Utumiki kapena ID yankhondo: kodi odwala matenda ashuga amalowa usirikali?

Lamulo la Russia likufuna anthu omwe afika zaka khumi ndi zisanu ndi zitatu kuti agwire ntchito yankhondo. Achinyamata, atalandira lisamanisi, pitani kumalo ophunzitsira.

Izi ngati sizichitika, ndiye kuti mnyamatayo akhoza kulangidwa, mpaka kumangidwa.

Pazifukwa zathanzi, achinyamata atha kupewa ntchito. Komanso, pali zinthu zingapo zomwe zimaletsa izi. Chidziwitso cha Asilikali chitha kuperekedwa pazifukwa zaumoyo.

Ngakhale kusukulu, ophunzira akafika msinkhu wolembedwa, amalowa mayeso apachaka. Pankhani ya matenda, pakhoza kukhala kuchedwa kapena kumasulidwa kwathunthu. Mwa zina mwa matenda omwe ID ingatengere usirikaliwo ndi monga matenda a shuga.

Akuluakuluwa adayenera kumvetsetsa kuti pali zoletsa zingapo zomwe zimakhudza mwayi wogwira ntchito yankhondo. Matendawa amatuluka mosiyanasiyana. Odwala omwe ali ndi matenda osokoneza bongo omwe amadalira insulin amatenga gulu lankhondo, bola ngati sachita ntchitozo, koma atha kuyitanitsidwa ngati pakufunika.

Komiti yojambulayiyo imauzanso mnyamatayo kuti akamukayezetsa, ndipo atapangana lingaliro loti amupatse gulu lina.

Magawo omwe adapatsidwa makomiti oyang'anira

Mukamayang'ana momwe wachinyamata alili, gulu limamupatsidwa. Zotsatira zake, zikuwonekeratu ngati adzalembetsedwe gulu lankhondo ndi matenda amtundu wa 2 ndi mtundu wa 2, kapena chikalata chausirikali chidzaperekedwa nthawi yomweyo.

Masiku ano, magawo otsatirawa oyeserera azaumoyo alipo:

gulu "A" . Mnyamatayo ali ndi thanzi labwino. Akhoza kugwira ntchito yankhondo iliyonse,
gulu "B" . Pali zovuta zina zazing'ono. Koma wachichepere angatumikire. Madokotala amawonjezeranso magawo anayi omwe amatsimikiza kuti angagwire ntchito yankhondo,
gulu "B" . Gululi limakupatsani mwayi woti musagwire ntchito mwachindunji, koma pankhani yankhondo zankhondo, bambo amayitanidwa kuti akagwire ntchito yankhondo.
gulu "G" . Gawoli lidzapatsidwa matenda oopsa koma ochiritsika. Izi zimatha kuvulaza kwambiri, mavuto okhala ndi ziwalo zamkati. Pambuyo pamankhwala, kalata imaperekedwa mwa magawo ali pamwambawa,
gulu "D" . Makina okhala ndi gawoli sangathe kugwira ntchito ngati pakhale malamulo ankhondo. Izi ndizotheka pamaso pa matenda ovuta. Matenda monga shuga.

Mapeto ake ndi osagwirizana - shuga komanso gulu lankhondo siligwirizana. Chokhacho chomwe chithandizo chitha kugwiritsidwa ntchito ndi mtundu wa 2 shuga. Pofuna kupewa mafunso kumalo ophunzitsira, chisamaliro chikuyenera kuthandizidwa pasadakhale komanso.

Matenda a shuga ndi Asitikali

Bwanji osatenga usirikali ndi matenda amtundu 1 wa shuga? Ndi matenda ashuga, munthu amakhala ndi vuto lofooka, lonse komanso minofu, munthu amakhala ndi chidwi chambiri, pomwe amachepetsa thupi, munthu amafunitsitsa kumwa ndipo, monga chotulukapo chake, kukodza pafupipafupi, osaganizira nthawi yatsiku.

Pali zifukwa zinayi zomwe zingasokoneze ntchitoyi:

kotero kuti shuga nthawi zonse amakhala wabwinobwino, ndikofunikira kudya nthawi inayake, muzitsatira mankhwalawa osati kuwonongeratu zochita zolimbitsa thupi. Odwala ayenera kulandira jakisoni panthawi inayake, kenako adye. Asitikali amafunika boma lokhala ndi zakudya komanso zolimbitsa thupi. Izi zitha kuchitika. Wodalira insulin sangathe kupirira izi,
Amadziwika kuti anthu odwala matenda ashuga ndizovuta kulekerera kuvulala ndi mabala. Msirikali, pakuchita masewera olimbitsa thupi, atha kukhala ndi mabala, kapena kuvulaza miyendo yake, izi zimatha kubweretsa chilonda. Pambuyo pake, chiopsezo chodulidwa ziwalo ndizambiri,
matenda ashuga angayambitse kufooka kwambiri nthawi iliyonse. Munthu adzafunika kupumula posachedwa, komwe gulu lankhondo silingachite,
Asitikali ankhondo amaphunzitsidwa zolimbitsa thupi. Mitolo ikhoza kukhala yoopsa kwambiri. Msirikali wodalira insulin sangalimbane ndi ntchito zoterezi. Izi zimatha kudzetsa mavuto akulu azaumoyo.

Zomwe zimadziwika zimadziwika kuti ndizoletsedwa kugwira anthu omwe ali ndi matenda oyamba kupita kunkhondo:

chitetezo chamunthu chimachepetsedwa kotero kuti ngakhale kuvulala koyipa kwambiri kungayambitse poyizoni wa magazi, kuchepa, ndikupanga zovuta m'magawo onse ndi zotsatirapo zake zonse. Chifukwa chake, ndi matenda a shuga mellitus amatengedwa kupita kunkhondo pokhapokha,
kuti muthandizire kukhalapo kwa matenda ashuga, ndikofunikira kutsatira mosamalitsa pamalamulo odziwika a mankhwala, kupumula. Sizingatheke kuchita izi asitikali,
anthu odwala matenda ashuga saloledwa kuchita masewera olimbitsa thupi.

Mwachidule mwachidule zomwe zanenedwa: mpaka chithandizo choyenera chitapangidwa, odwala matenda ashuga ndi gulu lankhondo sangakhale palimodzi. Ntchito zankhondo mu mtundu woyamba ndizotsutsana kwathunthu. Izi zitha kukhala chiwopsezo cha moyo ndi thanzi.

Ngakhale ngati mukufunitsitsadi kutumiza, simungabisire matenda anuwo. Pakatha chaka chimodzi chokha, kudzivulaza kumatha kusokonekera.

Kodi malingaliro osalabadira thanzi lanu angatsogolere bwanji?

Achinyamata ambiri, ngakhale ali ndi malingaliro akuti pafupifupi onse olembetsa amalota kuti "achoke" kwa gulu lankhondo, amafunitsitsa kuchita chilichonse.

Komanso, samangokhala ndi chidwi ndi mavuto azaumoyo, komanso amabisa matenda omwe amaletsa kutumikiridwa. Kunyalanyaza koteroko kumangodzipweteketsa tokha, komanso kumabweretsa mavuto akulu kwa omwe angakhale chapafupi.

Pali mbali yokhayo yakakhalidwe komanso udindo wa munthu pazomwe zimachitika. Kuphatikiza pa ogwira nawo ntchito, omwe amangokhalira kuda nkhawa ndi mnzake wodwala, olamulira akuluakulu amathanso kukhala ndi mavuto. Pamavuto akulu azaumoyo, udindo wovulaza udzagona ndi oyang'anira.

Pankhaniyi, sikuti tikulankhula za mbali ya chikhalidwe, komanso za zilango zenizeni komanso zazikulu. Ogwira nawo ntchito nawonso adzavutika, omwe, pofunsidwa ndi msilikali wodwala, amabisa mavuto. Chifukwa chake, wachinyamata yemwe amabisa matendawa amayika pachiwopsezo osati iye yekha, komanso anthu omwe amamuzungulira. Matenda a shuga ndi asirikali ndi mfundo ziwiri zomwe, ndi kukhumba kwawo kwakukulu, sangapeze malo omwe amagwirizana.

Tsopano makamaka za matenda omwe angachitike:

Mapazi kumapazi atha kuphimbidwa ndi zilonda zopweteka komanso zotuluka magazi. Otchedwa
kupezeka kwa kulephera kwa impso ndi kuwonongeka kwa ntchito ya thupi lonse.
manja, komanso mapazi a odwala, amatha kudwala zilonda zam'mimba. Matenda amatchedwa: ndipo linanso ndi angiopathy. Zotsatira zoyipa kwambiri ndikudula miyendo,
ngozi yakuchititsani khungu kwathunthu. Ndi matenda a shuga komanso osagwirizana ndi zochitika zamankhwala. Zotsatira zake - kutayika kwathunthu kwa masomphenya.

Chifukwa chake, ngati pali matenda monga matenda ashuga, muyenera kuiwala za ntchito yankhondo. Koma tikumbukire kuti pali zinthu zina zambiri zomwe zingapindulitsenso dzikolo, koma nthawi yomweyo sizivulaza thanzi.

Makanema okhudzana nawo

Mndandanda wamatenda omwe gulu lankhondo silatengedwa:

Yankho la funso loti ali m'gulu lankhondo omwe ali ndi matenda ashuga ndiwodziwikiratu. Ngati mtundu wachiwiri wa matenda udaperekedwa, ndiye kuti chithandizo chitha kuchitika pakafunika thandizo. Mtundu woyamba umaletsa mwamtundu wa ntchito. Koma atapima mayeso athunthu, zimawonekera ngati nkotheka kupita kukatumikira. Kupereka ntchito yankhondo ndi chinthu cholemekezeka kwambiri. Kuti izi zichitike, ndikofunikira kuyambira ndili mwana kuti ndikhale ndi moyo wathanzi. Pokhapokha izi ndizotheka kuti musakhale wathanzi lokha, komanso mwamakhalidwe ndi okhwima.

Chaka chatha, chiwerengero cha anthu omwe akufuna kulowa usilamu chakwera ndi 6%, komabe, thanzi lalembedwe ndichinthu chofunikira chomwe chitha kupangitsa kuti akhale "osayenera kugwira ntchito". Kaya kukhalapo kwa matenda ashuga kumaphatikizidwa m'ndandanda wazifukwa zomwe munthu wokakamizidwa angalembetsedwe, tikambirana zina.

Kuyesedwa kwaumoyo ndi gawo logawidwa kwa bungwe

Thanzi la cholembera limawunikiridwa ndi komiti yapadera yamankhwala, mogwirizana ndi momwe amodzi mwa magulu asanuwo adapatsidwa:

Mnyamatayo ali ndi thanzi labwino ndipo amatha kugwira ntchito zonse m'gulu lankhondo - gulu la "A" laikidwa.
Pali zovuta zina zazing'ono zomwe zitha kusokoneza gawo lankhondo - gulu "B".
Kwa mwana wamwamuna pali zoletsa pa ntchitoyo, koma mawonekedwe ake ndi "oyenera" - "B".
Kulembako kumakhala ndi kusokonezeka kwa thupi kwa thupi chifukwa cha matenda akulu - gulu la "G".
Ngati gulu lankhondo ndilosavomerezeka pazifukwa zaumoyo, gulu la "D" laperekedwa.

Mukamayang'ana zaumoyo wa munthu wodwala matenda ashuga, mtundu wa matenda, mawonekedwe ake, komanso kupezeka kwa zovuta zomwe sangalandire, zimawaganiziridwa.

