Chakudya chomwe chitha kuchepetsa ululu wa matenda ashuga a mtima

Mu 2015, ku America, asayansi adachita kafukufuku wokhudza momwe zakudya zimakhudzira kupweteka komwe kumayenderana ndi matenda a shuga. Zinapezeka kuti kudya komwe kumadalira nyama ndi mkaka womwe umayang'anitsitsa zinthu zomwe zimagwiritsidwa ntchito pazomera zitha kutha kuchepetsa izi komanso kuthandizira kuti ziwengo zisawonongeke.

Matenda a diabetes a neuropathy amakula mwa anthu opitirira theka la anthu odwala matenda ashuga a 2. Matendawa amatha kukhudza thupi lonse, koma makamaka mitsempha yotupa ya mikono ndi miyendo imadwala - chifukwa cha kuchuluka kwa shuga komanso magazi osayenda bwino. Izi zikuwonetsedwa mu kutaya mphamvu, kufooka ndi ululu.

Asayansi apeza kuti pankhani ya matenda a shuga a mtundu wachiwiri, diya, pogwiritsira ntchito mankhwala omwe amapangidwa ndi mbewu, sangakhale othandiza kwambiri kuposa mankhwala.

Kodi chakudya ndi chiyani?

Pa kafukufukuyu, madokotala adasamutsa akuluakulu 17 omwe ali ndi matenda a shuga a 2, matenda a shuga a m'magazi komanso kukhala onenepa kwambiri kuchokera kuzakudya zawo zofunikira mpaka kudya zakudya zamafuta ochepa, kuyang'ana kwambiri zamasamba zatsopano ndi zopatsa mphamvu zamafuta monga chimanga ndi nyemba. Ophatikizawo adatenganso vitamini B12 ndipo adapita kusukulu yazakudya ya sabata iliyonse ya odwala matenda ashuga kwa miyezi itatu. Vitamini B12 ndiyofunikira pakugwira bwino ntchito kwa mitsempha, koma imatha kupezeka mwa mawonekedwe ake achilengedwe pazinthu zomwe zimachokera ku nyama.

Malinga ndi kadyedwe, zopangidwa zonse za nyama sizinaphatikizidwe pazakudya - nyama, nsomba, mkaka ndi zomwe zimachokera, komanso zinthu zomwe zili ndi index yayikulu ya glycemic: shuga, mitundu ina ya chimanga ndi mbatata zoyera. Zofunikira kwambiri pazakudyazo zinali mbatata wokoma (wotchedwanso mbatata), mphodza ndi oatmeal. Ophatikizawo adayenera kukana zakudya zamafuta ndi zakudya ndikudya 40 magalamu a fiber tsiku lililonse monga masamba, zipatso, zitsamba ndi mbewu.

Pakuwongolera, tinawona gulu la anthu ena 17 omwe ali ndi deta yomweyo yoyambirira, omwe amayenera kutsatira zakudya zawo zomwe sizinali za vegan, koma amawonjezera ndi vitamini B12.

Zotsatira zakufufuza

Poyerekeza ndi gulu lolamulira, iwo omwe amakhala pachakudya cha vegan adawonetsa kuwongolera kwakukulu pokhudzana ndi kupweteka kwapweteka. Kuphatikiza apo, dongosolo lawo lamanjenje komanso loyenda magazi lidayamba kugwira ntchito bwino, ndipo iwonso adataya pafupifupi ma kilogalamu 6.

Ambiri adatinso kusintha kwa shuga, komwe kumawathandiza kuchepetsa kuchuluka ndi kuchuluka kwa mankhwala a shuga.

Asayansi akupitilizabe kufunafuna tanthauzo la zomwe zakonzedwedwa, chifukwa sizingakhale zokhudzana mwachindunji ndi zakudya za vegan, koma kuchepa kwa thupi komwe kumatha kupezeka kudzera mu izi. Komabe, zilizonse zomwe zingakhale, kuphatikiza kwa zakudya za vegan ndi vitamini B12 kumathandizira kulimbana ndi zovuta zosasangalatsa za matenda ashuga monga neuropathy.

Kufunsa kwa adotolo

Ngati simukuzindikira kupweteka komwe kumabwera chifukwa cha matenda ashuga, ndipo mukufuna kuyesa zakudya zomwe tafotokozazi, onetsetsani kuti mwakumana ndi dokotala musanachite izi. Ndi dokotala yekhayo amene angadziwe momwe matenda anu aliri komanso kudziwa kuopsa kosintha zakudya. Ndizotheka kuti thanzi lanu silikukulolani kuti musiye mwachizolowezi komanso pazinthu zina zomwe mumafunikira. Dokotala atha kuwunikira momwe angasinthire zakudya kuti zisawonongeke kwambiri ndikuyesa njira yatsopano yolimbana ndi matendawa.

Epidemiology

Malinga ndi olemba ambiri, kuchuluka kwa zowawa mu matenda ashuga polyneuropathy amafika 18-20%.

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Njira za pathogenetic za chitukuko cha matenda ashuga polyneuropathy ndi zovuta komanso zamphamvu. Hyperglycemia chifukwa cha matenda ashuga imayambitsa kusokonekera kwa metabolic monga kuchuluka kwa kuchuluka kwa sorbitol, kuchuluka kwa mapuloteni ochulukitsa, komanso kupsinjika kwa oxidative, komwe kumasokoneza kwambiri mawonekedwe ndi ntchito ya ma neurons. Maselo a Endothelial nawonso amawonongeka, zomwe zimatsogolera ku kusokonekera kwa michere. Chifukwa hypoxia ndi ischemia mochuluka kwambiri kukhazikitsa njira za oxidative kupsinjika ndi mitsempha kuwonongeka. Njira yofunika ya pathogenetic yothandizira kukula kwa matenda ashuga polyneuropathy amadziwikanso kuti ndi vuto la neurotrophic.

