Kuzindikira ndi kuchiza matenda ashuga ku Israeli
Kuthandiza odwala matenda ashuga ku Israeli ndi njira yonse yomwe imayamba ndi kuwoneka wokwera mtengo koma molondola. Zipatala zapadera zochizira matendawa zimapezeka m'malo onse azachipatala komanso azachipatala ambiri.
Onse endocrinologists ndi akatswiri a magawo ena omwe akukhudzidwa ndikuthandizira odwala matenda ashuga: akatswiri azakudya, opaleshoni. Chisamaliro chochuluka chimaperekedwa ku kukhathamiritsa kwaumoyo ndi kuwongolera thupi.
Pulogalamu Yofufuzira
Mtengo wodziwitsa matenda ake ndi pafupifupi $ 2000-2,500. Kuti mupeze matenda athunthu, monga chithandizo cha autoimmune chithokomiro, ku Israeli zimatenga masiku awiri. Njira zonse zimachitidwa pang'onopang'ono; mutalandira zotsatira, amasanthula kuti apange pulogalamu yothandizira.
Wodwala aliyense amapatsidwa wogwirizanitsa, omwe amapita naye kukatsimikizira kuti ali ndi matendawa, akumasulira.
Njira zoyesera
- Endocrinologist Kukhazikitsidwa: kufunsa, kufufuza, mbiri yachipatala,
- Kudziwitsa kwa hemoglobin wa glycated,
- Urinalysis kwa shuga ndi acetone,
- Kuyesa kwa shuga,
- Kudziletsa kwa glucose kulolerana
Chinthu chachikulu pakuzindikiritsa mtundu uliwonse wa matenda ashuga ndi kuyezetsa magazi, ndi iye yemwe amazindikira njira zomwe zimapezeka mthupi ndi digirii yawo. Kuphatikiza apo, maphunziro owonjezera amafunikira, popeza matenda a shuga amabweretsa zovuta zomwe zimafunikiranso chithandizo ndi madokotala odziwa ntchito.
Onetsetsani kuti mwawona bwanji mawonekedwe a fundus, electrocardiography, kusankha kwa ophthalmologist, nephrologist ndi akatswiri ena ngati pakufunika kutero.
Mapeto azindikiritso, endocrinologist amatenga njira ya chithandizo cha mwana ndi wamkulu, zomwe zimaphatikizapo chithandizo cha mankhwala, malingaliro, zakudya, zolimbitsa thupi.
- Njira yophatikizira chithandizo ndi kutenga nawo gawo madokotala a zokhudzana ndi zamankhwala. Endocrinologists amachita chithandizo pamodzi ndi akatswiri azakudya ndi opaleshoni, zomwe zimathandiza kuti zitheke.
- Opaleshoni yapadera. Maopaleshoni osasintha komanso osinthika omwe amathandiza kuti achepetse thupi, omwe amachitidwa ndi madotolo aku Israeli, amathandizira kuchepetsa shuga ya magazi mu 75-85% ya odwala.
Chithandizo cha matenda a shuga kwa ana komanso achikulire ndi madokotala odziwa bwino ntchito yawo
Chithandizo cha matenda ashuga ku Israeli chimatengera mtundu wake ndipo cholinga chake ndi kusungabe kuchuluka kwa shuga m'magazi a wodwala.
Kubwezeretsanso izi mwachizolowezi ndikukhazikika kwawo kumapangitsa kupewa zovuta zina zowonjezera komanso njira zowonongeka mthupi.
Mtundu woyamba wa shuga
Pochiza matenda a shuga a mtundu woyamba, insulin ndiyofunikira. Ndi izo, msuzi wa shuga umakonzedwa. Kutengera mawonekedwe a wodwalayo, momwe amakhalira komanso zolinga zake, insulini imalembedwa mwachidule kapena nthawi yayitali.
Kukonzekera kwa insulin kumasankhidwa payekha, kuti moyo wa wodwala ukhale wabwino momwe mungathere. Chinsinsi chotsimikizira moyo wabwino ndikuwongolera shuga.
Kuyang'anira mosalekeza kumatha kutsimikiziridwa ndi zida zapadera zowunikira mosalekeza. Ndi iyo, mutha kutsata kuchuluka kwa glucose tsiku lonse. Chipangizo chaching'ono chimayikidwa pansi pa khungu pamimba.
Masekondi angapo aliwonse, mulingo wa shuga mumayezedwa, ndipo deta imaperekedwa kwa polojekiti yomwe imatha kuphatikizidwa ndi lamba kapena kunyamula mthumba mwanu. Pazosintha zomwe zimafunikira kusintha, chizindikiro chapadera chimaperekedwa.
