Chithandizo cha Matendawa ku Israeli

Matenda a shuga ndi imodzi mwa matenda ofala kwambiri. Odwala amakumana ndi zovuta komanso zosasangalatsa chithandizo chamankhwala, ayenera kuyang'anira kuchuluka kwa shuga m'magazi.

Nthawi zambiri, zipatala zaku Russia sizikhala ndi zida zokwanira, ndipo akatswiri madokotala amathandizika kwambiri. Ngati mukudwala matenda ashuga, ndiye kuti kulandira chithandizo ku Israeli ndi mwayi wabwino wochizira matendawa.

NJIRA ZOTHANDIZA KUTI MISONKHANO IDZAYONSE KU ISRAEL

Mukakhala ku chipatala cha Israeli, mudzayesedwa nthawi zonse, kuphatikiza ma ultrasound a m'munsi miyendo ndi mayeso a labotale, komanso kukaonana ndi ophthalmologist, orthopedist, opaleshoni ya mtima, endocrinologist, cardiologist ndi akatswiri ena. Mukhala ndi mwayi wophatikiza njira zodziwira ndi kupumula panyanja kapena kuyenda kosangalatsa m'malo opaka azachipatala omasuka. Pafupifupi nthawi zonse mumatha kukhala abale kapena abwenzi, zomwe zimathandiza kuyambitsa zotsatira zabwino. Kutengera ndi zotsatira za matenda, njira ya chithandizo payekha imapangidwa.

Zipatala zaku Israeli zimagwiritsa ntchito zida zokhazikitsidwa komanso zatsopano, mankhwala ndi njira zochizira matenda ashuga. Ndikuuzani za ena, chifukwa chifukwa cha iwo zidatheka osati popewa zovuta pamatendawa, komanso kukonza moyo wabwino wa odwala.

1. Syringe yodziwikiratu. Imayikiridwa pansi pa khungu ndikusintha, ndikuwonetsa kuchuluka kwa insulin ndi nthawi yomwe iyenera kulowa mthupi.
2. Chip chomwe chimakupatsani mwayi wofufuza kuchuluka kwa glucose. Amayilowetsa m'thupi la wodwalayo, ndipo kuchuluka kwa shuga ndikamasiyana ndi chizolowezi, kumakhala chizindikiro. Chifukwa cha chipangizochi, simukufunikiranso kuboola khungu ndikupeza zitsanzo zamagazi.
3. Wochedwa insulin. Jekeseni imodzi ya mankhwalawa imalowa m'malo awiri mwazonse.
4. Opaleshoni ya Bariatric, zomwe zimapangitsa kuchepa kwa thupi ndi glucose wamagazi. Chida cha Endobarrier chimalumikizidwa kukhoma lamkati la duodenum - chubu cha zinthu zokhala ndi ma polymer pafupifupi 60 cm. Zotsatira zake, kulumikizidwa kwa chakudya chosasinthika ndi makoma amigawo ya m'mimba kumachepa, zinthu zochepa zimatulutsidwa m'magazi zomwe zimathandizira kuwonjezeka kwa shuga. Njira yokhazikitsa Endobarrier imatenga mphindi 30-60.
5. Opaleshoni ya biopancreatic bypass (opaleshoni yam'mimba). Pambuyo pa opaleshoni iyi, wodwalayo kwa zaka pafupifupi 10 sangamwe mankhwala omwe amawongolera shuga, osatsata zakudya zowonjezera.
6. Kuchotsa gawo la kapamba kuchokera kwa wopereka yemwe ndi wachibale wapafupi.

Gawo lofunika kwambiri pa chithandizo cha matenda a shuga ndi chithandizo chamankhwala. Zakudya za munthu payekha zimapangidwira wodwala aliyense, mawonekedwe ake amathandizira kukwaniritsa zotsatira zabwino kuchokera kumwa mankhwala, kulipiritsa zakuphwanya kagayidwe kazakudya.

Ndikuwona kuti zomwe madotolo aku Israel adachita ndizofunikira kufotokoza kwa wodwalayo tanthauzo lavutoli ndikuwaphunzitsa momwe angathanirane nawo molondola. Wodwala amafunika kuyang'anitsitsa nthawi zonse momwe amadya ndi shuga wamagazi ake, athe kumvetsetsa mankhwala, ndipo sizovuta. Kafukufuku akuwonetsa kuti odwala ambiri sangayang'anenso kuchuluka kwa shuga.

Njira monga coaching, yomwe imathandizidwa ndi ma endocrinologists ku Wolfson Hospital ku Israel, imathandiza kuthetsa vutoli. Wophunzitsa amagwira ntchito limodzi ndi wodwalayo, yemwe amapereka malingaliro malinga ndi momwe wodwalayo alili, komanso amathandizanso pamaganizidwe ake.

N'CHIFUKWA CHIYANI ZIKUKHALA ZOFUNIKIRA KWAMBIRI KU ISRAEL?

Zimadziwika kuti Israeli imagawa ndalama zowonjezera pakuphunzira ndi kuchiza matenda ashuga kuposa Russia. Zotsatira zake ndizodziwikiratu: pakadali pano, dziko lino ndiye mtsogoleri polimbana ndi matenda akulu. Kafukufuku wokhudzana ndi kuchuluka kwamankhwala amtunduwu komanso majini akhala othandiza kwambiri kupeza matekinoloje atsopano ogwira.

M'mayiko a CIS, mwatsoka, pakadali pano palibe mankhwala okwanira kuthana ndi matendawa. Poyerekeza ndi zipatala ku Germany ndi USA, malo azachipatala aku Israel samangopindulitsa mtengo wake, komanso pazabwino.

Mutha kudziwa mtengo wamathandizidwe azachipatala ku Israeli musanasankhe chimodzi. Nditha kunena kuti ndikadali koyambirira kuti ndizinena za ndondomeko yamitengo yamtunduwu zipatala zapakhomo: mukamalandira chithandizo, wodwala nthawi zambiri samadziwa za kuchuluka kwa zonse zomwe zawonongeka.

Mutha kukhala otsimikiza kuti chithandizo choyenera cha odwala matenda ashuga, omwe masauzande ambiri odwala padziko lonse lapansi amapita ku Israeli chaka chilichonse, amachitidwa motsogozedwa ndi akatswiri apadziko lonse lapansi. Kuti akhale madotolo, akhala akuphunzira m'masukulu omwe ali ndi zofuna zapamwamba kwa pafupifupi zaka 10. Mukuchita izi, madotolo akupitiliza kukonza maluso awo ndikupeza chidziwitso chatsopano, amapita ku ma kliniki ku Europe ndi USA.

Luso la madotolo limapereka zitsimikiziro zowonjezera zochizira matenda osokoneza bongo ku Israeli. Mwayi wokukhazikika kwa mkhalidwe wa wodwalayo ndikuwongolera matendawa kangapo momwe angathere.

MUNGATANI KUTI musankhe CLINIC YOPHUNZITSA ZIPANGIZO MU ISRAEL?

Kupita ku Israeli kukalandira chithandizo chamankhwala kuli ndi mavuto angapo, yankho lawo lomwe, poyang'ana pang'ono, lingatenge nthawi yayitali. Koma ndikudabwitsani: kupeza thandizo loyenerera kuchokera kwa akatswiri akatswiri ndikosavuta kuposa momwe zikuwonekera.

Ndikuyimira malo azachipatala omwe amagwira ntchito limodzi ndi zipatala zaku Israeli. Ngati mukufuna kudziwa zambiri, nditha kukuthandizani: nditadziwa momwe zinthu ziliri, ndikupatsani mwayi wosankha malo angapo azachipatala, ndikupatsirani chidziwitso cha mtengo wake, adokotala akukuthandizani komanso zina.

Ndikuthangizaninso pankhani yotolera zikwatu mwachangu komanso kukonzekera zilolezo zofunika zomwe zimafunika kuti wodwala azitha kupita ku Israeli yekha kapena atatsatana ndi abale.

Ndikufuna kudziwa mfundo yofunika: simudzalipira ntchito zanga zilizonse, popeza ndine wogwira ntchito kuchipatala. Zambiri zomwe ndakumana nazo zaperekedwa pansipa. Kuyembekezera kuitana kapena kalata yanu!

Zochizira matenda a shuga ku Israeli

Choyamba, wodwala yemwe wapita ku chipatala cha Israeli kukalandira chithandizo cha matenda ashuga amapeza pulogalamu yoyeserera yopangidwira. Pulogalamu yotere imaphatikizanso mfundo zina zofunika:

• kuyezetsa magazi
• mukumvera kuwunika kwa A1C (glycated hemoglobin),
• Kutsimikiza kuchuluka kwa shuga m'magazi (kuwunikidwaku kumachitika nthawi yayitali, m'mawa m'mimba yopanda kanthu ndipo mutatha kudya shuga).

Atalandira ziyeso zonse, dokotalayo amalingalira za chithandizo chomwe chikubwera cha wodwala wina.

