Kumvetsetsa Kulumikizana Pakati pa Matenda a Mtima ndi Matenda A shuga

Zamkati

• Chidule
• Kodi matenda ashuga amayambitsa matenda amtima?
• Kuthamanga kwa magazi
• Cholesterol wokwera
• Kunenepa kwambiri
• Kukhala chete
• Kusuta
• Zizindikiro
• Zakudya
• Ziwerengero
• Kupewa
• Chithandizo cha matenda amtima mu matenda ashuga
• Mavuto ena amtima
• Matenda amtima
• Mtima kulephera
• Nthawi yoti muwonane ndi dokotala

Chidule

Ngati muli ndi matenda ashuga, chiopsezo chanu chokhala ndi matenda amtima ndichopitilira kawiri kuposa anthu, malinga ndi American Heart Association.

Kwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri, matenda amtima ndi omwe amafa kwambiri.

Pali zinthu zingapo zomwe mungachite kuti muchepetse matenda amtima. Kumvetsetsa kulumikizana pakati pa matenda ashuga ndi matenda amtima ndiye gawo loyamba popewa kupewa.

Kodi matenda ashuga amayambitsa matenda amtima?

Kuchuluka kwa shuga (shuga) m'magazi a anthu omwe ali ndi matenda a shuga kumatha kuwononga mitsempha yamagazi komanso mitsempha yomwe imawalamulira.

Thupi la thupi limagwiritsa ntchito shuga ngati mphamvu. Imasungidwa m'chiwindi ngati mawonekedwe a glycogen.

Ngati muli ndi matenda ashuga, shuga amatha kukhala m'magazi anu ndikutuluka m'chiwindi mpaka magazi anu, ndikuwonongeka m'mitsempha yanu komanso mitsempha yomwe imayendetsa.

Mitsempha yamitsempha yotseka imachedwetsa kapena kuimitsa magazi kuti asapereke mpweya ndi zopatsa thanzi mumtima mwanu. Kuopsa kwa matenda amtima kumawonjezera mukadwala matenda ashuga.

Kuwunika shuga wamagazi ndi gawo lofunikira pakusamalira bwino matenda ashuga. Onetsetsani milingo ndi chida chodziyang'anira nokha malinga ndi malangizo a dokotala wanu.

Sungani zolemba zanu ndikubwera nazo kuchipatala chanu chotsatira kuti inu ndi dokotala muzitha kuziwerenga limodzi.

Izi ndi zina mwazinthu zomwe zingakulitse chiopsezo cha matenda amtima ngati muli ndi matenda ashuga.

Kuthamanga kwa magazi

Kuthamanga kwa magazi ndi chimodzi mwazinthu zomwe zimayambitsa matenda amtima mwa anthu omwe ali ndi matenda ashuga.

Zimayika pamtima panu ndikuwononga mitsempha yanu. Izi zimakupangitsani kukhala pachiwopsezo cha zovuta zosiyanasiyana kuphatikiza:

• matenda amtima
• sitiroko
• mavuto a impso
• Masomphenya

Ngati muli ndi matenda ashuga komanso kuthamanga kwa magazi, mumakhala ndi mwayi wocheperako kawiri kuti mukhale ndi matenda amtima ngati omwe alibe matenda ashuga.

Njira yosavuta yothetsera kuthamanga kwa magazi ndiyo kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi pafupipafupi, ndipo ngati kuli kofunikira, tengani mankhwala monga adokotala ananenera.

Cholesterol wokwera

Magazi am'magazi omwe samayendetsedwa bwino monga cholesterol ndi triglycerides amapezeka mwa anthu omwe ali ndi matenda ashuga. Amathanso kuwonjezera chiwopsezo chokhala ndi matenda amtima.

Kuchuluka kwa cholesterol ya LDL ("yoyipa") komanso cholesterol ya HDL ("yabwino") yomwe ingapangitse kuchuluka kwa mafuta m'mitsempha yanu. Izi zitha kupanga zotchinga ndipo zimayambitsa kukhala ndi vuto la mtima kapena sitiroko.