Zipangizo za Inulin
- Syringe wamba
- Cholembera cha insulin
- Pampu ya insulin.
Zothandiza kwambiri ndizida zamakono zomwe ndizofunikira kwambiri pakukonzekera mtundu wa matenda a shuga 1, ngakhale amagwiritsidwa ntchito mofananamo ngati odwala achikulire.
Pensulo ya insulini imakhala ndi makatoni odzaza ndi insulin, ndipo potembenuza kuyimba, muyeso wofunikira wa insulin umayikidwa. Panthawi yoyenera, insulin imalowetsedwa pansi pa khungu ndikuyenda kosavuta.
Pampu ya insulin imawonedwa ngati njira yosinthira, yomwe ingathandize kwambiri moyo wa odwala omwe ali ndi matenda amtundu wa 1, ngakhale amatha kugwiritsidwa ntchito mwanjira zina za matenda ashuga a 2. Chipangizochi ndi chida chaching'ono chomwe chimamangirira thupi.
Kugwiritsa ntchito zomvera zamagetsi, ma siginala amaperekedwa, ndipo pampu imalowa muyezo woyenera wa insulin panthawi yoyenera. Pogwiritsa ntchito chipangizochi, mutha kukonza kayendetsedwe ka insulini komanso kayendetsedwe ka insulin modzikonzera.
- ludzu ndi kamwa yowuma
- kukodza pafupipafupi
- khungu loyang'anira (nthawi zambiri kumaliseche),
- mutu ndi chizungulire,
- kumva kugwedezeka, dzanzi ndi kulemera m'miyendo, m'mimba mwa minofu ya ng'ombe,
- kutopa, kusokonezeka kwa tulo,
- kuwonongeka kowoneka ("chophimba choyera"),
- kuchiritsa pang'onopang'ono kwa mabala komanso kupezekanso kwakanthawi kwamatenda,
- Kuchepetsa thupi ndi chidwi,
- kuphwanya potency,
- kutentha pang'ono kwa thupi (pansi pa 36 °).
Type 2 shuga
Ndi mtundu uwu wa matenda ashuga, ndizotheka kukhalabe ndi chikhalidwe chovomerezeka mthupi kudzera mu chakudya komanso masewera olimbitsa thupi.
Komabe, izi sizokwanira, ndipo kafukufuku akuwonetsa kuti kupereka mankhwala mwapadera kumathandizira kusintha kwa shuga.
Nthawi zambiri, milingo ya shuga imasinthidwa potenga mankhwala ochepetsa shuga mu mawonekedwe a piritsi.
Zosankha zamankhwala ochepetsa shuga
- Njira yochepetsera kupanga shuga wa chiwindi,
- Pancreatic zokupatsani mphamvu
- Njira zowonjezera kukhudzika kwa minofu kumapangitsa insulin.
Zaka zaposachedwa, m'zipatala, monga chithandizo cha dermatomyositis ku Israel, madokotala amakonda kupereka mankhwala amakono omwe ali ndi zovuta ku thupi.
Mankhwala obisika amathandizira pang'onopang'ono komanso pang'onopang'ono, amakhala ndi zovuta zochepa kuposa kukonzekera kwa insulin. Komabe, sikuti nthawi zonse ndi mtundu wachiwiri wa shuga, mankhwala ochepetsa shuga ndi okwanira, nthawi zina, mankhwala a insulin ndi omwe amadziwika.
Pochiza matenda amtundu uliwonse wa shuga, ndikofunikira kutsatira zakudya zomwe sizimapatula zakudya zokhala ndi chisonyezo chachikulu cha glycemic, monga uchi, shuga, ndi chilichonse chomwe chili nacho. Tifunikira kwambiri kuchepetsa nyama.
Mitundu yambiri yazakudya ziyenera kupezeka m'zakudya. Malemu, chimanga, ndi zipatso zina zithandiza kukwaniritsa izi. Atalandira zotsatira za kusanthula ndikupanga njira yothandizira mankhwalawa, dokotalayo amapatsa wodwalayo malingaliro ake pazakudya.
Akufotokozera momwe mungasankhire zakudya, momwe mungadyere m'njira zothandizira thupi, kumapereka chilichonse chomwe mungafune ndikukhala ndi shuga.
Kuphatikiza pa chithandizo chamankhwala, zakudya zopatsa thanzi zimayikidwa kuti thupi lisakhale ndi mavitamini ndi mchere.