Ponena za njira zopititsira patsogolo kupweteka kwa matenda ashuga polyneuropathy, chinthu chachikulu chimawerengedwa ngati kugonjetsedwa kwa ulusi wochepa thupi wamalingaliro, kupatsa chidwi cha kupweteka. Njira zamomwe zimakhalira ndikumverera kwapakatikati, m'badwo wazomwe zimayambira ku ectopic foci yamitsempha yomwe yakhudzidwa, mawonekedwe owonjezereka a njira za sodium, etc. ndizofunikira kwambiri.

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Zizindikiro za kupweteka kwa matenda ashuga polyneuropathy

Kupweteka kwamatenda mu diabetes wa polyneuropathy amadziwika ndi kuphatikiza pazabwino ndi zoyipa zamalingaliro. Madandaulo amodzi amakhala akuwongoka komanso kugona m'miyendo ndi m'miyendo, kukulitsidwa usiku. Nthawi yomweyo, odwala amatha kumva zowawa, kuwombera, kuwopseza komanso kuwawa. Mwa odwala ena, allodynia ndi hyperesthesia amadziwika. Mavuto onse omwe ali pamwambawa adawonetsedwa ngati zisonyezo zabwino za kupweteka kwa mitsempha. Zizindikiro zoyipa zimaphatikizira kupweteka komanso kutentha kwa kutentha, komwe m'magawo oyambawo matendawa amakhala ofatsa komanso amadziwika m'mbali za miyendo, koma pamene akupita patsogolo, amafalikira kwambiri ndipo amatha kuchitika m'manja. Tendon Reflexes nthawi zambiri amachepetsedwa, ndipo kufooka kwa minofu kumangokhala minofu ya phazi.

Pafupipafupi, kupweteka kumatha kuchitika m'matenda a asymmetric neuropathy chifukwa cha vasculitic process of epineuria. Mtunduwu umakonda kupezeka mwa anthu okalamba omwe ali ndi matenda osokoneza bongo (nthawi zambiri ngakhale osadziwika). Ululu umapezeka kumbuyo chakumbuyo kapena m'dera la m'chiuno molumikizana ndikufalikira pansi mwendo mbali imodzi. Nthawi yomweyo, kufooka ndi kuchepa kwa minofu ya ntchafu ndi pelvis mbali yomweyo zimadziwika. Kubwezeretsa nthawi zambiri kumakhala kwabwino, koma sikokwanira nthawi zonse.

Diabetesic thoraco-lumbar radiculopathy imadziwika ndi ululu wophatikizana ndi khungu hypnothesia ndi hypesthesia m'malo osungirako mizu yomwe yakhudzidwa. Mtunduwu wa matenda ashuga a polyneuropathy nthawi zambiri amakula mwa odwala okalamba omwe ali ndi mbiri yayitali ya matenda a shuga ndipo, monga lamulo, amayamba kuyambiranso ntchito.

Ndi kuwonjezeka kodziwika kwa kuchuluka kwa shuga m'magazi (ketoacidosis), ululu wammbuyo wam'mimba umatha, kuwonetseredwa ndi kupweteka kwambiri komanso kuwonda. Allodynia ndi hyperalgesia ndizotchuka kwambiri, ndipo zoperewera zamagetsi ndi zamagalimoto ndizochepa.

Chithandizo cha kupweteka kwa matenda ashuga polyneuropathy

Chithandizo cha matenda ashuga polyneuropathy chimakhudza njira ziwiri - kuchepetsa kupweteka (chizindikiro cha mankhwala) ndikubwezeretsa ntchito ya minyewa yomwe yakhudzidwa (pathogenetic therapy). M'mbuyomu, thioctic acid, benfotiamine, mitsempha ya kukula kwa mitsempha, aldose reductase inhibitors, protein kinase C zoletsa, etc. amagwiritsidwa ntchito .. Mankhwala a pathogenetic ndi ofunikira ndipo makamaka amatsimikiza za matendawo, koma panthawi imodzimodziyo samatsatiridwa ndi kusintha kwachipatala kwapafupipafupi (maphunziro obwerezabwereza amafunikira ) ndipo imakhudza kupweteka pang'ono, komwe nthawi zambiri kumakhala kotsogolera komwe kumachepetsa moyo wa odwala. Chifukwa chake, mwa odwala omwe ali ndi ululu, chithandizo chamankhwala chimachitika motsatana, cholinga chake ndikuletsa kupweteka kwa neuropathic.

Mankhwalawa neuropathic ululu wa matenda ashuga polyneuropathy, njira zosiyanasiyana zosagwiritsa ntchito mankhwalawa amagwiritsidwa ntchito (opaleshoni kuwonongeka kwamitsempha yamagazi, mankhwala a laser, acupuncture, magnetotherapy, ndemanga yachilengedwe, percutaneous electroneurostimulation), komabe, kulimbikira kwawo sikumakhala kosavomerezeka mpaka pano, chifukwa chake chithandizo chamankhwala othandizira - antidepress anticonvulsants, opioids ndi mankhwala opaleshoni am'deralo. Iyenera kutsimikiziridwa kuti ma analgesics osavuta ndi NSAID siothandiza kupweteka kwa neuropathic.