Njira zochizira matenda osokoneza bongo ku Israeli zimasankhidwa payekha. Endocrinologists amagwiritsa ntchito magawo angapo, amagwirizana nthawi imodzi ndi madokotala othandizira, akatswiri azolimbitsa thupi komanso akatswiri ena azachipatala.

Angachitenso opaleshoni yomwe imapulumutsa odwala ku mapaundi owonjezera, omwe amathandiza kwambiri kuti shuga ya magazi ikhale yabwinobwino.

Odwala ambiri amatha kukhalabe athanzi pogwiritsa ntchito zakudya zapadera komanso kuchita masewera olimbitsa thupi, komabe, mayeso angapo akusonyeza kuti kuikidwa koyenera kwa mankhwala othandizira kumathandizira kwambiri matendawa. Kusankhidwa kwa mankhwala oyenera kwambiri kumatengera mkhalidwe wa wodwalayo, kupezeka kwa ma concomitant pathologies ndi zina zambiri.

Katswiri angakupatseni chithandizo cha matenda a shuga:

• mankhwala omwe amachepetsa kupanga shuga m'thupi,
• mankhwala omwe amachititsa kuti pancreatic insulin ipange,
• mankhwala omwe amalepheretsa zotsatira za michere ya enzymatic yomwe imapangidwa kuti igwetse mafuta osokoneza bongo ndikuwonjezera chidwi cha minofu kuti insulin,
• mankhwala osokoneza bongo omwe amachepetsa kulakalaka chakudya, amalimbikitsa kukana kwa glucose, amachititsa kupanga insulin komanso kuyendetsa minofu.

Ngati wodwalayo ali ndi zaka zopitilira 35, ndipo ali ndi madigiri aliwonse onenepa, akatswiri amatha kumuwuza wodwala kuti amuchotsere opaleshoni yowonjezera kuti amuchotsere mapaundi owonjezera.

• ntchito yokhazikitsa mphete yosinthika yomwe imalimbitsa m'mimba ndipo potero imachepetsa kuchuluka kwa chakudya chomwe
• opareshoni kuti akhazikitse baluni yapadera, yomwe imachepetsa kukhalapo kwake m'mimba yam'mimba, pang'onopang'ono imagwa ndikutulutsa kunja kwa thupi.
• opaleshoni kuti musenzetse m'mimba.

Kuphatikiza apo, mapulogalamu apadera owunika shuga wamagazi, kusintha kwa zakudya, komanso zolimbitsa thupi amapangidwira odwala.

Zipatala ku Israeli za matenda ashuga

• Herzliya Medical Center ndiye likulu komanso kutsogoleredwa kwazachipatala ku Israel, lotsogolera UN ndi mabungwe ambiri odziwa zambiri. Chipatalachi pachaka chimakhala ndi odwala pafupifupi 8000 akunja, kuwunikira komwe kumachitika akatswiri oposa 400,
• Tel Aviv Medical Center (Ichilov Clinic) ndi chipatala chodziwika bwino pakati pa makasitomala olankhula Chirasha. Pano, diagnostics ndi chithandizo chamankhwala chikuchitika, komanso njira zowonjezereka zothandizira njira zabwino zochiritsira zamankhwala zimapangidwa. Ogwira ntchito ambiri amalola, ngati kuli kotheka, kuyendera kukambirana, chifukwa cha chithandizo ndi zovuta komanso zovuta kuzidziwitsa.
• Chipatala cha Wolfson - chowonjezera chosangalatsa chothandizira matenda a shuga chikuchitika pano - kuphunzitsa, pomwe otchedwa ophunzitsa anu amapatsidwa kwa wodwala aliyense. Wophunzitsa (wophunzitsa) amakhala ndi wodwalayo pafupipafupi, amawunikira zonse zomwe akuchita (kudya, kukhala osadya, kuchita masewera olimbitsa thupi, kumwa mankhwala osokoneza bongo, kuwongolera shuga, etc.). Poyang'anitsitsa motero, kusinthaku kumadza msanga,
• Clinic "Sheba" - ili ndi madipatimenti azachipatala oposa 150, omwe palinso dipatimenti ya endocrinology. Chipatalachi chimagwira odwala pafupifupi miliyoni ndi theka pachaka, kuphatikiza alendo. Kwa alendo, omwe amatchedwa "banja lachiwonetsero" amawonekera, pomwe abale amatha kukhalabe kwa wodwalayo panthawi ya chithandizo.
• Clinic LevIsrael - amanditengera mtundu woyamba wa II ndi matenda ashuga II. Odwala amapatsidwa mwayi wofufuza kwathunthu ndikupereka chithandizo chokwanira malinga ndi mapulogalamu, omwe amachepetsa kwambiri kuchuluka kwa jakisoni wa insulin.

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Ndemanga pa matenda a shuga ku Israeli

Lena: Mayi anga anapezeka ndi mwayi wofufuza thupi. Adalemba mankhwala a insulin, amayi anga adamva kuwawa, ngakhale adatsatira zakudya zowonjezera, pomwe pafupifupi chilichonse chidali choletsedwa. Pomwe tidaperekedwa kupita ku chipatala ku Israeli, poyamba tidakayikira, koma thanzi la amayi anga lidapitilira kuwonongeka. Tidapita ku Israeli. Zoyenera kunena? Tsopano amayi asiya kubayila insulini, ndikulipira mapiritsi. Madokotala amapaka chakudyacho m'njira yoti muzitha kudya osadzimva kuti akumanidwa chakudya. Ndili wokondwa kuti mayi anga akuchita bwino kwambiri, ndipo tsopano ali bwino.

Daria: Wachibale wanga wina anamwalira ndi matenda ashuga pafupifupi chaka chimodzi atapezeka. Chifukwa chake, pamene dokotala wazachipatala andipeza ndimatenda a “mtundu 2”, ndidaganiza kuti ndichita zonse zomwe ndingathe kuti ndikhale ndi thanzi labwino. Zili bwino kuti mnzanga wakaleyu amakhala ku Israeli. Ndidamuimbira foni, ndidayitanidwa kuchipatala, ndidakumana, ndikuyika wodi. Kodi ndinganene kuti chiyani, chithandizo ndi chithandizo ku Israeli ndipamwamba kwambiri pakumvetsetsa kwanga. M'mawu ochepa, adalemba zochita zanga zonse, mwina, kwa moyo wanga wonse. Anachira, anayamba kumva bwino. Ndipo tsopano ndikudziwa ndendende momwe ndingakhalirebe wathanzi komanso shuga kuti ndizisangalala ndi moyo komanso osadandaula kuti ndidapezeka kuti ndili ndi matenda ashuga.

Sveta: Amati madotolo ndi ofanana paliponse ... Ndinaganiziranso motero, mpaka nditakafika kuchipatala chayokha ku Israel. Palibe amene akuwoneka kuti sasamala zaumoyo wanu komanso thanzi lanu. Tikuthokoza akatswiri onse azachipatala pondipatsa chiyembekezo chakuchira komanso kuti ndikhale ndi moyo wabwino, ngakhale ndili ndi matenda ashuga!

Mtengo wa matenda ashuga ku Israeli

Zachidziwikire, mtengo wa kuchiza matenda osokoneza bongo ku Israeli ndi nkhani yaumwini. Mwambiri, mtengo umatsimikiziridwa pambuyo pazotsatira za kusanthula ndi kulumikizana ndi munthu ndi katswiri wazithandizo.

Pafupifupi, mtengo wonse wambiri wamaphunziro a shuga ungakhale kuchokera ku $ 2000. Mitengo yowonjezereka yamankhwala ndi munthu payekha.

Kuyendera ndi kufunsidwa ndi katswiri - kuchokera ku $ 400.

Mwachitsanzo, ngati mungaganize za opaleshoni kuti mutseke m'mimba, muyenera kuyembekeza pafupifupi $ 30,000- $ 35,000.

Kuti mupeze mtengo wamtundu wina wamankhwala ku Israeli, tikulimbikitsidwa kuti mutumize ku chipatala chomwe mukufuna, ndikuyika zikalata za zikalata zanu zachipatala (ngati zingatheke). Kuchipatala chilichonse, mosakayikira mupange chida choyambirira chodziwitsira matenda omwe mungawongolere.

Mwa kulumikizana ndi chipatala chotsogola kwambiri ku Israeli kuti mupeze thandizo, mudzalandira njira zapadera komanso zothandiza za njira zodziwira ndi njira zamankhwala. Kuthandiza odwala matenda ashuga ku Israeli mwina ndi njira yabwino kwambiri yosinthira thanzi labwino ndikuthandizira kuwongolera matendawa mtsogolo.