Mankhwala othandizira odwala matenda a shuga ndi mtengo wake
M'magawo azachipatala aku Israeli, njira yothandizira matenda amtundu wa 2 ngati maopareshoni ochepetsa thupi amachitika.
Amawonetsedwa ngati chithandizo cha mankhwala sichibweretsa zotsatira zomwe mukufuna, ndipo kulemera kwambiri kwa thupi kumaposa 40 kilogalamu.
Mu 75-80% ya odwala atachitidwa opaleshoni, misempha ya glucose imabweranso mwakale.
Ntchito zimachitika pamatumbo ang'onoang'ono kapena pamimba kuti muchepetse kuchuluka kwa zakudya zomwe zimadyedwa kapena kuchepetsa kuyamwa kwa michere. Zotsatira zake, wodwalayo amachepetsa thupi, ndipo kusintha matendawa pakokha kungayambitse matenda a shuga.
Mukamalowerera m'matumbo aang'ono, workaround imapangidwa yomwe imalimbikitsa kupititsa chakudya, kupatula gawo lamatumbo laling'ono. Zotsatira zake, michere imatengedwa mu voliyumu yaying'ono, yomwe imabweretsa kuwonda.
Mtengo wa opaleshoni yotereyi ndi $ 32,000-35,000, kutengera mtundu womwe udalipo.
Kuchita opaleshoni kuti muchepetse kuchuluka kwa m'mimba pochotsa matenda ashuga kumatha kukhala ndizotsatira komanso zosasintha.
Kulowerera kosasinthika ndikuwunika kwa m'mimba m'mphepete mwa kupindika kwakukulu. Poterepa, m'mimba mwake mumapangidwa ngati chubu, munthu amafunika chakudya chochepa kuti akwaniritse.
Wodwalayo akumva kukhala wokwanira, popeza m'mimba mwadzaza, ndipo malingaliro abwinobwino m'malingaliro a kuchuluka kwa chakudya amathetsedwa posachedwa. Opaleshoni yodabwitsayo imachitika ngati njira zosinthira sizinakhale ndi zotsatira zake kapena ngati dokotala sawona kuti atha kuzigwiritsa ntchito.
- Israeli akuchiritsa matenda amtundu wa 2 ndi mtundu wa 2 wa mtundu wa anthu azaka zilizonse kapena amuna ndi akazi, kuphatikizapo amayi oyembekezera.
- Nzika zaku Russia ndi Ukraine sizifunikira kulembetsa visa kuti itumizidwe ku Israeli ngati kukhalabe kwawo sikuchedwa kuzengereza masiku oposa 90.
Kuyambanso Kuchita Opaleshoni Yam'mimba
- Gawani m'mimba m'madipatimenti pogwiritsa ntchito mphete yosinthika,
- Kukhazikitsa silinda yodzaza voliyumu.
Mukakhazikitsa mphete yosinthika, m'mimba imagawidwa m'magawo awiri, imodzi yomwe ndi yaying'ono kwambiri, 10-15 ml. Gawo laling'ono lili pamwamba, ndiko kudzazidwa kwawo komwe kumayimira ubongo pakukwera.
Chifukwa cha opareshoniyo, munthu, akudya supuni yokha yazakudya, akumva kukhuta, amadya kwambiri ndipo amachepetsa thupi. Ntchito zoterezi zimachitika pogwiritsa ntchito laparoscopic ndipo zimalekerera mosavuta odwala. Komabe, atakhazikitsa, ndikofunikira kutsatira mosamalitsa zakudya zomwe dokotala amapanga.
Njira yachiwiri yochepetsera kuchuluka kwa m'mimba ndikuyika baluni yodzipukusa yokha. Balloon iyi imakhala ndi gawo lalikulu la m'mimba, zomwe zimapangitsa kuti azikhala ndi chidzalo mutatha kudya chakudya chochepa. Pakapita kanthawi, baluni amadzipangitsa yekha ndipo amachotsedwa m'thupi mwachilengedwe.
Mtengo wa opaleshoni pamimba ndi pafupifupi $ 30,000-40,000.
Mankhwala Atsopano Atsopano
Masiku ano, njira zamakono za stem zikugwiritsidwa ntchito kwambiri pochiza matenda osiyanasiyana ku Israeli. Zitsanzo zomwe zimatengedwa m'mafupa a wodwalayo zimalandira chithandizo chapadera kupatula maselo a tsinde.
Pambuyo pake, mankhwala amaperekedwa kudzera mu mtsempha wa magazi. Zotsatira zimachitika pang'onopang'ono, pakatha miyezi iwiri. Pambuyo pa njirayi, kufunika kwa insulin ndi mankhwala ochepetsa shuga amachepetsa.
