Chithandizo cha matenda ashuga ku Germany: mankhwala, mavitamini ndi ma glucometer aku Germany

Matenda a shuga mellitus ndi mtsogoleri pakati pa matenda a endocrine system. Pafupifupi anthu 7 miliyoni amamva izi pachaka.

M'magulu apamwamba, komanso ndi mankhwala osankhidwa bwino, matenda ashuga amatha kupangitsa kuti wodwalayo afe, chifukwa chake ndikofunikira kuchitira zochiritsira panthawi yake.

Limodzi mwa mayiko otsogolera kuchiza matenda amtundu wa 2 ndi mtundu wa 2 ndi Germany. Madokotala kuzipatala zaku Germany ali zambiri Chithandizo cha matenda a matenda a ubongo, motero, ali ndi chidziwitso chofunikira komanso luso lothana ndi matendawa, komanso kuchiza ndi kupewa zovuta (mwachitsanzo, "matenda a shuga", kunenepa, ndi zina).

Njira zazikulu ndi njira

Akatswiri azachipatala aku Germany amagwiritsa ntchito njira zochizira komanso zovuta kudziwa, zomwe zimathandiza kuzindikira nthawi zonse zovuta zilizonse komanso kupewa kutalika kwa matendawa.

Chisamaliro chapadera analipira kuyambitsidwa koyambirira kwa odwala omwe adafika - pambuyo pake, moyenera kuzindikiritsa njira zowonjezereka zimawonjezera mwayi wokhala ndi zotsatira zopambana zamankhwala kangapo.

Mndandanda wazotsatira zoyenera kuvomerezedwa ku chipatala zikuphatikiza:

• Kuyesa kwamagazi ndi ambiri
• Kuyeza kwa shuga wamagazi (wopitilira masiku atatu),
• ECG
• Kuphatikizidwa kwa mtima ndi ziwiya zamatumbo,
• Ultrasound yam'mimba komanso chithokomiro.
• Kuyang'anira zovuta masana.

Atalandira zotsatila, adotolo adzalembetsanso mtundu wina wa mankhwalawa, womwe umaphatikizapo mankhwala osokoneza bongo, zakudya zamankhwala ndi njira zina zomwe zalimbikitsidwa pankhani inayake.

Zakudya zamankhwala

Gawo lofunikira la mankhwala a shuga, lomwe limagwiritsidwa ntchito m'makliniki onse ku Germany. Cholinga chachikulu cha zakudya zotere - onetsetsani kuti mavitamini ofunikira azikhala ndi mavitamini komanso kupewa kupewetsa shuga.

Kuti muchite izi, wodwalayo ayenera kuchita izi:

• Tengani mavitamini ndi michere yama mineral omwe adasankhidwa ndi dokotala,
• Idyani pang'ono, mukamatumikira sayenera kupitirira 200-250 g (osachepera 5-6 patsiku),
• Sinthani chakudya chamafuta othamanga ndi mafuta omwe ali ndi zinthu zomwe zimaphatikizapo zovuta za carbo (oatmeal, mafuta ophatikiza ozizira ozizira, soya, tchizi tchizi),
• Onjezerani kuchuluka kwa zinthu zamkaka muzakudya zanu tsiku ndi tsiku,
• Chotsani zonse confectionery ndi mafuta a batala kuchokera muzakudya.

Mfundo yokhudza njira yochizira odwala imakhazikika pazotsatira zomwe zimaperekedwa kwa odwala omwe ali ndi matenda amtundu uliwonse:

• Mafuta - osapitilira 25%,
• Mapuloteni - osachepera 15-20%,
• Zakudya zamafuta - pafupifupi 55-60%.

Mankhwala

Zochizira matenda amtundu wa 1 komanso wa 2 matenda ashuga, kugwiritsa ntchito mankhwala kumayikidwa muzipatala zaku Germany. Pambuyo pa kufufuza, wodwalayo adalandira mankhwala ochepetsa shuga ndi kuchepetsa shuga.

Dinani kuti Mukulitse

Mafuta a insulin. Chimodzi mwazithandizo zodziwika bwino komanso zothandiza za matenda a shuga 1 ku Germany. Chipangizocho chimaphatikizika pakhungu la wodwala ndikuwonetsetsa kuchuluka kwa shuga, komanso kusankha ndikulowetsa insulin yofunikira. Ngati kugwiritsa ntchito pampu sikutheka, wodwalayo amapatsidwa jekeseni wa insulin.

Zofunika! Biguanides sagwiritsidwa ntchito ngati wodwala satenga insulin yawoyawo!

• Kukonzekera kwa Sulfonylurea. Amagwiritsidwa ntchito kuwongolera insulin komanso amachepetsa kwambiri vuto la hypoglycemia ndi hypoglycemic coma. Mankhwala a gululi sakhala ndi zotsatirapo zoyipa, ndipo zotsatira zake zimagwiritsidwa ntchito kwa miyezi ingapo atasiya kulandira chithandizo.

Extracorporeal hemocorrection wamagazi

Ndondomeko iyi ikutanthauza njira zaposachedwa kwambiri zamankhwala othandizira odwala matenda ashuga, omwe amagwiritsidwa ntchito kuzipatala ku Germany. Chofunikira chake ndikuyeretsa magazi ndikusintha kapangidwe kake.

Pachifukwa ichi, magazi am'kati mwa wodwalayo amalowa mu chipangizo chapadera chomwe chili ndi mabowo a microscopic omwe amakhala ngati fyuluta. Ndi chithandizo chake, ma antibodies omwe amalepheretsa kaphatikizidwe ka insulin yawo omwe amasungidwa, ndipo magazi amadzaza ndi zinthu zofunika ndi zinthu: maantibayotiki, mahomoni, ndi zina zambiri. Pambuyo pochita mpheto zofunikira, magaziwo amawabayira m'mitsempha.

Kuti muchite hemocorrection, pamafunika zida zamtengo wapatali, zomwe zimapezeka pafupifupi m'malo onse azachipatala ku Germany omwe amagwiritsa ntchito kwambiri matenda a shuga.

Gwiritsani ntchito tsinde

Chinsinsi cha njirayi ndikusinthira gawo lina lamasamba achinyengo owonongeka ndi maselo a tsinde a thupi lawo. Zotsatira izi zitha kuchitika:

• Ndi matenda a shuga 1 gawo lokha la chiwalo limatha kuchira, koma ngakhale izi ndizokwanira kuti muchepetse kufunikira kwa thupi kwa insulin.
• Ndi matenda a shuga a 2 Magazi a shuga m'magazi amakhala osiyana komanso wodwalayo amakhala bwino. Monga lamulo, mutatha kugwiritsa ntchito njirayi, wodwalayo amafunika kuwongolera mankhwalawa (popeza palibe chifukwa chogwiritsira ntchito mankhwala ena).

Njira zina

Zachipatala zaku Germany zimasiyana ndi mabungwe ena azachipatala pakuzindikira kwawo momwe angayendetsere odwala omwe ali ndi matenda osokoneza bongo, komanso posankha kwawo kwakukulu njira ndi njira zamankhwala.

Pochiza matenda amtundu wa 2 komanso matenda a shuga a 2, mungagwiritse ntchito zotsatirazi:

• Kuyang'ana kwa wodwala ndi mbiri yakale,
• Kupereka ntchito zotanthauzira (m'makiriniki ena amathandizidwawo)
• Njira zoyesera ndi kuwazindikira
• Kupanga pulogalamu yothandizira munthu payekhapayekha (imaphatikizaponso njira ndi njira zothandizira),
• Kuzindikiritsa ndi kupewa zovuta zamatenda oyamba,
• Kulumikizana ndi katswiri wazakudya makamaka kwa odwala matenda ashuga,
• Kuyang'anira kuchuluka kwa thupi la wodwala
• Pitani kumaphunziro ophunzitsira komanso mapulogalamu othandizira odwala matenda ashuga.

Ngati chithandizo cha mankhwala okhwima sichibweretsa zotsatira, wodwalayo adalandira mankhwala opangira opaleshoni. Muzipatala zaku Germany, amagwira ntchito yovuta kwambiri yosinthira minofu ya kapamba ndi maselo a mabungwe am'midzi ya Langerhans.

Kuchita bwino kwa kulowererapo kuli pafupifupi 92% - Ichi ndi chisonyezo chapamwamba kwambiri pazomwe zimachitika padziko lonse pochiza matenda ashuga.

Mitengo yamankhwala

Mtengo wa chithandizo m'machipatala aku Germany umasiyana 2000 mpaka 5,000 euro. Mtengo womaliza umadalira kuchuluka kwa njira zoikika, kuuma kwa matendawo ndi zina zomwe zingadziwike pokhapokha pakuyang'ana wodwalayo.

Mwambiri, mtengo wamankhwala amayamba kuchokera ku mayuro 2000:

• Kuyendera - kuchokera ku ma 550 euro.
• Laboratory diagnostics - kuchokera ku 250 euro.
• Ultrasound - 150.
• ECG - 150.
• Yogwirizana tomography - 400.
• Kafukufuku wam'mitsempha ndi mitsempha - 180.

Chithandizo cha cell chammbali chimatengera ma euro 5,000.

Mtengo wa chithandizo nthawi zambiri umaphatikizapo:

• Kuyang'ana kwa wodwala ndi mbiri yakale,
• Kupereka ntchito zotanthauzira (m'makiriniki ena amathandizirawa kulipidwa mosiyana ndi akaunti yayikulu),
• Njira zoyesera ndi kuwazindikira
• Kupanga pulogalamu yothandizira munthu payekhapayekha (imaphatikizaponso njira ndi njira zothandizira),
• Kuzindikiritsa ndi kupewa zovuta zamatenda oyamba,
• Kulumikizana ndi katswiri wazakudya makamaka kwa odwala matenda ashuga,
• Kuyang'anira kuchuluka kwa thupi la wodwala
• Pitani kumaphunziro ophunzitsira komanso mapulogalamu othandizira odwala matenda ashuga.

Medical Institute, Berlin (MedInstitut Berlin, Schloßstraße 34, Berlin-Steglitz 12163)

Amagwira odwala ochokera m'maiko osiyanasiyana, kuphatikizapo Russia, Ukraine ndi Belarus. Anthu okhala kumayiko akunja amapatsidwa thandizo la visa, komanso msonkhano wamisonkhano ku eyapoti. Kuti athe kuyankhulana ndi akatswiri azachipatala, womasulira amagwira ntchito ndi wodwalayo nthawi yonse ya chithandizo (ntchito imaperekedwa kwaulere).

Chipatalachi chili pakatikati pa mzinda. Ndizosiyanasiyana, zimathandiza odwala omwe ali ndi visa, imapereka womasulira nthawi yayitali mdziko muno, amapereka thandizo kuwonjezera kuchipatala.

Sant Lucas Medical Center, Dortmund (Katholische St. Lukas Gesellschaft, Tel: +49 (231) 43-42-3344)

Chipinda cha multidisciplinary, kuphatikiza zipatala zitatu. Amalandira odwala kuchokera kudziko lonse lapansi kwazaka makumi angapo. Ili ndi antchito ambiri akatswiri odziwa bwino ntchito (ma endocrinologists, akatswiri othandizira zakudya, akatswiri othandizira okalamba, ndi zina), komanso zida zamakono zomwe zimalola kugwiritsa ntchito njira zosiyanasiyana zothandizira matenda amtundu uliwonse wa shuga.

Pali malo olumikizana pakatikati, omwe akatswiri awo angathandize kuthana ndi vuto la malo okhala ndikuthana ndi mavuto onse abungwe. Bungweli liperekanso womasulira, komanso kusamalira nyumba. Mutha kuthandizidwa kwachikhalire kapena mwachindunji.

University Hospital Bonn (Tel: +49 152 104 93 087, +49 211 913 64980)

Chipatalachi chili ku University of Bon. Ili ndi zofunikira zonse pakuzindikira komanso kupatsa matenda ashuga zovuta zilizonse. Mitengo yamankhwala pano ndi dongosolo la kukula kwambiri kuposa ma kliniki ena ndi ma endocrinological malo ku Germany.

