Kodi shuga ya steroid ndi chiyani: kufotokozera, Zizindikiro, kupewa
Matenda a shuga a Steroid ndi mtundu wachiwiri wa matenda a shuga 1 omwe amadalira insulin. Kukula kwake kumachitika chifukwa chowonjezera corticosteroids m'magazi a odwala omwe amapangidwa ndi adrenal cortex, kapena atatha kumwa mankhwalawa. Amalandira chithandizo cha matenda angapo ndikupereka mwayi wochepetsera kupweteka kwambiri. Chiphunzitsochi sichimagwirizanitsidwa ndi kusokonezeka kwa β-cell of islets a Langerhans a kapamba.
Maziko a chitukuko cha matendawa
Matenda osokoneza bongo amayamba motsogozedwa ndi zinthu zingapo. Izi zikuphatikiza:
- Mankhwala osokoneza bongo ochulukirapo a glucocorticoid, omwe amachititsa kuti azindikire shuga wambiri wodwala wa sodium omwe saulula kuphwanya kagayidwe kazakudya.
- Kusintha kwa shuga wosadalira insulini kupita ku mawonekedwe ake omwe amadalira insulin.
- Kusavomerezeka mu mahomoni kumbuyo chifukwa cha kuphwanya kwa ntchito kwa hypothalamus ndi gitu planditary ndikuchepetsa kukana kwa maselo ndi minofu yake ku insulin.
- Dziwitsani matenda oopsa, omwe amawonetsa chithokomiro chamthupi komanso amachepetsa kukonza kwa monosaccharide ndi zimakhala mthupi la wodwalayo.
- Kuzindikiritsa kusakhazikika pakati pamahomoni, chomwe chimakhala chifukwa chosagwirizana ndi zomwe thupi limapanga.
- Kunenepa kwambiri kwa wodwala, komanso kuchuluka kwa hydrocortisone m'thupi - mahomoni opangidwa ndi adrenal cortex.
Njira yofatsa yamatenda, yomwe kukula kwake kumalumikizana ndi mankhwala osokoneza bongo a glucocorticoids, imatha kutha yokha itatha kumwa. Zinthu ngati izi zimapangitsa kuti pakhale tsogolo labwino la matenda a shuga a steroid, omwe amapezeka chifukwa cha kupatuka kwa mulingo wa monosaccharide m'magazi.
Kusamalira panthawi yake matendawa kumathetsa chiopsezo cha zovuta zomwe zimasokoneza thanzi komanso moyo wa wodwalayo.
Mankhwala ogwiritsa ntchito glucocorticoid wogwiritsidwa ntchito mopitirira muyeso, omwe amachititsa kuti shuga azikhala ndi matenda osokoneza bongo, amakhala ndi anti-kutupa. Amalembedwa kuti athetse mavuto a nyamakazi, mphumu ya bronchial, angapo a autoimmune pathologies. Kuphatikiza pa glucocorticoids, matenda a shuga a steroid amatha chifukwa cha kugwiritsidwa ntchito kwa ma diuretics mu mawonekedwe a Nefriks, Navidrex, Hypothiazide, Dichlothiazide ndi mitundu yina ya mapiritsi oteteza kubereka kwa mahomoni.
Kuwonetsedwa kwa matendawa
Matenda a shuga a Steroid amaphatikiza zizindikiro za matenda amtundu 1 komanso matenda ashuga 2. Izi zikuphatikiza:
- Maonekedwe a ludzu ndi kuyabwa kwa zinthu pamtunda wa khungu.
- Pafupipafupi kukodza.
- Kuphwanya kakhalidwe, kuchepa kwamphamvu yolimbitsa thupi, kuchititsa kutopa kwambiri, kutopa kwa wodwala.
- Osowerengeka milandu kupeza kwambiri shuga, acetone m'magazi ndi mkodzo.
- Kuchepetsa thupi.