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Njira Zodziwitsira

Chithandizo cha matenda ashuga ku Israeli chimaphatikizapo kuzindikira, kufunsa akatswiri okhudzana. Izi zimathandizira kudziwikitsa moyenera, kupanga dongosolo la chithandizo chamankhwala. M'matala azachipatala aku Israeli, njira zotsatirazi zodziwikiratu zimafotokozedwa motere:

• Njira zothandizira: ultrasound ya m'munsi yam'munsi, electrocardiogram, ophthalmoscopy, utoto wamtundu wa mitsempha yamitsempha yamagazi,
• Kuchepa kwa urogenital kumatenda,
• Kuyesedwa kwa magazi kuti mupeze mayendedwe a mahomoni, kuchuluka kwa shuga, glycosylated hemoglobin, C-peptide, kukhalapo kwa autoantibodies,
• Kuyesa mayeso a glucose,
• Urinalysis
• Kuwerenga kwa kagayidwe kazakudya.

Chifukwa cha njira yophatikizika, akatswiri aku Israeli amatenga chithunzi chonse cha matendawa, pezani zomwe zimayambitsa matenda. Kuphatikiza apo, zosunga zamkati za thupi la wodwala aliyense zimawululidwa kuti muchepetse kulowererapo kwa mankhwala, kufunika kwa opaleshoni.

Njira zazikulu zochizira

Pambuyo pakufufuza mozama, kutsimikizira matendawa, madokotala amapanga njira yochizira wodwala. Kutengera ndi zotsatira za matendawa, chithandizo chamankhwala chimaphatikizapo kukhazikitsidwa kwa njira zotere zothandizira odwala matenda ashuga ku Israeli:

1. Mankhwala
2. Kuthandizira opaleshoni
3. Zakudya zamagulu
4. Therapy Therapy,
5. Chithandizo cha cell tsinde.

Zofunikanso chimodzimodzi ndikupewa zovuta za matenda ashuga, motero odwala kuzipatala zaku Israeli amaphunzitsidwa. Pulogalamuyi imalola anthu omwe ali ndi matenda ashuga kuti azitha kukhala ndi moyo wathunthu, kuthana ndi zovuta zomwe zimakhudzana ndi kuwunika kosalekeza kwamisempha yamagazi.

Zida za mankhwala osokoneza bongo

Chithandizo cha matenda a shuga amtundu 1 ku Israel chimakhudzanso jakisoni wa insulin.Poyamba, njirayi imatha kuoneka ngati yovuta, koma pambuyo poti kubayidwa jakisoni imayamba kugwira ntchito.

Akatswiri amalangizanso kuwonetsetsa kuchuluka kwa shuga m'magazi mpaka 4 pa tsiku.

Akatswiri aku Israeli amagwiritsa ntchito kwambiri pampu ya insulin. Chipangizochi chimagwira ntchito molingana ndi pulogalamu yomwe madokotala amapezekapo. Zida zimakhazikika pamthupi la wodwalayo: singano ya catheter imayikidwa pang'onopang'ono, chipangizocho chimakhazikika kumbuyo kumbuyo. Pampu ya insulin imakulolani kuti muzibayira jakisoni mosadziletsa.

Kuchiza matenda a shuga a mtundu wachiwiri ku Israeli kumaphatikizapo kugwiritsa ntchito mankhwala omwe amatha kukhazikika m'magazi a shuga. Mankhwala otsatirawa amagwiritsidwa ntchito kwambiri:

• Metformin. Mankhwalawa amatsogolera kuwonjezeka kwa minofu kumverera kwa insulin, ndikuthandizira pakugwiritsa ntchito kwake, kumachepetsa kupanga kwa chiwindi mu chiwindi. Mankhwala samapangitsa kuchepa kwa shuga m'magazi, chifukwa chake, kutsatira moyo wathanzi komanso zakudya zoyenera ndizofunikira.
• Gliburide, Glipizide, Glimepiride. Mankhwalawa amalimbitsa kaphatikizidwe ka insulin. Komabe, mankhwala nthawi zambiri amayambitsa hypoglycemia ndi kulemera.
• Meglitinides (Repaglinide, Nateglinide). Gulu la mankhwalawa limagwiritsidwa ntchito kuti liwonjezeke kupanga insulin.
• Thiazolidinediones (Avandia, Pioglitazone). Mankhwala osokoneza bongo amatha kukulitsa chidwi cha zimakhala kuti insulin. Gulu la mankhwalawa nthawi zambiri limabweretsa kuwonjezeka kwa thupi, limawonjezera chiopsezo cha kulephera kwa mtima, fractures.
• Ma Dhib-4 inhibitors (Sitagliptin, Linagliptin) amagwiritsidwa ntchito kutsitsa glucose wamagazi, koma amakhala ndi mphamvu yofooka.
• Mankhwala a GLP 1 receptor agonists (Exenatide, Liraglutide) amachepetsa shuga ya magazi. Komabe, amatha kuyambitsa nseru komanso kuonjezera mwayi wokhala ndi kapamba.
• SGLT2 inhibitors ndi mankhwala aposachedwa. Makina ochitapo kanthu amatengera kutsekereza shuga, komwe kunasefedwa ndi impso. Chifukwa chake, shuga wambiri amathiridwa mkodzo.

Kuphatikiza pa mankhwalawa, mankhwala omwe amachepetsa cholesterol ndi kuthamanga kwa magazi amagwiritsidwa ntchito kwambiri. Izi zimachepetsa chiopsezo chotenga matenda a mtima.

Chithandizo cha mankhwala osokoneza bongo amathandiza kukwaniritsa zotsatirazi:

• Kuchulukitsa kaphatikizidwe ka insulin
• Chepetsani matumbo a m'mimba,
• Onjezerani chidwi cha insulin,
• Kuchepetsa kupanga shuga, kuwonjezera kukana kwake kwa mahomoni.

Opaleshoni

Chithandizo cha matenda ashuga ku Israel a odwala omwe ali ndi kunenepa kwambiri kumaphatikizapo kuchitira opaleshoni ya m'mimba ya biliopancreatic. Izi zimabweretsa kutsekeka kwa chizindikiritso cha kapamba, chomwe chimalepheretsa kuchuluka kwambiri kwa ziwalo. Komanso, atachitidwa opaleshoni, ndizotheka kuteteza kulemera kwa wodwalayo, kuchepetsa insulin.

Zotsatira za opaleshoni zimakhalapo kwa zaka 10-15, zimathandiza kupewa zovuta.

Kuchita opaleshoni ya m'mimba kumalola mu 92% ya milandu kuti zitheke, zomwe zimaphatikizapo kusiya mankhwala. Chifukwa chake, chithandizo cha matenda amtundu wa 2 ku Israeli ali ndi ndemanga zabwino kwambiri.

Chithandizo cha cell tsinde

Njira yapadera yothandizira njira zam'magazi zimathandizira kusintha momwe zilili, momwe zimakhalira, kapangidwe kake kapamba, ndikuwonjezera mphamvu. Mankhwala onse okhudzana ndi zamankhwala amachitika pokhapokha atazindikira kokwanira. Pa gawo loyamba la chithandizo, mafuta m'mafupa amatengedwa kuchokera ntchafu kapena sternum. Kenako, maselo a tsinde amakula, njirayi imatenga masiku 5 mpaka miyezi iwiri.

2 ml ya fupa ladzuwa lili ndi masentimita 40,000 a tsinde, omwe amakhala maziko olimidwa a maselo 250 miliyoni.

Zochizira matenda a shuga, makina a makolo maselo miliyoni okwanira ndi okwanira, zotsalira zomwe zimapangidwa ndi madzi oundana zimasungidwa ku banki yapadera ya cryogenic. Chifukwa chake, ngati njira yachiwiri ya chithandizo, kusamalira sampu sikofunika. Maselo oyambira omwe amayambitsidwa ndi magazi amalowa m'mapazi owonongeka, omwe amawaika mu minofu.

Ngati tsinde masanjidwe othandizira amachitika m'mayambiriro a shuga, ndiye kuti kuchira kwathunthu ndikotheka.

Kuchiza matenda a shuga ku Israeli sikubweretsa zotsatira zake - zimatenga miyezi iwiri kuti ayambe kuchira. Chifukwa cha zamankhwala, ndizotheka kubwezeretsa minofu yowonongeka ya pancreatic, yomwe ingapangitse kuchuluka kwa insulin, kuchepa kwa shuga m'magazi. Mu 85% ya milandu, odwala matenda a shuga a 2 amatha kukana kutenga othandizira a hypoglycemic.

Zithandizo Zatsopano

Odwala omwe ali ndi matenda amtundu woyamba 1, omwe amadziwika ndi njira yayitali, kukula kwa zovuta, atha kutumizidwa kupatsirana kwa maselo a islet. Uwu ndi mankhwala atsopano a shuga ku Israeli omwe akungotchuka. Njirayi imaphatikizira kuphatikizika kwa maselo a pancreatic athanzi otengedwa kwa munthu wakufa. Chaka chimodzi pambuyo pa opareshoni, kufunika kowunikira glucose kosowa kumatha mwa odwala ambiri.

Pambuyo pakuwonjezeredwa, odwala amafunikira mankhwala osokoneza bongo omwe amaletsa kukana kwa othandizira.