Medical Center Active, Freiburg (Tel: +49 179 3554545)

Imalandira odwala kuchokera kudziko lonse lapansi kuti athandizidwe, komanso kukonzanso pambuyo pochita opaleshoni yopatsirana matumba a pancreatic.

Munich Medcure Consulting, Munich (Tele: +49 89 454 50 971)

Gawo lotsogola kwambiri ku Germany. Bungweli limakhala ndi chidziwitso chachikulu pothandizira odwala omwe ali ndi matenda a shuga 1.

Chithandizo cha matenda ashuga ku Germany: mankhwala, mavitamini ndi ma glucometer aku Germany

Chiwerengero cha anthu omwe amapezeka ndi matenda a shuga chikukula tsiku ndi tsiku. Chifukwa chake, lero chiwerengero cha odwala olembetsedwa chikufika pa 300 miliyoni. Komanso kuchuluka kwa omwe sakudziwa za kukhalapo kwa matendawa kulinso kwakukulu.

Masiku ano, madokotala ndi asayansi ambiri padziko lonse lapansi akutenga nawo mbali maphunziro ndi matenda a shuga. Chifukwa chake, anthu ambiri amakonda kuchiza matenda a shuga kunja, ku Germany. Kupatula apo, dziko lino limatchuka chifukwa chaopeza bwino kwambiri zachipatala, zipatala komanso madokotala abwino kwambiri.

Madokotala aku Germany samagwiritsa ntchito shuga ngati njira zamachikhalidwe zokhazokha, komanso matekinoloje opindika omwe amapezeka mu labotore yofufuzira m'machipatala. Izi zimathandizira osati kungongolera thanzi la odwala matenda ashuga, komanso kukwaniritsa kuchotsedwa kwa matendawo kwa nthawi yayitali.

Chithandizo chatsopano - mitundu ya katemera wa shuga

• Insellitus yodalira matenda a shuga (mtundu I shuga mellitus) amakula makamaka mwa ana ndi achinyamata. Mtundu I shuga mellitus, pali kuchepa kwathunthu kwa insulin chifukwa cha kuperewera kwa kapamba.

• Mellitus wa shuga wosadalira insulin (mtundu II shuga mellitus) amakula mwa anthu azaka zapakati, omwe nthawi zambiri amakhala onenepa kwambiri. Mtundu wa matenda amtundu wotchuka kwambiri, womwe umapezeka mu 80-85% ya milandu. Mtundu wachiwiri wa matenda a shuga a mellitus, kuperewera kwa insulin kumadziwika.Maselo a pancreatic pamenepa amapanga insulin yokwanira, komabe, kuchuluka kwa zida zomwe zimatsimikizira kuti kulumikizana ndi khungu ndikuthandizira glucose ochokera m'magazi kulowa kulowa mu cell ndi kotsekedwa kapena kuchepetsedwa pamwamba pa maselo. Kusowa kwa glucose m'maselo kumapangitsa kuti insulini ipangike kwambiri, koma izi sizothandiza, zomwe pakapita nthawi zimayambitsa kuchepa kwa insulin.

Kukula kwambiri komanso kufa kwa anthu kuchokera ku mtundu woyamba wa 2 komanso mtundu wa matenda ashuga 2 kumakakamiza asayansi padziko lonse lapansi kuti apange njira zatsopano ndi malingaliro othandizira matendawa.

Zidzakhala zosangalatsa kuti ambiri aphunzire njira zatsopano zamankhwala, kupanga katemera wa matenda ashuga, zotsatira za zomwe zapezeka mderali.

Zizindikiro

Kuzindikira matenda a shuga kwa ana ndi kuwunika kokwanira. Choyamba, dokotala amayesedwa ndi adotolo, koma kuwunika komaliza kumakhazikitsidwa pambuyo poyesedwa kwa maabara.

Kuyesa kwa TSH (kulolerana ndi shuga)

Pakuwona bwino matenda ku Germany, kuyezetsa magazi kwa TSH kumachitika. Kugwiritsa ntchito kuyezetsa, osati kukhalapo kwa matenda ashuga okha, komanso mitundu yaposachedwa yamatendayo imapezeka, yomwe singathe kutsimikiza ndi mayeso ena.

Kusanthula kuli motere: pamimba yopanda kanthu, wodwalayo amamwa yankho lomwe lili ndi magalamu 75 a shuga. Mwanayo sayenera kudyetsedwa maola teni asanachitike.

Mwana atatenga njira yothetsera vutoli, pakatha mphindi 30, wothandizira zasayansi amayesedwa magazi, ndipo atatha maola ena angapo, magaziwo amatengedwanso. Chifukwa chake, kusintha kwamankhwala m'magazi amawonedwa.

Mapeto, adotolo amamaliza.

Mu ana athanzi, kudzakhala kutsika kwakula, kenako matenda a shuga, omwe amakhala abwinobwino kukhala 5.5-6.5 mmol / L. Kwa ana omwe ali ndi matenda ashuga pambuyo 2 hours, shuga adzatsika kuchokera ku 7.5-11 mmol / l Chizindikirochi chikuwonetsa kuphwanya kulekerera kwa glucose.

Kuyesa kwa shuga mkodzo

Urinalysis imaphatikizapo kusonkhetsa mkodzo nthawi zosiyanasiyana. Phunziroli limachitika masana, zomwe zimathandiza kudziwa kuchuluka kwa shuga. Kusanthula koteroko nthawi zambiri kumakhala kokwanira kudziwa ngati kuchuluka kwa shuga sikwabwinobwino. Komabe, pali nthawi zina pamene mkodzo umafunikira, womwe umatengedwa m'magulu anayi.

Ngati mulingo wa shuga mu mkodzo ndi 1% (10 mmol / L), mtengo wake umawoneka kuti ndi wabwinobwino, koma ngati chizindikirocho ndi chokulirapo, izi zimawonetsa shuga.

Glycohemoglobin Assay

Nthawi zambiri, kusanthula kwa hemoglobin HbA1c kumachitika kuti mupeze matenda amtundu wa 2. Kuyesaku kukuwonetsa shuga wapakati m'magazi a mwana m'miyezi itatu yapitayo. Kusanthula kotereku kumachitika nthawi iliyonse masana, mayesowo satanthauza chakudya chilichonse. Zotsatira zake zimasinthidwa kukhala peresenti.

Mokulirapo, amachepetsa shuga m'magazi. HbA1 yabwinobwino imakhala m'munsi mwa 5.7%, ngati apamwamba, kukayikira kwa mtundu 2 shuga kumawonekera.

Ultrasound kuwunika kwam'mimba

Kuzindikira kwa Ultrasound kumachitika kuti mupeze kusintha komwe kuli, kukula kwa ziwalo, kapangidwe ka minofu yolumikizana, kupezeka kwa kutukusira kwa chakudya cham'mimba ndi kapamba. Ndondomeko makamaka anachita pa chopanda kanthu m'mimba. Njira yodziwitsira matenda imeneyi ndi yothandiza kwambiri kudziwa matenda ashuga.

Electrocardiogram (ECG)

Ma electrocardiogram amachitika kuti awone kusintha kwa ntchito yamtima wamwana chifukwa chakuchitika kwa matenda ashuga. Pogwiritsa ntchito electrocardiograph, dokotala amayang'anira kugunda kwa mtima, kuthekera kwa kuwonongeka kwa mtima ndi kusinthana kwa ma electrolyte (magnesium, calcium, potaziyamu).

Chithandizo cha matenda osokoneza bongo chakunja chimayamba ndi kuzindikira komwe kumapereka zotsatira za 100%. Kukhalapo kwa matendawa kumatha kukhazikitsidwa ndi zizindikiro monga:

• • kuwonda mwadzidzidzi
  • kulakalaka kapena kusakhalapo kwathunthu,
  • ludzu losalekeza,
  • kugona, kufooka,
  • thukuta
  • chizungulire
  • kuwonongeka kwamawonekedwe
  • mavuto pokodza.

Kuzindikira ndi kuchiza matenda ashuga ku Germany zimaphatikizapo njira zoyeserera monga:

• • Ultrasound (m'mimba, m'mimba, chithokomiro),
  • kuyezetsa magazi
  • CT
  • ECG
  • muyezo wama glucose (maola 72), ndi zina zambiri.

Chithandizo cha matenda osokoneza bongo chakunja. Wodwala aliyense amapatsidwa pulogalamu yowunikira mawonekedwe a thupi lake, thanzi lake komanso zaka zake. Musazengereze kulandira mankhwalawa, chifukwa matenda ashuga angayambitse zovuta zazikulu monga:

• • kuwonongeka kwaimpso,
  • kuwonongeka kwa mtima
  • kunenepa
  • khungu
  • atherosulinosis
  • zilonda zam'mimba, etc.

Maziko a chithandizo cha matenda amtundu wa shuga 1 ndi kubwezeretsa kwa kagayidwe kazakudya mwa kubayidwa ndi insulin ya mahomoni. Kasitomala samatulutsa kokwanira, chifukwa munthu amakakamizidwa kulandira jakisoni tsiku lililonse.

Zolinga zazikulu za chithandizo:

• Kusunga magazi abwinobwino
• Kuthetsa zizindikiro za matendawa
• Kupewa koyambirira (matenda ashuga)
• Kuchepetsa mavuto mochedwa

Mankhwala, sikuti amangokonzekera insulin kokha, komanso zakudya, zomwe zimapangitsa kuti azichita zolimbitsa thupi. Chofunika kwambiri ndikuphunzitsa odwala pakudziletsa, kuwapatsa chidziwitso panjira ndi njira zochizira matenda ashuga.

Pamene zovuta zikupita, njira zina zothandizira zimafunikira. Mankhwala osiyanasiyana, njira, komanso zodulira zamankhwala zimagwiritsidwa ntchito kuti muchepetse kukula kwa njira, kubwezeretsa kusakwanira kwa ziwalo zamkati, kusintha mtundu wa moyo wa wodwalayo ndikuwonjezera nthawi yake.

Pochiza matenda a shuga a 2, gawo lalikulu limachitika ndi:

• Zakudya kuti muchepetse kunenepa komanso kuchepetsa magazi
• Zochita zolimbitsa thupi
• Kumwa mankhwala ochepetsa shuga

Popita nthawi, chifukwa cha kuchuluka kwa mankhwala a insulini, kufooka kwa maselo a pancreatic opangika ndi timadzi timeneti kumachitika. Chifukwa chake, ngakhale mtundu wachiwiri wa shuga ungakhale wodalira insulini. Kenako, kuwonjezera pa mankhwala ochepetsa shuga, wodwalayo amafunika jakisoni wa insulin.

Palinso njira zochiritsira mosiyanasiyana. Zotsatira zabwino zimawonetsedwa ndi opaleshoni ya metabolic. Cholinga cha opareshoni ndikuchepetsa kukula kwa m'mimba kapena kusiya kupezeka kwa madzi a pancreatic ku chidebe cha chakudya kuti asokoneze chimbudzi cha chakudya. Izi zimabweretsa kuwonda pang'onopang'ono pambuyo pa opaleshoni, yomwe imapangitsa bwino kagayidwe kazakudya.

Chithandizo cha matenda a shuga chimakhala ndi zovuta zazikulu kwa madokotala. Palibe njira imodzi yachithandizo yomwe ingagwire aliyense. Chithandizo chiyenera kusankhidwa payekha, kutengera:

• Mtundu wa matenda ashuga
• Kukula kwa kulipidwa kwa kagayidwe kazakudya
• Khalidwe la anthu
• Zaka za wodwala, luso lake, komanso luso lodzisamalira
• Matenda obwera
• Kukhalapo kwa zovuta zina za matenda ashuga

Madokotala aku Germany akwanitsa kuchiza matenda amtundu wa 2 komanso mtundu wa 2 matenda a shuga. Chifukwa chake, zili m'dziko lino la Europe kumene anthu ochokera konsekonse mdziko lapansi amapita kukalandira chithandizo cha chipatala choyambirira.

