Zakudya za matenda a shuga > Zakudya za shuga

Matenda a shuga a insipidus (shuga insipidus) ndi mtundu wa nthendayi womwe umayenda limodzi ndi kukodza pafupipafupi komanso kutulutsa mkodzo wopanda utoto. Zimachitika chifukwa chosagwira bwino ntchito kumbuyo kwa chithokomiro ndimagawo aubongo omwe amayang'anira kuchuluka kwa madzi mthupi. Matenda a shuga amayamba pambuyo pa kuvulala pamutu, matenda ndi kutupa. Zizindikiro za matendawa ndizolimba pakamwa komanso ludzu, kupweteka mutu pafupipafupi, kuchepa mphamvu komanso kuwonda. Munthu amadwala kwa zaka zambiri ndipo samachira, koma matenda ashuga sawopseza moyo. Imapezeka ndi zizindikiro zakunja, zotsatira za kuyesedwa kwa magazi ndi mkodzo, chida chabwino kwambiri chomwe chimagwiritsidwa ntchito pochiza matenda a shuga insipidus ndi chakudya.

Mukamawunika, zitsanzo zamagazi zimatengedwa ndi malire a kuchuluka kwa madzimadzi am'madzi, mphamvu yokoka ndi mawonekedwe ake a mkodzo amatsimikizika.

Zomwe zimayambitsa matenda a shuga insipidus ndi:

Tumor wa hypothalamus kapena pituitary gland.
Mavuto atachitika opaleshoni, chimfine, SARS ndi matenda ena.
Kutupa kwa ubongo (encephalitis).
Kuvulala kumutu.
Kuphwanya magazi komwe kumabweretsa ku ubongo.
Zotupa zoyipa mu ubongo.
Matenda a Congenital
Kuwonongeka kwa medulla kwa impso kapena ngalande za kwamkodzo.
Mankhwala ochepetsa mphamvu ya potaziyamu kapena calcium m'magazi.
Odwala cell anemia.
Polycystic kapena amyloidosis a impso.
Kulephera kwina.
Kutenga okodzetsa.
Thupi lofooka, m'badwo wovomerezeka.

Cholinga cha gawo limodzi mwa magawo atatu aliwonse sichimadziwika, ndipo kafukufuku sawonetsa matenda kapena zinthu zomwe zingayambitse matendawa. Njira yokhayo yomwe odwala matenda a shuga angagonjetsere ndi zakudya zophatikiza ndi mankhwala. Zonsezi, ndi zina ziyenera kuyanjanitsidwa ndi adokotala.

Zizindikiro za matenda a shuga

Mosatengera chomwe chimayambitsa, zizindikiro za matenda a shuga insipidus ndi zofanana pazochitika zonse, kuuma kwawo kumatengera kuthekera kwa nephron tubule receptors ku vasopressin ndi kuchuluka kwa mahomoni antidiuretic opangidwa ndi thupi.

Zizindikiro zoyambirira za matendawa zimatha kuoneka mwadzidzidzi kapena pang'onopang'ono - ichi ndi polydipsia (ludzu lalikulu) ndi polyuria (pafupipafupi pokodza) usana ndi usiku. Wodwalayo amapisa 3-15 patsiku, nthawi zina mpaka malita 20 a mkodzo.

Ngati munthu ali ndi matenda ashuga osatsatira zakudya, zizindikilo zina zimawonekera:

Kuthetsa madzi m'thupi - mucous nembanemba ndi khungu, kuchepa thupi.
Kutambasula, kutsitsa m'mimba.
Kusokonezeka kwa chakudya cham'mimba - kuchepa kwa chilimbikitso, kudzimbidwa, kukula kwa colitis kapena gastritis.
Kutalikirana kwa chikhodzodzo.
Kuchepetsa thukuta.
Nthawi zina - kunyansidwa mwadzidzidzi ndi kusanza, kutentha thupi, kukodza (kwamikodzo).
Kuphwanya kuthamanga kwa magazi komanso kugunda kwa mtima.
Kutopa
Mavuto am'mutu komanso amisala omwe amayamba chifukwa choperewera.
Mutu ndi kusowa tulo.
Kusakwiya ndikuchepetsa zochitika zamaganizidwe.v
Kuchepa kwa libido ndi potency mwa abambo, kusokonezeka kwa msambo komanso chiopsezo chotayika - mwa amayi.

