Kukonzanso kuchipatala kwa odwala matenda ashuga

Matenda a shuga ndi matenda amtundu wa endocrine

aakulu a hyperglycemia syndrome, omwe amakhala chifukwa chosakwanira kupanga insulin, komwe kumayambitsa kuphwanya zonse

Mitundu ya kagayidwe, makamaka chakudya zam'mimba, zotupa zam'mimba (angiopathy), dongosolo lamanjenje (neuropathy), komanso ziwalo zina ndi machitidwe.

Matenda a shuga amadziwika ndi akatswiri a WHO ngati mliri wosapatsirana ndipo akuimira vuto lalikulu lazachipatala komanso chikhalidwe cha anthu. Chifukwa chake

Pakadali pano, 2.1% ya anthu padziko lonse lapansi ali ndi matenda a shuga a II ndipo, malinga ndi kulosera kwa International Institute of matenda ashuga pofika chaka cha 2015, kuchuluka kwawo kungadutse

opitilira 250 miliyoni kapena 3% yaanthu onse. Imfa ya odwala omwe ali ndi matenda a shuga

II ndi 2.3 nthawi zambiri kuposa kufa kwa anthu wamba.

Kafukufuku wokhudzana ndi mtundu wa genetic, etiological, pathogenetic, komanso zamankhwala zomwe zimatipatsa matenda ashuga amatilola kusiyanitsa mitundu iwiri yayikulu: matenda a shuga a shuga kapena mtundu wa matenda a shuga komanso matenda osokoneza bongo omwe amadalira insulin kapena mtundu II.

Njira yofunikira yodziwira matenda ashuga ndi kuchuluka kwa shuga wamagazi, kukhalapo kwa shuga mumkodzo, kuchuluka

shuga m'magazi masana.

Kuti mudziwe kuchuluka kwa mankhwalawa, muyenera kuwunika bwino ntchito ya kuwonongeka kwa ntchito. Ndi matenda ashuga

Zizindikiro zikuluzikulu za kuchepa mphamvu kwa ntchito ndi izi: kukhudzika kwa kaboni m'madzi, kusokonekera kwa gawo la masomphenya, impso, mtima, mtsempha wamagazi

miyendo ndi dongosolo lamanjenje.

Madigiri a magwiridwe antchito a machitidwe osiyanasiyana a thupi amagwirizana ndi zovuta zina za FC.

M'matenda a shuga, ma 4 FC ali okha malinga ndi kuwopsa kwa matendawa:

- FC - Ine - ndimtundu wofatsa wamatenda a shuga.

- FC - II - mwamphamvu.

- FC-III - m'mitundu yoopsa yamaphunziropo, pamakhala kusinthasintha kwakukulu kwa shuga m'magazi masana kuyambira hyperglycemia kupita ku hypoglycemia, kuphwanya kwakukulu kwa maso, mitsempha yamagazi ya impso,

- FC-IV - pakachitika kuphwanya kwamphamvu ndi khungu, kudula zam'mphepete zomwe zimalepheretsa kuyenda, uremia.

Cholinga cha MR ndikuthandiza kukhala ndi moyo wabwino, kupewa zovuta, komanso kuchepetsa kuwonongeka kwa ziwalo zozama (maso, impso, mitsempha ya mtima, ubongo, ndi dongosolo lamanjenje).

Kukonzanso odwala omwe ali ndi matenda amtundu II amachitika makamaka

Pambuyo pofufuza wodwalayo, IPR yaphatikizidwa yowonetsa nthawi ndi njira za chipatala, ma labotale ndikuwunika momwe ntchito ikuyendera

zochitika zomwe zikuchitika pomvera malangizo omwe adalandilidwa kale

magawo a chithandizo chamankhwala, komanso matenda.

Kuchita bwino kwa MR kumawunikidwa malinga ndi njira zotsatirazi, kuwonetsera:

Kukwanitsa kulipira kwakukhalitsa (Normglycemia, aglycosuria),

Kuchuluka kwa njira zophunzirira kudziletsa kwa matenda ashuga kudzera pasukulu ya wodwala,

- chindapusa chonse kuchokera kwa ziwalo zomwe zakhudzidwa,

Kuchepetsa kwa 30% kapena kuposa kuchuluka kwa insulini yoyendetsedwa kapena kumwa kwa mapiritsi a mankhwala ochepetsa shuga;

Kuchepa kwa kunenepa kwambiri komanso kuthamanga kwa magazi,

- kuthekera kwa kukonza dyslipidemia,

Kuchepetsa kuchuluka kwamankhwala akukonza chifukwa chobwezera

Kuchepetsa kwa zizindikiro zofunika ndi 10-25% kapena ndi FC

Pulogalamu yokhazikitsira munthu payekha pa polyclinic siteji imaphatikizaponso: regimen, zakudya, kuphatikiza thupi, kuchotsa zizolowezi zoipa, kuchita masewera olimbitsa thupi, kukonza mankhwala ndi

kumwa insulin ndi mankhwala ena.

Odwala amatsatiridwa, kutsata-maphunziro a kanthawi 3-4 pachaka: kusankha mavitamini, lipotropic, hepatotropic, hypolipidemic mankhwala.

Ndondomeko yokhazikitsira aliyense payekha kwa odwala matenda ashuga omwe ali ndi vuto lochepa la carbohydrate metabolism (FC-I)

Kukonzanso kuchipatala kwa odwala omwe ali ndi shuga omwe ali ndi kuphwanya pang'ono kwa kagayidwe kazakudya munyengo yamalipiro ndi zosowa zochepa (1-2 kawiri pachaka) ndikukhala ndi malire ochepa a moyo kumaphatikizapo:

I. Zakudya zamankhwala zokhala ndi mphamvu yochepetsedwa, kuchepetsa zomwe zili ndi zopatsa mphamvu zambiri zamafuta ndi mafuta azakudya. Maziko azakudya ayenera kukhala okhuthala komanso okhala ndi mitundu yambiri yazakudya, yogawidwa modyera uliwonse.

II. Kinesitherapy Zochita zolimbitsa thupi zomwe zimathandizira kukhazikika kwa shuga wamagazi, mkhalidwe wamaganizidwe a wodwala. Zofunikira kuphatikiza zolimbitsa thupi kwa ola limodzi mu

tsiku (dosed physiotherapy Exercise, physiotherapy, dosed kuyenda, kudzilimbitsa, masewera, malo osambira, ndi zina).

III. Maganizo a kukonzanso umalimbana ndikuwapangira wodwala yemwe ali ndi chidwi, chidziwitso, chabwino

Malangizo a adotolo ndi kukula kwa mayankho odziyimira pawokha

moyo kutengera chidziwitso chomwe wapeza.

IV. Physiotherapy iyenera kugwiritsidwa ntchito ngati njira yobwezerera chakudya chamafuta ndi mafuta (hydrotherapy, magnetotherapy, Therapy Therapy, etc.).

V. Njira zosagwirizana.

Mankhwala azitsamba - monga njira yodziimira pakukonzanso, yogwiritsidwa ntchito limodzi ndi mankhwala azakudya pakatha milungu ingapo itatha

kuyamba kulandira mankhwalawa. Kukonzekera kwazitsamba ndi ntchito ya hypoglycemic kumagwiritsidwa ntchito:

- kuphatikiza thupi ndi zopangira zamchere

Maluwa a chimanga, masamba apamwamba a laurel, msuzi wa anyezi, ndi zina).

- guanidine wokhala ndi zokonzekera (nyemba, nandolo, mabisiketi),

 mankhwala azitsamba omwe amathandizira kubwezeretsa ma cell a β-cell a kapamba (malo ogulitsa mahatchi, ndi zina),

Kukonzekera kwazitsamba komwe kumakhudzana ndi kayendedwe ka chitetezo chamthupi

(eleutherococcus, aralia, mpesa waku China wa magnolia, ginseng, radiola ndi ena),

- kukonzekera kwa galenic kuchokera masamba obiriwira, lingonberry, msuzi watsopano

masikono akulu, timapepala ta nyemba, ma mbuzi, ndi zina).

Kuphatikiza pa mankhwala azitsamba, njira zina zopanda miyambo (IRT, acupuncture ndi zina) zimagwiritsidwa ntchito kwambiri.

VI. Kuphunzira matenda ashuga kusukulu yakudziyendetsa payekha

(kuwerengera zakudya, magazi ndi mkodzo poyang'anira maginito oyeserera,

glucometer, kupewa zovuta za matenda ashuga).

Chofunikira ndi kudziwa koyamba kwa malamulo.

kusunga zolemba za wodwala yemwe ali ndi matenda ashuga, momwe amawonetsera kuchuluka kwa glycemia, kuthamanga kwa magazi, kulemera kwa thupi, ndi zina zambiri.

VII. Kukonzanso mwaluso kumaphatikizapo ntchito

diagnostics, maphunziro aukadaulo ntchito zofunika, komanso

imapereka makonzedwe, ngati kuli kotheka, zoletsa mu ntchito ya VKK mabungwe azachipatala, ngati atayika

pulofesa - ntchito yakuwongolera, kusankha kwa akatswiri pamapeto omaliza

Ndondomeko yokhazikitsira aliyense payekha kwa odwala ndi olumala

ndi shuga yochepa yamtundu II wokhudza kunenepa kwambiri (FC-II).

Kukonzanso kuchipatala kwa odwala omwe alibe shuga

ndi kunenepa kwambiri kuyenera kuthetseratu mkhalidwe wa insulin kukana pang'onopang'ono kuchepetsa kulemera kwa thupi, kuchepetsa ndi kuletsa kusuta, kutsatira zakudya ndikulimbitsa thupi.

Njira zikuluzikulu zochiritsira mankhwalawa ndi:

Zakudya za hypocaloric (800-0000 kcal), zomwe zimapereka kuchepa pang'onopang'ono m'thupi. Pazakudya zotere, mafuta, makamaka okhutitsidwa, amakhala ochepa. Payenera kukhala chiŵerengero cha zakudya

pakati pa mafuta a asidi 1: 1. Odwala omwe ali ndi Hypercholesterolemia (5.2-6.5 mmol) amalimbikitsidwa.

Zakudya zomwe mafuta amapanga 30% ya zopatsa mphamvu zonse, cholesterol

zosakwana 300 mg patsiku, mapuloteni omwe amadya nyama osaposa 200 g

patsiku, kupatula mafuta m'thupi ndi mafuta. Mwa chakudya, confectionery ndi ochepa (lipid-kuchepetsa kudya No. 1).

Ndi hypercholesterolemia yolimba kwambiri (6.5-7.8 mmol), zakudya zimayikidwa ndi mafuta osaposa 25%, cholesterol yochepa

250 mg patsiku, wokhala ndi zinthu zochepa zama protein (zakudya za nyama zimachepetsedwa mpaka 150 g patsiku monga nyama yopendekera). Zopatsa mphamvu za Carbohydrate ndizochepa zakudya zokhala ndi chakudya cham'malo ambiri, makeke, shuga ndi maswiti: chokoleti, uchi, zotsekemera, zakumwa za zipatso, mtanda wokoma, etc. (chakudya nambala 2).

Mu kwambiri hypercholesterolemia (oposa 7.8 mmol), zakudya zimayikidwa ndi mafuta osakwana 20% yazakudya zonse zopatsa mphamvu, zosakwana mafuta m'thupi

150 mg patsiku, wokhala ndi zinthu zochepa zama protein (osaposa 85 g patsiku).

Mafuta a masamba okha, margarine ochepa omwe amagwiritsidwa ntchito. Zoletsa pazakudya zamafuta ndizofanana ndi zakudya No. 1 (zakudya No. 3).

