Mavuto a mtundu woyamba wa matenda ashuga: kuopsa kwa chitukuko, chithandizo ndi kupewa

Matenda a shuga ndi matenda ovuta kuchiritsa.

Ndi kukula kwake mthupi, kumakhala kuphwanya kagayidwe kazakudya komanso kuchepa kwa kapangidwe ka insulin ndi kapamba, chifukwa chake shuga amasiya kumizidwa ndi maselo ndikukhazikika m'magazi momwe amapangira zinthu zam'magazi.

Zomwe zimayambitsa matendawa zimayamba, asayansi sanathebe kukhazikitsa. Koma adazindikira zomwe zingayambitse matenda a shuga omwe amatha kubweretsa matendawa kwa achikulire ndi achinyamata.

Mawu ochepa ponena za matenda

Musanaganize zopewa zomwe zingayambitse matenda ashuga, ziyenera kunenedwa kuti matendawa ali ndi mitundu iwiri, ndipo aliyense wa iwo ali ndi mawonekedwe ake.

Matenda a shuga a Type 1 amadziwika ndi kusintha kwamthupi mthupi, momwe zimasokoneza bongo wa carbohydrate zokha, komanso magwiridwe antchito a kapamba.

Pazifukwa zina, maselo ake amasiya kutulutsa insulin yokwanira, chifukwa choti shuga, yomwe imalowa m'thupi ndi chakudya, siziwumitsidwa mwa njira za cleavage ndipo, chifukwa chake, singatengeke ndi maselo.

Type 2 shuga mellitus ndi matenda nthawi ya chitukuko chomwe magwiridwe ake a kapamba amasungidwa, koma chifukwa cha vuto la metabolic, maselo amthupi amataya chidwi chawo ndi insulin. Poona izi, shuga amasiya kutumizidwa m'maselo ndikukhazikika m'magazi.

Koma ziribe kanthu momwe njira zimakhalira ndi matenda a shuga, zotsatira za matendawa ndi amodzi - kuchuluka kwa glucose m'magazi, komwe kumabweretsa mavuto akulu azaumoyo.

Mavuto ambiri a matendawa ndi awa:

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

hyperglycemia - kuchuluka kwa shuga m'magazi kunja kwazonse (kupitirira 7 mmol / l),
hypoglycemia - kuchepa kwa glucose m'magazi kunja kwazosavuta (pansipa 3.3 mmol / l),
hyperglycemic chikomokere - kuchuluka kwa shuga pamtunda wa 30 mmol / l,
hypoglycemic chikomokere - kuchepa kwa shuga m'magazi pansi pa 2.1 mmol / l,
matenda ashuga - kuchepa kumvetsetsa komwe kumatsika ndikuchepa kwawo,
matenda ashuga retinopathy - utachepa mawonekedwe owoneka,
thrombophlebitis - kapangidwe ka zolengeza m'makoma amitsempha yamagazi,
matenda oopsa - kuthamanga kwa magazi,
gangrene - necrosis ya zimakhala za m'munsi malekezero a pambuyo pake ndi chotupa,
stroko ndi myocardial infarction.

Matenda a shuga

Izi sizovuta zonse zomwe zimayamba chifukwa cha kukula kwa shuga kwa munthu wazaka zilizonse. Kuti tipewe matendawa, ndikofunikira kudziwa zomwe zimayambitsa matenda ashuga komanso zomwe kupewa kungatithandizire.

Mtundu woyamba wa matenda a shuga a mellitus (T1DM) umapezeka kwambiri mwa ana ndi achinyamata azaka za 20-30. Amakhulupirira kuti zomwe zimapangitsa kuti chitukuko chake chikhale:

chibadwire
matenda a virus
kuledzera thupi
kuperewera kwa zakudya m'thupi
zopsinjika pafupipafupi.

Kudziletsa

Kumayambiriro kwa T1DM, kudziwiratu kwamtsogolo kumatenga gawo lalikulu. Ngati m'modzi m'banjamo akudwala matendawa, ndiye kuti chiwopsezo cha m'badwo wotsatira chiri pafupifupi 10-20%.

Tiyenera kudziwa kuti pankhaniyi sitikunena za chinthu chokhazikika, koma za kukonzeratu.

Ndiye kuti, ngati mayi kapena bambo akudwala matenda amtundu 1, izi sizitanthauza kuti ana awo nawonso adzapezeka ndi matendawa.

Izi zikuwonetsa kuti ngati munthu sangachite zodzitetezera ndikukhala ndi moyo wosayenera, ndiye kuti ali ndi chiwopsezo chokhala ndi matenda ashuga pakatha zaka zochepa.

Mukazindikira matenda a shuga mwa makolo onse nthawi imodzi, kuopsa kwa matenda mwa ana awo kumawonjezeka kangapo

Komabe, pankhaniyi, ziyenera kukumbukiridwa kuti ngati makolo onse ali ndi matenda a shuga nthawi imodzi, ndiye kuti kupezeka kwake kwa mwana wawo kumakulitsidwa kwambiri. Ndipo nthawi zambiri pamachitika izi, matendawa amapezeka mwa ana adakali achichepere, ngakhale sanakhale ndi zizolowezi zoyipa ndipo amakhala moyo wokangalika.

Amakhulupirira kuti matenda a shuga nthawi zambiri "amapatsirana" kudzera mzere wamwamuna. Koma ngati mayi yekha akudwala ndi matenda a shuga, ndiye kuti zoopsa kukhala ndi mwana wokhala ndi matendawa ndizochepa kwambiri (osapitirira 10%).

Matenda a virus ndi chifukwa china chomwe matenda amtundu wa 1 amatha. Makamaka oopsa pamenepa ndi matenda monga mamps ndi rubella. Kuyambira kalekale, asayansi atsimikizira kuti matendawa amakhudzanso kugwira ntchito kwa kapamba ndipo amawonongera maselo ake, potero amachepetsa insulin m'magazi.

Tiyenera kudziwa kuti izi sizingogwira ntchito kwa ana obadwa kale, komanso kwa iwo omwe akadali m'mimba. Matenda aliwonse omwe amayi omwe ali ndi pakati amatha kukhala nawo angayambitse kukula kwa matenda ashuga a mtundu woyamba mwa mwana wake.

Anthu ambiri amagwira ntchito m'mafakitale ndi m'makampani omwe amagwiritsidwa ntchito ndi mankhwala, mphamvu zake zimakhudza ntchito ya thupi lonse, kuphatikiza magwiridwe antchito a kapamba.

Chemotherapy, yomwe imagwiritsidwa ntchito pochiza matenda osiyanasiyana a oncological, imathandizanso maselo amthupi, chifukwa chake, machitidwe awo amatithandizanso kangapo kwa matenda amtundu wa 1 mwa anthu.

