Kodi akutenga - gulu lankhondo lomwe lili ndi matenda ashuga?
Kugwira ntchito yankhondo nthawi zonse kumawonedwa ngati chinthu choyamikika komanso chapadera. Guys omwe anayesa kuletsa kulowa usilikali amadziwika kuti ndi amantha ndipo sanayenere kutchedwa amuna enieni. Masiku ano, zinthu zasintha pang'ono, komabe, pali ambiri omwe ali ndi chisangalalo chofuna kulowa nawo gulu lankhondo.
Koma bwanji za anyamata azisamba omwe ali ndi matenda ashuga? Kodi mfundo ziwiri izi ndizogwirizana konse: shuga komanso gulu lankhondo? Kodi munthu wodwala matenda ashuga angalowe nawo usilikali ndi chidwi? Kodi ali ndi ufulu wokana ntchito, kapena sayenera kuloledwa konse? Tiyenera kuyankha mafunso awa mopitilira.
Ndani akuyerekeza kuyenera kwa anthu omwe amalemba usilikali?
Kalelo mu 2003, Boma la Russian Federation lidapereka lamulo loti kuyeneretsedwa kwa zilembedwe kumatsimikiziridwa ndi madokotala akatswiri. Wolembera aliyense ayenera kukayezetsa, ndipo zotsatira zake zidzatsimikiziridwa: ngati wachinyamata ali woyenera pazifukwa zaumoyo kapena ayi.
Pali magawo angapo, kutengera komwe kusankhidwa kwa makomiti kumawunikiridwa:
- Ngati munthu alibe zoletsa pa ntchito, amapatsidwa gulu A.
- Ngati pali zoletsa pang'ono, gulu B limaperekedwa.
- Gulu B limaphatikizapo ntchito zochepa.
- Ngati mukuvulala, kusokonezeka mu ntchito ya ziwalo zilizonse ndi zina zakanthawi, gulu G limaperekedwa.
- Gulu D limaganiza kuti ndi zosakwanira ntchito yankhondo.
Mnyamata yemwe ali ndi matenda ashuga akayezetsa, madokotala amalingalira za mtundu wa matenda, momwe zimakhalira zovuta, komanso ngati pali zovuta zina. Kutengera izi, ndizosatheka kuyankha mosaganizira kuti ali m'gulu la asitikali kapena ayi, chifukwa ngati munthu ali ndi matenda amtundu wa 2 ndipo pakakhala kuti palibe kuphwanya kwakukulu komwe kumachitika mthupi, atha kupatsidwa gulu B. Mwa kuyankhula kwina, sangatengedwe kupita kunkhondo. koma munthawi yankhondo azikhala nawo m'gulu lankhondo.
Kodi ndingathe kulowa usirikali ndi matenda amtundu 1 wa shuga?
Mutha kunena motsimikiza kuti ndi matenda ashuga amtundu 1 (omwe amadalira insulin) simudzalembetsa nawo. Nthawi yomweyo, anyamata ena amafunsa funso lotsatirali: Kodi ndingadzifunse pagulu lankhondo lolimba la Russia ndikadwala matenda ashuga?
Yankho la funsoli ndilosavuta, koma nthawi imodzimodzi, zambiri zimatha kukufotokozerani. Tangoganizirani momwe zingakhale zovuta kuti mukhale m'mikhalidwe yomwe ilipo lero. Nachi zitsanzo cha zinthu zochepa zomwe zingakhale zovuta kuzisamalira:
- Jakisoni wa insulin ayenera kuchitika malinga ndi regimen okhazikika, pambuyo pake azidya chakudya. Izi sizotheka nthawi zonse kuchitira gulu lankhondo. Chilichonse chimachitika pa dongosolo pano, koma wodwala matenda ashuga amatha kutsika kwambiri m'magazi, zomwe zimafunikira chakudya chowonjezera, komanso mwachangu.
- Kuvulala kulikonse, bala limatha kubweretsa zotsatira zoyipa - gangrene ya zala, kuduladula mwendo, mabala amatsukidwe, etc.
- Kufooka wamba, kufuna kugona pansi kuti mupumule, ngakhale izi ndizoletsedwa kuchita popanda chilolezo choyenera.
- Kuchita zolimbitsa thupi pafupipafupi kumatha kukhala kosalephera kwa odwala matenda ashuga.
ZOFUNIKIRA: Ngati muli ndi matenda a shuga 1, onetsetsani kuti muli ndi gulu la olumala, osabisala ndipo akukana kulowa usilikali. Thanzi lanu ndilofunika kwambiri kuposa ntchito yankhondo, yomwe imangokhala chaka chimodzi chokha, ndipo thanzi liyenera kukhala moyo.
Ndi ma pathologies ati omwe simomwe mungatengeredwe nawo usilikali?
Ngati mukuganiza zolemba usirikali m'gulu la anthu odwala matenda ashuga, ndikofunikira kuganizira mitundu ingapo ya thupi yolakwika, yomwe muyenera kuiwalako za usirikali.
Monga mukudziwa, matenda ashuga amathandizira kuti pakhale zovuta zambiri zomwe zitha kukhala zowopsa paumoyo wa anthu komanso thanzi. Pamaso pazophwanya zotsatirazi, gulu lankhondo silingakambidwe konse:
- Angiopathy ndi neuropathy yam'munsi yotsika. Pathology imawonekera chifukwa chakuti zilonda zam'mimba zimawonekera pamanja makamaka miyendo. Madera otsika amatupa nthawi ndi nthawi, pang'onopang'ono phazi limayamba kukula. Ndi zizindikiro zoterezi, muyenera kulumikizana ndi endocrinologist ndikuchita chithandizo cha mankhwala, pambuyo pake ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi.
- Kulephera kwina. Ntchito zoyambira impso zimalephera, chifukwa chomwe machitidwe onse amthupi amawonongeka.
- Retinopathy Matenda owopsa pamene ziwiya za m'maso zamagetsi zimakhudzidwa. Kuwonongeka kwamaso kotereku kumatha kuyambitsa khungu.
- Matenda a shuga. Uku ndikovuta kwakukulu pamene zilonda zotseguka zipezeka pamapazi a wodwala. Kuti mupewe izi, ndikofunikira kuvala nsapato zoyenera, kusunga ukhondo wamiyendo.
ZOFUNIKA KWAMBIRI: Monga momwe inunso mumamvelela, ndimatenda a shuga, anyamata okhawo omwe alibe chilichonse cham'mwambawa amatengedwa kupita kunkhondo, ndipo kwakukulukulu, matenda ashuga ndi osakhalitsa. Chowonadi ndi chakuti m'gulu lankhondo simungathe kutsatira njira zoyenera zosamalirira phazi, kuyang'anira magawo a shuga, kutsata zakudya zoyenera, ndi zina zambiri. Ngakhale mutagwira ntchito chaka chimodzi, thanzi lanu limatha kuwonongeka kwambiri mpaka pambuyo pake mumanong'oneza bondo kuti munapita usilikali.
Kumwa Fobrinol sikuti amangochiza matenda ashuga okha, koma amathandizanso wodwala pazotsatira za matendawo, kuthetsa.
Insulin ndi imodzi mwamafuta ofunika kwambiri omwe amapangidwa ndi thupi la munthu. Ndiye.
Tisanapite mwachindunji pamutuwu, timvetsetsa za insulin.
Kuyika kwa zinthu kuchokera ku intaneti pa intaneti ndikotheka ndi ulalo wammbuyo ku portal.
Kodi akupita kunkhondo limodzi ndi matenda ashuga?
Kugwira ntchito zankhondo kwakhala kuli udindo wa abambo nthawi zonse, koma malingaliro pazomwe adachita pazaka zapitazi zasakanizika. Mu nthawi za Soviet, ntchito yausilamu imadziwika kuti inali mayeso olemekezeka komanso abwino, omwe munthu aliyense wodzilemekeza amayenera kupitapo.
Kuwonongeka kwa Soviet Union, achinyamata adayamba kuthawa kulowa usilikali, natchulapo kuti m'gulu lankhondo muli "chisokonezo" komanso "kusayeruzika", ndipo amayi a asitikali amtsogolo adachita mantha ndi mawu owopsa "owopsa".
Komabe, si aliyense amene akhoza kugwira ntchito yankhondo. Achinyamata omwe ali ndi mavuto akulu azaumoyo samamasulidwa ku ntchito ya Gulu Lankhondo.
Mu 2003, boma lathu linakhazikitsa lamulo lonena kuti kukonzekera kulowa usilikali kuyenera kutsimikizidwa ndi madokotala aluso. Pambuyo popimidwa kuchipatala, zidzadziwika kuti mnyamatayo ndi woyenera kuthandizidwa kapena ayi.
Ntchito zankhondo si mwayi woteteza dziko lathu lokha, komanso kuti mukhale ndi maphunziro komanso ziyembekezo zina
Mwachidule za matenda ashuga
Matenda a shuga ndi matenda omwe magazi a wodwala amakwera. Amayamba motsutsana ndi maziko a insulin hormone akusowa.