Zizindikiro za insipidus ya shuga mwa ana ndi chimodzimodzi mu akulu.

Chithandizo cha matenda a shuga a insipidus ndikuchotsa chomwe chimayambitsa matendawa. Desmopressin adalembedwa kuti alowe m'malo mwa antidiuretic mahomoni, carbamazepine, chlorpropamide, ndi zina zotchulidwa kuti azitsitsa vasopressin.

Kuchulukitsa mwayi wogonjetsera shuga insipidus zakudya, zomwe zimaphatikizapo kuchepetsa katundu pa impso ndikukhala ndi mapuloteni ochepa.

Kugwiritsa ntchito moyenera mankhwalawa, zakudya ndi mankhwala ena kumagwirabe ntchito ndipo kumalepheretsa chitukuko cha mitundu ina ya matendawa: matenda ashuga a shuga siziwopseza moyo.

Apitonus P - zovuta za mavitamini pazakudya

Zakudya zilizonse zochizira matenda a shuga insipidus zimangolandira kuphatikizidwa kwa mavitamini ndi michere yonse yofunikira. Thupi limakhala ndi vuto la mavitamini ndi michere yambiri m'matenda omwe amayambitsidwa ndi kutsegula m'mimba pafupipafupi kapena kukodza pafupipafupi.

Ndikotheka kupewa kutayika kwa mavitamini ndi mchere wofunikira mothandizidwa ndi kukonzekera kwachilengedwe Apitonus P, wopangidwa mwachilengedwe kuti aphimbe zoperewera komanso magwero a antioxidants achilengedwe.

Kuphatikiza apo, kuti matenda abwinobwino azizungulira komanso kubwezeretsa ntchito za pituitary gland, tikulimbikitsidwa kuti mutenge mankhwala achilengedwe a Memo-Vit.

Chifukwa chakumwa pafupipafupi komanso kuchuluka kwa odwala omwe ali ndi matenda a shuga, matenda a mtima amatha kusokonezeka. Chifukwa chake, kukakhala kofunika kutenga mankhwala ena achilengedwe "Cardioton" kuti mubwezeretse magwiridwe olondola a myocardium ndikuchepetsa katundu yemwe wabwera chifukwa cha matenda omwe afotokozedwawo.

Matenda a shuga a insipidus amathandizidwa ndi dandelion P yachilengedwe, yomwe ilinso ndi katundu wothandizira kuchepetsa chilengedwe.

Kuthandizira kuchepetsa zizindikiritso za matendawa, njira ya Momwort P, njira yachilengedwe yowonjezera yochizira matenda a shuga.

ZOKHUDZA ZABWINO ZOPHUNZITSIRA ZA ZOKHUDZA ZINSINSI ZA ZINSINSI ZOFUNIKIRA ZA ZINSINSI ZOKUTHENGA

Momwe mungathanirane ndi matenda a shuga

Matenda a shuga sikumakhala chofala kwambiri motero samadziwika kwenikweni kwa anthu ambiri. Zoterezi zimangokhala anthu atatu okha mwa anthu chikwi chimodzi ndipo nthawi zambiri zimakhudza azimayi ndi abambo, makamaka achinyamata.

Nthawi zina matenda a ubongo amakhudza ana, achinyamata ndi okalamba. Koma kuchuluka kwake pafupipafupi kukuchulukirachulukira. Zikuyamba kuvuta kuthana nazo, zomwe zimapangitsa madokotala kufunafuna njira zatsopano zothetsera vutoli kuti athandize odwala kukhala ndi moyo wabwino.

Ndi matenda a shuga a insipidus, chithandizo chimasankhidwa malinga ndi mtundu wa matenda komanso kuuma kwa zizindikiro.

Matenda a shuga amayamba kukhala ndi wachibale kapena kuchepera kwathunthu kwa mankhwala a antidiuretic m'thupi, chifukwa chomwe wodwalayo ali ndi zizindikiritso zofunika kwambiri kuchipatala: kuchuluka kwamkodzo potulutsa ludzu kwambiri.

