Matenda a shuga ndi chilichonse chokhudza izi

ZOTHANDIZA ZAKUKHUDZA MALO OGULITSIRA NDIPONSO ZOFUNIKIRA KWAMBIRI KWA RABOR DEVICE
Malingaliro a katswiri pazokhudza moyo wa odwala omwe ali ndi matenda ashuga komanso kuwunika koyenera pa chipatala chawo komanso zothandizira pantchito ziyenera kutengera zochitika zachipatala, zachikhalidwe komanso zamaganizidwe.

Mawu akuti dokotala wodziwitsa za matenda azachipatala ayenera kuwonetsa matendawa. Mitundu yotsatirayi ikhoza kukhala zitsanzo:
Type Iabetes mellitus (wodwala yemwe amadalira insulini), woopsa, wotopetsa, gawo lomwe ndimalankhulira, gawo I nephropathy, gawo I neuropathy (gawo I neuropathy (zolimbitsa thupi distal polyneuropathy),
Mtundu Wachiwiri wa matenda a shuga a mellitus (osadalira insulini) oletsa kuchepa, gawo I retinopathy (ofatsa distal polyneuropathy).
Odwala amatumizidwa ku MSEC pambuyo pakuwunikira mozama m'madipatimenti othandizira kapena apadera a endocrinology zipatala, mu zipinda za endocrinology za dispensaries, omwe ali ndi zolemba zowonjezera pazolemba zamankhwala komanso fomu yotsiriza N 88. Anthu onse omwe akudwala matenda ashuga ayenera kuunikiridwa ndi ophthalmologist, neurologist, opaleshoni, kapena orthopedist ndi wamisala.
Njira zamankhwala zoyeserera mkhalidwe wamoyo ndi izi: mtundu wa matenda ashuga (I kapena II), kuopsa (kofatsa, kocheperako kapena koopsa), matendawa (khola, kufooka), kukhalapo ndi pafupipafupi kwa machitidwe a hypoglycemic, ketoacidosis, chikomokere, kupezeka komanso kuopsa kwa zovuta zakumapeto (retinopathy, nephropathy, neuropathy, osteoarthropathy), mtundu ndi magwiridwe antchito a hypoglycemic, kukhalapo kwa insulin kukana, matenda opatsirana.
Njira zachitukuko zimaphatikizapo - maphunziro, ntchito, udindo, mwayi wogwira ntchito komwe wodwala amakhala.
Chofunika kwambiri ndi zaka za odwala.
Pakuwunika kwaudokotala ndi chikhalidwe cha anthu, mitundu ya ntchito zotsutsana iyenera kukumbukiridwa, monga: ntchito yolimba, mitundu ya ntchito yokhudzana ndi kupanikizika kwakukulu kwa neuropsychic, ntchito yolumikizidwa ndi ntchito yoyendera (switch switch, conductors), vibrate, in kusuntha njira, chotengera, polumikizana ndi zinthu zapoizoni (zotupa zam'mimba, alkali, asidi), kuyendetsa ntchito, kugwira ntchito motalika.
Ndi matenda ofatsa kwambiri nthawi zambiri, kulumala sikumakhazikitsidwa. Zoyenera kuletsa ntchito zimaperekedwa ndi
Malangizo a WCC (kumasulidwa maulendo abizinesi, masinthidwe a usiku, masinthidwe a usiku, katundu wowonjezera).
Ngati malingaliro othandizira ntchito ayenera kuganizira kuti chitukuko cha zochitika za hypoglycemic zitha kuwopseza wodwala komanso malo omwe amakhala. Iyenera kukumbukiridwa kuti odwala matenda ashuga azitha kudya akamagwira ntchito ndipo ngati kuli koyenera, apatseni insulin.
Ndi matenda othandizira odwala matenda ashuga okhathamira, ntchito yofunika kwambiri imadalira kuuma kwa zovuta ndi mtundu wa ntchito yomwe imagwiridwa.
Ndi matenda a shuga okwanira popanda zovuta zambiri, kulumala sikumakhazikitsidwa. Odwala oterewa amatsutsana mu mitundu ya ntchito yomwe yalembedwa pamwambapa.
Mtundu woyamba wa shuga wodwala matenda a shuga oledzera kwambiri, pali kufunika kosinthiratu mankhwala a insulin, omwe amayenera kukumbukiridwa pakuwunika kwa achipatala ndi anzawo komanso kuwalimbikitsa pantchito.
Ndi siteji ya retinopathy, ngakhale mawonekedwe owoneka sawawa, komabe, odwala sayenera kugwira ntchito yokhudzana ndi kusokonezeka kwa gawo la masomphenyawo, mwachitsanzo, sayenera kugwira ntchito ngati oyang'anira mawotchi, kugwira ntchito zamtundu uliwonse zogwirizana ndi ntchito yokhazikika ndi ma microscope (ma microbiologists, antchito labotale yamankhwala), pa kompyuta, etc.
Ndi retinopathy a digiri yachiwiri, zowoneka bwino zowoneka bwino, othandizira amawonekera pa fundus, ma hempoint hemorrhages, odwala sayenera kugwira ntchito yomwe imafuna gawo lalikulu la nthawi yogwira ntchito yamavuto owoneka (mwachitsanzo, owerengera ndalama, olemba mabuku, ziwerengero, ndi zina).
Pankhani ya ophthalmoplegia (kuphwanya kwa ntchito ya minofu ya oculomotor chifukwa cha kuwonongeka kwa mitsempha ya III, IV ndi VI ya misempha ya cranial oculomotor), yomwe imadziwika ndi diplopia ndi ptosis, yomwe imagwira kwambiri odwala omwe ali ndi mtundu wa matenda a shuga, imagwira ntchito yovuta ngakhale episodic yokhudzana ndi masomphenyawo. mwachitsanzo, gwiritsani ntchito zida zoyenera, ma microscopes, ndi zina).
Mitundu yodziwika kwambiri ya zotumphukira za matenda a shuga ndi polyneuropathy, yomwe imadziwika ndi distal, symmetrical sensory kusokonezeka, komanso kuchepa kwa kugwedezeka kwamphamvu, tactile, kupweteka komanso kutentha. Odwala amatha kupweteka paresthesia, kupweteka kwambiri.
Odwala oterewa sayenera kugwira ntchito yokhudzana ndi kukhala kwakanthawi pamapazi, ndikuyenda mtunda wautali.
Mitundu imodzimodziyi ya ntchito imatsutsana pamaso pa neuroarthropathy ("diabetesic phazi", yomwe imadziwika ndi chiwonongeko chopita patsogolo cha kulumikizana kumodzi kapena kumapazi kwa phazi).
Kupezeka kwa siteji ya matenda a shuga a nephropathy ndi contraindication yogwira nyengo yovuta (muzochitika kutentha pang'ono, kutentha kwambiri, kugwira ntchito ndi ziphe za mtima).
Mu gawo II nephropathy, odwala amatha kuchita ntchito zopepuka mu chipinda chotentha.
Odwala omwe ali ndi vuto la shuga lokwanira pamaso pa zovutazi sayenera kugwira ntchito zotsutsana pamwambapa. Ngati, posamukira ku ntchito ina, ataya ntchito, ndikofunikira kukhazikitsa gulu la zilema la III.
Achinyamata omwe amagwira ntchito yolakwika ayenera kulangizidwa kuti apewe.
Gulu Lopuwala Olumala limakhazikitsidwa nthawi yophunzitsira ndikugwira ntchito mwanzeru.
Mawonekedwe olakwika a shuga pamaso pamavuto akulu (neuropathy okhala ndi vuto lalikulu la magalimoto, nephropathy yokhala ndi kulephera kwa II, gawo II retinopathy ndi kuchepa kwakukulu kwa mawonekedwe acuity m'maso onse - 0,08 D, etc.) ndiye maziko okhazikitsa kulumala kwa gulu II.
Gulu lachiwiri la olumala limakhazikitsidwanso kwa anthu omwe ali ndi vuto la matenda oopsa a shuga komanso kusinthasintha kwa hypoglycemic, ketoacidotic, hyperosmolar kapena lactic acidotic coma panthawi ya chithandizo.
Ngati matenda ashuga kwambiri amachititsa kuti mavuto azikhala kwambiri (retinopathy of the III degree, blindness of the eyes), nephropathy ndi kulephera kwaimpso kwa digiri ya III, neuropathy ya digiri ya III yodziwika bwino paresis) kapena imayendera limodzi ndi kukomoka pafupipafupi (nthawi 4-5 pamwezi) gulu lolumala.

Kupimidwa kwa zamankhwala ndi chikhalidwe cha anthu odwala matenda a shuga kumawagwiritsa ntchito poizoni

Kutengera ndi zomwe tidawona pakuwonetsedwa kwazachipatala komanso matenda a shuga, operekera zakumwa adakhazikitsa mfundo zoyenera kudziwa gulu lolumala ndi kuchuluka kwa kutayika kwa akatswiri pantchito.
Ndi mtundu wofatsa wa matenda a shuga, 10% mpaka 20% ya kulumala waluso kutsimikizika.
Ndi mtundu wovutirapo wa mtundu wa I wa matenda ashuga mellitus, gulu lolumala la III linakhazikitsidwa, kuchuluka kwa kulemala kuchokera 40% mpaka 50%. Ndi zovuta kulipira matenda, mosasamala za zovuta, kuchuluka kwa kulumala kuchokera 50% mpaka 60%.Odwala oterewa amatha kuchita zolimbitsa thupi pang'ono mothandizidwa ndi insulini yodzikakamiza, povomerezedwa tsiku lililonse.
Ndi mtundu wocheperako wa matenda a shuga mellitus II ndi kukhalapo kwa zovuta zazing'ono (microangiopathy ya 1 degree, polyneuropathy ya 1st degree), 25% ya kutayika kwa luso la akatswiri pantchito lingatsimikizidwe. Gulu lamavuto silikukhazikitsidwa. Pankhani ya kukula kwamavuto olimbitsa thupi komanso owopsa, odwala amadziwika kuti ndi gulu III olumala ndipo 30-40% ya kutaya kwaukadaulo wogwira ntchito yatsimikizika.
Ovuta kwambiri a shuga mellitus a mitundu yonseyo ndi kukhalapo kwa zovuta zolimbitsa thupi ndi gawo loyambirira la kusokonekera kwa ziwalo (mwachitsanzo, retinal angiopathy ya II degree, retinopathy ya gawo la I-II, angiopathy ya malekezero a gawo la II, KHAN I-II), gulu lachitatu latsimikiza kulumala ndi kutayika 60% kwa akatswiri pantchito. Pamaso pamavuto akulu ndi kufooka kwa ziwalo za II st. Ndi kuwonongeka kwakanthawi kwamatendawa, zovuta kwambiri (zojambulajambula za III.) Zovuta komanso kuchepa kwamphamvu kwa ziwalo zamagulu (khungu, kulephera kwamtundu wa II-III., KHAN III), gulu la olumala limatsimikiza. Chiwerengero cha kutayika kwa luso la akatswiri pantchito ndi 90%.

Pulogalamu
MLANGI WOFUNA WOFUNIKIRA PAKUKHUDZA APATIZO A DIABETESIS KWA MSEC
Mphamvu ya mulingo wa glycemia, glucosuria mwezi uliwonse.

Kwa odwala omwe ali ndi matenda amtundu wa shuga ndimatenda am'mimba - glycemia milungu iwiri iliyonse, glucosuria, mbiri ya glycemic milungu iwiri iliyonse.
Kukonzekera kwathunthu kwa hepatic, mayeso a Reberg, urea.
Mlingo wa proteinuria ndi mphamvu zake pachaka, zimayesa Zimnitsky, Nechiporenko.
ECG, RVG, REG (malingana ndi mawonekedwe).
Kuunika kwa maso - kuwunika kwa zovuta, kutsimikiza kwamaso, zamkati biomicroscopy - chizindikiritso cha matenda amisala a conjunctiva, limbus, iris, degree of lens opacity. Ophthalmoscopy - fluorescence angiography - ultrasound.
Kuyesedwa ndi katswiri wa zamitsempha, dokotala wa opaleshoni, zamtima, ma nephrologist, ndi ena (ngati zikuwonetsedwa).