Zizindikiro zazikulu za pathology sizosiyana mu chithunzi chotchulidwa. Amatuluka chifukwa cha kuwonongeka kwa ma β-maselo a ma islets a Langerhans a kapamba ndi kuchuluka kwa corticosteroids. Mavuto a insulini m'thupi la wodwalayo amachepa, ndipo khungu lake limachepa. Zotsatira zake, chifukwa cha kuwonongeka kwa maselo a β-cell, kupanga kwa mahomoni a protein omwe amapangidwa ndi kapamba amayimitsidwa. Kukula kwa matendawa sikusiyana ndi mtundu wa matenda ashuga amtundu wa 1 ndipo kumawonetsa Zizindikiro zomwe zimayamba ndi matendawa.
Njira zothandiza kuti athetse matenda
Chithandizo chovuta kwambiri cha matenda a shuga amellitus ndi ofanana kwambiri ndi njira yothetsera vuto la matenda osagwirizana ndi insulin. Amasanjidwa payekhapayekha, mogwirizana ndi mawonekedwe a thupi la wodwalayo, zizindikiro za mulingo wa monosaccharide m'magazi ake. Matenda a Steroid amathandizidwa popanda zovuta zambiri. Kutsatira okhwima palingaliro, upangiri wa endocrinologist ndiye njira yofunikira yopezera zotsatira zabwino. Chithandizocho chimaphatikizaponso njira zina zochizira. Izi zikuphatikiza:
Kuti mupewe zovuta zomwe zingakhale zowopsa pamoyo komanso thanzi la wodwalayo, ndikofunikira kuzindikira matendawa munthawi ndikuyamba chithandizo moyang'aniridwa ndi dokotala!
- Gulu la zakudya zoyenera malinga ndi zakudya zamafuta ochepa.
- Kumwa mankhwala ochepetsa shuga.
- Kukhazikitsa insulin mankhwala popanda kuyembekezera hypoglycemic zotsatira kumwa mapiritsi zotchulidwa kuti shuga shuga.
- Kudzudzula kwambiri.
- Kuthana ndi mankhwala opangidwa ndi corticosteroid omwe adayambitsa kukula kwa matenda.
Opaleshoni nthawi zina imatha kutumizidwa kuti ichotse minyewa yambiri m'magazi a adrenal ndikuchepetsa kupanga kwawo kwa corticosteroids.
Chithandizo cha matendawa chili ndi zolinga zingapo. Pambuyo kukhazikitsa, ndikotheka kusintha mulingo wa monosaccharide, ndikuchotsanso zomwe zimapangitsa kuwonjezeka kwa kuchuluka kwa mahomoni opangidwa ndi adrenal cortex. Izi zimawonjezera mwayi wobwezeretsa ntchito za β-maselo a timakhanda tachilumba cha Langerhans cha kapamba, yemwe amayang'anira kupanga insulin. Kutsatira malangizo a dokotala pazakudya zokhala ndi carb ochepa, moyo wokangalika, kusiya zizolowezi zoipa kumapereka mwayi wopeza zotsimikizika komanso kupatula kukula kwa zovuta za matenda ashuga.
Mankhwala a shuga a Steroid
Mankhwala a Glucocorticoid, monga dexamethasone, prednisone ndi hydrocortisone, amagwiritsidwa ntchito ngati mankhwala othana ndi kutupa a:
- Mphumu ya bronchial,
- Rheumatoid nyamakazi,
- Matenda a Autoimmune: pemphigus, eczema, lupus erythematosus.
- Multiple Sclerosis.
Matenda a shuga amatha kupezeka ndi ma diuretics:
- thiazide diuretics: dichlothiazide, hypothiazide, nephrix, Navidrex,
- mapiritsi olembera.
Mlingo waukulu wa corticosteroids amagwiritsidwanso ntchito ngati gawo la anti-yotupa pakumachiza opaleshoni impso.
Pambuyo Thirani, odwala ayenera ndalama kupondereza chitetezo chokwanira moyo. Anthu oterewa amakhala ndi vuto lotupa, lomwe poyambirira limawopseza chofunikira chogwiridwayo.
Matenda a shuga samapangidwa mwa odwala onse, komabe, pogwiritsa ntchito mahomoni mosalekeza, mwayi womwe umapezeka ndiwambiri kuposa momwe amathandizira matenda ena.
Zizindikiro za matenda ashuga omwe amayamba chifukwa cha ma steroid amawonetsa kuti anthu ali pachiwopsezo.