Zida zathupi zimagwira ntchito yofunika kwambiri pakukonzanso kwa odwala omwe

Matenda a shuga komanso kunenepa kwambiri. Kuchita masewera olimbitsa thupi kumathandiza. Katundu wofotokozedwa nthawi zonse amathandizira kubwezeretsanso shuga ndikusungabe chilimbikitso chokhazikika, ndikuthandizira

kuchepetsa kufunikira kwa kuchepetsa shuga

mafuta ndi mitundu ina ya kagayidwe, kakulidwe ka minyewa yamatenda a shuga. Iye ali

zimaphatikizapo kuwonjezeka zolimbitsa thupi osachepera ola limodzi patsiku mu mawonekedwe a ntchito zochizira, masewera olimbitsa thupi, kuyenda kosaletseka,

physiotherapy ndi madzi ndi njira zina, kutikita minofu. Mukamasankha

kuchuluka ndi mitundu ya zochita zolimbitsa thupi ziyenera kuganizira kuchuluka kwa glycemia,

zomwe siziyenera kupitirira 15 mmol / l. Kukula ndi kutalika kwamakalasi kumatsimikiziridwa ndi momwe wodwalayo alili, kugunda kwa mtima kumaganiziridwa,

kuthamanga kwa magazi ndipo, ngati nkotheka, VEM data. Odwala nawonso akuwonetsedwa.

njira zosakhala zachikhalidwe (IRT, acupressure, acupuncture).

III. Gawo lamalingaliro pakukonzanso.

Cholinga chake chachikulu ndimayendedwe amisala komanso owonjezera a shuga, cholinga chachikulu chomwe ndikukonza

kusokonekera kwa umunthu komwe kumayambitsa kusatsata zakudya ndi malingaliro ena. Makalasi onse payekhapayekha ndi gulu amagwira ntchito motalika. Gawo lamaganizidwe okonzanso

ndipo cholinga chake ndikupanga mawonekedwe oyenera matenda ndi chithandizo, ku udindo wawo m'banjamo ndikugwira ntchito.

IV. Njira zosagwirizana.

Mankhwala azitsamba amagwiritsidwa ntchito pawokha kapena osakaniza ndi mapiritsi ochepetsa shuga. Zinthu za mmera zimagwiritsidwa ntchito zomwe zimalemeretsa thupi ndi zopitilira muyeso zamchere, zimalimbikitsa kukonzanso maselo a β-cell, komanso owongolera chitetezo.

Chogwiritsidwanso ntchito kwambiri ndi IRT.

V. Mankhwala osokoneza bongo pakukonzanso.

Mankhwala ayenera kulandira kwa odwala omwe ali ndi matenda ashuga

zolimbitsa thupi poti sikungatheke kukwaniritsa gawo labwino kapena lokwanira la kuwongolera glycemic mwa kuphatikiza zakudya ndi

Gulu lotere la odwala limawonetsa chithandizo ndi biguanides, koma omwe

amagwiritsidwa ntchito pafupipafupi chifukwa cha zovuta zingapo

ndi zotsutsana. Amakonda kuperekedwa kwa anthu omwe ali ndi mbiri yochepa ya

lembani II beta, wonenepa kwambiri (metformin, buformin). Gulu ili

kuchepetsa mankhwala omwe amalimbikitsa odwala popanda zovuta

Matenda a shuga komanso matenda amtima komanso pakati

zaka. Kugwiritsa ntchito kwa chithandizo cha Biguanides pamankhwala kumawunikiridwa ndikusintha mkhalidwe wa wodwalayo m'masabata a 2-4 kuyambira chiyambi cha chithandizo.

Othandizira a hypoglycemic othandizira amtundu wachiwiri wa shuga ndi kukonzekera kwa sulfonylurea. Ndikulimbikitsidwa kuti kukonzekera kwotsatira kwa sulfonylurea kwam'badwo wachiwiri kukhale:

 gliclazide (diamicron, diabetesone, nkhonya),

 gliniside (minidiab, glibenesis),

 glibenclamide (maninyl, daonyl, euglucon),

 glycidone (glurenorm). Ndi mankhwala okhawo omwe ali 95%

Imafukufuku kudzera m'mimba, ndipo imawonetsedwa kwa odwala omwe ali ndi vuto la aimpso.

Mankhwala osokoneza bongo akuphatikizanso:

 kudya michere ya microic (zotupa za eicolon, bezafibrate, gemfibozol, fenofibrate),

Ntchito kukonzekera kwa anion-exchange resin (cholestyramine, colestinol, etc.),

 kudya nicotinic acid ndi zotumphukira zake,

- makonzedwe a hydroxymethylglutaride- coenzyme A reductase inhibitors

(lovastatin, levacor, simvastatin),

 kumwa mankhwala a thrombocytic (aspirin).

VI. Pulogalamu yamaphunziro.

Kuphunzitsa pasukulu ya matenda ashuga ndikofunikira pochiza matenda ashuga.

kudziyang'anira wega wamagazi, koyenera kuti munthu amvetse matenda amodzi mwa odwala, abale awo, kusankha zakudya,

ntchito, mankhwala.

Ndikofunikira kupanga malamulo ndi maluso oyankhira pamavuto azadzidzidzi (hypoglycemia, hyperglycemia).

Mphamvu ya MR imawunikidwa ndi zizindikiro:

Kuchepa kwa thupi ndi masentimita 3-5 mkati mwa miyezi itatu. Kuchuluka kwa thupi kumalimbikitsidwa kuwerengedwa pogwiritsa ntchito njira zotsatirazi:

P- (100 × P - 100) azimayi,

P- (100 × P - 100) kwa amuna,

pomwe P ndiye kukula kwa masentimita.

 kuchepa kwa ndende ya seramu cholesterol ndi 0,5-1,5 mmol

pakatha miyezi itatu

- kukwaniritsa Normoglycemia ndi aglycosuria musanadye,

Kugwiritsa ntchito mosamala ndi kuchepetsa ma diabetogenic othandizira, ndi

kuthekera ndi kusasiyana kwa iwo ku chithandizo.

Makalasi ku "sukulu ya shuga":

1. SD: lingaliro la matenda, etiology, pathogeneis.

2. Zakudya zopatsa thanzi monga matenda a shuga, shuga wodalira insulin, magawo a buledi.

3. Zakudya zopatsa thanzi, kudya calorie, shuga osadalira insulin.

4. Mankhwala a insulin, mitundu ya insulin.

5. Mavuto a insulin mankhwala, kupewa kwawo.

6. Kuchiza matenda a shuga ndi mankhwala amkamwa a hypoglycemic, phyto-therapy.

7. Mavuto a shuga.

8. Mavuto azadzidzidzi a matenda ashuga.

9. SD --- moyo: magalimoto oyenda, physiotherapy kunyumba,

ntchito akatswiri, spa chithandizo.

10. Kupewa matenda a shuga.

VII. Kukonzanso kwachikhalidwe kumachitika potsatira wodwalayo.

Zitha kukhala: kuchepa kwa chiwerengero cha mapangidwe okhala mukakhala pamtunda wapamwamba

osakweza, thandizo la ndalama.

Odwala omwe ali ndi matenda a shuga amapatsidwa mapiritsi ochepetsa shuga aulere.

Anthu olumala a magulu a II ndi III amapatsidwa mankhwala kuchotsera

90 ndi 50% malinga ndi malangizo a dokotala.

Viii. Kukonzanso ntchito kumakhala kosankha ndi ntchito yabwino pamaudindo okhudzana ndi zinthu zazing'ono zolimbitsa thupi (kwa anthu ogwira ntchito zolimbitsa thupi) kapena kupsinjika pang'ono kwamalingaliro pomwe akuchepetsa tsiku logwira ntchito ndi 1/3 kapena 1/2, i.e., -Ayi, magulu a I ndi II azosautsa komanso osakhazikika (kwa anthu olumala a magulu a III ndi II).

IX. Ukadaulo wazachipatala komanso wothandiza anthu.

Chiyerekezo (cha mulingo woyenera) wa VN wodwala matenda ashuga:

- Matenda obwera ndi matenda ashuga: mankhwala kuchipatala - 18-18 masiku,

Nthawi zambiri za HV- 18-18 masiku.

- Mtundu woyamba wa matenda ashuga, woyamba kupezeka: chithandizo cha mankhwala - masiku 10 mpaka 15,

chithandizo chakanthawi- 5-7 masiku, masiku ambiri a VN- 15-27 masiku.

 Mtundu wachiwiri wa matenda ashuga, oyamba ndi matenda a ketoacidosis:

Masiku 10-15, chithandizo chakanthawi - 3-4 masiku, mawu a VN - 13-18 masiku.

- Type 1 shuga mellitus (matenda ndi kuwonongeka kwa metabolic): odwala

- Lemberani matenda ashuga a 2 a matenda a shuga (matenda ndi matenda a metabolism):

 Mtundu woyamba 1 ndi 2 matenda ashuga (maphunziro a lable, chizoloŵezi cha ketosis): chithandizo

kuchipatala - masiku 12 mpaka 14, masiku ambiri a VN- 12-16 masiku, ngati kuli kotheka, kutumiza ku MREC.

 Mtundu wa matenda ashuga a 2 - okhatikiza ndi insulini (yachiwiri ya sulufamide), mukakusamutsira kuchipatala cha insulin:

Masiku 12-16, chithandizo chakanthawi- 5-7 masiku, ambiri a VN- 17- 21

tsiku, ngati kuli kotheka, kulowerani ku MREC.

Mukamauza odwala matenda ashuga ku MREC,

Matenda a FC (machitidwe awo azachipatala ndi othandizira), kuchepa kwa ntchito zofunikira komanso kukula kwake.

Njira za kulemala zimadalira kukula kwa matenda ashuga ndipo zimatsimikiziridwa ndi:

 kukula kwa zovuta zama metabolic,

 kuchuluka kwa kusokonezeka kwa CVS ndi dongosolo lamanjenje, ziwalo zamawonedwe.

Mlingo wa insulin wotengedwa sungathe kudziwa kuuma

SD ITU imachitika malinga ndi kuzunza kwa kuphwanya.

Matenda ofatsa a metabolism ofatsa (8 mmol / l, tsiku lililonse

glucose osaposa 20 g) ndi magawo omwe amagwira ntchito a angioneuropathy amalipiritsa ndi zakudya. Nthawi yomweyo, ntchito malinga ndi VKK ikuwonetsedwa. Zotsimikizika

kulimbitsa thupi, kugwira ntchito kosinthana kwachiwiri, kusintha kosiku.

Kuchepetsa mphamvu kumaphatikiza chakudya chopatsa mphamvu, mafuta

ndi mapuloteni kagayidwe, hyperglycemia ndimasamba 9-16 mmol / l, shuga watsiku lililonse ndi 2040 g / l, gawo lotchulidwa la matenda ashuga polyneuropathy, glucosuria. Kudya pakamwa kwa shuga ndikotsutsana. Chifukwa chake

odwala amapatsidwa insulin mankhwala (60-80 unit)

insulin patsiku) ndi kulimbitsa thupi, kugwira ntchito

liwiro loyenera, zolimbitsa zolimbitsa thupi zochulukirapo, gwiritsani ntchito zinthu zoyenda, ntchito yayikulu yoika. Odwala awa

yotumizidwa ku MREC, yomwe imasankha gulu la III la olumala.

Ndili ndi shuga wambiri komanso mapangidwe ake

otsimikiza ndi gulu II.

Matenda akulu a shuga amaphatikizidwa ndikuphwanya mitundu yonse ya kagayidwe,

glucosuria, kufuna kubwereranso, kuphwanya CCC,

masaso, mankhwala ndi waukulu Mlingo wa insulin. Pazinthu izi, aliyense amavutika

mitundu yolankhulirana. MREC yatanthauzira gulu lachiwiri lolumala, koma likhoza

khalani ndi ine gulu.

Odwala omwe ali ndi matenda a shuga amapatsidwa mapiritsi ochepetsa shuga aulere.

Tsiku Lonjezedwa: 2016-12-31, Views: 4709 | Kuphwanya lamulo laumwini

Mitundu ya kukonzanso matenda ashuga

Kukonzanso kuchipatala kumachitika ndikusankha chithandizo choyenera cha mankhwalawa - Mlingo wa insulin kapena piritsi la antidiabetic m'mabungwe azachipatala ndi akatswiri oyenerera - endocrinologists.

Njira zakukonzanso zimaphatikizanso kafukufuku wa odwala omwe ali ndi mfundo zoyenera zosungitsira kuchuluka kwa shuga m'magazi, njira za jakisoni wa insulin, malamulo ogwiritsira ntchito ma glucometer kapena mawonekedwe oyeserera, kuchuluka kwa kuyesedwa kwa magazi pazizindikiro zazikulu za metabolism ya carbohydrate, komanso zizindikiro za zovuta za matenda ashuga.

