Kupewa matenda ashuga mwa akazi

Matenda a shuga ndi matenda osachiritsika omwe amalumikizidwa ndi kusowa kwa kapamba wa insulin kapena kuperewera kwa ziwopsezo za zotumphukira ku zochita za mahomoni. Zotsatira zake, kuwonjezeka kwa shuga m'magazi ndi kukulira kwa zizindikiro zonse zokhudzana.

Chithandizo cha matenda ngati awa chimakhala chotalikirana kwa moyo wonse ndipo zimafuna ndalama zambiri. M'dziko lamakono la kufalitsa mwachangu chidziwitso chilichonse, anthu akuyesetsa kuteteza matenda asanayambike. Chifukwa chake, nthawi zambiri mumakina osakira mumalowamo mafunso: mankhwala othandizira kupewa matenda ashuga.

Pali mitundu ingapo yamankhwala abwino omwe angapewe kuwoneka ngati matendawa, koma zinthu zoyamba.

Njira zopewera matenda ashuga

Musanapite ku mankhwala osokoneza bongo ndikusunga mapiritsi osiyanasiyana ndi zakudya zowonjezera, ndikofunikira kupenda njira zopanda mankhwala.

Wothandiza kwambiri popewa kuthamanga kwa magazi ndi njira yoyenera, yomwe imaphatikizapo izi:

1. Zakudya zoyenera komanso zopatsa thanzi. Chemistry yocheperako - zipatso ndi amadyera ambiri. Ndikofunikira kusinthitsa kumwa kwa chokoleti, zakumwa zoledzeretsa ndi mankhwala omwe angotuluka kumene "goodies". Kudya nthawi 5-6 patsiku m'magawo ogawana.
2. Zochita za tsiku ndi tsiku. Zotsatira zabwino, munthu aliyense ayenera kuyenda osachepera 3 km patsiku. Ndizothandiza osati pancreas, komanso mtima ndi mapapu.
3. Kupewa kupsinjika. Mwinanso chimodzi mwazinthu zovuta kwambiri masiku ano. Komabe, ndi bwino kupewa zinthu zosafunikira zoyenera.
4. Kuyang'anira kuchuluka kwa shuga mthupi. Ndikofunika kuyezetsa magazi pafupipafupi kamodzi pachaka kuti muwonetsetse kulolera kwa glucose.

Njira zonsezi ndi zabwino kwa anthu athanzi, koma muyenera kuchita chiyani ngati wodwala ali ndi matenda omwe amadziwika kuti ndi shuga - omwe ali ndi shuga kwambiri, koma osakwanira kunena matenda? Apa ndipomwe mankhwala oletsa matenda ashuga ayenera kuyambira.

Mankhwala Oletsa Kuteteza Matenda a shuga

Pakadali pano, pali mitundu itatu ikuluikulu ya mankhwala omwe awonetsa zotsatira zabwino poletsa kusintha kwa boma lamalire kukhala matenda owona.

Izi ndi:

Zonsezi zitha kulimbikitsidwa kwa anthu omwe ali ndi kulolera kwakukulu kwa glucose. Kuwongolera kwawo ndikosayenera ngati palibe kuchuluka kwa shuga m'magazi komanso zinthu zomwe zingawonongeke.

Metformin ndi mankhwala othandizira odwala omwe ali m'gulu la Biguanides. Chochita chake chachikulu ndikuchepetsa kaphatikizidwe ka ATP mkati mwa mitochondria, kutseguka kwa glycogeneis, komwe kumapangitsa kuti mamolekyu am'magazi azituluka kuchokera m'magazi kupita mu minofu.

Mankhwalawa amagwiritsidwa ntchito ngati maziko othandizira odwala omwe ali ndi matenda a shuga 2 ndipo adziwonetsa ngati njira yoletsa kukula kwa matendawa komanso zovuta zake.

Iye ndi mtsogoleri pakati pa mankhwalawa. Pambuyo pa maphunziro apakhomo, zinali zotheka kudziwa kuti mu 34% ya odwala omwe ali ndi vuto lotenga matendawa, zidalepheretsa kukula kwa kupitirira kwa njira ya pathological. Komabe, tikulimbikitsidwa kuphatikiza kugwiritsa ntchito kwake ndikusinthidwa kwa moyo ndikutsatira zakudya zoyenera.

Mlingo watsiku ndi tsiku wopewa ndi 1000 mg. Mwanjira ya mapiritsi a 500 mg, mankhwalawa amayenera kumwa kawiri patsiku mutatha kudya. Palibe chifukwa chomwe mungadziphunzirire nokha chida ichi. Onetsetsani kuti mukumana ndi dokotala musanayambe kugwiritsa ntchito.

Zotsatira zoyipa:

• Kutha kwa njala, nseru, kusanza, kutsegula m'mimba,
• Kufooka kwathunthu, chizungulire,
• Kukula kwa megaloblastic anemia (osowa kwambiri).

Zoyipa:

• Wodwala mpaka zaka 15
• Myocardial infaration
• Matenda a shuga
• Thupi lawo siligwirizana ndi zigawo za mankhwala,
• Kulephera kwakukulu kwaimpso
• Matenda opatsirana owopsa
• Mowa

Woimira wachiwiri wa kupewa mankhwalawa ndi Xenical.

Awa ndi mankhwala a lipid-ochepetsa omwe amachepetsa kugaya chakudya kwamafuta m'mimba. Popewa kukula kwa matenda ashuga, ndikofunika kwa anthu omwe ali ndi kunenepa kwambiri.

Lingaliro logwiritsa ntchito mankhwalawa ndikuchepetsa kuchuluka kwa mafuta a wodwala, potero kumakulitsa chidwi cha zotumphukira za insulin. Imagwiritsidwa ntchito kwambiri kuposa Metformin, koma imawonjezera mphamvu pamtima, chifukwa cha kuchepa kwa mafuta m'thupi.

Ikani kapisozi 1 (120 mg) katatu patsiku pakamwa. Njira yamankhwala imakhazikitsidwa ndi adokotala, nthawi zambiri - masiku 21.

Zotsatira zoyipa:

• Flatulence, madzi am'madzi chopondapo, kusachedwa kwamatumbo
• Kuyabwa, zotupa zamtundu wa uritisaria,
• Ululu m'mano, mano,
• Ululu mu rectum.

Zoyipa:

• Matenda a malabsorption,
• Cholestasis
• Hypersensitivity pamagawo a mankhwala.

Kupewera kwa matenda ashuga ophatikizira mankhwala akuphatikizanso kugwiritsa ntchito acarbose. Ndi mankhwala ochepetsa glucosidase enzyme inhibitor. Kuchita kwake ndikufuna kuchepetsa kuthana kwa chakudya cham'mimba m'matumbo a lumen, komanso chifukwa chotsitsa shuga m'magazi.

Amapezeka m'mapiritsi a 50 mg. Tsiku mlingo wa 150 mg. Mankhwalawa amayenera kumwa katatu patsiku, piritsi limodzi mphindi 20 asanadye, ndi madzi. Kutalika kwa nthawi yogwiritsira ntchito kuyenera kuvomerezana ndi dokotala ndipo kuyenera kuchitika molingana ndi zakudya komanso machitidwe olimbitsa thupi.