Asitikali ankhondo 1 a shuga

Tsoka ilo, kupezeka kwa matenda ashuga amtundu 1 kwa achinyamata omwe akufuna kutumikirako ndi chifukwa chomapatsa udindo wa "yosayenera "- gulu" D " . Komabe, ndi mtundu woyamba wa matendawa komanso kusapezeka kwa zovuta, achinyamata ena amayesa kubisala kuti apezeke atapezeka pa mayeso kuchipatala.

Ndikofunikira kumvetsetsa kuti nthawi ya moyo wautumiki, ngakhale ndi prediabetes, thanzi limatha kuwonongeka kwambiri mpaka boma losasinthika. Chifukwa chake, lingaliro loyenera pankhaniyi likhale lokhuza kulumala.

Asitikali ankhondo a 2 shuga

Achinyamata omwe ali ndi matenda a shuga a mtundu wachiwiri ayenera kupatsidwa ntchito gulu "B" . Ndi gulu ili, wachinyamata satenga usirikali, koma adzalemekezedwa kumalo osungirako dzikolo.

Ndi matenda opatsirana omwe ali nawo, pali chiyembekezo chokomera asitikali. Izi ndi zofunikira kwambiri ngati kuchuluka kwa glucose kuyandikira kwakabwinobwino, chiwopsezo cha zovuta zimachepetsedwa, zomwe zimachitika kwa mnyamatayo ndizokhutira. Komabe, ndikofunikira kukumbukira kufunika kotsatira nthawi zonse zakudya zomwe zimathandizira pamikhalidwe iyi.

Munthawi yowonongeka, kudzera munjira zina zamankhwala (zakudya, kuyeserera kwakanthawi kachipatala komwe kumathandizira kuchepetsa shuga), ndikofunikira kubweretsa mkhalidwe wa matendawo kokhutiritsa. Pambuyo pokhapokha pamakhala mwayi wopeza chilolezo ku ntchitoyi.

Kuzindikira kuti ali ndi matenda ashuga sikukulepheretsa usilikali. Choopsa chachikulu sichakuti mbali zina za moyo wa munthu wodwala matenda ashuga zimatha kuchepetsa mautumiki, koma kuwonongeka kwakukulu mu mkhalidwe wa wachinyamata chifukwa chosowa kukonza bwino kwa thanzi.

Moyo Wankhondo Ndi shuga

Nazi zinthu zingapo zomwe mnyamata yemwe ali ndi matenda ashuga m'gulu lankhondo angakumane nazo:

Kutopa kochulukirapo komwe kumayenderana ndi matendawa kumapangitsa mnyamata wina wankhondo kusokonezeka kwakukulu. Mphamvu za munthu wodwala matenda ashuga sizigwirizana ndi zomwe gulu lankhondo limapereka tsiku lililonse - munthu yemwe ali ndi matenda ashuga amafunika nthawi yambiri yopumula kuposa chovomerezeka muutumiki.
Pa maphunziro olimbitsa thupi, mwayi wazowonongeka umawonjezeka. Chifukwa cha kuchepetsedwa chitetezo chokwanira komanso kuchepa kwa kagayidwe, ngakhale microdamage yaying'ono popanda chithandizo chokhazikika imatha kubweretsa matenda, kuwonjezereka, gangrene.

Zofunika! Matendawa ndi matenda oopsa, mpaka kumadula miyendo.

Kuperekera kwa insulin tsiku ndi tsiku komanso kudya nthawi yofunikira kwambiri kwa odwala matenda ashuga. Ngati regulen imaphwanyidwa, kudya zakudya zam'thupi mwachangu kungafunike kubwezeretsa kuchuluka kwa shuga m'magazi. Kutsatira zofunikira zoterezi kwa anthu odwala matenda ashuga sikuchitika nthawi zonse.

Zoyambitsa Zosayenera Pantchito - Matenda a shuga

Matenda monga matenda ashuga amakhudza thupi lonse. Ndi zovuta, kuphwanya zotsatirazi kumachitika, zomwe sizingatheke kulowa usilikali:

Zowonongeka - Chimodzi mwamavuto oyamba a matenda ashuga, momwe zimawonongera timitsempha yama cell timachitika. Matendawa amachepetsa maonedwe mpaka kuwonongeka kwathunthu.
Ntchito Yobowola Yowonongeka - Nephropathy . Ndi matendawa, ndikuphwanya kusefedwa kwa impso, pomwe sipangakhale chithandizo choyenera ndikusamalira pafupipafupi matendawo kumatha kuyambitsa poizoni wakuthupi.
Matenda a shuga - lotseguka zotupa pamapazi aunyamata zowonongeka m'matumbo a miyendo. Kupsinjika kotere kumafunikira njira ndi chithandizo chanthawi zonse, ndikofunikira kuvala nsapato zokhazokha komanso zowoneka bwino, zomwe zimakhala zovuta kwambiri malinga ndi momwe gulu lankhondo limayendera.
Neuropathy ndi angiopathy - zilonda zam'mimba zotuluka chifukwa cha zovuta za matenda a shuga m'manja ndi miyendo yaunyamata. Kutupa kwa malekezero, omwe angayambitse gangore, amayamba. Ndi matenda otere, mitsempha ndi ziwiya za wodwala zimavutika. Zilonda zam'mimba ziyenera kuthandizidwa tsiku lililonse kupewa matenda.

Chifukwa chake, ngati pali matenda a shuga a mtundu woyamba, wophunzirayo amalandira gulu la "D", chifukwa chake samamasulidwa. Kupanda kutero, kuchuluka kwazankhondo kwamphamvu kumatha kubweretsa kulumala kwake. Mtundu wa 2 wodwala matenda ashuga samatchulidwanso, kulandira gulu la "B", komabe, adzaikidwa m'gulu lazosunga dzikolo.

Choyambirira chomwe chimadetsa nkhawa akalandira masamanisi ku komiti yolamula ndi funso la momwe angatumizire ntchito. Kwa achichepere ena, kupita kunkhondo ndi gawo lofunikira, pomwe ena amayesa mwanjira iliyonse kupewa kupezerera chidziwitso cha matenda awo. Ndipo woyamba ndi wachiwiri ali ndi chidwi ndi zomwe pathologies zimapereka kuchepa kapena kumasulidwa kwathunthu. Kaya ali m'gulu la anthu odwala matenda ashuga ndi funso limodzi.

Kutanthauzira kwake kwamatenda

Ngakhale munthawi ya kulembedwa kukakamiza anyamata amakhala ndi mayeso azachipatala chaka chilichonse, kutengera momwe ntchito yawo munkhondo imatsimikizidwira m'tsogolo, ndiko kuti, kuyenerera kapena kusayenerera. Achichepere omwe ali ndi mavuto akulu azaumoyo samasulidwa kukakamizidwa kulowa Gulu Lankhondo zadziko. Kodi ali m'gulu lankhondo lomwe ali ndi matenda ashuga? Kodi matendawa amagwera m'gulu D (kusakwanira kokwanira) malinga ndi "Dongosolo la Matenda"?

Matenda a shuga ndi matenda omwe ali ndi mitundu ndi mitundu yosiyanasiyana. Izi ndi zovuta za endocrine m'thupi zomwe zimakhudzana ndikupanga insulin, chifukwa - kuyamwa kwa shuga. Matenda a shuga amaphatikizidwa ndi hyperglycemia wolimbikira, kuphwanya mitundu yonse ya kagayidwe kachakudya mthupi. Ili ndi mitundu iwiri - wodalira insulin komanso osadalira insulini:

Ndi mtundu wachiwiri, kulembetsa kungatumizidwe kumalo osungirako nthawi yankhondo, koma ngati matendawo sangakulemetseni ndi zovuta zake. .
Ndi mtundu 1, matenda ashuga komanso gulu lankhondo siligwirizana kwathunthu, bambo wachinyamata yemwe ali ndi matenda otere amadziwika kuti ndi osayenera.

Zomwe zimalepheretsa ntchito ndi zingapo:

zakudya zina ziyenera kutsatiridwa
chakudya chimayenera kumwedwa mosamala paola ina, kutengera manambala a jakisoni wa insulin,
kugwiritsa ntchito mankhwala mosalekeza kapena jakisoni wa insulin ndikofunikira,
masewera olimbitsa thupi komanso masewera owonjezera kumatha kubweretsa kusintha kwakukulu pamasamba a shuga, omwe ali oopsa kwambiri kwa odwala matenda ashuga,
Njira ya matendawa imadziwika ndi kutopa kwambiri.

Malinga ndi lamulo la Boma la Russian Federation, lomwe lidayamba kugwira ntchito pa Julayi 4, 2013 ndikusintha pa Marichi 30, 2019, dongosolo la matenda lidavomerezedwa ndi magawo oyenerera kapena osayenera kwa gulu lankhondo. Pakupanga kwamalamulo uku, Art. 13 ("Matenda a endocrine system, mavuto azakudya ndi zovuta zama metabolic").

Nkhaniyi ikuwonetsa kuti odwala matenda ashuga omwe alowa m'gulu B, ndiye kuti, omwe amalembetsedwa omwe glycemia amawongolera pokhapokha ngati amadya ndipo osapitirira 8.9 mmol / lita imodzi pakatha tsiku limodzi, angathe kuzindikiridwa kuti ndi gawo loyenerera kugwira ntchito.

Kodi ndi odwala matenda ashuga ati omwe sangatengedwe?

Matendawa amatengedwa kuti ndi amodzi a gulu lovuta kwambiri la endocrine la pathologies. Izi ndichifukwa choti ndi matenda ashuga pamakhala chiwopsezo chachikulu chotenga zovuta komanso kuwonjezera kwa zina zothandizirana ndi matekinoloje. Pamaso pazophwanya zotsatirazi, akatswiri azachipatala amakana kulembedwa kuti atumikire ngakhale m'nthawi ya nkhondo:

Uku ndiye angiopathy ndi neuropathy. Nthawi zambiri, malekezero am'munsi amakhudzidwa, pomwe, ndi kuvulala pang'ono, mawonekedwe a zilonda zam'mimba amatha kuwonekera.
Chifukwa cha kuwonongeka kwa microvasculature (capillaries), miyendo imasowa mpweya, zomwe zimapangitsa kuti ischemia ipangike, yomwe imatsogolera ku gangrene.
Mu matenda a shuga, ntchito ya impso imalephera, zomwe zimayambitsa kufooka kwa ziwalo. Izi zili ndi zidakwa komanso vuto lalikulu. Nephropathy
Retina imayankhanso pakukula kwa hyperglycemia. Poyamba, masomphenya amachepa, koma pakakhala palibe chithandizo chokwanira chamankhwala komanso kutsatira zakudya ndi jakisoni, khungu limatha kuchitika. Retinopathy
Popeza ziwiya zimakhudzidwanso, pali chiwopsezo chachikulu cha kupangika kwa phazi la matenda ashuga. Pankhaniyi, wodwala matenda ashuga amaloledwa kuvala nsapato zapadera, zomwe sizingatheke m'gulu lankhondo.

Kuphatikiza apo, malinga ndi ziwerengero zamankhwala, anthu omwe ali ndi matenda ashuga amayenera kuyang'anira kuthamanga kwa magazi kupewa kuteteza matenda oopsa.

Ngati mukufuna kutumikiradi

Ngakhale anthu ambiri amakhulupirira kuti oyang'anira amalemba makamaka amayesa, pali ambiri omwe amafunitsitsa kukakhala nawo m'Magulu ankhondo. Ndipo nthawi zina anyamata amayesetsa kubisala ku chipatala chawo kuti ali ndi matenda ashuga. Ndipo zimakhala zosatheka kuchita izi. Akatswiri azachipatala amasamalira mosamala osati zolemba zokha zomwe wachinyamatayo adalandira, komanso zotsatira zoyeserera zomwe ziyenera kuperekedwa atalandira lisamanisi.