Mankhwala opangidwa mwatsopano Januet, omwe amachokera ku incretin ndi metformin, amafunsidwa kwambiri pochiza matenda ashuga. Ndi kugwiritsa ntchito pafupipafupi, mankhwalawa amatha kuchepetsa kupanga shuga mu chiwindi ndi mayamwidwe ake m'matumbo, kukulitsa chidwi cha minofu ya insulin, ndikuthandizira kugwiritsira ntchito shuga mthupi. Januet akupezeka piritsi. Mankhwala samatitsogolera pakukula kwa hypoglycemia, kusungunuka kwa madzi m'thupi, kulephera kwa mtima, kulemera.

Chithandizo cha mavuto

Matenda a shuga amayambitsa zovuta zotere:

• Ketoacidosis. Vutoli limayamba motsutsana ndi maziko a kupezeka kwa zinthu za metabolic m'magazi. Zotsatira zake, zimakhala zotsatirazi: kusazindikira, kusokonekera kwa ziwalo ndi machitidwe,
• Hypoglycemia. Kutsika kowopsa m'magazi a glucose kungayambitse kusokonezeka kwa chikumbumtima, kukwiya, kuchuluka thukuta, komanso kusowa kwa kuyankha kwa ophunzira pakuwala. Wodwalayo akavulala kwambiri.
• Lactacidotic chikomokere. Vutoli limayamba motsutsana ndi maziko a kuchuluka kwa lactic acid. Amadziwika ndi kutaya chikumbumtima, kuchuluka kwadzidzidzi pakukakamiza, kulephera kupuma, kusowa kukodza.

Ndi njira yayitali, matenda a shuga angayambitse kukula kwa zovuta zakumapeto chifukwa cha zotsatira zoyipa za shuga m'matumbo akulu ndi ziwalo zamkati. Izi zigawo:

• Matenda a shuga a retinopathy. Njira yodziwika bwino yomwe imayambitsa ziwiya za retina. Vutoli limatsogolera kuwonongeka kwamawonedwe, komwe nthawi zambiri kumayambitsa kulumala kwa odwala,
• Matenda a shuga. Pathology imadziwika ndi zovuta kuwonongeka kwa impso chifukwa cha zotsatira zoyipa za metabolites ya lipid ndi carbohydrate metabolism. Mkhalidwe umapezeka mu 70% ya odwala,
• Matenda a shuga. Amadziwika ndi kuwonongeka kwa mitsempha yotumphera, matenda a pathology nthawi zambiri amakhumudwitsa kupezeka kwa phazi la matenda ashuga,
• Matenda a shuga Ma minofu ndi metabolic metabolologies omwe amapezeka motsutsana ndi maziko a matenda ashuga amayambitsa kusokonezeka kwapang'onopang'ono kwa ubongo. Odwala amawona kufooka wamba, kuchepa mphamvu, kutopa, kutopa, nkhawa, kupweteka mutu, chizungulire, kusokonezeka kukumbukira ndi chisamaliro,
• Matenda a pakhungu la matenda ashuga. Kusintha kwa kapangidwe ka masamba, ma khungu, thukuta thukuta limakula. Zotsatira zake, zotupa, msambo, mabala am'mimba, zotupa za msomali, kuchepa kwa tsitsi,
• Matenda a matenda ashuga. Vutoli limayamba motsutsana kumbuyo kwazinthu zovuta kuzisintha mwazinthu zazomwe zimasintha komanso zogwira ntchito. Pathology imapezeka mu 75% ya odwala, omwe amadziwika ndi mawonekedwe a bulauni m'miyendo yakumunsi, zilonda zam'mapazi, zomwe sizichiritsa. Popanda chithandizo, gangrene amachitika, zomwe zimapangitsa kuti manja azidulidwa.

Zachipatala zaku Israeli za matenda ashuga

Pali zipatala zotere zomwe zili ndi malingaliro abwino okhudza matenda amtundu wa 2 komanso matenda amitundu iwiri ku Israeli:

• Herzliya Medical Center. Chipatala chayekha chimapereka chidziwitso ndikuchiza matenda a shuga kwa odwala, mosasamala za zaka. Zipinda zamankhwala zili ndi zida zabwino kwambiri, zomwe zimakupatsani mwayi wopeza mayeso olondola munthawi yochepa,
• Chipatala Ichilov. Chipatalachi chimadziwika kwambiri pakati pa odwala olankhula Chirasha. Akatswiri odziwa bwino ntchito yawo amakhala ndi njira zofufuzira matenda, kugwiritsa ntchito matenda pogwiritsa ntchito njira zatsopano,
• Manor Medical Center. Chimodzi mwazachipatala zakale kwambiri zaku Israeli, zomwe zimagwira ntchito kwambiri ndi zipatala za Assuta, Shiba ndi Ihilov. Mtengo wa kuchiza matenda ashuga ku Israel ku Manor Medical Center ndiwaku 5 madola,
• Chipatala cha Wolfson Madokotala a chipatalacho samangopereka chithandizo chamankhwala ndi opareshoni, komanso kuphunzitsa. Mphunzitsi wapadera amathandizira kuphunzitsa odwala kukhala ndi moyo wonse,
• Clinic Sheba. Malo azachipatala amaphatikizapo ma dipatimenti 150. Chipatalachi chimagwira odwala opitilira 1.5 miliyoni chaka chilichonse, ambiri omwe ndi alendo,
• Chipatala Assuta. Chipatalachi chimagwira ntchito yochizira matenda amtundu 1 komanso matenda a shuga. Akatswiri amati wodwala aliyense amafufuza mozama, malinga ndi zotsatira za njira yomwe apatsidwe njira yochizira payekha.

Mitengo yoyandikira

Mitengo ya Ashuga ku Israeli:

• Kuyesa kwamagazi kokwanira - kuchokera ku $ 960,
• Kufunsira kwa endocrinologist ndi akatswiri ena (akatswiri a zaumoyo, akatswiri azachipatala, opaleshoni, nephrologist) - kuchokera $ 450,
• Kujambula kwa Doppler - kuchokera $ 490,
• Electromyography - kuchokera $ 680,
• Kuyika kwa ophthalmologist, momwe iwo amawunikira maonedwe owoneka bwino, fundus imachokera ku $ 470,
• Kafukufuku wazopanga zotengera za impso - kuchokera $ 520,
• Ultrasound yokhala ndi ziwalo zam'mimba - kuchokera $ 490,
• Kukonzanso ntchito - kuchokera ku $ 980,
• Njira zingapo zakuzindikira - kuchokera ku $ 2000,
• Kulimbitsa m'mimba - kuchokera $ 30,000.

Chithandizo cha Matendawa ku Israeli

Njira zonse zochizira matendawa ndizothandiza kuti magazi azikhala pamlingo wokwanira wodwalayo komanso kuwongolera zina zomwe zasintha.
Kwa mtundu wa matenda ashuga a 135 insulin makonzedwe (jakisoni, pampu) mwachangu komanso nthawi yayitali. Pa mitundu yonse iwiri ya matenda ashuga, zakudya ndizofunikira, komanso mavitamini, michere, ndi zina zofunikira zamafuta.

1. Zakudya. Mafuta, uchi, mafuta ndi nyama siziphatikizidwa. Zakudya zamafuta zimalimbikitsidwa ndi index yotsika ya glycemic: mbewu zonse (buckwheat, mpunga wa bulauni, hercule), mkate wamphongo, ndi nyemba. Chowonetsedwa: pafupipafupi chakudya chamagawo ochepa omwe amagawa chakudya, kuphatikiza chakudya chamafuta (masamba, chimanga, nyemba, zipatso zochepa), madzi ambiri - malita 2.5-3 patsiku (ngati kulibe matenda a impso kapena mtima)
2. Mavitamini: magulu B, lipoic ndi folic acid, vitamini C
3. Madera: zinc, chromium, magnesium, manganese, potaziyamu, selenium, vanadium
4. Amino zidulo: carnitine, taurine
5. Polyunsaturated Fatty Acids: gamma-linoleic acid, omega-3, mafuta ophikira.

Njira yaku Israeli pakuchiritsira matenda a shuga imaphatikizapo: kukonza zakudya, kuchepetsa thupi komanso kuchita masewera olimbitsa thupi okwanira. Njira ya mankhwalawa imayang'aniridwa ndi katswiri wa matenda ashuga, wodziwa za zakudya komanso physiotherapist. Zochita zimathandizira kubwezeretsa kagayidwe kazakudya komanso kuchepetsa shuga. Pochiza mtundu wachiwiri wa kusowa magazi ku Israeli, kupangana ndi kotheka mankhwala oledzera njira zotsatirazi:

1. Kuchepetsa mayamwidwe wamafuta (acarbose)
2. zolimbikitsa insulin katulutsidwe - sulfonamides (glibenclamide, glyclazide glycidone)
3. zotumphukira za amino acid - owongolera a shuga (repaglinide, nateglinide)
4. kuyamwa kwapang'onopang'ono m'matumbo a shuga - alpha glucosidase inhibitors

Mankhwala obisika amathandizira pang'onopang'ono, amakhala ndi zovuta zochepa kuposa insulin.