Mankhwala ambiri opanga matenda a shuga alipo ku Germany. Ganizirani zazikulu zomwe zakwaniritsidwa m'zaka zaposachedwa pankhaniyi ya endocrinology.

Kuyika kwa Langerhans. Maselo omwe amapanga insulin amamugulitsa kwa munthu wina.

Amazika mizu m'chiwindi. Chiwerengero chawo chikukula pang'onopang'ono.

Kumapeto kwa chaka choyamba atachitidwa opaleshoni, odwala 58% amachotsa kwathunthu kufunika kwa jakisoni wa insulin. Komabe, mayesedwe okana kukakamizidwa, omwe amayenera kuponderezedwa ndi immunosuppressants, amakhalabe vuto.

Kapamba wosakhazikika wa bioartificial. Idasinthidwa koyamba ku Germany, mumzinda wa Dresden, mu 2012.

Maselo a pancreatic islet amapatsidwa chovala chapadera chomwe chimawateteza kuti asawonongeke ndi maselo chitetezo chathupi. Kuyambira mu 2014, mayesero azachipatala a njira iyi yochizira matenda amtundu wa 1 akhala akupitiliza.

Chithandizo cha cell tsinde. Maselo amimba amachokera m'mafupa a wodwala.

Amasiyanitsidwa mu ma labotale kupita ku maselo a beta omwe amapanga insulin. Kenako zimayambitsidwa mu pancreatic artery kapena minofu ya ng'ombe.

Njira yochizira imalola kukhululuka kwakutali, komwe odwala ena amakhala ndi zaka zingapo. Katemera wa shuga

Pa gawo loyamba, ndi mtundu 1 wa matenda a shuga, katemera wa BHT-3021 ndiwotheka. Zimalepheretsa zotsatira za cytotoxic za T-akupha (ma immune immune) ndikuteteza ma cell omwe amapanga insulin kuti isawonongeke.

Uwu ndi chithandizo chatsopano chomwe chikukumana ndi mayesero azachipatala okha. Chifukwa chake, zotsatira za nthawi yayitali za chithandizo chotere sizikudziwika mpaka pano.

Zina mwazidziwitso zochizira matenda a shuga:

• Madzi a insulin
• Masensa a laser ogwiritsira ntchito kunyumba omwe amazindikira magazi osagwiritsa ntchito chala
• Njira zopitiliza kuyang'anira shuga
• Zatsopano zoteteza kuphatikiza pakukonzekera
• Gulu latsopano la mankhwala ochepetsa shuga - incretomimetics

Zonsezi ndi zina zambiri zimapezeka ku Germany. Apa ndipamene mungapeze chithandizo chamankhwala chothandiza pogwiritsa ntchito njira zaposachedwa pofufuza komanso kuchiza matenda ashuga.

Sungani mitundu yonse yamapulogalamu azithandizo pa bookinghealth.ru

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Tsambali limapereka malingaliro m'magawo atatu: diagnostics - pulogalamu yowunika, chithandizo - mapulogalamu omwe akuphatikiza mndandanda wa njira zochizira matenda ofanana, kukonzanso - mndandanda wa njira zodzikonzera ndi mwayi wosankha nthawi ndi nthawi ya mapulogalamu - makamaka mayiko otsogolera pantchito chisamaliro chaumoyo - Germany, Switzerland ndi Austria.

Tsopano ogwiritsa ntchito ali ndi mwayi wabwino kwambiri wosankha pawokha, fanizo loyerekeza lazomwe mabungwe amayiko osiyanasiyana amatha kusungitsa pulogalamu yaumoyo kapena yamankhwala yosangalatsa pa intaneti, pamlingo wololeza chilolezo cha alendo.

Germany ili ndi gawo lalikulu mdziko lonse polimbana ndi matenda ashuga. Matenda a shuga amayambitsa thupi lonse la munthu, chifukwa chake, zinthu zambiri zogwirizana zimayenera kukumbukiridwa pakumwa. Kuthandiza odwala matenda ashuga ku Germany kumachitika pogwiritsa ntchito zida zaposachedwa komanso kutengapo gawo kwa ogwira ntchito bwino kwambiri.

Mankhwala

Chithandizo cha mankhwala osokoneza bongo chimathandiza kuchepetsa magazi m'thupi mwa wodwala. Insulin ndi kukonzekera kofananako kumagwiritsidwa ntchito.

Malinga ndi International Federation of Diabetesology (IFD) ya 2013, pali anthu pafupifupi 382 miliyoni omwe ali ndi matenda amtundu 1 kapena mtundu wa 2 padziko lonse lapansi.

Matenda a shuga ndi gulu la matenda a endocrine system ya thupi momwe ma cell a kapamba amalumikizidwa komanso kusakwanira katulutsidwe ka insulin ya mahomoni amawoneka kapena momwe mphamvu yake yam'thupi imasokonezedwera.

Kukula kwa vuto la kuperewera kwathunthu kapena la insulin kumabweretsa kusintha kwa ziwalo zonse ndi machitidwe ndipo zimayambitsa kukulira kwa zovuta zazikulu. Kuphatikiza pa zovuta zakuthupi zomwe zimakhudzana ndi matendawa, moyo wawo umadwala kwambiri odwalamuyenera kutsatira zakudya mosamalitsa, kumwa mitundu yambiri ya insulin tsiku lililonse (yonse piritsi ndi jekeseni), ndipo, mwachidziwikire, muziyang'anira momwe muli ndi moyo wanu.

Njira yakukonzekera chithandizo nthawi zonse imakhala yokwanira, ndiye kuti, amagwiritsa ntchito njira zonse zotsimikiziridwa komanso njira zamakono zopangira. Mankhwala osokoneza bongo Mankhwala a matenda a shuga 1, madokotala aku Germany amagwiritsa ntchito:

• insulin Therapy
• biguanides - mankhwala omwe amathandizira kuyamwa kwa shuga ndi maselo amthupi, ndikuletsa mapangidwe ake mu chiwindi, amachepetsa chilakolako (chotsimikizidwa ndi mawonekedwe ofatsa),
• Kukonzekera kwa gulu la sulfonylurea (amyral) - kulimbikitsa kapamba pamasamba kuti apange insulin yawo, amakhala ndi mphamvu yayitali (miyezi 2-3 atachotsedwa).

Mtundu wachiwiri wa matenda ashuga umaphatikizapo chithandizo chamankhwala ku Germany pa mfundo zotsatirazi:

• kwambiri insulin mankhwala,
• kugwiritsa ntchito pampu ya insulin,
• candidiasis mkamwa,
• ochiritsira a insulin.

Kusankha kwamankhwala ochiritsira Madokotala aku Germany amakhulupirira kuti kupatsa thanzi shuga kumathandiza kwambiri, chifukwa ndi chithandizo chake thupi limadzaza ndi mapuloteni ofunikira, zakudya ndi mafuta. Chifukwa chake, payekhapayekha kwa wodwala aliyense, amapanga zakudya zochizira.

Cholinga chake chachikulu ndikuonetsetsa kuti glucose akhale m'magazi. Chifukwa chake, mafuta ndi ma carbohydrate (okha digestible mosavuta) samachotsedwa muzakudya za wodwalayo, ndikuzisintha ndi zinthu zamkaka, soya, oatmeal, etc. Kuti chakudya cha tsiku lililonse chizikhala ndi kuchuluka kwa mafuta - mapuloteni - chakudya m'thupi momwe 25%: 20%: 55%, molingana ndi izi, malamulo awa ayenera kukwaniritsidwa:

• kutsatira kwambiri zakudya (5 kapena 6),
• kukana chokoleti, shuga ndi maswiti ena,
• kugwiritsa ntchito mankhwala a mkaka,
• kudya mavitamini.

Madokotala aku Germany amagwiritsa ntchito pochiza omwe adayesedwa komanso mankhwala aposachedwa omwe amawonjezera kupanga kwa insulin, amachepetsa kupanga shuga m'magazi, amachepetsa kugwiritsa ntchito shuga m'magayidwe am'mimba, amachititsa chidwi cha minofu ya thupi kuti apeze insulin, achepetse kuthamanga kwam'mimba, komanso kuchepetsa thupi.

Pali zovuta za matenda ashuga komanso osachiritsika.

• Matenda a shuga a diabetes - retinopathies ndi nephropathies angapangitse kutayika kwathunthu kwa kuwona ndi kulephera kwa aimpso.
• Matenda a shuga a macroangiopathies - matenda a mtima, matenda amitsempha, osagwirizana ndi zotumphukira zamatenda a mtima.
• Matenda a shuga
• Matenda a shuga a Neuroosteoarthropathy
• Matenda a matenda ashuga
• Matenda oopsa

Matenda a shuga mellitus kanayi amawonjezera chiopsezo chotenga matenda a mtima ndi matenda ena a mtima, ndipo ndi chiopsezo chachikulu pakukula kwawo. Nthawi zambiri, matenda awa mwa odwala amatha kukhala asymptomatic, ndikuwonjezera mwayi wa kufa mwadzidzidzi.

Madokotala aku Germany amagwiritsa ntchito pochiza omwe adayesedwa komanso mankhwala aposachedwa omwe amawonjezera kupanga kwa insulin, amachepetsa kupanga shuga m'magazi, amachepetsa kugwiritsa ntchito shuga m'magayidwe am'mimba, amachititsa chidwi cha minofu ya thupi kuti apeze insulin, achepetse kuthamanga kwam'mimba, komanso kuchepetsa thupi.

Pali zovuta za matenda ashuga komanso osachiritsika.

• Matenda a shuga a diabetes - retinopathies ndi nephropathies angapangitse kutayika kwathunthu kwa kuwona ndi kulephera kwa aimpso.
• Matenda a shuga a macroangiopathies - matenda a mtima, matenda amitsempha, osagwirizana ndi zotumphukira zamatenda a mtima.
• Matenda a shuga
• Matenda a shuga a Neuroosteoarthropathy
• Matenda a matenda ashuga
• Matenda oopsa

Matendawa amagawidwa m'mitundu iwiri. Malinga ndi oyamba, kapamba amawonongeka motero insulin siyipangidwa.Matendawa amatengera:

Ndi matenda amtunduwu, perekani mankhwala kwa nthawi yochepa kapena yayitali. Amayang'aniridwa mosasamala.

Pa chithandizo cha opaleshoni, gawo limodzi la kapamba limayatsidwa kwa wodwala. Iyenera kukhala ndi maselo omwe amatha kutulutsa insulini.

Komanso, kuwongolera kuchuluka kwa shuga m'magazi, pampu ya insulin imaphatikizidwa kwa wodwala - chipangizo chapadera chomwe chitha kupangira jakisoni moyenera.

Ku Germany, matenda ashuga amtundu 1 amathandizidwanso ndi zakudya zapadera. Zakudya zamafuta othamanga ndi mafuta sizimachotsedwa muzakudya za wodwalayo, ndikumazichotsa ndi zinthu zofunikira.

Siofor - mankhwala okhudzana ndi mapiritsi antidiabetesic piritsi. Zomwe zimagwiritsidwa ntchito ndi mankhwala ndi metformin. The siofor imapangidwa ndi kampani ya Berlin-Chemie, yomwe ndi gawo lalikulu la bungwe lachipatala la ku Italy lotchedwa Menarini Group.

Kupanga mankhwalawa pansi pa dzina la malonda la Siofor kumachitika ku Germany ndi Eastern Europe. Mankhwalawa amapangidwa motsatira mosamalitsa ndi miyezo ya GMP, kotero mtundu wa mankhwalawo nthawi zonse umakhalabe wambiri. Mu Russian Federation, imapezeka mu mankhwalawa - 500 mg, 850 mg, 1000 mg.

Kodi matenda ashuga amapezeka bwanji ku Germany?

Asanachiritse matenda ashuga ku Europe, madokotala amamuwunikira wodwalayo mosamalitsa. Diagnosis imaphatikizapo kufunsana ndi endocrinologist yemwe amatenga anamnesis, kuti adziwe zomwe wodwalayo akudandaula, amapanga chithunzi chonse cha matendawa, nthawi yake, kukhalapo kwa zovuta ndi zotsatira za chithandizo cham'mbuyomu.