Ngati kukayikira kocheperako kungachitike, chikalatacho chidzatumizidwa kuti chikawonjezedwe. Chokhacho chomwe chitha kupezeka ndi matenda osadalira insulini ndikupita kuchipatala. Zitatha izi, mudzayesaninso kukayezetsa kuchipatala, ndipo ngati pali kusintha kwakukulu, mutha kuyeneretsedwa kuchita ntchito zoletsedwa. Komanso ndizovutanso, chifukwa ngakhale atakhala kuti ali ndi matenda osakhalitsa, pakatha chaka amatha kukula ndikuvuta.

Ngati, ndi zolembedwa zonse zokhudzana ndi matenda ashuga zomwe mudatumizidwabe ku gulu lankhondo, dziwani kuti izi zikutsutsana ndi malamulo. Momwe mungachitire pazinthu zotere, mutha kudziwa kuchokera kwa owerenga athu. Funsani mafunso, timayankha mwachangu ndikuthandizira olemba nawo kuthana ndi zovuta zovuta.

Monga lamulo, anthu okhawo omwe ali ndi pathologies owonekera komanso ovuta, monga kuchepa kwa malingaliro, schizophrenia, khungu, ugonthi, kusowa kwa miyendo, ndi osayenera kwathunthu kunkhondo.

Nthawi zina, funso limakhala lokhudza chithandizo (ndiye kuti kuchedwetsa kuperekedwa kenako kumafunsanso kachiwili), kapena pafupi kuchuluka kwa ziwalo zina zolakwika.

Matenda owopsa (kuyankhula modekha, kwamikodzo, kusakhazikika kwa mtima, kulephera kwa mtima, ndi zina zotere) ndi chifukwa chotsalira. Muzoyambitsa mikangano, lingaliro limakhalabe ndi gulu lachipatala.

Magulu oyenerera ntchito

Kuyesedwa kwa zamankhwala kumachitika kumalo ophunzitsira anthu, omwe adapangidwa makamaka ndi komitiyi, kutsatira zotsatira zomwe zisankho zoyenera zimachitika: kufunikira kwa mnyamatayo, kufunikira kwakumupatsa mwayi kapena kumumasula ku ntchito yankhondo pazifukwa zathanzi. Magawo otsatirawa alipo:

Gulu "A". Draftee ndiwathanzi kwathunthu ndipo ndioyenera kupita kunkhondo, popanda zoletsa.
Gulu "" . Pali zoletsa zina zazing'ono zomwe zingagwire ntchito yankhondo.
Gulu "". Zimaphatikizapo ntchito yocheperako ngati wachinyamata amkakamizidwa kulowa usodzi pankhondo pankhondo.
Gulu "G". Kutumizidwa pamaso pa mavuto osakhalitsa azaumoyo: matenda othandizika, kuvulala kosiyanasiyana, kusokonezeka kwamkati.
Gulu "D". Kupezeka kwa ma pathologies ovuta omwe sagwirizana kwenikweni ndi gawo la ntchito. Matenda a shuga amakhalanso m'gulu lovomerezeka la matenda ().

Matenda owopsa

Active pulmonary ndi extrapulmonary chifuwa chachikulu, kachilombo ka HIV, khate - ndi matenda otere samatengedwa m'gulu lankhondo. Ndi chifuwa chachikulu komanso chifuwa, kuchira ndikotheka.

Matenda amkati, mabakiteriya ndi matenda opatsirana omwe amapatsirana ndi arthropods, riketitsi, gonococcal, matenda a chlamydial, mycoses (matenda oyambitsidwa ndi bowa) ndi matenda ena atapezeka koyamba pachipatala chachipatala apangitsa kuti wodwalayo atumizidwe chithandizo. Ngati nthendayo singachiritsidwe, zomwe zalembedwazo zimawerengedwa kuti ndi zosayenera kugwira ntchito.

Matenda a shuga ndi Asitikali

Matendawa amagawidwa kukhala mtundu wodalira insulini komanso wodziyimira payekha. Poyamba, jakisoni wokhazikika, kutsatira kwambiri zakudya ndi zochitika za tsiku ndi tsiku, komanso kuletsa kuchita masewera olimbitsa thupi ndikofunikira kuti moyo wa wodwalayo ukhale wabwino. Mtundu wachiwiri umakhudza kudya kwa panthawi yake mankhwala osakanikirana ndi zakudya zomwe zimayikidwa.

Mulimonsemo, odwala matenda a shuga amakakamizidwa kutsatira malamulo ena: kupatula kuyesetsa kwambiri, kudya mokwanira nthawi inayake, kutsatira zakudya. Komanso, matenda am'madzi amadziwika ndi kutopa kwakukulu, mogwirizana ndi izi, kupumula kwakanthawi kokwanira ndikofunikira.

Mukufuna kumasulidwa ku gulu lankhondo?

Pezani uphungu kuchokera kwa loya wankhondo zokhudzana ndi vuto lanu ndi ofesi yolembetsa usilikali. Mukaphunzira momwe mungapezere Khadi lankhondo likuyenda sitepe ndi sitepe osati kulowa usitikali.

* tikutsimikizira chinsinsi cha data yanu

Pophwanya malamulo ofunikira kuti odwala matenda ashuga azitha, matendawa amayamba kupita patsogolo, zomwe zimatha kubweretsa mavuto.

Choyamba, kulangizidwa m'gulu lankhondo, kumatanthauza kutsatira mosamalitsa kwa boma limodzi lokhazikitsidwa kwa asitikali onse, chifukwa chake ntchito sizigwirizana ndi matendawo, mosasamala mtundu ndi gawo la matendawa.

Neoplasms

Kuphwanya ndi chosaopsa ndi kuponderezana pantchito yankhondo, ngati chotupa sichingachotse kwambiri, pali ma metastase kapena kusowa kwazinthu zina zilizonse.

Kuphatikiza apo, satenga nawo m'gulu lankhondo omwe akukana chithandizo chotupa. Anthu omwe akuchitiridwa mankhwala a neoplasms adzapatsidwa chosowa, mtsogolomu adzayesedwanso.

Anthu onenepa kwambiri 3 ndi 4 madigiri sakhala oyenera kupita kunkhondo. Afunsidwa kuti akalandilidwe chithandizo chomwe chimachedwetsa. Ngati chithandizo sichikuthandizira, kuwerenganso mobwerezabwereza kumatsimikizira kuti ntchito siyabwino.

Ntchito kwa matenda a shuga a 2.

Matenda a shuga ndi amodzi mwa matenda oyipa omwe amagwera m'gulu lomwe omwe amadziona kuti ndi osayenera. Koma asanaganize zokhala ndi chikalata chazachipani komanso asamachotsere ntchito, madokotala amayendera ndikusanthula mosamala mbiri yachipatala ya mnyamata yemwe akudwala matendawa. Choyamba, chidwi chimaperekedwa kwa:

kudziwa mtundu wa matenda

kudziwa momwe ziliri zovuta

kudziwa kukhalapo kwa zovuta ndi ma pathologies omwe amagwirizana nawo.

Mnyamata yemwe ali ndi matenda a shuga a 2, malinga ngati palibe zovuta zilizonse m'thupi, angathe kupatsidwa gawo la "B".

Izi zikutanthauza kuti mnyamatayo sangatumikire mokwanira, koma m'nthawi yankhondo akhoza kutchedwa mphamvu yowonjezera.

Achinyamata omwe ali ndi matenda a shuga 1 a Type 1, ngakhale ali ndi chidwi chachikulu, sangatumikire.

Zomwe amachititsa asitikali ndi matenda a shuga 1 sagwirizana.

Pankhaniyi, imapanga chisankho chosagwirizana ndikugawa gulu la "D", lomwe limapatula kwathunthu mwayi wotumikiridwa panthawi iliyonse.

Amuna ena omwe ali ndi matenda amtundu woyamba amakhala ndi chidwi chofuna kubweza asitikali awo mwakufuna kwawo ndi kubweza ngongole kudziko lakwawo, ngakhale atadwala kwambiri.

Odwala omwe ali ndi matendawa amadalira kwathunthu makonzedwe a insulin, kutsatira malangizo ndi zakudya. Komanso matendawa amadziwika ndi kufooka, kuphatikiza minofu, kupatula kuchita masewera olimbitsa thupi. Poganizira zonse, mnyamatayo sangatumikire tsiku loyenera . Zifukwa zazikulu:

Jakisoni wa insulini amaperekedwa tsiku lililonse malinga ndi chiwembu chokhazikika, nthawi yakudya imatengera jakisoni. Palibe kupatuka pamankhwala okhazikitsidwa sikuvomerezeka. Sizotheka kutsatira dongosolo lotere muutumiki. M'gulu lankhondo, chilichonse chimachitika molingana ndi boma lokhazikika. Mlingo wa glucose ukhoza kugwera mwadzidzidzi wodwala wodalira insulin, pambuyo pake ndikofunikira kuti mnyamatayo achitepo kanthu mwachangu ndikudya maswiti. Kupanda kutero, kuukira kumatha kubweretsa zotsatira zoyipa, mpaka kukomoka

Anthu odwala matenda ashuga nthawi zambiri amakhala ndi kufooka mwadzidzidzi akafunika kupumula mwachangu. Dongosolo lankhondo silitanthauza kusokonezedwa ndi zinthu ngati izi.

Odwala omwe ali ndi matenda a shuga, kuchepa kwa chitetezo chathupi kumawonedwa, mabala aliwonse ngakhale kuvulala kwazing'ono kumachiritsa pang'onopang'ono. Msirikali atha kuvulazidwa mwakuthupi, chifukwa chokhala ndi chiopsezo cha zovuta zingapo mu mawonekedwe a kupsinjika, gangrene, komwe pambuyo pake kumatha kubweretsa kufunika kokadula dzanja lomwe lakhudzidwa.

Asitikali ali ndi zofunika kuchita zolimbitsa thupi. Chifukwa cha kutopa kwambiri, mnyamata wodalira insulin sangathe kulimbana ndi katundu wolemera wokhazikika, yemwe amawopseza kuti azikhala bwino komanso azisokoneza matendawa.

Chifukwa chake, chaka chimodzi chautumiki chitha kufooketsa thanzi, komanso kukhala chiwopsezo ku moyo wa odwala matenda ashuga.

Chikhumbo cha anyamata achichepere omwe amazindikira kuti ali ndi matenda ashuga kulipira usilikali kudziko lakwawo chikulemekezedwa. Komabe, ndikofunikira kusamalira thanzi lanu, ndipo palibe chifukwa chobisalira kukhalapo kwa matenda akulu kuti mukalowe m'gulu lanu. Kunyalanyaza thanzi kumatha kubweretsa zotsatirapo zoipa.

Akatswiri athu amadziwa bwino malamulo ankhondo ndipo akutenga nawo mbali popereka chithandizo, kuphatikizapo kupezeka kwa matenda omwe sagwirizana ndi ntchito yankhondo. Ngati mukufuna thandizo, lowetsani kuyankhulana kwapadera poyimba 8-800-775-10-56 kapena.

Chisankho chantchito

Ndikosavuta kusankha ntchito ya odwala matenda ashuga. Kupatula apo, mndandanda wazinthu zoletsedwa za matendawa ndizochulukirapo. Makamaka mavuto akulu amakhalapo ngati matenda ashuga awonekera mukadzakula, mwa munthu yemwe walandila kale maphunziro aukadaulo.