Kuperewera kwa zakudya m'thupi

Kuperewera kwa zakudya m'thupi ndi chimodzi mwazomwe zimayambitsa matenda a shuga 1. Zakudya za tsiku ndi tsiku zamunthu wamakono zimakhala ndi mafuta ambiri ndi chakudya chamafuta, zomwe zimayika katundu pazinthu zamagaya, kuphatikizapo kapamba. Popita nthawi, maselo ake amawonongeka ndipo kuphatikizira kwa insulin kumavulala.

Zakudya zopanda pake ndizowopsa osati kungotulutsa kunenepa, komanso kuphwanya kapamba

Tiyeneranso kudziwa kuti chifukwa cha kuperewera kwa zakudya m'thupi, matenda ashuga amtundu wa 1 amatha kukhala mwa ana azaka za 1-2. Ndipo chifukwa cha izi ndikuyambitsa koyambirira kwa mkaka wa ng'ombe ndi mbewu za chimanga m'zakudya za mwana.

Kupsinjika pafupipafupi

Kupanikizika ndimayambitsa matenda osiyanasiyana, kuphatikizapo T1DM. Ngati munthu akumana ndi zovuta, adrenaline yambiri imapangidwa m'thupi lake, zomwe zimapangitsa kuti shuga agwire mwachangu m'magazi, zomwe zimapangitsa hypoglycemia. Matendawa ndi osakhalitsa, koma ngati zimachitika mwadongosolo, kuopsa kwa matenda a shuga 1 kumawonjezeka kangapo.

Monga tafotokozera pamwambapa, mtundu wa 2 shuga mellitus (T2DM) umayamba chifukwa chakuchepa kwa chidwi cha maselo kupita ku insulin. Izi zitha kuchitika pazifukwa zingapo:

chibadwire
zosintha zokhudzana ndi zaka mthupi,
kunenepa
matenda ashuga.

Zosintha zokhudzana ndi zaka m'thupi

Madokotala amati T2DM ndi matenda a okalamba, chifukwa ndi omwe amapezeka nthawi zambiri. Chomwe chimapangitsa izi ndizosintha mthupi. Tsoka ilo, ndi ukalamba, mothandizidwa ndi zinthu zamkati ndi zakunja, ziwalo zamkati "zimatopa" ndipo magwiridwe ake ntchito amakhala operewera. Kuphatikiza apo, ndi zaka, anthu ambiri amakumana ndi matenda oopsa, zomwe zimawonjezera chiopsezo chotenga T2DM.

Zofunika! Poganizira zonsezi, madokotala amalimbikitsa kwambiri kuti anthu onse azaka zopitilira 50, mosasamala kanthu za thanzi lawo komanso jenda, nthawi zonse amayesedwa kuti adziwe kuchuluka kwa shuga omwe ali nawo. Ndipo pakachitika vuto lililonse, yambani kulandira chithandizo nthawi yomweyo.

Kunenepa kwambiri ndiye chifukwa chachikulu cha chitukuko cha T2DM mwa okalamba ndi achinyamata.

Cholinga cha izi ndi kuchuluka kwambiri kwamafuta m'maselo a thupi, chifukwa chomwe amayamba kupeza mphamvu kuchokera pamenepo, ndipo shuga amakhala wosafunikira kwa iwo. Chifukwa chake, ndi kunenepa kwambiri, maselo amasiya kuyamwa glucose, ndipo amakhazikika m'magazi.

Ndipo ngati munthu, pakukula kwambiri kwa thupi, nawonso atakhala ndi moyo wamtopola, izi zimawonjezera mwayi wofanana ndi matenda a shuga a mtundu uliwonse wazaka zilizonse.

Kunenepa kwambiri kumayambitsa kuwoneka osati T2DM kokha, komanso mavuto ena azaumoyo.

Matenda a shuga

Matenda a shuga a Gestational amatchedwanso "matenda ashuga" ndi madokotala, chifukwa amayamba nthawi yomweyo. Kupezeka kwake kumachitika chifukwa cha kusokonekera kwa mahomoni m'thupi ndi zochitika zochulukirapo za kapamba (amayenera kugwira ntchito "ziwiri"). Chifukwa kuchuluka kwazinthu zambiri, zimatopa ndikusiya kutulutsa insulini mokwanira.

Pambuyo pobadwa, matendawa amachoka, koma amasiya chizindikiro chachikulu pa thanzi la mwana.

Chifukwa chakuti zikondamoyo za mayi zimaleka kutulutsa insulin mokwanira, zikondamoyo za mwana zimayamba kugwira ntchito mopitilira muyeso, zomwe zimapangitsa kuti maselo ake awonongeke.

Kuphatikiza apo, ndi chitukuko cha matenda osokoneza bongo, chiwopsezo cha kunenepa kwambiri kwa mwana wosabadwayo chikuwonjezereka, chomwe chimakulitsanso chiwopsezo cha matenda a shuga a mtundu wachiwiri.

Kupewa

Matenda a shuga ndi matenda omwe atha kupewedwa mosavuta. Kuti tichite izi, ndikwanira mopewa kupewa zomwe zikuphatikiza izi:

Zakudya zoyenera. Zakudya zaumunthu ziyenera kuphatikizapo mavitamini, michere ndi mapuloteni ambiri. Mafuta ndi chakudya chamagulu amakhalanso ayenera kupezeka m'zakudya, chifukwa popanda iwo thupi silingagwire ntchito bwino, koma modekha. Makamaka wina ayenera kusamala ndi zovuta zam'mimba zopatsa mphamvu komanso mafuta am'mimba, chifukwa ndicho chifukwa chachikulu chakuwonekera kwa kunenepa kwambiri kwa thupi komanso kupititsa patsogolo shuga. Ponena za makanda, makolo ayenera kuonetsetsa kuti zakudya zomwe zapezedwa ndizothandiza mthupi lawo. Ndipo mwezi uti ungaperekedwe kwa mwana, mutha kudziwa kuchokera kwa dokotala.
Moyo wokangalika. Ngati mumanyalanyaza zamasewera ndikukhala ndi moyo wamtopola, mutha "kupeza" shuga mosavuta. Zochita za anthu zimathandizira kuwotchera msanga kwamafuta ndi kuwononga mphamvu, zomwe zimapangitsa kuchuluka kwa glucose pama cell. Mwa anthu omwe amangokhala, kagayidwe kamachepetsa, chifukwa chomwe chiopsezo chokhala ndi shuga chikuwonjezeka.
Yang'anirani shuga yanu yamagazi pafupipafupi. Lamuloli limagwira ntchito makamaka kwa iwo omwe ali ndi vuto lobadwa ndi matendawa, komanso anthu omwe ali ndi “zaka 50”. Kuwona kuchuluka kwa shuga m'magazi, sikofunikira kuti mupite kuchipatala nthawi zonse kukayezetsa. Ndikokwanira kungogula glucometer ndikudziyeserera magazi nokha.

