Ndi dokotala uti yemwe amathandizira matenda a shuga - othandizira kapena endocrinologist?

Nthawi zambiri, zizindikiro zoyambirira za shuga mwa wodwala zimazindikirika ndi dokotala pakufufuza koyenera kapena atalandira kuyesedwa kwa shuga m'magazi. Koma popeza momwe zimagwirira ntchito siziphatikizapo chithandizo cha matenda, wodwalayo amapita kwa dokotala-endocrinologist. Ndi katswiriyu yemwe amachita ndi odwala matenda ashuga.

Ntchito ndi ntchito ya endocrinologist

Malinga ndi WHO, masekondi asanu aliwonse munthu mmodzi amakhala ndi matenda ashuga. Matendawa apatsidwa mkhalidwe wa mliri, ndipo pofika 2030 adzatenga malo achisanu ndi chiwiri pazomwe zimayambitsa kufa padziko lapansi.

Pafupifupi aliyense amadziwa za matenda apadera a matendawa - ludzu lalikulu, kukodza pafupipafupi. Kuwonetsera koteroko kumayenera kukhala chifukwa chofunikira kwambiri chochezera ndi dokotala wabanja, wothandizira. Amapereka malangizo kwa endocrinologist, yemwe ntchito yake imayang'aniridwa pakuwonetsetsa, kuchiza komanso kupewa matenda a endocrine system. Diabetesology, monga gawo la endocrinology, imagwirizana ndi matenda ashuga okha.

Kodi katswiri amatani:

Amachita kafukufuku wa endocrine system yonse.
Amapereka makina a njira zodziwira matenda.
Imazindikira matenda, mawonekedwe ndi mtundu wa matendawa, imafotokozera chithandizo (kukonza kwa mahomoni, kubwezeretsa kwa metabolism).
Amasintha ndikusankha zakudya zomwe munthu amadya.
Amapereka mankhwala angapo panjira yothanirana ndi zovuta, amakwaniritsa mankhwala ena.
Amachita zachipatala.

Endocrinologists-diabetesologists amachita ndi matenda mu ana ndi akulu mosiyana. Kusiyanaku ndikofunikira pazifukwa zingapo:

Muubwana, matenda a shuga amtundu wa 1 amakula, ndipo achikulire amakhala ndi vuto lachiwiri. Mfundo ndi njira zochizira anthu amisinkhu yosiyanasiyana ndizosiyana.
Odwala achikulire amafuna mitundu ina ya insulin.

Kodi ndingayambire pati ndi anthu omwe akuwaganizira kuti ali ndi matenda ashuga?

Anthu nthawi zambiri samathamangira kwa dokotala ndi mavuto awo, ndipo akuyembekeza kuti matendawa adutsa okha. Koma matenda ashuga ndi matenda osachiritsika, ndipo nkosatheka kuchira.

Katswiri wokhawo yemwe angasankhe njira yoyenera yodwala, aletse kukula kwa matenda a shuga komanso zovuta zina.

Ndi zovuta ziti zomwe ziyenera kukhala chifukwa chochezera endocrinologist:

ludzu losaletseka ndi kamwa yowuma
kukodza pafupipafupi
Khungu lowuma ndi loyenda, zotupa
kuwonda kwambiri, kapena, kunenepa kwambiri,
kufooka ndi thukuta,

Kuyatsa choyambirira Endocrinologist amayesa wodwala. Pambuyo pa njira zakuzindikira zaperekedwa:

kusanthula kwa magazi ndi mkodzo,
kuyezetsa magazi kwa kulolerana ndi shuga.

Mayeso osavuta awa amapangitsa kuti 99% ikhazikitse kukhalapo kwa matenda kapena kuchotsa kukayikira kwa matenda ashuga.

Ngati matenda oyamba atsimikiziridwa, dokotala amakupatsani kafukufuku wowonjezera:

kuchuluka kwa shuga masana
kusanthula kwa mkodzo chifukwa cha acetone,
kusanthula kwamomwe kumachitika kwa triglycerides, cholesterol,
ophthalmoscopy posankha maonedwe owoneka,
kuyesa kwamkodzo kwamkati mwachisawawa, albuminuria, creatinine, urea.

Asanayambe chithandizo, endocrinologist imayesanso kuthamanga kwa magazi a wodwala, imamuwuza kuti apite pachifuwa ndi ray ndi miyendo yotsika ya miyendo.

Kutengera ndi zomwe zapezeka, endocrinologist imazindikira mtundu wa shuga, kuchuluka kwake kwa matendawa, ndikuwonetsa mankhwala. Zimayamba ndi mankhwala osokoneza bongo kuphatikiza kusintha kwa zakudya.

Njira zochizira mu akulu ndi ana nzofanana. Werengani za izi apa.

Ogwira ntchito zofananira

Katswiri wamkulu yemwe amachiza matenda ashuga ndi matenda ashuga. Kapangidwe kakang'ono ka dotolo kumamupatsa mwayi wogwiritsa ntchito payekha zida zapamwamba. Chidziwitso chimakupatsani mwayi kuti muzindikire ndikusanthula njira zonse zamatenda zomwe zimapangidwa motsutsana ndi maziko a matenda ashuga.

Nutritionists, mlongo wama processic, othandizira ma labotale, komanso akatswiri azamisala amathandizanso othandizira odwala ndi kuwongolera. Amachita maphunziro amtundu uliwonse kapena gulu m'mapulogalamu apadera.

Wodwala aliyense ayenera kudziwa momwe matendawo amawonekera, zomwe zimayambitsa zochitika zadzidzidzi ndi thandizo loyamba. Odwala ayenera kuphunzira kudziimira pawokha komanso kuwongolera kuchuluka kwa shuga kunyumba.

Ndi zovuta zomwe zimachitika, wodwalayo amafunika kumuyesa pachaka kuchokera kwa akatswiri okhudzana ndi izi:

Vuto lalikulu la matenda a shuga ndi retinopania, kuphwanya kwamitsempha ya masana masana komanso kuchepa kwapang'onopang'ono kwa masomphenya ophthalmologist. Dokotala amayeza kukakamiza kwa intraocular, amawunika maonedwe achilengedwe, kuchuluka kwa mitsempha yamagazi, kuwonekera kwa thupi ndi mandala.
Ndi nephropathy, kuwonongeka kwa impso ndi kusokonezeka kwa msambo, odwala amawonetsedwa nephrologist. Dokotala amawunika momwe minyewa yam'mitsempha imalumikizirana: kukhudzika kwawo, chidwi, minofu.
Matenda a shuga a ziwiya zazikulu, atherosulinosis, venous thrombosis amalangiza opaleshoni ya mtima.
Ndi ma neuropathies, kuwonongeka kwa zotumphukira zamanjenje, odwala amalembera mayeso mkati neuropathologist.

Kuunika kwapachaka kwa odwala matenda a shuga kumaphatikizapo kupita kukaonana ndi gynecologist.

Kuwunika kwa odwala omwe ali ndi matenda ashuga kumachitika kuzipatala zam'chigawo kumalo olembetsa. Kuti mulembetse, muyenera kubweretsa pasipoti yanu, ndondomeko, khadi ya SNILS, chiganizo.

