Matenda a shuga

Amakhala ngati gawo lalikulu la okosijeni, chifukwa chake ma anesthetists amawagwiritsa ntchito kuti apange chubu chapadera chopumira, koma ndi shuga wambiri wodwalayo amatha kukhala ndi "aticular syndrome ".

Popanga khosi ndi chibwano chamunthuyo, amatha kusokoneza njira yoyambitsa ndi kukhazikitsa chubu chofunikira.

Chiwopsezo cha kusangalala

Zomwe zili m'mimba (acid kapena chakudya) zikasunthira kumtunda ndikutha kulowa mu trachea ndi mapapu, kusangalala kumachitika.

Anthu odwala matenda ashuga nthawi zambiri amadwala gastroparesis (njira yochotsa m'mimba pang'onopang'ono), ndipo izi zimawonjezera ngozi zomwe asidi kapena chakudya chimatha kulowa m'mapapu ndikuwongolera kuwonongeka kapena chibayo.

Opaleshoni ya matenda ashuga ndi mtima

M'malo mwake, kudwala kumene kumakulitsa chiopsezo cha matenda amtima pafupipafupi, nthawi zambiri odwala amakhala ndi vuto lodana ndi kuwonongeka kwa mtima, kuwonjezera apo, odwala matenda ashuga nthawi zonse samakhala ndi zisonyezo zosonyeza matenda ena amtima. Zonsezi zimawonjezera chiopsezo cha zovuta za postoperative ndi magwiridwe antchito: kugunda kwamtima, arrhythmia, ischemia, kumangidwa kwamtima ndi ena.

Kuti achepetse, wodziwika bwino woganiza bwino azitsatira mosamala zikwangwani zazikulu ndikuyang'anira ECG.

Anesthesia ndi "matenda a shuga"

Zotheka kuti odwala matenda a shuga azikhala ndi nephropathy, ndipo zonse chifukwa cha glucose wambiri, impso zimapanikizika kwambiri. Zovuta zomwe zimachitika mu ntchito ya thupi zimasintha kagayidwe, ma pinkiller ena sangatulutsidwe bwino m'thupi, momwe mankhwala ena angakhalire atha kukhala osadalirika.

Popeza impso zimayang'anira kuchuluka kwa ma elekitirodi, monga calcium, sodium ndi potaziyamu, kusintha kosinthika kapena malamulo osayenera a zinthu izi kumatha kubweretsa zotsatira zoyipa - zonsezi zimayenera kukumbukiridwa pakugwira ntchito.

Hypoglycemia ndi hyperglycemia

Mavuto ambiri amatha chifukwa cha shuga m'magazi, chifukwa, pambuyo pake, amatha kukhala otsika kwambiri kapena, m'malo mwake, apamwamba, kuyankha kwa thupi pakukhumudwa pambuyo pakuchita opaleshoni kungakhale kungowonjezera kwake. Hypoglycemia imayambitsa zovuta zina ndi chidwi, kusintha momwe amaganizira kapena kuchuluka kwa chikumbumtima, motero chifukwa chogwira ntchito pambuyo pake imatha kusokonezeka ndi zovuta za mankhwala kapena sitiroko.

Mulimonse momwe zingakhalire, wopeza mankhwala ayenera kudziwa zovuta ndi zovuta zonse ndikhale wokonzekera kuthana nazo.

Ntchito yaung'ono

Matenda a matenda ashuga a Mtundu 1 omwe ali ndi vuto losakwanitsa la glucose amachepetsa kugwira ntchito kwamapapu ndipo amatha kutengeka ndi zovuta monga chibayo. Kunenepa kwambiri mwa anthu ambiri odwala matenda ashuga a 2 kungathenso kuthana ndi mavuto am'mapapu ndi oksijeni atatha opaleshoni. Kafukufuku adawonetsanso kuchuluka kwapamwamba kwambiri kwa odwala omwe ali ndi matenda ashuga pambuyo pake.

Kusokonezeka kwa mitsempha

Chifukwa cha kukanika kwa mitsempha, kuvulala kokhudzana ndi kuyika pagome la opaleshoni ndikofala, izi zimapezeka kwa odwala matenda a shuga. Anthu odwala matenda ashuga amakhala ndi zilonda zam'mimba komanso matenda, makamaka miyendo ndi zala, m'malo omwe amakhala osokonezeka chifukwa cha kusokonezeka kwa mitsempha. Tsambali, buku labwino kwambiri lonena za opaleshoni ya thupi, limalemba kuti maderawa ayenera kutetezedwa mosamalitsa pomwe wodwala yemwe ali ndi matenda ashuga samatha kudziwa komwe ali.

Autonomic neuropathy

Kuwonongeka kwa dongosolo lamagetsi la autonomic kumatanthauza kuti kusintha kwa kugunda kwa mtima, phokoso komanso kuthamanga kwa magazi kungakhale kofunikira komanso kovuta kwambiri kuchiza. Apanso, opaleshoni amadziwa mavuto awa ndipo amakhala okonzeka kuthana nawo.

Kukonzekera wodwalayo kuti achite opareshoni

Chachikulu ndichakuti odwala omwe akuchitapo kanthu, ndipo makamaka kwambiri, amafunika kuyesedwa kwa shuga! Odwala asanalowe m'mimba amafunika insulin. Njira zochizira ndizovomerezeka. Tsiku lonse, wodwala amayenera kulowa mankhwalawa katatu mpaka kanayi. M'mavuto akulu komanso odwala matenda ashuga, kupatsirana insulini ndikololedwa. Kuyang'anira shuga wa magazi mosamala tsiku lonse kumafunika.

Ndikosatheka kugwiritsa ntchito insulin pokonzekera nthawi yayitali. Jakisoni imodzi ya insulin yochita pakati usiku imaloledwa. Chenjezo ili chifukwa chakuti opaleshoni isanachitike, kusintha kwa mankhwalawa ndikofunikira. Ndipo, ndichachidziwikire, muyenera kumayeza miyezo ya glucose nthawi zonse.

Zakudyazo zimayikidwa poganizira matenda omwe amachitidwa opereshoni. Poletsa kukula kwa acidosis, wodwalayo amakhala ochepa mafuta. Ngati palibe contraindication, ndiye kuti kuchuluka kwakukulu kumayikidwa (madzi amchere ndi abwino kwambiri).

Ngati opaleshoni yakhazikitsidwa pambuyo pake pomwe wodwala sangaloledwe kudya mwachizolowezi, theka la insulin imaperekedwa nthawi yomweyo isanachitike opareshoni. Pambuyo pa theka la ora, muyenera kulowa yankho la shuga (mamililita 20 mpaka 40 pazowonjezera 40%).

Ndiye yankho la shuga peresenti zisanu limatsitsidwa. Anesthesia nthawi zambiri imathandizira pakufunika kwa insulini, chifukwa chake muyenera kusamala kwambiri pokonzekera wodwalayo asanamuchitire opareshoni.

Werengani komanso Chithandizo cha Matenda Aakulu

Zakudya musanachite opareshoni zimatengera malangizo:

Amachepetsa calorie kudya
kudya pafupipafupi (mpaka kasanu ndi kamodzi patsiku),
kupatula aliyense wa ma sekereji,
mafuta okwanira kudziletsa
kuletsa zakudya zamafuta a cholesterol,
kuphatikiza pazakudya zomwe zimakhala ndizakudya
kupatula mowa.

Kuwongolera kwa hemodynamic pathologies ndikofunikira. Inde, odwala omwe ali ndi matendawa amawonjezera mwayi wokhala ndi vuto la mtima. Odwala omwe ali ndi matenda ashuga, mtundu wosapweteka wamatenda a mtima ndiwotheka kangapo.

Njira zomwe munthu angakonzekere opaleshoni ndi:

milingo yabwinobwino kapena yapafupi ndi shuga (mwa odwala omwe ali ndi vuto lalitali, zizindikiro zotere siziyenera kupitirira 10 mmol),
Kuthetsa kwa glucosuria (shuga mkodzo),
kuthetsa kwa ketoacidosis,
kusowa kwa mkodzo acetone,
Kuchotsa matenda oopsa.

Opaleshoni ya shuga

Pali nthawi zina pomwe wodwala amafunikira kuchitidwa opaleshoni yoyipa chifukwa cha matendawo. Pankhaniyi, opaleshoni imalembedwa motsutsana ndi maziko azinthu zomwe cholinga chake ndi kuchotsa ketoacidosis. Izi zitha kuchitika pokhapokha ngati pali mitundu yayikulu ya insulin. Kukhazikitsidwa kwa alkalis ndikosayenera, chifukwa kumabweretsa zotsatirapo zovutazo:

kuchuluka kwa hypokalemia,
intracellular acidosis,
kuchepa kwa magazi a calcium,
hypotension
ngozi ya matenda otupa.

Sodium bicarbonate ikhoza kuperekedwa kokha ndi kuchuluka kwa magazi a acid pansipa 7.0. Ndikofunika kuonetsetsa kuti mpweya wokwanira wa okosijeni uzikhala. Mankhwala othandizira antibiotic amadziwika, makamaka ngati kutentha kwa thupi kumakwezedwa.

Ndikofunikira kuperekera insulini (yothandizanso kupindika), poyang'anira kuchuluka kwa shuga. Insulin yomwe imatenga nthawi yayitali imaperekedwanso, koma glycemic control iyenera kuyang'aniridwa.

Opaleshoni ndi Nephropathy

Nephropathy ndiyomwe imayambitsa kulemala komanso kufa kwa odwala omwe ali ndi matenda ashuga. Zimachitika makamaka chifukwa cha vuto losakhazikika mu mawonekedwe amachitidwe amadzimadzi am'maso. Pamaso pa opaleshoni, ndikofunikira kuthetsa kukanika kwa impso momwe mungathere. Njira zochizira zimaphatikizapo mfundo zingapo.

Kuwongolera kwa metabolism ya carbohydrate (iyenera kuphatikizidwa mosamala ndi mankhwala a insulin, popeza aimpso insulinase imaponderezedwa ngati kulephera kwa impso kumachitika, ndipo kufunika kwa mahomoni awa kumachepa).
Kukonza mokwanira komanso kuwongolera kuthamanga kwa magazi.
Kutha kwa matenda oopsa a glomerular (ACE inhibitors ndi mankhwala).
Zakudya zokhala ndi choletsa cha protein (chokhudza proteinuria).
Kuwongolera zamavuto amafuta a metabolism (ndikofunikira kuchita kugwiritsa ntchito mankhwala oyenera).

