Kukonzekera tchuthi cha matenda ashuga

Novembala 14 ndi Tsiku la Anthu Asewera Padziko Lonse. Lakhala likuchitika kuyambira 1991, ndipo munthawi imeneyi, madokotala padziko lonse lapansi aphunzitsa anthu mamiliyoni, kugwirizanitsa anthu omwe ali ndi matenda ashuga ndikupangitsa anthu kudziwa zambiri za matenda ashuga komanso zovuta zake.

Tsiku lidasankhidwa polemekeza tsiku lobadwa la sing'anga waku Canada Frederick Bunting, m'modzi mwa apainiya a insulin. Ufulu wonse kuti atsegule, adapereka ndalama ku University of Toronto.

Chaka chino, zochitika zofunika zoperekedwa kuchiza ndi kupewa matendawa zikuchitika kwanthawi ya 28. Chaka chilichonse amakhala ndi mutu wankhani ("Kuwonongeka kwa Impso mu Matenda A shuga", "Kuwonongeka Kwa Diso mu shuga", "Matenda A shuga ndi Kukalamba"). Chaka chino zimveka ngati: "Matenda a shuga ndi banja."

Letidor adapita pamsonkhano wa atolankhani woperekedwa pamwambowu, pomwe akatswiri otsogolera dziko lathu pankhani ya endocrinology ndi matenda ashuga adalankhula.

Izi ndiye chidziwitso chofunikira chomwe adagawana.

1. Pali mitundu itatu yayikulu ya matenda ashuga. Mtundu woyamba wa matenda ashuga a mellitus (omwe kale anali odziwika kuti amadalira insulin, unyamata kapena ubwana), kupanga insulini kopanda tanthauzo, ndikuti, kuyang'anira kwake tsiku ndi tsiku ndikofunikira.

Mtundu wachiwiri wa matenda a shuga a mellitus (omwe kale ankadziwika kuti ndi osagwirizana ndi insulin, kapena wamkulu), thupi limagwiritsa ntchito insulin mosavomerezeka. Anthu ambiri amadwala matenda amtunduwu.

Matenda a gestational oyembekezera ndi hyperglycemia (kuchuluka kwa shuga wa seramu). Amayi omwe ali ndi matenda amtunduwu amakhala ndi chiopsezo chowonjezeka pamavuto pakubala komanso pakubala. Kuthamanga shuga m'magazi amtsogolo oterewa ndi wofanana kapena wamkulu kuposa 5.1 mmol / L. Magazi amayenera kuthandizidwa kuwonetsetsa kuti azimayi onse ali ndi zaka zoyambirira kenako osakwanitsa milungu 24.

1. Malinga ndi International Diabetes Federation, chiwerengero cha anthu odwala matenda ashuga padziko lonse lapansi ndi 425 miliyoni, ndipo theka laiwo sakudziwa za izi.

Ana onse osakwana zaka 14 omwe ali ndi matenda a shuga 1 amakhala ndi chilema.

1. 27% ya ana mdziko lathuli onenepa kwambiri, 7% yaiwo ndi onenepa kwambiri. Komanso, kuchuluka kwa anthu odwala matenda ashuga kumayenderana mwachindunji ndi kuchuluka kwa ana onenepa kwambiri.

1. Matenda a shuga a Type 1 amatha kudwala ali ndi zaka zina zilizonse, ngakhale ali ana, pomwe cholowa chimagwira gawo laling'ono kwambiri. Ngati bambo ali ndi matenda ashuga, ndiye ana 6% okha omwe adzalandire matendawa, ngati mayi yekha - ndiye 6-7%, ngati makolo onse, ndiye 50%.

1. Buryats, Yakuts, Nenets samadwala matenda amtundu 1, alibe tsogolo la matendawa. Tili kumadzulo kwa dziko lathu matendawa afala kwambiri: Karelia, chigawo chakumpoto chakumadzulo, oyimira gulu la Finno-Ugric.

Matenda 1 a shuga ndi “kuwonongeka” kwa chitetezo chamthupi (ngakhale kapamba). Ndiye kuti, chitetezo chamunthu chimazindikira kuti kapamba wake ndi mdani.

