Chithandizo cha matenda a shuga a India
Malinga ndi madokotala aku India, chiwerengero cha anthu odwala matenda ashuga mdziko muno chikhala 57 miliyoni pofika 2025. Matenda a shuga ndi vuto lomwe layamba kale. Masiku ano, India ndi amodzi mwa mayiko otsogola mogwirizana ndi kuchuluka kwa anthu odwala matenda a shuga. Malinga ndi kuyerekezera kwaposachedwa, anthu opitilira 30 miliyoni omwe ali ndi matenda a shuga 1 ali kale mdziko muno.
Chifukwa cha kuchuluka kwa matendawa, dzikolo lili ndi zonse zofunikira pochizira. Odwala omwe amapita ku India ayenera kudziwa kuti m'mizinda yambiri yayikulu ya boma muli insulini zamitundu yonse zomwe zitha kugulidwa popanda mankhwala.
Pakati pa zipatala ku India zomwe zimapereka chithandizo kwa odwala omwe ali ndi matenda a shuga, munthu ayenera kugwiritsa ntchito zipatala za Fortis Healthcare (India), zomwe zili ndi chithandizo chamankhwala chambiri komanso ogwira ntchito.
Ma Clinics a Fortis amapatsa odwala awo malo abwino: zipinda zoyera komanso zoyera, zopuma bwino, othandizira komanso othandizira.
Fortis Medical Institute ku India ili ndi odziwa ntchito ndi odwala akunja. Chipatalachi chimakhala ndi ntchito yapadera yomwe imakonzekera kulandira ndi kulandira chithandizo kwa odwala ochokera kumaiko ena (kuphatikiza Russia), komanso chifukwa chokhala m'malo abwino kudziko lachilendo.
Phytotherapy
Mankhwala azitsamba amagwiritsidwa ntchito ngati chida chowonjezera polimbana ndi matenda a shuga a mtundu woyamba 1. Kumayambiriro kwa matendawa, mankhwala azitsamba, zakudya ndi masewera olimbitsa thupi angathandize kuti wodwalayo asinthe popanda kugwiritsa ntchito mankhwala.
Zomera pafupifupi 200 zimatha kutsitsa shuga wamagazi; zimakhala ndi inulin, inosine ndi galenin.
Kuphatikiza pa zitsamba, mu mankhwala azitsamba mutha kuyikapo mizu, uchi, makungwa, nthangala ndi zinthu zina zachilengedwe ndi zina zachilengedwe.
Njira ya mankhwala azitsamba imatha milungu iwiri mpaka miyezi isanu ndi umodzi, kutengera mbewu zomwe zimagwiritsidwa ntchito komanso momwe wodwalayo alili. Pambuyo pa phytotherapy yayitali, ndikofunikira kupuma kwa miyezi ingapo kapena kubwezeretsa mankhwala azitsamba ndi mankhwala.
Kuchiritsa yoga
Njira zambiri tsopano zikugwiritsidwa ntchito kulipirira matenda a shuga, monga kumwa mankhwala ndi mankhwala apadera a hypoglycemic, zakudya zamankhwala, ndi ntchito yapadera yolimbitsa thupi.
Masewera olimbitsa thupi safunikira kwa odwala, mmalo mwake, masewera olimbitsa thupi olimbitsa thupi ndi masewera olimbitsa thupi adzaperekanso zotsatira zabwino kuposa kuthamanga.
Akatswiri azindikira asanas (masewera olimbitsa thupi a yoga) omwe odwala matenda ashuga amatha kuchita m'njira yopepuka. Ntchito zolimbitsa thupi zimalimbitsa chitetezo chokwanira, kukonza kagayidwe, kayendetsedwe ka mtima.
Yoga kumalimbikitsa kutentha kwa adipose minofu, kumachepetsa kufunika kwa kudya kwambiri, kumapangitsa magwiridwe antchito a m'mimba ndi ziwalo zina.
Kuphatikiza ndi asanas, tikulimbikitsidwa kuti tichite pranayama - machitidwe olimbitsa thupi omwe amapuma, kuphatikizapo kukula kwa minofu ya pelvic.
Chofunikira kwambiri ndikuti makalasi akuyenera kuchitidwa motsogozedwa ndi wophunzitsa odziwa bwino ntchitoyo kuti zolimbitsa thupi zomwe zikuchitidwa zitheke, ndicholinga chakukulitsa magulu onse am'misempha ndi mafupa.
Ndemanga ndi ndemanga
Ndikuganiza Ayurveda ndi zamkhutu. Ndidawononga ndalama zambiri ku Moscow, kenako ndidapita ku India kukalandira chithandizo cha matenda a shuga ndipo ndimangotaya nthawi ndi ndalama pachabe. Palibe chithandizo chobwinobwino, kupumula kokha komwe kumaperekedwa! Ndipo zipatala zam'deralo zikuvuta kwambiri. Ndikuyenera kupita kuchipatala ku Europe kukalandira chithandizo cha matenda ashuga
Ku Kolva, nthawi zambiri ndimapita kukasokiti wama Ayurvedic, komwe akatswiri azamankhwala amamvetsetsa chilankhulo cha Chirasha. Ndipo pamashelefu panali zizindikiro zaku Russia - ndicholinga chotani komanso zomwe mankhwalawo adapangidwa.Ine ndi anzanga nthawi zambiri timapuma ku India ndipo timagulako mankhwala osokoneza bongo kwa ine ndi okondedwa athu. Ndipo mankhwalawa a phyto amathandizadi - shuga wamagazi amachepetsedwa. Koma ngati gawo silikuyenda /
Kwa zaka zitatu zapitazi, ndakhala ndikutumiza nthawi ndi nthawi kukalandira chithandizo cha matenda ashuga ku India, chipatala cha AMRI. Amandilandira komweko monga mbadwa - amalemekezana kwambiri ndili ndi zaka (ndili ndi zaka 55), osati ngati azachipatala. Pali ma curators aku Russia omwe amathandizira anthu amtundu wathu panthawi yomwe amakhala ku India.
Moni amayi ndi abambo .. Ndinkakonda kwambiri chithandizo chanu ndipo ndimafuna ndidziwe chani, mukafuna kumwa mankhwala a insulin, kapena ayi? Pambuyo pa chithandizo, kodi munthuyo amachira kwathunthu kapena ayi?
Ndikufuna kuyankha Alla. Ndizosangalatsa kuti mumapezeka ku India ndimankhwala ati. Ndinali kulandira chithandizo cha oncology ku New Delhi. Ndipo ndikutha kuwatsimikizira zaukhondo ndi dongosolo, koposa zonse, malingaliro a odwala ndiabwino. Palibe chifukwa cholembetsera motero. Ndipo mitengo ya chithandizo pali zotsika mtengo kwambiri. Sindikunena za kuchira, komanso mapiritsi. Ndikupita ku India kukayezetsa ndipo ndikachotsa zilonda zina. Ndinagwira ntchito pakhungu la impso yanga chaka chino. Ndinapita kokagula tsiku lachitatu nditachitidwa opaleshoni.
Malangizo onse a kagwiritsidwe ntchito ka odwala matenda ashuga komanso kuwunika kwa odwala matenda ashuga
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Pochiza matenda a shuga a mtundu wachiwiri, pali mitundu yambiri yosiyanasiyana, ndipo sizotheka nthawi zonse kupeza mankhwala omwe amathandizira kuthana ndi glycemia 100%. Chifukwa cha mitundu yosiyanasiyana ya mankhwala odwala matenda ashuga, kusokonezeka m'mutu sikungokhala ndi anthu odwala matenda ashuga.
Ngati munazolowera mankhwala a Diabeteson ndi malangizo ake ogwiritsira ntchito, koma osamvetsetsa bwino ngati ndi oyenera kwa inu komanso momwe angasinthidwire ngati mankhwalawo sakuthandiza, ndiye kuti nkhaniyi ndiyofunika nthawi yake.
Diabetes - mankhwala a matenda a shuga a 2
Kwa odwala matenda ashuga, njira imodzi yolimbanirana ndi matendawa ndi kusintha matenda omwe amatchedwa "shuga akusala". Koma pakutsata kuwerenga kwa glucometer koyenera, zolakwika zambiri zitha kupangidwa, chifukwa cholinga cha mankhwalawo chiyenera kukhala cholondola, ndipo ndizowona makamaka kwa odwala matenda ashuga. Mankhwala atsopano ku French amaperekedwa kwa aliyense - kuchokera othamanga mpaka odwala matenda ashuga, koma ndi osathandiza kwa aliyense.
Kuti mumvetsetse omwe amafunikira, muyenera kudziwa mtundu wa mankhwala omwe ali ndi matenda ashuga ndi chifukwa cha zomwe amapanga. Mankhwalawa amachokera ku mankhwala a sulfanilurea, agwiritsidwa ntchito bwino padziko lonse lapansi kwanthawi yayitali.
Mu bokosi la makatoni, monga pachithunzichi, mutha kuwona miyala yoyera yoyera yokhala ndi zilembo zosindikizidwa "60" ndi "DIA" mbali iliyonse. Kuphatikiza pa gawo lalikulu la gliclazide, Diabeteson ilinso ndi zotuluka: maltodextrin, lactose monohydrate, magnesium stearate, silicon dioxide.
Diabeteson ndi dzina lazamalonda lapadziko lonse lapansi, wopanga ovomerezeka wa mankhwalawo ndi kampani ya ku France ya pharmacological ya ku France.
Wodziwika bwino dzina la mankhwala ndi glyclazide, wotchedwa wophatikiza.
Ndi gliclazide, ma analogi ambiri amitundu yosiyanasiyana amapangidwa, motero muchipatala amatha kupereka, malinga ndi njira yomwe amakonda, osati French Diabeteson, koma analogi ina yozikidwa pa gliclazide, pamtengo wotsika mtengo.
Kodi ndichifukwa ninji kuli ambiri odwala matenda ashuga ku India
Anthu ambiri ku India adayamba kudya zakudya zambiri kuposa momwe amafunikira ndipo samalabadira masewera olimbitsa thupi.
Akatswiri amati India idzayambitsa matenda akuluakulu a shuga padziko lonse lapansi. Chiwerengero cha amwenye achikulire omwe ali ndi matenda ashuga a II m'mizinda ikuluikulu kwambiri ndikupitiliza kuchuluka.
Anthu opitilira 1 biliyoni amakhala ku India. Gulu lowopsa limakhala ndi okalamba omwe ali ndi vuto la kuthamanga magazi komanso kuthamanga kwa mtima.
Pakadali pano, ambiri okhala mdzikoli atengera chikhalidwe cha Azungu, chomwe chimaphatikizapo kudya zamafuta, komanso kusiya nthawi yochepa yochita masewera olimbitsa thupi. Zonsezi zimabweretsa kunenepa kwambiri. Kunenepa kwambiri kumayambitsa vuto la matenda ashuga.
Dr. Vikram Sechaya, mkulu wa zamankhwala pachipatala cha Apollo ku Chennai, pamsonkhano wapachaka wa Indian Therapists Association: "Pofika 2005, anthu 30 miliyoni miliyoni omwe ali ndi matenda ashuga adzakhala ku India. Kuphatikiza apo, wodwala aliyense wachisanu amakhala ku India. "
Kuda nkhawa kumachitika chifukwa chakuti matenda ashuga ku India "akukula msanga" - amapezeka mwa achinyamata.
Kafukufuku woposa odwala 3,000 omwe ali ndi matenda ashuga, wochititsidwa ndi Diabetes Research Center ku Chennai, adawonetsa kuti odwala ambiri adapezeka kuti awonongeka ndi minyewa yawo yamanjenje, maso, ndi ziwonetsero zina pofika nthawi yomwe adapezeka.
Oposa atatu alionse odwala anali ndi kuthamanga kwa magazi, pomwe mtima wake unayamba kupezeka mu 11.4%.
Dr. Sechaya adauza a Reuters kuti: "Zipatala zathu sizingathe kusamalira odwala ambiri. Ku Chipatala cha Royapetta State ku Chennai, odwala omwe adwala matenda a shuga adakwera kuchoka pa 6,190 mu 1993 kufika pa 1,991 mu 1999. ”
“M'mbuyomu, anthu amadya zakudya zamafuta ochepa ndipo amasintha kwambiri. Tsopano India akuchulukirachulukira, "akutero Dr. Rekha Sharma, katswiri wa zaumoyo kuchokera ku imodzi mwa zipatala zaku Delhi.
Bungwe Loona za Umoyo Padziko Lonse posachedwapa linalengeza kuti matenda ashuga sawopsa ku India kuposa kusuta fodya ndi Edzi.
Matenda a shuga amapezeka pamene thupi la munthu silingatulutse insulin yokwanira, yomwe imayendetsa shuga.
Matenda a shuga a Type I nthawi zambiri amapezeka mwa achinyamata. Amayamba pamene maselo omwe amapanga insulin amawonongeka. Odwala otere amafunika jakisoni wa insulin tsiku lililonse komanso chakudya chamagulu.
Matenda a shuga a mtundu wachiwiri omwe amapezeka kawirikawiri amakula. Zimakhazikitsidwa chifukwa chakuti maselo amthupi samvera chidwi ndi malamulo a insulin. Izi, kuphatikiza ndi kuchepa kwa kuchuluka kwa insulin synthesis ambiri, zimayambitsanso kuwonjezeka kwa shuga m'magazi, omwe pamapeto pake amachititsa kuwonongeka kwa minofu.