Pali mitundu iwiri ya matenda ashuga:
- Wodalira insulin. Khalidwe la anthu ochepera zaka 25. Imayamba mosaganizira, imatha kubereka kapena kutenga. Kukhazikika kumafuna jakisoni wa insulin, kudya, komanso kuchita masewera olimbitsa thupi. Amayamba chifukwa cha kuperewera kwambiri kwa insulin.
- Insulin yodziyimira payokha. Nthawi zambiri anthu okalamba amakhala achikulire. Amayamba pang'onopang'ono. Chithandizo chimaphatikiza zakudya, masewera olimbitsa thupi, ndi mankhwala ochepetsa shuga. Amayamba chifukwa cha kuchepa kwa insulin.
Pa gawo loyamba, matendawa ndi asymptomatic. Zikamakula, pofuna kupitiliza kuchita zinthu zofunika kwambiri pamlingo woyenera, wodwalayo amakakamizidwa kumwa insulini, kutsatira zakudya zokhwima ndi kudya kwambiri. Munthu watopa msanga, amafunikira kupumula kowonjezereka.
Kodi matenda ashuga ndi chiyani?
Sianthu ambiri omwe amadziwa kuti kuphwanya kagayidwe kazakudya zam'madzi ndi madzi kumadzetsa mawonekedwe a shuga. Izi zikuchitika chifukwa cha kusachita bwino kwa kapamba. Ndiamene ali ndi udindo wopanga insulini, ndipo iyenso amachititsa kuti shuga akhale shuga.
Vutoli likasokonekera, nthawi zambiri, kuwunika kwa matenda a shuga kumachitika.
Pathology imatha kukhala ndi mitundu iwiri yoyambira:
- Mawonekedwe obadwa nawo, nawonso cholowa. Imabadwa ngati pali anthu ena m'banjamo omwe ali ndi matenda,
- Wopezeka - zimachitika chifukwa cha kusokonezeka kwa metabolic m'thupi.
Mitundu ya Matenda A shuga
Matendawa ali ndi mitundu iwiri yomwe imafanana, koma amasiyana mu zamankhwala, ali ndi njira zosiyanasiyana zosungiririra thupi m'njira zabwinobwino.
Ndikofunikira kukumbukira kuti ndizosatheka kuchiritsa matendawa kwathunthu, inde, ndikofunikira kuyesera kuti thupi lipangitse insulin yake, koma ndizosowa kwambiri kupeza zotsatira zabwino.
Mwambiri, insulin iyenera kuperekedwa yokha, koma zimatengera mtundu wa matenda.
Masiku ano, pali mitundu iwiri ya matenda:
- Mtundu woyamba wa shuga. Nthawi zambiri amavutika ndi anthu osakwana zaka 40. Matenda a shuga amtunduwu amafunikira insulin mosalekeza kuti ipititse thupi. Matendawa ndi oopsa, amafunika kudya mosamalitsa.
- Type 2 matenda a shuga. Sichodalira insulini. Nthawi zambiri amavutika ndi anthu okalamba. Nthawi zina kudya komanso kuchepetsa thupi kumakhala kokwanira kwa matenda ashuga otere.
Ndani ali woyenera kupita kunkhondo
Nthawi zina kukhalapo kwa matendawa kumakhala kokwanira kuti munthu athe kupeza ntchito, koma bwanji za iwo omwe akufuna kukakhala m'gulu lankhondo, koma ali ndi matendawa?
Poyamba, ndikofunikira kudziwa magawo azolimbitsa thupi mu mawonekedwe amagetsi. Lero pali asanu mwa iwo. Kwa aliyense wa iwo pali zingapo zofunika ndi zoletsa. Gulu liti lomwe mnyamatayu adzalandire, okhawo achipatala ndi omwe angasankhe.
Zigawo zamphamvu zogwirira ntchito pamagetsi:
- Zabwino (A) - zimayikidwa pamaziko a kuyesedwa kuchipatala kwa iwo omwe ali ndi thanzi labwino kwambiri kapena omwe ali ndi mavuto ochepa azaumoyo omwe samakhudzana ndi usilikali,
- Zoyenera kukhala ndi zoletsa zazing'ono (B) - mtundu uwu ukuwonetsa kuti ntchito zankhondo ndizotheka, koma zolembedwazo zidzakhala ndi zoletsa zina,
- Achikwanira (B) - mlembi yemwe adalandira gululi sangayankhe usitikali, amuyika kumalo osungirako, koma adzaitanidwa kukagwira ntchito yankhondo mdziko lino,
- Kusakwaniritsidwa kwakanthawi (G) - gululi limanenanso kuchepa kwakanthawi pazifukwa zaumoyo. Kuyika gululi, munthuyu amatumizidwa kuti akamuyeze ndi kumuchiritsa. Pakatha miyezi 6 mpaka 12, atha kuyitanidwanso kuti akapitenso kuchipatala,
- Zosayenera kwathunthu (D) - munthu yemwe adalandira gululi amayimitsidwa kwathunthu kuti asagwire ntchito. Izi ndichifukwa choti, mwambiri, ali ndi matenda oopsa omwe amakhudzana ndi nkhondo iliyonse.
Zokhudza matenda ashuga, ndiye kuzipatala, akatswiri azindikira mtundu wa matenda ndi kuuma kwa njira yake. Kutengera izi, chisankho chidzapangidwa, ndipo imodzi mwamagulu omwe ali pamwambapa adzapatsidwa kwa omwe akulembetsa.
Kodi ndizowona kuti anthu omwe ali ndi matenda ashuga adalembedwa usilikali?
Ngati mukufuna kudziwa ngati ali m'gulu lankhondo omwe ali ndi matenda ashuga, musakhale ndi nkhawa. Mosatengera mtundu wa chitukuko cha matendawa, ndikosatheka kuthandizira nawo.
Ndemanga ya gulu lolimbitsa thupi ikuchitika molingana ndi ndime "b" ndi "c" mu Article 13 ya ndandanda ya Matenda. Pamaso pa kuuma pang'ono kapena pang'ono, ofesi yolembetsa ndi kulembetsa asitikali amakakamizidwa kuvomereza gulu "B" lolembetsa. Nzika zotere zitha kuyitanidwa kuti zizigwira ntchito pankhondo.
Mwa mawonekedwe owopsa, limodzi ndi zovuta, kuyeserera kumachitika pansipa "a" ya nkhani yomweyi. Achinyamata amatenga khadi yankhondo yokhala ndi gulu "D". Izi zikutanthauza kuti munthu sangakwanitse kugwira ntchito yake yankhondo.
Kodi mungalandire bwanji khadi lankhondo la anthu odwala matenda ashuga?
Nthawi zina pokambirana ndi maloya othandizira, othandizira amafunika kuwunikira funso kuti: Kodi kulembedwa ndi matenda ashuga kungakhale m'gulu lankhondo? Ngati njira zoyeserera zichitidwa molingana ndi malamulo aku Russia, zoterezi siziphatikizidwa.
Pofuna kuti asamasukidwe, mnyamatayo ayenera kudziwitsa anthu omwe ali m'bungwe lachipembedzo lachipani chokhudza matenda ake ndikupereka zikalata zakuchipatala. Pambuyo pake, ayenera kumupatsa iye kutumizira mayeso owonjezera kuti atsimikizire kuti ali ndi matendawo. Ngati dokotala yemwe amachititsa kafukufukuyu akatsimikizira matendawa, ndiye kuti pamsonkhano wokonzekera kulemba zilembedwezo azilandira olimbitsa thupi "B", atatha (atatenga zikalata zonse zofunikira) adzapatsidwa chikalata chausirikali.
Pamwambapa, ndidafotokoza bwino malo omwe angapangidwire shuga. Komabe, sizingakhale ndi chitsimikizo kuti munthu wodwala sangakhale usilikali. Mwachitsanzo, atha kupita kunkhondo ngati:
- cholembedwacho sichinenapo kanthu za matenda ake,
- kulembanso zochitika zikhala zotsutsana.
Kumbukirani, ngati mukuphwanya ufulu wanu woti musachotsedwe, mutha kukadandaula motsutsana ndi chigamulo chokomera gulu lokonzalo.
Pakulemekezani inu, Mikheeva Ekaterina, Mutu wa Dipatimenti Yazamilandu Yothandizira Ntchito Zothandizira Ma Drafomiti.
Timathandizira okonzekera kulemba zikalata zankhondo kapena kuimitsa boma mwalamulo: 8 (800) 333-53-63.
Magulu oyenerera ntchito
Pakadali pano pali magulu asanu olimbitsa thupi pa kukonzekera:
- Gawo "A" litanthauza kuti wolembetsa akhoza kulowa usilikari.
- Gulu B limapatsidwa ntchito ngati wachinyamata angalembetse, koma ali ndi mavuto ochepa azaumoyo omwe samasokoneza ntchito.
- Gawo "B" litanthauza kuti mnyamatayo ndi ochepa omwe amayimba.
- Gawo "G" limaperekedwa ngati wosungidwayo ali ndi matenda okhudzana ndi matenda amisala m'thupi.
- Gawo "D" litanthauza kusakwanira kwathunthu pazankhondo.
Kuyenerera kupita kunkhondo kumatsimikiziridwa ndi bungwe lapadera la zamankhwala
Asitikali ndi matenda ashuga
Ndizosatheka kuyankha mosakayikira funso ngati odwala matenda ashuga adalembedwa usilikali. Kupatula apo, matenda ashuga, kutengera mtundu wa matenda, amatha kuchitika mosiyanasiyana.