Pofuna kuti asadwale, anthu onenepa kwambiri ayenera kuchepa thupi;
Munthu akazindikira kuti ali ndi vuto la matenda ashuga, musalole kumwa mankhwala a mahomoni molingana ndi malingaliro anu.
Zolemba za matendawa ndi zizindikiro zake
Matenda a Steroid ndi apadera chifukwa amaphatikiza zizindikiro za matenda amitundu iwiri komanso matenda ashuga a 1. Matendawa amayamba pomwe chiwerengero chachikulu cha corticosteroids chimayamba kuwononga maselo a pancreatic beta.
Izi ndizogwirizana ndi zomwe zimayambitsa matenda a shuga 1. Komabe, maselo a beta akupitiliza kupanga insulini kwakanthawi.
Pambuyo pake, kuchuluka kwa insulini kumachepa, chidwi cha minofu ya timadzi timeneti timawonongeka, chomwe chimachitika ndi matenda ashuga 2.
Popita nthawi, maselo a beta kapena ena aiwo amawonongeka, zomwe zimapangitsa kuti ayambe kupanga insulin. Chifukwa chake, matendawa amayamba kuyenda chimodzimodzi ndi matenda amisomali omwe amadalira insulin 1. Kuonetsa zizindikiro zomwezo.
Zizindikiro zazikulu za matenda a shuga ndizofanana ndi mtundu uliwonse wa matenda ashuga:
- Kuchulukitsa pokodza
- W ludzu
- Kutopa
Nthawi zambiri, zizindikiro zomwe zalembedwazo sizikuwonetsa zambiri, motero sizimalabadiridwa. Odwala sataya thupi kwambiri, monga mtundu 1 wa shuga, kuyezetsa magazi sikumapangitsa kuti azindikire.
Kuchuluka kwa shuga m'magazi ndi mkodzo sikumakwera kwambiri modabwitsa. Kuphatikiza apo, kupezeka kwa kuchuluka kwa ma acetone m'magazi kapena mkodzo sikumawonedwa kawirikawiri.
Matenda a shuga monga chiopsezo cha matenda a shuga
Kuchuluka kwa mahomoni a adrenal kumawonjezeka mwa anthu onse mosiyanasiyana. Komabe sianthu onse omwe amamwa glucocorticoids omwe ali ndi matenda a shuga.
Chowonadi ndi chakuti kumbali inayo, corticosteroids amathandizira kapamba, ndipo, kumbali ya insulin. Kuti magazi a shuga azikhala abwinobwino, kapamba amakakamizidwa kugwira ntchito ndi katundu wolemera.
Ngati munthu ali ndi matenda ashuga, ndiye kuti minyewa ya insulin imayamba kuchepetsedwa, ndipo zodukazo sizigwira ntchito 100%. Chithandizo cha steroid ziyenera kuchitika kokha ngati njira yomaliza. Chiwopsezo chikuwonjezereka ndi:
- kugwiritsidwa ntchito kwa ma steroid mu Mlingo wambiri,
- Kugwiritsa ntchito ma steroid nthawi yayitali,
- wodwala wonenepa kwambiri.
Chisamaliro chikuyenera kuchitika popanga zisankho ndi omwe nthawi zina amakhala ndi shuga wambiri pazifukwa zosadziwika.
Kugwiritsa ntchito glucocorticoids, mawonekedwe a shuga amawonjezereka, ndipo izi zimadabwitsa munthu, chifukwa sakanatha kudziwa za matenda ake a shuga.
Pankhaniyi, matenda ashuga anali ofatsa asanatenge glucocorticoids, zomwe zikutanthauza kuti mankhwalawa a mahomoni amathandizira kwambiri vutoli ndipo amathanso kupangitsa kukhala ndi vuto la matenda ashuga.
Asanapange mankhwala a mahomoni, anthu achikulire ndi amayi onenepa kwambiri amafunika kukayezetsa matenda ashuga am'mbuyomu.
Chithandizo cha matenda ashuga
Ngati thupi silipanga insulin, ndiye kuti matenda osokoneza bongo, monga matenda amtundu 1, koma ali ndi mawonekedwe a shuga 2, ndiye kuti, insulin kukana minofu. Matenda a shuga oterewa amathandizidwa ngati shuga 2.