Zotsatira zoyipa:

• Kusanza, kusanza, kutsekula m'mimba,
• Ululu pamimba ndi thumbo,
• Zotupa za Urticaria,

Zoyipa:

• Kusagwirizana ndi zigawo za mankhwala,
• Matenda aakulu matumbo,
• Chizolowezi chowonjezereka cha kupangidwa kwa mpweya.

Oyimira awiri omaliza a mankhwalawa sagwiritsidwa ntchito kwenikweni kuti ateteze matendawa, koma khalani njira yothandizira yamankhwala. Kukonzekera kupewa matenda ashuga kumayenera kuchitika nthawi zonse molumikizana ndi zakudya komanso zolimbitsa thupi, chifukwa zotsatira zake zimakhala zoipa kwambiri.

Kupewera kwa matenda ashuga mwa akazi: momwe mungapewere kuyambika kwa matendawa?

Pazachipatala, matenda a shuga ndi matenda a autoimmune. Pakupanga matendawa, kusokonezeka kwa kagayidwe kazakudya kumachitika, zomwe zimapangitsa kuti magazi azikhala ndi magazi. Chifukwa chachikulu chomwe chitukuko cha matendawa chimayambira ndikuchepa kwa timadzi - insulin. Chifukwa chake, kupewa matenda ashuga mwa akazi ndi gawo lofunikira la mankhwalawa.

Masiku ano ma endocrinologists komanso akatswiri odziwa za matenda amtundu wa kuchipatala amanenanso kuti ndizosatheka kuchiza matenda ashuga. Njira yayikulu ndiyo njira zodzitetezera tsiku ndi tsiku kuti musunge shuga wambiri panthawi yovomerezeka. Komabe, ngakhale kuwongolera mwamphamvu sikuti kumatsimikiziranso kuti mudzayambiranso.

Musanayambe kulankhula zopseza kuchuluka kwa shuga ndi momwe mungapewere kuchuluka kwa shuga m'magazi, muyenera kudziwa mtundu wa matenda ashuga. Pokhapokha pofufuza, endocrinologist ndi gastroenterologist amasankha mankhwala, kupereka zakudya.

Mitundu ya matenda ashuga

M'malo azachipatala, pali mitundu iwiri ya matenda omwe amasiyanitsidwa ndi njira zopewera, njira zochiritsira komanso kukonza zakudya.

Mtundu woyamba wa matenda a shuga 1 ndi dzina lachiwiri - wodalira insulin. Mukapanga matenda, endocrinologist ikuuzani kuti kusowa kwa insulin, komwe kumapangidwa ndi kapamba, kumalipidwa ndi mankhwala osokoneza bongo. Monga lamulo, mtundu uwu wa matenda ashuga nthawi zambiri umadziwonekera ubwana kapena unyamata. Milandu yomwe imayambitsa matendawa mpaka zaka 30 (mosasamala kanthu za jenda ndi mayiko) sikuti sawerengedwa.

Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri amatchedwa insulin-odziyimira pawokha pazachipatala. Monga lamulo, matendawa amapezeka zaka 40 ... zaka 45. Matendawa amatanthauza kuti insulin yokwanira imapangidwa m'thupi, koma chiwindi ndi zofewa zimakhala nazo.

Chizindikiro chimodzi cha matenda amtunduwu ndi onenepa kwambiri. Malinga ndi ziwerengero, chitukuko cha matenda ashuga mwa azimayi onenepa kwambiri nthawi zambiri chimakwera kwambiri poyerekeza ndi chiwerengero cha amuna.

Matenda a shuga mwa akazi amatha kukhala ndi chidwi chotukula panthawi yomwe akuyembekezera mwana. Pankhaniyi, kuopseza kumabweretsa thanzi la mayi ndi mwana. Nthawi zambiri, kubadwa kwa mwana kumakhudza bwino kukula kwa matendawa komanso matenda a shuga amayamba. Pocheperapo, iye amapita ku mtundu wachiwiri.

Zizindikiro za matenda a shuga

Pa intaneti, mutha kupeza zizindikilo zoyambirira, "mabelu" oopsa, ndikunena za matendawa. Tikhulupirira kuti sichingakhale cholakwa kubwerezanso izi:

1. ludzu losalekeza
2. kukodza pafupipafupi kuposa masiku onse
3. kutopa popanda chifukwa,
4. kuwonongeka kowoneka,
5. kuwonda / kupindula
6. chilonda chachitali
7. kuyang'anitsitsa pakhungu.

Pomaliza

Kupewera kwa matenda ashuga mwa azimayi amtundu wachiwiri kumatanthauza kuwongolera kokhazikika, kolimba komanso momveka bwino panthawi ya zakudya, kukonza thupi. Ngati mukuwona kuti kulemera kukuwonjezereka, ndiye kuti muyenera kufunsa dokotala wa endocrinologist mwachangu ndikusintha zakudya. Pankhaniyi, ntchito zamagalimoto ziyenera kuchuluka.

Osapereka katundu wochita masewera. Komabe, muyenera kutsatira zolimbitsa thupi. Chochitika choterechi ndi yankho labwino kwambiri kupewa popewa kuchita zinthu zolimbitsa thupi.

• Momwe mungapewere matenda ashuga: ndizofunika kuchita ndi kuchitanji?

Masiku ano, ambiri akuyesera kuphunzira momwe angapewere matenda a shuga kudzera pazomwe amachita.

Tsoka ilo, anthu satenga nthawi zonse kupewa matenda a shuga, ndipo.

Kafukufuku akuwonetsa kuti padziko lonse lapansi, anthu 7 miliyoni amapeza shuga pachaka.

Kuyika kwa zinthu kuchokera ku intaneti pa intaneti ndikotheka ndi ulalo wammbuyo ku portal.

Kupewera kwa matenda ashuga mwa amayi: ndimankhwala ndi mapiritsi ati omwe amwe?

Matenda a shuga ndi matenda osachiritsika omwe amachitika chifukwa cha kuperewera kwa ma bullets a Lagrange mu kapamba, ntchito yomwe ndi kuphatikiza kwa insulin kapena kupezeka kwa kusazindikira kwa zotumphukira za minofu ya minofu kuzinthu zomwe zimapangitsa timadzi timene timayambitsa. Omwe atengeka kwambiri ndi matendawa ndi azimayi.

Izi zimachitika chifukwa azimayi, chifukwa cha zolimbitsa thupi, amatha kuzala. Kukhala wonenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matenda ashuga. Kufala kwambiri kwamatendawa kumafunikira njira zodzitetezera kupewa matendawa.

Kupewera kwa matenda ashuga mwa azimayi kumaphatikizanso zinthu zomwe zingathandize kuti thupi likhale lolimba, kusinthasintha mphamvu ya mahomoni m'thupi ndi kukonza njira zopangira kagayidwe kachakudya m'thupi.