Kuwongolera kwachiwiri kwa kukonzanso kwa odwala omwe ali ndi matenda ashuga ndikakonzedwe kazakudya zochiritsira, zomwe zikugwirizana ndi zaka, komanso mulingo wazinthu zolimbitsa thupi. Zakudya zopatsa thanzi zimaphatikizira kupatula kwathunthu sucrose ndi ufa woyera, komanso zakudya zonse zomwe zimakhala ndi glycemic index yayikulu,

Wodwalayo ayenera kudziwa njira yowerengera zakudya zomwe zimapezeka muzogulitsira, komanso ali ndi malamulo oyendetsera mitundu yazakudya ndi zina. Anthu omwe ali ndi matenda ashuga amatha kuthandizidwa ndi izi pochita ma fayilo apadera omwe amaperekedwa pa intaneti, komanso ma memos operekedwa ndi endocrinologists.

Zomwe zimaperekedwa pazakudya za shuga ndi izi:

Chakudya chamagulu.
Magawo ang'onoang'ono.
Zakudya za calorie: Chakudya cham'mawa 20%, nkhomaliro 30%, chakudya 20%, zakudya zazing'ono, 10% iliyonse.
Zamoyo zathupi la mapuloteni.
Kuchepa kwamafuta a nyama, cholesterol ndi sodium chloride.
Kuphatikizidwa kwa mankhwala a lipotropic: tofu, tchizi chokoleti, nyama ya oatmeal, nyama yokonda.
Zokwanira zamasamba, zipatso, pomwe zipatso ndi shuga m'malo mwake zimaphatikizidwa, zimayang'aniridwa ponseponse pamagulu a chakudya.

Kukonzanso khomo ndi mafakitale kwa odwala matenda ashuga kumaphatikizapo kupeza maluso apadera omwe amalola odwala, osagwiritsa ntchito thandizo lakunja, kukhala moyo wakhama wogwirizana ndi momwe alili.

2.1 Zina mwa mankhwalawa ndikugwiritsa ntchito njira zothandizira odwala omwe ali ndi matenda ashuga

Mwa zina mwazomwe zimagwiritsidwa ntchito pochiza matenda opweteka a shuga, zolimbitsa thupi, zomwe zimathandiza pochiritsa matenda osiyanasiyana chifukwa chakuwonjezeka kwa ntchito yogwira ziwalo zosiyanasiyana ndi machitidwe, ndizofunikira kwambiri.

Zolinga zazikulu zochizira matenda a shuga pogwiritsa ntchito masewera olimbitsa thupi ndi:

magazi a shuga,

kupewa kukula kwa pachimake komanso matenda a shuga,

kukhala ndi thupi labwino (odwala omwe ali ndi matenda a shuga II, monga lamulo, kuchepetsa thupi),

kusintha kwa malingaliro a wodwala m'maganizo,

kuwonetsetsa kuti ali ndi moyo wabwino kwambiri.

Ntchito ya minofu, makamaka yofunika kupirira, imayendetsedwa ndi kuchepa kwamadzi a insulin komanso kuchuluka kwa glucagon, komanso catecholamines, mahomoni okula ndi cortisol. Izi zimawonjezera glycogenolysis ndi lipolysis yofunikira pakulimbitsa mphamvu kwa thupi, komwe ndikofunikira kwa odwala omwe ali ndi matenda amtundu wa II.

Chifukwa cha njira izi zolimbitsa thupi, kuchita masewera olimbitsa thupi pafupipafupi kwa odwala matenda a shuga kumawonetsedwa ndi kusintha kwina kwabwino mthupi:

m'munsi glycemia,

yafupika insulin

kuchuluka kwa insulivit kwamaselo,

kutsika kwa zamkati zamatumbo m'magazi,

kutsika kwa kuthamanga kwa magazi,

Kuchepetsa chiopsezo cha matenda a mtima ndi zotupa za mtima zina, chifukwa cha kuchuluka kwa ma capillaries, kusintha kwamphamvu kwa magazi, kuchuluka kwa magazi m'mitsempha ya mtima ndi ziwalo zina ndi minofu yake.

kutsika kwa magazi kumatira kwa maselo ofiira, limodzi ndi kuchepa kwam'mimba.

kuchepa kwa kuchuluka kwa triglycerides ndi kuchuluka kwa kuchuluka kwa osalimba a lipoproteins,

kuchepa kwamafuta amthupi ndi thupi, motero

kuchepetsa chiopsezo cha mafupa,

kuchuluka chitetezo chokwanira komanso kukana kwakukulu kumatenda,

Kukula ndi kuchulukitsa kwa magwiridwe antchito amthupi,

kusintha kwa psychoemotional boma komanso chikhalidwe.

Komabe, kusachita zolimbitsa thupi kungakulitse matendawa ndikuwadzetsa zovuta zotsatirazi: hypoglycemia, hyperglycemia, retinal hemorrhage mu diabetesic retinopathy, chiopsezo chachikulu cha zilonda zam'mimba za matenda ashuga komanso kupweteka kwa miyendo m'miyendo yam'mapapo. machitidwe (myocardial infarction, sitiroko, matenda oopsa).

Njira yayikulu yothandizira masewera olimbitsa thupi ku matenda ashuga ndi maphunziro opititsa patsogolo thanzi lanu machitidwe olimbitsa thupi a cyclic m'dera la aerobic mwamphamvu. Komabe, pakukonzanso kwa odwala, makamaka magawo oyamba kapena pamaso pamavuto am'deralo, njira zina zochitira masewera olimbitsa thupi zimagwiritsidwanso ntchito: chithandizo cham'mawa chaukhondo, masewera a hydrokinesis, etc.

Tsoka ilo, nthawi zambiri chithandizo cha matenda ashuga chimayamba pambuyo poti wodwala wachotsedwa matenda a matenda ashuga. Mu wodwala, monga lamulo, asthenia phenomena amawonedwa mkati mwa masiku ochepa, chifukwa chake pochita masewera olimbitsa thupi olimbitsa thupi oyambira (nthawi 3-5) amagwiritsidwa ntchito pamagulu akulu am'mimba komanso am'munsi, amawasinthanitsa ndi kupuma (kosasunthika komanso kwamphamvu). Ndikothekanso kuphatikiza munthawi yamankhwala yolimbitsa thupi ya miyendo ndi kolala. Mwa kuyambitsa kagayidwe kachakudya mthupi, zimathandizira kuchepa kwamphamvu kwa glucose, kusintha kwa magwiridwe antchito amkati wamanjenje, komanso mtima.

Kenako, masewera olimbitsa thupi a magulu akulu a minofu, obwerezedwa mpaka nthawi 10, akuphatikizidwa mu maphunziro a FC. Kutengera mulingo wokonzekera, masewera olimbitsa thupi angaphatikizepo masewera olimbitsa thupi omwe ali ndi zinthu: ndodo yolimbitsa thupi, mipira yolimba komanso yotsika mtengo, ma dumbbell mpaka 1-2 makilogalamu, komanso ngakhale kuyesera simulators mu aerobic zone. Amasinthasintha ndimphamvu zolimbitsa thupi zopumira. Chiwerengero chobwereza-bwereza nthawi 10-12, ndipo kuchuluka kobwereza kumachitika kawiri pambuyo 2-3 kochita masewera olimbitsa thupi osiyanasiyana. Kutalika kwamakalasi ndi mphindi 20-30. Makalasi sayenera kuyambitsa kutopa kwakukulu. M'makalasi omwe muli ndi odwala achinyamata, masewera akunja amaphatikizidwa ndi njirayi.

Njira yothandiziratu kutopa pambuyo poti muchite masewera olimbitsa thupi ndi mphindi 5 mpaka 10 yophunzitsira mwadzidzidzi, pomwe mutha kudziyimitsa mokwanira pogwiritsa ntchito mitundu iwiri yoyambirira yokha ya kotsika kwambiri ("mphamvu yokoka" ndi "kutentha"). Ndikofunika kumaliza kumaliza kulimbitsa thupi ndi masewera olimbitsa thupi (Appendix 1).

Ndipo, patatha milungu isanu ndi umodzi akuchita pulogalamu yoyambira yoyenda kapena yogwira pa njinga yamagetsi, amayamba kuchita masewera olimbitsa thupi ngati chinthu chofunikira kwambiri, chomwe ndi chida chachikulu pakukonzanso odwala matenda ashuga. Odwala omwe ali ndi thanzi labwino amatha kuyamba maphunziro nthawi yomweyo.

Pochiza odwala matenda ashuga, chinthu chofunikira kwambiri ndicho chizolowezi chochita zolimbitsa thupi pogwiritsa ntchito zochitika zolimbitsa thupi, popeza kupumula kwa masiku awiri pophunzitsira kumabweretsa kuchepa kwa chidwi champhamvu cha maselo a minofu kuti insulini ikwaniritsidwe ndi kulimbikira kwa ntchito.

Kusankhidwa kwa odwala m'makalasi ochita masewera olimbitsa thupi: odwala ambiri omwe ali ndi matenda opatsirana a shuga ofatsa pang'ono pang'ono ndi chiphuphu chokwanira, kupezeka kwa angiopathies a I ndi II digiri, komanso matenda otsatirawa:

matenda oopsa I, IIA Art.,

kulephera kwazungu I, IIA Art.,

matenda a mtima (I, II, II-III magawo othandizira),

kunenepa I - III zaluso.,

kuwongolera osteoarthrosis popanda kuwonongeka kwakukulu kwa ntchito yolumikizana.

Zoyipa zotsutsana ndi masewera olimbitsa thupi ndi:

matenda oopsa a shuga, kuwola kwake,

Micro- ndi macroangiopathies okhala ndi zovuta zazikulu za trophic,

prinotic retinopathy, yotsatana ndi kuchepa kwa masomphenya.

matenda oopsa IIB ndi III zaka, zovuta zamankhwala,

magazi kulephera CB ndi kumtunda

matenda amitsempha yama mtima ya magawo a III ndi IV,

kupumula kwamtima kwambiri kuposa 100-110 kumenyedwa / mphindi,

aneurysms a mtima ndi mtsempha wamagazi,

mtima wosakhazikika bwino,

kuchuluka kwa matenda amtundu wa shuga wodwala,

Matenda owopsa komanso opatsirana opatsirana, makamaka limodzi ndi kuwonjezeka pang'ono kwa kutentha,

sanali bwino ankalamulira pathological ku katundu, makamaka mu mawonekedwe akusintha kwamphamvu mu msana wa glycemia panthawi yolimbitsa thupi (mpaka 5-6 mmol / l kuchokera koyambirira).

Zowonjezera zolumikizana ndi zolimbitsa thupi: zaka zopitilira 65, kusakhala nawo gawo lokwanira komanso kufuna kuchita masewera olimbitsa thupi.

Pofuna kusamalira dongosolo lokonzanso thupi la odwala omwe ali ndi matenda ashuga, kuunika kwathunthu kuyenera kuchitika, kulola kuwunika momwe alili potsatira magawo otsatirawa:

1) kuopsa ndi kubwezeretsedwa kwa matenda ashuga,

2) kupezeka kwa zovuta za matenda ashuga komanso kuuma kwawo,

3) kukhalapo kwa matenda amodzi,

4) magwiridwe antchito a mtima

5) maphunziro a wodwala,

6) zokwanira zoyankha pakulimbitsa thupi.

Nthawi zambiri, mayesowa akuphatikizapo: kuphunzira za shuga masana masana, katatu, kuyezetsa kwamkodzo mapuloteni, ECG yopuma komanso panthawi yopimidwa ndi nkhawa yokhala ndi stepwise yowonjezereka pa ergometer yanjinga kapena poyenda, kukambirana ndi ophthalmologist (diabetesic retinopathy), kufunsira ndi katswiri wamitsempha yamagazi (zotumphukira ndi zotulutsa ma neuropathies), mayeso a Cooper.