Tiyenera kumvetsetsa kuti matenda ashuga ndi matenda omwe sangathe kuchiritsidwa. Ndi chitukuko chake, muyenera kumamwa mankhwala nthawi zonse ndi kubayirira insulin.

Chifukwa chake, ngati simukufuna kukhala ndi mantha chifukwa cha thanzi lanu, khalani ndi moyo wathanzi komanso chithandizirani panthawi yake matenda anu.

Iyi ndiye njira yokhayo yoletsa kuyambika kwa matenda ashuga ndikukhalanso ndi thanzi lanu kwa zaka zikubwerazi!

Mavuto a Matenda A shuga a Type 1

Matenda a shuga palokha ndi matenda oopsa. Izi zimachitika chifukwa cha zovuta zomwe zimachitika pokhapokha ngati pali chithandizo chokwanira.

Mtundu wa 1 wa matenda ashuga, jakisoni wa insulin tsiku lililonse amalembera, chifukwa chaichi amatchedwa insulin.

Kuphatikiza pa kuperekedwa kwa mankhwala, wodwala ayenera kutsatira malamulo ena okhudzana ndi thanzi, komanso kuchita masewera olimbitsa thupi pafupipafupi.

Ngati wodwalayo anyalanyaza mfundo zoyambirira za mankhwala ndi malangizo a dokotala, ngozi ya zovuta zimawonjezeka. Choopsa chachikulu ndichakuti matenda ashuga amakhudza pafupifupi machitidwe onse a thupi. Chifukwa chake, zovuta zitha kuwoneka motsutsana ndi maziko a zilizonse.

Kukula kwa matenda ashuga amtundu uliwonse kumalumikizidwa ndi kukhalapo kwa zinthu zambiri. Chimodzi mwazinthu zodziwika kwambiri ndi kubadwa kwa makolo. Komanso, mitundu yosiyanasiyana ya matenda oyambitsidwa ndi ma virus komanso kuvulala imatha kukhala zomwe zimayambitsa.

Chifukwa cha iwo, makina a pathological immune reaction amatha, chifukwa chomwe ma cell a kapamba amayamba kuwonongeka. Amayang'anira thupi kupangira insulin.

Kuperewera kwake kumabweretsa kuti kuchuluka kwa glucose m'magazi kumayamba kuchuluka.

Matendawa nthawi zambiri amakula asanakwanitse zaka 20. Mtundu woyamba sungagwiritsidwe ntchito mankhwalawa, chifukwa chake ndikofunikira kumwa mankhwala onse munthawi yake. Tsoka ilo, izi zikuyenera kuchitika moyo usanathe. Ndikofunikira kuyimitsa zizindikiro za matendawa mothandizidwa ndi jakisoni wa insulin.

Zomwe zimapangitsa kuti pakhale zovuta za mtundu woyamba wa 1 ndikuti m'chilengedwe chomwe chimalephera kudzipangira payekha glucose, kutsika kwa ziwalo zosiyanasiyana, kuphatikizapo ubongo, kumayamba. Izi zimachitika ngakhale kuli kuchuluka kwa chakudya chomwe chimadyedwa.

Ngati simukuthandizira pakupanga insulini, thupi limayamba kubwezeretsanso mphamvu zomwe zidatayika kudzera mu mafuta a metabolism.

Ndipo izi zitha kutsogola kupangika kwa ma ketones, omwe amakhala ndi zovulaza komanso zowononga bongo, chifukwa cha zomwe munthu wagwa.

Mavuto

Kuwonekera kwa zovuta kumachitika chifukwa cha kusowa kwa chithandizo komanso kutalika kwa matenda omwewo. Tsoka ilo, kuti thupi silimapanga payekha insulin kwa zaka khumi ndi zisanu silingathe koma kukhudza ziwalo za munthu.

Chifukwa chake, nthawi zambiri ndimatenda a shuga, chiopsezo chowonjezeka chamagazi chimakwera, kuchuluka kwa cholesterol kumawonjezeka.

Mwa amuna, chifukwa cha kufalikira kwa mitsempha ya magazi, kusabala kungayambike. Ndipo mwa amayi, matendawa amayambitsa zovuta pakukonzekera kutenga pakati.

Ngati, komabe, zinafika, ndiye kuti ndizovuta kwambiri kuzilamulira zonse zomwe zimachitika kwa iyemwini komanso mwana wosabadwa.

Pazonse, zovuta zonse zimagawidwa m'mitundu iyi: pachimake, mochedwa komanso chovuta.

Gulu la zovuta izi ndizowopsa kwambiri pamunthu. Nthawi zambiri amakula munthawi yochepa: kuchokera maora angapo mpaka masiku angapo.

Zikatero, zimakhala zovuta kwambiri kupereka chithandizo chamankhwala panthawi yake, ndipo zotsatirapo zake ngati osazipeza zitha kufa. Ichi ndichifukwa chake ndikofunikira kuzindikira pakapita nthawi zizindikiro zoyambirira za matenda enaake omwe amayamba chifukwa cha matenda ashuga.

Amakhulupirira kuti ngati chithandizo sichinaperekedwe patangotha maola awiri chiyambire zizindikiro zazikulu, ndiye kuti kuthandiza wodwalayo kumakhala kovuta.

Mwa zina zopweteka zomwe odwala omwe ali ndi matenda ashuga 1 amawonekera, pali:

Vutoli limadziwika ndi kuphwanya kwakukulu magwiridwe antchito amthupi lathunthu. Kuwonekera mu kutaya chikumbumtima. Odwala omwe ali ndi matenda amtundu woyamba okha ndiwo amakonda izi.

Choyambitsa ketoacidosis ndiko kudzikundikira kwa matupi owopsa a ketone m'magazi, ndiko kuti, mankhwala oopsa omwe amapezeka chifukwa cha kagayidwe kamphamvu m'thupi la mafuta ochulukirapo.

Kusasamala kwa malamulo oyamba okhudzana ndi zakudya, kuvulala, komanso chithandizo chamankhwala othandizira kungachititse izi.

Vutoli limachitika motsutsana ndi maziko amasinthidwe owopsa a shuga. Zodabwitsazi mwakanthawi kochepa zimatha kuyambitsa chikumbumtima, pomwe sipangachitike chidwi cha ophunzira kuyatsa, thukuta lomwe limawonjezeka, komanso kumachitika.