Komabe, ngati makolowo adasamalira kukula koyenera kwa mwana wawo, ndiye, atakula, adzazindikira kudziwa kwawo komanso maluso awo ngakhale atadwala kwambiri. Chinthu chachikulu chomwe chikufunika pa izi sikuti kungoyang'ana pa ntchito imodzi yokha, gawo la zochitika, koma kukulitsa mwana mokwanira.

Zochitika zovulaza - osati za odwala matenda ashuga

Posankha ntchito, tiyenera kukumbukira kuti shuga payokha ndiyoyesa kwambiri pa thanzi. Ndipo chifukwa chake, simukuyenera kudzipangira nokha zovuta, ndikupanganso ntchito ndi malo oopsa.

Mwachitsanzo ntchito mlengalenga kumabweretsa munthu wosazindikira kwambiri kuzizira pafupipafupi, komwe kumakulitsa njira ya matenda ashuga. Ngati, kuwonjezera apo, ntchitoyi ndi yolumikizidwa ndi , ndiye kuthekera kwama episode a hypoglycemia kumakulitsidwa kwambiri.

Gwirani ntchito zofunikira kuvunda, kuzimiririka, komanso kutentha kwambiri m'mashopu otentha, mwachitsanzo, ndiyenso kusankha koyenera. Ndikosayenera kwambiri kugwira ntchito mumakampani azachipatala kapena azachipatala, kuchipatala cha matenda opatsirana.

Magulu ophatikizika ndi magwiridwe antchito okhala ndi kugwedezeka kwamphamvu. Vuto lovulaza munthu wathanzi kwakanthawi limapweteketsa matenda osautsa - matenda opatsirana, komanso pamaso pa matenda ashuga matenda osokoneza bongo amachititsa chidwi champhamvu kwambiri.

Maluso owopsa

Ntchito zomwe zimagwirizanitsidwa ndi zoopsa zowonjezereka ndizotsutsana. Anthu omwe ali ndi matenda ashuga saloledwa kugwira ntchito ngati madalaivala - hypoglycemia yomwe dalaivala ali nayo poyendetsa galimoto imatha kubweretsa ngozi yayikulu. Pazifukwa zomwezo, kuwongolera kwa magawo ndi zida zamagetsi (ma thirakitala, zokumba, makatani, ndi zina), masitima apamtunda ndi ndege siziyikidwa pambali.

Chifukwa cha chiwopsezo cha kusokonezeka kosayembekezereka mu mgwirizano ndi kuzindikira komwe hypoglycemia ikhoza kuyambitsa, odwala matenda ashuga samaloledwa kugwira ntchito pamakina, m'masitolo otentha, pazonyamula, ku malo okwera ndi ntchito zapansi pamadzi, etc. Izi ndichifukwa choti munthu akaukira munthu sangathe kusankha mwachangu msanga. Pazifukwa zomwezo, wodwala yemwe ali ndi matenda ashuga sangalembedwe ndi wogulitsa, makamaka wowongolera wamagalimoto.

Ogwira ntchito m'makampani ogulitsa zakudya, malo odyera komanso odyera ndiwosafunikiranso: zomwe akatswiri adziwa kuti kuchuluka kwa anthu omwe amagwira ntchito m'malo ngati amenewa kumakhala kokwanira kwambiri kuposa kuchuluka kwa mafakitale ena. Ndipo kwa iwo omwe ali ndi matenda ashuga kale, kulawa pafupipafupi kwa zinthu kumabweretsa kufunikira kowonjezera jakisoni wa insulin, komanso kumayambitsa kuwoneka kwa mapaundi owonjezera.

Kugwira ntchito yankhondo, apolisi, ndi magulu ankhondo ena amaphatikizidwanso mogwirizana ndi kupsinjika kwa thupi ndi malingaliro. Sizingatheke konse kudutsa ntchito yachipatala yomwe imatsimikiza kuyenerera kwa ntchito. Ngati matenda ashuga apezeka mwa munthu yemwe ali kale pantchito, atha kusankha ntchito m'magulu amisili omwewo ndi magawo a Unduna wa Zapakatikati: ma kalasitala, owunikira, ogwira ntchito zothandizira anthu amafunikira magawo awa. Ogwira ntchito omwe amadziwa ntchito kuchokera mkatimo amayamikiridwa kwambiri m'malo amenewo.

Onetsetsani kuti boma lantchito ndi yopuma!

Kulandila bwino kwa shuga kumapangitsa kuti pakhale zovuta zambiri nthawi zambiri kumakuthandizani kuti mukhalebe m'malo anu. Koma muyenera kusintha kwambiri tsiku logwira ntchito.

Kufunika kwa kudya pafupipafupi kwambiri sikungakusangalatseni kwa oyang'anira ngati sakumvetsa zomwe zinayambitsa. Ngati mukufunikira kuyamba kulandira mankhwala a insulini, muyenera kuuza anzanu kuti mankhwalawa akumwa jakisoni, apo ayi mutha kukhala kuti mukulakwitsa.

Ngati pakufunika kupanga jakisoni kuntchito, insulini iyenera kusungidwa ndipo chilichonse chofunikira munjira imeneyi iyenera kukhala m'bokosi lomwe limatsekedwa ndi kiyi, makamaka m'malo otetezeka.Kupanda kutero, mabotolo amatha kugwa ndikusweka, ndipo mankhwalawo sangagwiritsidwe ntchito pazolinga zake, kuphatikiza pazosayenera. Mwa njira, kunyamula insulin tsiku ndi tsiku kukagwira ntchito kunyumba siyankho labwino. M'nyengo yozizira, izi zimatha kubweretsa kuwonongeka kwake chifukwa cha chisanu, nthawi yotentha, kutentha, mankhwalawa amathanso kuwonongeka panthawi yoyendera.

Mmodzi mwa ogwira nawo ntchito (osati m'modzi, koma osachepera awiri kapena atatu) akuyenera kufotokozeredwa momwe hypoglycemia imadziwonetsera yokha komanso momwe angaperekere thandizo loyamba pankhaniyi. Onetsetsani kuti chipinda chomwe mumagwira chimakhala ndi ketulo kapena kozizira, madzi akumwa ndi shuga.

Odwala ena omwe ali ndi matenda a shuga safuna kukhala pantchito kuti athe kuyeza kuchuluka kwa shuga m'magazi - amachita manyazi kapena sapeza nthawi ya izi. Izi ndizoyipa kwambiri, chifukwa chidziwitso chofunikira sichitha, zomwe zimapangitsa kuti zikhale zovuta kuthana ndi shuga m'magazi.

Ngati ntchito imalumikizidwa ndi kulimbitsa thupi, munthu ayenera kudya kwambiri. Nthawi zambiri, anthu odwala matenda ashuga amawopa "kukonza" magawo a mkate ndipo chifukwa cha izi amadyetsedwa, zomwe zimatsogolera kukukula kwa episode a hypoglycemia opsinjika chifukwa chogwiritsa ntchito kwambiri komanso kuperewera kwa vuto la kuperewera kwa zakudya m'thupi, zomwe zimawonongeranso thanzi. Kuti mupewe izi, gwiritsani ntchito magome amagetsi pamaudindo osiyanasiyana, omwe amapezeka mosavuta mu buku lililonse lonena za matenda ashuga. Ngati simungathe kupanga nokha zakudya zanu za tsiku ndi tsiku, muyenera kulumikizana ndi dokotala kuti muchite naye.

Maulendo apa bizinesi, ntchito yosinthira ndi nthawi yowonjezera

Ngati akudziwa za matenda anu kuntchito, palibe amene angakhumudwe chifukwa chofuna mnzanu amene ali ndi matenda ashuga kuti asamagwire ntchito nthawi yayitali komanso asapite maulendo aku bizinesi. Ngati ili ndi gawo lofunikira pantchitoyo, ndikofunikira kuganizira zosamukira ku gawo lina kapena kwina. Mwina akatswiri ochita kuyeserera adzafunika, pamenepo, ndikofunikira kuvomereza.

Ngati nkovuta kupirira regimen wa insulin. Ndikofunika kudya pafupipafupi mukadzuka, osayiwala chakudya chomaliza musanayambe kugona. Odwala omwe amagwira ntchito mosinthana, ndibwino kugwiritsa ntchito insulin "ultrashort", popeza tulo ndi kugona kwake sikokhazikika, ndipo zimakhala zovuta kwambiri kuzolowera.

Mankhwalawa amakhalanso chimodzimodzi: mwachitsanzo, mlingo womwe umaperekedwa asanagone usiku umayikidwa nthawi yogona 9 koloko m'mawa, wodwalayo akagona kuti abwere kunyumba. Inde, kuti mukwaniritse bwino mankhwala osokoneza bongo a insulin panthawi imeneyi, ntchito imeneyi singagwire ntchito, chifukwa nthawi yogona komanso yodzuka imasinthasintha. Chifukwa chake, ntchito zoterezi ziyenera kuonedwa ngati njira yakanthawi kochepa, ndikuyesayesa mwakhama kupeza ina yabwino.

Ngati munthu wawuluka pa ndege, ziyenera kukumbukiridwa kuti pabwalo la ndege, oyang'anira zachitetezo angafunikire kuti zakudya ziziperekedwa kuti akapita kukabati ya ndege. Ndipo afotokozanso kufunika kokhala ndi syringe naye. Kuti muthane ndi mavutowa, ndikofunikira kutenga satifiketi kuchokera kwa dokotala momwe matenda awonetsedwera, ndipo akunena za kufunika kwa jakisoni wa insulin ndi zakudya zanthawi zonse.

Ngati mungathe kukwera ndege popanda chakudya chanu, ndi nthawi yoti mudye, ndipo simunayambe kupereka zakudya, simuyenera kukhala odekha. Fotokozerani woyang'anira zavutoli. Mwina sangasangalale ndi pempho loti awonjezere gawo, koma angakonde kudyetsa munthu amene wakwerapo kuposa kungomupatsa thandizo mwadzidzidzi paulendo wake.

Nthawi zina pamachitika zinthu ngati olemba anzawo ntchito, omwe akufuna kuti akhale ndi wodziwa ntchito yemwe ali ndi matenda ashuga, amusiya ali pantchito, koma samapereka kukhululuka: wogwira ntchito nthawi yayitali, maulendo aku bizinesi, masinthidwe a usiku - zonse zimayenda chimodzimodzi. Dziwani kuti simungavomereze izi, ngakhale mutakhala ndi mwayi wopindulitsa. Matendawa amagwira ntchito mofulumira kwambiri, ndipo m'nthawi yochepa munthu sangathe kugwira ntchito iliyonse.

Mavuto ndi ntchito yanu

Ndizodabwitsa kuti, malinga ndi kafukufuku wambiri, anthu odwala matenda a shuga sakonda kupita kutchuthi chodwala kuposa anzawo. Mwa njira ina, izi zimachitika chifukwa choganizira kwambiri thanzi lawo - amavala kutengera nyengo, ambiri amasiya kusuta, komanso kudya mokwanira kumachepetsa mavuto ammimba.

Koma nthawi zambiri izi zimachitika chifukwa choopa kuwonetsa abwana kufooka kwake. Kupatula apo, oyang'anira sakukondweretsadi antchito oterowo ndipo akufuna kuti awapeze m'malo mwake. Munthu wodwala matenda a shuga ayenera kusamala mosakayikira: kuyenda koyambirira kwam'mawa mu zovala zopepuka kwambiri kumatha kuchitika osati kuchipatala, komanso kutha kwa ntchito.

Ngati mukukwera zovuta , ndiye kuti wogwira ntchito akuwonongeka kwambiri.