Ngati munthu ali ndi matenda ashuga amtundu wa 2 ndipo popanda zovuta zina mthupi, ndiye kuti angathe kupatsidwa gawo la "B". Izi zikutanthauza kuti sangatumikire, koma munthawi ya nkhondoyi akhoza kutenga nawo gawo.
Ngati walembedwayo ali ndi matenda ashuga amtundu woyamba, ndiye kuti sangakhale m'gulu lankhondo, ngakhale iye atakhala ofunitsitsa kukhala m'gulu la achitetezero a Dziko la Fatherland.
Monga lamulo, gulu lankhondo ndi matenda ashuga ndi malingaliro osagwirizana
Tilembapo zifukwa zochepa chabe zomwe zingalepheretse odwala oterewa kulowa usilikali:
- Pankhani ya shuga wodalira insulin, odwala amafunika kupatsidwa jakisoni wa insulin panthawi yoikika, pambuyo pake amafunika kudya pakapita nthawi. Komabe, asirikali amatenga chakudya mosamalitsa malinga ndi boma, ndipo izi zitha kubweretsa chiwopsezo chakuchepa kwamphamvu kwa shuga mwa odwala matenda ashuga.
- Panthawi yochita masewera olimbitsa thupi omwe asitikali amakumana nawo, amatha kuvulala kapena kuvulala. Kwa odwala matenda ashuga, izi zimatha kubweretsa zovuta, mpaka ku gangrene ya m'munsi.
- Matenda a shuga nthawi zambiri amakhala ndi kufooka, kukhudzika ndi ntchito, kufuna kupuma. Zachidziwikire, izi siziloledwa usilikari popanda chilolezo cha maulamuliro.
- Kuchita masewera olimbitsa thupi omwe asungwana athanzi amatha kuthana nawo mosavuta sikungakhale kovuta kwa odwala matenda ashuga.
Chifukwa cha matenda ashuga, munthu atha kukhala ndi ma pathologies omwe sanatengeke kuti akagwire ntchito yankhondo:
- Kulephera kwamkati, komwe kumatha kuwononga ntchito za thupi lonse.
- Zowonongeka m'matumbo amaso, kapena retinopathy, zomwe zingayambitse khungu lathunthu.
- Phazi la matenda ashuga, momwe miyendo ya wodwalayo imakutidwa ndi zilonda zotseguka.
- Angiopathy ndi neuropathy yam'munsi yotsika, yomwe imafotokozedwa chifukwa chakuti manja ndi miyendo ya wodwalayo imakutidwa ndi zilonda zam'mimba. Nthawi zina, izi zimatha kudzetsa phokoso la phazi. Pofuna kupewa kuchulukitsa kwa zizindikirozi, ndikofunikira kuyang'aniridwa ndi endocrinologist, kuti azilamulira kuchuluka kwa shuga m'magazi. Ndi zizindikirozi, odwala ayenera kuvala nsapato zapadera, kulipira chisamaliro chapadera paukhondo wamiyendo, etc.
Kutsiliza: Anthu omwe ali ndi matenda ashuga ali ndi zolepheretsa zambiri zomwe sizimalola kuti atumikire ku Gulu Lankhondo. Izi ndizoletsa pazakudya, mawonekedwe a boma ndi ukhondo omwe sangathe kutsimikiziridwa muzochitika zankhondo. Chifukwa chake, matenda a shuga amaphatikizidwa pamndandanda wamatenda omwe gulu lankhondo silatengedwa.
Mtundu woyamba wa matenda ashuga ndi usilikali
Monga taonera, mtundu woyamba wa matenda ashuga umadalira insulini. Izi zikusonyeza kuti munthu amayenera kupaka jekeseni wa insulin nthawi zonse kuti akhale ndi thupi.
Palibe chomwe chingapangidwe ndi matenda amtunduwu, koma nthawi zina achinyamata amawonetsa chikhumbo chachikulu chotumikirira ndikuyesa kubwera kumeneko mwa njira iliyonse. Koma kodi ndizoyenera?
Mutha kuganiza pang'ono ndikuganiza ngati pakhala mikhalidwe yomwe ndiyofunika kwa anthu omwe ali ndi matenda awa? M'malo mwake, ntchito yankhondo, pamaso pa mtundu 1 wa shuga, ingathe kusokoneza thanzi la munthu.
Kodi chiwopsezo chogwira ntchito yankhondo yankhondo yanji ndi matenda a shuga 1?
Ndi matenda a mtundu woyamba, ntchito yankhondo ikhoza kukhala yolakwira. Izi ndichifukwa choti palibe mikhalidwe yoyenera kwa anthu otere, ndipo amafunikira boma lapadera, mwachitsanzo, chakudya chamagulu.
Kodi izi zikukamba chiyani? Monga mukudziwa, mtundu woyamba wa matenda a shuga umakhudzana ndi insulin. Izi zikuyenera kuchitika panthawi inayake, ndipo dongosolo la asitikali limasinthasintha kotero kuti palibe nthawi yoti izi zitheke. Kupatula apo, atatha kuyambitsa mahomoni, simungadye chakudya kwakanthawi.
Vutoli limatha kuchitika komanso kutsika kwamphamvu kwa glucose m'thupi. Izi zimakhudza kuthekera kwa munthu kugwira ntchito ndipo zimafunikira chakudya china chowonjezera. Ndipo ngati msirikali atha kukhala ndi mwayi wotere nthawi zonse ndimafunso yovuta.
Anthu ambiri amadziwa kuti pamaso pa matendawa, zovuta zimatha kukhalapo ndikuchiritsidwa kwa mabala ndi mabala. Nthawi zambiri, pakavulala, pamakhala mwayi woti umatha kusinthika, mavuto oopsa ngati mtundu wa gangore.
Anthu ambiri amadziwa kuti m'gulu lankhondo, asitikali amalandira masewera olimbitsa thupi nthawi zonse. Odwala omwe ali ndi matenda ashuga amafunikira kupuma kwambiri kuti thupi libwezeretse mphamvu yake. Mwachilengedwe, izi sizingatheke mu gulu lankhondo. Pali maboma akeake ndi malamulo ake, ndipo amasiyana kotheratu ndi anthu ashuga.
Kutengera izi, titha kunena bwinobwino kuti kuchita masewera olimbitsa thupi pafupipafupi komanso maulamuliro omwe amapezeka kunkhondo sikuyenera kwenikweni kwa munthu wodwala matenda ashuga. Izi zitha kusokoneza thanzi lake: zimayambitsa kupsinjika ndi kuwonjezereka kwa matendawo.
Malangizo: Anthu omwe ali ndi mtundu woyamba wa matenda a shuga amafunika kumaliza gulu la olumala panthawi yake. Chifukwa chake, adzalandira insulin yaulere kuchokera ku boma.
Kukhala ndi mtundu woyamba wamtunduwu sikulimbikitsidwa kuti mupite kukatumikirako. Musabisire matenda anu mukamayesedwa kuchipatala, chifukwa izi zimatha kubweretsa zovuta.
Mtundu wachiwiri wa matenda ashuga komanso usilikali
Ndikosavuta kuyankha mosaganizira funso ngati ali m'gulu lankhondo la matenda ashuga a 2. Izi zimafuna kumuwunika wodwalayo kwathunthu, kutha kwa dokotala wa endocrinologist, yemwe afotokoze zomwe akuvomereza kapena zoletsa kulowa usilikali.
Ngati wachinyamata ali ndi matenda a shuga a 2, omwe amapita popanda zovuta ndipo samasokoneza kugwira ntchito kwa thupi lonse, ndiye kuti nkotheka kuti wachinyamata atha kupatsidwa gulu B.
Pankhaniyi, ntchito yathu yonse m'magulu ankhondo sigwira ntchito. Munthuyu azikhala osasamala ngati adani atha.
Pali nthawi zina, pambuyo pa bungwe lazachipatala, commissariat angaganize kuvomereza kuti alembetsedwe ngati ali ndi matenda. Pankhaniyi, matenda amtunduwu sayenera kudziwonetsa yekha ndikukhudza thanzi la munthu.
Chinanso chomwe chingakhale chifukwa choyimitsidwa
Anthu ambiri amadziwa: matenda monga matenda ashuga amayambitsa zovuta mthupi.
Kodi ndimatenda ati kapena mavuto azaumoyo omwe angayambitse kuyimitsidwa pantchito yankhondo:
- Zilonda pamiyendo. Mwachitsanzo, ndi neuropathy ndi angiopathy, manja ndi miyendo ya munthu imakutidwa ndi zilonda zam'mimba. Matendawa amafunikira chithandizo chamankhwala a endocrinologist wokhazikika, amangochizidwa kuchipatala,
- Matenda a impso. Izi zimabweretsa kusayenda bwino kwa thupi lonse,
- Kutengera zakumbuyo za matenda ashuga, pali mavuto ndi masomphenya - retinopathy,
- Mavuto ndi mapazi. Matendawa amakwiya ngati ma zilonda kumapazi a munthu. Ndikulimbikitsidwa kusankha nsapato zapamwamba komanso zapamwamba, zomwe asitikali sangathe kuchita.
