Magulu omwe ali pachiwopsezo cha matenda a shuga a 2: zimayambitsa matendawa

Ndi zinthu ziti zomwe zimathandizira kuti pakhale mtundu wa shuga wachiwiri ndipo ndikotheka kupewa matenda oopsa? Zomwe zimayambitsa matenda a shuga zitha kugawidwa m'magulu awiri: zotheka kusintha osagwiritsidwa ntchito pomvetsetsa. M'mawu osavuta, izi ndi zinthu zomwe sizingathe kusunthika ndi chikhumbo chonse, komanso zomwe munthu amatha kusintha paokha kapena mothandizidwa ndi zamakono.

Ndi zinthu ziti zomwe zikuwonetsa chiopsezo chotenga matenda a shuga


Kudziletsa. Ngati mbiri ya banja yamilandu ya matendawa idadziwika, izi sizitanthauza kuti mudzadwala. Matenda a shuga amtundu wa Direct ndi osowa kwambiri mwa cholowa, sikuti mwana wodwala amakhala ndi mwana wodwala - mtundu wa I wokha wa shuga "umabadwa" kokha mwa 5-10% ya milandu. Ndi matenda amtundu wa II matenda a shuga, ndimomwe kuliri kwamtsogolo komwe kumachitika. Kuphatikiza apo, matenda ashuga amatha kuchitika ngati kale. Chifukwa chake, kuyang'anira kuchuluka kwa shuga m'magazi omwe ali ndi mbiri yolemetsa yabanja ndikofunikira kwambiri.

M'badwo. Pakupita kwa zaka, makamaka pambuyo pa zaka 45, chiopsezo chokhala ndi matenda amtundu II chikukula. Ichi ndi chifukwa cha kuchepa kwambiri kwa kukana kwa thupi komanso kupezeka kwa matenda ophatikizika: matenda a mtima, matenda oopsa, makamaka. Komabe, posachedwapa matenda ashuga asandulika "achichepere", achinyamata ndi achinyamata omwe ali pachiwopsezo chachikulu.

Zinthu Zosintha


Kunenepa kwambiri. Mapaundi owonjezera okha si omwe amayambitsa matenda ashuga. Makina oyambitsawo ndi onenepa kwambiri othamanga kwa magazi, cholesterol yayikulu komanso kusokonezeka kwa metabolic. Koma izi sizitanthauza kuti muyenera kuchepetsera kulemera kwama fomu. Ndikokwanira kutaya osachepera 5-7 kg kuti muchepetse chiopsezo cha matenda.

Matenda oopsa a arterial ndi cholesterol yambiri. Ndi kuchuluka kukakamiza ndi kukhalapo kwa otchedwa. "Cholesterol plaques" pamakoma amitsempha yamagazi, mtima umagwira ntchito kuvala, zomwe zimatsogolera pakupanga mitundu yambiri ya matenda, kuphatikizapo mtundu II shuga mellitus.

Kulephera kuchita masewera olimbitsa thupi. Ndi moyo wongokhala komanso kusachita zinthu zolimbitsa thupi, kagayidwe kamachepetsa, komwe kumapangitsa kuti thupi lizikhala ndi mphamvu yambiri komanso kuchepa kwa chakudya m'thupi.

Zizolowezi zoipa. Kusuta fodya komanso mowa sizinapindulitse munthu aliyense. Kumwa mowa, munthu amakakamiza thupi lake kuti ligwire ntchito mopitilira muyeso, kulongedza zikondwererozo ndi shuga. Mapeto ake, kapamba wam'mimba amatha, zomwe zimapangitsa kuti shuga azikhala ndi magazi komanso zimawonjezera mwayi wokhala ndi matenda ashuga.

Kodi ndizotheka kupewa matendawa ngati muli pachiwopsezo? Mwambiri, izi ndi zenizeni. Khalani ndi moyo wathanzi ndikuwunika ma glucose anu nthawi ndi nthawi. Tikupangira kuti mugule mita ya Satellite Express kuti mugwiritse ntchito kunyumba ndikuyesa mizere ya mita, makamaka ndi malire kuti muthe kuyesa muyeso nthawi iliyonse yomwe mukufunikira.

