Zoyenera kuchita ndi matenda ashuga: chithandizo cha munthu wamkulu komanso mwana

Matenda a shuga ndi matenda ofala a endocrine system, omwe amayamba chifukwa cha kuchepa kwa insulin yopangidwa ndi kapamba, ndipo amadziwika ndi zovuta zambiri.

Matenda a shuga a Type 1 amadziwika ndi poyambira kwambiri, ndipo nthawi zambiri amapezeka mwa ana aang'ono, achinyamata ndi achinyamata. Ngati matenda amtunduwu apezeka, wodwala amalimbikitsidwa kupereka insulin.

Matenda a 2 a shuga ndi matenda omwe amapezeka makamaka atatha zaka 40. Amadziwika ndi pang'onopang'ono, chifukwa chake, mukazindikira, odwala amakhala ndi zovuta.

Ngakhale kufanana kwa mayina, ma ma pathologies awiriwa ali ndi njira zosiyanasiyana za chitukuko, zosiyana muzoyambitsa ndi zomwe zimayambitsa. Chifukwa chake, muyenera kudziwa zoyenera kuchita ndi matenda ashuga, komanso momwe mungasinthire moyo wanu?

Zambiri za matenda ashuga

Ndiye muyenera kudziwa chiyani za matenda ashuga? Insulin ndi mahomoni omwe amapangidwa ndi kapamba, ndipo amathandizira kuti glucose alowe m'maselo, pomwe amathandizira kuyang'anira kagayidwe kazomwe amapanga mapuloteni.

Mwa munthu wathanzi labwino, kapamba amagwira ntchito mokwanira, amapanga timadzi tambiri tambiri tambiri, timene timapangitsa shuga kupita m'magazi.

Poyerekeza ndi matenda a shuga, kuperewera kwa m'magazi kumachitika, ndipo glucose sangathe kulowa mkati mwa cell, chifukwa chomwe chimatsalira m'magazi. Popeza gwero lalikulu la kupezeka kwake ndi zopangidwa ndi chakudya, shuga wambiri amawona m'magazi pakapita nthawi. Chifukwa chake, amatha kuthira mkodzo.

Pali mitundu iwiri ya matenda a shuga, omwe amasiyana mu kagwiridwe ka chitukuko, komabe amatsogolera ku shuga wambiri m'thupi:

Mtundu woyamba wa matenda ashuga umayamba chifukwa cha kusowa kwa mahomoni (atha kukhala ochepa kwambiri kapena ayi). Pali kuphwanya magwiridwe antchito a kapamba, kuchuluka kwa mahomoni omwe amapangidwa sikokwanira kugwiritsa ntchito shuga, ndipo ndende ya glucose imakwera.
Ndi mtundu wachiwiri wa matenda, pali insulin yokwanira mthupi. Muzochitika zingapo, zitha kukhala zowonjezereka kuposa momwe zimafunikira. Koma zilibe ntchito, popeza minyewa yofewa ya thupi sinamverezenso.

Zomwe muyenera kudziwa za matenda ashuga? Ngati wodwalayo ali ndi matenda amtundu umodzi, ndiye kuti amadya komanso zakudya zolimbitsa thupi, njira yovomerezeka yoyendetsera ndikuwongolera kwa insulin, ndipo iyenera kuperekedwa kwa moyo wonse.

Ngati wodwala ali ndi mtundu wachiwiri wa matenda a shuga, ndiye kuti poyamba dokotalayo amayesa kulimbana ndi mankhwala osagwiritsa ntchito mankhwala, kutsimikizira zolimbitsa thupi zolimbitsa thupi, kudya moyenera.

Mankhwalawa sikuti amangochotsa chifukwa, chifukwa izi sizotheka.

Cholinga cha mankhwalawa ndikutanthauza kuti magazi asinthidwe monga momwe amafunikira, kusintha moyo wa wodwalayo, komanso kupewa zovuta.

Zoyenera kuchita ndi matenda ashuga?

Odwala ambiri amadabwa chochita ndi matenda ashuga. Chofunikira kwambiri ndikuti simuyenera kukhumudwa, chifukwa matendawo si chiganizo. Chithandizo chokwanira chimathandizira kulipirira matendawa, chifukwa chomwe mungakhale moyo wabwino komanso wosangalatsa.

Matendawa atha kuwoneka kuti si matenda, koma monga "chopempha" cha thupi limodzi kusintha zakudya ndi zakudya, moyo.

Zochita zikuwonetsa kuti kudzera muzakudya zoyenera komanso kuchita masewera olimbitsa thupi, munthu amatha kupeza chindapusa chambiri chifukwa cha matenda ashuga, komanso kupewa zovuta zambiri.

