Zoyambitsa matenda ashuga mwa akazi

Kuti magazi a shuga abwerere mwakale, muyenera kudya supuni imodzi m'mawa pamimba yopanda kanthu.

Matenda a shuga sangatchedwe matenda osowa, m'malo mwake, amapezeka nthawi zambiri, ndipo osati abambo ndi amayi okha, komanso ana amakhala ndi matendawa. Malinga ndi asayansi ena, ndi kugonana koyenera komwe kumakhala ndi matendawa nthawi zambiri kuposa ena. Chifukwa chiyani izi zikuchitika komanso momwe mungapewere vutoli? Kodi ndizotheka kumenya nkhondoyo, kapena kupewa kupewa kwake.

Zifukwa zazikulu

Amatha kumatchedwanso otchuka kwambiri, nthawi zambiri amatsogolera pakupanga mtundu woyamba kapena wachiwiri wa matenda ashuga.

Mitundu yoyambayo imakhala yolimba kwambiri, imadziwika ndi kulephera kwathunthu ndi kotheratu kwa kapamba kuti apange insulin. Anthu omwe amakumana ndi subtype awa amakakamizika kupanga jakisoni wa insulin moyo wawo wonse, chifukwa sangathe kuchiritsidwa kwathunthu.

Mitundu yachiwiriyo ndi ya demokalase, imaphatikizapo kutulutsa kokwanira kwa insulin ndi kapamba, kapena kuyamwa bwino kwa thupilo m'thupi. Onse woyamba ndi mtundu wachiwiri akhoza kutsogolera:

Kupezeka kwa matenda otere mwa munthu wochokera kwa achibale ake apamtima. Tsoka ilo, ma genetic ndi chinthu chofunikira, ndizosatheka kuchichotsa, ndipo sizingasinthidwe. Chifukwa chake, mutha kudziyesa pachiwopsezo ngati pali anthu am'banja mwanu omwe akukumana ndi zovuta zamagazi zowonjezera kuchuluka kwa shuga,
Kunenepa kwambiri komanso kunenepa kwambiri. Nthawi zambiri, mavuto onsewa amakhudzana ndi zakudya zopanda thanzi pomwe chakudya cha munthu chimaphatikizapo zakudya zamagulu ochulukirapo monga mbatata kapena maswiti. Malinga ndi ziwerengero, kwa anthu onenepa kwambiri, chiopsezo chobwera chifukwa cha kuchuluka kwa shuga chikuwonjezeka kasanu ndi kawiri,
Osamadya pafupipafupi - osati molingana ndi boma, usiku. Zimapangitsa kupsinjika kowonjezereka pa kapamba,
Kusintha kwa mahomoni. Thupi lachikazi limadziwikiratu nthawi zambiri kuposa lamphongo, chifukwa thupi lokongola laumunthu limakumana ndi zadzidzidzi pakubala komanso pakubala, komanso kusamba.

Mwina izi zingadabwitse munthu, koma kupsinjika mosalekeza komanso kunjenjemera kungayambitsenso matendawa.

Zifukwa zachiwiri

Ngakhale mamembala onse am'banja lanu ali ndi thanzi labwino komanso sanakumanepo ndi mavuto okhathamira wamagazi, izi sizitanthauza kuti muli ndi inshuwaransi yonse.

Pali zina zoyambitsa matenda ashuga mwa akazi, zomwe zimatchedwanso sekondale.

Matenda opatsirana a ma virus - mwachitsanzo, mamps, hepatitis, chikuku, rubella. Titha kunena kuti zimayambitsa matendawa.

M'badwo. Pamene munthu wachikulire ali ndi mwayi woti adzadwala, makamaka pambuyo pa zaka 65 - chifukwa popita zaka kuchuluka kwa matenda opatsirana kumayamba, ndipo ziwalo zonse zimayamba kuchepa.
Kudya zakudya zotsekemera zazikulu zazikulu. Maswiti amadzikonda okha samayambitsa matendawa, koma amatha kuyambitsa kunenepa kwambiri, komwe kumayambitsa matenda a shuga. Zomwezi zitha kunenedwa za anthu omwe amakonda zakudya zamafuta,
Mimba Zachidziwikire, nthawi zambiri amakhala achimwemwe, koma ngati mayi anali ndi matenda ashuga asanapezeke bwino, adzapezeka ndi mawonekedwe omwe ali okhaokha - shuga ya amayi apakati. Kuphatikiza apo, m'nthawi yachiwiri ndi yachitatu, azimayi omwe akuyembekeza kuti ali ndi mwana amatha kukumana ndi mawonekedwe a matenda ogwirizana ndi kuchuluka kwa shuga m'magazi,
Zovuta za endocrine dongosolo - zimakhudza kupanga insulin,
Atherossteosis, mikwingwirima yapitayi, kugunda kwa mtima, matenda oopsa,
Matenda a kapamba,
Kuledzera kwa zakumwa zoledzeretsa, chifukwa ambiri a iwo ali ndi shuga wokwanira kuti apange mtolo waukulu mthupi.