Matenda a shuga mthupi la mkazi amakula mitundu iwiri:

• mtundu 1 wodwala matenda a shuga
• osadalira insulin 2 shuga mellitus.

Kupewa kwa mitundu yoyamba ndi yachiwiri ya matenda ashuga

Matenda a shuga a Type 1 sangapewe. Kukula kwamatenda amtunduwu sikungalephereke ngakhale mankhwala apadera atagwiritsidwa ntchito kupewa matenda ashuga.

Zomwe zimayambitsa izi ndi chikhalidwe cha makolo omwe akudwala. Tiyenera kukumbukira kuti matenda ashuga amtundu 1 amabadwa.

Pofuna kuchepetsa kuthana ndi matenda ashuga, chitetezo chamthupi chiyenera kulimbikitsidwa ndipo matenda osiyanasiyana opatsirana ayenera kupewa.

Kukula kwa matenda ashuga amtundu wa 2 m'thupi kungayambitsidwe ndi kutenga pakati, komwe kuphulika kwa mahomoni kumachitika. Komabe, pakukhudzidwa kwa magazi, kuchuluka kwa mahomoni omwe amachititsa kuti shuga yolekerera iwaleke kumachitika kawirikawiri.

Nthawi zambiri, kukula kwa matenda ashuga a mtundu 2 kumawonedwa mwa amayi omwe ali onenepa kwambiri. Pokonzekera njira zodzitetezera, mudzafunika kuyang'anira kudya zakudya zabwino, kumwa mankhwala omwe adokotala akupitilizani komanso kukhala ndi moyo wathanzi.

Nthawi zambiri, matenda a shuga a mtundu wachiwiri sangathe kupewa, komanso kugonjetsedwa ngakhale pakakumana ndi munthu mwa chidaliro chonse.

Zakudya za akazi omwe ali ndi matenda ashuga

Zakudya za anthu odwala matenda ashuga ndi zomwe njira zomwe njira zake zodzitetezera sizingatulutsire zotsatira. Ndikofunika kwambiri kutsatira zakudya ngati mzimayi ali ndi vuto lotengera kunenepa kwambiri. Ndi njira yoyenera yopangira zakudya, simungungokhala ndi thupi zolimbitsa thupi moyenera, komanso muzingodya zabwino. Zakudya zotere zimateteza thupi la mkazi osati matenda ashuga okha, komanso matenda ena ambiri.

Njira yabwino ndi chakudya chamafuta. Izi zimafuna chakudya cha tsiku ndi tsiku chomwe chimagawidwa mu chakudya chambiri cha 5-6 patsiku.

Choyamba, popanga zakudya, muyenera kusiya kugwiritsa ntchito zopangira mafuta am'mimba zomwe zimapezeka mosavuta. Zinthu zomwe zimakhala ndi zakudya izi zimaphatikizamo maswiti osiyanasiyana, zinthu zophika, shuga, mowa, Zakumwa, masamba ndi zipatso. Mutha kudya zakudya zapamwamba zopanda shuga

Zakudya za mkazi ziyenera kuphatikizapo zakudya zopatsa thanzi monga:

• mbewu monga chimanga - barele, barele ndi oatmeal,
• masamba atsopano ndi zipatso kuchokera pa mndandanda wa shuga wololedwa
• nyemba zophika, udzu winawake, sauerkraut.

Ndikulimbikitsidwa kuchepetsa kuchuluka kwa nthochi ndi mphesa. Pofuna kuti musapereke katundu wowonjezera pamankhwala osokoneza bongo komanso osasokoneza magwiridwe ake, muyenera kukana kugwiritsa ntchito zakudya yokazinga ndi zonunkhira komanso zakudya zamchere.

Ndikulimbikitsidwa kuti musinthe tiyi wopanda mkaka kuti ukhale wonyezimira wobiriwira, ndi khofi kukhala chicory. Muyenera kusiyiratu kugwiritsa ntchito shuga kapena kusinthanitsa ndi wokoma.

Pofuna kukhala ndi moyo wathanzi komanso osayambitsa kupezeka kwamavuto pantchito kapamba, tikulimbikitsidwa kuti azimayi asiye kusuta ndikuledzera. Pakukhalabe ndi moyo wathanzi, munthu sayenera kuyiwala za kuchuluka kwa madzi mthupi.

Amayenera kumwa madzi osachepera 250 ml tsiku lililonse pamimba yopanda kanthu m'mawa komanso monga chakudya chisanachitike.

Momwe Mungapewere Matenda a shuga - Njira Yopewera

Matenda a shuga masiku ano ndivuto lalikulu kwambiri padziko lonse lapansi. Tsoka ilo, matendawa amasungabe kukula kwake chifukwa cha moyo wotsika, anthu ambiri amafa chifukwa cha zovuta komanso kulumala koyambirira.

Kupewa matenda a shuga sikuti kumangoyambika mopepuka, ndipo pachabe, chifukwa chifukwa cha izi, mutha kupewa matendawa.

Zoyambira pakuletsa matenda ashuga mwa amuna ndi akazi

Matenda a shuga amatha kukhala m'modzi wa ife, ngakhale atakhala kuti ndi amuna kapena akazi. Komabe, zimadziwika kuti mwa amayi, matenda a shuga amapezeka pafupipafupi.

Kupewera kwamtunduwu kumapangitsa kupewa matenda obwera chifukwa cha matenda ashuga, ndikupita nthawi yayitali kuti athetse zodwala zonse.

Muyenera kumvetsetsa kuti ndi matenda amtundu woyamba 1 izi sizotheka, palibe mankhwala omwe angakuthandizeni. Zonsezi ndi zam'badwo.Mutha kuchepetsa zovuta za matendawa polimbitsa chitetezo chokwanira ndikuyesetsa kupewa matenda opatsirana ngati nkotheka.

Kupewa kwa matenda ashuga amtundu wa 2 kumatengera zakudya. Mkhalidwe wake waukulu ndi kuchepa kwa chakudya chamafuta. Kutsatira zakudya ndikofunikira kwambiri kwa anthu omwe amakonda kunenepa kwambiri. Izi zikugwira ntchito kwa amayi ndi abambo. Zakudya zosankhidwa bwino sizingokulitsa thupi, komanso kukupatsani zakudya zabwino.

Chifukwa chake, timachotsa zakudya kuchokera ku:

Timabweza chakudya:

Ndipo, chabwino, yesani kusiya kusuta fodya ndi mowa. Mfundo yofunika kwambiri pachakudya ndi kuchuluka kwa madzi. Pangani ngati lamulo kumwa chakumwa cham'mawa m'mawa. Ndipo kuchuluka komweko musanadye chilichonse.

Mkhalidwe wofunikira kwambiri pakupewa koyambirira: malingaliro abwino okhudzana ndi malingaliro. Khalani okoma mtima ndi kumwetulira nthawi zambiri.

Kukhala kothandiza kwambiri kuyamba kudya pang'ono. Idyani nthawi 5-6 patsiku, koma pang'onopang'ono. Zonsezi pamwambapa sizikumveka ngati munthuyo sanaphunzitsidwe bwino.

