ea glycated e bokelloa. Sena se mpefatsa boemo ba pelo mme se lebisa ho nts'etsopele ea ho se sebetse hantle ha methapo ea kutlo kapa ea diastolic,
- ea bobeli e hlaha ka lebaka la lefu la tsoekere. Thutong ea methapo ea mali, sclerosis ea bona, tšesaane ea epithelium kapa proliferation e senoloa. Boemo ba khaello ea oksijene e sa feleng bo lebisa ho mathata a ts'ebetsong a amang ka kotloloho ts'ebetso ea myocardial ho fihlela konteraka.
Hajoale, bo-ramahlale ba pakile hore lintlha tse joalo li bapala karolo ea boomo ho nts'etsopele ea pathology:
- Hyperglycemia ea nako e telele. Le eena, pelo e qala ho utloa bohloko butle-butle. Hangata ho nka lilemo tse ngata hore lefu lena le itlhahise. Boholo ba bakuli ba bona bothata ka lebaka la matšoao a boletsoeng khafetsa.
- Tlolo ea ts'ebetso ea oxidation le pholiso kahare ho myocyte.
- Mathata a khaello ea oksijene ka lebaka la liphetoho sebopeho sa hemoglobin.
Tekanyo e ngata ea tsoekere ka sehiloeng e lebisa ntlheng ea hore pelo e haelloa ke limatlafatsi. Morero oa ho theha mofuta o mong oa ATP ka mafura le liprotheine o qala.
Lihlahisoa tsa metabolic tse nang le maiketsetso li kopantsoe; li ama hampe ts'ebetso ea lisele tsa mmele le litho tsa litho.
Matšoao a matšoao
Tšebeliso ea methapo ea khoeli le khoeli e fokotseha ha lisele tsa myocardial li fokotseha.
Nakong ena, motho a ka tletleba ka bohloko sebakeng sa pelo, se ikemetseng ha nako e ntse e tsamaea.
Kamora nako e itseng ea batho ba lefu la tsoekere, ho qala ho fokola le ho hema hanyane. Tsena ke matšoao a mantlha a bontšang ho hloleha ha pelo.
Litlamorao tse mpe tsa lefu la tsoekere ke:
- retinopathy
- nephroangiopathy.
Kaha karolo ea pele ea lefu la tsoekere la pelo le lefu la tsoekere le asymptomatic maemong a mangata, ho na le lekhalo le leholo lipakeng tsa ho hlaha ha liketsahalo tsa pele tse sa tloaelehang tsa pelo le pele ho lits'oaetso tsa lefu.
Ho batho ba ka tlase ho lilemo tse 40, lefu la tsoekere la lefu la tsoekere le ka fumanoa le ECG e le mokhoa oa ho thibela pelehi. Hoo e ka bang halofo ea linyeoe tsa boithuto li bontša hore ho na le lits'ebetso tse teng mosebetsing oa pelo.
Ho na le mekhoa ea ho khetholla lefu la tsoekere la lefu la tsoekere:
Liphetoho tsa meno R le P,
- Liphetoho ho wave ea T ka lebaka la mojaro,
- liphetoho lipakeng tsa P-Q le Q-T, QRS e rarahaneng, sekhahla sa pelo le conduction.
Ho na le mathata a mangata a ka hlahang, tachycardia kapa bradycardia le mathata a mang.
Tlhahlobo le kalafo
Cardiomyopathy ho lefu la tsoekere e bolela hore o hloka ho fumana likarolo tsa lefu lena.
Mabapi le sena, ho sebelisoa lenane la mekhoa ea ho hlahloba mafu.
Ho ikoetlisa kamehla ho ka ba le phello e ntle ho metabolism. Kahoo, ho hanyetsa insulin hoa fokotseha, 'me mamello ea tsoekere le eona ea eketseha. Ka mokhoa oa bophelo o mafolofolo, o ka chesa mafura acids a mahala mme oa sebelisa tsoekere ea mali.
