Tsis ntev dhau los, nws ntseeg tias cov neeg mob ntshav qab zib feem ntau tau kuaj mob plawv, tab sis niaj hnub no cov kws kho plawv hais tias cov chaw kho mob tau hloov pauv: cov teeb meem ntshav qab zib xws li mob plawv tsis ua hauj lwm thiab atrial fibrillation tuaj txog.
Cov kab mob ntawm cov hlab plawv yog qhov txiav txim siab thaum nws los txog kev kwv yees lub hnub nyoog ntawm cov neeg muaj ntshav qab zib. Raws li kev txheeb cais los ntawm German cov kws tshawb fawb, cov txiv neej uas mob ntshav qab zib muaj 2-3 npaug nce qhov kev pheej hmoo ntawm kev txhim kho cov kab mob no, thiab nce txog 6-npaug rau cov poj niam Ntxiv mus, cov kab mob vascular pathologies uas tshwm sim rau cov neeg mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 zoo sib xws.
Ntxiv nrog rau cov xov tooj zoo uas tau hais los saum toj no, tseem muaj lwm qhov tseem ceeb uas tus xibfwb Diethelm Chöpe ntawm Cardio-Diabetology Center ntawm Ruhr University hauv Bochum (Lub Tebchaws Yelemees) hu rau kev txiav txim siab. Hauv nws tsab ntawv ceeb toom rau German Kev Ntshav Qab Zib Cov Neeg Koom Tes, nws rov qab hais tias txawm tias glycated hemoglobin raug kho tau kho lawm, kev pheej hmoo tseem tuaj yeem txuas ntxiv mus. Yog li no, peb xav kom koj mloog qhov kev xav ntawm peb tus kws tshaj lij, uas tau tsim lub sijhawm kwv yees ntawm kev mus ntsib cov kws tshaj lij, uas yuav tsum tau ua tam sim ntawd tom qab kuaj mob ntshav qab zib mellitus.
Cov laj thawj rau kev muaj ntau zaus ntawm cov kab mob plawv hauv cov neeg mob ntshav qab zib yog maj mam kho dua tshiab ntawm cov qauv mob plawv. Qhov kev hloov pauv no yog vim tsis txaus ntseeg ntawm lub zog qhov xav tau ntawm lub cev thiab qhov muaj hluav taws xob tuaj. Nws ua rau lub plawv muaj teeb meem, piv txwv li, hauv kev muaj mob plawv (CHD). Txawm li cas los xij, nws tsis yog tsuas yog ua txhaum cai ntawm cov ntshav ntshav mus rau myocardium. Niaj hnub no, lub plawv tsis ua haujlwm thiab atrial fibrillation, uas ua rau muaj kev pheej hmoo ntawm mob stroke, tuaj rau lub siab. Cov txheej txheem pathophysiological ua rau muaj kev pheej hmoo sai tuag.
4 pawg puas
Professor Chope paub qhov txawv hauv qab no:
- tus kwv tij tsis muaj lub siab,
- tsub zuj zuj ntawm reactive reactites thiab cov kev hloov pauv yam ntxwv,
- mob hlab ntsha hlwb autonomic neuropathy,
- txwv hemodynamics.
Tseeb, nrog hyperglycemia, muaj ntau dhau ntawm lub zog ntawm cov muaj zog (nco qab, lub zog tseem ceeb rau myocardiocytes yog cov rog nruab nrab thiab cov rog nqaij, lawv yuav lav 70% ntawm lub zog mov. Rau qhov tsawg, lub zog ntawm myocardium yog vim muaj qabzib thiab nws cov kev sib cais, nrog rau cov amino acids thiab cov protein. ) Txawm li cas los xij, nws tsis tuaj yeem siv los ntawm lub siab.
Kuj tseem muaj kev cia ua ntu zus ntxiv ntawm lipid thiab glucose metabolites, uas ua rau lub zog teeb meem ntawm lub plawv. Cov txheej txheem o ua rau cov fibrotic rov ua haujlwm nrog kev hloov pauv hauv cov protein, tsub zuj zuj ntawm cov khoom ntawm glycolysis, kev tsav tsheb tsis zoo ntawm cov khoom siv qis thiab tsis hnov mob siv.
Coronarosclerosis (kev puas tsuaj rau cov hlab ntshav ntawm lub plawv) ua rau cov pa oxygen txheeb ze, uas ua rau lub zog tsis muaj zog. Lub hlwb tsis zoo ntawm lub plawv kuj raug puas ntsoog, qhov tshwm sim ntawm kev puas tsuaj yog lub suab tsis sib xws thiab kev hloov ntawm qhov kev nkag siab ntawm cov kab mob plawv. Thiab thaum kawg, kev hloov pauv ntawm tus qauv ntawm lub siab txo nws cov yam ntxwv hemodynamic (peb tab tom tham txog qhov siab nyob rau hauv cov hlab plawv, ntshav txaus, tawm ntawm txoj cai ventricular contraction zog, thiab lwm yam).
Yog tias muaj cov kua nplaum ntawm ntshav qab zib tshwm sim, lawv tuaj yeem pab txhawb cov ntshav txhaws thiab thaum kawg ua rau lub plawv nres. "Kev sib xyaw nrog cov kab mob microangiopathy piav qhia txog qhov ua haujlwm tsis zoo ntawm cov ischemic ntu ntawm myocardium," kardiologie.org hais Chope li hais. Hauv lwm lo lus, kev kwv yees ntawm tus neeg mob ntshav qab zib nrog lub plawv nres yog qhov tsis zoo dua li lwm tus neeg mob.
Qhov xwm txheej yog qhov nyuaj heev yog tias ib tus neeg twb muaj lub plawv tsis ua haujlwm: nce txog 80 feem pua ntawm cov neeg mob no uas tau hla lub xyoo 65 xyoos tas sim neej hauv peb xyoos.
Yog tias qhov kev tawm tsam ntawm sab laug ventricle qis dua li 35%, muaj kev pheej hmoo sai ntawm kev tuag sai sai los ntawm kev ntes plawv - hauv cov neeg mob ntshav qab zib nws yog siab dua rau cov neeg mob uas tsis muaj kev kuaj mob no, txawm tias tom kawg muaj teeb meem zoo sib xws nrog lub ejection feem.
Thiab thaum kawg, ntshav qab zib feem ntau cuam tshuam nrog atrial fibrillation (tseem hu ua atrial fibrillation). Cov kev tshawb fawb tsis ntev los no tau qhia txoj kev sib raug zoo ntawm theem ntawm glycated hemoglobin thiab qhov kev pheej hmoo ntawm kev txhim kho atrial fibrillation.
Yog lawm, kev tswj cov suab thaj theem yog ib qho txiav txim siab ntawm kev kwv yees, thiab tsis yog qhov tseeb ntawm kev kho mob xwb, tab sis kuj tseem xaiv cov tshuaj noj yog qhov tseem ceeb. Cov kws txawj ntseeg tias Metformin cuam tshuam txog kev pheej hmoo mob stroke hauv cov neeg muaj ntshav qab zib.