Chithandizo chimadalira zina mwa zinthu zomwe wodwala ali nazo. Mwachitsanzo, kwa anthu onenepa kwambiri omwe amapangabe insulin, zakudya ndi zochepetsa shuga monga thiazolidinedione ndi glucophage zimasonyezedwa. Kuphatikiza:
- Ngati pali ntchito ya pancreatic yotsika, ndiye kuti kuyambitsa insulini kumamupatsa mwayi wochepetsa katundu.
- Pankhani yakusakwanira kwa ma cell a beta, pakapita nthawi, ntchito ya pancreatic imayamba kuchira.
- Ndi cholinga chomwecho, zakudya zamafuta ochepa zimayikidwa.
- Kwa anthu omwe ali ndi thupi lolemera, chakudya No. 9 chikulimbikitsidwa; anthu onenepa kwambiri ayenera kutsatira zakudya No. 8.
Ngati kapamba satulutsa insulin, ndiye kuti imayikidwa ndi jakisoni ndipo wodwalayo afunika kudziwa momwe angabayire insulin molondola. Kuwongolera shuga ndi magazi kumachitidwa chimodzimodzi ndi shuga 1. Komanso, ma cell a beta sangabwezeretsedwe.
Mlandu wosiyana ndi chithandizo cha matenda osokoneza bongo omwe amayamba chifukwa cha mankhwala ndi zomwe zimachitika ngati nkotheka kukana chithandizo cha mahomoni, koma munthu amadwala matenda a shuga. Izi zitha kukhala pambuyo pakupatsirana impso kapena pakakhala mphumo waukulu.
Mlingo wa shuga umasungidwa pano, potengera chitetezo cha kapamba komanso kuchuluka kwa minyewa yomwe imakhudzidwa ndi insulin.
Monga chithandizo chowonjezereka, odwala amatha kutumizidwa mahomoni a anabolic omwe amayang'anira zotsatira za mahomoni a glucocorticoid.
Matenda a Steroid - ndi chiyani?
Steroidal kapena mankhwala a shuga ndi matenda omwe amatsogolera ku hyperglycemia. Cholinga chake ndi zotsatira zoyipa zamahomoni a glucocorticoid, omwe amagwiritsidwa ntchito kwambiri munthambi zonse zamankhwala. Amachepetsa ntchito ya chitetezo chathupi, amakhala ndi zotsutsa-zotupa. Glucocorticosteroids akuphatikiza Hydrocortisone, Dexamethasone, Betamethasone, Prednisolone.
Posachedwa, osaposa masiku 5, chithandizo cha mankhwalawa chimaperekedwa kwa matenda:
- zotupa zoyipa
- bakiteriya meningitis
- COPD ndi matenda osatha a m'mapapo
- gout mu pachimake siteji.
Kutalika kwa nthawi yayitali, kupitirira miyezi isanu ndi umodzi, mankhwala a steroid angagwiritsidwe ntchito pneumonia yapakati, matenda a autoimmune, kutupa kwamatumbo, zovuta zamkati, komanso kufalikira kwa ziwalo. Malinga ndi ziwerengero, kuchuluka kwa anthu odwala matenda ashuga atatha kugwiritsa ntchito mankhwalawa sikupitirira 25%. Mwachitsanzo, pochiza matenda am'mapapo, hyperglycemia imawonedwa mu 13%, mavuto a khungu - 23,5% ya odwala.
Chiwopsezo cha matenda a shuga a steroid chikuwonjezeka ndi:
- makonzedwe otengera mtundu wa shuga, achibale oyamba omwe ali ndi matenda ashuga,
- matenda a shuga gestational panthawi imodzi yapakati,
- prediabetes
- kunenepa kwambiri, makamaka pamimba
- ovary polycystic,
- ukalamba.
Mulingo waukulu wa mankhwala omwe amamwa, ndiwomwe umakhalapo ndi matenda a shuga a steroid:
| Mlingo wa hydrocortisone, mg patsiku | Chiwopsezo chowonjezeka cha matenda, nthawi | |||||||||||||
| Kwa ma ruble 147 okha!