• Mapeto a endocrinologist, kutuluka kuchipatala (kuwonetsa kukhalapo ndi pafupipafupi kwa hypoglycemic, machitidwe a ketoacidotic, kuphatikizapo ketonuria wolimbikira.

Diazglyad: ndani ndipo wodwala matenda ashuga amatha kugwira nawo ntchito - nkhani patsamba

Ngakhale, moona, kuzindikira kwa anthu onse zokhudzana ndi matenda a shuga ndikwapamwamba apa. Palinso gulu lapadera lapagulu lomwe likuchita ndi mavuto a ana ndi achinyamata, odwala matenda ashuga, malinga ndi maphunziro ndi ntchito yawo. Ndizofunikira kudziwa kuti odwala ambiri omwe ali ndi matenda ashuga, ana ndi akulu omwe, chifukwa cha kuchuluka kwakukulu kwa chidziwitso cha matenda ashuga ndikulimbikitsa moyo wathanzi sikubisa matenda awo. Ndipo, zachidziwikire, samazengereza kuchita diazadaniya yawo yamasiku onse pamaso pa ena.

Chifukwa chake, ndaonapo achinyamata mobwerezabwereza, mwina ophunzira akuyesa magazi pa glucometer kapena yoyendetsa insulin ndi thandizo cholembera chovundikira m'misika, m'malo oyenda pansi panopo komanso m'malo ena owonekera. Akakhala mawa? Sichingawakhumudwitse matenda ashuga kukwaniritsa zolinga zanu?

Kupatula apo, sanaletse ochita masewera otchuka padziko lonse lapansi, asayansi, ojambula, olemba, andale kuti alembe tsamba lake labwino kwambiri m'mbiri. Ena mwa iwo ndi wosewera wa hockey Bobby Clark ndi wosewera mpira Harry Mebbat, ojambula a Fedor Chaliapin ndi Lyudmila Zykina, Elizabeth Taylor ndi Elvis Presley, ojambula Paul Cezan, wasayansi Thomas Edison, olemba Herbert Wells ndi Mikhail Sholokhov, marshal Fedor Tolbukhin ndi Sadov, andale Naser ndi Naser Gorbachev ndi ena ambiri oimira mayiko ndi mayiko osiyanasiyana.Chozizwitsa, mndandanda wa ojambula aku America nawo SD Ochita masewera 33 amalembetsedwa, mndandanda wazomwe amajambula ndi oimba nawonso ndiwopatsa chidwi. Chitsanzo cha anthu awa ndi umboni wowoneka bwino kuti matendawa matenda ashuga osati kugwa kwa chiyembekezo chonse chochita zomwe mumakonda.

Kodi akatswiri onse alipo?

Komabe, moyo watsiku ndi tsiku wa wodwalayo matenda ashuga Ayenera kukhala mankhwala ena ake ndi prophylactic ndi ukhondo. Kupenda kokha mosamalitsa komwe kumalola anthu omwe akudwala matendawa kukhala ochezeka, kuwongolera momwe angathere kukhala ndi moyo wabwinobwino, kugwira ntchito yosangalatsa komanso yothandiza. Ndikofunikanso kuti zochitika zomwe ndizosangalatsa komanso zogwirizana ndi zofunikira za boma lokha mosakayikira ndizothandiza kwambiri kuti wodwalayo azichita zofunikira komanso kuti asangalale.

Komabe bwanji wodwala matenda ashuga ndi zaka zambiri zokumana nazo nditha kutsimikizira: magawo ena amtundu wina wa ntchito amakhudza matendawa, kuwumiriza kulipira kwake, kuonjezera chiopsezo cha zovuta zazikulu, kutsata kulumala koyambirira, ndipo nthawi zina amangochita zotsutsana ndi wodwalayo matenda ashuga.

Chifukwa chake, vuto la kuphatikiza ntchito ndi zoletsa chifukwa cha mtundu wamatendawa sichichotsedwa pachikhalidwe posankha ntchito, nthawi yophunzira, ntchito, ngakhale zaka zapenshoni.

Munthawi yathu ya kupita patsogolo kwa sayansi komanso ukadaulo wapamwamba, maudindo ambiri atsopano akukulitsa mitundu ya ntchito. Chifukwa chake, mu Classifier yaumisiri wogwira ntchito ku Russia, timapeza mayina masauzande angapo a mitundu yosiyanasiyana (kalata yokhayo A yomwe ili ndi zoposa chikwi!). Koma, mwatsoka, kutali ndi zonse ndizovomerezeka kwa anthu odwala matenda ashuga. Zomwe zili zapadera ndizophatikizidwa bwino, kufikira ena ambiri kuli ndi zoletsa kwambiri. Ndipo, zoona, ziganizo zomwe nthawi zina zimawonekera mawailesi ndizabwino kulipira chindapusa ndipo popanda zovuta, mutha kukhala ndi ntchito iliyonse. (Kodi njira yolandiridwayi imakhala yolimba nthawi zonse?)

Zachidziwikire, kuthetsa nkhani ya kuyang'ana kwamachitidwe ndi ntchito ya wodwalayo matenda ashuga Zomwe zimafunikira sizofunikira (kukhalapo kwa matenda), koma njira yodziwira nokha. Iyenera kuganizira osati matendawo okha komanso kuchuluka kwa matendawa, maonekedwe, kuuma ndi chikhalidwe cha maphunzirowa, njira ndi njira yochizira, kupezeka kwake komanso kuopsa kwa zovuta, matenda ashuga kulera oleza mtima, kukhala ndi zida zowunika podzidzimutsa nokha, kuchuluka kwa kudziletsa komanso kudziyang'anira nokha komanso anthu ena.

Sitepe ndi sitepe &

Malinga ndi akatswiri ambiri a matenda ashuga ku Australia, ndibwino ngati mukuphunzitsa wodwalayo matenda ashuga Mwana adzamuphunzitsa chidwi ndi zinthu ngati izi, zomwe pambuyo pake, malinga ndi zomwe amalakalaka, osakakamizidwa, adzamuwona ngati wofunika, wofunika kwambiri kwa iye pazantchito yabwino.

Mosamala, mwaluso, kuyambira paubwana, mwana amatha kuphunzitsidwa ku magawo a moyo monga zojambulajambula, ukadaulo (mipikisanoyo ndi yayikulu!), Ntchito yamakompyuta yaukadaulo, kuphunzira chilankhulo chakunja (masinthidwe), maphunziro a zaumulungu, masamu, ozungulira, kasamalidwe ka chuma ndi chuma ndi zina zotero.

Mwana akamakula kufunafuna chitsogozo chake chogwira ntchito, makolo ndi aphunzitsi amatha kumufotokozera pang'onopang'ono kuthekera ndi ntchito yomwe angafune, ikhoza kupereka zifukwa zokopa komanso chiyembekezo. Zotsutsana zofananazi zimatha kugwiritsidwa ntchito poyankhulana ndi achinyamata omwe akudwala. matenda ashuga M'maphunziro awo ku sukulu yophunzirira kapena omwe sadziwa zambiri pantchito, omwe ali ndi zaka zambiri za moyo wathanzi, komanso m'dzina la moyo wotere, akhoza kusintha chikumbumtima chawo chamtsogolo kukhala mbali yoyenera.

Mwa njira, achinyamata eni eni nthawi zambiri amakhala ngati onyamula komanso ofalitsa zosankha zovomerezeka. matenda ashuga. Mu intaneti posachedwa ndi International Diabetes Federation (IDF), kudandaula kuchokera ku Patient Support Group kudasindikizidwa. Pakati pa olemba ake ndi Anna Ostergra (wazaka 23, wophunzira wa University of Copenhagen, matenda a shuga 1 kuyambira 1999), Dana Lewis (wophunzira wa University of Alabama, wazaka 19, akudwala kuyambira wazaka 14), Kuitlin Mack Enery (wophunzira wa University ya Georgetown, wazaka 22, akudwala kuyambira wazaka 3) &

Pamene matenda ashuga amachititsidwa ndi munthu ali ndi zaka zapamwamba kwambiri, wokhala ndi luso lokhazikika komanso luso (nthawi zambiri matendawa amapitilira mtundu wachiwiri), funso la ntchito zina zowonjezera limasankhidwa lokha, poganizira zambiri, kuphatikizapo zochitika zamaganizidwe.

Ngati chikhalidwe cha ntchitoyi chikukulolani kuphatikiza ndikukhazikitsa njira zothandizira kuchipatala komanso njira zothandizira, ndiye kuti wodwalayo amatha kupitiriza kugwira ntchito mwapadera, kumangodziletsa pakukonzekera kwake nthawi komanso nthawi, kudya komanso kuchita masewera olimbitsa thupi. Nthawi zambiri izi zimatheka ndi matenda a shuga a mtundu wachiwiri. Makamaka nthawi zambiri, koma osachotsedwa konse, komanso mtundu 1 shuga. Nthawi zina wodwala amayenera kusiya kugwira ntchito yake momwe amagwirizira.

Ngati munthu, chifukwa cha zomwe zilipo kale, akudziwa zambiri komanso akudziwa, zimamuvuta kupita kudera lina laukadaulo kapena kusiya zonse, ndiye kuti muzochitika zotere ndikofunika kusintha maluso kuti akhale oyandikira posinthira am'mbuyomu. Mwachitsanzo, wa bus kapena wodwala wa taxi atha kuchotsedwa ntchito ngati wokonza kapena wogulitsa mu zombo zomwezi, katswiri wapaulendo atha kukhala mphunzitsi wa gulu la achinyamata, oyang'anira sukulu yampikisano, wapolisi amasintha kupita kuntchito yosagwira ntchito kudipatimenti yake, ndipo msilikali amatha kupita kukagwira ntchito kumalo oyang'anira ankhondo. , sukulu yankhondo &

Mawonedwe azachipatala

Zachidziwikire, chifukwa cha kuyambiranso kapena kusankha koyambirira kwa ntchito kuyenera kuzikidwa pazofunikira zachipatala. Izi ndi izi:

kupatula ntchito ndi kusintha kosinthika, nthawi yamadzulo ndi nthawi yamadzulo,

kukana ntchito (kapena kuletsa kwawo) komwe kumalumikizidwa ndikuwonjezereka kwa zochitika zolimbitsa thupi ndi zochitika zovulaza (zosavomerezeka zazing'ono zogwirira ntchito, zoopsa zakuthupi, zamankhwala komanso kwachilengedwe, kupsinjika kwakutali ndikuwonera nkhawa)

kupatula pantchito m'malo ovuta kwambiri (pansi pamadzi, pansi panthaka, pamavuto akunyumba, mzipinda zandekha, etc.),

kupatula (zoletsa) pantchito yosamalira nthaka, mpweya, pansi panthaka ndi zina zoyendera pagulu, zomanga ndi njira zina zowopsa komanso zovuta,

kupatula (malire) a ntchito pazinthu zomwe sizilola kapena kulepheretsa pempho lothandizira ena, kupereka chithandizo chamankhwala mwadzidzidzi.

Popeza izi zofunikira zoyambirira komanso pankhani yovomerezeka kwa odwala matenda ashuga mitundu yonse yamaphunziro imatha kugawidwa m'magulu atatu akuluakulu.

Zotsimikizika.

