Ukuvimbela ukuhlaselwa kwenhliziyo uma une-type 2 yesifo sikashukela
Uma une- type 2 yesifo sikashukela , indlela yokuphila enempilo, kuhlanganise nokudla, ukuzivocavoca nokulawula isisindo yingxenye ebaluleke kakhulu yokwelashwa kwakho. Ungase futhi udinga ukuthatha imithi yomlomo , noma imithi eyodwa noma inhlanganisela yezidakamizwa. Uma uhlobo lwakho lwesifo sikashukela 2 alulawulwa kahle emithini yomlomo, kungase kudingeke uthathe izijovo ze-insulini.
Yazi Izingozi Zakho Ze-ABC
Abantu abaningi abane-type 2 yesifo sikashukela banesifo esiphakeme segazi kanye ne-cholesterol ephezulu.
Ukuhlanganiswa kwalezi zimo kunandisa kakhulu ingozi yokuhlaselwa inhliziyo kanye nokushaya isifo. I-American Heart Association kanye ne-American College of Cardiology batusa ukuthi abantu abane-type 2 yesifo sikashukela bazi ama- ABC abo:
- "A" ye-HgA1c - ukuhlolwa kwegazi okubonisa ukuthi ushukela wegazi lakho lilawulwa kangakanani
- "B" for blood pressure
- "C" ye-cholesterol, ikakhulukazi i-LDL, noma "i-cholesterol" embi
Kanye nemithi yakho yesifo sikashukela (noma ngomlomo kanye / noma i-insulin), ungase futhi udinga ukwelashwa ngenxa yegazi eliphezulu ne-cholesterol ephakeme. Ukuphathwa okunjalo kungasiza ukuvimbela noma ukunciphisa ukuthuthukiswa kwesifo senhliziyo, isifo sohlangothi, nesifo sezinso.
Kodwa okokuqala, Thatha i-Aspirin!
Uma une-type 2 yesifo sikashukela futhi uneminyaka engaphezu kwengu-30, udokotela wakho angancoma ukuthi uthathe i-aspirin nsuku zonke ukuze unciphise ingozi yokuhlaselwa inhliziyo kanye nokushaywa yisifo.
Ngokusho kwe-American Diabetes Association, i-aspirin izosiza ukunciphisa ingozi yesifo senhliziyo kubantu abanesifo sikashukela abanesifo senhliziyo kakade.
Ukwengeza, i-aspirin ingasiza ekunciphiseni ukuhlaselwa kwenhliziyo kubantu abanesifo sikashukela abanesifo esisodwa noma ngaphezulu kwezifo zengqondo ezilandelayo:
- Umlando womndeni wesifo senhliziyo
- Ngaphezulu kweminyaka engu-40
- Ukubhema
- Umfutho wegazi ophezulu
- Ukukhuluphala
- I-cholesterol ephakeme
Nokho, ukuthatha i-aspirin akuyona ingozi. I-aspirini ingabangela ukuphuma kwegazi nesisu ngamathumbu.
Khuluma nodokotela wakho ngaphambi kokusebenzisa i-aspirin ukuqinisekisa ukuthi iphephile kuwe. Udokotela wakho angase ancome ukuthi usebenzise i - aspirin ene-enteric , engase inciphise ingozi yokuphuma kwegazi.
Imithi Yokulawula Ukucindezeleka Kwegazi Eliphezulu Kwabantu abaneSifo Sikashukela
Abaningi, uma kungenjalo abantu abaningi abanesifo sikashukela banomthelela omkhulu noma bazokwakha umfutho wegazi ophezulu.
Ngenxa yokuthi isifo sikashukela kanye negazi eliphezulu lihlobene kakhulu, i-American Diabetes Association kanye ne-American Heart Association igcizelela ukuthi ukulawula ukucindezeleka kwegazi kufanele kube okubaluleke kakhulu njengokulawula ishukela legazi lakho. Lezi zinhlangano zincoma ukuthi abantu abanesifo sikashukela kufanele baphathwe ngemithi uma ingcindezi yegazi ingaphezu kuka 130/80 mmHg.