Nthawi zonse patsani thupi lanu, ngakhale laling'ono: yendani kwambiri, pitani ku dziwe, Chitani masewera olimbitsa thupi. Ngati wodwala ali pachiwopsezo cha matenda ashuga, ayenera kupimidwa pafupipafupi.

Poterepa, ntchito yayikulu ndikuthana ndi zovuta zomwe zilipo za matenda ashuga. Izi zikutanthauza kuti munthu akhala akuvutika ndi matenda a shuga kwa nthawi yayitali. Maziko ndikuwongolera shuga. Izi zitha kuchitika mosadalira ndi glucometer, ndipo ngati ndi kotheka, tengani insulini pa mlingo woyenera ndi dokotala.

Kupewa kwachiwiri kumatsimikiziridwa ndi mtundu wa zovuta:

Chifukwa chake, kupewa kwachiwiri kwa matenda ashuga a mitundu yonseyi ndi ofanana ndipo kumakhala ndi cholinga chimodzi - kusunga shuga mkati mwazotheka. Pokhapokha ngati izi zitatha kuyimitsidwa kwamavuto.

Prophylaxis imayang'aniridwa kuti izisungitsa nthawi yayitali beta-cell ntchito yake yachinsinsi. Izi zikugwira ntchito kwa odwala omwe ali ndi matenda ashuga.

Ndi njira ziti zomwe zikuyenera kuchitika kuti munthu asadwale?

Mkhalidwe waukulu ndikuchepa. Ndiosavuta - sinthani zomwe mudadya kale ndikuwonjezera zolimbitsa thupi. Izi zimawononga ndalama kangapo poyerekeza ndi matenda a shuga omwe.

Chifukwa chiyani kuli kofunikira kuti muchepetse thupi? Chifukwa mafuta odzikundikira amtsogolo amapangitsa kuti minofu yathupi izikhala yopepuka ndi insulin yake.

Musayang'ane zifukwa zodzikhululukirira, kusinthasintha, kapena kusasinthasintha kwa hormone. Aliyense akhoza kuchepa thupi! Ndikofunikira kuti muchepetse zakudya zopatsa mphamvu. Chiwerengero chenicheni cha zopatsa mphamvu ndi chosankha.

Tsatirani lamuloli: chizolowezi cha akazi tsiku ndi tsiku chizichepetsedwa ndi choyambirira, koma osachepera 1200 kcal, kwa amuna - pafupifupi 1500 kcal.

Kumbukirani kuti simungathe kufa ndi njala! Kutaya makilogalamu pang'onopang'ono: zosaposa 500 g pa sabata.

Ndipo chachiwiri: zolimbitsa thupi ziyenera kukhala zovomerezeka, koma zotheka. Izi sizovuta kuchita, kungakhale kulakalaka. Zokwanira mphindi 30 patsiku kuti muchite masewera olimbitsa thupi.

Zochita zolimbitsa thupi ndi mankhwala achikhalidwe kupewa matenda ashuga

Kuchita masewera olimbitsa thupi pafupipafupi ndi chinthu chofunikira popewa matenda a shuga. Njira yabwino ndiyo kuchita masewera olimbitsa thupi patsiku kwa mphindi zosachepera 30.

Ngati ndi kotheka, masewera amatha kugawidwa m'njira zitatu patsiku. Kutalika kwa njira iliyonse ayenera kukhala osachepera mphindi 10. Musaiwale za kuyenda mumlengalenga. Ndikofunika kuti muziyenda tsiku lililonse pamtunda wa mita 1000-1500.

Chofunikira pakulimbikitsa chitetezo chokwanira komanso kupewa matenda ashuga ndikuchepetsa mphamvu ya kusokonekera kwa malingaliro, endocrinologists amalimbikitsa mantha ochepa.

Kugwiritsa ntchito kwa akazi kwa mankhwala osiyanasiyana azitsamba kwamankhwala kumakhala ndi zotsatira zabwino mthupi. Popewa, ngati chakumwa, mutha kugwiritsa ntchito ma infusions opangidwa kuchokera masamba a zipatso zamtchire kapena walnuts, zipatso zamtchire ndi mabulosi amtundu.

Monga njira yodzitetezera, tikulimbikitsidwa kutenga magazi miyezi isanu ndi umodzi iliyonse kuti tiwone momwe thupi limayang'anira zomwe zili ndi shuga.

Kuwunikira pafupipafupi kumakuthandizani kuti muzindikire matendawa pa prediabetes, yomwe nthawi zina imapangitsa kuti matendawo achotse panthawi yake.

Kugwiritsa ntchito mankhwala kupewa matenda

Pakadali pano pali mankhwala atatu akuluakulu omwe amagwiritsidwa ntchito popewa kukula kwa matenda ashuga.

Mapiritsi awa adawonetsa zotsatira zabwino poletsa kukula kwa matendawa m'thupi la mkazi. Mankhwalawa amalimbikitsidwa kwa anthu omwe ali ndi chidwi chochulukirapo cha glucose. Zina mwazonsezi sizikulimbikitsidwa ngati pali shuga wambiri m'thupi.

Mankhwalawa ndi awa:

Metformin ndi othandizira odwala omwe ali m'gulu la Bigunides. Kodi zida zazikulu za chida ichi ndi ziti? Mankhwala amatha kuthandizira njira ya kaphatikizidwe ka ATP mu mitochondria - kapangidwe kake kamachepa, amalimbikitsa kutseguka kwa glycogen, mankhwalawa amagwira ntchito pamaselo a minofu ya thupi m'njira yoti kupendekera kwa makoma awo kukhale ndi glucose.

Chida ichi chimagwiritsidwa ntchito ngati maziko a njira zochiritsira pazochitika zina zomwe zimalepheretsa matenda a shuga a mtundu wachiwiri. Chida ichi chitha kugwiritsidwa ntchito ngati mankhwala poletsa kukula kwa zovuta pamaso pa matenda ashuga.

Monga mankhwala ena aliwonse, mankhwalawa ali ndi zotsutsana ndi zoyipa. Zotsatira zoyipa ndi:

1. kusowa kwa chakudya
2. kufooka kumawonekera m'thupi,
3. kukhalapo kwa megaloblastic anemia m'thupi.

• wodwala mpaka zaka 15,
• myocardial infaration
• matenda a shuga
• thupi lawo siligwirizana ndi zigawo zikuluzikulu za mankhwala,
• kulephera kwambiri kwa aimpso,
• matenda opatsirana opatsirana
• uchidakwa.

Prophylactic ina ndi Xenical. Mankhwalawa ndi othandizira kutsitsa kwa lipid komwe kumathandizira kuchepetsa kugaya kwa mafuta m'mimba. Kugwiritsa ntchito mankhwalawa kumangolimbikitsidwa kwa azimayi okhawo omwe amakonda kunenepa kwambiri. Chida ichi chimagwiritsidwa ntchito kuchepetsa kuchuluka kwa mafuta mwa anthu.

