Momwe mungadziwire kuti ndi ziti zomwe zimayambitsa matenda a shuga mwa abambo
Matenda a shuga ndi matenda oopsa a endocrine omwe afala posachedwapa. Potukula matendawa amuna, cholowa chimatengera gawo limodzi, komanso kusasamala thanzi lanu. Kodi ndi ziti zazikuluzikulu za matenda ashuga mwa abambo, momwe mungadziwire matenda a matenda adakali mwana?
Arfazetin mu shuga mellitus - zikuonetsa ndi contraindication ntchito Kodi zakudya zamtundu wa 2 shuga - chithandizo Zizindikiro ndi zizindikiro za matenda ashuga mwa akazi Timachotsa matenda ashuga kunyumba pogwiritsa ntchito njira zabwino za anthu Mitundu ya shuga imalo mmalo mwa odwala matenda ashuga
Zizindikiro zoyambirira za shuga
Madokotala nthawi zambiri amatcha matenda ashuga "osapha kanthu" - matendawa amatha kuchitika kwa nthawi yayitali popanda zizindikilo kapena kudzipangitsa kukhala matenda ena. Choyambitsa chachikulu cha matenda amtundu wa 1 ndikuchepa kwa kapangidwe ka insulin yomwe amapanga. Thupi ili limaganizira zochitika zodetsa nkhawa, manjenjemera, kunenepa kwambiri.
Momwe mungadziwire matendawa kuyambira koyambirira:
- Kusintha kwakuthwa kwakanthawi kapena pansi - chakudya chamagetsi amatenga nawo mbali pazochita za metabolic, kuwotcha kwamafuta ndi mapuloteni ndikulimbikitsidwa,
- kumangokhalira kumva njala, yomwe sichitha ngakhale mutatha kudya - maselo sangathe kuyamwa shuga m'magazi pakalibe insulin, yomwe imapangitsa kuti munthu azikhala ndi chidwi chofuna kudya,
- ludzu, kukodza pafupipafupi usiku - thupi limayesetsa kuchotsa shuga wambiri mumkodzo,
- kutopa, kugona. - zimakhala ndi vuto la kusowa kwa mphamvu.
Anthu odwala matenda ashuga amadwala kwambiri thukuta nthawi iliyonse pachaka. Pokhala ndi shuga wambiri, masomphenya amakhala ndi vuto - amayamba kuchuluka kawiri m'maso, chithunzicho chimakhala mitambo. Mwa amuna, matenda a shuga nthawi zina amayambitsa kusabereka komanso kusabereka, mavuto amatha kuyamba msanga, mpaka zaka 30.
Zofunika! Zizindikiro zakunja za matenda ashuga mwa amuna koyambira sizimawonetsedwa - matendawa amayamba kuwononga ziwalo zamkati.
Zizindikiro za matenda a shuga 1
Mtundu woyamba wa shuga, kapamba amasiya kupanga insulin, motero munthu amafunika kubayidwa ndi mahomoni kangapo patsiku lisanadye. Kupanda kutero, chikomokere ndi imfa zimatha kuchitika.
Matendawa ali ndi cholowa chathu, kupezeka kwa anthu odwala matenda amhuga kumawonjezera mwayi wokhala ndi matendawa. Zina zomwe zimayambitsa matendawa ndizoti munthu azingokhalira kutengeka, ma virus, kumva kuwawa kwa ubongo, kukonda kwambiri zakudya zabwino.
Zizindikiro za matenda a shuga omwe amadalira insulin mwa amuna:
- ludzu losalekeza - munthu amamwa madzi opitilira malita asanu patsiku,
- kuyabwa
- kukodza pafupipafupi, makamaka kugona usiku,
- kutopa kwambiri
- Kuchepetsa thupi pakudya.
Matendawa akamakula, kusowa kwa chakudya kumatha, kununkhira kwina kochokera mkamwa kumawonekera, mavuto ndi potency amayamba. Nthawi zambiri matendawa amakhala ndi nseru, kusanza, kusapeza bwino m'matumbo.