Zonsezi zimatha kutha ngakhale ndi chikomokere. Zomwe zimayambitsa hypoglycemia zimatchedwa kumwa kwambiri mowa, kuchuluka kwa nkhawa pamthupi, komanso kumwa mopitirira muyeso pakumwa mankhwala. Vutoli limatha kuchitika mwa odwala omwe ali ndi mtundu uliwonse wa matenda ashuga.

Zofanana zimayamba motsutsana ndi maziko a mtima, aimpso komanso chiwindi. Zizindikiro zake ndi kusazindikira bwino, kulephera kupuma, kuchepa kwambiri kwa magazi komanso kusowa kukodza. Mtundu wamtunduwu umachitika chifukwa cha kudzikundikira kwa lactic acid m'mwazi. Adatengera izi, monga lamulo, odwala azaka zopitilira 50 ndi mtundu uliwonse wa matenda ashuga.

Gululi limakhala ndi zikhalidwe zomwe m'kupita kwa zaka zingachitike pang'onopang'ono mkhalidwe wa wodwalayo. Mavuto abwinobwino a mtundu woyamba wa matenda a shuga sangathe kuimitsidwa ngakhale malingaliro onse akatsatiridwa. Zimangokhala munthawi yake kuti muzindikire zizindikiro zawo ndikupempha thandizo. Chifukwa chake, izi zikuphatikiza:

Retinopathy ndikovuta kuti mwa odwala omwe ali ndi mtundu woyamba wa shuga amapezeka zaka 15-20 zokha atatha kuwonetsa matendawa. Ndi mawonekedwe a retina, omwe angayambitse kufooka, kenako nkuwonongeka kwathunthu.
Angiopathy ndi fragility yamitsempha yamagazi yomwe ingayambitse thrombosis ndi atherosclerosis. Nthawi zambiri amakula kupitirira chaka chimodzi.
Polyneuropathy ndi mkhalidwe momwe chidwi cha miyendo ndi ululu chimatha. Zizindikiro zimayamba ndi dzanzi komanso kuwotcha m'manja ndi m'miyendo. Vutoli limakulirakulira usiku.
Matenda a shuga - kupezeka kwa zilonda zam'mimba, zotupa ndi malo okufa pamphepete mwa munthu wodwala matenda ashuga. Vuto lomwe lingapewedwe, kulipira chisamaliro chaukhondo, komanso kusankha koyenera nsapato (zotakasuka, osazipaka paliponse) ndi masokosi (popanda mabatani ophatikizira).

Matenda

Monga tafotokozera pamwambapa, matendawa atadutsa nthawi yayitali amatha kuvulaza ziwalo zambiri zofunika. Kusintha kwa momwe magazi amapangidwira, omwe amadziwika ndi matenda ashuga, amatha kuwononga ziwalo ndi machitidwe awa:

impso: motsutsana ndi maziko azovuta zoyipa za matenda ashuga, kulephera kosatha kumachitika pakapita nthawi,
Khungu: chifukwa cha kusakwanira kwa magazi, wodwala yemwe ali ndi matenda osokoneza bongo ali ndi chiwopsezo cha zilonda zam'mimba, makamaka m'munsi,
Mitsempha yamagazi: chifukwa cha matenda ashuga, kuperewera kwa mtima kumavutika makamaka, izi zimayambitsa kuperewera kwa mpweya ndi michere ina, yomwe imawonjezera chiopsezo cha matenda a mtima kapena matenda ena a mtima,
dongosolo lamanjenje: kuwonongeka kwa mitsempha kumayambitsa dzanzi lakuchepa ndi kufooka kosalekeza mkati mwake, zomwe zimatha kupweteketsa mtima.

Mavuto osokoneza bongo a matenda amtundu woyamba: ndi ziti komanso momwe mungapewerere kuti zisachitike?

Matenda a shuga amayamba chifukwa chosowa chinthu chapadera mthupi - insulin. Matenda a shuga osasamalidwa kapena osaphunzitsidwa amachititsa kuti pakhale njira zingapo zoyambira matenda.

Kuchuluka kwa shuga m'magazi ndiko vuto lalikulu la zovuta za matenda amtundu 1, zomwe zimapezeka kawirikawiri kwa ana ndi achinyamata.

Kodi zovuta za matenda ashuga zimachitika liti?

Ndi matenda amtundu 1, thupi la wodwalayo limasowa kwambiri insulin, chifukwa chitetezo cha mthupi chimawononga maselo apadera a beta omwe amapanga mtundu wamahomoni awa.

Chomwe chimapangitsa "chikhalidwe" cholakwika ichi kukhala ndi chitetezo chathupi.

Chiwerengero cha maselo akufa chikufika pachimake (80-90%), kaphatikizidwe ka insulini pafupifupi amayima, ndipo glucose amayamba kudziunjikira m'magazi m'malo motengeka ndi maselo amisempha.

Potengera maziko awa, zovuta zingapo za matenda ashuga zimapangidwa: kuthamanga kwa magazi, kuwonongeka kwa ziwiya zam'mimba komanso mitsempha. Zotsatira zake, kusabala kumakula mwa amuna omwe ali ndi matenda ashuga, ndipo azimayi amakhala ndi vuto lotenga pakati.

Zotsatira zapadera za matenda ashuga mwa ana

Ana amapezeka kuti nthawi zambiri amakhala ndi vuto la matenda. Amakula m'thupi la mwana mwachangu, ngati simuyamba kulandira chithandizo pa nthawi.

Kuphatikiza apo, zaka za mwana zimachepera, ndiye kuti matendawa amayenda kwambiri.

Insulin m'thupi imakhala yosasinthika, chifukwa kapamba mwa ana sanapangidwe kokwanira, glucose amadziunjikira mu minofu, ndipo maselo samalandira zakudya zoyenera. Mchitidwe wamisempha wosakhazikika umakhudzanso kagayidwe.

Poyamba, mwana amatha kusintha kwambiri miyezo ya shuga masana, zomwe zimakhala zoopsa pakoma. Ngati matendawa ayambitsidwa, mwana amachedwa kukula ndikukula m'maganizo.

Nayi ndandanda yayifupi ya zovuta zaubwana:

mtima matenda. Nthawi zina, chiopsezo cha angina pectoris chimawonjezeka. Ngakhale ana atha kukhala ndi vuto la mtima kapena matenda opha ziwalo, amakhala atherosulinosis, ngakhale izi sizichitika kawirikawiri.
mitsempha. Odwala ang'onoang'ono akumva kugwa m'miyendo,
khungu lotayidwa ndi bowa ndi mabakiteriya,
ngati mwana ali ndi mapapu ofooka, chifuwa chachikulu chikukula.
mafupa olimba chifukwa chosowa mchere. Osteoporosis imatha kubereka chifukwa cha zovuta za kukula kwa intrauterine kapena kutengedwa, mwachitsanzo, chifukwa chodyetsa maupa.