Oyendetsa mabasi a anthu onse (mabasi, ma tramu, ma trolleybus, ma taxi), oyendetsa ndege, oyenda pansi, oyendetsa sitima zapamadzi, oyendetsa ndege, ogwira ntchito m'makonkoni, omanga ndi oyikapo, ogwira ntchito malo okwera, oyendetsa ndi ogwiritsa ntchito zomangamanga ndi zina, kukonza makina amagetsi am'mizinda, opulumutsa mapiri, ogwira nawo ntchito kuchuluka kwazowopsa zoopsa, zamankhwala kapena zodwala (zodwala), zimagwira ntchito mozama (kutentha kwambiri) kutentha ndi chinyezi, zimagwira ntchito kumadera akutali kuti mwina kungachitike chithandizo chamankhwala mwadzidzidzi thandizo, maofesi ena oopsa omwe amayambitsidwa ndi kukhalapo kwa zochitika zozama, ofuna chisamaliro chapadera ndi udindo, kupatula kuthekera kowonera chithandizo chofunikira ndi njira yothandizira wodwalayo.

Otsutsana kwathunthu.

Ntchito ndi maudindo omwe amaphatikizidwa ndi maulendo apabizinesi omwe amakhala nawo pafupipafupi, okhudzana ndi zotsatira za kuipitsidwa kwa mafakitale, ofunika ma eyestrain, masewera ochita masewera olimbitsa thupi, amagwira ntchito mzipinda zokhazokha popanda abwenzi, omwe amakhala ndi nthawi yayitali yogwira ntchito, nkhawa zambiri.

Analimbikitsa.

Aphunzitsi a sekondale ndi apamwamba, ofufuza ndi othandizira ma labotale (kupatula zinthu zovulaza chilengedwe), madotolo (kupatula zapadera za mbiri ya opaleshoni, akatswiri a matenda opatsirana, ma ambulansi), ogulitsa mankhwala, ogwira ntchito zachuma, azachuma, omanga mapulogalamu, omanga ndi kukonza mkati , mitundu yosiyanasiyana ya ntchito yoyang'anira ndi kuyang'anira ndi maudindo ena angapo omwe samalepheretsa kutsatira dongosolo lofunikira la wodwalayo.

Kuyendetsa galimoto yake

Chinanso chomwe chili kunja kwa gawo lathu pamutuwu ndi funso lonyamula magalimoto. Mwachilengedwe, kwa odwala omwe alibe zovuta zotsutsana ndi zaukalamba, kuuma komanso chikhalidwe cha matendawa, palibe chifukwa chochepetsera ufulu woyendetsa galimoto yanu. Nthawi zambiri, amatha kuyendetsa galimoto popanda zoletsa odwala 2 matenda ashuga. Za odwala omwe ali ndi Mtundu woyamba wa shuga, ndiye kuti amaloledwa kuyendetsa galimoto yawo, bola ngati matendawo awalipiriridwa bwino, samakonda kuchita pafupipafupi hypoglycemic zimachitika komanso chifukwa chongoyendetsa uku ndi uku. Koma makamaka pamisewu yabata, momwe mulibe magalimoto ambiri komanso oyenda pansi.

Mulimonsemo, woyendetsa ayenera:

osamaphwanya zakudya zomwe zaperekedwa ndi mankhwala (jakisoni) insulin),

Muyendetse chakudya mutatha kudya pasanathe ola limodzi lisanafike chakudya chake chotsatira,

kunyamula magazi shuga mita, othandizira a hypoglycemic ndi cholemberamankhwala glucagon, sangweji, maswiti ena, mapiritsi a shuga, madzi amchere ndi otsekemera (shuga),

pa chizindikiro chochepa kwambiri choyambira hypoglycemia kuyimitsa galimotoyo nthawi yomweyo ndikuyang'ana shuga m'magazi, ngati kuli kotheka, tengani mapiritsi a shuga, imwani madzi otsekemera, etc.,

Ndikofunika kukhala ndi medallion (chibangili) ndi iye chosonyeza kuti ali ndi matenda ashuga kapena chizindikiritso chilichonse chofananira ndi zolembera ndi manambala amafoni aanthu omwe amafunika kudziwitsidwa ngati pakufunika (kufunafuna chithandizo chamankhwala mwadzidzidzi, ngozi),

paulendo wautali osachepera theka ndi maola awiri pambuyo pake, imani kaye kuti mupumule.

Pulofesa Ilya Nickberg, ku Sydney

Nkhani yoyambayo ikhoza kupezeka patsamba lovomerezeka la nyuzipepala ya DiaNews.

Momwe mungasankhire ntchito yamatenda a shuga - buku lamakono lazachipatala

Mapulogalamuwa, mwachidziwikire, ophatikizidwa kwa odwala omwe amadalira matenda a shuga a shuga ma fayilo ndi ma fayilo ndi antchito apantchito, oyendetsa ndege, oyendetsa apolisi ogwira ntchito, omanga ogwira malo okwera, othamangitsa, opulumutsa mapiri, okwera) othamanga komanso akatswiri ojambula Coy pantchito kukhudzana kwambiri, ogwira ntchito yokonza makina, zipangizo m'madera akutali, ngati n'koyenera, ndi pafupipafupi maulendo malonda, nthawi ya usiku.

Zotsutsana kwambiri ndizolemba, ntchito, momwe kusunga kwa boma, zakudya komanso kupuma ndikovuta: ophikira, olemba bizinesi, ojambula ndi oimba (makamaka panthawi yamasewera amadzulo, maulendo pafupipafupi), komanso kugwira ntchito yosinthasintha magwiridwe antchito, zovuta zamaso, komanso zovuta zina chilengedwe (kukhalapo kwa zosafunika za mafakitale mlengalenga kumakhala kowopsa, kutentha kwambiri kapena kotsika, phokoso lalikulu komanso kugwedezeka, kuyimitsidwa kokhazikika, kugwira ntchito ndi njira zoyenda).

Ntchito yosafunikira yomwe imakhudzana ndi kupsinjika kwa nthawi yayitali m'maganizo, komanso pangozi yotenga matenda opatsirana, kuvulala.

Odwala a shuga angayang'anire kuphunzira ndi ntchito pambuyo pake ndi akatswiri: olemba mabuku, owerenga, akatswiri azachuma, aphunzitsi, aphunzitsi apamwamba, ambuye ndi okhazikitsa makanema apa wailesi ndi waayilesi, kukonza pamisonkhano, osintha zida ndi zida zamakina, oyendetsa masheya, oyendetsa magalimoto, ogulitsa masitolo, omasulira, ogwira ntchito zachipatala, ogwira ntchito zachipatala (kupatula akatswiri opanga maopaleshoni ndi anamwino ogwira ntchito), omanga, opanga zovala, ojambula, ojambula, ophatikiza, opala matabwa, oyendetsa ndege, otembenuza, asayansi komanso (osagwirizana ndi mankhwala owopsa), ogwira ntchito m'maofesi osindikiza ndi kusindikiza nyumba, ogwira ntchito yoyang'anira, alimi a m'minda, ndi zina zambiri.

Mndandandawu ndiwowonetsa ndipo nthawi zonse, kusankha kwa ntchito kuyenera kuganiziridwa payekhapayekha, poganizira kuchuluka kwa zinthu zomwe zanenedwa pamwambapa (zaka, kutalika kwa ntchito, kuuma ndi chikhalidwe cha matendawa).

Pankhani ya matenda ashuga okalamba komanso achikulire, ngakhale atakhala woopsa, wodwalayo atha kupitiliza ntchito yapita (kupatula oyendetsa). Komabe, izi ndizotheka pokhapokha ngati pali zofunika kuchita pa nthawi yake, motsatira ndondomeko, chakudya, mankhwala ochepetsa shuga, kusiyanitsidwa ndi ntchito za usiku ndi maulendo apabizinesi pafupipafupi.

Mkati mwa matendawa, zovuta zimatha kukhalapo zomwe zimafuna kuyesedwa kwa achipatala.

Malamulo 10 oyambira - mawonekedwe a odwala omwe ali ndi matenda ashuga

Maziko azamalamulo

Matenda a shuga atha kukhala akulu kwambiri.

Milandu yomwe imagwiritsidwa ntchito m'maiko osiyanasiyana padziko lapansi imatsimikizira kuti pali zotheka kupeza ufulu wokhala ndi matenda ashuga. Ndikofunika kuyimilira chifukwa lingaliro lomaliza pa kuthekera kotenga maphunziro a kuyendetsa ndege limapangidwa ndi endocrinologist. Katswiri wodziwika bwino yemwe ali ndi mbiri yodwala azitha kulosera molondola za kuthekera kwa wodwala.

Yang'anani! Nthawi zina wodwala matenda ashuga amtundu 1, ufulu ndi osavomerezeka. Kuletsa koteroko kumakhalapo ngati matendawo apitilira zovuta, mwachitsanzo, wodwala amakhala ndi hypoglycemia yosalamulira.

Ngakhale zili zolephera, ngakhale wodwala yemwe ali ndi matenda a shuga 1 amatha chiphaso ndikuyendetsa galimoto, koma muyenera kuyandikira nkhani yopereka mayeso moyenera. Woyendetsa ayenera kukumbukira kuti ali ndi udindo osati moyo wake wokha, komanso moyo waomwe akukwera.

Kuyang'anira chisonyezo chofunikira.

Kanemayo munkhaniyi afotokozera odwala zoyenera kuchita ngati endocrinologist akukana kwambiri kupereka zikalata zoyenera.

Kodi kuwunika kumatanthauzanji?

Mukamafunsira satifiketi yakuchipatala, endocrinologist imagwira ntchito ngati chofunikira pofufuza luso la wodwala kuyendetsa magalimoto kuti aphunzitse kuyendetsa galimoto.

Kafukufuku

kumvera madandaulo a odwala
mbiri ya zamankhwala, zambiri zokhudzana ndi zovuta za matenda osokoneza bongo zimapezeka pazachipatala,
adotolo amawona kuopsa kwa njira ya matenda ashuga,
endocrinologist imazindikira mkhalidwe wa wodwalayo ndikuwulula pafupipafupi mawonetseredwe a kuthekera kotheka.

Mndandanda wa njira zoyendetsera matenda atha kufotokozedwa motere.

Zoyeserera zasayansi.

Malangizowa amafunikira njira zotsimikizira izi:

mtima
Ultrasound wa kapamba,
Ultrasound ya chithokomiro
kuyezetsa magazi konse
kusanthula kwapadera kwa mkodzo.

Yang'anani! Odwala omwe ali ndi zovuta kapena mawonekedwe opunduka amatha kukanidwa.

Simuyenera kuyesa kupusitsa katswiri pomusokoneza matenda. Zochita zoterezi zimatha kubweretsa mavuto akulu osati kwa driver ndi omwe amapita, komanso kwa ena.

Zofunikira

Nthawi zambiri ufulu wa odwala omwe apezeka ndi matenda ashuga umaphwanyidwa, ndipo ngakhale madotolo ambiri amati matenda ashuga komanso kuyendetsa galimoto siolandiridwa. Zachidziwikire, pali chowonadi china m'mawu otere, koma pamaziko a zamalamulo, titha kunena kuti kuletsa kuyendetsa galimoto ndi matenda a shuga sikumayikidwa, ndipo kukana kufunsira maphunziro kwa munthu yemwe alibe zovuta zowonekera ndikuphwanya ufulu wa anthu.

Malamulo ndi malamulo oyambira.

Pali malamulo ena omwe amachepetsa pang'ono mwayi wodwala matenda ashuga panjira:

Munthu ali ndi ufulu kulandira gulu B. Chokhacho chimatsimikizira kuti angathe kuyendetsa galimoto.
Kulemera kwa galimoto yoyendetsedwa ndi odwala matenda ashuga sayenera kupitilira matani 3.5.
Wodwalayo saloledwa kuyendetsa galimoto yokhala ndi mipando yopitilira 9, kuphatikiza mpando wa oyendetsa.

Wodwalayo amalandira satifiketi atapimidwa kwathunthu.

Polemba chikalata chaumoyo wa munthu, madokotala akuwonetsa:

mkhalidwe waumoyo wa wodwala
kuchuluka kwa kudalira insulini,
kuopsa kwa matendawa
maonekedwe acuity ndi zofunikira zina.