Nthawi zina, vuto la matenda ashuga amtundu wa II litha kuthetsedwedwa mwakutsatira zakudya zolimbitsa thupi komanso kuchita masewera olimbitsa thupi. Komabe, nthawi zina, insulin yowonjezera ingafunike mwanjira ya mapiritsi kapena jakisoni.
Zambiri, ku US, m'modzi mwa anthu khumi ali ndi matenda ena a shuga.
Chifukwa chiyani anthu ambiri amatenga matenda ashuga
Matenda a shuga Ndiye matenda kagayidwe, yomwe imayamba chifukwa cha kusowa kwa insulin - mtheradi kapena wachibale (mochepa kwambiri wa timadzi iyi poyerekeza ndi zosowa). Ndi insulin yomwe imalola maselo kugwiritsa ntchito shuga monga gwero lamphamvu.
Ngati shuga sangalowe m'matumbo awo, ndiye kuti amayenderera m'magazi. Matendawa amatchedwa hyperglycemia. Ndi mawonekedwe a shuga.
Zizindikiro za matenda ashuga.
Pakadali pano, odwala matenda a shuga amakhala pafupifupi 8 peresenti ya anthu padziko lapansi. Kuchulukirachulukira kwawonjezereka kwa odwala omwe ali ndi matenda ashuga, komabe, azisintha m'malo onse padziko lapansi.
Kudumphadumpha kwakukulu kumalumikizidwa ndi kusintha kwa moyo ndi zakudya, komanso chodabwitsa cha anthu okalamba (kuchuluka kwakukulu kwa matenda ashuga a 2 ali ndi zaka 65). Akuyerekeza kuti kuchuluka kwa odwala matenda a shuga akuchulukirachulukira ku Asia, South America, ndi Africa.
Mtundu 1 wa matenda ashuga ndi matenda a shuga a 2
Pali mitundu iwiri yayikulu yamatendawa.Matenda a shuga a Type 1 ndi matenda a autoimmune momwe chitetezo cha mthupi chimawonongera maselo a pancreatic omwe amapanga insulin. Matenda a shuga a Type 1 amakula msanga komanso msanga (nthawi zambiri mpaka zaka 30). Anthu omwe amadwala matendawa amapanga pafupifupi 10 peresenti ya onse odwala matenda ashuga. Chiwerengero chawo chikukula pang'onopang'ono.
Koma mwachangu kwambiri anthu odwala matenda amtundu wa 2 (pafupifupi 90 peresenti ya odwala matenda ashuga) amafika, omwe ndi amodzi mwa matenda achitukuko. Pamtima wa mtundu 2 shuga onenepa kwambiri komanso kunenepa kwambiri (makamaka pamimba) ndi zovuta zokhudzana ndi metabolic. Mwanjira iyi ya shuga, kapamba amapanga insulini, koma kuchuluka kwake (ngakhale kuli kokulirapo) sikokwanira poyerekeza ndi zosowa, chifukwa maselo samvera kwenikweni zochita zake (izi zimatchedwa insulin kukana). Matendawa amakhudza kwambiri anthu atatha zaka 45 moyo. Amakula pang'onopang'ono, chifukwa nthawi yayitali sichimapereka zisonyezo.
Titha kupewa matenda ashuga amtundu wa 2, chifukwa kukula kwake kumalimbikitsidwa ndi zakudya zopatsa mphamvu kwambiri zopatsa mphamvu, kugwiritsa ntchito zakudya zophatikizidwa kwambiri komanso kuchita masewera olimbitsa thupi ochepa. Matenda a 2 a shuga akufalikira mwachangu m'maiko otukuka kwambiri kapena omwe akutukuka kumene. Osakhala kumadera osauka.
Matenda a shuga: ziopsezo! Izi zimaphatikizapo, koma osangokhala: zaka zapakati pa zaka 45, kunenepa kwambiri kapena kunenepa kwambiri, matenda ashuga makolo kapena abale, kusowa kochita masewera olimbitsa thupi, kutsimikizira matenda a prediabetes mu kafukufuku wapitawu, matenda a shuga gestational kapena kubadwa kwa mwana wolemera oposa 4 kg, matenda oopsa, Hyperlipidemia.
Matenda a shuga - matenda opatsirana
Matenda a shuga ndi matenda omwe samachiritsidwa osati ndi akatswiri a matenda ashuga okha, komanso ndi madotolo ena apadera: ophthalmologists, cardiologists, opaleshoni, nephrologists. Popeza zimayambitsa kusintha mu ziwiya zazing'ono komanso zazikulu, zomwe zimachitika ndi matenda a ziwalo zosiyanasiyana.
Mavuto a shuga ndi matenda ashuga retinopathy (amawononga retina), nephropathy (amatsogolera pakutha kwa impso), mitsempha (kuwonongeka kwa mitsempha), matenda a mtima, matenda amitsempha yam'mimba, sitiroko, komanso phazi la matenda ashuga.
Nthawi zambiri, zovuta za matenda ashuga zimakhudza mtima. Amayambitsa 2/3 yaimfa yomwe imakhudzana ndi matenda a shuga. Mdziko lililonse masekondi 6 aliwonse, wina amafa chifukwa cha zovuta za matenda. Chifukwa chake, nkhani yofunika ndikudziwunika koyambirira ndi chithandizo choyenera. Matenda a shuga amtundu 1 amadziwika msanga chifukwa cha kuyambitsa modzidzimutsa kwa zinthu zoopsa (mwachitsanzo, ludzu kwambiri, kukodza pafupipafupi, kuchepa thupi).
Ndipo mtundu wachiwiri wa matenda ashuga sikukutanthauza kukhalapo kwake kwa nthawi yayitali, nthawi zina umapezeka pambuyo pake. Mochulukitsa, wodwala matenda ashuga amaphunzira za matenda ake panthawi yomwe ali ndi vuto la mtima kapena sitiroko.
Mkhalidwe wa prediabetes! Awa ndi njira yochepetsera mphamvu ya thupi yokhoza kuyamwa glucose, ndi mtundu wa shuga 2 matenda a shuga (ziyenera kutsimikiziridwa kuti mawuwa sanavomerezedwe ndi World Health Organisation (WHO)). Chifukwa chake ngati boma la prediabetes siwofalikira kwathunthu, zimachitika choncho, wodwalayo, ndipo nthawi zina madokotala amanyoza mtengo wake. Pakadali pano, prediabetes imawoneka ngati chiwopsezo chachikulu chaumoyo, chomwe chimafuna chithandizo chosagwirizana ndi pharmacological (kusintha kwa moyo) ndi pharmacological (mwachitsanzo, kutenga metformin).
Chithandizo cha matenda a shuga - zakudya, kuyenda ndi mankhwala atsopano
Type 2 shuga, pomwepa vuto lalikulu, limayamba ndi kusintha kwa moyo. Ndikofunikira kuchepetsa zopatsa mphamvu zama calorie ndikuwonetsetsa moyenera malinga ndi chakudya, ndikofunikanso kuwonjezera zolimbitsa thupi kuti muchepetse thupi.Chifukwa ndi kilogalamu iliyonse yomwe timataya, timatsitsa shuga.
Komabe, zochita zotere nthawi zambiri sizikhala zokwanira, chifukwa chake, chithandizo cha matenda ashuga chimaphatikizapo kumwa mankhwala apakamwa. Ena amachulukitsa kumva kwa minyewa kupita ku insulin, ena amalimbikitsa kapamba kuti apange timadzi tambiri, ndipo ena amachepetsa kuyamwa kwa shuga m'matumbo. Pokhapokha kusintha kwamakhalidwe ndi njira zamkamwa zikalephera, chithandizo cha insulin chimaperekedwa.
Tiyenera kukumbukira kuti pambuyo poyambira chithandizo ndi timadzi timeneti, zimakhala zosatheka kuchepetsa thupi, chifukwa zimapangitsa chidwi cha kudya komanso zimawonjezera chiopsezo cha hypoglycemia ngati wodwala amadya pang'ono. Mphindi ya kayendetsedwe ka insulin, komabe, imatha kuchepetsedwa chifukwa cha mankhwala ampretin, omwe samangokhala ochepa shuga, komanso omwe amatsogolera kuchepetsa thupi.
Pendani magazi anu! Chitani izi zaka zitatu zilizonse ngati zotsatira zoyambilira zinali zolondola.
Agonists achindunji a GLP-1 ndi gulu limodzi la othandizira ma incretin. Amagwira ntchito ngati mahomoni achilengedwe GLP-1, omwe amapangidwa m'matumbo ndikuwonjezera kubisika kwa insulin ndi kapamba ndipo, nthawi yomweyo, amachepetsa chilakolako chofuna kudya. Amakhala ngati jakisoni. Gulu lachiwiri lili ndi mankhwala amkamwa omwe amalepheretsa kubisala kwa enzyme DPP-4, yomwe imawola mahomoni achilengedwe GLP-1. Amachita zochepa kuposa GLP-1 receptor agonists, komanso amachepetsa shuga ya magazi ndi thupi.
Akatswiri a matenda ashuga ali ndi gulu lina la mankhwala atsopano. Iwo ali onjezerani shuga kwamkodzo. Ndiwothandiza, mwachitsanzo, mwa odwala omwe, ngakhale akugwiritsa ntchito mankhwala ena, kuphatikiza ndi insulin, matenda a shuga amakhalabe osakhazikika. Angachedwetsenso kuyamba kwa mankhwala a insulin.
Insulin ikukula bwino
Kwa odwala omwe ali ndi matenda a shuga 1, insulin ndiye mankhwala abwino kwambiri chifukwa kapamba wawo samatulutsa timadzi timeneti. Wodwalayo amalandila insulin kapena ma syntulin a insulin. Chachiwiri, chifukwa cha kusintha kwa molekyu, zimatha kugwira ntchito mwachangu kwambiri kapena motalika kwambiri, zomwe zimapangitsa kuti moyo wa odwala azikhala wathanzi komanso kuti azilamulira bwino matenda ashuga.
Ma analogi othamanga kwambiri amatha kutumikiridwa musanadye, nthawi yakudya kapena itachoka, chifukwa amachita pambuyo pa mphindi 10-20. Ndiye kuti, amatsanzira "kumasulidwa" kwa insulin kuchokera ku kapamba ndi chakudya. Mankhwala omwe akhala akuchita kwa nthawi yayitali amayerekezera kubadwa kwa insulin ndi kapamba pafupi ndi wotchi. Mpaka posachedwa, ma analogu omwe amapezeka amangogwira ntchito kwa maola 24, koma mtundu watsopano wa insulin unaonekera, womwe umatengedwa kuchokera kuzinthu zazitali kwambiri.
Makampani opanga mankhwala samasungira ndalama pakufufuza mankhwala atsopano. Ntchito imapitilirabe pamankhwala omwe amadziwika kuti ndi a insulin, omwe, atamwetsa, amawayatsidwa pokhapokha shuga wambiri atapezeka m'magazi. Ngati kupindika kwake kuli kolondola, mamolekyulu a insulin yotere sangachite chilichonse.
Hypoglycemia wowopsa
Cholinga cha chithandizo cha matenda ashuga sikuti kupewa kwa hyperglycemia, chifukwa chake, kutsika kwa shuga m'magazi kumayendedwe olondola, komanso hypoglycemia (shuga yochepa).
Amadziwika m'magulu a shuga pansi pa 55 mg / dL (3.0 mmol / L). Hypoglycemia yowopsa imayambitsa maselo am'mitsempha mu ubongo omwe sangathe kugwira ntchito popanda glucose, ndipo amatha kupha.
Hypoglycemia imakhudzidwa makamaka ndi anthu omwe amathandizidwa ndi insulin.
Chithandizo cha matenda ashuga ku India.
India pang'onopang'ono ikukhala imodzi mwazikulu zadziko lapansi pochizira matenda a shuga. Izi ndichifukwa choti chaka chilichonse chiwerengero cha anthu odwala matenda ashuga mdziko muno chikukula mwachangu.
Malinga ndikuwonetseratu kwa Indian endocrinologists, kuchuluka kwa odwala matenda ashuga ku India kudzakhala pafupifupi anthu 57-58 miliyoni pofika chaka cha 2025.
Pakadali pano, anthu 30 miliyoni amakhala mdziko muno omwe ali ndi matenda a shuga.
Chifukwa cha kuchuluka kwa matendawa pakati pa anthu akumalondawa ku India, munthu akhoza kupeza mitundu yambiri ya insulini yomwe imapezeka popanda mankhwala a dokotala.
Njira zochizira komanso kupewa matenda ashuga ku India.
Akatswiri aku India amasiyanitsa mitundu ya matendawa. Kwa iwo, sikuti pali mtundu umodzi wokha wa 2 ndi shuga. Nthawi zambiri, njira yolankhulirana ndi wodwala aliyense imagwiritsidwa ntchito pochiza. Kodi munthu sangakumbukire bwanji mawu oti "Aliyense ali ndi matenda ake a shuga"?
Pankhaniyi, kwa wodwala aliyense, njira yothandizira payokha imapangidwa.
M'makliniki ena ku India, pochiza matenda awa, mankhwalawa amagwiritsidwa ntchito masiku onse. Amasinthidwa kwathunthu ndi njira monga mankhwala azitsamba, zakudya zoyenera, yoga, kusinkhasinkha, etc.
Kugwiritsa ntchito yogwiritsira ntchito yoga mankhwala a shuga ku India.
Luso lakaleli lapeza ntchito zochizira matenda osiyanasiyana. Anthu odwala matenda ashuga, nawonso, sanasiyidwe kumbuyo popanda chidwi. Pofuna kuthana ndi matendawa, madokotala aku India adazindikira zingapo zolimbitsa thupi zomwe odwala angagwiritse ntchito pazopepuka.
