Ukukhusela intliziyo yesifo xa unesifo seswekile 2
Ukuba unesifo sikashukela se-2 , indlela yokuphila enempilo, kuquka nokutya, ukuzivocavoca kunye nokulawula ukunyusa, kuyinto ebaluleke kakhulu kunyango lwakho. Kwakhona unokufuna ukuthatha imithi yomlomo , nokuba isicatshulwa esinye okanye udibaniso lwamachiza. Ukuba uhlobo lwakho lwesifo sikashukela se-2 alulawulwa kakuhle kumachiza omlomo, ungadinga ukuba uthathe iisilini ze-insulin.
Yazi Izinto zakho zeengozi ze-ABC
Abantu abaninzi abanesifo sikashukela se-2 nabo banomfutho ophezulu wegazi kunye ne-cholesterol ephezulu.
Ukudibaniswa kwezi meko kukhulisa kakhulu umngcipheko wokuhlaselwa kwintliziyo kunye nesifo. I-American Heart Association kunye ne-American College of Cardiology batusa ukuba abantu abanesifo sikashukela se-2 bazi i- ABC yabo:
- "A" yeHgA1c - uvavanyo lwegazi olubonisa indlela isetyhi yegazi elawulwa ngayo
- "B" yexinzelelo lwegazi
- "C" ye-cholesterol, ingakumbi i-LDL, okanye "i-cholesterol" embi
Kanye kunye nesifo sakho sikashukela (mhlawumbi ngomlomo kunye / okanye i-insulin), usenokufuneka uphathwe ngegazi eliphezulu kunye ne-cholesterol ephezulu. Unyango olunjalo lunokukunceda ukukhusela okanye ukucotha ukuphuhliswa kwesifo senhliziyo, isifo sesifo kunye nesifo sesifo.
Kodwa Okokuqala, Thatha i-Aspirin!
Ukuba unesifo seswekile 2 kwaye uneminyaka engaphezu kwama-30, ugqirha wakho unokuncoma ukuba uthathe i-aspirin imihla ngemihla ukunciphisa umngcipheko wokuhlaselwa kwintliziyo kunye nesifo.
Ngokwe-American Diabetes Association, i-aspirin iya kunceda ukunciphisa umngcipheko wesifo senhliziyo kubantu abanesifo sikashukela esele bahlaselwa yintliziyo.
Ukongezelela, i-aspirin inokukunceda ukunciphisa ukuhlasela kwentliziyo kubantu abanesifo sikashukela abanomnye okanye ngaphezulu kwezi zifo zesifo sengqondo:
- Imbali yentsapho yesifo senhliziyo
- Ngaphezulu kweminyaka engama-40
- Umtshayi
- Igazi elonyukayo
- Ukunyanya
- Cholesterol ephezulu
Nangona kunjalo, ukuthatha i-aspirin ayikho ingozi. I-Aspirin ingabangela ukuba isisu kunye nokuphuma kwamathumbu emathumbu.
Thetha nodokotela wakho ngaphambi kokuba usebenzisa i-aspirin ukuqinisekisa ukuba ukhuselekile. Ugqirha wakho unokuncoma ukuba usebenzise i - aspirin ene-enteric , enganciphisa umngcipheko wokulapha.
Amachiza okuLawula uxinzelelo lwegazi oluphezulu kubantu abaneSifo sikashukela
Uninzi, ukuba ngaba abaninzi abantu abanesifo sikashukela banokufumana okanye baya kuphuhlisa uxinzelelo lwegazi.
Ngenxa yokuba isifo sikashukela kunye negazi eliphezulu lidibanisene kakhulu, uMbutho waseMelika waseSyibetes kunye ne-American Heart Association igcizelela ukuba ukulawula uxinzelelo lwegazi kufuneka kube yinto ephambili ekulawuleni iswekile yegazi. Le mibutho igunyaza ukuba abantu abaneesifo sikashukela kufuneka baphathwe ngamachiza ukuba uxinzelelo lwegazi luphezulu kwe-130/80 mmHg.