Ngakhale kuti nthawi zambiri chibadwa chimakhudza mafuta m'thupi, mutha kuyendetsa bwino ndikuwongolera magawo anu popanga zosankha zamoyo wathanzi komanso kuchita masewera olimbitsa thupi pafupipafupi.

Kunenepa kwambiri

Anthu omwe ali ndi matenda a shuga amakhala onenepa kwambiri kapena onenepa kwambiri. Zonsezi ndizoopsa za matenda a mtima.

Kunenepa kwambiri kumakhudza kwambiri:

• kuthamanga kwa magazi
• shuga wamagazi
• mafuta m'thupi

Kuchepetsa thupi kumachepetsa chiopsezo cha matenda amtima.

Njira imodzi yothandiza kwambiri kuti muchepetse kunenepa ndi kugwira ntchito ndi katswiri wazakudya kapena wazakudya kuti mukhale ndi njira yabwino yodyera. Kuchita masewera olimbitsa thupi nthawi zonse kumathandizanso pakuwongolera kunenepa.

Kukhala chete

Kukhala ndi moyo wongokhala kungakulitse kwambiri zoopsa zamatenda amtima monga kuthamanga kwa magazi komanso kunenepa kwambiri.

Awa amalimbikitsa kuti munthu wamkulu aliyense azichita masewera olimbitsa thupi osachepera maola 2 ndi mphindi 30 pa sabata.

Zitsanzo ndi izi:

• kuyenda
• kupalasa njinga
• kuvina

CDC imalimbikitsanso kuchita zolimbitsa thupi osachepera kawiri pamlungu masiku osaponderezana.

Lankhulani ndi dokotala wanu kuti mudziwe masewera olimbitsa thupi omwe angakhale oyenerera kuthana ndi thanzi lanu.

Kusuta

Ngati muli ndi matenda ashuga ndipo mumasuta, chiopsezo chanu chodwala matenda amtima chimakhala chachikulu kwambiri kuposa cha osasuta.

Utsi wa ndudu komanso matenda a shuga zimapanga chikwangwani chambiri m'mitsempha, chomwe chimapangitsa kuti achepeko.

Izi zitha kubweretsa zovuta zosiyanasiyana, kuyambira matenda amtima ndi stroko mpaka zovuta zamapazi. Milandu yayikulu, mavuto amiyendo amatha kubweretsa kudulidwa.

Kumbukirani kuti sikuchedwa kwambiri kuti musiye. Funsani dokotala wanu za njira zosiya kusuta zomwe zingakuthandizeni kwambiri.

Zizindikiro

Zizindikiro za matenda amtima zimatha kusiyanasiyana kutengera kukula kwake. Anthu ena samakhala ndi zizindikiro zilizonse. Izi ndi zina mwazizindikiro zodziwika kwambiri:

• kupanikizika, kulimba, kapena kupweteka pachifuwa chanu kuseri kwa chifuwa chomwe chitha kufalikira m'manja, m'khosi, kapena kumbuyo
• kupuma movutikira
• kutopa
• kumva chizungulire kapena kufooka

Zakudya

Pofuna kupewa matenda amtima ngati muli ndi matenda ashuga, yesetsani kutsatira zakudya zopatsa thanzi, zomwe zingakuthandizeni kuchepetsa cholesterol komanso kuthamanga kwa magazi, mwazabwino zina. Zitsanzo za zakudya zopatsa thanzi ndizo:

• masamba obiriwira ngati sipinachi ndi kale
• nsomba zamadzi ozizira, monga saumoni ndi sardini
• amondi, pecans ndi mtedza wina
• mbewu zonse ndi phala

Yesetsani kuchepetsa kudya kwanu:

• ndi sodium
• shuga
• trans mafuta
• mafuta odzaza

Nthawi zonse yesetsani kusankha mafuta ochepa m'masitolo kapena m'malesitilanti.

Ziwerengero

Imfa chifukwa cha matenda amtima ndi kuposa omwe alibe, CDC idatero.