Njira zoterezi zimapangitsa kuti zitheke kugwira bwino ntchito komanso nthawi ya ntchito pambuyo pa odwala omwe ali ndi zovuta za matenda ashuga.

Zina za matenda a shuga

Mukamachita opaleshoni, ndikofunikira kwambiri kuwongolera kuchuluka kwa glycemia, magawo oyenera amasankhidwa kwa wodwala aliyense payekhapayekha. Sikoyenera kuyeserera kuphatikiza kwathunthu, chifukwa hypoglycemia ndiowopsa kwambiri kuposa hyperglycemia.

Werengani komanso Kodi buku la diabetes lomwe limayang'ana pawokha ndi iti?

Poyerekeza ndi maziko amakono a opaleshoni yamakono, Zizindikiro zakuchepa kwa shuga zimatsukidwa kapena kupotozedwa kwathunthu. Makamaka, zinthu monga kukwiya, chikomokere, komanso kukhudzika sizimawoneka. Kuphatikiza apo, pa mankhwala othandizira, hypoglycemia ndi yovuta kusiyanitsa ndi operewera. Zonsezi zikusonyeza kuti wopanga mankhwala amafunika kudziwa zambiri komanso kusamala pakayang'aniridwa ndi opaleshoni.

Mwambiri, munthu amatha kusiyanitsa zoterezi.

Pa opaleshoni, shuga ndi insulin iyenera kuperekedwa, kutengera kuopsa kwa matendawa. Kuwongolera kwa shuga kuyenera kukhala kosalekeza: kuwonjezera kwake kumakonzedwa ndi jakisoni wa insulin.
Kumbukirani kuti mankhwala omwe amapezeka chifukwa cha mankhwala ochititsa dzanzi kuwonjezera glycemia.
Wodwala amatha kubayidwa ndi mankhwala opaleshoni yam'deralo: amakhudza pang'ono glycemia. Intravenous opaleshoni imagwiritsidwanso ntchito.
Onetsetsani kuti mukuyang'anitsitsa kuchuluka kwa maopaleshoni.
Opaleshoni wamba amatha kugwiritsidwa ntchito ndikuthandizira kwakanthawi kochepa.
Onetsetsani kuti mwawunika hemodynamics: odwala samalola kuponya kukakamizidwa.
Pogwiritsa ntchito nthawi yayitali, mankhwala osokoneza bongo amatha kugwiritsidwa ntchito: amathandizira shuga.

Zopanda malire kwathunthu

Mndandandawu uli ndi zofunikira. Nthawi zina, monga tafotokozera pamwambapa, mankhwala ochititsa manyazi amagwiritsidwa ntchito ngakhale atakhalapo. Timayika zomwe zimapangitsa kuti pakhale opaleshoni:

Wodwala ali ndi matenda monga mphumu ya bronchial mu mawonekedwe akulu kapena opita patsogolo. Vutoli limalumikizidwa mwachindunji ndi chiwopsezo cha laryngeal intubation yokhala ndi opaleshoni yakuya. Kuchita izi kumatha kupangitsa kutsekeka kwa glottis kapena mawonekedwe a bronchospasm, owopsa pamoyo wamunthu. Ichi ndichifukwa chake mphumu ya bronchial ndi opaleshoni wamba ndizophatikiza zowopsa.
Chibayo Pambuyo pa opaleshoni, mapapu a edema amatha kupezeka pamenepa.
Matenda akulu a mtima. Izi zimaphatikizapo kulowetsedwa kwa myocardial, komwe kumavutika kale kuposa miyezi isanu ndi umodzi, kulephera mtima, komanso kulephera mtima. Wotsirizirayi nthawi zambiri amakhala ndi thukuta lalikulu, kutupa komanso kupumira movutikira. Fibrillation ya Atgency, momwe kuchuluka kwa mtima kumafikira kugunda zana pa mphindi, kumatanthauzanso zochitika zosavomerezeka.
Khunyu, schizophrenia ndi matenda ena amisala ndi mitsempha. Zoyipa zotsimikizira matendawa zimagwirizanitsidwa ndi kusadalirika komwe wodwala amagwiritsa ntchito mankhwala ochita kupanga.
Kwa okakamiza kwakanthawi, koma mwamtheradi, pomwe opaleshoni ya opaleshoni nthawi zambiri sachitidwa, ndi mkhalidwe woledzera kapena uchidakwa. Zowonadi apa ndikuti ma anesthetics sangathe kugwira ntchito, motero njirayi ndiyosatheka. Kuchita opaleshoni kwa wodwala pakumwa zakumwa zoledzeretsa kapena mankhwala osokoneza bongo amatha kuchitika kokha pambuyo poti thupi lipatsidwe kwathunthu. Nthawi zambiri pamenepa, thandizo la narcologist ndilofunikira. General opaleshoni imagwiritsidwa ntchito kwa odwala omwe ali ndi vuto la zakumwa zoledzera kapena mankhwala osokoneza bongo pokhapokha pazifukwa zamwadzidzidzi. Komabe, pankhaniyi, milingo yayikulu ya anesthetics ndi narcotic analgesics imalowetsedwa m'thupi, zomwe pambuyo pake zingayambitse zotsatira zosayembekezereka.

Tikulimbikitsanso kuwerengera: Choonadi chonse chokhudza kugona

Kodi ndizotheka kuchitira opaleshoni ya shuga

Munthu aliyense pamoyo wake akhoza kukumana ndi vuto lothandizira opaleshoni. Pakati pa odwala matenda ashuga, malinga ndi ziwerengero, sekondi iliyonse imakumana ndi izi. Ziwerengero zokhudzana ndi matenda a shuga sizabwino: matendawa akuchulukirachulukira ndipo anthu 10 aliwonse ku Russia ali kale ndi matendawa.

Mtundu wa vuto

Choyipa sichomwe chimangokhala chokha, koma zotsatira zake komanso moyo wovuta womwe umakhalapo.

Matenda a shuga enieni sangakhale cholakwika kuchititsa, koma kukonzekera kwapadera kwa wodwala koteroko kumafunikira. Izi zikugwira ntchito kwa wodwala iye mwini ndi antchito.

Zochita zadzidzidzi zimachitika, mwachidziwikire, chifukwa chaumoyo, koma ndi zomwe zakonzedwa, wodwalayo ayenera kukhala okonzekera.

Komanso, nyengo yonse isanachitike, munthawi ya opaleshoni ya shuga komanso pambuyo pa opaleshoni ya shuga imakhala yosiyana kwambiri ndi ya anthu athanzi. Chiwopsezo ndikuti machiritso amapezeka mu odwala matenda ashuga ovuta komanso pang'ono pang'onopang'ono, nthawi zambiri amapereka zovuta zingapo.

Kodi chofunikira ndi chiyani pokonzekeretsa wodwala matenda ashuga?

Opaleshoni imachitidwa nthawi zonse chifukwa cha matenda ashuga, koma malingana ndi mikhalidwe ina, chachikulu chomwe ndicho kubwezera komwe kumayambitsa matendawa. Popanda izi, zomwe zakonzedwa sizingachitike. Zilibe kanthu zadzidzidzi mu opaleshoni.

Kukonzekera kulikonse kumayambira ndi muyezo wa glycemia. Chotsimikizika chokhacho chamankhwala amtundu uliwonse wa opaleshoni ndicho vuto la matenda a shuga. Kenako wodwalayo amachotsedwa kale pamkhalidwewu.

Ndi shuga yolipidwa komanso kuchuluka kochepa ka ntchito, ngati wodwala alandila PRSP, kusamutsa insulin panthawi yolowerera sikofunikira.

Pogwira ntchito yaying'ono yothandizidwa ndi mankhwala a kuchipatala komanso mankhwala a insulini kale, mankhwalawo amasintha.

M'mawa, amapatsidwa insulin, amadya chakudya cham'mawa ndipo amapititsidwa kuchipinda chogwiritsira ntchito, ndipo maola awiri pambuyo povomerezeka nkhomaliro. Pogwiritsa ntchito kwambiri komanso pamankhwala pamimba, ngakhale mutalandira chithandizo chamankhwala osagonekedwa, wodwalayo amapatsidwa jakisoni wa insulin molingana ndi malamulo onse a nthawi yake.

Nthawi zambiri, insulin imayamba kutumikiridwa katatu patsiku, komanso mitundu yosakhazikika ya matenda ashuga, kasanu. Insulin imayendetsedwa mosavuta, mosaganizira, osakhalitsa. Nthawi yomweyo, kuyang'anira glycemia ndi glucosuria tsiku lonse ndikofunikira.

Kutalika sikumagwiritsidwa ntchito chifukwa ndikosatheka kuwongolera glycemia molondola komanso kuchuluka kwa timadzi timene timatulutsa pa nthawi ya opaleshoni komanso munthawi yokonzanso. Ngati wodwala alandila biguanides, amathetsedwa ndi insulin.

Izi zimachitika kupatula chitukuko cha acidosis. Pazifukwa zomwezi, atachitidwa opaleshoni, zakudya zimalembedwa nthawi zonse: zakumwa zamchere zambiri, kuchepetsa kapena kuthetsa mafuta odzaza, mowa ndi mashuga aliwonse, mankhwala okhala ndi cholesterol.

Kalori yafupika, kudya kumaphwanyidwa mpaka katatu patsiku, CHIKWANGWANI chimakhala chovomerezeka mu chakudya. Chisamaliro chachikulu chiyenera kuperekedwa kwa magawo a hemodynamic pokhudzana ndi kuwonjezeka kwa mwayi wopanga MI.

Zowoneka zowoneka bwino ndikuti mu odwala matenda ashuga nthawi zambiri amakula popanda mawonekedwe owawa. Mayeso okonzekera ntchito: shuga m'magazi, mwa odwala omwe ali ndi vuto lalitali - osapitirira 10 mmol / l, kusowa kwa zizindikiro za ketoacidosis ndi glucosuria, acetone mu mkodzo, matenda a kuthamanga kwa magazi.

Zolemba za opaleshoni ya odwala matenda ashuga

Anthu odwala matenda ashuga samalola kuchepa kwa kuthamanga kwa magazi, chifukwa chake kuwunika ndikofunikira. Anesthesia ndibwino kuti mugwiritse ntchito pazodwala zambiri, pomwe palibe chiopsezo cha hyperglycemia. Odwala amalekerera bwino kwambiri mankhwala oterewa.