Acarbose ndi mankhwala ochepetsa mphamvu ya glucosidase inhibitor. Mankhwalawa amachepetsa kuchepa kwa chakudya chamafuta m'mimba, zomwe zimapangitsa kutsika kwa glucose wamagazi.

Malangizo akulu othandiza kupewa matenda ashuga

Kuti tipewe kukula kwa shuga mthupi la mayi yemwe ali ndi vuto lotere, ndikulimbikitsidwa kutsatira izi:

1. Kuchepetsa thupi.
2. Kusungabe moyo wokangalika. Sikulimbikitsidwa kuti muzikhala ndi nthawi yofufuza kompyuta kapena TV. Kuyenda pafupipafupi kumathandizira kuchiritsa kwamthupi, komanso masewera olimbitsa thupi mu shuga.
3. Kugwirizana ndi malingaliro a katswiri wazakudya ndi endocrinologist.
4. Kukana kudya zakudya zomwe zimakhala ndi chakudya chamagulu m'thupi lawo.
5. Mafuta a polyunsaturated omwe amapezeka m'mafuta amadzimadzi a masamba ayenera kudyedwa.
6. Muyenera kukana kugwiritsa ntchito nyama yokonzedwa yofiira.
7. Samalirani mkhalidwe wamanjenje - pewani kuda nkhawa.

Kuphatikiza apo, popanga njira zodzitetezera, mankhwalawa ayenera kugwiritsidwa ntchito molingana ndi mtundu wa mankhwalawa wopangidwa ndi endocrinologist makamaka kwa wodwala.

Elena Malysheva muvidiyoyi akufotokoza momwe angamvetse kuti mayi ali ndi matenda ashuga.

Kodi mungapewe bwanji chitukuko cha matenda mwa mwana?

Kupewera kwa matenda ashuga mu makanda kumayambira kuyambira pakubadwa. Ndizabwino kwambiri ngati khanda limamwa mkaka kwa chaka chimodzi, chifukwa kuwonjezera pa michere yofunika, mwana amalandila ma antibodies enaake komanso ma mahomoni ofunika kuteteza thupi ndikulimbitsa psyche ya mwana.

Ngati mungaganize zosinthira kuzakudya zopatsa bongo, ndiye kuti zilekeni.

Kumbukirani kuti mkaka wa ng'ombe ndiye maziko a zosakaniza zilizonse, zomwe zimakhala zoipa kapamba wakhanda. Metabolism mwa ana imathandizira kwambiri, ndipo matendawa amakula mwachangu. Ndipo popeza ndiwokangalika kwambiri mwachilengedwe, nthawi zambiri sawona zoopsa ndipo samadandaula kwa makolo awo mwakuwuka kwawo.

Ndipo ngati matendawa apezeka, ndiye kuti ndi njira yodalira insulin. Kupewa matenda ashuga ndikofunikira kwambiri ngati m'modzi wa abale ake ali ndi matenda awa.

Kwakukulu, kupewa ana kumatsata malamulo omwewo kwa akulu:

• kudya moyenera ndikofunikira makamaka ngati mwana ali ndi vuto la kunenepa kwambiri,
• khalani nawo m'masewera
• kupewetsa matenda opatsirana,
• osati kukhumudwitsa mwana, payenera kukhala bata panyumba.

Momwe mungapewere matenda mukakhala ndi pakati?

Mtundu wina wa matenda ashuga ndi gestational (GDM). Amawonedwa kokha mwa amayi oyembekezera panthawi yoyembekezera. Kodi mayi yemwe ali pantchito angapewe matenda ashuga? Inde, ngati, pamodzi ndi gynecologist ndi endocrinologist, mukulitsa ndikutsatira mosamalitsa zakudya zapadera.

Zakudya zoyenera sizimapangidwa kuti muchepetse kulemera kwa amayi omwe akuyembekezera, koma adapangidwa kuti abwezeretse shuga kukhala yachilendo..

Izi zimathandiza milandu 90%. Zakudya siziyenera kukhala zopatsa thanzi kwambiri, koma nthawi yomweyo zimakhala zopatsa thanzi. Pachifukwa ichi, musataye kwathunthu chakudya chamafuta. Musaiwale za zakudya zama protein. Mayi woyembekezera akuwonetsedwa kwambiri zolimbitsa thupi.

Ndikwabwino kuchita katatu pa sabata. Itha kukhala kusambira ndikuyenda kapena masewera apadera a amayi apakati. Koma zochitika zowopsa monga kukwera pamahatchi, kukwera njinga kapena skating ziyenera kupewedwa.

Metformin ndi mankhwala okhawo omwe amathandizira kupewa matenda ashuga ndi mtima

Wolemba mu magazine:
Aef. Cardiology ndi Angiology 1/2011

MD M.N. Mamedov, M.N. Kovrigina, Ph.D. E.A. Poddubskaya

Masiku ano, metformin ndi imodzi mwamankhwala omwe amagwiritsidwa ntchito kwambiri masiku ano. Mu 2006, International Diabetes Federation idalandira malingaliro atsopano othandizira odwala matenda ashuga, momwe metformin idapangidwira ngati mankhwala a mzere woyamba kuphatikiza kusintha kwa moyo kuti ayambe kulandira chithandizo. Pazaka zisanu zapitazi, izi sizinasinthe.

Komabe, mbiri yakagwiritsidwe ntchito ka greatuanides mu endocrinological zochita inali yodzala ndi chiyembekezo komanso zokhumudwitsa. Biguanides oyamba - phenformin ndi buformin adagwiritsidwa ntchito mkati mwa zaka za zana la 20, ndipo posakhalitsa adagulitsidwa chifukwa chogulitsa chifukwa cha lactic acidosis. Metformin anapangidwa ndi Sterne mu 1957. Mu 1960, maphunziro oyamba azachipatala adakhazikitsidwa, omwe adawonetsa kuti kuchepa kwa glycemia sikumayendetsedwa ndi kuchuluka kwa thupi ndi chiwopsezo cha hypoglycemia. Mu 1980, pogwiritsa ntchito njira yowuma, zinaonetsedwa kuti metformin imachepetsa kukana kwa insulin.

Mu 1995, kwa nthawi yoyamba, FDA (American Food and Health Administration) idavomereza kugwiritsa ntchito metformin ku United States. Pakafukufuku yemwe anayambitsidwa ndi FDA, metformin adapezeka kuti ali wofanana ndi chitetezo ndi mankhwala ena othandizira. Zimawonetsedwanso kuti metformin imakhala ndiubwino kuposa ma biguanides ena, imadziunjikira makamaka m'matumbo ang'onoang'ono komanso m'matumbo a salivary, osati m'misempha, yomwe ndi malo apamwamba a mapangidwe a lactate. Malinga ndi mayesero ambiri azachipatala, pafupipafupi mankhwala a metformin ogwirizana ndi lactic acidosis ndi 8.4 pa odwala 100,000, komanso pochiza mankhwala ena aliwonse a antipyretic (kuphatikiza glibenclamide) - 9 pa 100 miliyoni.