Chikalata chachipatala cha odwala omwe ali ndi matenda a shuga amaperekedwa kwa zaka zitatu. Pambuyo pa nthawi imeneyi, wodwalayo ayenera kukayezedwanso. Chofunikanso chofanana ndi kufunika kopatula kuthekera kwamavuto nthawi ino.

Momwe mungaphatikizire kuyendetsa ndi shuga

Malamulo: musanayendetse muyenera kuyeza shuga.

Ngati thanzi lanu limawonedwa ngati losakhutiritsa, simuyenera kuyendetsa. Mwamwayi, odwala ambiri omwe ali ndi vuto lofananalo amatha kudziwa momwe alili popanda kugwiritsa ntchito glucometer.

Wodwala ngati akuwona kuti sangathe kuchedwetsa ulendowu ndipo mwina sangathe kuthana ndi oyang'anira, ndibwino kuchedwetsa. Kuletsa koteroko kumathandizira kuteteza moyo osati woyendetsa yekha, komanso omwe amakhala nawo.

Mndandanda wamalingaliro ochepetsa chiopsezo cha kukhala ndi hypoglycemia mukamayendetsa mutha kuyimiridwa motere:

Kodi ndi malingaliro ati omwe angathandize kuti pakhale chitetezo?
Malangizo	Kufotokozera	Chithunzi pamakhalidwe
Kuwongolera shuga	Kuyeza ndikofunikira musanayendetse. Zikadachitika kuti shuga m'magazi ndi okwera kapena otsika kuposa zololeka, miyeso iyenera kuchitidwa. Potere, mutha kuyendetsa pambuyo pokhazikika pamakina ndikuwongolera moyo wanu.	Ndikofunikira kugula glucometer ina kuti mugwiritse ntchito panjira.
Kudya	Ndikofunika kusunga buku lazodyera momwe muyenera kuwerengera mkate. Pankhani ya shuga wodalira insulin, ndikofunikira kukonza Mlingo wa insulin.	Ndikofunika kuwongolera kudya kwamtundu wa mikate.
Nthawi zimayima	Ngati mukufuna maulendo ataliatali, muyenera kupuma nthawi zonse - maola awiri aliwonse.	Munthu amafunika kupuma kuti athe kuthana ndi shuga komanso kuzimitsa.
Chakudya panjira	Nthawi zonse pakhale madzi otsekemera, mapiritsi a shuga, kapena zakudya zina m'galimoto yanu zomwe zingakulitse kuchuluka kwanu kwa shuga.	Mapiritsi a glucose.

Matenda a shuga ndi kuyendetsa ali malingaliro othandizirana, pokhapokha ngati wodwalayo ali ndi malingaliro oyenera ku thanzi lake komanso udindo wake. Ndikofunikira kwambiri kutsatira malamulo ena - amapewa kupewa kuwonongeka.

Kuyendetsa memo

Mukamayendetsa sikuyenera.

Mndandanda wamalamulo oyambira otsogolera chitetezo ndi ena aperekedwa motere:

wodwalayo ayenera kudziwa udindo womwe adamupatsa,
wokhala ndi mavuto amaso, muyenera kukhala kumbuyo kwa gudumu ndi magalasi kapena magalasi olumikizana, mutha kungopeza ndi mankhwala,
anthu omwe sangathe kuyendetsa galimoto pa hypoglycemic state ayenera kukana kuyendetsa galimoto,
shuga ndende ayenera kuyezedwa lililonse 2 hours,
makinawo ayenera kukhala ndi mita ya shuga wamagazi ndi kuchuluka kwake koyenera kwa mizere,
kukana kuyendetsa pa nthawi ya kusankha bwino mankhwala a insulin,
ndi hypoglycemia, muyenera kumangirira mbali ya mseu ndikutenga chakudya champhamvu kwambiri,
Mutha kuyambiranso kusuntha kokha mutakhazikika.

Malamulowa ndi osavuta, koma amathandiza kuonetsetsa kuti munthu amene akuyendetsa galimotoyo ndi otetezeka. Kunyalanyaza malamulo oterewa kumatha kuyambitsa mavuto, monga ngozi.

Mukamayendetsa.

Wodwala yemwe wapezeka ndi matenda a shuga, yemwe wasankha kupeza ufulu woyendetsa galimoto, ayenera kuwunika moyenera momwe angakhalire. Pakachitika momwe hypoglycemia yosalamulira imadziwonekera, lingaliro lotere liyenera kusiyidwa.

Njira ina yokana kugwiritsa ntchito mayendedwe a anthu onse ndi ntchito zamatekisi. Mtengo wogwiritsira ntchito mautumiki awo sapitilira mtengo wopereka ndi kutumikira magalimoto awo.

Mafunso kwa katswiri

Gelaeva Tatyana, wazaka 33, Tver

Moni. Mwamuna wanga ali ndi matenda ashuga 1. Wakhala akuyendetsa galimoto kwa zaka 10, titha kunena kuti ndi katswiri. Masabata angapo apitawa, tinachita ngozi yaying'ono, koma si vuto lake. Kodi atha kulandidwa ufulu wake ngati zingachitike kuti ali ndi matenda ashuga?

Masana abwino, Tatyana. Funso lotere limakhala lothekera kwambiri kwa owerenga milandu. Mwamuna wanu akamayesedwa pafupipafupi, satifiketi yonse ndiyabwino, ndipo saphwanya malamulo apamsewu - sipangakhale mavuto.

Kodi mungapeze bwanji kuyendetsa galimoto ndi matenda ashuga?

Kuti pezani layisensi yoyendetsa, matenda ashuga ayenera kupita ku endocrinologist, kukayezetsa mayeso osiyanasiyana ndi kukayezetsa kuchipatala. Zotsatira za mayeserowa atapezeka, endocrinologist yozikhazikitsira amayandikira ndipo amapereka chikalata chomwe wodwala matenda ashuga ayenera kupereka kwa apolisi oyenda nawo pamsewu.

Ponena zagalimoto yanuyanu (mtundu B) kapena njinga yamoto, pamakhala mavuto ena kupeza chilolezo cha shuga. Zachidziwikire, ngati matendawa salemedwa ndi mitundu yosiyanasiyana yamatenda obadwa nawo omwe amaletsa kuyendetsa galimoto.

Zoyenera kupeza layisensi yoyendetsa matenda a shuga

Pali zinthu zingapo zomwe zimayenera kuganiziridwa ngati mutakhala ndi layisensi yoyendetsa galimoto yokhala ndi matenda a shuga.

1. Chilolezo choyendetsa magalimoto ndi njinga zamoto.

2. Galimoto siyikhala ndi mipando yopitilira 8. Ngati alipo opitilira 8, ndiye kuti ndizoletsedwa kuti odwala matenda ashuga azitha kuyendetsa galimoto ngati imeneyo.

3. Kulemera kwa galimoto yoyendetsedwa ndi odwala matenda ashuga sayenera kupitirira 3500 kg.

Kupeza ufulu kumadaliranso mkhalidwe waz thanzi. Mu setifiketi yomwe endocrinologist angapereke kuti igonjere apolisi oyenda pamsewu, kuopsa kwa matendawa kukuwoneka kwambiri, nthawi ngati kusazindikira, ngati kulipo, zithunzi zowoneka ndi mfundo zina zokhudzana ndi matenda a shuga.

Mulimonsemo, mukapita kwa dokotala, simuyenera kupusitsa adokotala ndikubisa chilichonse, ndikuyembekeza mwayi. Ndikofunikira nthawi zonse kukumbukira kuti pamene mukuyendetsa muli ndi udindo osati wamoyo wanu wokha, komanso miyoyo yaomwe akuyenda wamba komanso anthu omwe angakhale pafupi nanu.

Madeti Omwe Awapatsa Ufulu wa Matenda A shuga

Chilolezo chaoyendetsa pamaso pa mtundu uliwonse wa matenda ashuga chimaperekedwa kwa zaka zitatu. Pambuyo pa nthawi imeneyi, wodwala yemwe ali ndi matenda ashuga amayeneranso kukayezetsa kuchipatala, pomwe dokotala amayeza zonse, kukhalapo ndi kukhazikika kwa matenda okhudzana ndi matenda, ngati alipo, akuwunikanso mtundu komanso kuchuluka kwa kuchuluka kwa matenda ashuga.

Pambuyo pochita izi, kulowa koyenera kumapangidwira mu mbiri ya wodwala ndipo iyenera kuperekedwa kwa apolisi amsewu.

Pamaso pamavuto akulu - kusokonezeka kwa chikumbumtima, odwala matenda ashuga, etc., wodwalayo amawonedwa kuti ndi wosayenera kuyendetsa galimoto kapena njinga yamoto.

Ndipofunika liti kukana kuyendetsa galimoto pa matenda ashuga?

Malamulo awa mwina sakusindikizidwa mu chikalata chilichonse chokhudzana ndi Chilolezo cha Woyendetsa Matenda A shuga kapena kuyendetsa galimoto kapena njinga yamoto. Komabe, zimapangidwa chifukwa cha zomwe anthu omwe adakhala kumbuyo kwa gudumu ali ndi matenda monga matenda amtundu 1 kapena matenda ashuga.

1. Ngati dokotala opezekapo wasintha njira yothandizira ndi kupewa matenda ashuga, muyenera kukana kuyendetsa pafupifupi sabata limodzi. Panthawi imeneyi, mudzatha kudziyimira pawokha pazotsatira za njira yatsopano yothandizira odwala anu ashuga.

2. Pang'onopang'ono retinopathy, phokoso la matenda ashuga, adachepetsa kukhudzika kumadera akumunsi - zonsezi ndi zifukwa zazikulu zoganizira za kukana kuyendetsa pawokha. Ndipo, zoona, za kukaonana ndi dokotala.

3. Ngati mukumva kupsinjika kwa hypoglycemia - kutsika kwamphamvu kwa shuga, ndikofunikira kuwongolera izi ndikuwunika kuyambanso kwa chizindikiro choyamba.

Zizindikiro zazikulu za hypoglycemia: mawonekedwe a nseru, kuchepa kwa ndende, kuzizira, thukuta, nkhawa zopanda pake ndi kusakhazikika, njala, palpitations, kufooka, kuwona kwamaso. Zonsezi zitha kuchititsa kuti musamaiwale.

Matenda a shuga - oyendetsa, momwe angachitire

Musananyamuke, muyenera kuluma ndi kuyeza shuga lanu lamagazi. Ngati shuga ali ochepa, muyenera kubwezeretsa mwakale. Pazomwezi, mutha kugwiritsa ntchito chilichonse chomwe chili ndi ma carbohydrate othamanga. Chachikulu ndichakuti ali pamndandanda wazololedwa, womwe umasankha dokotala.

Muyenera kukhala ndi kenakake koti muzikhala ndi “chakudya” chambiri. Kukhala ndi njala poyendetsa galimoto kwa nthawi yayitali kumakhala koopsa, ndipo kudya "kwinakwake pamsewu" sizotheka.

Nthawi ndi nthawi ndikofunikira kuyima kuti mupumule. Nthawi yoyendetsedwera yoyendetsa matenda ashuga ndi maora 1-2, kenako ndikupumulirako pang'ono.

Ulendowu ndi wokonzekera bwino kwambiri m'njira yoti athe kuthana ndi mtunda pakati pausana.

Pakayimitsidwa, shuga ayenera kuyesedwa.

Kuwala kwakanthawi kalikonse kumalimbikitsidwa maola awiri aliwonse.

Mwa zikalata zomwe muli nanu, muyenera kukhala ndi khadi la chizindikiritso, chiphaso cha woyendetsa, zikalata zamagalimoto ndi chikalata chilichonse chomwe chikuonetsa kuti ndinu odwala matenda ashuga. Zitha kuthandizidwanso ngati apolisi apamsewu akufuna kukayezetsa mowa. Ndi shuga wowonjezereka, zotsatira zake zoyesazo zitha kukhala zabwino.

Foni yodalirika iyenera kukhala nanu nthawi zonse ngati mukupita ulendo wautali.

Mankhwala omwe agwiritsidwa ntchito ndi glucometer.

