Ọgwụ nke ọbara mgbali elu na ụdị ọrịa shuga mellitus 2: mbadamba, ihe ngosipụta
Ọbara mgbali elu - ọbara mgbali elu. Ekwesịrị idobe nrụgide ụdị ọrịa shuga abụọ nke mellitus na 130/85 mm Hg. Art. Ọnụ ọgụgụ dị elu na-amụba ohere nke ọrịa strok (ugboro atọ 3-4), nkụchi obi (ugboro 3-5), ikpu ìsì (oge 10-20), ọdịda akụrụ (oge 20-25), gangrene na mgbatị ya na-esote (ugboro 20). Iji zere ụdị nsogbu ahụ, nsonaazụ ha, ị kwesịrị ị toụ ọgwụ antihypertensive maka ọrịa shuga.
Ọbara mgbali elu: akpata, ụdị, atụmatụ
Kedu ihe na-ejikọ ọrịa shuga na nrụgide? Ọ na --akpo mmebi anụ ahụ: akwara obi, akụrụ, akwara ọbara, na retina nke anya. Ọbara mgbali elu nke ọrịa shuga na-abụkarị ihe mbụ, butere ọrịa ahụ.
Ofdị ọbara mgbali elu | Ihe omume | Ihe kpatara |
Mkpa (isi) | ruru 35% | Ebumnuche esighi |
Systolic nke dịpụrụ adịpụ | ruru 45% | Ndalata vaskụla elasticity, akwara neurohormonal |
Nehropathy na-arịa ọrịa shuga | ruru 20% | Mbibi na akụrụ arịa, sclerotization ha, mmepe nke ọdịda akwara |
Ubọbọ | ruru 10% | Pyelonephritis, glomerulonephritis, polycitosis, nephropathy na-arịa ọrịa shuga |
Endocrine | ruo 3% | Pathologies Endocrine: pheochromocytoma, hyperaldosteronism nke mbụ, syndenko-Cushing's syndrome |
Akụkụ ọbara mgbali na ndị ọrịa mamịrị
- Ọkpụkpụ ọgbụgba ọbara na-agbaji - mgbe ị na-atụ ndị na-egosi abalị n'abalị dị elu karịa ụbọchị. Ihe kpatara ya bụ neuropathy.
- Ọfụma nke ọrụ a na - ahazi nke usoro ahụrụ onwe ya na - agbanwe agbanwe: a na - agbagha usoro iwu ụda akwara ọbara.
- Odị orthostatic nke hypotension na - ebido - ọbara mgbali elu na ọrịa shuga. Ịrị elu nke mmadụ na-ebute ọgụ nke hypotension, n'ọchịchịrị n'anya, adịghị ike, ịkụda mmụọ na-egosi.
Ọgwụgwọ kwesịrị ibido site na mbadamba diuretic (diuretics). Ihe di mkpa dialsals for type 2 diabetist list 1
Ike | Ọdịdị Ike Ahịrị | Adịghị ọcha |
Furosemide, Mannitol, Lasix | Hypothiazide, Hydrochlorothiazide, Clopamide | Dichlorfenamide, Diacarb |
Edebere ya iji wezuga edema nke oma | Ọgwụ ogologo oge | Edebere ya na usoro maka usoro nlekọta mmezi. |
Ha na - ewepu mmiri mmiri gabiga n’ime ahụ ngwa ngwa, mana ha nwere ọtụtụ nsogbu. A na-eji ha maka obere oge na nnukwu ọrịa. | Ime ihe nro, mwepu nke hypostases | Na-eme ka ihe omimi ndị ọzọ pụta |
Ihe dị mkpa: Diuretics na - akụghasị oke elektrolyte. Ha na-ewepụ nnu nnu anwansi, sodium, potassium na ahụ, ya mere, enyere Triamteren, Spironolactone iweghachi nguzozi electrolyte. A na-anakwere ọgwụ niile metụtara naanị ihe metụtara ahụike.
Ọgwụ Antihypertensive: otu
Nhọrọ nke ọgwụ bụ prerogrant nke ndị dọkịta, ị -ụ ọgwụ onwe ya dị ize ndụ maka ahụike na ndụ. Mgbe ị na-ahọrọ ọgwụ maka nrụgide maka ọrịa shuga mellitus na ọgwụ maka ọgwụgwọ nke ọrịa shuga 2, ndị dọkịta na-eduzi ọnọdụ onye ọrịa, njiri ọgwụ, ndakọrịta, ma họrọ ụdị nke kachasị mma maka otu onye ọrịa.