Izi zimafuna kutsatira malangizo osavuta:

Tsiku lililonse muyenera kuyeza shuga m'magazi, ndipo ngati kuli kofunikira, patsani thupi ndi mahomoni. Jekeseni wokhala ndi insulin ayenera kukhala nanu nthawi zonse.
Nthawi zonse kutsatira zakudya zaumoyo. Zonsezi zikuthandizani kuyeza bwino dokotala.

Dziwani kuti muyenera kupita kwa dokotala pafupipafupi kuti muwone ngati muli ndi thanzi labwino, ndikuwongolera njira zochizira ngati pakufunika kutero. Kuphatikiza apo, muyezo wotere umathandizira kuzindikira zovuta zoyambirira pakapita nthawi, ndikuziwachotsa mokwanira momwe zingathekere panthawi yochepa.

Odwala ambiri omwe angokumana ndi matenda ashuga samamvetsetsa kuti matendawa pawokha siowopsa, ndipo zotchingira zonse za matendawa zimagona ndendende m'mavuto ake.

Chifukwa chake, muyenera kukumbukira nthawi zonse kuti kunyalanyaza vutoli kapena kudzichiritsa nokha ndikulakwitsa kosakhululukidwa komwe kumatha kubweretsa mavuto akulu mtsogolo, kuphatikizapo osasintha.

Chochita ndi matenda a shuga 1?

Monga tafotokozera pamwambapa, cholinga chachikulu chakuchiritsira ndikusintha shuga mthupi la wodwalayo, ndikuletsa kusintha kwake kwadzidzidzi. Tsoka ilo, ndi mtundu woyamba wamatenda, insulin siyingagawidwe ndi.

Kupanga kwasayansi kwa mapiritsi a anthu odwala matenda ashuga pakadali pano, koma sanaphunzirebe mokwanira, ndipo izi zili m'tsogolo. Pankhaniyi, insulini kwa odwala ndizofunikira kwambiri, kusakhalapo komwe kumabweretsa zovuta ndi kufa.

Chithandizo chokwanira chimakupatsani mwayi wokhala ndi moyo wabwino komanso wokhutiritsa, salola kuwonongeka kwa thanzi, komanso kupewa zovuta.

Ndiye, chikuyenera kuchitidwa ndi matenda a shuga 1? Ganizirani ntchito zazikuluzikulu:

Popeza thupi limafunikira insulini, dokotala amasankha dzina lofunikira la mankhwalawo, amupatsa mankhwala.
Kutsatira zakudya zopatsa thanzi, zomwe ziyenera kukhala zokwanira.
Zolimbitsa thupi zolimbitsa thupi.

Ponena za mankhwala a insulin, wodwalayo ayenera kutsatira mosamalitsa mawu omwe dokotala am'chiritsa. Ndi yemwe amasankha kuti ndi mankhwala ati omwe amafunikira m'chifanizo china chachipatala. Chifukwa chake, ndizoletsedwa kugwiritsa ntchito mankhwala pazokha.

Ngati mavuto abwera, simuyenera kufunafuna mayankho a mafunso anu kuchokera kwa "abwenzi odziwa zambiri", muyenera kukaonana ndi dokotala ndikumufunsa zonse. Makamaka chinthu ichi chikugwira ntchito kwa odwala omwe alibe "mbiri ya matenda".

Mu mtundu woyamba wa matenda ashuga, chisamaliro chapadera chimaperekedwa kwa kuchuluka kwa mafuta ndi chakudya chamagulu mu chakudya. Popita nthawi, wodwalayo amaphunzira msanga momwe angawerengere kuchuluka kwa zopatsa mphamvu, ndipo izi sizimamupweteketsa.

M'pofunika kutsindika kuti kudya ndi kuchita masewera olimbitsa thupi kumakhudza kuchuluka kwa shuga mthupi la wodwalayo. Pankhaniyi, ndikofunikira kuganizira zovuta zonse zomwe zimakhudzana ndi nthawi ya insulin ndi mlingo wake.

Mwachitsanzo, ngati chakudyacho chili chamafuta apamwamba, ndiye kuti mlingo wa insulin yocheperako umakulitsidwa molingana ndi malangizo, koma ngati panali zochitika zolimbitsa thupi, ndiye kuti m'malo mwake, mlingo uyenera kuchepetsedwa.

Kodi ayenera kuchitanji ndi mtundu wachiwiri wa matenda ashuga?

Type 2 shuga mellitus kwathunthu zimadalira chakudyacho, chifukwa sizikutengera kuchepa kwa timadzi m'thupi la munthu, koma kusakhazikika kwa maselo kwa izo.

