Ntshav qab zib mellitus ntawm yam thib ob thiab thawj hom yog tus kab mob txaus ntshai, uas muaj ntau yam teeb meem ntau nyob rau hauv kev txhim kho ntawm ntau yam kab mob. Ib qho tsis txaus siab ntawm kev mob ntshav qab zib, txhim kho hauv 50% ntawm cov neeg mob, yog myocardial infarction.
Cov neeg muaj mob ntshav qab zib feem ntau muaj lub plawv tawg. Tsis tas li ntawd, insulin dependence tuaj yeem ua rau mob stroke tseem tab tom loj hlob hauv lub hnub nyoog hluas, uas cais cov ntshav qab zib los ntawm tus neeg noj qab haus huv.
Feem ntau, hom 2 mob ntshav qab zib mellitus thiab myocardial infarction yog cov kab mob hnyav heev uas xav tau kev kho mob sai thiab kev soj ntsuam kev noj qab haus huv tas li.
Cov yam ntxwv ntawm lub plawv nres nrog ntshav qab zib ntawm yam thib ob lossis thawj hom muaj raws li nram no:
- nqaim tseem ceeb ntawm cov khoob;
- cov ntshav nce ntxiv nyob rau hauv cov ntshav ntawm cov ntshav, pab mus sau cov roj (cholesterol) rau ntawm cov hlab ntsha;
- kev tsim ntawm atherosclerotic plaques thiab li ntawm.
Cov laj thawj no suav tias yog lub hauv paus tseem ceeb hauv kev txhim kho cov kab mob plawv, i.e. ischemia, arrhythmia, angina pectoris, thiab lub plawv tsis ua haujlwm.
Nws tau tsim muaj tias cov ntshav qab zib ua rau muaj kev hloov pauv tseem ceeb hauv cov ntshav, vim qhov ntawd nws tau txais tuab thiab khov. Hmoov tsis zoo, hauv cov xwm txheej zoo li no, myocardial infarction yuav vam meej ntau yam ntxiv nyuaj.
Nta ntawm cov kab mob ntshav hauv cov ntshav qab zib
Kev tsim cov ntshav txhaws hauv tib neeg cov ntshav ua rau muaj qhov khoob ntawm cov hlab ntsha. Raws li qhov tshwm sim, cov ntshav ncig tau zoo li cuam tshuam, uas ua rau pom qhov pom ntawm tus neeg mob stroke.
Malfunctions tseem tshwm sim nyob rau hauv kev ua haujlwm ntawm lub plawv mob hauv lub plawv, uas ua rau muaj kev pheej hmoo ntau ntxiv, uas yog tus yam ntxwv ntawm myocardial infarction. Qhov kev tshwm sim tsis zoo no feem ntau ua rau neeg tuag taus.
Ua tib zoo mloog! Cov kab mob hauv lub plawv uas nrog ntshav qab zib mellitus yog hu ua cov kab mob ntshav qab zib.
Feem ntau, nrog lub siab zoo ntawm cov piam thaj, lub plawv nqus, myocardium thiab ntshav ntshav mob dhau los ntawm ntshav qab zib. Maj mam, lub siab ua kom loj dua vim yog lub plawv tsis zoo.
Ntxiv rau txhua yam, cov kabmob ntshav qab zib tau ua rau muaj ntshav siab vim tias lawv muaj ntau yam teebmeem (piv txwv, aortic aneurysm yog tsim). Qhov tshwm sim no feem ntau cuam tshuam nrog cov txheej txheem tsim dua tshiab, uas tuaj yeem ua rau tus caws pliav tom qab tawg tas. Yog li, muaj qhov muaj txoj hmoo uas lub plawv mob yuav nraus thiab ib tus neeg yuav tas sim neej.
Ntau cov kev tshawb fawb tau pom tias hauv cov neeg muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2, qhov muaj feem yuav ua rau theem nrab myocardial infarction thiab mob hlab ntsha tawg tau nce siab heev.
Tseem Ceeb! Lub plawv ua haujlwm tsis zoo tshwm sim vim ua haujlwm tsis zoo ntawm systolic.