Thandizo lapadera limaperekedwa mu zipatala za endocrinology, zipatala zachigawo ndi zamizinda. M'mizinda yayikulu, malo apadera a shuga ndi zipatala zamitundu yosiyanasiyana zimagwira ntchito. Kuphatikiza pa akatswiri a matenda ashuga, madokotala a zamisala yosiyanasiyana amawafunsa: akatswiri azakudya, opaleshoni ya mtima, ndi akatswiri, obereka, ma genetics.

Kodi kukambirana koyambirira ndi endocrinologist (kanema)

Pamaulendo oyamba a endocrinologist, wodwala yemwe ali ndi matenda okayikira omwe amawaganizira kuti amatumizidwa kukayesa mayeso ofunika, ndiye kuti amadziwa bwino matendawo, momwe amathandizira, mavuto ndi zovuta zake.

Mu kanemayo, endocrinologist amalankhula za mfundo zazikuluzikulu zokhudzana ndi matendawa. Chidziwitsochi chiyenera kulandiridwa ndi wodwala aliyense amene akufuna dokotala.

Matenda a shuga ali ndi chodabwitsa. Amakhala mnzake wokhala naye moyo wonse. Ndipo akatswiri abwino okha ndi omwe angakhale othandizira komanso othandizira panjira yovutayi. Ndi pokhapokha ngati dokotala ndi wodwala ayesetsa kupewetsa mavuto osokoneza bongo a shuga.

Dokotala endocrinologist pa matenda a shuga

Dokotala amatha kudziwa ngati ali ndi matenda ashuga kapena angayikenso matenda ena. Kuyesedwa koyenera kumayikidwa, zizindikiro za matendawa zimafotokozedwa mwatsatanetsatane. Zoyenera kuchita kenako ndi momwe angachitire? Wochiritsirayo akhoza kunena za mfundo zazikuluzikulu za njira zochiritsira, koma sangayang'ane wodwalayo. Ndiye ndi dokotala wamtundu wanji yemwe amachiza matenda ashuga? Kuti mumve zambiri, muyenera kupita ku endocrinologist.

Pafupifupi ndi zovuta zilizonse zosasangalatsa, odwala amabwera kwa akatswiri. Dokotalayo amapereka kupereka kwa mayeso, kuyezetsa kwa chithokomiro cha chithokomiro, ndipo malinga ndi zotsatira za kafukufukuyo, apanga matenda. Koma wochiritsirayo samapereka chithandizo chenicheni. Odwala ambiri sakudziwa kuti ndi dokotala uti kuti alumikizane ndi matenda a shuga. Nthawi zambiri, odwala omwe ali ndi chipatala cha matenda oterewa, othandizira amatanthauza endocrinologist.

Madokotala afufuze za mbiri iyi, amathandizira matenda amtundu wa endocrine, komanso amapereka njira zodzitetezera kuti matenda asinthe.

Ganizirani madokotala omwe mungawafunse ngati matenda a shuga ayambitsa mavuto ena machitidwe ena:

Ophthalmologist
Neurologist
Cardiologist
Opaleshoni ya mtima.

Akamaliza, wokonzekera endocrinologist adzalemba mankhwala ena othandiza kuti thupi lichepetse ndi matendawa.

Kodi ndi dokotala uti amene amayeza matenda amtundu woyamba 2? Omaliza endocrinologists. Komanso, malinga ndi luso lawo, amathandizira matenda ena:

Kunenepa kwambiri
Menyani zolowa
Ngati chithokomiro chikugwira ntchito,
Oncological pathologies a endocrine system,
Vutoli
Kusabereka
Hypothyroidism syndrome,
Zovuta pakukula kwa endocrine glands mwa ana,
Endocrinologist-diabetesologist amasankha chakudya chofunikira kwa odwala omwe ali ndi matenda osiyanasiyana a shuga.
Dokotala wothandizira wa endocrinologist amachita ngati wodwala wakumana ndi zovuta: gangrene,
The genetic endocrinologist imayenderana ndi matenda amtundu, imapereka malangizo kwa odwala omwe ali ndi ma genetic pathologies, ndikusankha njira zopewera (gigantism, dwarfism).

Mu endocrinology ya ana, mavuto okhudzana ndi chitukuko cha kugonana amathetsedwa. Matendawa amaganiziridwa mkati mwa gulu la zaka (ana ndi achinyamata). Mu diabetesology, amazindikira, amathandizira, ndikuwona kupewa kwa matenda ashuga komanso zovuta zina.

Chotsatira, tikupeza kuti muyenera liti kukaonana ndi dokotala yemwe amadwala matenda a shuga.

Chithunzi cha matenda

Muyenera kudziwa zomwe zimayambitsa matenda ashuga kuti mufike kwa nthawi yayitali, kukayezetsa, kutsimikizira za matendawo ndikupeza kwa dokotala yemwe akuthandiza matenda ashuga. Pokhapokha ndi pomwe mungathe kuthana ndi zovuta komanso zovuta zowopsa. Zizindikiro zotsatirazi nthawi zonse zimachenjeza za zobisika m'thupi:

Ludzu losatha. Poyamba, zoterezi sizisokoneza odwala, koma pang'onopang'ono ludzu limakulirakulira, wodwalayo sangathe kumukhutiritsa. Usiku amamwa malita amadzi, ndipo m'mawa amadzimva kuti akumwalira ndi ludzu. Chifukwa cha kuchuluka kwa shuga m'magazi, magaziwo amakula. Ndipo madzi amawumitsa.
Kuchulukitsa chilakolako. Matenda a shuga amakhalapo nthawi zambiri amakhala obisika monga mawonekedwe osavulaza m'moyo watsiku ndi tsiku. Ndikofunika kuyamba kuda nkhawa ndi chilakolako chosalamulirika. Pang'onopang'ono, mawonekedwe ake amawonjezeka. Anthu odwala matenda ashuga amayamba kupereka zokonda ndi zotsekemera. Kuwonjezeka kwa shuga m'magazi ndi chizindikiritso ichi ndi chizindikiro chowopsa. Wodwalayo samangoyang'anira kusintha kwakanthawi kwamachitidwe azakudya ndi zomwe amakonda.
Kulemera. Kunenepa kwambiri kumayambitsa kulemera. Nthawi zambiri amapezeka kuti ndi onenepa kwambiri II, III degree. Wodwala samvera za kusintha kochititsa mantha kotere.
Mwa odwala ena, kulemera kwake kumatha kutsika kwambiri ndikuphwanya kupanga kwa mahomoni ena.
Kuzizira kwambiri komanso matenda ena osasiya wodwala chifukwa cha kuchepa kwa chitetezo chathupi.
Kuyendetsa kugonana kumachepetsedwa.
Kuwonetsedwa pafupipafupi kwa candidiasis.
Kufooka minofu, kukulitsa khungu kuyabwa.
Kutupa kwa khungu ndi mabala omwe amavuta kuchiritsa.
Kuwona m'mavuto, kusamba.

Dokotalayo amawona matenda a shuga ndi madandaulo a wodwalayo, mayeso ake komanso zotsatira zake. Zizindikiro zimadziwika, zomwe wodwalayo amalankhula, kuyesedwa kumachitika, katswiri amawunika zotsatira za mayeso, zomwe adalemba. The endocrinologist ikhoza kukulemberani maphunziro ena, owonjezereka, chifukwa chomwe angakonze zochiritsidwazo kale ndikuwonjezeranso akatswiri a mbiri yochepetsetsa pamaso pa zopatuka zilizonse kapena zovuta zina.