Zofunika! Mtundu wa shuga wodalira insulin umapezeka kwambiri kwa anyamata. Zizindikiro zoyambirira zimatha kuonekera zaka 35, ndipo patatha zaka 40 munthu sangathenso kuchita jakisoni wa insulin.
Zizindikiro za Matenda Awiri A shuga
Mtundu wachiwiri wa matenda ashuga, insulin imapangidwa m'thupi, koma mayanjano ake ndi maselo samatupa, chifukwa chomwe glucose m'magazi simalowetsedwa ndi maselo. Ndikofunikira kubwezeretsa zakudya, kusiya zizolowezi zoipa, kumwa mankhwala osokoneza bongo omwe amachepetsa shuga. Zomwe zimayambitsa matendawa ndi chibadwa chathu, kunenepa kwambiri, zizolowezi zoyipa.
Zizindikiro za matenda a shuga a 2:
- mabala ndi zipsera zimachiritsidwa kwakanthawi, nthawi zambiri zimayamba kusefukira,
- Pali mavuto ndi masomphenya, patatha zaka 60, odwala matenda ashuga nthawi zambiri amapezeka ndi matenda amkati.
- kufooka, kugona,
- kusokonezeka kwa kukumbukira
- kutaya tsitsi
- kutuluka thukuta kwambiri.
Mu shuga, njira za pathological zimachitika m'malo olumikizirana - izi zimakhudza kusinthasintha kwa zala ndi zala. Zimakhala zovuta kuti munthu wodwala matenda ashuga azikweza chala chachikulu kwambiri pamlingo wa madigiri 45 pamwamba. Zala zamanja sizitukuka kwathunthu, chifukwa chake, pakubweretsa manja athu, mipata imatsalira.
Zofunika! Matenda a 2 a shuga amapezeka kwambiri mwa amuna atakwanitsa zaka 50, amakula pang'onopang'ono kuposa mawonekedwe omwe amadalira insulin.
Zotsatira zake
Matenda a shuga ndi njira yoopsa, kunyalanyaza zizindikiro zoopsa kumatha kuyambitsa matenda a impso, kugunda kwa mtima, kusaona, kufa.
Matendawa ndi oopsa:
- Zowonongeka. Poyerekeza ndi kuchuluka kwa shuga, kusinthika kwa matenda kumachitika m'matumbo ang'onoang'ono a fundus ndi retina, ndipo magazi amawonjezereka. Zotsatira zake ndi kuyendetsa ma mandala (ma cataract), kuyamwa kwa retinal.
- Kusintha kwachidziwitso mu impso. Ndi matenda ashuga, aimpso glomeruli ndi tubules zimakhudzidwa - matenda ashuga nephropathy, aimpso kulephera.
- Encephalopathy - chifukwa cha kuphwanya magazi, magazi amanjenje amachitika. Matendawa amadziwoneka ngati akuphwanya mutu, kuwonongeka m'maso, kusowa chidwi, komanso kugona mokwanira. Matendawa akamakula, munthu amayamba kumva chizungulire, mgwirizano umasokonekera.
- Matenda a shuga. Chifukwa cha kuwonongeka kwa ziwiya zotumphukira ndi mitsempha, kayendedwe ka magazi ndi malo okhala m'munsi zimasokonekera. Phazi pang'onopang'ono limatayika pakumverera, paresthesia (kumatha kuthamanga "zotumphukira"), kukokana pafupipafupi kumachitika. Ndi mawonekedwe apamwamba, zilonda zopanda machiritso zimawonekera, zilonda zam'mimba zimatha kukhazikika, mwendo umayenera kudulidwa.
- Mtima matenda. Matenda a shuga ndi mtima ndi mtima. Anthu odwala matenda ashuga amakhala ndi atherosulinosis, angina pectoris, vuto la mtima, kuthamanga kwa magazi, ndipo nthawi zambiri zimachitika zomwe zimafuna opaleshoni.
Mwa amuna omwe ali ndi matenda a shuga, kaphatikizidwe ka testosterone kamachepa - chilakolako chogonana chimazirala, mavuto okhala ndi potency amadzuka. Matendawa akamakula, kuchuluka kwake kwa umuna wake kumachepa, kusabereka kumayamba.