Tsis tas li ntawd, cov piam thaj hauv qib siab txo qhov kev ua haujlwm ntawm cov metabolism. Nws paub tias nyob hauv ib tus neeg insulin-qhov tseem ceeb, kev txhim kho mob stroke thiab me-focal myocardial infarction tuaj yeem hloov mus rau qhov loj-focal hemorrhage 4 npaug ntau zaus ntau hauv kev sib piv nrog tus neeg noj qab haus huv.
Tsis tas li, angina tshwm sim feem ntau, tshwm sim los ntawm qhov mob hauv siab hauv siab. Yog tias pom tias tsawg tshaj "cov tsos mob plawv", ces tus kws kho mob sau ib daim ntawv hla thiab stenting ntawm cov hlab ntsha.
Asymptomatic plawv nres cim thiab qib kev pheej hmoo
Qhov zoo siab, tus neeg mob ntshav qab zib tsis hnov mob hauv plawv. Qhov tseeb yog tias hom 1 thiab ntshav qab zib hom 2 txo qis lub siab ntawm cov nqaij hauv. Yog li, cov neeg mob yuav tsis hnov mob hnyav.
Txawm li cas los xij, thaum tsis muaj kev saib xyuas uas tsim nyog, tus neeg mob yuav ua txhua yam kev mob uas cuam tshuam tsis zoo rau lub cev xwb, tab sis kuj ua rau muaj kev nyuaj siab thiab.
Tseem Ceeb! Yog tias tsis kho, yuav muaj tus mob lub plawv.
Yog li, tom qab kuaj pom tus mob ntshav qab zib hom 2, tus neeg mob yuav tsum soj ntsuam nws tus mob, ua tib zoo saib xyuas tus kab mob, thiaj li ua rau nws txoj sia nyob ntev.
Cov pab pawg muaj kev pheej hmoo
Yuav tsum muaj, cov neeg muaj mob xws li mob ntshav qab zib mellitus thiab myocardial infarction poob rau hauv cov kev pheej hmoo, tshwj xeeb tshaj yog tias lawv yog los ntawm ib tus txheeb ze (hauv cov txiv neej hnub nyoog 65 thiab muab yug rau cov poj niam hnub nyoog 55).
Arterial hypertension thiab ntshav tawg ntshav hlab ntsha tawg, uas tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub plawv. Thiab kev muaj yees xws li haus luam yeeb nws yuav muaj teeb meem txog hlab ntsha hlwb thiab plawv dhia ob npaug. Ntxiv mus, nicotine thiab cov pa luam yeeb ua rau cuam tshuam sai sai ntawm cov kab mob vascular.
Kev hnyav dhau (lub duav thoob plaws hauv cov txiv neej ntau tshaj 100 cm, hauv cov poj niam ntau dua 90) qhia cov roj (cholesterol) tsis zoo, ua rau muaj kev pheej hmoo ntawm cov leeg plua plav thiab qhia tias muaj kev txhaws hauv cov hlab ntsha cov leeg ntshav.
Txog rau cov roj (cholesterol), nws tus lej siab txhawb kev tsim kho lub plawv mob, tab sis qib qis qis kuj tseem cuam tshuam rau lub plawv thiab cov hlab ntshav. Yog li, cov roj (cholesterol) yuav tsum ua raws li tus cai, thiab nws tuaj yeem tswj tau siv cov cuab yeej tshwj xeeb los ntsuas ntsuas cov roj (cholesterol).
Tsis tas li ntawd, qhov ua rau ntawm myocardial infarction tej zaum yuav muaj cov ntsiab lus ntawm adipose nqaij hauv lub cev.
Los ntawm cov txheej txheem dhau los, nws tau hais tias tom qab kuaj xyuas thiab tsim qhov ua rau ntawm ib qho ntawm cov mob uas tau hais tseg, tus neeg yuav tsum tau muaj kev kho mob, ntawm cov khoom noj tseem ceeb coj qhov chaw tseem ceeb.
Kev Tiv Thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm myocardial infarction thiab mob stroke, nws yog qhov yuav tsum tau ua ntu zus los ua ntau yam haujlwm, uas suav nrog:
- Saib xyuas ntshav qab zib. Txog kev tswj hwm, siv cov cuab yeej tshwj xeeb thiab cov lus qhia txog kev noj suab thaj.
- Kev ua tib zoo saib xyuas hauv kev tswj cov cholesterol, cov zaub mov tshwj xeeb yuav pab tau.
