Mavuto a shuga

Mavuto am'mbuyomu a shuga amaphatikizapo kuwonongeka kwa mtsempha wamagazi (matenda ashuga angiopathy). Matenda a shuga ndi matenda opatsirana otseguka omwe amafalikira ku ziwiya zazing'ono komanso ziwiya zazing'onoting'ono komanso zazikulu. Ndi kugonjetsedwa kwa zombo zazing'ono, monga arterioles, venule ndi capillaries, microangiopathy imayamba. Chifukwa cha kuwonongeka kwa ziwiya zapakati komanso zazikulu, macroangiopathy imayamba. Microangiopathies imabweretsa kuwonongeka kwa impso ndi maso. Ndi macroangiopathies, ziwiya zamtima, ubongo ndi ziwiya zazikulu zam'munsi zimakhudzidwa. Udindo waukulu pakukula kwa matenda a shuga a shuga ndi a kuchuluka kwa shuga m'magazi.

Matenda a shuga

M'miyoyo ya odwala omwe ali ndi matenda ashuga, ukhondo umatenga gawo lofunikira kwambiri. Izi zimaphatikizapo osati ukhondo waumwini, kusunga ukhondo wa m'nyumba, zovala, chakudya, komanso kukula kwa ntchito zolimbitsa thupi, kulimbitsa thupi, kuumitsa mtima, ndi kuthetsa zizolowezi zoipa. Kuchita masewera olimbitsa thupi komanso kutsatira njira zam'madzi (kutikita, kusenda, kusamba kapena kusamba) kumawongolera thupi, kukulitsa kukana kwake matenda.

Kusamalira miyendo.

Kuopsa kwa kuwonongeka kwa phazi mu matenda ashuga kumakhala kwambiri. Palinso lingaliro la odwala matenda ashuga. Ndi kuwonongeka kwa zotumphukira zamitsempha, mapazi amitsempha, chidwi ndi magazi kupita kumadera osiyanasiyana am'munsi kwambiri. Muzochitika izi, nsapato wamba zimatha kuyambitsa kupunduka kwamapazi, zilonda zam'mimba, komanso kukula kwa matenda osokoneza bongo. Kusintha kwa phazi kumayambitsa mapangidwe a madera owonjezeka oponderezedwa pamtunda. Zotsatira zake zimakhala zotupa za phazi zofewa za phazi ndikupangika kwa zilonda zam'mbuyo. Kuphatikiza apo, kuwonongeka kulikonse pakhungu ndi kuchuluka kwa glycemia ndi kusapeza bwino kwa magazi kumayambitsa matenda a mabala ndi kufalikira kwa matenda ku zida zapamanja ndi zamanjenje. Chithandizo cha phazi la matenda ashuga ndi njira yovuta komanso yayitali. Koma matenda ndi zovuta zitha kupewedwa mwa kuchitapo kanthu njira zopewera kusamalira mapazi.

Kuyang'anira momwe miyendo ili.

Wodwala aliyense wodwala matenda ashuga ayenera kuyang'anitsitsa miyendo yake tsiku lililonse. Makamaka chisamaliro chiyenera kulipidwa: Kusintha kwa khungu m'malo ophatikizika. Kwa matenda oyamba ndi fungus, funsani dermatologist nthawi yomweyo. Khungu la Keratinized, ming'alu, chimanga pazala - zonsezi zimatha kuyambitsa matenda opatsirana.

Sambani mapazi anu m'mawa ndi madzulo pogwiritsa ntchito madzi ofunda ndi kutentha kwa 37-38 ° С.

Gwiritsani ntchito chinkhupule chofewa ndi sopo wosalowerera ndendende kusambitsa mapazi anu.

Kutalika kwa osambira kumapazi osapitilira mphindi 5.

Mukatha kusamba, pukuta mapazi anu bwinobwino, makamaka malo ophatikizika, ndi thaulo lofewa.

Mukamakonza miyendo, musagwiritse ntchito zinthu zakuthwa (masamba, zokhala ndi zoloza, malezala), zopaka chimanga, mafuta. Sendani khungu lakufa ndi mwala wa pumice.