Kodi ndi mankhwala ati omwe dokotala amupatsa shuga?

Njira Zodziwika Zachangu Za Anthu Ashuga

The genetic factor ndiye chinthu chachikulu pakukula kwa matendawa, koma mtundu I shuga mellitus umabadwa kawirikawiri poyerekeza ndi II. Ndani amachiritsa matenda osiyanasiyana a shuga? Yemweyo endocrinologist.

Mtundu wa I matenda, njira yovuta imadziwika. Thupi limatulutsa ma antibodies omwe amawononga ma cell a kapamba omwe amapanga insulin. Ndizosatheka kuti tichotse matenda ashuga oterewa, koma nthawi zina zimatha kubwezeretsanso ntchito za pancreatic. Onetsetsani kuti mwabaya insulin. Mafomu apiritsi pano alibe mphamvu chifukwa cha kuwonongeka kwa insulin m'mimba. Kuchokera pazakudya za tsiku ndi tsiku, shuga, zakudya zotsekemera, misuzi yazipatso, ndi mandimu sizipatula.

Matenda a Type II nthawi zambiri amapezeka pamene chidwi cha ma cell ku insulin chikatayika pomwe pali michere yambiri. Sikuti wodwala aliyense amapatsidwa insulin, chifukwa si wodwala aliyense amene amafuna. Wodwala amatchulidwa pang'onopang'ono kulemera kwake.

Dokotala yemwe ali ndi matenda ashuga amatenga mankhwala a mahomoni, mankhwala omwe amalimbikitsa chinsinsi cha insulin. Maphunziro othandizira othandizira amafunikanso pambuyo pa chithandizo chachikulu chamankhwala, ngati sichoncho kuchotsedwa sikungatenge nthawi yayitali.

The endocrinologist amapanga zakudya zapadera kwa wodwala. Mafuta onse, okoma, zokometsera, zokometsera, mafuta, mowa, mpunga, semolina, zipatso zotsekemera ndi zipatso sizimayikidwa.

Wodwala ayenera kudya zakudya zomwe zimachepetsa shuga: nyemba zobiriwira, buliberries, blueberries. Nyama ya kalulu imathanso kuchepetsa shuga, kusintha kagayidwe. Ndizakudya komanso zamafuta. Selenium mu chakudya imapangitsa insulin kupanga. Chiwindi chokhala ndi vitamini B1 chimakhudza kutulutsa kwa glucose. Mackerel muli ma acid omwe amalimbitsa khoma lamitsempha. Carbohydrate metabolism imayang'aniridwa ndi manganese (koposa zonse zomwe zimapezeka mu oats, kotero oatmeal pamadzi ndiye njira yabwino kwambiri). Bioflavonoids amalimbitsa ma capillaries, kuchepetsa kupezekanso kwa makoma amitsempha yamagazi (parsley, letesi, rose rose). Mtima wama ng'ombe (B mavitamini) amakhudza kupanga insulin.

Njala komanso kudya zakudya kwambiri sikuti kumabweretsa zotsatira zabwino, zimangovulaza thanzi la wodwalayo. Koma zakudya zoyenera, zopangidwa ndi endocrinologist, zimasunga shuga wofunikira m'magazi ndikupanga thanzi.

Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kusintha magazi, kulimbitsa mtima, kuwongolera shuga, komanso kuthana ndi cholesterol. Kufunika kwa insulin kukufooketsa.

Pambuyo pofunsana ndi endocrinologist, wodwalayo amatha kumwa zowonjezera zapadera ndi vitamini B (B3 amathandizira thupi kuyamwa chromium), C, chromium, zinc, ndi magnesium. Izi kufufuza ndi mavitamini amatenga mbali zosiyanasiyana ma cell zimachitikira, shuga, kuwonjezera insulin. Magnesium imatha kutsitsa kukakamiza, komanso zimakhudza mayendedwe amanjenje.

Matenda a shuga ndi matenda osachiritsika. Amadziwika ndi kusintha kosasinthika pakugwira ntchito kwa chithokomiro cha chithokomiro, kumathandizira kukulitsa kuchepa kwa insulin, zovuta zam'mitsempha, neuropathy. Ndi dokotala uti amene amathandizira matenda ashuga? Endocrinologist. Amatsimikiza kuchuluka kwa matenda a matenda a mtima, mankhwala. Dokotala samatsimikiza za matenda a shuga osati ndi zizindikiro zokha, komanso mwa kuwunika. Ngati endocrinologist walamula mayeso ambiri ndi mayeso ena, onse ayenera kumaliza. Izi zikuthandizira katswiri kuzindikira matendawa moyenera, kudziwa mtundu wake komanso kuchuluka kwa shuga, kusintha mankhwalawo ndikupangitsa kuti akhale othandiza kwambiri. The endocrinologist imaperekanso malingaliro pazokhudza kusintha kwa moyo, kudya tsiku ndi tsiku, ndi kusiya zizolowezi zoipa.

Ndi dokotala uti yemwe amathandizira matenda a shuga: ndiyenera kulumikizana ndi ndani?

Matenda a shuga ndi amodzi mwa matenda oyipa kwambiri omwe amakhudza anthu azaka zilizonse. Ndizodziwika bwino kuti shuga sitha kuthetsedwa ndi 100%, koma imatha kuwongoleredwa kwathunthu kwanthawi yayitali. Chifukwa chake, muyenera kudziwa adokotala omwe mungalumikizane nawo.

Dokotala wakwanuko, dokotala wabanja kapena wothandizira amatha kudziwa zovuta za metabolism, chifukwa izi nthawi zambiri zotsatira za kuyesa kwa glucose ndizokwanira. Monga lamulo, matenda ashuga amapezeka mwangozi, panjira yamuchipatala kapena ndi zikhalidwe.

Wothandizira samachiza hyperglycemia, kuti athane ndi matendawa, muyenera kulumikizana ndi dokotala wina. Dokotala wokhudzana ndi nkhaniyi amatchedwa endocrinologist. Ndiwokhazikika kwake komwe kumaphatikiza kuyendetsa shuga. Dokotala wopezekayo amapereka chitsogozo cha zasayansi, malinga ndi zotsatira zake, amawunika kuopsa kwa matenda, akuwonetsa njira yoyenera yothandizira ndi kudya.

Ngati pali zovuta kuchokera ku ziwalo ndi machitidwe, wodwala amalimbikitsidwa kukaonana ndi madokotala ena: mtima, ophthalmologist, opaleshoni ya mtima, neuropathologist. Kuyambira pamapeto awo, wodwala matenda a shuga a endocrinologist amalingalira pakusankha ndalama zowonjezera.

Dokotalayo samangothandiza kuchiza matenda a shuga, komanso matenda ena a ziwonetsero:

kunenepa
kusabereka
Goiter
matenda a mafupa
matenda a oncological ndi matenda ena a chithokomiro.
hypothyroidism syndrome.

Katswiri wa endocrinologist yekha sangathe kuthana ndi matenda ambiri, chifukwa chake endocrinology imagawidwa padera. Dokotala wothandizidwa ndi endocrinologist amathandizira odwala matenda ashuga, komanso zovuta zake pakumanga kwa zilonda zam'mimba, zilonda zam'mimba, ndipo ngati kuli kotheka, amamuchita opaleshoni.