Chifukwa chake, njira yayikulu yochizira ndi chakudya chapadera, chomwe chimapangidwira payekha kwa odwala matenda ashuga. Kuphatikiza apo, zochitika zolimbitsa thupi zimalimbikitsidwa kuti zithandizire kukulitsa chidwi cha minofu kumaselo.

Dziwani kuti mfundozi zimayenera kuthandizidwa mosamala kwambiri, kutsatira mosamalitsa ku nthawi zonse zoikika, kuti zina zisakhale zovuta kwambiri.

Mukamakonza menyu yanu, muyenera kuyang'anitsitsa magawo a mkate. XE ndi gawo lochulukitsa lomwe limathandiza kuyeza chakudya, momwe XE ili 12 magalamu a chakudya. Ndipo aliyense wodwala matenda ashuga ayenera kuwerengetsa manambala awo kuti apewe shuga.

Ndikofunikira kuti thupi lilandire mphamvu zochuluka monga momwe limadyedwera patsiku.
Imayenera kudyedwa m'magawo ang'onoang'ono ndipo nthawi zambiri, mpaka nthawi 7 pa tsiku.
Zakudya zomwe zili ndi zakudya zamagulu (monga phala) zimayenera kudyedwa musanadye nkhomaliro, thupi likakhala ndi ntchito yayikulu.
Thandizani nyama ndi nsomba zamitundu yamafuta ochepa, muchepetse zakumwa zoledzeretsa ndi mchere.
Pewani zakudya zopanda shuga.
Njira zazikulu zophikira ndizowira, kuwongolera, kuwotchera.
Masamba amatha kudyedwa mopanda malire.

Ngati mumatsatira malangizowo, ndiye kuti mutha kulipirira shuga panthawi yochepa.

Tsoka ilo, pali zosiyana zina zilizonse pazotsatira. Zimachitika kuti ngakhale kutsatira maupangiri onse kumatsogolera kuti chithandizo chamankhwala sichokwanira. Pankhaniyi, pakufunika kumwa mapiritsi, omwe amathandizira kuti khungu lathu lizitha kudziwa zambiri.

Choyipa chachikulu ndikukhazikitsa insulini. Nthawi zambiri, mahomoni amathandizira kuti shuga asinthe, ndipo ndizotheka kukana kwakanthawi.

Koma nthawi zina, jakisoni amakhala gawo lofunika kwambiri pa matenda a shuga a mtundu 2.

Zoyenera kuchita ndi zovuta za matenda ashuga?

Ngakhale ndi malingaliro ndi malamulo onse, wodwalayo amatha kuona zovuta zomwe zingathe "kuzunza" wodwalayo. Chovuta chambiri ndi kupweteka m'munsi.

Zochita zachipatala zimawonetsa kuti kupweteka kwambiri kumachitika mwa okalamba, komanso odwala matenda ashuga omwe ali ndi kunenepa kwambiri. Ngati vuto la ululu limachitika, ndiye izi zikuwonetsa kukula kwa mitsempha ndi angiopathy.

Kutengera ndi ziwerengero, titha kunena kuti pafupifupi 50% ya anthu omwe ali ndi mbiri yodwala matenda ashuga posakhalitsa amakumana ndi zovuta izi:

Neuropathy imadziwika ndi kuwonongeka kwa minyewa ya mitsempha, yomwe idachitika chifukwa cha kuchuluka kwa shuga. Zizindikiro zam'mitsempha sizingathenso kudutsa ulusiwu, motero chidwi cha wodwalayo pamiyendo chimachepa.
Angiopathy ndikuphwanya kwa capillaries chifukwa cha chikhalidwe cha hyperglycemic. Mu minofu yofewa, kusokonezeka kwa magazi kumachitika, komwe kumayambitsa necrosis. Kunyalanyaza kumatha kubweretsa zilonda zam'mimba kapena zilonda zam'mimba.

Zotsatira za ululu ndizowopsa. Chifukwa chake, chinthu choyamba kuchita ndikupita kwa dokotala kukamufufuza ndikusiya kuphwanya magazi mu minofu yofewa.

Khungu la Itchy ndi vuto linanso la matendawa, omwe amayamba chifukwa chophwanya magazi. Udindo wofunikira umaseweredwa ndi glucose, womwe umapezeka pakhungu.

Kuti muchepetse kuyabwa, muyenera kuwunika menyu, kuyerekezera kuchuluka kwa mafuta ndi chakudya. Ndizotheka kuti pakufunika kusintha mlingo wa insulin, kuti muchite detoxification.

Ndi chiyani chomwe sichingachitike ndi "matenda okoma"?

Simungathe kudzilimbitsa nokha, kuyesera njira zina zamankhwala. Mwachitsanzo, ena a iwo amapereka chithandizo ndi "njala." Izi ndizoletsedwa, chifukwa thupi liyenera kulandira zonse zomwe zimafunikira.