Mfundo yofunikira kwambiri yomwe tidaganiza kuti titchule kumapeto kwa nkhaniyi ndi kuukiridwa kwa hypoglycemia. Ngati mukumva kukhala wopanda nkhawa, muyenera kupita kumbali ya mseu ndikutsegula zizindikiro zochenjeza. Ndikofunika kukhalabe mgalimoto mpaka mutadzimva bwino. Izi ngati sizichitika, muyenera kuyimbira ambulansi ndikuyembekeza thandizo.

Mwanjira ina, mutha kulumikizana ndi apolisi amsewu kuti mumuthandize, ndikufotokozera zovuta ndikuwachenjeza kuti ndinu odwala matenda ashuga.

Kodi wodwala matenda a shuga angagwire ntchito yoyendetsa?

Pitani ku nkhani

Kuyendetsa ndi matenda monga matenda a shuga ndizotheka.

Inde, kusamala kwakukulu kudzafunika, kukumbukira kutsatira malamulo ambiri ndi zina zambiri.

Komanso, kutengera kulimba kwa vuto lazachipembedzo, kungakhale kofunikira kuyesa kuthekera kokhala ndi ufulu nthawi zambiri kuposa anthu omwe ali ndi thanzi labwino.

Medical Commission

Dokotala wa endocrinologist angaganize ngati angapeze chilolezo chotsogolera ndi matenda amtundu wa 2.Ngakhale kuti mtundu wachiwiri wa matenda umawonedwa ngati wosavuta, wodwalayo akhoza kukanilidwa ufulu woyendetsa galimoto.

Kuti mupeze laisensi yoyendetsa matenda ashuga, muyenera kulembetsedwa ndi endocrinologist. Dotoloyu ali ndi mbiri yonse ya matendawa, chifukwa chake amatha kuganizira za momwe thupi la wodwalayo limadziwira komanso kuchuluka kwa matenda omwe amapangidwira.

Anthu odwala matenda ashuga adzatumizidwa kukayezetsa mayeso apadera ndi mayeso owonjezera, ndipo kutengera ndi zomwe zapezedwa, zitha kutsimikiziridwa ngati munthu angathe kuyendetsa galimoto mosavomerezeka yekha ndi anthu ena.

Pakusankhidwa kwake, endocrinologist adzazindikira ngati pali zodandaula zilizonse pazokhudza thanzi. Nthawi zambiri, pamene wodwala matenda ashuga abwera kuti atenge chilolezo chokhala ndi layisensi, samadandaula chilichonse. Komabe, padakali pano, mayeso sanamalize.
Dokotala amawunika wodwalayo kwathunthu, ndikulemba pamasamba amakalata onse azachipatala omwe adadziwika komanso amadziwika kale. Potengera zovuta za matenda ashuga, zosemphazo zomwe zapezeka zimalembedwanso kadi.
Kutengera ndi deta yonse yomwe yapezeka, kuopsa kwa matendawa kutsimikiza. Dotolo amaganizira kuti munthu wadwala kwa nthawi yayitali bwanji, chithandizo chake ndi chothandiza bwanji, kaya pali zovuta zina komanso nthawi yomwe anayamba kuonekera.
Zotsatira zakuwunika kwa wodwalayo, kuphunzira mayeso a labotale ndi maphunziro, kuwonetsetsa deta ya mbiri yakale yakuchipatala, kufalikira kwamphamvu kumatsimikiziridwa. Kenako, adotolo akumaliza za momwe wodwalayo alili komanso ngati angathe kuyendetsa yekha payekha.

Kuti mupeze chithunzi chonse cha momwe wodwalayo alili masiku ano, ziyeso zonse zofunika zimayikidwa kwa odwala matenda ashuga. Ngati ndi kotheka, wodwalayo amapanga mtima, ultrasound ya kapamba ndi chithokomiro, komanso maphunziro ena ofunikira. Atalandira zotsatira zoyesedwa, endocrinologist amapanga kulowamo koyenera kuchipatala.

Satifiketi yomwe yapezeka, limodzi ndi zolemba zina zamankhwala, odwala matenda ashuga ayenera kupereka apolisi apamsewu. Apa, wowunikira amene ali ndi udindo wopereka chiphaso cha woyendetsa pamapeto amithetsa pankhani yolola munthu kuyendetsa galimoto.

Pankhaniyi, ndikofunikira kumvetsetsa kuti kupusitsa adokotala ndikubisa zizindikiro zilizonse zazikulu. Zosasangalatsa zachikhalidwe chaumoyo, ndizosatheka. Ndikofunikira kuti odwala matenda ashuga azindikire kuti kuyendetsa galimoto pomwe mukumva kuti sakusangalatsa kungakhale ngozi yayikulu osati kwa iye mwini, koma kwa anthu onse omwe amakhala pafupi naye.

Ndikofunikira kuwonetsa kukhulupirika ndi madotolo ndi oyimira apolisi pamsewu, komanso kuti musadzinyenge nokha.

Ngati vuto la maso silikuyenda bwino, zovuta zomwe zimachitika komanso zovuta zina za matenda ashuga, ndibwino kusiya kuyendetsa.

Zoletsa Zoyendetsa Odwala

Anthu ena amakhulupirira kuti ngati ali ndi matenda ashuga mulimonsemo sapereka chiphaso cha chiwongolero, koma awa si mawu owona. Anthu ambiri odwala matenda ashuga ali ndi ufulu kuyendetsa galimoto atalandira chilolezo chovomerezeka kuchokera kwa akatswiri azachipatala ndi oyimira apolisi pamsewu.

Komabe, lamuloli limayika zofuna zapadera kwa anthu omwe apezeka ndi matenda a shuga. Makamaka, wodwala matenda ashuga ali ndi mwayi wopeza layisensi yoyendetsa yekha gulu B. Ndiko kuti, amatha kuyendetsa magalimoto okha, njinga zamoto, magalimoto ndi magalimoto okhala ndi trailer, ufulu woyendetsa samaperekedwa.

Komanso, anthu omwe apezeka ndi matenda a shuga ali ndi ufulu kuyendetsa galimoto yomwe kulemera kwake sikoposa 3500 kg. Ngati galimoto ili ndi mipando yoposa isanu ndi itatu, galimoto yotero siyabwino kwa odwala matenda ashuga; lamuloli limaletsa kuyendetsa ndi magalimoto oterowo.

Mulimonsemo, popereka chilolezo, thanzi la wodwalayo limawerengedwa.Madokotala samawonetsa mu chipatala kuti kuchuluka kwa ma hypoglycemia kumakhala kovuta motani komanso kuchuluka kwa kudalira insulini, koma chikalatacho chikuwonetsa zambiri zokhudzana ndi momwe kuyendetsa galimoto kumayambira munthu.
Makamaka, apolisi a pamsewu amapereka chidziwitso pakukula kwa matendawa, momwe munthu wodwala matenda ashuga amataya popanda chifukwa chodziwika, kuchuluka kwake kwa ntchito kumachepetsedwa.
Chilolezo chaoyendetsa chimaperekedwa kwa odwala matenda ashuga kwa zaka zitatu. Pambuyo pake, munthu ayenera kupitilizanso kupita kuchipatala ndi kutsimikizira mkhalidwe wa thanzi lake.

Dongosolo loterolo limakupatsani mwayi kuti mupeze kukula kwa zovuta komanso kupewa mavuto.

Momwe mungakhalire poyendetsa ndi shuga

Ngati thanzi limalola, wodwalayo amalandira zikalata zoyenera kugwiritsira ntchito galimoto. Kuti mupewe kuchuluka mopitirira muyeso pamsewu, mukazindikira chimodzimodzi ndikofunikira kutsatira malamulo ena ndikuchita mwanjira inayake.

Zakudya zowonjezera shuga zimayenera kukhala nthawi zonse pamakina. Chakudya choterechi chitha kukhala chofunikira ngati hypoglycemia ikupezeka mu shuga mellitus, ndiye kuti, shuga wamagazi akatsika kwambiri. Ngati pakadali pano palibe chilichonse chokoma, munthu amasiya kuzindikira, zomwe zimapangitsa ngozi pamsewu waukulu.

Mukamayenda mtunda wautali, muyenera kusamalira zakudya zomwe zili ndi shuga wambiri, kupezeka kwa insulin, mankhwala ochepetsa shuga komanso zinthu zothandizira kuti mugwiritse ntchito mankhwala m'thupi. Mukamayenda, ndikofunikira kuti musayiwale za kuyang'anira mwambo wapadera wamankhwala, muyenera kuyeza kuchuluka kwa shuga m'magazi pogwiritsa ntchito glucometer yonyamula.

Ngati mukukhala ndi mavuto am'maso, odwala matenda ashuga ayenera kugwiritsa ntchito magalasi kapena magalasi. Mukamayendetsa mwachangu komanso mwachangu za hypoglycemia, muyenera kusiya kuyendetsa.
Kuyesedwa kwa shuga kwa shuga kuyenera kuchitika ola lililonse pamene munthu akuyendetsa. Ngati shuga agwera pansi 5mmol / lita, kulowa mgalimoto ndi owopsa.
Musanapite paulendo, muyenera kukhala ndi zodyera kuti musamve njala. Tsiku loti musanalowe muyeso waukulu wa insulin, ndi bwino ngati mankhwalawo ataperewera pang'ono.
Ngati mwangopezeka ndi matenda a shuga, kapena ngati wodwalayo asintha mtundu watsopano wa insulin, muyenera kusiya kuyendetsa kwakanthawi. Monga lamulo, kusintha thupi kumachitika mkati mwa miyezi isanu ndi umodzi, pambuyo pake mutha kuyambiranso kuyendetsa.

Mukawona kuti kuwukira kwa hypoglycemia kapena hyperglycemia kuyandikira, muyenera kuyimitsa galimoto ndikuyatsa chizindikiritso chadzidzidzi. Pambuyo pake, njira zonse zofunika zimatengedwa kuti zithetse kuukira.

Pakadali pano, wodwala matenda ashuga ali ndi ufulu cuddle mpaka mbali ya mseu kapena paki. Kuti matenda asinthe, munthu amatenga chakudya chambiri mu muyezo wothandiza kubwezeretsa glycemia.

Kupitilira apo, ndikofunikira kuonetsetsa kuti kuukira kwatha ndikuwunika zizindikiro za shuga pogwiritsa ntchito mita ya shuga m'magazi amtundu uliwonse. Ngati ndi kotheka, tengani pang'onopang'ono chakudya. Mutha kupitiliza kuyendayenda pokhapokha ngati wodwala matenda ashuga ali ndi thanzi.

Kanemayo munkhaniyi akukamba za malamulo ongopitilira mayeso a mayeso a driver.

Chilolezo choyambira kuyendetsa

Chitsogozo chotsogola chomwe chimawonetsera kuvomerezedwa ndikuyendetsa galimoto ndi matenda ashuga chiyenera kuonedwa ngati kuwopsa kwa matenda, kukhalapo kwa zovuta zazikulu zomwe zimakhudza kuyendetsa galimoto.

Kuphatikiza apo, sitiyenera kuyiwala za kufunikira kwakukonzekera bwino kwamaganizidwe ndi mwayi wokhala ndi vuto la hypoglycemia.

Tiyenera kumvetsetsa kuti chomaliza cha zinthu zomwe zaperekedwa mwina ndizowopsa kwambiri, chifukwa ndi kuchepa kosayembekezereka kwa shuga m'magazi komwe kumalumikizidwa ndi chiwopsezo chachikulu kwambiri chokhala mumsewu wamagalimoto.

Ndizofunikira chifukwa cha zinthu izi kuti anthu omwe amamwa insulini kapena mankhwala a sulfate urea kwa nthawi yayitali sanapatsidwe ufulu. Mpaka pano, odwala matenda ashuga amalimbikitsidwa kuti azichita nawo zinthu zosiyanasiyana.