Kuwongolera matenda ashuga tsiku ndi tsiku ndi zomwe makolo amafunika kugwiritsa ntchito nthawi ndi mphamvu zake. Izi zikuthandizira kuchepetsa kuopsa kwa zovuta komanso kupatsa mwayi mwana kukula bwino.

Izi ndi zotsatira zenizeni za matenda ashuga zomwe makolo ayenera kudziwa ndipo akuyenera kuzilingalira ndi madokotala akamachiza. Mwana yemwe ali ndi matenda a shuga a mtundu woyamba amayenera kuwunikidwa kuti awone zovuta za ocular komanso aimpso.

Njira izi zitha kuyimitsa kukula kwa matenda. Koma chinthu chofunikira kwambiri ndikuyesetsa kuti mulibe shuga panthawi yochepa.

Lembani 1 ndi matenda ashuga 2: owopsa kwambiri ndi ati?

Ngakhale madokotala sangapereke yankho lenileni la funso ili. Inde, mtundu wodalira insulin umaphatikizapo chithandizo chautali.

Komabe, matendawa amapangitsa munthu kuyambira ali wachinyamata kukhala ndi thanzi labwino.

Amayang'anira zakudya, amadzinyamula yekha ndikuwona mankhwalawa amathandizira ndi insulin. Mikhalidwe yonseyi imalola wodwalayo kukhala ndi moyo wokwanira, ndipo nthawi zambiri amakhala ndi thanzi labwino poyerekeza ndi anthu omwe alibe shuga.

Matenda a shuga a Type 2 ndi njira yomwe ikupanga pang'onopang'ono, yochokera ku zizolowezi zoyipa za munthu: chikondi cha zakudya zotsekemera, zamafuta ndi zopatsa mphamvu. Zonsezi zimabweretsa kunenepa kwambiri. Koma Zizindikiro zazikulu, monga polyuria, kumayambiriro kwa matendawa sizingakhale.

Nthawi zambiri, kuchepa thupi msanga kumayenderana ndi kugwiritsidwa ntchito moyenera kwa mankhwalawa pofuna kuchepetsa thupi, osaganizira kuti izi ndizovuta za matenda ashuga. Zotsatira zake, wodwalayo amapita kwa dokotala mochedwa kwambiri, ndipo chithandizo nthawi zambiri chimatenga nthawi yayitali.

Matenda a shuga ndi achinyengo pa mtundu uliwonse wamavuto. Koma kusiyana pakati pa awiriwa ndikuti matenda osokoneza bongo omwe amadalira insulin amatha kupewedwa. Chofunikira ndi kuyesetsa kuchita izi.

Mawonekedwe a mankhwalawa a zovuta za shuga

Njira zochizira matenda ashuga zovuta zimaphatikizapo zinthu zitatu izi:

glycemic control (4.4-7 mmol / l) ndi mankhwala kapena jakisoni wa insulin,
Kubwezeretsa metabolic njira: makonzedwe a mtima kukonzekera ndi thioctic acid,
Chithandizo cha zovuta zokha. Chifukwa chake, retinopathy yoyambirira amathandizidwa ndi laser, ndipo ovuta kwambiri - vitrectomy. Mavitamini a B amawayikidwa kuti awononge mitsempha.

Wodwalayo ayenera kumvetsetsa kufunika kochita njira zonse zomwe wapangidwira ndikuti athe kudziimira pawokha magazi. Ichi ndiye chikhalidwe chofunikira kwambiri, kulephera kwake komwe kumabweretsa zovuta zazikulu.

Njira zopewera matenda ashuga

Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi imatha kudzetsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Kupewa kwa odwala matenda ashuga:

kuyang'anira kwamankhwala mosalekeza
glycemic control
udindo ndi kutsatira kwambiri zochitika zatsiku ndi tsiku: ndikofunikira kudziwa nthawi yodzuka ndi kugona, osaphonya jakisoni maola, etc.,
masewera olimbitsa thupi,
ukhondo
Zakudya zamafuta ochepa
kulimbitsa chitetezo chokwanira: kudya, kuumitsa.

Zokhudza ngozi zomwe zimayambitsidwa ndi zovuta za shuga mu kanema:

Zachidziwikire, kuti simungathetse matenda ashuga ndi njira zomwe zalembedwa nokha, mufunika thandizo la mankhwala ndi njira zapadera. Koma kutsatira malingaliro awa ndikokwanira kuti tiletse kukula kwa matenda komanso kuti tisalole zovuta zina kuti zikuwonongere moyo.

Mavuto a mtundu woyamba wa matenda ashuga: kuopsa kwa chitukuko, chithandizo ndi kupewa

Mtundu woyamba wa matenda ashuga, kusokonezeka kwa dongosolo la endocrine kumachitika. Vutoli limadziwika ndi kusowa kwa insulini, komwe sikumapangidwa ndi kapamba pazofunikira. Zotsatira zake, shuga ya wodwalayo imakwera, chifukwa chake amachepetsa msanga komanso amakhala ndi ludzu nthawi zonse.

Tsoka ilo, matendawa ndi osachiritsika, chifukwa chake, akazindikira matenda ashuga, ayenera kumwa mankhwala apadera amoyo. Mankhwalawa amachepetsa kuchuluka kwa shuga m'magazi ndipo amakupatsani mwayi wokhala ndi thanzi labwino.

Zowonadi, ngakhale mulingo wa glucose utakwera pang'ono kuposa wabwinobwino, umakhalabe ndi zowononga m'mimba. Ndipo chifukwa chakuchepa kwa magazi, ziwalo zazikulu zamkati sizipeza zinthu zomwe zimafunikira kuti zizigwira bwino ntchito.

Koma ndi chithandizo choyenera ndikutsatira malingaliro onse azachipatala, chiyembekezo chamoyo ndizambiri. Malinga ndi ziwerengero, ndizoposa zaka makumi atatu.

Zovuta zazikulu za matenda amtundu 1

Kuperewera kwa chithandizo kumabweretsa zovuta zambiri.

Mavuto owopsa kwambiri amakhala ndi awa:

Dzina lenileni la zovuta limafotokoza kuti limayenda pang'onopang'ono (mpaka zaka zingapo). Ndipo uwu ndi ngozi yake. Matendawa pang'onopang'ono (popanda zizindikiro zoopsa) amadetsa thanzi, ndipo zimakhala zovuta kwambiri kuchitira zovuta zotere.