Sizoletsedwa kudya confectionery, maswiti ndi chokoleti, zakudya zonunkhira, zipatso zotsekemera, ma pickles, zakudya zosuta, zakudya zamafuta zomwe zimakhala ndi mafuta ambiri azinyama.

Ndikofunikira kuti muchepetse shuga lanu la magazi nthawi zonse, kupewa kusintha kwadzidzidzi, popeza iyi ndi njira yolunjika yopezera zovuta.

Ndipo pomaliza, chithandizo chokwanira chimathandizira kusinthitsa shuga wamagazi pamlingo wofunikira, amachirikiza pamilingo yovomerezeka. Koma palibe chifukwa chake muyenera kusiya insulin ndi kumwa mankhwala osokoneza bongo. Popeza chithandizo cha matenda a shuga ndichamoyo chonse. Kanemayo munkhaniyi akukamba za zoyamba za matenda ashuga.

Ndani akuyenera kulakwa?

Choyambirira kumvetsetsa: palibe amene adzayimbidwe mlandu pazomwe zinachitika. Mpaka pano, asayansi sanayankhe funso la chifukwa chenicheni cha matenda ashuga. Zimakhala zovuta kufotokoza momwe kayendetsedwe ka matenda amtundu wa 1 kamakhudzira odwala ambiri a endocrinologist.

Malo oyamba apa ndi malingaliro olondola kwa munthu wocheperako komanso matenda ake. Inde zinatero. Inde, zowopsa. Inde, pali zofunika ndi malamulo atsopano okhala ndi moyo watsiku ndi tsiku. Koma wina angathe ndipo ayenera kukhala ndi izi. Ndipo mosangalala kuyambira pamenepo, akutsata moyo wamphumphu.

Nthawi zambiri makolo amakhumudwa kwambiri anawo akamadzikhazika mtima pansi. Vutoli limakhala lovuta kwambiri ndi achinyamata. Inde, nthawi zambiri amasintha moyo wawo, kusiya masewera olimbitsa thupi, kusintha mapulani osankha ntchito. Zikatero, kuthandizidwa ndi katswiri wama psychologist kapena psychotherapist yemwe amatha kuwongolera molondola zovuta zomwe zimabweretsa ndizothandiza kwambiri.

Zoyenera kuchita

Chotsatira muyenera kukhala ndi moyo. Ndiyenera kuphunzira zambiri. Kuti mumvetsetse kwambiri.

Muyenera kuphunzira posachedwa kulipirira matenda a shuga mothandizidwa ndi madokotala omwe madokotala amapereka. Kugonekedwa kuchipatala komanso kuphunzitsidwa bwino pa Sukulu ya Matenda a shuga kudzathandiza makolo komanso wodwalayo iyeye mwachangu kubwerera njira zawo zamasiku onse, kapena, kusintha njira zawo mokomera moyo wabwino.

Mfundo ina yofunika - mwana ayenera kumvetsetsa kuti ali ndi gawo, koma amakhalanso wamba wabwinobwino. Pankhani ya odwala matenda ashuga, kuphatikiza "mwana wolumala" wowopsa kumapangitsa kuti moyo ukhale wosalira zambiri kuposa kungowonetsa kusiyana pakati pa mwanayo ndi anzawo athanzi.

Ndi kuwongolera moyenera matendawa, kutha kudutsa mndandanda wa hypoglycemia, ketoacidosis, chikomokere matenda a shuga, etc. moyo wa munthu wodwala matenda ashuga sizosiyana kwambiri ndi zochita za anthu ena tsiku ndi tsiku. Inde, pali kuwongolera shuga, magazi, jakisoni wa insulin, kutsatira zakudya zina. Koma iyi ndi ndalama yaying'ono yamoyo popanda zovuta, zomwe sizingalephereke chifukwa cholumikizana ndi matenda ashuga, kubwezerera pafupipafupi

Zikuyembekeza?

Amati ana ndi ankhanza. Koma sizili choncho nthawi zonse. Maganizo a ana okhudzidwa ndi matenda ashuga omwe ali mgulu la anzawo samasintha kwambiri. Nthawi zambiri, ana amatenga nawo mbali mothandizidwa ndi mnzake wa mkalasi, mnzake wa mkalasi, mnzake m'mabwalo ndi magawo, ndi zina. Kuphatikiza apo, m'maso achichepere, munthu uyu amawoneka ngati ngwazi, chifukwa amadzidulira chala chake ndipo samawopa madokotala ndi jakisoni! Udindo waukulu umaperekedwa kwa achikulire omwe ali mgululi, omwe akuyenera kufotokoza tanthauzo la nkhaniyi, aphunzitse maluso othandizira, malamulo oyambira kulumikizana.