Pankhani ya kuchepa kwathunthu kwa mahomoni chifukwa cha kuperewera kwake ndi hypothalamus, mtundu wapakati wa matenda a shuga umayamba. Kuperewera kwa vasopressin kumachitika pamene aimpso tubules sazindikira zochita zake. Matendawa amatchedwa nephrogenic.

Chifukwa chachikulu cha kuchepa kwamadzi, zizindikiritso za thupi zimayamba kulowa mthupi.

Njira zazikulu zochizira matenda a shuga insipidus

Musanayambe chithandizo cha matendawa, ndikofunikira kuti mupatsidwe matenda osiyanasiyana a psychogenic polydipsia ndikusiyanitsa mtundu wa matenda a shuga a insipidus. Kupatula apo, onse amachitiridwa mosiyanasiyana.

Pokhapokha ngati pali vuto la vasopressin lokhala ndi mawonekedwe a nephrogenic, kukonzekera kwake sikungakhale kopindulitsa, ndipo ndi ludzu la psychogenic, psychotherapy ndi mankhwala osokoneza bongo, mwachitsanzo, antidepressants, amafunikira.

Kuti musiyanitse mitundu yamatenda osiyanasiyana omwe ali ndi matenda ashuga a insipidus, ndimagwiritsa ntchito kuyesedwa ndi kudya kouma komanso mayeso a desmopressin.

Musanalankhule za njira zochizira matendawa, ziyenera kudziwidwa kuti popanda kuthetsa zomwe zimayambitsa, zizindikiro zokha sizingathandizidwe.

Mwachitsanzo, ndi chotupa muubongo, kuchitapo kanthu kwa opaleshoni ndikofunikira, ndipo pakachitika matenda opatsirana, mankhwalawa amapatsidwa mankhwala. Genimisune genesis yamatendawa imafuna kugwiritsidwa ntchito kwa glucocorticosteroids.

Pankhani ya khansa ya m'magazi, chemotherapy yokhala ndi cytostatics ndiyofunikira.

Pazonse zosakwanira kupanga ma antidiuretic mahomoni, mankhwala amaloza mahomoni amasonyezedwa. Kuphatikiza pa mankhwala okwanira, kukonza zakudya ndi kubwezeretsanso kwamadzi kumayeneranso.

Zakudya ndi Nthawi Yokumwa

Ndi njira yofatsa ya matenda a shuga insipidus, njira zomwe ndi polyuria mpaka 4 l / tsiku, kukonza kwa wodwalayo ndikotheka kokha mothandizidwa ndi zakudya komanso machitidwe olondola a zakumwa.

Kuchuluka kwa zakumwa kuyenera kufanana ndi kutayika kwa madzimadzi mu polyuria. Odwala amalangizidwa kuti asamwe madzi okha, komanso zakumwa zamtundu wa zipatso, zakumwa za juisi ndi zakumwa zamtundu wa zipatso ndi zipatso zouma.

Zipatso zouma zimatha kupanga kupanga mahomoni amkati mwa antidiuretic chifukwa chambiri cha potaziyamu.

Komanso, kuti muchepetse diuresis, kuchuluka kwa mchere kumayenera kukhala kwa 5 g patsiku (supuni 1). Mukamaphika, mchere suyenera kuwonjezeredwa m'mbale, chifukwa ndiosavuta kuuthana nawo. Wodwala akuyenera kuwonjezera mchere wake wa tsiku ndi tsiku pang'onopang'ono kuti adye zakudya zopangidwa bwino.

Malangizo pazakudya zimaphatikizira zoletsa kuchuluka kwa mapuloteni omwe amadya (osaposa 1 g / kg patsiku), pomwe zakudya zake zimayenera kupatsidwa mphamvu ndi mafuta ndi mafuta. Mapuloteni amapanga katundu wambiri pamitsempha ya ziwalo. Ndikofunikira kusiya shuga wambiri m'zakudya ndipo, ngati zingatheke musadye zakudya zotsekemera, chifukwa zimakulitsa ludzu.