Pafupifupi 32 peresenti ya anthu omwe ali ndi matenda a shuga amtundu wa 2 ali ndi matenda amtima, malinga ndi kafukufuku wa 2017.

Osachepera 68 peresenti ya anthu omwe ali ndi matenda a shuga azaka 65 kapena kupitilira pano amwalira ndi matenda amtima, malinga ndi American Heart Association.

Anthu azaka zosakwana 65 omwe ali ndi matenda ashuga nawonso ali pachiwopsezo chachikulu chotenga:

• matenda amtima
• sitiroko
• matenda a impso

Kupewa

Pali njira zothandizira kupewa matenda amtima ngati muli ndi matenda ashuga.

Kuti muchite izi, National Institute of Diabetes and Digestive and Kidney Diseases ikulimbikitsa kusamalira matenda anu ashuga "ABCs":

• Mayeso a A1C. Kuyezetsa magazi uku kukuwonetsani kuchuluka kwa magazi m'magazi m'miyezi itatu yapitayi. Kwa anthu ambiri omwe ali ndi matenda ashuga, zotsatira zake ziyenera kukhala zosakwana 7 peresenti.
• Kuthamanga kwa magazi. Cholinga cha kuthamanga kwa magazi kwa anthu ambiri omwe ali ndi matenda ashuga chili pansi pa 140/90 mm Hg.
• Cholesterol. Kuchuluka kwa cholesterol ya LDL ("yoyipa") m'magazi anu kumatha kuyambitsa zotsekeka m'mitsempha yanu. Funsani dokotala wanu kuti mafuta anu ayenera kukhala otani.
• Kusuta. Pamodzi ndi matenda ashuga, kusuta kumachepetsa mitsempha yanu yamagazi. Mukasiya kusuta, mumachepetsa chiopsezo chanu chodwala matenda a mtima komanso matenda a mtima, sitiroko, komanso mavuto ena azaumoyo.

Chithandizo cha matenda amtima mu matenda ashuga

Kuphatikiza pa zomwe adakulimbikitsani kuti muzidya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi pafupipafupi, adokotala angakupatseni mankhwala ochizira matenda amtima ngati muli ndi matenda ashuga.

Lankhulani ndi dokotala musanamwe mankhwala ogula kuti muchepetse matenda amtima.

Ena amatha kulumikizana ndi mankhwala anu ashuga, kapena atha kukhala ndi shuga ndi zakudya zina zomwe zingakhudze kuchuluka kwa shuga wamagazi.

Izi ndi zitsanzo za mankhwala omwe dokotala angakupatseni:

• Liraglutide (Victoza). Liraglutide (Victoza) amaperekedwa ngati jakisoni wa tsiku ndi tsiku. Mu 2017, Food and Drug Administration (FDA) idavomereza mankhwalawa kuti achepetse chiwopsezo cha matenda amtima ndi zikwapu mwa achikulire omwe ali ndi matenda a shuga achiwiri komanso matenda amtima.
• Empagliflozin (Jardiance). Mu 2016, a FDA adavomereza Empagliflozin () kuti achepetse shuga wamagazi ndikuchiza matenda amtima mwa akulu omwe ali ndi matenda a shuga amtundu wa 2.
• Zolemba. Ma Statins, monga atorvastatin (Lipitor) ndi rosuvastatin (Crestor), amachepetsa kuchuluka kwama cholesterol, makamaka cholesterol ya LDL ("yoyipa").
• Zotsutsana. Antihypertensives, kuphatikizapo okodzetsa ndi beta-blockers, kuthamanga kwa magazi.

Mavuto ena amtima

Ngati muli ndi matenda ashuga komanso matenda amtima osachiritsidwa, mutha kukhala ndi zovuta zazikulu monga:

• kulephera kwa mtima
• matenda amtima
• sitiroko

Matenda amtima

Mutha kukhala ndi vuto la mtima ngati gawo lina la mtima wanu sakupeza magazi okwanira chifukwa matenda ashuga amawononga zotengera.