Pomaliza
M'nkhaniyi, tidawona ngati odwala matenda ashuga adalembedwa usilikali. Koma ndikofunikira kukumbukira: chaka chatha mu gulu lankhondo zitha kuvulaza thupi lofooka kale. Anthu omwe ali ndi matenda a shuga amtundu uliwonse amalangizidwa kuti atsatire malangizo a dokotala komanso kuti asayese thanzi lawo.
Kukhalapo kwa mtundu woyamba wa shuga ndikosemphana ndi ntchito yankhondo - izi ndizotsutsana. Monga tafotokozera pamwambapa, izi zitha kukhala ndi zotsatirapo zoipa, chifukwa ulamulirowu suyenera kwenikweni kwa anthu omwe ali ndi matendawa.
Pokhala ndi mtundu wachiwiri wa matendawa, mutha kupeza gulu B, zomwe zikutanthauza kuti munthu azisungidwa asitikali ankhondo, ngati atagwira ntchito zankhondo mdzikolo, adzaitanidwa kuti ateteze kwawo.
Ndi matenda a shuga, okhawo omwe alibe mavuto azaumoyo komanso pomwe thupi silikufuna kukhazikitsidwa kwa insulin ya mahomoni amatengedwa kupita kunkhondo.
Ndemanga
Kukopera zinthu kuchokera pamalowa ndizotheka ndi ulalo wokha patsamba lathu.
CHIYAMBI! Zambiri patsamba lino ndizodziwika bwino ndipo sizitanthauza kuti zili zolondola kuchokera ku nkhani zamankhwala. Kuchiza kuyenera kuchitika ndi dokotala woyenera. Kudziziritsa nokha, mutha kudzipweteka!
Utumiki kapena ID yankhondo: kodi odwala matenda ashuga amalowa usirikali?
Lamulo la Russia likufuna anthu omwe afika zaka khumi ndi zisanu ndi zitatu kuti agwire ntchito yankhondo. Achinyamata, atalandira lisamanisi, pitani kumalo ophunzitsira.
Izi ngati sizichitika, ndiye kuti mnyamatayo akhoza kulangidwa, mpaka kumangidwa.
Pazifukwa zathanzi, achinyamata atha kupewa ntchito. Komanso, pali zinthu zingapo zomwe zimaletsa izi. Chidziwitso cha Asilikali chitha kuperekedwa pazifukwa zaumoyo.
Ngakhale kusukulu, ophunzira akafika msinkhu wolembedwa, amalowa mayeso apachaka. Pankhani ya matenda, pakhoza kukhala kuchedwa kapena kumasulidwa kwathunthu. Mwa zina mwa matenda omwe ID ingatengere usirikaliwo ndi monga matenda a shuga.
Komiti yojambulayiyo imauzanso mnyamatayo kuti amukayezetsa, ndipo pambuyo pake adzagamula kuti amupatse gulu lina.
Magawo omwe adapatsidwa makomiti oyang'anira
Mukamayang'ana momwe wachinyamata alili, gulu limamupatsidwa. Zotsatira zake, zikuwonekeratu ngati adzalembetsedwe gulu lankhondo ndi matenda amtundu wa 2 ndi mtundu wa 2, kapena chikalata chausirikali chidzaperekedwa nthawi yomweyo.
Masiku ano, magulu otsatirawa akuwunika:
- gulu "A". Mnyamatayo ali ndi thanzi labwino. Akhoza kugwira ntchito yankhondo iliyonse,
- gulu "B". Pali zovuta zina zazing'ono. Koma wachichepere angatumikire. Madokotala amawonjezeranso magawo anayi omwe amatsimikiza kuti angagwire ntchito yankhondo,
- gulu "B". Gululi limakupatsani mwayi woti musagwire ntchito mwachindunji, koma pankhani yankhondo zankhondo, bambo amayitanidwa kuti akagwire ntchito yankhondo.
- gulu "G". Gawoli lidzapatsidwa matenda oopsa koma ochiritsika. Izi zimatha kuvulaza kwambiri, mavuto okhala ndi ziwalo zamkati. Pambuyo pamankhwala, kalata imaperekedwa mwa magawo ali pamwambawa,
- gulu "D". Makina okhala ndi gawoli sangathe kugwira ntchito ngati pakhale malamulo ankhondo. Izi ndizotheka pamaso pa matenda ovuta. Matenda monga shuga.
Matenda a shuga ndi Asitikali
Bwanji osatenga gulu lankhondo ndi matenda ashuga 1? Ndi matenda ashuga, munthu amakhala ndi vuto lofooka, lonse komanso minofu, munthu amakhala ndi chidwi chambiri, pomwe amachepetsa thupi, munthu amafunitsitsa kumwa ndipo, monga chotulukapo chake, kukodza pafupipafupi, osaganizira nthawi yatsiku.
Pali zifukwa zinayi zomwe zingasokoneze ntchitoyi:
- kotero kuti shuga nthawi zonse amakhala wabwinobwino, ndikofunikira kudya nthawi inayake, muzitsatira mankhwalawa osati kuwonongeratu zochita zolimbitsa thupi. Odwala ayenera kulandira jakisoni panthawi inayake, kenako adye. Asitikali amafunika boma lokhala ndi zakudya komanso zolimbitsa thupi. Izi zimatha kupangitsa kuti magazi abwere. Wodalira insulin sangathe kupirira izi,
- Amadziwika kuti anthu odwala matenda ashuga ndizovuta kulekerera kuvulala ndi mabala. Msirikali, pakuchita masewera olimbitsa thupi, atha kukhala ndi mabala, kapena kuvulaza miyendo yake, izi zimatha kudzetsa chilonda. Pambuyo pake, chiopsezo chodulidwa ziwalo ndizambiri,
- matenda ashuga angayambitse kufooka kwambiri nthawi iliyonse. Munthu adzafunika kupumula posachedwa, komwe gulu lankhondo silingachite,
- Asitikali ankhondo amaphunzitsidwa zolimbitsa thupi. Mitolo ikhoza kukhala yoopsa kwambiri. Msirikali wodalira insulin sangalimbane ndi ntchito zoterezi. Izi zimatha kubweretsa zovuta pamagulu.
Zofunikira zazikulu zimadziwika ndi zomwe ndizoletsedwa kukopa anthu omwe ali ndi matenda amtundu woyamba kupita kunkhondo:
- chitetezo chamunthu chimachepetsedwa kotero kuti ngakhale kuvulala koyipa kwambiri kungayambitse poyizoni wa magazi, kuchepa, ndikupanga zovuta m'magawo onse ndi zotsatirapo zake zonse. Chifukwa chake, ndi matenda a shuga mellitus amatengedwa kupita kunkhondo pokhapokha,
- kuwongolera kukhalapo kwa matenda ashuga, ndikofunikira kutsatira mosamalitsa njira yoikidwiratu ya kudya, mankhwala, ndi kupumula. Sizingatheke kuchita izi asitikali,
- anthu odwala matenda ashuga saloledwa kuchita masewera olimbitsa thupi.
Mwachidule izi pamwambapa: mpaka njira zabwino zamankhwala zitapangidwa, shuga ndi gulu lankhondo sizingakhale palimodzi. Kugwirira ntchito zankhondo pamtundu woyamba ndizotsutsana kwathunthu. Izi zitha kukhala chiwopsezo cha moyo ndi thanzi.
Kodi malingaliro osalabadira thanzi lanu angatsogolere bwanji?
Achinyamata ambiri, ngakhale ali ndi malingaliro akuti pafupifupi onse olembetsa amalota kuti "atuluke" gulu lankhondo, amafunitsitsa kuchita chilichonse.
Komanso, samangokhala ndi chidwi ndi mavuto azaumoyo, komanso amabisa matenda omwe amaletsa kutumikiridwa. Kunyalanyaza koteroko kumangodzipweteketsa tokha, komanso kumabweretsa mavuto akulu kwa omwe angakhale chapafupi.
Pali mbali yokhayo yakakhalidwe komanso udindo wa munthu pazomwe zimachitika. Kuphatikiza pa ogwira nawo ntchito, omwe amangokhalira kuda nkhawa ndi bwenzi lomwe likudwala, akuluakulu apamwamba amathanso kukhala ndi mavuto. Pamavuto akulu azaumoyo, udindo wovulaza udzagona ndi oyang'anira.
Pankhaniyi, sikuti tikulankhula za mbali ya chikhalidwe, komanso za zilango zenizeni komanso zazikulu. Ogwira nawo ntchito nawonso adzavutika, omwe, pofunsidwa ndi msilikali wodwala, amabisa mavuto. Chifukwa chake, wachinyamata yemwe amabisa matendawa amayika pachiwopsezo osati iye yekha, komanso anthu omwe amamuzungulira. Matenda a shuga ndi asirikali ndi mfundo ziwiri zomwe, ndi kukhumba kwawo kwakukulu, sangapeze malo omwe amagwirizana.
Tsopano makamaka za matenda omwe angachitike:
- Mapazi kumapazi atha kuphimbidwa ndi zilonda zopweteka komanso zotuluka magazi. Phazi lotchedwa diabetes,
- kupezeka kwa kulephera kwa impso ndi kuwonongeka kwa ntchito ya thupi lonse.