Ngati vuto la kuperewera kwa mankhwala kwa mtundu 2 kukanika, mankhwala njira zingapo za insulinNthawi zambiri, jakisoni wa mahoni amaphatikizidwa ndi mapiritsi.

Mankhwala othandizira

Mankhwala othandizira pancreatic dysfunction amtundu uliwonse umalimbana ndi kuwonda. Biliopancreatic ndi gastric bypass surge Kusintha bwino kwa wodwalayo. Njira zimayendetsedwa pokhapokha ngati mankhwalawa amachitika ndi matenda ashuga, komanso ndi kuchuluka kwa thupi makilogalamu 40 kapena kupitilira apo. Mikhalidwe yambiri imayimitsidwa ndi mankhwala ochepetsa shuga. Kwa kunenepa kwambiri II ndi siteji ya III, opaleshoni imayikidwa, Cholinga chake chomwe ndi kukonza kukonza kwam'mimba ndipo, chifukwa chake, kuchepetsa thupi.

Opaleshoni ku Israeli ali ndi mitundu ingapo ya maopareshoni:

Njira za "Anastomosing" - kulumikizidwa kwa magawo awiri akutali a m'matumbo aang'ono, omwe amachotsa mbali yapakati ya matumbo kuti akhutire. Nthawi yomweyo, kuyamwa kwa michere kumachepetsedwa, ndipo kulemera kumachepetsedwa m'nthawi yochepa. Mu 85% ya odwala omwe amagwiritsidwa ntchito ku Israeli, kuchepa kwa thupi kumangozimitsa glycemia.

Ku Israeli, amalimbikitsa kuchepetsa kuchuluka kwa m'mimba motere:

• Kukhazikitsa kwakanthawi mphete ya kukoka pamimba. Kukula kochepa thupi kumalepheretsa kudya kwambiri. Izi zikuthandizani kuti mukhale ndi chakudya chokwanira chokwanira ndikuchotsa mapaundi owonjezera. Kuchita bwino kwa njirayi pochiza matenda ashuga ndi 75%.

• Kukhazikitsa baluni yapadera m'mimba ndi njira yamakono komanso yotsika mtengo. Ballo atakhazikika m'mimba amatupa ndikuchotsa voliyumu. Pakapita kanthawi, chipangizochi chimagwa osapweteka ndipo chimachotsedwa bwino.
• Opaleshoni yam'mimba - kusinthasintha kwa chiwalo ndi kupangika kwa m'mimba. Kuchita bwino kwa opareshoni ndi 80%.

Mitengo yamankhwala othandizira odwala matenda ashuga ku Israeli

Mtengo umapangidwa kuchokera pama paramu osiyanasiyana: dokotala, chipatala, zida, mayeso, ndi zina zambiri. - chifukwa chake, mtengo womaliza ukhoza kupezeka pokhapokha mutapempha, pamaziko omwe mudzalandire chithandizo chamankhwala. Ngati mwalandira kale pulogalamu yachipatala, pamaziko a mitengo ya Unduna wa Zaumoyo ku Israeli mutha kuwunika ngati mitengo yomwe yalandilidwa ndivomerezeka.

Timapereka chithandizo pakuwongolera zipatala zotsogola ku Israeli pamitengo yolingana ndi mndandanda wamtengo wa Unduna, kupereka mwayi wolipira mwachindunji kwa woyang'anira wa chipatala.

Mukufuna kuchitiridwa ku Israeli?

Tikukulimbikitsani kuti mupite ku diagnostic kuchipatala mu imodzi mwazachipatala zotsogola zotsogola ku Israel pamitengo ya boma. Takusankhirani njira yabwino kwambiri ngati dokotala wa zaulere kwaulere, tikuthandizirani pulogalamu yochiritsira yomwe imachokera ku chipatala, ndikuthandizira kuthetsa mabungwe.

Kodi zithandizazi ndi zothandiza? Mudakali ndi mafunso?

Gawani malingaliro anu okhudzana ndi tsamba lathu la Facebook kapena VK

Njira yayikulu

Chithandizo cha anthu odwala matenda ashuga ku Israeli sichimathandizanso wodwala kuvutoli, koma adzakonza kusintha mthupi komwe kwawonekera chifukwa cha matendawa. Cholinga chachikulu cha madokotala ndikusunga kuchuluka kwa shuga m'magazi pamlingo woyenera wodwala.

Kwa odwala omwe ali ndi vuto la matenda a shuga 1, chithandizo chachikulu ndicho kutsitsidwa kwa insulin (pampu kapena jakisoni). Njira yofunika yothandizira ndi zakudya zophatikiza, komanso zovuta za mavitamini ndi michere yoperekedwa ndi dokotala.

Ndikofunikira kuonetsetsa kuti mavitamini ndi acidic amapezeka mosavuta. Ma mineral complex okhala ndi zinc, magnesium, manganese, chromium, potaziyamu ndi vanadium nawonso ali m'gulu la mankhwalawo.

Wodwalayo ndi mankhwala a gamma-linoleic acid ndi Omega-3. Chofunikanso ndimakumwa mafuta a nyale. Madokotala amaonetsetsa kuti thupi lili ndi ma amino acid okwanira - carnitine ndi taurine.

Zochizira matenda amishuga amtundu 2 mu Israeli, mankhwala kukhala ndi zotsatirazi mthupi:

• Monyowa wamafuta umachepetsa,
• Kuchulukitsa kwa insulin
• Kuyamwa kwa shuga kumachepetsedwa.

Ubwino wa mankhwalawa ndichifukwa mphamvu zawo sizitchulidwa monga za insulin, chifukwa chake zotsatira zoyipa sizipezeka konse. Komabe, chithandizo choterechi chikhoza kukhala chosakwanira, pankhaniyi, insulin imayikidwa kuti imwe mankhwala.

Kugwiritsa ntchito pampu ya insulin kumafunikiranso.omwe amathandiza ndi kufunika kwa jakisoni wokhazikika. Kachipangizo kakang'ono komwe kali ndi insulin patsekapo kamalumikizidwa ndi thupi la wodwalayo. Catheter yopyapyala imayikidwa pansi pa khungu pamimba, yolumikizidwa ndi chubu pampu, yomwe imalowetsa insulini.

Pampu iyi ndi yabwino chifukwa imatha kukonzedwa kotero kuti imasankha yokha ya mankhwalawa, kutengera kuchuluka kwa zakudya, masewera ndi magazi.

Kukhazikitsidwa kwa chipu chapadera kumapewetsa kuyezetsa magazi tsiku ndi tsiku. Chip chija chimayikidwa pansi pa khungu la wodwalayo, pamene chizindikiro cha glucose m'magazi chimachepera, chimapereka chizindikiro, chimveketsa kuti nthawi yakumwa mankhwalawo.

Maselo a tsinde

Kuchiza ndi njirayi kumachepetsa kwambiri kufunika kwa insulin ndi mankhwala ena.

Maselo a wodwalayo amakwiriridwa m'magawo a labotale ndikupatsidwa kwa wodwalayo. Mphamvu ya njirayi imawonekera patatha masiku 50.

Chaim Sheba Medical Center

Chithandizo cha matenda a shuga 1 amtundu wa Israel amachitidwa ndi Chaim Sheba Medical Center. Matenda a shuga amtunduwu amawonetsedwa kwambiri mwa ana ndi achinyamata, kuchipatala kumeneku kumathandizira odwala osati ochepa okha, komanso achikulire omwe ali ndi matenda a shuga a 2.

Kuphatikiza pa kuwunika koyambira, kuphatikizira kwa mitsempha yam'munsi komanso miyendo imachitidwanso kuchipatala. Pulogalamuyi ya mankhwalawa imaphatikizapo kuwunika kwa mtundu wa endocrine system ndi kapamba, chizindikiritso cha zovuta za matenda ashuga.

Chipatalachi chili ku Ramat Gan ndipo chimapereka chisamaliro chachipatala kwa omwe akukhala pakati pa dzikolo, kuphatikizapo Tel Aviv. Kwa odwala omwe ali ndi vuto losunthika, chipatala amakonzekera msonkhano ku eyapoti mugalimoto yotsitsimutsa; wina aliyense adzapatsidwa mwayi kuchokera ku eyapoti kupita kuchipatala. Ngati simukudziwa chilankhulo, ndiye kuti izi sizikhala vuto, popeza chipatala chili ndi antchito olankhula Chirasha.

Hadassah Medical Center

Hadassah Medical Center yakhala ikuchiza matenda ashuga amtundu woyamba kwa zaka zingapo. Chithandizo choperekedwa ndi madokotala a chipatalachi chimaphatikizapo mfundo zitatu:

• Kubweretsa kukonzekera kwa insulin, ndikutsatira kuchepa kwa shuga m'magazi,
• Kusankha ndi cholinga chamadyedwe,
• Kuphunzitsa wodekha.