Ukuze usize ukuphatha ukucindezeleka kwegazi, udokotela wakho angase anikeze i-inhibitor ye-enzyme (ACE) yokuguqula i-angiotensin. Le mithi iyanciphisa ukucindezeleka kwegazi futhi isize ukunciphisa umsebenzi osebenza enhliziyweni yakho. I-ACE inhibitors ingasiza ekunciphiseni ingozi yokuhlaselwa yinhliziyo, ukushaya isifo, nokufa ngaphambi kwesikhathi.
Udokotela wakho angancoma ukuthi uthathe i-ACE inhibitor ngisho noma ungenawo umfutho wegazi ophezulu. Ama-inhibitors e-ACE angasiza ukuvimbela noma ukulibazise ukuqala kwezinkinga zesifo sikashukela ezifana nesifo sezinso, izilonda ezinyaweni, nomonakalo wamehlo.
Izibonelo ze-ACE inhibitors zifaka: (le mithi ivame ukushiwo ngohlobo olujwayelekile )
- I-Benazepril (i-Lotensin)
- I-Captopril (i-Capoten)
- I-Enalapril (i-Vasotec)
- I-Fosinopril (i-Monopril)
- I-Lisinopril (i-Prinivil noma i-Zestril)
- I-Quinapril (i-Accupril)
- I-Ramipril (i-Altace)
- I-Perindopril (Aceon)
- I-Trandolapril (Mavik)
Uma i-ACE inhibitor yakho ingakusizi ukugcina ingcindezi yakho yegazi ingaphansi kuka-130/80 mmHg, udokotela wakho angase futhi anikeze i-thiazide noma i-diuretics efanayo efana ne-chlorothiazide (Diuril), i-hydrochlorothiazide (Hydrodiuril noma i-Esidrix), i-indapamide (i-Lozol), ne-methyclothiazide (I-Enduron).
Uma unemiphumela emibi evela ku-ACE inhibitor, efana nokukhwehlela (okuthinta amaphesenti angu-10 abantu abathatha isisindo se-ACE) noma impendulo yokugula, udokotela wakho angase anikeze iklasi elihlukile lemithi - i-blogger receptor blocker (i-ARB ) - ukusiza ukulawula ukucindezeleka kwegazi.
Izibonelo zama-ARB zifaka: (le mithi ayitholakali ngohlobo olujwayelekile)
- I-Atacand (candesartan)
- I-Avapro (i-irbesartan)
- I-Cozaar (i-losartan)
- I-diovan (i-valsartan)
- I-Micardis (i-telmisartan)
- I-Teveten (eprosartan)
Eziningi ze-ACE inhibitors nama-ARB zitholakala ngokuhambisana ne-diuretic.
Imithi Yokulawula I-High Cholesterol Ne-Diabetes
Uma unesifo sikashukela, ukuthatha imithi yesimo somzimba ukwehlisa i-cholesterol yakho kunganciphisa ingozi yesifo senhliziyo. Eqinisweni, izitembu zinganciphisa ubungozi bokuhlaselwa kwenhliziyo nokushaya isifo ngamaphesenti angaba ngu-30 kubantu abanesifo sikashukela, ngisho nalabo abangenawo amazinga aphezulu "okubi" (LDL) ama-cholesterol noma isifo senhliziyo esivele sikhona.
Umgomo we-cholesterol, ngokwe-American Diabetes Association, yizinga le-LDL cholesterol elingaphansi kuka-100 mg / dl noma izinga le-LDL le-cholesterol elingaphansi kuka-70 mg / dl kubantu abanesifo sikashukela abasengozini enkulu yesifo senhliziyo.
Izibonelo zemithi ye-statin zifaka:
- I-Crestor (i-rosuvastatin)
- I-Lescol (i-fluvastatin)
- I-Lipitor (atorvastatin)
- I-Mevacor (i-lovastatin)
- I-Pravachol (i-pravastatin)
- I-Zocor (i-simvastatin)
Umthombo:
Association of American Diabetes Association. "Amazinga Wokunakekelwa Kwezokwelashwa Esifo Sikashukela 2008" Ukunakekela Isifo Sikashukela 2008 31: S5-S11.