Endocrinologist-geneticist imayang'anira cholowa, mwachitsanzo, shuga, kukula kwakukulu kapena kocheperako. Madokotala omwe amalimbana ndi kusabereka kwa akazi, kuzindikira ndi kuchiza matenda a chithokomiro amatchedwa endocrinologist-gynecologist, ndipo madokotala a endocrinologists amalimbana ndi vuto la endocrine gland, mavuto a kukula kwa ana.

Chifukwa cha magawikidwe apadera, ndizotheka kulowa mozama pazomwe zimayambitsa matendawa, kuti mukhale odziwa bwino pankhaniyi. Mutha kudziwa kuti ndi dotolo uti yemwe amathandizira odwala matenda ashuga ku registry ya chipatala kapena kwa othandizira.

Zifukwa zoyendera endocrinologist

Wodwalayo ayenera kufunsa wa endocrinologist akakhala ndi zizindikiro: ludzu losatha, kuyabwa kwa khungu, kusintha kwadzidzidzi kwa kulemera, zotupa za fungus za mucous, kufooka kwa minofu, kuchuluka kwa chidwi.

Zizindikiro zingapo zikawoneka pamaso pa kakulidwe ka matenda a shuga, nthawi zambiri mitundu iwiri. Ndi endocrinologist wokhayo amene angatsutse kapena kutsimikizira matendawa.

Nthawi zambiri, kuti mukacheze ndi dokotala, muyenera kufunsa katswiri wa zamankhwala, wachigawo. Ngati apereka magazi, kuwunikiraku kukuwonetsa kuwonjezeka kapena kuchepa kwa glycemia, kutsatiridwa ndikutumiza kwa endocrinologist yemwe amathana ndi vutoli.

Mu matenda a shuga amtundu uliwonse, wodwalayo amalembetsa, kenako adokotala amawona mtundu wa matendawa, amasankha mankhwala, adziwe njira zothandizirana, amakonzekera mankhwala osamalira, amawunikira momwe wodwalayo akuwonera komanso momwe alili.

Ngati wodwala matenda ashuga akufuna kukhala ndi moyo wokwanira, ayenera kumayezetsa magazi nthawi zonse ndikupereka magazi chifukwa cha shuga.

Akatswiri a shuga ndi zovuta zake - adokotala amachita nawo chiyani?

Matenda a shuga ndi matenda omwe amayamba kuchitika zaka zilizonse. Tsoka ilo, matendawa amapezeka mwa odwala, komanso mwa ana.

Matendawa sangathe kuchiritsidwa kwathunthu, koma wodwalayo amatha kuthandizira.

Pambuyo pa isanayambike zizindikiro za matenda ashuga, ambiri ali ndi chidwi ndi dokotala yemwe amafunsidwa kuti apezeke shuga komanso njira zina zowonetsera matendawa.

Ndi dokotala uti yemwe ndiyenera kulumikizana ndi shuga wamagazi akulu mwa ana ndi ana?

Wothandizira amatha kuwona kukula kwa matenda ashuga. Itha kukhala dotolo wabanja kapena dotolo wachigawo.

Katswiriyu amapanga lingaliro pazotsatira za kuyezetsa magazi (kumayang'ana kuchuluka kwa shuga). Nthawi zambiri, matendawa amapezeka mwangozi pomwe wodwalayo amuyeza.

Nthawi zina, munthu amasankha kupita kuchipatala chifukwa chodwaladwala. Wochiritsira samachiza glycemia. Kuti muthane ndi matendawa, muyenera kulumikizana ndi katswiri wina. Chithandizo cha matenda a shuga chimachitika ndi endocrinologist.

Amathandizanso wodwala. Kutengera ndi zotsatira za kusanthula, adotolo omwe amapezekapo amawunika kuchuluka kwa matendawa ndikupereka chithandizo choyenera, kuphatikiza ndi zakudya. Ngati matenda ashuga apereka zovuta ku ziwalo zina, wodwalayo ayenera kuyendera akatswiri otsatirawa: dokotala wamankhwala, komanso dokotala wa opaleshoni ya mtima.

Kodi adotolo amatchedwa matenda a shuga amtundu wa 2 ndi ndani?

Zotsatira zamtundu ndizofunikira pakukula kwa matendawa. Ngakhale izi, matenda ashuga amtundu woyamba amapatsidwira achibale pafupipafupi kuposa matenda amtundu wachiwiri.

Mitundu yosiyanasiyana ya matenda a shuga a mellitus amathandizidwa ndi adokotala omwewo - endocrinologist. Mu mtundu woyamba wa matenda, nthawi zambiri, njira yoopsa imadziwika.

Poterepa, ma antibodies amapangidwa m'thupi. Amawononga ma cell a kapamba, komanso amatulutsa insulin. Chifukwa cha kusokonekera kwa mahomoni m'matumbo am'mimba, kayendetsedwe ka mapiritsi pamenepa sitingathe.

Matenda a mtundu wachiwiri amapangidwa maselo akataya chidwi chawo ndi insulin. Nthawi yomweyo, michere yama cell muma cell yochuluka. Insulin siliperekedwa kwa odwala onse. Wodwala nthawi zambiri amayankhidwa kuti akonze zolemetsa.

Endocrinologist amasankha mankhwala oyenerera kwambiri a mahomoni, mankhwala kuti alimbikitse insulin. Pambuyo pa chithandizo chachikulu, maphunzirowa amakonzedwa.

Ndi katswiri uti yemwe amathandizira phazi la matenda ashuga?

Nthawi zambiri, odwala matenda ashuga amakhala ndi vuto lofanana - phazi la matenda ashuga.

Zizindikiro zoyambirira za vutoli zikaonekera mwa wodwalayo, pamakhala funso loti ndi dokotala uti amene amathandiza odwala matenda ashuga, komanso ndi njira ziti zomwe amagwiritsa ntchito.

Nthawi zambiri, endocrinologist yemwe adachita maphunziro apadera a matenda amtundu wa matenda ashuga.

Ntchito ya dotolo pochiza matenda ashuga ndi kuyesa wodwalayo komanso kusankha njira yabwino kwambiri. Pokonzekera, dokotala amawunika kuchuluka kwa zowonongeka m'mitsempha yamagazi, ndikuzindikiranso zomwe zimapangitsa kuti pakhale zovuta.

Ndani mu chipatalawa amene amalimbana ndi zovuta za m'maso?

Matenda a shuga amawopa mankhwalawa, ngati moto!

Ndikofunikira kutsatira.

Ndi kupanga matenda a shuga a retinopathy mu retina, ziwiya zazing'ono zimawonongeka.

Izi zimabweretsa kuzungulira, kufa pang'onopang'ono kwa maselo omwe amachititsa kuzindikira chithunzicho. Kuti mupeze vuto la panthawi yake, wodwalayo ayenera kupita pafupipafupi ndi ophthalmologist. Zilibe kanthu kuti ndi mtundu wanji wa shuga womwe ulipo.

Kuzindikira koyambirira kwa retinopathy kungathandize kupewa khungu lonse. Chithandizo chikuchitika moyang'aniridwa ndi ophthalmologist, komanso nawo endocrinologist. Kuti akhalebe ndi maso, wodwalayo amapatsidwa majekeseni a jekeseni.

Pankhaniyi, chithandizo ndi angioprotectors chikuchitika. Pankhani ya retinopathy m'magawo omaliza, opareshoni ndi laser amachitidwa.

Ndi dokotala uti yemwe angathandize kuchiritsa matenda a neuropathy?