Zofunika! Ndi matenda anthawi yake, chithandizo choyenera komanso zakudya, moyo wabwino kwambiri komanso chiyembekezo chokwanira chokwanira chokwanira chitha kukwaniritsidwa.
Kuzindikira ndi chithandizo
Ngati pali zizindikiro za matenda ashuga, muyenera kukayezetsa kuchipatala. Njira zakuzindikira - magazi ndi mkodzo poyesa kuchuluka kwa shuga, kudziwa kuchuluka kwa hemoglobin ya glycosylated, kuyeserera kwa shuga, kuzindikira ma peptides enieni ndi insulin m'madzi a m'magazi.
Kuthamanga kwa shuga m'magazi ndi 3.3 - 5.5 mmol / l, maola 2 mutatha kudya, shuga amatha kuwonjezera mpaka 6, 2 mayunitsi. Kukula kotheka kwa shuga kukuwonetsedwa ndi mfundo za 6.9-7, 7 mmol / L. Kudziwitsa za matenda ashuga kumapangidwa pamene mitengo yoposa 7.7 yapita.
Akuluakulu, zizindikiro za shuga ndizokwera pang'ono - 5.5-6 mmol / l zimawerengedwa ngati zapamwamba, malinga ngati magazi amaperekedwa pamimba yopanda kanthu. Madzi a glucose panyumba amawonetsa kuchepa kwa shuga m'magazi, kusiyana kwa ma labotale ndi pafupifupi 12%.
Zochizira matenda amtundu wa 1 shuga, ndi majakisoni a insulin okha omwe amagwiritsidwa ntchito. Mapiritsi ndi njira zina zochiritsira sizithandiza mtundu wamatendawa. Anthu odwala matenda ashuga ayenera kutsatira chakudya, nthawi zonse amachita zinthu zolimbitsa thupi.
Maziko othandizira matenda amtundu wa 2 ndi zakudya zoyenera, zomwe zimathandiza kukhala ndi shuga. Kuphatikiza apo, adotolo amatipatsa mapiritsi omwe amachepetsa shuga m'magazi - Siofor, Glucofage, Maninil. Gwiritsani ntchito pochiza komanso kugwiritsa ntchito mankhwala osokoneza bongo a GLP-1 receptors - Viktoza, Bayeta. Mankhwala amamasulidwa mu mawonekedwe a cholembera, ma jekeseni ayenera kuchitidwa musanadye chakudya kamodzi kapena kamodzi patsiku, malamulo onse ovomerezeka amawonetsedwa mu malangizo.
Njira zopewera
Ndikosavuta kupewetsa kuyambika kwa matenda ashuga - muyenera kuyamba posintha moyo wanu ndi zakudya zanu. Ndikofunikira kusiya zizolowezi zoipa, kuchepetsa kumwa tiyi, khofi, zakumwa zoziziritsa kukhosi, zatsopano zopaka.
- Chakudyacho chikuyenera kukhala ndi zakudya zachilengedwe zochulukirapo. Zakudya zopezeka ndi mafuta ochepa opepuka ziyenera kuchepetsedwa.
- Kusungabe madzi ndi njira imodzi yopewera matenda ashuga. Ndi madzi osakwanira, kaphatikizidwe ka insulini amasokonezeka, kuchepa kwa madzi m'thupi kumayambira, ziwalo sizingasinthe ma acid onse achilengedwe.
- Kuchita masewera olimbitsa thupi pafupipafupi - madokotala amati njira iyi ndiyo njira yodalirika yopewera kuyambika kwa matenda ashuga. Pa maphunziro, njira zonse za metabolic mthupi zimagwira.
Matenda a shuga ndi matenda osachiritsika omwe matendawa amakhazikika. Njira yabwino kwambiri yopeweretsera matendawa ndi kupeza panthawi yake, abambo atatha zaka 40 amafunika kuyang'ana magazi awo kamodzi miyezi isanu ndi umodzi. Popeza tili ndi vuto la matenda ashuga, ndikofunikira kuti muchepetse kuchuluka kwa zakudya zopatsa mphamvu - zimadzaza kwambiri kapamba.