Atakumana ndi vuto la mtima, anthu omwe ali ndi matenda ashuga amakhala pachiwopsezo chachikulu cholephera mtima kuposa anthu omwe alibe matenda ashuga.

Zizindikiro za matenda a mtima zingaphatikizepo izi:

• kupweteka pachifuwa kapena kusapeza bwino
• kufooka kapena kupepuka
• kupweteka kapena kusapeza m'manja mwanu, mapewa, kumbuyo, khosi, kapena nsagwada
• nseru kapena kusanza ndi kukhala wotopa modabwitsa, zomwe zimawoneka makamaka mwa azimayi omwe akudwala mtima

Ngati mukukumana ndi izi, itanani 911 nthawi yomweyo.

Ngati muli ndi matenda ashuga, shuga wambiri m'magazi anu amatha kutseka mitsempha yanu, kuteteza magazi kuti asafike muubongo wanu. Izi zimatha kuyambitsa sitiroko.

Anthu omwe ali ndi matenda a shuga amakhala ndi chiopsezo chowirikiza 1.5 kuposa omwe alibe matenda ashuga.

Zomwe zimayambitsa matenda a mtima ndi sitiroko ndizofanana. Izi zikuphatikiza kukhala ndi:

• mkulu wa LDL ("woipa") ndi otsika a HDL ("abwino") cholesterol
• kuthamanga kwa magazi
• kunenepa kwambiri

Izi ndi zina mwazizindikiro zomwe mungakumane nazo mwadzidzidzi ngati mukudwala sitiroko:

• dzanzi kumaso, mkono kapena mwendo, nthawi zambiri mbali imodzi ya thupi lanu
• kuvuta kuyankhula kapena kumvetsetsa wina akulankhula
• chizungulire
• mavuto amaso m'maso amodzi kapena onse awiri
• mutu wopweteka kwambiri

Itanani 911 nthawi yomweyo ngati mukukumana ndi izi. Mankhwala opambana nthawi zambiri amagwira ntchito mpaka maola atatu pambuyo poti sitiroko yachitika.

Mtima kulephera

Anthu omwe ali ndi matenda ashuga ali pachiwopsezo chachikulu chokhala ndi vuto la mtima, lomwe limayamba chifukwa cholephera mtima kupopera magazi okwanira mthupi. Kulephera kwa mtima ndichimodzi mwazovuta zazikulu zamtima wa matenda ashuga.

Izi ndi zina mwazizindikiro za kulephera kwa mtima:

• kupuma movutikira
• kutsokomola ndi kupuma
• kutupa miyendo, mapazi, ndi akakolo
• kutopa

Onani dokotala ngati muli ndi izi. Ngakhale kulephera kwa mtima sikungachiritsidwe, kumatha kuthandizidwa bwino ndi mankhwala kapena opaleshoni.

Nthawi yoti muwonane ndi dokotala

Ngati muli ndi matenda ashuga ndipo mukukumana ndi matenda amtima monga kupweteka kapena kupanikizika m'chifuwa, kupuma pang'ono, kapena kutopa, muyenera kukaonana ndi dokotala nthawi yomweyo.

Angakulimbikitseni kusintha moyo wanu ndi kudya zakudya zabwino. Akhozanso kupereka mankhwala. Malangizo awa akhoza kupulumutsa moyo wanu.

Tsopano popeza mumvetsetsa bwino za mgwirizano pakati pa matenda amtima ndi matenda ashuga, ndi nthawi yoti muchitepo kanthu.

Pomwe zingatheke, idyani thanzi, khalani olimbikira, ndipo chitani zonse zotheka kuti muchepetse kuthamanga kwa magazi, shuga wamagazi, komanso kuchuluka kwama cholesterol.

Kukhala ndi matenda a shuga sikutanthauza kuti mudzakhalanso ndi zikhalidwe zina, monga matenda amtima.

Muli ndi mphamvu zothanirana ndi zoopsa zanu ndikusintha mtima wanu kudzera kusintha kwa moyo wanu ndikugwira ntchito ndi dokotala kuti mupange dongosolo lamankhwala lomwe likukuyenerani.