- manja, komanso mapazi a odwala, amatha kudwala zilonda zam'mimba. Matendawa amatchedwa: neuropathy ndi imodzi ina - angiopathy. Zotsatira zoyipa kwambiri ndikudula miyendo,
- ngozi yakuchititsani khungu kwathunthu. Ndi matenda ashuga komanso osagwirizana ndi machitidwe a mankhwalawa, mavuto amabuka ndi diso. Zotsatira zake - kutayika kwathunthu kwa masomphenya.
Makanema okhudzana nawo
Matenda a shuga amawopa mankhwalawa, ngati moto!
Ndikofunikira kutsatira.
Mndandanda wamatenda omwe gulu lankhondo silatengedwa:
Yankho la funso loti ali m'gulu lankhondo omwe ali ndi matenda ashuga ndiwodziwikiratu. Ngati mtundu wachiwiri wa matenda udaperekedwa, ndiye kuti chithandizo chitha kuchitika pakafunika thandizo. Mtundu woyamba umaletsa mwamtundu wa ntchito. Koma atapima mayeso athunthu, zimawonekera ngati nkotheka kupita kukatumikira. Kupereka ntchito yankhondo ndi chinthu cholemekezeka kwambiri. Kuti izi zichitike, ndikofunikira kuyambira ndili mwana kuti ndikhale ndi moyo wathanzi. Pokhapokha izi ndizotheka kuti musakhale wathanzi lokha, komanso mwamakhalidwe ndi okhwima.
- Amachotsa zoyambitsa zovuta
- Imachepetsa kupanikizika mkati mwa mphindi 10 pambuyo pa kutsata
Kuunikira kufunika kwa zolembedwa zankhondo
Mu 2003, Boma la Russian Federation linapereka lamulo malinga ndi momwe madokotala apadera, omwe amapanga bungwe la zamankhwala, ali ndi ufulu wodziwika ngati ali oyenerera kugwira ntchito yankhondo.
Makomiti amafufuzidwa, kenako zimamveka ngati mnyamatayo akuyembekezera kupita kunkhondo kapena sanalembere usilikali chifukwa chakuwoneka bwino ndi thanzi lake.
Pamalo opanga malamulo, magulu amagawidwa malinga ndi momwe madokotala amadziwitsira ngati munthu ali nawo usilikali:
- Ngati, atamufufuza zamankhwala, zikuwoneka kuti zomwe zalembedwazi zikuyenera kugwira ntchito yankhondo ndipo alibe zoletsa zilizonse, amapatsidwa gawo A.
- Ndi zoletsa zazing'ono zazing'ono, gulu B. limalumikizidwa.
- Ntchito zankhondo zochepa ndizosungidwa kwa achinyamata omwe ali ndi gulu B.
- Pamaso pavulala, kusokonezeka pakugwira ntchito kwa ziwalo ndi ma pathologies ena osakhalitsa, gulu G. limaperekedwa.
- Ngati munthu sakukwanira usilikari, amapatsidwa gulu D.
Ngati pakuchitika kuti mayesowo akudwala matenda ashuga, madokotala azindikira mtundu wa matenda, kuuma kwa njira yake, kukhalapo kwa zovuta zilizonse. Chifukwa chake, yankho lenileni la funso loti anthu ashuga kapena ayi atengedwa kupita kunkhondo mulibe.
Chifukwa chake, ndi matenda a shuga a mtundu wachiwiri komanso kusapezeka kwazinthu zokhudzana ndi ziwalo, wachinyamata, monga lamulo, amapatsidwa gawo B.
Poterepa, munthuyu sayenera kugwira ntchito yausirikali, koma ngati pangafunike, adzaitanidwa kuti akhale usitikali wankhondo.
Gulu Lankhondo la Type 1 Shuga
Wodwala akapezeka ndi matenda a shuga 1, sangalandiridwe usilikali.Komabe, achichepere ena omwe amafuna kuti atumikire nthawi zambiri amayesa kudziwa ngati angadzipereke kuti alowe nawo m'gulu la asitikali aku Russia, ngakhale atadwala kwambiri.
M'malo mwake, kuyankha funso ngati ili sikovuta. Omwe akuyenera kungoganiza za momwe ulembedwe uzikhala tsiku lililonse komanso momwe zimavutira kuzindikira matenda ashuga.
Mutha kulembapo zochitika zingapo zovuta zomwe mungakumane nazo muutumiki:
- Insulin imalowetsedwa m'thupi tsiku lililonse panthawi inayake, kenako osatha kudya kwakanthawi. Ngakhale ali pantchito yankhondo, boma loterolo silimatheka kuwona. Monga mukudziwa, m'gulu lankhondo chilichonse chimachitika molingana ndi dongosolo lokwanira. Pakadali pano, wachichepere amatha kutsika magazi mwadzidzidzi nthawi iliyonse, zomwe zingafune kudya kowonjezera mwachangu.
- Ndi zovuta zilizonse zakuthupi zamatenda, pamakhala chiwopsezo chowoneka ngati mabala amadzimadzi oyera, kukula kwa chala cham'mimba ndi zovuta zina, zomwe zingayambitse kudula kwam'munsi.
- Kudwala koopsa kumafuna kupumula kwakanthawi komanso kupuma pakati pa masewera olimbitsa thupi. Komabe, ndizoletsedwa pagulu lankhondo kuchita izi popanda kupeza chilolezo kwa akulu-akulu.
- Kuchita masewera olimbitsa thupi pafupipafupi kumakhala kovuta kulekerera komanso kuyambitsa zovuta.
Kutengera ndi zonse zomwe tafotokozazi, ndikofunika kuti poyamba muzidera nkhawa zaumoyo wanu komanso kuti mukhale ndi gulu la zilema pakapita nthawi.
Simuyenera kubisa matenda anu kuti mugwire ntchito, chifukwa kukhala chaka chimodzi chodzabadwa kumatha kudwalitsa ena.
Kodi ndi ma pathologies ati omwe angayambitse kukana ntchito
Chifukwa chakuti matenda ashuga amakhala omwe amachititsa kuti mitundu yonse ya zamatenda ichitike, ndikofunikira kuganizira mtundu wamatenda omwe wachinyamata sangatenge kupita nawo kunkhondo:
- Ndi neuropathy ndi angiopathy am'munsi, mikono ndi miyendo yokutidwa ndi zilonda zam'mimba. Komanso, miyendo imatha kutupa, yomwe nthawi zina imabweretsa kukula kwa phazi. Ndi matenda oterewa, thandizo la endocrinologist limafunikira, yemwe adzakulangireni chithandizo chofunikira kuchipatala. Kuti mupewe izi, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi.
- Kulephera kwa aimpso, ntchito yaimpso imalephera. Izi zimapangitsa kuwonongeka kwa thupi lonse.
- Ndi retinopathy, kuwonongeka kwa mtima kumachitika m'maso am'maso, izi nthawi zambiri zimayambitsa kuwonongeka kwathunthu kwamawonedwe.
- Ndi phazi la matenda ashuga odwala matenda ashuga, mapazi amaphimbidwa ndi zilonda zambiri zotseguka. Popewa zovuta, ndikofunikira kuwunika ukhondo wamiyendo ndikuvala nsapato zapamwamba kwambiri.
Mwanjira ina, gulu lankhondo ndiokonzeka kuvomereza m'magulu ake okha achichepere omwe alibe zizindikiro pamwambapa. Pankhaniyi, matenda a shuga akhoza kukhala oyamba okha, popanda zovuta zilizonse.
Tsopano ndikosatheka kukumana ndi msirikali amene ali wathanzi kwathunthu. Ndikudziwa omwe ali ndi matenda ashuga, iwonso amafuna kutumikiridwa.
Pa gulu lankhondo lomwe lili ndi matenda ashuga: ndani angatumikire?
Musanalandire khadi lankhondo ndi kulowa usilikali, onse omwe amalembetsa ayenera kupita kuchipatala. Madotolo atatha kuphunzira za mbiri ya udokotala, kuyesa mayeso onse ofunikira, mnyamatayo amatha kudziwa ngati akuvomerezedwa usilikali.
Popeza pali matenda angapo omwe amasokoneza ntchito zankhondo, ndikofunikira kuti odwala matenda ashuga azindikire ngati ali m'gulu la asirikali omwe ali ndi matenda ashuga. Pali zosankha zingapo zotsatira za matendawa ndi matendawa, motero mathero omaliza amapangidwa ndi komiti yachipatala atapenda mosamala zolemba zonse ndi zikalata zomwe zikuphatikizidwa pazomwe munthu akudwala.
Nthawi zambiri anthu omwe amapezeka ndi matenda a shuga amayesetsa kubwezeretsa usilikali. Ndikofunika kuphunzira nkhaniyi mwatsatanetsatane kuti mudziwe ngati odwala matenda ashuga ali ndi ufulu wotumikirabe, ngakhale atakhala kuti ali ndi matendawa, ngati atha kukana kulowa usirikali ndi zikalata ziti zofunika pa izi.
Kodi ophunzirawo amawunikira bwanji kuti ali ndi mwayi wopezeka muutumiki?