Kuphatikiza apo, wodwalayo amatumizidwa kukapangana ndi madotolo ena, monga, katswiri wa zamitsempha, ophthalmologist, wothandizira wazakudya zamankhwala ndi wamankhwala. Kuyesedwa kwa labotale kumathandizanso pakutsimikizira kuti matendawa ndi omwe ali. Choyambirira kudziwa mtundu wa shuga kudziko lina kuyezetsa magazi komwe kumatengedwa pamimba yopanda kanthu pogwiritsa ntchito glucometer yapadera.

Kuyesereranso kwa glucose kumachitidwanso. TSH imathandizira kudziwa kupezeka kwa matenda ashuga, omwe amapezeka mwa mitundu yaposachedwa.

Kuphatikiza apo, kusanthula kwa HbA1c ndi mankhwala, komwe mumatha kudziwa kuchuluka kwa shuga m'magazi masiku 90 apitawa. Ubwino wa kuyesedwa koteroko ndikuti ukhoza kuchitika popanda zoletsa muzakudya komanso nthawi iliyonse masana. Komabe, kuyesa kwa hemoglobin sikuyenera kudziwa mtundu woyamba wa shuga, ngakhale umatha kudziwa matenda a prediabetes ndi mtundu wachiwiri.

Madokotala aku Germany amapendanso mkodzo wa shuga. Kuti muchite izi, kuchuluka kwamkodzo tsiku lililonse kapena tsiku ndi tsiku (maola 6).

Ngati munthu ali wathanzi, ndiye kuti zotsatira zake zimatsimikizira. Nthawi zambiri m'machipatala aku Germany, mayeso a mkodzo amagwiritsa ntchito mayeso a Diabur (mikwingwirima yapadera).

Kuphatikiza pa mayeso a labotale, musanapangitse matenda a matenda ashuga ku Germany, diagnostics akuwonetsedwa, pomwe adokotala amatsimikiza momwe thupi la wodwalayo lilili:

1. Doppler sonography - iwonetsa mkhalidwe wamitsempha ndi mitsempha, kuthamanga kwa magazi, kupezeka kwa zolembedwa pamakoma.
2. Ultrasound yam'mimbamo yam'mimba - imakuthandizani kuti mudziwe momwe ziwalo zamkati zilili, kodi pali zotupa mkati mwawo, mawonekedwe ake ndi kukula kwake.
3. Doppler ultrasound ultrasound - amagwiritsidwa ntchito kuti adziwe momwe vasculature ya miyendo ndi manja.
4. Electrocardiogram - imathandizira kuzindikira kusakhazikika kwa mtima ndi mitsempha yamagazi yomwe idatuluka motsutsana ndi maziko a matenda ashuga.
5. CT - imakupatsani mwayi wofufuza momwe mtima wamunthu ulili.
6. Osteodensitometry - kuwunika kwa mafupa a axial.

Mtengo wazidziwitso umatengera zinthu zambiri. Umu ndi mtundu wa matenda, kupezeka kwa zovuta, ziyeneretso za adotolo ndi zoyenera za chipatala chomwe phunziroli limachitikira.

Koma pali mitengo yoyenera, mwachitsanzo, kuyezetsa matenda a shuga kumatenga pafupifupi 550 euro, ndi mayeso a labotale - 250 euro.

Njira yamachitidwe

Siofor ndi nthumwi ya kalasi yayikulu. Mankhwalawa amachepetsa shuga wamagazi pokhapokha kudya, komanso shuga yofunikira.

Metformin siyimapangitsa maselo a kancreatic beta kuti apange kwambiri insulin, zomwe zikutanthauza kuti sizitsogolera ku hypoglycemia. Mankhwalawa amachotsa hyperinsulinemia, yomwe mu shuga ndimomwe imayambitsa kulemera ndikukula kwa zovuta zamtima.

Njira yochepetsera shuga mukamagwiritsa ntchito kukonzekera kwa Siofor ndikuwonjezera mphamvu ya maselo a minofu kutenga glucose kuchokera m'magazi, komanso kuwonjezera chidwi cha insulin receptors pamitsempha yama cell.

Njira zopangira opaleshoni zomwe zimagwiritsidwa ntchito pochiza matenda ashuga ku Germany ndi liwu latsopano pothandizira matenda a shuga.

Ali m'gulu lovuta kwambiri. Koma madokotala ochita opaleshoni achijeremani m'zaka zaposachedwa apeza odziwa zambiri pochita opareshoni ngati iyi. Kupambana kwakukulu komwe kwachitika pakuchita opareshoni ya matenda ashuga ku Germany kumakopa odwala ambiri padziko lonse lapansi.

Pali mitundu iwiri ya ntchito:

• Pancreatic minofu kupatsirana
• Langerhans islet kupandukira kwa cell

Chithandizo chamankhwala ndi opaleshoni ya shuga m'magulu aku Germany

Aliyense amene wathandizidwapo ku Germany amasiya ndemanga zabwino, chifukwa ku Western Europe chithandizo chovuta chimachitika, kuphatikiza njira zachikhalidwe komanso zatsopano.

Pofuna kuthana ndi matenda amtundu wa shuga m'makiriniki aku Germany, odwala matenda ashuga amaikidwa mankhwala monga biguanides, amathandiza kutulutsa shuga ndikuletsa mapangidwe ake m'chiwindi.

Komanso, mapiritsi oterewa amalepheretsa chidwi.

Kuphatikiza apo, chithandizo cha matenda amishuga amtundu 1 ku Germany, monga mayiko ena, chimakhudzanso kuphatikiza kwa insulin kapena mankhwala ofanana omwe amachititsa shuga. Kuphatikiza apo, mankhwala ochokera ku gulu la sulfonylurea amapatsidwa matenda a shuga 1.

Chithandizo chodziwika bwino m'gululi ndi Amiral, yomwe imayendetsa maselo a pancreatic beta, kuwakakamiza kuti apange insulin. Chipangizocho chimakhala ndi nthawi yayitali, choncho zotsatira zake zikalephereka zimakhalabe masiku ena 60-90.

Pofuna kuthana ndi matenda a shuga a mtundu wachiwiri ku Germany, kuwunika kwa wodwala kumati, monga momwe amadzidalira ndi mawonekedwe a insulini, chithandizo chokwanira ndichofunika, chomwe chimatengera mfundo izi:

• mankhwala antidiabetes
• kwambiri insulin mankhwala,
• ochiritsira ochiritsira ndi insulin yosakanikirana,
• kugwiritsa ntchito pampu ya insulin.

Ndikofunikanso kupanga mankhwala othandiza odwala matenda ashuga ochokera ku Germany. Glibomet ndi yamtundu wotere - ndi yophatikiza (imaphatikiza ndi biguanide ndi sulfonylurea yotengedwa ya mibadwo iwiri) mankhwala a hypoglycemic omwe amagwiritsidwa ntchito ngati matenda a mtundu 2.

Mankhwala ena achijeremani omwe amagwiritsidwa ntchito ngati mtundu wa insulin wodalira matendawa ndi glimerida based glyride. Ndiwothandiziratu hypoglycemic wochokera ku sulfonylurea. Mankhwala amathandizira kupanga pancreatic insulin, ndikuwonjezera kutulutsa kwa mahomoni ndikusintha kukokana kwa insulin.

Komanso ku Germany, mankhwala a Glucobay, omwe ndi othandizira odwala matenda a shuga, anapangidwa. Chithandizo chogwira ntchito cha mankhwala ndi acarbose (pseudotetrasaccharide), chomwe chimakhudza m'mimba, chimalepheretsa-glucosidase, ndipo chimagwira ntchito zosiyanasiyana za saccharides. Chifukwa chake, chifukwa cha kuyamwa kwamphamvu kwa glucose kuchokera m'matumbo, mulingo wake wapakati umachepetsedwa.

Jardins ndi mankhwala ena otchuka a antidiabetes omwe amagwiritsidwa ntchito ngati matenda a insulin osadziletsa. The yogwira pophika mankhwala amalola odwala kusintha glycemic, mwa kuchepetsa kubwezeretsanso kwa impso.

Chithandizo cha opaleshoni ya shuga chakunja chimachitika m'njira ziwiri:

1. Thirani zina za kapamba,
2. kufalikira kwa ma islets aku Langerhans.

Chithandizo cha matenda amtundu wa 1 wovuta kwambiri amatha kuchitidwa pogwiritsa ntchito ma cell a pancreatic cell. Koma opaleshoni yotereyi ndizovuta kwambiri, chifukwa madokotala abwino okha ku Germany ndiwo amachita izi. Kuphatikiza apo, pali mwayi wokanidwa, chifukwa chake odwala matenda ashuga pambuyo pake amafunikira kulandira chithandizo chamankhwala osafunikira moyo wonse.

Langerhans islet cell transplantation imachitika pogwiritsa ntchito catheter yomwe imalowetsedwa m'mitsempha ya chiwindi. Kuika (maselo a beta) kumalowetsedwa kudzera mu chubu, chifukwa cha momwe insulin yotchinga ndikusweka kwa glucose kumachitika m'chiwindi.

Kuchita opareshoni kumachitika pansi pa mankhwala oletsa kudwala omwe ali ndi matenda a insulin.

Mankhwala ena a shuga ku Germany

Anthu odwala matenda ashuga ku Germany omwe ndemanga zawo zimakhala zabwino amazindikira kuti kuphatikiza pa chithandizo chamankhwala, madokotala aku Germany amalimbikitsa kuti odwala awonere zakudya. Chifukwa chake, kwa wodwala aliyense, menyu amapangidwira payekhapayekha, momwe mungaperekere ndikukhalabe ndi kuchuluka kwa thupi la shuga m'magazi.

Zakudya zopatsa mphamvu mosavuta komanso zamafuta osapatsa thanzi zimaperekedwa kunja kwa zakudya za odwala matenda ashuga. Zosankhazo zimasankhidwa kotero kuti chiwerengero cha mapuloteni, mafuta ndi chakudya cham'mimba motere - 20%: 25%: 55%.

Muyenera kudya nthawi 5-6 patsiku. Zakudyazi ziyenera kulemezedwa ndi zinthu zamkaka, zipatso, masamba, nsomba zamitundu mitundu, nyama, mtedza. Ndipo chokoleti ndi maswiti ena ayenera kutayidwa.

Posachedwa, ku Germany, matenda ashuga amathandizidwa ndi mankhwala azitsamba, chifukwa chake ndizotheka kuchepetsa mlingo wa insulin ndi mankhwala. Ku Germany, kuwunika kwa anthu odwala matenda ashuga kumatsimikizira kuti chithandizo cha phytotherapeutic chimathandizanso mtundu wina wa matenda ashuga. Zomera zabwino zaantidiabetes ndi:

Komanso chithandizo chokwanira cha matenda ashuga ku Germany chimafunikiranso kuchitira masewera olimbitsa thupi matenda a shuga omwe amatha kuchepetsa kufunika kwa insulin. Pulogalamu yapadera yophunzitsira imapangidwa aliyense payekha kwa wodwala aliyense. Nthawi zambiri odwala matenda ashuga, madokotala amalimbikitsa kukwera maulendo, tennis, masewera olimbitsa thupi komanso kusambira pafupipafupi padziwe.

Kuti ayambitse chitetezo cha mthupi, chomwe chimafooka mu shuga, odwala amapatsidwa ma immunostimulants. Chifukwa chaichi, ma immunoglobulins, ma antibodies ndi ma othandizira ena omwe amachititsa kuti chitetezo chofunikira mthupi chizitchulidwa.

Njira yodziwika kwambiri komanso yotsogola yogwiritsira ntchito matenda a shuga ku Germany ndi kubzala maselo a pancreatic stem m'malo owonongeka. Izi zimayambiranso ntchito ya thupi ndikukonza ziwiya zowonongeka.