Makamaka chofunikira ndikuyesera kupsinjika. Zimakupatsani mwayi wodziwa kuchuluka kwa kugunda kwa mtima komanso kuthamanga kwa magazi, chovomerezeka chokwanira komanso chokwanira kwa wodwala winawake, popeza zimasiyana mosiyanasiyana kutengera mtundu wamtundu wophunzitsira womwe wagwiritsa ntchito, koma, monga lamulo, kusintha kwawo kuyenera kukhala 60-75% ya gawo lololerana lomwe limayikidwa pa njinga ergometry.

Amayamba kuchita masewera olimbitsa thupi poyenda ndi pulogalamu yoyenda kapena kuyenda pang'onopang'ono. Mitundu yamagetsi awa ndi yokwanira ngakhale kwa okalamba, anthu otakataka. Amakulolani kuti muzilowa nawo pang'onopang'ono muzolowera masewera olimbitsa thupi pogwiritsa ntchito mitundu ina ya katundu. Izi ndizofunikira kuchokera kumbali yamalingaliro. Komabe, kuwonjezera pa mphamvu zamagetsi, ndikofunikira kuganizira zina zofunika pamitengoyi, zomwe zimatha kuyambitsa kapena, kusokoneza magwiritsidwe awo ophunzitsira pochiza matenda ashuga.

Kukonzanso thupi

Ntchito zikuluzikulu kubwezeretsa odwala pogwiritsa ntchito masewera olimbitsa thupi ndikuwonetsetsa kuti thupi limakhala lolemera, komanso mtundu wachiwiri wa matenda a shuga, kuchepetsa kuchuluka kwake, komanso kukonza kuyamwa kwa glucose mu minofu minofu.

Ndi kugwiritsa ntchito zolimbitsa thupi moyenera, ndizotheka kupewa zovuta za matenda a shuga, kusintha magwiridwe am'mimba, mtima ndi mitsempha yamagazi, kusintha mkhalidwe wamalingaliro ndi wamalingaliro, kuchitira chithandizo chakuchotsa matenda amtunduwu ndikukulitsa chidwi cha minyewa.

Minofu contractions, makamaka panthawi yolimbitsa thupi yomwe imafunikira mphamvu, kuchepetsa shuga, ma catecholamines, triglycerides m'magazi. Nthawi yomweyo, kuthamanga kwa magazi kumachepa ndipo kuthamanga kwa magazi kudzera m'mitsempha yaying'ono ya magazi kumawonjezeka, komwe kumawonjezera njira za metabolic ndi zakudya zamagulu, ndipo chiopsezo cha mafupa amachepa.

Ngati dongosolo la njira zopewera thupi silinakonzedwe molondola, kapena ngati wodwalayo akweza katunduyo payokha, ndiye kuti izi zitha kuyambitsa mavuto monga:

Hypoglycemia.
Kuchuluka kwa shuga.
Ndi diabetesic retinopathy, chiopsezo cha hemorrhage chikuwonjezeka.
Ndi neuropathy, zolakwika zam'mimba zimapangidwa.
Chiwopsezo cha zovuta zamagazi kapena myocardial ischemia chikuchulukitsidwa.

Kukonzanso kumayamba pambuyo pochotsa wodwalayo. Odwala otere, mkati mwa sabata loyamba, kufooka kwambiri kumadziwonetsera, kotero masewera olimbitsa thupi osavuta kwambiri amagwiritsidwa ntchito mwanjira ya kubwereza kwa 3-5 yamagulu akulu am minofu omwe amasinthana ndi kupuma. Kutikita minofu kapena kolala kumatha kulembedwa.

Kusavuta kosavuta kotereku kumathandizira mkhalidwe wamanjenje, mtima, kuthamanga kwa magazi. Pambuyo pake, kuphunzitsidwa kwa autogenic kwa mphindi 10 ndikulimbikitsidwa.

M'tsogolo, odwala amatha kupatsidwa pulogalamu yopepuka yoyenda kapena masewera olimbitsa thupi. Katundu wotere amachitika mwezi wonse.

Seti yayikulu yophunzitsira odwala matenda ashuga

Mkhalidwe waukulu pakukonzanso kwa odwala omwe ali ndi matenda ashuga ndi kuchuluka kwama kalasi. Ngati mutapuma kwa masiku opitilira 2, izi zimachepetsa chidwi cha minofu ya m'mimba kupita ku insulin, yomwe idakwaniritsidwa ndi kulimbitsa thupi kwam'mbuyomu.

Kutalika kwa phunziroli kuyenera kukhala osachepera theka la ola. Pankhaniyi, kutentha kwatsala pafupifupi mphindi 10, ndipo gawo lomaliza ndi mphindi 7. Makalasi ayenera kukhala okwanira 4 pa sabata pamlingo woyenerera payekha.

Kuphatikizika kwakukulu kumalimbikitsidwa kwa odwala matenda ashuga osakhazikika kapena mwamphamvu, pakhoza kukhala ndi zizindikiro zoyambirira za angiopathy, matenda oopsa, matenda a mtima, kunenepa kwambiri, arthropathy popanda malire oletsa kuyenda.

Maphunziro amatsutsana m'magulu oterewa:

Matenda akulu a shuga ndi kukula kwa chikomokere.
Angiopathies omwe ali ndi vuto la trophic.
Matenda a shuga.
Kuwona kochepa kwa matenda ashuga retinopathy.
Matenda oopsa kapena matenda a mtima m'magawo atatu.
Myocarditis, arrhythmia, aneurysms yamitsempha yamagazi.
Tachycardia yokhala ndi kugunda kwa mtima kuposa 100 kupuma, fibrillation ya atria.
Thrombophlebitis.

Komanso, mtundu wawukulu wolimbitsa thupi suchitidwa kwa odwala atatha zaka 65, kusinthasintha kwakukulu m'magazi a glucose, ndi vuto losakwanira laimpso, ndikulankhula kwa kusasamala kwa wodwalayo komanso kusafuna kuchita masewera olimbitsa thupi.

Maphunziro omwe amagwiritsidwa ntchito kwambiri ndi njinga zolimbitsa thupi, njinga zolimbitsa thupi, kuthamanga pang'ono, komanso kuvina. Zosalimbikitsa: kulimbana, kukwera, kukweza bala.

Kukonzanso kwakuthupi kwa anthu odwala matenda ashuga sikuyenera kuyambitsa kuchuluka kwa shuga m'magazi, sikumachitika ngati kuchuluka kwa glucose kuli 11 mmol / l, komanso momwe ma ketoni amawonekera mumkodzo. Popanda ma ketones, kuphunzitsidwa ndikotheka, koma zotulukapo zake zimatha kusintha mayendedwe a glucose mmwamba ndi pansi.

Popewa hypoglycemia, ndikofunikira kuyeza kuchuluka kwa shuga musanayambe kuchita masewera olimbitsa thupi, komanso maola awiri mutatha kuchita masewera olimbitsa thupi. Onetsetsani kuti muli ndi zakumwa monga mitundu ya zipatso kapena zakumwa zochokera mu kaboni kuti muwonjezere msanga glycemia.

Pofuna kupanga pulogalamu yoyeserera bwino, kuyeserera koyambirira kumachitika ndikutsimikiziridwa kwa zofunikira zazikulu za chiphuphu cha matenda a shuga, komanso kuchuluka kwa kulimba, kukhalapo kwa concomitant pathology, ECG popuma komanso pambuyo pochita masewera olimbitsa thupi.

Odwala omwe ali ndi matenda osokoneza bongo asanayambe kukonzanso pogwiritsa ntchito masewera olimbitsa thupi amalangizidwa ndi katswiri wamitsempha yamagazi, mayeso a kupsinjika pa ergometer ya njinga.

Mankhwala ali ndi malingaliro oyipa kwambiri ogwiritsiridwa ntchito ndi odwala omwe ali ndi matenda ashuga osamba, otentha kapena osamba limodzi ndi zolimbitsa thupi, mowa umaletsedwa, simungathe kuchita nawo chilimwe padzuwa lotseguka.

Kuphatikizana kotereku kumapangitsa kuti chiwopsezo cha mitsempha chisokonekere komanso kukoka kwa magazi mu retina ndi ubongo.

Kukonzanso ana omwe ali ndi matenda ashuga

Kukonzanso kwakuthupi kwa ana omwe ali ndi matenda ashuga kumaphatikizapo kusankha zochita zomwe mwana amakonda. Ikhoza kukhala kuthamanga, mpira wamiyendo kapena volleyball, kukwera mahatchi, kupalasa njinga, basketball, tenisi, aerobics kapena badminton.

Masewera a masewera nthawi zonse amakhala abwino kwa mwana, popanda zotsutsana, mutha kusankha masewera aliwonse olimbitsa thupi, kupatula kuthamanga kwa masewera othamanga, masewera olimbitsa thupi, kunyamula zolemera, kuyendetsa pansi madzi mwamchenga, kusewera chisanu. Anthu odwala matenda ashuga samalimbikitsidwa chifukwa chotsika kapena kukwera miyala.

Masewera olimbitsa thupi kwa ana ndikusambira, popeza mtundu uwu wa katundu mwa ana ukhoza kuchulukitsa kapena kuchepetsa kwambiri shuga, zomwe zimafunikira kuti zizilimbikitsidwa mosamala kwambiri kwa ana omwe ali ndi glycemia yosakhazikika.

Zochita zolimbitsa thupi za matenda a shuga kwa ana zimayikidwa molingana ndi malamulo awa:

M'masiku opanda magiredi, nthawi yomweyo yomwe maphunziro amayendetsedwa pakuchitika zolimbitsa thupi.
Pafupipafupi kalasi pasabata ndi 4-5 nthawi.
Asanakhale kalasi, muyenera kudya kwa maola 1.5 - 2.
Makalasi oyamba ayenera kukhala mphindi 10-15, kubweretsa mpaka mphindi 40 ndi matenda a shuga 1. Mu mtundu wachiwiri wa matendawa, nthawi imatha kuwonjezeka mpaka ola limodzi.
Musanalemedwe, muyenera kuyeza shuga - ngati akuchepera 5.5 mmol / l, komanso ngati acetone iwoneka mkodzo, ndiye kuti simungathe kuchita.

Mwana amafunika kukhala ndi msuzi, sangweji, maswiti, komanso madzi ena ndi iye. Mukamachita masewera olimbitsa thupi, muyenera kuyang'anitsitsa thanzi lanu, ndipo mukatha maphunziro osachepera mphindi 10-15 kuti mupumule.

Massage ndi physiotherapy a matenda ashuga

Mu shuga mellitus ndi zotupa zamitsempha yamagazi, mafupa, komanso kunenepa kwambiri ndi polyneuropathy, mankhwala othandizira ndi mankhwala. Zimasintha kayendedwe ka magazi ndi zamitsempha, zimalepheretsa kupweteka ndi kutopa mukamayenda, zimathandizira kuchira kwamtundu wofewa, kumawonjezera mayendedwe osakanikirana.

Contraindication kwa kutikita minofu ndi zovuta matenda ashuga, trophic zotupa, kukokoloka kwa arthropathy, komanso concomitant somatic matenda.

Mu matenda a m'munsi malekezedwe a polyneuropathy, magawo minofu umachitika mu lumbosacral dera. Kutikita minofu kungachitike pokhapokha koyambirira. Chifukwa cha kunenepa kwambiri, kutikita minofu ndikulimbikitsidwa. Ndi zotupa za manja, kolala yokhazikika imasenda. Pazovuta zazikuluzikulu zamagazi, acupressure imagwiritsidwa ntchito.

Physiotherapeutic chithandizo cha odwala matenda a shuga chimachitika ndi zotsatirazi:

Kukondoweza kwa kupanga insulini komanso kuletsa kwazinsinsi za mahomoni otsutsana.
Kupewa kwa insulin.
Kulimbitsa maphunziro a shuga.
Kusunga chakudya choperekera chakudya komanso lipid metabolism
Kupewa kwa Matenda A shuga

Pazomwezi, mafunde ophatikizika amachimo amathandizira kudera lamankhwala am'mapapo, mankhwala a electrophoresis a nicotinic acid kumalo osungirako magazi ochepa panthawi ya polyneuropathy, pogwiritsa ntchito maginito osinthika, laser therapy, UHF ndi ultrasound.

Phonophoresis ndi darsonvalization zimachitidwanso. Zochizira zamitsempha yamagazi ya ubongo, ma electros sleep amathanso kutumikiridwa, komanso galvanization kapena electrophoresis ya magnesium pamalire a kolala.