Ma retinopathy ndi amphaka, othandizira pafupipafupi a shuga, amachepetsa kwambiri kuwona.
Matenda a shuga, nephropathy, omwe nthawi zambiri amakhala limodzi ndi kukokoloka kwa matenda osatha a chifuwa cha m'mimba, ndimomwe amachititsa ntchito zambiri komanso nthawi yayitali chifukwa chodwala.
Kukula kwa phazi la matenda ashuga kumalepheretsa kuyenda kwamphamvu.
Zovuta za mtima zimachepetsa kugwira ntchito konse.

Ngakhale izi, odwala ena amapita kukagwira ntchito mpaka kumapeto. Kuopa kusiyidwa popanda njira yopezera ndalama kumawalepheretsa kusiya nthawi. Zomaliza pamilandu yoterezi sizovuta kudziwa: kulumala ndi kulumala kotheratu .

Kumbukirani: ngati pali vuto lalikulu la matenda ashuga, muyenera kusinthana ndi ntchito ina munthawi yochepa, ngakhale mutalipidwa kwambiri. Kupanda kutero, amakumana ndi vuto ndi kupuma pantchito pachifukwa ichi, chomwe chitha kukhudza bajeti ya mabanja yoposa ndalama zomwe zimabwezedwa pantchito.

Bizinesi yanuyanu

Ngati munthu ali ndi bizinesi yakeyake komanso abwana ake ndi abwana, zinthu zimasintha kwambiri. Komanso, pali zosintha zabwino komanso zoyipa.

Njira yokhala moyo wamabizinesi ambiri siabwino. Kawirikawiri amapita kumisonkhano ndi abizinesi, ochita bizinesi omwe amakhala ndi zakumwa zoledzeretsa ndipo samapeza zakudya zamagulu ena, kusuta, kupsinjika pafupipafupi komwe kumakhudzana ndi mavuto azachuma komanso mavuto ena, udindo kwa olemba ntchito anzawo - zonsezi zimayambitsa zovuta zina zamagulu abizinesi omwe akudwala matenda ashuga.

Njira yabwino yopezekera ndi pezani wothandizira wodalirika zomwe zidzachotse nkhawa zanu. Ndipo ngakhale ngati nthawi yomweyo ndalama zomwe bizinesi yanu imatsika, musadandaule - thanzi ndilofunika kwambiri.

Komabe, wochita bizinesi amakhalabe ndi mipata yambiri yolinganiza tsiku lake momwe likufunikira, potengera momwe amalembera matendawa. Ndipo mfundo zokhala ndi moyo wathanzi zikuchulukirachulukira kubizinesi.

Chifukwa chake, miyambo yamaphwando azambiri ndi hoppy opita nawo kumisonkhano yamalonda pang'onopang'ono imakhala chinthu cham'mbuyo. Mochulukitsa, pamalonda a bizinesi patebulo, mumatha kuwona zakudya zamafuta ochepa, ndi zipatso. Ndipo malingaliro a ena akutenga gawo laling'onoting'ono pano, poyerekeza gulu lomwe "Kodi mundilemekeza?" Amamveka pang'ono pamaphwando ngati amenewa.

Masiku ano imakhala yapamwamba osasuta , ndipo nawonso abizinesi. Ndipo kukambirana kwa nkhani zamabizinesi mchipinda chosuta kumacheperachepera.

Milandu yomwe abizinesi atayimitsa bizinesi yake chifukwa cha matenda ashuga sichitha. Kupatula apo, anthu omwe amadziwa mawonekedwe a matupi awo komanso amatha kumatha kusintha zochitika zawo zatsiku ndi tsiku nthawi zambiri amasintha bwino ndikusintha bizinesi yawo.

M'masiku ano, ogwirira ntchito nthawi, anthu ambiri amagwira ntchito mosiyanasiyana - usiku, kenako masana, kenako usiku, tsiku lina, nthawi ina ndi yosiyana. Chifukwa chake, boma la kugona ndi kupumula, zochitika zolimbitsa thupi panthawi zosiyanasiyana patsikulo, komanso kudya kwakusintha. Ndipo zonsezi zimakhudza kwambiri kuchuluka kwa shuga m'magazi. Chifukwa chake, ndikofunikira kuti mukhale ndi njira yina yochizira matenda a shuga masiku opumula ndi masiku ogwira ntchito.

Ngati mwapezeka kuti mwapezeka ndi matenda a shuga kapena mwasintha ntchito yanu ndi kayendetsedwe kake, ndiye nthawi yoyamba kuti muyeze magazi anu pafupipafupi. Njira zabwino zitha kukhala ngati mungasunge chidziwitso cha kudziletsa panthawiyi.

Ikuthandizani kuwunika momwe amagwirira ntchito nthawi zosiyanasiyana, mosiyanasiyana - usiku ndi usana - zimakhudza momwe mulili. Ngati simungathe kudzipeza nokha, ndi njira yodziletsa yomwe ingamuthandizireni chithandizo chachipatala kuti ayambitse kusintha komwe kukufunika.

Zachidziwikire, njira yothandizira kukonza mankhwalawa nthawi zosiyanasiyana idzakhala yosiyana pa mitundu 1 ndi 2 shuga.

Mtundu woyamba wa shuga

Ngati mukugwira ntchito molingana ndi dongosolo losakhazikika kapena ngati pali kusintha kosintha usiku mu ntchito yanu, kapena kusintha kwotalikirapo kwa maola opitilira 12, ndiye njira yabwino kwambiri yothandizira bolus ofotokoza insulin (insulini yocheperako kapena yochepa yocheperako pakudya zakudya komanso kukonza shuga ndi magazi a basal insulin) kapena kugwiritsa ntchito pampu ya insulin.

Mukamagwiritsa ntchito mankhwala osakanikirana a insulin (ndiye kuti, pakakhala nthawi yayitali komanso yayitali yogwira insulini yomweyo - bolus ndi basal), zovuta zina zimatha kukhalapo ndi nthawi yosiyanasiyana ya insulin.

Kusintha kwa usiku

Ngati mumagwira ntchito usiku ndipo ntchito imagwirizana ndi zolimbitsa thupi (mwachitsanzo, mumagwira ntchito ngati woperekera zakudya, namwino kapena wogwira ntchito yopanga zojambula), ndiye kuchepetsa basal insulin , omwe amalowa madzulo, mpaka 30% ya tsiku lililonse la insulin.

Pa chakudya chilichonse choposa 1 XE, tumizani insulin. Ndibwino ngati ndi insulin yocheperapo-yayifupi (NovoRapid, Apidra, Humalog). Kumbukirani kuti m'mawa m'mawa, kusungunuka kwa insulini ndizochepa kuposa madzulo, kumbukirani kuchuluka kwa mphamvu yokhudzana ndi insulini kumayambiriro (kuyambira 1:00 mpaka 3:00) komanso mochedwa (kuyambira 4:00) maola ausiku.

Ngati ntchito usiku imagwira, osafuna kuchita masewera olimbitsa thupi (mwachitsanzo, ndinu othandizira kuyimba foni kwa maola 24, woteteza kapena osatulutsa pabwalo la ndege), simungasinthe mlingo wa insal insulin. Pa chakudya chilichonse, gwiritsani ntchito mafuta a insulini poganizira za chakudya, kuchuluka kwa shuga m'magazi komanso kudziwa mphamvu ya insulin. Pankhaniyi, ndikwabwinonso kugwiritsa ntchito insulini yochepa-pang'onopang'ono ngati simungathe kugwiritsa ntchito mankhwalawa.

Mukamagwiritsa ntchito mankhwala osakanikirana ndi insulin, lowetsani insulin mphindi 15 musanadye chakudya, koma pamlingo wa magawo a 2-4 (malinga ndi kuchuluka kwa shuga). Mukamadya chakudya usiku, gwiritsani ntchito insulin yocheperako, poganizira mkate ndi magazi a m'magazi.

Masana ndi usiku amasintha

Ngati mukugwira ntchito masana kapena usiku, ndiye kuti makulidwe a insulini azikhala osiyana.
Mukamagwira ntchito masana, tumizani insulin musanadye, insulin m'mawa komanso 10 koloko insulin ya nthawi yayitali komanso m'mawa kapena 22 p.m insulin yayitali.
Mukamagwira ntchito yosinthana ndi usiku, gwiritsani ntchito malangizo omwe ali pamwambapa.
Mukafika kunyumba ndikupita kukagona patapita usiku, yang'anani kuchuluka kwa shuga m'magazi. Ndi mtengo wotsika (pansipa 6 mmol / l), idyani 1-2 XE ya "" wosakwiya "chakudya - mkate, zipatso zosatsika.

Gwirani ntchito kwa maola 12 kapena kupitirira

Pankhaniyi, ndibwino kugwiritsa ntchito insulini yochepa kwambiri ngati insulin - izi zimachepetsa chiopsezo cha hypoglycemia. Lowani mphindi 15 musanadye chilichonse, mutaganizira magawo a buledi, shuga wamagazi ndi nthawi ya tsiku.
Ngati pa nthawi yantchito pali nthawi yochepa kwambiri yowonongera ndipo palibe njira yoyezera kuchuluka kwa shuga m'magazi musanadye, kuwerengera mlingo wa insulin pa gawo limodzi la mkate ndikulowetsedwa gawo limodzi poyerekeza ndi kuchuluka kwake. Ngakhale sizolondola kwathunthu, zimathandizanso kupewa hypoglycemia.
Kumbukirani kuti kuchita masewera olimbitsa thupi kumachepetsa shuga wamagazi. Chifukwa chake, ngati ntchito yanu ikukhudzana ndi zochitika zolimbitsa thupi ndipo mumagwira ntchito kwa maola angapo osapumira, hypoglycemia ikhoza kuchitika. Sungani thumba lanu kapena shuga woyengetsa pafupi, mapiritsi / dextrose kapena phukusi la zipatso, siyani hypoglycemia mokwanira komanso nthawi.
Ndikwabwino kugwiritsa ntchito insulin yayitali monga insal insulin - majekeseni ochepa amafunika kuchitika kuntchito. Patsiku logwirira ntchito, chepetsani kuchuluka kwa insulin mpaka 30% ya kudya tsiku lililonse ndi ntchito yolimbitsa thupi.

Type 2 shuga

Kuchiza matenda a shuga a mtundu wachiwiri kungakhale kosiyana - kugwiritsa ntchito mapiritsi osiyanasiyana amachepetsa shuga m'magazi, kuphatikiza kwawo ndi insulin, kapena chithandizo chokhacho cha insulin. Kutengera mtundu wa mankhwalawa omwe amagwiritsidwa ntchito, nthawi yogwira ntchito nthawi zosiyanasiyana masana, kuchuluka kwa shuga m'magazi kumathanso kusintha mosiyanasiyana.

Ogwira ntchito zabwino komanso zosayenera kwambiri?

M'mbuyomu nthawi zakale kwambiri za Soviet (zaka 25 zokha zapitazo), odwala matenda ashuga adalangizidwa kuti asankhe ntchito malo osungirako zakale, malo owerengera mabuku, zowerengera zakafukufuku, kotero kuti sizimagwirizanitsidwa ndi kulimbitsa thupi kwambiri komanso kupsinjika. Masiku ano, odwala matenda ashuga amagwira ntchito zosiyanasiyana.

Matenda a shuga amakhudza munthu aliyense munjira zosiyanasiyananso, kotero aliyense ayenera kuyang'anitsitsa bwino momwe angagwiritsire ntchito inayake. Kuyenerera ndikofunikira kwambiri, komanso njira ya matenda ashuga komanso zovuta za matenda a shuga (mwachitsanzo, kuwonongeka kwa mawonekedwe).