Maselo amodzi amathandizanso kuti pakhale zovuta zingapo za matenda ashuga (retinopathy, diabetesic phazi) ndikuwonjezera chitetezo chokwanira. Ndi matenda omwe amadalira insulin, njira yodalirika yothandizirayi imathandizira kubwezeretsa ziwalo zowonongeka, zomwe zimachepetsa kufunika kwa insulin.

Ndi matenda a mtundu 2, opaleshoniyo imasintha bwino kwambiri matenda a shuga.

Chidziwitso chinanso chamankhwala amakono ndi kusefedwa kwa magazi pakapangidwe kake kasintha. Hemocorrection ndikuti chipangizo chapadera chimaphatikizidwa kwa wodwala, pomwe magazi a venous amawongoleredwa. Pazipangizo, magazi amayeretsedwa kuchokera ku ma antibodies kupita ku insulin yakunja, kusefedwa ndikulemeretsedwa. Kenako abwezeretsedwanso.

Njira ina yowonjezera yamankhwala ndi physiotherapy ya odwala matenda a shuga komanso zipatala zaku Germany zimapereka njira zotsatirazi:

1. Chithandizo cha EHF
2. maginotherapy
3. Katemera
4. Ultrasound mankhwala
5. malingaliro
6. hydrotherapy
7. electrotherapy
8. kachikachiyama
9. mawonekedwe a laser.

Ku Germany, matenda ashuga amathandizidwa pang'onopang'ono kapena kunja.Mtengo ndi nthawi yayitali yamankhwala zimatengera njira yosankhidwa ya chithandizo ndi matenda. Mtengo wapakati umachokera ku ma euro awiri.

Anthu odwala matenda ashuga, omwe akhala akuwunika pafupipafupi ku Germany, adziwa kuti zipatala zabwino kwambiri ndi Charite (Berlin), University Hospital Bonn, St. Lucas ndi Medical Institute of Berlin. Zowonadi, m'madipatimenti amenewa ndi madokotala okhwima okha omwe amagwira ntchito omwe amalemekeza thanzi la wodwala aliyense, zomwe zimawapangitsa kukhala amodzi mwa madokotala abwino kwambiri padziko lapansi.

Kanemayo munkhaniyi amapereka ndemanga za odwala omwe akuwasamalira ku Germany.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Kugwiritsa ntchito kwa Mdyerekezi mankhwala a shuga

Diabenot (Diabenot) - mankhwala a magawo awiri omwe amagwiritsidwa ntchito pochiza matenda ashuga. Mankhwala amakulolani kukhazikika m'magazi a glucose m'magazi ndikupangitsa kuti wodwala apange insulin yake momwemonso.

Diabenot amapangidwa ku Hamburg (Germany) ndi kampani yopanga mankhwala Labor von Dr. Budberg.

Akatswiri a kampaniyi kwa zaka zingapo adagwira ntchito yopanga mankhwala ochizira matenda ashuga, omwe angaletse kupitiliza kwa matendawa ndikubwezeretsa munthu ku moyo wathunthu.

Mavuto a shuga ndi chithandizo chawo ku Germany

Mwachidziwitso, wodwala yemwe ali ndi matenda ashuga amatha kukhala ndi thanzi komanso chiyembekezo cha moyo wathanzi, ngati amalandila chithandizo chotsata ndikutsatira malingaliro onse a endocrinologist wodziwa bwino ntchito yake. Mwakuchita, zinthu zimasiyana, chifukwa wodwalayo samalandira chithandizo chokwanira nthawi zonse, amalakwitsa pakudya, samvera malangizo a katswiri.

Chifukwa chachikulu chomwe wodwalayo amamatira kwambiri pamankhwala ndikuti matenda ashuga koyambira sikukhudza moyo wabwino. Pathology siyimayendera limodzi ndi kupweteka kwambiri ndipo sikuchepetsa zochitika za tsiku ndi tsiku za munthu.

Zaka zimadutsa wodwala asanayambe "kulephera" ziwalo zamkati. Kenako wodwalayo amayamba kuthandizidwa, koma kuchiritsanso sikumakulolani kubwezeretsa mitsempha yowonongeka ndi mitsempha yamagazi.

Imangoletsa kupitilizabe kupitilira kwa zovuta.

Zoopsa kwambiri ndizovuta zakuchedwa (zoperewera) za matenda ashuga, zomwe zimayamba mwa odwala onse omwe salandira chithandizo choyenera:

• Polyneuropathy - kuwonongeka kwa mitsempha
• Microangiopathy ndi macroangiopathy - kuwonongeka kwa ziwiya zazing'ono komanso zazikulu
• Nephropathy - matenda aimpso
• Retinopathy - munthu pang'onopang'ono amakhala wakhungu chifukwa cha njira za dystrophic mu retina
• Matenda a shuga ndi omwe amachititsa kuti azidulidwa mwendo
• Arthropathy - kuwonongeka kozungulira
• Encephalopathy - kuphwanya ubongo ntchito

Zovuta zokhazokha zomwe zalembedwa. M'malo mwake, pali enanso ambiri. Zomwe zimayambitsa kufa kwa odwala matendawa ndimatenda a mtima ndi mikwingwirima, zomwe zimachitika chifukwa chakuwonongeka kwa mitsempha ya magazi komanso chifukwa chakutseka magazi.

Mtengo ndi kuwunika kwa matenda ashuga omwe amawongolera ku Germany

Mu zipatala za ku Germany, matenda ashuga amathandizidwa mokwanira - njira zonse zachikhalidwe ndi njira zaposachedwa zochiritsira ndikuzindikira matendawa zimagwiritsidwa ntchito.

Chithandizo cha mankhwala osokoneza bongo chakhazikika pakugwiritsa ntchito mankhwala omwe amachititsa kutsika kwa shuga m'magazi a odwala. Mankhwala nthawi zambiri amakhala ngati insulin komanso mankhwala ena.

Njira yachiwiri yachikhalidwe - Izi ndi cholinga chodwala. Cholinga chachikulu cha zakudya za anthu odwala matenda ashuga ndikuwonetsetsa kuti magazi a shuga azikhala ovomerezeka. Zakudya zamagetsi zamagetsi ndi mafuta mosavuta siziperekedwa kuchakudya cha wodwalayo, ndikuziwachotsa ndi zinthu zofunikira (soya, tchizi chanyumba, oatmeal, etc.).

Kuphatikiza pa njira zochizira, odwala matenda ashuga amatsogozedwa masewera olimbitsa thupi.

Madokotala ochokera ku Germany amatenga nthawi yayitali ntchito yochita masewera olimbitsa thupi - amaganizira msinkhu, zovuta za matenda ashuga komanso kuchuluka kwa thanzi la munthu. Nthawi zambiri zotchulidwa ndikuyenda, masewera olimbitsa thupi, kusambira, kusambira kapena tennis.

Njira yochizira matenda ashuga ku Germany imatanthawuza njira zowonjezereka zosamalira odwala komanso zimaphatikizapo chithandizo cha ultrasound, electro ndi maginito othandizira, acupuncture, cryotherapy ndi njira zina. Mankhwala azitsamba, kusefera magazi ndi immunotherapy amathanso kuikidwa kuti athandize odwala matenda ashuga.

Njira zopitilira patsogolo

Njira zochizira matenda a shuga ndi maselo a stem ku Germany ndi imodzi mwodziwika kwambiri. Pa chithandizo, maselo a tsinde amayikidwa m'malo mwa ma cell a pancreatic owonongeka. Chifukwa cha izi, chiwalochi chimayamba kusinthika, kenako kubwezeretsa ntchito zake.

• Ndi matenda amtundu wa 1 shuga, maselo a stem amathandizira kubwezeretsa gawo lokhalo la odwala, koma izi ndizokwanira kuchepetsa kufunikira kwa insulin nthawi zonse.
• Ndi matenda 2 a shuga, mkhalidwe wa odwalawo umayenda bwino kwambiri, ndipo kuchuluka kwa shuga m'magazi kumayambiranso kukhala kwabwinobwino. Nthawi zina, madokotala amasiya kumwa mankhwala ena.

Mbiri ya madotolo ndi azachipatala ku Germany pankhani yogwiritsira ntchito mankhwalawa matenda a shuga imadziwika padziko lonse lapansi, chifukwa chake anthu ochokera kumaiko osiyanasiyana amabwera kwa iwo, kuphatikizanso iwo omwe ali ndi matenda ashuga akulu.

• Opaleshoni ya kapamba ndi yamitundu iwiri - kuphatikizika kwa minofu ya ziwalo ndi kuphatikizika kwa maselo a mabungwe ofanana ndi Langerhans.
• Mtundu wachiwiri wa opaleshoni ndioyenera mtundu woyamba wa matenda a shuga, pomwe ma cell okhawo omwe amapanga insulin ndi omwe amaperekedwa kwa odwala.

Mtengo wokwanira umakhala ndi zinthu zingapo: ndalama zoyendera, malo ogona, diagnostics ndi chithandizo chamankhwala. Munthawi zonsezi, mtengo wa chithandizo cha matenda ashuga ku Germany ndiwosiyana, mwachitsanzo, wodwala wina amafunikira njira zambiri komanso nthawi kuti abwezeretse thanzi kuposa linzake.

Mtengo wapakati wamankhwala amachokera ku 2000 euro, zambiri zowonjezera komanso zomaliza zimatha kupezeka pokhapokha mukakumana ndi chipatala choyenera.

Clinic MedInstitute Berlin

Awa ndi chipatala chodziwika bwino ku Germany, chomwe chimazindikiritsa ndi kupeza matenda osiyanasiyana, mayeso athunthu komanso pang'ono a odwala.

Madokotala otsogola a dziko laling'ono komanso lalikulu lantchito ku MedInstitute Berlin. Kuphatikiza pa chithandizo chachipatala choyenereradi, akatswiri am'derali amapereka chithandizo kwa okhala kumayiko ena, kuphatikiza Russia, Ukraine ndi Belarus.

• Pakatikatiyi amawerengedwa kuti ndi amitundu yambiri, akuthandiza pochiza matenda ambiri ndi ma pathologies.
• Sukuluyi ili ku Berlin, likulu la Germany.
• Odwala achilendo amapatsidwa thandizo la womasulira kuti athe kulankhulana ndi madotolo.
• Thandizo la Visa limaperekedwa.
• Kuthandizira kopitilira kwa odwala ndi omvera awo - Kusungitsa malo ogona, kugula matikiti, kukonza mayendedwe, etc.

Kuti mumve zambiri za mtengo wamankhwala ndi zina, funsani ku desiki yothandizira. Center pakati pa foni kapena imelo.

Arina P. Madotolo azachipatala anali odziwa bwino - mayeso adayamba patsiku la chithandizo. Tsoka ilo, matendawo adatsimikizika - mtundu wachiwiri wa matenda ashuga ndipo tsopano ndikulandila chithandizo kuchipatala. "

Boris N: “Ndapita ku zipatala zingapo za ku Germany za ntchito yanga yothandiza odwala matenda ashuga.Ku Berlin Medical Institute, nthawi yomweyo ndidadzipereka kuti ndikhale ndi mayeso, omwe anali oyenererana ndi mtengo ndi ntchito zake. Kwa 2 ndinayesa mayeso onse ndipo ndinakwera ndege ndikakumana ndi zotsatira zakulandiratu komanso njira yeniyeni yovomerezeka. Ndinakondwera kwambiri ndi ntchito ya akatswiri a mabungwewa. ”

Daria V: "Ndikufuna zikomo kwa oyang'anira chipatala cha olankhula Chirasha a Stella Weiner, omwe adakhazikitsa gawo langa labwino ku Germany. Ndinkada nkhawa kwambiri ndisanapite ku dziko lina, koma zonse zidakhala zosavuta. Ndithokoza ogwira ntchito ndi oyang'anira mzindawo chifukwa choganizira mwachidwi odwala. ”

Chipatala cha St. Lucas

St. Lucas Medical Center ili ndi zipatala 3 ku Dortmund, West Germany. Ali ndi zida zamakono kwambiri komanso madokotala aluso. Odwala omwe amapezeka m'mabungwe amatha kukayezetsa ndi kulandira chithandizo kunja, kuchipatala komanso kwa odwala, omwe odwala amathandizidwa ndi uchi wofunikira. ndodo.