E le hore ngaka e etse tlhahlobo e nepahetseng ea mafu, ho hlokahala mefuta e latelang ea tlhahlobo:
- tlhahiso ea bongaka le litletlebo
- electrocardiography
- boemo ba glucosuric le glycemic,
- ho lekola letsatsi le letsatsi la ECG le khatello ea mali,
- sebopeho se sebetsang,
- ho ithuta lipid tsa bongata ba mali,
- Doppler echocardiography.
Phekolo ea mantlha ea lefu la tsoekere la cardiomyopathy e na le tse latelang:
- ho ntlafatsa mofuta oa kalafo ea insulin, ho latela melao-motheo ea kalafo ea ho ja bakeng sa lefu la tsoekere le ho latela ts'ebetso ea 'mele ho fihlela boemo bo tsitsitseng ba glycemic,
- cardiotrophic le metabolic ts'ebeliso ea ATP, litokisetso tsa potasiamo le L-carnitine,
- Li-vithamine tsa B tsa litlamorao tsa neurotropic;
- lithethefatsi tse ntlafatsang methapo ea methapo.
Ha ho ba le arrhythmia, lithethefatsi tsa antiarrhythmic li lokela ho sebelisoa. Haeba ho na le matšoao a ho hloleha ha pelo, etsa kopo:
- ACE inhibitor
- diuretics
- cardiac glycosides.
Ts'ebetso ea kalafo ea lefu lena e ntse e rarahana, hobane o hloka ho ama ka botlalo mekhoa ea metabolic ea 'mele oa motho. Leha ho le joalo, ka tlhahlobo e nepahetseng ea boemo, ho ka etsahala ho fumana liphetho tse khotsofatsang le ho ntlafatsa haholo bophelo ba motho ea kulang.
Haeba phekolo ea lithethefatsi e sa sebetse, ka linako tse ling mekhoa ea ho buoa e ka sebelisoa bakeng sa mabaka a thata a bongaka.
Maemong a mefuta e matla ea lefu lena, tsela feela ea ho phela ke ho fetisoa hoa pelo.
Mehato ea thibelo
Bakeng sa thibelo, o hloka ho fetola mokhoa oa hau oa bophelo. Motho ea kulang o lokela ho qala ho ikoetlisa ka tsela e leka-lekaneng le ho lekola lijo tsa bona.
Litsebi tsa lefu la tsoekere li lokela ho nka mehato ea ho felisa hyperglycemia, hammoho le ho felisa:
- mafura a acid
- khanyetso ea insulin.
Hajoale, bo-ramahlale ha ba na lethathamo la tsebo e felletseng, kaha tekanyo e hlokahalang ea ho etsa lipatlisiso mabapi le ho fetola boemo ba lefu la pelo le methapo methating ea pele ha e so ka e etsoa.
Haeba ho na le tloaelo ea ho se atlehe ha pelo, ho bohlokoa ho tlohela joala, joala bo eketsang mojaro ka pelong. Hoa hlokahala ho sireletsa 'mele, ho qoba ho imeloa' meleng le ho hloka botsitso.
O ka ikopanya le setsebi sa phepo e mabapi le nts'etsopele ea lijo tsa motho ka mong. Ho bohlokoa hape hore o fetole mokhoa oa bophelo le ho khaotsa ho tsuba le ho noa joala ka botlalo. U lokela ho qala ho ikoetlisa bakeng sa lefu la tsoekere, ka mohlala, ho tsamaea kapa ho sesa.
Ho felisa lintlha tse mpe tse amang pelo, ho ka sebelisoa meriana ea setso. Infusions e thusa ho fokotsa khatello le ho tlosa likhathatso tsa morethetho oa pelo.
Ho na le thuso ho noa tincture e nang le viburnum le mahe a linotsi ka matsatsi a ka bang 30. Seno sena se ama hantle litsamaiso tsohle tsa 'mele. Tšebeliso ea mekhoa e meng ea thibelo e lokela ho lumellanoa le ngaka.
Video e sehloohong sena e bua ka matšoao, lisosa le kalafo ea lefu la pelo.