M'matumbo akulu ochita opaleshoni yam'mimba yomwe imagwiritsidwa ntchito pochita opaleshoni ya m'mimba, pamene zakudya sizichotsedwa pakumachitika opareshoni komanso isanachitike, pafupifupi ½ yam'mawa ya insulin imaperekedwa asanachitidwe opaleshoni.

Hafu ya ola zitatha, 2040 ml ya glucose 40% yankho limayendetsedwa kudzera m'mitsempha, ndikutsatiridwa kosagwiritsa ntchito shuga 5%. Kenako, mlingo wa insulin ndi dextrose umasinthidwa molingana ndi mseru wa glycemia ndi glucosuria, womwe umatsimikiziridwa ola limodzi ngati nthawi ya opareshoni imaposa maola 2.

Pochita opaleshoni, shuga m'magazi amayang'aniridwa mwachangu, ndizovuta kutsatira njira ya insulini, imayikidwa molingana ndi kuchuluka kwa shuga m'magazi ndi mkodzo, pomwe pakuchita opareshoni, kuyang'ana pa ola limodzi ngati nthawi ya opareshoni imaposa maola awiri.

Ngati matenda a shuga ayamba kupezeka, chidwi cha wodwalayo cha insulin chimatsimikizika. Ndi kuwonongeka kwa shuga ndi zizindikiro za ketoacidosis muzochitika zadzidzidzi, njira zimatengedwa kuti zithetse njirayo. Zomwe zakonzedwa - opareshoni imayimitsidwa.

Ndi mankhwala ochititsa dzanzi, kupsinjika kwa metabolism kumachitika m'thupi la munthu aliyense, ndipo kufunika kwa insulin kumawonjezeka. Ndikofunikira kukwaniritsa dziko lokhazikika, chifukwa chake, insulin ikhoza kutumikiridwa 2-6 patsiku.

Nthawi yogwira ntchito

Nthawi imeneyi iyenera kuyang'aniridwa ndi madokotala makamaka mosamala, imatsimikiza zotulukapo ndikuwonjezereka kwa zochitika. Kuwongolera shuga kumayenera kuchitika ola limodzi.

Pambuyo pa opaleshoni, ngati wodwala walandila kale insulin, sangathe kuimitsidwa. Izi zimayambitsa acidosis. Pambuyo pakuchita opaleshoni, mumafunikanso kuyesa kwamkodzo tsiku lililonse kwa acetone.

Ngati matendawa akhazikika ndipo matenda ashuga akadalipira, patatha masiku 3-6, wodwalayo amamuthandizira insulin.

Msoko pambuyo pakuchita opaleshoni ya odwala matenda ashuga amachiza kwa nthawi yayitali kuposa momwe anthu athanzi. Itha kuyabwa, koma simungathe kuzisokoneza. Zakudya pambuyo pakuchita opaleshoni zimangowononga.

Insulin imatha kuchotsedwa ndikusamutsidwira kukonzekera kwa sulfonylurea pokhapokha mwezi umodzi, kapena, m'malo ovuta kwambiri, masabata atatu pambuyo pa kulowerera. Koma nthawi yomweyo, chilondacho chikuyenera kuchira, popanda kutupa.

Nthawi zambiri zimachitika kuti kukhala ndi mtundu wotsika wa matenda ashuga, pambuyo podzinyenga kwa maopaleshoni, wodwalayo amalandira mawonekedwe otseguka omwe adamupangisa kale.

Chifukwa chake, mfundo zazikulu za opaleshoni yamatenda a shuga ndi izi: kukhazikika kwachangu kwambiri kwa vutoli, chifukwa opaleshoniyo singachedwe chifukwa cha kupitirira kwa matenda, zochitika mu chirimwe ziyenera kupewedwa, nthawi zonse zophimbidwa ndi maantibayotiki. Kodi ndingandipangirepo opaleshoni yamatenda a 2 shuga? Ndi matenda a shuga amtundu uliwonse, kukonzekera kuli chimodzimodzi.

Kukonzekera: glycemia iyenera kukhala mayunitsi 8-9, omwe ali ndi matenda osakhalitsa 10 mayunitsi. Mtundu wachiwiri uyenera kukhalanso ndi magazi a N, mkodzo suyenera kukhala ndi acetone ndi shuga.

Pafupipafupi opaleshoni matenda a matenda ashuga

Opaleshoni ya pancreatic imachitidwa ngati mitundu ina ya mankhwalawa siyothandiza kapena yosatheka.

Zowopsa kwa wodwalayo chifukwa cha kusokonezeka kwakukuru kwa metabolism, zovuta zazikulu za matenda ashuga, palibe zotsatira kuchokera ku chithandizo chamankhwala, simungachite jakisoni wa insulin.

Ngati palibe ma concomitant pathologies, patatha tsiku opanikizika opanikizika amayamba kugwira ntchito mwachizolowezi. Kukonzanso kumatenga miyezi iwiri.

Ntchito za Ophthalmologic

Nthawi zambiri ndi chidziwitso cha matendawa, matenda ashuga retinopathy komanso odwala matenda ashuga amapanga - kuwonetsa ma mandala amaso. Pali chiopsezo cha kutayika kwathunthu kwa masomphenya ndipo kusinthasintha kwa njira ndi njira yokhayo yochotsera izi. Kutalika kwamatumbo mu shuga sikungayembekezeredwe. Popanda njira yoyezera, kuchuluka kwatsoka kwa cataract kumakhala kotsika kwambiri.

Pakukhazikitsa njira yayikulu, zotsatirazi ziyenera kukwaniritsidwa: kulipiritsa anthu odwala matenda ashuga ndi shuga wamagazi, kutayika kwa osaposa 50%, palibe njira zina zotsimikizirika zomwe zingachitike.

Ndikwabwino kuti musachedwe opaleshoni yamatumbo ndikuvomera nthawi yomweyo, chifukwa imayamba ndi chitukuko cha khungu pamene matenda ashuga a m'mimba amachitika.

Makatoni sachotsedwa ngati:

masomphenyawo atayika kale
Matenda a shuga sawalipiridwa,
pamabala a retina,
pali neoplasms pa iris; pali matenda amtundu wa kutupa.

Ndondomeko ili ndi phacoemulsification: laser kapena ultrasound. Chinsinsi cha njirayi: 1 yaying'ono yaying'ono imapangidwa mu mandala - kuboola komwe ndolo yake imaphwanyidwa momwe tafotokozera pamwambapa.

Ndi kuboola kwachiwiri, zidutswa za mandala ndizofunikira. Kenako mandala okumba, alenje lanyama, amabweretsedwa kudzera m'mitundu yomweyo. Ubwino wa njirayi ndikuti mitsempha yamagazi ndi minofu sizivulala, palibe seams yomwe ikufunika.

Kudzinyenga kumawoneka ngati kwatulukira posakhalitsa sikofunikira. Masomphenyawa amayambiranso masiku awiri.

Kugwiritsa ntchito madontho amaso, ngakhale kumayambiriro kwa matendawa, sikungathetse vutoli, pakadali pano kupita patsogolo kwa njirayi kumayimitsidwa.

Kukonzekera ndi mfundo zake sizosiyana ndi zochitika zina. Kuchita kotereku m'matenda a shuga ndi m'gulu la zopweteka pang'ono. Nthawi zambiri, matenda a pathology amakula mwa achinyamata a zaka zogwira ntchito, pomwe mwayi wazotsatira zabwino ukuwonjezeka.

Njira yolowerera imatenga mphindi 10 mpaka 30, mankhwala oletsa ululu amayikidwa, khalani kuchipatala osaposa tsiku limodzi. Mavuto ndi osowa. The ophthalmologist nthawi zonse amagwira ntchito limodzi ndi endocrinologist.

Opaleshoni ya pulasitiki

Nthawi zambiri pamakhala kufunikira kapena kufuna pulasitiki. Opaleshoni yapulasitiki nthawi zonse imakhala yosadalirika ngakhale kwa anthu athanzi.

Madokotala safuna kutengera wodwala wotere. Ngati mukukumana ndi dokotala yemwe avomera kuwongolera popanda kuyesa mayeso, izi sizabwino konse. Ndi kafukufuku wamtundu wanji amene amafunikira? Kuyesedwa ndi endocrinologist, Optometrist, katswiri wamkulu, zamankhwala am'mwazi, mkodzo ndi magazi pakupezeka kwa matupi a ketone, magazi a VSK ndi Hg. Mosamala muzochitika zotere - choyamba!

Ntchito za matenda ashuga

Izi zikuphatikizira otchedwa opaleshoni ya metabolic - i.e. Zizindikiro zakuthandizira kwa dokotalayo ndikukonza kwa matenda a metabolic omwe ali ndi matenda ashuga. Zikatero, "opaleshoni ya m'mimba" imachitidwa - m'mimba imagawidwa m'magawo awiri ndipo matumbo ochepa amazimitsidwa.

Uwu ndi opareshoni Na. 1 mu mtundu 2 wa matenda ashuga.

Zotsatira zakuchita opaleshoni ndizomwe zimapangitsa kuti glycemia, kuchepa thupi kuzungulira kwakhazikika, kulephera kudya mopepuka, chifukwa chakudya chidzalowa mu leum, kudutsa chaching'ono.

Njirayi imawonedwa kuti ndiyothandiza, 92% ya odwala sakutenganso PSSP. 78% ali ndi chiwombolo chonse. Ubwino wa kuwongolera koteroko mwakuti sikuwoneka mopepuka kumachitika pogwiritsa ntchito laparoscopy.

Njira zotupa ndi zoyipa zimachepetsedwa. Palibe mabala ndipo nthawi yakonzanso imafupikitsidwa, wodwalayo amatulutsidwa mwachangu.

Pali zikuwonetsa opaleshoni yodutsa apa: zaka 30-65 zaka, zovuta za insulini siziyenera kukhala zaka zopitilira 7, zovuta za shuga 30, mtundu 2 shuga.

Kuchita opareshoni iliyonse yamatenda a shuga kumafuna dokotala woyenera kwambiri.

Mtundu woyamba wa shuga: chithandizo chomaliza cha matenda ashuga Momwe mungathanirane ndi Opaleshoni ya matenda a shuga - ndizosavuta kukhulupirira Opaleshoni yodwala matenda ashuga: kutsegula chotupa, kukakamira,

Kodi ndingathe kuchitira chifuwa cha matenda ashuga?