Mwa antidepressants, amitriptyline (25-150 mg / tsiku) ndi othandiza kwambiri. Ndikulimbikitsidwa kuti muyambe kulandira chithandizo chokhala ndi mlingo wochepa (10 mg / tsiku), womwe umakulitsidwa pang'onopang'ono. Nthawi yomweyo, kuwonjezera pakuletsa kubwezeretsanso kwa norepinephrine ndi serotonin, amitriptyline (ndi ma tridclic antidepressants) amatchingira ma postynaptic m-cholinergic receptors, komanso alpha1-adrenergic receptors ndi histamine receptors, zomwe zimayambitsa zotsatira zosavomerezeka (mkamwa wowuma, sinusus kusungika kwamikodzo, chisokonezo, kusokonezeka kwa kukumbukira, kugona, orthostatic hypotension, chizungulire). Ma Tricyclic antidepressants ayenera kugwiritsidwa ntchito mosamala kwa odwala omwe ali ndi mtima matenda, glaucoma, kwamikodzo posungira, kapena zovuta za autonomic. Odwala okalamba, amatha kuyambitsa kusalinganika komanso kusokonezeka kwanzeru. Kusankha serotonin reuptake inhibitors kumakhala ndi zovuta zochepa, koma mayesero azachipatala odwala omwe ali ndi ululu wa neuropathic mu diabetesic polyneuropathy (fluoxetine, paroxetine) awonetsa mphamvu zochepa chabe. M'zaka zaposachedwa, kugwiritsa ntchito bwino kwamagulu ena antidepressants, monga venlafaxine ndi duloxetine, kwatsimikiziridwa.
Kugwiritsa ntchito kwa 1st anticonvulsants pothandizira kupweteka kwa neuropathic kumayenderana ndi kuthekera kwawo kotchinga ma sodium njira ndi kuletsa zochitika za ectopic mu ma presonsaptic sensory neurons. Ndi mtundu wopweteka wa matenda ashuga polyneuropathy, carbamazepine amagwira bwino ntchito mu 63-70% ya milandu, komabe, kugwiritsidwa ntchito kwake kumayambitsa zotsatira zoyipa (chizungulire, diplopu, kutsekula m'mimba, kusokonekera kwazidziwitso). Kafukufuku angapo awonetsa zotsatira zabwino mukamagwiritsa ntchito phenytoin ndi valproic acid. Zomwe tikugwiritsa ntchito anticonvulsants wa 2nd mu polyneuropathy ya shuga nthawi zambiri zimakhala zochepa. Zambiri pazakuchita kwa topiramate, oxcarbazepine, lamotrigine ndizosowa komanso zotsutsana. Zotsatira zotsimikizika zapezeka kwa gabapentin ndi pregabalin. Kuchita kwa pregabalin pochiza ululu wa neuropathic kwa akuluakulu kwawonetsedwa m'mayesero a 9 olamulidwa azachipatala (mpaka milungu 13). Limagwirira ntchito ya gabapentin ndi pregabalin zachokera kumangiriza kwa a₂sigma subunit kuthekera kudalira kashiamu njira zotumphukira mphamvu zotumphukira. Izi zimabweretsa kuchepa kwa kulowa kwa calcium mu neuron, zomwe zimapangitsa kuchepa kwa ntchito ya ectopic ndikumasulidwa kwa oyimira pakati opweteka kwambiri (glutamate, norepinephrine ndi Dutu P). Mankhwala onse awiriwa amalekeredwa. Zotsatira zoyipa kwambiri zimakhala chizungulire (21.1%) ndi kuwodzera (16.1%). Kutengera ndi mayesero azachipatala osankhidwa mwadzidzidzi, malingaliro othandizira pakugwiritsa ntchito mankhwalawa pochiza ma syndromes a neuropathic akufuna. Gabapentin akuyenera kutumikiridwa pa mlingo wa 300 mg / tsiku ndikuwonjezera pang'onopang'ono mpaka 1800 mg / tsiku (ngati kuli kotheka - mpaka 3600 mg / tsiku). Pregabalin, mosiyana ndi gabapentin, ali ndi ma cellarokinetics oyambira, mlingo wake woyambira ndi 150 mg / tsiku, ngati kuli kotheka, mlingo pambuyo pa sabata 1 ungathe kuwonjezeka mpaka 300 mg / tsiku. Mlingo wapamwamba ndi 600 mg / tsiku.
Mwayi wogwiritsidwa ntchito kwa opioid ndi ochepa chifukwa cha chiwopsezo chotenga zovuta zowopsa, komanso kudalira kwamaganizidwe ndi thupi. Ichi ndichifukwa chake sanapeze ntchito zambiri pochiza matenda osokoneza bongo a polyneuropathy. M'mayesero awiri olamulidwa mwachisawawa, mphamvu ya tramadol (400 mg / tsiku) idatsimikiziridwa - mankhwalawa adachepetsa kwambiri kupweteka ndikuwonjezera zochitika zamagulu ndi masewera olimbitsa thupi. Tramadol ali ndi mgwirizano wotsika wa ma opioid mu receptors ndipo nthawi yomweyo amalepheretsa kubwezeretsa kwa serotonin ndi noradrenaline. Malinga ndi ofufuza ambiri, mwayi wovutitsidwa ndi tramadol ndi wotsika kwambiri kuposa ma opioids ena. Zotsatira zoyipa ndizotsatira wa chizungulire, mseru, kudzimbidwa, kugona, komanso orthostatic hypotension. Kuchepetsa chiopsezo cha zovuta komanso kudalira, kugwiritsa ntchito tramadol kuyenera kuyambitsidwa ndi Mlingo wotsika (50 mg 1-2 kawiri pa tsiku). Ngati ndi kotheka, mlingo umakulitsidwa tsiku lililonse kwa masiku 3-7 (mlingo waukulu ndi 100 mg 4 pa tsiku, kwa okalamba - 300 mg / tsiku).
Zambiri zamankhwala pakugwiritsa ntchito mankhwala opaleshoni yam'deralo (chigamba chokhala ndi lidocaine) ya ululu wam'mimba wa neuropathic amachepetsa maphunziro owonekera. Tiyenera kukumbukira kuti kugwiritsa ntchito mankhwala osokoneza bongo kumachepetsa ululu pamalo okhawo, ndiye kuti, kugwiritsa ntchito kwawo ndikofunika. Mwachidziwikire, pakulimbikitsa kwatsatanetsatane kogwiritsa ntchito mankhwala ophera tulo, kafukufuku wowonjezera amafunika. Capsaicin ndi mankhwala okomera omwe amachokera ku nyemba za tsabola wofiyira kapena tsabola. Amakhulupirira kuti limagwirira a capsaicin zachokera kutsika kwa thunthu P kumapeto kwa zotumphukira zamitsempha. Mu kafukufuku wina, kugwiritsa ntchito capsaicin (mkati mwa masabata 8) kunachepetsa kwambiri kupweteka kwa 40%. Tiyenera kudziwa kuti nthawi yoyamba ya capsaicin ikagwiritsidwa ntchito, ululuwu umakulirakulira. Zotsatira zoyipa kwambiri ndizo redness, moto woyaka ndi kugunda kwamphamvu pamalo a capsaicin application. Mokulira, poganizira za njira zochizira zochokera ku umboni, gabapentin kapena pregabalin atha kulimbikitsidwa ngati mankhwala oyambira kuthandizira kupweteka kwa matenda ashuga polyneuropathy. Ma antidepressants (duloxetine, amitriptyline) ndi tramadol atha kukhala amafuta amtundu wa 2nd. Zochitika zenizeni zimawonetsa kuti nthawi zina zomveka polypharmacotherapy ndizoyenera. Pankhaniyi, kuphatikiza kwa anticonvulsant (gabapentin kapena pregabalin), antidepressant (duloxetine, venlafaxine kapena amitriptyline) ndi tramadol zikuwoneka zoyenera kwambiri.