- Txheeb xyuas cov kab mob endocrinologist thiab kws phais plawv ua ib qhov systematic system.
- Kev noj haus tshwj xeeb. Ntau nyob ntawm cov khoom noj khoom haus, vim tias kev noj zaub mov zoo thiab kev noj zaub mov nruj kom pab tiv thaiv kev txhim kho ntawm ntau yam tsis kaj siab.
- Ntsuas ntsuas ntsuas ntshav nruam.
- So kom txaus thiab noj qab haus huv pw tsaug zog.
- Kev noj haus kom yog, lub hauv paus ntawm uas yog qhov tsawg kawg nkaus kom tsawg ntawm cov khoom noj carbohydrate.
- Kev tso dej caw thiab haus luam yeeb. Cov kws kho mob tau hais tias kev kho mob tsis tuaj yeem ua tiav yog tias ib tug neeg tsis tau tshem tawm ntawm kev quav, uas, ntxiv rau txhua yam, tuaj yeem ua rau mob stroke.
- Ua raws li txoj kev ua neej kom raug, nws cov khoom siv sib xyaw - kev noj haus thiab kev siv lub cev.
- Noj ntau yam tshuaj uas kws kho mob sau ntawv thiab txhawb nqa txoj kev kho raws li kev kho mob pej xeem.
Cov hau kev kho
Tom qab muaj kev pheej hmoo ntawm myocardial infarction tau txheeb pom nyob hauv hom 2 mob ntshav qab zib mellitus, koj yuav tsum mus ntsib tus kws kho plawv thiab endocrinologist los khaws cov lus pom zoo los ntawm cov kws tshwj xeeb. Ntxiv mus, tus neeg mob yuav tsum tau kuaj mob ntau theem, thiab tom qab ntawd kov yeej txoj kev kho tshwj xeeb.
Tom qab ua tib zoo tshawb xyuas, koj tuaj yeem npaj mus rau txoj hauv kev nyuaj. Txoj kev kho mob zoo tshaj plaws yog angioplasty thiab stenting. Cov hau kev no ua tau ntau dua li qhov kev ua haujlwm thrombolytic li ib txwm muaj.
Cov kev kho niaj hnub txo qhov ua rau qhov mob stroke thiab myocardial infarction, uas txhais tau hais tias kev pheej hmoo ntawm kev tuag kuj txo.
Ua tib zoo mloog! Txoj kev noj haus nruj thiab nruj tshaj plaws yog kho los ntawm tus kws kho mob tsuas yog rau cov neeg mob uas muaj kev pheej hmoo siab tshaj plaws. Raws li txoj cai, xws li kev kho mob yog kev kho hluav taws xob, ua ke nrog kev kho tshuaj.
Kev noj haus tshwj xeeb
Kev kuaj mob ntshav qab zib ntawm ob thiab hom thib ib ua rau muaj ntau yam tshwm sim ntxiv. Yog li, tus kws kho mob sau ntawv noj cov zaub mov kom zoo thiab xoo hluav taws xob phais kom rov nco cov hlab ntshav. Hom no tau siv tom qab 12 teev txij li pib stenting.
Txog qhov ua tau zoo ntawm kev kho mob yuav luag txhua yam kabmob, piv txwv, txhawm rau tiv thaiv kom txhob mob stroke, noj zaub mov tshwj xeeb yog kho rau tus neeg mob. Qhov no yog qhov tseem ceeb tshaj plaws, vim tias muaj peev xwm xaiv cov tais diav thiab cov khoom lag luam thiab ua raws cov qauv tseeb ntawm kev nkag mus ua kom lub cev muaj zog nrog lub zog, cov khoom siv tsim nyog thiab cov vitamins.
Hauv qhov no, nws yog ib qho tseem ceeb uas kev noj haus yog ua los tiv thaiv myocardial infarction thiab mob ntshav qab zib hauv ntshav qab zib ntawm ntau yam, raug pom zoo nrog tus kws kho mob mus kawm. Tom qab txhua tus, tsuas yog tus kws kho mob lossis tus kws qhia noj zaub mov hauv tsev tuaj yeem qhia kom muaj qhov sib luag thiab noj zaub mov zoo rau tus neeg mob.