Zosawopsa zomwe zimayambitsa matenda a shuga

Pali zifukwa zokulira kwa matenda ashuga zomwe munthu sangathe kuzikopa, koma izi sizitanthauza kuti anthu onse amakhala ndi matenda ashuga ngati alipo. Kukhalapo kwa chimodzi kapena zingapo za gululi ndi chifukwa chokhala ndi chidwi kwambiri ndi thanzi lanu komanso kukhazikitsa njira zosavuta zoteteza.

Chofunikira kwambiri chotsimikizira kukula kwa matenda a shuga ndikudziwikiratu zamtundu. Ngati muli ndi abale anu apamtima omwe adapezeka kuti ali ndi matenda a shuga, mwayi wodwala umawonjezeka. Ngati m'modzi mwa makolo adadwala matenda amtundu 1, ndiye kuti mayi akhoza kudwala ndi 10% kuchokera kwa abambo.

Pamaso pa makolo onse odwala (kapena abale awo apamtima, odwala matenda ashuga), mwayi wolandira matenda a shuga ukuwonjezeka kufika pa 70%. Poterepa, mtundu wachiwiri wa matenda ashuga wochokera kwa makolo odwala umafalikira pafupifupi 100%, ndipo ngati wodwala atadwala, mwana akhoza kudwala matenda ashuga 80% ya milandu.

Chiwopsezo cha kudwala matenda a shuga chikuwonjezereka ndi ukalamba kwa mtundu wachiwiri wa matenda, ndipo kukuwonjezereka kwa matenda ashuga m'mitundu ina, omwe akuphatikiza anthu akumayiko aku North, Siberia, Buryatia ndi Caucasus.

Matenda amtundu wamtunduwu nthawi zambiri amadziwika pa ma chromosomes omwe amachititsa kuti matupi azigwirizana, koma pali zovuta zina zomwe zimayambitsa matenda ashuga:

  • Porphyria.
  • Down Syndrome.
  • Myotonic dystrophy.
  • Turner Syndrome.

Matenda oyambitsa matenda a shuga

Matenda a ma virus ndi omwe nthawi zambiri amayambitsa zomwe zimachitika pakupanga ma autoantibodies ku ma cell a kapamba kapena zigawo zake. Izi ndizofunikira kwambiri ku mtundu woyamba wa matenda ashuga. Komanso, kachilomboka kangathe kuwononga mwachindunji maselo a beta.

Nthawi zambiri, chitukuko cha matenda a shuga chimadziwika pambuyo pobadwa nako kachilombo ka rubella, Coxsackie, cytomegalovirus matenda, chikuku, mumps ndi hepatitis, palinso milandu ya matenda ashuga pambuyo pa matenda a chimfine.

Machitidwe a ma virus amawonekera mwa anthu omwe ali ndi cholowa chambiri kapena ngati njira yopatsirana ikuphatikizidwa ndi matenda amtundu wa endocrine ndikuwonjezera kulemera. Chifukwa chake, kachilomboka sindiye omwe amayambitsa matenda ashuga, koma amakhala ngati oyambitsa matenda.

Mu matenda a kapamba, monga, pachimake komanso kupweteka kwamatumbo, njira ya kapamba kapena chotupa, kuvulala kwam'mimba, cystic fibrosis, komanso fibrocalculeous pancreatopathy, imatha kukhala matenda a hyperglycemia, omwe amasintha kukhala shuga.

Nthawi zambiri, ndikutha kwa njira yotupa komanso zakudya zoyenera, matendawa amatha.

Gulu lina lomwe lili pachiwopsezo cha matenda osokoneza bongo ndi endocrine system matenda. Ndi ma pathologies oterowo, kuthekera kwa kuchepa kwa chakudya m'thupi kumachuluka chifukwa cha zochita za mahomoni olimbana ndi mahomoni a pituitary, gland ya adrenal, hypothalamus ndi chithokomiro. Mavuto onsewa amadzetsa shuga wamagazi ambiri.

Nthawi zambiri kuphatikizapo shuga:

  1. Itsenko-Cushing's syndrome.
  2. Thirotooticosis.
  3. Acromegaly.
  4. Polycystic ovary syndrome.
  5. Pheochromocytoma.