Mavuto amtsogolo akuphatikizapo:

angiopathy. Pankhaniyi, kukula kwa mtima kumaphwanyidwa. Zotsatira zake, mawonekedwe a atherosclerosis plaques, thrombosis amakula,
retinopathy. Ndalama zimavutika, ma retina amachoka, kumveka bwino kwa masomphenya kumachepa, ndipo ngongole zimayamba. Izi zimawopseza wodwala ndikuwonongeka. Chifukwa chake, ndikofunikira kuti odwala matenda ashuga awoneke pafupipafupi ndi ophthalmologist. Monga zovuta zilizonse za matenda ashuga, kusokonezeka kwa thupi ndi kuvulala kwina kumayambira nthawi yayitali kusanawonedwe kowoneka, chifukwa chake, ndi matenda ashuga, ndikofunikira kuyang'anira shuga nthawi zonse magazi,
polyneuropathy. Amadziwika ndi kusamva bwino kupweteka, dzanzi. Miyendo imamva kutentha kapena kutentha. Chomwe chimapangitsa izi ndi kuwonongeka kwa mitsempha yaying'ono yamagazi yomwe imadyetsa ulusi wamitsempha. Polyneuropathy imatha kukhudza chiwalo chilichonse ndipo chimachitika nthawi iliyonse. Komabe, mukakhala ndi matenda ashuga, mumatha kuchita ngozi zambiri. Mitsempha yowonongeka singabwezeretsedwe, koma chiwonongeko chawo chowonjezereka chitha kupewedwa,
matenda ashuga. Amatha kukhala ndi matenda ashuga aliwonse. Zizindikiro: zotupa ndi zilonda zimawoneka pamapazi. Kusavomerezeka m'miyendo ndizowopsa chifukwa kudula kapena matuza sikungawonedwe nthawi, zomwe zingapangitse kuti matenda afalikire thupi lonse. Vutoli limakonda kudula dzanja.

Makanema okhudzana nawo

Zokhudza ngozi zomwe zimayambitsidwa ndi zovuta za shuga mu kanema:

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Zoyambitsa ndi Zoopsa

Matenda a shuga omwe amadalira insulin amatanthauza matenda a autoimmune omwe akupita patsogolo nthawi zonse. Chowonadi chake ndichakuti maselo a beta omwe amapanga insulin amawonongeka pang'onopang'ono ndi maselo oteteza thupi.

Masiku ano sizinakhazikitsidwe bwino lomwe zomwe zimapangitsa kuti chitetezo cha mthupi chizigwira ntchito molakwika. Zomwe zimayambitsa ndi ma virus omwe angayambitse matendawa mwa anthu omwe ali ndi vuto lobadwa nalo.

Zowopsa zake ndi izi:

mavairasi a coxsackie,
kobadwa nako rubella
mumps.

Koma nthawi zambiri, shuga 1 imawoneka chifukwa cha majini. Chifukwa chake, asayansi azindikira ma genetic 18. Mwachitsanzo, IDDM1 ndi malo okhala ndi mapuloteni otulutsa ma HLA omwe ali gawo la zovuta za histocompatability. Ma genes ochokera m'derali amakhudzanso chitetezo cha mthupi.

Komabe, mwayi wolandila shuga wodalira insulin, ngakhale abale atadwala ndi matendawa, umakhala wochepa (pafupifupi 10%). Kuphatikiza apo, zamatsenga nthawi zambiri zimafalikira limodzi ndi mbali ya makolo.

Kupsinjika kwapafupipafupi, kunenepa kwambiri, kuledzera, kupezeka kwa pancreatic necrosis ndi pancreatitis kumayambitsanso matenda.

Kuphatikiza apo, kugwiritsa ntchito molakwika mankhwala ena osokoneza bongo komanso zakudya zopanda thanzi zimathandizira kupanga insulin yokwanira.

Inde, chakudya chochulukirapo chama carbohydrate, kuphatikizapo chokoleti ndi kuphika, chimasokoneza kagayidwe kazakudya zam'mimba ndi chakudya, zomwe zimakhudza kugwira ntchito kwa kapamba.

Zowopsa zomwe zimayambitsa kudalira kwa insulin zimaphatikizapo:

kubadwa mochedwa
kuchepa magazi m'thupi,
preeclampsia - kuchuluka kwa pakati,
multiple sclerosis
Chithokomiro cha Hashimoto,
Manda matenda.

Chithunzi cha kuchipatala

Chizindikiro choyamba cha matenda amtundu woyamba ndicholemetsa wopanda pake chifukwa chakudya. Komanso, wodwalayo amatopa msanga, akumva kuwawa ndipo amafunafuna kugona nthawi zonse, komanso amazunzidwa ndi ludzu lalikulu.

Odwala ambiri amakhala ndi vuto lanjala, limodzi ndi kuchepa kwa kuthamanga kwa magazi, khungu pakhungu, mawonekedwe a thukuta lozizira komanso tachycardia. Anthu odwala matenda ashuga nthawi zambiri amakhala ndi kufooka kwa minofu ndi kumva kumenyera kwa zala zawo.

Zizindikiro zazikulu zamatendawa azimayi ndi kuyimitsa kwina kwa ziwalo zakunja ndi perineum. Zizindikirozi zimayamba chifukwa cha kupezeka kwa glucose mkodzo. Inde, mutatha kukodza, madontho a mkodzo wokhala ndi shuga amagwera pamatumbo amtundu, ndikupangitsa kukwiya kwambiri.

Mwa amuna, chizindikiro chachikulu cha nthendayi ndi kusokonekera kwa magazi komanso kusakhazikika bwino. Kuopsa kwa matendawa ndi njira yobisika kapena wodwalayo samalabadira zowonetsa zazing'ono za matenda.

Zina zodziwika za matenda amtundu woyamba wa 1 ndi mabala osachiritsika osakhalitsa.

Nthawi yomweyo, odwala ambiri amakhala ndi matumba, zilonda, chitetezo chawo chimachepa, chifukwa chomwe amamva kufooka pafupipafupi ndipo nthawi zambiri amadwala chimfine.

Zotsatira zoyipa za matenda ashuga: hypoglycemia ndi hyperglycemia

Anthu ambiri amafuna kudziwa momwe zovuta za mtundu woyamba wa 1 zimayambira. Ndi matendawa, glucose, yomwe ntchito yake ndikulowera m'maselo am'mimba ndi minofu ndikuyiyambitsa mphamvu, imatsalira m'magazi.

Ngati kuchuluka kwa shuga kumachulukitsidwa pafupipafupi, popanda mphamvu zambiri kumakwera, ndiye kuti kumayamba kusiya ziwonetserozo ndikudzaza zotengera, kuwononga makoma awo. Zimasokonezanso kugwira ntchito kwa ziwalo zoperekedwa ndi magazi. Chifukwa chake, zovuta zimayamba ndi matenda amtundu 1, pamene thupi limasowa insulin.