Pafupifupi munthu aliyense amene ali ndi matenda a shuga 1 ali ndi ufulu kulandira insulin (chipangizo chothandizira kuperekera insulin) monga mbali ya inshuwaransi yokakamiza yachipatala. Zachidziwikire, izi sizongolakalaka za wodwalayo, uku ndikusankha pakati pa adotolo ndi wodwalayo, ndiye kuti, adotolo ayenera kumvetsetsa kuti kuyika pampuyo kukhala kothandiza kwa wodwalayo, sikuti kungoganiza kwa wodwala "Ndikufuna, ndiyikeni."

1. Pali sukulu za matenda ashuga mdziko lathu momwe odwala amalandila chithandizo chalamulo ndi upangiri wa zamankhwala.

1. Pali mkhalidwe wa prediabetes pamene kuchuluka kwa glucose m'magazi kumakulitsidwa, koma sikakufikire gawo la matenda ashuga. Odwala oterowo amafunikiranso kuonana ndi endocrinologist kuti apewe matendawa.

1. Osachepera kamodzi pa zaka zitatu zilizonse atakwanitsa zaka 45, muyenera kupereka magazi chifukwa cha shuga. Ndipo ngati pali kulemera kwambiri kwa thupi, ndiye kuti kuphunzira koteroko kuyenera kuchitika pafupipafupi, mosatengera zaka, osachepera 15, osachepera zaka 20.

1. Mu 1948, motsogozedwa ndi American endocrinologist Elliot Proctor Joslin, mphotho yapadera idakhazikitsidwa - Mgonjetso wa Victory wa anthu omwe akhala ndi matenda a shuga kwa zaka zopitilira 25. Kenako, ataphunzira kuyang'anira kuchuluka kwa insulin yomwe imayendetsedwa, anthu omwe ali ndi matenda a shuga 1 amayamba kukhala ndi nthawi yayitali. Kenako mendulo yatsopano idakhazikitsidwa kwa zaka 50 zolimba ndi matenda ashuga, ndipo kenako kwa 75, komanso ngakhale! (Kwa zaka 80).

1. Matenda a shuga a Type 2 amangotengera moyo wawo, amayenderana ndi kudya kwambiri komanso kudya zakudya zopatsa mphamvu kwambiri. Vutoli limakhudza gulu lomwe likukula anthu makamaka ana. Mwana amawonetsetsa momwe banjali limadyera, ndikubwereza fanizoli kale m'mabanja ake am'tsogolo. Anthu ndi ulesi kugwiritsa ntchito mphamvu. Zotsatira zake, zonse zimayamba kunenepa, ndipo mafuta ndi shuga. Posakhalitsa, pakatha zaka 5 mpaka 10, koma mwa anthu onenepa kwambiri, kunenepa kwambiri kumayambitsa matenda ashuga.

1. Kuyambira 1996, rejista yakhala ikuchitika mdziko lathu.

Anthu 4 miliyoni miliyoni ndi anthu omwe adapita kwa madotolo ndikulowa nawo munsanja.

Pansi pamakupatsani mwayi wodziwa zonse za odwala awa: atadwala, mankhwala omwe adalandira, mankhwala omwe sanapatsidwe, ndi zina zambiri. Koma awa ndi malo okhawo ovomerezeka, palinso anthu ambiri omwe sakudziwa kuti akudwala matenda a shuga 2 (mtundu 1 wa shuga amadziwika nthawi zonse, chifukwa ndi matendawa amakhala ndi kuyamba kwakanthawi ndi chikomokere).

1. Intaneti imatsekeka m'njira zosiyanasiyana pochiza matenda ashuga othandizira pazakudya ndi mankhwala wowerengeka. Zonsezi sizabodza!

Madokotala amayenera kunena zabodza zambiri zokhudzana ndi matendawa. Chifukwa cha Masukulu apadera a shuga, zinali zotheka kuchepetsa kuchuluka kwa zikhulupiriro izi, chifukwa amaphunzitsa odwala momwe angayendetsere matendawa.

Nthano yoyamba zimakhudza anthu omwe madokotala atamulengeza kuti samadya shuga, chifukwa matendawa amatchedwa "shuga". Kuchuluka kwa shuga womwe mumamwa, kuli ndi phindu lina lake, koma osatsimikiza. Zikuwonjezeranso kuti amadya zakudya zina zochuluka kotero kuti ndibwino kuphatikiza shuga m'zakudya.