Yang'anani! Zakumwa zoledzeretsa, zokazinga, zosuta, zamafuta, zakudya zowuma, komanso zakudya zosavuta.

Zopatsa mphamvu za zakudya za tsiku ndi tsiku zimasiyanasiyana malinga ndi zolimbitsa thupi, koma makamaka ziyenera kukhala 2500-3000 kcal. Chakudya chimakhala ndi gawo laling'ono komanso pafupipafupi kangapo 5-6 patsiku.

Chakudya chimawotchera, chophika, kuthira madzi kapena kuwiritsa. Nyama ndi nsomba ziyenera kupezeka mwa kuchuluka kwa pafupifupi 150 g patsiku. Amaloledwa kudya chimanga (nyemba kupatula), masamba ndi zipatso, mkaka ndi mkaka wowawasa, mafuta a masamba.

Chovomerezedwa mpaka mazira 1-2 patsiku popanda mapuloteni kapena kwathunthu ndi kuchepa kwa kuchuluka kwa nyama ndi nsomba muzakudya patsikulo.

Mankhwala

Choyamba, akapezeka ndi vuto la kuperewera kwa vasopressin, pomwe mahomoni amawadziwa kwambiri mahomoni amtundu wa antiidiuretic, chithandizo chamankhwala cha m'malo mwa shuga chimachitika. Palibe zokonzekera zambiri zakachitidwe kwake:

Adiurekrin,
Adiuretin
Desmopressin (Minirin).

Amapezeka m'magulu osiyanasiyana a pharmacological ndipo amalembedwa ndi okhawo omwe amapezeka ndi endocrinologist ndi kusankha kwa masiku angapo masiku angapo.

Adiurecrine

Izi zidapangidwa pamaziko achimake a pituitary gland ya ng'ombe mu mawonekedwe a ufa wothandizidwa ndi intranasal (inhalation). Mlingo wosagwiritsidwa ntchito kamodzi kuchokera pa 0.03 mpaka 0.05 g, womwe umalola kupititsa kwa maola 8. Chifukwa chake, mankhwalawa amayenera kuperekedwa mpaka katatu patsiku. Kwa ana, Adiurekrin anali kupezeka mwa mawonekedwe a mafuta.

Kuphatikiza pa antidiuretic kanthu, mankhwalawa ali ndi tanthauzo la vasopressor pazotengera. Ndi njira yomwe ilipo ya mucosa ya m'mphuno, mankhwalawo sanasinthidwe bwino, motero sankagwiritsidwanso ntchito.

Chogwiritsidwacho ndi analogue yopanga mahomoni antidiuretic, omwe, mosiyana ndi mankhwala apitawa, amakhala ndi chipiriro chabwino ndipo alibe zotsatira za vasopressor. Amapangidwa ngati madontho, omwe amayenera kugwiritsidwa ntchito katatu mpaka katatu patsiku mpaka madontho anayi.

Desmopressin

1-desamino-8-D-arginine-vasopressin kapena desmopressin ndi mankhwala opanga omwe amafanana ndi mahomoni antidiuretic. Imagwira mosamala ma V2 receptors mu impso, osayanjana ndi ma receptor a cell ofewa a minofu m'makoma amitsempha yamagazi. Chifukwa chake, mankhwalawa alibe mankhwala a vasopressor ndipo alibe zovuta zina zoyipa.

Mayina amalonda a desmopressin ndi Minirin, Uropress, Adiupressin, D-Void, Desmopressin.

Minirin ndi mawonekedwe ake ali ndi mphamvu yayitali komanso yolimba poyerekeza ndi omwe adalipo kale.

Mankhwala okhala ndi chinthu chogwiritsidwa ntchito mwa mtundu wa desmopressin amapezeka m'njira zosiyanasiyana:

jakisoni yankho
kupopera kwammphuno ndikutsikira,
Diso likugwera
mapiritsi okonzera pakamwa komanso apakati.

Chosavuta kwambiri ndi mtundu wa Minirin wamankhwala monga mapiritsi a 0,1 ndi 0,2 mg. Palinso mlingo wa Minirin Melt mu mawonekedwe a mapiritsi a lyophilized a 60, 120 ndi 240 mcg, omwe amatengedwa pang'onopang'ono (pansi pa lilime). Phukusili pali miyala 30 yamapiritsi.