Matenda a shuga amapezeka motsutsana ndi kuwonongeka kwa makoma a mtima ndi kuchuluka kwa shuga komanso kukula kwa magazi osakwanira, kusungika pafupifupi ziwalo zonse ndi machitidwe.

Kuperewera kwa minofu michere chifukwa cha zovuta pakumwedwa kwa shuga komanso kuchepa kwa chitetezo chokwanira kumabweretsa chitukuko chambiri pafupipafupi pakuchitika kwa opaleshoni. Kuphatikiza apo, njira yochira pambuyo pochita opaleshoni imalephereka ndi kuchira kwapang'onopang'ono kwa mabala a postoperative.

Pankhaniyi, odwala matenda a shuga amafunika njira zapadera zodzikonzera ndi opaleshoni pakuchita opaleshoni.

Kukonzekera opaleshoni ya shuga

Ntchito yayikulu yopewa zovuta pambuyo pakuchita opaleshoni ndikukonza shuga yayikulu kwa odwala omwe ali ndi matenda ashuga. Mwa izi, zakudya zimayendetsedwa makamaka. Malamulo oyamba a chithandizo chamankhwala musanachite opareshoni:

Kuchotsera kwa zakudya zopatsa mphamvu kwambiri.
Zakudya zisanu ndi chimodzi patsiku zazing'ono.
Kutulutsidwa kwa shuga, maswiti, ufa ndi confectionery, zipatso zotsekemera.
Kuchepetsa kwa mafuta a nyama ndi kupatula zakudya zopezeka kwambiri mu cholesterol: nyama mafuta, nyama yokazinga, zakudya, mafuta anyama, mafuta wowawasa zonona, tchizi kanyumba ndi zonona.
Kuletsa zakumwa zoledzeretsa.
Kupindulitsa kwa zakudya ndi michere yazakudya kuyambira masamba, zipatso zopanda zipatso, chinangwa.

Ndi mtundu wocheperako wa shuga kapena kulekerera kwa glucose, chakudya chokhazikika chimatha kukhala chokwanira kuchepetsa shuga m'magazi, nthawi zina, kusintha kwa mankhwala ochepetsa shuga kumachitika. Mapiritsi okhala ndi nthawi yayitali ndi insulin amathetsedwa kwa odwala tsiku lililonse. Kugwiritsa ntchito insulin yayifupi kumasonyezedwa.

Ngati magazi a glycemia aposa 13.8 mmol / l, ndiye kuti magawo 1 - 2 a insulin amalumikizidwa mwachangu ola lililonse, koma otsika kuposa 8.2 mmol / l osavomerezeka kuti azitsitsa chizindikiro. Pokhala ndi shuga yayitali, amawongoleredwa ndi gawo pafupi 9mmol / l komanso kusowa kwa acetone mu mkodzo. Kutupa kwa shuga mumkodzo sikuyenera kupitirira 5% ya chakudya chamagulu mu chakudya.

Kuphatikiza pa kusungirako shuga kwa odwala omwe ali ndi matenda ashuga, amachita:

Chithandizo cha zovuta m'mtima ndi kuthamanga kwa magazi.
Kusamalira impso.
Chithandizo cha matenda a shuga.
Kupewa matenda opatsirana.

Mu matenda a shuga, pali chiopsezo chachikulu chotenga matenda a mtima, matenda oopsa. Zilonda zam'mtima zimatha kukhala mu mtundu wa matenda a ischemic, myocardial dystrophy, mtima neuropathy. Chimodzi mwa matenda a mtima ndi mitundu yosautsa ya mtima, yomwe imawonetsedwa ndi kukhudzika, kusazindikira, kapena kuphwanya mzere wamtima.

M'matenda a mtima, kuperewera kwa mphamvu pachimake kumapita patsogolo kwambiri, ndikupangitsa kufa mwadzidzidzi. Odwala omwe ali ndi matenda ashuga sanawonetsedwe momwe amathandizira odwala beta-blockers ndi othandizira calcium chifukwa chakuwononga kwawo mu chakudya.

Kukonzekera opareshoni ya odwala omwe ali ndi matenda ashuga a mtima, kukonzekera kwa dipyridamole kumagwiritsidwa ntchito - Curantil, Persantine. Zimasintha kufalikira kwa magazi, zimalimbitsa mphamvu ya mtima ndipo nthawi yomweyo imathandizira kusuntha kwa insulin.

Kuchepetsa kuthamanga kwa magazi kwa odwala omwe ali ndi shuga kumakhala kovuta chifukwa cha insulin posunga sodium. Pamodzi ndi sodium, madzimadzi amasungidwa m'thupi, edema ya khoma la chotengera imapangitsa kuti chidwi chake pakuchitika kwa mahomoni a vasoconstrictive. Kuphatikiza apo, kuwonongeka kwa impso mu shuga, kusintha kwa mitsempha m'mitsempha yamagazi komanso kunenepa kwambiri kumawonjezera matenda oopsa.

Kuti muchepetse kupsinjika, ndibwino kuchitira limodzi ndi mankhwala ochokera ku magulu adrenergic oletsa: beta 1 (Betalok), alpha 1 (Ebrantil), komanso ndi angiotensin-kutembenuza enzyme inhibitors (Enap, Kapoten). Kwa anthu achikulire, chithandizo chimayamba ndi diuretics, kuphatikiza ndi mankhwala ochokera m'magulu ena. Katundu wochepetsera kuponderezedwa adadziwika mu Glyurenorm.

Zizindikiro za nephropathy zikawoneka, mchere umakhala wochepa kwa 1-2 g, mapuloteni amtundu wa nyama mpaka 40 g patsiku. Ngati chiwonetsero cha mafuta operewera metabolism sichitha ndi chakudya, ndiye kuti mankhwala amaperekedwa kuti muchepetse cholesterol. Mu diabetesic polyneuropathy, kugwiritsa ntchito kwa Thiogamm kapena Belithion kukuwonetsedwa.

Kukonzekera kwa immunological kumachitidwanso, ndikuwonetsa - mankhwala othandizira.

Nthawi ya opareshoni, amayesa kukhalabe ndi glucose m'magazi, kupewa kuchepa kwake, chifukwa izi zimatha kubweretsa zovuta mu ubongo. N`zosatheka kuyang'ana pa zizindikiro za hypoglycemia pansi pa vuto la opaleshoni. General opaleshoni salola kuti apezeke, chifukwa chake, kuyesedwa kwa magazi kumagwiritsidwa ntchito. Amatenga maola 2 aliwonse.

Mlingo waukulu wa mankhwala oletsa kupweteka, komanso kukhazikika kwawo kwakanthawi kumachepetsa shuga. Chifukwa chake, pakuchita opaleshoni pakuchita opareshoni, shuga ndi insulin zimaperekedwa. Kuchita kwa insulin panthawi ya opaleshoni yotalikirapo kuposa momwe imakhalira, kotero shuga yokhazikika imasinthidwa mwachangu ndi hypoglycemia.

Mukamagwiritsa ntchito mankhwala osokoneza bongo, muyenera kuganizira mphamvu zawo pazakudya zamafuta:

Kupweteka kwamankhwala okhala ndi Ether ndi Fluorotan kumakulitsa shuga.
Ma Barbiturates amalimbikitsa kulowa kwa insulin m'maselo.
Ketamine imathandizira ntchito zapamba.
Zovuta zochepa pa kagayidwe zimapangidwa ndi: droperidol, sodium oxybutyrate, nalbuphine.

Kuchita kwakanthawi kochepa kumachitika pansi pa opaleshoni yam'deralo, mwa odwala opanda nkhawa amatha kupitilizidwa ndi antipsychotic. Pogwira ntchito kumapeto kwenikweni ndi gawo la cesarean, opaleshoni ya msana kapena ya epidural imagwiritsidwa ntchito.

Anesthesia ya matenda a shuga mellitus mwa jakisoni kapena kuyambitsa catheter iyenera kuchitika mikhalidwe yolimba chifukwa cha chiwopsezo cha odwala pakukula msambo.

Kupanikizika kwa magazi sikuthanso kuchepetsedwa kwambiri, chifukwa odwala matenda ashuga samaloleza hypotension. Mwambiri, kupanikizika kumachulukitsidwa ndi madzi amkati ndi ma elekitirodi. Mankhwala a Vasoconstrictor ali osavomerezeka.

Kubwezeretsa kuchepa kwa magazi, musagwiritse ntchito dextrans - Poliglyukin, Reopoliglyukin, popeza agwidwa ndi glucose. Kuwongolera kwawo kungayambitse kwambiri hyperglycemia ndi glycemic coma.

Njira ya Hartman kapena Ringer sagwiritsidwa ntchito, chifukwa kuwachotsa kwa iwo m'chiwindi kumatha kusintha shuga.

Mavuto

Mavuto obwera pambuyo pa odwala omwe ali ndi matenda ashuga amalumikizidwa ndikuti kuchepa kwa magazi, kugwiritsa ntchito mankhwala opha ululu ndi kupweteka pambuyo pa opaleshoni yambitsa kuphatikiza shuga mu chiwindi, mapangidwe a matupi a ketone, ndi kuwonongeka kwa mafuta ndi mapuloteni.

Ndi opaleshoni yayikulu kapena pochita opaleshoni pofuna kuthana ndi zovuta za matenda ashuga, hyperglycemia imatha kukhala yotalikirapo. Chifukwa chake, odwala amawaika m'malo osamalira kwambiri komanso shuga wamagazi, mtima ndi mapapu zimayang'aniridwa maola 2 aliwonse.

Insulin yochita zinthu mwachidule imagwiritsidwa ntchito poletsa ketoacidosis ndi chikomokere. Lowani mkati mwanjira yothetsera shuga 5%. Glycemia imasungidwa pamtunda wa 5 mpaka 11 mmol / L.

Kuyambira tsiku lachisanu ndi chiwiri pambuyo pa opareshoni, mutha kubwezeretsa wodwala ku insulin kapena mapiritsi ochepa kuti muchepetse shuga. Kusinthira pamapiritsi, kumwa kwa mankhwalawa kumathetsedwa choyamba, kenako tsiku lililonse ndipo, pamapeto pake, mlingo wam'mawa.

Kusungitsa kuchuluka kwa glucose m'magazi, kupweteka kokwanira pambuyo pa opaleshoni ndikofunikira. Nthawi zambiri, ma analgesics amagwiritsidwa ntchito pa izi - Ketanov, Nalbufin, Tramadol.