Kuti muchepetse misomali, gwiritsani ntchito lumo wokhala ndi nsonga zozungulira ndikudula misomali yokha molunjika.

Kusankha nsapato.

Ngati musankha nsapato zoyenera ndi insoles, mutha kupewa chitukuko cha matenda a "matenda a shuga."

Nthawi zambiri, nsapato zimayenera kupatsa kukhazikika (nsapato zokhala ndi mphonje kumakonza bwino kulumikizana kwa phazi), chidendene chotalika, chotsika ndichithandizo chodalirika cha miyendo.

Nsapato ziyenera kukhala zazikulupo: m'lifupi mwake nsapato ikuyenera kufanana ndi m'lifupi phazi (pamlingo wolumikizana woyamba wa chala).

Pamwamba pa nsapatoyo pazikhala zinthu zachilengedwe.

Nyamula nsapato masana. Miyendo imatupa nthawi iyi musanvale nsapato, yang'anani mkati ndi dzanja lanu kuti musatenge mabampu (ma boti, zotupa zoyipa).

Kusintha kwa nsapato kapena kupindika kwa nsapato ndizizindikiro zakusayenerera. Pankhaniyi, ndibwino kufunsa dokotala.

Ngati mwapweteka mwendo wanu, muyenera kuchita izi:

mankhwala opha mabala ndi ma antiseptic agents (pewani kugwiritsa ntchito njira zopangira utoto: ayodini, wobiriwira wanzeru, pamene amabisa malo a kutupa),

Simuyenera kugwiritsa ntchito mafuta ambiri kapena chifuwa chamafuta musanavomereze dokotala,

ikani sopo wouma, wosabala ndi kuvala bala.

M'moyo watsiku ndi tsiku, ndibwino kugwiritsa ntchito masokosi osavuta (masokisi), kukula kwanu kapena nambala imodzi ndikukhala ndi zochepa zophatikizira. Masokisi kapena masokisi amayenera kusinthidwa tsiku ndi tsiku. Ngakhale kunyumba, simukuyenera kuyenda opanda nsapato, ndikosafunikanso kuvala nsapato zala zala zotseguka.

Kusungabe nthambo m'moyo watsiku ndi tsiku ndikofunikira kuti mukhale ndi thanzi. Choyamba, tikulankhula zakusinthana kwa ntchito ndi kupumula, kukhala maso ndi kugona. Mwa mitundu yonse ya zosangalatsa, chofunikira kwambiri pakumanga ndi kugona. Matenda ake amachepetsa mphamvu ya chithandizo cha matenda ashuga. Kuonetsetsa kuti kugona tulo komanso kugona kwambiri, ndikulimbikitsidwa:

• Chakudya chotsiriza osachepera maola awiri asanagone (kusiyanitsa zovomerezeka kwa odwala omwe amagwiritsa ntchito insulin nthawi yayitali ndipo amakhala ndi vuto la hypoglycemic - ndikofunika kuti odwala oterowo adye chakudya champhindi 30 mpaka 40 asanadye - zipatso, kefir ),

• kuyenda kwa theka la ola mlengalenga,

• kugona m'malo abwino mpweya wabwino,

• pakama pamafunika malo omasuka, abwino,

• kupumula minofu moyenera, mutha kuyambiranso kudzitsutsa.

Funso la kufunika kogwiritsira ntchito mapiritsi ogona ndi zosinkhira amasankhidwa payekha ndi dokotala.

Psychotherapy

Matenda a shuga - Matenda omwe amayenda ndi munthu moyo wake wonse. Zomwe zimachitika mwa odwala ambiri nthawi zambiri zimayambitsa kukhumudwa, kutaya chidwi ndi zakunja. The endocrinologist ayenera kumakambirana pafupipafupi ndi odwala komanso anthu am'banja lake, ndikugogomezera kuti ndi njira yoyenera komanso chithandizo, wodwalayo atha kukhala moyo wabwinobwino, kukwaniritsa ntchito yake komanso osadziona kuti ndi wotsika. Ndikofunikira kuti pakhale zovuta pamtundu wa wodwala kuntchito, m'banjamo, kuti azungulire ndi kumvetsetsa, chisamaliro.