Mankhwala a balneological amachitika mu mawonekedwe a mpweya woipa, sulfide ndi bafa pakusenda kwa madigiri 36 12 - 15 maminiti. Kuthana ndi zotupa zam'mphepete, ma bowo a whirlpool ndi omwe amaperekedwa. Pokhapokha kuphwanya kwamva kutentha, kugwiritsa ntchito mafuta a parafini kapena ozokerite m'malo kapena mapazi, manja angagwiritsidwe ntchito.

Popeza njira zonsezi ndizopanikiza, ndiye kuti pambuyo pawo ola limodzi limalimbikitsa.

Chithandizo cha physiotherapeutic ndi chosakanikirana pamaso pa matenda opatsirana, kukokoloka kwa matenda okhudzana ndi ziwalo zamkati, ndi kuwonongeka kwa magazi, kuchepa kwaimpso, chiopsezo cha hypoglycemic kapena matenda a shuga, komanso matenda oopsa a gawo lachitatu. Kanemayo munkhaniyi akukamba za matenda ashuga komanso njira zamankhwala komanso zothandizira kukonza.

Kubwezeretsanso Matenda A shuga: Njira Zobwezeretsa Zoyambira

Kubwezeretsa matenda a shuga kumatengera njira yolumikizirana yomwe imaphatikizapo njira zingapo zobwezeretsanso thupi.

Zomwe zimakhazikitsidwa ndi kukhazikitsidwa kwa njira yolondola ya odwala, komanso chithandizo chamankhwala, pharmacotherapy, physiotherapy ndi masewera olimbitsa thupi.

Mosasamala mtundu wamatenda, muyenera kuyang'anira kuchuluka kwa shuga anu ndimankhwala, zakudya, komanso masewera olimbitsa thupi.

Ngati maphunziro olimbitsa thupi kuphatikiza ndi zakudya samakupatsani mwayi woti mupereke shuga, ndiye kuti pharmacotherapy imagwiritsidwa ntchito. Komabe, kugwiritsa ntchito mankhwalawa kuli ndi zovuta zingapo, monga kukula kwa kukana ndi zoyipa. Chifukwa chake, ntchito zamakono zamankhwala zimapereka chidwi chachikulu ku njira zothandizira kukonzanso matenda a shuga, omwe takambirana apa.

Madokotala amalimbikitsa kutikita minofu kwa odwala matenda ashuga kwa zaka zopitilira 100. Medical mabuku limasonyeza kukhalapo kwa zotsatira zabwino kutikita minofu pa matenda a shuga. Kusisita kumapereka mpumulo, kumachepetsa kugunda kwa mtima ndikuchepetsa kuthamanga kwa magazi.

Amadziwika kuti kutikita minofu kumachepetsa nkhawa, kuphatikiza mwa anthu omwe akudwala matenda amitundu iwiri ndi iwiri. Kusisita kumapangitsa magazi kuyenda mthupi, motero kumalepheretsa matenda a shuga a m'mimba komanso mavuto ena.

Chofunikira komanso kufunikira kwa kukonzanso matenda ashuga

Kubwezeretsanso matendawa kumatanthauza njira zingapo, cholinga chake ndikusintha odwala kuti azikhala ndi moyo komanso kuwalimbikitsa kuti apitirize kuchita zina ndi zina pamoyo, kulumikizana ndi ena, komanso kuchita zochitika zomwe amadziwa. Ndi matendawa, zolimbitsa thupi zolimbitsa thupi, chithandizo ndi prophylactic, kudya, kudya mavitamini ndi michere yazakudya ndizofunikira kwambiri. Njira zonsezi zitha kukonza moyo wa wodwalayo, komanso kuchepetsa ziwonetsero za kufalikira kwa zam'tsogolo.

Njira zowachiritsira ndikofunika kuchita kwa odwala omwe ali ndi mtundu woyamba komanso wachiwiri wa matenda ashuga.

Pali magulu angapo a magawo omwe cholinga chake ndi kukonzanso odwala omwe ali ndi matenda osokoneza bongo kuti alimbikitse thanzi lawo ndikuwongolera kusintha. Kukonzanso kungakhale:

Zachipatala. Izi ndi njira zovuta kuchipatala, chifukwa chomwe zimathandizira wodwalayo. Wodwalayo amapatsidwa mankhwala osiyanasiyana ndi mavitamini osiyanasiyana omwe amakhutitsa thupi ndi zinthu zofunika kuti thupi lizigwira bwino komanso zimakhudza kupanga kwa insulin.
Zakuthupi. Poterepa, tikulankhula za njira zingapo zomwe zimakhudzana ndi zochizira zakunja. Mkhalidwe waumoyo umakhazikika kudzera muzochita zamasewera othandizira, kutikita minofu, kulimbitsa thupi, kayendedwe ka madzi.
Zamasamba. Izi zimaphatikizapo ntchito ya katswiri ndi wodwala kuti afotokozere za matendawa, kuwongolera mkhalidwe wake, kufotokoza malamulo a moyo wathanzi omwe amathandizira kupewa kufalikira.
Kaya. Amagwira ntchito ndi wodwala mwanjira yoti amalandila maluso ena, pogwiritsa ntchito zomwe mungadzipulumutse nokha, popanda thandizo lakunja.
Kupanga. Wodwalayo amaphunzitsidwa mwapadera kuti akhale ndi luso lomwe lingamuthandizire kupeza ntchito m'tsogolo.

Tcherani khutu! Pakukonzanso matenda a shuga, momwe wodwalayo amakhudzidwira ndikofunika - izi zimatsimikizira momwe zotsatira zake zidzachitikire. Ichi ndichifukwa chake achibale komanso abwenzi a wodwalayo ayenera kumuthandiza ndikumuzungulira ndi malo omvetsetsa ndi chisamaliro.

Zochita zolimbitsa thupi

Zochita zolimbitsa thupi ndizofunikira kwambiri pakukonzanso kwa odwala omwe ali ndi matenda ashuga. Ndizofunikira kwambiri kwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri - pankhaniyi, matendawa nthawi zambiri amathandizira kuwonda.

Zolinga zakuchira pakukonzanso izi:

kuchepa kwa shuga m'magazi chifukwa chakuwonjezeka kwa oxidative-enzymatic reaction mu chiwindi ndi minofu.
Kuchepetsa thupi ndi kukonza munthawi yoyenera,
kulimbitsa thupi, kukulitsa mphamvu,
kulimbitsa mtima,
kupuma dongosolo maphunziro
kulimbitsa mtima
kuonjezera chitetezo chokwanira komanso kukana kwa thupi kumatenda osiyanasiyana ndi ma virus.

Zochita zolimbitsa thupi kwa odwala omwe ali ndi matenda ashuga ziyenera kukhala zowoneka bwino: katundu wamphamvu kwambiri amathandizira kuchepa kwambiri kapena kuwonjezeka kwa glucose, komwe ndi kowopsa ndi hyper- kapena hypoglycemic coma. Komanso, kuwonjezera zolimbitsa thupi kumatha kuyambitsa matenda opha ziwalo kapena matenda oopsa.

Asanayambe makalasi, tikulimbikitsidwa kuti mupeze kuchuluka kwa shuga ndikuwayerekeza ndi zizindikiro zomwe mwapeza mutatha kulimbitsa thupi. Chifukwa chake, mutha kudziwa momwe thupi limakhudzira makalasi osiyanasiyana.

Ndi matenda a shuga, tikulimbikitsidwa kuthamanga mosamala, kulumpha zingwe, komanso kuchita masewera olimbitsa thupi olimbana ndi nkhawa (mwachitsanzo, kukweza bar). Ngati ndi kotheka, mitundu iyi ya katundu ndi yoyenera kupewedwa.

Maphunziro olimbitsa thupi samachotsedwa pamaso pa zotsutsana izi:

aneurysms a mtima ndi mtsempha wamagazi,
matenda oopsa
kulephera kwa aimpso
thrombophlebitis
kukhalapo kwa acetone mu mkodzo.

Ndikulimbikitsidwa kuti ndiyambe ndi mphindi 5-10 yodzipereka pakukonzekera zolimbitsa thupi, ndipo pang'onopang'ono kuwonjezera nthawi yayitali mpaka mphindi 60.

Onaninso vidiyoyi yokhala ndi zovuta zogwiritsa ntchito pochita matenda ashuga:

Ubwino wa kutikita minofu

Poyang'ana koyamba, kusintha kosavuta, kutikita minofu nthawi yomweyo ndikofunikira kwambiri pakukonzanso kwa odwala omwe ali ndi matenda ashuga. Kusuntha kosangalatsa kumakupatsani mpata wopuma, kusintha magazi, kusintha magazi, kusintha magwiridwe amthupi.

Njira zoyeserera (onani zochitika za kutikita minofu ya odwala matenda ashuga) zimawonjezera kuthekera kwa minofu kusintha, komanso kuchepetsa kutopa poyenda.

Ngati wodwala ndi wonenepa kwambiri, akuwonetsedwa kutikita minofu yonse. Ngati muli ndi vuto lozungulira la magazi, acupressure tikulimbikitsidwa; chifukwa cha matenda am'munsi, lumbosacral massaging tikulimbikitsidwa.

Ndondomeko contraindicated kuti kuphwanya minofu trophism, ndi pachimake zovuta matenda oyambira ndi arthropathy.

Physiotherapy

Kukonzanso thupi kwa matenda ashuga kumatha kulepheretsa zovuta zam'mbuyo za matenda oyambitsidwa, kusinthitsa kupanga kwa insulin, ndikukhazikitsa mkhalidwe wa wodwalayo.

Mu matenda ashuga, njira zotsatirazi ndizochita:

mankhwala a laser
mankhwala a balneological (sulfide, kaboni dioksidi, malo osambira).
ntchito ya parafini yapakhungu yomwe imagwiritsidwa ntchito kumaloko, manja, mapazi,
nicotinic acid electrophoresis,
Katemera
electrophoresis ya magnesium pamalire a kolala.

Mankhwala olimbitsa thupi samachitika ndi kulephera kwaimpso, matenda opatsirana pachimake, matenda oopsa.

Werengani zambiri zamankhwala olimbitsa thupi a matenda a shuga - werengani apa.

Kukonza zakudya

Zakudya za odwala matenda ashuga zimaphatikizapo:

kusiyanitsidwa kwathunthu kwa sucrose ndi ufa oyera kuchokera muzakudya,
zakudya zabwino zazing'onozing'ono,
kuchepetsedwa kwakukulu kwa zakudya zamchere, mafuta ndi mafuta ambiri;
kugwiritsa ntchito zakudya zomwe zili ndi ulusi wazomera (chimanga, masamba ndi zipatso, mtedza. Tiyenera kudziwa kuti mlingo wa zipatso zodyedwa tsiku lililonse sayenera kupitirira 200 g),
kugwiritsa ntchito nsomba, nsomba zam'madzi ndi mbale zochokera kwa iwo,
kugwiritsa ntchito zinthu za mkaka ndi mafuta ochepa.
kukana chakudya cham'mimba mosavuta komanso chakudya "chofulumira".

Zinthu zonse zopezeka tsiku ndi tsiku za munthu wodwala matenda ashuga siziyenera kupitirira 1800 calories.

Zakudya zopatsa chitsanzo zikuwoneka motere:

chakudya cham'mawa - phala la oatmeal, yophika m'madzi kapena mkaka wopanda mafuta, omelet, tiyi kapena khofi wokhala ndi mkaka,
nkhomaliro - tchizi, masamba opikika,
nkhomaliro - msuzi wokhala ndi msuzi wamafuta ochepa, nsomba zokongoletsedwa, saladi watsopano wamasamba, compote kapena zakudya,
tiyi wamadzulo - mkate wa chinangwa, tiyi wokhala ndi mandimu,
chakudya choyamba - nyama yophika, kulowetsedwa,
chakudya chachiwiri - kefir, apulo kapena yogati.

Werengani zambiri za zakudya zamatenda a shuga - werengani apa.