Odwala omwe ali ndi matenda ashuga pambuyo pantchito amalembedwa mankhwala omwe amaphatikiza mitundu iwiri mpaka itatu amagwiritsidwa ntchito. Semisynthetic penicillin, cephalosporins ndi aminoglycosides amagwiritsidwa ntchito. Kuphatikiza pa maantibayotiki, metronidazole kapena clindamycin ndi mankhwala.

Kusakaniza kwa mapuloteni kumagwiritsidwa ntchito pazakudya za makolo, chifukwa kugwiritsa ntchito njira yayitali kwa glucose kumabweretsa hyperglycemia, ndipo kugwiritsa ntchito lipid kusakanikirana kumayambitsa matenda ashuga a ketoacidosis.Kuphatikiza kuchepa kwa mapuloteni, omwe amathanso kuwonjezera kuchuluka kwa shuga m'magazi, zosakaniza zapadera za odwala matenda ashuga - Nutricomp Diabetes ndi Diazon - apangidwa.

Zambiri zamtundu wa mankhwala opatsirana zimaperekedwa mu kanema munkhaniyi.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Kodi ndizotheka kuchitidwa opareshoni ya matenda ashuga: mbali zina za nkhaniyi

Anthu omwe ali ndi matenda a shuga, pamlingo wina kapena wina, amachitidwa opaleshoni. Chiwerengero cha matenda omwe chithandizo cha opaleshoni chikuwonetsedwa ndichachikulu kwambiri.

Komabe, mawonekedwe a kukonzekera wodwala yemwe ali ndi matenda ashuga kuti achite opareshoni, nthawi yake ndi nthawi yothandizira pambuyo pake ndi yosiyana kwambiri ndi anthu athanzi.

Ganizirani za maopaleshoni a shuga.

Kodi magwiridwe antchito ndi ati?

Kumbukirani kuti matendawo sindiwo opondera opareshoni. Komanso, nthawi zina zimachitika malinga ndi kufunikira kofunikira.

Mkhalidwe waukulu wakuchita bwino ndiko kubwezera matendawa. Ndipo chinthu chimodzi: ngakhale zolowera zazing'ono zomwe odwala athanzi amachita pamtunda wosapumira (mwachitsanzo, kuchotsa msomali wotsekeka kapena kutsegula chimbudzi) ziyenera kuchitidwa mu chipinda chopangira opaleshoni.

Ndi chipepeso chochepa cha matenda ashuga, ntchito yomwe idakonzedwa siyingatheke. Choyamba, ayenera kuchitapo kanthu kuti athe kulipira matenda ashuga. Zachidziwikire, izi sizingagwire ntchito ngati opaleshoniyo ikuchitika molingana ndi zofunikira pakuwonetsa.

Chotsutsana kwathunthu ndi kulowererapo ndi kuperewera kwa matenda ashuga. Zikatero, zimachitika mwachangu kuti wodwala amuchotsere. Pambuyo pokhapokha opaleshoni itha kuchitika.

Kukonzekera wodwalayo kuti achite opareshoni

Chachikulu ndichakuti odwala omwe akuchitapo kanthu, ndipo makamaka kwambiri, amafunika kuyesedwa kwa shuga! Odwala asanalowe m'mimba amafunika insulin. Njira zochizira ndizovomerezeka.

Tsiku lonse, wodwala amayenera kulowa mankhwalawa katatu mpaka kanayi. M'mavuto akulu komanso odwala matenda ashuga, kupatsirana insulini ndikololedwa.

Kuyang'anira shuga wa magazi mosamala tsiku lonse kumafunika.

Ngati opaleshoni yakhazikitsidwa pambuyo pake pomwe wodwala sangaloledwe kudya mwachizolowezi, theka la insulin imaperekedwa nthawi yomweyo isanachitike opareshoni. Pambuyo pa theka la ora, muyenera kulowa yankho la shuga (mamililita 20 mpaka 40 pazowonjezera 40%).

Werengani komanso Insulin ndi mitundu yake

Zakudya musanachite opareshoni zimatengera malangizo:

Amachepetsa calorie kudya
kudya pafupipafupi (mpaka kasanu ndi kamodzi patsiku),
kupatula aliyense wa ma sekereji,
mafuta okwanira kudziletsa
kuletsa zakudya zamafuta a cholesterol,
kuphatikiza pazakudya zomwe zimakhala ndizakudya
kupatula mowa.

Njira zomwe munthu angakonzekere opaleshoni ndi:

milingo yabwinobwino kapena yapafupi ndi shuga (mwa odwala omwe ali ndi vuto lalitali, zizindikiro zotere siziyenera kupitirira 10 mmol),
Kuthetsa kwa glucosuria (shuga mkodzo),
kuthetsa kwa ketoacidosis,
kusowa kwa mkodzo acetone,
Kuchotsa matenda oopsa.

Opaleshoni ya shuga

kuchuluka kwa hypokalemia,
intracellular acidosis,
kuchepa kwa magazi a calcium,
hypotension
ngozi ya matenda otupa.

Ndikofunikira kuperekera insulini (yothandizanso kupindika), poyang'anira kuchuluka kwa shuga. Insulin yomwe imatenga nthawi yayitali imaperekedwanso, koma glycemic control iyenera kuyang'aniridwa.

Opaleshoni ndi Nephropathy

Kuwongolera kwa metabolism ya carbohydrate (iyenera kuphatikizidwa mosamala ndi mankhwala a insulin, popeza aimpso insulinase imaponderezedwa ngati kulephera kwa impso kumachitika, ndipo kufunika kwa mahomoni awa kumachepa).
Kukonza mokwanira komanso kuwongolera kuthamanga kwa magazi.
Kutha kwa matenda oopsa a glomerular (ACE inhibitors ndi mankhwala).
Zakudya zokhala ndi choletsa cha protein (chokhudza proteinuria).
Kuwongolera zamavuto amafuta a metabolism (ndikofunikira kuchita kugwiritsa ntchito mankhwala oyenera).

Njira zoterezi zimapangitsa kuti zitheke kugwira bwino ntchito komanso nthawi ya ntchito pambuyo pa odwala omwe ali ndi zovuta za matenda ashuga.

Zina za matenda a shuga

Werengani komanso Stem Cell Diabetes Therapy

Poyerekeza ndi maziko amakono a opaleshoni yamakono, Zizindikiro zakuchepa kwa shuga zimatsukidwa kapena kupotozedwa kwathunthu.

Makamaka, zinthu monga kukwiya, chikomokere, komanso kukhudzika sizimawoneka. Kuphatikiza apo, pa mankhwala othandizira, hypoglycemia ndi yovuta kusiyanitsa ndi operewera.

Zonsezi zikusonyeza kuti wopanga mankhwala amafunika kudziwa zambiri komanso kusamala pakayang'aniridwa ndi opaleshoni.

Mwambiri, munthu amatha kusiyanitsa zoterezi.

Pa opaleshoni, shuga ndi insulin iyenera kuperekedwa, kutengera kuopsa kwa matendawa. Kuwongolera kwa shuga kuyenera kukhala kosalekeza: kuwonjezera kwake kumakonzedwa ndi jakisoni wa insulin.
Kumbukirani kuti mankhwala omwe amapezeka chifukwa cha mankhwala ochititsa dzanzi kuwonjezera glycemia.
Wodwala amatha kubayidwa ndi mankhwala opaleshoni yam'deralo: amakhudza pang'ono glycemia. Intravenous opaleshoni imagwiritsidwanso ntchito.
Onetsetsani kuti mukuyang'anitsitsa kuchuluka kwa maopaleshoni.
Opaleshoni wamba amatha kugwiritsidwa ntchito ndikuthandizira kwakanthawi kochepa.
Onetsetsani kuti mwawunika hemodynamics: odwala samalola kuponya kukakamizidwa.
Pogwiritsa ntchito nthawi yayitali, mankhwala osokoneza bongo amatha kugwiritsidwa ntchito: amathandizira shuga.

Zolemba za nthawi yothandizira

Ndi matenda a shuga m'masiku ogwirira ntchito, kuchotsedwa kwa insulini mwa odwala omwe adalandira kale hormone iyi ndikosavomerezeka! Kulakwitsa kotereku kumawopseza kukula kwa acidosis mwa wodwala.

Nthawi zina, ndizotheka kukhala ndi shuga m'magazi a odwala ambiri. Koma ngakhale apo, amaphatikizidwa ndi insulin pang'ono (osapitirira 8), kawiri mpaka katatu patsiku, nthawi zonse amakhala ndi shuga 5%.

Ndikofunikira kuyang'anira mkodzo wa tsiku ndi tsiku chifukwa cha chiwopsezo cha acetone mmenemo.

Malinga ndi momwe wodwalayo akhazikika, ndipo shuga imalipidwa, patatha pafupifupi masiku asanu ndi limodzi (nthawi zina pambuyo pake), wodwalayo amamuwongolera mwachizolowezi (chomwe chinali chisanachitike opareshoni) regimen ya insulin. Odwala omwe saloledwa kudya os osamba koyamba pambuyo pa opaleshoni amapatsidwa jakisoni wambiri wa zakudya ndi jakisoni.

Mutha kuwasamutsa ku mankhwala ochepetsa shuga pokhapokha ngati chilondachoichira, ndipo palibe zotupa. Ndipo zowonadi, shuga iyenera kulipidwa. Kupanda kutero, jakisoni wa insulin ndi wofunikira.

Ngati kulowererapo kunali kofunika, ndikovuta kuwerengera mtundu wa insulin. Kenako imatsimikizika ndi msuzi wa shuga. Iyenera kuyang'aniridwa ola limodzi (!). Ndikofunikira kudziwa momwe wodwalayo akumvera mumtima mwake, makamaka matenda ashuga akapezeka kaye.

Chifukwa chake, opaleshoni ya shuga ndiyotheka. Itha kuchitika mu mitundu yayikulu ya matenda ashuga - chinthu chachikulu ndikupeza chipukuta mokwanira kapena chochepa. Kuchita opareshoni kumafuna dotolo wamkulu ndikuwonetsetsa momwe wodwalayo alili.

Matenda a shuga opaleshoni yam mano

Izi zitha kukhala zothandiza ngati inu kapena munthu wapafupi ndi inu ali ndi matenda a shuga.