Ngati kuchepa kwa mahomoni sikulipilitsidwa ndi makina a insulin, zotsatira zake zimakula msanga. Ndipo izi zimachepetsa kwambiri chiyembekezo cha moyo wa munthu.

Mavuto acute amayamba chifukwa cha kuchepa kwadzidzidzi kapena kuwonjezeka kwa shuga m'magazi. Agawidwa m'mitundu iwiri:

hypoglycemic coma (shuga wotsika),
machitidwe a hyperglycemic (shuga wambiri).

Hypoglycemia nthawi zambiri imayamba chifukwa cha kuchuluka kwa insulini kapena ngati wodwala wasowa chakudya atatha kuyamwa. Komanso, chikomokere chimawonekera chifukwa chochita zolimbitsa thupi kwambiri, kuphatikizapo kubereka ana.

Kuphatikiza apo, hypoglycemia imatha kuchitika mukamamwa mankhwala osokoneza bongo.

Mkhalidwe wina wotere umayamba chifukwa chotenga mankhwala ena (ma tetracyclines, beta-blockers, fluoroquinolones, lithiamu, calcium, vitamini B 12, salicylic acid).

Kuphatikiza apo, mwa anthu odwala matenda ashuga, mwayi wochepetsetsa kwambiri wama glucose ukuwonjezeka ndikuchulukitsa kwa hepatosis kapena hepatitis, kutenga pakati, komanso matenda a impso kapena adrenal.

Hypoglycemia ikachitika, ndikofunikira kwambiri kudya zakudya zamafuta mkati mwa mphindi 20 (tiyi ndi chokoleti ndizotsekemera). Kupatula apo, kuchepa pang'ono kumatha kudzetsa munthu kufa kwa matenda a m'mimba. Chifukwa chake, ndikofunikira kudziwa za zizindikiro zomwe zikuwonetsa kuyambika kwa chikomokere:

Ngati dontho lamphamvu la shuga limachitika usiku, ndiye kuti munthu amayamba kulota. Popanda kudya kwambiri shuga, wodwalayo angagwe.

Pa gawo lachiwiri la hypoglycemia, zizindikiro monga kupsa mtima kapena kupha mphamvu kwambiri, mgwirizano wolimbitsa thupi, kuwona kawiri ndi kuwona kwamaso, kuthamanga kwa mtima komanso kukulitsa kugunda kwamtima. Kutalika kwa siteji ndikufupikirako, ndipo pamenepa shuga ndi maswiti amatha kulowa m'mpweya wopuma, chifukwa chomwe wodwalayo ayamba kukumana, motero ndi bwino kungomupatsa yankho lokoma.

Zizindikiro zomaliza za hypoglycemia zimaphatikizira mawonekedwe a kukomoka, khungu la pakhungu, lomwe limakutidwa ndi thukuta lozizira, komanso kusazindikira. Pankhaniyi, ndikofunikira kuyimba ambulansi kuti dokotala am'thandize wodwala yankho la shuga (40%). Ngati chithandizo sichingaperekedwe mu maola 2 otsatira, kukha magazi kwa ubongo kungachitike.

Kupewa kwabwino kwa chitukuko cha hypoglycemic coma ndi masewera. Koma musanayambe makalasi, muyenera kuwonjezera kuchuluka kwa chakudya chamagulu ndi 1-2 XE, muyeneranso kuchita izi mukamaliza kulimbitsa thupi.

Chakudya chamadzulo, ndikofunikira kudya zakudya zama protein. Amasintha pang'onopang'ono kukhala shuga, zomwe zimapangitsa kuti odwala matenda ashuga agone mwamtendere usiku wonse.

Amalangizidwanso kusiya mowa kwathunthu. Pazipita tsiku lililonse mowa sayenera kupitirira 75 magalamu.

Vuto linanso lalikulu la matenda a shuga omwe amadalira insulin ndi kukomoka kwa hyperglycemic, omwe amagawidwa m'mitundu itatu:

ketoacidotic,
lactic acidotic
hyperosmolar.

Zisokonezo zotere zimawoneka ndi kuchuluka kwa shuga m'magazi. Mankhwalawa amachitika m'malo osakhalitsa.

Zotsatira zambiri za matenda amtundu woyamba 1 ndi ketoacidosis. Amayamba ngati malamulo a insulini samatsatiridwa, motsutsana ndi maziko a njira zopatsirana kapena zotupa komanso kuchulukitsa kwa matenda osachiritsika. Kuphatikiza apo, kuvulala, stroko, kugunda kwa mtima, sepsis, kugwedezeka ndi chithandizo chosafunikira cha opaleshoni chingathandize pamenepa.

Ketoacidosis imachitika motsutsana ndi maziko azovuta za carbohydrate metabolism, yomwe imawoneka chifukwa chosowa insulini.

Nthawi yomweyo, kuchuluka kwa matupi a ketone ndi glucose m'magazi kumakulanso. Pakapanda kupumula panthawi yake, chikomoka cha ketoacidotic chimachitika.

Vutoli limakhudza ntchito ya mtima, ubongo, mapapu, matumbo ndi m'mimba. Pali magawo anayi a ketoacidosis, limodzi ndi zizindikiro zingapo:

Ketosis - kuyanika kwa khungu ndi mucous nembanemba, ludzu, kugona, malaise, kupweteka kwa mutu, kusowa kudya komanso kuchuluka kukodza.
Ketoacidosis - kugona, fungo la acetone kuchokera mkamwa, palpitations, kuchepa kwa magazi, kusanza, mkodzo wachepa.
Precoma - kusanza kwofiirira, kusintha kwa kupuma, kupweteka pamimba, kuwoneka ngati kutukutira m'masaya.
Coma - kupuma kwamkamwa, kutsekeka kwa khungu, kusazindikira, kukoma kwa acetone mkamwa.

Chithandizo cha ketoacidotic chikomacho cholinga chake ndi kufewetsa insulin, kudzera pakulowetsa microdoses yake mosalekeza. Komanso, kuti abwerenso madzi, wodwalayo amapaka jekeseni wamadzi ndi ayoni.

Hyperosmolar ndi lactic acidotic coma nthawi zambiri zimayamba ndi mtundu wachiwiri wa matenda osokoneza bongo a shuga.

Machedwe mavuto

Nthawi zambiri matenda a shuga amakhudza ntchito ya impso. Ziwalo izi zimadutsa 6 l magazi kudzera mwa iwo eni tsiku lililonse, kusefa.

Kuchuluka kwa madzi akumwa kumatsogolera impso zambiri. Kuphatikiza apo, amadziunjikira shuga wambiri.