Masukulu a Yoga a shuga amalimbikitsa kagayidwe kachakudya njira, kulimbitsa chitetezo chokwanira, kusintha magwiridwe antchito a mtima.
Makalasi a yoga omwe ali ndi kukhazikika kwa kunenepa kwambiri komanso onenepa kwambiri. Ndi thandizo lawo, mphamvu ya kuwotcha minofu ya adipose imachulukitsidwa, chilakolako cha chakudya ndi kuchepa kwa chakudya, kuchepa kwa ntchito ya m'mimba ndimakonzedwe wamba.
Chimodzi mwazinthu zomwe zikuwonetsetsani kuti ndizofunikira kwambiri ndikuti makalasi a yoga ayenera kuchitidwa motsogozedwa ndi wophunzitsa odziwa bwino ntchito omwe angathandize kumaliza machitidwe onse molondola, kutchera khutu ku magulu osiyanasiyana ochita masewera olimbitsa thupi.
Pamodzi ndi yoga, pranayama imagwiritsidwa ntchito - masewera olimbitsa thupi, kugwiritsa ntchito komwe kwatsimikiziridwa ndi zaka zambiri zochita bwino.
Mankhwala ochokera ku India othana ndi matenda a shuga
Matenda a shuga ndi limodzi mwa matenda ofala kwambiri padziko lonse lapansi.
India sanadutse vutoli, momwe kuchuluka kwa odwala matenda ashuga akupitilira mamiliyoni 30, malinga ndi ziwerengero zamankhwala.
Chifukwa chake, mankhwala a shuga a ku India adapangidwa bwino, m'njira zambiri zosiyana ndi zikhulupiriro zovomerezeka.
Zachipatala zaku India
Mankhwala achikhalidwe sanapereke njira zatsopano zolimbana ndi matenda ashuga kwa nthawi yayitali - jakisoni wa insulin wa mankhwala 1 komanso mankhwala ochepetsa shuga wachiwiri. Ndikosatheka kuti mupite patsogolo pochotsa matendawa, ndizotheka kukwanitsa kukhazikika kwa vuto la wodwalayo, ndiye kuti, kusunga glycemia m'malo ovomerezeka ndikumapumira zizindikiro.
Chithandizo cha anthu odwala matenda ashuga ku India chimachitika mosiyanasiyana: matendawa amagawidwa m'mitundu ingapo, cholinga chake sikungokhudza mankhwalawa. Choyamba, ziyenera kunenedwa za mabungwe azachipatala omwe adapangidwa mwachindunji kuti athane ndi matenda. Pulogalamu ya shuga imathandizidwa ndi boma.
Network ya FortisHealthcare yachipatala imakhala yotchuka chifukwa cha ogwira ntchito ambiri komanso njira yokwanira yothetsera vutoli. Zoyenera kulandira odwala ndizovomerezeka: mayadi apamwamba ndi chisamaliro chokhazikika. Kulandila kwa nzika zakunja kwa zaka zambiri kumakhala ntchito yapadera.
Zipatala zina zodziwika bwino zimaphatikizapo izi:
- Chipatala cha Chipatala,
- Wockhardt - chipatala,
- Chipatala cha BLK.
Magulu omwe atchulidwa adalumikizidwa ndi njira yodziwira wodwala aliyense. Chithandizo cha mankhwalawa chimapangidwa pokhapokha ngati mayeso awunika bwino. Omaliza pamndandanda amadziwika kuti ndi njira yosankhira bajeti.
Njira Yoyang'anira matenda a shuga ku India
Mankhwala padziko lonse lapansi amazindikira mitundu iwiri ya shuga, koma amakhulupirira ambiri kuti pali mitundu itatu ya shuga. Mankhwala a shuga ku India sagawidwa malinga ndi gulu lino - mdziko muno ndilake, momwemonso mankhwalawa.
Ubwino wawo wosasinthika ukuphatikizapo:
Shuga wamagazi nthawi zonse amakhala 3,8 mmol / L
Momwe mungasungire shuga kukhala wabwinobwino mu 2019
- chitetezo - ambiri a iwo ndi achilengedwe, matupi awo savuta kuzizindikira,
- Zotsatira zoyipa zochepa: njira yachikhalidwe yamankhwala imakhudza thanzi lathunthu,
- umgangatho wotsimikizika - Zipatala zaku India zimalandira alendo masauzande akunja chaka chilichonse,
- mtengo wotsika kwambiri, mitundu yambiri ya insulin.
Mankhwala a Ayurvedic a matenda ashuga adatengedwa ngati njira yayikulu ku India.
Kugwiritsa ntchito kwawo ndi lingaliro lathunthu kutengera malingaliro a kupezeka kwa matenda ashuga: matendawa amawonekera chifukwa cha ludzu mopambanitsa ndi zikhumbo za munthu.
Chifukwa chake, mankhwalawa pano akuwoneka ngati achilendo kwa munthu waku Europe: mmalo motenga mwachangu kusankha mndandanda wazitali wa mankhwala ndi insulin, amapanga mankhwala omwe, poyang'ana koyamba, amawoneka ngati osathandiza.
Madera akuluakulu a chithandizo: achire olimbitsa ndi yoga, mankhwala azitsamba ndi Ayurveda.
Amadziwika kuti kupsinjika kwa thupi kumapangidwira kwa odwala matenda ashuga. Koma zolimbitsa thupi zolimbitsa thupi zimasintha mkhalidwe wa wodwalayo, kuwonetsa zotsatira zabwino ndi kubwezera. Sikugwiritsidwa ntchito ngati othandizira pofalitsa mankhwala a shuga a ku India, komanso ngati chida chodziyimira pawokha.
Chowonadi ndi chakuti masewera olimbitsa thupi amakhudza kagayidwe, glucose amawonongeka mofulumira. Kuchita minofu kumayenda bwino, makoma olimbitsa amalimbitsa. Mwambiri, izi zimabweretsa kupititsa patsogolo njira zakukonzanso m'thupi.
Kuwotcha muntchito ya adipose minofu, yomwe imachitika pang'onopang'ono, kumachepetsa kupanga mafuta m'thupi ndi kufunika kwa chakudya chophweka, chomwe chimatsutsana kwambiri ndi matenda a shuga.
Mkhalidwe wofunikira kuti muphunzitse bwino. Yoga amaonedwa kuti ndi luso lovuta, motero kusankha masewera olimbitsa thupi kumathandizira. Pamodzi ndi iwo, muyenera kutsatira zakudya zamatumbo ambiri, kupatula mowa ku zakudya.
Kuphatikiza kwa asanas - chachikulu chomwe chimayambitsa yoga, muyenera kuchita pranaymas - masewera olimbitsa thupi omwe amakula, osamvetseka mokwanira, minyewa ya m'chiuno. Kusunga kwambiri malamulo ophedwa ndikofunikira, apo ayi muvulaza thupi.
Ngati chilichonse chikuchitika molondola, shuga amatha kutsika, komanso kufunika kwa mankhwala. Muyenera kuphunzira yoga, chifukwa muyenera kuyeseza kuti mulimbikitse zotsatira zabwino pamoyo wanu wonse. Tisaiwale za contraindication, pomwe ambiri amagwirizana ndi matenda a mtima.
Chithandizo cha mankhwala
Pankhani ya matenda a shuga, malingaliro achangu okhudzana ndi mankhwala omwe ali ndi chidwi amapezeka pafupipafupi. Tsoka ilo, ambiri a iwo ndi chifukwa cha kampeni yotsatsa kapena kusakwanira kwa ogula.
Palibe panacea ya matenda ashuga masiku ano, koma mankhwalawa aku India amawonetsa zotsatira zabwino pa matenda ashuga, mtundu 2 makamaka.
Ndikofunikira kuti mdziko muno zipangidwe zosavuta zotsika mtengo zamankhwala aku Europe zomwe zimakulitsa kwambiri gulu la odwala omwe amalandila chithandizo choyenera.
Iwo omwe adapita kuzachipatala zaku India amalankhula zothandiza: kuchuluka kwa shuga m'magazi kukuyandikira, zizindikilo zimatha kuwongoleredwa (ndi matenda ashuga, zimasokoneza moyo kwambiri). Chowonadi chofunikira: ambiri amadziwa kuti othandizira amagwira ntchito osati motsutsana ndi zomwe zimayambitsa matendawa, komanso amayesa kupeza zomwe zimayambitsa - ku India njira yake ndi yosiyana ndi yachikhalidwe.
Matenda a shuga amtundu woyamba amakhala ovuta kwambiri: magwero ake amakhala ozama kuposa kunenepa kwambiri komanso kupsinjika. Imadziwoneka yokha nthawi zambiri ubwana kapena ukalamba, mwachitsanzo, nthawi izi thupi lathu limakonda mankhwala.Chifukwa chake, pa chithandizo cha mtundu woyamba, muyenera kuyesa kupeza akatswiri abwino, osati kugula mankhwala aku India a matenda ashuga nokha.
Ndemanga zambiri ndizabwino, pali zotsatira zabwino za mankhwala azitsamba ndi ku India. Komabe, pali ena omwe njira zachimwenye sizinasangalatse. Amadandaula za ndalama zomwe zimagwiritsidwa ntchito ndipo amachitcha kuti "kupumula." Pakhoza kukhala zifukwa zingapo: njira yosasamala kwa kasitomala kapena kutsatira molondola malangizo a akatswiri.
Mankhwala aku India a matenda amtundu wa 2 ayamba kutchuka pakati pa odwala aku Russia chifukwa chotetezeka komanso kugwira bwino ntchito kwawo.
Izi zimachitika chifukwa chosakhutira ndi mankhwala achilengedwe, omwe chithandizo cha mankhwala sichimabweretsa zotsatira zabwino.
Koma simukuyenera kuyembekezera kuchiritsidwa kwathunthu kuchokera ku "zozizwitsa zakunja" - matenda ashuga akadali matenda wamba, okhala m'gulu lotsogola ku India.
Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.
Lyudmila Antonova mu Disembala 2018 adafotokoza mwatsatanetsatane za chithandizo cha matenda ashuga. Werengani kwathunthu
Kodi nkhaniyo inali yothandiza?
Kugwiritsa ntchito momordiki harania pochiza matenda ashuga
Matenda a shuga ndi matenda omwe amasokoneza shuga achilengedwe. Popanda kuwongolera moyenera, izi zimatha kubweretsa zotsatirapo zoopsa. Asayansi akukhulupirira kuti Momordica Charentia angathandize kulimbana ndi matenda ashuga.
Momordica harania, yomwe imatchedwanso nkhaka zowawa, vwende zowawa, nkhaka ku India, ndizopanga pachaka kuchokera ku banja la dzungu, zomwe zimakhala ndi zinthu zambiri zofunikira komanso mavitamini. Pansipa timakambirana zambiri mwatsatanetsatane.
Ziwalo za anthu odwala matenda ashuga sizipanga insulini yokwanira kapena sangathe kugwiritsa ntchito bwino insulin, zomwe zimapangitsa kuti shuga azikhala ndi magazi ambiri. Insulin ndiyofunikira kuti maselo azigwiritsa ntchito mphamvu.
Kudya bwino komanso kuchita masewera olimbitsa thupi ndikofunikira kwa anthu odwala matenda ashuga kuwathandiza kuthana ndi mavuto awo. Zakudya zina zimatha kukweza shuga m'magazi, zomwe zimatha kubweretsa mavuto.
Munkhaniyi, tiona ngati momordica harania ndi yopindulitsa kwa anthu omwe akufuna kuthana ndi matenda ashuga. Monga gawo la kusanthula uku, tikupenda zotsatira za vwende owawa pa shuga la magazi.
Phokoso losiyanasiyana la mankhwala a shuga
Mtundu woyamba wa matenda ashuga, shuga wambiri ndimomwe thupi limapangira insulin yokwanira.
Matenda a 2 a shuga amapezeka pamene thupi silikuyankha bwino insulin. Matenda a shuga a Mtundu Wachiwiri ndi mtundu wofala kwambiri wa anthu odwala matenda ashuga, ndipo anthu azaka zilizonse amatha kuupeza.
Anthu ambiri omwe ali ndi matenda ashuga amayendetsa bwino matenda awo ndipo samakumana ndi mavuto ena azaumoyo. Mankhwala angapo komanso kusintha kwa njira zina zitha kuthandiza anthu omwe ali ndi matenda ashuga kukhala athanzi.
Komabe, mankhwala othandizira amatha kukhala ndi mavuto ambiri. Chifukwa chake, anthu ena amayesa kuyesa mankhwala achilengedwe ndi njira zina zochiritsira zomwe sizikhala ndi zotsatirapo zake. Kuti mupange chisankho chamankhwala othandizira odwala matenda ashuga kunyumba, ndikofunikira kumvetsetsa momwe zimagwirira ntchito zina.
Chithandizo chimodzi mwachilengedwe choterechi ndi nkhaka ku India. Ngakhale kuti pakufunikira kufufuza zochulukirapo kuti atsimikizire zolondola, zikuwonekeratu kale kuti nkhaka za ku India zimatha kusinthasintha shuga.
Kodi nkhaka ya India (momordica harania) ndi chiyani?
Momordica harania amatchedwa ndi mayina osiyanasiyana, malo a malo. Anthu padziko lonse lapansi akhala akugwiritsa ntchito imeneyi ngati chakudya ndi mankhwala kwa zaka zambiri. Ku Russia ndi mayiko a CIS amatchedwa momordica, nkhaka yaku India, vwende owawa, nkhaka zowawa.