Matenda a shuga mu mano - mankhwalawa, ma prosthetics, kuphatikizika ndi kupopera mano

Matenda a shuga ndi omwe amayambitsa kukula kwa matenda ena am'kamwa ndi kuwoneka kosasangalatsa: mwa odwala matenda ashuga, chifukwa cha kuchuluka kwa magazi m'magazi komanso kuwonongeka kwakanthawi kazinthu zofewa, kumamveka kukamwa kouma, kuchepa kwa malovu, kuchuluka kwa tizilombo tating'onoting'ono tomwe timagwira pamlomo wamkati ukukula mwachangu.

Pali kusintha pakapangidwe ka enamel ya mano - ichi ndi chifukwa cha kuwola kwa mano.

Nthawi yomweyo, kufooka kwakukulu kwa ntchito zoteteza thupi kumaonekera mwa odwala, chiopsezo chotenga matenda chikuwonjezeka. Izi zimayambitsa matenda am'kamwa, monga gingivitis, periodontitis, periodontal matenda.

Kuzindikira koyambirira kwa matenda a mano ndi chithandizo cha panthawi yake kumathandiza kwambiri kuteteza mano.

Ichi ndichifukwa chake, kuti tisinthe moyo wa odwala omwe ali ndi matenda ashuga, ndikofunikira kupereka gulu lowoneka bwino la ubale pakati pa omwe amangochita ma endocrinologists ndi mano.

Pankhaniyi, kusankha kwa dokotala wamano kuyenera kufikiridwa mosamala. Kumbukirani kuti dotolo wamano ayenera kudziwa bwino zamankhwala komanso zodwala za odwala matenda ashuga.

Chithandizo cha mano

Chithandizo cha mano kwa odwala omwe ali ndi matenda a shuga amachitika pamlingo wokulipira matendawa. Pankhani ya chitukuko chachikulu matenda opatsirana pamlomo wamkamwa, chithandizo chitha kuchitidwa ndi matenda osafupika, koma mutangomwa mlingo wa insulin. Pankhaniyi, wodwalayo amapatsidwa mankhwala opha maantibayotiki ndi ma analgesics.

Anesthesia (anesthesia) itha kugwiritsidwa ntchito pokhapokha ngati kulipidwa. Kupanda kutero, mankhwala am'chipatala angagwiritsidwe ntchito momasuka.

Zilowetso zamano za matenda ashuga, ma prosthetics

Ma prosthetics amano a shuga amafunika kudziwa kwapadera ndi luso kuchokera kwa dokotala wamano: Odwala omwe ali ndi matenda ashuga ali ndi gawo lochulukira kwambiri pakumva kupweteka, amakhala ndi chitetezo chochepa kwambiri, amatopa msanga - izi ziyenera kukumbukiridwa pakukonzekera ma prosthetics.

Mano kwa odwala matenda ashuga ayenera kukwaniritsa zonse zofunika pokonza moyenera. Nthawi yomweyo, zimayenera kupangidwa ndi zida zapadera, popeza zitsulo zomwe zimagwiritsidwa ntchito kwambiri mu ma prosthetics zimakhudza kuchuluka ndi kupezeka kwa malovu ndipo zimatha kuyambitsa zotsutsana.

Zotchuka kwambiri masiku ano ndi korona zachifundo, zomwe zimagwiritsidwa ntchito ngati ma prosthetics kwa odwala omwe ali ndi matenda osokoneza bongo ndipo sakhala otsika poyerekeza ndi zitsulo zazitsulo mwamphamvu zawo komanso zinthu zokongoletsa.

Zilowetso zamano kwa odwala omwe ali ndi matenda a shuga ndizotheka. Komabe, pankhaniyi, ziyenera kuchitika mosamala kwambiri komanso pokhapokha ndi katswiri yemwe amadziwa zovuta zonse za mankhwala opangira mano. Pankhaniyi, kulowetsedwa kuyenera kuchitidwa pokhapokha gawo la shuga.

Kutulutsa Mano kwa Matenda A shuga

Kuchotsa dzino kumadwala wodwala yemwe ali ndi matenda osokoneza bongo kungayambitse kukula kwa njira yolowerera yotupa pamlomo wamkamwa. Ndiye chifukwa chake ndikofunikira kuchotsa dzino m'mawa mutatha jakisoni wa insulin. Pankhaniyi, mlingo wa insulin uyenera kuchuluka pang'ono (funsani endocrinologist). Nthawi yomweyo musanachite opareshoni, muzimutsuka mkatikati mwa mankhwalawo.

Kusamalira Mano kwa Matenda A shuga

Mukakhala ndi matenda ashuga - shuga wambiri amatha kuwononga thupi lanu - kuphatikizapo mano ndi mano. Izi zitha kupewedwa ngati mutatenga udindo wa mano anu.

Kuwongolera shuga lanu lamwazi ndi ntchito yofunika mosasamala mtundu wa shuga. Mokulirapo shuga m'magazi, umakhala pachiwopsezo chachikulu:

Kuwonongeka kwa mano. Mkamwa wamkamwa muli mitundu yambiri ya mabakiteriya.

Pamene wowuma ndi shuga mu chakudya ndi zakumwa zimalumikizana ndi mabakiteriya, mitundu yolimbikira yam'mano, yomwe imatsogolera pakupanga tartar.

Acids mu tartar decompose dzino enamel, lomwe lingayambitse kuwola kwa mano. Mukakhala ndi shuga m'magazi ambiri, mumapezeka shuga ndi wowuma kwambiri, momwe asidi amawonongera mano anu.

Nthenda ya Gum m'magawo oyamba (gingivitis). Mukapanda kuchotsa chofewa pameno panu ndikusamba pafupipafupi, ndiye kuti chimasanduka tartar. Chopondera kwambiri pakameno, chimakhumudwitsa kwambiri chingamu - mbali ya chingamu kuzungulira khosi la dzino. Popita nthawi, chingamu chimayamba kutupa komanso kutuluka magazi mosavuta. Ichi ndi gingivitis.

Matenda amtundu wa patsogolo (periodontitis). Gingivitis atasiyidwa osadwala angayambitse matenda oopsa kwambiri otchedwa periodontitis, pomwe minofu yofewa yomwe imagwirizira mano anu ikawonongeka, imatha kukhala mafoni ngakhale kugonja.

Periodontitis imakhala yolimba kwambiri pakati pa anthu omwe ali ndi matenda ashuga chifukwa matenda ashuga amachititsa kuti munthu athe kulimbana ndi matenda. Matenda a Periodontitis amathanso kupangitsa kuti shuga wanu wamagazi akwere, zomwe zimapangitsa kuti shuga yanu ikhale yovuta kuisamalira.

Samalani mano anu

Pofuna kupewa kuwononga mano ndi mano anu, tengani matenda ashuga ndi chisamaliro cha mano:

Yang'anirani shuga yanu yamagazi ndikutsatira malangizo a dokotala kuti musunge shuga mumagazi anu. Mukamayendetsa bwino magazi anu, ndiye kuti simungakhale ndi gingivitis ndi matenda ena a mano.

Pukuta mano anu kawiri pa tsiku (ngati zingatheke mukatha kumeza mankhwalawa). Gwiritsani ntchito burashi yolumikizana pakati (mano pofowoka mano) komanso mano opaka ndi fluoride. Pewani kuyenda mwamphamvu kapena mwadzidzidzi komwe kumatha kukwiyitsa komanso kuvulaza mano. Lingalirani kugwiritsa ntchito bulashi yamagetsi yamagetsi.

Pukutani mano anu ndi maluso a mano (kamodzi) pa tsiku. Kuuluka kwamaluwa kumathandizira kuchotsa chidikha pakati pa mano.

Konzani kuchezerana pafupipafupi ndi mano. Pitani ku dotolo la mano anu kawiri pachaka kuti muchotse mano pameno ndi kuwola kwa mano. Kumbutsani wamano kuti muli ndi matenda ashuga, kuti muchepetse hypoglycemia panthawi yolowera mano, idyani kapena mukhale ndi chakudya musanapite kukaonana ndi mano.

Yang'anani ndi zizindikiro zoyambirira za matenda amisewu. Fotokozerani zilizonse zomwe zingayambitse matenda a chingamu kwa mano. Komanso pitani kwa dokotala wamano kuti muwone zizindikiro zilizonse za matenda amkamwa ndi mano.

Siyani kusuta. Kusuta kumawonjezera chiopsezo cha zovuta zazikulu za matenda a shuga, kuphatikizapo matenda a chingamu.

Kuwongolera matenda a shuga ndikudzipereka kwa moyo wonse, ndipo izi zimaphatikizapo chisamaliro cha mano. Khama lanu lidzadalitsika ndi moyo wamano komanso mano osafunikira.

Matenda a shuga mu mano - kuchotsa, mankhwalawa, ma prosthetics, kuphatikizira mano

Ministry of Health of the Russian Federation: “Chotsani mita ndi zingwe zoyesa. Palibenso Metformin, Diabetes, Siofor, Glucophage ndi Januvius! Mgwireni ndi izi. "

Matenda a shuga ndi omwe amachititsa kuti pakhale milomo ya pakamwa.

Makamaka, odwala omwe ali ndi matenda ashuga, pokhudzana ndi kuchuluka kwa shuga m'magazi komanso kuzungulira kwa minofu yofewa, pamakhala kumverera kukamwa kouma, kuchepa kwa malovu, komanso cheylosis imayamba.

Kuphatikiza apo, kuchuluka kwa tizilombo tating'onoting'ono tikukula mwachangu pamkamwa. Palinso kusintha pakapangidwe ka enamel ya mano, ndicho chifukwa chokwera kwamacaries.

Nthawi yomweyo, kufooka kwakukulu kwa ntchito zoteteza thupi kumaonekera mwa odwala, chifukwa chake, chiopsezo chodziwitsidwa ndi matenda chimakulanso. Matendawa amatenga matenda oyamba a m'kamwa, monga gingivitis, periodontitis, matenda a periodontal.

Kuzindikira koyambirira kwa matenda am'kamwa ndi pakanthawi pake chithandizo kumathandiza kwambiri kuteteza mano.

Ichi ndichifukwa chake wodwala matenda ashuga amayenera kuyendera mano ndi pafupipafupi monga endocrinologist. Pankhaniyi, kusankha kwa mano kuyenera kufikiridwa mosamala.