Kumbukirani kuti matenda ashuga ndi gawo limodzi lokha lomwe limadziwika. Matenda a shuga sikuti nthawi zonse amakhala ndi gawo lowoneka bwino pantchito inayake, monganso mokhudzana ndi mbali zina za moyo.

Ntchito zomwe zimaletsedwa kwa odwala matenda a shuga ndizochepa. Kwenikweni, awa ndi ntchito zokhudzana ndi ntchito yankhondo m'gulu lankhondo, ntchito zaluso poyendetsa zoyendetsa anthu, ogwira ntchito pamalo okwera komanso ntchito zofananira zokhudzana ndi chiwopsezo chachikulu. Milandu yapadera yofunikira pakugwira ntchitoyi imawerengedwa ndi bungwe lapadera la zamankhwala.

Momwe mungayesere kuthandizira kwa matenda ashuga

Malinga ndi ndandanda ya matenda, ndikofunikira kuzindikira kuchuluka kwa kuwonongeka m'moyo wamalembedwe. Draftee mwachidziwikire sangathe kupitilizidwa kukhala ndi moyo wankhondo wokhala ndi zilonda zam'mimba, kuphwanya kwaimpso. Awa akhale mavuto akulu azaumoyo. Kutsika kwa kuthekera kwa mitsempha yamagazi kupatsa ziwalo ndi ma cell amitsempha ndimagazi ndi oxygen kumapangitsa kuti matenda awoneke ngati ali ndi matenda ashuga.

Ndi matenda oyambitsidwa ndi matenda a shuga, popanda zovuta, mwina mwayi woti ulembedwe upitikabe usilikali. Komabe, chithandizo chitha kukhala chovuta kwa omwe alembedwa ndi matenda ashuga. Moyo wa munthu wodwala matenda ashuga umadalira kutsatira malamulo ena. Ndikofunika kuyang'anira kudya kwa anti-glucose, kuwongolera kwa glucose tsiku ndi tsiku, kutsata njira zamankhwala, boma la kupumula, komanso kupewa zosokoneza zazakudya. Zilonse, ngakhale mabala ang'onoang'ono kapena mabala sangathe kuchiritsa kwa nthawi yayitali, zomwe zimayambitsa mapangidwe a zilonda zam'maso. Chifukwa cha kuchepetsedwa kwa zinthu zazing'ono, chiopsezo chovulala - ma fractures, chiwopsezo chomwe chilipo pakuvuta kwa machiritso a mabala odwala matenda ashuga, akhoza kuchuluka. Thandizo lathunthu pazachipatala mukamaphunzitsidwa usirikali sangathe kupereka, komanso kuthandizira kuthana ndi zizindikiro zopweteka. Kuti muzindikire kuchuluka kwa zovuta mu mtundu woyamba wa 2 ndi mtundu wa matenda ashuga, wolembetsako ayenera kukhala ndi zotsatira za kuyesedwa kwathunthu kuchipatala kuti adziwe zoyesedwa ndi madokotala a IHC.

Ngati mukufunsabe mafunso kapena mukufuna kuti mulandire kwaulere pa mbiri yanu yamankhwala, lemberani mafunso pa intaneti.

Monga lamulo, anthu okhawo omwe ali ndi pathologies owonekera komanso ovuta, monga kuchepa kwa malingaliro, schizophrenia, khungu, ugonthi, kusowa kwa miyendo, ndi osayenera kwathunthu kunkhondo.

Nthawi zina, funso limakhala lokhudza chithandizo (ndiye kuti kuchedwetsa kuperekedwa kenako kumafunsanso kachiwili), kapena pafupi kuchuluka kwa ziwalo zina zolakwika.

Chinthu chachikulu ndikuwunika tsiku lililonse matenda ashuga

Pogwira ntchito iliyonse, muyenera kupitiliza kudziyang'anira shuga wamagazi, kutsatira zakudya zomwe mwapatsidwa ndikupita kukayezetsa thanzi lanu, choncho posankha ntchito inayake, lingalirani ngati mungathe kuchita. Mwachitsanzo, kugwira ntchito pafakitale pamalo omwe sizotheka kumwa mapiritsi a glucose mungakhale chopinga chachikulu kwa odwala ambiri omwe ali ndi matenda ashuga.

Koma, ngati nthawi zina mumafunikira nthawi yopuma yosakonzekera, mutha kuvomereza izi ndi owalemba ntchito ngati mungavomereze kuti muchite nthawi yayitali kuti mutsirize ntchito yanu panthawi. Mukamaunika kuyenera kwa ntchito, ndikofunikira kulingalira zomwe muli nazo, luso lanu komanso luso logwirira ntchito, komanso kuthekera kwa kuwongolera bwino matenda ashuga. Zonsezi ndizofunikira chimodzimodzi!

Njira yosavuta yothanirana ndi kudziwunikira kwamawonekedwe a shuga, dongosolo lazakudya ndi ntchito zina pochitika kuti nthawi yantchito imakhala yokhazikika. Koma ngati mukufunika kugwira ntchito mpaka mochedwa, kusuntha usiku kapena kumapita maulendo pafupipafupi kuntchito, ndiye kuti matenda ashuga sichingakhale chopinga. Ndikofunikira kuti mupeze chidziwitso chowonjezera ndi luso, ndikugwira ntchito ndi dokotala ndi endocrinologist.

Matenda ena a endocrine

Matenda a chithokomiro, zotupa, chithokomiro, matenda a m'mimba, matendawa, matendawa, vuto la kudya, hypovitaminosis, gout ndi zotsutsana ndi ntchito yankhondo ngati akuphatikizidwa ndi vuto la ziwalo zoyenera ndipo sangathe kusintha. Ngati matenda a chithokomiro (goiter) akusokoneza kuvala yunifolomu yankhondo, cholembedwacho chimanenedwanso kuti ndi chosayenera kugwira ntchito.

Mwachidule za matenda ashuga

Matenda a shuga ndi matenda omwe magazi a wodwala amakwera. Amayamba motsutsana ndi maziko a insulin hormone akusowa.

Pali mitundu iwiri ya matenda ashuga:

Wodalira insulin. Makhalidwe kwa anthu ochepera zaka 25. Imayamba mosaganizira, imatha kubereka kapena kutenga. Kukhazikika kumafuna jakisoni wa insulin, kudya, komanso kuchita masewera olimbitsa thupi. Amayamba chifukwa cha kuperewera kwambiri kwa insulin.
Insulin yodziyimira payokha. Nthawi zambiri anthu okalamba amakhala achikulire. Amayamba pang'onopang'ono. Chithandizo chimaphatikiza zakudya, masewera olimbitsa thupi, ndi mankhwala ochepetsa shuga. Amayamba chifukwa cha kuchepa kwa insulin.

Pa gawo loyamba, matendawa ndi asymptomatic. Zikamakula, kuti azisungabe zinthu zofunika kwambiri pamlingo woyenera, wodwalayo amakakamizidwa kumwa insulini, kutsatira zakudya zabwino komanso kudya kwambiri. Munthu watopa msanga, amafunikira kupumula kowonjezereka.

Kodi ndizowona kuti anthu omwe ali ndi matenda ashuga adalembedwa usilikali?

Ngati mukufuna kudziwa ngati ali m'gulu lankhondo omwe ali ndi matenda ashuga, musakhale ndi nkhawa. Mosatengera mtundu wa chitukuko cha matendawa, ndikosatheka kuthandizira nawo.

Ndemanga ya gulu lolimbitsa thupi ikuchitika molingana ndi ndime "b" ndi "c" mu Article 13 ya ndandanda ya Matenda. Pamaso pa kuuma pang'ono kapena pang'ono, ofesi yolembetsa ndi kulembetsa asitikali amakakamizidwa kuvomereza gulu "B" lolembetsa. Nzika zotere zitha kuyitanidwa kuti zizigwira ntchito pankhondo.

Mwa mawonekedwe owopsa, limodzi ndi zovuta, kuyeserera kumachitika pansipa "a" ya nkhani yomweyi. Achinyamata amatenga khadi yankhondo yokhala ndi gulu "D". Izi zikutanthauza kuti munthu sangakwanitse kugwira ntchito yake yankhondo.

Kodi mungalandire bwanji khadi lankhondo la anthu odwala matenda ashuga?

Nthawi zina pokambirana ndi maloya othandizira, othandizira amafunika kuwunikira funso kuti: Kodi kulembedwa ndi matenda ashuga kungakhale m'gulu lankhondo? Ngati njira zoyeserera zichitidwa molingana ndi malamulo aku Russia, zoterezi siziphatikizidwa.

Pofuna kuti asamasukidwe, mnyamatayo ayenera kudziwitsa anthu omwe ali m'bungwe lachipembedzo lachipani chokhudza matenda ake ndikupereka zikalata zakuchipatala. Pambuyo pake, ayenera kumupatsa iye kutumizira mayeso owonjezera kuti atsimikizire kuti ali ndi matendawo. Ngati dokotala yemwe amachititsa kafukufukuyu akatsimikizira matendawa, ndiye kuti pamsonkhano wokonzekera kulemba zilembedwezo azilandira olimbitsa thupi "B", atatha (atatenga zikalata zonse zofunikira) adzapatsidwa chikalata chausirikali.

Pamwambapa, ndidafotokoza bwino malo omwe angapangidwire shuga. Komabe, sizingakhale ndi chitsimikizo kuti munthu wodwala sangakhale usilikali. Mwachitsanzo, atha kupita kunkhondo ngati:

cholembedwacho sichinenapo kanthu za matenda ake,
kulembanso zochitika zikhala zotsutsana.

Kumbukirani, ngati mukuphwanya ufulu wanu woti musachotsedwe, mutha kukadandaula motsutsana ndi chigamulo chokomera gulu lokonzalo.

Pakulemekezani inu, Mikheeva Ekaterina, Mutu wa Dipatimenti Yazamilandu Yothandizira Ntchito Zothandizira Ma Drafomiti.

Timathandizira okonzekera kulemba zikalata zankhondo kapena kuimitsa boma mwalamulo: 8 (800) 333-53-63.

Ntchito yokhudzana ndi makina, zida kapena kuyendetsa

Ndikofunikira kuti shuga yokhala ndi shuga ikhale yolipidwa bwino, yokhazikika komanso popanda chiopsezo cha shuga wamagazi ochepa, apo ayi mutha kudzipweteka nokha, komanso thanzi la anthu ena.

Musanagwire ntchito / kuyendetsa galimoto, onani kuchuluka kwa shuga m'magazi!
Ngati shuga wanu wamagazi ndi wotsika kuposa 3.8-4.0 mmol / L, idyani 1215 g yokhala ndi zophatikizika mosavuta (mwachitsanzo, kapu ya ½, maswiti 3-4, mapiritsi atatu a shuga, ½ nthochi). Pangani shuga wanu wamagazi pambuyo mphindi 15. Ngati glucose wanu wamagazi sawuka, idyani kenakonso 12-15 g yamafuta oopsa osakanikirana. Bwerezani mpaka misempha ya m'magazi itakwera.
Sungani glucose nthawi zonse pamalo osavuta kufikako, koma osati mumtengo wamgalimoto.
Ngati simungathe kudziwa glucose wamagazi anu koma mukukumana ndi vuto la hypoglycemia, siyani kugwira ntchito / kuyendetsa ndikudya 12-16 g yamagulu owonjezera am'mimba.
Nthawi zonse tengani chizindikiritso cha odwala omwe ali ndi matenda ashuga.