• Gulu la akatswiri otsogolera dzikolo.
• Kusunthika.
• Kukhalapo kwa zida zamakono (zida za MRI, ma lineel accelerators, CT ndi ena).
• Kupereka malo okhala kwa odwala ndi othandizira pamitengo yapadera.
• Kukwanira kwa womasulira nthawi yonse yokhala ku Germany.

Chithandizo cha matenda a shuga amtundu wa 1 ndi mtundu wa 2 amaperekedwa ndi akatswiri owona kuchokera ku St. Lucas Endocrinology and Diabetesology Center. Amayesa mayesero azachipatala zamankhwala atsopano ndi njira zochizira matendawa.

Ntchito zaulere:

• Kuyendetsa wodwala kuchokera ku Dusseldorf Airport kupita ku Dortmund
• Tsiku mu hotelo pafupi ndi chipatalachi.
• Maola atatu a ntchito zomasulira.

Alendo atha kulumikizana ndi malo oyang'ana kuchipatala. Ogwira ntchito pachipatalachi amachita ntchito zonse za bungwe, amapereka ntchito kwa womasulira wolankhula Chirasha kuti athe kulumikizana ndi madokotala komanso kumasulira mapepala azachipatala.

Kuti mumve zambiri za chithandizo ku chipatala cha St. Lucas Clinic, chonde imbani foni kapena imelo.

Raisa I: “Posachedwa kubwerera ku Dortmund (anali kulandira chithandizo cha matenda a shuga 1). Ku Germany, mpweya ndi wosadetsedwa ndipo mukumva mosiyanasiyana kumeneko, bwinoko. Zowona, kusazindikira chilankhulo kumakhala pang'ono munjira, koma womasulira amathandiza kwambiri. Ndimalipira ndalama zokwana mayuro 270 pa tsiku, koma zili bwino apa - sizingafanane ndi Moscow. Ntchito ya St. Lucas Clinic ndiyabwino kwambiri: pano pali mitengo yabwino kwambiri ”.

Dmitry P. "" Ndidali ku chipatala pachipatala chokhuza kukayikakayika kwa matenda ashuga. Ndidapambana mayeso onse m'masiku awiri - zotsatira zake zidabwera mwachangu, zidapezeka kuti ndidali pa prediabetes.

Mankhwala angapo adalembedwa, pomwe mwayi wokhala ndi matendawa umachepetsedwa pang'ono. Kuthandizidwa ndi oyang'anira pachipatala kunandidabwitsa - kutsata kulikonse.

Ndipo koposa zonse, mtengo wake unali wotsika kuposa zipatala zina zakunja. ”

Elena A: “Ndidapita ku Germany patchuthi kwa masiku 5 ndadwala matenda apakati pa St. Lucas. Ndinkakonda ntchitoyo ndipo kafukufukuyo ndi wapamwamba. Mitengo sikukwera kumwamba - ndalama zili ku Moscow. "

Miyezo Yaku Germany

Kuti zithandizire ntchito yosankha chipatala choyenera, odwala amatha kulumikizana ndi makampani apadera omwe amakhazikika pakukonzekera chithandizo cha anthu akunja.

MedTour Berlin MedTour Berlin ndi m'modzi mwa omwe akutsogolera pamsika wokopa alendo ku Germany. Cholinga chake ndi chipatala chabwino kwambiri komanso madotolo kwa kasitomala aliyense.

Ubwino wa MedTour Berlin:

• Dongosolo mwachindunji ndi uchi wa ku Germany. malo.
• Kukhalapo kwa ogwira ntchito odziwa.
• Kupereka womasulira kuchokera kuchipatala. maphunziro.
• Chiwerengero chachikulu cha othandizana nawo.
• Kupereka chithandizo chambiri (matikiti, malo ogona, zoyendera, ndi zina zambiri)

Mukamagwiritsa ntchito, wodwalayo amalandila kuyerekezera, chithandizo ndi njira yodziwira. Kampaniyi imaperekanso visa ndi mayendedwe othandizira.

Center yapakati MedCurator imaperekanso ntchito zofananira.Mukakumana, wodwala amalandila thandizo komanso mayankho a mafunso okhudza chithandizo ku Germany. Wodwalayo amasankhidwa ndi chipatala chothandizira matenda ake ndi zosankha zingapo kuti apumule, azisangalala komanso azikonzanso.

Chithandizo cha matenda ashuga ku Germany - chotsika mtengo komanso chothandiza

Muzipatala zaku Germany, anthu masauzande ambiri a matenda ashuga amapezeka chaka chilichonse. Mwayi wawukulu wofufuzira komanso kuthandizira ku Germany ndikuti kudziwa kusiyanasiyana ndiko maziko akutsimikizira matendawa. Ichi ndichifukwa chake madokotala azachipatala aku Germany amawulula ngakhale zazomwe zimachitika kwambiri.

Wodwala akafika kukalandira chithandizo kuchipatala cha ku Germany, akatswiri amachita kafukufuku wodandaula ndi mbiri yachipatala, komanso kuwunika wodwalayo mwatsatanetsatane. Ngati ndi kotheka, akatswiri opanikizika amatenga nawo mbali pakuzindikira.

Ngati dokotala wokaikira amakayikira wodwala m'magazi ake, amamulembera zotsatirazi:

• Chiwerengero chonse chamwazi
• Urinalysis Mu shuga mellitus wokhala ndi glucose wambiri m'magazi (oposa 10 mmol / l), shuga amapezeka pakuwunika mkodzo pafupipafupi. Pasakhale glucose mu mkodzo wabwinobwino,
• Kudziwa shuga ndi magazi ndi njira imodzi yofunika kwambiri yodziwira matenda ashuga. Njirayi imagwiritsidwanso ntchito polemba mayeso apachaka pofuna kudziwa odwala omwe ali ndi magawo oyambirira a matenda.
• Tanthauzo la C-peptide. Ichi ndi tinthu tomwe timatalikirana ndi proinsulin, pambuyo pake insulin ikapangidwa. Chifukwa cha chizindikiro ichi, ndikothekera kuweruza kuchuluka kwa insulin mthupi la wodwala, chifukwa chake mtundu wa shuga mellitus. Ngati C-peptide ili yoposa yachilendo, ndiye kuti kapamba wa wodwala amapanga insulini (koma pazifukwa zina sikokwanira). Pomwe C-peptide yafupika kapena kulibeko, titha kunena kuti wodwalayo ali ndi matenda amtundu 1,
• Mayeso a kulolerana a glucose
• Glycosylated hemoglobin,
• Coagulogram
• Ma elekitironi pamagazi,
• Mafuta a m'magazi okhala ndi tizigawo ting'onoting'ono,
• Ultrasound wa chiwindi ndi kapamba,
• CT scan ya kapamba
• The titer of antibodies to islet cell, insulin, tyrosine phosphatase ya kapamba watsimikiza kudziwa matenda a autoimmune

Odwala omwe ali ndi matenda ashuga, ndikofunikira kudziwa ndikutchingira zovuta za matenda.

Chifukwa chake, akatswiri achijeremani amasankhiratu zokambirana za akatswiri opapatiza (neurologist, ophthalmologist, cardiologist, opaleshoni, etc.).

Pambuyo povomereza matendawa, njira yoyenera yoyenera imaperekedwa. Njira zochizira matenda amtundu woyamba komanso wachiwiri wa shuga ndizosiyana kwambiri.

Chithandizo cha matenda 1 a shuga ku Germany

Amakhulupirira kuti kusintha mtundu wa moyo ndi njira yoyambirira yothandizira odwala matenda ashuga. Akatswiri azachipatala aku Germany makamaka amaphunzitsa odwala malamulo a zakudya zoyenera. Pokhazikika potsatira zakudya, odwala amatha kuthana ndi matenda awo. Ku Germany, njira yodyetsa thanzi imapangidwa kwa wodwala aliyense, kumwa kalori, magawo a mkate, ndi zina zotero.

Komanso, odwala onse amadziwitsidwa za zakudya ziti zomwe zimakhala ndi shuga, mafuta ndi kaboni pang'ono. Odwala ayenera kuyang'anitsitsa zakudya ndi kulemera kwawo. Zotsatira zamankhwala ndikuchitika kwakanthawi kovuta komanso koopsa kumadalira izi. Mukamadya zakudya zokhala ndi kuchuluka kwa zinthu za lipotropic muzakudya, mutha kuthandizanso kuchepetsa shuga.

Kuphatikiza apo, odwala amalimbikitsidwa kupitiliza kuchita masewera olimbitsa thupi. Izi zimathandizira osati kungoyang'anira kulemera, komanso zimachepetsa minyewa kukana insulin (yomwe imayang'aniridwa mu mtundu 2 wa matenda a shuga). Zochita zolimbitsa thupi zimalepheretsa kukula kwa zovuta ndi matenda.

Mu matenda a shuga amtundu woyamba, kapamba wa wodwala samapanga insulin, kapena amapanga kuchuluka kokwanira. Chifukwa chake, mfundo yofunika yochiritsira chithandizo ndiyosintha mmalo.

Akatswiri achijeremani amagwiritsa ntchito kukonzekera bwino kwambiri kwa insulin, komwe kugwiritsa ntchito komwe sikugwirizana ndi zotsatira zoyipa. Pambuyo pakupenda mwatsatanetsatane wazotsatira za phunziroli, wodwala amasankhidwa njira yabwino kwambiri ya insulin.

Kukonzekera insulin kochepa komanso kwanthawi yayitali kumayikidwa. Insulin imayendetsedwa pa ndandanda ndipo zakudya zonse zimawerengedwa popanda vuto.

Odwala nthawi zonse amaphunzitsidwa njira yolondola ya insulin. Izi ndizofunikira pofuna kupewa zomwe zimachitika mdera lanu zomwe zingakhumudwitse odwala. Insulin imayendetsedwa kokha mwa khoma lachiberekero lamkati kapena ntchafu yamkati.

Sitikulimbikitsidwa kupanga jakisoni pafupipafupi pamalo amodzi. Ngati pali mabala pakhungu kapena kuvulala kwina, wodwalayo ayenera kufunsa dokotala. Kukonzekera kwa insulini kumaperekedwa pogwiritsa ntchito zolembera zapadera.

Zipangizozi zimathandizira kuperekera insulini mosavuta kwa odwala omwe ali ndi vuto lowona (odwala oterowo amatha kuwerengetsa kudina komwe kumawonetsa zigawo za insulin).

Ngati wodwala sangathe kulipirira shuga ndi zakudya, amasiya kuchita masewera olimbitsa thupi ndi insulin, akatswiri kuzipatala zaku Germany amapereka njira zina zamakono zoperekera insulin.

Njira zoterezi zimaphatikizapo insulin pump - chipangizo chothandiza chomwe chimasunga shuga m'magazi nthawi yonseyo. Mpaka pano, njirayi imakuthandizani kuti mukwaniritse bwino kwambiri matendawa.

Mfundo yogwira ntchito ndi motere: kugwiritsa ntchito sensor yapadera, kuchuluka kwa shuga kwa wodwala kumatsimikizika. Ngati ndiwokwera kuposa momwe zimakhalira, wodwalayo amadzibayira kamodzi kokha ndi insulin. Chifukwa chake, pakangopita mphindi zitha kusintha mtundu wa shuga.

Ndemanga za njira iyi yochizira matenda ashuga ku Germany ndi zabwino kwambiri. Pampu za insulin zitha kugwiritsidwa ntchito kwa ana ndi akulu omwe. Palibe zotsutsana mwanjira iyi.

Mu matenda a shuga a mtundu woyamba, mankhwala a insulin ndi njira yovomerezeka yochiritsira moyo wonse.