Enwere ike ike ị drugsụ ọgwụ antihypertensive dị ka pharmacokinetics n'ime ìgwè ise.
Pịpị mkpụrụ ọgwụ pịọdịnọn na-arịa 2
Otu a | Omume ọgwụ | Nkwadebe |
Ndị na-egbochi Beta na vasodilating edinam | ọgwụ na-egbochi ihe ndị na-anabata beta-adrenergic nke obi, arịa ọbara na akụkụ ahụ ndị ọzọ. | Nebivolol, Atenolol Corvitol, Bisoprolol, Carvedilol |
Ihe dị mkpa: Mbadamba ụrọ nke ọbara mgbali elu - ndị na-egbochi Beta na-egbochi vasodilating - nke kachasị ọhụụ, ọgwụ dị mma - gbasaa obere arịa ọbara, na-aba uru na metabolism-lipid metabolism.
Biko rịba ama: researchersfọdụ ndị nchọpụta kwenyere na ọgwụ kachasị mma maka ọbara mgbali elu na ọrịa shuga mellitus, ọrịa shuga na-abụghị insulin bụ Nebivolol, Carvedilol. A na-ahụta mbadamba ihe ndị ọzọ beta-blocker otu dị ka ndị dị ize ndụ, ha ekwekọghị na ọrịa na-akpata ya.
Ihe dị mkpa: Ndị na-egbochi Beta na-egbochi ọrịa hypoglycemia, yabụ, ekwesịrị ịde ya na ya nlekọta dị ukwuu.
Ọgwụ antihypertensive maka ụdị shuga 2 nke 3
Otu a | Omume ọgwụ | Nkwadebe |
Ndị na-egbochi Alfa na-ahọrọ | Belata mmebi nke eriri akwara na njedebe ha. Ha nwere hypotensive, vasodilating, Njirimara antispasmodic. |
Ihe dị mkpa: Ndị na-egbochi alfa mgbochi na-enwe “mmetụta mbụ.” Erere nke mbu na - ewe ngwakọta orthostatic - n'ihi mmụba nke akwara ọbara, ịrị elu na - eme ka ọbara na-agbapụta site n'isi ruo ala. Mmadu nwere uche ma gha meru aru.
Ọgwụ maka ọgwụgwọ ọbara mgbali elu na ụdị ọrịa shuga mellitus nke 2
Otu a | Omume ọgwụ | Nkwadebe |
Ndị na-emegide Calcium | Na-ebelata oriri nke ion na-abanye na kaadi ala, akwara nke akwara ahụ, na-ebelata spasm ha, na-ebelata mgbali. Ọ na - eme ka ọbara na - erite n'ime akwara obi | Nifedipine, felodipine, |
Direct renin inhibitor | Na-ebelata nrụgide, na-echebe akụrụ. Agụbeghị ọgwụ a ezuru. | Rasilez |
Erere ambulance maka iwetulata mgbali ọbara ọsọ ọsọ: Andipal, Captopril, Nifedipine, Clonidine, Anaprilin. Omume ahụ na-ewe awa 6.
Mbadamba ụkwara ọbara ọgbụgba na ndepụta ụdị shuga nke 5
Otu a | Omume ọgwụ | Nkwadebe |
Angiotensitive Receptor Antagonists | Ha na-enwekarị nsonaazụ nke mmetụta, belata ihe ọnya ọnya, nkụchi obi, ọdịda akụrụ | Losartan, Valsartan, Telmisartan |
Ọ bụghị naanị ndepụta ndị a ka ịdalata ọbara mgbali elu. A na-emelite ndepụta ọgwụ ọgwụ mgbe niile na mmepe ọhụụ, ọhụụ, yana ọfụma.
Victoria K., 42, onye mmebe.
Enweela m ọbara mgbali elu na ọrịa shuga 2 ruo afọ abụọ. Anụghị m ọgwụ, e jiri ọgwụ mee m ihe, ma ọ dịghịzi aka. Ihe ị ga-eme Otu enyi kwuru na ị nwere ike iwepu ọbara mgbali elu ma ọ bụrụ na ị were isiprolol. Kedu ọgwụ nrụgide dị mma ị ?ụ? Ihe ị ga-eme
Victor Podporin, endocrinologist.