Kuyambira mawa - ntchito yakachete komanso kupsinjika pang'ono? Mwina! Ntchito yosavuta si kugonjetsedwa, koma mwayi woti mukhale ndi chidwi komanso chidaliro m'malo anu, kukhala wokhoza komanso kudzidalira panokha, kwinaku mukukhala ndi moyo wabwino ndikupitiliza kusamalira thanzi lanu.

Pakufunsidwa pantchito

Pofunsidwa mungathe kukumana ndi anthu omwe sakudziwa chilichonse chokhudza matenda ashuga. Mwinanso achibale kapena anzanu a olemba anzawo ntchito anali ndi matenda a shuga, omwe nthawi zambiri amafunikira kuchipatala. Kukonda kapena malingaliro aumunthu sangasinthidwe munthawi yochepa, ndiye njira yabwino ndiyakuti osandifotokozeranso zambiri zaumoyo kuphatikizapo matenda ashuga.

Ngati kuyankhulana musanakumane ndi mafunso omwe mukuyenererana nawo, kuthekera kochita ntchito yomwe mukufuna ndikuchita zonse zofunika kuti muchepetse matenda a shuga (mwachitsanzo, kudziyang'anira nokha kuchuluka kwa shuga m'magazi, kudya mokhazikika, kumwa mankhwala ndi / kapena insulin, etc.), ndiye kuti simuyenera kuyika mwayi pa ngozi osapeza malo.

Anthu amawopa zomwe sadziwa. Wogwiritsa ntchito alibe ufulu wofunsa mafunso okhudza boma. Ngati mafunso ngati awa amafunsidwa, ndipo simukufuna kugwiritsa ntchito ufulu wanu kuti musayankhe, mutha kuyankha, mwachitsanzo, kuti nthawi zonse mumasowa pang'ono chifukwa chodwala, kapena kuti mumasamala zaumoyo wanu, chifukwa chake, samalani mfundo zokhala ndi moyo wathanzi.

Mfundo zabwino pofotokozera anzanu:

Mpata wolandira thandizo lawo ngati muli ndi hypoglycemia (muziganizira ngati izi zingakuchitikireni, ndipo ngati ndi choncho, kangati).
Mutha kupempha chilolezo kwa abwana anu kapena oyang'anira kuti akupuma mosakonzekera kuti muyeze shuga wamagazi anu kapena kudya, ngati kuli kofunikira. Mukhala ndi mwayi wokumana / kusinthana malingaliro ndi odwala ena omwe ali ndi matenda ashuga omwe amagwira nanu ntchito.
Mutha kuchita zinthu zofunikira kwambiri kuti muchepetse matenda ashuga osabisala anzanu osawanamiza. Kumbukirani kuti anthu amatha kuwona zinthu zina zokhudzana ndi kayendedwe ka matenda a shuga ndikupanga cholakwika choganiza kuti muyenera kubisa zinthu zina zochititsa manyazi (mwachitsanzo, kuti mumagwiritsa ntchito mankhwala osokoneza bongo).

Zoyipa zenizeni:

Mukamadziwitsa aliyense za matenda anu, mumawulula za inu, ndipo mwina mumakhala ndi tsankho kuntchito.

Tsankho nthawi zambiri limachokera pa tsankho komanso kusowa kwa chidziwitso. Zomwe zili m'malingaliro olakwika akuti wodwala wodwala matenda a shuga chifukwa cha zovuta zaumoyo sangathe kupirira maudindo antchito.

M'malo mwake, inu nokha, popeza mwawonetsa kuchita bwino kwambiri, zotsatira zabwino, maluso, luso, inunso monga mnzake wothandizana naye, kufunitsitsa kuthandizana komanso kudziletsa, mutha kuthandiza gulu kuthana ndi tsankho lokhudza odwala omwe ali ndi matenda ashuga komanso kuchepetsa tsankho. Palibe zochitika zamaphunziro zamankhwala, zophunzitsa ndi zolemba zam'magazini zitha kukhala zowoneka komanso zogwira mtima.

Ngati inu kapena anzanu omwe ali m'gulu lankhondo akudwala matenda ashuga, mwina mumaganiza kuti: kodi akualowa usilikali kapena ayi? Nkhaniyi ifotokoza mwatsatanetsatane funso loti kupezeka ndi matenda ashuga osokoneza bongo kumakhudzira bwanji ntchito yankhondo.

Mupeza omwe apanga chisankho chomaliza pankhaniyi, komanso chidziwitso chothandiza chakuchipatala.

Kodi ndingathe kulowa usilikali?

Kugwira ntchito yankhondo nthawi zonse kumawonedwa ngati chinthu choyamikika komanso chapadera. Guys omwe anayesa kuletsa kulowa usilikali amadziwika kuti ndi amantha ndipo sanayenere kutchedwa amuna enieni. Masiku ano, zinthu zasintha pang'ono, komabe, pali ambiri omwe ali ndi chisangalalo chofuna kulowa nawo gulu lankhondo.

Koma bwanji za anyamata azisamba omwe ali ndi matenda ashuga? Kodi mfundo ziwiri izi ndizogwirizana konse: shuga komanso gulu lankhondo? Kodi munthu wodwala matenda ashuga angalowe nawo usilikali ndi chidwi? Kodi ali ndi ufulu wokana ntchito, kapena sayenera kuloledwa konse? Tiyenera kuyankha mafunso awa mopitilira.

Ndani akuyerekeza kuyenera kwa anthu omwe amalemba usilikali?

Kalelo mu 2003, Boma la Russian Federation lidapereka lamulo loti kuyeneretsedwa kwa zilembedwe kumatsimikiziridwa ndi madokotala akatswiri. Wolembera aliyense ayenera kukayezetsa, ndipo zotsatira zake zidzatsimikiziridwa: ngati wachinyamata ali woyenera pazifukwa zaumoyo kapena ayi.

Pali magawo angapo, kutengera komwe kusankhidwa kwa makomiti kumawunikiridwa:

Ngati munthu alibe zoletsa pa ntchito, amapatsidwa gulu A.
Ngati pali zoletsa pang'ono, gulu B limaperekedwa.
Gulu B limaphatikizapo ntchito zochepa.
Ngati mukuvulala, kusokonezeka mu ntchito ya ziwalo zilizonse ndi zina zakanthawi, gulu G limaperekedwa.
Gulu D limaganiza kuti ndi zosakwanira ntchito yankhondo.

Mnyamata yemwe ali ndi matenda ashuga akayezedwa mayeso, madokotala amaganizira mtundu wa nthendayo, momwe imakhalira, komanso ngati pali zovuta zina. Kutengera izi, ndizosatheka kuyankha mosaganizira kuti ali m'gulu la asitikali kapena ayi, chifukwa ngati munthu ali ndi mtundu wachiwiri wa matenda ndipo pakakhala kuti palibe kuphwanya kwakukulu kwamayendedwe a thupi, akhoza kupatsidwa gawo B. Mwa kuyankhula kwina, sangalembetsedwe, koma munthawi yankhondo azikhala nawo m'gulu lankhondo.

Kodi ndingathe kulowa usirikali ndi matenda amtundu 1 wa shuga?

Mutha kunena motsimikiza kuti ndi matenda ashuga amtundu 1 (omwe amadalira insulin) simudzalembetsa nawo. Nthawi yomweyo, anyamata ena amafunsa funso lotsatirali: Kodi ndingadzifunse pagulu lankhondo lolimba la Russia ndikadwala matenda ashuga?

Yankho la funsoli ndilosavuta, koma nthawi imodzimodzi, zambiri zimatha kukufotokozerani. Tangoganizirani momwe zingakhale zovuta kuti mukhale m'mikhalidwe yomwe ilipo lero. Nachi zitsanzo cha zinthu zochepa zomwe zingakhale zovuta kuzisamalira:

Jakisoni wa insulin ayenera kuchitika malinga ndi regimen okhazikika, pambuyo pake adye chakudya. Izi sizotheka nthawi zonse kuchitira gulu lankhondo. Chilichonse chimachitika pa dongosolo pano, koma wodwala matenda ashuga amatha kutsika kwambiri m'magazi, zomwe zimafunikira chakudya chowonjezera, komanso mwachangu.
Kuvulala kulikonse, bala limatha kubweretsa zotsatira zoyipa - gangrene ya zala, kuduladula mwendo, mabala amatsukidwe, etc.
Kufooka wamba, kufuna kugona pansi kuti mupumule, ngakhale izi ndizoletsedwa kuchita popanda chilolezo choyenera.
Kuchita zolimbitsa thupi pafupipafupi kumatha kukhala kosalephera kwa odwala matenda ashuga.

ZOFUNIKIRA: Ngati muli ndi matenda a shuga 1, onetsetsani kuti muli ndi gulu la olumala, osabisala ndipo akukana kulowa usilikali. Thanzi lanu ndilofunika kwambiri kuposa ntchito yankhondo, yomwe imangokhala chaka chimodzi chokha, ndipo thanzi liyenera kukhala moyo.

Ndi ma pathologies ati omwe simomwe mungatengeredwe nawo usilikali?

Ngati mukuganiza zolemba usirikali m'gulu la anthu odwala matenda ashuga, ndikofunikira kuganizira mitundu ingapo ya thupi yolakwika, yomwe muyenera kuiwalako za usirikali.

Monga mukudziwa, matenda ashuga amathandizira kuti pakhale zovuta zambiri zomwe zitha kukhala zowopsa paumoyo wa anthu komanso thanzi. Pamaso pazophwanya zotsatirazi, gulu lankhondo silingakambidwe konse:

Angiopathy ndi neuropathy yam'munsi yotsika. Pathology imawonekera chifukwa chakuti zilonda zam'mimba zimawonekera pamanja makamaka miyendo. Madera otsika amatupa nthawi ndi nthawi, pang'onopang'ono phazi limayamba kukula. Ndi zizindikiro zoterezi, muyenera kulumikizana ndi endocrinologist ndikuchita chithandizo cha mankhwala, pambuyo pake ndikofunikira kuyang'anira kuchuluka kwa shuga.
Kulephera kwina. Ntchito zoyambira impso zimalephera, chifukwa chomwe machitidwe onse amthupi amawonongeka.
Retinopathy Matenda owopsa pamene ziwiya za m'maso zamagetsi zimakhudzidwa. Mavuto amtunduwu akhungu amatha kubweretsa khungu.
Matenda a shuga. Uku ndikovuta kwakukulu pamene zilonda zotseguka zipezeka pamapazi a wodwala. Kuti mupewe izi, ndikofunikira kuvala nsapato zoyenera, yang'anani ukhondo wamiyendo.

ZOFUNIKA KWAMBIRI: Monga momwe inunso mumamvekera, ndi anyamata okhawo omwe alibe zizindikiritso pamwambapa omwe amatengedwa kupita kunkhondo omwe ali ndi matenda ashuga, ndipo kwakukulukulu, matenda ashuga ndi osakhalitsa. Chowonadi ndi chakuti m'gulu lankhondo simungathe kutsatira njira zoyenera zosamalirira phazi, kuyang'anira magawo a shuga, kutsata zakudya zoyenera, ndi zina zambiri. Ngakhale mutagwira ntchito chaka chimodzi, thanzi lanu limatha kuwonongeka kwambiri mpaka pambuyo pake mumanong'oneza bondo kuti munapita usilikali.

Musanalandire khadi lankhondo ndi kulowa usilikali, onse omwe amalembetsa ayenera kupita kuchipatala. Madotolo atatha kuphunzira za mbiri ya udokotala, kuyesa mayeso onse ofunikira, mnyamatayo amatha kudziwa ngati akuvomerezedwa usilikali.