Chithandizo cha matenda a shuga a 2 ku Germany

Type 2 shuga mellitus kumachitika pamene minyewa yotsutsana ndi insulin ilipo. Pankhaniyi, kapamba amatha kutulutsa insulin yambiri, sikokwanira kwa wodwalayo. Zinthu ngati izi nthawi zambiri zimachitika ndi kunenepa kwambiri komanso metabolic syndrome.

Chifukwa chake, kuyambitsa koyamba pa mankhwala a mtundu wachiwiri wa shuga ndi zakudya zamafuta ochepa, zomwe zimachepetsa mphamvu ya mafuta ndi mafuta ambiri. Odwala amafunikira kuti aziwonetsetsa momwe akulemera. Nthawi zambiri, kudya kokha kumakhala kokwanira kulipirira matenda.

Dosed zolimbitsa thupi amalimbikitsidwanso.

Mu milandu yomwe mtundu wachiwiri wa shuga umapezeka ndi shuga wambiri, komanso zakudya zikalephera kulipirira matendawa, mankhwala ndi omwe amapatsidwa.

Pali magulu ambiri a othandizira a hypoglycemic omwe samangoyendetsa bwino shuga, koma mwatsoka, nthawi zambiri amatha kuyambitsa mavuto.

Kusankhidwa kwa njira yothandizira wodwala yemwe ali ndi matenda ashuga ndi njira yovuta kwambiri komanso yodalirika. Chifukwa chake, akatswiri azachipatala achijeremani amaganizira zosokoneza zonse, matenda ophatikizana komanso kugwiritsa ntchito mankhwala ena.

Odwala sayenera kumwa mankhwala aliwonse osavomerezeka ndi katswiri. Izi ndichifukwa choti mankhwala ambiri amatha kumalumikizana, zimayambitsa hypo- kapena hyperglycemia (kuchuluka kapena kuchepa kwa shuga m'magazi).

Omwe amagwiritsidwa ntchito kwambiri ndi hypoglycemic ndi sulfonylureas (metformin). Padziko lonse lapansi ntchito zawo zapamwamba komanso chitetezo zimatsimikiziridwa.

Kuphatikiza apo, akatswiri aku Germany nthawi zambiri amagwiritsa ntchito njira zamakono muzochita zawo kuti akwaniritse zotsatira zabwino za chithandizo (kusankha kusinthanitsa ndi dipeptidyl peptidase-4 zoletsa).

Ngati ndi kotheka, kuphatikiza njira kumayikidwa.

Mankhwala limodzi ndi zakudya komanso kusintha kwa moyo musakulipire matenda oyambitsawa, akatswiri aku Germany amapereka mankhwala owonjezera a insulin. Mosiyana ndi odwala omwe ali ndi matenda amtundu wa 1, a mtundu wachiwiri, odwala ayenera kumwa jakisoni komanso insulin.

Mu milandu yomwe odwala omwe ali ndi matenda a shuga ayenera kuchitidwa opaleshoni, kumwa zina zowonjezera, panthawi yoyembekezera, pobereka, poyamwitsa, ndi ena, ayenera kuonana ndi endocrinologist. Izi ndizofunikira kukonza njira yayikulu yochizira.

Kuphatikiza pa kuchiza matenda oyambitsawo, ma endocrinologists achijeremani amachiza zovuta komanso zovuta za matenda ashuga.

Cholinga chachikulu cha chithandizo cha matenda ashuga ndi kusinthanso kuchuluka kwa shuga m'magazi. Izi ndizofunikira popewa zovuta. Odwala omwe ali ndi shuga yokhazikika amakhala ndi thanzi labwino ndipo amatha kuchita zinthu zamtundu uliwonse.

Chithandizo cha matenda ashuga ku Germany: zipatala zabwino kwambiri, njira zodziwitsira matenda, njira, malingaliro

Mtsutso wamphamvu pakuthandizira odwala matenda ashuga ku Germany ndiye kuyenerera kwakukulu kwa madokotala aku Germany omwe amathandizira mitundu yonse ya matenda ashuga mwa ana ndi achinyamata. Germany ndiwotchuka chifukwa cha njira zaposachedwa za njira zovuta za kuchiza matenda a endocrine ndi matekinoloje azachipatala amakono.

M'magulu azachipatala aku Germany, kufufuza ndi kukonza njira zaposachedwa polimbana ndi matenda ashuga mwa ana zimachitika nthawi zonse.

Akatswiri omwe amagwira ntchito m'malo azachipatala ku Germany amadziwa bwino ntchito za matenda ashuga, kutsatira miyezo yapamwamba, pozindikira komanso pochiritsa.

Kodi njira yoperekera chithandizo kwa ana ku Germany ndi iti? Choyamba, madokotala amapangitsa kuti mwana adziwe ngati ali ndi matenda a shuga komanso kuonetsetsa kuti ali ndi matenda osiyanasiyana. Pambuyo pochita njira zonse zodziwitsa anthu, njira yoyenera yoyenerera imayikidwa.

Masiku ano, mankhwala aku Germany amagwiritsa ntchito matekinoloje otsogola komanso zochitika zina zochizira matenda ashuga. Zatsopano zonse zimapangidwira odwala ku Germany ndi ana ochokera kumaiko ena omwe amabwera kudzalandira chithandizo.

Njira zochizira

Germany ili ndi gawo lalikulu mdziko lonse polimbana ndi matenda ashuga. Matenda a shuga amayambitsa thupi lonse la munthu, chifukwa chake, zinthu zambiri zogwirizana zimayenera kukumbukiridwa pakumwa. Kuthandiza odwala matenda ashuga ku Germany kumachitika pogwiritsa ntchito zida zaposachedwa komanso kutengapo gawo kwa ogwira ntchito bwino kwambiri.

Magnetotherapy

Perekani kwa odwala omwe ali ndi matendawo pang'ono komanso owopsa. Magnetotherapy amakhudza kapamba. Nthawi zambiri, njira ya mankhwalawa imakhala magawo 10, koma zotsatira zimachitika pambuyo panjira zochepa, shuga wamagazi amachepetsedwa kwambiri.

Njira za Quantum zimathandizira kukonza kugona, kuwonjezera thanzi lamaganizidwe ndi thupi.

Pambuyo panjira zisanu, kusintha kwa momwe wodwalayo akusungidwira, mkhalidwe wopsinjika umasowa, ulesi umasowa.

Kupitilira apo, kufunika kwa insulini kumachepa, ndipo kuchuluka kwa chiwopsezo chake kumakulirakulira. Ngati chithandizo cha quantum chayikidwa pa nthawi, chitukuko cha zinthu zambiri zoyipa chitha kupewedwa.

Hydrotherapy

Kuti mupeze njira yowonjezera yochizira, zipatala zina ku Germany zimagwiritsa ntchito hydrotherapy. Thupi limapindula ndikumwa mpweya wa okosijeni, hydrogen sulfide ndi kaboni dayokisi. Ndi zovuta chithandizo kwa ana, kuchepa kwa shuga m'magazi kumawonedwa, zochitika zonse za thupi zimabweranso kwazonse, kagayidwe kamasinthidwe.

Kuphatikiza pa kusamba, kusamba kumayikidwa: kusamba kwa mvula ndi kusamba kwa Charcot. Njira zochizira zamadzi zimadzaza thupi ndi mpweya.

Mankhwala othandizira

Kuchita opaleshoni kumachitika ngati mawonekedwe owopsa a matenda ashuga apezeka mwa ana ndipo ngati njira zosasamalira sizipereka zotsatira zabwino.

Kuthamangitsidwa kumaonedwa ngati ntchito yovuta kwambiri komanso yowopsa, si madokotala onse omwe amatha kuchita izi. Kuchita kwake kumaphatikizapo kupezeka kwa zida zapamwamba komanso katswiri woyenerera. Ndi ku Germany komwe ntchito zamagetsi izi zimachitika. Zachipatala zaku Germany zimadziwika padziko lonse lapansi chifukwa cha opaleshoni yovuta kwambiri.

Ndi matenda a shuga a mtundu wachiwiri, osati kapamba okha, komanso impso zimasokonezeka, kotero kufunika kwa ziwalo ziwiri ndikofunikira. Komabe, pamakhala chiwopsezo chachikulu chokanidwa ndi ziwalo zopereka. Chifukwa chake pambuyo opaleshoni nthawi, wodwalayo amatchulidwa kumwa mankhwala a immunosuppress. Komanso, odwala ayenera kuyang'aniridwa ndi madokotala pafupipafupi.

• Onetsetsani kuti mwawerengera: chithandizo cha matenda a shuga kwa ana mu Israeli

Tsinde cell kupatsidwa

Opaleshoniyo imagwira ntchito ya matenda a shuga 1 amtundu, omwe amasintha ma cell a pancreatic omwe amachititsa kuti insulin ipange. Kuchita opaleshoni sikowopsa, popeza kuyambitsidwa kwa maselo kudzera pa chipangizo cha ultrasound. Maselo omwe amalowa mthupi amaswa glucose ndikupangitsa kuti apange insulini.

Mitengo ndi kuwunika

Mtengo wa kuchiza matenda ashuga ku Germany umatsimikiziridwa ndi zinthu zambiri: mawonekedwe azachipatala, kuchuluka kwa matenda ashuga, zaka za mwana, kupezeka kwa ma pathologies owonjezera, kuchuluka kwa mayeso a labotale ndi njira zamankhwala.

• Mtengo wazithandizo zamankhwala udzakhala pafupifupi 3,000,000 mayuro.
• Chithandizo cham'mimba cham'mimba ndizokwera mtengo kwambiri ndipo zimakhala pafupifupi ma 15,000,000 mumauro.
• Physiotherapy ndi ofanana ndi 1,500,000 ma euro.

Zachidziwikire mtengo ukhoza kusiyanasiyana kutengera ndi chipatala chomwe mwasankha. Zachipatala zimapereka njira zingapo, pamitengo yosiyanasiyana, kotero mutha kusankha chipatala ndi madokotala malinga ndi luso lanu lazachuma.

Ndemanga za chithandizo ku Germany ndi zabwino, odwala omwe adalandira chithandizo chamankhwala pano amalankhula zakukonzanso m'thupi, kuchuluka kwa chithandizo chomwe mwapereka, chithandizo ndi akatswiri odziwa bwino ntchito yawo.

Othandizira azachipatala azabwino kwambiri

Zipatala zambiri ku Germany zimachita chithandizo cha matenda ashuga, koma apa pali odziwika kwambiri omwe apeza mbiri yabwino polimbana ndi matendawa.

Chipatala cha Bon University. Chipatala cha Bon chikuchita mayeso onse a labotale kuti adziwe matenda a shuga, ndipo mtengo wawo umakhala wocheperako poyerekeza ndi ena azachipatala ena apadera. Ali mumzinda wa Bon, Germany, ku yunivesite.

Munich Malangizo Othandiza. Ali ku Munich. Ku chipatala chotsogola, kumachitika chithandizo ndi maselo a tsinde.

• Tele: +49 89 454 50 971.
• Webusayiti yachipatala yovomerezeka: munich-medcure.com

MedTurGermany. Mzinda wa Heidelberg. Katswiri wa ana endocrinology. Malo akuluakulu othandizira odwala matenda a shuga.

• Telefoni: +49 622 132 66 614.
• Webusayiti yovomerezeka yazachipatala: medturgermany.ru

Malo Achipatala Achangu. Mzinda wa Freiburg Amathandizira komanso kukonza.

Type 2 matenda a shuga: mndandanda

✓ Nkhani yoyesedwa ndi dokotala

Malinga ndi zotsatira za kafukufuku wamkulu wofalitsa matenda am'madzi ku Russia (NATION), 50% yokha mwa omwe ali ndi matenda a shuga 2 amapezeka. Chifukwa chake, chiwerengero chenicheni cha odwala matenda ashuga ku Russian Federation sichili ochepera anthu 8-9 miliyoni (pafupifupi 6% ya anthu), zomwe zimawopseza chiyembekezo chakutsogolo, popeza gawo lalikulu la odwala silidziwika, chifukwa chake samalandira chithandizo ndipo amakhala chiopsezo chachikulu chotengera misempha. Kukula kotereku kumayenderana ndi kupsinjika, kudya kwambiri komanso kulimbitsa thupi pang'ono. Mu shuga mellitus wa mtundu wachiwiri, odwala sanadalire insulin, ndipo ngati malingaliro ena atsatiridwa, atha kupewa kupitiliza kwa matendawa komanso zovuta zake zambiri.Nthawi zambiri, mankhwalawa amakhala pogwiritsa ntchito mankhwala ena komanso zakudya zoyenera.