Kudya mavitamini komanso zakudya zopatsa thanzi

Kugwiritsa ntchito mavitamini osiyanasiyana komanso zowonjezera pazakudya ndikofunikira kuti thupi likhale ndi zinthu zofunika poyambira, chifukwa matenda ashuga amakhudza masomphenya, chiwindi chimagwira, komanso mafupa owoneka bwino.

Monga gawo la njira zothandizira anthu odwala matenda ashuga, mankhwala otsatirawa amaperekedwa kwa odwala:

Detox Plus. Ovuta amathana ndi zovuta zomwe zimayambitsidwa ndi matendawa, amatsuka matumbo kuti asatenge poizoni.
Mega. Zimathandizira kukonza luso la malingaliro, zimateteza minofu ya mtima ndi ubongo ku zovuta, zimapangitsa kukhala bwino.
Doppelherz Chuma. Izi zowonjezera multivitamin, zomwe zimathandiza kukhazikitsa njira za kagayidwe kachakudya mthupi, zimalimbitsa chitetezo chathupi, zimathandizira machiritso a bala.

Mankhwala onse, komanso mlingo wake, amathandizidwa ndi adokotala.

Werengani zambiri za mavitamini a odwala omwe ali ndi matenda ashuga - werengani apa.

Thandizo pamaganizidwe

Anthu omwe amapezeka ndi matenda a shuga amatha kupsinjika, amakonda kudzipatula komanso kukhala okha. Poterepa, katswiri wama zamaganizo amabwera kudzathandiza wodwala, cholinga chake ndikuwongolera momwe iye alili, mkhalidwe wake, malo ake

Kuthandizira pamaganizidwe ndikofunikira makamaka monga gawo lokonzanso ana ndi achinyamata omwe ali ndi matenda ashuga, omwe amatha kuvutika ndi kunyozedwa komanso kuzunzidwa molakwika ndi anzawo omwe akukhudzidwa ndi thanzi.

Njira zothandizira anthu odwala matenda ashuga ndizofunikira kwambiri: njira zonse zomwe zimatengedwa zimapangidwira kukonza thanzi, kukonza mkhalidwe wamalingaliro, ndikusintha wodwala pagulu. Njira zoyenera zochiritsira odwala zimathandizira kupewa zovuta zambiri komanso kusintha moyo wake ambiri.

Katemera

Katemera amagwiritsidwa ntchito kwambiri pochiza matenda ashuga ku China. Pang'onopang'ono, mchitidwewu ukuwonjezeka kwambiri ku Russia ndi mayiko ena otukuka. Acupuncture imatha kukhala yothandiza osati pochiza matendawa, komanso kuchepetsa mavuto obwera chifukwa chake. Zimathandizira kulimbana ndi kunenepa kwambiri komanso kukonza insulin.

Hydrotherapy

Hydrotherapy imathandiza thupi kuchita detoxization ndi kumasuka minofu. Zimathandizira kupumula kwamalingaliro ndi thupi. Ma chubu otentha amathandizira kutsika kwa magazi kupita ku minofu yamafupa motero amalimbikitsidwa kwa anthu odwala matenda ashuga a 2 omwe sangathe kuchita masewera olimbitsa okha.

Kupumula ndi chithandizo chamalingaliro

Kwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri, kuchuluka kwa zovuta zakumaso ndi kukhumudwa ndizokwera kuposa kuchuluka wamba. Nthawi zambiri, njira zopumulira zimathandizira odwala matenda ashuga kukwaniritsa shuga ochepa. Amathandizanso munthu yemwe akudwala matenda amitundu iwiri ndi iwiri kuti asinthe moyo wake ndikupanga mawonekedwe abwino azomwe azizungulira.

Ndikofunika kumvetsetsa kuti poyankha kukhumudwa ndi kusokonezeka komwe kumachitika, thupi limagwiritsa ntchito masitolo a glucose osaloledwa. Kumbali imodzi, izi zimathandiza thupi kupeza mphamvu zowonjezera kuti zithetse zomwe zimapangitsa kupsinjika, ndipo, zimapangitsa kuchuluka kwa shuga.

Zowonetsa pakukonzanso kwamalingaliro kwa achinyamata

Zamaganizidwe, ndizovuta kwambiri kwa achinyamata kuthana ndi zovuta za matenda ashuga. Pakadali pano, mtundu 1 wa matenda ashuga ndiwofala pakati pa achinyamata ndi ana kuposa mtundu wachiwiri wa matenda. Komabe, m'zaka zaposachedwa, kuchuluka kwa achinyamata omwe ali ndi matenda a shuga a 2 akwera kwambiri. Pakukonzanso kwa achinyamata, ndikofunikira kulabadira kuperekedwa kwa chithandizo chamalingaliro.

Nthawi zambiri, achinyamata amadzipatula okha ndipo sauza makolo awo komanso anzawo mavuto awo. Njira yothetsera vutoli ikhoza kukhala kulumikizana ndi achinyamata ena omwe akukumana ndi zovuta zofanana ndi matenda ashuga, komanso chithandizo cha gulu.

Kuzolowera zachinyamata

Mikangano pakati pa achinyamata ndi wamba. Ndikofunikira kuteteza achinyamata omwe ali ndi matenda ashuga kuti asatsutsidwe ndi kunyozedwa ndi anzawo, ngati alipo. Kuwopsa kwa mikangano kumakulirakulira chifukwa chakuti odwala matenda ashuga nthawi zambiri amakhala ndi zomwe zimawakhudza, komanso amakhala ndi nkhawa komanso kukhumudwa.

Werengani komanso Kuyerekeza zomwe zimachitika Siofor ndi Glucofage kukonzekera odwala matenda ashuga.

Kuti muthe kuthana ndi zovuta, mutha kulumikizana ndi katswiri wama psychologist kuti muchite ntchito yofotokozera ndi makolo, abwenzi, ndi anthu ena ochokera mdera lanu. Kupezeka kwa chilimbikitso chokwanira chamalingaliro kuchokera kwa achibale ndi abwenzi kumathandiza achinyamata omwe ali ndi matenda ashuga kuthana ndi matenda awo ndichinthu chofunikira pakusinthana.

Ndikofunika kuti makolo asachulukane posamalira mwana. Afunika kuwonetsera zokambirana komanso kukhala osachita nawo chidwi kwambiri. Ndikofunikira kudziwitsa wachinyamata kuti amamuganizira bwino, koma nthawi yomweyo amulemekeze, malingaliro ake ndi zomwe amakonda. Ndikofunikira kuti pakhale kukhulupirirana ndi kuthandizana. Zambiri mwa izi zimakhudzanso ubale ndi abwenzi.

Achinyamata omwe ali ndi matenda a shuga akamakula, ndikofunikira kukulitsa chidwi chokhala ndi moyo wathanzi mwa iwo. Achinyamata asanayambe kukhala pawokha popanda makolo awo, ndikofunikira kuti apange njira yoyenera yothandizira zakudya komanso masewera olimbitsa thupi, poganizira zaumoyo wawo.

Ndikofunikira kukulitsa kumvetsetsa kwakufunika kwa kudya wathanzi, kudziletsa komanso kulinganiza. Izi zikuthandizira achinyamata kuyang'anira kuchuluka kwa shuga awo ndikupewa ziyeso za kumwa mowa wambiri ndi kadyedwe koyenera. Kuchita masewera olimbitsa thupi kuyenera kukhala gawo lofunikira pa moyo wachinyamata.

Zomera zamankhwala

Njira zamakono zamankhwala zimagwiritsa ntchito mitundu yopitilira 1200 chifukwa cha zochita zawo. Kafukufuku akuwonetsa kuti mbewu zina zamankhwala zimachepetsa Zizindikiro komanso zimalepheretsa kukula kwa zovuta mu shuga, komanso zimathandizira kukonzanso maselo a beta ndikuthana ndi insulin kukana.

Mavitamini ndi Maminolo

Zochita zakuchipatala zikuwonetsa kuti mavitamini angapo (mwachitsanzo, B3 ndi E) ndi mchere (chromium, vanadium, magnesium ndi ena) amathandizira popewa komanso kuchiza matenda amtundu wa 2. Kusankhidwa koyenera kwa kuchuluka kwa mankhwala ndi kapangidwe kake komanso zakudya zamafuta awa ndi udindo wa adotolo.

Kafukufuku akuwonetsa kuti yoga imatha kuchepetsa zizindikiro komanso kuchepetsa zovuta za matenda ashuga amtundu wa 2. Amadziwika kuti yoga imathandizira ngakhale poletsa matenda ashuga. Yoga yonse imagwirizanitsa mkhalidwe wamthupi ndi wamaganizidwe a odwala omwe ali ndi matenda ashuga, ali ndi kubwezeretsa.

Masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi ndi gawo lofunikira mu pulogalamu yothandizira odwala matenda ashuga. Ndizofunikira kwambiri kwa anthu omwe ali ndi matenda amtundu wa 2.

Kuchita masewera olimbitsa thupi pafupipafupi kumachepetsa kukana insulini ndikuthandizira kulimbana ndi matendawa.

Kuphatikiza apo, kuchita masewera olimbitsa thupi kumakhala ndi phindu kwa odwala kudzera mukuwongolera mkhalidwe wawo wamaganizidwe, ndikupanga malingaliro omasuka komanso kupumula pambuyo pakuphunzitsidwa.

Anthu omwe ali ndi mtundu wachiwiri wa matenda ayenera kutsatira osachepera tsiku lililonse zochita zolimbitsa thupi kuti athe kuthana ndi matenda a shuga komanso kunenepa kwambiri.

Anthu okhazikika amapindulitsa ngakhale kuchita masewera olimbitsa thupi mwanjira iliyonse.

Ngakhale, zachidziwikire, phindu lalikulu limadza ndi mapulogalamu apadera olimbitsa thupi, omwe amagawidwa m'magawo osiyanasiyana osiyanasiyana ovuta komanso amphamvu. Kuchita masewera olimbitsa thupi kumabweretsa kusintha kosiyanasiyana kwa odwala matenda ashuga.

Metabolism imakhala bwino, insulin bwino imachepetsa shuga, zomwe zimapangitsa kupanga mphamvu mokwanira m'thupi.
Magazi amayenda.
Pankhani yamakalasi achizolowezi, thanzi komanso thanzi.
Chiwopsezo cha matenda a mtima ndi stroke chikuchepa.
Kunenepa kwambiri kumathandizidwa.
Mafupa amalimbikitsidwa ndipo kamvekedwe ka minofu kamayenda bwino.

Werengani komanso Kugwiritsa ntchito mankhwala a Metformin pochizira matenda a shuga a mtundu wachiwiri

Ngakhale makalasi ena 30 am'mawa tsiku lililonse amalola kuti wodwala matenda ashuga amve kusiyana. Madokotala amalimbikitsa kuwonjezera mwadongosolo katundu wa aerobic ndikuwabweretsa mpaka mphindi 150 pa sabata ndikusweka kwa masiku osachepera atatu.

Kukonzekera dongosolo la maphunziro

Musanayambe kuwonjezera masewera olimbitsa thupi, funsani dokotala. Pankhani yovomerezeka, ndikofunikira kuthetsa kukayikira kulikonse ndikuwongolera. Ngati mukumwa mankhwala a insulin, ndiye kuti zakudya zanu ziyenera kutsatira malangizo.

Pangani miyeso ya kuchuluka kwa shuga musanaphunzitsidwe, komanso sungani mndandanda wazomwe zikuwonetsa. Izi zikuthandizani kuti muzitha kudziwa momwe thupi lanu limachitikira. Pangani kuchuluka kwa shuga musanayambe kulimbitsa thupi, komanso mphindi 30 mpaka 45 mutatha. Fotokozerani zolemba zanu ndi omwe akukuthandizani.

Kuphunzitsa mwamphamvu

Madotolo amalimbikitsa kubweretsa kulimbitsa thupi kwanu tsiku lililonse kwa mphindi 60 patsiku kuti mukhale athanzi. Ndikofunikira kuyamba kuphunzitsa ndi magawo ang'onoang'ono kuyambira mphindi 5 mpaka 10 patsiku, ngati zingatheke pang'onopang'ono kuwonjezera mpaka mphindi 60.