Pazaka 50 zapitazi, maphunziro oyesera a 5500 ndi zamankhwala adachitidwa pazinthu zosiyanasiyana pakuchita bwino komanso chitetezo cha metformin.

Zotsatira za Antihyperglycemic of Metformin

Zotsatira za metformin pamagazi a shuga wamagazi ndizofanana ndi zotsatira za othandizira ena odwala matenda ashuga. Metformin siyimayambitsa hyperinsulinemia, m'malo mwake, kuchuluka kwa insulin nthawi zambiri kumachepera, komwe kumalumikizidwa ndi kusintha kwa insulin.

Pakafukufuku wawukulu wazachipatala (wakhungu, wowona mosasinthika, wowongolera malo, wofanana ndi gulu) wokhudzana ndi odwala 451, zotsatira za antihyperglycemic zotengera zotsatira za metformin zidawerengedwa. Kuchepa komweko kwa shuga m'magazi ndi glycated hemoglobin amawonedwa mosiyana ndi maziko a metformin mu Mlingo wa 500-2000 mg / tsiku. Odwala omwe ali ndi matenda ashuga, tsiku lililonse 2000 mg ya metformin anali okwanira kuwongolera shuga m'magazi. Mu msika waku Russia, metformin Glucofage yoyambirira imaperekedwa mwanjira zitatu za 500 mg, 850 mg ndi 1000 mg.

Pamodzi ndi izi, metformin imachulukitsa kugwiritsidwa ntchito kwa glucose panthawi yowuma, yomwe imalumikizidwa ndi kusintha kwa zotumphukira za insulin. Kupititsa patsogolo kagayidwe ka glucose kumalumikizidwa ndi kuwonjezeka kwa metabolism osagwirizana ndi okosijeni, ndiye kuti, popanda phindu la oxidation wa glucose. Zotsatira za metformin pa kapangidwe ka shuga m'chiwindi zimaphunziridwa mwa odwala 7 omwe ali ndi mtundu wa 2 matenda a shuga panthawi ya chithandizo ndi metformin kwa miyezi itatu. Metformin imachepetsa kwambiri kupanga shuga mu chiwindi ndi pafupipafupi gluconeogeneis poyerekeza ndi gawo loyamba.

Kafukufuku wakutsogolo wa Britain akuwonetsa kuti metformin ili ndi mphamvu yopulumutsa insulin. Mankhwala a insulini amakhalabe otsika kwambiri mwa anthu omwe amasankhidwa mosiyanasiyana ndi gulu la metformin poyerekeza ndi magulu a mankhwala a sulfonylurea (glibenclamide kapena chlorpropamide) kapena jakisoni wa insulin.

Kupewa matenda ashuga oyamba ndi metformin

Kupewa koyamba kwa matenda ashuga kumaphatikizapo kugwiritsa ntchito njira zovuta, kuphatikizapo kusintha kwa moyo komanso kugwiritsa ntchito mankhwala osokoneza bongo pakati pa anthu omwe ali pachiwopsezo. Choyamba, gululi limaphatikizapo anthu omwe ali ndi prediabetes (kuthamanga kwambiri kwa glycemia ndi kulekerera kwa glucose).

Mu zaka 1976-1980, monga gawo la kafukufuku wapadziko lonse ndi US National Health and Nutrition Examination Survey (NHANES II), akuluakulu 3092 adayesa kulolera shuga. Kupezeka kwa hyperglycemia patatha maola awiri atamwa 75 ga shuga kumalumikizidwa ndi kuwonjezereka kwa milandu yonse yamatenda a mtima. Zambiri zowonjezera zimapezeka mu kafukufuku yemwe akuyembekezeredwa, Kafukufuku wa Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria ku Europe (DECODE), omwe adawonetsa gawo lofunikira la prediabetes pakukula kwa zovuta zamatenda a matenda amtima (CVD). Hyperglycemia idayesedwa ndi kudya mwachangu glucose komanso pambuyo poyeserera kulolerana kwa glucose mwa anthu 22,514 pazaka zopitilira 8.8. Kukhalapo kwa kudya kwambiri kwa glycemia kunathandizira chiopsezo cha kufa kuchokera ku CVD. Komabe, NTG (kulolerana kwa glucose kulolerana) ndikofunikira kwambiri pakukula kwa zovuta zamankhwala.

Mabukuwa adafalitsa zotsatira za maphunziro angapo azachipatala omwe amagwiritsa ntchito mankhwala omwe ali ndi njira zosiyanasiyana zochitira kupewa matenda ashuga. Pali maphunziro atatu oyembekezeredwa m'mabuku (BIGPRO 1, BIGPRO 1.2 ndi DPS) omwe adawunika kuyendetsedwa kwa metformin m'magulu a odwala omwe ali ndi vuto logona m'mimba, matenda oopsa, hypertriglyceridemia komanso odwala NTG. Dokotala Prevention Programme (DPP) mwina ndi imodzi mwazachipatala zazikulu kwambiri zopewa matenda ashuga. Kafukufukuyu adachitika m'malo 27 ku United States, adakonzekera zaka 3 mpaka 6, koma adamaliza pasadakhale mu Ogasiti 2001, pomwe zolinga zazikulu zidakwaniritsidwa. Mu kafukufuku wa DPP, mankhwala oyambirira a Metformin Glucofage ® adagwiritsidwa ntchito. Mmenemo, odwala omwe ali ndi NTG adasanjidwa m'magulu atatu:

• Malangizo a placebo + osintha malinga ndi kusintha kwa moyo (odwala adalandira malingaliro olembedwa kuti adye, azichita zolimbitsa thupi komanso athetse kusuta),
• metformin (Glucofage ®) 850 mg 2 kawiri pa tsiku + malingaliro oyenera okhudza moyo,
• Kusintha kwamphamvu pamoyo (kuchepa thupi kwa anthu osachepera 7%, zakudya zopatsa mphamvu zopatsa mphamvu ndi kutsitsa kwa lipid, zolimbitsa thupi zolimbitsa thupi kwa mphindi 15 / sabata, ndikuyang'aniridwa ndi achipatala pamwezi.

Kafukufuku woyerekeza pakati pa magulu a placebo ndi metformin anali akhungu m'maso. Mwambiri, chiopsezo chokhala ndi matenda a shuga a 2 adachepa ndi 58% mwa anthu omwe adasintha njira zawo, ndipo mwa 31% mwa anthu omwe adalandira metformin pa mlingo wa 850 mg kawiri pa tsiku kwa zaka zitatu. Mukamasanthula timabuku tating'ono tomwe tinaphatikizidwa phunziroli, zidapezeka kuti metformin inachepetsa kwambiri vuto la matenda ashuga a 2 mwa anthu osakwanitsa zaka 45, komanso mwa anthu omwe ali ndi kunenepa kwambiri (BMI ≥ 35 kg / m 2). M'magulu awa, chiopsezo chokhala ndi matenda ashuga a 2 amatsika ndi 44-55% ngakhale osasintha momwe amakhalira.