Ululu m'miyendo

Kupweteka kwam'mimba mu shuga kungayambike chifukwa chimodzi mwazinthu ziwiri:

Peripheral neuropathy ndi kusokonekera kwa kuphwanya shuga kagayidwe.
Kuphulika kwamasamba ndi malo opangira ma atherosselotic.

Mosasamala kanthu za chifukwa, chithandizo chachikulu ndikubwezeretsa shuga kuti ikhale yachilendo. Popanda izi, palibe mapiritsi, kutikita minofu, mankhwala olimbitsa thupi ndi wowerengeka azithandiza. Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti muthe kudzisamalira komanso kudzisamalira. Kuti muthane ndi mavuto, muyenera kudziwa chomwe chimayambitsa mavutowo. Izi zipangitsa kuti zithe kusankha njira zoyenera zoyenera kulandira. Ganizirani choyamba cha neuropathy, kenako kuwonongeka kwa mitsempha ya mitsempha.

Chifukwa chiyani matenda ashuga amachititsa kupweteka m'miyendo?

Kuchuluka kwa shuga m'magazi kumawononga mitsempha yomwe imayendetsa thupi lonse, kuphatikizapo miyendo. Kuzindikira kwa "zotumphukira m'mitsempha" kumatanthawuza kuti mitsempha yamiyendo imakhudzidwa, ndipo mwina ngakhale m'manja - pamphepete, kutali ndi pakati pa thupi. Nthawi zambiri, neuropathy imayambitsa dzanzi, kuchepa kwa mphamvu. Komabe, mwa odwala ena, amadziwulula mu ululu, kuwotcha, kuwawa, ndi kupindika. Zizindikiro zimatha kuchitika osati masana, komanso usiku, kugona tulo tosokosera.

Kupweteka kwamiyendo komwe kumachitika chifukwa cha neuropathy kumakhudzanso moyo, koma iyi si ngozi yake yayikulu. Pakhoza kukhala kutayika kwa chidwi cha khungu.Potere, wodwalayo amavulala miyendo yake akuyenda, osazindikira. Matenda a shuga amachititsa kuti kuvulala kwamiyendo kuchiritse pang'onopang'ono kapena kusachoka konse. Werengani zambiri pa Diabetesic Phazi. Kuchokera apa yayandikira ku gangore ndi kuduladula.

Kusagwiritsa ntchito bwino shuga kumathandizira kukula kwa atherosulinosis. Ili ndi matenda achilengedwe. Monga lamulo, zimakhudza nthawi yomweyo ziwiya zomwe zimadyetsa mtima, ubongo, impso komanso magawo otsika. Zilonda zimaphimba mitsempha, ndichifukwa chake magazi amayenda kudzera mwa iwo amachepetsedwa kapena kuyimitsidwa kwathunthu. Minofu imakumana ndi njala ya oxygen - ischemia. Ululu wam'mimbawo umatha kukulira poyenda, makamaka pamakwerero, ndikuchepera kapena kutha kwathunthu wodwalayo atakhala. Chizindikiro ichi chimatchedwa interlaintent claudication. Zowawa zomwe zimaphatikizidwa ndi kupweteka kwakanthawi. Kupumula kumathandizanso kuthetsa mavuto. Kuphatikiza pa zowawa, kuzizira kwa malekezero, mtundu wamiyendo ya miyendo, komanso kukula pang'onopang'ono kwa misomali kumatha kuwonedwa.

Kulankhula mosavomerezeka kumabweretsa mavuto ambiri kwa odwala. Amayesera kukhala kunyumba kwambiri kuti asasokoneze miyendo yawo komanso kupewa kuwawa. Kuphatikiza pa zowawa, kumva kupsinjika m'miyendo, thanzi loperewera limatha kusokoneza. Atherosulinosis imaletsa magazi kupita m'miyendo, ndichifukwa chake mabala samachiritsa bwino. Pali chiwopsezo cha gangrene ndi kuduladula, makamaka ngati odwala matenda ashuga alowa. Palinso chiopsezo chachikulu cha matenda a mtima komanso sitiroko chifukwa cha zovuta ndi zotengera zomwe zimadyetsa mtima ndi ubongo. Tikubwereza kuti atherosulinosis ndi matenda achilengedwe omwe amakhudza ziwiya zofunikira zambiri nthawi imodzi.

Momwe mungachotsere kupweteka kwa mwendo?