Makamaka

Zowonadi, vutoli limakhala lalikulu azimayi, ndipo mutha kuwerengedwa gulu lowopsa pokhapokha amayi anu, agogo anu, kapena agogo anu anali ndi zovuta zomwe zimakhudzana ndi shuga wamagazi kwambiri komanso kufunika kwa jakisoni wozungulira wa insulin.

Madotolo adatsimikiza kuti:

Mwana akamadwala matenda oyamba, chiwopsezo cha mavuto omwewo mtsogolo kwa mlongo wake kapena mchimwene wake chikukulirakonso 5%.
Ngati bambo atadwala - kuyambira 5 mpaka 10%, amayi - kuyambira 2,5 mpaka 5%,
Pamaso pa amalume odwala kapena azakhali - kuyambira 1 mpaka 2%.

Ndi zaka, kuchuluka kumakulirako. Chiwerengero chachikulu kwambiri - mpaka 75% - ndi madokotala "omwe amapereka" kwa ana a makolo onse omwe ali ndi matenda ashuga.

Nkhani yabwino ndiyakuti m'malemba omwe ali pamwambawa palibe amene angakwanitse kukhala 100%. Ndiye kuti, mutha kupewa matenda, chinthu chachikulu ndikuti musaiwale zaumoyo wanu komanso osanyalanyaza njira zosavuta zoteteza:

Chakudya chopatsa thanzi, chopatsa thanzi komanso chokwanira
Chitani masewera olimbitsa thupi
Kutetezedwa kwakukulu pazinthu zopsinja,
Kuteteza kumatenda.

Kuneneratu za shuga ndikotheka. Ngati mukudziwa kuti anthu am'banja lanu anali kudwala nawo, ndiye kuti ndikofunikira kuzindikira thupi lanu nthawi ndi nthawi ndikuyesera kuti mupeze kuchuluka kwa shuga.

Pafupifupi zonse zomwe zimayambitsa matenda ashuga mwa akazi zimayenderana ndi vutoli.

Ngati thupi lili ndi minyewa yambiri ya adipose, insulini imayamba kuchepa, ndipo kuchuluka kwa glucose m'magazi kumakulirakulira.

Mwachitsanzo, ngati kulemera kwa thupi kumakhala koyenera ndi theka, ndiye kuti 70% ya anthu adzakumana ndi vuto la matenda ashuga. Ngati mumakonda kudya, kupatula zakudya zokhala ndi chakudya chamagulu kuchokera menyu, kuchepetsa mchere ndi shuga posinthira zipatso, ndiwo zamasamba, zipatso zamtundu wa zipatso, mukamayitanitsa komanso kuumitsa, ndikuchotsa kuchuluka kwazowonjezera, mungachepetse chiwerengerochi.

Sizipindula ndi thanzi, palibe chiwalo chimodzi kapena dongosolo lomwe limakhala lolamulidwa ndi iwo.

Tsoka ilo, azimayi amakhala ndi zambiri kuposa abambo - kuntchito, m'moyo watsiku ndi tsiku komanso mabanja. Ngati munthu wavutika kwambiri m'maganizo kapena wamanjenje, mphamvu ya minyewa ya insulin imachepa.

Kupsinjika kwakamtima komanso m'maganizo kumapangitsa kuti thupi lonse lizigwira bwino - kuphatikizapo kapamba. Kuphatikiza apo, kusokonezeka kwamanjenje kumatha kuyambitsa matenda osokoneza mtima, ndipo iwonso angayambitse matenda a shuga. Izi zitha kuchitika chifukwa choti anthu ena amakonda "kupanikizana" zokumana nazo ndi chokoleti ndi maswiti ena.

Ngati mungasinthe kadyedwe ndikuyamba kuchita masewera olimbitsa thupi, komanso ngati mumayezera shuga ndi glucometer - matendawa amatha kupewedwa.