Mlingo umasiyanasiyana malinga ndi matenda, omwe amayenera kuwunika dokotala masiku angapo akuwonetsetsa.

Nthawi zambiri, mankhwalawa amatengedwa piritsi limodzi la 2 mpaka katatu patsiku mphindi 30 asanadye kapena pambuyo pake. Ola limodzi musanamwe mankhwalawo ndi ola lina pambuyo pake, muyenera kupewa kumwa.

Mlingo wa tsiku ndi tsiku umachokera ku 0,1 mpaka 0,4 mg. Ndikofunika kudziwa kuti zaka za wodwalayo malinga ndi kuchuluka kwa njira sizambiri.

Kugwiritsa ntchito mankhwalawa kumachepetsa mkodzo tsiku ndi tsiku (mpaka 2 l), kuonjezera mphamvu yokoka ya mkodzo, kuchepetsa ludzu, kukonza bwino thanzi la odwala. Mankhwalawa amakonda kwambiri mawonekedwe a piritsi pamatenda osiyanasiyana amtundu wa kupuma, pamene rhinitis imachitika ndipo sizotheka kugwiritsa ntchito bwino madontho amphuno kapena kutsitsi.

Zotsatira zoyipa ndizosowa kwambiri. Nthawi zina hyponatremia imachitika, kuwonetsera komwe ndiko chizungulire, kupweteka mutu, kupweteka pamimba, kusanza, kukokana, kuwonda.

Nthawi zambiri, odwala omwe ali ndi vuto la mtsempha wamagazi amakhala ndi kuchuluka kwa kupweteka pachifuwa.

Nthawi zina, motsutsana ndi kagwiritsidwe ntchito ka Minirin, panali kuphwanya kwam'mimba, kusokonezeka kwa m'maganizo, kusowa tulo, kupweteka kwa mutu, kuwonetsa matupi ake, komanso kuwonjezeka kwa magazi.

Zotsatira zosagwiritsidwa ntchito ndi mankhwalawa:

Mutha kuwerengenso: Kodi matenda a shuga ndi otani?

psychogenic polydipsia,
uchidakwa
kulephera kwa aimpso
kutsitsa kuchuluka kwa sodium m'madzi am'magazi,
kulephera kwa mtima komwe kumafunikira okodzetsa,
Hypersensitivity to desmopressin,
syndrome ya zosabisika katulutsidwe vasopressin.

Pitressin tannat

Mankhwalawa ndi vasopressin yemwe amakhala nthawi yayitali. Kapangidwe kamakemikolo ndi mchere wamtundu wa antidiuretic mahomoni, opangidwa mwa mawonekedwe a emulsion yamafuta ophatikizira makonzedwe.

Zotsatira za mankhwalawa zimatha kwa maola 18 mpaka masiku 5, kotero pafupipafupi pamaulamuliro ake ndizochepa - nthawi 1 m'masiku atatu. Amayimitsidwa pa mlingo wa 1 mpaka 10 IU.

Kusankhidwa kwa mlingo kumachitika kwakanthawi kutengera kuthekera kwachipatala.

Mankhwala osakhala a mahomoni

Kuonjezera kupanga kwa vasopressin yawo, mankhwala osiyanasiyana amagwiritsidwa ntchito:

Carbamazepine ndi wa gulu la anticonvulsants, koma kuphatikiza pazofunikira zake, zimapangitsa kutsitsa kwa mahomoni a antidiuretic. 0,2 ga umagwiritsidwa ntchito kawiri kapena katatu patsiku. Itha kuphatikizidwa ndi chlorpropamide.

Carbamazepine amalekeredwa bwino, koma nthawi zina amatha kuyambitsa zovuta, kupweteka mutu, nseru, komanso kugona.

Chlorpropamide ndimamwa mankhwala a hypoglycemic a gulu la sulfonamide ndipo amawonetsedwa makamaka kwa odwala omwe ali ndi maphunziro a shuga a insipidus ndi matenda ashuga.