Ngati mukuchita zolimbitsa thupi kwambiri, ndiye kuti mutha kuchepetsa nthawi yayitali. Mwachitsanzo, ngati mungayende mwachangu, kusambira kapena kukwera njinga, mutha kuchepetsa nthawi yophunzitsidwa mpaka theka la ola limodzi ndi masitima anayi pa sabata.

Mukamachita masewera olimbitsa thupi, kumbukirani kuti pochita masewera olimbitsa thupi, thupi lanu limagwiritsa ntchito shuga wowonjezera. Izi zikutanthauza kuti kuchuluka kwa shuga kumatha kutsika nthawi komanso mukamalimbitsa thupi. Thupi la anthu odwala matenda ashuga limasiyanasiyana pophunzitsidwa.

Funsani dokotala wanu kuti akuthandizeni. Monga kusamala, ndikofunikira kuti nthawi zonse muzikhala ndi maswiti ochepa ngati muli ndi hypoglycemia.

Gulu laophunzitsira

Ndikofunika kuchititsa maphunziro nthawi yomweyo. Yesetsani kuphunzitsa pasanathe ola limodzi mutatha kudya. Pakadali pano, misempha ya shuga imakwera ndipo chiopsezo cha hypoglycemia ndichochepa.

Ngakhale kuchita masewera olimbitsa thupi kumakhala kochepera mphindi 30, mungafunike kudya musanaphunzire kapena mutamaliza maphunziro. Asanakhale kalasi, ndibwino kudya pang'onopang'ono zakudya zamafuta owonda.

Mukamaphunzira kwa nthawi yoposa theka la ola, mungafunike kudya chakudya kapena kumwa chilichonse chomwe chili ndi zopatsa mphamvu, ngakhale mukamaphunzira. Chikho chabwino kwambiri kuposa momwe mungamwerere zakumwa zamagetsi zamagetsi zosavuta kugaya, monga msuzi wa zipatso kapena zakumwa zamasewera. Zachidziwikire, mutaphunzitsidwa, muyenera kudya.

Ngati mumachita masewera olimbitsa thupi madzulo, onetsetsani kuti shuga yanu isanayambe kugona. Kupatula apo, thupi lanu limatha kupitiliza kugwiritsira ntchito shuga ngakhale mutapuma masewera olimbitsa thupi.

Kuwopsa kwamavuto panthawi yophunzitsira

Kulimbitsa thupi kwambiri kumatha kuyambitsa kuthamanga kwa magazi. Ngati mukuvutika ndi matenda oopsa kapena matenda a impso, ndiye kuti kupanikizika kowonjezereka kuyenera kupewedwa. Izi zimagwiranso ntchito kwa odwala omwe ali ndi retinopathy chifukwa cha matenda ashuga, omwe kuphunzitsidwa kwambiri kumakhala ndi chiopsezo chotupa m'maso.

Kwa iwo omwe ali ndi vuto la magazi m'miyendo, komanso ma neuropathy omwe amayamba chifukwa cha matenda ashuga, ndikofunikira kusankha mosamala nsapato zamatamba ndi masokosi kuti musataye. Zikakhala zoterezi, ndikofunikira kupewa masewera olimbitsa thupi omwe amatha kuyambitsa nkhawa pamapazi. Kwa iwo omwe ali ndi matenda a mtima, ndikofunikira kufunsa dokotala musanayambe kulimbitsa thupi.

Zojambula ndi kufunikira kwa kukonzanso shuga

Matenda a shuga ndi matenda omwe kuchuluka kwa glucose m'magazi amakwera, komwe kumatsitsidwa ndi kuchepa kwa insulin. Kupatuka koteroko kumayambitsa kuphwanya njira zonse za metabolic. Pokhala matenda osachiritsika, matenda a shuga amakhala ndi magawo ochulukirapo, pambuyo pake mankhwala othandizira amafunika.

Ndi matendawa, zolimbitsa thupi zolimbitsa thupi, chithandizo ndi prophylactic, kudya, kudya mavitamini ndi michere yazakudya ndizofunikira kwambiri.

Njira zonsezi zitha kukonza moyo wa wodwalayo, komanso kuchepetsa ziwonetsero za kufalikira kwa zam'tsogolo.

Njira zowachiritsira ndikofunika kuchita kwa odwala omwe ali ndi mtundu woyamba komanso wachiwiri wa matenda ashuga.

Pali magulu angapo a magawo omwe cholinga chake ndi kukonzanso odwala omwe ali ndi matenda osokoneza bongo kuti alimbikitse thanzi lawo ndikuwongolera kusintha. Kukonzanso kungakhale:

Zachipatala. Izi ndi njira zovuta kuchipatala, chifukwa chomwe zimathandizira wodwalayo. Wodwalayo amapatsidwa mankhwala osiyanasiyana ndi mavitamini osiyanasiyana omwe amakhutitsa thupi ndi zinthu zofunika kuti thupi lizigwira bwino komanso zimakhudza kupanga kwa insulin.
Zakuthupi. Poterepa, tikulankhula za njira zingapo zomwe zimakhudzana ndi zochizira zakunja. Mkhalidwe waumoyo umakhazikika kudzera muzochita zamasewera othandizira, kutikita minofu, kulimbitsa thupi, kayendedwe ka madzi.
Zamasamba. Izi zimaphatikizapo ntchito ya katswiri ndi wodwala kuti afotokozere za matendawa, kuwongolera mkhalidwe wake, kufotokoza malamulo a moyo wathanzi omwe amathandizira kupewa kufalikira.
Kaya. Amagwira ntchito ndi wodwala mwanjira yoti amalandila maluso ena, pogwiritsa ntchito zomwe mungadzipulumutse nokha, popanda thandizo lakunja.
Kupanga. Wodwalayo amaphunzitsidwa mwapadera kuti akhale ndi luso lomwe lingamuthandizire kupeza ntchito m'tsogolo.

Tcherani khutu! Pakukonzanso matenda a shuga, momwe wodwalayo amakhudzidwira ndikofunika - izi zimatsimikizira momwe zotsatira zake zidzachitikire. Ichi ndichifukwa chake achibale komanso abwenzi a wodwalayo ayenera kumuthandiza ndikumuzungulira ndi malo omvetsetsa ndi chisamaliro.

Mosasamala mtundu wa matenda omwe amawoneka mwa wodwala, kukonzanso kuyenera kukhala kokwanira. Ndikofunikira kuti musamangochita zolimbitsa thupi, muzidya zolondola komanso kuchita masewera olimbitsa thupi, komanso muziwongolera kuchuluka kwa shuga m'magazi.

Kubwezeretsa Matenda a shuga: Zachipatala ndi Zakuthupi

Matenda a shuga ndi njira yodutsitsika ya chilengedwe, momwe mulingo wa shuga m'magazi umachepa. Matendawa amawoneka motsutsana ndi maziko a kusowa kwa insulin mthupi la munthu. Ndi pathological process, zolephera mu ntchito ya ziwalo zosiyanasiyana ndi machitidwe zimawonedwa. Matendawa amadziwika ndi kukhalapo kwa nthawi yochulukirapo komanso kukhululuka.

Zomwe zikuwonetsa nthawi yobwezeretsa

Pambuyo pachimake nthawi, wodwalayo akuwonetsedwa kukonzanso, komwe kumagwiritsidwa ntchito ntchito zovuta. Ndi chithandizo chawo, odwala amakonzedwanso kumoyo watsopano ndipo zochitika zina zam'moyo zimalimbikitsidwa.

Panthawi yochira, kugwiritsa ntchito zolimbitsa thupi zolimbitsa thupi, chithandizo cha zakudya, mavitamini, ndi njira zochizira zimafunikira. Pogwiritsa ntchito njira zosiyanasiyana, moyo wa wodwalayo umasinthidwa.

Kubwezeretsa matenda a shuga kumafuna zinthu zingapo:

Zachipatala. Pofuna kukonza mkhalidwe wa wodwala, njira zina zachipatala ziyenera kugwiritsidwa ntchito. Wodwalayo akulimbikitsidwa kuti amwe mankhwala osiyanasiyana ndi mavitamini osiyanasiyana. Chifukwa cha mankhwala, zinthu zopindulitsa zimalowa m'thupi, zomwe zimakhudza bwino thanzi.
Zamasamba. Kukonzanso odwala kumafunikira makalasi ndi psychologist. Katswiriyo amalankhula za zomwe zimachitika mu matenda ndi kuzolowera wodwalayo moyo wonse. Wodwala amauzidwa za moyo wathanzi.
Zakuthupi. Wodwalayo akulimbikitsidwa kugwiritsa ntchito njira zingapo, zomwe zimadziwika ndi kukhalapo kwa zochizira zakunja. Izi zikuphatikiza kupukusa thupi, kutikita minofu, masewera olimbitsa thupi komanso chithandizo chamadzi.
Kaya. Kugwira ntchito ndi odwala kumawapatsa maluso ena, mwakugwiritsa ntchito momwe chisamaliro chokwanira chimaperekedwa.
Kupanga. Wodwalayo akuwonetsedwa njira yophunzirira mwapadera, yomwe imapereka mwayi wopeza maluso aluso ofunikira kuti apitirize ntchito.

Kukonzanso matenda a shuga kumafuna kugwiritsa ntchito njira zonse zomwe zatchulidwazi, zomwe zingakhudze wodwalayo.

Kumwa mankhwala

Kukonzanso kuchipatala kumafuna kuti wodwala atenge mavitamini ndi zowonjezera zakudya, mothandizidwa ndi zomwe ntchito zoyambira zimathandizidwa. Odwala amalangizidwa kugwiritsa ntchito:

Detox Plus. Mothandizidwa ndi izi, zovuta zomwe zimadza motsutsana ndi maziko azachipatala zimachotsedwa. Munthawi ya kumwa mankhwalawa, poizoni amachotsedwa m'thupi.
Ma Dopelgerts Amagwira. Ndiwowonjezera multivitamin mothandizidwa ndi njira zomwe metabolic metabolism amakhazikitsidwa, chitetezo cha mthupi chimalimbitsidwa ndipo njira yochizira imathandizira.
Mega. Munthawi yogwiritsira ntchito mankhwalawa, luso la malingaliro limasintha. Kuchita kwa mankhwalawa cholinga chake ndikulimbitsa minofu yamtima ndikuwongolera thanzi lathunthu.

Chifukwa cha kukhalapo kwa kuchuluka kwa mankhwala, ndizotheka kusankha njira yoyenera kwambiri kwa wodwalayo.

Zochita zolimbitsa thupi

Kukonzanso zolimbitsa thupi kumakhala ndikuchita masewera olimbitsa thupi pafupipafupi. Ndi chithandizo chake, ndizotheka kuthetsa kunenepa kwambiri. Panthawi yophunzitsira, oxidative-enzymatic zimachitikira mu minofu ndi chiwindi ukuwonjezeka, zomwe zimapangitsa kuchepa kwa shuga m'magazi. Ochita masewera olimbitsa thupi amalola:

Limbitsani mitsempha yamagazi
Onjezerani mphamvu
Phunzitsani dongosolo la kupuma
Limbitsani minofu ya mtima.

Zochita zolimbitsa thupi zimapangidwa ndi dokotala malinga ndi mawonekedwe a matenda a zamatenda komanso kuopsa kwa matenda. Asanaphunzire, wodwalayo ayenera kuyeza shuga. Zizindikiro zomwe zapezedwa ndikuyerekeza ndi ziwerengero pambuyo pazochita zolimbitsa thupi.

Izi zimapereka mwayi wodziwa momwe thupi limachitikira pochita masewera olimbitsa thupi. Panthawi yamatendawa, tikulimbikitsidwa kupatula kuthamanga, masewera olimbitsa thupi ndi chingwe kulumpha, komanso masewera olimbitsa thupi. Ngakhale kuphatikiza kwakukulu kwa masewera olimbitsa thupi, kumadziwika ndi kukhalapo kwa zotsutsana zina.

Sichigwiritsidwa ntchito pa:

Thrombophlebitis
Mitsempha yamagazi ndi mtima,
Kulephera kwina
Matenda oopsa
Acetone mu mkodzo.

Poyamba, masewera olimbitsa thupi amalimbikitsidwa kwa mphindi 5. Wodwala ayenera kuwonjezera nthawi yophunzitsira ndi mphindi zingapo. Nthawi yayitali yophunzitsira ndi ola limodzi.