Malinga ndi malamulo aku Russia, omwe adalandiridwa ndi Boma la Russian Federation mu 2003, ndi madotolo apadera okha omwe ali m'gulu la achipatala omwe angadziwe kuti ali ndi mwayi wankhondo kapena kuloledwa kulowa usilikali.
Makomiti amayenera kukayezetsa kuchipatala, pambuyo pake zimadziwika ngati adzalembetsedwe m'gulu lankhondo ndi matenda ashuga komanso ngati odwala matenda ashuga alandila tikiti yankhondo. Pakadali pano, nthawi zambiri wodwala amakana kubwezeretsedwanso m'malo mwa asitikali ankhondo chifukwa chakusokonekera chifukwa chachipatala.
Lamulo la ku Russia likuwonetsa magulu angapo molingana ndi kuopsa kwa matenda. Woyang'anira dipatimentiyo amapatsidwa gulu linalake, lomwe limayang'ana pa zotsatira za mayeso azachipatala ndi mbiri yakale yakuchipatala, pamenepa izi zimamveka ngati atakhala usirikali.
- Gulu A limatumizidwa kwa omwe akukonzekera kulowa usilikali ndipo sakhala ndi zoletsa zina paumoyo.
- Ndi choletsa pang'ono chifukwa cha thanzi, gulu B limapatsidwa ntchito.
- Ngati gulu B lapatsidwa usilikali, munthuyu atha kutumikiridwa, koma ochepa.
- Ngati vuto lavulala kwambiri, kusagwira bwino ntchito kwa ziwalo zamkati, kukhalapo kwa matenda aliwonse osakhalitsa, gulu G limayikidwa.
- Ngati atatha mayeso okachipatala atapezeka kuti mnyamatayo sakuyenerera kupita kunkhondo, adzapatsidwa gulu D.
Popeza matenda ashuga komanso gulu lankhondo siligwirizana nthawi zonse, munthu amene akulembetsa ayenera kukhala ndi matenda odekha kuti akhale woyenera kulowa usilikari. Pakufufuza kwamankhwala, adokotala amapeza mtundu wa matenda a shuga, momwe matendawa alili, ngakhale pali zovuta. Chifukwa chake, nkovuta kwambiri kuyankha funsoli mosasamala ngati matenda a shuga amatengedwa ngati gulu lankhondo kapena ayi.
Chifukwa chake, ngati munthu wapezeka ndi mtundu wachiwiri wa matenda ashuga, samakhala ndi zosokoneza poyendetsa ziwalo zamkati, amapatsidwa gawo B.
Pankhaniyi, wankhondo wokhwimira kwathunthu amalembedwa zachinyamata, koma chikalatacho chimalembetsedwa kusungidwe, ndipo ngati kuli kotheka, angathe kugwiritsidwa ntchito ngati gulu lankhondo lowonjezereka.
Mtundu woyamba wa Matenda a shuga ndi Gulu Lankhondo
Pankhani ya matenda a shuga a mtundu woyamba, kupita kunkhondo kwa wachinyamata ndi kotsutsana kwathunthu, chifukwa chake sangalandiridwe usilamu mulimonse. Komabe, ena omwe amadwala matenda ashuga amayesetsa kudzipereka mwa kufuna kwawo usirikali, ngakhale akudwala kwambiri, ndipo akuyesa kudziwa ngati angamupatse ntchitoyo.
Kutsutsa ntchito yankhondo nthawi zambiri kumayenderana ndi chifukwa choti oyang'anira tsiku lililonse amakhala m'malo ovuta, omwe wodwala matenda ashuga sangathe.
Munthu ayenera kungoganiza za zovuta zovuta zomwe akukumane nazo kuti amvetsetse kuti kulowa usilikali kungakhale koopsa kwa munthu amene ali ndi matenda a shuga 1.
- Anthu odwala matenda ashuga amafunika kubayira insulin tsiku lililonse mosatengera maola ena, pambuyo pake ndizoletsedwa kudya chakudya kwakanthawi. Panthawi yankhondo, boma lotere silipezeka nthawi zonse. Si chinsinsi kuti gulu lankhondo sililekerera kuphwanya malamulo okhwima, chifukwa chake, asitikali amachita chilichonse malinga ndi dongosolo linalake. Komabe, ndi shuga, shuga amatha kutsika kwambiri nthawi iliyonse ndipo munthu adzafunika kudya mwachangu kuchuluka kwa chakudya.
- Ndi kuvulala kulikonse, wodwalayo ali pachiwopsezo chachikulu chokhala ndi zilonda zam'maso, zala zam'miyendo, zipsinjo zam'munsi kapena zovuta zina, zomwe zimapangitsa kuti omwe akukakamizidwa azidula nthambi yam'tsogolo mtsogolo.
- Kuti chizindikiro cha shuga chizikhala chazolowereka, muyenera kutsatira njira inayake, kupumula kwakanthawi pakati pazochita zolimbitsa thupi komanso kupewa kuchita masewera olimbitsa thupi. Pakadali pano, izi sizingachitike m'gulu lankhondo pokhapokha chilolezo chikaperekedwa kwa wamkulu wa wamkulu.
- Ngati mumakonda kuchita masewera olimbitsa thupi pafupipafupi, wodwala matenda ashuga amamva bwino, chifukwa sizotheka kuthana ndi vutoli nthawi zonse. Kuphatikiza apo, kuchita masewera olimbitsa thupi mopitilira muyeso kumatha kupangitsa kuti pakhale zovuta zambiri.
Chifukwa chake, munthu yemwe ali ndi matenda a shuga sayenera kukhala ngwazi ndi kuthamangira asirikali. Pazifukwa zomwezo, simuyenera kubisa mwachidziwikire matenda anu komanso momwe aliri. Ndikofunika poyamba kuti azisamalira thanzi lanu.
Kuti atsimikizire ufulu wakakana kulowa usilikali, wodwala matenda ashuga ayenera kulandila gulu lolemala panthawi.
Kodi ndi ma pathologies ati omwe satenga kuti akagwire ntchito yankhondo
Popeza matenda ashuga ndi matenda oopsa, omwe, ngati malamulo ena sanatsatidwe, angayambitse zovuta zazikulu, ngakhale kufa, muyenera kudziwa zomwe ndizomwe zimapangitsa kuti akane kulowa usilikali.
Ngati dokotala azindikira matenda a neuropathy ndi angiopathy a miyendo, nthambi zam'munsi ndi zapamwamba zimakutidwa ndi mitundu yosiyanasiyana ya zilonda zam'mimba. Makamaka, miyendo ya wodwalayo imatupa mwamphamvu, zomwe nthawi zambiri zimakwiyitsa kukula kwa miyendo. Pankhani ya matendawa, ndikofunikira kulandira chithandizo choyenera moyang'aniridwa ndi endocrinologist pamalo oyenera. Popewa zovuta zotere m'tsogolomu, ndikofunikira kuyang'anitsitsa shuga yamagazi anu.
Kulephera kwamkati kumayambitsa vuto laimpso. Vutoli limakhudzanso thanzi lonse ndipo limabweretsa kuwonongeka kwamkati.
Ndi matenda a retinopathy, mitsempha yamagazi yamaso imakhudzidwa. Zotsatira zake, pakakhala kuti palibe chithandizo chamanthawi yake, wodwala matenda ashuga amatha kutaya ntchito.
Ngati wodwala ali ndi matenda ashuga, zilonda zambiri zotseguka zimatha kuoneka m'munsi. Popewa kukula kwa zovuta zoterezi, chisamaliro chapadera chiyenera kulipidwa kuti ayeretse miyendo ndikugwiritsa ntchito nsapato zapamwamba zokha.
Chifukwa chake, odwala matenda ashuga amatha kutengedwa m'gulu lankhondo pokhapokha ngati pali zizindikiro ndi matenda. Komanso, matendawa amayenera kukhala adakali achichepere komanso osakhala ndi mavuto akulu azachipatala. Ndiye kuti, matenda ashuga komanso gulu lankhondo likhoza kukhala logwirizana ndi matenda achiwiri kapena a prediabetes.
Matenda a shuga ndi matenda omwe magazi a wodwala amakwera. Amayamba motsutsana ndi maziko a insulin hormone akusowa.
- Wodalira insulin. Khalidwe la anthu ochepera zaka 25. Imayamba mosaganizira, imatha kubereka kapena kutenga. Kukhazikika kumafuna jakisoni wa insulin, kudya, komanso kuchita masewera olimbitsa thupi. Amayamba chifukwa cha kuperewera kwambiri kwa insulin.
- Insulin yodziyimira payokha. Nthawi zambiri anthu okalamba amakhala achikulire. Amayamba pang'onopang'ono. Chithandizo chimaphatikiza zakudya, masewera olimbitsa thupi, ndi mankhwala ochepetsa shuga. Amayamba chifukwa cha kuchepa kwa insulin.
Pa gawo loyamba, matendawa ndi asymptomatic. Zikamakula, pofuna kupitiliza kuchita zinthu zofunika kwambiri pamlingo woyenera, wodwalayo amakakamizidwa kumwa insulini, kutsatira zakudya zokhwima ndi kudya kwambiri. Munthu watopa msanga, amafunikira kupumula kowonjezereka.