Amalimbana bwino ndi polyuria ndipo amachotsa ludzu ndi matenda a shuga, omwe amayamba chifukwa cha matenda opatsirana kapena matenda obadwa nawo.

Mankhwalawa ali osathandiza kwenikweni m'mbuyomu pambuyo pa zovuta zam'mbuyomu.

Matenda a chlorpropamide amatchulidwa kumayambiriro kwa matendawa ndipo amatha miyezi ingapo.Pambuyo pa izi, kuphatikiza kwake kwamankhwala kumatsika. Mankhwalawa amagwiritsidwa ntchito 1 kapena 2 kawiri pa tsiku limodzi pa 0, 125 mpaka 0,25 g.

Yang'anani! Zotsatira zoyipa za chlorpropamide ndikuthanso kupangitsa shuga m'magazi, motero glycemia iyenera kuyang'aniridwa nthawi zonse mukamalandira chithandizo ndi wothandizira.

Mankhwalawa sagwiritsidwa ntchito chifukwa cha matenda a shuga insipidus nephrogenic chifukwa cha kufooka kwawo.

Miskleron, kapena clofibrate, ndi chida chochepetsera cholesterol yamagazi pochiza komanso kupewa atherosulinosis.

Mankhwalawa amapezeka mu mawonekedwe a makapisozi a 0,25 g, omwe amayenera kutengedwa nthawi 1 ndi kuchuluka kwa 2 kapena katatu patsiku.

Miskleron sangathe kugwiritsidwa ntchito ndi othandizira odwala a sulfanilamide, mwachitsanzo, chlorpropamide chifukwa choopsa cha hypoglycemia. Mankhwala siothandiza aimpso matenda a insipidus.

Chithandizo cha matenda a shuga a impso

Zochizira mawonekedwe a nephrogenic matendawa, okodzetsa a gulu la thiazide, mwachitsanzo, Hypothiazide, amagwiritsidwa ntchito. Ngakhale kuti mankhwalawa adapangidwira kuti azikongoletsa diuresis, mankhwalawa amachepetsa kusefera mu impso glomeruli ndi sodium excretion, zomwe modabwitsa zimayambitsa kuchepa kwa polyuria.

Mlingo wa hypothiazide pochizira matenda a shuga a nephrogenic amakhala kuyambira 0,025 mpaka 0,1 ga patsiku. Pogwiritsa ntchito hypothiazide, chiopsezo cha hypokalemia chimawonjezeka, chifukwa kuchuluka kwa potaziyamu kwamkodzo kumawonjezeka.

Chifukwa chake, muyenera kuphatikiza kayendetsedwe kake ndi potaziyamu (Asparkam, Panangin). Ndikofunikanso nthawi ndi nthawi kuwona momwe mulingo wa asidi-kapangidwe kake komanso kapangidwe kazinthu zamagazi ka wodwalayo.

Wodwala panthawi ya chithandizo ndi Hypothiazide ayenera kudya zakudya zambiri zomwe zili ndi potaziyamu (zipatso zouma, nthochi, mbatata zophika).

Hypothiazide siigwiranso ntchito mofananamo kwa odwala onse ndipo mwina singapereke zotsatira zoyenera pakapita nthawi.

Mankhwala osapweteka a antiidal (Acetylsalicylic acid, Ibuprofen) amathandizanso, omwe amachititsa kuti mkodzo ukhale wofinya komanso kuchepetsa diuresis.

Zofunika! Mankhwala osagwirizana ndi antisteroidal angayambitse zilonda zam'mimba zam'mimba ndikukula kwa magazi, chifukwa zimayikidwa pokhapokha ngati matenda am'mimba, esophagus ndi matumbo.

Ndi kuchepa mphamvu kwa thupi, timalimbikitsidwa kumwa mankhwala a anabolic (potaziyamu ya orotate, Nerobol, mankhwala opangidwa ndi L-carnitine) m'maphunziro. Pazovuta zamankhwala, mumatenga mavitamini ovuta (Supradin).