Type 2 matenda a shuga: mndandanda

Kukonzeratu komanso zizindikiro

Nthawi zambiri, matenda a shuga a 2 amakhudza magulu otsatirawa a odwala:

• Iwo amene amakhala ndi moyo wokhazikika.
• zaka ≥45 zaka
• akudwala matenda oopsa,
• anthu omwe ali ndi cholowa cha matenda ashuga,
• kuchuluka thupi, kunenepa kwambiri komanso kudya pafupipafupi,
• omwe amakhala ndi mapaundi owonjezereka omwe amawayika pamimba ndi kumtunda,
• Zambiri zam'mimba zamagetsi zomwe zimapezeka mosavuta muzakudya,
• azimayi omwe ali ndi polycystic ovary syndrome,
• odwala matenda amtima.

Type 2 shuga

Kuphatikiza apo, mtundu 2 wa matenda ashuga ukhoza kukayikiridwa mwa iwo omwe ali ndi zizindikiro zotsatirazi:

• kumverera kofooka nthawi zonse ndikufooka,
• kukodza pafupipafupi popanda zifukwa zenizeni
• Khungu
• hypercholesterolemia (HDL ≤0.9 mmol / L ndi / kapena triglycerides ≥2.82 mmol / L,
• kusala kudya kwamatenda glycemia kapena mbiri yolekerera shuga,
• gestational shuga mellitus kapena mbiri yayikulu ya mwana wosabadwayo
• Nthawi zambiri kukwera kapena kuwonjezeka kwa diastolic ndi systolic kukondweretsedwa.

Yang'anani!Ngati muli pachiwopsezo, muyenera kuyang'ana shuga wanu ndikuwunika kunenepa kwambiri. Popewa, ndikofunika kuchita masewera olimbitsa thupi.

Siofor motsutsana ndi matenda amtundu wa 2 shuga

Mankhwalawa amapangidwa ku Germany ndipo ndi amodzi mwa okwera mtengo kwambiri omwe amapezeka mu CIS. Mtengo wapakati wa mankhwala ndi ma ruble 250-500 phukusi lililonse.

Siofor amatanthauza mankhwala omwe amatha kuthana ndi vuto lanjala

Mlingo wa mankhwalawa umayikidwa mosiyanasiyana payekhapayekha. Nthawi zambiri, wodwalayo amalandira chithandizo choyambirira ndi Siofor pa mlingo wa 500 mg, pambuyo pake zinthu zomwe zimasinthidwa zimasinthidwa poganizira momwe wodwalayo alili.

Mankhwalawa amatengedwa kapena atadya. Mapiritsi ayenera kutsukidwa ndi madzi pang'ono oyera. Siofor amatanthauza mankhwala omwe amatha kuthana ndi vuto lanjala, zomwe zimapangitsa kuti achepetse kwambiri katundu pa kapamba.

Yang'anani!Ngati odwala atatha zaka 65 alandila chithandizo, impso zawo ziyenera kuyang'aniridwa pafupipafupi. Ndi mlingo woyenera wa mankhwala, kukula kwa kulephera kwa impso ndikotheka.

Glucophage ndi Glucophage Kutalika kwa Type 2 shuga

Mankhwala Glucofage amatha kuchepetsa kuchepa kwamphamvu kwa chakudya

Mtundu woyamba wa mankhwalawa umatengera mankhwala omwe amachepetsa kwambiri kuyamwa kwa chakudya chamafuta, omwe amakhala ndi phindu pa kapamba. Mlingo wapamwamba wa Glucophage ndi 500 kapena 850 mg yogwira ntchito, yomwe ikuyenera kugwiritsidwa ntchito mpaka katatu patsiku. Tengani mankhwalawo ndi chakudya kapena mukangomaliza kudya.

Popeza mapiritsiwa amayenera kumwedwa kangapo patsiku, chiopsezo cha zotsatirapo zake chimakula kwambiri, chomwe odwala ambiri sakonda. Kuti achepetse kupsa mtima kwa mankhwalawa pathupi, mawonekedwe a Glucophage adasintha. Njira yotalikilapo yamankhwala imakuthandizani kuti mumwe mankhwalawa kamodzi kokha patsiku.

Mbali ya Glucofage Long ndikutulutsa pang'onopang'ono, komwe kumaletsa kulumpha kwamphamvu mu metformin m'magazi a madzi am'magazi.

Yang'anani!Mukamagwiritsa ntchito mankhwala a Glucofage, kotala la odwala limatha kukhala ndi zizindikiro zosasangalatsa mu mawonekedwe a matumbo colic, kusanza komanso kulawa kwamphamvu kwamkamwa. Ndi zotsatirazi zoyipa, muyenera kusiya mankhwalawo ndikuthandizira mankhwala.

Mankhwala a Type II a shuga

Mankhwalawa ndi a gulu la a GLP-1 receptor agonists. Amagwiritsidwa ntchito ngati syringe yopangidwa mwapadera, yomwe ndi yabwino kupereka jakisoni ngakhale kunyumba. Baeta ili ndi mahomoni apadera omwe ali ofanana ndendende ndi zomwe chakudya chamagaya chimapanga chakudya chikalowa. Kuphatikiza apo, pali kukondoweza pa kapamba, chifukwa chomwe amayamba kupanga insulin mwachangu. Jakisoni amayenera kupanga ola limodzi asanadye. Mtengo wa mankhwalawa umasiyanasiyana 4800 mpaka 6000 rubles.

Imapezekanso mu syringe, koma chifukwa cha formula yowonjezera imakhala ndi mphamvu yayitali mthupi lonse. Izi zimakuthandizani kuti mupeze jakisoni kamodzi patsiku, komanso ola limodzi musanadye. Mtengo wapakati wa Victoza ndi ma ruble 9500. Mankhwala ayenera kuvomerezedwa mufiriji yokha. Ndikofunikanso kuyambitsa nthawi yomweyo, zomwe zimakupatsani mwayi wothandizira ntchito yam'mimba komanso kapamba.

Mankhwala amapezeka piritsi. Mtengo wapakati wa phukusi limodzi ndi ma ruble 1700. Mutha kumwa Januvia mosasamala za chakudya, koma ndikofunikira kuchita izi pafupipafupi. Mlingo wapamwamba wa mankhwalawa ndi 100 mg yogwira ntchito kamodzi patsiku. Kuchiza ndi mankhwalawa kumatha kuchitika ngati mankhwala okhawo omwe athetse ziwopsezo za matenda ashuga, komanso kuphatikiza ndi mankhwala ena.

Mankhwala ndi a mankhwala a gulu la zoletsa DPP-4. Tikaledzera monga zovuta, odwala ena nthawi zina amakhala ndi mtundu woyamba wa matenda a shuga, omwe amakakamiza odwala kumwa insulin nthawi zonse akangodya. Onglisa amagwiritsidwa ntchito ngati monotherapy komanso kuphatikiza pamodzi. Ndi mitundu iwiri ya chithandizo, mlingo wa mankhwalawa ndi 5 mg yogwira ntchito kamodzi patsiku.

Zotsatira zakugwiritsa ntchito mapiritsi a Galvus zimapitirira kwa tsiku limodzi

Mankhwalawa amakhalanso a gulu la DPP-4 zoletsa. Gwiritsani ntchito Galvus kamodzi pa tsiku. Mlingo woyenera wa mankhwalawa ndi 50 mg yogwira ntchito, mosasamala kanthu za kudya. Mphamvu ya kugwiritsa ntchito mapiritsi imapitirira tsiku lonse, zomwe zimachepetsa mphamvu ya mankhwalawa thupi lonse. Mtengo wamba wa Galvus ndi ma ruble 900. Monga momwe anachitira Onglisa, kukula kwa matenda ashuga amtundu 1 ali m'gulu la zovuta zomwe zimagwiritsidwa ntchito ndi mankhwalawa.

Yang'anani!Mankhwalawa amalimbikitsa zotsatira zamankhwala ndi Siofor ndi Glucofage. Koma kufunikira kwa kugwiritsidwa ntchito kwawo kuyenera kufotokozedwa mu chilichonse.

Mankhwala othandizira chidwi cha maselo ku insulin

Mankhwala amapezeka mu mawonekedwe a mapiritsi mu 15 mpaka 40 mg yogwira ntchito. Ndondomeko komanso mlingo wa wodwala aliyense amasankhidwa payekhapayekha poganizira shuga m'magazi a m'magazi. Nthawi zambiri, chithandizo chimayamba ndi mlingo wa 15 mg, kenako lingaliro lingachitike pakufunika kokulirapo kwa Actos. Mapiritsi ndi oletsedwa kugawana ndi kutafuna. Mtengo wapakati wa mankhwala ndi ma ruble 3000.

Zimapezeka kwa anthu ambiri, zomwe zimagulitsidwa pamtengo phukusi la ma ruble 100-300. Mankhwalawa amayenera kumwa mwachangu ndi chakudya kapena pambuyo pake. Mlingo woyamba wa yogwira mankhwala ndi 0,5 mg kawiri tsiku lililonse. Amaloledwa kutenga mlingo woyambirira wa 0,87 mg wa formin, koma kamodzi patsiku. Pambuyo pa izi, mlingo wa sabata iliyonse umakulitsidwa pang'onopang'ono mpaka ufikire 2-3 g. Ndi zoletsedwa mwamphamvu kupyola muyeso wa chinthu chogwira mu magalamu atatu.

Mtengo wapakati wa mankhwala ndi ma ruble 700. Glucobay mwanjira ya mapiritsi amapangidwa.Mlingo wachitatu wa mankhwalawa amaloledwa tsiku lililonse. Mlingo umasankhidwa mwa aliyense payekha, poganizira kuyezetsa magazi. Pankhaniyi, ikhoza kukhala 50 kapena 100 mg ya chinthu chachikulu. Tengani Glucobai ndi chakudya choyambirira. Mankhwala amakhalabe ndi ntchito kwa maola asanu ndi atatu.

Mankhwalawa adapezeka posachedwa m'mashelefu apabizinesi ndipo sanalandirebe kufalitsa kokwanira. Kumayambiriro kwa mankhwalawa, odwala amalimbikitsidwa kumwa piouno kamodzi pa tsiku Mlingo wa 15 mg yogwira ntchito. Pang'onopang'ono, mlingo wa mankhwalawa ukhoza kuwonjezeka mpaka kufika pa 45 mg pa nthawi. Muyenera kumwa piritsi nthawi yayikulu chakudya nthawi yomweyo. Mtengo wapakati wa mankhwala ndi ma ruble 700.

Kanema - Momwe mungasungire chithandizo. Matenda a shuga

Zotsatira zazikulu mukamagwiritsa ntchito mankhwalawa zimatheka pothandizira odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi kunenepa kwambiri. Mutha kutenga Astrozone osasamala chakudya. Mlingo woyambirira wa mankhwalawa ndi 15 kapena 30 mg yogwira ntchito. Ngati ndi kotheka komanso kusathandiza kwa mankhwalawa, dokotala angaganize kuwonjezera mlingo wa tsiku lililonse mpaka 45 mg. Mukamagwiritsa ntchito Astrozone mu zochitika zosowa kwambiri, odwala amapanga zotsatira zoyipa mwanjira yowonjezera kuchuluka kwa thupi.

Yang'anani!Gululi la mankhwalawa lingathenso kutumikiridwa pophatikiza chithandizo cha Siofor ndi Glucofage, koma ndikofunikira kumuwunika wodwalayo momwe angathere kuti muchepetse zovuta.