Anthu ambiri odwala matenda ashuga amapeza chithandizo chokhacho. Onerani kanema wa Dr. Bernstein ndipo phunzirani momwe mungathetsere matenda am'mimba popanda matenda owopsa komanso okwera mtengo. Kupatula apo, ndi neuropathy yomwe imayambitsa mavuto anu. Mwa anthu odwala matenda ashuga, amamva kupweteka m'miyendo, pomwe ena amachititsa dzanzi komanso amasiya kumva. Nthawi zina chizindikiro cha "kungokhala" ndi "chogwira ntchito" chimaphatikizana. Mulimonsemo, vutoli litha kuthetsedwa, mosiyana ndi zovuta za m'maso ndi impso.

Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti mupimidwe ndikumathandizidwa. Ndikofunikira kudziwa kuchuluka kwa atherosulinosis ya ziwiya zamiyendo. Kenako yang'anani matenda a shuga. Dziwani njira ziti zomwe zimakhudzidwa ndi izi, kupatula kutalika kwa mitsempha m'miyendo. Choyamba, adotolo amayeza cholozera chakumaso. Palibe owawa kapena owopsa. Wodwala wagona pabedi. Pamalo opingasa, kuthamanga kwa magazi kwa systolic (kumtunda) m'miyendo ndi mapewa kumayezedwa kangapo.

Ngati ndichedwa kutsika m'mapewa kuposa m'mapewa, ndiye kuti ziwiya zamiyendozo zimakhudzidwa ndi atherosclerosis. Pankhaniyi, muyenera kuchita mayeso oopsa - ultrasound, MRI. Pamaso pa opaleshoni yamatumbo, x-ray imatha kutumizidwa ndikumayambitsa wothandizira. Uku sikuti mayeso otetezeka kwambiri. Ndi bwino osachita ngati opareshoni sanakonzekere.

Ngati matenda a shuga a matenda a shuga amakayikira, khungu la miyendo kukhudza, kugwedezeka, kutentha kumayendera. Izi zimachitidwa ndi dotolo mothandizidwa ndi zida zamitsempha, zomwe zimaphatikizapo foloko, nthenga, komanso singano yofufuzira momwe ululu akumvera ululu.

Chifukwa cha kuwonongeka kwa mitsempha, miyendo imatha kulephera kutuluka thukuta. Zikatero, khungu limakhala louma ndipo limatha kusweka. Izi zimadziwika pa nthawi yowonera. Monga atherossteosis, kuchepa kwa mitsempha ndi njira yamagulu a anthu odwala matenda ashuga. Zitha kuyambitsa ziwalo zamisempha zingapo. Zowonongeka zamitsempha zomwe zimayendetsa kupuma komanso kugunda kwa mtima ndizowopsa. Komabe, ndi madokotala ochepa omwe amadziwa momwe angayang'anire izi.

Chithandizo chachikulu ndikukwaniritsa ndi kukhalabe ndi shuga. Phunzirani ndikutsatira ndondomeko ya 2 yothetsera matenda a matenda ashuga kapena mtundu 1 wa pulogalamu yoletsa matenda ashuga. Neuropathy ndimavuto osinthika. Mitsempha yamagazi yabwinobwino ikafikira, mitsempha imachira pang'onopang'ono, zizindikirizo zimachepa ndikutha m'miyezi ingapo.

Komanso, chiwongolero chabwino cha matenda ashuga chimathandizira kuchepa kwa atherosulinosis. Kupweteka kwa mwendo, mosiyana ndi kutaya mtima, kumalimbikitsa odwala kuti azichitira mosamala. Ndili m'manja mwanu kuti muthane ndi zizindikiro zosasangalatsa, kupewa kudula ndikukhazikitsa moyo wabwinobwino.

Kodi ma pinkiller ndi zakudya zamagetsi zimathandiza bwanji?

Poyerekeza ndi zowawa, dokotala amatha kukupatsani mankhwala, omwe amafotokozedwa mwatsatanetsatane pansipa. Mapiritsi ofooka sathandiza, ndipo mankhwala oopsa amakhala ndi zotsatira zoyipa. Yesani kuchita popanda iwo momwe mungathere. Mwa zakudya zowonjezera zakudya, odwala nthawi zambiri amatenga alpha lipoic acid. Mtengo wake ndiwokwera, ndipo mapindu ake ndiwokayikitsa. Ngati mukufuna kuyesa chida ichi, musachigulitse ku pharmacy, koma dulani ku USA kudzera patsamba la iHerb. Mtengo udzakhala wotsika kangapo.

Vitamini B6 (pyridoxine) Mlingo waukulu kwambiri umapangitsa dzala ndi zala zazikulu, zofanana ndi zomwe amapangira pakhungu. Zotsatira zoyipa izi zitha kugwiritsidwa ntchito kuwongolera kupweteka komwe kumachitika chifukwa cha matenda ashuga a mtima. Mlingo uyenera kukhala osachepera 100 mg, ndi kwa anthu akuluakulu olimbitsa - 200 mg patsiku.

Tengani vitamini B6 (pyridoxine) pamodzi ndi mavitamini ena a B, komanso magnesium. Mwachitsanzo, mavitamini B-50. Gwiritsani ntchito ngati gawo kwakanthawi mpaka ulusi wamanjenje ukabwezeretseka chifukwa chowongolera shuga. Izi sizovomerezedwa mwalamulo, kuyesa kwa odwala pachiwopsezo chawo. Zotsatira zoyipa ndizotheka. Zowawa zomwe zimayambitsidwa ndi atherosulinosis, Chinsinsi ichi sichingathandize.

Chithandizo cha odwala matenda a shuga

Ngati mayeso akatsimikizira kuti ziwiya zamiyendo zimakhudzidwa ndi atherosulinosis, wodwalayo atengedwa kuti atenge ma protein a cholesterol, mankhwala a matenda oopsa, komanso mwina mapiritsi ochepera magazi. Mankhwalawa onse amachepetsa chiopsezo cha matenda a mtima, stroke, ndi pulmonary thromboembolism.