Zimatsatira kuyambira woyamba nthano yachiwiri za ndalama zazing'ono. Kwa zaka 50-60 m'dziko lathu, tinkakhulupirira kuti buckwheat ndi mankhwala a shuga. Mu nthawi za Soviet, nthawi zambiri endocrinologist amatulutsa makuponi a sitiroko ku sitolo yazakudya. Phala ili panthawiyi linali losooka, ndipo odwala matenda ashuga adalilandira pamakontoni, chifukwa ndilothandiza.

Imachulukitsa shuga monga pasitala ndi mbatata.

Nthano yachitatu zipatso: zobiriwira zimatha, koma nthochi sizingatero. Zotsatira zake, munthu amatha kudya maapozi asanu a mitundu ya Antonovka, koma mulibe nthochi. Zotsatira zake, maapulo asanu adapereka shuga kasanu kuposa nthochi imodzi.

Nthano yachinayi: mkate wakuda ndi wabwino, yoyera ndiyabwino. Ayi, shuga adzauka kuchokera ku mitundu yonse ya buledi.

Palinso nthano zina za mankhwalawa, pamene odwala ena amapuma pakumwa mapiritsi, mwanjira ina "mutha kubzala chiwindi". Izi ndizosavomerezeka. Nthano imodzimodziyi imagwira ntchito pakukonzekera insulini: odwala ena omwe ali ndi matenda a shuga a 2, mapiritsi sawathandizanso panthawi ina, koma safuna kusinthana ndi insulin panthawi yake, yomwe imangokulitsa vuto lawo.

Kumbukiraninso kuti palibe madontho kapena zigamba zaku China zodwala matenda ashuga, ngakhale pafupi ndi kufalitsaku ndi chithunzi ndi mbiri ya akatswiri otsogolera endocrinology.

Mukufuna kupeza malangizo othandiza komanso zolemba zosangalatsa za shuga?

Tikufuna kukuthandizani kuthana ndi matenda anu ashuga! Inglembetsani nkhani zam'makalata a OneTouch ® , ndipo mudzalandira zakudya zaposachedwa, zamakhalidwe, ndi nkhani ya malonda a OneTouch ® .

Mukufuna kupeza malangizo othandiza komanso zolemba zosangalatsa za shuga?

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Tsambali likuyang'ana anthu azaka zopitilira 18 omwe amakhala ku Russian Federation ndipo adapangira kuti azitumiza chidziwitso cha kasamalidwe ka matenda ashuga, kulembetsa mamembala a OneTouch ® Loyalty Program, kufunsira ndi kulemba ma point mu Pulogalamu Yokhulupirika ya OneTouch ®.

Zomwe zidatumizidwa patsamba lino zili mumayendedwe ndipo sizingaganizidwe ngati upangiri wachipatala kapena kusintha zina. Nthawi zonse muzifunsana ndi omwe amakuthandizani pazaumoyo musanayambe kutsatira lingaliro. Ngati muli ndi mafunso, mungawafunse nthawi zonse poimbira foniyo: 8 (800) 200-8353.

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Reg. kumenyedwa RZN 2015/2938 la 08/08/2015, reg. kumenyedwa RZN 2017/6144 la 08/23/2017, Reg. kumenyedwa RZN 2017/6149 la 08/23/2017, reg. kumenyedwa RZN 2017/6190 la 09/04/2017, Reg. kumenyedwa RZN No. 2018/6792 la 02/01/2018, reg. kumenyedwa RZN 2016/4045 deti 11.24.2017, Reg. kumenyedwa RZN 2016/4132 la 05/23/2016, reg. kumenyedwa FSZ No. 2009/04924 ya Seputembara 30, 2016, Reg. kumenyedwa Federal Security Service No. 2012/13425 ya Seputembara 24, 2015, reg. kumenyedwa Federal Security Service No. 2008/00019 ya Seputembara 29, 2016, Reg. kumenyedwa FSZ No. 2008/00034 de 06/13/2018, reg. kumenyedwa Federal Security Service Namba 2008/02583 pa 09/29/2016, Reg. kumenyedwa Federal Security Service No. 2009/04923 kuyambira 09/23/2015, reg. kumenyedwa Federal Security Service Namba 2012/12448 pa 09/23/2016

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Kukonzekera Ulendo wa Matenda A shuga

Zikafika pokonzekera tchuthi, chinthu choyamba chomwe chimabwera m'maganizo ndikupanga mndandanda wazinthu zofunika zomwe mungafune kumalo akutali ndi kwanu. Muyenera kukhala amantha pang'ono kuti muwapezere kudziko lina ngati mungasamale kapena kuyiwalani, ndipo zida zina / mankhwala sizingagulidwe kudziko lina popanda zikalata zofunika.