Gulu

Kutengera ndi zomwe zimayambitsa matenda, endocrinologists akunena za kukhalapo kwa mitundu yamatendawa:

shuga yeniyeni kapena yoyamba
monga chizindikiro kapena matenda ashuga.

Mtundu woyambirira wa matendawa umayimiriridwa ndi mitundu:

lembani matenda ashuga 1 a shuga kapena amadalira insulin - ngati insulini siipangidwa konse ndi kapamba kapenanso kuti silinapangidwe kokwanira,
mtundu 2 matenda a shuga kapena oletsa insulini - ma insulin amapangidwa mokwanira kapena mokweza, koma matupi amthupi amakhala osaganizira za mahomoni.

Kutengera kwa kuopsa kwa zizindikiro za matenda am'mimba mwa azimayi azaka 50, komanso m'gulu lina la zaka, kusiyanasiyana kwa matendawa kumadziwika:

wofatsa - Zizindikirozi zimafotokozedwa pang'ono, ndipo kuchuluka kwa shuga m'magazi sikupitirira 8 mmol / l,
zolimbitsa - kuwonongeka kwakukulu kumawonedwa, ndende ya shuga ndiyosakwana 12 mmol / l,
kwambiri - zovuta zimachitika chifukwa chakuti shuga yambiri imaposa 12 mmol / l.

Payokha, ndikofunikira kuwonetsa matenda ashuga mwa amayi apakati komanso mawonekedwe a matendawa, omwe amayamba panthawi yamisempha. Mitundu yotere ya matendawa imakhala ndi kusiyana kwakukulu:

Matenda a shuga oyembekezera ndi nthawi yomwe mayi anapezeka kuti asanabadwe mwana.
Matenda a shuga a Gestational akuti ndi pomwe kuchuluka kwa shuga m'magazi kumakwera nthawi yapakati, yomwe imakonda kupezeka 2nd trimester.

Mulimonsemo, chithandizo chidzakhazikitsidwa pobayira insulin ndikuwona zakudya zosavomerezeka, chifukwa ndizoletsedwa kumwa mapiritsi munthawi yobala mwana azimayi ochepera zaka 30 komanso msinkhu wokalamba wobereka.

Zizindikiro

Zizindikiro zakunja za matenda ashuga mwa azimayi zimayang'aniridwa ndi mawonekedwe a matendawa. Kukula kwa matenda am'mimba kumayambira chimodzimodzi. Zizindikiro zoyambirira za matenda ashuga mwa akazi:

kusintha kwa thupi, zazing'ono komanso zazikulu,
kumangokhalira kumva ludzu komanso ludzu, ngakhale muli ndi chidwi chambiri komanso kumwa madzi ambiri,
kuyendera chimbudzi kuti muchotse chikhodzodzo, makamaka usiku,
kugona pakati pausiku ndi kugona tulo usiku,
kutopa,
kufooka ndi kuchepa magwiridwe
kuyabwa kwambiri pakhungu,
kuphwanya msambo
kutuluka thukuta kwambiri
kutsika kwamawonedwe owoneka,
kulephera kutenga pakati, ngakhale ndimagonana nthawi zonse.

Zizindikiro za matenda ashuga mwa akazi pambuyo pa 50, monga zaka zina zilizonse, okhala ndi mawonekedwe a insulin:

kuwuma, kutsekemera ndi khungu
kutaya tsitsi
kugwiritsa ntchito madzi ambiri patsiku - kuchokera pa malita 5 mpaka 10,
kutuluka thukuta kwambiri
kutopa ndi kufooka kosalekeza,
kuwonda
kusinthasintha kwa kutentha ndi kamvekedwe ka magazi,
kuchepetsa kulumala
chilakolako chosakwanira
vuto la kugona
kufuna kutulutsa mkodzo,
kuchepa chitetezo chokwanira,
kutupa kwa nkhope
kuwona kawiri pamaso panga,
dziko lokhumudwitsa
kunenepa kwam'mimba,
Khungu
Fungo la acetone lamkati,
kusakhazikika mtima.