Ngati sanachiritsidwe, matendawa amakula mwachangu. Pazifukwa izi, funso loti
akulemba odwala matenda ashuga amalembedwa asitikali, ndipo amalembedwa liti?
Olemba omwe akufuna kudziwa ngati angalembetsedwe sangakhale ndi nkhawa. Gulu lowongolera siliwazindikira kuti ali oyenera kuchitidwa. Mosatengera mtundu wa chitukuko cha matendawa, ndikosatheka kuthandizira nawo.
Kulakalaka kubweza ngongole kudziko lakutali. Koma ngakhale alembedwewo ngati sangadzipereke yekha ku ofesi yolembetsa usilikali ndi kumulembetsa ndi pempho loti amutengere nawo ntchitoyo, lingaliro la komisheniyo liyenera kukhala lachigawo - losayenera.
Kukhala ndi rookie m'gulu lankhondo kumabweretsa zovuta. Ndi zovuta zamavuto, kuvulala kulikonse kumawopseza kulowa gangdom. Kulephera panthawi yolondera kapena yophunzitsa kumisasa nkowopsa kwa wodwala ndi anzake.
Dziwani ngati mukuyenerera gulu lankhondo! Pezani upangiri waulere wazamalamulo kuchokera kwa katswiri wazamalamulo ankhondo.
Kodi amapita kunkhondo limodzi ndi matenda ashuga?
Matenda a shuga sikuti sikulepheretsa anthu kulowa usilikali. Komabe, izi ndizoyenera mtundu wachiwiri wa matenda ashuga, nthawi yake yomwe ndi yopanda tanthauzo ndipo palibe zovuta zomwe zimapangitsa kuti moyo ukhale wopweteka komanso zimapangitsa thupi kukhala pamavuto akulu. Kwa mtundu woyamba, njira yabwino kwambiri ndikukhazikitsa kulumala ndikukhalanso wathanzi pamlingo womwewo, chifukwa zovuta za matenda ashuga sizitha kuchiritsidwa.
Ndani komanso momwe amawerengera kuyenerera
Kuyenera kwa achinyamata omwe ali ndi matenda ashuga pazankhondo kumatsimikiziridwa ndi madokotala a akatswiri angapo. Aliyense amapita kokayezetsa kuchipatala, zotsatira zake zimatengera mwachindunji ngati mnyamatayo atumikire. Achinyamata onse amayesedwa chimodzimodzi, kuyerekezera kumeneku kutengera zotsatira zomwe zilipo, popanda kufufuza kowonjezera.
- Ndipo - ngati palibe zoletsa komanso zosemphana ndi nkhondo,
- B - zoletsa zazing'ono,
- B - ntchito yankhondo ndi yochepa, pali zotsutsana,
- G - pamaso pavulala, kusagwira ntchito kwakanthawi kwa ziwalo zina,
- D - chingwe chaching'ono sichili choyenera kupita kunkhondo.
Mukamayesa achinyamata omwe ali ndi matenda ashuga, akatswiri amaganizira izi.
- Chofunika kwambiri ndikusankha mtundu wa matenda ashuga. Mu mtundu woyamba ndi wachiwiri, zoletsa ndizosiyana. Ndi matenda a shuga 1 a mtundu woyamba, pali kuthekera kwakukulu kwakuti mnyamatayo adzakhala pakuyimirira kapena osaloledwa kuti atumikire. Mtundu wachiwiri, pakakhala zovuta, ulibe zotsutsana, kupatula malire. Chifukwa chake, anthu oterewa amapatsidwa gawo B.
- Kukula, nthawi ya matendawa imawunikanso. Matenda opatsirana omwe ali ndi shuga amatha kutumikiridwa. Dziko lowumbirali liyenera kuyamba kukhala labwinobwino koyambirira. Matenda a shuga a nthawi yayitali amayenera kuwunikiridwa pazovuta zomwe zimaletsa kapena kuletsa ntchito yankhondo.
- Mavuto a shuga amatenga gawo lalikulu pakusankhidwa kwa achinyamata. Nthawi zambiri ndi mtundu wachiwiri wamavuto ndi ochepa kapena amakula pambuyo poyambira matenda. Mtundu woyamba umakhala wovuta kuwongolera, kotero kuwongolera ndikofunikira. Kusintha kosalekeza m'magazi a glucose ndizovuta ndipo kumabweretsa zovuta, zomwe zikuwonetsa kusakwanira kwa achinyamata omwe ali ndi mtundu woyamba wa gulu lankhondo.
Kodi ndizotheka kutumikirana ndi mtundu woyamba wa matenda ashuga
Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.
Ntchito zankhondo mu mtundu woyamba wa matenda ashuga ndizotheka. Koma mtundu wa ntchito pawokha ukhale woipa. Mnyamata ayenera kuyang'anira kuchuluka kwa shuga m'magazi, amawopa kuvulala, chifukwa zovuta kwambiri ndizotheka. Chifukwa chake, adotolo sangatenge udindo wolola mwana wachichepereyu kuti akwaniritse ntchito yankhondo.
Pofuna kumvetsetsa, timapereka zochitika zomwe zimafunikira kuyang'anizana pafupipafupi.
- Muyenera kubayira insulin tsiku lililonse panthawi yofunikira. Mukatha kudya jakisoni. Ngati mutasowa jakisoni imodzi kapena chakudya chimodzi, mudzafunikira chakudya champhamvu kwambiri, chomwe chimabwezeretsa kuchuluka kwa shuga m'magazi. M'magawo ankhondo, nthawi yamaphunziro nthawi zambiri sizotheka kudya nthawi inayake, ichi ndi chimodzi mwazinthu zofunikira kwambiri pokana kukana kulowa ntchito ndikuti thupi liloze.
- Popeza kagayidwe kachakudya kamasokoneza shuga, ndipo chitetezo chokwanira chimachepa, kuwonongeka kulikonse popanda chithandizo choyenera kungayambitse zilonda zam'mimba, zotupa zodukiza, kuduladula miyendo.
- Kutopa kochulukirapo kwa odwala matenda ashuga kumalepheretsa maphunziro olimbitsa thupi komanso kulimbitsa thupi. Kupirira kwa odwala matenda ashuga kumatsitsidwa, mogwirizana ndi ena, chifukwa chake, chifukwa cha thanzi lawo, sangathe kuthamanga mtunda womwewo popanda kupumira kwakanthawi kuti apumule. Ndipo pafupifupi zochita zolimbitsa thupi tsiku lililonse zimasokoneza thanzi la mnyamatayo.
Langizo: Matenda a shuga amtundu wa 1 sikuti akuphwanya usilikali pokhapokha patakhala kulumala. Koma achichepere amachita manyazi ndi izi ndipo amakhulupirira kuti kupunduka kumawononga moyo wawo wamtsogolo. Ndikofunikira kuwatsimikizira kuti ntchito yausilamu siziwona ngati njira yopambana komanso kuti kuchokera kwa munthu m'modzi zinthu sizisintha. Ndikofunika kwambiri kuti mukhale ndi thanzi lanu ndikutha chaka chonse mukuwerenga, kuthandiza anthu osavala yunifolomu komanso ndi mfuti, koma m'njira zina: kukhala dokotala, wokambirana, loya.
Zomwe ma pathologies satengedwa chimodzimodzi
Kodi alembedwa m'gulu lankhondo omwe ali ndi matenda ashuga? Tengani! Komabe, pali zovuta zina zomwe zimapangitsa kuti ntchito yosungidwa isungidwe. Izi zimasokoneza moyo wabwinobwino wamunthu, chifukwa chake ntchitoyo imawoneka ngati gehena, ndipo zovuta zimayendera mosalephera chifukwa cha kusayang'anira kokwanira kwamphamvu yamagazi m'magazi komanso chithandizo chamankhwala chofunikira.
Zowonongeka zamitsempha ndi ziwiya zamagawo akumunsi
Nthawi zambiri, ma neuropathies ndi angiopathies amakhudza miyendo yam'munsi. Kugonjetsedwa kwa mitsempha ndi mitsempha yamagazi kumadziwonetsera ngati zilonda zam'mimba. Kuphatikiza apo, miyendo nthawi zambiri imatupa chifukwa cha kuthekera kwa kutuluka kwa magazi a venous. Osati kuperekera kwa magazi ochepa omwe amadzaza ndi mpweya, ischemia imachitika, yomwe imatsogolera kukula kwa gangrene.
Pa magawo oyambilira a ma pathologies awa, muyenera kufunsa katswiri ndikupita kuchipatala. M'tsogolomu, muyenera kuyang'anira kuchuluka kwa shuga m'magazi. Popeza mikhalidwe ya hyperglycemic imathandizira pakupita patsogolo, kudula kumafunika pambuyo pake. Kugonekedwa kuchipatala ndikofunikira chifukwa mabala ndi zilonda zotseguka zimayenera kuchizidwa tsiku lililonse kuti athetse chiwopsezo cha matenda.