Zakudya zamankhwala

Pambuyo kuchulukitsa kwa matenda, wodwalayo akulimbikitsidwa kutsatira malamulo a zakudya:

Zakudyazi ziyenera kuphatikizapo nsomba ndi nsomba zam'nyanja.
Wodwala amayenera kudya zakudya zomwe zimakhala ndi mitundu yambiri yazomera. Chakudyacho chizikhala ndi mtedza, masamba, zipatso, chimanga.
Suprose ndi ufa woyera umasiyanitsidwa kwathunthu ndi zakudya za munthu.
Wodwala ayenera kudya zakudya zamkaka zomwe zimakhala ndi mafuta ochepa.
Mchere, mafuta ndi zakudya zomwe zimaphatikizapo cholesterol ziyenera kuchepetsedwa.

Nthawi yamatendawa, wodwalayo akuyenera kuwonetsetsa kuti zakudya zopezeka tsiku lililonse zopatsa mphamvu sizoposa 1800 zopatsa mphamvu.

Njira zolimbitsa thupi

Mu matenda, kugwiritsa ntchito njira zingapo zamankhwala olimbitsa thupi kumalimbikitsidwa. Odwala amakumana ndi electrophoresis, yomwe imagwiritsa ntchito nicotinic acid. Kuwonetsa kwakukulu kumadziwika ndi mankhwala a laser. Katemera amalimbikitsidwa kuti athetse vuto la wodwalayo. Kudzimbidwa kumakhala ndikuyika masingano pamizere yogwira thupi pa thupi la munthu.

Pambuyo pakukulitsa matendawa, odwala amalimbikitsidwa kugwiritsa ntchito mankhwala a balneological, omwe amafunikira kugwiritsa ntchito kaboni dayokisaidi, sulfide ndi mabafa a ngale. Pamalo a maburashi, mafupa ndi mapazi, ntchito za parafini zimayikidwa. Kugwiritsa ntchito ndi electrophoresis mu kolala, komwe kumagwiritsidwa ntchito ndi magnesium.

Pali mitundu yambiri ya njira zolimbitsa thupi, zomwe zimapangitsa wodwala kusankha njira yothandizira kwambiri.

Ntchito yofiyira

Pambuyo pakukulitsa kwa shuga, odwala amawonetsedwa kutikita minofu. Chifukwa cha massaging kusuntha, kupumula kwa odwala kumatsimikizika. Kuchita kwanyengo kumapangitsa kuti magazi azithanso kuyenda bwino komanso kuti kagayidwe kachakudya ka kagayidwe kachakudya kazikhala mthupi. Pa kutikita minofu, minofu imapangidwanso, komanso kutopa poyenda.

Ngati pali kulemera kwambiri, wodwalayo akulimbikitsidwa kuti azikhala ndi kutikita kwakanthawi. Ngati wodwalayo ali ndi vuto losintha magazi, ndiye kuti akupsinjika. Pa ululu m'munsi m'munsi, kudzimbidwa kwa dera lumbosacral ndikulimbikitsidwa.

Ngati wodwala ali ndi vuto la minofu ya trophic, arthropathy imachitika, kapena zovuta za shuga zimayang'aniridwa, ndiye kuti njirayi siyichita.

Kukonzanso odwala omwe ali ndi matenda ashuga: malamulo oyambira ndi njira zingapo

Matendawa ndi amodzi mwa matenda omwe amapezeka kawirikawiri a endocrine ndipo amakhala ophatikizidwa ndi inshuwaransi yamatumbo, chifukwa chake glucose amaleka kulowerera ndipo kuchuluka kwa shuga m'magazi kumachuluka.

Pali mitundu iwiri ya matenda ashuga:

Chodabwitsa cha mtundu woyamba wa matenda ashuga ndikuti thupi limasiya kutulutsa mankhwala a insulin palokha kapena limachita moperewera kotero kuti sikokwanira kuthana ndi shuga. Matendawa amapezeka nthawi zambiri mwa achinyamata ndipo amathandizidwa ndi jakisoni wa tsiku ndi tsiku wa insulin.

Mtundu wachiwiri ndiwofala pakati pa okalamba - anthu ambiri azaka zopitilira 60 amadwala matendawa. Ndi mawonekedwe awa, insulin imatha kupangidwa ngakhale yochulukirapo kuposa momwe thupi limafunikira, koma chifukwa cha zinthu zosiyanasiyana, zimakhala kuti zimatha kutengeka ndi mahomoni ngati chinthu chothandizira. Zotsatira zake, monga matenda amtundu 1 shuga, ndikulumpha kwakukulu mu shuga. Mu matenda a shuga amtundu wachiwiri, jakisoni wa insulini amagwiritsidwa ntchito kawirikawiri, nthawi zambiri amasiya mankhwala, kusintha zakudya komanso kuwonda.

Zizindikiro zikuluzikulu za mitundu iwiriyi ya shuga ndi ludzu losatha komanso kukodzanso, kukomoka, kugona, mavuto a pakhungu komanso kusinthika kwa minofu, kukanda kulikonse kumachiritsa kwa nthawi yayitali.

Kuphatikiza apo, matenda ashuga ali ndi zovuta zambiri zomwe zimachepetsa kwambiri moyo:

Hypo- ndi hyperglycemic chikomokere,
retinopathy
nephropathy
wodwala matenda ashuga
mavuto ndi mtima
mitsempha.

Kukonzanso odwala omwe ali ndi matenda a shuga: njira zonse

Matenda a shuga ndi matenda ofala omwe anthu amadwala insulin yokwanira m'thupi, limodzi ndi shuga m'magazi ndi mkodzo wawo.

Kuphwanya chakudya kagayidwe kachakudya kuwonetsedwa bwino m'thupi, pali mavuto ndi kugwira ntchito kwa chapakati mantha dongosolo, chiwindi, mtima dongosolo ndi ziwalo zina.

Ndikosatheka kuchiritsa matenda osokoneza bongo mpaka kalekale, koma njira zothandiza zidapangidwa kuti zithandizire kuchepetsa zovuta komanso kusintha mkhalidwe wa wodwalayo. Mutu wazokambirana zamasiku ano ndikukhazikitsanso odwala omwe ali ndi matenda ashuga.

Mfundo zazikuluzikulu za kukonzanso

Kukonzanso odwala omwe ali ndi matenda osokoneza bongo ndi njira zingapo zovuta zomwe zimathandizira kubwezeretsanso ntchito za thupi. Gawo lofunikira pakukonzanso ndikusunga moyo wathanzi ndikuphatikizika kwa:

zakudya zapadera
kumwa mankhwala
zolimbitsa thupi
kusiya zizolowezi zoipa,
physiotherapy.

Kukonzanso odwala omwe ali ndi matenda ashuga ndizovuta m'njira zosiyanasiyana

Kuchita masewera olimbitsa thupi komanso kudya moyenera kumathandizira kuti pakhale kukonzanso, koma nthawi zambiri samatha kutsitsa shuga mpaka mulingo womwe mukufuna.

Chifukwa chake, othandizira a pharmacological amaperekedwa, amatha kukhala ndi zovuta monga kukhalapo kwa zovuta kapena kukana.

Njira zamakono zamankhwala zimaphatikiza pharmacotherapy, mankhwala othandizira pakudya ndi physiotherapy, zomwe zimabweretsa kuchira kwothandiza kwambiri kwa thupi.

Katemera

Zoyambira njirayi ndi ku China. Katemera wazitsimikizira pakukonzanso odwala omwe ali ndi matenda ashuga, amatha kuchepetsa zoopsa zomwe zimachitika nthawi zambiri limodzi ndi matenda ashuga. Njira imathandizira kuthana ndi kunenepa kwambiri, kuonjezera kupanga kwa insulin.

Luso lazolimbitsa thupi limapezeka kwa akatswiri okhawo

Kubwezeretsa zamaganizidwe

Matenda a shuga samakhudzanso thupi, komanso malingaliro a thupi. Type 1 and 2 diabetesics nthawi zambiri amakhala ndi vuto lakukhumudwa, vuto lakumaganiza. Njira zopumulitsira zimathandizira kuchepetsa kuchuluka kwa shuga, kusintha mkhalidwe wamunthu, ndikuthandizira kupanga mkhalidwe wabwino wamaganizidwe.

Odwala a shuga sayenera kuda nkhawa komanso kuda nkhawa

Kupsinjika ndi mitsempha ya mitsempha siyidutsa osasiya kutsatira, kukumana nawo, thupi limakulitsa shuga wambiri, nthawi zambiri amakhala ndi pent up reservation. Izi zimathandiza kuthana ndi mantha amanjenje, kupeza mphamvu yofunikira, koma nthawi yomweyo, kuchuluka kwa shuga m'magazi kumawonjezeka. Chifukwa chake, odwala matenda ashuga ayenera kupewa zinthu zomwe zimawapangitsa kukhala amantha komanso kuda nkhawa.

Chisamaliro makamaka chiyenera kulipidwa pakukonzanso kwamalingaliro kwa ana aubwana.

Achinyamata amatengeka kwambiri ndi matendawa, akumadziona kuti ndi otsika. Kuchiza ndi kukonzanso ana kuyenera kutsagana ndi chithandizo cha m'maganizo.

Achinyamata odwala matenda ashuga amatha kusiyanasiyana:

kuuma
kudzipatula
kusafuna kulankhulana ndi makolo, anzawo ndi anthu ena pafupi.

Chifukwa chake, ndikofunikira kuthandiza ana otere, mwachitsanzo, pakupanga misonkhano ndi achinyamata ena omwe akudwala matenda a shuga. Njira imodzi ndi chithandizo cha gulu.

Nthawi zambiri pamakhala nthawi yomwe wachinyamata yemwe ali ndi matenda ashuga amakhala mutu wonyoza anzawo kusukulu. Cholinga cha izi chimakhala kusinthasintha kwakuthwa, kupsinjika pafupipafupi, nkhawa ya wodwala. Chifukwa chake, ndikofunikira kuyang'anira mkhalidwe wamavuto a achinyamata omwe ali ndi matenda ashuga, kuti amuteteze ku mikangano yomwe ingachitike ndi anthu ena.

Ana ndi achinyamata omwe ali ndi matenda ashuga makamaka amafunikira thandizo lamalingaliro

Kuti mupewe zovuta komanso kusamvana ndi anzanu komanso abale, ndikulimbikitsidwa kuti mupite kukacheza ndi akatswiri amisala omwe amagwira ntchito ndi ana achinyamata kuti akuthandizeni. Katswiriyu amachita zokambirana ndi wodwala yemwe ali ndi matenda ashuga komanso anthu ochokera mdera lake, amathandizira kuthana ndi zovuta zomwe zimayambitsa matendawa, kuti azolowere moyo wokhala ndi matenda.

Makolo ayenera kumvetsetsa kuti kusamalira kwambiri komanso kuwongolera mosalekeza kungavulaze psyche ya mwana. Makolo sayenera kukhala ochita kwambiri komanso okwiyitsa, ayenera kulemekeza zikhumbo ndi malingaliro a wachinyamata.

Mwana amafunikira kumva kuti akumuthandiza, osakhala wokhazikika mtima. Zingatheke pokhapokha mutamvetsetsa kwathunthu.

Zomwezi zikugwiranso ntchito kwa abwenzi komanso abale ake a wodwalayo, katswiriyo ayenera kukambirana za momwe angachitire ndi ena.

Ntchito yayikulu ya makolo a achinyamata odwala matenda ashuga ndimamuphunzitsa kuti azikhala moyo wathanzi. Wachinyamata akamakula, ayenera kupitiliza kutsatira zakudya, kulandira masewera olimbitsa thupi tsiku lililonse, poganizira thanzi labwinobwino.

Ana ayenera kumvetsetsa kuti zakudya zopatsa thanzi komanso zoyenera, chilango ndi udindo zimagwira ntchito yayikulu pochiza matendawa. Ayenera kuwongolera kuchuluka kwa shuga, osasuta fodya kapena kumwa mowa. Ana odwala matenda ashuga ayenera kuchita zomwe angathe, kutsatira malangizo a madokotala.