M'banja momwe mudalipo ana ena, chovuta chachikulu ndiku kupeza malire pakati pa chisamaliro ndi chisamaliro kwa wodwalayo ndi chikondi kwa ena onse m'banjamo. Njira yosavuta yothetsera vutoli ndi banja lolumikizana, komwe amathandizira mwamphamvu malamulo apazakudya zathanzi, masewera olimbitsa thupi limodzi kapena kuyenda kwambiri mumlengalenga. Zimakhalanso zovuta kwa anthu omwe ali ndi vuto lofooka lamanjenje, kuda nkhawa komanso kukayikira, popeza pali mwayi wokhala ndi hypochondria kapena hypochondriac neurosis, yomwe imakhala yoyipa kwambiri kwa mwana wodwala komanso abale ena.

Ndikofunikira kuphunzira kuyankhula osati za matenda ashuga okha, komanso zazinthu zosavuta komanso zofunika kwambiri. Matenda si chifukwa chosiya mapulani omaliza maphunziro, kupanga banja, kupeza ntchito yabwino.Muyenera kumuthandiza mwana wanu kumvetsetsa munthawi yake kuti ndibwino kuti musalore kukhala woyendetsa ndege, koma kukulitsa luso lanu ndikuyang'ana mayitanidwe omwe ali ndi anthu omwe ali ndi endocrine pathologies. Masewera amakhalanso othandiza, koma pamlingo waluso.

Mwa anthu otchuka komanso olemera pali odwala ambiri omwe ali ndi matenda ashuga, kuphatikizapo odwala insulin. Achinyamata ena okongola komanso opambana amadwala matendawa kuyambira ali mwana ndipo samazengereza kuyankhulapo. Dziwani ena a iwo, lankhulani ndi makolo awo, mwina chitsanzo chenicheni cha wina chingalimbikitse mwanayo kuchita zabwino. Ndipo musazengereze kupeza chithandizo cha akatswiri, kuphatikizapo zamaganizidwe.

Kumbukirani, njira zilizonse zochizira endocrine pathologies zitha kugwiritsidwa ntchito mutakambirana ndi dokotala! Kudzipatsa nokha mankhwala kukhala koopsa.

Zoyenera kuchita ngati miyendo ipweteka ndi matenda ashuga?

Chithandizo cha kumapazi kwa matenda ashuga chiyenera kuyambitsidwa mwachangu. Shuga wambiri m'magazi amayambitsa kuphwanya mitundu yonse ya kagayidwe - chakudya, mafuta, mchere, mapuloteni komanso mchere wamchere. Kusintha kwa mahomoni kumapangitsa kuti thupi lonse lizigwira bwino ntchito zomwe zimayambitsa matenda ashuga. Choyamba, mtima wamtima umadwala. Matendawa akamakula, thanzi la zimakhala, makamaka lachiphuphu. Chifukwa cha kuchuluka kwambiri m'munsi, machitidwe a m'matumbo amomwe amapezeka mwachangu kwambiri.

A shuga angiopathy a m'munsi malekezero

Chimodzi mwazifukwa zomwe miyendo imapweteka mwa odwala matenda ashuga ndi matenda ashuga angiopathy. Amayamba chifukwa cha kuwonongeka kwa mitsempha yaying'ono (microangiopathy) komanso yayikulu (macroangiopathy). Vutoli limabuka chifukwa cha chithandizo chosankhidwa bwino kapena kusakhalapo. Mafuta ochulukirapo m'magazi, komanso madontho akuthwa ndi obwereza masana, amawononga kwambiri ma capillaries ndi mitsempha yayikulu.

Zotsatira zake, shuga amayamba kusunthira kwambiri mkati mwa makoma a ziwiya zamiyendo. Imaphwanya kapangidwe kake ndikuchepetsa kupenyerera. Njira ya pathological imayendera limodzi ndi kudziunjikira m'makoma amitsempha yamagazi a kagayidwe kazinthu (fructose ndi sorbitol), omwe amatha kudziunjikira madzimadzi. Khoma lamitsempha lodzaza ndi chinyezi, limatupa ndi kunenepa. Kuyimitsidwa kwawo kwakumaso.

Mkulu glucose imayambitsa njira ya thrombosis. Thrombi wopangidwa pamakoma a mitsempha yamagazi imachepetsa lumen ndikuchepetsa magazi.

Endothelium yowonongedwa ndi glucose (wosanjikiza maselo okhala mkati mwa mitsempha yamagazi) amataya mphamvu yake yopanga chinthu chomwe chimalamulira m'mitsempha yamagazi. Kapangidwe kawo ndi kwamphamvu kwambiri kotero kuti kufalikira kwa magazi m'makutuwo kumatha kutha. Mitsempha yamagazi imawonongekeratu kumadera akum'munsi, kotero anthu amakhala ndi ululu m'miyendo yawo omwe ali ndi matenda ashuga.