Polankhula izi, tcherani khutu ku miyambo monga:

Kupititsa komiti yayikulu malinga ndi zofunikira za satifiketi zamankhwala kwa oyendetsa ambiri,
pakakhala zopinga zazikulu ndi malingaliro ena kuchokera kwa a endocrinologist, kupeza chiphaso cha woyendetsa ndege ndizotheka,
Mwachikhalidwe chathu, tikulankhula za ufulu woyendetsa magalimoto a mtundu B, wotenga magalimoto okwera. Mphamvu zawo mpaka anthu eyiti.

Tiyenera kumvetsetsa kuti, ngakhale kuti matendawo amafotokozeredwa sizitanthauza kusowa kwa layisensi yoyendetsa galimoto, nthawi iliyonse yoyendetsa galimoto yomwe imadwala imangomuuza kuti adwala matendawo.

Izi ndi matenda enieni omwe amakhala nthawi yayitali kuposa miyezi itatu ndipo zimakhudza kuyendetsa bwino galimoto. Izi ndizofunikira makamaka kwa oyendetsa maulendo am'mizinda kapena oyanjana, komanso taxi, yomwe imaloledwa kuyendetsa ndi apadera okha.

Momwe mungakhalire poyendetsa ndi shuga?

Kutsatira mfundo zina kumathandizira kuti woyendetsa aliyense azikhala wolondola kwambiri komanso wakhalidwe akamayendetsa.

Choyamba, ndikufuna kudziwa kuti dalaivala aliyense amene ali ndi vuto lakuzindikira thupi ayenera kudziwa bwino za udindo wawo komanso momwe angathere kupewetsa zovuta zilizonse m'njira.

Kuphatikiza apo, mfundo yofunikira ndiyakuti ngati pali zovuta zochepa ndi ntchito zowoneka, muyenera kuyendetsa magalasi kapena magalasi. Ngati zopatikazo zikukulitsidwa, ndikofunikira kusintha magalasi ndi magalasi malinga ndi masinthidwe amasintha.

Lamulo linanso lomwe limalimbikitsidwa kulabadira ndi kukana mwayi woti uyendetse pamene chiwopsezo cha hypoglycemia chitha kuchitika nthawi yomweyo.

Izi zimachitika munthu akangoona kuti wayandikira. Kuphatikiza apo, ngati woyendetsa matenda ashuga, ndikofunikira kwambiri kuwongolera glycemia mphindi 60 zilizonse - ndipo muchite izi nthawi zonse mukamayendetsa. Kuphatikiza apo, akatswiri a matenda ashuga amawaganizira kuti:

ndizowopsa kuyendetsa galimoto yokhala ndi shuga wambiri kuposa mamililita asanu,
Galimoto nthawi zonse imakhala ndi chakudya chomwe chimatchedwa chakudya champhamvu kwambiri. Tikulankhula za msuzi, shuga kapena msuzi, komanso chakudya pang'ono, monga makeke kapena mkate, womwe ungapatse mwayi wolimbitsa thupi,
muyenera kutenga chipangizo ngati glucometer nanu. Ndikofunikanso kuti ikhale yopatukana mwachindunji pamakinawo ndikuphatikizanso ndi gawo lonse la mayeso.

Ndikofunikira kuti musayendetse mukakhala ndi njala, kuphatikizapo chiyembekezo chotsitsimula kwinakwake ku cafe yapafupi. Ndikofunikanso chimodzimodzi kuti mwina sikulakwa kubaya insulin yambiri musananyamuke.

Nthawi yomweyo, tikulimbikitsidwa kugwiritsa ntchito gawo lokhazikika la mahomoni momwe mungafunikire kapena mochepera kuti muchepetse zizindikiro.

Osayendetsa mwachangu atazindikira koyenera kuti wapeza. Izi ndichifukwa choti pakadali pano sizikudziwikiratu kuti matenda ashuga azikhala otani.Zomwezi zitha kunenedwa za kusintha kwa mitundu yatsopano ya insulin, piritsi kapena mankhwala a pampu. Chowonadi ndi chakuti kusinthasintha, nthawi zambiri, kumatenga pafupifupi miyezi isanu ndi umodzi. Kutengera gawo lililonse mwazomwe zakuperekedwa, yankho ku funso loti ngati zingatheke kugwira ntchito ndi dalaivala wa mtundu woyamba wa 2 ndikuyenera. Makamaka ndizomwe zimayenera kukhala zochita za madalaivala omwe ali ndi hypoglycemia - izi zimathandizira kuyendetsa galimoto moyenera momwe zingathere.

Kodi woyendetsa amayenera kuchita chiyani ndi hypoglycemia?

Chifukwa chake, ngati chiwopsezo cha hypoglycemia chayamba, ndiye, choyambirira, ndikofunikira kukhazikika mofatsa komanso monyinyirika mpaka mbali mwa msewu kapena paki. Ngati izi sizingatheke, ndiye kuti, muzovuta kwambiri, ndizovomerezeka kungoyimitsa ndi kuyatsa magetsi apadera ochenjeza.

Kupitilira apo, ndikulimbikitsidwa kugwiritsa ntchito zomwe zimatchedwa chakudya champhamvu mwachangu gawo limodzi kapena awiri.

Zachidziwikire, aliyense wodwala matenda ashuga amadziwa bwino kuchuluka kwa zomwe amafunikira kuti abwezeretse glycemia, chifukwa chake zimatha kusintha ngati pakufunika thandizo lotere.

Kuphatikiza apo, zidzakhala zofunikira kuyang'ananso zizindikiro za shuga kuti muwonetsetse kuti zakwaniritsidwa.

Gawo lotsatira liyenera kukhala kugwiritsa ntchito chakudya pang'onopang'ono. Titha kupitiliza kusuntha pokhapokha ngati tili ndi chidaliro chonse mu moyo wathu. Ndi algorithm yovomerezeka ya zochitika zomwe ziyenera kutsatiridwa, ndipo mfundo zonse ziyenera kukumbukiridwa, chifukwa ndizovomerezeka.

Chifukwa chake, odwala matenda ashuga a mitundu yoyamba ndi yachiwiri amaloledwa kuyendetsa galimoto kapena kukhala woyendetsa bwino.

Komabe, ndikofunikira kukumbukira kuwongolera kwakukulu pazomwe munthu ali nazo, kutsatira miyezo yoyambirira ndi kuyesedwa kwakanthawi ndi katswiri.

Izi zipereka mpata wokayikira kuti wodwalayo azitha kuyendetsa bwino matenda ake, ndipo mwayi wangozi kapena zochitika zina zimakhala zochepa.

Matenda a shuga ndi kuyendetsa galimoto: chitetezo ndi malamulo othandizira oyamba a hypoglycemia

Matenda a shuga ndi gulu la matenda ena akuluakulu omwe amakhalapo chifukwa chakupanga kosakwanira kapenanso kusakhalapo kwa mahomoni a pancreatic - insulin.

Zotsatira za matendawa ndikuwonjezereka kwa kuchuluka kwa shuga m'magazi. Tsoka ilo, ndizovuta kwambiri kuti anthu odwala matenda ashuga azikhala moyo wabwinobwino.

Matendawa amakhudza mbali zambiri za moyo, chifukwa chomwe munthu amakakamizidwa kusiya zochita kapena zizolowezi zilizonse. Nthawi zina, matendawo amangokhala ndi chizindikiro chilichonse pazinthu zonse za moyo wa munthu. Kwa anthu ambiri omwe adapezeka ndi izi, funso lofunikira ndilakuti: kodi ndizotheka kuyendetsa galimoto ndi matenda ashuga?

Kodi ndingathe kuyendetsa bwino matenda ashuga a 2?

Zaka zingapo zapitazo kunali kovuta kwambiri kupeza chiphaso cha kuyendetsa matenda ashuga. Koma masiku ano, kuyendetsa galimoto ndi matenda ashuga kuli ponseponse. Ndikofunika kuti usaiwale kuti poyendetsa, driver amayendetsa ntchito yayikulu kwambiri pamoyo wake komanso miyoyo ya okwera omwe ali mgalimoto zomwe zikuchita nawo magalimoto pamsewu.

Njira zazikulu zomwe zimatsimikizira kuthekera koyendetsa galimoto ndi matenda ashuga ndi:

mtundu ndi zovuta za matenda,
kukhalapo kwa zovuta zazikulu zomwe zingakhudze kasamalidwe ka kayendedwe,
kufunitsitsa kwa wodwalayo udindo waukulu chotere,
mwayi wokhala ndi hypoglycemia mwadzidzidzi.

Ndikofunikira kudziwa kuti chitsimikizo chotsatirachi chili ndichofunika kwambiri komanso chofunikira kwambiri.

Ngati dalaivala atachepa mwadzidzidzi m'magazi a shuga, izi zitha kukhala zowopsa osati kwa iye, komanso kwa ena omwe akuchita nawo gululo.

Pazifukwa izi, zaka zochepa zapitazo, anthu otere sanapatsidwe ufulu konse. Izi zimaphatikizapo odwala omwe amagwiritsa ntchito insulin komanso kukonzekera kwapadera kwa urea.

Munthu aliyense wodwala matenda ashuga ayenera kuchita ntchito yapadera molingana ndi zomwe zikupezeka kwa chikalata chakuchipatala cha oyendetsa galimoto.

Wodwala akakhala kuti alibe zovuta, komanso ngati palibe zopinga zazikulu ndi malingaliro ena kuchokera kwa katswiri woyenera, ndiye kuti adzapatsidwa chiphaso cha woyendetsa. Monga lamulo, ichi ndi chikalata chomayendetsa magalimoto a gulu B (galimoto yonyamula anthu okwana anthu eyiti).

Mwachitsanzo, ngati dalaivala wa basi akadziwa za matenda ake a shuga, ndiye kuti ayenera kuwauza akulu ake za izi. Izi zikapanda kuchitika, ndiye kuti wina akhoza kuyika miyoyo ya anthu omwe ali mgalimoto moopsa.

Kuyendetsa Zinthu Zofunira

Masiku ano, wodwala aliyense ali ndi chidwi, kodi ndizotheka kuyendetsa galimoto ndi matenda ashuga?

Apa mutha kuyankha izi: pafupifupi munthu aliyense amene ali ndi matendawa ali ndi galimoto yakeyawo. Izi zimamupatsa mwayi wina: amatha kupita kuntchito, ku chilengedwe ndi banja lake, kuyenda, komanso kupita kumadera akutali.

M'mayiko ena padziko lapansi, matenda ofala amatanthauza matenda oopsa omwe amaletsedwa mwamphamvu kuyendetsa galimoto. Matendawa amayesedwa chimodzimodzi m'mavuto monga, mtima, matenda amtima komanso matenda a khunyu.

Anthu ochepa osazindikira amakhulupirira kuti kuyendetsa galimoto ndi matenda ashuga sikugwirizana kwathunthu. Koma izi siziri choncho. Anthu omwe akudwala matendawa ali ndi ufulu wonse woyendetsa galimoto. Akalandira chilolezo kuchokera kwa dokotala-endocrinologist ndi apolisi pamsewu, amatha kuyendetsa bwino galimoto.

Pali mndandanda wazofunikira zomwe ziyenera kukwaniritsidwa mukapeza chilolezo choyendetsera anthu omwe ali ndi matenda ashuga:

munthu wodwala matenda a shuga amatha kulandira ufulu wa gulu B, zomwe zikutanthauza kuti amaloledwa kuyendetsa magalimoto okha,
odwala matenda ashuga amaloledwa kuyendetsa galimoto yomwe misa yake si yoposa 3500 kg,
ngati galimoto ili ndi mipando yopitilira eyiti, ndiye kuti ndizoletsedwa kuti wodwala yemwe ali ndi matenda ashuga ayendetse.

Nthawi zonse, thanzi la wodwalayo liyenera kuganiziridwanso. Ufulu kwa anthu odwala matenda ashuga nthawi zambiri umaperekedwa kwa zaka zitatu zokha. Izi ndichifukwa choti munthu amafunikira kuti azimufufuza pafupipafupi ndi katswiri payekha ndi kunena za zotsatila zake, zovuta zomwe zingachitike, komanso zotsatirapo zoyipa za matendawa.