Njira zina

Kuphatikiza pa mankhwala ndi njira zachikhalidwe, odwala ambiri omwe ali ndi matenda a shuga amayesa kuchiza matendawa ndi mankhwala osagwirizana kunyumba. Kuchita bwino kwa mankhwalawa mwanjira ya mankhwala omwe ali ndi umboni sikunaphunzire, koma sipangakhale vuto lililonse kuchokera ku mankhwala azitsamba ngati kugwiritsa ntchito kwake kuvomerezedwa ndi endocrinologist.

Yang'anani! Palibe wowerengeka azitsamba omwe angalowe m'malo mwa mahomoni ngati afotokozedwa mwanjira inayake.

Nawa maupangiri ogwiritsira ntchito zitsamba ndi mbewu zodwala matenda ashuga:

Muzu wa burdock wouma ndi wosemedwa (supuni zitatu) uyenera kutsanulidwa ndi madzi okwanira 1 litre ndi madzi otentha ndikusiyidwa mu thermos usiku kuti uumirire. Pambuyo popsinjika, tengani kulowetsedwa kwa 120 ml mpaka 5 pa tsiku musanadye.
Supuni ziwiri za muzu wa mullein ziyenera kutsanulidwa ndi 500 ml ya madzi otentha, tsekani chidebe mwamphamvu ndi chivindikiro ndikukulungani ndi nsalu, tiyeni tiime kwa maola awiri. Tengani 125 ml mpaka katatu pa tsiku musanadye.
Mu kapu ya madzi otentha, tsimikizani 1 ora 1 supuni ya supuni zouma zouma zamankhwala. Mutapumira, gwiritsani ntchito kulowetsa kwa supuni ziwiri musanadye mphindi 20 zilizonse musanadye.
Wort wa St. John, worquefoil, thumba la abusa, minga yopanda maziko ndipo mizu yamiyala imatengedwa yolingana komanso kusakanikirana. Kenako supuni 1 ya osakaniza umathiridwa mu 500 ml ya madzi ndikuwiritsa kwa mphindi 5. Tengani decoction 1 galasi 2 kawiri pa tsiku.
Mamawort, yarrow, udzu wa kolifulawa ndi mizu ya angelica amatengedwa magawo ofanana, ndipo amatengedwa 250 ml katatu patsiku.
Kuti muchepetse nkhawa, sinthani machitidwe anu ndikuwongolera kugona, mutha kugwiritsa ntchito chindapusa potengera zitsamba zoziziritsa kukhosi (mankhwala a mandimu, mint, mzere wa valerian).
Nandolo ali pansi mu chopukusira cha khofi kukhala ufa, womwe umakhala ndi glutamic acid. Zimathandizira kukonza kufalikira kwa matenda a ubongo ndipo amatulutsa kagayidwe. 1 tsp pea ufa amatengedwa mpaka 5 pa tsiku musanadye ndikutsukidwa ndi madzi kapena decoction wa maapulo, ananyamuka m'chiuno kapena ma currants, omwe amalimbikitsa kugwira ntchito kwa nandolo.

Mothandizidwa ndi ma decoctions ndi infusions wa mankhwala azitsamba, muthanso kuthetsa zosasangalatsa zomwe zingachitike chifukwa cha matenda ashuga osokoneza bongo ndikupanga kutayika kwa madzimadzi.

Kuphatikiza pa chithandizo chamankhwala a anthu a phytotherapeutic, apitherapy ingagwiritsidwe ntchito - kusintha kwa thupi la njuchi:

Propolis tincture - madontho 30 a 30-70% kulowetsedwa amasungunuka mu 125 ml mkaka ndipo amatenga mphindi 60 asanadye chilichonse.
Natural phula - kutafuna 5 ga 3 mpaka 5 pa tsiku ndi kumeza.
Kwa 200 g uchi uliwonse, 10 g wa mungu amatengedwa, wosakanizidwa. Tengani mankhwala ayenera supuni 1 kawiri pa tsiku kwa sabata.
Apilak - piritsi limodzi 2-4 pa tsiku.

Chifukwa chake, mankhwalawa a shuga a insipidus ayenera kukhala okwanira komanso otalika. Zimachitidwa motsogozedwa ndi endocrinologist mothandizidwa ndi mayeso a labotale.