Kutsatira regimen ndikofunikira makamaka kwa anthu omwe ali ndi mankhwala a insulin. Ziyenera kutchulidwa pano kuti nthawi ya insulin management poyerekeza ndi kudya ndizosiyana. Insulin imatha kutumikiridwa nthawi yomweyo musanadye, mphindi 10-15 musanadye, nthawi yayitali pakati pakubayidwa kwa insulin ndi kudya kwambiri sikuyenera kupitirira ola limodzi. Nthawi ya makonzedwe a insulin yolumikizana ndi chakudya amakhala payekha. Izi zimatsimikiziridwa ndi adotolo. Sikuti aliyense m'nyumba, malo ogwirira ntchito amakwanitsa kukhazikitsa zochitika zatsiku ndi tsiku, pafupi ndi Sanatorium. Ngakhale izi, odwala matenda ashuga ayenera kutsata zochitika za tsiku ndi tsiku, kutengera kuthekera kwenikweni. Mkhalidwe wa wodwala yemwe ali ndi matenda a shuga, kukhala bwino, ogwira ntchito ogwira ntchito amadalira kwambiri kutsatira malamulo, omwe sayenera kukhala ngati spa.

Kupita kukalandira chithandizo cha spa, odwala ena omwe ali ndi matenda ashuga akuyembekeza zotsatira zabwino nthawi yina isanachitike ndipo ali pamsewu amasiya kuyang'anira njira zomwe zimayikidwa, zomwe zimakhala zovulaza thanzi. Kuti muchepetse zotsatirapo zake, muyenera kugwiritsa ntchito nthawi yowonjezera kuti mubwezereni wodwalayo kuti ayambe kulandira chithandizo chokwanira. Zomwezi zikuyenera kutsimikizidwanso kwa odwala omwe akumaliza maphunziro a spa, akalolera kuti athyole malangizo kumapeto kwawo, ndipo nthawi zina panjira yobwerera.

Kupambana kwa chithandizo cha spa, monga chithandizo china chilichonse, kumatha kukhalabe kwa odwala matenda ashuga pokhapokha njira yodalirika ikawonedwa. M'malamulo omwe adakhazikitsidwa, zonse zomwe zimapezeka ndizofunikira (zakudya, insulini, kusinthana koyenera kwa ntchito ndikupuma, ukhondo, masewera olimbitsa thupi, masewera, etc.), izi zimathandizira kukhalabe ndi thanzi.

Memo kwa wodwala

Kuti mukhale ndi thanzi labwino, kukhalabe ndi ntchito yayitali komanso kupewa zovuta, wodwala yemwe ali ndi matenda ashuga ayenera kuthandizanso chithandizo chapadera komanso njira zopewera pamoyo watsiku ndi tsiku. Zofunikira zake ndizotsatirazi:

1. Maziko othandizira mitundu yonse ya matenda ashuga ndi zakudya. Shuga, confectionery, semolina, soseji zamafuta, mowa, mowa, mphesa, misuzi ya zipatso pa shuga siyiyenera kuphatikizidwa ndi zakudya za tsiku ndi tsiku. Muchepetse zakudya zomwe zingapangidwe ndi chakudya chamafuta ochepa (zida zophika, mbatata ndi chimanga, mitundu yazipatso). Zakudya ziyenera kuphatikizapo zamasamba, zipatso, mkaka, tchizi choko. Kudya panthawi yodziwika bwino malinga ndi makulidwe a insulin ndikofunikira kwambiri.

2. Njira yotsimikizika ya tsiku ndi tsiku ndiyofunikira. Kukwera kwam'mawa, ntchito yogwira ntchito (kuphunzira), kuwongolera insulin, kudya ndi kugwiritsa ntchito mankhwala, kupuma mwachangu, kugona musanachitike. Pewani kugwira ntchito mopitilira muyeso. Lisabata liyenera kugwiritsidwa ntchito mokwanira pantchito zakunja.

3. Tsatirani njira zaukhondo komanso zaukhondo. Maphunziro olimbitsa thupi, masewera (osati mitundu yamagetsi) amakhala ndi phindu pa kagayidwe, kulimbikitsa kukoka kwa glucose, kuchepetsa kufunika kwa insulini, kuchepetsa matendawa, ndikuwonjezera mphamvu.