Ezigbo Victoria, agaghị m adụ gị ọdụ ka ị gee ntị na enyi gị nwanyị. N’enyeghị ọgwụ dọkịta, ọ naghị atụ aro ị takingụ ọgwụ. Ọbara ọbara mgbali elu nwere ọrịa etiology dị iche iche (ihe na-akpata ya) chọrọ ọgwụgwọ ọzọ. Ọ bụ naanị dọkịta ka ọ ga-enye ọgwụ maka ọbara mgbali elu.
Ndị mmadụ na-agwọ ọgwụ maka ọbara mgbali elu
Ọbara ọbara na - akpata oke mmebi nke carbohydrates na 50-70% nke ikpe. Na 40% ndị ọrịa, ọbara mgbali elu na-ebute ụdị shuga 2. Ihe kpatara ya bu nguzogide insulin - iguzogide insulin. Ọrịa shuga mellitus na nrụgide chọrọ ọgwụgwọ ozugbo.
Ekwesiri ịmalite ọgwụgwọ nke ọbara mgbali elu na ọgwụgwọ ọdịnala maka ọrịa shuga site na idebe iwu nke ndụ ibi ndụ dị mma: jigide ibu dị mma, kwụsị ị smokingụ sịga, drinkụọ mmanya, belata oriri nke nnu na ihe oriri na-emerụ ahụ.
Usoro ọgwụgwọ ndị mmadụ maka iwelata nrụgide na ndepụta ụdị ndị ọrịa mamịrị 6
Decoction nke Mint, sage, chamomile | Na-ebelata nrụgide sitere na nrụgide |
Ihe ọ juiceụ Fụ a madeụ nke kukumba, biiti, tomato | Na-ebelata nrụgide, na-eme ka ọdịmma mmadụ niile dị mma |
Mkpụrụ osisi ọhụrụ nke hawthorn (mgbe ha risịrị nri nke 50-100 g ugboro atọ n'ụbọchị) | Belata ọbara mgbali elu na glucose ọbara |
Akwụkwọ osisi Birch, mkpụrụ osisi lingonberry, strawberries, bred, mkpụrụ osisi flax, mgbọrọgwụ valerian, Mint, motherwort, lemon balm | Ejiri ya na ngwakọta dị iche iche maka ihe ndozi ma ọ bụ infusions nke endocrinologist gbara ume |
Ọgwụ nke ọbara mgbali elu na ọgwụgwọ ndị mmadụ maka ọrịa shuga anaghị adịkarị mma, yabụ, ya na ọgwụ mkpịsị ahịhịa, ịkwesịrị ị medicationsụ ọgwụ. Ekwesịrị iji usoro ọgwụgwọ ndị a na-eme nyocha nke ọma, mgbe ị nyochasịrị nyocha na endocrinologist.
Omenala edozi ma ọ bụ nri kwesịrị ekwesị
Nri maka ọbara mgbali elu na ụdị ọrịa shuga 2 bụ iji belata ọbara mgbali elu ma na-ahazi ọ̀tụ̀tụ̀ glucose ọbara. Ekwesịrị ka ekwenyere ihe oriri na-edozi ahụ maka ọbara mgbali elu na ụdị ọrịa shuga 2 nke ọrịa endocrinologist na onye na-ahụ maka nri na-edozi ahụ.
- Nri ziri ezi (oke na oke ego) nke protein, carbohydrates, abụba.
- Obere Carb, bara ụba na vitamin, potassium, magnesium, ihe oriri.
- Na-a moreụ ihe karịrị 5 g nke nnu kwa ụbọchị.
- Iri akwụkwọ nri na mkpụrụ osisi zuru ezu.
- Ihe oriri na-edozi ahụ (opekata mpe 4-5 n'ụbọchị).
- Kwekọrọ na nri Nke 9 ma ọ bụ Nke 10.
Mmechi
Ọgwụ maka ọbara mgbali elu ka a na-anọchite anya ya nke ọma na ahịa ọgwụ. Ọgwụ ochie, mkpụrụ ndụ ihe dị iche iche nke atumatu ịnye ọnụahịa nwere uru ha, ihe ngosi na contraindications. Ọrịa shuga mellitus na ọbara mgbali elu na-eso onwe ha, chọrọ ọgwụgwọ a kapịrị ọnụ. Yabụ, n'ọnọdụ ọ bụla, ị ga-achọ iji aka ha wepụta onwe gị. Naanị usoro ọgbara ọhụrụ nke ịgwọ ọrịa shuga na ọbara mgbali elu, nhọpụta ndị ruru eru site na endocrinologist na cardiologist ga-eduga nsonaazụ achọrọ. Nwee ahụike!