Pali njira zina zochizira opaleshoni. Dokotala wokhoza amaika china chake ngati ballo mu chotchinga chotchinga, kenako ndikuchiyika ndikukula. Kusungitsa magazi kutuluka m'mitsempha, amatha kusiya fungo mkati mwake - waya womata. Njira ina ndikutenga chotengera kuchokera mbali ina ya thupi ndikupanga magazi kuti azigwira m'malo mwa chotchinga chotchinga. Kambiranani mwatsatanetsatane ndi dokotala.

Zopweteka

Monga lamulo, matenda ashuga ndi kupweteka kwapakati sizigwirizana, amafunika kuthandizidwa mosasamala. Ndikosatheka kuchira kamodzi, koma mutha kuthana ndi mavuto ndikuwongolera moyo wopanda nkhawa. Zotsatirazi zikuyankha mwachidule zomwe zimayambitsa kupweteka komanso mavuto ena olowa:

nyamakazi
nyamakazi
Charcot phazi.

Rheumatoid nyamakazi ndi vuto lolumikizidwa lomwe limayambitsidwa ndi vuto la autoimmune, ngati mtundu 1 wa shuga. Zizindikiro - kupweteka, kufiyira, kutupira mafupa. Ndizachidziwikire kuti zizindikirazi sizimawonedwa pafupipafupi, koma mokwanira. Kuyesedwa kwa magazi kumatha kuwonetsa kuchuluka kwa zotupa - C-reactive protein, interleukin 6 ndi ena. Pofuna kuthana ndi vuto la wodwalayo, m'malo ovuta kwambiri, mankhwala amalembedwa mwachitsanzo, etanercept, adalimumab kapena infliximab. Amapondereza ntchito ya chitetezo chathupi. Mwina mankhwalawa amachepetsa chiwopsezo cha matenda a shuga a autoimmune ngati sichinayambe. Koma amatha kuonjezera chiwopsezo cha matenda ndikupangitsa zina.

Ndikofunika kuyesa kudya pokana kukokana ndi gluten, komanso zakudya zotsutsana ndi zotupa - curcumin ndi ena. Chonde dziwani kuti kadyedwe kotsika ka carb kotsika sikamakhalanso zopanda gluteni. Kaya mkaka wokhala ndi casein umafunika kufotokozedwa. Dziwani kuti ndi matenda amtundu wa 2 matenda ashuga, kuukira kwa chitetezo chathupi chathupi. Odwala amayenera kubaya insulin, osachepera pamiyeso yotsika. Matenda a 2 a matenda a shuga ndi matenda oopsa kwambiri.

Osteoarthritis: choyambitsa kupweteka kwapakati pa matenda a shuga a 2

Osteoarthritis ndi vuto ndi mafupa omwe amayamba chifukwa cha kuvala kwawo komwe kumayenderana ndi zaka, komanso kulemera kwambiri kwa wodwalayo. Amalumikizana ndi mafinya, chifukwa mafupawo amayamba kukhudzana ndikukutikirana. Zizindikiro - kutupira ndi malire a kuyenda. Mavuto ambiri amakhala m'mabondo ndi m'chiuno. Chitetezo chamthupi sichitha kulumikizana ndi mafupa, ngati nyamakazi. Zizindikiro zakutupa m'magazi sizakwezedwa. Muyenera kuyesetsa kuti muchepetse kunenepa kulikonse. Izi zimachepetsa mavuto olumikizana komanso zimathandizanso kuwongolera matenda ashuga amtundu wa 2. Kambiranani ndi dokotala wanu ngati muyenera kumwa mankhwala opweteka kapena kugwiritsa ntchito mankhwala opaleshoni.

Phazi la Charcot ndilovuta kwambiri kwa matenda ashuga omwe amachititsa kuti miyendo yake iwonongeke. Poyamba, matenda a shuga amachititsa kuti miyendo izitha. Mukamayenda, michere imapindika ndikuwonongeka, koma wodwala sazindikira izi. Kupanikizika kwa mafupa kumawonjezeka. Phazi limathamanga kwambiri komanso lopuwala kwambiri. Pambuyo pokhapokha izi zimalumikizana, zimayamba kutupa, kuwonda komanso kupweteka. Pomaliza, wodwalayo azindikira kuti ali ndi mavuto. Malo omwe akukhudzidwira amatha kutentha mpaka kukhudza. Chithandizo - opaleshoni, nsapato za mafupa. Phazi la Charcot litapezeka kale, kulumala kumatha kusintha. Zinali zofunika kusunga magazi abwinobwino kuti muchepetse neuropathy.

Mankhwala opweteka

Monga lamulo, odwala amapanga kuyesera kwawo koyamba kuti athe kuchepetsa ululu ndi mankhwala pawokha. Amagwiritsa ntchito ibuprofen kapena paracetamol, yomwe imagulitsidwa pa counter. Mankhwalawa amathandizira pazinthu zofatsa kwambiri. Kuti mugwiritse ntchito ma pinkiller amphamvu, muyenera kulandira mankhwala kuchokera kwa dokotala. Mankhwala otsatirawa amalembedwa motsutsana ndi ululu womwe umayambitsidwa ndi matenda a shuga:

anticonvulsants - pregabalin, gabapentin,
tridclic antidepressants - imipramine, nortriptyline, amitriptyline,
kusankha serotonin akubwezera zoletsa - duloxetine, milnacipran,
opioid analgesics.

Mapiritsi onsewa nthawi zambiri amayambitsa mavuto akulu. Sangogulitsidwe pachabe pokhapokha ngati mwalandira mankhwala. Yesani kuchita popanda iwo. Yambani ndi mankhwala ofooka. Sinthani kwa olimba pokhapokha ngati pakufunika kutero.