Anthu odwala matenda ashuga omwe ali ndi hypoglycemia ayenera kukhala ndi zakudya zomwe zimawonjezera shuga. Izi zimatha kukhala zothandiza pang'onopang'ono pomwe zimagwa kwambiri, ndipo mwadzidzidzi munthu amatha kutaya chikumbumtima cha galimoto kumbuyo.

Malamulo Otetezera Akuluakulu oyendetsa odwala matenda ashuga

Ndiye kodi ndizotheka kugwira ntchito yoyendetsa matenda ashuga amitundu yosiyanasiyana? Yankho ndilosavuta: ndizotheka, koma pokhapokha potsatira malamulo ena otetezeka pamsewu.

Matenda a shuga sindiwo chifukwa chodzikonzera nokha chisangalalo choyendetsa galimoto yomwe mumakonda.

Koma tisaiwale kuti msewu uliwonse ndi woopsa komanso wosadalirika, pomwe muyenera kusamala kwambiri komanso kukhala maso. Pofuna kuthetseratu zoopsa panthawi ya ulendowu, ndikofunikira kusunga malamulo osavuta komanso omveka bwino pamakhalidwe.

Ulendo uliwonse musanachitike, ndikofunikira kuyang'ana mosamalitsa zida zothandizira, zomwe, kuphatikiza muyeso wokhazikitsidwa ndi mankhwala, muyenera kukhala ndi glucometer.

Ngati wodwala akuwonetsetsa kusintha pang'ono kwa thanzi, ndiye kuti ayenera kuyimitsa galimoto kuti ayang'anire kuchuluka kwa shuga.

ads-mob-2ads-pc-3 Ngati simungathe kuyima njira ina, muyenera kungoyatsa gulu ladzidzidzi ndikusankha malo oyimirira.

Ndikofunika kukumbukira kuti ndizoletsedwa kupitiriza kuyendetsa galimoto ngati mukukonda.

Musanafike kumbuyo kwa gudumu, muyenera kuyang'anitsitsa mawonekedwe anu.

Ndikofunikira kuonetsetsa kuti zinthu zonse zapanjira zikuwoneka bwino. Chofunikira china ndikuti simungathe kuyendetsa m'masiku ochepa mutakhazikitsidwa kwa chithandizo chatsopano, makamaka ngati mankhwala omwe ali ndi zotsatira zoyipa adalembedwa.

Ndiye kodi ndizotheka kukhala bwino ndi matenda ashuga? Izi ndizotheka pokhapokha ngati palibe zovuta zovuta zomwe zikukhudza kuyendetsa galimoto.

Ngati matenda a shuga apezeka, ndikofunikira kudziwa zakupikisana mu ntchito yomwe ilipo. Izi ndizofunikira kuti athetsere kwathunthu chiwopsezo cha anthu ena kapena katundu.

Matenda a shuga ndi layisensi yoyendetsa: momwe mungaphatikizire?

Ngati dalaivala akumva kusowa, musayendetse. Monga lamulo, odwala matenda ashuga ambiri amamvetsetsa bwino matupi awo ndipo amatha kumvetsera.

Ngati munthu akuwona kuti sangathe kupirira ulendowo, ndiye kuti kuli bwino kungoisiyiratu.

Izi zikuthandizira kuteteza momwe ndingathere osati moyo wawo wokha, komanso miyoyo ya okwera omwe amayenera kukhala pafupi mgalimoto.

Pali maupangiri othandizira kupewa kuchuluka kwa shuga m'magazi mukamayendetsa:

Musanachoke kunyumba, muyenera kuyeza kuchuluka kwa shuga. Ngati ndi yocheperachepera, ndiye kuti muyenera kudya pomwepo mankhwala omwe amapanga pang'ono, mwachitsanzo, mchere. Palibe chifukwa chomwe muyenera kutuluka mnyumbayo mpaka shuga atayamba kuchita bwino,
Onetsetsani kuti mwasungitsa lipoti mwatsatanetsatane wazakudya zonse zakudya. Izi zikuyenera kuchitika kuti pakhale chidziwitso cholembedwa chotsimikiza ndi chowopsa chokhudza matenda a shuga ngati mwangozi,
Ndikofunika kuti nthawi zonse muzikhala ndi mapiritsi a shuga, madzi otsekemera kapena bedi pafupi. Monga njira yomaliza, payenera kukhala ma muesli omwe ali ndi zipatso pafupi,
paulendo wautali, muyenera kupuma maola awiri aliwonse. Muyeneranso kuyang'anira kuchuluka kwa shuga.

Matenda a shuga ndi oyendetsa ali ndi malingaliro othandizirana pokhapokha ngati munthu akuwonetsetsa kuti akudwala. Ndikofunikira kwambiri kutsatira malamulo ndi zofunikira zomwe zingakuthandizeni kuteteza moyo wanu paulendowu.

Ndikofunika kukumbukira kuti odwala omwe ali ndi chizolowezi chochepetsa shuga ayenera kupita kwa dokotala wawo pafupipafupi. Mapeto omaliza pazotsatira zoyesedwa ndi endocrinologist za kuopsa kwa matendawa komanso kuthana ndi zovuta zimaperekedwa kwa zaka ziwiri zokha.

Kuphika kwa tiyi wokoma ndi njira imodzi yothanirana ndi vuto la hypoglycemia. Panjira zina zothetsera matendawo, onani vidiyo:

Nkhaniyi ndiye yankho lalitali loyembekezeredwa pamafunso odwala ambiri lokhudza layisensi yoyendetsa matenda a shuga.Monga mukudziwa, kuletsa kuyendetsa galimoto ndi matenda ashuga kwachotsedwa kale. Kuyambira pano, ngati wodwala alibe zovuta, amatha kuyendetsa galimoto. Izi zikugwiranso ntchito kwa anthu omwe amagwira ntchito ngati oyendetsa.

Nthawi yomweyo, musaiwale za mndandanda wa malamulo, zofunikira ndi malingaliro omwe amathandizira kuti ulendo uliwonse usangokhala wochezeka, komanso wotetezeka.

Onetsetsani kuti mukupimidwa pafupipafupi ndi dokotala, tengani mayeso onse ofunikira, kuyeza mulingo wa shuga, komanso mankhwalawa.

Mfundozi ndizothandiza kuthana ndi mawonekedwe owoneka a matendawa, kuti asasokoneze moyo wathunthu komanso wathanzi.

Kuyendetsa ndi shuga

Masiku ano, anthu ambiri sangathe kulingalira za moyo popanda galimoto - kwa iwo ndi njira ya moyo kapena ntchito.

Komabe, m'maiko ena, chiphaso cha madalaivala ndi matenda ashuga ndizosemphana, popeza vuto la hypoglycemia limayendera limodzi ndi matenda osokoneza bongo monga khunyu kapena matenda a mtima.

M'mayiko a CIS, nkhaniyi ndi yodalirika kwambiri, ndipo imapangitsa kuti achinyamata omwe amadalira insulin komanso odwala matenda ashuga omwe ali ndi matenda amtundu wa 2 akwaniritse maloto awo ndikukhala driver.

Kodi ndingapeze maufulu?

Ngakhale pali zovuta zambiri zomwe zimadza kawirikawiri motsutsana ndi maziko a matenda osokoneza bongo, matendawa samatengera mwayi wakuyendetsa magalimoto.

Kuti mupeze laisensi yoyendetsa, wodwala amafunika kuvomerezedwa ndi adotolo komanso chilolezo cha State Road Security Inspectorate (STSI).

Komabe, pofuna kuteteza odwala matenda ashuga ndi omwe amakhala pafupi naye, zoletsa zina zimakhazikitsidwa.

Chilolezo choyendetsa galimoto ya matenda ashuga amitundu yonseyi ndi chovomerezeka kwa zaka zitatu. Cholinga cha ichi ndikufunika kosanthula pafupipafupi kuchipatala kuti aziganizira kusintha konse mthupi ndikukonza zovuta zomwe zimachitika motsutsana ndi maziko a matenda oyambitsidwa.
Munthu yemwe ali ndi shuga wamphepo yayitali amatha kupatsidwa ufulu wokhala ndi mtundu wa "B". Ndiye kuti, munthu yemwe ali ndi matenda amtunduwu ali ndi ufulu wokhala woyendetsa galimoto, pomwe akuyendetsa minibus, basi kapena galimoto yolemetsa yoposa matani 3.5 imaperekedwa.

Funso loti munthu akhoza kuyendetsa galimoto ndi matenda ashuga ndi lingaliro la adotolo. Mfundo zazikuluzikulu zomwe dokotala amadalira panthawi ya chisankho ndi zovuta zamatenda, mphamvu ya matendawa pakuwona, mtima ndi dongosolo lamanjenje komanso chidziwitso cha kutayika kwa chikumbumtima.

Kodi angachite bwanji?

Tiyenera kumvetsetsa kuti kukhazikitsa cholinga chokhala woyendetsa matenda ashuga, simungathe kupita patsogolo. Kuletsa matendawa kwa othandizira kapena kumamupusitsa zaumoyo wake, wodwalayo amaika moyo wake pachiwopsezo ndikuika pachiwopsezo anthu omwe amakhala pafupi naye.

Asanapeze chilolezo choyendetsa, pamafunika katswiri wothandizira.

Ngati wodwala matenda ashuga ayenera kukhala woyenera, ayenera kupita kwa dokotala yemwe amamulembetsa.

Ndi endocrinologist yemwe amadziwa mbiri yamatendawa komanso machitidwe a thupi omwe amapanga chisankho poti ndi otetezedwa bwanji kulola wodwala kuyendetsa galimoto.

Kuti adziwe zoyenera, dokotalayo amakupangira mayeso apadera ndipo amalemba zotsatira zawo papepala lachipatala:

Kuyendera kowoneka Dotolo amayang'ana momwe thupi limagwirira, amaika kukula kwa matendawa ndikuwunika momwe matenda a shuga amayendera kuthamanga kwa magazi, mawonekedwe owonera, chidwi cha mathero a mitsempha ya miyendo ndi zizindikiro zina. Kuphatikiza apo, endocrinologist imalongosola pafupipafupi zovuta za hypoglycemia.
Kupenda kwa Ultrasound kwa kapamba.
Kusanthula kwamwazi m'mwazi ndi mkodzo.

Kutengera ndi zotsatira zake, endocrinologist imapereka satifiketi yapadera yomwe wodwala matenda ashuga amayendera.Kupitilira apo, wogwira ntchito m'boma yemwe ali ndi udindo wopereka chiphaso cha driver akuwunikira zonse zomwe zalembedwa ndipo akuganiza ngati zili bwino kuti gulu liphunzitse munthu kuyendetsa.

Momwe mungachepetse chiopsezo kufikira ochepera?

Atakhala m'galimoto, wodwala matenda ashuga ayenera kumvetsetsa zoopsa zomwe zingachitike ndikuchita zonse zofunikira kuti adziteteze ndi anthu pazinthu zosayembekezereka. Kuti achite izi, ayenera kutsatira malamulo ena:

Magalasi amafunikira kuti dalaivala wa khungu azioneka.

Osagwira ntchito yoyendetsa miyezi isanu ndi umodzi mutatha kudziwa matenda a shuga. Chofunikira chomwechi kwa odwala matenda ashuga omwe amasintha kupita ku mankhwala atsopano. Ndi munthawi imeneyi pomwe mawonekedwe a matendawa ndi momwe thupi limagwirira njira zatsopano zamankhwala zimawonekera.
Ngati masomphenya akuchepa, kuyendetsa kuyenera kuchitika ndi magalasi.
Sizoletsedwa kuyendetsa galimoto pamimba yopanda kanthu. Popewa izi, galimotoyi iyenera kukhala ndi chakudya chambiri, komanso chakudya chamagulu omwera (chakumwa chokoma).
Glucometer amayenera kukhalapo nthawi zonse m'chipinda cha glove. Kuti mutetezeke kwambiri, glucose wa plasma amayenera kuwezedwa nthawi imodzi pa ola limodzi. Ndi cholembera pansipa 5 mmol / l, ndibwino kuzimitsa injini.
Ngati munthu akufuna kuyendetsa, ndibwino kuti mupeze insulin pang'ono pang'onopang'ono kuchokera pazizolowezi kuti muchepetse chiopsezo cha hypoglycemia.