Metformin komanso kuchepa kwa ngozi ya mtima

Mu 1998, zotsatira za Britain Prospective Diabetes Study (UKPDS) zidasindikizidwa, zomwe zidawonetsa kuwoneka bwino pazotsatira zam'mtima mwa anthu odwala matenda ashuga. Kafukufukuyu adawonetsera mwayi wa metformin kuposa mankhwala ena ochepetsa shuga pakuchepetsa zovuta zazikulu komanso zotheka pakuwongolera glycemia.

Kafukufuku yemwe akuyembekezeredwa adayang'ana momwe njira zingapo zamankhwala zimathandizira, kuphatikiza kusintha kwa moyo, metformin, sulfonylureas, ndi insulin Therapy kwa anthu omwe ali ndi matenda oopsa a shuga. Zotsatira za kafukufukuyu zikuwonetsa kuti chithandizo champhamvu chogwiritsidwa ntchito ndi magulu atatu a mankhwalawa chinali chothandiza kwambiri kuposa chithandizo chamankhwala wamba. Pankhani ya kayendetsedwe ka glycemic, palibe kusiyana kwakukulu pakati pa mankhwalawo komwe anapezeka.

Monga kukonzekera kwa metformin, UKPDS idagwiritsa ntchito kukonzekera kwa metformin Glucofage ®.

Metformin (Glucofage ®) inali yothandiza kwambiri kuposa kusintha kwamakhalidwe. Zotsatira za hypoglycemic za metformin zimafanana ndi sulfonylurea ndi insulin. Kusintha kwa kayendetsedwe ka glycemic sikunayende limodzi ndi kuwonjezeka kwa misempha ya plasma, pomwe kusintha kwa insulin sensitivity kunadziwika.

Mankhwalawa amagwiritsidwa ntchito mwa anthu omwe ali ndi matenda oopsa a shuga komanso onenepa kwambiri komanso onenepa kwambiri (n = odwala a 1704 omwe ali ndi zochulukirapo za 120% zolemera zolimbitsa thupi). Wapakati achire mlingo wa metformin anali 2550 mg / tsiku. Zotsatira zamankhwala, metformin inathandizira kuti kuchepa kwa kufa ndi 36%, kufa chifukwa cha matenda ashuga ndi 42%, zovuta zonse za matenda ashuga ndi 32%, komanso kulowetsedwa kwa myocardial ndi 39% (onani tebulo).

Gome 1. UKPDS: Kupewa kwamatenda amtima mwa kusintha matenda a shuga mwa odwala omwe ali ndi matenda a shuga a 2 (n = 5100)

1. 
   Akhmanov, Matenda a Mikhail muukalamba / Mikhail Akhmanov. - M: Nevsky Prospect, 2006 .-- 192 p.
2. 
   "Momwe mungakhalire ndi matenda a shuga" (Kukonzekera kwa lembalo - K. Martinkevich). Minsk, Literature Publishing House, 1998, masamba 271, kufalitsa makope 15,000. Kusindikiza: Minsk, kusindikiza nyumba "Wolemba Zamakono", 2001, masamba 271, kufalitsa 10,000.
3. 
   Kalinchenko S. Yu., Tishova Yu. A., Tyuzikov I.A., Vorslov L.O. Kunenepa kwambiri ndi metabolic syndrome mwa amuna. State of Art, Njira Zothandiza - M., 2014. - 128 p.
4. Zolemba A.V. Endocrine syndromes. Kuzindikira komanso kulandira chithandizo, GEOTAR-Media - M., 2014. - 416 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi mungachepetse bwanji matenda okalamba?

Anthu azaka zopitilira 65 ndiomwe amakonda kwambiri matenda ashuga. Chomwe chikuchitika ndi izi ndikusintha kwachilengedwe mu thupi kukalamba, ndipo chifukwa chake, kutsika kwa insulin.

Ngakhale chiopsezo chokhala ndi matenda osokoneza bongo okalamba ndichokwera kwambiri, izi sizitanthauza kuti mudzakhala ndi matenda ashuga mukafika zaka zopuma pantchito.

Ayi. Zambiri zimadalira pa moyo, matenda omwe alipo, zochita zolimbitsa thupi komanso kadyedwe.

Kupewa pankhani ya okalamba kumaphatikizapo:

• kuyezetsa magazi kwa shuga (mayeso),
• kusintha kwa zakudya
• kuyezetsa mayeso
• zolimbitsa thupi thanzi.

Phunzirani kugwiritsa ntchito mita ndikuyang'anira shuga wanu nokha.

Mankhwala othandizira komanso wowerengeka azitsamba

Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi angayambitse matenda athunthu, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso ngakhale zotupa za khansa! Anthu amaphunzitsa zomwe zinawawa kuti azisinthasintha misempha yawo ...

Pakati pa mankhwala omwe amathandizira kupewa matenda a shuga, ziyenera kudziwika:

• Metformin. Amasonyezedwa kupewa matenda ashuga amtundu wa 2. Mu 30% ya milandu, chifukwa cha mankhwalawa, zinali zotheka kuyimitsa kupitilira kwa matenda. Amapezeka piritsi. Kudzichitira nokha mankhwala sikovomerezeka. Mlingo uyenera kukambirana ndi dokotala,
• Xenical. Chimalimbikitsidwa kwa odwala onenepa kwambiri. Wopezeka mu mawonekedwe a kapisolo,
• Acarbose. Amachepetsa kugaya kwa chakudya, ndipo chifukwa chake, shuga m'magazi. Zomwe mungamwe mapiritsi, adokotala adzakuuzani.

Pali mankhwala omwe amaletsa matenda ashuga. Zonsezi zimagwiritsidwa ntchito limodzi ndi njira zazikulu zochizira.

Rowan ndi blueberries, sitiroberi ndi walnuts ndizodziwika bwino. Ngati sinamoni amawonjezeredwa pafupipafupi pachakudya, chiopsezo chotenga matenda a shuga chikuchepera ndi 10%. Ndikofunika kusintha shuga nthawi zonse ndimalo ake achilengedwe - stevia herb, kapena m'malo, kulowetsedwa.

Kodi ndizotheka kupewa matendawa ndi cholowa cham'tsogolo?

Kubadwa mwabodza ndimodzi mwazinthu zangozi. Matenda amtundu womwe adachitika m'mabanja anu sizitanthauza kuti mathero anu ali chitsimikiziro chamtsogolo.

Pali chiopsezo chakukulitsa matenda ndi zina. Koma itha kukhala yopanda ntchito ngati njira zoyenera zitengedwa. Zimatsimikiziridwa kuti pali jini lomwe limakulitsa chiopsezo chotenga matenda a shuga mpaka pafupifupi 80%.

Koma mwa anthu omwe ali ndi jiniyi, matendawa adadziwonetsa pokhapokha peresenti ya 15%, popeza amadya bwino komanso kuchita masewera kwa mphindi 40-60 patsiku. Sinthani zochita zanu. Inde, ndizovuta. Koma muyenera kuyesa, chifukwa matenda obadwa nawo akhoza kuthana ndi kusintha moyo wanu wakale.