Popeza pali matenda angapo omwe amasokoneza ntchito zankhondo, ndikofunikira kuti odwala matenda ashuga azindikire ngati ali m'gulu la asirikali omwe ali ndi matenda ashuga. Pali zosankha zingapo zotsatira za matendawa ndi matendawa, motero mathero omaliza amapangidwa ndi komiti ya zamankhwala mutapenda mosamala zolemba zonse ndi zikalata zomwe zili pamalowo.

Nthawi zambiri anthu omwe amapezeka ndi matenda a shuga amayesetsa kubwezeretsa usilikali. Ndikofunika kuphunzira nkhaniyi mwatsatanetsatane kuti ndidziwe ngati odwala matenda ashuga ali ndi ufulu wotumikirabe, ngakhale atakhala kuti ali ndi matendawa, ngakhale atha kukana kulowa usirikali, komanso ndi zikalata ziti zofunika pa izi.

Kodi ophunzirawo amawunikira bwanji kuti ali ndi mwayi wopezekapo?

Malinga ndi malamulo aku Russia, omwe adalandiridwa ndi Boma la Russian Federation mu 2003, ndi madotolo apadera okha omwe ali m'gulu la achipatala omwe angadziwe kuti ali ndi mwayi wankhondo kapena kuloledwa kulowa usilikali.

Makomiti amayenera kukayezetsa kuchipatala, pambuyo pake zimadziwika ngati adzalembetsedwe m'gulu lankhondo ndi matenda ashuga komanso ngati odwala matenda ashuga alandila tikiti yankhondo. Pakadali pano, nthawi zambiri wodwala amakana kubwezeretsedwanso m'malo mwa asitikali ankhondo chifukwa chakusokonekera chifukwa chazachipatala.

Lamulo la ku Russia likuwonetsa magulu angapo molingana ndi kuopsa kwa matenda. Wokonzekererayo amapatsidwa gawo linalake, lomwe likuyang'ana pa zotsatira za mayeso a udokotala ndi mbiri ya udokotala, pamaziko a izi zikuwonekeratu ngati atha kukhala m'gulu lankhondo.

Gulu A limatumizidwa kwa omwe akukonzekera kulowa usilikali ndipo sakhala ndi zoletsa zina paumoyo.
Ndi choletsa pang'ono chifukwa cha thanzi, gulu B limapatsidwa ntchito.
Ngati gulu B lapatsidwa usilikali, munthuyu atha kutumikiridwa, koma ochepa.
Ngati vuto lavulala kwambiri, kusagwira bwino ntchito kwa ziwalo zamkati, kukhalapo kwa matenda aliwonse osakhalitsa, gulu G limayikidwa.
Ngati atatha mayeso okachipatala atapezeka kuti mnyamatayo sakuyenerera kupita kunkhondo, adzapatsidwa gulu D.

Popeza matenda ashuga komanso gulu lankhondo siligwirizana nthawi zonse, munthu amene akulembetsa ayenera kukhala ndi matenda odekha kuti akhale woyenera kulowa usilikari. Pakufufuza kwamankhwala, adokotala amapeza mtundu wa matenda a shuga, momwe matendawa alili, ngakhale pali zovuta. Chifukwa chake, nkovuta kwambiri kuyankha funsoli mosasamala ngati matenda a shuga amatengedwa ngati gulu lankhondo kapena ayi.

Chifukwa chake, ngati munthu wapezeka ndi mtundu wachiwiri wa matenda ashuga, samakhala ndi zosokoneza poyendetsa ziwalo zamkati, amapatsidwa gawo B.

Pankhaniyi, wankhondo wokhwimira kwathunthu amaleredwa kwa wachinyamata, koma chikalatacho chimalembetsedwa kusungidwe, ndipo ngati kuli koyenera, angathe kugwiritsidwa ntchito ngati gulu lina lankhondo.

Mtundu woyamba wa Matenda a shuga ndi Gulu Lankhondo

Pankhani ya matenda a shuga a mtundu woyamba, kupita kunkhondo kwa wachinyamata ndi kotsutsana kwathunthu, chifukwa chake sangalandiridwe usilamu mulimonse. Komabe, ena omwe amadwala matenda ashuga amayesetsa kudzipereka mwa kufuna kwawo usirikali, ngakhale akudwala kwambiri, ndipo akuyesa kudziwa ngati angamupatse ntchitoyo.

Kutsutsa ntchito yankhondo nthawi zambiri kumayenderana ndi chifukwa choti oyang'anira tsiku lililonse amakhala m'malo ovuta, omwe wodwala matenda ashuga sangathe.

Munthu ayenera kungoganiza za zovuta zovuta zomwe akukumane nazo kuti amvetsetse kuti kulowa usilikali kungakhale koopsa kwa munthu amene ali ndi matenda a shuga 1.

Anthu odwala matenda ashuga amafunika kubayira insulin tsiku lililonse mosatengera maola ena, pambuyo pake ndizoletsedwa kudya chakudya kwakanthawi. Panthawi yankhondo, boma lotere silipezeka nthawi zonse. Si chinsinsi kuti gulu lankhondo sililekerera kuphwanya malamulo okhwima, chifukwa chake, asitikali amachita chilichonse malinga ndi dongosolo linalake. Komabe, ndi shuga, shuga amatha kutsika kwambiri nthawi iliyonse ndipo munthu adzafunika kudya mwachangu kuchuluka kwa chakudya.
Ndi vuto lililonse lakumunthu, wodwalayo ali pachiwopsezo chachikulu chokhala ndi zilonda zam'maso, zala zam'mimba, kapena zovuta zina, zomwe zimapangitsa kuti omwe akukakamizidwa azidula nthambi yam'tsogolo mtsogolo.
Kuti chizindikiro cha shuga chizikhala chazolowereka, muyenera kutsatira njira inayake, kupumula kwakanthawi pakati pazochita zolimbitsa thupi komanso kupewa kuchita masewera olimbitsa thupi. Pakadali pano, izi sizingachitike m'gulu lankhondo pokhapokha chilolezo chikaperekedwa kwa wamkulu wa wamkulu.
Ngati mumakonda kuchita masewera olimbitsa thupi pafupipafupi, wodwala matenda ashuga amamva bwino, chifukwa sizotheka kuthana ndi vutoli nthawi zonse. Kuphatikiza apo, kuchita masewera olimbitsa thupi mopitilira muyeso kumatha kupangitsa kuti pakhale zovuta zambiri.

Chifukwa chake, munthu yemwe ali ndi matenda a shuga sayenera kukhala ngwazi ndi kuthamangira asirikali. Pazifukwa zomwezi, simuyenera kubisa mwachidziwikire matenda anu komanso momwe aliri. Ndikofunika poyamba kuti azisamalira thanzi lanu.

Kuti atsimikizire ufulu wakakana kulowa usilikali, wodwala matenda ashuga ayenera kulandila gulu lolemala panthawi.

Mukakhala kuti simungathe kugwira ntchito yankhondo ndi matenda ashuga

Ngati wolembayo ali ndi matenda ovuta kwambiri ngati matenda ashuga, amadzifunsa ngati angatengeredwe usilikali? Ndime 13 ya Ndondomeko ya Matenda imathandiza kuyankha funso ili. Gulu la odwala matenda a shuga lidzagwiritsiridwa ntchito polemba kuchuluka kwa zovuta zaumoyo zomwe zalembedwa.

Matenda a shuga ndi oopsa kwa munthu aliyense yemwe ali ndi vuto lathanzi komanso kuchepa kwa moyo. Chifukwa cha kuchuluka kwa glucose m'magazi, komwe kungatheke kapena kovuta kwambiri kukonza, matenda ovuta a ziwalo zamkati amakula. Nthawi zambiri, odwala matenda ashuga amakhudzidwa kwambiri ndi zotengera ndi mitsempha ya mitsempha, zimayambitsa njira ya atherosrance. Ndi zotsatira zoyipa za matenda ashuga (ndiye kuti, posintha zosasinthika m'matumba akulu ndi ang'ono, makamaka maso, impso ndi miyendo), olemba anzawo sanatengeredwe usilikali. Pa nthawi ya mayeso, alembawo amalandila gulu la anthu olimbitsa thupi "D" - osayenera kupita usilikali - pamenepa pali zovuta zotsatirazi:

kuchuluka retinopathy,
wotchedwa angiopathy ndi neuropathy wam'munsi,
zowonetsedwa ndi zilonda zam'mimba,
zigawenga ziyime
edopathic edema,
Matendawa,
matenda ashuga nephropathy ndi macroproteinuria ndi mkhutu nayitrogeni ntchito impso,
kubwerezanso ketoacidotic precoma ndi chikomokere.

Nthawi yomweyo, chikhalidwe cha mankhwalawo komanso kuchuluka kwake kwa glucose m'magazi sikutengedwa.

Zizindikiro za matendawa, omwe azikumbukiridwa komanso omwe samaloleza kulowa usilikali, ndi awa:

Kukodza pafupipafupi (kuphatikiza usiku).
Nthawi zonse ndimakhala ndi ludzu komanso ludzu. M ludzu ndilovuta kuthetsa ndi zakumwa.
Kufooka (kufuna kupuma).

Matendawa samalandiridwa, munthu ayenera kumwa mankhwala moyo wake wonse, kuwunika shuga, magazi ndi ukhondo, kuthana ndi zovuta za matenda oyambitsidwa, chifukwa chake titha kunena kuti ntchito yausirikali nditsutsana ndi matenda ashuga. Pazonse, sizikhala zofunikira kwambiri kuti munthu ali ndi vutoli azikhala ndiutali wotani, kuchuluka kwa zovuta zomwe zimapangitsa moyo wake, komanso kuchuluka kwa kuwonongeka kwaumoyo, kutsimikizira kwa matenda ashuga kudzakhala maziko olandila gulu la "B" - lolemba okha gulu lankhondo, lowerengedwa. Ngati titatembenukanso ku mutu 13, ndime "c", titha kutsimikizira zonena zathu: matenda atakhala ochepa, shuga atakhala wokhazikika muzakudya, pomwe glycemia singakhale wamkulu kuposa 8.9 mmol / lita (patsiku), wolembetsa ali ndi ufulu wowerengera kulandira khadi yachipatala.

Pali nthawi zina pamene anthu omwe ali ndi matenda ashuga amalembedwa asankhidwe, koma pokhapokha atapezeka kuti ali ndi matenda komanso pakuwoneka kuti alibe matenda ena owonjezereka. Nthawi zambiri, ana aang'ono enieni amayesetsa kupita kunkhondo. Mulimonse momwe zingakhalire, ndikofunikira kwambiri kuwunikira za ngoziyo pasadakhale. Ndi matenda "okoma", kupeza matendwe osasinthika ndiwokwera kwambiri, chifukwa Chithandizo cha zovuta zamatenda ziyenera kuchitika moyang'aniridwa ndi adokotala. Kumbukirani kuti shuga imadziwika ndi kukhalapo kwa zovuta kwambiri:

kuchuluka kwa zinthu za metabolic m'magazi,
kutsika kwakuthwa komanso kwakukulu kwa shuga,
kusowa kwamadzi, shuga komanso sodium yambiri,
mtima kulephera kapena aimpso.

Amakula msanga, pakangotha maola ochepa, ngati nthawi yomweyo palibe chithandizo chamankhwala, funso lamoyo wamunthu lidzauswa. Ndikofunikira kuti munthu wodwala matenda ashuga adziwe za kusiyanasiyana kwa matendawa. Ngati wachinyamata akufuna kutenga nawo mbali pantchito yankhondo, ayenera kuwongolera zoyambirira, kutsatira malangizo ofunikira.