Matenda a mimbayo amathanso kuuzidwa ndi gululi, momwe azimayi amawerengedwa kuti ali pachiwopsezo chachikulu chotenga matenda ashuga: kukhala ndi mwana wolemera kilogalamu 4.5 kapena kuposerapo, njira zoperekera pamimba zomwe zimayambitsa kusokonezeka kwamatumbo, kubereka kwa fetal, kubereka, komanso kukhalanso ndi gestational matenda ashuga.

Mavuto Amadyedwe ndi Mavuto A shuga

Choopsa chachikulu kwambiri (chosinthika) cha matenda ashuga ndi kunenepa kwambiri. Kuchepetsa thupi ngakhale makilogalamu asanu kungakhudze kwambiri matendawa. Choopsa kwambiri kuchokera pakuwonekera kwa kusokonezeka kwa chakudya cha carbohydrate metabolism ndikuyika mafuta m'dera m'chiuno, mwa amuna omwe ali pachiwopsezo chofika m'chiuno ndi apamwamba kuposa 102 cm, ndipo mwa azimayi omwe ali ndi masikono oposa 88 cm.

Chofunikanso ndi cholozera cha misa, chomwe chimawerengedwa pogaula kulemera kwake ndi mainchesi kutalika kwamamita. Kwa odwala matenda ashuga, zofunika pamtunda wa 27 kg / m2 ndizofunikira. Ndi kuchepa kwa thupi, ndikotheka kubwezeretsa chidwi cha minofu ku insulin, komanso kulipiritsa chiwonetsero cha matenda ashuga a mtundu 2.

Kuphatikiza apo, ndi kukula kwa kulemera, zomwe zimapangitsa kuti insulini yogwira ntchito m'magazi isamatsike, zomwe zili lipids, cholesterol, glucose, kuthamanga kwa magazi, komanso zovuta za matenda a shuga zimalephereka.

Kuti muchepetse kunenepa tikulimbikitsidwa:

  • Kusiyidwa kwathunthu kwa zakudya zosavuta za chakudya chamapangidwe a shuga ndi ufa oyera, zakudya zamafuta a nyama, komanso zowonjezera zonunkhira komanso zosungidwa.
  • Nthawi yomweyo, chakudyacho chizikhala ndi masamba okwanira, zakudya zamafuta, zakudya zama protein ochepa.
  • Njala sayenera kuloledwa kuchitika, chifukwa muyenera kupeza chakudya ndi wotchi 6
  • Ndikofunikira kutafuna chakudya mosamalitsa, kudya pang'onopang'ono.
  • Nthawi yotsiriza simungadye kuposa maola 3 musanagone
  • Menyuyi iyenera kukhala yosiyanasiyana ndikuphatikiza zachilengedwe.

Kwa ana aang'ono, chiopsezo chokhala ndi matenda a shuga chimawonjezeka ndikusintha koyambirira kwa kudyetsa kwachakudya, kuyambitsa koyambirira kwa zakudya zowonjezera ndi zovuta zamagulu.

Zina zomwe zili pachiwopsezo cha matenda ashuga

Zomwe zimayambitsa matenda a shuga mellitus mwa akulu zimaphatikizapo kutenga ma diuretics kuchokera ku gulu la thiazides, beta-blockers, mahomoni a mahomoni omwe amaphatikiza ndi glucocorticoid, mahomoni ogonana, kuphatikiza kulera, mahomoni a chithokomiro.

Kuchita masewera olimbitsa thupi ochepa kumachepetsa kagayidwe kachakudya mthupi, kuphatikizapo kusokoneza magwiritsidwe ntchito a shuga, omwe amachokera mu chakudya, komanso kusachita masewera olimbitsa thupi kumakwiyitsa kuchuluka kwa mafuta komanso kuchepa kwamisempha. Chifukwa chake, masewera olimbitsa thupi amasonyezedwa kwa aliyense amene ali pachiwopsezo cha matenda ashuga.

Nthawi zambiri pamachitika matenda a shuga mellitus akamakumana ndi maziko a kupsinjika kwakukulu, mogwirizana ndi zomwe zimalimbikitsidwa, pamaso pa zoopsa, kuchita masewera olimbitsa thupi, kuphatikiza tsiku ndi tsiku pafupifupi ola limodzi, ndi njira zopumulira.

Kanemayo munkhaniyi ayankhula za zinthu zomwe zikuwonetseratu matenda ashuga.

Kusiya Ndemanga Yanu