Momordica Charentia amakula m'malo otentha komanso otentha ndipo amakula mu:
- Wa asia
- South America
- Zilumba za ku Caribbean
- Magawo a Africa
Ku Russia ndi Ukraine, mbewuyi ndi yatsopano kwambiri ndipo yawoneka posachedwa. Nthawi zambiri mumatha kuwona momwe agogo amagulitsa ku Crimea. Momordica imatha kumera mu Krasnodar Territory ndi Caucasus. Olima minda ambiri amalima ku Russia ndi ku Ukraine komwe kumatentha. Ambiri amalima nkhaka za ku India kunyumba kapena m'nyumba zosanja.
Indian nkhaka (Momordica Charentia)
Kwa zaka zambiri, nkhaka ku India yakhala ikugwiritsidwa ntchito pochiza:
- Colic
- Thupi
- Kuwotcha
- Chifuwa
- Matenda achikopa
- Zothandiza pakubala
M'madera ena ku Asia ndi Africa, amagwiritsidwa ntchito pochiza matenda a nthomba ndi chikuku. Ndipo ofufuza ku Yunivesite ya St. Louis adapeza ngakhale umboni kuti mavwende owawa amatha kuletsa kukula kwa maselo a khansa ya m'mawere.
Zotsatira za momordic pa shuga
Ofufuzawo amakhulupirira kuti nkhaka yowawa imakhala ndi zinthu zomwe zimayambitsa kutsika kwa shuga m'magazi ndipo imaletsa kulakalaka. Chifukwa chake, limakhalanso chimodzimodzi ndi insulin.
Kafukufuku wina yemwe adalembedwa m'magazini yotchedwa Ethnopharmacology adapeza kuti kudya magalamu awiri okha a nkhaka ku India patsiku amachepetsa shuga wamagazi kwambiri mwa anthu omwe ali ndi matenda a shuga a 2. Zotsatira zake zinali zochepa kuposa kumwa gramu imodzi ya metformin, yomwe ndi mankhwala omwe nthawi zambiri amalembedwa kuti azilamulira shuga.
Zotsatira za momordic pa hemoglobin A1c
Kafukufuku wina wofuna kudziwa ngati anthu omwe ali ndi matenda ashuga amatha kutenga mankhwala a momordic kuti athe kutsitsa hemoglobin A1c.
Miyezo ya A1c ndi shuga wamagazi ambiri kwa miyezi 2-3. Kafukufukuyu anapeza kuti nkhaka yowawa ikhoza kutsitsa ma A1c ndi 1 peresenti mkati mwa miyezi itatu iyi.
Phunziroli linakhudza magulu awiri a anthu:
- Anthu apezeka posachedwapa ndi matenda ashuga amtundu 2
- Anthu ochepa a glucose okhala ndi milingo ya A1c pakati pa 7 ndi 9 peresenti
Ophunzira adalangizidwa kuti atenge makapu awiri okhala ndi chordord momordica katatu patsiku.
Zotsatira za kafukufuku yemwe adafalitsidwa mu Journal of Clinical Epidemiology zidawonetsa kuchepa kwa A1c osachepera 0.25% pagulu lofufuzira. Gulu la placebo silinasinthe. Olembawo adawona kuti kukula kwa kafukufukuyo kunali kochepa kwambiri, koma kuwonetsa kuthekera kwa maphunziro akulu.
Kuyerekeza kwa Indian Cucumber Chithandizo ndi Palibe Matenda A shuga
Mu lipoti la 2014, Nutrition andabetes, kafukufuku anayi adawunikiridwa omwe anayerekeza chithandizo pogwiritsa ntchito zowawa zomwe zili ndi nkhaka ku India komanso kusapezeka kwa chithandizo cha matenda ashuga konse.
Anamaliza maphunziro ambiri olamulira glycemic. Amakhulupirira kuti kukula kwakukulirapo kwa zitsanzo kumatha kudziwa mphamvu ya momordic monga chithandizo chowonjezera cha matenda ashuga.
Kafukufuku wina pazotsatira za nkhaka ku India pa matenda ashuga
Ripoti la 2016 lomwe lidasindikizidwa mu Current Pharmacology Reports lidawunikanso kafukufuku wambiri wokhudzana ndi momordica, kuphatikizapo zotsatira zake pa matenda ashuga.
Adapezanso kuti izi zitha kuthandiza kuchepetsa mavuto omwe amabwera chifukwa cha matenda ashuga, koma anaganiza kuti kufufuza kwina kuyenera kubwera pamalingaliro ena owona.
Zingati kudya
Aliyense amene angaganize kumwa vwende wowawa limodzi ndi mankhwala a shuga sayenera kupitirira:
Madzi - mamililita 50-100 patsiku.
Mwanjira ya zipatso - vwende imodzi yaying'ono yowawa patsiku
Zowonjezera ndi ufa zimayenera kutengedwa mogwirizana ndi malangizo omwe ali phukusi. Anthu akuyenera kufunsa madotolo awo kuti awonetsetse kuti ndi bwino kuphatikiza zowonjezera pazakudya zawo. Izi ndichifukwa choti zowonjezera zimatha kuthana ndi matenda a shuga.
Zowopsa za kumwa nkhaka ku India
Kudya kwambiri nkhaka ku India kungayambitse mavuto am'mimba, kuphatikizapo m'mimba. Chinanso chomwe chingadzetse mavuto ndi shuga wamagazi ochepa.
Ana sayenera kumwa vwende yowawa, monga amadziwika kuti amayambitsa kusanza ndi kutsekula m'mimba. Amayi oyembekezera sayenera kudya mavwende owawa mwa mtundu uliwonse chifukwa umalumikizidwa ndi magazi, kupsinjika komanso kupweteka kwamimba.
Momordica harania nthawi zambiri imakhala yotetezeka kwa achikulire ambiri. Komabe, monga kunanenedwa ndi International Journal of Environmental and Public Health Research, zotheka zomwe zimachitika pakadutsa nthawi yayitali sizinaphunzire.
Ngakhale pali zopindulitsa zina, palibe mayeso akhungu kawiri, oyesedwa ndi placebo (mayeso oyeserera golide) omwe atsimikizira kuchita bwino kapena chitetezo mwa anthu onse omwe ali ndi matenda ashuga. Anthu omwe ali ndi matenda ashuga ayenera kugwiritsa ntchito nkhaka zowawa chifukwa cha chiopsezo cha hypoglycemia.
Anthu omwe ali ndi matenda ashuga omwe akufuna kuphatikiza nkhaka zowawa pamakonzedwe awo othandizira ayenera kufunsa madokotala. Ayenera kuyang'anitsitsa kuchuluka kwa shuga m'magazi chifukwa momordica amatha kulumikizana ndi mankhwala a shuga omwe amatha kuchepetsa shuga ya magazi kukhala oopsa.
Komabe, ndikafukufuku wambiri, nkhaka za ku India zitha kukhala chithandizo chamankhwala odwala matenda ashuga.
Nkhaniyi imagwiritsa ntchito zinthu kuchokera ku magazini ya Medical News Today.
Chithandizo cha matenda a shuga a Ayurveda
Ku Ayurveda, matenda omwe mkodzo umasinthika umatchedwa pramehasu, ndipo matenda a shuga amagwiranso ntchito. Pali mitundu 20 yamatenda opweteka kwambiri, mwa omwe mumakhala matenda omwe amaphatikizana ndi doshas iliyonse.
Mitundu 10 ya prahmeha (shuga) chifukwa cha kuperewera kwa kapha dosha imatha kupezeka mosavuta, mitundu 6 chifukwa cha kusowa kwa pitta dosha ndizovuta kuchiza, ndipo mitundu inayi yomwe imayambitsidwa chifukwa cha kusalinganika kwa vata dosha ndiosachiritsika, koma chithandizo cha Ayurvedic chimachepetsa zizindikiro za matendawa.
Matenda a shuga (madhumeha, shuga mellitus) ndiye mtundu wovuta kwambiri wa prameha. Mitundu yonse ya matenda ashuga, chithandizo chomwe sichinayambike panthawi, pang'onopang'ono chimasanduka shuga, chomwe chimakhala chovuta kuchiza ndikupangitsa zovuta zingapo.
Zoyambitsa matenda a shuga
Maphunziro awiri a shuga mellitus amadziwika mu Sushruta-samhita: chosinthika chibadwa (chosachiritsika chifukwa cha chilema mu zida zamatumbo zomwe zidayambika nthawi ya kutenga pakati) komanso chifukwa cha zovuta za kudya.
Sushruta akuwonetsa kuti makolo omwe ali ndi matenda ashuga sakhala nthawi zonse, koma nthawi zambiri amapatsira ana awo shuga. Amalemba kuti wodwala wodwala matenda osachiritsika amakhala ndi thupi loonda koma lopanda matenda, amadya pang'ono, nthawi zambiri amakhala ndi ludzu komanso kuda nkhawa - Zizindikiro zake mtundu 1 shugachifukwa chosowa insulini.
Odwala mtundu 2 shuga, malinga ndi Sushruta, nthawi zambiri amakhala onenepa komanso owopsa. Matenda a shuga a Type 2, limodzi ndi gout ndi kunenepa kwambiri, ali m'gulu la "matenda olemera" omwe amapezeka mwa anthu omwe ali ndi "zinthu zambiri": chakudya chochuluka, nthawi yambiri, zinthu zochuluka.
Amakhulupirira kuti zomwe zimayambitsa matenda ashuga awa (omwe tsopano ndi mtundu wa shuga wachiwiri), osagwirizana ndi kupanga insulin) ndizakudya zoperewera komanso kudya kwambiri, makamaka kuzizira, mafuta, shuga komanso zamafuta (shuga owonjezera, maswiti, mkaka, mowa, mafuta ndi mkate), zomwe zimabweretsa kuwonjezereka kwa kapha, komanso moyo wokhazikika (kutsanulira, makamaka masana, kusowa masewera olimbitsa thupi, ulesi), kupsinjika ndi nkhawa.
Mwathupi, matenda ashuga ndimatenda a kukhumba ndi ludzu, kusakhutira ndi moyo.
Zomwe zimadziwika kuchokera ku mbiri ya chisamaliro cha matenda ashuga
Ngati tirikunena za njira yeniyeni yothandizira matenda a shuga ku India yomwe amadziwika nayo, ndiye kuti choyamba tiyenera kunena za mbiri yakale yomwe imakhudzana ndi kusintha kwamankhwala amatenda. Tingoyerekeza kuti zadziwika kuti matchulidwe oyamba a matendawa adapezeka m'mipukutu yakale yomwe idasungidwa m'dera lamakono, India, Egypt. Chifukwa chake, chithandizo cha matenda mdziko muno chimangotengera zaka zambiri zokumana nazo komanso kafukufuku wambiri yemwe wachitika pano mobwerezabwereza.
Chidziwitso choyamba chazachipatala chotchedwa "matenda ashuga" kuyambira zaka za zana lachiwiri BC Adadziwika ndi madokotala monga Charaku ndi Sushrut. Ndipo kale m'zaka za zana lachinayi ndi lachisanu AD, zinali zotheka kudziwa kuti pali mitundu ingapo ya matendawa. Mtundu woyamba wa matenda a shuga unkachitika chifukwa cha matenda omwe akukhudzana ndi zaka za wodwalayo, ndipo mtundu wachiwiri umakumana ndi mavuto onenepa kwambiri.
Koma machiritso oyamba a matenda amtunduwu omwe tsopano akutchedwa kuti anapangidwa m'zaka za makumi awiri ndi asayansi otchuka aku Canada. Ndiwo omwe adatha kudzipatula ndikuyeretsa insulini, yomwe ndi yotchuka kwambiri tsopano.
Ndikofunikanso kudziwa kuti mahomoni, omwe amakhala ndi nthawi yayitali pochita, adapezeka zaka makumi asanu ndi atatu zapitazo, komanso makamaka mu 1940.
Njira zomwe zimagwiritsidwa ntchito pochiza matenda ashuga kuzipatala ku India
Njira zamakono zochizira matenda ashuga ku India, njira zachikhalidwe komanso zachikhalidwe zomwe zimadziwika.
Kuphatikiza apo, njira iyi yothetsera matenda amtunduwu imayendetsedwa ndi boma.
Pali magulu ambiri azachipatala omwe amagwiritsa ntchito njira zoterezi pochiritsa. Tinene kuti otchuka kwambiri pakati pawo ndi:
- Care Medical Network
- Chipatala cha Wockhardt,
- ndi Chipatala cha Fortis.
Ndikofunikira kudziwa kuti awa ndi mabungwe otchuka kwambiri. Mwambiri, mndandandandawu uli ndi zipatala ndi zipatala zambiri zomwe zimagwira ntchito yochizira matenda ngati amenewa. Kuphatikiza apo, pogwiritsira ntchito njira zomwe amagwiritsa ntchito sikuti amangozidziwa aliyense, komanso njira zomwe aliyense amaiwala kale, koma sasiya kutchuka pamenepa.
Choyambirira chachikulu cha makhazikitsidwe azachipatala m'makliniki oterowo ndi:
Komanso, awa ndi njira zofunika kwambiri. Pali njira zina zambiri zomwe zawonetsanso luso lawo lapamwamba.
Zikuwonekeratu kuti kwa okhala kumbuyo kwa Soviet Union, njira yodalirika ngati imeneyi siidziwika bwino.
Ichi ndichifukwa chake anthu ochulukirapo akusankha zipatala zaku India zochizira matendawa.