4. Mankhwala omwe mumalandira amafunika kumwa panthawi yovomerezeka. Kusintha mankhwalawa, kusintha mlingo ndipo makamaka kuletsa kwawo sikuvomerezeka popanda chidziwitso cha dokotala.

5. Sungani ukhondo komanso kusabala mukamapereka insulin. Masamba a jakisoni ayenera kusinthidwa kuti jakisoni wobwereza womwewo mgawo lomwelo asapitirire nthawi 1-2 pamwezi.

Odwala omwe amalandila insulin amatha kukhala ndi hypoglycemic. Zizindikiro zoyambirira ndi kufooka, manja akunjenjemera, thukuta, dzanzi la milomo, lilime, njala, chisokonezo, mpaka kumatha kukhala chikomokere (hypoglycemic coma). Izi zimapangidwira chifukwa chakudya mosakonzekera kapena chosakwanira, kuyambitsa kumwa kwa insulin kwambiri, kuchita masewera olimbitsa thupi, komanso kumwa kwambiri mowa (makamaka zoledzeretsa zolimba). Kuti muthane ndi hypoglycemia yacute, muyenera kudya 20 g shuga, 200 ml ya zakumwa zokhala ndi shuga, zidutswa 4-5 za shuga, maswiti, omwe nthawi zonse mumayenera kunyamula ndi pasipoti yanu ya matenda ashuga. Kuphatikiza pa kudziyang'anira tsiku ndi tsiku, ngati mukusowa chidwi, kangani kuyeza shuga ndi mkodzo, onani mkodzo wa acetone, pitilizani chithandizo ndi mapiritsi a insulin kapena shuga, pitani kuchipatala.

6. Matenda opatsirana oyambitsidwa, kusakhazikika komanso kosakwanira kwa insulin, kutopa kwam'maganizo ndi thupi, kuphwanya kwamalamulo azakudya tsiku ndi tsiku komanso zakudya zina, komanso zifukwa zina zomwe zingayambitse kuwonongeka kwa matenda ashuga komanso kukula kwa chikomokere.

7. Posankha ntchito ndi ntchito kwa wodwala yemwe ali ndi matenda ashuga, malire chifukwa cha mawonekedwe a matendawa komanso kufunika koteteza zovuta zake ayenera kukumbukiridwa. Achibale komanso abwenzi ayenera kudziwa malamulo othandiza ndi hypoglycemia.

8. Matenda a shuga opatsirana sangakhale chopinga muukwati ndi moyo wabanja wamba. Kuti muzitha kuzindikira komanso kupewa kukula kwa matenda osokoneza bongo, ndikofunikira kuti nthawi ndi nthawi (kawiri pachaka) musanthule ana awo.

9. Pofuna kupewa zovuta, zomwe zilonda zam'maso zambiri, impso, chiwindi, miyendo, matenda amanjenje, mano, wodwala yemwe ali ndi matenda osokoneza bongo ayenera kuyang'aniridwa ndi achipatala, kulembetsa mu dispensary.

Zizindikiro zowonjezera matenda a shuga zikuphatikizapo: kukhala bwino, kulumala mosalekeza, kusowa kwa ludzu, pakamwa kowuma, palibe zizindikiro zowonongeka m'maso, impso, chiwindi, mantha am'miyendo, miyendo, pakamwa patsekeke, kuponyera kwa 1.5-2 malita a mkodzo patsiku komanso kusowa kapena mumakhala shuga, m'magazi mpaka 7.8-8 mmol / l popanda kusinthasintha kwakuthwa kwakanthawi masana.

Wodwala matenda ashuga ayenera kukhala naye nthawi zonse ndikusungika “Khadi la wodwala yemwe ali ndi matenda ashuga”, lofunikira popereka chithandizo chamankhwala chanthawi yake ngati akukhala wopanda vuto.

Ngati mukuwona kuti zida zokwanira kapena chithandizo chamankhwala sichikwaniritsidwa momwe mungagwiritsire ntchito shuga, lumikizanani ndi gulu lanu la odwala matenda ashuga.