Chifukwa chake ndikukulangizani kuti muwerenge mndandanda uno mosamalitsa, ndikulemba nokha zofunika kwambiri masiku opumula:

- Mankhwala osokoneza bongo insulin zochita zazifupi komanso tsiku ndi tsiku, kapena insulin yosakanikirana, kutengera zomwe mumagwiritsa ntchito. Imwani insulini kawiri kuposa kuchuluka kwa kuchuluka kwa masiku a tchuthi. Izi zikuthandizira kupewa mavuto ndikupeza mankhwala ngati atayika kapena atayika.

- Ma cholembera kapena wamba insulin ma insulin kuchuluka kokwanira.

- magazi shuga mita (ziwiri zili bwino) ndi zingwe zoyeserera, lancet (+ stock of punctures and betri chingachitike).

- Thumba la Thermo kapena chikwama chamafuta chosungira insulin. Pafupifupi chinthu chofunikira kwambiri kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin, kuthandiza kuteteza mankhwalawa kuti asatengeke ndi kutentha kwambiri.

- Mapiritsi ochepetsa shuga ngati muwagwiritsa ntchito.

-Yesani mzere wowunikiritsa mkodzo wa acetone ndi glucose.

- Chipinda choyezera kutentha - kuti mumveke bwino kutentha mkati mwa minibar (ku hotelo) kapena firiji yakunja.

- Makala a Culinary - powerengera mkate.

- Pampu ya insulini ndi / kapena njira yowunikira mosalekeza (ngati itagwiritsidwa ntchito).

- Satifiketi kapena mbiri yakale yachipatala yomwe imakhala ndi chidziwitso chakuti muli ndi matenda osokoneza bongo, komanso mawonekedwe omwe ali ndi zojambula zomveka bwino zochitira thandizo nthawi yoyamba ngati mukukonzekera machitidwe a hypo- kapena hyperglycemic.

- shuga woyengedwa, mabokosi okhala ndi timadziti ta zipatso, shuga wowoneka bwino, kukonzekera kwa glucagon vuto la hypoglycemia.

- Chikwama chosavala madzi (ngati chilipo).

- Lumo, fayilo yosamalira phazi, kirimu wapadera wothira khungu la miyendo.

Kuphatikiza pa mndandanda woyambira uwu, odwala matenda a shuga angafunike:

- Mankhwala a antihypertensive (wogwira ntchito nthawi yayitali komanso kuti athetse mavuto).

- Mankhwala a antihyperlipidemic (statins, fibrate, etc.).

- Tonometer - kudziwa mulingo wa magazi ndi magazi a magazi kunyumba.

- Zachidziwikire, sichikhala chopanda pake kutenga limodzi ndi inu ku chipatala cha anti-allergic (Zirtek, Suprastin), antiemetic (Cerucal, Motilium), antidiarrheal (Imodium), antipyretic (Paracetamol) ndi mankhwala antiviral (Arbidol, Kagocel). , ayodini, hydrogen peroxide, pulasitala ndi mowa pamlandu uliwonse wamoto.

Zambiri kwa omwe akuyenda ndi matenda ashuga

Mukapita kudziko lachilendo komwe kuli nyengo yachilendo, musaiwale kuti chinyezi komanso kutentha kwambiri ndi zinthu zomwe muyenera kusamala nazo ndikupewa nthawi zonse.

Mu nyengo yotentha, kusowa kwamadzi kumachitika mwachangu komanso mwakachetechete, chifukwa chake yesani kumwa madzi ambiri oyera munthawi yomweyo.

Ndikofunikira kwambiri kuwongolera mbiri ya glycemic nthawi yamavuto am'madzi, chifukwa imakhalabe yowala mu dzuwa mwa odwala ena omwe amachititsa kuti shuga atuluke pamalowo.

Ndikufunanso kugwira pamutu wakugwira ntchito zolimbitsa thupi kwa anthu omwe ali ndi matenda ashuga pamene akuyenda. Ndikukulangizani kuti musachulukitse thupi ndi masewera amasewera, ndikuwonjezera katundu pang'onopang'ono. Nenani, tsiku loyamba limatha kuyenda mwachangu mu hotelo, pa yachiwiri - njinga, kachitatu - tenisi, volleyball, ndi zina.