Matenda a diabetes a neuropathy ndi mgwirizano wa ma syndromes owonongeka pamagawo osiyanasiyana a autonomic ndi zotumphukira zamagetsi.

Mavuto amadza chifukwa chophwanya njira zosiyanasiyana za kagayidwe kachakudya ka shuga. Ndi diabetesic neuropathy, kusazindikira, kusokonekera kwa kulowetsedwa kwa mitsempha kumachitika. Mawonetsedwe azachipatala a matenda awa ndi osiyanasiyana.

Mankhwala othandizira odwala matenda ashuga a m'mimba amachitika ndi ma neuropathologists, ma endocrinologists, ma dermatologists, komanso ma urologist. Pankhaniyi, zonse zimatengera mawonekedwe a mawonekedwe a matenda. Chifukwa chachikulu chopangira matenda a shuga a shuga ndi kukweza m'magazi.

Zimayambitsa kusintha kwa kapangidwe kake, mfundo zoyendetsera maselo amitsempha. Akatswiri amagwiritsa ntchito njira zosiyanasiyana zolimbitsa thupi pochizira matenda a shuga: thonje, mphamvu zamagetsi, komanso masewera olimbitsa thupi.

Nthawi yomweyo, odwala amatenga mankhwala a Gulu B, ma antioxidants, mankhwala okhala ndi zinc kapena magnesium.

Ngati matenda ashuga a m'mimba amathandizana ndi kupweteka kwambiri, wodwalayo amapatsidwa mankhwala apadera a ululu, komanso anticonvulsants.

Endocrinologists okhudza matenda ashuga: mayankho ku mafunso ndi maupangiri

Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi imatha kudzetsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga.

Mayankho a ma endocrinologists ku mafunso ovuta kwambiri a matenda ashuga:

Ndani angathandize polimbana ndi matendawa

Dziwani kuti matenda a shuga akhoza kungokhala othandizira (dokotala wabanja, chigawo) molingana ndi zotsatira za kuyesa kwa magazi kwa glucose. Matendawa amatha kuululidwa mwangozi, mukamayesedwa pafupipafupi kapena ngati muli ndi zizindikiro zina.

Wochiritsira samachiza glycemia. Kuti muthane ndi matendawa, muyenera kupita kwa katswiri wina kuti akuthandizeni. Ndiye ndi dokotala uti amene amathandizira matenda ashuga? Uyu ndi endocrinologist. Ndiokhazikika kwake kuti azilamulira odwala matenda ashuga.

Malinga ndi zotsatira za mayeserowa, dokotala yemwe adzapite amawunika kuchuluka kwa matendawa ndikupereka chithandizo choyenera kuphatikiza ndi zakudya. Pomwe matenda ashuga atabweretsa zovuta ku ziwalo zina, wodwalayo ayenera kuyendera akatswiri opendekera:

ophthalmologist
neuropathologist
mtima
opaleshoni ya mtima.

Malinga ndi mfundo yawo yokhudza thanzi la ziwalo zoyenera, endocrinologist ikuganiza zoika mankhwala ena kuti akhale othandizirana.

Endocrinologists samangolemba mtundu wa I ndi mtundu wachiwiri wa shuga, komanso matenda ena, kuphatikiza:

kunenepa
Goiter
mavuto a chithokomiro
oncology ya endocrine system,
kusokonezeka kwa mahomoni
matenda a mafupa
kusabereka
hypothyroidism syndrome.

Matenda ambiri sangathe kuthana ndi endocrinologist mmodzi. Chifukwa chake, endocrinology imagawidwa padera.

Opaleshoni ya Endocrinologist. Kuchita ndi matenda ashuga. Ngati vuto likupezeka mwa zilonda, zilonda zam'mimba, akuganiza zochita opareshoni kapena ayi.
Endocrinologist geneticist. Dokotala yemwe amayang'anira mavuto obisika. Uku ndikudwala, shuga kapena kukula kwakukulu.
Endocrinologist-diabetesologist. Dotoloyu akuthandizani kusankha zakudya zoyenera komanso zakudya zoyenera za mtundu I, mtundu wa matenda ashuga II.
Endocrinologist-gynecologist amathetsa vuto la kusabereka kwa amuna ndi akazi.
Endocrinologist-chithokomiro. Katswiri yemwe amathandizira pakuzindikira komanso kuchiza matenda a chithokomiro.
Ana endocrinologist. Katswiri wa matenda a endocrine glands. Kuchita ndi zovuta za kukula ndi kukula kwa ana.

Gawo lazokhudza zoperewera limalola akatswiri kuti azilowa matenda amtundu umodzi, mwakutero kukhala odziwa zambiri pazinthu zawo.

Zifukwa zolumikizirana ndi endocrinologist

Wodwala angathe kuonana ndi endocrinologist ngati ali ndi zina mwazizindikirozi:

khola lakuthwa kapena loponya ma kilogalamu,
ludzu losalekeza
chilala chosalamulirika,
pafupipafupi matenda oyamba ndi fungus (thrush),
pafupipafupi matenda a fuluwenza ndi SARS,
kamwa yowuma
kufooka kwa minofu
Khungu.

Ndi zizindikiro zingapo, titha kunena za chitukuko cha mtundu II shuga mellitus. Tsimikizani kapena tsimikizani kuti mukudwala kungakhale kokha endocrinologist.

M'dziko lathu, njira zoyendera endocrinologist sizophweka. Kutumiza kwa akatswiri akatswiri akhoza kungopezeka kudzera mwa akatswiri. Ndiye chinthu choyamba ndikupita kwa apolisi amchigawo. Pambuyo popititsa kuyezetsa magazi ndi kuwona glycemia, wotumizira kwa endocrinologist amatsatira.

Katswiriyu adzachita kafukufuku wake kuti atsimikizire kapena avomereze kuti ali ndi vutoli. Atazindikira kuti ali ndi matenda amtundu uliwonse, wodwalayo amalembetsa, ndiye kuti dokotalayo amachita mogwirizana ndi mfundo zotsatirazi:

kutsimikiza kwamtundu wa matenda ashuga (I kapena II),
kusankha mankhwala
kupewa matenda oyanjana,
kudya zakudya
kuwunika mayeso ndi momwe wodwalayo alili.

Wodwala moyang'aniridwa ndi dokotala amayenera kutsatira izi ngati akufuna kukhala ndi moyo wabwinobwino.

Momwe mungathane ndi matenda ashuga

Matenda a shuga ndi amitundu iwiri, I ndi II. Amasiyana pakumwa insulin.

Matenda a shuga a Mtundu Wachiwiri ndi opepuka kuposa oyambawo ndipo amadziwika kuti ndi insulin yodziimira pawokha. Mudamva kuti munthu ali ndi matenda ngati amenewo, musataye mtima. Sichiritsika kwathunthu, koma ndizotheka kuti chitukuko chikule. Zakudya ndi njira yayikulu yothandizira. Kukana zakudya zotsekemera, zamafuta, zonunkhira komanso ufa ndizotheka kulola kuchuluka kwa shuga kupitirira malire ovomerezeka. Mwayi uyenera kuperekedwa kwa ndiwo zamasamba, nyama yopendekera, msuzi wopanda shuga. Kukongoletsa ndi phala yokongoletsa, koma osatengeka nawo.

Ndikotheka kumwa mankhwala osakanikirana ndi zakudya kuti muchepetse kuchuluka kwa shuga m'magazi.