Ukuncedisa ukulawula uxinzelelo lwegazi, ugqirha wakho unokumisela i-enzyme (ACE) inhibitor yokuguqula i-angiotensin. La mayeza ayanciphisa uxinzelelo lwegazi kwaye uncede ukhulule umthwalo womsebenzi entliziyweni yakho. I-ACE inhibitors inokunceda ukunciphisa umngcipheko wokuhlaselwa kwentliziyo, ukuphazamiseka, nokufa kwangaphambili.
Ugqirha wakho unokucetyiswa ukuba uthathe i-ACE inhibitor nokuba ungexinzelelo lwegazi eliphezulu. I-ACE inhibitors inokukunceda ukuthintela okanye ukulibaziseka ukuqala kweengxaki zesifo sikashukela ezifana nesifo sesifo, izilonda zamanyathelo kunye nomonakalo wamehlo.
Imizekelo ye-ACE inhibitors iquka: (le mayeza aqhelekiweyo kwi- generic version)
- Benazepril (uLotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Fosinopril (Monopril)
- Lisinopril (Prinivil okanye iZestril)
- Quinapril (Accupril)
- Ramipril (Altace)
- Perindopril (Aceon)
- ITrandolapril (Mavik)
Ukuba i-ACE yakho inhibitor ayinakunceda ukugcina uxinzelelo lwegazi ngaphantsi kwama-130/80 mmHg, ugqirha wakho unokumisela i-thiazide okanye i-diuretics efana ne-chlorothiazide (Diuril), i-hydrochlorothiazide (i-Hydrodiuril okanye i-Esidrix), i-indapamide (iLoolol) kunye ne-methyclothiazide (Enduron).
Ukuba unemiphumo emibi evela kwi-ACE inhibitor, efana nokukhwehlela (okuchaphazela malunga neepesenti ezili-10 zabantu abathatha i-ACE inhibitor) okanye isenzo esilungeleleneyo, ugqirha wakho unokumisela iklasi elithile leyeza-i-angiotensin blocker receptor (ARB ) - ukunceda ukulawula uxinzelelo lwegazi.
Imizekelo yee-ARB ziquka: (la mayeza awafumaneki kwinguqu ye-generic)
- Atacand (candesartan)
- Avapro (irbesartan)
- Cozaar (losartan)
- Diovan (valsartan)
- Micardis (telmisartan)
- Teveten (eprosartan)
Uninzi lwe-ACE inhibitors kunye nee-ARB ziyafumaneka ngokudibanisa ne-diuretic.
Imithi yokuLawula i-Cholesterol ephezulu kunye nesifo sikashukela
Ukuba unesifo sikashukela, ukuthatha imithi ye-statin ukunciphisa i-cholesterol yakho kunokunciphisa ingozi yesifo senhliziyo. Enyanisweni, ama-statins anganciphisa umngcipheko wokuhlaselwa kwintliziyo kunye nokushaywa ngxabano ngamaphesenti angama-30 kubantu abanesifo sikashukela, nangabo abanalo "iindawo ezimbi" (LDL) ze-cholesterol okanye izifo zentliziyo ekhoyo.
Injongo ye-cholesterol, ngokwe-American Diabetes Association, iyinqanaba le-cholesterol ye-LDL ngaphantsi kwe-100 mg / dl okanye i-LDL inqanaba le-cholesterol elingaphantsi kwama-70 mg / dl kubantu abanesifo sikashukela esichengeni segazi.
Imizekelo yemichiza yomhlathi iquka:
- Crestor (rosuvastatin)
- Lescol (i-fluvastatin)
- Lipitor (atorvastatin)
- Mevacor (lovastatin)
- Pravachol (pravastatin)
- Zocor (simvastatin)
Umthombo:
Umbutho weSwekile waseMelika. "Imigangatho yoKhathalelo lwezoNyango kwiSifo sikashukela 2008" Ukunyamekela ngoshukela ka- 2008 31: S5-S11.