Njira ya atherosulinotic, yomwe imachitika ndi zovuta za lipid metabolism, imathandizira vasoconstriction. Mafuta a cholesterol omwe amapangidwa pamakoma awo amawonjezeka chifukwa cha kuchuluka kwa minofu yolumikizana. Chifukwa chakusokonekera kwambiri kwa magazi, mitsempha imadwala hypoxia (kusowa kwenikweni kwa mpweya).

Matenda a shuga angiopathy amadziwika ndi mawonekedwe a dzanzi, ozizira komanso "othinana ndi tsekwe" m'miyendo. Ndi kupendekera mwamphamvu kwa lumen ya ziwiya m'munsi m'munsi, kukokana komanso kuwonda kumawonekera.

Zowawa zam'mawere m'matenda a shuga ndizovuta kwambiri mpaka zimamupangitsa munthu kukhala wolumala. Ululu ululu nthawi zambiri umachitika pakasuntha, pamene minofu imafunikira magawo owonjezera a mpweya.

Matenda a shuga

Miyendo ya matenda ashuga imapweteka pakamabwera odwala matenda ashuga. Kupanikizika kumadziwika ndi kuwonongeka kwamanjenje. Mchitidwe wamanjenje umakhala ndi mitolo ya ulusi wamanjenje womwe umapangidwa pamodzi ndi mfuti ya minofu yolumikizana (perineurium). Mu perineuria, pali mitsempha yamagazi yomwe imadyetsa ulusi wamitsempha.

Ndi matenda ashuga, pamakhala kusinthasintha kwakukuru kwa shuga m'magazi:

Ndi mulingo wama glucose okwera, chiwerengero chachikulu cha ma radicals omasuka chimapangidwa chomwe chimayambitsa ma oxidative.
Ndikusowa kwa shuga, ulusi wamanjenje umasowa mu oxygen.

Magazi ochulukirapo m'magazi amatsogolera pakuphatikizana kwa fructose ndi sorbitol mu ulusi wamanjenje, ndikupangitsa edema. Zotsatira zake, mitolo yamanjenje imalephera pang'ono kugwira ntchito zawo. Pamodzi ndi kusintha kwa matenda ashuga, ma myelin sheaths omwe amapatula minyewa yamitsempha amawonongeka. Chifukwa cha izi, zokopa zamanjenje zimabalalika ndipo sizimakwaniritsa cholinga chomaliza. Popita nthawi, ulusiwu umayenda ndipo umasiya kufalitsa mauthenga amitsempha. Ngati matenda a shuga akuphatikizidwa ndi kuthamanga kwa magazi, ma cell amitsempha amatha kufa chifukwa cha kuphipha kwa ma capillaries ochepa.

Kupweteka kwa mwendo mu shuga kumachitika poyankha kukhumudwa kulikonse kwapakhosi. Nthawi zina wodwala amatha kudzuka usiku kuchokera ku zowawa zomwe zimayambitsidwa ndi kukhudza kwa bulangeti. Kuwonongeka kwa ulusi wamitsempha nthawi zambiri kumachitika mozungulira pamagawo am'munsi onse. Zosangalatsa zosasangalatsa zimawonekera pakhungu pakumeta, kuwotcha, "kuphulika kwa tsekwe".

Nthawi zina ululu wofinya wamkati umalowa m'miyendo. Mwa iwo kumverera kumatsika. Matendawa amatchedwa sock syndrome. Munthu amamva zinthu zomwe zakhudzidwa ndi mwendo, mosazindikira, ngati ali m'masokosi. Miyendo yake yam'munsi imakhala yotupa nthawi zonse. Chifukwa cha kuchepa kwa chidwi cha miyendo mwa wodwalayo, kulumikizana kwa kayendedwe kumakhala kolemekezeka. Miyendo yam'munsi simumumvera. Kuletsa kuyendayenda komanso kusayenda bwino kwa magazi kumayambitsa minyewa. Amataya mphamvu komanso kuchepa kukula.

Kuchepa kwa chidwi chomvera sikulola munthu kumva kupweteka m'miyendo panthawi yovulala, kuti amve chinthu chakuthwa kapena chotentha. Amatha kuzindikira zilonda zam'miyendo kwa nthawi yayitali. Izi ndi zoopsa thanzi la wodwalayo.