Zowonongeka kwa impso
Nephropathy imawoneka mwachangu kuposa zovuta zina. Pa magawo oyambawo, kubwezeretsanso m'matumbo a impso kumayipa, kenako kusefedwa. Izi zimabweretsa kulephera kwa impso, kulumikizana kuntchito, woyamba, kenako impso ina. Kupanda kudzipatula kokwanira kwa zinthu za metabolic, thupi limapatsidwa poyizoni pang'onopang'ono ndi zinthu zopangidwa ndi metabolic, popanda kugwiritsa ntchito impso sabata iliyonse, munthu amalandila poyizoni wamkulu, kenako nkufa.
Kuwonongeka kwa ziwiya zamaso
Maso, ngati impso, ndiye oyamba kuyankha mkhalidwe wa hyperglycemic, chifukwa chake mu ziwalozi ndi pomwe zovuta zoyambirira za matenda a shuga zimawonekera. Kugonjetsedwa kwa ziwiya za fundus m'magawo oyamba kumabweretsa kutsika kwa zowoneka bwino. Palibe chithandizo choyenera komanso chindapusa cha matenda a shuga, khungu lathunthu limatheka ngakhale adakali aang'ono.
Matenda a shuga
Vutoli limachitika chifukwa cha kuwonongeka kwa ziwiya ndi mitsempha ya kumbuyo. Kuphatikiza pa njira zoyenera zakuchipatala zothandizira kupewetsa magazi, kuyang'anira kuchuluka kwa shuga m'magazi, ndikofunikira kuvala nsapato zina, zomwe ndizosatheka pazankhondo. Kuphatikiza apo, mu ntchito sizowunikira kuwunika ukhondo wamapazi, zomwe zikutanthauza kuti pali chiopsezo chachikulu chotenga kachilomboka.
Kutengera ndi zonse zomwe tafotokozazi, titha kunena kuti okhawo omwe achinyamata omwe ali ndi vuto la shuga sangatenge nawo gawo la asitikali, palibe zovuta kuchokera ku ziwalo kapena machitidwe. M'magulu ankhondo ndi maphunziro, sizotheka kutsatira zofunikira zonse zaukhondo, zakudya, chithandizo chamankhwala. Kupitilira chaka chimodzi, matendawa atha kukulira ndipo chithandizo chinanso sichidzabwereranso momwe zidalili. Chifukwa chake, ndikofunikira kulingalira ndikusankha kuti kulowa usirikali wankhondo chifukwa cha matenda ashuga ndi zotsutsana.
Kodi mungathetse bwanji shuga mpaka kalekale?
Ziwerengero za anthu odwala matenda ashuga zikuwonjezeka chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera.
Kugwira ntchito zankhondo kwakhala kuli udindo wa abambo nthawi zonse, koma malingaliro pazomwe adachita pazaka zapitazi zasakanizika. Mu nthawi za Soviet, ntchito yausilamu imadziwika kuti inali mayeso olemekezeka komanso abwino, omwe munthu aliyense wodzilemekeza amayenera kupitapo.
Kuwonongeka kwa Soviet Union, achinyamata adayamba kuthawa kulowa usilikali, natchulapo kuti m'gulu lankhondo muli "chisokonezo" komanso "kusayeruzika", ndipo amayi a asitikali amtsogolo adachita mantha ndi mawu owopsa "owopsa".
Zaka zaposachedwa, komanso kuwonjezeka kwa dziko lathu, malingaliro okhudzana ndi usilikali asintha. Achinyamata ochulukirapo ali okonzeka kupereka ngongole zawo kudziko lakwawo. Malinga ndi kafukufuku waposachedwa kwambiri wa VTsIOM, mchaka chapitachi chiwerengero cha omwe amalemekeza gulu lankhondo chakwera kuchokera 34 mpaka 40%.
Komabe, si aliyense amene akhoza kugwira ntchito yankhondo. Achinyamata omwe ali ndi mavuto akulu azaumoyo samamasulidwa ku ntchito ya Gulu Lankhondo. Kodi odwala matenda ashuga amagwera m'gulu lino? Tiyeni tiyese kuzindikira.
Mu 2003, boma lathu linakhazikitsa lamulo lonena kuti kukonzekera kulowa usilikali kuyenera kutsimikizidwa ndi madokotala aluso. Pambuyo popimidwa kuchipatala, zidzadziwika kuti mnyamatayo ndi woyenera kuthandizidwa kapena ayi.
Ntchito zankhondo si mwayi woteteza dziko lathu lokha, komanso kuti mukhale ndi maphunziro komanso ziyembekezo zina
Ndi magulu ati omwe ali oyenera kuchitira dzuwa
Pakadali pano pali magulu asanu olimbitsa thupi pa kukonzekera:
- Gawo "A" litanthauza kuti wolembetsa akhoza kulowa usilikari.
- Gulu B limapatsidwa ntchito ngati wachinyamata angalembetse, koma ali ndi mavuto ochepa azaumoyo omwe samasokoneza ntchito.
- Gawo "B" litanthauza kuti mnyamatayo ndi ochepa omwe amayimba.
- Gawo "G" limaperekedwa ngati wosungidwayo ali ndi matenda okhudzana ndi matenda amisala m'thupi.
- Gawo "D" litanthauza kusakwanira kwathunthu pazankhondo.
Kuyenerera kupita kunkhondo kumatsimikiziridwa ndi bungwe lapadera la zamankhwala
Kukanika kumadziwika ndi kuzindikira kwathunthu
Matenda owopsa amayambitsa matenda a shuga, ngakhale atakhala ndi hyperglycemia komanso chithandizo chomwe angagwiritse ntchito, ngati pali zovuta zina monga:
Proliferative retinopathy,
- wotchedwa angiopathy ndi neuropathy wam'munsi wam'munsi, wowonetsedwa ndi zilonda zam'mimba, gangrene ya phazi, neuropathic edema, osteoarthropathy,
- matenda ashuga nephropathy ndi kukula kwa aimpso kulephera, komanso pafupipafupi ketoacidotic precoma ndi chikomokere. Kuchepa kwamphamvu kumayambitsa kuperewera kwa shuga m'magazi a retinopathy, nephropathy, zotumphukira ndi angiopathy. Kuchepa pang'ono kumayambitsa matenda a shuga, momwe glycemia imapitirira 8.9 mmol / lita (peresenti ya ma milligram 160) masana ndipo imapangidwa mosavuta ndi zakudya . Tiyenera kudziwa kuti kudziwa za matenda obwera chifukwa cha matenda ashuga komanso mavuto omwe amatsatana nawo kumawoneka kuti ndi odalirika pokhapokha ngati atayesedwa kwathunthu kuchipatala.
Monga lamulo, anthu okhawo omwe ali ndi pathologies owonekera komanso ovuta, monga kuchepa kwa malingaliro, schizophrenia, khungu, ugonthi, kusowa kwa miyendo, ndi osayenera kwathunthu kunkhondo.
Nthawi zina, funso limakhala lokhudza chithandizo (ndiye kuti kuchedwetsa kumachitika kenako kuyesedwa kwachiwiri kukufunikira), kapena pafupi kuchuluka kwa ziwalo zina zolakwika.
Matenda owopsa (kuyankhula modekha, kwamikodzo, kusakhazikika kwa mtima, kulephera kwa mtima, ndi zina zotere) ndi chifukwa chotsalira. Muzoyambitsa mikangano, lingaliro limakhalabe ndi gulu lachipatala.
Matenda owopsa
Active pulmonary ndi extrapulmonary chifuwa chachikulu, kachilombo ka HIV, khate - ndi matenda otere samatengedwa m'gulu lankhondo. Ndi chifuwa chachikulu komanso chifuwa, kuchira ndikotheka.
Matenda amkati, mabakiteriya ndi matenda opatsirana omwe amapatsirana ndi arthropods, riketitsi, gonococcal, matenda a chlamydial, mycoses (matenda oyambitsidwa ndi bowa) ndi matenda ena atapezeka koyamba pachipatala chachipatala apangitsa kuti wodwalayo atumizidwe chithandizo. Ngati nthendayo singachiritsidwe, zomwe zalembedwazo zimawerengedwa kuti ndi zosayenera kugwira ntchito.
Neoplasms
Kuphwanya ndi chosaopsa ndi kuponderezana pantchito yankhondo, ngati chotupa sichingachotse kwambiri, pali ma metastases kapena kusowa kwazinthu zina zilizonse.
Kuphatikiza apo, satenga nawo m'gulu lankhondo omwe akukana chithandizo chotupa. Anthu omwe akuchitiridwa mankhwala a neoplasms adzapatsidwa chosowa, mtsogolomu adzayesedwanso.
Anthu onenepa kwambiri 3 ndi 4 madigiri sakhala oyenera kupita kunkhondo. Afunsidwa kuti akalandilidwe chithandizo chomwe chimachedwetsa. Ngati chithandizo sichikuthandizira, kuwerenganso mobwerezabwereza kumatsimikizira kuti ntchito siyabwino.
Matenda ena a endocrine
Matenda a chithokomiro, zotupa, chithokomiro, matendawa, matenda am'mimba, vuto la kudya, hypovitaminosis, gout ndi zotsutsana ndi ntchito yankhondo ngati akuphatikizidwa ndi vuto la ziwalo zoyenerera ndipo sangathe kusintha. Ngati matenda a chithokomiro (goiter) akusokoneza kuvala yunifolomu yankhondo, cholembedwacho chimanenedwanso kuti sichoyenera kugwira.