Zizindikiro zamatenda a shuga mwa akazi pambuyo pa zaka 40 kapena m'badwo wina wokhala ndi mtundu wolephera wa insulin ali ndi mawonekedwe awo. Chifukwa cha mitundu iyi ya matendawa ndi awa:

kuchuluka kwa madzi amadzimadzi tsiku lililonse,
kukodza kwambiri,
kamwa yowuma
kuchepa kwa moyo,
kusintha kwa kuchuluka ndi kuchepa kwa kuthamanga kwa magazi,
zithunzi zoyera pamaso pake,
kukhudzana pafupipafupi ndi chimfine kapena matenda otupa,
kuchiritsa kwakanthawi ngakhale mabala ang'ono kwambiri
kuchepa chilakolako chakugonana,
vuto la kugona
kulawa kwazitsulo mkamwa
kuyabwa kosalekeza - kuyabwa pakhungu ndi matenda ashuga mwa azimayi nthawi zambiri kumayang'aniridwa mu groin ndi anus,
kunenepa
kupewera chakudya
zotupa pakhungu zam'munsi,
kupweteka mutu.

Mawonetseredwe azachipatala mwa azimayi omwe ali pamalopo amagwirizana kwathunthu ndi zizindikiro zomwe tafotokozazi.

Zizindikiro

The endocrinologist amadziwa momwe matenda amadziwonekera momwe amadziwira komanso momwe angadziwire shuga ndikupeza njira zowerengera. Palibe zovuta pakukhazikitsa chidziwitso choyenera, koma kuwunika kuyenera kukhala kokwanira.

Choyamba, adotolo ayenera:

kudziwa mbiri yakale ya matendawa osati ya wodwala, komanso abale ake apamtima - kuti apeze zomwe angachite,
Kupeza ndi kusanthula mbiri ya moyo - kuzindikira oyambitsa za thupi,
muzifufuza bwino mayiyo
kuyeza kutentha ndi kamvekedwe ka magazi,
funsani wodwalayo mwatsatanetsatane - kuti mudziwe ngati zizindikiro zoyambirira za matenda ashuga ndi kuuma kwawo, zomwe zingapangitse kuti matendawo adziwe momwe matendawa aliri.

ambiri matenda a magazi ndi mkodzo,
magazi zamankhwala
mayeso a mahomoni.

Kuti mutsimikizire kapena kukana malingaliro a dokotala zokhudzana ndi zovuta, zovuta zotsatirazi ziyenera kumalizidwa:

Ultrasound ya chiwindi ndi impso,
rheoencephalography,
kusanthula kwa ziwiya za m'munsi,
rheovasography
ophthalmography,
EEG waubongo,
CT
MRI

Kuti mukwaniritse wodwalayo momwe muliri, mutha kugwiritsa ntchito mankhwala komanso zakudya.

Gawo loyamba la njira zamankhwala likuphatikiza:

mankhwala obwezeretsa insulin kwa moyo wonse, koma pokhapokha atazindikira mtundu wa matenda a shuga 1,
kumwa mankhwala ochepetsa shuga - akuwonetsa mtundu wachiwiri wa matenda ashuga.

Zizindikiro za matenda ashuga mwa akazi zimachotsedwa potsatira malangizo otsatirawa pakudya:

kukana kwathunthu kwamakina oyengereza,
pafupipafupi komanso zakudya zazitali,
kuwerengetsa tsiku lililonse pakumwa mkate, chimanga, mafuta amkaka, mbatata ndi chimanga, zipatso ndi zipatso,
kusiyanasiyana ndi menyu wa maswiti aliwonse ndi mafuta a organic.

Njira imodzi yothanirana ndi chithandizo chambiri ndiyothandiza, koma zolimbitsa thupi mokhazikika.

Zovuta zotheka

Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 30 kapena zaka zina zonse zikanyalanyazidwa kwathunthu ndipo akukana chisamaliro choyenera, izi zimabweretsa zotsatira zowopsa:

Zotsatira za matenda ashuga amtundu wa 2 mwa azimayi apakati zimaphatikizira kusokonezeka kwa padera ndi kusabereka padera.

Kupewa komanso kudwala

Kupewera kwapadera kwa matenda ashuga mwa akazi sikunapangidwe. Malamulo osavuta awa akhoza kuchepetsa mwayi wokhala ndi matenda:

moyo wathanzi komanso wokonda kugwira ntchito
Zakudya zoyenera komanso zopatsa thanzi,
kugwiritsa ntchito bwino mankhwala
matenda oyamba ndi kuwonongedwa kovuta kwa endocrine pathologies,
kukayezetsa pafupipafupi kuchipatala kudzathandiza kuzindikira zizindikiro za matenda ashuga mwa amayi pambuyo pa 50 momwe angathere.

Kodi chiwopsezo cha matenda a shuga ndi chiani, mayi sadzapeza chikhulupiliro chabwino potsatira njira zoyeselera komanso kutsatira malangizo a dokotala.