Kugwiritsa ntchito mankhwala azitsamba ndi yoga pochiza matenda a shuga ku India
Chithandizo cha matenda ashuga m'makiriniki ku India zimatengera njira yomwe munthu angapangire wodwala aliyense payekhapayekha. Popanga chithandizo chamankhwala chotere, madokotala azachipatala zaku India amagwiritsa ntchito kwambiri mankhwala azitsamba ndi masewera apadera a yoga.
Mankhwala azitsamba amagwiritsidwa ntchito ngati chida chowonjezerapo pothana ndi chiwonetsero cha matenda a shuga a mitundu yoyamba ndi yachiwiri.
Pozindikira matendawa kale, kugwiritsa ntchito mankhwala azitsamba komanso kuchita masewera olimbitsa thupi pophatikiza ndi zakudya zomwe zimadya kungathandize kusintha mkhalidwe wa wodwalayo osagwiritsa ntchito mankhwala opangira.
Popanga njira yothandizira madokotala, zingagwiritse ntchito mitundu 200 ya mbewu zomwe zimakhala ndi zinthu zomwe zimatha kuchepetsa shuga mthupi la wodwalayo.
Zomera izi kapangidwe kake zimakhala ndi zinthu zofunikira zambiri monga:
Kuphatikiza pa zitsamba, ma phytotherapists a zipatala zaku India amagwiritsa ntchito uchi, khungwa la mitengo yamitengo, mbewu za mbewu, ndi zina zina pothandizira matenda a shuga.
Tiyenera kukumbukiridwa mukamagwiritsa ntchito njira za phytotherapeutic zomwe phytotherapy yokha singathe kuchiritsa munthu matenda, koma kugwiritsa ntchito kwake limodzi ndi njira zina kumakuthandizani kuti musinthe momwe wodwalayo alili.
Nthawi zambiri, njira yochizira ndi mankhwala azitsamba imatha milungu iwiri mpaka miyezi isanu ndi umodzi. Pogwiritsa ntchito njira zazitali za phytotherapeutic, nthawi yopuma imapangidwa pakati pa maphunziro azachipatala kapena njira ya chithandizo imasinthidwa.
Kugwiritsa ntchito yogwiritsira ntchito yoga pochiza matenda a shuga
Chifukwa chaichi, masewera apadera opangidwa ndi akatswiri omwe amagwiritsa ntchito masewera olimbitsa thupi amagwiritsidwa ntchito. Kugwiritsira ntchito mankhwala olimbitsa thupi a shuga mellitus nthawi zina kumathandizira kuchepetsa kwakukulu kwa kuchuluka kwa mankhwala omwe wodwala amatenga kuti achepetse kuchuluka kwa shuga mthupi.
Njira Zamakono Zakuwongolera A shuga ku India
Monga tafotokozera pamwambapa, asayansi nthawi zambiri amachita kafukufuku watsopano, momwe amayesera kudziwa momwe angathanirane ndi matendawa. Mwachitsanzo, zaka zinayi zokha zapitazo, kampani yotchuka ya Zydus Cadilla idamaliza kupanga njira yatsopano yamankhwala, yomwe imathandizira kuwongolera cholesterol ndi shuga m'magazi a wodwala. Ndikofunikira kumvetsetsa kuti chitukukochi chinatenga zaka khumi ndipo ndalama zoposa mamiliyoni asanu a ku America zidagwiritsidwa ntchito pa icho.
Ndikufuna kudziwa kuti chinthu choyamba pamene wodwala apita kuchipatala chilichonse chaku India, amamufufuza mosamala. Ndipo njira zochizira iye zimapangidwira payekhapayekha. Izi zikusonyeza kuti mabungwe azachipatalawa amapereka njira kwa kasitomala aliyense payekhapayekha ndipo amawathandiza odwala awo pokhapokha atazindikira kuti alipo.
Ponena za kudzizindikiritsa komwe, ndizoyambirira kudziwa kutengera zomwe zimachitika. Pachifukwa ichi, pulogalamu yapadera imagwiritsidwa ntchito yomwe imayang'anira ndi kudziwa zofunikira.
Ndipo kale pambuyo pazotsatira zomwe zapezeka, zomwe zikuwonetsedwa pamwambapa, madokotala amayamba kupanga njira yotsatira yamankhwala. Kuchiritsa mosalephera kumaphatikiza kuyeretsa kwa thupi ndi zoopsa komanso poizoni. Ndikofunikanso kubwezeretsanso zinthu zonse zofunika mthupi la wodwalayo.
Madokotala aku India amakhulupirira kuti ndikofunikira kwambiri kukhazikitsa momwe zimayambira komanso zomwe zimayambitsa matenda ashuga mwa akulu, komanso kumvetsetsa momwe zimalumikizirana ndi ziwalo zina zamkati komanso machitidwe ofunikira a moyo m'thupi la wodwalayo.
Kukula kwina kwa mankhwala ku India ndi chifukwa choti posachedwapa chiwerengero cha milandu mdziko muno chakwera kwambiri. Chifukwa chake, madotolo adazindikira kuti ndikofunikira kupanga gawo ili lamankhwala ndikupatsa odwala awo omasuka. Tsiku lililonse, odwala opitilira mamiliyoni makumi atatu amalandila chithandizo mdziko muno, chifukwa palibe amene amakayika za kuchuluka kwa madotolo am'deralo.
Momwe mungapewerere zovuta za matenda a shuga zafotokozedwera mu kanema munkhaniyi.
Diabeteson analogues
Alumali moyo wa mankhwala ndi 2 zaka, mtsogolo siabwino mankhwala ndipo ayenera kutaya. Zofunikira zapadera pakasungidwe kake sizofunikira.
M'malo mwa mankhwala a Diabeteson, omwe mtengo wake umachokera ku ruble 260-320, mankhwala amatha kuperekera:
- Diabefarm, RF,
- Gliclad, Slovenia,
- Glidiab RF,
- Diabinax, India,
- Gliclazide, RF,
- Predian, Yugoslavia,
- Diatika, India,
- Glisid, India
- Glucostabil, RF,
- Glioral, Yugoslavia,
- Reklid, India.
Kuphatikiza pa mankhwalawa, Server amapanganso diabeteson MV.Mankhwala ena onse ndi opanga majini, opanga sanawapange, koma adangopeza ufulu kuti amasulidwe, ndipo umboni wonsewo umangogwiritsa ntchito mankhwala oyamba okha a Diabetes.
Mitundu yamagetsi imasiyanitsidwa ndi mtundu wa wobisikirapo, nthawi zina izi zimakhudza kwambiri phindu la mankhwalawa. Mtundu wopanga bajeti kwambiri wa analogue ndi mizu ya India ndi China. Mwa zida zapakhomo zomwe zimagonjetsa bwino malonda a Dialogon, amalemekezedwa ndi Glibiab ndi Gliklazid-Akos.
Momwe mungasinthire shuga
Ngati palibe njira yoyenera pakati pa mayendedwe omwe mungatchule, mutha kusankha:
- Mankhwala ena ochokera ku kalasi yokonzekera sulfonylurea monga glibenclamide, glycidone, glimepiride,
- Mankhwala a gulu lina, koma pogwiritsa ntchito njira yofananira, monga chizolowezi chatsopano kuchokera pagulu ladongo,
- Chida chokhala ndi zotsatira zofananira monga DPP-4 zoletsa - Januvia, Galvus, etc.
Pazifukwa ziti zomwe sizingakhale zofunikira kusankha zina, ndi akatswiri okhanso omwe angasinthe dongosolo la mankhwalawo. Kudzifufuza komanso kudzidziwitsa za matenda ashuga kumatha kuvulaza!
Maninil kapena Diabeteson - ndibwino bwanji?
Njira zosiyana zopewera matenda ashuga a 2 zimayambitsa chiopsezo cha zovuta zakupha m'njira zosiyanasiyana. Glibenclamide - chinthu chogwira ntchito ku Maninil ndichoposa kwambiri gliclazide - chopangira chachikulu mu Diabeteson. Ngakhale izi zingakhale zopindulitsa mungazipeze ndemanga za akatswiri omwe amasanthula mafunso okhudzana ndi matenda ashuga komanso kuwunika pamabwalo.
Momwe mungagwiritsire ntchito - malangizo
Mankhwala osavuta a Diabeteson MV, omwe amapangidwa pamaziko a hydrophilic matrix, amasiyanitsa kutulutsa kwazomwe zimagwira. Kwa analogue wamba, nthawi yovomerezeka ya glycoside sichidutsa maola 2 - 3.
Mutatha kugwiritsa ntchito Diabeteson MV, gliclazide imatulutsidwa momwe mungathere pakudya, ndipo nthawi yonseyo, kuchuluka kwa glycemic kumayendetsedwa ndikutulutsa microdoses m'magazi masana.
Analogue yosavuta imapangidwa ndi mlingo wa 80 mg, ndi mphamvu yayitali - 30 ndi 60 mg.Njira yapadera ya Diabeteson MV inathandizira kuchepetsa mlingo wa mankhwalawa, chifukwa chaichi chitha kugwiritsidwa ntchito 1 nthawi / tsiku lokha. Masiku ano, madokotala samakonda kusankha mankhwala osavuta, koma amapezekabe m'mafakisi.
Madokotala amalimbikitsa m'badwo watsopano wamankhwala omwe ali ndi mphamvu yayitali, popeza umakhala wofewa kuposa mankhwala ena a sulfonylurea, chiopsezo cha hypoglycemia ndichoperewera, ndipo mphamvu ya piritsi limodzi imatha tsiku limodzi.
Kwa iwo amaiwala kumwa mapiritsi munthawi yake, kumwa kamodzi ndi mwayi waukulu. Inde, ndipo endocrinologist angakulitse mlingo, kukwaniritsa kuyang'anira kwa glycemia wodwala. Mwachilengedwe, odwala matenda ashuga amalembedwa kuphatikiza ndi zakudya zama carb otsika ndi minofu, popanda zomwe mapiritsi a antidiabetes sangathe.
Matenda a diabeteson
Diabetes ndi m'gulu la mankhwala omwe amalimbikitsa kapamba ndipo, makamaka ma b-cell omwe ali ndi vuto lopanga insulin. Mulingo wazomwe zimapangitsa kuti mankhwalawa akhale osangalatsa ngati mankhwalawa, tikayerekeza Maninil kapena Diabetes, ndiye Maninil ali ndi mphamvu zambiri.
Ndi matenda a shuga a mtundu 2, limodzi ndi kunenepa kulikonse, mankhwalawa sawonetsedwa. Zimawonjezeredwa ku regimen ya chithandizo, pamene zizindikiro zonse zakuchepa kwa gland yogwira ntchito zikuwonekera ndipo kukondoweza ndikofunikira kupititsa patsogolo kupanga kwa insulin.
Mankhwalawa abwezeretsa gawo loyamba la kupanga kwa mahomoni ngati odwala matenda ashuga achepetsa kapena ayi. Kuphatikiza pa cholinga chake chachikulu (kutsitsa glycemia), mankhwalawa amathandizanso m'mitsempha yamagazi ndi magazi. Pochepetsa kuphatikizika kwa maselo a m'magazi (kumamatira), kumachepetsa mwayi wamagazi m'matumbo ang'onoang'ono, kumalimbitsa endothelium yawo yamkati, ndikupanga chitetezo cha angioprotective.
Ma algorithm omwe amawonetsedwa ndi mankhwala amatha kuyimilidwa motere:
- Kukondoweza kwa kapamba kuti achulukitse kuchuluka kwa mahomoni m'magazi,
- Kutsatira ndikubwezeretsa gawo loyamba la insulin,
- Kuchepetsa kuphatikiza kwa mapulateleti pofuna kupewa kuchulukana m'matumba ang'onoang'ono,
- Pang'ono antioxidant kanthu.
Mlingo umodzi wa mankhwalawo umasunga chofunikira chogwira ntchito ya plasma masana. Mankhwalawa amaphatikizidwa m'chiwindi, impso zake zimachotsedwa (mpaka 1% - momwe zimakhalira kale). Mwa kukula, kusintha kwakukulu pamikhalidwe ya pharmacokinetic sikunalembedwe.
Ubwino ndi kuipa kwa mankhwalawa
Ngati tiyerekeza Diabeteson MV ndi fanizo la gulu la sulfonylurea, ndiye kuti ali patsogolo pawo mwa kuchita bwino.
- Msanga mashuga a shuga,
- Imayambitsa gawo lachiwiri la kupanga insulini, imabwezeretsa msanga nsonga yake poyang'ana mawonekedwe a shuga,
- Kuchepetsa mwayi wamagazi
- Chiwopsezo cha kukhala ndi hypoglycemia chimatsikira mpaka 7% (mwachitsanzo - zotumphukira za sulfanylurea - kuchuluka kwake ndikokwera kwambiri),
- Ndondomeko ya kumwa mankhwalawa ndi 1 r / tsiku. Chifukwa chake, ndikosavuta kwa odwala matenda ashuga kuiwala kupanga dokotala.
- Kulemera kumakhazikika - Gliclazide pamapiritsi otulutsidwa otulutsidwa samathandizira kukula,
- Ndikosavuta kwa dokotala kusintha mlingo - chiopsezo cha hypoglycemia chochepa,
- Mamolekyu a mankhwala amawonetsa zomwe antioxidants ali nazo,
- Chiwerengero chochepa cha zoyipa (mpaka 1%).