Israeli ikuchita kafukufuku ndi mayesero azachipatala azithandizo zatsopano za matenda ashuga. Mwachitsanzo, kuyesa kukuchitika pakumasinthidwa kwa ma islets a Langerhans - gulu la maselo a endocrine omwe amapanga insulin.
Mpaka pano, nkhani yokhudza kusalinganika kwazovuta za maselo opereka omwe ali ndi chamoyocho ilandiridwabe sichinasinthidwebe mbali iyi.
Ku Israeli, samayandikira kokha chithandizo cha matenda a shuga, komanso kukonzanso kwa gulu ili la odwala, chidwi chambiri chimaperekedwa pantchito yophunzitsa yomwe imathandiza odwala kumvetsetsa zomwe zikuchitika mthupi ndikukhala odziletsa, zomwe zimakupatsani mwayi wokhala ndi moyo wabwino ndi matendawa.
Mlingo wa ntchito zachipatala pankhani ya endocrinology m'makiriniki aku Israeli ndiwokwera kwambiri, ndipo mtengo wotsimikizira ndi kulandira chithandizo ndiwotsika kwambiri poyerekeza ndi mayiko ena ambiri.
Onani gawo la Endocrinology kuti mumve zambiri.
Kodi kuzindikira ndi kuthandizira matendawa ku chipatala cha Top Ihilov (Israel)
Mtengo wodziwitsa ndi kulandira chithandizo ndi madola 2583.
Tsiku loyamba - kulandiridwa kwa diagnostologist
Dotolo amalankhula ndi wodwalayo, amawunika zolemba zamankhwala zomwe adabweretsa, amafunsa mafunso okhudza matenda ake, amatenga anamnesis ndikupanga mbiri yachipatala ku Chihebri motsatira zofuna za Unduna wa Zaumoyo ku Israeli.
Pambuyo pake, dokotala-wofufuza amapereka mankhwala kwa wodwalayo kuti awunikenso komanso kuti amufufuze.
Funsani mtengo wamatenda a 2 shuga
Tsiku lachiwiri - kafukufuku
M'mawa, wodwalayo amatenga kuyesedwa kwa magazi (shuga yofulumira, kuyesa kwa glucose, kudziwa kuchuluka kwa hemoglobin ya glycated, komanso lipids, creatinine, vitamini D, ndi zina zambiri).
Titha kupatsidwanso ntchito:
- Ultrasound yamimba yam'mimba (mtengo - - $445),
- Doppler kuphunzira zotengera za impso (mtengo - $544).
Tsiku la 3 - kufunsira kwa endocrinologist ndi kupatsidwa chithandizo
Wodwalayo amatengedwa ndi endocrinologist. Amachita mayeso, amalankhula zodandaula zomwe zilipo, amaphunzira zotsatira za maphunziro ndikupanga matenda omaliza. Pambuyo pake, adotolo amafufuza kapena kusintha chithandizo ku Israeli.
Njira za Kudziwitsa Matenda A shuga A Type 2 ku Israel
Mayeso otsatirawa ndi njira zomwe amagwiritsa ntchito kuzindikira mtundu wa 2 matenda a shuga ku chipatala cha Top Ichilov:
- Kuthamanga magazi
Ku Israeli, kuyezetsa uku kumagwiritsidwa ntchito ngati kuwunika kwa matenda ashuga. Mitu yotsika ndi 110 mg / dl imadziwika. Mkulu wa glucose wapamwamba kuposa 126 mg / dl amadziwika kuti ndi chizindikiro cha matenda ashuga, ndipo maphunziro ena amaperekedwa kwa wodwalayo.
Mtengo wa kusanthula - $8.
- Mayeso a kulolera a glucose
Kuyesaku ndikuwonetsetsa kwambiri komanso kumakupatsani mwayi wotsimikizira kapena kupatula kukhalapo kwa matenda ashuga mwa wodwala. Miyeso imatengedwa kangapo - kumayambiriro kwa phunziroli ndi pomwe wodwala amamwa madzi otsekemera. Glucose wabwinobwino ndi 140 mg / dl kapena kuchepera.
Mtengo wa kusanthula - $75.
Funsani mtengo wa chithandizo cha matenda ashuga ku Israeli
Kuwunikaku kumatipatsa kusiyanitsa mtundu 1 ndikulemba mtundu wa 2 ndikuwona njira yabwino yochizira matendawa. C-peptide ndi gawo lokhazikika la proinsulin - chinthu chapadera chomwe chimapangidwa m'thupi lathu. Mlingo wake mosawerengeka umawonetsa mulingo wa insulin yopangidwa ndi kapamba. Kusintha kwa magazi posanthula kumachitika pamimba yopanda kanthu kuchokera m'mitsempha.