Ndi ntchito ndi wodwala komanso abale awo omwe ndi amodzi mwa mikhalidwe yofunika kwambiri ya chithandizo. Maluso ofunikira operekera insulin ndi kuyeza shuga la magazi akupangidwa.

Malo azachipatala ali pakachisi wachipembedzo cha Israeli - Yerusalemu. Odwala onse amasungidwa mu Sarah Davidson Tower, yomwe idamangidwa mu 2012. Mutha kupita ku Yerusalemu kuchokera ku Tel Aviv: kulumikizana pakati pa mizindayi ndikokhazikitsidwa bwino. Chipatalachi chimakhala ndi hotline osati ku Israel kokha, komanso ku Russia ndi Ukraine.

Top Ichilov

Chipatala cha Israeli "Top Ichilov" chikugwirira ntchito pochiza matenda ashuga. Mtengo wa pulogalamu yokonzanso ndi wopitilira $ 2000-2500 ndipo umaphatikizanso masiku awiri a diagnostics oyenera komanso kuyezetsa magazi koyenera, patsiku 3 wodwalayo amatumizidwa kwa Dr. Galina Schenkerman, yemwe amasankha pulogalamu yachipatala: amapereka zakudya ndi zakudya, amakhazikitsa kuchuluka kwa zinthu zolimbitsa thupi, komanso amatumiza kukhazikitsa pampu kapena chip.

Chipatalachi ndi amodzi mwa mabungwe akulu azachipatala ku Israeli ndipo amagwira ntchito limodzi ndi Unduna wa Zaumoyo. Chipatalachi chimapezeka ku Tel Aviv. Kuzindikira koyambirira komanso chithandizo chotsatira kumachitika ku Russia.

Marina: «Dokotala adalangiza kuti azikawona malo osungiramo mankhwala osokoneza bongo ku Israeli. Kukonzanso kumaphatikizapo chithandizo chokwanira kuchipatala: zakudya, kukonzekera insulin, kuyendetsa pampu. Chipatala chamasana chimalola kuyenda pafupi ndi nyanja ndikuyendera zokopa zazikulu.»

Svetlana: «Azakhali anga ali ndi matenda ashuga a 2. Palibe aliyense m'banjamo yemwe anali ndi matenda otere, chifukwa chake adaganiza kudalira madotolo aluso kuchipatala cha Hadassah, komwe adafotokozera zomwe wodwalayo ndi abale ake amafunika kuchita. Aunt adasintha moyo wawo, adayamba kuyenda kwambiri ndikuwunika shuga.»

Elena: «Ndiyenera kunena nthawi yomweyo kuti chithandizo ku Israeli ndimatenga ndalama zambiri kuposa zakunyumba. Koma imapereka zotsatira zabwino kwambiri ndipo ndiyofunikiradi ndalama. Mankhwalawa anali nthawi yomweyo kupumula kwabwino, njira yonse idakonzedwa mwaluso, motero sikofunikira kuti tsiku lonse mukhale kuchipatala, nthawi yakwana yoti mudzidziwe.»

Mtundu wachiwiri wa matenda ashuga: chithandizo ku Israeli

Mtundu wachiwiri wa matenda osokoneza bongo a shuga ndi njira ya metabolic yomwe, chifukwa cha malingaliro osayenera a insulin ndi maselo, kuchuluka kwakukulu kwa glucose m'magazi kumawonedwa (hyperglycemia). Matendawa amakula motsutsana ndi maziko a insulin yachilendo kapena yochepetsedwa pang'ono, ndichifukwa chake amatchedwanso insulini (i.e., yodziyimira yopanga mahomoni).

Anthu padziko lonse lapansi amadwala nayo, ngakhale akhale amtundu kapena jenda; Madokotala akhazikitsa ubale pakati pa zaka zodwala ndi zomwe zimayambitsa matendawa: matenda a shuga amapezeka mwa munthu m'modzi mwa anthu osakwana zaka 60, ndipo pagulu lakale kuchuluka kwazachuma kwayamba kale kuposa 20%. Komabe, zaka makumi angapo zapitazi, matendawa afala kwambiri pakati pa achinyamata.

Ku Israel, kuchipatala cha Hadassah, mtundu wachiwiri wa matenda ashuga umathandizidwa kwambiri pogwiritsa ntchito njira zoyesera zaposachedwa, monga zikuwonekeranso pakupenda kowerengeka kwa abale athu odwala.

Njira Zochizira Matenda A shuga A Type 2 ku Israel

Kafukufuku wothandizira matenda a shuga a Hadassah ku Israeli ndikupereka njira zophatikizidwa. Gawo loyamba, moyang'aniridwa ndi dotolo, zakudya zimakonzedwa ndipo zochitika zolimbitsa thupi zimasankhidwa. Kukwaniritsidwa kwa malingaliro amitundu yosakhazikitsidwa kumapangitsa kuti muchepetse shuga ndikubwezeretsa kagayidwe kazakudya. Pochiza zovuta kwambiri, mankhwala osiyanasiyana ochepetsa shuga amagwiritsidwa ntchito.

Pokwaniritsa malingaliro onse a odwala matenda ashuga ku Israeli, chithandizo cha mitundu yoopsa mu Israeli chimakhala ndi zotsatira zabwino. Nthawi zina, mwachitsanzo, ngati kunenepa kwambiri kwa gawo la II-III kapenanso pakalibe kuyankha pazomwe zimachitika, chithandizo cha opaleshoni chimayikidwa.

Mankhwala othandizira

Ku Israel, ku Hadassah Clinic, pochiza odwala omwe ali ndi matenda a shuga 2, akatswiri odziwa bwino ntchito zawo amagwira ntchito kwambiri ndipo amayesetsa kukonza minyewa mwa kusintha mawonekedwe am'mimba.

Madokotala a ku Israeli amagwiritsa ntchito njira zingapo:

Zochita Ndi Anastomosing - magawo awiri akutali a m'matumbo ang'ono amalumikizidwa, ndipo gawo lapakati la matumbo limachotsedwa pakugaya. Izi zimapangitsa kuti athe kuchepetsa malo oyimitsa zinthu kuchokera m'matumbo a lumen komanso kuchepetsa kulemera kwakanthawi. Mu 85% ya omwe amagwiritsidwa ntchito ku Israeli, atachepa thupi, glycemia imabwezeretsa.

Kutsika kwa kuchuluka kwa chapamimba:

Kugwira ntchito kwakanthawi, kosintha. Amakhala ndikuyika mphete yokoka pamimba. Kukula kwakanthawi kwam'mimba kumakupatsani mwayi wokwanira chakudya chochepa komanso kuchepa. Pambuyo pa kulowererapo ndi njirayi, 75% amatha kuchira ku matenda ashuga. Kukonzekera kwa baluni yapadera m'mimba. Uwu ndiye chithandizo chamakono kwambiri komanso chovuta kwambiri mu Israeli. Baluni imayikidwa m'mimba, yomwe imathiriridwa ndikuchepetsa kuchuluka kwa m'mimba. Pakapita nthawi, imayamba kugwa ndikuthiridwa mwachilengedwe. Kutsika kwakukulu m'mimba. Opaleshoni yosasinthika, pomwe m'mimba imalumikizidwa ndi kupindika kwakukulu ndikuyika timimba chokhala ndi chubu. Kuchita bwino ndi pafupifupi 80%.

Chithandizo cha zovuta za matenda ashuga ku Hadassah Medical Center

Ngati pali zovuta zamatenda a matenda a shuga (mwachitsanzo, retinopathy kapena nephropathy) ku Hadassah Medical Center ku Israel, tili okonzeka kuyesa mayeso onse owonjezereka ndikupereka malangizo kuchokera kwa dokotala wodziwa bwino kwambiri zamankhwala amtundu uliwonse: nephrologist, ophthalmologist, neurologist, opaleshoni ya mtima, yomwe yaphatikizidwa pamtengo wamaphunziro .

Ubwino wowachiritsa matenda a shuga a 2 ku Hadassah Center ku Israel

M'dipatimenti ya endocrinology ku Hadassah Medical Clinic ku Israel, matenda amtundu wa 2 amathandizidwa mosamala (kutengera malamulo apadera othandizira mankhwala) ndipo mwachangu (poganizira zomwe opanga opaleshoni apanga) pogwiritsa ntchito njira zamakono, zapadera komanso zothandiza.

Ngati inu kapena okondedwa anu muli ndi mitundu yokhala ndi matenda a shuga 2 kapena mukukayikira, tumizani pulogalamu yapaintaneti ndi imelo yolumikizana ndi e-mail [email protected] kuti wothandizirana athu auze za mitengo ya mankhwalawo ndikuthandizani kusankha njira zabwino kwambiri zogwirizana ndi mlandu wanu.