Mankhwala opatsirana

Pregabalin, gabapentin ndi mankhwala ena ofanana amagwiritsidwa ntchito ngati njira yothandizira khunyu. Mankhwalawa amatchedwa anticonvulsants. Kuphatikiza pa kuchiza khunyu, amathandizanso kupsa mtima, kusoka komanso kuwawa. Chifukwa chake, amathandizidwa ndi matenda a shuga omwe amachititsa kupweteka, ngati mankhwala oyambira. Amachepetsa kufalikira kwa mitsempha yomwe imakhala ndi zomverera zosasangalatsa.

Mavuto Oletsa Kupweteka

Mankhwala ochepetsa nkhawa ndi kupweteka kwa odwala matenda ashuga amasankha serotonin reuptake inhibitors (duloxetine, milnacipran). Ma Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) sagwiritsidwa ntchito kwenikweni. Chifukwa pa Mlingo ofunikira kuthetsa ululu, nthawi zambiri amayambitsa zovuta. Ma anticonvulsants komanso antidepressants amawonjezera magazi. Muziyerekeza nthawi zambiri mukamamwa mankhwalawa. Ngati ndi kotheka, onjezani kuchuluka kwa insulin.

Kuphatikiza pamapiritsi, mutha kuyesa zonona, mafuta kapena chigamba chomwe chili ndi capsaicin. Izi ndi zinthu zomwe zimatengedwa kuchokera ku tsabola wotentha. Zimakwiyitsa mitsempha ndipo zimapangitsa kuti thupi lisayang'anire chidwi chawo pakapita nthawi. Poyamba, matendawa amakula, koma patatha masiku 7-10, mpumulo ungabwere.

Kuti mupeze izi, muyenera kugwiritsa ntchito capsaicin tsiku lililonse, osasokoneza. Odwala ambiri amakhulupirira kuti pali zovuta zambiri kuposa maubwino. Komabe, mankhwalawa samayambitsa zovuta zoyipa monga ma pinkiller. Njira yodziwika kwambiri kuposa capsaicin ndi lidocaine wa pakhungu pamafuta, mafuta, utsi kapena ma eerosol. Lankhulani ndi dokotala wanu za mitundu yanji yamagwiritsidwe. Mwachitsanzo, maola 12 aliwonse.

Zoyenera kuchita ngati mimba yako ipweteka

Kupweteka kwam'mimba komanso zovuta zina zam'mimba mu shuga siziyenera kuloledwa, koma kuchitidwa mwachangu, kuyesera kuti zitheke. Pezani gastroenterologist wabwino, kum'fufuza ndikufunsana naye. Onetsetsani kuti mulibe zilonda zam'mimba, matenda a Crohn, vuto la ndulu, kapena zilonda zam'mimba kapena zam'mimba. Dziwani zambiri za yisiti yokhala ndi matenda a masamba a candida albicans m'matumbo anu. Ngati ndi kotheka, tengani zowonjezera zakudya zomwe zimapondera fungus, zomwe zimakhala ndi caposterone acid, mafuta a oregano ndi zina. Dziwani ngati muli ndi tsankho la gluten (celiac matenda).

Mankhwala otsatirawa a shuga angayambitse kupweteka kwam'mimba, nseru, kusanza, ndi zotupa zina:

Metformin - Glucophage, Siofor ndi analogues
glucagon-ngati peptide-1 receptor agonists - Viktoza, Baeta, Lixumia, Trulicity.

Mankhwala onsewa amatha kukhala opindulitsa kwambiri. Matenda am'mimba sikuti ndi chifukwa chokana kuvomera. Komabe, mlingo umayenera kuchepetsedwa kwakanthawi kuti thupi lizolowere. Victoza, Baeta ndi mankhwala ena omwe amapangidwira kuti aletse odwala omwe ali ndi matenda ashuga a 2 kuti adye kwambiri. Pakudya kwambiri, amatha kupweteketsa m'mimba, kusanza, komanso kusanza. Izi ndizabwinobwino, nthawi zambiri sizowopsa. Ingodyani pang'ono. Mapiritsi a Metformin amachepetsa chilakolako chofuna kudya, angayambitse kudana kwambiri.

Matenda a diabetes a neuropathy nthawi zambiri amakhudza mitsempha, yomwe imayendetsa kayendedwe ka chakudya motsatira m'mimba komanso ngakhale kupanga hydrochloric acid m'mimba. Mukatha kudya, pamatha kukhala kutha kwa chakudya m'mimba kwa maola ambiri. Zikatero, wodwalayo amatha kusanza, kumva kuti m'mimba mumadzaza, amalumpha m'magazi a shuga. Vutoli limatchedwa diabetesic gastroparesis. Werengani apa momwe mungamayang'anire.

Ketoacidosis ndi zovuta, zowopsa za matenda ashuga omwe amayamba ndi shuga wambiri magazi, osachepera 13 mmol / L. Mwa zina mwazovuta, zimatha kupweteketsa m'mimba, nseru, komanso kusanza. Wodwala amafunikira chithandizo chamankhwala chodzidzimutsa. Ndizomveka kuyeza ma ketoni m'magazi ndi mkodzo pokhapokha ngati shuga atapezeka 13 mmol / l. Ndi ma shuga a m'munsi ochepetsa nkhawa musadandaule za ma ketones, musawope maonekedwe a acetone mkodzo.

Matenda a shuga

Mutu umakhala woyamba komanso wachiwiri. Choyamba - ndi pamene chifukwa chomwe mutu umayambira palokha, mwachitsanzo, kusagwira bwino kwamitsempha yamagazi, mitsempha kapena kuphipha kwa minofu. Zomwe zimayambitsa sikusintha kwina kwa mpweya, chimfine, mphuno, vuto la khutu. Kapena mavuto akulu - kukangana, sitiroko, chotupa. Mu matenda a shuga, mutu umayamba chifukwa cha kuthamanga ndi shuga m'magazi, komanso kusakhazikika kwake, kumadumphira mmbuyo ndi mtsogolo.