Mtengo Wofufuzira - $53.
Momwe mungayang'anire zovuta za mtundu wa matenda ashuga a 2 ku Israeli, ku chipatala cha Top Ihilov
Pozindikira panthawi yake komanso chithandizo cha zovuta, madokotala akuchipatala apanga pulogalamu yapadera yoyeserera. Mulinso:
- Kuyesa kwa magazi a Lipid
Kafukufukuyu akuwonetsa zinthu zomwe zimawonjezera chiopsezo cha matenda amtima. Israeli Diabetes Association imalimbikitsa kuchita kafukufukuyu kawiri pachaka.
Mtengo wa kusanthula - $18.
- Kuyesa kwa mapuloteni a mkodzo
Cholinga cha phunziroli ndikuzindikira matenda a shuga. Ndikulimbikitsidwa kuti zizichitika chaka chilichonse.
Mtengo wa kusanthula - $8.
- Ophthalmologist mayeso
Imachitika pofuna kupewa komanso kupezeka kwa matenda ashuga a retinopathy. Zimaphatikizapo kuyesa kwa fundus ndi kuyang'ana kwa maso.
Mtengo - $657.
- Kukambirana ndi dermatologist kapena dokotala wa opaleshoni
Amachitika kuti awone momwe wodwalayo alili ndi matenda ashuga.
Amapangidwa kuti azindikire matenda ashuga a m'mimba - kuphatikizika kwa shuga.
Mtengo wa kufunsa - $546.
Pezani pulogalamu yachipatala komanso mtengo wolondola
Njira zochizira matenda amitundu iwiri ku Israeli
Matendawa amathandizidwa makamaka ndi njira zosasamala. Izi zikuphatikiza:
- zakudya mankhwala
- physiotherapy (kuphatikizapo masewera olimbitsa thupi),
- mankhwala.
Ngati ndi kotheka, wodwalayo angamuchitidwe opaleshoni yodula kuti achepetse kunenepa (pafupifupi 90% ya milandu, izi zimathandiza kuchepetsa matenda a shuga).
Wopatsa thanzi amadya pulogalamu ya odwala. Ndikulimbikitsidwa kuti muzidya zakudya zofanana zopatsa mphamvu tsiku lililonse tsiku lililonse, kudya nthawi yomweyo, nthawi zambiri m'magawo ang'onoang'ono.
Mtengo wa kufunsa za akatswiri azakudya ndi $510.
Nthawi zambiri, odwala amaloledwa kuchita masewera olimbitsa thupi kwa mphindi 20-30 katatu pa sabata. Nthawi yomweyo, mukamaphunzitsidwa, muyenera kuonetsetsa kuti shuga ya magazi siyatsika kwambiri.
Wodwala amatha kutumizidwa:
- Kukonzekera kwa Sulfonylurea. Mankhwalawa amathandizira kupanga insulin ndi kapamba.
- Biguanides. Mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi. Gawoli limaphatikizapo metformin, phenformin, ndi mankhwala ena.
- Alfa glucosidase zoletsa. Mankhwala osokoneza bongo amachedwetsa kuyamwa kwa zovuta zam'mimba m'matumbo ang'onoang'ono, zomwe zimakhudza shuga wamagazi mukatha kudya.
- Kukonzekera kwa Thiazolidinedione. M'badwo waposachedwa wa mankhwala omwe samalimbikitsa kupanga insulin, koma amawonjezera chidwi cha zotumphukira zake.
- Meglitinides. Mankhwalawa amakono amathandizanso kupanga insulin. Kuchepa kwawo kuli poti amakamwa nthawi yomweyo asanadye komanso samafuna kudya kwamphamvu.
Nthawi zina, madokotala aku Israeli amapereka mankhwala othandizira odwala matenda a shuga. Mukamasankha mtundu wa insulin, njira yaumwini imagwiritsidwa ntchito.
Funsani Mtengo wa Chithandizo cha Matendawa ku Top Ichilov
Momwe mungapezere chithandizo cha matenda a shuga ku Top Ichilov:
1) Imbani chipatala pakali pano pa nambala ya Russia +7-495-7773802 (kuyimbira kwako kudzangochitika zokha komanso kwaulere kusamutsidwa kwa katswiri wolankhula Chirasha ku Israel).
2) Kapena lembani fomu iyi. Dokotala wathu adzakulumikizani patatha maola awiri.
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