Tiyenera kukumbukira kuti dokotala wamano ayenera kudziwa zatsatanetsatane wa chithandizo ndi ma prosthetics a odwala omwe ali ndi matenda ashuga.

Chithandizo cha mano matenda a shuga, mano

Chithandizo cha mano kwa odwala matenda a shuga chimachitika ndi matenda omwe adalipidwa. Pankhani ya chitukuko chachikulu matenda opatsirana pamlomo wamkamwa, chithandizo chitha kuchitidwa ndi matenda osafupika, koma mutangomwa mlingo wa insulin. Pankhaniyi, wodwalayo amapatsidwa mankhwala opha maantibayotiki ndi ma analgesics.

Ponena za opaleshoni, ikhoza kugwiritsidwa ntchito pokhapokha ngati kulipidwa. Pokhapokha ngati izi, mankhwala am'chipatala angagwiritsidwe ntchito momasuka.

Dongosolo la ma prosthetics komanso kuphatikizidwa kwa shuga

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.

Ma prosthetics amano a shuga amafunika kudziwa mwapadera kuchokera kwa dotolo wamano. Popeza, si dokotala aliyense amene amadziwa kuti odwala omwe ali ndi matenda ashuga, njira yolowera ululu imakulitsidwa kwambiri, chitetezo chawo chimachepetsedwa kwambiri, ndipo amatopa msanga.

Mano kwa anthu odwala matenda ashuga ayenera kukwaniritsa zofunika kuzilinganiza moyenera. Kuphatikiza apo, ziyenera kupangidwa ndi zida zapadera - nickel-chromium ndi alobys a cobalt-chromium. Popeza zida zopangira zitsulo zomwe zimagwiritsidwa ntchito kwambiri mu ma prosthetics zimakhudza kuchuluka ndi kupezeka kwa malovu ndipo zimatha kuyambitsa zotsutsana.

Zotchuka kwambiri masiku ano ndi korona zachifundo, zomwe zimagwiritsidwa ntchito ngati ma prosthetics kwa odwala omwe ali ndi matenda osokoneza bongo ndipo sakhala otsika poyerekeza ndi zitsulo zazitsulo mwamphamvu zawo komanso zinthu zokongoletsa.

Zilowetso zamano kwa odwala omwe ali ndi matenda a shuga ndizotheka. Komabe, pankhaniyi, ziyenera kuchitika mosamala kwambiri komanso pokhapokha ngati katswiri wabwino yemwe amadziwa zovuta zonse za kuyamwa kwa mano. Pankhaniyi, kulowetsedwa kuyenera kuchitidwa kokha ndi matenda a shuga.

Matenda a shuga ndi Opaleshoni: Zowopsa Ziti?

Matenda a shuga ndikuphwanya kuwongolera kwamkati kwa shuga wamagazi ndi / kapena kuchepa kapena kukana kwa insulin ya mahomoni. Matenda a shuga - matenda achilengedwe omwe ali ndi zotsatira zakupatuka pafupifupi mu thupi lonse. Chifukwa cha izi, odwala matenda ashuga amatha kukhala ndi chiopsezo chowonjezereka pakuchita opareshoni ndi opaleshoni.

Kutulutsa Mano kwa Matenda A shuga

Kuchotsa dzino kumadwala wodwala yemwe ali ndi matenda osokoneza bongo kungayambitse kukula kwa njira yolowerera yotupa pamlomo wamkamwa. Ndipo kuchotsedwa kwa mankhwalawo kumayambitsa matenda.

Ndiye chifukwa chake ndikofunikira kuchotsa dzino m'mawa mutatha jakisoni wa insulin. Poterepa, mlingo wa insulin umayenera kuchulukitsidwa pang'ono.

Nthawi yomweyo musanachite opareshoni, muzimutsuka mkatikati mwa mankhwalawo.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa ndi osatheka ndi anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Matenda a shuga, matenda a mtima, komanso mankhwala opha

Anthu odwala matenda ashuga ali ndi vuto la mtima komanso lakuwonjezereka. M'malo mwake, matenda a shuga amawonjezera ngozi matenda amtima kanayi mpaka kasanu. Kuphatikiza apo, odwala matenda a shuga sakhala ndi chizindikiro chodziwika (mwachitsanzo, kupweteka pang'ono pachifuwa) pamene matenda a mtima alipo.

Izi zimawonjezera mwayi wokhala ndi opaleshoni yamtima komanso ya postoperative. Myocardial infarction, mtima ischemia, arrhythmia ndi chiopsezo cha kumangidwa kwa mtima ukuwonjezeka. Wopanga mankhwala amawunikira ECG ndi zizindikiro zofunika mosamala kuti achepetse ngozizi.

Matenda a shuga komanso matenda opatsirana

Nephropathy - matenda a impso - nthawi zambiri kupezeka mwa odwala matenda ashuga. Izi zimachitika chifukwa cha kuchuluka kwa glucose mu diabetes omwe impso zimawululidwa.

Matenda a impso amasintha kagayidwe ndi kuperewera kwa mankhwala ena opweteka, kumabweretsa mayankho osayembekezeka a mankhwala ena, komanso kuthekera kokumangira mankhwala owopsa.

Impso ndionso zimathandizira kuyang'anira ma electrolyte ofunikira m'thupi, monga sodium, potaziyamu, ndi calcium. Malangizo osakwanira kapena zinthu zosinthika mwazinthu izi zimatha kubweretsa zotsatira zowopsa, monga kupha mtima mtima.

Kuopsa kwa shuga wambiri

Anthu odwala matenda ashuga amtundu 1 ali pachiwopsezo cha matenda a diabetes ketoacidosis pamene shuga m'magazi atakwera kwambiri. Matenda a shuga ketoacidosis, monga momwe mumadziwira, zimatsata kuchokera ku zotsatira zoyipa za shuga wamagazi ochulukirapo. Pakakhala insulin yokhala ndi matenda a shuga 1, shuga sangawotchedwe ngati mafuta m'thupi.

M'malo mwake, mafuta amawonongeka kwambiri ndipo ma ma ketoni amakula ngati chogulitsa cha kagayidwe kameneka. Ma ketoni amakhala ndi poizoni akakumana m'magazi. Acidosis, magazi ochepa pH (asidi wambiri), amachititsa kusintha koopsa mthupi lonse. Zowopsa zimaphatikizapo kulephera kwa impso, edema ya ubongo, zovuta zamagetsi, komanso kulephera mtima.

Mu mtundu wa 2 odwala matenda ashuga, matenda otchedwa hyperosmolar syndrome. Shuga wambiri amatulutsa kuchepa kwamadzi kudzera impso.

Kuthetsa madzi m'thupi kwambiri komanso kuchuluka kwa potaziyamu kwambiri mwanjira zina zowopsa za izi.

Amadziwikanso kuti "non-ketone" syndrome, chifukwa ma ketones nthawi zambiri samapangidwa, popeza mtundu 2 shuga insulin ina ilipo, kuletsa mapangidwe ake.

Kuopsa kwa shuga m'magazi

Shuga wamagazi ochepa, wotchedwa hypoglycemia, amadzetsa zovuta ndi kusunthika kwa malingaliro ndi kusintha kwina kwa kulingalira kapena kuchuluka kwa chikumbumtima.

Hypoglycemia imatha kusokonezedwa pambuyo pa ntchito ndi mavuto ena, monga mankhwala osokoneza bongo kapena sitiroko, zomwe zimayambitsa kuyesedwa kosafunikira ndi kuchira.

Shuga wotsika magazi amayambitsanso adrenaline, yomwe imatha kubweretsa kugunda kwamtima mwachangu kapena kosakhazikika. Mavuto ena a mtima ndi mitsempha imatha kuchitika.

Zizindikiro ndi contraindication

Madokotala azindikira zifukwa zingapo zomwe zimapangitsa kuti kusakanikirana kwa mitundu ya matenda ashuga a 1 ndi 2 kukhazikike. Mwachitsanzo, chimodzi mwazovuta zambiri ndikukana mano.

Matenda a shuga amadziwika ndi kuwonongeka kwa kayendedwe ka magazi m'mitsempha yaying'ono yamagazi, zomwe zimapangitsa kuti pang'onopang'ono mapangidwe amafupa. Izi zimachitika kawirikawiri ndi mtundu wodwala wa insulin.

Chinanso chomwe chimayambitsa zovuta za kuphatikizika kumakhala kugwira ntchito bwino kwa chitetezo cha m'thupi.

Kuti zothandizira mano zisamayende bwino matenda ashuga, ziyenera kukwaniritsidwa.

Chithandizo chilichonse cha mano chimachitika limodzi ndi endocrinologist, yemwe amayang'anira njira yayikulu ya matenda.
Mtundu wachiwiri wa matenda ashuga a shuga, zakudya zoyenera zimaperekedwa kwa odwala, makamaka ovuta kwambiri pakufunika kwa insulin.
Odwala ayenera kusiya kusuta fodya komanso kumwa mowa kwa nthawi yayitali.
Prosthetics kapena kupopera dzino mu shuga mellitus ndikotheka ndi ma glycemic indices osaposa 7.0 mmol / L.
Kuti mupeze zotsatira zabwino, odwala sayenera kudwala ma pathologies ena omwe amatha kuphatikizika. Ngati pali matenda aliwonse, ndiye kuti gawo la kupitiliza kukhululuka liyenera kuchitika.
Chofunikira ndikutsatira malamulo onse ofunikira chisamaliro pakamwa. Katswiri wodziwa ntchito kwambiri adzakuuzani za izi.

Pakuchita bwino kwambiri kwa njirayi, odwala onse ayenera kudziwa zomwe mungachite opaleshoni. Pofuna kuti pasapatsidwe mwayi wopezeka ndi matenda aliwonse otupa, mankhwala a antibacterial amadziwikiratu kwa masiku opitilira 10.

Ndikofunikira kuti mbiri ya glycemic nthawi yochira isadutse 9.0 mmol / L, yomwe ingapatse prostheses mwayi wokhala bwino mizu. Mpaka pomwe mavuto onse otupa atha, odwala ayenera kumayendera dokotala wamano nthawi zonse.

Werengani nawonso: Kuwonetsera kwa shuga pamlomo wamkamwa: zovuta za anthu odwala matenda ashuga.

Ndikofunikira kuganizira kuwonjezeka kwa nthawi ya osseointegration mu mtundu 1 wa shuga kapena mitundu yayikulu ya 2, yomwe ili pafupifupi miyezi isanu ndi umodzi.