Zizindikiro za matenda opha shuga a shuga sizitha kukhalapo, kotero ndichizolowezi kuwongolera shuga m'magawo awiri oyamba atatha kuperekedwa kwa glucocorticoids. Pogwiritsa ntchito mankhwala kwa nthawi yayitali, mwachitsanzo, mutabadwa, kuyesedwa kumaperekedwa sabata iliyonse mwezi woyamba, kenako pambuyo pa miyezi itatu ndi miyezi isanu ndi umodzi, mosasamala kanthu za kukhalapo kwa zizindikiro. Momwe mungachitire ndi matenda a shugaMatenda a shuga a Steroid amachititsa kuchuluka kwa shuga atatha kudya. Usiku ndi m'mawa musanadye, glycemia ndiyachilendo kwa nthawi yoyamba. Chifukwa chake, chithandizo chomwe chikugwiritsidwa ntchito chiyenera kuchepetsa shuga masana, koma osayambitsa hypoglycemia yausiku. Zochizira matenda a shuga, mankhwalawa omwe amagwiritsidwa ntchito ngati mitundu ina ya matendawa: othandizira a hypoglycemic ndi insulin. Ngati glycemia ali ochepera 15 mmol / l, chithandizo chimayamba ndi mankhwala omwe amagwiritsidwa ntchito ngati mtundu 2 wa shuga. Manambala ambiri a shuga amawonetsa kuwonongeka kwakukulu pancreatic ntchito, odwala oterewa amapatsidwa jakisoni wa insulin. Mankhwala othandiza:
KupewaKupewa komanso kupezeka kwa nthawi yayitali ndi mankhwala a shuga a steroid ndi gawo lofunika la chithandizo ndi glucocorticoids, makamaka ngati kugwiritsa ntchito kwawo kwakanthawi kuyembekezeredwa. Njira zomwezo zomwe zimagwiritsidwa ntchito pa matenda a shuga a 2, zakudya zamafuta ochepa ndikuwonjezera zochitika zolimbitsa thupi, zimachepetsa chiwopsezo cha matenda a carbohydrate metabolism. Tsoka ilo, prophylaxis iyi ndiyovuta kukwaniritsa, popeza ma steroid amalimbitsa chilimbikitso, ndipo matenda ambiri omwe amawagwiritsa ntchito amawachotsa kapena kuchepetsa malire pamasewera. Chifukwa chake, popewa matenda a shuga a steroid, gawo lalikulu ndi la kuzindikira kwa zovuta ndi kukonza kwawo pamlingo woyambirira mothandizidwa ndi mankhwala ochepetsa shuga. Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >> ZambiriSteroid shuga mellitus (SJS) imayamba chifukwa cha kuchuluka kwa nthawi yayitali kwa corticosteroids kapena kuwatenga ngati mankhwala. Pachiwiri, matendawa ali ndi dzina lofanana - mankhwala osokoneza bongo. Poyamba, sizimagwirizana ndi kapangidwe kake ka kapamba, zimayamba motsutsana ndi maziko a chithandizo cha mahomoni, ndipo zimatha kudzipanga zokha pokhapokha kusiya mankhwala. SSD, yokhumudwitsidwa ndi kukwera kwa mahomoni achilengedwe, imadziwika kwambiri mu matenda a Itsenko-Cushing. Mu gululi la odwala, Zizindikiro zamatenda amafikira 10-12%. Palibe chidziwitso chokwanira cha kuchuluka kwa SJS pakati pa anthu wamba.