Pamodzi ndi zovuta zosatsutsika, mankhwalawa ali ndi zovuta zingapo:
- Mankhwalawa amathandizira kuti ma b-cell apangidwe omwe amapanga insulin,
- Kwa zaka 2-8 (kwa anthu owonda - mwachangu), matenda a shuga a 2 amasintha kukhala mtundu woyamba wa shuga,
- Kukana kwa insulin, chomwe chimayambitsa matenda a shuga a 2, mankhwalawa samachotsa, komanso amawonjezera,
- Kuchepetsa shuga m'magazi sikutsimikizira kuti matenda a shuga atha kuchepera - zoonadi zimatsimikizira maphunziro a mbiri yabwino yapadziko lonse ADVANCE.
Kuti thupi lisasankhe pakati pazovuta kuchokera ku kapamba kapena mtima, muyenera kulabadira zakudya zamagulu ochepa komanso kuchita masewera olimbitsa thupi mokwanira.
Zizindikiro za mankhwala
Diabeteson adapangidwira kusintha mawonekedwe a glycemic, kupewa zovuta za shuga, kuchepetsa chiopsezo cha kugunda kwa mtima, stroko, nephropathy, retinopathy. Koma imagwiritsidwanso ntchito ndi osewera kuti kuwonjezera minofu.
Chifukwa chake, kwawonetsedwa:
- Anthu odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa nthendayi yolimbitsa thupi kapena yotsika kwambiri komanso popanda kunenepa.
- Ochita masewera olimbitsa thupi kuti apangitse insulini, imathandizira kukula kwa minofu.
Diabeteson sinafotokozeredwe kwa odwala ngati njira yoyambira yamankhwala. Zili zovulanso kwa odwala matenda ashuga omwe ali ndi zizindikiro za kunenepa kwambiri, chifukwa kapamba awo amagwira ntchito kale ndi kuchuluka kowonjezera, amapanga mitundu iwiri ya insulin kuti achepetse shuga. Kulemba a Diabeteson m'gulu lino la odwala matenda ashuga kumatha kupha munthu chifukwa cha matenda amtima (CVS).
Kafukufuku wozama wachitika pankhaniyi, kutipangitsa kuti tidziwe mgwirizano pakati pa kusankha mankhwalawo chifukwa cha njira yoyambirira yothandizira anthu odwala matenda ashuga a mtundu 2 komanso mwayi wakufa. Zotsatira zaperekedwa pansipa.
- Mwa odzipereka omwe ali ndi matenda a shuga a mtundu wa 2 omwe adalandira zotumphukira za sulufayida, poyerekeza ndi gulu lomwe likuwongolera matendawo, chiopsezo chakufa kwa CVS chinali 2 kupitilira, matenda a mtima (CHD) - maulendo 4.6, ngozi ya cerebrovascular (NMC) ) - katatu.
- Chiwopsezo cha kufa chifukwa cha matenda a mtima, NMC inali yayikulu pagulu lomwe limalandira glycoslide, glycidone ndi glibenclamide kuposa odzipereka omwe amatenga metformin.
- Mwa odzipereka omwe adalandira gliclazide, poyerekeza ndi gulu lomwe limatenga glibenclamide, kusiyana kwazowopsa kunali kwodziwikiratu: kufa kwathunthu kunali kosakwana 20%, kuchokera ku CVS - ndi 40%, NMC - ndi 40%.
Chifukwa chake, kusankha kwa sulfonylurea derivatives (kuphatikiza Diabeteson) ngati mankhwala a mzere woyamba kumadzetsa chiyembekezo chakufa kawiri m'zaka 5, mwayi wokhala ndi vuto la mtima - nthawi 4,6, stroko - katatu.Ndi mtundu wachiwiri wa matenda ashuga 2, palibe njira ina yomwe Metformin angapangire ngati mzere woyamba. Ndi kudya kwa nthawi yayitali (osachepera zaka zitatu) a Diabeteson, chiopsezo chotenga matenda a atherosulinosis amachepetsa kwambiri. M'makonzedwe ena a gulu la sulfonylurea, izi sizimawonedwa. Mwambiri, mphamvu yotsutsana ndi mankhwalawa imaperekedwa ndi mphamvu yake ya antioxidant yomwe imateteza maselo ku oxidation.
Zowawa zomwe zimayambitsa matenda ashuga a 2 zimayambitsa - mu kanema.
Anthu othamanga odwala matenda ashuga
Mankhwala othandizira odwala matenda a shuga amathandizanso chidwi cha chiwindi, minofu ndi mafuta kuti apatsidwe insulin. Pomanga thupi, imagwiritsidwa ntchito ngati anabolic yamphamvu, yomwe ingagulidwe popanda zovuta ku pharmacy kapena pa intaneti. Anthu odwala matenda ashuga amagwiritsa ntchito Diabeteson kuti ibwezeretse gawo loyamba la kupanga mahomoni ndikupanga gawo lachiwiri la momwe amapangidwira.
Chipangizocho chikuyenera kugwiritsidwa ntchito ndi omanga thupi okhala ndi maselo abwinobwino. Mankhwalawa amakhudza kagayidwe ka mafuta, kayendedwe ka magazi, magazi ake, amakhala ndi mphamvu ya antioxidant. Diabetes imasinthidwa kukhala metabolites mu chiwindi, mankhwalawa amasiya thupi kwathunthu.
M'masewera, mankhwalawa amagwiritsidwa ntchito kuthandizira kwambiri anabolism, chifukwa chake, othamanga amawonjezera minofu yambiri.
Ndi mphamvu yake, imatha kufananizidwa ndi insulin poplites. Ndi njira iyi yokwanira kulemera, muyenera kuvomereza mosamala, kudya maulendo 6 patsiku (mapuloteni, chakudya), kuyang'anira thanzi lanu kuti musaphonye kuyambika kwa zizindikiro za hypoglycemia.
Yambitsani maphunzirowa ndi mapiritsi a Ѕ, pang'onopang'ono muyezo. Imwani piritsi m'mawa ndi chakudya. Njira yovomerezeka ndi miyezi 1-2, kutengera moyo wabwino ndi zotsatira zake.Mutha kubwereza izi mchaka chimodzi, ngati mukugwiritsa ntchito Diabeteson pafupipafupi kamodzi pa miyezi isanu ndi umodzi, zovuta zaumoyo sizingalephereke.
Ndi maphunziro achiwiri, mlingo ungathe kuwirikiza kawiri (mpaka mapiritsi 2 / tsiku). Simungatenge odwala matenda ashuga patsambalo la chakudya chamagulu kapena kudya njira zina zowonjezera kulemera. Mankhwalawa amatha maola 10 ndipo amafunika zakudya zopatsa thanzi panthawiyi. Pa chizindikiro choyamba cha hypoglycemia, othamanga ayenera kudya bala kapena maswiti ena.
Pakanema - kugwiritsa ntchito matenda a shuga pofuna kulemera - ndemanga.
Mitundu ya matenda a shuga a Ayurveda
Pachigawo choyambirira, matendawa nthawi zambiri amakhala ophwanya kapha dosha (kapha mtundu wa matenda ashuga) imalumikizidwa ndi kunenepa kwambiri komanso kugwiritsa ntchito mankhwala osokoneza bongo omwe umawonjezera kapha.
Chifukwa cha kuchepa kwa magwiridwe antchito a kapamba, kuchuluka kwa kapha m'mimba kumakwera. Kenako kapha amalowa m'matumbo ena, omwe amakhala ndi mkodzo wowonjezera.
Mu matenda ashuga osachiritsika, kuchepa kwa minofu kumawonedwa. Matenda osachiritsika amakhala kuphwanya malamulo a vata dosha (matenda a shuga a vata), kapena amakhala m'modzi. Nthawi zambiri zimawonedwa ndi matenda a shuga a insulin. Vata amadziunjikira m'matumbo akulu, kuchokera momwe amalowera kapamba, kusokoneza ntchito yake.
Pitta yapamwamba imathanso kudwala matenda a shuga (mtundu wa matenda a shuga) Ikukulira m'matumbo ang'onoang'ono, imasunthira m'chiwindi ndi kapamba, ndikupangitsa kukhumudwa kwawo.
Chithandizo cha matenda ashuga a Ayurvedic
Mothandizidwa ndi Ayurveda, ndizotheka kuchiritsa matenda ashuga nthawi zonse, koma nthawi zambiri ndizotheka kuchepetsa zovuta komanso kupangitsa moyo wa wodwala kukhala wosangalatsa. Ndi matenda a shuga achinyamata (achinyamata matenda ashuga), omwe amatha kukula muunyamata, kapena ndi vuto losakanikirana lamatenda, matendawa amakhala ovuta.
Chithandizo cha matenda a shuga ndi zitsamba ndi wowerengeka azitsamba
Zazitsamba wamba, kapamba ndi chiwindi zimayendetsedwa bwino turmeric, yomwe imathandiza kwambiri magawo a shuga. Tengani mawonekedwe a ufa (1-3 g katatu patsiku) ndi msuzi wa aloe.
Kapena mutha kudzaza makapisozi omaliza ndi turmeric ufa (womwe umagulitsidwa m'masitolo kapena m'masitolo azakudya zaumoyo) ndikutenga makapisozi awiri katatu katatu patsiku mphindi zingapo musanadye. Kuchiza kuyenera kupitilizidwa kwa mwezi umodzi, kenako muyenera kuwunikiranso momwe muliri.
Zotsatira zamankhwala zawonetsa kuti ngakhale ndi shuga wodalira insulin, kutenga turmeric kumachepetsa kwambiri kufunika kwa insulin. Nthawi zina zimakhala zotheka kuyimitsa patsogolo chitukuko cha matenda ashuga.
Kuchepetsa shuga m'magazi ku Ayurveda, osakaniza zitsamba amagwiritsidwa ntchito: 1 gawo guduh, 1 gawo sharduka, 1 mbali katuka, 2 mbali boergavia. Tengani supuni 0,5 ndi madzi ofunda katatu pa tsiku.
Kuti muthandizire kuchuluka kwa shuga m'magazi, mutha kutenga supuni 0,5 yamasamba oyambira ndi masamba osakanikirana ndi supuni ya aloe gel 2 pa tsiku, musanadye nkhomaliro komanso chakudya chamadzulo.
M'mavuto owopsa komanso odwala matenda ashuga, njira yayikulu ya Ayurvedic imaganiziridwa amayi, womwe umatengedwa ngati wopanga Mumiyo. Zazitsamba zofunikira kwambiri gourmet.
Pakadali pano, maiko osiyanasiyana akuchita kafukufuku pa mankhwala a chomera ichi pothandizidwa ndi matenda ashuga. Sushruta, mmodzi mwa ochiritsa kwambiri achi Ayurvedic akale, akuti mmera uno amatha kuwononga kukoma kwa shuga (gur mar amatanthauza "kuwononga shuga").
Gourmet imatha kuchepetsa kwambiri shuga mthupi, nthawi zambiri imagwiritsidwa ntchito limodzi ndi mumiyo, kapena ndi gawo lokonzekera Mumiyo.
Ndi kunenepa kwambiri, komwe matenda ashuga amakula nthawi zambiri, amathandiza guggul ndi mule, komanso m'malo ovuta kwambiri - kukonza kwapadera kwamankhwala Vasanta Kusumakar.
Ngakhale shuga samasungidwa chifukwa cha matenda ashuga, ochepa uchi wowerengeka amatha kudyeka omwe samayatsidwa kutentha.
Njira zina
Madzi amkuwa. Thirani kapu yamadzi mu chotengera chamkuwa ndi kusiya usiku wonse, ndikumwa m'mawa.
Yoga chithandizo. Mu matenda ashuga, masewera a yoga monga kuchitira sawotcha dzuwa (Surya Namaskar), kukweza miyendo, pikoko, chisangalalo ndi mawondo pachifuwa zimakhala ndi phindu. Pranayama (masewera olimbitsa thupi kupuma) ndi mphuno zosinthika imathandizanso.
Miyala yamiyala. Miyala ya Jupiter - safiro yachikasu ndi topazi wachikasu, omwe amavala mzere wagolide pachala chakumanja cha dzanja lamanja, amasintha kagayidwe kazakudya ndi kuteteza moyo.
Mankhwala osiyanasiyana
Kuchiza kumatengera kuti ndi doshas uti amene ali wamkulu: kapha, vata kapena pitta.
At kapha matenda ashuga (izi zikuphatikiza mtundu wachiwiri wa matenda ashuga) njira yayikulu yothandizira ndikutsatira kwakanthawi kochepa zakudya zomwe zimachepetsa kapha, komanso kuwonjezeka kwa zochitika zolimbitsa thupi, kuchepetsa thupi.
Chakudya chizikhala ndi barele, chomwe chimathandizira kuyamwa "chinyezi" chochuluka kuchokera ku tiziwalo tambiri, tirigu wowuma monga mapira ndi manyumwa, omwe chifukwa cha kuchuluka kwa fiber sakulola kuti shuga wophweka azitha kuyamwa mwachangu, karella (vwende yowawa, masamba oyenera kwambiri pamenepa), kulatha , mung nyemba, fenugreek, adyo ndi anyezi.
Kukoma kowawa nthawi zambiri kumakhala kothandiza kwa matenda ashuga, chifukwa amathandizira kusintha kagayidwe kazakudya komanso mafuta a metabolism, kumapangitsa ntchito za chiwindi ndi kapamba.
Ngati kudya kokha sikokwanira, mankhwala monga katuka, mummy, turmeric, amalaki, guduch, margosa, barberry, masamba a, nthangala za jambu, "chidindo chagolide", mule, masamba a bilva ndi madhuvinashini.