Yesani kusamutsa maulendo ndi maulendo ena aliwonse, komanso zochitika zamtundu uliwonse mpaka nthawi yotentha yatsiku. Moyenera, iyi ndi nthawi kuyambira 17:30 pm mpaka 11:00 m'mawa.

Tsoka ilo, nyengo yotentha, wodwala matenda ashuga nawonso ali pachiwopsezo chotenga hyperglycemia ndi hypoglycemia. Chifukwa chake kumbukirani kuti kudziyang'anira pawokha ndi glucometer kuyenera kuchitika pafupipafupi ngati kutentha kwaposachedwa kukwera.

Kusambira kunyanja kapena dziwe kungakhale chifukwa chimodzi chakuchepetsa kwambiri shuga. Chifukwa chake, musanabatizidwe m'madzi, yesani kudya apulo imodzi kapena chidutswa cha mkate.

Nthawi zokhala m'madzi siziyenera kupitirira mphindi 15. Ngati mumagwiritsa ntchito pampu ya insulin, muyenera kuyimitsa nthawi ya madzi.

Vuto linanso ndi kusungidwa kwa insulin mukamapita kudziko lina. Asananyamuke, musaiwale kuyika insulini yonse m'manja mwanu, chifukwa imatha kuwundana m'chipinda cha ndege, motero sichingasinthike.

Pamndandanda womwe uli pamwambapa, ndidawonetsa kuti ndikofunikira kupita ndi chipinda chocheperako nthawi zonse paulendo. Tsopano ndikufotokozerani chifukwa chake ... Popeza momwe mikhalidwe imakhalira pa hotelo iliyonse ndizosiyana, palibe amene angakuuzeni motsimikiza kutentha kwa mpweya mkati mwa minibar mchipinda momwe mungasungire insulin yonse.

Ingosiyani thermometer mkati mwa minibar kwa maola angapo, ndipo pambuyo pake mudzadziwa bwino yankho la funso lofunika kwambiri ili la odwala omwe ali ndi matenda a shuga.

Ndikuganiza kuti owerenga onse amadziwa kale kuti palibe chifukwa chomwe muyenera kusungira insulini padzuwa mwachindunji kapena kuzizira kwambiri (kuziziritsa). Komanso musaiwale kuti ngati mukulowetsa insulin, ndipo mukangopita kumene kukaona sauna kapena kuchita masewera olimbitsa thupi, muyenera kusamala kwambiri, chifukwa ntchito ya minofu ndi mphamvu ya mpweya wotentha zimakulitsa kuchuluka kwa mankhwalawo. Zotsatira zake, pamatha kukhala zizindikiro za hypoglycemia (thukuta lozizira, mantha a mantha, tachycardia, kugwedezeka, kumverera kwanjala, ndi zina zambiri).

Pankhani ya kukonzekera kwa insulin yomwe ikukonzekera: mukamathawira kumayiko omwe kuli kotentha, kuchepa kwa insulin (basal ndi bolus) nthawi zambiri kumawonedwa. Mlingo uyenera kuchepetsedwa pang'onopang'ono: yambani kutsika ndi kuchuluka kwa insulin yamadzulo (kwinaku mukuyang'ana shuga ya m'mawa), kenako ndikupitiliza kukonzanso insulin.

Zomwe zikuwachitikira nawo, ndizowonjezera, chifukwa mankhwalawo amakhudzana mwachindunji ndi chakudya chomwe amadya, omwe apaulendo ambiri amakhala ndi nthawi yodziwika bwino m'masiku awiri okha atatha kukhala ku hotelo. makonda a mbale omwe ali ndi mawonekedwe osavuta, omwe mumatha kudziwa kuchuluka kwa mkate.

Izi, mwina, ndizo zonse zomwe ndimafuna kugawana nanu. Kwa aliyense yemwe amakayikirabe, ndinganene kuti matenda ashuga sichinthu cholepheretsa kuzindikira komanso maulendo atsopano. Zowonadi, malingaliro abwino omwe timalandira pobwerera amakumbukiridwa kwanthawi yayitali. Yesani, pezani, pangani zolakwika ndikuyesanso! Aliyense akhale moyo wowala, wolemera, wodzaza ndi malingaliro abwino komanso kukumbukira zinthu. Kupatula apo, monga ndidanenera, matenda a shuga siwolepheretsa izi!