Ndikofunikira kuyang'anira thanzi lanu nthawi zonse ndikuyesera mayeso munthawi yake. Kutsatira malangizowa, mutha kuwona kusintha kwa zomwe zikuwonetsa shuga ndikusintha kwakanthawi kachitidwe ka chithandizo.

Matenda a shuga 1 amtundu wa insulin amatchedwa wodalira insulin. Mwazi wamwazi ndiwambiri. Kudya kamodzi sikumawachepetsa, motero insulin imayikidwa. Mlingo ndi kuchuluka kwa mabungwe kungathe kufotokozedwa ndi endocrinologist. Kudzichitira nokha mankhwala nkoletsedwa. Kusintha kulikonse pakukhala bwino, ndibwino kukaonana ndi dokotala.

Makamaka chidwi chake chikuyenera kuperekedwa kwa ana ashuga. Heredity ndiye chifukwa chachikulu chakuonekera kwa matenda. Ana omwe makolo awo ali ndi matenda ashuga amawalembetsa ku chipatala cha ana. Atazindikira kuti ali ndi matenda ashuga, chithandizo ndi mankhwala.

Zizindikiro zoyambirira za matendawa zikaonekera, pitani kwa dokotala. Matenda a shuga kwa ana amakula msanga kuposa achikulire. Simungachedwetse mayeso. Pakhoza kukhala zovuta zomwe sizingalole kuti mwana azikhala moyo wabwino.

Malangizo apakatikati pothana ndi matenda amtundu wa II ndi mtundu wachiwiri wa shuga ndi monga:

masewera opepuka (kuthamanga, kuyenda),
ntchito zakunja
chakudya
kumwa mankhwala nthawi yomweyo,
Kutsatira ndi zochitika za tsiku ndi tsiku
ukhondo
makonzedwe a insulin pa Mlingo zotchulidwa ndi dokotala,
kudya mavitamini
popumira,
amayenda mumweya watsopano,
immunotherapy.

Njira yophatikiza yamankhwala imatsimikizira zotsatira zabwino. Kuyendera pafupipafupi kwa endocrinologist, kutsatira malangizo ake onse, kupita kwa akatswiri ena kuthandizanso kuti adziwe matendawa.

Kunyalanyaza malangizo a dotolo komanso thanzi lake zimalola kuti matendawa achepetse kwambiri. Mavuto amayamba kukwera mthupi zomwe zimalepheretsa munthu kukhala ndi moyo wokwanira komanso kukhala wokhoza.

Mavuto a shuga

Kukhazikitsidwa kwa chithandizo kwakanthawi kumathandiza kupewa mavuto osayipa. Kulabadira thupi lanu kumakhala kovuta chifukwa cha mavuto:

kuchepa kwa masomphenya
kuyamwa
kulephera kwa mtima
zilonda zam'mimba
zigawenga
kuwonongeka kwa mtima
nyamakazi yam'mitsempha,
lactic acidosis
kuyaka m'miyendo
kulephera kwa aimpso
wodwala matenda ashuga.

Kukula kwamatenda oyanjana kumakulitsa mkhalidwe wa wodwala wokhala ndi matenda amtundu uliwonse.Kupempha thandizo kwakanthawi kochepa nthawi zambiri kumayambitsa ma opaleshoni ndikufa.

Matenda aliwonse ndiosavuta kupewa kuposa kuthana ndi zotsatira zake. Endocrinology ndi makampani omwe amangotuluka, akufufuza pazomwe zimayambitsa matenda ashuga. Amagwira ntchito molunjika popanga mankhwala ogwira ntchito yolimbana ndi matendawa.

Kukayikira kutsatira malingaliro a endocrinologist kungathandize kwazaka zambiri kuti thupi lizigwira ntchito bwino.

Mawonekedwe

Malinga ndi endocrinologists, pakati pa matenda oyambitsidwa ndi vuto la metabolic, matenda ashuga ndiwachiwiri kwambiri, wachiwiri wokha kunenepa kwambiri m'chinenerochi. Malinga ndi kafukufuku waposachedwa, pakadali pano munthu m'modzi pa khumi ali ndi matenda a shuga.

Komanso, odwala ambiri satha kukayikira ngati ali ndi vuto lalikulu lozindikira matenda a shuga, chifukwa nthawi zambiri matenda a shuga amakhala nthawi yochepa. Matenda osakhazikika a shuga amabweretsa chiopsezo chachikulu kwa anthu, chifukwa samalola kuti apezeke matendawa panthawi yake ndipo nthawi zambiri amapezeka pokhapokha ngati matendawo akuwonekera kwambiri.

Kuopsa kwa matenda osokoneza bongo a shuga kumagonanso poti kumapangitsa kusokonezeka kwakukulu kwa metabolic, kukhala ndi vuto pa chakudya, mapuloteni komanso metabolism yamafuta. Izi ndichifukwa choti insulini yopangidwa ndi ma pancreatic β imakhudzidwa osati kungoyamwa shuga, komanso mafuta komanso mapuloteni.

Koma kuvulaza kwakukulu mthupi la munthu kumayambitsidwa ndendende ndi kuchuluka kwa shuga m'magazi, komwe kumawononga makhoma a capillaries ndi minyewa yamitsempha, ndikuwonetsa kukula kwa njira yotupa kwambiri m'magulu ambiri amkati mwa munthu.

Gulu

Malinga ndi endocrinology yamakono, shuga imatha kukhala yoona komanso yachiwiri. Matenda a shuga a sekondale (ofunikira) amakula ngati matenda ena opatsirana, monga pancreatitis ndi chotupa cham'mimba, komanso kuwonongeka kwa chithokomiro cha adrenal gland, gland ndi gland ya chithokomiro.

Matenda enieni a shuga amakula nthawi zonse ngati matenda odziyimira pawokha ndipo nthawi zambiri imayambitsa matenda. Mtundu wa matenda ashuga awa umatha kupezeka mwa anthu aliwonse azaka zilizonse, onse adakali ana komanso atakalamba.

Matenda enieni a shuga amaphatikizapo mitundu ingapo ya matenda omwe ali ndi zizindikiro zofananira, koma amapezeka mwa odwala pazifukwa zosiyanasiyana. Ena a iwo ndiofala kwambiri, ena, m'malo mwake, samapezeka kawirikawiri.

Mitundu ya matenda ashuga:

Mtundu woyamba wa shuga
Type 2 shuga
Matenda a shuga
Matenda a shuga
Matenda a shuga

Matenda a shuga a Type 1 ndi matenda omwe amapezeka nthawi zambiri kwa odwala muubwana ndi unyamata. Matenda a shuga amtunduwu samakonda kukhudza anthu azaka zopitilira 30. Chifukwa chake, nthawi zambiri amatchedwa matenda a shuga a ana. Matenda a shuga amtundu woyamba ali pa malo achiwonetsero kawiri, pafupifupi 8% ya matenda onse a shuga amapezeka molondola matendawa amadalira insulin.

Matenda a shuga amtundu 1 amadziwika ndi kutaya kwathunthu kwa insulin, motero dzina lake lachiwiri ndi matenda a shuga. Izi zikutanthauza kuti wodwala yemwe ali ndi mtunduwu wa matenda ashuga adzafunika kubaya insulin tsiku lililonse moyo wake wonse.