Malamulo Oyendetsera Khalidwe

Ngati wodwala matenda ashuga akumvetsa kuti akudwala hypoglycemia, ayenera:

Mukayimitsa mwadzidzidzi, muyenera kuyatsa alamu nthawi zonse.

Kuyimitsa. Kutengera ndi momwe zinthu zilili, ikhoza kukhala msewu, magalimoto oyendetsa magalimoto kapena msewu waukulu. Potsirizira pake, muyenera kuyatsa alamu.
Zimitsani kuyambitsa.
Imwani mankhwala apadera kuti mubwezeretse glycemia.
Pambuyo mphindi 10-15, kuyeza shuga.
Ndi kukula kwa zizindikiro komanso kupatula kwa kuwukanso kwachiwiri, akamwe zoziziritsa kukhosi zokhala ndi mafuta olemera.
Mukachira, pitilizani kuyendetsa.

Contraindication poyendetsa ndi matenda ashuga

Choyipitsa chachikulu pakuyendetsa ndi matenda ashuga ndiko kutaya mtima kwa kuyandikira kuukira kwa hypoglycemia, popeza ichi ndi chakupha.

Chofunikanso ndichovuta zomwe zimachitika motsutsana ndi zomwe zimayambitsa matenda.

Chifukwa chake, ndi kuwonongeka pakumvekera kwa mitsempha mathero ndi kufooka kwa minyewa, komwe kumayambitsa matenda am'munsi, wodwalayo amapatsidwa lingaliro lomwe likuwonetsa kuopsa kwa neuropathy komanso kuopsa koyendetsa galimoto.

Amachepetsa mwayi wopeza zovuta pamitsempha yam'maso mu mawonekedwe amanjala, matenda ashuga retinopathy, kapena matenda ena owoneka. Pankhaniyi, ndi ophthalmologist yekha yemwe angapereke lingaliro la wodwala.

Kodi ndingapeze ufulu ndi matenda ashuga?

Matenda a shuga ndi njira yovuta yopezera maziko a kusowa kapena kusowa kwathunthu kwa insulin ya pancreatic. Zotsatira zake zakupezeka kwamatenda, kuchuluka kwa shuga m'magazi kumawonjezeka kwambiri.

Zimakhala zovuta kwa odwala omwe amapezeka ndi matenda osokoneza bongo kuti azikhala ndi moyo wofanana ndi wamakono. Matenda a shuga amakhudza mbali zina za moyo ndipo amalepheretsa wodwala mwayi wogwiritsa ntchito zina zamakono, komanso kusiya zizolowezi zina.

Kodi ndizotheka kupeza ufulu wa matenda ashuga? Funso ili ndi lokhudza ambiri, ndipo owerenga apeza yankho lolondola komanso lolondola lafunsoli.

Woyendetsa wodwala matenda ashuga - ndimavuto ati omwe akuyembekezera wodwalayo?

Matenda a shuga a shuga aulere: ndani ayenera

Anthu omwe adapezeka kuti ali ndi matenda ashuga ayenera kuwunika kuchuluka kwa shuga m'magazi awo moyo wawo wonse, kumwa mankhwala othana ndi shuga omwe madokotala amapereka, ndikuwabayira insulin.

Kuwunikira kusintha kwa gawo la glucose m'magazi, kwa odwala matenda ashuga pali zida zapadera zomwe odwala amatha kuyeserera kunyumba, osapita kuchipatala nthawi iliyonse.

Pakadali pano, mtengo wa glucometer ndi zinthu zogwiritsira ntchito pachipangizochi ndi wokwera kwambiri. Pazifukwa izi, odwala matenda ashuga ambiri ali ndi funso: kodi angatenge insulin ndi mankhwala ena kwaulere ndipo ndiyenera kulumikizana ndi ndani?

Phindu la Matenda A shuga

Odwala onse omwe amapezeka ndi matenda a shuga amapatsika gawo lokonda. Izi zikutanthauza kuti pamaziko a zopindulitsa za boma, ali ndi ufulu kulandira insulini ndi mankhwala ena othandizira matendawa.

Komanso, odwala matenda ashuga omwe ali ndi zilema amatha kutenga tikiti laulere kupita ku sukulu yophunzitsira, yomwe imaperekedwa kamodzi pazaka zitatu zonse ngati gawo lokhalitsa.

Odwala omwe apezeka ndi matenda amtundu woyamba ali ndi ufulu:

Pezani ma insulin aulere komanso insulin,
Ngati ndi kotheka, alowetsani kuchipatala kuti mukalandire upangiri,
Pezani ma glucometer aulere a mayeso a shuga m'magazi kunyumba, komanso zogwiritsidwa ntchito ndi chipangizocho pamiyeso ya mizere itatu patsiku.

Pankhani ya matenda a shuga a mtundu woyamba, kulumala kumakhazikitsidwa nthawi zambiri, chifukwa chake pulogalamu yowonjezera imaphatikizidwa kwa odwala matenda ashuga, omwe amaphatikizapo mankhwala ofunikira.

Pankhaniyi, ngati dokotala atakulemberani mankhwala okwera mtengo omwe samaphatikizidwa mndandanda wazamankhwala okondera, wodwalayo amatha kufunsa ndikupeza mankhwala ofanana ndi aulere. Zambiri zokhudzana ndi yemwe ali ndi vuto la matenda a shuga zitha kupezeka patsamba lathu.

Mankhwala amaperekedwa mosamalitsa malinga ndi zomwe dokotala wakupatsani, pomwe mlingo wofunikira uyenera kufotokozedwa papepala lachipatala lomwe wapatsidwa. Mutha kulandira insulin ndi mankhwala ena ku pharmacy kwa mwezi umodzi kuyambira tsiku lomwe linanenedwa kuti mupatsidwe mankhwala.

Kupatula, mankhwala akhoza kuperekedwa kale ngati mankhwala ali ndi cholembera chofunikira. Mwanjira imeneyi, insulin yaulere imakonzedwa kuti iperekedwe nthawi yomweyo ngati ilipo, kapena pasanathe masiku khumi.

Mankhwala a Psychotropic amaperekedwa kwaulere kwa milungu iwiri. Chithandizo cha mankhwala chikuyenera kusinthidwa masiku asanu aliwonse.

Ndi matenda a shuga a 2, wodwala ali ndi ufulu:

Pezani mankhwala ofunika kuchepetsa shuga kwaulere. Kwa odwala matenda ashuga, mankhwala amawonetsedwa akuwonetsa kuchuluka kwake, pamaziko omwe insulin kapena mankhwala amaperekedwa kwa mwezi umodzi.
Ngati kuli kofunikira kuperekera insulin, wodwalayo amapatsidwa glucometer yaulere yokhala ndi zothetsera pamiyeso ya mizere itatu patsiku.
Ngati insulin siyofunikira kwa odwala matenda ashuga, amatha kupezanso mayeso kwaulere, koma muyenera kugula nokha glucometer. Chosiyana ndi odwala omwe ali ndi vuto lowonongeka, omwe zida zake zimaperekedwa mwa njira zabwino.

Ana ndi amayi apakati amatha kutenga ma insulin ndi ma insulin aulere. Alinso ndi ufulu wotulutsa mita yamagazi m'magazi komanso zothetsera ku chipangizo choyeza shuga wamagazi, kuphatikiza zolembera za syringe.

Kuphatikiza apo, tikiti yopita ku sanatorium imaperekedwa kwa ana, omwe amatha kupumula palokha ndikutsagana ndi makolo awo, omwe amakhalanso amalipira ndi boma.

Maulendo opita kumalo opumulirako mtundu uliwonse wa mayendedwe, kuphatikizapo sitimayi ndi basi, ndi zaulere, ndipo matikiti amaperekedwa nthawi yomweyo. Kuphatikiza makolo osamalira mwana wodwala wazaka zosakwana 14 ali ndi ufulu wolandila ndalama zomwe amalipira pamwezi.

Kuti muthe kugwiritsa ntchito bwino maubwino otere, muyenera kupeza chikalata kuchokera kwa dokotala wakwanuko yemwe akutsimikizira kupezeka kwa matendawa komanso ufulu wothandizidwa ndi boma.

Kukana phukusi lazachikhalidwe

Ngati nkosatheka kukafika ku malo a sanatorium kapena disensary, wodwala matenda ashuga atha kukana dala kuchipatala. Potere, wodwalayo amalandila chipukuta ndalama posagwiritsa ntchito chilolezo.

Komabe, ndikofunikira kumvetsetsa kuti ndalama zomwe zimalipiridwa zimakhala zochepa poyerekeza ndi mtengo weniweni wokhala m'dera lopumira. Pachifukwa ichi, anthu nthawi zambiri amakana phukusi pokhapokha ngati, pazifukwa zilizonse, sizotheka kugwiritsa ntchito tikiti.

Pankhani yopeza mankhwala omwe amakonda, wodwala matenda ashuga amatha kulandira insulin ndi mankhwala ena ochepetsa shuga, ngakhale atakana mwakufuna kwawo. Zomwezi zimagwiranso ntchito ma insulin syringes, glucometer, ndi zida zoyeserera shuga m'magazi.

Tsoka ilo, masiku ano zinthu zili choncho kuti anthu ambiri odwala matenda ashuga asankha kutenga mwayi wokana phindu kuti alandire ndalama zochepa kuboma.

Odwala amalimbikitsa zochita zawo nthawi zambiri chifukwa chokhala ndi thanzi labwinobwino, kukana kulandira mankhwala osokoneza bongo. Komabe, ngati muwerengera mtengo wokhala pakubwera milungu iwiri m malo ampumulo, zimapezeka kuti malipilowo azikhala ocheperako maulendo 15 kuposa gawo lonse la odwala matenda ashuga.

Moyo wochepera wokhala ndi odwala ambiri umawapangitsa kusiya chithandizo chamankhwala apamwamba mokomera chithandizo chochepa.

Pakadali pano, anthu samaganizira nthawi zonse kuti pambuyo pa sabata boma la thanzi limatha kusokonekera kwambiri, ndipo sipangakhale mwayi wopita kuchipatala.

Kupeza mankhwala okondera

Mankhwala aulere othandizira matendawa pamaziko a zabwino amapatsidwa ndi endocrinologist potengera matenda a shuga.

Kuti izi zitheke, wodwalayo amapima mayeso athunthu, amatenga magazi ndi mkodzo pamiyeso ya shuga. Atalandira zotsatira zonse, dokotalayo amasankha dongosolo la kaperekedwe ka mankhwala ndi kuchuluka kwa mankhwalawa.

Chidziwitso chonsechi chikuwonetsedwa mu mankhwala.

Mankhwala amaperekedwa kwaulere m'mafakitala onse aboma pamtundu wolembedwa, womwe umawonetsa kuchuluka kwa mankhwalawo. Monga lamulo, mankhwala amatha kupezeka pamwezi.

Kuti muwonjezere phindu ndikupeza mankhwala aulere, mukufunikiranso kulumikizana ndi endocrinologist ndikuyezetsa. Vutoli litatsimikiziridwa, dokotalayo amupatsanso mankhwala ena.

Ngati dokotala akukana kupereka mankhwala oyenera omwe ali m'gulu la mankhwala aulere kwa odwala matenda ashuga, wodwalayo ali ndi ufulu wolumikizana ndi mutu kapena dokotala wamkulu wachipatala. Kuphatikizanso thandizo kuthetsa nkhaniyi mu dipatimenti yachigawo kapena Unduna wa Zaumoyo.