Malinga ndi chikhalidwe cha etiology, matenda a shuga aidid amagawidwa kukhala amkati komanso okalamba. Mu mawonekedwe amkati, pancreatic malfunctions amayamba chifukwa cha pulayimale kapena yachiwiri. Zomwe zimapangitsa gululi ndikuphatikizapo:
Kusintha kwachiwiri komwe kumachokera shuga ya steroid ndi kunja. Gulu lomwe likuwopseza limaphatikizapo odwala omwe ali ndi autoimmune pathologies, kulephera kwaimpso, komanso kuthamanga kwa magazi. Matenda a shuga amakula ndimankhwala osakhalitsa okhala ndi mankhwala omwe amalepheretsa kubisika kwa insulin ndi maselo a beta mu kapamba. Mankhwalawa ndi glucocorticoids, thiazide diuretics, kulera kwa mahomoni. Chomwe chimayambitsa kukula kwa SJS ndi mphamvu yayitali ya kuchuluka kwa glucocorticoids pazinthu zamkati ndi kagayidwe kazinthu. Ma mahomoni a Steroid amalepheretsa kaphatikizidwe ndikuthandizira kuwonongeka kwa mapuloteni. Kutulutsidwa kwa ma amino acid kuchokera ku minofu kumawonjezeka, mu chiwindi, kusintha kwa kusinthika ndi kusakanikirana kwawo kumathandizira, zomwe zimapangitsa kuchuluka kwa gluconeogeneis - kapangidwe ka glucose pama mankhwala osagwiritsa ntchito chakudya. M'maselo a chiwindi, glycogen imasungidwa kwambiri. Mphamvu ya corticoids pa carbohydrate metabolism imawonekera mwa kuwonjezeka kwa ntchito ya shuga-6-phosphatase, yomwe imayang'anira kupanga kwa glucose ndi gulu la phosphate, komanso kudzera mu kulepheretsa kwa glucokinase, ndiko kuti, kutsika pang'ono pakukonzekera kwa glucose kukhala glycogen. Pafupipafupi, kugwiritsa ntchito shuga ndi minofu kumachepetsedwa. Kusintha kwa kagayidwe kwamafuta kumayimiridwa ndi kukondoweza kwa lipogenesis, chifukwa chake, kuwonda kwakanthawi kokhala mtundu wa 1 ndi mtundu wa 2 sikunachitike. Mphamvu ya antiketogenic ya sodium ndi cholepheretsa makutidwe ndi okosijeni a pyruvic acid, kuchuluka kwa magazi a lactic acid. Mwa chikhalidwe cha mapangidwe a SJS m'mayambiriro oyambirira, ndizofanana ndi mtundu wa 1 shuga: ma cell a β amakhudzidwa, kupanga kwa insulin kumachepa. Popita nthawi, insulin kukana minofu ukuwonjezeka, zomwe zimachitika kwa mtundu II matenda ashuga. Zizindikiro za Steroid DiabetesChithunzi cha chipatala chikuyimiriridwa ndi matenda a matenda ashuga - polydipsia, polyuria ndi kutopa. Mwambiri, zizindikiro sizimatchulidwa kwenikweni kuposa mtundu wa 1 shuga. Odwala amawona kuwonjezeka kwa ludzu, pakamwa lowuma kosalekeza. Kuchuluka kwa madzimadzi omwe amamwa kumawonjezeka kangapo, mpaka malita 4-8 patsiku. Mkuntho sutha ngakhale usiku. Kulakalaka kumakulitsidwa, kulemera kumakhalabe chimodzimodzi kapena kumawonjezeka. Yesetsani kukodza. Malita atatu a mkodzo amachotsedwa patsiku; enursis amakula ana ndi okalamba. Odwala ambiri amadwala matenda osowa tulo, amakhala otopa masana, sangathe kulimbana ndi zochitika zawo, komanso kugona. Kumayambiriro kwa matendawa, Zizindikiro zimachuluka msanga, monga matenda amitundu 1: kukhala bwino, kupweteka mutu, kusokonekera, kutentha kwayamba. Njira yayitali ya matendawa imayendera limodzi ndi mawonekedwe a kuyabwa kwa pakhungu ndi mucous nembanemba. Nthawi zambiri pamakhala zotupa, zotupa, mabala samachiritsa kwa nthawi yayitali. Tsitsi limakhala louma, misomali imakhala yowonjezera ndikusweka. Kuwonongeka kwa magazi ndi kufalikira kwamanjenje kumawonetsedwa ndi kuphwanya kwa miyendo, miyendo, kumva thukuta, kuwotcha komanso kutentha m'miyendo, nthawi zambiri kumilingo. MavutoHyperglycemia yomwe imatenga nthawi yayitali imayambitsa matenda a shuga - kuwonongeka kwa ziwiya