Mkulu shuga - shuga m'magazi a 10 mmol / L kapena kuposa. Mutu umayamba kupindika pang'onopang'ono, ndipo shugayo umakulirakulira. Chitha kukhala chizindikiro chokhacho chakuti matenda ashuga satha. Shuga wochepa - shuga m'magazi ochepera 3.9 mmol / L, ngakhale kuti chidutsocho ndi cha munthu aliyense wodwala matenda ashuga. Ndi zovuta izi, mutu umayamba mwadzidzidzi, limodzi ndi zizindikiro zina - njala, mantha, manja akunjenjemera. Popewa ndi kulandira mankhwalawa, werengani nkhani yolembedwa kuti: "Low damu (shuga)."

Mutu umatha kuchitika pakakhala kulumpha mu shuga. Zimachitika poyankha kusintha kwakukulu pamlingo wamahomoni - adrenaline, norepinephrine ndipo mwina, ena. Kuyeza shuga ndi glucometer kungawonetse kuti mulingo wake ndi wabwinobwino.Ngati wodwala matenda ashuga sagwiritsa ntchito njira yowunikira ya shuga, ndiye kuti kulumpha kwaposachedwa kumatha kuwunikira pokhapokha pobwera, yomwe imakhala mutu.

Kodi mapiritsi ammutu abwino ndi otani?

Kuthandizira ndimutu ndimapiritsi, komanso mankhwala achilengedwe. Mankhwala ogulitsa ena ndi abwino kwa anthu ena. Odziwika kwambiri a iwo ndi paracetamol, aspirin, ibuprofen. Mankhwalawa sikuti alibe vuto lililonse. Phunzirani mosamala zotsatira zake zoyipa musanatenge. Ngati mankhwala ochulukirapo akufunika, mudzalandira mankhwala kuchokera kwa dokotala.

Mwa mankhwala achilengedwe kuti muchepetse pafupipafupi komanso kuuka kwa mavuto am'mutu, yesani kaye kutenga magnesium pa 400-800 mg patsiku. Mutha kupaka thyme, rosemary kapena peppermint mafuta mu whiskey ndi pamphumi. Imwani tiyi ndi chamomile kapena ginger, komanso mitundu ina yamadzimadzi, kotero kuti palibe kutaya madzi. Kuti muchepetse kupsinjika, yesani kusinkhasinkha, yoga, kapena kutikita minofu. Zakudya ndi zakudya zotsatirazi zimatha kupweteketsa mutu: vinyo wofiira, chokoleti, tchizi cha buluu, zipatso za zipatso, mapeyala, tiyi kapena khofi. Yesetsani kuzitaya kwa milungu ingapo ndikutsata zotsatirazo.

4 ndemanga pa "Zowawa za shuga"

Wachibale wanga wadwala matenda ashuga amtundu 1 kwa zaka 8. Sindikudziwa kukula, palibe kulemera kowonjezera, ili sivuto. Amamva kupweteka kwambiri chifukwa cha matenda ashuga a m'mimba. Minofu ya miyendo ndi kuphika kwakumbuyo. Sagona mopitilira maola 4-5 patsiku, nthawi yonse yomwe akumva kuwawa. Tili ndi mantha kuti pakhala kuyesera kudzipha. Kukonzekera kwa Alpha lipoic acid sikothandiza. Izi ndizofanana ndi zomwe mumalemba za iwo. The neuropathologist adalangiza mapiritsi a Lyric ngati njira yomaliza. Komabe, mndandanda wawo wazotsatira ndizowopsa. Kodi mukumva bwanji ndi nthawi imeneyi?

Kodi mukumva bwanji ndi nthawi imeneyi?

Funso ili kupitilira luso langa. Lankhulani ndi dokotala wanu.

Mosasamala za mankhwalawa omwe mumamwa, ndikofunikira kuti muphunzire chithandizo chamankhwala othandizira matenda a shuga 1 - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - ndikutsatira malangizowo

Moni, mungandithandizire ndi upangiri? Ndakhala ndikudwala matenda ashuga amtundu 1 kwa zaka 4, ndili ndi zaka 18. Kuda nkhawa ndi kulira kwambiri, kuwotcha komanso kupweteka m'miyendo. Nthawi zonse ndinali ndi shuga wambiri, koma kuyambira pomwe ululu unkayamba, nthawi yomweyo ndinayamba kuwongolera shuga. Ndimadandaula kuti sindinayambire m'mbuyomu. Poyamba, mafupa onse, m'mimba, miyendo, kupweteka mutu. Tsopano kuli bwino, koma miyendo yanga ikupwetekabe. Ndawonda kwambiri, sindingathe kulemera, miyezi 8 yapita kale. Katswiri waposachedwa kwambiri wa hemoglobin waposachedwa anali 6%. Ndimayesetsa kutsatira chizolowezi, shuga wanga ndi 6.5 mmol / l tsopano. Ndipo ndidakali ndi unyamata kumbuyo kwanga.

Moni, mungandithandizire ndi upangiri? Katswiri waposachedwa kwambiri wa hemoglobin waposachedwa anali 6%. Ndimayesetsa kutsatira chizolowezi, shuga wanga ndi 6.5 mmol / l tsopano.

Izi ndizokwera pafupifupi 1.5 kuposa anthu athanzi. Mavuto a shuga akupezeka, ngakhale osati mwachangu kwambiri. Popeza mudakali aang'ono, nthawi yokwanira kuti muwadziwe.

Muyenera kuphunzira mtundu wa njira 1 yolerera matenda ashuga - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - ndikutsatira mosamala malangizowo. Ndiye kuti, tsatirani mosamala zakudya zamafuta ochepa ndikusankha mlingo woyenera wa insulin.

Ndawonda kwambiri, sindingathe kulemera,

Vutoli lidzathetsedwa mutatha kudziwa kuchuluka kwa insulini yoyenera, muijoweni ndikusintha mosintha momwe mukufunikira. Tsopano mulibe insulin yokwanira mthupi.