Chithandizo cha matenda ashuga ku Assuta

Malingaliro atsopano okhudzana ndi mtundu wa matenda ashuga a 2 kwatsogolera ku mitundu yatsopano yamankhwala:

zakudya ndi njira zina zolemetsa, kuthandizira opaleshoni ya bariatric.

Odwala omwe akwanitsa kuchepetsa thupi, amayamba kuchita masewera olimbitsa thupi ndikuchepetsa kudya zakudya zamagulu ndi shuga, kwenikweni, adatha kutembenukira kwawo kukana insulini. Ichi ndichifukwa chake kuchuluka kwa shuga m'magazi awo kwatsika. Iyi ndi njira yosiyaniratu kuposa kutsitsa shuga ndi mankhwala kwinaku tikunyalanyaza matendawo omwe.

Ili ndiye cholakwika chachikulu chomwe odwala ndi madotolo ena akupitiliza kuchita zaka 20-30 zapitazi. Mfundo yofunika kuikumbukira ndi yakuti matenda a shuga ndi matenda omwe amayamba chifukwa cha zakudya zopatsa thanzi.

Ngati muli ndi matenda a shuga a 2, ndiye kuti mumangodya shuga wambiri. Mukazindikira izi, zidzadziwika kuti mukungofunika kuchotsa shuga mthupi, kuchepetsa kumwa. Poyamba, ndikofunikira kuti muchepetse kuchuluka kwa chakudya chamafuta omwe amaphatikizidwa ndi chakudya - choyambirira, ndi zinthu zophikira buledi ndi pasitala.

Zakudya zomanga thupi ndi maunyolo a shuga omwe amapezeka mu shuga wamba momwe amadyedwa. Ndipo zikafika kwambiri, mungofunika kusiya kuzidya. Kupanda kutero, thanzi lanu lidzangokulirakulira. Ili ndiye lamulo loyamba, labwino. Mutha kuonjezeranso zolimbitsa thupi ndikuyesera kutentha ma calories owonjezera.

Dziwani mtengo wake wa chithandizo

Njira ina yothandizira matenda a shuga a 2 ndi opaleshoni ya bariatric. Cholinga chawo ndi kuchepetsa kuchuluka kwa m'mimba ndipo, chifukwa chake, kuchepetsa thupi. Izi, zimabweretsa kukula kwa shuga m'magazi. Njira zonse zofotokozedwera zimagwiritsidwa ntchito pochiza matenda amtundu wa 2 m'makliniki aku Israeli. Zotsatira zake, odwala 85% amatha kusinthitsa shuga.

Kodi kuzindikiritsa komanso kuchiza matenda ashuga ku Israel ndi angati?

Opaleshoni ya Laparoscopic kwa opaleshoni yam'mimba - $ 14,536; Kuchepetsa kukula kwa m'mimba ndi mphete - $ 3,412; Kuwona kwa endocrinologist - $ 564

Kuthandiza odwala matenda ashuga ku Israeli

Ngakhale zitukuko za sayansi, palibe njira iliyonse yochotsera matenda ashuga amtundu wa 2 kapena mtundu 2. Komabe, nthawi ya matendawa imatha kuyendetsedwa bwino chifukwa cha madokotala ndikuwonetsetsa kuti muli ndi moyo wathanzi, zomwe zimaphatikizapo kuyang'ana zakudya zina komanso kupezeka kwa ntchito zamagalimoto. Chisamaliro chofunikira kwambiri chitha kupezeka ku Israeli pochiza matenda ashuga.

Zolinga Zochizira Matendawa ku Israeli

Sungani shuga m'magazi pafupi kwambiri ndi zakudya zanu, masewera olimbitsa thupi, komanso mankhwala. Gwirizanitsani kuchuluka kwa cholesterol kudzera muzakudya ndipo, ngati mukufunikira, ndiye mankhwala. Dziwani kuti kuthamanga kwa magazi kuyang'aniridwa, chifukwa matendawa amabweretsa chiopsezo ku thanzi la mtima.

Njira yamoyo ndiyofunikanso matendawa, chifukwa chake zotsatirazi ndizofunikira:

Konzani zakudya zopezeka panthawi yake komanso zopatsa thanzi kuti mupewe kusinthasintha kwa shuga m'magazi. Sungani zolimbitsa thupi zofunika. Imwani mankhwala nthawi. Yang'anirani shuga ndi kukakamiza kwa nyumba.

Pitani kwa dokotala pafupipafupi ndi kukayesa glycogemoglobin (HbA1c), kuyezetsa magazi komwe kumayeza zomwe zili m'magazi a lycosylated hemoglobin. Zikomo kwa iye, mutha kudziwa kuchuluka kwa shuga pamasabata asanu ndi limodzi mpaka khumi ndi awiri.

Zakudya Zabwino Zaumoyo

Ngakhale malingaliro ali pano, palibe zakudya zenizeni za matendawo. Komabe, ndikofunikira kuti chakudyacho chikuchokera pazakudya zomwe zimakhala ndi fiber - zipatso, mbewu zonse, masamba.

Ndikofunikira kuti muchepetse zakudya zamafuta ndi nyama zosakidwa, komanso shuga wambiri. Lingaliro la index la glycemic limatenga tanthauzo lalikulu. Zimawonetsa kuchuluka kwa chakudya chomwe chaphimbidwa chimadzutsa shuga m'magazi. Kusankha zakudya zokhala ndi kalozera wotsika kumathandizira kukhala ndi shuga wokhazikika.

Katswiri wazakudya ku Israeli amathandizira kupanga pulogalamu ya zakudya zomwe zimaganizira zokonda ndi chisankho. Kuphatikiza apo, aphunzitsanso momwe angagwirizanitsire kuchuluka kwa kudya zakudya zamagulu ochulukirapo, kuchuluka kwake ndi nthawi ya kudya, kuti mulingo wamagazi ukhale wokhazikika.

Pochiza matenda a shuga ku Israeli, zotsatirazi mitundu ya mankhwala:

Kuphatikiza pa zomwe tafotokozazi, mankhwala omwe amachepetsa cholesterol ndi kuthamanga kwa magazi amathanso kutumizidwa kuti ateteze matenda a mtima ndi magazi.

Islet cell transplantation

Posachedwa, kwachitika kuti matenda ashuga amtundu woyamba azitha kupititsa maselo othandizira, obwereketsa kwa wopereka, kumanda. Maselo atsopano amayamba kuphatikiza timadzi tokhala ta protein, peptide, ndikupangitsa shuga kukhala okhathamira.

Zowonetsa

Timalingalira za odwala omwe ali ndi zaka za pakati pa 18 ndi 65 omwe ali ndi matenda a shuga 1, omwe nthawi yawo imatha zaka zisanu ndi kukhalapo kwa zovuta - zobwereza zomwe zimachitika chifukwa cha kuchepa kwa chikumbumtima chifukwa cha kuperewera kwa insulin komanso zizindikiro zoyambirira za vuto laimpso.

Ubwino wa njirayi:

Palibe chifukwa chowongolera shuga ndi magazi jakisoni wa tsiku ndi tsiku.Ngakhale ndi anthu ochepa okha omwe amatha kuchotseratu izi chaka chatha pambuyo pa opareshoni. Ufulu wawukulu umawonekera pakukonzekera zakudya. Opaleshoniyo imalepheretsa kukula kwa zovuta zazikulu.

Zowopsa

Vuto lalikulu ndikuthekera kwatsankho la ma cell omwe amapereka. Chitetezo cha mthupi cha wodwalayo chimazindikira kuti wopereka chithandizo ali ngati "wachilendo" ndipo amayesera kuti awononge. Chifukwa chake, pamoyo wonse, zidzakhala zofunikira kumwa mankhwala kuti muchepetse chitetezo cha mthupi komanso kupewa.

Ambiri aiwo ali ndi zovuta zoyipa. Kuphatikiza apo, pamakhala zokayikira zomwe zimagwiritsidwa ntchito nthawi yayitali ndimankhwala a immunosuppress okhudzana ndi chiwopsezo chowonjezeka cha oncology.

Zizindikiro zakuchita

Njirayi idapangidwa zaka makumi asanu ndi limodzi za zana la makumi awiri, idayesedwa koyamba m'zaka makumi asanu ndi anayi. Komabe, chisonyezo cha magwiridwe antchito anali 8 peresenti chabe.

Kafukufuku pano akuwona mbali ziwiri zazikulu:

1. Sungani kuchuluka kwa maselo kuti agwiritsidwe ntchito, chifukwa pali vuto lalikulu. Pafupifupi ma 1,000,000 ma islet amafunikira, ofanana ndi kapamba awiri. Zofunikira zimapitilira zomwe zilipo, kotero ofufuzawo akugwira ntchito ndi zina - zimakhala ndi maimelo ndi nyama (nkhumba) - kuyesera kuzibwezeretsanso mu labotale.
2. Pewani kukanidwa - mankhwala osinthika akupangidwa. Kupambana kwakukulu kwakwaniritsidwa pazaka khumi ndi zisanu zapitazi - mankhwala atsopano amagwiritsidwa ntchito - rapamycin ndi tacrolimus (FK506) omwe ali ndi zotsatira zoyipa zochepa. Chimodzi mwazomwe zachitika ndikugwiritsa ntchito gelisi yapadera yomwe imaphimba maselo, yomwe imalepheretsa chitetezo cha mthupi kuzizindikira.