zazikulu ndi zazing'ono. Kusokonezeka kozungulira mu ma capillaries a retina kumawonetsedwa ndi kuchepa kwa masomphenya - matenda ashuga retinopathy. Ngati minyewa yolumikizana ndi impso ikuvutikira, ndiye kuti ntchito yake yosefaipa imakulirakulira, kutupa kumachitika, kuthamanga kwa magazi kumadzuka ndipo matenda a shuga amayamba. Zosintha m'matumbo akuluakulu zimayimiridwa ndi atherosulinosis. Zilonda zoopsa kwambiri zam'matumbo a mtima ndi m'munsi. Kusagwirizana kwa ma electrolyte komanso kusakwanira kwa magazi ku minyewa yamanjenje kumayambitsa chitukuko cha matenda ashuga. Itha kuwonetsedwa ndi kukhudzidwa, dzanzi la miyendo ndi zala m'manja, kulakwitsa kwa ziwalo zamkati, kupweteka kwamitundu yosiyanasiyana. ZizindikiroOmwe ali pachiwopsezo chotenga mtundu wa matenda amtundu wa sodium ndi anthu omwe ali ndi hypercorticism ya ambulera. Kafukufuku wambiri wamagulu a glucose kuti adziwe hyperglycemia amawonetsedwa kwa odwala omwe ali ndi matenda a Cushing, zotupa za adrenal, anthu omwe amamwa mankhwala a glucocorticoid, thiazide diuretics, kulera kwa mahomoni. Kuunika kwathunthu kumachitika ndi endocrinologist. Njira zofufuzira mwapadera ndizophatikiza:
Chithandizo cha Matenda a SteroidEtiotropic chithandizo ndikuchotsa zomwe zimayambitsa hypercorticism. Nthawi yomweyo, njira zomwe zimapangidwira kubwezeretsa ndikusunga Normoglycemia, kukulitsa chidwi cha minyewa mpaka kuchitapo kanthu ka insulin, ndikulimbikitsa ntchito ya preserved-cell yomwe ikusungidwa ikuchitika. Ndi njira yophatikizidwa, chisamaliro chachipatala cha odwala chimachitika m'mbali zotsatirazi:
Zotsogola ndi kupewaMatenda a Steroid, monga lamulo, amapitilira modekha ndipo ndi osavuta kuchiza kuposa matenda ashuga amtundu woyamba ndi wachiwiri. Kukula kwake kumadalira zomwe zimayambitsa kukula kwa hypercorticism, nthawi zambiri zimakhala zabwino. Kupewa kumatengera chithandizo chanthawi komanso chokwanira cha matenda a Cushing komanso matenda a adrenal chotupa, kugwiritsa ntchito moyenera glucocorticoids, thiazide diuretics komanso njira yolerera pakamwa. Anthu omwe ali pachiwopsezo ayenera kuwunika magazi a magazi pafupipafupi. Izi zimakuthandizani kuzindikira zovuta zamatenda a carbohydrate pamlingo wa prediabetes, sinthani chithandizo chachikulu, yambani kutsatira mfundo zamagulu azakudya. Zizindikiro za Steroid DiabetesMonga tanena kale, zizindikiritso za njira iyi zilibe tanthauzo lililonse. Komabe, monga lamulo, iwo samawonetsedwa mochuluka kwambiri monga mtundu 1 kapena shuga 2. Choyamba, wodwala amalipira chidwi chifukwa choti ludzu lake lakula. Kuchuluka kwa zakumwa zakumwa patsiku kumachuluka kwambiri, nthawi zina kumafika malita asanu kapena kupitirira. Komabe, ngakhale amamwa kwambiri, pakamwa pouma kuli ngati osafooka. Poyerekeza ndi zakusokonezekazo zomwe zikuchitika, chizindikiro monga kukakamiza kovutirapo chikuwonjezeredwa. Kuchuluka kwa mkodzo watsiku ndi tsiku kumafikira atatu kapena anayi malita. Muubwana, kukonzekera mosadzipereka usiku ndikotheka. Wodwalayo amadandaula za kutopa, kugona komanso kusakhazikika. Kulakalaka kwake kumakula, koma kulemera kwake kumakhalabe kosasintha. Nthawi zambiri chithunzi cha chipatala chimathandizidwa ndi mutu. Zizindikiro zamakhalidwe zimadziwikanso kuchokera kumbali yamawonekedwe. Khungu la wodwala limakhala louma kwambiri. Mbale misomali exfoliate ndi kuthyoka, ndipo tsitsi limatuluka. Nthawi zambiri pamakhala zovuta zowoneka m'munsi kapena m'munsi.
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