Matenda a 2 a matenda a shuga ndi matenda omwe nthawi zambiri amapezeka mwa anthu achikulire komanso okalamba, samapezeka kwambiri mwa odwala osakwanitsa zaka 40. Matenda a shuga a 2 ndiwo mtundu wofala kwambiri wa matendawa, amakhudza oposa 90% mwa odwala onse omwe amapezeka ndi matenda ashuga.

Mtundu wachiwiri wa matenda ashuga, wodwalayo amakulitsa minyewa, ndipo kuchuluka kwa timadzi tambiri m'thupi kumakhalabe kwabwinobwino kapenanso kukweza. Chifukwa chake, mtundu uwu wa shuga umatchedwa insulin-Independent.

Matenda a shuga oopsa a m'mimba ndi matenda omwe amapezeka mwa azimayi omwe ali ndi pakati pa miyezi 6 mpaka 7 yaubala. Matenda a shuga amtunduwu nthawi zambiri amapezeka mwa amayi oyembekezera omwe ali onenepa kwambiri. Kuphatikiza apo, azimayi omwe amakhala ndi pakati patatha zaka 30 amatha kutenga chiwopsezo cha matenda ashuga.

Matenda a shuga amtunduwu amakula chifukwa cha kusokonekera kwamphamvu kwamaselo amkati kwa insulin ndi mahomoni opangidwa ndi placenta. Pambuyo pa kubala, mkazi nthawi zambiri amachiritsidwa kwathunthu, koma kawirikawiri, matendawa amakhala mtundu wa 2 shuga.

Matenda a Steroid ndi matenda omwe amayamba mwa anthu omwe akhala akumwa glucocorticosteroids kwa nthawi yayitali. Mankhwalawa amathandizira kuwonjezeka kwa shuga wamagazi, omwe m'kupita kwa nthawi amatsogolera pakupanga shuga.

Gulu lowopsa lachitukuko cha matenda a shuga a steroid limaphatikizapo odwala omwe ali ndi mphumu ya bronchial, nyamakazi, arthrosis, chifuwa chachikulu, kulephera kwa adrenal, chibayo, matenda a Crohn ndi ena. Mukamaliza kumwa glucocorticosteroids, matenda a shuga amadzimiratu.

Matenda a shuga - Amadziwonekera mwa mwana kuyambira tsiku lobadwa loyamba. Nthawi zambiri, ana omwe ali ndi vuto lobadwa nalo la matendawa amabadwa kwa amayi omwe ali ndi matenda amtundu wa 2 komanso matenda a shuga. Komanso, zomwe zimayambitsa matenda obadwa nawo a shuga zimatha kukhala matenda opatsirana kudzera mwa mayi panthawi yoyembekezera kapena kumwa mankhwala osokoneza bongo.

Zomwe zimayambitsa matenda obadwa nawo a shuga amathanso kukhala opindika, kuphatikizapo kubadwa msanga. Matenda a shuga obadwa nawo amakhala osachiritsika ndipo amadziwika chifukwa chosowa insulin.

Chithandizo chake chimakhala ndi jakisoni wa insulin tsiku lililonse kuyambira masiku oyamba amoyo.

Matenda a shuga a Type 1 nthawi zambiri amapezeka mwa anthu osakwanitsa zaka 30. Ndizachilendo kwambiri kuti milandu ya matendawa imalembedwa mwa odwala pafupifupi zaka 40. Matenda a shuga a ana, omwe nthawi zambiri amapezeka mwa ana a zaka zapakati pa 10 ndi 14, amafunika kutchulidwa mwapadera.

Chifukwa chachikulu chomwe chimapangidwira matenda a shuga 1 ndi kusagwira bwino ntchito kwa chitetezo cha m'thupi, momwe maselo akupha amatsutsana ndi ziwalo zawo zakunyumba, ndikuwononga maselo a β-cell omwe amapanga insulin. Izi zimabweretsa kuchepa kwathunthu kwa katulutsidwe ka insulin ya mahomoni m'thupi.

Nthawi zambiri vuto lotere mu chitetezo chathupi limayamba kukhala ngati vuto la virus. Chiwopsezo cha kukhala ndi matenda amtundu woyamba chimachulukitsidwa kwambiri ndi matenda a virus monga rubella, chikuku, mumps, chikuku komanso hepatitis B.

Kuphatikiza apo, kugwiritsidwa ntchito kwa mankhwala ena owopsa, komanso kupha tizilombo toyambitsa matenda komanso poizoni wa nitrate, kungakhudze mapangidwe a shuga. Ndikofunikira kumvetsetsa kuti kufa kwa chiwerengero chochepa cha maselo otulutsa insulin sikungayambitse matenda a shuga. Kwa kuyambika kwa matenda amtunduwu mwa anthu, pafupifupi 80% ya of-maselo ayenera kufa.

Odwala omwe ali ndi matenda a shuga 1, matenda ena a autoimmune nthawi zambiri amawonedwa, monga thyrotooticosis kapena kuperekera poyizoni. Kuphatikiza kwamatenda kumeneku kumakhudza thanzi la wodwalayo, kumakulitsa nthawi ya matenda ashuga.

Matenda a shuga a Type 2 nthawi zambiri amakhudza anthu okhwima komanso okalamba omwe awoloka mawonedwe wazaka 40. Koma lero, ma endocrinologists amawona kukonzanso mwachangu kwa matendawa pomwe amapezeka mwa anthu omwe sanachite chikondwerero chawo cha 30.

Choyambitsa chachikulu cha matenda a shuga a 2 ndi onenepa kwambiri, motero anthu omwe ali onenepa kwambiri ndi omwe ali pachiwopsezo cha matendawa. Adipose minofu, yophimba ziwalo zonse zamkati ndi minyewa ya wodwalayo, imapanga cholepheretsa insulin, yomwe imapangitsa kuti insulin ikane.

Mu matenda a shuga a fomu yachiwiri, mulingo wa insulin nthawi zambiri umakhalabe pamlingo wazizolowezi kapena umapitilira. Komabe, chifukwa cha kusakhazikika kwa maselo ku timadzi timeneti, ma carbohydrate samatengedwa ndi thupi la wodwalayo, zomwe zimapangitsa kuti shuga azikhala ndi magazi ambiri.

Zoyambitsa matenda a shuga a 2:

Khalidweli. Anthu omwe makolo awo kapena achibale awo ena akudwala matenda a shuga amatha kwambiri kudwala,
Kulemera kwambiri. Mwa anthu onenepa kwambiri, minyewa yam'm cell nthawi zambiri imatha kusiya insulin, zomwe zimasokoneza kuyamwa kwa shuga. Izi ndizowona makamaka kwa anthu omwe amatchedwa kunenepa kwam'mimba, momwe mumapezeka mafuta m'mimba,
Zakudya zopanda pake. Kudya mafuta ochulukirapo, chakudya chamafuta ndi zakudya zama calorie ambiri kumatha ntchito zomwe zimapezeka m'mapapo ndipo zimawonjezera mwayi wokhala ndi insulin,
Matenda a mtima. Matenda a mtima, matenda a mtima, komanso kuthamanga kwa magazi kumapangitsa kuti minofu isamve bwino,
Zovuta zapafupipafupi. M'mikhalidwe yovuta, kuchuluka kwa mahomoni a corticosteroids (adrenaline, norepinephrine ndi cortisol) amapangidwa m'thupi la munthu, zomwe zimapangitsa kuchuluka kwa shuga m'magazi ndipo, ndikakumana ndi zomwe zimachitika pafupipafupi, zimatha kupangitsa matenda a shuga.
Kumwa mankhwala a mahomoni (glucocorticosteroids). Amakhala ndi zotsutsana ndi kapamba ndikuwonjezera shuga.