Matenda a shuga

Matenda a shuga amayamba motsutsana ndi maziko a mitsempha. Chifukwa cha kuchepa mphamvu kwa miyendo, munthu nthawi zambiri amavulala. Koma mikwingwirima, ma sprains, misozi yaying'ono yamitsempha yamafuta ndi mafupa am'mimba sizimadziwika nawo.

Chifukwa cha kusowa kwa chithandizo mu minofu yovulala, maziko a kutupa amachitika. Nthawi zambiri malo olumikizirana miyendo amakhudzidwa. Njira zachikhalidwe zimapangitsa kuchuluka kwa magazi mu minofu yamafupa. Zotsatira zake ndikutsikira kwa mchere kuchokera m'mafupa. Pathology imachitikanso chifukwa cha kuwonongeka kwa michere yama cartilaginous, yomwe imachitika motsutsana ndi maziko a kuchepa kwa lumen m'mitsempha.

Matenda amendo oterewa amtundu wachiwiri wa matenda ashuga amakula pafupipafupi kuposa nthenda yoyamba. Zokhudza matendawa:

Matenda a matenda ashuga nthawi zambiri amakhudza azimayi.
Matendawa amakula osagwirizana ndi shuga wamagazi. Mukakhala ndi kuchuluka kwa shuga, masinthidwe am'mbuyomu adzawonekera.
Zotsatira za kukula kwa matendawa, njira ya pathological imatha kufalikira mpaka minofu ya mafupa (osteoarthropathy).
Kuphwanya mapuloteni kagayidwe kakang'ono kumabweretsa mawonekedwe a hyperstoses. Hyperstoses imatchedwa kuwonjezeka kwa pathological mu fupa.

Pa gawo loyambirira la matendawa, kutupira kwa malekezero kumawonekera. Khungu m'malo mwake limasanduka lofiira ndikutentha. Kupweteka kwapang'onopang'ono kumatha kuwonedwa ngati njira ya pathological sinawononge kwambiri minofu ya mitsempha. Ndi matenda a shuga a arthropathy, kufooka kwa phazi kumawonekera bwino. Wodwalayo amadwala pafupipafupi komanso amapindika mafupa amiyendo. Kusintha kwa matenda ashuga nthawi zambiri kumawoneka pamiyendo yonse komanso kusiyana kwakanthawi.

Njira zotupa zimakonda kuphatikizidwa ndi kuwonjezeranso kachilombo komwe kamayambitsa matenda omwe amakwiya ndi mafinya.

Matenda a pakhungu la miyendo ndi matenda ashuga

Kusokonezeka kwa metabolic kumakhala chifukwa cha chitukuko cha matenda a dermatological. Odwala nthawi zambiri amakhala ndi mawanga a bulauni pamiyendo yawo omwe ali ndi matenda ashuga. Ndi chizindikiro cha matenda a shuga. Zilonda zozungulira kapena zowondera zimakutidwa ndi masikelo ang'onoang'ono osagwirizana ndipo sizimapangitsa munthu kukhala wosasangalatsa. Ndi dermopathy, chithandizo sichosankhidwa.

Chifukwa chophwanya chakudya cha carbohydrate metabolism, mawanga opaka amatha kuwoneka pakhungu la miyendo, mtundu wake womwe umasiyana ndi wachikaso mpaka wofiyira kapena wamphongo. Matendawa amatchedwa lipoid necrobiosis. Khungu limakhala loonda kwambiri komanso losavuta kusokonezeka. Matendawa akamakula, zilonda zopweteka zimatha kukhalapo. Popita nthawi, amazimiririka okha. Tsamba lofiirira limakhalabe m'malo mwawo. Lipoid necrobiosis imapezeka makamaka mwa odwala matenda a shuga 1.

Khungu losakhwima pamiyendo ndi chizindikiro cha matenda a shuga. Amakutidwa ndi zowawa komanso zovuta kuchiritsa mabala. Matenda a matenda ashuga atha kupweteka m'matumbo mwendo.

Matenda a matenda ashuga ndi timitsempha tosakhazikika. Zili ngati kutentha wamba. Matendawa amachoka pakokha popanda mankhwala patatha milungu ingapo.

Mu shuga mellitus, mawonekedwe achikasu (zolembera) amatha kuonekera pakhungu la miyendo. Ndi chizindikiro cha xanthomatosis. Ma Xanthomas amatha kutalika kwa masentimita 2-3. Amawoneka chifukwa cha zovuta zamtundu wa lipid ndipo ndi ma lipid amana.

Khungu lakuda m'malo olumikizirana miyendo limatha kuwonetsa wakuda acanthosis. Amayamba odwala omwe ali ndi matenda a shuga 2 motsutsana kumbuyo kwa kuwonjezeka kwa insulin. M'madera omwe akhudzidwa, khungu limakulitsidwa, kuyamwa ndikutulutsa fungo losasangalatsa.