Amawonetsa vinyo wamankhwala kuchokera ku jambu, nyimbo za "Triphala guggul" ndi "Arogya vardhini." Chithandizo chothandiza cha matenda a shuga a Kapha ndi Chandra Prabha. Chithandizo chimodzi chofala ndikugwiritsa ntchito mbale ya asanas (Pterocarpus marsupium).
Madzulo alionse kapu imadzaza ndi madzi, omwe wodwalayo amayenera kumwa m'mawa wotsatira.
Ngati ndi kotheka, muchepetse kukonzekera kwazitsamba komanso kusintha kwa zakudya muzakudya zolimbitsa thupi.
Ngakhale kuchita masewera olimbitsa thupi moyenera kuli koyenera kwa kapha, anthu ambiri onenepa kwambiri amakhala ndi lamulo la vata, momwe kuchita masewera olimbitsa thupi mokwanira kumakhalira (mwachitsanzo, kuyenda tsiku lililonse).
Lingaliro ndikupangitsa thupi kuwotcha misa mopitilira muyeso wa zochita za tsiku ndi tsiku.
Matenda a kapha, kusanza kochizira kungagwiritsidwe ntchito, koma kwa odwala matenda ashuga sikofunikira kuchita izi - pokhapokha ngati pali chizindikiro chodziwika bwino cha kapha m'mimba. Ngati matendawo akhala akupitiliza kwa nthawi yayitali, zimatenga nthawi kuti doshas adikonzekere kuti achoke mthupi, ndipo pachifukwa ichi, kusasinthika ndi kupirira ndikofunikira kwambiri pakuchiza matendawa.
Matenda a shuga a Vata Zimaphatikizidwa ndi kutopa, ludzu, kusowa kwa madzi, kusowa tulo, kusowa tulo, kuchepa kwa mphamvu yamagetsi komanso kumva kutentha m'manja ndi m'miyendo, komanso ndi magazi okwanira komanso kukodza kwambiri. Zakudya zomwe zimachepetsa vata zimayikidwa.
Ngati ndi kotheka, shuga ndi zotsekemera siziyenera kupatula. Zakudya zomanga thupi, mtedza ndi mkaka, komanso mbale za nyama, makamaka masupa am'mafupa a ubongo, zimaloledwa. Zothandiza ndi mafuta a ghee (ghee), makamaka ndi magazs kapena ashwagandha (tengani supuni za 1-2 kawiri patsiku).
Njira zochizira matenda ashuga: Mankhwala atsopano ndi njira zamakono zochizira matenda amtundu 1 ndi matenda ashuga 2
Odwala omwe amapezeka ndi matenda a shuga amadziwa kuti matendawa sachiritsidwa. Pali mitundu iwiri ya matenda ashuga - insulin-wodalira (mtundu 1) komanso osadalira insulini (mtundu 2).
Chithandizo chokwanira chimangothandiza kuchepetsa shuga, komanso kupewa kukula kwa zovuta monga retinopathy, polyneuropathy, nephropathy, neuropathy, trophic zilonda, phazi la matenda ashuga.
Ichi ndichifukwa chake anthu nthawi zonse amakhala ndi chidwi ndi njira zatsopano zochizira matenda ashuga. Mpaka pano, padziko lonse lapansi pali umboni wosonyeza kuti matendawa amatha kuchiritsidwa kwathunthu ndikulowerera kwa opaleshoni yotulutsa ma cell a kapamba kapena ma beta. Njira zozizira zimangolola kuthandizira ku matenda.
Type 2 shuga
Pankhani yokhudza kuyendetsa bwino matenda a shuga, zimatsimikiziridwa kuti ngati kuyendetsa bwino shuga mthupi kumachitika, ndiye kuti zovuta zochepetsedwa zimachepetsedwa.
Kutengera ndi chidziwitso chotere, zitha kutsimikiziridwa kuti cholinga chachikulu cha chithandizo cha matenda a m'mimba ndicho kubwezeretsa kwathunthu kwa zovuta za carbohydrate metabolism.
M'dziko lamakono, ndizosatheka kuti muchotse kwathunthu wodwala matendawa, koma ngati atayendetsedwa bwino, mutha kukhala moyo wonse.
Musanakandiwuzeni mankhwala aposachedwa omwe mankhwalawa amachokera ku matenda a shuga a 2, muyenera kuganizira za njira zakuchipatala:
- Choyamba, chithandizo chawofatsa chimadalira munthu wodwala, chithunzi cha matenda. Dokotala wopita kuchipatala amawunika momwe wodwalayo alili, akuvomereza njira zodziwira matenda.
- Kachiwiri, chithandizo chachikhalidwe chimakhala chovuta nthawi zonse, ndipo chimaphatikizapo osati mankhwala okha, komanso zakudya, zolimbitsa thupi, masewera, kuwongolera shuga mthupi, kuyendera dokotala pafupipafupi.
- Chachitatu, ndi matenda amtundu wa 2, zizindikiro za kuwonongeka ziyenera kuthetsedwa. Ndipo chifukwa cha ichi, mankhwala a shuga amalimbikitsidwa kuti achepetse kuchuluka kwa shuga m'thupi, zomwe zimakuthandizani kuti mukwaniritse chindapusa cha kagayidwe kazakudya.
- Mu malo omwe mulibe achire, kapena osakwanira, kuchuluka kwa mapiritsi kuti muchepetse shuga, ndipo atatha kuphatikizidwa ndi mankhwala ena ofanana.
- Chachinayi, njira iyi yochizira matenda amtundu wa shuga ndi yayitali kwambiri, ndipo imatha kutenga miyezi ingapo kufikira zaka zingapo molingana ndi nthawi.
Dipeptidyl Peptidase Inhibitor - IV
Zaka ziwiri zokha zapitazo, mankhwala atsopano opatsa chiyembekezo adawonekera pamsika wapadziko lonse - dipeptidyl peptidase inhibitor - IV. Mankhwala oyamba omwe akuimira gululi ndi chinthu sitagliptin (dzina la malonda Januvia).
Mfundo zoyenera kuchitira mankhwalawa zimagwirizana kwambiri ndi zochita za mayamwidwe am'mimba. Kafukufuku wambiri wamankhwala awonetsa kuti mankhwalawa amatsitsa shuga m'magazi opanda kanthu.
Kuphatikiza apo, kuchuluka kwa shuga komwe kumatsikira m'thupi kumatsika pambuyo podya, kuchepa kwakukulu kwa zomwe zimapezeka mu glycated hemoglobin. Ndipo koposa zonse, mankhwalawa amathandizira kukonza pancreatic cell ntchito.
- Mankhwalawa sasokoneza thupi la wodwalayo mwanjira iliyonse, chifukwa chake ndizololedwa kupereka kwa odwala omwe onenepa kwambiri kapena onenepa kwambiri nthawi iliyonse.
- Khalidwe lodziwika ndi kutalika kwa momwe ntchitoyo ikugwiritsidwira ntchito. Kutalika kwa zotsatira zake ndi maola 24, omwe amakupatsirani kumwa kamodzi patsiku.
Kupandukira kwa kapamba
Ngati tilingalira njira zaposachedwa zochizira matenda ashuga, ndiye kuti kupatsirana kwa kapamba kumadziwika. Izi zimachitika kuti opareshoniyo siwokongola.
Mwachitsanzo, zisumbu zokha za Langerhans kapena maselo a beta ndi omwe amatha kuziyika kwa wodwala.
Ku Israeli, ukadaulo umachitidwa mosamala, zomwe zimaphatikizana ndi kupatsirana kwa maselo a mapulani osinthika omwe amasintha kukhala ma beta cell.
Mankhwalawa a shuga sangatchulidwe osavuta, chifukwa ndiokwera mtengo kwambiri. Pafupifupi, mtengo wamachitidwe opita patsogolo udzakhala madola 100-200 a US (poganizira mtengo wa wopereka).
Asanamuchitire opaleshoni, wodwalayo amafunika kuchipeza. Mwa njira, ndi kukula kwa pachimake kuwonongeka kwa matenda ashuga, kupatsirana kumayesedwa, chifukwa wodwalayo sangathe kuchoka pa opaleshoni.
Kuphatikiza apo, ndi kuwonongeka, mabala a postoperative amachiritsa bwino.
Can Ayurveda Kuchiritsa Matenda A shuga
- Pazakuwoneka za matenda ashuga
- About njira zamankhwala
- About maphikidwe
Zonse Zokhudza Ayurveda a shuga
Ayurveda ndi njira yachikhalidwe yamankhwala aku India.
Malinga ndi iye, matenda ashuga ndi matenda azilakalaka kwambiri, ludzu lalikulu komanso kusakhutira chifukwa chakuperewera kwa zakudya zina, makamaka, anyezi wophika.
Chifukwa chake, sizosadabwitsa kuti sayansi yomwe yaperekedwa ilinso ndi njira zake zochizira matenda monga matenda ashuga. Za izi ndi mochedweranso malembawo.
Pazakuwoneka za matenda ashuga
Matenda a shuga amadziwika ndi mawonekedwe owoneka bwino, mwachitsanzo, kuchuluka kwam ludzu ndi kutuluka kwamkodzo monga mkodzo kaloti.
Pa siteji yoyamba, matendawa nthawi zonse amakhala akuphwanya lamulo lotchedwa Kapha. Izi zimachitika chifukwa cha kunenepa kwambiri komanso kudya kwambiri zakudya zosokoneza bongo zomwe zimawononga thupi..
Chifukwa cha kuchepa kwa magwiridwe antchito a pancreatic ntchito amayamba.
Zimakhudzanso msambo wa Kapha m'mimba. Pambuyo pa Kapha, radishi, amalowa m'matumbo ena, izi zimayamba kale ndi kukodza pafupipafupi komanso kusintha kwamkodzo kukhala kovuta. Pankhaniyi, matenda a shuga amatha kuchiritsidwa, malinga ndi Ayurveda.
Pankhani ya odwala matenda ashuga, akatswiri amawona zizindikiro monga:
- ludzu, kufuna kulawa zipatso za goji,
- minofu kufooka.
Matenda a shuga omwe ali mu mawonekedwe osakhazikika mwina amayenera kumaganiziridwa kuti ndi kuphwanya komwe kumayenderana ndi Vata, kapena kumakhala kotenga nthawi. Izi ndizomwe zimalankhula za kuyamba kwa gawo lotsatira la matenda ashuga. Zotsatira zake, Vata imadziunjikira kudera lamatumbo akulu, kuchokera komwe imalowetsa kapamba, ndikupangitsa magwiridwe ake ntchito, ngati maapulo.
Kodi magawo a shuga ndi a Ayurveda ndi ati?
Amadziwikanso kuti High Pitta amathanso kuyambitsa matenda ashuga. Ikuchulukana m'matumbo ang'onoang'ono, imasunthira osati chiwindi chokha, komanso kapamba, zomwe zimayambitsa zovuta zawo zazikulu.
Chifukwa chomwe matenda a shuga amawonekera, malinga ndi Ayurveda, nthawi zambiri amakhala osowa m'thupi. Tikulankhula za kuchuluka kwa shuga, maswiti, mankhwala amkaka ndi zakumwa zoledzeretsa, komanso mafuta ndi mkate.
Zowonjezera zimaphatikizapo kunenepa kwambiri, kuchita zachiwerewere mopitirira muyeso, kugona tulo masana, moyo wamtopola, malingaliro, nkhawa, komanso kupsinjika.
Matenda a shuga, mwa zinthu zina, amathanso kukhala matenda omwe amabadwa nawo. Pankhani yama psychology, matendawa, monga taonera pamwambapa, ndi mndandanda wa zikhumbo ndi ludzu, komanso kusakhutira kwakukulu ndi moyo womwe ulipo.
About njira zamankhwala
Mwa zitsamba zomwe zimagwiritsidwa ntchito ngati:
- kapamba
- Turmeric, yomwe imagwiritsidwa ntchito makamaka poyambira matenda a shuga, ndiye yomwe imabwezeretsa chiwindi bwino.
Iyenera kutengedwa mu ufa (kuchokera pa gramu imodzi mpaka itatu kapena katatu patsiku). Ndikulimbikitsidwa kuchita izi ndi msuzi wa aloe.
Zokhudza momwe mayi amayambira
M'mikhalidwe yovuta kwambiri, komanso matenda ashuga, njira yayikulu ya Ayurvedic imayenera kuonedwa ngati mayi. Mwa zitsamba, zofunikira kwambiri ziyenera kuonedwa kuti ndi zonenepa.Masiku ano, m'maiko osiyanasiyana, maphunziro amachitidwa pazochiritsa zamtengowu, ngati mankhwala a shuga.
Tiyenera kudziwa kuti Gimnema, m'modzi mwa ochiritsa otchuka kwambiri a Ayurvedic, omwe akuti amachokera ku chomera adapereka mwayi wowononga kukoma kwa shuga, chifukwa gourmet amatanthauza "kuwononga shuga ndi shuga." Chifukwa chake, ndiye gourmet yemwe amatha kuchepetsa kuchuluka kwa shuga m'thupi la munthu. Amagwiritsidwanso ntchito nthawi zambiri limodzi ndi mummy, kapena akhoza kuphatikizidwa pamndandanda wazinthu zomwe zimapangidwa ndi dzina lomwelo.
Mwa njira zamankhwala zaku China zochizira matenda amtundu wa shuga, zitsamba monga:
- ginseng
- Astragalus
- yam
- kudzu
- lemongrass ndi ena ambiri, kuphatikizapo dereza.
Ndikofunikira kudziwa kuti shuga Pitta-mtundu kapena pa gawo la Pitta (ndiye kuti, mu gawo lake lambiri) limatsatiridwa ndi kutentha, kuchuluka kwa acidity, mwina kutulutsa magazi, mapangidwe a zilonda zam'mimba. Kuphatikiza apo, mkodzo wofiirira, wachikaso kapena wamtambo ungatulutsidwe, komanso kusakwiya komanso matenda oopsa.