Popanga insulin yokwanira kapena kutayika kwa minofu kumvekedwe kwa timadzi timeneti, glucose amasiya kulowa m'maselo ndipo amapitilirabe kuzungulira magazi. Izi zimakakamiza thupi la munthu kuyang'ana njira zina zowonjezera glucose, zomwe zimapangitsa kuti glycosaminoglycans, sorbitol ndi hemoglobin a glycated ikhalemo.

Izi zimadzetsa chiwopsezo chachikulu kwa wodwalayo, chifukwa zimatha kuyambitsa zovuta zambiri, monga ma catalo (kuwala kwa mandala amaso), microangiopathy (kuwonongedwa kwa makoma a capillaries), neuropathy (kuwonongeka kwa minyewa ya mitsempha) ndi matenda olowa.

Kuti alipire mphamvu ya kuchepa kwa mphamvu chifukwa cha kukhudzika kwa glucose, thupi limayamba kupanga mapuloteni omwe amakhala m'matumbo am'mimba ndi mafuta osunthika.

Izi zimabweretsa kuwonda kwambiri kwa wodwala, ndipo zimatha kuyambitsa kufooka kwambiri komanso ngakhale minyewa ya m'mimba.

Kukula kwa zizindikiro mu shuga kumatengera mtundu wamatenda komanso zaka za wodwalayo. Chifukwa chake matenda amtundu wa 1 amayamba msanga ndipo amatha kubweretsa zovuta, monga kupsinjika kwamphamvu kwa hyperglycemia ndi matenda a shuga, m'miyezi ingapo.

Matenda a shuga a Type 2, m'malo mwake, amakula pang'onopang'ono ndipo sangawonekere kwa nthawi yayitali. Nthawi zambiri matenda amtunduwu amadziwika mwamwayi mukamayang'ana ziwalo zamasomphenya, kuyezetsa magazi kapena mkodzo.

Koma ngakhale pali kusiyana pakati pa kukula kwa chitukuko pakati pa mtundu 1 ndi mtundu 2 wa matenda ashuga, ali ndi zofananira ndipo akuwonetsedwa ndi zizindikiro zotsatirazi:

Ludzu lalikulu ndi kumva mosalekeza kwamkamwa. Wodwala matenda ashuga amatha kumwa mpaka malita 8 amadzimadzi tsiku lililonse,
Polyuria Anthu odwala matenda ashuga amavutika kukoka pafupipafupi, mpaka kukomoka usiku. Polyuria mu shuga amapezeka 100% ya milandu,
Polyphagy. Wodwalayo nthawi zonse amakhala ndi njala, akumva kulakalaka kwapadera kwa zakudya zotsekemera ndi zopatsa mphamvu,
Khungu lowuma ndi ma mucous membrane, omwe angayambitse kuyabwa kwambiri (makamaka m'chiuno ndi m'matumbo) komanso mawonekedwe a dermatitis,
Kutopa, kufooka kosalekeza,
Kusasangalala, kusokonekera, kugona,
Mwendo kukokana, makamaka minofu ya ng'ombe,
Masomphenya otsika.

Mtundu woyamba wa matenda ashuga, wodwala amakhala ndi zizindikiritso monga ludzu lalikulu, kufinya kwamkodzo, kumva kupweteka mseru komanso kusanza, kufooka mphamvu, njala yothina, kuchepa thupi mwadzidzidzi ngakhale ndimatenda abwino, kukhumudwa komanso kuwonjezeka.

Ana nthawi zambiri amakhala ndi ma envelopis a usiku, makamaka ngati mwana sanapite kuchimbudzi asanagone. Odwala omwe ali ndi matenda amtunduwu ali ndi chizolowezi chodumphadumpha m'magazi komanso kukula kwa hypo- ndi hyperglycemia - mikhalidwe yomwe ili pachiwopsezo cha moyo ndipo imafunika chisamaliro chamankhwala.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, matendawa nthawi zambiri amawonetsedwa ndi kuyabwa kwambiri pakhungu, kutsika kwamaso owoneka bwino, ludzu losatha, kufooka ndi kugona, mawonekedwe a matenda oyamba ndi mafangasi, kuchiritsa bwino mabala, kumva kutopa, miyendo kapena kukwawa.

Mtundu woyamba 1 ndi matenda ashuga 2 akadali matenda osachiritsika. Koma kutsatira mosamalitsa pazitsimikiziro zonse za dotolo ndikulipira bwino matenda ashuga, wodwala atha kukhala moyo wokhazikika, kuchita gawo lililonse la zochitika, kupanga banja ndikukhala ndi ana.

Malangizo a Endocrinologist kwa odwala matenda ashuga:

Musakhumudwe mutadziwa za matenda anuwo. Simuyenera kudandaula kwambiri za matendawa, chifukwa izi zimangokulitsa mkhalidwe wa wodwalayo. Tiyenera kukumbukira kuti anthu opitilira theka biliyoni padziko lapansi amakhalanso ndi matenda ashuga, koma nthawi yomweyo aphunzira kukhala ndi matenda.

Pewani kuphatikiza chakudya chopatsa thanzi mosavuta kuzakudya zanu. Ndikofunikira kumvetsetsa kuti shuga imayamba chifukwa chophwanya kagayidwe kazakudya. Chifukwa chake, odwala onse omwe ali ndi vutoli ayenera kusiyiratu kugwiritsa ntchito mafuta osavuta, monga shuga ndi maswiti aliwonse, uchi, mbatata zamtundu uliwonse, ma hamburger ndi zakudya zina zachangu, zipatso zotsekemera, mikate yoyera, mafuta ophika buledi, semolina, mpunga woyera. Izi zimatha kuwonjezera shuga m'magazi.

Idyani zakudya zovuta. Zogulitsa zotere, ngakhale zili ndi mafuta ochulukirapo, sizichulukitsa shuga wamagazi, chifukwa zimatenga nthawi yayitali kuposa zopepuka zamafuta. Izi zimaphatikizapo oatmeal, chimanga, mpunga wa bulauni, msuzi wa tirigu wa durum, tirigu wathunthu ndi mkate wa chinangwa, ndi mtedza wosiyanasiyana.

Pali zambiri, koma pang'onopang'ono. Zakudya zopatsa thanzi ndizothandiza makamaka kwa matenda ashuga, chifukwa zimakupatsani mwayi wopewa kuwonjezeka kapena kuchepa kwa shuga m'magazi. Chifukwa chake, odwala matenda ashuga amalimbikitsidwa kudya osachepera 5 pa tsiku.

Nthawi zonse muziyang'anira kuchuluka kwa shuga m'magazi. Izi zichitike m'mawa mutadzuka komanso madzulo musanagone, komanso mukamaliza kudya.

Momwe mungadziwire shuga wamagazi kunyumba? Mwa izi, wodwalayo ayenera kugula glucometer, yomwe ndi yosavuta kugwiritsa ntchito kunyumba. Ndikofunika kutsindika kuti mwa achikulire athanzi, shuga wamagazi samakwera pamwamba pa 7.8 mmol / L, omwe akuyenera kuwongolera odwala matenda ashuga.