Chithandizo cha zovuta za shuga

Ngati pali zizindikiro za matenda a shuga, muyenera kuonana ndi dokotala. Amazindikira matenda ake, amawonetsetsa kuti akula ndikuuza zoyenera kuchita pankhaniyi. Ngati ndi kotheka, chithandizo chidzaperekedwa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Chithandizo cha mankhwalawa ndicholinga chochepetsera shuga wamagazi ndi kupewa kudumphadumpha kwadzidzidzi. Odwala amatchulidwa meglitinides (Nateglinide, Repaglinide) kapena zotumphukira za sulfonylurea (Glyclazide, Liquid, Glimepiride).

Kuchiza kwa phazi kwa mtundu wachiwiri wa matenda osokoneza bongo kumachitika mothandizidwa ndi mankhwala omwe amachititsa chidwi cha minyewa kupita ku insulin. Izi zikuphatikiza thiazolidinediones (Rosiglitazone, Ciglitazone, Troglitazone, Englitazone). Kuchepetsa kuyamwa kwa matumbo m'matumbo, alpha-glucosidase inhibitors (Acarbose, Miglitol) amagwiritsidwa ntchito.

Kuti muchepetse kupweteka, mankhwala osapweteka a antiidal (Nimesulide, Indamethacin) ndi mankhwala. Ma anesthetics am'derali amagwiritsidwanso ntchito (Versatis ndi lidocaine, geloputini wa Ketoprofen). Kwa ululu waukulu, ma tridclic antidepressants (amitriptyline) amagwiritsidwa ntchito. Kuti muchepetse kukhudzidwa kwakukulu, anticonvulsants adayikidwa (Gabalentine, Pregabalin).

Mankhwala a Neurotropic (Milgamma, mavitamini B1, B6 ndi B12) amathandiza kuchitira miyendo ndi matenda ashuga. Amathandizanso kutupa, amathandizira kubwezeretsa ulusi wamitsempha ndikuwongolera kutulutsa kwa mitsempha.

Kuti muchepetse cholesterol, gwiritsani ntchito simvastatin, lovastatin kapena atorvastatin. Kutsitsa magazi kumatheka chifukwa chotenga Veralamil, Nifedilin, Lisinopril. Kulimbitsa ziwiya, dokotala yemwe amapezekapo adzalembedwera Pentoxifylline, Bilobil kapena Rutozide. Kuphatikiza apo, diuretics imawonetsedwa (Furosemide, Spironolactone). Tengani Aspirin kapena Sulodexide kuti muchepetse magazi.

Kusintha njira za metabolic, jakisoni wa Solcoseryl kapena Trifosadenin ndi mankhwala.

Nthawi zina mukalandira chithandizo, zizindikiro za matenda amendo zimatha kukula. Izi zimawonetsa kubwezeretsanso kwa ulusi wamanjenje. Kuchepetsa kupweteka komanso kusapeza bwino zimachitika pakatha miyezi iwiri.

Momwe mungasamalire mapazi owawa

Odwala omwe ali ndi matenda ashuga ayenera kuyang'ana miyendo yawo tsiku ndi tsiku, kuphatikiza zala ndi malo pakati pawo. Amayenera kutsukidwa nthawi zonse ndi madzi ofunda (osatentha kuposa 37 ° C). Pambuyo kuchimbudzi, khungu limayenera kupukuta bwino.

Saloledwa kutentha mapazi, kuyenda osavala nsapato ndikuvala nsapato popanda masokosi. Chithandizo cha chimanga ndi matenda ena amkhungu amatha kuchitika pokhapokha atakambirana ndi dokotala komanso moyang'aniridwa.

Simukuyenera kuvala nsapato zolimba zam'mphepete, zotsekera zamkati ndi zotumphukira. Masokisi okhala ndi seams sayenera kugwiritsidwa ntchito. Ayenera kusinthidwa tsiku ndi tsiku. Ndikofunikira kudula misomali yokhala ndi zomata zomata. Pankhaniyi, simuyenera kuzungulira ngodya za mbale ya msomali. Ngati zovuta zachilendo zimachitika, wodwalayo ayenera kuwona dokotala.

Ndi chiyani chomwe sichingachitike ndi "matenda okoma"?

Sizoletsedwa kudya confectionery, maswiti ndi chokoleti, zakudya zonunkhira, zipatso zotsekemera, ma pickles, zakudya zosuta, zakudya zamafuta zomwe zimakhala ndi mafuta ambiri azinyama.

Ndikofunikira kuti muchepetse shuga lanu la magazi nthawi zonse, kupewa kusintha kwadzidzidzi, popeza iyi ndi njira yolunjika yopezera zovuta.