Muyenera kukhala okonzekera chithandizo cha insulin cha moyo wanu wonse. Inde, kuwunika kuchuluka kwa shuga m'magazi ndikofunikira. Ndikofunikira kuwonedwa ku endocrinologist nthawi zonse. Zakudya ndizofunikira.

Komabe, izi sizitanthauza kuti mutha kunena zabwino za chakudya chokoma. Pakadali pano pakayenera kukhala chakudya chamagulu ochulukirapo (mpaka 50%), ndi mapuloteni ndi mafuta, motero, 20% ndi 30%.

Pankhaniyi, zakudya zimakhalabe zokoma, koma zidzakhala zolondola. Phunzirani kuwerengera zopatsa mphamvu.

Mtundu wachiwiri wa matenda a shuga ungathe kuwongoleredwa ndi njira zotsatirazi:

• maphunziro olimbitsa thupi ndi zakudya zamafuta ochepa,
• kumwa mankhwala ndi jakisoni wa insulin.

Zakudya zimasintha shuga. Onjezerani zakudyazo ndi zinthu zina ndi mavitamini. Ndipo yesani kukana mchere konse.

Maphunziro akuthupi amachotsa mafuta osafunikira. Yesani kusambira, kuyenda, kupalasa njinga. Woopsa, mankhwala ndi insulin akuwonetsedwa.

Momwe mungapewere kukula kwa zovuta za matenda ashuga

Matenda a shuga ndi ankhanza. Zimakhudza ziwalo zambiri. Chifukwa chake, kupewa muzochitika zonsezi kumatsikira pakuwonetsedwa ndi dokotala ndi wamisala, dokotala wa opaleshoni kapena wa nephrologist.

Kuwona upangiri wawo mosamalitsa, mutha kuchedwetsa kuyambika kwa zovuta kwazaka zambiri, ndipo ena kusiya. Chilichonse chili m'manja mwanu.

Kodi wodwala matenda ashuga amapeza bwanji gulu lolumala?

Ngati matendawa atsimikizika, dokotala yemwe amapezekapo angapereke wodwalayo kuti apite ku VTEC ndipo apereka zikalata zonse ku komputa. Maziko a kulumala ndizovuta za zovuta.

Ubwino umaperekedwa kwa ana opanda ungwiro omwe ali ndi matenda ashuga a mtundu woyamba.

Momwe mungapewere matenda ashuga:

Ngakhale ndizosatheka kuchiritsa matenda ashuga kwathunthu, tsoka, pali njira zabwino kwambiri zopewera. Kuzindikira koyenera ndi chithandizo choyenera, upangiri wa zamankhwala ndi zochitika zolimbitsa thupi, komanso malingaliro abwino zimapatsa munthu mipata yonse yobwezeretsanso matenda amisamba ndi kukhala moyo wonse.

Matenda a shuga - kupewa kutengera mtundu wa matenda, mankhwala ndi zakudya

Chimodzi mwa matenda oopsa kwambiri - matenda a shuga - amatchulidwa ndi madokotala amakono ngati matenda amtundu. Choyambitsa chibadwa chimagwira gawo lofunikira pakukula kwa endocrine iyi.

Njira zopewera kupewa matenda ashuga ndizofunikira kwambiri kwa anthu omwe achibale awo omwe kale akudwala matendawa.

Malinga ndi ziwerengero, mankhwala othandizira pakudya, kuwonjezera masewera olimbitsa thupi, kukhalabe ndi moyo wathanzi, kumwa mankhwala apadera (prediabetes) kumachepetsa mwayi wokhala ndi matendawa ndi 30-56%.

Kusokonezeka kwa metabolic m'thupi, komwe, motsutsana ndi maziko osakwanira kupanga insulini kapena kusintha kwa mapangidwe ake, kuchuluka kwa shuga m'magazi kumawonjezeka, kumatchedwa shuga mellitus.

Kusinthasintha kwadzidzidzi mu shuga kumayambitsa zochitika zowopsa - hyperglycemic kapena hypoglycemic coma. Malinga ndi ziwerengero, pafupifupi 6% yaanthu padziko lapansi (pafupifupi mamiliyoni 400) ndi odwala matenda ashuga.

Mwa kuchuluka kwaimfa, matenda osachiritsika awa amatenga malo achitatu pambuyo pa oncology ndi mtima pathologies.

Ngakhale anthu omwe ali ndi vuto la genetic angathe kuchepetsa chiopsezo chotenga matendawa. Njira zazikulu zodzitetezera ndi cholinga chokhalabe ndi moyo womwe umapangitsa kuti matenda ashuga athe kapena kufooketsedwa.

Munthu sangathe kusintha chibadwa chake, koma amatha kudya molondola, kuwunika kulemera kwake komanso thanzi lake, kukhala moyo wakhama, kusewera masewera, kusiya zizolowezi zoipa.

Kutsatira mfundo izi kumachepetsa mwayi wa kusokonezeka kwa endocrine komanso kukula kwa matendawa.

Matenda a shuga amakhalanso m'magulu awiri. Mtundu woyamba, insulin, yomwe imadalira insulin, siipanga konse kapena yopangidwa mosakwanira.

Zotsatira zake, maselo amthupi amakhala ndi "vuto la mphamvu" chifukwa magwiritsidwe ake a shuga amasokonezeka. Mofananamo, peroxidation yamafuta imayatsidwa, zomwe zimapangitsa kuti pakhale kuchuluka kwa zinthu zopangidwa ndi poizoni (matupi a ketone).

Malinga ndi ziwerengero, mtundu uwu wa shuga umayamba mwa achinyamata, ndipo zifukwa zotsatirazi zimadzetsa:

• cholowa
• ma virus kapena matenda opatsirana (virus hepatitis, rubella, mumps),
• autoimmune pancreatic zotupa,
• zinthu zakunja zakunja (zoyipa za nitrosamines, mankhwala ophera tizilombo),
• zolakwika zamphamvu.

Matenda a 2 a shuga amayamba motsutsana ndi maziko a insulin kukana (kutayika kwa chidwi) cha zimakhala ndi maselo a insulin. Pafupifupi 80% ya anthu odwala matenda ashuga amadwala matenda a shuga a 2 omwe amadalira insulin, amadwala atatha zaka 45-50. Kuphatikiza pa kutengera kwa chibadwa, chodabwitsa chomwe chimapangitsa kuti chidziwike ngati wonenepa ndi zomwe zimayambitsa:

• kudya kwambiri komanso zizolowezi zina zoyipa,
• kumangokhala
• kupsinjika kwakanthawi
• matenda amtima.

Kupewa matenda a shuga 1

Kupewera kwa matenda ashuga amtundu 1 kumayambira ndikuwunika za moyo ndi zakudya. Mukamalemba zakudya, ndikofunikira kulingalira za glycemic index (GI) ya zinthu - chizindikiro cha kuwonongedwa kwa chakudya. Zogulitsa zomwe zili ndi GI yotsika zimatha kudyedwa popanda choletsa, pogwiritsa ntchito kwambiri - kuchotsa kwathunthu kapena malire momwe mungathere (mndandanda woyenera ukuperekedwa patebulo pansipa):