Kodi maphikidwe a shuga ndi ati?
Kuchiza pamilandu yovuta iyi ndikufuna kuchepetsa Pitta. Monga matenda ashuga oyamba, zitsamba zowawa zosiyanasiyana zimayikidwa, ndipo ngati munthu ali wofooka, amagwiritsidwa ntchito molumikizana ndi matani enieni. Mwachitsanzo, shatavari, msuzi wa aloe kapena marshmallow. Kuphatikiza apo, Ayurveda amawona gi ndi brahmi zothandiza.
About maphikidwe
Chimodzi mwazomwe ndimaphikidwe ambiri pomwe shuga imagwiritsidwa ntchito pogwiritsa ntchito maula akuda. Pofuna kuchiza matenda a shuga, mbewu zina za India ziyenera kugwiritsidwa ntchito.
Kuphatikiza pa mbewu zakuda za maula, zitha kupangidwanso zipatso za jambolan kapena jamun.
Oyamba a iwo amadziwika kuti amagwira ntchito kwambiri pa hypoglycemic, omwe amatetezanso maselo a ubongo kuti asawonongeke.
Mu matenda ashuga, muyenera kupita nawo motere: kotala la supuni ya supuni yaiwisi yosakaniza bwino iyenera kusakanizidwa ndi supuni imodzi ya uchi.
Gwiritsani ntchito chifukwa chosakaniza kwa masiku 50.
Zina zodula komanso zothandiza ziyenera kuonedwa ngati tincture, pakukonzekera zomwe zigawo zomwe zimagwiritsidwa ntchito motere:
- masamba a walnut ndi mabulosi abulu,
- nyemba nsonga
- burdock rhizome
- ma pisitilo okalamba.
Zonsezi zimathiridwa ndi magalasi awiri amadzi otentha, kenako ndikuwazilaza kwa maola asanu, kenako nkusefa. Gwiritsani ntchito pamene shuga ikulimbikitsidwa mu theka lagalasi katatu patsiku mutatha kudya.
Njira zopangira masamba a mabulosi
Kukonzekera bwino machiritso malinga ndi dongosolo la Ayurveda, nthawi zambiri simafunikira kuyesetsa mwamphamvu, koma muyenera kuwerengera nthawi. Mwachitsanzo, masamba a buribiberi amalimbikitsidwa kuti adye ola limodzi asanadye, zomwezo zimagwiranso ntchito muzu wa walnuts wobiriwira.
Ndizovuta kwambiri kukonzekera decoction ya wakuda mphukira mphukira kuyambira kukula (nawonso othandiza mu matenda matenda). Amasakanizidwa mofanana, monga mphukira ndi khungwa, lomwe limaphika (magalamu 30 a osakaniza amapangira lita imodzi yamadzi otentha) kwa mphindi 60 kutentha pang'ono, kenako kusefa.
Ndikofunika kukumbukira kuti chithandizo chamankhwala chothira zitsamba chitha kukhala chothandiza osati pakadali koyamba pomwe matenda a shuga ndi amtundu wachiwiri, komanso mitundu yovuta kwambiri. Ndikulimbikitsidwa, komabe, kuti mumayanjane ndi katswiri yemwe angakuwuzeni njira zothandiza kwambiri pamakina a Ayurveda.
Contraindication kuti agwiritse ntchito
Mankhwala onse ali ndi contraindication, musanagwiritse ntchito Diabeteson ndikofunika kulabadira machenjezo awa:
- Mtundu woyamba wa shuga
- Kuzindikira kwakukulu pazomwe zimapangidwira,
- Ketoacidosis, wodwala matenda ashuga,
- Ana ndi unyamata
- Mimba ndi kuyamwitsa,
- Zowopsa za impso ndi chiwindi,
- Kusalolera payekha pakumwa mankhwala osokoneza bongo a sulfonylurea,
- Kugwiritsa ntchito miconazole munthawi yomweyo.
Kodi kugwiritsidwa ntchito kwa mankhwala awiriwa kumakhudza bwanji zotsatira za chithandizo? Miconazole imathandizira kuchepetsa kufupika kwa shuga. Ngati simuwongolera mbiri yanu ya glycemic munthawi yake, pamakhala ngozi yoti mukhale ndi hypoglycemia. Ngati palibe njira ina ya miconazole, adokotala ayenera kuchepetsa mlingo wa matenda ashuga.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Mosamala, muyenera kumwa mankhwalawa akaphatikizidwa ndi:
- Phenylbutazone (butadione),
- Mankhwala ena a hypoglycemic,
- Anticoagulants (warfarin),
- Ndi mowa.
A shuga amatha kuwonjezera kusalolera ku mowa. Izi zimawonetsedwa ndi kupuma movutikira, kupweteka mutu, tachycardia, kukokana kwam'mimba, ndi zovuta zina za dyspeptic. Ngati Diabeteson adayambitsa hypoglycemia, ndiye kuti mowa umapangitsa kuti zizindikirika. Popeza zizindikiro za kuledzera ndizofanana ndi glycemic, mothandizidwa mwadzidzidzi, chiopsezo cha matenda a shuga chikuwonjezereka.
Mlingo woyenera wa munthu wodwala matenda ashuga ndi kapu ya vinyo wofiyira wofunika pamwambowo. Ndipo ngati pali kusankha, ndibwino osamwa konse mowa.
Zotsatira zoyipa
Choyipa chachikulu ndi hypoglycemia - kutsika kwa shuga m'munsi mwa chandamale, limodzi ndi zizindikiro zotsatirazi:
- Mutu komanso kulumikizana bwino
- Njala yosalamulirika
- Matenda a Dyspeptic
- Kutha
- Chisangalalo, kusinthana ndi mantha,
- Zoletsa, kulephera kukhazikika
- Kulankhula komanso kuwonongeka kwa mawonekedwe
- Kulephera kudziletsa, kusowa thandizo,
- Kukhumudwitsa.
Kuphatikiza pa hypoglycemia, palinso zovuta zina:
- Zotupa zamagetsi,
- Kuphwanya kwam'mimba,
- Zolakwika mu magazi (magazi m'thupi, kuchepa kwamagazi oyera),
- Kukula kwa michere ya chiwindi AST ndi ALT.
Zotsatira zonse zimasinthidwa ndikudutsa popanda chithandizo chamankhwala atachotsedwa kwa odwala matenda ashuga. Ngati mankhwalawa mankhwala m'malo mwa antidiabetesic wothandizila, ndiye kuti mkati mwa masiku 10 ndikofunikira kuti azilamulira glycemia kuti tipewe kuwopsa kwa hypoglycemia.
Posankha Diabeteson, adotolo ayenera kudziwitsa wodwalayo za zoyipa zomwe zingachitike ndi zizindikiro za bongo.
Dongosolo la matenda ashuga ndi dongosolo
Pamaukonde a mankhwala, mankhwalawa amaperekedwa m'mitundu iwiri:
- Mkulu wodwala matenda ashuga 80 mg,
- Diabeteson MV wolemera 30 ndi 60 mg.
Kwa odwala matenda ashuga wamba, gawo loyambira limakhala 80 mg / tsiku .. Pakapita nthawi, amawonjezeredwa mpaka zidutswa 2-3 patsiku, kuwagawira mumagawo angapo. Zolemba malire patsiku, mutha kumwa mapiritsi 4.
Kwa a Diabeteson osinthika, gawo loyambira ndi 30 mg / tsiku ngati kuli koyenera, mlingo umasinthidwa bwino. Diabeteson MV imadyedwa 1 r. / Day., Upamwamba - mpaka 120 mg. Ngakhale mlingo waukulu ndi womwe umayesedwa, uyenera kumwedwa nthawi imodzi m'mawa.
Monga mankhwala onse a gulu la sulfonylurea, a Diabetes ayenera kumwa theka la ola asanadye. Kumwa pa nthawi yofanana ndi malangizo, wodwalayo amalola kuti mankhwalawo amwe ndikuwonetsa ntchito yake ndi supuni yoyamba ya chakudya.
Mphamvu ya mlingo wosankhidwa imatha kuwunika kunyumba, ndi glucometer.
Yang'anani momwe imagwirira ntchito musanadye komanso mutatha kudya (pambuyo maola 2). Mlingo woyenera amawerengedwa payekhapayekha: malinga ndi mbiri ya glycemic ndi mayeso a labotale a glycosylated hemoglobin HbA1C. Mutha kuphatikiza kugwiritsa ntchito Diabeteson ndi antidiabetic agents ndi njira ina yochitirapo kanthu.
Bongo
Popeza kulandira chithandizo ndi matenda ashuga ndiwowopsa pakukula kwa hypoglycemia, kumwa mankhwalawa mwadala kumawonjezera matchulidwe ake kangapo.
Ngati mukufuna kudzipha kapena mwangozi, muyenera:
- Zaphulika zam'mimba
- Nthawi zonse pakatha mphindi 10,
- Ngati glucometer ili pansipa (5.5 mmol / L), imwani zakumwa zotsekemera popanda zotsekemera zokuzira,
- Kuwunika momwe mankhwalawa amagwiritsidwira ntchito nthawi yonseyo (maola 24).
Chithandizo chachikulu cha matenda a shuga a mtundu wachiwiri
Diabeteson nthawi zambiri sagwiritsidwa ntchito ngati mankhwala amodzi, komanso mankhwala ovuta. Zimagwirizana ndi mankhwala onse antidiabetes, kupatula mankhwala a sulfonylurea kalasi (ali ndi njira yofananira), komanso chizolowezi chatsopano: imathandizanso kuphatikiza kwa mahomoni, koma mosiyana.
Diabeteson amagwira ntchito bwino molumikizana ndi Metformin. Motere, opanga aku Russia adapanganso mankhwala a Glimecomb ophatikizika, mu 40 g ya glyclazide ndi 500 mg ya metformin.
Kugwiritsa ntchito mankhwalawa kumadziwika ndi kuwonjezeka kwabwino pakutsatira (kutsata kwa odwala matenda ashuga ndi njira yodalirika yamankhwala). Glimecomb imatengedwa m'mawa ndi madzulo nthawi yomweyo isanayambe kapena itatha chakudya. Zotsatira zoyipa za mankhwalawa zimapezekanso kwa metformin ndi gliclazide.
Kuyanjana kwa mankhwala osokoneza bongo
Pali mankhwala ambiri omwe amawonjezera chiopsezo cha hypoglycemia akagwiritsidwa ntchito limodzi ndi Diabeteson. Dokotala ayenera kusamala makamaka popereka acarbose, metformin, thiazolidatediones, DPP-4 inhibitors, agonists a GLP-1, komanso insulin ndi Diabeteson.
Mankhwala ambiri omwe amathandizidwa kwa odwala matenda oopsa amathanso kulimbikitsa matenda a shuga. Dokotala ayenera kukumbukira za β-blockers, ACE inhibitors ndi Mao, fluconazole, sulfonamides, histamine H2-receptor blockers, clarithromycin.
Mndandanda wathunthu wamankhwala omwe amathandizira kapena kufooketsa ntchito ya kapangidwe kake kamapezeka mu njira zomwe zimapezeka mu malangizo oyambira. Ngakhale asanaikidwe diabeteson, ndikofunikira kuti munthu wodwala matenda ashuga azidziwitsa dokotala za mankhwala, zowonjezera zakudya, mankhwala azitsamba omwe amamwa.
Zomwe anthu odwala matenda ashuga amaganiza za matenda ashuga
Ndemanga za odwala matenda ashuga zimaphatikizidwa za Diabetes: zimathandiza kuwongolera shuga, koma ambiri sakanapewa. Mapiritsi osintha-glyclazide osinthika amaloledwa mosavuta. Zotsatira zoyipa zimawonedwa pafupipafupi kwa odwala matenda ashuga omwe amatenga shuga kwa zaka zingapo.
Ngati Diabeteson sizinathandize
Diabeteson ikakwaniritsa ntchito zake, malinga ndi endocrinologists, izi zitha kukhala pazifukwa zosiyanasiyana:
- Kulephera kutsatira mfundo za zakudya zamafuta ochepa, kuchita masewera olimbitsa thupi mokwanira,
- Mlingo wolakwika wa mankhwala
- Kubwezera kwambiri kwa matenda ashuga, ofuna kusintha njira zochizira,
- Kusuta kwa mankhwala
- Kulephera kutsatira mankhwalawo,
- Thupi siliganizira gliclazide.
Ndikofunikira kukumbukira kuti odwala matenda ashuga amawerengeka pagulu la odwala matenda ashuga. Chifukwa chake, musanamwe mankhwala, ndikofunikira kuti muwerenge malangizo ndi nkhaniyi kuti mutsimikizire kuti nthawi yake yoyenera ndi yolondola. Zambiri paz mawonekedwe
A shuga amawonera kanema
KODI ZIWANDA ZILI NDI CHANI?
Kwenikweni, monga matenda ashuga, ndimagulu a matenda a kagayidwe kachakudya komwe munthu amakhala ndi hyperglycemia, yomwe imatchedwa shuga wambiri. Izi ndichifukwa choti kupanga kwa insulin mthupi sikokwanira chifukwa maselo amthupi samayankha moyenera insulin, kapena amatha nthawi imodzi. Ichi ndi vuto, lamoyo wonse lomwe limakhudza mphamvu ya thupi kugwiritsa ntchito mphamvu zopezeka m'thupi.