Tiyeneranso kudziwa kuti madokotala onse salimbikitsa kuti pakhale kupweteka kwa matenda a shuga. Ichi ndichifukwa kuchepa kwa kagayidwe kachakudya ka odwala.

Zomwe zimathandizira kupambana kwanyengo

Zotsatira zabwino za njirayi zimatsimikizika kutalika kwa matendawa ndi mtundu wake. Munthu akakhala ndi matenda ashuga kwambiri, m'pamenenso amalephera. Komabe, ngati zisonyezo za glycemia zili mkati mwa malire oyenera, ndipo wodwalayo amawongolera shuga bwino, mtundu woyamba kapena wachiwiri wa matenda osokoneza bongo ulibe kanthu, kulowetsedwa kumayenda bwino.

Zakudya zoyenera zopatsa thanzi zimawonjezera mwayi wopambana, chifukwa zimakuthandizani kuti muchepetse shuga, muzikwanitsa thupi ndi zinthu zofunika m'thupi.

Ndi mankhwala a insulin atatenga nthawi yayitali, limodzi ndi kusakhazikika kwa mbiri ya glycemic, ma implants sayenera kuyikidwa.

Tiyenera kukumbukira kuti kuchiritsidwa kwa insulin komwe kumadalira mabala aliwonse kumatenga nthawi yayitali kuposa ndi mitundu yovuta ya matenda.

Malinga ndi zomwe madotolo adakumana nazo, odwala omwe adachitiratu zikhalidwe zamkamwa kwambiri amatha kuchita bwino. Apa, chithandizo chamankhwala chazonse chobwera chimabwera kudzakupulumutsani, kukulolani kuti muchiritse mano owaza ndikuchotsa kutupa. Ndikulimbikitsidwanso kuti musanadye antimicrobials pasadakhale.

Kupambana kwa njirayi kumatsitsidwa kwakukulu ngati odwala ali:

mano oopsa
njira zopatsirana
matenda a mtima dongosolo, makamaka limodzi ndi zizindikiro za mtima kulephera,
matenda a periodontal, periodontitis,
xerostomia.

Madotolo ayenera kuganizira momwe kupangidwira kapangidwe kazomwe zimayambira kuzika mizu. Chofunika kwambiri ndi magawo. Simuyenera kusankha kutalika kochepa kapena kufupikitsa, ndibwino kuyima pa 10-13 mm.

Pofuna kuti musagwidwe ndi zinthu zina zofunika kuzilimbitsa, kuti muchepetse kusintha kwa malovu, muyenera kusankha zida zopangidwa ndi cobalt kapena nickel, zopangira zawo ndi chromium. Zopangidwe ziyenera kukwaniritsa zofunikira zamtundu, kugawa koyenera kwa katundu pamano.

Ziwerengero zikuwonetsa kuti zimalowetsedwa bwino zimamera mu nsagwada zotsikira. Orthopedists ayenera kuganizira mfundo imeneyi akafuna kupanga mawonekedwe.

Zida za prosthetics zamatenda a shuga

Ma prosthetics amano amtundu wa 1 komanso mtundu wa 2 si ntchito yovuta.

Zimafunikira ukadaulo wambiri kuchokera kwa dokotala wamano, wamano, opaleshoni yamankhwala ndi mano, komanso pamachitidwe angapo wodwala.

Ndipo chinthu chachikulu kuchokera munthawi izi ndikuti shuga ayenera kulipidwa bwino, ndiye kuti, shuga amakhala pafupi ndi nthawi yonse yanthawi yamankhwala a orthopedic.

Kuphatikiza apo, odwala ayenera kusamaliratu ukhondo: kutsuka mano atatha kudya (kapena kutsuka pakamwa pawo) ndikuchotsa zinyalala za chakudya pakati pa mano omwe amakhala ndi maluwawo.

Pamaso pa prosthetics, muyenera kufunsa endocrinologist. Kukonzekera kwamkamwa kwamkamwa ndikofunikira: izi zimaphatikizira mankhwalawa a caries, periodontitis, dzino.

Panthawi ya mano, minofu yofewa imavulala, ndipo monga mukudziwa, ndi matenda ashuga osavomerezeka, mabala amachiritsa bwino ndipo nthawi yambiri imafunikira.

Kodi ntchito za shuga ndizotheka komanso momwe mungazikonzekerere?

Kodi ntchito za matenda ashuga? Inde, amatero, koma wodwala amafunikira kukonzekera bwino. Vutoli limakhalapo chifukwa chakuti matendawa amatanthauza kuphwanya kwamphamvu thupi komanso kagayidwe kachakudya koyamwa, kamene kamayambitsa zotsatira zoyipa.

Kuchiritsidwa kwamankhwala pambuyo pakuchita opareshoni ya shuga kumatenga nthawi yayitali, poyerekeza ndi odwala opanda matenda a shuga. Kuphatikiza apo, chiopsezo chotenga njira yotupa chimawonjezeka, chomwe chimatha nthawi yayitali ndikukhwimitsa mkhalidwe wabwinowo. Ngati wodwala akudwala mtundu wamtundu wa shuga, ndiye pambuyo pa opaleshoni, kusintha kwa mawonekedwe otseguka kumatha kuchitika.

Kodi maopareshoni a shuga amatero? Ngati pali chisonyezo chachindunji chamankhwala othandizira, ndiye kuti amatero. Koma wodwalayo amawonetsedwa maphunziro apadera omwe amachepetsa chiopsezo chaumoyo.

Chinsinsi chakuchita bwino kwa zovuta zilizonse ndi magawo omwe cholinga chake ndi kulipira matenda. Chifukwa cha momwe matendawa amatengera matendawa, ngakhale njira zosavuta zopangira opaleshoni ziyenera kuchitidwa m'chipinda chogwiritsira ntchito, manipulogalamu kuchipatala chamankhwala osavomerezeka samavomerezeka.

Ngati tikulankhula za ntchito yomwe yakonzedwa, ndiye kuti idzayimitsidwa mpaka kubwezeredwa kwabwino kwa matenda ashuga. Pakachitika vuto ladzidzidzi, kusanthula kwangozi kwa moyo kumachitika ndipo chisankho chimapangidwa mogwirizana nacho.

Mfundo zazikuluzikulu zamankhwala othandizira:

opaleshoni singachedwetse - wodwalayo ayenera kukhazikika ndikuyendetsa ntchito posachedwa,
Sitikulimbikitsidwa kuchita opareshoni nthawi yotentha,
ntchito zonse zimachitika mothandizidwa ndi maantibayotiki.

Mwambiri, kukonzekera kwa wodwala nthawi zonse kumayamba ndi kuyezetsa magazi kwa glucose. Atangopanga opaleshoni, chithandizo chamankhwala cha mahomoni chimafunika - patsiku lomaliza wodwalayo amapatsidwa kuchuluka kwa mahomoni a jekeseni a 3-4. Ndi mawonekedwe apamwamba a matendawa, jakisoni wachisanu wa mankhwala osokoneza bongo angafunike.

Pokonzekera wodwala yemwe ali ndi matenda a shuga kuti achite opaleshoni, ndikofunika kugwiritsa ntchito insulin yochepa, chifukwa nthawi yomweyo musanachitike, kusintha kwa mahomoni mu orgasm kumafunika. Chofunikira pakuchikonzekeretsa ndichakudya chathanzi.

Nthawi yomweyo opareshoni isanachitike, zinthu zotsatirazi zimachitika:

makonzedwe a 0,5 insulin,
kukhazikitsidwa kwa shuga palibe kale kuposa theka la ola pambuyo jakisoni wa insulin.

Zizindikiro zotsatirazi zikuwonetsa kuti wodwalayo wakonzeka kuchita opareshoni ya matenda a shuga a mtundu wachiwiri:

shuga wamagazi ndi magawo 8-9. Kusiyapo ndi odwala omwe adapezeka ndi matenda a shuga kwa nthawi yayitali, pankhani iyi, magawo 10 amaloledwa,
kuthamanga kwa magazi ndikwabwinobwino kapena pang'ono pocheperako,
urinalysis ilibe yankho labwino ku acetone ndi shuga.

Opaleshoni imatha kupatsidwa kwa wodwala matenda ashuga kuti athe kupeza bwino. Chisankho chotere chimachitika ngati njira zina zochizira matendawa sizothandiza kapena zosatheka. Ndipo ndichithandizo chokhacho chomwe masiku ano chimaonedwa kuti ndi chamakono kwambiri komanso chothandiza.

Kuti adotolo azitha kusankha pakusintha kuchokera ku chithandizo chamankhwala chokhazikika, payenera kukhala ndi umboni wokwanira. Zomwe zimachitika chifukwa cha opareshoni ndi:

vuto la metabolic metabolic lomwe limabweretsa chiwopsezo pamoyo wa wodwalayo,
chizindikiritso cha zovuta zazikulu za matenda a shuga,
Kuchepetsa mphamvu ya mankhwala othandizira,
contraindication kwa subcutaneous jakisoni wa mahomoni.

Pokhapokha ngati ziwalo zina ndi machitidwe a wodwala alibe ma pathologies akulu, kale tsiku litayamba kugwira ntchito, kapamba limagwira ntchito pafupipafupi. Maphunziro okonzanso kwathunthu amatenga pafupi miyezi iwiri.

Opaleshoni ya msana kwa odwala matenda ashuga

Kuchita opaleshoni ya msana kwa matenda ashuga, ngakhale pakali pano kukula kwa sayansi ndi mankhwala, kumakhalabe zovuta. Komanso, mavuto amayamba osati nthawi ya opareshoni, koma munthawi yakukonzanso. Chovuta kwambiri ndi cha odwala omwe ali ndi matenda a shuga omwe amadalira insulin - mu 78% ya odwala omwe akuchita opaleshoni, zovuta za mtundu umodzi kapena mtundu wina wazovuta zinawululidwa.

Pomaliza, titha kunena kuti opaleshoni iliyonse kwa odwala omwe apezeka ndi matenda a shuga ndizotheka. Ndipo kupambana kwa chithandizo champhamvu kwambiri kumadalira kulondola kwa kusintha kwamankhwala kwa wodwalayo komanso zotsatira za kubwezeredwa kwa matenda ashuga.

Kuphatikiza apo, onse omwe akuchita opaleshoni komanso wodwala opaleshoni ayenera kukhala ndi luso lokwanira logwira ntchito ndi odwala matenda ashuga.