Kuyika ma cell a Islet kumawonedwabe ngati kuyesa, chifukwa chake sikupezeka pagulu. Chifukwa chake, ndikofunikira kusankha malo azachipatala omwe ali ndi zida zofunika, ogwira ntchito zamankhwala oyenerera kwambiri komanso odziwa ntchito pazakuthana.

Zochizira

Masiku ano, zothandizira zamakliniki azachipatala a ServiceMed zimapereka ziwonetsero zopambana pochiza odwala azaka zilizonse, komanso kayendetsedwe ka pakati pamaso pa odwala matenda a shuga.

Kuyang'anira magazi mosamala pafupipafupi kumapatsa odwala ambiri mphamvu yakuwongolera matendawa popanda kuchitapo kanthu mwamphamvu. Makamaka, pali chakudya chokwanira cha matenda ashuga, komanso masewera olimbitsa thupi apadera kuti mukhale ndi thanzi labwino.

M'zaka zaposachedwa, kufunikira kwa mankhwala othandizira mankhwalawa pochiza matenda ashuga m'malo a Israeli kwachulukanso. Zopangidwa zaposachedwa kwambiri zimapereka kuwongolera kwakutali pakukhala bwino ngakhale kwa odwala omwe ali ndi matenda a shuga 1. Mwa mankhwalawa, DiaPep277 imatha kutchedwa, yomwe ili ndi mbiri yodalirika yachitetezo ndikupangitsa kuti njira zamtundu wa metabolic zizikhala zovomerezeka.

Kupeza kwatsopano pothana ndi matenda a shuga kungatengedwe ngati zolembera za insulin. Mosiyana ndi ma syringe achizolowezi, safunikira kuti adzazidwe nthawi iliyonse kuchokera pa vial musanalowe, chifukwa ali ndi makatiriji a insulin. Mlingo wa mankhwalawa umakhazikitsidwa ndikusintha mulingo. Kukumana kwa insulini m'makalata ndi omwewo, omwe amateteza zolakwika pakukonzekera jakisoni.

Insulin imayendetsedwa yokha, yomwe imathetseratu kufunika kwa jakisoni. Wodwalayo amauzidwa za kuzungulira kwa glucose koopsa pogwiritsa ntchito mawu kapena phokoso.

Tiyenera kudziwa kuti kugwiritsa ntchito zida zatsopano, komanso kugwiritsa ntchito pulogalamu yovuta kwambiri yopanga opaleshoni, sizipangitsa kuti chithandizo cha matenda ashuga m'makiriniki a Israeli chikhale chosagulika. Makasitomala a ServiceMed nthawi zonse amakhutira ndi kuphatikiza kwabwino kwa ntchito zabwino komanso mitengo yotsika mtengo pazomwe zikuchitika. Izi zikuwonetsedwa ndi ndemanga yokhudza mtengo wa chithandizo cha matenda ashuga ku malo azachipatala aku Israeli.

Pankhani ya kusintha kosakwanira kwa mawonekedwe a matenda a shuga, odwala amalimbikitsidwa kuchita opaleshoni ya bariatric yotchedwa biliopancreatic bypass opaleshoni. Cholinga cha kulowererapo ndikuchepetsa mphamvu zam'mimba, kusinthanso kwa gawo limodzi la matumbo, komanso kuchepetsa kutsekeka kwa mahomoni Ghrelin, omwe amachititsa kuti munthu azikhala ndi njala, komanso kuti acotsere michere.

Kuphatikiza pa opaleshoni ya bariatric, posachedwapa mankhwala ena obwera kumene agwiritsidwa ntchito kuzipatala zaku Israeli kuchiza matenda a shuga. Tikuyankhula zaukadaulo wa MetaCure, womwe umaphatikizapo kuyika kwa chosokoneza chapadera cha m'mimba chomwe chili ndi ma elekitirodi. Ndi chithandizo chake, ndizotheka kukwaniritsa mwachangu kuti mumve kupweteka pakudya, komanso kukhathamiritsa kagayidwe kachakudya ka m'mimba.

Mafunso ochokera kwa odwala athu

Kodi ndi malangizo ati azakudya omwe angayambitse matenda ashuga?

Funso lazakudya liyenera kukambidwa mwapadera ndi wathanzi labwino. Mwa zina mwazomwe zimakhudzidwa ndi kuphatikizidwa kwa shuga ndi mafuta a nyama kuchokera pachakudya, kudya pafupipafupi, kumwa madzi ambiri, komanso kumwa mavitamini.

Momwe mungasankhire pampu ya insulin yoyenera mwana?

Choyamba, ndikofunikira kulipira gawo monga gawo la basal mlingo wa insulin. Kwa ana aang'ono, ziyenera kukhala m'magulu a 0.025-0.05 IU / ola. Kachiwiri, ndikofunikira kuti pampu ikhale ndi alamu yomwe imakumbutsa mwana kudumphira jakisoni wa insulin pazakudya.

Chachitatu, pampu yokhala ndi chipolopolo chosagwira madzi idzagwira ntchito mokhulupirika komanso kwanthawi yayitali. Monga mukudziwa, nthawi zambiri ana amagwera m'mavuto momwe zovala zawo zimanyowa. Mukamasankha pampu ya achinyamata, mwina zingakhale bwino kuganizira magawo ena.

Ubwino wa chithandizo ndi ServiceMed:

Kugwiritsa ntchito njira zapamwamba kwambiri pantchito yothandizira matendawa Kuwona momwe angayang'anire okalamba ndi amayi apakati Kugwiritsa ntchito kwatsopano kwa zamankhwala Madongosolo opambana kwambiri a ntchito zapansi ndi mipata

Kuzindikira matenda ashuga ku Israeli

Kuzindikira moyenera ndiko njira yothandizira bwino. Kuzindikira matenda ashuga ku chipatala cha Israeli "Rambam" kumayamba ndi mbiri yachipatala, kufufuza kwa wodwala, kuyezetsa magazi ndi mkodzo. Kuyamwa kwa magazi kumayikidwa m'mawa pamimba yopanda kanthu, mayesowa ndi njira yodalirika komanso yodziwika yodziwira kuchuluka kwa shuga m'magazi.

Zomwe zili ndi shuga m'magazi a capillary ndi 3.3 - 5.5 mmol / L, m'magazi a venous ndi plasma - 6.1 mmol / L. Zizindikiro zopitilira muyeso ndi njira yayikulu yopangira matenda. Kuyesedwa kwa glucose kumayesedwa kutsimikizira matenda a shuga mellitus, zimathandizira kuzindikira mtundu wamtundu wamatendawa.

Kuwongolera matenda a shuga kumapangitsa kuti shuga azikhala magazi, kuthamanga kwa magazi, ndi cholesterol pafupi ndi momwe zimakhalira. Chithandizo chachipatala cha matenda osokoneza bongo ku Israel chimadalira mankhwala omwe amachepetsa shuga la magazi.

Njira yodziwira bwino matenda a shuga ku Israel:

Zakudya, chifukwa cha momwe thupi limadzaza ndi mapuloteni okwera kwambiri, mafuta ndi chakudya. Kubwezeretsa magazi abwinobwino. Kusankhidwa kwa pulogalamu yothandizira odwala matenda ashuga ku Israeli, yomwe cholinga chake ndi kubwezeretsa ntchito ya ziwalo zomwe zakhudzidwa ndi zovuta za matenda a shuga: impso, mtima, mitsempha yamagazi, maso.

Pamodzi ndi zochizira odwala omwe ali ndi matenda a shuga, masewera olimbitsa thupi amaperekedwa pozindikira zaka, thanzi komanso matenda omwe alipo.

Kupewa matenda a shuga kumaphatikizapo:

Chakudya chopatsa thanzi chothandiza kuchepetsa kudya kwa chakudya chamafuta ochepa, kutsitsa pang'ono caloric, kudya 5-6 patsiku, kudya masamba ndi zipatso. Chitani Zolimbitsa Thupi la Tsiku Lililonse Kusiya

Ku Rambam Clinic, zamankhwala zaposachedwa kwambiri zimagwiritsidwa ntchito kwambiri pochiza matenda ashuga, omwe amathandizira kuchepetsa Zizindikiro zomwe zimawoneka komanso kupewa kuwoneka kwa zovuta zina za matendawa.

Mankhwala onse omwe amagwiritsidwa ntchito pachipatala cha Rambam Clinic ndi oyambira ndipo amalembedwa molingana ndi machitidwe othandizira odwala pamakhalidwe ake.