Ngati kuchuluka kwa shuga m'magazi kuli pamwamba pa 10 mmol / l, ziwalo zimasiya kugwira ntchito yochita kusefa ndipo shuga amalowa mkodzo.

Mkodzo wotsekemera umunjikana mu chikhodzodzo, ndikukhala malo oyenera kwambiri opangira tizilomboti.

Zotsatira zake, kutupa kumachitika m'm impso, ndikuthandizira kukulira kwa nephritis ndi nephropathy, yomwe imawonetsedwa ndi kulephera kwa impso, kuchuluka kwa mapuloteni mkodzo ndikuwonongeka m'mitsempha yamagazi.

Popewa mavuto a impso, ndikofunikira kuyang'anitsitsa shuga ndi magazi. Ndi albuminuria, mankhwala ochokera ku magulu a ARB ndi ACE amatha kutumikiridwa.

Ngati matenda a impso akupita patsogolo, zakudya zomanga thupi zochepa ziyenera kutsatiridwa. Komabe, panthawi yotsika ya kulephera kwa impso, mapuloteni ochulukirapo angafunike, chifukwa chake, mawonekedwe azakudya ayenera kuvomerezedwa ndi adokotala.

Nthawi zambiri mtundu 1 wa matenda a shuga, zovuta zomwe zimapangidwa modabwitsa, zimawonekera mu ntchito ya mtima. Zotsatira zoyipa kwambiri ndizo matenda a mtima, kuphatikizira mtima, angina pectoris, ndi arrhythmia. Mavuto onsewa amapezeka ndi njala ya okosijeni, ndipo ngati magazi atatupa, myocardium imafa.

Kuopsa kwa vuto la mtima kwa odwala matenda ashuga ndikuti mwina sikungayende ndi matenda, chifukwa kumverera kwa minofu yamtima sikunyalanyazidwa.

Mavuto ambiri amabwera chifukwa cha kuchuluka kwa mitsempha yamagazi. Chifukwa chake, kugonjetsedwa kwa chotengera chachikulu pamtima, kumenyedwa kumachitika. Ndipo matenda a "mtima wa matenda ashuga" amawonetsedwa ndi kusokonekera kwa myocardial kugwira ntchito komanso kukula kwa ziwalo.

Ndikulimbikitsidwa kuti odwala omwe ali ndi chiopsezo chambiri chotenga matenda amtima wabwino amatenga Aspirin mu 65-160 mg patsiku ngati njira yodzitetezera. Komabe, mankhwalawa ali ndi zovuta zambiri, choncho chithandizo chikuyenera kuvomerezedwa ndi adokotala.

Zotsatira zinanso zomwe zimachitika chifukwa cha matenda a shuga omwe amadalira insulin ndi retinopathy.

Mitsempha yamagazi ikawonongeka, maselo amayamba kuzimiririka, zomwe zimapangitsa kuti khungu lipangidwe, khungu komanso khungu.

Mitsempha yamagazi ikasefukira - kukha magazi kumachitika m'maso. Nthawi zambiri, odwala matenda ashuga amapanga barele, ndipo nthawi zina minofu imamwalira. Chithandizo chotsogola cha retinopathy ndi matenda a shuga a m'mimba ndi opereshoni ya laser.

Nthawi zambiri, shuga wambiri amakhala ndi mfundo yoti minyewa yomaliza imatha kumverera, izi zimamvekedwa kwambiri m'miyendo. Matendawa amatchedwa matenda a shuga.

Mankhwalawa, mankhwalawa amagwiritsidwa ntchito:

anticonvulsants
ma analcics
antidepressants
opalesa pachipala.

Neuropathy imatha kudzetsa zotsatilapo zingapo zowonongeka - kudziletsa mosasamala ndikutulutsa chikhodzodzo, kudumpha kuthamanga kwa magazi. Chifukwa chake, ndi paresis yam'mimba, Erythromycin kapena Metoclopramide ndi mankhwala.

Matenda ena a shuga omwe amadalira insulin amatha kukhala ndi vuto la mano. Kupatula apo, kusakwanira kwa magazi kumayambitsa njira yotupa pamlomo wamkamwa. Chifukwa chake, ma caries, periodontitis kapena gingivitis amawonekera. Dokotala wamano ayenera kuthana ndi zotulukazi.

Odwala ambiri omwe ali ndi matenda amtundu wa 1 amadwala matenda a shuga kapena a Charcot, omwe amapezekanso chifukwa chosayenda bwino m'magazi. Mkhalidwe uwu umadziwika ndi totupa pamiyendo (monga pachithunzichi), kufooka kwa minofu yokweza, kunachepetsa chidwi chazinthu zokhumudwitsa, chiwonongeko cha mafupa ndi mafupa a phazi.

Kusachiza kwa phazi la matenda ashuga kumatha kuduladula miyendo. Chifukwa chake, kupewa mavuto a matenda a shuga 1 amakhala ndi chisamaliro chamiyendo mosamala:

kupenda kwa tsiku ndi tsiku
kuchapa mapazi kawiri pa tsiku,
kugwiritsa ntchito pafupipafupi ma moisturizer,
kuvala nsapato zabwino,
kukanidwa kwa zingwe ndi masokosi omwe amafinya phazi.

Insulin, yomwe siyipangidwe mtundu wa 1 shuga, imakhudzidwa ndikupanga madzi a m'mimba, chifukwa kuchuluka kwake kumachepetsedwa. Zotsatira zake, gastritis, kutsekula m'mimba, ndi dysbiosis zimayamba. Pankhaniyi, muyenera kulumikizana ndi gastroenterologist, yemwe akupatseni mankhwala ena apadera omwe amateteza kugaya.

Ndi magazi osakwanira, kutupa kolumikizana kumatha kuchitika. Izi zimabweretsa kuwoneka ngati crunch pa nthawi yowerama miyendo, zilonda komanso kusuntha pang'ono. Nthawi zambiri, ludzu ndi kukodza pafupipafupi ndimomwe zimayambitsa kukoka kwa calcium kuchokera m'mafupa, ndikupangitsa mafupa.

Kuti muchepetse zovuta za matenda obwera chifukwa cha matenda ashuga amtundu wachiwiri ndi woyamba, ndikofunikira kuti mukhale ndi moyo wathanzi, muzichitira matenda oyamba ndi tizilombo komanso munthawi yake ndikupewa kupsinjika. Komanso, zakudya zomwe zimakhala ndi zosungirako komanso zowonjezera zowonjezera ziyenera kuchotsedwa muzakudya.

Mu kanema munkhaniyi, zakudya za anthu odwala matenda a shuga zimadalira, zomwe zingathandize kuthana ndi shuga komanso kuthana ndi zovuta za matendawa.